Re: [Hardhats-members] Prescription Auto-finishing

2007-02-28 Thread Mark Amundson
Nancy,

These are the GT.M devices we setup with the orginal HUI AF, they should
still work. Please note the Pre-open and Close execute fields.

Mark

Select DEVICE NAME: DESKJET850  OFFICE /home/epharmacy/t/hp855.tmp
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO//  - No record number (IEN), no
Computed
 Fields

NAME: DESKJET850$I: /home/epharmacy/t/hp855.tmp
  ASK DEVICE: NOASK PARAMETERS: NO
  LOCATION OF TERMINAL: OFFICE  ASK HOST FILE: NO
  PRE-OPEN EXECUTE: S IO=$P(IO,.)_._$J_$P($H,,,2)_._$P(IO,.,2)
  SUBTYPE: P-SLAVETEST  TYPE: HOST FILE SERVER

Select TERMINAL TYPE NAME: P-SLAVETEST  TEST SLAVE SUBTYPE
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO//  - No record number (IEN), no
Computed
 Fields

NAME: P-SLAVETEST   RIGHT MARGIN: 80
  FORM FEED: #  PAGE LENGTH: 60
  BACK SPACE: $C(8) OPEN EXECUTE: W *27,E,*27,k2G
  CLOSE EXECUTE: U IO K IO(1,IO) C IO ZSYSTEM lpr -r -l -P _ION_ _IO
  DESCRIPTION: TEST SLAVE SUBTYPE

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nancy
Anthracite
Sent: Wednesday, February 28, 2007 9:48 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Thanks.  I am going to try the Menu option (Greg, I hear you chiding me now 
for not looking for one in the first place) to see if that does it for me 
since Mark sure ought to know since he wrote it!


On Wednesday 28 February 2007 22:40, Cameron Schlehuber wrote:
First, let me say that the information on setting up printers for GT.M/Linux
came from Wally Fort and Joseph Puthooran.  I just copied what they'd done
for me so far and asked for more advice ... and will of course post any new
help I get from them if they don't post it on Hardhats first!

Here's some help on the mystery fields:

In the instructions, the following sure does need some context!!

Outpatient System Parameters



DEFAULT OUTPATIENT SITE: DR OFFICE//

ADMISSION CANCEL OF RXS: NO//

Select EXEMPT WARD FROM AUTOCANCEL:

DAYS PRINTED RX STAYS IN 52.5:

POLYPHARMACY W/ACTION PROFILE:



I finally found it in the PHARMACY SYSTEM file 59.7



It looks like the following shows up in PSODIV using the PSO INTERDIV
option.  But it does not ask any of those questions if you're only one site
and not multi-divisional!!



Currently 'INTERDIVISIONAL' processing 'is not' allowed.

Do you want to change this? : N// YES

'INTERDIVISIONAL PROCESSING' is initialized.





 This question involves the following prompt:



'RX is from another division.  Continue? (Y/N)'



Do you want this prompt to appear

whenever an action is attempted on the prescription: N// O





Do you want all refill request forms to be processed

at a particular division?: N// O



Initialization of 'INTERDIVISIONAL PROCESSING' is complete.



- Original Message -
From: Nancy Anthracite [EMAIL PROTECTED]
To: Hardhats hardhats-members@lists.sourceforge.net
Sent: Wednesday, February 28, 2007 7:49 PM
Subject: [Hardhats-members] Prescription Auto-finishing

I am trying to get this going, first with Cache and then with GTM.  I see
 Cameron will be a great resource for the latter!  Been playing with trying
 to
 get the printer going, and I think I probably have that down - I hope, but
 I
 have to get things set up to work before I can test printing a
 prescription.

 I am trying to get to the Outpatient System Parameters that are mentioned
 low
 on  page 11 and on page12 of the manual  that is in the Beta VOE
 documentation which seems to be related to editing file 59, the Outpatient
 Site file.  I have searched the option file up and down and can't find the
 Outpatient System Parameters or the Default Outpatient Site, etc.  I also
 never get offered the INTERDIVISIONAL PROCESSING option and I can't find
 that
 in the option file either.

 I think I am barking up the wrong tree.  Help would be appreciated.
 --
 Nancy Anthracite

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Re: [Hardhats-members] Prescription Auto-finishing

2007-02-28 Thread Mark Amundson
Did my original message come though??

Mark

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mark
Amundson
Sent: Wednesday, February 28, 2007 10:44 PM
To: [EMAIL PROTECTED]; hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Nancy,

These are the GT.M devices we setup with the orginal HUI AF, they should
still work. Please note the Pre-open and Close execute fields.

Mark

Select DEVICE NAME: DESKJET850  OFFICE /home/epharmacy/t/hp855.tmp
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO//  - No record number (IEN), no
Computed
 Fields

NAME: DESKJET850$I: /home/epharmacy/t/hp855.tmp
  ASK DEVICE: NOASK PARAMETERS: NO
  LOCATION OF TERMINAL: OFFICE  ASK HOST FILE: NO
  PRE-OPEN EXECUTE: S IO=$P(IO,.)_._$J_$P($H,,,2)_._$P(IO,.,2)
  SUBTYPE: P-SLAVETEST  TYPE: HOST FILE SERVER

Select TERMINAL TYPE NAME: P-SLAVETEST  TEST SLAVE SUBTYPE
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO//  - No record number (IEN), no
Computed
 Fields

NAME: P-SLAVETEST   RIGHT MARGIN: 80
  FORM FEED: #  PAGE LENGTH: 60
  BACK SPACE: $C(8) OPEN EXECUTE: W *27,E,*27,k2G
  CLOSE EXECUTE: U IO K IO(1,IO) C IO ZSYSTEM lpr -r -l -P _ION_ _IO
  DESCRIPTION: TEST SLAVE SUBTYPE

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nancy
Anthracite
Sent: Wednesday, February 28, 2007 9:48 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Thanks.  I am going to try the Menu option (Greg, I hear you chiding me now 
for not looking for one in the first place) to see if that does it for me 
since Mark sure ought to know since he wrote it!


On Wednesday 28 February 2007 22:40, Cameron Schlehuber wrote:
First, let me say that the information on setting up printers for GT.M/Linux
came from Wally Fort and Joseph Puthooran.  I just copied what they'd done
for me so far and asked for more advice ... and will of course post any new
help I get from them if they don't post it on Hardhats first!

Here's some help on the mystery fields:

In the instructions, the following sure does need some context!!

Outpatient System Parameters



DEFAULT OUTPATIENT SITE: DR OFFICE//

ADMISSION CANCEL OF RXS: NO//

Select EXEMPT WARD FROM AUTOCANCEL:

DAYS PRINTED RX STAYS IN 52.5:

POLYPHARMACY W/ACTION PROFILE:



I finally found it in the PHARMACY SYSTEM file 59.7



It looks like the following shows up in PSODIV using the PSO INTERDIV
option.  But it does not ask any of those questions if you're only one site
and not multi-divisional!!



Currently 'INTERDIVISIONAL' processing 'is not' allowed.

Do you want to change this? : N// YES

'INTERDIVISIONAL PROCESSING' is initialized.





 This question involves the following prompt:



'RX is from another division.  Continue? (Y/N)'



Do you want this prompt to appear

whenever an action is attempted on the prescription: N// O





Do you want all refill request forms to be processed

at a particular division?: N// O



Initialization of 'INTERDIVISIONAL PROCESSING' is complete.



- Original Message -
From: Nancy Anthracite [EMAIL PROTECTED]
To: Hardhats hardhats-members@lists.sourceforge.net
Sent: Wednesday, February 28, 2007 7:49 PM
Subject: [Hardhats-members] Prescription Auto-finishing

I am trying to get this going, first with Cache and then with GTM.  I see
 Cameron will be a great resource for the latter!  Been playing with trying
 to
 get the printer going, and I think I probably have that down - I hope, but
 I
 have to get things set up to work before I can test printing a
 prescription.

 I am trying to get to the Outpatient System Parameters that are mentioned
 low
 on  page 11 and on page12 of the manual  that is in the Beta VOE
 documentation which seems to be related to editing file 59, the Outpatient
 Site file.  I have searched the option file up and down and can't find the
 Outpatient System Parameters or the Default Outpatient Site, etc.  I also
 never get offered the INTERDIVISIONAL PROCESSING option and I can't find
 that
 in the option file either.

 I think I am barking up the wrong tree.  Help would be appreciated.
 --
 Nancy Anthracite

 -
 Take Surveys. Earn Cash. Influence the Future of IT
 Join SourceForge.net's Techsay panel and you'll get the chance to share
 your
 opinions on IT  business topics through brief surveys-and earn cash
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Re: [Hardhats-members] Prescription Auto-finishing

2007-02-28 Thread Mark Amundson
It looks as if my original message did not come through here it is.


Nancy,

You will be asked for Interdivisional processing only if you have more that
one entry in file 59, most clinics will only need one entry in file 59. DO
NOT USE FileMan to change the entries in this file use the option in the
Outpatient menus. 

For the setting of the AutoFinish specific fields you can you FileMan.

You need to have the Outpatient site parameters as defined in the user's
guide, if not AF will have issues, the parameters are used to guide the med
order through a specific path in the code.

For GT.M you need to setup the print device as we defined in the old HUI
manual for AF.

Mark

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mark
Amundson
Sent: Wednesday, February 28, 2007 10:47 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Did my original message come though??

Mark

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mark
Amundson
Sent: Wednesday, February 28, 2007 10:44 PM
To: [EMAIL PROTECTED]; hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Nancy,

These are the GT.M devices we setup with the orginal HUI AF, they should
still work. Please note the Pre-open and Close execute fields.

Mark

Select DEVICE NAME: DESKJET850  OFFICE /home/epharmacy/t/hp855.tmp
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO//  - No record number (IEN), no
Computed
 Fields

NAME: DESKJET850$I: /home/epharmacy/t/hp855.tmp
  ASK DEVICE: NOASK PARAMETERS: NO
  LOCATION OF TERMINAL: OFFICE  ASK HOST FILE: NO
  PRE-OPEN EXECUTE: S IO=$P(IO,.)_._$J_$P($H,,,2)_._$P(IO,.,2)
  SUBTYPE: P-SLAVETEST  TYPE: HOST FILE SERVER

Select TERMINAL TYPE NAME: P-SLAVETEST  TEST SLAVE SUBTYPE
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes//   (Yes)
Include COMPUTED fields:  (N/Y/R/B): NO//  - No record number (IEN), no
Computed
 Fields

NAME: P-SLAVETEST   RIGHT MARGIN: 80
  FORM FEED: #  PAGE LENGTH: 60
  BACK SPACE: $C(8) OPEN EXECUTE: W *27,E,*27,k2G
  CLOSE EXECUTE: U IO K IO(1,IO) C IO ZSYSTEM lpr -r -l -P _ION_ _IO
  DESCRIPTION: TEST SLAVE SUBTYPE

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nancy
Anthracite
Sent: Wednesday, February 28, 2007 9:48 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Thanks.  I am going to try the Menu option (Greg, I hear you chiding me now 
for not looking for one in the first place) to see if that does it for me 
since Mark sure ought to know since he wrote it!


On Wednesday 28 February 2007 22:40, Cameron Schlehuber wrote:
First, let me say that the information on setting up printers for GT.M/Linux
came from Wally Fort and Joseph Puthooran.  I just copied what they'd done
for me so far and asked for more advice ... and will of course post any new
help I get from them if they don't post it on Hardhats first!

Here's some help on the mystery fields:

In the instructions, the following sure does need some context!!

Outpatient System Parameters



DEFAULT OUTPATIENT SITE: DR OFFICE//

ADMISSION CANCEL OF RXS: NO//

Select EXEMPT WARD FROM AUTOCANCEL:

DAYS PRINTED RX STAYS IN 52.5:

POLYPHARMACY W/ACTION PROFILE:



I finally found it in the PHARMACY SYSTEM file 59.7



It looks like the following shows up in PSODIV using the PSO INTERDIV
option.  But it does not ask any of those questions if you're only one site
and not multi-divisional!!



Currently 'INTERDIVISIONAL' processing 'is not' allowed.

Do you want to change this? : N// YES

'INTERDIVISIONAL PROCESSING' is initialized.





 This question involves the following prompt:



'RX is from another division.  Continue? (Y/N)'



Do you want this prompt to appear

whenever an action is attempted on the prescription: N// O





Do you want all refill request forms to be processed

at a particular division?: N// O



Initialization of 'INTERDIVISIONAL PROCESSING' is complete.



- Original Message -
From: Nancy Anthracite [EMAIL PROTECTED]
To: Hardhats hardhats-members@lists.sourceforge.net
Sent: Wednesday, February 28, 2007 7:49 PM
Subject: [Hardhats-members] Prescription Auto-finishing

I am trying to get this going, first with Cache and then with GTM.  I see
 Cameron will be a great resource for the latter!  Been playing with trying
 to
 get the printer going, and I think I probably have that down - I hope, but
 I
 have to get things set up to work before I can test printing a
 prescription.

 I am trying to get to the Outpatient System Parameters that are mentioned
 low
 on  page 11 and on page12 of the manual  that is in the Beta VOE
 documentation which seems

Re: [Hardhats-members] Prescription Auto-finishing

2007-02-28 Thread Mark Amundson
Nancy,

You will be asked for Interdivisional processing only if you have more that
one entry in file 59, most clinics will only need one entry in file 59.
Don't use FileMan to change the entries in this file use the option in the
Outpatient menus. 

For the setting of the AutoFinish specific fields you can you FileMan.

You need to have the Outpatient site parameters as defined in the user's
guide, if not AF will have issues, the parameters are used to guide the med
order through a specific path in the code.

For GT.M you need to setup the print device as we defined in the old HUI
manual for AF.

Mark


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nancy
Anthracite
Sent: Wednesday, February 28, 2007 9:02 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Prescription Auto-finishing

Maybe that is what I am supposed to put for LOGICAL LINK?  It says that an 
institution can be entered, but when I enter VOE OFFICE INSTITUTION, it
isn't 
happy, nor is it happy with DR OFFICE. or Outpatient System Parameters.  
Maybe it is because I don't have Outpatient Pharmacy setup?  I am supposed
to 
do that, but haven't done anything specificallyto do that except follow the 
instructions.

On Wednesday 28 February 2007 21:49, Nancy Anthracite wrote:
I am trying to get this going, first with Cache and then with GTM.  I see
Cameron will be a great resource for the latter!  Been playing with trying
to
get the printer going, and I think I probably have that down - I hope, but I
have to get things set up to work before I can test printing a prescription.

I am trying to get to the Outpatient System Parameters that are mentioned
low
on  page 11 and on page12 of the manual  that is in the Beta VOE
documentation which seems to be related to editing file 59, the Outpatient
Site file.  I have searched the option file up and down and can't find the
Outpatient System Parameters or the Default Outpatient Site, etc.  I also
never get offered the INTERDIVISIONAL PROCESSING option and I can't find
that
in the option file either.

I think I am barking up the wrong tree.  Help would be appreciated.

-- 
Nancy Anthracite

-
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RE: [Hardhats-members] National Drug Codes (NDC) headaches. Anyone have input?

2006-03-15 Thread Mark Amundson
Here is the official info from fda.gov on NDC codes:

NDC Number

Each listed drug product listed is assigned a unique 10-digit, 3-segment
number.  This number, known as the NDC, identifies the labeler, product, and
trade package size.  The first segment, the labeler code, is assigned by the
FDA.  A labeler is any firm that manufactures (including repackers or
relabelers), or distributes (under its own name) the drug. The second
segment, the product code, identifies a specific strength, dosage form, and
formulation for a particular firm. The third segment, the package code,
identifies package sizes and types. Both the product and package codes are
assigned by the firm. The NDC will be in one of the following
configurations: 4-4-2, 5-3-2, or 5-4-1.

An asterisk may appear in either a product code or a package code.  It
simply acts as a place holder and indicates the configuration of the NDC.
Since the NDC is limited to 10 digits, a firm with a 5 digit labeler code
must choose between a 3 digit product code and 2 digit package code, or a 4
digit  product code and 1 digit package code.

Thus, you have either a 5-4-1 or a 5-3-2 configuration for the three
segments of the NDC. Because of a conflict with the HIPAA standard of an 11
digit NDC, many programs will pad the product code or package code segments
of the NDC with a leading zero instead of the asterisk.  

Since a zero can be a valid digit in the NDC, this can lead to confusion
when trying to reconstitute the NDC back to its FDA standard.  Example:
12345-0678-09 (11 digits) could be 12345-678-09 or 12345-678-90 depending on
the firm's configuration.  By storing the segments as character data and
using the * as place holders we eliminate the confusion. In the example, FDA
stores the segments as 12345-*678-09 for a 5-3-2 configuration or
12345-0678-*9 for a 5-4-1 configuration.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kevin
Toppenberg
Sent: Wednesday, March 15, 2006 8:50 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] National Drug Codes (NDC) headaches. Anyone
have input?

On 3/15/06, Gregory Woodhouse [EMAIL PROTECTED] wrote:

 On Mar 15, 2006, at 3:43 PM, Ruben Safir wrote:

  The size of the separate fields have changed over the years and
  different drugs are labeled differently.  the largest an NDC can be is
  5-4-2 (11 digits).  But it can and does vary from 4-4-2 and 2-3-2 and
  even 5-3-2

 So, are the NDC codes without the hyphens ambiguous?


I think so, hence my confusion.  Thus I don't think you could write an
output transform with 100% correctness.

But Ruben's input re 5-4-2 helps.

Kevin


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RE: [Hardhats-members] National Drug Codes (NDC) headaches. Anyone have input?

2006-03-15 Thread Mark Amundson
I to have never seen the * character used on a med package, but I have
came across the occasional NDC database that has asterisks in it. The
paragraphs are pulled directly from the FDA site and they are consistent to
what I understand NDC's to be and how I have used them. The real pain to me
for and NDC is that a company can take a NDC they retired years ago and
attach it to a new product today, now you may have an old database pointing
to one product but the new NDC is for something else.

As far as the 12 digit field in VistA for the NDC number it is because the
National Drug file stores both NDC's and UPC's in the same field for a
product, the UPC used is a 12 digit code. So what they do in the NDF with
NDC's is put one more leading zero one the 11 digit code to make it a 12
digit.



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Ruben
Safir
Sent: Wednesday, March 15, 2006 10:31 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] National Drug Codes (NDC) headaches. Anyone
have input?

On Wed, Mar 15, 2006 at 09:33:29PM -0600, Mark Amundson wrote:
 Here is the official info from fda.gov on NDC codes:
 
 NDC Number
 
 Each listed drug product listed is assigned a unique 10-digit, 3-segment
 number.  This number, known as the NDC, identifies the labeler, product,
and
 trade package size.  The first segment, the labeler code, is assigned by
the
 FDA.  A labeler is any firm that manufactures (including repackers or
 relabelers), or distributes (under its own name) the drug. The second
 segment, the product code, identifies a specific strength, dosage form,
and
 formulation for a particular firm. The third segment, the package code,
 identifies package sizes and types. Both the product and package codes are
 assigned by the firm. The NDC will be in one of the following
 configurations: 4-4-2, 5-3-2, or 5-4-1.
 


Actually, upon reading this closely, this just confuses things and I doubt
that this
is correct, even if it is from the FDA website.

You will NEVER see an astisk in the NDC number printed on the lable of a
drug.

You will almost ALWAYS see a two digit product code on the end.

Confusion is always related to leading zeros, not 90 09 and the complete 11
digit
number does define the drug completely.

Ruben
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RE: [Hardhats-members] RE: Entering Visit Locations

2005-02-18 Thread Mark Amundson

The option to edit on e-sig is XUSESIG and is usually found in the TBOX menu I believe.
Mark A



On Fri, 18 Feb 2005 10:39 , [EMAIL PROTECTED] sent:


Adding the Electronic Signature code to each person's record allowed the 
logged in user able to sign their progress notes and then made that note 
available to all other users. However, I had to get into D Q^DI to edit the 
new person file directly - I couldn't find a menu that allowed me (or 
another user) to change their own electronic signature. 

Scott M. Konfrst 
MIS Director 

Glenwood Resource Center 
711 S. Vine 
Glenwood, IA 51534 
Office: (712) 527-2407 
Cell: (712) 520-2407 

-Original Message- 
From: ELSIE CASUGAY [[EMAIL PROTECTED]','','','')"[EMAIL PROTECTED]] 
Sent: Thursday, February 17, 2005 4:07 PM 
To: hardhats-members@lists.sourceforge.net 
Subject: RE: [Hardhats-members] RE: Entering Visit Locations 

You can only view notes that are signed. 

-Original Message- 
From: [EMAIL PROTECTED] 
[[EMAIL PROTECTED]','','','')"[EMAIL PROTECTED]] On Behalf Of 
[EMAIL PROTECTED] 
Sent: Thursday, February 17, 2005 5:03 PM 
To: hardhats-members@lists.sourceforge.net 
Subject: RE: [Hardhats-members] RE: Entering Visit Locations 

I see them the titles in TIU and they are active. 

Now, you're going to hate this part. I was in TIU exploring and then in 
D^XUP fixing the parameters for Clinical Coordinator. Got out, back into 
CPRS and behold, I can create Progress Notes and the Progress Note Titles 
are showing up (at least some of them) for all of my test users. But, I 
don't know what I did. Argh! Probably doing too many things at once... 

Now, I can save them without signing the notes, but my users can only see 
the notes they create and can't see the notes created by other users. 
Electronic Signature, maybe??? 

Diving back into TIU to see what I may have changed to get them to show... 
I'll let you know when I come back up for air. 

Scott M. Konfrst 
MIS Director 

Glenwood Resource Center 
711 S. Vine 
Glenwood, IA 51534 
Office: (712) 527-2407 
Cell: (712) 520-2407 

-Original Message- 
From: ELSIE CASUGAY [[EMAIL PROTECTED]','','','')"[EMAIL PROTECTED]] 
Sent: Thursday, February 17, 2005 3:51 PM 
To: hardhats-members@lists.sourceforge.net 
Subject: RE: [Hardhats-members] RE: Entering Visit Locations 

Do you see the PROGRESS NOTE TITLES using the TIU MAINTENANCE MENU? 

You might need to activate them. If not, you need to create your own 
titles. 


-Original Message- 
From: [EMAIL PROTECTED] 
[[EMAIL PROTECTED]','','','')"[EMAIL PROTECTED]] On Behalf Of 
[EMAIL PROTECTED] 
Sent: Thursday, February 17, 2005 4:13 PM 
To: hardhats-members@lists.sourceforge.net 
Subject: RE: [Hardhats-members] RE: Entering Visit Locations 

Yesterday while working on the CPRS Progess Notes, I was able to enter a 
progress note (Title=Advance Directive) as the Clinical Coordinator through 
the menu systems and today I noticed that the progress note was visible for 
the patient when I logged into CPRS as System Manager. However, I still 
can't enter a new progress note via CPRS as System Manager - no titles are 
available to be picked and it won't let me go on without picking one. 

I was able to view the document classes and titles using TIU and there are 
several that are already pre-populated. They are all active and owned by 
Clinical Coordinator. So, I know they're in there already - just not being 
seen in CPRS. 

So, here's a summary of the status: 

System Manager - can login into CPRS and view progress note created by 
Clinical Coordinator, but can't create progress note in CPRS 
Clinical Coordinator - can create progress note through command line menu, 
but can't login into CPRS (I'm working on fixing that now). 
Test Physician - can login into CPRS, but can view Clinical Coordinator's 
progress note entry and can't create a progress note. 

So, I'm thinking I'm really close - that there might be a change in the TIU 
document class/titles to make the titles viewable in CPRS or there's an user 
setting that needs to be made to let them view the document classes/titles. 


Scott M. Konfrst 
MIS Director 

Glenwood Resource Center 
711 S. Vine 
Glenwood, IA 51534 
Office: (712) 527-2407 
Cell: (712) 520-2407 

-Original Message- 
From: Kevin Toppenberg [[EMAIL PROTECTED]','','','')"[EMAIL PROTECTED]] 
Sent: Wednesday, February 16, 2005 8:13 PM 
To: hardhats-members@lists.sourceforge.net 
Subject: RE: [Hardhats-members] RE: Entering Visit Locations 

Regarding your other question, the location for a 
visit comes from the HOSPITAL LOCATION file. I am in 
an outpatient setting, and wish that name was less 
'hospital' orientated... but I think VistA was first 
and formost designed for a hospital. 

I created a hospital location entry for each of the 
offices that are in our group. 

Your second question was about options for progress 
note titles. You should have many note titles already 
in your system. Try typing in 

[Hardhats-members] FYI Dr David Brailer HIMSS speech

2005-02-18 Thread Mark Amundson
David Brailer, MD, PhD, National Coordinator for Health Information 
Technology, delivered a keynote address to the 2005 Annual Healthcare 
Information and Management Systems Society (HIMSS) Conference and Exhibition 
on February 17, 2005. The speech is available at www.hhs.gov/healthit. 




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[Hardhats-members] VistA Imaging (OsiriX)

2005-01-07 Thread Mark Amundson
I do not at all understand the issues related to VistA Imaging, but I ran across an article where radiologist are using iPOD's to store images. The product is OsiriX and is opensource could this be part of an opensource solution for VistA Imaging? 

See:


http://homepage.mac.com/rossetantoine/osirix/Index2.html







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Re: [Hardhats-members] Fwd: Text of Article from Modern Physician

2004-10-16 Thread Mark Amundson

Bill,

I’m glad you mentioned the California HealthCare Foundation and this article; I’ve found the information there quite helpful over the years (www.chcf.org). When Forrester Research published, Electronic Medical Records: A buyer’s Guide for Small Physician Practices, last year they included the spreadsheet EMR Evaluation Tool for one to use to evaluate other EMR products.

Even though I did not necessary agree with the weighting and all the evaluation criteria that this study used, I used it to evaluate VistA when the tool came out. Based on my opinion, personal experience and personal bias using the EMR Evaluation tool, VistA fell into the Strong Performers range of the Forrester Wave chart, it was not the lowest that score of the group but if my memory serves me it was close. I am positive that others would get other scores, both above and below what I scored it at.

Now, I gave my evaluation a bit of free reign and as my memory serves me it was as follows:


The references to a Relation database I just ignored. (I will agree to disagree on the MUMPS debate.)

The references to a Browser-Based Graphical user interface I score based on Graphical which CPRS is.

Where they talked about support I used Average.

Where they talked to a company’s executive team about the future I used Adequate.

Where they looked at Market Presence I scored it as if the VA was part of it.

I am sure there were other places in the scoring that I used my opinionbut I tried to be fair in my understanding of VistA.

I am in the western part of North Dakota until Tuesday when I fly out to DC, I will try to find my scoring sheet for this when I’m back in Fargo if anybody is interested please drop me a line and I will forward it to you. One of the reason I never brought this tool up to the VistA community is that I did this as an exercise for myself and what I took away from this exercise is that VistA is a viable option to other similar products on the market today. Also, that there is work to be done on many levels of VistAfrom the coding to the installing, training and support of VistA and these are opportunities for us all. The time to do this is now.

Sincerely,

Mark Amundson PharmD
Amundson Partners Inc
Fargo, ND 58102
[EMAIL PROTECTED]
701-261-8852



On Fri, 15 Oct 2004 14:47 , 'Bill Walton' [EMAIL PROTECTED] sent:


Mark, 

Mark Amundson wrote: 

 Bill 
 Could you give me a quick head to head 
 comparison of VistA/CPRS and Logician. 

Glad to. Thanks for asking. Please note that I did not choose Logician as 
an example because I think it's a market-leading product. Not even close, 
based on my own experience leading a due diligence project for a group of 7 
neurology practices last year, and based on published results from folks 
like the AC Group and TEPR. I chose it precisely *because* it's not. I'd 
like the group to consider the market reality that even a mediocre product 
can win the day (remember Windows vs. Mac?). 

 I have used Logician as a clinician (Last 
 time was 2.5 years ago and I do not remember 
 the version), but my experience is that VistA/ 
 CPRS is a better, friendlier product that was 
 superior in many regards. 

Ease of use, which is what I interpret "better, friendlier" to mean, is an 
important but very subjective measure. Certainly not the only one that's 
recommended that physicians evaluate in their selection criteria. I'll use 
the high-level criteria recommended by Forrester Research in their October 
2003 paper, "Electronic Medical Records: A Buyer's Guide for Small Physician 
Practices" prepared for the California Healthcare Foundation. You can find 
it at 
http://www.chcf.org/documents/ihealth/ForresterEMRBuyersGuideRevise.pdf 

Forrester recommends three high level criteria: 
1) The quality of the current offering, including features, ease of use, 
support and service, and cost; 
2) The vendor's strategy, meaning the future plans the company has for its 
EMR; and 
3) The vendor's market presence, in terms of financial strength, customer 
base, and partnerships with other firms. 

I've dealt with these in some detail below, but will sum it up here. The 
lack of documentation and M-base combine to make it very hard to forecast 
VistA's viability if it has to compete with other Open Source EMR systems 
with established reputations and market presence. From a market 
perspective, it boils down to supply and demand. If demand for EMR systems 
increases and the supply of people capable of installing, servicing, and 
enhancing VistA does not, physicians will choose VistA's competitors. As an 
example from another market, there are lots of people who want to buy a 
Hybrid car (the waiting list for a Toyota Prius is 9 months to a year). 
Some consumers wait. Most just buy something else. 

So, for the sake of discussion, let's take a look at how the Logician 
"salesman" might present his case based on Forrester's recomended selection 
criteria. 

1) The q