I don't know how this information gets passed around, so I thought I'd let
people know what's available to me as a VA clinician in the new version. If
this is redundant information, let me know either on the list (I'm not that
sensitive) or back-channel, whichever you prefer.
****************************************************************************
******************
CPRS V25
NEW FUNCTIONALITY
ALLERGY/ADVERSE REACTION TRACKING
· Allergies will no longer appear as orders on the Orders tab but will
continue to appear in the allergies box on the cover sheet as well as be
viewable from the CWAD button on any tab.
· Existing allergies can now be marked as "entered in error", directly
from the
Cover Sheet. Clicking on an allergy will produce a detailed display
window as it
always has, but this window will now include additional buttons for
the new "Add
New" and "Entered in Error" functions. These same functions can be
accessed
Via a right-click menu on the Cover Sheet allergies list.
· Causative agents of type "OTHER ALLERGY/ADVERSE REACTION" and
signs/symptoms of type "OTHER REACTION" will no longer be selectable.
The ART package has also been changed to eliminate these items as
choices, in
the continuing effort to end free-text and unspecific entries.
· When receiving the warning message about entry of a free text
causative agent, the default button has now been set to "NO" rather than
"YES". Additionally, exiting either this screen (or the "free-text comment"
entry screen that follows after clicking "YES") using the system "X" button
to close the window will cancel the action rather than continuing.
· Added "?" button next to "Severity" combo box which provides
definitions of severity levels when clicked.
· A Progress Note is generated when a new observed allergy or adverse
reaction is entered or an allergy is marked entered in error. Once the note
is signed by the user entering/marking in error or by an administrative
update user, the note is viewable by all users.
NON-STANDARD SCHEDULES
· When placing an inpatient medication order, a free text schedule is
no longer allowed. Instead, users must select a valid schedule from
schedule list box or click "OTHER" to create a valid customized, day-week
administrative time schedule. Only inpatient orders with valid schedules
can be used in copy, transfer, and renew operations.
"CLINIC MEDICATIONS" DISPLAY GROUP
· A new "CLINIC MEDICATIONS" display group in IMO (Inpatient
Medication orders for Outpatients) has been created for grouping IMO orders.
On the Orders tab, IMO orders will be displayed under the "Clin.Meds" group.
Users can select Custom Views à Pharmacy à "Clinic medications" to view all
IMO orders. On the Meds tab, IMO orders are displayed at the top of
Inpatient Medication Orders panel, with ordering location information in the
last column. Transfer actions are not allowed for IMO orders.
COVER SHEET/ENCOUNTERS
· Cover Sheet and Encounter Form Date Ranges: Significant changes
have been made to the date ranges for Cover Sheet visits and Encounter
appointments. Previously there were two date range pairs ("Appt Search" and
"Visit Search" Start and Stop date ranges), of which only one in each case
was actually used; those split-pair entries governed only the Cover Sheet
range prior to GUI 23, with a hard-coded date range used for Encounter
Appointments. In response to requests to change the latter, hard-coded date
range for Encounter Appointments was removed and the former, split-pair
entries were implemented for both Cover Sheet and Encounter Appointment date
ranges.
MEDICATION ORDERING
· If a provider enters a schedule that is not included in the schedule
list, the schedule field will remain blank until a valid entry is selected.
· If a provider enters a single character, the software will fill in
the schedule field with the first entry in the schedule list that matches
that character.
ORDERS
· After opening the order dialog and then switching to another tab,
the order dialog was forced to close. This has been fixed.
· When discontinuing a complex order, all child orders were
discontinued. On the "Review/Sign Changes" window or "Sign selected orders"
windows the user was allowed to uncheck each individual child order, leave
some of the child orders signed, and some others unsigned. This has been
fixed. The Provider must now sign all or none of the child orders after a
discontinue action.
-------------------------------------------------------
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