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RHIA Exam - Question 1


In preparation for an HER, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give to this form is

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Correct Answer: B

The document includes a microscopic description of tissue excised during surgery, which is characteristic of a pathology report. A pathology report provides detailed information on the analysis of tissue samples taken during surgery, including both macroscopic and microscopic descriptions. This is different from a recovery room record, operative report, or discharge summary, which serve other purposes in documenting patient care.

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lavender48
Mar 11, 2021

A pathology report is results of the microscopic description of tissue excised during surgery

Amaka2021
Apr 8, 2021

Can some one tell me what HER stands for in this context please? I do not know if they mean to write Electronic Health Record or there is a meaning for HER in this context.

RHIAChick
Jul 30, 2022

It's the autocorrected acronym for EHR

Alusd4564
Apr 13, 2021

Electronic Health Record

KimLTr
Nov 23, 2022

Pathology report

Atieno
Feb 16, 2023

B - Pathology Report

ketty23
Sep 4, 2023

Answer is B

Atieno
Aug 23, 2024

B is the correct answer. Microscopic Tissues are are for Pathology reports

SunshineParrisOption: B
Feb 4, 2025

The path report describes the tissue that was excised.