Anesthesia information system - Answers A system that collects information on preoperative, operative,
and postoperative anesthesia-related clinical information. This system follows the patient through the
surgical process
Annotation - Answers The ability to add to the image in some way; because the image may be a legal
document, the image itself cannot be altered; however, an overlay to the document will show the
annotation
Backscanning - Answers The process of scanning past health records into the DMS so there is an existing
database of patient information, making the DMS valuable to the user from the first day of
implementation
Barcode - Answers makes indexing more efficient because it can enter metadata automatically
Clinical documentation - Answers Any manual or electronic notation or recording made by a physician or
other healthcare clinician related to a patient's medical condition or treatment
Clinical information system (CISs) - Answers A system that collects and stores medical, nursing, clinical
ancillary areas (such as radiology and laboratory), and therapy department information related to
patient care
Document management system (DMS) - Answers An electronic method of capturing and managing
documents; used primarily by HIM departments and other departments to handle documents regarding
patient care
Emergency department system (EDS) - Answers A tool designed to meet the unique needs of the
emergency department; they are able to track patients from triage to discharge. The information
systems are also able to record test results and other clinical information
Interdisciplinary charting system - Answers A system used by any healthcare professional to collect and
store patient assessments, progress notes, and care plans
Laboratory information system (LIS) - Answers A system that collects, stores, and manages laboratory
tests and their respective results; can speed up access to test results through improved efficiency from
various locations, including anywhere in the hospital, the physician's office, or even the clinician's home
Nursing information system (NIS) - Answers A system that assists in the planning and monitoring of
overall patient care and documents the nursing care provided to a patient
Optical character recognition (OCR) - Answers method of encoding text from analog paper into
bitmapped images and translating the images into a form that is computer readable
, Patient monitoring system - Answers A system that automatically collects and stores patient data from
various information systems used in healthcare. Data collected include fetal monitoring, vital signs, and
oxygen saturation rates
Pharmacy information system (PIS) - Answers A key tool in providing optimal patient care and assisting
providers in ordering, allocating, and administering medication, with a focus on patient safety issues,
especially medication errors
Picture archival communication system (PACS) - Answers An integrated information system that obtains,
stores, retrieves, and displays digital images
Radiology information system (RIS) - Answers A system used to collect, store, and provide information
on radiological tests such as x-rays, ultrasound, magnetic resonance imaging (MRI), computed
tomography (CT), and positron emission tomography (PET)
Scanner - Answers the hardware that is used to transform the paper document into a digital image
Scanning workstation - Answers the desktop computer that controls the scanner. Once a document is
scanned, the workstation compresses the file created by the scanner in order to save storage space.
Smart card - Answers a plastic card, similar in appearance to a credit card, with a computer chip
embedded in it.
enable portable storage of health and insurance information. They are relatively inexpensive and are
able to protect the information stored within them from unauthorized access.
Symbiology - Answers The format of a barcode
Target sheet - Answers Pages that contain only a barcode that tell the scanner and, ultimately, the
computer the content of the pages that follow
Telehealth - Answers Professional services given to a patient through an interactive telecommunications
system by a practitioner at a distant site or a telecommunications system that links healthcare facilities
and patients from diverse geographic locations and transmits text and images for (medical) consultation
and treatment
Telemedicine - Answers A subset of telehealth that focuses on the provision of care whereas telehealth
includes administrative uses and education
Teleradiology - Answers The ability to view radiology images from any location by the radiologist and
other users
Telesurgery - Answers The use of robotics to perform surgery