Electronic Health Records- Exam 1

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question
Which of the following is true about the login you use for the Student Edition software?
answer
It is unique to you.
question
Which of the following is the Medcin tab that is used for \"treatments\"?
answer
Rx
question
Which of the following statements about imported text data is false?
answer
The text data is codified by the EHR once it has been imported.
question
The Sx tab on the Nomenclature Pane is associated with which component of the SOAP format?
answer
Subjective
question
Which of the following is not an example of a function menu in the Student Edition software?
answer
Encounter
question
When using the Student Edition software, what is the first step in every encounter once you have logged in?
answer
Selecting a patient
question
Which of the following is an example of a digital image that may be part of an electronic medical record?
answer
Annotated drawings
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Which of the following is an example of trend analysis provided by an EHR?
answer
A graph showing a patient's cholesterol levels over time
question
You receive a letter in the mail from the pediatrician saying that your child is due to receive certain immunizations. This is an example of which functional benefit of codified EHR data?
answer
Health maintenance
question
Why is the first item in each drop-down list within the Entry Details fields a blank?
answer
To clear certain Entry Details fields
question
A text file would be produced for upload to an EHR in which of the following examples?
answer
A medical transcriptionist types exam notes using a word processor.
question
A patient tells you that he has been having back pain for over a month. Later in the exam, he remembers the pain seems to be getting worse. How would you record this finding information in the EHR?
answer
Back pain, chronic/recurring, episodes recently worse
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What is the main purpose of an EHR system that is based on the MEDCIN nomenclature?
answer
To document clinical notes in a codified electronic medical record
question
Which of the following is the Medcin tab that is used for \"tests performed\"?
answer
Tx
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Which of the following best defines the term eligible professional?
answer
A health care provider who is considered entitled to receive incentive payments under the HITECH Act.
question
Which of the following is an example of a result finding?
answer
Normal urine protein
question
Both the IOM and CPRI share which of the following EHR criteria recommendations?
answer
Provision of decision support
question
Which of the following certifies an EHR system?
answer
ONC-ATCB
question
Which of the following statements is not true about an encounter note?
answer
It is a longitudinal record of the care a patient has received.
question
In which section of the Student Edition software is the Hx tab located?
answer
Medcin Nomenclature Pane
question
Which of the following is not considered part of the workflow in a medical office that uses an EHR system?
answer
The physician dictates her exam notes at the conclusion of the patient encounter
question
Your medical office is implementing an EHR system and needs to add numerous paper charts into the new document/image system. The best course of action would be to:
answer
import the word processing files from any transcribed dictation as text records.
question
One drawback of using an EHR on a tablet PC that is not a problem on a laptop is that it:
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lacks a keyboard.
question
Which of the following is considered an optional, rather than a core, meaningful objective for hospitals when fulfilling the CMS meaningful use criteria?
answer
Drug formulary checks
question
You are viewing findings in the Medcin Symptoms tab and notice that \"facial twitching\" has neither a small plus sign nor a small negative sign beside it. What does this mean?
answer
This is the most specific finding available for symptom.
question
Jenna has a penicillin allergy. Which of the following alerts in an EHR would detect this allergy?
answer
DUR
question
Which of the following statements about electronic health records is true?
answer
The HITECH Act is promoting the widespread adoption of electronic health records
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Which of the following is a characteristic of an EHR system used by a medical office?
answer
It is the principal electronic medical record.
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Where within the Student Edition software can you locate a finding associated with its appropriate ICD-9-CM code?
answer
Outline View
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An insurance billing code represents a:
answer
service that was rendered.
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Which of the following statements is true about discrete data that is stored in an EHR system?
answer
It requires little storage space.
question
You are trying to locate the patient Robert Smith in the Student Edition Patient Selection window. Which of the following would be the quickest way to locate his record?
answer
Entering the patient's last name, followed by R
question
Which of the following is the best definition of electronic health records?
answer
The portions of a patient's medical records that are stored in a computer system as well as the functional benefits derived from having an electronic health record
question
An alert that warns a physician that a brand name drug is not covered by a patient's insurance plan is an example of a(n):
answer
formulary alert.
question
The ONC developed which of the following strategies to meet their goal of informing clinical practice?
answer
Promoting EHR diffusion in rural and underserved areas
question
Which of the following would not be considered a benefit of patient-entered data?
answer
The patient can review and make corrections to previous entries made by medical staff.
question
Which of the following is not an advantage of the free-text entry window?
answer
The text entered in this window is stored as fielded data.
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