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Healthcare Med Rec 2
Medical Terminology
Term | Definition |
---|---|
electronic health records (EHRs) | health records that allow real-time communication, reporting, and record keeping through electronic transmission |
hybrid health records | medical records that incorporate elements of paper-based records and electronic records |
source-oriented medical record | a record that is organized by data source or subject |
problem-oriented medical record | a record that organizes data by problem, and uses four categories: a database of all objective information, a numbered problem list, initial treatment plans, and progress notes |
clinical data repository (CDR | a special database that manages healthcare data from different sources such as labs, pharmacies, and radiology networks |
electronic medication administration record (EMAR) | an EHR system for medication management that uses the CDR database |
patient care charting system | a type of EHR that records progress notes and assessments |
hospital information system (HIS) | a computerized management solution that handles all aspects of a hospital’s operations, including financial and medical operations |
Certification Commission for Health Information Technology (CCHIT) | a nonprofit organization with the mission of accelerating the adoption of information technology (IT) in healthcare, it measures and certifies the effectiveness of EHR products based on predefined criteria |
pay for performance (P4P) | performance-oriented incentives for hospitals and physicians to improve the quality of patient healthcare |
Centers for Medicare and Medicaid Services (CMS) | a US government organization that oversees services for the federally sponsored Medicare and Medicaid insurance programs |
Dental Office Reference Manual (DORM) | a reference manual that provides information about administrative policies relating to a dental practice |
Dental Periodicity Schedule | a schedule that recommends certain oral health services for children according to age |
dental extraction | the removal of primary teeth |