Exam 5: Health Data Content and Structures

Match the characteristic of data quality with its definition. -data values fall within acceptable ranges

A personal health record (PHR) is updated and maintained by the patient or the person responsible for the patient.

What type of health records have separate sections/areas for lab, physical therapy, and provider progress notes?

____________________ ____________________ focuses on the management of the forms already designed, including how those forms will be amended or changed over time.

A storage choice that can serve as a bridge between a paper-based health record and an electronic health record is called

Match the characteristic of data quality with its definition. -each data element has a clear meaning

Match the terms with the best description. -refers to the method of identifying the health care provider who made an entry in the record

A discharge summary is a description of treatments rendered and procedures performed, including findings and results.

There are only two components of records management data storage and retention.

The process of collecting, tabulating, aggregating, and summarizing selected data elements.

Completeness refers to the act or process of ensuring the entry in the record for both accuracy and authorship.

Which of the following is an example of clinical data?

Match the characteristic of data quality with its definition. -each data element correlates in meaning to the collection purpose

Authentication refers to possessing all parts or elements necessary to be considered whole or entire.

Match the terms with the best description. -refers to the act of process of ensuring the entry in the record for both accuracy and authorship

____________________ ____________________ focuses on determining the purpose, use, and users of the form and these determinations dictate the data elements to be contained in the form.

The integrity of the health record is supported by the activities of quantitative and qualitative analysis.

When a health care facility goes bankrupt, the facility must maintain the records on-site until the retention period is met.

Qualitative Analysis concentrates on what forms or data should be present in, but are missing from, the health record.

Match the type of analysis to the examples given. -vital signs are erroneously entered into the wrong health record