Functions of Hospital Information Systems

Which combination is the appropriate set of core systems of a hospital information system?

1. Food service system, logistics system, blood transfusion system, and endoscopy department system
2. Financial accounting system, payroll system, and attendance management system
3. RIS, PACS, LIS, and endoscopy department system
4. Order entry system, electronic medical record system, and medical billing and accounting system

Which of the following hospital information systems is a departmental system?

1. Electronic medical record system
2. Order entry system
3. Medical billing and accounting system
4. Clinical laboratory department system

Which is an appropriate description of the "link-reference" approach to holding data in a hospital information system?

1. All departmental system data is replicated to and held on the core system, which displays it
2. Free-text entries are stored as they are, without being divided into items
3. Data is defined item by item and stored in a prescribed format
4. The data itself stays on the departmental system, and the core system displays it through a reference link

Which is an appropriate purpose of the audit trail in a hospital information system?

1. To record who accessed which information and when, so it can be verified afterward
2. To compress stored data and reduce disk usage
3. To shorten the system's response time to user operations and speed up daily work
4. To automatically calculate medical fees from the care that was delivered

Which is an appropriate description of a DWH (data warehouse)?

1. A terminal placed in the consultation room for physicians to enter daily orders
2. A database that integrates and restructures data accumulated in operational systems and stores it for analysis and secondary use
3. A control device installed to keep the temperature and humidity of a drug storage warehouse constant and maintain drug quality
4. A ledger recording the retrieval and return of paper charts stored in an archive

Which of the following is not an appropriate requirement for a hospital information system?

1. Assume an operating model in which the system is shut down completely at night and on holidays
2. Ensure the confidentiality of data to protect patient information
3. Pay attention to usability and screen response times
4. Prepare for failures through redundancy of power supplies and data

Which is an appropriate description of "point-of-origin entry" in an order entry system?

1. The person who originates the information, such as the ordering physician, enters it on the spot
2. Clerical staff collect paper slips and enter them together after care is finished
3. Paper slips are scanned and stored as images
4. The patient enters their own orders before the consultation

Which is the appropriate general flow of a prescription order for an inpatient?

1. A nurse enters the prescription order, dispenses it on the ward, and hands it to the patient
2. The physician enters the prescription order, it is transmitted to the pharmacy department, and a pharmacist reviews the prescription, dispenses, and issues it to the ward
3. Only prescriptions whose payment has been completed are transmitted to the pharmacy department and dispensed
4. The billing office decides the prescription content, informs the pharmacy department, asks a pharmacist to dispense, and has it delivered to the ward

What is the main role of the blood collection tube label issued from a laboratory test order?

1. To keep a record of the name and working hours of the nurse who drew the blood
2. To display the tube's date of manufacture and expiration date
3. To print test results for notifying the patient
4. To be affixed to the collection tube and correctly link the specimen to the patient and order information

Which combination is verified in 3-point verification when administering an injection?

1. Patient, drug, and administering staff member
2. Physician, nurse, and pharmacist
3. Drug, slip, and medical record
4. Patient, room, and time

Which of the following is not a typical order handled by an order entry system?

1. Laboratory test orders involving blood collection
2. Prescription orders entered by physicians
3. Meal (diet) orders for inpatients
4. Staff shift assignments

Which is appropriate regarding proxy entry of physicians' orders?

1. Content entered by proxy must be checked and approved by the ordering physician
2. The person who performed the proxy entry may complete the approval under their own privileges
3. Content entered by proxy is finalized without the physician's approval
4. Proxy entry of physicians' orders is entirely prohibited by law for all professions

Which is an appropriate description of order completion (administration) entry?

1. An entry made to cancel an order that has already been entered and void the instruction
2. An entry recording that the ordered act was actually performed, which becomes base data for medical fee claims
3. An entry reporting a system failure to the administrator
4. Patients entering their own symptoms and condition to inform the physician

Which is appropriate order operation during a system failure?

1. Decide not to bill for the care delivered during the failure
2. For care delivered while the failure continued, no records need to be kept even after the system is restored
3. Operate on paper slips during the failure, and after recovery enter the records retroactively into the system to complete the clinical records and billing information
4. Suspend all outpatient and inpatient care and wait until the failure is resolved

Which of the following is an appropriate benefit of adopting electronic medical records?

1. Multiple professions and departments can view the clinical record at the same time
2. Records can be viewed entirely unaffected by system failures
3. Operation is always cheaper than paper charts
4. Entry errors automatically disappear, so checking becomes unnecessary

Which is an appropriate description of the template function of an electronic medical record?

1. A function that registers users' passwords and manages their expiration
2. A function that provides predefined standard items so that structured records can be created efficiently by selection and entry
3. A function that automatically calculates medical fees from delivered care, creates claims, and completes billing
4. A function that compresses medical images to save storage capacity

Which is an appropriate description of a clinical path (clinical pathway)?

1. An individual accounting plan created from scratch for each patient that estimates the cost of hospitalization in advance
2. A ledger recording drug receipts and issues to manage inventory
3. A standard care plan organized as a timeline for each disease or treatment, with deviations from the plan managed as variances
4. A hospital disaster manual defining response procedures for earthquakes and fires

Which is appropriate operation when scanning paper documents into the electronic medical record for storage?

1. Paper documents must always be destroyed the same day after scanning, without exception
2. Import without delay at a quality where the information is readable, and ensure identity with the original document
3. It is fine to batch up several months' worth and import them all at once later
4. Any image quality is fine, even if the content is unreadable, as long as an image remains

Which is an appropriate description of patient registration and reception in the medical billing and accounting system?

1. Basic patient information is registered all at once at discharge
2. At the first visit, basic patient information is registered and a patient ID is issued; at return visits, patients check in at a return reception kiosk
3. Every time a patient comes and checks in, a new patient ID is issued and managed separately
4. The return reception kiosk is a dedicated device that only settles payments

Which is correct regarding the itemized health insurance claim (レセプト, reseputo)?

1. It is prepared monthly for each patient and submitted to the examination and payment organizations
2. Fees are claimed the same day, every time care is delivered
3. It is prepared 1 time per year, covering 1 year at once
4. It is the receipt handed to the patient at the counter

Which is an appropriate description of "return" (返戻, henrei) of an insurance claim?

1. The billing procedure is held over until the following month
2. Overcharged fees collected at the counter are refunded to the patient later
3. Part of the claimed points is reduced as a result of examination
4. The claim is sent back to the healthcare institution for reasons such as incomplete entries

Which is a correct statement about the electronic claims processing system (レセプト電算処理システム)?

1. A mechanism in which itemized claims are created as electronic data and submitted to the examination and payment organizations online or on electronic media
2. A system for tracking drug inventory and ordering shortages
3. A mechanism in which paper claims are gathered monthly and submitted directly to the examination and payment organization's counter by mail or in person
4. A service for patients to check the breakdown of their medical costs on a smartphone

Which is an appropriate description of a medical document creation support system?

1. A system that tracks drug inventory counts and manages ordering and issuing
2. A system that stores and manages medical images taken by CT, MRI, and other modalities long-term and distributes them to terminals and consultation rooms
3. A system that lets staff efficiently create documents such as medical certificates and clinical information letters (referral letters) by pulling in basic patient information and clinical records
4. A system that sends completed claims to the examination and payment organizations online and performs billing

What is the main role of a RIS (radiology information system)?

1. Store medical images long-term and distribute them to terminals in the hospital
2. Centrally manage inventory and logistics of medical supplies
3. Manage booking, reception, and completion information for radiology examinations and interface with the imaging equipment
4. Manage reception, progress, and results of laboratory tests

What is the main role of PACS?

1. Manage booking slots for radiology examinations and handle reception and completion information
2. Calculate medical fees and create insurance claims
3. Store and manage medical images such as CT and MRI and distribute them within the hospital
4. Support prescription review and dispensing work and manage each patient's medication history

Which is an appropriate description of a LIS?

1. A system that centrally manages inventory and supply of medical materials
2. A system that manages reception, progress, and results of tests in the clinical laboratory department
3. A system that stores medical images and distributes them to terminals in the hospital
4. A system that manages booking and completion information for radiology examinations

Which is an appropriate description of SPD?

1. A system that manages booking and completion information for radiology examinations
2. A system that stores medical images long-term and distributes them to terminals in the hospital
3. A system that manages reception, progress, and results of laboratory tests
4. A mechanism that centrally manages the supply, inventory, and delivery of goods such as medical materials

Which pairing of a departmental system acronym with its full name is correct?

1. PACS — Picture Archiving and Communication System
2. RIS — Regional Integrated Information System
3. SPD — Standard Procedure Documentation Management
4. LIS — Logistics Information Management System

Which pairing of a departmental system acronym with its role is incorrect?

1. LIS — storing, managing, and distributing medical images
2. PACS — storing, managing, and distributing medical images
3. RIS — managing booking, reception, and completion information for radiology examinations
4. SPD — centrally managing the supply, inventory, and delivery of goods such as medical materials

Which is an appropriate function of a blood transfusion department system?

1. Record the sterilization history of instruments used in surgery and procedures and link them to the patients and operations where they were used
2. Plan and manage the radiation dose and target area in radiotherapy
3. Manage inpatient meal menus and meal counts, including therapeutic diets
4. Manage test data such as blood type and irregular antibodies together with blood products and transfusion history, and support computer crossmatching

Which is an appropriate function of a nutrition and food service department system?

1. Tally and manage the staff cafeteria's daily sales and number of users
2. Manage menus and meal counts based on meal orders, handle allergies and therapeutic diets, and link with admission, discharge, and meal-hold information
3. Have radiologists write reading reports on captured medical images and deliver them to the requesting department and attending physician
4. Issue specimen labels printed with patient information based on laboratory test orders

Which is an appropriate function of a nursing support system?

1. Check prescription content, review dispensing, and record medication histories
2. Read captured medical images and write reports
3. Support creation of nursing care plans, progress notes, and management of vital sign flow sheets
4. Calculate medical fees from delivered care and issue monthly claims for each patient

Which is appropriate regarding information systems in community (insurance-covered dispensing) pharmacies?

1. An electronic medication history system records patients' medication histories and counseling content and is used for prescription review and medication counseling
2. Automatic tablet packaging machines cannot interface with information systems and are set up manually
3. Only paper medication notebooks are recognized, and electronic versions cannot be used
4. Pharmacies do not use claims computers, and all dispensing fee claims are written by hand

Which is an appropriate characteristic of information systems in clinics?

1. The Japan Medical Association standard claims software (Nichi-rese) is a radiology department system that handles images
2. Clinics often adopt an integrated package combining a claims computer and an electronic medical record
3. Clinics are required by law to adopt electronic medical records
4. Like hospitals, clinics must have a full set of departmental systems

Which is an appropriate characteristic of systems for dental care?

1. Dental laboratory instructions are given orally as a rule, and no records are needed
2. The ability to handle tooth position (dental notation) is a feature that distinguishes them from medical systems
3. Dentistry uses no image-handling systems, and all records are text only
4. There is no standard disease name master for dentistry, so each practice uses its own disease names