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A patient is coughing up blood and has night sweats, fever, chest pain, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis; therefore, she orders a TB blood test Where, within the clinical information system, should the PA request this test to appropriately diagnose and treat the patient?

A.

The clinical decision support system

B.

The electronic documentation section

C.

The physiological monitoring system

D.

The laboratory information system

Answer and Explanation

The Correct Answer is D

A. The clinical decision support system – This system provides decision-making assistance, not a place for ordering or storing lab test results.

 

B. The electronic documentation section – This is for recording general documentation and notes, not for ordering lab tests.

 

C. The physiological monitoring system – This system monitors and displays real-time patient vital signs, not lab orders or results.

 

D. The laboratory information system – The lab information system is the appropriate location to request and manage laboratory tests such as the TB blood test.


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Correct Answer is D

Explanation

A. Physiological monitoring system. – This system primarily focuses on real-time data from patients but does not integrate data from other clinical information systems for decision-making.

B. Electronic documentation. – While useful for record-keeping, electronic documentation systems do not necessarily support clinical decision-making by synthesizing data from multiple sources.

C. Anesthesia information management system. – This system is specialized for anesthesia-related data but does not broadly enhance decision-making across multiple clinical information systems.

D. Clinical decision support system. – This system is specifically designed to integrate data from various clinical information systems to provide evidence-based recommendations and support clinical decision-making.

Correct Answer is B

Explanation

A. Pharmacy information system. – This system manages medications and inventory in the pharmacy but is unrelated to imaging or radiology.

B. Radiology-information system. – This system organizes, tracks, and manages radiology-related data, including scheduling and reports, which would be useful for locating misplaced MRI scans.

C. Laboratory-information system. – This system manages lab test data, such as bloodwork or pathology, but is unrelated to imaging studies like MRI.

D. Picture archiving and communication system. – While this system stores and allows access to imaging files (like MRIs), it does not manage radiology workflows, making the Radiology Information System (RIS) the more suitable choice.

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