Glossary

This vocabulary holds the terms and definitions that will be in the reference glossary.

Find definitions for healthcare interfacing, HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More and interoperability terminology. Visit the HL7 Resources section for more detailed information on the HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More Standard.

If you do not find a definition you are searching for that is related to healthcare interoperability, please email us at info@corepointhealth.com . We welcome your suggestions and ideas.

Click one of the letters above to advance the page to terms beginning with that letter.

A


ACOAn Accountable Care Organization (ACO), according to the Centers for Medicare & Medicaid Services (C... More

An Accountable Care Organization (ACOAn Accountable Care Organization (ACO), according to the Centers for Medicare & Medicaid Services (C... More), according to the Centers for Medicare & Medicaid Services (CMS) “is an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it.” Under the health care reform legislation passed in March 2010, the Medicare program is authorized to contract with ACOs.

Synonyms: Accountable Care Organization


ArgonautThe Argonaut Project addresses the recommendations of the JASON Task Force, a joint task force of th... More Project

The ArgonautThe Argonaut Project addresses the recommendations of the JASON Task Force, a joint task force of th... More Project addresses the recommendations of the JASON Task Force, a joint task force of the ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More‘s HIT Standards and Policy Committees and is a joint project between HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More International and several vendor and provider organizations. The purpose of the Argonaut Project is to develop a first-generation API and Core Data Services specification to enable expanded information sharing for electronic health records, documents, and other health information based on the FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More specification.


ARRAAmerican Recovery and Reinvestment Act of 2009 (ARRA) is an economic stimulus package enacted by the... More

American Recovery and Reinvestment Act of 2009 (ARRAAmerican Recovery and Reinvestment Act of 2009 (ARRA) is an economic stimulus package enacted by the... More) is an economic stimulus package enacted by the 111th United States Congress in February 2009 to provide a stimulus to the U.S. economy in the wake of the economic downturn. The Act includes federal tax cuts, expansion of unemployment benefits and other social welfare provisions, and domestic spending in education, health care, and infrastructure, including the energy sector. In included in the ARRA legislation is HITECH provision focused on health information technology adoption and funding.

Synonyms: American Recovery and Reinvestment Act

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B


Blue ButtonThe Blue Button initiative was first introduced by the VA, and subsequently began being promoted by ... More

The Blue ButtonThe Blue Button initiative was first introduced by the VA, and subsequently began being promoted by ... More initiative was first introduced by the VA, and subsequently began being promoted by many healthcare vendors. VA’s Blue Button allows a patient to access and download their information from a personal health record (PHRPersonal Health Record (PHR), as defined in Defining Key Health Information Technology Terms (The Na... More) into a very simple text file or PDF that can be read, printed, or saved on any computer. This enables patients to share this data with their health care providers, caregivers, or other people they trust.

The downloaded format is not in an industry standard format, such as CCD or CCR, which makes it less interoperable from an EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More-to-EHR sharing standpoint. The downloaded file is more targeted for human viewing and sharing.

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C


CAHIn general, a Critical Access Hospital or CAH is a rural acute care hospital consisting of no more t... More

In general, a Critical Access Hospital or CAHIn general, a Critical Access Hospital or CAH is a rural acute care hospital consisting of no more t... More is a rural acute care hospital consisting of no more than 25 beds. Bed types can vary between acute care and swing, but cannot exceed 25. The Critical Access Hospital must not exceed a 96 hour length of stay and will have agreements, contracts or affiliations for transfer and services. Critical Access Hospitals must be certified to receive cost-based reimbursement from Medicare. The goal is to improve rural health care access and reduce hospital closures. Learn more at the Rural Access Center.

Synonyms: Critical Access Hospital


CCDContinuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the He... More

Continuity of Care Document (CCDContinuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the He... More) The HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More CCD is the result of a collaborative effort between the Health Level Seven and American Society for Testing Materials (ASTM) to “harmonize” the data format between ASTM’s Continuity of Care Record (CCRContinuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between... More) and HL7’s Clinical Document Architecture (CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More) specifications. Read HL7 and Continuity of Care Document white paper.

Synonyms: Continuity of Care Documen


CCHITCertification Commission for Healthcare IT (CCHIT) serves as the recognized US certification authori... More

Certification Commission for Healthcare IT (CCHITCertification Commission for Healthcare IT (CCHIT) serves as the recognized US certification authori... More) serves as the recognized US certification authority for electronic health records (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) and their networks. In September 2005, CCHIT was awarded a 3-year contract by the U.S. Department of Health and Human Services to develop and evaluate the certification criteria and inspection process for EHRs and the networks through which they interoperate. CCHIT serves one of the ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More for electronic health record (EHR) certification. CCHIT was certified by the ONC on September 3, 2010 and is authorized to certify complete EHR and EHR modules Visit the CCHIT website.

Synonyms: Certification Commission for Healthcare I


CCOWClinical Context Object Workgroup (CCOW) is an HL7 standard protocol designed to enable disparate ap... More

Clinical Context Object Workgroup (CCOWClinical Context Object Workgroup (CCOW) is an HL7 standard protocol designed to enable disparate ap... More) is an HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More standard protocol designed to enable disparate applications to synchronize in real-time and at the user-interface level. It is vendor independent and allows applications to present information at the desktop and/or portal level in a unified way. Visit HL7 CCOW website.

Synonyms: Clinical Context Object Workgroup


CCRContinuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between... More

Continuity of Care Record (CCRContinuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between... More) is an XML-based standard for the movement of “documents” between clinical applications. Furthermore, it responds to the need to organize and make transportable a set of basic information about a patient’s health care that is accessible to clinicians and patients. Read Understanding the Continuity of Care Record white paper.

Synonyms: Continuity of Care Record


CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More

Clinical Document Architecture (CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More) HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More uses XML for encoding of the documents and breaks down the document in generic, unnamed, and non-templated sections. Documents can include discharge summaries, progress notes, history and physical reports, prior lab results, etc. HL7’s CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More defines a very generic structure for delivering “any document” between systems. CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More was previously known as the Patient Record Architecture (PRA).

Synonyms: Clinical Document Architecture


CDRClinical Document Repository (CDR) enables hospitals to build a life-long health record environment ... More

Clinical Document Repository (CDRClinical Document Repository (CDR) enables hospitals to build a life-long health record environment ... More) enables hospitals to build a life-long health record environment using stored health records for the purpose of better treatment, clinical research and health statistics for policy making.

Synonyms: Clinical Document Repository


CHPL

Certified Health IT Product List (CHPL) – The Office of the National Coordinator has organized a Certified Health IT Product List for Ambulatory and Inpatient facilities looking to purchase a complete EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More or EHR module certified for the Meaningful Use incentive program. Each complete EHR and EHR module listed has been certified by an ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More and reported to the ONC for use in the list. You can find a list of the reported certified complete EHR and EHR modules at http://onc-chpl.force.com/ehrcert.

Synonyms: Certified Health IT Product List


CommonWell Health AllianceCommonWell is a healthcare technology vendor collaborative working to create a framework that facili... More

CommonWell is a healthcare technology vendor collaborative working to create a framework that facilitates interoperability between vendor partners, which incorporate CommonWell standards into their technology. CommonWell’s services, provided by McKesson-owned HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More company RelayHealth, include patient identification and linking; patient record location and retrieval; and patient access, privacy, and consent management.


Conformance CheckingConformance checking or gap analysis for HL7 messages is a logical process used to determine whether... More

Conformance checking or gap analysis for HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More messages is a logical process used to determine whether a message from one particular medical device or application is compatible to the selected HL7 standard messaging format, or a custom format adopted by another device or application. Read Conformance Checking for HL7 white paper for more details.

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D


DICOMDigital Imaging and Communications in Medicine (DICOM) is a common format for image storage. It allo... More

Digital Imaging and Communications in Medicine (DICOMDigital Imaging and Communications in Medicine (DICOM) is a common format for image storage. It allo... More) is a common format for image storage. It allows for handling, storing, printing, and transmitting information in medical imaging. Visit DICOM website.

Synonyms: Digital Imaging and Communications in Medicine


Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More

The Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More was launched by the ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More within Health and Human Services (HHS) on March 1, 2010. It was initially called NHINNationwide Health Information Network (NHIN) is one of the ONC‘s major initiatives. As defined by ... More Direct. The object of the Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More is to replace the use of faxes, phones, and paper transactions with a simple and secure point-to-point communication over the Internet.

The Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More achieves this in one of two ways:

Applicability Statement for Secure Health Transport: This is the primary Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More specification which uses the SMTP e-mail protocol with secure S/MIME attachments and x509 certificates.

XDR and XDM for Direct Messaging: This is the utilization of IHEIntegrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industr... More profiles XDR and XDM in the Direct messaging environment.

These protocols ensure the secure delivery of messages between two trusted endpoints for a variety of purposes including transfer of patient health information in the form or a CCD document.

The Direct Project was included as part of the standards for Meaningful Use Stage 2.Read more about Direct project basics.


DirectTrustThe DirectTrust organization is dedicated to build and strengthen the security and trust framework f... More

The DirectTrustThe DirectTrust organization is dedicated to build and strengthen the security and trust framework f... More organization is dedicated to build and strengthen the security and trust framework for the exchange of health data using the Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More protocol. DirectTrustThe DirectTrust organization is dedicated to build and strengthen the security and trust framework f... More members agree to participate in work groups dedicated to security, trust, and growth of the use of the Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More; attend monthly educational sessions; become involved with the Direct community; and support the membership growth of DirectTrustThe DirectTrust organization is dedicated to build and strengthen the security and trust framework f... More. Corepoint Health is a member of DirectTrustThe DirectTrust organization is dedicated to build and strengthen the security and trust framework f... More and currently a candidate for their accredidation. 


Drummond GroupThe Drummond Group serves one of the ONC-ATCB for electronic health record (EHR) certification. The ... More

The Drummond GroupThe Drummond Group serves one of the ONC-ATCB for electronic health record (EHR) certification. The ... More serves one of the ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More for electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) certification. The Drummond Group was certified by the ONC on September 3, 2010 and is authorized to certify complete EHR and EHR modules. Visit The Drummond Group website – www.drummondgroup.com.

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E


EDIElectronic Data Interchange (EDI) is a standard format for exchanging business data. The standard is... More

Electronic Data Interchange (EDIElectronic Data Interchange (EDI) is a standard format for exchanging business data. The standard is... More) is a standard format for exchanging business data. The standard is ANSI X12X12 provides for electronic exchange of business transactions-electronic data interchange (EDI). The... More, developed by the Data Interchange Standards Association. An EDI message contains a string of data elements; each represents a singular fact, such as a price, product model number, and is separated by delimiter. The entire string is called a data segment. One or more data segments framed by a header and trailer form a transaction set, which is the EDIElectronic Data Interchange (EDI) is a standard format for exchanging business data. The standard is... More unit of transmission (equivalent to a message). A transaction set often consists of what would usually be contained in a typical business document or form. The parties who exchange EDIElectronic Data Interchange (EDI) is a standard format for exchanging business data. The standard is... More transmissions are referred to as trading partners.

Synonyms: Electronic Data Interchange


EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More

Electronic Health Record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conforms to nationally recognized interoperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one health care organization.

Synonyms: Electronic Health Recor


ELINCSThe EHR-Lab Interoperability and Connectivity Standards (ELINCS) specification provides a profile th... More

The EHR-Lab InteroperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More and Connectivity Standards (ELINCSThe EHR-Lab Interoperability and Connectivity Standards (ELINCS) specification provides a profile th... More) specification provides a profile that refines (or constrains) “standard” HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More messages to moving lab results from reference labs to physician offices.

See Accelerating EMR Interoperability with ELINCS white paper.

Synonyms: EHR-Lab InteroperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More and Connectivity Standards


EMRElectronic Medical Record (EMR), as defined in Defining Key Health Information Technology Terms (The... More

Electronic Medical Record (EMRElectronic Medical Record (EMR), as defined in Defining Key Health Information Technology Terms (The... More), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): 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 health care organization.

Synonyms: Electronic Medical Record


Encryption AlgorithmAn encryption algorithm is a mathematical procedure for converting plaintext into ciphertext, which ... More

An encryption algorithmAn encryption algorithm is a mathematical procedure for converting plaintext into ciphertext, which ... More is a mathematical procedure for converting plaintext into ciphertext, which can be decoded back into the original message.


EPThe Eligible Professionals (EP) HITECH Act recognizes three types of payers eligible for incentive p... More

The Eligible Professionals (EPThe Eligible Professionals (EP) HITECH Act recognizes three types of payers eligible for incentive p... More) HITECHAs a part of the America Recovery and Reinvestment Act (ARRA) of 2009, Health Information Technology... More Act recognizes three types of payers eligible for incentive payments under Meaningful Use. Those types are 1) Medicare Fee For Service (FFS), 2) Medicare Advantage (MA) and 3) Medicaid. The subsequent definition of an eligible professional differs according to Medicare and Medicaid.

Eligible hospitals can be acute care (excluding long term care facilities), critical access hospitals and children’s hospitals.

Eligible providers include non-hospital-based physicians who receive reimbursement through Medicare FFS program or a contractual relationship with a qualifying MA organization. Eligible providers are widely considered to be physicians whose practices are less than 90% inpatient and ER.

Visit Everything HITECH for detailed information on eligible professionals.

Synonyms: Eligible Professionals

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F


FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More

An HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More standard that is short for Fast Healthcare InteroperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More Resources and pronounced “Fire”. The standard defines a set of “Resources” that represent granular clinical concepts. The resources provide flexibility for a range of healthcare interoperability problems, and they are based on simple XML with an HTTPHTTP (Hypertext Transfer Protocol) is the foundation for application-level communication on the inte... More-based RESTful protocol where each resource has a predictable URL. 


FirewallFirewall refers to a hardware- or software-based method for controlling incoming and outgoing networ... More

FirewallFirewall refers to a hardware- or software-based method for controlling incoming and outgoing networ... More refers to a hardware- or software-based method for controlling incoming and outgoing network traffic, based upon a predetermined rule set, to ensure that only trusted content is passed.

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H


Health IT Policy CommitteeUnder the American Recovery and Reinvestment Act of 2009 (ARRA), The Health IT Policy Committee will... More

Under the American Recovery and Reinvestment Act of 2009 (ARRAAmerican Recovery and Reinvestment Act of 2009 (ARRA) is an economic stimulus package enacted by the... More), The Health IT Policy Committee will make recommendations to the National Coordinator for Health Information Technology – ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More – on a policy framework for the development and adoption of a nationwide health information infrastructure, including standards for the exchange of patient medical information.


Health IT Standards CommitteeThe Health IT Standards Committee will make recommendations to the National Coordinator for Health I... More

The Health IT Standards CommitteeThe Health IT Standards Committee will make recommendations to the National Coordinator for Health I... More will make recommendations to the National Coordinator for Health Information Technology (HIT) on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information. In developing, harmonizing, or recognizing standards and implementation specifications, the HIT Standards Committee will also provide for the testing of the same by the National Institute for Standards and Technology (NISTNational Institute of Standards and Technology – Founded in 1901, NIST is a non-regulatory federal... More).


HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More

Health Information Exchange (HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More) focuses on the mobilization of healthcare information electronically across organizations within a region or community. HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More provides the capability to electronically move clinical information between disparate health care information systems while maintaining the meaning of the information being exchanged. The goal of HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More is to facilitate access to and retrieval of clinical data to provide safe, and efficient patient-centered care.

Synonyms: Health Information Exchange


HIPAAThe Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in ... More

The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. Title II of HIPAAThe Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in ... More, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers. This is intended to help people keep their information private, though in practice, it is normal for providers and health insurance plans to require the waiver of HIPAAThe Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in ... More rights as a condition of service.

The Administration Simplification provisions also address the security and privacy of health data. The standards are meant to improve the efficiency and effectiveness of the nation’s health care system by encouraging the widespread use of electronic data interchange in the U.S. health care system.

Synonyms: Health Insurance Portability and Accountability Act


HIPAA – Business AssociateA HIPAA – Business Associate is a person or entity that performs certain functions or activities t... More

A HIPAA – Business AssociateA HIPAA – Business Associate is a person or entity that performs certain functions or activities t... More is a person or entity that performs certain functions or activities that involve the use or disclosure of Protected Health Information (PHI) on the behalf of, or provides services to, a covered entity. A member of the covered entity’s workforce is not a business associate. A covered health care provider, health plan, or health care clearinghouse can be a business associate of another covered entity.  

The Privacy Rule lists some of the functions, activities, and services that make a person or entity a business associate, if the activity or service involves the use or disclosure of protected health information (PHI) covered under HIPAA. The types of functions or activities that may make a person or entity a business associate include payment or health care operations activities, and other activities regulated by the Administrative Simplification Rules.  
Examples of Business Associates:

  • A third party administrator that assists a health plan with claims processing.
  • A CPA firm whose accounting services to a health care provider involve access to protected health information.
  • An attorney whose legal services to a health plan involve access to protected health information.
  • A consultant that performs utilization reviews for a hospital.
  • A health care clearinghouse that translates a claim from a non-standard format into a standard transaction on behalf of a health care provider and forwards the processed transaction to a payer.
  • An independent medical transcriptionist that provides transcription services to a physician.
  • A pharmacy benefits manager that manages a health plan’s pharmacist network.

HIPAA – Protected Health InformationProtected health information (PHI) under HIPAA, is any information about an individual’s health st... More (PHI)

HIPAA – Protected Health InformationProtected health information (PHI) under HIPAA, is any information about an individual’s health st... More (PHI)

Protected health information (PHI) under HIPAA, is any information about an individual’s health status that identifies or relates to an individual’s past, present or future physical or mental health, the provision of health care to the individual, or the past, present or future payment for health care. Information is deemed to identify an individual if it includes either the individual’s name or any other information that could enable someone to determine the individual’s identity.

Identifiers include:

  • Name
  • Address (all geographic subdivisions smaller than state, including street address, city, county, ZIP code)
  • All elements (except years) of dates related to an individual (including birth date, admission date, discharge date, date of death and exact age if over 89)
  • Telephone numbers
  • FAX number
  • E-mail address
  • Social Security number
  • Medical record number
  • Health plan beneficiary number
  • Account number
  • Certificate/license number
  • Any vehicle or other device serial number
  • Device identifiers or serial numbers
  • Web URL
  • Internet Protocol (IP) address numbers
  • Finger or voice prints
  • Photographic images

HISHospital Information System (HIS) is the main system in a hospital used by most caregivers. Sends AD... More

Hospital Information System (HISHospital Information System (HIS) is the main system in a hospital used by most caregivers. Sends AD... More) is the main system in a hospital used by most caregivers. Sends ADT broadcasts to all ancillary applications. The HISHospital Information System (HIS) is the main system in a hospital used by most caregivers. Sends AD... More is typically the patient administrative system and order entry system for a hospital.

Synonyms: Hospital Information System


HISPHISP, or Health Information Service Provider, is an email service provider that follows Direct Proje... More

HISPHISP, or Health Information Service Provider, is an email service provider that follows Direct Proje... More, or Health Information Service Provider, is an email service provider that follows Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More standards and provides a mechanism to grant users a Direct email address. The HISPHISP, or Health Information Service Provider, is an email service provider that follows Direct Proje... More provides the framework to secure messages and define a circle of trust for secure communications.


HITECHAs a part of the America Recovery and Reinvestment Act (ARRA) of 2009, Health Information Technology... More

As a part of the America Recovery and Reinvestment Act (ARRAAmerican Recovery and Reinvestment Act of 2009 (ARRA) is an economic stimulus package enacted by the... More) of 2009, Health Information Technology for Economic and Clinical Health (HITECH) refers to the portion of the ARRA that is used to increase the use of Electronic Health Records (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) by physicians and hospitals. This legislation provides immediate funding for health information technology infrastructure, training, dissemination of best practices, telemedicine, inclusion of health information technology in clinical education, and State grants to promote health information technology.

Synonyms: Health Information Technology for Economic and Clinical Health


HITRUSTIn an effort to normalize the security requirements of healthcare organizations, the HITRUST organiz... More Common Security Framework
In an effort to normalize the security requirements of healthcare organizations, the HITRUST organization developed the CSF (Common Security Framework) which combines standards and regulations from 17 authoritative sources. The CSF is not a new standard, but rather a comprehensive tool that provides clarity and consistency among all the authoritative sources.
 
The CSF provides an online tool that can be used by a healthcare organization to help determine compliance of a system or the organization against the appropriate standards and regulations.  The baseline assessment of the CSF provides a HIPAAThe Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in ... More scorecard and can scale for organizations large or small.  The assessment can be a self-assessment, or one conducted by an authorized HITRUSTIn an effort to normalize the security requirements of healthcare organizations, the HITRUST organiz... More assessor.

Synonyms: HITRUSTIn an effort to normalize the security requirements of healthcare organizations, the HITRUST organiz... More


HITSPHealthcare Information Technology Standards Panel (HITSP) serves as a cooperative partnership betwee... More

Healthcare Information Technology Standards Panel (HITSPHealthcare Information Technology Standards Panel (HITSP) serves as a cooperative partnership betwee... More) serves as a cooperative partnership between the public and private sectors for the purpose of achieving a widely accepted and useful set of standards specifically to enable and support widespread interoperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More among healthcare software applications, as they will interact in a local, regional and national health information network for the United States. Visit the HITSPHealthcare Information Technology Standards Panel (HITSP) serves as a cooperative partnership betwee... More website at www.hitsp.org.

Synonyms: Healthcare Information Technology Standards Panel


HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More

HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More is a Standards Developing Organization accredited by the American National Standards Institute (ANSI) to author consensus-based standards representing a board view from healthcare system stakeholders. HL7 has compiled a collection of message formats and related clinical standards that define an ideal presentation of clinical information, and together the standards provide a framework in which data may be exchanged. Visit the HL7 organization website (www.hl7.org) or www.HealthStandards.com for more HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More information.


HL7 Batch ProtocolThe HL7 Batch Protocol transmits a batch of HL7 messages using FHS, BHS, BTS, and FTS segments to de... More

The HL7 Batch ProtocolThe HL7 Batch Protocol transmits a batch of HL7 messages using FHS, BHS, BTS, and FTS segments to de... More transmits a batch of HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More messages using FHS, BHS, BTS, and FTS segments to delineate the batch.


HL7 FHIRFHIR stands for Fast Healthcare Interoperable Resource. This emerging standard combines the best fea... More

 

FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More stands for Fast Healthcare Interoperable Resource. This emerging standard combines the best features of HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More V2, HL7 V3, and CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down ... More, while leveraging the latest web service technologies. The design of FHIR is based on RESTful web services. With RESTful web services, the basic HTTPHTTP (Hypertext Transfer Protocol) is the foundation for application-level communication on the inte... More operations are incorporated including Create, Read, Update and Delete. FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More is based on modular components called “resources,” and these resources can be combined together to solve clinical and administrative problems in a practical way. The resources can be extended and adapted to provide a more manageable solution to the healthcare demand for optionality and customization. Systems can easily read the extensions using the same framework as other resources.

HTTPHTTP (Hypertext Transfer Protocol) is the foundation for application-level communication on the inte... More

HTTPHTTP (Hypertext Transfer Protocol) is the foundation for application-level communication on the inte... More (Hypertext Transfer Protocol) is the foundation for application-level communication on the internet.


HTTPSHTTPS (Hypertext Transfer Protocol Secure) is the product of layering HTTP on top of the SSL/TLS enc... More

HTTPSHTTPS (Hypertext Transfer Protocol Secure) is the product of layering HTTP on top of the SSL/TLS enc... More (Hypertext Transfer Protocol Secure) is the product of layering HTTPHTTP (Hypertext Transfer Protocol) is the foundation for application-level communication on the inte... More on top of the SSLSSL (Secure Sockets Layer) is a cryptologic protocol for securing communications over a network. The... More/TLSTLS (Transport Layer Security) is a successor to SSL and offers increased security. See also: S... More encryption protocol with the goal of preventing “man in the middle” eavesdropping during network transport.

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I


ICD-9ICD-9 is a classification used in the medical field that stands for International Classification of ... More

ICD-9ICD-9 is a classification used in the medical field that stands for International Classification of ... More is a classification used in the medical field that stands for International Classification of Diseases, 9th revision. This classification is predominately the standard classification of diseases, injuries, and cause of death for the purpose of health records. The World Health Organization (WHO) assigns, publishes, and uses the ICD to classify diseases and to track mortality rates based on death certificates and other vital health records. Medical conditions and diseases are translated into a single format with the use of ICD codes.

Synonyms: International Classification of Diseases, 9th revision


ICSA LabsICSA Labs serves one of the ONC-ATCB for electronic health record (EHR) certification. ICSA Labs was... More

ICSA LabsICSA Labs serves one of the ONC-ATCB for electronic health record (EHR) certification. ICSA Labs was... More serves one of the ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More for electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) certification. ICSA Labs was certified by the ONC on December 10, 2010 and is authorized to certify complete EHR and EHR modules. Visit the ICSA Labs website.


IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More

IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More is a coded value data type. The value of such a field follows the formatting rules for a ST field except that it is drawn from a table of legal values. Examples of IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More fields include religion and sex.


IEEEInstitute of Electrical and Electronics Engineers (IEEE) is accredited by ANSI to submit its documen... More

Institute of Electrical and Electronics Engineers (IEEEInstitute of Electrical and Electronics Engineers (IEEE) is accredited by ANSI to submit its documen... More) is accredited by ANSI to submit its documents for approval as American National Standards. IEEEInstitute of Electrical and Electronics Engineers (IEEE) is accredited by ANSI to submit its documen... More subcommittee P1073 develops standards for healthcare informatics: MEDIX (P1157) and MIB (P1073).

Synonyms: Institute of Electrical and Electronics Engineers


IHEIntegrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industr... More

Integrating the Healthcare Enterprise (IHEIntegrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industr... More) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. Visit the IHE website.

Synonyms: Integrating the Healthcare Enterprise


InfoGuard Laboratories, Inc.InfoGuard Laboratories, Inc. serves one of the ONC-ATCB for electronic health record (EHR) certifica... More

InfoGuard Laboratories, Inc.InfoGuard Laboratories, Inc. serves one of the ONC-ATCB for electronic health record (EHR) certifica... More serves one of the ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More for electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) certification. InfoGuard Laboratories, Inc. was certified by the ONC on September 24, 2010 and is authorized to certify complete EHR and EHR modules. Visit the InfoGuard Laboratories, Inc. website.


Interface EngineAn interface engine can transform or map the data to the receiving application’s requirements whil... More

An interface engineAn interface engine can transform or map the data to the receiving application’s requirements whil... More can transform or map the data to the receiving application’s requirements while the message is in transit so that it can be accepted by the receiving application. The application interface is built with one-to-many concepts in mind. These import/export modules then are connected to an interface engineAn interface engine can transform or map the data to the receiving application’s requirements whil... More so that the mapping, routing, and monitoring are managed by this system.


InteroperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More

InteroperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More refers to the ability of two or more systems or components to exchange information and to use the information that has been exchanged.

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LISLaboratory Information System (LIS) is an information system that receives, processes, and stores in... More

Laboratory Information System (LISLaboratory Information System (LIS) is an information system that receives, processes, and stores in... More) is an information system that receives, processes, and stores information generated by a medical laboratory processes. LIS is often interfaced with HISHospital Information System (HIS) is the main system in a hospital used by most caregivers. Sends AD... More and EMRElectronic Medical Record (EMR), as defined in Defining Key Health Information Technology Terms (The... More applications.

Synonyms: Laboratory Information System


LOINCLogical Observation Identifiers Names and Codes (LOINC) applies universal code names and identifiers... More

Logical Observation Identifiers Names and Codes (LOINCLogical Observation Identifiers Names and Codes (LOINC) applies universal code names and identifiers... More) applies universal code names and identifiers to medical terminology related to the EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More and assists in the electronic exchange and gathering of clinical results (such as laboratory tests, clinical observations, outcomes management and research). See What are LOINC Codes?

Synonyms: Logical Observation Identifiers Names and Codes

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Meaningful Use

Meaningful Use is a term associated with The American Recovery and Reinvestment Act of 2009 (ARRAAmerican Recovery and Reinvestment Act of 2009 (ARRA) is an economic stimulus package enacted by the... More) that authorizes the Centers for Medicare & Medicaid Services (CMS) to provide reimbursement incentives for medical professionals and hospitals that become compliant in the use of certified electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) technology. Professionals and hospitals that meet the criteria of “meaningful use” will begin receiving incentive payments in 2011 with a gradual decline in reimbursement amounts until the year 2015. By this date, providers are expected to have adopted and be actively utilizing a certified EHR in compliance with the “meaningful use” definition or be subject to financial penalties under Medicare. To read more articles on this topic, visit our Meaningful Use & HITECHsection.

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NATNAT (Network Address Translation) is the process of modifying IP addresses by a traffic routing devi... More

NATNAT (Network Address Translation) is the process of modifying IP addresses by a traffic routing devi... More (Network Address Translation) is the process of modifying IP addresses by a traffic routing device. The typical use of NATNAT (Network Address Translation) is the process of modifying IP addresses by a traffic routing devi... More is to allow multiple users on a private network to use a single IP address to access the internet.


NCPDPThe National Council for Prescription Drug Programs (NCPDP) creates and promotes the transfer of dat... More

The National Council for Prescription Drug Programs (NCPDPThe National Council for Prescription Drug Programs (NCPDP) creates and promotes the transfer of dat... More) creates and promotes the transfer of data related to medications, supplies, and services within the healthcare system through the development of standards and industry guidance. Visit the NCPDP website at www.ncpdp.org.

Synonyms: National Council for Prescription Drug Programs


NHINNationwide Health Information Network (NHIN) is one of the ONC‘s major initiatives. As defined by ... More

Nationwide Health Information Network (NHINNationwide Health Information Network (NHIN) is one of the ONC‘s major initiatives. As defined by ... More) is one of the ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More‘s major initiatives. As defined by the ONC, NHIN is: “a set of standards, services and policies that enable secure health information exchange over the Internet. The NHIN will provide a foundation for the exchange of health IT across diverse entities, within communities and across the country, helping to achieve the goals of the HITECH Act.”

Synonyms: Nationwide Health Information Network


NISTNational Institute of Standards and Technology – Founded in 1901, NIST is a non-regulatory federal... More

National Institute of Standards and Technology – Founded in 1901, NISTNational Institute of Standards and Technology – Founded in 1901, NIST is a non-regulatory federal... More is a non-regulatory federal agency within the U.S. Department of Commerce. NIST’s mission is to promote U.S. innovation and industrial competitiveness by advancing measurement science, standards, and technology in ways that enhance economic security and improve our quality of life. NIST have made solid contributions to image processing. Visit the NIST website at www.nist.gov.

Synonyms: National Institute of Standards and Technology

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ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More

Office of the National Coordinator for Health Information Technology (ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More) – Located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS), the Office of the National Coordinator (ONC) coordinates nationwide efforts to support the adoption of health information technology and the promotion of health information exchange to improve health care. The ONC position was established in 2004 with an Executive Order and legislatively mandated in the Health Information Technology for Economic and Clinical Health Act (HITECHAs a part of the America Recovery and Reinvestment Act (ARRA) of 2009, Health Information Technology... More Act) of 2009.

Synonyms: Office of the National Coordinator for Health Information Technology


ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More

ONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rule in July of 2010, the Office of the National Coordinator selected six organizations to assume responsibility for the certification of complete EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More and EHR modules. These ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More are required to certify based upon the certification requirements outlined in the Standards and Certification Criteria Final Rule. According to the ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Of... More, “Certification by an ATCB will signify to eligible professionals, hospitals, and critical access hospitals that an EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More technology has the capabilities necessary to support their efforts to meet the goals and objectives of Meaningful Use.”

Synonyms: ONC-Authorized Testing and Certification Bodies

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PACSPicture Archiving Communication Systems (PACS) are devoted to the storage, retrieval, distribution, ... More

Picture Archiving Communication Systems (PACSPicture Archiving Communication Systems (PACS) are devoted to the storage, retrieval, distribution, ... More) are devoted to the storage, retrieval, distribution, and presentation of images. The medical images are stored in an independent format, most commonly DICOMDigital Imaging and Communications in Medicine (DICOM) is a common format for image storage. It allo... More.

Synonyms: Picture Archiving Communication System


PATPAT (Port Address Translation) is a type of network address translation in which each device on a LA... More

PATPAT (Port Address Translation) is a type of network address translation in which each device on a LA... More (Port Address Translation) is a type of network address translation in which each device on a LAN is translated to the same IP address, but with a different port number assignment.


PayloadPayload refers to the content of the message being sent (i.e., the message body).

PayloadPayload refers to the content of the message being sent (i.e., the message body). refers to the content of the message being sent (i.e., the message body).


PDQPatient Demographics Query (PDQ) – What it’s used for: Requesting patient ID‘s from a central ... More

Patient Demographics Query (PDQPatient Demographics Query (PDQ) – What it’s used for: Requesting patient ID‘s from a central ... More) – What it’s used for: Requesting patient IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More‘s from a central patient information server based on patient demographic information. It is used when a system has only demographic data for patient identification.

Example: Hospital A admits Patient Y, who has not been at the hospital before. Hospital A submits a request to the local HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More, based on demographic information such as name, birth date, sex, etc., to obtain the appropriate HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More patient IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More for Patient Y.

Synonyms: Patient Demographics Query


PHRPersonal Health Record (PHR), as defined in Defining Key Health Information Technology Terms (The Na... More

Personal Health Record (PHRPersonal Health Record (PHR), as defined in Defining Key Health Information Technology Terms (The Na... More), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conforms to nationally recognized interoperabilityInteroperability refers to the ability of two or more systems or components to exchange information ... More standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.

Synonyms: Personal Health Record


PIXPatient Identifier Cross Referencing (PIX) What it is used for: Cross-referencing multiple local pat... More

Patient Identifier Cross Referencing (PIXPatient Identifier Cross Referencing (PIX) What it is used for: Cross-referencing multiple local pat... More) What it is used for: Cross-referencing multiple local patient IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More‘s between hospitals, sites, health information exchange networks, etc. Used when local patient ID’s have been registered with a PIXPatient Identifier Cross Referencing (PIX) What it is used for: Cross-referencing multiple local pat... More manager.

Example: Hospital A transmits Patient D’s ID information to the HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More for cross referencing. Hospital A receives Patient D’s local IDID is a coded value data type. The value of such a field follows the formatting rules for a ST field... More for Hospital B which they can use to request information from Hospital B, based on need.

Synonyms: Patient Identifier Cross Referencing


PMSPractice Management System (PMS) applications facilitate the day-to-day operations of a medical prac... More

Practice Management System (PMSPractice Management System (PMS) applications facilitate the day-to-day operations of a medical prac... More) applications facilitate the day-to-day operations of a medical practice. PMSPractice Management System (PMS) applications facilitate the day-to-day operations of a medical prac... More software enables users to capture patient demographics, schedule appointments, maintain lists of insurance payers, perform billing tasks, and generate reports. It handles the administrative and financial matters for a practice.

Synonyms: Practice Management System


Point-To-Point InterfaceA point-to-point interface is one in which the receiving vendor provides a specification on what dat... More

A point-to-point interface is one in which the receiving vendor provides a specification on what data it can receive and in what format it needs to be in. The sending application then builds an interface to that specification for that application. It is a one-to-one relationship. For each application requiring an interface, there is a new request and point-to- point interface developed. Read What is Your Healthcare Interface Method white paper.


Public IP AddressThe Public IP Address (vs. Private or LAN Address) The public IP address is the outward-facing IP ad... More

The Public IP AddressThe Public IP Address (vs. Private or LAN Address) The public IP address is the outward-facing IP ad... More (vs. Private or LAN Address) The public IP address is the outward-facing IP address that is presented to the internet by the router hardware. A private IP address is an internal IP address that is discernible only by devices on the same local network. (See NATNAT (Network Address Translation) is the process of modifying IP addresses by a traffic routing devi... More and PATPAT (Port Address Translation) is a type of network address translation in which each device on a LA... More.)

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RadLexRadLex is a controlled terminology for radiology. The purpose of RadLex is to provide a uniform stru... More

RadLexRadLex is a controlled terminology for radiology. The purpose of RadLex is to provide a uniform stru... More is a controlled terminology for radiology. The purpose of RadLex is to provide a uniform structure for capturing, indexing, and retrieving a variety of radiology information sources. This may facilitate a first step toward structured reporting of radiology reports. The RadLex project – to develop a comprehensive radiology lexicon – is sponsored by the Radiological Society of North America (RSNA), along with the collaboration of the American College of Radiology (ACR) and other subspecialty societies. Read more about RadLex.


RESTREST (Representational State Transfer) is a web services approach used heavily in social media sites... More

RESTREST (Representational State Transfer) is a web services approach used heavily in social media sites... More (Representational State Transfer) is a web services approach used heavily in social media sites. Uses HTTPHTTP (Hypertext Transfer Protocol) is the foundation for application-level communication on the inte... More in conjunction with GET, POST, PUT, and DELETE.


RHIORegional Health Information Organization (RHIO) – The terms “RHIO” and “Health Information E... More

Regional Health Information Organization (RHIORegional Health Information Organization (RHIO) – The terms “RHIO” and “Health Information E... More) – The terms “RHIO” and “Health Information Exchange” or “HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More” are often used interchangeably. A RHIO is a group of organizations with a business stake in improving the quality, safety and efficiency of healthcare delivery. RHIOs are the building blocks of the proposed National Health Information Network (NHINNationwide Health Information Network (NHIN) is one of the ONC‘s major initiatives. As defined by ... More) initiative proposed by David Brailer, MD, and his team at the Office of the National Coordinator for Health Information Technology (ONCHIT). To build a national network of interoperable health records, the effort must first develop at the local and state levels. The concept of NHINNationwide Health Information Network (NHIN) is one of the ONC‘s major initiatives. As defined by ... More requires extensive collaboration by a diverse set of stake holders. The challenges are many to achieve success for a health information exchange or a RHIORegional Health Information Organization (RHIO) – The terms “RHIO” and “Health Information E... More.

Synonyms: Regional Health Information Organization


RISRadiology Information System (RIS) is the main application in an imaging center or radiology departm... More

Radiology Information System (RISRadiology Information System (RIS) is the main application in an imaging center or radiology departm... More) is the main application in an imaging center or radiology department. RIS is used by to store, manipulate and distribute patient radiological data and imagery. RIS are used for patient scheduling, tracking, and image tracking. Read Rethinking Radiology Workflow white paper.

Synonyms: Radiology Information System

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SLI Global SolutionsSLI Global Solutions serves one of the ONC-ATCB for electronic health record (EHR) certification. SL... More

SLI Global SolutionsSLI Global Solutions serves one of the ONC-ATCB for electronic health record (EHR) certification. SL... More serves one of the ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More for electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) certification. SLI Global Solutions was certified by the ONC on December 10, 2010 and is authorized to certify complete EHR and EHR modules. Visit the SLI Global Solutions website.


SMART HealthIT
SMART is a program coordinated by Boston Children’s Hospital Computational Health Informatics Program and the Harvard Medical School Department for Biomedical Informatics. SMART is funded by the U.S. government. The purpose of SMART HealthIT is to standardize API application and standards across healthcare. They describe their goal: “The goal of SMART is audacious and can be expressed concisely: an innovative app developer can write an app once, and expect that it will run anywhere in the healthcare system. Further, that one app should be readily substitutable for another. When apps are substitutable, they compete with each other which drives up quality and down price.” SMART HealthIT is working to create this type of framework for applications using HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More, which is commonly referred to as SMART on FHIR.
 
 

SMPTSMTP represents Simple Mail Transfer Protocol. SMTP is widely utilized for e-mail transmissions acro... More

SMTP represents Simple Mail Transfer Protocol. SMTP is widely utilized for e-mail transmissions across Internet Protocol (IP) networks.

The SMTP protocol started out purely ASCII text-based, it did not deal well with binary files or characters in many non-English languages. Because of this, standards such as Multipurpose Internet Mail Extensions (MIME) were developed to encode binary files for transfer through SMTP.

In healthcare, the MIME standard CCD documents can be treated as a MIME package in an SMTP e-mail.  To make the SMTP e-mail secure, a secure version of MIME, called S/MIME, can be utilized. S/MIME along with certificates can be combined with SMTP to keep patient health information safe. The Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More provides the specifications for accomplishing this.


SOAPSOAP (Simple Object Access Protocol) is a web services protocol used heavily in healthcare to implem... More

SOAPSOAP (Simple Object Access Protocol) is a web services protocol used heavily in healthcare to implem... More (Simple Object Access Protocol) is a web services protocol used heavily in healthcare to implement IHEIntegrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industr... More profiles. SOAPSOAP (Simple Object Access Protocol) is a web services protocol used heavily in healthcare to implem... More is an enterprise standard that is typically used by business applications to exchange information across the enterprise.


SOAP EnvelopeSOAP Envelope refers to the outermost wrapper of a SOAP message, containing addressing and security ... More

SOAP EnvelopeSOAP Envelope refers to the outermost wrapper of a SOAP message, containing addressing and security ... More refers to the outermost wrapper of a SOAPSOAP (Simple Object Access Protocol) is a web services protocol used heavily in healthcare to implem... More message, containing addressing and security information.


SSLSSL (Secure Sockets Layer) is a cryptologic protocol for securing communications over a network. The... More

SSLSSL (Secure Sockets Layer) is a cryptologic protocol for securing communications over a network. The... More (Secure Sockets Layer) is a cryptologic protocol for securing communications over a network. The successor to SSL is TLSTLS (Transport Layer Security) is a successor to SSL and offers increased security. See also: S... More.


Surescripts LLCSurescripts LLC serves one of the ONC-ATCB for electronic health record (EHR) certification. Surescr... More

Surescripts LLCSurescripts LLC serves one of the ONC-ATCB for electronic health record (EHR) certification. Surescr... More serves one of the ONC-ATCBONC-Authorized Testing and Certification Bodies – Following the Meaningful Use stage one final rul... More for electronic health record (EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More) certification. Surescripts LLC was certified by the ONC on December 23, 2010 and is authorized to certify EHR modules for e-prescribing, privacy and security. Visit the Surescripts LLC website.

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TCP/IPTransmission Control Protocol/Internet Protocol (TCP/IP) is a low-level communications protocol used... More

Transmission Control Protocol/Internet Protocol (TCP/IPTransmission Control Protocol/Internet Protocol (TCP/IP) is a low-level communications protocol used... More) is a low-level communications protocol used to connect hosts on the Internet or a network. TCP/IPTransmission Control Protocol/Internet Protocol (TCP/IP) is a low-level communications protocol used... More connections are established between clients and servers via sockets. TCP/IPTransmission Control Protocol/Internet Protocol (TCP/IP) is a low-level communications protocol used... More is stream-oriented meaning it deposits bits in one end and they show up at the other end.

TCP/IPTransmission Control Protocol/Internet Protocol (TCP/IP) is a low-level communications protocol used... More Basics:

  • Socket is “communication endpoint”
  • Server = wait for connection
  • Client = initiate connection
  • Sequenced, reliable transport
  • Bi-directional by definition
  • Sometimes/often used uni-directionally

Synonyms: Transmission Control Protocol/Internet Protocol


TLSTLS (Transport Layer Security) is a successor to SSL and offers increased security. See also: S... More

TLSTLS (Transport Layer Security) is a successor to SSL and offers increased security. See also: S... More (Transport Layer Security) is a successor to SSLSSL (Secure Sockets Layer) is a cryptologic protocol for securing communications over a network. The... More and offers increased security.

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VEAVendor Enterprise Archive (VEA) – PACS vendors archive solution that stores multi-department image... More

Vendor Enterprise Archive (VEAVendor Enterprise Archive (VEA) – PACS vendors archive solution that stores multi-department image... More) – PACSPicture Archiving Communication Systems (PACS) are devoted to the storage, retrieval, distribution, ... More vendors archive solution that stores multi-department images. As in the past, software upgrades and new PACS or storage system changes with a VEA can result in data migration of entire image repository. See the definition courtesy of ACUO Technologies.

Synonyms: Vendor Enterprise Archive


VNAVendor Neutral Archive (VNA) – A software solution that acts as a middleware application between o... More

Vendor Neutral Archive (VNAVendor Neutral Archive (VNA) – A software solution that acts as a middleware application between o... More) – A software solution that acts as a middleware application between one or many clinical workflow applications, formerly known as PACSPicture Archiving Communication Systems (PACS) are devoted to the storage, retrieval, distribution, ... More, and various storage platforms and IT strategies. VNA will support: one or many clinical viewing applications, a standards based environment, storage virtualization strategies, robust business continuity deployments and virtual environments. See the definition courtesy of ACUO Technologies.

Synonyms: Vendor Neutral Archive

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Web ServicesWeb services are a standardized way of integrating applications. Using open standards, businesses ca... More

Web servicesWeb services are a standardized way of integrating applications. Using open standards, businesses ca... More are a standardized way of integrating applications. Using open standards, businesses can communicate without in-depth knowledge of one another’s systems, beyond the communication protocol. Because all communication is XML-based, web servicesWeb services are a standardized way of integrating applications. Using open standards, businesses ca... More are not restricted to a specific operating system or programming language and do not require the use of browsers or HTML.


WSDLA WSDL is an XML-based document for locating and describing a web service. WSDLs contain the identif... More

A WSDLA WSDL is an XML-based document for locating and describing a web service. WSDLs contain the identif... More is an XML-based document for locating and describing a web service. WSDLs contain the identifying information and configuration data for a web service. An application developer will produce a WSDL to make it easier to configure the user’s application to communicate with their web service. Learn about web services in Corepoint Integration Engine.

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X12X12 provides for electronic exchange of business transactions-electronic data interchange (EDI). The... More

X12X12 provides for electronic exchange of business transactions-electronic data interchange (EDI). The... More provides for electronic exchange of business transactions-electronic data interchange (EDIElectronic Data Interchange (EDI) is a standard format for exchanging business data. The standard is... More). The American National Standards Institute (ANSI) chartered the Accredited Standards Committee (ASC) X12X12 provides for electronic exchange of business transactions-electronic data interchange (EDI). The... More to develop uniform standards.


XDMCross-enterprise Document Media Interchange (XDM) – What itss used for: According to IHE, XDM tran... More

Cross-enterprise Document Media Interchange (XDMCross-enterprise Document Media Interchange (XDM) – What itss used for: According to IHE, XDM tran... More) – What itss used for: According to IHEIntegrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industr... More, XDM transfers documents and metadata using CDs, USB memory or email attachments. This profile supports environments with minimal capabilities in terms of using Web ServicesWeb services are a standardized way of integrating applications. Using open standards, businesses ca... More and generating detailed metadata. This standard is utilized by the Direct ProjectThe Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. ... More.

Example: Using secure e-mail, a physician e-mails the patient’s CCDContinuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the He... More to the patient’s Microsoft Healthvault e-mail account for uploading to the patient’s online PHRPersonal Health Record (PHR), as defined in Defining Key Health Information Technology Terms (The Na... More.

Synonyms: Cross-enterprise Document Media Interchange


XDRCross-enterprise Document Reliable Interchange (XDR) – What it’s used for: The exchange of healt... More

Cross-enterprise Document Reliable Interchange (XDRCross-enterprise Document Reliable Interchange (XDR) – What it’s used for: The exchange of healt... More) – What it’s used for: The exchange of health documents between health enterprises using a web-based, point-to-point push network communication, permitting direct interchange between EHRs, PHRs and other systems without the need for a document repository.

Example: A nurse at Hospital A enters a patient’s information in the local EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More, and then sends the CCDContinuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the He... More directly to Hospital B’s system.

Synonyms: Cross-enterprise Document Reliable Interchange


XDS-I.bCross-enterprise Document Sharing for Imaging – What it’s used for: The sharing of images, diagn... More

Cross-enterprise Document Sharing for ImagingWhat it’s used for: The sharing of images, diagnostic reports and related information through a commonregistry.

Example: A radiologist accesses the local HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More, in a similar manner as for XDS.bCross-enterprise Document Sharing What it’s used for: The sharing of documents between any health ... More, to find a MR report conducted and uploaded to the HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More at Hospital A.

Synonyms: Cross-enterprise Document Sharing for Imaging


XDS.bCross-enterprise Document Sharing What it’s used for: The sharing of documents between any health ... More

Cross-enterprise Document Sharing What it’s used for: The sharing of documents between any health care enterprise, ranging from a private physician office to a clinic to an acute care in-patient facility, through a common registry. Medical documents can be stored, registered, found and accessed.

Example:

  1. Hospital A has a document to store. Hospital A creates a description and metadata for the document and submits it to the HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More Repository.
  2. The HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More Repository accepts the document with metadata. It stores the document and forwards the metadata to the HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More Registry.
  3. The HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More Registry receives a query from Hospital B and identifies the document as a match based on the metadata.
  4. Hospital B retrieves the document from the HIEHealth Information Exchange (HIE) focuses on the mobilization of healthcare information electronical... More Repository.

Synonyms: Cross-enterprise Document Sharing

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