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18 Cards in this Set
- Front
- Back
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19802. reflects 1st attempts 2 automate some essential functions ie alerts, medication administration & orders communication
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computer-based patient record (CPR)
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1990s. term used 2 describe sys th integrated dictation, transcription & document imaging - alg with the CPR function of alerts, medication administration & orders communications
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electronic medical record (EMR)
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when fully realized this will provide all of what CPRs & EMRS do in addition to information interchange amg providers at all levels & orivde support 4 fully integrated evidence-based medicine & embedded clinical terminology to assist w/documentation
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electronic health record (EHR)
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registratio, admission, discharge and transfer systems
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R-ADT
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data elements represented in t computer x a special code to b used to make comparisons, trending results & supplying clinical reminders & alerts.
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clinical decision support (CDS)
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a system th hs a scheduling sys, PR registration sys, & a billing sys sometimes combined into one.
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patient management system (PMS)
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1st appeared in the 1960s-a heakthcare info sys th directly support patient care
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clinical information system (CIS)
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document imagining sys th capture print images of lab results & oth documents th r in stand alone electronic sys & make them avail 4 viewg on a computer
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computer output to laser disk (COLD)
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newer document imaging sys th can manage many types of digital documents, including e-mails & electronic faxes
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elecctronic document management system (EDMS)
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systems th allow bar-coding
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electronic document/content managemnt system (EDCM)
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a standards devlpmnt organization accredited x t American National Standards Institue th addresses issues at t 7th, or application, level of healthcare systems interconnections.
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Health Level 7 standards development organization
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EHR sys r gen'ly based on this special kind of database th manages data frm diff source systems in t hospital or oth provider settings
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clinical data repository (CDR)
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an integrated computer sys th obtains, stores, retrieves & displays didgital images (in healthcare, radiological images)
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picture archiving & communication system (PACS)
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a sys th allows MDs to enter medications or other orders & receive clinical advice abt drug doses, contraindications, or oth clinical decision support
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computerized provider order-entry system (CPOE)
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sys th sometimes uses MAR forms, POC devices, or bar-coding systems
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electronic medication administration record (EMAR)
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a health record th includes both paper & electronic elements
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hybrid health record
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a set of technologies, standards, applications, systems, values, & laws th support all facets of provider healthcare, individual health & public health
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national health information infrastructure (RHII)
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sys th links various healthcare info sys together, allowg PTs, MDs, healthcare institutions, & oth entities nationwide to share clinical info privately & securely
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national health information network (NHIN)
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