EHRs
Documentation
Medical Records Misc.
People
Health Info Systems
100
Trend analysis, decision support, health maintenance, alerts
What are functional benefits of the EHR?
100
Documenting patient information in the EHR at the time it is happening
What is point-of-care documentation?
100
Age of the patient, state law, and policies of the facility
What is must be considered regarding how long records are saved (retained)?
100
Professional standards by which health info professionals conduct themselves
What are ethics?
100
The philosophy of selecting IT systems based on software compatibility, usually choosing software from one vendor
What is the integrated systems approach?
200
Order management. decision support, health info and data, administrative processes and reports.
What are ore functions of the electronic health record set forth by the IOM?
200
Displays a desired group of findings in a screen that allows for quick entry of information
What is a form?
200
Selecting the patient files that are least likely to be needed and storing them in another place or form
What is archiving?
200
Physicians who specialize in interpreting diagnostic images
What are radiologists?
200
Selecting computer systems based on a department’s need, not the vendor of the software
What is best-of-breed approach?
300
MEDCIN, SNOMED-CT, LOINC
What are EHR nomenclatures?
300
Software that translates the sound of human voice into text
What is speech recognition software?
300
Lists of tests, treatments, therapies, and plans of care recommended for certain conditions
What are protocols or order sets?
300
Transcribes medical dictation
What is a medical transcriptionist?
300
Microbiology, cytology, chemistry, pathology
What are laboratory services managed by a LIS?
400
Preventative care
What purpose does the health maintenance function of EHRs serve?
400
After a patient admitted to the hospital this many hours after an emergency department visit, billing for the ED visit is cancelled and changed to inpatient billing
What is 72 hours?
400
Recruit and mentor students; represent the profession accurately to the public; put service and the health and welfare of persons before self-interest; advocate, uphold, and defend the individual’s right to privacy
What are core values of AHIMA?
400
DICOM
What is Digital Imaging and Communications in Medicine?
500
Program that compares a prescription to a database of drugs in addition to patient medications, allergies, and other related information to reduce prescribing errors
What is drug utilization review (DUR)?
500
Authorized by the U.S. Food and Drug Administration, the steps of this process include patients being given a drug or placebo, proving it works, determining dosage level, determining safety of drug, and general interaction determination
What is a clinical trial?
500
College of American Pathologists
Who accredits medical laboratories?
500
A device or substance put into the body to serve a particular purpose
What is an implant?
500
Performing gross, microscopic, and molecular examination of organs and tissues, and autopsies of whole bodies
What is anatomic pathology?
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