RPMS EHR v 1 1 Techie Class Really

RPMS - EHR v 1. 1 Techie Class Really Powerful at Measuring Stuff

RPMS-EHR Technical Overview Version 1. 1 May 2008

RPMS - EHR v 1. 1 Techie Class Session Six Really Powerful at Measuring Stuff

Component Configuration BGO Components

RPMS-EHR Technical Overview Presenters – May 19 -22, 2008 BGO Components Configuration: Phil Taylor RN

Component Configuration • • • General Considerations Functional overview Properties Security keys Parameters Special setup needs

Component Configuration BGO Components

Wellness • • • Bgo Health Factors Bgo. Pat. Ed bgo. Exams bgo. Immunization bgo. Skin. Tests

bgo. Activity. Time • Provides ability to track encounter and travel time as related to a specific encounter. Updates the V ACTIVITY TIME file. – Filename: Ihs. Bgo. Activity. Time. ocx – Category: FunctionPatient InformationWellness PlacementTabs – Serializable Properties: none – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: ihsbgocontainer. ocx, mscomct 2. ocx, vsflex 8 l. ocx, msvbvm 60. dll – Multiple Instances Allowed: No – Security Key: none – Configuration Parameters: none

bgo. Health. Factors • Permits management of entries in the V HEALTH FACTORS file. – Filename: Ihs. Bgo. Health. Factors. ocx – Serializable Properties: HIDEBUTTONS = BOOL (false) – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, msvbvm 60. dll – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO DISABLE HF EDITING by NEW PERSON or USER CLASS – Events: Remote HF update events

bgo. Patient. ED • Permits capturing patient education activities conducted during a patient encounter. Updates the V PATIENT ED file for an encounter. – Filename: Ihs. Bgo. Patient. ED. ocx – Category: None – Serializable Properties: HIDEBUTTONS = BOOL (false) – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, comdlg 32. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, tabctl 32. ocx, msvbvm 60. dll – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO DISABLE PAT EDU EDITING by NEW PERSON or USER CLASS – Events: Remote PAT ED update events

bgo. Exams • Permits viewing and documenting exams performed in the course of a visit. Updates the V EXAM file. – Filename: Ihs. Bgo. Exams. ocx – Serializable Properties: HIDEBUTTONS = BOOL (false) – Initialization: • MINHEIGHT • MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, msvbvm 60. dll – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO DISABLE EXAM EDITING by NEW PERSON or USER CLASS – Events: Remote Exam update events

bgo. Immunization • Permits the documentation of immunizations, immunization refusals, and contraindications. It also provides and interface to the immunization forecaster. Updates the V IMMUNIZATION file. – Filename: Ihs. Bgo. Immunization. ocx – Category: FunctionPatient InformationCover Sheet PlacementTabs – Serializable Properties: HIDEBUTTONS = BOOL (false) Lookup. Active. Lots. Only = BOOL (false) – Dependencies: vsflex 8 l. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx, msvbvm 60. dll – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO DISABLE IMM EDITING by NEW PERSON or USER CLASS BGO IMM STOP ADDING CPT CODES by USER, DIVISION, or PACKAGE BGO IMM STOP ADDING ICD CODES by USER, DIVISION, or PACKAGE – Events: Remote Immunization update events

bgo. Skin. Test • Permits the documentation of the application and results of skin tests. Updates the V SKIN TEST file for an encounter. – Filename: Ihs. Bgo. Skin. Test. ocx – Serializable Properties: HIDEBUTTONS = BOOL (false) – Initialization: • MINHEIGHT • MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx, msvbvm 60. dll – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO DISABLE SK EDITING by NEW PERSON or USER CLASS – Events: Remote Skin Test update events

bgo. Rep. Hist • Permits the documentation of several facets of a patient’s personal health history including asthma status, functional status, refusals, reproductive history, infant feeding, and treatment contracts. Updates the REPRODUCTIVE FACTORS file. – – – – – Filename: IHSbgo. Rep. Hist. ocx AKA: Personal Health History Serializable Properties: None Initialization: MINHEIGHT 400 MINWIDTH 400 Dependencies: vsflex 8 l. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx, msvbvm 60. dll Multiple Instances Allowed: Yes Security Key: BGOZ ASTHMA EDIT – Enable editing of V ASTHMA entries. BGOZ ELDER CARE EDIT – Enable editing of V ELDER CARE entries. BGOZ ER EDIT – Enable editing of V EMERGENCY VISIT RECORD entries. BGOZ PEDIATRIC EDIT – Enable editing of BIRTH MEASUREMENT entries. BGOZ REP HIST EDIT – Enable editing of REPRODUCTIVE FACTORS entries. BGOZ TX CONTRACT EDIT – Enable editing of V TREATMENT CONTRACT entries. Configuration Parameters: BGO DISABLE REP HIST EDITING by NEW PERSON or USER CLASS Events: Remote Rep History update events

Problems/POV • • • isogons Prob bgo. Icd Picklist bgo. Pov History bgo. VPOV bgo. Triage Summary

Ihs. Bgo. Problem • Provides the ability to update the patient’s Problem List and facilitates reuse of the associated diagnosis for documenting the current encounter. – Filename: Ihs. Bgo. Problem. ocx – Serializable Properties: HIDEBUTTONS USELEXICON = BOOL (false) = BOOL (true) – Initialization: MINHEIGHT MINWIDTH 500 – Dependencies: vsflex 8 l. ocx, ihsbgovcdate. ocx, ihsbgocontainer. ocx, mscomct 2. ocx, msvbvm 60. dll – Multiple Instances Allowed: Yes – Security Key: BGOZ PROBLEM LIST EDIT – Configuration Parameters: BGO DISABLE PROB LIST EDITING by NEW PERSON or USER CLASS BGO PL DEFAULT FILTER by NEW PERSON or USER CLASS, DIVISION, or SYSTEM – Events: Remote Problem List update events – Inter-component Calls: Add. POV. bgo. VPOV

bgo. Icd. Pick. List • Provides the ability to create and utilize ICD Pick Lists. – Filename: Ihs. Bgo. Icd. Pick. List. ocx – Serializable Properties: • Require. CACKey = BOOL (true) – Initialization: • MINHEIGHT • MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, vbsplitter. ocx, comdlg 32. ocx, msvbvm 60. dll, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO DISABLE POV EDITING by NEW PERSON or USER CLASS – Events: Subscribes to ICD updates – Inter-component Calls: Add. POV. bgo. VPOV

bgo. Pov. History • Provides the ability to review the patient’s past diagnosis and reuse them in documenting the current encounter or the Problem List. – Filename: Ihs. Bgo. Pov. History. ocx – Serializable Properties: None – Initialization: • MINHEIGHT • MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, msvbvm 60. dll, ihsbgocontainer. ocx, ihsbgovcdate. ocx, tabctl 32. ocx – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: BGO POV HIST MAX ENTRIES by NEW PERSON or USER CLASS, DIVISION, or PACKAGE – Events: subscribes to VPOV update events – Inter-component Calls: Add. POV. bgo. VPOV and Add. Problem. bgo. Problem

bgo. VPOV • Permits the documentation of diagnoses pertaining to the current patient encounter. Provides the ability to update data in the V POV file and copy a POV entry to the Problem List. – Filename: Ihs. Bgo. VPOV. ocx – Serializable Properties: • HIDEBUTTONS • USELEXICON = BOOL (false) – Initialization: • MINHEIGHT: • MINWIDTH: 400 – Dependencies: vsflex 8 l. ocx, msvbvm 60. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, tabctl 32. ocx – Multiple Instances Allowed: No – Security Key: BGOZ VPOV EDIT – Configuration Parameters: BGO DISABLE POV EDITING by NEW PERSON or USER CLASS – Events: POV Missing notification, Remote VPOV update events – Inter-component Calls: Add. Problem. bgo. Problem

bgo. Triage. Summary • Presents a succinct overview of clinical data associated with the current visit. – Filename: Ihs. Bgo. Triage. Summary. ocx – Serializable Properties: Show. Vitals. Only Show. CCAuthor = BOOL (false) = BOOL (true) – Initialization: MINHEIGHT MINWIDTH – – – 400 Dependencies: vsflex 8 l. ocx, msvbvm 60. ocx, ihsbgocontainer. ocx Multiple Instances Allowed: Yes Security Key: None Configuration Parameters: None Events: Subscribes to all Visit file update events

Services Tab • • bgo. Procedure Viewer Bgo. Items Bgo EM Bgo. VCPT

bgo. Procedures. Viewer • Permits the viewing of past procedures recorded for a patient. – Filename: Ihs. Bgo. Procedures. Viewer. ocx – Serializable Properties: HIDEBUTTONS = BOOL (false) – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, msvbvm 60. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: none

bgo. Items. ocx • Also known as the Super. Bill component. Permits documenting services delivered in the course of a patient encounter, using configurable pick lists. – Filename: Ihs. Bgo. Items. ocx – Serializable Properties: • Require. CACKey = BOOL (false) – Initialization: • MINHEIGHT • MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, comdlg 32. ocx, msvbvm 60. ocx, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx, tabctl 32. ocx, vbsplitter. ocx – Multiple Instances Allowed: Yes – Security Key: none – Configuration Parameters: none – Events: Subscribes to VCPT updates – Inter-component Calls: Add. CPT. bgo. VCPT

bgo. EM • Permits the capture of Evaluation and Management service codes associated with a visit. These codes are stored in the V CPT file. – Filename: ihs. Bgo. E&M. ocx – Categories: Function/Patient Information Placement/Tabs – Serializable Properties: none – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, msvbvm 60. dll, ihsbgocontainer. ocx, vbsplitter. ocx – Multiple Instances Allowed: No – Security Key: none – Configuration Parameters: BGO DISABLE E&M EDITING – Disable editing of E&M codes. BGO E&M SUPPRESS CONFIRMATORY- Suppress confirmatory E&M codes. BGO E&M SUPPRESS ER CODES – Suppress emergency room E&M codes. BGO E&M SUPPRESS – Suppress hospital E&M codes. – Events: E&M Code Missing notification, Remote E&M/CPT update events

bgo. VCPT • Permits recording services rendered during a specific patient encounter. – Filename: Ihs. Bgo. VCPT. ocx – Serializable Properties: None – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, msvbvm 60. dll, ihsbgocontainer. ocx, ihsbgovcdate. ocx, mscomct 2. ocx – Multiple Instances Allowed: No – Security Key: BGOZ VCPT EDIT – Configuration Parameters: BGO DISABLE CPT EDITING – Disable CPT 4 code editing. BGO ENABLE CHARGEMASTER ENTRY – Enable Charge. Master data entry. BGO ENABLE ICD PROCEDURE ENTRY – Enable ICD procedure entry. – Events: Remote VCPT and IMM update events, subscribes to VPOV update events

Component Configuration Bonus Components

bgo. Chief. Complaint • Permits viewing and managing of chief complaint entries. Chief complaint entries are stored in the V NARRATIVE TEXT file with a type of CHIEF COMPLAINT. This component also supports viewing (but not editing) of chief complaint entries in the CHIEF COMPLAINT field of the VISIT file entry. – Filename: Ihs. Bgo. Chief. Complaint. ocx – Serializable Properties: None – Initialization: MINHEIGHT MINWIDTH 400 – Dependencies: vsflex 8 l. ocx, msvbvm 60. dll, ihsbgocontainer. ocx, tabctl 32. ocx – Multiple Instances Allowed: No – Security Key: none – Configuration Parameters: BGO CC PREFIX TEXT – Allows the overriding of the default prefix text that appears before selections from a chief complaint pick list. The instance value may be one of the following: . 1) Symptom, 2) Disease. 3) Request. BGO DISABLE CC EDITING – Disable chief complaint editing.

Vue. Centric VIM Design Mode Exercise – Moderate Design 3

Student Q & A TIU, Component Configuration, VIM Design…