Health Information Systems
Securely captures and exchanges clinical data from multiple sources for use at the point of care
Electronic Health Record
Known as an interoperability standard and referred to as HL7.
Health Level Seven
This began surfacing in clinical settings during the 1800s.
Health documentation
Must have a starting point and an ending point.
A Project
Exchanges health information from one organization’s EHR to another. Hint: May be used during out of state emergencies.
Health Information Exchange
An interoperability standard that is faster than HL7.
Fast Healthcare Interoperability Resources (FHIR)
In 1917, this was developed by the American College of Surgeons.
Minimum standards for health documentation
The first phase of project management. Hint: This is when stakeholders are identified.
Initiating
Provides interactive, patient-provider consultations across a geographic distance.
Telehealth
A connection that allows different systems to communicate and exchange information. Hint: Can be one way or bi-directional.
Interface
A trailblazer who proved that healthcare documentation can positively impact patient care.
Florence Nightingale
The second phase of project management. Hint: Requirements are collected by deliverable during this phase.
Planning
Assists providers in making patient care decisions. Provides facts and evidence concerning a domain of care. Hint: drug knowledge, alerts, and reminders.
Clinical Decision Support Systems (CDSS)
Eliminates silos, enhances care coordination, and improves patient safety.
Interoperability
Stores medical records in electronic and paper format.
Hybrid Records
The third phase of project management. Hint: Work is taking place, including technical build.
Executing
A special type of CPOE application used for pharmaceuticals. Used to write and transmit prescriptions to retail pharmacies.
E-Scribing
Standardized nomenclature for clinical drugs.
Rx Norm
The first electronic health record.
Veterans Health Information System and Technology (VistA)
The fourth phase of project management. Hint: Areas such as budget, scope, and resources are monitored during this phase.
Monitoring and Controlling