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
A CEHRS professional needs to ensure that a FHIR API endpoint only returns data the requesting application is authorized to access. Which protocol is MOST appropriate for this authorization?
Answer: OAuth 2.0
SMART on FHIR uses OAuth 2.0 as its authorization framework, allowing fine-grained access control for FHIR API resources.
Which of the following is an example of a 'patient-mediated' health information exchange?
Answer: A patient using Apple Health to aggregate and share records
Consumer- or patient-mediated exchange puts the patient in control of aggregating and sharing their own health data through apps or personal health records.
What does the term 'semantic interoperability' mean in the context of health information exchange?
Answer: Receiving systems understand the meaning of data the same way the sender intended
Semantic interoperability ensures that shared data is interpreted with the same clinical meaning at both the sending and receiving ends, enabled by standardized terminologies like SNOMED CT and LOINC.
A health system's interface engine receives an HL7 ADT A08 message. What event does this message type signal?
Answer: Patient information update
The HL7 ADT A08 event type is 'Update Patient Information,' used when demographic or other patient details change without a status change.
Which regulation requires that patients be provided with access to their electronic health information without special effort, and penalizes information blocking with civil monetary penalties?
Answer: 21st Century Cures Act Final Rule (ONC)
The ONC's 21st Century Cures Act Final Rule (2020) established information blocking prohibitions and mandated FHIR-based patient access APIs.
In a federated HIE architecture, where does patient data physically reside?
Answer: Distributed across each participating organization's own systems
Federated HIEs leave data at each source organization; queries are routed to member systems on demand rather than pulling data into a central store.
A specialist clinic receives a Continuity of Care Document (CCD) from a referring primary care physician. Which section of the CCD contains the patient's current medication list?
Answer: Medications section
The Medications section of a CCD (a Consolidated-CDA document type) documents active, historical, and administered medications using structured RxNorm codes.