Re: [Hardhats-members] DISPOSITION
Yep. Thanks, but I still need to figure out how to fix the disposition. I tried the two disposition options on the menu and did not find the right way. Jim Gray - Original Message - From: Nancy Anthracite [EMAIL PROTECTED] To: hardhats-members@lists.sourceforge.net Sent: Saturday, February 05, 2005 5:02 PM Subject: Re: [Hardhats-members] DISPOSITION The ADT Output Users Manual in the VDL, ADT section says: Each patient registration for care must receive a corresponding disposition. A disposition shows the final outcome of the registration; whether the patient was admitted, treated and released, scheduled for a return visit, etc. An open disposition is a registration which has not received a disposition. A pending disposition is a registration which was dispositioned with a disposition type of PENDING DETERMINATION. Does that help? On Saturday 05 February 2005 04:53 pm, James Gray wrote: I am trying to test some stuff in registration. I have this message popping up: There is still an open disposition--register aborted. How do I take care of that? Jim Gray --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
RE: [Hardhats-members] Install problems with GDE and aliases?
You may want to try putting the aliases in your .bashrc file. Steven B. Tomlinson [EMAIL PROTECTED] Pacific Telehealth and Technology Hui www.PacificHui.org -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Peter Charbonnier Sent: Sunday, February 06, 2005 2:38 PM To: hardhats-members@lists.sourceforge.net Subject: [Hardhats-members] Install problems with GDE and aliases? Hello, This weekend I went out and picked up a new HD and installed Fedora Core 3 in the hopes of getting OpenVistA up and running on my computer at home. Things went well making the dual boot comp, but when I went to install VistA I hit a snag. Everything was fine until the very end of the Quick Start Installation Guide: 5.Create the globals file: First logout and login as the vista user, then enter the following commands: gde At the GDE prompt type: When I open a Terminal window and type gde I get - bash: gde: command not found The other aliases I set in the .bash_profile also look like they are bombing out. I either get the command not found error or Cannot access global directory. I think that I've set-up something wrong in the .bash_profile, although that's just a guess. As I said, I've only just installed Linux this weekend. I really hope it doesn't have anything to do with the big use core 1 only warning on the pacific telehealth website. Any help would be appreciated. Thanks, Peter Charbonnier Overlake Hospital Bellevue WA --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Patient access to medical records.
Joseph wrote: From what I understand MyHealth-e-Vet employs a 3 tier architecture.with Oracle storing the patient's data extracted from VistA. It is not a real time link for updatesit is done by a batch process. I don't think it is quite as bad as a batch process. I looked at it when this topic first came up some months ago and from what I recall of it, it updates the data for an individual patient record via HL7 on request from the patient while the patient is viewing the record. I didn't actually try the update for the demo patient I was looking at, but I expect that it would update within a few minutes when requested. I agree with Nancy that it would be best and perhaps easier to replace it. Starting with an OpenVistA database and building on M2Web, I think it would be fairly easy (as programming goes ;) ) for someone familiar with the data structure (files and fields) of the medical record to provide a similar view of live data. I expect that the extra layers of isolation and encryption in the current MyHealth-e-Vet could be implemented as well with GT.M and other Open Source tools. I should add that the functionality of the current system is very good...another kudo to the VA here...while the rest of the world has been talking about patient access to medical records for years the VA is doing it. Joseph Nancy Anthracite wrote: Patients have access to a database that is not directly part of CPRS and is accessed through the Internet called MyHealth-e-Vet . I have asked to get the software from the VA but I don't know the answer yet. It is rather complex, from what I understand, and uses a lot of proprietary programs and special equipment. It really sounds as if the best thing to do is to replace it with something else. On Friday 04 February 2005 07:14 am, Nick James wrote: Was curious! As far as I know only a person from the new patient file (provider...), has access to the patient's medical record. Can a patient access his own medical record? Does he use CPRS? If so, how are the keys to be assigned... security...? Nick --- Jim Self Systems Architect, Lead Developer VMTH Computer Services, UC Davis (http://www.vmth.ucdavis.edu/us/jaself) --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Install problems with GDE and aliases?
Peter -- In order to run, GT.M minimally needs the following environment variables set in the shell: - $gtm_dist to point to the directory where GT.M is installed - $gtmroutines to define a search path for routines - $gtmgbldir to point to a global directory file Details are in the Admin Ops Guide. Furthermore, to run gde a shell alias should define gde as something like $gtm_dist/mumps -run ^GDE. So, it looks as if environment settings are not getting set for you. Are you sure your .bash_profile is getting executed? Also, the way that you are going about installing OpenVistA is a from scratch approach that gives you more flexibility, but is more complicated. For a first install, it would much easier to download from Source Forge (http://sourceforge.net/projects/worldvista) OpenVistA SemiVivA 0.4. Assuming that you have downloaded the file as /Distrib/OpenVistA/OpenVistaSemiVivA0.4.tgz, as root, execute: cd /usr/local tar zxvf /Distrib/OpenVistA/OpenVistaSemiVivA0.4.tgz Now, as a normal user, if you execute /usr/local/OpenVistA/vista, you can start with OpenVistA. Note that Fedora Core may or may not include Xdialog, which the shell script /usr/local/OpenVistA/vista uses. If it does not include it, you will need to get it from http://xdialog.dyns.net Regards -- Bhaskar On Sun, 2005-02-06 at 16:38 -0800, Peter Charbonnier wrote: Hello, This weekend I went out and picked up a new HD and installed Fedora Core 3 in the hopes of getting OpenVistA up and running on my computer at home. Things went well making the dual boot comp, but when I went to install VistA I hit a snag. Everything was fine until the very end of the Quick Start Installation Guide: 5.Create the globals file: First logout and login as the vista user, then enter the following commands: gde At the GDE prompt type: When I open a Terminal window and type gde I get - bash: gde: command not found The other aliases I set in the .bash_profile also look like they are bombing out. I either get the command not found error or Cannot access global directory. I think that I've set-up something wrong in the .bash_profile, although that's just a guess. As I said, I've only just installed Linux this weekend. I really hope it doesn't have anything to do with the big use core 1 only warning on the pacific telehealth website. Any help would be appreciated. Thanks, Peter Charbonnier Overlake Hospital Bellevue WA --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members *** This electronic mail transmission contains confidential and/or privileged information intended only for the person(s) named. Any use, distribution, copying or disclosure by another person is strictly prohibited. *** NOTE: Ce courriel est destine exclusivement au(x) destinataire(s) mentionne(s) ci-dessus et peut contenir de l'information privilegiee, confidentielle et/ou dispensee de divulgation aux termes des lois applicables. Si vous avez recu ce message par erreur, ou s'il ne vous est pas destine, veuillez le mentionner immediatement a l'expediteur et effacer ce courriel. --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_ide95alloc_id396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Install problems with GDE and aliases?
Peter -- Chris' suggestion to use OpenVistA VivA 0.4 is also a good one. You can download and burn an ISO image, and simply boot it to run OpenVistA and you can also install Linux, GT.M and OpenVistA on your hard drive from it. The Linux is a little dated (early 2004 vintage), but it is a Debian distribution, so it can be upgraded post-installation and kept current. -- Bhaskar On Sun, 2005-02-06 at 18:47 -0800, Chris Richardson wrote: Peter; How wedded are you to Fedora?? Try downloading the Live VivA ISO and burn a disk. Try booting off of the disk you burn from the ISO and then click on the install to the harddrive ICON. It goes up pretty easy if you don't get too fancy. Morphix becomes There are a couple of modification I made in the vista install script that you will find in /usr/local/OpenVistA/ that I will make available. Right now, just don't forget to run D ^DINIT . Most of the inputs are defaulted already. I've been installing this ISO most of the weekend on a couple of machines. Am spending a lot of time looking for a decent partition-level backup that might make creating new replacements fast and easy. The Live CD is cool, but if you could just layer in the pre-established partitions back in to recover to a known point, we would really have something. I have looked at g4l (no guarantees and pretty unstable) and SystemImage (more stable and easier from the reading/Also has been reported to work over the net), autoinstall (pulled, but notinstalled), and fai to name a few. I can call you from the VA hospital in the morning and talk you through it, if you can send me your phone number. Send me your phone number to [EMAIL PROTECTED] if you don't want to publish it here. I can't send mail on my private account from work, but I should be able to help talk you through it. Best wishes; Chris Richardson *** This electronic mail transmission contains confidential and/or privileged information intended only for the person(s) named. Any use, distribution, copying or disclosure by another person is strictly prohibited. *** NOTE: Ce courriel est destine exclusivement au(x) destinataire(s) mentionne(s) ci-dessus et peut contenir de l'information privilegiee, confidentielle et/ou dispensee de divulgation aux termes des lois applicables. Si vous avez recu ce message par erreur, ou s'il ne vous est pas destine, veuillez le mentionner immediatement a l'expediteur et effacer ce courriel. --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_ide95alloc_id396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
[Hardhats-members] ICD9 Updates
Title: ICD9 Updates Last year the ICD9 update (patch) was not released by October 1. Last year we updated an old ICD9 file we have been using. We want to switch to the new format for the ICD9 file but if we can not get the updates on time we will not be able to bill. There has been a grace period in the past but I am told that is going away. Does the VA have to comply? I have been told that the updates will now be twice a year. Will we have to make our own patches to make the time requirement?
Re: [Hardhats-members] VistA-Office Buffer RFI
This has all become so formal. Smells like money is in the air Kevin --- Michael Ginsburg [EMAIL PROTECTED] wrote: Attached is a copy of an RFI that IFMC just issued. Feel free to redistribute to any organizations that might be interested. Regards, Mike Ginsburg Project Manager Iowa Foundation for Medical Care 410-581-2543 - Office 410-419-9371 - Cell ATTACHMENT part 2 application/msword name=VistA buffer RFI.doc __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] how to dictate an operation report?
Kevin I followed the steps you have given, that leads to another question. When we click on the new note button, it presumes that its a progress report and hence you can only type in certain types of notes (ADDICTION ASI-ADDICTION SEVERITY INDEX, ADVANCE DIRECTIVE, ASSESSMENT WRIISC ASSESSMENT NOTE...). But the operation report ??? Does this mean that only these progress reports can be transcribed from CPRS? Or are there some other settings to get the operation report up? Also the message YOU MAY NOT VIEW THIS UNSIGNED NOTE. is what i get to see as of now from the tiu menu (signed in as the transcriptionist and the author). The problem is that the author of the report is also not allowed to view it! I guess I'm missing out on something! Thanks Nick. --- Kevin Toppenberg [EMAIL PROTECTED] wrote: Nick, I just checked about transcriptionists typing directly into CPRS, and yes they can 1. I had to add OR CPRS GUI.. as a secondary menu option. 2. In CPRS, when creating the note (i.e. New Note), it will ask for a location and time for the note. At the bottom of that dialog, there is a drop-down field for Author. Change that to the name of the doctor dictating the report. Then the transcriptionist can type directly into CPRS. One note, however, is that as soon as the transcriptionist leaves the note, it becomes sealed, and a message is displayed YOU MAY NOT VIEW THIS UNSIGNED NOTE. -- i.e. it wants the Author to sign it before others can view it. So the transcriptionists must make all corrections needed before leaving the note. I needed to figure this out for my site too, so thanks for the prompting. Kevin --- Nick James [EMAIL PROTECTED] wrote: Kevin, while i was trying to solve this problem,i figured that i had not assigned the transcriptionist in the transcriptionist user class (TIU). After doing so i have assigned the 'tiu main menu transcription' to the user. I can in the menu select the operation report, but am neither allowed to view it Nor edit it. (either as the transcriptionist or the author)the status does not change from undictated. How do i link the report to be typed to the transcriptionist? Can transcriptionists type directly into CPRS? Thanks Nick. --- Kevin Toppenberg [EMAIL PROTECTED] wrote: Nick, I assume, since you are working with a hospital, that you will be using transcriptionists. This is the same issue I am working with right now. Many transcriptionists prefer to type in word processors, rather than into CPRS. They'll have more tools at their disposal. So VistA is designed to allow them to prepair a large document with multiple patient reports in it. Each report has a separate header. Then the file is uploaded to VistA. The upload process then scans through the document and identifies each report. Each report specifies the type of note it is, i.e. SURGICAL NOTE, or PROGESS NOTE etc. These note types are set up by you. Each note type has a cooresponding filer program. This is a program that prepairs a document entry in file #8925 (TIU DOCUMENT) for the filer to put the report into. The TIU (Text integration utilities) module has some sample filer programs that one can use to customize for your location. I know that one of these samples focuses on surgical reports. It somehow ties the report to the surgical entity in VistA. I haven't explored the surgical side of things since I am outpatient here. This doesn't directly answer your question, but I hope it gives you some background info that helps. Kevin --- Nick James [EMAIL PROTECTED] wrote: I have sucessfully done a dummy surgery on my test patient! have even managed to get the Nurse's interoperative report and anesthesia report signed and completed! But the problem now is that when i try to get to the Operation report (in CPRS) , i cannot get the status moving from undictated. How does one dictate these reports and have the alert to sign it? From the Operation Menu, Select Operation Menu Option: OR Operation Report * * The Operation Report for this case is not yet available. * * Nick. __ Do you Yahoo!? Yahoo! Mail - Find what you need with new enhanced search. http://info.mail.yahoo.com/mail_250 --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list
Re: [Hardhats-members] how to dictate an operation report?
When i, as the author(^ZU) of the report, try to sign the document, it states that the Elecrtonic signature not yet enabled. But i have created the entry for the electronic signature in the new person file. How does one enable the Electronic signature? Wonder why the elecrtonic signature need not have been enabled for the Other reports i've worked with (Nurse's Interoperative report and Anesthesia report)? Nick --- Kevin Toppenberg [EMAIL PROTECTED] wrote: Nick, I just checked about transcriptionists typing directly into CPRS, and yes they can 1. I had to add OR CPRS GUI.. as a secondary menu option. 2. In CPRS, when creating the note (i.e. New Note), it will ask for a location and time for the note. At the bottom of that dialog, there is a drop-down field for Author. Change that to the name of the doctor dictating the report. Then the transcriptionist can type directly into CPRS. One note, however, is that as soon as the transcriptionist leaves the note, it becomes sealed, and a message is displayed YOU MAY NOT VIEW THIS UNSIGNED NOTE. -- i.e. it wants the Author to sign it before others can view it. So the transcriptionists must make all corrections needed before leaving the note. I needed to figure this out for my site too, so thanks for the prompting. Kevin --- Nick James [EMAIL PROTECTED] wrote: Kevin, while i was trying to solve this problem,i figured that i had not assigned the transcriptionist in the transcriptionist user class (TIU). After doing so i have assigned the 'tiu main menu transcription' to the user. I can in the menu select the operation report, but am neither allowed to view it Nor edit it. (either as the transcriptionist or the author)the status does not change from undictated. How do i link the report to be typed to the transcriptionist? Can transcriptionists type directly into CPRS? Thanks Nick. --- Kevin Toppenberg [EMAIL PROTECTED] wrote: Nick, I assume, since you are working with a hospital, that you will be using transcriptionists. This is the same issue I am working with right now. Many transcriptionists prefer to type in word processors, rather than into CPRS. They'll have more tools at their disposal. So VistA is designed to allow them to prepair a large document with multiple patient reports in it. Each report has a separate header. Then the file is uploaded to VistA. The upload process then scans through the document and identifies each report. Each report specifies the type of note it is, i.e. SURGICAL NOTE, or PROGESS NOTE etc. These note types are set up by you. Each note type has a cooresponding filer program. This is a program that prepairs a document entry in file #8925 (TIU DOCUMENT) for the filer to put the report into. The TIU (Text integration utilities) module has some sample filer programs that one can use to customize for your location. I know that one of these samples focuses on surgical reports. It somehow ties the report to the surgical entity in VistA. I haven't explored the surgical side of things since I am outpatient here. This doesn't directly answer your question, but I hope it gives you some background info that helps. Kevin --- Nick James [EMAIL PROTECTED] wrote: I have sucessfully done a dummy surgery on my test patient! have even managed to get the Nurse's interoperative report and anesthesia report signed and completed! But the problem now is that when i try to get to the Operation report (in CPRS) , i cannot get the status moving from undictated. How does one dictate these reports and have the alert to sign it? From the Operation Menu, Select Operation Menu Option: OR Operation Report * * The Operation Report for this case is not yet available. * * Nick. __ Do you Yahoo!? Yahoo! Mail - Helps protect you from nasty viruses. http://promotions.yahoo.com/new_mail --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection
[Hardhats-members] RBRVS - THE POLITICS
RBRVS - The politics This series is personal recollection. A few details may be a little off the mark - though not enough to undermine the message. Before the discussion of politics it is only fair to make a brief assessment of the system. The resource based relative scale (RBRVS) has gotten a lot of bad press because of lack of understanding and political manipulation. Sadly the term managed care in this country has deteriorated into a system bureaucratic care, or red tape barrier to access. The dysfunctional health care payment system in the United States is largely the result of competitive plans presenting varying schemes of skimming a layered percentage of expenditure for their role in cost management. Many left the American Medical Association (AMA) Interim meeting in December 1989 with the feeling that, with the AMA endorsement of RBRVS, we had a standard by which to measure progress and time would give us a better idea of direction. I purchased the first RBRVS diskette release and as I started analyzing the file, I was surprised to find compensation for family physicians had not improved as anticipated. The Bush(1)administration, though promising revenue neutral transition, had removed highly compensated specialists from the formula. This maneuver was both simple, since the Federal government had dealt with the radiologists, pathologists, and anesthesiologists before the RBRVS was completed, and quiet, since the media, newspapers and journalists were NOT sensitive to and, indeed, did not understand, our plight. After adapting the RBRVS for our schedule, we discovered another weakness. A general surgeon in our group pointed out that Blue Cross allowed three times the RBRVS fees for most surgery. (I recalled Dr. Hsiao's comment about 35 cents on the dollar, and now here it was looming over billing.) We decided we could not leave that kind of money on the table, even if the surgeon would tolerate it. We added a modifier, for special fee adjustment, to the formula. The Tennessee Academy of Family Physicians adopted, and sent on to the American Academy of Family Physicians, a resolution asking the AAFP to promote the idea and lobby commercial carriers to convert to the RBRVS payment scale. The expectation was a revenue neutral conversion, however there was a preponderance of proceduralists in the leadership of the AAFP whose goal was to retain the proceduralist-oriented scale and fight instead for added privileges - family physicians doing more procedures. This setback left an imbalanced payment system and as late as 2004 Blue Cross of Tennessee met severe opposition when they announced plans to adopt the RBRVS for their fee for service contracts. A clear understanding of the RBRVS and discounting is essential to designing a practice accounts receivable and management system. The next installment deals with adapting the RBRVS to effective electronic accounts management. --- SF email is sponsored by - The IT Product Guide Read honest candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595alloc_id=14396op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] how to dictate an operation report?
Kevin, You've talked about sample filer programs? what exactly are they and how could i get to them and which are related to surgical reports? I feel that the missing link is the transcriptionist. i wonder how he writes in the dictation. So basically it comesdown to how is the transcription entered, or received by upload? Nick --- Kevin Toppenberg [EMAIL PROTECTED] wrote: Nick, I just checked about transcriptionists typing directly into CPRS, and yes they can 1. I had to add OR CPRS GUI.. as a secondary menu option. 2. In CPRS, when creating the note (i.e. New Note), it will ask for a location and time for the note. At the bottom of that dialog, there is a drop-down field for Author. Change that to the name of the doctor dictating the report. Then the transcriptionist can type directly into CPRS. One note, however, is that as soon as the transcriptionist leaves the note, it becomes sealed, and a message is displayed YOU MAY NOT VIEW THIS UNSIGNED NOTE. -- i.e. it wants the Author to sign it before others can view it. So the transcriptionists must make all corrections needed before leaving the note. I needed to figure this out for my site too, so thanks for the prompting. Kevin --- Nick James [EMAIL PROTECTED] wrote: Kevin, while i was trying to solve this problem,i figured that i had not assigned the transcriptionist in the transcriptionist user class (TIU). After doing so i have assigned the 'tiu main menu transcription' to the user. I can in the menu select the operation report, but am neither allowed to view it Nor edit it. (either as the transcriptionist or the author)the status does not change from undictated. How do i link the report to be typed to the transcriptionist? Can transcriptionists type directly into CPRS? Thanks Nick. --- Kevin Toppenberg [EMAIL PROTECTED] wrote: Nick, I assume, since you are working with a hospital, that you will be using transcriptionists. This is the same issue I am working with right now. Many transcriptionists prefer to type in word processors, rather than into CPRS. They'll have more tools at their disposal. So VistA is designed to allow them to prepair a large document with multiple patient reports in it. Each report has a separate header. Then the file is uploaded to VistA. The upload process then scans through the document and identifies each report. Each report specifies the type of note it is, i.e. SURGICAL NOTE, or PROGESS NOTE etc. These note types are set up by you. Each note type has a cooresponding filer program. This is a program that prepairs a document entry in file #8925 (TIU DOCUMENT) for the filer to put the report into. The TIU (Text integration utilities) module has some sample filer programs that one can use to customize for your location. I know that one of these samples focuses on surgical reports. It somehow ties the report to the surgical entity in VistA. I haven't explored the surgical side of things since I am outpatient here. This doesn't directly answer your question, but I hope it gives you some background info that helps. Kevin --- Nick James [EMAIL PROTECTED] wrote: I have sucessfully done a dummy surgery on my test patient! have even managed to get the Nurse's interoperative report and anesthesia report signed and completed! But the problem now is that when i try to get to the Operation report (in CPRS) , i cannot get the status moving from undictated. How does one dictate these reports and have the alert to sign it? From the Operation Menu, Select Operation Menu Option: OR Operation Report * * The Operation Report for this case is not yet available. * * Nick. __ Do you Yahoo!? Yahoo! Mail - Helps protect you from nasty viruses. http://promotions.yahoo.com/new_mail --- This SF.Net email is sponsored by: IntelliVIEW -- Interactive Reporting Tool for open source databases. Create drag--drop reports. Save time by over 75%! Publish reports on the web. Export to DOC, XLS, RTF, etc. Download a FREE copy at http://www.intelliview.com/go/osdn_nl ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com