Electronic medical record (EMR) result reporting and data ...

[iveyjurea]

Electronic medical record (EMR) result reporting and data repository components include unstructured data. Which of the following are examples of unstructured data? Select all that apply.
 
  1. Automated laboratory results
  2. History and physical
  3. Consultation findings
  4. Magnetic resonance imaging
  5. A social services text report

Question 2

The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record.
 
  It also has potential to improve the quality of health information, patient safety, and productivity, contain costs, support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of the following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry? Select all that apply. 1. Paper records are episode-oriented with a separate record for each client visit.
  2. Key information may be lost from one episode to the next, jeopardizing patient safety.
  3. Only one person can access a paper record at any given time.
  4. Different versions of the same information may be stored in several places.
  5. Paper records cannot incorporate diagnostic studies that include images and sound.

[Jsherida]

Answer to Question 1

2,3,5
Rationale: Examples of unstructured EMR data are history and physical, social services text report, and consultation findings. Unstructured data do not follow any particular format. Other examples are operative reports, and discharge summaries. The EMR also includes structured data, those that follow a predefined format and are often presented as discrete data elements. A primary example is laboratory results from an automated laboratory information system. Magnetic resonance imaging is an example of another type of structured data that may be included in the EMR.

Answer to Question 2

1,2,3,4,5
Rationale: The following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry:
-Paper records are episode-oriented with a separate record for each client visit.
-Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety.
-Only one person can access a paper record at any given time. Therefore, health care providers waste time looking for paper records and treatment may be delayed.
-Different versions of the same information may be stored in several places.
-Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of decision support systems.

[iveyjurea]

TYSM

[Jsherida]

Excellent