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25 Cards in this Set
- Front
- Back
the portion of a patients chart that lists progress notes, test, and other records located on the right side on the EHR
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care tree
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a window on the spring charts server that enable the clinic administer to create predetermined customized list of medical data
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category preferences
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allows for the inclusion of important text that appears in red at the top of the charts of the care tree
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chart alert
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the digital equivalent to a patients paper chart containing initial healthcare information and ongoing medical encounter documentation
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electronic chart
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a category in the care tree that stores many of the documents created from contact with the patient
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encounters
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a window on the spring charts that enables the clinic administrator to create predetermined customized lists of medical data
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deductable
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the portion of the patients chart that displays the patients demographics, medical history, and healthcare information
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face sheet
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the portion of medical insurance policyholder pays for each medical office visit or a specific type of medical service covered under the health insurance policy
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co-pay
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information generated in an EHR that is provided to the centers for disease control and prevention, enabling effective monitoring of rates and distribution of disease
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surveillance reports
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spring charts EHR provides practitioners a unique electronic view of the patients chart similar to
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paper chart layout
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all of the preset categories in the care tree
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cannot be altered or edited
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a new TC note stands for
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telephone call ntoe
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three areas of the face sheet cannot be altered or edited
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problem list
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before creating new documentation or activities for a patient, the patients chart must be
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opened
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the information needed to compete the patients face sheet is typically taken from which
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the patients intake sheet, a family member, the patient portal, and one-on-one interview with the patient
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graphing vital signs allows viewing of
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patients blood pressure, height/weight data, and body mass index
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when a patient is no longer intolerant to an allergen, a clinician can click on the allergy in the patients face sheet and select the following button
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inactive
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An ONC meaningful use criterion mandates that certified EHR program must be able to record the patients
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height weight blood pressure and body mass index
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the speed icons from the patient chart view apply to which following activity
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opening vital signs history graphs
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the ONC meaningful use measure that regulates patients receiving healthcare records from an EHR program states that 50% of patients requesting documents must receive them
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within 3 business days
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regarding stage one of the MU regulations, the ONC requires smoking status to be recorded for 50% of patients
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13 years of age and over
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PMHX is an abbreviation for the
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patients past medical history
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the [add chart notes] button found in the letter to the patient window enables the user to
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include chart notes in the copy of the letter
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the recent charts menu in the practice view screen provides a drop-down window that allows the user to access charts that
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have been opened during the users current log-on session
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stage 1 of MU required that qualifying Eps maintain an active list of allergies, medications, and medical problems for what percentage of their patients
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80 percent
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