Electronic Medical Record (EMR)

An electronic version of a patient’s medical history, maintained by healthcare providers, containing patient demographics, medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results.

 

Interoperability

The ability of different healthcare information systems and software applications to communicate, exchange data accurately, and use the information that has been exchanged.

 

Health Information Exchange (HIE)

The electronic movement of health-related information among organizations according to nationally recognized standards.

 

Patient Portal

An online tool that allows patients to access their personal health information, communicate with healthcare providers, schedule appointments, request prescription refills, and view lab results.

 

Clinical Decision Support (CDS)

Computerized tools and systems designed to assist healthcare professionals in making clinical decisions by providing patient-specific information at the point of care.

 

Meaningful Use

A set of standards defined by the Centers for Medicare & Medicaid Services (CMS) to encourage the adoption and meaningful use of electronic health records (EHRs) to improve patient care.

 

Telemedicine

The use of telecommunications technology to provide remote clinical services to patients, including diagnosis, treatment, and monitoring of health conditions.

 

Data Security and Privacy

Measures and protocols implemented to protect electronic medical records from unauthorized access, alteration, or disclosure, ensuring patient confidentiality and compliance with regulations such as HIPAA (Health Insurance Portability and Accountability Act).

 

Audit Trail

A chronological record of electronic activities pertaining to a patient’s medical record, documenting who accessed the record and when often used for security and accountability purposes.

 

Population Health Management

The process of managing the health outcomes of a group of individuals, including identifying and analyzing patterns and trends in health data to improve the overall health of the population served.