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RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 1 Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100%Verified
a data element name is considered which of the following:
a. master data
b. metadata
c. structured data
d. unstructured data - b
structured information used to increase the effective use of data - metadata
data element name, data type, and field length are examples of what kind of data - metadata
all documentation entered in the medical record relating to the patient's diagnosis and treatment are
considered this type of data - clinical data
. A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The
attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray
revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The patient
was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was discovered. The chief
complaint was: - abdominal pain
n ICD-10-PCS, what value is used if there is a character that does not apply to a given code? - Z
required elements in an emergency care record - time and means of the patient's arrival, treatment
rendered, instructions at discharge
Mr. Smith was admitted to University Hospital by Dr. Collins. Mr. Smith's hospital bill will be paid by Blue
Cross Insurance. Upon discharge from the hospital, who owns the health record of Mr. Smith? -
University Hospital
, In a long-term care setting, these are problem-oriented frameworks for additional patient assessment
based on problem identification items (triggered conditions): - Resident Assessment Protocols (RAPs)
What type of information makes it easy for hospitals to compare and combine the contents of multiple
patient health records? - uniform data sets
Which of the following is used by a long-term care facility to gather information about specific health
status factors and includes information about specific risk factors in the resident's care? - minimum data
set
component of the resident assessment instrument (RAI) used to collect information about the resident's
risk factors and plans ongoing care and treatment of the resident at the LTC facility - minimum data set
Documenting the full depth and breadth of data use in a healthcare entity requires: - identifying the
needs of the data consumers
The primary responsibility of a coder is to: - ensure accuracy of coded data
Notes written by physicians and other practitioners as well as dictated and transcribed reports are
examples of: - unstructured data
Data that have been grouped into meaningful categories according to a classification system are
referred to as this type of data - coded
Which part of the problem-oriented health record is used by many facilities that have adopted the
whole problem-oriented format? - The SOAP form of progress notes
Borrowing record entries from another source as well as representing or displaying past documentation
as current are examples of a potential breach of: - authorship integrity
According to Joint Commission Accreditation Standards, which document must be placed in the patient's
record before a surgical procedure may be performed? - history and physical
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