The electronic medical record is generally considered to be the composite of all medical and personal information collected regarding individual patients and maintained in a single medical setting such as a SNF or physician office. A complete EMR will allow for medical information collection, access on demand and retention for all medical and patie [..]

Glossary of Electronic Health and Medical Records Related Terms

The transactions and tracking of admissions, discharges and transfer both internal and external to the site.

The transactions and tracking of admissions, discharges and transfers both internal and external to the site.

This is a defined form and method of exchanging relevant discharge and admission information that has been developed by HL7. It represents a defined method to support interoperability and to be able to share patient information between disparate EHR systems.

The Certification Commission is an independent, 501(c)3 nonprofit organization recognized as a certification body for electronic health records. Their mission is to accelerate the adoption of robust, interoperable health information technology by creating a credible, efficient certification process.

A function or module in the clinical application that allows the providers to order medications, lab tests, clinical procedures, and other types of activities electronically. It creates an environment where order communication is much faster and more accurate.

The electronic health record is a more advanced version of an EMR which provides communication with disparate clinical systems and allows for the sharing of medical information electronically. To achieve interoperability disparate EMRs and clinical systems must have common methods of communicating electronically that are safe, secure and with commu [..]

In the context of HIT, the purpose of this act and its amendments is to provide regulations that protect the privacy and confidentiality of health information.

HITECH is the Health Information Technology for Economic and Clinical Health Act, or the "HITECH Act,” which established programs under Medicare and Medicaid to provide incentive payments for the "meaningful use" of certified electronic health records (EHR) technology. HITECH was enacted through the ARRA.