Introduction to HL7 Practice Exam 1) A ------- is the atomic unit of data transferred between systems and is a collection of data

a that sends information about an event in the healthcare enterprise A.element B.segment C.datatype D.message correct answer E. field 2) 3) 4) 5) 6) What is the first segment of HL7 message? A. MSH only correct answer B. MSH & PID C. MSH & ERR D. MSH & UAC

3) Which standard defines a series of predefined logical formats of packaging healthcare data in the form of messages to be transmitted among computer systems a.snomed b.DICOM c.LIONIC d.HIPAA e. HHL7 correct answer 4) HL7 standard is primarily concerned with A. the data content B. Interrelationship of messages C.data granularity D.communication application level error conditions Answer : a. b abd c b. a,c,d only c. a and b d. b and d correct answer e. a,b,c 5) Which messages are not sent in response to a specific query from user or an application? a. solicited b. trigger event c. unsolicited correct answer d. none of the given e. both solicited and unsolicited Answer : c

6) What are the advantages/disadvantages of either using a dedicated , propreitory interface and an interface using HL7? 1. A dedicated, propreitory interface can be targeted and optimized to the environment in which it operates ii. It probably will interoperate easily with other applications iii. HL7 interfaces are broader in scope and require more effort to define and constrain , but when well-defined are easier to implement, maintain, extend Answer : a. I and iii only correct answer b. I, ii and iii only c. I,ii only d. iii only 7) Using the default encoding, each HL7 segment should end with i. ASCII character 04 ( end of transmission) ii. ASCII character 06 (Acknowledge) iii. ASCII character 08 (Backspace) iv. ASCII character 13 (carriage return) a. iv only correct answer b. I, ii, iiii and iv c. Iii d. I e. I and ii only 8. Out of the below which healthcare application areas are included as part of the HL7 environment a. Patient administration b. Order Entry c. Financial Management d. Observation Reporting e. Master files and indexes Answer : a. a,b,c,d,e correct answer b. a,b,c, e c. abd,c,d d. b,c,d,e e, a.b,d,e 9) In OSI model in which level does HL7 operate? a. Application level correct answer b. Presentaiton & application level c. session, network, application level d. network and application level e. datalink and application level 10) What is sope of HL7? i. Specification of messages between application systems ii. Architecture of the application system iii. triggering events iv. ownership of data v. communication environment a. I, iii and v correct answer b. I, ii, iii and iv

c. I,ii,iii,iv and v d. I, ii and iv 11) In an open architecture healthcare environment there often exists a set of common reference files used by one or more application systems. Such files are called a. Medical records/information management files b. protocol files c. reference files d. scheduling files e. Master files correct answer 12) What are possible reasons for which HL7 cannot be plug & play? a. Lack of common data model b. Deals with message specifications only c. Lack of process conformity within vendors . Conformance has to be separately defined as per site negotiations d. Lack of negotiations within vendors Answer : a. a and d only b. a,b,c c. a,b,c,d correct answer d. b,c,d e, a,c,d 13) What is true in below statements? a. HL7 standard address how transmission errors should be dealt with b. Is it possible to run HL7 on different network architecture such asDECNET, SNA and TCP/IP c. HL7 does not confirm to ISO defined elements of the OSI seventh level d. The 7 in HL7 referes to the seven-layered Open System Interconnection (OSI) model Answer : a. a, b,c,d b. a,c,d c. b,c,d correct answer d. a,d e. a 14) In OSI what levels HL7 operates? a. Application level correct answer b. Data link and application level c. Transport, application level d. network e. session layer 15) HL7 does not take responsibility for _________ a. data security b. Interface engine c. Acknowledgement d. Relationship between messages Answer : i. a,b,c,d ii. b,c iii. a and b iv. a and b only correct answer

16. Which of the following is NOT a possible designation of optionality for a field within a segment in the segment attribute tables of the HL7 v2.7 standard? a. Z- user defined correct answer b. R- required c. B- left in backward compatability with previous versions of HL7 d. C- conditional on the trigger event or someother fields e. O- optional 17) A message type may be associated with more than one a. data type b. element c. trigger event . Other options are parts of a message were as a message type is always associated with trigger event correct answer d. component e. field 18) An HL7 message is intented to pass information about a distinct event from one computer to another with which one of the following characteristics : i. Acknowledgement of messages by the receiving system ii. No acknowledgement of message by the receiving system iii. ACK when requested by receiving system Answer ; a. I *ii b. I,ii,iii c. I only correct answer d. ii e. I & iii