Midterm Exam Review
1. basic functions of electronic record systems
- clinical documentation
- clinical messaging
2. what is the human-technology interface
- the interaction between humans and software or technology
3. the ability to find and evaluate the quality of information
- information literacy
4. the degree to which individuals have the capacity to obtain, process, and understand basic
health information and services needed to make appropriate health decisions --- what is
this
- health literacy
5. access to EHRs by all providers and providing every patient with an EHR are parts of the
...........
- HITECH Act
6. Difference between ICD and CPT
- CPT - American Medical Association, ICD World Health Organization
, - CPT more codes the interventions, ICD is more the diagnosis
7. how many organizations are involved in changing standardized terminology
- 2 -- national like AMA, and international like ICN
8. utilization of classification according to a predetermined system with the resulting
catalog being used to provide a conceptual framework for discussion /analysis/info
retrieval
- taxonomy
9. Collection of data organized in a specific manner
- data set
10. system of rules for adding terms used in art/science (such as nursing)
- nomenclature
11. a system of grouping like terms into categories used to identify costs and outcomes -- not
used in clinical documentation
- classification
12. Does every healthcare setting have an informatics nurse or an informatics nurse
specialist?
- No, but every setting requires at least a basic level of nursing-informatics
competencies
13. what is knowledge work