Health Information Management
1. What is a core data set developed by ASTM to communicate a patient's past and current health
information as the patient transitions from one care setting to another?
Answer: Continuity of care record.
2. How can registration clerks ensure that they consistently use the correct notation for assigning
admission date in an EHR?
Answer: By providing a template for entering data in the field.
3. What should be done if a physician dictates a discharge summary, but the patient is discharged two
days later due to unexpected complications?
Answer: Request that the physician dictate an addendum to the discharge summary.
4. What type of data is a patient's gender, phone number, address, next of kin, and insurance policy
holder information?
Answer: Administrative data.
5. Where do healthcare providers usually obtain licensure from?
Answer: From government entities such as the state or county where they are located.
Record Content and Quality
, 6. Who owns hospital documentation related to patient care, such as health records, x-rays, laboratory
reports, and consultation reports?
Answer: The hospital.
7. What is not a characteristic of high-quality healthcare data?
Answer: Data accountability.
8. What is not true about good electronic forms design?
Answer: Using radio buttons to select multiple items from a set of options.
9. What is true about information assets?
Answer: Information considered to add value to an organization.
10. What is the ability to electronically send data from one information system to another while
maintaining the original meaning called?
Answer: Interoperability.
Authentication and Documentation
11. What is true about the content of the legal health record?
Answer: The legal health record may contain metadata.
12. What does the clinical forms committee do?