CPRS PARAMETERS YOU l Randy Frommater NVS Clin

CPRS PARAMETERS & YOU l Randy Frommater NVS Clin 2 l Jeanie Scott NVS Clin 2

XPAR MENU TOOLS Presented by: Randy Frommater NVS - Clin 2, Salt Lake City OIFO

XPAR MENU TOOLS l General Parameter Tools – LV List Values for a Selected Parameter – LE List Values for a Selected Entity – LP List Values for a Selected Package – LT List Values for a Selected Template – EP Edit Parameter Values – ET 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 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 7 A 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 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 YES LR COLLECT FRIDAY 1 YES LR COLLECT THURSDAY 1 YES LR COLLECT WEDNESDAY 1 YES LR COLLECT TUESDAY 1 YES LR COLLECT MONDAY 1 YES LR COLLECT SUNDAY 1 NO LR COLLECT SATURDAY 1 NO LR LAB COLLECT FUTURE 1 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 [choose from NEW PERSON] SRV [choose from SERVICE/SECTION] DIV [VAMC ALBANY PIA] SYS [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 NO Interval for Autosave of Notes 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 l In the beginning, life was simple: – TIU parameters: l l l SUPPRESS DX/CPT ON ENTRY: FORCE RESPONSE TO EXPOSURES: ASK DX/CPT ON ALL OPT VISITS: – Then ORWPCE parameters were added l l ORWPCE ASK ENCOUNTER UPDATE ORWPCE FORCE ENTRY NOW…. .

ORW E M PCE I T E Y N ASK COU AN E NTE C S P R E RU ORWOUNT PDA TE ENC LE B A S I D E T C U ORW P O K W EC OR PCE H C D I O SAB AUT LE A VIS E D IT T UTO U L C Y X PE E S N E C O P TI W A Z R O OR NI U WP H IMM S CE EA M LT EX A H E X FA CLU PC E E CT DE D W O RS ORW OR CLU PCE EX EXCL S E K D I U N L UDE TEST XC E E C S ORWPCE FORCE PCE ORWP T ED N ENTRY PATIE

ORWPCE ASK ENCOUNTER UPDATE l 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: l Entity Levels: – User, Location, Service, Division, System, Package l 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. l 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). l 2 Primary Always - The user will be asked to enter encounter information on all encounters, if they are the primary encounter provider. l

l l l 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 DATA NEEDED Date of encounter is in the future? NO Service category is not ambulatory NO TIU Suppress DX/CPT on Entry is YES on title NO The encounter is a stand-alone visit YES TIU parameter, ASK DX/CPT ON ALL OPT YES VISITS is set to Yes OTHERWISE…. NO

WEB PAGE http: //vista. med. va. gov/Vist. A_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. l Overrides the parameter ORWPCE ASK ENCOUNTER UPDATE if you are the primary encounter provider l If you are not the primary encounter provider – follows the settings in ORWPCE ASK ENCOUNTER UPDATE l l Entity Levels – User, Location, Service, Division, System, Package l Option: – Parameter Edit

Visit Info l Visit Info box added to reminder dialogs l Visit Info auto ask on finishing a reminder dialog

ORWPCE Disable Auto Checkout l Disables the automatic checkout of encounters that do not have a diagnosis, procedure, or provider information. l Entity Levels: – User, Location, Service, Division, System l 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. l When set to yes, this parameter prevents the automatic selection of the first Type of Visit defined for that encounter location. l – Prevents Billing problems at location where a mix of patients are seen. – Only used with electronic encounter forms. l Entity Levels: – User, Location, Service, Division, System l Option: – Parameter Edit

ORWPCE Disable Auto Visit Type l No l Yes

ORWPCE Anytime Encounters l Allow updating/editing encounters for notes that have already been signed. – Choosing a patient without pre-defined visit l l New Encounter Edit Note Encounter – Selecting a patient with a pre-defined visit l l Edit Current Encounter Edit Note Encounter Allows encounter entry on dictated progress notes, while not editing a note l Entity Levels: l – User, Service, Division, System l Option: – Parameter Edit

Selecting a patient with a pre-defined visit

ORWPCE Exclude… l l 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 l Option: l 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 l This parameter is used and set by the CPRS GUI. l Each letter represents a reminder folder that is visible in the reminder tree. Entity Levels: – User, Service, Division, System, Package l Option: – Parameter Edit l Settings: – Visible Folders - D=Due, A=Applicable, N=Not Applicable, E=Evaluated, O=Other. – Visible Reminder Folders: DANEO// l

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. l Enter a text default location, or a pointer to the INSTITUTION FILE (#4). Uses the internal entry in file 4. l l Entity Levels: – User, Service, Division, System, Package l Option: – Parameter Edit l Settings: – Select Sequence, Enter free text entry, or the IEN in file 4.

ORQQPX REMINDER TEXT AT CURSOR l 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. l Insert Reminder Dialog Generated Text at Cursor Location. l Entity Levels: – User, Service, Division, System l 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 l The available reminders as well as the reminder drawer will no longer hold the reminders that were set in ORRQPX SEARCH ITEMS l Uses ORQQPX COVER SHEET REMINDERS or ORQQPX COVER SHEET REM CLASSES which uses the GUI to set these 2 parameters. l Entity Levels: l – User, Service, Division, System, Package l 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 l 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. l Cover Sheet Reminder Info: – This parameter is cumulative, so sequence ranges should be assigned. l l Entity Levels: – User, Location, Service, Division, System, Package l Option: – GUI EDIT COVER SHEET REMINDER LIST/PXRM CPRS CONFIGURATION MENU

ORQQPX COVER SHEET REM CLASSES l 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. l 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 NR 500044 20 NR 500030 NR 34

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 l Default Template for Notes; Consults; DC Summary tabs l Entity – User l 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 – Clin 2, Salt Lake City

ORWRP REPORT LIST l This parameter allows for customization of the Reports Tab – Reports display sequence – Reports Tab content – Must add ORRPW REPORT CATEGORIES l l From new file OE/RR REPORT Entity levels: – User, Division, System, Package l Option: – Parameter Editor

ORWRP REPORT LAB LIST l This parameter allows for customization of the Reports on the Lab Tab – Reports display sequence – Lab Tab content l Entity levels: – User, Division, System, Package l Option: – Parameter Editor

ORWRP TIME/OCC LIMITS INDV Allows individual Remote Data Reports to have their date range and occurrence limits set l Each report can be modified individually for: l – Start date, Stop date, Max occurrence l Entity levels: – User, Division, System, Package l 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 l One setting applies to all reports l l Entity levels: – User, Division, System, Package l Option: – Personal: CPRS GUI options menu – CAC: Parameter editor

Tools – Options – Reports

Tools – Options – Reports – Set All Reports

ORB ERASE ALL l Allows the site to control who has access to the personal preference button “Remove Pending Notifications” l Entity levels: – User, Division, System, Package l Option: – Parameter Editor

ORWCV 1 COVERSHEET LIST l Allows site to customize the cover sheet – Rearrange cover sheet boxes – Remove cover sheet boxes l Entity levels: – User, Division, System, Package l Option: – Parameter Editor

ORWOR SHOW SURGERY TAB l Allows site control over who will have access to the new Surgery Tab – Functional when Surgery patch 100 has been installed l Entity levels: – User, Division, System, Package l Option: – Parameter Editor

ORWCOM PATIENT SELECTED l Allows sites to associates a COM object with the patient selection action – Locally developed – COTS product – New file – OE/RR COM OBJECTS(101. 15) l Entity levels: – User, Service, Division, System l Option: – Parameter Editor

ORWCOM ORDER ACCEPTED l 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) l Entity levels: – User, Service, Division, System l Option: – Parameter Editor

TIU TEMPLATE COM l 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) l 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 Replace OBJECT GUID: {63 DC 61 D 9 -6 BE 0 -11 D 5 -82 E 6 -00 C 04 F 72 C 274} Replace INACTIVE: PARAM 1: Testing Param 1//

TIU TEMPLATE COM

ORK CONTRAST MEDIA CREATININE l 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 l Entity levels: – Location, Division, System, Package l Option: – CAC: Order Check Mgmt menu

ORB LAB > THRESHOLD l Allows the site to set trigger thresholds for new Lab Threshold Exceeded Notification – If result exceeds threshold, notification is triggered l Entity levels: – User l Option: – CAC : establish thresholds via ‘Flag Orderable Item(s) to Send Notifications’ – Personal : CPRS GUI options menu

ORB LAB < THRESHOLD l Allows the site to set trigger thresholds for new Lab Threshold Exceeded Notification – If result exceeds threshold, notification is triggered l Entity levels: – User l Option: – CAC : establish thresholds via ‘Flag Orderable Item(s) to Send Notifications’ – Personal : CPRS GUI options menu

ORWOR REQUIRE CURRENT CLIENT l Allows site to stop access to CPRS if the user’s client is out of date l Entity levels: – System, Package l Option : – Parameter Editor

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