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Ch5 Hlth Info Mngmt
Electronic Health Record Systems
| Question | Answer |
|---|---|
| process of identifying source of HR entries by handwritten signature, author's initials or an electronic signature | authentication |
| software & hardware located at patient's bedside that encourages recording of info about patient care at or near time it is delivered | bedside documentation systems |
| collects, organizes, & analyzes all institutional business & clinical data that have been summarized & aggregated for that purpose | clinical data repository |
| specific procedures/protocols for medical professionals to follow for patients w/particular diagnosis/medical condition based on research | clinical practice guidelines |
| scheme for grouping similar things in logical way, based on common aspects; vary in level of detail enabling users to capture lrg amounts of specific, or granulary, data | classification system |
| term to describe patient record system that could be part of hospital info sys., medical info sys., or type of clinical info system. | computer-based patient record |
| ethical/legal concept endorsed by health professionals to meet expectation of patients that their info, when provided to auth. user, will not be redisclosed/misused | confidentiality |
| clinical data repositories are designed to deliver individual patient's info to care team through | clinical workstations |
| central repository for all info about database functions as catalog for identifying nature of all data in a system | data dictionary |
| rules that are applied to data to trigger an outcome i.e. create an alert in an EHR | data-driven rules |
| agreed on means of transmitting data & connecting data communications equipment | data interface standards |
| technical, physical, & procedural methods by which access to confidential info is controlled & managed | data security |
| receive clinical data from transactions system & combine them with other organizational data from administrative & financial systems | data warehouses |
| contains info; may be in a physical or virtual format | document |
| electronic health care record | |
| electronic health record | |
| event engine | |
| health care information | |
| health informatics | |
| information warehouses | |
| data dictionary provides central resource for ensuring that standard definitions for ___ ___ & ___ are used throughout the system | data elements & structures |
| typically product of standards development organization & is recognized by the American National Standards Institute | formal data interface standards |
| data warehouses are also referred to as | information warehouses |
| infrastructure | |
| internet | |
| knowledge | |
| multimedia | |
| natural language processing | |
| nonrepudiation | |
| niche vendors | |
| patient record | |
| patient record system | |
| primary patient record | |
| privacy | |
| registration admission | |
| registration discharge | |
| registration transfer | |
| script-based systems | |
| secondary patient record | |
| template | |
| text processing | |
| vocabularies |
Created by:
lfrancois
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