1up Glossary

A set of protocols, tools, and definitions that allow different software applications to communicate and interact with each other.

The process of collecting, consolidating, and organizing clinical data from multiple sources (e.g., EHRs, medical devices) into a unified repository for analysis and reporting.

The integration of clinical data from disparate sources, such as electronic health records (EHRs), laboratory systems, and imaging systems, to create a comprehensive view of patient health information.

Refers to adherence to regulations, standards, and requirements set forth by the Centers for Medicare & Medicaid Services (CMS) in healthcare operations, data management, and reimbursement.

Efforts and initiatives aimed at promoting interoperability and data exchange within the healthcare ecosystem, aligning with CMS guidelines and policies.

Computable interoperability allows real-time access to complete data sets of clinical and financial data, on a single platform. This means computing and data exchange can be enabled using the same technology rather than separate systems. With this approach, insights and communications in healthcare can happen on demand.

Measures and protocols implemented to protect healthcare data from unauthorized access, breaches, or misuse, ensuring compliance with regulatory requirements such as HIPAA (Health Insurance Portability and Accountability Act).

Electronic measures used to assess and monitor healthcare quality and outcomes. These measures are defined in structured digital formats and are often used for reporting and analyzing data related to patient care, treatment effectiveness, and healthcare performance.

The integration of Application Programming Interfaces (APIs) with Electronic Health Record (EHR) systems to enable seamless data exchange, workflow automation, and interoperability with other healthcare applications.

The process of integrating electronic health record (EHR) data from different systems or sources to create a unified and comprehensive view of patient information for healthcare providers.

An Application Programming Interface (API) designed for integrating external systems, applications, or services with Electronic Health Record (EHR) platforms to facilitate data exchange and interoperability.

An electronic version of a patient’s medical history, maintained by the provider over time. It includes key administrative and clinical data relevant to that person’s care under a particular provider, such as demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports.

A digital process for obtaining approval from insurance providers (payers) before certain medical procedures, treatments, or services are performed, streamlining the authorization workflow.

The integration of Electronic Medical Record (EMR) systems with other healthcare IT systems, applications, or devices to enable data sharing, interoperability, and workflow optimization.

A set of rules and specifications for exchanging electronic health care data, developed by HL7 (Health Level Seven International). It is designed to be flexible and adaptable, so that it can be used in a wide range of settings and with different health care information systems.

An Application Programming Interface (API) based on the Fast Healthcare Interoperability Resources (FHIR®) standard, used for exchanging healthcare data and facilitating interoperability between systems.

The ability of systems or applications to exchange and use healthcare data in a standardized and interoperable format following the Fast Healthcare Interoperability Resources (FHIR®) standards.

A platform that leverages the Fast Healthcare Interoperability Resources (FHIR®) standard for managing and exchanging healthcare data in a structured and interoperable format.

The seamless exchange and sharing of healthcare data between different systems, applications, or entities using the Fast Healthcare Interoperability Resources (FHIR®) standard.

A software platform or system that supports the implementation, management, and utilization of Fast Healthcare Interoperability Resources (FHIR®) for healthcare data exchange and interoperability.

Companies or organizations that provide products, services, or solutions related to the implementation, adoption, and utilization of the Fast Healthcare Interoperability Resources (FHIR®) standard in healthcare settings.

The ability of healthcare systems, devices, and applications to exchange, integrate, and use health-related data efficiently and securely across the healthcare ecosystem.

A platform that manages, integrates, and analyzes health-related data from various sources, supporting data-driven insights, decision-making, and healthcare delivery.

The electronic sharing of healthcare information among different healthcare organizations, enabling seamless access to patient data across systems and locations.

A global nonprofit organization that develops standards and protocols for the exchange, integration, and sharing of electronic health information, including the Fast Healthcare Interoperability Resources (FHIR®) standard.

The process of collecting and combining healthcare data from various sources, such as EHRs, medical devices, and patient-generated data, for analysis, reporting, and decision-making.

Refers to adherence to regulatory requirements, standards, and best practices for managing, storing, and exchanging healthcare data while ensuring data security, privacy, and confidentiality.

The process of combining and harmonizing healthcare data from different sources into a unified format for analysis and decision-making.

The ability of healthcare systems, applications, and devices to exchange and use healthcare data seamlessly, promoting coordinated care, data sharing, and interoperable workflows.

Software applications, solutions, or platforms that facilitate the exchange, integration, and use of healthcare data across disparate systems, promoting interoperability and data-driven insights.

Companies or providers that offer software solutions, products, or services focused on promoting healthcare interoperability, data exchange, and collaboration within the healthcare industry.

IGs used in addition to the HL7 FHIR R4 conformance. The IGs add an additional layer of semantic standardization for specific use cases. The IG defines requirements in addition to R4 format and conformance. The added IGs are essential for syntactic and semantic interoperability standards.

The ability of different information systems, devices, or applications to connect, communicate, and exchange data in a coordinated manner.

A non-profit organization in the U.S. that works to improve healthcare quality through measurement, transparency, and accountability. NCQA develops standards and measures for assessing and accrediting healthcare organizations, health plans, and medical practices based on quality performance and patient outcomes.

A part of the U.S. Department of Health and Human Services (HHS), the NIH is the nation’s medical research agency, supporting and conducting biomedical and health-related research to advance scientific knowledge and improve healthcare outcomes.

The principal federal entity in the U.S. charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information.

An Application Programming Interface (API) designed to enable patients to access their healthcare data, such as medical records, test results, and treatment information, using the Fast Healthcare Interoperability Resources (FHIR®) standard.

An Application Programming Interface (API) that enables healthcare payers to exchange data and information with other payers, promoting interoperability and collaboration in the healthcare ecosystem.

The process of exchanging healthcare data between different healthcare payers (insurance providers) to support various operations, such as claims processing, member enrollment, and care management.

Data related to the health outcomes, characteristics, and behaviors of a specific population or group, used for assessing health trends, identifying risk factors, and improving healthcare delivery.

The process of obtaining approval from insurance providers (payers) before certain medical procedures, treatments, or services are performed, ensuring coverage and reimbursement.

An Application Programming Interface (API) that enables healthcare providers to access and retrieve patient data from healthcare systems, facilitating interoperability and data exchange.

An application programming interface (API) that conforms to the constraints of the REST architectural style and allows for interaction with RESTful web services. REST stands for representational state transfer and was created by computer scientist Roy Fielding.

A method or tool that allows querying and accessing FHIR data using SQL (Structured Query Language) queries, enabling efficient data retrieval and analysis.

Common payer language for clinical data used in quality measures for accreditation. The data that falls into this category is the US Core (Implementation Guide for USCDI).

Outlines a common set of principles, terms, and conditions to support the development of a Common Agreement that would help enable nationwide exchange of electronic health information (EHI) across disparate health information networks (HINs).

A cabinet-level department in the U.S. government that oversees various healthcare-related programs, policies, and regulations, including healthcare technology and interoperability initiatives.

A standardized set of health data elements identified by ONC for electronic health information exchange and interoperability, including clinical, administrative, and demographic data.