Terms Flashcards

memorize terms

1
Q

A

A

Appended Docs

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2
Q

Ambulatory

A

Outpatient

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3
Q

Audit Trail

A

tracks all activity in the system based on user login

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4
Q

BID

A

Twice a day

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5
Q

Big Bang

A

all areas Go Live! at once (Preferred by Analysts)

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6
Q

Blue Banner

A

active pt. chart

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7
Q

Blue Lock

A

CLUs on hold

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8
Q

BMN

A

Brand medically necessary

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9
Q

BP

A

blood pressure

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10
Q

Buttons

A

used to “do” an action in Centricity

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11
Q

CC

A

Chief complaint

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12
Q

Clinical content

A

Any tool used to document a patient (in Settings folders)

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13
Q

CLU

A

Clinical List Updates [updates to Problems, Medications, and/or Allergies (Preload)]

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14
Q

CO

A

Complains of…

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15
Q

Control + F

A

find a pt

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16
Q

Core Team

A

one person from each position in clinic/dept.

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17
Q

Current State

A

what clinic/dept. currently do (pre EMR)

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18
Q

Desktop

A

overview/dashboard of your daily activity

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19
Q

Documents

A

permanent methods of capturing patient information into a patient’s chart

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20
Q

DX

A

Diagnosis

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21
Q

EHR

A

Electronic Health Records

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22
Q

EMR

A

electronic medical record - a computerized medical record created in an organization that delivers care (health updates occur here)

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23
Q

ERX

A

ePrescription

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24
Q

eService Now

A

Helpdesk software

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25
ESM Console
Esciption Management Console website (list of all ePrescriptions, even failed ones)
26
F1 Key
Help
27
FH
Family history
28
File in Error
you realize a mistake was made after doc is signed
29
Flags
temporary non-clinical method of communication
30
Flowsheet
Lab reports
31
Frequent Flyers
pt who visit clinic/dept. often
32
Future State
after EMR
33
Groups
Quick way to communicate w/ multiple users (Flags or Docs)
34
HGT
height
35
HPI
History of present illness
36
HX
History
37
ICD - 10
Code for reporting medical diagnoses and inpatient procedures
38
Inpatient
admitted patient
39
MEL
medical expression language
40
MU
Meaningful Use - using certified EHR technology in a meaningful way
41
OBS
Observation terms - (macro) How data is stored in the system
42
Oracle
platform we are learning
43
P
Pulse
44
Patient Population
pt who have appointments on/after Go Live!
45
Pencil
Doc needs action
46
Phased Approach
only one area goes live at a time (office visit, phone notes, refills, labs, orders, etc.)
47
Phone Note
pt communication outside of an office visit
48
PM
Practice Management System - EMR system interface (demographics, insurance info, and most appointments are scheduled in this system)
49
PMA
problems, medications, and allergies
50
PMH
Past medical history
51
PO
By mouth
52
Preload
CLU (Clinical List Updates) or Abstract
53
PRN
take as needed
54
Proxy Users
set-up to send messages to individuals with specific roles or expertise
55
PSH
Past surgical history
56
QID
take 4x/day
57
R
Respiratory
58
Red Banner
inactive, deceased, obsolete pt. chart
59
Registration Note
personal info specific to a pt
60
RX
prescription
61
Sensitive Chart
Additional security attribute for access
62
SH
Social history
63
SME
Subject Matter Expert
64
SQL
database interfaced
65
Super User
Current personnel who's very comfortable with tech and learns EMR quickly (other personnel will go to them for help)
66
Surescripts
company that is behind ePrescribe
67
Tabs
used to view items in Centricity
68
TID
3x/day
69
Translation Area
items selected in doc show up here
70
VS
Vital signs
71
WGT
weight
72
Workflow
how clinic/dept. currently does things
73
Binoculars
To find or view items not listed on the dropdown menu
74
+
forwarded Flags
75
LOC
location of care
76
KBU
knowledge base update - add meds to system
77
structured data
stored data (everything added to system)
78
CMS
Centers for Medicare & Medicaid Services
79
PCMH
Patient Centered Medical Home (private insurers)
80
Red U
Meds that are not in system’s Custom List (Reference List)
81
USER.REALNAME
User's Real Name (MEL)
82
ALL_AFTER
All allergies after update (MEL)
83
CCC
Clinical Content Consultant
84
Handouts
Internal Correspondence