Clinical Informatics Certification Health Information Exchange 2

Question 1

Which protocol enables secure 'push'-based exchange of health information, functioning similarly to encrypted email between known recipients?

Accepted Answer

DIRECT Protocol

Answer

CommonWell Health Alliance

Answer

FHIR REST API

Answer

IHE XDS.b

Question 2

What does FHIR stand for in the context of health information exchange?

Accepted Answer

Fast Healthcare Interoperability Resources

Answer

Federal Health Information Repository

Answer

Federated Health Information Registry

Answer

Functional Health Interoperability Reference

Question 3

Which implementation guide consolidates multiple CDA-based document templates into a single standard required for Meaningful Use transitions of care?

Accepted Answer

Consolidated CDA (C-CDA)

Answer

HL7 v3 Reference Information Model

Answer

Continuity of Care Record (CCR)

Answer

FHIR DocumentReference

Question 4

What is the primary technical advantage of FHIR APIs over older HL7 v2 and CDA standards for HIE?

Accepted Answer

FHIR uses RESTful APIs and JSON/XML, enabling easier integration with modern applications

Answer

FHIR provides stronger encryption than HL7 v2

Answer

FHIR eliminates the need for patient consent in data exchange

Answer

FHIR stores data centrally for all participants

Question 5

What type of organization is IHE (Integrating the Healthcare Enterprise), which develops profiles used in HIE implementations?

Accepted Answer

A voluntary multi-stakeholder initiative of healthcare and IT professionals

Answer

A federal government regulatory agency

Answer

A for-profit EHR certification company

Answer

A subsidiary of the American Medical Association

Question 6

Which FHIR resource represents a structured set of healthcare information equivalent to a clinical document, serving as the foundation for clinical summaries?

Accepted Answer

Composition Resource

Answer

Patient Resource

Answer

Bundle Resource

Answer

Observation Resource

Question 7

What is the primary purpose of the Trusted Exchange Framework and Common Agreement (TEFCA)?

Accepted Answer

To establish a single on-ramp for nationwide health information exchange through common legal and technical requirements

Answer

To standardize EHR pricing across the United States

Answer

To replace all state-level HIEs with a federal system

Answer

To mandate that all providers join a specific HIE network