CHAPTER 5 PRETEST Have the students answer these questions p
CHAPTER 5 PRETEST
Have the students answer these questions prior to covering this chapter to understand where they stand in relation to the content.
1)In a paper and hybrid health record environment, preparation for disaster recovery includes locating and researching ____________ ____________.
2)____________ ____________ is an important attribute to consider when purchasing a digital image scanner?
3)The purpose of a ____________ ____________ ____________ ____________ is to document where the record is at the current time.
4)When one medical record number is assigned to a patient during the first encounter and is used for all future encounters, this is called ____________ ____________.
5)A written description of a proposed system’s concepts is a ____________ ____________..
6)A ____________ ____________.system provides more security for the patient’s health information than an alphabetical identification system does.
7)How many primary sections are used in a terminal digit filing system? ____________
8)The purpose of a manual record requisition slip is to document where the __________ is at the current time.
9)____________ ____________ ____________ would require backshifting and reading of the number as a whole when filing.
10)Computer software that understands the user\'s speech and creates a report is known as ____________ ____________.
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Health Information: Management of a Strategic Resource, 5th Edition
Electronic Health Record Systems
Lesson 6.1
1,The is the principal repository for information concerning a patient’s health care
2,Most ambulatory care EHR applications are certified by the .
3,There is a national coordinator for health information technology who heads the ______________________________.
4,_______________________ is the science that deals with health information, its structure, and its uses.
5,_______________________ is information collected over a patient’s whole life and includes what has been done to maintain health, prevent disease, and treat illness.
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Health Information: Management of a Strategic Resource, 5th Edition
Electronic Health Record Systems
Lesson 6.2
1,When an Institute of Medicine Committee made recommendations for improving medical systems in 1991, they used the term to refer to an electronic patient record system.
2, is the organization that created E1384 Standard Practice for Content and Structure of the Electronic Health Record.
3,An is a face-to-face session of the patient with a practitioner during which information about the patient’s health status is exchanged.
4,In an EHR system, the application initiates or updates basic demographic data, establishes and tracks the location or service of the patient, and feeds data to other systems such as billing or the laboratory.
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Health Information: Management of a Strategic Resource, 5th Edition
Electronic Health Record Systems
Lesson 6.3
1, includes the hardware, software, network, and communication resources required to support an EHR system.
2,Data standards allow data to be transferred between two or more entities or organizations in a manner that retains the meaning of the message.
3, A is a real-time database that consolidates data from a variety of clinical sources to present a unified view of a single patient.
4,A is a database that provides access to data that has been aggregated for analysis purposes.
5,A is a set of terms representing the system of concepts of
a particular subject or field.
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Health Information: Management of a Strategic Resource, 5th Edition
Electronic Health Record Systems
Lesson 6.4
1, of care creates the business record for the provider and must be completed at or near the time of service.
2, is the process of identifying the source of health record entries by attaching a handwritten signature, the author’s initials, or an electronic signature.
3, means that documentation of a service or event or clinical order or observation about care is accomplished by the clinician who provided the service, participated in the event or created the clinical order or made the observation entering the data/information by keyboarding, clicking a mouse, using voice recognition, or touching a screen.
4,With , paper records can be transferred into digital form with image scanning, optical recognition, or a combination of the two.
5, is a process by which a system captures health information directly from a medical device such as an electrocardiogram or thermometer.
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Health Information: Management of a Strategic Resource, 5th Edition
Electronic Health Record Systems
Lesson 6.5
1, is saving different iterations of the same documents.
2,A is a pattern used in computer-based patient records to capture data in a structured manner.
3, is the right of individuals to control disclosure of their personal information.
4, is an ethical and a legal concept endorsed by health professionals to meet the expectation of patients that their information, when provided to an authorized user, will not be redisclosed or misused.
5, refers to the technical and procedural methods by which access to condential information is controlled and managed.
| 6 | Health Information: Management of a Strategic Resource, 5th Edition Electronic Health Record Systems |
Solution
1. Restoration Specialists. A restoration specialists is responsible providing emergency repair. Hence, a recovery must include locating and researching the specialists.
2. Page speed. Higher page speed means more pages will be scanned in a less time thus increasing the productivity.
3. Manual record requisition slip. For an efficient record management system, there should be methods of finding the location of the patient\'s record.
4. Unit numbering system. The same single medical record is provided where all his data gathered and provided to the patient.


