AMB400 Flashcards
1
Q
What are some of the display items in the order composer?
A
Status, Priority, Class, Specimen Source, etc…
2
Q
What are some of the default values in the order composer?
A
Normal, Routine, Clinic Collect, and Urine, Clean Catch.
3
Q
Why do you think Lab Collect and Clinic Collect are the only allowed values configured to be buttons?
A
They are the most commonly selected values. They are the most commonly selected values.
4
Q
When do you think it’s appropriate to put a display item under the additional order details?
A
When the item is not frequently used and is not required or recommended.
5
Q
If all lab orders should have a default Order Class of “Lab”, where would be the most efficient place to specify that setting?
- In each lab procedure record.
- In the procedure category used for all lab procedures.
- In EMR System Definitions
A
- In EMR System Definitions
6
Q
When giving your procedure a new Master #, or external ID, you entered “LAB7777##”. Why do you think Epic recommends adding a prefix, like “LAB”, to a procedure’s external ID?
A
Prefixes allow users to more easily identify different procedure types.
7
Q
The level of the procedure hierarchy that changes to update the synonyms and order name.
A
Procedure
8
Q
At what level of the procedure hierarchy could you set a default status of normal?
A
Procedure
9
Q
At what level of the procedure hierarchy would you set a default order class of Clinic Collect?
A
Procedure
10
Q
At what level of the procedure hierarchy could you change the order Class buttons Lab Collect and Clinic Collect?
A
Procedure Category
11
Q
At what level of the procedure hierarchy could you create a display item for Comments?
A
Procedure Category > OCC
12
Q
At what level of the procedure hierarchy are the priority settings appropriate and should not be changed?
A
EMR System Definitions
13
Q
There are many available order class values, many of which would be inappropriate for food allergy procedures. How can you prevent inappropriate values from appearing to users?
A
List the appropriate values at a more specific level in the hierarchy.
14
Q
Which OCC record is being used in an Ambulatory context?
A
AMB GENERAL ORDERABLES
15
Q
Describe the record purpose of the following, provide an explanation of the settings, and an example of the record purpose.
Orderable
A
An orderable procedure is used to request that a service is performed. - A biopsy order
16
Q
Describe the record purpose of the following, provide an explanation of the settings, and an example of the record purpose.
Orderable and Performable
A
Used when the order placed will also be what is performed. - A point of care test
17
Q
Describe the record purpose of the following, provide an explanation of the settings, and an example of the record purpose.
Performable
A
A performable procedure is used to represent the actual service or procedure that was performed. - The tests performed during a pulmonary function test
18
Q
Describe the record purpose of the following, provide an explanation of the settings, and an example of the record purpose.
Performable and Chargeable
A
Used when documenting what was performed and charging accordingly. - A level of service charge
19
Q
Describe the record purpose of the following, provide an explanation of the settings, and an example of the record purpose.
Chargeable
A
A chargeable procedure is used to apply a charge to an account. - A supply or venipuncture charge
20
Q
Describe the record purpose of the following, provide an explanation of the settings, and an example of the record purpose.
Historical
A
A historical procedure is used to document a procedure that was performed in the past. - An appendectomy that happened two years ago
21
Q
An orderable procedure record requires what settings?
A
A procedure type of “charge”
A linked procedure category (EDP)
A record purpose of “orderable”
22
Q
What does the Order Composer Configuration (OCC) record with a context of Ambulatory control?
A
Controlled items
Summary items
Display items
23
Q
Procedures that have similar needs will typically define allowed values, default values, and buttons at the _______ level. Procedures with unique needs can _____ these settings at the _______ level.
A
Procedures that have similar needs will typically define allowed values, default values, and buttons at the procedure category level. Procedures with unique needs can override these settings at the procedure level.
24
Q
What is the process for importing in Chronicles? ______ a record or template from Chronicles. Populate the spreadsheet and convert to a ______. Scan for errors and ________.
A
What is the process for importing in Chronicles? Export a record or template from Chronicles. Populate the spreadsheet and convert to a flat file. Scan for errors and import.
25
In a procedure category for assay labs, two buttons are set up for Class. However, when users order the iron assay lab, they see four buttons for Class. How is this possible? (Choose one of the following)
A. The four buttons are defined at the EMR System Definitions level.
B. The four buttons are defined in the OCC attached to the procedure.
C. The four buttons are defined at the procedure level.
D. Two of the buttons are coming from the procedure, and the other two are coming from the procedure category.
C: The system searches for details using the procedure hierarchy, so there must be four buttons defined in the iron assay procedure record. As a note, the OCC does NOT control buttons.
26
There is a lab test with a specified default status. For just this order, you want to hide the Status field in the Order Composer so it cannot be changed by users. How can this be accomplished? (Choose all that apply)
A. Remove the status as an allowed value in the procedure.
B. Create an OCC record that does not include status as a display item.
C. Create an OCC record and set status as a "hidden" item.
D. Link the OCC you created to the procedure.
B and D: Create an OCC record that does not include Status as a display item, and link that OCC to the procedure. Without a display item, Status will not appear to the users.
27
True or False: The "Additional Order Details" dropdown in an order composer can only be set up in an OCC record that you link to EMR System Definitions.
False. OCCs (with an ordering context of Additional Outpatient Order Details in this instance) can be linked to all three levels of the hierarchy.
28
True or False: Default status cannot be defined in EMR System Definitions.
True. Default status can only be defined at the procedure or procedure category level.
29
What building block record is needed to document the test results?
A result component (LRR)
30
What building block record is needed to file the charge?
A chargeable procedure (EAP)
31
What level in the procedure hierarchy will you link these building block records to?
Procedure (EAP). This is the only level these building blocks can be linked to.
32
Order-Specific Questions are used for questions that appear in the _______ , are linked to the ____________, and built in _________.
Order composer
Procedure or Procedure Category
Hyperspace
33
Immunization Questions are used for questions that appear in the _______ , are linked to the ____________, and built in _________.
Immunizations activity
Immunization
Text
34
List some of the “Building Block” records a procedure could use:
OCC, SmartText, chargeable EAP, result component, order specific question, etc...
35
True or False: If questions are linked to a procedure and procedure category, questions from both levels can display to the user.
True
36
Questions that appear in an order composer have a type of ___.
order-specific question
37
Questions that appear in the immunization activity have a type of _.
immunization question
38
Which of the following "building block" records can only be linked to the procedure level in the procedure hierarchy? (Choose all that apply)
A. "Chargeable" Procedure (EAP)
B. Immunization (LIM)
C. SmartText (ETX)
D. Result Component (LRR)
A, B, and D: These three building block records can't be linked to a procedure category or EMR System Definitions. A SmartText (ETX) can be linked to either the procedure or the procedure category.
39
True or False: To document a patient-reported immunization, a procedure record must exist.
False - Patient-reported immunizations only need an immunization (LIM) record and can be entered in the immunization activity.
40
Your users want the question, "Is the patient pregnant?" to appear for all diagnostic imaging tests, when appropriate, based on patient information. What steps should you take to complete this build? (Choose all that apply)
A. Create an order-specific question record with the appropriate question.
B. In the question record enter appropriate restrictions for age and sex.
C. Link the question record to the appropriate procedure category.
D. Verify the "questions" display item is in the OCC impacting the procedures.
A, B, C, and D: An order-specific question record should contain the appropriate question and restrictions. It should be linked to the procedure category impacting the diagnostic imaging orders since it is a group of related procedures. In order for a question to appear in the order composer there must be a "questions" display item in the OCC impacting the procedures.
41
What is used to build preference lists for medications and procedures?
Preference List Composer
42
What is used to build preference lists for non-orderable records like Reasons for Visit, Levels of Service, or Diagnoses.
Preference List Editor
43
Order settings made in the preference list composer will ______ other defaults defined for procedures or medications.
override
44
Access the Advanced Preference List Composer or Editor by clicking the ______ button.
advanced
45
True or False: Preference lists created in the preference list editor (EPD) allow builders to override default values.
False: Preference lists created in the preference list composer allow you to override default values. The preference list editor does not override values.
46
True or False: In a procedure preference list, you must create at least one section to be able to add an item.
True: The preference list composer will not allow you to click the New Item button until you have selected the section you want to add to.
47
Where can user preference lists be restricted? (Choose all that apply)
A. In the User Settings form of a User record
B. In the User Preference List Settings of an EpicCare Security Class record
C. In the Enable User Preference Lists screen of a Profile record
D. In EMR System Definitions
A, B, and D: User, EpicCare Security Class, and EMR System Definitions form a hierarchy that can be used to enable or disable user preference lists.
48
Which activity allows builders to quickly add, edit, or replace an item across several preference lists? (Choose one of the following)
A. User Settings
B. Preference List Tune Up
C. Advanced Preference List
D. Database Preference List Searches
C: The Advanced Preference List activity is available for both orderable and non-orderable preference lists.
49
Extension records with a type of ______ can be linked to navigator sections to cause them to appear or be hidden.
Visit Navigator Filter
50
Extension records can evaluate information on their own or have a ____ linked to them for more complex evaluations.
CER rule
CER Rules evaluate data and return either TRUE or as FALSE based on whether their conditions are met. You'll learn more about CER rules in an upcoming chapter!
51
The _____ of a VCN and a navigator section must match for them to be linked together.
section type
52
What are some ways a VCN can impact a navigator section?
Display a report, SmartForm, or Flowsheet, link to an activity, list default values, create/show/hide buttons, etc...
53
To impact all users sharing a section, link a VCN to the ______.
section
54
To impact only some of the users sharing a section, link a VCN to the _____.
topic
55
Whether or not a section appears within a patient workspace is controlled by a(n) ______ record with a type of ______.
extension
visit navigator filter
56
Which record can control what displays within a navigator section as well as its behavior? (Choose one of the following)
A. Extension (LPP)
B. Topic (LVN)
C. Rule (CER)
D. Navigator Configuration (VCN)
D: The Navigator Configuration record is used to embed records like flowsheets or reports into a navigator section, as well as change things like button options, button captions, help text, default selections, and more!
57
What combination of records can be used to determine when a navigator section appears in a patient's workspace? (Choose all that apply)
A. Extension (LPP)
B. Topic (LVN)
C. Rule (CER)
D. Navigator Configuration (VCN)
A and C: Extension records can be linked to CER Rules to evaluate information and filter navigator sections.
58
When creating a dual pane navigator, each pane requires at least one ___________. (Choose one of the following)
A. Extension (LPP)
B. Topic (LVN)
C. Rule (CER)
D. Navigator Configuration (VCN)
B: Topic (LVN)
59
True or False: A navigator configuration record linked to a section will impact all templates using that section, unless it is being overridden by a navigator configuration record linked to a topic.
True
60
Navigator sections can only link to navigator configuration records of the same ___________. (Choose one of the following)
A. Master file
B. Class
C. Type
D. Value
C: Type determines available screens in a VCN as well as where it can be linked.
61
True or False: Items can link directly to SmartGroups or Sections.
False: Items can only link to SmartGroups.
62
If you want to verify your build was correct for a SmartSet with a sample patient, but want to be able to continue editing the contact if needed, you should do which of the following: (Choose one of the following)
A. Test Release the SmartSet.
B. Release the SmartSet.
C. Retire the SmartSet.
D. Duplicate the SmartSet so you can release and test the copy.
A: Test Releasing a SmartSet lists the contact as released for testing purposes and remains editable.
63
How do you mark an item as "selected by default"? (Choose one of the following)
A. In the Section, check the box by the item on the Configuration form.
B. In the SmartGroup, list the default items on the Defaults form.
C. In the SmartSet, list the default items on the Defaults form.
D. In the SmartGroup, check the box by the item on the Configuration form.
D: Items are listed on the Configuration form of a SmartGroup. By selecting the checkbox to the left of these items they are marked as "selected by default".
64
Criteria ______ a SmartSet based on _____ data.
Links to a______ record to suggest that record.
Non-patient data examples include current medications, allergies, diagnoses, and past procedures.
Suggests
patient
SmartSet
65
SmartSet Suggestion
______ a SmartSet based on _____ data.
Links to a______ record to suggest that record.
Non-patient data examples include current medications, allergies, diagnoses, and past procedures.
Suggests
non-patient
SmartSet
66
SmartSet Base
______ a SmartSet, section, or SmartGroup based on _____ data and/or _____. Links to a _____ record to restrict that record.
Restricts
non-patient
patient sex
SmartSet, section, or SmartGroup
67
A back pain SmartSet should be suggested when the reason for visit is back pain.
What type of LGL record do you need?
Where will you link the LGL record?
A criteria record.
To the SmartSet record.
68
A well child SmartSet should only be available for use in outpatient encounters.
What type of LGL record do you need?
Where will you link the LGL record?
A SmartSet base record.
To the SmartSet record.
69
A foot pain SmartSet should be suggested when the encounter is in the podiatry department.
What type of LGL record do you need?
Where will you link the LGL record?
A SmartSet suggestion record.
To the SmartSet record.
70
A section in a diabetes SmartSet should only be available for use if the patient is female.
What type of LGL record do you need?
Where will you link the LGL record?
A SmartSet base record.
A SmartSet base record.
71
A pediatric Immunizations SmartSet should only be available for use if the patient is 18 years old or younger.
What type of LGL record is needed to restrict the SmartSet?
Is the LGL record you identified in the previous question capable of evaluating if the patient is 18 years old or younger? If not, what LGL record can?
How will the LGL record(s) you identified be linked to the build?
A SmartSet base record.
No, a SmartSet base record cannot evaluate patient data like age. A criteria record can evaluate this data.
SmartSet > SmartSet base > criteria
72
Should you use inclusion logic or exclusion logic to ensure your SmartSet is only used by departments with a specialty of Family Medicine?
Use inclusion logic to ensure that only the listed specialties can use the SmartSet.
73
True or False: A criteria record can be used to suggest a SmartSet based on patient information.
True: Criteria records are used to suggest SmartSets to users. They are also capable of evaluating patient specific data.
74
Providers have asked you to limit a section within a SmartSet to only appear for pediatric patients aged 10 or younger. What steps must you take to accomplish this request? (Choose all that apply)
A. Create a criteria record and enter the age range.
B. Create a SmartSet base record and enter the age range.
C. Create a SmartSet base record and link it to the criteria record.
D. Link the SmartSet base record to the section.
A, C, and D: The appropriate build for this scenario is section > SmartSet base > criteria. B is incorrect because a SmartSet base record cannot evaluate patient data, like age, on its own.
75
Which LGL record type allows you to restrict based on patient sex? (Choose one of the following)
A. Criteria
B. SmartSet suggestion
C. SmartSet base
D Base
C: SmartSet base records can evaluate non-patient data as well as patient sex.
76
The __________ of a CER rule determines what the rule can evaluate and where it can be used. (Choose one of the following)
A. Property
B. Context
C. Evaluation logic
D. Restrictions
B: Context impacts how a rule can be used. In this chapter we saw a context of Patient OurPractice Advisory being used so the CER rule could be used in conjunction with a criteria record.
77
In what ways does an Express Lane SmartSet behave differently than a standard SmartSet? (Choose all that apply)
A. Sections allow you to search for additional items.
B. Sections without an item selected by default are automatically expanded.
C. When closing a workspace that has an open Express Lane that hasn't been interacted with, the workspace closes without a prompt.
D. Items are grouped into pre-determined sections automatically.
A, B, C, and D: all answers listed are pieces of functionality unique to Express Lane SmartSets.
78
You need to build 20 new custom x-ray imaging orders for your organization. Answer the following questions regarding the records you will build and where you will define various settings and defaults.
What record will you need to create for each of these unique orders so they can be ordered in the system?
Each x-ray order will need a unique procedure (EAP) record.
79
You need to build 20 new custom x-ray imaging orders for your organization. Answer the following questions regarding the records you will build and where you will define various settings and defaults.
The default order class for all 20 x-rays should be ancillary performed. Where should you define this default?
The default order class should be defined at the procedure category (EDP) level in the procedure hierarchy.
80
You need to build 20 new custom x-ray imaging orders for your organization. Answer the following questions regarding the records you will build and where you will define various settings and defaults.
The system level default for priority is appropriate for these x-rays. Where is that default defined?
System level defaults come from EMR System Definitions (LSD).
81
You need to build 20 new custom x-ray imaging orders for your organization. Answer the following questions regarding the records you will build and where you will define various settings and defaults.
For all 20 x-rays, the same fields, such as Status and Priority, should appear when you open the Order Composer. What record will you build to control these fields, and where should you link it in the procedure hierarchy?
The Order Composer Configuration (OCC) controls the display items that appear in an order composer. To impact all 20 x-rays you should link it to the Procedure Category.
82
You need to build 20 new custom x-ray imaging orders for your organization. Answer the following questions regarding the records you will build and where you will define various settings and defaults.
The details that appear when you click the "Additional Order Details" link at the bottom of the order composer should match those defined at the system level. What record is controlling these details, and where is it linked in the procedure hierarchy?
These details are being controlled by the Order Composer Configuration (OCC) linked to EMR System Definitions.
83
You need to build 20 new custom x-ray imaging orders for your organization. Answer the following questions regarding the records you will build and where you will define various settings and defaults.
One of the x-ray orders needs a unique selection of fields in the Order Composer. What record will you need to build and where will you link it?
An Order Composer Configuration (OCC) linked to the procedure (EAP) record for the unique x-ray order.
84
A new vaccination must be able to be ordered and documented. What two records need to be linked together for this to be possible?
The procedure (EAP) and the immunization (LIM) records.
85
When documenting an immunization administration, a question should appear. What record is needed to accomplish this, and where should it be linked?
A question (LQL) record should be linked to the immunization (LIM) record.
86
When the creatinine order is signed, a charge should be applied to an account. What record is needed for this charge, and where should it be linked?
A "chargeable" Procedure (EAP) should be linked to the lab procedure (EAP) record.
87
The creatinine order should have unique processing instructions in the order composer about picking up the collection jug. What record is needed for these instructions, and where should it be linked?
A SmartText (ETX) record should be linked to the lab procedure (EAP) record.
88
A question regarding the expected lab duration should be asked for the creatinine lab, as well as other similar labs. What record is needed to accomplish this, and where should it be linked?
A question (LQL) record should be linked to the procedure category (EDP) for these similar labs.
89
Your cardiology department want a new list of reason for visit speed buttons. What tool will you use to build this list of reasons for visit?
The Preference List Editor (EPD) is used to build lists of non-orders, such as reason for visit or level of service.
90
Your cardiology department should have useful lab orders that are separated into different sections in the order lookup's Browse tab. What tool will you use to build this list of orders?
The Preference List Composer (LPF) is used to build lists of orders, such as procedures or medications.
91
Ordered from "large" to "small", what are the three components that make up a Flowsheet's basic structure?
Template (FLT) > Group (FLO) > Row (FLO)
92
Ordered from "large" to "small", what are the three components that make up a navigator’s basic structure?
Template (LVN) > Topic (LVN) > Section (LVN)
93
You need to embed a SmartForm into a Flu Vaccine Testing navigator section. What record do you need to link these records together?
A Navigator Configuration (VCN) record is needed to embed the SmartForm into the section.
Section (LVN) > Navigator Configuration (VCN) > SmartForm (LQF)
94
Your allergy department has a navigator with a topic that is unique to them, but the Medications & Orders section within it is a shared record. Users in the allergy department want to see different buttons and help text in that section. What record can you use, and where will you link it, to make this change for only the users in your allergy department?
You should link a Navigator Configuration (VCN) record to the Topic (LVN) to set up
a topic-level override that will only impact the users in your allergy department.
95
A Flu Vaccine Testing section should only appear if Vaccine Testing is a reason for visit. What record is needed to control whether the section appears?
An Extension (LPP) record can be used to "filter" the section, controlling when it will appear.
96
Ordered from "large" to "small", what are the four components that make up a SmartSet's basic structure?
SmartSet (PRL) > Section > SmartGroup (OSQ) > Item (such as orders, diagnoses, SmartTexts, etc.)
97
If a SmartSet should only be available in outpatient encounters, what type of LGL record is needed and where should it be linked?
A SmartSet base (LGL) record is needed to restrict the SmartSet to outpatient encounters. It should be linked to the SmartSet (PRL).
98
If a SmartSet should be suggested when a specific reason for visit is entered, what type of LGL record is needed and where should it be linked?
A criteria (LGL) record is needed to suggest the SmartSet based on patient data, like reason for visit. It should be linked to the SmartSet (PRL).
99
An Express Lane SmartSet should be suggested when the reason for visit is diabetes AND there is only one reason for visit AND the patient has diabetes on the problem list AND the specialty is Family Medicine or Internal Medicine. What two records are needed to accomplish this and how should they be linked?
A CER Rule is needed to evaluate the information in question. The CER Rule is then linked to a criteria (LGL) record, which is then linked to the Express Lane SmartSet (PRL).
100
A Gastroesophageal reflux disease SmartSet should be suggested if the encounter is in a gastroenterology department. What type of LGL record is needed to accomplish this and where should it be linked?
A SmartSet suggestion (LGL) record is needed to suggest the SmartSet based on non-patient data, like encounter department. It should be linked to the SmartSet (PRL).
101
A section within a SmartSet should only be available if the patient is female. What record is needed to accomplish this and where should it be linked?
A SmartSet base (LGL) record, which can evaluate non-patient data and patient sex, is needed to restrict the section. It should be linked to the section within the SmartSet.
102
A SmartGroup within a SmartSet should only be available if the patient is 18 years old or younger. What two records are needed to accomplish this and how should they be linked?
A criteria (LGL) record is needed to evaluate the patients age. The criteria record is then linked to a SmartSet base (LGL) record which is linked to the SmartGroup that needs to be restricted.
