EPIC AMB400 Exam Review with Complete Solutions (Already Passed)

Your providers would like the question "Is the patient pregnant?" to appear when ordering an X-ray for female patients aged 12 or older. After the order-specific question has been created, how will you accomplish this request? (Choose only one answer.) A. Link the question to the X-Ray Default Settings screen of System Definitions. B. Link the question to the "X-ray orderables" procedure category. C. Link the question to the OCC at the procedure category level. D. Link the question to the imaging procedure record. - ANSWER-Link the question to the "X-ray orderables" procedure category. Which of the following can be specified in System Definitions or in an OCC linked to System Definitions? (Choose all that apply.) A. Display Items B. Default Order Class C. Default Priority D. Default Status E. Item buttons for Class F. Order-specific question for pediatric patients - ANSWER-Display Items, Default Priority, and Item buttons for Class An ankle x-ray procedure is linked to the procedure category "X-ray orderables." All other procedures linked to this category have three class buttons, while this procedure has four. All orders within the category have the same allowed classes, so what is causing this difference? (Choose all that apply.) A. There are three class buttons defined in the procedure category. B. This procedure has one defined class button. C. There are three available classes set up in the procedure category. D. There are four class buttons defined in the procedure record. - ANSWER-There are three class buttons defined in the procedure category and There are four class buttons defined in the procedure record. Referrals at your organization have appropriate display items appear within the order composer based off of the value selected for Class (either "Internal Referral" or "Outgoing Referral"). To achieve this, a minimum of three OCC records must be created and linked to the procedure category. What are the contexts of the OCC records? (Choose only one answer.) A. Referral-Ambulatory, Ambulatory, External Referral-Ambulatory B. Referral-Ambulatory, Incoming Referral-Ambulatory, External-Referral-Ambulatory C. Ambulatory, Ambulatory-Referral, External Referral-Ambulatory D. Ambulatory, Internal Referral-Ambulatory, External Referral-Ambulatory - ANSWER-Ambulatory, Internal Referral-Ambulatory, External Referral-Ambulatory After ordering a varicella vaccination procedure, a clinician will open the Immunizations activity to administer the immunization and a default dose of 0.5 mL appears. When a clinician is documenting a patient-reported varicella vaccination using the same varicella immunization record, what will appear for the dose? (Choose only one answer.) A. Blank fields B. 0.5 mL C. The "mL" unit, but a missing numeric value D. A stop sign, indicating the fields are required - ANSWER-Blank fields Resources Part I: When selecting the eye culture lab test from within the Conjunctivitis SmartSet, its Status is Future. But, when clinicians in the ophthalmology department order the same test from their department preference list, the Status is Normal. Why? (Choose only one answer.) A. Within the Labs SmartGroup, the eye culture item is listing default values from a system preference list. B. SmartSets will display default values from a preference list of the user who has selected the order. C. Within the Labs SmartGroup, the eye culture item has an override value for status. D. The Conjunctivitis SmartSet has overridden the default status for all labs it - ANSWER-Within the Labs SmartGroup, the eye culture item has an override value for status. What BPA type would be needed to suggest an allergic rhinitis SmartSet for any office visit scheduled in an allergy department? (Choose only one answer.) A. Criteria B. SmartSet Suggestion C. SmartSet Base D. This is not possible - ANSWER-SmartSet Suggestion Clinicians have requested that the Pap smear SmartGroup only be available for female patients age 21 or older when the Adult Preventative Interventions SmartSet is opened. How could you satisfy this request? (Choose only one answer.) A. Create a BPA SmartSet Base record to restrict Labs section for female patients and suggest it for male patients. Create a BPA Criteria record to suggest the SmartSet for patients age 21 or older. B. Create a BPA Criteria record to evaluate patients age 21 or older, link it to a BPA SmartSet Base record which includes patient gender of female, and link the SmartSet Base record to the Pap smear SmartGroup. C. Create a BPA SmartSet Suggestion record to evaluate patient age 21 or older, link it to a BPA Criteria record which includes patient gender of female, and link the Criteria record to the SmartSet. D. Create a BPA SmartSet Base record to evaluate patients age 21 or older, link it to a BPA Criteria record which excludes patient gender of female, and link the Criteria record to the Pap smear SmartGroup. - ANSWER-Create a BPA Criteria record to evaluate patients age 21 or older, link it to a BPA SmartSet Base record which includes patient gender of female, and link the SmartSet Base record to the Pap smear SmartGroup. Clinicians currently use a Hepatic Function order panel that contains several labs. They would like this panel to be suggested when a reason for visit of jaundice, abdominal pain, or vomiting is entered. They would also like to restrict the AST, ALT, or Albumin labs if the patient has already had these lab values entered within the last 2 months. How can you efficiently accomplish this request? (Choose all answers that apply.) A. Create a section for the AST, ALT, and Albumin lab orders within the orderable SmartGroup. B. Create a BPA criteria record that is evaluating the reasons for visit and link it to the orderable SmartGroup. C. Create a BPA criteria record that is evaluating historical labs for AST, ALT, or Albumin recorded within the last 2 months. D. Create a BPA SmartSet base record and link it to the BPA criteria record evaluating the historical labs. E. Link the BPA SmartSet base record to the section containing the AST, ALT, and Albumin lab orders. F. This request is not possible in an orderable SmartGroup. - ANSWER-This request is not possible in an orderable SmartGroup. After assigning a therapy plan to a patient, a clinician can edit the following: (Choose all answers that apply.) A. The therapy plan's type B. An order's interval C. An order's display name D. An order's duration - ANSWER-An order's interval and An order's duration When creating a therapy protocol, an administrator can edit the following: (Choose all answers that apply.) A. Review scheme B. An order's frequency C. The protocol type D. Category names - ANSWER-Review scheme, An order's frequency, and The protocol type True or False: An administrator adds a hematocrit lab to an existing preference list. When adding the lab, the administrator intentionally leaves all of the items within the order composer blank. This ensures that when a user orders the hematocrit lab from this preference list, the default values will be overridden with blank fields. - ANSWER-False True or False: Preference lists created in the Preference List Editor cannot override a record's details. - ANSWER-True When your providers choose "Yes" for Exacerbation (labeled B), they expect to see additional choices cascade. Currently, nothing happens when they choose "Yes". What could be the issue? (Choose all that apply.) A. The Cascade method is set to "Prompt Users" on the Cascading Flowsheet form. B. There are no groups/rows listed on the Cascading Flowsheet form. C. The Symptoms Group is configured incorrectly. D. The wrong Comparison Value is listed on the Cascading Flowsheets form. - ANSWER-There are no groups/rows listed on the Cascading Flowsheet form and The wrong Comparison Value is listed on the Cascading Flowsheets form. An administrator is building a flowsheet template and would like one of the groups to appear only after a clinician chooses "Yes" from the preceding row. To have the group not appear initials when the clinician opens the flowsheet, what configuration is required? (Choose all answers that apply.) A. Do not release that group. B. In the template, select the Start Removed check box for that group. C. In the template, do not list that group and select the Restrict Rows check box. D. There is not a way to prevent a group from appearing immediately. - ANSWER-In the template, select the Start Removed check box for that group. Your clinicians have asked you to change the "Kidney" button (Synopsis Tab) to "CKD" (standing for Chronic Kidney Disease). How can you efficiently accomplish this request? (Choose all that apply.) A. Open the Kidney Synopsis View record and change the button display to CKD. B. Click the wrench icon within the Synopsis activity and change the button display to CKD. C. Open the profile record which contains the Kidney Synopsis View that is impacting this workspace and enter CKD in the View Title Override column. D. Open the department record of the users and on the Outpatient Synopsis screen update the Display View Title to CKD. - ANSWER-Open the Kidney Synopsis View record and change the button display to CKD and Open the profile record which contains the Kidney Synopsis View that is impacting this workspace and enter CKD in the View Title Override column. The Infections & Rejections Synopsis flowsheet row contains no data. To save space, how could you configure this row to only appear if data exists? (Choose only one answer.) A. Within the Infections/Rejections Synopsis View Section, go to the Display column and enter "Data present". B. Within the Infections & Rejections Synopsis flowsheet, go to the Filter/Format column and enter "no value". C. Within the Infections & Rejections Synopsis flowsheet, go to the Min column and enter "1". D. Within the Infections & Rejections Synopsis flowsheet, go to the Hide if Empty column and enter "Yes". - ANSWER-Within the Infections & Rejections Synopsis flowsheet, go to the Hide if Empty column and enter "Yes". The Therapeutic Drug Levels Synopsis View section shows "No data to display". Your clinicians have asked that when there is no data available, to hide the Synopsis View section. How can you accomplish this request? Choose only ONE answer. A. Within the Synopsis View section, go to the No Data to Display prompt and enter "Hide". B. Within the Synopsis View section, go to the Synopsis Flowsheets screen and remove any attached records. C. Within the profile that is impacting the workspace, go to the Outpatient Synopsis screen and at the Performance Parameters prompt, enter "Hide if Empty". D. This request is not possible, Synopsis View sections cannot be hidden. - ANSWER-This request is not possible, Synopsis View sections cannot be hidden. How can an In Basket class be assigned to a User? (Choose all that apply.) A. From within the User record, list the class name under Classifications. B. Within the EPT 450 category list, list the user ID. C. Open the Registries (HIP) master file, open the In Basket Class, and list the user's ID under the "Assign to:" column. D. In Basket classes are not directly assigned to a user. - ANSWER-From within the User record, list the class name under Classifications. Are synopsis views built in clinical admin or hyperspace? - ANSWER-clninical admin Key Term: BPA Criteria - ANSWER-Triggers a suggested SmartSet form patient data. A criteria record can define any combination of patient-related conditions. Fill in the Blanks: If a user enters a numeric value greater than what is linked for _____ in the ____ record, an error (the data can't be filed) message occurs. If a user enters a numeric value greater than _____ in the _____ record, the value is flagged as abnormal. - ANSWER-Maximum / Row / Warning Maximum / Row Name and describe the three main records needed to build a flowsheet. - ANSWER-Flowsheet Row - Designed to hold specific data. Flowsheet Group - Organizes flowsheet rows Flowsheet Template - Organizes flowsheet groups; appears as a tab in flowsheet activity and can be embedded in a navigator section. Describe the most efficient order for flowsheet record build. - ANSWER-Build rows Build groups that link to the rows Build the template that links to the groups. Key Terms: Flowsheet Row / Flowsheet Group / Flowsheet Template - ANSWER-Row - Data is documented here / Group - used to organize individual documentation rows / Template - seen as a "tab" in flowsheet activity - pulls together all the above Key Terms: Row Type - ANSWER-Defines the purpose for a record Key Terms: Value Type - ANSWER-Defines the type of information you can enter in a row. Key Terms: Minimum / Maximum Values - ANSWER-Prevents documentation errors by not allowing info outside of the min/max to be filed into the chart. Key Terms: Warning Minimum / Maximum - ANSWER-Causes red font and an exclamation mark to appear if out of the min/max range. Key Terms: Table of Contents (in a flowsheet activity) - ANSWER-Displays on the left side and works as a quick way to navigate to the group. Typically set at 115 for width. Where can you look for additional guidance with procedure build and ongoing maintenance? - ANSWER-Procedure (EAP) Master File Strategy Handbook (found on Galaxy) What does OCC stand for? - ANSWER-Order Composer Configuration OCC can only be one of two types of order types - what are they? - ANSWER-Procedure or Medication If a setting needs to apply to multiple procedures that share a procedure category - where should you go to adjust or add the setting(s)? - ANSWER-Procedure Category What are the two primary contexts used for most procedures in the Clinic Setting? - ANSWER-1) Ambulatory & 2) Additional Outpatient Order Details T/F: Flowsheets capture discrete information - ANSWER-True T/F: Flowsheets can only capture one reading per visit - ANSWER-False Embed a flowsheet in a _____________ section. - ANSWER-Navigator What's a great feature of flowsheets regarding the information they capture? - ANSWER-That information can be reviewed in other activities... the data just gets spewed out all over hyperspace. What can you do with review flowsheets? - ANSWER-You can display data from the same flowsheet across multiple visits. Great for trending. T/F: Two providers can enter data in the same flowsheet. - ANSWER-True What's a great feature of flowsheets that reminds us of waterfalls? - ANSWER-Cascading You've got a flowsheet and you're in a row that, dependent on the answer, could lead to more rows in the sheet. What is this row called? What's this process called? - ANSWER-It's the trigger row. Cascading. Are Flowsheets used more often in the inpatient or outpatient setting? - ANSWER-Inpatient How many basic parts are there in a flowsheet? What are they called? - ANSWER-3 = Template, Groups, Rows How many masterfiles are involved in the production of a flowsheet? - ANSWER-2 T/F: Groups and Rows for flowsheets are part of the same masterfile. - ANSWER-True T/F: Templates and Groups for flowsheets are part of the same masterfile. - ANSWER-False What detail distinguishes a Group FLO record from a Row FLO record? - ANSWER-TYPE! Do you need to release groups and rows to make the usable for end users? - ANSWER-NO When configuring a flowsheet, what does the "restric rows" checkbox do? - ANSWER-It prevents end users from adding their own groups or rows to the flowsheet. In the record name of a row or group, what should you include? - ANSWER-An R (for row) or G (for group) You want some cascading action for your flowsheet. In which record would you configure the system so that the group doesn't appear automatically in the flowsheet. - ANSWER-In the Template record. What are two tools to see "at a glance information" of a patient's chart? - ANSWER-Review flowsheets and synopsis views Is "Review Flowsheets" its own activity?! - ANSWER-Yeah mahhhnnn What two questions should you ask yourself when thinking about review flowsheets? - ANSWER-The Source? The What? How can you call up a review flowsheet using a smartlink? - ANSWER-.revfs[id#] Is Synopsis its own activity? - ANSWER-Yes What are the three components of synopsis? - ANSWER-Synopsis views, synopsis view sections, review flowsheets What kind of record is a synopsis view? - ANSWER-A report record What kind of record is a synopsis view section? - ANSWER-A print group What kind of record is the actual data of synopsis? - ANSWER-A review flowsheet In which record are synopsis views defined? - ANSWER-The profile record What item in a print group record establishes it as a synopsis view section? - ANSWER-TYPE What detail establishes a review flowsheet as a building block for synopsis? - ANSWER-TYPE (Set type equal to synopsis) Are synopsis view sections built in clinical admin or hyperspace? - ANSWER-clinical admin Are review flowsheets built in clinical admin or hyperspace? - ANSWER-hyperspace What is the prefix used in the foundation system for review flowsheets that are used for outpatient synopsis? - ANSWER-Amb Synopsis In a review flowsheet record, what fields control your y-axis? - ANSWER-Min/max In Which masterfile would you set up the available synopsis views? - ANSWER-Profile In which masterfile would you spcify the look-back window for synopsis? - ANSWER-Profile Labs: medication masterfile or procedure masterfile? - ANSWER-procedure masterfile Imaging: medication masterfile or procedure masterfile? - ANSWER-procedure masterfile Referrals: medication masterfile or procedure masterfile? - ANSWER-procedure masterfile Supplies: medication masterfile or procedure masterfile? - ANSWER-procedure masterfile Immunizations: medication masterfile or procedure masterfile? - ANSWER-procedure masterfile Procedures: medication masterfile or procedure masterfile? - ANSWER-procedure masterfile Medications: medication masterfile or procedure masterfile? - ANSWER-medications masterfile What three things is the procedure masterfile used to do? - ANSWER-1. Place an order 2. Document that a procedure was performed 3. Trigger charges if necessary On the order composer, a field that is required or recommeneded is called.... - ANSWER-a controlled item What are the three levels of the procedure hierarchy from most specific to most general? - ANSWER-Procedure record, procedure category record, system definitions What are three big things defined in the OCC record? - ANSWER-1. Display items (class, status, priority...) 2. Summary sentence items 3. Controlled items Questions can be restricted by... - ANSWER-A patients age and sex What five masterfiles are commonly used as part of procedure and/or medication setup? - ANSWER-SmartText, Order composer config, question, procedure category, result component When building an OCC record, there are two options for the "ordering type" field. What are they? - ANSWER-Procedure and Medication What two details limit the use of an OCC record? - ANSWER-Ordering type and Ordering context When building an OCC record, there are many options for the "ordering context" field. What are two? - ANSWER-Ambulatory and Inpatient Procedures with a code type of CPT are... (CPT stands for...) - ANSWER-licensed property of the American Medical Association (CPT stands for current procedural terminology) To activate the procedure, the proc type must be... - ANSWER-charge orderable, performable, and chargeable define a procedure's ... - ANSWER-purpose If a procedure is orderable, it means - ANSWER-something must be done If a procedure is performable, it means - ANSWER-something must be documented, but not charged If a procedure is chargeable, it means - ANSWER-it can be billed for A procedure should not have both of these two purposes - ANSWER-orderable and chargeable Can a procedure have a purpose of historical? - ANSWER-Yes Should chargeable records be clinically active or inactive? - ANSWER-Inactive Where can you use smart text with a functional type of "MR Orders"? - ANSWER-Comments field T/F: Procedures that are orderables should be marked as active for billing. - ANSWER-False If you list Glucose as a result component in a Glucose Accucheck procedure record, how does that affect the end user who results this rest? - ANSWER-This result component displays by default. What is a result component? - ANSWER-It's a field on the "enter/edit resuts" screen where you'd enter a result. Dr. Quartz complains that whenever he orders any diagnostic imaging testing 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 a certain age. If you choose a display item that has "Collapsed" in its name, how does that appear in the Order Composer? - ANSWER-It appears as a hyperlink. Where do we get our medication records? - ANSWER-Third party vendors When you order a medication, then make system changes to the record, do you need to exit the patient space and re-enter for those changes to be reflected? - ANSWER-Yes In a medication record, what does an "S" represent? - ANSWER-The start date Are dose buttons found on the Outpatient Order Composer Button Selections screen? - ANSWER-No. They get their own screen. What are three rounding considerations (in the context of medications)? - ANSWER-The medication unit (like mg), the administration unit (like tablet), and the dispense unit (for pharmacy measurements).