Question 1

Your lab interface use HL7 v2 ORU with local test codes. To improve cross-organization use, you should: (select all that apply)

Accepted Answer

✅ Validate mappings with clinical stakeholders before promotion 
✅ Establish a terminology governance process for ongoing updates 
✅ Map local test codes to LOINC for results where feasible

Question 2

A vendor market a “FHIR enabled“ EHR. During evaluation, verify the system: (select all the apply)

Accepted Answer

✅Alns FHIR data elements w/ USCDI where applicable
✅Expose RESTful endpoints w/ authntction/authriztn in place 
✅Spprt rd/wrte access for core resources (e.g., Patient, AllergyIntolerance)  
✅Docs, versioning, & implmnttion guides for its APIs

Question 3

Your health system plans to join an HIE and participate under TEFCA-aligned exchange. Reasonable expectations include:

Accepted Answer

✅Accss to lngitdnl histories to reduce redundant imaging/labs
✅Cntnd respnsblty for local consnt mnmm necessary & auditing
✅Better patient matching & recrd location across prtcpnts
✅Ablty to request & receive USCDI aligned data elements

Question 4

Your organization joins a regional HIE governed by a CommonWell. Which goal does this support? Select all that apply

Accepted Answer

✅ Improving care coordination across sites
✅ Achieving foundational interoperability

Question 5

Your organization is refreshing its security program. Priority actions include: select all that apply

Accepted Answer

✅ Routine revw of audit lgs for anmlous access
✅ Rglr phshgng simltions w/ trgtd fllw-up trning
✅ Annl risk assessmnt & remedtn trcking
✅ MFA for remote access & privileged roles

Question 6

A clinic plans to standardize allergies using SNOMED CT. Which benefit directly aligns with interoperability goals? Select all that apply

Accepted Answer

✅ Enables automated allergy alerts across different systems

Question 7

Your legacy EHR lacks modern APIs. A pragmatic interoperability strategy is to: select all that apply

Accepted Answer

✅Share data via direct secure messaging or CCD while API options are built.
✅Use middleware to translate HL7 v2/CCDs into FHIR endpoints

Question 8

Multiple hospitals use HL7 v2 messaging but have inconsistent segment usage. What intervention will improve interoperability? Select all that apply

Accepted Answer

✅ Develop shared implementation guides and mappings

Question 9

A phishing incident led to unauthorized mailbox access containing ePHI. Reasonable next steps include: select all that apply

Accepted Answer

✅ Strengthen e-mail filtering and provide focused staff training 
✅  Isolate affected accounts and reset credentials; notify individuals/HHS/media when criteria are met 
✅ Conduct a breach risk assessment to determine notification obligations

Question 10

When procuring a third-party app that will read/write EHR data via SMART on FHIR, which requirements best protect interoperability and security? (Select all that apply)

Accepted Answer

✅Enumerate the supprtd FHIR vrsn (e.g., R4/R4B), resrces (eg., Pt Obsrvtn, MdctnRqst, AllrgyIntlrnce, Cnditn), & srch prmtrs in a docmed implmnttn guide
✅Prvide FHIR blk data exprt for data prtbility & off-brding ✅Spprt SMART App Lnch v2 for intrctve us

Module 4

HSA 6197 Practice Questions

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