C468 WGU Information Management| Questions and Answers with complete solution

International Classification of Disease (ICD-9/ICD-10) - System for classification of surgical, diagnostic, and therapeutic procedures. Electronic Signatures in Global and National Commerce Act (ESIGN) - Legislation that gives electronic signatures the same legal status as hand-written signatures. Electronic health record (EHR) - 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 - Technique that looks for hidden patterns and relationships in large groups of data using software. Data exchange standards - 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) - Person responsible for overseeing all activities related to maintaining a database and optimizing its use. Current Procedural Terminology (CPT) - 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) - 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) - Process by which the physician or provider directly enters orders for patient care into a hospital information system. Computer-based training (CBT) - Educational format using the computer that is widely used to train persons to use specific computer applications