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?
The clinical decision support system
The electronic documentation section
The physiological monitoring system
The laboratory information system
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 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.
Correct Answer is D
Explanation
A. Consumer-mediated exchange. – This exchange allows patients to control their own data sharing, not typically used for provider-to-provider data transfer.
B. Clinical decision support. – Clinical decision support provides providers with tools for better decision-making based on patient data but does not manage care summaries or patient selection notifications.
C. Evidence-based practice (EBP). – EBP refers to integrating clinical expertise with the best available evidence but is not a system for transferring care summaries.
D. Directed exchange. – Directed exchange enables secure, direct transmission of care summaries and other health information between providers, making it suitable for notifying specialists and coordinating patient care.