Re: [Hardhats-members] Prescription Auto-finishing
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 - 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 http://www.techsay.com/default.php?page=join.php&p=sourceforge&CID=DEVDEV ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members - 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 http://www.techsay.com/default.php?page=join.php&p=sourceforge&CID=DEVDEV ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Prescription Auto-finishing
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" 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 bef
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" 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 > opin
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" 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 > http://www.techsay.com/default.php?page=join.php&p=sourceforge&CID=DEVDEV > ___ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members - 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 http://www.techsay.com/de
RE: [Hardhats-members] National Drug Codes (NDC) headaches. Anyone have input?
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 -- __ Brooklyn Linux Solutions So many immigrant groups have swept through our town that Brooklyn, like Atlantis, reaches mythological proportions in the mind of the world - RI Safir 1998 DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002 http://fairuse.nylxs.com "Yeah - I write Free Software...so SUE ME" http://www.mrbrklyn.com - Consulting http://www.inns.net <-- Happy Clients http://www.nylxs.com - Leadership Development in Free Software http://www2.mrbrklyn.com/resources - Unpublished Archive or stories and articles from around the net http://www2.mrbrklyn.com/downtown.html - See the New Downtown Brooklyn --- This SF.Net email is sponsored by xPML, a groundbreaking scripting language that extends applications into web and mobile media. Attend the live webcast and join the prime developer group breaking into this new coding territory! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=110944&bid=241720&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- This SF.Net email is sponsored by xPML, a groundbreaking scripting language that extends applications into web and mobile media. Attend the live webcast and join the prime developer group breaking into this new coding territory! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=110944&bid=241720&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
RE: [Hardhats-members] National Drug Codes (NDC) headaches. Anyone have input?
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 --- This SF.Net email is sponsored by xPML, a groundbreaking scripting language that extends applications into web and mobile media. Attend the live webcast and join the prime developer group breaking into this new coding territory! http://sel.as-us.falkag.net/sel?cmd=k&kid0944&bid$1720&dat1642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- This SF.Net email is sponsored by xPML, a groundbreaking scripting language that extends applications into web and mobile media. Attend the live webcast and join the prime developer group breaking into this new coding territory! http://sel.as-us.falkag.net/sel?cmd=lnk&kid0944&bid$1720&dat1642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
[Hardhats-members] FYI Dr David Brailer HIMSS speech
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. --- 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=6595&alloc_id=14396&op=click ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
RE: [Hardhats-members] RE: Entering Visit Locations
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 typin
Re: [Hardhats-members] Healthcare Alliance
Joseph, Do you know was this in response the the RFI that CMS posted in Nov last year. I posted a link on HardHats to the Federal Register anouncement but I don't have a link to it now. Mark On Wed, 26 Jan 2005 13:09 , Joseph Dal Molin <[EMAIL PROTECTED]> sent: It is interesting to note that none of these companies makes or sells software for health systemsif anything they are at the mercy of health software vendorsand what about IHE and all the other efforts to integrate the jungle of applications? The only way integration will happen is for customers to DEMAND it. So far the market has not been able to effect thismaybe it needs to be legislated...like the FAA does with aircraft maintenance standards etc. All it would take would be a scientific and credible study that links hospital error to a lack of integration and the associated mortality rate and things would change quickly IMHO. The evidence is there J Gilbert, Francis S. WCO wrote: > A bit like the Axis of Evil controlling nuclear weapons technology? > > -Original Message- > *From:* [EMAIL PROTECTED] > [[EMAIL PROTECTED]','','','')">[EMAIL PROTECTED]]*On Behalf Of > *Greg Kreis > *Sent:* Wednesday, January 26, 2005 9:08 AM > *To:* hardhats-members@lists.sourceforge.net > *Subject:* [Hardhats-members] Healthcare Alliance > > > High-Tech Alliance on Base for a Digital Health Network > > > http://www.nytimes.com/2005/01/26/technology/26health.html > > -- > Greg Kreis http://www.PioneerDataSys.com > > "You are today where your thoughts have brought you, you will > be tomorrow where your thoughts take you." (James Lane Allen) --- 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 --- 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] Pharmacy overview please.
Kevin, You should look at: Pharmacy Data Management User Manual also: http://www.va.gov/vdl/VistA_Lib/Clinical/Pharm-Data_Mgmnt_(PDM)/PSS_1_UM_R0105.pdf Mark On Sat, 15 Jan 2005 15:47 , Kevin Toppenberg <[EMAIL PROTECTED]> sent: Hey all, Here is what we would like to do about pharmacy. There is a great deal of documentation about pharmacy in the VA Doc library, but I need to know where to focus in. I need to know if these tasks are possible, and how to config. 1. Add patient's drug list into chart in CPRS 2. Write new prescriptions in CPRS, and have script get printed out for patient to take to pharmacy 3. Refill scripts by choosing a previously entered drug and choosing number of refills etc. 4. Ideally have some screening for allergies and drug interactions. I have cooresponded with a pharmacist that was selling a service of keeping a drug file up to date. Is this required or does the FOIA vista have all the drugs already entered into the file? Much of the documentation seems to be regarding supporting an actual pharmacy, and for inpatient pharmacy issues. I will want to skip over those features. So any pointers or suggestions as to which documents to read first? Thanks Kevin __ Do you Yahoo!? All your favorites on one personal page Try My Yahoo! http://my.yahoo.com --- The SF.Net email is sponsored by: Beat the post-holiday blues Get a FREE limited edition SourceForge.net t-shirt from ThinkGeek. It's fun and FREE -- well, almosthttp://www.thinkgeek.com/sfshirt ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net --- The SF.Net email is sponsored by: Beat the post-holiday blues Get a FREE limited edition SourceForge.net t-shirt from ThinkGeek. It's fun and FREE -- well, almosthttp://www.thinkgeek.com/sfshirt ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Pharmacy overview please.
Kevins questions: 1. Add patient's drug list into chart in CPRS The simplest would be to manually add them for each patient. I would not rule out importing them if you had all the right info in the right format/places. Look at: CPRS Technical Manual (GUI) Medication Tab Setting Pg 42 Orders Tab Setting Pg 44 http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS)/CPRSGUITM.pdf CPRS User Guide Meds Tab Pg 107 Orders Tab Pg 125 http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS)/cprsguium.pdf You will also want to look at the Order Menu Management option (I think the option name is ORCM MGMT, but not a computer to verify it). For order set and quick order setup. 2. Write new prescriptions in CPRS, and have script get printed out for patient to take to pharmacy. The same as #1 but current FOIA does not print a prescription once an order is signed, simply stated it is sent to the VAs pharmacy to be finished and then filled. The only written prescription floating around most VAs are SCH II and fee basis MDs, there is a pilot project out there to get rid of SCH II written prescriptions in the VAs. There is an option call Action Profile that does print prescriptions in a list this but I do not see it very workable for a clinic. What is needed is code that will print the prescription after a prescription gets an electronic signature. We have looked at this but stopped doing any further work on this project since one of VistAOfficeEHR modifications (as I u nder stand it) will be to print prescriptions, possibly fax the prescription and in future releases send them electronically to a pharmacy. I do not know what or how VistAOfficeEHR is going to handle this if anybody does please let me/us know. 3. Refill scripts by choosing a previously entered drug and choosing number of refills etc. See #1 and #2 above. But yes renews are easily done. 4. Ideally have some screening for allergies and drug interactions. For Meds it will do Drug-Drug interaction, Allergies, Duplicate drug class and others via the CPRS Expert system and I belive some are hard coded. For complete info and how to set up see the CPRS Technical Manual: Appendix E Order Check Pg 275 http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS)/CPRSLMTM.pdf NOTE: These manuals talk about some features that may or may not be in you current CPRS version. The most obvious to me is NON-VA Meds, but this should give you a good start on Meds in CPRS. You can skip over the inpatient ordering info, I can not think of any case where it would affect what I believe you want to accomplish but I may be wrong. I was the person who talked to you about our File50 project which is really two products. The first a complete up to date File50 and related files with all current medications including a lot of OTCs, supplies, herbal, natural meds, dosing and other info. We have designed this for both outpatient and inpatient usage, you would take File50 and related files and bring them into your VistA system at startup and you would have a complete up to date working drug file from day one. Our second project is an update service that would automatically add any new product to File50 so when the newest med is released by the FDA for use we will send out a patch for File50 to the user and it will show up in a clinics drug file so it can be dispensed to a patient complete with pointers and interactions. Do you need these products/service? I will be the first to say NO, as long as you are willing to take on the responsibility for the File50 maintenance. Initially you can get a drug file somewhere probably VistAOfficeEHR will have one to use, this will probably come from some VA and it will be probably pretty good but probably not as complete or as up to date as one would like and will need work. Each VA has pharmacy responsible for maintenance of File50 they spend 10-20 hours per month on this task (both inpatient and outpatient). We looked at this as a service to provide, I do not see a small physicians office having the resources to do this and the expertise. It is no longer just adding drug name to a file it gets a little more in depth that we fell that it is a task for a pharmacist. Sorry this got a bit long. Any questions please drop me a line. Mark Amundson PharmD On Sat, 15 Jan 2005 15:47 , Kevin Toppenberg <[EMAIL PROTECTED]> sent: Hey all, Here is what we would like to do about pharmacy. There is a great deal of documentation about pharmacy in the VA Doc library, but I need to know where to focus in. I need to know if these tasks are possible, and how to config. 1. Add patient's drug list into chart in CPRS 2. Write new prescriptions in CPRS, and have script get printed out for patient to take to pharmacy 3. Refill scripts by choosing a previously entered d
[Hardhats-members] VistA Imaging (OsiriX)
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 --- The SF.Net email is sponsored by: Beat the post-holiday blues Get a FREE limited edition SourceForge.net t-shirt from ThinkGeek. It's fun and FREE -- well, almosthttp://www.thinkgeek.com/sfshirt ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] Fwd: Text of Article from Modern Physician
Bill, Im glad you mentioned the California HealthCare Foundation and this article; Ive found the information there quite helpful over the years (www.chcf.org). When Forrester Research published, Electronic Medical Records: A buyers 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 companys 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 opinion but 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 Im 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 VistA from 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 h
Re: [Hardhats-members] Fwd: Text of Article from Modern Physician
Bill Could you give me a quick head to head comparison of VistA/CPRS and Logician. 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. Thanks Mark On Fri, 15 Oct 2004 10:30 , 'Bill Walton' <[EMAIL PROTECTED]> sent: This is GREAT news! And the Health IT Strategist article, together with the VistA Office release, are "shots heard 'round the world" signaling VistA's long term viability. Or are they? Before you "pop the cork" I think you should consider another, very probable (based on my 16 years of experience IT products and services) possibility. The "we're there" case is really only viable to the extent that VistA Office will be the only "industrial strength" Open Source (i.e., free) EHR software available to community-based physicians. What happens when that changes? How does VistA fare in head-to-head competition with, say, "Open Logician"? My background says VistA loses, big time. On every single front that matter from a market viability perspective. I won't rain on your parade anymore here except to say that unless the VistA community addresses the marketability issues that have, more than once, been pointed out here, the recent HHS initiatives regarding VistA are not "21 gun salutes." They're shots to the head. I think you need to begin a serious discussion of survival strategy. Best regards, Bill - Original Message - From: Michael Ginsburg To: [EMAIL PROTECTED] Sent: Friday, October 15, 2004 8:04 AM Subject: [Hardhats-members] Fwd: Text of Article from Modern Physician This is from Modern Physician: IT vendors invited to show interest in new vistas By Joseph Conn / October 13, 2004 Next week, the CMS will hold a meeting with information technology vendors interested in using a proposed version of the Department of Veterans Affairs' comprehensive computerized electronic record and IT system -- the Veterans Health Information Systems Technology Architecture, or Vista -- modified for use in physician offices. The CMS/VA effort aims to bring the Vista Office Electronic Health Record, a proven, affordable version of an electronic medical records system, to the small-group office practice, where EMR penetration rates are lowest due to system costs. The vendors meeting on the Vista-Electronic Health Records project is scheduled for Oct. 20 in Washington, D.C. At the meeting, CMS and VA officials will gauge the level of vendor interest in the project as well as raise awareness of the initiative, according to Capt. Cynthia Wark, an officer in the Public Health Service and deputy director of the information systems group in the CMS' Office of Clinical Standards and Quality. "We just want to figure out if we put this out on the street, are any of the vendors going to pick up on it," said Wark. "We're trying to gauge the interest. The other thing is to let people know what we're doing." Wark is a registered nurse with certification in medical informatics from the American Nurses Association. She comes to the job from the Indian Health Service, which uses a modified version of the VA clinical IT system. Under CMS' Physician Focused Quality Initiative, the federal agency has joined with the VA in a plan to scale the massive Vista program to office size. "One of our goals is to help physician offices get over the impediment of an investment in a software product -- and why not do it (with Vista) since the government has invested a lot of money in a product that without too much modification physicians can use in their office," Wark said. Vista, which comprises about 100 program modules -- including programs to run activities as far-ranging as an inpatient pharmacy or an out-patient mental health service -- also includes a module called Computerized Patient Record System, or CPRS, which is an electronic medical record system. The Vista CPRS has already been adapted to the office practices by several private consultants working independently of CMS. (See the current Health IT Strategist.) Copies of the Vista software are available free under the Freedom of Information Act, but the VA provides no support for installation and maintenance of Vista by outside users. License fees also are required for the Cache database and computer language on which the system runs on the server side, and for Windows for some applications that have a graphical user interface on the provider side. The Pacific Telehealth and Technology Hui, based in Hawaii, a joint venture of the VA and the Defense Department, has ported Vista to the open-source Linux operating system and GT.M database. Their aim was make the system more broadly available by reducing licensing fees. The software can be downloaded for free on the Internet at the Web site of WorldVista, a not-for-profit organization of Vista supporters.
