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93 Cards in this Set
- Front
- Back
Your release of information system has part of the computing on the workstation and part on the file server. What type of technology is being used? - operating system - internet - client server - LAN |
client server |
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Which of the following data field types is best used for the health record number? - time and date - auto-numbering - numeric - alphanumeric |
auto-numbering |
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The patient has been on medication X for several years. A physician ordered medication Y. The information system immediately sends the physician a message that says the medication Y is contraindicated due to medication X. What technology is being used? - point-of-care system - EHR - clinical decision support systems - order entry results reporting |
clinical decision support systems |
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Which of the following is a risky practice in the EHR? - graphical user interface - free text - copy and paste - data reuse |
copy and paste |
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You need to know the structures in the database, the types of records stored, and the fields used, in which component of database design will you find this information? - database design specification - database management - data dictionary - data model |
data model |
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Installation of a new electronic document managing system is scheduled for the HIM department. The department director calls a meeting of the HIM supervisors to coordinate plans for training the HIM staff. What key factors must be taken into consideration as part of the training preparation process? - presentation content and scheduling to accommodate all employee shifts - collecting the results of the RFP responses and vendor selection process used during the selection process - the total storage capacity and price of the new system - scheduling training times and locations for all physicians and hospital personnel who will use the system |
presentation content and scheduling to accommodate all employee shifts |
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Two users of the EHR accessed data stored in the database in the same location. How does the database handle this? - traceability - concurrency controls - integrity controls - access controls |
concurrency controls |
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Public health informatics is used for: - epidemiology - fraud and abuse monitoring - billing and reimbursement - patient care |
epidemiology |
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You use an information system to create a letter notifying a requester that your facility does not have any records on file for the individual's records requested. What system are you using? - chart locator - release of information - chart deficiency - cancer registry |
release of information |
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Which one of the following is necessary during the strategic planning process for the EHR? - gauging the user's readiness for the EHR - writing the request for proposal to be used in selecting the EHR - selecting the EHR to be used - creating a newsletter to keep users informed of the status of EHR |
gauging the user's readiness for the EHR
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The radiology information system was recently implemented. During the system evaluation, what do you need to learn? - how you can improve the next implementation - the employee who worked the hardest - the user's favorite new function - the effectiveness of the testing environment |
how you can improve the next implementation
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Upon final review of the RFP that is to be sent out to prospective vendors, you notice that there is content that should not be included in the operational requirement section of the document. Which of the following information should be deleted from this section? - data analysis tools - data conversion - data architecture - response time |
data conversion |
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Maria has received a request to update a patient's address. What system should she use? - laboratory information system - admission-discharge-transfer system - executive information system - clinical decision support system |
admission-discharge-transfer system
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We are implementing a technology that allows the computer to read cursive or print handwriting. Select the technology that we are implementing. - optical character recognition technology - gesture recognition technology - intelligent document recognition technology - radiology frequency identification technology |
gesture recognition technology |
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You have been asked to identify and display the existing record processing workflow with the paper record. After you finish this, you will redeisgn the process and display the new process. What tool should you use? - data mapping - data flow diagram - policy and procedure - data dictionary |
data flow diagram
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The facility is implementing a new PACS. The volume of data that will be passing over the Internet will significantly increase. As a result, they have updated their network. They want to determine if the updated network can handle the amount of data that is expected to be sent across the system. Which type of testing would they use? - conversion - interface - functionality - volume |
volume |
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The database being implemented must be able to store video, images, and audio. Which of the following database models should be considered? - relational - hierarchical - network - object oriented |
object oriented |
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You need a system that will work with your existing system but not necessarily from the same vendor. What type of system are you looking for? - interfaced - integrated - cloud computing - commercial |
interfaced |
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Which of the following would be a foreign key in the patient table? - address - billing number - last name - medical record number |
billing number |
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To enter the results of a urinalysis into the computer system, you would use a(n) - order entry/results reporting system - pharmacy system - laboratory system - radiology system |
laboratory system |
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The vendor has provided an update to their software. With this update, the system has new functions. This is known as a - version - fix - release - link |
version |
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In the RFP, you have asked for information regarding the amount of time that a vendor has been in business and the number of installations of the product under consideration. If you want to review this information, you would go to the ________________ section. - functional specifications - vendor profile - organizational profile - licensing and contractual details |
vendor profile |
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A milestone is: - a module of an information system such as the EHR - a project plan - the distance between the users and the data center - a step in the path to the implementation of an information system |
a step in the path to the implementation of an information system |
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You need to document the major tasks and milestones for the system that is being implemented. What document do you include this information in? - project plan - vision - contract - strategic plan |
project plan |
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When negotiating an information system contract, which of the following would be an example of a performance warranty specified in the contract? - operational practices - remedies - insurances - uptime |
insurances |
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Which of the following technologies can be used to check on a patient who is homebound? - digital imaging - interactive voice recognition - natural language processing - radio frequency identification |
radio frequency identification |
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The HIM supervisor is evaluating software that would utilize electronic logging and monitoring of requests for copies of patient information and develop an accounting of disclosure. What department function is this most useful for? - release of information/disclosure management - record location/tracking - record completion - transcription |
release of information/disclosure management |
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Administrative, financial, and other systems supply the EHR with much of its data. What are these various systems known as? - application - source systems - administrative information systems - point-of-care charting |
source systems
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The facility Hospital Information System team has been researching network topologies and has decided on one that combines the attributes of bus, ring, and star topologies. What topology has the team chosen? - TCP/IP - network protocol - hybrid network - physical topology |
hybrid network |
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The medical staff wants a speech recognition system where the staff dictates and then the editing of the dictation is done by editors. What type of speech recognition is this? - key-word spotting - back-end speech recognition - front-end speech recognition - hidden Markov model |
back-end speech recognition |
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The EHR software is not working correctly. The link between the fetal monitoring system and the EHR is down. When you call the information system department, what should you tell them has failed? - network - source code - interface - setting configuration |
interface |
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You need to identify some patterns in our database. What technology should you use? - clinical guidelines - alerts - reminders - data mining |
data mining |
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There is a problem with the data dictionary. The drop-down fields do not have all of the options that are needed. This type of field is known as a(n): - patient data entry - structured data entry - patient data entry - direct data capture |
structured data entry |
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You are developing a list of functions needed by users of a release of information system. You are also evaluating the current system to see what opportunities there are to improve the system. Which stage of the system developmental life cycle stages are you in? - obsolescence - design - implementation - analysis |
analysis
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Your facility has decided to implement the new laboratory information system on one unit and then add more units as your confidence in the system grows. What go-live model are you using? - big bang - pilot - phased - straight turnover |
pilot |
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You are interested in performing some data analysis on patients with cardiac problems. You have downloaded the data that you need on the cardiology patients from the data warehouse into a smaller database that you can work with. You are using a - executive information system - specialized data warehouse - data mart - clinical data repsository |
data mart |
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You have been asked to establish guidelines on screen design that will be used in all of your information system projects. Which of the following standards would be included in your guidelines? - use red and green to flag key data - the screen should read right to left - eliminate all hyperlinks - provide instructions no how to complete the screen |
the screen should read right to left |
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Administration has asked the clinical provider order-entry task force to select the go-live model that will reduce risk to the hospital. What method should they choose? - implement all modules across the entire organization - implement one module in one unit while running the current system in parallel - implement one module in one unit while shutting down the existing system - implement all modules across the entire organization while running the current system in parallel |
implement one module in one unit while running the current system in parallel |
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The new computer hardware arrived and the technical staff was not able to install it because there was not enough space in the computer room. Which of the following implementation steps was not properly executed? - conversion - system evaluation - site preparation - user preparation |
site preparation |
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Dr. Smith accesses the EHR in his office to see what patients are ready to be seen and what calls he needs to make. This functionality is called - the patient summary - checkout - the in-basket function - registration |
the in-basket function |
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A common language used in data definition and data manipulation is - SQL - metadata - HTML - unified modeling language |
SQL |
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The information systems are testing whether or not the system works for lab equipment and printers. This type of testing is called - integration testing - acceptance testing - volume testing - application testing |
integration testing |
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The administrator has asked us to develop a patient satisfaction database internally. This database will be used to collect data that can be used to improve our services. He does not want this to be a long, drawn-out process. Which of the following could speed up this process? - prototyping - RFI - RFP - functional requirements |
prototyping |
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You have been asked to develop scenarios that will be used to design and program a new release of information system. These scenarios will include the processes to be used in detail. What are you designing? - strategic plan - request for proposal - use cases - functional requirements |
use cases |
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Mary is designing a computer screen that will be used to collect patient demographic information. What input design should be utilized for the state field? - an icon - free form text - the drop-down menu - a dialog box |
the drop-down menu |
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There was an unexpected hardware failure for our EHR. It is expected to be up and operational in 3 hours. Until then, which of the following plans would you need to initiate? - project planning - information system strategic plan - business continuity plan - implementation plan |
business continuity plan |
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The facility has established an application that allows patients to support each other. The system is: - social media - portal - personal health record - continuity care document |
social media |
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The most secure model of signatures used in information systems is: - electronic signature - digitized signature - there is no difference in the level of security between these models - digital signature |
digital signature |
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A small chip is stored in the patient's wristband. This is an example of what type of technology. - database model - bar codes - radio frequency identification device - digital imaging |
radio frequency identification device |
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The HIM supervisor uses many of the advanced functions of the EHR. This use of advanced features is an example of which of the following? - governance - optimization - adoption - meaningful use |
optimization |
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You have been asked to give an example of a clinical information system. Which one of the following would you cite? - financial information system - admission, discharge, transfer - billing system - laboratory information system |
laboratory information system |
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A preliminary step prior to issuing a formal RFP, which allows the facility to narrow down the field of potential vendors for procurement of a new hospital-wide computer system, would be to - create a Gantt chart to monitor project progress - initiate contract negotiations - issue a request for information (RFI) to potential vendors - select the system to be purchased |
issue a request for information (RFI) to potential vendors) |
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You have had a problem with duplicate medical record numbers in your facility's MPI. Now you are joining a health information exchange, so you will need to clean up your database and prevent the duplicates from happening again. If you want to find near matches as well as identical matches in your MPI, you should implement a _________ algorithm. - deterministic - fuzzy - probabilistic - neither probabilistic, deterministic, nor fuzzy |
probabilistic |
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You have been asked how to handle versioning of documents in the EDMS. Which of the following should be your response? - delete the first version and retain the second - display both versions side by side - display the second version but identify that a previous version exists - do not allow edits to the system |
display the second version but identify that a previous version exists |
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You recently installed a new computer system and you just learned that the vendor does not have the right to use one portion of the system. Another company owns the rights to the information contained in this portion of the system. What clause in your contract would you review to see if you are protected from being sued by the other company? - support - warranties - indemnification - force majeure |
indemnification |
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What type of system would be purchased to provide information on the census, update the master patient index, and distribute demographic data? - admission, discharge, transfer - financial information system - executive information system - clinical information system |
admission, discharge, transfer |
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The chief financial officer has decided that he wants to drop bills 36 hours after patient discharge. What would have to be updated? - code - prototype - interface - setting configuration |
setting configuration |
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Administration has asked your team to investigate the possibility of purchasing a decision support system. Which of the following would you conduct to determine if the facility should proceed? - request for proposal - risk assessment - request for information - feasibility study |
feasibility study |
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Dr. Smith has a practice in Macon, Georgia. He is treating a patient who is physically located in Soperton, Georgia, which is about 70 miles away. Dr. Smith, however, treats the patient while remaining in his Macon office. What technology is required for Dr. Smith to treat the patient? - EHR - clinical health data repository - telehealth - cloud computing |
telehealth |
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The hospital is undergoing the development of an information system strategic plan. The part of the process where changes in the community, legislation, and other factors are monitored is called - critical path analysis - alerts - health information exchange - environmental scanning |
environmental scanning |
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Which of the following tests conducted during system implementation determines how well new systems being implemented work with existing systems? - integration test - system test - unit test - volume test |
integration test |
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With data exchange standards, the ability to transfer data from one system to another system is called - interoperability - data sets - interfaces - messaging standards |
interoperability |
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One of the ways that an EHR is distinguished from a clinical data repository is that the EHR
- can have digital images - aggregates data - has data from multiple information systems - has clinical decision support capabilities |
has clinical decision support capabilities |
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In performing a "what if" query to determine if the facility should expand the emergency department, which of the following systems would be used? - clinical decision support system - decision support system - knowledge-based system - financial information system |
decision support system |
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Your role is to help patients determine where to store their personal health record. What area do you specialize in? - consumer health informatics - privacy - standards development - HIM management |
privacy |
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Availability and the ability of users to collaborate are benefits to which of the following? - physiological signal processing systems - web services - web content management systems - open source technology |
open source technology |
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Mountaintop Hospital has decided to use the “best of breed” philosophy. Because of this, they need a(n) __________ to manage the sharing of data - DBMS - interface engine - RFP - consultant |
DBMS |
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In selecting a messaging standard for use in a picture archival communication system, the best choice would be - Consolidated Health Informatics Initiatives - HL8 7 - National drug Code - DICOM |
DICOM |
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Data from the laboratory information system, radiology information system, and many other systems are all stored real-time in a single database. This database is known as a(n) - electronic health record - personal health record - clinical data repository - health information exchange |
clinical data repository |
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You need a report that includes only Medicare patients. What operation enables you to generate this report? - calculations - filtering - sorting - grouping |
filtering |
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A patient has been admitted to the hospital. The health record number is used to identify where the patient's data is stored in the health information exchange. The information is found using which of the following? - master patient index - record locator service - admit-discharge-transfer message - trust community |
record locator service |
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When calling the HIM Department, you say the word "two" to reach the release of information system. What technology is this? - voice over Internet protocol - interactive voice recognition - gesture recognition technology - artificial neural network |
interactive voice recognition |
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Your facility has created a list of systems that need to be implemented between now and the implementation of the EHR. This list is in the order that they should be implemented. This document is known as the - migration path - decision support - implementation strategy - dependencies |
migration path |
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The patient's blood pressure is automatically being recorded. This is an example of what type of clinical information system? - patient registration - nursing applications - patient monitoring system - medical documentation |
patient monitoring system |
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The electronic health record that is being implemented in your multi-disciplinary medical practice will be used first by the family practice physicians. Future projects will expand this to other specialties. What is this description of the project called? - critical success factors - project scope - vision - scope creep |
project scope |
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You are trying to ensure a patient's name, but the entire name will not fit in the field. Only the first eight characters will fit. This is a problem with which of the following? - the data dictionary - data mapping - the data model - policy and procedure |
the data dictionary |
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Which of the following systems would provide a snapshot of information about the patient's condition? - personal health record - continuity of care record - EHR - SMART card |
continuity of care record |
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The information system allows the user to capture data easily and then be able to retrieve the information. This concept is known as - usability - standardization - health information exchange - screen design |
usability |
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The team has established rules regarding the organization and presentation of information. What is this set of rules called? - system development life cycle - systems analysis - data model - systems architecture |
systems architecture |
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As Director of Health Information Services, you are negotiating a contract to purchase a new computerized dictation system that will be used across three satellite ambulatory clinics. What element is most critical in the contract negotiation to ensure use of the software in multiple environments? - delivery terms - scope and term of warranties - price and payment terms - license grant |
licence grant |
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A survey of your patients has found that they want access to test results and the ability to schedule appointments online. What technology should be used to provide these services? - intranet - personal health record - portal - single sign-on |
portal |
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You are entering orders into an information system. This system prevented you from ordering a duplicate radiology test and prevented you from ordering a medication that the patient was allergic to. What system are you using? - electronic health record - decision support system - clinical provider order entry - order entry / results reporting |
clinical provider order entry |
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Your facility has implemented the clinical systems needed to support the EHR. The knowledge-based and decision support systems will be installed next. Your team has a firm plan to indicate the direction you should take and the expected time frame. This is called a - value realization - critical path - cost-benefit analysis - migration path |
migration path |
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The EHR system implementation team is using simulated patients and simulated patient information to add progress notes, nurses' notes, and so on, to the EHR prior to implementation. Which implementation step is the team involved in? - site preparation - testing - analysis - conversion |
testing |
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The laboratory system was installed 3 years ago. It is running well and meeting the needs of the department. In which stage of the IS life cycle is the lab system? - operations - implementation - initiation - development |
operations |
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The type of documentation that uses drop boxes, radio buttons, and pick lists is called - natural language processing - unstructured data entry - structured data entry - free text |
structured data entry |
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You use the internet to log in to a system and from there you are able to access several systems. This technology is known as a(n): - application - portal - link - authentication |
portal |
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Critique the following statement: The EHR utilizes existing source systems to supply data - this is false because the EHR requires the latest and greatest system, thus eliminating legacy systems - this is true because the EHR uses many source systems to populate the data - this is true because the EHR obtains information solely from the source documents - this is false because the EHR is a stand-alone system |
this is true because the EHR obtains information solely from the source documents |
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Barbara is being seen at a physician's office that she has never been to before. This physician practice is independently owned and is not associated with a hospital or other physician practice. She did not have to request copies of her health records, but the physician has everything that she needs. The physician must be part of a(n) - electronic health record - health information exchange - integrated health network - corporation |
health information exchange |
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What Web 2.0 technology would you recommend for someone who wants to share their battle with cancer? - web pages - a chat room - a blog - an extranet |
a blog |
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You are given the task of choosing the type of databases that your facility will use. You choose one that stores the data in tables. What model did you choose? - object-oriented - relational - structured - hierarchical |
relational |
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The decision has been made to select a health information exchange model that stores data in multiple databases. What type of model will be used? - centralized - hybrid - federated - health record banking model |
federated |
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Differentiate between the physical and logical data models. - The logical data model shows what the system should do, and the physical data model shows how the logical data model will be created. - The physical data model shows how the logical model will be created, and the logical data model shows the technology plan to be used. - The physical data model uses DFDs, and the logical uses entity relationship model. - The logical data model uses DFDs, and the physical data model uses entity relationship models. |
The logical data model shows what the system should do, and the physical data model shows how the logical data model will be created |