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 manual
B. Core content
C. Continuity of care record
D. Data dictionary
➹➹➹: D) Data dictionary
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
➹➹➹: A) Data sets
In healthcare, data sets serve two purposes. The first is to identify data elements
tobe 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
➹➹➹: A) Provide uniform data defintions
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 useis:
,A. UHDDS
B. UACDS
C. MDS
D. ORYX
➹➹➹: A) UHDDS
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
adddata items
D. The federal government recommends, but does not mandate, implementation
ofmost of the data sets
➹➹➹: B) They provide a complete and exhaustive list of data elements that must
becollected
, 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
➹➹➹: A) Incomplete record
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
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