Electronic Records
An electronic record of health-related information for an individual patient that is created, compiled, and managed by providers and staff members located within a single health care organization.
What is electronic medical record (EMR)
Abbreviation for physical exam
What is PX
Information on an individual patient that can be that is created, managed and gathered in a manner that conforms to nationally reorganized interoperability standard so that it can be utilized by members of more than one healthcare organization.
What is Electronic Health Record (EHR)
Abbreviation for symptoms
What is SX
Personal health record of the comprehensive medical history and record of a patient's lifelong health that is collected and maintained by the individual patient.
What is Personal Health Record (PHR)
abbreviation for therapy, treatment and/or prescriptions
What s RX
Cannot be disclosed without the patient's express writtten consent.
What is PHI (Protected Health Information)
Abbreviation for Diagnosis
What is DX
Described as "HIPPA on steroids"
What is HITECH (Health Information Technology for Economic and Clinical Health)
Abbreviation for NPO
What is nothing by mouth