CAHIMS Health Information Exchange and Interoperability 2

Question 1

Which messaging standard, predating FHIR, has been the traditional backbone of hospital-to-hospital clinical data exchange since the 1980s?

Accepted Answer

HL7 v2

Answer

DICOM

Answer

X12 EDI

Answer

SNOMED CT

Question 2

What is a patient consent directive in the context of HIE?

Accepted Answer

A patient's authorization governing how their health information can be shared in an HIE

Answer

A legal document authorizing a physician to perform surgery

Answer

An insurance pre-authorization form

Answer

A provider agreement to participate in a regional HIE network

Question 3

A Continuity of Care Document (CCD) is most closely associated with which standard?

Accepted Answer

C-CDA (Consolidated Clinical Document Architecture)

Answer

HL7 FHIR

Answer

DICOM

Answer

ICD-10-CM

Question 4

In an HIE, 'record locator service' (RLS) is used primarily to:

Accepted Answer

Identify which organizations hold data for a specific patient

Answer

Translate clinical codes between different terminologies

Answer

Authenticate provider credentials before data access

Answer

Compress and encrypt data for secure transmission

Question 5

Which of the following is an example of an 'information blocking' practice prohibited under the 21st Century Cures Act?

Accepted Answer

Intentionally delaying the release of electronic health information to a competitor EHR

Answer

Charging a reasonable fee for paper copies of records

Answer

Requiring identity verification before releasing records

Answer

Restricting access to records under a valid court order

Question 6

DICOM is a standard primarily used for exchanging:

Accepted Answer

Medical imaging data such as X-rays and MRI scans

Answer

Laboratory test results and reference ranges

Answer

Insurance eligibility and claims information

Answer

Pharmacy prescription and dispensing records

Question 7

Which nationally recognized patient matching strategy helps link records in an HIE when a universal patient identifier does not exist?

Accepted Answer

Deterministic and probabilistic matching algorithms

Answer

Social Security Number cross-referencing

Answer

ICD-10 diagnosis code matching

Answer

Medication reconciliation comparison