Chapter 15 - Health Information Exchange

Question 1

Admit-discharge-transfer (ADT) message

Answer 1

The name given to software system used in healthcare facilities that register and track patients from admission through discharge including transfers; usually interfaced with other systems used throughout a facility such as an electronic health record or lab information.

Question 2

Centralized model

Answer 2

In this model of health information exchange architecture, data are stored in a shared data repository

Question 3

Clinical Document Architecture (CDA)

Answer 3

The HL7 Clinical Document Architecture (CDA) is an XML-based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange.

Question 4

Certified electronic health records technology (CEHERT)

Answer 4

Standards used to inform technology vendors and providers about the functionality required to receive incentive payments for the implementation of EHR technology in the CMS EHR incentive program.

Question 5

Consumer-mediated exchange

Answer 5

Consumer-mediated exchange provides patients with access to their health information, allowing them to manage their health care online in a similar fashion to how they might manage their f inances through online banking.

Question 6

Continuity of care document (CCD)

Answer 6

The Continuity of Care Document (CCD) specification is an XMLbased markup standard intended to specify the encoding, structure, and semantics of a patient summary clinical document for exchange.

Question 7

Data use and reciprocal service agreement (DURSA)

Answer 7

A legally binding contract that draws from federal and local laws and defines the requirements for participation in the eHealth exchange national network.

Question 8

DIRECT exchange

Answer 8

Launched in March 2010 as a part of the Nationwide Health Information Network, the direct project was created to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet

Question 9

eHealth Exchange

Answer 9

A group of federal agencies and non-federal organizations that came together under a common mission and purpose to improve patient care, streamline disability benefit claims and improve public health reporting through secure, trusted , and interoperable health information exchange.

Question 10

Federated model

Answer 10

Model of health information exchange where there is not a centralized database of patient information; also known as decentralized model.

Question 11

Health information exchange (HIE)

Answer 11

The exchange of health information electronically between providers and others with the same level interoperability, such as labs and pharmacies

Question 12

Health Information Technology for Economic and Clinical Health (HITECH) Act

Answer 12

The goal of this legislation was to launch a number of initiatives that would potentially prove the benefits of information technology

Question 13

Health record banking model

Answer 13

This PHR model would allow patients and healthcare providers to share information by making deposits of health information inti a bank.

Question 14

Hybrid model

Answer 14

A cross between the centralized and the decentralized models of HIE, which combines the functionality of a record locater service and a centralized data repository.

Question 15

Interoperability

Answer 15

The capability of different information systems and software applications to communicate and exchange data.

Question 16

Master patient index (MPI)

Answer 16

A patient -identifying directory referencing all patients related to an organization and which also serves as a link to the patient record or information, facilities patient identification, assists in maintaining a longitudinal patient record from birth to death.

Question 17

Nationwide Health Information Network (NHIN)

Answer 17

A set of guidelines, recommended technology standards, data use and service level agreements that can facilitate data exchange

Question 18

Query-based exchange

Answer 18

Used by providers to search and discover accessible clinical sources on a patient.

Question 19

Record locater service (RLS)

Answer 19

Provides the ability to identify where records are located based upon criteria such as a Person ID and/or record data type, as well as providing functionality for the ongoing maintenance of this location information.

Question 20

Trust community

Answer 20

A group of organizations that have identified a set of mutual goals and dependencies that through collaborative effort lead to mutual benefit