This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
The CAHIMS Exam Preparation Course
and the CAHIMS exam are the result of
collaboration between the Life Science
Informatics Center at Bellevue College
and the Healthcare Information and
Management Systems Society (HIMSS).
Significant content found in the CAHIMS
Exam Preparation Course stems from the
Office of the National Coordinator for
Health Information Technology. Creation
of the CAHIMS Exam Preparation Course
and the CAHIMS exam was made
possible through support from the National
Science Foundation (NSF).
Curriculum Team:
Margaret Schulte, DBA
Michèle Royer, PhD
Nathan Savage, MLIS
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Section 2 - Technology Environment
Lesson 2.2 - Electronic Health and Medical Records
Assessment Questions Answer Key
Lectures 3 & 4
1. Which of the following, according to the IOM, is a software element of an EHR?
*a. Patient support
b. Software
c. Hardware
Answer: a. Patient support is a software element of an EHR?
Lecture(s)/Slide(s): 4/3
2. Which of the following is one of the four key components of any EHR system?
a. Provides mobility for healthcare workers
*b. Provides “longitudinal health data” on individuals
c. Provides secure access by sacrificing efficiency
Answer: b. Provides “longitudinal health data” on individuals. Other key
components include: a) Provides immediate, yet secure, electronic access; b)
enhances quality, safety and efficiency of patient care; c) makes health care
more efficient
Lecture(s)/Slide(s): 3/7
3. Most EHR systems today are based on what kind of computer model?
a. Hardware-software
*b. Client-server
c. Hosted
Answer: b. Most EHR systems today are based on client-server model.
Lecture(s)/Slide(s): 3/14
4. What are three things to consider when purchasing an EHR server?
*a. Reliability, performance, scalability
b. Size of the unit, performance, power consumption
c. Client-Server, Service Requester, client requests
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 1
Answer: a. Reliability, performance, scalability are three things to consider when
purchasing an EHR server.
Lecture(s)/Slide(s): 4/8
5. Name three types of servers you may find in a typical EHR system?
a. Hardware, RAM, Dell
*b. Configuration, terminal, VPN
c. Application, Database, Citrix
d. Internal, external, hosted
Answer: b. Application, Database, Citrix, or Terminal are three types of severs
you may find in a typical EHR system.
Lecture(s)/Slide(s): 4/2
6. Software can be defined as:
a. The nuts and bolts that make things work.
b. The physical components of servers.
*c. A collection of computer programs and related data that provide the
instructions telling a computer what to do.
d. A collection of computers and devices connected by communications
channels that facilitates communications among users and allows users
to share resources with other users.
Answer: c. Software is a collection of computer programs and related data that
provide the instructions telling a computer what to do.
Lecture(s)/Slide(s): 3/11
7. Hardware can be defined as:
*a The physical components that make things work.
b. Data needed to tell the computer what to do and how to behave.
c. Fast, low cost PC systems that permeate the workplace often less than
$500 each.
d. A computer designed to efficiently run server applications.
Answer: a. Hardware is the physical components that make things work.
Lecture(s)/Slide(s): 3/11
8. True or False: Server applications and client applications can exist on the same
physical device.
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 2
*a. True
b. False
Answer: a. True. Although installing server applications onto dedicated server
hardware usually increases efficiency and reliability of the application, installation
of both server and client applications onto one device could be warranted or even
encouraged in some cases, particularly in smaller environments.
Lecture(s)/Slide(s): 3/16
Lecture 1
9. A friend asks you how she can access and control her medical information
electronically. Which of the electronic record systems listed below would you
direct her to?
a. Electronic Health Record
b. Electronic Medical Record
*c. Personal Health Record
d. Pharmacy Health Record
Answer: c. Personal Health Record
Lecture(s)/Slide(s): 1/3
10. Which of the following is NOT true about the paper medical record?
a. Can be easily destroyed
b. Can be used for one task at a time
c. Allows for duplication of information
*d. Permits easy tracking of those who access it
Answer: d. Permits easy tracking of those who access it
Lecture(s)/Slide(s): 1/11
11. “An electronic record of patient health information containing care received
in all health facilities” is the definition of
*a. an Electronic Health Record.
b. an Electronic Medical Record.
c. a Personal Health Record.
d. a Healthcare Information Record.
Answer: a. an Electronic Health Record.
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 3
Lecture(s)/Slide(s): 1/10
12. A friend of a patient asks the nurse if the patient is HIV positive. If the nurse
provides this information, what is he or she guilty of?
a. Violating information security
b. Information by consent
*c. Breach of confidentiality
d. Nothing; this is not illegal
Answer: c. Breach of confidentiality
Lecture(s)/Slide(s): 1/26
13. Which of the following does not contribute to identifying the functionality of
the EHR for an organization?
a. Type of setting (e.g. inpatient, ambulatory) and type of services
b. Population served by the provider and type of services
c. Type of services provided and population served
*d. Type of setting, population served and services provided assist in defining the
functionality needed for the provider
Answer: d. Type of setting, population served and services provided assist in
defining the functionality needed for the provider
Lecture(s)/Slide(s): 1/5
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 4