Exam 5: Health Data Content and Structures

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List two advantages of an electronic health record (EHR) over a paper-based health record.

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Each data element is defined to the necessary level of detail.

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Match the type of analysis to the examples given. -the quality of the medical care is thought to be substandard

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Which of the following statements most accurately defines administrative data?

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A data flow diagram displays how data movement is tracked.

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You have been asked to design a new form for a paper-based system. The two concepts that you should keep in mind as you develop the form in order to ensure both the flexibility and ease of use of the form are ____________________ and ____________________.

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The source-oriented health record is organized according to the "source" or department that provided the data.

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AHIMA record retention guidelines suggests a 5-year retention period for diagnostic images.

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Four concepts directly relating to the content of the health record are

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Match the characteristic of data quality with its definition. -data values do not vary across applications

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It is said that data and the manner in which it is managed are driving forces in health care today. Discuss why this statement is true and what it is based on?

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Match the characteristic of data quality with its definition. -each data element is defined to the necessary level of detail

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Alphabetical systems are used with electronic health record systems and rely on the use of a patient's surname, first name, middle initial, and suffix to differentiate the storage of one patient's data from another patient's data.

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List four uses served by health care data.

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Match the terms with the best description. -refers to entry of data in the health record at a suitable time period

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Match the characteristic of data quality with its definition. -data are collected easily and legally

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The abbreviation SOAP stands for

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It is your responsibility to establish processes for collecting and maintaining clinical data at a facility. What criteria would you consider to accomplish this task?

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The problem-oriented health record organizes data according to the patient's problems.

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Match the characteristic of data quality with its definition. -data is up-to-date at time of collection

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