Download - CPRS PARAMETERS & YOU
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CPRS PARAMETERS & YOUCPRS PARAMETERS & YOU
Randy FrommaterNVS Clin 2
Jeanie ScottNVS Clin 2
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XPAR MENU TOOLSXPAR MENU TOOLS
Presented by: Randy Frommater
NVS - Clin 2, Salt Lake City OIFO
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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
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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
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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
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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
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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
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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
------------------------------------------------------------------------------
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//
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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:
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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
------------------------------------------------------------------------------
Initial Chart Tab: Notes//
Use Last Selected Tab: NO//
Auto-Save Interval: 60//
Verify Default Title:
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PCE PARAMETERSPCE PARAMETERS
Presented by: Randy Frommater
NVS - Clin 2, Salt Lake City OIFO
Slides by Joy Pasternock
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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…..
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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
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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
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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.
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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.
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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
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WEB PAGEWEB PAGE
http://vista.med.va.gov/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS)/cprsguitm.pdf.1
Prompting for Encounters
Data Needed
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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
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Visit InfoVisit Info
Visit Info box added to reminder dialogs
Visit Info auto ask on finishing a reminder dialog
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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
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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
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ORWPCE Disable Auto Visit ORWPCE Disable Auto Visit TypeType
No Yes
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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
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Selecting a patient with a Selecting a patient with a pre-defined visitpre-defined visit
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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
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CLINICAL REMINDERS CLINICAL REMINDERS PARAMETERSPARAMETERS
Presented by: Jeanie Scott
NVS - Clin 2, Albany OIFO
Slides by Joy Pasternock
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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//
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ORQQPX REMINDER ORQQPX REMINDER FOLDERSFOLDERS
Cover Sheet Availabe Reminders Icon
Notes Tab
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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.
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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
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ORQQPX REMINDER TEXT ORQQPX REMINDER TEXT AT CURSOR = NOAT CURSOR = NO
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ORQQPX REMINDER TEXT ORQQPX REMINDER TEXT AT CURSOR = YESAT CURSOR = YES
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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)
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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
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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.
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ORQQPX COVER SHEET ORQQPX COVER SHEET REMINDERSREMINDERS
Display Sequence Value
---------------- -----
10 NR500044
20 NR500030
30 NR34
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TIU/CONSULTS TIU/CONSULTS PARAMETERSPARAMETERS
Presented by: Jeanie Scott
NVS - Clin 2, Albany OIFO
Slides by Anne Rega
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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
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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
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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
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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’
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TIU DEFAULT TEMPLATETIU DEFAULT TEMPLATE
Default Template for Notes;Consults;DC Summary tabs
Entity– User
Option– User : CPRS GUI Template drawer, right click
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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
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Will list consults done within time frame set by this parameter
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New Reports/Notification New Reports/Notification ParametersParameters
Presented by: Randy Frommater
NVS – Clin2, Salt Lake City
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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
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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
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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
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Tools – Options - Reports
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Tools – Options – Reports – Set Individual Report
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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
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Tools – Options – Reports
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Tools – Options – Reports – Set All Reports
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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
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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
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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
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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
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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
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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
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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//
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TIU TEMPLATE COMTIU TEMPLATE COM
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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
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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
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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
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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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Our crystal ball tells us
there are many questions.