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Which healthcare language component is best used as an INPUT system to capture documentation of clinical care provided?
a) terminology
b) classification
a
Which of the following organizations COORDINATES the activities of the voluntary standards-setting systems and organizations?
a) ASTM
b) ANSI
c) HL7
d) All of the above
b
A controlled vocabulary currently used by laboratories and state health departments which contains a set of universal names and codes for laboratory and some clinical tests is:
a) Read Codes
b) LOINC
c) UMLS
d) None of the above
b
A project started at the Veteran's Administration, now managed thru the Office of the National Coordinator for Health IT, to encourage consumers to access their own health information from providers and insurance companies is called:
a) Continuity of Care Record
b) CCHIT
c) NANDA
d) Blue Button
d
Which of these standards categories is the MOST developed, and led by activities of the HL7 organization?
a) security
b) vocabulary
c) structure and content
d) messaging
d
Which of the following is NOT an advantage of object oriented databases?
a) There are clearly defined and accepted standards for their use in healthcare systems
b) They facilitate modelling complex data types, such as images
c) Distribution of data across networks is better supported than with other database systems
d) Objects can be reused in numerous applications
a
What is included in the scope of ASTM Standard E 1384-07?
a) structure of an EHR
b) relationships of data from diverse systems
c) common vocabulary
d) all of the above
d
The method for determining guidelines for care that is the most rigorous is:
a) clinical practice guidelines
b) evidence based medicine
c) consesus of experts
d) care plans
b
Within an object-oriented database, there is an object class "employee". There are two other objects, "social worker" and "nurse", that are members of the employee object class. Which concept referes to the ability of the social worker and nurse objects to assume the attributes defined for the employee class?
a) inheritance
b) encapsulation
c) method
d) instance
a
All of the following are clinical information systems EXCEPT:
a) point-of-care system
b) order entry system
c) results reporting system
d) materials management system
d
The component of an expert system which receives a user's question, then retrieves appropriate rules, matches conditions in rules to specific patient data (facts), and then EXECUTES the rule as a decision is called the:
a) inference engine
b) knowledge base
c) bibliographic database (Medline)
d) user interface
a
The ASTM Continuity of Care Record (CCR) performs all the of the functions of a complete EHR.
a) true
b) false
b
Clinical decision support systems that collect and combine patient-specific data with medical knowledge, then draw conclusions and carry out an action such as adjusting an IV medication dose WITHOUT requiring clinician interaction are termed:
a) passive systems
b) active systems
b
The ASTM standard for medical knowledge representation in clinical decision support systems is called:
a) HL7
b) E1384-07
c) E1744
d) Arden syntax
d
Which of the following is not a format for a personal health record (PHR)?
a) App for smart phone
b) Downloadable software to a personal computer
c) Portal
d) Web-based personal health record
c
In which of the following applications does the system help check that the right drug is being given to the right patient at the right time?
a) Bar-code medication administration
b) Electronic medication administration
c) Medication reconciliation
d) Pharmacy information system
a
The term used to describe the process of assigning a group of patient to a provider for care and costs is:
a) Patient attestation
b) Patient attribution
c) Population health assignment
d) Risk stratification
b
Which of the following documentation strategies is most likely to hold the future promise for computer users to enter narrative notes and have them read by the computer as structured, discrete data?
a) free text entry
b) natural language processing
c) speech recognition
d) tempting
b
With respect to adoption of EHR in specialty care, behavioral health has:
a) About the same adoption
b) Least adoption
c) Most adoption
d) Undetermined adoption rates
b
Each of the following is characteristic of ACUTE INPATIENT rather than ambulatory care EHR's EXCEPT:
a) There are LESS patient records in the system but each record has MORE orders
b) The EHR is usually developed as a single, integrated product
c) There are usually a large number of legacy systems that require interfacing to the EHR
d) There are a large number of care providers that require access to the system
b