Clinical Data standards

Question 1

standard developed and required by the Office of the National Coordinator for Health IT (ONC) is an example of what type of standard?

a.
Ad hoc

b.
Consensus

c.
De facto

d.
Government mandate

Answer 1

Since ONC is a government entity, such a standard would be a government mandate.

Question 2

Which of the following is an attribute of an ideal healthcare identifier:

Select one:

a.
Each person has only one consistent identifier

Correct. An ideal personal identifier should not change over time or status of the patient, nor reveal any personal information.

b.
Is updated when patient enters a new healthcare facility

c.
Changes when the individual changes status (e.g., married)

d.
Contains personal information for rapid identification

Answer 2

An ideal personal identifier should not change over time or status of the patient, nor reveal any personal information.

Question 3

Which of the following is a collection of multiple terminology systems:

a. Unified Medical Language System (UMLS) Metathesaurus

b.
International Classification of Diseases (ICD-10)

c.
Medical Subject Headings (MeSH)

d.
Systematized Nomenclature of Medicine (SNOMED)

Answer 3

The UMLS Metathesaurus is a “meta”-thesaurus of terminology systems, including ICD-10, MeSH, and SNOMED.

Question 4

The format for transmission of a clinical document from one healthcare provider organization to another is governed by what type of standard:

Transaction

b.
Message

c.
Identifier

d.
Terminology

Answer 4

A clinical document transmitted from one healthcare provider organization to another is governed by messaging standards.

Question 5

An ontology is distinguished from a terminology system by:

Select one:

a.
Terms mapped to other terminology systems

b.
Numerical coding system

c.
Presence of standardized terms

d.
Relationships between terms

Answer 5

Ontologies are distinguished by the use of relationships between terms.

Question 6

Documents created with commonly used productivity software (e.g., Microsoft Office) are widely used to transmit information from one system or entity to another. This is an example of what type of standard:

Select one:

a.
Consensus

b.
De facto

c.
Ad hoc

d.
Government mandate

Question 7

Which of the following US government software initiatives would be most suitable for an HIE based on a secure email (push) approach:

Select one:

a.
PubMed

b.
Cancer Biomedical Informatics Grid (caBIG)

c.
CONNECT

d.
Direct Project

Answer 7

The Direct Project uses secure point-to-point email transmission.

Question 8

Which of the following terminology systems allows users to build more complex terms from simpler ones:

Select one:

a.
International Classification of Diseases (ICD-10)

b.
Diagnosis Related Group (DRG)

c.
Medical Subject Headings (MeSH)

d.
Systematized Nomenclature of Medicine (SNOMED)

Answer 8

SNOMED allows users to build more complex terms from simpler ones.

Question 9

The more complete structured information about a drug is likely to be found in which of the following:

Select one:

a.
Medical Subject Headings (MeSH)

b.
International Classification of Diseases (ICD-10)

c.
Current Procedural Terminology (CPT-4)

d.
RxNorm

Answer 9

The most complete drug information is maintained in RxNorm.

Question 10

A code indicating a healthcare provider organization is what type of standard:

Select one:

a.
Identifier

b.
Terminology

c.
Message

d.
Transaction

Answer 10

The code for a healthcare provider organization is an identifier standard.