Managing Computers In The Medical Office And EMR Part 2 Question Preview (ID: 36244)


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The following can be documented as part of the EMR
a) Time-stamps on recodings
b) Prescriptions printed or faxed to the pharmacy
c) Patient education information given to the patient
d) All of the above

The following can be documented as part of the EMR
a) Digital photos of the patient and the patient's condition
b) Electronically reported lab results
c) Graphs of height, weight, and blood pressure data
d) All of the above

To remain in compliance with HIPAA regulations, medical offices must use data backup systems to safeguard the information contained on office computer systems, including patient medical records
a) True
b) False
c)
d)

Using electronic medical records has additional benefits including electronic signatures, avoiding medical errors, saving time, facilitating patient health maintenance, immediate diagnostic test results, marketing, and communicating online
a) True
b) False
c)
d)

EMR’s can help remind patients of the need to schedule
a) Mammograms
b) Annual Physicals
c) Immunizations
d) All of the above

Electronic medical records are gaining popularity over conventional paper files because they offer
a) Ease of use
b) Portability
c) Efficiency
d) All of the above

Having electronic information available is especially helpful for patients when they travel or need to seek emergency care with someone other than their primary care providers
a) True
b) False
c)
d)

Information found in the medical records will include
a) Progress notes
b) Telephone messages
c) Pathology results
d) All of the above

Information contained in the medical record will include
a) Medications
b) Physician orders
c) Radiology reports
d) All of the above

The most recent information is seen first in each section of the medical record. This method makes it complicated to identify and locate past medical problems, treatments, and results
a) Chronological medical record
b) Problem oriented medical record
c) Source oriented medical record
d) None of the above

This was developed by Dr. Lawrence Weed in 1970 and is used to identify patient problems and chart by those problem
a) Chronological medical record
b) Problem oriented medical record
c) Source oriented medical record
d) None of the above

These records follows the patient over a period of time, with each visit consisting of a new entry by date, rather than by symptoms or diagnosis
a) Chronological medical record
b) Problem oriented medical record
c) Source oriented medical record
d) None of the above

SOAP notes refer to
a) Patient Demographics
b) Insurance information
c) Progress notes
d) None of the above

POMR notes refer to
a) Patient Demographics
b) Insurance information
c) Progress notes
d) None of the above

The “O” in SOAP notes is for
a) Occupational
b) Objective
c) outsourced
d) Oriented

Subjective symptoms are ones that can be verified through testing and assessment
a) True
b) False
c)
d)

Everything that is done during a patient’s medical visit, ordered over the telephone, or discussed with a patient by telephone or e-mail must not be documented in the medical record
a) True
b) False
c)
d)

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