AHIC Decision Support 4

Question 1

A reminder fires at the START of a patient encounter to alert the provider that the patient is due for a colorectal cancer screening. This is an example of which CDS trigger type?

Accepted Answer

Event-driven trigger

Answer

An event-driven trigger fires in response to a specific clinical workflow event, such as opening a patient's chart or beginning an encounter.

Question 2

Which component of the 'Five Rights of CDS' ensures the recommendation is delivered via the most useful format (e.g., alert vs. order set vs. documentation template)?

Accepted Answer

Right channel

Answer

The 'Right channel' right ensures CDS is delivered through the format most effective for the context, such as an alert, order set, or reference link.

Question 3

Which CDS strategy is MOST effective for standardizing care for patients presenting with community-acquired pneumonia?

Accepted Answer

An evidence-based order set triggered by a pneumonia diagnosis

Answer

A disease-specific order set bundles evidence-based orders (antibiotics, oxygenation targets, blood cultures) and standardizes care at the point of admission.

Question 4

When integrating a third-party CDS service via CDS Hooks, what does the EHR send to the service at the hook trigger point?

Accepted Answer

A FHIR-formatted context bundle with relevant patient data called a 'prefetch'

Answer

CDS Hooks sends a FHIR-based prefetch payload with relevant patient context to the external CDS service, which responds with cards containing recommendations.

Question 5

A CDS system uses a patient's estimated GFR to automatically reduce a metformin dose recommendation. This is best classified as which type of CDS?

Accepted Answer

Dosing support with patient-specific parameter adjustment

Answer

Adjusting a medication dose recommendation based on a patient-specific clinical parameter (eGFR) is a form of patient-specific dosing support.

(AHIC) AMIA Health Informatics Certification Practice Test

(AHIC) AMIA Health Informatics Certification Practice Test

AHIC Decision Support 4