Clinical Informatics Certification Clinical Decision Support Systems 3

Question 1

An infobutton in an EHR MOST directly supports which CDS function?

Accepted Answer

Linking context-sensitive clinical reference information at the point of care

Answer

Infobuttons use the clinical context (patient data, active order) to surface relevant reference information from external knowledge resources.

Question 2

Which architecture allows third-party CDS tools to integrate with an EHR using FHIR APIs without modifying the EHR source code?

Accepted Answer

CDS Hooks

Answer

CDS Hooks is a standard that enables external CDS services to receive EHR context via FHIR and return cards to the clinician's workflow.

Question 3

A clinical pharmacist notices a CDS drug-allergy alert fires for a penicillin allergy when cephalosporins are ordered, even for patients whose allergy is documented as 'rash only.' This BEST represents a need to improve:

Accepted Answer

Alert stratification by allergy severity

Answer

Stratifying alerts by allergy severity (e.g., anaphylaxis vs. rash) reduces unnecessary alerts while maintaining safety for high-risk patients.

Question 4

Which of the following is an example of a passive CDS intervention?

Accepted Answer

A reference summary displayed in the sidebar of a patient chart

Answer

Passive CDS presents information without interrupting workflow, such as reference content visible without requiring clinician interaction.

Question 5

The HITECH Act incentivized meaningful use of CDS primarily through which mechanism?

Accepted Answer

Financial incentives for EHR adoption and demonstrating CDS use in qualifying measures

Answer

HITECH's Meaningful Use program tied financial incentives to demonstrating use of certified EHRs with specific CDS functions like drug-interaction checking.

Clinical Informatics Certification Practice Test

Clinical Informatics Certification Practice Test

Clinical Informatics Certification Clinical Decision Support Systems 3