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Health Information Exchange Glossary


42CFR
Public Health regulation addressing HIPAA privacy, security, administrative data standards, and national identifiers.


ARRA
American Recovery and Reinvestment Act of 2009


CCD
Continuity of Care Document


C-CDA
Consolidated Clinical Document Architecture. A C-CDA includes the following clinical documents: Consultation Note, Discharge Summary, Imaging Integration and DICOM Diagnostic Imaging Reports (DIR), History and Physical (H&P), Operative Note, Progress Note, Procedure Note (2010), and Unstructured documents.


CCR
Continuity of Care Record


CDA
Clinical Document Architecture. The Clinical Document Architecture (CDA) is a markup standard developed by the organization Health Level 7 International (HL7) to define the structure of clinical documents such as discharge summaries and progress notes. These documents can include text, images, and other types of multimedia.


CMS
Centers for Medicare and Medicaid Services


eHealth Exchange
The eHealth Exchange (formerly known as the Nationwide Health Information Network, often abbreviated as NwHIN or NHIN) is an initiative for the exchange of healthcare information. The exchange is a web-services based series of specifications designed to securely exchange healthcare related data. It was developed with the support of the U.S. Office of the National Coordinator for Health Information Technology (ONC) and is now managed by a non-profit industry coalition called HealtheWay.


EH
Eligible Hospital. Under the EHR Incentive Program (related to Meaningful Use, defined below) Eligible Hospitals are those who can demonstrate that they have engaged in efforts to adopt, implement or upgrade certified EHR technology. These hositals are eligible for incentive payments for the “meaningful use” of certified EHR technology, if all program requirements are met.


EHR
Electronic Health Record. An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization.


EMR
Electric Medical Record. An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization.


EP
Eligible Professional. Under the Medicare EHR Incentive Program, an eligible professional is defined as one of the following five types of professionals: doctor of medicine or osteopathy, doctor of oral surgery or dental medicine, doctor of podiatric medicine, doctor of optometry, or chiropractor.

For the Medicaid EHR Incentive Program, an EP must be one of the following five types of Medicaid professionals: physicians, dentists, certified nurse-midwives, nurse practitioners, and physician assistants practicing in a Federally Qualified Health Center (FQHC) or a Rural Health Center (RHC) led by a physician assistant.

These professionals are eligible for incentive payments for the “meaningful use” of certified EHR technology, if all program requirements are met.


FQHC
Federally Qualified Health Center. A facility located in a medically underserved area that provides Medicare and Medicaid beneficiaries preventive primary medical care under the general supervision of a physician. FQHCs offer a sliding fee scale, provide comprehensive services, have an ongoing quality assurance program, and have a governing board of directors.


HIE
Health Information Exchange is the process of automating the exchange of health information across multiple organizations that may be using different technologies. HIE is intended to provide formal rules for requesting and authorizing requests for information, methods for assuring content is protected in transit, and rules for formatting content so it can be imported into an electronic medical record or read by the receiver.


HIO
Health Information Organization. An organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards.


HITECH
Health Information Technology for Economic and Clinical Health Act, enacted as part of the American Recovery and Reinvestment Act of 2009.


HL7 or Health Level 7
HL7 refers to a set of international standards for the transfer of clinical and administrative data between hospital and other medical provider information systems. The HL7 standards are produced by the Health Level Seven International, an international standards organization, and are adopted by other standards issuing bodies such as American National Standards Institute (ANSI) and International Organization for Standardization (IOS). For HIE purposes, a HL7 file or data feed is one that meets the HL7 standards.


IDN
Integrated Delivery Network. A network of facilities and providers working together to offer a continuum of care to a specific market or geographic area. Examples of organizations that might all be working together include Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMHs), short-and long-term care facilities, home health agencies, and hospice services.


Meaningful Use
Meaningful Use (MU) is the common name for the EHR Incentive program created by the Centers for Medicare & Medicaid Services (CMS). The Meaningful Use program sets specific objectives that eligible professionals (EPs) and hospitals (EHs) must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Program payments.

The term meaningful use means using certified electronic health record (EHR) technology to improve quality, safety, efficiency, and reduce health disparities, engage patients and family, improve care coordination and population and public health, and maintain the privacy and security of patient health information.


NwHIN or NHIN
Nationwide Health Information Network. Now known as the eHealth Exchange.


ONC
The Office of the National Coordinator for Health Information Technology (ONC) is a staff division within the U.S. Department of Health and Human Services (HHS), primarily focused on implementing an interoperable, private and secure nationwide health information system and supporting the widespread, meaningful use of technology.


Open Source Software
As defined by Open Source Initiative, open source is a development method for software that harnesses the power of distributed peer review and transparency of process. The promise of open source is better quality, higher reliability, more flexibility, lower cost, and an end to predatory vendor lock-in.


Patient Portal
A patient portal is a secure online website that gives patients with an Internet connection convenient 24-hour access to personal health information. A patient portal can include information such as recent doctor visits, discharge summaries, medications, immunizations, allergies, and lab results.

Some patient portals also allow patients to exchange secure email with their healthcare teams, request prescription refills, schedule non-urgent appointments, view educational materials, and make payments.


PHR
Personal Health Record. An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.


REC
The ONC’s Regional Extension Centers (RECs), located in every region of the country, serve as a support and resource center to assist providers in EHR implementation and HealthIT needs. As trusted advisors, RECs “bridge the technology gap” by helping providers navigate the EHR adoption process from vendor selection and workflow analysis to implementation and meaningful use. In Tennessee, TnREC, a division of Qsource, is the regional extension center.


RHIO
A Regional Health Information Organization is a health information organization that brings together healthcare stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving healthcare in that community. etHIN is a RHIO.


SDE
A State Designated Entity oversees the implementation of health IT efforts for the state by establishing a statewide health information exchange (HIE) infrastructure and/or governing statewide HIE efforts.


SNF
Skilled Nursing Facility


XML
Extensible Markup Language. XML is a standard structured data format used to structure and markup documents. It is designed in a way so that it can be utilized in a variety of programs.

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