CRIS COMPREHENSIVE EXAM STUDY
GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● A master patient index (MPI)
Answer: Tool gathered to obtain the complete medical record. (Is
electronic medical database that holds information on every patient
registered at a healthcare organization.)
●● Discharge summary
Answer: Summary of treatment the patient received. Includes the
diagnosis of their ailment. This is usually a transcribed report.
●● history and physical
Answer: Reflects the history of the patients disease or injury, as well as
the history of treatment. Usually transcribed, but may be hand written at
the beginning of the progress notes.
●● Electrocardiogram (EKG or ECG) & electroencephalogram (eeg)
Answer: These are specialized tests for the heart (EKG) and the brain
(EEG) that produce strips of findings that may be mounted on individual
pages.
, ●● Pulmonary function test (PFT)
Answer: A test designed to measure how well the lungs are working
usually found in the respiratory section.
●● Operative report
Answer: This is a summary report of the operation including a
description of what was done and the findings.
●● Pathology report
Answer: An analysis of anything removed from the patient during the
operation (i.e. To check for cancer)
●● Continuity of care document (CCD)
Answer: The CCD is generated from an electronic health record (EHR).
It is a summary data set with demographic & clinical information about
a patients healthcare covering one of more encounters.
●● Who owns the medical record?
Answer: It is the property of the facility in which it was created.
●● Which law is stronger if in conflict? State or federal?
Answer: Whichever is stricter than the 2 with more privacy protection
will prevail.
GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● A master patient index (MPI)
Answer: Tool gathered to obtain the complete medical record. (Is
electronic medical database that holds information on every patient
registered at a healthcare organization.)
●● Discharge summary
Answer: Summary of treatment the patient received. Includes the
diagnosis of their ailment. This is usually a transcribed report.
●● history and physical
Answer: Reflects the history of the patients disease or injury, as well as
the history of treatment. Usually transcribed, but may be hand written at
the beginning of the progress notes.
●● Electrocardiogram (EKG or ECG) & electroencephalogram (eeg)
Answer: These are specialized tests for the heart (EKG) and the brain
(EEG) that produce strips of findings that may be mounted on individual
pages.
, ●● Pulmonary function test (PFT)
Answer: A test designed to measure how well the lungs are working
usually found in the respiratory section.
●● Operative report
Answer: This is a summary report of the operation including a
description of what was done and the findings.
●● Pathology report
Answer: An analysis of anything removed from the patient during the
operation (i.e. To check for cancer)
●● Continuity of care document (CCD)
Answer: The CCD is generated from an electronic health record (EHR).
It is a summary data set with demographic & clinical information about
a patients healthcare covering one of more encounters.
●● Who owns the medical record?
Answer: It is the property of the facility in which it was created.
●● Which law is stronger if in conflict? State or federal?
Answer: Whichever is stricter than the 2 with more privacy protection
will prevail.
