CRIS TEST EXAM QUESTIONS AND ANSWERS
(VERIFIED AND WELL DETAILED ANSWERS) LATEST
UPDATE 2024/2025
Purposes of medical record - ...(ANSWERS)....1. To provide a communication tool
between all healthcare providers. A physician, nurse, and any healthcare
professional that treats the patient will complete documentation within the
medical records
2. To provide documentation regarding diagnosis, treatment, and care of the
patient while to find a receiving services from a healthcare facility.
3. To provide information needed for medical billing of services rendered to the
patient and hospital financial management.
4. To provide a medium for analysis, study, and evaluation of the quality of care
given to a patient.
5. To assist in protecting the legal rights of the patients, the healthcare facility,
and other healthcare providers.
A master patient index (MPI) - ...(ANSWERS)....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 - ...(ANSWERS)....Summary of treatment the patient received.
Includes the diagnosis of their ailment. This is usually a transcribed report.
history and physical - ...(ANSWERS)....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) -
...(ANSWERS)....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) - ...(ANSWERS)....A test designed to measure how
well the lungs are working usually found in the respiratory section.
Operative report - ...(ANSWERS)....This is a summary report of the operation
including a description of what was done and the findings.
Pathology report - ...(ANSWERS)....An analysis of anything removed from the
patient during the operation (i.e. To check for cancer)
Continuity of care document (CCD) - ...(ANSWERS)....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? - ...(ANSWERS)....It is the property of the facility
in which it was created.
Which law is stronger if in conflict? State or federal? - ...(ANSWERS)....Whichever
is stricter than the 2 with more privacy protection will prevail.
(VERIFIED AND WELL DETAILED ANSWERS) LATEST
UPDATE 2024/2025
Purposes of medical record - ...(ANSWERS)....1. To provide a communication tool
between all healthcare providers. A physician, nurse, and any healthcare
professional that treats the patient will complete documentation within the
medical records
2. To provide documentation regarding diagnosis, treatment, and care of the
patient while to find a receiving services from a healthcare facility.
3. To provide information needed for medical billing of services rendered to the
patient and hospital financial management.
4. To provide a medium for analysis, study, and evaluation of the quality of care
given to a patient.
5. To assist in protecting the legal rights of the patients, the healthcare facility,
and other healthcare providers.
A master patient index (MPI) - ...(ANSWERS)....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 - ...(ANSWERS)....Summary of treatment the patient received.
Includes the diagnosis of their ailment. This is usually a transcribed report.
history and physical - ...(ANSWERS)....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) -
...(ANSWERS)....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) - ...(ANSWERS)....A test designed to measure how
well the lungs are working usually found in the respiratory section.
Operative report - ...(ANSWERS)....This is a summary report of the operation
including a description of what was done and the findings.
Pathology report - ...(ANSWERS)....An analysis of anything removed from the
patient during the operation (i.e. To check for cancer)
Continuity of care document (CCD) - ...(ANSWERS)....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? - ...(ANSWERS)....It is the property of the facility
in which it was created.
Which law is stronger if in conflict? State or federal? - ...(ANSWERS)....Whichever
is stricter than the 2 with more privacy protection will prevail.
