Quiz 3 Ch 5&6 Flashcards
What is the definition of Health information Exchange (HIE)
electronic movement of health-related information among organizations according to nationally recognized standards
What is the definition of health information organization (HIO)
an organization that oversees and governs the exchange of health-related information-Marion among organizations according to nationally recognized standards.
What is the definition of Regional Health Information Organization (RHIO)
A health information organization that brings together health care stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving health and care in that community
What is the definition of interoperability
The ability of two or more systems or components to exchange information and to use the information that has been exchanged?
Interoperability levels
Foundational
Syntactic
Semantic
What does foundational mean
Referring to the technology or platform used to exchange information
What does syntactic mean
Means messages have a structure and syntax that is understandable. Uses XML, and HL7 standards.
What does semantic mean
Terminology and coding must be the same for the sending and receiving organizations
Exchange is what…..?
Sharing health information is vital for healthcare reform at the local, state, and national level
Data standards do what
Promote consistent naming
Standards do what?
Enchanted the ability to transfer data among applications
A standards comes from….?
A standard document established by consensus and approved by a recognized body
How many levels are there in interoperability?
4
Level 1 of interoperability
No interoperability
- mail, fax, phone
= like trying to send a letter to friend but they don’t have a mailbox or a phone to contact them
Level 2 of interoperability
Machine transportable (structural) , information cannot be manipulated
- scanned document, pdf
= if you send a picture to someone but they cannot change anything about the picture
Level 3 of interoperability
Machine organizable (syntactic) , sender and receiver must understand vocabulary
- email , files in proprietary format
= like sending an email to a friend they can read it and organize it in their email inbox but they need to know what words you use
Level 4 of interoperability
Machine interpretable ( semantic ) , structured messages right standardized and coded data
- coded results from structured notes, lab, problem list
= sending the computer a special code for lab results or a list of problems and the computer can understand and use that information.
What are the types of standards
- identifier standard
- transaction standards
- messaging standards
- imaging standards
- terminology standards
What are the key attributes to identifier standards
- unique
- non disclosing
- permanent
- ubiquitous
- canonical
- invariable
Unique
Only one person has an indentured
Non-disclosing
Discloses no personal info
Permanent
Will never be re-used
Ubiquitous
Everyone has one
Canonical
Each person has only one
Invariable
Will not change over time
Messaging standards
Entity
Role
Participation
Act
Act relationship
Entity
Things in the world
People, organizations
Role
Capability or capacity
- patient ,practitioner
Participation
Role in context of act
Performer, target
Act
Clinical or administrative definitions
- observation, diagnosis or procedure
Act relationship
Links between acts
- diagnosis act
