Ehr Final Exam

36 Questions  I  By Mearley
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EHR Sanderson Chapters 4 - 7

  
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  • 1. 
    A feature in Practice Partner that provides different search options for locating a patient's record.
    • A. 

      Access levels

    • B. 

      Lookup

    • C. 

      Dashboard

    • D. 

      SOAP


  • 2. 
    A security feathure that limits access to information based on the type of information each user will need to view or modify.
    • A. 

      Access level

    • B. 

      Dashboard

    • C. 

      E/M codes

    • D. 

      Lookup


  • 3. 
    A widely used format for documenting patient encounters.
    • A. 

      Progress notes

    • B. 

      Web View

    • C. 

      Dashboard

    • D. 

      SOAP


  • 4. 
    A feature in Practice Partner that allows patients to view certain information from their chart via the Internet.
    • A. 

      Lookup

    • B. 

      Progress notes

    • C. 

      Web View

    • D. 

      Dashboard


  • 5. 
    A feature in Practive Partner that offers providers a convenient view of important information at a glance.
    • A. 

      Dashboard

    • B. 

      Web View

    • C. 

      SOAP

    • D. 

      E/M codes


  • 6. 
    Procedure codes that are used to represent the processes a physician performed in determining the best course of treatment for a patient.
    • A. 

      Progress notes

    • B. 

      E/M codes

    • C. 

      SOAP

    • D. 

      Dashboard


  • 7. 
    Notes about a patient's medical condition that are made during or after a physician-patient encounter.
    • A. 

      Dashboard

    • B. 

      Web View

    • C. 

      Progress notes

    • D. 

      E/M codes


  • 8. 
    Permission to use and disclose information for uses other that treatment, payment, and operations.
    • A. 

      Authorization

    • B. 

      Covered entities

    • C. 

      HIPAA

    • D. 

      PHI


  • 9. 
    Part of the Administrative Simplification provisions of HIPAA that provides protection for individually identifiable health information and grants certain rights to individuals in regard to their medical record.
    • A. 

      HIPAA Privacy Rule

    • B. 

      HIPAA Security Rule

    • C. 

      Minimum necessary

    • D. 

      Audit trails


  • 10. 
    Health care professionals and organizations that provide health care in the normal course of business and electronically transmit any information that is protected under HIPAA.
    • A. 

      Disclosure

    • B. 

      Encryption

    • C. 

      Covered entities

    • D. 

      Protected health information


  • 11. 
    Part of the Administrative Simplification provisions of HIPAA that protects the confidentiality, integrity, and availability of electronic health information.
    • A. 

      HIPAA Privacy Rule

    • B. 

      HIPAA Security Rule

    • C. 

      Role-based authorization

    • D. 

      De-identified health information


  • 12. 
    The mechanisms required to protect electronic systems, equipment, and data from threats, environmental hazards and unauthorized intrusion.
    • A. 

      Administrative safegaurds

    • B. 

      Physical safegaurds

    • C. 

      Technical safeguards

    • D. 

      Clinical safegaurds


  • 13. 
    Records that show who has accessed a computer or network and what operations were performed.
    • A. 

      Audit trails

    • B. 

      Encryption

    • C. 

      Protected health information

    • D. 

      Administrative safeguards


  • 14. 
    The release of protected health informationto an outside provider or organization.
    • A. 

      Disclosure

    • B. 

      Authorization

    • C. 

      Consent

    • D. 

      Informed consent


  • 15. 
    Individually identifiable health information that is transmitted or maintained by electronic media or is transmitted or maintained in any other form or medium.
    • A. 

      Minimum necessary standard

    • B. 

      Protected health information

    • C. 

      Authorization

    • D. 

      Consent


  • 16. 
    Safegaurds to protect PHI from being accidentally released to those who do not need access to the information during an appropriate use or disclosure.
    • A. 

      Disclosure

    • B. 

      Authorization

    • C. 

      Minimum necessary standard

    • D. 

      Encryption


  • 17. 
    The name of the Title II of HIPAA, which addresses the uniform transfer of electronic health care data as well as patient privacy protections.
    • A. 

      Administrative Simplification

    • B. 

      Portability

    • C. 

      Accountability

    • D. 

      None of these


  • 18. 
    The process of converting data into an unreadable format before it is distributed.
    • A. 

      Scrambling

    • B. 

      Coding

    • C. 

      Encryption

    • D. 

      Invisible ink


  • 19. 
    Limits access to patient information based on the user's role in an organization.
    • A. 

      Role-based authorization

    • B. 

      Password protection

    • C. 

      Technical safeguards

    • D. 

      None of these


  • 20. 
    Information that neither identifies nor provides a reasonalble basis to indentify an individual.
    • A. 

      De-identified health information

    • B. 

      Protected health information

    • C. 

      Treatment, payment, and healthcare operations

    • D. 

      All of these


  • 21. 
    Automated processes used to protect data and control access to data.
    • A. 

      Physical Safegaurds

    • B. 

      Technical Safegaurds

    • C. 

      Administrative safeguards

    • D. 

      Clinical safeguards


  • 22. 
    Policies and procedures designed to protect electronic health information.
    • A. 

      Physical safegaurds

    • B. 

      Technical safeguards

    • C. 

      Administrative safeguards

    • D. 

      Clinical safeguards


  • 23. 
    Electronic version of a person's lifelong, comprehensive health record.
    • A. 

      PHR

    • B. 

      EHR

    • C. 

      CMR

    • D. 

      EAR


  • 24. 
    Health plans with high deductibles, low premiums, and tax-free savings accounts.
    • A. 

      Industry driven health plans

    • B. 

      Consumer driven health plans

    • C. 

      Physician driven health plans

    • D. 

      Third-party payor driven health plans


  • 25. 
    Information system not connected to another information system.
    • A. 

      Free range

    • B. 

      Caged

    • C. 

      Untethered

    • D. 

      Tethered


  • 26. 
    Information system attatched to another information system.
    • A. 

      Ethernet

    • B. 

      Tethered

    • C. 

      Untethered

    • D. 

      LAN


  • 27. 
    Website that allows patients to interact with provider or facility.
    • A. 

      Physician portal

    • B. 

      Interdimensional portal

    • C. 

      Patient portal

    • D. 

      Space portal


  • 28. 
    PHR that transfers information to and from multiple health information systems.
    • A. 

      Web-based personal health record

    • B. 

      Networked personal health record

    • C. 

      Paper-based personal health record

    • D. 

      All of these


  • 29. 
    An application for health care providers to enter patient care orders.
    • A. 

      CPOE

    • B. 

      OBOE

    • C. 

      CVOE

    • D. 

      PECO


  • 30. 
    Predefined groupings of standard orders for a condition, disease or procedures.
    • A. 

      Order sets

    • B. 

      Standard sets

    • C. 

      Default sets

    • D. 

      Note sets


  • 31. 
    A log with information about a medication order.
    • A. 

      MO

    • B. 

      MAR

    • C. 

      E-MAR

    • D. 

      MAR-e


  • 32. 
    A side effect or complication from a medication.
    • A. 

      ADE

    • B. 

      Contraindication

    • C. 

      Therapeutic use

    • D. 

      PDE


  • 33. 
    Times when patients move from one setting to another.
    • A. 

      Transition points

    • B. 

      Transition reconciliation

    • C. 

      Custody exchanges

    • D. 

      Referrals


  • 34. 
    Process of obtaining and updating an accurate list of all of a patient's medications.
    • A. 

      Medication list

    • B. 

      Medication reconciliation

    • C. 

      Medication database

    • D. 

      Medication identifiers


  • 35. 
    Applications that enable electronic tracking of medication administration at the bedside.
    • A. 

      E-MAR

    • B. 

      MAR-e

    • C. 

      MAR

    • D. 

      MARE


  • 36. 
    Safety ruled followed during the administration of medication.
    • A. 

      Five rights

    • B. 

      Six checks

    • C. 

      Rule of nines

    • D. 

      None of these


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