Resource and patient management system



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28.4Chief Complaint Pick List Configuration


You must have the BGOZ CAC key to edit the pick list for the Chief Complaint component.

Select the Manage Pick Lists option from the right-click menu above the Chief Complaint field.





Figure 28 68: Chief Complaint Right-Click Menu

The Manage Chief Complaint Pick Lists dialog displays.





Figure 28 69: Add Chief Complaint Dialog

This process lets you add/delete pick list items for symptoms, diagnosis, and patient requests. You do not have to a visit selected to manage the pick lists.


28.4.1Add Pick List Item


  1. Select the radio button (Symptom, Diagnosis, or Patient Request).

  2. Click Add to display the add dialog.

For Symptom, the Add Symptom dialog displays.

For Diagnosis, the Add Diagnosis dialog displays.

For Patient Request, the Add Request dialog displays.



Figure 28 70: Add Symptom Dialog


  1. Type the name of the pick list item that you want to add (in the text box).

  2. Click Add. (Otherwise, click Cancel.)

For Diagnosis or Patient Request, the item is added to the pick list.

For Symptoms, the Confirm location information dialog displays (this dialog does not display for the other radio buttons).





Figure 28 71: Confirm Body Location Information Message

Click Yes. The entered pick list name will appear on pick list with an asterisk following its specified name. (For example, Pain*.) This means that when the user selects the chief complaint symptom with an asterisk, the Location group box will be active where the user can select the location and the side (left, right, both).

Click No, the pick list name will appear as its specified name (only).

28.4.2Delete Pick List Item


  1. Select the radio button (Symptom, Diagnosis, or Patient Request.)

  2. Highlight the pick list item you want to delete.

  3. Click Delete to display the “Delete Entry?” information message.



Figure 28 72: Sample Delete Entry Information Message

Click Yes to delete the selected pick list item. (Otherwise, click No.)


28.5Chief Complaint Pretext Configuration


You can configure the pretext for each chief complaint pick list item in the RPMS. This means you can create a phrase to be the pretext for each type of chief complaint pick list item. For example, you might want each Symptom to have the phrase “Patient Complains of” before the selected symptom.



Figure 28 73: Example of Pretext

You access this configuration by selecting EHR | CCX to display the following:

Chief Complaint Configuration

PFX Prefix text for chief complaint pick list


Select Chief Complaint Configuration Option:

After you enter PFX as the Chief Complaint Configuration Option, you get the following:





Figure 28 74: Prefix Text for Chief Complaint Pick List

Whatever you enter at the “Prefix text” prompt will be the text that appears when you select a Chief Complain pick list item.


29.0Point of Care Lab


The creation of a laboratory test using the “CH” subscript allows a site to add Point of Care (POC) testing capabilities and to manually enter the results of all POC tests into the RPMS system. The POC test is created using the Laboratory (LR) application and all results will be entered via the “Fast/Bypass” option. Results will then be accessible through the Electronic Health Record. Required personnel for this project are the facility Site Manager and the Laboratory Package administrator. RPMS Fileman access is also required.

Follow these steps to set up a laboratory POC testing menu in RPMS:



  1. Create the menu option “POC - POC Results Entry…” in RPMS using the Edit Options menu key in RPMS.

Select IHS Menu Management Option:
CORE IHS CORE . . .

MMM MailMan Master Menu . . .

PER Add/Edit New Persons

POC POC Results Entry . . .


  1. Under the POC option, add the “LRFASTS” key to enable the Fast/Bypass option for the entry of POC test.

Select Menu Management Option: EOP Edit options
Select OPTION to edit: AZU POCTESTMENU POC Results Entry

NAME: AZU POCTESTMENU//

MENU TEXT: POC Results Entry//

PACKAGE: LAB SERVICE//

OUT OF ORDER MESSAGE:

LOCK: AZUPOCTEST//

REVERSE/NEGATIVE LOCK:

DESCRIPTION:

This menu item is for Point of Care testing personnel and is to be used

for the entry of Point of Care test results.


Edit? NO//

TYPE: menu//

HEADER:

ENTRY ACTION:



EXIT ACTION:

Select ITEM: LRFASTS//

ITEM: LRFASTS//

SYNONYM: BY//

DISPLAY ORDER:

Select ITEM:

CREATOR: SMILEY,CLARENCE//


  1. The above steps result in the following menu choices in RPMS.

Select IHS Kernel Option: POC POC Results Entry
BY Fast Bypass Data Entry/Verify
Select POC Results Entry Option: BY Fast Bypass Data Entry/Verify

  1. Create the POC test in file 60 using the RPMS Fileman.

Select IHS Kernel Option: FM VA FileMan
VA FileMan Version 22.0

Enter or Edit File Entries

Print File Entries

Search File Entries

Modify File Attributes

Inquire to File Entries

Utility Functions ...

Data Dictionary Utilities ...

Transfer Entries

Other Options ...


Select VA FileMan Option: ENTer or Edit File Entries
Select LABORATORY TEST NAME: POC GLUCOSE

Are you adding 'POC GLUCOSE' as a new LABORATORY TEST (the 1068TH)? No// Y

(Yes)

LABORATORY TEST LABTEST IEN: 9999004//



LABORATORY TEST SUBSCRIPT: CH CHEM, HEM, TOX, SER, RIA, ETC.

LABORATORY TEST HIGHEST URGENCY ALLOWED: ROUTINE

LABORATORY TEST PRINT NAME: POC GLU

LABORATORY TEST DATA NAME: 516003 POC GLUCOSE

NOTE: The Site Manager or the Lab Package administrator might have to create a new Lab Accession area called Point of Care. This ensures that all POC tests are accounted for correctly. See example below:

Select VA FileMan Option: ENTer or Edit File Entries


INPUT TO WHAT FILE: LABORATORY TEST// ACCESSSION (10 entries)

EDIT WHICH FIELD: ALL//


Select ACCESSION AREA: ?

Answer with ACCESSION AREA, or UID, or HOST UID

Choose from:

AUTOPSY


BLOOD BANK

CHEMISTRY

CYTOPATHOLOGY

ELECTRON MICROSCOPY

HEMATOLOGY

MICROBIOLOGY

SENDOUTS

SURGICAL PATHOLOGY

URINALYSIS
You may enter a new ACCESSION, if you wish

ANSWER MUST BE 2-20 CHARACTERS IN LENGTH
Select ACCESSION AREA: POINT OF CARE

Are you adding 'POINT OF CARE' as a new ACCESSION (the 11TH)? No// Y (Yes)



  1. Create a ‘Point of Care’ menu option to display all POC tests that are created. This will make it much easier for POC testing personnel to access all POC tests quickly and efficiently.

Select VA FileMan Option: ENTer or Edit File Entries
INPUT TO WHAT FILE: LABORATORY TEST// ACCESSION TEST GROUP

(3 entries)

EDIT WHICH FIELD: ALL//

Select ACCESSION TEST GROUP: POINT OF CARE

Are you adding 'POINT OF CARE' as

a new ACCESSION TEST GROUP (the 4TH)? No// Y (Yes)


  1. Add all POC tests under the new ‘Point of Care’ menu.

Select VA FileMan Option: ENTer or Edit File Entries
INPUT TO WHAT FILE: ACCESSION TEST GROUP//

EDIT WHICH FIELD: ALL//


Select ACCESSION TEST GROUP: POINT OF CARE

ACCESSION TEST GROUP: POINT OF CARE//

LAB SECTION: POINT OF CARE//

LAB ONLY:

LAB COLLECT ONLY:

DISPLAY ORDER:

Select TEST: POC GLUCOSE

Are you adding 'POC GLUCOSE' as a new TEST (the 1ST for this ACCESSION TEST GROUP)? No// Y (Yes)

TEST NUMBER: 1//

TEST NAME: POC GLUCOSE//

COLLECTION SAMPLE: CAPILLARY BLOOD BLOOD CAPILLARY

SAMPLE NAME: BLOOD (CAPILLARY)//



  1. Once the new Point of Care test is created in the lab package, order and result the new item to ensure that all correct reference ranges and specimen collection are displayed.

Select IHS Kernel Option: POC POC Results Entry
BY Fast Bypass Data Entry/Verify
Select POC Results Entry Option: BY Fast Bypass Data Entry/Verify
Do you want to review the data before and after you edit? YES//

WANT TO ENTER COLLECTION TIMES? Y//

Select ACCESSION TEST GROUP: POINT OF CARE

Select Patient Name: 110567

DEMO, FEMALE F 11-07-1989 WE 110567
Select one of the following:
LC LAB COLLECT(INPATIENTS-MORN. DRAW)

SP SEND PATIENT



WC WARD/CLINIC COLLECT

Specimen collected how ? : SP// SEND PATIENT

PATIENT LOCATION: ICU

PROVIDER: SMILEY,CLARENCE

LAB Order number: 254

Choose one (or more, separated by commas) ('*' AFTER NUMBER TO CHANGE URGENCY)

1 POC GLUCOSE 2 POC KOH

TEST number(s): 1

Other tests? N//

You have just selected the following tests for DEMO, FEMALE 110567

entry no. Test Sample

1 POC GLUCOSE CAPILLARY BLOOD

All satisfactory? Yes// (Yes)
LAB Order number: 254
Collection Date@Time: NOW// (FEB 11, 2005@01:56:02)

Print labels on: LABLABEL//

Do you wish to test the label printer: NO//
Enter Sign or Symptom for LAB Order number 254

(DO NOT USE 'RULE OUT', 'PROBABLE', 'QUESTIONABLE', etc.): SURGERY

Is this correct? YES//
ACCESSION: POC 0211 3 <0450420003>

POC GLUCOSE CAPILLARY BLOOD

DEMO, FEMALE 110567 LOC:ICU

Sample: BLOOD

Specimen: BLOOD

1 POC GLUCOSE


DEMO, FEMALE HRCN: 110567 LOC: ICU

Practitioner: SMILEY, CLARENCE


ACCESSION: POC 0211 3

02/11 0156d

POC GLUCOSE //90

Select COMMENT:


DEMO, FEMALE HRCN: 110567 LOC: ICU

Practitioner: SMILEY, CLARENCE


ACCESSION: POC 0211 3

02/11 0156d


POC GLUCOSE 90 MG/DL

SELECT ('E' to Edit, 'C' for Comments, 'W' Workload )

Approve for release by entering your initials: CS


Below is how the POC lab results would look in the EHR:



Figure 29 75: Sample of POC Lab Results in the EHR

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