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EMR Class > Terms > Flashcards

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
Q

ESM Console

A

Esciption Management Console website (list of all ePrescriptions, even failed ones)

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26
Q

F1 Key

A

Help

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27
Q

FH

A

Family history

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28
Q

File in Error

A

you realize a mistake was made after doc is signed

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29
Q

Flags

A

temporary non-clinical method of communication

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30
Q

Flowsheet

A

Lab reports

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31
Q

Frequent Flyers

A

pt who visit clinic/dept. often

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32
Q

Future State

A

after EMR

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33
Q

Groups

A

Quick way to communicate w/ multiple users (Flags or Docs)

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34
Q

HGT

35
Q

HPI

A

History of present illness

36
Q

HX

37
Q

ICD - 10

A

Code for reporting medical diagnoses and inpatient procedures

38
Q

Inpatient

A

admitted patient

39
Q

MEL

A

medical expression language

40
Q

MU

A

Meaningful Use - using certified EHR technology in a meaningful way

41
Q

OBS

A

Observation terms - (macro) How data is stored in the system

42
Q

Oracle

A

platform we are learning

43
Q

P

44
Q

Patient Population

A

pt who have appointments on/after Go Live!

45
Q

Pencil

A

Doc needs action

46
Q

Phased Approach

A

only one area goes live at a time (office visit, phone notes, refills, labs, orders, etc.)

47
Q

Phone Note

A

pt communication outside of an office visit

48
Q

PM

A

Practice Management System - EMR system interface (demographics, insurance info, and most appointments are scheduled in this system)

49
Q

PMA

A

problems, medications, and allergies

50
Q

PMH

A

Past medical history

51
Q

PO

52
Q

Preload

A

CLU (Clinical List Updates) or Abstract

53
Q

PRN

A

take as needed

54
Q

Proxy Users

A

set-up to send messages to individuals with specific roles or expertise

55
Q

PSH

A

Past surgical history

56
Q

QID

A

take 4x/day

57
Q

R

A

Respiratory

58
Q

Red Banner

A

inactive, deceased, obsolete pt. chart

59
Q

Registration Note

A

personal info specific to a pt

60
Q

RX

A

prescription

61
Q

Sensitive Chart

A

Additional security attribute for access

62
Q

SH

A

Social history

63
Q

SME

A

Subject Matter Expert

64
Q

SQL

A

database interfaced

65
Q

Super User

A

Current personnel who’s very comfortable with tech and learns EMR quickly (other personnel will go to them for help)

66
Q

Surescripts

A

company that is behind ePrescribe

67
Q

Tabs

A

used to view items in Centricity

68
Q

TID

69
Q

Translation Area

A

items selected in doc show up here

70
Q

VS

A

Vital signs

71
Q

WGT

72
Q

Workflow

A

how clinic/dept. currently does things

73
Q

Binoculars

A

To find or view items not listed on the dropdown menu

74
Q

+

A

forwarded Flags

75
Q

LOC

A

location of care

76
Q

KBU

A

knowledge base update - add meds to system

77
Q

structured data

A

stored data (everything added to system)

78
Q

CMS

A

Centers for Medicare & Medicaid Services

79
Q

PCMH

A

Patient Centered Medical Home (private insurers)

80
Q

Red U

A

Meds that are not in system’s Custom List (Reference List)

81
Q

USER.REALNAME

A

User’s Real Name (MEL)

82
Q

ALL_AFTER

A

All allergies after update (MEL)

83
Q

CCC

A

Clinical Content Consultant

84
Q

Handouts

A

Internal Correspondence

EMR Class (2 decks)

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