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C2

Represents a Schedule 2 Narcotic

Cache

A fast memory used to hold commonly used variables, which are automatically fetched by hardware from the slower and larger main computer memory.

Cache Rational Database

The post-relational database management system that has been identified by the VHA for data storage needs at the local level.

CAIP

Cross-Application Integration Protocol

Cancel

An undo action in a GUI (Cancel is not an action on an order).

Candidate Architecture

The proposed design of a system structure.

Capability

A software element addressing a specific, well-defined functional responsibility of the containing service.

Capacity Management

The process of planning, analyzing, sizing, and optimizing automated capabilities to satisfy demand in a timely manner and at a reasonable cost. This process should be proactive and responsive to business needs because the business cannot add resources after a capacity problem has happened without impacting performance.

Caregiver

A person who administers medication to the Patient. May pick up or receive medications for the Patient. May also communicate for the Patient in cases where the Patient is unable (e.g., Nurse, Resident, Physician, Spouse).

CBOC

Community Based Outpatient Clinic

CBPM

Current Business Process Model

CBT

Computer-Based Training

CCB

Change Control Board

CCM

Change and Configuration Management

CCOW

Clinical Context Management (formally Clinical Context Object Workgroup)

CDATA

Character Data

CDC

Centers for Disease Control and Prevention

CDER

Center for Drug Evaluation and Research

CDS

Clinical Data Services

CDW

Clinical Data Warehouse

CE

Clinical Evaluator

CEN

Committee European de Normalization

Centers for Disease Control and Prevention (CDC)

The lead Federal Agency for protecting the health and safety of people at home and abroad, providing credible information to enhance health decisions, and promoting health through strong partnerships. Serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States.

CHAMPUS

Civilian Health and Medical Program of the Uniformed Services

Change Management

The formal process of recording, analyzing, estimating, tracking, and reporting of modifications to the project baseline artifacts, such as business functional requirements.

Change Request (CR)

The mechanism by which a change to a project deliverable or artifact is requested.

Change Set

A list of related versions associated with a change management activity.

Character Data (CDATA)

An XML section tag used to denote character data that will be ignored by the XML parser. The tag begins with the string “”.

CHCS

Composite Health Care System

CHDR

Clinical Data Repository/Health Data Repository

Check

A visual inspection by a pharmacist to ensure that the medication dispensed matches the labeled container

Chemotherapy

The treatment of a disease using chemical agents that are intended to eliminate the causative organisms without harming the Patient.

Child Orders

One or more Inpatient medication orders that are linked together using the conjunctions AND, OR, THEN, or EXCEPT to create combinations of dosages, medication routes, administration schedules, and order durations.

CHIPS

Consolidated Health Information Program System

CHISS

Common Health Information Security Services

CI

Configuration Items

CID

Criteria Identification

CIF

Continuous Improvement Framework

CIO

Chief Information Officer

CIP

Capital Investment Proposal

Client

The person or organizational entity that pays for the development of a product.

Client Application

A piece of software that accesses remote services offered by another piece of software, usually over a network connection. In the user interface context, a client is a software application with which a user interacts to perform some function.

Client/Server

The model of interaction in distributed data processing in which a program at one location sends a request to a program at another location and awaits a response. The requesting program is called a client, and the answering program is called a server.

Clinical Context Management

Formerly  Clinical Context Object Workgroup (CCOW). A vendor independent standard developed by the Health Level Seven (HL7) organization to allow clinical applications to share information at the point of care. Using a technique called “context management,” allows information in separate healthcare applications to be unified so that each individual application is referring to the same Patient, encounter, or user. Works for both client-server and Web-based applications.

Clinical Data Repository/Health data Repository (CHDR)

A system extending the capabilities of interacting with Department of Defense (DoD) data sources. It will increase the accessibility of Veteran health information. It is currently planned to be used where VHA and DoD share facilities for healthcare. The current plan is to merge the two capabilities into a set of services.

Clinical Data Service

The HealtheVet service responsible for providing read and write access to the Health Data Repository (HDR).

Clinical Decision Support

The informational or actionable tool that provides support during order processing. For example, a dosing calculator provides the logic to determine the appropriate dose for a medication. Also, a drug guideline is an informational resource for data relating to a medication.

Clinical Evaluator

A person who evaluates the clinical status of a Patient (e.g., Licensed Physician or Licensed Pharmacist).

Clinical Guidelines or Drug Treatment Guidelines

The systematically developed statements to assist Practitioner and Patient decisions about appropriate healthcare for specific clinical circumstances.

CLO

Chief Logistics Officer

CM

Configuration Management

CMON

Clinical Monitoring

CMOP

Consolidated Mail Outpatient Pharmacy

CMOP Transmission

The act of transmitting a prescription to a CMOP for dispensing.

CMP

Configuration Management Plan

CMT

Container Managed Transaction

Co-Signer

A person who reviews and signs prescriptions or medical documents based on designated authority. A second signature is usually required when a document is initiated by a Provider that is undergoing training or in cases where the margin of error of the medication being prescribed is so small that a second signature is advised to ensure the safety of the Patient.

COAS

Content Access Service (formally Clinical Observation Access Service)

Commercial off-the-Shelf (COTS) Software

The commercially available applications sold by vendors through public catalogue listings. COTS software is not intended to be customized or enhanced.

Complete Order

An order that has been recorded, activated, filled, checked, and is ready for delivery to the Patient.

Complex Order

An order that consists of one or more linked medication orders, known as “child” orders.

Component

A physical, replaceable part of a system that packages implementation and conforms to and provides the realization of a set of interfaces. A component represents a physical piece of implementation of a system, including software code (source, binary, or executable) or equivalents such as scripts or command files.

Component (Architecture)

A software term for an independent unit of deployment composed of one or more modules within a package.

Component-based Development

The creation and deployment of software-intensive systems assembled from components as well as the development and harvesting of such components.

Compound Medication/Compound Order

A medication produced or manufactured by combining two or more ingredients.

Computerized Patient Record System (CPRS)

Stored information in VistA, or other automated systems using electronic storage. CPRS supports entry of notes and orders, rules-based order checking, and results reporting (Medical Records Management Handbook). CPRS provides an integrated Patient record system for clinicians, managers, quality assurance staff, researchers, and others. It may be referred to as Electronic Medical Record (EMR) in the private sector.

Consolidated Mail Outpatient Pharmacy (CMOP)

The VA mail-order pharmacy system.

Constant Dosage

A constant administration dose of a drug for a specific duration of therapy. For example, the dosage of a drug might be “4mg” two times a day for 7 days.

Constant Schedule

The schedule of a drug remains constant for a specific duration of therapy. For example, a drug may have been scheduled for two times a day for 7 days.

Constraint

A global requirement that restricts how a product or application may be produced.

Consult Tracking

A VistA product that is used to request and track consultations or procedures from one clinician to another clinician or service.

Context

The subject matter, people, or organizations that might have an impact on the requirements of a product or application.

Context Diagram

A visual representation of the application and the external applications, systems, or organizations with which it must interact.

Contingency Plan

A management plan that identifies alternative strategies to be used to ensure product success if specified risk events occur.

Continuous

A medication order that is given continuously to a Patient for the life of the medication order, as defined by the Start/Stop Date/Time. This is also a schedule type.

Control Factors

These refer to the definition and use of different numbers for each inventory location to manage the quantity of inventory in that location. They include factors such as average rate of use by the functional area, delivery lead time, Par Level, the maximum quantity; Reorder Point, the quantity level at which a reorder signal is sent; and Safety Stock, a safety level quantity.

Controlled Substance (CS)

All drugs listed in the Code of Federal Regulations (CFR) 21, Part 1300, to include the following:

Controlled Substance Tote

A sealed package (e.g., brown bag, box, or envelope) containing one or more CS.

COOP

Continuity of Operations

Copay Tier

A Copay Tier is a fixed copayment amounts depending on the class of the medication

CORBA

Common Object Request Broker Architecture

Core-FLS

Core-Financial and Logistics System

COTR

Contracting Officer’s Technical Representative

COTS

Commercial Off-The-Shelf (software)

Counseling (Patient Education)

A discussion aimed at educating a Patient about a drug therapy regimen. The Omnibus Budget Reconciliation Act of 1990 (OBRA ’90) requires that all Patients be offered counseling for new medications. In particular, a Pharmacist must offer to discuss drug therapy regimens to each Patient when filling prescriptions for them. During counseling, the Pharmacist discusses any information about the drug therapy, which in the professional judgment of the Pharmacist is necessary for the proper use of the medication. The outcome of the counseling session is documented in the Patient’s electronic prescription order, indicating if a Patient accepted counseling and if the counseling was understood. Any extensive counseling and its documentation is recorded in a Text Integrated Utility (TIU) Progress Note.

CPMP

Clozapine Patient Management Protocol

CPOE

Computerized Physician Order Entry

CPRS

Computerized Patient Record System

CPRS-R

Computerized Patient Record System-Re-engineering Computerized Patient Record System-Rehosting

CPU

Central Processing Unit

CR

Change Request

Credentialing

The recognition of professional or technical competence through registration, certification, licensure, etc.

Critical Path

The series of activities that determines the duration of the project. In a deterministic model, the critical path is usually defined as those activities with float-less-than or equal to a specific value, often zero. It is the longest path through the project.

Cross-Application Integration Protocol (CAIP)

A consistent set of interfaces for the common services in use within the Enterprise is required in order to promote interoperability within and across the VHA. The goal is to formalize these interfaces, providing style guidance to projects that will be building and using VHA’s service architecture. The principal objective is to provide clear guidance to project teams detailing the approach that is to be taken when building interfaces that require communication/collaboration with service components within the VHA.

CRUD

Create-Read-Update-Delete

CS

Controlled Substances

CS Counter

A person who performs a back-count on a Controlled Substances (CS) inventory location after removing stock.

CS Destroyer

A person who records the destruction of a CS at a central destruction site or the transfer of a CS to a third-party destruction agency.

CS Discoverer

A person who discovers a discrepancy between a system balance and a physical amount of CS, whether for an inventory location or for an invoice.

CS Disposer

A person who disposes of a CS at a location other than a central destruction site (e.g., a nurse who cleans up a broken vial).

CS Inspector

A person who audits CS inventory to ensure that the inventory balances are accurate and that all CS are accounted for.

CS Manager

A person who handles processes involving escalated problems with CS (e.g., the criminal reporting process for missing CS).

CS Packager

A person who packages CS for transport within the facility (e.g., vault technician, licensed pharmacist).

CS Receiver

A person who receives CS after they have been transported within the facility (e.g., vault technician, nurse, or licensed pharmacist).

CS Shipper

A person who ships packages containing CS.

CS Shipping Order Approver

A person who approves, edits, and cancels CS Shipping Orders.

CS Shipping Order Census

A person who creates Shipping Orders for CS when the CS needs to be shipped back to the vendor or to locations with other Drug Enforcement Administration (DEA) numbers.

CS Signer

A person who signs for an action involving CS that requires a signature.

CS Waster

A person who records the wasting of CS.

CSC

Computer Software Component

CSCI

Computer Software Configuration Items

CSRI

Core Specification for Re-hosting Initiatives

CSV

Comma Separated Value

CTS

Centralized Terminology Service

Current Business Process Model (CBPM)

Captures and documents the business processes “as is.” Also known as the Current Business Model (CBM).

Current Stock

The amount of medications, supplies, etc., on-hand and available for dispensing.

Custodian

Anyone who has custody of CS in the system.

Customer

The requestor, end-user, individual, or organization that specifies (or may assist with specification) and typically accepts the project deliverables. There may be multiple customers on a given project.

CWAD

Crisis, Warnings, Allergies, Directives



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