RHIT Domain 1: Questions & Answers
In the healthcare, data sets serve two purposes. The first is to identify data elements to be collected
about each patient. The second is two:
Provide uniform data definitions
Guide efforts toward computerization
Determine statistical formulas
Provide a research database - ANSWER:provide uniform data definitions
A health information technician is responsible for designing a data collection form to collect data on
patients in an acute-care hospital. The resource that she should use is:
ORYX
UACDS
MDS
UHDDS - ANSWER:UHDDS
A critical early step in designing an ehr is to develop a(n)_______ in which the characteristics of each
data element are defined.
Accreditation manual
Core content
Continuity of care record
Data dictionary - ANSWER:data dictionary
In long-term care, the resident's care plan is based on data collected in the:
UHDDS
OASIS-C
MDS
HEDIS - ANSWER:MDS
,Which of the following is not a characteristic of the common healthcare data sets sucha as UHDDS and
UACDS?
They define minimum data elements to be collected
They provide a complete and exhaustive list of data elements that must be collected
They provide a framework for data collection to which an individual facility can add data items
The federal governments recommends, but does not mandate, implementation of most of the data sets -
ANSWER:They provide a complete and exhaustive list of data elements that must be collected
What is the term that is used to mean ensuring that data are not altered during transmission across a
network or during storage?
Media controls
Audit controls
Mitigation
Integrity - ANSWER:Integrity
The primary purpose of a minimum data set in healthcare is to:
Recommend common data elements to be collected in a health records
Mandate all data that must be contained in a health record
Define reportable data for federally funded programs
Standardize medical vocabulary - ANSWER:Recommend common data elements to be collected in a
health records
A notation for a diabetic patient in a physician progress note reads: "Occasionally gets hungry. No insulin
reactions. She says she is the following her diabetic diet." In which part of a problem-oriented health
record progress note would this be written?
Subjective
Objective
Assessment
Plan - ANSWER:Subjective
, An audit of a hospital's electronic health system shows that diagnostic codes are not being reported at
the correct level of detail. This indicates a problem with data:
Consistency
Granularity
Comprehensiveness
Relevancy - ANSWER:Granularity
In which of the following examples does the gender of the patient constitute information rather than a
data element?
As an entry to be completed on the face sheet of the health record
In the note "50 year old white male" in the patient history
In a study comparing the incidences of myocardial infractions in black males as compared to white
females
In a study of the age distribution of lung cancer patients - ANSWER:In a study comparing the incidences
of myocardial infractions in black males as compared to white females
A core data set development by ASTM to communicate a patient's past and current health information
as the patient's transitions from one care setting to another is:
Ambulatory care data set
Continuity of care record
Minimum data set
Uniform hospital discharge data set - ANSWER:Continuity of care record
The home health prospective payment system uses the _______ data set for patient assessments.
HEDIS
OASIS-C
MDS
UHDDS - ANSWER:OASIS-C
In the healthcare, data sets serve two purposes. The first is to identify data elements to be collected
about each patient. The second is two:
Provide uniform data definitions
Guide efforts toward computerization
Determine statistical formulas
Provide a research database - ANSWER:provide uniform data definitions
A health information technician is responsible for designing a data collection form to collect data on
patients in an acute-care hospital. The resource that she should use is:
ORYX
UACDS
MDS
UHDDS - ANSWER:UHDDS
A critical early step in designing an ehr is to develop a(n)_______ in which the characteristics of each
data element are defined.
Accreditation manual
Core content
Continuity of care record
Data dictionary - ANSWER:data dictionary
In long-term care, the resident's care plan is based on data collected in the:
UHDDS
OASIS-C
MDS
HEDIS - ANSWER:MDS
,Which of the following is not a characteristic of the common healthcare data sets sucha as UHDDS and
UACDS?
They define minimum data elements to be collected
They provide a complete and exhaustive list of data elements that must be collected
They provide a framework for data collection to which an individual facility can add data items
The federal governments recommends, but does not mandate, implementation of most of the data sets -
ANSWER:They provide a complete and exhaustive list of data elements that must be collected
What is the term that is used to mean ensuring that data are not altered during transmission across a
network or during storage?
Media controls
Audit controls
Mitigation
Integrity - ANSWER:Integrity
The primary purpose of a minimum data set in healthcare is to:
Recommend common data elements to be collected in a health records
Mandate all data that must be contained in a health record
Define reportable data for federally funded programs
Standardize medical vocabulary - ANSWER:Recommend common data elements to be collected in a
health records
A notation for a diabetic patient in a physician progress note reads: "Occasionally gets hungry. No insulin
reactions. She says she is the following her diabetic diet." In which part of a problem-oriented health
record progress note would this be written?
Subjective
Objective
Assessment
Plan - ANSWER:Subjective
, An audit of a hospital's electronic health system shows that diagnostic codes are not being reported at
the correct level of detail. This indicates a problem with data:
Consistency
Granularity
Comprehensiveness
Relevancy - ANSWER:Granularity
In which of the following examples does the gender of the patient constitute information rather than a
data element?
As an entry to be completed on the face sheet of the health record
In the note "50 year old white male" in the patient history
In a study comparing the incidences of myocardial infractions in black males as compared to white
females
In a study of the age distribution of lung cancer patients - ANSWER:In a study comparing the incidences
of myocardial infractions in black males as compared to white females
A core data set development by ASTM to communicate a patient's past and current health information
as the patient's transitions from one care setting to another is:
Ambulatory care data set
Continuity of care record
Minimum data set
Uniform hospital discharge data set - ANSWER:Continuity of care record
The home health prospective payment system uses the _______ data set for patient assessments.
HEDIS
OASIS-C
MDS
UHDDS - ANSWER:OASIS-C
