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HL7, DICOM & IHE Flashcards | StudBud
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HL7, DICOM & IHE
HL7, DICOM & IHE
93 terms
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instrumentation 2 quiz 2
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Answers
1
what does system 2 represent?
when the radiologist completes the report
when the physician orders an exam
when a patient arrives in the hospital
when a patient is discharged from the hospital
2
HL7 ADT messages r used 2 communicate patient demographics, state, and visit info. What does ADT NOT stand for?
Admit
Details
Transfer
Discharge
3
DICOM maintains a list of all standard attributes to ensure consistency in naming and formatting. This is called...
DICOM Dictionary
DICOM Patient IOD
DICOM Data Dictionary
Data Dictionary
4
when a ORU message is generated, it is sent to the EMR (DSQ) for the referring physician to review
True
False
5
HL7 is a set of international standards for transfer of ____ & ____ between healthcare applications
clinical & administrative information
administrative & healthcare information
clinical & patient information
patient & administrative information
6
Between ORM and ORU, which are messages used to send test results to another system?
ORU
ORM
7
3. Full support for numerous image-acquisition parameters and different data types. What do we need for this?
RIS servers
OMU servers
retail servers
PACS servers
8
what does it depend on?
if the tech feels like sending it
how big the file is
if the referring physician wants the images right away or not
if it is set up to be sent automatically or not
9
In A when an admission ADT message is generated, it is sent to who...?
the radiologist in question
to the patients file
to whichever medical professional is taking care of that patient
to all of the clinical systems
10
what are the health standards based off of?
all of the above
Health Level 7
Integrating the Healthcare Enterprise
Digital Imaging Communication in Medicine
11
RIS is a longterm achieve and will keep patient information for next time, making registration faster
False
True
12
ordering a drug or requesting an ultrasound would be...?
ORU
ORM
13
DICOM is only an imaging or file format
False
True
14
Integrating the Healthcare Enterprise does what?
set the goals for all techs
sets the limitations for all techs (not to pass patients boundaries)
drives the adoption of standards
sets the goals for each unique hospital organization
15
NEMA = National Electrical Manufacturers Association
True
False
16
Value Multiplicity defines what?
if there are multiple examinations
if value representations have multiple elements
lists of allergies the patient may have/has
if an attribute has multiple elements
17
the scanner ___ from the storage archive; the archive ___ the CT storage service to the scanner
demands; obtains
provides; requests
obtains; demands
requests; provides
18
Between ORM and ORU, which are messages used for general orders that can refer to materials or services?
ORM
ORU
19
DICOM standard plays an integral role in digital medicine evolution, ensuring best quality. How many parts are there?
22
24
12
42
20
DICOM conformance statement document = the DICOM standards... To be more specific though, wtf is that?
gives key insights on the capabilities of the system
Not this answer either
Not this answer
how it works within imaging ecosystem
21
4. Complete encoding of medical data. What does this mean?
uses server (what you keep your information on)
all of these
it captures various medical data (pt name, diagnosis, image color depth)
it is essential for accurate diagnosis since data captures active radiology
22
DICOM = Digital Imaging Communication in Medicine
True
False
23
Interoperability has MANY benefits - but which of these is the main goal of it?
standards to enabled efficient and effective diagnostic service delivery
address the problems introduced by a multivendor IT ecosystem
enabled collaboration between care teams locally and globally
lower the cost and barriers to healthcare by reducing delays/exams
24
what does arrow E represent?
DICOM is retrieved by PACS workstations for display
DICOM (web versions) may be viewed as part of the report review process
Images that are acquired transform into DICOM objects --> stored in PACS
DICOM modality worklist used by techs acquired images = right patient&order
25
the application level interfaces directly to and performs what?
differing application services for the application processes
common information services for the application processes
common application services from the application processes
different information services for the application processes
26
why has transmission of images and textual information between healthcare information systems been difficult?
bc ur mom says no
bc not all technologies are used in every clinical setting
bc of the different computer platforms various information systems use
bc the images and data r generated by many modalities and manufacturers
27
1. Universal standard of digital medicine. What does this mean?
It has excellent image quality
it has many attributes to convey various medical data
modern medical workflow is implicitly controlled by multitude DICOM rules
it stores records of image-related paterns
28
each system contributes a unique function, but come together in harmonious integration
True
False
29
DICOM is administered and published under what?
HIS
HL7
NEMA
RIS
30
Converting DICOM images to JPEGS or bitmaps (limited to 256 shades of gray) does what to the image quality?
decreases it (unacceptable for diagnostic reading)
stays the same
increases it
31
your system can send order information to IntelePACS with ORM messages
False
True
32
HL7 is the standard of communication between different information systems managing patient info, specifically...
Quebec Health Booklet and HIS
RIS and PACS
HIS and RIS
PACS and HIS
33
5. Clarity in describing digital imaging devices and their functionality. What does this mean?
it is a very precise and device-independent terms
it is a very precise and device-dependent terms
34
which model remains valuable as a place to begin the study of network architecture?
International Organization for Standardization (ISO)
Open Systems Interconnection (OSI)
35
HL7 also has an ORU - what does this stand for?
Observation Result
Observation Request
Order Request
Order Result
36
what does IHE do?
describes how to use these standards
sets the goals for these standards
sets the limits for these standards
promotes the use of these standars
37
between DICOM and HL7, which is the messaging standard & is a widely implemented standard?
DICOM
HL7
38
DICOM is the primary protocol for what?
transmitting patient info from modalities to RIS
transmitting patient info from admissions to RIS
transmitting medical images from modalities to PACS
transmitting medical images to RIS
39
what does the DICOM Conformance Statement do?
provides which SOPs (services) the unit supports&what extent supports them
explains which SOPs (services) the unit supports&what extent supports them
supports which SOPs (services) the unit supports&what extent supports them
40
HL7 VS DICOM - which makes it possible to share healthcare info between HIS, RIS, and PACS?
DICOM
Both
HL7
41
between the 3, which is contained in the DICOM header which is a list of key-value pairs
acquisition setup (type of equipment that was used)
all of deez
metadata related to patient (name, gender, DOB)
study (study of description)
42
what does arrow C represent?
DICOM modality worklist used by techs acquired images = right patient&order
DICOM (web versions) may be viewed as part of the report review process
DICOM is retrieved by PACS workstations for display
Images that are acquired transform into DICOM objects --> stored in PACS
43
Integrating the Healthcare Enterprise is an __ initiative to improve the way computer systems in healthcare share info
global
local
international
Mr World Wide
44
each system brings the same functions within clinical and business workflows to create the best care possible
True
False
45
DICOM has a large file size, so how much storage is needed to store and share?
it doesn't matter
a large amount of storage
small storage - this is one of the benefits to DICOM
46
when the physician orders an exam, which message is generated again?
ORM
ORU
47
with medical device functionality, DICOM interfaces become straightforward predictable process leaving little error room
True
False
48
what does arrow E represent?
when a patient arrives in the hospital
when the radiologist completes the report
when the physician orders an exam
when a patient is discharged from the hospital
49
Value Representations are format or type defintions for DICOM elements (attributes). Which of these is an example?
Medicare Number (MN)
Weight (lbs)
Date of Birth (DOB)
Person Name (PN)
50
standards used in Canada provide communications that enabled health care providers to communicate and share info in a...
reliable manner
safe manner
unambiguous manner
consistent manner
51
definitions of objects r standardized according to Information Object Definitions. They are known as a collection of...
binary numbers
objects
subjects
attrubutes
52
what does arrow D represent?
DICOM modality worklist used by techs acquired images = right patient&order
DICOM is retrieved by PACS workstations for display
Images that are acquired transform into DICOM objects --> stored in PACS
DICOM (web versions) may be viewed as part of the report review process
53
when data is captured as DICOM attributes it can be transmitted and processed between various devices. Name of this?
Acquisition Entities
Application Entries
Application Entities
Acquisition Entries
54
the ORM message may be sent to RIS/PACS systems
False
True
55
which is the response to the other? (what USUALLY comes second)
ORU
ORM
56
The RIS interfaces to PACS based on which standard?
HL7
Canada Health Record
DICOM
HIS
57
Services usually involve data exchange, so associations are made by DICOM. What is the name of this?
Standard of Practice
Special Object Pairs
Service Object Pairs
Supplementary Object Pairs
58
HL7 also has an ORM - what does this stand for?
Medical Order
Order Meaning
Medical Ordeal
Order Message
59
HL7 VS DICOM - which is textual data format?
HL7
DICOM
Both
60
a unique identifier for an element used to identify attributes and corresponding data elements are called...
acquisitions
tags
data
notes
61
HL7 VS DICOM - which is this?
Both
DICOM
HL7
62
between DICOM and HL7, which is the de facto standard for exchanging medical images?
DICOM
HL7
63
DICOM files and messages use more than ___ standardized attributes
300
2000
8000
5000
64
your system can send order information to IntelePACS with ORU messages
True
False
65
for value multiplicity, if the number says "1-n" what does this mean?
there are multiple attributes in this section
the tech forgot to fill this part is, so we have to ask the patient
there are no attributes in this section
the number of attributes is unknown
66
DICOM has specific names for them. They call the service providers...
Service Class Users (SCU)
Service Class Providers (SCP)
67
each DICOM unit will be accompanied by its own DICON conformance statement
True
False
68
other than image and file format, what else do DICOM files contain?
metadata related to patient (name, gender, DOB)
acquisition setup (type of equipment that was used)
study (study of description)
all of deez
69
what does arrow A represent?
when the radiologist completes the report
when the physician orders an exam
when a patient arrives in the hospital
when a patient is discharged from the hospital
70
for DICOM, patients, studies, and medical devices (all real-world data) are viewed as what?
objects
data
attributes
servers
71
HL7 VS DICOM - which includes data format and communication protocols?
Both
HL7
DICOM
72
IHE promotes the coordinate use of established standards such as...
HL7
PICS
DICOM
HIS
73
when the radiologist completes a report, which message is generated?
ORM
ORU
74
between DICOM and HL7, which allows for the exchange of clinical data?
DICOM
HL7
75
what are the 2 consensus documents that define information system behaviour (provide standards)
HL7
HIS
DICOM
RIS
76
what does arrow B represent?
DICOM modality worklist used by techs acquired images = right patient&order
DICOM (web versions) may be viewed as part of the report review process
DICOM is retrieved by PACS workstations for display
Images that are acquired transform into DICOM objects --> stored in PACS
77
for HL7, the 7 refers to the 7th level of the International Organization for Standardization (ISO) - application level
False
True
78
An HL7 message is composed of _____ which each ___ identifies a type of message containing information
a series of symbols; symbol
a series of segments; segments
a series of binary numbers; number
a series of codes; code
79
information systems must...
share data
neither
both
share status with each other
80
things like putting in patient information, arrival, completed exam, departure are all put where?
RIS
HIS
HL7
PACS
81
what is the definition of HL7?
industry standard format messages -> from software system 2 another
industry standard format messages -> from medical software system 2 another
industry standard format messages -> from hardware system 2 another
industry standard format messages -> from medical hardware system 2 another
82
access to data has a human cost - what is it? (it's all of them just read it)
imaging studies not readily available in interoperable systems = reimaged
risk of double examination/additional radiation
more risk of obtaining a hospital infection
increased cost for the patient or the healthcare system
83
DICOM is the global standard for ____ of medical imaging information
transmission and storage
transmission only
display and transmission
display, transmission, and storage
84
sometimes there is no accession number in the DICOM setup, why?
because the admissions people forgot to put it in
because it was not in the RIS system yet, tech put info in manually
because the patient is not in the system
because accession numbers are for losers and these patients are not losers
85
2. Excellent image quality. DICOM supports up to 65, 536 shades of gray. How many bits is this?
16
36
24
12
86
DICOM shaped the landscape of contemporary medicine by providing how many things?
6
4
5
3
87
DICOM provides viewer software (zooming, brightness, contrast, etc...) Cool, but what is an important element to have?
acquisition number
functionality
anonymization
patient consent
88
DICOM has specific names for them. They call the service requestors...
Service Class Users (SCU)
Service Class Providers (SCP)
89
between DICOM and HL7, which allows for sharing of healthcare info between HIS, RIS, and PACS?
DICOM
HL7
90
information technology (IT) is complex, so no information system can provide all functionality
False
True
91
are things in PACS stored automatically?
it depends
yes
idk man
no
92
there is a diverse set of ____ systems in a hospital, generally unique to the healthcare domain
hardware
software
hardware and software
93
HL7 VS DICOM - which is this?
DICOM
Both
HL7
