Interoperability Environmental Scan | Acronyms & Definitions

Acronyms

AHIMAAmerican Health Information Management Association
APIApplication Programming Interface
CACertificate Authority
EHRElectronic Health Record
FTCFederal Trade Commission
HHSDepartment of Health and Human Resources
HIEHealth Information Exchange
HISPHealth Information Service Provider
MPIMaster Patient Index
OCROffice of Civil Rights
ONCOffice of the National Coordinator for Health Information Technology
PHRPersonal Health Record
RARegistration Authority
RLSRecord Locator Service
 

Definitions*

TermDefinitionSource
Centralized ModelPatient health data is collected from local sources, but stored in a central repository. If an entity requests data, the transaction is routed through the central repository; Also known as a consolidated model.

View Source

Certificate Authority"A trusted entity that issues and revokes public key certificates."

View Source

Consumer-Mediated exchangeAbility for individuals (consumers) to aggregate and control the use of their health information among providers. While in control of their own health information, individuals can actively participate in their care coordination by:
  • Providing other providers with their health information;
  • Identifying and correcting wrong or missing health and human services information;
  • Identifying and correcting incorrect billing information; and
  • Tracking and monitoring their own health.

View Source

Directed ExchangeUsed by providers to easily and securely send patient information—such as laboratory orders and results, patient referrals, or discharge summaries—directly to another health care professional. This information is sent over the internet in an encrypted, secure, and reliable way amongst healthcare professionals who already know and trust each other, and is commonly compared to sending a secured email. This form of information exchange enables coordinated care, benefitting both providers and patients.

View Source

End UserAn individual or organization using the services of a Member to send and/or receive electronic health information.

View Source

Federated ModelModel where source organization maintains control of health data and records and provides the framework for data-sharing capability to external enterprises; Also known as a decentralized or distributed model

View Source

Hybrid ModelA cross between centralized and decentralized architecture. This model provides the interface engine for which organizational entities communciate.

View Source

MemberOrganizations or individuals that pledge and/or pay fees for membership to the Exchange Entity as outlined by each entities’ respective member agreements. These members contribute to or support the Entity by participating in the development and implementation of the Entity’s strategic direction, technology and/or interoperability framework.

View Source

Patient-Centric DesignFunctionality that focuses on the patient as the primary user and/or contributor of clinical information for the application system and data work flows

View Source

Person-Centric DesignFunctionality that focuses on the person as the primary user and/or contributor of information, including clinical and non-clinical information, and incorporates the individual’s expressed values and preferences that support their realistic health and life goals across all settings of care and service delivery.

View Source

View Source

Provider-Centric DesignFunctionality that focuses on the healthcare provider care team as the primary user and/or contributor of information for the application system and data work flows.

View Source

Query-Based exchangeUsed by providers to search and discover accessible clinical sources on a patient. This type of exchange is often used when delivering unplanned care.

View Source

Registration AuthorityAct as an intermediary between users and certificate authorities, reviewing and approving certificate requests.

View Source

 

*Definitions approved by the FY18 HIMSS Interoperability & HIE Committee.