Additional Information
Book Details
Abstract
Health Informatics: An Interprofessional Approach was awarded first place in the 2013 AJN Book of the Year Awards in the Information Technology/Informatics category. Get on the cutting edge of informatics with Health Informatics, An Interprofessional Approach. Covering a wide range of skills and systems, this unique title prepares you for work in today’s technology-filled clinical field. Topics include clinical decision support, clinical documentation, provider order entry systems, system implementation, adoption issues, and more. Case studies, abstracts, and discussion questions enhance your understanding of these crucial areas of the clinical space.
- 31 chapters written by field experts give you the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, disaster recovery, and simulation.
- Case studies and attached discussion questions at the end of each chapter encourage higher level thinking that you can apply to real world experiences.
- Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what each chapter will cover.
- Conclusion and Future Directions section at the end of each chapter reinforces topics and expands on how the topic will continue to evolve.
- Open-ended discussion questions at the end of each chapter enhance your understanding of the subject covered.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Inside front cover | ifc1 | ||
| Dedication | i | ||
| Evolve page | ii | ||
| Health Informatics | iii | ||
| Copyright page | iv | ||
| About the Authors | v | ||
| Contributors | vii | ||
| Reviewers and Ancillary Writers | x | ||
| Preface | xi | ||
| Uses of the Book | xi | ||
| Vendors, Applications, Institutions, etc. | xi | ||
| Organization of the Book | xi | ||
| Teaching and Learning Package | xii | ||
| For the Instructor | xii | ||
| For the Student | xii | ||
| Acknowledgements | xiii | ||
| Table of Contents | xv | ||
| Unit 1 Background and Foundational Information | 1 | ||
| 1 Introduction: The Evolution of Health Informatics | 2 | ||
| Objectives | 2 | ||
| Key Terms | 2 | ||
| Abstract | 2 | ||
| Introduction | 2 | ||
| The Roots of Informatics within the Computer and Information Sciences | 3 | ||
| Computer Science | 3 | ||
| Information Science | 3 | ||
| Health Informatics | 4 | ||
| Establishing the Specialty of Health Informatics | 5 | ||
| Books | 5 | ||
| Journals | 6 | ||
| Professional Organizations | 7 | ||
| Educational Programs | 9 | ||
| Certification | 10 | ||
| Recognition of the Specialty | 12 | ||
| Naming the Specialty—Naming the Discipline | 13 | ||
| Conclusion and Future Directions | 16 | ||
| References | 16 | ||
| Unit 2 Information Systems in Healthcare Delivery | 86 | ||
| 6 Electronic Health Records and Applications for Managing Patient Care | 87 | ||
| Objectives | 87 | ||
| Key Terms | 87 | ||
| Abstract | 87 | ||
| Introduction | 87 | ||
| Early Terms and Definitions | 88 | ||
| Electronic Medical Record (EMR) versus Electronic Health Record (EHR) | 88 | ||
| EHR Components, Functions, and Attributes | 89 | ||
| Sociotechnical Perspectives | 89 | ||
| EHR Adoption | 89 | ||
| Meaningful Use | 89 | ||
| EMR Adoption Model | 91 | ||
| Health Practitioner Role in EHR Adoption and Meaningful Use | 91 | ||
| EHR Applications Used in the Clinical Setting | 92 | ||
| Computerized Provider Order Entry (CPOE) | 92 | ||
| Electronic Medication Administration Record (eMAR) | 93 | ||
| Bar Code Medication Administration (BCMA) | 93 | ||
| Clinical Documentation | 94 | ||
| Specialty Applications | 95 | ||
| Clinical Decision Support (CDS) | 95 | ||
| Ancillary Systems | 95 | ||
| EHR Benefits | 96 | ||
| Cost | 97 | ||
| Access | 97 | ||
| Quality, Safety, and Efficiency of Care Delivery | 97 | ||
| Stakeholder Perspectives | 97 | ||
| Consumers | 97 | ||
| Nurses | 97 | ||
| Healthcare Providers | 98 | ||
| Healthcare Organizations | 98 | ||
| Insurance Payers | 98 | ||
| State and National Governments | 98 | ||
| Key Issues | 99 | ||
| Cost | 99 | ||
| Ownership | 99 | ||
| Data Integrity | 99 | ||
| Privacy and Confidentiality | 100 | ||
| Standards | 100 | ||
| Organizational Culture | 100 | ||
| Human Factors | 100 | ||
| Conclusion and Future Directions | 101 | ||
| References | 101 | ||
| Discussion Questions | 104 | ||
| Case Study | 105 | ||
| Discussion Questions | 105 | ||
| 7 Applications for Managing Institutions Delivering Healthcare | 106 | ||
| Objectives | 106 | ||
| Key Terms | 106 | ||
| Abstract | 106 | ||
| Introduction | 106 | ||
| Vendor Resource Guides | 107 | ||
| Major Types of Applications | 107 | ||
| Financial Systems | 107 | ||
| Evolution of Healthcare FISs | 108 | ||
| General Ledger. | 108 | ||
| Payroll Application. | 109 | ||
| Patient Accounting Application. | 109 | ||
| Claims Processing and Management System. | 109 | ||
| Claims Denial Management Application. | 109 | ||
| Contract Management Application. | 110 | ||
| Fixed Asset Management Application. | 110 | ||
| Financial Reporting | 110 | ||
| Challenges with FISs | 111 | ||
| FIS Integration | 113 | ||
| Efficiency Tools | 114 | ||
| Practice Management Systems | 114 | ||
| Patient Outreach System | 115 | ||
| Online Billing and Payment Tool | 115 | ||
| Hospital–Healthcare Provider Connection | 115 | ||
| A Matter of Perspective | 115 | ||
| Materials Management | 115 | ||
| Healthcare Supply Chain and Informatics | 115 | ||
| Integrated Applications in Supply Chain Management | 116 | ||
| Supply Cost Capture | 117 | ||
| Human Resources Information Systems | 118 | ||
| Human Resources Information Systems as a Competitive Advantage | 118 | ||
| Human Resources Information Systems Vendors | 119 | ||
| Human Resources Subsystems | 119 | ||
| Personnel Administration. | 119 | ||
| Managing Human Resources Strategically and Operationally. | 119 | ||
| Staffing and Scheduling. | 119 | ||
| Training and Development. | 120 | ||
| Compensation, Benefits, and Pension Administration–Payroll Interface. | 120 | ||
| Performance Evaluation. | 120 | ||
| Underrepresented Subsystems. | 120 | ||
| Business Intelligence Systems | 121 | ||
| Conclusion and Future Directions | 122 | ||
| References | 122 | ||
| Discussion Questions | 123 | ||
| Case Study | 123 | ||
| Discussion Questions | 124 | ||
| 8 Telehealth and Applications for Delivering Care at a Distance | 125 | ||
| Objectives | 125 | ||
| Key Terms | 125 | ||
| Abstract | 125 | ||
| Introduction | 125 | ||
| Examples of Successful Telehealth Programs | 126 | ||
| Telehealth Historic Milestones | 127 | ||
| Leading Telehealth Organizations | 127 | ||
| American Nurses Association (ANA) | 127 | ||
| United States Federal Government Agencies | 128 | ||
| American Telemedicine Association (ATA) | 128 | ||
| International Council of Nurses (ICN) | 128 | ||
| Telehealth Technologies | 128 | ||
| Synchronous or “Real-Time” Technologies | 128 | ||
| Video Conferencing | 128 | ||
| Patient Monitoring Technologies | 128 | ||
| Asynchronous or “Store-and-Forward” Technology | 130 | ||
| Technical Standards in Telehealth | 130 | ||
| Telehealth and Health Information Technology | 130 | ||
| Telehealth Clinical Practice Considerations for Healthcare Professionals | 130 | ||
| Equal to or Better Than In-Person Care? | 130 | ||
| Telehealth Clinical Competency | 131 | ||
| Confidentiality, Privacy, and Informed Patients | 131 | ||
| Scope of Clinical Practice | 132 | ||
| Types of Clinical Telehealth Applications | 132 | ||
| Telehealth Operational and Organizational Success Factors and Barriers | 132 | ||
| B.E.L.T. Framework | 132 | ||
| Operationalizing Telehealth | 133 | ||
| Telehealth Acceptance and Training | 133 | ||
| Telehealth Implementation | 134 | ||
| Preimplementation Phase | 135 | ||
| Implementation Phase | 135 | ||
| Postimplementation Phase | 135 | ||
| Telehealth Challenges: Licensure and Regulatory Issues for Healthcare Professionals | 135 | ||
| Licensure | 136 | ||
| Credentialing and Privileging | 137 | ||
| Reimbursement | 138 | ||
| Malpractice and Liability | 138 | ||
| Telehealth and Direct Patient Health Services | 138 | ||
| Patient-to-Provider Telehealth-Delivered Care | 138 | ||
| Remote Telehealth Home Visits and Biosensors | 139 | ||
| Remote Telehealth Home Visits and Monitoring | 139 | ||
| Biometric Sensors | 139 | ||
| Telehealth Technology and Healthcare Consumers | 140 | ||
| eHealth Literacy: Critical Element for Telehealth Adoption | 141 | ||
| Conclusion and Future Directions | 141 | ||
| Telehealth Industry Growth | 142 | ||
| Telehealth to uHealth | 142 | ||
| Improve Healthcare Provider Shortages and Access to Care | 142 | ||
| References | 142 | ||
| Discussion Questions | 145 | ||
| Case Study | 145 | ||
| Discussion Questions | 146 | ||
| 9 Home Health and Related Community-Based Systems | 147 | ||
| Objectives | 147 | ||
| Key Terms | 147 | ||
| Abstract | 147 | ||
| Introduction | 147 | ||
| Evolution and Milestones | 148 | ||
| Practice Models | 148 | ||
| Home Health | 148 | ||
| Palliative Care and Hospice | 149 | ||
| Public Health | 149 | ||
| Nurse-Managed Health Centers | 149 | ||
| Other Practice Sites | 149 | ||
| Similarities among Practice Models | 149 | ||
| Standardized Datasets | 150 | ||
| Outcome and Assessment Information Set (OASIS) | 151 | ||
| Continuity Assessment Record and Evaluation (CARE) Tool | 151 | ||
| Hospice Quality Measures | 151 | ||
| Patient Experience Surveys | 151 | ||
| Supporting Home Health with Electronic Health Records and Health Information Technology | 151 | ||
| Billing Solutions | 152 | ||
| Point-of-Care Solutions | 152 | ||
| Clinical Decision Support (CDS) Systems | 153 | ||
| Standardized Terminologies | 153 | ||
| Omaha System | 154 | ||
| Description | 154 | ||
| Problem Classification Scheme | 155 | ||
| Intervention Scheme | 155 | ||
| Problem Rating Scale for Outcomes | 157 | ||
| Clinical Example from Practice | 158 | ||
| Interpretation of the Clinical Example | 158 | ||
| Examples of EHR Screen Images | 159 | ||
| Conclusion and Future Directions | 161 | ||
| References | 161 | ||
| Unit 3 Participatory Healthcare Informatics and Healthcare on the Internet | 211 | ||
| 13 The Evolving ePatient | 212 | ||
| Objectives | 212 | ||
| Key Terms | 212 | ||
| Abstract | 212 | ||
| Historical Background and Drivers of the ePatient Evolution | 212 | ||
| ePatient as a Pioneering Concept | 212 | ||
| Technology, Policy, and Legislative Influences | 213 | ||
| Characteristics of Online Healthcare Consumers | 216 | ||
| Convergence of ePatients, Clinicians, Patient-Centered Models of Care, and Informatics | 217 | ||
| Participatory Patient-Centered Healthcare | 217 | ||
| The New Role of Clinicians and Informaticists in ePatient Care | 218 | ||
| Health Informatics and ePatients | 219 | ||
| Personal Health Records, Transparency, and Access to Data | 219 | ||
| Evolution of Health 2.0 and Beyond | 220 | ||
| Health 2.0 Environment | 220 | ||
| Health 2.0 and the Creation of Virtual Patient Communities | 220 | ||
| Conclusion and Future Directions | 221 | ||
| Moving toward Health 3.0 | 221 | ||
| References | 222 | ||
| Unit 4 Project Management: Tools and Procedures | 257 | ||
| 16 Identifying and Selecting an Information System Solution | 258 | ||
| Objectives | 258 | ||
| Key Terms | 258 | ||
| Abstract | 258 | ||
| Introduction | 258 | ||
| Strategic Vision and Alignment | 258 | ||
| Systems Development Life Cycle | 260 | ||
| Analysis and Requirements Definition | 260 | ||
| Project Planning | 264 | ||
| Develop or Purchase | 265 | ||
| Developing, Obtaining, and Evaluating Requests for Information (RFIs) and Requests for Proposals (RFPs) | 265 | ||
| Evaluating Vendors | 266 | ||
| Selecting the System | 267 | ||
| Negotiating the Contract | 268 | ||
| Establishing a Working Relationship with the Vendor | 268 | ||
| Conclusion and Future Directions | 268 | ||
| References | 269 | ||
| Discussion Questions | 269 | ||
| Case Study | 269 | ||
| Key Considerations for System Selection | 269 | ||
| 17 Implementing and Upgrading an Information System Solution | 271 | ||
| Objectives | 271 | ||
| Key Terms | 271 | ||
| Abstract | 271 | ||
| Introduction | 271 | ||
| Reasons to Implement or Upgrade a Healthcare Information System | 272 | ||
| The American Recovery and Reinvestment Act (ARRA) | 272 | ||
| The Transition from ICD-9-CM to ICD-10-CM Codes and from HIPAA Version 4010 to HIPAA Version 5010 | 272 | ||
| Best Practices: Evidence-Based Content and Clinical Decision Support (CDS) Systems | 273 | ||
| Patient Safety and Improved Quality of Care | 275 | ||
| New Implementation Versus an Upgrade | 276 | ||
| Decision Factors to Implement or Upgrade a System | 276 | ||
| Sufficient Resources | 276 | ||
| Risk Factors | 276 | ||
| Scope Creep | 276 | ||
| Best of Breed versus an Integrated Health System | 277 | ||
| Opportunities for Improvement | 277 | ||
| Implementation and the Systems Life Cycle | 278 | ||
| Project Planning | 278 | ||
| Defining Success | 278 | ||
| Executive Management Support | 279 | ||
| Engage Stakeholders | 279 | ||
| Redesigned Workflows | 279 | ||
| Building or Tailoring the Product | 281 | ||
| Testing | 281 | ||
| Preparing for Go-Live | 284 | ||
| Big Bang or Incremental Go-Lives | 284 | ||
| Detailed Go-Live Plan | 285 | ||
| Education and Training | 285 | ||
| Trainers | 286 | ||
| Training Methodology | 286 | ||
| Length of Class and Class Schedule | 286 | ||
| Go-live | 286 | ||
| POSTLIVE Maintenance | 287 | ||
| Conclusion and Future Directions | 287 | ||
| References | 288 | ||
| Unit 5 Quality, Usability, and Standards in Informatics | 306 | ||
| 19 Privacy, Confidentiality, Security, and Data Integrity | 307 | ||
| Objectives | 307 | ||
| Key Terms | 307 | ||
| Abstract | 307 | ||
| Introduction | 307 | ||
| Definitions and Concepts | 308 | ||
| Legal and Historical Context | 308 | ||
| Caregiver Requirements | 308 | ||
| Patient Rights | 308 | ||
| Fair Information Practice Principles | 309 | ||
| Code of Ethics for Health Informatics Professionals | 309 | ||
| Principles, Laws, and Regulations Guiding Practice | 309 | ||
| National Privacy and Security Framework for Health Information | 311 | ||
| Laws and Regulations | 311 | ||
| International | 311 | ||
| Federal | 312 | ||
| Federal–State Collaboration | 313 | ||
| Secondary Uses of Electronic Health Data | 313 | ||
| Public Health Monitoring or Surveillance | 313 | ||
| Deidentification Data | 314 | ||
| The Importance of Information Security | 314 | ||
| The Public Trust | 314 | ||
| Legal Requirements and Fines | 314 | ||
| Increasing Security Threats to Healthcare Data | 316 | ||
| Recent Changes in Health Data Practices | 316 | ||
| Current Security Vulnerabilities | 316 | ||
| External Events | 316 | ||
| Internal Vulnerabilities | 316 | ||
| Medical Devices | 316 | ||
| Current Security Challenges | 317 | ||
| Managing Security Risks with Security Controls | 317 | ||
| Administrative | 317 | ||
| Conducting Risk Assessments or Risk Analysis | 318 | ||
| Technical | 318 | ||
| Access Management and Control | 318 | ||
| Encryption | 319 | ||
| Privacy Enhancing Technologies | 319 | ||
| Physical | 319 | ||
| Resources | 319 | ||
| Conclusion and Future Directions | 320 | ||
| References | 320 | ||
| Discussion Questions | 321 | ||
| Case Study | 322 | ||
| Discussion Questions | 322 | ||
| 20 Patient Safety and Quality Initiatives in Informatics | 323 | ||
| Objectives | 323 | ||
| Key Terms | 323 | ||
| Abstract | 323 | ||
| Introduction | 323 | ||
| Definitions | 324 | ||
| Quality of Care | 324 | ||
| Patient Safety | 324 | ||
| National Initiatives Driving Adoption and Use of Health IT | 324 | ||
| National Efforts Related to Quality Data Standards | 324 | ||
| Evaluating Quality and Patient Safety | 327 | ||
| Conceptual Framework for Patient Safety and Quality | 327 | ||
| Medication Safety | 328 | ||
| Chronic Illness Screening and Management | 329 | ||
| Nursing Sensitive Quality Outcomes: Patient Falls and Pressure Ulcers | 329 | ||
| Success Factors and Lessons Learned | 330 | ||
| Conclusion and Future Directions | 330 | ||
| References | 331 | ||
| Unit 6 Governance and Organizational Structures for Informatics | 370 | ||
| 23 Health Information Technology Governance | 371 | ||
| Objectives | 371 | ||
| Key Term | 371 | ||
| Abstract | 371 | ||
| Introduction | 371 | ||
| Health IT Governance: Need and Core Components | 371 | ||
| Key Insights | 372 | ||
| Respect Current Decision-Making Structures | 372 | ||
| Shift in Organizational Mindset | 373 | ||
| The Continual Increase in Demand for Health IT | 373 | ||
| Governance Does Not Depend on Specific Technology Choices | 373 | ||
| Coordination and Collaboration with Diverse Stakeholders | 373 | ||
| Recommendations | 373 | ||
| Conduct a Health IT Capability Maturity Assessment | 374 | ||
| Investigate Peer Informatics Governance Models | 374 | ||
| Design, Implement, and Iteratively Enhance Informatics Governance | 375 | ||
| Conclusion and Future Directions | 376 | ||
| References | 376 | ||
| Unit 7 Education and Informatics | 410 | ||
| 26 Informatics in the Curriculum for Healthcare Professionals | 411 | ||
| Objectives | 411 | ||
| Key Terms | 411 | ||
| Abstract | 411 | ||
| Introduction and Background | 411 | ||
| Overview of Informatics and Health Information Technology | 411 | ||
| Education Reform Initiatives | 412 | ||
| Challenges of Technology-Enhanced Education | 414 | ||
| Teaching and Learning in an Evolving Healthcare and Technology Environment | 414 | ||
| The Role of Informatics in the Curriculum | 414 | ||
| The Science of Informatics and Curriculum Design | 415 | ||
| Framework for Informatics Curriculum | 415 | ||
| Pedagogy | 415 | ||
| Teaching Tools and Learning Strategies | 416 | ||
| It Takes a Village: Roles and Competencies | 416 | ||
| Educating the Generalist | 418 | ||
| Educating Healthcare Specialists at the Graduate Level | 418 | ||
| Educating the Informatics Specialist | 421 | ||
| Educating the Informatics Researcher and Innovator | 421 | ||
| Continuing Professional Development | 421 | ||
| Conclusion and Future Directions | 421 | ||
| References | 422 | ||
| Unit 8 International Informatics Efforts | 472 | ||
| 30 International Efforts, Issues, and Innovations | 473 | ||
| Objectives | 473 | ||
| Key Terms | 473 | ||
| Abstract | 473 | ||
| Introduction | 473 | ||
| Key Initiatives in World Regions | 474 | ||
| eHealth Initiatives in Europe | 474 | ||
| The European Federation for Medical Informatics | 475 | ||
| eHealth Initiatives in the APEC Region | 476 | ||
| Asia Pacific Association for Medical Informatics (APAMI) | 477 | ||
| eHealth Initiatives in the Pan American Health Organization (PAHO) Region | 478 | ||
| IMIA-LAC | 478 | ||
| eHealth Initiatives in Africa | 479 | ||
| Health Informatics in Africa (HELINA) | 480 | ||
| International Organizations with Informatics Implications | 481 | ||
| eHealth and Health Informatics at WHO | 481 | ||
| The eHealth Resolution | 481 | ||
| Major Activities and Projects in WHO | 481 | ||
| Global Observatory for eHealth. | 481 | ||
| WHO Family of International Classifications. | 482 | ||
| Collaborating with Terminology Standards Development Organizations. | 482 | ||
| International Medical Informatics Association (IMIA) | 482 | ||
| IMIA-NI | 484 | ||
| International Standards Efforts | 484 | ||
| International Organization for Standardization (ISO) | 484 | ||
| International Council of Nurses | 486 | ||
| International Classification for Nursing Practice (ICNP) | 486 | ||
| ICNP C-Space. | 486 | ||
| The Telenursing Network | 488 | ||
| Health Level Seven (HL7) | 489 | ||
| International Health Terminology Standards Development Organisation (IHTSDO) | 489 | ||
| Global Challenges to eHealth | 489 | ||
| Global Interoperability | 489 | ||
| Human Resources for eHealth | 489 | ||
| Information and Communications Technology Infrastructure | 489 | ||
| Legal and Regulatory Framework for eHealth | 490 | ||
| Conclusion and Future Directions | 490 | ||
| References | 490 | ||
| Discussion Questions | 491 | ||
| Case Study | 491 | ||
| Discussion Questions | 492 | ||
| Unit 9 The Present and Future | 493 | ||
| 31 Future Directions and Future Research in Health Informatics | 494 | ||
| Objectives | 494 | ||
| Key Terms | 494 | ||
| Abstract | 494 | ||
| Introduction | 494 | ||
| Futures Research or Futurology | 495 | ||
| Defining Futures Research or Futurology | 495 | ||
| Future Directions and Level of Change | 496 | ||
| The Challenge of Anticipating Future Directions | 497 | ||
| Approaches for Predicting | 497 | ||
| Trend Analysis and Extrapolation | 497 | ||
| Content Analysis | 498 | ||
| Scenarios | 498 | ||
| Backcasting | 499 | ||
| Application of Futures Research | 499 | ||
| The Future of Informatics | 499 | ||
| Consumerism and Informatics | 500 | ||
| EHRs 2.0 | 500 | ||
| Usability and Improving the User Experience for Health IT | 501 | ||
| Big Data and Data Visualization | 501 | ||
| Analytics | 502 | ||
| Nanotechnology | 502 | ||
| History of Nanotechnology | 502 | ||
| Nanofabrication and Nanomedicine | 503 | ||
| Nanofabrication. | 503 | ||
| Nanomedicine. | 504 | ||
| Cautions about Nanotechnology | 505 | ||
| Nanoinformatics | 505 | ||
| Issues in Regulation and Ethics | 505 | ||
| Conclusion and Future Directions | 506 | ||
| References | 506 | ||
| Discussion Questions | 507 | ||
| Case Study | 508 | ||
| Discussion Questions | 508 | ||
| Glossary | 509 | ||
| A | 509 | ||
| B | 509 | ||
| C | 509 | ||
| D | 510 | ||
| E | 510 | ||
| F | 511 | ||
| G | 511 | ||
| H | 511 | ||
| I | 512 | ||
| J | 512 | ||
| K | 512 | ||
| L | 512 | ||
| M | 512 | ||
| N | 513 | ||
| O | 513 | ||
| P | 513 | ||
| Q | 514 | ||
| R | 514 | ||
| S | 514 | ||
| T | 514 | ||
| U | 515 | ||
| V | 515 | ||
| W | 515 | ||
| Index | 517 | ||
| A | 517 | ||
| B | 518 | ||
| C | 518 | ||
| D | 520 | ||
| E | 521 | ||
| F | 522 | ||
| G | 523 | ||
| H | 523 | ||
| I | 525 | ||
| J | 527 | ||
| K | 527 | ||
| L | 527 | ||
| M | 528 | ||
| N | 528 | ||
| O | 529 | ||
| P | 529 | ||
| Q | 531 | ||
| R | 531 | ||
| S | 532 | ||
| T | 533 | ||
| U | 534 | ||
| V | 535 | ||
| W | 535 | ||
| Y | 535 | ||
| Z | 535 | ||
| Inside back cover | ibc1 |