Preface Typographical Conventions Used in the Manual Throughout this document, the following fonts and other conventions are used: Table 1 – Typographical Conventions Font Used for… Examples: Blue text, underlined Hyperlink to another document or URL Green text, dotted underlining Hyperlink within this document See Release History for details. Courier New Patch names, VistA filenames Patch names will be in this font Franklin Gothic Demi Keyboard keys Web application panel, pane, tab, and button names < F1 >, < Alt >, < L > Other Registries panel [Delete] button Microsoft Sans Serif Software Application names Traumatic Brain Injury (TBI) Microsoft Sans Serif bold Registry names TBI Database field names Mode Report National Summary Report Organization and Agency DoD, VA Microsoft Sans Serif, 50% gray and italics Read-only fields Procedures Times New Roman Normal text Information of particular interest Times New Roman Italic Text emphasis “It is very important . . .” National and International Standard names International Statistical Classification of Diseases and Related Health Problems Document names Traumatic Brain Injury (TBI) Registry User Manual Table 2 – Graphical Conventions Graphic Used for… Information of particular interest regarding the current subject matter. A tip or additional information that may be helpful to the user. A warning concerning the current subject matter. Information about the history of a function or operation; provided for reference only. Indicates an action or process which is optional Indicates a resource available either in this document or elsewhere Command Buttons and Command Button/Icon Description
To start TBI Instruments, follow these steps: Log into CPRS On the tool bar, select Tools > TBI Instruments. The TBI Instruments Patient Confirm page This confirms the patient name and SSN match in the TBI Registry. Instrument Screen The TBI Instruments > Confirm Patient and Select Instrument screen displays. Confirm the patient name and SSN match in the TBI Registry. Figure 1 – View Instruments / Select Instrument Click one of the View Instruments report buttons or select the appropriate Instrument you want to administer from the list by clicking the [Select] button.TBI Instrument Association TBI View Instruments Reports The TBI Instruments > View Instrument Reports displays two buttons ‘View Last Three Instruments’ and ‘View All Instruments’ which link to reports for either the last three instruments on record or all of the instruments on record for that specific patient. Both Pages offer a Standard Title Bar that can be used to Zoom, Search, Export, Refresh and Print Data from the pages. When on the View Notes Page a left hand arrow <- is enabled which allows the User to go back to the previous page versus the landing page. The large Back Button on the bottom of the pages always returns the user to the Landing Page in which they will need to re-type the patient’s Social Security Number to search for Instruments once again. TBI View Last Instruments Button The TBI Instruments > View Last Three Instruments displays the current patient’s last three TBI Instruments report. Figure 2 – Last Three Instruments Report TBI View All Instruments Button The TBI Instruments > View All Instruments displays all the patient’s TBI Instruments report.
Figure 13 – Comprehensive TBI Evaluation Part 2 Figure 14 – Comprehensive TBI Evaluation Part 3 Figure 15 – Comprehensive TBI Evaluation Part 4 Figure 16 – Comprehensive TBI Evaluation Part 5 Figure 17 – Comprehensive TBI Evaluation Part 6 Figure 18 – Comprehensive TBI Evaluation Part 7 Figure 19 – Comprehensive TBI Evaluation Part 8 Figure 20 – Comprehensive TBI Evaluation Part 9 Figure 21 – Comprehensive TBI Evaluation Part 10 Figure 22 – Comprehensive TBI Evaluation Part 11 Figure 23 – Comprehensive TBI Evaluation Part 12 Figure 24 – Comprehensive TBI Evaluation Part 13 Figure 25 – Comprehensive TBI Evaluation Part 14 Figure 26 – Comprehensive TBI Evaluation Part 15 Figure 27 – Comprehensive TBI Evaluation Part 16 Select [Save to save the information entered even if it is incomplete or in the event the user wishes to review the data again prior to completing the note. Select [Save and Prepare Note] to preview the note. [Cancel] to reset the questionnaire.
The application reformats the information entered into the questionnaire and displays the resulting report. The instructions on the screen suggest the user review the newly formatted content. If the user wants to make changes to the material, the user should click [Cancel] button and re-enter the answers. If the content is correct, the user clicks the [Submit Note] button. Be aware that once the note is submitted, it is no longer editable within the TBI Instruments application and any updates will have to be made within CPRS. The clinician must sign the note in CPRS. TBI Follow-Up Assessment Screen The TBI Follow-Up Assessment questionnaire is similar to the Comprehensive TBI Evaluation. Select the appropriate response for each patient. Figure 28 – TBI Follow-Up Assessment Screen Part 1 Figure 29 – TBI Follow-Up Assessment Screen Part 2 Figure 30 – TBI Follow-Up Assessment Screen Part 3 Figure 31 – TBI Follow-Up Assessment Screen Part 4 Figure 32 – TBI Follow-Up Assessment Screen Part 5 Figure 33 – TBI Follow-Up Assessment Screen Part 6 Figure 34 – TBI Follow-Up Assessment Screen Part 7 Figure 35 – TBI Follow-Up Assessment Screen Part 8 Figure 36 – TBI Follow-Up Assessment Screen Part 9
Figure 104 – Counts by Clinical Presentation Figure 105 – Alteration of Conciousness Counts Figure 106 – Loss of Conciousness Counts Figure 107 – Post Traumatic Amnesia Counts Figure 108 – Mechanism of Injury Counts Figure 109 – Counts by Survey Type Report Definitions Figure 110 – Surveys by Gender Counts Figure 111 – OEF/OIF Counts Figure 112 – Surveys by Age Counts