HAC Health Information Exchange & Interoperability 2

Question 1

Which FHIR resource type is most commonly used to represent a patient's problem list in an HIE context?

Accepted Answer

Condition

Answer

The FHIR Condition resource is used to represent problems, diagnoses, and health concerns that make up a patient's problem list.

Question 2

A Qualified Entity (QE) in the context of US health information exchange primarily refers to:

Accepted Answer

An organization authorized to receive Medicare claims data for quality improvement

Answer

Qualified Entities are organizations approved by CMS to receive Medicare and Medicaid claims data for the purpose of evaluating provider performance.

Question 3

What is the primary function of a Master Patient Index (MPI) in an HIE?

Accepted Answer

Matching and linking patient records across disparate systems

Answer

An MPI identifies and links patient records from multiple sources using demographic and other identifiers to create a unified patient identity.

Question 4

Which interoperability standard is specifically designed for exchanging clinical documents such as discharge summaries and referral notes?

Accepted Answer

HL7 CDA (Clinical Document Architecture)

Answer

HL7 CDA is an XML-based standard specifically designed to define the structure and semantics of clinical documents for exchange.

Question 5

In the context of HIE, what does 'directed exchange' mean?

Accepted Answer

Sending encrypted health information directly to a known recipient

Answer

Directed exchange involves sending secure health information directly from one provider to another known recipient, similar to encrypted email.

(HAC) Healthcare Analytics Certification Practice Test