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2. National priorities will be set within the next five years.
3. Data exchange standards need to be developed.
4. Interoperability of electronic health data will be costly.
Question 14
Type: MCMA
Interface engines work in the background and are not seen by the user. This technology allows applications to
interact with hardware and other applications. Which of the following are considered benefits associated with the
use of interface engines?
Standard Text: Select all that apply.
1. Improves timeliness and availability of critical administrative and clinical data
2. Improves data quality because of data mapping and consistent use of terms
3. Allows clients to select the best system for their needs
4. Preserves institutional investment in existing systems
5. Preserves institutional investment in existing systems
Question 15
Type: MCMA
Integration is a massive project within institutions and enterprises. It generally requires more time and effort than
originally projected. Which of the following are factors that may slow down the integration process?
Standard Text: Select all that apply.
1. Unrealistic institutional timetable
2. Lack of agreement among merged institution
3. Insufficient documentation
4. Changing user specifications
5. Lack of vendor support
Question 16
Type: MCSA
Nursing can reap significant benefits from integration. Which of the following integration statements is accurate
for nursing?
1. Trends in client care data and cost analysis can be used to justify nursing staffing levels.
2. Nursing should be sure that data will be collected in several systems for sharing.
3. The use of a data dictionary can interfere with system integration processes.
4. Nursing involvement is unnecessary so long as I.S. staff members are given requirements.
Question 17
Type: MCSA
The clinical data repository provides data definition consistency through which of the following?
1. Mapping
2. Interface engine
3. Point-to-point interface
4. Clinical data warehouse
Question 18
Type: FIB
_______________________ uses XML (Extensible Markup Language) for storage and movement of clinical
documents between systems.
Standard Text:
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:
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
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
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:
