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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
Copyright 2012 by Pearson Education, Inc.
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
Copyright 2012 by Pearson Education, Inc.
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
Copyright 2012 by Pearson Education, Inc.
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
Copyright 2012 by Pearson Education, Inc.
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
Copyright 2012 by Pearson Education, Inc.
