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66 Cards in this Set

  • Front
  • Back

ATNA

(Audit Trail and Node Authentication) gives security through fictional access control, defined security audit logging and secure network communication

PIX

(Patient Identifier Cross Reference)-use of patient identifiers to cross reference with hospitals and HIE

XCA

(Cross community Acess)- allows to query and retrieve patient EHrs held by other communities like independent HiE's

XDS

(Cross Enterprise Document sharing)- shares and discovers EHR documents between health care enterprises, physician offices, clinics and personal health records

Current Capabilities of HIE

-it can send "test" patient ADT's such as patient name, DOB, SSN from EHR to both HIE


-it can create a MPI in each HIE


-Create and send patient CCD from EHR to HIe and vice verse


-transmit lab orders from eCW EHR to labcorp


-and it can send immunization records

ICA-North Texas-Athena

-this lab consist of a test patient being registered in Athena in which the patient demographics is sent to ICA HIE


- will include local and global I'd from Athena and ICA


-once the patient progress note is signed, Athena does a PIX (patient identifier cross reference) with ICA and sends the XML based CCD to the HIe


-

ICA with eCW

-the patient demographics and CCD is sent to eCW to the ICA


-once the patient is registered and consents are signed, eCW provides those documents to ICA


-ICA uses DETERMINISTIC matching to lol the eCW pt info to pt in ICA MPI


-this results in the MPI to include both pt info from both practices with both ID


- once the patient note is locked, PIC sends the XML CCD thru eCW server

Interoperability with labcorp and evw

To send the order to labcorp via HL7 ORM message



To receive the date is thru ORU message

North Texas HIe

-it's a centralized model and based on deterministic matching


North Texas HIe

-it's a centralized model and based on deterministic matching


How is data transferred in the HIE?

-information is transferred through HL7 and the IHE

North Texas HIe

-it's a centralized model and based on deterministic matching


How is data transferred in the HIE?

-information is transferred through HL7 and the IHE

What are the two data transmission security?

TLs and VPn

What is HL7?

It is a standard that defines message standard for transmitting health info



-commonly used with patient demographics, orders and results

What is HL7?

It is a standard that defines message standard for transmitting health info



-commonly used with patient demographics, orders and results

Who initiated the integration of IHE?

Healthcare professionals and industry initiated this to improve computer systems sharing health info

What is SQL used for?

Used to access and manipulate data

What is SQL used for?

Used to access and manipulate data

What is RDBMS(relational database management system)?

A software that stores and manipulates data that are in relational database tables

What is SQL used for?

Used to access and manipulate data

What is RDBMS(relational database management system)?

A software that stores and manipulates data that are in relational database tables

What is DQL( Data query language)?

Select or retrieve

What is SQL used for?

Used to access and manipulate data

What is RDBMS(relational database management system)?

A software that stores and manipulates data that are in relational database tables

What is DQL( Data query language)?

Select or retrieve

What is DML(data manipulation language?

Insert, update or delete

What is SQL used for?

Used to access and manipulate data

What is RDBMS(relational database management system)?

A software that stores and manipulates data that are in relational database tables

What is DQL( Data query language)?

Select or retrieve

What is DML(data manipulation language?

Insert, update or delete

What is DDL(data definition language)?

Create or alter or drop

What is DCL ( data control language)?

Grant(assign) or revoke/ remove

What is a database?

Collection of related tables



Also known as relational database!

What is a database?

Collection of related tables



Also known as relational database!

What is a key?

It's a group of values that are unique and they are underlines such as MRN, SSN

What is a database?

Collection of related tables



Also known as relational database!

What is a key?

It's a group of values that are unique and they are underlines such as MRN, SSN

What is a primary key?

It a field/fields whose values are unique and are used to identify a row

What is a database?

Collection of related tables



Also known as relational database!

What is a key?

It's a group of values that are unique and they are underlines such as MRN, SSN

What is a primary key?

It a field/fields whose values are unique and are used to identify a row

What is a foreign key?

A primary key of one relation that is placed in a second relation



-basically it is the primary key that is in a second table to link them together which makes it a foreign key

What is a field?

Different categories in a table

What is data types?

Properties of each field and the field can only have one data type

What is data types?

Properties of each field and the field can only have one data type. It tells what you are trying to store and sets values and operations defined on those values.



-basically the computer has to be told what kind of data each field is so that it stores and retrieved correctly



-ex: name, debit card #

What is normalization?

The process of organizing data to reduce redundancy.



What is a reason not to normalize?

It takes the system longer to retrieve data linked (joined) across multiple tables.

What are the uses for SQL?

To modify the structure of the database using DDL and working with the content of the database using DML

What does SELECT mean?

Retrieve data from DB

What are the DDL commands?

Create, alter(modify), drop(delete)

What are DML commands?

Select(retrieve) and join

What is the syntax to select records from a table "patients"?

Select*


From patient

What is the syntax to determine the average age in a table "student"?

Select average


From student

What is a wildcard?

A wildcard character can be substituted for any other character



%= 0 to many character. For example looking for smith, '%smith%' gives all patients with smith anywhere in their last name where as


'Smith' only gives you exact patients with that exact last name

What is Where?

Used to get a specific result or find specific patients with a last name. Example



Select*


From patients


Where patients last name like 'smith';

How to create a SQL database?

Use, drop table, create

What is an attribute?

Name, DOB, MRN, basically things that can link to a person

What are the 2 types identifiers?

Things that are linked to a patient.



Unique: SSN


Non unique:last name

What is referential integrity?

It ensures that the relationship between two table remains synchronized through updates and deletes.

What safeguard can be used in creating a table to reduce the possibility of duplicate data?

Normalization

When would a composite identifier be required?

Could be used when looking for a patient. Always uses 2 or more attributes such as name and DOB

When do you know that a table is normalized?

When there is something that is the same in both tables

What is an example of a one to one relationship?

Where 1 patient has a driver license number and only that driver license number can belong to them.



SAN

What is an example of a one to many relationship?

1 patient can have many clinic visits, many drugs, and many dx

What is an example of many to many relationship?

1 patient can have many doctors and those doctors can have many patients