Answers for A+ Results.
Terms in this set (214)
Standardizing medical Vocabulary Standards
terminology to avoid
differences in naming various
medical conditions and
procedures (such as the
synonyms bunionectomy,
McBride procedure, and repair
of hallus valgus) is one purpose
of:
Ensuring the patient Data Consistency
information is reliable and the
same across the entire patient
encounter is:
Which health record uses an Problem-Oriented health record
itemized list of the patient's
present and past health
problems?
What is the process that Data Mapping
allows for connections
between two systems? For
example, two different code
systems to show equivalent
codes allows for data
initially captured for one purpose
to be
translated and used for another
purpose.
Who must also be notified of a The source of the record, example: Laboratory
duplicate health record, after
the HIM department has
merged the records?
, What type of analysis compared Gap Analysis
omitted clinical information
received from external providers
with the needed clinical
information to make a correct
diagnosis?
Who provides oversight for the Clinical Forms Committee
development, review, and
control of forms and computer
screens?
What index contains a list Disease Index
maintained in
diagnosis code number order for
patients who are discharged from
a facility during a particular time
period?
In a database the LAST_NAME Data Element
column in a table would be
considered a:
Hospital documentation related By the Hospital
to the delivery of patient care
such as health records, x-rays,
laboratory reports, and
consultation reports are
owned:
Typically, healthcare facilities Permanently
should retain the master
patient index for how long?
Which of the following is the Medical History
health record component that
addresses the patient's
current complaints and symptoms
and lists that patient's past
medical, personal, and family
conditions?