Health Information Exchange
Expert-defined terms from the Certified Professional in Electronic Health Records Documentation and Coding course at London School of Business and Administration. Free to read, free to share, paired with a globally recognised certification pathway.
**Assertion** #
**Assertion**
: A statement or claim that something is true #
In the context of health information exchange (HIE), an assertion is a statement made by one system about a patient, such as their current medication list, that is sent to another system.
** Clinical Document Architecture (CDA)** #
** Clinical Document Architecture (CDA)**
: A markup standard for clinical documents, such as discharge summaries and prog… #
CDA is based on HL7 and allows for the structured exchange of clinical information between different health information systems.
** Clinical Messaging** #
** Clinical Messaging**
: The electronic transfer of clinical information between health care providers #
Clinical messaging can include orders, results, and other types of clinical data.
** Clinical Summary** #
** Clinical Summary**
: A concise, structured document that summarizes a patient's relevant medical hi… #
Clinical summaries can be used to support care coordination and continuity of care.
**Direct Messaging** #
**Direct Messaging**
: A secure, standards-based method for exchanging clinical information between h… #
Direct messaging uses email-like addresses and allows for the sending of clinical documents, such as CCDs, and other types of clinical data.
**Electronic Health Record (EHR)** #
**Electronic Health Record (EHR)**
: A digital version of a patient's medical record #
EHRs can include information such as medication lists, problem lists, and laboratory results.
**Electronic Prescribing (e #
Prescribing)**
: The electronic transmission of prescription information from a healthcare prov… #
e-Prescribing can help reduce medication errors and improve medication adherence.
**Health Information Service Provider (HISP)** #
**Health Information Service Provider (HISP)**
: An organization that provides services to facilitate the electronic exchange o… #
HISPs can provide services such as directory services, security, and trust management.
**Health Information Exchange (HIE)** #
**Health Information Exchange (HIE)**
**Health Level Seven International (HL7)** #
**Health Level Seven International (HL7)**
: A non-profit organization that develops standards for the exchange, integratio… #
HL7 is widely used in the healthcare industry to support interoperability between different health information systems.
**Interoperability** #
**Interoperability**
: The ability of different information systems, devices, and applications to acc… #
: The ability of different information systems, devices, and applications to access, exchange, interpret, and cooperatively use data in a coordinated manner, within and across organizational boundaries.
**Integration Engine** #
**Integration Engine**
: A software application that enables the integration of different health inform… #
Integration engines can translate and map data between different systems, and can also provide services such as routing, transformation, and mediation.
**Master Patient Index (MPI)** #
**Master Patient Index (MPI)**
: A database that contains a list of patients and their demographic information #
The MPI is used to identify and match patient records across different health information systems.
**Message** #
**Message**
: A unit of information that is exchanged between systems in a health informatio… #
Messages can include data such as patient demographics, medication lists, and laboratory results.
**National Council for Prescription Drug Programs (NCPDP)** #
**National Council for Prescription Drug Programs (NCPDP)**
: A non-profit organization that develops standards for the electronic transmiss… #
: A non-profit organization that develops standards for the electronic transmission of prescription information between healthcare providers, pharmacies, and insurance companies.
**Patient Identity Management** #
**Patient Identity Management**
: The process of identifying and managing patient information across different h… #
Patient identity management is critical for ensuring the accuracy and completeness of patient records.
**Query** #
**Query**
: A request for information from another system #
Queries can be used to retrieve patient demographics, medication lists, and other types of clinical data.
**Secure Message Delivery (SMD)** #
**Secure Message Delivery (SMD)**
: A method for sending and receiving secure electronic messages between healthca… #
SMD uses encryption and digital signatures to ensure the confidentiality, integrity, and authenticity of the messages.
**Subscribe** #
**Subscribe**
: To request to receive updates or notifications about a patient's health inform… #
Subscriptions can be used to support care coordination and improve the continuity of care.
**Transport** #
**Transport**
: The mechanism used to move messages between systems in a health information ex… #
Transports can include methods such as FTP, HTTP, and SMTP.
**Unique Healthcare Identifier (UH #
**Unique Healthcare Identifier (UH