Health Information Systems Flashcards
What are the four key functions of a health information system?
Data generation, compilation, analysis and synthesis, and communication and use.
Structured information is that which is stored as…
discrete data points such as gender, age, name, items in a ROS, physical exam, etc.
Unstructured data is information that is stored…
in aggretate.
What is the difference between patient-specific and knowledge-based data?
Patient-specific data relates to a particular individual. So, this would be a patient’s specific prescription versus information available on the medication itself in the system (name, aliases, common dosages, cost, etc.)
Common EHR managerial functions?
Utilization review, coding analysis, clinical research, public health registries, quality initiatives, vital statistics, data warehouses.
Common HIS managerial functions?
Utilization review, coding analysis, clinical research, public health registries, quality initiatives, vital statistics, data warehouses.
Aim of NLP?
To use machine learning algorithms to discretize unstructured data.
The eight core functions of the EHR?
Health information and data, result management, order management, decision support, electronic communication and connectivity, patient support, administrative processes and reporting, reporting and population health.
HIMSS HIS capability stages:
Stage 0 - some automation. Laboratory, radiology, pharmacy ancillaries not all installed.
Stage 1 - Laboratory, radiology, pharmacy ancillaries all installed.
Stage 2 - Central data repository, controlled medical vocabulary, CDS, may have document imaging, may have health information exchange capabilities.
Stage 3 - Nursing/clinical documentation, CDS with error checking, PACS available outside of radiology.
Stage 4 - CPOE, CDS with clinical protocols.
Stage 5 - Closed looped medication administration.
Stage 6 - Physician documentation, CDS with variance and compliance capability, full radiology PACS system.
Stage 7 - Full EMR, clinical care documentation transactions to share data, data warehousing, data continuity with EDs, ambulatory and outpatient areas.
HIMSS HIS capability stages:
Stage 0 - some automation. Laboratory, radiology, pharmacy ancillaries not all installed.
Stage 1 - Laboratory, radiology, pharmacy ancillaries all installed.
Stage 2 - Central data repository, controlled medical vocabulary, CDS, may have document imaging, may have health information exchange capabilities.
Stage 3 - Nursing/clinical documentation, CDS with error checking, PACS available outside of radiology.
Stage 4 - CPOE, CDS with clinical protocols.
Stage 5 - Closed looped medication administration.
Stage 6 - Physician documentation, CDS with variance and compliance capability, full radiology PACS system.
Stage 7 - Full EMR, clinical care documentation transactions to share data, data warehousing, data continuity with EDs, ambulatory and outpatient areas.
Types of knowledge-based systems:
Information retrieval systems, decision support systems and question-answering systems.