HISM (D033): Chapter 6 Exam Questions
and Answers 100% Pass
Healthcare quality indicator system - ✔✔An abstracting system that records
information about the patient, the care provided to the patient, and the
healthcare practitioner(s) involved in the care delivered
Automated codebook encoder - ✔✔An encoder that lists diagnoses and
procedures in alphabetic order much like the alphabetic index
Birth certificate information system - ✔✔A state-approved system in which
the birth certificate data are entered, after the HIM staff interviews the
mother or other parents or guardians and reviews the health record. This
software reports births occurring in the healthcare facility to the state health
agency
Cancer registry information system - ✔✔An information system that tracks
information (including very detailed information regarding diagnosis and
treatment) about the patient's cancer from the time of diagnosis to the
patient's death
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Chart deficiency system - ✔✔A system that track and record
documentation omission due to deficiency in the health record that comes
to the HIM department. Deficiencies can be in paper, imaged, or electronic
records depending on the information system used
Chart locator system - ✔✔A system is designed to identify the current
location of the paper health record. This tracking is important because
paper records are moved from place to place for patient care, quality
reviews, coding, and many other purposes
Chart tracking system - ✔✔Chart locator system
Clinical documentation improvement (CDI) system - ✔✔The recognized
process assists in identifying ways to improve clinical documentation in the
health record
Computer-assisted coding (CAC) system - ✔✔A software program used to
analyze the clinical data found in an electronic health record
Dictation system - ✔✔Used by the physician to verbally record various
medical reports such as history and physical examinations, discharge
summaries, radiology reports, autopsy reports, catheterization reports, and
other designated reports into the dictation system