C468 WGU Information Management
International Classification of Disease (ICD-9/ICD-10) Ans- System for classification of
surgical, diagnostic, and therapeutic procedures.
Electronic Signatures in Global and National C
...
C468 WGU Information Management
International Classification of Disease (ICD-9/ICD-10) Ans- System for classification of
surgical, diagnostic, and therapeutic procedures.
Electronic Signatures in Global and National Commerce Act (ESIGN) Ans- Legislation
that gives electronic signatures the same legal status as hand-written signatures.
Electronic health record (EHR) Ans- Digital version of patient data found in traditional
paper records. Increasingly used to refer to a longitudinal record ideally of all healthcare
encounters.
Data mining Ans- Technique that looks for hidden patterns and relationships in large
groups of data using software.
Data exchange standards Ans- Set of agreed-on rules that permit the uniform capture
and exchange of data between information systems from different vendors and between
different healthcare providers.
Database administrator (DBA) Ans- Person responsible for overseeing all activities
related to maintaining a database and optimizing its use.
Current Procedural Terminology (CPT) Ans- Classification system that lists medical
services and procedures performed by physicians and is used for physician billing and
payer reimbursement.
Continuity of care document (CCD) Ans- Record comprised of contributions from many
types of caregivers, with each providing a summary of care provided for the purpose of
improved continuity of care when clients move between various points of care.
Computerized physician (or provider/prescriber) order entry (CPOE) Ans- Process by
which the physician or provider directly enters orders for patient care into a hospital
information system.
Computer-based training (CBT) Ans- Educational format using the computer that is
widely used to train persons to use specific computer applications.
Computer-based patient record (CPR) Ans- Automated patient record designed to
enhance and support patient care through availability of complete and accurate data as
well as bodies of knowledge and other aids to care providers.
Community Health Information Network (C
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