CHIMA Chapter 7 Questions and answers, 100% Accurate, rated A+

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CHIMA Chapter 7 Questions and answers, 100% Accurate, rated A+ Which stage is stated to be the most important stage in the health information life cycle? a) Maintenance and protection b) Information management planning c) Evalution d) Capture and Collection - ✔✔-b Which stage of the HI life cycle ensure that necessary safeguards are in place for the appropriate use of patient info? a) Governance and accountability b) Capture and collection c) Disposition d) Access, use, dissemination - ✔✔-a If a health care organization plans to exchange HI with other organizations, the data must meet what international standard? a) CIHI Data Framework b) EHRS Blueprint c) IHE Cross Document Sharing profile d) HL7 - ✔✔-d An example of unstructured data is: a) electrocardiogram b) digital heart sounds c) ultra sound data d) transcribed reports - ✔✔-d An example of discrete, structured data is: a) free-text boxes online b) nuclear medicine stored as bit-mapped data c) medication orders d)cardiac catheterization - ✔✔-c What should be developed for direct charting, voice recognition, or transcribed documents to promote the consistent use of language and expressions? a) Organization specific lists of abbreviations, acronyms, and symbols b) A staff education program on implications to patient safety of misinterpreted truncated words c) templates d) data dictionary - ✔✔-c Acceptable authentication for electronic records includes the author using a/an: a) digital signature or computer key b) template to track changes c) initials with a corresponding legend d) audit tail - ✔✔-a Which of the following is NOT an objective component in a SOAP note? a) Patient's chief complaint b) Blood pressure c) Previous lab or diagnostic test results d) vital sign measurements - ✔✔-a A Master Patient Index (MPI) should be integrated with an organizations: a) appointment system b) booking system c) clinical systems d) all of the above - ✔✔-d Errors in health information include information or values that were: a) captured incorrectly b) captured inappropriately c) not captured d) all of the about - ✔✔-d What is a "retraction" as it pertains to health info? a) removing a document from one individuals record and posting it to another record b) a late entry that provides information about a about a previous entry c) Deleting duplicate health records within a MPI d) Separating health records that were inadvertently merged within an MPI - ✔✔-a Which type of analysis involves a retrospective review of the record for compliance with any jurisdictional regulations or organizational policies? a) Quantitative b) Qualitative c) a and b d) Neither a or b - ✔✔-b The purpose of a data quality audit (DQA) is to: a) verify the quality of the reported data b) assess the rigour of the underlying data collection tool c) the ability of the underlying data collection tool to collect and report accurate info d) all of the above - ✔✔-d Which organization provides software edits for data entry, logic error scripts, submission error reports, an e-query service, and formal education services related to coding standards and guidelines? a) WHO b) CIHI c) HL7 d) Health Canada - ✔✔-b Data quality audits should include a report that summarizes the findings and provides recommendations. The report should includ

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