Epic Bridges Exam Study Guide & Epic Bridges Exam Prep Latest Update 2024-2025 Qs & As, Exams of Nursing

Download Epic Bridges Exam Study Guide & Epic Bridges Exam Prep Latest Update 2024-2025 Qs & As and more Exams Nursing in PDF only on Docsity! Epic Bridges Exam Study Guide & Epic Bridges Exam Prep Latest Update 2024-2025 Questions and 100% Verified Correct Answers _____ is an online tool you can used to document details about issues you encounter. - CORRECT ANSWER: Sherlock Bridges uses a scheduled purge process to clear out old messages (True/ False) - CORRECT ANSWER: True Collect an error in a workqueue only if all of the following are true.... - CORRECT ANSWER: -Defined Resolution Path -assigned to a trained user - not already on a workqueue Communication Daemon - CORRECT ANSWER: Sends or receives acknowledgements over a TCP/IP connection Control Queue - CORRECT ANSWER: maintains a list of messages waiting to be processed. A to-do list with instructions to send or file messages stored in the data queue Data Queue - CORRECT ANSWER: contains Hl7 Messages along with timestamp information about message processing Do you need to add every interface to the background monitor in order to start or stop the interface? - CORRECT ANSWER: Yes. Filer daemon - CORRECT ANSWER: Translates HL7 data into something that can be stored to the database Holding Queue - CORRECT ANSWER: A place for messages to wait until the messages are ready to file Interconnect - CORRECT ANSWER: -Exists within the firewall -is sometimes used as an alternate communication method to TCP/IP for interfaces Message Editor - CORRECT ANSWER: allows you to make changes to the message and submit your edited version Message Purge - CORRECT ANSWER: - the only process in bridges that deletes messages from the data queue Message Search - CORRECT ANSWER: Allows you to specify an interface, a string to look for, and a time period. Then the activity returns all messages that meet those criteria Message viewer - CORRECT ANSWER: allows you to view the contents of an interface message in the Data Queue Message Viewer display tabs so what things? - CORRECT ANSWER: Message text, logged errors. message submission details, session history Messages are manually deleted from the data queue (T/F) - CORRECT ANSWER: They are purged only by an automated purge job The _____ contains the info needed to build a message. - CORRECT ANSWER: Event Queue The create new message option is only available for what type of interfaces? - CORRECT ANSWER: HL7 Version 2 The message editor does not perform validation (T/F) - CORRECT ANSWER: True. The message editor is a free text editor and has no idea how the message should look The three conditions for interfaces to used interconnect (one or more must be true) - CORRECT ANSWER: - The message uses an XML framework -Communication requires an HTTPS (web) protocol to reach securely outside you r firewall - The interface handles a job in a Windows.NET framework, such as extracting an embedded PDF from an HL7 v2 message and storing it to a BLOB Server To identify a patient using identity you need the _____ and the _____ - CORRECT ANSWER: ID type and ID Trigger - CORRECT ANSWER: A single, clearly defined action that a user or process can take that results in an interface message being created and sent What are the 3 types of patient validation an interface can use? - CORRECT ANSWER: Basic Validation, Extended Validation, Identity Duplication Configuration (IDC) What are the five error severities? - CORRECT ANSWER: Critical, fatal, warning, notification, and none What are the three level at which an error can be logged? - CORRECT ANSWER: daemon. message, and local. The majority of errors logged by the interface are message scoped errors. What are the three methods you can use to perform migration? - CORRECT ANSWER: Data Courier, Pack/unpack database record utilities, manual migration 3 methods of migration for Bridges objects - CORRECT ANSWER: 1) data courier 2) pack/unpack database record utilities 3) manual migration A custom override is created from... - CORRECT ANSWER: within the interface specification -click the green plus sign by the "message structure" tab A table with many-to-one mapping - CORRECT ANSWER: has multiple values which translate to the same result -valid if the values in the source column are a unique set with no duplicate values -applicable to tables that perform only incoming or outgoing mapping A wq must be _______________ in order to begin catching errors - CORRECT ANSWER: activated After you create an alert rule you need to.... - CORRECT ANSWER: Add it to the Background Monitor alerts An interface message contains.... - CORRECT ANSWER: Data about an event (like a patient being admitted to the hospital) An interface requires interconnect if one or more of the following are true: - CORRECT ANSWER: 1) the message uses an XML framework 2) communication requires HTTPS (web) protocol to reach securely outside your firewall 3) the interface handles a job in a windows .NET framework, such as extracting an embedded PDF from an HL7 v2 message and storing it to a BLOB server Are messages ever manually deleted from the Data Queue? - CORRECT ANSWER: No, never. They are purged only by an automated purge job. Are you deleting a message from the data queue with the Skip message feature? - CORRECT ANSWER: No. You can never manually delete a message with any bridges utility. This utility removes the entry only from the Control Queue Autostart Blocking Conditions in the Background Monitor - CORRECT ANSWER: Allows you to specify additional criteria that delays the startup of some interfaces Path: Epic>Admin>Interface Admin>Background Monitor Definition> Autostart Background Monitor - CORRECT ANSWER: takes care of many tasks including determining whether interfaces are running Blank fields... - CORRECT ANSWER: don't file anything Bridges Error Codes - CORRECT ANSWER: Each error logged by bridges includes a discrete numeric error code that allows us to group multiple occurrences of the same problem Errors sharing the same error code also include additional information specific to the occurrence of that error Bridges Error Severities - CORRECT ANSWER: Epic supports five error severities: critical, fatal, warning, notification, and none Can resubmitted messages be retriggered? - CORRECT ANSWER: No because they no longer have an event string to put pack on the event queue Can you delete a message in the Error Log Report activity? - CORRECT ANSWER: No- you can never manually delete a message from the data queue with any Bridges Activity Chronicles - CORRECT ANSWER: contains all the information for a patient in the form of records Collect an error workqueue if: - CORRECT ANSWER: 1) the error has a defined resolution path 2) a user is assigned to fix the errors and has been trained on the defined resolution path 3) the error doesn't already exist on another workqueue Comm Daemon (Incoming Message Flow) - CORRECT ANSWER: -listens constantly for messages coming into the system -validates MSH-11 and MSH-12 before accepting it, storing it in the data queue, and adding instruction to the control queue -sends or receives acknowledgments over a TCP/IP connection Comm Deamon (Outgoing Message Flow) - CORRECT ANSWER: reads an instruction from the Control Queue and copies the appropriate message off the Data Queue -sends the message out of Epic and waits for an ACK to be reutrned -deletes instruction from the Control Queue and proceeds to the next instruction -sends or receives acknowledgments over a TCP/IP connection Common uses of interconnect include - CORRECT ANSWER: e-Prescribing, Care Everywhere, Meaningful Use interfaces to state registries (i.e. immunizations, results and cancer reporting), Eligibility and X12 interfaces, EMFI and CHart Sunch interfaces, Research Protocol interfaces, Real Time Location System Tracking, IHE interfaces, country-speciifc interfaces Communication Status (Interface Monitor Column) - CORRECT ANSWER: whether the comm daemon is stopped or running Components - CORRECT ANSWER: units of conent that compose a dashboard Dashboards present information from multiple components in one location instead of multiple acitivities Control Queue (Incoming Message Flow) - CORRECT ANSWER: processed by the Filer Daemon Control Queue (Outgoing Message Flow) - CORRECT ANSWER: a to-do list and contains very little data -processed by the Communications Daemon -maintains a list of messages waiting to be processed Create new message option - CORRECT ANSWER: only available for HL7 version 2 interfaces Critical error - CORRECT ANSWER: indicates that the problem is serious enough to prevent the content from being processed Daemon (Outgoing Message Flow) - CORRECT ANSWER: process that runs in the background without any direct user action daemon-scoped error - CORRECT ANSWER: indicates problem with the interface configuration, and might require that the interface be stopped so that the problem can be addressed Dashboard - CORRECT ANSWER: screen of information that pulls data from multiple sources into one centralized location for a group of end users Data Courier - CORRECT ANSWER: tool that epic provides to facilitate the migration of objects between environments Data Queue - CORRECT ANSWER: used to store messages that are received by Bridges or that are created by Bridges to send out contains the full text of the message along with some additional metadata Data Queue (Outgoing Message Flow) - CORRECT ANSWER: contains the full text of the message along with some additional metadata (i.e. timestamp) about message processing Delete character HL7 - CORRECT ANSWER: double quotes " "--- tells the receiving system to delete a piece of info it has Deleted error - CORRECT ANSWER: still exists in a resolved state can always access details about the error in Bridges, so long as the corresponding message exists in the Data Queue Deleting an Error - CORRECT ANSWER: marks the error as resolved; happens if: you already made a change in the system to correct the issue, the error is innocuous -a later message has filed and rendered the message with the error obsolete Detailed Message Report - CORRECT ANSWER: provides all the information related to a message in a single location -can also be viewed in the bottom report pane of the Message Search results -there are many links DMR to perform actions or jump to records, including the table associated with a table mapping error, or the patient to which the message is For an interface to be eligible for either auto-start option: - CORRECT ANSWER: the autostart on system startup must be checked on the startup.shutdown tab of the interface specification General tables - CORRECT ANSWER: like a profile variable matrix containing configuration options for fine tuning the behavior of an interface high threshold match - CORRECT ANSWER: a matching patient record HL7 Header Tab of Interface Spec - CORRECT ANSWER: controls what is sent in the MSH segment of the outgoing interface for incoming interfaces, this is where you configure what you expect to receive in MSH- 11 and MSH-12, which control whether a message will be acknowledged by the comm daemon Holding QUeue - CORRECT ANSWER: Acts as a waiting area for messages that cannot get a lock to store information to the database How to get the most out of Message Search - CORRECT ANSWER: - limit the time period of your search to as small of a window as possible -use unique identifiers like MRN, CSN, or order ID for your message content criteria as opposed to non-unique values like patient name -include multiple search values to limit your results even further IDC (Identity Duplicate Configuration) Record - CORRECT ANSWER: contains a set of criteria to help determine whether two patients are likely to be duplicates Identity - CORRECT ANSWER: helps you to find the right record by maintaining an index of all the IDs associated with that record -supports maintenance of IDs for non patient entities such as procedures, immunizations and medications -Identity can be configured for a large number of Epic's master files Identity organizes external IDs by - CORRECT ANSWER: pairing them each with a corresponding ID type to provide context of what the ID represents Identity works by using what two elements - CORRECT ANSWER: 1) the ID itself and the institution that uses the ID, called the ID type -together, these uniquely determine the record being referred to, so the patient can be found using any of his or her ID or ID types If you are running a message search, what best practices could you use to reduce the amount of messages returned by your search or finish your search quicker? - CORRECT ANSWER: -limit the time period searched -search for unique identifiers (CSN, MRN, order ID) as opposed to patient name -include multiple search values in your search criteria If you change a profile variable in one interface specification, does it affect the profile variable in other interfaces? - CORRECT ANSWER: No, just the one interface specification in which the change was made If you need to dynamically populate some message header fields on an outgoing interface... - CORRECT ANSWER: there are profile variables that can override the values specified in the HL7 Header tab In message viewer, what information is available besides the text of the message? - CORRECT ANSWER: You can see errors associated with that message, message submission details such as timestamps of when the message was added to the data queue and processed Incoming Message Flow with Interconnect - CORRECT ANSWER: -Exists within the firewall; -constantly listening for messages coming into the system -most incoming interconnect interfaces don't require a separate Comm Daemon, since the Interconnect server handles all of the communication in this direction. Incoming tables - CORRECT ANSWER: used to map data received from an external system via an incoming interface into values to store in Chronicles source column- represents the data in the sending system format destination column- contains the Epic equivalent of the data Inherited profile variables - CORRECT ANSWER: profile variables that are in use by an interface that are defined in the system definitions Interconnect - CORRECT ANSWER: Epic's web services framework -enables Epic applications to initiate and receive web service requests with an external application -sometimes used as an alternate communication method to TCP/IP for interfaces -communicates messages securely using an HTTPS framework Interface Monitor - CORRECT ANSWER: displays the interfaces from the definition. There are several pieces of information available about each interface displayed: -AIP ID -Interface -Queue -Time since last message -Total recv;d/sent -Last recv'dsent -queued messages -queued events -waiting messages -communication status -filer/event status -time since comm start -time since filer/event start Interface Monitor Definition - CORRECT ANSWER: Allows you to specify which interfaces should be displayed in the Interface Monitor activity Interfaces are primarily configured using... - CORRECT ANSWER: profile variables INTF_USER profile variable - CORRECT ANSWER: it is the user associated with the interface audit trail entries if no user is present in the message interface will not start without this pv added Is it necessary to send empty fields following the last valued field? - CORRECT ANSWER: No Last Recv'd/Sent (Interface Monitor Column) - CORRECT ANSWER: Number of the Last message sent (outgoing) or received (incoming) i.e. message number Local-scope error - CORRECT ANSWER: error applies only to part of the message, and the rest of the message might have been processed successfully low threshold match - CORRECT ANSWER: patient record that COULD be a match i.e. similar enough demographics Lower half of Message Viewer - CORRECT ANSWER: tabbed display window that can show you several things about the message (i.e. message text, logged errors, message submission details, and sesion history) Message Editor - CORRECT ANSWER: similar to the Message Viewer but has the additional power of allowing you to make changes to the message and subit your edited version path: Epic>Tools>Interface Utilities>Edit Message Message Purging Hierarchy - CORRECT ANSWER: 1) Interface Level 2) Background Monitor Level 3) System Default of 30 Days If purge days are not specified for a given interface, the number of days in the Background moniotr will be used. When neither of those purge days are specified, then a system-wide default of 30 days is used. Message Search - CORRECT ANSWER: allows you to specify an interface, a string to look for, and a time period. The activity then returns all messages that match that criteria -allows you to take action on messages that are returned in your search: edit, resubmit, -there is a high volume of messages Reasons why an interface daemon might stop unexpectedly - CORRECT ANSWER: 1) there is a major problem going on with the system in general 2)there is one unique message that the interface is unable to handle Record-level IDs (i.e. procedures, patients, providers, and medications) should be mapped using... - CORRECT ANSWER: Identity Resequencing - CORRECT ANSWER: -a record is locked when a user or process is updating it -IF a filer daemon receives a message for a patient, but that patient's record is already being updated with an active lock, then the Filer stores the instruction for that message on another queue- the Holding Queue. -the message remains on the Holding Queue until the lock is released, so that the Filer Daemon can move onto the next message in the Control Queue for processing The filer Daemon checks messages on the Holding Queue periodically to determine whether messages on the Holding Queue are ready to file If the Filer Daemon encounters a message on the Control Queue that needs the same locks as a message already on the Holding Queue, that message is also added to the Holding Queue. This ensures that the messages always file into Chronicles in the same order they were received for a patient Resubmit feature - CORRECT ANSWER: creates a new message that is added to the data queue and the control queue to be processed -marks any errors on the original message as resolved. If an error still holds true on an incoming message, then a new instance of that error will be logged on the new message as it is processed by the Filer Daemon Resubmit feature - CORRECT ANSWER: submits your new copy of the interface message Resubmitting a message (incoming or outgoing) - CORRECT ANSWER: creates a new message on the data queue and also places an entry on the Control Queue Resubmitting a message (incoming) - CORRECT ANSWER: forces the filer daemon to reprocess the message that was resubmitted, which allows a user to attempt to file changes made directly to the message Resubmitting a message (outgoing) - CORRECT ANSWER: Control Queue is after the Event Daemon, so message gets processed by the comm daemon and sent out exactly as it appears when re-submitted. Any changes to the data in Chronicles or to interface configuration will not be reflected in the resubmitted message Resubmitting an Outgoing message - CORRECT ANSWER: sends the message directly out the Communications Daemon, and no additional validation is done on the message content. If a problem still exists on an outgoing message the error on the original message will be marked as resolved, but a new error will not reappear on the new message Retriggering Messages - CORRECT ANSWER: - copies the original event and puts it back on the event queue. -the event is then processed by the event daemon, applying any changes made in Chronicles or through interface configuration modifications -the event daemon will generate a new message that will be put on the data queue as well as an instruction for the control queue for the communications daemon to process -only outgoing interface messages can be retriggered Rule Editor - CORRECT ANSWER: allows you to create conditions that are best for your organization. Also contains an alert email message section to configure what text is included in the body of the email sent for the alert. Rules must be marked as _____________in order for them to catch an error - CORRECT ANSWER: Active Segment Identifier - CORRECT ANSWER: Three character code that identifies what kind of data that segment contains Skipping Messages - CORRECT ANSWER: Allows you to solve the problem of messages being blocked by one bad message by removing the bad message from the Control Queue so it will no longer be considered as a message to be processed and it logs a fatal error indicating which user skipped the message Step Group - CORRECT ANSWER: apply to a specific error code, and also to a specific interface, so you can maintain different steps for the same error codes as it appears in different interfaces -can link groups at the sys def level, so they apply to all interfaces for a specific error code T/F a translation table is data-couriable - CORRECT ANSWER: T- AIF record T/F: A single custom override can be used across multiple interfaces of the same type - CORRECT ANSWER: T Tables are typically used for....... - CORRECT ANSWER: category lists The majority of errors logged by interfaces are ______in scope - CORRECT ANSWER: message-scoped The two main interfaces that can create patients and use IDC are.... - CORRECT ANSWER: Incoming Scheduling and Incoming Patient Administration Three options for starting interfaces after planned downtime - CORRECT ANSWER: 1) manually start your interfaces in the order you desire 2) automatically start all of your interfaces at once when the backgroun monitor is started 3) automatically start all of your interfaces with rules to determine the order that interfaces are started Time since last message( Interface Monitor Column) - CORRECT ANSWER: Elapsed time since a message was last sent (for an outgoing interface) or received (for an incoming interface) To make an error step visible - CORRECT ANSWER: you must LINK the step group to a specific interface (link button on the tool bar of the error step) Total Recv'd/Sent (Interface Monitor Column) - CORRECT ANSWER: total number of messages sent (outgoing) or received (incoming) i.e. count Translation tables - CORRECT ANSWER: used to map values between Epic and another system Trigger - CORRECT ANSWER: Serves as the integration point between the application workflow and Bridges -generally an action in Hyperspace, like clicking a button or closing an activity -a single, clearly defined action that a user or process can take that results in an interface message being created and sent True/False: There is no action that a user can take to remove a message from the Data Queue - CORRECT ANSWER: True two kinds of general tables used in Bridges - CORRECT ANSWER: 1) older kind which uses first column has primary key, which is typically determined from something in the message 2) newer kind that allows multiple primary keys Waiting Messages (Interface Monitor Column) - CORRECT ANSWER: Number of messages waiting to be processed from the Holding Queue Warning error - CORRECT ANSWER: something went wrong, but not enough to prevent content from being processed What are stored in the Event Queue, Data Queue, and Control Queue? - CORRECT ANSWER: Event Queue: info needed to build a message (i.e. patient ID, encounter date, type of message, etc.)