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Glossary of Terms and Acronyms Related to e-Health

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Scalability is the ability to add users and increase the capabilities of an application without having to making significant changes to the application software or the system on which it runs.

Secure messaging is an approach to protect sensitive data using industry standards. It includes security features that go beyond typical email to (1) protect the confidentiality and integrity of sensitive data transmitted between systems or organizations and (2) provides proof of the origin of the data. Secure messages are encrypted bi-directionally and are stored on network or internet servers that are protected by login. Secure messaging functionality may be integrated with the EHR or maintained in a system separate and distinct from the EHR.

Reference: adapted from National Institute of Standards and Technology, www.nist.gov/index.html

In information systems, the degree to which data, databases, or other assets are protected from exposure to accidental or malicious disclosure, interruption, unauthorized access, modification, removal or destruction.

A smart card is an electronic device about the size of a credit card that contains electronic memory and, increasingly, an embedded microchip. The cards are used to store data. In a health care context, this is often personal health information. The data can be accessed using a smart card reader: a device into which the card is inserted. Smart cards are not the same as magnetic stripe cards, such as most credit cards; smart cards typically can store more information.

SNOMED CT is a dynamic, scientifically validated clinical health care terminology and infrastructure that makes health care knowledge more usable and accessible. The SNOMED CT Core terminology provides a common language that enables a consistent way of capturing, sharing and aggregating health data across specialties and sites of care. Among the applications for SNOMED CT are electronic medical records, ICU monitoring, clinical decision support, medical research studies, clinical trials, computerized physician order entry, disease surveillance, image indexing and consumer health information services.

Reference: http://www.snomed.org/

Initial Meaningful Use criteria in the phased approach to meaningful use of certified electronic health record technology and which outlines the requirements to obtain incentive payments for eligible professionals and hospitals as established by the Center for Medicare and Medicaid Services (“CMS”) and the Minnesota Department of Human Services (“DHS”) pursuant to sections 4101, 4102 and 4201 of the HITECH Act.

Reference: Minnesota EHR Incentive Program (MEIP)
  • Stage 1: Recognition of the need for HIE among multiple stakeholders in your state, region, or community
  • Stage 2: Getting organized by defining shared vision, goals, & objectives, identifying funding sources, and setting up legal & governance structures
  • Stage 3: Transferring vision, goals, & objectives to tactics and business plan, defining needs and requirements and securing funding
  • Stage 4: Well under-way with implementation – technical, financial, and legal
  • Stage 5: Fully operational health information organization; transmitting data that is being used by healthcare stakeholders
  • Stage 6: Fully operational health information organization; transmitting data that is being used by healthcare stakeholders and have a sustainable business model
  • Stage 7: Demonstration of expansion of organization to encompass a broader coalition of stakeholders than present in the initial operational model.
Reference: https://www.ehidc.org/

Common and repeated rules, conditions, guidelines or characteristics used for the collection, use, and sharing of health information. Sets of standards are required for interoperability. Standards are categorized by function in the below table.

Standards Categories
 
 
Categories of Standards
 
 
Functions of Standards
 
 
Example
 
 
Semantics
(vocabulary & code sets)
 
 
The meaning of the information is universally understood
 
 
RxNorm Code for Ibuprofen is 5640
 
 
Syntax
(format, content & structure)
 
 
The information is structured in the appropriate format
 
 
C-CDA packages up data in the appropriate format
 
 
Transport
(hardware, software, networks & data transmission)
 
 
The information moves from point A to point B
 
 
SMTP and S/MIME to send the C-CDA from one setting to another
 
 
Security
 
 
The information is securely accessed and moved
 
 
X.509: to ensure it is securely transmitted to the intended recipient
 
 
Process & Workflow
 
 
The information collection, use and sharing is integrated into processes and workflows
 
 
An organization’s processes and workflows for consent
 
 
Services
 
 
Provides additional functionality so the information collection, use, and sharing can occur
 
 
DNS+LDAP: to find the recipient’s X5309 certificate to encrypt a message
 

References: Adapted from U.S. Department of Commerce, National Institute of Standards and Technology (NIST). (2013) Define Standards, Health Level Seven (HL7). (2017). Introduction to HL7 Standards, and ONC. (2015) Connecting Health and Care for the Nation. A Shared Nationwide Interoperability Roadmap.

Standards Development Organization groups work cooperatively to develop voluntary national consensus standards in healthcare. Most SDOs produce standards (sometimes called specifications or protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance (claims processing) transactions. SDOs are generally not-for-profit volunteer organizations whose members develop the standards.

See also: AHIC, ANSI, & NCPDP, HL7, SNOMED or LOINC

State-Certified Health Data Intermediary means a Health Data Intermediary that has been issued a certificate of authority to operate in Minnesota.

Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (p)

State-Certified Health Information Organization means a Health Information Organization that has been issued a certificate of authority to operate in Minnesota.

Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (q)

SCHSAC is a Minnesota state-local public health partnership that advises, consults with and makes recommendations to the commissioner of health on matters relating to the development, maintenance, and evaluation of community health services in Minnesota. It plays an important role in facilitating the state-local community health services partnership.

Stratis Health is a non-profit independent quality improvement organization that collaborates with providers and consumers to improve health care. The organization, founded in 1971, has worked at improving the state's health care quality for more than 30 years. Under a federal contract, Stratis Health serves as Minnesota's Medicare Quality Improvement Organization (QIO). The organization is also involved in other statewide projects funded through state government contracts, foundation and corporate grants, and health system projects.

SAMHSA was established in 1992 and directed by Congress to target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and more rapidly into the general health care system.

Reference: http://www.samhsa.gov/

The ongoing systematic collection, analysis, and interpretation of data (e.g., regarding agent/hazard, risk factor, exposure, health event) essential to the planning, implementation, and evaluation of public health practice, closely integrated with the timely dissemination of these data to those responsible for prevention and control.

Reference: http://www.aphl.org/Pages/default.aspx

Updated Thursday, May 04, 2017 at 10:48AM