Question 1

Electronic medical record systems originated in the late 1980s and were based on imaging and the merging of data from various stand-alone systems.

Accepted Answer

A) True 
 B)False  False

Question 2

Many facilities have ____________________ quality reviews of scanned documents.

Accepted Answer

two

Question 3

Which of the following will occur in an HIM department that has an electronic record system?

Accepted Answer

A)  Filing of patients' progress notes 
B)  Pulling records for physician access 
C)  Notes that are not authenticated 
D)  Misfiled patient information 
A)  Filing of patients' progress notes 
B)  Pulling records for physician access 
C)  Notes that are not authenticated 
D)  Misfiled patient information C

Question 4

A RADT system is defined as a

Accepted Answer

A)  registration access discharge transfer system. 
B)  report access discharge transfer system. 
C)  retrieval admission discharge transfer system. 
D)  registration admission discharge transfer system. 
A)  registration access discharge transfer system. 
B)  report access discharge transfer system. 
C)  retrieval admission discharge transfer system. 
D)  registration admission discharge transfer system.

Question 5

List three fields that could be recorded on an electronic medical record screen with the heading "Patient Physical Exam."

Accepted Answer

Patient physical exam fields c

Question 6

A ____________________ is an electronic network of patient medical information gathered from multiple health care organizations in a geographical region.

Accepted Answer

regional h

Question 7

Prior to scanning the paper record, the record is prepped. List the steps that occur in the preparation.

Accepted Answer

Remove all staples, paper clip

Question 8

Nurse Flower is reviewing an electronic report of patient Katie's CBC and urinalysis. This report has most likely been generated as part of a _____ application.

Accepted Answer

A)  patient monitoring 
B)  pharmacy 
C)  laboratory 
D)  radiology 
A)  patient monitoring 
B)  pharmacy 
C)  laboratory 
D)  radiology

Question 9

The term ____________________ was used in the period 1970-1980 to describe the early medical record automation attempt.

Accepted Answer

computeriz

Question 10

The CEO of Sunny Valley Hospital has made the following statement: "I want to decide on an electronic record system and implement the system in the next four months." Assume that you are the HIM director and have to respond to the CEOs statement. Defend your response.

Accepted Answer

An electronic record system could not be

Question 11

A ____________________ is a collection of related records.

Accepted Answer

The answer of A ____________________ is a collection of related...

Question 12

Optical disk imaging uses _____ technology to create an image.

Accepted Answer

A)  microfilm 
B)  electronic 
C)  laser 
D)  ultrasound 
A)  microfilm 
B)  electronic 
C)  laser 
D)  ultrasound

Question 13

Discuss how the role of HIM professionals will change with the implementation of electronic record systems.

Accepted Answer

HIM professionals will no long

Question 14

Typically, HIM professionals are responsible for ensuring that entries are authenticated and ____________________ in electronic record systems.

Accepted Answer

The answer of Typically, HIM professionals are responsible for ensuring...

Question 15

Which of the following is a disadvantage of a manual record system?

Accepted Answer

A)  increased start-up costs 
B)  difficult to abstract information 
C)  staff training is expensive 
D)  user resistance typically occurs 
A)  increased start-up costs 
B)  difficult to abstract information 
C)  staff training is expensive 
D)  user resistance typically occurs

Question 16

The term ____________________ is used currently by the Institute of Medicine (IOM) and HL7 to describe the development of standards that relate to the exchange of clinical health information.

Accepted Answer

electronic

Question 17

Suzy Supervisor is working to transition the health information management (HIM) department from a paper system to an electronic system. Currently, each patient's record has a paper history and physical, operative report, and discharge summary, while the progress notes and medication administration records are maintained in an electronic system. This is known as a(n)

Accepted Answer

A)  personal heath record. 
B)  hybrid record. 
C)  electronic record. 
D)  automated record. 
A)  personal heath record. 
B)  hybrid record. 
C)  electronic record. 
D)  automated record.

Question 18

A group of characters forms a ____________________.

Accepted Answer

The answer of A group of characters forms a ____________________....

Question 19

Data becomes ____________________ after it is given meaning.

Accepted Answer

The answer of Data becomes ____________________ after it is given...

Question 20

List three nursing application functions.

Accepted Answer

Nursing application functions include de

Electronic medical record systems originated in the late 1980s and were based on imaging and the merging of data from various stand-alone systems.

Many facilities have ____________________ quality reviews of scanned documents.

Which of the following will occur in an HIM department that has an electronic record system?

A RADT system is defined as a

List three fields that could be recorded on an electronic medical record screen with the heading "Patient Physical Exam."

A ____________________ is an electronic network of patient medical information gathered from multiple health care organizations in a geographical region.

Prior to scanning the paper record, the record is prepped. List the steps that occur in the preparation.

Nurse Flower is reviewing an electronic report of patient Katie's CBC and urinalysis. This report has most likely been generated as part of a _____ application.

The term ____________________ was used in the period 1970-1980 to describe the early medical record automation attempt.

The CEO of Sunny Valley Hospital has made the following statement: "I want to decide on an electronic record system and implement the system in the next four months." Assume that you are the HIM director and have to respond to the CEOs statement. Defend your response.

A ____________________ is a collection of related records.

Optical disk imaging uses _____ technology to create an image.

Discuss how the role of HIM professionals will change with the implementation of electronic record systems.

Typically, HIM professionals are responsible for ensuring that entries are authenticated and ____________________ in electronic record systems.

Which of the following is a disadvantage of a manual record system?

The term ____________________ is used currently by the Institute of Medicine (IOM) and HL7 to describe the development of standards that relate to the exchange of clinical health information.

A group of characters forms a ____________________.

Data becomes ____________________ after it is given meaning.

List three nursing application functions.

Health Care Delivery Systems

Health Information Management Professionals

Health Care Settings

The Patient Record: Hospital, Physician Office, and Alternate Care Settings

Content of the Patient Record: Inpatient, Outpatient, and Physician Office

Numbering Filing Systems and Record Storage Circulation

Indexes, Registers, and Health Data Collection

Legal Aspects of Health Information Management

Introduction to Coding and Reimbursement

Filters

Exam 5: Electronic Health Records

Electronic medical record systems originated in the late 1980s and were based on imaging and the merging of data from various stand-alone systems.

Many facilities have ____________________ quality reviews of scanned documents.

Which of the following will occur in an HIM department that has an electronic record system?

A RADT system is defined as a

List three fields that could be recorded on an electronic medical record screen with the heading "Patient Physical Exam."

A ____________________ is an electronic network of patient medical information gathered from multiple health care organizations in a geographical region.

Prior to scanning the paper record, the record is prepped. List the steps that occur in the preparation.

Nurse Flower is reviewing an electronic report of patient Katie's CBC and urinalysis. This report has most likely been generated as part of a _____ application.

The term ____________________ was used in the period 1970-1980 to describe the early medical record automation attempt.

The CEO of Sunny Valley Hospital has made the following statement: "I want to decide on an electronic record system and implement the system in the next four months." Assume that you are the HIM director and have to respond to the CEOs statement. Defend your response.

A ____________________ is a collection of related records.

Optical disk imaging uses _____ technology to create an image.

Discuss how the role of HIM professionals will change with the implementation of electronic record systems.

Typically, HIM professionals are responsible for ensuring that entries are authenticated and ____________________ in electronic record systems.

Which of the following is a disadvantage of a manual record system?

The term ____________________ is used currently by the Institute of Medicine (IOM) and HL7 to describe the development of standards that relate to the exchange of clinical health information.

A group of characters forms a ____________________.

Data becomes ____________________ after it is given meaning.

List three nursing application functions.

Health Care Delivery Systems

Health Information Management Professionals

Health Care Settings

The Patient Record: Hospital, Physician Office, and Alternate Care Settings

Content of the Patient Record: Inpatient, Outpatient, and Physician Office

Numbering Filing Systems and Record Storage Circulation

Indexes, Registers, and Health Data Collection

Legal Aspects of Health Information Management

Introduction to Coding and Reimbursement

Filters