Health Information Management Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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Limiting Collection of PI | show 🗑
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show | a database of all clients registered
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show | a federally funded organization with a mandate to facilitate the national implementation of electronic health records
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health information management (HIM) | show 🗑
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eHealth | show 🗑
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electronic medical record (EMR) | show 🗑
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show | a person, persons, or organization who has the responsibility for safekeeping and controlling personal health information in connection with the powers and duties performed.
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fob | show 🗑
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outguiding system/or charge-out system | show 🗑
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show | a total medical office system, including both hardware and software, with the capability of replacing all components of a paper chart (health record) electronically.
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decentralized | show 🗑
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show | an accumulation of essential information from an individual's electronic medical records that is accessed electronically at different points of service for purposes of client care.
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health record | show 🗑
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health information | show 🗑
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show | any surgical procedure will generate a report
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show | as long as a client is alive and has the potential to seek treatment, a health record remains active.
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lock boxes | show 🗑
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colour coding | show 🗑
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consent form | show 🗑
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show | designate one location in which to house all records
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show | distribution of and access to information is strictly controlled
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show | each client is assigned a unique identifier
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show | each organization must have a process in place to handle complaints with respect to the way personal information is collected, used or disclosed, or the manner in which the organization complies with the legislation.
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show | electronic chart
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show | growth charts, antenatal records, diabetic flow sheets, etc
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show | includes information that may be considered factual or subjective
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openness | show 🗑
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accuracy | show 🗑
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lab sheets | show 🗑
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physical assessment | show 🗑
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consecutive | show 🗑
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encounter record | show 🗑
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alphabetical | show 🗑
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maintenance | show 🗑
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pChart | show 🗑
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show | PIO who is ultimately responsible for the compliance of the organization with the standards spelled out in the act
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cumulative patient profile (CPP) | show 🗑
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history (interview) sheet | show 🗑
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numeric | show 🗑
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purge | show 🗑
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show | segments a number into component parts
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show | should be noted in red and listed in a prominent place
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show | the initial retrieval of information
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show | the organization must take appropriate and practical measures to protect the information from unauthorized access, use or tampering
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show | to remove a file from active status and store it in a secondary location or on a secondary medium
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unlawful access | show 🗑
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show | with written request to the PIO, clients shall be given access to their personal information
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show | you cannot use or disclose any information for purposes other than those for which it was collected; information must be kept only as long as it serves its intended purpose; information must be appropriately stored and destroyed
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show | you must inform the clients of the purpose for the collection of their information either before or at the time of the collection
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Created by:
deyoht_kwa
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