978-0132574952 Chapter 13 Part 3

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 18

Type: FIB

_______________________ uses XML (Extensible Markup Language) for storage and movement of clinical

documents between systems.

Standard Text:

Correct Answer: HL7

Rationale : HL7 relies upon XML markup language for the storage and movement of clinical documents between

systems.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 19

Type: FIB

______________________________ interoperability is the ability to exchange the structure of the data, but not

necessarily the meaning of the data. It is also referred to as functional interoperability. Web pages built with

HTML illustrate this type of interoperability.

Standard Text:

Correct Answer: Syntactic

Rationale : Syntactic interoperability is the ability to exchange the structure of the data, but not necessarily the

meaning of the data. It is also referred to as functional interoperability. Web pages built with HTML illustrate this

type of interoperability.

Semantic interoperability guarantees that the meaning of the exchanged data remains the same on both ends of the

transaction. This is critical for clinical data. There have been several standardization efforts to achieve

interoperability for EHRs, including HL7.

Global Rationale:

Hebda, Handbook of Informatics, 5/e Test Bank

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 20

Type: MCSA

Which of the following supports the development of an EHR by classifying and categorizing nursing data?

1. North American Nursing Diagnosis Association (NANDA)

2. HL7

3. Service oriented architecture (SOA)

4. SNOMED

Question 21

Type: MCSA

Hebda, Handbook of Informatics, 5/e Test Bank

The use of HL7 standards in individual applications can improve the integration of applications with other

applications or systems through the use of which of the following?

1. Digital imaging and communications in medicine (DICOM)

2. Interface engine

3. Radiology information system (RIS)

4. Current procedural terminology (CPT) codes

Question 22

Type: MCSA

The lack of which of the following has long been a barrier to effective data reporting and analysis?

1. Knowledge

Hebda, Handbook of Informatics, 5/e Test Bank

2. Interoperability

3. Resources

4. Information technology

Question 23

Type: MCSA

Using what kind of strategy will permit data exchange within each hospital and across health care networks or

enterprises?

1. Integration

2. Syntactic interoperability

3. Semantic interoperability

4. Using a clinical data repository

Question 24

Type: MCSA

What is a computer program that tells two different systems how to exchange data?

1. An interface

2. Request for proposal

3. Syntactic operability

4. HL7

Question 25

Type: MCSA

What uses archetypes (clinical models of content and process) as a means of exchanging clinical documents

between systems?

1. Service oriented architecture

2. HL7

3. Open EHR

4. Semantic interoperability

Question 26

Type: MCSA

Nurses must be involved in identifying and defining data elements that an interface may be able to supply. One

way to ensure participation is to recruit staff nurses to do which of the following?

1. Provide input during the interface design.

2. Be a member of the technology committee

3. Participate in the creation of a RFP.

4. Define language needed for interoperability.

Question 27

Type: FIB

____________________ and Internet technology were seen as a means to provide access to data from disparate

information systems.

Standard Text:

Hebda, Handbook of Informatics, 5/e Test Bank

Correct Answer: Web based tools

Rationale : Web-based tools and Internet technology were seen as a means to provide access to data from

disparate information systems. This was largely a local solution that improved access to clinical information for

the providers at a single hospital or health care system, but did nothing to advance exchange of data on a larger

scale or ensure that data could be used in the same manner in both sending and receiving systems.

Global Rationale:

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Hebda, Handbook of Informatics, 5/e Test Bank