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CAT

Computerized Axial Tomography

CDISC

Clinical Data Interchange Standards Consortium

CPRI

Computer based Patient Record Institute

DICOM

Digital Imaging and Communications in Medicine

ECG

Electrocardiogram

EHR

Electronic Health Record

FDA

Food and Drug Administration

HIPAA

Health Insurance Portability and Accountability Act

ICU

Intensive Care Unit

IOM

Institute of Medicine of the National Academies

MRI

Magnetic Resonance Imaging

PET

Positron Emission Tomography

Trend analysis

comparing data from different dates, test, or events to correlate the changes in the patient's health

Medical Decision support

computer based system used to improve the outcome of medical decision by clinician who is determining the diagnosis or treatment

Alerts

a warning, message, or reminder automatically generated by EHR systems based on logical rules.

Health maintenance

EHR system component to provide preventative health recommendations

Alternative billing codes/ ABC

used to bill for alternative medicine such as behavioral health, homeopathy, and others

AMA

American Medical Association

CDC

Centers for Disease Control

CMS

Centers for Medicare and Medicaid Services

CPT-4

Current Procedural Terminology, fourth edition

E & M

Evaluation and Management codes

HCPCS

Healthcare Common Procedure Coding System

ICD-9-CM

International Classification of Diseases, 9th Revision, Clinical Modification

Laboratory Information System/ LIS

a computer system that connects to and collects data from lab test instruments

NLM

National Library of Medicine

OCR

Office for Civil Rights

PMRI

Patient Medical Record Information

SNOMED

Systemized Nomenclature of Medicine

UMLS

Unified Medical Language System

VA

Veterans Affairs

WHO

World Health Organization

NIC

Nursing Interventions Classification

arthritis

Inflammation of a joint

kyphosis

Humpback

osteomalacia

Softening of bone

arthrocentesis

Surigcal puncture of a joint for removal of fluid

craniectomy

Surgical excision of a portion of the skull

sternotomy

Surgical incision of the sternum

vertebr/o

vertebra

closed treatment

fracture site that is not surgically opened and visualized

open treatment

fracture site that is surgically opened and visualized

manipulation

the attempted resoration of a fracture or joint dislocation to its normal anatomic position

open fracture

the fracture has broken through the bone cortex or the bone has been exposed to air

closed fracture

the fracture does not penetrate bone cortex or the bone is not exposed to air

traction

Process of drawing or pulling on bones or muscles to relieve displacement and facilitate healing

dislocation

Displacement of a bone from its normal location in a joint

percutaneous skeletal fixation

fracture treatment that is neither open nor closed

skeletal traction

is the use of internal devices, such as pins, screws, or wires

external fixation

is the application of a device that holds a bone in place on the outside of the body and pins or wires are placed into the bone from the outside

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