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
Which CMS interoperability rule requires payers to implement FHIR-based APIs to give patients access to their claims and clinical data?
Answer: CMS Interoperability and Patient Access Final Rule (2020)
The CMS Interoperability and Patient Access Final Rule (CMS-9115-F) requires Medicare and Medicaid payers to implement FHIR R4 Patient Access and Provider Directory APIs.
In the context of SMART on FHIR, what does the acronym SMART stand for?
Answer: Substitutable Medical Applications, Reusable Technologies
SMART (Substitutable Medical Applications, Reusable Technologies) is an open standard enabling third-party applications to securely connect to EHR systems via FHIR APIs.
A healthcare analytics team is building a population health dashboard using data from five different EHRs. Which FHIR capability would best support automated nightly data extraction at scale?
Answer: FHIR Bulk Data Export ($export operation)
The FHIR Bulk Data Export ($export) operation is designed for large-scale asynchronous data extraction across entire patient populations, ideal for nightly analytics pipelines.
Which nationally recognized patient identifier strategy is currently being pursued under TEFCA to improve patient matching in the US?
Answer: Best-practice demographic-based matching without a unique ID
Congress has historically prohibited funding for a national patient identifier, so TEFCA relies on demographic-based probabilistic matching best practices to link patient records.
Which implementation guide standardizes how US payers must structure their FHIR Provider Directory APIs under the CMS Interoperability Rule?
Answer: DaVinci PDEX Plan Net
The DaVinci PDEX Plan Net Implementation Guide defines the FHIR profiles and APIs required for payer provider directory data under CMS interoperability mandates.
What is the primary purpose of an Identity Provider (IdP) in a federated HIE trust network?
Answer: Authenticating users and issuing security tokens accepted across network participants
An IdP authenticates users from participating organizations and issues security tokens (e.g., SAML assertions or OAuth tokens) that other network members accept without re-authentication.
When analyzing HIE data for population health, which data quality dimension specifically measures whether data values conform to expected formats and code sets?
Answer: Conformance
Conformance measures whether data values adhere to specified formats, vocabularies, and code sets—for example, whether diagnosis codes are valid ICD-10 codes.