Term
| Health Information Exchange (HIE) |
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Definition
| Sharing of patient information among multiple providers. These providers do not need to work in the same hospital to have access to patient information. Currently, this is typically done for hospitals in close geographic locations, but the goal is to make HIE nationwide. |
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Term
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Definition
| A computerized system used to facilitate the functions of an organization. An IS is a group of components that collect, process, store, and communicate information. |
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Term
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Definition
| An information system directly related to the care of patients. Examples are the information system for radiology, lab, surgery, pharmacy, and other entry. |
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Term
| Hospital Information System (HIS) |
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Definition
| The primary information system used to manage data flow and maintain databases in a hospital. An HIS usually manages patient administration and order entry. HIS is sometimes called a healthcare information system (HIS). |
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Term
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Definition
| A component of an HIS where healthcare providers enter order for patient care. Orders can be fro procedures, imaging, or maybe tests. Order entry is sometimes written as OE but still read as "order entry". |
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Term
| Computerized Physician Order Entry |
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Definition
| An order entry system designed specifically for doctors use. |
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Term
| Medical Record Number (MRN) |
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Definition
| The number assigned to a patient to reference the care of the patient for all visits at one particular hospital. An MRN is unique to a patient within a hospital's network. |
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Term
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Definition
| The number assigned to a patient to reference the care of that patient for the current visit. The account number is sometimes referred to as an encounter number, accession number, or registration number in different information systems. |
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Term
| Master Patient Index (MPI) |
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Definition
| The database of all MRNs and account numbers. This centralized database is responsible fro preventing dedication of MRNs and account numbers. |
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Term
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Definition
| The connection between two information systems for the purpose of exchanging data. |
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Term
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Definition
| The information sent from one system to another. |
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Term
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Definition
| The standard protocol of formatting a message for healthcare interfacing. HL7 is ANSI certified. HL7 operates at the seventh or application layer or the OSI communication model. |
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Term
| Point-to-Point Connection |
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Definition
| A one-to-one interface between two information systems. Point-to point connections require tha IS at each end of the connection to guarantee the delivery and interpretation of the data. |
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Term
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Definition
| An application that serves as a communications hub that offers services to the messages as they travel through a network. These services include but are not limited to forwarding, filtering, translation, and queue management. |
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Term
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Definition
| An application's graphic user interface (GUI) that provides status information at a quick glance and commands to manage the application. |
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Term
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Definition
| The information system that manages patients in surgery. The perioperative IS starts with scheduling for surgery through discharge or transfer out of surgery. The perioperative IS works largely independent from other information systems because there is rarely a need for interaction with the other clinical departments. |
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Term
| Emergency Department IS (EDIS) |
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Definition
| The information system that manages patient flow, order, patient history, and record healthcare providers' notes on the patient's visit, and more. The stage of a patient's visit to the ED, who is caring for the patient, and other information are displayed on the tracking board from the EDIS for convenient reference to a healthcare provider's current caseload. |
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Term
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Definition
| A brief accounting of the surgical case report for immediate referral during the postoperative phase. |
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Term
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Definition
| The real-time transfer of data from a source IS to a destination IS that does not receive acknowledgment of receipt of data. The data transfer is not guaranteed in a cold feed. Other data transfers require a receipt of data acknowledgment, called an ACK message that guarantees the data was received. |
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Term
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Definition
| A complete and detailed accounting of the surgical case happenings from preoperative phases. This document is written to be used for legal reference if ever needed. |
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Term
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Definition
| A typed transcript of a recorded healthcare provider's oral report of patient care as spoken into a voice recorder. |
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Term
| Medication Administration Record (MAR) |
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Definition
| the legal record of medication consumption in a hospital. The MAR tracks all medications in the hospital. Sometimes called drug charts. |
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Term
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Definition
| The medication administration record (MAR) recorded electronically using hand-held scanners at several location from the pharmacy to the patient bedside. |
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Term
| Automated Dispensing Cabinet (ADC) |
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Definition
| An electronic cabinet with drawers containing medications that are placed throughout the hospital for convenient access by healthcare providers to quickly administer medicines. |
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Term
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Definition
| The information system used by the pharmacy. The pharmacy IS supports but is not limited to order entry, management, dispensing of medications, monitoring, reporting and changing. |
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Term
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Definition
| A user interface that accesses the HIS or EHR/EMR. The physician portal is where doctors go to view patient records, add notes, and electronically sign off on charts. |
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Term
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Definition
| The information system responsible for orders, charging, and results of medical imaging. |
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Term
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Definition
| The information system responsible for orders, charging, and results of laboratory tests. |
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Term
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Definition
| A reserve of donated blood used to replenish blood supply of patients who experience extreme blood loss. Testing is performed on the blood to reduce risk of problems during blood transfusions. |
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Term
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Definition
| A service used for advanced testing for disorders or diseases through laboratory analysis. Most diagnostic labs are remote from the hospital. |
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Term
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Definition
| A service that focuses on the diagnosis of diseases through laboratory analysis. |
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Term
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Definition
| The list of request sent to the nursing staff for collection of specimens from patients. The timing of the collection is sometimes critical for accuracy of tests. |
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Term
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Definition
| Sample of bodily fluids or tissue taken for analysis. |
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