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"Department Profile - CORRECT ANSWER=> Anyone who logs in to the EMH Anesthesia department
can be affected by this profile. A lot of general clinical settings that apply to Anesthesia providers are set in this profile. Examples include: Chart Review tabs, preference lists, reports, Flowsheet templates, Note templates, Note macros."
"EpicCare Security Class Profile - CORRECT ANSWER=> Anyone who has the AN Physician EpicCare
security class attached to their User Template can be affected by this profile. Since the security class is specific to anesthesiologists, this profile allows for different profile settings for different anesthesia provider types. There are very few settings made in this profile, though it does contain settings allowing an anesthesiologist to cosign pre- and post-eval notes started by other providers." "You built a new flowsheet template to document positioning. In which record will you link it? -
CORRECT ANSWER=> Item-type menu (E2U)"
"In which record do you configure the LDA options available to your providers in the Intraprocedure
Activity? - CORRECT ANSWER=> LPR"
"When would you build an over-time flowsheet? - CORRECT ANSWER=> When you want the provider
to be able to complete that documentation more than once during a procedure." "For a toolkit item (E2U) to launch a new flowsheet template, which field within the item record needs to be updated? -Activity Descriptor -Caption -Menu Type
-Message Params - CORRECT ANSWER=> Message Params"
"You configured a new flowsheet template, but your anesthesia providers do not see it when they document using the Toolkit. Which of the following could be the issue? Choose ALL answers that apply. -The flowsheet template isn't linked to the item (E2U). -The item with your new flowsheet template isn't linked to the toolkit menu (or submenu).
-The toolkit menu is not set to display within your providers' user role.
-The toolkit menu is not released. - CORRECT ANSWER=> A, B, C"
"Your providers don't like the positioning flowsheet that appears when they select the Position button in
the toolkit. What steps must you take to have a new flowsheet appear? - CORRECT ANSWER=> 1)
Create a new flowsheet (or modify an existing one). 2) Attach the flowsheet to the Position button (item E2U). 3) Make sure the updated position button is listed either directly in the toolkit or in a submenu within the toolkit 4) Make sure the updated toolkit (menu E2U) is listed in the appropriate user role(s) 5) Make sure the user role is linked to the right users or user templates." "-Configure flowsheet records -Configure E2U records -Attach flowsheet templates to E2U records -Attach an E2U button to an E2U toolkit -Control whether the time strip at the top of an intraprocedure window displays
-Configure the options that appear when a user clicks the LDAs button in the toolkit - CORRECT
ANSWER=> "
"Where is a menu-type menu record often attached to? - CORRECT ANSWER=> -Activity Record - if all
or most users of that activity should have that tool bar -User Role - override default toolbar (anesthesia residents)"
"How to find Activity descriptor - CORRECT ANSWER=> "About Hyperspace""
"What does the timeline activity show? - CORRECT ANSWER=> medications, gases, i/o, vitals, events"
"What do TIM sections represent? - CORRECT ANSWER=> individual, discrete documentation topics
such as meds and events."
"What does the Timeline View represent? - CORRECT ANSWER=> Entire Timeline (All the individual
sections together)"
"Timeline Editor - What can be different? what will always be the same? - CORRECT ANSWER=> -
Section Settings -All other options"
"What type of Data to Display must you use for a multi y-axis graph section? - CORRECT ANSWER=> AN
Flowsheet Template"
"What is the Timeline view attached to to make it available to providers? - CORRECT ANSWER=> Profile
-> TRNANE03 -> "Anesthesia Intraprocedure" -> Intraprocedure view"
"Building a variable process - CORRECT ANSWER=> 1. Open/Create Device Variable
- Pick Variable type
- Associated Flowsheet Row (+ override specialty area for anesthesia)
- Edit MPI (+ Identifier Type)"
"Building a Device Type Process - CORRECT ANSWER=> Capture Variable -> TRNANE## Diastolic ART
(FDC record) ->"
"What can you do from the Devices Dashboard - CORRECT ANSWER=> -Monitor devices currently
attached to patients. -Figure out which device is attached to which patient. -Figure out which devices are in a particular device group. -Figure out which variables a particular device type is pulling and whether they are being direct captured. -View error messages related to devices and interfaces."
"What record do you build to account for devices of the same make/model/year? - CORRECT
ANSWER=> Device type (FDV)"
"In which record do you specify the correct flowsheet row for anesthesia data? - CORRECT ANSWER=>
Variable (FDC)" "You want to identify which patient a device is currently attached to. What tool should you use? -
CORRECT ANSWER=> The Devices Dashboard"
"An anesthesia provider reports that device data is flowing into a patient's chart, but it appears
unvalidated in Device Management. What might be the cause of this issue? - CORRECT ANSWER=> The
device type (FDV) for that device (DEV) does not have direct capture set up."
"What is direct capture - CORRECT ANSWER=> Direct capture is the process of filing data into the chart
without the provider's intervention or validation." "Which of the following records are involved in configuring devices to pull data in to the Intraprocedure activity? Choose ALL answers that apply. A Device (DEV) B Device Type (FDV) C Flowsheet (FLO)
D Variable (FDC) - CORRECT ANSWER=> A, B, C, D"
"True or False: The Devices dashboard can show you all devices currently attached to a patient. -
CORRECT ANSWER=> True"
"You are testing your device build, but only see 4 of the 5 variables in the patient's chart. Which of the following could be the issue? Choose only ONE answer. A You forgot to link the device (DEV) to the device group (DEV). B You forgot to link the device type (FDV) to the device (DEV). C You forgot to link the variable (FDC) to the device (DEV).
D You forgot to link the variable (FDC) to the device type (FDV). - CORRECT ANSWER=> D"
"What is a device? - CORRECT ANSWER=> A device is a piece of medical equipment such as a monitor
that can be connected to a patient and provide medical data about that patient or their treatment." "How many variables are needed when configuring devices to work with invasive blood pressure? -
CORRECT ANSWER=> 2 (one for sys one for diastolic)"
"An anesthesia provider attached a device to a patient. No vitals information is pulling into the patient's
chart. What could you look at to troubleshoot this? - CORRECT ANSWER=> "
"Variable Device type Device Device group Device integration
MPI ID - CORRECT ANSWER=> "
"Make sure you can perform the following tasks: -Create a variable -Connect a flowsheet row to a variable record -Map a variable to identifiers -Create a device type -Create a device -Map a device to identifiers -Create a device group
-Use the Devices dashboard - CORRECT ANSWER=> "
"Procedure/Block Note Build Diagram - CORRECT ANSWER=> Text Gen Template (HGN)->Smartform
(LQF) -> Orderable Procedure (EAP) -> Preference List (LPF) -> Profile (LPR)"
"What is a smartform macro? - CORRECT ANSWER=> documents a specific set of info in a smartform
with one click."
"What does adding a med in a px note do? - CORRECT ANSWER=> Adds to the MAR and
Intraprocedure"
"Why isnt there a data tab under the label compenent? - CORRECT ANSWER=> since label components
do not store data, there is no Data tab"
"What are the 3 items to configure for scripts? - CORRECT ANSWER=> Event (when this happens),
Condition(Check if this is true), Action (and then do this)"
"Do command buttons need a condition? - CORRECT ANSWER=> nah"
"Complete Checklist + Scripting - CORRECT ANSWER=> Allows you to determine what is mutliple
select"
"Map a procedure note to an LDA - CORRECT ANSWER=> FLO -> LDA Epidural Catheter -> Note
Mapping -> Smartform (created smartform) -> link row to smart data element"
"what do Text Generation Templates (HGN) do - CORRECT ANSWER=> "
"why would you add a orderable procedure to a preference list? - CORRECT ANSWER=> Often the
purpose of grouping these records in preference lists is to limit the number available to a clinician or group of clinicians."
"Once a preference list has the procedure, what do you link it to? - CORRECT ANSWER=> profile (Note,
Letter, Transcription > NoteWriter Order Documentation Settings) AN ANESTHESIA DEPT"
"How can you ensure components in a SmartForm have the same formatting? - CORRECT ANSWER=>
copying and pasting or using the painter tab" "True or False: If a script should update the value of multiple components, it must contain an action for
each component. - CORRECT ANSWER=> True"
"After linking a SmartForm to an orderable procedure (EAP), where must you link that procedure for a
provider to be able to find it in the Intraprocedure Activity? - CORRECT ANSWER=> The procedure
must be linked in a preference list (LPF), and that preference list must be linked to the appropriate profile (LPR)."
"In which record do you link a preference list? Choose only ONE answer. - CORRECT ANSWER=> Profile
(LPR)"
"Which of the following are true about SmartData Elements? Choose ALL answers that apply. A. They are used to script one SmartForm component affecting another. B. They help store documented information in Chronicles. C. They link a selection within a SmartForm to the generation of a phrase in a Text Generation statement.
D. They link documentation within a SmartForm to an LDA. - CORRECT ANSWER=> B, C, D"
"True or False: A procedure must be on the procedure preference list for it to be available when the Px
Note button is selected. - CORRECT ANSWER=> True"
"What kind of SmartForm do you configure for procedure/block notes? - CORRECT ANSWER=>
Prrocedure SmartBlock"
"What kind of SmartForm do you configure for procedure/block notes? - CORRECT ANSWER=>
Scripting" "A provider clicks the Px Note button in the Intraprocedure activity and does not see the block she was
anticipating to document. What could have gone wrong with the build? - CORRECT ANSWER=> Wasnt
linked to the preference list" "Text Generation Template?
Text Generation Statement? - CORRECT ANSWER=> -Translates a selection in a smartform to text in a
note (Root Node) -sub sections of the template"
"Whats a SmartData Element - CORRECT ANSWER=> "
"You make a change to the epidural block SmartForm for your providers, but they cannot see your change to the SmartForm in Hyperspace. They still see the old version of the SmartForm. Which of the following could be the reason why? Choose only ONE answer. A You forgot to attach the SmartForm to the procedure. B You forgot to attach the procedure to the preference list. C Your forgot to attach the preference list to the profile.
D You forgot to release your SmartForm. - CORRECT ANSWER=> D You forgot to release yourr smart
form"
"Create Rules to check for Info Diagram - CORRECT ANSWER=> Rule -> Extension -> Profile"
"Extensions (LPP) are.. - CORRECT ANSWER=> A way for administrators to change the behavior
of Epic software."
"Rules (CER)... - CORRECT ANSWER=> Use logical expressions to identify if records meet
or do not meet specific criteria."
"Overall Build Steps for Creating Close Encounters - CORRECT ANSWER=> 1. Rule -> Add Rule to LPP
and create hyperlink -> Attach LPP to profile -> attach profile to record."
"What are Parameters - CORRECT ANSWER=> pieces of information within an
extension's code that allow for
"To create a new tab in the Medication Administration Window, what must you do? - CORRECT
ANSWER=> Create a new section in the medication preference list (LPF)"
"True or False: Any default selections made for a medication in the preference list will also be selected by
default when documenting that medication in the Intraprocedure Activity. - CORRECT ANSWER=>
False, some defaults can be made (such as route) but others cannot (such as dose)" "True or False: Blood product preference lists contain medication (ERX) records, just like medication
preference lists? - CORRECT ANSWER=> False, they contain procedure (EAP) records"
"You have been asked to update a quick volume option when documenting whole blood in the
Intraprocedure Activity. In which record will you make this change? - CORRECT ANSWER=> ERX Order
Settings (HGM)" "Your providers have requested 10 different tabs across the top of their Medication Administration window (including the Active tab). How many preference lists do you need to build? Choose only ONE answer. 0 1 9
10 - CORRECT ANSWER=> 1"
"How many sections do you need to configure? Choose only ONE answer. 0 1 9
10 - CORRECT ANSWER=> C. 9. Remember that the Active tab is built in and doesn't need to be
configured!" "In which record can you determine the quick dose buttons available while documenting a blood product administration? ERX Order Settings (HGM) Medication (ERX) Preference List (LPF)
Procedure (EAP) - CORRECT ANSWER=> ERX Order Setting"
"For a preference list to appear to providers in the Intraprocedure Activity, where do you need to link it?
- CORRECT ANSWER=> In a profile." "If you specify a default dose within a medication preference list, how will that dose appear to your
providers? - CORRECT ANSWER=> It will appear as an optional quick dose button."
"What type of record determines the procedures available within the Blood Administration activity? -
CORRECT ANSWER=> A preference list."
"Make sure you can define the following key terms: Preference list Section Item Fluid grouper Blood-Transfuse type medication
ERX Order Settings - CORRECT ANSWER=> "
"Create a medications preference list Attach a preference list to a profile
Change the quick doses that appear for a blood product - CORRECT ANSWER=> "
"Understand: -Where the tabs that appear in the Medication Administration window come from -The difference between intraprocedure medication and blood administration preference list build -How setting default doses in the medication preference list impacts what the end user sees in the Medication Administration window -The relationship between a procedure (EAP), medication (ERX), and ERX Order Settings (HGM) for a
blood administration procedure. - CORRECT ANSWER=> "
"Standard Intraprocedure Reminders Build Diagram - CORRECT ANSWER=> Complete Action
(ExtensionLPP) + Completion (Rule) + Exclusion (Rule) -> Reminder Template (HGM) -> Intraprocedure Macro (HGM)"
"Antibiotic Reminders Build Diagram - CORRECT ANSWER=> Patient or Patient BPA Locator-Context
Rule (CER) -> Antibiotic Rerminder Settings (HGM) + Medication Grouper (VCG) -> EAF"
"Completion Action Extensions - CORRECT ANSWER=> Add an extension (LPP) that runs when a
provider completes a reminder - Example: An extension can dynamically trigger conditional re-dose reminders for medications."
"Completion Rule - CORRECT ANSWER=> Add a rule (CER) that satisfies a reminder automatically when
a provider completes documentation Example: A reminder to document a block note should disappear if a provider documents the block note without using the reminder. Completion rules are checked every minute so that if the rule is true at any point during the procedure, the reminder will disappear."
"Exclusion Rule - CORRECT ANSWER=> Add a rule (CER) that prevents a reminder from displaying in
circumstances when it shouldn't. Example: Prevent a reminder for an airway note if the case is performed under moderate sedation.
antibiotic? Choose only ONE answer. Where do you access that record? - CORRECT ANSWER=> HGM
Antibiotic Settings -Facility" "Anesthesia Reminder Template Completion rule Filing extension RxNorm code Medication Grouper
Antibiotic Reminder Settings - CORRECT ANSWER=> "
"Who builds the medication groupers needed to configure antibiotic reminders? - CORRECT
ANSWER=> Willow"
"Events Build Diagram - CORRECT ANSWER=> Validation (ExtensionLPP) + Prompting (ExtensionLPP) +
Filing (ExtensionLPP) -> Event Template (LEV) -> Intraprocedure Macro (HGM) + Profile(LPR)"
"Intraprocedure Macro Build Diagram - CORRECT ANSWER=> 1 Reminder Template (HGM) + Event
Template (LEV) + Medication(ERX) ->IntraProcedure Macro <-Provider(SER)+Department( DEP) Intraprocedure Macro -> Profile"
"What do you need to do to create an event, then make it available - CORRECT ANSWER=> Create an
Event Template (LEV) -> Attach it to a profile (and an intraprocedure macro if appropriate"
"What does the Validation Extension do for EVENTS - CORRECT ANSWER=> Its often configured with a
CER to display a soft or hard stop before the event is filed"
"What does the Prompting Extension do for EVENTS? - CORRECT ANSWER=> Trigger prompts for the
user to validate info or complete a task before the event can be filed"
"What does a filing extension do? - CORRECT ANSWER=> Perform additional actions after the Event
is filed" "Intraprocedure macros can also queue up LDAs (lines/drains/airways). However, Epic recommends
automatically creating LDAs through procedure notes instead. - CORRECT ANSWER=> "
"What can Rules do in relation to Macros? - CORRECT ANSWER=> can be configured to match on
patient information as well as system information. You can use existing Foundation System rules or configure your own using rule editor."
"What is an associated macro? - CORRECT ANSWER=> If the rule evaluates to true, the associated
macro is applied. Only public macros can be associated with a rule."
"What is a default Macro? - CORRECT ANSWER=> A default macro can be set to be applied if none of
the rules are true. The default macro will then be applied for the user affected by the profile. The default macro must also be a public macro." "True or False: If you create a custom event, it will automatically be available for anesthesia providers to
document. - CORRECT ANSWER=> False, must attach LEV to profile"
"Which type of extension will cause the system to warn the provider that an action will happen if they
document an event? - CORRECT ANSWER=> Validation Extension LPP"
"What can an intraprocedure macro queue up in the Intraprocedure Activity? - CORRECT ANSWER=>
Reminders" "An intraprocedure macro is causing issues, and you don't have time right now to fix it. What should you
do to make that macro unavailable to providers? - CORRECT ANSWER=> Unrelease it"
"Which type of extension (LPP) allows you to configure a hard or soft stop to appear if certain conditions aren't met prior to filing an event? Filing extension Prompting extension Validation extension
Warning extension - CORRECT ANSWER=> "
"True or False: Documenting an anesthesia event can document a corresponding case tracking event
used by perioperative (surgery) nurses. - CORRECT ANSWER=> False"
"You create a new intraprocedure macro for use during spinal surgeries, but your providers report that it isn't available to them. Which of the following are reasons why that might be? Choose ALL answers that apply. A You forgot to release the macro. B You forgot to attach the macro to the profile. C You made a private macro.
D You made a public macro available to the wrong department. - CORRECT ANSWER=> "
"In which record do you group available events for your anesthesia providers? - CORRECT ANSWER=> "
"What is the purpose of a filing extension? - CORRECT ANSWER=> It tells the system to do something
after an event is recorded. For example, attaching an anesthesia device after the Start Data Collection event is documented."
"What is the purpose of an intraprocedure macro? - CORRECT ANSWER=> It queues up medications,
reminders, and quick events specific to a type of case or scenario. This saves providers time and clicks!"
"What custom configuration or changes in build might require an update to a metric? - CORRECT
ANSWER=> Using a new flowsheet row (FLO), using a new SmartData Element (HLX), new medications
(ERX),
implementing a new feature, and more."
"Why is it important to identify metrics that have not collected any data? - CORRECT ANSWER=> A
metric that has collected no data may be misconfigured"
"Why is it important to identify metrics that are not configured? - CORRECT ANSWER=> A metric that
is not fully configured does not collect data."
"Why is it important to know if a metric is custom? - CORRECT ANSWER=> Validation dashboards
cannot spot check the configuration of a custom metric and Build Wizard cannot update them. You must be more aware of build changes that may impact custom metrics."
"To create a new metric for a registry, what record do you build? - CORRECT ANSWER=> Registry
metrics are rule (CER) records" "After data is created in Hyperspace and processed by a registry, how does it flow through downstream
databases? - CORRECT ANSWER=> Chronicles > Clarity > Caboodle"
"What tool can you use to create SlicerDicer filters from custom registry metrics? - CORRECT
ANSWER=> Build Wizard"
"You are reviewing the Anesthesia Registry Validation dashboard and see that the metric that records the highest temperature reading during anesthesia care is active but hasn't collected any data in the past
week. What might you do to troubleshoot? - CORRECT ANSWER=> 1. Open the metric and identify the
flowsheet row it looks to for this data point.
- Open the Timeline view and identify the flowsheet template that collects core temperature.
- Open the flowsheet template and see if the flowsheet row listed matches the flowsheet row in the metric."
"True or False: SlicerDicer is used for analytic data visualization. - CORRECT ANSWER=> True"
"Which of the following are true about the Anesthesia Record Registry? Choose ALL answers that apply. A It monitors your entire population of anesthesia patients. B It uses metrics to monitor specific data points about each anesthesia patient. C It can be used to report on data over a long period of time.
D It can be configured using a Build Wizard. - CORRECT ANSWER=> A, B, C, D"
"Which database combines Epic and non-Epic data for analysis? Choose only ONE answer.
A Anesthesia Record Registry B Caboodle C Chronicles
D Clarity - CORRECT ANSWER=> B"
"You create a new registry metric and attach it to the Anesthesia Record Registry. When you open SlicerDicer, you cannot select this data point as a population criterion, slice, or measure. Which of the following are possible reasons why? Choose ALL answers that apply. A You have not created a SlicerDicer filter from the custom metric. B You have not tested the metric with the Rule Tester. C You have not viewed the metric on a validation dashboard.
D You have not waited enough time for your databases to finish extracting data. - CORRECT
ANSWER=> A, D"
"What types of data can be captured by registry metrics? - CORRECT ANSWER=> Flowsheet data,
SmartData Elements, staffing documentation, and more." "What tool should your organization use to review and validate Epic-released metrics when first
implementing the Anesthesia Record Registry? - CORRECT ANSWER=> The Anesthesia Registry Metrics
spreadsheet, available on Galaxy."
"Describe the flow of data in Epic. - CORRECT ANSWER=> Data is generated in Hyperspace by end-user
workflows. Some of this data is processed in registries and stored in registry data (RDT) records. All this data is then stored in Chronicles and extracted to Clarity and Caboodle nightly. Non-Epic data is also extracted to Caboodle, and Caboodle data can be visualized in SlicerDicer."
"What information might you glean from reviewing a validation dashboard? - CORRECT ANSWER=>
Metrics that need configuration, metrics that have not captured any data recently, and more." "True or False: The Anesthesia Registry uses PAF columns to monitor specific data points about
anesthesia patients. - CORRECT ANSWER=> False"
"Anesthesia Encounter Structure - CORRECT ANSWER=> Center - Anesthesia Episode <- Anesthesia,
Anesthesia Event, Procedure, (dotted line) Hospital Encounter"
"Anesthesia Episode (HSB) includes - CORRECT ANSWER=> Anesthesia staffing, timing, links to other
contacts, and more."
"Anesthesia (EPT contact type 52) - CORRECT ANSWER=> Anesthesia events, One-Step Meds,
flowsheet documentation, and more."
B Make it public. C Release it.
D A & C - CORRECT ANSWER=> B"
"You just created a new button (E2U) that you would like to display in the Anesthesia toolkit that your providers are currently using. Where could you attach the new button that you created? Choose ALL answers that apply. A. Profile (LPR) B. Submenu (E2U) C. Toolkit Menu (E2U)
D. User (EMP) - CORRECT ANSWER=> B C"
"You've configured a new toolkit for perfusionists that you need to make available to them. You want all perfusionists to see the same toolkit when they open the Intraprocedure Activity. Where do you attach it? Choose only ONE answer. A. Menu (E2U) B. Profile (LPR) C. User Role (E2R)
D. User Template (EMP) - CORRECT ANSWER=> C"
"You have just configured a new timeline view. Where must you attach it to make it available to your anesthesia providers? Choose only ONE answer. A Menu (E2U) B Preference List (LPF) C Profile (LPR)
D User Role (E2R) - CORRECT ANSWER=> C"
"You are creating a new timeline section that will graphically display vitals data gathered from a device. Which of the following must be true about the record you build? Choose ALL answers that apply. A The section must have an over-time flowsheet template attached. B The section must have a data to display type of AN FLOWSHEET TEMPLATE. C The section must have a graph mode of Scatter.
D The section must start expanded. - CORRECT ANSWER=> A B"
"True or False: You can attach more than one variable (FDC) to a device type (FDV). - CORRECT
ANSWER=> True"
"Which of the following records determines which flowsheet row a device will file its data to in Epic? Choose only ONE answer. A Device (DEV) B Device Group (DEV) C Device Type (FDV)
D Variable (FDC) - CORRECT ANSWER=> D"
"After attaching your Procedure SmartBlock SmartForm to the appropriate procedure, where must you attach the procedure so that your providers can select it from the Px Note activity? Choose only ONE answer. A Procedure (EAP) B Preference List (LPF) C Menu (E2U)
D Text Generation Template (HGN) - CORRECT ANSWER=> B"
"What type of records are added to a blood product administration preference list? Choose only ONE answer. A ERX Order Settings (HGM) BMedication (ERX) C Procedure (EAP)
D SmartForm (LQF) - CORRECT ANSWER=> "
"You configured a Medication Administration preference list with 7 sections. How many tabs will your anesthesia providers see when they open the Medication Administration window in the Intraprocedure Activity? Choose only ONE answer. A 1 B 6 C 7
D 8 - CORRECT ANSWER=> D"
"For a provider to see a public reminder, which of the following must be true? Choose only ONE answer. A The reminder must be added to a macro. B The reminder must be listed in a profile that affects the user. C The reminder must be released.
D The reminder must contain a completion rule. - CORRECT ANSWER=> C"
"For an antibiotic re-dose reminder to appear dynamically for a provider, which of the following records must be configured? Choose ALL answers that apply A. Anesthesia Reminder Template (HGM) B. Antibiotic Reminder Settings (HGM) C. Intraprocedure Macro (HGM)
D .Medication Grouper (VCG) - CORRECT ANSWER=> "
"Which of the following are ways to make an Intraprocedure macro available? Choose ALL answers that apply. A It can be applied automatically if linked to a profile. B It can be applied automatically if linked to a user role. C It can be applied manually if restricted to certain departments.
