Fast Healthcare Interoperability Resources (FHIR) Proficiency Practice Exam

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• If a concept is not defined by HL7 concepts or needs to convey a narrative-only construct, which resource should be used?
• What is the purpose of a Terminology Service RESTful API?
• Because it creates a common platform or foundation on which a variety of different solutions are implemented, the FHIR specification is what type of specification?
• Which resource defines the structure and narrative content necessary for a document?
• Which FHIR resource represents the data of a single raw artifact as digital content accessible in its native format?
• What specifies where particular extensions are required or expected?
• Which three metadata attributes are part of the resource, but are never used to keep information that needs to be understood when interpreting the content of the resource?
• Which of the following is NOT among the five common features of all resources?
• Which element can indicate the FHIR version for applicable artifacts such as CapabilityStatement, StructureDefinition, or ImplementationGuide?
• Which resource describes the interfaces that an implementation exposes for data exchange?
• The FHIR version must be consistent across the entire interaction, not just per resource.
• Which mechanism is a primary method of exchange in FHIR?
• Which resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation?
• In the Standards Development Process, which Standard Level applies when content is not complete or sufficiently reviewed and is included as a placeholder?
• Which resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it?
• Implementations should leverage existing security standards and implementations to ensure that (four items):
• When a resource is updated by an API, servers generally do what?
• Which resource is a formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction)?
• Which FHIR resource is used to reference a document of any kind for any purpose?
• In the three-step process to use an extension, which step comes first?
• Which resource is a formal computable definition of a graph of resources?
• Which resource is primarily used to publish a formal collection of codes and meanings that can be used across systems?
• How many available resource types exist currently?
• Which resource describes a set of rules for solving an interoperability problem using FHIR resources?
• Which module do all other modules depend on?
• In the FHIR Composition Framework, which layer is listed third?
• Which resource functions as a wrapper that contextualizes items within a catalog?
• Which resource is a curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc. Represents a "System" used within the Identifier and Coding data types?
• Which resource defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted?
• Which of the following describes how FHIR can be adapted to local requirements?
• What is the preferred method to recognize the same content on different systems?
• The philosophy behind FHIR is to build a base set of resources that do what?
• Resources share what set of characteristics? (3 items)
• Which resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content?
• Which resource defines how resources are accessed on a server?
• Which module describes how information is secured in FHIR?
• What is the basic philosophy upon which FHIR resources are built?
• Which resource describes the constraints and structure of data types used across FHIR resources?
• Which artifact describes capability statements, profiles, extensions, value sets, and documentation describing interoperable applications, and is often used as a guide for implementation?
• FHIR's primary purpose is to address interoperability with what?
• Which module focuses on the coordination of activities within and across systems?
• Which resource would you query to understand the server's support for codes, expansions, and value sets in a terminologies context?
• Profiles and extensions defined as part of FHIR are published as groups of which artifact?
• What is the primary purpose of a FHIR profile?
• In a FHIR resource expressed in JSON, which component corresponds to the human-readable summary?
• What is a record describing entities and processes involved in producing and delivering a resource, providing provenance and trust context?
• Which statement about resource conformance to profiles is supported by the rules?
• Where can an implementer find information about libraries, tools, and other similar resources?
• Which module describes when information is exchanged in FHIR?
• Not a valid FHIR serialization format?
• Which resource is a collection of error, warning, or information messages that result from a system action?
• What defines a FHIR resource?
• What is a single coherent collection of capability statements, profiles, extensions, value sets, and documentation describing a set of interoperable applications called?
• Which architectural style does FHIR support?
• What is the name of the version that changes whenever the resource content changes?
• What refers to a reference to a custom agreement that describes how the resource is being used (e.g. an implementation guide) that was followed when the resource was constructed, where the implementation guide must be known and understood in order to safely processing the content?
• Which resource constrains the optionality, cardinality, and bindings?
• Which artifact contains the formal published definition of an extension in FHIR?
• Before using a FHIR server, a client should first check which document to understand server capabilities?
• The Security and Privacy Module does NOT do what?
• Which statement best describes how derivatives of the FHIR specification may be published?
• What is the HTML human-readable part of a FHIR resource called?
• Which resource is an example of workflow instance?
• Which FHIR resource contains demographics and other administrative information about an individual or animal receiving care or health-related services?
• What mechanism in FHIR enables linking resources to form a coherent clinical story?
• What is the basic building block of FHIR?
• Which three ways can implementers seek help as they work with FHIR?
• Which resource type provides additional rules that constrain the optionality, cardinality, terminology bindings, data types, and extensions defined in the resources by an implementation?
• Which mechanism is used to implement requirements that are not part of the core FHIR specification?
• Which statement best describes the role of resources in FHIR?
• FHIR provides a set of which type of resources that can be used to represent and share the adaptations to the FHIR specification in a computable fashion?
• Which resource is a collection of documents compiled for a purpose together with metadata that applies to the collection?
• Which resource serves as a container for a set of documents compiled for a purpose along with metadata describing that collection?
• FHIR Resources are built from data types that define common reusable patterns of elements.
• Which mechanism is used to attach controlled vocabularies to data elements in FHIR?
• If you want to know the timing of data exchange, which module should you consult?
• Which of the following is a module in the FHIR specification?
• A resource identity is represented by which of the following?
• FHIR can be used as a stand-alone data exchange standard.
• The elements versionID, lastUpdated, source, profile, security, and tag are part of which resource section?
• Are optional elements defined for all resources universally required?
• Which item is part of the considerations that determine the frequency of the FHIR release cycle?
• Which framework consists of the resources Resource, DomainResource, Basic, Binary, and Bundle?
• The FHIR Composition Framework groups resources into which five layers?
• In FHIR, which artifact is explicitly defined as a single coherent collection that guides interoperability across applications?
• Which resource lifecycle applies to the sequence: preparation | in-progress | not-done | on-hold?
• What does the term 'module' refer to in the context of the FHIR specification?
• In FHIR, a modifier element is one whose presence or value cannot be ignored because it changes the interpretation of the resource.
• Who owns the FHIR trademarks according to the policy?
• Applications can add more control and meaning to FHIR resources by using which mechanism?
• Which resource documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR?
• Which of these is not listed as part of the Foundation Framework resources?
• Which type of Version changes each time the content in the resource changes?
• Which statement is true about CapabilityStatement?
• Asserting which type of rule set restricts the content to be only understood by a limited set of trading partners?
• Where should an implementor check first when determining the FHIR version?
• The extension definition is made available as which artifact?
• Which statement about StructureDefinition is true?
• Which role is not typically associated with implementing FHIR?
• The core FHIR specification describes three items. Which of the following are those items?
• What do Conformance Resources define?
• What is a web service that lets healthcare applications use codes and value sets without needing to understand the fine details of code systems?
• Which module describes how terminologies are used in FHIR?
• Which resource provides a testbed that demonstrates a complete workflow involving multiple resources?
• What is attached to a resource to provide specific security metadata about the information in the resource?
• Which type of resource identifies two or more records that refer to the same real-world occurrence?
• Which statement best describes the version that tracks changes to the resource content itself (not tied to profiles or security)?
• Which statement about Binary resources is true?
• Which statement correctly describes DomainResource in the FHIR resource hierarchy?
• Which resource is a definition of a FHIR structure?
• Which resource is designed to carry metadata for catalog items that contextualizes related resources?
• All non-trademark uses of the FHIR marks should include the ® symbol and what else?
• To understand an extension’s structure and constraints, which artifact should you consult?
• A FHIR Terminology Service is a RESTful API that supports data formats and interactions with certain resource types. Which specifications are correct?
• Support for RESTful architectures, seamless exchange of information using messages or documents, and service-based architectures are examples of what?
• Which resource encodes a transformation rule that maps data from one structure to another?
• Because it creates a common platform or foundation on which a variety of different solutions are implemented, the FHIR spec typically requires further adaptation specifying which four things?
• Which resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context?
• Which formats can FHIR be represented in actual data exchange?
• Which resource records the actions of a user or system that are relevant for security audits and understanding usage patterns?
• Most resources are derived from which type of resource?
• Which FHIR resource is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification?
• Which type of version is controlled by the author of the resource and represents the version of FHIR in which the resource is represented?
• Conformance resources, terminology resources, and 'other' resources are in which layer of FHIR resources?
• What does the lastUpdated timestamp represent in a FHIR resource?
• A capability statement can change over time.
• True or False: resources are almost always constructed following some custom agreement.
• Which of the following statements about the three-step extension process is correct?
• What do FHIR resources aim to define?
• Which artifacts can include the fhirVersion element?
• Which statement describes the relationship between DomainResource and most resources?
• What three properties related to conformance do resource elements and data types have?
• What is the three-step process to use an extension?
• Which resource lifecycle applies to the sequence: draft | active | on-hold | revoked | completed?
• What is the purpose of data types in FHIR?
• Which group is considered a primary audience for adopting the FHIR standard?
• Which artifact supports accounting disclosures?
• The FHIR specification expects requirements not part of the spec be implemented as what?
• Which resource is a map of relationships between 2 structures that can be used to transform data?
• Which FHIR resource provides metadata about a document so that the document can be discovered and managed?
• What does the base set of FHIR resources provide?
• To what does every extension in a resource apply directly?
• Which of the following best describes the 'Code' element in the coding pattern?
• Which type of resource is the header for a message exchange that is either requesting or responding to an action?
• True/False: Some normative pages contain sections labeled as 'trial use'.
• True or False: Once a resource identity is assigned by the FHIR server, the ID is never changed.
• New versions of FHIR will be published on a release cycle approximately how long?
• Which data formats are supported by the Terminology Service?
• Which part of a FHIR resource contains core data such as MRN, Name, and Gender?
• Which resource is part of the Foundation Framework resources?
• Which statement about the FHIR trademark policy is false?
• Regarding printed matter, how often should the trademark text appear when referring to the FHIR standard?
• Which resource is a set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources?
• Which statement best describes what FHIR resources define for implementers?
• What is an instance that, when created against future versions of the specification, will interoperate with older versions of the specification?
• Which feature identifies the resource on the web?
• Which statement about a FHIR resource is true?
• Which describes the interfaces that an implementation exposes for exchange of data?
• Can a resource conform to more than one profile at the same time?
• When an implementer needs a resource concept not yet defined by HL7 concepts, or needs to convey a narrative-only construct, which FHIR resource should be used?
• What is the basic use of the FHIR standard?
• Do all extensions used in resources require a formal published definition that can be used by application developers or applications themselves?
• Which of the following is NOT a property related to conformance for resources?
• What term is used for the published group that defines how an extension is structured and constrained?
• Which resource is a set of healthcare-related information assembled into a single logical package that provides a single coherent statement of meaning, with its own context and attestation about who is making the statement?
• Which platforms are supported for seeking help with FHIR?
• Which of the following is NOT listed as an example of a Web standard FHIR builds on?
• Resource and element names are case-sensitive.
• Which FHIR resource acts as a wrapper that contextualizes items included in a catalog?
• Which resource is specifically used to carry raw binary content such as a PDF or image within a FHIR interface?
• The Condition resource is broadly defined to include which concepts?
• True or False: A resource profile defines where extensions are required or expected.
• From a clinical perspective, which of the following defines how resources reference each other?
• Which type of version is managed by a human author or by a business policy and changes each time the content in the resource changes?
• The published set of profiles and extensions is organized as groups of which artifact?
• Which resource in FHIR is used to store demographic information about a person or animal receiving care?
• Which resource type is used to declare the capabilities of a FHIR server?
• A server can support multiple FHIR versions on the same endpoint if...
• Which of the following is NOT a primary mechanism of exchange supported by FHIR?
• The FHIR version of an interaction is specified in which resource?
• True or False: an update to a resource may invalidate existing tags.
• Which resource would be used to collect and report errors or warnings resulting from a system action?
• Which two special kinds of resources are used to describe how resources are defined and used?
• True or False: a resource can conform to a profile without ever being labeled that it does, or a resource can falsely claim to conform to a profile.
• Which resource defines a named search item that can be used to search/filter on a resource?
• FHIR includes implementation guidance to ensure that (four items):
• Which resource is a record of an event made for purposes of maintaining a security log, including detection of intrusion attempts and monitoring for inappropriate usage?
• In the coding pattern, which element identifies the coding system?
• Which of the following is NOT among the five things a FHIR implementer will need to resolve during implementation?
• Which process is part of the release cycle for ANSI-approved standards?
• What do FHIR resources aim to define?
• Which module is responsible for the overall infrastructure of the FHIR specification?
• Which type of compatibility do FHIR rules enforce?
• Which resource is a record of a healthcare consumer's choices, which permits or denies identified recipient(s) or recipient role(s) to perform actions within a policy context, for specific purposes and periods of time?
• Which option represents a NOT-a-layer in the FHIR Composition Framework?
• Which type of version is usually managed by a server and changes each time the resource itself changes?
• The general pattern for representing coded elements in FHIR uses which four elements?
• What is an instance that remains conformant to future versions of FHIR?
• The FHIR specification provides at least one example for all resources.
• Which resource types are supported by the Terminology Service's READ and SEARCH interactions?
• Which statement about the Security and Privacy Module is true?
• Which statement about the publication of profiles and extensions is accurate?
• To express mappings between concepts across code systems or between data element concepts, which resource is used?
• A FHIR conversation requires agreement on the FHIR version before exchange.
• With FHIR, specific use cases are usually implemented by combining resources together through the use of what?
• The FHIR version policy is based on what type of versioning?
• In the coding pattern, which element provides a human-readable label for the code?
• Code values are always treated as a pair composed of which components?
• Which resource documents the capabilities and supported operations of an implementation?
• Which term describes the HTML human-readable portion of a resource?
• What is the recommended initial reference to the FHIR standard on a website, document, or presentation?
• For understanding how to secure information in FHIR, which module should be consulted?
• True or False: a resource can only conform to a single profile at once.
• To document a namespace used for identifiers within FHIR data types such as coding, which resource provides the namespace management?
• What is one method to identify a FHIR resource?
• Which resource is a statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models?
• True/False: The metadata items are all required, though some or all of them may be optional in particular implementations or contexts of use.
• At its core, FHIR contains two primary components:
• Which FHIR resource is used to define a push-based subscription from a server to another system?
• Which module maintains the most basic documentation for the FHIR specification?
• True/False: Some normative resources contain elements labeled as 'trial use'.
• In the Standards Development Process, which Standard Level applies when content is well reviewed, production-ready, balloted, and approved as an official standard?
• Which resource would you use to reference a document stored externally and manage its metadata?
• Which module does every implementor work with, whichever way they use in FHIR?