Theresa,
The only place that you will find the old information referenced for
documentation in NUR is where it is saved in ADM.PAT.  If you actually
look in NUR you can reference each individual instance of documentation
and see which queries were filed blank on each date/time.  Because it is
so "easy" PCM's have resorted to referencing the information stored in
ADM.PAT rather than that stored in NUR.PC.WORK.  There are a couple of
ways around this issue.  One is to make the query demo recall "Y".  In
addition to saving the information in MRI so it is available from visit
to visit, this also makes it save the blank or nil information.  You
wouldn't want to do every query this way, but this might work for
specific queries.

Another thing is to look at how you have written your profile.  You can
set up a profile that pulls erroneous information but labels it in a way
that staff, HIM, Quality/Risk and Lawyers would think was current and
accurate.  So, you need to understand the implications of each of the
choices within the profile dictionary.

Daniel Davis

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Friday, August 03, 2007 6:53 AM
To: [email protected]
Subject: [MEDITECH-L] NUR documentation issue

Good Morning,
We are a Magic shop currently 5.4 SR2 going to 5.61 SP6 next week.
We have been up with NUR documentation for 5 years now. 
 
Issue/Question:
In the NUR module:
 When a field in an intervention has a response....  (query)Current
Legal Status:
(response)Form 52
In 3 days the Form 52 is lifted and nurse files the CDS with the
response blank, the Form 52 response still shows on the Patient Profile
and in a header report I have for VFS. (I don't see the old response on
the VFS). 

I reported this to Meditech and was told 
"Filing the screen blank without default queries (don't go there) would
not overwrite the previous response as the system cannot tell if you are
intentionally filing this blank or just skipping the query. As such it
would not overwrite the previous response."... needless to say I don't
like this answer so I am asking the experts.

As a work around I have created an NA response but now have to educate
the users to place "something" in the response so the previous response
is overwritten. This is a meaningless step for the nurse in my opinion.

I am sure we are not the only place this is happening to... any and all
suggestions are welcome.
Does it work this same way in other applications?

Have a great Friday....

 Theresa M. Skinner BSN-RN,BC
 Clinical Analyst
 Wuesthoff Health System, Inc
 110 Longwood Ave
 Rockledge, Florida 32955
 Office (321)637-2696
 
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