Triggering Events 1) There is one-to-many relationship between message types and trigger event codes.

What is true in following statements: i. The same trigger event code may not be associated with more than one message type; however a message type may be associated with more than one trigger event code ii. All message types and trigger event codes beginning with letter Z are reserved for locally defined messages. No such codes will be defined within the HL7 standard iii. The same trigger event code may be associated with more than one message type; however a message type may not be associated with more than one trigger event code iv. All message types and trigger event codes beginning with letter Z are never reserved for locally defined messages. Such codes will be defined within the HL7 standard Anwer : a. I ,ii correct answer b. I,ii,iv c. ii,iii,iv d. I,ii,iii e. ii, iii 2) When transfer of information is initiated by the application that does not deal with the triggering event is called: a. Query/response mode correct answer b. transfer response c. unsolicited update d. none of the given e. acknowledgement 3) Select true statements from below : i. An unsolicited message is a transaction that is generated by some type of event that occurred at a semi-random time, and was not solicited by receiver ii. A trigger event specifies the context of a certain transaction , in many cases the reason for being iii. Trigger events are always random and unplanned Answer : a. i b. I,iii c. I,ii,iii d. I,ii correct answer e. I,iii 4) What are ADT trigger events concerned with? i. single objets such as admit event that creates a message that contains data about a single person/account ii. Relationships between more than one object like merge event that specifies patient or account merges

iii. collection of objects that may have no specific interrelationships (eg. A record oriented location-based query, whose response contain data about a collection of inpatients who are related temporarily by local geography) Answer : a. I,ii,iii correct answer b. ii c. iii d. I,ii e. i 5) Which are basic type of messages defined in scheduling transaction set? a. Query transaction only b. Unsolicited transaction only c. request transaction, query transaction, unsolicited transaction correct answer d. request & query transactions e. unsolicited transaction and query transactions 6) Which trigger event should be used to transmit the opening of an account, when accounts start and end date span a period greater than any particular visit or to create a new account without notifying of patients arrival? Answer : a. A05 b. A02 c. A07 d. A01 e. P01 correct answer 7) A _______ is defined as an event in the real world of healthcare which creates the need for data to flow among systems a. query b. trigger event correct answer c. unsolicited update d. solicited update e. message 8) Regarding trigger event which of the below statements are true i. One to many relationship exist between message 7 trigger event ii. More than one trigger event may be associated with a message iii. Trigger events are allowed at several different levels of data granularity and interrelationships v. Iv.Unsolicited update can be initiated without trigger event vi. Single trigger event is associated with one message type. Multiple messages may be associated with single trigger event Answer : a. I,ii,iii correct answer b. I,iii,v c. i d. I,ii,iii,iv,v e. iii,iv 9) Which of the following is not an example of HL7 v2.7 trigger event? Answer : a. swap patients b. unsolicited transmission of an observation message c. delete person information

d. application acknowledgement correct answer e. query sent for deferred response 10) The event A01 can be used to notify: i. the pharmacy system that a patient has been admitted ii. The nursing system that the patient has been admitted iii. the finance system of the start of billing period Answer : a. I,ii b. ii c. I,ii,iii correct answer d. I only e. I,iii 11) When the transfer of information is initiated by application system that deals with the triggering event, the transaction is termed as an Answer : a. unsolicited update correct answer b. solicited query response c. unsolicited display update d. solicited query response e. trigger event 12) Typical examples of patient arrivals at an ER is an example of which of the following? Answer : a. Query transactions only b. unsolicited event correct answer c. trigger event d. solicited response e. solicited event