Exam 11: The Health Record

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A storage method that connects to the back of the main computer and can be unplugged and taken out of the facility is an external __________.

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hard drive
The external hard drive can hold an astonishing amount of information and is a good backup method.

Very little statistical information can be gleaned from an EHR system.

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FALSE

Which statement is not accurate about correcting charting errors?

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B

Entities considered essential or necessary are called __________.

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A filing system in which an intermediary source of reference, such as a card file, must be consulted to locate specific files, is called a(n) __________ system.

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Physicians performing consultations still must request paper records on a patient, even if both the referring physician and the consulting physician are using an EHR system.

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The type of record that is created from more than one healthcare organization and can be managed and consulted by licensed clinicians and staff from those organizations who are involved in the patient's care is an electronic __________ record.

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Most experts agree that the EHR system will help reduce medical __________.

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The most frequently used follow-up method is a

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The medical assistant must always listen to the patient's __________ about the EHR system.

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Which of the following indirect filing systems is used by a majority of large clinics and hospitals?

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Perhaps the most essential action for the medical assistant working with a patient and using an electronic record is to

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Advantages of the EHR system include

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Many healthcare facilities now use voice recognition software for transcription. The system can be used to dictate which types of reports?

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Reverse chronologic order is where the most recent item is on the top and older items are filed farther back.

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Meriting condemnation, responsibility, or blame especially as wrong or harmful is called __________.

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The type of electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff from more than one healthcare organization is a(n)

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Which statement is not true regarding the reasons for keeping accurate medical records?

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A(n) __________ file is a follow-up system used to help the medical assistant remember when a certain task needs to be done.

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A provisional diagnosis is not a final diagnosis and usually is made before test results are received.

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