Question

answer the following questions.

1. what type of health record is controlled by patients?

a. electronic health record
b. health record in any format
c. personal health record
d. certified health record

1. which of the following explains how amendments to the ehr are handled?

a. amendments are automatically appended to the original note. no additional signature is required.
b. amendments must be entered by the same person as the original note.
c. amendments cannot be entered after 24 hours of the event.
d. the amendment must have a separate signature, date, and time.

1. version control of documents in the ehr requires which of the following?

a. the deletion of old versions and the retention of the most recent
b. policies and procedures to control which version or versions are displayed
c. signed and unsigned documents not to be considered two versions
d. previous versions to be accessible to administration only
check your understanding 3.2

1. the decision was made to not allow copying and pasting. justification for this decision includes which of the following?

a. reduction in the time required to document
b. information system may not save data
c. copying outdated information
d. the ease in identifying the author of the documentation

1. when 10101963 is keyed in, the computer displays it as 10/10/1963. what enables this?

a. toolkit
b. input mask
c. checkbox
d. radio button

1. which of the following are audits performed by healthcare organization staff?

a. internal audits
b. external audits
c. process audits
d. system audits

1. identify the true statement regarding disclosure of health information information systems.

a. this information system only records requests from healthcare organizations.
b. this information system is used only by him staff.
c. this information system has been phased out.
d. all disclosures should be recorded regardless of where information is released.

Explanation:

Question 1

A personal health record (PHR) is controlled by the patient. Electronic health records (EHR) are controlled by healthcare providers, health records in any format is a general term, and certified health records are managed by authorized entities, not patients. So the correct option is about personal health record.

For EHR amendments, the correct process is that amendments must have a separate signature, date, and time (option d). Option a is wrong as amendments usually need a signature. Option b is wrong as different people can make amendments. Option c is wrong as there's no 24 - hour restriction for entering amendments.

Version control in EHR needs policies and procedures to control which version or versions are displayed (option b). Option a is wrong as old versions are not deleted in proper version control. Option c is wrong as signed and unsigned documents' versioning isn't defined that way. Option d is wrong as previous versions should be accessible to authorized parties, not just administration.

Answer:

c. Personal health record

Question 2