Chapter 12 - Health Information Technologies Flashcards
Administrative applications
Application that must also connect to EHR systems include admission, discharge, transfer (R-ADT); enterprise master patient index or master patient index (EMPI or MPI); encoders, chart tracking, chart deficiency management, release of information; order communication/results reporting (OC/RR); quality assurance (QA), including core measures abstracting (which pulls specified, quality-related data from health records for reporting to the Joint Commission and Centers for Medicare and Medicaid Services); and many others
Ancillary systems
Clinical department applications that include laboratory information systems (LISs), radiology information systems (RISs), pharmacy information systems, and others
Audit trail
A chronological set of computerized records that provides evidence of information system activity (logins and logouts, file accesses) used to determine security violations. 2. A record that shows who has accessed a computer system, when it was accessed, and what operations were performed
Automated drug dispensing machines
System that makes drugs available for patient care
Automated forms-processing (e-forms) technology
Technology that allows users to electronically enter data into online digital forms and electronically extract data from online digital forms for data collection or manipulation
Barcoding technology
A method of encoding data that consists of parallel arrangements of dark elements, referred to as bars, and light elements, referred to as spaces, and interpreting the data for automatic identification and data collection purposes
Clinical decision support (CDS) systems
Interactive programs designed to assist clinicians in making patient care decision
Clinical workstation
The presentation of healthcare data and the launching of applications in the most effective way for healthcare providers
Clinician/physician web portal
The media for providing physician/clinician access to the provider organization’s multiple sources of data from any network-connected device
Cloud computing
The application of virtualization to a variety of computing resources to enable rapid access to computing services via the Internet; 2. Refers to servers that may be located anywhere in the world and that supply data and functionality via the Internet, rather than a local place that provides data and functionality via virtual private network (VPN) or even direct cabling to a healthcare organization
Computer-assisted coding
The process of extracting and translating dictated and then transcribed free-text data (or dictated and then computer-generated discrete data) into ICD-10-CM and CPT evaluation and management codes for billing and coding purposes
Computer output laser disk/ enterprise report management (COLD/ERM) technology
Technology that electronically stores documents and distributes them with fax, e-mail, web, and traditional hard-copy print processes
Computerized provider order entry (CPOE)
Electronic prescribing systems that allow physicians to write prescriptions and transmit them electronically. These systems usually contain error prevention software that provides the user with prompts that warn against the possibility of drug interaction, allergy, or overdose and other relevant information
Continuous speech input
Speech recognition software that does not require the user to pause between words to let the computer distinguish between the beginning and ending words
Cryptography
The art of keeping data secret through the use of mathematical or logical functions that transform intelligible data into seemingly unintelligible data and back again. 2. In information security, the study of encryption and decryption techniques
Data warehouse
A database that makes it possible to access data from multiple databases and combine the results into a single query and reporting interface
Diagnostic image data
Data such as a digital chest x-ray or a computed tomography (CT) scan
Digital signature management technology
Offers both signer and document authentication for analog or digital documents
Document imaging technology
The practice of electronically scanning written or printed paper documents into an optical or electronic system for later retrieval of the document or parts of the document if parts have been indexed
Document management technology
Automatically organizes, assembles, secures, and shares documents
e-commerce
The integration of all aspects of business-to business (B2B) and business-to-consumer (B2C) activities, processes, and communications, including electronic data interchange (EDI)
e-health
The application of e-commerce in the healthcare industry
Electronic data interchange (EDI)
A standard transmission format using strings of data for business information communicated among the computer systems of independent organizations
Electronic document/content management (ED/CM) system
Any electronic system that manages an organization’s analog and digital documents and content (that is, not just the data) to realize significant improvements in business work processes
Electronic health record (EHR)
An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization
Electronic medical record (EMR)
An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff across more than one healthcare organization
Electronic records management technology
Systems that capture data from print files and other report-formatted digital documents, such as e-mail, efax, instant messages, web pages, digital dictation, and speech recognition and stores them for subsequent viewing