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

HL7 version 2 (v2) has been the dominant clinical messaging standard since the late 1980s, used for ADT notifications, lab results, and order messages between systems.

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 patient consent directive in HIE specifies the patient's preferences for how, when, and with whom their health information may be shared across participating organizations.

Question 3

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

Accepted Answer

C-CDA (Consolidated Clinical Document Architecture)

Answer

The CCD (Continuity of Care Document) is an implementation guide based on HL7's C-CDA standard, used to summarize patient health information for care transitions.

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

A Record Locator Service (RLS) maintains an index of where patient records exist across participating HIE organizations, enabling efficient retrieval without storing the data itself.

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

Intentionally delaying or obstructing the access, exchange, or use of electronic health information for competitive reasons constitutes information blocking under the 21st Century Cures Act.

CAHIMS - Certified Associate in Healthcare Information and Management Systems Practice Test

CAHIMS - Certified Associate in Healthcare Information and Management Systems Practice Test

CAHIMS Health Information Exchange and Interoperability 2