FirstNet Glossary – Flashcards
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Accession Class
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A parameter assigned to Order Catalog items that determines whether different ordered items should be assigned the same accession number. Orders with different accession classes will not be assigned the same accession number.
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Accession Format
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The layout and makeup of an accession number, distinguished primarily by the use of Julian date numbers or alphabetic prefixes.
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Accession Netting
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A process performed by the system that groups, or "nets," multiple orders into one accession number. This is based on specific criteria, including accession class and collection date and time.
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Accession Number
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An identification number assigned to a specimen or order. This number is associated with results or observations, and can be used to access records for inquiry and reporting purposes.
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Active Lists
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The lists in your Organizer that are currently viewable.
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Ad Hoc Charting
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Documentation on a form that is not scheduled. Ad Hoc Charting is a way to access all of the defined PowerForms at any time. All of the available forms display in folders that group them by the type of form.
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Administration time
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The time a medication is administered to a patient. A nurse or other healthcare professional records the administration time on the medication administration record (MAR).
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Admit-Discharge-Transfer (ADT)
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This term refers to changes made to a person's status (admission or discharge) or location (transfer) within the healthcare facility or associated facilities.
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Alias
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A number or identifier used to represent an entity, such as a person or organization.
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Aliquot
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A portion of a specimen removed from one container and placed in a new container. Sometimes referred to as a "pour-off" specimen.
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Ambulatory
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When referring to a patient, "ambulatory" is used to describe a patient who can walk, such as an outpatient.
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Appointment
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A period of time booked or set aside for a person or resource during which a specific activity will take place.
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Bill Item
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Represents a proxy for something that can create a charge. It allows information
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CPT-4
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A nationally standardized identifier for a procedure or service, usually used by insurance companies and fiscal intermediaries for the purpose of reimbursement.
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Cell
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The intersection of a row and column in a spreadsheet or flowsheet. It contains discrete data, history of the data, and other relevant information.
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Charge Description Master
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(CDM)The unique identifier of the procedure or service to the client's billing system. It
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Charge
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Represents the communication to a payer that they owe the provider a certain fee for services and products provided. It indicates what, when, how many and how much of that service or product needs reimbursement.
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Chart Designer
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The PowerVision Chart Designer allows you to design more complex graphs.
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Chart Wizard
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The PowerVision Chart Wizard is available for you to customize your graph to fit the needs of your report.
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Chart
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In Charting, a chart is a report of clinical information about a patient or specimen created by Charting.
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Clinical Data Repository
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(CDR)
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Clinical Notes
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The Clinical Notes tab allows qualified caregivers to view, create, save, and sign clinical documents.
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Clinical Range
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The specific time range for results shown on the flowsheet.
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Collection List
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A printed list of specimens to be collected for laboratory testing. Collection lists include patient demographic information, order information, collection requirements, and specimen labels.
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Collection Method
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The procedure or method used to collect a specimen (for example, venipuncture, arterial puncture, swab, and urine collection).
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Collection Priority
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A designation or code assigned to laboratory orders that is associated with specimen collection protocol.
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Collection Route
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A group of locations (such as nursing stations or rooms) established for the purpose of generating collection lists.
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Collection Run
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One or more collection routes that have been grouped together and can be generated by the system in one transaction.
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Collection Status
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The state or condition of the specimen in the collection process.
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Components
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PowerVision components refers to the grid and graph.
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Container
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A receptacle, such as a tube, cup, bottle, swab, and so on, in which a specimen is collected or placed.
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Critical Result
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A value for a given result that is higher or lower than the range recognized as normal by the site. Critical results are displayed in a special font color, usually red. Critical thresholds are defined by the site for each element on the flowsheet.
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Cross Accession
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The process of evaluating quality control (QC) results against the QC results for the same procedure on a different control.
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DICOM
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(Digital Imaging Communications in Medicine)
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Delta Check
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Compares the amount of change between two values.
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Demographics Bar
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The name of the patient and demographic information such as date of birth and gender is displayed in a colored bar that spans the window.
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Dimension
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Within PowerVision, a dimension is a value that gives depth or context to facts. Dimensions answer the "for what" question. Example: Volume (fact) for each Day of the Week (dimension). A dimension is the column header on your report.
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Domain
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A PowerVision domain is the particular area of analysis from where you begin building your report, such as Care Profiling, Radiology Management, Utilization Management.
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Drilling
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The process of adding filters and template selections to a current view. The result is a more focused view with additional information. There are three types of drills: Drilling to Template, Drilling to Dimension, and Drill Path.
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Electronic Medical Record (EMR)
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Replaces the patient's paper medical record. The EMR is at the heart of the automated health system.
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Encounter Type
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Examples of encounter types (or encounter classes) can include inpatient, outpatient, and emergency room visits.
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Encounter
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A single patient interaction.
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Facility
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A location comprised of at least one building.
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Fact
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PowerVision facts are actual data results, generally represented as totals, counts, percentages, or averages.
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Filter
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Enables you to narrow or specialize the information shown on your screen by selecting only certain categories to be displayed.
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Financial Number
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A unique number assigned to the patient for use by your financial department's billing system. A new financial number typically is assigned to each encounter.
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Flowsheet
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A spreadsheet of a selected patient's clinical results for a certain time span.
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Form Browser
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Allows you to view the forms that have been completed for a patient. Upon entering Form Browser, a list of completed forms display in a hierarchy on the left side of the screen. When a form is selected, it is displayed.
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Grid
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The Grid displays the data within your report in a similar format to a spreadsheet and may be subtotaled, sorted, or moved.
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Guarantor
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The person responsible for payment. A guarantor pays the portion of fees not covered by insurance.
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HCPCS
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A nationally standardized identifier for a procedure or service, usually used by insurance companies and fiscal intermediaries for the purpose of reimbursement.
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ICD9 Diagnosis
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A nationally standardized identifier for a diagnosis.
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ICD9 Procedure
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A nationally standardized identifier for a procedure or service, usually used by insurance companies and fiscal intermediaries for the purpose of reimbursement. It is represented within Charge Services as a Bill Code.
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Intake and Output
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A record of a patient's intake and output for a specified time period.
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Interpretive Data
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A standardized comment about the result that is automatically appended to each result for the procedure for which interpretive data has been defined.
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Julian Date
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A three-digit date represented by the number of days since January 1. In the Julian calendar, January 1 is day 001 and December 31 is day 365.
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List Maintenance
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A toolbar button that opens the Modify Patient Lists dialog box to allow you to add new lists or modify existing lists.
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Location
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A term describing many physical sites within a healthcare organization, such as facilities, buildings, and beds.
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Log In
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The process of receiving a specimen a specific location, and capturing the date, time, location, and person receiving the specimen.
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Log-in Location
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A location category that describes the physical location where a specimen container is received or logged in.
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MAR
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An acronym for "medication administration record," which is a view or report that serves as a legal record of the drugs ordered, dosages, routes, and relevant administration information by a nurse or other healthcare professional.
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MPPS
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(Modality Perform Procedure Step) A network transaction, initiated by modality equipment, is sent to the PACS system and carries information about what really has been performed by the modality equipment during acquisition of images.
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Medical Record Number (MRN)
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A permanent number used to identify the patient. It typically remains unchanged even if the patient has multiple encounters.
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Mnemonic
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In general, a mnemonic is an acronym or abbreviation for a much longer piece of information.
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Modality
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A generic term referring to an imaging device such as CT Scan, Ultrasound, X-ray, MRI, and so on.
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MultiMedia Foundation (MMF)
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Cerner Solution for storage of images and non-text data across all clinical areas.
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Organizer
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When you open PowerChart for the first time, the Organizer window is displayed to enable you to define and customize your patient lists.
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PACS
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(Picture Archiving and Communication System)
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Patient Demographics
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Patient-specific information related to a person or encounter.
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Patient List
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The Patient List tab displays various lists of your current patients.
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Patient/Provider Relationship
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You can establish a relationship between yourself and a patient.
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Pending Charge
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A charge that is ready to be sent to the billing system.
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Perform
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To enter a procedure result into the system or receive a result from an interfaced instrument.
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Pivot Tables
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Pivoting allows you to move a dimension from a row, column, or page area to a row, column, or page area.
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Priority
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The level of importance assigned when an order is placed.
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Proxy
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The ability to grant access to your patient lists to another provider or provider group.
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Quality Control Rule
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A set of one or more methods for evaluating quality control (QC) results.
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Queue List
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In PathNet's Anatomic Pathology, a queue list is a display of pathology cases included in a statistically-built or dynamically-built queue.
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Queue
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As a general definition, a queue is one or more items waiting to be acted on by a computer.
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Reagent
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A substance used in a chemical reaction to detect, measure, examine, or produce other substances.
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Reference Range
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The range of values within which the result is considered to be normal, critical, or feasible.
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Registration Management (RM)
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The Cerner Millennium product that is an enterprise wide CapStone offering that automates the workflow and process of registration, admitting, transfers, and discharges in any clinical domain, including hospitals, physician offices, and clinics.
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Result Type
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The type of result assigned to a specific procedure, such as numeric, alpha, or calculation.
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Round Robin
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Allows the selection of one or more procedures to be performed on multiple instruments for quality control (QC) purposes.
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Section
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A major area or division within a department.
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Service Resource
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A place where work is performed or routed.
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Specimen Type
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A term that uniquely identifies the type of specimen collected.
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Specimen
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¹As a general definition, a specimen is a substance or sample, usually extracted from a person or animal, upon which laboratory testing can be performed.
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Spreadsheet
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A table or flowsheet with multiple rows and columns. Spreadsheets also can include lists and check boxes.
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Slight Rules
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Slight rules are color-coded (e.g. red, yellow, green) to highlight specified values, such as outliers.
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Study Groups
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Enable you to define groups of specific values from a dimension (such as persons, physicians and diagnoses) that you can use in filters.
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Subscriber
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The owner of a health insurance policy and usually the person who pays the insurance premiums.
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Task List
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A worklist for caregivers to assist in identifying the tasks they need to perform based on patient specific orders.
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Test Site
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A single service resource where work is performed, such as an instrument or bench area.
