(LATEST) || MOST RECENT EXAM 2026|2027
ACTUAL COMPLETE REAL EXAM QUESTIONS
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HEALTH RECORD - ANSWER-any documentation relating to a
health-care client. The term record is used for a single
document, such as a doctor's note on an assessment or a lab
report; it also refers to a collection of documents, such as a
client's chart.
HEALTH INFORMATION - ANSWER-is defined as any
information pertaining to someone's physical or mental health,
condition, or infirmity, whether given orally or recorded in any
manner, that is created or received directly or indirectly by a
health professional or health organization.It includes services
rendered, treatments and treatment plans, health teaching and
education, and payment for services
HEALTH INFORMATION CUSTODIAN - ANSWER-a person,
persons, or
organization who has the responsibility for safekeeping and
controlling personal health information in connection with the
powers and duties performed.
, ELECTRONIC HEALTH RECORD (EHR) - ANSWER-an
accumulation of
essential information from an individual's electronic medical
records that is accessed electronically at different points of
service for purposes of client care.
ELECTRONIC MEDICAL RECORD (EMR) - ANSWER-a legal
health record in digital format. It contains the client's health
information collected by one or a group of providers in one
location. It is a subset of the electronic health record (EHR).
AHP - ANSWER-is asked to assume more responsibilities with
respect to purging a pChart, for example, reviewing lab reports
and discarding older ones, or updating a medication list.
Purging a chart also involves getting rid of information in the
chart deemed no longer needed. These records are confidential
and must be destroyed according to the protocol (shredding is
the usual method).
PURGE (OF FILE) - ANSWER-review and reorganize to remove
outdated information that is no longer actively needed to
provide care to the client.
CHARTS - ANSWER-refers to a folder containing all the records
relating to a client's care with a provider or facility. As
previously mentioned, the electronic counterpart of this is the
electronic medical record.