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RcrdMgt Module 1 Unit 4 Review

AB
Electronic Patient Record (EPR)A record that contains all health encounters for a specific organization or institution.
Electronic Medical Record (EMR)A record that contains all health information from a physician’s office or clinic.
Electronic Health Record (EHR)A collection of information and interactions with different healthcare providers that aims to create a unified lifelong record; aims to connect organization EPRs and clinic EMRs into a universal record.
Computer-Based Patient RecordA term used to describe an electronic form of the patient record.
Hybrid RecordA health record that exists in both paper and electronic form.
Fully Electronic RecordA record format in which paper documents are scanned into digital format and the original paper copy is destroyed.
Digital ImagingImages stored electronically as part of the patient record.
Integrated Electronic Health RecordAn EHR that supports data sharing among users in different locations while maintaining privacy and security.
Data SharingThe exchange of health information between authorized users, providers, or systems.
Secondary Purposes of Health InformationUses of collected health information beyond direct care, such as research, planning, and administrative decision-making.
Healthcare DeliveryThe way healthcare services are provided to patients across settings.
Outpatient SettingA healthcare setting where patients receive services without being admitted to hospital; becoming more common as technology evolves.
Community SettingA non-hospital healthcare setting where patients may receive care or support services.
Records StandardsGuidelines that help ensure health records are managed consistently across healthcare settings.
Technological ChangeChanges in systems, applications, tools, templates, and code systems that affect records management.
Application RetentionPreserving access to software applications needed to read, interpret, or use older electronic health information.
Template Version ManagementManaging different versions of electronic forms or templates so health information retains meaning and context.
Code SystemsStandardized systems used to classify, label, or represent health information.
Data Without ContextHealth data that loses meaning because the surrounding text, values, templates, or system information is missing.
Data IntegrityThe accuracy, completeness, consistency, and usability of data over time.
PrivacyThe right of individuals to control access to and use of their personal information.
SecurityProtection of health information against unauthorized access, use, disclosure, alteration, or loss.
Unauthorized AccessAccess to electronic health records by someone who does not have permission.
Authorized UserA person who has permission to access specific patient information.
Access TrackingMonitoring who accessed information, when it was accessed, how long it was accessed, and what actions were taken.
Audit TrailA system record that tracks access, edits, entries, retrievals, printing, or distribution of information.
Technological SafeguardsElectronic tools used to protect privacy, security, and data integrity.
Physical SafeguardsPhysical steps used to protect information, such as privacy screens, locked cabinets, and restricted office access.
Restricted AccessLimiting entry to offices, computer areas, systems, or records to authorized people.
ArchivingPreserving and storing older or outdated health records, data, or applications in a secure and accessible archival system or repository.
VirtualizationCreating virtual environments that imitate the functionality of physical hardware or software systems.
EmulationImitating or replicating the behaviour and functionality of legacy or outdated systems within a modern computing environment.
Legacy SystemAn older or outdated computer system, application, or format that may still contain important health information.
Archival SystemA designated system or repository used to store preserved records, data, or applications.
RepositoryA secure storage location for archived records, data, or applications.
Standard TerminologiesConsistent terms used to support the management and preservation of health information.
Privacy ActA federal Canadian law that sets standards for how personal information is collected, used, disclosed, and protected by federal institutions.
Personal Information Protection and Electronic Documents Act (PIPEDA)A federal Canadian law governing personal information handling by private-sector organizations.
Office of the Privacy Commissioner of CanadaThe federal office that administers the Privacy Act and supports privacy rights in Canada.
ConsentPermission to collect, use, disclose, or share personal information.
Provincial Health Information Privacy LegislationProvincial laws governing the collection, use, and disclosure of personal health information.
Personal Health Information Protection Act (PHIPA)Ontario legislation governing personal health information.
Personal Health Information Privacy and Access Act (PHIPAA)New Brunswick legislation governing personal health information privacy and access.
Personal Health Information Act (PHIA)Nova Scotia legislation governing personal health information.
Freedom of Information and Protection of Privacy Act (FIPPA)Ontario legislation regulating access to government-held information and protection of personal data.
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)Ontario municipal legislation regulating access to information and privacy protection.
Right to Information and Protection of Privacy Act (RTIPPA)New Brunswick legislation regulating access to information and privacy protection.
Freedom of Information and Protection of Privacy Act (FOIPOP)Nova Scotia legislation regulating access to information and privacy protection.
Public SectorGovernment or publicly funded organizations subject to access and privacy legislation.
Access to InformationThe right or process of requesting access to government-held or organizational information.
Release of Personal Health InformationThe disclosure or transfer of personal health information according to legislation, consent, and policy.
Circle of CareA concept describing sharing of personal health information among providers involved in a patient’s healthcare.
Privacy RiskThe possibility that personal health information may be accessed, used, disclosed, or distributed inappropriately.
Access Restriction ToolsElectronic tools used to limit access to information based on user role or need.



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