Clinical Informatics Certification Health Data Standards & Interoperability 2 — Questions and Answers
Question 1: Which FHIR resource is used to represent a patient's medication prescription?
- MedicationRequest (Correct answer)
- MedicationStatement
- MedicationAdministration
- MedicationDispense
Correct answer: MedicationRequest
MedicationRequest represents an order or prescription for medication, distinct from administration or dispensing records.
Question 2: In HL7 v2 messaging, what segment contains the patient visit information such as admission type and attending physician?
- PID
- PV1 (Correct answer)
- OBR
- MSH
Correct answer: PV1
The PV1 (Patient Visit) segment carries visit-specific data including admission type, attending physician, and patient class.
Question 3: Which coding system is the primary standard for laboratory test names and observations in the US?
- CPT
- SNOMED CT
- LOINC (Correct answer)
- ICD-10-CM
Correct answer: LOINC
LOINC (Logical Observation Identifiers Names and Codes) is the US standard for identifying laboratory and clinical observations.
Question 4: What does the FHIR capability statement (CapabilityStatement resource) describe?
- Patient demographics and identifiers
- The set of FHIR features a server supports (Correct answer)
- Clinical decision support rules
- Consent policies for data sharing
Correct answer: The set of FHIR features a server supports
A CapabilityStatement declares which FHIR resources, interactions, and operations a server implements.
Question 5: Which XDS.b transaction is used by a Document Registry to return metadata about stored clinical documents?
- ITI-41 Provide and Register Document Set
- ITI-43 Retrieve Document Set
- ITI-18 Registry Stored Query (Correct answer)
- ITI-57 Update Document Set
Correct answer: ITI-18 Registry Stored Query
ITI-18 (Registry Stored Query) allows consumers to query the Document Registry and retrieve document metadata.
Question 6: In the context of FHIR SMART on FHIR, what is the purpose of scopes?
- Define the FHIR version supported by a server
- Specify which resources and operations an app is authorized to access (Correct answer)
- Encrypt data transmitted between systems
- Map SNOMED codes to local vocabularies
Correct answer: Specify which resources and operations an app is authorized to access
SMART on FHIR scopes define fine-grained permissions specifying which resources and actions (read/write) an application may access on behalf of a user.
Question 7: Which component of the HL7 CDA (Clinical Document Architecture) provides the human-readable clinical narrative?
- Header
- Structured Body
- Non-XML Body
- Section/Text element (Correct answer)
Correct answer: Section/Text element
Each CDA section contains a <text> element that holds the legally authentic human-readable narrative required by the standard.
Clinical Informatics Certification Health Data Standards & Interoperability 2
Which FHIR resource is used to represent a patient's medication prescription?