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Jazz > HIS LEC 1.2 > Flashcards

HIS LEC 1.2 Flashcards

1
Q

four key functions of Health information system

A

data generation
compilation of data
analysis and synthesis of data
communication and use of dat

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2
Q

collects data from the health sector and other relevant sectors

A

data generation

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3
Q

collects data from the health sector and other relevant sectors

A

data generation

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4
Q

ensures their overall quality, relevance and timeliness converts data into information

A

analysis and synthesis of data

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5
Q

in most helath care venues, it is employed between various dapartments

A

multiple software products

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6
Q

The exchange of information between the computer and the user

A

interface

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7
Q

interface specification should include

A

• what data will be transferred,
• where data will be transferred,
• when data will be transferred,
• Security and encryption considerations.

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8
Q

contribute to the overall effectiveness of the computer support of laboratory operations.

A

interfaces

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9
Q

contribute to the overall effectiveness of the computer support of laboratory operations.

A

interfaces

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10
Q

pass patient information between computers without direct human intervention.

A

interfaces

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11
Q

Interfacing of the —— and —– allows the test result to be entered directly into the computer information system or LIS

A

laboratory computer
analytical testing instrument

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12
Q

transferred directly over a single wired or wirelessinter face.

A

test result data

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13
Q

transmits or uploads results;

A

unidirectional interface

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14
Q

for the reception of uploaded information from an instrument.

A

bidirectional interface

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15
Q

for simultaneous transmission or downloading of information.

A

bidirectional interface

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16
Q

for simultaneous transmission or downloading of information.

A

bidirectional interface

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17
Q

LIS is often interfaced with

A

HIS

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18
Q

allows electronic communication between two computers

A

interfacing

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19
Q

allows electronic communication between two computers

A

interfacing

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20
Q

HIS manages

A

• patient census
• information and demographics
• systems for billing,
• process and store patient medical information.

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21
Q

HIS manages

A

• patient census
• information and demographics
• systems for billing,
• process and store patient medical information.

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22
Q

interfacing of the HIS and the laboratory computer facilities

A

• the exchange of test request orders,
• return of analytical results (the laboratory report),
• charges for the tests ordered and reported.

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23
Q

• When the data are verified, nurses or physicians in the patient care areas can retrieve results through —-

A

terminals and printers

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24
Q

• A well-designed, easily accessible HIS-LIS database offers significant improvements in:

A

• medical record-keeping,
• patient care planning,
• budget planning,
• general operations management tasks

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25
Q

all those involved with specimen collection, processing, and testing must use the —– correctly

A

required paperwork and database

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26
Q

all those involved with specimen collection, processing, and testing must use the —– correctly

A

required paperwork and database

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27
Q

information exchange will include?

A

laboratory requisition
laboratory directory
computer database
laboratory report

28
Q

form used by a physician (or other qualified healthcare professional) to document the tests that are to be performed for a patient

A

laboratory requisition

29
Q

The form is filled out by the healthcare provider who orders the test or by the provider’s office staff.

A

laboratory requisition

30
Q

The form is filled out by the healthcare provider who orders the test or by the provider’s office staff.

A

laboratory requisition

31
Q

must be complete with various data linking the patient to the tests ordered and must provide billing information for that patient.

A

lab requisition

32
Q

The laboratory staff will use this to enter the orders into their database for the patient, and the form is often used for reimbursement procedures as well.

A

lab requisition

33
Q

Standardized information present on all requisitions for testing and reimbursement purposes:

A

• Patient demographic information, including name, address, phone number, and birth date
• Patient gender
• Complete patient insurance and billing information
• Date and time of collection, and identification of the person who performed the collection
• Documentation of how the results are to be relayed to the healthcare provider who ordered the tests, and documentation of any other practitioner who is to receive a copy of the results
• Appropriate diagnostic information in the form of an ICD-9 (International Classification of Diseases) code to allow for reimbursement for the test ordered
• Test selection, clearly marked with a check, circle, or X in the appropriate area on the requisition. Tests may also be written in if they are not preprinted on the requisition used.
• Any additional comments that may assist with the ordering or interpretation of the test.

34
Q

numeric indicator for the diagnosis or symptom associated with the laboratory test ordered

A

ICD-9 or international classification of disease

35
Q

important for positive patient identification, but also for billing purposes.

A

patient information

36
Q

details needed for parient information

A

Patient Name
Sex
Mailing Address
Social Security Number
Date of Birth
Daytime Phone Number

37
Q

ordering physicians must provide complete information, including the ___ and/or ____, the first time a specimen is submitted

A

NPI number
UPIN number

38
Q

is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard

A

national provider identifier (NPI)

39
Q

unique identification number for covered health care providers

A

NPI

40
Q

contains selected information on physicians,

A

Unique Physician Identification N umber (UPIN ) Directory

41
Q

One billing option must be checked. If no information is provided, the patient will be billed directly.

A

billing information

42
Q

often overlooked piece of information.

A

specimen information

43
Q

Don’t forget to indicate all tests being ordered on the Test Requisition

A

test selection

44
Q

consist of a group of tests that are designed to indicate a problem with a specific organ system disease process.

A

panels or profiles

45
Q

a five-digit procedure code which is necessary for reimbursement purposes.

A

common Procedural Technology (CPT) Code

46
Q

This information is valuable as a quick reference for the phlebotomist when collecting the specimen.

A

CPT

47
Q

information about what type of tube to use for a blood draw for a specific test by using a code or symbol.

A

laboratory directory

48
Q

does not include information about how to process and store the specimen or the minimum volume for the test ordered.

A

lab requisition

49
Q

• It also does not include information about how often the laboratory performs that specific analysis

A

laboratory requisition

50
Q

A computer database of specific information about tests that are performed by that laboratory.

A

laboratory directory

51
Q

may also be provided in a book format, which can be consulted by facilities that do not have Internet access.

A

laboratory directory

52
Q

also known as a directory of services

A

laboratory directory

53
Q

laboratory directory provides the information:

A

• The internal test number used to enter the test order into the database
• CPT five-digit code used for reimbursement for that test
• Related information if there is more than one place within the directory where the test is addressed
• Acronyms or abbreviations that may be listed on the requisition for that test,or perhaps used to order the test in the computer system for that laboratory
• The type of specimen required and, in some cases, the type or color of tubes to use for the blood draw or identification of the additives that must bepresent in the tubes
• The requested specimen volume and the minimum acceptable specimen volume
• Collection notes and specific requirements necessary for some tests
• Storage instructions for the specimen after collection and during
• Transportation (room temperature, frozen, refrigerated, etc.) • Reference ranges (also known as normal ranges) for the test ordered
• Clinical significance and interpretation of the test results
• Testing intervals/frequency and testing locations

54
Q

the employee whi is performing the collection must document:

A

two unique identifiers for the patient
employee ID
date of collection
time of collection

55
Q

organized collection of structured information, or data, typically stored electronically in a computer syste

A

database

56
Q

Any collection of data or information specially organized for rapid search and retrieval by a computer.

A

computer database

57
Q

structured to facilitate data storage, retrieval, modification, and deletion in conjunction with various dataprocessing operations.

A

Database

58
Q

The laboratory report document will list the:

A

• results for the tests performed,
• the reference ranges (also known as normal ranges)

59
Q

results expected in the general healthy population 95% of the time for a particular laboratory test.

A

reference range

60
Q

necessary (instead of a specific value) because of differences in the population due to age, race, and gender.

A

reference range

61
Q

will be present on the laboratory report for all results outside the expected reference range for that patient, based on demographics, the testing method, and the test ordered.

A

notation

62
Q

this information must be provided whenever a sample is collected.

A

gender and age of the patient

63
Q

The laboratory report will also include the:

A

• date and time of the specimen collection,
• the name and identification number for the patient,
• the name and address of the laboratory where the test was performed.
• The specimen source is identified,
• the date and time the report was generated

64
Q

may be hand-delivered to the ordering healthcare provider by a medical assistant within an office or via a courier service from a reference laboratory

A

lab report

65
Q

They may also be faxed, mailed, or in some cases, transmitted via e-mail.

A

lab report

66
Q

may also be available online through a dedicated laboratory link so the provider can view the results onsite.

A

laboratory reports

67
Q

legal documents that become part of the patient’s health record

A

laboratory report

Jazz (23 decks)

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