CMRT Data Content & Structure 5

Question 1

Which term describes the property of health data that means it is complete, consistent, and free from corruption?

Accepted Answer

Data integrity

Answer

Data integrity ensures that health information is accurate, complete, and unaltered, which is essential for safe patient care and legal validity.

Question 2

A hospital's HIM department performs 'quantitative analysis.' What specifically does this process evaluate?

Accepted Answer

Whether all required record components are present and complete

Answer

Quantitative analysis checks for the presence of all required documentation elements (signatures, reports, forms) without judging the clinical quality of content.

Question 3

Which of the following is an example of structured data in an EHR?

Accepted Answer

A drop-down selection of 'Type 2 diabetes mellitus'

Answer

Structured data consists of coded or categorized entries with predefined values (like drop-down selections) that computers can query and analyze.

Question 4

OASIS data is collected primarily for which patient population?

Accepted Answer

Home health agency patients

Answer

The Outcome and Assessment Information Set (OASIS) is a CMS-mandated data collection tool for Medicare/Medicaid patients receiving home health services.

Question 5

A patient's record contains documentation from three different providers that disagree on the patient's allergy status. This is an example of a problem with data:

Accepted Answer

Consistency

Answer

When the same data element (allergy status) has conflicting values across different sources in a record, it represents a data consistency (or integrity) problem.

(CMRT) Certified Medical Records Technician Practice Test

(CMRT) Certified Medical Records Technician Practice Test

CMRT Data Content & Structure 5