Questions and Answers Updated
2026
AAhealthArecordAtechnicianAhasAbeenAaskedAtoAreviewAtheAdischargeApatientAabstractingAmo
duleAofAaAproposedAnewAelectronicAhealthArecordA(EHR).AWhichAofAtheAfollowingAdataAsetsA
wouldAtheAtechnicianAconsultAtoAensureAtheAsystemAcollectsAallAfederallyArequiredAdischarge
AdataAelementsAforAMedicareAandAMedicaidAinpatientsAinAanAacute-careAhospital?
a.ACARF
b.ADEEDS
c.AUACDS
d.AUHDDSA-AAnswerAd.AUHDDSA(UniformAHospitalADischargeADataASet)
TheAUniformAHospitalADischargeADataASetA(UHDDS)AdataAcharacteristicsAincludeApatient-
specificAitemsAonAeveryAinpatient.
StandardizingAmedicalAterminologyAtoAavoidAdifferencesAinAnamingAvariousAhealthAconditions
AandAproceduresA(suchAasAtheAsynonymsAbunionectomy,AMcBrideAprocedure,AandArepairAofA
halluxAvalgus)AisAoneApurposeAof:
a.AContentAandAstructureAstandards
b.ASecurityAstandard
c.ATransactionAstandards
d.AVocabularyAstandardsA-AAnswerAd.AVocabularyAstandards
VocabularyAstandardsAareAaAlistAorAcollectionAofAclinicalAwordsAorAphrasesAwithAtheirAmean
ings;Aalso,AtheAsetAofAwordsAusedAbyAanAindividualAorAgroupAwithinAaAparticularAsubjectAf
ield,AsuchAasAtoAprovideAconsistentAdescriptionsAofAmedicalAtermsAforAanAindividual'sAcondit
ionAinAtheAhealthArecord.
PatientAcareAmanagersAuseAtheAdataAdocumentedAinAtheAhealthArecordAto:
a.ADetermineAtheAextentAandAeffectsAofAoccupationalAhazards
b.AEvaluateApatternsAandAtrendsAofApatientAcare
,c.AGenerateApatientAbillsAandAthird-partyApayerAclaimsAforAreimbursement
d.AProvideAdirectApatientAcareA-AAnswerAb.AEvaluateApatternsAandAtrendsAofApatientAcare
PatientAcareAmanagersAareAresponsibleAforAtheAoverallAevaluationAofAservicesArenderedAforA
theirAparticularAareaAofAresponsibility.AToAidentifyApatternsAandAtrends,AtheyAtakeAdetailsAf
romAindividualAhealthArecordsAandAputAallAtheAinformationAtogetherAinAoneAplace.
AtAadmission,AMrs.ASmith'sAdateAofAbirthAisArecordedAasA3/25/1948.AAnAauditAofAtheAEHR
AdiscoversAthatAtheAnumbersAinAtheAdateAofAbirthAareAtransposedAinAreports.AThisAsituation
AreflectsAaAproblemAin:
a.ADataAcomprehensiveness
b.ADataAconsistency
c.ADataAcurrency
d.ADataAgranularityA-AAnswerAb.ADataAconsistency
ConsistencyAmeansAensuringAtheApatientAdataAisAreliableAandAtheAsameAacrossAtheAentireAp
atientAencounter.AInAotherAwords,ApatientAdataAwithinAtheArecordAshouldAbeAtheAsameAand
AshouldAnotAcontradictAotherAdataAalsoAinAtheApatientArecord.
AAhealthAdataAanalystAhasAbeenAaskedAtoAcompileAaAlistingAofAdailyAbloodApressureAreadi
ngsAforApatientsAwithAaAdiagnosisAofAhypertensionAwhoAwereAtreatedAonAtheAmedicalAunitA
withinAaAtwo-
weekAperiod.AWhatAclinicalAreportAwouldAbeAtheAbestAsourceAtoAgatherAthisAinformation?
a.AVitalAsignsArecord
b.AInitialAnursingAassessmentArecord
c.APhysicianAprogressAnotes
d.AAdmissionArecordA-AAnswerAa.AVitalAsignsArecord
TheAvitalAsignsArecordAisAcomprisedAofAbloodApressureAreadings,Atemperature,Arespiration,A
andApulse,AmakingAitAtheAbestAsourceAtoAgatherAthisAtypeAofAinformation.
WhichAofAtheAfollowingAisAaAkeyAcharacteristicAofAtheAproblem-orientedAhealthArecord?
,a.AAllowsAallAprovidersAtoAdocumentAinAtheAhealthArecord
b.AUsesAlaboratoryAreportsAandAotherAdiagnosticAtoolsAtoAdetermineAhealthAproblems
c.AProvidesAelectronicAdocumentationAinAtheAhealthArecord
d.AUsesAanAitemizedAlistAofAtheApatient'sApastAandApresentAhealthAproblemsA-
AAnswerAd.AUsesAanAitemizedAlistAofAtheApatient'sApastAandApresentAhealthAproblems
TheAproblem-
orientedAhealthArecordAisAbetterAsuitedAtoAserveAtheApatientAandAtheAendAuserAofAtheApatie
nt'sAinformation.ATheAkeyAcharacteristicAofAthisAformatAisAanAitemizedAlistAofAtheApatient'sA
pastAandApresentAsocial,Apsychological,AandAhealthAproblems.
WhichAofAtheAfollowingAisAtrueAregardingAtheAreportingAofAcommunicableAdiseases?
a.ATheyAmustAbeAreportedAbyAtheApatientAtoAtheAhealthAdepartment.
b.ATheAdiseasesAtoAbeAreportedAareAestablishedAbyAstateAlaw.
c.ATheAdiseasesAtoAbeAreportedAareAestablishedAbyAHIPAA.
d.ATheyAareAneverAreportedAbecauseAitAwouldAviolateAtheApatient'sAprivacy.A-
AAnswerAb.ATheAdiseasesAtoAbeAreportedAareAestablishedAbyAstateAlaw.
AllAstatesAhaveAaAhealthAdepartmentAwithAaAdivisionAthatAisArequiredAtoAtrackAandArecord
AcommunicableAdiseases.AWhenAaApatientAisAdiagnosedAwithAoneAofAtheAdiseasesAfromAthe
AhealthAdepartment'sAcommunicableAdiseaseAlist,AtheAfacilityAmustAnotifyAtheAstateApublicAh
ealthAdepartment.
AAnewAhealthAinformationAmanagementA(HIM)AdirectorAhasAbeenAaskedAbyAtheAhospitalACIO
AtoAensureAdataAcontentAstandardsAareAidentified,Aunderstood,Aimplemented,AandAmanagedA
forAtheAhospital'sAEHRAsystem.AWhichAofAtheAfollowingAshouldAbeAtheAHIMAdirector'sAfirstA
stepAinAcarryingAoutAthisAresponsibility?
a.ACallAtheAEHRAvendorAandAaskAtoAreviewAtheAsystem'sAdataAdictionary
b.AIdentifyAdataAcontentArequirementsAforAallAareasAofAtheAorganization
c.AScheduleAaAmeetingAwithAallAdepartmentAdirectorsAtoAgetAtheirAinput
d.AContactACMSAtoAdetermineAwhatAdataAsetsAareArequiredAtoAbeAcollectedA-
AAnswerAb.AIdentifyAdataAcontentArequirementsAforAallAareasAofAtheAorganization
, DataAcontentAstandardsAallowAorganizationsAtoAcollectAdataAonceAandAuseAitAmanyAtimesAin
AmanyAways.ATheyAalsoAassistAinAdataAstorageAandAminingAasAwellAasAsharingAdataAwithA
externalAorganizationsAforAuseAinAbenchmarkingAandAotherApurposes.
AAhealthAdataAanalystAhasAbeenAaskedAtoAcompileAaAreportAofAtheApercentageAofApatientsA
whoAhadAaAbaselineApartialAthromboplastinAtimeA(PTT)AtestAperformedApriorAtoAreceivingAhe
parin.AWhatAclinicalAreportsAinAtheAhealthArecordAwouldAtheAhealthAdataAanalystAneedAtoAc
onsultAinAorderAtoAprepareAthisAreport?
a.APhysicianAprogressAnotesAandAmedicationArecord
b.ANursingAandAphysicianAprogressAnotes
c.AMedicationAadministrationArecordAandAclinicalAlaboratoryAreports
d.APhysicianAordersAandAclinicalAlaboratoryAreportsA-
AAnswerAc.AMedicationAadministrationArecordAandAclinicalAlaboratoryAreports
ClinicalAlaboratoryAreportsAshouldAbeAreviewedAtoAdetermineAifAaApartialAthromboplastinAti
meA(PTT)AtestAwasAperformed.AMedicationAAdministrationARecordsA(MAR)AshouldAbeAreviewe
dAtoAdetermineAifAheparinAwasAgivenAafterAtheAPTTAtestAwasAperformed.
WhichAofAtheAfollowingAisAconsideredAtheAauthoritativeAresourceAinAlocatingAaAhealthArecord
?
a.ADiseaseAindex
b.AMasterApatientAindex
c.APatientAdirectory
d.APatientAregistryA-AAnswerAb.AMasterApatientAindexA(MPI)
TheAmasterApatientAindexA(MPI)AisAtheApermanentArecordAofAallApatientsAtreatedAatAaAheal
thcareAfacility.AItAisAusedAbyAtheAHIMAdepartmentAtoAlookAupApatientAdemographics,Adates
AofAcare,AtheApatient'sAhealthArecordAnumber,AandAotherAinformation.
TheAHIMAmanagerAisAconductingAaAstudyAinAwhichAsheAisAcomparingAtheAcurrentAyear'sAdia
gnosisAcodesAtoAtheAproposedAnewAcodesAforAtheAnextAfiscalAyearAandAdocumentingAvariati
onsAinAorderAtoAassessAtheAimpactAonAtheAorganization.AThisAprocessAcreatesAa:
a.ADataAchargemasterAreport