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HIMSS Certified Professional in Healthcare Information and Management Systems Sample Questions (Q59-Q64):
NEW QUESTION # 59
Strategic plans include
- A. policies and procedures.
- B. operational plans.
- C. budget requests.
- D. financial projections.
Answer: B
NEW QUESTION # 60
After a new pharmacy dispensing system is implemented, issues are reported regarding pharmacies not being able to process prescriptions that were received before the cutover to the new system. Which testing phase could have identified this issue?
- A. System integration testing.
- B. Unit testing.
- C. Regression testing.
- D. Acceptance testing.
Answer: D
Explanation:
Acceptance testing (User Acceptance Testing/UAT) is the testing phase most likely to identify an inability to process prescriptions that existed before cutover , because UAT validates that the solution supports real operational workflows and business requirements under conditions that mirror production use. A key go-live risk in pharmacy system replacement is data conversion and continuity of care : prescriptions entered in the legacy system prior to cutover must be accessible and actionable in the new environment (e.g., visible in work queues, eligible for verification, dispensing, labeling, adjudication, and documentation). In well-designed acceptance testing, users execute scripted scenarios that include "pre-cutover" items-converted orders, historical prescriptions, and in-flight work-specifically to confirm that the new system can safely continue processing without interruption.
By comparison, unit testing focuses on individual components and would not validate end-to-end prescription processing across converted legacy data. System integration testing emphasizes interfaces between systems (e.
g., EHR-to-pharmacy, claims, automation) but may not adequately validate business readiness with converted pre-cutover prescriptions unless explicitly included. Regression testing checks that changes did not break previously working functions, but it is not the primary phase for validating cutover continuity. Therefore, acceptance testing is the best answer.
NEW QUESTION # 61
Which standard would be used to communicate patient vital signs from a physiological monitoring system to a clinical information system?
- A. SOAP.
- B. HL7.
- C. SNMP.
- D. DICOM.
Answer: B
Explanation:
HL7 is the standard most commonly used to communicate clinical data -including patient vital signs-from bedside physiological monitoring systems (e.g., cardiac monitors, bedside monitors) into clinical information systems such as an EHR or a clinical data repository. In practice, HL7 messages (frequently HL7 v2 in many hospitals) support structured transmission of observations and results, allowing vital sign values (heart rate, blood pressure, SpO#, respiratory rate, temperature) to be associated with the correct patient, encounter, date
/time, and sending device/location. This enables automated documentation, trending, clinical decision support, and reduces transcription errors that occur with manual entry, improving timeliness and patient safety.
The other options are not the best fit for this purpose. SOAP is a general web-services messaging protocol that can transport data but is not the healthcare standard typically used for bedside device-to-EHR vital sign feeds in traditional hospital integrations. DICOM is primarily for medical imaging and related imaging workflows, not routine physiologic vital sign observations. SNMP is used for network device monitoring (e.g., tracking routers/switches status) rather than transmitting clinical measurements. Therefore, HL7 is the correct standard for communicating vital signs into clinical systems.
NEW QUESTION # 62
In reviewing audit logs an analyst finds that a charge nurse, not assigned to a celebrity patient, is reviewing that patient's medical record. Which of the following should the analyst do first?
- A. Continue monitoring the situation.
- B. Archive the security logs.
- C. Notify the risk manager.
- D. Delete the security logs.
Answer: B
Explanation:
When an audit log review suggests potential inappropriate access to a patient's record, the first priority is to preserve evidence and maintain an accurate chain of custody . Archiving the security logs ensures the organization retains an immutable snapshot of the access event details-who accessed the chart, timestamps, workstation/device identifiers, actions performed, and any related system context. This preservation step is essential because logs can rotate, be overwritten, or be altered through routine system processes. Without secured logs, a later investigation may be unable to confirm what happened, determine scope, or support corrective and disciplinary actions.
Continuing to monitor (option B) delays response and increases risk of additional improper access. Notifying the risk manager (option C) is an important escalation step, but it should occur after the analyst has ensured the evidence is protected so the investigation can proceed effectively and defensibly. Deleting the logs (option D) is never appropriate; it destroys evidence, undermines compliance obligations, and can create significant legal and regulatory exposure.
In healthcare privacy and security management, suspected inappropriate access is handled through incident response procedures that begin with evidence preservation , then escalation to privacy, compliance, risk management, and HR as required.
NEW QUESTION # 63
Digital health apps and fitness tracking devices can add patients' health data to their Electronic Health Records (EHR) by using a(n):
- A. Virtual Desktop Machine (VDM).
- B. Controlled Unclassified Information (CUI).
- C. Electronic Data Interchange (EDI).
- D. Application Programming Interface (API).
Answer: D
NEW QUESTION # 64
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