Assignment #2-vocab cards (11-6-2026)

21st century Cures Act

designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently

Alphabet filing

Arranging of names or titles according to the sequence of letters in the alphabet

Chief Complaint

the main reason for the patient's visit

chronological order

the order in which events happen in time

Clearinghouses

provide goods and services at a stated price and arrange for the delivery of the goods, but they never take title

Covered Entity

A health plan, a healthcare clearinghouse, or a healthcare provider who transmits any health information in electronic form in connection with a transaction

Cross-reference

Text that electronically refers the reader to another part of the document such as a numbered paragraph, a heading, etc.

Demographic data

statistics about the numbers and characteristics of people living in an area

EHR Incentive Programs

a program established by the Centers for Medicare and Medicaid Services to provide incentive payments to eligible providers who show they are using electronic health records in a meaningful way

Electronic Health records

Digital version of patients' paper charts.

Flow Sheet

graphic record of abbreviated aspects of the patient's condition (e.g., vital signs, routine aspects of care)

HITECH Act

Health Info Technology for Economic & Clinical Health Act. Part of ARRA. Additional privacy regulations on top of HIPAA, breach notification rules & stiffer civil and criminal penalties for security violations

Medical History

complete and comprehensive information about your immunizations and any health problems you have had to date

Medical history forms

Record containing information about a patients past and present health status

microfiche

miniaturized photographs of records

microfilm

film of very small size

narrative

The telling of a story or an account of an event or series of events.

numeric filing

The filing of records, correspondence, or cards by number.

present illness

The chief complaint, written in chronologic sequence, with dates of onset.

problem-oriented medical record (POMR)

A record organized according to a patient's specific health problems. Four major parts - (1) Database, (2) Problem list, (3) The initial plan, (4) Progress Notes

Protected Health Information (PHI)

Any information about health status, provision of health care, or payment for health care that can be linked to an individual. This is interpreted rather broadly and includes any part of a patient's medical record or payment history.

Reverse Chronological Order

Arranging documents with the most recent document on top or in the front, which means that the oldest document is on the bottom or at the back of a section or file.

SOAP

subjective, objective, assessment, plan

Source-Oriented Medical Record (SOMR)

a type of patient chart record keeping that includes separate sections for different sources of patient information, such as laboratory reports, pathology reports, and progress notes.

Subject filing

Either an alphabetic or alphanumeric code is assigned to general correspondence.

Workers' compensation

A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment.