Special Topics in Vendor-Specific Systems: System and Database

Architectures Used in Commercial EHRs

Self-assessment

1. Which of the following is/are component(s) of the architecture of an Electronic

Health Record (EHR)?
a. Users of EHR
b. Pharmacy
c. Clinical data repository
d. a and c only
e. All of the above

2. Which of the following is an example of front end hardware platforms for

EHRs?
a. Database server
b. Application server
c. Mobile device
d. a and c only
e. All of the above

3. Which type of EHR hardware platform exists independent of a central server?

a. Thick client
b. Thin client
c. Web based
d. Citrix

4. Which type of EHR hardware platform requires that most of its business logic
take place on a desktop PC?
a. Thick client
b. Thin client
c. Web based
d. Citrix

Health IT Workforce Curriculum Special Topics in Vendor-Specific Systems

Version 3.0 / Spring 2012 System and Database Architectures Used in Commercial EHRs

This material (Comp14_Unit5) was developed by Columbia University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
5. Which type of EHR hardware platform may use online document processors
as opposed to the traditional software?
a. Thick client
b. Thin client
c. Web based
d. Citrix

6. Which of the following is/are example(s) of a health information system that

may be included in EHRs?
a. Pharmacy
b. Radiology
c. Laboratory
d. a and b only
e. All of the above

7. Which of the following is/are example(s) of operating systems for EHRs?

a. MacOS
b. Linux
c. Oracle
d. a and b only
e. All of the above

8. For items i-vi, match the type of database with its component using either
response a or b.
a. Relational database
b. Hierarchical database

i. SQL Server:
ii. PureXML
iii. Structured as formally-described tables:
iv. Structured tree-like with branching:
v. Oracle:
Health IT Workforce Curriculum Special Topics in Vendor-Specific Systems
Version 3.0 / Spring 2012 System and Database Architectures Used in Commercial EHRs

This material (Comp14_Unit5) was developed by Columbia University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
vi. Intersystems-Cache:

9. Based upon the EHR system reviews in unit 5, which EHR system uses
software that is centered around the MUMPS/Cache database?
a. Epic
b. Eclipsys
c. Quadramed
d. NextGen
e. eClinicalWorks

10. Based upon the EHR system reviews in unit 5, which EHR system uses
software that is centered around SQL Server database?
a. Epic
b. Eclipsys
c. Quadramed
d. NextGen
e. eClinicalWorks

11. Identify FOUR (4) recommended EHR security measures according to the
AHIMA e-HIM work group on Security of Personal Health Information.

12. Which of the following is/are benefit(s) of audit logs of an EHR system?
a. Allows the client to know when the system is used most.
b. Allows the client to know who uses the system and how often.
c. Allows the client to access audit logs to enhance information security.
d. a and b only
e. All of the above

Health IT Workforce Curriculum Special Topics in Vendor-Specific Systems

Version 3.0 / Spring 2012 System and Database Architectures Used in Commercial EHRs

This material (Comp14_Unit5) was developed by Columbia University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.