31 results.
AHRQ-USHIK Technical Summary
Author: U.S. Agency for Healthcare Research and Quality
Source: Government (U.S.)
Publication Date: January 02, 2010
U.S. Health Information Knowledge database (USHIK): HITSP Portal Quick Start Guide
Author: Health Information Technical Standards Panel (HITSP)
Source: Government (U.S.) | U.S. Agency for Healthcare Research & Quality
Publication Date: January 02, 2010
Electronic Signature, Attestation, and Authorship. Appendix D: Glossary of Terms (2009 update)
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: November 2009
Addendum: new documentation added to an original entry. Addendums should be timely and bear the current date and reason for the additional information being added to the health record.
Alternate signature: see proxy signature.
Amendment: documentation meant to clarify health....
Acronyms and Initialisms for Health Information Resources [link]
Author: Shams, Marie-Lise Antoun
Source: External web site
Publication Date: May 29, 2009
Acronyms and Glossary
Author: Healthcare Information Technology Standards Panel (HITSP)
Source: External web site
Publication Date: January 04, 2009
Terms for Terms: A Terminology Guide for e-HIM Professionals
Author: Paterno, Marilyn D.; Rynberg, Sally J.; Giannangelo, Kathy
Source: Journal of AHIMA
Publication Date: January 2009
It can be a challenge to keep straight the many terms used in events, concepts, or data in clinical records. The following table provides definitions for some of the many terms to help HIM professionals differentiate among them.
The difference between terminologies and vocabularies....
Common Framework for Networked Health Information: Glossary
Author: Markle Foundation; Connecting for Health
Source: External healthcare industry report | External - used with permission
Publication Date: June 25, 2008
This document is part of The Connecting for Health Common Framework for Networked Personal Health Information, which is available in full and in its most current version here.
Word Power: a Glossary of Software Licensing Terms
Author: AHIMA
Source: Journal of AHIMA
Publication Date: April 2006
This Software license agreement is entered into by and between Sample Software, Inc, a Delaware corporation with principal offices located at 100 Maple Lane, Chicago, Illinois 60601 ("Sample") and _________________, a corporation with principal offices located at ________________ ("Licensee") a....
Introduction to the Unified Medical Language System
Author: Fenton, Susan H.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2005
Coded data is the basis for knowledge transfer in 21st-century healthcare. The Unified Medical Language System (UMLS) is often called the Rosetta stone of international terminologies used in healthcare worldwide.
The purpose of the UMLS is to “facilitate the development of com....
On the Line
Author: Hjort, Beth M.
Source: AHIMA Q and A | Journal of AHIMA
Publication Date: April 2004
Q: Please explain the new Joint Commission requirement for “do not use” abbreviations, acronyms, and symbols. Does this mean that the abbreviation list requirement is being reinstated?
A: Standards have not required an approved list since 1991. IM.3 does require standard....
Medi Lexicon
Author:
Source: External web site
Publication Date: January 02, 2004
U.S. Health Information Knowledge database (USHIK)
Author: U.S. Agency for Healthcare Research and Quality
Source: U.S. Agency for Healthcare Research & Quality | External web site
Publication Date: January 01, 2004
Glossary of Terms
Author: Canadian Institute for Health Information. Partnership for Health Information Standards
Source: External web site
Publication Date: January 01, 2004
Implementing Electronic Signatures. Glossary
Author: AHIMA Task Force
Source: AHIMA Task Force
Publication Date: October 20, 2003
This practice brief has been retired. It is made available for historical purposes only.
Speech Recognition in the Electronic Health Record. Glossary
Author: AHIMA Task Force
Source: AHIMA Task Force
Publication Date: October 20, 2003
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Advances in Burn Reconstruction Complicate Coding: Get Familiar with Terminology, Techniques for Accurate Coding
Author: Erhardt, Walter L.; Medal, Diana
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2003
Recent advances in the science of wound healing are making an impact on the treatment of burns. This is particularly evident not only in the way burn wounds are being managed initially, but also in how these wounds are being reconstructed. While these scientific advances make this field an exc....
Group Health Plan's Glossary
Author:
Source: AHIMA web extra
Publication Date: March 02, 2003
Administrative requirements of the privacy rule include those to have personnel designations, training, safeguards, complaint handling, sanctions, mitigation of harm, and current policies and procedures. These are not required if only summary information is exchanged between the GHP and plan sp....
Web FAQ
Author: AHIMA Professional Practice Team
Source: AHIMA Q and A
Publication Date: October 2002
What guidance is available for determining an organization's definition of "attending physician" or "physician of record"?
The Department of Health, Education, and Welfare adopted the UHDDS (Uniform Hospital Discharge Data Set) as department policy for Medicare and Medicaid patient populations....
CMS glossary search [link]
Author:
Source: Government (U.S.)
Publication Date: September 05, 2002
United States Healthcare Information Knowledgebase - (USHIK)
Author: Health Informatics Standards Board
Source: Government (U.S.) | U.S. Agency for Healthcare Research & Quality
Publication Date: July 17, 2002
Journal Q&A (5/02)
Author: AHIMA Staff
Source: AHIMA Q and A
Publication Date: May 02, 2002
Q: Is there a standard or recommended source for abbreviations used in medical records?
A: There is no standard or recommended abbreviation list. Because of service and style variation, healthcare organizations are encouraged to create their own customized list. An optimal approach....
Journal Q&A (11/01)
Author: AHIMA Staff
Source: AHIMA Q and A
Publication Date: November 02, 2001
Q: Where can I find an easy-to-use glossary for terms in the HIPAA regulations?
A: The Workgroup for Electronic Data Interchange (WEDI) has compiled an alphabetic glossary of HIPAA terms and definitions. It is approximately 24 pages long and can be downloaded from the WEDI Web sit....
Building a Better CPT
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: November 2000
The Health Insurance Portability and Accountability Act (HIPAA) presents numerous challenges to HIM processes and systems. Not least among these areas is coding. Among the concerns is whether the CPT system will be sufficient to meet the demands of HIPAA. The American Med....
Journal Q&A (11/00)
Author: AHIMA Professional Practice Team
Source: AHIMA Q and A
Publication Date: November 02, 2000
Q: My facility wants to adopt or modify an existing abbreviation list rather than develop its own. Where can I locate such a list?
A: If you work in a community where the physicians practice at more than one facility, it would be ideal if those facilities shared a common abbreviation....
Journal Q&A (7/00)
Author: AHIMA Professional Practice Team
Source: AHIMA Q and A
Publication Date: July 02, 2000
Q: What is a good source for looking up Internet-related terms?
A: One of the quickest and least expensive ways to look up an unfamiliar Internet term is by doing a search at www.whatis.com.
In addition to explaining terms such as "cookie" and "ISP," ....
Global Language for Pharmaceutical Regulation
Author: Rulon, Vera
Source: Journal of AHIMA
Publication Date: January 2000
What will facilitate medical product regulation and related electronic data interchange worldwide? For some regulatory authorities, the answer is the Medical Dictionary for Drug Regulatory Affairsalso known as MedDRA.
MedDRA (the name is a trademark of the International Federat....
Reimbursement at Your Fingertips: A Glossary of Terms
Author: Fletcher, Donna M.
Source: Journal of AHIMA
Publication Date: September 1999
From the onset of DRGs in 1983 through today's proliferation of prospective payment systems (PPS) and managed care efforts, the number of terms related to reimbursement has increased significantly. The following are some of those terms and abbreviations, including those r....
Journal Q&A (1/99)
Author: AHIMA Staff
Source: AHIMA Q and A
Publication Date: January 02, 1999
Q: I hear a lot of technical terms being used lately by information systems staff and I feel like I'm not speaking their "jargon." Could you clarify the meaning of some of these terms? Specifically, they are SQL, Java, TCP/IP, and IPX.
A: SQL stands for structured query language, whi....
Do Existing Controlled Vocabularies Contain Terminology Needed for Patient Records?
Author: Humphreys, Betsy L.
Source: Journal of AHIMA
Publication Date: May 1998
A 1996-97 study conducted by the National Library of Medicine and the Agency for Health Care Policy and Research aimed to determine how well existing vocabularies cover the concepts and terms needed in health information systems. The author describes the hypothesis underlying the s....
Development and Role of the Read Codes
Author: Harding, Ann; Stuart-Buttle, Charlie
Source: Journal of AHIMA
Publication Date: May 1998
Produced and maintained by Britain's National Health Service, the Read Codes are a comprehensive, controlled clinical vocabulary. Here's a look at how the codes evolved, their use in the NHS, and the continual process of aligning the system with the needs of its users.
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Data Dictionaries: An Overview
Author: Duffy, Philip G.
Source: Journal of AHIMA
Publication Date: February 1997
Healthcare is one of the most information-intensive industries in the economy but less automated than other industries such as banking and insurance. Modern healthcare delivery is governed by ad hoc teams of professionals assembled to address each case, which further complicates information a....