HLST 2040 EXAM QUESTIONS AND
COMPLETE ANSWERS || 100% PASS
\Q\.Patient Medical Record is now changed to - ANSWER-✔Patient Health Record- Because it
covers a holistic view of the patient.
\Q\.Acute Care Patient Record - ANSWER-✔Usually covers one stay or episode
\Q\.Outpatient Medical Record - ANSWER-✔Limited to one group or clinic
\Q\.Health Record - ANSWER-✔A legal document, it develops care plans for the patient,
improves the quality and processes of healthcare delivery, and is the basis for improvements in
health.
\Q\.Primary Records - ANSWER-✔These are gathered directly from the patient and his or her
provider, and is used for patient care and also as a legal document.
\Q\.Secondary Records - ANSWER-✔These are created later, by analyzing, summarizing, or
abstracting from the primary records. Secondary records are used in billing , research, and
quality improvement. These are also used for reimbursement of insurance claims.
\Q\.primary records term - ANSWER-✔electronic medical records, or paper forms. they both
have in common the patient's history and state of health, the physicians observations, actions,
tests, treatments and outcomes.
, \Q\.Acute care hospital charts - ANSWER-✔contains admission and discharge reports, nursing
notes, physician examination notes, all orders, test results, operative reports, pathology and
radiology reports, and administrative and demographic forms; nearly all are concerned with
current stay.
\Q\.Ambulatory care facilities (physician offices) charts - ANSWER-✔They tend to keep a single
chart per patient, combining documents from all previous visits, medical history, consults, lab
results, and reports from other providers. It also has insurance plan info.
\Q\.Home care agency records - ANSWER-✔centered on physicians orders for treatment at
home. Nurses and therapists keep notes from each visit.
\Q\.Dental records - ANSWER-✔Has abbreviated notes regarding treatments and procedures
performed. One chart covers all the visits, X-rays are small so they are included in the charts.
\Q\.Master Patient Index (MPI) - ANSWER-✔Computerized system intended to prevent
duplication of registration per patient.
\Q\.Aggregate Data - ANSWER-✔Collected by gathering selected items of information from
many patients charts and then analyzing it.
\Q\.Reasons for transition from paper to electronic records - ANSWER-✔Social reasons
1) Patients move and change providers more frequently.
2) Records tend to be among different providers.
Practical reasons
1) Paper records cannot be easily accessed or shared.
2) The charts must be copied and faxed or transported from one office to another.
COMPLETE ANSWERS || 100% PASS
\Q\.Patient Medical Record is now changed to - ANSWER-✔Patient Health Record- Because it
covers a holistic view of the patient.
\Q\.Acute Care Patient Record - ANSWER-✔Usually covers one stay or episode
\Q\.Outpatient Medical Record - ANSWER-✔Limited to one group or clinic
\Q\.Health Record - ANSWER-✔A legal document, it develops care plans for the patient,
improves the quality and processes of healthcare delivery, and is the basis for improvements in
health.
\Q\.Primary Records - ANSWER-✔These are gathered directly from the patient and his or her
provider, and is used for patient care and also as a legal document.
\Q\.Secondary Records - ANSWER-✔These are created later, by analyzing, summarizing, or
abstracting from the primary records. Secondary records are used in billing , research, and
quality improvement. These are also used for reimbursement of insurance claims.
\Q\.primary records term - ANSWER-✔electronic medical records, or paper forms. they both
have in common the patient's history and state of health, the physicians observations, actions,
tests, treatments and outcomes.
, \Q\.Acute care hospital charts - ANSWER-✔contains admission and discharge reports, nursing
notes, physician examination notes, all orders, test results, operative reports, pathology and
radiology reports, and administrative and demographic forms; nearly all are concerned with
current stay.
\Q\.Ambulatory care facilities (physician offices) charts - ANSWER-✔They tend to keep a single
chart per patient, combining documents from all previous visits, medical history, consults, lab
results, and reports from other providers. It also has insurance plan info.
\Q\.Home care agency records - ANSWER-✔centered on physicians orders for treatment at
home. Nurses and therapists keep notes from each visit.
\Q\.Dental records - ANSWER-✔Has abbreviated notes regarding treatments and procedures
performed. One chart covers all the visits, X-rays are small so they are included in the charts.
\Q\.Master Patient Index (MPI) - ANSWER-✔Computerized system intended to prevent
duplication of registration per patient.
\Q\.Aggregate Data - ANSWER-✔Collected by gathering selected items of information from
many patients charts and then analyzing it.
\Q\.Reasons for transition from paper to electronic records - ANSWER-✔Social reasons
1) Patients move and change providers more frequently.
2) Records tend to be among different providers.
Practical reasons
1) Paper records cannot be easily accessed or shared.
2) The charts must be copied and faxed or transported from one office to another.
