Understanding Order Specific Questions & Procedure Categories in Healthcare Info Systems, Exams of Health sciences

Download Understanding Order Specific Questions & Procedure Categories in Healthcare Info Systems and more Exams Health sciences in PDF only on Docsity! Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. The question "Is the patient pregnant?" should appear for any imaging orderables. What type of question record needs to be built? - Correct answer Build an order specific question. 1. Describe the most efficient way to have the same question appear for all the diagnostic imaging procedures. - Correct answer Link the procedure category for those imaging tests to the question. 2. Dr. Mica orders a procedure called Amb Referral to Dermatology. Would this be an orderable, performable, chargeable, or combination? - Correct answer The referral would be an orderable because it's like saying, "somebody please do this" and isn't actually being performed or charged now. 3. I created a SmartText with functional type MR Orders. Why am I unable to use it for a process instruction in a procedure? - Correct answer You cannot use it because MR Orders is the functional type for SmartText used as Comments. 4. True or False Procedures that are chargeables should be marked as active in billing. - Correct answer True 5. In a procedure, what is the purpose of the Override Procedure Category Questions item? - Correct answer It allows the administrator the option of having questions from both levels appear (or not) when the procedure is ordered. 6. True or False Lab related SmartLinks look to the procedure that was ordered. - Correct answer False 7. If you list Glucose as a result component in a Glucose Accucheck procedure record, how does that affect the end user who results this test? - Correct answer In the Enter/Edit Results activity, the end user sees the component by default, thus saving time. 8. In the procedure category for Lab Sent Outs, two buttons were set up for the Class field. However whenever Dr. Mica orders an iron assay (which is a procedure linked to the Lab Send Outs procedure category), she sees four buttons for the Class field. Explain why. - Correct answer The system searches for details using the procedure> procedure Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. category hierarchy, so it found the four buttons defined in the procedure record and displayed them. 9. Dr. Quartz complains that whenever he orders any diagnostic imaging test for any patient, the question, "is the patient pregnant?" appears. What setup is wrong? - Correct answer The linked question record should have been limited to females of a certain age. 10. You set up item buttons to display for the Class field. What must you do to make sure the Class field appears in the Order Composer? - Correct answer Define Class among the desired display items at the appropriate level's OCC record. 11. If you choose a display item that has "Collapsed" in its name (like Comment Collapsed), how does that appear in the Order Composer? - Correct answer It appears as a hyperlink. 12. Dr. Quartz complains that whenever he orders any outpatient referral, a default department specialty of Obstetrics and Gynecology appears. What did an administrator do incorrectly, and what should have been done? - Correct answer The administrator defined that department specialty in the referral procedure category. She should have defined it only in appropriate referral procedure records. 13. True or False Additional order detail display items can only be set up in a system level OCC record. - Correct answer False 14. What is the purpose of the Dispensable Product field in a medication record? - Correct answer The system automatically substitutes the dispensable product in place of this medication when this medication is ordered. 15. Name one type of SmartText to which a mediation record can link. - Correct answer Administration instructions 16. To what type of questions can you link a medication? - Correct answer Order specific Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 32. What two types of preference lists can you make in the Preference List Composer? - Correct answer Medications and procedure based preference lists. 33. List two places in Hyperspace where end users see preference lists. - Correct answer One possible answer: Order Entry, Problem List 34. Lead poisoning affects virtually every system in the body, and often occurs with no distinctive symptoms. Some states require toddlers to be tested once at the age of 1 year and again at the age of 2 years. What type of Health Maintenance topic would you make? - Correct answer You would make a sequential type of topic. 35. Name each type of Health Maintenance topic and give an example of how you would use each. - Correct answer Normal: annual Pap smear 36. Seasonal: flu shot 37. Sequential: DTaP vaccination series 38. Finish this statement: HM modifiers can be used to... - Correct answer include or exclude patients from Health Maintenance plans. 39. You need to add a new modifier called "Asbestos Exposure" to the list of modifiers. How do you do that? - Correct answer Go to Category List Maintenance and add this value to the list (EPT-18675) 40. Scenario: You created a Flu Shot topic, and you created a Flu Shot Seniors plan for patients over the age of 65. You have now been tasked with making sure that asthmatic patients of all ages are also informed that they should receive a flu shot. Should you create a topic or plan? What should be involved in the setup of this record? How can you accommodate that, while the seniors get notified two weeks in advance, you want the asthmatics to get notified one month in advance? - Correct answer Create a new plan for this population. The plan will include an "asthma" modifier, and it will be for any age and sex. In the plan, you can override the topic setup, so you could set the Prior Time to one month for the asthmatics. Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 41. Joni is overdue for a vision exam. She received a vision exam at Eyemart. How can Dr. Coal satisfy this Health Maintenance without ordering a vision exam? - Correct answer In the Health Maintenance activity, override the Vision Health Maintenance. 42. When patients report getting shots elsewhere, you document that in the Immunization activity as a historical immunization. You want that process to also satisfy related Health Maintenance topics. How would you set this up? - Correct answer Make immunization related Health Maintenance topics and plans. Then, in the Immunization master file, link the appropriate Immunization records to the appropriate Health Maintenance topic records. 43. Scenario: Rita is a 43 year old female with a family history of cancer. Rita has also had a double mastectomy. Rita's patient record has both the "family hx ca" and "double mastectomy" modifiers. In the system, the mammogram topic is linked to a plan that includes the "family hx ca" modifier but excludes those with the "double mastectomy" modifier. Will Rita be part of this plan? Why or why not? - Correct answer Rita will be excluded. EpicCare looks at the plan like this: This plan is for patients who are female and within the ages of 40-59 and who have the "family hx ca" modifier, but not if they have the "breast absent" modifier. Rita is part of the subset of patients who are female, age 40-59, and have the family hx ca. But, she is removed from that subset because she has the "breast absent" modifier. 44. True or False Specific destinations for order transmittal are set up in destination map records. - Correct answer True. The Specific destination (workstation record) is mapped to a generic destination (destination descriptor) in a destination map record. 45. If Dr. Mica places five orders for a patient during one visit, how many order records are created? - Correct answer Five order records are created. 46. List the three types of directives described in this chapter and give an example of how each would be used in a rule. - Correct answer SET - change the values of properties in an order such as order class, charge status, priority Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 47. DO - perform an action such as put a color flag on the schedule or a patient on a patient list 48. SEND - send to a destination such as send to a printer or a nurse pool 49. True or False Medication orders can only be reprinted by administrators in the Printer Status activity. - Correct answer False. Medications can also be reprinted in Order Entry in the encounter in which they were ordered. In addition, they can be reprinted in Clinical Administration. 50. True or False In Basket classes are set up in the In Basket Class master file. - Correct answer False. They are values on a category list. 51. Describe what you need to do to create a new In Basket class and to have Dr. Mica, Dr. Seeger and Dr. Iron be members of that class. - Correct answer Create a new value in the category list for classes. In each of these user's user records, point to that value. 52. I created a pool with the name South Scheduler but don't see it on the list when I type "P?" in the To field of my message from. What is one reason I am not seeing it? - Correct answer The registry record is marked Inactive. 53. I created a class called "Pediatric Nurse-South" and a Registry record called "South Pediatric Nurses". When I want to sent a pool message to this group, what do I type in the To field? - Correct answer You type "P South Pediatric Nurses" which is the name of the registry record. Ideally, if a class and pool cover the same group they should have the same name. This is an example of setup that isn't ideal. 54. You've been asked to create a pool for East Urgent Care Nurses, for which a class already exists. In which master file do you set this up? And, what master file will be searched? - Correct answer The pool is created in the Registry master file. Search the User master file for members of that class. 55. Why is is important that the most specific criteria be listed first in a results routing scheme record? - Correct answer When a result matches all the criteria in a row, it will Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 77. True or False You link your Procedure Category to the OCC Record. - Correct answer True And then link the Procedure to the Procedure Category. 78. Any setup in a procedure record is specific to only that what?? - Correct answer Procedure 79. Any setup in a procedure category record applies to... - Correct answer All procedures belonging to that category (unless overridden at the procedure level) 80. True or False Additional Order Details hyperlink as its own OCC record - Correct answer True 81. True or False On the EpicCare Settings screen of the Procedure Record, the Standard Components field is where you link to the desired Result Component so it will appear in Enter/Edit Results. - Correct answer True 82. True or False You can use base name or common name in the Result Component for a SmartLink. ie letter - Correct answer True 83. Performable/Chargeable purpose: - Correct answer Things that need to be documented/updated/resulted and charged. 84. True or False The order you enter buttons is the order in which the end user will see them. - Correct answer True 85. True or False As a rule of thumb on the Rx Order Setup, when there is an outpatient field or override, use it!! If you leave the outpatient settings blank, the default/inpatient settings will be used. - Correct answer True 86. True or False The refill must contain a value before an order can be signed. - Correct answer Yes a default of zero helps prevent accidental signings of order with too many refills. Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 87. The medication unit helps the: - Correct answer Ordering provider. The simplified dose unit (like mg) that is ultimately ordered. 400 mg 88. Administration Unit helps the: - Correct answer Patient/Parent. The unit in which the drug is measured when given. tabs, caps, ml, puffs. 89. Dispense Unit helps the: - Correct answer Pharmacist. The unit in which the pharmacy measures the amount dispensed. 90. Medication master file hierarchy. - Correct answer Medication master file and System Definitions master file. 91. True or False To set up the Use Free Text button, on the Outpatient Order Defaults screen of a medication record, set up the...Allow Non-Discrete Sig? and/or Default Discrete? - Correct answer True 92. True or False There are two medication records .... Benadryl and diphenhydramine...Details of the Order Composer come from the generic and link to the Brand. Set up everything in the generic. - Correct answer True 93. True or False Immunizations: Questions master file can be linked to Immunization master file which is linked to Procedure master file. - Correct answer True 94. The patient gets a shot elsewhere. This is documented in which master file? - Correct answer Immunization master file 95. The patient needs an immunization. It is ordered in what file and documented in what file? - Correct answer Ordered in a Procedure master file and administration is documented in an Immunization master file. 96. True or False Building a record in the Immunization master file does not make it available in Order Entry. - Correct answer True... you have to build a record in the Procedure master file. Link the two together in the Procedure master file. Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 97. The system first checks the _______ record for any default values and then looks to the linked _______ record for any items not specified in the procedure record. - Correct answer Procedure and Immunization. 98. Composer based Preference Lists are for are for what type lists? - Correct answer Medications and Procedure Orders 99. True or False Preference Lists are built by creating sections and then adding items. - Correct answer True 100. True or False You can change the class and status of the preference list to override the procedure category defaults. - Correct answer True 101. The preference list needs to be linked with which records? - Correct answer Profile and/or Department. Profile is linked to the department. 102. What master file is used to create preference lists for medications and procedures? - Correct answer Preference List Composer 103. What step is needed before you can add items in a preference list record? - Correct answer Section 104. When you add items to a preference list composer record you are really looking up records in what two master files? - Correct answer Procedure and Medications 105. When you enter defaults on procedure items in the preference list composer record, the defaults from which master files could potentially be overridden? - Correct answer Procedure, Procedure Category and System Definitions 106. What additional master files are needed to make a preference list "active"? - Correct answer Profile and link profile to one of the hierarchy levels...user, security class, department or system definition. Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 134. When a condition is matched, the send directive gives what? - Correct answer the general destination descriptor text (ie pool_nurse or printer_line) 135. Destination Map purpose is... - Correct answer to translate the general destination to a specific one for that situation. Each map is a table equating destination descriptors to actual destinations. ie pool_nurse = EMC FM Nurses or printer_line = EMC FM Printer 12 136. Types of workstations are.. - Correct answer pool 137. printer 138. interface 139. workstation 140. Order types and order classes are values on a what? - Correct answer category list 141. When you sign an order, the system automatically creates a ____________ record in the _________ master file. Each piece of information in the _________ record is called a ________________. - Correct answer Order record in the Order master file 142. Each piece of the order record is called order property. 143. When you sign an order, what is created? - Correct answer order record 144. Details like order type are stored in the order record. For order transmittal, what are these details called? - Correct answer order properties 145. Can an order's properties affect what order transmittal does with the order? - Correct answer Yes 146. True or False The rule record gives order transmittal the directions for how to transmit an order. - Correct answer True Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 147. True or False In the Rule record, Order Transmittal compares the properties of the order to the Rule's "IF statements" condition. If Order transmittal is able to answer TRUE to all the parts of a condition statement, then it is a match and Order Transmittal follows directions on what to do. - Correct answer True 148. Nesting is when... - Correct answer in a Rule record, where there is more than one property to evaluate in the condition statement ( ie order type and order class and specimen type) 149. IF Statement is a - Correct answer Condition 150. THEN Statement is a - Correct answer Directive 151. Do Directive does what? - Correct answer executes an extension record after the order is signed. Color blue flag on patient chart. 152. Set Directive does what? - Correct answer changes a property value in the order record after the user signs the order. 153. EXAMPLE: change property to ready to Charge or 154. set procedure to have status of "Ready to satisfy Health Maintenance" as soon as it is ordered, ie foot exam. 155. Send Directive does what? - Correct answer most common type of directive. It is used to send information to a destination. 156. EXAMPLE: Send report to closest nurse pool 157. Send to closest printer 158. send to Interface 159. Simultaneous Directive are what? - Correct answer Send Directives that are carried out at the same time. 160. Sequential Directives are what? - Correct answer Send Directives that send to multiple destinations one at a time. Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 161. Do - Execute an extention record - Blue dot 162. Set - change property value after signed - charge or satify HM 163. Send - used to transmit information about the order to a generic destination. - send report to nurse pool, send to printer, send to interface - Correct answer Know This. 164. Order Transmittal RULE hierarchy from most specific to general. - Correct answer Workstation 165. Order Transmittal Group (OTG) 166. Department 167. Location 168. Service Area 169. Facility 170. In real life, an order will have dozens of properties. The Rule will not list out all these properties: it will only list the significant properties. - Correct answer True 171. Error pools are for what? - Correct answer catch orders that do not get handled properly by Order Transmittal. An order can slip through the crack without matching on any of the conditions in the order. 172. To determine how to transmit the order, Order Transmittal consults information in a record of which master file? - Correct answer Rule master file 173. Can more than one property be evaluated in a condition statement? - Correct answer Yes it is called Nesting. 174. If a condition statement in a rule matches the properties of the order, what happens? - Correct answer The Directive (THEN) statement is used. Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 205. End Provider 206. A Pool 207. something else such as PCP 208. The encounter provider is? - Correct answer The provider scheduled to see the patient for the visit. 209. The authorizing provider is? - Correct answer The billing provider for that order. 210. In the Provider Record, a clinician is defined as an authorizing provider for orders. 211. Row logic in Result Routing starts by evaluating which row and then does what? - Correct answer evaluates the 1st row, if no match it goes to the next row until all the conditions of a row are matched by the result. When it matches, it follows the directive (In Basket recipients). 212. If no row in the Result Routing is matched, where does it go? - Correct answer the result is sent to the default recipients. 213. Result Routing hierarchy levels are. - Correct answer Provider (authorizing provider record) 214. Department (enc or primary, depending on the setup in the provider's record Results Routing Department field. 215. System Definitions 216. Results Routing schemes are set up in what? - Correct answer Results Routing Schemes master file. 217. What are 3 areas in the Results Routing scheme to fill out? - Correct answer Results routing criteria - conditions ie procedure, proc catetory, provider, order class, future or standing Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. 218. In Basket recipients - providers and registry 219. Default recipients - registry ie nurse pool 220. True or False In a given row, AND logic is used between the criteria. To match on that row, all criteria in that row must be TRUE for an order record being evaluated. - Correct answer TRUE 221. There is no criterion for results status = normal. If you want only normal results, you must first eliminate abnormal results in a higher line in the scheme. - Correct answer TRUE 222. If a Results Routing criteria row is TRUE, where does it go and what does it do? - Correct answer it uses the corresponding row in the In Basket Recipients section to determine what end user gets the Results In Basket message. 223. When listing Results Routing criteria, how are they listed? - Correct answer more specific to more general 224. The Results Routing Scheme is linked to what? - Correct answer Provider 225. Department 226. System Definitions 227. How to track results routing. - Correct answer Epic > Support > Support Reports 228. Then in the patient workspace, go to the lab tab of Chart Review, double click on the test, then click the Click to view hyperlink. 229. Why is it important to add synonyms to medication and procedure records? - Correct answer Fast lookup 230. When an imaging test is ordered, a question appears in the Order Composer. Describe the linking necessary for setup ie from what record to what record? - Correct Ambulatory 400 Test Questions | 180 Questions with 100% Correct Answers | Verified | BestbnExam. answer question is linked to procedure category instead of specific procedure check on this though 231. Explain how setup in procedure category records is advantageous to administrators. - Correct answer Basic information in the procedure category and the Procedure record is linked to it. 232. In which master file do you create a record that defines what appears in the Summary Sentence and the Order composer display items for medications? - Correct answer OCC - Order Composer Configuration 233. Name 3 types of HM Topics and give examples. - Correct answer Normal 234. Seasonal - flu shot 235. Sequential - immunization series 236. In a HM plan record, what 3 patient factors can be evaluated to define a population? - Correct answer age 237. sex 238. include and exclude modifiers 239. In a rule record, is pool_nurse the name of a specific destination? - Correct answer No, it is a destination descriptor 240. Give and example of a condition and directive that uses the Send directive. - Correct answer If order type is med and med is controlled, then send 3 copies to printer 241.If a question is set at the procedure and a different question is set at the procedure category, will both questions appear or just the question at the procedure level? - Correct answer will on both but use procedure record override.