Download Component 14 Unit 5: System and database architectures used in

Component 14 Unit 5: System and database
architectures used in commercial EHRs
Self-Assessment with Answer Key
1. Which of the following is/are component(s) of the architecture of an Electronic
Health Record (EHR)?
A. Users of EHR
B. Pharmacy
C. Clinical data repository
D. A and C only
E. All of the above
Answer: E
Objective 5.1: Demonstrate concept knowledge of system and database
architectures used in commercial EHRs, Slide 4
2. Which of the following is an example of “front end” hardware platforms for
EHRs?
A. Database server
B. Application server
C. Mobile device
D. A and C only
E. All of the above
Answer: C
Objective 5.1: Demonstrate concept knowledge of system and database
architectures used in commercial EHRs, Slide 6
3. Which type of EHR hardware platform exists independent of a central server?
A. Thick client
B. Thin client
C. Web based
D. Citrix
Answer: A
Objective 5.3: Identify the differences between EHR hardware platform, Slide 7
4. Which type of EHR hardware platform requires that most of its business logic
take place on a desktop PC?
Component14/Unit5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
1
This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
A. Thick client
B. Thin client
C. Web based
D. Citrix
Answer: A
Objective 5.3: Identify the differences between EHR hardware platforms, Slide 7
5. Which type of EHR hardware platform may use online document processors
as opposed to the traditional software?
A. Thick client
B. Thin client
C. Web based
D. Citrix
Answer: C
Objective 5.3: Identify the differences between EHR hardware platforms, Slide 7
6. Which of the following is/are example(s) of a health information system that
may be included in EHRs?
A. Pharmacy
B. Radiology
C. Laboratory
D. A and B only
E. All of the above
Answer: E
Objective 5.2: Describe the health information systems landscape, including
CPOE, Pharmacy, Lab, etc., Slide 4
7. Which of the following is/are example(s) of operating systems for EHRs?
A. MacOS
B. Linux
C. Oracle
D. A and B only
E. All of the above
Answer: D
Objective 5.4: Compare different EHR operating systems and databases, Slide 9
8. For items i-vi, match the type of database with its component using either
response A or B.
A. Relational database
Component14/Unit5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
2
This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
B. Hierarchical database
i. SQL Server:
ii. PureXML
iii. Structured as formally-described tables:
iv. Structured tree-like with branching:
v. Oracle:
vi. Intersystems-Cache:
Answer:
i. A
ii. B
iii. A
iv. B
v. A
vi. B
Objective 5.4: Compare different EHR operating systems and databases, Slides
9-14
9. Based upon the EHR system reviews in unit 5, which EHR system uses
software that is centered around the MUMPS/Cache database?
A. Epic
B. Eclipsys
C. Quadramed
D. NextGen
E. eClinicalWorks
Answer: A
Objective 5.4: Compare different EHR operating systems and databases, Slide
18
10. Based upon the EHR system reviews in unit 5, which EHR system uses
software that is centered around SQL Server database?
A. Epic
B. Eclipsys
C. Quadramed
D. NextGen
E. eClinicalWorks
Answer: B
Objective 5.4: Compare different EHR operating systems and databases, Slide
21
Component14/Unit5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
3
This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
11. Identify FOUR (4) recommended EHR security measures according to the
AHIMA e-HIM work group on Security of Personal Health Information.
Answer:
A. Ability to assign an alias to a patient
B. Ability to restrict patients from physicians who are not the “physician of record”
C. Ability to block access to specific progress note or lab result
D. Ability to track versioning or mask sensitive entries for release of information
E. Role-based security that restricts access to predefined categories of patients,
encounters, and documents based on the access a user needs to perform his or
her job.
F. VIP status indicators that restrict especially identified patients and encounters
to those individuals with permission for VIP encounters and patients.
Objective 5.5: Articulate how system and database architectures impact security,
auditing, and performance monitoring, Slide 29
12. Which of the following is/are benefit(s) of audit logs of an EHR system?
A. Allows the client to know when the system is used most.
B. Allows the client to know who uses the system and how often.
C. Allows the client to access audit logs to enhance information security.
D. A and B only
E. All of the above
Answer: E
Objective 5.5: Articulate how system and database architectures impact security,
auditing, and performance monitoring, Slide 30
Component14/Unit5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
4
This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.