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501 Quiz Flashcards

0
Q

Do reports generally contain multiple styles?

A

Reports are made out of print groups generally print groups will be one style within one reports

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1
Q

What are the different styles of reports?

A

Plaintext, Rich text, and Native HTML

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2
Q

Do reports appear in hyperspace only?

A

No reports can appear in hyperspace but some reports are sent directly to a printer typically because of some action taken in epic i.e., when a doctor signs in order for a class III visit prescription the report will typically print out this is an example of server-side printing

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3
Q

What kind of reports can be used with server-side printing?

A

Only only rich text and plaintext reports can be used with server side printing

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4
Q

What is print group style determine?

A

Print group style determines whether the print group is plain text rich text or native HTML. Depending on which print group type i.e. flowsheet results result reports that you specify the style might be defaulted.

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5
Q

Print group type: what does this determined?

A

Determines what kind of data your print group will access for example flowsheets results, notes, lab result reports might read lab results but also reports.

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7
Q

What happens if you press shift plus F7 in your print group record before you specify the code to execute?

A

A different code to execute would have appeared by default, and it would not have allowed the print group to appear in hyperspace

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8
Q

What does the code to execute do? d lab^CVSUMRPT (“”, “”,”CVlipid.ico”,2,””)

A

The Code to Execute field uses a Cache code. The “d” at the beginning means “do”.
The “lab” is the subroutine, while the portion that reads CVSUMRPT is the name of a Cache routine that retrieves and displays patient data.
The parentheses contain parameters that allow you to customize the display without changing the code.

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9
Q

Print Group Type

A

This field determines what data your print group will access. Common options include: Flowsheet (to display values filed to review flowsheets), Results (to display results from labs), Notes (to display notes written on the patient), and Lab Result Report (to display not only results of labs, but also reports).

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10
Q

Style

A

This field determines whether the print group is plain text, Rich Text, or Native HTML. Depending upon which print group type you specify, the style might default in.

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11
Q

Code to Execute

A

Generally, you can find relevant code to execute by looking at similar print groups.
In the Data Handbook, you can search for print groups that contain particular pieces of code. For example, you can search for CVSUMRPT.

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12
Q

Parameters are:

A

These are options you can tweak without writing new code.

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13
Q

The ‘TITLE” field in a PG is CASE SENSITIVE (T/F)

A

True

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14
Q

Date/Time Width - PG

A

Specify what percentage of the entire screen you would like the Date/Time column to occupy. The actual width of this column will fluctuate based upon how wide your screen in Hyperspace is set. Epic recommends 15 percent.

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15
Q

What does Component Based? mean in a PG configuration ?

A

If you enter Yes in this field, you will be unable to access the Show narrative, Show impression, Maximum Lines, Group Procedures, Foreground Color if Empty, Background Color if Empty, and Procedure Group fields.
The components are entered in the Filter Settings section (next screen).
If you enter No, you will be unable to access the Collapsed Component View, Component Common Name, and Component Column Header fields.

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16
Q

What does Allow Links? mean in PG Configuration? what is the Default setting?

A

If you enter Yes, users can access detailed order or result reports via hyperlinks in the print group. The default setting is No.
Hide Print Group if Empty?

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17
Q

What does “Hide Print Group if Empty?” do?

A

Enter Yes if this print group should not appear in Hyperspace if there are no relevant results. Enter No if this print group should appear in Hyperspace even if there are no relevant results.

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18
Q

Filter Settings screen _ what does it do? Give an example

A

On this screen you can determine:

  • from how far back in a patient’s record the print group looks for data,
  • specify at which stage of resulting the data will populate the print group,
  • and list the components your clinicians would like to see in this print group

The physicians have told you they’d like to be able to see results from the last 5 years (1825 days or 43,800 hours). They would, of course, like to see the final results, but also preliminary and edited results.
Finally, they would like to see results for a TSH.
They would like abbreviations so as not to clutter up their report.
See pg 2-22 n the companion.

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19
Q

What is the difference between a SMARTLINK & a SMARTPHRASE?

A

both are invoked with a period and a phrase name. However, they are stored in two different masterfiles and each has special nuances to their configuration.

SMARTLINKS: display information in a note or a letter (most commonly patient data but they can also display user or even department data)

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20
Q

What are some ways end users can use SmartLinks in SmartTool enabled boxes?

A

Automatically when a SmartLink is a component of a SmartText or SmartPhrase
• By typing a period and then the name of the SmartLink (for example: .name and .sex)
• By searching in the SmartLink/Phrase Butler
To open the SmartLink/Phrase Butler, either type “.?” or

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21
Q

What is a secret way to open the smartphrase butler?

A

type “.?”

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22
Q

What are the 3 categories of SMartLinks

A
  1. SmartLinks that have no parameters
  2. NAME, .AGE, .TODAYSDATE (cannot be changed)
  3. SmartLinks that have user level parameters
    SmartLink[parameter1,parameter2, etc. Many result based SmartLinks have user level parameters. User parameters reduce the number of SmartLinks that you need to maintain. For example, the “brieflab” SmartLink can be used to pull in any result component (like glucose) or combination of components (like WBC, RBC, and platelets).
  4. SmartLinks that have system parameters:
    system parameters are set by the project team in the actual SmartLink record. They establish how individual SmartLinks function in Hyperspace
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23
Q

How can you find out a BASE Name for a results component?

A

check the ORD in Record Viewer, go to to the test result you are looking for, i.e., hemocrit, then click that hyperlink to take you to the record
Item 45 will give you the base name for that component.

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24
Q

User Level Parameters - LabsWhat is the difference btwn GETLABS and Lastlabs

A

GETLABS will give you all lab results for visit on the day of the current visit and previous visits. it will accept 2 parameters, separtated byt commas = the lookback time and the format of the output

so, it would look like .getlabs[6m,1 – 1 would = the abbreviated display, etc.

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25
Q

User Level Parameters - What are REVFS?

A

Review Flowsheet Smartlinks

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26
Q

Userweb smartlink resources: Where can you view a list of all Epic SmartLinks? Is there any additional documentation on what options you have to modify the display?

A

This information is available on the UserWeb in the Epic Standard SmartLinks file. Go to UserWeb > Galaxy and search for SmartLink. The latest version of the file (it’s an Excel spreadsheet) will appear as a Recommended Link. If you would like the spreadsheet from an earlier version, change the version in the drop-down list to the left of the Search box at the top of the screen.

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27
Q

Smart Phrases: How do users summon them?

A

Phrase: Type a dot and then completion match on phrase name OR use Butler
TEXT: use the Insert Smart Text field on the toolbar
Often DEFAULTED: SMART TEXT can be part of a smartSET OR a SText can be defaulted into a disharge summary note type.

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28
Q

Smart TEXT are built by:

A

Builders (system phrases)

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29
Q

SMART Phrases are built by:

A

Endusers (user phrases)

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30
Q

Who maintains SmartTEXT?

A

SmartText are usually maintained by an appointed group of administrators and reviewers responsible for the content.
User SmartPhrases are not formally reviewed, whereas system phrases might be reviewed.

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31
Q

Naming conventions for SmartPhrases?

A

Develop and consistently use a naming convention. For example:
• Prefix for “what is it” (instructions, note, etc.)
• Descriptor for the issue (DM, arthritis, etc.)
• End modifier as needed (initial visit, follow-up, male, female, etc.)

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32
Q

Does editing a smartlink from a copied system phrase in a smartphrase affect it in the rest of the system?

A

Note that you can make changes to this template which will only be
reflected in the SmartPhrase you’re working in. For example, if you wanted
to change the BRIEFLAB SmartLink to display the last 2 Hemoglobin A1C
results, you could do so without affecting the underlying SmartText you
used as a guide for this Phrase.

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33
Q

What does the color yellow background mean in a smartlist?

What does a dark blue highlighted choice mean?

A

yellow background = Refreshable

drk blue = default choice

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34
Q

What is mutually exclusive mean?

A

Set up so users can only make a logical choice. Make sure you use the group key to select your groups.

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35
Q

Where would you go to find out how to name your smartlists?

A

Consult the Style guide and naming and number convention suggestions on User weB

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36
Q

What does the Used by tab tell yo in the the smartlist editor?

A

what other smart tools will use that smartlist

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37
Q

when should you set up a default choice in a smartlist?

A

only if they will be selected at least 80% of the time

38
Q

When setting up more than one default you have to

A

Make sure that multiple select it on, and chose the correct logic to make sure that it is configured correctly

39
Q

Steps to embed

A

1) place the cursor in the selection value you want to embed
2) then use the appropriate tab to embed a smartlist, link or text and look up the record
3) Click Add to smartlist

40
Q

What type of logic is used for SmartText restrictions?

A

AND = all conditions must be met

41
Q

What determines the text that shows up automatically when you open notewriter?

A

this is generated in the Note Template Record which is linked to the profile record.

42
Q

In the note template you can list Smart blocks to:

A

to cause corresponding buttons to appear in the note template.

43
Q

How to you link a chief complaint to an HPI smart form?

A

A chief complaint is linked to a SDE using external concept mappings —> then the SDE is linked to a smartform in the profile record:

extn concept map---SDE  Smartform
 |
 |
Chief complaint
This allows different end users to have different smart form based their chief complain
44
Q

Chief complaints that are not linked to a smartform cause a generic smartform to appear
Where is this generic smartform housed

A

In the Profile

Notewriter HPI General Settings Screen

45
Q

Which Note Template appears on the Note Tab and where is it stored?

A

In the PROFILE

profile–>Note Template–> SmartBlock - this controls the defaulted text (generally set in Sys DeF

46
Q

T/F is there a reason for visit preference list assigned at the profile level?

A

True (Reason for Visit Pref List –> Ambulatory and Emergency Encounter Options screen—>Chief complaint)

47
Q

What is the path to get to the notewriter HPI forms Screen to find out if there is a smartform that you want to modify? - what do you have to do once you find it?

A

Clin Admin>management op>profiles>not, letter, transcription> notewriter HPI forms
If it is epic released, then you must copy.

48
Q

What is Context?

A

Determines the level at which data is stored in the system. Drives weather previously entered data should be used at the pt level with default values the next time you open the form OR if the values should be Encounter specific.
Concept Context: Contexts can use a granularity as specific as different parts of a note populated within an HPI smartform
A pt might have multiple chf comp - a diabetic pt might have sprained her leg in sports, so you would want the information on pain to be stored as precipitated by the sprain/injury, not the diabetes. So you would set the precipitated by factors at the concept level at

49
Q

What is an HPI SmartBlock

A

It is a special type of smartlink that serves as a place holder in the progress note for the text that will be generated from the smartform and causes the HPI tab to appear in the smartform

50
Q

In which master file should you configure letters-related settings for specialists? why?

A

Profile level, to make sure they show up for the appropriate parties

51
Q

True or False: You should create a unique referral result letter template for each specialty and subspecialty department at your organization. Why?

A

False, there are configurable components available to end users that can be brought in via smartphrase or list.

52
Q

(4 pt) Which of the following steps must be done when creating a Note Template for use in the NoteWriter? (Select all that apply.)

A

Link the SmartForm (HSF) to the SmartBlock (ETX). (1 pt)
Link the Text Generation Template .sfhpi to the SmartBlock (ETX).
Link the SmartBlock to the Note Template. (1 pt)
Link the Note Template to the Profile. (1 pt)

53
Q

Where do you immunization records to question records

A

the questions appear in the immunization activity as an extension of the details form

54
Q

For Immunizations: The Meds and Orders section looks to

A

the procedure (EAF) file which links to Immunization Master File which links to the Questions master file

55
Q

What is the ID prefix for the immunization procedure?

A

LIM

56
Q

T/F Epic recommends that you build the Immunization records before the EAPs

A

True

57
Q

What is the naming convention for EAP IMM records?

A

IMM###

58
Q

What are the 2 paths to Immunizations in clin admin

A

medications, IMMs

procedure, scheduling

59
Q

Why can’t you see default values for IMMs that are patient reported?

A

Because they may not match what the patient actually got.

60
Q

In the ordering/administering workflow:
The system first checks the ________________ record for any default values, and then looks to the linked _____________________ record for any items not specified in the procedure record.

A

EAP, LIM??

61
Q

What is an Orderable purpose?

A

Requests that a service be performed - “Someone please do this!” default is NO

62
Q

What is a Performable?

A

A performable is used to document that a service or procedure was performed, usually as the result of an order. “This has been done.” This is for procedures that need to be documented, but not charged
The default is no.

63
Q

What is a chargeable?

A

A chargeable is used to apply a charge to an account. “Let’s get paid for having done this.” These are procedure records used to bill for a procedure, service, or supply, and are typically imported from a third-party vendor.
Chargeables are linked to other procedure records.The default is no.

64
Q

What is an Historical?

A

Historical records are used to document a procedure performed in the past, perhaps as reported by a patient. The default is no.

65
Q

When is a linked chargeable screen available in an EAP?

A

Only if the the procedures record purpose is PERFORMABLE

66
Q

Question Record IMM type - where are they?

A

As of Epic 2012, “order-specific” question records (for procedure and medication build) are only built in Hyperspace. However, “immunization question” question records are built in Clinical Admin.

67
Q

Where do you link the questions for IMMs?

A

In Questions in the LIM - add the question you create in the EAP

68
Q

Will questions show up for IMMs that are historically documented?

A

No, because there is a system setting that controls this - the patient should not receive counseling since it has happened in the past.

69
Q

Visit Navigator Template Definition (LVN)

A

Explain the components of a navigator template

Discuss where a navigator is assigned to display in Hyperspace

70
Q

Navigator sections can

A

Flowsheets, or reports such as review Flowsheets,

You can create custom sections and have items such as reports and other build added or appear in a navigator

71
Q

What organizes the table of contents for a visit navigator

A

Workflow

72
Q

how can administrators identify key records within a navigator?

A

THE CLAW:Administrators can identify key records within a navigator by holding down CTRL+ALT+SHIFT with their left hand, and then F12 and F10 with their right. After releasing all the keys, it can take a few seconds for the navigator to refresh

73
Q

NAVIGATORS CONSIST OF:

A

Sections, Topics, and Templates
Sections: are parts of the navigator where users review or enter data. Epic released or project team created - they can be configured to fit any need.
Topics: are collections of Sections
Templates are collections of topics.
The template record is gets assigned in either a profile of a WE Rule

74
Q

Templates can be linked to one of more topics

A

one of more topics

75
Q

when editing a navigator in Hyperspace what to do you have to build first

A

Template records, then Topic records, then Section records

Not so in text

76
Q

Can you link topic or section records to LPR or WE Rule records?

A

no - only Templates

77
Q

what does Edit TEmplate details do to the LVN Template

A

These settings control the name of the Template (which doesn’t appear for the user) and the Layout

78
Q

How are Navigators Linked?

A

with the Descriptor - never change the descriptor unless you have to because it will mess up the linking - the name and the descriptor is usually the same to keep things simple.

79
Q

How do you keep users from customizing a navigator layout?

A

click the LOCK icon on the right
if you click the LOCK on the left you lock the topic to the top of the template., i,e.,
“Documentation”

80
Q

What are the 2 purposes of Topic Records?

A

Efficiency: you can re-use them all over the place, across different navigators. If there is a topic that is used frequently you can plug it in in multiple LVNs
Organization: Topics Segregate a navigators Table of contents, so it makes it easier for users to find their sections

81
Q

Where do you put the Name of a topic so that the end users will see it

A

Always use the CAPTION field. If you change the name it screws up the linking.

82
Q

What does the chain do in the sections build page?

A

You may have noticed there’s a chain with a checkbox next to each section.
These chain checkboxes tell the system to link the sections and enable navigating from one to the next using F8.
End users can manually open an unchained section

83
Q

What is one way to restrict which sections show up for what patients?

A

If you open the SEC record, on the advanced tab, you will see a filter extension in the LPP (extension MF) This can set the section for certain criteria, i.e., CHF registries

84
Q

What does the PROG ID do? Where is it?

A

If you duplicate a navigator section, it is best to copy an epic released one because these section records have to be programmed to function in a certain way:
a navigator section for history has to bring in the history worksheet;
a navigator section for Meds & Orders needs to allow someone to order.
The “magic” of a navigator section is in the Prog ID on the Basics tab - don’t edit this.

85
Q

What is the easiest way to duplicate a navigator?

A

In Clin Admin: go to the navigator section: to edit or duplicate topics, templates, and sections. this assures that the Prog ID is in tact as long as you use one that was not corrupted in the first place.

86
Q

T/F: Can you find navigator sections on the user web?

A

True: got to galaxy and search for the section that matches your search, ie, IP navigator section, ed navigator sections, etc.
you will find these in the subtopic sections of the search

87
Q

What are the 4 records that make up a Navigator

A

templates, topics, section, and configuration records

88
Q

What do configuration (VCN) records do?

A

serve as a “bridge” between the section and some other masterfile or entity OR they are linked directly to a section and control how that section behaves.
Navigator Config records are used for customizing the navigator sections and are configured in the Navigator Configurations (VCN) master file.

89
Q

Where do you link the flowsheet to appear in the navigator

A

In the Navigator Conffig like this:
Navigator Records>Navigation Config> other build

(i.e., flowsheet, meds and orders, activity link, med documentation, print group report, doc flowsheet)

90
Q

LIST THE STEPS TO LINKING FLOWSHEETs and other configurations to a visit navigator

A

Create the smallest pieces first:
Clin Admin:
1) Build a NAVIGATOR CONFIGURATION RECORD
state what type it needs to be (ie, flowsheet, medication documentation, activity link, print group, or meds and orders)
2) On the next page in the configurator, link it to the actual document you want to show up in the navigator, i.e. AMB Complex Vitals
Hyperspace:
1) open your Template, add the section or open a section you want to show up,
2) in the CAPTION SECTION, name it
3) Add the config record in the configuration section on the Advanced tab

91
Q

What does a WE rule do?

A

Allows you to alter the patient workspace to fit your workflow needs.
Controls:
• Activity tabs (to the left of the patient chart)
• More Activities menu (formerly known as the action menu)
• Navigators

92
Q

How do nested conditions work

A

the patient would have to meet all criteria/conditions for the WE rule to work

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