CEHRS Systems and Technology 2 — Questions and Answers
Question 1: Which interface standard allows different EHR systems to exchange patient data in real time?
- HL7 FHIR (Correct answer)
- DICOM
- X12 EDI
- ICD-10-CM
Correct answer: HL7 FHIR
HL7 FHIR (Fast Healthcare Interoperability Resources) is the modern standard enabling real-time data exchange between disparate EHR systems.
Question 2: A clinical decision support (CDS) alert fires every time a provider orders a common medication, even when appropriate. This problem is called:
- Alert fatigue (Correct answer)
- Medication reconciliation error
- Duplicate therapy warning
- Contraindication override
Correct answer: Alert fatigue
Alert fatigue occurs when excessive or low-value CDS alerts cause clinicians to routinely dismiss notifications, including critical ones.
Question 3: Which EHR component stores discrete, searchable data elements rather than free-text narrative?
- Structured data fields (Correct answer)
- Scanned document repository
- Electronic fax inbox
- Transcription module
Correct answer: Structured data fields
Structured data fields capture information in defined formats (e.g., drop-downs, coded values) that can be queried and analyzed programmatically.
Question 4: A provider wants to view a patient's records from an outside hospital within their EHR. Which technology facilitates this?
- Health Information Exchange (HIE) (Correct answer)
- Local area network (LAN)
- Electronic remittance advice (ERA)
- Charge capture module
Correct answer: Health Information Exchange (HIE)
A Health Information Exchange (HIE) connects participating organizations so providers can access patient records from external facilities.
Question 5: Which type of backup strategy involves copying only the data that has changed since the last full backup?
- Incremental backup (Correct answer)
- Full backup
- Mirror backup
- Snapshot backup
Correct answer: Incremental backup
Incremental backups save only data modified since the previous backup, reducing storage use and backup time.
Question 6: In EHR terminology, a 'flag' or 'alert' attached to a patient's chart to warn all staff of a latex allergy is an example of:
- Patient safety alert (Correct answer)
- Diagnostic code entry
- Insurance eligibility check
- Referral authorization
Correct answer: Patient safety alert
A patient safety alert prominently displays critical clinical information—such as severe allergies—to every provider who opens the chart.
Question 7: Which federal program incentivized eligible professionals to adopt certified EHR technology through financial payments?
- Medicare and Medicaid EHR Incentive Program (Meaningful Use) (Correct answer)
- HIPAA Security Rule
- Stark Law
- MACRA Merit-based Incentive Payment System
Correct answer: Medicare and Medicaid EHR Incentive Program (Meaningful Use)
The Medicare and Medicaid EHR Incentive Program, commonly called Meaningful Use, offered payments to providers who demonstrated meaningful use of certified EHR technology.
CEHRS Systems and Technology 2
Which interface standard allows different EHR systems to exchange patient data in real time?