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?_:????B?*!l!?S?IVitals Lite HelpZ{main???rZ{ secondGf?fQ??????

GMV_VitalsViewEnter.cnt ????????/&;)z4?? ? ????|CONTEXT?|CTXOMAPh?|FONT?|KWBTREE??|KWDATA?|KWMAP??|SYSTEM|TOPICi|TTLBTREE??~?~???? = ????I1?????q????I?IntroductionG ?) "?<?6????????Introduction to Vitals LitevNI( ?????????The Vitals application is designed to collect the vital signs and measurements that are associated with a patient's hospital stay or outpatient clinic visit, and store the data in the patient's electronic medical record. Data can be accessed by several VistA (Veterans Health Information Systems and Technology Architecture) applications that interface with the Vitals/Measurements application, such as CPRS, Health Summary, and Pharmacy.The Vitals Lite module is available through CPRS and is used to enter vitals data, view allergies, and mark incorrect vitals as entered in error. \5?b' ?j???????To open Vitals Lite from the CPRS v26 cover sheet:x??| ????????????;EF("http://www.va.gov/vdl/application.asp?appID=107",`',1)??????Click any item inside the Vitals section of the CPRS Cover Sheet to open Vitals Lite. The Vitals Lite window provides a limited set of Vitals features to CPRS users, and its functionality is supplied by a DLL (Dynamic Link Library) from the Vitals application. See Appendix C in the Vitals User Manual for more information about Vitals Lite and its features. You can view or download the User Manual from the VistA Documentation Library (VDL) at http://www.va.gov/vdl/application.asp?appID=107 T-b.' ?Z???????From the main Vitals Lite window, you can:?;?? ??w????/_V)????????????$5uI?????`^???????z{????? Y?$??????????? ??????????????Enter vitals data Mark vitals as entered in error View vitals data on a graph and grid View a text version of the vitals data grid View a text version of the vitals graph Print the vitals data graph Set graph options View patient demographic information View allergies d=.e' ?z???????If you have access to the CPRS Encounter button, you can: _/?0 0?^????;?????????Enter vitals data through the Notes tab = e 1?????? ? Getting Help8?9 ) "??6????????Getting HelpH? ? l ??????????????????????????io?????????You are currently viewing the online Help file. To see a list of all available Help topics, click the Help Topics button (Alt + T). In the Help Topics popup window, you can use the Index or Find features to search for different topics about Vitals Lite and how to use it. A list of Access Keys and Shortcut Keys is available here.For additional information on the Vitals application, select Help | Vitals Web Page from the main Vitals Lite window. ?9 ? m ??=?????;EF("http://www.va.gov/vdl/application.asp?appID=107",`',1)??????You can also view or download a copy of the User Manual from the VistA Documentation Library (VDL) at http://www.va.gov/vdl/application.asp?appID=107 B? ? 1C
q??????? ?IEnter Vitals Data@? 
) "?.?6????????Entering Vitals Data??? ?
- (?C????????This procedure will help you enter a patient?s vitals from the Vitals Lite window. You can enter vitals for more than one date or time in a single session. :
' ?&???????To enter vitals:Z?
pA P?3?R??^?<?????? ???????1In the Vitals Lite window, click the Enter Vitals button above the graph. The Hospital Location Selector opens. Note: if a hospital location is already associated with this patient, you will skip to step 3.2Click one of the following three tabs to select a location:??rA= H?s?????????????????The Appointments tab lists all appointments for this patient for the last year. prA? Click an appointment to select that clinic location.The Admissions tab lists all existing admissions for this patient. Click an admission to select that hospital location.The Name tab allows you to search for all available hospital locations. Enter the first few letters of the location name to open a list of locations, then click one to select it. 5p?B3 4??R??^?<???????3The Enter Vitals window opens, displaying the selected patient?s Name, SSN, and DOB at the top of the window, along with the selected Hospital Location and current Date/Time. To use a different location, date/time, or template for this set of vitals: ?rA?DD V??????????????????????Click the Read Monitor button to retrieve vital sign readings from a vital sign monitor (VSM) connected to the workstation.Click the Date/Time button to select a different date or different time.Click the Hospital Location button to select a different location.Click the Exp. View button to display or hide the Templates panel. To select a template, click any template name in the list. If no template has been selected, the default System template will be used.???B?E. *?m????<?????You can also display or hide the latest vitals on file for this patient by clicking the Latest V. button. The vitals data will be shown at the bottom of the Enter Vitals window.??D?F3 4???R??^?<???????4Type a value for each vital sign or measurement, then press Enter to move to the next field. If you would like to select a different qualifier for a vital sign, click the down-arrow button to display a list of its qualifiers. ?i?EdG3 6??????<??>Z4?????To enter a non-numeric value for a particular vital sign or measurement, use one of these options.???FH3 4??R??^?<???????5Click Save. To enter additional vitals for this patient, repeat steps 4?6 using a different date, time, and/or location. ?dG(I5 8??????<????????To discard the vitals you have entered, click Cancel. You will be prompted to confirm the cancellation.When you are finished entering vitals for this patient, click Save and Exit. The Enter Vitals window closes.3 H[I' ????????Also see:?C(I?I= J??????$5uI?????????????Viewing Vitals Data Marking Vitals as Entered in Error L'J1E ??????'J,?Enter Vitals from Notes tabN%?IuJ) "?J?6????????Entering Vitals from the Notes tab?I'JLF Z??????????????/_V)?????For CPRS users who have access to the Encounter button, the Enter Vitals window can also be opened from the Notes tab. This method will skip the main Vitals Lite window.If you don?t have access to the Encounter button, see Entering Vitals Data for instructions on accessing Vitals Lite through the CPRS Cover Sheet.?uJME X???R??^?<?????????????1In CPRS, go to the Notes tab and then click the Encounter button. In the Location For Current Activities window, select an existing appointment or admission, or create a new visit, then click OK.?cL?M9 B??????<?????????In the Encounter Form window, go to the Vitals tab and then click the Enter Vitals button.5M?N3 4??R??^?<???????2The Enter Vitals window opens, displaying the selected patient?s Name, SSN, and DOB at the top of the window, along with the selected Hospital Location and current Date/Time. To use a different location, date/time, or template for this set of vitals: ??M?D V??????????????????????Click the Read Monitor button to retrieve vital sign readings from a vital sign monitor (VSM) connected to the workstation.Click the Date/Time button to select a different date or different time.Click ?N??Ithe Hospital Location button to select a different location.Click the Exp. View button to display or hide the Templates panel. To select a template, click any template name in the list. If no template has been selected, the default System template will be used.???N??. *?m????<?????You can also display or hide the latest vitals on file for this patient by clicking the Latest V. button. The vitals data will be shown at the bottom of the Enter Vitals window.???3 4???R??^?<???????3Type a value for each vital sign or measurement, then press Enter to move to the next field. If you would like to select a different qualifier for a vital sign, click the down-arrow button to display a list of its qualifiers. ?i????3 6??????<??>Z4?????To enter a non-numeric value for a particular vital sign or measurement, use one of these options.???i?3 4??R??^?<???????4Click Save. To enter additional vitals for this patient, repeat steps 4?6 using a different date, time, and/or location. ???y?5 8??????<????????To discard the vitals you have entered, click Cancel. You will be prompted to confirm the cancellation.When you are finished entering vitals for this patient, click Save and Exit. The Enter Vitals window closes.3 i???' ????????Also see:?Cy?,?= J??????$5uI?????????????Viewing Vitals Data Marking Vitals as Entered in Error K??w?1V ??o
????w???Set Graph and Grid OptionsA,???) "?0?6????????Setting Graph Options??w???8 >?a?????$5uI???
?????In the main Vitals Lite window, any existing vitals data values for the selected patient are displayed in a graph and a grid on the right side of the window. See Viewing Vitals Data for information about a selecting date range or graph type.You can customize the graph by setting the Graph Options checkboxes, changing the zoom percentage, or changing the background color of the graph. The data grid cannot be customized.????' ?0???????To set graph options:?q????8 @???R??^?<?????????1From the File menu, select Show/Hide Graph Options. Four checkboxes open on the left side of the graph:9????d ????R??^?b? ?????? ?????U??&??? ??? ?????????Click the Values checkbox to display a numeric label for each point on the graph. ?Click the Time Scale checkbox to view the graph in actual time instead of in evenly distributed intervals. You can click on a data value in the graph to see additional information about the vitals that were entered that day.?Click the 3D checkbox to create a 3D effect on the graph. This option is only available when the Time Scale checkbox has been checked.?M??O?A R???R??^?b? ?????W?3??? ????Click the Allow Zoom checkbox to zoom the graph view in or out. &???u?S t???R??^?<???????????????????2To change the zoom percentage, enter a new value in the Zoom Percent text box. This value defines the "zoom in" and "zoom out" buttons (the two magnifying glass icons). Click the Reset Zoom button (the circular red arrow icon) to reset the Zoom Percent box to its default value (10).3To change the background color of the graph, choose Select Graph Color from the File menu. Click a color in the palette, then click OK to apply the color setting. 3 O???' ????????Also see:?fu?W?I b??????$5uI????? Y?$??????z{?????Viewing Vitals Data Printing the Vitals Graph View a text version of the vitals graph +????( ??2???????S"W??1n??????????Viewing the Graph as a Text ReportN%??/?) "?J?6????????V?/???iewing the Graph as a Text Report?????( ?5???????You can view data for the selected vitals in a text-only report format. This information is read-only and cannot be edited or printed from this window.??/???9 @?+?R??d?6?????????1In the main Vitals window, select Graph Report from the File menu. A report screen opens, showing a text version of the data in the graph. ?\??G?, (???R??d?6?????2To view more or less information, select a different vitals in the main Vitals window.a/????2 4?^?R??d?6???????3Click Close to close the report window.+G???( ??2???????)????& ???????B??>?1?o
G?????>?|?Viewing Allergies=??{?) "?(?6????????Viewing Allergies??>?A?' ????????You can view allergy information for the selected patient in the main Vitals Lite window. This information is read-only and cannot be edited in Vitals Lite.?{?S?A P???R??^?<?????????????1In the top Vitals menu bar, click the Allergies button. An Allergy Display screen opens, listing any allergies that have been reported for this patient. 2Click Close to close the Allergy window.)A?|?& ???????X'S???1??????????s?Viewing Patient Demographic InformationS*|?'?) "?T?6????????Viewing Patient Demographic Information??????' ?I??????You can view a Patient Inquiry report for the selected patient in the main Vitals Lite window. This information is read-only and cannot be edited in Vitals Lite.X'?J?U x??R??^?T?????????????????????1From the File menu, select Patient Inquiry. A patient inquiry report screen opens, listing all available demographic information for this patient. 2Click Print to print the patient inquiry report.3Click Close to close the report window.)??s?& ???????MJ???1?G???????????Viewing the Data Grid ReportHs??) "?>?6????????Viewing the Data Grid Report???
?' ????????You can view existing vitals data for the selected patient in a text-only report format. This is the same information that is displayed in the data grid. It is read-only and cannot be edited or printed from this window.?g???[ ????R??^?T????????????$5uI???????????1In the main Vitals Lite window, select Data Grid Report from the File menu. A report screen opens, showing a text version of the data in the data grid. 2To view more or less information, select a different date range in the main Vitals Lite window. See Viewing Vitals Data for more information.3Click Close to close the report window.)
???& ???????S"??K?1??? ????K??Marking Vitals as Entered in ErrorN%????) "?J?6????????Marking Vitals as Entered in Error?VK??- (??????????Vitals data values cannot be deleted once they have been saved ? if incorrect vitals data have been saved, they must be marked Entered in Error and replaced with corrected data. Any data values that have been marked "in error" will continue to be stored in the Vitals database, but will be removed from the patient?s data grid and graph.O(??k?' ?P???????To mark vitals as "Entered in Error":???d[ ??%?R??^?<???????? ???????????????1In the main Vitals Lite window, locate the data value(s) to be corrected. From the File menu, select Entered in Error ?or? click on the Date/Time heading of a column in the data grid. The Entered in Error window opens. 2Click the down-arrow button and select the date of the incorrect data from tk?d??he calendar, or type in the date. A list of vitals data opens, displaying all values for the selected date. 3Click an incorrect value to select it, or use CTRL+ click to select multiple values. In the Reason section, click the reason for the incorrect entry, then click the Mark as Entered in Error button. A confirmation screen opens. ?ek?'^ ????R??^?<??????????????????/_V)???
???4Click Yes to confirm that the selected value has been entered in error. Click No to select a different value. An information screen appears. 5Click OK. All values that have been marked Entered in Error are removed from the data grid and graph. 6If necessary, enter new vitals data for this patient to replace the incorrect values.3 dZ' ????????Also see:r5'?= J?j????/_V)?????$5uI??????Entering Vitals Data Viewing Vitals Data DZ1????
????? Viewing Vitals Data??O) "?,?6????????Viewing Vitals Data??E4 6??????????????In the main Vitals Lite window, vitals data values for the selected patient are displayed on the right side of the window in a graph (top) and a grid (bottom). The time scale runs from left to right, displaying the most recent values on the far right.You can select a date range and a type of graph to narrow down the amount of data to be displayed, and you can also print the graph. To customize the graph display, see Setting Graph Options.AO?' ?4???????To select a date range:a;E?& ?v??????Use one of the following methods to select a date range:????Y ??'?R??^?<? ?????????????? ???????Click a predetermined time frame from the box on the left of the graph. Today displays today?s data only, T-1 displays data for today plus one previous day, T-7 displays data for today plus seven previous days, and so on. All Results displays all available data for the selected patient.?Click Date Range to set a customized date range, then select "Start with" and "Go to" dates. tN?G & ????????All data within the selected date range is displayed in the graph and grid.D?? ' ?:???????To select a type of graph:d>G ? & ?|??????Use one of the following methods to select a type of graph:??? ?
A P?S?R??^?<? ???????? ?????Click a vital type row heading in the grid (for example, Temp or B/P).?Select a graph type from the drop-down list at the bottom left corner of the graph. {U? T & ????????The selected graph opens above the grid, displaying the data values from the grid.I"?
? ' ?D???????To print the vitals data graph:?zT ] F \???R??^?<???????????????1From the File menu, select Print Graph. A standard Print dialog box opens.2Select a printer and click OK. )? ? & ???????M] ? 1??G  ????? .Entering a non-numeric valueH? 
) "?>?6????????Entering a non-numeric valueJ? e; D???????????????Click Patient on Pass to mark all vitals as "Pass" for this date/time.Click the U? checkbox next to any vital sign to indicate that information is unavailable. Click the R? checkbox next to any vital sign to indicate that the patient refused that measurement. ?j
6 <??????<????????Note: The last two options are available only if the Enable U. and/or Enable R. boxes are checked.)e.& ???????5c1???? ????c?BZoom0.?) "??6????????Zoomv0cBF Z?a?????????????????This feature is only available when th?B.e Allow Zoom box is checked.Click the Zoom Graph In button (the magnifying glass icon with the plus sign in the center) or the Zoom Graph Out button (the magnifying glass icon with the minus sign in the center) to expand or narrow down the scale of the graph. For example, if the value in the Zoom Percent box is 10, the Zoom In / Zoom Out buttons will enlarge or shrink the graph by ten percent each time you click the button. Click the Reset Zoom button to reset the Zoom Percent box to its original value.????B( ?o???????To zoom in on a particular section of the graph, you can also click and drag inside the graph to select a range of data points. The selected values expand to fill the graph area. IB=C1?G ??
????=C?EActual Time on the graphD?B?C) "?6?6????????Actual Time on the graph?=C?E0 .?????????????By default, the graph displays data in evenly distributed intervals, corresponding to the columns of the grid below.The Time Scale feature displays data for the entire date range on a single graph, distributed according to the date/time stamp on the data. For example, a data point for January 15 will be closer to a data point for January 16, and a data point in February will be further away. The data in the grid is shown between two blue lines on the graph.C?C?E1???w??????EmHPrint Vitals GraphE?EF) "?8?6????????Printing the Vitals Graphu6?E?G? L?m?????$5uI??????????In the main Vitals Lite window, you can send the vitals data graph to a printer. The graph will be printed as it appears on the screen at the time of printing. See Viewing Vitals Data to select a different date range or graph type, or see Setting Graph Options to change the appearance of the graph.?zFDHF \???R??^?<???????????????1From the File menu, select Print Graph. A standard Print dialog box opens.2Select a printer and click OK. )?GmH& ???????< DH?H1?%???????????H ?Access Keys7mH?H) "??6????????Access KeysR
?H2JE X?????????????????Keyboard shortcuts are available in the main Vitals Lite window, the Enter Vitals window, and in the following secondary popup windows: Entered in Error, Hospital Location, and Date/Time. Shortcut keys and menu access keys for each window are listed below.=?HoJ' ?,???????Vitals Lite window:?12J?J[#??b2??????????.??????F???????Option / Button TextAccess KeyShortcut Key?oJ?K~#?62???????$????$????????$?? ??????2???????File Menu Alt + F?(?J8L|#?P2??????? ????$?????(???$??*??????0???????Patient InquiryACtrl + Alt + Q?)?K?L|#?R2??????? ????$?????*???$??,??????2???????Data Grid ReportDCtrl + Alt + G?%8L~M|#?J2??????? ????$?????"???$??$??????*???????Graph ReportGCtrl + Alt + R?"?LN|#?D2??????? ????$?????*???$??,??????2???????Entered in ErrorNAlt + N?~M?N|#?<2??????? ????$?????"???$??$??????*???????Enter VitalsEAlt + E?NMO|#?62??????? ????$????????$????????$???????AllergiesLAlt + R?&?N ?|#?L2??????? ????$?????$???$??&??????,???????Graph OptionsRCtrl + Alt + OMO ?mH?MO??|#?:2??????? ????$?????.???$??0??????6???????Select Graph ColorC? ?9?|#?02??????? ????$????? ???$??"??????(???????Print GraphPF9????|#?2??????? ????$????????$???????????????ExitX?9?M?p#??22???????$????$????????$???.???$????Help MenuAlt + Hw??_#??02?? ????$?????&???$???,???$????Quick ReferenceQwM?;?_#??02?? ????$?????&???$???,???$????Vitals Web PageVm???_#??2?? ????$????????$??????$????AboutA};?%?a#??82??$????$?????0???$???4???$????Graph / Grid Options?"????_#??D2?? ????$?????.???$???@???$????Date Range selectorAlt + D|%?"?_#??:2?? ????$?????$???$???6???$????Graph selectorAlt + G}????_#??<2?? ????$?????&???$???8???$????Values checkboxAlt + L?""? ?_#??D2?? ????$?????.???$???@???$????Time Scale checkboxAlt + My????_#??42?? ????$????????$???0???$????3D checkboxAlt + 3?" ??_#??D2?? ????$?????.???$???@???$????Allow Zoom checkboxAlt + Z>??X?' ?.???????Enter Vitals window:?1??[#??b2??????????.??????F???????Option / Button TextAccess KeyShortcut Key?X?}?~#?62???????$????$????????$?? ??????2???????File Menu Alt + F???|#?42??????? ????$?????(???$??*??????0???????Patient InquiryQ?}???|#?>2??????? ????$?????2???$??4??????:???????Latest Vitals ReportL??A?|#?.2??????? ????$?????"???$??$??????*???????Read MonitorM????|#?82??????? ????$????????$????????$???????Date/TimeDCtrl + D?A?p?|#?62??????? ????$????????$????????"???????HospitalHCtrl + H????|#?2??????? ????$????????$???????????????SaveS?p???|#?2??????? ????$????????$???????????????ExitX????p#??22???????$????$????????$???.???$????View MenuAlt + Vu????_#??,2?? ????$?????"???$???(???$????Expanded ViewWu???_#??,2?? ????$?????"???$???(???$????Latest VitalsLp??i?_#??"2?? ????$????????$??????$????Enable UUp???_#??"2?? ????$????????$??????$????Enable RR i?X?_#??@2?? ????$?????6???$???<???$????Units as Drop Down ListNm??W#~?,2?????$????????????????TemplatesAlt + TcX?4?G#^?82?????????&?4?mH???????Date/Time buttonAlt + Db???G#^?62?????????$???????Hospital buttonAlt + Hb4???G#^?62?????????$???????Exp View buttonAlt + Wb??Z?G#^?62?????????$???????Latest V buttonAlt + Vb????G#^?62?????????$???????Patient on PassAlt + P\Z??G#^?*2????????????????Enable U.Alt + U[??s?G#^?(2????????????????Enable RAlt + Rj#???G#^?F2?????????4???????Units as Drop Down ListAlt + Ng s?D?G#^?@2?????????.???????Save and Exit buttonAlt + A^????G#^?.2????????????????Save buttonAlt + S^D??G#^?.2????????????????Exit buttonAlt + X_??_?G#^?02????????????????Read MonitorAlt + MB???' ?6???????Entered in Error window:l%_?
?G#^?J2?????????.???????Option / Button TextShortcut Key^??k?G#^?.2????????????????Select DateAlt + Df
???G#^?>2?????????,???????Incorrect Date/TimeAlt + Tdk?5?G#^?:2?????????(???????Incorrect ReadingAlt + Rd????G#^?:2?????????(???????Incorrect PatientAlt + Pa5???G#^?42?????????"???????Invalid RecordAlt + Ek$??e?G#^?H2?????????6???????Mark as Entered in ErrorAlt + M`????G#^?22????????? ???????Cancel buttonAlt + CL%e??' ?J???????Hospital Location selector window:l%??}?G#^?J2?????????.???????Option / Button TextShortcut Keyc???G#^?82?????????&???????Appointments tabAlt + Pa}?A?G#^?42?????????"???????Admissions tabAlt + M[????G#^?(2????????????????Name tabAlt + N`A???G#^?22????????? ???????Select buttonAlt + S`??\?G#^?22????????? ???????Cancel buttonAlt + CD????' ?:???????Date/Time selector window:l%\? ?G#^?J2?????????.???????Option / Button TextShortcut Key\??h?G#^?*2????????????????OK buttonAlt + O` ???G#^?22????????? ???????Cancel buttonAlt + C_h?'?G#^?02????????????????Today buttonAlt + T]????G#^?,2????????????????<<< buttonAlt + <]'???G#^?,2????????????????>>> buttonAlt + >]??>?G#^?,2????????????????Now buttonAlt + Nb????G#^?62?????????$???????Midnight buttonAlt + MW>???G#^? 2????????????????TimeAlt + I)?? ?& ???????1??Q?1Z????????????Q?z?) ?z?& ???????1Q?????1????????????????????KB
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