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Definitions

Electronic medical record (EMR): An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization.

Electronic health record (EHR): An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one health care organization.

Personal health record (PHR): An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.

Health information exchange (HIE): The electronic movement of health-related information among organizations according to nationally recognized standards.

Telehealth/Telemedicine: The use of telecommunications and information technology to deliver health services and transmit health information over distance.

Acronyms

What Is…

  • API – Application Programming Interface

  • ARRA – American Recovery and Reinvestment Act of 2009

  • ASP – Application Service Provider

  • ATNA – Audit Trail and Node Authentication

  • BHIE – Bidirectional Health Information Exchange

  • CAH – Critical Access Hospital

  • CBO – Community-Based Organization

  • CCD – Continuity of Care Document (CCR + CDA became CCD)

  • CCHIT – Certification Commission for Healthcare Information Technology

  • CCR – Continuity of Care Record

  • CDA – Clinical Document Architecture

  • CDO – care delivery organization

  • CDR – Clinical Data Repository

  • CDS – clinical decision support

  • CDSS – clinical decision support system

  • CFR – Code of Federal Regulations

  • CHC – Connected Healthcare Community

  • CHR – Community Health Records

  • CLIA – Clinical Laboratory Improvement Amendments

  • CMIO – Chief Medical Information/Informatics Officer

  • CMV – Controlled Medical Vocabulary

  • CPOE – Computerized physician order entry

  • DBE – Documenting by exception

  • EMR/EHR – electronic medical/health record

  • FACA – Federal Advisory Committee Act

  • FHA – Federal Health Architecture

  • FIPS – Federal Information Processing Standards

  • FOA – Funding Opportunity Announcement

  • FOSS – Free and Open Source/Solutions Software

  • FQHC – Federally Qualified Health Center

  • HIE – Health Information Exchanges

  • HIM – Health Information Management

  • HIO – Health Information Organization

  • HIPAA – Health Insurance Portability and Accountability Act

  • HIT – Health Information Technology

  • HITECH – Health Information Technology for Economic and Clinical Health Act

  • HPSA – Health Professional Shortage Areas

  • ICE – Integrated Community EHR

  • IFR – Interim Final Rule

  • IT – Information Technology

  • LOINC – Logical Observations Identifiers, Names, Codes

  • MITA – Medicaid Information Technology Architecture

  • NHIN – Nationwide Health Information Network

  • NPRM – Notice of Proposed Rulemaking

  • NLP – Natural Language Processing

  • ONC – Office of the National Coordinator

  • ONCHIT – Office of the National Coordinator for Health Information Technology

  • PACS – picture archiving and communication systems

  • PCMH – Patient-Centered Medical Home

  • PHI – Personal Health Information or Protected Health Information

  • PHR – Personal Health Record

  • PMS – Practice Management System

  • PQRI – Physician Quality Reporting Initiative

  • RHIO – Regional Health Information Organizations

  • SaaS – Software-as-a-Service product

  • SDO – Standards Development Organization

Who is…

  • AAAAI – American Academy of Allergy Asthma & Immunology

  • AAHAM – American Association of Healthcare Administrative Management

  • ACC – American College of Cardiology

  • ACRO – Association of Clinical Research Organizations

  • AHA – American Hospital Association

  • AHDI – Association for Healthcare Documentation Integrity

  • AHIC – American Health Information Community (Now NeHC)

  • AHIMA – The American Health Information Management Association

  • AHRQ – Agency for Healthcare Research and Quality

  • AMDIS – Association of Medical Directors of Information Systems

  • AMIA – American Medical Informatics Association

  • AMSPAR – The Association of Medical Secretaries, Practice Managers, Administrators and Receptionists

  • ANI – Alliance for Nursing Informatics

  • ANSI – American National Standards Institute

  • ASHHRA – American Society for Healthcare Human Resources Administration

  • ASTM – ASTM International – originally known as the American Society for Testing and Materials

  • CCHIT – Certification Commission for Healthcare Information Technology

  • CDC – Centers for Disease Control and Prevention

  • CHIME – College of Healthcare Information Management Executives

  • CMS – Center for Medicare & Medicaid Services

  • EHRVA – Electronic Health Record Vendors Association

  • FDA – Food and Drug Administration

  • HBMA – Healthcare Billing and Management Association

  • HIMSS – Healthcare Information and Management Systems Society

  • HISPC – Health Information Security and Privacy Collaboration

  • HITRC – National Health IT Research Center

  • HITSP – Healthcare Information Technology Standards Panel

  • HHS – Department of Health and Human Services

  • HRSA – Health Resources and Services Administration (under HHS)

  • IHI – Institute for Healthcare Improvement

  • IHTSDO – International Health Terminology Standards Development Organization

  • IPA – Independent Practice Association

  • JCAHO – The Joint Commission on the Accreditation of Healthcare Organizations

  • MGMA – Medical Group Management Association

  • MSO – Medical Service Organization

  • MTIA – Medical Transcription Industry Association

  • MTSO – Medical Transcription Service Organization

  • NAHAM – National Association of Healthcare Access Management

  • NASCIO – National Association of State Chief Information Officers

  • NCVHS – National Committee on Vital and Health Statistics

  • NeHC – National eHealth Collaborative

  • NHMA – National Hispanic Medical Association

  • NIST – National Institute of Standards and Technology

  • OCR – Office of Civil Rights (Dept of Health and Human Services)

  • PHO – Physician Hospital Organization

  • PAHCOM – Professional Association of Health Care Office Management

  • SHIRE – Summit Health Institute for Research and Education, Inc.

  • TCBI – The Center for Business Innovation

  • TIPAAA – The IPA Association of America

  • WEDI – Workgroup for Electronic Data Interchange