Epic Bridges Exam 2023 with complete solutions Graded A+ Messages are broken into - Correct Answer segments Segments are broken into - Correct Answer fields Fields are broken into - Correct Answer components Components are broken into - Correct Answer subcomponents True/False: Every message needs to be encoded with |^~\& - Correct Answer False.The choice is arbitrary; any printable character is acceptable.Which segment must begin every message? - Correct Answer MSH Why is the NTE segment special? - Correct Answer Context. Its meaning is based on the preceding segment.What is the difference between an empty field | | and the delete character |""|? - Correct Answer An empty field is ignored by the interface, whereas the delete character will delete information from the database, assuming the field in question supports the delete character.What other standards are supported in Bridges, aside from HL7? - Correct Answer X12, FHIR, NCPDP, DICOM, Direct Why are MSH-11 and MSH-12 important? - Correct Answer HL7 processing ID and version. Checked on incoming message and rejected if they don't match expected values.What are Z-segments? - Correct Answer Custom segments for a specific implementation. May require extra coding by Epic -> extra time and cost.What is FHIR? - Correct Answer Fast Health Interoperability Resources. New standard developed by HL7 to address limitations with previous standards. Integration with web and mobile apps.What is X12? - Correct Answer Format used for real time eligibility messages in healthcare industry.What is Bridges? - Correct Answer Epic's interfacing app What is stored in the Event Queue? - Correct Answer Info needed to build a message; patient ID, encounter DAT, type of message, etc 1 / 2
What is stored in the Data Queue? - Correct Answer Text of HL7 message and additional metadata like timestamp info about the message processing What is stored in the Control Queue? - Correct Answer To-do list with instructions to send or file messages stored in Data Queue; maintains a list of messages waiting to be processed Trigger - Correct Answer Serves as the integration point between the application workflow and bridges Filer Daemon - Correct Answer Translates HL7 data into something that can be stored to the database Event - Correct Answer Contains directions for where the interface should pull the information it needs from the database Interconnect - Correct Answer Communicates messages securely using an HTTPS framework Communications Daemon - Correct Answer Sends or receives acknowledgements over a TCP/IP connection Holding Queue - Correct Answer Acts as a waiting area for messages that cannot get a lock to store info to the database Event Daemon - Correct Answer Builds HL7 message based on data pulled from the database Chronicles - Correct Answer Contains all the info for a patient in the form of records What does it mean for an interface to process a message? - Correct Answer The incoming interface's filer daemon tries to find the correct patient and file the data in the message into Chronicles.The outgoing interface's Event Daemon creates an HL7 message, based on info in Chronicles and send it out through the port defined in the Communications Daemon True/False: Messages can be manually deleted from the Data Queue - Correct Answer False; they can only be purged by an automatic purge job Name two ways that interface messages are sent and received - Correct Answer TCP/IP with an interface engine (most common communication method) Interconnect for HTTPS or communication outside local network Can you start more than one interface at once with the Interface Monitor? - Correct Answer Yes. You can start any or all of the interfaces in a given interface monitor.
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