) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined.
A) Accreditation
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B) Core content
C) Continuity of care record
D) Data dictionary
(Ans- D) Data dictionary
(2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop:
A) Data sets
B) Data elements
C) Electronic data interchange
D) Bills of mortality
(Ans- A) Data sets
(3) In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about each patient. The second is to:
A) Provide uniform data definitions
B) Guide efforts toward computerization
C) Determine statistical formulas
D) Provide a research database
(Ans- A) Provide uniform data definitions
(4) A health information technician is responsible for designing a data collection form to collect data on patients in an acute-care hospital. The first resource that she should use is:
A) UHDDS
B) UACDS
C) MDS
D) ORYX
(Ans- A) UHDDS
(5) Which of the following is NOT a characteristic of the common healthcare data sets such as UHDDS and UACDS?
A) They define minimum data elements to be collected
B) They provide a complete and exhaustive list of data elements that must be collected
C) They provide a framework for data collection to which an individual facility can add data items
D) The federal government recommends, but does not mandate, implementation of most of the data sets
(Ans- B) They provide a complete and exhaustive list of data elements that must be collected
(6) In a paper-based system, the completion of the chart is monitored in a special area of the HIM department called the ______ file.
A) Incomplete record
B) Permanent
C) Temporary
D) Remote storage
(Ans- A) Incomplete record
(7) Consider the following sequence of numbers. What filing system is being used if these numbers represent the health record numbers of three records filed together within the filing system?
36-45-99
37-45-99
38-45-99
A) Straight numerical
B) Terminal digit
C) Middle digit
D) Unit
(Ans- B) Terminal digit
(8) The MPI is necessary to physically locate health records within the paper-based storage system for all types of filing systems, EXCEPT:
A) Alphabetical
B) Middle digit
C) Terminal digit
D) Straight numerical
(Ans- A) Alphabetical [Show Less]