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Health Informatics Glossary
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CA - See
Certificate Authority,
FBCA
caBIG -
Cancer Bioinformatics Grid.  
See
Grid Computing
CAeHC -
California eHealth Collaborative
was a nonprofit organization established in California in 2009 to help
coordinate e-Health activities in the state. CAeHC produced
informational webinars and provided community context to statewide
collaboration in the deployment of decentralized HIE services. In
2010 CAeHC formally and openly opposed the centralization of HIE
services proposed by CalRHIO. See
Cal eConnect,
CalRHIO
CAIR -
California Immunization Registry.
See
IIS
Cal eConnect -
HIE Governance
entity formed in 2010 by a conceptual merger of the CAeCH (decentralized)
and CalRHIO (centralized) approaches to health data interoperability.
Structurally, Cal eConnect is an independent NGO contracted by CHHS to
provide governance and operational oversight for the federal ARRA
investments by ONC to establish statewide HIE services in California.
See
ARRA,
CAeHC,
CalRHIO,
CHHS,
HIE,
HITECH,
NGO,
ONC,
SDE
CalHIPSO -
California Health Information
Partnership and Services Organization, one of the Regional Extension
Centers (REC) in California established by ARRA funding. See
ARRA,
HITECH,
REC
California eHealth Collaborative See
CAeHC
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California Endowment -
The California Endowment is a
private, statewide health foundation that was created in 1996 as a
result of Blue Cross of California's creation of WellPoint Health
Networks, a for-profit corporation. This conversion set the groundwork
for The California Endowment's mission: to expand access to affordable,
quality health care for underserved individuals and communities, and to
promote fundamental improvements in the health status of all
Californians. See
CHCF
California HealthCare Foundation -
See CHCF
CalOHII - The
California Office of Health
Information Integrity is part of CHHS. See
CalPSAB,
CHHS,
HIPAA,
HISPC
CalPSAB - The California Privacy and
Security Advisory Board was launched by CHHS in 2007 as part of the
HISPC contract. CalPSAB was disbanded as a cost cutting measure on
June 30, 2011, along with many other state boards and commissions.
See
CalOHII,
CHHS,
HISPC
CalREC -
Original name of applicant for statewide Regional Extension Center
(REC) that was later rebranded as CalHIPSO. See
CalHIPSO,
REC
CalREDIE -
California
Reportable Disease Information Exchange
CalRHIO -
California Regional Health Information Organization. Launched in
2005 to centralize all health information exchange activity in
California in a single statewide entity, CalRHIO was closed in 2010 as
part of the launch of Cal eConnect. See
CAeHC,
Cal eConnect
CAP -
College of American Pathologists. See
SNOMED
CAPH - California Association of
Public Hospitals.
CAQH -
Council for Affordable
Quality Healthcare. See
CORE
Cardiac ECHO - See
Echocardiogram
Care Pathway -
Structured, multidisplinary plans of care designed to support
evidence based practice through the implementation of clinical
guidelines and protocols. Also called "Integrated Care Pathways"
and "Clinical Pathways." See
Algorithm,
Guideline,
Protocol
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cc - [ 1 ] "carbon
copy" indicating an additional recipient of a clinical message,
such as a laboratory test result; [ 2 ]
Creative Commons is
a nonprofit corporation seeking to make it easier for people to
share and build upon the work of others, consistent with the rules
of copyright. Creative Commons provides free licenses and other
legal tools to mark creative work with the level of freedom the
creator wants it to carry, so others can share, remix, use
commercially, or any combination thereof. The
Redwood MedNet Health Informatics Glossary
is copyrighted under a Creative Commons Attribution Non-Commercial
Share Alike License. See
DRM,
FOSS,
GPL,
IP,
PLoS,
Open Source
CCBH -
Connecting
Communities for Better Health, a nationwide project managed by
the e-Health
Initiative, featuring a monthly webinar with technology,
policy and legislative updates. See
e-Health_Initiative
CCD - The
Continuity
of Care Document is a specification intended to standardize the
encoding, structure and semantics of a patient care summary
document prepared for exchange between two electronic health data
systems. The CCD specification is part of the Clinical Document
Architecture (CDA) standard. CCD was developed as a collaborative
effort between ASTM and HL7 by seeking a way to express the CCR
within the CDA standard. See
ASTM,
CDA,
CCR,
HL7
CCHIT -
Certification Commission for
Health Information Technology, a voluntary private sector
organization launched in 2004 by ONC to certify health information
technology components such as electronic health record services
and the networks hosting the services. See
Certification,
ONC
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CCR - The
Continuity
of Care Record is an exported XML file format intended to be sent
to the next healthcare provider when a patient is referred,
transferred, or otherwise uses different clinics, hospitals, or other
providers. CCR is a standard file specification developed jointly by
ASTM, Massachusetts Medical Society, HIMSS, American Academy of
Family Physicians, American Academy of Pediatrics, and American
Medical Association. See
AAFP,
AMA,
ASTM,
CCD,
CDA,
HIMSS
CDA - Clinical
Document Architecture is based on the HL7 Reference Information
Model (RIM). The CDA seeks to leverage standardized XML-based
markup formats to specify the encoding, structure and semantics
of clinical documents for electronic exchange between different
computing environments. See
CCR,
greenCDA,
HL7,
RIM,
XML
CDC -
Centers for Disease Control and
Prevention, an agency in the U. S. Department
of Health and Human Services. The mission of the CDC is
to promote health and quality of life by preventing and controlling
disease, injury, and disability. The CDC is headquartered in
Atlanta, Georgia. See
ASTHO,
Biosurveillance,
CDPH,
CSTE,
DEEDS,
DPEI,
HHS,
ISDS,
NACCHO,
WHO
CDISC -
Clinica Data Interchange Standards Consortium.
CDMA -
Code Division Multiple Access (CDMA) is one of two competing
global wireless signal standards for cell phones. Verizon, Sprint
and US Cellular use CDMA in the US market. Globally, CDMA has
roughly a 15% market share, as most of world's cell phones use
the GSM standard. See
GSM
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CDPH - The
California Department of Public
Health. The mission of CDPH is to protect and promote
California's health by making the state a place where all people
can enjoy the best health possible, and can live, grow and prosper
in clean and safe communities. CDPH is part of CHHS.
See
ASTHO,
Biosurveillance,
CDC,
CSTE,
HHS,
ISDS,
NACCHO,
WHO
CDR - A clinical data repository (CDR) is
a database or datastore that hosts clinical data. See
Data Repository
CDS - Clinical Decision Support.
See
Decision Support
CeC - See
Cal eConnect
CEN 251 -
European Standardization Committee (Comité
Européen de Normalisation) for medical informatics.
CEO - Chief
Executive Officer.
CERN - Conseil
Européan pour la Recherche Nucléaire (CERN), known in
English as the European Particle Physics Laboratory, where the World
Wide Web was invented by Sir Tim Berners-Lee. See
HTML,
W3C,
WWW
Certificate Authority -
An independent agency that issues, verifies and stores public
and private encryption keys as digital certificates. Alternately
called a Certification Authority, both terms are correct.
See
Authentication,
Certificate Policy,
Digital Certificate,
DirectTrust,
Encryption,
PKI,
X.509
Certificate Policy - A certificate
policy (CP) describes the different actors of a public key
infrastructure (PKI), their roles and their duties. The CP is
published in the PKI perimeter. The reference document for a
certificate policy is RFC
3647. See
CMP,
PKI,
RFC,
X.509
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Certification - A
third party verification process intended to assure that all or
part of a system conforms to specific published requirements.
See
CCHIT
CFO - Chief
Financial Officer.
CFR -
Code of Federal Regulations
CHA -
California Hospital Association.
Channel - In health data interface
engineering, a channel is the formal synchronous and sequential
process model that enables content (objects) to be parsed, filtered,
and transformed. See
Signal
CHCF - The
California HealthCare
Foundation is an independent philanthropy founded in 1996 and
committed to improving the way health care is delivered and financed
in California. See
ELINCS
CHCS - [1] The
Composite
Health Care System is the legacy health information system for the
U.S. Department of Defense. [2]
Center for Health Care
Strategies is a health policy institute. See
AHLTA,
DHIMS,
DoD,
FHIE,
MHS
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Checklist - A checklist
provides two primary benefits: first, as a memory aid for
potentially overlooked steps in a complex procedure (e.g., is the
head of each patient propped up at least 30 degrees so oral secretions
can't go into the windpipe?"); and second, to make explicit the
minimum expected steps in a complex process. Clinical care
checklists, copied from airline pilot safety checklists, have been
shown to dramatically increase the quality of health care.
CHFFA - California Health Facilities
Financing Authority.
CHHS - California Health and Human
Services agency administers state and federal programs for
health care, social services, public assistance and rehabilitation
in California. See
CDPH,
DHCS,
DMH,
DMHC
CHI - [1] Consolidated
Health Informatics was a Presidential eGovernment initiative
with the goal of adopting vocabulary and messaging standards to
facilitate communication of clinical information across the
federal health enterprise. CHI activities currently fall under the
Federal Health
Architecture initiative. [2]
Center for Health Improvement
[3] California
Healthcare Institue See
FHA
CHIN - Community Health
Information Network. CHINs, formed in the 1990s, were early
attempts to enable broad community health information exchange.
Most CHINs were expensive disappointments and were decommissioned
when the initial Federal funding expired, but the experiment was
an essential foundational phase that enabled the rise of health
information exchange in the following decade. Two notable CHINs
that survived are OCHIN (Oregon
CHIN) and UHIN (Utah Health
Information Network). See
HIE,
RHIO
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Chronic Care Model - Developed by
Edward H. Wagner, MD, the model
promotes effective change in provider groups to support
evidence-based clinical and quality improvement across a wide
variety of health care settings.
CHWA - California Health Workforce
Alliance.
CIO - Chief Information
Officer.
C!TL -
Center for Information Technology
Leadership.
CLIA -
Clinical Laboratory Improvement Amendments.
Client - [1] A
generic term for computer hardware or software which connects to a
network and retrieves data from a server on the network.
[2] A patient receiving home health care
services. See
Home Health,
Network,
Patient,
Server
Client-Server - A
network application architecture which separates the client
(with or without a graphical user interface) from the server.
Server software typically runs on robust computers dedicated
exclusively to a specific application, such as an EHR. Client
software typically runs on common PCs or workstations.
See
ASP,
GUI,
PC,
Server
Clinical Data Repository See
CDR
Clinical Messaging -
Communication of electronic clinical data either in real time
messages (e.g., clinical readings from a home monitoring device) or
in a store and forward format (e.g., referral consult, laboratory
test result, etc.) pushed to an inbox or a workflow queue. See
HIE
top
Clinical Practice Guideline -
See
Guideline
Cloud Computing -
The provisioning of dynamically scalable and frequently
virtualized computer network resources as a service, generally
on a utility subscription basis. See
ASP,
SaaS
CMA -
California Medical Association.
CMIA - The Confidentiality
of Medical Information Act is the California state law that governs
individually identifiable health information. See
HIPAA,
IIHI
CMIO - Chief Medical Information
Officer.
CMO - Chief Medical Officer.
CMP - Certificate Management Protocol.
See
CP,
PKI,
X.509
CMR -
Confidential
Morbidity Report.
CMS -
Centers for Medicare and Medicaid
Services, an agency in the U. S. Department
of Health and Human Services. The mission of CMS is
to assure health care security for Medicare and Medicaid
beneficiaries. CMS is the successor to the agency formerly known as
HCFA. See
GCPI,
HCFA,
HHS,
IPPE,
MPFS,
PE,
PPPS,
RVU
CNO - Chief Nursing Officer.
Code Set - A code set
consists of data elements (the codes) and a description of each
data element. The administrative simplification provisions of HIPAA
require HHS to adopt standard code sets for administrative and
financial transactions. See
HIPAA
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Common Framework - The
Common Framework, as defined by Connecting
for Health, consists of the essential technical and policy
requirements to enable the secure and private interoperation of
standard interfaces and health data exchange transactions at the
local, regional and national level. See
Connecting for Health,
RLS
Community of Practice See
COP
Computer Icon - A computer icon (or
simply an icon) is a small pictogram used in file naming on a computer
with a graphical user interface. Icons were developed at the Xerox
Palo Alto Research Center. See
GUI,
PARC
Concept - A concept is a cognitive unit
of meaning, an abstract idea or a mental symbol sometimes defined as
a unit of knowledge. See
Algorithm,
Model,
Ontology,
Semantics,
Symbol,
Taxonomy,
Terminology
Concept Map - A diagram showing the
relationships among concepts; a graphical representation to organize
and represent knowledge. See
CUI,
NP,
VP
Confidentiality - A
third party's obligation to protect individually identifiable
health information (IIHI) from disclosure to unauthorized individuals.
See
Breach,
Disclosure,
HIPAA,
IHII
CONNECT - An open
source software
gateway developed by FHA that supports health information
exchange, both locally and at the national level. CONNECT uses
NwHIN standards to enable the secure electronic exchange of health
data. CONNECT is especially useful for installations of legacy health
information technology. Also, Redwood MedNet operates a CONNECT
gateway. See
FHA,
IHE,
NwHIN
top
Connecting for Health - A
national collaborative
convened by the Markle Foundation
with additional support by the Robert
Wood Johnson Foundation and focused on achieving consensus on
connectivity in health care to create a rich health information
environment. See
Common Framework,
RLS
COO - Chief
Operations Officer.
COP - In general, a Community of
Practice (COP) is a self-directed cohort of participants organized
around a specific topic. See
InfoLinks
CORBA - Common
Object Request Broker Architecture. A language independent
object model developed by the Object
Management Group (OMG). CORBA implementations are rare and
its goals largely unaccomplished but its history is illustrative of
the best intentions of software engineers to design towards
interoperability. See
OMG
CORE - Committee
on Operating Rules for health information Exchange, a voluntary
community standard for processing online eligibility and benefits
enquiries, operated as a project of the CAQH. See
CAQH
COTS - Commercial Off The Shelf. A
common procurement term to generically describe low cost commercial
software with limited functionality, as compared to bloated and
(generally overpriced) enterprise software.
Covered Entity - A
covered entity is a health plan, clearinghouse or health care
provider that conducts any standard electronic transactions.
See
Business Associate,
HIPAA
top
CP - See Certificate
Policy
CPO - Chief Privacy Officer.
CPOE - Computer
Physician Order Entry, the historic term for electronic charting
by physicians. CPOE originated in hospitals in the 1970s, and is a
mandated feature of the HITECH "Meaningful Use" measures. CPOE
software as a module requires and is dependent upon integration
with other software modules (e.g., EMAR, eRx, HIS)
See
EHR,
EMAR,
EMR,
eRx,
HIS,
HITECH,
Meaningful Use
CPRS - Computerized
Patient Record System, the integrated, comprehensive suite of
clinical applications built by the US Veterans Administration to
create a longitudinal view of the veteran's electronic health
record. See
CHCS,
OpenVistA,
RPMS,
VistA,
WorldVistA
CPT -
Current
Procedural Terminology, a code set developed, maintained and
copyrighted by the American
Medical Association. The CPT code set provides annual licensing
income to the AMA. The CPT code set, which accurately describes
medical, surgical, and diagnostic services, is designed to facilitate
billing and reimbursement in the American health care system. CPT
codes are of marginal use for clinical care. See
AMA,
ICD
Creative Commons See
cc
CRM - Customer Relationship Management
(CRM) denotes the business processes used by an organization to track
and organize contacts with its current and prospective customers.
Also refers to the software that tracks and coordinates the customer
relationship business process. CRM grew up from simple contact
management systems into an integral component in an ERP system.
See
ERP,
MRP
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CSRHA - California
State Rural Health Association.
CSTE - Council
of State and Territorial Epidemiologists. See
ASTHO,
Biosurveillance,
CDC,
CDPH,
ISDS,
NACCHO,
WHO
CTEC - California
Telemedicine and eHealth Center. See
CTN
CTN - California
Telehealth Network.
CTO - Chief Technology Officer.
CUI - ("koo-eee")
Concept unique identifier. See
NLP
CVX - Codes in HL7 v2.3 Table 0292,
describing a set of vaccines that may be admininistered.
HL7,
MVX,
QBP,
VXU
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