Information Retention and Access Flashcards
What is a Terminal Digit filing system?
A system of health record identification and filing in which the last digit or group of digits in the health record number determines file placement.
What is a Straight Numeric filing system?
A health record filing system in which health records are arranged in ascending numerical order.
What is a Middle Digit filing system?
A numeric filing system in which the middle digits are used as the finding aid to organize the filing system.
What is the Patient Self Determination Act?
The federal legislation that requires healthcare facilities to provide written information on the patient’s right to issue advance directives and to accept or refuse medical treatment.
True or False: Under the PSDA, advance directives are not required to be included in the health record.
True
According to Medicare’s COP’s, medical records must be held for at least how many years
Five
What is Roll Microfilm?
This format stores each document page sequentially in a long roll.
What is Jacket Microfilm?
A roll of microfilm is cut and placed into special 4 by 6 inch jackets with several sleeves to hold images.
What is Cartridge Microfilm?
A microfilm cartridge is simply roll microfilm that has been placed in a compact plastic holder, which is self-threading in compatible retrieval equipment.
What is Cassette Microfilm?
A cassette is like a cartridge in that it houses a roll of microfilm but different in that it contains both a feed and take-up reel.
What is a Serial Numbering System?
Patients are assigned a different but unique numerical identifier for every admission.
What is a Unit Numbering System?
The patient receives a unique medical record number at the time of the first encounter and is used for all subsequent encounters.
What is HTML?
Hypertext Markup Language, a standardized system for tagging text files to achieve font, color, graphic, and hyperlink effects on World Wide Web pages.
What is SQL?
Structured Query Language. SQL is used to communicate with a database.
What is XML?
Extensible Markup Language (XML) is a markup language that defines a set of rules for encoding documents in a format that is both human-readable and machine-readable.