Guide, C810 - Data Management UPDATED
Exam Questions and CORRECT Answers
The health record is considered a ________________________ because it contains information
about a patient that has been documented by the professionals who provided care or services to
that patient. - CORRECT ANSWER - primary data source
Data taken from the primary health record and entered into registries and databases are
considered a _____________________. - CORRECT ANSWER - secondary data source
The health record consists entirely of _____________________. In other words, every fact
recorded in the record relates to a particular patient. - CORRECT ANSWER - patient-
identifiable data
______________ are an example of patient-identifiable data on groups of patients. - CORRECT
ANSWER - Registries
Include data on groups of people or patients without identifying any particular patient
individually. Secondary data are considered ________________. - CORRECT ANSWER -
Aggregate data
Examples of aggregate data are _________________________ for patients discharged within a
particular diagnosis-related group (DRG). - CORRECT ANSWER - statistics on the
average length of stay (ALOS)
Secondary data sources consist of ? - CORRECT ANSWER - -facility-specific indexes
-registries, either facility or population based
-other healthcare databases
,Data extracted from health records and entered into _______________ can, for example, help
researchers determine the effectiveness of alternate treatment methods, as well as, demonstrate
survival rates at different stages of disease. - CORRECT ANSWER - disease-oriented
databases
___________________ are individuals located within the healthcare facility including medical
staff and administrative and management staff. - CORRECT ANSWER - Internal users of
secondary data
Secondary data enable these internal users to __________________that are helpful in patient
care, long-range planning, budgeting, and bench-marking with other facilities. - CORRECT
ANSWER - identify patterns and trends
________________ of patient data are individuals and institutions outside the facility like state
data banks and federal agencies. - CORRECT ANSWER - External users
The secondary data provided to external users is generally ______________ and not
_________________ data. - CORRECT ANSWER - aggregate data and not patient-
identifiable
The secondary data sources that have been in existence the longest are the ____________ that
have been developed within facilities to meet their individual needs. - CORRECT
ANSWER - indexes
An index is simply a ______________________ that enables health records to be located by
diagnosis, procedure, or physician. - CORRECT ANSWER - report from a database
Prior to extensive computerization in healthcare, these indexes were kept on cards with
________________. - CORRECT ANSWER - handwritten data
The ______________________, which is sometimes called the master person index, contains
patient-identifiable data such as name, address, date of birth, dates of hospitalizations or
, encounters, name of attending physician, and health record number. - CORRECT
ANSWER - master patient index (MPI)
The MPI is an important source of patient health record numbers. These numbers enable the
facility to __________________________ for specific patients. - CORRECT ANSWER -
quickly retrieve health information
Most of the information in the MPI is entered into the facility data-base at the time of the
_________, _______________, or ___________ process. - CORRECT ANSWER -
admission, pre-admission, or registration
In an acute care setting, the _____________ is a listing in diagnosis code number order for
patients discharged from the facility during a particular time period. It is considered patient-
identifiable data. - CORRECT ANSWER - disease index
The index always includes the ________________ as well as the __________________ so that
records can be retrieved by diagnosis. - CORRECT ANSWER - patient's health record
number | diagnosis codes
In ________________, the disease index might be generated to reflect patients currently
receiving services in the facility. - CORRECT ANSWER - non-acute settings
The ______________ is similar to the disease index except that it is arranged in numerical order
by the patient's procedure code(s), usually using ICD or Current Procedural Terminology (CPT)
codes, and the surgeon may be listed in addition to, or instead of, the attending physician. -
CORRECT ANSWER - operation index
In many cases, facilities no longer have an actual listing for the diagnosis and operation indexes.
Instead, they ___________________ utilizing the diagnosis or procedure code needed. -
CORRECT ANSWER - query the health information system
The __________________ enables users to retrieve information about a particular physician,
including the number of cases seen during a particular time period. As with the disease and