Minimum Data Set - MDS - to promote comparability and compatibility of data by using standard items
with uniform definitions
Uniform Hospital Discharge Data Set - UHDDS - uniform collections of data on inpatients
Uniform Ambulatory Core Data Set - UACDS - improve ability to compare data in ambulatory care
settings
Long Term Care - LTC - Comprehensive functional assessment of LTC patients
Resident Assessment Instrument - RAI - Comprehensive functional assessment of LTC patients
Outcome & Assessment Information Set - OASIS - Comprehensive assessment for adult home care
patients and forms the basis for measuring patients outcomes
Uniform Clinical Data Set - UCDS - Data collection utilized by peer review organizations to determine the
quality of patient care
Computer Based Patient Record - CPR
Institute of Medicine - IOM - as a record that resides in a system specifically designed to support users
by providing accessibility to complete and accurate data, alerts, reminders, clinical decision support
systems link to medical knowledge and other aids
Terminal Digital Filing - TDF - Read right to left
15-35-86
16-35-86
00-36-86
, 01-00-87
Master Patient Index - - MPI
Certified Tumor Registrar - CTR
Health Care Information and Management Systems Society - HIMSS - Provides leadership in health care
for the management of technology and management systems
Certified Professional in Health Information Management Systems - CPHIMS
Certified in Health Care Security - CHS
International Federation of Health Record Organization - IFHRO - Supports national associations and
health record professionals to improve health records
International Medical Informatics Association - IMIA - Promotes informatics in health care and
biomedical research
National Cancer Registrars Association - NCRA - Supports quality cancer data management
American Medical Informatics Association - AMIA - supports information technology professionals to
improve health care
American Association for Medical transcription - AAMT - the largest association for medical transcription
College of Health Care Information Management Executives - CHIME - Serves needs of health care chief
information officers and advocates for more effective of information management in health care
American Health Information Management Association - AHIMA
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