NHA- Non-Clinical
CPOE
computerized physician order entry
DNR
do not resuscitate
EHR
electronic health record
eMAR
electronic medication administration record
ICD
international classification of diseases
Rx
prescription
Laboratory information system (LIS)
A database of prescribed laboratory tests and results transferred from instruments used to analyze the tests.
Notice of Privacy Practices (NPP)
A document that is required by law to inform a patient how the organization will use their health care information.
Registration Form
A form that consists of administrative information about a patient including personal, financial, legal and some clinical data.
Assignment of Benefits (AOB)
A patient's authorization to allow health insurance payment to be made directly to the provider of service.
Medical Record Number
A set of numbers used to identify a patient and associated recorded health data
electronic medication administration record (eMAR)
An electronic record containing a patient's prescribed medications, administration times, and who administered it.
CPT
Current Procedural Terminology
eFax
Electronic fax
HIE
Health Information Exchange
HIM
Health Information Management
HIPAA
Health Insurance Portability and Accountability Act
LIS
Laboratory information Systems
NPP
Notice of Privacy Practices
OCR
Optical Character Recognition
PHR
Personal Health Record
PACS
Picture Archiving and Communication System
PMS
Practice Management System
RIS
Radiology Information System
Hybrid System
System that uses both paper and electronic based processing for documentation of health information.
Interoperability
The ability of systems to share and then use information.
Usability
The ease with with which a person can interact with hardware and software to provide safe, efficient, quality patient care.
Computerized provider order entry (CPOE)
Use of computer system to enter and process prescriptions and treatments at the point of care
Heath Insurance Portability and Accountability Act (HIPAA)
a federal law that regulates use of patient personal identifiable information
Advanced Directives
a legal document that contains information about a patient's treatment choices when they are unable to make health care decisions
Electronic Health Record (EHR)
a record of patient medical and health care information accessible to providers and other staff members with login credentials regardless of location
Practice Management System (PMS)
a system that stores information on revenue cycle processes, appointments, registration, scheduling, health information management, coding, and billing
Electronic health information exchange (HIE)
allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient's vital medical information electronically
