Order Transmittal: Chapter 2 Flashcards
(85 cards)
1
Q
Rules are attached to part of the ____________ _______________
A
facility structure
2
Q
Rules contain ____________ and ____________
A
conditions and directives
3
Q
Descriptors are also known as ___________ ___________
A
generic destinations
4
Q
Maps translate descriptors into _____________ ____________
A
specific workstations
5
Q
Maps, like rules, are attached to part of the ___________ _____________
A
facility structure
6
Q
Workstations are ___________ destinations
A
specific
7
Q
Which of the following are workstations? Choose all that apply
1. Printers
- Pools
- Interfaces
A
all of these are workstations
8
Q
___________ allow users to add information to an order after it has been signed.
A
Tasks
9
Q
When is an order record created?
A
When an end user signs an order
10
Q
A rule evaluates _______________ of an order
A
properties
11
Q
When an order matches a condition statement in a RULE what happens next?
A
The directive is followed
12
Q
The three types of directives are
A
Set, Do and Send
13
Q
Which type of directive will change the property of a value
A
Set
14
Q
Causing a blue dot to appear on the appointment scheduler would be accomplished via which directive?
A
The DO directive
15
Q
What three questions does the SEND directive try to resolve?
A
How many?, What?, and Where?
16
Q
What is the purpose of a destination MAP?
A
To translate generic descriptor to a workstation
17
Q
Order transmittal searches rule records at the most ________ level to the most _________ level until it matches the order’s properties to a condition statement
A
specific to general
18
Q
What is the rule heirarchy from most specific to most general
A
Workstation, Order Transmittal Group, Department, Location, Service Area, Facility
19
Q
Where, specifically, is a rule record linked?
A
The Order Rule Linking activity in Hyperspace
20
Q
True or False.
A rule can be linked at multiple levels of the heirarchy
A
True
21
Q
True or False
Each level of the rule heirarchy can have multiple rules attached
A
False. Only one rule per level
22
Q
True or False
Order Transmittal evaluates the conditions in a rule record from top to bottom
A
True
23
Q
True or False
Order transmittal stops when it finds a condition for which it can match the properties of the order
A
True
24
Q
For an order to be transmitted correctly, it is important that you list properties to be evaluated in a strategic arrangement of _____________ to ___________
A
specific to general
25
When you build rules you want the _____________ number of rules possible.
smallest
26
Why do Administrators use error pools?
To catch orders that do not get handled properly by order transmittal.
27
True or False
An order that does not match a rule at any of the levels of the hierarchy will, by default, use the Facility level rule.
False. The order will end up in the error pool.
28
Error pools are used in two places. Name them
1. In your Facility-level rule, as the very last directive with a descriptor of pool-error
2. In your Facility-level destination map, where pool-error is mapped to a specific error pool workstation record.
29
True or False
"Create" directives trigger tasks.
False. Create directives trigger task templates
30
Generally speaking, multistep orders fall into what 3 categories?
1. Orders that require specimen collection
2. Orders that are missing information
3. Orders that need to be acted upon in some way before going to their final destination
31
Multistep Order Transmittal works by using a __________ directive, followed by an _____________-____________ directive
Create
| Event-Driven
32
Put the following in the correct order:
1. The Task Template creates a Task that appears in the Order Information In Basket Folder
2. When the task is complete, the order is sent back through order transmittal. This time, however, the order is associated with an event
3. A rule executes a create directive
4. When the nurse clicks Add'l Info button, the Collection Information window opens, and prompts the nurse to add the needed information.
5. The create directive points to a Task Template
6. On its second pass, only directives associated with that event will apply to the order.
3
5
1
4
2
6
33
A Multistep Collect workflow is used for _________ ________.
Collecting Specimens
34
A Multistep workflow is used to
add information or details to an order, or to wait for a clinician to act on the order before it is marked as complete.
35
In most cases only ______ status orders need to be routed via order transmittal
Normal
36
To include future and standing orders in order transmittal, change the ______ field in the directive's details to Standing, Future, or ____.
Filter, both
37
True or False
Future and standing orders are usually NOT set up to transmit to external systems.
True. Because the external system cannot release the orders via the interface.
38
If you delete a condition row in the Order Rule Editor will the directives below it also be deleted?
Yes
39
Can rules direct what should happen if an order gets canceled?
Yes, using event-driven rule-based OTx you can create rule directives for orders that were signed as well as for orders that were canceled.
40
Is the Edit Rules tab available if you are working in an Active (Released) contact?
No. It is only available in Inactive or Unreleased contacts
41
Does activating a rule mean that it applies to any orders?
No, it must first be attached to part of the facility structure before it has any impact.
42
Can a rule be edited after it is released?
No
43
Can more than one contact of a rule be active at the same time?
No.
44
Why do you need to build your destination descriptor records before building rule records?
Because you need to be able to specify them in your rule record.
45
Lab Tech contacts you and says that although an order reached his In Basket as a pool message, the labels did not print. What investigation tool will you use?
View Order Tracking
46
In order for a rule to be used by Order Transmittal, what setup needs to be completed?
Validate XML, Save/Compile, Activate, Link to a level in the rule heirarchy
47
True or False
Order types and order classes are values on category lists.
True
48
True or False
One rule can link to multiple departments.
True
49
True or False
Multiple rules can be linked to the Facility
False
50
Marking a message ____is the key to moving on to the next step in Multistep Order Transmittal
Done
51
Error pools are used in two places. Where?
1. In the Facility-level rule as the very last directive
| 2. In the Facility-level destination map where it is mapped to a specific error pool workstation record.
52
Advanced Rule Directives
Name four of them.
1. Error Pool
2. Do Nothing
3. Continue Afterwards
4. Future and Standing Order Filters
5. Clinic Collect Labs
53
Clinic Collect Labs
What happens when a customer has EpicCare Ambulatory but does not have Beaker?
Multistep Order Transmittal is leveraged, in particular the Create Task directive
54
Which of the following would involve multistep order transmittal?
1. A nurse is notified to collect a specimen and record the date and time collected before sending it to the lab.
2. During collection the nurse adds the name of a consulting physician.
3. An order is sent to a final destination where labels are printed and then the order is sent to a lab interface.
All
55
Task-Based Multistep order transmittal starts with a ______ _________
create directive.
56
The create directive is triggered by an event. In EpicCare Ambulatory, what are the two most common event triggers
1. Signing an order
| 2. Completing collection information via an In Basket message (Collection Info Complete)
57
Each piece of information in an order record is called a _____ _________
Order Property
58
Order Type, Order Class, and Controlled Status for Medications are all examples of _____ __________
Order Properties
59
Order Properties can be grouped into three different categories. What are they
1. Contextual Properties
2. Order-Defined Properties
3. End-user Defined Properties
60
Contextual Properties are based on __________ _______ and are mostly used when _________ for a ____ or ___ record
situational factors
searching
rule
map
61
Examples of Contextual Properties are:
```
Encounter Type
Ordering Workstation
Encounter Provider
Workstation Department
Encounter Department
Outpatient or Inpatient
Order Date
```
62
Order-defined properties are values that are defined in the ___________ or __________ record.
Medication
| Procedure
63
True or False
End user's can change Order-defined properties
False
64
Order defined properties are mostly used in _________ or ___ __________
conditions
| set directives
65
Examples of order-defined properties would be:
```
Order Class
Order Type
Order Priority
Controlled Status
Procedure Category
```
66
End-user defined properties are properties that the end user can ______ _____ _______ ___ _____
change before signing the order
67
End-user defined properties are mostly used in ________ or ___ __________
conditions
| set directives
68
In a rule record, when specifying a value of a property that references a category list or master file record, you must type the name _______ as it is built in these places. These values in a rule are ____ _________
exactly
| case sensitive
69
When working in the Order Rule Editor, each condition and directive row is called a ____
Node
70
The ____ ____ tab displays your Rule in an easy-to-read, color-coded, outline style format and is ____ ____
View Rules
| read-only
71
True or False
You cannot save or activate a rule with errors
True
72
True or False
Each multistep task must be completed individually.
True. They cannot be grouped like multistep collection Tasks.
73
True or False
Multistep Collection Tasks can prompt users for a broad range of information
False. Can only include information about the specimen collection.
74
If a patient has more than one multistep collection Task that was created from the same Task Record, the nurse CAN/CANNOT document collecting all of those Tasks at the same time
Can
75
To create an OCC for multistep, indicate that the Ordering Type is ___________.
For the Ordering Context, enter either ________ ___________-____________ or ________-_________
Procedure
Multistep Collection-Ambulatory
Multistep-Ambulatory
76
True or False
OCC records used for multistep or multistep collection order transmittal tasks are the same OCC records you use to define the display items, summary items, and item control for medications and procedures
True
77
Order Transmittal OCCs can have which of the following Ordering Contexts? (Choose all that apply)
1. Multistep Collection-Inpatient
2. Multistep Collection-Ambulatory
3. Multistep-Inpatient
4. Multistep-Ambulatory
1
2
3
4
78
True or False
Create Directives trigger Task Templates
True
79
True or False
Tasks Templates point to task(s) that should appear in In Basket
True
80
True or False
You should create an OCC before you create a Task and you should create a task before you create a Task Template.
True
81
True or False
OCC's are linked to Tasks
False. Tasks are linked to OCCs
82
Tasks and Task Templates live in ___________
Hyperspace
83
True or False
Writing a multistep rule involves two parts, a create directive and a second set of directives associated with the event in your Task
True
84
True or False
It is OK to change Order Transmittal Rules any time you find a problem that needs resolving.
False. OTx rules should only be changed during scheduled downtimes.
85
True or False
Order Tracking Report print groups do not show information regarding the create directive
True. Because the print group only displays information involving the send, set, and do directives
