Writing Mechanics
EHR/EMR
Charting
Terminology
General
100

In the heading of a memo, which punctuation generally follows the To/From/Date/Subject components

Colon

100

List two ways to safeguard information in an EHR/EMR

Passwords, turn monitors away from patients, practice security drills, assign a HIPAA officer.

100

This is where the section in a chart you will look in to find a patients Chief Complaint from a previous visit.

Clinical

100

An electronic patient record system used in one medical practice

EMR
100

This is the USPS abbreviation for Ohio

OH

200

This is NOT included in a memo, but required in most other business correspondence

Salutation

200

This is an electronic patient record limited to one specific practice.

EMR

200

An appointment is considered to be a(n) _________ duty.

Administration

200

This is the term for using an EHR to improve health care coordination, patient care, and outcomes

Meaningful Use

200

Explain why email is not recommended for patient communication.

Email is not secure.

300

This item appears after the end of a letter to end the correspondence professionally.

Complementary Closing

300

This is how an error in an EMR/EHR is corrected.

Create an addendum

300

To individually identify a patient each time they come in, ask for the following items:

ID and Insurance card

300

Confidential patient information abbreviation

PHI

300

Name the correct abbreviation for the state with the city of Baltimore.

MD

400

This is used to greet the recipient of the letter.

Salutation

400

Name three advantages of using an EMR/EHR system instead of a paper chart system.

Accessibility, easier billing, less lost records, easier prescription transcription, can be viewed by multiple users at the same time.

400

When a number has more than three digits, use this punctuation.

Comma

400

Electronic Health records that are shared across more than one medical practice. 

EHR

400

When a person has a large gap in their work history, this is the resume that should be used.

Functional

500

This is the standard margin for a business letter.

One Inch

500

List three items to be completed by the patient on a registration form.

Name, address, insurance information, emergency contact, date of birth

500

In this statement, is the italicized word spelled correctly?

"The patient contracted a nosocomial infection.

Yes

500

Term for the need to use access codes and passwords.

EHR/EMR security

500

Identify the two steps that must be taken when a breach in security happens.

The patient and the Department of Health & Human Services must be notified.

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