Healthcare Information Systems Flashcards

Which HL7 standard uses a RESTful API approach and JSON/XML formats to enable modern web-based health data exchange?

Answer: HL7 FHIR

HL7 FHIR (Fast Healthcare Interoperability Resources) uses RESTful APIs and modern data formats, making it ideal for web and mobile health applications.

A medical manager is evaluating a telemedicine platform. Which HIPAA requirement must the platform vendor satisfy before transmitting patient video encounters?

Answer: Sign a Business Associate Agreement with the covered entity

Any vendor handling PHI on behalf of a covered entity must sign a BAA, including telemedicine platforms that transmit or store patient encounter data.

Which type of audit trail function in an EHR helps detect unauthorized access to patient records?

Answer: Access log / audit log

An audit log records who accessed, modified, or transmitted PHI and when, enabling detection of unauthorized or suspicious activity.

A practice transitions from ICD-9 to ICD-10 coding. The MOST significant operational impact on the HIS is:

Answer: Increased specificity requiring updates to templates, superbills, and interfaces

ICD-10 has far more codes and greater specificity than ICD-9, requiring updates to EHR templates, superbills, payer interfaces, and staff training.

Which of the following is an example of a 'passive' patient safety feature in a clinical information system?

Answer: Automatic calculation of a patient's BMI from entered height and weight

A passive safety feature works silently in the background without requiring user action, such as auto-calculating BMI from existing data.

In a disaster recovery plan for a healthcare information system, 'Recovery Time Objective' (RTO) refers to:

Answer: The target time to restore a system to full operation after a disruption

RTO defines the maximum acceptable downtime — how quickly a system must be restored after an outage to avoid unacceptable business impact.

Which federal program incentivized eligible professionals and hospitals to adopt certified EHR technology through financial payments?

Answer: Meaningful Use (Medicare and Medicaid EHR Incentive Programs)

The Meaningful Use program under HITECH offered financial incentives to providers who demonstrated adoption and meaningful use of certified EHR technology.