Chapter 5 Quiz Flashcards
From 1970 to 1980, the term _______ was used to describe early attempts at medical record automation.
a. automated medical records
b. computerized medical record
c. patient health record
d. personal health record
B
Maria Jones’s medical record includes records from different episodes of care, providers, and facilities, which are linked to form a view, over time of her health encounters. This type of medical record is called a:
a. comprehensive patient record.
b. computer based patient record.
c. longitudinal patient record.
d. Patient historical record
C
Which of the following is a DISADVANTAGE of manual medical records?
a. low start up costs
b. record linkage
c. simplified staff training
d. timely capture of information
D
The electronic or paper based medical record that is maintained and updated by an individual for personal use is called a
a. patient health record
b. patient medical record
c. personal health record
d. personal medical record
C
Samantha smith, HIM manager, is transitioning a manual patient record system to an electronic health record system by capturing existing paper record images in an electronic storage media. The most effective approach to accomplish this would be to:
a. Entirely recreate the manual health information in the electronic health information system.
b. Exclude manual patient records information from the electronic health record system.
c. Keyboard all manual patient record system data into the electronic health record.
d. Scan existing paper record images using a scanner to create an electronic record.
D
The standards development organization that creates electronic health record standards under the direction of the U.S. Department of Health and Human Services is called: a. AHIMA b. AMA c. CMS d HL7
D
Which of the following statements are false?
a. Electronic health records systems are advantageous beacuase there is no requirement for downtime.
b. Facilities need to clearly define their legal record so as to respond to various requests for an entire patient’s record when an electronic health record system is implemented
c. Implementation of each electronic health record system is based on information needs, budget, existing automated systems, and other factors unique to the organization.
d. No two facilities have the same electronic health record system
A
Raw facts that are not interpreted or processed, such as numbers,letters,images, symbols, and sounds are called
a. characters
b. data
c. fields
d. information
B
Which of the following is NOT an administrative application of than electronic health record system?
a. admission/discharge/transfer and registration
b. business and financial functions
c. medication administration record documentation
d. payroll applications
C
The functions of electronic health record (EHR) ______ applications include ordering x-ray tests, creating MRI/CT images, and reporting X-ray test results.
a. laboratory
b. nursing
c. pharmacy
d. radiological
D
Which of the following statements is true?
a. A record contains more data than a file.
b. Information is data that has been given meaning.
c. Information is raw facts
d. The first letter of a person’s last name represents a field.
B
