Transcript Basic Templates NUG 2013

Templates in EMISWeb
NUG Conference 2013
Outline (1)
• Why Data,
– Codes as opposed to free text
• Why is a template helpful?
– Data entry & Retrieval
• What are its limitations?
• How do all these compare with LV/PCS
• How to import templates from LV/PCS
Past Data Display
• LV Good
– Can view all codes from the picking list historically with
limited free text
• PCS Poor
– Shows latest code but not free text
– Can show all past codes from the template with free text
but unsorted (Previous data button)
• EMISWeb Good in parts
– Shows latest code and all previous of it, with text and
values
– Only shows free text 1 at a time
– Only shows historical presence of latest code in a picking
list
F4 will bring up further items on this long picking list
Free text limited but secure
Limited and strictly chronological data in ‘Previous data’ in PCS
Does show free text and values
Information as shown in EMISWeb
Past data 1 code at a time in R hand panel but shows history
Of that code and any free text/ values
Uploading LV templates to EMISWeb
• Open Web from LV
• Go to System Tools: Non
patient data transfer.
As in LV
Same template as it appears in EMISWeb
NB you will have needed to remove any local codes and some EGTON
Codes from the template before uplaoding to EMISWeb
Example of PCS template
Various items shown as
Removed when imported to EMISWeb
Hyperlinks and main items import, order
Can be altered however.
Labels lost.
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Outline (2)
• Using Templates in EMISWeb:
– Good things
– Present limitations
– Examples of various features
• Building and Editing Templates
– Use of library items (pros and cons)
• How to share, copy and edit templates
– Rules/ permissions in sharing
Page resolution
• 1280 * 1024 is an ideal screen resolution
• Some long read codes run over box on lower
resolution
• Test boxes become too long and thin.
• Pages panel on the right can be collapsed to
assist, also make sure the past data panel on
the R collapsed when not needed
Template Speed
• Large, multipage templates take longer.
– Much quicker than when I did presentation 2y ago
• Start taking the BP while waiting for
‘Hypertension, Lifestyle and CVD Risk
template to load’. Faster on re-use in day.
• KMP templates:
– Asthma 7secs > 3seconds (3pp template)
– Hypertension/Lifestyle 17 secs (11pp) 5secs
– Elderly 15 secs (9pp) 5secs
Template Strengths:
• Ease of launching them
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Prompted by problem
Run Template button (remembers last used)
F12 protocols to launch common templates
Can be accessed from pathology etc via F12
• Split into pages and sections
– Clarity
– Consistency
– Ease for updating
• Easy to guide the user:
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Prompt names unlimited length
Tooltips can further clarify
Help Boxes with clear layout
Hyperlinks to web sites,
(Unfortunately not mentor pages, but can access documents in
www.patient.co.uk
Template Strengths:
• All system can be navigated while in a template
• Summary panel and resources visible
• Past data quite easy to access with its free text
(compare PCS/LV) (some limits see next slide)
• Picking lists allow free text with items
• Picking lists can allow multiple entries
• Can use browse easily to prevent v big pick list
– E.g. occupation, contraception issued…
• Problem Title can be added (1 prompt per section. Can’t save
template if 2 or more used)
• Can add text to consultation…non coded data.
– Use for comments re advice given, medico legal ..
Template Problems
• Past diary does not show diary but past code (Fix
testing)
• Past data from pick list only shows past examples of
last code used.
– E.g. ex smoker 2010, 2008 but not fact that was a smoker
in 2007
– E.g. poor sleep 2010 and 2008, but no excessive sleep
2009 or good sleep 2007
• Some values unclear e.g. cig smoker and ex-cigarette
smoker both say e.g. 3/day
Features 1
• Code Browser
– Oral Contraceptive given (Contraceptive template)
• Choose more than 1 item from Pick list
– DXA scan hip and lumbar
– Accompanying persons on Child Protection template)
• Non Read coded prompts (Pre-defined Text)
– Target symptom for antipsychotic (Dementia page on
Elderly template
– Advice re risks of oral Contraception
– BMI at booking (Ante-natal template)
Features 2
• Section or Page Visibility
– Properties of page allow it to use a pre-existing
concept for visibility. (EMIS or local)
– Women of Child bearing age in Epilepsy template
(Concept = female, age 15-55)
– Advice Section on CKD in Blood Results template.
(Concept = Patient has CKD 3-5)
• Past data
• Annotation
• Calculating values GPPAQ etc.