mid term exam EMR

Question 1

patient calls for an appointment with dr. ingram. what will roberta at the front office ask when looking for an open app

Accepted Answer

reason for the patient visit

Question 2

which contributes to the high cost of electronic health records for the software service provider?

Accepted Answer

research and development costs

Question 3

you have just entered data into an online form. the box in which you entered the information is known as a

Accepted Answer

field

Question 4

which of the following is a benefit of voice recognition technology

Accepted Answer

documents are made part of the patients record in a timelier mannor

Question 5

what will you first access to determine if the patient has ever been seen at the hospital before?

Accepted Answer

master patient (person) index

Question 6

mrs clark came to check out and dr. daniels stated that patient left without receiving her flun shot. what should occur?

Accepted Answer

mrs clark taken to exam room, given flu, encounter form updated

Question 7

craig james is in the office. do you have frequent headaches? frequent urination? difficulty sleeping? these ?'s are

Accepted Answer

review of systems

Question 8

you are about to enter the marital status. these possible values are derived from a __ within the system

Accepted Answer

library

Question 9

of the following, which is not part of the patients past medical or surgical history?

Accepted Answer

marital status

Question 10

susan is collecting data from patient. patient not sure what address she wants. p.obox or street. where can she find it

Accepted Answer

data dictionary

Question 11

the documentation in a doctors office of a patient's visit is referred to as?

Accepted Answer

progress note

Question 12

the physician enters a prescription into eprescribe. this is an example of

Accepted Answer

interoperability

Question 13

which of the following is a benefit of cpoe?

Accepted Answer

clinical decision support is possible through cpoe

Question 14

of the following, which is not a benefit of eprescribing?

Accepted Answer

is it less expensive for the patient

Question 15

patient at memorial hospital had lab work in 2005,married got married. many times will her name appear

Accepted Answer

once

Question 16

katt simmons entered notes on patient. resting comfortable, pain is 7, voices no other complaints. example of

Accepted Answer

unstructured

Question 17

clinical documentation architecture & quality reporting documentation architecture are both data standards of?

Accepted Answer

health level seven (hl7)

Question 18

virginia called greensburg to make an appointment and an annual physical exam. the step in the process is called?

Accepted Answer

registration

Question 19

computerized system which allows physicians to request lab radiology, or pharmacy services for their patient is known as

Accepted Answer

computerized physician order entry

Question 20

what function is carried out during check in?

Accepted Answer

patient information is updated

Question 21

robert is an administrator. he is responsible maintenance and security of all automated systems. what is he ?

Accepted Answer

health systems administrator

Question 22

dr. gavira chooses to have someone enter findings and results while examing patient ___ are assistants who enter info

Accepted Answer

scribes

Question 23

a patient states that her pain is 8 on a scale of 1 to 10. this is known as the ____ history of present illness

Accepted Answer

severity

Question 24

emily haver in 1990 had poison ivy. she has been treated since 2003. of the following will not appear on problem list

Accepted Answer

poison ivy

Question 25

what of the following is an advantage of adopting and emr?

Accepted Answer

potential for interoperability with other computerized

Question 26

rosemary lane has been suffering from a headache with pressure above her eyebrows for the past 4 days. this is known as?

Accepted Answer

subjective information

Question 27

Phillip is an MA he wants to take a certifying exam. what is his best strategy?

Accepted Answer

beging studying for one of the ma certifying exams and schedule a date

Question 28

alison holt received a copy of her clinical visit. she is reading that her symptoms ect. which section of soap ?

Accepted Answer

subjective

Question 29

certain pieces of data must be collected in order to meet meaningful use requirements.which data element below does that

Accepted Answer

patients race

Question 30

every form should include the ____ so that he forms use is obvious

Accepted Answer

form name

Question 31

which of the following typically would not be collected as part of the past surgical history?

Accepted Answer

name of anesthesiologist

Question 32

which of the following requires completion of a competency exam, but does not provide certification?

Accepted Answer

practice workflow & informtion managemnt redesign specialist

Question 33

in order to file a claim to medicare, a physician's office submits a ____ form?

Accepted Answer

cms-1500

Question 34

research has shown what in relation to the use of an ehr?

Accepted Answer

there has been a decrease in medical errors

Question 35

dr reynolds to send a cpoe from her computer to local hospital a ____ must exist between the two computer systems

Accepted Answer

interface

Question 36

the setting where services took place is known as?

Accepted Answer

the place of service code

Question 37

which record keeping costs will ultimately drop even though the implementation of the emr will be high?

Accepted Answer

costs of folders and clips to file each record

Question 38

meaninful use guidelines require the keeping of an up-to-date

Accepted Answer

problem list

Question 39

whichb applications may be more beneficial and efficient for the patient?

Accepted Answer

eprescribing

Question 40

the soap documentation format is most commonly used in which healthcare setting?

Accepted Answer

physicians office

Question 41

emily haver wrote the wrong side and confirmed that it was her left knee. what action will the care provider take

Accepted Answer

amend the record to show the corrected information

Question 42

when collecting or retrieving data on a computer, the screen is the replacement for?

Accepted Answer

paper

Question 43

which of the following is not a vital sign?

Accepted Answer

complete blood count

Question 44

danial allen been seen on jan8, april16, may12,may13, and june4 how many encounters found in the mpi?

Accepted Answer

five

Question 45

a major goal of using an electronic health record is the sharing of important clinical information _ is directly related

Accepted Answer

continuity of care documents (ccd)

Question 46

computerized physicans order is sent to the local hospital for blood test and has been notified of the test finding

Accepted Answer

returned

mid term exam EMR

Questions 46

mid term exam EMR

Questions 46