Domain 1

Question 1

MPI

Answer 1

Master Person Index

Question 2

(ac·ces·sion)

Answer 2

position of rank or power

Question 3

Cancer Registry

Answer 3

Is the number assigned to each case as it is entered into a cancer registry

Question 4

ASTM

Answer 4

American Society for Testing and Materials

Question 5

EHR

Answer 5

electronic health record

Question 6

COPE

Answer 6

Computerized Provider Order Entry

Question 7

Systematized Nomenclature of Medicine Clinical Terminology

Answer 7

provides a standardized vocabulary for facilitating the development of computer-based patient records

Question 8

Subjective (S.O.A.P)

Answer 8

Subjective (S) entry relates significant information in the patient’s words or from the patient’s point of view

Question 9

PHR

Answer 9

Personal Health Record

Question 10

American College of Surgeons (ACS) in 1918

Answer 10

Establish minimum quality standards for hospitals

Question 11

RAI

Answer 11

Resident Assessment Instrument

Question 12

Ambulatory care

Answer 12

the practice of providing medical services in an outpatient setting.

Question 13

What type of health records may contain family and caregiver input?

Answer 13

Behavioral health records (Mental Health)

Question 14

Validity

Answer 14

Validity is the degree to which codes accurately reflect the patient’s diagnoses and procedures

Question 15

SNOM–ED– CT

Answer 15

Systematized Nomenclature of Medicine Clinical Terminology

Question 16

Data dictionary

Answer 16

improves data validity and reliability within, across, and outside the enterprise

Question 17

Interoperability

Answer 17

Interoperability refers to the use of standard protocols to enable two different computer systems to share data with each other