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Sponsored by

vxCPRSComputerized Patient Record System

March 31st, 2010

Karen M. Small, RN, MSNSr. Clinical Applications Coordinator

Deanne ClarkvxVistA Product Manager

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• Key Components of DSS vxVistA;• vxVistA-OS(M)• vxCPRS• vxBCMA• vxVitals Lite• vxGroupNotes

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• What is vxCPRS?– Adapted from the VA developed Computerized Patient Record System by

DSS for use in multiple health care settings – User-friendly graphical user interface– Pulls data from many vxVistA packages into one user friendly application to

improve clinical decision making and view the patient record in an organized way

– Files data back to appropriate vxVistA packages such as pharmacy, laboratory, allergies, vitals, consults, or progress notes for additional actions and reporting

– Puts patient information at a provider’s fingertips– Comprehensive Documentation Tool and Template Builder– Complete CPOE package for all types of orders– Clinical reminders for preventive care and screening

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• Why vxCPRS?– Released under the Eclipse Public License

(EPL) so other proprietary or Open Source systems can be integrated

– Only Open Source VistA product patched to VA FOIA level 5/2009

– Suited for use in hospitals, clinics, long term care, and mental health settings

– Optional Full Support & Maintenance from DSS

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What are some of the major changes has DSS made to vxCPRS within vxVistA?• Removed most veteran specific terms from vxCPRS in encounter forms, labels, etc…• Modified Demographic display in vxCPRS for MRN • Modified Age display for pediatric patients• Created an on-the-fly alert system in vxCPRS for easy creation of notifications • Replace SSN with MRN on many frequently used print outs, Health Summary Reports,

etc…• Creation of Laboratory Order Print with Bar Code UID for some laboratory interfaces• Vitals Signs modifications for LMP and Estimated Date of Delivery• Prescription Printing for formulary medications• Customizable prescription parameters to address differences in state laws• Customizable parameters for supervisory providers and mid-level provider scripts• Customizable headers for printed scripts• Free text script writer for non-formulary medications and supplies• Modification of vxCPRS Problem List entry to allow providers to create divisions by

Medical/Surgical, Family, and Social History

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vxCPRS Coversheet:The Cover Sheet is the first screen you see after opening a patient

record (unless the site or user defines another tab as the initial screen as part of local configuration).

– The Cover Sheet displays an overview of a patient’s condition and history.

– It shows active problems, allergies and postings, active medications, clinical reminders, recent lab results, last vitals, a list of appointments or visits, and immunizations.

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Cover Sheet

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vxCPRS Problems Tab:– The problems list on the Problems tab displays a patient’s current

and historical health care problems.

– The problems list allows each identified problem to be traced through the VXVISTA system.

– The problems are ICD-9 based and can be separated into Medical/Surgical, Family, or Social categories

– Providers/Specialties can have lists of often treated problems created for simplified selection

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Problems Tab

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vxCPRS Meds Tab:– The Meds tab contains a list of medications for the

selected patient. Inpatient, outpatient, and Meds/OTC from Elsewhere (including non-prescription and herbal) medications are listed in separate sections of the window.

– By clicking on a medication, more detailed information about the drug, who ordered it, comments, etc… can be reviewed

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Meds Tab

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vxCPRS Orders Tab:– From the Orders tab, you can write new orders and view existing

orders for the selected patient.

– You can also create personal quick orders , specialty or disease specific common order menus, and order sets that make the ordering process more efficient and user friendly.

– The Orders tab also allows you to quickly access information about each order such as which services the orders are associated with, the start and stop dates for each order, the name of the provider (or nurse or clerk) that entered the order, and the status of the order.

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Orders Tab

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vxCPRS Notes Tab:– From the Notes tab you can create new progress notes for a patient

and view existing progress notes and documents. – You can also create templates to allow you to quickly and efficiently

enter progress notes.– Documents on the Notes tab are organized in a tree structure on

the left side of the screen.– If you are using DSS vxDocManager to scan and index paper

records, an image icon will appear next to a note that has an image linked to it; clicking the icon will pull up the scanned image for review

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Notes Tab

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vxCPRS Consults Tab:– Consults are requests from one clinician to a hospital,

service, or specialty provider for a procedure or other service.

– Consults can be internal/interdepartmental, intradepartmental between providers, or printed and sent to external providers.

– If results come back that are not electronic/interfaced, the consult results can be scanned into the system using an add-on tool called DSS vxDocManager.

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Consults Tab

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vxCPRS Surgery Tab:– The Surgery Tab can be enabled or

“hidden”/suppressed depending on your site configuration.

– If enabled, you can view signed operative reports generated in the vxVistA Surgery package.

– These reports include the Operation Report, Nurse Intraoperative Report, Anesthesia Report and Procedure Report.

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vxCPRS Discharge Summary Tab:

– The D/C Summary Tab provides quick access to the Discharge Summary for the selected patient for each inpatient episode of care.

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D/C Summ Tab

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vxCPRS Labs Tab:

– Results of lab tests that were ordered for a selected patient can be viewed.

– The fields on the left side of the Labs tab list available lab results. – For some reports, you may need to specify a date range or specific

tests.– Labs and other chart elements such as vitals, medications, health

factors, and more can be graphed side-by-side for instant views of trends and changes over time

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Labs Tab

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vxCPRS Reports Tab:– The Reports Tab in vxCPRS is preconfigured with a

variety of reports containing patient information. – These reports can be customized by facilities so that

they are more useful to their users; Health Summary Objects can be built to pull specific types of data into one place.

– Providers can generate an Ad-hoc Health Summary on-the-fly by selecting various elements of data for a patient and see it displayed in an organized and coherent fashion.

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Reports Tab

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What are some of the other Open Source vxVistA modules/plug-ins that can enhance vxCPRS?

• vxBCMA Bar Code Medication Administration

• vxGroup Notes for efficient documentation of group therapy visits and encounters

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What are some of the other Proprietary Modules/Plug-Ins that can enhance vxCPRS?• vxCNT Clinical Note Templates for user friendly and time saving note writing

• vxPAT Provider Assistive Templates that auto-calculate E&M codes and automatically complete Electronic Encounter Forms

• vxDocManager scanning and indexing tool

• vxMental Health Suite for Interdisciplinary Note Writing

• vxROI Release of Information for retrieving electronic data for release

• vxRTV Real Time Vitals auto-imported directly from vitals monitors

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• vxVistA Community site: www.vxVistA.org

• DSS web link: www.dssinc.com

• OHT web link: www.openhealthtools.org

• Eclipse License web link: www.eclipse.org

Helpful Links:

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Questions?

Thanks!

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