Health Information Management Exam Questions

HIT stands for Health Information Technology. This term refers to the use of technology in managing and exchanging health information. It includes electronic health records, telemedicine, health information exchange, and other technologies that improve the efficiency and accuracy of healthcare delivery.

HIMA India is recognized by the International Federation of Health Information Management Associations (IFHIMA).

When a patient is transferred to another hospital, it is important for the medical record to contain all of the mentioned details. This includes the names of both the doctor who transferred the patient and the doctor who received the patient, as well as the name of the hospital and the care provided. Having all of this information in the medical record ensures continuity of care and allows healthcare professionals to have a complete picture of the patient's medical history and treatment.

SBP stands for systolic blood pressure. In patient physical examinations, blood pressure is measured using two numbers: systolic pressure and diastolic pressure. Systolic blood pressure is the higher number and represents the pressure in the arteries when the heart beats and pumps blood. This measurement is important in assessing a patient's cardiovascular health and determining their risk for conditions such as hypertension. Small bowel perforation and spontaneous bacterial peritonitis are unrelated to blood pressure and are not relevant in this context. Therefore, the correct answer is systolic blood pressure.

The correct answer is "Information focused". In the context of Health Information Management (HIM) practice, an information-focused model emphasizes the collection, organization, and utilization of health information to improve patient care and outcomes. This model recognizes the importance of accurate and comprehensive health information in decision-making processes and promotes the effective management and sharing of this information across healthcare settings. By prioritizing the information aspect, HIM professionals can play a vital role in ensuring the quality and integrity of health data, promoting data-driven decision-making, and supporting evidence-based practice.

SNOMED-CT is used by physicians and other healthcare providers for the electronic exchange of clinical health information. This means that it is specifically designed to capture and communicate information related to medical diagnoses, treatments, and procedures. It is not intended for physical, psychological, or technical health information exchange. Therefore, the correct answer is clinical.

The correct answer is healthcare provider. In EHR data ownership, the healthcare provider is responsible for owning the medium of storage or transmission of electronic medical records. This means that the healthcare provider has control over how the data is stored and transmitted, ensuring its security and privacy. The software developer may create and maintain the software used for EHRs, but they do not own the data itself. Similarly, government authorities may regulate the use of EHRs, but they do not own the data either. The patient may have certain rights and access to their own medical records, but they do not own the medium of storage or transmission.

HL 7 refers to Health Level 7, which is a set of international standards for the transfer of clinical and administrative data between software applications used by various healthcare providers.

The correct answer is Allied Health profession. Health Information Management (HIM) is a profession that involves managing health information systems, ensuring the accuracy and security of patient records, and analyzing data to improve healthcare outcomes. It is a part of the broader field of Allied Health professions, which includes various healthcare professions that support and complement the work of medical professionals. Therefore, HIM in India falls under the category of Allied Health profession.

The correct answer is both B & C. This is because the request for a name change should be rejected since it is coming from the patient's friend and not a legal heir. Additionally, the patient or their legal heirs should be informed to come to the hospital in order to address the request properly.

Retention process provides expected confidentiality and security of medical records. This process involves storing and maintaining medical records in a secure manner, ensuring that only authorized personnel have access to them. It includes implementing measures such as encryption, password protection, and restricted access to prevent unauthorized disclosure or breaches of patient information. Retention also involves proper disposal of records when they are no longer needed, following legal and regulatory requirements. By implementing a robust retention process, healthcare organizations can ensure the confidentiality and security of medical records throughout their lifecycle.

In the given scenario, the sudden collapse and subsequent death of a young person raises suspicion of a potential crime or medical malpractice. Therefore, the next step for the Chief Medical Officer (CMO) should be to inform the local police station. This is necessary to initiate an investigation into the cause of death and ensure that any potential foul play or negligence is properly addressed. Handing over the dead body to the family or sending it for autopsy may be done later in the process, but informing the police is the immediate and necessary action to take.

The correct answer is 24 hours. This means that the patient is allowed to leave the hospital for a maximum period of 24 hours. This could be for various reasons such as attending a medical appointment or taking a break from the hospital environment. It is important to limit the temporary leave to ensure the patient's safety and to ensure that they return to the hospital within a reasonable time frame.

ICD-11 will come into effect on 1 January 2022. This means that starting from this date, the International Classification of Diseases (ICD) will be updated to the 11th edition and will be officially implemented. The ICD is a system used worldwide for classifying and coding diseases, injuries, and other health conditions. The specific date of 1 January 2022 indicates when the new edition will be fully operational and used in healthcare settings globally.

ICD-11 contains around 55000 unique codes. This means that there are approximately 55000 different codes used to classify diseases, disorders, and other health conditions in the International Classification of Diseases, 11th Revision. These codes are used by healthcare professionals and researchers to accurately document and track various health conditions.

In a health record system, demographic information, including a unique identifier, is necessary to accurately identify and distinguish individuals. This unique identifier helps to ensure that each individual's health information is correctly linked to their profile and prevents any confusion or mix-up of records. It allows healthcare providers to access and retrieve the right information for the right person, improving patient safety and the overall quality of care.

The correct answer is "Both B & C." This means that both the Labour rooms and the Emergency department should not be included in the bed complement. This could be because these rooms are specifically designated for patients who require specialized care or immediate attention, rather than for general patient use. Including these rooms in the bed complement could lead to a shortage of beds for patients who need them.

The correct answer is 7 standards and 42 objective elements. This is because the NABH 5th draft edition Information Management System (IMS) has a total of 7 standards and 42 objective elements, as stated in the question.

According to Chapter I, Code of medical ethics by Medical Council of India, 1.3.2, if any request is made for medical records, they should be issued within the period of 72 hours.

The correct answer is Center for Development of Advanced Computing (C-DAC). This organization has designed and developed the My Health Record - Personal Health Record Locker platform for the Government of India.

SNOMED CT is a clinical terminology system used in healthcare to standardize the representation of clinical concepts. The core component types in SNOMED CT include concepts, which represent clinical ideas or meanings, and descriptions, which provide human-readable labels for these concepts. Relationships are the missing core component type in SNOMED CT. Relationships define the associations between concepts, allowing for more precise and detailed representation of clinical knowledge. They capture the relationships between concepts such as "is a," "part of," or "has finding," enabling more accurate clinical documentation and analysis.

The hospital standardization movement in the USA started in 1918 and led to significant improvements in medical record services. This movement aimed to establish standardized protocols and practices in hospitals, including the documentation and organization of medical records. By implementing standardized processes, hospitals were able to improve the accuracy, accessibility, and efficiency of medical record services, ultimately benefiting patient care and healthcare outcomes.

When a hospital provides accommodation to foreigners, they are required to submit the details of the residing foreigner to the Registration authorities within 24 hours of their arrival. The specific form that needs to be used for this purpose is Form C.

The correct answer is "Registration of births & deaths". The website www.crsorgi.gov.in is specifically for the purpose of registering births and deaths. It is likely that individuals can access this website to register the births and deaths of their family members or loved ones, providing important information for official records and documentation.

ROHINI stands for Registry of Hospitals in the Network of Insurance. This acronym represents a database or registry that includes hospitals that are part of an insurance network. This registry helps insurance companies and policyholders find hospitals that are covered by their insurance plans. It ensures that policyholders have access to quality healthcare services within their insurance network.

The correct answer is December 2016. This is because the question is asking about the release date of updated Electronic Health Records (EHR) standards in India, and the correct release date is December 2016.

HL-7 is a standard for exchanging healthcare information electronically. CDA, which stands for Clinical Document Architecture, is a specification within the HL-7 framework. It defines the structure and semantics of clinical documents for the purpose of exchange between healthcare systems. Therefore, the correct answer is Clinical Document Architecture.

NeHA stands for National Electronic Health Authority. This is the correct answer because the acronym "NeHA" is commonly used to refer to the National Electronic Health Authority, which is responsible for the implementation and management of electronic health records and other digital health initiatives in a country or region.

The standard of ISO 17090 Health informatics - Public Key Infrastructure (Part 1 through 5) represents the use of digital certificates. Digital certificates are used in public key infrastructure to verify the authenticity and integrity of electronic documents, including electronic health records. They provide a way to securely identify and authenticate users, ensuring that the information exchanged between parties is protected from unauthorized access or tampering. Digital certificates play a crucial role in maintaining the privacy and security of healthcare data.