Health Information Management RHIT Certification Prep
Must know about Health Information Management
Our Discussion this week will focus on reviewing Domain 1: Data Content, Structure, and Standards, which corresponds to Course Objective 1
For this discussion choose at least 2 of the topics below to discuss.
Primary purpose of health record and primary users-
Secondary purposes of health record-
Some deficiencies that can be found in a health record
Data granularity,
Data completeness,
Data consistency,
Data comprehensiveness,
data currency,
data relevancy
Clinical Decision support systems- what is it? who uses it?
Integrated health records- what are they?
data vs information-
Data sets- what are they? what is the purpose? who is most closely involved in development (hint: government agency)-
UHDDS-
UACDS
MDS-
OASIS-
ORYX
EMDS-
CIO- who is it? what are they responsible for?
EDMS
Clinical Data Repository
CPOE-
Access controls
client/server architecture
Executive information systems
X12N
CCHIT
Outguide folder
Unit numbering system-
NCQA- who are they? what do they do?
MPI
SOAP notes (name the parts and give an example of what each would include)
SNOMED
Terminal Digit Filing (provide a detailed example of the order)
primary reason for the continuity of care record
ICF coding
ICD-O-3
DSM-5
HCPCS
List the approaches used in PCS coding
XML
HL7
The act that mandated development of standards for EHR
ASTM
Unique patient identifier
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