HEALTH INFORMATION MANAGEMENT EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Terms in this set (48)
HEALTH INFORMATION 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 a person, persons, or organization who has the
CUSTODIAN responsibility for safekeeping and controlling
personal health information in connection with
the powers and duties performed.
HEALTH RECORD 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 a legal health record in digital format. It contains
(EMR) 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 an accumulation of essential information from an
(EHR) individual's electronic medical records that is
accessed electronically at different points of
service for purposes of client care.
PURGE (OF FILE) review and reorganize to remove outdated
information that is no longer actively needed to
provide care to the client.
AHP 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 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.
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Terms in this set (48)
HEALTH INFORMATION 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 a person, persons, or organization who has the
CUSTODIAN responsibility for safekeeping and controlling
personal health information in connection with
the powers and duties performed.
HEALTH RECORD 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 a legal health record in digital format. It contains
(EMR) 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 an accumulation of essential information from an
(EHR) individual's electronic medical records that is
accessed electronically at different points of
service for purposes of client care.
PURGE (OF FILE) review and reorganize to remove outdated
information that is no longer actively needed to
provide care to the client.
AHP 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 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.
