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The EPIC AMB 400 Exam is an advanced certification for healthcare professionals
specializing in Epic Ambulatory system administration and configuration. This
comprehensive exam validates expertise in procedure hierarchy management, order
composer configuration, SmartTools (SmartSets, SmartTexts, SmartLinks), In
Basket pools, referral workflows, immunization tracking, BestPractice Advisory
rules, and system security. Candidates must demonstrate proficiency in
troubleshooting, system optimization, and user management to ensure efficient
clinical workflows. The exam reflects real-world scenarios encountered by Epic
analysts, requiring deep understanding of how configuration decisions impact end-
user experience, patient safety, and regulatory compliance. Successful certification
confirms mastery of Epic's ambulatory tools for optimizing outpatient care
delivery.
Section 1: Procedure Hierarchy and Configuration
Question 1: What are the three levels of the procedure hierarchy in Epic?
A) Procedure Category, Procedure Record, and Order Composer Configuration
B) System Definitions, Procedure Category, and Procedure Record
C) Procedure Record, Procedure Subcategory, and Procedure Group
D) Orderable Procedure, Ancillary Procedure, and Clinic Procedure
Answer: B
Rationale: The procedure hierarchy consists of three levels: System Definitions
(LSD) which sets system-wide defaults; Procedure Category (EDP) which defines
shared settings for a group of related procedures; and Procedure Record (EAP)
which defines unique settings for an individual procedure . The most specific level
(Procedure Record) overrides all other settings in the hierarchy .
Question 2: Which level of the procedure hierarchy overrides all other settings?
,A) System Definitions
B) Procedure Category
C) Procedure Record
D) Order Composer ConfigurationAnswer: C
Rationale: The Procedure Record (EAP) is the most specific level in the hierarchy
and overrides all other settings, including those defined at the Procedure Category
and System Definitions levels .
Question 3: At which level should you define shared settings for a group of related
procedures?
A) System Definitions
B) Procedure Category
C) Procedure Record
D) Order Composer Configuration
Answer: B
Rationale: A Procedure Category (EDP) defines shared settings for a group of
similar procedures that need similar configurations, such as default order classes,
buttons, and allowed order classes .
Question 4: If one procedure needs a default Order Class of "Clinic Performed,"
can this be achieved if all procedures are assigned to the same category?
A) No, all procedures in a category must have the same Order Class
B) Yes, the Procedure Record can override the Category setting
C) No, Order Class can only be set at System Definitions level
D) Yes, but only if the category is configured specifically for Clinic Performed
Answer: B
Rationale: The procedure needing the "Clinic Performed" Order Class can be set
up in the Procedure Record, and it would override the Procedure Category List
setting for that specific procedure .
Question 5: What does EAP stand for in Epic procedure hierarchy?
A) Epic Application Procedure
B) Electronic Action Protocol
C) Procedures (Orderable)
D) Enterprise Application Process
Answer: C
Rationale: EAP is the record type for Procedures (Orderable) in Epic. It is the most
specific level of the procedure hierarchy .
Question 6: What does EDP stand for in Epic procedure hierarchy?
,A) Electronic Data Processing
B) Enterprise Definition Protocol
C) Procedure Category
D) Epic Department Procedure
Answer: C
Rationale: EDP is the record type for Procedure Category in Epic. It defines shared
settings for a group of related procedures .
Question 7: What does LSD stand for in Epic procedure hierarchy?
A) Laboratory System Definition
B) System Definitions
C) Local System Data
D) Limited Service Definition
Answer: B
Rationale: LSD stands for System Definitions in Epic. This is the broadest level of
the procedure hierarchy, defining system-wide settings that affect all procedures
for the organization .
Question 8: What is the most efficient way to have the same question appear for all
diagnostic imaging procedures?
A) Link the question to each individual Procedure Record
B) Link the question to the Procedure Category for those imaging tests
C) Link the question to System Definitions
D) Create a separate Order Composer Configuration for each procedure
Answer: B
Rationale: The most efficient way to have the same question appear for all
diagnostic imaging procedures is to link the question to the Procedure Category for
those imaging tests . This allows the question to apply to all procedures in that
category without individual configuration.
Question 9: If you list Glucose as a Result Component in a procedure record, how
does this affect the user who results this test?
A) The user must manually add Glucose as a component
B) The user sees the component by default in Enter/Edit Results, saving
documentation time
C) The component only appears in Chart Review
D) The component is hidden from the user
Answer: B
Rationale: When you list a Result Component in a procedure record, the user sees
the component by default in Enter/Edit Results, thus saving documentation time .
, Question 10: In the procedure category for Lab Sent Outs, two buttons are set up
for CLASS. However, when users order a specific lab test linked to this category,
four buttons display for CLASS. Why does this happen?
A) The category settings are ignored for all procedures
B) The system searches for details using the procedure hierarchy, finding the four
buttons defined in the procedure record
C) The user has a preference list that overrides the category
D) The buttons are defined in System Definitions
Answer: B
Rationale: The system searches for details using the procedure hierarchy. It finds
the four buttons defined in the procedure record and displays them, overriding the
category-level setting .
Question 11: What determines the allowed order classes for a procedure?
A) Only System Definitions
B) The Procedure Category or Procedure Record under the "Allowed Order Class"
section
C) The Order Composer Configuration only
D) The user's preference list
Answer: B
Rationale: The allowed order classes are determined at the Procedure Category or
Procedure Record level under the "Allowed Order Class" section .
Question 12: What procedure name is visible to end users in the order composer?
A) Internal Procedure Name
B) Order Display Name
C) Procedure Code
D) System Name
Answer: B
Rationale: The Order Display Name is the procedure name that is seen by end
users when ordering .
Question 13: A procedure record requires which of the following settings?
A) A procedure type, a linked Procedure Category, and a record purpose
B) Only a procedure type
C) Only a linked Procedure Category
D) Only a record purpose
Answer: A