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120 Cards in this Set
- Front
- Back
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Adoption
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Utilization of a system as intended to achieve its benefits. The phase after implementation in which intended users become acclimated to the EHR and regularly use more of its functionality.
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Aggregated data
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Data from a population that are combined to form deidentified information that can be compared and analyzed.
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Ancillary
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Subordinate; helping, auxiliary.
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Ancillary departments
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Laboratory, radiology, and pharmacy are considered ancillary departments in most healthcare institutions.
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Ancillary systems
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These are health information applications whose primary purpose is to management departments that produce clinical information for patient care such as laboratory information systems and pharmacy information systems. Also called departmental systems
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[ASTM] Continuity of Care Record (CCR)
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A core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters, developed jointly by ASTM International, the Massachusetts Medical Society, Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and health informatics vendors. Initially a replacement for the Patient Care Referral Form mandated by the Massachusetts Department of Public Health, it is widely used now as a standard specification for patient health summaries and personal health records. [See also ASTM Continuity of Care Record.](7) Standard specification, maintained by the ASTM International standards development organization, for a data set of the most relevant administrative, demographic, and clinical facts about a patient's healthcare that supports continuity of care when a patient is referred to another provider.
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Bar code
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Representation of information that may be read by optical scanners called barcode readers or scanned from an image by special software. Usually used for medications
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*Bar Code Medication Administration Record (BC-MAR)
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System that uses barcoding technology for positive patient and drug identification during the process of giving a drug to a patient.
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Bedside terminals
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(6) Originally, terminals placed in patient rooms that connected to the hospital's mainframe computer. Many of these have been replaced with computers on wheels (COWs) for staff use, or bedside consoles, computing stations, or point-of-care computing devices often providing both access to the Electronic Health Record (EHR) for staff and entertainment, communication, information, and administrative services (for example food ordering, survey forms, self-check-out, etc.) for patients.
(7) Computer input devices that have minimal processing capabilities of their own and are used at the point of care to enter and retrieve data from a central computer source. |
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Case management
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The ongoing, concurrent review performed by clinical professionals to ensure the necessity and effectiveness of the clinical services being provided to a patient.
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Centers for Medicare and Medicaid Services (CMS)
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The division of the Department of Health and Human Services that is responsible for developing healthcare policy in the United States and for administering the Medicare program and the federal portion of the Medicaid program and maintaining the procedure portion of the International Classification of Diseases, ninth revision, Clinical Modification (ICD-9-CM).
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Certification Commission for Health Information Technology (CCHIT)
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An independent, private-sector company that creates and conducts EHR product certification. It was initially funded by AHIMA and HIMSS and also with a contract from the US Department of Health and Human Services (HHS) to develop and administer the first EHR product certification. It continues to maintain a comprehensive EHR certification program at the same time as it certifies EHR products for the federal meaningful use incentive program as authorized by the Office of the National Coordinator (ONC)
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[Clinical] Data Repository (CDR)
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An open-structure database that is not dedicated to the software of any particular vendor or data supplier, in which data from diverse sources are stored so that an integrated, multidisciplinary view of the data can be achieved; also called Clinical Data Repository (CDR) when related specifically to healthcare data.
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[Clinical] Data Warehouse [(CDW)]
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A database that is optimized for analytical query and report processing using data from multiple databases; also called Clinical Data Warehouse (CDW) when related specifically to health data
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Clinical Decision Support (CDS) System (CDSS)
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A special subcategory of clinical information systems that is designed to help healthcare providers make knowledge-based clinical decisions.
A set of patient-centered tools embedded within EHR software which can be used to improve patient safety, ensure care conforms to published protocol for specific conditions, and reduce duplicate or unnecessary care and its associated costs |
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Clinical Documentation
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An XML-based document markup standard model, developed by Architecture (CDA) HL7, for the electronic exchange of clinical documents (such as discharge summaries and progress notes).
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Clinical documentation improvement
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A process an organization undertakes to improve clinical specificity and documentation, specifically to allow coders to assign more concise disease classification codes and, in a more general sense, top improve data capture for accurate computer processing, such as in clinical decision support, quality improvement, and business intelligence
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Clinical documentation system
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(6) Also called point-of-care charting, an application that guides clinicians in capturing documentation, such as nurse assessments, history and physical examination results, progress notes, not otherwise captured in other clinical applications such as bar code medication administration record systems or computerized provider order entry systems. Systems in which clinicians enter documentation of clinical findings and services provided as they are taking care of patients
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Clinical Information
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A category of a healthcare information system that includes A type of enterprise risk management software that specifically aids healthcare organizations in maintaining compliance policies and procedures; tracking delivery of training, education, and awareness communications; providing references to and updating standards; conducting monitoring and auditing activities; identifying and responding to compliance offenses; and developing and managing corrective action plans : - Medication list - Allergies list - Immunization records - Laboratory reports - Pathology reports - Surgical reports - Hospital records - History and physical assessment findings - Risk assessment - Preventative services - Progress notes - Vital signs and growth charts - Imaging test results, such as radiographs and MRI films
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Clinical messaging
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The function of electronically delivering data and automating the workflow around the management of clinical data.
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Clinical quality assurance
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The use of audits, policy and procedure creation, corrective and preventive action plans, and continuous quality improvement techniques to aid a healthcare organization in providing healthcare with as superior results as possible.
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Compliance systems
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A type of enterprise risk management software that specifically aids healthcare organizations in maintaining compliance policies and procedures; tracking delivery of training, education, and awareness communications; providing references to and updating standards; conducting monitoring and auditing activities; identifying and responding to compliance offenses; and developing and managing corrective action plans.
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Computer on Wheels
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Term used to describe a mobile care typically outfitted with a laptop or tablet computer and battery pack, which may also include a medication drawer, utility drawer, bar code or RFID reader, ultrasound device and/or other medical equipment. Also called "wireless on wheels (WOW)", "wireless workstations", "patient charting carts", etc.
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System (CIS)
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systems that directly support patient care.
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Computer-based Patient Record (CPR)
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Term originally coined by the Institute of Medicine used to describe an electronic patient record housed in a system designed to provide users with access to complete and accurate data, practitioner alerts and reminders clinical decision support systems, and links to medical knowledge;"electronic health record" has largely replaced this term.
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Computerized Provider Order Entry (CPOE)
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Electronic systems that support physicians and other applicable licensed healthcare professionals in developing and documenting instructions for the care of the patient, including the ordering of medications, diagnostic studies, food and nutrition, nursing services, and treatments. These systems contain some clinical decision support functionality that provides the user with standard order sets the reduce data entry time; alerts about the possibility of drug interactions, allergic reactions, or a potential overdose; warnings for potential duplicate diagnostic tests and therapies; reminders about the need to renew or discontinue an order; and other relevant information.
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Connectivity systems
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Systems that support the ability of one computer system to exchange data with another computer system.
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Context-sensitive
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(6) An action performed by a computer program that depends on the values of the variables that are predefined to be associated with the action.(7) A feature of a software program that changes depending on the circumstances in which the program is used. For example, a context-sensitive help function provides information only about the specific function being performed; in healthcare, a template providing guidelines for documentation applicable to given patient's diagnosis.
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Continuity of Care Document (CCD)
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The result of ASTM's Continuity of Care Record (CCR) standard content being represented and mapped into the HL7's Clinical Document Architecture (CDA) specifications to enable transmission of referral information between providers; a style or specific format also frequently adopted for as a Personal Health Record (PHR).
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Continuity of Care Record (CCR)
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(6) A core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters, developed jointly by ASTM International, the Massachusetts Medical Society, Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and health informatics vendors. Initially a replacement for the Patient Care Referral Form mandated by the Massachusetts Department of Public Health, it is widely used now as a standard specification for patient health summaries and personal health records. [See also ASTM Continuity of Care Record.] (7) Standard specification, maintained by the ASTM International standards development organization, for a data set of the most relevant administrative, demographic, and clinical facts about a patient's healthcare that supports continuity of care when a patient is referred to another provider
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Contract management systems
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Software that automates the [payer-provider] contracting process, from creation and negotiation through monitoring , compliance, and renewal
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Core clinical systems
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Applications used by physicians, nurses, and other clinicians as they directly care for patients. These applications are considered to make up the Electronic Health Record (EHR).
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Core Measures
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Standardized performance measures developed to improve the safety and quality of healthcare (used by the Joint Commission's ORYX initiative, CMS quality reporting program for hospitals, and others)
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Current Procedural Terminology (CPT)
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A comprehensive, descriptive list of terms and associated numeric and alphanumeric codes used for reporting diagnostic and therapeutic procedures and other medical services performed by physicians; published and updated annually by the American Medical Association.
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Data mining
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The process of extracting and analyzing large volumes of data from a database for the purpose of identifying hidden and sometimes subtle relationships or patterns and using those relationships to predict behaviors
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Data warehouse
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A database that makes it possible to access data from multiple databases and combine the results into a single query and reporting interface.(7) a database that is optimized for analytical query and report processing using data from multiple databases; also called a clinical data repository when related specifically to healthcare data.
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Departmental systems
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Applications that support the management of a department as it performs the processes necessary to produce its output, such as a laboratory information system or radiology information system.
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Discrete data
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Data that represent separate and distinct values or observations; that is, data that contain only finite numbers and have only specified values.(See "structured data".)
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Document Imaging Systems (DIMS)
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Computer systems that capture, store, and reprint images of documents.
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E-visits
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An e-mail encounter with a patient, which is reimbursable, either directly by the patient or under a benefit plan. An evaluation and management service provided by a physician or other qualified health professional to an established patient using an electronic-based communication network for which the provider receives reimbursement.
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Electronic document/management (ED/CM)
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Software used to capture, manage, store, preserve, and deliver analog documents and digital records where specific content has been indexed for subsequent retrieval; ECM may also be referred to as a knowledge management system.
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Electronic Document Management System (EDMS)
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A storage solution based on digital scanning technology in which source documents are scanned to create digital images of the documents that can be stored electronically on optical disks. Represent a wide range of functionality and may be used in a variety of departments for scanning documents that cannot be manipulated into the EHR
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Electronic Health Record (EHR)
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"An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization adopted by the HL7 standards development organization (2007) as "a comprehensive, structured set of clinical, demographic, environmental, social, and financial data and information in electronic form, documenting the healthcare given to a single individual." The Institute of Medicine patient record study report (1991 and 1997) defined this as "an electronic patient record that resides in a system specifically designed to support users through availability of complete and accurate data, practitioner reminders and alerts, clinical decision support systems, links to bodies of medical knowledge, and other aids.
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EHR represents:
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--not just in documentation practices but in how medicine is practiced to support improvements in the cost and quality of healthcare delivery
--carefully constructed set of components that are highly integrated and require significant investments of time, money, process change and human factor reeingineering --an ongoing clinical program where constantly changing clinical knowledge requires continual maintenence and enhancements |
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EHR function:
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--Improve quality of healthcare --Enhance patient safety
--Support health maintenance, preventative care and wellness --Increase productivity through data capture --Reduce hassle factors/improve satisfaction --Support revenue enhancement --Support predictive modeling --Maintain patient confidentiality 1) Health information and date management 2) Results management 3) Order management 4) Decision support 5) Electronic communication and connectivity 6) Patient support 7) Administrative processes 8) Reporting and population health |
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EHR Advantages
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- improved quality and continuity of care
- increased efficiency - improved documentation - easier accessibility at point of care - better security - reduced overall expense - job and patient satisfaction |
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EHR Disadvantages
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- lack of interoperability among some products
- initial cost (at least $37k) - employee resistance - regimentation (order of sequencing) - security gaps |
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EHR system components
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Hardware-->Software-->People-->Policy-->Process
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EHR: Strategies for implementation
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1st: to determine the organization's readiness for an EHR before proceeding down a migration path.
2nd: to plan the migration path to the EHR based on a shared vision of the ultimate goal 3rd: Selecting the EHR system that is right for the organization 4th: Carefully planning implementation of the EHR component 5th: measuring success--understanding the true level of adoption and actual benefits that result should be essential |
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EHR: General Principles of planning implementation to apply to the components of an EHR
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complete mapping and analysis of all processes and workflows that will be impacted by the EHR component
--Review and understanding of the system's data requirements and information flow --Review and approval by the clinician users of all decision support elements --Thorough evaluation and testing of all new processes and workflows --Comprehensive training for all users, including education, skills building, system overviews and direct how-to instruction --Thoughtful chart conversion, turnover strategy, and go-live preparation that appreciates the impact on users, their productivity, and their ability to interact with their patients; and full support for users during go-live ("swarming" users with help") |
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EHR's early limitations
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--limited to the environments in which they were created
--could not be commercialized or made readily able for implementation because they were so closely linked to the processes of that organization --lacked the source systems(lab, xray, pharm, etc) to supply EHR with the data needed to provide users |
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Electronic Medical Record (EMR)
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An electronic record of health-related information on and individual that can be created, gathered, managed and consulted by authorized clinicians and staff within one healthcare organization.
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Electronic Medication Administration Record (EMAR)
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Application in which a schedule of medications, their dose, route, and time for administration is provided to the nursing staff and which is used to document such administration. A system designed to reduce medication errors by supplying nursing staff with a legible printout or display of medications, their doses, route of administration, and time for administration; this is in contrast to Barcode Medication Administration Record (BC-MAR).
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Electronic Prescribing (e-Rx)
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An application that supports the ability to electronically send an accurate, error-free, and understandable prescription directly to a [retail] pharmacy from the point of care.
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Enterprise-wide Master Patient Index (EMPI)
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An index that provides access to multiple repositories of information from overlapping patient populations that are maintained in separate systems and databases.
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Evaluation and Management (E/M) codes
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Current Procedural Terminology (CPT) codes that describe patient encounters with healthcare professionals for assessment counseling and other routine healthcare services.
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Executive decision support
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A system that analyzes a large volume of aggregated data and provides trending information, used in healthcare to support strategic planning and management of the healthcare organization.
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Food and Drug Administration (FDA)
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The federal agency responsible for controlling the sale and use of pharmaceuticals, biological products, medical devices, food, cosmetics, and products that emit radiation, including the licensing of medication for human use.
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Health Information Exchange (HIE)
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The electronic movement of health-related information among organizations according to nationally recognized standards (The National Alliance for Health Information Technology).The sharing of patient information among different provider organizations and others as authorized.
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Health Information Exchange Organization (HIO)
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An organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards (The National Alliance of Health Information Technology); also referred to as a "Health Information Exchange (HIE) organization"; and when based within a specific geographic area, a "Regional Health Information Organization (RHIO)" or a "Local Health Information Organization (LHIO)". An organization that supports, oversees, or governs the exchange of health information among organizations according to nationally recognized standards.
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Health Information Management (HIM)
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An allied health profession that is responsible for ensuring the availability, accuracy, and protection of the clinical information that is needed to deliver healthcare services and to make appropriate healthcare-related decisions.
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Health Information Technology for Economic and Clinical Health (HITECH) Act
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Legislation enacted in 2009 [as part of the American Recovery and Reinvestment Act (ARRA)] to stimulate the adoption of EHR and supporting technology in the United States.
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Home monitoring
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Devices that enable patients, caregivers, or healthcare providers to monitor the patient's vital signs and other physiological indicators from the patient's home; examples include diabetes kits, home pregnancy tests, or transtelephonic pacemaker monitoring.
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Human-computer interface
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The combination of input device and user interface software used by humans to access and enter data into a computer system.
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ICD
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A system of organizing and encoding disease terms for the purpose of reporting morbidity and mortality information.
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Infrastructure
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The underlying framework and features of an Information System
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Implementation
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The process of installing hardware and software, configuring them to meet specific user needs, testing that they work properly, training users, and supporting users' initial use of an information system application.
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Implementation of systems are usually in this order
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applications are often in this order:
1. R-ADT (Registration-Admission Discharge Transfer) or PMS (Practice Management System for ambulatory) 2. PFS (Patient Financial Services) or billing systems for ambulatory 3. OC/RR (Order Communication/Results Retrieval 4. Ancillary/Clinical department applications 5. Specialty clinical applications 6. Smart Peripherals 7. EDMS 8. Clinical messaging/provider-patient portals 8. Clinical messaging/provider-patient portals 9. Registries 10. Results Management 11. POC charting/clinical documentation 12. CPOE and Escribing
13. CDS (clinical decision support)
14. Reporting 15. CDR (clinical data repository) 16. CDW (clinical data warehouse) 17. PHR (Personal Health Record) 18. Telehealth 19. HIE 20. Population health |
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Interference engine
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Specialized Computer software often used in clinical decision supportsystem that looks for matches betweeen conditions in rules of data elements entered into a repository when a match is found , the engine executes the rule. which results in an alert or other action
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Integrated Delivery Network (IDN)
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Also called Integrated Delivery System (IDS), an Integrated Delivery Network (IDN) is a group of healthcare organizations under a single parent holding company intended to improve the continuity of care for patients; some IDNs are limited to provider components, while others have a health maintenance organization (HMO) component as well.
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Intranet
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A private information network that is similar to the Internet and whose servers are located inside a firewall or security barrier so that the general public cannot gain access to information housed within the network.
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Knowledge sources
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Various types of reference material and expert information that are compiled in a manner accessible for integration with patient care information to provide clinical decision support and improve the quality and cost-effectiveness of healthcare provision.
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Laboratory Information Systems (LIS)
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An information system that manages the laboratory in its performance of diagnostic studies and generation of their respective results.
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Longitudinal Care
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A type of time frame for research studies during which data are collected from the same participants at multiple points in time.
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Long-Term and Post- Acute Care (LTPAC)
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Healthcare services provided in a non-acute care setting, often following an acute episode of care for those who are chronically ill, aged, disabled, or mentally handicapped.
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Meaningful Use (MU)
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A regulation that was issued by the Centers for Medicare and Medicaid Services (CMS) on July 28 2010, outlining an incentive program for professionals (EPs), eligible hospitals (EHs), and Critical Access Hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use [i.e., certain qualifying levels of utilization specific to various stages in the incentive payment program] of certified Electronic Health Record (EHR) technology
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Meaningful Use:
What are the 3 primary components to the federal government's Meaningful Use program? |
1. A certification program whereby EHR technology is tested and certified as meeting standards and criteria. Establishes the requirements for certifying bodies.
2. Standards and criteria that certified EHR technology must meet are defined in regulations from ONC. Criteria describe specific funtionality an EHR must be able to perform if used to earn M.U. incentives. 3. Objectives and measures for earning incentives are defined in the regulation from CMS and are consistent with the ONC-established standards and criteria. Those that eligible hospitals (EH), those that eligible professionals(EP)--primarily physicians in ambulatory settings--- and those that both EH and EP's must meet. |
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Meaningful Use:
What are the stages for M.U.? |
Stage 1: 2011 Data Capture and Sharing
Stage 2: 2013 Advanced Clinical Processes Stage 3: 2015 Improved Outcomes |
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Medication "Five Rights"
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The "Five Rights" of medication administration refers to a patient safety process that checks that the 1. right medication to be administered to the 2. right patient is given in the 3. right dose by the4. right route, and at the 5. right time.
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Medication Management
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MEDLINE
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An online bibliographic database of medical information compiled by the National Library of Medicine (NLM)
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National Library of Medicine (NLM)
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The world's largest medical library and a branch of the National Institutes of Health (NIH), involved in numerous initiatives to promote more effective and interoperable biomedical information systems and services, including Electronic Health Records (EHRs)
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National Quality Forum (NQF) Health Outcomes Policy Priorities
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An output of the NQF National Priorities Partnership (NPP) that offers consultative support to the Department of Health and Human Services (HHS) on setting national priorities and goals for the HHS National Quality Strategy. The work guided the development of the Meaningful Use (MU) criteria.
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Nationwide Health Information Network (NHIN or NWHIN)
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A network of networks envisioned by the U. S. federal government that would securely connect consumers, providers, and others who have or use health-related data, using a shared architecture (standards, services, and requirements), processes, and procedures. A set of standards, services, and policies that enable secure health information exchange over the Internet. The network provides a foundation for the exchange of health information across diverse entities, within communities, and across the country.
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Natural Language Processing (NLP)
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A technology that converts human language (structured or unstructured) into data that can be translated then manipulated by computer systems; a branch of [the research and development field of] artificial intelligence.
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Office of the National Coordinator for Health Information Technology (ONC or ONCHIT)
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The principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. The position of National Coordinator was created in 2004, through an Executive Order [of President George W. Bush], and legislatively mandated in the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009.
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Portable Document Format (PDF)
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An open standard maintained by the International Organization for Standardization (IOS) that enables files to be viewable and printable on virtually any platform and for which a variety of features and functions support extensibility, security, and other attributes.
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Personal Health Record (PHR)
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An electronic or paper health record maintained and updated by an individual himself or herself; a tool that individuals can use to collect, track, and share past and current information about their health or the health of someone in their care.
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Pharmacy Information System (PIS)
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An information system that manages the pharmacy in its performance of filling [inpatient] orders or [outpatient] prescriptions for medications, including evaluating patient safety issues, dispensing medications, managing medication inventories, affording special security over controlled substances, and managing formulary information.
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Physician credentialing system
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Physician Quality Reporting System (PQRS)
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An incentive payment system for eligible professionals (EPs) who satisfactorily report data on quality measures for covered professional services furnished to Medicare beneficiaries; formerly known as the Physician Quality Reporting Initiative (PQRI).
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Picture Archiving and Communications Systems (PACS)
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An integrated computer system that obtains, stores, retrieves, and displays digital images (in healthcare, radiological and other diagnostic study images).
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Point-of-care (POC) charting
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Also called point-of-care documentation, the process of entering data into the health record at the time and location of service; often refers to an application that supports specific types of documentation, such as nurse assessment or emergency care services.
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Portal
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Based on Web portal technology, a point of secure access to an organization's information system applications. An application that provides the ability to interact and communicate with another application via the Internet; often used to provide physicians access to patients' health records and to provide patients the ability to request or schedule an appointment, pay bills, and/or access their EHR or PHR.
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Predictive modeling
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A process used to identify patterns that can be used to predict the odds of a particular outcome based on the observed data.
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Print file
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Output from a computer system that generates a file containing an image of information that can be printed.
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Qualified EHR
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According to the HITECH act and with respect to the EHR [Meaningful Use] incentive program, an EHR that includes patient demographic and clinical health information and has the capacity to provide clinical decision support; to support physician order entry; to capture and query information relevant to healthcare quality; and to exchange electronic health information with, and integrate such information from, other sources.
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Presentation layer
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The set of application programs that provides for functions such as Computerized Provider Order Entry (CPOE), Bar Code Medication Administration Record (BC-MAR) Point-Of-Care (POC) charting and clinical decision support.
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Radio Frequency Identification (RFID)
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An automatic recognition technology that uses a device attached to an object to transmit data to a receiver and does not require direct contact.
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Radiology Information System (RIS)
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An information system that manages a radiology department or clinical imaging center as it collects, stores, and provides information on radiological tests such as ultrasound, magnetic resonance imaging, positron emission tomography, and other procedures.
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Registry
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A collection of healthcare information related to a specific disease, condition, or procedure that makes the information readily available for analysis and comparison.
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Report writer
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An application that enables compilation of data into various reports.
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Results management
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An application that supports retrieval of diagnostic studies and other clinical results and permits viewing and manipulation of data, such as graphing, trending, and comparing with other data.
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Rules engine (also called inference engine)
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A computer program that applies sophisticated mathematical models to data that generate alerts and reminders to support decision making.
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Smart peripherals
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medical devices that are now able to be directly connected to an information system to enable capture of their information into the EHR (Monitoring equipment, robots, drug dispensing...etc)
The augmentation of medical devices/instruments with information processing components, such as infusion pumps with dose calculation software; Medical devices that are able to be directly connected to an information system to enable capture of their information into the EHR. |
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SNOMED
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Systematized Nomenclature of Medicine
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SNOMED CT
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Systematized Nomenclature of Medicine - Clinical Terms: a computer-processable clinical vocabulary that in 2011 includes more than 311,000 clinical concepts and over 1.3 million relationships to represent virtually all healthcare process; originally developed by the College of American Pathologists and now managed by the International Health Terminology Standards Development Organization (IHTSDO), based in Denmark, it is designed to index, store, retrieve, and aggregate clinical data in a standardized manner.
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Source system
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1. A system in which data were originally created. 2. An independent information system application that contribute data to an Electronic Health Record (EHR), including departmental clinical applications (for example: a Laboratory Information System (LIS) or a clinical pharmacy information system) and specialty clinical applications (for example: intensive care, cardiology, or labor and delivery).
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Specialized source systems
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Storage Area Network (SAN)
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Storage devices organized into a network so that they can be accessible from any server in the network.
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Storage devices/systems
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Devices or systems for storing software and data, including temporarily in the Central Processing Unit (CPU) of the computer; and in separate units or even separate networks from the main computer or computing center.
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Structured data
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Binary computer-readable data.Computer-processable data.
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Structured data vs Unstructured data
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Structured is data that has been predefined in a table or checklist--with the use of drop-down menus--standard values for specific variables.....Unstructured data is narrative data or images of information (EDMS)
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Supporting infrastructure
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Technology that integrates data from applications internal to a given care delivery organization.
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System
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A set of related and highly interdependent components that are operating for a particular purpose.
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Telehealth
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use of medical information exchanged from one site to another via electronic communications to improve, maintain, or assist patients health status
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*Unstructured data
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Non-binary, human-readable data. Narrative or imaged data that are human readable and able to be stored and displayed in a computer but not uniquely processable by a computer.
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Wireless on Wheels (WOW)
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Notebook computers mounted on carts that can be moved through the facility by users.
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*Workflow technology
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Technology that automatically routes electronic documents into electronic in-baskets or its department staff for disposition decisions.
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XML (eXtensible Markup Language)
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A standardized computer language that allows the interchange of data as structured text.
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