CEHRS Interoperability and Health Information Exchange Flashcards
7 cards from real CEHRS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 CEHRS Interoperability and Health Information Exchange flashcards as text
Which federal program created the framework for a nationwide network of Health Information Exchanges (HIEs)?
Answer: HITECH Act
The HITECH Act of 2009 established the legal and financial framework for HIE development and incentivized adoption of interoperable EHR systems.
A patient moves from one state to another and their new provider cannot access prior records. Which HIE model would BEST address this gap?
Answer: Query-based exchange
Query-based exchange allows providers to search and retrieve patient records from other providers on demand, ideal for accessing records across geographic boundaries.
What is the primary purpose of a Master Patient Index (MPI) in health information exchange?
Answer: Uniquely identify and match patient records across different systems
An MPI assigns unique identifiers and uses matching algorithms to link records belonging to the same patient across disparate systems.
Under the 21st Century Cures Act, which practice is prohibited when health IT vendors or providers restrict access, exchange, or use of EHR data?
Answer: Information blocking
The 21st Century Cures Act explicitly prohibits 'information blocking'—practices that interfere with the access, exchange, or use of electronic health information.
Which standard message format is most commonly used to transmit lab results, ADT notifications, and order information between hospital systems?
Answer: HL7 v2.x
HL7 v2.x remains the most widely deployed standard for real-time clinical messaging including ADT, ORM, ORU, and other transaction types.
A health records specialist receives a Direct message containing a patient's care summary. What document standard is most likely used in this attachment?
Answer: CDA (Clinical Document Architecture)
Direct messaging typically carries Consolidated-CDA documents, which are based on the HL7 CDA standard for structured clinical documents.
Which type of HIE governance model is characterized by a central organization that stores and manages all participating members' patient data?
Answer: Centralized model
In a centralized HIE model, a single repository stores data from all participants, enabling fast queries but requiring strong governance and data stewardship.