Exam 13: System Integration and Interoperability

Health Level Seven (HL7) standards are not the only standards that are evolving to fit the changing health care model. What other organizations are instrumental in supporting the development of standards and helping to define data exchange?

Which of the following is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement?

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?

The master patient index (MPI) saves work because vital information can be obtained from the database rather than rekeyed with each client visit. This decreases the possibility of making a mistake and eliminates the inadvertent creation of duplicate records. Which of the following are key features of an effective MPI?

_______________________ uses XML (Extensible Markup Language) for storage and movement of clinical documents between systems.

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

Which of the following answers are factors that slow systems integration?

One step in the integration process is the development of a uniform definition of terms, or language. The American Nurses Association sponsors the Congress of Nursing Practice Steering Committee on Databases. Which of the following is a primary goal of this steering committee?

A female client goes to the clinic's office complaining of a cough and fever. She gives her name and date of birth at the admitting registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. Client responds yes, is given a chart with the number 3948JAV04830 on it, and is directed to the physician's exam room. The physician orders a chest x-ray. The client is sent to the radiology department and checks in with the registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. The client responds yes and is given an order sheet with the number 3948JAV04830 on it. The admitting office for the clinic and the radiology office use different information systems. The process depicted in this scenario illustrates the use of which of the following?

The role of the nurse in the system integration efforts should include which of the following?

Nursing can reap significant benefits from integration. Which of the following integration statements is accurate for nursing?

The term interoperability is used when discussing the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records. The term interoperability is understood to mean which of the following?

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?

The timely flow of information is critical to institutional survival. Which of the following statements about interfaces is accurate?

______________________________ 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.

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

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

What are the benefits of data integration?

Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability?

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?