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Introduction to Health Summary

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1. 4 gt presented include 5 gt results and reference flag 8 gt displayed 9 gt for entries with comments February 2011 Select Health Summary Maintenance Menu Option 2 Create Select COMPONENT CHEM 7 Are you adding CHEM 7 as a new HEALTH SUMMARY COMPON HEALTH SUMMARY COMPONENT NUMBER 5000001 Do you wish to duplicate an existing COMPONENT YES CD Advance Directive E Electron Microscopy EXAM BADR Brief Adv React All MIC icrobiology HF ADR Adv React Allerg BMIC Brief Microbiology SHF CMB Reminder Brief O ab Orders I CR Reminders Due BLO Brief Lab Orders OD C Reminder MaintenanceSP Surgical Pathology OE CRS Reminders Summary SLT ab Tests Selected ST CW Clinical Warnings AGI AG Imaging RXIV CP Comp amp Pen Exams ADC Admission Discharge RXOP CNB Brief Consults EADT ADT History ExpandedRXUD CN Crisis Notes CVF Fut Clinic Visits PLA DI Dietetics CVP Past Clinic Visits PLL DCS Discharge Summary DE Demographics PLI BDS Brief Disch Summary BDEM Brief Demographics PN ENV Full Environment DS Disabilities BPN FR Fred DD Discharge Diagnosis SPN GAF Global Assess Funct DC Discharges SW HS HS Environment PRC ICD Procedures SCD II Imaging Impression OPC ICD Surgeries NSR SII Sel Image ImpressionTR Transfers SRO IP Imaging Profile TS Treating Specialty SR IS
2. Select COMPON ET gt Health Summary V 2 7 Technical Manual February 2011 Routine Descriptions Routine Descriptions Namespace GMTS XUPRROU List Routines prints a list of any or all of the Health Summary 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 GMTS 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 just the first line of each GMTS subset routine Select Systems Manager Menu Option programmer Options Select Programmer Options Option routine Tools Select Routine Tools Option First Line Routine Print PRINTS FIRST LINES routine s gt GMTS February 2011 Health Summary V 2 7 Technical Manual 19 20 Health Summary V 2 7 Technical Manual February 2011 Files and Globals List The following is a list of the files contained in the Health Summary package including file number name global location and an indicator if data comes with the file Number Name Global Data 142 HEALTH SUMMARY TYPE
3. REMOTE DATA VIEWS GMTS 2 7 48 REMOTE ONCOLOGY VIEW Health Summary patches 29 and 48 export components for using Remote Data Views With all the proper patches installed you may view remote patient data through CPRS Before you can do this you must have Master Patient Index Patient Demographics MPI PD and several other patches installed Once these are in place and the proper parameters have been set you can access remote data from other VA facilities Currently remote data views are limited to predefined nationally exported Health Summary Types Remote data may not be viewed by either the Ad Hoc Health Summary type or locally user developed Health Summary types You can view remote clinical data using any Health Summary Type that has an identically named Health Summary Type installed at both the local and remote sites However for non nationally exported health summary reports the content of the report is subject to the report structure and configuration defined at the remote site Patch 29 GMTS 2 7 29 adds the following Remote Data Views types REMOTE DEMO VISITS PCE 3M REMOTE MEDS LABS ORDERS 3M REMOTE TEXT REPORTS 3M REMOTE CLINICAL DATA 3M REMOTE CLINICAL DATA 1Y REMOTE DEMO VISITS PCE 1Y REMOTE MEDS LABS ORDERS 1Y REMOTE TEXT REPORTS LY REMOTE CLINICAL DATA 4Y REMOTE LABS LONG VIEW 12Y REMOTE LABS ALL 1Y REMOTE LABS ALL 3M REMOTE DIS SUM SURG PROD 12Y REMOTE OUTPATIENT MEDS 6M REMOTE
4. Choose from SPOOL SPOOL TO VMS DSAB MUMPS DEVMGR SPOOL DEVICE SPOOL Select HEALTH SUMMARY PARAMETERS RET Health Summary V 2 7 Technical Manual February 2011 Implementation amp Maintenance Ad Hoc Health Summaries Temporary ad hoc health summaries can be created on the fly and run for individual patients as follows 1 First select a combination of components from a menu of all available components 2 Next if applicable specify time limits occurrence limits hospital location ICD text display provider narrative display and selection items for any of the components or accept site defined defaults 3 Then select a patient and run the resulting health summary Both pre defined and ad hoc health summaries may be run interactively on your terminal or directed to any printer Pre defined health summary types can also be queued to run nightly for all patients at any specified location s Either interactive or batch mode print by location health summaries may also be printed in tandem with the Outpatient Pharmacy Action Profile including bar codes for each of the patients at the selected location CPRS Interface Health Summary V 2 7 interfaces with the Computerized Patient Record System CPRS to provide Order Entry users with an integrated view of both orders from CPRS and results from Health Summary This interf
5. Health Summary Technical Manual Version 2 7 February 2011 Office of Information and Technology Department of Veterans Affairs ii Health Summary V 2 7 Technical Manual November 2010 Preface February 2011 The Health Summary package integrates clinical data from DHCP ancillary packages into patient health summaries which can be viewed online or printed as reports This manual is intended to be used as a technical reference guide for IRM Service ADPACs and Clinical Coordinators NOTE This manual has been revised to describe changes that have been made through patches to Health Summary V 2 7 since its release in 1994 Health Summary V 2 7 Technical Manual iii Preface Revision History GMTS 2 7 90 Edits throughout Edits per SQA and NVS review manual October 2002 Updates throughout Added documentation covering manual functionality exported in patches Changes are indicated GMTS 2 7 56 and by a side bar on the left GMTS 2 7 58 side of the text March 2002 Pages 7 8 Resolved E3R list updated February 2002 Pgs 22 24 New menu of options enabling managers to control HS types on the reports tab in CPRS January 2002 Throughout Changes made by patches to version 2 7 since its release in 1994 and specifically for patches 29 45 47 and 49 iv Health Summary V 2 7 Technical Manual February 2011 Table Of Contents Revision History so ot oe bre CHEM ENG Ra CRGA NER a De iv INTRODUCTION TO
6. 2 Print Manager 15 Printing Data Dictionaries 44 Printing Health Summaries 2 PROMPT FOR ACTION PROFILE 12 Provider Narrative 48 Purging and Archiving 30 queuing 15 R Rebuild Ad Hoc Health Summary Type 11 Request for Health Summary Type 16 Resequence a Health Summary Type 11 Routine Descriptions 19 February 2011 Routines 42 S Schedule Unschedule Options 16 Security 59 SHOP ALL 49 SPOOL DEVICE 12 storage 30 Summary Order 48 Summary Type 48 E oe TASK STARTUP 16 Time and Occurrence limits 11 time limits 16 Time Limits 48 Health Summary V 2 7 Technical Manual 65
7. GM T 142 YES Description This file contains the structure of a health summary Components from the Health Summary Components file 142 1 may be selected and restricted by number of occurrences or time limits The original creator of a type of Health Summary is the owner of that type Health summaries that are owned may not be modified or deleted by anyone except the Clinical Coordinator Owned Health Summaries may be used by other users to print patient information 142 1 HEALTH SUMMARY COMPONENT GMT 142 1 YES Description This file contains all components which may be used to create a Health Summary These entries are typically defined by a programmer Components which represent packages that are not in use may be disabled so they will not be selected by users to build new types of health summary reports 142 5 HEALTH SUMMARY OBJECTS GMT 142 5 NO Description This file contains Health Summary Types that are to be embedded into another document as an object The bulk of this file is made up of display flags which control how the object is to be embedded into the other document 142 98 HEALTH SUMMARY USER PREFERENCES GMT 142 98 YES Description This file determines how the list of Health Summary Types for the CPRS GUI report tab is to be organized APPEND or OVERWRITE for user selection There are three major classes of Health Summary types National remote data view user defined and system defined User and
8. XUPRGL to print a list of any of these globals This option is found on the Programmer Options menu XUPROG which is a sub menu of the Systems Manager Menu EVE option Example Select Systems Manager Menu Option programmer Options Select Programmer Options Option LIST Global Global GMT Inquire To Option File The Kernel Inquire option XUINQUIRE provides the following information about a specified option s Option name Menu text Option description Type of option Lock if any In addition all items on the menu are listed for each menu option 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 GMTS and exclude the routines GMTSI the inits GMTSON and GMTSOO the onits February 2011 Health Summary V 2 7 Technical Manual 45 Data Dictionaries Files The number spaces for Health Summary files are 142 Use the VA FileMan DATA DICTIONARY UTILITIES option 8 DILIST List File Attributes to print a list of these files Depending
9. allows all components to be selected If the first three characters of a HEADER NAME for a component are designated as All however then only the defined component will be selected Avoid conflicts and loss of functionality by not using all at the front of new header names Edit Ad Hoc Health Summary Type Example NOTE Bold faced text indicates user entries Select Health Summary Overall Menu Option Name Health Summary Maintenance Menu Disable Enable Health Summary Component Create Modify Health Summary Components Edit Ad Hoc Health Summary Type Rebuild Ad Hoc Health Summary Type Resequence a Health Summary Type Create Modify Health Summary Type Edit Health Summary Site Parameters Select Health Summary Maintenance Menu Option Edit Ad Hoc Health Summary Type Edit Ad Hoc Health Summary Type gt gt gt EDITING the GMTS HS ADHOC OPTION Health Summary Type SUPPRESS PRINT OF COMPONENTS WITHOUT DATA Do you wish to review the Summary Type structure before continuing NO lt RET gt Select COMPONENT PROB PROBLEM LIST ACTIVE PLA PROBLEM LIST ALL PLL PROBLEM LIST INACTIVE PLL CHOOSE 1 3 1 SUMMARY ORDER 5 lt RET gt 5 ICD TEXT DISPLAYED This field controls hows ICD text is displayed in components where ICD Text applies e g PCE Outpatient Encounters PCE Outpatient Diagnosis and Problem List All The applicable component display print can be customized to include ICD Text in the follow
10. ADDING REASON FOR STUDY DISPLAY TO RADIOLOGY RE RESTRICT SENSITIVE DATA ON HEALTH SUMMARY PRINT NATIONAL HEALTH SUMMARY TYPES FOR SKIN RISK ASSMT SUPPORT OF CLINICAL REMINDERS ENHANCEMENTS H Health Summary V 2 7 Technical Manual February 2011 Patch GMTS 2 7 90 ADD EARLIEST APPROPRIATE DATE TO HS ADHOC REPORT Addition of the EARLIEST APPROPRIATE DATE New Service Request 20051008 to the Health Summary Adhoc CNB Brief Consults Report The EARLIEST APPROPRIATE DATE is the earliest appropriate date that the patient should be seen This data field was added with CPRS v28 GMTS 2 7 91 MHAL AND MHAS COMPONENTS NOT SHOWING ALL ADMININISTRATIONS This patch will correct a defect in the MHAL and MHAS Health Summary components where all Mental Health instruments administered through the CPRS GUI do not display February 2011 Health Summary V 2 7 Technical Manual 7 Introduction Released Patches for Health Summary 2 7 Patch Description Release Date GMTS 2 7 1 Syntax Error in GMTS 12 28 95 GMTS 2 7 2 Visit Dates Task amp 02 29 96 GMTS 2 7 3 LAB Anatomic Path Ac 09 06 96 GMTS 2 7 4 Medicine Data w Quo 04 12 96 GMTS 2 7 5 CVP EADT Nightly T 05 13 96 GMTS 2 7 6 Patient Selection 06 06 96 GMTS 2 7 7 HS Utilities MXSTR 11 24 96 GMTS 2 7 8 HS PCE Components 08 22 96 GM
11. Abbreviations ceres eee ee reete eene eene en et en atta ano 16 Customized Health Summary Types e eeee sees eres etes eese n sense tn aeta seta seta seta seta sete eo anos setas cane ease ad 16 Customizing the Ad Hoc Health Summary Type 4 eeeeeee eese eese eese eese ee ettet testet s toss taa sense tna 17 ROUTINE DESCRIPTIONS c2ccc ccc ccce ecce ccce eee ecce eee ceci 19 FILES AND GLOBALS LIST cccecccecccece eecece aaaea e rece exe re rere aa asanda 21 EXPORTED MENUS OPTIONS AND FUNCTION 24 CROSS REFERENCES 5 aa aKa r AKA Aaaa KAA aa AAKA Aaaa 28 PURGING AND ARCHIVING cccsccasosasccasocasecacacanscaccicnacaccncnicacecosicacenanicacecas n cos 30 February 2011 Health Summary V 2 7 Technical Manual v Table of Contents CALLABLE ROUTINES unike 33 EXTERNAL RELATIONS cacscansassenicanscanicanicecicacicanicaciosonsacioanicaciosenerencanisassoanies 39 Database Integration Agreements eee esee eese esee ee nente sten ense tn tune ta senten sens ense een as eso ne oseas sesto sena 39 INTERNAL RELATIONS ccce o recon ore cene ore conu one cone rune conu rure kaanan aitaan aas 40 GENERATING ONLINE DOCUMENTATION annnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 41 Inf re da o 44 GVO Dal Sos ces e P E 45 INDEX GORE EE 45 2 22 and Online Help ssccccsvca
12. GMTS HS BY PATIENT amp DATE RANG 4 Visit Patient Health Summary GMTS HS BY PATIENT amp VISIT 5 Hospital Location Health Summary GMTS HS BY LOC 6 Batch Print of All Clinics by Visit Date GMTS HS FOR ALL CLINICS 2 Build Health Summary Type Menu GMTS BUILD MENU 1 Create Modify Health Summary Type GMTS TYPE ENTER EDIT 2 Delete Health Summary Type GMTS TYPE DELETE 3 Information Menu GMTS INFO ONLY MENU 1 Inquire about a Health Summary Type GMTS TYPE INQ 2 List Health Summary Types GMTS TYPE LIST 3 Inquire about a Health Summary Component GMTS COMP INQ 4 List Health Summary Components GMTS COMP LIST 5 List Health Summary Component Descriptions GMTS COMP DESC LIST 4 Print Health Summary Menu GMTS HS MENU Patient Health Summary GMTS HS BY PATIENT 2 Ad Hoc Health Summary GMTS HS ADHOC 3 Range of Dates Patient Health Summary GMTS HS BY PATIENT amp DATE RANG 4 Visit Patient Health Summary GMTS HS BY PATIENT amp VISIT 5 Hospital Location Health Summary GMTS HS BY LOC 6 Batch Print of All Clinics by Visit Date GMTS HS FOR ALL CLINICS 3 Set up Batch Print Locations GMTS HS BY LOC PARAMETERS 4 List Batch Health Summary Locations GMTS TASK LOCATIONS LIST 5 CPRS Reports Tab Health Summary Types List Menu GMTS GUI REPORTS LIST MENU 1 Display Health Summary Types List Defaults GMTS GUI HS LIST DEFAULTS 2 Precedence of Health Summary Types List GMTS GUI HS LIST PRECEDENCE 3 Method of compilin
13. HEALTH SUMMARY eeeeeeeeee nennen nennen nnn 1 Definition of a Health Summary e eee ee ee eee eee creo eae tans soco teens taa cs eco eoa seen e eoa cs secs eas teen stesse 1 Packages Providing Data 1 Components and Types t Sine 1 Printing Health Summaries esevosesvvvnnenrvnnennennvenevnrennennnnnennennennenneenennnennenennnennenesenennneneennnnnensnnneeneneseneenenes 2 PDX Transmission of Health Summaries scssssssssscssscssscssscscececesecsscssscssscssssssssssssssssssecsseessessoees 2 New Features in Health Summary eeseoosevsvevennvvnsesnsesnevnseensernsensvensessnesnnesnnesnnesnnennennneennenneenseensennnesseesnene 3 HEALTH SUMMARY IMPLEMENTATION amp MAINTENANCE 11 Set Up Site Parameters 25 seassssssascassosssesscesscasstvcdevsedondsesesoveseessasseasssasesnsevesausausshewdsesesoaa seed sous sad sda es 13 Ad Hoc Health Summaries eeereseveneesvennennennennennvenennnennenennnennennvenennnennennennennenevenennnenenennnennnnnsenennnenenneene 15 CPRS iuc 15 Relationship to Integrated Billing s Encounter Form Utilities eeeee eere eerte eterne rennen nnn 15 Nightly Batch Processing eeereseveneenvvnnennvnnennennvenevneennennnnnennenneenennneneenennnenennnennenneenevnnennennnnnennnnneenennneneenee 16 Health Summary Components Headers and
14. Hoc Health Summary Type 17 Edit Health Summary Site Parameters 12 Encounter Form Utilities 15 enhanced patient look up 15 External Relations 37 F Files and Globals List 21 Function 27 G Generating Online Documentation 39 Globals 21 Glossary 47 GMTS 32 64 Health Summary V 2 7 Technical Manual GMTS COMPONENT NAME 27 GMTS TASK STARTUP 16 GMTS TYPE DELETE 30 GMTSADOR 33 GMTSDVR 33 34 GMTSMGR security key 12 GMTSU 34 35 36 GMTSUP 36 H Headers and Abbreviations 16 Health Summary Alternate Drive 33 34 Health Summary files 21 Health Summary Maintenance Menu 11 Health Summary Objects 5 12 21 26 34 61 Health Summary Security 59 Health Summary Type file 1 Hospital Location 47 I ICD Text Displayed 47 INCLUDE BAR CODE ON ACT PROFILES 12 INCLUDE COMMENTS ON LABS 12 Information Menu option 16 Integrated Billing Package 15 xpo Lock 48 60 Locks and Security 60 M Maintenance Menu 11 Modify an existing health summary type 12 N Namespace 19 Nightly Batch Processing 16 Non destructive 48 Non destructive read only component routines 37 0 Objects Creating Health Summary 5 12 61 Occurrence Limits 16 48 OE RR Interface 15 OUT OF ORDER MESSAGE 11 Owner 48 p Packages Providing Data 1 Pagination Utilities 36 February 2011 PDX Transmission of Health Summaries 2 permanent health summaries
15. Imaging Status EDA ed Abnormal BSR BA Blood Availability EDB ed Brief Report SNSR BT Blood Transfusions EDC ed Full Captioned URIN CH Chem amp Hematology EDF ed Full Report VS SCLU ab Cum Selected EDS ed 1 line SummaryVSD SCL1 ab Cum Selected 1 HPE H Physical Exam VSO SCL2 ab Cum Selected 2 ONC Oncology SVS SCL3 ab Cum Selected 3 ORC Current Orders SVSO SCL4 ab Cum Selected 4 ED Education CY Cytopathology EDL Education Latest Enter COMPONENT to Duplicate SCLU Lab Cum Selected NAME CHEM 7 RET ABBREVIATION CH7 DESCRIPTION 1 gt This component contains information extracted from the Lab package 2 gt only do time and maximum occurrence limits apply to this component 3 gt the user is allowed to select any number of atomic Lab tests collection date time ENT Y Modify Health Yes Exams Latest Health Factors Health Factor Select Immunizations Outpatient Diagnosis Outpatient Encounter Skin Tests IV Pharmacy Outpatient Pharmacy Unit Dose Pharmacy Active Problems All Problems Inactive Problems Progress Notes Brief Progress Notes Selected Prog Notes Social Work Spinal Cord Dysfunct NON OR Procedures Surgery Only Reports Surgery Rpt OR NON Brief Surgery Rpts Selected NON OR Proc URINALYSIS Vital Signs Detailed Vitals Vital Signs Outpat Vital Signs Selected Vital Select Outpat Not but Data test names with S in columnar 6 gt also be conditionally displayed depending on th
16. ONCOLOGY VIEW See Chapter 3 section 2 in the Health Summary User Manual for more information on using Remote Data Views 4 Health Summary V 2 7 Technical Manual February 2011 GMTS 2 7 45 INTERDISCIPLINARY PROGRESS NOTES The purpose of this patch is to allow the Health Summary components Progress Notes and Selected Progress Notes to display the new interdisciplinary progress notes and all of the entries associated with the interdisciplinary note The interdisciplinary note and all of the associated entries will be marked in the progress note components as follows Note Type Marked as Primary Note Interdisciplinary Note Addendum to Primary Interdisciplinary Note addendum Child Note Interdisciplinary Note Entry Addendum to Child Interdisciplinary Note Entry addendum Patch GMTS 2 7 47 CPRS Report Tab NDBI Misc Fixes A menu of options has been added CPRS Reports Tab Health Summary Types List that allows users to control the Health Summary Types and the order that the Health Summary Types are listed in the Health Summary Types box on the Reports Tab of CPRS This menu option has four menu items to edit and display the users preferences Patch GMTS 2 7 48 REMOTE ONCOLOGY VIEW This patch exports the REMOTE ONCOLOGY VIEW Health Summary Type and installs it in the HEALTH SUMMARY TYPE file 142 providing Remote Data Views of Oncology Data It also conducts a check to make sure the Oncology Component is installe
17. Output Returns global array of Health Summary data TMP TIUHSOBJ J FGBL 0 TMP TIUHSOBJ J FGBL DIS DFN OBJ Display Object i i Input DFN IEN for Patient file 2 OBJ IEN for Health Summary Object file 4142 5 February 2011 Health Summary V 2 7 Technical Manual 35 Callable Routines Routine GMTSU Health Summary Utilities routine Entry Point Comments i MTIM i Converts time from an internal format to a display format i Receives X internal format Date time as 2900310 1300 i Returns X printable time as 13 00 REGDT Gets internal date and formats as MM DD YY i Receives X internal format Date time as 2900310 1300 Returns X 03 10 90 REGDTM Gets regular date and formats with time i Receives X internal format Date time as 2900310 1300 Returns X 03 10 90 13 00 SIDT Gets date in SI format as DD MMM YY i i Receives X as internal FM date time e g 2890630 1650 Returns X 30 JUN 89 FMHL7DTM Gets HL7 format date time as CCY YMMDDHHMM i i Receives X internal format 29003 10 1300 as Date time i Returns X 29003101300 36 Health Summary V 2 7 Technical Manual February 2011 Callable Routines Routine GMTSU Health Summary Utilities routine cont d Entry Point Comments DEM Gets Demographic data from VADPT i i Receives DFN Returns GMTSPNM GMTSSN GMTSDOB SEX i GMTSWARD GMTSRB GMTSAGE NAME Formats names i i Receives FILE 200 i IFN internal file number
18. for above file NML desired length for name to be returned FNF 0 for FI 1 for FN flag to specify first name format i GETRANGE Returns NM Lastname First name initial to specified i Fromdate i length i Todate i i l Receives Fromdate and Todate which are variables passed by reference that will return the From date and the To date in inverted order Fromdate Inverted date to be used as stop date for displaying most recent data first i Todate Inverted date to be used as start date for i displaying most recent data first Routine GMTSUP Pagination Utilities Entry Point Comments CKP i Called from all component print routines before printing i each line checks Y and flags form feeds Receives DEN as valid patient internal entry number i Returns GMTSNPG 0 No form feed has been forced i GMTSNPG 1 Form feed has been forced GMTSQIT defined when an up arrow has been entered to quit summary j CKP1 j Help display of the optional components for navigation j BREAK j Called from CKP before printing the component data and when form feeds i are forced Writes the delimiter of each component j HEADER j Called from the driver at the beginning of the summary and from CKP when i form feeds are forced Writes the running head of the summary report February 2011 Health Summary V 2 7 Technical Manual 37 External Relations Non destructive read only component routines have been written to present VISTA a
19. system Health Summary Types are defined in the Kernel Parameters file Append creates a single list removing duplicates and keeps theNational Health Summary types group together Overwrite stops building the list once a single group of Health Summary Types User or System is added to the list February 2011 Health Summary V 2 7 Technical Manual 21 Files and Globals List 142 99 22 HEALTH SUMMARY PARAMETERS GMT 142 99 NO Description This file contains any site parameters that apply to the Health Summary package Currently there are four site parameters 1 PROMPT FOR ACTION PROFILE 2 INCLUDE BAR CODE ON ACTION PROFILES 3 INCLUDE COMMENTS ON LABS 4 SPOOL DEVICE Health Summary V 2 7 Technical Manual February 2011 February 2011 Health Summary V 2 7 Technical Manual 23 Menus and Options Exported Menus Options and Function The Health Summary Overall Menu GMTS MANAGER contains four menus 1 Health Summary Menu GMTS USER 2 Health Summary Enhanced Menu GMTS ENHANCED USER 3 Health Summary Coordinator s Menu GMTS COORDINATOR 4 Health Summary Maintenance Menu GMTS IRM ADPAC MAINT MENU Assign these menus as follows 1 24 Give the Health Summary Menu GMTS USER menu to users who only need to print or display health summaries Give the Health Summary Enhanced Menu GMTS ENHANCED USER menu to users who need to create modify or delete their own health summary types in additio
20. the Health Summary Objects This patch also exports the new file HEALTH SUMMARY OBJECTS field 142 5 to store the Health Summary Object characteristics GMTS 2 7 59 GMTS 2 7 60 GMTS 2 7 61 GMTS 2 7 62 GMTS 2 7 63 GMTS 2 7 64 GMTS 2 7 65 GMTS 2 7 66 GMTS 2 7 67 GMTS 2 7 68 GMTS 2 7 69 GMTS 2 7 7 GMTS 2 7 70 GMTS 2 7 71 GMTS 2 7 72 GMTS 2 7 73 GMTS 2 7 74 GMTS 2 7 75 GMTS 2 7 76 GMTS 2 7 77 GMTS 2 7 78 GMTS 2 7 79 GMTS 2 7 8 GMTS 2 7 80 GMTS 2 7 81 GMTS 2 7 82 GMTS 2 7 83 GMTS 2 7 84 GMTS 2 7 85 GMTS 2 7 87 GMTS 2 7 89 BLOOD BANK COMPONENTS Race and Ethnicity Demographics Remote Medicine Report Fix MED RXIV HF Miscellaneous Selection of Individual Health Factors TWEAK TO STANDARD REMOTE HEALTH SUMMARIES Non VA Medications CPRS HS REPORT ALLOCATION ERRORS NOT USED TRANSITIONAL PHARMACY HS OBJECT TYPE Health Summary Resequencing Medicine Correction HS Utilities MXSTR Error GMTS SCHEDULING REPLACEMENT UPDATE CTD HS Code Text Descriptors ONCOLOGY FORDS IMPLEMENTATION CORRECT BRANCH OF SERVICE IN DEMOGRAPHIC DISPLA HEALTH SUMMARY GAF COMPONENT RESTORE DISPLAY OF CLINICAL REMINDERS DISCLAIME ALPHA MODIFIERS NOT SHOWING AND COMMENTS PRINTI MENTAL HEALTH COMPONENTS NEW VITALS API AND OUTPATIENT PHARMACY API CORRECT REFERENCE RANGES ON REPORT TABS HS PCE Components PHARMACY ENCAPSULATION VHA Enterprise Standard Title Display in Health C E SIG BLOCK HEALTH FACTORS CLINICAL REMINDERS F DIETETICS COMPONENT UPDATE
21. 2 09 06 39 gt GMTS 2 7 49 TEST v5 HOME 999 ANYWHERE GMTS 2 7 58 Dec 26 2002 11 09 am Install Completed EL ED EC 25 2002612 LED BY MERRILL DAVID L PACKAGE HEALTH SUMMARY STARTED DEC 26 2002 09 06 33 LINES PRE INIT CHECK POINTS PD PREINSTALL STARTED PD PREINSTALL COMPLETE PRINT TEMPLATE OPTION POST INIT CHECK POINT XPD POSTINSTALL STARTE E E 101 XPD POSTINSTALL COMPL INSTALL QUESTION PROME ANSWE XPOL Want KIDS to Rebuild Menu Trees Upon Completion of Install YES XPI1 Want KIDS to INHIBIT LOGONs during the install NO XPZ1 Want to DISABLE Scheduled Options Menu Options and Protocols NO MESSAGES Install Started for GMTS 2 7 58 Dec 26 2002 09 06 33 Build Distribution Date Mar 14 2002 Installing Routines Dec 26 2002 09 06 34 lling PACKAGE COMPONENTS lling PRINT TEMPLATE lling OPTION Dec 26 2002 09 06 37 Running Post Install Routine POST GMTSP58 Updating Routine file Updating KIDS files GMTS 2 7 58 Installed Dec 26 2002 09 06 39 Not a production UCI NO Install Message sent Call MENU rebuild February 2011 Health Summary V 2 7 Technical Manual 43 Other Kernel Print Options Besides using the Kernel In
22. 7 gt COMMENTS ON LABS Health Summary Sit Pa specimen horizontal format Comments will rameter When valu of the DISPLAY comments ar a lower case letter will be displayed to the left of the date Comments will be displayed after all the Health Summary V 2 7 Technical Manual 55 Appendices TIME 10 gt results are displayed with comments being linked by th 11 gt Up to 26 comments can be included EDIT Option lt RET gt PRINT ROUTINE This is th run fora a semi col PRINT ROUTINE LIMITS APP TIME This field print this to be disp Y LIMITS APP MAXIM MAXIMUM OCCURRE HOSPITAL LOCATI lower case letter MAIN GMTSLRSC e entry point and routine to be called when the component is given health summary type Enter the line label followed by on followed by the routine name e g MAIN GMTSLRC MAIN GMTSLRSC RET JICABLE yes is set up by the programmer to indicate whether the routine to component will allow a time range to be applied to the data layed in the Health Summary Choose from yes ICABLE yes RET UM OCCURRE This field which prin on the Hea Choose from Y NCES APPLICABLE yes is used by the programmer to indicate whether the routine ts this component is set up to handle maximum occurrence limits lth Summary yes NCES
23. APPLICABLE yes RET ON APPLICABLE This field is used by the programmer to indicate whether the routine which prints this component is set up to handle the display of the hospital location abbreviation on the Health Summary Choose from Y yes HOSPITAL LOCATION APPLICABLE RET ICD TEXT APPLICABLE This field is used by the programmer to indicate whether the routine which prints this component is set up to handle the display of standardized ICD text on the Health Summary Choose from Y yes ICD TEXT APPLICABLE lt RET gt PROVIDER NARRATIVE APPLICABLE This field is used by the programmer to indicate whether the routine which prints this component is set up to handle the display of the 56 Enter the e g lab signs fil H provider narrative on the Health Summary Choose from Y yes PROVIDER NARRATIVE APPLICABLE RET LOCK To be used for components such as psychology test results Restricts viewing access under Print Health Summary Menu LOCK RET DEFAULT HEADER NAME The DEFAULT HEADER NAME will appear in menus and component headers in preference to the COMPONENT NAME but NOT in preference to the local HEADER NAME if it is defined for that component within a given Health Summary Type If defined the local HEADER NAME w
24. ET TIME LIMITS APPLICABLE y yes MAXIMUM OCCURRENCES APPLICABLE y yes HOSPITAL LOCATION APPLICABLE RET ICD TEXT APPLICABLE lt RET gt PROVIDER NARRATIVE APPLICABLE RET LOCK RET DEFAULT HEADER NAME Nuclear Medicine Select SELECTION FILE RET ADD new Component to the AD HOC Health Summary NO y Y Fl v gt gt gt EDITING the GMTS HS ADHOC OPTION Health Summary Type SUPPRESS PRINT OF COMPONENTS WITHOUT DATA yes lt RET gt Do you wish to review the Summary Type structure before continuing NO lt RET gt Select COMPONENT NUCLEAR MEDICINE lt RET gt NUC SUMMARY ORDER 400 400 OCCURRENCE LIMIT 5 TIME LIMIT 21d HOSPITAL LOCATION DISPLAYED y yes Health Summary V 2 7 Technical Manual February 2011 ICD TEXT DISPLAYED Indicate whether the long form short form code only text only or no form of ICD diagnosis text should appear in applicable components Choose from L long text S short text C code only T text only N none ICD TEXT DISPLAYED c code only PROVIDER NARRATIVE DISPLAYED y yes HEADER NAME Nuclear Medicine RET Please hold on while I resequence the summary order gt gt gt R
25. For example if your site decides that only holders of the LRSPUSER key should be allowed to view the Surgical Pathology Health Summary component then entering the name of that security key in the LOCK field of that component s record will enforce that policy VA FileMan File Protection The Health Summary package files are exported with the following file protection provided by VA FileMan File Number Name DD RD WR DEL LAYGO AUDIT eee A EE File 142 98 Health Summary User Q Q Q Q a Preferences File 142 99 Health Summary Parameters poule February 2011 Health Summary V 2 7 Technical Manual 63 Appendices Index A A Ad Hoc Health Summaries 15 47 Ad Hoc Summary Driver 33 ancillary packages 1 Appendix A Defining New Components 49 Appendix D Health Summary Security 59 B batch processing 16 C Callable Routines 32 Components 47 Components and Types 1 Create Modify Health 11 Create Modify Health Summary Components 53 Create Modify Health Summary Type 12 Creating Health Summary Objects 5 12 61 customized 16 Customized Health Summary Types 16 Customizing the AD HOC Health Summary Type 17 p Data Dictionaries 44 Database Integration Agreements 37 Default 47 Default parameters 11 15 Defining New Components 49 Definitions 1 Disable Enable Health Summary Component 11 DISABLED components 11 E E3Rs 49 Edit Ad
26. INIT ROUTINE POST GMTSP58 PRE TRANSPORT RTN TH SUMMARY OBJ INPUT TEMF E le Print HEALTH SUMMARY 2002 8 57 am he description of this build is found in the National Patch Module under DATA COMES ST W FILI TS E HLTH SUM TYPI TS EXIST HS TYPE TS HLTH SUM TYPE NE TS1 TS2 TSALG TSCNB SDEM2 TSLRC I SLROB SLRS SLRS7 200000000 NANNNNNNNN Ej Bl Ed Bd Ed Bd Ed Bl EH El pi pd EEE U U U UUUUU U Ee El eH BA ca Ee er ni February 2011 Health Summary V 2 7 Technical Manual 41 SLRSC SLRTE SOBA l SOBA2 SOBD TSOBE TSOBH SOBI TSOBJ SOBL SOBL2 I SOBS l SOBS2 SOBT SOBU TSOBV SPXFP SRASP SRM rSULT rSULT5 SUP TSVSD TSXAB E D Er Dr Dr Dr Dr Dr Dn Dr Dr Dr Dn Db Db Db Db Db Db Db Db Db Db Dd QU UUUUUUIUUUIUUUUWUUUUUUUUUUG Ei Ej Ed Ed Ed Ed Dd EH E Ed Ed EH Dd Ed Ed Ed Ed Bd Ed B3 Ed bd Ed bi NNNNNNNNNNNNNNNNNNNNNNUNU AQAAMNADAAARAAARAAAARAAAAAAAARAAAAA O tg H H ON MTS MTS MTS MTS MTS MTS MTS MTS MTS MTS UILD MENU HS LIST DI ULTS HS LIST MI HS LIST PARAMETERS HS LIST PRECEDENCE REPORTS l MENU SITE ADD EDIT LIST SITE COMPILE METHOD SITE SITE E EFAULTS MTS SITE MTS I SI
27. J ENTER EDIT 2 Inquire about a Health Summary Object GMTS OBJ INQ 3 Test a Health Summary Object GMTS OBJ TEST 4 Delete Health Summary Object GMTS OBJ DELETE 5 Export Import a Health Summary Object GMTS OBJ EXPORT IMPORT 1 Export a Health Summary Object GMTS OBJ EXPORT 2 Import Install a Health Summary Object GMTS OBJ IMPORT INSTALL 9 CPRS Reports Tab Health Summary Types List Menu GMTS GUI REPORTS LIST MENU 26 Health Summary V 2 7 Technical Manual February 2011 Exported Menus and Options 1 Display Health Summary Types List Defaults GMTS GUI HS LIST DEFAULTS 2 Precedence of Health Summary Types List GMTS GUI HS LIST PRECEDENCE 3 Method of compiling Health Summary Types List GMTS GUI HS LIST METHOD 4 Edit Health Summary Types List Parameters GMTS GUI HS LIST PARAMETERS 10 CPRS Health Summary Display Edit Site Defaults GMTS GUI SITE DEFAULTS 1 Display Site Health Summary List Defaults GMTS GUI SITE DISPLAY DEFAULTS 2 Edit Health Summary Types List Parameters GMTS GUI SITE ADD EDIT LIST 3 Edit Default HS Type List Compile Method GMTS GUI SITE COMPILE METHOD 4 Add Edit Allowable Entities for HS List GMTS GUI SITE PRECEDENCE 5 Resequence Allowable Entities for HS List GMTS GUI SITE RESEQUENCE Function Health Summary exports a function called GMTS COMPONENT NAME It is used for writing the HEADER NAME DEFAULT HEADER NAME or COMPONENT NAME in Health Summary reports February 2011 Health S
28. MTS HS ADHOC 3 Range of Dates Patient Health Summary GMTS HS BY PATIENT amp DATE RANG 4 Visit Patient Health Summary GMTS HS BY PATIENT amp VISIT 5 Hospital Location Health Summary GMTS HS BY LOC 6 Information Menu GMTS INFO ONLY MENU 1 Inquire about a Health Summary Type GMTS TYPE INQ 2 List Health Summary Types GMTS TYPE LIST 3 Inquire about a Health Summary Component GMTS COMP INQ 4 List Health Summary Components GMTS COMP LIST 7 CPRS Reports Tab Health Summary Types List Menu GMTS GUI REPORTS LIST MENU 1 Display Health Summary Types List Defaults GMTS GUI HS LIST DEFAULTS 2 Precedence of Health Summary Types List GMTS GUI HS LIST PRECEDENCE 3 Method of compiling Health Summary Types List GMTS GUI HS LIST METHOD 4 Edit Health Summary Types List Parameters GMTS GUI HS LIST PARAMETERS 4 Health Summary Maintenance Menu GMTS IRM ADPAC MAINT MENU 1 Disable Enable Health Summary Component GMTS IRM ADPAC ENABLE DISABLE 2 Create Modify Health Summary Components GMTS IRM ADPAC COMP EDIT 3 Edit Ad Hoc Health Summary Type GMTS IRM ADPAC ADHOC EDIT 4 Rebuild Ad Hoc Health Summary Type GMTS IRM ADPAC ADHOC LOAD 5 Resequence a Health Summary Type GMTS IRM ADPAC TYPE RESEQUENCE 6 Create Modify Health Summary Type GMTS TYPE ENTER EDIT 7 Edit Health Summary Site Parameters GMTS IRM ADPAC PARAMETER EDIT 8 Health Summary Objects Menu GMTS OBJ MENU 1 Create Modify Health Summary Object GMTS OB
29. OGY FORDS IMPLEMENTATION 4 01 05 GMTS 2 7 73 CORRECT BRANCH OF SERVICE IN 7 18 05 DEMOGRAPHIC DISPLAY GMTS 2 7 74 HEALTH SUMMARY GAF COMPONENT 11 21 05 GMTS 2 7 75 RESTORE DISPLAY OF CLINICAL REMINDERS 10 24 06 DISCLAIMER GMTS 2 7 76 ALPHA MODIFIERS NOT SHOWING AND 5 04 06 COMMENTS PRINTI GMTS 2 7 77 MENTAL HEALTH COMPONENTS 1 07 08 GMTS 2 7 78 NEW VITALS API AND OUTPATIENT PHARMACY 4 24 06 API GMTS 2 7 79 CORRECT REFERENCE RANGES ON REPORT 12 22 05 TABS GMTS 2 7 80 PHARMACY ENCAPSULATION 8 20 08 GMTS 2 7 81 VHA Enterprise Standard Title Display in Health 5 08 06 GMTS 2 7 82 E SIG BLOCK HEALTH FACTORS CLINICAL 9 19 08 REMINDERS F GMTS 2 7 83 DIETETICS COMPONENT UPDATE 9 28 07 GMTS 2 7 84 ADDING REASON FOR STUDY DISPLAY TO 8 20 08 RADIOLOGY RE GMTS 2 7 85 RESTRICT SENSITIVE DATA ON HEALTH 3 19 08 SUMMARY PRINT GMTS 2 7 87 NATIONAL HEALTH SUMMARY TYPES FOR 10 30 07 SKIN RISK ASSESSMENT GMTS 2 7 89 SUPPORT OF CLINICAL REMINDERS 9 16 09 ENHANCEMENTS GMTS 2 7 90 ADD EARLIEST APPROPRIATE DATE TO HS 3 11 ADHOC REPORT GMTS 2 7 91 MHAL AND MHAS COMPONENTS NOT SHOWING 6 26 09 ALL ADMINISTRATIONS GMTS 2 7 93 COMBINE UNITS ON TRANSFUSION REPORT 6 22 10 10 Health Summary V 2 7 Technical Manual February 2011 Health Summary Implementation amp Maintenance The Health Summary Maintenance Menu contains the following options for implementing and maintaining Health Summary Option Description O o O Disabl
30. ORIDE 2 UREA NITROGEN 6 CO2 3 SODIUM E GLUCOSE 4 POTASSIUM 8 ANION GAP Select 1 7 LAB TEST s 1 7 1 5 8 CREATININE UREA NITROGEN SODIUM POTASSIUM CHLORIDE ANION GAP Select SELECTION ITEM Please hold on while I resequence the summary order ee ee ee eee gt gt gt Returning to Create Modify Health Summary Component Option Select COMPONENT lt RET gt Next we ll illustrate the case where a Nuclear Medicine component created on site is to be added to the component file and Ad Hoc Summary Type Select Health Summary Maintenance Menu Option 2 Create Modify Health Summary Components Create Modify Health Summary Components Select COMPONENT NUCLEAR MEDICINE Are you adding NUCLEAR MEDICINE as a new HEALTH SUMMARY COMPONENT Y Yes HEALTH SUMMARY COMPONENT NUMBER 5000002 RET Do you wish to duplicate an existing COMPONENT YES NO NAME NUCLEAR MEDICINE RET PRINT ROUTINE This is the entry point and routine to be called when the component is run for a given health summary type Enter the line label followed by a semi colon followed by the routine name e g MAIN GMTSLRC PRINT ROUTINE NUC A5AMED ABBREVIATION NUC DESCRIPTION 1 gt This component created at site name gt prints nuclear medicine 2 gt report data including Study date time Radiologist Report Status 3 gt Impression and Report text 4 RET EDIT Option R
31. PRS Report Tab NDBI 10 04 01 GMTS 2 7 48 Remote Oncology View 09 05 01 GMTS 2 7 50 Spinal Cord Dysfunct 02 01 02 GMTS 2 7 49 Demographics HS Type 03 05 02 8 Health Summary V 2 7 Technical Manual February 2011 Released Patches for Health Summary 2 7 cont d GMTS 2 7 51 Radiology fixes 04 25 02 GMTS 2 7 54 Oncology ICD O 3 Impleme 05 07 02 GMTS 2 7 55 Demographics Progress No 05 23 02 GMTS 2 7 52 Problem List HNC MST Cha 05 24 02 February 2011 Health Summary V 2 7 Technical Manual GMTS 2 7 56 Division Parameter Demog 09 10 02 GMTS 2 7 57 Surgery Data Extracts 9 7 04 GMTS 2 7 58 HS Objects and Components 1 03 GMTS 2 7 59 BLOOD BANK COMPONENTS 12 6 02 GMTS 2 7 60 Race and Ethnicity Demographics 1 15 03 GMTS 2 7 61 Remote Medicine Report Fix 12 10 02 GMTS 2 7 62 MED RXIV HF Miscellaneous 9 23 03 GMTS 2 7 63 Selection of Individual Health Factors 2 15 05 GMTS 2 7 64 TWEAK TO STANDARD REMOTE HEALTH 10 7 03 SUMMARIES GMTS 2 7 65 Non VA Medications 5 20 04 GMTS 2 7 66 CPRS HS REPORT ALLOCATION ERRORS 7 29 04 GMTS 2 7 67 NOT USED GMTS 2 7 68 TRANSITIONAL PHARMACY HS OBJECT TYPE 9 12 03 GMTS 2 7 69 Health Summary Resequencing Medicine Correction 2 23 04 GMTS 2 7 70 GMTS SCHEDULING REPLACEMENT UPDATE 12 27 06 GMTS 2 7 71 CTD HS Code Text Descriptors 12 08 04 GMTS 2 7 72 ONCOL
32. STITL Text of Title GMTSPX1 Optional internal FM date for range ending date GMTSPX2 Optional internal FM date for range beginning date NOTE Optional date range variables are both required if a date range is desired Returns Health Summary report for a patient and the February 2011 Health Summary V 2 7 Technical Manual 33 Callable Routines Routine GMTSADOR Ad Hoc Summary Driver Entry Point Comments MAIN Entry point to allowing the user to define components and defaults through i i the Ad Hoc menu interface and print health summaries for a programmer i specified patient and device i Receives DEN as valid patient internal entry number If DFN is not i defined but the ORVP variable is DEN will be set to the DEN in this variable This is done to allow this entry point to be i called through a protocol in support of OE RR If DFN and ORVP don t exist the user will be prompted to enter a patient Routine GMTSDVR Health Summary Alternate Driver OE RR V2 5 compatible Entry Point Comments i ENX DEN Entry point with parameters for printing a health summary GMTSTYP i for a programmer specified patient and device without prompting GMTSPX2 i for additional information GMTSPX1 i i Receives DEN as valid patient internal entry number GMTSTYP as a valid health summary type internal entry number GMTSPX1 and GMTSPX2 are optional Date and Range variables They allow the time lim
33. TE MTS IRM ADPAC MTS OBJ ET MTS OBJ TER E MTS OBJ PORT MTS OBJ PORT IMPORT MTS OBJ INSTALL MTS OBJ MTS OBJ MTS OBJ MTS TYP AS LINK FOR MENU ITI TO SI roO SI roO SI roO SI roO SI roO SI roO SI roO SI roO SI roO SI TO SI AS LINK FOR MENU ITI roO SI roO SI roO SI roO SI ro SI ro SI TO SI ro SI roO SI 3 a s a m a HHHHHHHHHH m QAAABAAMAAAAU U U U UUUUUUU U 3 Ed Ed Er Er Er Er Er Er Er Er El a DO 5 js m a m H Z HHA Ep O Dm DE Zi x 5 um m 5 E m E m E m E m E m E m E E E E p n Dp n Dp B 2z2z2zz2zz2zzzam 2zz2zzz2zazazaz e QU UUUUUUUuUu 3 G G G G G G G G G G G G G G G G G G G G G G ANNNNNNNNAGANNNNNNNNNNNG Ed pd pd D Dn Dn Dn 8 DW zj 10 G IRED BUILDS ACTION MTS 2 7 49 Don t install leave global MTS 2 7 56 Don t install leave global QQ 42 Health Summary V 2 7 Technical Manual February 2011 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 Select Utilities Option Install File Print Select INSTALL NAME GMTS 2 7 58 Install Completed 2 26 0
34. TS 2 7 9 Lab Orders Surgical 11 08 96 GMTS 2 7 10 PCE Components 03 04 97 GMTS 2 7 11 SURGERY COMPONENT FI 10 23 98 GMTS 2 7 12 TIU COMPATIBLE COMPO 09 29 97 GMTS 2 7 13 Spinal Cord Dysfunct 01 06 97 GMTS 2 7 14 Updated Rad Nuc Med 05 15 97 GMTS 2 7 15 Pharmacy amp Current O 06 05 98 GMTS 2 7 16 Health Summary Fixes 10 07 97 GMTS 2 7 17 Blood Bank Component 10 07 97 GMTS 2 7 18 Code change to accom 03 27 98 GMTS 2 7 19 Duplicates on CVP co 10 10 97 GMTS 2 7 20 UPDATED COMPONENTS f 06 05 98 GMTS 2 7 21 Report headings and 03 30 98 GMTS 2 7 22 Reminders historical 11 10 97 GMTS 2 7 23 NEW REMINDER COMPONE 02 05 98 GMTS 2 7 24 Patient selection amp 03 30 98 GMTS 2 7 25 Component fixes 09 10 98 GMTS 2 7 26 Imaging Component 09 09 99 GMTS 2 7 27 Y2K COMPLIANCE CHANG 04 17 98 GMTS 2 7 28 Y2K NKA LAB VITAL 03 05 99 GMTS 2 7 29 Remote Data View Pri 05 17 01 GMTS 2 7 30 HS Type Lookup Concu 08 06 99 GMTS 2 7 31 Inactive Clinics 10 12 99 GMTS 2 7 32 Fix HS Type Lookup 09 28 99 GMTS 2 7 33 Progress Notes by Vi 10 13 99 GMTS 2 7 34 Clinical Reminder Di 06 21 00 GMTS 2 7 35 Vitals GAF Oncology 05 19 00 GMTS 2 7 36 Oncology Lab Ad Hoc 12 06 99 GMTS 2 7 37 CPT Modifiers and RX 07 28 00 GMTS 2 7 40 Undefined Variable D 09 01 00 GMTS 2 7 42 Oncology Component C 12 21 00 GMTS 2 7 43 HFS Window Print Fix 05 07 01 GMTS 2 7 44 Error in GAF Score 12 27 00 GMTS 2 7 45 Interdisciplinary Pr 04 20 01 GMTS 2 7 46 Consults Brief Component 06 28 01 GMTS 2 7 47 C
35. ace in turn enhances Health Summary by allowing Health Summary users e Multiple Patient Selection You can select multiple patients from ward clinic treating specialty attending physicians personal or team lists Health Summary uses enhanced patient look up routines in CPRS for reporting results Relationship to Integrated Billing s Encounter Form Utilities The Integrated Billing package Encounter Form Utilities includes a Print Manager that allows sites to define reports that should print along with encounter forms for a specific clinic or division and for specified appointments One of the options Define Available Health Summary allows a health summary to be made available for use by the print manager See the JB Encounter Form Utilities User Manual for further information February 2011 Health Summary V 2 7 Technical Manual 15 Nightly Batch Processing The Health Summary package allows coordinators to schedule batch processing of health summaries for patients in a particular ward or to schedule batch processing of health summaries a specified number of days before patients are scheduled for clinic visits or operating rooms The benefits of batch processing are 1 It enables the clinic to have the most currently available clinical information when the patient arrives for the appointment and 2 Processing of the prints takes place during non peak computer hours To use this feature the IRM Service must first use the
36. al record Printed Health Summary information is patient information that is retrievable by patient identifier and is considered part of the patient record However since the information on the Health Summary can be found elsewhere in the patient record administrators in a Medical Center can choose whether or not to file hard copies of health summaries in the medical record If you choose to file copies in the medical record be aware that information in a health summary is only a summary and may not be complete in many cases Health Summary V 2 7 Technical Manual February 2011 February 2011 Health Summary V 2 7 Technical Manual 31 Callable Routines 32 Health Summary V 2 7 Technical Manual February 2011 Callable Routines Health Summary does not provide any publicly supported entry points Included below is a list of entry points that are used by the Health Summary package Use of these entry points by other packages requires a private Data Base Integration Agreement DBIA with Health Summary Routine GMTS Health Summary Main Routine Entry Point Comments ENCWA Entry point for printing without going through Health Summary print i options and a pre defined health summary type Receives DEN as valid patient internal entry number GMTSPRM CD CN CW ADR These are valid component abbreviations from the C cross reference of File 142 1 Does not support components that require selection items GMT
37. cement to one of the components that Health Summary provides it can be a totally new one that accesses DHCP data that Health Summary currently doesn t provide a component for or it can be one to access non DHCP supported Class III software packages NOTE Please be aware that locally created components are not supported by National VISTA Service NVS or Systems Design and Development SD amp D A Health Summary basket has been set up on SHOP ALL where sites can put their locally developed component routines in order to share this information with the rest of the DHCP community We encourage you to take a look at what has already been done as this may save you some time To access SHOP ALL from FORUM 1 Enter SHOP ALL at your menu prompt and you ll be logged on to SHOP ALL 2 Enter SURROGATE NAME SHOP ALL 3 Select Mailman Option Read Mail 4 Enter the Health Summary mail basket We would also like you to add any components you have created locally to SHOP ALL February 2011 Health Summary V 2 7 Technical Manual 51 Appendices 52 Format for Adding Components to SHOP ALL If you have components you would like to share please use the following instructions format 1 Start the subject of the message with HS Vx x brief subject component name where x x will be the version 2 Include a description sample of the report and the routines to produce the report The routine should be under the name space ass
38. cocccscessascvascossosseccocnvconssevdeessanedensessedovasscaseesecasseassanssensesseseacssseseaseceosasses 47 GLOSSAR RE 49 APPENDIX A DEFINING NEW COMPONENTS eene 51 APPENDIX B HEALTH SUMMARY SECURITY eene 61 INDEX 64 vi Health Summary V 2 7 Technical Manual February 2011 Introduction to Health Summary Definition of a Health Summary A health summary is a user customized clinical summary report consisting of patient information components Each component presents the most currently available summary data from one of the ancillary packages listed below for a given patient with optional limits by time number of occurrences and selection items These summaries can be viewed online or printed Packages Providing Data Automated Med Info OE RR Order Entry Results Reporting Exchange AMIE Outpatient Pharmacy Allergy Tracking System Patient Care Encounter PCE Clinical Reminders Problem List Consults Progress Notes Dietetics Radiology Discharge Summary Registration Inpatient Medications Scheduling Lab Social Work Medicine Surgery Mental Health VISTA Imaging Nursing Vital Signs Components and Types Components and their behavior are specified by records in the Health Summary Component file 142 1 When a permanent Health Summary is created its type as defined by the owner creator is saved in the Health Summary Type file 142 De
39. d in the Patient Data Exchange s PDX VAQ DATA SEGMENT file 394 71 This provides two methods for health care providers and cancer registrars to request and view oncology data on a patient seen at multiple sites Remote Data Views for CPRS GUI users and Patient Data Exchange for List Manager users Patch GMTS 2 7 49 Demographics HS Types List A menu of options has been added CPRS Health Summary Display Edit Site Defaults that allows IRM Managers to control which Health Summary Types are on the reports tab and the order that the Health Summary Types appear in for the site These site defaults will be used for users who do not have personal preferences set This menu has four menu items to edit and display defaults for the site GMTS 2 7 50 Spinal Cord Dysfunction Update GMTS 2 7 51 Radiology fixes GMTS 2 7 52 Problem List HNC MST Changes GMTS 2 7 53 Demographics Progress Notes Fixes GMTS 2 7 54 Oncology ICD O 3 Implementation February 2011 Health Summary V 2 7 Technical Manual 5 Introduction GMTS 2 7 55 GMTS 2 7 56 GMTS 2 7 57 Demographics Progress Note Fixes DIVISION PARAMETER DEMOGRAPHICS AND OTHER FIXES SURGERY DATA EXTRACTS Patch GMTS 2 7 58 HS Objects and CNB ADR NOK SII Components A menu of options has been added Health Summary Objects Menu that allows IRM Managers to create Health Summary Objects to be used inside other documents This menu also includes the ability to view test and export import
40. e Enable Health Summary Selectively enable or disable Health Summary Component Components A disable action may be identified as either temporary or permanent When a component is temporarily disabled an OUT OF ORDER MESSAGE may be entered and displayed with the component When permanently disabled the component is not displayed Create Modify Health Create modify new Health Summary components either by Summary Components duplication and renaming of existing components or by entering all appropriate fields for a component created on site Edit Ad Hoc Health Summary Enter edit a component s default parameters Time and Type Occurrence limits Selection Items Hospital Location Displayed ICD Text Displayed Provider Narrative Displayed Header names and whether to print component headers if no data is available or delete components of the Ad Hoc Health Summary Type Rebuild Ad Hoc Health Summary Reloads the Ad Hoc Health Summary Type with ALL Type previously defined components including any defined by the site and optionally all DISABLED components sequenced alphabetically by name Disabled components will not be displayed but when they are re enabled will automatically show up in the Ad Hoc Health Summary if they are included in the rebuild Resequence a Health Summary Resequence the components of a given Health Summary Type Type from 5 in increments of 5 e g 5 10 15 20 5n where n is the total number of compon
41. election Item field This can be done through the Create Modify Health Summary Components option on the Health Summary Maintenance Menu 4 In your application code access the GMTSEG variable to determine the Selection Items for the file The format of this array is GMTSEG GMTSEGN file number Selection Item internal file number GMTSEGN is the internal file number for the component You can ORDER on the third subscript of the array and get the Selection Item s internal file number In your extract routine you will then limit the extract to only retrieve records for the specified Selection Items NOTE Typically users at sites should not modify files However in order to include new components with selection items it is necessary to modify a file s structure Therefore we recommend extreme caution while following the procedures above 54 Health Summary V 2 7 Technical Manual February 2011 Create Modify Health Summary Components The following sample dialogue can assist you in creating your own local health summary components NOTE When selecting components from the Ad Hoc Health Summary menu entering ALL allows all components to be selected If the first three characters of a HEADER NAME for a component are designated as All however then only the defined component will be selected Avoid conflicts and loss of functionality by not using all at the front of new header names Summary Components
42. ents February 2011 Health Summary V 2 7 Technical Manual 11 Option Description Create Modify Health Summary Type Health Summary Objects Menu Edit Health Summary Site Parameters Create a new or modify an existing health summary type New types created by this option automatically define the type s owner as the creator unless the creator holds the GMTSMGR security key If the creator has this key the GMTSMGR holder may designate anyone as the owner Use this option to access utilities to add edit a Health Summary Object display the characteristics of a Health Summary Object test a Health Summary Object or export import a Health Summary Object Edit four Health Summary parameters to local specifications 1 PROMPT FOR ACTION PROFILE editing this parameter to YES allows users to be prompted for printing a patient s Outpatient Pharmacy Action Profile in tandem with a health summary 2 INCLUDE BAR CODE ON ACTION PROFILES editing this parameter to YES allows bar codes to be printed with Action Profiles 3 INCLUDE COMMENTS ON LABS editing this parameter to YES causes comments to be printed in the Chemistry and Hematology the Lab Test Selected and the Lab Cumulative components 4 SPOOL DEVICE specify spool device name to which Health Summary output can be directed during a PDX request Health Summary V 2 7 Technical Manual February 2011 Implementation amp Maintenance Se
43. enu For the extract routine we recommend that you set the data to the TMP name J global The display routine will get the data from this global and display print it For the extract routine you call it with the DFN Patient Internal File Number variable Optionally you could set it up for time and occurrence limits GMTSEND Fileman date to be used as the ending date for displaying data GMTSBEG Fileman date to be used as the beginning date for Health Summary V 2 7 Technical Manual February 2011 displaying data and GMTSNDM Maximum number of occurrences to display are the variables to use to allow for time and occurrence limits In your extract routine make sure the date of the data is between the dates in the GMTSBEG and GMTSEND variables Use the GMTSNDM variable to make sure you only get the maximum number of records that were entered for the occurrence limits Depending on how the cross references are set up in the file you are extracting data from you may want to use the reverse SORDER M command or a cross reference with an inverted Fileman date to get the most recent data first When putting the data into the TMP global you can invert the date 9999999 Date as one of the subscripts Or you can just include the date When displaying the data you will need to use the Reverse SORDER M command to get the most recent data to display first if you don t use an inverted date subscript NOTE Inverted Fileman dates mean tha
44. eturning to Create Modify Health Summary Component Option Select COMPONENT RET February 2011 Health Summary V 2 7 Technical Manual 59 Appendices 60 Health Summary V 2 7 Technical Manual February 2011 Appendix B Health Summary Security Health summaries produced by this package are highly confidential and should be treated with the same security precautions as a patient s medical record Menu Access The Health Summary Overall Menu GMTS MANAGER contains four menus 1 GMTS USER 2 GMTS ENHANCED USER 3 GMTS COORDINATOR 4 GMTS IRM ADPAC MAINT MENU Assign these menus as follows See the Health Summary User Manual for complete user descriptions of menus and options 1 Give the Health Summary Menu GMTS USER menu to users who only need to print or display health summaries Give the Health Summary Enhanced Menu GMTS ENHANCED USER menu to users who need to create modify or delete their own health summary types in addition to printing health summaries Give the Health Summary Coordinator s Menu GMTS COORDINATOR menu to users who need to print or display health summaries and who will also need to create modify or delete health summary types and set up nightly batch printing at specified locations Give the Health Summary Maintenance Menu GMTS IRM ADPAC MAINT MENU to IRM staff or the Clinical Coordinator for any implementation and maintenance issues in Health Summary Thi
45. finitions Component Summarized patient data extracted from various DHCP software packages Type A structure or template containing defined components and unique characteristics February 2011 Health Summary V 2 7 Technical Manual 1 Introduction Printing Health Summaries Permanent or pre defined health summaries may be run or printed for a single patient or all patients at a given hospital location Patient Health Summary and Hospital Location Health Summary options If a clinic or operating room location is selected instead of a ward in the Hospital Location Health Summary option the user will be prompted to enter a beginning and ending visit or surgery date Only those patients with visits or surgeries scheduled for the specified date will have health summaries generated PDX Transmission of Health Summaries Health Summaries except components with selection items or unique local components can be transmitted by PDX Patient Data Exchange which transfers patient data between VA facilities using the MailMan electronic mail utility See PDX V 1 5 documentation for more information 2 Health Summary V 2 7 Technical Manual February 2011 New Features in Health Summary Some of the more recent patches are described below For complete descriptions of all of the changes in Health Summary since the release of version 2 7 in 1994 please refer to the patches described briefly on the following pages and in more detail in the Pa
46. five occurrences The creator of a health summary type Owners and holders of the GMTSMGR security key have sole access to modify their health summary type s For some components when this flag is enabled and a provider enters narrative text the text will be displayed The order in which components appear in a health summary as defined by the creator of a Summary Type The structure or template containing defined components and the unique characteristics with occurrence and time limits and selection items Used to print health summaries for patients The time period of reference included on a health summary for a particular component e g 2D 1M 1Y for two days one month and one year The name for the VHA program responsible for installing an integrated computer system in all VHA medical facilities 50 Health Summary V 2 7 Technical Manual February 2011 Appendix A Defining New Components We encourage sites to submit E3Rs for new components or enhancements to existing components that they believe will be useful on a national basis The Health Summary Expert Panel EP will evaluate these requests If the EP approves the request these new components will be provided as patches or in a future version of the Health Summary package depending on the priority that is given to the request Sites have the option to create new components for Health Summary to provide for their site specific needs This may be an enhan
47. g Health Summary Types List GMTS GUI HS LIST METHOD 4 Edit Health Summary Types List Parameters GMTS GUI HS LIST PARAMETERS 2 Health Summary Enhanced Menu GMTS ENHANCED USER 1 Patient Health Summary GMTS HS BY PATIENT 2 Ad Hoc Health Summary GMTS HS ADHOC 3 Range of Dates Patient Health Summary GMTS HS BY PATIENT amp DATE RANG 4 Visit Patient Health Summary GMTS HS BY PATIENT amp VISIT 5 Hospital Location Health Summary GMTS HS BY LOC 6 Information Menu GMTS INFO ONLY MENU 1 Inquire about a Health Summary Type GMTS TYPE INQ 2 List Health Summary Types GMTS TYPE LIST 3 Inquire about a Health Summary Component GMTS COMP INQ 4 List Health Summary Components GMTS COMP LIST 5 List Health Summary Component Descriptions GMTS COMP DESC LIST 7 Create Modify Health Summary Type GMTS TYPE ENTER EDIT February 2011 Health Summary V 2 7 Technical Manual 25 Menus and Options 8 Delete Health Summary Type GMTS TYPE DELETE 9 CPRS Reports Tab Health Summary Types List Menu GMTS GUI REPORTS LIST MENU 1 Display Health Summary Types List Defaults GMTS GUI HS LIST DEFAULTS 2 Precedence of Health Summary Types List GMTS GUI HS LIST PRECEDENCE 3 Method of compiling Health Summary Types List GMTS GUI HS LIST METHOD 4 Edit Health Summary Types List Parameters GMTS GUI HS LIST PARAMETERS 3 Health Summary Menu GMTS USER 1 Patient Health Summary GMTS HS BY PATIENT 2 Ad Hoc Health Summary G
48. igned to your station e g Madison ALW Cincinnati AFR Send to SHOP ALL ISC CHICAGO VA GOV 3 The message will go to the IN Basket at SHOP ALL The SHOP ALL administrators will read the IN basket daily and save the message to a basket called Health Summary Hints for Developing local site components Before writing your own components review some of the existing routines that have been written Some good examples are the Patient Care Encounter the Discharge Summary or the Compensation and Pension components with the display routines in the Health Summary name space and the extract routines in the custodial package s name space We suggest that when creating new components you write two separate routines one to extract the data and one to display the data The display routine will call the extract routine and then display the data that was extracted Put any local routines you develop in your site s routine name space Local site components will be entered into the Health Summary Component File 142 1 file with an internal file number beginning with your site number plus an additional 3 digits e g At Salt Lake VAMC the first number would be 660001 This is to assure that nationally developed components are not overlaid by local site developed components or vice versa You will be prompted with a valid number when you enter a new component via the Create Modify Health Summary Components option on the Health Summary Maintenance M
49. ill have precedence within a given Health Summary Type DEFAULT HEADER NAME Chem 7 Select SELECTION FILE Choose from LABORATORY TEST names or numbers of the files from which selection items tests file 60 radiology procedures file 71 or vital e 120 51 may be chosen for this component ealth Summary V 2 7 Technical Manual February 2011 Choose from 60 LABORATORY TEST 71 RADIOLOGY PROCEDURES 120 51 VITAL TYPE 811 9 PCE REMINDER MAINTENANCE ITEM 9001017 HEALTH SUMMARY MEAS PANEL 9999999 64 HEALTH FACTORS Select SELECTION FILE 60 LABORATORY TEST OK Yes RET Yes SELECTION FILE LABORATORY TEST RET SELECTION COUNT LIMIT Enter the MAXIMUM number of selection items which may be selected for any single appearance of this component in a given health summary type That is a value of 7 will allow the user to select as many as seven items etc SELECTION COUNT LIMIT 7 Select SELECTION FILE RET Fl n ADD new Component to the AD HOC Health Summary NO y Y EDITING the GMTS HS ADHOC OPTION Health Summary Type SUPPRESS PRINT OF COMPONENTS WITHOUT DATA This field allows health summary types to be set up to suppress printing of components that contain no data when health summaries are printed from a device When health summary type
50. ing format code and long February 2011 Health Summary V 2 7 Technical Manual 17 18 description code and short description code only long description only or nothing This control is independent of whether provider narrative is displayed Choose fr ICD TI either or both may be specified om long text short text code only text only none XT DISPLAYED S short text PROVIDER NARRATIVE DISPLAYED his fiel applies t Outpatien control i d controls whether provider narrative is displayed or not It o components where provider narrative is applicable e g PCE t Encounters PCE Outpatient Diagnosis Problem List All This s independent of whether or not ICD text is displayed either or both may be specified If not specified provider narrative will be displayed by default Choose from Y N yes no PROVIDER NARRATIVE DISPLAYED Y yes HEADER NAME Active Problems lt RET gt Select COMPONENT lt RET gt Do you wish to review the Summary Type structure before continuing NO lt RET gt YES HEALTH SUMMARY TYPE INQUIRY Type m Order Name GMTS HS ADHOC OPTION itle Ad Hoc Health Summary Type Owner LOCK GMTSMGR ESS PRINT OF COMPONENTS WITHOUT DATA Max Hosp Prov Component Name Time Loc Narr Selection Active Problems Disabled Components
51. its to be overridden for components that use time limits Thus beginning and ending dates can be specified in order to get only data within that time range j GMTSPX2 Internal FileMan date for beginning date range GMTSPXI Internal FileMan date for ending date range 34 Health Summary V 2 7 Technical Manual February 2011 Callable Routines Routine GMTSDVR Health Summary Alternate Driver OE RR V2 5 compatible cont d Entry Point Comments i ENXQ j External call for tasked Health Summary printing Receives DEN as valid patient internal entry number GMTSTYP as a valid health summary type IEN GMTSPX1 Optional internal FM date for ending date GMTSPX2 Optional FM date for beginning date i NOTE Optional date range variables are both required if a date range is used l Routine GMTSOBJ Health Summary Objects Entry Point Comments i Create Modify Health Summary Object GMTS OBJ ENTER EDIT j Inquire to Health Summary Object GMTS OBJ INQ j Delete Health Summary Object GMTS OBJ DELETE TEST Test Health Summary Object GMTS OBJ TEST GET DFN OBJ Get Health Summary Object i i Input DFN IEN for Patient file 2 OBJ IEN for Health Summary Object file 4142 5 Output Returns global array of Health Summary data ATMP GMTSOBJ J DEN H j TIU DFN OBJ j Get Health Summary Object Entry Point for TIU Input DFN IEN for Patient file 2 OBJ IEN for Health Summary Object file 142 5
52. l screen See the DHCP Users Guide to Computing for basic DHCP computer skills including printing information For some PCE components when this flag is enabled the Hospital Location abbreviation will be displayed For some components Diagnosis Text can be customized e g long form short form code only or no form of ICD Diagnosis The Integrated Billing Package Encounter Form Utilities includes a Print Manager that allows sites to define reports that should print along with the encounter forms for a specific clinic or division and for specified appointments One of the options February 2011 Health Summary V 2 7 Technical Manual 49 Glossary Lock Non destructive Occurrence Limits Owner Provider Narrative Displayed Summary Order Summary Type Time Limits VISTA Define Available Health Summary allows a Health Summary to be made available for use by the print manager See the IB Encounter Form Utilities User Manual for further information Restricts edit access for a given health summary type to the holders of any valid security key For example the GMTSMGR key is required to edit summary types that are locked by the GMTSMGR lock Health Summary components are non destructive meaning that the Health Summary package does not edit the data from the DHCP package where it extracts its information The number of past occurrences that will be reported on a health summary e g the last
53. mes for components that allow these to be specified Users who do not have access to the enhanced or coordinator s menus can request a customized health summary type from their IRMS or Health Summary coordinator The form entitled Request for Health Summary Type located in Health Summary V 2 7 Technical Manual February 2011 Implementation amp Maintenance Appendix A of the Health Summary User Manual is a convenient way to submit such requests Customizing the Ad Hoc Health Summary Type You can also customize the Ad Hoc Health Summary Type with the Edit Ad Hoc Health Summary Type option on the Maintenance Menu This option lets you modify time and or occurrence limits hospital location displayed ICD text displayed provider narrative displayed header names or assign selection items tests like WBC Glucose to the selected health summary components Lab Cumulative Selected Lab Cumulative Selected 1 4 Lab Tests Selected Measurement Selected Vital Signs Selected and Radiology Impression Selected etc Consult with your clinical coordinator and or users about which selection items they would like to have on their Health Summaries You may select individual components and edit their default parameters or use the LOOP feature at the Select COMPONENT prompt to loop through all of the components editing the default values as you go NOTE When selecting components from the Ad Hoc Health Summary menu entering ALL
54. n to printing health summaries Give the Health Summary Coordinator s Menu GMTS COORDINATOR menu to users who need to print or display health summaries and who will also need to create modify or delete health summary types and set up nightly batch printing at specified locations Give the Health Summary Maintenance Menu GMTS IRM ADPAC MAINT MENU to IRM staff or the Clinical Coordinator for any implementation and maintenance issues in Health Summary This menu contains options to disable enable health summary components for selection display create modify new health summary components edit and rebuild the Ad Hoc Health Summary Type resequence the components in a health summary type create modify a health summary type delete a health summary type and edit health summary site parameters If an IRM staff member or the Clinical Coordinator needs access to all menus give the Health Summary Overall Menu GMTS MANAGER to those users rather than assigning each menu option separately Health Summary V 2 7 Technical Manual February 2011 Exported Menus and Options Health Summary Overall Menu GMTS MANAGER NOTE New menus and options since the original release of v2 7 are highlighted in blue 1 Health Summary Coordinator s Menu GMTS COORDINATOR 1 Print Health Summary Menu GMTS HS MENU Patient Health Summary GMTS HS BY PATIENT 2 Ad Hoc Health Summary GMTS HS ADHOC 3 Range of Dates Patient Health Summary
55. ncillary package data Database Integration Agreements The Health Summary package interacts with and extracts data from many other VISTA software packages Permission for Health Summary to use data from the other packages is obtained by completing a written integration agreement with each of the other packages Complete integration agreements are under the DBA menu on Forum February 2011 Health Summary V 2 7 Technical Manual 39 Internal Relations All Health Summary options are independently invokable 40 Health Summary V 2 7 Technical Manual February 2011 Generating Online Documentation KIDS Build and Install Print Options Print a list of package components 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 gt D XUP Setting up programmer environment Terminal Type set to C VT100 Select OPTION NAME XPD MAIN Kernel Installation amp Distribution System menu Select Kernel Installation amp Distribution System Option Utilities Select Utilities Option Build Fi Select BUILD NAME GMTS 2 7 58 DEVICE HOME 999 ANYWHERE PACKAGE GMTS 2 7 58 Dec 30 TYPE SINGLE PACKAG TRACK NATIONALLY YI ATIONAL PACKAGE HEALTH SUMMARY DESCRIPTION patch GMTS 2 7 58 ENVIRONMENT CHECK PRE INIT ROUTINE POST
56. on the FileMan template used to print the list this option will print out all or part of the data dictionary for the GMTS files List File Attributes The FileMan List File Attributes option DILIST lets you generate documentation about files and file structure If you choose the Standard format you can see the following Data Dictionary information for a specified file s File name and description Identifiers Cross references Files pointed to by the file specified Files that point to the file specified Input templates Print templates Sort templates Example gt D PADI 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 In addition the following applicable data is supplied for each field in the file field name number title global location description help prompt cross reference s input transform date last edited and notes The Global Map format of this option generates an output that lists all cross references for the file selected global location of each field in the file input templates print templates and sort templates 46 Health Summary V 2 7 Technical Manual February 2011 and Online Help February 2011 En
57. option Schedule Unschedule Options on the the TaskMan menu and schedule the GMTS TASK STARTUP option to initiate nightly batch printing See page 31 in the Health Summary Installation Guide Each time this option runs it uses the parameters set up by the Health Summary Coordinator in the Set up Batch Print Locations option For Version 2 7 of Health Summary this option has been updated to recognize non workdays For clinics and operating rooms if it is set up to print two days in advance Tuesday s clinics will print on Friday rather than on Sunday If Tuesday happens to be a holiday the Wednesday clinics will print on Friday Health Summary Components Headers and Abbreviations Use the Information Menu option available in all three Health Summary user menus to get an online listing of the information contained in each health summary component or health summary type Customized Health Summary Types A user with access to the Coordinator s or Enhanced menu can create a customized health summary type Use the Create Modify Health Summary Type menu option located on the Health Summary Enhanced Menu or the Build Health Summary Type submenu of the Health Summary Coordinator s menu Select the desired components and depending on the data required by the selected components apply time limits or maximum occurrence limits to components which are date sensitive You may also apply ICD text provider narrative selection items and header na
58. s are displayed on the screen components that contain no data will still be displayed with a No data available message This is done to eliminate any confusion that may occur when jumping between components Choose from Y yes N no SUPPRESS PRINT OF COMPONENTS WITHOUT DATA y yes Do you wish to review the Summary Type structure before continuing NO RET Select COMPONENT CH 7 RET CH7 SUMMARY ORDER 395 395 OCCURRENCE LIMIT 5 TIME LIMIT 21d HOSPITAL LOCATION DISPLAYED y yes ICD TEXT DISPLAYED Indicate whether the long form short form code only text only or no form of ICD diagnosis text should appear in applicable components Choose from I L long text S short text C code only T text only N none ICD TEXT DISPLAYED c code only PROVIDER NARRATIVE DISPLAYED y yes HEADER NAME Chem 7 RET No selection items chosen Select new items one at a time in the sequence you want them displayed You may select up to 7 items Select SELECTION ITEM CHEM 7 Searching for a LABORATORY TEST CHEM 7 OK Yes RET Yes Select the tests which you wish to include in the sequence in which you wish them to appear February 2011 Health Summary V 2 7 Technical Manual 57 Appendices 58 CHEM 7 1 CREATININE 5 CHL
59. s menu contains options to disable enable health summary components for selection display create modify new health summary components edit and rebuild the Ad Hoc Health Summary Type resequence the components in a health summary type create modify a health summary type delete a health summary type and edit health summary site parameters February 2011 Health Summary V 2 7 Technical Manual 61 Appendices 62 Security Security is established via a combination of the GMTSMGR and GMTS VIEW ONLY security keys and the OWNER and LOCK fields in File 142 Health Summary Type file GMTSMGR Security Key The GMTSMGR security key allows holders to override the LOCK and OWNER access restrictions for editing health summary types The IRM Chief and Health Summary Coordinators are likely holders of this key This security key allows the holder to edit general usage health summary types which are locked with the GMTSMGR key It also provides master edit access to all other health summary types GMTS VIEW ONLY Security Key The GMTS VIEW ONLY key allows holders to view a health summary on the CRT Holders may use all of the familiar Health Summary options but will not be prompted for a device for printing paper copies of the health summary Health Summary Type File Owner Lock Owners of health summary types have edit access to health summary types they have created The owner is designated when a health summary type is created U
60. stallation amp Distribution KIDS options to get lists of routines files etc you can also use other Kernel options to print online technical information 44 Routines The namespace for the Health Summary package is GMTS Use the Kernel option List Routines XUPRROU to print a list of any or all of the Health summary routines This option is found on the Routine Tools XUPR ROUTINE TOOLS menu on the Programmer Options XUPROG menu which is a sub menu of the Systems Manager Menu EVE option Example 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 lt RET gt routine s gt GMTS The first line of each routine contains a brief description of the general function of the routine Use the Kernel option First Line Routine Print XU FIRST LINE PRINT to print a list of just the first line of each Health Summary subset routine Example Select Systems Manager Menu Option programmer Options Select Programmer Options Option routine Tools Select Routine Tools Option First Line Routine Print PRINTS FIRST LINES routine s gt GMTS Health Summary V 2 7 Technical Manual February 2011 Globals The globals used in the Health Summary package are GMT 142 AGMT 142 1 AGMT 142 5 AGMT 142 98 AGMT 142 99 Use the Kernel option List Global
61. stem checks to see if data was displayed for the component If no data was displayed the driver determines whether or not to display the component header and No Data Available messages NOTE For any local site components that were written prior to version 2 7 if you want to be able to suppress component headers and No Data Available messages you will need to evaluate them and remove calls to BREAK GMTSUP This command should not be executed within your routines and you should not display the message that there was February 2011 Health Summary V 2 7 Technical Manual 53 Appendices no data available You also want to be sure not to execute CKPAGMTSUP until you have data to display Setting up a component to allow selection of specific items If you want to set up a component to allow selection of specific items review one of the existing components that allows this capability then follow these steps 1 Add GMTS to the Application Group field for the file you want to select items from You can do this through Fileman with the Edit File option under the Utility Functions option 2 Add the pointed to file to the variable pointer Selection Item field 4 sub field in the multiple Structure Field 1 field in the Health Summary Type file 142 file Do this through Fileman with the Modify File Attributes option 3 When entering a new component to the Health Summary Component file 142 1 be sure to enter the File to the S
62. sually the creator of a health summary type is automatically designated as its owner However if creators of heath summary types hold the GMTSMGR key they may designate another person as the owner If you are assigned the GMTSMGR key you are not automatically designated as the owner You may however enter your name as the owner This field can be used to specify a security key and is designated when the health summary type is created This lock gives edit access for that health summary type to anyone who holds the matching security key For example someone creating a Pathology Health Summary Type may want to enter LRSUPER as the lock thereby giving edit access to any holder of the LRSUPER security key The four health summary types exported with the Health Summary package have the GMTSMGR lock Health Summary V 2 7 Technical Manual February 2011 A lock does not restrict an owner the lock gives permission If a health summary type is locked the owner of the health summary type is not required to have the key to access it however all other users must have the key Health Summary Object File Creator Creators of health summary objects have edit access to health summary objects they have created The creator is designated when a health summary object is created Health Summary Component File Lock You may restrict any component from view by entering the name of a valid security key in the LOCK field for a given component
63. t Up Site Parameters Use the Edit Health Summary Site Parameters option in the Health Summary Maintenance Menu GMTS IRM ADPAC MAINT MENU to review and set up the site parameters These parameters allow users to e Print an Outpatient Pharmacy Action Profile in tandem with a Health Summary e Print bar codes when Action Profiles are printed e Present Lab comments at display indicating comments are available for the Lab Chemistry and Hematology the Lab Cumulative Selected and the Lab Tests Selected components or present the symbol to indicate comments are available for the Chemistry and Hematology and Lab Tests Selected components e Specify a spool device where PDX requests will be stored See example on next page February 2011 Health Summary V 2 7 Technical Manual 13 14 Example Select Health Summary Maintenance Menu Option 7 Parameters Select HEALTH SUMMARY PARAMETERS ANSWER WITH HEALTH SUMMARY PARAMETERS NAME HOSPITAL Edit Health Summary Site YOU MAY ENTER A NEW HEALTH SUMMARY PARAMETERS IF YOU WISH NAME MUST BE HOSPITAL Select HEALTH SUMMARY PARAMETERS HOSPITAL PROMPT FOR ACTION PROFILE YES If this parameter is set to Y or YES include the Outpatient Pharmacy Ac Summaries by location CHOOSE FROM the user will be prompted to tion Profile when printing Health both interactive and ba
64. t the date e g 2950630 will be subtracted from 9999999 This would give you 7049369 Inverted Fileman dates are used to order the data from most recent data to oldest data With the Reverse ORDER command this convention won t necessarily need to be followed in the future Prior to the Reverse ORDER M command it was necessary to put the retrieved data in the TMP array with a subscript in Inverted Fileman Date time in order that the user would see the most current data first in the Health Summary display Once you have extracted the data you can print or display it To allow for page breaks and in the interactive display the capability to terminate or jump to another component it is important that you issue the following commands before printing a line of data D CKP GMTSUP Q D GMTSQIT If this isn t done before each line is written the length of the document may exceed the length of the page or screen You also will not get the component header to display before displaying the data It is important that no lines are written and the above commands are not issued if there is no data For version 2 7 of Health Summary we implemented the capability to suppress component headers and No Data Available messages for Health Summary Types In order to make this work the CKP GMTSUP routine was updated to set a flag that data was printed for a component After the Health Summary driver processes each component for a Health Summary Type the sy
65. tch mode and by patient Y yes N no PROMPT FOR ACTION PROFILE YES Y YES INCLUDE BAR CODES ON ACTION PROFILES Enter Y ES to include bar codes when Action Profiles are printed by Health Summary Choose from Y yes N no INCLUDE BAR CODES ON ACTION PROFILES YES lt RET gt YES INCLUDE COMMENTS FOR LABS YES If this parameter is set to Y or YES the Chemistry amp Hematology the Lab Tests Selected and the Lab Cumulative Selected components will present comments for results For the Chemistry amp Hematology and the Lab Tests Selected components the comments will be displayed immediately following the results For the Lab Cumulative Selected components a lower case letter will be displayed to the left of the date for entries with comments Comments will be displayed after all the results are displayed with the comments linked by the lower case letter Up to 26 comments can be included If blank N or NO the Chemistry amp Hematology and the Lab Tests components will present the symbol next to tests which include comments and a footnote referring the user to the Lab Interim Report CHOOSE FROM Y yes N no INCLUDE COMMENTS FOR LABS YES lt RET gt YES SPOOL DEVICE SPOOL This is the SPOOL DEVICE to which Health Summary output can be directed during a PDX request t for one or more Health Summary components
66. tch module on Forum New Components E Reminder Maintenance CMB Reminder Brief CR Reminders Due CRS Reminders Summary GAF Global Assess Funct MAGI MAG Imaging NSR NON OR Procedures SCD Spinal Cord Dysfunct S Sel Image Impression SNSR Selected NON OR Proc SPN Selected Prog Notes SR Surgery Rpt OR NON SVSO Vital Select Outpat VSD Detailed Vitals VSO Vital Signs Outpat NOK Next of Kin Renamed Components New Name Old Name maging Impression RI Radiology Impression S maging Impression Selected SRI Radiology Impression Selected P maging Profile RP Radiology Profile S maging Status RS Radiology Status Patches that components were released with CRS Reminders Summary GMTS 2 7 23 CMB Reminder Brief GMTS 2 7 34 CR Reminders Due GMTS 2 7 34 GAF Global Assess Funct GMIS 2 7 35 MAGI MAG Imaging GMTS 2 7 26 NSR NON OR Procedures GMTS 2 7 11 SCD Spinal Cord Dysfunct GMTS 2 7 13 SII Sel Image Impression GMTS 2 7 26 SPN Selected Prog Notes GMTS 2 7 12 SRO Surgery Only GMTS 2 7 11 SVSO Vital Select Outpat GMTS 2 7 8 VSD Detailed Vitals GMTS 2 7 35 VSO Vital Signs Outpat GMTS 2 7 8 SNSR Selected NON OR Proc GMTS 2 7 11 SR Surgery Rpt OR NON GMTS 2 7 11 CM Reminder Maintenance GMTS 2 7 34 NOK Next of Kin GMTS 2 7 58 February 2011 Health Summary V 2 7 Technical Manual 3 Introduction GMTS 2 7 29
67. ter one question mark to see helpful information about the components of the health summary type used in the health summary and the options available Enter two question marks to see a list of available health summary components Enter three question marks for detailed help if available Health Summary V 2 7 Technical Manual 47 48 Health Summary V 2 7 Technical Manual February 2011 Glossary Ad Hoc Summary Components DHCP Default Device Hospital Location Displayed ICD Text Displayed IB Encounter Form Utilities This is a temporary health summary that allows you to select health summary components time and occurrence limits and selection items for a particular patient Elements of data from DHCP packages that make up the health summary report e g Demographics Decentralized Hospital Computer Program previously the name for the VA program responsible for installing an integrated computer system in all DVA medical facilities Now known as VISTA Prompts that have an answer followed by double slashes are called defaults this means a response has been pre selected based on the most likely response or the previous response to this prompt For example the prompt Time Limit may have a default of 1 year for Lab Orders and would appear as Time Limit 1 Y Defaults save you time by allowing you to just hit return rather than typing an answer A printer or a computer termina
68. ummary V 2 7 Technical Manual 27 Cross References Cross References The number space for Health Summary files is 142 Use the VA FileMan DATA DICTIONARY UTILITIES option 8 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 GMTS files If you choose the Standard format you can see cross reference information for a specified file s 28 Health Summary V 2 7 Technical Manual February 2011 February 2011 Health Summary V 2 7 Technical Manual 29 Purging and Archiving 30 Archiving The Health Summary package does not provide archiving functionality because data is only stored for the Health Summary Type 142 Health Summary Component 142 1 and Health Summary Parameters 142 99 files The Health Summary package does not duplicate storage of VISTA ancillary package data Data is extracted as needed from the ancillary packages is temporarily stored in TMP namespace J or UTILITY J and is deleted after the component has been printed or displayed Purging The Delete Health Summary Type option GMTS TYPE DELETE is available on both the Coordinator s and the Enhanced menus The owner of a health summary type may delete it Privacy Act laws specifically state that patient information in VISTA which is retrievable by patient identifier is part of the patient medic

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