Networking and Health Information Exchange: Basic Health Data Standards

Self-assessment key

1. Which of the following is not a component of semantic interoperability?

a. Context understood
b. Meaning precise
*c. Secure
d. Reusable

Answer: c The components of semantic interoperability are context understood,

meaning precise and reusable.
Objective(s): 2
Lecture(s)/Slide(s): a6

2. Codes assigned to data elements should include some meaning about the term. For
example, m = male.

a. True
*b. False

Answer: b Data elements codes should have meaning and m=male doesnt have any
meaning.
Objective(s): 1
Lecture(s)/Slide(s): a13

3. The U.S. has identified a single controlled vocabulary for use in health care.

a. True
*b. False

Answer: b There is no single controlled vocabulary for use in health care.

Objective(s): 3
Lecture(s)/Slide(s): a8

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
4. By using all the major controlled vocabularies we can achieve semantic
interoperability.

a. True
*b. False

Answer: b Semantic interoperability involves more than just controlled vocabularies.

Objective(s): 3
Lecture(s)/Slide(s): The answer to this question can be found across multiple slides
and can be identified through the general presentation and discussion.

5. The U.S. currently uses ICD 10.

a. True
*b. False

Answer: b The U.S. currently uses ICD 9.

Objective(s): 5
Lecture(s)/Slide(s): a14

6. ICD is sponsored by ISO.

a. True
*b. False

Answer: b ICD is sponsored by World Health Organization.

Objective(s): 5
Lecture(s)/Slide(s): b5

7. The advantage of a polyhierarchy is that a data element can be linked to multiple

higher level concepts.

*a. True
b. False

Answer: a In a polyhierarchy, a term can have more than one parent.

Objective(s): 5
Lecture(s)/Slide(s): b8

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
8. CPT is owned and developed by _______.

a. HL7
b. NLM
*c. AMA
d. IHTSDO

Answer: c CPT is owned and developed by AMA.

Objective(s): 5
Lecture(s)/Slide(s): b11

9. DRG is based on common diseases.

a. True
*b. False

Answer: b Diagnosis Related Groups (DRG) Codes are used to group hospital cases
into approximately 500 diagnosis-related groups. Each group includes diagnoses,
procedures and other factors (age, severity, complications, co-morbidities).
Objective(s): 5
Lecture(s)/Slide(s): b13

10. NDC codes are used to report _______.

a. Diagnoses
*b. Drugs
c. Lab tests
d. None of the above

Answer: b NDC codes are used to report drugs.

Objective(s): 5
Lecture(s)/Slide(s): b15

11. LOINC is widely used in the US for the names of laboratory tests.

*a. True
b. False

Answer: a LOINC is widely used in the US for the names of laboratory tests.
Objective(s): 5

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
Lecture(s)/Slide(s): b21
12. Daily Med is derived from Structured Product Labeling.

*a. True
b. False

Answer: a Daily Med is derived from Structured Product Labeling.

Objective(s): 5
Lecture(s)/Slide(s): b20

13. SNOMED CT is developed and owned by _______.

a. CAP
b. NLM
*c. IHTSDO
d. AMA

Answer: c SNOMED CT is developed and owned by IHTSDO.

Objective(s): 6
Lecture(s)/Slide(s): c6

14. Use of SNOMED CT is available for free in the US.

*a. True
b. False

Answer: a SNOMED CT is available for free in the US.

Objective(s): 6
Lecture(s)/Slide(s): c7

15. Post-coordinated terms are defined as an explicit part of a controlled vocabulary.

a. True
*b. False

Answer: b A post-coordinated term is composed just-in-time.

Objective(s): 6
Lecture(s)/Slide(s): c9

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
16. Nursing terminologies support all of these concepts except ________.

a. Diagnoses
b. Interventions
c. Outcomes
*d. Length of stay

Answer: d Nurse terminology categories are diagnoses/judgements, interventions,

outcomes and goals.
Objective(s): 6
Lecture(s)/Slide(s): c18

17. MeSH is used to index medical literature by NLM.

*a. True
b. False

Answer: a MeSH is used to index medical literature by NLM.

Objective(s): 6
Lecture(s)/Slide(s): c20

18. UMLS is a product of _______.

a. ANSI
b. FDA
*c. NLM
d. WHO

Answer: c UMLS It is designed and maintained by the NLM.

Objective(s): 6
Lecture(s)/Slide(s): c22

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
19. A licensing fee is not required to use which of the following controlled terminologies:

a. ICD
b. CPT
c. MedDRA
*d. LOINC

Answer: d LOINC doesnt require a licensing fee.

Objective(s): 5
Lecture(s)/Slide(s): c15 and c24

20. What terminology is likely to be used for drug data elements?

a. IDC
b. CPT
c. DRG
*d. RxNorm

Answer: d RxNorm is used for medications.

Objective(s): 3
Lecture(s)/Slide(s): c24

21. Mothers maiden name would not be classified as a data element.

a. True
*b. False

Answer: b A data element has a name attribute.

Objective(s): 7
Lecture(s)/Slide(s): d5

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
22. Which is not an attribute of a data element?

a. Synonym
*b. Cost
c. Units
d. Data type

Answer: b There are many different attributes of a data element. Please refer to slide
to see a complete list.
Objective(s): 7
Lecture(s)/Slide(s): d12

23. Which of the following is not a data type?

a. Numeric
b. Character
*c. Synonym
d. Date-time

Answer: c Data type tells us whether the data element is numeric, an integer, binary,
character, string, blog, date-time, or more complex types such as a coded element.
Objective(s): 7
Lecture(s)/Slide(s): d14

24. ISO 11179 is a standard for imaging.

a. True
*b. False

Answer: b ISO/IEC 11179 is the single ISO standard that lays out much of what is
required for the definition and maintenance of data elements.
Objective(s): 8
Lecture(s)/Slide(s): d18

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
25. The following has a metadictionary (caDSR) that is based on ISO 11179:

*a. NCI
b. NLM
c. CDISC
d. None of the above

Answer: a NCI has a metadictionary (caDSR) that is based on ISO 11179.

Objective(s): 8
Lecture(s)/Slide(s): d23

26. CDISC creates data elements for billing clinical charges.

a. True
*b. False

Answer: b Clinical Data Interchange Standards Consortium (CDISC) defines data

elements for the research community.
Objective(s): 8
Lecture(s)/Slide(s): d26

27. Which of the below is an example of a compound data element?

a. Heart murmur
b. Blood pressure
c. Person name
*d. All of the above

Answer: d A compound data element is a structure that includes other data elements.
Objective(s): 9
Lecture(s)/Slide(s): e6

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
28. A complex data element might contain ___________.

a. A logic statement
b. A calculation
c. A comparison of the value of two data elements
*d. All of the above

Answer: d Complex data elements may include description logic and mathematical
calculations. Complex data elements may include calculations, logic statements, or
actions. They may invoke an action.
Objective(s): 9
Lecture(s)/Slide(s): e7

29. A CMET is a clinical measurement using electronic technology.

a. True
*b. False

Answer: b Common Message Element Types (CMET) were originally meant to be

administrative objects defined by groups within HL7. The first CMETs were simple
and obvious constructs such as person name, address, telephone numbers, e-mail
addresses, etc.
Objective(s): 9
Lecture(s)/Slide(s): e8

30. A template is similar in function to a paper form.

*a. True
b. False

Answer: a An HL7 template defines a higher level data structure and may extend to
such things as a well-baby exam, a school physical, an employment physical, a
diabetic screen, etc. The templates are defined using an XML syntax.
Objective(s): 20
Lecture(s)/Slide(s): e9

31. CDAs are encoded with ___________.

a. UML
b. HTTP

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
*c. XML
d. Symbolic delimiters

Answer: c CDAs are encoded with XML.

Objective(s): 11
Lecture(s)/Slide(s): f7

32. The main parts of a CDA are a header and the body.

*a. True
b. False

Answer: a The main parts of a CDA are a header and the body.
Objective(s): 11
Lecture(s)/Slide(s): f9

33. All data in a CDA must be structured and coded.

a. True
*b. False

Answer: b Data in a CDA doesnt have to be structured and coded.

Objective(s): 11
Lecture(s)/Slide(s): f5, f9

34. CCR is a product of _________.

a. HL7
*b. ASTM
c. ANSI
d. ONC

Answer: b CCR is a product of ASTM.

Objective(s): 11
Lecture(s)/Slide(s): f22

35. The CCR may be used for the following:

a. Discharge summary

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
b. Claims attachment
*c. Patient summary record
d. None of the above

Answer: c The CCR provides a patient health summary detail.

Objective(s): 11
Lecture(s)/Slide(s): f22

Health IT Workforce Curriculum Networking and Health Information Exchange

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Version 3.0/Spring 2012 Basic Health Data Standards
Lectures a,b,c,d,e,and f

This material Comp9_Unit4 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.