Templates in EMISWeb

NUG Conference 2013

Outline (1)

• Why Data,– Codes as opposed to free text

• Why is a template helpful?– Data entry & Retrieval

• What are its limitations?• How do all these compare with LV/PCS• How to import templates from LV/PCS

Past Data Display• LV Good

– Can view all codes from the picking list historically with limited free text

• PCS Poor– Shows latest code but not free text– Can show all past codes from the template with free text

but unsorted (Previous data button)• EMISWeb Good in parts

– Shows latest code and all previous of it, with text and values

– Only shows free text 1 at a time– Only shows historical presence of latest code in a picking

list

F4 will bring up further items on this long picking list

Free text limited but secure

Limited and strictly chronological data in ‘Previous data’ in PCS

Does show free text and values

Information as shown in EMISWebPast data 1 code at a time in R hand panel but shows historyOf that code and any free text/ values

Uploading LV templates to EMISWeb

• Open Web from LV• Go to System Tools: Non

patient data transfer.

As in LV

Same template as it appears in EMISWebNB you will have needed to remove any local codes and some EGTON Codes from the template before uplaoding to EMISWeb

Example of PCS template

?

Various items shown as Removed when imported to EMISWebHyperlinks and main items import, order Can be altered however.Labels lost.

Outline (2)

• Using Templates in EMISWeb:– Good things– Present limitations– Examples of various features

• Building and Editing Templates– Use of library items (pros and cons)

• How to share, copy and edit templates– Rules/ permissions in sharing

Page resolution

• 1280 * 1024 is an ideal screen resolution• Some long read codes run over box on lower

resolution • Test boxes become too long and thin.• Pages panel on the right can be collapsed to

assist, also make sure the past data panel on the R collapsed when not needed

Template Speed

• Large, multipage templates take longer.– Much quicker than when I did presentation 2y ago

• Start taking the BP while waiting for ‘Hypertension, Lifestyle and CVD Risk template to load’. Faster on re-use in day.

• KMP templates:– Asthma 7secs > 3seconds (3pp template)– Hypertension/Lifestyle 17 secs (11pp) 5secs– Elderly 15 secs (9pp) 5secs

Template Strengths:• Ease of launching them

– Prompted by problem– Run Template button (remembers last used)– F12 protocols to launch common templates– Can be accessed from pathology etc via F12

• Split into pages and sections– Clarity– Consistency– Ease for updating

• Easy to guide the user:– Prompt names unlimited length– Tooltips can further clarify– Help Boxes with clear layout– Hyperlinks to web sites, – (Unfortunately not mentor pages, but can access documents in

www.patient.co.uk

Template Strengths:• All system can be navigated while in a template• Summary panel and resources visible• Past data quite easy to access with its free text

(compare PCS/LV) (some limits see next slide)

• Picking lists allow free text with items• Picking lists can allow multiple entries• Can use browse easily to prevent v big pick list

– E.g. occupation, contraception issued…• Problem Title can be added (1 prompt per section. Can’t save

template if 2 or more used)

• Can add text to consultation…non coded data.– Use for comments re advice given, medico legal ..

Template Problems

• Past diary does not show diary but past code (Fix testing)

• Past data from pick list only shows past examples of last code used.– E.g. ex smoker 2010, 2008 but not fact that was a smoker

in 2007– E.g. poor sleep 2010 and 2008, but no excessive sleep

2009 or good sleep 2007

• Some values unclear e.g. cig smoker and ex-cigarette smoker both say e.g. 3/day

Features 1

• Code Browser– Oral Contraceptive given (Contraceptive template)

• Choose more than 1 item from Pick list– DXA scan hip and lumbar– Accompanying persons on Child Protection template)

• Non Read coded prompts (Pre-defined Text)– Target symptom for antipsychotic (Dementia page on

Elderly template– Advice re risks of oral Contraception – BMI at booking (Ante-natal template)

Features 2

• Section or Page Visibility– Properties of page allow it to use a pre-existing

concept for visibility. (EMIS or local)– Women of Child bearing age in Epilepsy template

(Concept = female, age 15-55)– Advice Section on CKD in Blood Results template.

(Concept = Patient has CKD 3-5)• Past data• Annotation• Calculating values GPPAQ etc.