Chapter 5 Review Ehr

Front 1

the portion of a patients chart that lists progress notes, test, and other records located on the right side on the EHR

Back 1

care tree

Front 2

a window on the spring charts server that enable the clinic administer to create predetermined customized list of medical data

Back 2

category preferences

Front 3

allows for the inclusion of important text that appears in red at the top of the charts of the care tree

Back 3

chart alert

Front 4

the digital equivalent to a patients paper chart containing initial healthcare information and ongoing medical encounter documentation

Back 4

electronic chart

Front 5

a category in the care tree that stores many of the documents created from contact with the patient

Back 5

encounters

Front 6

a window on the spring charts that enables the clinic administrator to create predetermined customized lists of medical data

Back 6

deductable

Front 7

the portion of the patients chart that displays the patients demographics, medical history, and healthcare information

Back 7

face sheet

Front 8

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

Back 8

co-pay

Front 9

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

Back 9

surveillance reports

Front 10

spring charts EHR provides practitioners a unique electronic view of the patients chart similar to

Back 10

paper chart layout

Front 11

all of the preset categories in the care tree

Back 11

cannot be altered or edited

Front 12

a new TC note stands for

Back 12

telephone call ntoe

Front 13

three areas of the face sheet cannot be altered or edited

Back 13

problem list

Front 14

before creating new documentation or activities for a patient, the patients chart must be

Back 14

opened

Front 15

the information needed to compete the patients face sheet is typically taken from which

Back 15

the patients intake sheet, a family member, the patient portal, and one-on-one interview with the patient

Front 16

graphing vital signs allows viewing of

Back 16

patients blood pressure, height/weight data, and body mass index

Front 17

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

Back 17

inactive

Front 18

An ONC meaningful use criterion mandates that certified EHR program must be able to record the patients

Back 18

height weight blood pressure and body mass index

Front 19

the speed icons from the patient chart view apply to which following activity

Back 19

opening vital signs history graphs

Front 20

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

Back 20

within 3 business days

Front 21

regarding stage one of the MU regulations, the ONC requires smoking status to be recorded for 50% of patients

Back 21

13 years of age and over

Front 22

PMHX is an abbreviation for the

Back 22

patients past medical history

Front 23

the [add chart notes] button found in the letter to the patient window enables the user to

Back 23

include chart notes in the copy of the letter

Front 24

the recent charts menu in the practice view screen provides a drop-down window that allows the user to access charts that

Back 24

have been opened during the users current log-on session

Front 25

stage 1 of MU required that qualifying Eps maintain an active list of allergies, medications, and medical problems for what percentage of their patients

Back 25

80 percent