CHPCN(C) case studies
CHPCN(C) · Put your knowledge to work in context.
The CHPCN(C) designation is associated with the Canadian College of Health Information Management (CCHIM), the body whose website hosts certification information for health information professionals in Canada. Candidates typically encounter this credential as one of the College's national certification examinations, aimed at individuals preparing to practise as certified health information professionals and at working professionals seeking formal recognition of their competencies. The CHPCN(C) case studies are 5 cases and about 2,616 words.
1The Merged Clinic's Inconsistent Diabetes Registry
A regional primary care network has just merged three clinics onto a single electronic medical record. Each clinic used its own way of recording diabetes: Clinic A used a structured problem-list code (SNOMED 44054006); Clinic B used a free-text problem-list entry reading 'DM2'; Clinic C recorded only the HbA1c values in a flowsheet with no diagnosis code.
535 words, about 3 min2The Patient Portal Request from a Family Member
A 71-year-old patient with early-stage dementia attends a follow-up appointment with her adult daughter present. During the visit the daughter answers most questions and states she 'handles everything now.' After the visit the daughter calls the clinic's patient portal helpdesk, says she has her mother's login credentials, and asks the helpdesk to reset the password to an email address she controls so she can 'keep an eye on appointments and results.' The helpdesk agent can see the patient has a documented healthcare proxy, but the proxy document is a general financial power of attorney that does not mention health information.
547 words, about 3 min3The Copy-Paste Progress Note
A hospitalist's progress notes for a 58-year-old inpatient with pneumonia are audited after a complaint. The notes for days 1 through 5 each contain an identical assessment paragraph, including the phrase 'afebrile, oxygen saturation 94% on room air, tolerating oral intake.' The vital-sign flowsheet shows a fever of 38.9°C on day 3 and oxygen saturation of 88% on 4 L nasal cannula on day 4.
493 words, about 2 min4De-identified Data for a Research Collaboration
A hospital's analytics team is asked to share an extract with an external university for a study on readmission risk. The extract contains admission and discharge dates, date of birth, full postal code, sex, primary diagnosis codes, and a free-text 'discharge comments' field.
515 words, about 3 min5The Downtime That Exposed a Backup Problem
A community hospital's electronic record system goes down for six hours after a failed software update. During downtime, staff use paper forms.
526 words, about 3 min