PT Glossary
| SaaS (Software as a Service) |
is a model of software deployment typically offered through a subscription where the user accesses the application on demand an application from a provider and the software is delivered on demand |
| Scalable |
refers to how well software and/or hardware can adapt to an increase in demand and activity |
| Security |
a system can only perform actions that are allowed by a specified user |
| Sever-based or Client-server |
information is requested via a client program that sends a request to the server. The request is processed and sent back to the client program. The client program and the server must connect each time data is being transmitted. This usually requires a server to be located onsite. |
| Single Sign-on |
the ability to sign in and identify yourself to access multiple systems without needing to enter multiple user names and passwords |
| SLP |
speech language pathologist |
| SOAP Note |
a commonly used progress note format that consists of Subjective, Objective, Assessment and Plan sections |
| Social History |
a patient's social habits and history including marital status, alcohol and drug use and exercise habits |
| Subjective |
the section in a documentation note where a patient's description of their current problem is documented. Consists of chief complaint, HPI and ROS. |
| Superbill (also known as an encounter form, route slip or fee slip) |
a paper charge capture tool used to document coding for a specific patient visit. It is a printed form with patient information at the top, and a subset of the provider's/practice's most commonly used ICD and/or CPT® codes. The form travels with the patient through the clinic. Providers check off items when they see the patient, and the form then travels to the checkout desk or billing office where the codes are entered into the billing system. |
| Supervising Provider |
the physician responsible for supervising patient care for a mid-level |
| Sx (symptoms) |
the sensation or function the patient describes as experiencing |
| System Administrator |
the EMR user or user group he user group that has the highest security level |
