RHIA Exam Prep Questions And Answers Latest Top Score.
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Course
RHIA
Institution
RHIA
RHIA Exam Prep Questions And Answers Latest Top Score.
Source-Oriented Health Record - correct answer. Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together)
Problem-Oriented He...
RHIA Exam Prep Questions And Answers
Latest Top Score.
Source-Oriented Health Record - correct answer. Documents organized into sections
according to the provider's and departments that provide treatment (lab together, rad.
together, clinical notes together)
Problem-Oriented Health Record - correct answer. Divided into four parts: database,
problem list, initial plan, progress notes (SOAP)
SOAP what does S stand for? - correct answer. Subjective (patient's point of view)
SOAP what does O stand for? - correct answer. Objective (what the practitioner finds)
SOAP what does A stand for? - correct answer. Assessment (combine subjective and
objective to make a conclusion)
SOAP what does P stand for? - correct answer. Plan (approach to be taken to resolve
patient's problem
Integrated Health Records - correct answer. Documentation from various sources
organized in strict chronological or reverse chronological order
Advantage of Integrated Health Record? - correct answer. Easy to follow course of
diagnosis and treatment
Disadvantage of Integrated Health Record? - correct answer. Difficult to compare
similar information (ex. lab results or oncology information)
When should H&P be documented in record? - correct answer. Within 24 hours of
admission
, When should Operative Report be documented in record? - correct answer.
Immediately following surgery
When should Verbal Orders be cosigned? - correct answer. Within 24 hours
When should Discharge Summary be documented? - correct answer. Immediately
after discharge of patient
Qualitative Analysis - correct answer. Review of record to ensure that standards are
met and determine the adequacy of entries documenting the quality of care
Quantitative Analysis - correct answer. A review of health record to determine its
completeness and accuracy
Data Accuracy - correct answer. Data are the correct values and are valid
Data Accessibility - correct answer. Data items are easily obtainable and legal to
collect
Data Comprehensiveness - correct answer. All required data items included AND
entire scope of data is collected and intentional limitations documented
Data Consistency - correct answer. Value of data is reliable and consistent across
applications
Data Currency - correct answer. Data is up to date, if it is outdated it must have been
up to date at the time it was presented
Data Definition - correct answer. Clear definitions provided so users know what data
means, each data element should have clear meaning and accepted values
Data Granularity - correct answer. The attributes and values of data should be defined
at the correct level of detail
Data Precision - correct answer. Data values should be just large enough to support
the application or process and acceptable values or ranges must be defined
Data Relevance - correct answer. The data are meaningful to the performance of the
process or application for which they are collected
Data Timeliness - correct answer. Determined by how the data are being used and
their context
Minimum Data Set (MDS) purpose? - correct answer. Promote comparability and
compatibility of data by using standard data items with uniform definitions
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