AMB 400 Epic Exam With Verified Answers

Describe the most efficient way to have the same question appear for all the diagnostic imaging procedures. - Answer Link the procedure category for those imaging tests to the question. If you list Glucose as a Result Component in a procedure record, how does that affect the user who results this test? - Answer In Enter/Edit Results, the user sees the component by default, thus saving documentation time. In the procedure category for Lab Sent Outs, two buttons are set up for CLASS. However, when users order the iron assay (a procedure linked to this category), four buttons display for CLASS. Explain why. - Answer The system searches for details using the procedure hierarchy, so it finds the four buttons defined in the iron assay procedure record and displays them. Users complain that when they order diagnostic imaging tests for ANY patient, the question "Is the patient pregnant?" appears. What setup is wrong? - Answer The linked question record should have been limited to females of an appropriate age. There is a lab test for which you have specified a default order class. For this order, you want to hide the CLASS field in the order composer so users do not change the class. Describe how to do this. - Answer Create an OCC record that does not include the CLASS as a display item, and link the procedure to that OCC. True or False: The Additional Order Details display item can only be set up in an OCC record that you link to System Definitions. - Answer False What context is OCC? - Answer Ambulatory Context What is Controlled? - Answer Term to specify if field should be required or recommended. What else can meds and procedures contain? - Answer Instructions, questions (LQL), add'l items What is EAP? - Answer Procedures Orderable procedures must be linked to what in order for them to be looked up in order entry? - Answer Procedure Category What is determined in the procedure/ procedure category? - Answer Buttons, default order status, default order class, what should be available. Where are the buttons entered in a procedure/procedure category? - Answer Outpatient order composer buttons selection screen What and where determines what order classes are available? - Answer Procedure/procedure category and under 'Allowed Order Class Section' What procedure name is seen by end users? - Answer Order Display Name Where can free text fields be added to orders? - Answer OCC LQL Questions- what should be entered for free text? - Answer Response type: Text If questions are linked to a procedure and its category, what happens? - Answer Both sets of questions appear (even one question more than once) from both levels If questions should only not be displayed from both the procedure and the procedure category, what can be done? - Answer This can be overridden so that only procedure-level questions display. What are primary display items? - Answer OCC Procedure details What are secondary display items? - Answer Show Add'l details Order class buttons and the default order class are chosen from what section? - Answer "Allowed order classes" True or False: If a value has not been listed as allowed, this cannot be listed as a button or default value? - Answer True Procedure Category Setup for OCC - Answer Ambulatory context -> Your AMB POCT Orderables OCC Additional Outpatient Order Details Context -> AMB Point of Care Additional Order Details Procedures Link to a Result Component are listed as what? - Answer Orderable and Performable Procedures Link to a Result Component are linked where? - Answer Lab and Result Entry Information Screen Procedures Link to a Result Component and a type is specified where? - Answer Default Specimen Type (Ex. =Blood) Procedures Link to a Result Component and the sources available are located where? - Answer Procedure Specific Specimen Sources Screen (Ex Arm, Left (43); Arm, Right (44) ) True or False: Referral display items can change based on the selected order class. - Answer True What is the context of the OCC that includes the "pointer" referral display item? - Answer Ambulatory A physician requests that dynamic display items be set up for a medication based on the frequency (4 times daily versus 2 times daily). Will you be able to do this? - Answer No. Dynamic setup is only for referral procedures. OCC-Referrals are linked where - Answer Procedure category under the order composer configeration screen What for referrals can change display items? - Answer Class How many OCCs are needed for referral procedures? - Answer 3 What are the 3 contexts needed for dynamic referral procedures? - Answer -Ambulatory context; Internal referral- ambulatory context; -external-referral -ambulatory context; (can also use 4th of incoming referral when organization receives faxed referrals from external providers) What contexts are needed for non-dynamic referral procedures? - Answer ambulatory context; referral-ambulatory What is Referral information for OCC? - Answer Display item for OCC record; tells system to check the linked referral context OCC to determine which referral-based item to display What is needed for an Internal referral-ambulatory OCC? - Answer Ordering type: Procedure; Ordering Context: Internal Referral-Ambulatory; Display Items What is needed for an External referral-ambulatory OCC? - Answer Ordering type: Procedure; Ordering Context: External Referral-Ambulatory; Display Items True or False: In order to document a historical immunization, you must have a procedure record. - Answer False True or False: Questions can be linked to a procedure or an immunization. - Answer True What is the abbreviation for immunizations on the immunizations activity? - Answer LIM Where are order-specific questions linked? - Answer in the Procedure record; Questions are LQL Where are the immunization activity-specific questions linked? - Answer in the Immunization record; Questions are LQL What field in the procedure record is the immunization activity record linked? - Answer "Link to immunization" field If you are building a procedure record to link to an immunization record, what should you build first? - Answer Immunization record What number should you use for the Procedure Record for the immunization procedure? - Answer IMM ID (id of immunization from record) What is included in the LIM Record? - Answer Synonym 'flu'; on typical values screen -dose amount '.5', dose unit 'mL', Manufacturer 'Abbott Laboratories'. Do you link the procedure record to the immunization record or vice versa? - Answer Does not matter How many times can an immunization record be linked to procedures? - Answer Several times How many times can procedure records be linked to immunization records? - Answer Once What question LQL options are available? - Answer Prompt/Notes; Multiple/Single Response; Age; Gender Restrictions; Types of Responses; Rule-Based Filtering; Custom Values; Buttons; Check boxes; Radio Buttons Does the system prompt LQL's for immunizations that are patient-reported? - Answer Nope, the system suppresses these default values. What are the two types of preference lists? - Answer Preference List Editor (EPD) and Preference List Composer (LPF) Preference List Composer includes what? - Answer Medications, Procedures (labs, referrals, etc) Preference List Editor includes what? - Answer Diagnoses, Reason for Visit (chief complaint), LOS What is a simple list of choices, no overriding? - Answer Preference List Editor Why use a preference list? - Answer No dealing with procedure categories, can be personally specified. Who builds a user preference list? Who builds a system preference list? - Answer User preference list- user; System preference list- project team Where are preference lists linked: - Answer Profile under Outpatient Orders Preference Lists What are the levels of hierarchy? - Answer System Def, Service Area, Location, Department, Security Class, and Profile How do you use screen fast forward? - Answer Home; F9; 't' or 'i'; keyword or number How do you link a profile to a department? - Answer Clin admin > facility structure > Departments > Units (DEP) > Dept # under 'Default Profile for workstation in Dept' True or False: You can add free text options to editor-based preference lists - Answer False To add an item to the preference lists of several users, what step should you take in the preference list editor? - Answer Click Advanced, filter on the types of lists you want to edit, and edit as needed. True or False: In a procedure preference list record, you must create at least one section to be able to add an item. - Answer True True or False: When you enter override details for a procedure in the Preference List Composer, users see those override details when they select that procedure from both the Preference List and Database Lookup tabs. - Answer False (Database Lookup tab does not look to preference lists) To Make a Preference List available to users in a particular department, link to this preference list in - Answer the profile to which their login department is linked Preference List Composer - Answer Medications and procedures (labs, referrals, etc) (things that need order composer) How should you label the choices in the preference list composer? - Answer Mimic the summary sentence when labeling using the preference list editor because often the same medication is added with different doses, frequencies, and dispense of each med Where does the system preference list appear? - Answer On the facility tab, linked in facility structure. What appears on the database preference list tab? - Answer Orders on the procedure and medication master files Is the database preference list tab a preference list? - Answer Nope The browse and preference list tabs show what items? - Answer Profile-based and user preference list items Build preference lists- - Answer List type 'procedures'; subtype 'procedures'; Ordering mode 'outpatient'; must first add section; then finally orders How to add orders to sections created in preference lists? - Answer Click NEW ITEM each time In text, if multiple answers are given in a single value, what happens? - Answer The system sees these as a 'single' action and combines everything The 'specified in a more general level' thing does not work with preference lists connected in the profile. Why? - Answer If even one preference list is added at a profile level, the system does not look at the system def level because a single answer is already given What does the preference list title do? - Answer Displays title users see on the browse tab of the search window. If left blank, the title is whatever the type column is (typically 'procedures') Using the preference list editor, how can one edit several lists at once? - Answer Click ADVANCED; enter List type; Check 'include all lists of this type' and click SEARCH AND ADD TO LISTING; Click ADD, DELETE, or REPLACE; Enter item and apply