RHIA

RHIA practice questions, page 7 of 73, with answer review and explanations.

Question 31

You are developing a complete data dictionary for your facility. Which of the following resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

  1. Minimum Data Set
  2. Uniform Hospital Discharge Data Set
  3. Conditions of Participation
  4. Federal Register

Question 32

Sarasota Community Health Center has an approved cancer registry. A patient is readmitted for further treatment of a previously diagnosed cancer. The CTR should

  1. complete a new cancer abstract.
  2. assign a new accession number.
  3. updated the follow-up file.
  4. complete a new master index file.

Question 33

When developing a data collection system, the most effective approach first considers

  1. the end user’s needs.
  2. applicable accreditation standards.
  3. hardware requirements.
  4. facility preference.

Question 34

A key data item you would expect to find recorded on an ER record, but would probably NOT see in an acute care record is the

  1. physical findings.
  2. lab and diagnostic test results.
  3. time and means of arrival.
  4. instructions for follow-up care.

Question 35

A data item to include on a qualitative review checklist of infant and children inpatient health records which need not be included on adult records would be

  1. chief complaint.
  2. condition on discharge.
  3. time and means of arrival.
  4. growth and development record.