Transcript Encounter_and_Reminder_(See_Reminder_and_Enc)

CPRS PARAMETERS & YOU

Randy Frommater
NVS Clin 2

Jeanie Scott
NVS Clin 2
XPAR MENU TOOLS
Presented by: Randy Frommater
NVS - Clin 2, Salt Lake City OIFO
XPAR MENU TOOLS

General Parameter Tools
– LV
– LE
– LP
– LT
– EP
– ET
List Values for a Selected Parameter
List Values for a Selected Entity
List Values for a Selected Package
List Values for a Selected Template
Edit Parameter Values
Edit Parameter Values with Template
LV List Values for a Selected
Parameter [XPAR LIST BY PARAM]
Select General Parameter Tools Option: LV List Values
for a Selected Parameter
Select PARAMETER DEFINITION NAME: ORWPCE
ANYTIME ENCOUNTERS Anytime Encounters
USR: PASTERNOCK,JOY
1
USR: WHITEHEAD,DONNA
1
SYS: CPR.ISC-ALBANY.VA.GOV 1
YES
YES
NO
LE
List Values for a Selected Entity
[XPAR LIST BY ENTITY]
Select General Parameter Tools Option: LE List Values for a Selected
Entity
Entities may be set for the following:
10 User
USR [choose from NEW PERSON]
20 Team (OE/RR)
OTL [choose from OE/RR LIST]
30 Class
CLS [choose from USR CLASS]
40 Location
LOC [choose from HOSPITAL LOCATION]
50 Service
SRV [choose from SERVICE/SECTION]
60 Division
DIV [VAMC ALBANY PIA]
70 System
SYS [CPR.ISC-ALBANY.VA.GOV]
Enter selection: 10 User NEW PERSON
Select NEW PERSON NAME: PASTERNOCK,JOY
Values for USR: PASTERNOCK,JOY
•ORQQLR DATE RANGE OUTPT
1
•ORQQLR DATE RANGE INPT
60
1
60
•ORB PROCESSING FLAG
NPO DIET MORE THAN 7 Enabled
•ORB PROCESSING FLAG
CONSULT/REQUEST UPDA Disabled
•ORLP DEFAULT LIST SOURCE
1
•ORLP DEFAULT LIST ORDER
•ORLP DEFAULT WARD
Ward List
1
Alphabetic
1
7A GEN MED
•ORLP DEFAULT CLINIC START DATE 1
T-180
•ORLP DEFAULT CLINIC STOP DATE 1
T+30
•ORQQAP SEARCH RANGE START
1
T-365
•ORQQVS SEARCH RANGE START
1
T-365
•ORQQVS SEARCH RANGE STOP
•ORB SORT METHOD
•OR ADD ORDERS MENU
1
1
T+30
Patient
1
ORZ ADD MENU CLINICIAN
LP LIST VALUES FOR
SELECTED PACKAGE
Select General Parameter Tools Option: LP List Values for a Selected
Package
Select PACKAGE NAME: LAB SERVICE
LR
Values for PKG: LAB SERVICE
LR IGNORE HOLIDAYS
1
LR COLLECT FRIDAY
1
LR COLLECT THURSDAY
1
LR COLLECT WEDNESDAY
1
LR COLLECT TUESDAY
1
LR COLLECT MONDAY
1
LR COLLECT SUNDAY
1
LR COLLECT SATURDAY
1
LR LAB COLLECT FUTURE
1
YES
YES
YES
YES
YES
YES
NO
NO
7
LT LIST VALUES FOR A
SELECTED TEMPLATE
Select General Parameter Tools Option: LT List Values for a Selected
Template
Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER)
Select NEW PERSON NAME: PASTERNOCK,JOY
General GUI Parameters for User: PASTERNOCK,JOY
-----------------------------------------------------------------------------Initial Tab when CPRS Starts
Notes
Use Last Selected Tab on Patient Change
NO
Interval for Autosave of Notes
60
Verify Note Title
------------------------------------------------------------------------------
EP Edit Parameter Values
[XPAR EDIT PARAMETER]
Select PARAMETER DEFINITION NAME: ORWPCE ANYTIME
ENCOUNTERS Anytime Encounters
ORWPCE ANYTIME ENCOUNTERS may be set for the following:
1
3
4
5
User
Service
Division
System
USR
SRV
DIV
SYS
[choose from NEW PERSON]
[choose from SERVICE/SECTION]
[VAMC ALBANY PIA]
[CPR.ISC-ALBANY.VA.GOV]
Enter selection: 5 System CPR.ISC-ALBANY.VA.GOV
---- Setting ORWPCE ANYTIME ENCOUNTERS for System:
CPR.ISC-ALBANY.VA.GOV ---ANYTIME ENCOUNTERS: YES//
ET EDIT PARAMETER
VALUES WITH TEMPLATE
Select General Parameter Tools Option: ET Edit Parameter Values with
Template
Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER
Select NEW PERSON NAME: PASTERNOCK,JOY
General GUI Parameters for User: PASTERNOCK,JOY
Verify Default Title:
ET EDIT PARAMETER
VALUES WITH TEMPLATE
Initial Tab when CPRS Starts
Notes
Use Last Selected Tab on Patient Change
Interval for Autosave of Notes
NO
60
Verify Note Title
-----------------------------------------------------------------------------Initial Chart Tab: Notes//
Use Last Selected Tab: NO//
Auto-Save Interval: 60//
Verify Default Title:
PCE PARAMETERS
Presented by: Randy Frommater
NVS - Clin 2, Salt Lake City OIFO
Slides by Joy Pasternock
PARAMETERS

In the beginning, life was simple:
– TIU parameters:

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SUPPRESS DX/CPT ON ENTRY:
FORCE RESPONSE TO EXPOSURES:
ASK DX/CPT ON ALL OPT VISITS:
– Then ORWPCE parameters were added


ORWPCE ASK ENCOUNTER UPDATE
ORWPCE FORCE ENTRY
NOW…..
ORWPCE FORCE PCE
ENTRY
ORWPCE ASK ENCOUNTER
UPDATE

When signing a note, this parameter is used to determine if
the user should be prompted to enter encounter information
when signing the note, based on one of eight possible
settings:

Entity Levels:
– User, Location, Service, Division, System, Package

Option:
– Parameter Edit
ORWPCE ASK ENCOUNTER
UPDATE

0 Primary/Data Needed (Default Setting) - The user will
be asked to enter encounter information if they are the
primary encounter provider, and if data is needed for the
encounter.
 1 Primary/Outpatient - The user will be asked to enter
encounter information if they are the primary encounter
provider, and the service category is “A” (Ambulatory), “I”
(In Hospital), or “T” (Telecommunications).
 2 Primary Always - The user will be asked to enter
encounter information on all encounters, if they are the
primary encounter provider.
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3 Data Needed - All users will be asked to enter encounter
information if data is needed for the encounter.
4 Outpatient - All users will be asked to enter encounter
information, if the service category is “A” (Ambulatory),
“I” (In Hospital), or “T” (Telecommunications).
5 Always - All users will be asked to enter encounter
information on all encounters.
6 Never – The user will never be asked to enter encounter
information when signing the note.
7 Disable - The user will never be asked to enter
encounter information when signing the note, and the
encounter button will be disabled, even when a note is being
edited.
DATA NEEDED???
QUESTION
Date of encounter is in the future?
Service category is not ambulatory
TIU Suppress DX/CPT on Entry is YES on title
The encounter is a stand-alone visit
TIU parameter, ASK DX/CPT ON ALL OPT
VISITS is set to Yes
OTHERWISE….
DATA
NEEDED
NO
NO
NO
YES
YES
NO
WEB PAGE
http://vista.med.va.gov/VistA_Lib/Clinical/Comp_Pati
ent_Recrd_Sys_(CPRS)/cprsguitm.pdf.1
Prompting for Encounters
Data Needed
ORWPCE FORCE PCE ENTRY

Forces the PRIMARY ENCOUNTER PROVIDER to
enter PCE data before being allowed to sign/complete a
progress note.
 Overrides the parameter ORWPCE ASK ENCOUNTER
UPDATE if you are the primary encounter provider
 If you are not the primary encounter provider – follows the
settings in ORWPCE ASK ENCOUNTER UPDATE

Entity Levels
– User, Location, Service, Division, System, Package

Option:
– Parameter Edit
Visit Info

Visit Info box added to reminder dialogs

Visit Info auto ask on finishing a reminder
dialog
ORWPCE Disable Auto Checkout

Disables the automatic checkout of encounters that do not
have a diagnosis, procedure, or provider information.

Entity Levels:
– User, Location, Service, Division, System

Option:
-Parameter Editor
ORWPCE Disable Auto Visit Type

This parameter prevents the automatic selection of a Type of
Visit on the Visit Tab of the encounter form.
 When set to yes, this parameter prevents the automatic
selection of the first Type of Visit defined for that encounter
location.
– Prevents Billing problems at location where a mix of patients are
seen.
– Only used with electronic encounter forms.

Entity Levels:
– User, Location, Service,Division, System

Option:
– Parameter Edit
ORWPCE Disable Auto Visit
Type

No

Yes
ORWPCE Anytime Encounters

Allow updating/editing encounters for notes that
have already been signed.
– Choosing a patient without pre-defined visit


New Encounter
Edit Note Encounter
– Selecting a patient with a pre-defined visit


Edit Current Encounter
Edit Note Encounter

Allows encounter entry on dictated progress notes,
while not editing a note
 Entity Levels:
– User, Service, Division, System

Option:
– Parameter Edit
Selecting a patient with a
pre-defined visit
ORWPCE Exclude…
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Some types of encounter data can be restricted from entry within the encounter
form.
This may be needed when specific encounter information should only be entered
through reminder dialogs, and prevents entry through the encounter form.
There are five parameters that allow specific encounter information to be excluded
from the “Other” buttons on the encounter form tabs.
– ORWPCE Exclude Immunizations
– ORWPCE Exclude Skin Tests
– ORWPCE Exclude Patient Education
– ORWPCE Exclude Health Factors
– ORWPCE Exclude Exams
Entity Levels:
– User, Location, Service, Division, System, Package
Option:
–

Parameter Edit
Settings:
– Select Sequence, Exclusion item
CLINICAL REMINDERS
PARAMETERS
Presented by: Jeanie Scott
NVS - Clin 2, Albany OIFO
Slides by Joy Pasternock
ORQQPX REMINDER FOLDERS

This parameter is used and set by the CPRS GUI.

Each letter represents a reminder folder that is visible in
the reminder tree.

Entity Levels:
– User, Service, Division, System, Package
 Option:
– Parameter Edit
 Settings:
– Visible Folders - D=Due, A=Applicable, N=Not
Applicable, E=Evaluated, O=Other.
– Visible Reminder Folders: DANEO//
ORQQPX REMINDER
FOLDERS
Notes Tab
Cover Sheet Availabe Reminders Icon
ORQQPX DEFAULT LOCATIONS

Returns a list of default (preferences) outside locations for
display in a reminder dialog, using the additional prompt
PXRM OUTSIDE LOCATION.
 Enter a text default location, or a pointer to the
INSTITUTION FILE (#4). Uses the internal entry in file 4.

Entity Levels:
– User, Service, Division, System, Package

Option:
– Parameter Edit

Settings:
– Select Sequence, Enter free text entry, or the IEN in file 4.
ORQQPX REMINDER TEXT
AT CURSOR

Allows text generated by a reminder dialog, when processing
a reminder, to be inserted at the current cursor location
instead of at the bottom of the note.

Insert Reminder Dialog Generated Text at Cursor Location.

Entity Levels:
– User, Service, Division, System

Option:
– Parameter Edit
ORQQPX REMINDER TEXT
AT CURSOR = NO
ORQQPX REMINDER TEXT
AT CURSOR = YES
ORQQPX NEW REMINDER
PARAMS

Indicates if the New Cover Sheet reminders should be used
in place of ORRQPX SEARCH ITEMS
 The available reminders as well as the reminder drawer will
no longer hold the reminders that were set in ORRQPX
SEARCH ITEMS
 Uses ORQQPX COVER SHEET REMINDERS or
ORQQPX COVER SHEET REM CLASSES which uses the
GUI to set these 2 parameters.
 Entity Levels:
– User, Service, Division, System, Package

Option:
– Parameter Edit (yes/no)
ORQQPX COVER SHEET
REMINDERS

Intended for CACs, not users. CAC must have PXRM CPRS
CONFIGURATION MENU in their menu pathway
 Settings done in the GUI and displayed in this parameter. Do NOT
edit any settings in XPAR MENU TOOLS. Edit via the GUI EDIT
COVER SHEET REMINDER LIST under Available Reminders.
 Cover Sheet Reminder Info:
– This parameter is cumulative, so sequence ranges should be
assigned.
 Entity Levels:
– User, Location, Service, Division, System, Package
 Option:
– GUI EDIT COVER SHEET REMINDER LIST/PXRM CPRS
CONFIGURATION MENU
ORQQPX COVER SHEET
REM CLASSES

This parameter works in conjunction with the
ORQQPX COVER SHEET REMINDERS
parameter, acting as another level to the cumulative
parameter of User Class, inserted between the User
and Location Levels.

Do NOT Edit the settings in XPAR MENU TOOLS.
Do all editing via the GUI option EDIT COVER
SHEET REMINDER LIST under AVAILABLE
REMINDERS.
ORQQPX COVER SHEET
REMINDERS
Display Sequence
Value
----------------
-----
10
NR500044
20
NR500030
30
NR34
TIU/CONSULTS
PARAMETERS
Presented by: Jeanie Scott
NVS - Clin 2, Albany OIFO
Slides by Anne Rega
TIU FIELD EDITOR CLASS
•
Determines who has the authority to edit Template
Fields.
• Based on ASU user classes.
•
Entity levels:
– User, Service,Division,System,Package
•
Option
– CAC Parameter editor
TIU TEMPLATE PERSONAL
OBJECTS
•
Establishes what TIU objects are allowed to be
added to personal templates.
• No objects entered, then all objects are allowed.
•
Entity Level
– Parameter is cumulative at all levels.
•
Option
– CAC Parameter editor
TIU TEMPLATE REMINDER
DIALOGS
•
Determines which Reminder Dialogs can be
used as TIU Templates.
•
Entity Level
– Parameter is cumulative at all levels.
•
Option
– CAC Parameter editor
TIU TEMPLATE USER AUTO
DELETE
• Determines if non-shared personal TIU
templates will be deleted upon user
termination.
Yes/No parameter
Entity
•
•
Division,System,Package
• Option
–
– CAC : ‘TIU Template Mgmt Functions’
TIU DEFAULT TEMPLATE

Default Template for Notes;Consults;DC
Summary tabs
 Entity
– User

Option
– User : CPRS GUI Template drawer, right click
GMRC CONSULT LIST DAYS
•
Sets the number of days that will be
searched backwards for a Consult to be
associated with a note.
•
Entity
– Division, System, Package (default 365 days)
•
Option
– CAC Parameter editor
Will list consults done within time frame set by
this parameter
New Reports/Notification
Parameters
Presented by: Randy Frommater
NVS – Clin2, Salt Lake City
ORWRP REPORT LIST

This parameter allows for customization of the
Reports Tab
– Reports display sequence
– Reports Tab content
– Must add ORRPW REPORT CATEGORIES


From new file OE/RR REPORT
Entity levels:
– User, Division, System, Package

Option:
– Parameter Editor
ORWRP REPORT LAB LIST

This parameter allows for customization of
the Reports on the Lab Tab
– Reports display sequence
– Lab Tab content

Entity levels:
– User, Division, System, Package

Option:
– Parameter Editor
ORWRP TIME/OCC LIMITS INDV

Allows individual Remote Data Reports to have
their date range and occurrence limits set
 Each report can be modified individually for:
– Start date, Stop date, Max occurrence

Entity levels:
– User, Division, System, Package

Option:
– Personal: CPRS GUI Options menu
– CAC: Parameter Editor
Tools – Options - Reports
Tools – Options – Reports – Set Individual Report
ORWRP TIME/OCC LIMITS ALL

Allows the setting of date range and occurrence
limits for Remote Data Reports
 One setting applies to all reports

Entity levels:
– User, Division, System, Package

Option:
– Personal: CPRS GUI options menu
– CAC: Parameter editor
Tools – Options – Reports
Tools – Options – Reports – Set All Reports
ORB ERASE ALL

Allows the site to control who has access to the
personal preference button “Remove Pending
Notifications”

Entity levels:
– User, Division, System, Package

Option:
– Parameter Editor
ORWCV1 COVERSHEET LIST

Allows site to customize the cover sheet
– Rearrange cover sheet boxes
– Remove cover sheet boxes

Entity levels:
– User, Division, System, Package

Option:
– Parameter Editor
ORWOR SHOW SURGERY TAB

Allows site control over who will have access to
the new Surgery Tab
– Functional when Surgery patch 100 has been installed

Entity levels:
– User, Division, System, Package

Option:
– Parameter Editor
ORWCOM PATIENT SELECTED

Allows sites to associates a COM object with the
patient selection action
– Locally developed
– COTS product
– New file – OE/RR COM OBJECTS(101.15)

Entity levels:
– User, Service, Division, System

Option:
– Parameter Editor
ORWCOM ORDER ACCEPTED

Allows the site to associate a COM object to the
order acceptance action
– Locally developed
– COTS product
– New file – OE/RR COM OBJECTS(101.15)

Entity levels:
– User, Service, Division, System

Option:
– Parameter Editor
TIU TEMPLATE COM

Allows the site to utilize a COM OBJECT type
when creating a new GUI Template
– Locally developed
– COTS product
– New file – OE/RR COM OBJECTS(101.15)

Option:
– Fileman
TIU TEMPLATE COM
After you have purchased or created a COM object, you
need to add it to the OE/RR COM OBJECT file:
INPUT TO WHAT FILE: VISIT// OE/RR COM OBJECTS (15 entries)
EDIT WHICH FIELD: ALL//
Select OE/RR COM OBJECTS NAME: JEREMY'S NEW INTERFACE TEST
NAME: JEREMY'S NEW INTERFACE TEST Replace
OBJECT GUID: {63DC61D9-6BE0-11D5-82E6-00C04F72C274}
Replace
INACTIVE:
PARAM1: Testing Param1//
TIU TEMPLATE COM
ORK CONTRAST MEDIA CREATININE

Allows the site to set the number of days for a
look back of creatinine results (default=30)
– Used when imaging procedure containing contrast
media is ordered
– Used by the Biochem Abnormality for Contrast
Media order check

Entity levels:
– Location, Division, System, Package

Option:
– CAC: Order Check Mgmt menu
ORB LAB > THRESHOLD

Allows the site to set trigger thresholds for new
Lab Threshold Exceeded Notification
– If result exceeds threshold, notification is triggered

Entity levels:
– User

Option:
– CAC : establish thresholds via ‘Flag Orderable Item(s)
to Send Notifications’
– Personal : CPRS GUI options menu
ORB LAB < THRESHOLD

Allows the site to set trigger thresholds for new
Lab Threshold Exceeded Notification
– If result exceeds threshold, notification is triggered

Entity levels:
– User

Option:
– CAC : establish thresholds via ‘Flag Orderable Item(s)
to Send Notifications’
– Personal : CPRS GUI options menu
ORWOR REQUIRE CURRENT
CLIENT

Allows site to stop access to CPRS if the
user’s client is out of date

Entity levels:
– System, Package

Option :
– Parameter Editor
Our crystal ball tells us
there are many questions.