cprs parameters & you

CPRS PARAMETERS & YOUCPRS PARAMETERS & YOU

Randy FrommaterNVS Clin 2

Jeanie ScottNVS Clin 2

XPAR MENU TOOLSXPAR MENU TOOLS

Presented by: Randy Frommater

NVS - Clin 2, Salt Lake City OIFO

XPAR MENU TOOLSXPAR MENU TOOLS

General Parameter Tools– LV List Values for a Selected Parameter– LE List Values for a Selected Entity– LP List Values for a Selected Package– LT List Values for a Selected Template– EP Edit Parameter Values– ET Edit Parameter Values with Template

LV List Values for a Selected LV List Values for a Selected Parameter [XPAR LIST BY PARAM]Parameter [XPAR LIST BY PARAM]

Select General Parameter Tools Option: LV List Values for a Selected Parameter

Select PARAMETER DEFINITION NAME: ORWPCE ANYTIME ENCOUNTERS Anytime Encounters

USR: PASTERNOCK,JOY 1 YES

USR: WHITEHEAD,DONNA 1 YES

SYS: CPR.ISC-ALBANY.VA.GOV 1 NO

LE List Values for a Selected Entity LE List Values for a Selected Entity [XPAR LIST BY ENTITY][XPAR LIST BY ENTITY]

Select General Parameter Tools Option: LE List Values for a Selected Entity

Entities may be set for the following:

10 User USR [choose from NEW PERSON] 20 Team (OE/RR) OTL [choose from OE/RR LIST]

30 Class CLS [choose from USR CLASS] 40 Location LOC [choose from HOSPITAL LOCATION] 50 Service SRV [choose from SERVICE/SECTION] 60 Division DIV [VAMC ALBANY PIA] 70 System SYS [CPR.ISC-ALBANY.VA.GOV]

Enter selection: 10 User NEW PERSON

Select NEW PERSON NAME: PASTERNOCK,JOY

Values for USR: PASTERNOCK,JOY

•ORQQLR DATE RANGE OUTPT 1 60

•ORQQLR DATE RANGE INPT 1 60

•ORB PROCESSING FLAG NPO DIET MORE THAN 7 Enabled

•ORB PROCESSING FLAG CONSULT/REQUEST UPDA Disabled

•ORLP DEFAULT LIST SOURCE 1 Ward List

•ORLP DEFAULT LIST ORDER 1 Alphabetic

•ORLP DEFAULT WARD 1 7A GEN MED

•ORLP DEFAULT CLINIC START DATE 1 T-180

•ORLP DEFAULT CLINIC STOP DATE 1 T+30

•ORQQAP SEARCH RANGE START 1 T-365

•ORQQVS SEARCH RANGE START 1 T-365

•ORQQVS SEARCH RANGE STOP 1 T+30

•ORB SORT METHOD 1 Patient

•OR ADD ORDERS MENU 1 ORZ ADD MENU CLINICIAN

LP LIST VALUES FOR LP LIST VALUES FOR SELECTED PACKAGESELECTED PACKAGE

Select General Parameter Tools Option: LP List Values for a Selected PackageSelect PACKAGE NAME: LAB SERVICE LR

Values for PKG: LAB SERVICE

LR IGNORE HOLIDAYS 1 YESLR COLLECT FRIDAY 1 YESLR COLLECT THURSDAY 1 YESLR COLLECT WEDNESDAY 1 YESLR COLLECT TUESDAY 1 YESLR COLLECT MONDAY 1 YESLR COLLECT SUNDAY 1 NOLR COLLECT SATURDAY 1 NOLR LAB COLLECT FUTURE 1 7

LT LIST VALUES FOR A LT LIST VALUES FOR A SELECTED TEMPLATESELECTED TEMPLATE

Select General Parameter Tools Option: LT List Values for a Selected

Template

Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER)

Select NEW PERSON NAME: PASTERNOCK,JOY

General GUI Parameters for User: PASTERNOCK,JOY

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Initial Tab when CPRS Starts Notes

Use Last Selected Tab on Patient Change NO

Interval for Autosave of Notes 60

Verify Note Title

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EP Edit Parameter Values EP Edit Parameter Values [XPAR EDIT PARAMETER][XPAR EDIT PARAMETER]

Select PARAMETER DEFINITION NAME: ORWPCE ANYTIMEENCOUNTERS Anytime EncountersORWPCE ANYTIME ENCOUNTERS may be set for the following:

1 User USR [choose from NEW PERSON] 3 Service SRV [choose from SERVICE/SECTION] 4 Division DIV [VAMC ALBANY PIA] 5 System SYS [CPR.ISC-ALBANY.VA.GOV]

Enter selection: 5 System CPR.ISC-ALBANY.VA.GOV

---- Setting ORWPCE ANYTIME ENCOUNTERS for System: CPR.ISC-ALBANY.VA.GOV ----ANYTIME ENCOUNTERS: YES//

ET EDIT PARAMETER ET EDIT PARAMETER VALUES WITH TEMPLATEVALUES WITH TEMPLATE

Select General Parameter Tools Option: ET Edit Parameter Values with

Template

Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER)

Select NEW PERSON NAME: PASTERNOCK,JOY

General GUI Parameters for User: PASTERNOCK,JOY

Verify Default Title:

ET EDIT PARAMETER ET EDIT PARAMETER VALUES WITH TEMPLATEVALUES WITH TEMPLATE

Initial Tab when CPRS Starts Notes

Use Last Selected Tab on Patient Change NO

Interval for Autosave of Notes 60

Verify Note Title

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Initial Chart Tab: Notes//

Use Last Selected Tab: NO//

Auto-Save Interval: 60//

Verify Default Title:

PCE PARAMETERSPCE PARAMETERS

Presented by: Randy Frommater

NVS - Clin 2, Salt Lake City OIFO

Slides by Joy Pasternock

PARAMETERSPARAMETERS

In the beginning, life was simple:– TIU parameters:

SUPPRESS DX/CPT ON ENTRY: FORCE RESPONSE TO EXPOSURES: ASK DX/CPT ON ALL OPT VISITS:

– Then ORWPCE parameters were added ORWPCE ASK ENCOUNTER UPDATE ORWPCE FORCE ENTRY

NOW…..

ORWPCE

ANYTIME

ENCOUNTERS

ORWPCE ASK ENCOUNTER

UPDATE

ORWPCE

DISABLE AUTO

CHECKOUT

ORWPCE DISABLE AUTO VISIT TYPE

ORWPCE

EXCLUDE

EXAMS

ORWPCE EXCLUDE

HEALTH FACTORS

ORWPCE EXCLUDE

IMMUNIZATIONS

ORWPCE EXCLUDE

PATIENT ED

ORWPCE EXCLUDE SKIN TESTSORWPCE FORCE

PCE ENTRY

ORWPCE ASK ENCOUNTER ORWPCE ASK ENCOUNTER UPDATEUPDATE

When signing a note, this parameter is used to determine if the user should be prompted to enter encounter information when signing the note, based on one of eight possible settings:

Entity Levels:– User, Location, Service, Division, System, Package

Option:– Parameter Edit

ORWPCE ASK ENCOUNTER ORWPCE ASK ENCOUNTER UPDATEUPDATE

0 Primary/Data Needed (Default Setting) - The user will be asked to enter encounter information if they are the primary encounter provider, and if data is needed for the encounter.

1 Primary/Outpatient - The user will be asked to enter encounter information if they are the primary encounter provider, and the service category is “A” (Ambulatory), “I” (In Hospital), or “T” (Telecommunications).

2 Primary Always - The user will be asked to enter encounter information on all encounters, if they are the primary encounter provider.

3 Data Needed - All users will be asked to enter encounter information if data is needed for the encounter.

4 Outpatient - All users will be asked to enter encounter information, if the service category is “A” (Ambulatory), “I” (In Hospital), or “T” (Telecommunications).

5 Always - All users will be asked to enter encounter information on all encounters.

6 Never – The user will never be asked to enter encounter information when signing the note.

7 Disable - The user will never be asked to enter encounter information when signing the note, and the encounter button will be disabled, even when a note is being edited.

DATA NEEDED???DATA NEEDED???

QUESTION DATA NEEDED

Date of encounter is in the future? NO

Service category is not ambulatory NO

TIU Suppress DX/CPT on Entry is YES on title NO

The encounter is a stand-alone visit YES

TIU parameter, ASK DX/CPT ON ALL OPT VISITS is set to Yes

YES

OTHERWISE…. NO

WEB PAGEWEB PAGE

http://vista.med.va.gov/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS)/cprsguitm.pdf.1

Prompting for Encounters

Data Needed

ORWPCE FORCE PCE ENTRYORWPCE FORCE PCE ENTRY Forces the PRIMARY ENCOUNTER PROVIDER to enter PCE

data before being allowed to sign/complete a progress note. Overrides the parameter ORWPCE ASK ENCOUNTER UPDATE if

you are the primary encounter provider If you are not the primary encounter provider – follows the settings in

ORWPCE ASK ENCOUNTER UPDATE

Entity Levels– User, Location, Service, Division, System, Package

Option:– Parameter Edit

Visit InfoVisit Info

Visit Info box added to reminder dialogs

Visit Info auto ask on finishing a reminder dialog

ORWPCE Disable Auto CheckoutORWPCE Disable Auto Checkout

Disables the automatic checkout of encounters that do not have a diagnosis, procedure, or provider information.

Entity Levels:– User, Location, Service, Division, System

Option:

-Parameter Editor

ORWPCE Disable Auto Visit TypeORWPCE Disable Auto Visit Type This parameter prevents the automatic selection of a Type of Visit on the

Visit Tab of the encounter form. When set to yes, this parameter prevents the automatic selection of the first

Type of Visit defined for that encounter location. – Prevents Billing problems at location where a mix of patients are seen.– Only used with electronic encounter forms.

Entity Levels:– User, Location, Service,Division, System

Option:– Parameter Edit

ORWPCE Disable Auto Visit ORWPCE Disable Auto Visit TypeType

No Yes

ORWPCE Anytime EncountersORWPCE Anytime Encounters Allow updating/editing encounters for notes that have already been

signed.– Choosing a patient without pre-defined visit

New Encounter Edit Note Encounter

– Selecting a patient with a pre-defined visit Edit Current Encounter Edit Note Encounter

Allows encounter entry on dictated progress notes, while not editing a note

Entity Levels:– User, Service, Division, System

Option:– Parameter Edit

Selecting a patient with a Selecting a patient with a pre-defined visitpre-defined visit

ORWPCE Exclude…ORWPCE Exclude… Some types of encounter data can be restricted from entry within the encounter form. This may be needed when specific encounter information should only be entered through reminder dialogs, and

prevents entry through the encounter form. There are five parameters that allow specific encounter information to be excluded from the “Other” buttons on

the encounter form tabs.– ORWPCE Exclude Immunizations– ORWPCE Exclude Skin Tests– ORWPCE Exclude Patient Education– ORWPCE Exclude Health Factors– ORWPCE Exclude Exams

Entity Levels:– User, Location, Service, Division, System, Package

Option:– Parameter Edit

Settings:– Select Sequence, Exclusion item

CLINICAL REMINDERS CLINICAL REMINDERS PARAMETERSPARAMETERS

Presented by: Jeanie Scott

NVS - Clin 2, Albany OIFO

Slides by Joy Pasternock

ORQQPX REMINDER FOLDERSORQQPX REMINDER FOLDERS This parameter is used and set by the CPRS GUI.

Each letter represents a reminder folder that is visible in the reminder tree.

Entity Levels:– User, Service, Division, System, Package

Option:– Parameter Edit

Settings:– Visible Folders - D=Due, A=Applicable, N=Not Applicable,

E=Evaluated, O=Other.– Visible Reminder Folders: DANEO//

ORQQPX REMINDER ORQQPX REMINDER FOLDERSFOLDERS

Cover Sheet Availabe Reminders Icon

Notes Tab

ORQQPX DEFAULT LOCATIONSORQQPX DEFAULT LOCATIONS Returns a list of default (preferences) outside locations for display in a

reminder dialog, using the additional prompt PXRM OUTSIDE LOCATION. Enter a text default location, or a pointer to the INSTITUTION FILE (#4).

Uses the internal entry in file 4.

Entity Levels:– User, Service, Division, System, Package

Option:– Parameter Edit

Settings:– Select Sequence, Enter free text entry, or the IEN in file 4.

ORQQPX REMINDER TEXT ORQQPX REMINDER TEXT AT CURSORAT CURSOR

Allows text generated by a reminder dialog, when processing a reminder, to be inserted at the current cursor location instead of at the bottom of the note.

Insert Reminder Dialog Generated Text at Cursor Location.

Entity Levels:– User, Service, Division, System

Option:– Parameter Edit

ORQQPX REMINDER TEXT ORQQPX REMINDER TEXT AT CURSOR = NOAT CURSOR = NO

ORQQPX REMINDER TEXT ORQQPX REMINDER TEXT AT CURSOR = YESAT CURSOR = YES

ORQQPX NEW REMINDER ORQQPX NEW REMINDER PARAMSPARAMS

Indicates if the New Cover Sheet reminders should be used in place of ORRQPX SEARCH ITEMS

The available reminders as well as the reminder drawer will no longer hold the reminders that were set in ORRQPX SEARCH ITEMS

Uses ORQQPX COVER SHEET REMINDERS or ORQQPX COVER SHEET REM CLASSES which uses the GUI to set these 2 parameters.

Entity Levels:– User, Service, Division, System, Package

Option:– Parameter Edit (yes/no)

ORQQPX COVER SHEET ORQQPX COVER SHEET REMINDERSREMINDERS

Intended for CACs, not users. CAC must have PXRM CPRS CONFIGURATION MENU in their menu pathway

Settings done in the GUI and displayed in this parameter. Do NOT edit any settings in XPAR MENU TOOLS. Edit via the GUI EDIT COVER SHEET REMINDER LIST under Available Reminders.

Cover Sheet Reminder Info:– This parameter is cumulative, so sequence ranges should be assigned.

Entity Levels:– User, Location, Service, Division, System, Package

Option:– GUI EDIT COVER SHEET REMINDER LIST/PXRM CPRS

CONFIGURATION MENU

ORQQPX COVER SHEET ORQQPX COVER SHEET REM CLASSESREM CLASSES

This parameter works in conjunction with the ORQQPX COVER SHEET REMINDERS parameter, acting as another level to the cumulative parameter of User Class, inserted between the User and Location Levels.

Do NOT Edit the settings in XPAR MENU TOOLS. Do all editing via the GUI option EDIT COVER SHEET REMINDER LIST under AVAILABLE REMINDERS.

ORQQPX COVER SHEET ORQQPX COVER SHEET REMINDERSREMINDERS

Display Sequence Value

---------------- -----

10 NR500044

20 NR500030

30 NR34

TIU/CONSULTS TIU/CONSULTS PARAMETERSPARAMETERS

Presented by: Jeanie Scott

NVS - Clin 2, Albany OIFO

Slides by Anne Rega

TIU FIELD EDITOR CLASSTIU FIELD EDITOR CLASS• Determines who has the authority to edit Template

Fields. • Based on ASU user classes.

• Entity levels:– User, Service,Division,System,Package

• Option– CAC Parameter editor

TIU TEMPLATE PERSONAL TIU TEMPLATE PERSONAL OBJECTSOBJECTS

• Establishes what TIU objects are allowed to be added to personal templates.

• No objects entered, then all objects are allowed.

• Entity Level– Parameter is cumulative at all levels.

• Option– CAC Parameter editor

TIU TEMPLATE REMINDER TIU TEMPLATE REMINDER DIALOGSDIALOGS

• Determines which Reminder Dialogs can be used as TIU Templates.

• Entity Level– Parameter is cumulative at all levels.

• Option– CAC Parameter editor

TIU TEMPLATE USER AUTO TIU TEMPLATE USER AUTO DELETEDELETE

•Determines if non-shared personal TIU templates will be deleted upon user termination.

•Yes/No parameter

•Entity– Division,System,Package

•Option– CAC : ‘TIU Template Mgmt Functions’

TIU DEFAULT TEMPLATETIU DEFAULT TEMPLATE

Default Template for Notes;Consults;DC Summary tabs

Entity– User

Option– User : CPRS GUI Template drawer, right click

GMRC CONSULT LIST DAYSGMRC CONSULT LIST DAYS• Sets the number of days that will be

searched backwards for a Consult to be associated with a note.

• Entity– Division, System, Package (default 365 days)

• Option– CAC Parameter editor

Will list consults done within time frame set by this parameter

New Reports/Notification New Reports/Notification ParametersParameters

Presented by: Randy Frommater

NVS – Clin2, Salt Lake City

ORWRP REPORT LISTORWRP REPORT LIST This parameter allows for customization of the

Reports Tab– Reports display sequence– Reports Tab content– Must add ORRPW REPORT CATEGORIES

From new file OE/RR REPORT

Entity levels:– User, Division, System, Package

Option:– Parameter Editor

ORWRP REPORT LAB LISTORWRP REPORT LAB LISTThis parameter allows for customization of

the Reports on the Lab Tab– Reports display sequence– Lab Tab content

Entity levels:– User, Division, System, Package

Option:– Parameter Editor

ORWRP TIME/OCC LIMITS INDVORWRP TIME/OCC LIMITS INDV Allows individual Remote Data Reports to have

their date range and occurrence limits set Each report can be modified individually for:

– Start date, Stop date, Max occurrence

Entity levels:– User, Division, System, Package

Option: – Personal: CPRS GUI Options menu– CAC: Parameter Editor

Tools – Options - Reports

Tools – Options – Reports – Set Individual Report

ORWRP TIME/OCC LIMITS ALLORWRP TIME/OCC LIMITS ALL

Allows the setting of date range and occurrence limits for Remote Data Reports

One setting applies to all reports

Entity levels:– User, Division, System, Package

Option: – Personal: CPRS GUI options menu– CAC: Parameter editor

Tools – Options – Reports

Tools – Options – Reports – Set All Reports

ORB ERASE ALLORB ERASE ALL

Allows the site to control who has access to the personal preference button “Remove Pending Notifications”

Entity levels:– User, Division, System, Package

Option:– Parameter Editor

ORWCV1 COVERSHEET LISTORWCV1 COVERSHEET LIST

Allows site to customize the cover sheet– Rearrange cover sheet boxes– Remove cover sheet boxes

Entity levels:– User, Division, System, Package

Option:– Parameter Editor

ORWOR SHOW SURGERY TABORWOR SHOW SURGERY TAB

Allows site control over who will have access to the new Surgery Tab– Functional when Surgery patch 100 has been installed

Entity levels:– User, Division, System, Package

Option:– Parameter Editor

ORWCOM PATIENT SELECTEDORWCOM PATIENT SELECTED

Allows sites to associates a COM object with the patient selection action– Locally developed– COTS product– New file – OE/RR COM OBJECTS(101.15)

Entity levels:– User, Service, Division, System

Option:– Parameter Editor

ORWCOM ORDER ACCEPTEDORWCOM ORDER ACCEPTED

Allows the site to associate a COM object to the order acceptance action– Locally developed– COTS product– New file – OE/RR COM OBJECTS(101.15)

Entity levels:– User, Service, Division, System

Option:– Parameter Editor

TIU TEMPLATE COMTIU TEMPLATE COM

Allows the site to utilize a COM OBJECT type when creating a new GUI Template– Locally developed– COTS product– New file – OE/RR COM OBJECTS(101.15)

Option:– Fileman

TIU TEMPLATE COMTIU TEMPLATE COM

After you have purchased or created a COM object, you need to add it to the OE/RR COM OBJECT file:

INPUT TO WHAT FILE: VISIT// OE/RR COM OBJECTS (15 entries)

EDIT WHICH FIELD: ALL//

Select OE/RR COM OBJECTS NAME: JEREMY'S NEW INTERFACE TEST

NAME: JEREMY'S NEW INTERFACE TEST Replace

OBJECT GUID: {63DC61D9-6BE0-11D5-82E6-00C04F72C274}

Replace

INACTIVE:

PARAM1: Testing Param1//

TIU TEMPLATE COMTIU TEMPLATE COM

ORK CONTRAST MEDIA CREATININEORK CONTRAST MEDIA CREATININE

Allows the site to set the number of days for a look back of creatinine results (default=30)– Used when imaging procedure containing contrast

media is ordered– Used by the Biochem Abnormality for Contrast

Media order checkEntity levels:

– Location, Division, System, PackageOption:

– CAC: Order Check Mgmt menu

ORB LAB > THRESHOLDORB LAB > THRESHOLD

Allows the site to set trigger thresholds for new Lab Threshold Exceeded Notification– If result exceeds threshold, notification is triggered

Entity levels:– User

Option:– CAC : establish thresholds via ‘Flag Orderable Item(s)

to Send Notifications’– Personal : CPRS GUI options menu

ORB LAB < THRESHOLDORB LAB < THRESHOLD

Allows the site to set trigger thresholds for new Lab Threshold Exceeded Notification– If result exceeds threshold, notification is triggered

Entity levels:– User

Option:– CAC : establish thresholds via ‘Flag Orderable Item(s)

to Send Notifications’– Personal : CPRS GUI options menu

ORWOR REQUIRE CURRENT ORWOR REQUIRE CURRENT CLIENTCLIENT

Allows site to stop access to CPRS if the user’s client is out of date

Entity levels:– System, Package

Option :– Parameter Editor

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