Health Information Management Exam
with correct answers 100% 2026
HEALTH INFORMATION - Correct Answers 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 - Correct Answers a person, persons, or organization who
has the responsibility for safekeeping and controlling personal health information in connection
with the powers and duties performed.
HEALTH RECORD - Correct Answers 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.
ELECTRONIC MEDICAL RECORD (EMR) - Correct Answers 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).
ELECTRONIC HEALTH RECORD (EHR) - Correct Answers 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.
PURGE (OF FILE) - Correct Answers review and reorganize to remove outdated information that
is no longer actively needed to provide care to the client.
AHP - Correct Answers 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).
CHARTS - Correct Answers 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.
HISTORY (INTERVIEW) SHEET - Correct Answers this a questionnaire that the client is asked to fill
out, usually on the first visit to the provider's office.
CUMULATIVE PATIENT PROFILE (CPP) - Correct Answers starts with the answers to the history
questionnaire and is updated periodically to provide a cumulative view of the client's history
and current health status. It is often kept at the very front or back of the chart. It profiles almost
every component of her health history.
LIST OF ALLERGIES - Correct Answers will appear on the history sheet but should also be listed in
a prominent place at the front of the chart, either on the outside or the inside cover. It is helpful
to note allergies in red. Some practices list allergies on each progress sheet as well. With the
EMR, these allergies can be noted as an "Alert" on the computer system, popping up as soon as
you swipe the client's health card or access his EMR.
ENCOUNTER RECORD - Correct Answers In a doctor's office, the physician is the primary user.
Nurses and other staff members (if trained to do so) may make entries related to telephone
calls, test results telephoned to the office, and appointments (e.g., repetitive broken
appointments or no-shows). If you notice that documentation is absent from this record of a
client the provider has seen, flag it, leave a note, or ask the doctor personally; In a paper chart,
the most current progress sheets should be at the front of the stack; In EMR format, the
encounter screen is entered by clicking on an icon—sometimes simply called "patient visit."
PHYSICAL ASSESSMENT - Correct Answers sheet may be formally prepared, or just noted on the
progress notes. The doctor should take full notes every time the client has a full examination,
whether annual or symptom-driven.
with correct answers 100% 2026
HEALTH INFORMATION - Correct Answers 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 - Correct Answers a person, persons, or organization who
has the responsibility for safekeeping and controlling personal health information in connection
with the powers and duties performed.
HEALTH RECORD - Correct Answers 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.
ELECTRONIC MEDICAL RECORD (EMR) - Correct Answers 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).
ELECTRONIC HEALTH RECORD (EHR) - Correct Answers 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.
PURGE (OF FILE) - Correct Answers review and reorganize to remove outdated information that
is no longer actively needed to provide care to the client.
AHP - Correct Answers 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).
CHARTS - Correct Answers 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.
HISTORY (INTERVIEW) SHEET - Correct Answers this a questionnaire that the client is asked to fill
out, usually on the first visit to the provider's office.
CUMULATIVE PATIENT PROFILE (CPP) - Correct Answers starts with the answers to the history
questionnaire and is updated periodically to provide a cumulative view of the client's history
and current health status. It is often kept at the very front or back of the chart. It profiles almost
every component of her health history.
LIST OF ALLERGIES - Correct Answers will appear on the history sheet but should also be listed in
a prominent place at the front of the chart, either on the outside or the inside cover. It is helpful
to note allergies in red. Some practices list allergies on each progress sheet as well. With the
EMR, these allergies can be noted as an "Alert" on the computer system, popping up as soon as
you swipe the client's health card or access his EMR.
ENCOUNTER RECORD - Correct Answers In a doctor's office, the physician is the primary user.
Nurses and other staff members (if trained to do so) may make entries related to telephone
calls, test results telephoned to the office, and appointments (e.g., repetitive broken
appointments or no-shows). If you notice that documentation is absent from this record of a
client the provider has seen, flag it, leave a note, or ask the doctor personally; In a paper chart,
the most current progress sheets should be at the front of the stack; In EMR format, the
encounter screen is entered by clicking on an icon—sometimes simply called "patient visit."
PHYSICAL ASSESSMENT - Correct Answers sheet may be formally prepared, or just noted on the
progress notes. The doctor should take full notes every time the client has a full examination,
whether annual or symptom-driven.
