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| Section | Objectives |
|---|---|
| Topic 1: Health Cloud Fundamentals | - Healthcare data model overview - Industry-specific terminology (patients, care teams, providers) - Core concepts of Salesforce Health Cloud |
| Topic 2: Patient and Member Management | - Consent and privacy considerations - Patient data model and records - Care team assignment and collaboration |
| Topic 3: Care Coordination and Plans | - Tasks, milestones, and goals - Care plan structure and lifecycle - Care program management |
| Topic 4: Security, Compliance, and Industry Considerations | - Data access control in Health Cloud - HIPAA and healthcare compliance basics - Auditability and privacy safeguards |
| Topic 5: Data Integration and Health Data | - Integration with external healthcare systems - FHIR alignment concepts - Health data ingestion concepts |
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NEW QUESTION # 114
A customer wants to view medication data from Health Cloud leveraging FHIR standards. Which Health Cloud data model should a consultant use?
Answer: B
Explanation:
The Health Cloud Clinical Data Model is explicitly aligned to HL7 FHIR R4 standard entities, including Medication, MedicationRequest, MedicationStatement, and MedicationDispense. The FHIR-aligned Clinical Data Model represents clinical concepts such as conditions, encounters, observations, procedures, allergies, and medication information in a consistent healthcare structure. FHIR R4 provides standardized healthcare resources and REST-oriented semantics, reducing dependence on proprietary object structures when clinical data is exchanged with EHRs, payers, or other healthcare systems. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach.
Study Guide references/topics:Design - Clinical data model; FHIR; Medication
NEW QUESTION # 115
Care managers at Bloomington Caregivers call patients after they are discharged from a hospital to ask a series of questions, which the care manager enters into Health Cloud. The patient is then automatically assigned a personalized care plan based on the answers they provided. Which two capabilities should a consultant leverage together to fulfil this requirement?
Answer: A,D
Explanation:
Discovery Framework conducts structured post-discharge intake assessments, which trigger and auto-populate personalized care plans in Integrated Care Management. Discovery Framework provides reusable assessment questions, versioned question sets, conditional branching, scoring, response capture, and OmniStudio-based assessment experiences. Integrated Care Management structures care plans around reusable problems, goals, interventions, assessments, and care-team activities so care coordination can be standardized and personalized. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle.
The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Integrated Care Management; Discovery Framework) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Discovery Framework; Care Plan
NEW QUESTION # 116
A payer needs to enable its agents to answer questions from members regarding their benefits coverage. The payer has already set up the required objects to be populated with the necessary information through an integration.
Which Health Cloud component should a consultant recommend for the Member record page?
Answer: A
NEW QUESTION # 117
A customer that already has Service Cloud is onboarding a new business unit, which needs to use Health Cloud.
Which three organization-wide default settings should an administrator change to ensure the original business unit that leverages Service Cloud does not have visibility into protected health information (PHI)?
Choose 3 answers
Answer: A,C,E
Explanation:
When onboarding Health Cloud into an org that already uses Service Cloud, it's critical to properly configure Organization-Wide Defaults (OWD) to ensure that protected health information (PHI) remains restricted.
The correct settings are:
A . Set Person Accounts to Private
Patients are modeled as Person Accounts in Health Cloud.
Setting Person Accounts to Private ensures PHI isn't exposed to users outside the Health Cloud business unit.
B . Set related clinical objects to Controlled by Parent or Private
Clinical objects (e.g., Care Plans, Assessments, Referrals) often relate to patients.
Making them Controlled by Parent (Person Account) or Private ensures only authorized users can see PHI.
E . Set Health Details to Controlled by Parent or Private
Health Details contain sensitive clinical data.
Must be restricted at the OWD level to prevent exposure to non-Health Cloud users.
Why not the others?
C . Set Account and Contract to Private
Regular business Accounts/Contracts are part of Service Cloud, not typically where PHI resides. Restricting them isn't required for PHI protection.
D . Set Contact to Controlled by Parent
Contacts in Health Cloud are often caregivers or providers, not patients (who are Person Accounts).
PHI protection centers around Person Accounts + Clinical Objects + Health Details, not Contacts.
Salesforce Health Cloud Reference:
Salesforce Health Cloud Security and Sharing Guide:
"For HIPAA and other PHI compliance, set Person Accounts and Health Cloud clinical objects to Private or Controlled by Parent."
"Ensure Health Details are not exposed via default sharing."
NEW QUESTION # 118
A provider is looking to view a patient ' s insurance coverage, including co-pay and deductible information, prior to their appointment. Using Health Cloud, which two steps should a consultant take to access this information in the Benefit Verification component?
Answer: B,C
Explanation:
Benefit Verification requires a secure authenticated connection and the endpoint path used to invoke the external payer or clearinghouse service. A Named Credential centralizes authentication, while the configured URI path points to the benefit-verification endpoint. Together they support the real-time retrieval of coverage, deductible, copay, and related benefit information. From an implementation perspective, the configuration should use delivered Health Cloud and Salesforce mechanisms first, preserving standard relationships, security enforcement, and upgrade compatibility while limiting custom code to cases where declarative capabilities are insufficient. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Create a named credential to support authenticated callouts.; Configure the link to the clearinghouse ' s endpoint using a Uniform Resource Identifier (URI) path.) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Implement - Provider; Insurance
NEW QUESTION # 119
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