CRIS TEST QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
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Course
Cris
Institution
Cris
Purposes of medical record - CORRECT ANSWER 1. To provide a communication tool between all healthcare providers. A physician, nurse, and any healthcare professional that treats the patient will complete documentation within the medical records
2. To provide documentation regarding diagnosi...
CRIS TEST 2024-2025 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
Purposes of medical record - CORRECT ANSWER 1. To provide a
communication tool between all healthcare providers. A physician, nurse, and any
healthcare professional that treats the patient will complete documentation within
the medical records
2. To provide documentation regarding diagnosis, treatment, and care of the
patient while to find a receiving services from a healthcare facility.
3. To provide information needed for medical billing of services rendered to the
patient and hospital financial management.
4. To provide a medium for analysis, study, and evaluation of the quality of care
given to a patient.
5. To assist in protecting the legal rights of the patients, the healthcare facility,
and other healthcare providers.
A master patient index (MPI) - CORRECT ANSWER Tool gathered to obtain the
complete medical record. (Is electronic medical database that holds information on
every patient registered at a healthcare organization.)
Discharge summary - CORRECT ANSWER Summary of treatment the patient
received. Includes the diagnosis of their ailment. This is usually a transcribed
report.
history and physical - CORRECT ANSWER Reflects the history of the patients
disease or injury, as well as the history of treatment. Usually transcribed, but may
be hand written at the beginning of the progress notes.
, CRIS TEST 2024-2025 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
Electrocardiogram (EKG or ECG) & electroencephalogram (eeg) - CORRECT
ANSWER These are specialized tests for the heart (EKG) and the brain (EEG)
that produce strips of findings that may be mounted on individual pages.
Pulmonary function test (PFT) - CORRECT ANSWER A test designed to
measure how well the lungs are working usually found in the respiratory section.
Operative report - CORRECT ANSWER This is a summary report of the
operation including a description of what was done and the findings.
Pathology report - CORRECT ANSWER An analysis of anything removed from
the patient during the operation (i.e. To check for cancer)
Continuity of care document (CCD) - CORRECT ANSWER The CCD is
generated from an electronic health record (EHR). It is a summary data set with
demographic & clinical information about a patients healthcare covering one of
more encounters.
Who owns the medical record? - CORRECT ANSWER It is the property of the
facility in which it was created.
Which law is stronger if in conflict? State or federal? - CORRECT ANSWER
Whichever is stricter than the 2 with more privacy protection will prevail.
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