Free RHIA Exam Braindumps (page: 10)

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A key data item you would expect to find recorded on an ER record, but would probably NOT see in an acute care record is the

  1. physical findings.
  2. lab and diagnostic test results.
  3. time and means of arrival.
  4. instructions for follow-up care.

Answer(s): C



A data item to include on a qualitative review checklist of infant and children inpatient health records which need not be included on adult records would be

  1. chief complaint.
  2. condition on discharge.
  3. time and means of arrival.
  4. growth and development record.

Answer(s): D



For each report of care rendered to a patient, the health record entry should include the date plus the provider's name and

  1. department.
  2. discipline.
  3. initials.
  4. supervising physician.

Answer(s): B



In creating a new form or computer view, the designer should be most driven by

  1. QIO standards.
  2. medical staff bylaws.
  3. needs of the users.
  4. flow of data on the page or screen.

Answer(s): C



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Britt commented on March 19, 2019
I take it this weekend, feeling confident about using this as an extra study tool!
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