Procedure Order Configuration Flashcards
Orderable procedure record requires the following
Procedure type of charge. Record purpose of orderable. a linked procedure category (EDP). clinical active = yes (this is the default Clinically inactive = no
What does OCC record with content of ambulatory control
- Display Items
2. Summary items (which makes the summary sentence) 3. item control/status (required or recommended)
Procedure category (EPD)
are procedures that have similar needs will typically be define allowed values, default values/status, and buttons. set values that apply to “groups” of procedures
used to group similar
Procedure level (EAP)
is where procedures with unique records can override these settings from the procedure category.
Most specific level
Importing into Chronicles
row =record
column = item
intersection of row and column = value
- export a record or record template from chronicals.
2 populate the spreadsheet, then convert the data to plain text. - scan the document for errors and then import the date to the correct masterfile
Building blocks or records a procedure could use
- OCC
- SmartText
- Chargeable
- Result component
- Order specific question
- Immunization
If questions are linked to a procedure and procedure category, questions from both levels can display to the user
True
Preference List Composer
Used to build preference lists for medications and procedures
Preference List Editor
Used to build preference lists for a list of items. ex reason for visit, los, diagnosis
Override
Order settings made in the preference list override defaults define in a procedure or medication hierarchy
Updates can be made through
Utilities or the advanced button
system allows users to have (or not have) access to various types of user preference lists by leveraging a hierarchy which is
- User
2. Epiccare security class
System Definitions (LSD)
Enables or disables all user preference lists
System catchall for defaults
procedure hierarchys 3 levels
- procedure (synonyms and display, link result component and charge name)
2 procedure category (default status and summary display items, class, allowed order defined)
3 system definitions (default priority defined)
regulate user preference lists
user epiccare security class system definitions
user preference list user
can turn user preference lists on or off for individual user
user preference list epic care security class
can turn user pref lists on or off for everyone linked to that security class
user preference list system definition
enable or disable all users preference lists regardless whether they are set to on in the hierarchy
Procedure (EAP) masterfile contains all orders that are not medication orders
non-medication orders durable medical equipment diet orders nursing orders level of service codes labs in office procedures
procedure (eap) also contains records used to
document charges
payments and adjustments
Result Component (LRR) links to
Procedure (EAP)
Chargeable (EAP) links to
Procedure (EAP)
Order Composer Config (OCC) links to
Procedure Category (EPD)
Procedure Category (EDP) links to
Procedure (EAP)
all lab orders should have a default order class = Lab, where would be the most efficient place to specify that setting?
Procedure category used for all lab procedures
all procedures should have a default priority = routine, where should you specify that value?
System definitions
when an ALT procedure is ordered, it default order class = clinic collect. for other similar lab procedures, the default order class = lab collect. all procedures in this scenario share the same procedure category. why is ALT different?
in the ALT procedure record, a default order class = clinic collect is OVERRIDING the default order class = Lab collect in the procedure category record.
Display Items (on a procedure) consist of
The field that appears in the order composer
Status, priority, class, reason for exam, scheduled instruction, comments, last resulted, etc
Item that is controlled (example in a procedure)
status of required item
Summary items (examples in a procedure)
makes up the summary sentence an example would be the priority of routine
OCC controls
an orders display and summary items
performable is
actual procedure (linked to chargeable) dual record purpose Ordererable=yes performable=yes or performable = yes chargeable=yes only
chargeable is
procedure, service or supply.
appears in charge capture
2 types of chargeable are professional charge (PR) or technical/hospital charge (HC)
NEVER orderable/chargeable
procedure records are used for…
placing orders
documenting that a procedure was performed
triggering charges
Order composer
an editable window containing the details of an order
summary sentence
a link to the order composer that summarizes some of the orders detail
default value
prepopulated value in a field
item buttons
the buttons located to the right of the field
allowed…
values made available for an item
additional order details
a link to more display items
controlled item
field that is required or recommended
