ACO: Accountable Care Organization. A group of doctors, hospitals, and other healthcare providers who come together voluntarily to provide coordinated, high-quality care to a designated group of patients.
API: Application Programming Interface. A set of definitions and protocols for building and integrating application software.
C-CDA: Consolidated-Clinical Document Architecture. A popular, XML-based markup standard that defines the structure of certain medical records to enable the better exchange of such information.
CDR: Clinical Data Registry. A clinical data registry records information about the health status of patients and the care they receive over time.
CIT: Clinical interface terminology. A tool that allows clinicians to use natural clinical language when documenting in the EHR while connecting their words to standardized, administrative codes behind the scenes.
HCC: Hierarchical Condition Category. Sets of medical codes that are linked to specific clinical diagnoses and are used by CMS as part of a risk-adjustment model that identifies individuals with serious acute or chronic conditions.
HIE: Health Information Exchange. Organizations that allow for the secure and timely exchange of protected health information (PHI) between providers, caregivers, health insurers, and other organizations that have an interest in a patient’s care.
ICD-10-CM: International Classification of Diseases, 10th Revision, Clinical Modification. A system that classifies medical diagnoses across healthcare settings based on the manual produced by the World Health Organization.
IDN: Integrated Delivery Network. Integrated delivery networks, or health systems, are organizations that own and operate a network of healthcare facilities in a defined geographic area.LOINC: Logical Observation Identifiers Names and Codes. A system used to electronically transmit vast amounts of health data, including clinical laboratory test orders and results.
ML: Machine Learning. A branch of AI and computer science which focuses on the use of data and algorithms to imitate the way that humans learn, gradually improving its accuracy.
NLP: Natural Language Processing. A branch of computer science (specifically AI – artificial intelligence) concerned with giving computers the ability to understand text and spoken words in much the same way human beings can.PGx: Pharmacogenomics. The study of how a person’s genetic profile determines their body’s responses to specific medications.
RAF score: Risk Adjustment Factor score. The risk score assigned to each patient in a risk adjustment payment model. RAF scores are used by healthcare organizations to help predict the cost of caring for a patient.
RDM: Reference Data Management. Provides the infrastructure required to establish a single source of truth, enable interoperability, and optimize analytics for regulatory and value-based programs.
SDOH: Social Determinants of Health. The non-medical factors that influence health outcomes – such as education, food insecurity, unemployment.
SNOMED CT®: Systemized Nomenclature of Medicine – Clinical Terms. A standardized, international, multilingual core set of clinical healthcare terminology that can be used in EHRs to capture, record, and share clinical data for use in healthcare organizations.
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