DOCUMENTATION ELECTRONIC HEALTH
RECORD ACTUAL EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ POR. Answer: Problem Oriented Record: consists of data that a
physician can use for quick comparison of the same information.
Examples: Blood Pressure Readings, Weight Record for Obese Patients.
◉ SOR. Answer: Source-Oriented Record: consists of records arranged
by sections such as group radiology reports or laboratory reports usually
listed in chronological order.
◉ EHR. Answer: Electronic Health Record: networked computerized
medical record system.
◉ EMR. Answer: Electronic Medical Record: individual physician's
EMR for the patient including medical history, allergies and appointment
information.
◉ ARRA. Answer: American Recovery and Reinvestment Act of 2009:
Encourages implementation by offering five annual financial incentives
for qualifying offices that convert to an electronic format beginning in
2011 and ending in 2015 or 2016.
, ◉ MIPPA. Answer: Medicare Improvements for Patients and Providers
Act of 2008: authorized an incentive program for eligible providers who
were successful electronic prescribers.
◉ Documenters. Answer: All individuals providing health care services
referred to as documenters because they chronologically record pertinent
facts and observations about patient's health.
◉ Meaningful Use (MU). Answer: Demonstrating that the health
organization has the capabilities and processes in place so that the
provider is actively using certified EHR technology.
◉ EP. Answer: Eligible Providers in relation to the Medicare Incentive
Program.
◉ Attending Physician. Answer: A medical staff member who is legally
responsible for the care and treatment given to a patient.
◉ Ordering physician. Answer: The individual in a hospital directing the
selection, preparation or administration of tests, medication or treatment.
◉ Referring Physician. Answer: Provider who sends the patient for tests
or treatment.
RECORD ACTUAL EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ POR. Answer: Problem Oriented Record: consists of data that a
physician can use for quick comparison of the same information.
Examples: Blood Pressure Readings, Weight Record for Obese Patients.
◉ SOR. Answer: Source-Oriented Record: consists of records arranged
by sections such as group radiology reports or laboratory reports usually
listed in chronological order.
◉ EHR. Answer: Electronic Health Record: networked computerized
medical record system.
◉ EMR. Answer: Electronic Medical Record: individual physician's
EMR for the patient including medical history, allergies and appointment
information.
◉ ARRA. Answer: American Recovery and Reinvestment Act of 2009:
Encourages implementation by offering five annual financial incentives
for qualifying offices that convert to an electronic format beginning in
2011 and ending in 2015 or 2016.
, ◉ MIPPA. Answer: Medicare Improvements for Patients and Providers
Act of 2008: authorized an incentive program for eligible providers who
were successful electronic prescribers.
◉ Documenters. Answer: All individuals providing health care services
referred to as documenters because they chronologically record pertinent
facts and observations about patient's health.
◉ Meaningful Use (MU). Answer: Demonstrating that the health
organization has the capabilities and processes in place so that the
provider is actively using certified EHR technology.
◉ EP. Answer: Eligible Providers in relation to the Medicare Incentive
Program.
◉ Attending Physician. Answer: A medical staff member who is legally
responsible for the care and treatment given to a patient.
◉ Ordering physician. Answer: The individual in a hospital directing the
selection, preparation or administration of tests, medication or treatment.
◉ Referring Physician. Answer: Provider who sends the patient for tests
or treatment.
