CPMS Healthcare Data Management & Interoperability 3 — Questions and Answers
Question 1: A health information exchange (HIE) receives duplicate patient records from two hospitals. Which process is used to resolve this?
- Record linkage / patient matching (Correct answer)
- Data normalization
- Schema mapping
- Audit logging
Correct answer: Record linkage / patient matching
Record linkage (also called patient matching) identifies and merges duplicate patient records using demographic and other identifying attributes.
Question 2: Which standard defines the structure and content requirements for a Continuity of Care Document (CCD)?
- HL7 CDA with HITSP C32 constraints (Correct answer)
- FHIR R4 Patient resource
- X12 837 transaction set
- DICOM SR
Correct answer: HL7 CDA with HITSP C32 constraints
The CCD is based on HL7's Clinical Document Architecture (CDA) with specific constraints defined by HITSP C32 to support care transitions.
Question 3: What does the SMART on FHIR framework primarily enable?
- Secure authorization for third-party apps to access FHIR data (Correct answer)
- Encryption of FHIR resources in transit
- Mapping between HL7 V2 and FHIR resources
- Automated ICD coding from clinical notes
Correct answer: Secure authorization for third-party apps to access FHIR data
SMART on FHIR provides an OAuth 2.0-based authorization framework that allows third-party applications to securely access EHR data via FHIR APIs.
Question 4: Which data governance concept ensures that data values are accurate and free from corruption throughout their lifecycle?
- Data integrity (Correct answer)
- Data provenance
- Data stewardship
- Data lineage
Correct answer: Data integrity
Data integrity ensures that data remains accurate, consistent, and unaltered except through authorized processes across its full lifecycle.
Question 5: In ICD-10-CM, what does the 7th character extension typically represent in injury codes?
- Encounter type (initial, subsequent, or sequela) (Correct answer)
- Laterality (left, right, or bilateral)
- Severity level (mild, moderate, severe)
- Causative agent category
Correct answer: Encounter type (initial, subsequent, or sequela)
The 7th character in ICD-10-CM injury codes indicates the encounter type: 'A' for initial encounter, 'D' for subsequent encounter, and 'S' for sequela.
Question 6: A medical software system must support HL7 FHIR Bulk Data Access. Which HTTP method and endpoint pattern is used for an asynchronous bulk export?
- GET /$export with Prefer: respond-async header (Correct answer)
- POST /Bundle with type=batch
- PUT /Parameters with bulk=true
- GET /Patient?_format=ndjson
Correct answer: GET /$export with Prefer: respond-async header
FHIR Bulk Data Access uses a GET request to the $export operation with the 'Prefer: respond-async' header to initiate asynchronous data export.
Question 7: Which regulatory program requires eligible clinicians and hospitals to demonstrate meaningful use of certified EHR technology?
- Promoting Interoperability (PI) program (Correct answer)
- MACRA Quality Payment Program
- ONC Health IT Certification Program
- HIPAA Security Rule
Correct answer: Promoting Interoperability (PI) program
The Promoting Interoperability (PI) program, formerly Meaningful Use, requires providers to use certified EHR technology in ways that improve care and data exchange.
CPMS Healthcare Data Management & Interoperability 3
A health information exchange (HIE) receives duplicate patient records from two hospitals.
Which process is used to resolve this?