EHR best practices 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

    e-prescribing (electronic prescribing)

    E-prescribing, or electronic prescribing is a technology framework that allows physicians and other medical practitioners to write and send prescriptions to a participating pharmacy electronically instead of using handwritten or faxed notes or calling in prescriptions.

  • enterprise master patient index (EMPI)

    An enterprise master patient index (EMPI) is a database that is used to maintain consistent and accurate information about each patient registered by a healthcare organization.

  • F

    FHIR (Fast Healthcare Interoperability Resources)

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

  • H

    health informatics

    Health informatics, a term that includes narrower fields such as clinical and nursing informatics, is the study and management of health information.

  • L

    legal health record

    A legal health record is the record of patient health that is created by a health care organization for its own business record. It is also the record that is produced upon request from patients or legal services.

  • M

    medical scribe

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

  • Meditech (Medical Information Technology Inc.)

    Meditech (Medical Information Technology Inc.) is an electronic health record vendor that holds a 19% market share in the hospital industry, but faces intense competition.

  • Q

    Quiz: health IT

    Think you know a bit about health care IT? Try our quiz!

  • R

    registered health information administrator (RHIA)

    A registered health information administrator (RHIA) is a certified professional who oversees the creation and use of health information systems in health care settings.

  • registered health information technician (RHIT)

    A registered health information technician (RHIT) is a certified professional who verifies and stores electronic health records.

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