Electronic health record functions, health information exchange concepts, and interoperability standards terminology.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- What does EHR stand for?
- Electronic health record
- What is the key difference between an EMR and an EHR?
- An EMR is a digital record within a single practice, while an EHR is designed to be shared across multiple healthcare organizations
- What does HIE stand for in health information technology?
- Health information exchange
- What is the purpose of a health information exchange?
- To allow healthcare providers to electronically share patient health information across organizations
- What does the term "interoperability" mean in health IT?
- The ability of different information systems to exchange and use data effectively
- What are the three levels of interoperability commonly described in health IT?
- Foundational, structural, and semantic interoperability
- What does "semantic interoperability" ensure between two systems exchanging data?
- That the meaning of the exchanged data is preserved and interpreted consistently by both systems
- What data standard is widely used for exchanging clinical documents such as the Continuity of Care Document?
- HL7 (Health Level Seven)
- What modern HL7 standard uses web-based APIs to enable easier data exchange between systems?
- FHIR (Fast Healthcare Interoperability Resources)
- What coding system is the standard for laboratory test result identification and exchange?
- LOINC (Logical Observation Identifiers Names and Codes)
- What terminology standard codes clinical findings, symptoms, and diagnoses in a structured, computable format?
- SNOMED CT (Systematized Nomenclature of Medicine, Clinical Terms)
- What coding system standardizes medication names for electronic prescribing and drug interaction checking?
- RxNorm
- What federal legislation provided financial incentives for hospitals and providers to adopt certified EHR technology?
- The HITECH Act
- What was the name of the incentive program that paid eligible providers for demonstrating meaningful use of EHR technology?
- The Meaningful Use program
- What term describes entering data directly into a health record at the point of patient care?
- Point-of-care documentation
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