HL7 Exam Study Guide Questions with 100%
Correct Answers
RIM
Reference Information Model
CDA (Clinical Document Architecture)
Document markup standard that specifies the structure and semantics of "clinical documents"
for the purpose of exchange.
Clinical Document
Has these characteristics: Persistence, Stewardship, Potential for Authentication, Context,
Wholeness, Human Readability
XML- Extensible Markup Language
CDA Documents are encoded in ____.
Persistence
This defines a clinical document that continues to exist in an unaltered state, for a time period
defined by local and regulatory requirements.
Stewardship
Defines a clinical document that is maintained by an organization entrusted with its care.
CDA (Clinical Document Architecture)
Can include text, images, sounds, and other multimedia content.
Reference Information Model (RIM)
CDA documents derive their machine processable meaning from the HL7 Version 3 Data Types.
CDA Specification
,This contains Document-Level, Section-Level, and Entry-Level templates that can be used as
constraints.
Scope
The ____ of the CDA is the standardization of clinical documents for exchange.
Exchange Markup
The CDA does not specify the creation or management of documents, only their ____.
Goals
The _____ of the CDA are: Give priority, Be Cost Effective, Support Exchange, Promote
Longevity, Post-Exchange Processing, Be Compatible with Apps, Prepare Design Quickly, Enable
Policy-Makers.
Human Readable
CDA documents must be ____ using widely available and commonly deployed XML aware
browsers and print drivers and a generic CDA style sheet written in a standard style sheet
language.
<Clinical Document>
A CDA document is wrapped by the ______ element, and contains a header and a body.
Clinical Report
The body contains the ____, and can be either an unstructured blob, or can be comprised of
structured markup.
<section>
A CDA document section is wrapped by the___ element. Each section can contain a single
narrative block, and any number of CDA entries and external references.
CDA Narrative Block
,___ is wrapped by the <text> element within the <section> element, and must contain the
human readable content to be rendered.
External References
CDA ___ always occur within the context of a CDA entry. These refer to the content outside the
CDA document such as an image, procedure, or observation which is wrapped by the
<externalObservation> element.
InfrastructureRoot Class
The RIM's ____ contains an attribute, templateID, which is available for use in CDA.
CDA Level One
The unconstrained CDA specification.
CDA Level Two
The CDA specification with section-level templates applied.
CDA Level Threee
The CDA specification with entry-level(and optionally section-level) templates applied.
Document Analysis
The CDA Schema and conformant instances should adhere to the requirements of _____ in
derivation of the content model. ___ is a process that might be thought of as the document
equivalent of a use case. ___ looks at a single instance or class of documents and analyzes their
structure and content, often representing this as a tree structure "elm" notation. ___ also looks
at the business rules for the lifecycle of that document or document class. Traditionally, ___
determines the content model and overall structure and style of XML. ___ is an iterative step in
content model derivation -- the "bottom up" approach to complement the "top down"
derivation from the RIM. This will ensure that schemas and instances are not only RIM-derived,
but represent recognizable artifacts in a simple manner.
CDA Documents
, Examples: MDM messages in V2.x and HL7 V3 Medical Records messages.
Storage Requirements
Because CDA is an exchange standard and may not represent the original form of a document,
there are no persistent ___ for CDA documents defined in this standard.
Default
Recipient must assume ____ values where they are defined in this specification, and where the
instance does not contain a value.
Header
Recipient must parse and interpret the complete CDA ____.
Body
Recipient must parse and interpret the CDA ____ sufficiently to be able to render it.
MIME
If the CDA Body is non-XML, it will need to be rendered with a software tool that recognizes its
particular ____ media type.
Section.title
The absence of a _____ component signifies an unlabeled section
Section.text
If the CDA Body is structured, the contents of the ____ field must be rendered per the rules
defined in Section Narrative Block.
Section.title
For the sender if the CDA Body is structured, the label of a section must be conveyed in
the______ component.
Narrative Contents
Correct Answers
RIM
Reference Information Model
CDA (Clinical Document Architecture)
Document markup standard that specifies the structure and semantics of "clinical documents"
for the purpose of exchange.
Clinical Document
Has these characteristics: Persistence, Stewardship, Potential for Authentication, Context,
Wholeness, Human Readability
XML- Extensible Markup Language
CDA Documents are encoded in ____.
Persistence
This defines a clinical document that continues to exist in an unaltered state, for a time period
defined by local and regulatory requirements.
Stewardship
Defines a clinical document that is maintained by an organization entrusted with its care.
CDA (Clinical Document Architecture)
Can include text, images, sounds, and other multimedia content.
Reference Information Model (RIM)
CDA documents derive their machine processable meaning from the HL7 Version 3 Data Types.
CDA Specification
,This contains Document-Level, Section-Level, and Entry-Level templates that can be used as
constraints.
Scope
The ____ of the CDA is the standardization of clinical documents for exchange.
Exchange Markup
The CDA does not specify the creation or management of documents, only their ____.
Goals
The _____ of the CDA are: Give priority, Be Cost Effective, Support Exchange, Promote
Longevity, Post-Exchange Processing, Be Compatible with Apps, Prepare Design Quickly, Enable
Policy-Makers.
Human Readable
CDA documents must be ____ using widely available and commonly deployed XML aware
browsers and print drivers and a generic CDA style sheet written in a standard style sheet
language.
<Clinical Document>
A CDA document is wrapped by the ______ element, and contains a header and a body.
Clinical Report
The body contains the ____, and can be either an unstructured blob, or can be comprised of
structured markup.
<section>
A CDA document section is wrapped by the___ element. Each section can contain a single
narrative block, and any number of CDA entries and external references.
CDA Narrative Block
,___ is wrapped by the <text> element within the <section> element, and must contain the
human readable content to be rendered.
External References
CDA ___ always occur within the context of a CDA entry. These refer to the content outside the
CDA document such as an image, procedure, or observation which is wrapped by the
<externalObservation> element.
InfrastructureRoot Class
The RIM's ____ contains an attribute, templateID, which is available for use in CDA.
CDA Level One
The unconstrained CDA specification.
CDA Level Two
The CDA specification with section-level templates applied.
CDA Level Threee
The CDA specification with entry-level(and optionally section-level) templates applied.
Document Analysis
The CDA Schema and conformant instances should adhere to the requirements of _____ in
derivation of the content model. ___ is a process that might be thought of as the document
equivalent of a use case. ___ looks at a single instance or class of documents and analyzes their
structure and content, often representing this as a tree structure "elm" notation. ___ also looks
at the business rules for the lifecycle of that document or document class. Traditionally, ___
determines the content model and overall structure and style of XML. ___ is an iterative step in
content model derivation -- the "bottom up" approach to complement the "top down"
derivation from the RIM. This will ensure that schemas and instances are not only RIM-derived,
but represent recognizable artifacts in a simple manner.
CDA Documents
, Examples: MDM messages in V2.x and HL7 V3 Medical Records messages.
Storage Requirements
Because CDA is an exchange standard and may not represent the original form of a document,
there are no persistent ___ for CDA documents defined in this standard.
Default
Recipient must assume ____ values where they are defined in this specification, and where the
instance does not contain a value.
Header
Recipient must parse and interpret the complete CDA ____.
Body
Recipient must parse and interpret the CDA ____ sufficiently to be able to render it.
MIME
If the CDA Body is non-XML, it will need to be rendered with a software tool that recognizes its
particular ____ media type.
Section.title
The absence of a _____ component signifies an unlabeled section
Section.text
If the CDA Body is structured, the contents of the ____ field must be rendered per the rules
defined in Section Narrative Block.
Section.title
For the sender if the CDA Body is structured, the label of a section must be conveyed in
the______ component.
Narrative Contents
