©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
HISM (D033): Chapter 9 Exam Questions
and Answers 100% Solved
Audit log - ✔✔Or audit trail, an electronic footprint of the actions that
occurred in a particular file in an information system or that were performed
by a specific individual
Barcode medication administration record (BC-MAR) - ✔✔See Electronic
medication administration record (EMAR)
Certified EHR technology - ✔✔An EHR that has been evaluated by a
member of the Office of the National Coordinator-Authorized Certification
Bodies (ONC-ACBs) and verified that it meets the criteria set by the MU
incentive programs
Clinical decision support (CDS) system - ✔✔The process in which
individual data elements are represented in the computer by a special code
to be used in making comparisons, trending results, and supplying clinical
reminders and alerts
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Clinical messaging - ✔✔A tool that connects the medical staff and hospital
by providing access to information systems such as order entry and results
reporting and DMS
Computerized provider order entry (CPOE) - ✔✔Preprogrammed clinical
decision support designed to assist the user through making an entry
appropriately
Continuity of care record (CCR) - ✔✔A core data set, which is the most
relevant administrative, demographic, and clinical information about a
patient's healthcare, covering one or more healthcare encounters
Core data set - ✔✔A data set that contains the most relevant
administrative, demographic, and clinical information about a patient's
healthcare
Digital signature - ✔✔similar to the electronic signature except that it uses
encryption to provide nonrepudiation to prove the authenticator's identity,
which makes it most secure
Digitized signature - ✔✔a scanned image of an individual's actual signature
Document management system (DMS) - ✔✔An electronic method of
capturing and managing documents; used primarily by HIM departments
and other departments to handle documents regarding patient care
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Electronic medical record (EMR) - ✔✔An electronic collection of all of the
patient's health information and clinical care that is stored, managed, and
referred to by authorized members of one healthcare entity, much like the
actual paper health record only in digital or electronic form
Electronic medication administration record (EMAR) - ✔✔A software that
automates many of the medication administration processes in a
healthcare facility
Electronic signature - ✔✔Requires at least a password but can use a two-
factor authentication method
Health information blocking - ✔✔Persons or entities knowingly and
unreasonably interfere with the exchange or use of electronic health
information
Health information technology (HIT) - ✔✔The hardware, software,
integrated technologies or related licenses, intellectual property, upgrades,
or packaged solutions sold as services that are designed for or support the
use by healthcare entities or patients for the electronic creation,
maintenance, access, or exchange of health information
Health Level Seven International (HL7) - ✔✔A not-for-profit ANSI-
accredited SDO dedicated to providing a comprehensive framework and
HISM (D033): Chapter 9 Exam Questions
and Answers 100% Solved
Audit log - ✔✔Or audit trail, an electronic footprint of the actions that
occurred in a particular file in an information system or that were performed
by a specific individual
Barcode medication administration record (BC-MAR) - ✔✔See Electronic
medication administration record (EMAR)
Certified EHR technology - ✔✔An EHR that has been evaluated by a
member of the Office of the National Coordinator-Authorized Certification
Bodies (ONC-ACBs) and verified that it meets the criteria set by the MU
incentive programs
Clinical decision support (CDS) system - ✔✔The process in which
individual data elements are represented in the computer by a special code
to be used in making comparisons, trending results, and supplying clinical
reminders and alerts
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Clinical messaging - ✔✔A tool that connects the medical staff and hospital
by providing access to information systems such as order entry and results
reporting and DMS
Computerized provider order entry (CPOE) - ✔✔Preprogrammed clinical
decision support designed to assist the user through making an entry
appropriately
Continuity of care record (CCR) - ✔✔A core data set, which is the most
relevant administrative, demographic, and clinical information about a
patient's healthcare, covering one or more healthcare encounters
Core data set - ✔✔A data set that contains the most relevant
administrative, demographic, and clinical information about a patient's
healthcare
Digital signature - ✔✔similar to the electronic signature except that it uses
encryption to provide nonrepudiation to prove the authenticator's identity,
which makes it most secure
Digitized signature - ✔✔a scanned image of an individual's actual signature
Document management system (DMS) - ✔✔An electronic method of
capturing and managing documents; used primarily by HIM departments
and other departments to handle documents regarding patient care
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Electronic medical record (EMR) - ✔✔An electronic collection of all of the
patient's health information and clinical care that is stored, managed, and
referred to by authorized members of one healthcare entity, much like the
actual paper health record only in digital or electronic form
Electronic medication administration record (EMAR) - ✔✔A software that
automates many of the medication administration processes in a
healthcare facility
Electronic signature - ✔✔Requires at least a password but can use a two-
factor authentication method
Health information blocking - ✔✔Persons or entities knowingly and
unreasonably interfere with the exchange or use of electronic health
information
Health information technology (HIT) - ✔✔The hardware, software,
integrated technologies or related licenses, intellectual property, upgrades,
or packaged solutions sold as services that are designed for or support the
use by healthcare entities or patients for the electronic creation,
maintenance, access, or exchange of health information
Health Level Seven International (HL7) - ✔✔A not-for-profit ANSI-
accredited SDO dedicated to providing a comprehensive framework and
