RHIA Questions and Answers 100% Verified

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RHIA Questions and Answers 100% Verified A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ ✔✔30 days/24 hours/48 hours systematic random sample ✔✔a simple random sample that may be generated by selecting every fifth or every tenth member of the sampling frame. In order to ensure that a systematic random sample is truly random, the sample frame should not be sorted in an order that might bias the sample. Example: If an analyst is studying the wait times at a clinic and the only list of patients available is on hard copy, which sampling technique is the easiest to use. Systematic sampling Entity relationship modeling ✔✔is a type of conceptual modeling. Conceptual models are abstract and encourage high-level problem structing; they help establish a common ground for communication between users and developers. The entity-relationship diagram was developed to depict relational database structures. The emergency health record should include ✔✔time and means of arrival, treatment rendered, and instruction at discharge. Facilities are required to do a pertinent history, including the chief complaint and onset of illness or injury but not a complete medical history of the patient Minimum Data set ✔✔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. many-to-many relationship ✔✔occurs only in a data model developed at the conceptual level. In this case, the relationship between patients and consulting physicians is a many-to-many. For each instance of patient, there could be many instances of consulting physician because patients can be seen by more than one consulting physicians. For each instance of consulting physician, there could be many patients because the physician sees many patients. metadata ✔✔data about data. metadata are structured information used to increase the effective use of data. One of the most familiar types of metadata is used to describe data in databases. Data element name, data type, and field length are examples of this kind of metadata. Health Record Matrix ✔✔Identifies and tracks the physical location of each paper document and the source of each electronic document that constitutes the LHR. The documentation of the LHR may physically exist in separate and multiple paper-based or electronic systems. This complicates the process of pulling the entire legal record together in response to authorized requests to produce the complete patient record. The legal health record for disclosure consists of: ✔✔the data, documents, reports and information that comprise the formal business records of any healthcare entity that are to be utilized during legal proceedings. Understanding legal health records requires knowledge of not only what comprises business records used as legal health records, but also the processes as well as the physical and electronic systems used to manage these records. privileged communication ✔✔information held confidential

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