Chapter 7: Medical Records and
Health Information Technology Test
Questions All Answered Correct 2025.
A collection of data recorded when a patient seeks medical treatment is called a _ _. - Answer
medical record
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 was
part of which larger Act? - Answer American Recovery and Reinvestment Act (ARRA)
What is built with patient's total health information in one record that can move electronically
with the patient for treatment and care? - Answer Electronic health record (EHR)
Which of the following should be included in a medical record? - Answer Description of the
patient's symptoms
Emergency contact information
Patient's health history
Medical records should never include what things? - Answer Attempts at humor
Personal observations
Inappropriate judgments
Initially, medical records were completed for the treatment provided by which of the following
entities? - Answer Medical facility
Physician/practice
Hospital
What happens to photographs, videos, digital images, and other types of images of patients in a
medical setting? - Answer They become part of the patient's permanent record.
Which government agency oversees the efforts to improve health care quality, safety, and
, Enter the date and time, and initial the correction
What are characteristics of an electronic health record (EHR)? - Answer It is more
comprehensive than an EMR.
It is able to travel with a patient.
What concerns prevent patients from owning their health record? - Answer Security measures
Storage capacity
Which of the following is included in a medical record to provide continuity of care? - Answer
Physician's recommendations
What is the principle under which a physician can exercise judgment as to whether to show
patients who are being treated for mental or emotional conditions their records? - Answer
Doctrine of professional discretion
Which of these are necessary attributes of entries to patients' health records? - Answer Clear
Correct
Concise
Why are medical records retained? - Answer Protection from litigation
Which of the following are typical ways to store imaging in all forms? - Answer Digital imaging
Why have legal advisors recommended a longer retention period? - Answer The statute may
not begin until the potential plaintiff learns of the causal relationship between an injury and the
care received.
A(n) _ is a change in the information that is meant to clarify inaccuracies found after the
document is complete. - Answer correction
Health Information Technology Test
Questions All Answered Correct 2025.
A collection of data recorded when a patient seeks medical treatment is called a _ _. - Answer
medical record
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 was
part of which larger Act? - Answer American Recovery and Reinvestment Act (ARRA)
What is built with patient's total health information in one record that can move electronically
with the patient for treatment and care? - Answer Electronic health record (EHR)
Which of the following should be included in a medical record? - Answer Description of the
patient's symptoms
Emergency contact information
Patient's health history
Medical records should never include what things? - Answer Attempts at humor
Personal observations
Inappropriate judgments
Initially, medical records were completed for the treatment provided by which of the following
entities? - Answer Medical facility
Physician/practice
Hospital
What happens to photographs, videos, digital images, and other types of images of patients in a
medical setting? - Answer They become part of the patient's permanent record.
Which government agency oversees the efforts to improve health care quality, safety, and
, Enter the date and time, and initial the correction
What are characteristics of an electronic health record (EHR)? - Answer It is more
comprehensive than an EMR.
It is able to travel with a patient.
What concerns prevent patients from owning their health record? - Answer Security measures
Storage capacity
Which of the following is included in a medical record to provide continuity of care? - Answer
Physician's recommendations
What is the principle under which a physician can exercise judgment as to whether to show
patients who are being treated for mental or emotional conditions their records? - Answer
Doctrine of professional discretion
Which of these are necessary attributes of entries to patients' health records? - Answer Clear
Correct
Concise
Why are medical records retained? - Answer Protection from litigation
Which of the following are typical ways to store imaging in all forms? - Answer Digital imaging
Why have legal advisors recommended a longer retention period? - Answer The statute may
not begin until the potential plaintiff learns of the causal relationship between an injury and the
care received.
A(n) _ is a change in the information that is meant to clarify inaccuracies found after the
document is complete. - Answer correction
