Data Dictionary



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Section 0: Module Objectives or Competencies
Course Objective or Competency Module Objectives or Competency
The student will be able to explain what is included in data dictionaries, and why they are relevant to organizations. The student will be able to explain the purpose or function of data dictionaries.
The student will be able to explain how metadata is critical to an organization.
The student will be able to list and explain the items that are included in a data dictionary.


Section 1: Overview

Definition

At various times you will hear that data dictionaries are unimportant, or they are obsolete. Wrong!

From Health Language Blog: What is a Data Dictionary and What Role Does it Play in Semantic Interoperability?:

A data dictionary is a set of information describing what type of data is collected within a database, its format, structure, and how the data is used. In many respects, a data dictionary can be thought of as the rules in which all the data within your system need to abide by. If all of your systems are producing data that follow the same rules - you achieve semantic interoperability.
The dictionary can provide a list of names, definitions and data elements to be captured in the system and includes metadata—or additional information—about each of those elements. Metadata is a way to organize data at its most basic level and helps in distilling large amounts of data for specific purposes. The use of metadata will become increasingly important as large volumes of information become available from the increased use of HIE [Health information exchange] systems like EHRs. So much new information would have little value if it couldn't be processed and analyzed dependably.
Data dictionaries should be created with federal standards to support HIE with Meaningful Use in mind. As HIE use increases, AHIMA warns that healthcare organizations will need to properly identify data elements for appropriate reporting and transmission.
A successful data dictionary can improve the reliability and dependability of an organization's data, reduce redundancy, improve documentation and control, and make it easier to analyze data and use it to make evidence-based care decisions like those common in accountable care organizations.

Justification


Uses


Video Explanation

Here's a video for another perspective.

  • Video: What is a data dictionary?

  • Health Care?

    In recent years, the American Recovery and Reinvestment Act, numerous health IT initiatives, and the growth of health information exchange (HIE) have increased the healthcare industry's focus on data management and data use. Currently many organizations store data in multiple health information systems that are disparate—meaning the data within each system stand alone and are not interoperable.

    Accurate and reliable data are integral to the many health IT initiatives currently under way. According to the International Organization for Standardization (ISO):

    The increased use of data processing and electronic data interchange heavily relies on accurate, reliable, controllable, and verifiable data recorded in databases. One of the prerequisites for a correct and proper use and interpretation of data is that both users and owners of data have a common understanding of the meaning and descriptive characteristics (e.g., representation) of that data. To guarantee this shared view, a number of basic attributes has to be defined.1

    A data dictionary is one tool organizations can use to help ensure data accuracy.

    From American Health Information Management Association's Managing a Data Dictionary.



    Section 2: Process of Developing the System Dictionary


    Section 3: Data Dictionary Categories

    The data dictionary acts as a repository for the definitions of data flows, data stores, data structures, and data elements. We're already familiar with data flows and data stores, so...

    Data element

    Data structure



    Section 4: Defining Data Flows

    Data flows for all input and output should be described first, followed by the internal data flows and the flows to and from data stores.

    Example of Data Flow

    Example of Data Flow



    Section 5: Defining Data Structures

    This provides a view of the elements that make up the data structure, and is often described using algebraic notation. Data structures are necessary whenever multiple data elements must be grouped together to adequately convey a single piece of information.

    Example of Data Structure

    Example of Data Structure



    Section 6: Defining Data Elements

    Each data element should be defined only once in the data dictionary.

    Example of Data Element

    Example of Data Element



    Section 7: Defining Data Stores

    Data stores are created for each different data entity being stored. A data store is required whenever data elements and data structures are grouped together to form a structural record that must be retained for some period of time. A data store is created for each unique structural record.

    Example of Data Store

    Example of Data Store



    Section 8: Benefits