Clinical Informatics Certification Health Data Standards & Interoperability 3 — Questions and Answers
Question 1: A hospital needs to exchange allergy information with a referring clinic using a CDA document. Which C-CDA document template is most appropriate?
- Continuity of Care Document (CCD) (Correct answer)
- Operative Note
- Discharge Summary
- Progress Note
Correct answer: Continuity of Care Document (CCD)
The CCD (Continuity of Care Document) is the C-CDA template designed for summarizing and exchanging patient health information across care transitions, including allergies.
Question 2: Which IHE profile defines the framework for managing patient identity across multiple healthcare enterprises?
- XDS.b
- PIX (Correct answer)
- PDQ
- MHD
Correct answer: PIX
PIX (Patient Identifier Cross-referencing) manages and cross-references patient identities from multiple assigning authorities.
Question 3: In FHIR R4, which HTTP method is used to perform a conditional update based on a search query rather than a known resource ID?
- POST
- GET
- PUT with If-Match header
- PUT with search parameters (Correct answer)
Correct answer: PUT with search parameters
A conditional update in FHIR uses PUT with search parameters (e.g., PUT /Patient?identifier=12345) to update a resource matching the search criteria.
Question 4: What is the primary purpose of the NCPDP SCRIPT standard?
- Claim submission for pharmacy benefits
- Electronic prescribing and medication history transactions (Correct answer)
- Drug formulary management
- Drug interaction alerting
Correct answer: Electronic prescribing and medication history transactions
NCPDP SCRIPT is the standard for electronic prescribing (e-prescribing) transactions between prescribers, pharmacies, and pharmacy benefit managers.
Question 5: Which FHIR operation is used to retrieve a comprehensive patient summary including all associated clinical resources?
- $validate
- $everything (Correct answer)
- $expand
- $lookup
Correct answer: $everything
The $everything operation on a Patient resource returns all resources in the patient's compartment, providing a comprehensive patient summary.
Question 6: An organization implementing Direct messaging must use which underlying standard for secure health information exchange?
- SOAP over HTTPS
- S/MIME over SMTP (Correct answer)
- HL7 MLLP
- REST over TLS
Correct answer: S/MIME over SMTP
The Direct Project uses S/MIME (Secure/Multipurpose Internet Mail Extensions) over SMTP to provide encrypted, authenticated email-like health data exchange.
Question 7: Which attribute in DICOM uniquely identifies a specific imaging study instance?
- Study Instance UID (Correct answer)
- Series Instance UID
- SOP Instance UID
- Accession Number
Correct answer: Study Instance UID
The Study Instance UID (0020,000D) is the globally unique identifier for an entire imaging study in DICOM.
Clinical Informatics Certification Health Data Standards & Interoperability 3
A hospital needs to exchange allergy information with a referring clinic using a CDA document.
Which C-CDA document template is most appropriate?