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LAB400 EPIC EXAM (2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS (DETAILED & ELABORATED)
ACTUAL EXAM 2025 TEST!!
You have the ID for a requisition, but you need to find information about the current results associated with it. Where in the requisition (REQ) record can you find this information? - CORRECT ANSWER >>> You must find this information via the OVS You have the ID for a specimen, but you need to find the container associated with it. Where in the specimen (OVS) record can you find this information? - CORRECT ANSWER >>> Item 23 You have the requisition ID for an order but not the ORD ID. The associated test has been final verified. How would you find the Result Components? Choose ALL that apply. - CORRECT ANSWER >>> REQ > ORD > OVS > OVT > LRR REQ > ORD > OVS > OVR > LRR REQ > ORD > LRR Which of the following relationships are true? Hint: Use the Beaker record links table. Choose ALL that apply. - CORRECT ANSWER >>> The record ID for the OVT is listed in the EAP record. The record ID for the OVR is listed in the OVS record. ______ records are built by administrators.______ records are created by the system. Choose only ONE answer. - CORRECT ANSWER >>> Static, Dynamic Epic Print Service - CORRECT ANSWER >>> Facilitates transfer of data between Epic and physical printers Often handled by client systems team
Device (EPR) - CORRECT ANSWER >>> 1 per label printer Represents an individual printer in Epic Workstation (LWS) - CORRECT ANSWER >>> 1 per label printer Defines device as a label printer Label Printer Setup (RXD 1) - CORRECT ANSWER >>> List of all label printer workstation (LWS) records Defines the label properties Owned by Willow To print to an actual label printer, you'd list Generic Printer in the **- CORRECT ANSWER
** Device Type field. What kind of record did you pull into the Printer field? - CORRECT ANSWER >>> Device (EPR) To automatically print a label, what does the system need to know? **- CORRECT ANSWER ** Label/Report to print Printer Number of copies When it should print ** REQ > ORD > OVS > OVT > LRR REQ > ORD > OVS > OVR > LRR REQ > ORD > LRR Which of the following relationships are true? Hint: Use the Beaker record links table. Choose ALL that apply. - CORRECT ANSWER >>> The record ID for the OVT is listed in the EAP record. The record ID for the OVR is listed in the OVS record. ______ records are built by administrators.______ records are created by the system. Choose only ONE answer. - CORRECT ANSWER >>> Static, Dynamic Epic Print Service - CORRECT ANSWER >>> Facilitates transfer of data between Epic and physical printers Often handled by client systems team Device (EPR) - CORRECT ANSWER >>> 1 per label printer Represents an individual printer in Epic Workstation (LWS) - CORRECT ANSWER >>> 1 per label printer Defines device as a label printer Label Printer Setup (RXD 1) - CORRECT ANSWER >>> List of all label printer workstation (LWS) records Defines the label properties Owned by Willow To print to an actual label printer, you'd list Generic Printer in the - CORRECT ANSWER >>> Device Type field. What kind of record did you pull into the Printer field? - CORRECT ANSWER >>> Device (EPR) To automatically print a label, what does the system need to know? - CORRECT ANSWER >>> Label/Report to print Printer Number of copies When it should print At which level of the hierarchy (test, performing lab, or Beaker facility) should you configure the label setup? - CORRECT ANSWER >>> Lab In any given record, you should map each printer class to - CORRECT ANSWER >>> only one printer.
Value - CORRECT ANSWER >>> Specific response tested against Thinking about which dynamic record is used to store collection information, which rule context should we use? - CORRECT ANSWER >>> Lab Specimen Context True statements - CORRECT ANSWER >>> are a summary of all conditions in the rule. You should then record the true statement in the description of the rule record in addition to any other helpful information about the rule's purpose or function. AND: - CORRECT ANSWER >>> all conditions must be true for the rule to be true OR: - CORRECT ANSWER >>> any condition must be true for the rule to be true NOT/AND NOT - CORRECT ANSWER >>> all but must be true for the rule to be true custom evaluation logic, - CORRECT ANSWER >>> you can use different logical operators together. What important info is included in the help text for a rule field? - CORRECT ANSWER >>> This typically includes the context a rule must have to be linked here and the outcome if the rule evaluates to true. How are filter rules different from most other rules in Epic? - CORRECT ANSWER >>> In filter rule fields, for the action to occur, the rule must evaluate to false Think about which dynamic record is used to store information regarding an organism that was identified in a culture test. What should the context of your rule be? **- CORRECT ANSWER
** Lab Result Context
When does this property return "Yes" as its value? (Hint: read the help text for this property.) - CORRECT ANSWER >>> When the same organism has been previously identified for this patient within the Lookback window Think about which dynamic record is used to store a Pap interpretation. What should the context of your rule be? - CORRECT ANSWER >>> Lab Result Context Rule cannot be linked - CORRECT ANSWER >>> Make sure the rule context matches the context for the field. Rule is not evaluating correctly - CORRECT ANSWER >>> Check the conditions to confirm that the correct properties are evaluated. Confirm connection logic between conditions is correct. Use Rule Tester to figure out which part of the rule is evaluating incorrectly. Rule consistently evaluates the opposite of what is expected - CORRECT ANSWER >>> Make sure you are not in a filter rule field. Check evaluation logic. What controls where you can use a rule? Choose only one answer. **- CORRECT ANSWER
** Rule Context What does rule evaluation logic control? Choose all that apply. - CORRECT ANSWER >>> How conditions are grouped Which conditions need to be true for the rule to be true What is true about the rule tester? Choose all that apply. - CORRECT ANSWER >>> It only allows records that meet the context of the rule
Create a rule in the Rule Editor. Attach the hold at any level of the hierarchy to automatically apply it using an event and a rule. The system searches the following records: Test (OVT) > Laboratory (LDF) > Beaker Facility (LDF 1). User holds only need steps 1&2, because users decide when to apply the hold. System Category List - CORRECT ANSWER >>> Uneditable, controlled by Epic. Release Range: All Categories Extendible Category List - CORRECT ANSWER >>> These category lists are partially controlled by Epic, meaning certain values on the list are uneditable. The Epic-reserved values on these category lists are used by configuration elsewhere in the system. Customer Category List - CORRECT ANSWER >>> These category lists are entirely controlled by the customer organization. Epic might have values loaded into the category list, but each organization can choose to add, remove, or change these values on its own. Hard Hold - CORRECT ANSWER >>> Prevents specimen processing. Warning (delta) - CORRECT ANSWER >>> Presents a warning and requires acknowledgement, but does not prevent user from verifying. FYI - CORRECT ANSWER >>> Does not present a warning or prevent specimen processing. Used to record additional information about patient or specimen. Persistence - CORRECT ANSWER >>> Controls whether a hold must be cleared by a user (persistent) or whether it can be cleared by a background job (not persistent)
Batching - CORRECT ANSWER >>> Controls if a test with this hold can be added to batches Outstanding List (O.L.) - CORRECT ANSWER >>> Controls if a test with this hold appears on the Outstanding List (this can be overridden in the Outstanding List report settings) Applies To?: - CORRECT ANSWER >>> Controls if the hold will prevent preliminary and/or final verification Inherit - CORRECT ANSWER >>> checks and applies additional holds defined at more general levels of the hierarchy in addition to holds at the current level. Override - CORRECT ANSWER >>> only checks holds defined at the current level of the hierarchy. Describe the steps you would take if you needed to change the name of the hold. - CORRECT ANSWER >>> You edit this value on the holds category list (LDF 51860). The hold we configured is a hard hold. In what record and form was this determined? - CORRECT ANSWER >>> Beaker Facility Record- Holds Definitions form IF: Hold cannot be manually applied - CORRECT ANSWER >>> Make sure the hold is a value of category list LDF 51860 Make sure the hold is defined as the correct type in the facility record IF: Hold cannot be automatically applied - CORRECT ANSWER >>> Make sure the hold is a value of category list LDF 51860 Make sure the hold is defined as the correct type in the facility record Check that the hold is listed in either the Test, Lab, or Facility level and triggered by an event and rule
True or False: The Missing collection info hold will be applied whenever ANY specimen is received in the West Side Laboratory. - CORRECT ANSWER >>> False All the laboratories in your organization would like this same hold applied under the same conditions. What steps should you take to make your build more efficient? Choose ALL answers that apply. - CORRECT ANSWER >>> Configure this same event, rule, and hold in the Beaker facility record (LDF 1). Delete this setup from the West Side Laboratory's laboratory (LDF) record. Set the Hold inheritance field in all laboratory records to Inherit. Why might you apply a follow-up through an event-based extension instead of through a reflex action that uses an extension? - CORRECT ANSWER >>> The lab record can apply follow-ups for many tests, while reflex actions are configured at the test level and are therefore test specific. Can you edit the follow-up type associations in the Beaker Facility record? - CORRECT ANSWER >>> No, these can only be configured in the category list. Should you configure the automatic application of your follow-up using event-based setup in the laboratory record or a reflex action in a test record? - CORRECT ANSWER >>> Event-based setup in the lab record What does the Rule ID field allow you to do? - CORRECT ANSWER >>> You can link a rule here so that your follow up type is only generated when this rule is true. Will the system add a critical results follow-up task every time an event of LAB RESULT ENTERED occurs? Why or why not? - CORRECT ANSWER >>> No, only if the results are critical. We set up this up within our extension record.
Why is it ok to leave the Abnormal Level field blank for the reflex action extension? Hint: Consider the steps for building a reflex action. - CORRECT ANSWER >>> The reflex action contains the conditions for when this extension will be triggered Recall from your admin class: what are the 2 steps to configure a reflex action? - CORRECT ANSWER >>> Configure what should happen using an action set on the Reflex/Additional Charges form Configure conditions for when this action set should be triggered on the Result Checking form Which event(s) should cause the system to mark the Critical Results follow-up as completed automatically? - CORRECT ANSWER >>> When a result is acknowledged or when a comm log is completed What are the associations that a follow-up can have? Choose ALL answers that apply. - CORRECT ANSWER >>> Requisition Case Specimen QC Specimen Unassociated What steps need to be included to create a new follow-up type? Choose ALL answers that apply.
- CORRECT ANSWER >>> Add a value to category list RES 51165. Specify what the follow-up type is associated with in the category list. Define the follow-up type in the Facility record. True or False: You can change the association type of the follow-up on the Follow-up Definitions form of the Facility record. - CORRECT ANSWER >>> False
Appearance: Result Report Format (LAC - CORRECT ANSWER >>> Defines the template record, the order of result report sections, the report arrangement, and other formatting details. Each format record can be associated with only one template record. Appearance: Result Report Section (LDF) - CORRECT ANSWER >>> Determines the order in which tests appear. A test can belong to only one result report section, and a test's section is specified in the test record. Sections are automatically linked to the result report format record. Appearance: Result Type (OVG) - CORRECT ANSWER >>> Except when overridden, all result reports rely on the test's result type to determine which print groups organize results information in the report. Routing: Result Report Routing (LAC) - CORRECT ANSWER >>> Determines what types of reports are printed, how many copies, when reports are printed, which recipients get reports, and which batch job is used to print. Routing: Batch Scheduler - CORRECT ANSWER >>> Includes job (E1C), batch (E1B), and run (E1D) records which determine when the result reports are printed. T/F: Beaker Laboratory Report Routing (BLRR) is NOT the same as EpicCare Results Routing. - CORRECT ANSWER >>> TRUE. BLRR only controls paper reports and is entirely independent of In Basket and interfaced result routing. The EpicCare Ambulatory team uses EpicCare Results Routing to deliver In Basket Results messages to end users. This configuration is described in the Results Routing badge. List a few pieces of information you think will be brought into this report by SmartLinks: - CORRECT ANSWER >>> Patient information Submitter information Results
Do you think every SmartLink will always pull information into a result report? Why or why not?
- CORRECT ANSWER >>> No, they will only pull in available information You can send result reports to a variety of recipients, including: **- CORRECT ANSWER
** Primary care providers (PCP), and authorizing and ordering providers An encounter department A submitter A third party, such as a Public Health Agency Carbon-copied recipients (CC) Additional recipients chosen by specially configured extension records CI (critical Info): Consider the types of tests a submitter sends to your organization when you select when reports will print. - CORRECT ANSWER >>> For example, result prelim or final verified may be the appropriate option for submitters who send many microbiology tests. CI (critical info): - CORRECT ANSWER >>> You should always reach out to your Epic
** TRUE. BLRR only controls paper reports and is entirely independent of In Basket and interfaced result routing. The EpicCare Ambulatory team uses EpicCare Results Routing to deliver In Basket Results messages to end users. This configuration is described in the Results Routing badge. List a few pieces of information you think will be brought into this report by SmartLinks: - CORRECT ANSWER >>> Patient information Submitter information Results Do you think every SmartLink will always pull information into a result report? Why or why not? - CORRECT ANSWER >>> No, they will only pull in available information You can send result reports to a variety of recipients, including: - CORRECT ANSWER >>> Primary care providers (PCP), and authorizing and ordering providers An encounter department A submitter A third party, such as a Public Health Agency Carbon-copied recipients (CC) Additional recipients chosen by specially configured extension records CI (critical Info): Consider the types of tests a submitter sends to your organization when you select when reports will print. - CORRECT ANSWER >>> For example, result prelim or final verified may be the appropriate option for submitters who send many microbiology tests. CI (critical info): - CORRECT ANSWER >>> You should always reach out to your Epic representative when adjusting the Result Report Batch Run Configuration or result reporting routing records in a live environment. Incorrect run configuration can cause a large number of reports to be scheduled, leading to redundant result reporting, issues with overloaded printers and faxes, and other system performance implications. Result report format and routing records for requisition reports can be linked at two hierarchy levels: - CORRECT ANSWER >>> Submitter (SMT) Beaker facility (LDF 1) In which record will you configure results for multiple orders at the same time to appear side by side one another? - CORRECT ANSWER >>> Result Report Format.
Which of the following do Result Report Format records control? Choose ALL answers that apply. - CORRECT ANSWER >>> How the results are arranged. The order of Result Report Sections. DNA is composed of millions of __________________________ (A,T,G,C) **- CORRECT ANSWER
** Nucleotide Bases Regions of DNA make up_____________ - CORRECT ANSWER >>> genes Many genes bound together by proteins make up a_____________________ - CORRECT ANSWER >>> chromosome All the chromosomes of a patient make up their___________ **- CORRECT ANSWER ** genome A _______________ is a specific region of the genome which is different from another genome
- CORRECT ANSWER >>> variant A variant is ______________ if it is disease-causing - CORRECT ANSWER >>> pathogenic DNA Sequencing: - CORRECT ANSWER >>> The process of determining the order of nucleotide bases in a strand of DNA. This involves examining targeted sections of patient DNA compared to known reference sequences in order to identify variants. Cytogenetics - CORRECT ANSWER >>> The study of chromosomes, which are strands of DNA that contain genetic information in a cell. Cytogenetics involves testing samples of tissue, blood, or bone marrow in a laboratory to look for changes in chromosomes.
Polymerase Chain Reaction (PCR): - CORRECT ANSWER >>> A process of amplifying genetic material. The amplification can be targeted toward a known sequence (like a viral gene) to verify its presence. Example(s): Identifying COVID-19 or HIV by PCR. Flow Cytometry - CORRECT ANSWER >>> A method of studying cell populations. Cell markers (specific protein of interest) are used to separate cells into groups like normal and cancer precursors. Example(s): Identifying and classifying blood cancers like leukemia Next Generation Sequencing Clinical workflow: - CORRECT ANSWER >>> 1. Extract DNA
- Polymerase Chain Reaction (PCR) 3.Barcoding/Tagging.
- Library Creation
- Ready to Sequence
- Bioinformatic Processing (interface message)
- Resulting (path interp)
- Pathologist sign-out (reviews/verifies)
- Molecular Director Review and Sign out. Fluorescence in Situ Hybridization (FISH) Clinical workflow: - CORRECT ANSWER >>> 1. Prepare Slide 2.Drop Probes
- Hybridization
- Scoring
- Ready for Review 6.Director Sign-out
What are the individual sections of a report called? Choose only ONE answer. - CORRECT ANSWER >>> Print groups Where can you look up and view samples of Epic-released print groups? Choose only ONE answer. - CORRECT ANSWER >>> Print group documentation in the Data Handbook True or False: You can only view the names and ID numbers of print groups in Clinical Administration. - CORRECT ANSWER >>> False You are building a new report that needs one new print group that is different from an existing report. You don't know which exact print group to use. What steps should you follow to build this new report as efficiently as possible? Choose ALL answers that apply. - CORRECT ANSWER >>> Use Galaxy or the print group documentation in the Data Handbook to find the print group you need. Add the new print group to the report you created. Make a copy of the existing report. What features of a Rich Text report are not found in a Plain Text report? Choose ALL answers that apply. - CORRECT ANSWER >>> Links to other activities Arranging print groups in columns Bold text True or False: A Result Component (LRR) record is generated when a specimen is received into the lab. - CORRECT ANSWER >>> False A lab tech enters a requisition for a test. They place an order, generate a specimen, document collection information, but don't receive it into the lab. Which dynamic records are created? Choose ALL answers that apply. - CORRECT ANSWER >>> Order (ORD) and Specimen (OVS)
You're at a Go-Live, and you get a ticket saying that tasks never appeared on the nurse's work list to collect a specimen for a particular test. The nurse had to call the lab, and they were able to document the collection. In the issue ticket, the lab gave the Order ID but no other information. What would be your first step in troubleshooting? Choose only ONE answer. - CORRECT ANSWER >>> Use Record Viewer to look up the order (ORD) and find the associated records. Which record(s) might the system consult when a label printing event of accessioning occurs in Beaker? Choose ALL answers that apply. - CORRECT ANSWER >>> Test record (OVT) Lab record (LDF) of the performing lab Beaker facility record (LDF 1) True or False: You are manually printing a label. In the Printer field, you select LABEL PRINTER
- LABEL PRINTER 4132 is an example of a device record. - CORRECT ANSWER >>> True Which type of record do you list in Label Printer Setup (RXD 1)? Choose only ONE answer. - CORRECT ANSWER >>> Workstations Which of the following are recommended when building a rule from scratch? Choose ALL answers that apply. - CORRECT ANSWER >>> Build out records to test each possible type of outcome. Determine where the rule will be linked. Plan out how many conditions you will need. What does Rule context control? Choose ALL answers that apply. **- CORRECT ANSWER
** Where you can link your rule. Which properties are available.
