EMRSystems

Glossary

Healthcare IT, in plain English

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EMR
Electronic Medical Record — a digital version of a patient's chart used within a single practice.
EHR
Electronic Health Record — a broader record designed to be shared across providers and organizations.
FHIR
Fast Healthcare Interoperability Resources — a modern HL7 standard for exchanging clinical data via REST APIs.
HL7
A family of healthcare data exchange standards; HL7 v2 is widely used for lab and ADT messages.
HIPAA
Health Insurance Portability and Accountability Act — US law governing the privacy and security of PHI.
BAA
Business Associate Agreement — a contract required by HIPAA between a covered entity and any vendor handling PHI.
EPCS
Electronic Prescribing of Controlled Substances — DEA-regulated electronic prescribing for Schedule II–V drugs.
MIPS
Merit-based Incentive Payment System — CMS quality program affecting Medicare reimbursement.
HEDIS
Healthcare Effectiveness Data and Information Set — performance measures used by health plans.
HIE
Health Information Exchange — networks that move clinical data between organizations.
TEFCA
Trusted Exchange Framework and Common Agreement — US national framework for nationwide health data sharing.
SMART on FHIR
An open standard for launching third-party clinical apps inside an EHR using FHIR APIs.
CPOE
Computerized Provider Order Entry — electronic ordering of medications, labs and procedures.
PHI
Protected Health Information — individually identifiable health information regulated by HIPAA.

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