Clinical Order Transmittal Exam Study Guide with
Complete Solutions
Rules - Correct Answer Instruction records; contain conditions and directives and are attached to part
of the facility structure
Descriptors - Correct Answer Generic destinations that search for a map
Maps - Correct Answer Translate descriptors into specific workstations and are attached to a facility
structure
Workstations - Correct Answer Specific destinations such as printers, interfaces, and pools
Tasks - Correct Answer Used in multi-step orders transmittal to allow users to add information to an
order after is has been signed
Can you link more than one rule record to a facility? - Correct Answer NO -- Since there is only one
facility record, only one rule record can be linked. After a rule is linked to any entity in the rule
hierarchy (such as emc fam med dept record) no other rules can be linked to that record.
What master file are rule records in? - Correct Answer The rule master file (LOR)
Destination Resolution - Correct Answer The process by which order transmittal deptermines a
specific destination for a send directive's generic destination
Which hierarchy refers to the workstation (prints to the closest printer regardless of where the pt is
scheduled)? - Correct Answer Local
Which hierarchy refers to the encounter dept (sends to the dept nurse pool instead of the
workstation nurse pool)? - Correct Answer Patients (starts searching at the department level)
Destination Search Method - Correct Answer The method that order transmittal uses to determine
which hierarchy to follow as it searches records in the destination map master file (the methods are
local and patient)
, Which order record property is based on situational factors and is mostly used when searching for a
rule or map record? - Correct Answer Contextual property (ex: encounter type, ordering workstation,
encounter provider)
Which order record property is defined in med or proc record, can't be changed by end users and is
mostly used in conditions or set directives? - Correct Answer Order-defined property (ex: order class,
order type, proc cat)
Which order property can be changed by end users before signing an order and is mostly used in
conditions and set directives? - Correct Answer End-user defined properties (ex: order class if there is
more than one allowed, order priority if there is more than one allowed)
When setting the properties in the properties master file, if the condition statement relates to a med,
it needs to incorporate a status called return values. What are they? - Correct Answer 1 - not
controlled
2 - controlled med
3 - controlled and schedule 2
Why does order transmittal need to look at a destination descriptor record? - Correct Answer To find
out which hierarchy to use as it searches for a match in the destination map master file (patient or
local)
What is the final stop when resolving a send directive? - Correct Answer The destination map master
file --> this is where the translation from a general destination to a specific destination takes place
(aka destination resolution)
A rule's directive (ex: send to loc printer) is listing not the name of the destination record, but its
_____________ - Correct Answer Descriptor text
Order transmittal consults the _____________ master file to determine which method to use -
Correct Answer Destination descriptor
The two search methods are ___________ and _________ - Correct Answer Patient, local
If the search method is local, the order transmittal first looks for a destination map that is linked to
the ______________ from which the order was placed. If that is not a match, it then checks for a
destination map at the _____________ level. - Correct Answer Workstation, OTG-Level
Complete Solutions
Rules - Correct Answer Instruction records; contain conditions and directives and are attached to part
of the facility structure
Descriptors - Correct Answer Generic destinations that search for a map
Maps - Correct Answer Translate descriptors into specific workstations and are attached to a facility
structure
Workstations - Correct Answer Specific destinations such as printers, interfaces, and pools
Tasks - Correct Answer Used in multi-step orders transmittal to allow users to add information to an
order after is has been signed
Can you link more than one rule record to a facility? - Correct Answer NO -- Since there is only one
facility record, only one rule record can be linked. After a rule is linked to any entity in the rule
hierarchy (such as emc fam med dept record) no other rules can be linked to that record.
What master file are rule records in? - Correct Answer The rule master file (LOR)
Destination Resolution - Correct Answer The process by which order transmittal deptermines a
specific destination for a send directive's generic destination
Which hierarchy refers to the workstation (prints to the closest printer regardless of where the pt is
scheduled)? - Correct Answer Local
Which hierarchy refers to the encounter dept (sends to the dept nurse pool instead of the
workstation nurse pool)? - Correct Answer Patients (starts searching at the department level)
Destination Search Method - Correct Answer The method that order transmittal uses to determine
which hierarchy to follow as it searches records in the destination map master file (the methods are
local and patient)
, Which order record property is based on situational factors and is mostly used when searching for a
rule or map record? - Correct Answer Contextual property (ex: encounter type, ordering workstation,
encounter provider)
Which order record property is defined in med or proc record, can't be changed by end users and is
mostly used in conditions or set directives? - Correct Answer Order-defined property (ex: order class,
order type, proc cat)
Which order property can be changed by end users before signing an order and is mostly used in
conditions and set directives? - Correct Answer End-user defined properties (ex: order class if there is
more than one allowed, order priority if there is more than one allowed)
When setting the properties in the properties master file, if the condition statement relates to a med,
it needs to incorporate a status called return values. What are they? - Correct Answer 1 - not
controlled
2 - controlled med
3 - controlled and schedule 2
Why does order transmittal need to look at a destination descriptor record? - Correct Answer To find
out which hierarchy to use as it searches for a match in the destination map master file (patient or
local)
What is the final stop when resolving a send directive? - Correct Answer The destination map master
file --> this is where the translation from a general destination to a specific destination takes place
(aka destination resolution)
A rule's directive (ex: send to loc printer) is listing not the name of the destination record, but its
_____________ - Correct Answer Descriptor text
Order transmittal consults the _____________ master file to determine which method to use -
Correct Answer Destination descriptor
The two search methods are ___________ and _________ - Correct Answer Patient, local
If the search method is local, the order transmittal first looks for a destination map that is linked to
the ______________ from which the order was placed. If that is not a match, it then checks for a
destination map at the _____________ level. - Correct Answer Workstation, OTG-Level
