Knowra Electronic health record Electronic health record An electronic health record is a digital collection of a patient’s health information maintained by healthcare providers. It supports ongoing clinical care and may include diagnoses, medications, test results, and treatment plans.
Health information exchange : The electronic sharing of health information among organizations and systems involved in care. It enables records to move between providers rather than remain isolated in one system.
Computerized physician order entry : The electronic entry of medication, laboratory, imaging, and other clinical orders by authorized clinicians. It turns decisions recorded in an EHR into orders that can be routed and tracked.
Primary care : First-contact, continuing healthcare that addresses common conditions and coordinates referrals to other services. Longitudinal EHR histories help primary care teams manage ongoing needs and preventive care.
Health Insurance Portability and Accountability Act : A United States law establishing privacy, security, and administrative standards for protected health information. HIPAA requirements shape how covered organizations safeguard information stored in electronic records.
Electronic medical record : A digital patient record used within a healthcare organization, commonly focused on care delivered there. The term often distinguishes a local clinical record from a broader, interoperable EHR.
HL7 FHIR : A standard for exchanging healthcare information electronically through modular resources and application programming interfaces. FHIR defines common ways for EHR systems to expose and exchange clinical data.
Clinical decision support system : A health information system that provides clinicians with knowledge or patient-specific recommendations during care. EHR data can trigger reminders, safety alerts, and recommendations during clinical work.
Hospital information system : A system that manages clinical, administrative, and operational information for a hospital. Hospital systems often integrate EHR functions with inpatient workflows and services.
Data breach : An incident in which protected or confidential information is accessed, disclosed, or acquired without authorization. A compromised EHR can expose sensitive health information at scale.
Personal health record : A health record managed by an individual, who may gather information from multiple sources. Unlike provider-maintained EHRs, personal health records place control with the individual.
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