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Radiant & Cupid > Radiant/Cupid > Flashcards

Radiant/Cupid Flashcards

1
Q

Can an order be scheduled to an appointment as well as a case?

A

No. It will be scheduled to one or the other.

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2
Q

What contact is created when an order is scheduled using the non-invasive procedure scheduling method?

A

Appointment contact

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3
Q

Scheduling an invasive procedure creates…?

A

A Case

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4
Q

T/F: More information relevant to the imaging applications comes from the appt contact than the ordering contact.

A

False

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5
Q

Why might an order, procedure log, or external procedure have multiple lines in PAT_LIFEDOSE_HX?

A

A user modified a previously documented radiation exposure.

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6
Q

PAT_ENC and PAT_ENC_APPT both have fields that hold provider and department. What is the difference between them?

A

PAT_ENC_APPT holds ALL the providers involved in an encounter. PAT_ENC only the first.

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7
Q

What table joins orders to the appointment?

A

ORD_APPT_SRL_NUM

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8
Q

Appointments are scheduled at the department level. What level are Cases scheduled at?

A

Location (CLARITY_LOC)

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9
Q

In the non-invasive data model, the order (procedure) is typically more granular than the appointment (visit type). T/F: In the invasive data model, the order (procedure) is typically less granular than the case’s procedure (surgical procedure).

A

True

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10
Q

T/F: Cases are the request for an invasive procedure to be performed and are always created prior to the log.

A

True

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11
Q

T/F: Logs are more closely aligned with what was actually performed because it is created and filled out during or shortly after the procedure.

A

True

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12
Q

T/F: There is a one to one relationship between cases and logs. There will always be a log with a case.

A

False. There is a one to one relationship however, a case can be scheduled and not have a log yet or canceled.

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13
Q

T/F: Intra-procedure documentation lives on the case.

A

False. Intra-procedure documentation lives on the log. The case is comprised mostly of what is scheduled to take place.

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14
Q

Case records correspond with two distinct patient encounter records. What are they?

A

Surgery encounter and Hospital encounter (admission)

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15
Q

7 - Reading and Resulting

T/F: The newest contact is always the record with the highest *DATE_REAL value per record ID.

A

True

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16
Q

ORDER_STATUS holds all order contacts including any addenda.

A

False. See ORDER_RAD_ADDEND for those note IDs.

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17
Q

To see the narratives and impressions combined you will make two joins. ORDER_STATUS . PROCEDURE_NOTE_ID to HNO_NOTE_TEXT. NOTE ID and ORDER_STATUS.PROC_NOTE_DATE_REAL to…

A

HNO_NOTE_TEXT . CONTACT_DATE_REAL

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18
Q

Interface-created results might not set note id and date real on the ORDER_STATUS table, in that case what two tables will you need to use?

A

ORDER_NARRATIVE and ORDER_IMPRESSION

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19
Q

If text from the previous contact is important which combination of tables would you use ORDER_STATUS/HNO_NOTE_TEXT or ORDER_NARRATIVE/ORDER_IMPRESSION ?

A

ORDER_STATUS and HNO_NOTE_TEXT

NARRATIVE and IMPRESSION only have the last contact text.

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20
Q

If any component of a result is abnormal ORDER_PROC . ABNORMAL_YN will have a Y.

A

True

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21
Q

A study can cover multiple orders (MOPS).

A

True

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22
Q

‘Biopsy’ in Radiant refers to the image guided extraction of a tissue sample from the breast.

A

true

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23
Q

Mammography involves three types of procedures in the workflow. What are they?

A

A screening, a diagnostic, and a biopsy

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24
Q

End users do not directly set the mammography outcome.

A

true

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25
Q

Name a type of question that does not produce a question answer record.

A

Order specific questions

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26
Q

If an end exam questionnaire contains a networked type question that collects a user record, how would you go about joining from CL_QANSWER_QA record to CLARITY_EMP?

A

Determine if CLARITY_EMP . USER_ID was varchar or numeric (it is varchar). Then connect CL_QANSWER_QA . VARCHAR_ANSWER to CLARITY_EMP . USER_ID

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27
Q

What determines whether a begin exam questionnaire files its answers to RIS_BGN_PROC_ANS vs. RIS_BPROC_V_QNRS?

A

Procedure or procedure category level questionnaires file to RIS_BGN_PROC_ANS where visit type questionnaire responses file to RIS_BPROC_V_QNRS.

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28
Q

Name two different ways to differentiate between the recommendations and pathology results held in ORDER_RES.

A

Connect ORDER_PROC . ORDER_PROC_ID to ORDER_RAD_REC_ID or ORDER_RAD_PATH_RES respectively then to ORDER_RES (results).

Filter on ORDER_RES . RESULT_TYPE_C (52011 = RIS Recommendations and 52012 = Pathology results)

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29
Q

Do extra steps need to be taken by a report writer to have the count of assessments or outcomes be one per order as opposed to one per MOPS (Multiple Orders per Study) group?

A

No, assessments and outcomes are automatically propagated to each order record by the application. (ORDER_PROC_3 . MAMMO_OUTCOME_C and LAST_OVERALL_ASMT_C)

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30
Q

Explain the complication with coming up with a cancer detection rate figure on a report.

A

It requires looking at multiple orders per patient. 1st check whether any other order for that same patient has a malignant pathology attached to it AND whether the pathology was resulted within 365 days of the original order. F_RIS_MAMMO . IS_CANCER_PAT_YN or V_RIS_PATHOLOGY linked to ORDER_PROC and ORDER_RES through PAT_ID (if they want details of those orders/procedures)

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31
Q

Wat are the two unique configurations to the cardiovascular palette?

A

Echo and Cath. Where the cardiologist would document many measurements and findings collected during the procedure which has already been completed.

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32
Q

Each time a provider opens the echo or cath palettes, they are working with a single order record.

A

True

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33
Q

What are two main types of information collected using the Cath and Echo Palettes?

A

measurements and findings

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34
Q

What context are palette SmartData elements stored in?

A

Only records of type ‘RESULT’ are relevant.

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35
Q

Describe the two types of values you can expect to find in SMRTDTA_ELEM_VALUE . SMRTDTA_ELEM_VALUE

A

Either a value or it can hold a SmartData Identifier (then join to CLARITY_CONCEPT)

36
Q

ED_IEV_EVENT_INFO is the linking table from the or log to note text & smartdata elements. Is EVENT_NOTE_ID varchar or numeric?

A

varchar

37
Q

How many distinct patient contacts will a non-invasive procedure have at the most?

A

Two or more. The ordering contact and potentially multiple apt contacts (panels).

38
Q

ORDER_PROC contains all non-medication orders, parent and child orders alike.

A

True

39
Q

Report on patients and their cardiologist. What Record Select would you need?

A

PAT_PCP . SPECIALTY_C = 4 //cardiology

and PAT_PCP . EFF_DATE <= today

40
Q

Will PAT_LIFEDOSE_HX . ORDER_MED_ID always be populated with an imaging order?

A

No, invasive and externally performed procedures will be null.

41
Q

What do you link ORD_PERF_CHRG . PERFORMABLE_ID to in OPE_INFO for more information about the performed procedure?

A

OPE_INFO . OPE_ID

not OPE_INFO . PERRORMABLE_ID

42
Q

Does Procedure level override Category level?

A

Yes. Category is more general.

43
Q

Anatomical region is an example of a field no available from procedure level tables.

A

True

44
Q

What is the difference between lines in LINKED_CHARGEABLES and ORD_PROC_CHG_EAPS?

A

LINKED_CHARGEABLES are dropped every time, automatically, and ORD_PROC_CHG_EAPS are sometimes and are added by the end user.

45
Q

What field in ORDER_PROC is populated for imaging orders only?

A

PROC_END_TIME (great for filtering)

46
Q

What are three good ways to filter ORDER_PROC for imaging orders?

A

imaging specific date - PROC_END_TIME
procedure attribute - ORDER_TYPE_C
study status - RADIOLOGY_STATUS_C

47
Q

The order’s Authorizing provider can be found on ORDER_PROC. What table has the provider that ordered the procedure?

A

HV_ORDER_PROC

48
Q

RIS_SGND_INFO contains all the study signatures. If a single provider signs the order multiple times what happens?

A

Only that providers most recent signing date time will be stored.

49
Q

HSD_BASE_CLASS_MAP links PAT_ENC_C . ADT_PAT_CLASS_C (patient class on the encounter) to a base class. What are the three base classes?

A

Inpatient, Outpatient, and Emergency

50
Q

In what table do you find details of the invasive procedure performed? Hint: it is not CLARITY_EAP.

A

OR_PROC contains invasive procedure details. CLARITY_EAP contains other order details.

51
Q

Order results can have multiple contacts. Most often only the most recent contact is relevant. How do you determine the most recent?

A

Contact specific tables have a column ending in DATE_REAL. The highest DATE_REAL is the most recent.

52
Q

You can tell that orders are part of a MOPS group because every order in the MOPS group has the same grouper order ID. What table has this column?

A

ORDER_PROC_2 . GRP_ORDER_PROC_ID

It is null if the order is not part of a MOPS group.

53
Q

If you want a count of Studies… ?

A

Only count the order if either ORDER_PROC_2 . GRP_ORDER_PROC_ID is null or equal to ORDER_PROC_2 . ORDER_PROC_ID

54
Q

ORDER_PROC . ORDER_PROC_ID would link to SMRTDTA_ELEM_DATA on what column?

A

RECORD_ID_NUMERIC and then you would add a filter for CONTEXT_NAME = ‘ORDER’

55
Q

where would you gain more information about film tracking?

A

CDM - Health Information Management training companion.

56
Q

How many master jackets can a patient have?

A

There is no set limit.

57
Q

Cases for IR are scheduled at what level and in what table are they store?

A

location-level (CLARITY-LOC)

58
Q

Appointments are scheduled at what level and in what table are they stored?

A

department level (CLARITY_DEP)

59
Q

Invasive procedures are scheduled to cases which is roughly equivalent to the appointment _______ record

A

PAT_ENC record

60
Q

How do we know an IR exam is ended

A

the log is completed

61
Q

a panel is

A

a set of related procedures per log

62
Q

are there any log specific supply pick lists

A

no; case and logs share the supply pick list

63
Q

can you use the table ORDER_SUPPLY to find supplies used during Invasive procedures?

A

NO it does not hold supplies used during Invasive procedures, use OR_pklst

64
Q

if ORDER_ED_INTERP not populated (because of system build -Keep ED interpretations separate from impressions? N or left blank) where would ED impressions populate?

A

ORDER_IMPRESSION

65
Q

T or F? Order specific questions (questionnaires) configured at the appointment level appear only once per procedure.

A

F Order specific questions configured at the appointment level appear only once PER APPOINTMENT

66
Q

If you configure a questionnaire at the procedure or procedure category level, the questionnaire appears

A

once per order (multiple orders can be attached to a single appointment)

67
Q

Begin and end exam questions can be configured in two different ways, which determines

A

where they question answer is filed.

68
Q

What are the two methods of attaching questionnaires?

A

Attach to procedure/procedure category or attaching it to the visit type..

69
Q

Each row appearing in ORDER_RAD_PRELIM represents ?

A

residents, physicians, or anyone giving a preliminary result

70
Q

Order Narrative and Order Impression are the only table for final results T or F

A

True

71
Q

T or F The OR_LOG_ALL_SURG table is only populated by surgeons from OpTime

A

False it contains anyone who has documented in the LOG

72
Q

Where would be a good place for a report writer to look up components of combination procedures?

A

the LINKED-CHARGEABLES table

73
Q

Peer review is a process where?

A

Physicians grade each other using a numeric score of 1-4

74
Q

When reporting on Mammography reminder letters and looking for the date of when a follow up letter was sent out for an appointment, would you use the ORD_LETTER_INFO table to obtain this information? T or F

A

F you would use the ORD_REC_RMD_LTR table

ORD_LETTER_INFO is used for MQSA RESULT letters

75
Q

What is the best way to report on Custom Event Tracking?

A

Join from PERFORMING contact to ED IEV PAT INFO using CSN #

76
Q

What two tables can join to the CLARITY_LOC_TABLE?

A

CLARITY_DEP.REV_LOC_ID and OR_CASE.LOC_ID no dept id’s

77
Q

Name 2 different ways to differentiate between recommendations and pathology results held in ORDER_RES

A

filter on ORDER_RES.RESULT_TYPE_C (filter on type 52011 (rec) or 52012 (pathology)

ORDER_RAD_REC_ID (recommendations)
ORDER_RAD_PATH_RES (pathology)

78
Q

What are 3 ways to filter ORDER_PROC for imaging results?

A

1 Filter Order_Proc.End_Time column

  1. Filter Order_Proc.Order_Type_C
  2. Filter study status Order_Proc.Radiology_Status_C
79
Q

Protocol information produces____ ______ ________

A

SmartData Element Structures

80
Q

What “context” is protocol information stored as in Smart Data elements stored as?

A

ORDER

81
Q

Which records are found in the ORDER_RES table

and which are not

A

Found: Breast Biopsy pathology Results, Mammography Recommendations and CV Palette Findings
Not Found is Mammography Assessments this is found in ORDER_RAD_ASSMT

82
Q

Order ID keyed tables comprise a large percentage of the _____ ______ ______ ____________

A

the data structures for mammagraphy

83
Q

what concept makes the imaging applications unique?

A

the concept of scheduling and performing orders

or why they are called “procedural applications”

84
Q

What table would you find a reading cardiologist stored in?

A

ORDER_RAD_READING

85
Q

What is the number one cause of incorrect reports in imaging applications?

A

The order records are not properly linked to the patient encounter records

86
Q

What is the most central record to the imaging record workflow?

A

the order record; and ORDER_PROC is a commonly used table

87
Q

ORDER_PROC table can link to three different types of structures. What are they?

A

The ordering contact - event in pts chart assoc w/order
The appt contact - “performing contact” non invasive
The case record - created for invasive procedure sched

Radiant & Cupid (1 decks)

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