HIT 125 MODULE 4 EXAM QUESTIONS WELL ANSWERED LATEST UPDATE 2026

HIT 125 MODULE 4 EXAM QUESTIONS WELL ANSWERED LATEST UPDATE 2026 Which of the following datasets was created to collect uniform data across the United States for inpatient patient stays? A. Uniform Ambulatory Care Data Set (UACDS) B. Outcomes and Assessment Information Set (OASIS) C. Data Elements for Emergency Department Systems (DEEDS) D. Uniform Hospital Discharge Data Set (UHDDS) Rationale: One of the first defined and used data sets across the US healthcare industry was the Uniform Hospital Discharge Data Set (UHDDS). The UHDDS collects uniform data elements from the health records of every hospital inpatient patient. - Answers D. Uniform Hospital Discharge Data Set (UHDDS) Rationale: One of the first defined and used data sets across the US healthcare industry was the Uniform Hospital Discharge Data Set (UHDDS). The UHDDS collects uniform data elements from the health records of every hospital inpatient patient. A/n ___________________ is a list that provides guidance, indication, or other references of information contained in a database? A.Map B. Mining C. Element D. Index - Answers D. Index Rationale: An index is a report or list from a database that provides guidance, indication, or other references to the data contained in the database. An index serves as a guide or indicator to locate something within a database or other systems storing data. What concept refers to the process of creating management and oversight of data assets to support the organization's mission, vision, and values? A. Enterprise information management B. Outcomes and Assessment Information Set (OASIS) C. Information governance D. Data governance - Answers Rationale: Information governance focuses on principles and oversight to manage the information that is produced from the different systems within an organization. Information governance is based off of 9 principles that support the management of information assets in an organization based on the mission, vision, and values. True or false. Information is single elements that define a specific characteristic about a patient. True False - Answers False Rationale: Information is different than data as it refers to data elements that have been combined and then manipulated into something meaningful regarding a patient or a group of patients. True or false. The oversight of the definition of structure of data elements as well as the creation, storage, and transmission of data elements is referred to as data management. True False - Answers True Rationale: Data management refers to the definition and structure of data elements and the creation, storage, and transmission of data elements. Which of the following is an external user of data? A. Public health department B. Medical staff C. Hospital administrator D. Director of the clinical laboratory - Answers A. Public health department Rationale: All of the users listed are internal users with the exception of the public health department which is a government agency - not a department of the organization. Review of disease indexes, pathology reports, and radiation therapy reports is part of which function in the cancer registry? A. Case definition B. Case-finding C. Follow-up D. Reporting - Answers B. Case-finding Rationale: Case-finding is reviewing indices and other sources to identify patients who were treated for cancer. What is the information identifying the patient (such as name, health record number, address, and telephone number) called? A. Accession data B. Indicator data C. Reference data D. Demographic data - Answers D. Demographic data Rationale: Demographic data identifies the patient. Cancer registries receive approval as part of the facility cancer program from which of the following agencies? A. American Cancer Society B. National Cancer Registrar's Association C. National Cancer Institute D. American College of Surgeons - Answers D. American College of Surgeons Rationale: The American College of Surgeons has an approval program for cancer programs. One of the requirements of approval is a cancer registry. The Medicare Provider Analysis and Review file is made up of ___. A. Medical malpractice payments and sanctions taken against providers B. Data collected from a sample of office-based physicians C. Medicare claims from acute care hospitals and skilled nursing facilities D. Data collected on births and deaths - Answers C. Medicare claims from acute care hospitals and skilled nursing facilities Rationale: MEDPAR contains data from acute care hospitals and skilled nursing facilities's claims To identify the patients who had a craniotomy in the past year, what should be queried? A. Operation index B. Registry C. Disease index D. Physician index - Answers A. Operation index Rationale: The operation index is a list of procedures performed at the facility in code order (ICD-10-PCS or CPT). Which is an example of aggregate data? A. Average length of stay B. Patient had a colonoscopy C. Mary Smith had a blood transfusion D. Patient was diagnosed with a peptic ulcer - Answers B. Patient had a colonoscopy Rationale: Aggregate data is data on groups of people. Data field, definition, data type, and format are all common data elements in what? A. Data dictionary B. Data map C. Database D. Data set - Answers A. Data dictionary Rationale: Data field, definition, data type and format are all common data elements in the data dictionary. A single or individual fact that represents a patient in healthcare is known as a/n ____________. A. Information element B. Database element C. Data dictionary D. Data element - Answers D. Data element Rationale: A data element can be a single or individual fact that represents the smallest unique subset of a larger database sometimes referred to as the raw facts and figures. Examples of data elements include age, gender, blood pressure, temperature, test results, and date of birth. A patient's birth date and gender documented in the health record are examples of a data? A. Element B. Map C. Dictionary D. Definition - Answers A. Element Rationale: A data element can be a single or individual fact that represents the smallest unique subset of a larger database sometimes referred to as the raw facts and figures. Which of the following data sets collect information on the provider, place of encounter, reason for encounter, problem, diagnosis, assessment, therapeutic services, preventative services, and disposition? A. Uniform Ambulatory Care Data Set (UACDS) B. Outcomes and Assessment Information Set (OASIS) C. Data Elements for Emergency Department Systems (DEEDS) D. Uniform Hospital Discharge Data Set (UHDDS) - Answers A. Uniform Ambulatory Care Data Set (UACDS) Rationale: A standardized data set for the ambulatory setting was created known as