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AFPT (automated forms processing technology)
- -A component technology of an EDMS.
- -allows users to electronically enter data into "online forms" and electronically extract the data from the online forms for various data manipulation purposes.
- -form document is stored in a form format -- as the user sees it on the screen.
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Bar code symbology
- -The printed code used for recognition by a bar code scanner (reader).
- -Traditional one-dimensional bar codes use the bar's width to encode just a product or account number.
- -Two-dimensional bar codes, such as PDF417, MaxiCode and DataMatrix, are scanned horizontally and vertically and hold considerable more data.
- -PDF417 is widely used for general purposes.
- -MaxiCode is used for high-speed sortation
- -DataMatrix is used for marking small parts.
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Batch scanning
-documents are scanned (ie., processed) in batches instead of one document at a time.
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CR (AIT)
Character Recognition or Automatic identification technology.
- -A component technology of an EDMS.
- -quickly accurately enters character or symbol data into computer systems from analog, paper forms, or other analog documents.
- -also bar codes
- -optical characters (eg,. preprinted account numbers on paper bank checks)
- -optical character recognition (OCR)
- -optical marks (eg., filled-in circles by #2 pencils on SAT exam forms)
- -optical mark recognition (OMR) or Mark Sense
- -intelligent characters (eg., hand-printed alphanumeric characters on forms or other paper documents)
- -Intelligent Character Recognition (ICR).
- -speeds the scanning an indexing processes required of document imaging technology.
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Context Management
-OR-
Clinical context object workgroup (CCOW)
- -Publishes standard for the visual integration of cooperative interaction among independently authored healthcare applications at the point of use.
- -"Visual integration" emphasizes the specific scope the workgroup chose to address: applications with graphical user interfaces operating together on a personal computer or workstation.
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Deferred mirroring
- A form of content replication process in which an information system defers updating backup volumes within a mirror set, typically to the end of the processing day.
- -It then copies the data, such as image data, from the master volume to all backup volumes.
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Destination path
- -Represents the storage endpoint of data or items.
- -the path contains a server, volume, and directory specification that point to a location in the system where the data will be written.
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DDIT
Digital document indexing technology
- -A component technology of an EDMS.
- -denotes categories of information, such as metadata, by which documents are tagged for retrieval purposes and then delineated for a particular application.
- -The indexing process involves analyzing the content of a document, determining the appropriate values for designated indexing fields, and automatically entering the values into the system.
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DDRT
Digital document retrieval technology
- -A component technology of an EDMS.
- -coordinates the search and subsequent printing of the document to screen.
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DSMT
Digital signature management technology
- -A component technology of an EDMS.
- -offers both signer and document authentication.
- -Signer authentication is the ability to identify the person who digitally signed the document.
- -Document authentication ensures that the document and the signature cannot be altered.
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Digitization
- -the process of capturing analog document as a collection of binary digits (pixels) using a scanning device.
- -Digitization is a precondition for electronic storage, such as magnetic storage, storage on optical disk, and character recognition (eg., ICR, OCR).
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DASD
Direct attached storeage devices (DASD)
- -Disk drives contained within the computer cabinet and connected to the CPU via a peripheral bus.
- vs.
- External storage units (connected to workstations and servers over the network.)
- -NAS devices (network attached storage devices)
- -SAN devices (storage area network devices)
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Document
- -Any analog or digital, formatted, and preserved "container" of data or information.
- -This container of data or information is humanly interprested in an audible, readable, or visual manner.
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Document Capture
- -The process of accepting information thru acceptable capture devices in an EDMS.
- -eg., scanners, electronic forms, electronic transactions, cameras, voice, and video.
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DCMT
Document content management technology
- -A component technology of an EDMS.
- -this takes into account the internal classification of a document and the metadata associated with it.
- -The technology electronically manages the creation (authorship), distribution (publication), and customization of an entire document, section, or part of a document.
- -eg., in healthcare organizations, the document content that must be created, distributed and customized could be that of multipaged spreadsheet.
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Document imaging
- -The online storage, retrieval, and management of electronic images of documents.
- -The main method of capturing images is by scanning paper documents.
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DIT
Document imaging technology
- -One, and only one, of the many component technologies of an EDMS.
- -this electronically captures, stores, identifies, retrieves, and distributed documents that are:
- (1) not generated digitally and are stored on apper and/or
- (2) are generated digitally but are stored on paper.
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DMT
Document management technology
- -A component technology of an EDMS.
- -this provides core library services for documents.
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Dynamic mirroring
- -A form of content replication process in which an information system writes the content to several storage points in the sytem.
- -A storage point records the content to a computer medium.
- -A retrieval request for the content returns the content from any valid storage point.
- ***Dynamic mirroring represents a master volume and backup volome that are written simultaneously.
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EDMS
Electronic document management system (EDMS)
-Any electronic system that manages documents (not data) to realize significant improvements in business work processes.
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ERM
Enterprise report management (ERM) technology
*** formerly known as COLD/ERM (Computer output laser disk).
-this technology electronically stores, manages, and distributes documents that are generated in a digital format and whose output data are report-formatted/print-stream originated.
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Image combining
- -The process of taking two or more bitmapped images and combining them to make a single bitmapped image.
- -eg., a combined image is a bank check (front & back as one form).
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Image-enabling
- -adding document images to an existing database application.
- -allows end-users to view document images from the existing database application's "viewer" or user interface.
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Index key
- -A character string in an archieve file that is used as a file locator.
- -Index key values are extracted by indexing expressions when files are archived.
- -eg., include account #, SSN, customre names.
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Integration server
- -A compurter containing software that enables one application to communicate with another on an ongoing basis.
- -is a message transport service such as MQSeries.
- -higher-service layers provided include data routing and reformatting.
- -also known as "message broker"
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Magnetic storage
eg., tape, floppy disk, hard disk
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Universal, global, or patient level documents
- -Documents associated with a patient at the medical record number (MRN) level.
- -Global documents can be seen on each encounter for the patient. Is visible for every encounter.
- ---eg., advance directives & insurance card.
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Virtual folder
- -A type of folder dynamically assembled at the time of the request.
- -a static folder or a crossection of static folders.
- -eg., folder that represents a particular business type, such as driver's license.
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VRS
Virtual rescan (VRS)
- -AN electronic checkpoint for scanned images that ensures that only the highest qulity images and data are captured.
- -As images are scanned, VRS software performs a multipoint inspection of each document.
- -VRS instantly & automatically checks and adjusts for correct alignment, brightness, contrast, and image clarity.
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WCMT
Web content management technology
- -A component technology of an EDMS.
- -technology specifically manages documents on Web sites.
- -provides for the storage, maintenance, and retrieval of HTML and XML documents and all related elements.
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WFT
Work flow technology
- -A component technology of an EDMS.
- -allows computers to add and extract value from document information as documents move throughout an organization.
- -The documents can be assigned, routed, activated, and managed thru system-controlled rules that mirror business operations and decision processes.
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What is HL7?
- -An organization that creates interface standards.
- -HL7 Interface, mean putting information in a format so that it can be shared between applications.
- -develops specifications, the most widely used being a messaging standard that enables disparate healthcare applications to exchange key sets of clinical & administrative data.
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What is HL7 used for?
- ***Two Primary uses:
- 1. is getting updated and accurate patient demographic information to the MT.
2. is returning information to the hospital in an electronic format.
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Why is HL7 interface down?
1. Computer problems (IT staff sometimes have computer problems.)
- 2. Connectivity problems (the actual ability of computers to talk to each other across a network is interrupted or disconnected or fail.)
- ---network problem
- **Why is it so tricky to notice when an interface is down?
- -Simply b/c the data being used right now is not the data currently being collected.
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Why are HL7 interfaces so expensive?
- -The ppl that make the interfaces are not minimum wage workers.
- -The IT professionals has a salary demands.
- -b/c institutions will pay for them.
- -the expense in setting up an interface is costly.
- -the labor cost
- -new hardware is often needed
- -additional software licenses are required.
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NAHIT
National Alliance for Health Information Technology
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ONCHIT
Office of the National Coordinator for Health Information Technology
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CCR
continuity of care record
--a subset of the patient medical record used to provide a basic set of data from one episode of care to another.
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CDR or CDW
- clinical data repository OR
- clinical data warehouse
--a decision support database where defined subsets of data related to patient care activities are housed in a longitudinal fashion and utilized for business intelligence purposes.
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CHIN
community health information network
--a shared resource for defined local or regional communities and businesses that have agreed to exchange health information (see HIE)
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CIS
clinical information system
--applications that are primarily used during active patient care to produce clinical documentation.
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CPOE
computerized physician order entry
--a system providing automated physician originated entry of orders during patient care, eliminatin the middle step of transciption orders by the other care-giving stafff members.
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CPR
computer-based patient record
--the original term used to describe an electronic health record.
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EDMS
electronic document management system
--the foundation repository for the complete episodic-based legal health record.
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EHR
electronic health record --generic--
--the global term encompassing all electronically generated components of a computer-based patient record --- generally refers to hospital- or facility-based records (as opposed to EMR).
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EMR
electronic medical record
--the global term encompassing all electronically generated components of a computer-based patient record -- generally refers to physician-, professional-, or clinic-based records (as opposed to EHR).
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HIE
health information exchange
--an organization whose purpose is to promote specific data exchange in the healthcare environment between a set group of stakeholders.
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HIS
health information system
--typically refers to a specific vendor application that encompasses multiple applications across clinical administrative, or financial functions.
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NHIN
national health information network
--the coordination of regional health information networks into a national data bank.
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LHR
legal health record
--the complete and total lpatient medical record, which encompasses all visit notes, transactions, and images related to direct care during a single episode of care, is able to be output for subpoena purposed (see EDMS), and becomes "closed" at a certain point of time after which it is no longer a dynamic document.
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PHR
personal health record
--an electronic health record created and manintained (controlled) by the consumer/user, and with content that may come from a variety of sources.
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RHIO
regional health information organization
--a defined group of community health networks that have opted to share common health information exchange (see HIE).
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