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HIM > Chapter 5 > Flashcards

Chapter 5 Flashcards

1
Q

Definition:

Computer programs that allow the user to perform a particular task or function.

A

application software

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2
Q

Definition:

An input device that reads a bar code and identifies a document as belonging to a specific patient.

A

bar code reader

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3
Q

Definition:

Machine-generated identification codes.

A

bar codes

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4
Q

Definition:

An input device that reads a bar code and identifies a document as belonging to a specific patient.

A

bar code scanner

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5
Q

Definition:

Lowercase and uppercase letters, numeric digits, and special characters.

A

character

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6
Q

Definition:
Controls the processing of information throughout a computer system and includes the control unit, arithmetic/logic unit, and primary storage unit.

A

central processing unit (CPU)

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7
Q

Definition:
Allows for the collection of all clinical data in one centralized database, and provides easy access to data in electronic or printed form to the patient’s clinical history.

A

clinical data repository

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8
Q

Definition:
Multidisciplinary and multi-enterprise software that has the ability to link patient information at different locations according to a unique patient identifier.

A

computer-based patient record (CPR)

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9
Q

Definition:

Term used in 1970–1980 to describe early medical record automation attempts.

A

computerized medical records

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10
Q

Definition:

Raw facts that are not interpreted or processed (e.g., numbers, letters, images, symbols, and sounds).

A

data

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11
Q

Definition:
Provides an alternative to traditional microfilm or remote storage systems because patient records are converted to an electronic image and saved on storage media; also called document imaging.

A

document imaging

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12
Q

Definition:
Automated record system that documents patient care using a computer with a keyboard, mouse, optical pen device, voice recognition system, scanner, or touch screen. Records are often created using vendor software, which also assists in provider decision making and is most commonly associated with office practices that need practice management solutions.

A

Definition:

Group of characters.

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13
Q

Definition:

Collection of related records.

A

file

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14
Q

Definition:
The physical equipment is used by a computer system, including the central processing unit, storage devices, input and output devices, and networking equipment.

A

hardware

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15
Q

Definition:

Health facts that are collected about a patient or group of patients that describe a health issue.

A

health data

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16
Q

Definition:

Health data that has meaning and has been processed or organized in a manner that is useful for decision making.

A

health information

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17
Q

Definition:

Exchange and access to patient information generated by other facilities.

A

health information exchange (HIE)

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18
Q

Definition:

Provides incentives through the Medicare and Medicaid EHR Incentive program.

A

Health Information Technology for Economic and Clinical Health Act (HITECH)

19
Q

Definition:
Standards development organization that develops electronic health record (EHR) standards under the direction of the U.S. Department of Health and Human Services.

A

Health Level Seven (HL7)

20
Q

Definition:
Identification of scanned pages according to a unique identification number, making it unnecessary to scan documents for the same patient at the time; each scanned page is indexed so the complete patient record can be retrieved even if a patient’s reports are scanned at different times.

A

indexed

21
Q

Definition:

Data that has meaning and is useful in decision making.

A

information

22
Q

Definition:
Equipment that allows users to enter information into the computer system, including the keyboard, the mouse, scanners, microphones, and cameras.

A

input device

23
Q

Definition:
Records from different episodes of care, providers, and facilities that are linked to form a view, over time, of a patient’s health care encounters. It facilitates clinical decision support and analysis of diagnoses, treatments, and illnesses.

A

longitudinal patient record

24
Q

Definition:
Term used as part of the HITECH legislation that outlines the requirements providers must meet in order to receive incentives for using electronic health records.

A

meaningful use

25
Q

Definition:

The wires, modems, routers, and cables that are used to connect an information system.

A

networking equipment

26
Q

Definition:

A set of computer programs that control hardware and interface with application software.

A

operating software

27
Q

Definition:
Provides an alternative to traditional microfilm or remote storage systems because patient records are converted to an electronic image and saved on storage media; also called document imaging.

A

optical disk imaging

28
Q

Definition:
Equipment that allows users to print or display information produced by a computer system, including printers and computer screens.

A

output device

29
Q

Definition:

System that collects and monitors patient physiological data and records the information.

A

patient monitoring system

30
Q

Definition:
Special application that provides patients with secure access to their electronic health information and patient-provider communication tools.

A

patient portal

31
Q

Definition:

Electronic or paper medical record maintained and updated by an individual for his or her own personal use.

A

personal health record (PHR)

32
Q

Definition:

Collection of related fields.

A

record

33
Q

Definition:
A document that delineates the various sources of the component parts of the patient’s record and assists in the transition from paper to electronic formats.

A

record transitional template

34
Q

Definition:
Electronic network of medical information about patients, which was gathered from multiple health care organizations in a geographic region.

A

regional health information organization (RHIO)

35
Q

Definition:
Electronic network of medical information about patients, which was gathered from multiple health care organizations in a geographic region.

A

regional health information organization (RHIO)

36
Q

Definition:
Centralized database of patient demographic information that is used during processing of inpatient admissions and discharges.

A

registration-admission-discharge-transfer system (RADT)

37
Q

Definition:

Used to capture paper record images onto the storage media and allows for rapid automated retrieval of records.

A

scanner

38
Q

Definition:

Program used to operate a computer and perform functions.

A

software

39
Q

Definition:

Used to save, retrieve, and use data, such as computer chips, CDs, DVDs, hard drives, and magnetic tape.

A

storage device (memory device)

40
Q

Definition:
Equipment that allows users to enter information into the computer system, including the keyboard, the mouse, scanners, microphones, and cameras.

A

Input devices

41
Q

Definition:
Equipment that allows users to print or display information produced by a computer system, including printers and computer screens.

A

Output devices

42
Q

Definition:

Used to save, retrieve, and use data, such as computer chips, CDs, DVDs, hard drives, and magnetic tape.

A

Storage devices (memory devices)

43
Q

Definition:
Records from different episodes of care, providers, and facilities that are linked to form a view, over time, of a patient’s health care encounters. It facilitates clinical decision support and analysis of diagnoses, treatments, and illnesses.

A

A longitudinal patient record

44
Q

Definition:
Electronic network of medical information about patients, which was gathered from multiple health care organizations in a geographic region.

A

regional health information organizations (RHIOs)

HIM (5 decks)

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