Acronyms and Terms Related to Electronic Health Records CLIAC

Acronyms and Terms Related to Electronic Health Records

CLIAC Fall 2011 Meeting Page 1 of 3

ACRONYMS

ANSI American National Standards Institute

APHL Association of Public Health Laboratories

ARRA American Recovery and Reinvestment Act of 2009

CAH Critical Access Hospital

CDC Centers for Disease Control and Prevention

CFR Code of Federal Regulations

CLIA Clinical Laboratory Improvement Amendments of 1988

CMS Centers for Medicare and Medicaid Services

CQM Clinical Quality Measure

DHHS Department of Health and Human Services

EP Eligible Professionals

EHR Electronic Health Record

ELR Electronic Laboratory Reporting

EMR Electronic Medical Record

FACA Federal Advisory Committee Act

FDA U.S. Food and Drug Administration

FHIMS Federal Health Interoperability Modeling and Standards

FR Federal Register

HIE Health Information Exchange

HIT Health Information Technology

HITSC Health IT Standards Committee

HITPC Health IT Policy Committee

HITECH Health Information Technology for Economic and Clinical Health Act

HIPAA Health Insurance Portability and Accountability Act

HL7 Health Level Seven

IT Information Technology

LIS Laboratory Information System

LOINC Logical Observation Identifiers Names and Codes

LRI Laboratory Results Interface (specifically in relation to an ONC workgroup)

LRR Laboratory Results Reporting

MU Meaningful Use

NIST National Institute of Standards and Technology

NwHIN Nationwide Health Information Network (formerly NHIN)

OCR Office of Civil Rights

ONC Office of the National Coordinator for Health Information Technology, aka ONC-HIT

ONC–AA ONC–Approved Accreditor

ONC–ACB ONC–Authorized Certification Body

ONC–ATCB ONC–Authorized Testing and Certification Body

PHIN Public Health Information Network

PHITPO Public Health Informatics and Technology Program Office (at CDC)

PHR Personal Health Record

PMR Personal Medical Record

RHIO Regional Health Information Organization

REC Regional Extension Centers

SNOMED–CT Systematized Nomenclature of Medicine-Clinical Terms

VLER Virtual Lifetime Electronic Record

Acronyms and Terms Related to Electronic Health Records

CLIAC Fall 2011 Meeting Page 2 of 3

TERMS

Certified Electronic Health Record - An electronic health record or module of an electronic health record that has

been reviewed by an ONC–Authorized Testing and Certification Body (ONC–ATCB) and determined to be

compliant with the standards set forth in the Health Information Technology Standards and Certification

requirements (45 CFR 170). Meaningful use incentive payments require participating hospitals and providers to

use certified electronic health record systems.

Electronic Health Record (EHR) – 1. 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 health care organization. (Reference 1, pg 17)

2. A comprehensive, structured set of clinical, demographic, environmental, social, and financial data and

information in electronic form, documenting the health care given to a single individual. (Reference 2, pg 8)

Electronic Health Record System (EHR-S) - An information technology system designed to store and manage

Electronic Health Records.

Electronic Laboratory Reporting (ELR) - The transmission of data of public health importance (specifically

notifiable diseases) from clinical laboratories to public health agencies using electronic format and data

specifications defined by public health partners.

Electronic Medical Record (EMR) - 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.

(Reference 1, pg 16)

Federal Health Interoperability Modeling and Standards (FHIMS) - Federal initiative intended to coordinate the

efforts of the partner agencies with respect to information and terminology standards.

Health Information Exchange (HIE) - The electronic movement of health-related information across organizations

within a region, community or hospital system and according to nationally recognized standards.

Interoperability - Refers to the ability of health information systems to work together within and across

organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.

Laboratory Results Interface (LRI) Initiative - An initiative under the S&I framework tasked with addressing

interface interoperability challenges associated with laboratory reporting to ambulatory primary care providers.

Challenges include mapping, interface configuration, and harmonization of core subsets of LOINC codes.

Laboratory Results Reporting (LRR) - The transmission of laboratory results in an electronic format from a clinical

laboratory to Electronic Health Record System (EHR-S) for association with a patient's electronic health record

(EHR).

Meaningful Use (MU) - Federal incentive program and regulations administered by CMS defining the minimum

requirements that providers must meet through their use of certified EHR technology in order to qualify for the

payments.

Nationwide Health Information Network (NwHIN) - A federal initiative for the exchange of healthcare information

that supports meaningful use, being developed under the auspices of the U.S. Office of the National Coordinator

for Health Information Technology (ONC). Formerly also known as NHIN.

ONC–Approved Accreditor (ONC–AA) - An accreditation organization approved by the National Coordinator to

accredit electronic health record certification bodies under the permanent certification program, namely the

National Institute of Standards and Technology (NIST).

ONC–Authorized Certification Body (ONC–ACB) - An organization or a consortium of organizations that has

applied to and been authorized by the National Coordinator to perform the certification of Complete EHRs, EHR

Module(s), and/or other types of health information technology under the permanent certification program.

Acronyms and Terms Related to Electronic Health Records

CLIAC Fall 2011 Meeting Page 3 of 3

ONC–Authorized Testing and Certification Body (ONC–ATCB) - An organization or a consortium of organizations

that has applied to and been authorized by the National Coordinator to perform the testing and certification of

Complete EHRs and/or EHR Modules under the te mporary certification program.

ONC Permanent Certification Program - A program that provides a way for the Office of the National Coordinator

to authorize organizations to test and certify electronic health record (EHR) technology. The permanent

certification program will eventually replace the temporary certification program, as early as December 31, 2011.

ONC Temporary Certification Program - A temporary program that provides a way for the Office of the National

Coordinator to authorize organizations to test and certify electronic health record (EHR) technology. The

permanent certification program will eventually replace the temporary certification program, as early as December

31, 2011.

Personal Health Record (PHR) - 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 that individual. (Reference 1, pg 19)

Personal Medical Record (PMR) – See PHR. Terms used interchangeably.

Regional Health Information Organization (RHIO) – An organization that brings together health care stakeholders

within a defined geographic area and governs health information exchange (HIE) among them for the purpose of

improving health and care in that community. RHIOs are a component of the structure intended to implement the

Nationwide Health Information Network (NwHIN).

Standards and Interoperability (S&I) Framework - A set of integrated functions, processes, and tools being guided

by the healthcare and technology industry to achieve harmonized interoperability for healthcare information

exchange.

Surescripts - Private company authorized to test and certify EHR modules. One of six ONC-Authorized Testing and

Certification Bodies. Awarded CDC grant, along with the College of American Pathology (CAP) and the American

Hospital Association (AHA), to electronically link hospital laboratories and public health agencies to support

meaningful use.

Technology Transfer & Technology Transfer Office – Government agency function and office intended to support

collaboration and transfer of federal technology to the commercial marketplace and/or research community.

Tiger Team - A group of experts assigned to investigate and/or solve technical or systemic problems, particularly in

relation to security. (Reference 9)

Sources:

1. The National Alliance for Health Information Technology Report to the Office of the National Coordinator for

Health Information Technology on Defining Key Health Information Technology Terms, April 28, 2008

2. Glossary, HL7 Electronic Health Record System Functional Model, Release 1, February 2007

3. HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Interoperable Laboratory Result Reporting

to EHR (US Realm), Release 1, ORU R01, version 2.5.1, November 2007

4. Office of the National Coordinator for Healthcare Information Technology, Harmonized Use Case for Electronic

Health Records (Laboratory Result Reporting), March 19, 2006

5. HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting To Public Health (US Realm),

Release 1, ORU R01, version 2.5.1, February, 2010

6. Electronic Reporting of Laboratory Data for Public Health: Meeting Report and Recommendations, November

23, 2007

7. Standards and Interoperability website:

http://jira.siframework.org/wiki/display/SIF/Introduction+and+Overview

8. HIMMS Whitepaper: Interoperability Definition and Background, June 9, 2005

9. Wikipedia: http://en.wikipedia.org/wiki/Tiger_team