ABBREVIATIONS
FORMS
PROFESSION
HEALTH RECORD
MISCELLANEOUS
100
ADT
What is ADMISSION/DISCHARGE/TRANSFER
100
Name the most important data element on any form.
What is the TITLE.
100
The number of CPE credits that HIMs must earn over a 3-year period.
What is 36.
100
Patients receive this number every time they have contact with a health care facility.
What is ENCOUNTER OR ADMISSION NUMBER.
100
The physical health record belongs to whom?
What is the FACILITY WHERE THE RECORD WAS CREATED.
200
FE
What is FUNCTIONAL ENQUIRY.
200
When planning for the implementation of a document imaging system, the first step HIM should take is?
What is STANDARDIZE FORMS.
200
The CPHIMS credential can be earned through which professional organization?
What is COACH. (certified professional in healthcare information and management systems)
200
This would be the next patient record filed in permanent file using the TD system after chart #12345.
What is 22345.
200
Responsibility for chart completion is the responsibility of whom?
What is the HEALTH CARE PROVIDER WHO DOCUMENTED IN THE RECORD.
300
RT
What is RESPIRATORY THERAPY.
300
Built-in field edit checks is an example of which element control principle?
What is COMPLETENESS.
300
To be a certified HIM professional, members must meet these three standards.
What is PAY DUES, EARN CPE CREDITS, ABIDE BY CODE OF ETHICS.
300
Name the specific lab report that you would view to see if a patient had a urine infection due to E.coli.
What is CULTURE AND SENSITIVITY.
300
Name the type of diagnosis that the physician documents at the end of the history and physical.
What is THE PROVISIONAL DIAGNOSIS.
400
HEABC
What is HEALTH EMPLOYERS ASSOCIATION OF BC.
400
Each title should include at least two elements which are?
What is CONTENT DESCRIPTION and DOCUMENT TYPE.
400
Name CHIMAs four domains of practice.
What is e-HIM, STANDARDS, PRIVACY AND DATA QUALITY.
400
Name the health care profession who is responsible for documenting on the partogram.
What is THE NURSE.
400
Name the level of care that provides seniors with indepenDent living or supportive housing.
What is ASSISTED LIVING.
500
DAD
What is DISCHARGE ABSTRACT DATABASE.
500
'Document type' will tell you two things. These two things are?
What is the KIND/TYPE OF DOCUMENT (CONSENT, LETTER) and HOW THE DATA IS CAPTURED (FLOWSHEET/ SURVEY).
500
As a minimum, collective agreements should document these four conditions of employment including:
What is REMUNERATION, HOURS OF WORK, BENEFITS, WORKING CONDITIONS (WORKLOAD, SAFETY).
500
Reviewing a paper-based patient record to ensure that all documents in the record belong to the same patient is part of quantitative analysis. What other type of analysis does this scenario fall under?
What is LEGAL ANALYSIS.
500
Physicians should document on the discharge summary interventions that impact patient focused funding such as dialysis. State the name of this type of intervention.
What is FLAGGED INTERVENTIONS.