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Self-assessment Key
Answer: e
Objective: 1. Demonstrate concept knowledge of system and database
architectures used in commercial EHRs
Lecture/Slide: 4
Answer: c
Objective: 1. Demonstrate concept knowledge of system and database
architectures used in commercial EHRs
Lecture/Slide: 6
This material (Comp14_Unit5) 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.
c. Web based
d. Citrix
Answer: a
Objective: 3. Identify the differences between EHR hardware platform
Lecture/Slide: 7
4. Which type of EHR hardware platform requires that most of its business logic
take place on a desktop PC?
*a. Thick client
b. Thin client
c. Web based
d. Citrix
Answer: a
Objective: 3. Identify the differences between EHR hardware platforms
Lecture/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: 3. Identify the differences between EHR hardware platforms
Lecture/Slide: 7
This material (Comp14_Unit5) 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.
c. Laboratory
d. a and b only
*e. All of the above
Answer: e
Objective: 2. Describe the health information systems landscape, including
CPOE, Pharmacy, Lab, etc.
Lecture/Slide: 4
Answer: d
Objective: 4. Compare different EHR operating systems and databases
Lecture/Slide: 9
8. For items i-vi, match the type of database with its component using either
response a or B.
a. Relational database
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:
This material (Comp14_Unit5) 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.
i. a
ii. b
iii. q
iv. b
v. q
vi. b
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: 4. Compare different EHR operating systems and databases
Lecture/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: 4. Compare different EHR operating systems and databases
This material (Comp14_Unit5) 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.
Lecture/Slide: 21
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.
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. Articulate how system and database architectures impact security,
auditing, and performance monitoring
Lecture/Slide: 30
This material (Comp14_Unit5) 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.