How can we help?

You can also find more resources in our Help Center.

46 terms

TERM #1 CH.1-5

STUDY
PLAY
EHR
most commonly accepted and used term for storing and accessing patient medical information electronically
CPR (computer base patient record)
contains all patient information for the patients lifetime and includes medical information from all specialties and fully interoperable
CCR(continuity of care record)
health provider oriented and defines a core se of data reflecting the most relevent and timely facts about a patient healthcare & is accessible and readable by other electronic systems
PHR(personal health record)
an internet based connection that allows the patient to become an interactive source of health information and health managment
ASP(application server provider)
the EHR is stored, maintained and updated off site by an EHR web hosting company for the doctor
POWER OUTAGE
a concern a provider may have about EHR
BETTER PATIENT CARE
a benefit of EHR
HEALTH MAINTENANCE ISSUES
tracked by patients age,gender,past diagnoses,past medical procedures, or even family medical history
TABLET PC
a portable means of entering information in an EHR utilizing the TAP&GO method
REMOTE ACCESS
enables the health care provider to wotk on the EHR from a nursing home,their home address or hospital
HL7
messeging standards by the CHI for health information
DICOM(digital imaging and communication in medicine)
standards from digital imaging communication in medicine from CHI
FUNCTIONALITY
abiliity to carry out specific tasks
INTEROPERABILITY
compability language with other software programs
HIT
health information technology
ACCESS AUTHORIZATION
appropiate access to minimum necessary information
HUGN
human gene nomenclature
ADMINISTRATIVE PROCESSES
schedueling, biling, medical claims, authorization, referrals...etc.
SNOMED-CT
standards for terms for laboratory result contents anotomy,diagnosis, problems and nursing
MEDICAL DECISION SUPPORT
information for drugs prescribing and dosing, disease screening, diagnosis and treatment, care quality improvement
REPID SELECT
a search function of springcharts that is activated once the user pauses after typing a few letters
MEASUREMENT OPTION
select what units of measurethe vitals will be recorded in imperial or numeric
DRUG FORMULARY
listings of pharmaceutical substances and formulas for making medicinal preparations
BI-DIRECTIONAL FLOW
data exchange to and from two different software programs
STANDARD SELECT
type in the necessary letters then click on the search icon to activate the search function
TIME STAMP
will automatically insert a 12hr. time or military 24hr. time at various locations in the program
PRACTICE VIEW SCREEN
the first screen displayed upon succesful logon
DOCTOR READY
an example of a patient status
TRACKER GROUP
clinics that have offices in more than one location will use this feature to track the patients separately at each location
CHECKOUT
logs the recorder checkout time for the patient
POPUP TEXT
a repository of text in springchart enabiling clinic staff rapid selection of predefined text
TOOLBAR
a lineup of icons that give the user shortcut access to the most commonly used functions of the programs
MESSAGE ARCHIVES
a sent or received message not regarding a patient will be saved here and can be reactivated
DEMOGRAPHICS
a patients personal statistical data such as name,address,birthday,and so on
CARE TREE
located on the right side of the patients chart it lists encounters (progress notes),tests and other records
CATEGORY PREFERENCES
this window enables the clinic administator to create predetermined customized lists of medical data
CHART ALERT
allows for the inclusion of important text that will appear in red above the encounters category on the charts care tree
ENCOUNTERS
a category in the care tree that stores many of the documents that are created from encounters with the patient
EXPORT CHART
enables you to export any portion of the chart as a text file
FACE SHEET
the portion of a patients chart that displays the patients demographics, medical history, and medical information
FMHX
family medical history record
IMAGING
test that include: x-rays, CT scans, MRI, and so on
PENDING TEST
once new lab, imaging,medical test have been ordered, they are sent to this area
PMHX
patients past medical history
ROUTINE MEDS
the patients routine medications and over the counter meds(OTC)
ELECTRONIC CHART
equivalent to a patients paper chart containing face sheet information and ongoing medical encounter documentation