Health Information Exchange & Interoperability Flashcards
7 cards from real HAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Health Information Exchange & Interoperability flashcards as text
A healthcare analytics team wants to query patient records on demand from multiple EHRs without a central repository. Which HIE model best fits this approach?
Answer: Federated HIE
A federated HIE leaves data at source systems and enables queries across them in real time, without centralizing patient records.
Under the HIPAA Privacy Rule, which of the following is a permitted use of PHI without patient authorization for HIE purposes?
Answer: Treatment, payment, and healthcare operations (TPO)
HIPAA permits disclosure of PHI without authorization for treatment, payment, and healthcare operations activities, which are foundational to HIE.
What is the role of a Record Locator Service (RLS) in a federated HIE?
Answer: Identifying which participating organizations hold data for a given patient
An RLS maintains a directory of which network participants have records for specific patients, enabling targeted queries without a central data store.
Which FHIR capability allows a client system to subscribe and receive automatic notifications when patient data changes?
Answer: FHIR Subscription resource
The FHIR Subscription resource enables server-driven notifications to clients when specific resources matching defined criteria are created or updated.
Semantic interoperability in health data exchange is primarily achieved through:
Answer: Common clinical terminologies such as SNOMED CT and LOINC
Semantic interoperability requires that systems share a common understanding of the meaning of data, achieved through standardized terminologies and ontologies.
Which ONC-defined exchange framework establishes the governance structure for nationwide health information exchange in the US?
Answer: Trusted Exchange Framework and Common Agreement (TEFCA)
TEFCA, established under the 21st Century Cures Act, creates a universal governance framework and common agreement to enable nationwide HIE.
When de-identifying data under HIPAA's Safe Harbor method, how many specific identifiers must be removed?
Answer: 18
HIPAA's Safe Harbor de-identification method requires removal of 18 specific identifiers including names, dates, geographic data, and other direct identifiers.