HL7 CDA Certification 2.0
RIM - correct answer Reference Information Model
CDA (Clinical Document Architecture) - correct answer Document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange.
Clinical Document - correct answer Has these characteristics: Persistence, Stewardship, Potential for Authentication, Context, Wholeness, Human Readability
XML- Extensible Markup Language - correct answer CDA Documents are encoded in ____.
Persistence - correct answer This defines a clinical document that continues to exist in an unaltered state, for a time period defined by local and regulatory requirements.
Stewardship - correct answer Defines a clinical document that is maintained by an organization entrusted
with its care.
CDA (Clinical Document Architecture) - correct answer Can include text, images, sounds, and other multimedia content.
Reference Information Model (RIM) - correct answer CDA documents derive their machine processable meaning from the HL7 Version 3 Data Types.
CDA Specification - correct answer This contains Document-Level, Section-Level, and Entry-Level templates that can be used as constraints.
Scope - correct answer The ____ of the CDA is the standardization of clinical documents for exchange. Exchange Markup - correct answer The CDA does not specify the creation or management of documents,
only their ____.
Goals - correct answer 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 - correct answer 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> - correct answer A CDA document is wrapped by the ______ element, and contains a header and a body.
Clinical Report - correct answer The body contains the ____, and can be either an unstructured blob, or can be comprised of structured markup.
<section> - correct answer 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 - correct answer ___ is wrapped by the <text> element within the <section> element, and must contain the human readable content to be rendered.
External References - correct answer 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 - correct answer The RIM's ____ contains an attribute, templateID, which is available for use in CDA.
CDA Level One - correct answer The unconstrained CDA specification.
CDA Level Two - correct answer The CDA specification with section-level templates applied. CDA Level Threee - correct answer The CDA specification with entry-level(and optionally section-level) templates applied.
Document Analysis - correct answer 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 - correct answer Examples: MDM messages in V2.x and HL7 V3 Medical Records messages.
Storage Requirements - correct answer 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 - correct answer Recipient must assume ____ values where they are defined in this specification, and where the instance does not contain a value.
Header - correct answer Recipient must parse and interpret the complete CDA ____.
Body - correct answer Recipient must parse and interpret the CDA ____ sufficiently to be able to render it.
MIME - correct answer 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 - correct answer The absence of a _____ component signifies an unlabeled section
RIM - correct answer Reference Information Model
CDA (Clinical Document Architecture) - correct answer Document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange.
Clinical Document - correct answer Has these characteristics: Persistence, Stewardship, Potential for Authentication, Context, Wholeness, Human Readability
XML- Extensible Markup Language - correct answer CDA Documents are encoded in ____.
Persistence - correct answer This defines a clinical document that continues to exist in an unaltered state, for a time period defined by local and regulatory requirements.
Stewardship - correct answer Defines a clinical document that is maintained by an organization entrusted
with its care.
CDA (Clinical Document Architecture) - correct answer Can include text, images, sounds, and other multimedia content.
Reference Information Model (RIM) - correct answer CDA documents derive their machine processable meaning from the HL7 Version 3 Data Types.
CDA Specification - correct answer This contains Document-Level, Section-Level, and Entry-Level templates that can be used as constraints.
Scope - correct answer The ____ of the CDA is the standardization of clinical documents for exchange. Exchange Markup - correct answer The CDA does not specify the creation or management of documents,
only their ____.
Goals - correct answer 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 - correct answer 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> - correct answer A CDA document is wrapped by the ______ element, and contains a header and a body.
Clinical Report - correct answer The body contains the ____, and can be either an unstructured blob, or can be comprised of structured markup.
<section> - correct answer 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 - correct answer ___ is wrapped by the <text> element within the <section> element, and must contain the human readable content to be rendered.
External References - correct answer 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 - correct answer The RIM's ____ contains an attribute, templateID, which is available for use in CDA.
CDA Level One - correct answer The unconstrained CDA specification.
CDA Level Two - correct answer The CDA specification with section-level templates applied. CDA Level Threee - correct answer The CDA specification with entry-level(and optionally section-level) templates applied.
Document Analysis - correct answer 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 - correct answer Examples: MDM messages in V2.x and HL7 V3 Medical Records messages.
Storage Requirements - correct answer 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 - correct answer Recipient must assume ____ values where they are defined in this specification, and where the instance does not contain a value.
Header - correct answer Recipient must parse and interpret the complete CDA ____.
Body - correct answer Recipient must parse and interpret the CDA ____ sufficiently to be able to render it.
MIME - correct answer 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 - correct answer The absence of a _____ component signifies an unlabeled section
