a MCPHS- Informatics- Mid-term Review
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Health information literacy is a combination of | show 🗑
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Information literacy is the ability to | show 🗑
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Computer literacy is ability to acquire and apply a basic understanding of | show 🗑
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4 Steps r/t Cognitive approach to information-seeking | show 🗑
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Strategies are techniques used for | show 🗑
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Strategies must be | show 🗑
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show | Publication
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Static information is often used for | show 🗑
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show | Lack of percision, Terms may not be r/t desired content, Mass retrieval in multiple entries, Difficulty narrowing
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Most commonly used controlled vocab in health care | show 🗑
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show | Truncation
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Boolean operators | show 🗑
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show | And, Or, Not
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Require consideration r/t Evaluation | show 🗑
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3 kinds of knowledge r/t Computer literacy | show 🗑
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show | ROM, RAM
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show | ROM cannot be changed, RAM doesn't permanently store data
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RAM function | show 🗑
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Measures memory, storage capacity and file size | show 🗑
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show | 1 byte=8 bits
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Examples r/t Optical storage | show 🗑
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show | ROM:read only, R:write once, RAM:rewritable
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show | Alphanumeric/function entry, Voice entry, Image entry
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show | Monitor, Printer, Speaker
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show | Resource sharing & communication
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show | Set of instruction written in a structured programming language
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Operating systems control | show 🗑
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Link b/w hardware and software | show 🗑
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show | Open source software
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show | Perform specific tasks w/particular operating system
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show | What You See Is What You Get
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Technique used to identify and rank basic IT skills needs by nurses r/t nursing education | show 🗑
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Database | show 🗑
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Program used to manage, organize and retrieve data from a database | show 🗑
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Hierarchical database r/t Design | show 🗑
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Many of older DBMS programs were developed using | show 🗑
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show | Limitations w/large data sets, Used for one-to-one relationships, Measure qualitative data
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show | Network databases
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show | Records linked together by pointers that use a key piece of data
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Relational databases consist of | show 🗑
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Relational databases r/t Ease of usage | show 🗑
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Fields vs. Records vs. Tables | show 🗑
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Tables r/t Records r/t Fields | show 🗑
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Label at the head of a column | show 🗑
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show | Process of selecting desired records
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Algorithim | show 🗑
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Basis r/t Forms and reports | show 🗑
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2 Types r/t Data manipulation | show 🗑
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Sorting | show 🗑
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show | Primary is broadest and then narroms
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Can be used to perform calculations on data in specified fields | show 🗑
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show | Boolean arithmetic
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show | Decisions are reduced to true or false
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And vs. Or vs. Not r/t Boolean logic | show 🗑
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Wildcard symbols | show 🗑
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show | Table
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show | Data organized into fields(vertical) and records(horizontal)
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Database consisting of a single table | show 🗑
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Relational database | show 🗑
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show | Key field
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List of all tables in a database | show 🗑
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Size of database r/t Necessity of a quickly referenced data dictionary | show 🗑
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show | Administrative & clinical
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show | A:decisions made to ensure welfare of Pt and family, M:max improvement in health regardless of cost, O:improvement in health at point w/the greatest difference b/w benefits and costs of care
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show | Mandates to measure and quantify services, Financial pressures from increased demand for services, Pressure to recruit and retain health care workers, Management of workload, Efforts to reduce variation in practice
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show | Knowledge about past should improve ability to estimate what will happen in future
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show | Information available
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3 Steps r/t Decisions | show 🗑
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Maximax criterion vs. Maximin criterion vs. Minimax criterion | show 🗑
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show | Realism:weighted average for each alternative w/coefficients of 0 or 1, Expected:weighted average of each alternative
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show | Max:decision w/highest probability and alternative w/highest payoff, Rat:all decisions are equally likely
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show | Economic order quantity model, Balances ordering costs vs. costs of maintaining iventory to optimize ordering quantity
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show | Best consumption of resources to meet objective
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Simulation | show 🗑
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Advantages vs. Disadvantages r/t Spreadsheets | show 🗑
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Data manipulation language allows non-programmers to | show 🗑
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show | Directly interact w/database and pose conditions for retrieval
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show | C:real-time retrieval and queries, D:works retrospectively
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Data marts are sorted by | show 🗑
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4 Categories of clinical decision support facilitated by the computer | show 🗑
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show | Business transactions
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show | System capable of assembling, storing, manipulating and displaying geographically referenced material
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Production jobs are used to perform | show 🗑
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System development/Project management function | show 🗑
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IT departments r/t Shift to off-site vendors | show 🗑
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Application support function | show 🗑
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Support function vs. Systems administration r/t Function | show 🗑
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show | Chief information officer
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Division of time r/t Manager | show 🗑
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Supervisor performs hands-on functions with | show 🗑
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show | O:manages switchboard, T:support for equipment
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Responsible for creating lasting impression of organization | show 🗑
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Systems analyst role | show 🗑
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Consultant services are acquired by this method, Contract basis | show 🗑
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show | Mainframe:run large health care organization's core applications & rely upon proprietary operating systems, Mid-range:run medium-smaller organization's core applications & support specialized software w/large health care organizations
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show | W:support staff members for local & remote functions, P:document Pt information at point of care
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Peripherals r/t Technology infrastructure | show 🗑
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Primary clients r/t IS departments | show 🗑
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show | Depend upon type of organization
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show | C:find solutions w/limited resources, T:find solutions w/cutting-edge technology
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show | Teaching hospitals
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show | Ensure messages b/w systems are communicated effictively & reliably
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show | Formed after merger of serveral independent organizations
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show | Usually outsourced
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Clinical decision support system(CDSS)function | show 🗑
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show | Stress, Cognitive overload, Uncertainty, Increasing levels of scrutiny
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Causes development of Knowledge-based systems | show 🗑
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Knowledge-based system are used to enhanced | show 🗑
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Conditions r/t CDSS acceptance resistance | show 🗑
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show | C:focus on analysis of alternatives, K:knowledge is generated every time a decision is made
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Stuctured vs. Unstructured vs. Semistructured decision-making | show 🗑
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show | Semistructured
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Knowledge r/t Decision-making | show 🗑
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Descriptive vs. Procedural knowledge | show 🗑
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Methods r/t Gaining procedural knowledge | show 🗑
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show | Past, Present, Future, What if's
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Reasoning vs. Inferencing | show 🗑
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Reasoning vs. Inferencing r/t Basis | show 🗑
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show | Arden syntax, Guideline interchange format
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show | Medical knowledge in a manner that can be utilized by a computer
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Intelligent agents ability | show 🗑
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Indication r/t Future size of data warehouses | show 🗑
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show | Data
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Process r/t Knowledge discover in large data sets | show 🗑
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show | Over time
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Backbone of most health iformation systems | show 🗑
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show | Collect, store & track Pt information from admission to discharge
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Interface is exchange of information b/w | show 🗑
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Interface avoids | show 🗑
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Advantage r/t Best of breed | show 🗑
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Data integration accomplishment | show 🗑
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show | Information from numerous systems
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show | Automation
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End user | show 🗑
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4 Perspectives r/t Health care information systems | show 🗑
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show | User enters data, Transfer of data from interfaced systems, Automatic data transfer from other systems
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show | Location
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show | POS:device is located where information is required/collected, POC:data entered at bedside
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System architecture ensures | show 🗑
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Data archive vs. Data purging | show 🗑
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Core component r/t eHealth | show 🗑
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show | Electronic health record
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Electronic health records constantly change d/t | show 🗑
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Core idea r/t Electronic health records | show 🗑
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Problems r/t Paper-based records | show 🗑
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show | Institute of Medicine(IOM)
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Advantages r/t Electronic health reports | show 🗑
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Downfall r/t Websites offering personal electronic health records | show 🗑
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show | Remote access, Access to multiple information systems, Direct Pt access
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Standardization of terms in naming data elements allows | show 🗑
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Every acute care hospital uses | show 🗑
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Classifications vs. Vocabularies vs. Nomenclatures | show 🗑
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show | P:Pt has right to decide what info they will disclose, C:disclosed info will not be shared w/out permission
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Properly designed electronic health record systems r/t Security | show 🗑
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Most important element r/t Electronic health record security | show 🗑
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Consumer shift r/t Electronic health record | show 🗑
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show | Access, Integrity, Availability
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show | Data and information for specific purposes
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show | Measures organizations implement to protect information and systems
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show | The completeness and accuracy of data and information, Protection of data and information from processes that would invalidate them
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Threats r/t Data integrity | show 🗑
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Availability is the ability to | show 🗑
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show | Storage capabilities, Media life expectancies
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show | Record is maintained by multiple providers and shared when necessary
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show | Improvement of care, Reduction of medical errors, Reduction of administrative costs
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show | Past:hospital-owned material, Present:Pt has right to control use of their private health information
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DNA & Human Genome Project r/t Pt privacy | show 🗑
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show | Health Insurance Portability and Accountability Act of 1996
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show | Standards and a regulatory framework, Mandate that HCP must obtain Pt consent before sharing their information
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show | Electronic signature
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Health care informatics necessities | show 🗑
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