CHIMA EXAM PREP - Health Information Management / Health
Information Systems / Moving Towards an HER- Qs & As
Which stage is stated to be the most important stage in the health information lifecycle?
a. Maintenance and protection
b. Information management planning
c. Evaluation
d. Capture and collection Correct Ans-b. Information management planning
Which stage of the health information life cycle ensures that necessary safeguards are in place
for the appropriate use of patient information?
a. Governance and accountability
b. Capture and collection
c. Disposition
d. Access, use and dissemination Correct Ans-a. Governance and accountability
If a healthcare organization plans to exchange health information with other organizations, the
data created must meet what international standard?
a. CIHI
b. EHRS BluePrint Version 2
,c. IHE Cross Document Sharing profile
d. Heath Level Seven International (HL7) Correct Ans-d. Heath Level Seven International
(HL7)
An example of unstructured data is:
a. an electrocardiogram
b. digital heart sounds
c. ultrasound data
d. transcribed reports Correct Ans-d. transcribed reports
An example of discrete, structured data is:
a. free-text boxes on-line
b. nuclear medicine stored as bit mapped
c. medication orders
d. cardiac catheterizations Correct Ans-c. medication orders
What should be developed for direct charting, voice recognition or transcribed documents to
promote the consistent use of language and expression?
a. Organization-specific lists of abbreviations, acronyms and symbols
, b. A staff education program on implications to patient safety of misinterpreted truncated
words or characters
c. Templates
d. Data Dictionary Correct Ans-c. Templates
Acceptable authentication for electronic records includes the author using a/an:
a. digital signature or computer key
b. template to track changes
c. initials with corresponding signature legend
d. audit trail Correct Ans-a. digital signature or computer key
Which of the following in NOT an objective component of SOAP
a. Patients chief complaint
b. Blood Pressure
c. Previous lab or diagnostic test results
d. Vital Sign Measurements Correct Ans-a. Patients chief complaint
What is the "retraction" as it pertains to health Information?
a. Removing a document from one individual's records and posting it to another record
Information Systems / Moving Towards an HER- Qs & As
Which stage is stated to be the most important stage in the health information lifecycle?
a. Maintenance and protection
b. Information management planning
c. Evaluation
d. Capture and collection Correct Ans-b. Information management planning
Which stage of the health information life cycle ensures that necessary safeguards are in place
for the appropriate use of patient information?
a. Governance and accountability
b. Capture and collection
c. Disposition
d. Access, use and dissemination Correct Ans-a. Governance and accountability
If a healthcare organization plans to exchange health information with other organizations, the
data created must meet what international standard?
a. CIHI
b. EHRS BluePrint Version 2
,c. IHE Cross Document Sharing profile
d. Heath Level Seven International (HL7) Correct Ans-d. Heath Level Seven International
(HL7)
An example of unstructured data is:
a. an electrocardiogram
b. digital heart sounds
c. ultrasound data
d. transcribed reports Correct Ans-d. transcribed reports
An example of discrete, structured data is:
a. free-text boxes on-line
b. nuclear medicine stored as bit mapped
c. medication orders
d. cardiac catheterizations Correct Ans-c. medication orders
What should be developed for direct charting, voice recognition or transcribed documents to
promote the consistent use of language and expression?
a. Organization-specific lists of abbreviations, acronyms and symbols
, b. A staff education program on implications to patient safety of misinterpreted truncated
words or characters
c. Templates
d. Data Dictionary Correct Ans-c. Templates
Acceptable authentication for electronic records includes the author using a/an:
a. digital signature or computer key
b. template to track changes
c. initials with corresponding signature legend
d. audit trail Correct Ans-a. digital signature or computer key
Which of the following in NOT an objective component of SOAP
a. Patients chief complaint
b. Blood Pressure
c. Previous lab or diagnostic test results
d. Vital Sign Measurements Correct Ans-a. Patients chief complaint
What is the "retraction" as it pertains to health Information?
a. Removing a document from one individual's records and posting it to another record
