ASSISTING WITH THE USE OF BED PAN BY ANUSHRI SRIVASTAVA.pptx
Acronyms in the healthcare software space
1. A C R O N Y M S
I N T H E
H E A LT H C A R
E S PA C E .
A B A S I C I N T R O D U C T I O N T O T H E
V A R I O U S A C R O N Y M ’ S U S E D I N
T H E H E A L T H C A R E S P A C E ,
E S P E C I A L L Y R E F E R E N C E D I N
T H E H E A L T H C A R E S O F T W A R E
S P A C E .
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2. W H AT W E I N T E N D T O C O V E R
• Healthcare software acronyms
• Healthcare software what does it cover?
• Actors in the healthcare space.
• Regulatory bodies in the healthcare software space.
• Some incidents of data-breaches and revocation of products in the healthcare space.
• A high-level architecture guideline in healthcare
• Artificial Intelligence in the healthcare space.
• Interoperability in healthcare Identifier Standards
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3. T E R M I N O L O G Y
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4. P O M R
P R O B L E M
O R I E N T E D
M E D I C A L
R E C O R D
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5. S O A P
S U B J E C T I V E
O B J E C T I V E
A S S E S S M E N
T P H Y S I C A L
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6. R O S
R E V I E W O F
S Y S T E M S
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7. P P F S H
P A T I E N T
P R O F I L E
F A M I L Y
S O C I A L
H I S T O R Y
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8. H P I
H I S T O R Y
O F
P R E S E N T
I L L N E S S
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9. E C G / E K G
E L E C T R O
C / K A R D I O
G R A P H
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10. A D R A D V E R S
E D R U G
R E A C T I O N
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11. A E R
A D V E R S E
E V E N T
R E P O R T
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12. B M I B I O
M A S S
I N D E X
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13. M P L
M A S T E R
P R O B L E M
L I S T
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14. D I A G N O S I S
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15. D I A G N O S I S
CHD Coronary Heart Disease NSR Normal sinus rhythm of heart
DOE Dyspnea on exertion. Shortness of breath URI Upper Respiratory tract infection
ADHD Attention deficit hyperactivity disorder Rx Prescription
OBS Office Based Surgery Dx Diagnosis
N/V Nausea or vomiting Tx Treatment
HTN HyperTension Hx History
CC Chief Complaint Sx Symptoms
COPD Chronic Obstructive Pulmonary Disease Fx Family
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16. S O F T WA R E
T E R M I N O L O G Y
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17. T M
T E L E M E D I C I N E
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18. E H R E L E C T R O N I C H E A L T H R E C O R D
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19. E H R
P R O V I D E R
S
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20. P E H R
P A T I E N T
P E R S O N A L
E L E C T R O N I C
H E A L T H
R E C O R D
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21. E M R
E L E C T R O N I C
M E D I C A L
R E C O R D
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22. P I I
P E R S O N A L L Y
I D E N T I F I A B L E
I N F O R M A T I O N
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23. P H I P R O T E C T E D H E A L T H I N F O R M A T I O N
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24. P A C S P I C T U R E A R C H I V A L A N D
C O M M U N I C A T I O N S Y S T E M
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25. D I C O M D I G I T A L I M A G I N G A N D
C O M M U N I C A T I O N S I N M E D I C I N E F O R
M E D I C A L I M A G E S
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26. T E R M I N O L O G Y - S O F T W A R E
CPT Current Procedural Terminology
ICD 9/10 International Statistical Classification of Diseases and Related Health Problems
CCD Continuity of Care Document
CCR Continuity of Care Record
MU Meaningful Use
CCHIT Certification Commission for Health Information Technology
LOINC Logical Observation Identifiers Names and Codes
NDC National Drug Codes
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27. I N F O R M A T I O N
S Y S T E M ,
S T A N D A R D S ,
A C T O R S A N D
H O S P I T A L
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28. I N F O R M A T I O N
S Y S T E M S A N D
S T A N D A R D S
HMIS Healthcare management information system
HMIS Hospital management information system
LMIS Lab Management Information System
FHIR Fast Healthcare Interoperability Resources
SNOMED Systematized Nomenclature of Medicine
SNOMED-CT SNOMED-Clinical Terms
HL7 Health Level 7
ISO International Organization for Standardization
HIE Health Information Exchange
SDO Standards development Organization
CDISC Clinical Data Interchange Standards Consortium
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29. A C T O R S
•
HCP Health Care Professional
NP Nurse Practitioner
RN Registered Nurse
CDE Certified Diabetes Educator
CMA Certified Medical Assistant
CNS Clinical Nurse Specialist
EMT Emergency Medical Technician
LPN Licensed Practical Nurse
PCP Primary Care Provider
PA Physicians Assistant
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30. H O S P I TA L
ER Emergency Room
ICU Intensive care unit
CCU Critical care unit
CHC Community Health Center
ITU Intensive Therapy Unit
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31. T E M P L AT E S
• for capturing, storing, accessing, displaying, and
transmitting both structured and unstructured
information, including texts, images, and sounds.
• Consultation Note template
• Continuity of Care Document
(CCD) template
• Discharge Summary template
• Diagnostic Imaging Report template
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32. R E G U L AT O RY
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33. R E G U L AT O R Y
FDA
Food and Drug
Administration
HIPAA
Health Insurance
Portability and
Accountability Act
AHRQ
Agency for Healthcare
Research and Quality,
HHS
HIPAA Privacy Rule
Standards to protect
individuals’ medical
records and other personal
health information
HIPAA Security Rule
Standards for protecting
the confidentiality, integrity,
and availability of
electronically protected
health information
GDPR
General Data Protection
Regulation (EU privacy
and security)
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34. A C T S , A S S O C I A T I O N S &
G O V E R N M E N T R U L E S
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35. A C T S
ADA Americans with Disabilities Act of 1990
HITECH Act of 2009 that fixed HIPAA loopholes
ACA Affordable Care Act 2010
PSQIA Patient Safety and Quality Improvement Act 2005
India Specific
• BMW Rules Bio-Medical Waste (Management & Handling) 1998
• FSS Food and Safety Standards 2011
• IT Information Technology Act 200 (includes privacy)
• DISHA* Digital Information Security in Healthcare Act*
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36. A S S O C I AT I O N S
AHA American Hospital Association
AHIP America's Health Insurance Plans
AMA American Medical Association
AMIA American Medical Informatics Association
CDC Centers for Disease Control and Prevention
CMS Centers for Medicare and Medicaid Services
NCDPD National Council for Prescription Drug Programs
IHTSDO International Health Terminology Standards Development Organization
NHS National Health Service
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37. R E F E R E N C E
S
• https://www.slideshare.net/manuswath/different-
kind-of-healthcare-providers-77953663
• https://www.slideshare.net/manuswath/problem-
oriented-medical-record
• https://Images.google.com
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https://www.himss.org/resources/interoperability-healthcare
Identifier Standards : Entities use identifier standards to uniquely identify patients or providers.
meaningful use is a term used to define minimum U.S. government standards for electronic health records (EHR), outlining how clinical patient data should be exchanged between healthcare providers, between providers and insurers and between providers and patients
CPT: https://www.ama-assn.org/practice-management/cpt
http://loinc.org/
SDO focused on developing, coordinating, promulgating, revising, amending, reissuing, interpreting, or otherwise producing
Over 40 SDO’s https://www.healthit.gov/playbook/sdo-education/chapter-2/
https://www.hl7.org/fhir/overview.html
HIPAA guidelines to follow if you want your software to be compliant and thus eligible for use on the United States territory