EHR implementation Definitions

  • C

    Clinical Document Architecture (CDA)

    Clinical Document Architecture (CDA) is a markup standard created by Health Level 7 International (HL7) that defines the structure of discharge summaries, progress notes and other medical records.

  • E

    EHR implementation plan

    An electronic health record (EHR) implementation plan is a comprehensive set of strategies and steps used by a health care organization when preparing for and executing the adoption of an electronic-based health care system.

  • electronic health record (EHR)

    An electronic health record (EHR) is an individual's official health document that is shared among multiple facilities and agencies.

  • Epic Systems

    Epic Systems is one of the largest providers of health information technology, used primarily by large U.S. hospitals and health systems to access, organize, store and share electronic medical records.

  • F

    FHIR (Fast Healthcare Interoperability Resources)

    Fast Healthcare Interoperability Resources (FHIR) is an interoperability standard for electronic exchange of healthcare information.

  • M

    meaningful use stage 1

    Meaningful use stage 1 is the first phase of the United States federal government's meaningful use incentive program, which details the requirements for the use of electronic health record (EHR) systems by hospitals and eligible health care professionals.

  • meaningful use stage 2

    Meaningful use stage 2 is the second phase of the meaningful use incentive program that details the second phase of requirements for the use of electronic health record (EHR) systems by hospitals and eligible health care providers.

  • meaningful use stage 3

    Meaningful use stage 3 is the third phase of the federal incentive program that details requirements for the use of electronic health record systems by hospitals and eligible healthcare professionals. However, the new MACRA law will change the overall meaningful use program, which may eventually lessen stage 3's influence.

  • medical scribe

    A medical scribe is a healthcare employee that assists medical professionals with documenting patients' medical histories.

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