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HIT Ch 5

Electronic Health Records

QuestionAnswer
Used to describe the early medical records automation attempts 1970-1980 Computerized Medical Records
Contains records from different episodes of care, providers, and facilities that are linked to form a view, overtime, of patient's health care encounters Longitudinal Record
Is a multidisciplinary and multienterprise and it has the ability to link patient informationa at different locations according to a unique patient identifier Computer-based Patirnt Record (CPR)
Provided an alternative to traditional micrfilm or remote storage systems, patient records are converted to an electronic image and saved on servers or optical disks Document Imaging/Optical Disk Imaging
Used to capture paper record images onto electronic storage media Scanner
Scanned page that is identified according to a unique identification number Indexed
The merging of data from different data systems into one centralized database, and provides easy access to data in electronic or printed form Clinical Data Repository
Used in the late 90's to describe systems that were based on imaging and the merging of data from various stand-alone systems, used interchangably with computerized patient records Electronic Medical Record (EMR)
Automated record system that contains a collection of information documented by a number or providers at different facilities reguarding one patient Electronic Health record (EHR)
A standards development organization tat develops EHR standards under the direction of the US Dept of Health and Human Services Health Level 7
An electronic or paper medical record maintained and updated by an individual for his/her own personal use Personal Health Record (PHR)
A part paper and part electronic record Hybrid records
A document that delineates the various sources of the component parts of a patient record Record Transitional Template
An electronic network of patient medical information gathered from multiple health care organizations on a geographical region Regional Health Information Organizations (RHIOs)
Exchange and access to patient information generated by other facilities Health Information Exchange
Raw facts that are not interpreted or processed, such as numbers, letters, images, symbols, and sound Data
A lower/uppercase letter, numeric digit, or special character Character
A group of characters Field
A collection of related fields Record
A collection of related records File
After data is collected, given meaning, and is useful for decision making Information
Health facts that are collected about a patient or group of patients that describe a health issue Health Data
Health data that has been given meaning and has been processed or organized in a manner that is useful for decision making Health Information
Centralized database of patient demographic information that is used during processing inpatient admissions and discharge Registration-Admission-Discharge-Transfer System (RADT)
Includes systems that collect and monitor patient physiological data and record the information Patient Monitoring System
Created by: jes6767
 

 



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