Home

Text Integration Utilities (TIU) Technical Manual

1. PACKAGE TEXT INTEGRATION UTILITIES 1 0 Jan 21 1997 3 34 pm PAGE 1 COMPLETED ELAPSED STATUS Install Completed DATE LOADED JAN 21 1997 12 49 03 INSTALLED BY CPRSPROVIDER FIVE NATIONAL PACKAGE TEXT INTEGRATION UTILITIES INSTALL STARTED JAN 21 1997 12 49 53 12 52 26 0 02 33 ROUTINES 12 50 06 0 00 13 FILES HEALTH SUMMARY TYPE 12250617 0 00 11 TIU DOCUMENT 12 50 24 0 00 07 TIU DOCUMENT DEFINITION 12350329 0 00 05 TIU UPLOAD BUFFER 12 50 29 TIU UPLOAD ERROR DEFINITION 12 50 29 TIU UPLOAD LOG 12 50 30 0 00 01 TIU AUDIT TRAIL 12 50 30 TIU STATUS 12750331 0 00 01 TIU MULTIPLE SIGNATURE 12 50 31 TIU SEARCH CATEGORIES 12350331 TIU PROBLEM LINK 12350232 0 00 01 TIU EXTERNAL DATA LINK 125032 TIU PRINT PARAMETERS 12 50 33 0 00 01 May 2012 Text Integration Utilities V 1 0 Technical Manual 241 242 TIU DIVISION PRINT PARAMETERS TIU DOCUMENT PARAMETERS TIU CONVERSIONS TIU PERSONAL DOCUMENT TYPE LIST TIU PARAMETERS TIU PERSONAL PREFERENCES PATIENT POSTING SITE PARAMETERS BULLETIN n ECURITY KEY FUNCTIO PRINT TEMPLATE INPUT TEMPLATE
2. First we ll try an EXCLUSIVE match i e ALL conditions met 1 NUTRITION DIETETICS ADMINISTRATIVE NOTE 2 UTRITION DIETETICS CONSULT 3 NUTRITION DIETETICS DIAGNOSTIC INTERVENTION PROCEDURE REPORT 4 NUTRITION DIETETICS DISCHARGE NOTE 5 UTRITION DIETETICS E amp CONSULT Press lt RETURN gt to see more to exit this list OR CHOOSE 1 5 6 NUTRITION DIETETICS E amp M NOTE 7 UTRITION DIETETICS EDUCATION CONSULT 8 UTRITION DIETETICS EDUCATION NOTE 9 NUTRITION DIETETICS EDUCATION REPORT 10 NUTRITION DIETETICS GROUP COUNSELING NOTE Press lt RETURN gt to see more to exit this list OR CHOOSE 1 10 6 NUTRITION DIETETICS E amp NOTE I found a match of NUTRITION DIETETICS E amp M NOTE OK Yes lt Enter gt YES Ready to map LOCAL Title NUTRITION ECU QUARTERLY to VHA Enterprise Standard Title NUTRITION DIETETICS E amp M NOTE For the LOCAL Title May 2012 OK Yes lt Enter gt YES Done Text Integration Utilities V 1 0 Technical Manual NUTRITION FOLLOWUP NOTE 137 The following is an example of Selected Title Map Enter RETURN to continue or to exit 1 Map ACTIVE LOCAL Titles 2 Selected Title Map 3 Mapping Workbench 4 Add Edit Synonyms Select Title Mapping Utilities Option
3. n lines rest of line not checked ELIGION cannot be found User uppercase and use object s exact name Objects name print name abbreviation may have changed IGION is not active IGION lacks an object method IGION is ambiguous Can t tell which object is intended ELIGION Patient s Home address But none of these messages apply to us e Exit the editor The document is deleted Saving text lt NOTHING ENTE EMOGRAPHIC NOTE May 2012 Text Integration Utilities V 1 0 Technical Manual 345 Making the Object More Realistic Now that we have the basic idea we ll write an object method that actually gets the patient s religion We ll imitate the PATIENT AGE object which has the object method S X S SAGE TIULO DFN Note that again the object method sets the variable X This time the object depends on the patient The variable DFN is the internal entry number in the Patient File DPT Its value is known to the system at the time a document is entered on a particular patient This object method calls the TIULO routine exported with the TIU package and sets X egual to the value of the function AGE TIULO That code looks like this TIULO SLC JER Embedded Objects 9 28 95 16 26 1 0 TEXT INTEGRATION UTILITIES Mar 05 1997 AGE DFN Patient AGE I SD VADM 4 D DEM TI
4. 2 Sort Document Definitions TIUFA SORT DDEFS CLIN 3 View Objects TIUFJ VIEW OBJECTS CLIN TIU Conversions Menu TIU CONVERSIONS MENU T 1 Convert Discharge Summaries BE CERTAIN TIU DISCHARGE SUMMARY CONVERT CV Run Restart DS Conversion BE O ERTAIN TIU DISCHARGI Fl SUMMARY CONVERT gt 55 SG Single Discharge Summary Conversion TIU GMRD CONVERT SINGL Fl 2 Progress Note Conversion TIU GMRPN CONVERSION R CV Convert Progress Notes TIU GMRPN CONVERT 2 PM Monitor Progress Note Conversion TIU GMRPN MONITOR 22 HC Halt Progress Note Conversion TIU GMRPN HALT RS Restart Progress Note Conversion TIU GMRPN RESTART SG Single Progress Note Conversion TIU GMRPN SINGLE FC Final Pass Progress Notes Conversion TIU GMRPN FINAL 160 Text Integration Utilities V 1 0 Technical Manual May 2012 3 Initialize Membership of User Classes USR INITIALIZE May 2012 Text Integration Utilities V 1 0 Technical Manual 161 TIU Menus cont d TIU Maintenance Menu TIU IRM MAINTENANCE MENU 1 TIU Parameters Menu TIU 1 Basic TIU Parameters TIU SET UP MENU BASIC PARAMETER EDIT SSS E 2 Modify Upload Parameter
5. Max Hos ICD Pro CPT Abb Ord Component Name Occ Time Loc Text Nar Mod Selection DCS 5 Discharge Summary tY II 10 Radiology Impression 1Y CH 15 Chem amp Hematology tY CY 20 Cytopathology 1Y SR 25 Surgery Reports 1Y YES SP 30 Surgical Pathology 1Y Disabled Components Enter RETURN to continue or to exit g Note This action is only available from the HS Object Display screen It is provided so that you can explore Health Summary types while working with HS Objects Edit HS Type This action is the same as Create Modify Health Summary Type in the Health Summary package See the Health Summary User Manual for details You may only edit a Health Summary Type that you own originally created If you attempt to edit a type created by another the system will display the following message You cannot edit a Health Summary Type you don t own 388 Text Integration Utilities V 1 0 Technical Manual May 2012 Index 121 2 9 128 192 8925 9 11 25 27 28 111 117 147 178 184 8925 1 9 31 111 112 129 147 165 175 230 231 239 8925 2 112 132 8925 3 112 132 8925 4 112 132 8925 5 112 132 8925 6 112 132 8925 7 112 133 8925 8 113 133 8925 9 113 133 8925 91 113 133 8925 93 63 64 65 113 134 8925 94 64 113 134 8925 95 113 134 8925 97 113 134 8925 98 113 134 8925 99 113 135 8925 8926 159 8926 113 135 136 137 138 139 8927 139 May 2012 8927 1
6. BLANK CHARACTER STRING This is a special string of characters which should be used by the transcriptionist to represent a blank i e a word or phrase in the dictation which could not be understood and included in the transcription BLANK CHARACTER STRING START OF ADD SGNR ALERT PERIOD This is the start date for evaluating documents that have overdue Additional signatures The value must be in a FileMan date range format 22 Text Integration Utilities V 1 0 Technical Manual May 2012 such as 6D 3W or 4M If this field is left blank all documents evaluated that have a date less and the END OF ADD SGNR ALERT PERIOD date will be included Since the addition of the LENGTH OF SIGNR ALERT PERIOD parameter this Field should be set to the same value as that field If LENGTH OF SIGNER ALERT PERIOD is left blank then set this field to 12M the default value of the LENGTH OF SIGNER ALERT PERIOD when no value is entered LENGTH OF SIGNER ALERT PERIOD determines how far back in time Documents ar valuated START OF ADD SGNR ALERT PERIOD 12M END OF ADD SGNR ALERT PERIOD This is the length in time from the current date that the TIU NIGHTLY TASK will stop regenerating alert for overdue additional signatures m The value must be in
7. e Select a TEST PATIENT e Select the title Select PATIENT NAME CPRSPATIENT THREE 09 12 44 000000003 YES SC VETERAN 2 notes C 02 24 97 08 44 1 note W 02 21 97 09 19 A Known allergies Available note s 11 07 96 thru 03 05 97 23 Do you wish to review any of these notes NO lt Enter gt Personal PROGR ESS NOT ES Title List for ME 1 CRISIS NOTE 2 ADVANCE DIRECTIVE 3 Other Title 1 3 1 3 p CRISIS NOTE DEMOGRAPHICS NOTE TITLE Creating new progress note Patient Location Date time of Visit Date time of Note Author of Note OK YES lt Enter gt Calling text editor WRAP INSERT May 2012 2B 04 18 96 1 NOW CPRSPROVID please wait lt Patient 0 00 ER NINE CPRSPATI Text Integration Utilities V 1 0 Technical Manual gt lt PF1 gt H Help 361 Patient s religious preference UNITARIAN UNIVERSALIST Patient s home address e Exit your editor Saving text No changes made e Don t sign it You ll want to delete it later since it s a test note Enter your Current Signature Code lt Enter gt OT SIGNED Press RETURN to continue lt Enter gt Print this note No lt Enter gt NO You may enter another Progress Note Press RETURN to exit Select PATIEN
8. END OF MESSAGE SIGNAL This is the free text signal to the upload process that the entire transmission is successfully finished and no more lines of data need to be read from the input stream END OF MESSAGE SIGNAL END UPLOAD HEADER FORMAT This field determines whether the ASCII protocol upload router filer will xpect delimited string or captioned formats for the header of each report May 2012 Text Integration Utilities V 1 0 Technical Manual 29 Modify Upload Parameters Choose from Cc captioned D delimited string UPLOAD HEADER FORMAT captioned RECORD HEADER SIGNAL 2 This is a free text signal to the upload process that a new report record header has been encountered It may be as simple as the three character string MSH or as complex as HEADERBEGIN The signal used by the Surgery Package option to transmit operative notes i e will also O RECORD HEADER SIGNAL MSH BEGIN REPORT TEXT SIGNAL This is the signal to the upload processor that the fixed field header for a given report record has been fully read and that the body of the narrative report follows BEGIN REPORT TEXT SIGNAL TXT RUN UPLOAD FILER IN FOREGROUND This parameter specifies whether the filer for the upload process should be run in the foreground rather than in the background i e as a Task If no preference is specified the default will
9. TRANSFORM CODE lt Enter gt EXAMPLE ENTRY lt Enter gt CLINICIA UST DICTATE Y YES REQUIRED FIELD Y YES Select CAPTION DICTATED BY CAPTION DICTATED BY lt Enter gt ITEM NAME DICTATING PROVIDER lt Enter gt FIELD NUMBER 1202 lt Enter gt LOOKUP LOCAL VARIABLE NAME lt Enter gt TRANSFORM CODE lt Enter gt EXAMPLE ENTRY CPRSPROVIDER ONE M D Replace lt Enter gt CLINICIAN MUST DICTATE YES lt Enter gt REQUIRED FIELD Y YES Select CAPTION DICTATION DATE CAPTION DICTATION DATE lt Enter gt ITEM NAME DICTATION DATE lt Enter gt FIELD NUMBER 1307 lt Enter gt LOOKUP LOCAL VARIABLE NAME TIUDICDT lt Enter gt TRANSFORM CODE lt Enter gt EXAMPLE ENTRY 04 03 97 lt Enter gt CLINICIAN MUST DICTAT YES lt Enter gt REQUIRED FIELD Y YES Select CAPTION ATTENDING PHYSICIA CAPTION ATTENDING PHYSICIAN lt Enter gt ITEM NAME ATTENDING PHYSICIAN lt Enter gt FIELD NUMBER 1209 lt Enter gt 34 Text Integration Utilities V 1 0 Technical Manual May 2012 LOOKUP LOCAL VARIAB
10. Enter a New TIU OBJECT NAME KR MED BRIEF Object Name KR MED BRIEF Is this correct YES lt Enter gt YES Use a pre existing set of Health Summary Object NO YES Enter the name of the Health Summary Object KR MED BRIEF Create a TIU Object named KR MED BRIEF Ok YES lt Enter gt TIU Object created successfully 378 Text Integration Utilities V 1 0 Technical Manual May 2012 Enter RETURN to continue lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 379 TIU Health Summary Object Jan 03 2003 11 20 10 Page dof 2 TIU Object Name Health Summary Type 1 AJB TEST OBJECT ANEHEIM 2 A TEST 9 ZZ HEALTH SUMMARY 3 A TEST DATE HEAD ZZ HEALTH SUMMARY 4 A TEST OBJ VISITS 5 A TEST OBJECT ZZ HEALTH SUMMARY 6 A TEST4 XRAY 7 BDV EDUCATION ZZ HEALTH SUMMARY 8 BDV LABS VISITS 9 CLINICAL MAINTENANCE CLINICAL MAINTENANCE 10 HS TEST IMPORT XRAY 11 KR MED BRIEF Medicine Brief 12 LAB SEL 1 Selected Labs Diabetes 13 MY RESP DEM 14 PODIATRY AC CLINICAL SUMMARY Enter for more actions Create New TIU Object Find Detailed Display Edit TIU Object Detailed Display Edit HS Object Quit Select Action Next Screen Second Example In the following example we use the Create TIU Health S
11. O Why can t we use extended ASCII characters e g gt A etc in our documents to be uploaded A These alternate character sets are not standardized across operating systems and your MUMPS system may not be set up to store them May 2012 Text Integration Utilities V 1 0 Technical Manual 297 FAQs cont d Questions about Reports and Upload Q At present we put all discharges in the Discharge Summary package We do allow Spinal Cord Injury to put interim summaries in on their patients every 6 months or annually These reports stack up under the admission date and are all under that one date upon discharge When patients are transferred to the Intensive Care Units they may have a very long complicated summary to describe the care while in the unit This should be an interward transfer note but some of our physicians feel that due to the complexity of care delivered in the unit this should be included in their Discharge Summary BUT should have its own date episode of care I realize that the interward transfer note is a progress note and very few of our physicians are using progress notes Our physicians seem to want to have that interward transfer information in these complex cases attached to the Discharge Summary My question is will TIU offer us anything different that will satisfy our physicians I still do not have a mental picture of what it will look like when I go to look up a DCS or PN from the TIU pack
12. You can then add to the text and or edit the text including the age 56 of the patient From this point on the patient age 56 is regular text and is not updated in this note Objects must always have uppercase names abbreviations and print names When embedding objects in boilerplate text you may embed any of these three name abbreviation print name in on both sides Objects must always be embedded in boilerplate text enclosed by an uppercase Objects are stored in the DOCUMENT DEFINITION File but are not part of the Hierarchy They are accessible through the options Create Objects and Sort Document Definitions by selecting Sort by Type and selecting Type Object TIU exports a small library of Objects Sites can also create their own May 2012 Text Integration Utilities V 1 0 Technical Manual 259 Only an owner can edit an object and should do so only after consulting with others who use it The object must be Inactive for editing It should be thoroughly tested See Object Status under Status Entries of type Object cannot be changed to any other type Entries of type Class Document Class Title or Component cannot be changed to type Object Type is a BASIC field SHARED Components may be designated SHARED by Owners who have the Manager menu This means the Component can be an item under multiple parents and anyone who owns a Title can add it as an item 260 Text Integration Utilities V 1 0 Techni
13. ENABLE ELECTRONIC SIGNATURE YES When set to 1 electronic signature will be enabled Prior to enabling electronic signature it will be assumed that signatures are to be written on the chart copy of VAF 10 1000 Choose from 1 YES 0 NO ENABLE ELECTRONIC SIGNATURE YES lt Enter gt ENABLE NOTIFICATIONS DATE OCT 1 1996 Examples of Valid Dates JAN 20 1957 or 20 JAN 57 or 1 20 57 or 012057 May 2012 Text Integration Utilities V 1 0 Technical Manual 19 T for TODAY T 1 for TOMORROW T 2 T 7 etc T T 1 for YESTERDAY T 3W for 3 W EKS AGO etc If the year is omitted the computer uses the CURRENT YEAR When set to a valid date notifications of Documents which are available or overdue for signature will be sent to the user whose signature is missing i e either author or attending physician ENABLE NOTIFICATIONS DATE OCT 1 1996 lt Enter gt GRACE PERIOD FOR SIGNATURE 7 las This is the number of days following transcription before an author or Attending Physician will be notified of a deficiency GRACE PERIOD FOR SIGNATURE 7 lt Enter gt GRACE PERIOD FOR PURGE 100 This is the number of days following transcription for which a report will be kept prior to purge GRACE PERIOD FOR PURGE
14. gt gt gt Find Detailed Display Edit Copy Change View Try Quit Create Owner Select Action Next Screen CO Copy Select Entry to Copy 1 14 2 Copy into different Name ACTIVE MEDICATIONS RECENTLY EXPIRED MEDS OBJECT copied into File Entry 1110 Press RETURN to continue or or to exit Please test the copy object and activate it when it in boilerplate text TAAI lt Enter gt it is ready for users to embed Press RETURN to continue or or to exit lt Enter gt Objects Oct 06y 1999 1011 36 Page 5 of 6 Objects Status 61 RECENTLY EXPIRED MEDS I 62 RESPIRATIO A 63 SGOT A 64 TEMPERATURE A 65 TEST ACTIVE MEDS I 66 TEST AGE I 67 TEST NOTES I 68 TEST OBJECT 69 TODAY S DATE A 70 TSH T4 A 71 URIC ACID A 72 VISIT DATE A Help gt ScrollRight PS PL PrintScrn List gt gt gt Find Detailed Display Edit Copy Change View Try Ouit 374 Text Integration Utilities V 1 0 Technical Manual May 2012 Create Owner Select Action Quit DE 61 Select Entry 61 72 Detailed Display Edit Detailed Display Oct 06 1999 10 11 46 Page 1 of 1 Object RECENTLY EXPIRED MEDS Basics Name RECENTLY EXPIRED MEDS Abbreviation Print Name
15. lt 5 Statistical Reports LIU gt gt gt gt gt gt gt gt gt TR TRANSCRIPTIONIST Line Count COUNT HP Se StS SSeS oS Ss Se Se SSS Saas AU AUTHOR Line Count Statistics UTHOR ine Count Statistics ERVICE Fl 157 14 TIU 215 ANALYSIS TIU 215 ANALYSIS 15 Transcription Billing Verification Report TIU VBC LINE COUNT REPORT 158 Text Integration Utilities V 1 0 Technical Manual May 2012 Text Integration Utilities Remote User TIU MAIN MENU REMOTE USER 1 Individual Patient Document TIU BROWS E DOCUMENT READ ONLY 2 Multiple Patient Documents TIU REVIEW SCREEN R EAD ONLY Progress Notes Print Options TIU PRINT PN PT Patient Print Progress Notes TIU PRINT PN PT Author Print Progress Notes TIU PRINT PN AUTHOR Location Print Progress Notes TIU PRINT PN LOC MAS Progress Notes Print Options TIU PRINT PN MAS MENU Admission Prints all PNs for Current Admission TIU PRINT PN ADMISSION Batch Print Outpt PNs by Division TIU PRINT PN BATCH INT ERACTIVE Outpatient Location Print Progress Notes TIU PRINT PN OUTPT LOC Ward Print Progress Notes TIU PRINT PN WARD Document Definitions Clinician TIUF DOCUMENT DEFINITION CLIN May 2012 Text Integration Utilities V 1 0 Technical Manual 159 1 Edit Document Definitions TIUFH EDIT DDEFS CLIN
16. For example it is often appropriate to enter multiple PROGRESS NOTES for a single HOSPITALIZATION or CLINIC VISIT whereas only one DISCHARGE SUMMARY is usually entered per HOSPITALIZATION Choose from ik YI Fl n 70 Text Integration Utilities V 1 0 Technical Manual May 2012 0 NO R VISIT YES lt Enter gt ALLOW gt 1 RECORDS P m ENABLE IRT INTERFACE This enables TIU s interface with Incomplete Record Tracking IRT which updates IRT s deficiencies when transcription signature or cosignatur review vents are registered for a given document NOTE IRT is designed for DISCHARGE SUMMARIES and is appropriate only for types of documents where only one document is expected per patient movement We therefore ask you to leave this parameter undefined or set it to NO for PROGRESS NOTES Choose from 0 NO 1 YI Fl n ENABLE IRT INTERFACE lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 71 Document Parameter Edit Example cont d SUPPRESS DX CPT ON NEW VISIT NO This parameter applies only to documents for outpatient care Together with parameter ASK DX CPT ON ALL OPT VISITS it determines whether or not a user is prompted for diagnoses and procedures after signing or editing a document Fl
17. May 2012 Text Integration Utilities V 1 0 Technical Manual 261 Shared Components don t have a Status They can be edited only if all parent Titles are Inactive This ensures that parent Titles are offline for entering documents while their components are being edited Parents are listed on the Detailed Display Screen If a Shared Component has subcomponents they are automatically Shared since they with their parents can be used in more than one place in the hierarchy Sharing of Document Definitions other than Components is not permitted because it unduly restricts the owner s right to edit or delete the Document Definition and adds undue complexity to the Hierarchy 262 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology cont d NATIONAL STANDARD Some Document Definitions such as CWADs are developed nationally and sent out as standardized entries across the nation TIU and other packages depend on their standard definition and they must not be edited by sites but only by the persons who are nationally responsible for them Such entries are marked NATIONAL STANDARD the field has a value of 1 for YES which prevents sites from editing the entry Sites can t edit National Standard entries except for the Item Multiple If a National Standard entry is a Class or Document Class sites can add or delete non National items as they please and can edit all items as items e g Item Se
18. Other than the above List Manager printing all other print options are on print menus Only SIGNED notes are available from these options 2 TIU PRINT PN USER MENU AIll of the options on this menu support the printing of CHART or WORK copies Patient Author and Location are the current choices TITLE sorts will be added It should be noted that this LOCATION print is an option that will print for any location there is a signed note entered for it doesn t track anything MAS Print Options Two files drive the CHART printing process TIU PRINT PARAMETERS FILE 8925 93 TIU DIVISION PRINT PARAMETERS FILE 8925 94 supports batch printing outpatient Progress Notes In order to use any of the MAS print options except ADMISSION the location will have to be entered in one inpatient locations or both outpatient locations of the above files May 2012 Text Integration Utilities V 1 0 Technical Manual 105 File 8925 93 TIU PRINT PRAMETERS FILE is used for the TIU PRINT PN WARD and TIU PRINT PN OUTPT LOC options Field 1 02 tracks the last note that was printed for a selected location This will be presented as the default PRINT FROM THIS POINT ON YES The user may select another date time to initialize FUN FACTS This field is in an interesting format FileMan DATE TIME IEN of Note Although it is possible to reset this using FM it is much easier to just pick the date time you want to go forward from 106 Text Int
19. Personal Preferences DEFAULT LOCATION REVIEW SCREEN SORT FIELD REVIEW SCREEN SORT ORDER DISPLAY MENUS PATIENT SELECTION PREFERENCE ASK Save changes AFTER EDIT ASK SUBJECT FOR PROGRESS Clinician Nurse Ward Clerk GUI Parameters General Auto Save Interval Verify Default Title Tab Default Chart Preferences Notes tab Begin Date End Date Status All tabs Tools Menu Options document list default document autosave default cosigner ask subject verify note title NOTES NUMBER OF Author NOTES ON REV Occurrence SCREEN SUPPRESS Limit REVIEW NOTES Show Hide PROMPT DEFAULT Subject COSIGNER DAY OF WEEK for HOSPITAL Tab Default LOCATION Chart Preferences D C Summ tab Begin Date End Date Status Author Print Copy Print Options Clinician All tabs File Menu MRT IPD MPD May 2012 Text Integration Utilities V 1 0 Technical Manual 179 single patient Discharge Summary Nurse Progress Note Clinical Document SSD Ward Clerk REM IPD MPD MAS Admission MGR IPD MPD Discharge Summary Progress Note Clinical Document SSD MD IPD MPD IPDS MPDS EPN RPNP RPN AMUPN SPNAP LNT SPT AMUD ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Print multiple patients Options NA PRINT Author Location Patient Ward MAS Batch Print Outpatient Location Ward MD Author
20. VHA Enterprise Title Attempted User Name 1 ALL BAD PUL CONSULTS 07 07 06 18 53 TUIPROVIDER SE 2 ANDREWS TEST NOTE N A UNKNOWN 3 ANOTHER NOTE N A UNKNOWN 4 ANTHONY TEST OBJECT N A UNKNOWN 5 AUDIT TEST NOTE 07 07 06 18 58 TUIPROVIDER SE 6 CARDIOLOGY OUTPATIENT CONSULTS 07 20 06 10 18 TUIPROVIDER SE CARDIOLOGY OUTPATIENT CONSULT 7 CHRONIC LOWER BACK PAIN N A UNKNOWN Next Screen Prev Screen More Actions gt gt gt Find Direct Mapping Quit Map Title s Change view Select Action Quit lt Enter gt Quit Method B Add Edit Local Synonyms The matching program uses a file of synonyms to aid it in determining potential matches of local titles to national titles In many cases a site will have terms in their titles that describe situations that occur only at that site To accommodate this a file of local synonyms can be created An example of this is when colors were assigned to general clinics These colors are different at every site so they cannot be included in the file of national synonyms but if you put them into 130 Text Integration Utilities V 1 0 Technical Manual May 2012 the local synonym file the mapping utility will run faster and smoother Another example is NSG for nursing Many sites use this abbreviation for Nursing but it is not found in the national synonym file The spreadsheet of national terms is posted on the TIU web site at http vista med va gov tiu html DataStandardization_Do
21. 32 Text Integration Utilities V 1 0 Technical Manual May 2012 I LOOKUP LOCAL VARIABLE NAME ST TRANSFORM CODE S X 3N1P2N1P4N E X TR X Replace lt Enter gt EXAMPLE ENTRY PRIORITY lt Enter gt CLINICIAN MUST DICTATE YES lt Enter gt REQUIRED FIELD YES This field is used to determine whether a given header item is required by the application e g Author and Attending Physician may be required for the ongoing processing of a Discharge Summary Records lacking required fields WILL be entered into the target file if possible but will generate Missing Field Error Alerts Choose from 1 YI ea n 0 NO Select CAPTION lt Enter gt CAPTION DATE OF ADMISSION lt Enter gt ITEM NAME ADMISSION DATE lt Enter gt FIELD NUMBER 07 lt Enter gt LOOKUP LOCAL VARIABLE NAME TIUADT lt Enter gt EXAMPLE ENTRY 03 30 97 lt Enter gt CLINICIAN MUST DICTATE YES lt Enter gt REQUIRED FIELD YES lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 33 Modify Upload Parameters ASCII Protocol Example cont d Select CAPTION DATE OF DISCHARG Fl ITEM NAME DISCHARGE DATE FIELD NUMBER 08 LOOKUP LOCAL VARIABLE NAME lt Enter gt
22. Creating and or editing locally defined fields in the file are not permitted Use of locally defined fields that were created prior to the VHA Directive s 2005 044 effective date shall not be supported This file supports the instantiation within VistA of the VHA Enterprise Standard Document Title Ontology a multi axial coding scheme based on LOINC which will support migration of TIU Documents to the Health Data Repository TIU LOINC Per VHA Directive 2005 044 this file has been locked down SUBJECT MATTER by Data Standardization DS The file definition i e data DOMAIN dictionary shall not be modified All additions changes and deletions to entries in the file shall be done by Enterprise Reference Terminology ERT using the Master File Server MES provided by Common Services CS Creating and or editing locally defined fields in the file are not permitted Use of locally defined fields that were created prior to the VHA Directive s 2005 044 effective date shall not be supported This file supports the instantiation within VistA of the Subject Matter Domain Axis of the VHA Enterprise Standard Document Title Ontology 8926 3 TIU LOINC ROLE Per VHA Directive 2005 044 this file has been locked down by Data Standardization DS The file definition i e data dictionary shall not be modified All additions changes and deletions to entries in the file shall be done by Enterprise Reference Terminology ERT using the Mas
23. EDUCATION TITLE 3 ADVANCE DIRECTIVE CONSULT REPORT TITLE 4 ADVERSE REACTION ALLERGY TITLE CHOOSE 1 4 2 ADVANCE DIRECTIVE EDUCATION TITLE The following DOCUMENT TITLE will NOT be INACTIVATED ADVANCE DIRECTIVE EDUCATION Is this correct YES lt Enter gt DEVICE HOME lt Enter gt TELNET TERMINAL Elapsed Time 0 minute s 9 second s of Used Titles 52 May 2012 Text Integration Utilities V 1 0 Technical Manual 121 of Unused Titles of Total Titles of Docs Current User IRMUser One Current Date Mar 30 2006 13 55 Date range searched Mar 30 2005 Mar Document Title 10 10M MEDICAL PROGRESS NOTE 10 10M OP DISCHARGE INSTRUCTIONS 21 DAY CERTIFICATION ABBREVIATED MEDICAL RECORD ABSENT SICK IN HOSPITAL OTHER FACILITIES ADMISSION PAIN TOOL ADVANCE DIRECTIVE EDUCATION Site Checklist 293 30 of Docs 2006 Last DT Used Sep Sep May Jun Apr Aug Sep 27 25 21 30 30 29 24 2004 2004 2002 2004 2003 2000 2004 Author Dictator CPRS CPRS CPRS CPRS CPRS CPRS CPRS Provider Six Provider One Provider Six Provider 1 Provider 1 Provider 1 wo en Three Provider Nine v Print li
24. One line per med only 1 Detailed information on each med ALL ALLMEDS 0 Specifies inpatient meds if patient is an inpatient or outpatient meds if patient is an outpatient 1 Specifies both inpatient and outpatient meds 2 or I Specifies inpatient only 3 or O Specifies outpatient only V COMBINED ONELIST 0 Separates Active Pending and Inactive meds into separate lists 1 Combines Active Pending and Inactive meds into the same list CLASSORT v 0 Sorts meds alphabetically 1 Sorts meds by drug class and within drug class alphabetically 2 Same as 1 except shows drug class in header SUPPLIES 0 Supplies are excluded 1 Supplies are included v Indicates new functionality May 2012 Text Integration Utilities V 1 0 Technical Manual 371 There are almost 300 different combinations of these six variables each of which can represent a different TIU object If you want one of the other views of the medication data you need to create anew TIU object for which you ll require Programmer Access and must be listed as a Clinical Coordinator in ASU 372 Text Integration Utilities V 1 0 Technical Manual May 2012 Creating a New Medications Object In the following example we create a new TIU Object that reports only recently expired medications prints one medication per line lists both inpatient and outpatient medications combines Active Pending and Inac
25. PATIENT RELIGION Patient s home address Boilerplate Text Status Select Action Quit Try e Enter a test patient e Accept the defaults e The following text appears Object PATIENT RELIGION is not active Calling text editor please wait WRAP INSERT lt gt lt PF1 gt H HELP Patient s religious preference UNITARIAN UNIVERSALIST Patient s home ad May 2012 Text Integration Utilities V 1 0 Technical Manual 355 e This allows you to check out the formatting of the boilerplate text when the object is being used e In this case the line continues beyond 80 characters we haven t left enough room in the line for the object e If there isn t enough room for the object data or it doesn t print out in the right format we change the Object Method and or the Boilerplate text until it looks right e Go into Boilerplate text and move the next sentence to the next line WRAP INSERT lt gt lt PF1 gt H HELP Patient s religious preference PATIENT RELIGION Patient s home address 356 Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the More Realistic Object cont d e Exit the editor e In the Boilerplate screen use the TRY action again WRAP INSERT lt gt lt PF1 gt H HELP Patient s religious preference UNIT
26. Progress Notes Print Options Author Print TIU PRINT PN This option produces chart or work copies Progress Notes AUTHOR of progress notes for an author for a selected date range Location Print TIU PRINT PN This option prints chart or work copies of Progress Notes LOC progress notes for all patients who were at a specific location when the notes were written The patients whose progress notes are printed on this report may not still be at that location If chart is selected each note will start on a new page Patient Print TIU PRINT PN This option prints or displays progress notes Progress Notes PT for a selected patient by selected date range Ward Print TIU PRINT PN This option lets you print progress notes for Progress Notes WARD all patients who are now on a ward for a selected date range This option is only for ward locations May 2012 Text Integration Utilities V 1 0 Technical Manual 103 MAS Options to Print Progress Notes TIU PRINT PN MAS MENU Option Description Admission Prints TIU PRINT PN This option prints all progress notes for a all PNs for Current ADMISSION selected patient for the current admission if Admission patient is an inpatient or LAST admission if the patient has been discharged Batch Print Outpt TIU PRINT PN This option batch prints outpatient progress PNs by Division BATCH notes in terminal digit order by division INTERACTIVE Sites can exclude L
27. SUBSCRIPTION RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Text Integration Utilities V 1 0 Technical Manual May 2012 Remote Procedure Calls cont d TIU TEMPLATE Returns TRUE if the user is allowed to RESTRICTED ISEDITOR edit shared templates TIU TEMPLATE Uses in long lists to return a subset of RESTRICTED LISTOWNR users who have personal templates TIU TEMPLATE LOCK _ Locks Template RESTRICTED TIU TEMPLATE Returns a list or Patient Data Objects RESTRICTED PERSONAL OBJECTS allowed in Personal Templates TIU TEMPLATE SET Saves Template Default Settings RESTRICTED DEFAULTS TIU TEMPLATE SET This RPC will create or update the SUBSCRIPTION ITEMS items for a Group Class Root or Dialog TIU TEMPLATE Unlocks a template RESTRICTED UNLOCK TIU UNLOCK RECORD This RPC will decrement the lock on a SUBSCRIPTION given TIU Document Record identified by the TIUDA input parameter The return value will always be 0 TIU UPDATE This RPC accepts a list of persons and SUBSCRIPTION ADDITIONAL SIGNERS adds them as additional signers for the document identified by the first parameter May 2012 Text Integration Utilities V 1 0 Technical Manual 235 Remote Procedure Calls cont d TIU UPDATE RECORD This API updates the record named in SUBSCRIPTION the TIUDA parameter with the information contained in the TIUX Field array The body of the modified TIU document sh
28. and footer information in place Text Integration Utilities V 1 0 Technical Manual May 2012 Progress Notes Batch Print Locations TIU PRINT PN LOC PARAMS These parameters are used by the TIU PRINT PN BATCH INTERACTIVE and TIU PRINT PN BATCH SCHEDULED options If the site wants a header other than what is returned by SITE VASITE the 02 field of the 1st entry in this file will be used For example Town1 Town2 Town3 can have the institution of their progress notes as CENTRAL ANYWHERE HCE 5 Division Progress Select TIU Parameters Menu Op Select TIU Maintenance Menu Option 1 TIU Parameters Menu 1 Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations Notes Print Params tion 4 Progress Notes Batch Print Locations Select Clinic or Ward TELEPHONE TRIAGE PSYCHIATRY PROGRESS NOTES DEFAULT PRINTE R LASERJET 4SI lt Enter gt EXCLUDE FROM PN BATCH PRINT Set to 1 progress notes fo in the progress notes outpat BATCH You would do this if of the notes for this locati room Choose from 1 YES r this location will not be included ient batch print job TIU PRINT PN you wanted to print the CHART copies on in the clinic and not in the file May 2012 Text Integration Utilities V 1 0 Technical Manual 87 Division Progress Notes Print Params TIU PRINT
29. children attached to it January 2012 Update 10 Patch TIU 1 261 which was released in March 2012 supports Imaging patch MAG 3 0 121 Patch MAG 3 0 121 provides the ability to watermark images RESCINDED Patch TIU 1 261 permits an authorized user to rescind an Advance Directive document by changing the title to RESCINDED ADVANCE DIRECTIVE MAG 3 0 121 takes it from there and watermarks any linked images RESCINDED Text Integration Utilities V 1 0 Technical Manual May 2012 Introduction cont d 6 Management functions Amendment e Deletion e Identification of signature e Re assignment e Purge Support of various Health Summary components Flexibility The utility has been designed to accept document input from a variety of data capture methodologies Those initially supported are transcription and direct entry Linkages TIU has interfaces with such applications as Problem List Patient Care Encounter Visit Tracking Incomplete Record Tracking and the Computerized Patient Record System CPRS May 2012 Text Integration Utilities V 1 0 Technical Manual 11 Implementation amp Maintenance See the Text Integration Utilities Implementation Guide for more detailed instructions about planning and setting up TIU Pre Implementation Considerations The TIU package contains many site configurable features which should be considered before implementing it at your site We recommend that each site co
30. A Select where to print HEADING F Department of Veterans Affairs heading LEFT 1234 Example Street TI TC TTOV ia tha dAafaiilt Tampa FL 34698 Edit NO lt Enter gt JUSTIFY HEADING CENTER JUSTIFIED Select where to display the HEADING Choose from LJ EFT JUSTIFY CJ CENTER JUSTIFY as Sec ee ee If no heading is wanted blank lines may be added to help INSERT BLANK LINES Enter the number of blank lines to be inserted AFTE present If no header the blank lines will be sal text 1 10 lines may be added text placement with envelope The FOOTER is printed at INSERT BLANK LINES lt Enter gt the bottom of every page Wess May 2012 Text Integration Utilities V 1 0 Technical Ma Select where to print the footer LEFT JUSTIFY is the default 84 FOOTER lt Enter gt Department of Veterans Affairs 1234 Example Street Tampa FL 34698 Edit NO lt Enter gt JUSTIFY FOOTER RIGHT JUSTIFY lt Enter gt CLOSING The CLOSING prints at Si ly DEROS the end of the note text EXAMPLE OBJECT Hate Near LEARTES 22 where to print the JUSTIFY CLOSING LEFWMSUSTIFY lt Enter gt closing LEFT JUSTIFY is the default gt uu Select to print page number PAGE NUMBERS YES lt Enter gt in the format Page X of X 47 Select where to print th
31. DIALOG PROTOCOL OPTION POST INIT CHECK POINTS XPD POSTINSTALL STARTED XPD POSTINSTALL COMPLETED INSTALL QUESTION PROMPT XPZ1 Text Integration Utilities V 1 0 Technical Manual 12 12 3 505 210 504 504 750 750 250 2502 50 25052 50 SOO 5071 z513 522 52 5245 33 34 35 35 36 36 38 43 43 43 49 50 50 20 05 09 09 ANSWE 01 01 01 202 305 2 06 01 30 245 04 May 2012 Other Kernel Print Options Besides using the Kernel Installation amp Distribution KIDS options to get lists of routines files etc you can also use other Kernel options to print online technical information Routines XUPRROU List Routines prints a list of any or all of the TIU routines This option is found on the XUPR ROUTINE TOOLS menu on the XUPROG Programmer Options menu which is a sub menu of the EVE Systems Manager Menu option Select Systems Manager Menu Option programmer Options Select Programmer Options Option routine Tools Select Routine Tools Option list Routines Routine Print Want to start each routine on a new page No ENTER routine s gt TIU The first line of each routine contains a brief description of the general function of the routine Use the Kernel option XU FIRST LINE PRINT First Line Routine Print to print a list of
32. DILIST List File Attributes to print a list of these files Depending on the FileMan template used to print the list this option will print out all or part of the data dictionary for the TIU files Example gt D P DI VA FileMan 21 0 Select OPTION DATA DICTIONARY UTILITIES Select DATA DICTIONARY UTILITY OPTION LIST FILE ATTRIBUTES START WITH WHAT FILE 8925 1 entry GO TO WHAT FILE 8925 8926 Select LISTING FORMAT STANDARD Enter DEVICE PRINTER May 2012 Text Integration Utilities V 1 0 Technical Manual 245 246 Text Integration Utilities V 1 0 Technical Manual May 2012 Glossary ASU Action Boilerplate Text Class Clinician Component May 2012 Authorization Subscription Utility a utility that allows sites to associate users with user classes allowing them to specify the level of authorization needed to sign or order specific document types and orderables A functional process that a clinician or clerk uses in the TIU computer program Edit Create and Find are examples of actions A pre defined Progress Notes or Discharge Summary template containing standard text with blanks to fill in for specific data about a patient Classes are groups of groups which hold documents For example Progress Notes is a Class with many Document Classes kinds of progress notes under it Classes may themselves be subdivided into Classes and or
33. In the initial implementation of TIU and ASU it is NOT necessary to populate all of the exported user classes or to allocate every VISTA user membership in any of the exported classes Any users who are not allocated to a specific class will be treated as members of the root class USER An option is provided to seed the PROVIDER class based on ownership of the PROVIDER Security Key V T NOTE If your site has allocated the PROVIDER key to non Providers in order to accommodate the requirements of the Ambulatory Care Data Capture package we suggest that you review the holders of the key and de allocate it from such users as necessary In the set up section of the TIU Implementation Guide we illustrate how to allocate members to the Medical Records Technician Chief MIS and Transcriptionist classes These are the only user classes whose membership must be allocated for basic implementation of TIU Creation of Business Rules TIU and ASU are exported with a very general set of business rules which should be sufficient for initial implementation As stated earlier in this Guide we recommend that you keep the User 324 Text Integration Utilities V 1 0 Technical Manual May 2012 Class file TIU Document Definition Hierarchy and Business Rule base as simple as possible in your initial implementation Once you have grown acquainted with the basic operation of these two complex packages you might then begin to explore the more advanced l
34. Is it possible to load ASU in production and start populating the groups before we load TIU May 2012 Text Integration Utilities V 1 0 Technical Manual 291 A Yes you can The Business Rules will not be functional because they are tied to the Document Definition File but you will be able to populate the Class memberships Q Do we have to delete or sign unsigned notes before we can convert them A No you don t have to delete or sign the unsigned notes The conversion will move them as is However you probably don t want to be moving old irrelevant notes from one package to the other By the way notes for test patients are NOT moved they are ignored 292 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Q Can we require a Cosignature for a particular note A Yes you can set Cosignature requirements for document classes or titles Use the option Document Parameter Edit as described on page 30 in this manual Individual clinicians can designate an expected Cosigner through their Personal Preferences option Q Can we allow surrogates for alerts to sign notes A Yes The following business rule will allow this A COMPLETED TITLE Any Title may BE SIGNED by a SURROGATE This rule can be added at any level in the TIU Document Definitions Hierarchy Q Why do we have to enter Visits and encounter data for Progress Notes What are Historical Visits A Vis
35. LTA If field MANUAL PRINT AFTER AFJX RESOURCI LAB EI TABL Slaved Deskjet STOP A Fl BG DSA4 MUMPS O _LTA370 ENTRY is set to YI ERMGR Text Integration Utilities V 1 0 Technical Manual F E then auto print 79 80 STAT CHART COPY PRINTER lt Enter gt Select DIVISION lt Enter gt Press RETURN to continue lt E nter gt 1 Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Select TIU Parameters Menu Op Notes Print Params tion lt Enter gt Text Integration Utilities V 1 0 Technical Manual May 2012 Form Letter The new parameters with patch TIU 1 222 expand the Document Parameter Edit option TIU DOCUMENT PARAMETER EDIT when the document is in the FORM LETTERS document class When a note who s title is in the FORM LETTERS document class is printed the regular TIU header is suppressed and the contents of the form letter parameters are added to the beginning and end of the letter Also the signature block is suppressed Note Form letters can be printed before being signed as a draft copy Caution should be used because there is no indication of completion status on the printed draft You should destroy all drafts made in this manner All templates and TIU objects are supported for form letters the same as with other
36. Remote Procedure Calls iai adis ua deve cbs a cade ibe sa dia k sa a lati hes aa 223 POCK URE WIE Variables sess sias ini i sg K see a i i K S 237 Online DOCUMENEATION A 00ccccccccccsssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssceeees 239 Intranet WWW Documentation ccccccccccccccccccssssssccccccccccccesesccccccccccecesescsccccceccecesens 239 KIDS Install Print Options lt ci isissasv s ios asas s osss tens ks k stinskussa ss e sai ina a is 239 Print Results of the Installation Process cccccccccccccscssssssssssssssssesesesscececesscsssssssseseoes 241 Other Kernel Print Opens aa a a AS a a aa as 243 XINDEX CORTEI REIESE sia saaa ass A ia a di TEE a a ia a EARE Aa ias 245 Data Dictiomaries Biles ccccccceccccsccosscccccosecsscscsscccccoseccsesossccocsoascdacsessccccsoseccdecoseccocsoascdacees 245 EINT a eisi i ai i i i vie a E i i a a a a a SS 247 Troubleshooting amp Helpful Hint ccccccssscssssccsssscssssscssssscssncccssscccssnecessessesssceessscessseceees 287 FAQs Frequently Asked Questions ccsssccssssscssssccssssccssssccssssscssscscsssssssessssscssseees 287 Questions about Reports and Upload eee cecscecesseeceeeeceseeeceeeeeceeeeecseeeecseeeecneeeeenaeees 298 Questions about Document Definition Classes Document Classes Titles Boilerplate text OBJEC ar ais S ai eae S ai r ra a acca N 303 Facts Helpful information Ls cecsieiessasscaskssviceekcas
37. particularly health vocabulary and messaging standards for implementation in Federal Government Systems About 20 departments and agencies including the DoD HHS and VHA are active in the CHI governance process The CHI initiative is one of the Office of Management and Budget s OMB eGov initiatives 114 Text Integration Utilities V 1 0 Technical Manual May 2012 After installation of TIU 1 211 follow the steps below to complete the clinical document title mapping process 1 Active Title Cleanup and Direct Mapping Follow instructions on page 116 in Method A 2 Local Synonym Entry Next you have the option of setting up local synonyms terms from your local titles Follow instructions on page 130 in Method B for Local Synonym entry Note This is optional and not required 3 Automated Title Mapping Follow instructions on page 134 in Method C for Automated Title mapping 4 Status Report of Unmapped Titles Submit a status report of your unmapped titles to your HDR Implementation Manager Follow instructions on page 141 in Method D You can locate a list of HDR Implementation managers http vaww teamshare va gov HDR_Implementation 5 Mapping Support For assistance with titles that you cannot map to a standard title send an exchange message to VHA OI HDI STS TIU TITLES 6 New Term Rapid Turnaround NTRT To submit a request for a new Standard Title and or Term follow instructions on page 144 in Method E for New Term Rapi
38. upon cosignature 1701 SUBJECT ASUB This MUMPS type multi field cross reference is used for queries by subject 1801 ID PARENT VBC This multi field cross reference by Entry Date Time and VBC Line Count is included to optimize verification of billing for transcription 2101 ID PARENT GDAD Used to find the children of an interdisciplinary note given the interdisciplinary parent note 15001 VISIT ID VID REGULAR FM Cross reference by Visit ID facilitates look up by CIRN 202 Text Integration Utilities V 1 0 Technical Manual May 2012 8925 1 TIU DOCUMENT DEFINITION File NAME This KWIK cross reference on document name will allow look up based on sub names etc C This cross reference will be used by the router filer to identify a given report type PRINT NAME This MUMPS type cross reference is used to update the TIMESTAMP on both the current document and its parents when its PRINT NAME changes This REGULAR FileMan cross reference by PRINT NAME will facilitate look up AM1 D AT This regular cross reference is used for listing Document Definitions by Type AP AC AS PERSONAL This regular cross reference is used for listing Document OWNER Definitions by Personal Owner This regular cross reference is used to list Document Definitions by Class Owner STATUS This regular cross reference is used to list Document Definitions by Status POSTING APOST This REGULAR FileMan Cross reference by Posting INDICATOR Indicator w
39. 1 TIU TEMPLATE FIELD FILE This file supports and facilitates the mapping of local titles to LOINC Standard Titles by simplifying the correct association between partial names and the LOINC Standard Subject Matter Domains Unlike the TIU LOINC SUBJECT MATTER DOMAIN File 8926 2 this file may be locally extended This file supports and facilitates the mapping of local titles to LOINC Standard Titles by simplifying the correct association between partial names and the LOINC Standard Roles Unlike the TIU LOINC ROLE File 8926 3 this file may be locally extended This file supports and facilitates the mapping of local titles to LOINC Standard Titles by simplifying the correct association between partial names and the LOINC Standard Settings Unlike the TIU LOINC SETTING File 8926 4 this file may be locally extended This file supports and facilitates the mapping of local titles to LOINC Standard Titles by simplifying the correct association between partial names and the LOINC Standard Services Unlike the TIU LOINC SERVICE File 8926 5 this file may be locally extended This file supports and facilitates the mapping of local titles to LOINC Standard Titles by simplifying the correct association between partial names and the LOINC Standard Document Types Unlike the TIU LOINC DOCUMENT TYPE File 8926 6 this file may be locally extended Contains advanced template objects such Edit Boxes and Radio Buttons May 2012
40. 100 lt Enter gt CHARACTERS PER LINE 60 This value default 60 will be divided into the total number of actual characters in a given Documents to derive the lin count for that document By actual characters we mean all printable ASCII characters with multiple white space characters stripped CHARACTERS PER LINE 60 lt Enter gt 20 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU Basic Parameter Edit Example cont d OPTIM OPTIM SUPPR IZE LIST BUILDING FOR performance This parameter specifies for the institution in question whether the list building functions of TIU should invoke Authorization Subscription to determine whether documents which the user is not yet authorized to see should be excluded from the list i e whether th list building should be optimized for security This is the default behavior of TIU If the impact of this filtering becomes unacceptable to users at your site you may wish to set this parameter to optimize for Performance which will bypass the record wise evaluation of view privilege and allow all records satisfying the search criteria to be included in the list Of course when the user attempts to view documents from the resulting lists before he is authorized to do so he will be prevented from doing so with an explanatory message that looks like this Reviewing I
41. 116 139 8932 1 185 abort transfer 17 action 161 actions 55 245 Actions Across Applications 101 Active Title Clean up 71 Add Edit Local Synonyms 78 Admission Prints all PNs for Current Admission 63 ambulatory 200 Ambulatory Care Data Capture 199 APIs 144 Appendix A TIU Package Security 206 Appendix B Creating an Object 210 Archiving and Purging 140 ASCII 6 16 ASCII Protocol 18 ASCII Protocol Upload 33 ASCII protocol upload with aler 34 ASU 58 161 186 204 Author Print Progress Notes 62 Authorization Subscription Utility 58 Text Integration Utilities V 1 0 Technical Manual 389 authorized 58 Automated Mapping of Titles 80 Basic TIU Parameters 13 Batch Print Outpt PNs by Division 63 batch printing 66 188 batch upload of Progress Notes 192 Batch Upload Reports 32 boilerplate 6 161 boilerplate text 54 182 Build File Print 156 business rules 186 188 Business Rules 205 C amp Ps 192 captioned headers 39 Change Health Summary Type 247 Change HS Object 246 Change HS Type 248 chart 66 CIRN 199 class 54 166 class owner 177 Clinical Coordinator Menu 98 clinical documents 193 clinician 161 component 54 161 167 contiguous 66 cosignature 187 CPRS 7 Create Document Definitions 54 Create New TIU Object 246 Create Objects 54 Create TIU Health Summary Objects 239 Creating an Object 212 Creating an Object Based on Heal
42. 2 Selected Title Map Select TITLE MEDICAL SERV 1 EDICAL SERVICE CONSULT TITLE 2 EDICAL SERVICE DERMATOLOGY PROGRESS NOTE TITLE 3 EDICAL SERVICE ECU AIMS TITLE 4 EDICAL SERVICE ENDOSCOPY TITLE 5 EDICAL SERVICE INPATIENT PROGRESS NOTE TITLE Press lt RETURN gt to see more to exit this list OR CHOOSE 1 5 4 MEDICAL SERVICE ENDOSCOPY TITL Fl For the LOCAL Title MEDICAL SERVICE ENDOSCOPY Attempting to map MEDICAL SERVICE ENDOSCOPY to a VHA Enterprise Standard Title Is MEDICAL a Subject Matter Domain 1 MEDICAL GENETICS 2 MEDICAL TOXICOLOGY 3 MEDICAL PH D MEDICAL GENETICS Q T o Oo n ry E 1 3 lt Enter gt No 138 Text Integration Utilities V 1 0 Technical Manual May 2012 Is MEDICAL a SYNONYM for a Subject Matter Domain SERVICE INTERNAL MEDI CINE I found a match of MEDICAL SERVICE Subject Matter Domain INTERNAL MEDICINE OK Yes lt Enter gt YES Enter RETURN to continue or to exit lt Enter gt Remember your LOCAL title is MEDICAL SERVICE
43. 8925 5 TIU AUDIT TRAIL This file maintains an audit trail of TIU transactions 8925 6 TIU STATUS This file contains the allowable statuses which may be applied including data to a TIU document during its path through the system 8925 7 TIU MULTIPLE This file is intended to accommodate the case where multiple SIGNATURE cosignatures are applied to a document e g team or multidisciplinary notes discharge planning check lists etc Rather than adding a multiple to the TIU Document file this file supports a 3NF decomposition allowing multiple cosignatures to be applied to the same document May 2012 Text Integration Utilities V 1 0 Technical Manual 187 TIU File Descriptions cont d 8925 8 TIU SEARCH This file stores parameters which modify the processing CATEGORIES requirements of individual document types and their descendants 8925 9 TIU PROBLEM LINK This file allows a many to many relationship between TIU E Documents and Problems to be maintained 8925 91 TIU EXTERNAL This file is intended to allow the definition of many to one a DATA LINK FILE linkages between TIU Documents and external data objects i e non MUMPS data such as Images or BLOBs 8925 93 TIU PRINT This file describes the parameters for controlling the Printing PARAMETERS of Progress Notes 8925 94 TIU DIVISION This file describes the parameters for the batch printing of PRINT progress notes for filing by Medical Center Division PARAMETERS 8
44. Document Type is for look ups as well as sorting 8927 TIU TEMPLATE File ei NAME EA The REGULAR B cross reference 01 03 TYPE AROOT Keeps track of active shared and personal template root folders PERSONAL This regular cross reference on Personal Owner is used for look ups and searches by owner 8927 1 TIU TEMPLATE FIELD FILE File 01 NAME A New style FileMan cross reference B The REGULAR B cross reference used to guarantee a unique name May 2012 Text Integration Utilities V 1 0 Technical Manual 217 Archiving and Purging Archiving utilities are not provided for the distributed files Therefore archival copies must be produced from the printed chart by methods familiar to your HIM Service e g microfiche A grace period for purge may then be defined in your parameter set up 218 Text Integration Utilities V 1 0 Technical Manual May 2012 May 2012 Text Integration Utilities V 1 0 Technical Manual 219 External Relations RPCs and APIs TIU is dependent on the following VISTA packages to function correctly Package i Minimum Version Adverse Reaction Tracking ART Authorization Subscription ASU L Health Summary recommended La Incomplete Record Tracking IRT if you plan to 5 3 interface with it a 1 m a ST Patches 0 1 0 2 7 1 0 2 21 2 0 a Before TIU is installed make sure these patches are on the system Package Patch List Manager Patch VALM 1
45. If its Status is Test the user entering a document must own the Title 3 If authorization for using the Title to enter documents is restricted through the Authorization Subscription Utility Business Rules the user must be a member of the authorized user class 266 Text Integration Utilities V 1 0 Technical Manual May 2012 Unless these criteria are all met users trying to enter documents will not see the Document Definition Therefore it is wise to warn users when taking definitions offline for edit to do so at non peak hours for entering documents When you are changing a Title s Status to Test or Active the Title is examined for rudimentary completeness and must be judged OK before the change takes place You can perform the same examination by selecting the action Try For Titles the Try action also lets you enter a document on the entry The document is deleted immediately after the check May 2012 Text Integration Utilities V 1 0 Technical Manual 267 Document Definition Terminology cont d STATUS cont d Although availability for entering documents is the central meaning of Status Status also controls edit and deletion of Document Definitions A Title can be edited only if its Status is Inactive ensuring that no one is using it to enter a document while its behavior is changing Titles can be deleted only if their Status is Inactive V T NOTE Although Status affects Editing ability it is not the only factor affec
46. Location Patient Ward NA Print List Options Clinician MRT MPD SSD Nurse MGR MPD SSD Ward Clerk MD MPD MPDS RPN AMUPN SPNAP LNT SPT NA 180 Text Integration Utilities V 1 0 Technical Manual May 2012 AMUD Reassign Options NA NA MRT IPD MPD SSD MGR IPD MPD SSD Released Unverified Option NA NA Report MRT Released Unverified Report Reload Boilerplate Text NA NA Notes amp D C Summ tabs Action Menu Edit Progress Note Reset to All Signed Options see Select See Select See Select Search Search also Search MD RPN Can also view only signed list in pane Save without Signature Options not a specified action TR EED EEDS MD EED MPD MPDS EPN RPN AMUPN SPNAP LNT SPT AMUD Can exit note without signing and sign via another action or alert Clinician Nurse Ward Clerk Notes amp D C Summ tabs Action amp Pop up Menus May 2012 Text Integration Utilities V 1 0 Technical Manual 181 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Search List NA Clinician NA See also Find Nurse Ward Clerk Select New Patient Options Clinician All tabs File Menu MD RPN Nurse Ward Clerk Select Search Change Select Search Options Change View Notes amp D C Summ View in addition has in addition has tabs View amp Pop up f unsigned notes my unsigned
47. Management TIU PREFERRED DOCUMENT LIST 9 ALL Documents reguiring my Additional Signature TIU REVIEW UNSIGNED ADDSIG 1 Individual Patient Discharge Summary TIU BROWSE DS CLINICIAN 2 All MY UNSIGNED Discharge Summaries TIU REVIEW DS UNSIGNED Text Integration Utilities V 1 0 Technical Manual May 2012 May 2012 3 Multiple TIU REVII Patient Discharge Summaries EW DS CLINICIAN Text Integration Utilities V 1 0 Technical Manual 155 TIU Menus cont d 3 Integrated Document 1 Individual Patient Document Management TIU MAIN TIU BROWSE DOCUMENT CLINICIAN MENU MIXED CLINICIAN 2 All MY UNSIGNED Documents TIU REVIEW UNSIGNED 3 All MY UNDICTATED Documents TIU REVIEW UNDICTATED DOCS 4 Multiple Patient Documents TIU REVIEW SCR T EN CLINICIAN 5 Enter edit Document TIU ENTER EDIT 6 ALL Documents reguiring my Additional Signature TIU REVIEW UNSIGNED ADDSIG 4 Personal Preferences 1 Personal Preferences TIU PERSONAL PREFERENCES TIU PERSONA PREFERENCE MENU 2 Document List Management TIU PREFERRED DOCUMENT LIST Text Integration Utilities MIS Manager TIU MAIN MENU MGR 1 Individual Patient D
48. Mar 05 1997 15 03 12 Page Objects E MEDICATIONS Text Integration Utilities V 1 0 Technical Manual gt gt gt Status A 335 2 ALLERGIES ADR 3 BASELINE LIPIDS Help gt ScrollRight PS PL PrintScrn List Find Detailed Display Change View Try Create Owner Select Action Next Screen CR Create e Enter the PATIENT RELIGION A A gt gt gt Copy Quit Delete the default owner CLINICAL COORDINATOR with an sign and enter your own name as the personal owner This enables you to continue editing the object CLASS OWNER CLINICAL COORDINATOR Replace PERSONAL OWNER CPRSPROVIDER EIGHT MAM Entry added e The new object appears at the top of the list Scroll right gt to see that you are the owner Enter Document Definition Name to add as New Entry PATIENT RELIGION Select the action Detailed Display and select your new entry T NOTE Youcan do this in one step by entering DET entry number 336 Text Integration Utilities V 1 0 Technical Manual May 2012 Creating an Object cont d Objects Mar 05 1997 15 03 12 Page 2 of 3 Objects Status 18 PATIENT RELIGION I 1 9 PATIENT SEX A PATIENT SSN A Help gt ScrollRight PS PL PrintScrn List gt gt gt Find Detailed Display Copy Change View Try Ouit Create Owner Select Action Next Screen DET 18 Detailed Displa
49. N A UNKNOWN 4 ANTHONY TEST OBJECT N A UNKNOWN 5 AUDIT TEST NOTE 07 07 06 18 58 TUIPROVIDER SE 6 CARDIOLOGY OUTPATIENT CONSULTS N A UNKNOWN 7 CHRONIC LOWER BACK PAIN N A UNKNOWN Next Screen Prev Screen More Actions gt gt gt Find Direct Mapping Quit Map Title s Select Action Next S Mapping Title 6 Direct Mapping to Your LOCAL Title is NOTE Only ACTIVE 128 Change view creen DIR Direct Mapping Enterprise Standard Title CARDIOLOGY OUTPATIENT CONSULTS Titles may be selected Text Integration Utilities V 1 0 Technical Manual May 2012 Select VHA ENTERPRISE STANDARD TITLE CARDIOLOGY OUT 1 CARDIOLOGY OUTPATIENT CONSULT 2 CARDIOLOGY OUTPATIENT NOTE 3 CARDIOLOGY OUTPATIENT PROGRESS NOT T CHOOSE 1 3 1 CARDIOLOGY OUTPATIENT CONSULT I found a match of CARDIOLOGY OUTPATIENT CONSULT OK Yes lt Enter gt YES Ready to map LOCAL Title CARDIOLOGY OUTPATIENT CONSULTS to VHA Enterprise Standard Title CARDIOLOGY OUTPATIENT CONSULT OK Yes lt Enter gt YES Done Refreshing the list May 2012 Text Integration Utilities V 1 0 Technical Manual 129 Title Mapping Workbench Jul 20 2006 10 17 48 Page 1 of 16 UNMAPPED ACTIVE Titles LOCAL Title
50. Now you can see how you would go about entering a request for a new title Each Document Axis is represented here by a select control that contains every currently approved term for that axis The default value for each is UNASSIGNED which is the appropriate value for a title that does not contain a term from that axis At the very bottom of each list is additionally an entry that starts with Add new that causes a new text box to appear in which you can enter a request for a new axis term Shown here is an example of the Service select control Ai NTRT Microsoft Internet Explorer File Edit View Favorites Tools Help Qx O AIA A Asah grraoits 2 5 H DOs Links 48 Production NTRT TIU DIT New Requests VALO Timesheets ClearQuest Salt Lake City Public Library 4 21181077180597 Address http vhaisibll2 vha med va gov 770 1 ntrt newtiuterm do NTRT New Term Rapid Turnaround ea Home Contact Us Log Off Design amp Development Allergy Clinical Doc Title New Term Request Form Vitals Search required field SUBJECT MATTER DOMAIN UNASSIGNED x New User ROLE UNASSIGNED 5 Edit User SETTING UNASSIGNED v SERVICE ACUTE CARE HOSPITAL DOCUMENT TYPE CRITICAL CARE UNIT M EMERGENCY DEPARTMENT HOME HEALTH INPATIENT LONG TERM CARE COMMENTS NON VETERANS ADMINISTRATION OBSERVATION WARD OUTPATIENT REHABILITATION HOSPITAL TELEHEALTH TELEMEDICINE TELEPHONE ENCOUNTER URGENT CARE Add
51. Object VISITS TIU tt TIU adds TIU to Select Health Summary Type Answer with Health Summary Type name title owner or hospital location using the summary Your response must be at least 2 characters and no more than 30 characters and must not contain an embedded uparrow Select Health Summary Type VISITS VISITS 2 Health Summary Types found 1 Visits 2 Future Visits Select 1 2 2 Do you want to overwrite the TIME LIMITS in the Health Summary Type FUTURE VISITS N lt Enter gt Print standard Health Summary Header with the Object N lt Enter gt Pa rtial Print Print Print Print Use Header Report Date N lt Enter gt Confidentiality Banner N lt Enter gt Report Header N lt Enter gt the standard Component Header Y lt Enter gt report time occurence limits N lt Enter gt Underline Component Header N O Add Print a Blank Line after the Component Header N lt Enter gt the date a patient was deceased N lt Enter gt Print a LABEL before the Health Summary Object N lt Enter gt Su OBJ ppres s Components without Data N lt Enter gt ECT D ESCRIPTION 1 gt Current visits 2 gt EDIT Option Create a TIU Object named VISITS Ok YES lt Enter gt TIU Object created successfully May 2012 Text Integration Utilities V 1 0 Technical Manual the name to distinguish objects created
52. Options USER MENU Notes Managers 166 Text Integration Utilities V 1 0 Technical Manual May 2012 MAS Progress Notes Print Options Document Definition Clinician TIU Maintenance Menu TIU Conversions Menu May 2012 TIU PRINT PN MAS MENU TIUF DOCUMENT DEFINITION CLIN TIU MAINTENANCE MENU TIU CONVERSIONS MENU Menu for printing Progress Notes by individual or by batch for specified locations Document Definition menu for Clinicians Lets you view any entry and edit an entry if you own it In particular lets you enter edit boilerplate text for an entry you own Options on this menu allow IRM Staff to set modify the various parameters controlling the behavior of the Text Integration Utilities Package as well as the definition of TIU documents A menu of options for running Progress Notes and Discharge Summary conversions to TIU Text Integration Utilities V 1 0 Technical Manual clinicians MAS personnel Clinical Coordinators gt Selected Clinicians IRM some of the options to some Clinical Coordinators IRM 167 Actions Functions Across Applications KEY NA Not Available Menus DDEF Document Definitions menu IRM Maintenance menu MAS MAS Progress Note Print Options menu MD Progress Note Discharge Summary menu MGR MIS Manager menu MRT MRT menu PRINT Progress Notes Print Options menu REM Remote User menu TR Transcriptionis
53. PATIENT CLINICAL DOCUMENT CLASS and INVERSE REFERENCE DATE facilitates look ups by patient This MUMPS type multi field cross reference is used for look ups LOCATION document type status and date This MUMPS Type Multi field cross reference on Cosignature Date time will assure that the cosigned notes are included in the ACLPT x ref completed by patient upon cosignature This x ref is used to extract lists based on context This x ref is used to extract lists based on context This REGULAR FileMan type cross reference is used for sorting by the person who entered the original document This MUMPS type multi field cross reference is used for searching by entry person document type status and date range This x ref is used to extract lists based on context This Regular FileMan Cross reference on Release Date Time is used for sorting and for the Released unverified Report for the Verifying MRT This REGULAR FileMan type cross reference is used for support both look ups and sorts by Treating Specialty This MUMPS type multi field cross reference is optimized for searching by treating specialty document type status and date range This MUMPS type multi field cross reference is optimized for searching by treating specialty document type status and date range This REGULAR FileMan Cross reference by Service will facilitate look ups sorts and reports Text Integration Utilities V 1 0 Technical Manua
54. Press RETURN to continue or to exit Next screen DN Down a Line PL Print List Previous Screen lt Shift View to Left ADPL Auto Display On Off FS First Screen gt Shift View to Right CWAD CWAD Display LS Last Screen GO Go to Page UP Up a Line RD Re Display Screen Enter RETURN to continue or to exit lt Enter gt Title Mapping Workbench Jul 20 2006 10 17 48 Page 1 of 16 UNMAPPED ACTIVE Titles LOCAL Title VHA Enterprise Title Attempted User Name 1 ALL BAD PUL CONSULTS 07 07 06 18 53 RUSSELL JOEL 2 ANDREWS TEST NOTE N A UNKNOWN 3 ANOTHER NOTE N A UNKNOWN 4 ANTHONY TEST OBJECT N A UNKNOWN 5 AUDIT TEST NOTE 07 07 06 18 58 TUIPROVIDER SE 6 CARDIOLOGY OUTPATIENT CONSULTS N A UNKNOWN 7 CHRONIC LOWER BACK PAIN N A UNKNOWN Text Integration Utilities V 1 0 Technical Manual May 2012 Next Screen Prev Screen More Actions Find Direct Mapping Map Title s Change view Select Action Next Screen 6 May 2012 Text Integration Utilities V 1 0 Technical Manual 127 Title Mapping Workbench Jul 20 2006 10 17 48 Page 1 of 16 UNMAPPED ACTIVE Titles LOCAL Title VHA Enterprise Title Attempted User Name 1 ALL BAD PUL CONSULTS 07 07 06 18 53 TUIPROVIDER SE 2 ANDREWS TEST NOTE N A UNKNOWN 3 ANOTHER NOTE
55. REACTION ALL DREWS T EST NOTE AUDIOLOGY CONSU iT ERGY RESULT C amp P EXAM NOT Fl CARDIAC POST PROC CARE COORDINATION HOME E DURE NOTE EALTH EVALUATION TREATMENT CARE SCRE CARE COORDINATIO UBS EVA EOUENT COORDINATION HOME EALTH ENING CONSULT HOME EHEALTH CNSL CARE UBS EOUENT EVA COORDINATION HOME T 2 Inactive m EHEALTH CONSU COORDINATION HOME EALTH of Docs 15 37 55 11 21 293 10 See 2 See 305 2006 Last DT 04 2005 29 2006 ay 23 2006 ay 25 2006 ay 16 2006 Feb 23 2006 Oct 12 2005 Jan 10 2006 May 17 2006 Apr 24 2006 Mar 01 2006 Mar 03 2006 Mar 03 2006 Text Integration Utilities V 1 0 Technical Manual Author Dictator n n n ER ONE n ER FOUR ER FIVE n ER ONE TIUUSER SIX TIUUS EVEN ER S TIUUS EVEN ER S TIUUS EVEN ER S May 2012 n UMMARY OF EPISODE CONSULT CARE COORDINATION HOME TELEHEALTH 1 Nov 09 2005 TIUUSER EIGHT
56. REGULAR FileMan Cross reference on EXPRESSION Alternate Expression allows for look up and sorting by synonym 214 Text Integration Utilities V 1 0 Technical Manual May 2012 Field Corg Name X om e 99 98 lee aia If aes entries have the same VUID in the ENTRY FOR file this cross reference can be used to identify VUID the Master entry for a VUID associated with a Term Concept 99 99 AVUID This cross reference is by VUID AMASTERVUID If multiple entries have the same VUID in the file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept i 991 EFFECTIVE This cross reference is by Effective Date Time 8926 6 TIU LOINC DOCUMENT TYPE File Field Field Name Description DOCUMENT This Regular FileMan cross reference will TYPE facilitate look up and sorting by Document Type KWIC This Key Word In Context KWIC cross reference will facilitate look up by partial names ALTERNATE This REGULAR FileMan Cross reference on EXPRESSION Alternate Expression allows for look up and sorting by synonym 99 98 MASTER AMASTERVUID _ If multiple entries have the same VUID in the ENTRY FOR file this cross reference can be used to identify VUID the Master entry for a VUID associated with a Term Concept UID 99 99 Poe AVUID This cross reference is by VUID AMASTERVUID If multiple entries have the same VUID in the file this cross reference can be used to identify the Mas
57. TELEPHONE ENCOUNTER NOTE DERMATOLOGY CONSULT RESULT Inactive 3 Mar 28 2006 TIUUSER ONE DIABETIC INPATIENT FOLLOW UP 1 Dec 09 2005 TIUUSER ONE DISCHARGE SUMMARY 25 Mar 16 2006 TIUUSER ONE GENERIC NOTI Fl N Mar 06 2006 TIUUSER EIGHT IMMUNIZATION PROGRESS NOTE 10 Oct 27 2005 TIUUSER NINE NURSE INTRAOPERATIVE REPORT 17 Feb 15 2006 TIUUSER ONE OPERATION REPORT 19 Feb 08 2006 TIUUSER TEN PM amp R CONSULT RESULTS 14 Jan 31 2006 TIUUSER ONE PODIATRY CONSULT RESULT 8 May 31 2006 TIUUSER ONE PRIME CARE CLINIC 1 Oct 11 2005 TIUUSER ELEVEN PROGRESS NOTE Inactive 27 May 16 2006 TIUUSER ONE RESCINDED ADVANCE DIRECTIVE 1 May 23 2006 TIUUSER THREE SURGICAL SERVICE PROVIDER NOTE 4 Dec 01 2005 TIUUSER ONE UROLOGY CONSULT 8 Jan 03 2006 TIUUSER ONE May 2012 Text Integration Utilities V 1 0 Technical Manual 119 These entries are ENs from File 8925 1 have an invalid 01 Field to assist IRM in The following correcting errors in the file ENs from File 8925 1 following e an incorrect 04 Field NOTE CLASS 557 UROLOGY CONSULT DOCUMENT CLASS The fo
58. TIU documents Additionally TIU objects are supported in header and footer fields Note Caution should be exercised so that no personally identifiable information such as Social Security Number or Date of Birth is included in form letters Sending this sort of information through mail is a potential patient safety issue Consult with your facilities Privacy Officer with questions about what would violate the privacy of your patients When a form letter includes addenda the letter and addenda are each to be printed starting on a separate page with the header and footer as specified in the parameters A parent Interdisciplinary Note ID Note if in the FORM LETTER document class prints as a form letter but without its child notes When the opposite is true i e the parent note is not a form letter but the child notes are then the parent note prints with the usual TIU header information and each child note prints as a form letter May 2012 Text Integration Utilities V 1 0 Technical Manual 81 82 Form letters are designed to be used with Progress Notes and any use of form letters outside of this document class is not supported The original charter for the FORM LETTERS document class and the functionality that goes along with it is to provide a form letter feature with minimized probability of violating the patient s privacy The use of form letters functionality for other types of progress notes circumvents this safeguard Te
59. TIU Template TIU REMINDER Returns a list of reminder dialogs RESTRICTED DIALOGS allowed for use as Templates TIU REMOVE LINK TO This RPC will remove a link between SUBSCRIPTION IMAGE a document and an image Only valid links may be removed TIU REQUIRES This Boolean RPC simply evaluates SUBSCRIPTION COSIGNATURE whether the current user requires cosignature for TIU DOCUMENTS and returns a 1 if true or a O if false TIU SET Sets the file attributes necessary to SUBSCRIPTION ADMINISTRATIVE close a document by administrative CLOSURE action either manual or by scanning a paper document that doesn t require the signature of an author as a typical TIU Document would 232 Text Integration Utilities V 1 0 Technical Manual May 2012 Remote Procedure Calls cont d TIU SET DOCUMENT TEXT TIU SIGN RECORD TIU SUMMARIES TIU SUMMARIES BY VISIT TIU TEMPLATE ACCESS LEVEL TIU TEMPLATE CHECK BOILERPLATE TIU TEMPLATE CREATE MODIFY Buffers the transmittal of text i e the body of TIU Documents from the Client to the Server It allows documents of indefinite size to be filed without risk of an allocate error on the M Server This API Supports the application of the user s electronic signature to a TIU document while evaluating authorization and validating the user s electronic signature This API gets lists of Discharge Summaries for a patient with optional parameters for STATUS EARLY DATE TIME and LAT
60. Text e Your preferred editor appears Type in the following WRAP INSERT lt DEMOGRAPHIC NOTE gt lt PF1 gt H HELP Patient s religious preference PATIENT RELIGION Patient s home address May 2012 Text Integration Utilities V 1 0 Technical Manual 341 T NOTE Be sure to spell the object name correctly use upper case and enclose it in vertical bars e Exit out of the editor The screen displays our new boilerplate text e Select the action TRY 342 Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the Object cont d Saving text Boilerplate Text Mar Title DEMOGRAPHIC NOT 03 199 15205337 fea Page 1 of 1 Patient s religious preference gt gt gt Select Action Quit Try e The entry checks out OK PATIENT RELIGION Boilerplate Text Try Status Find Entry Checks out OK for rudimentary completeness Patient s home address Quit e Select a TEST patient Since it s a title you are given the opportunity to try it on a patient e Accept the defaults for location etc e You are presented with the boilerplate text just as if you had entered a document Demographic Note on the patie nt Object PATIE ELIGION is not active May 2012 Text Integration Utilities V 1 0 Technical Manual 343 344 to e
61. Text Integration Utilities V 1 0 Technical Manual 191 Cross References The following cross references are included in this package listed here by file and field number TIU DOCUMENT File 8925 01 DOCUMENT Regular cross reference TYPE This MUMPS type multi field cross reference by PATIENT DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE facilitates look ups by patient This MUMPS type multi field cross reference by AUTHOR DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE facilitates look ups by author This multi field MUMPS type cross reference by EXPECTED COSIGNER DOCUMENT TYPE STATUS INVERSE ENTRY DICTATION DATE TIME is used for look ups and queries This MUMPS type cross reference by patient document type and visit number will allow for a candidate key to determine whether a given document exists for a particular patient visit This multi field MUMPS type cross reference by DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME facilitates look ups by treating specialty This multi field MUMPS type cross reference by TRANSCRIPTIONIST ID DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will facilitate look ups by transcriptionist This multi field cross reference is used for building the review screen across all categories Author Attending Physician Patient Transcriptionist or treating specialty 192 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU
62. Type OBJECT IFN 1110 National Standard NO Status INACTIVE Owner CLINICAL COORDINATOR Technical Fields Object Method S X SSLIST TIULMED DFN TMP TIUMED SJ 1 Help Next Previous Screen PS PL Basics Try Delete Technical Fields Find Quit Select Action Quit TE Technical Fields OBJECT METHOD S X SSLIST TIULMED DFN TMP TIUMED J 1 Replace 1 With 2 0 1 1 1 1 Replace lt Enter gt S X SSLIST TIULMED DFN TMP TIUMED J 2 0 1 1 1 1 Detailed Display Oct 06 1999 10 12 14 Page 1 of al Object RECENTLY EXPIRED MEDS Basics Name RECENTLY EXPIRED MEDS Abbreviation Print Name Type OBJECT IFN 1110 National Standard NO Status INACTIVE Owner CLINICAL COORDINATOR Technical Fields Object Method S X SSLIST TIULME Help Next Previou Basics Try Technical Fields Find Select Action Quit BASICS Basics May 2012 Text Integration Utilities V 1 0 Technical Manual D DFN TMP TIUMED SJ 2 0 1 1 1 1 PS PL Delete Quit s Screen 375 NAME RECENTLY EXPIRED MEDS ABBREVIATION lt Enter gt PRINT NAME RECENTLY EXPIRED MEDS CLASS OWNER CLINICAL COORDINATOR Replace lt Enter gt STATUS A I INACTIVE A ACTIVE Replace lt Enter gt Technical Fields Object Method Detailed Display Oct 06 1999 10 13 38 Page 1 of 1 Object RECENTLY EXPIRED MED
63. XON XOFF ON M ANSI 7 or 8 bit commands 8 BIT D Hard flow control RTS CTS OFF E Line wrap a ON F Screen Scroll ON G CR translation CR H BS translation DESTRUCTIVE I Break length milliseconds 2000 J Enquiry ENO OFF A Echo locally NO K CR translation download NONE B Expand blank lines YES L LF translation download NONE C Expand tabs YES D Character pacing millisec 0 E Line pacing 1 10 sec 0 F Pace character 62 NOTE This MUST correspond to the PACE CHARACTER defined in the upload utility parameter edit dialog below G Strip 8th birt ste wisn Gare NO H ASCII download timeout 60 seconds I CR translation upload NONE 26 Text Integration Utilities V 1 0 Technical Manual May 2012 J LF translation upload OFF Also be sure that the ASCII transfer option to abort transfer if carrier detect CD is lost is set to NO Because of the significantly greater reliability of the Kermit file transfer protocol we recommend that you use it rather than the Raw ASCII protocol Try using the default settings for packet size timeout start and end of packet characters and checksum size as provided by your terminal emulation software The VISTA Kermit server should work properly with these settings Step 2 Enter Upload Utility Parameters Use the
64. as Clinical Documents In TIU Version 1 0 entries can only be created under Clinical Documents O I ve changed the technical and print names for a Document Class but it doesn t seem to have changed when I select documents across patients What am I doing wrong A When you select documents across patients you are presented with a three column menu The entries in this menu are from the Menu Text subfield of the Item Multiple To make a consistent change you must update Menu Text as well as Print Name when you change a Document Definition name 304 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Q How can I print when I m in Document Definitions options A All Document Definitions printing is done using the hidden actions Print Screen and Print List First locate the data to be printed so that it shows on the screen and then select either the action PS or PL To locate the appropriate data use the Edit Sort or Create option to list appropriate entries To print a list select the PS or PL action at this point To print information on a single given entry first locate the entry in one of the above lists then select either the Detailed Display action or the Edit Items action Edit View shows all available information for a given entry Edit Items shows the items of a given entry Then select PS or PL Enter PS for Print Screen to print the current display screen It only prints what is currently visibl
65. be to run the filer as a BACKGROUND task The example here shows the Ghopes Fram setup for Discharge Summaries 1 YES See the TIU Implementation Guide for other document types 0 NO RUN UPLOAD FILER IN FOREGROUND NO Now Select upload error alert recipients Select ALERT RECIPIENT CPRSRECIPIENT ONE Are you adding CPRSRECIPIENT ONE as a new UPLOAD ERROR ALERT RECIPIENT the 30 Text Integration Utilities V 1 0 Technical Manual May 2012 1ST for this TIU PARAMETERS Y Yes Select ALERT RECIPIENT lt Enter gt Now edit the DOCUMENT DEFINITION file Select DOCUMENT DEFINITION Discharge Summary 1 Discharge Summary DISCHARGE SUMMARY TITLE 2 Discharge Summary DISCHARGE SUMMARY DOCUMENT CLASS CHOOSE 1 2 1 DISCHARGE SUMMARY ABBREVIATION DCS LAYGO ALLOWED This Boolean field indicates whether or not a new entry can be created in the TARGET FILE for this document type Choose from 0 NO 1 YES LAYGO ALLOWED YES UPLOAD TARGET FILE 22 Enter the VA FileMan file in which the fixed field header information and associated text will be stored NOTE Only files which include the TIU Application Group may be selected NOTE Upload fields fields 1 01 1 02 1 03 1 04 4 4 5 4 6 4 7 4 8 and multiple fields 1 and 2 apply to Document Definitions of Type Class Document Class and Title Choose from 70 RAD NUC MED PATIENT 74 RAD NUC MED REPORTS 8925 TIU DOCUMENT 8925 1 TIU DOCUMENT DEFINITION
66. cont d COMPONENT STATUS A Component has the same status as its parent Its status can be changed only by changing the Status of its Parent if it has one Components without parents are always Inactive T NOTE The above also means that Test or Active Titles can t have Inactive Components In other words Inactivating a Component is not a way of retiring it If a Component is no longer a useful section of a Title it should be edited so as to make it useful or it should be deleted as an item from the Title of which it is a part As with all retired Document Definitions it should not be deleted from the file if it has been used by documents Components can be edited only if their status is Inactive This ensures that all Titles using them are offline while they are being edited Shared Components are a special case since they can have multiple parents They do not have a status They can be edited only when all parent Titles have a Status of Inactive The Detailed Display screen shows parents This ensures that all parent Titles of Shared Components are offline while the components are being edited Edit of Shared Components is permitted only through the option Sort Document Definition Editing Shared Components is severely restricted by Ownership since they may be used multiple times and across the site Even an Inactive Status does not permit those with the Manager menu to override ownership and edit a Shared Component they don t
67. g6 hours prn pain DISPOSITION FOLLOW UP Recommend follow PT PTT Patient is on coumadin and CBC with differential because patient has chronic anemia and thrombocytopenia Patient will be transferred to Anytown VA in stable condition on 5 19 94 URGENCY 0 PRIORITY P priority Ta FILING ERROR 3 DISCHARGE SUMMARY Invalid Report Type encountered 2i FILING ERROR PROGRESS NOTES Record could not be found or created 3 CPRSPATIENT FOUR F0004 08 14 95 ADVERSE REACTION ALLERGY is missing fie Select from 1 to 3 or enter AI F P M R or to exit lt Enter gt Transcriptionist Menu al Enter Edit Discharge Summary 2 Enter Edit Document 3 Upload Menu Enter VA VIEW ALERTS to review alerts Select Text Integration Utilities Transcriptionist Option lt Enter gt In the example above notice that patient CPRSPATIENT THREE had no admission on 11 17 96 and so the filer could not create a record in the target file for this discharge summary record The user acts on the alert to correct the admission date as 11 16 96 and retries the filer which is now able to file the record appropriately and the alerts are removed for all recipients May 2012 Text Integration Utilities V 1 0 Technical Manual 63 Display Upload Help Transcriptionists may select this sub option in the Upload Menu to display the formats expected by the
68. has a parent named Day Pass Note If Day Pass Note has no parent then Exceptional Day Pass Note can t trace its ancestry back to Clinical Documents and is an Orphan even though it has a parent Text Integration Utilities V 1 0 Technical Manual 281 Document Definition Terminology cont d Orphans are invisible to TIU users and can t be used to enter documents When an item under a non orphan is deleted as an item it becomes an orphan TIU doesn t permit non orphan entries to become orphaned if they are In Use Titles already used but being retired from further use should be Inactivated NOT orphaned Components are a different story Components being retired from further use can and should be orphaned deleted as items from the Title This Is because Titles inherit attributes and therefore require a complete ancestry in order to process existing documents Since components on the other hand do not inherit attributes they do NOT require a complete ancestry to process existing documents although they must remain in the file Since Orphans don t belong to the hierarchy they do not appear on the Edit Document Definitions option They can be accessed through the Sort Document Definitions option T NOTE ON DISPLAY OF HERITABLE FIELDS Most Technical fields are heritable and Basic field Suppress Visit Selection is heritable Upload fields are heritable as a group The display does not show inheritance for Upload fields The Do
69. identified if Progress Notes are associated with their corresponding Visits Inter facility data transfer requires identification of the Facility from which the data originated Because the Facility is an attribute of the Visit file entry it is not necessary to maintain a reference to the facility with every clinical document e Workload Capture particularly for telephone and standalone encounters where the only record of the encounter is frequently a Progress Note can be easily accommodated provided that notes are associated with visits 312 Text Integration Utilities V 1 0 Technical Manual May 2012 Visit Orientation cont d Roll up of documentation by Care Episode To allow access to all information pertaining to a given episode of care e g for close out of a hospitalization a visit orientation is essential Integration with PCE Ambulatory Care Data Capture and CIRN To accommodate an interface with other clinical data repositories which may allow query and report generation based on the existence of a variety of coded data elements the visit orientation provides a useful associative entity e g a search of PCE to identify all patients with AIHD who were discharged without a prescription for aspirin prophylaxis might identify a cohort of patients for further evaluation The visit orientation also provides the ability to call for all the cardiology notes entered during the corresponding care episodes could revolutioniz
70. in TIU It also adds CONVERTED to objects created by test versions 1 thranch A 381 Enter RETURN to continue TIU Health Summary Objects Mar 27 2003 08 20 33 Page Lof 2 TIU Object Name Health Summary Type T AC CLINICAL SUMMARY CLINICAL MAINTENANCE 2 AJB TEST OBJECT VISITS 3 TEST 9 XRAY 4 AB TEST DATE HEAD BDV LABS gt TEST OBJ VISITS 6 TEST OBJECT XRAY 7 TEST4 XRAY 8 BDV EDUCATION HEALTH SUMMARY 9 BDV LABS VISITS 10 CLINICAL MAINTENANCE CLINICAL MAINTENANCE 11 HS TEST IMPORT XRAY Le KR MED BRIEF Medicine Brief 13 LAB SEL 1 Selected Labs Diabetes 14 MY RESP DEM Enter for more actions Create New TIU Object Find Detailed Display Edit TIU Object Detailed Display Edit HS Object Quit Select Action Next Screen lt Enter gt NEXT SCREEN TIU Health Summary Objects Mar 27 2003 08 26 15 Page 2 of 2 TIU Object Name Health Summary Type S PODIATRY Podiatry 16 PODIATRY OBJECT Podiatry 17 SELECTED LABS Selected Labs Diabetes 18 SURGERY REPORTS SURGERY REPORTS 19 OBJECT DEMO ICRO 20 VISITS FUTURE VISITS Enter for more actions Create New TIU Object Find Detailed Display Edit TIU Object Detailed Display Edit HS Object Quit Select Action Quit 382 Text Integration Utili
71. local titles you can request what you need from the NTRT website Requesting new titles and title terms is a simple process and there is plenty of help and support should you run into any difficulty along the way The following steps will guide you through the process of submitting a new request and will help to familiarize you with the website at the same time Screen shots have been added for additional visual reference 1 Goto the NTRT VistA Web Portal at http vista med va gov ntrt A NTRT Request Web site Portal Microsoft Internet Explorer File Edit View Favorites Tools Help Qi A A OD Asah geravrits B e 3 M D0 New Term Rapid Turnaround NTRT K Ol Meath Setatas VHA OI Health Systems Design amp Development Design amp Development Home Access the New Term Rapid Turnaround NTRT Request Website NTRT Request Web site The NTRT Website is best viewed with Internet Explorer 5 5 or higher Logon Request Form About NTRT This site requires logon access If you do not have access and believe you should click here to acce NTRT Documentation NTRT Depl t To receive notification of all changes made to VistA standardized files as a result of NTRT requests you SH oymen subscribe to the NTRT Notification ListServ mailing list og 2 Click on the Access the New Term Rapid Turnaround NTRT Request Website link to access the NTRT Login page May 2012 Text Integration Utilities V 1 0 Technica
72. may go straight to Document Class if no further subdivisions are desired Besides grouping documents Classes also store behavior which is then inherited by lower level entries A doctor or other provider in the medical center who is authorized to provide patient care Components are sections or pieces of documents such as Subjective Objective Assessment and Plan in a SOAP Progress Components may have sub Components as items They may have Boilerplate Text Components may be designated SHARED Text Integration Utilities V 1 0 Technical Manual 247 248 Text Integration Utilities V 1 0 Technical Manual May 2012 Glossary cont d Discharge Summary A discharge summary is a formal synopsis of a patient s medical care during a single hospitalization It includes the pertinent diagnostic and therapeutic tests and procedures as well as the conclusions generated by those tests A discharge summary is prepared for all discharges and transfers from a VA medical center or domiciliary or from nursing home care The automated Discharge Summary module provides an efficient and immediate mechanism for clinicians to capture transcribed patient discharge summaries online where they re available for review signing adding addendum etc Document Class Document Classes group documents Document Class is the lowest level of class and has Titles as items under it Document Definition The Document Definition utility provides the buildin
73. misc Options NA NA TR Upload Documents Help for Upload Utility MRT Review Upload Filing Events User Class Membership Options NA NA IRM Definition List 184 Text Integration Utilities V 1 0 Technical Manual May 2012 by User List by Class Manage Business Rules Verify Unverify Options NA NA MRT IPD MPD SSD MGR IPD MPD SSD May 2012 Text Integration Utilities V 1 0 Technical Manual 185 TIU File Descriptions File 8925 186 File Name TIU DOCUMENT TIU DOCUMENT DEFINITION Description This file stores textual information for the clinical record database It is designed to initially accommodate Progress Notes Consult Reports and Discharge Summaries and now also supports Surgery The file intended to be sufficiently flexible to accommodate textual reports or provider narrative of any length or type and to potentially accommodate such data transmitted from remote sites which may be excluded from the corresponding local VISTA Package databases e g Radiology Reports Pathology Reports etc to avoid confusion with local workload This file stores Document Definitions which identify and define behavior for documents stored in the TIU DOCUMENTS FILE 8925 For consistency with the V file schema it may be viewed as the Attribute Dictionary for the Text Integration Utilities It also stores Objects which can be embedded in a Document Definition s Boilerplate Tex
74. name in boilerplate text enclosed by an lt p on both sides Objects must always be embedded in uppercase Objects are stored in the Document Definition File but are not part of the Hierarchy They are accessible through the options Create Objects and Sort Document Definitions by selecting Sort by Type and selecting Type Object TIU exports a small library of Objects Sites can also create their own Future versions of TIU are expected to export a much more extensive library of nationally supported objects Only an owner can edit an object and should do so only after consulting with others who use it The object must be Inactive for editing It should be thoroughly tested See Object Status under Status 96 Text Integration Utilities V 1 0 Technical Manual May 2012 Objects must initially be written by programmers See description in TIU Technical Manual Once defined Objects may be used any number of times within an unlimited number of different titles As sites develop their own Objects they can be shared with other sites through a mailbox entitled TIU OBJECTS in SHOP ALL reached via FORUM r NOTE Object routines used from SHOP ALL are not supported by the Field Offices Use at your own risk See Appendix B in this manual for an example of creating an object May 2012 Text Integration Utilities V 1 0 Technical Manual 97 Authorization Subscription Utility ASU The Authorization Subscription Utility
75. summary titles for use in a long list box Returns a set of discharge summary urgencies for use in a long list box This RPC returns the list of TIU OBJECTS that the current user may select from SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION Text Integration Utilities V 1 0 Technical Manual 227 Remote Procedure Calls cont d TIU GET PERSONAL Returns Users personal preferences for SUBSCRIPTION PREFERENCES TIU in the following format TIUY USER 1P DEFAULT LOCATION 2P REVIEW SCREEN SORT FIELD 3S REVIEW SCREEN SORT ORDER 4S DISPLAY MENUS 5S PATIENT SELECTION PREFERENCE 6S ASK Save changes AFTER EDIT 7S ASK SUBJECT FOR PROGRESS NOTES 8S TIU GET PN TITLES This API returns a list of Progress SUBSCRIPTION Notes Titles including a SHORT LIST of preferred titles as defined by the user and a LONG LIST of all titles defined at the site TIU GET PRINT NAME This Remote Procedure receives a SUBSCRIPTION pointer to the TIU DOCUMENT DEFINITION FILE 8925 1 and returns a string containing the Print Name of the corresponding Document Definition TIU GET RECORD This RPC will get the textual portion SUBSCRIPTION TEXT of a TIU Document Record 228 Text Integration Utilities V 1 0 Technical Manual May 2012 Remote Procedure Calls cont d TIU GET REQUEST This Remote Procedure returns the SUBSCRIPTION variable pointer t
76. t assign ownership You can then reassign ownership if desired Copying an entry makes you the personal owner of the copy 274 Text Integration Utilities V 1 0 Technical Manual May 2012 If the person responsible for an entry plays a role corresponding to a User Class e g Clinical Coordinator it may be more efficient to assign ownership to the class rather than to the person Owners are then automatically updated as the class is updated Editing privilege is affected not only by Owner but also by Status by Shared by In Use and by menu access Manager menus for example provide fuller editing capabilities than Clinician menus May 2012 Text Integration Utilities V 1 0 Technical Manual 275 Document Definition Terminology cont d CLASS OWNER Document Definition Ownership has nothing to do with who can USE the entry to enter a document It determines responsibility for the Document Definition itself An entry can be EDITED by its owner The Manager menu permits override of ownership so that ownership can be assigned to a clinician person with Clinician Menu who can then fill in boilerplate text while the manager can still edit the entry since there are many fields the clinician does not have access to Exception the Manager menu does NOT override ownership of Objects or of Shared Components These can ONLY be edited by an owner regardless of menu If a Title owner edits the boilerplate text of the Title that person can edi
77. type specific Lookup Method the TIU Upload Utility performs a generic lookup using just the document internal file number Experience has shown that this generic lookup is not reliable a single error in dictation or transcription of header data can cause the report to upload into the wrong record New types of documents therefore must have their own document type specific Lookup Method code rather than relying on the generic lookup Lookup Methods are written in conjunction with an upload header definition for the given document type They must be tested prior to use to make sure they deal adequately with potential user errors in dictation and transcription by cross checking data for consistency and completeness They should also deal with the possibility of sites erroneously setting field numbers in upload header definitions for captions which should not have field numbers Routine TIUPUTSX is well documented and provides a model for writing upload Lookup Methods when uploading into files other than the TIU Document file 8925 See routine TIUPUTCN for an example of a lookup method for documents uploaded into the TIU Document file May 2012 Text Integration Utilities V 1 0 Technical Manual 41 Upload Filing Error Code In the absence of custom filing error resolution code the TIU Upload Utility attempts to resolve filing errors by permitting the user to edit the temporary buffer record The user is then asked if they wish to re file the re
78. various clinical purposes including to calculate Clinical Reminders Clinical Maintenance items for Health Summaries Troubleshooting amp Helpful Hints for Document Definitions May 2012 If a particular person should be able to do something governed by a particular Business Rule but can t check the following Make sure he she is in the referenced User Class Check the business rule for the proper status Check that the document to be acted on is the one referenced by the rule or is a descendant of the document referenced by the rule If the rule involves a User Role make sure the person actually plays that role for the document Check to see if the rule has been overridden If the same rule same action and same status is defined for a lower level document the lower level rule OVERRIDES the rule at the higher level For example suppose you are checking the rule An UNDICATATED PROGRESS NOTE can be ENTERED by a PROVIDER Suppose you are wondering why CPRSPROVIDER SEVEN can t enter a Nurse Practitioner Note which is a descendant of Progress Notes If there is arule An UNDICTATED NURSE PRACTITIONER NOTE can be Text Integration Utilities V 1 0 Technical Manual 317 318 ENTERED by a NURSE PRACTITIONER the rule you are checking has been overridden for Undictated Nurse Practitioner Notes Any User Classes who can enter Nurse Practitioner Notes must have their own explicit Business Rule at the Nurse Practitioner Note level Th
79. 0 Technical Manual May 2012 Modify Upload Parameters Kermit Protocol Example This example demonstrates the ASCII upload source as a remote computer and the upload protocol is defined as a Kermit Protocol Experience at sites suggests that the Kermit Protocol is the preferred protocol to transfer data because of its simple set up and reliable functionality Select TIU Parameters Menu Option 2 Modify Upload Parameters First edit Institution wide upload parameters Select INSTITUTION 660 660 SALT LAKE CITY UT 660 660AA SALT LAKE DOM UT VAMC 660AA 1 2 1 SALT LAKE CITY OK Yes lt Enter gt Yes D ASCII UPLOAD SOURCE r remote computer LOAD PROTOCOL k KERMIT OAD HEADER FORMAT c captioned ECORD HEADER SIGNAI HDR L m EGIN REPORT TEXT SIGNAI TXT L UN UPLOAD FILER IN FOREGROUND NO NO Now Select upload error alert recipients Select ALE RT R ECIPIENT CPRSRECIPIENT TWO CPRSR ECIPI as a new UPLOAD ERROR ALE RT NT Are you adding ENT TWO ECIPIE the 1ST for this TI Select ALE U PARAME TE RS Y Yes RT R ECIPIE NT Are you 2ND for Select ALERT RECIPIENT Now edit May 2012 adding C this TIU CPRSRECIPIENT THREE PRSRECIPI i a new UPLOAD ERRO
80. 07 07 06 18 58 TUIPROVIDER 124 Text Integration Utilities V 1 0 Technical Manual May 2012 CARDIOLOGY OUTPATII ENT CONSULTS UNKNOWN 7 CHRONIC LOWER BACK PAIN N A UNKNOWN Next Screen Prev Screen More Actions Find Direct Mapping Map Title s Change view Select Action Next Screen Valid selections are FIND Allows users to search list of Documents for a text string word phrase or partial word from current position to the end of the list Upon reaching the end of the last page of the list the user will be asked whether to continue the search from the beginning of the list through the origin of the search MAP TITLE S Allows mapping of Local TIU Titles to VHA Enterprise Standard Titles using the full features of the Mapper utility to assist in the choice DIRECT MAPPING Allows users who know which VHA Enterprise Standard Title should be associated with a given local title to map the Local Title directly without the assistance of the Mapper CHANGE VIEW Allows modification of the current list of mapped or unmapped titles to include either UNMAPPED MAPPED FAILED attempts or ALL Active Titles for a specified user and time range where applicable QUIT Allows user to quit the current menu level May 2012 Text Integration Utilities V 1 0 Technical Manual 125 126 The following actions are also available
81. 1 OE RR Patch OR 2 5 51 220 Text Integration Utilities V 1 0 Technical Manual May 2012 Incomplete Record Tracking IRT DG 5 3 112 XOOR Unwinder patch XU 8 0 56 b Install the following patches after cutover to TIU Package Patch Adverse Reaction Tracking ART GMRA 4 6 Health Summary GMTS 2 7 12 May 2012 Text Integration Utilities V 1 0 Technical Manual 221 Database Integration Agreements Database Integration Agreements DBIA are available on the DBA menu on Forum 222 Text Integration Utilities V 1 0 Technical Manual May 2012 Remote Procedure Calls Remote Procedure Calls RPCs Application Program Interfaces APIs and supported references to which you may subscribe are described on the DBA menu on Forum See the DBA menu Integration References for a complete list The list below may not be complete January 2012 Update TIU This RPC allows the calling application SUBSCRIPTION AUTHORIZATION to evaluate privilege to perform any ASU mediated action on a TIU document TIU CAN CHANGE BOOLEAN RPC to evaluate user s SUBSCRIPTION COSIGNER privilege to modify the expected cosigner given the current status of the document and the user s role with respect to it TIU CREATE This Remote Procedure allows the SUBSCRIPTION ADDENDUM creation of addenda to TIU Documents RECORD TIU CREATE This remote procedure allows the SUBSCRIPTION RECORD creation of TIU DOCUMENT records TIU DELETE Delete
82. 1 0 Technical Manual 393 Print List 194 print name 179 Print Screen 194 Printing Data Dictionaries 159 Problem List 7 Progress Notes 6 58 163 186 200 Progress Notes Batch Print Locations 12 51 Progress Notes Print Options 62 64 65 66 67 Provider Class 185 Provider Security Key 205 PSI 04 016 184 Purging 8 Radiology reports 192 Raw ASCII file transfer 17 Reassignment Document Report 92 recover 184 release from transcription 189 Remote Computer 16 Remote Procedure Calls 144 rotating residents 191 Router Filer Notes 30 Routines 68 158 RPCs 144 Screen Editor 189 394 Text Integration Utilities V 1 0 Technical Manual security 206 208 security key 58 208 Selected Title Map 82 Set up Terminal Emulator 17 Setting Up TIU 10 Set up for User Class amp Business Rules 205 share objects 194 shared 168 SHOP ALL 194 Shortcuts 195 Signature 8 signature block 8 site configurable 8 site configurable features 8 Smart Term 188 Sort Document Definitions Objects 54 standalone visit 200 status 55 170 Status Report of your Unmapped Titles 84 subscribe 58 surrogate 187 telephone 200 TEMP global 184 template 54 template cleanup parameter 60 May 2012 Template Management 60 terminal and ASCII transfer options 17 terminal emulation software 17 Terminal Emulator 16 terminal settings 188 terminology 54 TEXT global 184 Text I
83. 13 26 46 Page 1 of LOCAL Title Find Select Action 142 7 AMBULATORY CARE UNMAPPED ACTIVI VHA Enterprise Title 1 10 10M NURSING AMBULATORY CARE 2 10 10M OP DISCHARGE INSTRUCTIONS 3 21 DAY CERTIFICATION 4 ADDENDUM 5 ADVANCE DIRECTIVE 6 AMBULATORY CARE EMPLOYEE HEALTH NOTE PATI ENT TRANSFER Map Title s Next Screen Direct Mapping Change view Next Screen PL PL Text Integration Utilities V 1 0 Technical Manual Attempted N A N A N A N A N A N A N A Prev Screen More Actions Quit User Name UNKNOWN UNKNOWN UNKNOWN UNKNOWN UNKNOWN UNKNOWN UNKNOWN gt gt gt May 2012 DEVICE HOME P M P MESSAGE HFS HFS FILE gt MESSAGE Subject CHEYENNE UNMAPPED TITLES Select one of the following M Me P Postmaster From whom Me Send mail to ENTER YOUR HDR IMPLEMENTATION MANAGER EMATL ADDRESS HERE May 2012 Text Integration Utilities V 1 0 Technical Manual 143 Method E New Term Rapid Turnaround NTRT Process 144 Text Integration Utilities V 1 0 Technical Manual May 2012 Using the NTRT Website for Clinical Documents When you find that you need a new Enterprise Standard Title or Title Term in order to effectively map your
84. 2 File 8925 5 112 132 File 8925 6 112 132 File 8925 7 112 133 File 8925 8 113 133 File 8925 9 113 133 File 8925 91 113 133 File 8925 93 63 64 65 113 134 File 8925 94 64 113 134 File 8925 95 113 134 File 8925 97 113 134 File 8925 98 113 134 File 8925 99 113 135 Text Integration Utilities V 1 0 Technical Manual 391 File 8926 113 135 136 137 138 139 File 8927 139 File 8927 1 116 139 File 8932 1 185 files 111 Files 8925 8926 159 Form Letter 47 Frequently Asked Questions 184 Functional Overview 6 Functions Across Applications 101 Generic Progress Notes Title File 121 2 9 Globals 158 Glossary 161 GMTS OBJ ENTER EDIT 247 handling upload errors 34 HAS BOILTXT 178 HCFA 204 Health Summary Objects 239 Health Summary Objects file 239 Health Summary Type file 239 Help for Upload Utility 29 helpful hints 184 heritable 180 hidden actions 194 historical 200 historical visits 187 201 Host File Server 16 How to Get Online Documentation 156 Implement Upload Utility 16 Implementation amp Maintenance 8 Implementation Guide 8 IN USE 177 inpatients 200 Inquire about a HS Type 249 Inter facility data transfer 198 interim 190 interward transfers 190 Intranet WWW Documentation 156 Introduction 6 IRT deficiency 190 Items 181 Kermit 16 Kermit file transfer protocol 17 Kermit Protocol 23 Kermit Protoco
85. 8 96 10 00 AUTHOR CPRSPROVIDER ONE TRANSCRIBER SCRIPTION DATE TIME OF DICT T LOCATION NUCLEAR MED STXT Inquire to patient record YES lt Enter gt Select PATIENT NAME CPRSPATIENT THREE 09 12 44 000000003 SC VETERAN 05 20 97 17 01 02 21 97 09 19 Known allergies 03 26 97 10 52 This patient is not currently admitted to the facility Is this note for INPATIENT or OUTPATIENT care OUTPATIENT lt Enter gt 56 Text Integration Utilities V 1 0 Technical Manual May 2012 ASCII protocol upload with alert cont d The following VISITS are available PULMONARY CLINIC DIABETIC EDUCATION INDIV MOD B GENERAL MEDICINE PULMONARY CLINIC NO SHOW ONCOLOGY lt RI RN gt TO CONTINU OR TO QUIT 3 APR 18 1996 10 00 Progress Note Identifiers Patient Name CPRSPATIENT THREE Patient SSN 000 00 0003 Patient Location GENERAL MEDICINE Date time of Visit 04 18 96 10 00 OK YES lt Enter gt TITLE ADV ADVANCE DIRECTIVE ERSE REACTION ALLI CHOOSE 1 2 2 Filing Record Resolving Error Done Opening Adverse React Allergy record for review Browse Document Jun 13 1997 15 56 18 Page Adverse React Allergy CPRS PATI EE 000 00 0003 GENERAL MED
86. 8925 97 TIU CONVERSIONS UPLOAD TARGET FILE TIU DOCUMENT 8925 TIU DOCUMENT May 2012 Text Integration Utilities V 1 0 Technical Manual 81 Modify Upload Parameters ASCII Protocol Example cont d These are Ct TARGET TEXT FIELD field s Ls eats which is why there REPORT TEXT iv EDIT TEXT BUFFER Select TARGET TEXT FI T D REPORT TEXT UPLOAD LOOK UP ra THOD D LOOKUP TIUPUTU lt Enter gt UPLOAD POST FILING CODE D FOLLOWUP TIUPUTU TIUREC 4 Replace lt Enter gt NOTE UPLOAD FILING ERROR CODE D GETPAT TIUCHLP lt Enter gt Some of these Select CAPTION prompts and defaults only appear if you Choose from have programmer ATTENDING PHYSICIAN DATE OF ADMISSION DICTATED BY DICTATION DATE PATIENT SSN TRANSCRIPTIONIST URGENCY This is the caption to be associated with a given field in the message header and the target file e g Patient Name Select CAPTION PATIENT SSN CAPTION PATIENT SSN lt Enter gt ITEM NAME SSN FIELD NUMBER 02 lt Enter gt LOOKUP LOCAL VARIABLE NAME This field specifies the local variable name required by the lookup routine into which this item will be set Enter the required local variable into which this item will be set
87. 925 95 TIU DOCUMENT This file stores parameters which modify the processing PARAMETERS requirements of individual document types and their descendants 8925 97 TIU CONVERSIONS This file contains information concerning the conversion of legacy files such as GMR 121 Generic Progress Note File to ATIU 8925 TIU Document File 8925 98 TIU PERSONAL This file is used to store pick lists of documents by class DOCUMENT TYPE for selection by users LIST 8925 99 TIU PARAMETERS This file contains the site configurable parameters for TIU It will have one entry for each division to support variable definition of package behavior at multidivisional facilities 8926 TIU PERSONAL This file allows the definition of Personal Preferences with PREFERENCES respect to a variety of TIU s functions e g Review Screen sort field and order Default cosigner default locations location by day of week suppression of review notes prompt on Progress note entry etc 188 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU File Descriptions cont d 8926 1 TIU VHA Per VHA Directive 2005 044 this file has been locked down ENTERPRISE by Data Standardization DS The file definition i e data STANDARD TITLE dictionary shall not be modified All additions changes and deletions to entries in the file shall be done by Enterprise Reference Terminology ERT using the Master File Server MES provided by Common Services CS
88. AL OWNER Document Definition Ownership has nothing to do with who can use the entry to enter a document It determines responsibility for the Document Definition itself An entry can be edited by its owner The Manager menu permits override of ownership so that ownership can be assigned to a clinician who can then fill in boilerplate text while the Manager can still edit the entry since there are many fields the clinician doesn t have access to Exception the Manager menu doesn t allow override of Object or Shared Component ownership Only owners can edit Objects and Shared Components regardless of menu If a Title owner edits the boilerplate text of the Title that person can edit the boilerplate text of all components of the Title as well without regard to component ownership In order to edit components individually however the user must own the component This allows users to assign ownership of components to different people for example for future multidisciplinary documents A Personal Owner is a person who uniquely owns the entry An entry may have a Personal Owner or a Class Owner but not both When entering a Personal Owner be sure to delete any existing Class Owner TIU uses the term Individual Owner Someone is an Individual Owner of an entry if s he is the personal owner or if the entry is CLASS Owned if s he belongs to the Owner Class When you enter a new entry you are entered as the Personal Owner if you don
89. ARIAN UNIVERSALIST Patient s home address This time the formatting looks fine We have tested the Object Method code TRIED the object and TRIED a title with the object in it Everything looks good so we proceed to activate the object Activating the object e Quit out of the Detailed Display screen e In the Objects screen select the Status action e Select A for Active status Detailed Display Mar 05 1997 15 03 58 Page 1 of 1 Object PATIENT RELIGION Basics Name DEM PATIENT RELIGION May 2012 Text Integration Utilities V 1 0 Technical Manual 357 Abbreviation RELI Print Name PATIENT RELIGION Type OBJECT IFN 599 National Standard NO Status INACTIVE Owner CPRS PROVIDER NINE Technical Fields Objec Basics t Method S X SSRELI MYROUTIN DFN Try Delete Technical Fields Find Ouit Select Action Ouit BA Basics 358 NAME DEM PATIENT RELIGION lt Enter gt ABBREVIATION PRI r T RELI lt Enter gt T NAME PATIENT RELIGION lt Enter gt ERSONAL OWN ER ME lt Enter gt STATUS a I INACTIVE A ACTIVE Text Integration Utilities V 1 0 Technical Manual May 2012 Activating the object cont d Activating an object communicates to users that it is ready for e
90. ASU implements a User Class Hierarchy which is useful for identifying the roles that different users play within the hospital It also provides tools for creating business rules that apply to documents used by members of such groups ASU provides a method for identifying who is AUTHORIZED to do something for example sign and order Future versions of ASU will provide tools for identifying a group of persons who SUBSCRIBE to receive something for example the Medical House Staff Officer may receive an alert to cosign all Schedule II narcotic orders etc ASU originated in response to the long recognized demand for a Scope of Practice model which was first discussed during the analysis and design of OE RR The immediate driving force behind ASU s development was the complexity of Text Integration Utilities TIU s document definition needs Current security key capabilities were unable to efficiently manage the needs of clinical documentation Discharge Summaries Progress Notes etc Hierarchy Example ocal TIcer VBA Claims Renrecentative MIS Social Physician Physician s Nurse Transcript MRT Privacy Act Warker Accictant ianict Officer 98 tegratio Technical Manual May 2012 arate aes Sea User Class Management USR CLASS MANAGEMENT MENU This is a menu of options for management of User Class Definition and Membership See the Authorization Subscription Utility ASU Technical Manual for information on using t
91. ATE MGMT TIU TEMPLATE CAC USER DELETE SES pa a Se a E 2 Edit auto template cleanup parameter TIU TEMPLATE US ER DELETE PARAM e Se a ee eee See ee ee es 3 Delete templates for A terminated users TIU TEMPLATE DELETE TERM ALL 5 TIU Alert Tools TIU ALERT TOOLS T 6 Active Title Cleanup Report TIU ACTIV TITLE CLEANUP May 2012 Text Integration Utilities V 1 0 Technical Manual 163 7 TIUHL7 Message Manager 164 Text Integration Utilities V 1 0 Technical Manual May 2012 Suggested Clinical Coordinator Menu TIU doesn t export a Clinical Coordinator Menu However sites may wish to create one that includes most of the other menus and options except possibly the IRM options that require programmer access depending on the Coordinator s knowledge of M and FileMan Text Integration Utilities Transcriptionist Text Integration Utilities MRT Progress Notes s Discharge Summary TIU Text Integration Utilities MIS Manager Text Integration Utilities Remote User Progress Notes Print Options Document Definitions Clinician 1 Edit Document Definitions 2 Sort Document Definitions Objects TIU Parameters Menu User Class Management The Document Definitions Clinician menu could be assigned with due caution of course to Clinicians who are part
92. CT NAME Object Names like any other names are 3 60 characters not starting with punctuation Sites may want to namespace object names use the object Print Name as a more familiar name and use the object Abbreviation as a short name to embed in boilerplate text Unlike other Types Object Abbreviation and Print Name as well as Name must be uppercase Object Name Abbreviation or Print Name can be embedded in boilerplate text Since TIU must be able to determine from this which object is intended object Names Abbreviations and Print Names must be unique In fact an object Name must differ not only from every other object name but also from every other object Abbreviation and from every other object Print Name Same for Abbreviations and Print Names For example if some object has the abbreviation CND then CND cannot be used for any other object Name Abbreviation or Print Name TYPE Type determines the nature of the entry and what sort of items the entry may have There are five possible types Class CL Classes group documents Example Progress Notes is a class with many kinds of progress notes under it Classes may themselves be subdivided into items under a Class and or may have items of Document Class if no further subdivisions are desired If a hierarchy deeper than Class Document Class Title is desired Class is the place to insert another level into the hierarchy Class Class Document Class Title May 2012 Text
93. Class User Class is general allowing for identification of an array of non Providers whose access to clinical applications must be accommodated and controlled e g transcribers file clerks ward clerks unit secretaries hospital directors etc The HCFA Taxonomy and therefore the Person Class file currently offers a very restricted subset of the administrative or clerical occupations required by the applications which ASU is designed to serve 322 Text Integration Utilities V 1 0 Technical Manual May 2012 User Class may be dynamically extended or revised to accommodate a wide variety of common organizational changes e g product line reorganizations site consolidations etc with their attendant local variations May 2012 Text Integration Utilities V 1 0 Technical Manual 323 Differences between User Class and Person Class cont d The User Class file accommodates a true object class hierarchy which allows the definition of a set of locally controlled business rules conferring privileges which may be defined for any level in the hierarchy and inherited by members of all subordinate classes For example one such rule states that a User may view a completed Clinical Document where User is the root class of the User Class Hierarchy and Clinical Document is the root class of TIU s Document Definition hierarchy Amount of Set up for User Class amp Business Rules Initial Population of Basic User Classes
94. Concept EFFECTIVE This cross reference is by Effective Date Time DATE TIME This Regular FileMan cross reference will facilitate look up and sorting by Subject Matter Domain KWIC This Key Word In Context KWIC cross reference will facilitate look up by partial names ALTERNATE This REGULAR FileMan Cross reference on EXPRESSION Alternate Expression allows for look up and sorting by synonym AMASTERVUID If multiple entries have the same VUID in the file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept AVUID This cross reference is by VUID AMASTERVUID _ If multiple entries have the same VUID in the file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept EFFECTIVE This cross reference is by Effective Date Time 212 Text Integration Utilities V 1 0 Technical Manual May 2012 8926 3 TIU LOINC ROLE File This Regular FileMan cross reference will facilitate look up and sorting by Role KWIC This Key Word In Context KWIC cross reference will facilitate look up by partial names ALTERNATE This REGULAR FileMan Cross reference on EXPRESSION Alternate Expression allows for look up and sorting by synonym MASTER AMASTERVUID _ If multiple entries have the same VUID in the ENTRY FOR file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept AVUID This cross
95. D DOCUMENTS 2 Help for Upload Utility TIU UPLOAD HELP 4 List Documents for Transcription TIU REVIEW UNTRANSCRIBED DOCS 5 Review Edit Documents TIU BROWSE DOC TRANSCRIPTION 6 Transcription Billing Verification Report TIU VBC LINE COUNT REPORT Text Integration Utilities MRT TIU MAIN MENU MRT May 2012 Text Integration Utilities V 1 0 Technical Manual 151 152 Text Integration Utilities V 1 0 Technical Manual May 2012 1 Individual Patient Document TIU BROWS T DOCUMENT MRT 2 Multiple Patient Documents TIU REVIEW SCREEN MRT 3 Review Upload Filing Events TIU REVIEW FILING EVENTS 4 Print Document Menu TIUP PRINT MENU E SSSSesr 1 Discharge Summary Print TIUP PRINT DISCHARGE SUMMARIES gt 22 2 Progress Note Print TIUP PRINT PROGRESS NOTES 3 Clinical Document Print TIUP PRINT DOCUMENTS Released Unverified Report TIU RELEASED UNVERIFIED REPORT Search for Selected Documents TIU SEARCH LIST MRT Unsigned Uncosigned Report TIU UNSIGNED UNCOSIGNED REPORT Reassignment Document Report TIU REASSIGNMENT REPORT Review unsigned additional signatures TIU REVIEW MRT ADD SGNR TIU Menus cont d Progress Notes Discharge Summary TIU TIU MAIN MENU C
96. DISCHARGE DIAGNOSIS 1 Acute abdominal pain of unknown etiology 2 Diabetes mellitus type II 3 Tachycardia May 2012 Text Integration Utilities V 1 0 Technical Manual 39 PROCEDURES There were no invasive procedures don during this hospitalization SEND 40 Text Integration Utilities V 1 0 Technical Manual May 2012 Applying the Upload Utility to New Document Types With the emergence of new types of documents TIU from time to time extends the TIU Upload Utility for use in uploading new types of documents This section describes some of the steps involved in extending the TIU Upload Utility There are two main parts to the process The first part is determining what header data should be included in transcribed reports of the given document type and defining the upload header accordingly The second involves writing new code for several parts of the upload process namely for document lookup and for filing error resolution Lookup Method code identifies the record the report should be uploaded into in the target file or perhaps creates a new record Upload Filing Error code gathers information from users alerted when a report fails to file and attempts to re file the report after corrections are made A new document type specific Lookup Method is required for new document types New Upload Filing Error Code is recommended but not required Lookup Methods In the absence of a document
97. DOCUMENT File 8925 cont d 01 DOCUMENT This MUMPS style multi field cross reference is used for gueries TYPE by subject This MUMPS type multi field cross reference by SERVICE DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE facilitates look ups by service This multi field MUMPS type cross reference by Patient inverse Date and Report Type is to optimize searching by entity time and attribute This MUMPS type multi field cross reference is optimized for searching hospital location document type status and date range This multi field MUMPS type cross reference by Problem Document Type Status and Inverse Reference Date facilitates query for documents by problem This MUMPS type multi field cross reference by VISIT DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE facilitates look ups by visit This MUMPS type multi field cross reference by PATIENT CLINICAL DOCUMENT CLASS and INVERSE REFERENCE DATE facilitates look ups by patient This multi field MUMPS type cross reference on CLASS PATIENT INVERSE REFERENCE DATE TIME and RECORD is designed to support rapid queries by patient This multi field MUMPS type cross reference on CLASS AUTHOR or ENTERED BY PATIENT INVERSE REFERENCE DATE TIME and RECORD is designed to facilitate rapid access to the current users unsigned notes about a patient This multi field MUMPS type Cross reference on CLASS EXPECTED COSIGNER PATIENT INVERSE REFERENCE DATE
98. Definitions 201 type 166 Unmapped Titles 84 Unsigned Uncosigned Report 92 Upload Documents 29 upload errors 34 Upload Menu 29 Upload Parameters 17 user 55 User Class 163 User Class Assignment 208 User Class definition 8 User Class Definition 59 User Class File 8930 204 User Class Information 204 User Class Management 59 60 USR BUSINESS RULE MANAGEMENT 59 USR CLASS DEFINITION 59 USR CLASS MANAGEMENT MENU 59 USR EDIT BUSINESS RULES 59 USR LIST MEMBERSHIP BY CLASS 59 USR LIST MEMBERSHIP BY USER 59 VA Cross Referencer 159 View Objects 54 Visit Information 195 Visit Orientation 198 Visit Tracking 7 visits 187 VT220 188 Ward Print Progress Notes 63 word processing program 16 189 work copy 66 Workload Capture 198 WWW 156 396 Text Integration Utilities V 1 0 Technical Manual May 2012
99. E DATE TIME This API returns lists of Discharge Summaries by visit Used to determine what access a user has to templates This RPC will evaluate boilerplate passed in the input array checking to see whether any of the embedded objects are inactive faulty or ambiguous This remote procedure allows creation and update of Templates SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION RESTRICTED SUBSCRIPTION SUBSCRIPTION May 2012 Text Integration Utilities V 1 0 Technical Manual 233 Remote Procedure Calls cont d TIU TEMPLATE DELETE TIU TEMPLATE GET DEFAULTS TIU TEMPLATE GET DESCRIPTION TIU TEMPLATE GETBOIL TIU TEMPLATE GETITEMS TIU TEMPLATE GETPROOT TIU TEMPLATE GETROOTS TIU TEMPLATE GETTEXT 234 This RPC will delete orphan entries in the Template file i e only those entries that have been removed from any Groups Classes Personal or Shared Root entries Returns Default Template Settings Returns a Template s Description Returns the boilerplate of a given template TIU objects within the boilerplate are not expanded Returns the children of a given template folder group template or template dialog Gets information about the user s My Template folder Gets information about the user s My Template folder as well as the Shared Templates folder Receives boilerplate text expands any TIU objects contained within it and returns the expanded text
100. ENDOSCOPY Is SERVICE a LOINC Role No Is SERVICE a SYNONYM for a LOINC Role No Is ENDOSCOPY a LOINC Role No Is ENDOSCOPY a SYNONYM for a LOINC Role No Is SERVICE a Setting No Is SERVICE a SYNONYM for a Setting No Is ENDOSCOPY a Setting No Is ENDOSCOPY a SYNONYM for a Setting No Is SERVICE a Service No Is SERVICE a SYNONYM for a Service No Is ENDOSCOPY a Service No Is ENDOSCOPY a SYNONYM for a Service DIAGNOSTIC INTERVENTIONAL PROCEDURE I found a match of ENDOSCOPY Service DIAGNOSTIC INTERVENTIONAL PROCEDURE OK Yes lt Enter gt YES Enter RETURN to continue or to exit lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 139 Remember your LOCAL title is MEDICAL SERVICE ENDOSCOPY Is SERVICE a Document Type No Is SERVICE a SYNONYM for a Document Type No Now we ll query the VHA Enterprise Standard Titles for an entry with LOCAL Title MEDICAL SERVICE ENDOSCOPY EDICINE Subject Matter Domain INTERNA Service DIAGNOSTIC INTERVENTIONAL PROCEDURE First we ll try an EXCLUSIVE match i e ALL conditions met DIAGNOSTIC INTER VENTION PROCEDURE NOTE I found a match of INTERNAL MEDICINE DIAGNOSTIC INTERVENTION PROCEDURE NOTE OK Yes lt Enter gt YES Read
101. HA Enterprise Standard Title Is NUTRITION a Subject Matter Domain DIETETICS I found a match of NUTRITION DIETETICS OK Yes lt Enter gt YES May 2012 Text Integration Utilities V 1 0 Technical Manual 135 a LOINC Role No a SYNONYM for a LOINC Role No iY a LOINC Role No ER LY a SYNONYM for a LOINC Role No ECU a Setting No ECU a SYNONYM for a Setting No Y a Setting No ER Y a SYNONYM for a Setting No Is ECU Is ECU Is OUARTI Is QUARTI Is Is Is OUARTI Is OUARTI Is ECU Is ECU a Service No a SYNONYM for a Service No Enter RETURN to continue or to exit your LOCAL title is NUTRITION ECU OUARTERLY Y a Service No Y a SYNONYM for a Service No zj m a Document Type No a SYNONYM for a Document Type No Y a Document Type No Remember Is QUARTI Is QUARTI Is ECU Ls VEGU Is QUARTI Is QUARTI Tj Y a SYNONYM for a Document Type No 136 Now we ll query the VHA Enterprise Standard Titles for an entry with LOCAL Title NUTRITION ECU QUARTERLY Subject Matter Domain NUTRITION DIETETICS Text Integration Utilities V 1 0 Technical Manual May 2012
102. ICINE Visit Date 04 18 96 10 00 May 2012 Text Integration Utilities V 1 0 Technical Manual 57 E OF NOTE JUN 13 1997 ENTRY DATE JUN 13 1997 15 56 16 AUTHOR CPRSPROVIDER ONE XP COSIGN URGENCY STAT The new antihistamine is working Next Screen Prev Screen More actions Find Edit Verify Unverify Send Back On Chart Reassign Select Action Ouit V Verify Unverify Do you want to edit this Adverse React Allergy NO lt Enter gt VERIFY this Adverse React Allergy NO YES 58 Text Integration Utilities V 1 0 Technical Manual May 2012 ASCII protocol upload with alert cont d Adverse React Allergy VERIFI ING ERROR 3 DISCHARGE SUMMARY Invalid Report Type encountered ING ERROR PROGRESS NOTES Record could not be found or created CIENT THREE T0003 07 22 91 DISCHARGE SUMMARY is missing fields TIENT FOUR A3456 08 14 95 ADVERS EACTION ALLERGY is missing fields Select from 1 to 4 or enter AI F P M R or You may now enter the correct information ENT THREE T0003 07 22 91 DISCHARGE SUMMARY is missing fields ENTIRE existing record NO YES DOCUMENT TYPE Discharge Summary ENT CPRSPATIENT THR VISIT JUL 22 1991 11 06 PARENT DOCUME
103. IT documents i e Classes or Document Classes Division Progress TIU PRINT PN These parameters are used by the TIU Notes Print DIV PARAM PRINT PN BATCH INTERACTIVE Parameters and TIU PRINT PN BATCH SCHEDULED options If the site desires a header other than what is returned by SITE VASITE the 02 field of the Ist entry in this file will be used For example Waco Temple Marlin can have the institution of their progress notes as CENTRAL TEXAS May 2012 Text Integration Utilities V 1 0 Technical Manual 17 18 Progress Notes TIU PRINT PN Option for entering hospital locations Batch Print Locations LOC PARAMS used for TIU PRINT PN OUTPT LOC and TIU PRINT PN WARD options If locations are not entered in this file they will not be selectable from these options Text Integration Utilities V 1 0 Technical Manual May 2012 Basic TIU Parameters This option allows you to enter the basic or general parameters which govern the behavior of the Text Integration Utilities Example Select TIU Maintenance Menu Option 1 TIU Parameters Menu al Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Notes Print Params Select TIU PARAMETERS Menu Option BASIC TIU PARAMETERS Basic TIU PARAMETERS First edit Division wide parameters Select INSTITUTION lt YOUR INSTITUTION NAME gt SH
104. If this parameter is set to YES for suppress the user is not prompted for this information If this parameter is set to NO or is blank the user may or may not be prompted depending on the type of visit and on parameter ASK DX CPT ON ALL OPT VISITS If a site elects to suppress diagnoses and procedures the site must capture this information by some other means such as an AICS encounter form in order to receive workload credit for these visits Choose from T YI Fl n 0 NO SUPPRESS DX CPT ON NEW VISIT NO lt Enter gt FORCE RESPONSE TO EXPOSURES When set to YES this parameter forces the user to respond when asked to specify a veteran s Service Connection Classification AO IR or EC when creating a standalone visit Choose from 1 YI Fl n 0 NO FORCE RESPONSE TO EXPOSURES lt Enter gt ASK DX CPT ON ALL OPT VISITS 72 Text Integration Utilities V 1 0 Technical Manual May 2012 This parameter applies only to documents for outpatient care and is IGNORED if SUPPRESS DX CPT ON ENTRY is set to YES If DX CPT prompts are NOT suppressed and ASK DX CPT ON ALL OPT VISITS is set to YES the user is prompted for DX CPT information for scheduled as well as unscheduled stand alone visits If DX CPT prompts are NOT suppressed and ASK DX CPT ON ALL OPT VISITS is set to NO the user is pro
105. Integration Utilities V 1 0 Technical Manual 255 Besides grouping documents Classes also store behavior which is then inherited by lower level entries Document Class DC Document Classes group documents Document Class is the lowest level of class and has items of the Title Type under it Example Day Pass Note could be a Document Class under class Progress Note Document Classes also store behavior which is then inherited by lower entries 256 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology cont d Title TL Titles are used to enter documents They store the behavior of the documents which use them Titles may have predefined boilerplate Overprint text They may have Components as items Boilerplate Text can have Objects in it Examples Routine Day Pass Note could be a Title under document class Day Pass Note Another example might be Exceptional Circumstances Day Pass Note Titles store their own behavior They also inherit behavior from higher levels of the hierarchy However behavior stored in the Title itself always overrides inherited behavior Component CO Components are sections or pieces of documents In the Hierarchy Components are organized as items under Titles Examples Reason for Pass could be a component of Routine Day Pass Note Subjective is a component of a SOAP Note Components may have sub Components as items T
106. Integration Utilities V 1 0 Technical Manual May 2012 Action Descriptions Actions are not selectable when they are enclosed in parentheses FIND Finds text in a list of entries information displayed The program searches all pages of list information except for unexpanded entries in the Edit Document Definitions Option Can be a quick way to get to the right page Enter F CHANGE VIEW Changes the view to a different list of Document Definitions CREATE This action can be used to create either Objects or non object Document Definitions in TIU Document Definition file 8925 1 After it is created a non object entry must be explicitly added as an Item to a parent in the hierarchy before it can be used The Create Document Definitions Option does this automatically File 8925 1 cannot have two entries of the same type with the same name DETAILED DISPLAY Detailed Display displays the selected entry and permits edit if appropriate Edit is limited if the entry is National Shared Components can be VIEWED via the Edit Document Definitions Option but can be EDITED only via the Sort Option The DETAILED DISPLAY action lets you edit all aspects of an entry including Items The Items action in contrast looks at the entry ONLY as an Item under its parent and permits edit of Item characteristics ONLY Managers anyone assigned the Manager menu need not own the entry in order to edit it You can edit Basics Items Boilerplate Text Techn
107. LE NAME lt Enter gt TRANSFORM CODE lt Enter gt EXAMPLE ENTRY CPRSPROVIDER TWO M D Replace lt Enter gt CLINICIAN MUST DICTATE YES lt Enter gt REQUIRED FIELD Y YES Select CAPTION TRANSCRIPTIONIST CAPTION TRANSCRIPTIONIST lt Enter gt ITEM NAME TRANSCRIPTIONIST ID lt Enter gt FIELD NUMBER 1302 lt Enter gt LOOKUP LOCAL VARIABLE NAME lt Enter gt TRANSFORM CODE lt Enter gt EXAMPLE ENTRY T1212 lt Enter gt CLINICIAN MUST DICTATE NO lt Enter gt Fl REQUIRED FIELD NO NO Select CAPTION lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual Modify Upload Parameters ASCII Protocol Example cont d The header for the Discharge Summary Document Definition is now defined as SHDR DISCHARGE SUMMARY SOCIAL SECURITY NUMBER 000 00 0001 DATE OF ADMISSION 03 30 97 DICTATED BY CPRSPROVIDER ONE M D DICTATION DATE 04 03 97 ATTENDING PHYSICIAN CPRSPROVIDER TWO M D TRANSCRIPTIONIST T0001 URGENCY PRIORITY TXT DISCHARGE SUMMARY Text File should be ASCII with width no greater than 80 columns Use for BLANKS word or phrase in dictation that isn t understood 36 Text Integration Utilities V 1
108. LINICIAN 1 Progress Notes 1 Entry of Progress Note TIU ENTER EDIT PN User Menu TIU MAIN MENU PN CLINICIAN P 2 Review Progress Notes by Patient TIU BROWSE PN CLINICIAN Ses So SSSs 5 5 2B Review Progress Notes TIU OE RR REVIEW PROG NOTES SSeS He Sasser SSS 3 All MY UNSIGNED Progress Notes TIU REVIEW PN UNSIGNED Sate gt 4 Show Progress Notes Across Patients TIU REVIEW PN CLINICIAN E 5 5 Progress Notes PNPA Author Print Print Options Progress Notes TIU PRINT PN TIU PRINT PN USER MENU AUTHOR gt 2 gt PNPL Location Print Progress Notes TIU PRINT PN LOC May 2012 Text Integration Utilities V 1 0 Technical Manual 153 154 2 Discharge Summary User Menu TIU MAIN MENU DS CLINICIAN 6 List Notes By Title TIU LIST NOTES BY TITL PNPT Patient Print Progress Notes TIU PRINT PN PT i easy let exhale mit PNPW Ward Print Progress Notes TIU PRINT PN WARD Fl 7 Search by Patient AND Title TIU SEARCH BY PATIENT TITLE T 8 Personal 1 Personal Preferences TIU Preferences TIU PERSONAL PERSONAL PREFERENCE MENU PREFERENCES gt gt gt gt 5 gt 5 2 Document List
109. Modify Upload Parameters option located on the TIU Parameters menu to enter the upload utility s parameters May 2012 Text Integration Utilities V 1 0 Technical Manual 27 Modify Upload Parameters ASCII Protocol Example In this example the ASCII upload source is a remote computer and the upload protocol is defined as an ASCII Protocol To optimize reliability and functionality when using the ASCII Protocol we recommend a direct line rather than a modem for transfer of data Select TIU Maintenance Menu Option 1 TIU Parameters Menu 1 Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Notes Print Params Select TIU Parameters Menu Option 2 Modify Upload Parameters First edit Institution wide upload parameters Select INSTITUTION YOUR HOSPITAL ASCII UPLOAD SOURCE remote computer lt Enter gt UPLOAD PROTOCOL This is the preferred upload protocol Choose from a ASCII k KERMIT UPLOAD PROTOCOL ASCII lt Enter gt PACE CHARACTER This is the ASCII value of the character which VISTA will send to the remote computer to acknowledge receipt of the last text line transmitted and to prompt the remote to transmit another line If you are using the same remote to upload both MailMan messages and textual reports then we PACE CHARACTER 62 28 Text Integration Utilities V 1 0 Technical Manual May 2012
110. NT TYPE DISCHARGE SUMMARI STATUS UNVERIFI EPISODE BEGIN DATE TIME JUL 22 1991 11 06 EPISODE END DATE TIME FEB 12 1996 13 56 50 INE COUNT 73 VISIT TYPE May 2012 Text Integration Utilities V 1 0 Technical Manual 59 ASCII protocol upload with alert cont d ENTRY DATE TIME JUN 13 1997 15 55 31 3 3 AUTHOR DICTATOR CPRSPROVIDER ONE EXPECTED SIGNER CPRSPROVIDER ONE HOSPITAL LOCATION 1A EXPECTED COSIGNER CPRSPROVIDER FIVE ATTENDING PHYSICIAN CPRSPROVIDER FIVE VISIT LOCATION 1A REFERENCE DATE FEB 12 1996 13 56 50 ENTERED BY BS CAPTURE ETHOD upload RELEASE DATE TIME JUN 13 1997 15 55 40 DICTATION DATE JUN 10 1997 PATIENT MOVEMENT RECORD JUL 22 1991 11 06 TREATING SPECIALTY SURGERY COSIGNATURE NEEDED YES VISIT ID 11HR TEST REPORT TEXT Enter RETURN to continue or to exit lt Enter gt DIAGNOSIS 1 Status post head trauma with brain contusion 2 Status postcerebrovascular accident 3 End stage renal disease on hemodialysis 4 Coronary artery disease 5 Congestive heart failure 6 Hypertension 7 Non insulin dependent diabetes mellitus 8 Periph
111. PATIENT DOCUMENT TYPE STATUS and INVERSE VISIT DICTATION DATE facilitates look ups by visit This REGULAR FileMan Cross reference by VISIT is used to help identify dependent entries This MUMPS type Multifield cross reference by PT TITLE LOC VDT VTYP DA is used for optimizing checks for documents for a particular visit TIU DOCUMENT File 8925 cont d PARENT DOCUMENT TYPE STATUS ADCPT This MUMPS type multi field cross reference by PATIENT DOCUMENT CLASS STATUS and INVERSE REFERENCE DATE facilitates look ups by PATIENT AND DOCUMENT CLASS e g all SIGNED Violence Postings for patient CPRSPATIENT ONE This MUMPS type multi field cross reference by EXPECTED COSIGNER DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries This MUMPS type multi field cross reference by AUTHOR DICTATOR DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries This MUMPS type multi field cross reference by AUTHOR DICTATOR DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries This MUMPS type multi field cross reference by ENTERED BY DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries This MUMPS type multi field cross reference by TREATING SPECIALTY DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used fo
112. PN DIV PARAMS Use this option for entering hospital locations used for TIU PRINT PN OUTPT LOC and TIU PRINT PN WARD options If locations are not entered in this file they will not be selectable from these options Select TIU Maintenance Menu Option 1 TIU Parameters Menu LL Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Notes Print Params Select TIU Parameters Menu Option 5 Division Progress Notes Print Params Select Division for PNs Outpatient Batch Print Answer with TIU DIVISION PRINT PARAMETERS or NUMBER 1 SALT LAKE CITY You may enter a new TIU DIVISION PRINT PARAMETERS if you wish Select the DIVISION these print parameters apply to Answer with MEDICAL CENTER DIVISION NUM or NAME il SALT LAKE CITY 660 Select Division for PNs Outpatient Batch Print YOUR HOSPITAL OK Yes lt Enter gt Yes 88 Text Integration Utilities V 1 0 Technical Manual May 2012 LOCAT LOCAT PROGR May 2012 ION TO PRINT ON FOOTER The name of this division as it should appear in the footer of the progress notes and forms printed using the terminal outpatient sort This is useful for sites that want digit something other than what the external value of this division returned by SIT E VASIT E For example the TxTownl
113. R ALE as RT ECIPIE NT ENT THREE the PARAI ETERS Y Yes lt Enter gt the DOCUME T D EFINITION file Text Integration Utilities V 1 0 Technical Manual 37 DOCUME 38 NT EFINITION Ne In this example we assume that you define upload captions for specific document types elsewhere See the TIU Implementation Guide for guidance on these steps Text Integration Utilities V 1 0 Technical Manual May 2012 Modify Upload Parameters cont d When configured this way report text with the following format can be successfully uploaded and routed to the appropriate records in the TIU DOCUMENT File 8625 SHDR DISCHARGE SUMMARY NAME OF PATIENT CPRSPATIENT ONE SOCIAL SECURITY NUMBER 000 00 0001 DATE OF ADMISSION 01 15 93 DATE OF DISCHARGE 02 23 93 ATTENDING PHYSICIAN CPRSPROVIDER THREE M D STXT DISCHARGE DIAGNOSIS 1 Acute Ischemic Heart Disease 2 Congestive Heart Failure 3 Tachycardia PROCEDURES Cardiac Catheterization Echocardiagram 12 lead EKG SHDR DISCHARGE SUMMARY NAME OF PATIENT CPRSPATIENT TWO SOCIAL SECURITY NUMBER 000 00 0002 DATE OF ADMISSION 01 27 93 DATE OF DISCHARGE 02 23 93 ATTENDING PHYSICIAN CPRSPROVIDER THREE M D URGENCY PRIORITY STXT
114. RPN a with options Clinician Nurse Ward Clerk Copy Options Clinician NA note to another note MRT IPD MPD Nurse SSD Ward Clerk 172 Text Integration Utilities V 1 0 Technical Manual May 2012 MGR MPD SSD MD IPD MPD IPDS MPDS EPN RPNP AMUPN SPNAP LNT SPT AMUD CWAD Options MRT IPD MPD SSD REM IPD MPD MGR IPD MPD SSD MD IPD MPD IPDS MPDS EPN RPNP RPN AMUPN SPNAP LNT SPT AMUD Clinician Nurse Ward Clerk All tabs Postings CWAD button May 2012 Text Integration Utilities V 1 0 Technical Manual 173 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Delete Options MGR IPD MPD SSD MD IPD MPD IPDS MPDS EPN RPNP AMUPN SPNAP AMUD Clinician Nurse Ward Clerk Notes amp D C Summ tabs Action amp Pop up Menus Detailed Display Options MRT IPD MPD SSD REM IPD MPD MGR IPD MPD SSD MD IPD MPD IPDS MPDS EPN RPNP RPN AMUPN SPNAP LNT SPT AMUD Clinician Nurse Ward Clerk Notes amp D C Summ tabs View Menu Details Document Definitions Options DDEF Create edit sort Create objects IRM Create edit sort Create objects NA NA Edit Options MRT IPD MPD SSD Clinician Nurse Notes amp D C Summ tabs Action amp Pop up menus 174 Text Integration Utilities
115. S Basics Name RECENTLY EXPIRED MEDS Abbreviation Print Name RECENTLY EXPIRED MEDS Type OBJECT IFN 1110 National Standard NO Status ACTIVE Owner CLINICAL COORDINATOR S X SSLIST TIULMED DFN TMP TIUMED J 2 0 1 1 1 1 376 Text Integration Utilities V 1 0 Technical Manual Help Next Previous Screen PS PL Basics Try Delete Technical Fields Find Quit Select Action Quit UIE ania lsh se teers Gaara a etal alia ct Sas Gate Salsas ahr AU talyal E S te Objects Oct 06 1999 10 13 54 Page 5 of 6 Objects Status 61 RECENTLY EXPIRED MEDS A 62 RESPIRATIO A 63 SGOT A 64 TEMPERATURE A 65 TEST ACTIVE MEDS I 66 TEST AGE I 67 TEST NOTES T 68 TEST OBJECT 69 TODAY S DATE A 70 TSH T4 A 71 URIC ACID A 12 VISIT DATE A Help gt ScrollRight PS PL PrintScrn List gt gt gt Find Detailed Display Edit Copy Change View Try Ouit Create Owner Select Action Ouit May 2012 Creating an Object Based on Health Summary Starting with patch TIU 1 135 you can create a TIU object that will display a Health Summary Type This patch can work in conjuction with GMTS 2 7 58 With Health Summary Patch 58 you can use the Health Summary Objects Menu to create custom Health Summary Objects for use as TIU Objects Alternately you can use default values to create a TIU Health Summary Object directly from TIU Healt
116. Summary Type DISPLAY APPOINTMENTS Report Period Creator CPRSPROVIDER TEN HS Object Print Label NO Print Report Date and Time NO Print Blank Line after Label NO Print Confidentiality Banner NO Customized Header YES Print Report Date and Time NO Suppress Components w o Data NO Print Component Header YES Print Deceased Information NO Print Time Occurrence Limits NO National Object NO Underline Component Header NO Blank Line After Header NO Enter for more actions Edit HS Object Inquire about a HS Type Change HS Type Edit HS Type Select Item s Quit If you do not own did not create the HS Object then the program will not allow you to change the HS type and you will receive the following message Can t edit this HS Object Only the owner can edit this HS Object May 2012 Text Integration Utilities V 1 0 Technical Manual 387 Inquire about a HS Type This action allows you to view on the screen any Health Summary Type To do this you need to supply the name of the HS Type as in the following example Select Action Quit IN Inquire about a HS Type Select Health Summary Type GASTRO 1 GASTRO 1 Gastro l1 OK YES lt Enter gt DEVICE ANYWHERE Right Margin 80 HEALTH SUMMARY TYPE INOUIRY Type Name GASTRO 1 Title Owner CPRSPROVIDER ELEVEN SUPPRESS PRINT OF COMPONENTS WITHOUT DATA yes
117. T BY LOCATION In this case the call will return the default provider for a given Hospital Location as specified in the set up for the Clinic in MAS If a default provider is specified for the location in question that person will be returned If the Clinic set up specifies use of the Primary Provider defined for the patient then that person will be returned The return format will be DUZ LASTNAME FIRSTNAME 2 AUTHOR IF PROVIDER In this case the call will return the current user if they are a Provider If their not a known Provider then the call will return 0 TIU GET DOC COUNT This remote procedure returns the SUBSCRIPTION BY VISIT number of documents that are linked to a particular visit 226 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU GET DOCUMENT PARAMETERS TIU GET DOCUMENT TITLE TIU GET DOCUMENTS FOR IMAGE TIU GET DOCUMENTS FOR REQUEST TIU GET DS TITLES TIU GET DS URGENCIES TIU GET LIST OF OBJECTS May 2012 This Remote Procedure returns the parameters by which a given document or document type is to be processed This remote procedure returns the pointer to the TIU DOCUMENT DEFINITION FILE that corresponds to the TITLE of the document identified in the TIUDA parameter Given an image get the list of associated documents Returns the list of documents associated with a given request e g Consult Request Surgical Case Returns a set of discharge
118. T NAME lt Enter gt 362 Text Integration Utilities V 1 0 Technical Manual May 2012 Troubleshooting If you have problems with this note e Make sure its status is Active or Test e If its status is Test make sure you own it e Make sure the embedded object PATIENT RELIGION has an active status Using the Object When the note works properly the object is finished and available for any user with a Document Definition menu to embed it in boilerplate text Unless you assign ownership to someone else you are the site wide caretaker for this object Any questions or requests should be addressed to you Further Considerations Using the option Sort Document Definitions to create Objects Once you are comfortable creating objects it is actually easier to use the option Sort Document Definitions than the option Create Objects To use the Sort option select ALL and select a narrow alphabetic range which includes both the object name and the name of a test title Another possibility is to enter yourself as the Personal Owner This assumes you are the personal owner of both the object and test title Sort Document Definitions permits the object to be edited and tested except for the code itself without switching options May 2012 Text Integration Utilities V 1 0 Technical Manual 363 Activating Inactivating Editing Objects Objects must be inactive before they can be edited Before inactivating an object that has already b
119. TIME and RECORD is useful for finding the uncosigned notes by the current user for a given patient May 2012 Text Integration Utilities V 1 0 Technical Manual 193 TIU DOCUMENT File 8925 cont d 01 DOCUMENT ACLSB TYPE PATIENT 194 Text Integration Utilities V 1 0 Technical Manual May 2012 This cross reference by CLASS SIGNED BY PATIENT INVERSE REFERENCE DATE TIME and RECORD will facilitate finding records signed by a given user about the current patient This MUMPS type Multi field index by PT TITLE LOC VDT VTYP DA is used for optimizing checks for documents for a particular visit This MUMPS type multi field cross reference by PATIENT DOCUMENT TYPE STATUS and INVERSE VISIT DATE will help to identify documents by patient and time This multi field MUMPS type cross reference by Patient Document Type Status and Inverse Entry Dictation Date will facilitate look up by Patient This multi field MUMPS type cross reference by Patient Inverse Visit Date and Report Type is to optimize searching by entity time and attribute This REGULAR FileMan type cross reference is used for look up by patient This MUMPS type multi field cross reference by patient document type and visit record number will serve as a candidate key to determine whether a given document exists for a particular patient visit This MUMPS type multi field cross reference by Patient and REGULAR Signature Date Time is use
120. TIU Template Mgmt Functions 5 TIU Alert Tools 6 Active Title Cleanup Report 7 TIUHL7 Message Manager Title Mapping Utilities Select TIU Maintenance Menu Option Title Mapping Utilities 1 Map ACTIVE LOCAL Titles 2 Selected Title Map 3 Mapping Workbench 4 Add Edit Synonyms Select Title Mapping Utilities Option 1 Map ACTIVE LOCAL Titles 134 Text Integration Utilities V 1 0 Technical Manual May 2012 KEKKKKKKKKKKK KK KK KK KK KK KK KK KK KK KK KK KK KK KKKKKKKKKKKKKKKK KK KK KKKKK 2 Good EVENING CHARLIE x And WELCOME BACK for ANOTHER ride on the MTA So far 44 of 63 Active Titles have been mapped You re at Brigham Circle Station In preparation for migration to the HDR ALL LOCAL titles X MUST be mapped to Standard Titles BEFORE transmittal of TIU k Documents to the HDR can begin x You may quit mapping titles at any time and continue your X work from the last successfully mapped title The only catch is that any ACTIVE LOCAL Titles that are not mapped x when transmission to the HDR is initiated will be INACTIVATED so please finish this process expeditiously KEKKKKKKK KK KK KK KK KK KK KK KK KK KK KK KK KK KKKK KK KK KKKKKKKKKKKK KK KK KKKKK Are you READY to map NO YES For the LOCAL Title NUTRITION ECU QUARTERLY Attempting to map NUTRITION ECU QUARTERLY to a V
121. The two higher layers of definition are Document Class and Class These layers group Document Definitions within a meaningful organization These two layers also store some behaviors which are inherited by associated Titles TIU permits nested levels of Class TIU allows only one Document Class level beneath a Class level This level however can contain as many Document Classes as necessary TIU allows only one level of Titles beneath a Document Class This level however can contain as many Titles as necessary May 2012 Text Integration Utilities V 1 0 Technical Manual 91 Document Definition Options Create Document Definitions Edit Document Definitions Sort Document Definitions Create Objects View Objects Option Name TIUFC CREATE DDEFS TIUFH EDIT DDEFS TIUFJ CREATE OBJECTS MGR TIUFJ VIEW OBJECTS CLIN Description The Create Document Definitions option lets you create new entries of any type Class Document Class Title Component except Object placing them where they belong in the hierarchy Although entries can be created using the Edit and Sort options the Create option streamlines the process The Create option permits you to view edit and create entries if the entry is not marked National Standard The Create Option doesn t let you copy an entry The Edit Document Definitions Option lets you view and edit entries Since Objects don t belong to the hierarchy they can t be viewed o
122. UCNSLT TIUCP TIUCPCL TIUCPFIX TIUCVFIX TIUDD TIUDDO TIUDDO1 TIUDD1 TIUDD8 TIUDD98 TIUDDT TIUDEV TIUDIRH TIUDIRT TIUDPEDT TIUDSCN1 TIUDSCNV TIUEDI1 TIUEDI2 TIUEDI3 TIUEDI4 TIUEDIM TIUEDIT TIUEDITR TIUEDIU TIUEDS TIUEDS1 TIUEDS2 TIUEDS3 TIUEDS4 TIUEDS5 TIUEDS6 TIUELST TIUEN96 TIUENV TIUEPN TIUEPN1 TIUEPRNT TIUESFIX TIUEXPRT TIUFA TIUFA1 TIUFC TIUFC1 TIUFD TIUFD1 TIUFD2 TIUFD3 TIUFD4 TIUFH TIUFH1 TIUFHA TIUFHA1 TIUFHA2 TIUFHA3 TIUFHA4 TIUFHA5 TIUFHA6 TIUFHA7 TIUFHA8 TIUFHA9 TIUFHLP TIUFHLP1 TIUFJ TIUFL TIUFL1 TIUFLA TIUFLA1 TIUFLD TIUFLD1 TIUFLF TIUFLF1 TIUFLF2 TIUFLF3 TIUFLF4 TIUFLF5 TIUFLF6 TIUFLF7 TIUFLF8 TIUFLJ TIUFLJ1 TIUFLLM TIUFLLM1 TIUFLLM2 TIUFLLM3 TIUFLT TIUFLX TIUFPR TIUFT TIUFT1 TIUFX TIUFXHL1 TIUFXHLX TIUFZZO1 TIUFZZ43 TIUFZZ60 TIUFZZ65 TIUFZZ8 TIUGBR TIUGEDI1 TIUGEDIT TIUGR TIUGR1 TIUGR2 TIUHELP TIUIL TIUIL1 TIUIL10 TIUIL2 TIUIL3 TIUIL4 TIUIL5 TIUIL6 TIUIL7 TIUIL8 TIUILO TIULA TIULA1 TIULA2 TIULA3 TIULA4 TIULAB TIULADR TIULAPI TIULAPIC TIULAPIS TIULC TIULC1 TIULD TIULE TIULEXP TIULF TIULG TIULIP TIULM TIULMED TIULMED1 TIULO TIULO1 TIULORM TIULP TIULP1 TIULO TIULO2 TIULRR TIULS TIULS1 TIULV TIULX TIUMOVE TIUNTEG TIUNTEGO TIUO38 TIUO68 TIUO70 TIUOBJ TIUPD TIUPEDSP TIUPEFIX TIUPEVN1 TIUPEVNT TIUPI14 TIUPL TIUPLST TIUPNAPI TIUPNCCK TIUPNCV TIUPNCV1 TIUPNCV2 TIUPNCV3 TIUPNCV4 TIUPNCV5 TIUPNCV6 TIUPNCV7 TIUPNCV8 TIUPNCVU TIUPNCVX TIUPNCW TIUPOST 112 Text Integration Utili
123. UD Link Options Clinician See Link with Request Problem s Patient Visit MD IPD MPD Nurse with Request IPDS MPDS EPN RPNP AMUPN Ward Clerk SPNAP LNT SPT See also Reassign for AMUD Patient Visit Link Link with Request Options also see See Link Consults tab Action Link Menu Consult Results Mee Complete Update MGR MPD SSD Results May 2012 Text Integration Utilities V 1 0 Technical Manual 177 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Make Addendum Options MD IPD MPD IPDS MPDS EPN RPNP RPN AMUPN SPNAP LNT SPT AMUD Clinician Nurse Ward Clerk Notes amp D C Summ tabs Action amp Pop up Menus New Note New Document Add Document Write New Note New Discharge Summary Options TR EED EEDS MD EED MPD MPDS EPN RPN AMUPN SPNAP LNT SPT AMUD Clinician Nurse Ward Clerk Notes amp D C Summ tabs Action Menu New Note Drawer On Chart Options MRT IPD MPD SSD MGR IPD MPD SSD NA NA Parameters Options IRM Basic Upload Document Parameter Batch Print Locations Division Print Params NA NA 178 Text Integration Utilities V 1 0 Technical Manual May 2012 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Personal Preferences Options MD Personal Preferences Document List Management document list and default document
124. ULO DFN VADM Q S VADM 4 VADM 4 1 AGE UNKNOWN r DEM DFN VADM Calls DEM VADPT D DEM VADPT If the VADM array hasn t been defined for subscript 4 the age subscript the code calls module DEM passing array VADM by reference DEM calls the VADPT patient demographics utility and passes patient demographics back We can copy this and only need to understand that it puts demographic information for patient DFN in the VADM array as described in the VADPT utility Note that AGE is a function and quits with the value VADM 4 if VADM A4 has a value Otherwise it quits with the value AGE UNKNOWN 346 Text Integration Utilities V 1 0 Technical Manual May 2012 We ll write similar code for religion May 2012 Quit out of the Manager Menu and get into programmer mode Write a similar function for religion Looking up the VADPT utility we find that patient religion is returned in VADM 9 so we have MYROUTIN HERE ME Embedded Objects 9 28 96 16 26 RELIG DFN Patient RELIGION I SD VADM 9 D DEM TIULO DEN VADM Q S S VADM 9 VADM 9 1 Religious Preference UNKNOWN To test the code set DFN to a known patient To find the DFN of a patient do a Fileman Inquiry to the PATIENT file enter the name of a patient and enter R at the Include COMPUTED fields prompt to get the record number Set DEN to this record number Set X RELIG M
125. UMPS type Multi field index by PT TITLE LOC VDT VTYP DA is used for optimizing MARK DISCH This regular FileMan Cross reference is used by the DT FOR nightly daemon to identify those records which require CORRECT evaluation correction of their discharge dates checks for documents for a particular visit 1201 ENTRY This regular FileMan Cross reference on Entry Date time DATE TIME supports the Nightly background task by helping to identify the subset of records which is overdue for either signature or purging This multi field cross reference by Entry Date Time and VBC Line Count is included to optimize verification of billing for transcription May2012 Text Integration Utilities V 1 0 Technical Manual 197 2012 Text Integration Utilities V 1 0 Technical Manual 197 TIU DOCUMENT File 8925 cont d 1212 DIVISION ADIV This Regular New style type multi field cross reference is optimized for searching division document type status and reference date range 1202 AUTHOR CA This REGULAR whole file cross reference by Author DICTATOR Dictator will facilitate both look ups and sorting by author This MUMPS type multi field cross reference by AUTHOR DOCUMENT TYPE STATUS and INVERSE DICTATION DATE TIME is intended to facilitate look up by author for the review process This MUMPS type multi field cross reference by Author and REGULAR Signature Date Time is used to maintain the daily print queue for batch printing of doc
126. V 1 0 Technical Manual May 2012 MGR IPD MPD SSD MD IPD MPD IPDS MPDS EPN RPNP AMUPN SPNAP LNT SPT AMUD Ward Clerk Encounter Edit Options MD IPD MPD IPDS MPDS EPN RPNP AMUPN SPNAP AMUD Clinician Nurse Ward Clerk Encounter Drawer May 2012 Text Integration Utilities V 1 0 Technical Manual 175 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Expand Collapse Entry Options NA Notes amp D C Summ tabs Pop up Menu MRT MPD SSD expand all expand MGR MPD SSD selected collapse all collapse selected MD MPD MPDS RPN AMUPN SPNAP LNT SPT AMUD Find Options Clinician Notes amp D C Summ tabs Pop up Menu MRT IPD MPD Nurse SSD Ward Clerk REM IPD MPD MGR IPD MPD SSD MD IPD MPD IPDS MPDS EPN RPNP RPN AMUPN SPNAP LNT SPT AMUD Identify Signers Identify Options Clinician Notes amp D C Summ Additional Signers tabs Action amp Pop up MD IPD MPD Nurse Menus IPDS MPDS EPN RPNP AMUPN Ward Clerk SPNAP AMUD Interdisciplinary Note Options Clinician Notes tab Action amp Pop up Menus Add MRT IPD MPD Nurse New Entry to pepe Ward Clerk Interdisciplinary Note MGR IPD MPD Detach from 176 Text Integration Utilities V 1 0 Technical Manual May 2012 SSD Interdisciplinary Note MD IPD MPD EPN RPNP RPN AMUPN SPNAP LNT SPT AM
127. Vista TEXT INTEGRATION UTILITIES TIU TECHNICAL MANUAL Version 1 0 July 1997 Revised May 2012 Department of Veterans Affairs Product Development Revision History Date Description Author Project Manager July 1997 Originally released June 2000 Miscellaneous patches April 2001 Patches 61 95 100 amp 105 August 2001 Patch 110 November 2001 Patches 122 amp 126 July 2002 Patch 131 May 2003 Patch 135 June 2003 Patch 158 Alert Tools October 2003 Patch 159 WRISC February 2004 Patch 113 Multidivisional March 2004 Patch 112 Surgery August 2004 Patch 185 Reassign Report Nov 2004 Patches 174 amp 177 Blank Note March 2005 C Patch 157 Additional Signer Arceneaux G Smith Changes Apr 2005 Patches 180 C Arceneaux G Smith Signed Unsigned Note Report amp Update Apr 2005 Patch 173 Unknown C Arceneaux G Smith Addenda Cleanup Aug 2005 Patch 186 Note Retention Text Integration Utilities V 1 0 Technical Manual May 2012 April 2006 T Patch 189 Expected C Arceneaux G Smith Dawson C Cosigner Report Greening April 2006 Patch 209 Active Title C Arceneaux S Madsen Cleanup June 2006 Patch 218 Active Title C Arceneaux S Madsen Cleanup Clarification September 2006 Patch 200 HL7 Generic C Arceneaux D Rickard Interface September 2006 Patch 214 Mism
128. YROUTIN DEN Text Integration Utilities V 1 0 Technical Manual 347 e WRITE X 348 Text Integration Utilities V 1 0 Technical Manual May 2012 Making the Object More Realistic cont d This patient s religion is listed as OTHER e When the code has been thoroughly tested on several different patients including some who have no religion in the patient file go back to the option Create Objects e Select the action Detailed Display for object PATIENT RELIGION e Select the action Technical Fields e Edit the object method to S X SSRELIG MYROUTIN DFN Detailed Display Mar 05 1997 15 03 58 Page 1 of 1 Object PATIENT RELIGION Basics Name PATIENT RELIGION Abbreviation Print Name PATIENT RELIGION Type OBJECT IFN 599 National Standard NO Status INACTIVE Owner CPRS PROVIDER EIGHT Object Method S X SSRELIG MYROUTIN DFN Technical Fields May 2012 Text Integration Utilities V 1 0 Technical Manual 349 350 Basics Technical Fields Items Seq Mnem MenuTxt Upload Boilerplate Text Try e While we re here let s go in put in an abbreviation for the object and namespace the print name To do so we select the action Basics Select Action Quit BA BASICS NAME Since objects ar mbedded by name abbreviation or print name NOT by file number your edit of name abbreviation or print name may affect which ti
129. a FileMan date range format such as 6D 3W or 4M If no value is entered the TIU Nightly TASK will search for documents in the TIU DOCUMENT file 8926 up to the current dat El D OF ADD SGNR ALERT PERIOD 2M ENGTH OF SIGNER ALERT PERIOD This is the length of time that the TIU NIGHTLY TASK will go back prior to today when searching for documents that have overdue signatures The value must be in a FileMan date range format such as 6D 3W or 4M If no value is entered the TIU NIGHTLY TASK will begin searching for Document staring at 1 year prior to today in the DIT DOCUMENTS file 8925 END OF ADD SGNR ALERT PERIOD 12M Press RETURN to continue lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 23 1 Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Notes Print Params You have PENDING ALERTS Enter VA VIEW ALERTS to review alerts Select TIU Parameters Menu Option 24 Text Integration Utilities V 1 0 Technical Manual May 2012 Implement Upload Utility There are two steps to enable uploading of reports into VISTA Step 1 Set up your Terminal Emulator Step 2 Enter Upload Utility Parameters Examples of these two steps are given on the following pages Two examples are shown for entering u
130. aded has a missing bad title then alert recipients defined at the title level cannot be found In this case recipients named at the class level are alerted For example if a Progress Note is being uploaded and has a missing bad title then Progress Note level recipients are alerted If recipients are not specified then alert recipients named in parameter UPLOAD ERROR ALERT RECIPIENTS in the TIU PARAMETER file are alerted as defaults Choose from ANDERS CURTISY CLA PHYSICIAN ARUS DUSTY RA May 2012 Text Integration Utilities V 1 0 Technical Manual 75 76 ARC CHAS PAT STO STOPS gt Text Integration Utilities V 1 0 Technical Manual May 2012 Document Parameter Edit Example cont d Select FILING ERROR AL ERT RECIPI lt E nter gt ENTS CPRSRECIPIENT ONE Now enter the USER CLASSES for which cosignature will be required Select USERS REQUIRING COSIGNATURE INTERN Choose from INTERN PAYROLL TECHNICIAN STUDENT You may enter a new USERS REQUIRING COSIGNATURE if you wish Applies to all types of documents EXCEPT DISCHARGE SUMMARIES Please indicate which groups of users i e User Classes require cosignature for the type of document in ques
131. age Will the documents be intermingled and arranged by date I am a firm believer in calling things what they are and putting them where they belong when it comes to organizing our electronic record I hate to see the DSC and interward transfers go together now in the DCS package as it does create a problem when the patient is actually discharged and Incomplete Record Tracking IRT thinks he was discharged when the interim was written Does anyone have any thoughts and can someone show me how it looks when I get TIU and look up documents on a patient A From Joel Russell TIU Developer Interim Summaries may be easily defined in TIU and linked with the corresponding IRT deficiency Parameters determining their processing requirements as well as the format of a header for uploading them in mixed batches with Discharge Summaries Operative Reports C amp P exams and Progress Notes can all be defined without modifying any code A patch will be necessary to link them to a specific transfer movement and to introduce a chart copy of the appropriate Standard Form This involves a modest programming effort but will have to be prioritized along with a number of other requests 298 Text Integration Utilities V 1 0 Technical Manual May 2012 May 2012 Text Integration Utilities V 1 0 Technical Manual 299 FAQs cont d 300 Q We need the help of the user community to try to sort out the relative priorities of each of these tasks along with
132. an hange P ae action same ube Provider Location location requesting hino 2 thing Ward Clerk clinician Change Title Options Clinician Notes amp D C Summ tabs Action Menu MRT IPD MPD Nurse Edit Progress Note 170 Text Integration Utilities V 1 0 Technical Manual May 2012 SSD REM IPD MGR IPD MPD SSD MD IPD MPD IPDS MPDS EPN RPNP RPN AMUPN SPNAP LNT SPT AMUD Ward Clerk May 2012 Text Integration Utilities V 1 0 Technical Manual 171 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Change View Options See Select See Select Search amp Search amp Check Check for my can change by status MRT MPD SSD r 1 or my unsigned unsigned clinical document types start end dates and RENT MED Also Notes Also Notes italicized by search MGR IPD MPD Consults D C Consults D C Summ category also SSD Summ chart tabs contents MD MPD MPDS AMUPN SPNAP LNT SPT AMUD Check for my unsigned Options Change View Notes tab View my unsigned my Menu unsigned MD AMUD 2 uncosigned notes uncosigned AMUDS AMUPN notes Clinician See Select Search Nurse Can also view only Ward Clerk i a signed list in pane Check grammar spelling XTENSIBLE editor XTENSIBLE Notes amp D C Summ PF4 S editor PF4 S tabs Pop up Menu Complete Note s Options Can Can sign edit delete Sign Edit Delete sign edit delete with a number of MD
133. atched ID T Dawson C Greening Notes November 2006 Patch 211 Data C Arceneaux S Madsen Standardization VUID Patch August 2007 Patch 222 Work Copy C Arceneaux S Madsen Footer Pages 47 June 2010 Patch 250 Line Count Pages C Arceneaux T Downing 92 94 122 amp 128 May 2011 Patch 241 TIU Nightly Task C Arceneaux T Dawson Pages 14 195 May 2011 Patch 248 Missing Text C Arceneaux T Dawson Cleanup Pages 207 January 2012 Patch 252 GET TIU J Green M McClenahan TEMPLATE INFORMATION Page 223 234 May 2012 Text Integration Utilities V 1 0 Technical Manual Table of Contents Pirpo s 0E TU E i k s sritis kas i iai nsec iii ai i eo r i i i i i 9 PMC HOM Al OVERVIEW Assisi k asai a bi a i k a a k i a sosoo S esip osS 9 Implementation amp Maintenance sisisssisnssonnkskosnssk ksss sasssos sk kasi nsaiakssso da s s e sasas as 12 Pre Implementation Considerations cccsscccsssscssssccssssccssssccssssccsssssssssccssssscssssscsssees 12 Pate GMIRP 25744 iii aa iii e i i a i K L i E a k DV 13 OST V Ios i a i i ki i a ak a i a a a Di k Gradina o k bites Soa heute 13 Netto Up EE saiko Keniikis ian bi ii iii ii i I ii ri o i ao a a i i i eroas 14 TL Conversions Menis LT adis di i i i k T a a 16 Setting TIU Parameters TIU Parameters Menu TIU SET UP MENU ee 17 Basic TIU P rameters 4 ass ia a ainas i ga i a A ag a i IS 19 Implement Upload LEA aa Ais i i a i a ee i aes 25 Applying the Upload Ut
134. ate Modify Health Summary Object GMTS OBJ ENTER EDIT For complete information on the actions see Create Modify Health Summary Object in the Health Summary User Manual V 2 7 updated January 2003 a Note You must page through each parameter for your changes to be effective You cannot out of this action and have any changes you make take effect You may only edit a Health Summary Object that you own originally created If you attempt to edit an object created by another the system will display the following message Can t edit this HS Object Only the owner can edit this HS Object 386 Text Integration Utilities V 1 0 Technical Manual May 2012 Change HS Type This action changes the HS Type that is pointed to by the Health Summary Object You must own have created the object to use this action In this example we change the HS Type associated with a HS Object Select Action Quit CH Change HS Type WARNING By changing the HS Type this will change the output data Continue NO Y YES Enter HEALTH SUMMARY TYPE Answer with HEALTH SUMMARY TYPE NAME or TITLE or OWNER or LOCATION S USING THE SUMMARY Do you want the entire HEALTH SUMMARY TYPE List N No ea 2 Enter HEALTH SUMMARY TYPE DISPLAY APPOINTMENTS HS OBJECT DISPLAY Apr 24 2003 08 49 53 Page 1 of Ls Detailed Display for VISITS HS Object VISITS TIU Health
135. ation by MAS is required prior to public access and signature of the document Though designed for Discharge Summaries verification may be used for any kind of TIU document and is particularly helpful for documents that are uploaded from a transcription service Allowable values are 0 NO 1 YES ALWAYS 2 UPLOAD ONLY 3 DIRECT ENTRY ONLY where 1 indicates that these documents require verification regardless of how they originate 2 indicates that verification is required only when only when documents ar ntered directly into VISTA May 2012 Text Integration Utilities V 1 0 Technical Manual 67 Document Parameter Edit Example cont d 68 Choose from I YES ALWAYS 0 NO 2 UPLOAD ONLY 2 DIRECT ENTRY ONLY REQUIRE MAS VERIFICATION UPLOAD ONLY lt Enter gt REQUIRE AUTHOR TO SIGN YES Currently applies only to Discharge Summaries This field indicates whether or not the author should sign the document before th xpected cosigner attending If parameter is set signature Although to NO only the expected cosigner is alerted for the unsigned document appears in the author s unsigned list and he is ALLOWED to sign it his signature is not REQUIRED If set to YES then the author is alerted for signature and if the expected cosigner should attempt to sign the document first he is inform
136. bjects Status May 2012 Text Integration Utilities V 1 0 Technical Manual 333 1 ACTIVE EDICATIONS A 2 ALLERGIES ADR A 3 BASELINE LIPIDS A 4 BLOOD PRESSURE A 5 CURRENT ADMISSION A 6 FASTING BLOOD GLUCOSE A 7 HEMOGLOBIN A1C A 8 INR VALUE A 9 LABS ADMISSION ABNORMAL A 10 LABS ADMISSION ALL A 11 OW A 12 PATIENT AGE A 13 PATIENT DATE OF BIRTH A 14 PATIENT DATE OF DEATH A Help gt ScrollRight PS PL PrintScrn List gt gt gt Find Detailed Display Copy Change View Try Ouit Create Owner Select Action Next Screen lt Enter gt 334 Text Integration Utilities V 1 0 Technical Manual May 2012 Creating an Object cont d 20 21 22 23 24 25 26 27 28 May 2012 Objects Mar 09 1997 16 13 44 Page 2 Objects PATIE T HEIGHT PATIENT NAME PATIENT RACE PATIE T RELIGION PATIE T SEX PATI E T SSN PATIE T WEIGHT PROTH PROTH PULSE SGOT ROMBIN TIME ROMBIN TIME COLLECTED RESPIRATION TEMPERATURE TODAY S DAT E Help gt ScrollRight PS PL PrintScrn List FAS Find Detailed Display Copy Change View Try Quit Create Owner Select the Objects ACTIV Select Action Next Screen action Create
137. cal Manual May 2012 Document Definition Terminology cont d SHARED cont d Shared Components are the only members of the Document Definition hierarchy which can appear in more than one place in the hierarchy Objects can be used in multiple entries but are not members of the hierarchy Shared Components are intended for broad use across the site such as a Privacy Act Component Since a Shared Component may be used in many different Document Definitions its Owner is essentially the caretaker for it hospital wide and must take into account all users before editing it Users who disagree with a proposed change can choose to create and use their own copy instead of using the Shared Component Parents of a Shared Component are listed on the Detailed Display screen Shared Field values are 1 for YES and O for NO with a default value of 0 for NO if the field is empty An entry may not be designated Shared unless it is a Component Only a Manager or an Owner can designate a Component as Shared Only an owner can edit it Normally Managers can override ownership and edit entries Manager options do not override Ownership for editing Shared Components Shared Components can only be edited from the Sort Document Definitions option Shared Components can t be deleted If they don t have multiple parents they can however be edited to not shared and then deleted assuming they are not In Use by documents and the parent is Inactive
138. cord If the user chooses to re file the same process used to attempt to file the document in the first place is called again Custom filing error resolution code in contrast to the utility s generic process generally prompts the user for all the information necessary to file the record and then proceeds automatically to file the record without further user activity If the document still fails to file the user is given the opportunity to revert to the generic filing error resolution process Since custom filing error resolution code generally does its own filing it requires the writing of new filing code for the particular type of document with checks for data consistency similar to those performed in the Lookup Method Although the generic error resolution process can be considered technically reliable custom filing error resolution code is generally written as a convenience for users who may not otherwise have access to the information needed to correct the buffer record Experience has shown that it is not advisable to call Filing Error Upload code written for a different document type If new code cannot be written the generic process should be used rather than calling code for a different document type For an example of the serious problems caused by using Filing Error Upload Code written for a different document type see patch TIU 1 131 on FORUM If the generic process is used care must be exercised to ensure that the document typ
139. cosigner of an interdisciplinary parent note is alerted when a new entry is added to the note The default is NO Choose from i YI ea n 0 NO n END ALERTS ON NEW ID ENTRY YES lt Enter gt zal DITOR SET UP CODE Fl che 9 This is M code which is executed prior to invoking the user s preferred editor It ordinarily sets local variables which are then used in the 74 Text Integration Utilities V 1 0 Technical Manual May 2012 editor s header etc For example code written at Boston VAMC sets a local array containing patient demographics An M based editor used at the site can then display demographic information in a fixed header when a user edits a document If your site wishes to route alerts for filing errors to different recipients by document type Discharge Summary EDITOR SET UP CODE lt Enter gt i alerts to one MRT Operative Report alerts to another etc this is where to If document is to be uploaded specify Filing Alert Recipients Select FILING ERROR ALERT RECIPIENTS CPRSRECIPIENT ONE CPRSRECIPIENT ONE You may enter a new FILING ERROR ALERT RECIPIENTS if you wish These persons receive alerts from the upload filer process when a document of the given type cannot be filed located or has a missing field If a document being uplo
140. ctivating the original which takes it offline to users Use an item under an active document class so that later you can change its status to Test Use a Title under Progress Notes so that it inherits from Progress Notes Make its status Inactive so you can edit it Check it using the action Try to make sure it works properly before continuing this process do a Detailed Display and select TRY We ll use the Title DEMOGRAPHIC NOTE under the Document Class DEMOGRAPHIC NOTE under Progress Notes Text Integration Utilities V 1 0 Technical Manual 339 e When you have your title select the action Boilerplate Text and your title Create Document Definitions Mar 05 1997 15 05 23 Page 1 of 1 BASICS Name Type _ 2 PROGRESS NOTES CL 3 DEMOGRAPHIC NOTE DC 4 DEMOGRAPHIC NOTE TL Help gt ScrollRight PS PL PrintScrn List gt gt gt Class DocumentClass Next Level Detailed Display Title Restart Status Component Boilerplate Text Delete Select Action Title BO 4 340 Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the Object cont d e The Boilerplate Text screen is displayed At present there is no text e Select Boilerplate Text again this time to edit it rather than display it Boilerplate Text Mar 05 1997 15 05 37 Page 1 of 1 Title DEMOGRAPHIC NOTE Boilerplate Text Try Status Find Select Action Quit B Boilerplate
141. cument Definition Detailed Display action displays the EFFECTIVE value of inherited fields If an inherited field does not have its own explicit value its effective value is its inherited value If it doesn t have an inherited value its effective value is the default value for the field If the field doesn t have a default value it doesn t have an effective value and the field display is blank Values marked with have been inherited For EDITING heritable fields see the Technical field Edit Template ABBREVIATION 282 Text Integration Utilities V 1 0 Technical Manual May 2012 Abbreviation can be entered at the Select Title prompt when entering a document Since all Titles with the given abbreviation will then be listed Abbreviation can serve to group Titles IFN The Internal File Number is the number of the entry in the TIU Document Definition File IFN is included in the display to help programmers with debugging May 2012 Text Integration Utilities V 1 0 Technical Manual 283 Document Definition Terminology cont d Items Items are Document Definitions listed under other Document Definitions in the hierarchy e g Progress Notes and Discharge Summary are items under Clinical Documents The Type of the parent entry determines what Types of items it has A Class parent entry has items of Classes or Document Classes A Document Class entry has Titles as items If a Title entry has more than a single section it has it
142. cuments html If you compare the terms in the Synonym List with terms you commonly use at your site and update the local synonym list accordingly title matching will go much faster The following is an example of Add Edit Synonyms 1 Map ACTIVE LOCAL Titles 2 Selected Title Map 3 Mapping Workbench 4 Add Edit Synonyms Select Title Mapping Utilities Option ADD Edit Synonyms 1 Subject Matter Domain Synonyms 2 Role Synonyms 3 Setting Synonyms 4 Service Synonyms 5 Document Type Synonyms Select Add Edit Synonyms Option 1 Subject Matter Domain Synonyms Please Enter SMD Synonym EKG CLINICAL CARDIAC ELECTROPHYSIOLOGY SYNONYM EKG SUBJECT MATTER DOMAIN CLINICAL CARDIAC ELECTROPHYSIOLOGY May 2012 Text Integration Utilities V 1 0 Technical Manual 131 Please Enter SMD Synonym EEG Are you adding EEG as a new TIU LOINC SMD SYNONYMS the 898TH No Y Yes TIU LOINC SMD SYNONYMS SUBJECT MATTER DOMAIN NEURO 1 EUROLOGICAL SURGERY 2 NEUROLOGY 3 NEUROLOGY NEURODEVELOPMENTAL DISABILITII ea n 4 EUROLOGY WITH SPECIAL QUALIFICATIONS IN CHILD NEUROLOGY 5 EUROTOLOGY Press lt RETURN gt to see more to exit this list OR CHOOSE 1 5 2 NEUROLOGY T SYNONYM EEG lt Enter gt SUBJECT MATTER DOMAIN NEUROLOGY lt Enter gt Please Ente
143. d Turnaround May 2012 Text Integration Utilities V 1 0 Technical Manual 115 Method A Active Title Clean up Site Checklist v Patch TIU 1 209 and TIU 1 218 TIU Active Title Cleanup Report should be installed at the site The report and cleanup utility will analyze the TIU Document Definition File 8925 1 and provide an automated process to inactivate the appropriate TIU titles v From the TIU Active Title Cleanup Report print list of all local active titles from VistA Menu TIU Irm Maintenance Menu It is important to inactivate unused titles before performing the link to Standardized Titles Additionally reviewing titles to determine which should be inactivated will assist you in understanding the titles at your site To run the Active Title Cleanup from TIU 1 218 TIU 1 209 is similar but less complete TIU Maintenance Menu 1 TIU Parameters Menu 2 Document Definitions Manager 3 User Class Management 4 TIU Template Mgmt Functions 5 TIU Alert Tools 6 Active Title Cleanup Report 7 TIUHL7 Message Manager Title Mapping Utilities Select TIU Maintenance Menu Option Title Active Title Cleanup Report Inactivate the unused Document Titles at this time NO 116 Text Integration Utilities V 1 0 Technical Manual May 2012 Entering YES will inactivate all titles unused in the past year their STATUS will be changed to INACTIVE Entering NO will create the report with
144. d for look ups and queries This MUMPS type multi field cross reference is used for look ups by patient document type status and date range This MUMPS type multi field cross reference is used for look ups by Treating Specialty document type status and date range This MUMPS type multi field cross reference is used for look ups by Entry person document type status and date range This MUMPS type multi field cross reference is used for look ups by Entry person document type status and date range This MULTI fields MUMPS type cross reference is used for queries by subject This MUMPS type multi field cross reference is used for look ups by SERVICE document type status and date This MUMPS type multi field cross reference by Problem Document type Status and Inverse Reference Date time is used to facilitate query by problem This MUMPS type multi field cross reference by VISIT DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE facilitates look ups by visit This MUMPS type multi field cross reference by PATIENT DOCUMENT CLASS STATUS and INVERSE REFERENCE DATE facilitates look ups by PATIENT AND DOCUMENT CLASS e g all SIGNED Violence Postings for patient CPRSPATIENT ONE 200 ENTERED BY RELEASE DATE TIME TREATING SPECIALTY SERVICE This REGULAR FileMan Cross reference by Reference Date time is used for both look ups and sorts This MUMPS type multi field cross reference by
145. d to maintain the daily print queue for batch printing of documents currently just Progress Notes on signature This MUMPS type multi field cross reference by PATIENT DOCUMENT CLASS STATUS and INVERSE REFERENCE DATE facilitates look ups by PATIENT and DOCUMENT CLASS e g all SIGNED Violence Postings for patient CPRSPATIENT ONE Field Field Name Description PATIENT May 2012 Text Integration Utilities V 1 0 Technical Manual 195 This MUMPS type multi field cross reference by PATIENT CLINICAL DOCUMENT CLASS and INVERSE REFERENCE DATE facilitates look ups by patient This x ref is used to extract lists based on context This x ref is used to extract lists based on context This x ref is used to extract lists based on context This MUMPS type Multi field index by PT TITLE LOC VDT VTYP is used for optimizing checks for documents for a particular visit This MUMPS type multi field cross reference by PATIENT DOCUMENT TYPE and INVERSE VISIT DATE is optimized for searches by entity attribute and time This MUMPS type multi field cross reference by PATIENT DOCUMENT TYPE and INVERSE VISIT DATE will optimizer searching by entity attribute and time This MUMPS type multi field cross reference by PATIENT DOCUMENT TYPE and Visit Record number serves as a candidate key to determine whether a given document exists for a particular patient visit This MUMPS type multi field cross reference by
146. dissimilar with completely different applications which they are designed to serve In fact the roles of the two files are analogous to those of the LABORATORY TEST File 60 and the WKLD CODE File 64 The User Class File provides for the definition of a hierarchy of User Classes flexible enough to describe the organizational structure of the local facility To that end it is designed to be both general and extensible much in the same way that file 60 can be viewed as a model of the gt cc local laboratory s catalogue of tests and panels The Person Class File in contrast is designed to accommodate the HCFA National Provider System Taxonomy of Professionals Occupations which is an emerging industry standard for identifying the Occupations Specialties and Subspecialties to which Health Care Providers belong This file is standardized across VHA and cannot be extended to accommodate differences in local organizational structure It is very useful however for inter facility data transfer where enterprise wide consistency is the name of the game The same role is fulfilled in the case of laboratory tests by file 64 This combination of locally extensible files which help to model the differences between facilities mapped to national nomenclature files which help to impose a standard reference frame has proven to be most useful on many occasions throughout VISTA Other Differences between User Class and Person
147. division of the Central Anywhere Health Care System may want Central Anywhere HCS TxTownl to appear in the footer instead of TXTOWN1 VAMC ION TO PRINT ON FOOTER CENTRAL ANYWHERE T ESS NOTES BATCH PRINTER WARD LASERJET 4SI Text Integration Utilities V 1 0 Technical Manual 89 Document Definitions TIUF DOCUMENT DEFINITION MGR Whenever a provider enters a TIU document such as a report a progress note a discharge summary or other documentation that document is linked to a Document Definition in the Document Definition hierarchy This Document Definition stores the behavior of the document for example signature requirements and is called a Title It also stores boilerplate overprint text if desired Plan the Document Definition Hierarchy your site or service will use before installing TIU and converting Progress Notes Patch GMRP 2 5 44 helps you do this by cleaning up and organizing your files before the conversion For more detailed information describing the hierarchy see the field descriptions for the Document Definition File in the data dictionary Document Definition Layers The layer linked to individual documents is the Titles layer which is the lowest of the Hierarchy Titles can be composed of Components e g a SOAP note is composed of the components Subjective Objective Assessment and Plan 90 Text Integration Utilities V 1 0 Technical Manual May 2012
148. e TTIOTITERY ia tha dAafarilt Press RETURN to continue When printing a document title from the new document class CHART or WORK copy is ignored and will print as a FORM LETTER omitting the standard header and footer The use of TIU OBJECTS PATIENT DATA objects is supported in the new fields and should be used with care to avoid including any sensitive patient data if the document is to be printed and or mailed to that patient Objects that return either a single line or multiple lines of data are supported The HEADING will print at the top of THE FIRST PAGE A blank line follows the heading to separate it from the note body The FOOTER will print at the bottom of EVERY PAGE A blank line precedes the footer to separate it from the note body Text Integration Utilities V 1 0 Technical Manual May 2012 The CLOSING will print at the END of the document One blank line precedes the closing to separate it from the note body PAGE NUMBERS may be displayed in the format Page X of X It will print immediately after the footer if present The default placement for all new segments is LEFT JUSTIFIED if left blank When viewing titles in the FORM LETTERS class in the CPRS GUI the heading closing and footer will be displayed giving an indication of what the document will look like when printed Page numbers are not displayed but will display during printing if selected May 2012 Text Inte
149. e Abbreviation or Print Name and that it does not get the wrong object TRY checks that the object has an Object Method but does NOT check that the Object Method functions correctly OWNER You can select multiple entries and edit Owner Personal and or Class To change from Personal to Class Owner or vice versa you must delete the unwanted entry before you are prompted for the other COPY Copy can be done from the Edit Document Definitions option or from the Sort option but not from the Create Document Definitions option Titles Components or Objects may be copied Copy can be used to jump start new entries by copying an old entry and then editing it Copy could be used to change the behavior of an entry i e change the behavior of the copy and inactivate the original but most behavior can be edited even when the entry is in use by documents Edit is better than copy inactivate since it does not clutter up the hierarchy with inactive entries Copy can be used to move entries once they are in use by documents This is not a true move but is the only possibility once an entry has been used by documents If the entry is not yet in use by documents it is better to delete it as an item from the old parent and add it to the new parent a true move The Copy action prompts for an entry to copy and a Name to copy into This name must be different from the name of the entry being copied The action then creates a new entry with t
150. e REGULAR B cross reference 05 DISPLAY AMENU This MUMPS type cross reference evaluates the user s MENUS preference concerning display or suppression of menus within TIU 8926 1 TIU VHA ENTERPRISE STANDARD TITLE File Field Field Name Description STANDARD This Regular FileMan cross reference will TITLE facilitate look up and sorting by VHA Enterprise Standard Title KWIC This Key Word In Context KWIC cross reference will facilitate look up by partial names S ROLE ROLE This REGULAR FileMan cross reference by Role is for look up and sorting o 07 SERVICE S This REGULAR FileMan cross reference by Service is for look up and sorting DOCUMENT DTYP This REGULAR FileMan cross reference by TYPE Document Type is for look up and sorting May 2012 Text Integration Utilities V 1 0 Technical Manual 211 This REGULAR FileMan cross reference by 0 0 0 Setting is for look up and sorting 0 4 SUBJECT M This REGULAR FileMan cross reference by MATTER Subject Matter Domain is for look up and DOMAIN sorting V D T C MASTER AMASTERVUID If multiple entries have the same VUID in the ENTRY FOR file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept AVUID This cross reference is by VUID AMASTERVUID _ If multiple entries have the same VUID in the file this cross reference can be used to identify the Master entry for a VUID associated with a Term
151. e does not inherit custom error resolution code from an ancestor in the document definition hierarchy Routines TIUPNFIX and TIUCNFIX contain filing error resolution code for Progress Notes and for Consults They are well documented and may serve as models when writing filing error resolution code for other document types Further information on those routines is provided below An alternative intermediate approach to filing error resolution code is modeled in routine TIUPUTSX This approach prompts the user for necessary information redisplays the selected data but then relies on the user to make the necessary corrections and to refile the document 42 Text Integration Utilities V 1 0 Technical Manual May 2012 Such code is simpler to write than the usual full blown filing error resolution code and still provides the user with the information needed to correct the document May 2012 Text Integration Utilities V 1 0 Technical Manual 43 Models for TIU Upload Filing Error Code With patch TIU 1 131 the Upload Filing Error Code for Progress Notes and for Consults has been restructured to permit cross checks on transcribed data This new code can be used as a model when writing filing error resolution code for other types of documents The new filing error resolution code subroutines for Progress Notes and for Consults PNFIX TIUPNFIX and CNFIX TIUCNFIX have the same basic structure They 1 Call generic module LOADHDR TIUFIX2 to l
152. e easiest way to check for overriding rules is to do a FileMan print by the same Action and the same Status Text Integration Utilities V 1 0 Technical Manual May 2012 Troubleshooting Document Definitions cont d 2 If a particular person should NOT be able to do something but CAN check the following That the person doesn t have inappropriate menus They are not members of inappropriate User Classes e The document involved is in the correct place in the document definition hierarchy e Check any business Rules for the given action status user role and document or ancestors of the document e Check to see if they have somehow been given an inappropriate role in relation to the document For example the person might mistakenly have been made the author when he she isn t the author 3 If you want to change document behavior but are not sure how try the following e Use the Edit Document Definitions Create Document Definitions or Sort Document Definitions option and then select the action Edit View e Check TIU document parameters on the IRM Maintenance Menu e Check Personal Preferences e Check ASU Business Rules under User Class Management on the IRM Maintenance Menu 7 Document Definition Order If you can t get Document Definitions to appear in the order you want note where this occurs You can control the order in some places and not in others depending on whether it s FileMan controlling the orde
153. e editing options and assure that the process is implemented at an off peak time A new OPTION named Delete user s TIU templates TIU TEMPLATE USER DELETE is installed but is used to link the call KUSER TIUSRVT3 to Kernel s Kernel s User terminate event XU USER TERMINATE event option and hence the new option does not appear on any menus May 2012 Text Integration Utilities V 1 0 Technical Manual 101 NOTE Users terminated with future dates are not handled by Kernel or by this patch unless the Kernel Automatic Deactivation of Users XUAUTODEACTIVATE option is activated and scheduled at the local site A related issue is that users terminated from the Edit a User s Options EDIT A USER S OPTIONS option rather than the Deactivate a User XUSERDEACT option will also require the option XUAUTODEACTIVATE to be activated and scheduled To assure reliable cleanup upon termination sites should schedule the XUAUTODEACTIVATE option to run nightly or should confirm that it is in fact already so scheduled A new Parameter Y N auto cleanup upon termination TIU TEMPLATE USER AUTO DELETE has been created for toggling the automatic TaskMan cleanup of non shared templates for terminated users ON or OFF Editing is provided at the SYSTEM DIVISION and PACKAGE levels via the new Edit auto template cleanup parameter TIU TEMPLATE USER DELETE PARAM menu option as described above 102 Text Integration Utilities V 1 0 Technical Manual May 2012
154. e in any boilerplate text Since the owner is essentially the caretaker of the object for the entire site the owner should consult with all who use it before editing it An object can be tested by embedding it in the boilerplate text of a Title and selecting the action Try for the Title It need not have an Active status for this testing and should not have an Active status until testing is complete Owners who inactivate objects for editing should make sure to reactivate them if they are being used Sites should either inactivate relevant Titles before editing objects or edit objects only when users are not likely to be entering documents since Inactive objects do not function If a site changes the name or behavior of an Object it is up to the site to change the name wherever it has already been embedded in Boilerplate Text and to inform users of the change An object which is no longer wanted for future documents can be removed from the boilerplate text of all Titles and Components and then deleted from file 8925 1 Only an owner can delete it All of the documents that used it have already got it in hard words so there is no need to keep it 272 Text Integration Utilities V 1 0 Technical Manual May 2012 for their sake Old Objects should be edited so they are useful or deleted not kept around forever as Inactive May 2012 Text Integration Utilities V 1 0 Technical Manual 273 Document Definition Terminology cont d PERSON
155. e on the screen ignoring information that can be moved to horizontally or vertically pages so you should move left right and up down to the desired information before printing Enter PL for Print List to print more than one visible screen of information Print List prints the entire vertical list of entries and information including entries and information not currently visible but which are displayed when you move up or down If the action is selected from the leftmost position of the screen you re asked whether to print ALL columns or only those columns visible on the current leftmost position of the screen If you select the action after scrolling to the right only the currently visible left right columns are printed Q Is it possible for sites to share objects they create locally A As sites develop their own Objects they can be shared with other sites through a mailbox entitled TIU OBJECTS in SHOP ALL reached via FORUM May 2012 Text Integration Utilities V 1 0 Technical Manual 305 e NOTE Object routines used from SHOP ALL are not supported by the CIO Field Offices formerly known as ISCs or IRMFOs Use at your own risk 306 Text Integration Utilities V 1 0 Technical Manual May 2012 Facts Helpful information TIU NIGHTLY TASK Text Integration Utility Nightly Task This option should be scheduled to run nightly The task performs several maintenance functions and sends alerts on overdue signatures If a Dischar
156. e retrospective chart review Mechanics The process of associating a TIU document with a visit has been refined to be as simple as possible and may be modified for any given TITLE DOCUMENT CLASS or CLASS by reprogramming the VISIT LINKAGE METHOD for that level of the TIU Document Definition Hierarchy The existing methods for linking either Discharge Summaries or Progress Notes with visits are outlined below Discharge Summaries Interactive Present the user with a list of the selected patient s admissions from the Patient Movement File most recent first five at a time in a manner modeled after the Detailed Patient Inquiry from the PIMS Bed Control Menu When a given admission is selected DATA2PCE PX API is called to match or create a corresponding Visit File entry of type Hospitalization Upload Accept a Patient SSN and Admission Date Time as transcribed in the header of the uploaded summary Look up the corresponding admission from the Patient Movement File on May 2012 Text Integration Utilities V 1 0 Technical Manual 3138 failure alert a named group of recipients to correct the header and re try the filer and call DATA2PCE PXAPI to match or create the corresponding Hospitalization Visit as necessary 314 Text Integration Utilities V 1 0 Technical Manual May 2012 Visit Orientation cont d Progress Notes Interactive Current Inpatients Default to the current admission and last recorded hospital location On over
157. e we use the Create TIU Health Summary Objects option of the Document Definitions Manager menu TIUF DOCUMENT DEFINITION MGR to create a new TIU Object when a Health Summary Object already exists Select Document Definitions Manager Option Edit Document Definitions Sort Document Definitions Create Document Definitions Create Objects Create TIU Health Summary Objects sm WN ER Enter for more options for brief descriptions OPTION for help text Select Document Definitions Manager Option 5 Create TIU Health Summary Objects TIU Health Summary Object Dec 24 2003 11 10 26 Page 1 of 2 TIU Object Name Health Summary Type 1 AJB TEST OBJECT ANEHEIM 2 A TEST 9 ZZ HEALTH SUMMARY 3 A TEST DATE HEAD ZZ HEALTH SUMMARY 4 A TEST OBJ VISITS 5 A TEST OBJECT ZZ HEALTH SUMMARY 6 A TEST4 XRAY 7 BDV EDUCATIO ZZ HEALTH SUMMARY 8 BDV LABS VISITS 9 CLINICAL MAINTENANCE CLINICAL MAINTENANCE 10 HS TEST IMPORT XRAY 11 LAB SEL 1 Selected Labs Diabetes 12 MY RESP DEM 13 PODIATRY AC CLINICAL SUMMARY 14 PODIATRY OBJECT AC CLINICAL SUMMARY Enter for more actions Create New TIU Object Find Detailed Display Edit TIU Object Detailed Display Edit HS Object Quit Select Action Next Screen CR Create New TIU Object Create TIU Health Summary Object
158. ealth Summary Object that you own originally created If you attempt to edit an object created by another the system will display the following message Can t edit this HS object Only the owner can edit this HS object Detail Display Edit HS Object This action provides a detailed display of the contents of the Health Summary Object file for this TIU HS Object Here is an example of this display HS OBJECT DISPLAY Jan 03 2003 16 13 21 Page Loft dhe te Detailed Display for PODIATRY HS Object PODIATRY OBJECT TIU Health Summary Type AC CLINICAL SUMMARY Report Period Creator CPRSPROVIDER TEN HS Object Print Label NO Print Report Date and Time NO Print Blank Line after Label NO Print Confidentiality Banner NO Customized Header YES Print Report Date and Time NO Suppress Components w o Data NO Print Component Header YES Print Deceased Information NO Print Time Occurrence Limits NO National Object NO Underline Component Header NO May 2012 Text Integration Utilities V 1 0 Technical Manual 385 Blank Line After Header NO Enter for more actions Edit HS Object Inquire about a HS Type Change HS Type Edit HS Type Select Action Quit Edit HS Object This action allows you to change the HS display parameters as stored in the Health Summary Object file This action takes you into code that is accessible from Health Summary menus specifically Cre
159. ed which parent to add the copy to and the copy is added as an item to this parent If the copy is a Title and the user has chosen a new parent rather than the same parent the user is asked whether to activate the copy and inactivate the original If the copying is done through the Sort Document Definitions option the copy action does NOT add the copy to any parent Such orphan copies can be added to any parent using action Items for the parent Objects are copied from the Sort Option or the Create Objects Option May 2012 Text Integration Utilities V 1 0 Technical Manual 369 QUIT Allows user to quit the current menu level Creating Additional Medications Objects Patch 38 provided six new TIU medication Objects and a method for providing values to four 4 variables in order to create additional medication objects without the necessity of modifying M code e ACTIVE MEDICATIONS e ACTIVE MEDS COMBINED e DETAILED ACTIVE MEDS e DETAILED RECENT MEDS e RECENT MEDS e RECENT MEDS COMBINED 370 Text Integration Utilities V 1 0 Technical Manual May 2012 Patch 73 retains the basic functionality of the previous patch but provides expanded capabilities for customizing TIU medication objects The following variables and values are now supported Variable Also Name Known As Values ACTIVE ACTVONLY 0 Active and recently expired meds 1 Active meds only 2 Recently expired meds only DETAILED 0
160. ed that the author has not yet signed Choose from 1 YI Fl n 0 NO REQUIRE AUTHOR TO SIGN YES lt Enter gt ROUTINE PRINT EVENT S A document of the given type and of ROUTINE T printed whenever one of thes vents occurs For example a site may specify that ROUTINE Completion i e upon Release from Transcription De signature or cosignature urgency is automatically documents print only upon while STAT documents print MAS Verification or both in addition to Text Integration Utilities V 1 0 Technical Manual May 2012 ROUT printing upon completion If print events are not specified and a CHART COPY DEVICE is defined for the Medical Center Division then the document will be auto printed only upon completion If field MANUAL PRINT AFTER ENTRY is set to YES then auto print is ignored entirely If urgency is not specified for some document then its urgency is considered to be routine and the document prints when a routine print event occurs Choose from R V B TINE STAT May 2012 release verification both PRINT EVENT S lt Enter gt PRINT EVENT S Thi s field is identical to ROUTINE PRINT EVENT S except that it applies to documents of STAT urgency rather than ROUTINE urgency Cho R V B ose fr
161. een used in boilerplate text you should inactivate all Titles which use it This takes those titles offline for entering documents If a title containing an inactive object is not offline and someone enters a document on it the object will not function and the user will see an Object Inactive error message where the object data should appear Objects can be tested using the Try action when they are inactive but must be activated before they will function for the option Entry of Progress Note So when you have finished editing an object be sure to reactivate it 364 Text Integration Utilities V 1 0 Technical Manual May 2012 Activating Inactivating Editing Objects cont d Objects should not be activated until they have been thoroughly tested both by TR Ying the object and by TRYing a test title with the object embedded in its boilerplate text Ownership of Objects When creating a new object make yourself an owner at least until you have finished testing it Only the owner can edit an object even with the Manager menu Persons with the Manager menu are permitted to edit the owner of objects they don t own This allows reassignment of object owner in those rare cases when reassignment is necessary It should be done only by high level managers In general users are expected to respect object ownership and edit only objects they own If an object needs changing contact its owner When you own an object you are caretaker of it f
162. efinition file Deleting Objects will not harm existing documents but will harm future documents if the Object is embedded in existing Document Definition Boilerplate Text 278 Text Integration Utilities V 1 0 Technical Manual May 2012 If IN USE has a value of Yes or TIU doesn t permit the entry to be deleted Deleting the entry would cause documents in file 8925 not to function This is true even if the entry has an Inactive status and documents are no longer being written on the entry Technical Note A Document Definition of Type Title or Component is IN USE only if it appears in file 8925 s B Cross Reference IN USE is a Basic field HAS BOILTXT Applies to Title and Component only This field can t be edited since its value is automatic A Document Definition Has Boiltxt if it or its descendant Components have Boilerplate Text Field 3 May 2012 Text Integration Utilities V 1 0 Technical Manual 279 Document Definition Terminology cont d PRINT NAME Print Name is the name used in lists of documents For Titles Print Name is used as the document Title in the Patient Chart ORPHAN Orphan applies to Document Definitions of all Types except Objects and Shared Components Orphan is not editable since it gets its value automatically Document Definitions are Orphans if they do not belong to the Clinical Documents Hierarchy i e they cannot trace their ancestry all the way back to the Class Cli
163. egration Utilities V 1 0 Technical Manual May 2012 Progress Notes Print Options contd The PROGRESS NOTES DEFAULT PRINTER field brings this device up as the default for the user when queuing notes for this location At the present time these print options are not automated to queue up without user interaction Field 3 EXCLUDE FROM PN BATCH PRINT is a flag designed to be used for those outpatient locations the site doesn t want to auto print in the batch print job Options keyed off file 8925 93 TIU PRINT PN WARD This option is usually used by the night ward clerk The output is in RM BED order to facilitate filing It will print all notes after the last time they were printed This option will print the notes for ALL current inpatients on the ward regardless of whether the location of the note is that ward a nice feature for transferred patients or patients with outpatient clinic appointment notes There is also an option TIU PRINT PN ADMISSION that will print all the patient s note for the last admission done on discharge to consolidate the chart TIU PRINT PN OUTPT LOC unlike the user s LOC print this option does track the last note printed This option is designed for sites that have specific clinics on electronic progress notes EPN and don t want to batch print in the file room The clerk can print all the notes and file them in the clinic This would work best for mental health type clinics where patients are seen frequen
164. ems of Components Components may also be multi sectioned with Component items Objects do not have items Mnemonic Mnemonic is a 1 4 character shortcut for selecting Classes or Document Classes from a menu Mnemonics are usually numeric with the same value as the Sequence Alpha mnemonics are also permitted Sequence Sequence if entered determines an item s order under its parent If items have no sequence item order is alphabetic by Menu Text Sequence is a number between 01 and 999 with two decimal places allowed Menu Text Menu Text is the short name 1 20 characters you see for Classes and Document Classes when selecting them from 3 column menus which are seen when viewing documents across many patients and when viewing many kinds of documents at the same time e g Progress Notes and Discharge Summaries You can edit Menu Text for selected items Menu Text can affect the item order under a parent since order is alphabetic by menu text if items don t have sequence numbers To edit NAME rather than Menu Text go back to the previous screen 284 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology cont d BOILERPLATE TEXT Sites can preload the text field of a document with default text default format overprint data which is presented to you when you enter the document You can then edit and or add to the boilerplate text If a document is formatted into columns you s
165. eporting Project came out Do we have to do this all over again for the User Class file in ASU Why can t TIU and ASU just use the Person Class A The Provider Class in ASU fulfills a different function and therefore its database design is a different kind of hierarchy A patch to ASU in the near future will help assure that your efforts in populating the Person Class Membership at your site are not lost or repeated We are developing a mapping between a subset of the exported User Classes and the Person Class File i e for each Person Class there will be a corresponding User Class which will help you autopopulate User Class Membership assure that future changes to an individual s Person Class Membership are reflected automatically in his User Class Membership and allow resolution of privileges for inter facility May 2012 Text Integration Utilities V 1 0 Technical Manual 289 access to data We recommend that you initially implement TIU and ASU by populating only the most essential User Classes i e Provider MRT Chief MIS and Transcriptionist and use the forthcoming patch to assist you in autopopulating more specific User Classes when you have become acquainted with the two products 290 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d O We ve heard that implementation of TIU is very complex and time consuming How long does is take A TIU implementation is complex but the amount of
166. er returning an integer truth value indicating success or failure in obtaining the LOCK Used by the GUI to supply a long list of boiler plated titles This RPC serves data to a long list of selectable TITLES for CONSULTS This RPS serves lists of selectable titles within the SURGICAL REPORTS Class This RPC serves data to a long list of selectable TITLES by CLASS e g passing the class PROGRESS NOTES will return active Progress Notes titles which the current user is authorized to enter notes under This API gets lists of progress notes for a patient with optional parameters for STATUS EARLY DATE TIME and LATE DATE TIME SUBSCRIPTION SUBSCRIPTION RESTRICTED SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION Text Integration Utilities V 1 0 Technical Manual 231 Remote Procedure Calls cont d TIU NOTES 16 BIT This API gets lists of progress notes SUBSCRIPTION for a patient with optional parameters for STATUS EARLY DATE TIME and LATE DATE TIME TIU NOTES BY VISIT This API gets lists of Progress Notes SUBSCRIPTION by visit from TIU TIU PERSONAL TITLE This Remote Procedure returns the SUBSCRIPTION LIST user s list of preferred titles for a given class of documents along with the default title if specified TIU PRINT RECORD Allows Printing of TIU Documents on SUBSCRIPTION demand TIU REM DLG OK AS Returns TRUE is the passed in RESTRICTED TEMPLATE reminder dialog is allowed to be used in a
167. eral vascular disease status post thrombectomies 9 Diabetic retinopathy 10 Below knee amputation 11 Chronic anemia OPERATIONS PROCEDURES 1 MRI 2 CT SCAN OF HEAD HISTORY OF PRESENT ILLNESS Patient is a 49 year old white male with past medical history of end stage renal disease peripheral vascular disease 60 Text Integration Utilities V 1 0 Technical Manual May 2012 status post BKA coronary artery disease hypertension non insulin dependent diabetes mellitus diabetic retinopathy congestive heart failure status post CVA status post thrombectomy admitted from Anytown VA after a fall from his wheelchair in the hospital He had questionable short lasting loss of consciousness but patient is not very sure what has happened He denies headache vomiting vertigo On admission patient had CT scan which showed a small area of parenchymal hemorrhage in the right temporal lobe which is most likely consistent with hemorrhagic contusion without mid line shift or incoordination ACTIVE MEDICATIONS Isordil 20 mgs p o t i d Coumadin 2 5 mgs p o qd ferrous sulfate 325 mgs p o b i d Ativan 0 5 mgs p o b i d Lactulose 15 ccs p o b i d Calcium carbonate 650 mgs p o b i d with food Betoptic 0 5 ophthalmologic solution gtt OU b i d Nephrocaps 1 tablet p o qd Pilocarpine 4 solution 1 gtt OU b i d Compazine 10 mgs p o t i d prn nausea Tylen
168. evels of control that are possible in accordance with your site s HIM by laws and concerns for the trade off between access and confidentiality Instructions for creating Business Rules are also provided earlier in this Guide May 2012 Text Integration Utilities V 1 0 Technical Manual 325 326 Appendix A TIU Package Security Text Integration Utilities V 1 0 Technical Manual May 2012 May 2012 Text Integration Utilities V 1 0 Technical Manual 327 Appendix A TIU Package Security TIU security is maintained through a security key menu assignment User Class assignment Document Definition ownership and VA FileMan protection Security Key TIU AUTOVERIFY If your site requires verification of one or more TIU Documents but you have one or more particularly adept transcriptionists for whom verification should NOT be required you may allocate the TIU AUTOVERIFY key to them and verification will be bypassed for their transcribed documents TIU MISSING TEXT CLEAN This key allows the holder to run the option MISSING TEXT CLEANUP It should only be assigned to some that holds Chief MIS or Chief HIMS class in the AUTHORIZAITON SUSCRITPTION package USR User Class Assignment and Document Definition Ownership See the Implementation and Management section in this manual about setting up User Classes and Document Definition Also refer to the Text Integration Utilities TIU Implementation Guide 328 Text Integration Utilitie
169. formed to upper case before being stored Name functions as the Technical Name of the entry Some sites have put KWIC cross references on it to get say all Titles from a given Service Name can be used when entering documents as the name of the Title being entered Print Name and Abbreviation will also be accepted Since it is the Technical 01 Name TIU uses this name throughout The 01 name differs from the Print Name which appears in lists of documents and functions as the Title of the document It also differs from Item Menu Text 1 26 characters which is used when selecting documents from three column menus The order of names in the options Edit Document Definitions and Create Document Definitions is by Item Sequence under the parent The order is alphabetic by Menu Text if an Item has no Item Sequence May 2012 Text Integration Utilities V 1 0 Technical Manual 253 When a new entry is added to file 8925 1 the default Print Name is entered The Print Name can be edited if a different Print Name is desired File 8925 1 permits more than one entry with the same name if they are different Types In that sense Names are reusable However Entries are not reusable except specially marked Components an entry is not allowed to be an item under more than one parent unless it is a Shared Component See Component 254 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology cont d OBJE
170. g blocks for TIU by organizing types of documents into a hierarchy structure This structure allows documents Titles to inherit characteristics such as signature requirements and print characteristics of the higher levels Class and Document Class IRT Incomplete Record Tracking MIS Common abbreviation synonym used at VA site facilities for the Medical Information Section of Medical Administration Service May be called HIMS Health Information Management Section MIS Manager Manager of the Medical Information Section of Medical Administration Service at the site facility who has ultimate responsibility to see that MRTs complete their duties May 2012 Text Integration Utilities V 1 0 Technical Manual 249 Glossary cont d MRT Object Progress Notes TIU Title Medical Record Technician in the Medical Information Section of Medical Administration Service at the site facility who completes the tasks of assuring that all discharge summaries placed in a patient s medical record have been verified for accuracy and completion and that a permanent chart copy has been placed in a patient s medical record for each separate admission to the hospital Objects are names or other text which may be embedded in the predefined boilerplate text of Titles And example of an Object is PATIENT AGE Objects are typed into the boilerplate text of a Title enclosed by l s If a Title has boilerplate text Patient is a
171. ge Summary has no discharge date the options checks the Patient Movement File and if it has a discharge date it updates the discharge date for the Discharge Summary note in file 8925 with that date If the TIU Upload buffer 8925 2 contains records that are older than 30 days the nightly task deletes the entry in file 8925 2 and the alert associated with it The option generates alerts for past due signatures cosigners and additional signers Mnemonics on List Manager screens The TIU and ASU packages don t use mnemonics abbreviations or numbers for actions protocols on List Manager screens partly because it s difficult to make them consistent with other packages and with what users expect Sites however can feel free to add whatever their users would like to have e g for Sign Shortcuts At any Select Action prompt you can type the action abbreviation then the sign and the entry number e g E 4 Jump to Ddef in the Edit Document Definition option takes you directly to a document definition Class Document Class or Title if you know the name May 2012 Text Integration Utilities V 1 0 Technical Manual 307 Visit Information When you enter a Progress Note for an outpatient this Progress Note now needs to be associated with a visit For the majority of Progress Notes this visit association is done in the background based on Scheduling or Encounter Form data If a visit has already been recorded fo
172. generic Fileman of a few critical fields Type Status Shared and National Standard Adding and Deleting but not editing Items is also prohibited through generic Fileman options This does NOT imply that it is safe to use generic Fileman to edit other fields Users are cautioned that edit through generic Fileman bypasses many safeguards built in to the Document Definition Utility and can create havoc unless the user thoroughly understands the File and its uses If users find needs which are not met through TIUF please communicate them to the TIU development team 8925 2 TIU UPLOAD This file buffers uploaded ASCII reports during the upload BUFFER process until they can be successfully routed to their respective destinations within VISTA It will support the development of tools for responding to error messages e g the correction of errors experienced during routing filing by the appropriate users so as to avoid the necessity of making all edits on the client system and re initiating the upload in response to an error condition 8925 3 TIU UPLOAD This file defines allowable error codes and their corresponding ERROR DEFINITION names and textual messages for the error handler module of the ASCII upload process 8925 4 TIU UPLOAD LOG This file is used by the filer module of the upload process to log both successfully filed records and non fatal errors which may occur during routing filing of one or more records in a given batch
173. gration Utilities V 1 0 Technical Manual 85 er Note 86 The finished note looks like this VistA CPRS in use by File Edit Yiew Action Options Tools Help CPRSPATIENT ONE PBS1 Mar 09 07 09 14 Primary Care Team Unassigned NL ae 000 00 0001 Jan 01 1945 62 Provider CPRSPROVIDER SEVEN lag Visit 03 09 07 FORM LETTER EXAMPLE EMERGENCY ROOM Aug 15 07 13 31 LOCAL TITLE FORM LETTER EXAMPLE 4 LETTER E 303 DATE OF NOTE AUG 15 2007 13 31 No Matching Documents Found ENTRY DATE AUG 15 2007 13 31 25 AUTHOR CPRSPROVIDER TEN EXP COSIGNER URGENCY STATUS UNSIGNED Department of Veteran Affairs Medical Center 12345 any Street Salt Lake City Utah 84207 AUG 15 2007 Dear Cprspatient The ability to store and execute programs makes computers extremely versatile and distinguishes them from calculators The Church Turing thesis is a mathematical statement of this versatility Any computer with a certain minimum capability is in principle capable of performing the same tasks that any other computer can perform Therefore computers with capability and complexity ranging from that of a personal digital assistant to a supercomputer are all able to perform the same computational tasks as long as time and storage capacity are not considerations Sincerely CPRS Provider Confidential Information For Official Use Only Templates Form letters are displayed in CPRS as they will be printed with the header
174. gration Utilities V 1 0 Technical Manual May 2012 TIU FIELD LIST Calls the IMPORT2 TIUSR VF routine RESTRICTED IMPORT to import the template fields in the TMP global entered via the TIU FIELD LIST ADD RPC TIU FIELD LOAD Returns a single Template Field object RESTRICTED TIU FIELD LOAD Returns a single Template Field object RESTRICTED BY IEN TIU FIELD LOCK Locks a template field record for editing RESTRICTED TIU FIELD NAME IS Returns TRUE if the template field name RESTRICTED UNIQUE is unique TIU FIELD SAVE Saves a single Template Field RESTRICTED TIU FIELD UNLOCK Unlock Template Field RESTRICTED TIU GET Returns the list of additional signers SUBSCRIPTION ADDITIONAL currently identified for a given TIU SIGNERS document TIU GET ALERT Given a TIU XQAID return the patient SUBSCRIPTION INFO and document type for the item being alerted TIU GET Given a Document get the list of SUBSCRIPTION ASSOCIATED associated images IMAGES TIU GET Returns a title s boilerplate text without AGREEMENT BOILERPLATE resolving any objects embedded in the text May 2012 Text Integration Utilities V 1 0 Technical Manual 225 Remote Procedure Calls cont d TIU GET DEFAULT This RPC returns the default provider SUBSCRIPTION PROVIDER as specified by the TIU Site Parameter DEFAULT PRIMARY PROVIDER which has the following allowable values 0 NONE DON T PROMT In which case the call will return 0 1 DEFAUL
175. h Summary patch 58 creates a new file the Health Summary Object file 142 5 which contains information about how the Health Summery type is displayed as an object in TIU This file contains a pointer to the Health Summary Type file 142 associating each named Health Summary Object HS Object with an existing Health Summary Type HS Type To make the HS Object useable as a TIU object the TIU Document Definition file 8925 1 must contain a pointer to the HS Objects file The existence of this pointer in the technical field of this file is how VistA distinguishes TIU HS Objects from other entries in the TIU Document Definition file This pointer is set by the Create TIU Health Summary Objects TIUHS LIST MANAGER command of the Document Definitions Manager menu The following table illustrates the relationship of records in files to the existing Health Summary Type file TIU HS Objects HS Objects HS Type TIU Document Health Summary Health Summary Definition file Objects file Type file __ ________ gt ee Note You may only change objects that you originally created Each file contains information about who created each object or type If you try to change an object or type that you do not own the system will display an error message May 2012 Text Integration Utilities V 1 0 Technical Manual 377 Example In the following exampl
176. han with transcribed buffer data Those nodes of buffer array TIUFLDS which contain document creation lookup data are killed before TIUFLDS is passed to MAKE TIUFIX1 to prevent transcribed data from overwriting fields filed during the document creation process Any nodes of TIUFLDS which contain fields not filed during the document creation process but which are supplied by the user so they can be checked in GETCHECK are updated Remaining nodes of TIUFLDS are then filed after the document is created in MAKE TIUFIX Lastly the buffer record is used to file the text of the report MAKE is intended to apply generically to document types beyond Progress Notes and Consults but only to types which upload into the TIU DOCUMENT file 8925 Routines TIUFIX TIUFIX1 and TIUFIX2 also contain other sub modules intended for generic use in resolving filing errors Generic modules These modules are intended to apply to document types other than just Progress Notes and Consults Some will be useful only for documents uploaded into the May 2012 Text Integration Utilities V 1 0 Technical Manual 45 TIU DOCUMENT file 8925 Others may be used regardless of target file None of these generic modules have been tested against document types other than Progress Notes and Consults further use requires further testing er Note The generic modules are subject to change by the TIU development staff without notice Use these routines with ca
177. he chosen name and copies the fields in the Document Definition File 8925 1 into the new entry The copier is made the personal owner of the copy If the copying is being done through the Edit Document Definitions option the copy is then added as an item to the parent If the copying is done through the Sort Document Definitions option the copy is NOT added as an item to the parent Since items must not be added to Active 368 Text Integration Utilities V 1 0 Technical Manual May 2012 or Test Titles components of Active or Test Titles can only be copied through the Sort option Objects are copied from the Sort option or the Create Objects option Several fields are NOT copied as is If the original is a National Standard the entry may be copied but the copy is not National Standard If the original is Shared it may be copied but the copy is not Shared The other exceptional field is the Items field If the entry has items the action prompts for item names to copy into creates NEW entries for the items and adds the NEW items to the copy Exception to the Items field Exception if a nonshared entry has a Shared item the action does NOT copy the Shared item but merely adds the Shared item to the copy If the entry being copied is itself a Shared component the copy is not shared and NEW items are added to the copy rather than reusing shared items If the copying is being done through the Edit Document Definitions option the user is ask
178. healthy IPATIENT AGEI year old male Then a user who enters such a note for a 56 year old patient would be presented with the text Patient is a healthy 56 year old male The Progress Notes module of TIU is used by health care givers to enter and sign online patient progress notes and by transcriptionists to enter notes to be signed by caregivers at a later date Caregivers may review progress notes online or print progress notes in chart format for filing in the patient s record Text Integration Utilities Titles are definitions for documents They store the behavior of the documents which use them 250 Text Integration Utilities V 1 0 Technical Manual May 2012 User Class The basic component of ASU Authorization Subscription Utility The User Class file contains the different categories of users within a hospital ASU allows sites to designate who is authorized to do what May 2012 Text Integration Utilities V 1 0 Technical Manual 251 252 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology amp Rules This section describes the terms and rules used in the Document Definition system NAME Plus indicates that the entry has Items under it and can be expanded The name of a Document Definition entry 01 field must be between three and 60 characters long and may not begin with a punctuation character Although names can be entered in upper or lower case they are trans
179. hese options TIU uses ASU to help manage clinical documents User Class Definition List Membership by User List Membership by Class Edit Business Rules Manage Business Rule May 2012 Option Name USR CLASS DEFINITION USR LIST MEMBERSHIP BY USER USR LIST MEMBERSHIP BY CLASS USR EDIT BUSINESS RULES USR BUSINESS RULE MANAGEMENT Description This option allows review addition editing and removal of User Classes This option allows review addition editing and removal of individual members to and from User Classes This option allows review addition editing and removal of individual members to and from User Classes This option allows the user to enter Business Rules authorizing specific users or groups of users to perform specified actions on documents in particular statuses e g an UNSIGNED PROGRESS NOTE may be EDITED by a PROVIDER who is also the EXPECTED SIGNER of the note etc This option allows you to list the Business rules defined by ASU and to add edit or delete them as appropriate Text Integration Utilities V 1 0 Technical Manual 99 Template Management TIU IRM TEMPLATE MGMT When a user s access is terminated or deactivated certain cleanup actions are desirable If the terminated user possessed TIU templates a site may wish to remove them upon termination either automatically or manually To allow flexibility at individual site locations a new parame
180. hey may have Boilerplate Text Components may be designated Shared see field description for Shared Shared Components are shown in Document Definition Utility displays as Type CO S There are advantages and disadvantages in splitting a document up into separate components rather than writing sections into the Boilerplate Text of the Title Since Components are stored as separate file entries they are inherently accessible and even movable Using FileMan sites can access components of documents the same way they can access documents for reports etc Also in the future TIU may have options to move or copy certain components from one May 2012 Text Integration Utilities V 1 0 Technical Manual 257 document into another The disadvantage is speed Components make the structure more complex and therefore slow down processing 258 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology cont d Object O Objects are names which may be embedded in the predefined boilerplate text of Titles Example PATIENT AGE Objects are typed into the boilerplate text of a Title enclosed by s For example suppose a Title has the following boilerplate text Patient is a healthy IPATIENT AGE year old IPATIENT SEXI Then when you enter such a note for a patient known by the system to be 56 years old and male you would be presented with the text Patient is a healthy 56 year old male
181. hould use replace mode rather than insert mode or Find Replace Text to preserve the columns Field may be used as an alternative to components to split a document up into sections but such sections are stored together and can t be separately accessed the way components can See Component under Basic field Type Boilerplate Text is the place to embed objects which get data from the relevant package e g the Laboratory package See Object under Basic field Type A document with multiple components can have boilerplate text in the entry itself and or in any component Boilerplate text in the entry itself appears first May 2012 Text Integration Utilities V 1 0 Technical Manual 285 286 Text Integration Utilities V 1 0 Technical Manual May 2012 Troubleshooting amp Helpful Hints FAQs Frequently Asked Questions based on questions from TIU ASU test sites Q Under very extreme conditions such as a workstation disconnect while a document is being saved documents are lost How can we recover A A Patient Safety Issue PSI 04 016 has been opened for this problem and patch TIU 1 186 has been issued to correct this problem With this patch both the original note and any corrections recorded by the main computer are kept in the Document File 8925 You can recover the document if you access the global before an attempt is made to edit the note again In this example document number 550 is being accessed for recovery purpo
182. ical Fields and Upload Fields TRY TRY examines the selected entry for basic problems For titles and components with boilerplate text this includes checking any Embedded objects to make sure the object is embedded correctly If the entry is a title and checks out OK or if its only problem is an inactive Object you can test the boilerplate text by choosing a patient and entering a document using the entry TRY doesn t require any particular status for the Title since May 2012 Text Integration Utilities V 1 0 Technical Manual 367 documents entered during the trial function even if inactive in order to permit testing of objects Ordinarily object data are not retrieved unless the object is active so be sure to activate the object when it s ready for use Since the trial document shows up on Unsigned lists during the time it s being edited we recommend that you select test patients only If TRY is selected from the Boilerplate Text Screen TRY shows which objects are badly embedded and why Checks include whether the object as written exists in the file whether it is active whether it is split between lines and whether the object as written is ambiguous as to which object is intended If the entry is OK you can enter a trial document For objects TRY checks the object Name Abbreviation and Print Name to make sure they are not ambiguous That is it makes sure the utility can decide which object to invoke when given the Nam
183. ick on the Text Integration Utilities link and it will take you to the TIU Homepage You can also get there by going straight to the following address vista med va gov tiu TIU documentation is also available in Adobe Acrobat pdf format on the Hines Anonymous account KIDS Install Print Options Build File Print Use the KIDS Build File Print option if you would like a complete listing of package components e g routines and options exported with this software Select OPTION NAME XPD MAIN Kernel Installation amp Distribution System menu May 2012 Text Integration Utilities V 1 0 Technical Manual 239 240 Edits and Distribution Utilities Installation Select Kernel Installation amp Distribution System Option Utilities Build File Print Install File Print Convert Loaded Package for Redistribution Display Patches for a Package Purge Build or Install Files Rollup Patches into a Build Update Routine File Verify a Build Verify Package Integrity Select Utilities Option Build File Print Select BUILD NAME TEXT INTEGRATION UTILITIES 1 0 TEXT INTEGRATION UTILITIES DEVICE HOME VAX Text Integration Utilities V 1 0 Technical Manual May 2012 Print Results of the Installation Process Use the KIDS Install File Print option if you d like to print out the results of the installation process DEVICE HOME ANYWHERE
184. icularly interested in setting up personal Titles with boilerplate text or who want to edit boilerplate text May 2012 Text Integration Utilities V 1 0 Technical Manual 165 Menu Assignment We recommend assignment of TIU menus and options as described below Text Integration TIU MAIN Main Text Integration Utilities Transcrip Utilities MENU menu for transcriptionists tionists Transcriptionist TRANSCRIPTIO N Text Integration TIU MAIN Main Text Integration Utilities Medical Utilities MRT MENU MRT menu for Medical Records Records Technicians Technicians Text Integration TIU MAIN Main Text Integration Utilities MIS Utilities MIS MENU MGR menu for MIS Managers Managers Manager Progress Notes TIU MAIN Main Text Integration Utilities Clinicians Discharge MENU menu for Clinicians Summary TIU CLINICIAN Progress Notes TIU MAIN Main Progress Notes menu for Clinicians User Menu MENU PN staff who primarily use Progress nurses CLINICIAN Notes and don t use Discharge psychologist Summary or other clinical s social documents that might be workers etc accessed through TIU Text Integration TIU MAIN This option allows remote users VBA RO Utilities Remote MENU REMOTE e g VBA RO personnel to personnel User access only those documents etc which have been completed to facilitate processing of claims on a need to know basis Progress Notes TIU PRINT PN Menu for printing Progress ADPACs Print
185. iling Events option on the MRT menu to correct such filing errors 50 Text Integration Utilities V 1 0 Technical Manual May 2012 Batch Upload Reports Kermit Protocol Upload If your site is using the upload option to transfer batches of discharge summaries from a remote computer using the Kermit transfer protocol start the upload process by following the sequence below Choose UP from your Upload Menu UP Batch upload reports HLP Display upload help You have PENDING ALERTS Enter VA VIEW ALERTS to review alerts Select Upload menu Option UP Batch upload reports KE RMIT U Pa 0 A D Now start a KERMIT send from your system Starting KERMIT receive N3 When you see the N3 prompt initiate the Kermit file transfer from your computer Try the default settings for the Kermit protocol as provided by your terminal emulation software If you have problems consult your terminal emulator user manual or contact your local IRM Service May 2012 Text Integration Utilities V 1 0 Technical Manual 51 3 When the transfer is complete you ll see this message File transfer was successful 1515 bytes Filer Router Queued Press R UP HLP ETURN to continue lt Enter gt Batch upload reports Display upload help Select Upload menu Option lt Enter gt 52 Text Integration Utilities V 1 0 Technical Manual May 2012 ASCII Protocol Upload If your si
186. ility to New Document Types aaa aaa k aaa aka aaa 41 Upload Menu for Transcriptionists Kastis ii aa i i i i a i i i a i dale 47 Router Piler Notesniki aaaeei a da ao a ia i i i a a dai a i aa 48 Document Parameters Edit o as aso a ai ai a a a a 66 Progress Notes Batch Print Locations ic is Sy aaa is L ii i ik a ede Genel 87 Division Progress Notes Print Params ccsscccssscecseececescceceeccecseececseceecesececseeeeenaeees 88 Document Definit ONS a usi Bas sai ska ai heaps B i Sta i a bet a ia a ei 90 Document Definition Options 7455 ais a ee eee elo Mie nade tok ete eae 92 Matrix of Actions allowed per Status and Ownership JLL es eeeeeeceeeseeeeeeceeeeeeeeeeneeeaeens 93 Creating Ob JGC S siicvecsbatesssdssadiveiattsvindesadssdywsdivsadicetesesout duiudsbadssessasasselessdecapencevesdadscdosssedivvens 96 General TEOMA 3 55 6 a S S a SN A SS 96 4 Text Integration Utilities V 1 0 Technical Manual May 2012 Authorization Subscription Utility ASU ccssccsssscssssccsssccssssscssscssssssccssssssssssssoess 98 User Class Management USR CLASS MANAGEMENT MENU aaa 99 Template Management TIU IRM TEMPLATE MGMT aaa aaa kasai 100 Progress Notes Print Opens eesssesssesssecssocesocesoosesocessecssocesocssoosesocessecesocesocesoosesossssee 103 Exported ROUiN S s sssa isiia usnis kasai asa so ii sai si i a i i k tor a r k 112 TIU 1 211 TIU Data Standardization VUID Patch eseeseesessossesossossesoss
187. ill help to identify which Document Classes are associated with each of the currently supported Posting Types The REGULAR B cross reference HEADER PIECE ITEM NAME C This REGULAR FileMan cross reference on the ITEM NAME is used in the look up and edit process FIELD This REGULAR FileMan cross reference by field number NUMBER is used by the filer router to identify header pieces with field numbers in the target file May 2012 Text Integration Utilities V 1 0 Technical Manual 203 CLASS OWNER This cross reference is used by the router filer to determine which pieces of the header should be set into special variables which may be required by the lookup routine The REGULAR B cross reference This REGULAR FileMan cross reference on the ITEM NAME is used in the look up and filing processes This REGULAR FileMan cross reference is used by the filer router to identify header fields with field numbers in the target file 204 Text Integration Utilities V 1 0 Technical Manual May 2012 8925 1 TIU DOCUMENT DEFINITION File cont d 2 04 LOOKUP This REGULAR FileMan cross reference is used by the LOCAL router filer to determine which fields of the header should VARIABLE be set into special variables which may be required by the NAME lookup routine 4 01 ITEM The REGULAR B cross reference This cross reference facilitates traversal from child to parent up the class hierarchy This MUMPS type cross refe
188. in the Default Text of either a component or a document to produce an effect e g the Object Patient AGE may be invoked to insert the value of the patient s age at an arbitrary location within a document Matrix of Actions allowed per Status and Ownership User For Document Definition IRM Clinical Coordinators or service managers authorized to maintain the Document Definition Hierarchy Only programmers can create objects or edit Technical Fields Owner Either Personal Owner or Class Owner the person who creates or is assigned responsibility for the document type being acted on Items under the relevant type may have separate owners that is A may own the Document Class but B could own a Title under the Document Class Status A Active I Inactive T Test May 2012 Text Integration Utilities V 1 0 Technical Manual 93 Type Class Document Class Status k 94 E Actions Edit Status Owner Add new items to Class Class or Document Class or to Document Class Titles Edit Basics and Upload Fields Delete as entry from file Edit Status and the Owner Add items components Edit Basics and Boilerplate Text Delete file entry Edit the Owner Add new items components Text Integration Utilities V 1 0 Technical Manual Limitations Nat l Standards can t be edited Must own the items Entry can t be In Use Only owners can add non Shared Componen
189. in the TIU Document file May 2012 Text Integration Utilities V 1 0 Technical Manual 277 Document Definition Terminology cont d Classes or Document Classes are IN USE Yes if they have children which are Titles which are IN USE That is it is Used by Documents Yes if there are entries in the TIU Document file which inherit behavior from it If not it is not used No In Use has a value of fora DOCUMENT DEFINITION File entry if the routine TIUFLF is missing or if the program encounters a nonexistent item and the entry is not IN USE so far as the check has been able to go T NOTE Since Shared Components can be items of more than one Title a Shared Component may be IN USE even when a particular parent Title is not IN USE This simply means that it is also a Component of another Title which is IN USE If IN USE is No for a particular Document Definition entry the entry can be deleted by the owner without harming documents in the TIU DOCUMENT File 8925 Deleting it will however orphan any descendant Document Definitions T NOTE Ifasiteis using TIU to upload documents into a file other than the TIU DOCUMENT file it may create Document Definition entries to store upload information For example it may create an Operative Reports title containing instructions for uploading documents into the Surgery file These document definitions will be orphans and will be not In Use They must NOT be deleted from the Document D
190. ing Parameters or in the TIU Technical Manual Q Currently our Radiology reports are uploaded by the vendor Can this functionality be built into TIU A You may upload Radiology Reports but it will be necessary to write a LOOKUP METHOD to store several identifying fields in the Radiology Patient File The remainder are stored in the May 2012 Text Integration Utilities V 1 0 Technical Manual 301 Radiology Reports File along with the Impression and Report Text The TIU and Radiology development teams will work together on a lookup method as development priorities allow Q We have hundreds of entries in file 128 to be cleaned up because many duplicate discharge summaries were mistakenly uploaded by the transcriptionists of our vendor How can we clean up these files A You can use the Individual Patient Document option on the GMRD MAIN MENU MGR menu along with VA FileMan to clean up the Discharge Summary files 302 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Questions about Document Definition Classes Document Classes Titles Boilerplate text Objects Q After the initial document definition hierarchy is built and used can we modify the hierarchy structure if we feel it is incorrectly built How flexible is this file A Once entries in the hierarchy are in use you can t move them around It would be wise to think your hierarchy through before installation Don t rush the process If
191. isit Linkage Method Edit Template Print Method Validation Method These fields are inherited from a parent or ancestor Check to make sure your entry is a descendant of an entry which has those fields For example the Progress Notes Class has all of these fields and all descendants of Progress Notes inherit these field values automatically 6 When trying to activate a Document Class or Title you get a message Faulty Entry No Print Form Header Print Form Number Print Group These fields are necessary only if the Parent of the entry allows Custom Form Headers If the parent allows custom headers the descendants must have values for these fields either inherited or explicit values Check to make sure your entry is a descendant of an entry which has those fields or fill in your own explicit values if the inherited values are not appropriate 7 If you are asked in TIU for the name of a Document Definition for example at the Jump to Document Def prompt you can enter the number IFN of the entry its Abbreviation its Print Name or just the Name You don t have to precede the IFN with a single quote mark May 2012 Text Integration Utilities V 1 0 Technical Manual 321 ASU and User Class Information Relationship between User Class file and Person Class file Although there are a number of superficial similarities between the User Class File 8930 and Kernel s Person Class File 8932 1 the files are structurally
192. it data is now required for every patient encounter The vast majority of Progress Notes are already linked to an admission and don t require additional visit information to be added A historical visit or encounter is a visit that occurred at some time in the past or at some other location possibly non VA Although these are not used for workload credit they can be used for setting up the PCE reminder maintenance system or other non workload related reasons May 2012 Text Integration Utilities V 1 0 Technical Manual 293 NOTE Ifmonth or day aren t known historical encounters will appear on encounter screens or reports with zeroes for the missing dates for example 01 00 95 or 00 00 94 See page Error Bookmark not defined for further information about Visits 294 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Q Are there any terminal settings that we need to be aware of for TIU On the VT400 setting in Smart Term the bottom half of the Create Document Definitions screen was not scrolling properly It was writing over previous lines and got very confusing A Various terminal emulators can affect applications using the List Manager interface The VT220 and 320 work very well with List Manager O I have gotten my 600 clinic and ward locations set up but when I try to print by ward I am only allowed to print to a printer This is not true under the Print by Hospital Location where I can pri
193. ition Clinical Coordinator Manager IRM staff TIU TIU Conversions Options used during IRM staff CONVERSIONS Menu installation and conversion MENU GMRP TIU TIU Conversion A menu of options for ADPACs Clean up Menu getting the Progress Notes IRM or package ready for Clinical conversion to TIU Coordinator Text Integration Utilities V 1 0 Technical Manual May 2012 Appendix B Creating an Object May 2012 Text Integration Utilities V 1 0 Technical Manual 331 332 Text Integration Utilities V 1 0 Technical Manual May 2012 Appendix B Creating an Object To create an object you must be familiar with M code at least well enough to read and copy it In this example we create a very simple object test it make it more realistic and then re test it After that we ll present further issues to consider Create a very simple Object We ll create an object called PATIENT RELIGION which inserts the patient s religion into the text of a document e Go into the option Create Objects and select the action Create Select TIU Maintenance Menu Option 2 Document Definitions Manager Manager Document Definition Menu 1 Edit Document Definitions 2 Sort Document Definitions 3 Create Document Definitions 4 Create Objects Select Document Definitions Manager Option 4 Create Objects START WITH OBJECT EFTRST SENESE gt LL is oho e k ek aol ie k li ole eae alee wale Mar 09 1997 16 10 12 O
194. itions TIUFC CREATE DDEFS MGR 4 Create Objects TIUFO CREATE OBJECTS MGR 3 User Class Management USR CLASS MANAGEMENT MENU 1 User Class Definition USR CLASS DEFINITION 2 List Membership by User USR LIST MEMBERSHIP BY USI el 3 List Membership by Class USR LIST MEMBERSHIP BY CLASS 4 Edit Business Rules USR EDIT BUSINESS RULES 5 anage Business Rules USR MANAGE BUSINESS RULES 4 TIU Template Mgmt Functions TIU IRM TEMPLATE MGMT 1 Delete TIU templates for selected user TIU TEMPLATE CAC USER DELETE 2 Edit auto template cleanup parameter TIU TEMPLATE USER DELETE PARAM 3 Delete templates for ALL terminated users TIU TEMPLATE DELETE TERM A 5 TIU Alert Tools TIU ALERT TOOLS 14 Text Integration Utilities V 1 0 Technical Manual May 2012 6 Active Title Cleanup Report TIU ACTIV 7 TIUHL7 Message Manager TIUHL7 MSG MGR May 2012 Text Integration Utilities V 1 0 Technical Manual 15 TIU Conversions Menu The following options are only run during implementation so are not included on the TIU Maintenance Menu shown above Option Text Option Name Convert TIU DISCHARGE Discharge SUMMARY Summaries CONVERT BE CERTAIN KKK Progress Note TIU GMRPN C
195. just the first line of each TIU subset routine Select Systems Manager Menu Option programmer Options Select Programmer Options Option routine Tools Select Routine Tools Option First Line Routine Print May 2012 Text Integration Utilities V 1 0 Technical Manual 243 PRINTS FIRST LINE routine s gt TIU Globals The global unique to VA in the TIU package is TIU Use the Kernel option XUPRGL List Global to print a list of any of these globals This option is found on the XUPROG Programmer Options menu which is a sub menu of the EVE Systems Manager Menu option Select Systems Manager Menu Option programmer Options Select Programmer Options Option LIST Global Global PX 244 Text Integration Utilities V 1 0 Technical Manual May 2012 XINDEX XINDEX is a routine that produces a report called the VA Cross Referencer This report is a technical and cross reference listing of one routine or a group of routines XINDEX provides a summary of errors and warnings for routines that do not comply with VA programming standards and conventions a list of local and global variables and what routines they are referenced in and a list of internal and external routine calls XINDEX is invoked from programmer mode D XINDEX When selecting routines select TIU Data Dictionaries Files The number spaces for TIU files unique to VA are 8925 8926 Use the VA FileMan DATA DICTIONARY UTILITIES option 8
196. l Manual 145 3 Log in with your Login Name and Password Ai VA NTRT New Term Rapid Turnaround Microsoft Internet Explorer Eile Edit View Favorites Tools Help Qad O WA OD Asah Krates B O 3 mM DOA NTRT New Term Rapid Turnaround Welcome to NTRT Login Name Welcome to the VHA New Term Rapid Turnaround Request NTRT Web Page Password This site was developed to facilitate requests for new terms from VHA users to the Enterprise Refer 4 Click on the Clinical Doc Title link in the left side navigation bar to Request a new Clinical Document Title 5 Before entering the information for a new Clinical Document Title click on the HELP button to see explanations about the Clinical Document information model and additional information about using the web site Close the window when convenient Ai NTRT Microsoft Internet Explorer Ele Edit View Favorites Tools Help Orc FBO Ash grrvrites 8 3 WM DOG NTRT New Term Rapid Turnaround Ol Health Systems Home ContactUs Log Off Design A Development Allergy Clinical Doc Title New Term Request Form lt lt Back Vitals C m Search required field SUBJECT MATTER DOMAIN New User ROLE UNASSIGNED E Edit User SETTING UNASSIGNED b SERVICE UNASSIGNED DOCUMENT TYPE UNASSIGNED x COMMENTS VA Home Page OIHome Page SD amp D HomePage SiteMap TermsofUse Disclaimer Privacy Statement Reviewed Updated August 14th 2006 146 6
197. l May 2012 REQUEST This REGULAR FM cross reference by REQUESTING ING PACKAGE REFERENCE is used to avoid multiple PACKAGE documents per request and for look ups REFERENCE SIGNATURE This MUMPS type multi field cross reference by DATE TIME Hospital Location and REGULAR Signature Date Time is used to maintain the daily print queue for batch printing of documents currently just Progress Notes on signature This MUMPS type multi field cross reference by Patient and REGULAR Signature Date Time is used to maintain the daily print queue for batch printing of documents currently just Progress Notes on signature This MUMPS type multi field cross reference by Author and REGULAR Signature Date Time is used to maintain the daily print queue for batch printing of documents currently just Progress Notes on signature This MUMPS Type Multi field cross reference on Cosignature Date time will assure that the cosigned notes are included in the ACLPT x ref completed by patient upon cosignature This x ref is used to extract lists based on context May 2012 Text Integration Utilities V 1 0 Technical Manual 201 TIU DOCUMENT File 8925 cont d 1502 SIGNED BY ACLSB This x ref is used to extract lists based on context 1507 COSIGNA ACLEC TURE DATE TIME ACLPT This MUMPS Type Multi field cross reference on Cosignature Date time will assure that the cosigned notes are included in the ACLPT x ref completed by patient
198. l Upload 32 Kernel Print Options 158 KIDS Install Print Options 156 line editors 189 Linkages 7 List Membership by Class 59 392 Text Integration Utilities V 1 0 Technical Manual May 2012 List Membership by User 59 Location Print Progress Notes 62 lost documents 184 macros 39 Manage Business Rule 59 Map Active Local Titles 80 Mapping and Reporting Standard Titles 69 Mapping Workbench 75 MAS Options to Print Progress Notes 63 MAS Print Options 64 Matrix of Actions 55 Menu and Option Assignment 92 Menu Assignment 99 209 Menu Text 181 message header 30 MIS 162 MIS Manager 162 Missing Text Cleanup 94 Missing Text Report 94 Mnemonic 181 Mnemonics on List Manager screens 195 Modify Upload Parameters 12 17 18 MRT 163 multidisciplinary 8 May 2012 national standard 170 New Term Rapid Turnaround Process 86 NTRT Website 86 number spaces for TIU 159 object 55 163 168 212 Object Inactive 228 Online Documentation 156 OP reports 192 orphan 179 Other Kernel Print Options 158 outpatient care 200 Outpatient Location Print Progress Notes 63 owner 55 176 ownership 55 package security 206 Package Wide Variables 154 Patch GMRP 2 5 44 9 Patient Care Encounter 7 patient encounter 187 Patient Print Progress Notes 62 PCE 199 Person Class File 8932 1 185 204 personal owner 176 print by ward 188 Text Integration Utilities V
199. lem Document type Status and Inverse Reference Date time facilitates query by problem 8925 93 TIU PRINT PARAMETERS File Field Field Name Description HOSPITAL The REGULAR B cross reference LOCATION 8925 94 TIU DIVISION PRINT PARAMETERS File Field Field Name Description DIVISION E The REGULAR B cross reference May 2012 Text Integration Utilities V 1 0 Technical Manual 209 8925 95 TIU DOCUMENT PARAMETERS File DOCUMENT The REGULAR B cross reference DEFINITION 8925 97 TIU CONVERSIONS File Field Field Name Description The REGULAR B cross reference 8925 98 TIU PERSONAL DOCUMENT TYPE LIST File PERSON The REGULAR B cross reference This multi field MUMPS type cross reference by User and Parent Document class is used to facilitate identification of the user s preferred list of documents within the context of a given parent class This MUMPS type cross reference is used for marking records for menu recompilation when the DISPLAY NAME for an item changes This MUMPS type cross reference on the TIMESTAMP field is used to accomplish menu compilation into AXUTLC XQORM DA TIU 9025 98 for presentation of menus by XQORM 210 Text Integration Utilities V 1 0 Technical Manual May 2012 8925 99 TIU PARAMETERS File 01 INSTITU The REGULAR B cross reference TION 8926 TIU PERSONAL PREFERENCES File Field Field Name Description USER NAME Pel Th
200. lities V 1 0 Technical Manual May 2012 Example Entry of Progress Note contd 12 Transfusion 13 Venipuncture UROLOGY 14 Foley Catherter ENT L5 Removal Impacted Cerumen 16 Anterior Simple 17 Anterior complex 18 Posterior 19 Foreign Body Removal 20 OTHER Procedure Select Procedure 1 20 19 You have indicated the following data apply to this visit DIAGNOSES 99573 Allergic Reaction lt lt lt PRIMARY PROCEDURES 65205 Foreign Body Removal 0K YES lt Enter gt Posting Workload Credit at SCDX AMBCARE EVENT 57033 30772 at SCDX AMBCARE EVENT 57033 30774Done Visit Orientation Rationale Why associate Progress Notes with Visits The answer is quite simple an event clinical or otherwise may be fully described by five key attributes or parameters Who what when where and why Three of these i e who when and where are all encoded in the Visit File entry May 2012 Text Integration Utilities V 1 0 Technical Manual 311 itself The remaining two parameters what and why are generally included in the content of the document This alone would be sufficient justification to adopt a visit orientation but there are several other benefits Benefits The VHA Operations Manual M 1 Chapter 5 requires that every ambulatory visit have at least one Progress Note Deficiencies with respect to this requirement can only be
201. llowing DOCUMENT IENs have an incorrect null or zero 01 Field 4957690 4957697 Note that at the end of the report the specific IENs are given for records that the utility could not handle Someone at your site must correct these records before running the actual inactivations This report should be run at least twice Once to get an idea of which titles may be inactivated then again to actually do the inactivations S Note Numbers in this report may be different between runs even if you run within a few minutes If there are titles you do not want inactivated even though they are unused you may exclude some titles This is an example Select TIU Maintenance Menu Option 6 Active Title Cleanup Report Inactivate the unused Document Titles at this time NO YES 120 Text Integration Utilities V 1 0 Technical Manual May 2012 All active titles that have not been used in previous 365 days will be set to INACTIVE Pi You may select individual DOCUMENT TITLES that will NOT be set to INACTIVE by this cleanup Are you sure you want to change their status to INACTIVE NO YES i Enter the DOCUMENT TITLE S that will NOT be INACTIVAT during the cleanup process Enter RETURN or to finish selections Enter DOCUMENT TITLE ADV 1 ADVANCE DIRECTIVE TITLE 2 ADVANCE DIRECTIVE
202. make adjustments to a TIU Health Summary Object The display appears as follows TIUHS Detailed Display Edit Jan 03 2003 15 47 08 Page 1 of Tx TIU Object Name PODIATRY Owner CPRSPROVIDER TEN Status ACTIVE HS Object PODIATRY OBJECT TIU HS Type AC CLINICAL SUMMARY Technical Field S X SSTIU GMTSOBJ DFN 6600042 Enter for more actions Change HS Object Detail Display Edit HS Parameters Change Health Summary Type Select Item s Quit 384 Text Integration Utilities V 1 0 Technical Manual May 2012 Change HS Object This action changes the item in the Health Summary Objects file that is pointed to by this TIU HS Object You cannot use this command unless you are on record as the creator of the TIU Health Summary Object See the discussion on file relationships at the beginning of this section You may only change the HS Object if you own the originally created the TIU Object If you attempt to change any part of a TIU object that you did not originally create the system will display the following message Can t edit this HS Object Only the owner can edit this HS Object Change Health Summary Type This action changes the item in the Health Summary Types file that is pointed to by the HS Object You cannot use this command unless you are on record as the creator of the HS Object See the discussion of file relationships at the beginning of this section You may only edit a TIU H
203. mbedding in boilerplate text It also causes the object to execute its object method code rather than to write an inactive message when documents are entered on it through the regular options as opposed to the action Try If the object TRY action had not been clean we would not have been able to activate the object The Active object is now ready for entering documents One last test and we ll be done To enter documents rather than just TRY them the title also must have a status of Active or Test e Quit out of the option Create Objects and ate Document Definitions e Go into the option Cre e Edit the status of the test title to Test e Check to make sure that you own it e Quit out of the Document Definition menu e Go into the Clinician menu Select Entry of Progress Note from the Clinician s Progress Notes Menu Clinician s Progress Notes Menu 1 Entry of Progress Note 2 Review Progress Notes by Patient 2b Review Progress Notes 3 All MY UNSIGNED Progress Notes May 2012 Text Integration Utilities V 1 0 Technical Manual 359 4 Show Progress Notes Across Patients 5 Progress Notes Print Options 6 List Notes By Title 7 Search by Patient AND Title 8 Personal Preferences Select Progress Notes User Menu Option 1 Entry of Progress Note 360 Text Integration Utilities V 1 0 Technical Manual May 2012 Entering a Progress Note using the Object
204. mit E3R Term Name Duplicate Order o Descending Ascending Select Page Clear Page Clear All Requests 1 200f 54 Next 2 a Se ee 1506 sramana Z AGAINST MEDICAL ADVICE NOTE gt 2006 10 23 05 13 PI 1505 sramana A AGREEMENT 2006 10 23 05 13 Pl 1503 sramana Q ADMINISTRATIVE NOTE Peas 2006 10 23 05 14 PI 1500 sramana X ADVERSE EVENT REPORT Denied 2006 10 20 12 48 PI 1499 sramana A ADMINISTRATIVE DOCUMENT Denied 2006 10 20 12 56 PI 13 Note the Tracking Numbers for the two titles you entered Click on one to review its summary report 14 Click the lt lt Back link to return to the search page 15 Now copy one of the Tracking Numbers into the Tracking Number text box and select its radio button Search again 16 You can observe any changes by of a request s Status by checking the Show History checkbox when searching The information about the changes being made by NTRT can be viewed on the NTRT Web site under NTRT Deployment Log Those interested can also join the NTRT listserv which provides the same information as the NTRT Deployment log that is automatically sent to the recipients Join by going to http vista med va gov ntrt and clicking the link in the middle of the May 2012 Text Integration Utilities V 1 0 Technical Manual 149 screen called NTRT Notification Listserv This listserv is specific to NTRT deployments a
205. mpted for DX CPT information for unscheduled visits ONLY Choose from 1 YES 0 NO ASK DX CPT ON ALL OPT VISITS lt Enter gt SEND ALERTS ON ADDENDA This parameter determines whether AUTHORS and COSIGNERS of a document of this kind and any of its descendent types will receive an informational alert when addenda are added by other persons Like all document parameters it may be overridden at descendent levels of the Document Definition Hierarchy DEFAULT is NO Choose from 1 YES 0 NO SEND ALERTS ON ADDENDA lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 73 Document Parameter Edit Example cont d ORDER ID ENTRIES BY TITLE This prompt applies only to notes with interdisciplinary entries Under them When an ID note is displayed or printed the child entries are Normally ordered by reference date under the parent entry In some cases it may be preferable to order them alphabetically by title If this parameter is set to YES child entries are displayed by title rather than by date The default order is by date Choose from i YI ea n 0 NO ORDER ID ENTRIES BY TITLE lt Enter gt T SEND ALERTS ON NEW ID ENTRY YES This parameter applies only to interdisciplinary parent notes If this parameter is set to YES the signer
206. my Menus in addition signed f uncosigned notes uncosigned has Unsigned Hotes SuENInanes all Show Hide Notes Summaries signed Hotes mais MD RPN Subject Save as my Uncosigned ramboi signed Preferred View Notes Summaries notes summaries Remove my Custom View pastes Preferred View Save as Default View Return to Default Clinician View see also Change View Nurse Ward Clerk Send Back Options NA NA MRT IPD MPD SSD MGR IPD MPD SSD Show Reassignment Options NA NA History MGR MPD SSD 182 Text Integration Utilities V 1 0 Technical Manual May 2012 Sign Cosign Sign Options Clinician Notes amp D C Summ Note Now tabs Action amp Pop MD IPD MPD IPDS Nurse up Menus MPDS EPN RPNP AMUPN SPNAP Ward Clerk LNT SPT AMUD Statistical Reports Options NA NA MGR Transcriptionist Service Author Line Counts May 2012 Text Integration Utilities V 1 0 Technical Manual 183 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Templates user NA NA Notes amp D C Summ tabs Options Menu Edit Templates Create New Template Edit Shared Templates Create New Shared Template Edit Template Fields Notes amp D C Summ tabs Pop up Menu Copy into New Template Templates Drawer Templates mgr Options NA NA IRM Delete for selected user Delete for all terminated users Edit parameter Upload
207. nd only generates one message per week An Automated Notification Report ANR is sent out through the National Help Desk by e mail messages that alert sites recipients about the changes that are being made and the times the weekly NTRT deployment is deployed to sites If you are not currently receiving ANR messages and would like to in the future please submit a Remedy ticket to be added to VHA OI Software Announcement and you can be added to the distribution list for future information The ANR list is not specific to NTRT deployments and you will also receive e mails for many other purposes sometimes as many as 20 per day 150 Text Integration Utilities V 1 0 Technical Manual May 2012 Menu and Option Assignment TIU menus and options are not exported on a single big menu but as smaller menus directed at categories of users These are described in earlier sections of this manual and also depicted below Sites may rearrange these as needed Recommended assignments are also listed on the following pages Since many sites may wish to create a Clinical Coordinator s Menu we have included an example of a possible one Text Integration Utilities Transcriptionist TIU MAIN MENU TRANSCRIPTION 1 Enter Edit Discharge Summary TIU ENTER EDIT DS 2 Enter Edit Document TIU ENTER EDIT TRANSCRIBER 3 Upload Menu TIU UPLOAD MENU Sees 1 Upload Documents TIU UPLOA
208. necessary create new classes document classes and titles the Copy function streamlines creating new titles and deactivate the old ones The users won t be aware of the change if the Print Name is the same but the 01 Name is new Q Who creates titles and boilerplates at a site A Many test sites restrict the creation of titles and boilerplates as much as possible At one site users submit a request for a title or boilerplate IRMS or the clinical coordinator create the boilerplate and or title and forward it to the Chairman of the Medical Records Committee for approval Once approved it is made available for use Titles are name spaced by service and the use of titles is restricted by user class With the ability to search by title keeping the number of titles small and their use specific can be very useful e g patient medication education is documented on an electronic progress note and can be reviewed easily Some of the other sites allow the ADPACs to create boilerplates without going through such a formal review process Another site restricts this function to the Clinical Coordinator It was designed so that sites can do whatever they are most comfortable with Q The root Class supplied with the package is CLINICAL DOCUMENTS Can a peer class level be made using our configuration options Ex ADMINISTRATIVE DOCUMENTS May 2012 Text Integration Utilities V 1 0 Technical Manual 303 A You cannot enter a class on the same level
209. new Settin VA Home Page OIHomePage SD amp D Home Page SiteMap TermsofUse Disclaimer Privacy Statement Reviewed Updated August 14th 2006 7 When you have selected the axis terms that comprise your title you can click the Submit button and see a summary for the title you just entered Note that each of the axes is optional with the exception of the Document Type which is required for every request Also note that while Comments are not required they do help the reviewers of your E VA NTRT New Term Rapid Turnaround Microsoft Internet Explorer Eile Edit View Favorites Tools Help Qx O MAO Ah krate A 3 W D0 Links Production NTRT TIU DIT New Requests vaLO Timesheets 4 ClearQuest Salt Lake City Public Library 21181077180597 Address http vhaisibll2 vha med va gov 770 1 ntrt viewtiu do trackingNumber 14688 amp namespace1d Clinical 20Doc 20Titie NTRT New Term Rapid Turnaround K Home ContactUs Log Off Design amp Development Allergy Clinical Doc Title Vitals Requested Term lt lt Back Printer Friendly Version Search Clinical Doc Title Name NUTRITION DIETETICS OUTPATIENT EDUCATION NOTE New User Tracking Number 1468 Edit User SUBJECT MATTER DOMAIN NUTRITION DIETETICS ROLE SETTING OUTPATIENT SERVICE EDUCATION DOCUMENT TYPE NOTE sramana 2006 09 19 04 38 PM Accepted No Comment COMMENTS 55 stevenson 2006 09 18 12 48 PM Submitted For our institution we must specif
210. nical Documents If an Orphan is not In Use it may be dead wood which should be deleted from the file Orphans not In Use which should not be deleted include those being kept for later possible use those temporarily orphaned in order to move them around in the hierarchy and those used for uploading documents into files other than the TIU Document file Orphan doesn t apply to Objects since they don t ever belong to the hierarchy Orphan doesn t apply to Shared Components since they may have more than one line of ancestry Orphan doesn t apply to Objects since they don t ever belong to the hierarchy Orphan doesn t apply to Shared Components since they may have more than one line of ancestry V T NOTE The DOCUMENT DEFINITION file may contain orphan entries which are not used by documents in the TIU DOCUMENT file but which contain upload instructions for storing documents somewhere else For example if a site is uploading Operative Reports into the Surgery file there may be an orphan Operative Report Document Definition in the DOCUMENT 280 Text Integration Utilities V 1 0 Technical Manual May 2012 Vy NOTE May 2012 DEFINITION file These should NOT be deleted just because they are orphans Such entries can be identified by viewing them through Detailed Display in the Sort Option and looking for Upload fields Orphan as used in TIU doesn t mean having no parents For example suppose Exceptional Day Pass Note
211. ns to entries in the file shall be done by Enterprise Reference Terminology ERT using the Master File Server MFS provided by Common Services CS Creating and or editing locally defined fields in the file are not permitted Use of locally defined fields that were created prior to the VHA Directive s 2005 044 effective date shall not be supported This file supports the instantiation within VistA of the Service Axis of the VHA Enterprise Standard Document Title Ontology Per VHA Directive 2005 044 this file has been locked down by Data Standardization DS The file definition i e data dictionary shall not be modified All additions changes and deletions to entries in the file shall be done by Enterprise Reference Terminology ERT using the Master File Server MFS provided by Common Services CS Creating and or editing locally defined fields in the file are not permitted Use of locally defined fields that were created prior to the VHA Directive s 2005 044 effective date shall not be supported This file supports the instantiation within VistA of the Document Type Axis of the VHA Enterprise Standard Document Title Ontology Text Integration Utilities V 1 0 Technical Manual May 2012 TIU File Descriptions cont d 8926 72 TIU LOINC SMD SYNONYMS 8926 73 TIU LOINC ROLE SYNONYMS 8926 74 TIU LOINC SETTING SYNONYMS 8926 75 TIU LOINC SERVICE SYNONYMS 8926 76 TIU LOINC DOCUMENT TYPE SYNONYMS 8927
212. nsult a multidisciplinary committee composed of MAS and clinical service representatives as well as individual services or product lines to define site parameters which reflect hospital wide and service policies and practices Some of the site configurable features which must be addressed before implementation are Conversion of Progress Notes and Discharge Summaries Document definition hierarchy User Class definition Document upload specifications Interdisciplinary Notes Signature signature block and electronic signature considerations Purging specifications Printer and printing definitions Clinician MAS and transcriptionist review release issues The following pages describe implementation processes 12 Text Integration Utilities V 1 0 Technical Manual May 2012 Patch GMRP 2 5 44 Overview Patch GMRP 2 5 44 prepares the Title File 121 2 of Progress Notes for TIU This release of Text Integration Utilities TIU moves all data out of the Progress Notes Package and into TIU Progress Notes will no longer exist as a standalone package The purpose of this patch is to help clean up the Generic Progress Notes File 121 and the Generic Progress Notes Title File 121 2 begin populating the TIU Document Definition File 8925 1 which is roughly equivalent to file 121 2 Although this patch was developed with the conversion of Progress Notes to TIU in mind it contains many features to assist sites in managing day
213. nt to the screen What is the difference A Print by Ward is designed to support batch printing It has the unique ability to determine when the last note was printed so that sites can now capture the infamous orphan note which was a problem under Progress Notes 2 5 You might consider adding a message on entry into the option to inform users that they can only print to a printer not on screen Q Can we share business rules with other sites A It isn t yet known how appropriate or desirable it is to share business rules amongst sites The package is exported with all the business rules needed to run the standard package The differences are usually on a medical center basis For example one site wants all users to be able to see all UNSIGNED notes ON the flip side another site doesn t want any users to be able to print or view UNCOSIGNED notes until the cosigner has signed Two very different views Just because you are in the same VISN doesn t mean you would view these issues in the same light Another example is the hospital that wants to restrict the entering viewing printing of every Progress Note by TITLE You can do this but it is not something we would recommend We strongly recommend that you work with the exported business rules for awhile before making any changes May 2012 Text Integration Utilities V 1 0 Technical Manual 295 Q When I read my Discharge Summaries after they come back from the transcriptionist
214. ntegration Utility Nightly Task 195 title 54 163 167 TIU Autoverify 208 TIU BASIC PARAMETER EDIT 12 TIU CONVERSIONS MENU 11 100 TIU DIVISION PRINT PARAMETERS FILE 8925 94 64 TIU Document Definition file 239 TIU Document Definition File 8925 1 9 TIU DOCUMENT PARAMETER EDIT 12 40 TIU File Descriptions 111 TIU MAIN MENU 99 TIU MAIN MENU CLINICIAN 99 TIU MAIN MENU MGR 99 TIU MAIN MENU MRT 99 TIU MAIN MENU PN CLINICIAN 99 TIU MAIN MENU REMOTE 99 May 2012 TIU MAINTENANCE MENU 99 TIU NIGHTLY TASK 195 TIU Package Security 206 TIU PRINT PARAMETERS FILE 64 TIU PRINT PN ADMISSION 63 65 TIU PRINT PN BATCH INTERACTIVE 51 63 TIU PRINT PN BATCH SCHEDULED 51 TIU PRINT PN DIV PARAM 12 TIU PRINT PN DIV PARAMS 52 TIU PRINT PN LOC PARAMS 12 51 TIU PRINT PN MAS MENU 63 99 TIU PRINT PN OUTPT LOC 52 63 65 TIU PRINT PN USER MENU 99 TIU PRINT PN WARD 52 63 TIU Security 206 208 TIU SET UP MENU 12 TIU UPLOAD DOCUMENTS 29 TIU UPLOAD HELP 29 TIU UPLOAD PARAMETER EDIT 12 TIU 159 TIU 1 211 70 TIUF DOCUMENT DEFINITION MGR 53 240 TIUFA SORT DDEFS 54 Text Integration Utilities V 1 0 Technical Manual 395 TIUFC CREATE DDEFS 54 TIUFH EDIT DDEFS 54 TIUFJ CREATE OBJECTS MGR 54 TIUFJ VIEW OBJECTS CLIN 54 TIUFLAG 66 TIUHS LIST MANAGER 239 transcription 189 transcriptionist 8 188 troubleshooting 184 Troubleshooting amp Helpful Hints for Document
215. nts of the current type will be sent to this device regardless of their urgencies Note If field MANUAL PRINT AFTER ENTRY is set to YES then auto print is ignored Text Integration Utilities V 1 0 Technical Manual May 2012 Document Parameter Edit Example cont d May 2012 Choose from AFJ BRO HFS HOMI INT S D TAT CHART COPY PRINT STAT CHART COPY XR E SOURCE KER DEVICE HOME ERM EC 4100 J TO This parameter is primarily useful for DISCHARGE SUMMARIES documents where automatic central printing of c configurable events are most useful IRM SYS L LAB TEM Host File Server TA AFJX RESOURCI EI TABL Slaved Deskjet STOP A PRINTI OPERATIV When defined along with a CHART COPY PRINTER F R ER ER lt Enter gt Ed BG DSA4 MUMPS OERMGR _LTA370 e INT El Gar EPORTS at some point in the future or other E hart copies on site RIM SUMMARIES or this is the device to which chart copies of documents with STAT urgencies will be sent automatically Note is ignored Choose from AFJX R E SOURCE BROKER HFS HOMI DEVICE HOME INT ERM EC 4100 S DJ TAY TO IRM SYSTEM Host File Server
216. o the REQUESTING PACKAGE REFERENCE File 8925 Field 1405 This would be the record in the Requesting Package e g Consult Request Tracking or Surgery for which the resulting document has been entered in TIU TIU GET SITE This RPC returns the TIU Parameters SUBSCRIPTION PARAMETERS for the Division the user is logged in to TIU ID ATTACH ENTRY This RPC will attach a document as an SUBSCRIPTION Interdisciplinary ID entry to an ID Parent document TIU ID CAN ATTACH This BOOLEAN RPC evaluates the SUBSCRIPTION question of whether a particular document may be attached as an entry to an Interdisciplinary Note i e can this document be an ID Child TIU ID CAN RECEIVE This BOOLEAN RPC evaluates the SUBSCRIPTION question of whether a particular document may receive an entry as an Interdisciplinary Parent Note 1 e can this document be an ID Parent TIU ID DETACH ENTRY This call will remove an ID Entry SUBSCRIPTION from an Interdisciplinary Note TIU IDENTIFY This RPC returns the record number of SUBSCRIPTION CONSULTS CLASS the class CONSULTS in the TIU DOCUMENT DEFINITION file 8925 1 May 2012 Text Integration Utilities V 1 0 Technical Manual 229 Remote Procedure Calls cont d TIU IDENTIFY SURGERY CLASS TIU IS THIS A CONSULT TIU IS THIS A SURGERY TIU IS USER A PROVIDER TIU JUSTIFY DELETE TIU LINK DOCUMENT TO IMAGE TIU LOAD BOILERPLATE TEXT 230 returns the record number of
217. o the TEXT global This was transparent to the user Whatever information made it to the server would be there whatever didn t was irretrievably lost 288 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Now with patch TIU 1 186 it waits until the entire document all pages are transferred back before touching the TEXT node If the client server loses connection for any reason the original is intact and untouched If the client server loses the connection in the middle of a resave all the contents that were successfully transferred are stored in the TEMP global whatever edits didn t make it are lost When the user reconnects and views the document in CPRS the original document is still there fully intact and the data in the TEMP global remains untouched as long as the user does NOT attempt another edit The server replaces the original with the edited copy only when all pages of an edit are transferred completely This information may be retrieved by the IRM staff if needed as shown in the example above The two major changes are 1 The original document remains intact up until the entire edited new version is fully transferred to the server 2 The edited contents that were previously saved in the TEMP global no longer automatically replace the TEXT node until after the complete transfer is complete Q We just entered all of our Providers into the Person Class File 8932 1 when the Ambulatory Care R
218. oad header data from the upload buffer record into an array TIUFLDS 2 Call document type specific module GETCHECK GETCHECK TIUPNFIX for Progress Notes or GETCHECK TIUCNFIX for Consults This module prompts the user for data and validates that the data is consistent and complete 3 Call generic module MAKE TIUFIX I which creates a document or uses an existing stub and uploads into the document In more detail LOADHDR TIUFIX2 Header data from the transcribed buffer record are loaded at the beginning of the filing error resolution process so that they can be used as default values when prompting the user for data in GETCHECK and so that the header data array TIUFLDS can be updated in GETCHECK before its data are filed in MAKE TIUFIX 1 If a caption has no transcribed data and the caption is listed in the upload header definition as REQUIRED the corresponding node of TIUFLDS is loaded with the value REQUIRED FIELD MISSING FROM UPLOAD so that it along with any other invalid data will fail to file later in MAKE TIUFIX1 thus generating a missing field error LOADHDR is intended to apply generically to document types beyond Progress Notes and Consults the target file need not be the TIU DOCUMENT file 8925 GETCHECK GETCHECK TIUPNFIX for Progress Notes or GETCHECK TIUCNFIX for Consults 44 Text Integration Utilities V 1 0 Technical Manual May 2012 GETCHECK prompts the user for all data needed to l
219. object into boilerplate text We must change the abbreviation so it doesn t match the name abbreviation or print name for another object Once we have thoroughly tested the Object Method code put in Name Abbreviation and Print Name as desired and gotten a clean TRY when we tried the OBJECT we can now try our title containing the object e Quit out of Create Objects e Go into the option Create Document Definitions e Use the action Next Level to drill down to our title e Select the action Boilerplate Text May 2012 Text Integration Utilities V 1 0 Technical Manual 353 AS 354 e Select the title Create Document Definitions Mar 05 1997 15 05 23 Page 1 of 1 BASICS Name Type 2 PROGRESS NOTES CL 3 DEMOGRAPHIC NOTE DC 4 DEMOGRAPHIC NOTE TL gt gt gt Class DocumentClass Next Level Detailed Display Title Restart Status Component Boilerplate Text Delete Select Action Title BO 4 Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the More Realistic Object cont d e The Boilerplate Text that we entered previously is displayed We changed the name of the object but we don t need to make that update here since the Print Name is PATIENT RELIGION and the Print Name will do just as well as the name e Select the action Try Boilerplate Text Max 057 LIIT 154055 37 Page 1 of Title DEMOGRAPHIC NOTE Patient s religious preference
220. ocations from this job by editing field 3 in file 8925 93 Locations not entered in file 8925 93 will be included in the batch print Outpatient TIU PRINT PN This option is designed to be used primarily Location Print OUTPT LOC by MAS It produces CHARTABLE notes Progress Notes and tracks the last note printed for the selected outpatient location Output is sorted in alphabetical by patient order Ward Print TIU PRINT PN This option will allow the printing of Progress Notes WARD Progress Notes for ALL patients on the ward at the time the job is queued to print All of the notes for a selected date range regardless of the location of the note will print This option is only for WARD locations and only prints to printers not to your screen 104 Text Integration Utilities V 1 0 Technical Manual May 2012 Progress Notes Print Options contd Clinical users can print progress notes but the more complex printing is geared towards MAS and managing this function on a medical center level The software also supports a hybrid approach 1 LIST MANAGER Users may print all types of documents using a variety of methods from the List Manager interface for TIU including Forms Progress Notes Discharge Summaries Consults etc Work and Chart copies are possible Chart copies are the recommended type of printed copy but many sites still want to print Work copies For example you may want to print WORK copies of UNSIGNED notes
221. ocument TIU BROWSE DOCUMENT MGR T 2 Multiple Patient Documents TIU REVIEW SCREEN MIS MANAGER 3 Print Document Menu TIUP 1 Discharge Summary Print TIUP 156 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU DS STATISTICAL REPORTS Statistics INE aA E 2 Progress Note PRINT MENU PRINT DISCHARGE SUMMARI T Print TI PRINT PROGRES S NOTES PRINT DOCUMEN 4 Search for Selected Documents TIU SEARCH LIST MGR LT BY TRANSCR SVC SERVICE TIU DS 7 Missing Text Report TIU MISSING TEXT NODE 8 Missing Text Cleanup TIU MISSING TEXT CLEAN 9 UNKNOWN Addenda Cleanup TIU UNK ADDENDA MENU 10 Signed unsigned PN report and update TIU SIGN 6 Unsigned Uncosigned Report TIU UNSIGNED UNCOSIGNE INE RSS soar Seas SSS Sa Sa es Se 3 Clinical Document Print TS IU DS LINE COUNT BY A COUNT BY S DR EPORT ED UNSIGNED PN 11 Missing Expected Cosigner Report TIU MISSING EXP ECT ED COSIGNE 13 Mismatched ID Notes TIU MISMATCHED ID NOTES 12 Mark Document as Signed by Surrogate TIU MARK SIGN May 2012 Text Integration Utilities V 1 0 Technical Manual ED BY SURROGAT TIUP
222. ol 650 mgs p o g4 hours prn Patient is on hemodialysis no known drug allergies PHYSICAL EXAMINATION Patient had stable vital signs his blood pressure was 160 85 pulse 84 respiratory rate 20 temperature 98 degrees Patient was alert oriented times three cooperative His speech was fluent understanding of spoken language was good Attention span was good He had moderate memory impairment no apraxia noted Cranial nerves patient was blind pupils are not reactive to light face was asymmetric tongue and palate are mid line Motor examination showed muscle tone and bulk without significant changes Muscle strength in upper extremities 5 5 bilaterally May 2012 Text Integration Utilities V 1 0 Technical Manual 61 ASCII protocol upload with alert cont d sensory examination revealed intact light touch pinprick and vibratory sensation Reflexes 1 in upper extremities coordination finger to nose test within normal limits bilaterally Alternating movements without Significant changes bilaterally Neck was supple LABORATORY Showed sodium level 135 potassium 4 6 chloride 96 CO2 26 BUN 39 creatinine 5 3 glucose level 138 White blood cell count was 7 hemoglobin 11 hematocrit 34 platelet count 77 HOSPITAL COURSE Patient was admitted after head trauma with multiple Enter RETURN to continue or to exit lt Enter gt medical problems His coumadin was held Patient had ce
223. om release verification both STAT PRINT EVENT S lt Enter gt Text Integration Utilities V 1 0 Technical Manual 69 Document Parameter Edit Example cont d MANUAL PRINT AFTER ENTRY YES This parameter is used for documents where a manually printed hard copy is desired following document entry If the parameter is set to YES the user is prompted to print a copy on exit from their preferred editor and auto printing as described in fields ROUTINE STAT PRINT EVENT S is ignored Choose from 1 YI Fl n 0 NO MANUAL PRINT AFTER ENTRY YES lt Enter gt ALLOW CHART PRINT OUTSIDE MAS YES This field determines whether non MAS users for example providers are asked if they want WORK copies or CHART copies when they print a document If the field is NOT set to YES they are not asked and the printout is a WORK copy Generally this is set to YES for PROGRESS NOTES which are likely to be printed on the Ward or in the Clinic for immediate inclusion in the chart For DISCHARGE SUMMARIES which are typically printed centrally it is usually set to NO since duplicate CHART COPIES are a particular problem Choose from 1 YI ea n 0 NO ALLOW CHART PRINT OUTSIDE MAS YES lt Enter gt ALLOW gt 1 RECORDS PER VISIT YES
224. on Tracking Number was selected but no Tracking Number was entered Search can be accomplished by either selecting a specific Tracking Number or by selecting the radio button Show All Be aware additionally that if you enter a Tracking Number it must belong to the specific domain in which you are searching or you will get no results 12 Select the Show All radio button and click Search Observe the results returned by the search and take a moment to note the additional search parameters You can display any request status that you like and can sort the results as you like 148 Text Integration Utilities V 1 0 Technical Manual May 2012 BVA NTRT New Term Rapid Turnaround Microsoft Internet Explorer Eile Edit View Favorites Tools Help Orc O NA Asah Krates B A 3 M D ey Links 2 Production NTRT TIU DIT New Requests VALO Timesheets 4 ClearQuest 4 Salt Lake City Public Library 4 21181077180597 Address a http vhaislbll2 vha med va gov 770 1 ntrt statuscheck do NTRT New Term Rapid Turnaround K aa Home ContactUs Log Off Design nt Allergy ag Doc Title Check Reguested Term Status tais Search Search Type Show Current Status Sort By O Tracking Number V Submitted Tracking Number New User Show all V Received Date Edit User Show History v Denied O User Name V Accepted Status Domain Clinical Doc Title M sub
225. on TIUFLAG controls CHART WORK and TIUSPG does CONTIGUOUS SEPARATE These variables are sometimes hard set and passed in by the option Other times it s an interactive thing 110 Text Integration Utilities V 1 0 Technical Manual May 2012 Progress Notes Print Options contd Notes are not set in the print cross references until they are signed ALOCP AAUP and APTP give all the possible sorts Soon we will need an ATITP for the TITLE print In order to run all the Progress Notes printing off the same print driver there had to be some peculiar setting of TMP The first subscript TIUI contains both a delimiter as well as a delimiter This gives you the print group and header in the piece and the terminal digit alpha name or room bed in the Ist semi colon piece and the DFN in the second semicolon piece This allows the paging to be controlled when a hodgepodge of Forms and notes is thrown at it It is also how you get the form number and header on the FORMS May 2012 Text Integration Utilities V 1 0 Technical Manual 111 Exported Routines TIU110 TIU11001 TIUADD TIUALRT TIUALRT1 TIUAPIOK TIUAUDIT TIUBPEDT TIUBR TIUBR1 TIUBRWS TIUCHLP TI
226. one 3 17 93 SEND Filer Router Queued amputation left foot insulin during current admission amputation of left foot on 3 17 93 Press RETURN to continue lt Enter gt Text Integration Utilities V 1 0 Technical Manual May 2012 Handling upload errors ASCII protocol upload with alert Transcriptionist Menu Enter Edit Discharge Summary Enter Edit Document Upload Menu CPRSPATIENT THREE T0003 07 22 91 DISCHARGE SUMMARY is missing fields Enter VA VIEW ALERTS to review alerts Select Text Integration Utilities Transcriptionist Option VA PL ERROR DIABETES EDUCATION Record could not be found or created pala ERROR 3 DISCHARGE SUMMARY Invalid Report Type encountered sEL ERROR PROGRESS NOTES Record could not be found or created CP 5 CP ENT THREE T0003 07 22 91 DISCHARGE SUMMARY is missing fields ENT FOUR F0004 08 14 95 ADVERSE REACTION ALLERGY is missing fields Select from 1 to 5 or enter AI F P M R or to exit 1 The header of the failed record looks like this HDR TITLE PATIENT CPRSPATIE SSN May 2012 Text Integration Utilities V 1 0 Technical Manual 55 PROGRESS NOT DIABETES 000000003 VISIT EVENT DATE 04 1
227. onversion CONVERSION Initialize USR INITIALIZE Membership of MEMBERSHIP User Classes Description This option is used to invoke the process which converts Discharge Summaries from the Discharge Summary version 1 database and format to that supported by TIU CAUTION BE CERTAIN YOU ARE READY TO IMPLEMENT DISCHARGE SUMMARIES UNDER TIU BEFORE INVOKING THIS OPTION ALTHOUGH REVERSAL IS POSSIBLE IT MAY PROVE TO BE QUITE COMPLICATED Menu containing options for moving progress notes from the Generic Progress Note File GMR 121 to the Text Integration Document File TIU 8925 This option populates the PROVIDER Class for operation of clinical applications based on ownership of keys It should be run ONCE when first implementing ASU 16 Text Integration Utilities V 1 0 Technical Manual May 2012 Setting TIU Parameters TIU Parameters Menu TIU SET UP MENU This menu contains options for setting up the basic parameters and upload parameters Basic TIU TIU BASIC This option allows you to enter the Parameters PARAMETER basic or general parameters that govern EDIT the behavior of the Text Integration Utilities Modify Upload TIU UPLOAD This option allows the definition and Parameters PARAMETER modification of parameters for the EDIT batch upload of documents into VisTA Document TIU This option lets you enter the Parameter Edit DOCUMENT parameters which apply to specific PARAMETER documents i e Titles or groups of ED
228. ook up or create a document of the given type GETCHECK also prompts for any additional data which must be checked before being filed in the document User supplied data are either collected in a manner which enforces consistency or cross checked for consistency GETCHECK modules must be written specifically for each type of document MAKE TIUFIX1 MAKE TIUFIXI receives all data needed to either look up or create a TIU document That is it either receives the internal file number IFN for an existing stub document or it receives the document title patient DFN and a visit array TIU If no stub IFN is received title patient and visit data are used to create a new TIU document A newly created document is then stuffed with data derived from the visit and with other data already known such as Method of Capture For both newly created documents and for existing stubs all received nodes of array TIUFLDS are then filed and all fields which fail to file create missing field errors The text is then uploaded from the buffer record into the document Note that the error resolution process essentially ignores those data from the buffer record which are used in the initial upload process to create or look up a document Since the document failed to file one or more of these data elements must be faulty Therefore for filing error resolution these data are taken directly from the user and the document is created with user supplied data rather t
229. or the entire site since it is available across the site for use in boilerplate text Consult with all users before changing it Naming Objects Although TIU doesn t enforce any rules regarding which name of the object to embed in boilerplate text sites may want to maintain the convention of embedding print name or abbreviation only leaving the 01 name to be a longer technical namespaced name Then Print Name must be long enough to be unique but otherwise as short as possible for typing convenience Abbreviation is 2 to 4 letters Objects must always have uppercase names abbreviations and print names When embedding objects in boilerplate text users may embed any of these three name abbreviation print name in boilerplate text enclosed by an S on both sides Objects must always be embedded in uppercase May 2012 Text Integration Utilities V 1 0 Technical Manual 365 As for namespacing sites will want to share ideas among themselves as to what works best Some possibilities are by service or product like the Document Definition Hierarchy and or by the site where the object originated Sites can post objects to share on SHOP ALL Creating more complex objects For ideas on creating more complex longer objects look at the object methods of some other exported objects Look at the associated routines Copy an exported object put a break in the copy s object method embed the copy in a title and try the title 366 Text
230. osseseosssseseoso 114 TIU Clinical Document and Data Standardization Background ce eeeeeeeeeeeeteeeeeeee 114 Method A Active Title Clean Ups as iso as iii ii i i i I 116 Method B Add Edit Local Synonyms L iii iai i i i i i ii varvanses 130 Method C Automated Mapping of Titles eee aaa aaa kasa aaa aaa aaa aaa 134 Method D Status Report of your Unmapped Titles 00 0 0 eee eeeceeeeeeeceeeeeceteeeeeteeeenaes 141 Method E New Term Rapid Turnaround NTRT Process aaa aaa aaa 144 Menu and Option ASSIGNINCNE ois s kkaninsiss ono ssiia sios ssosa ss ku sn sns i kski sa ses s ss sis ass k i on k 151 Suggested Clinical Coordinator Menu L si secs sia ai i d a i Dai 165 Menu Assignment sisi iii iai iii k i i i a i i i i k a di skai 166 Actions Functions Across Applications cccesssccssccecesececesceeceeececseeeecsaceecsececseeeesaes 168 LUE He DES CEIDAOIS goss rian S i aS AEE ON 186 Cross Referent lS vis ciiccasasiavisisisvevassbossvwersbeneagsdoecvesvadensassdeiwessvabondasedsguediess a i e K Ea 192 Crass lt REfeFENC S ss si kus i sai sngi in sd ias saikus asas i iso i i pa i a i o a i i ban abe 192 Archiving and PUT OUI ia i i i i i a a i a i k i e 218 External Relations RPCs and APIS Asosa is seuss si iai lis ss o ia a i a a a 220 Database Integration Agreements cscccssssssccsssssssccsssssssccescsssccsssssecssssssesscssssecseees 222 May 2012 Text Integration Utilities V 1 0 Technical Manual 5
231. ould be passed in the TIUX TEXT i 0 subscript where i is the line number i e the TEXT node should be ready to MERGE with a word processing field Any filing errors which may occur will be returned in the single valued ERR parameter which is passed by reference TIU USER CLASS LONG Long List of active User Classes RESTRICTED LIST TIU WAS THIS SAVED This Boolean Remote Procedure will SUBSCRIPTION evaluate whether a given document was committed to the database or whether the user who last edited it was disconnected TIU WHICH This RPC infers whether the user is SUBSCRIPTION SIGNATURE ACTION trying to sign or cosign the documents in question and indicates which ASU ACTION the GUI should pass to the TIU AUTHORIZATION RPC 236 Text Integration Utilities V 1 0 Technical Manual May 2012 Package Wide Variables Text Integration Utilities has no package wide variables May 2012 Text Integration Utilities V 1 0 Technical Manual 237 238 Text Integration Utilities V 1 0 Technical Manual May 2012 Online Documentation Intranet WWW Documentation TIU ASU s documentation set Installation Guide Implementation Guide Technical Manual and User Manual is available on the System Design amp Development World Wide Web WWW page at the following address http vista med va gov ClinicianDesktop This address takes you to the Clinical Products page which shows a listing of all the clinical software manuals Cl
232. out making any changes Inactivate the unused Document Titles at this time NO YES All active titles that have not been used in the previous 365 days will be set to INACTIVE ea You may select individual DOCUMENT TITLES that will NOT be set to INACTIVE by this cleanup Are you sure you want to change their status to INACTIVE NO Entering YES will inactivate all titles unused in the past year their STATUS will be changed to INACTIVE Entering NO will create the report without making any changes Are you sure you want to change their status to INACTIVE NO lt Enter gt DEVICE HOME lt Enter gt TCP Elapsed Time 0 minute s 31 second s of Used Titles 27 of Unused Titles 1319 Only appears if the of Invalid Titles 1 End of Repo count is greater than zero Details are given at the end of of Total Titles 1347 a May 2012 Text Integration Utilities V 1 0 Technical Manual 117 of Docs Incorrect of Docs Zero Null Dat of Docs 01 Field 01 Field of Total Docs Searched Current User Current Date searched rang TIUUS EVEN ER S Jun 01 2 Jun 01 2 006 11 41 41 005 Jun 01 End of Report End of Report Document Title PROGRESS NOTE ADDENDUM ADVANCE DIRECTIVE RESCINDED ADVERSE
233. own See the description of Shared Components under Type 270 Text Integration Utilities V 1 0 Technical Manual May 2012 OBJECT STATUS Objects can have Inactive or Active Statuses Only Active objects function That is if you enter a document on a Title with boilerplate text containing an inactive object the object doesn t do anything You see the name of the object and an error message in place of the object data May 2012 Text Integration Utilities V 1 0 Technical Manual 271 Document Definition Terminology cont d OBJECT STATUS cont d Only Active objects should be embedded in boilerplate text Exception when objects are being created or edited Otherwise you should NOT embed inactive objects in boilerplate text since they may not be ready for use and since they do not function when users enter documents against them Titles whose boilerplate text contains inactive objects can t be activated This doesn t imply that active titles never have inactive objects embedded in them since users can after a warning inactivate objects even when they are embedded in active titles Only Inactive objects can be edited and only by an owner Only an owner can activate or inactivate an object Exception if you own an object and edit the owner to someone else then you are not prevented from going on to edit the status in the same edit session since you were the owner a few seconds ago Active objects are assumed to be ready for us
234. pected cosigner facilitates the identification of privilege to sign the document EXPECTED SIGNER This multi field MUMPS type cross reference by document and expected cosigner facilitates the identification of privilege to sign the document 8925 8 TIU SEARCH CATEGORIES File SEARCH The REGULAR B cross reference CATEGORY Li 02 CROSS C This REGULAR cross reference is used to map SEARCH REFERENCE CATEGORY to CROSS REFERENCE This MUMPS type cross reference is used to update the AM timestamp on the search category selection menu when a DISPLAY NAME changes a TIMESTAMP This cross reference invokes menu compilation in AXUTL XQORM DA TIU 8925 8 when the TIMESTAMP field is modified 8925 9 TIU PROBLEM LINK File 01 DOCUMENT The REGULAR B cross reference This MUMPS type multi field cross reference by 208 Text Integration Utilities V 1 0 Technical Manual May 2012 Problem Document type Status and Inverse Reference Date time facilitates query by problem PROVIDER This MUMPS type multi field cross reference by NARRATIVE Problem Document type Status and Inverse Reference Date time facilitates query by problem 8925 91 TIU LINK File DOCUMENT The REGULAR B cross reference APRB This MUMPS type multi field cross reference by Problem Document type Status and Inverse Reference Date time facilitates query by problem PROVIDER This MUMPS type multi field cross reference by NARRATIVE Prob
235. pload parameters ASCII and Kermit If you are using a commercial word processing program documents must be saved to ASCII format Host File Server If the ASCII upload source is defined as H ost data will be an ASCII host file such as VMS or DOS Remote Computer If the ASCII upload source is defined as R emote data will be read from an ASCII stream coming to VISTA from a terminal emulator You may select either a Kermit or RAW ASCII transfer protocol for your station However we strongly recommend that you use Kermit as it provides for error correction and handles line noise much more effectively than the RAW ASCI If you plan to use the Kermit Protocol skip to the set up dialog on page Error Bookmark not defined g NOTE If your site has chosen to have clinicians enter the documents directly into VISTA then you needn t implement the upload utility May 2012 Text Integration Utilities V 1 0 Technical Manual 25 Step 1 Set up a Terminal Emulator Determine which type of terminal emulator your site plans to use Raw ASCII file transfer protocol This example shows possible combinations of terminal and ASCII transfer options using the appropriate configuration utilities provided by your terminal emulation software TERMINAL OPTIONS A Terminal emulation VT100 K EGA VGA true underline ON B Duplex FULL L Terminal width 80 C Soft flow control
236. propriate such as when the document is not signed The current version has an easy way of disallowing anyone other than MAS from printing progress notes This is only feasible for those sites that are almost completely electronic Otherwise users will be asked if they want a WORK or a CHART copy The WORK copy has the patient phone number on it and doesn t have a form number a nifty little trick to keep MAS from filing them in the CHART The WORK copy is clearly marked as NOT FOR MEDICAL RECORD CONTIGUOUS vs SEPARATE PAGES This is where clairvoyant prowess comes into play Users are sometimes mystified as to why they sometimes get asked the question and sometimes not If users have selected a sort that will only produce CHART copies if the notes are on separate pages location title when avail author there wouldn t be any point in asking them if that is how they want them If they want WORK copies they can only have them in CONTIGUOUS save trees wherever possible format Also if there is only one note it wouldn t make sense to ask if they want it on a separate page DUPLEXing It makes sense that you would want to print notes all through the patient s admission and then print them again upon discharge duplexing them to save paper Actually it does make the chart thinner May 2012 Text Integration Utilities V 1 0 Technical Manual 109 TECHNICAL TIDBITS Avoid trying to change the paging of Progress Notes Just for your informati
237. quence etc Sites cannot add or delete National items If a National Standard entry is a Title or Component sites can t add or delete items but they can still edit items as Items Sites cannot add National Standard entries as Items to parents except for adding National Shared Components to non National titles Sites can delete National Standard Items from any non National parents Unless there has been a mistake such items will be limited to Shared Components Field is NOT heritable If field has no value for an entry its value is 0 by default This means that entries created by sites are not National Standard May 2012 Text Integration Utilities V 1 0 Technical Manual 263 T Technical Note National entries except for Shared Components must have National ancestors if a National entry has a non National ancestor TIU doesn t permit it to be activated Shared Components need not have National ancestors and do not have a Status National Standard is a basic field STATUS Status provides a way of making Document Definitions Offline to documents Document Definitions need to be offline if they are new and not ready for use if they are being edited or if they are retired from further use 264 Text Integration Utilities V 1 0 Technical Manual May 2012 Document Definition Terminology cont d Status is limited to those Statuses in the STATUS File which apply to Document Definitions Inactive Test and Acti
238. r SMD Synonym lt Enter gt 1 Subject Matter Domain Synonyms 2 Role Synonyms 3 Setting Synonyms 4 Service Synonyms 5 Document Type Synonyms Select Add Edit Synonyms Option lt Enter gt pi Map ACTIVE LOCAL Titles 2 Selected Title Map 3 Mapping Workbench 4 Add Edit Synonyms Select Title Mapping Utilities Option lt Enter gt 132 Text Integration Utilities V 1 0 Technical Manual May 2012 1 TIU Parameters Menu 2 Document Definitions Manager 3 User Class Management 4 TIU Template Mgmt Functions 5 TIU Alert Tools 6 Active Title Cleanup Report 7 TIUHL7 Message Manager Title Mapping Utilities Select TIU Maintenance Menu Option May 2012 Text Integration Utilities V 1 0 Technical Manual 133 Method C Automated Mapping of Titles To assist sites with automated mapping of TIU Clinical Document Titles Standards and Terminology Services STS is providing a set of instructions to assist you This document outlines the automated mapping process of mapping one local clinical document title to a standard title This document is intended to assist Clinical Applications Coordinators CACs Health Information Managers HIMS and Implementation Managers The following is an example of Map Active Local Titles Select OPTION NAME TIU IRM MAINTENANCE MENU TIU Maintenance Menu 1 TIU Parameters Menu 2 Document Definitions Manager 3 User Class Management 4
239. r a brief description 3 80 characters of the contents of the document SUBJECT OPTIONAL description Blue Note Calling text editor please wait 1 gt Treatment for allergic reaction to injury 2 gt lt Enter gt EDIT Option lt Enter gt Save changes YES lt Enter gt Saving General Note with changes Please Indicate the Diagnoses for which the Patient was Seen 1 Abdominal Pain 2 Abnormal EKG 3 penser re A list of diagnoses relating to the hospital 4 Abscess location as defined in the AICS package is presented for you to 6 AIDS ARC choose from 5 Adverse Drug Reaction 7 Alcoholic intoxication 8 Alcoholism Chronic 9 Allergic Reaction 10 Anemia ANGINA 11 Stable May 2012 Text Integration Utilities V 1 0 Technical Manual 309 310 12 Unstable 13 Anorexia 14 Appendicitis Acute 15 Arthralgia ARTHRITIS 16 Osteo 17 Rheumatoid 18 Ascites 19 ASHD 20 Select Diagnoses OTHER Diagnosis CARDIOVASCULAR 1 20 9 Please Indicate the Procedure s Performed Cardioversion lt lt EKG 10 11 Pericardiocentesis Thoracotomy ELLANEOUS Abcess Less than 2 5 cm 2 50 145 G Greater than 7 5 cm Burns Dressings Medium Dressings Small 1 Local Treatment A list of procedures relating to the hospital location as defined in the AICS package is presented for you to choose from Text Integration Uti
240. r edited using the Edit Option The Sort Document Definitions option lets you view and edit entries by selected sort criteria displayed in alphabetic order by name rather than in hierarchy order Entries can include Objects This option lets you create new objects or edit existing objects Existing objects are displayed for you within a selected alphabetical range This option lets you review existing objects within a selected alphabetical range Document Definition Terminology 92 Text Integration Utilities V 1 0 Technical Manual May 2012 A group of groups which may contain one or more CLASSES or DOCUMENT CLASSES For example Progress Notes Discharge Summary and History and Physical Examinations DOCUMENT CLASS A grouping which may contain one or more TITLES for example Medical Service Notes Nursing Service Notes Surgical Service Notes A single entity at the lowest level For example Endocrinology Note OPC Psychology Primary Care Note etc BOILERPLATE Template like blocks of text that use OBJECTS and embedded text TEXT to allow quick creation of notes COMPONENT A reusable block of text that is predefined for a specific purpose such as a SOAP components Subjective Objective Assessment Plan OBJECT A predefined placeholder that allows patient specific text to be inserted into a document when a user enters a TIU document Objects are names representing executable M code which may be embedded
241. r look ups and queries This MUMPS type multi field cross reference by DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries This MUMPS type multi field cross reference is used in queries by subject This MUMPS type multi field cross reference by SERVICE DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries 196 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU DOCUMENT File 8925 cont d STATUS This MUMPS type multi field cross reference is optimized for searching hospital location document type status and date range This MUMPS type multi field cross reference by PROBLEM DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME facilitates queries by problem This MUMPS type multi field cross reference by SERVICE DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME facilitates queries by visit This MUMPS type multi field cross reference by PATIENT DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME facilitates look ups by PATIENT and DOCUMENT CLASS e g all SIGNED violence Postings for patient CPRSPATIENT ONE PARENT eae Cross Reference on parent to help find addenda EPISODE This MUMPS type Multifield cross reference by PT BEGIN TITLE LOC VDT VTYP DA is used for optimizing DATE TIME checks for documents for a particular visit ION VISIT TYPE APTLD This M
242. r or TIU FileMan control 1 When you type a few letters and are presented with the list of entries starting with those letters May 2012 Text Integration Utilities V 1 0 Technical Manual 319 2 When you enter a to get a list of orders TIU control e You are in the Document Definition Utility and the list part of the screen is in the wrong order The components of a Title appear in the wrong order when you enter or print a document e When you look at documents across several patients or are viewing more than one type of document e g Progress Notes and Discharge Summaries at the same time e When you choose which documents to view from a three column menu 320 Text Integration Utilities V 1 0 Technical Manual May 2012 Troubleshooting Document Definitions cont d In the situations under TIU control you can define the order in which items appear Go into Document Definitions Edit or Sort options and Edit the Items Document Classes or Titles of the parent Class or Document Class Edit the item sequence If you want the items to appear in alphabetic order delete all the sequences and they will then appear in alphabetic order by Menu Text shown on the screen when you scroll right The order of Titles in your personal list is determined by the sequence entered in the Personal Preferences option 5 When trying to activate a Document Class or Title you get the following message Faulty Entry No V
243. r the date your Progress Note refers to but the Progress Notes wasn t linked e g for standalone visits such as telephone or walk in visits you can select a visit from the choices presented to you during the PN dialogue If no visit has been recorded you must create a new visit See the example below Other information such as background definitions and other information about visits follow the example Example Entry of Progress Note Select Patient s CPRSPATIENT THREE 09 12 44 000000003 YES SC VETERAN A Known allergies For Patient CPRSPATIENT THREE TITLE Adverse React Adverse React Allergy This patient is not currently admitted to the facility Is this note for INPATIENT or OUTPATIENT care OUTPATIENT lt Enter gt The following VISITS are available 1 gt FEB 24 1997 09 00 DIABETES CLINIC 2 gt SEP 05 1996 10 00 CARDIOLOGY CHOOSE 1 2 or lt N gt EW VISIT lt RETURN gt TO CONTINUE OR TO QUIT N 308 Text Integration Utilities V 1 0 Technical Manual May 2012 Example Entry of Progress Note contd Creating new progress note Patient Location NUR 1A Date time of Visit 02 24 97 14 29 Date time of Note NOW Author of Note CPRSPROVIDER SIX OK YES lt Enter gt n vs lt H Q lt DICINE lt Enter gt 111 SUBJECT OPTIONAL description Ente
244. re we will try the object itself e While still in the above Object Detailed Display screen select the action TRY We get the message Select Action Ouit T Entry checks out OK for rudimentary completeness 352 Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the More Realistic Object cont d This is an important step If there were problems we might have gotten any or all of the following messages Faulty Entry No Object Method Faulty Entry Object Name finds multiple wrong object s Faulty Entry Object Abbreviation finds multiple wrong object s Faulty Entry Object Print Name finds multiple wrong object s The first message appears if the object has no Object Method Unfortunately this doesn t tell us whether the Object Method functions correctly It only tells us the entry has or doesn t have an Object Method We know it functions correctly because we tested the code We get one or more of the other messages if our object has a duplicate Name Abbreviation or Print Name with some other object This would cause our object not to be found when that Name Abbreviation or Print Name is used in boilerplate text We also get such a message if for example our object Abbreviation is the same as the Name of another object In that case we would get the message Faulty entry Object Abbreviation finds multiple wrong object s If this happens our object might find and insert the WRONG
245. read into a buffer file and stored for subsequent filing by a special background process called the Router filer May 2012 Text Integration Utilities V 1 0 Technical Manual 47 Router Filer Notes Each record in the batch file is preceded by a captioned header the first line of which MUST begin with the MESSAGE HEADER SIGNAL as defined for your site in this case HDR followed by a colon followed by the document type name 48 Text Integration Utilities V 1 0 Technical Manual May 2012 Router Filer Notes cont d All other captioned fields may appear in any sequence provided that the captions are appropriately spelled followed by colons followed by the values of the corresponding fields Tabs may be used they will be stripped but all other non ASCII characters including formatting commands must be omitted i e the batch file MUST be saved as TEXT ONLY WITH LINE FEEDS with no boldface or underlining and NO PAGE BREAKS PAGE HEADERS or PAGE FOOTERS Notice that the first record lacked an URGENCY value and that the format defined in file 8925 1 excludes captions for TYPE OF RELEASE and WARD NUMBER The upload utility will simply ignore such missing or irrelevant data i e the release type and ward at discharge are already known to V STA and will be displayed on the 10 1000 whether the author dictates them and the transcriptionist includes them or not The Router filer is queued upon completion of tran
246. reference is by VUID AMASTERVUID If multiple entries have the same VUID in the file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept EFFECTIVE This cross reference is by Effective Date Time DATE TIME 8926 4 TIU LOINC SETTING File 01 SETTING This Regular FileMan cross reference will facilitate look up and sorting by Setting KWIC This Key Word In Context KWIC cross reference will facilitate look up by partial names 02 ALTERNATE This REGULAR FileMan Cross reference on EXPRESSION Alternate Expression allows for look up and sorting by synonym May 2012 Text Integration Utilities V 1 0 Technical Manual 213 99 98 MASTER AMASTERVUID _ If multiple entries have the same VUID in the ENTRY FOR file this cross reference can be used to identify VUID the Master entry for a VUID associated with a Term Concept 99 99 AVUID This cross reference is by VUID AMASTERVUID If multiple entries have the same VUID in the file this cross reference can be used to identify the Master entry for a VUID associated with a Term Concept 99 991 EFFECTIVE This cross reference is by Effective Date Time 01 DATE TIME 8926 5 TIU LOINC SERVICE File SERVICE This Regular FileMan cross reference will facilitate look up and sorting by Service KWIC This Key Word In Context KWIC cross reference will facilitate look up by partial names 01 02 ALTERNATE SMD This
247. rence will update the timestamp on the parent document when the ITEM MNEMONIC or SEQUENCE changes MNEMONIC This MUMPS type cross reference will update the timestamp on the parent document when the ITEM MNEMONIC or SEQUENCE changes MENU TEXT This MUMPS type cross reference will update the timestamp on the parent document when the ITEM MNEMONIC or SEQUENCE changes This M cross reference would be regular but it truncates to 40 characters instead of 30 It is used to display items with no sequence in alpha order by Menu Text The ee A B cross reference SEQUENCE This MUMPS type cross reference will update the timestamp on the parent document when the ITEM MNEMONIC or SEQUENCE changes This REGULAR FileMan cross reference is used to list items by sequence number 11 01 STAT AUTO PRINT May 2012 Text Integration Utilities V 1 0 Technical Manual 205 ROUTINE The REGULAR B cross reference AUTO PRINT EVENT PROCESSING The REGULAR B cross reference STEP DIALOGUE The REGULAR B cross reference PROMPT 8925 1 TIU DOCUMENT DEFINITION File cont d 14 03 SEQUENCE AS This REGULAR FileMan Cross reference on the sequence sub field of the Dialog Multiple will facilitate appropriate serialization of prompts TIMESTAMP AM This cross reference invokes menu compilation in AXUTL XQORM DA TIU 8925 1 when the TIMESTAMP field is modified 8925 2 TIU UPLOAD BUFFER File PROCESS ID The REGULAR B cros
248. ride follow procedure described for patients not currently admitted to the hospital Patients not currently admitted Ask user whether the note is for Inpatient or Outpatient care For Inpatient care present the user with a list of the selected patient s admissions from the Patient Movement File most recent first five at a time in a manner modeled after the Detailed Patient Inquiry from the PIMS Bed Control Menu When a given admission is selected DATA2PCE PX API is called to match or create a corresponding Visit File entry of type Hospitalization For Outpatient care present the user with a list of scheduled appointments from scheduling most recent first five at a time When a given appointment is selected call DATA2PCE PXAPI to match or create an AMBULATORY Visit File Entry If the user indicates he would like to create a new visit prompt for location visit date time and Visit Type AMBULATORY TELEPHONE or EVENT HISTORICAL Then call DATA2PCE PXAPI to create a visit as described by the user When the user creates such a standalone visit for entry of a note the program will prompt the user for diagnoses procedures and service connection when appropriate upon signature and DATA2PCE PX API will again be called to post the workload data for Ambulatory Care Data Capture How many visits are created Each TIU document is associated with one and only one visit To the extent possible Visit File entries are only created for TIU
249. rvical spine x rays which showed definite narrowing of C5 C6 interspace slight retrolisthesis at this level promient spurs at this level as well as above and below CT scan on admission showed a moderate amount of scalp thinning with subcutaneous air overlying the left frontal lobe A small area of left parenchymal hemorrhage adjacent to the right petros bone in the temporal lobe which most likely represents a hemorrhagic contusion The basal cisterns are patent and there is no mid line shift or uncal herniation Patient has also a remote left posterior border zone infarct with hydrocephalus ex vaccuo of the left occipital horn a rather large remot infact in the inferior portion of the left cerebellar hemisphere Repeated CT scan on 5 13 94 didn t show any progressive changes Patient remained in stable condition He had hemodialysis q o d He restarted treatment with Coumadin His last PT was 11 9 PTT 31 Patient refused befor hemodialysis new blood tests His condition remained stable DISCHARGE MEDICATIONS Isordil 20 mgs p o t i d Ferrous sulfate 325 mgs p o b i d Ativan 0 5 mgs p o b i d Lactulose 15 ccs p o b i d Calcium carbonate 650 mgs p o b i d Compazine 10 mgs p o t i d prn nausea Betoptic 0 5 OU b i d Nephrocaps 1 p o qd Pilocarpine 4 62 Text Integration Utilities V 1 0 Technical Manual May 2012 solution 1 gtt OU b i d Coumadin 2 5 mgs p o qd Tylenol 650 mgs p o
250. s TIU UPLOAD PARAMETER EDIT SSCS SSS Se RRT a 3 Document Parameter Edit TIU DOCUMENT PARAMETER EDIT SSS SSS Sao Sa SSS 4 Progress Notes Batch Print Locations TIU PRINT PN LOC PARAMS a 5 Division Progress Notes Print Params TIU PRINT PN DIV PARAMS 2 Document Definitions Manager 1 Edit Document Definitions TIUF DOCUMENT DEFINITION MGR TIUFH EDIT DDEFS MGR Sng AA 2 Sort Document Definitions Objects TIUFA SORT DDEFS MGR Soe See Serer ae ar wee eee 3 Create Document Definitions 162 Text Integration Utilities V 1 0 Technical Manual May 2012 TIUFC CREATE EFS MGR Bese A SSS Soa ee ae SS ee 4 Create Objects TIUFA CREATE O BJECTS See A eS 2 List Membership IST MEMBERSHIP RA RR R R 3 List Membership RR 5 Create TIU Health Summary Objects TIUHS LIST MANAGER 3 User Class Management USR 1 User Class Definition USR CLASS MANAGEMENT MENU CLASS DEFINITION by User USR BY USER by Class USR IST MEMBERSHIP BY CLASS Sarsasr ps gt E 5 Manage Business Rules USR BUSINESS RULE MANAGEMENT 4 TIU Template Management Functions 1 Delete TIU templates for selected user TIU IRM TEMPL
251. s TIU Document SUBSCRIPTION RECORD records Evaluates authorization TIU DETAILED Gets details for display of a given record SUBSCRIPTION DISPLAY May 2012 Text Integration Utilities V 1 0 Technical Manual 223 TIU DIV AND Returns a list of Divisions and User SUBSCRIPTION CLASS INFO Classes for a specific User TIU DOCUMENTS Returns lists of TIU Documents that SUBSCRIPTION BY CONTEXT satisfy the following search criteria 1 signed documents all 2 unsigned documents 3 uncosigned documents 4 signed documents author 5 signed documents date range TIU FIELD CAN Returns TRUE if the current user is RESTRICTED EDIT allowed to edit template fields TIU FIELD CHECK Resolves template field names in RESTRICTED template import file and indicates if the imported fields are new or existing fields TIU FIELD DELETE Deletes an entry in the Template Field RESTRICTED 8927 1 file TIU FIELD Reads through an array of text and RESTRICTED DOLMTEXT converts all entries of template fields to their associated List Manager text values TIU FIELD EXPORT Exports Template Fields in XML format RESTRICTED TIU FIELD IMPORT Imports Template Fields from XML RESTRICTED format TIU FIELD LIST Returns long list array of template fields RESTRICTED TIU FIELD LIST Adds fields in XML formatted lines to RESTRICTED ADD the global STMP TIUFLDXML J Deletes previous lines if they existed for the current job 224 Text Inte
252. s V 1 0 Technical Manual May 2012 Menu Assignment TIU menus and options are not exported on a single big menu but as smaller menus directed at categories of users Sites may rearrange these as needed Recommended Assignments Option Name Menu Text Description Assign to TIU MAIN Text Integration Main Text Integration Transcrip MENU Utilities Utilities menu for tionists Transcription ist transcriptionists TRANSCRIP TION TIU MAIN Text Integration Main Text Integration Medical MENU MRT Utilities MRT Utilities menu for Medical Records Records Technicians Technicians TIU MAIN Text Integration Main Text Integration MIS MENU MGR Utilities MIS Utilities menu for MIS Managers Manager Managers TIU MAIN Progress Notes s Main Text Integration Clinicians MENU Discharge Utilities menu for CLINICIAN Summary TIU Clinicians TIU MAIN Text Integration This option allows remote VBA RO MENU REMOTE Utilities Remote users e g VBA RO personnel etc User personnel to access only those documents which have been completed to facilitate processing of claims on a need to know basis TIU PRINT PN Progress Notes Menu for printing Progress ADPACs USER MENU Print Options Notes managers May 2012 Text Integration Utilities V 1 0 Technical Manual 329 330 TIUF Document Document Definition Clinicians DOCUMENT Definitions at DEFINITION leian Document Defin
253. s designed to handle clinical documents in a standardized manner with a single interface for viewing entering editing and signing clinical documents The initial release of TIU will incorporate the Discharge Summary and Progress Notes packages Functional Overview Although TIU will be released initially with Discharge Summary and Progress Notes it has been designed to meet the needs of other clinical applications that address document handling TIU supports the following Upload of ASCII formatted documents into VISTA Uniform file structure for storage of documents Clinical documentation resides in a single location within the database This permits ease of inquiry for such uses as Incomplete Record Tracking quality management results reporting order checking research etc Consistent file structure for defining elements and parameters of a document e Expanded user actions integrated user interface for various document types if desired Management of document types e Entry edit deletion printing and viewing of the Document Definition hierarchy structure and its elements e Definition of components e Shared components May 2012 Text Integration Utilities V 1 0 Technical Manual 9 Ownership personal or class of document definitions Locking and National Standard of document definitions Boilerplate Text functionality Interdisciplinary Notes consisting of a main note parent with related notes
254. s reference NUMBER ERROR LOG The REGULAR B cross reference ENTRIES 8925 3 TIU UPLOAD ERROR DEFINITION File ERROR CODE L The REGULAR B cross reference 206 Text Integration Utilities V 1 0 Technical Manual May 2012 8925 4 TIU UPLOAD LOG File 01 EVENT The REGULAR B cross reference DATE TIME RESOLUTION C This REGULAR whole file cross reference is used to STATUS identify unresolved errors for the filer router process EVENT TYPE This REGULAR FileMan Cross Reference by EVENT TYPE is used for list building 8925 5 TIU AUDIT TRAIL File 01 T IU B The REGULAR B cross reference DOCUMENT NAME AR This MUMPS type multi field cross reference by TIU Document Pointer and Reassignment date time will help to identify records that have been reassigned REASSIGN This MUMPS type multi field cross reference by TIU MENT Document Pointer and Reassignment date time will help DATE TIME to identify records that have been reassigned 8925 6 TIU STATUS File NAME The REGULAR B cross reference 03 indicate more finished documents SEQUENCE This index is used for looking up and sorting document statuses by sequence number Higher sequence numbers May 2012 Text Integration Utilities V 1 0 Technical Manual 207 8925 7 TIU MULTIPLE SIGNATURE File 01 TIU B The REGULAR B cross reference DOCUMENT NUMBER AE This multi field MUMPS type cross reference by document and ex
255. ses ATT U TI U TI U TI U TI U TI U TI U TI U TI U TI U May 2012 gt D G Global TIU 8925 550 TIU 892579507 8925 55 8925795 8925755 8925 55 8925 55 8925 55 8925 550 T 8925 550 T 8925 550 T 8925 550 T 0 1 0 1 0 1 0 1 0 1 0 0 158 23 699 107 7 2970618 073722 0 H 2 2981110 072632 4546 4546 4 3 3 2981110 072632 4546 D 2981110 072636 4 1043 5 2981110 072639 4546 e 0A sULz LZlo E 50 119W TEST EXT 0 1 1 2981110 EXT 1 0 Here is the document text EMP 0 1 1 2981120 EMP 1 0 Here is the temporary text Text Integration Utilities V 1 0 Technical Manual 287 Global Explanation Before patch TIU 1 186 when CPRS began to pass an edited document back to the server TIU would immediately delete the original document the TEXT global The copy on the client CPRS machine was then the only existing version of the document If the client server lost connection for any reason before the resave proceeded the entire document was lost If the client server lost connection during a resave whatever text that was transferred before the lost connection would be stored in the TEMP global When a user reconnected and viewed the document only via CPRS LM did NOT do this all the TEMP information was automatically placed back int
256. smission of a given batch of reports and will proceed to read each line of the buffer file looking for a header When a header is encountered the filer will determine whether the record corresponds to a known document type as defined by your site and if so it will attempt to direct the record to the appropriate file and fields in VISTA On occasion the Router filer will not be able to identify the appropriate record in the target file and will therefore be unable to file the record When this happens the process will leave the record in the buffer file and send an alert to a group of users identified by the site as being able to respond to such filing errors When any of the alert recipients chooses to act on one of these alerts by entering VA at any menu prompt and choosing the alert on which they wish to act they will be shown the header of the failed report and offered an opportunity to inquire to the patient record They will then be presented with their preferred V STA editor and will then be allowed to edit the buffer e g correct a bad social security number admission date etc and retry the filer With each attempt to correct the buffered data and retry the filer all alerts associated with that record will be deleted and if the condition remains uncorrected re sent until all records are successfully filed May 2012 Text Integration Utilities V 1 0 Technical Manual 49 You may also use the Review Upload F
257. sosuskesssntessdnenesinissadebsesunness 333 Create a very simple ODOC accisccsssisceseccusseadceisdesscecessasctosdesadsessicedestcdosasensseasobsedesecsasssoseste 333 Testne THe OD CCl sesso SE oye sce a a a a S aaa aa 339 Making the Object More Realistic ass ttecsntesdeve iii i i i i ia sees D i 346 Testing the More Realistic Object Assisi sisisinsss Iskokasa skai i ia kia Ueda si as 352 ACH Valine the object si i as aa aaa sa aa i aa i a coats 357 Entering a Progress Note using the Object kissa iii ia i ai 361 Using Thies Objects ennn an I eis a i ii i p i i ia i 363 Purtliot Considerati ns se esteisiin ai a a i i ss es io a a Gees 363 Action Descriptions sn s iisikindis esskiuassuusakstu bis aidakius kudis kasiukai niai k a a i i sessie 367 Creating Additional Medications Objects cssssccsssscssssccsssscsssccssssssssssssssssesenes 370 Creating a New Medications Object visiski ti ssiiisssiasskasasssias asis a kd si aa 373 Creating an Object Based on Health Summary e sseseseoesooesoocssscessccesooesooessossssesssecesooee 377 Examples satis ii i i a asa i ai a ai a i a E i i cena a i aE a 378 May 2012 Text Integration Utilities V 1 0 Technical Manual 7 SCC ONG TAM D duos ia a a a Lis i a nosis Seana a teas cathe Actions DESCHDUONMS ie si a a TS i S i a hae wash A Sa 8 Text Integration Utilities V 1 0 Technical Manual May 2012 Introduction Purpose of TIU Text Integration Utilities TIU is a set of software tool
258. st of standard titles from TIU Communications Website link below o http vista med va gov tiu docs TIUTermandTitleStandards 1 xls o Select the Standards Title Tab at the bottom of the spreadsheet o Print hard copy 122 Text Integration Utilities V 1 0 Technical Manual May 2012 v Review list of your local active titles against the standard titles and determine which standard title your local title can be mapped to You will probably only determine a portion of your titles which is fine This will narrow down the list of your titles that have to be mapped by the mapping tool search engine May 2012 Text Integration Utilities V 1 0 Technical Manual 123 Direct Mapping Note Titles The following is an example of the Mapping Workbench using the Direct Mapping action 1 Map ACTIVE LOCAL Titles 2 Selected Active Title Map 3 Mapping Workbench 4 Add Edit Synonyms Select Title Mapping Utilities Option Select Mapping Status unmapped ACTIVE 3 Mapping Workbench lt Enter gt Searching for the CVeNtSaiw cia ce anea a a as Title Mapping Workbench Jul 20 2006 10 17 48 Page Lof 16 UNMAPPED ACTIVE Titles LOCAL Title VHA Enterprise Title Attempted User Name 1 ALL BAD PUL CONSULTS 07 07 06 18 53 TUIPROVIDER 2 ANDREWS TEST NOTE N A UNKNOWN 3 ANOTHER NOTE N A UNKNOWN 4 ANTHONY TEST OBJECT N A UNKNOWN 5 AUDIT TEST NOTE
259. t Overprint Objects contain M code which gets a piece of data and inserts it in the document s Boilerplate Text when a document is entered Some entries in this file are developed Nationally and exported across the country Others are created by local sites Entries in the first category are marked National Standard and are not editable by sites This file does not allow multiple entries of the same type with the same name That is within a given Type there are no duplicate names This refers to the 01 field the Technical name of the entry This file does not allow a parent to have items with the same name even if the items have different internal file numbers i e are different file entries Again this refers to the 01 Technical name of the entry Because of ownership considerations the file does not allow an entry to be an item under more than 1 parent If the same item is desired under more than one parent the item must be copied into a new entry There is one exception Document Definitions of Type Component that have been marked Shared may have more than one parent Text Integration Utilities V 1 0 Technical Manual May 2012 TIU File Descriptions cont d 8925 1 TIU DOCUMENT Users are expected to use the Document Definition Utility DEFINITION cont d TIUF to enter edit and delete file entries In fact the file prohibits the deletion of entries through generic Fileman Options It also prohibits the edit through
260. t and Data Standardization Background Data Standardization is the foundation for data sharing Standardization ensures that data can be shared across systems and that it will retain the same meaning in each system Standardization will enable the exchange of clinically relevant health data between the VA and its health partners and other federal entities such as the Department of Defense DoD Health amp Human Services HHS and the Indian Health Service IHS Standardization will also support development of an integrated longitudinal patient record that will give providers access to the veteran s complete health record The result will be a safer higher quality and more cost effective provision of care for veterans across all federal facilities Standardization of data will also assist with DoD interoperability efforts by supporting a seamless transition of care for individuals moving from active duty to veteran status As a result of a Congressional Mandate requiring a consolidated database of all veteran patient results the VHA Office of Information and DoD were tasked with implementing a method to communicate entire patient records between the respective agencies To accomplish this VHA and DoD will use the standard recommended by Consolidated Health Informatics CHI for Clinical Document names Logical Observation Identifier Names and Codes LOINC CHI is a collaborative effort to adopt health information interoperability standards
261. t menu Options AMUD All MY UNSIGNED Documents AMUDS All MY UNSIGNED Discharge Summaries EED Enter Edit Document EEDS Enter Edit Discharge Summary EPN Entry of Progress Note 168 Text Integration Utilities V 1 0 Technical Manual May 2012 IPD Individual Patient Document IPDS Individual Patient Discharge Summary LNT List Notes by Title MPD Multiple Patient Documents MPDS Multiple Patient Discharge Summaries RPN Review Progress Notes RPNP Review Progress Notes by Patient SPNAP Show Progress Notes Across Patients SPT Search by Patient and Title SSD Search for Selected Documents May 2012 Text Integration Utilities V 1 0 Technical Manual 169 ACTION FUNCTION TIU LMGR OE RR LMGR CPRS GUI V15 10 Add to Signature List Options can exit note without Can exit note without signing Notes amp D C Summ tabs Action amp Pop signing and sign and sign via up Menus via another action another action or or alert alert TR EED EEDS Clinician MD EED MPD Nurse MPDS EPN RPN AMUPN SPNAP Ward Clerk LNT SPT AMUD Amend Options NA NA MGR IPD MPD SSD Browse Options Clinician Notes amp D C Summ tabs MRT MPD SSD Nurse Basically the pane is REM MPD Ward Clerk browsing MGR MPD SSD MD MPD MPDS RPN AMUPN SPNAP LNT SPT AMUD Change Ordering Info Can change hospital Clinician All tabs File Menu l location with Edit Update
262. t the boilerplate text of all components of the title as well without regard to component ownership However the user must own the component in order to edit it individually permitting separate ownership of components A Class Owner is a User Class from the USR CLASS file whose members may edit the entry An entry may have a Personal OR a Class Owner not both TIU doesn t prompt for Class Owner if the entry has a Personal Owner To change to Class Owner first delete the Personal Owner by entering at the Personal Owner prompt For new entries you are prompted to enter the Class Owner Clinical Coordinator as the default To enter a different Class Owner enter the appropriate class after the s If there are no s and the Replace with editor is being used enter to replace the whole class and then enter the appropriate class Class Owner is a BASIC field 276 Text Integration Utilities V 1 0 Technical Manual May 2012 IN USE IN USE applies to all entries except Objects It can t be edited since it gets its value automatically IN USE may have values of Yes No or Titles or Components are IN USE Yes if there are entries in the TIU Document file which store it as their Document Definition If not it is not used No C NOTE Itis possible for Document Definitions to be used by documents in files other than the TIU Document File and still be Not In Use since In Use means in use by documents
263. t to set up either the Basic or Upload Parameters for Text Integration Utilities TIU In the example that follows note the explanation of each parameter displayed when double question marks are entered As TIU parameters are added these explanations will be kept up to date Example Select TIU Maintenance Menu Option 1 TIU Parameters Menu 1 Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Notes Print Params You have PENDING ALERTS Enter VA VIEW ALERTS to review alerts Select TIU Parameters Menu Option 3 Document Parameter Edit First edit Institution wide parameters Select DOCUMENT PROGRESS NOTES CLASS 0K Yes lt Enter gt Yes DOCUMENT NAME PROGRESS NOTES lt Enter gt REQUIRE RELEASE NO This parameter determines whether the person entering the 66 Text Integration Utilities V 1 0 Technical Manual May 2012 document will be required and prompted to release the document from a draft state upon exit from the entry editing process Though designed for Discharge Summaries release may be used for any kind of TIU document Choose from 1 YI Fl n 0 NO EQUIRE RELEASE NO lt Enter gt EQUIRE MAS VERIFICATION UPLOAD ONLY This parameter determines whether verific
264. te is using the upload option to transfer batches of discharge summaries from a remote computer using the ASCII transfer protocol start the upload process by following the example shown below Choose UP from your Upload Menu UP Batch upload reports HLP Display upload help Select Upload menu Option UP Batch upload reports A S CA UPLOAD When the Initiate upload procedure prompt appears initiate the ASCII file transfer from your computer NOTE If you have problems consult your local IRM Service to see if the Terminal and Protocol Set up parameters have been set up as shown earlier in this section or check the user manual for your terminal emulator Initiate upload procedure SHDR DISCHARGE SUMMARY gt PATIENT NAME CPRSPATIENT ONE gt SOC SEC NUMBER 000 00 0001 gt ADMISSION DATE 02 20 97 gt DISCHARGE DATE 02 25 97 gt DICTATED BY CPRSPROVIDER FOUR M D gt DICTATION DATE 02 26 97 gt ATTENDING PHYSICIAN CPRSPROVIDER TWO M D gt TRANSCRIPTIONIST ID T0001 gt URGENCY PRIORITY gt DIAGNOSIS May 2012 Text Integration Utilities V 1 0 Technical Manual 53 54 gt 1 Acute pericarditis gt 2 Status post transmetatarsal gt 3 Diabetes mellitus requiring gt 4 Diabetic neuropathy gt gt Operations Procedures performed gt 1 Status post transmetatarsal gt 2 Echocardiogram d
265. tem 1 You may not VIEW this UNSIGNED NURSE S NOTE bv ETURN to continue lt Enter gt This feature is offered as a means of balancing the demands for rapid response with the concerns of many facilities for control of access to confidential information Choose from P performance S security IZE LIST BUILDING FOR performance lt Enter gt ESS REVIEW NOTES PROMPT YES If this parameter is set to yes TIU will suppress the prompt May 2012 Text Integration Utilities V 1 0 Technical Manual 21 indicating how many notes are available to the user when entering a indicating Progress Note Choose from T YI zal n 0 NO SUPPRESS REVIEW NOTES PROMPT YES lt Enter gt ENABLE CHART COPY PROMPT This parameter is used to enable Medical Record Technicians and MIS managers to be prompted whether prints of summaries are chart copies or not If not enabled when MR Techs and MIS Mgr print summaries they will be chart copies Choose from D YI Gl n 0 NO ENABLE CHART COPY PROMPT lt Enter gt DEFAULT PRIMARY PROVIDER DEFAULT BY LOCATION Please indicate the source of the default for Primary Provider Choose from 0 NONE DON T PROMPT di DEFAULT BY LOCATION 2 AUTHOR IF PROVIDER o EFAULT PRIMARY PROVIDER DEFAULT BY LOCATION lt Enter gt
266. ter File Server MFS provided by Common Services CS Creating and or editing locally defined fields in the file are not permitted Use of locally defined fields that were created prior to the VHA Directive s 2005 044 effective date shall not be supported This file supports the instantiation within VistA of the Role Axis of the VHA Enterprise Standard Document Title Ontology May 2012 Text Integration Utilities V 1 0 Technical Manual 189 TIU File Descriptions cont d 8926 4 8926 5 8926 6 190 Ee Name ires LOINC SETTING TIU LOINC SERVICE TIU LOINC DOCUMENT TYPE Per VHA Directive 2005 044 this file has been locked down by Data Standardization DS The file definition i e data dictionary shall not be modified All additions changes and deletions to entries in the file shall be done by Enterprise Reference Terminology ERT using the Master File Server MFS provided by Common Services CS Creating and or editing locally defined fields in the file are not permitted Use of locally defined fields that were created prior to the VHA Directive s 2005 044 effective date shall not be supported This file supports the instantiation within VistA of the Setting Axis of the VHA Enterprise Standard Document Title Ontology Per VHA Directive 2005 044 this file has been locked down by Data Standardization DS The file definition i e data dictionary shall not be modified All additions changes and deletio
267. ter entry for a VUID associated with a May 2012 Text Integration Utilities V 1 0 Technical Manual 215 EFFECTIVE This cross reference is by Effective Date Time 01 DATE TIME 8926 72 TIU LOINC SMD SYNONYMS File 01 SYNONYM This Regular FileMan cross reference will facilitate look up and sorting by Synonym 02 SUBJECT SMD This REGULAR FileMan Cross reference by MATTER Subject Matter Domain is for look ups as well DOMAIN as sorting 8926 73 TIU LOINC ROLE SYNONYMS File 0 0 1 SYNONYM This Regular FileMan cross reference will facilitate look up and sorting by Synonym 02 ROLE ROLE This REGULAR FileMan Cross reference by Role is for look ups as well as sorting 8926 74 TIU LOINC SETTING SYNONYMS File 01 SYNONYM This Regular FileMan cross reference will facilitate look up and sorting by Synonym 02 SETTING SET This REGULAR FileMan Cross reference by Setting is for look ups as well as sorting 8926 75 TIU LOINC SERVICE SYNONYMS File 01 SYNONYM This Regular FileMan cross reference will facilitate look up and sorting by Synonym 216 Text Integration Utilities V 1 0 Technical Manual May 2012 SERVICE This REGULAR FileMan Cross reference by Service is for look ups as well as sorting 8926 76 TIU LOINC DOCUMENT TYPE SYNONYMS File 01 SYNONYM This Regular FileMan cross reference will facilitate look up and sorting by Synonym 02 DOCUMENT DTYP This REGULAR FileMan Cross reference by TYPE
268. ter will allow the site to specify that non shared templates for a terminated user may be automatically removed or the site may disable such automatic action and manually remove templates for the user Option Name Description Delete TIU templates for selected user Edit auto template cleanup parameter Delete templates for ALL terminated users TIU TEMPLATE CAC USER DELETE TIU TEMPLATE USER DELETE PARAM TIU TEMPLATE DELETE TERM ALL Removes all templates created by a selected user This option performs the delete at the time the option is executed Sets a parameter indicating whether or not a template cleanup should be automatically performed at the any user is deactivated Removes all templates created by deactivated users This option performs the delete at the time the option is executed The 3 above options allow the CAC to delete non shared templates for any individual user to toggle automatic cleanup of non shared templates for terminated users ON or OFF based on Kernel s User terminate event XU USER TERMINATE option and to delete all existing non shared templates for users who have been terminated previous to the current date or NOTE The third option above traverses the TIU TEMPLATE file 8927 file s AROOT x ref recursively and can take a while to complete Before using the 100 Text Integration Utilities V 1 0 Technical Manual May 2012 option CAC s are advised to disable TIU templat
269. th Summary 239 creating objects 57 Creation of Business Rules 205 Cross References 117 Data Dictionaries 159 Data Standardization Background 69 Database Integration Agreements 143 DBIA 143 default printer 65 Delete TIU templates 60 Direct Mapping Note Titles 75 Discharge Summaries 58 199 Discharge Summary 6 162 186 Display Upload Help 39 DIVISION 123 390 Text Integration Utilities V 1 0 Technical Manual May 2012 Division Progress Notes Print Parameters 12 52 document class 54 162 166 Document Definition 162 Document definition hierarchy 8 Document Definition Options 54 Document Definition Terminology 54 Document Definition Terminology amp Rules 165 Document Definitions 53 Document Definitions Manager menu 239 Document File 8925 184 Document Parameter Edit 12 40 187 Document upload 8 DUPLEXing 66 Edit Business Rules 59 Edit Document Definitions 54 Edit HS Object 247 Edit HS Type 249 Editing Objects 228 electronic signature 8 embedded text 54 Enter Upload Utility Parameters 17 Enterprise Standard Title 86 EPNs 65 May 2012 EXCLUDE FROM PN BATCH PRINT 65 Exported Routines 68 External Relations 142 FAQs 184 File 121 2 9 File 128 192 File 8925 9 11 25 27 28 111 117 147 178 184 File 8925 1 9 31 111 112 129 147 165 175 230 231 239 File 8925 2 112 132 File 8925 3 112 132 File 8925 4 112 13
270. the new SURGICAL REPORTS Class in the TIU DOCUMENT DEFINITION file 8925 1 BOOLEAN RPC which evaluates whether the title indicated is that of a consult BOOLEAN RPC which evaluates whether the title indicated is that of a SURGICAL REPORT This Boolean RPC returns TRUE if the user was a known provider on the date specified BOOLEAN RPC that evaluates whether a justification is required for deletion e g deletion is authorized but the document has been signed etc This RPC links a document with an image It will support a many to many association between documents and images This RPC will load the boilerplate text associated with the selected title and execute the methods for any objects embedded in the boilerplate text Text Integration Utilities V 1 0 Technical Manual SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION SUBSCRIPTION May 2012 Remote Procedure Calls cont d TIU LOAD RECORD FOR EDIT TIU LOCK RECORD TIU LONG LIST BOILERPLATED TIU LONG LIST CONSULT TITLES TIU LONG LIST SURGERY TITLES TIU LONG LIST OF TITLES TIU NOTES May 2012 This RPC loads the return array with data in a format consistent with that required by the TIU UPDATE RECORD API It should be invoked when the user invokes the Edit action to load the dialog for editing the document This RPC will issue an incremental LOCK on the record identified by the TIUDA paramet
271. there are dashes or other funny characters sprinkled throughout what do these mean and what am I supposed to do A These characters your site determines whether they will be dashes hyphens or some other character indicate words or phrases that the transcriptionist was unable to understand You need to replace these with the intended word or phrase before you ll be able to sign the document 296 Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Q What is the best editing word processing program and how can I learn how to use it A This is partly a matter of personal preference and partly a matter of what s available at your site Commercial word processors are available at some sites The FileMan line editor and Screen Editor are available at all sites Of these two most Discharge Summary users prefer the Screen Editor Your IRM office or ADPACs can help you get set up with the appropriate editor and provide training The Clinician Quick Reference Card summarizes the FileMan Screen Editor functions O Why should a site require release from transcription A Release from transcription is required to prevent a discharge summary from becoming visible to other users before the person entering the summary has completed the entry For example if a transcriptionist needed to leave the terminal the summary would not be available for anyone else to look at until the summary is released from transcription
272. ties V 1 0 Technical Manual May 2012 TIUPP1 TIUPP3 TIUPP4 TIUPP5 TIUPP6 UPPAC UPPHLP TIUPPR1 TIUPR96 TIUPRCN TIUPRD TIUPRDS UPRDS1 UPRDS2 TIUPREF TIUPRPN TIUPRPN1 TIUPRPN2 TIUPRPN3 UPRPN4 UPRPN5 TIUPRPN6 TIUPRPN8 TIUPS100 TIUPS104 TIUPS108 UPS109 UPS14 TIUPS17 TIUPS76 TIUPS79 TIUPS93 TIUPS96 UPS98 UPUTA TIUPUTC TIUPUTCN TIUPUTCP TIUPUTD TIUPUTPN UPUTU UPXAP1 TIUPXAP2 TIUPXAPI TIUPXAPM TIUPXAPS TIUR UR1 UR2 TIURA TIURA2 TIURB TIURB1 TIURB2 URC URC1 TIURD TIURD2 TIURD3 TIURD4 TIURE URECL URECL1 TIURECL2 TIURH TIURHX TIURL TIURL1 URL2 URM TIURM1 TIUROR TIUROR1 TIURORL TIURP URPL URPN TIURPTT1 TIURS TIURS1 TIURT TIURTIT1 URTITH URTITL TIUSIG2 TIUSRV1 TIUSRVA TIUSRVD TIUSRVE USRVF USRVF1 TIUSRVG TIUSRVL TIUSRVL1 TIUSRVLC TIUSRVLI USRVLL USRVLO TIUSRVLV TIUSRVP1 TIUSRVPL TIUSRVR TIUSRVR1 USRVR2 USRVR3 TIUSRVT TIUSRVT2 TIUSRVT3 TIUSRVT4 TIUSTA USTS USTT TIUT TIUTSK TIUTU TIUU TIUUPEDT UUPLD UVFIX TIUVFIX1 TIUVISIT TIUVSIT TIUVSIT1 TIUVSITH UXRC UXRC1 TIUXRC2 TIUXRC4 TIUXRC5 TIUXRC6 TIUXRC7 UXRC8 UZCKJ TIUZR TIUZZLC TIUZZXF TIU189 TIU214 May 2012 Text Integration Utilities V 1 0 Technical Manual 113 TIU 1 211 TIU Data Standardization VUID Patch Instructions for Mapping and Reporting TIU Clinical Documen
273. ties V 1 0 Technical Manual May 2012 Actions Descriptions The two actions that are the most useful are Edit HS Object and Edit HS Type The first allows you to change the display parameters in the Health Summary Obj them The second action allows you to change the Health Summ ects file provided you own ary Type components These actions are only available from the HS OBJECT DISPLAY screen accessed with the Detailed Display Edit HS Object action Create TIU Health Summary Objects TIUHS LIST MANAG Create New TIU Object Detailed Display Edit TIU Object Change HS Object Change Health Summary Type Detailed Display Edit HS Object Edit HS Object Change HS Type Inquire about a HS Type Edit HS Type Detailed Display Edit HS Object Edit HS Object Change HS Type Inquire about a HS Type Edit HS Type May 2012 Text Integration Utilities V 1 0 Technical Manual ER 383 Create New TIU Object This action creates a new TIU Health Summary Object in the TIU Document Definition file and establishes a pointer to the HS Object Find This action allows you to quickly locate a TIU Health Summary Object If there are more than 14 TIU HS Object names in the TIU Document Definition file then you can use this action to quickly locate the name you want to examine or modify Detailed Display Edit TIU Object The Detailed Display Edit TIU Object allows you to view and
274. time it takes to implement has to do with the complexity of the site How many users how big the database is how extensive the hierarchy is the level of users how dependent the site is on the package obviously a site that is totally electronic has very different issues than a site where participation is optional It took a test site with million notes about 2 1 2 weeks to run their Progress Notes conversion This was with a clean database tt was just very big They aren t the only site with this amount of data and dependence on the package Q Will the Discharge Summary and Progress Notes packages be gone once files are converted to TIU A Discharge Summary V 1 0 and Progress Notes V 2 5 should be made Out of Order once the conversions have been run staff trained and the cut over started The data in files 121 and 128 will remain until your site decides to purge these files We suggest that they remain intact until you re sure the conversions have run correctly and the implementation is going smoothly Q Can TIU be used without converting the Discharge Summaries until much later A TIU can be used without converting Discharge Summary but we strongly recommend that Progress Notes and Discharge Summary both be converted to TIU at the same time to avoid complications We assume that you want to continue to process Discharge Summaries under the original application You should not run dual implementations of Discharge Summary Q
275. ting editing If an entry is already IN USE by documents editing or deletion is restricted to aspects which will not harm existing documents Components under a Title have the same status as the Title When a Title s status is changed the statuses of its descendant Components are automatically changed with it CLASS AND DOCUMENT CLASS STATUS Classes or Document Classes can have Active or Inactive Statuses Basics for a Class or Document Class can t be edited except for Owner and Status unless it is Inactive Since Inactivating a Class or Document Class automatically inactivates its descendants this ensures that all Titles which inherit behavior from it are neither Active nor Test and are thus Offline while inherited behaviors are edited 268 Text Integration Utilities V 1 0 Technical Manual May 2012 In contrast to Basics the ability to add or edit items of a Class or Document Class depends on the Status of the item not its parent it is not necessary to Inactivate a Class such as Progress Notes in order to edit or add items Activating a Class or Document Class differs from Inactivating the Class or Document Class When a Class Document Class is activated its descendants may have any Status which their Type permits they are not required to be Active Hence they are not automatically Activated when the parent is Activated May 2012 Text Integration Utilities V 1 0 Technical Manual 269 Document Definition Terminology
276. tion For example STUDENTS INTERNS LPNs and other user classes may be identified as requiring a cosignature for PROGRESS NOTES NOTE Independent of this parameter DISCHARGE SUMMARIES ALWAYS require cosignature by the ATTENDING PHYSICIAN EXCEPT when the ATTENDING PHYSICIAN dictates the summary himself Choose from ACCOUNTANT ACCOUNTS PAYABLE EMPLOYEE May 2012 Text Integration Utilities V 1 0 Technical Manual 77 TAT TOV STOPS A Select USERS REQUIRING COSIGNATURE INTERN lt Enter gt Now enter the DIVISIONAL parameters Select DIVISION SALT LAKE CITY Answer with DIVISION SALT LAKE CITY You may enter a new DIVISION if you wish Please indicate the Medical Center Division Answer with MEDICAL CENTER DIVISION NUM or NAME or FACILITY NUMBER al SALT LAKE CITY 660 Select DIVISION SALT LAKE CITY lt Enter gt CHART COPY PRINTER This parameter is primarily useful for DISCHARGE SUMMARIES or other documents where automatic central printing of chart copies on site configurable events are most useful e g INT E RIM SUMMARIES or OPERATIVE REPORTS at some point in the future When defined along with a STAT CHART COPY PRINTER this is the device to which chart copies of documents with ROUTINE urgencies will be sent automatically If no STAT CHART COPY PRINTER is defined then ALL docume
277. tive medications into one list sorts medications by drug class and includes supplies Note that the way the procedure accepts the values for each variable is in a list such as this 2 0 1 1 1 1 Example Select TIU Maintenance Menu Option DOcument Definitions Manager Manager Document Definition Menu Select Document Definitions Manager Option Edit Document Definitions Sort Document Definitions Create Document Definitions Create Objects PWN FP Enter for more options for brief descriptions OPTION for help text Select Document Definitions Manager Option 4 Create Objects START DISPLAY WITH OBJECT FIRST lt Enter gt ccc ccc eee ee eee eens May 2012 Text Integration Utilities V 1 0 Technical Manual 373 Objects Oct 06 1999 10 210355 Page 1 of 6 Objects Status 1 ACTIVE INPATIENT MEDS A 2 ACTIVE MEDICATIONS A 3 ACTIVE MEDS BY DRUG CLASS A 4 ACTIVE MEDS COMBINED A 5 ACTIVE OUTPATIENT EDS A 6 ACTIVE SMOKER A 7 ALL ACTIVE EDICATIONS A 8 ALL ACTIVE EDS COMBINED A 9 ALL DET ACTIVE MEDS COMBINED A 10 ALL DET RECENT MEDS COMB BDC A 11 ALL DET RECENT MEDS COMBINED A 12 ALL DETAILED ACTIVE MEDS A 13 ALL DETAILED RECENT MEDS A 14 ALL RECENT EDICATIONS A Help gt ScrollRight PS PL PrintScrn List
278. tles have the object embedded in them You may want to note the list of titles NOW before it changes NAAT to exit lt Enter gt Press RETURN to continue or or Text Integration Utilities V 1 0 Technical Manual May 2012 Making the Object More Realistic cont d Since our object is new and we know it s only in DEMOGRAPHIC NOTE we ll disregard the warning and enter a new Name and an abbreviation We ll keep the old print name and up arrow out DEM PATIENT RELIGION lt Enter gt EVIATION RELI T NAME PATIENT RELIGION Detailed Display Mar 05 1997 15 03 58 Page 1 of 1 Object PATIENT RELIGION Basics Name DEM PATIENT RELIGION Abbreviation RELI Print Name PATIENT RELIGION Type OBJECT IFN 599 National Standard NO Status INACTIVE Owner CPRSPROVIDER NINE Technical Fields Object Method S X SS RELI MYROUTIN DFN Object is embedded in Title s Status Owner IFN DEMOGRAPHIC T ME 567 Help Next Previous Screen PS PL Basics Try Delete Technical Fields Find Quit May 2012 Text Integration Utilities V 1 0 Technical Manual 351 Select Action Quit lt Enter gt Testing the More Realistic Object When the Object Method Name Abbreviation and Print Name are all as we wish we again test the Object Before trying our title DEMOGRAPHICS as we did befo
279. tly This option was intended to support the transition to electronic progress notes it has a specific place Remember to turn on field 3 if you want to take this approach with a clinic It should be noted that if a patient is seen in other clinics and those other clinics are batch printed the notes from the flagged clinic will also be printed in that batch This is to preclude gaps in sequence clinical information overlooked because it fits in between two other notes May 2012 Text Integration Utilities V 1 0 Technical Manual 107 108 Text Integration Utilities V 1 0 Technical Manual May 2012 Progress Notes Print Options contd BATCH PRINTING OUTPATIENT PROGRESS NOTES There are two new batch print options TIU PRINT PN BATCH INTERACTIVE and TIU PRINT PN BATCH SCHEDULED These options are identical except the latter is set up in file 19 2 to run unaccompanied The batch print is sorted in terminal digit order for the file room It prints out a page of possible problems and what to check if no notes print In theory the MAS person would bring this to IRM to have them troubleshoot You wouldn t want to do this every night most test sites do it once a month Inpatient notes will not print in this option Inpatient and outpatient notes are supposed to be filed in different sections of the charts Progress Notes V 2 5 did not support this Helpful Hints CHART vs WORK copies There are certain situations when only a WORK copy is ap
280. to day activities within the Progress Notes package With the exception of the GMRP TIU CONVERT TITLES option all options in this package may be invoked without installing TIU NOTE TIU requires that this patch is installed and implemented before the Progress Notes conversion 121 to TIU 8925 is run See a detailed description of using the options contained in this patch in the TIU Implementation Guide May 2012 Text Integration Utilities V 1 0 Technical Manual 13 Setting Up TIU Options on the IRM Maintenance Menu let IRM Staff set and modify the various parameters controlling the behavior of the Text Integration Utilities Package as well as the definition of TIU documents These options are described in the following pages of this section TIU Maintenance Menu TIU IRM MAINTENANCE MENU 1 TIU Parameters Menu TIU SET UP MENU 1 Basic TIU Parameters TIU BASIC PARAMETER EDIT 2 Modify Upload Parameters TIU UPLOAD PARAMETER EDIT 3 Document Parameter Edit TIU DOCUMENT PARAMETER EDIT 4 Progress Notes Batch Print Locations TIU PRINT PN LOC PARAMS 5 Division Progress Notes Print Params TIU PRINT PN DIV PARAMS 2 Document Definitions Manager TIUF DOCUMENT DEFINITION MGR 1 Edit Document Definitions TIUFH EDIT DDEFS MGR 2 Sort Document Definitions Objects TIUFA SORT DDEFS MGR 3 Create Document Defin
281. ts Item can t already have a parent If not In Use Users must own items May 2012 Edit or delete its items Edit Basics and Boilerplate Text Delete entry from file If not In Use Shared Add entry as an item to a Title or Component Component Edit Basics and Boilerplate Text All parents must be Inactive Embed Object in Boilerplate Text Edit Owner Component or Title must be Inactive Edit Object Basics and Technical Only programmers Fields can edit Technical Fields May 2012 Text Integration Utilities V 1 0 Technical Manual 95 Creating Objects Objects are predefined placeholders that allow patient specific text to be inserted into a document when a user enters a TIU document Objects are names representing executable M code which may be embedded in the Default Text of either a component or a document to produce an effect e g the Object Patient AGE may be invoked to insert the value of the patient s age at an designated location within a document r Note Besides objects created by each site there are a set of national objects supplied by the VistA developments team Information on these is maintained on the TIU web page at http vista med va gov tiu html objects html General Information Objects must always have uppercase names abbreviations and print names When embedding objects in boilerplate text users may embed any of these three name abbreviation print
282. uments currently just Progress Notes on signature This x ref is used to extract lists based on context 1205 HOSPITAL This MUMPS type multi field cross reference is LOCATION optimized for searching hospital location document type status and date range This MUMPS type multi field cross reference by Hospital Location and REGULAR Signature Date Time is used to maintain the daily print queue for batch printing of documents currently just Progress Notes on signature 1208 EXPECTED This REGULAR FileMan type cross reference by COSIGNER supervisor expected cosigner will be used to optimize FM Sorts and searches This MUMPS type multi field cross reference by EXPECTED COSIGNER DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be used for look ups and queries 1211 VISIT This MUMPS type Multi field index by LOCATION PT TITLE VLOC VDT VTYP DA is used to optimize the check for documents of a given title for a particular visit 198 Text Integration Utilities V 1 0 Technical Manual May 2012 TIU DOCUMENT File 8925 cont d 1301 REFERENCE DATE 1301 REFERENCE DATE May 2012 Text Integration Utilities V 1 0 Technical Manual 199 AAU This MUMPS type multi field cross reference is used for look ups by author document type status and date range This MUMPS type multi field cross reference by EXPECTED COSIGNER DOCUMENT TYPE STATUS and INVERSE ENTRY DICTATION DATE TIME will be use
283. ummary Objects option of the Document Definitions Manager menu TIUF DOCUMENT DEFINITION MGR to create a new TIU Object when a Health Summary Object does not exist TIU Health Summary Objects Mar 27 2003 08 20 33 Page 1 of 2 TIU Object Name Health Summary Type 1 AJB TEST OBJECT ANEHEIM 2 A TEST 9 ZZ HEALTH SUMMARY 3 A TEST DATE HEAD ZZ HEALTH SUMMARY 4 A TEST OBJ VISITS 5 A TEST OBJECT ZZ HEALTH SUMMARY 6 A TEST4 XRAY 7 BDV EDUCATION ZZ HEALTH SUMMARY 8 BDV LABS VISITS 9 CLINICAL MAINTENANCE CLINICAL MAINTENANCE 10 HS TEST IMPORT XRAY 11 KR MED BRIEF Medicine Brief 12 LAB SEL 1 Selected Labs Diabetes 13 MY RESP DEM 14 PODIATRY AC CLINICAL SUMMARY Enter for more actions Create New TIU Object Find Detailed Display Edit TIU Object Detailed Display Edit HS Object Quit Select Action Next Screen CR Create New TIU Object Create TIU Health Summary Object 380 Text Integration Utilities V 1 0 Technical Manual May 2012 Enter a New TIU OBJECT NAME VISITS Object Name VISITS Is this correct YES lt Enter gt Use a pre existing set of Health Summary Object NO lt Enter gt Checking VISITS TIU with Health Summary This is where the two examples start to differ In this case we take the default of NO Creating Health Summary
284. upload process for the report types defined at your site The captioned headers may be captured as ASCII data and used to build macros using commercial word processors e g Word Perfect or Microsoft Word and thereby avoid retyping the captioned headers while minimizing the risk of spelling errors or inconsistencies with the formats expected by the host system UP Batch upload reports HLP Display upload help You have PENDING ALERTS Enter VA VIEW ALERTS to review alerts Select Upload menu Option HLP Display upload help Select REPORT TYPE DISCHARGE SUMMARY lt Enter gt Discharge Summary SHDR DISCHARGE SUMMARY SOC SEC NUMBER 555 1L2 1212 ADMISSION DATE 02 21 96 DISCHARGE DATE 02 25 96 DICTATED BY CPRSPROVIDER FOUR M D DICTATION DATE 02 26 96 ATTENDING CPRSPROVIDER TWO M D TRANSCRIPTIONIST ID T0003 URGENCY PRIORITY STMT DISCHARGE SUMMARY Text SEND 64 Text Integration Utilities V 1 0 Technical Manual May 2012 File should be ASCII with width no greater than 80 columns Use __ for BLANKS word or phrase in dictation that isn t understood Press RETURN to continue lt Enter gt May 2012 Text Integration Utilities V 1 0 Technical Manual 65 Document Parameter Edit TIU DOCUMENT PARAMETER EDIT This option allows the Clinical Coordinator or IRM Application Specialis
285. ution 46 Text Integration Utilities V 1 0 Technical Manual May 2012 Upload Menu for Transcriptionists The Upload Menu contains sub options that allow the transcriptionist to upload a batch of documents or get help about the header formats expected for each document type by the upload process as defined for your site Upload Documents TIU UPLOAD This option lets transcriptionists DOCUMENTS _ upload transcribed ASCII documents in batch mode either from remote microcomputers using ASCII or KERMIT protocol upload or from Host Files i e DOS or VMS ASCII files on the host system Your site may define the preferred file transfer protocol and the destination within VisrA to which each report type e g discharge summary progress notes Operative Report etc should be routed Help for Upload TIU UPLOAD This option displays information on Utility HELP the formats of headers for dictated documents that are transcribed off line and uploaded into Vis7A It also displays blank character major delimiter and end of message signal as defined by your site The upload utility permits mixed report types within a single batch This allows the transcriptionist to enter each report in arrival sequence into a single ASCII file on the remote computer e g using a proprietary word processing program and to transmit the text to the VISTA host system as a one step process As this ASCII data arrives at the V STA host it is
286. ve TIU further limits the Status to those appropriate for the entry Type see below limits the Status of entries with Inactive ancestors to Inactive and limits the Status of faulty entries to Inactive May 2012 Text Integration Utilities V 1 0 Technical Manual 265 Document Definition Terminology cont d STATUS cont d Status applies to all Document Definitions but its meaning and possible values vary somewhat with the Document Definition Type Object Status differs significantly from status of other Types See Object Status at the end of this description Also see Component Status below to see how Shared Components differs TITLE STATUS Status has its most basic meaning for Titles A Title can have a Status of Inactive Test or Active If its Status is Inactive it can t be used to enter Documents except through the Try Action which deletes the document when done If its Status is Test only its Owner can can enter documents Titles should be tested using test patients only If a Title s Status is Active anyone with access and authorization can enter documents T NOTE on Availability Although Status affects availability for entering documents there are other factors which also affect availability A Document Definition is not available to a given user for entering documents except throught the Try action unless all of the following three criteria are met 1 Itis a Title 2 It has a Status of Active or Test
287. when absolutely necessary At the present time since Registration is not interfaced with Visit Tracking a Hospitalization type visit will be created with the first inpatient note and used by every subsequent note associated with that admission as well as the Discharge Summary when it is transcribed or uploaded Since Scheduling is interfaced with Visit Tracking with Visit entries created on check out of the appointment a visit will only be created for scheduled clinic appointments when the note is entered prior to check out and Scheduling will match to that visit when check out does occur When the user indicates a May 2012 Text Integration Utilities V 1 0 Technical Manual 315 desire to create a new visit for the note a standalone visit of the type indicated will be created for the note 316 Text Integration Utilities V 1 0 Technical Manual May 2012 Visit Orientation cont d Historical Visits When Progress Notes are being converted historical visits are created since no hospital location is frequently available for notes from either Mental Health V 6 0 or Generic Progress Notes V 2 5 When multiple notes are written for the same day for a given patient each note will be associated with the same daily historical visit so not every converted note requires the creation of a new visit record PCE uses Historical Visits to record encounters of uncertain dates or ones that occurred at non VA facilities They are used for
288. wsavcseys eaes ss ik ask se di a ai i i 307 TIO NIGHTLY TAS Keno a S S a cde Bea L SS S 307 Mnemonics on List Manager SCreens LL sa sa sa aa i a i a i ae ia 307 EITO A E cesses A TEE S aaa Ia E ai SLS a 307 Visit InfoTMAHON ii siai eisi aka da us a e a i a a a e dacs ia da sa e a 308 VisiGOriEntati OL A ALI E I ARAN EEE LSE SLI aaa 311 How many Visits are created sis ia tais iai js Lia i i a I Ra 315 Troubleshooting amp Helpful Hints for Document Definitions aaa aaa aaa 317 6 Text Integration Utilities V 1 0 Technical Manual May 2012 ASU and User Class Information cccccscsssssssssssssssssssssssssssssssssssssesssesesesesesssesesesess 322 Relationship between User Class file and Person Class file ee ce eeeeceeeeeeeeeseeeeeseeeeeees 322 Amount of Set up for User Class amp Business Rules e sessesossossesoosoesoesossesossossesossoeseseo 324 Initial Population of Basic User Classes nsnnsseesseeesseeesseesseessessseresseeessresseesseesseeesseee 324 Appendix A TIU Package Security lt isscssscscavisssessivssssesnscsersegeosadincivscsieissnasosenanssannstansvteounvss 328 Sec rity Key se si ii o ii i i i i i r i a i i esde a i i 328 User Class Assignment and Document Definition Ownership ssccsssssssssseseeee 328 Menu ASSIS TIIOM Ess iso issionsniisiessyiisus sis k i ss idesi teoste sa o sa i o ik i ii 329 Appendix B Creating an Object vissscssisccssaxessssnessesiinssvandssarndiesssassecd
289. xit lt Enter gt Press RETURN to continue or or Checking Title on a document You will not be permitted to sign the document document will be deleted at the end of the check and the Be sure to select a TEST PATIENT since the document will show up on Unsigned lists while you are editing it Select PATIENT NAME CPRSPATIENT THREE 09 12 44 000000003 YI Fl n SC VETERA 2 notes C 02 24 97 08 44 1 note W 02 21 97 09 19 A Known allergies Creating new progress note Patient Location UNKNOWN Date time of Visit 03 05 97 15 07 Date time of Note NOW Author of Note CPRSPROVIDER NINE OK YES lt Enter gt Calling text editor please wait WRAP INSERT lt gt lt PF1 gt H HELP Patient s religious preference TESTING123 Patient s home address Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the Object cont d e The trial document looks all right The data we set X to is inserted in the text T NOTE The split line message refers to lines such as This is a test of Object PATIE If there are errors in the object other than the status we may receive any of the following messages Object PATI print name Object PATIE Object PATIE Object PATIE Object split ENT R or abbreviation since this was embedded Nq
290. xt Integration Utilities V 1 0 Technical Manual May 2012 Note that the entire beginning parameter sequence is included for example purposes only and that the actual settings for each parameter should be set according to your site s requirements TIU Parameters Menu 1 Basic TIU Parameters 2 Modify Upload Parameters 3 Document Parameter Edit 4 Progress Notes Batch Print Locations 5 Division Progress Notes Print Params Select TIU Parameters Menu Option 3 Document Parameter Edit Select DOCUMENT DEFINITION FORM LETTER EXAMPLE DOCUMENT DEFINITION FORM LETTER EXAMPLE lt Enter gt FORM LETTER EXAMPLE TITLE REQUIRE RELEASE lt Enter gt REQUIRE MAS VERIFICATION lt Enter gt REQUIRE AUTHOR TO SIGN lt Enter gt ROUTINE PRINT EVENT S lt Enter gt STAT PRINT EVENT S lt Enter gt ANUAL PRINT AFTER ENTRY lt Enter gt ER VISIT lt Enter gt lt Enter gt Prints at the top of the A ALLOW CHART PRINT OUTSIDE MAS lt Enter gt R E T bu Hy D Q UPE ENTRY lt Enter gt ORCE RESPONSE TO EXPOSURES lt Enter gt SK DX CPT ON ALL OPT VISITS lt Ente E lt Enter gt first page END COSIGNATURE EDITOR SET UP CODE D D B END ALERTS ON NEW I
291. y e The Detailed Display screen appears showing your entry e Select the action Technical Fields Detailed Display Mar 05 1997 15 03 58 Page T of Object PATIENT RELIGION Basics Name PATIENT RELIGION Abbreviation Print Name PATIENT RELIGION Type OBJECT IFN 599 National Standard NO May 2012 Text Integration Utilities V 1 0 Technical Manual 337 338 Status INACTIVE Owner CPRS PROVIDER EIGHT Technical Fields Object Method Help gt ScrollRight PS PL PrintScrn List gt gt gt Find Detailed Display Delete Basics Technical Fields Find Items Seq Mnem MenuTxt Upload Ouit Boilerplate Text Try Select Action Ouit TE TECHNICAL FIELDS e Enter the object method S X TESTING123 ECT M ETHOD S X TESTING123 Text Integration Utilities V 1 0 Technical Manual May 2012 Testing the Object Now that we have a new object let s try it out Quit all the way out of Create Objects Go into the option Create Document Definitions Manager Document Definition Menu 1 Edit Document Definitions 2 Sort Document Definitions 3 Create Document Definitions 4 Create Objects Select Document Definitions Manager Option 3 Create Document Definitions e Find or create a title you wish to embed the new object in May 2012 Ifit s active make a copy rather than ina
292. y Outpatient Setting 8 Click on the Printer Friendly Version link to see the report formatted for printing Close the window when convenient 9 Now click on the Search link in the left side navigation bar to Search for requested titles 10 In the Select control labeled Domain choose Clinical Doc Title E VA NTRT New Term Rapid Turnaround Microsoft Internet Explorer File Edit View Favorites Tools Help Qax BM BOA Asah pFavoies B A a a DOB Links Production NTRT TIU DIT New Requests VALO Timesheets ClearQuest Salt Lake City Public Library 21181077180597 Address a http vhaisibll2 vha med va gov 770 1 ntrt searchstatus do NTRT New Term Rapid Turnaround Ol Health Systems Home Contact Us Log Off j Design amp Development Allergy Clinical Doc Title Check Requested Term Status Vitals Search Search Type Show Current Status Sort By Tracking Number Ml Submitted Tracking Number New User O Show All V Received O Date Edit User C Show History Vl Denied User Name V Accepted O Status Domain Clinical Doc Title Submit E3R Term Name Vitals V Duplicate Order Searc G Doc Title Descending Ascending VA Home Page OI Home Page SD amp D Home Page SiteMap Terms ofUse Disclaimer Privacy Statement Reviewed Updated August 14th 2006 11 Click Search Note the error message that appears because the radio butt
293. y to map LOCAL Title MEDICAL SERVICE ENDOSCOPY to VHA Enterprise Standard Title INTERNAL MEDICINE DIAGNOSTIC INTERVENTION PROCEDU RE NOTE OK Yes lt Enter gt YES Done 140 Text Integration Utilities V 1 0 Technical Manual May 2012 Method D Status Report of your Unmapped Titles In this example we create a report of all unmapped active titles at our medical center Then we send the report to ourselves via email To print the report we use the hidden action PL for Print List When we are prompted for a device we send it to the mail server The following is an example of getting a report of Unmapped Titles Select Title Mapping Utilities Option lt Enter gt 1 TIU Parameters Menu 2 Document Definitions Manager 3 User Class Management 4 TIU Template Mgmt Functions 5 TIU Alert Tools 6 Active Title Cleanup Report 7 TIUHL7 Message Manager Title Mapping Utilities Select TIU Maintenance Menu Option Title Title Mapping Utilities E Map ACTIVE LOCAL Titles 2 Selected Active Title Map 3 Mapping Workbench 4 Add Edit Synonyms Enter for more options for brief descriptions OPTION for help text Select Title Mapping Utilities Menu Option 3 May 2012 Text Integration Utilities V 1 0 Technical Manual 141 Select Mapping Status Title Mapping Workbench unmapped ACTIVE lt Enter gt Sep 22 2006
294. your patience as we work to deliver as many of them as possible as timely as possible From a user coordinator A possible solution to the problem of rotating residents is to set up your summary package with the author not needing to sign the summary This allows the attending physician to sign the report While the residents may rotate in and out the attending usually remains the same through the course of the patient s stay Text Integration Utilities V 1 0 Technical Manual May 2012 FAQs cont d Q What are sites doing with C amp Ps amp op notes It is my understanding that C amp Ps are a type of discharge summary I ve tried creating C amp P EXAM as a title underneath the DISCHARGE SUMMARY document class I get TYPE errors when uploading test documents The document parameters are defined for the upload fields A From a user coordinator OP reports and C amp P exams reside in their appropriate packages You can use the TIU upload utility to put them there As for OP notes we have several titles i e Surgeon s Post OP note Do you have TIU in the APPLICATION GROUP field of the Surgery and C amp P file Our FILE File has this for our Surgery file NUMBER 130 NAME SURGERY APPLICATION GROUP GMRD APPLICATION GROUP TIU Q Can we do batch upload of Progress Notes by vendor through TIU A Yes you may now batch upload Progress Notes through TIU See instructions earlier in this manual under Sett

Text Integration Utilities (TIU) Technical Manual

Contents

Download Pdf Manuals

Related Search

Related Contents