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What is a lab panel composed of? |
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Multiple analytes that will undergo analysis |
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What is a lab analyte? |
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A blood test compound that is the subject to its own specific chemical analysis |
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To export popup text from the practice view screen the administrator will select the utilities menu, then which option must be selected? |
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Import/Export SpringCharts |
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When the results are recieved and manually put into the pending test, where is the test sent? |
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Completed tests |
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Specific lab companies that transmit electronic data to SpringCharts using HL7 language and protocals are? |
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Reference Labs |
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What is amatch choice task that SpringLabs will automatically perform using the patient's name and date of birth? |
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Identify patient |
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How may lab test results be enetered into the pending test? |
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Manually and automatically via SpringLabs |
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In the complete test window how may the listed tests be organized? |
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-Test name or patient name
-Test order date
-Ordering physician |
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Where will test results be available if the tests were ordered within the office visit encounter? |
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Test results |
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What button can a user select in the New IMaging Test or New Medical Test window to access the CPT code dictionary database? |
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Lookup |
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How does a user add a new procedure? |
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Select New>New procedure from the practice view screen |
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In the New Diagnosis window, which button will give access to the ICD-9 database? |
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Lookup |
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EDI is an acronym for what? |
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Electronic Data Interchange` |
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Which window must a user access to modify popup text? |
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Edit popup text window |
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When inserting a letter template, how can a user amend the letter? |
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The user may use line items from the popup text window |
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Using the menu bar, how can a user create a letter template from the practice view screen? |
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New>New Template>New Letter Template |
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Why would an order form be created in the patient's chart? |
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ONly if the patient was not being seen as part of a normal office visit |
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If the order templates are used in th OV screen what will automatically be added to the order from from the OV note? |
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Diagnoses and the ordered tests |
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What is used to rapidly populate the New OV window? |
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Order templates |
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What are some of the medical specialties that TemplateWare caters to? |
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-Pediatrics and family practice
-Internal medicine and gastroenterology
-Psychiatric and pulmonary medicine |
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What screen must a user access to create a new template? |
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Practive View Screen |
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What is a Template? |
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A document that is predesigned with a set structure |
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What is an Addendum? |
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A medical note added subsequent to the original note that will supplement the clinical information |
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What does an E&M coder look for? |
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Keywords used within the review of the systems and exam of body areas, organs and systems in the office visit note |
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What is a routing slip? |
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A form that contains the medical office's most common procedure and diagnosisi codes and descriptions |
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TemplateWare is a SpringCharts add-on feature that provides what? |
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Pre-built office visit notes, orders and letters as well as popup text for specific specialists |
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What is the purpose of the AMA? |
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To promote the art and science of medicine to improve our health care system |
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What does CPT stand for? |
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Current Procedure Terminology |
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What does ICD-9 stand for? |
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International Classification of Diseases, Volume 9 |
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What kind of information on drugs can you get from a drug monograph? |
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-compostition
-description
-method of preperation
-dosage
-adverse side effects
-overdose
-warnigns
-research |
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What are drug monographs? |
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Highly detailed and thoroughly documented studies on drugs |
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What kind of information does a drug formulary include? |
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-preperation
-safety
-effectiveness
-cost
.... of drug therapy medications |
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What is a drug formulary? |
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A database of approved medications in drug therapy catagories |
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What is Body Mass Index(BMI)? |
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A mathematical formula that divides a person's weight by their height in meters squared |
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What is an H&P (or History and Physical Report)? |
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Documentation of the patient's medical history combined with the physical exam |
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What does SOAP stand for? |
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Subjective
Objective
Assessment
Plan |
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An office visit is defined in SpringCharts as what? |
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An encounter with a medical provider in which the patient's chief complaints, vitals, ect. are reviewed and documented |
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When will the otion to add an addendum to an OV note be available? |
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When the OV note was permanently signed and locked |
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Which button is selected to view the E&M code factors that were used to deterine the specific recommended code? |
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Details |
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which feature in the Tools menu in the OV screen enables the user to save an existing office visit note under a different care tree tab than where it was originally saved? |
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The chart tab feature |
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In which menu of the OV screen can a patient's immunization record be viewed? |
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It cannot be accessed in the OV screen. |
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How does a user create a report without having to open the OV screen? |
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Click the report once the office note has been selected in the care tree. |
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Which icon in he Edit Rx window will open up the patient's list of previous diagnoses, PMHX and Problem List diagnoses? |
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The diagnoses search icon |
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What has become the international standard diagnostic classification for all medical data dealing with the incidence and prevelance of disease in large populations? |
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ICD |
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What is the function of the time and initial button? |
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It enables a clinician to time and initial stamp a portion of the office visit note |
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What are drug formularies? |
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Databases of approved medications in drug therapy catagories. |
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What feature in SpringCharts enables the user to proceed through the office visit in a logical flow? |
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The navigation panel at the top section of the OV window |
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