prognocis™ emr · • fsnotes4 - lists/allows user to enter free-text notes defined as fs4 ......
TRANSCRIPT
PrognoCIS™ EMR
Version 2.0, Build 9 Tags & Report Sentences
For technical support, please contact (408) 873-3030 or visit the Client Resource Center ( ).
February 2013– v2b9
Housekeeping Bullets • Q&A will follow the presentation
– Please save your questions until the end
• Some features are dependent upon certain settings/configuration
– Local admin user
– Contact Bizmatics Technical Support or your Implementation Manager
• During webinar the GTM Chat window will be hidden
• All attendees will be muted when webinar begins; to mute yourself:
– On GTM Navigation Toolbar, click the microphone icon ( )
– On phone, click the Mute button or take off speaker if applicable
If we experience technical difficulties or are disconnected: The webinar will continue for scheduled duration Please stay on-line for the caller to re-connect All webinars are repeated if you must leave early
PrognoCIS Tag Types • Face Sheet tags
– In conjunction with Face Sheet Settings and other relevant properties
– Determines specific content displayed on the face sheet cells by the suffix used
• Master Search tags
• Report Sentence Tags
• <> tags
– HTML tags – valid for output formatting in Report Sentence and also HTML
• [] tags
– PrognoCIS tags – valid in Report Sentence and Properties
– Display as <> in HTML view (user Admin only) Note: User programs tag using [] but in HTML View same tag shows in <>.
• $ tags / Custom $ tags
• _ tags
– PrognoCIS Letters tags (not valid in any output other than Letters)
Face Sheet Cell Tags (Suffixes) • Past Medical History Note: Property Face Sheet Settings facesheet.pmh.flags AWICS applies to all suffixes.
• PMH - lists PMH ailments of any status except Recovered • PMH_ALL - lists all PMH ailments including Recovered
• Current Medications Note: All drugs with an Upto Date => current date or flagged as Long Term applies to all.
• CURMED - lists the medication brief • CURMED_COM - lists medication name with comments • CURMED_STOP - list current + stopped medications • CURMED_ALL - lists all medications • MED_STOP - lists stopped medications only by date • MED_PAST - lists distinct drugs prescribed in past 180 days
• Surgery History • SURGERY - lists surgical procedures name only • SURGERY_PW - lists surgical procedure name + when it was performed • SURGERY_PWC - lists surgical procedure name + when/hospital
• Vaccinations Note: Property Face Sheet Settings facesheet.vaccination.status OUSA applies.
• VAC - lists Vaccines scheduled + Due Date (=< run date red)
*
Face Sheet Cell Tags (cont’d) • Allergies
• ALLERGY - lists the allergy/intolerance name only (allergies in red) • ALLERGY_REAC - lists the name + reaction comments if applicable
• Health Maintenance • HM - lists HM tests scheduled + Due Date (=< run date in red) • HM_REM - lists HM tests scheduled + Due Date + test remarks • HM_ALL - lists health maintenance scheduled & done
• Family History Note: Property Face Sheet Settings facesheet.familyhistory.byrelation applies.
• FAMILYHIST - lists family problems name only • FAMILYHIST_PR - lists family problems name & family relationship affected • FAMILYHIST_PRC - lists family problems name, relationship, & comments
• Social History • SOCIALHIST - lists all tests and responses saved to the patient’s history • SOCIALHIST_ABN - lists only tests and responses answered as Abnormal
• Personal Notes • NOTES - lists/allows user to enter free-text notes at patient level
Face Sheet Cell Tags (cont’d) • ROS
• ROS - lists all ROS bullets and responses • ROS_ABN - lists only ROS bullets and responses answered as Abnormal
• Physical • PHYSICAL - lists all Physical Exam bullets and responses • PHYSICAL_ABN - lists only PE bullets and responses answered as Abnormal
• Specialty Note: Specialty Template configuration Facesheet parameter applies to the _FS suffixes.
• SPECIALTY - lists tests/responses of all Specialty templates this ENC • SPECIALTY_ABN - lists only Abnormal tests/responses for this ENC • SPECIALTY_FS - lists tests/responses of only SC templates flagged as FS • SPECIALTY_FSABN - lists only Abnormal tests/responses on this ENC flagged FS
• Clinic Forms • CF_AA - lists tests/responses of only the latest clinic form • CF_OA - lists tests/responses of all open clinic forms • CF_CA - lists tests/responses of all the latest closed forms • CF_AE - lists tests/responses of latest clinic form assigned to ENC • CF_OE - lists tests/responses of latest open form assigned to ENC • CF_CE - lists tests/responses of latest closed form assigned to ENC
Face Sheet Cell Tags (cont’d) • Review Button*
• REVIEW_ALL - allows user to mark all face sheet cells as reviewed • REVIEW_A - Allergies reviewed this encounter • REVIEW_C - Current Medications reviewed this encounter • REVIEW_F - Family History reviewed this encounter • REVIEW_H - Health Maintenance reviewed this encounter • REVIEW_O - Social History reviewed this encounter • REVIEW_P - PMH reviewed this encounter • REVIEW_S - Surgical History reviewed this encounter • REVIEW_V - Vaccinations reviewed this encounter
• Progress Note • PN### - displays a read-only progress note template as specified
• Matrix Report • MATREP# - displays a read-only matrix report of tests as defined
• Graph • GRAPH# - displays the results of the specified graph report
• Tabular Report • TABREP### - displays contents of the specified tabular report
*facesheet.revby.medtypes
Face Sheet Cell Tags (cont’d) • Individual Test Results per Patient Note: The doctor can select the label of the cell and select desired test. That test is then remembered for every patient until another test is chosen by the doctor.
• PTTEST - lists the results of the selected test
• Face Sheet Notes Note: Property Face Sheet Settings facesheet.notes.title1-2-3-4-5.
• FSNOTES1 - lists/allows user to enter free-text notes defined as FS1 • FSNOTES2 - lists/allows user to enter free-text notes defined as FS2 • FSNOTES3 - lists/allows user to enter free-text notes defined as FS3 • FSNOTES4 - lists/allows user to enter free-text notes defined as FS4 • FSNOTES5 - lists/allows user to enter free-text notes defined as FS5
• Face Sheet User Defined Tables • FSUDFTBL1 - lists contents of User Defined Table 1 • FSUDFTBL2 - lists contents of User Defined Table 2 • FSUDFTBL3 - lists contents of User Defined Table 3 • FSUDFTBL4 - lists contents of User Defined Table 4 • FSUDFTBL5 - lists contents of User Defined Table 5
• Face Sheet Properties • Facesheet Layout0 - default face sheet unless 1-9 overrides by parameters • Facesheet Layout1-9 - custom face sheet parameters by provider or ENC
Master Search Tags • Applicable for all categories (VT, HP, PH, RS, SC, CF, & SH for Master Search results • Maximum of 5 per search: include prefix of 1 before the tag to restrict to 1 value
Element Result Type Master Search
• MEDICS • ICD • CPT/HCPC • DRUGS • ALLERGIES • SUPPLIES/ITEMS • GROUPS • LAB/RAD • CONSULTS • COMPLAINTS
When defining specific tag to use here, no brackets are required.
• ICD Master • ICDE • ICD:PREF • ICD:PREFALL • ICD:USERCATEGORY
• CPT Master • CPT • CPT:PREF • CPT:PREFALL • CPT:USERCATEGORY
• HCPC Master • HCPC • HCPC:PREF • HCPC:PREFALL
• HCPC:USERCATEGORY • HPI Complaints
• COMPLAINT
• Groups • GROUP:TYPECODE
• Consults • CONSULT
Applicable for Master Search • Allergies
• ALLERGY
• Drugs • DRUGS • DRUGS:IH • DRUGS:PREF • DRUGS:DEAXY • DRUGNAME • DRUGNAME:PREF • DRUGNAME:PREFALL
• Supplies • SUPPLIES • SUPPLIES:IH • SUPPLIES:PREF • SUPPLIES:PREFALL
• Items • ITEMS • ITEMS:USERCATEGORY • ITEMS:USE • ITEMS:SALE
• Medics Master • MEDICS:DR • MEDICS:MA • MEDICS:RN • MEDICS:RD • MEDICS:ST • MEDICS:BL • MEDICS:ALL
• Radiology Tests • RADTEST • RADTEST:IH • RADTEST:PREF • RADTEST:PREFALL
• Lab Tests • LABTEST • LABTEST:IH • LABTEST:PREF • LABTEST:PREFALL
Tag Type Definitions • <> tags
• Used to format or dictate what content will map to the output • Cannot be used directly (as [] tags) – intended to be used within report sentences of test exec & points to the structured data to be pulled when applicable
• [] tags • Internal processing fetches the actual data value to be displayed in the output • Used in tooltip, screen displays, and output properties • Additional tags can be appended as suffixes to control the actual display format
• _ tags • PrognoCIS-defined tags used exclusively in Letters • Used to pull multiple different values from the same structured data
• $ tags • Used to indicate a specific value rather than a general variable • Displays the specific value defined after the $ rather than pointing to the element Note: This allows you to organize output in specific sequence per requirement.
• Custom $ tags • Lets you dictate specific value/placement of that value • Can point to structured data or dictate format in output template
<> Tags (HTML) • HTML tags must be started & stopped to apply formatting correctly
• <tag> starts the formatting • </tag> ends the formatting
• Some common, frequently used ones are:
*http://www.htmlquick.com/tutorials/tags-attributes.html http://www.htmlquick.com/reference/tags.html
Tag Function
<b>, <i>,<u> <strong>
Formats text as bold, italics, or underlined Formats text as strong for emphasis
<big>, <small> Displays text in larger or smaller font size
<br>, <p> Adds a line break or inserts a paragraph
<td>, <tr> <tbody> <table> <th>, <tf>
Inserts new cell or new row to a table Defines the body in a table Inserts a table as receptacle of data Inserts a header or footer into the table
<li> <ol>, <ul>
Inserts item into a list (ordered or unordered) Inserts a list either ordered or unordered
<hr> Inserts a horizontal line (or ruler)
Not all available HTML tags* may have useful relevance within PrognoCIS.
Report Sentence Tags • <TEST> - inserts the name of the element exactly as entered • <RESULT> - inserts the value selected by the user in the structured data when answering the element on the template
• Applicable for all result types • Displays contents defined as “Value” unless overridden by “Sentence”
• <BOOLRESULT> - applies values specified in the Special Text fields • Overrides hard-coded behavior applied from Boolean Result Text master (i.e.: when no tag at all is used in the Report Sentence field) • N/A with “J” value of Applicable Test Fields property
• <REMARK> - embeds the element-level remark(s) if applicable • <HISHER> - inserts his/her as pronoun based on gender from Patient Register • <GENDER> - inserts he/she as pronoun based on gender from Patient Register • <NL> - inserts a new line (applicable only in Report Sentence design) • <BR> - inserts a break (also applicable within HTML design) • <UNIT> - inserts the elements units if applicable
[] tags point to the structured data that will display in the output and do not work in HTML formatting.
[] are represented within HTML view as <>.
Report Sentence Tags (cont’d) • <MBULRESULT> - use with multi-select Result Type to display as bulleted list • <MNOSRESULT> - use with multi-select Result Type to display as numbered list • <ISARE> - use with multi-select Result Type
• Validates for use of a comma or the word “and” • Applies to Remarks also if there is no hard stop in the remark
• <PLURAL> - use with multi-select Result Type to add “s” when applicable • <SUBTEST> - concatenates all answered subtests based on group # assigned • <IF ^> - use to define conditions as to the content displayed in output based upon the value selected in the structured data
• See example on next slide
• <CONTRA> - use with multi-select Result Type to itemize out all of the values in the multiple choice element that were not selected for that element’s answer
• See example on next slide
Some behavior of tags may be dictated (overridden) by hard-coding defined at Result Type level.
Report Sentence level – output conditional based upon the structured data • Defined at the element level to conditionalize the data that will be displayed • IF(=None^The patient has not been previously treated for <HISHER> pain.^<GENDER> has received prior treatment for the pain.)
• Based on value selected matching what is specified after =, the report sentence content will display what immediately follows the first ^ until the second ^ • Any other value selected, the report sentence content will display what follows the second ^ • Operator may also be > or < in addition to = when defining primary condition
Output Template level - specific letterhead by provider based upon format • IFF(^[ENC_AD_NAME_FNAME]^=^Karen^[CL_DIAGRAMS$Letterhead_drcruz]^^) • IFF(^[ENC_AD_NAME_FNAME]^=^Leonel^[CL_DIAGRAMS$Letterhead_drguerrero]^^) • IFF(^[ENC_AD_NAME_FNAME]^=^Katherine^[CL_DIAGRAMS$Letterhead_drkatherine]^^) • IFF(^[ENC_AD_NAME_FNAME]^=^Samuel^[CL_DIAGRAMS$Letterhead_drsanchez]^^) Note: Template name = Forms Letterhead.
IF/THEN Tag - Examples
https://lpmg.prognocis.com
No brackets required (PrognoCIS tags defined to apply formatting logic) • IF ^ = use to define conditional results based upon selected value • IFF ^ = applies conditional logic to the output template
<CONTRA> Tag - Example In conjunction with multi-select Result Type, this tag will list all of the non-answered values of a multi-select list in the negative context of the answer
“The patient reports <RESULT> and denies <CONTRA>.”
Applicable Test Fields • Further formatting options may be applicable regardless of tag used
• e.g.: a tag may be present in report sentence but not displaying in the output
• Some values in this property are not directly linked to tag behavior
Options related to Tag behavior • U = Unit • R = Remark • B = Blank default multi-select • J = Join Boolean results • S = System name prints bold at start of detail • Q = embeds subtest as result • N = Notes
Tag Prefixes for Output Templates • [HL_] = Hyperlink
• When logged in as Provider, this links to the actual template from the Progress Note • Serves as a placeholder when viewing (even if blank)
• [ENC_] [LASTENC_] = Encounter-level data • [PT_] = Patient-level data • [SCHREP] = Appointment-level data • [CL] = Clinic-level data
< > tags do not work in output template configuration. However, if in HTML View, [ ] tags display in < >.
• [_STR__LINE] – display each template based on Report Sentence definition • [_STR__PARA] – wrap all templates together into 1 paragraph in the section • [_TBL] – display the data in a tabular format • [_NOTES] – append notes at the end of the data when used as a suffix
• Note: This tag may also be mapped independently so notes are isolated.
Tag Suffixes for Output Templates
Tag Suffixes (cont’d)
_ Tags • Used when different data content is required for the very same question • Can be used in conjunction with other tags as well – such as [] and $
All letters need to be addressed; however, for each recipient, the actual value is different. Hence [ ] tags cannot be used because they point to
specific values & would thus be the same.
$ Tags • Used when specific data content is required in a specific location of the output • Can be used at various levels (i.e.: Template, Element Word, Element Sentence)
User must specify variables to include or select specific value.
$ Tags (cont’d) • Used when specific data content is required in a specific location of the output • Can be used at various levels (i.e.: Template, Element Word, Element Sentence)
RESULT$ vs. WORDS$ (cont’d)
Lets you turn just a few answers into an
entire dialogue.
Tag Comparison – TR FR LT output
_LETTER tags
_$ tag
Tags Used in Properties • [] indicate • No brackets indicate
Tags Used in Elements - Tag vs Formula • [] indicate • No brackets indicate
Questions & Answers
Review Time!!!
Contact Us
Product/Implementation Management
• Trapti Khatwani EMR Product Manager [email protected] • Malvika Tarnekar Billing Product Manager [email protected] • Minal Dukle Customer Service Manager [email protected] • Sheila Baldwin Billing Services Manager, EST [email protected] • Joseph Shanabarger Training Manager, EST [email protected]
Implementation/Training Team
• Amy Norcom (503) 336-1801, PST [email protected] • Julia Shanabarger (727) 400-4915, EST [email protected] • Lynn Kripp (302) 444-4215, EST [email protected] • Mandy Chilson (916) 749-3788, PST [email protected] • Misha Chauhan (408) 759-1572, EST [email protected] • Nandita Pai (408) 873-3030, PST [email protected] • Om Thakur (408) 850-1246, EST [email protected] • Santosh Ogale (408) 850-1463, CST [email protected] • Shweta Dukle (410) 609-6340, EST [email protected] • Sridhar Babu (408) 850-1246, PST [email protected] • Siddhi Une (408) 873-3033, PST [email protected] • Terrence Gardner (415) 259-5556, PST [email protected] • Yolie Delgado (575) 644-6686, MST [email protected]
Technical Support (408) 873-3030, 9am-9pm EST
Home Page ( Client Resource Center)