RHIA Practice Exam 1 with Accurate
Solutions
Coded Data - ANS-Data that has been translated into standard nonmenclature of
classification so that it may be aggregated, analyzed & compared
Research Data - ANS-Data used for the purpose of answering a proposed question or
testing a hypothesis.
Reference Data - ANS-Information that interacts with the care of the individual or with
teh healthcare delivery system, such as a formulary, protocol, care plan, clinical alert or
reminder
Demographic Data - ANS-Info used to identify an individual, such as name, address,
gender, age and other information linked to a specific person
Resident Assessment Protocols (RAPs) - ANS-In a long-term care setting, these are
problem-oriented frameworks for additional patient assessment based on problem
identification items
What do RAPs do? - ANS-The guidelines help facility staff evaluate triggered conditions
Health record matrix - ANS-Helps track the physical location of each paper document
and the source of each electronic document that constitutes the LHR (Legal Health
Record)
Case Mix Index - ANS-The average relative weight of all cases treated at a given facility
or by a given physician, which reflects the resource intensity or clinical severity of a
specific group in relation to the other groups in the classification system; calculated by
divided the sum of the weights of diagnosis-related groups for patients discharged
during a given period of time by the total number of patients discharged
Master Patient Index - ANS-A list or database created & maintained by a healthcare
facility to record the name and identification number of every patient who has ever been
admitted to the facilty
In ICD-10, the value used when a character does not apply to a given code - ANS-Z
Minimum Data Set - ANS-A component of the resident assessment instrument (RAI)
and is used to collect information about the resident's risk factors and to plan the
ongoing care and treatment of the resident in the long-term care facility.
, Which part of problem-oriented health record is used by many facilities that have
adopted the whole problem-oriented format? - ANS-The SOAP, Subjective, Objective,
Assessment, Plan are part of POMR
Uniform Data Sets - ANS-Data set can facilitate the comparison of patient information
across multiple patient records
Entity-relationship diagram - ERD - ANS-Developed to depict relational database
structures.
What document must be placed in a record before a surgical procedure may be
performed? - ANS-The H&P
Mean - ANS-Same as an average
Median - ANS-To find the _________, put all the numbers in "chronological order" and
find the middle number
Mode - ANS-The number that appears the most often
Data governance - ANS-Decision making and authority over data-related matters
Universal - ANS-System in which the PHR is kept in the same order on the nursing
station and in the complete record
Structured Data - ANS-Pre-defined & limited data, discrete data.
Unstructured Data - ANS-Non-binary, human-readable data
Freetext Data - ANS-Data that is narrative in nature
Why would it be difficult for a entity to response to pulling an entire, legal health record
together for an authorized request for information? - ANS-It can exist in separate and
multiple paper-based or electronic systems
Aggregate Data - ANS-Data is used to develop information about groups of patients
VPN - ANS-A secure tunnel through a public network that that can be accessed
remotely
Intranet - ANS-Private network that has its server located within a firewall
Privileged communication - ANS-Protects the confidentiality between two parties and is
usually delineated by state law
Solutions
Coded Data - ANS-Data that has been translated into standard nonmenclature of
classification so that it may be aggregated, analyzed & compared
Research Data - ANS-Data used for the purpose of answering a proposed question or
testing a hypothesis.
Reference Data - ANS-Information that interacts with the care of the individual or with
teh healthcare delivery system, such as a formulary, protocol, care plan, clinical alert or
reminder
Demographic Data - ANS-Info used to identify an individual, such as name, address,
gender, age and other information linked to a specific person
Resident Assessment Protocols (RAPs) - ANS-In a long-term care setting, these are
problem-oriented frameworks for additional patient assessment based on problem
identification items
What do RAPs do? - ANS-The guidelines help facility staff evaluate triggered conditions
Health record matrix - ANS-Helps track the physical location of each paper document
and the source of each electronic document that constitutes the LHR (Legal Health
Record)
Case Mix Index - ANS-The average relative weight of all cases treated at a given facility
or by a given physician, which reflects the resource intensity or clinical severity of a
specific group in relation to the other groups in the classification system; calculated by
divided the sum of the weights of diagnosis-related groups for patients discharged
during a given period of time by the total number of patients discharged
Master Patient Index - ANS-A list or database created & maintained by a healthcare
facility to record the name and identification number of every patient who has ever been
admitted to the facilty
In ICD-10, the value used when a character does not apply to a given code - ANS-Z
Minimum Data Set - ANS-A component of the resident assessment instrument (RAI)
and is used to collect information about the resident's risk factors and to plan the
ongoing care and treatment of the resident in the long-term care facility.
, Which part of problem-oriented health record is used by many facilities that have
adopted the whole problem-oriented format? - ANS-The SOAP, Subjective, Objective,
Assessment, Plan are part of POMR
Uniform Data Sets - ANS-Data set can facilitate the comparison of patient information
across multiple patient records
Entity-relationship diagram - ERD - ANS-Developed to depict relational database
structures.
What document must be placed in a record before a surgical procedure may be
performed? - ANS-The H&P
Mean - ANS-Same as an average
Median - ANS-To find the _________, put all the numbers in "chronological order" and
find the middle number
Mode - ANS-The number that appears the most often
Data governance - ANS-Decision making and authority over data-related matters
Universal - ANS-System in which the PHR is kept in the same order on the nursing
station and in the complete record
Structured Data - ANS-Pre-defined & limited data, discrete data.
Unstructured Data - ANS-Non-binary, human-readable data
Freetext Data - ANS-Data that is narrative in nature
Why would it be difficult for a entity to response to pulling an entire, legal health record
together for an authorized request for information? - ANS-It can exist in separate and
multiple paper-based or electronic systems
Aggregate Data - ANS-Data is used to develop information about groups of patients
VPN - ANS-A secure tunnel through a public network that that can be accessed
remotely
Intranet - ANS-Private network that has its server located within a firewall
Privileged communication - ANS-Protects the confidentiality between two parties and is
usually delineated by state law
