ToC+Glossary+of+Terms

include component="page" wikiName="siframework" page="TOC Header" This wiki page is to provide terms commonly used within the ToC WGs. The page was started by the Architecture/IR WG, but has been opened up to the larger ToC Initiative for editing. Volunteers are encouraged to add new terms, and edit existing definitions. If you have questions or comments about existing definitions, please post them to the discussion tab for feedback from others.

ToC Commonly Used Terms
The ToC RI will support the Purpose and Goals of the ToC Initiative by providing open source code to assist developers (vendors, providers, individuals, etc.) to **more efficiently create valid ToC information packages (content)**, such as [|C32 CCDs] and other Clinical Summaries being defined by the CDA Harmonization and Documentation Workgroups, that can be exchanged and understood equivalently by senders and receivers, as described in the Abstract Model. The RI will have some baseline goals, and some "stretch goals" depending on the amount of use that each component would be expected to receive. It is understood that content must be secured, transported, audited, etc., but this particular ToC Initiative, and its Reference Implementation, are focused only on **content** of the information packages.
 * = ==**A**== ||
 * = **Abstract Model** || The purpose of the Abstract Model within the context of the Architecture Workgroup is to model the Use Case. It is a mechanism that will be used to help the broad S&I community visualize the information flow between the systems that are involved in the care transitions based on the user stories that have been created. ||
 * **Access Logs** || An integrated view of who has accessed the consumer/patient’s health information for the purposes of direct or indirect patient care. ||
 * **Acute Care** || Treatment for a short period of time in which the patient is treated for a brief episode of illness. Acute Care is generally associated with care in a short term facility which is usually a non-emergency department setting. ||
 * **AHIC** || American Health Information Community; a federal advisory body chartered in 2005, serving to make recommendations to the Secretary of the U.S. Department of Health and Human Services in regards to the development and adoption of health information technology. ||
 * **Ancillary Entities** || Organizations that perform auxiliary roles in delivering healthcare services. They may include diagnostic and support services such as laboratories, imaging and radiology services, and pharmacies that support the delivery of healthcare services. These services may be delivered through hospitals or through free-standing entities. ||
 * = **APoR** || Attending Physician of Record - physician that reviews the patient's discharge summary at time of discharge (per user story/scenario 1 - setting 1) ||
 * = ==**B**== ||
 * = ==**C**== ||
 * **Care Coordination** || Functions that help ensure that the patient’s needs and preferences for health services and information sharing across people, functions, and sites are met over time. ||
 * **Care Coordinators** || Individuals who support clinicians in the management of health and disease conditions. These can include case managers and others. ||
 * = **CCD** || **Continuity of Care Document** - is an XML based markup standard intended to specify the encoding, structure and semantics of a patient summary clinical document for exchange (this is accomplished through a standard mechanism called XSD) ||
 * = **CCR** || **Continuity of Care Record** - is a patient health summary standard. It is a way to create flexible documents that contain the most relevant and timely core health information about a patient, and to send these electronically from one caregiver to another. It contains various sections such as patient demographics, insurance information, diagnosis and problem list, medications, allergies and care plan. These represent a "snapshot" of a patient's health data that can be useful or possibly lifesaving, if available at the time of clinical encounter. ||
 * = **CDA** || Clinical Document Architecture - an XML based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange ||
 * = **CIM** || A **Clinical Information Model** is a conceptual definition of the discrete structured clinical information that is used in a clinical context. The model defines the data elements, attributes, possible values and types of attributes that are needed to convery the clinical reality in a fashion that is understandable to both clinical domain experts and modelers. These models have the potential for being used as part of electronic health information exchange including EMR's, EHR's, Telehealth applications, medical devices, analytics, decision support among others. ||
 * **Clinical Support Staff** || Individuals who support the workflow of clinicians. ||
 * **Clinicians** || Healthcare providers with patient care responsibilities, including physicians, advanced practice nurses, physician assistants, nurses, psychologists, pharmacists, and other licensed and credentialed personnel involved in treating patients. ||
 * **Consultation** || Meeting of two or more clinicians to evaluate the nature and progress of disease in a particular patient and to establish diagnosis, prognosis, and therapy. ||
 * **Consumers** || Members of the public that include patients as well as caregivers, patient advocates, surrogates, family members, and other parties who may be acting for, or in support of, a patient receiving or potentially receiving healthcare services. ||
 * = ==**D**== ||
 * = **Data Element Group** || The logical grouping of a set of data elements. In the case of ToC, each Data Element Group represents a "core: data concept with the Transition of Care. Some examples include: Active Medication List, Active Problem List and Patient Demographics. ||
 * = **Data Element Set** ||  ||
 * = ==**E**== ||
 * **Electronic Health Record (EHR)** || An electronic, cumulative record of information on an individual across more than one healthcare setting that is collected, managed, and consulted by professionals involved in the individual's health and care. This EHR description encompasses similar information maintained on patients within a single care setting (a.k.a., Electronic Medical Record (EMR)). ||
 * **Electronic Health Record (EHR) System Suppliers** || Organizations which provide specific EHR solutions to clinicians and patients such as software applications and software services. These suppliers may include developers, providers, resellers, operators, and others who may provide these or similar capabilities. ||
 * = **ELINCS** || EHR-Lab Interoperability and Connectivity Specification ||
 * = **EP** || Eligible Professional ||
 * = ==**F**== ||
 * = **FHIM** || **Federal Health Information Models** - The FHIM working group (comprised of many of the Federal agencies) shares the single goal of achieving whole health interoperability. In order to achieve this goal, the working group is developing information models, terminology models, security and privacy frameworks, as well as information exchange frameworks - along with other aspects required to fully elaborate a structure that will attain the desired electronic health record interoperability. ||
 * = ==**G**== ||
 * **Geographic Health Information Exchange/Regional Health Information Organizations** || A multi-stakeholder entity, which may be a free-standing organization (e.g., hospital, healthcare system, partnership organization) that supports health information exchange and enables the movement of health-related data within state, local, territorial, tribal, or jurisdictional participant groups. Activities supporting health information exchanges may also be provided by entities that are separate from geographic health information exchanges/Regional Health Information Organizations including integrated delivery networks, health record banks, and others. ||
 * = ==H== ||
 * **Health Information Exchange (HIE)** || An electronic network for exchanging health and patient information among healthcare delivery organizations, according to specific standards, protocols, and other agreed criteria. These functional capabilities may be provided fully or partially by a variety of organizations including free-standing or geographic health information exchanges (e.g., Regional Health Information Organizations (RHIOs)), integrated care delivery networks, provider organizations, health record banks, public health networks, specialty networks, and others supporting these capabilities. This term may also be used to describe the specific organizations that provide these capabilities such as RHIOs and Health Information Exchange Organizations. ||
 * **Healthcare Payers** || Insurers, including health plans, self-insured employer plans, and third party administrators, providing healthcare benefits to enrolled members and reimbursing provider organizations. ||
 * = **HIPAA** || Health Insurance Portability & Accountability Act of 1996 ||
 * = **HITSP** || The American National Standards Institute (ANSI) Healthcare Information Technology Standards Panel; a body created in 2005 in an effort to promote interoperability and harmonization of healthcare information technology through standards that would serve as a cooperative partnership between the public and private sectors. ||
 * = ==I== ||
 * = **IR** || Implementation Requirements ||
 * = ==J== ||
 * = ==K== ||
 * = ==L== ||
 * **Laboratories** || A laboratory (often abbreviated lab) is a setting where specimens are sent for testing and analysis are resulted, and then results are communicated back to the requestor. The types of laboratories may include clinical/medical, environmental, and veterinarian, and may be both private and/or public. ||
 * = **LOINC** || **Logical Observation Identifiers Names and Codes (LOINC)** is a [|database] and universal standard for identifying medical laboratory observations. It was developed and is maintained by the [|Regenstrief Institute], a US non-profit medical research organization, in 1994. LOINC was created in response to the demand for an electronic database for clinical care and management and is publicly available at no cost. ||
 * = **LRI** || Lab Results Interface ||
 * = ==M== ||
 * = ==N== ||
 * = **NCPDP** || National Council for Prescription Drug Program - is a non-profit ANSI - accredited standards development organization representing virtually every sector of the pharmacies services industry. ||
 * = **NIST** || National Institute of Standards and Technology ||
 * = **NwHIN** || Nationwide Health Information Network ||
 * = ==O== ||
 * = **OMG** || [|**Object Management Group**] is a consortium which develops enterprise integration standards for a wide range of technologies including Analysis & Design, Architecture-Driven Modernization and Middleware for a large range of industries including Healthcare. ||
 * **ONC** || Office of the National Coordinator for Health Information Technology; serves as the Secretary’s principal advisor on the development, application, and use of health information technology in an effort to improve the quality, safety, and efficiency of the nation's health through the development of an interoperable harmonized health information infrastructure. ||
 * = ==P== ||
 * **Patients** || Members of the public who receive healthcare services. For hospice providers, the patient and family are considered a single unit of care. Synonyms used by various healthcare fields include client, resident, customer, patient and family unit, consumer, and healthcare consumer. ||
 * = **PCP** || Primary Care Physician ||
 * **Personal Health Record** || A health record that is initiated and maintained by an individual. An ideal PHR would provide a complete and accurate summary of the health and medical history of an individual by gathering data from many sources and making this information accessible online to anyone who has the necessary electronic credentials to view the information. ||
 * = **Pharmacies** || Entities that exist that are experts on drug therapy and are the primary health professionals who optimize medication use to provide patients with positive health outcomes ||
 * **Provider** || An individual clinician in a care delivery setting who requests or accepts the transfer of the clinical summary for the purposes of delivering care. ||
 * **Provider Organizations** || Organizations that are engaged in or support the delivery of healthcare. These organizations could include hospitals, ambulatory clinics, long-term care facilities, community-based healthcare organizations, employers/occupational health programs, school health programs, dental clinics, psychology clinics, care delivery organizations, pharmacies, home health agencies, hospice care providers, and other healthcare facilities. ||
 * = ==R== ||
 * **Registries** || Organized systems for the collection, storage, retrieval, analysis, and dissemination of information to support health needs. This also includes government agencies and professional associations which define, develop, and support registries. These may include emergency contact information/next of kin registries, patient registries, disease registries, etc. ||
 * = **RI** || The purpose of the **Reference Implementation** is to support the S&I Initiative by providing open source code to assist developers (vendors, providers, individuals, etc.) to more efficiently implement concepts associated with the specific S&I Initiative. ||
 * = ==S== ||
 * = **Source** || The person or entity creating the information to be sent. ||
 * = **SNOMED** || Systemized Nomenclature of Medicine - is a systematically organised computer processable collection of [|medical terminology] covering most areas of clinical information such as diseases, findings, procedures, microorganisms, pharmaceuticals etc. ||
 * = ==T== ||
 * = **ToC** || Transition of Care ||
 * = ==U== ||
 * = **UCUM** || Unified Code for Units of Measure is a system of codes for unambiguously representing measurement units to both humans and machines. ||
 * = ==V== ||
 * = ==W== ||
 * = ==X== ||
 * = ==Y== ||
 * = ==Z== ||
 * = ==S== ||
 * = **Source** || The person or entity creating the information to be sent. ||
 * = **SNOMED** || Systemized Nomenclature of Medicine - is a systematically organised computer processable collection of [|medical terminology] covering most areas of clinical information such as diseases, findings, procedures, microorganisms, pharmaceuticals etc. ||
 * = ==T== ||
 * = **ToC** || Transition of Care ||
 * = ==U== ||
 * = **UCUM** || Unified Code for Units of Measure is a system of codes for unambiguously representing measurement units to both humans and machines. ||
 * = ==V== ||
 * = ==W== ||
 * = ==X== ||
 * = ==Y== ||
 * = ==Z== ||
 * = ==X== ||
 * = ==Y== ||
 * = ==Z== ||
 * = ==Y== ||
 * = ==Z== ||
 * = ==Z== ||
 * = ==Z== ||

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