EHR Interoperability & Health Information Exchange 5

Question 1

Which SMART on FHIR component allows a third-party application to request access to a specific subset of a patient's EHR data?

Accepted Answer

OAuth 2.0 scopes

Answer

SMART on FHIR uses OAuth 2.0 scopes to define the precise data types and permissions an application is requesting on behalf of a user.

Question 2

What does 'data provenance' mean in health information exchange, and why is it important?

Accepted Answer

Tracking the origin and history of health data to ensure its trustworthiness

Answer

Provenance records who created data, when, and from where, helping clinicians assess the reliability of received information.

Question 3

Which challenge is most commonly associated with patient matching across different healthcare organizations in an HIE?

Accepted Answer

Duplicate and mismatched patient records due to inconsistent demographic data entry

Answer

Inconsistent data entry (misspellings, nicknames, address variations) leads to false negatives and positives in patient matching algorithms.

Question 4

Under the ONC information blocking rule, which of the following is a legitimate exception that permits withholding patient data?

Accepted Answer

Preventing harm to the patient or another person

Answer

The Preventing Harm exception permits withholding data when sharing poses a documented risk of harm to the patient or others.

Question 5

Which FHIR resource would a health system use to represent a care plan shared between a primary care provider and a specialist via an HIE?

Accepted Answer

CarePlan

Answer

The FHIR CarePlan resource is designed to capture and share patient-specific care goals, activities, and team members across settings.

(EHR) Electronic Health Records Program Certification Practice Test