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12 Cards in this Set
- Front
- Back
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Health Information Technology
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The application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making
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PHR (Personal Health Record)
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A collection of important information about your health or the health of someone you’re caring for, such as a parent or a child, that you actively maintain and update
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PHIT (Personal Health Information Technology)
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PHIT enables the documentation of an individual's complete, lifelong health and medical history into a private, secure and
standardized format that he or she owns and controls, but yet is accessible to legitimate providers day or night from any location |
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EHR (Electronic Health Record)
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A real time patient health record with access to evidence-based decision support tools that can be used to aid clinicians in decision
making. An EHR is a medical record or any other information relating to the past, present or future physical and mental health, or condition of a patient which resides in computers which capture, transmit, receive, store, retrieve, link, and manipulate multimedia data for the primary purpose of providing health care and health-related services. The EHR can also support the collection of data for uses other than clinical care, such as billing, quality management, outcome reporting, and public health disease surveillance and reporting. EHR records include patient demographics, progress notes, SOAP notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. |
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Informatics
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The study of information. It is often, though not exclusively, studied as a branch of computer Science and Information Technology (IT) and is related to database, ontology and software engineering. Informatics is primarily concerned with the structure, creation, management, storage, retrieval, dissemination and transfer of information. Informatics also includes studying the application of information in organizations, on its usage and the interaction between people, organizations and information systems.
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Interoperability
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The ability of a system to work with other systems without special effort and complex interfaces on the part of the user.
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EMR (Electronic Medical Record)
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A computer-based patient medical record. An EMR facilitates access of patient data by clinical staff at any given location; accurate and complete claims processing by insurance companies; building automated checks for drug and allergy interactions; clinical notes; prescriptions; scheduling; and sending information to and viewing by labs.
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eRx (Electronic Prescribing)
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A type of computer technology whereby physicians use handheld or personal computer devices to review drug and formulary coverage and to transmit prescriptions to a printer or to a local pharmacy. E-prescribing software can be integrated into existing clinical information systems to allow physician access to patient specific information to screen for drug interactions and allergies.
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DSS (Decision Support System)
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Computer tools or applications to assist physicians in clinical decisions by providing evidence-based knowledge in the context of patient specific data. Examples include drug interaction alerts at the time medication is prescribed and reminders for specific guideline-based interventions during the care of patients with chronic disease.
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CPOE (Computerized Provider Order Entry)
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A computer application that allows a physician’s orders for diagnostic and treatment services (such as medications, laboratory, and other tests) to be entered electronically instead of being recorded on order sheets or prescription pads. The computer compares the order against standards for dosing, checks for allergies or interactions with other medications, and warns the physician about potential problems.
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ANSI (American National Standards Institute)
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The U.S. standards organization that establishes procedures for the development and coordination of voluntary American National Standards.
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CCR (Continuity of Care Record)
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A standard specification being developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Health Information Management and Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), and the American Academy of Pediatrics. It is intended to foster and improve continuity of patient care, to reduce medical errors, and to assure at least a minimum standard of health information transportability when a patient is referred or transferred to, or is otherwise seen by, another provider.
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