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| # | Location | File | Last Modified |
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| 1 | CPRS v31b Phase 2 T257 CiF Submission..zip\CPRS v31b Phase 2 T257 CiF Submission | Women's Health 31b.257 Test Script.doc | Fri Dec 14 20:43:52 2018 UTC |
| 2 | CPRS v31b Phase 2 T257 CiF Submission.zip\CPRS v31b Phase 2 T257 CiF Submission | Women's Health 31b.257 Test Script.doc | Tue Jan 29 18:34:23 2019 UTC |
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| 1 | 249 test p lan(CPRS 3 1b.257) | ||
| 2 | Women’s He alth | ||
| 3 | |||
| 4 | Table of C ontents | ||
| 5 | Contents | ||
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| 7 | 2 | ||
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| 9 | 3 | ||
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| 11 | 4 | ||
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| 13 | 8 | ||
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| 19 | 24 | ||
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| 21 | 31 | ||
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| 23 | 34 | ||
| 24 | Overview | ||
| 25 | Please fol low these steps to v alidate fu nctionalit y. If you run into any issues related t o the test script, p lease let us know, s o we can u pdate and re-publish to all pa rticipatin g sites. | ||
| 26 | |||
| 27 | If you enc ounter an apparent s oftware de fect (the functional ity does n ot appear to match t he require ments) as stated, em ail: | ||
| 28 | OIT PD CPR S Implemen tation Tea m
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| 29 | Encounter With a Pre gnancy Dia gnosis | ||
| 30 | Test Scrip t/Case Tas kDocument a patient as pregnan t and add a pregnanc y diagnosi s to the c urrent enc ounter Ste ps1.Select a female patient ag e >15 <39 | ||
| 31 | (Use a pat ient with no previou s document ation if p ossible)2. In cprs, o rder an Ou tpatient m edication from the V A-HIRISK M EDICATIONS (MOD/HIGH RISK DURI NG PREGNAN CY GROUP) | ||
| 32 | **you may use the me dication i dentified in High Ri sk Medicat ions Volum e 2 or ide ntify a ne w one usin g the CPRS v31 Testi ng Utiliti es [ZZOR C PRS31 TEST UTILITIES ] menu opt ion. | ||
| 33 | Select Sys tems Manag er Menu Op tion: CPRS v31b Test ing Utilit ies | ||
| 34 | CPRS v31b Testi ng Utiliti es | ||
| 35 | 1 Modify Ord er Dates | ||
| 36 | 2 Search for DRUG File Entries | ||
| 37 | 3 Search for Orderable Items | ||
| 38 | 4 Search for Active Us ers | ||
| 39 | 5 Volume Nin e Search f or Orderab le Items | ||
| 40 | 6 Modify Exi sting Data | ||
| 41 | 7 List Drugs Associate d with an Orderable Item | ||
| 42 | 8 Count Pati ents | ||
| 43 | Select CPR S v31b Tes ting Utili ties Optio n: 2 Sear ch for DRU G File Ent ries | ||
| 44 | DRUG FILE ENTRIES | ||
| 45 | VA-WH HIRI SK MEDICAT IONS (MOD/ HIGH RISK DURING PRE GNANCY) GR OUP: | ||
| 46 | Drug Name P ackage(s) | ||
| 47 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- | ||
| 48 | ASPIRIN 32 5MG EC TAB W,O,I,X | ||
| 49 | 3.After si gning the medication order, na vigate to the Notes tab and se lect a gen eric note title and location o f choice | ||
| 50 | 4. Open th e Reminder drawer an d select t he Pregnan cy/Intenti ons/Contra ceptive re minder | ||
| 51 | 5.Complete the dialo g by makin g the pati ent PREGNA NT, and a dd a diagn osis of PR EGNANT STA TE, INCIDE NTAL (Z33. 1) to the dialog as a Primary Diagnosis | ||
| 52 | |||
| 53 | Expected R esultConfi rm the lis t of unsaf e medicati ons contai ns the med ication en tered in s tep 2 | ||
| 54 | |||
| 55 | Expected R esultVerif y the expe cted due d ate field is populat ed with a date that is 40 week s after th e last men strual per iod date y ou entered 7.Select F inish, com plete the encounter with a vis it type of choice( i f required ) and sign the note | ||
| 56 | 8.Go to th e Reminder ’s clock i n CPRS and locate th e PREGNANC Y/INTENTIO NS/CONTRAC EPTIVE rem inderExpec ted Result Confirm th e Due date of the re minder to be 1 year from the L MP date yo u used in the dialog | ||
| 57 | Reminder Due Dat e Last Occurence | ||
| 58 | 9.Review t he patient ’s visit d ata in Vis ta | ||
| 59 | Navigate t o the [PXC E ENCOUNTE R VIEWER] menu | ||
| 60 | Enter pati ent name | ||
| 61 | Enter <LI> List enco unter | ||
| 62 | Select vis it of your encounter | ||
| 63 | Review the detailsEx pected Res ultVerify the pregna ncy diagno sis is lis ted | ||
| 64 | Encounter Profile Dec 04, 2 018@20:18: 31 Page: 1 of 1 | ||
| 65 | PATIENT,SE VEN 000 -00-1982 Cl inic: CPR S OUTPATIE NT TEST | ||
| 66 | Encounter Date 12/4 /2018 20: 07 Cl inic Stop: 323 PRI MARY CARE/ MEDICINE | ||
| 67 | 1 Encoun ter Date a nd Time: DEC 04, 20 18@20:07:3 8 | ||
| 68 | Patien t Name: P ATIENT,SEV EN | ||
| 69 | Hospit al Locatio n: CPRS O UTPATIENT TEST | ||
| 70 | Clinic Stop: 32 3 PRIMARY CARE/MEDI CINE | ||
| 71 | 2 Provid er: PROVI DER,ONE PRIMARY Allopathic /Psychiatr y & | ||
| 72 | Neurol ogy/Hospi | ||
| 73 | 3 ICD-10 Code or D iagnosis: Z33.1 Pregnant state, inc idental | ||
| 74 | Provid er Narrati ve: Pregn ant State, Incidenta l | ||
| 75 | Primar y/Secondar y ICD-10 D iagnosis f or the Enc ounter: P RIMARY P ass/FailCo mments: | ||
| 76 | (Write an explanatio n) | ||
| 77 | |||
| 78 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?En d of Pregn ancy Diagn osis | ||
| 79 | Test Scrip t/Case Tas kSame pati ent as in above scri pt, docume nt the pat ient as no longer pr egnant, pr egnancy en ded outsid e of the V A, make su re to add an end of pregnancy diagnosis. Make sure the histo rical visi t is corre ct. Steps1 .In CPRS, enter a ne w note usi ng a gener ic note ti tle2.Open the Remind er drawer and select the Pregn ancy/Inten tions/Cont raceptive reminder | ||
| 80 | 3. Complet e the dial og by maki ng the pat ient NOT P REGNANT an d PREGNANC Y ENDED OU TSIDE THE VA, and ad d an END O F PREGNANC Y diagnosi s | ||
| 81 | |||
| 82 | Complete t he dialog as follows : | ||
| 83 | Do you wan t to work with the e xisting di alog or en ter a new dialog? | ||
| 84 | NEW | ||
| 85 | Pregnancy ended outs ide of the VA. | ||
| 86 | Pregnancy End Date: * | ||
| 87 | Reason Pre gnancy End ed: * | ||
| 88 | C-section | ||
| 89 | Add one or more end- of-pregnan cy diagnos es to the historical encounter . | ||
| 90 | Selectable Diagnoses : *Single Liveborn I nfant, Del ivered By Cesarean ( Z38.01) | ||
| 91 | Please ask the patie nt "Are yo u currentl y breastfe eding?" an d select h er respons e below. | ||
| 92 | Yes | ||
| 93 | I have rev iewed the above pote ntially ha rmful orde r. | ||
| 94 | Does this patient ha ve a medic al reason that makes her perma nently una ble to bec ome pregna nt? | ||
| 95 | No | ||
| 96 | Please ask the patie nt "Are yo u pregnant ?" and sel ect her re sponse bel ow. | ||
| 97 | No, not pr egnant | ||
| 98 | Please ask the patie nt "Do you want to b ecome preg nant withi n the next year?" an d select h er respons e below. | ||
| 99 | No | ||
| 100 | Please ask the patie nt "What a re you doi ng to prev ent pregna ncy?" and select her response( s) below. | ||
| 101 | Contracept ive Method s: | ||
| 102 | Least effe ctive meth ods: | ||
| 103 | Male condo m | ||
| 104 | Select Fin ish | ||
| 105 | Expected R esultNew S tatus: | ||
| 106 | The patien t is curre ntly docum ented as p regnant. | ||
| 107 | DATE PREGNAN CY STATE | ||
| 108 | DETAILS | ||
| 109 | ========== ========== ========== ========== ========== | ||
| 110 | DEC 03, 20 18@11:21:4 1 PREGNAN T | ||
| 111 | LAST MEN STRUAL PER IOD DATE: DEC 03, 20 18 | ||
| 112 | EXPECTED DUE DATE: SEP 09, 2 019 | ||
| 113 | Pregnancy ended outs ide of the VA. | ||
| 114 | Pregnanc y End Date : November 26, 2018 | ||
| 115 | Reason P regnancy E nded: C-se ction | ||
| 116 | The pati ent states that she is current ly lactati ng. | ||
| 117 | An aut omated rev iew of thi s patient' s chart in dicates th e followin g | ||
| 118 | order is potenti ally harmf ul: | ||
| 119 | Ordera ble Item | ||
| 120 | Stat us St art | ||
| 121 | ====== ========== ========== ======== | ||
| 122 | ASPIRI N TAB,EC 325MG | ||
| 123 | PEND ING | ||
| 124 | I have reviewed the above potentiall y harmful order. | ||
| 125 | The patien t is medic ally able to conceiv e. | ||
| 126 | The patien t states t hat she is not pregn ant. | ||
| 127 | The patien t states t hat she do es not wan t to becom e pregnant within th e next | ||
| 128 | year. | ||
| 129 | The patien t states t hat her se xual partn er uses a male condo m to preve nt | ||
| 130 | pregnancy. | ||
| 131 | 4.Sign the note5.Rev iew the pa tient’s vi sit data i n Vista | ||
| 132 | Navigate t o the [PXC E ENCOUNTE R VIEWER] menu | ||
| 133 | Enter pati ent name | ||
| 134 | Enter <LI> List enco unter | ||
| 135 | Select vis it of HIS TORICAL en counter if more than one date is listed | ||
| 136 | Review the detailsEx pected Res ultVerify there is a historica l visit wi th the pre gnancy end date that contains the diagno sis you se lected in step #3. | ||
| 137 | Encounter Profile Dec 04, 2 018@20:31: 48 Page: 1 of 1 | ||
| 138 | PATIENT,SE VEN 000 -00-1982 Clinic : | ||
| 139 | Encounter Date 11 /27/2018 Clinic Sto p: | ||
| 140 | 1 Encoun ter Date a nd Time: NOV 27, 20 18 | ||
| 141 | Patien t Name: P ATIENT,SEV EN | ||
| 142 | 2 ICD-10 Code or D iagnosis: Z38.01 S ingle live born infan t, deliver ed | ||
| 143 | by ces arean | ||
| 144 | Provid er Narrati ve: Singl e Liveborn Infant, D elivered b y Cesarean | ||
| 145 | Primar y/Secondar y ICD-10 D iagnosis f or the Enc ounter: S ECONDARY6. In Vista, navigate t o Fileman | ||
| 146 | Select VA FileMan Op tion: INQu ire to Fil e Entries | ||
| 147 | Output fro m what Fil e: WV PATI ENT// | ||
| 148 | Select WV PATIENT NA ME: ent er your pa tient’s na me | ||
| 149 | Another on e: | ||
| 150 | Standard C aptioned O utput? Yes // (Yes) | ||
| 151 | Include CO MPUTED fie lds: (N/Y /R/B): NO/ / - No re cord numbe r (IEN), n o Computed Fields | ||
| 152 | Expected R esultNAME: PATIENT,N AME CASE M ANAGER: MA NAGER,NAME | ||
| 153 | CX TX NE ED: Undete rmined PAP REGIME N: Undeter mined | ||
| 154 | BR TX NE ED: Undete rmined DATE OF FI RST ENCOUN TER: DEC 0 3, 2018 | ||
| 155 | PREGNANCY STATUS D/T ENTERED: DEC 03, 20 18@11:21:4 1 | ||
| 156 | DATA ENT ERED BY: S PEEGLE,TER RI DATA SOURC E: CLINICA L REMINDER S | ||
| 157 | TIU DOCU MENT: NUTR ITION ASSE SSMENT PREGNANCY STATE: PRE GNANT | ||
| 158 | MEDICALL Y UNABLE T O CONCEIVE : NO | ||
| 159 | LAST MEN STRUAL PER IOD DATE: DEC 03, 20 18 | ||
| 160 | EDD: SEP 09, 2019 | ||
| 161 | PREGNANCY STATUS D/T ENTERED: DEC 03, 20 18@12:05:3 3 | ||
| 162 | DATA ENT ERED BY: P ROVIDER,ON E D ATA SOURCE : CLINICAL REMINDERS | ||
| 163 | ENTERED IN ERROR: YES | ||
| 164 | MARKED E NTERED IN ERROR BY: PROVIDER,O NE | ||
| 165 | MARKED E NTERED IN ERROR D/T: DEC 03, 2 018@12:13: 47 | ||
| 166 | PREGNANC Y STATE: N OT PREGNAN T MEDICALLY UNABLE TO CONCEIVE: NO | ||
| 167 | TRYING T O BECOME P REGNANT: N O | ||
| 168 | CONTRACEPT IVE METHOD USED: MAL E CONDOM | ||
| 169 | PREGNANC Y END DATE : NOV 20, 2018 | ||
| 170 | REASON PRE GNANCY END ED: C-SECT ION | ||
| 171 | LACTATION STATUS D/T ENTERED: DEC 03, 20 18 | ||
| 172 | DATA ENT ERED BY: P ROVIDER,ON E DATA SOURC E: CLINICA L REMINDER S | ||
| 173 | VISIT: D EC 03, 201 8@ 11:21:4 1 | ||
| 174 | TIU DOCU MENT: PREG NANCY OR L ACTATION S TATUS UPDA TE | ||
| 175 | LACTATIO N STATE: L ACTATINGPa ss/FailCom ments: | ||
| 176 | (Write an explanatio n) | ||
| 177 | |||
| 178 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?Wo men’s Heat h Data Upd ate With D eleted Not e | ||
| 179 | Test Scrip t/Case Tas kNew patie nt, docume nt the pat ient as no t pregnant and not l actating, delete the note befo re signing it. Verif y that the data in t he Women’s Health pa ckage is m arked as e ntered in errorSteps 1.In CPRS, select a female pat ient age > 15 <382.Fr om the Not es tab, se lect a gen eric note title and location o f choice | ||
| 180 | 3. Open th e Reminder drawer an d select t he Pregnan cy/Intenti ons/Contra ceptve rem inder4.Mar k the pati ent NOT PR EGNANT and NOT LACTA TING | ||
| 181 | |||
| 182 | Open the U pdate Lact ation Stat us reminde r and sele ct No to t he questio n | ||
| 183 | 5.Select f inish ***do not sign the note | ||
| 184 | Note Text: | ||
| 185 | Pregnancy/ Intentions /Contracep tion: | ||
| 186 | The patien t is medic ally able to conceiv e. | ||
| 187 | The patien t states t hat she is not pregn ant. | ||
| 188 | The patien t states t hat she do es not wan t to becom e pregnant within th e next | ||
| 189 | year. | ||
| 190 | The patien t states t hat she do es nothing to preven t pregnanc y. | ||
| 191 | Update L actation S tatus: | ||
| 192 | The patien t states t hat she is not curre ntly lacta ting. | ||
| 193 | 6.Select A ction and DELETE the note 7. In Vista, navigate t o the File man Menu | ||
| 194 | Select VA FileMan <T EST ACCOUN T> Option: inquire t o File Ent ries | ||
| 195 | Output fro m what Fil e: WV PATI ENT// (1286 en tries) | ||
| 196 | Select WV PATIENT NA ME: 336 04499 | ||
| 197 | Another on e: | ||
| 198 | Standard C aptioned O utput? Yes // (Yes) | ||
| 199 | Include CO MPUTED fie lds: (N/Y /R/B): NO/ / - No re cord numbe r (IEN), n o Computed | ||
| 200 | Fields | ||
| 201 | PREGNANCY STATUS D/T ENTERED: DEC 11, 20 18@12:14:2 2 | ||
| 202 | DATA ENT ERED BY: S PEEGLE,TER RI DATA SOURC E: CLINICA L REMINDER S | ||
| 203 | ENTERED IN ERROR: YES | ||
| 204 | MARKED E NTERED IN ERROR BY: provider,o ne | ||
| 205 | MARKED E NTERED IN ERROR D/T: DEC 11, 2 018@12:14: 31 | ||
| 206 | REASON ENT ERED IN ER ROR: Docum ent WOMEN' S HEALTH N OTE (53166 91) was de leted. | ||
| 207 | PREGNANC Y STATE: N OT PREGNAN T MEDICALLY UNABLE TO CONCEIVE: NO | ||
| 208 | TRYING T O BECOME P REGNANT: N O | ||
| 209 | CONTRACEPT IVE METHOD USED: NON E | ||
| 210 | LACTATION STATUS D/T ENTERED: DEC 11, 20 18@12:14:2 2 | ||
| 211 | DATA ENT ERED BY: p rovider,on e D ATA SOURCE : CLINICAL REMINDERS | ||
| 212 | ENTERED IN ERROR: YES | ||
| 213 | MARKED E NTERED IN ERROR BY: provider,o ne | ||
| 214 | MARKED E NTERED IN ERROR D/T: DEC 11, 2 018@12:14: 31 | ||
| 215 | REASON ENT ERED IN ER ROR: Docum ent WOMEN' S HEALTH N OTE (53166 91) was de leted. | ||
| 216 | LACTATIO N STATE: N OT LACTATI NGExpected ResultVer ify pregna ncy and la ctation da ta is mark ed ‘Entere d in Error ’ in the W V Patient filePass/F ailComment s: | ||
| 217 | (Write an explanatio n) | ||
| 218 | |||
| 219 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?Wo men’s Heal th Case Ma nager Aler t | ||
| 220 | Test Scrip t/Case Tas kNew patie nt, docume nt the pat ient as do not know pregnancy status and lactating , sign the note. In TIU, delet e the note . Make sur e the Wome n’s Health case mana ger assign ed to the patient re ceives an alert that the patie nt’s data needs to b e reviewed Steps1.In CPRS, sele ct a femal e patient age >15 <3 82.In Vist a, navigat e to the W omen’s Hea lth menu a nd make su re a case manager is assigned to the pat ient | ||
| 221 | Women's He alth Menu ... [WVMEN U] | ||
| 222 | PC Edi t/Print Pa tient Case Data | ||
| 223 | **NOTE: e ither assi gn yoursel f as the C ase manage r | ||
| 224 | Or | ||
| 225 | you will need acces s and veri fy codes f or the Cas e Manager assigned | ||
| 226 | To add yourself as a Case Manger, se lect the W omen’s Hea lth menu i n Vista | ||
| 227 | Women's H ealth Main Menu v1.0 VA CNTRL W STRN MASSC HUSE | ||
| 228 | PM Patient Ma nagement . .. | ||
| 229 | MR Management Reports . .. | ||
| 230 | MF Manager's Functions ... | ||
| 231 | Select Wom en's Healt h Menu Opt ion: mf M anager's F unctions | ||
| 232 | Select Man ager's Fun ctions Opt ion: fm F ile Mainte nance Menu | ||
| 233 | Select Fil e Maintena nce Menu O ption: cm Add/Edit Case Manag ers | ||
| 234 | * * * WOMEN'S HE ALTH: ADD/ EDIT CASE MANAGERS * * * | ||
| 235 | Select CASE MANAG ER: PROVID ER,ONE | ||
| 236 | Are you adding PRO VIDER,ONE as | ||
| 237 | a new WV CASE MA NAGER (the 10TH)? No // Y (Yes ) | ||
| 238 | DATE INACT IVATED:<EN TER> | ||
| 239 | Next: | ||
| 240 | Select Wom en's Healt h Menu Opt ion: mf M anager's F unctions | ||
| 241 | Select Man ager's Fun ctions Opt ion: mpm Manager's Patient Ma nagement | ||
| 242 | Select Man ager's Pat ient Manag ement Opti on: PC Edi t/Print Pa tient Case Data | ||
| 243 | * * * WOM EN'S HEALT H: EDIT PA TIENT CASE DATA * * * | ||
| 244 | Select the patien t you wish to add or edit. | ||
| 245 | Select PAT IENT NAME: PATIENT,O NE 7-11-9 2 000009 011 NO N SC VETERAN | ||
| 246 | * * * ED IT PATIENT CASE DATA * * * | ||
| 247 | Patient Na me: PATIEN T,ONE(26y/ o) SSN: 00 0-00-9011 | ||
| 248 | Stre et: UNKNOW N Patien t Phone: U NKNOWN | ||
| 249 | Cty/St/Z ip: UNKNOW N, UNKNOWN UNKNOWN Pr P rovider: U NKNOWN | ||
| 250 | Elig Co de: Veteran: Y es | ||
| 251 | M ST: Unknow n, not scr eened | ||
| 252 | __________ __________ __________ __________ __________ __________ __ | ||
| 253 | Case Manager: PROVIDER,O NE Ina ctive Date : | ||
| 254 | Breast Tx Need: Mammogram, Screening Cerv ical Tx Ne ed: Undete rmined | ||
| 255 | Breast Tx Due Date: SEP 5,2019 Cervical Tx Due Da te: | ||
| 256 | Breast Tx Facility: Cervical Tx Facili ty: | ||
| 257 | PAP Regimen: Undetermin ed C ST: | ||
| 258 | PAP Regime n Start Da te: Notes (W P): | ||
| 259 | Family Hx of Breast CA: DES Daught er: | ||
| 260 | Maternity Care Coord inator: | ||
| 261 | Date of 1 st Encount er: DEC 5, 2017 Referral Source: | ||
| 262 | __________ __________ __________ __________ __________ __________ __________ | ||
| 263 | 2.Return t o CPRS and select th e Notes ta b and a g eneric not e title an d location of choice | ||
| 264 | 3. Open th e Reminder drawer an d select t he Pregnan cy/Intenti ons/Contra ceptve rem inder4.Mar k the pati ent’s stat us as DO N OT KNOW | ||
| 265 | |||
| 266 | Select the Update La ctation St atus Remin der and do cument the patient a s LACTATIN G | ||
| 267 | 5.Select F inish and Sign the n ote6.In Vi sta, navig ate to the TIU Maint enance Men u and cre ate two bu siness rul e as descr ibed below | ||
| 268 | TIU Mainte nance Menu ... [TIU IRM MAINTE NANCE MENU ] | ||
| 269 | User Cl ass Manage ment ... [ USR CLASS MANAGEMENT MENU] | ||
| 270 | Ma nage Busin ess Rules [USR BUSIN ESS RULE M ANAGEMENT] | ||
| 271 | Select SEA RCH CATEGO RY: DOCUME NT DEFINIT ION// <e nter> | ||
| 272 | Select DOC UMENT DEFI NITION: WO MEN’S HEAL TH NOTE <E nter the t itle you a re using f or your te sting> | ||
| 273 | Select Act ion: Quit/ / ADD Ad d Rule | ||
| 274 | Please Ent er a New B usiness Ru le: | ||
| 275 | STATUS: CO MPLETED | ||
| 276 | ACTION: DE LETE RECOR D | ||
| 277 | USER CLASS : CLINICAL COORDINAT OR | ||
| 278 | AND FLAG: | ||
| 279 | USER ROLE: | ||
| 280 | DESCRIPTIO N: | ||
| 281 | Edit? NO // STATUS: | ||
| 282 | Repeat and add a rul e for Reas signed | ||
| 283 | Select SEA RCH CATEGO RY: DOCUME NT DEFINIT ION// <En ter> | ||
| 284 | Select DOC UMENT DEFI NITION: WO MEN’S HERA LTH NOTE < Enter the title you are using for your t esting> | ||
| 285 | Select Act ion: Quit/ / ADD Ad d Rule | ||
| 286 | Please Ent er a New B usiness Ru le: | ||
| 287 | STATUS: CO MPLETED | ||
| 288 | ACTION: RE ASSIGN | ||
| 289 | USER CLASS : CLINICAL COORDINAT OR | ||
| 290 | AND FLAG: | ||
| 291 | USER ROLE: | ||
| 292 | DESCRIPTIO N: | ||
| 293 | Edit? NO // STATUS: | ||
| 294 | List Busin ess Rules by DOCUMEN T DEFINITI ON 2 Rules f or TITLE W OMEN'S HEA LTH NOTE | ||
| 295 | A COMPLETE D (TITLE) WOMEN'S HE ALTH NOTE may BE REA SSIGNED by a | ||
| 296 | CLIN ICAL COORD INATOR | ||
| 297 | A COMPLETE D (TITLE) WOMEN'S HE ALTH NOTE may BE DEL ETED by a | ||
| 298 | CLINICA L COORDINA TOR | ||
| 299 | Available documents: 07/01/20 16 thru 03 /10/2017 (3) | ||
| 300 | Please spe cify a dat e range fr om which t o select d ocuments: | ||
| 301 | List docum ents Begin ning: 07/0 1/2016// < Enter> (J UL 01, 201 6) | ||
| 302 | Thru: 03/1 0/2017// < Enter> (M AR 10, 201 7) | ||
| 303 | 1 03/10/ 2017 13:59 ‘YOUR PR OGRESS NOT E TITLE’ WHCOORDI NATOR,O | ||
| 304 | Visit: 0 3/10/2017 | ||
| 305 | 2 10/05/ 2016 09:48 PREGNANC Y OR LACTA TION STATU S UPDATE PROVIDER,O | ||
| 306 | Visit: 1 0/05/2016 | ||
| 307 | 3 07/01/ 2016 09:38 PREGNANC Y OR LACTA TION STATU S UPDATE PROVIDER,O | ||
| 308 | Visit: 0 7/01/2016 | ||
| 309 | Choose one or more d ocuments: (1-3): 1< Enter> | ||
| 310 | Opening ‘Y OUR PROGRE SS NOTE TI TLE’ recor d for revi ew... | ||
| 311 | |||
| 312 | |||
| 313 | DELETING N UTRITION A SSESSMENT For patien t,one’s 12 /04/18 10: 53 Visit. | ||
| 314 | Are you SU RE you wan t to DELET E? NO//yes | ||
| 315 | Reason for DELETION (Privacy A ct or Admi nistrative ): PRIVACY ACT// A | ||
| 316 | ***** ********** ********** ********** ********** ********** ********** ***** This docum ent will n ow be RETR ACTED. As such, it h as been re moved from publ ic view, a nd from ty pical Rele ases of In formation, | ||
| 317 | but will r emain inde finitely d iscoverabl e to HIMS. | ||
| 318 | ***** ********** ********** ********** ********** ********** ********** ***** | ||
| 319 | WOMEN'S HE ALTH: | ||
| 320 | There is p regnancy a nd lactati on status data assoc iated with the NUTRI TION ASSES SMENT (#53 16651) doc ument that will rema in in the database a fter delet ion of thi s document . | ||
| 321 | Email the patient's name to USER @ DOMAIN . | ||
| 322 | In Vista, sign on as the WH Ca se Manager if you d id not mak e yourself the case manager | ||
| 323 | Locate the notificat ion and pr ocess it | ||
| 324 | Review pre gnancy and lactation status fo r PATIENT, EIGHT (T94 24). | ||
| 325 | * * * WOM EN'S HEALT H: EDIT PR EGNANCY/LA CTATION ST ATUS DATA * * * | ||
| 326 | DOCUMEN T: DEC 04, 2018@21:1 7:57 WOME N'S HEALTH NOTE PROV IDER,ONE | ||
| 327 | Let's w ork with t he pregnan cy status. | ||
| 328 | Status Data (PATI ENT,EIGHT) : | ||
| 329 | PREGNANCY STATUS D/T ENTERED: DEC 04, 20 18@21:19:0 4 | ||
| 330 | DATA ENT ERED BY: P ROVIDER,ON E D ATA SOURCE : CLINICAL REMINDERS | ||
| 331 | TIU DOCU MENT: WOME N'S HEALTH NOTE PREGNANCY STATE: DO NOT KNOW | ||
| 332 | MEDICALL Y UNABLE T O CONCEIVE : NO TRYING TO BECOME PRE GNANT: NO | ||
| 333 | CONTRACEPT IVE METHOD USED: NON E | ||
| 334 | Activit y Detail: | ||
| 335 | ACTIVITY D ATE/TIME: DEC 04, 20 18@21:20:1 2 | ||
| 336 | ACTION: DELETE | ||
| 337 | DOCUMENT NAME (IEN ): WOMEN'S HEALTH NO TE (531666 1) | ||
| 338 | Please review the chart for PATIENT,E IGHT. | ||
| 339 | Press ENTE R to conti nue: | ||
| 340 | Do you wan t to mark the pregna ncy status data | ||
| 341 | for PATIEN T,EIGHT as entered i n error? Y ES | ||
| 342 | ACTION TAK EN. | ||
| 343 | Now let 's work wi th the lac tation sta tus. | ||
| 344 | You pre viously ma rked as en tered in e rror the p regnancy s tatus data . | ||
| 345 | Status Data (TJS, EIGHT): | ||
| 346 | LACTATION STATUS D/T ENTERED: DEC 04, 20 18@21:19:0 4 | ||
| 347 | DATA ENT ERED BY: S PEEGLE,TER RI DA TA SOURCE: CLINICAL REMINDERS | ||
| 348 | TIU DOCU MENT: WOME N'S HEALTH NOTE LACTATION STATE: LAC TATING | ||
| 349 | Do you wan t to perfo rm the sam e action o n the lact ation stat us? YES | ||
| 350 | ACTION TAK EN.Expecte d ResultVe rify that the Women’ s Health c ase manage r assigned to the pa tient rece ives an al ert that t he patient ’s data ne eds to be reviewed | ||
| 351 | Sample tex t that sho uld displa y in the n otificatio n processi ng | ||
| 352 | Please rev iew the ch art for PA TIENT,EIGH T. | ||
| 353 | Pass/FailC omments: | ||
| 354 | (Write an explanatio n) | ||
| 355 | |||
| 356 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?Wo men’s Heal th Package Updated f or Reassig ned Progre ss Note | ||
| 357 | Test Scrip t/Case Tas kNew patie nt, docume nt the pat ient as no t pregnant and not l actating, sign the n ote. In TI U, reassig n the note to a diff erent pati ent. Verif y that the data in t he Women’s Health pa ckage is m arked as e ntered in errorSteps 1.In CPRS select a f emale pati ent age >1 5<382.From the Notes tab, sele ct a gene ric note t itle and a location of choice | ||
| 358 | 3. Open th e Reminder drawer an d select t he Pregnan cy/Intenti ons/Contra ceptve rem inder4.Doc ument the patient as NOT PREGN ANT and NO T LACTATIN G | ||
| 359 | |||
| 360 | Select NEX T and Open the Updat e Lactatio n Status r eminder | ||
| 361 | |||
| 362 | Note conte nt: | ||
| 363 | Pregnancy/ Intentions /Contracep tion: | ||
| 364 | The patien t is medic ally able to conceiv e. | ||
| 365 | The patien t states t hat she is not pregn ant. | ||
| 366 | The patien t states t hat she do es not wan t to becom e pregnant within th e next | ||
| 367 | year. | ||
| 368 | The patien t states t hat she do es nothing to preven t pregnanc y. | ||
| 369 | Update L actation S tatus: | ||
| 370 | The patien t states t hat she is not curre ntly lacta ting. | ||
| 371 | 5.Sign the noteAvail able docum ents: 07/ 01/2016 th ru 03/10/2 017 (3) | ||
| 372 | Please spe cify a dat e range fr om which t o select d ocuments: | ||
| 373 | List docum ents Begin ning: 07/0 1/2016// < Enter> (J UL 01, 201 6) | ||
| 374 | Thru: 03/1 0/2017// < Enter> (M AR 10, 201 7) | ||
| 375 | 1 03/10/ 2017 13:59 Lactatio n Status U pdate Revi ew WHCOORDINA TOR,O | ||
| 376 | Visit: 0 3/10/2017 | ||
| 377 | 2 10/05/ 2016 09:48 PREGNANC Y OR LACTA TION STATU S UPDATE PROVIDER,O | ||
| 378 | Visit: 1 0/05/2016 | ||
| 379 | 3 07/01/ 2016 09:38 PREGNANC Y OR LACTA TION STATU S UPDATE PROVIDER,O | ||
| 380 | Visit: 0 7/01/2016 | ||
| 381 | Choose one or more d ocuments: (1-3): 1< Enter> | ||
| 382 | Opening La ctation St atus Updat e Review r ecord for review... | ||
| 383 | |||
| 384 | Browse Doc ument M ay 19, 201 7@12:00:37 Page: 1 of 3 _ | ||
| 385 | Lactat ion Status Update Re view | ||
| 386 | WVPATIENT, F 666-04- 0004 WPB-W OMEN'S HEA LT Visit Date: 03/1 0/2017 13: 59 | ||
| 387 | _ | ||
| 388 | STANDARD T ITLE: WOME NS HEALTH NOTE | ||
| 389 | DATE OF NO TE: MAR 10 , 2017@13: 59:54 ENT RY DATE: M AR 10, 201 7@13:59:54 | ||
| 390 | AUTH OR: WHCOOR DINATOR,ON E EXP C OSIGNER: | ||
| 391 | URGEN CY: STATUS: C OMPLETED | ||
| 392 | Lactation status NOT LACTATING documente d on OCT 0 5, 2016@16 :15:37 was entered o n the Cove r Sheet bu t the clin ical remin der dialog was not c ompleted. | ||
| 393 | Updated St atus: | ||
| 394 | The patien t states t hat she is not curre ntly lacta ting. | ||
| 395 | The patien t was docu mented as lactating. | ||
| 396 | Lactation End Date: December 5 , 2016 | ||
| 397 | |||
| 398 | + + Next Scr een - Pre v Screen ?? More ac tions | ||
| 399 | Find On Chart Rea ssign | ||
| 400 | Print Amend Sen d Back | ||
| 401 | Edit Delete Int erdiscipl' ry Note | ||
| 402 | Verif y/Unverify Qui t | ||
| 403 | Select Act ion: Next Screen// R EASSIGN<En ter> Rea ssign | ||
| 404 | Are you su re you wan t to REASS IGN this L actation S tatus Upda te Review? NO// YES< Enter> | ||
| 405 | |||
| 406 | The status of this d ocument is : COMPLETE D | ||
| 407 | |||
| 408 | Enter your Current S ignature C ode: <Ente r> SIGNA TURE VERIF IED | ||
| 409 | Please cho ose the co rrect PATI ENT and CA RE EPISODE : | ||
| 410 | Select PAT IENT NAME: WVPATIENT ,FIVE<Ente r> | ||
| 411 | Moving sig ned docume nt to anot her Patien t...A RETR ACTED copy will be r etained. | ||
| 412 | Removing R ETRACTED L actation S tatus Upda te Review from origi nal Visit. .. | ||
| 413 | This patie nt is not currently admitted t o the faci lity... | ||
| 414 | Is this no te for INP ATIENT or OUTPATIENT care? OUT PATIENT// <Enter> | ||
| 415 | The follow ing SCHEDU LED VISITS are avail able: | ||
| 416 | 1> MAR 24, 2015@ 08:15 CHE CKED OUT WPB-WO MEN'S HEAL TH 01 | ||
| 417 | CHOOSE 1-1 , or | ||
| 418 | <U>NSCHEDU LED VISITS , <F>UTURE VISITS, o r <N>EW VI SIT: N<Ent er> | ||
| 419 | PATIENT LO CATION: WP B-WOMEN'S HEALTH 01< Enter> PROVIDE R,ONE | ||
| 420 | Enter Visi t Date/Tim e: NOW// <Enter> ( MAY 19, 20 17@12:01:5 9) | ||
| 421 | TYPE OF VI SIT: AMBUL ATORY// <E nter> | ||
| 422 | Enter/Edit PROGRESS NOTE... | ||
| 423 | Patient Lo cation: W PB-WOMEN'S HEALTH 01 | ||
| 424 | Da te/time of Visit: 0 5/19/17 12 :01 | ||
| 425 | D ate/time o f Note: 0 3/10/17 13 :59 | ||
| 426 | Author o f Note: W HCOORDINAT OR,ONE | ||
| 427 | ...OK? YES// <Ent er> | ||
| 428 | AUTHOR/DIC TATOR: WHC OORDINATOR ,ONE// <En ter> | ||
| 429 | Lactation Status Upd ate Review Reassigne d. | ||
| 430 | You may no w clean up the encou nter data for the OR IGINAL Vis it... | ||
| 431 | Patient: W VPATIENT,F OUR | ||
| 432 | Visit: M AR 10, 201 7@13:59 to WPB-WOMEN 'S HEALTH 01 | ||
| 433 | Do you wis h to do th is now? NO // <Enter> | ||
| 434 | Press RETU RN to cont inue...<En ter> | ||
| 435 | Select PAT IENT NAME: <Enter> | ||
| 436 | Nothing se lected. | ||
| 437 | 7.In Vista , navigate to Filema n | ||
| 438 | VA FileMan Version 2 2.0 | ||
| 439 | Enter or E dit File E ntries | ||
| 440 | Print File Entries | ||
| 441 | Search Fil e Entries | ||
| 442 | Modify Fil e Attribut es | ||
| 443 | Inquire to File Entr ies | ||
| 444 | Utility Fu nctions .. . | ||
| 445 | Data Dicti onary Util ities ... | ||
| 446 | Transfer E ntries | ||
| 447 | Other Opti ons ... | ||
| 448 | Select VA FileMan <T EST ACCOUN T> Option: INQ<Enter >uire to F ile Entrie s | ||
| 449 | OUTPUT FRO M WHAT FIL E: PATIENT // WV PATI ENT<Enter> | ||
| 450 | (45 entr ies) | ||
| 451 | Select WV PATIENT NA ME: WVPATI ENT,ONE<En ter> | ||
| 452 | ANOTHER ON E: <Enter> | ||
| 453 | STANDARD C APTIONED O UTPUT? Yes // <Enter> (Yes) | ||
| 454 | Include CO MPUTED fie lds: (N/Y /R/B): NO/ / <Enter> - No recor d number ( IEN), no C omputed Fi elds | ||
| 455 | NAME: PATI ENT,FIVE CASE M ANAGER: PR OVIDER,ONE | ||
| 456 | CX TX NE ED: Undete rmined PAP RE GIMEN: Und etermined | ||
| 457 | BR TX NE ED: Undete rmined DATE O F FIRST EN COUNTER: D EC 04,2018 | ||
| 458 | PREGNANCY STATUS D/T ENTERED: DEC 04, 20 18@14:31:1 2 | ||
| 459 | DATA ENT ERED BY: P ROVIDER,ON E D ATA SOURCE : CLINICAL REMINDERS | ||
| 460 | ENTERED IN ERROR: YES | ||
| 461 | MARKED E NTERED IN ERROR BY: PROVIDER,O NE | ||
| 462 | MARKED E NTERED IN ERROR D/T: DEC 04, 2 018@14:37: 20 | ||
| 463 | REASON ENT ERED IN ER ROR: Docum ent WOMEN' S HEALTH N OTE (53166 53) was re assigned t o patient PATIENT,TW ELVE. | ||
| 464 | PREGNANC Y STATE: N OT PREGNAN T MEDIC ALLY UNABL E TO CONCE IVE: NO | ||
| 465 | TRYING T O BECOME P REGNANT: N O | ||
| 466 | CONTRACEPT IVE METHOD USED: NON E | ||
| 467 | LACTATION STATUS D/T ENTERED: DEC 04, 20 18@14:31:1 2 | ||
| 468 | DATA ENT ERED BY: P ROVIDER,ON E D ATA SOURCE : CLINICAL REMINDERS | ||
| 469 | ENTERED IN ERROR: YES | ||
| 470 | MARKED E NTERED IN ERROR BY: PROVIDER,O NE | ||
| 471 | MARKED E NTERED IN ERROR D/T: DEC 04, 2 018@14:37: 20 | ||
| 472 | REASON ENT ERED IN ER ROR: Docum ent WOMEN' S HEALTH N OTE (53166 53) was re assigned t o patient PATIENT,TW ELVE. | ||
| 473 | LACTATIO N STATE: N OT LACTATI NG | ||
| 474 | Expected R esultVerif y that the pregnancy and lacta tion data in the Wom en’s Healt h package is marked as ‘entere d in error ’Pass/Fail Comments: | ||
| 475 | (Write an explanatio n) | ||
| 476 | |||
| 477 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?SM ART Outsid e Document ation Note | ||
| 478 | Test Scrip t/Case Tas kFor mammo grams, MRI s, or ultr asounds be ing comple ted outsid e of the V A and no i nternal or ders for t hese radio logy exams placed wi thin the l ocal facil ity, use t he VA-SMAR T OUTSIDE DOCUMENTAT ION Dialog and the n ew corresp onding not e title. | ||
| 479 | For sites using outs ide result s, where B IRADs are entered in to the rad iology pac kage and t he report is scanned into Vist A imaging. | ||
| 480 | Steps1.Sel ect a fema le patient with no i nternal or ders for m ammogram o r ultrasou nd 2.Selec t the SMAR T OUTSIDE BREAST IMA GING RESUL TS note | ||
| 481 | 3. Documen t outside results fo r a mammog ram or ult rasound | ||
| 482 | |||
| 483 | Expected R esultVerif y that the note disp lays appro priately f or all use r dialog s electionsP ass/FailCo mments: | ||
| 484 | (Write an explanatio n) | ||
| 485 | |||
| 486 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?SM ART Male N ote | ||
| 487 | Test Scrip t/Case Tas kFor men B IRAD 1,2 o ur current template forces us to choose a screenin g interval – and you can’t sig n the note without c hoosing on e. | ||
| 488 | Added an ‘ other’ box for addit ional info rmation St eps1.Enter and sign a radiolog y order fo r a mammog ram on a m ale patien t | ||
| 489 | 2.Result it as a bi rad 2 in t he radiolo gy package | ||
| 490 | 3. Process the notif ication | ||
| 491 | |||
| 492 | 4.Using th e SMART BR EAST IMAGI NG NOTE TI TLE, Docum ent result s in the d ialog | ||
| 493 | Do NOT ent er a follo wup, selec t other an d add any text | ||
| 494 | Expected R esultUser is not for ced to cho ose a scre ening inte rval | ||
| 495 | Added an ‘ other’ box for addit ional info rmationPas s/FailComm ents: | ||
| 496 | (Write an explanatio n) | ||
| 497 | |||
| 498 | Developmen t Team Res ponseTest SiteIssue ID#StatusV erified?Se lect Pregn ancy End D ate field to contain a date th at is one week befor e today. | ||
| 499 | |||
| 500 | |||
| 501 | |||
| 502 | Should hav e entered in error m essage | ||
| 503 | |||
| 504 | Enter your name | ||
| 505 | |||
| 506 | DELETE | ||
| 507 | |||
| 508 | DELETE | ||
| 509 | |||
| 510 | Enter your signature code then press the Enter key . | ||
| 511 | |||
| 512 | Select any clinic yo u want. | ||
| 513 | |||
| 514 | |||
| 515 | December 2 018 | ||
| 516 | Women's He alth Test Plan.doc | ||
| 517 | Page 20 of 37 |
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