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HITPRO Chapter 9
Networking and Health Information Exchange
42
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Professional
05/06/2012

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Term
There are ___ wires in a twisted pair cable
Definition
8
Term
Explain the difference between bandwidth and throughput
Definition
Bandwidth
measures difference between highest and lowest frequencies a media can transmit
Throughput
amount of data the medium transmits during a given period of time
Term
A signal loses strength as the data transmission travel away from the source. This is called ____.
Definition
attenuation
Term
Name the 4 types of Wireless Lan Standards
Definition
801.11x -->a, b, g, n
Term
What are the frequencies for the 4 types of Wireless Lan Standards
Definition
a:5GHz
b:2.4GHz
c:2.4GHz
d:2.5/5GHz
Term
What are the bandwidths for the 4 types of Wireless Lan Standards
Definition
a:54 Mbps
b:11 Mbps
c:54 Mbps
d:up to 600 Mbps
Term
In ___ transmission signals may travel in both directions but in only one direction at a time
Definition
half-duplex
Term
Which Presentation Layer Protocol specifies how messages must be formatted so that they can be exchanged between different mail systems?
Definition
MIME
Term
Starting with the layer that is closest to the user what is the correct order of layers of the OSI model?
Definition
Application, Presentation, Session, Transport, Network, Datalink,Physical
Term
A ___ is a unique address assigned to most network interface cards (NICs) by the manufacturer for identification
Definition
MAC
Term
How do you distinguish the 5 classes of IP addresses in IPV4?
Definition
If the 1st 8 bits are
1-127 --> Class A
128-191 ---> Class B
192-223 ---> Class C
224-239 ---> Class D multicast
240-255 ---> Class E experimental
Term
Each device has its own connection to a port on the ______ and each port is a collision domain
Definition
switch
Term
A_____ is a multiport connectivity device that connects different networks (LANs, WANs, different transmission speeds, media, and protocols) to each other
Definition
Router
Term
A ___ is a term used to describe the movement of data from one router to another
Definition
hop
Term
What does CDA stand for and what is it for?
Definition
Clinical Document Architecture
s a standard for creating documents. Its use is becoming world-wide and permits a measure of conformance and integrity in the exchange of data
Term
What is CCD?
Definition
Continuity of Care Document, a specialization of CDA
Term
True/False All data in a CDA must be structured and coded
Definition
False.
Term
What does CPT stand for?And what are they for?
Definition
Current Procedural Terminology. CPT codes are used to define, for purposes of billing, the nature of the visit – initial, routine, complicated – and the extent of activity by the provider.
Term
What is a DRG?
Definition
Diagnosis Related Groups (DRG) Codes Each group includes diagnoses, procedures and other factors (age, severity, complications, co-morbidities). These codes are grouped based on the expectation that a group of items would use similar hospital resources
Term
What is NDC?
Definition
NDC (National Drug Codes) codes are used by the FDA. It is a list of all drugs manufactured for commercial distribution
Term
What is RXnorm?
Definition
RxNorm provides normalized names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, MediSpan, Gold Standard Alchemy, and Multum. By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary.
Term
______ has developed standards for the exchange of purchase-order data, invoice data and other commonly used business documents
Definition
x12n
Term
x12n std for payment's claim submission
Definition
837
Term
x12n std for payer's claim payment/advice
Definition
835
Term

Explain the x12n process

 

Definition
[image]
Term
What does ISO TC 215
Definition
The International Standards Organizations Technical Committee. TC 215 works on the standardization of Health Information and Communications Technology (ICT), to allow for compatibility and interoperability between independent systems
Term
What does ONC stand for?
Definition
Office of the National Coordinator
Term
Name the 3 SDOs that can become ISO standards:
Definition
>Vienna Agreement (CEN)-European Committee on Standarization
>IEEE
>HL7 (but this has to be submitted to TC215)
Term
What does the Joint Initiative Council do?
Definition
To create one standard for one purpose. Focused, specific resolution of overlapping or counteracting standards within the participating SDOs existing work programs.
Term
What does ONC stand for and what does it do?
Definition
Office of the National Coordinator for Health Information Technology- with the purpose of promotion of nationwide health information exchange to improve health care. ONC is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS).
Term
What is RIM? and what is it for?
Definition
Reference Information Model -
large, pictorial representation of the HL7 clinical data (domains) and identifies the life cycle that a message or groups of related messages will carry. It is a shared model between all domains and, as such, is the model from which all domains create their messages.
Term
___ based on an object information model, called the Reference Information Model (RIM). Patient Records.
Definition
HL7 v3
Term
In the HL7 transaction model a(n) ___ occurs and activates the sending of a specific message type to one or more receivers
Definition
trigger event
Term
Name a couple of HL7 v2 functional areas
Definition
- ADT, registration, orders, results, patient financial, query language, immunization reporting, clinical trials, adverse drug reactions, scheduling, referrals, medical records, patient care, problem lists and goals, waveforms, personnel management, clinical lab automation transactions, and master files
Term
The most commonly-used data interchange or messaging standard used in the US today is a Health Level Seven (HL7) messaging standard known as version
Definition
2.n where n is the current version. The latest version is 2.7
Term
ASTMs version of CCD(continuity of care document)
Definition
CCR Continuity of Care Record
Term
What is the benefit of using RIM?
Definition
If the RIM becomes the basis for the identification of data elements, and is used in the exchange of data, two unconnected groups can, through the common RIM, understand and use the data
Term
True/False
hl7 v2.n is not interoperable
Definition
true
Term
Hl7 v3 is interoperable
Definition
True by the use of RIM
Term
_____ the exclusive international standards body for the transfer of radiologic images and other medical information between computers (imaging standards).
Definition
DICOM
Term
A ____ is a principal repository for data concerning a patient's health care and affects virtually everyone associated with providing, receiving, auditing, regulating, or reimbursing health care services
Definition
Patient record
Term
What are the products of ISO TC 215?
Definition
Technical Reports (TR), Technical Specifications(TS), International Standards
• Technical Reports – Which describe and discuss a topic. TRs are for information only.
• Technical Specifications – Similar to a standard but does not require compliance. A TS is a strong suggestion.
• International Standards – Known as a normative document, must be followed explicitly to be compliant. Any departure from the standard is non-compliant.
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