A comprehensive system designed to manage clinical data in healthcare settings, including patient records, diagnostic information, treatment plans, and administrative functionalities. CIS aims to improve patient care, streamline workflows, and enhance communication among healthcare providers.
A digital version of a patient’s paper chart, containing medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results. EHRs facilitate real-time access to patient information by authorized healthcare providers.
A system that enables the sharing of electronic health information among different healthcare organizations and systems. HIE promotes interoperability, allowing healthcare providers to access and exchange patient data securely, thereby improving coordination of care and patient outcomes.
Software tools integrated into CIS that provide healthcare professionals with actionable information and knowledge to enhance clinical decision-making. CDSS utilizes patient data, medical knowledge bases, and algorithms to offer recommendations on diagnoses, treatment options, and preventive care.
A feature of CIS that enables healthcare providers to enter medical orders directly into the system, eliminating the need for paper-based order forms. CPOE enhances accuracy, reduces medication errors, and facilitates efficient communication between clinicians and other healthcare staff.
The provision of healthcare services remotely using telecommunications technology. Telemedicine allows healthcare providers to diagnose, treat, and monitor patients from a distance, leveraging video conferencing, mobile apps, and other digital platforms. CIS supports telemedicine by facilitating virtual consultations and remote patient monitoring.
The ability of different healthcare information systems and software applications to exchange, interpret, and utilize data seamlessly. Interoperability ensures that disparate systems can communicate effectively, enabling the secure and efficient sharing of patient information across healthcare settings and organizations.
The application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making.
The process of enhancing the quality and accuracy of clinical documentation within EHRs to reflect the true severity of illness and complexity of patient conditions. CDI initiatives aim to support appropriate reimbursement, compliance with regulatory requirements, and improved clinical communication and decision-making.
The process of examining large sets of data to uncover insights and patterns that can inform decision-making and improve outcomes. In healthcare, data analytics within CIS involves analyzing clinical and administrative data to identify trends, predict patient outcomes, and optimize resource allocation and patient care delivery.