GRETSA UNIVERSITY - THIKA

UNIVERSITY EXAMINATIONS
MAY - AUGUST 2018 SEMESTER

CERTIFICATE IN HEALTH RECORDS AND IT

COURSE CODE: CIHR 040

COURSE TITLE: MEDICAL DATA CLASSIFICATION II

DATE: 6 AUGUST 2018 TIME: 8.00 AM – 11.00 AM

INSTRUCTIONS TO CANDIDATES

1. SECTION A IS COMPULSORY.
2. SECTION B: ANSWER ANY OTHER THREE QUESTIONS.
3. DO NOT WRITE ANYTHING ON THIS QUESTION PAPER AS IT WILL BE AN
EXAM IRREGULARITY.
4. ALL ROUGH WORK SHOULD BE AT THE BACK OF YOUR ANSWER BOOKLET
AND CROSSED OUT.

CAUTION: All exam rooms are under CCTV surveillance during the examination period.

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SECTION A: COMPULSORY
MULTIPLE CHOICES QUESTIONS [ONE MARK EACH]
1. Parenthesis are used in volume I in the following way
A. To enclose supplementary words which may not affect the code number
B. To enclose the code to which and exclusion term refers
C. To enclose the three character codes of category included in that block
D. For enclosing synonyms, alternative words or explanatory phrases
2. When coding, one requires
A. Volume one and three
B. Volume two and three
C. Volume one, two, and three
D. Volume one, two, three and ICPM
3. The following are uses of data obtained in medical data classification, which one is not?
A. In calculation of administrative statistics
B. In planning of hospital activities
C. In research functions
D. Classifying of patients for priority management
4. Volume 2 of ICD:
A. Is the key tool in coding
B. Is the instructional manual
C. Is the tabular list
D. Is the alphabetical index
5. The numbering (code numbers) of ICD – 10 is arranged according to
A. alphabetical
B. numerical
C. numerical and alphabetical
D. Alphanumerical

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SHORT ANSWER QUESTIONS
1. Indicate the meaning of the term I.C.D 10th Revision (2 marks)
2. What do you understand by inclusion and exclusion terms as used in the I.C.D 10th
Revision? (5 marks)
3. The I.C.D 10th revision has three volumes, highlight them . (3 marks)
4. Indicate the sections used in each volume and give their contents. (5 marks)
5. Highlight two situations in which each of the following conventions are used in volume
one of ICD 10 (10marks)
a) Parenthesis
b) Brace
c) Square brackets
d) Colon
e) Asterisks
6. State five (5) reasons why a HRI student should learn Medical Data Classification.
(5marks)
7. Describe and explain the meaning of block of categories of ICD 1 (5marks)

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SECTION B [ANSWER ANY THREE QUESTIONS
1.
a) Define the term indexing as it is used in medical data classification? (2 Marks)
b) Why is it important to index medical data? ( 2 Marks)
c) Write the following abbreviations in full and state how they are used in medical data
classification (4marks)
NEC
NOS
d) Discuss four tools which can be used for indexing (12 Marks)
2.
a) Discuss the application of medical coding and indexing in the health sector
(10Marks)
b) Discuss the advantages of medical coding and indexing in the health sector
(10Marks)
3.
a) Explain the three sections of the alphabetical index (10Marks)
b) Describe the roles of HRIOs in diseases classification (10 marks)
4. Explain the meaning of the following terms (10 marks)
a. Medical data classification
b. Disease coding
5.
A. Describe the general principles of indexing (10 Marks)
B. Describe the general coding principals and guidelines (10 marks)

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