Exam 11: The Health Record

For a record to be admissible as evidence in court, the person dictating or writing the entries must be able to attest that they were true and correct at the time they were written. The best indication of this is the provider's signature or initials on the typed or EHR entry.

Because some physicians' handwriting is illegible, the electronic health record helps guarantee that the documents will be readable even several years after their creation.

The EHR allows access to patient information in an emergency.

The type of electronic record of health-related information about an individual that can be created, gathered, managed, and consulted only by authorized clinicians and staff in a single healthcare organization is a(n)

The patient owns the medical record.

What is the HIPAA privacy rule requirement for the retention of health records?

Disadvantages of the EHR system include

The physical medical record belongs to the

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

Who ultimately decides whether a medical record can be released?

Improved outcomes is part of which of the stages of meaningful use?

The medical record should be released only with a

Which of the following is not an advantage of color-coded filing systems?

How would you properly index the name "Jill Freeman, M.D." for filing if you had another patient with the same name but without the title?

The __________ diagnosis is temporary and is made before test results have been received.

Medical facilities should keep records on minors for how long?

The EHR system should be backed up __________.

The EHR billing system can perform online insurance __________ and can capture demographic data.

Information contained in an electronic health record usually can be accessed from several different physical places.

Which of the following are common types of filing equipment found in a medical office?