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C468 WGU Information Management

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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 G... lobal 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 [Show More]

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