# Search Domains

The HMP search engine works across nearly all clinical-data domains in VistA—from text-based items to medications to appointments. Following is a brief summary of the data domains with which the HMP Search plug-in works:

Text Items
  - Progress notes
  - Discharge summaries
  - Surgery reports
  - Consult Reports
  - Imaging reports
  - Pathology reports
  - Clinical procedure results
  - Microbiology results
Medications
  - Inpatient
  - Outpatient
  Clinic order
Laboratory results
  - Chemistry
  - Hematology
  - Point of care (finger-stick glucose, for example)
Orders that have
not yet yielded a
result, report, or
other object
  Order types include:
  - Medication
  - Consult <GMRC File 123.5
  - Lab (including microbiology) <LR>
  - Clinical procedure <GMRC file 123.3>
  - Imaging study <RA>
  - Active text order (nursing order, for example) <OR>
  - Active diet order <FH>
Other domains:
  - Problems
  - Immunizations
  - Vital signs
  - Allergies and adverse drug reactions (ADRs)

## Clinical Practice Environment

With its CPE (Clinical Practice Environment) application, the HMP Team Facing framework delivers software that serves healthcare teams and helps meet their needs in caring for our veterans. CPE software will help transition Veterans Health Administration from a chart-centric model of care to a team-based, patient-centered model of care through advanced clinical software and a modern software architecture. This software represents an effort to reestablish close clinician-IT collaborative relationships and to build field-driven, web-based modules that meet the following functional and technology goals.

- Functional Goals:
  - Comprehensive, coded, integrated data
  - Knowledge-driven, context-based decision support
  - Role- and conditions-based workflow-driven systems
  - Multi-patient, team-based care
- Technology Goals:
  - Open source, with a service-oriented architecture (SOA)
  - Web-based, with a flexible, scalable architecture
  - Context-aware, with an extensible, modular platform

While its initial operating capabilities are present, HMP software is a work-in-progress. Specific features and instructions for using them will evolve as our partners in the clinical community evaluate the software and provide feedback, thus realizing the close collaboration between IT and clinical interests that informed this software's genesis.