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EPIC AMBULATORY VERIFIED QUESTION
Typology: Exams
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Workspace Space where you do work. (i.e. patient, account, &/or administrative) Activity Modules within a workspace where tasks are completed (i.e. Chart Review, Immunizations, Plan, Notes, etc...) Table of Contents or TOC Appear at the top of navigator based activites such as Rooming, Plan, Wrap-Up, etc... You can "Jump to" by clicking on a word in TOC. You can "Scroll to" without opening by utilizing the blue arrow to the right of a word in the TOC. Jump to clicking on a word in TOC Scroll to by utilizing the blue arrow to the right of a word in the TOC. Rooming Health Maintenance The HM activity gives you an overview of whether your patient has received your organizations recommended schedule of preventive care. Developmental History Section is set up to appear based on the age of the patient, and offers developmental history measures based on patient age through five years old. Regardless of your patient's age, you can use any of those subsections. Hearing/Screening Section is a SmartForm (a customizable form in Hyperspace used for gathering clinical and other patient data) that is set up to appear based on the age of the patient. Depending on your setup, this section is in either the Visit Navigator or the Rooming activity SmartSet SmartSets and Order Sets are decision support tools designed to help clinicians work through a visit efficiently and within your organization's recommendations. "SmartSet record" refers to an underlying data structure. A SmartSet record is made available to users as either a SmartSet or an Order Set. SmartSets are typically based on the top diagnoses for the practice. Medical History Significant diagnoses the patient has had in the past Surgical History Significant procedures the patient has had in the past (not necessarily surgeries) Family History
Family members' status (alive, deceased, other) and health risks and diseases; an example of when "other" is appropriate is when there is a family member that is no longer in touch, so that person's status is unknown. Family members' status alive, deceased, other Social History A patient's tobacco, alcohol, and drug use, as well as sexual activity Birth History Details about a patient's birth, such as birth length and weight, delivery method, and APGAR scores Obstetric History The (female) patient's pregnancy history Pertinent Negative If a patient or family member has not had a particular diagnosis or procedure, that can be pertinent in helping diagnose a patient or plan the best treatment. Why is the date field a free text in medical & surgical hx? The because patients often cannot remember exact dates for their medical and surgical history. Define The Sidebar Report The Sidebar Report offers constant access to additional clinical information about the patient as well as information specific to the current visit Define SnapShot Use SnapShot to review key patient demographic and clinical information, such as the patient's problem list and current medications list. It also serves as a hub to go to other activities because many of the SnapShot section headings are links. Define Chart Review Chart Review (also sometimes named Review) is an activity in which users can see a patient's past encounters, lab results, notes, and other parts of a patient's history. They can also apply filters to quickly find information. Define Results Review Results Review displays results in result groups specified by your organization. Use Results Review to quickly access all types of results (as opposed to only labs, for example), choose to "view all" or hand-select what to view, narrow the focus to abnormal or flagged results, and easily view the details of a single result Define Synopsis Synopsis can display a large amount of varying types of clinical data in one view, tracked over time. Define Growth Chart Growth Chart is an activity in which a patient's recorded values for height and weight are used to plot values on various types of growth charts using different reference datasets.
The reports on the Encounters tab include all relevant documentation from office visits, phone calls, consults, hospital admissions, etc. including all notes. When do you use Chart Reviews "Notes" tab? This tab shows all types of notes, including progress notes, H&P (history and physical) notes, and clinical notes from hospital stays. Per specialty or job role, default filters hide types of notes that are considered insignificant. When should you NOT click to Reorder or Change medications? When the form of the medication (tablets, etc.) must be changed, you must discontinue the original medication and then order a new medication. What is a FAM or CAM? The term facility-administered medication is interchangeable with the term clinic- administered medication. Point-and-click choices in NoteWriter "discrete data"? True or False True Free texts are not part of discrete data collection? True or False True Pool Good for task based messages. While it can seem like each recipient receives their own copy of the message, all members actually share one message. Therefore, any action performed on the pool message by one recipient impacts all recipients. Chapter 5- Class