21. You are developing a complete data dictionary for your facility. Which of the following resources will
be most helpful in providing standard definitions for data commonly collected in acute care hospitals?
Conditions of Participation
Minimum Data Set
Uniform Hospital Discharge Data Set
22. As a new HIM manager of an acute care facility, you have been asked to update the facility's policy
for a physician's verbal orders in accordance with Joint Commission standards and state law. Your first
area of concern is the qualifications of those individuals in your facility who have been authorized to
record verbal orders. For this information, you will consult the
policy and procedure manual.
23. A health care facility has made a decision to destroy computerized data. AHIMA recommends which
one of the following as the preferred method of destruction for computerized data?
24. In the computerization of forms, good screen-view design, along with the options of alerts and
alarms, makes it easier to ensure that all essential data items have been captured. One essential item to
be captured on the physical exam is the
general appearance as assessed by the physician.