VA View Alerts [XQALERT] Continue [XUCONTINUE] **> Reverse lock ZZLUKE Halt [XUHALT] Restart Session [XURELOG] Time [XUTIME] Where am I? [XUSERWHERE] You have PENDING ALERTS Enter "VA VIEW ALERTS to review alerts Select Consult Service Tracking Option: TBOX User's Toolbox Select User's Toolbox Option: ? Display User Characteristics Edit User Characteristics Electronic Signature code Edit Menu Templates ... Spooler Menu ... Switch UCI TaskMan User User Help Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text. Select User's Toolbox Option: ELectronic Signature code Edit This option is designed to permit you to enter or change your Initials, Signature Block Information, Office Phone number, and Voice and Digital Pagers numbers. In addition, you are permitted to enter a new Electronic Signature Code or to change an existing code. INITIAL: CRS// <Enter> SIGNATURE BLOCK PRINTED NAME: CPRSPROVIDER,SEVEN// <Enter> SIGNATURE BLOCK TITLE: DOCTOR// MD OFFICE 588-5029 ANALOG 4038 DIGITAL PAGER: <Enter> Enter your Current Signature Code: SIGNATURE VERIFIED Your typing will not show. ENTER NEW SIGNATURE CODE: RE-ENTER SIGNATURE CODE FOR VERIFICATION: DONE Select User's Toolbox Option: *NOTE: CONCERNING SPACES IN LAST NAMES OF PROVIDERS SIGNING CONSULTS Providers with last names in VistA containing spaces who sign Consults – especially Consults – should have spaces removed from their VistA last name. In certain situations, spaces in the provider’s VistA last name may cause IFC Consults to fail to complete. Removing spaces from the VistA last will prevent this problem. Space removal can be
SP Select Patient FR Forward CT Complete/Update RT Results Display CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513 RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit Select: Quit// Note: The Consult Closure Tool in VistA can be used to generate a team list of consults with a pending status that potentially need to be closed. The tool can be configured to search for consults by Clinic, Procedure, Service, and Order Item. The resulting list can be reviewed in CPRS, and consults can be closed using the tool within VistA. The Consult/Request Tracking Technical Manual provides instructions on using the tool. 5. The Originating Clinician Receives an Alert that the Consult is Complete After the consult is complete, Notifications sends an alert (via FileMan Alerts) of the completion. This is done while you are in the menu terminal mode, as such: CPRSPATIE (C8829): Completed Consult CAR TIUPATIEN (T2342): Cancelled consult PLM ARTPATIEN Completed Consult GASTROENTEROLOGY CPRSPATIE (C8831): Completed Consult PLM with Sig Findings Enter "VA VIEW ALERTS to review alerts Select Consult Service Tracking Option: To receive an on-screen report of the results, respond as in the following example: Select Consult Service Tracking Option: VA View Alerts 1. CPRSPATIE (C8829): Completed Consult CAR 2. TIUPATIEN (T2342): Cancelled consult PLM 3. ARTPATIEN (A9898): Completed Consult GASTROENTEROLOGY 4. CPRSPATIE Completed Consult PLM with Sig Findings Select from 1 to 4 or enter ?, A I, F, P, M, R, or ^ to exit or RETURN to continue: 3 Processing TIUPATIEN (T8829): Completed Consult PLM Consult/Request Alerts Feb 26, 1999 14:56:57 Page: 1 of 1 TIUPATIENT,TWELVE 666-24-2342 1A/B-1 FEB 3,1923 (74) <CA> Wt.(lb): No Entry Requested St No. Consult/Procedure Request 1 01/08/99 c 1337 PULMONARY Cons
CPRS Released Order PENDING Used in 3.0 to represent a signed/released Consult order from CPRS. Forwarded From X PENDING Incomplete RPT PARTIAL RESULTS Status name has changed from Incomplete RPT. Based on Complete/Update action, and/or TIU actions, if the first consult note is not completed. New Note X PARTIAL RESULTS/ COMPLETE Based on Complete/Update action and/or TIU actions. Consult Action/Status Overview (Continued) TRACKED ACTION TYPE New V.3.0 Update Actions Review Actions RELATED OE/RR STATUS Comment Printed to Based on the original order being signed and released, forwarded, and edit/resubmitted. The SF 513 printed at the Service is accomplished with the Consult package hard-coded format. (OE/RR print templates cannot include results.) Received ACTIVE Schedule X X ACTIVE The Schedule action does not actually schedule an appointment or link to the scheduling package. It does a convenient way to annotate a consult after an appointment has been scheduled by some other means. Service Entered ACTIVE Currently unavailable. Sig Finding Update X X May be used independently from Administrative Complete action from 2.5. Status Change X ACTIVE Used by TIU when a note is disassociated from a consult and there are no other results associated with the it.
action. Alternatively, the originating provider may perform this function from the alert. Q The Quit action all Consults options. Update Actions CT The Complete Request action updates the CPRS status of a consult from Active to Completed. When the patient’s consult review screen is displayed again, both the consult’s current status and the Last Activity field will be updated to indicate that the consult’s new current status is Completed. Complete Request also links you to TIU so that you can enter findings. CX The Cancel (or Deny) Request action may be used by Service personnel to deny a request for completion of a consult/procedure received by their Service. A comment concerning the reason for denial must added when using this action. DC The Discontinue Order action allows Service/Specialty personnel to change an order’s current status and Last Activity field to Discontinued. In addition, a comment may be added concerning the reason for discontinuance. FR Entering the Forward Request allows you to forward a consult or request to any other Service/Specialty, provided that Service/ Specialty has been set up by IRM personnel to receive consults on line. As an example, this action could be used when Cardiology Service has mistakenly received a consult that should have been sent to Hematology Service. MA The Make Addendum action allows one or more people to add their comments to the results of a consult. Contrast this to Add Comment, which adds a note to the consult. RC The Received Request action is used by a Service/Specialty to acknowledge receipt of a new consult/request in the Service and to update the current CPRS status of the consult/request to Active rather than Pending. The Last Activity field on the patient’s review screen will also be updated to indicate that the consult was Received. RM The Remove Medicine Results action is used when a medicine result has been attached to a consult in error. It’s use is restricted, but generally speaking, it can be done by anyone who can attach medicine results. SC The Schedule action can be used by a Service/Specialty to annotate a consult that an appointment has been scheduled for the patient. (It does not schedule an appointment or link to the Scheduling Package.)
ED Edit A Field RS ReSubmit Consult Select Item/Action:Quit// ED Edit A Select the fields to edit: 7 Provisional Diagnosis: Angina Edit Consult Order Feb 26, 1999 16:06:16 Page: 2 of 2 Edit Consult for Patient Consult Number: 1336 Sending Provider: + Field Name Current Field Contents 4 URGENCY: Routine 5 PLACE OF CONSULTATION: 6 ATTENTION (CONSULTANT): 7 PROVISIONAL DIAGNOSIS: Angina 8 REASON FOR REQUEST: Pt has trouble breathing. 9 COMMENT(S): (Add Only) ADDED COMMENT (Not Editable) Entered: Jan 11, 1999 BY: CPRSPROVIDER,TWO Testing, more testing. ?? for more actions ED Edit A Field RS ReSubmit Consult Select Action: Quit// <Enter> QUIT (Continued on the next page.) This Consult Has Not Been Resubmitted!! Resubmit Or All Edits Will Be Lost!! Do you wish to resubmit now? ? YES// Y YES Resubmitting Consult ... One moment please ... Filing Tracking Data... 1. CPRSPATIE (C3456): Discontinued consult to CAR 2. CPRSPATIE (C2432): Completed Consult CAR Select from 1 to 2 or enter ?, A I, F, P, M, R, or ^ to exit or RETURN to continue: Special Considerations for Discontinued Orders When an order is Discontinued, who gets the notification depends on the source of the discontinuation. This is dependent on the NOTIFY ON DC field in file 123.5 for the service to which the consult was directed. This field is set by the Set up Consult Services (SS) command of the Consult Management Option.
CPRSPROVIDER,ONE 18 COMMUNITY CARE-ADMIN-CARDIAC 10 COMMUNITY CARE-DS-CARDIAC 8 TOTAL 100 ?? for more actions Select Action:Quit// UCID Display In patch 96 a new field was created to track Community Care Consults. The field is #80 (UNIQUE CONSULT ID aka UCID) in file #123 (REQUEST/CONSULTATION). Patch 110 displays the UCID in the Consult Details at the top: Cancelled to Discontinued Consults the installation of the GMRC*3.0*113 patch, the CSLT CANCELLED TO DISCONTINUED parameter will be set as follows: Is the overnight cancel to discontinue job active? = NO How many days back to start with? = 31 How many days back to end with? = 365 This parameter steers the overnight job, GMRC CHANGE STATUS X TO DC, by the date range specified in fields 2 and 3 of the multi-valued parameter. By default, upon installation, the Is the overnight cancel to discontinue job active? field is set to NO which means that it is disabled. The site is responsible for deciding if the overnight job should run, and setting it to “YES” to enable it. The overnight job then looks for consults that have been cancelled during this period, and discontinues them by calling the $$DC^GMRCGUIA API. It is possible for specific users on a VistA site to change the date range prescribed by these parameters by adjusting the “How many days back to start with?” and the “How many days back to end with?” parameters with the following. However, if the Is the overnight cancelled to discontinued job active? parameter is set to NO the other two questions will not be asked. Select OPTION NAME: GMRC CX TO DC PARAMETER EDIT GMRC CX TO DC PARAMETER EDIT GMRC CX TO DC PARAMETER EDIT Is the overnight cancelled to discontinued job active? YES// How many days back to start with: (0-99999): 31// 15 09/12/2018 How many days back to end with: (15-999999): 365// 420 08/03/2017 New contents of parameter: