RHIA PRACTICE TEST SOLUTIONS 2026
FULL ANSWERS
◍ Problem-Oriented Health Record Answer: Divided into four parts:
database, problem list, initial plan, progress notes (SOAP)
◍ SOAP what does S stand for? Answer: Subjective (patient's point
of view)
◍ SOAP what does O stand for? Answer: Objective (what the
practitioner finds)
◍ SOAP what does A stand for? Answer: Assessment (combine
subjective and objective to make a conclusion)
◍ SOAP what does P stand for? Answer: Plan (approach to be taken
to resolve patient's problem
◍ Integrated Health Records Answer: Documentation from various
sources organized in strict chronological or reverse chronological
order
◍ Advantage of Integrated Health Record? Answer: Easy to follow
course of diagnosis and treatment
,◍ Disadvantage of Integrated Health Record? Answer: Difficult to
compare similar information (ex. lab results or oncology information)
◍ When should H&P be documented in record? Answer: Within 24
hours of admission
◍ When should Operative Report be documented in record? Answer:
Immediately following surgery
◍ When should Verbal Orders be cosigned? Answer: Within 24 hours
◍ When should Discharge Summary be documented? Answer:
Immediately after discharge of patient
◍ Qualitative Analysis Answer: Review of record to ensure that
standards are met and determine the adequacy of entries documenting
the quality of care
◍ Quantitative Analysis Answer: A review of health record to
determine its completeness and accuracy
◍ Data Accuracy Answer: Data are the correct values and are valid
◍ Data Accessibility Answer: Data items are easily obtainable and
legal to collect
, ◍ Data Comprehensiveness Answer: All required data items included
AND entire scope of data is collected and intentional limitations
documented
◍ Data Consistency Answer: Value of data is reliable and consistent
across applications
◍ Data Currency Answer: Data is up to date, if it is outdated it must
have been up to date at the time it was presented
◍ Data Definition Answer: Clear definitions provided so users know
what data means, each data element should have clear meaning and
accepted values
◍ Data Granularity Answer: The attributes and values of data should
be defined at the correct level of detail
◍ Data Precision Answer: Data values should be just large enough to
support the application or process and acceptable values or ranges
must be defined
◍ Data Relevance Answer: The data are meaningful to the
performance of the process or application for which they are collected
◍ Data Timeliness Answer: Determined by how the data are being
used and their context
FULL ANSWERS
◍ Problem-Oriented Health Record Answer: Divided into four parts:
database, problem list, initial plan, progress notes (SOAP)
◍ SOAP what does S stand for? Answer: Subjective (patient's point
of view)
◍ SOAP what does O stand for? Answer: Objective (what the
practitioner finds)
◍ SOAP what does A stand for? Answer: Assessment (combine
subjective and objective to make a conclusion)
◍ SOAP what does P stand for? Answer: Plan (approach to be taken
to resolve patient's problem
◍ Integrated Health Records Answer: Documentation from various
sources organized in strict chronological or reverse chronological
order
◍ Advantage of Integrated Health Record? Answer: Easy to follow
course of diagnosis and treatment
,◍ Disadvantage of Integrated Health Record? Answer: Difficult to
compare similar information (ex. lab results or oncology information)
◍ When should H&P be documented in record? Answer: Within 24
hours of admission
◍ When should Operative Report be documented in record? Answer:
Immediately following surgery
◍ When should Verbal Orders be cosigned? Answer: Within 24 hours
◍ When should Discharge Summary be documented? Answer:
Immediately after discharge of patient
◍ Qualitative Analysis Answer: Review of record to ensure that
standards are met and determine the adequacy of entries documenting
the quality of care
◍ Quantitative Analysis Answer: A review of health record to
determine its completeness and accuracy
◍ Data Accuracy Answer: Data are the correct values and are valid
◍ Data Accessibility Answer: Data items are easily obtainable and
legal to collect
, ◍ Data Comprehensiveness Answer: All required data items included
AND entire scope of data is collected and intentional limitations
documented
◍ Data Consistency Answer: Value of data is reliable and consistent
across applications
◍ Data Currency Answer: Data is up to date, if it is outdated it must
have been up to date at the time it was presented
◍ Data Definition Answer: Clear definitions provided so users know
what data means, each data element should have clear meaning and
accepted values
◍ Data Granularity Answer: The attributes and values of data should
be defined at the correct level of detail
◍ Data Precision Answer: Data values should be just large enough to
support the application or process and acceptable values or ranges
must be defined
◍ Data Relevance Answer: The data are meaningful to the
performance of the process or application for which they are collected
◍ Data Timeliness Answer: Determined by how the data are being
used and their context
