Exam 5: Health Data Content and Structures

Match the type of analysis to the examples given. -a chart review is done to determine that the requirements of statutory provisions, administrative regulations, accrediting standards, professional guidelines, and institutional standards are met

In a large metropolitan health care facility, which type of record identification system would you expect to be used?

Match the type of analysis to the examples given. -determining if sufficient documentation exists in the record to support billing a third-party insurer for the diagnoses reached or the procedures performed

An enterprise master patient index is when multiple health care facilities share the same master patient index.

When a health care facility closes, the health care record retention criteria changes.

The problem-oriented health record was developed and popularized by

Unit numbering systems are creating the potential for the same patient to receive two or more numbers, depending on the frequency of admissions to that facility.

___________ serves as a pointer, indicator, or guide to facilitate reference.

Unilateral data flow was the method used by many in the health information management profession during the first half of the 20th century.

Governmental and accrediting entities utilize the data supplied to them by health care providers and organizations to assess compliance with

What is another name for a health record?

Data collection of a patient's personal and financial information is always collected at the bedside.

Match the characteristic of data quality with its definition. -values are correct and valid

Match the characteristic of data quality with its definition. -required data items are all collected

There are multiple registries that exist to serve health care needs. Some function at the local level and others at an international level.

A facility's record retention policy is best defined as which of the following?

Which of the following are components of a records management system?

Secondary databases include those centered within a particular health care facility-all EXCEPT the following:

What does SOAP stand for? Give a brief example or description.

What does SOAP stand for? Give a brief example or description.