Alphabet Soup

There are many commonly used abbreviations in discussing Health IT. I thought it might be helpful to list some here:

AHIC American Health Information Community

AHIMA American Health Information Management Association

AHRQ Agency for Healthcare Research and Quality

ANSI American National Standards Institute

CCHIT Certification Commission for Healthcare Information Technology

CDS Clinical Decision Support

CHC Community Health Centers

CMS Centers for Medicare and Medicaid Services

CONNECT NHIN gateway

CPOE Computerized Physician Order Entry

EHR Electronic Health Record

EMR Electronic Medical Record

FHA Federal Health Architecture

HHS Department of Health & Human Services

HIE Health Information Exchange

HIMSS Healthcare Information Management Systems Society

HIPAA Health Insurance Portability and Accountability Act

HIT Health Information Technology

HITSP Health Information Technology Standards Panel

HL7 Health Level 7

HRSA Health Resources and Services Administration

ICD International Statistical Classification of Diseases and Related Health Problems

JCAHO Joint Commission on Accreditation of Healthcare Organizations

NCVHS National Committee on Vital and Health Statistics

NHIN Nationwide Health Information Network

NIH National Institutes of Health

NLM National Library of Medicine

ONC Office of the National Coordinator (usual abbreviation for ONCHIT)

ONCHIT Office of the National Coordinator for Health Information Technology

PHR Personal Health Record

PQRI Physican Quality Reporting Initiative

RHIO Regional Health Information Network

SLHIE State Level Health Information Exchange Consensus Project

SNOMED Systematized Nomenclature of Medicine

VHA Veterans Health Administration

VistA Veterans Health Information Systems and Technology Architecture

I particularly would like to point out the differences between EMR, EHR and PHR. These terms tend to be used interchangeably, but they actually refer to different things. In fact the definition of EHR depends a lot on what the definiton of \”meaningful use\” is. You could define an EMR as just the physician interface and EHR including both a physician and patient interface (with some interoperability between systems). PHR is still an ill-defined concept that has been slowly developing over many years. Certainly PHR is a computerized application that stores an individual\’s personal health information. The key difference being that a PHR is typically a health record that is created, controlled and maintained by an individual patient, while the EMR is created, controlled and maintained by the provider. Hopefully one day we will have an intersection at truly meaningful EHR.

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