HIS LEC 1.2

Question 1

four key functions of Health information system

Answer 1

data generation
compilation of data
analysis and synthesis of data
communication and use of dat

Question 2

collects data from the health sector and other relevant sectors

Answer 2

data generation

Question 3

collects data from the health sector and other relevant sectors

Answer 3

data generation

Question 4

ensures their overall quality, relevance and timeliness converts data into information

Answer 4

analysis and synthesis of data

Question 5

in most helath care venues, it is employed between various dapartments

Answer 5

multiple software products

Question 6

The exchange of information between the computer and the user

Answer 6

interface

Question 7

interface specification should include

Answer 7

• what data will be transferred,
• where data will be transferred,
• when data will be transferred,
• Security and encryption considerations.

Question 8

contribute to the overall effectiveness of the computer support of laboratory operations.

Answer 8

interfaces

Question 9

contribute to the overall effectiveness of the computer support of laboratory operations.

Answer 9

interfaces

Question 10

pass patient information between computers without direct human intervention.

Answer 10

interfaces

Question 11

Interfacing of the —— and —– allows the test result to be entered directly into the computer information system or LIS

Answer 11

laboratory computer
analytical testing instrument

Question 12

transferred directly over a single wired or wirelessinter face.

Answer 12

test result data

Question 13

transmits or uploads results;

Answer 13

unidirectional interface

Question 14

for the reception of uploaded information from an instrument.

Answer 14

bidirectional interface

Question 15

for simultaneous transmission or downloading of information.

Answer 15

bidirectional interface

Question 16

for simultaneous transmission or downloading of information.

Answer 16

bidirectional interface

Question 17

LIS is often interfaced with

Answer 17

HIS

Question 18

allows electronic communication between two computers

Answer 18

interfacing

Question 19

allows electronic communication between two computers

Answer 19

interfacing

Question 20

HIS manages

Answer 20

• patient census
• information and demographics
• systems for billing,
• process and store patient medical information.

Question 21

HIS manages

Answer 21

• patient census
• information and demographics
• systems for billing,
• process and store patient medical information.

Question 22

interfacing of the HIS and the laboratory computer facilities

Answer 22

• the exchange of test request orders,
• return of analytical results (the laboratory report),
• charges for the tests ordered and reported.

Question 23

• When the data are verified, nurses or physicians in the patient care areas can retrieve results through —-

Answer 23

terminals and printers

Question 24

• A well-designed, easily accessible HIS-LIS database offers significant improvements in:

Answer 24

• medical record-keeping,
• patient care planning,
• budget planning,
• general operations management tasks

Question 25

all those involved with specimen collection, processing, and testing must use the ----- correctly

Answer 25

required paperwork and database

Question 26

all those involved with specimen collection, processing, and testing must use the ----- correctly

Answer 26

required paperwork and database

Question 27

information exchange will include?

Answer 27

laboratory requisition laboratory directory computer database laboratory report

Question 28

form used by a physician (or other qualified healthcare professional) to document the tests that are to be performed for a patient

Answer 28

laboratory requisition

Question 29

The form is filled out by the healthcare provider who orders the test or by the provider’s office staff.

Answer 29

laboratory requisition

Question 30

The form is filled out by the healthcare provider who orders the test or by the provider’s office staff.

Answer 30

laboratory requisition

Question 31

must be complete with various data linking the patient to the tests ordered and must provide billing information for that patient.

Answer 31

lab requisition

Question 32

The laboratory staff will use this to enter the orders into their database for the patient, and the form is often used for reimbursement procedures as well.

Answer 32

lab requisition

Question 33

Standardized information present on all requisitions for testing and reimbursement purposes:

Answer 33

• Patient demographic information, including name, address, phone number, and birth date • Patient gender • Complete patient insurance and billing information • Date and time of collection, and identification of the person who performed the collection • Documentation of how the results are to be relayed to the healthcare provider who ordered the tests, and documentation of any other practitioner who is to receive a copy of the results • Appropriate diagnostic information in the form of an ICD-9 (International Classification of Diseases) code to allow for reimbursement for the test ordered • Test selection, clearly marked with a check, circle, or X in the appropriate area on the requisition. Tests may also be written in if they are not preprinted on the requisition used. • Any additional comments that may assist with the ordering or interpretation of the test.

Question 34

numeric indicator for the diagnosis or symptom associated with the laboratory test ordered

Answer 34

ICD-9 or international classification of disease

Question 35

important for positive patient identification, but also for billing purposes.

Answer 35

patient information

Question 36

details needed for parient information

Answer 36

Patient Name Sex Mailing Address Social Security Number Date of Birth Daytime Phone Number

Question 37

ordering physicians must provide complete information, including the ___ and/or ____, the first time a specimen is submitted

Answer 37

NPI number UPIN number

Question 38

is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard

Answer 38

national provider identifier (NPI)

Question 39

unique identification number for covered health care providers

Answer 39

NPI

Question 40

contains selected information on physicians,

Answer 40

Unique Physician Identification N umber (UPIN ) Directory

Question 41

One billing option must be checked. If no information is provided, the patient will be billed directly.

Answer 41

billing information

Question 42

often overlooked piece of information.

Answer 42

specimen information

Question 43

Don’t forget to indicate all tests being ordered on the Test Requisition

Answer 43

test selection

Question 44

consist of a group of tests that are designed to indicate a problem with a specific organ system disease process.

Answer 44

panels or profiles

Question 45

a five-digit procedure code which is necessary for reimbursement purposes.

Answer 45

common Procedural Technology (CPT) Code

Question 46

This information is valuable as a quick reference for the phlebotomist when collecting the specimen.

Answer 46

CPT

Question 47

information about what type of tube to use for a blood draw for a specific test by using a code or symbol.

Answer 47

laboratory directory

Question 48

does not include information about how to process and store the specimen or the minimum volume for the test ordered.

Answer 48

lab requisition

Question 49

• It also does not include information about how often the laboratory performs that specific analysis

Answer 49

laboratory requisition

Question 50

A computer database of specific information about tests that are performed by that laboratory.

Answer 50

laboratory directory

Question 51

may also be provided in a book format, which can be consulted by facilities that do not have Internet access.

Answer 51

laboratory directory

Question 52

also known as a directory of services

Answer 52

laboratory directory

Question 53

laboratory directory provides the information:

Answer 53

• The internal test number used to enter the test order into the database • CPT five-digit code used for reimbursement for that test • Related information if there is more than one place within the directory where the test is addressed • Acronyms or abbreviations that may be listed on the requisition for that test,or perhaps used to order the test in the computer system for that laboratory • The type of specimen required and, in some cases, the type or color of tubes to use for the blood draw or identification of the additives that must bepresent in the tubes • The requested specimen volume and the minimum acceptable specimen volume • Collection notes and specific requirements necessary for some tests • Storage instructions for the specimen after collection and during • Transportation (room temperature, frozen, refrigerated, etc.) • Reference ranges (also known as normal ranges) for the test ordered • Clinical significance and interpretation of the test results • Testing intervals/frequency and testing locations

Question 54

the employee whi is performing the collection must document:

Answer 54

two unique identifiers for the patient employee ID date of collection time of collection

Question 55

organized collection of structured information, or data, typically stored electronically in a computer syste

Answer 55

database

Question 56

Any collection of data or information specially organized for rapid search and retrieval by a computer.

Answer 56

computer database

Question 57

structured to facilitate data storage, retrieval, modification, and deletion in conjunction with various dataprocessing operations.

Answer 57

Database

Question 58

The laboratory report document will list the:

Answer 58

• results for the tests performed, • the reference ranges (also known as normal ranges)

Question 59

results expected in the general healthy population 95% of the time for a particular laboratory test.

Answer 59

reference range

Question 60

necessary (instead of a specific value) because of differences in the population due to age, race, and gender.

Answer 60

reference range

Question 61

will be present on the laboratory report for all results outside the expected reference range for that patient, based on demographics, the testing method, and the test ordered.

Answer 61

notation

Question 62

this information must be provided whenever a sample is collected.

Answer 62

gender and age of the patient

Question 63

The laboratory report will also include the:

Answer 63

• date and time of the specimen collection, • the name and identification number for the patient, • the name and address of the laboratory where the test was performed. • The specimen source is identified, • the date and time the report was generated

Question 64

may be hand-delivered to the ordering healthcare provider by a medical assistant within an office or via a courier service from a reference laboratory

Answer 64

lab report

Question 65

They may also be faxed, mailed, or in some cases, transmitted via e-mail.

Answer 65

lab report

Question 66

may also be available online through a dedicated laboratory link so the provider can view the results onsite.

Answer 66

laboratory reports

Question 67

legal documents that become part of the patient's health record

Answer 67

laboratory report