Health Information Management RHIT Certification Prep
Science
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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