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MA CH08 H1E

TermDefinition
electronic medical records (EMR) an electronic version of patient’s medical record used by a single HC facility; includes info such as medical history, diagnoses, treatment plans, medications, immunization records, vital signs measurements, and imaging, test, and laboratory results.
Centers for Medicare & Medicaid Services (CMS) a federal agency within the US Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities.
meaningful use standards established by CMS to create incentives for the use of electronic health records (EHR).
source-oriented medical record (SOMR) a method of organizing paper medical records according to source or category.
problem-oriented medical record a method of organizing paper medical records according to the patient’s problems and diagnoses.
personal health record (PHR) an electronic collection of a patient’s health history and medical information.
computerized provider order entry (CPOE) a method of entering orders for healthcare services, such as laboratory or diagnostic tests, within a patient’s EHR; also called computerized physician order entry.
requisition an order for diagnostic tests to be completed
superbill a document listing diagnosis and treatment codes, charges for treatment provided, and any payment made by the patient.
Created by: cvis
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