User Guide

Actions

Brief Action Descriptions

Review Only Actions

DD The Detailed Order Display action displays specific order activities and details, audit/tracking trails and results.

CT The New Date Range allows you to change date range while in the Consult Tracking screen. This date range change does not change the patient or require you to select a new patient. It is a subordinate action to Change View (CV).

CV The Change View action gives you the capability to view consults by Service, Status, or Date Range. This is done by adding the modifying action to CV as such: CV;SS for Select Service. CV;ST for View by Status. CV;DT for New Date Range.

PF The Print Form action produces a copy of SF 513.

RT The Results Display action displays the results of the consult or procedure request order.

SP The Select New Patient action allows you to select a new patient’s name at any time, while using this option, rather than having to log out of the option and log back in.

SS The Select Service action allows you to select a different service/specialty in which to review orders. It is a subordinate action to Change View (CV).

ST The View by Status action allows you to select one or more statuses to display on the screen. It is a subordinate action to Change View (CV).

CM This action synonym may be entered at the Select prompt if the Service/Specialty wishes to add a Comment to an existing consult order. An example is a comment indicating that the requesting clinician wants a HOLD put on an order that has already been Received and is active in a Service/Specialty.

ER Although the Edit/Resubmit action shows up on the Review Only menu, it can only be executed by the originating provider or an update user. When a consult is cancelled or denied for clerical reasons (such as insufficient data), then the information on the consult can be edited and resubmitted it with this action. Alternatively, the originating provider may perform this function from the alert.

Q The Quit action exits all Consults options.

Update Actions

CT The Complete Request action updates the CPRS status of a consult from Active to Completed. When the patient’s consult review screen is displayed again, both the consult’s current status and the Last Activity field will be updated to indicate that the consult’s new current status is Completed.

Complete Request also links you to TIU so that you can enter findings.

CX The Cancel (or Deny) Request action may be used by Service personnel to deny a request for completion of a consult/procedure received by their Service. A comment concerning the reason for denial must added when using this action.

DC The Discontinue Order action allows Service/Specialty personnel to change an order’s current status and Last Activity field to Discontinued. In addition, a comment may be added concerning the reason for discontinuance.

FR Entering the Forward Request allows you to forward a consult or request to any other Service/Specialty, provided that Service/ Specialty has been set up by IRM personnel to receive consults on line. As an example, this action could be used when Cardiology Service has mistakenly received a consult that should have been sent to Hematology Service.

MA The Make Addendum action allows one or more people to add their comments to the results of a consult. Contrast this to Add Comment, which adds a note to the consult.

RC The Received Request action is used by a Service/Specialty to acknowledge receipt of a new consult/request in the Service and to update the current CPRS status of the consult/request to Active rather than Pending. The Last Activity field on the patient’s review screen will also be updated to indicate that the consult was Received.

RM The Remove Medicine Results action is used when a medicine result has been attached to a consult in error. It’s use is restricted, but generally speaking, it can be done by anyone who can attach medicine results.

SC The Schedule action can be used by a Service/Specialty to annotate a consult that an appointment has been scheduled for the patient. (It does not schedule an appointment or link to the Scheduling Package.)

SF The Significant Findings action is used by a Service/ Specialty to mark a consult has having significant findings. When the Sig Findings flag is set to “Y” an asterisk is placed next to the consult in the review display.

 Note: Actions that require you to select an existing order can be done in one of two ways:

Select the action.

Select the order.

Or
Select the order.

Select the action.

The actions that are affected by this are:
DD Detailed Order Display

CM Comment Order

CT Complete Request

DC Discontinue Order

CY Deny Request

FR Forward Request

RC Received Request

SC Schedule

ER Edit/Resubmit

Add Comment (CM) Action

The Add Comment action allows you to append a comment to a consult order when important information about the consult needs to be added to the original order or when a caregiver needs to furnish information before the consult is ready to be closed out.

The Add Comment action can be performed by any user.
To use the Comment Order action from Windows:

• 
  From the Consults tab, highlight the consult you want to add a comment to.
  
• 
  Select Action|Consult Request|Add Comment.
  

 Note: If this were an Inter-Facility Consult, individuals from the other facility involved would not be on this list. In this case, the Notification System decides who to notify at the other facility by referring to Consults files.

Cancel (or Deny) Consult

The Cancel action is one of several options the receiving clinic or service uses to process a request (see Forward the Consult under Work Flow page 23).

The originating clinician is automatically sent an alert that the request has been canceled.

This action is provided for all update options in the Consults package.

Example:
Select Consult Management Option: CS Consult Service Tracking

Select Patient: CPRSPATIENT,FOUR 01-01-51 666123456 YES SC VET

ERAN
Select Service/Specialty: ALL SERVICES// PULMONARY

List From Starting Date: ALL DATES // ALL DATES

CONSULT TRACKING Jun 19, 1997 04:21:18 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request 

1 02/03/97 a 999 PULMONARY Consult

2 02/03/97 a 989 PULMONARY Consult

3 02/03/97 c 929 *PULMONARY Consult

4 02/03/97 c 873 *PULMONARY Consult

5 01/09/97 c 872 PULMONARY UGI

6 09/06/96 dc 500 PULMONARY ECHO

7 03/05/92 dc 444 PULMONARY Electrocardiogram

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit// CX Cancel (Deny)

CHOOSE No. 1-2: 2

Responsible Clinician: CPRSPROVIDER,TWO CRS PHYSICIAN

Date/Time of Actual Activity: NOW// (JUN 19, 1997@04:21)

Enter COMMENT:

1>Duplicate Consult

2>

EDIT Option:
(Continued on next page.)

CONSULT TRACKING Jun 19, 1997 04:22:02 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 02/03/97 x 999 PULMONARY Consult

2 02/03/97 a 989 PULMONARY Consult

3 02/03/97 c 929 *PULMONARY Consult

4 02/03/97 c 873 *PULMONARY Consult

5 01/09/97 c 872 PULMONARY UGI

6 09/06/96 dc 500 PULMONARY ECHO

7 03/05/92 dc 444 PULMONARY Electrocardiogram

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit//

The originating clinician has then has the option of editing and resubmitting the request. This is done either from the view alerts function, or from the consult tracking screen with the Edit/Resubmit (ER) action. An update user for the subject service may also edit and resubmit a canceled consult.

Change View (CV) Action

The Change View action is really three different actions packaged into one. They are:

• 
  View by Status (ST)
  
• 
  Change Date Range (DT)
  
• 
  Select Service (SS)
  

Enter the CV action followed by one of these three options. You can do this as two different entries, or you can put both commands on the same line separated by a semicolon, like this: CV;DT

In the following example we use the CV action to display selected statues:

With this action you can selectively display consults on the Consult Tracking screen base on the consult’s status. In the following example, the display is changed to view only consults with a status of Pending or Discontinued. For a list of consult statuses and their meanings, see page 102.

CONSULT TRACKING Jul 30, 1997 09:21:02 Page: 1 of 2

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request 

1 10/06/00 p 1766 EYE CLINIC Cons

2 09/21/00 p 1764 Electrocardiogram CARDIOLOGY Proc

3 04/25/00 s 1713 CARDIOLOGY Cons

4 03/21/00 c 1701 CARDIOLOGY (SOUTH) Cons

5 02/22/00 pr 1687 PULMONARY (SOUTH) Cons

6 01/26/00 c 1665 CARDIOLOGY Cons

7 06/02/99 c 1483 VENTRICAL LEAD IMPLANT CARDIOLOGY Proc

8 04/29/99 a 1455 CARDIOLOGY (oex) CARDIOLOGY Cons

9 02/18/99 x 1395 CARDIOLOGY Cons

10 01/06/99 c 1322 M'S SPECIALTY SEA-M'S SPECIALTY Cons

11 01/05/99 c 1310 *GASTROENTEROLOGY CARDIOLOGY Cons

12 01/04/99 c 1287 CARDIOLOGY Cons

+ Enter ?? for more actions

SP Select Patient RT Results Display ER Edit/Resubmit

CV Change View ... PF Print Form 513

DD Detailed Display CM Add Comment

Select Consult: Next Screen// CV Change View ...

DT Date Range

ST Status

SS Service

Only Display Consults With Status of: All Status's// p Pending

Another Status to display: s Scheduled

Another Status to display: a Active

Another Status to display:

(Continued on the next page.)

CONSULT TRACKING Jul 30, 1997 09:21:10 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request 

1 10/06/00 p 1766 EYE CLINIC Cons

2 09/21/00 p 1764 Electrocardiogram CARDIOLOGY Proc

3 04/25/00 s 1713 CARDIOLOGY Cons

8 04/29/99 a 1455 CARDIOLOGY (oex) CARDIOLOGY Cons

Enter ?? for more actions

SP Select Patient RT Results Display ER Edit/Resubmit

CV Change View ... PF Print Form 513

DD Detailed Display CM Add Comment

Select Consult: Quit//

Complete Request (CT) Action

The Complete Request action which updates a consult order’s CPRS status to completed (c).
Using the CT action informs the system that you are completely finished with a consult or procedure. An alert is sent to the originating provider and marks the record of the consult as complete.
Finally, the Complete action links you to TIU so that you can enter results. See page 26 for an example of this feature.
If a user is set up as either an Administrative User or on an Administrative User Team, the option exists to perform an Administrative Complete. In the GUI (Windows) interface, this is a separate command under Action | Consult Tracking. In List Manager, if the user has Administrative privileges, then the program asks if an Administrative Complete should be performed. (An Administrative complete does not have results attached to it.)

Deny Request (DY) Action

The Deny Request action has been subsumed by the Cancel action. See Cancel (CX) Action on page 111.

Detailed Order Display (DD) Action

The Detailed Order Display action provides a list of all consult information contained in the computer file.

Example:
Select Consult Management Option: CS Consult Service Tracking

Select Patient: CPRSPATIENT,FOUR CPRSPATIENT,FOUR 12-04-49 666438796 SC VETERAN

Select Service/Specialty: ALL SERVICES// PULMONARY

List From Starting Date: ALL DATES // ALL DATES

CONSULT TRACKING Nov 01, 1997 13:55:32 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 11/01/97 c 675 PULMONARY Consult

2 10/06/00 p 566 EYE CLINIC Cons

3 09/21/00 p 464 Electrocardiogram CARDIOLOGY Proc

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select:Quit// DD Detail Display

Select Consult Number: 1
You can do just the opposite of the example above; i.e., you can select a consult first then type the action DD. The result is the same.

(Continued on next page.)

CONSULTS DETAILED DISPLAY Nov 01, 1997 13:55:42 Page: 1 of 5

CONSULT DETAILED DISPLAY Consult No.: 675

CPRSPATIENT,TWO 666-67-1996 DOB: MAR 5,1949 (48) Wt. (lb): No Entry

Current Inpatient/Outpatient: Inpatient

Ward: 2B

Eligibility: SC VETERAN

To Service: PULMONARY

From Service: MEDICINE

Reason For Request: Pt experiences shortness of breath when out of

bed.

Status: COMPLETE

ATTENTION: CPRSPROVIDER,TWO

Place: Bedside

Urgency: Routine

Request Activity Date/Time Ordering Clinician Entered By

11/01/97 10:13 CPRSPROVIDE,ONE CPRSPROVIDE,ONE

RECEIVED 11/01/97 10:15 CPRSPROVIDER,ONE CPRSPROVIDER,ONE

+ Enter ?? for more actions

Select Action:Next Screen//
CONSULTS DETAILED DISPLAY Nov 01, 1997 14:00:20 Page: 2 of 5

CONSULT DETAILED DISPLAY Consult No.: 675

CPRSPATIENT,TWO 666-67-1996 DOB: MAR 5,1949 (48) Wt. (lb): No Entry

+

COMPLETED 11/01/97 10:17 CPRSPROVIDER,ONE CPRSPROVIDER,ONE

----------------------------- TIU CONSULT REPORT -------------------------------
Source Information

Reference Date: NOV 01, 1997@10:15:35 Author: CPRSPROVIDER,ONE

Entry Date: NOV 01, 1997@10:15:35 Entered By: CA

Expected Signer: CPRSPROVIDER,ONE Expected Cosigner: None

Urgency: None Document Status: COMPLETED

Line Count: 21 TIU Document #: 2330

Subject: None

Associated Problems No linked problems.

Edit Information

Edit Date: NOV 01, 1997@10:17:23 Edited By: CPRSPROVIDER,ONE

+ Enter ?? for more actions
Select Action:Next Screen//
(Continued on next page.)

CONSULTS DETAILED DISPLAY Nov 01, 1997 14:02:13 Page: 3 of 5

CONSULT DETAILED DISPLAY Consult No.: 675

CPRSPATIENT,TWO 666-67-1996 DOB: MAR 5,1949 (48) Wt. (lb): No Entry

+

Reassignment History Document Never Reassigned.

Signature Information

Signed Date: NOV 01, 1997@10:17:35 Signed By: CPRSPROVIDER,ONE

Signature Mode: ELECTRONIC

Cosigned Date: None Cosigned By: None

Cosignature Mode: None

Document Body

At the time I went to examine the pt, he was acutely broncho-

spastic and in moderately severe respiratory distress. I had him

deliver a puff of albuterol with an Aerochamber; his technique was

poor. I then instructed him and delivered an additional four puffs,

which he did with good technique. He was improved and with a clear

lung exam within a few seconds (though wheezes were still present

+ Enter ?? for more actions
Select Action:Next Screen//
CONSULTS DETAILED DISPLAY Nov 01, 1997 14:03:47 Page: 4 of 5

CONSULT DETAILED DISPLAY Consult No.: 675

CPRSPATIENT,TWO 666-67-1996 DOB: MAR 5,1949 (48) Wt. (lb): No Entry

+

on forced expiration).

The pt regimen is lacking in inhaled corticosteroids. Recognizing

that asthma is an inflammatory process, inhaled steroids are important

in controlling the inflammtory response. My practice for severely

out-of-control asthmatics is to use high-dose inhaled steroids,

typically vanceril, 16 puffs qid, with a spacing device such as the

Aerochamber. I would institute such a regimen while he is here.

The pt has an in-house pet dog and an outside pet cat. I have

told him that the cat should go, even if it is outdoors. Cat saliva

contains a glycoprotein that leaves residue on their coats and flakes

into the air; it is problematic for many asthmatics.

The purulent phlegm asthmatics have during exacerbations is usually

+ Enter ?? for more actions

Select Action:Next Screen//

(Continued on the next page.)

CONSULTS DETAILED DISPLAY Nov 01, 1997 14:07:36 Page: 5 of 5

CONSULT DETAILED DISPLAY Consult No.: 675

CPRSPATIENT,TWO 666-67-1996 DOB: MAR 5,1949 (48) Wt. (lb): No Entry

+

due to the eosinophils, not from infection. Antibiotics are usually

not necessary.
If you like, you may refer Mr. Bud to my clinic after discharge.

==================================== END =====================================

Enter ?? for more actions
Select Action:Quit//

Discontinue Order (DC) Action

The Discontinue Order (DC) action is used by clinical personnel to stop a consult/procedure request after it has been signed. This differs from the cancel action in that there is not Edit/Resubmit action available on a discontinued order.

In the example below, the Discontinue Order action is used to cancel a duplicate order:
Select OPTION NAME: GMRC MGR Consult Management menu
Select Consult Management Option: cs Consult Service Tracking

Select Patient: CPRSPATIENT,FOUR CPRSPATIENT,FOUR 12-04-49 666438796 SC VETERAN

Select Service/Specialty: ALL SERVICES// PULMONARY

List From Starting Date: ALL DATES // ALL DATES

CONSULT TRACKING Jun 19, 1997 09:31:19 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 10/06/00 p 1766 EYE CLINIC Cons

2 09/21/00 p 1764 Electrocardiogram CARDIOLOGY Proc

3 04/25/00 c 1713 CARDIOLOGY Cons

4 03/21/00 c 1701 CARDIOLOGY (SOUTH) Cons

5 02/22/00 pr 1687 PULMONARY (SOUTH) Cons

6 01/26/00 c 1665 CARDIOLOGY Cons

7 06/02/99 c 1483 VENTRICAL LEAD IMPLANT CARDIOLOGY Proc

8 04/29/99 c 1455 CARDIOLOGY (oex) CARDIOLOGY Cons

9 02/18/99 x 1395 CARDIOLOGY Cons

10 01/06/99 c 1322 MARCIA'S SPECIALTY SEA-MARCIA'S SPECIALTY Cons

11 01/05/99 c 1310 *GASTROENTEROLOGY CARDIOLOGY Cons

12 01/04/99 c 1287 CARDIOLOGY Cons

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select Consult: Quit// DC Discontinue

CHOOSE No. 1-7: 3

Responsible Clinician: CPRSPROVIDER,TWO CRS PHYSICIAN

Date/Time of Actual Activity: NOW// (JUN 19, 1997@09:31)

Enter COMMENT:

1>Duplicate

2>

EDIT Option:
(Continued on next page.)

CONSULT TRACKING Jun 19, 1997 09:31:58 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 10/06/00 p 1766 EYE CLINIC Cons

2 09/21/00 p 1764 Electrocardiogram CARDIOLOGY Proc

3 04/25/00 dc 1713 CARDIOLOGY Cons

4 03/21/00 c 1701 CARDIOLOGY (SOUTH) Cons

5 02/22/00 pr 1687 PULMONARY (SOUTH) Cons

6 01/26/00 c 1665 CARDIOLOGY Cons

7 06/02/99 c 1483 VENTRICAL LEAD IMPLANT CARDIOLOGY Proc

8 04/29/99 c 1455 CARDIOLOGY (oex) CARDIOLOGY Cons

9 02/18/99 x 1395 CARDIOLOGY Cons

10 01/06/99 c 1322 MARCIA'S SPECIALTY SEA-MARCIA'S SPECIALTY Cons

11 01/05/99 c 1310 *GASTROENTEROLOGY CARDIOLOGY Cons

12 01/04/99 c 1287 CARDIOLOGY Cons

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select Consult: Quit//

Edit/Resubmit (ER) Action

In the case where a consult is cancelled (or denied) for clerical reasons (e.g., test results that indicate that the consult is needed), then the original submitter or an update user for the relevant service has a chance to edit the consult to include the missing information, and resubmit it. This may be done from either the alert screen, or from the consult tracking screen. In either case, the procedure is the same. See Consult/Request Cancel/Hold on page 150 for an example.

Forward Request (FR) Action

Entering the Forward Request allows you to forward a consult or request to any other Service/Specialty, provided that Service/Specialty has been set up by IRM personnel to receive consults online. Thus the decision by the referring clinician regarding who should receive the consult can be modified by the receiving Service/Specialty. This action is available from both the CPRS screen and the Consult/Request Alerts screen.

If a request needs to be forwarded to a clinic that is not a sub-service of your clinic, the FR (Forward Request) action should be used. This action is discussed in the Forward the Consult section under Work Flow on page 23.

Make Addendum (MA) Action

The Make Addendum action allows one or more people to add their comments to the results of a consult. Contrast this to Add Comment, which adds a note to the consult before it is resulted.

There is an example of Make Addendum in the Windows section on page 83.

Print Form (PF) Action

With the Print Form Action, you can print either a chart or working copy of the consult form. To use this action from the Windows interface, follow these steps:

From the Consults tab, select the consult you want to print.

• 
  S
  elect File | Print Form.
  
• 
  Select the printer you want the form to come out on.
  
• 
  Choose Chart Copy or Work Copy.
  
• 
  Choose OK.
  

For an example of the Print Form option as used from the List Manager interface, see page 29.

Print Screen Contents (PS) Action

This option prints the information that is on the screen. The output is not exactly a screen image, as it does not include the prompt area at the bottom of the screen. To print the entire contents of a consult request, use the Print Form (PF) action.

Example:
CONSULTS DETAILED DISPLAY Jun 20, 1997 10:40:56 Page: 1 of 2

CONSULT DETAILED DISPLAY Consult No.: 208

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Current Inpatient/Outpatient: Inpatient

Ward: 1A

Eligibility: SC VETERAN

To Service: PULMONARY

From Service:

Provisional Diagnosis: Broken interface with CPRS.

Reason For Request: Checking action of DY (denying) a consult as to

DC (discontinuing) a consult.

Status: DISCONTINUED

Urgency: SWITCH BED
Request Activity Date/Time Ordering Clinician Entered By

ENTERED IN OE/RR 03/05/97 16:09 CPRSPROVIDER,TWO CPRSPROVIDER,TWO

//

Forwarded From MEDICINE

+ Enter ?? for more actions
Select Action:Next Screen// ps PS
DEVICE: HOME// laser PRINTER ROOM LN11 12 PITCH

DO YOU WANT YOUR OUTPUT QUEUED? NO// (NO)

Quit (Q) Action

Enter the Quit (Q) action at the last Select prompt to quit using your Consults option.

Users may enter Q to Quit or ^ to Exit the option at anytime.

Receive Request (RC) Action

Performing the Receive action on a consult changes its status from Pending to Active. This puts your clinic on record as accepting responsibility for completing the consult.

On page 25 we give an example of receiving a consult from a consult tracking screen. This is an example of receiving a consult from a notification alert:
You have PENDING ALERTS

Enter "VA VIEW ALERTS to review alerts

Select OE/RR Manager Menu Option: VA View Alerts
1. CPRSPATIENT,FOUR (C8796): New Consult/Request ()

2. CPRSPATIENT,TWO (C9600): New Consult/Request (Today)

4. CPRSPATIENT,ONE (C3456): Consult/Request DENIED Consult

Select from 1 to 6

or enter ?, A I, F, P, M, R, or ^ to exit: 1
Consult/Request Alerts Feb 13, 1998 13:34:56 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184 Number Date Stat Service Procedure

187 02/14/97 p NEUROLOGY Consult

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit// RC Receive Request

Who received it?: CPRSPROVIDER,ONE OC

Date/Time Actually Received: NOW// (FEB 13, 1998@13:36)

(Continued on the next page.)
Consult/Request Alerts Feb 13, 1998 13:36:52 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Number Date Stat Service Procedure

187 02/14/97 a NEUROLOGY Consult

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit//

Remove Medicine Results (RM)

This action is used when a medicine result has been attached to a consult in error. It’s use is restricted, but generally speaking, it can be done by anyone who can attach medicine results.

Attaching medicine results is done in conjunction with the Complete (CT) action in List Manager. See the section on medicine resulting on page 52 for details. In Windows, attaching and detaching medicine results are accomplished thru their own menu commands that are activated whenever medicine results are available. Fore an example of medicine results in Windows, refer to the Windows Quick Start section on page 73.
In this example, we use List Manager to remove an incorrect medicine results:

CONSULT TRACKING Mar 02, 2001@13:53:35 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 03/02/01 p 599 ELECTROCARDIOGRAM CARDIOLOGY Proc

2 02/21/01 c 597 ELECTROCARDIOGRAM CARDIOLOGY Proc

3 10/10/96 a 242 ELECTROCARDIOGRAM CARDIOLOGY Proc

4 09/08/95 c 187 CARDIOLOGY CLINIC Cons

5 08/14/95 pr 183 12 LEAD STAT EKG CARDIOLOGY Proc

6 08/14/95 c 184 12 LEAD STAT EKG CARDIAC TRANSPLANT Proc

7 04/29/94 pr 53 ECHO CARDIOLOGY Proc

8 04/29/94 pr 54 ECHO CARDIOLOGY Proc

9 04/29/94 p 55 ECHO CARDIOLOGY Proc

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit//RM
CHOOSE No. 1-9: 1
Procedure/Medicine Resulting Mar 02, 2001@11:34:48 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Consult No.: 242 Associated Medicine Results

1 ELECTROCARDIOGRAM OCT 2,1995@10:00 ABNORMAL

Select action or item number

DM Disassociate result DR Display Result

Select Action:Quit// DM
Select item: (1-1): 1

ELECTROCARDIOGRAM OCT 2,1995@10:00 ABNORMAL

Are you sure you want to disassociate this result? NO// Y YES

Results Display (RT) Action

The Results Display (RT) action allows you to review results of any consult/request for a patient.

The following is an example of the report displayed when you select the RT action:
C S L T R E S U L T S D I S P L A Y

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

---------------------- ELECTROCARDIOGRAM SUMMARY REPORT ---------------------
DIAGNOSIS

Interpretation Code (rhythm): SINUS TACHYCARDIA

Interpretation Code (config): ABNORMAL ECG
INDICATIONS

Type OF EKG: STAT RETRIEVAL

SUMMARY

Summary: ABNORMAL

Summary procedure: Sinus rhythm has replaced atrial flutter
Press return to continue or “^” to escape

Schedule (SC) Action

The Schedule action is similar to the Receive (RC) action in that it changes the status of a consult. There is no interface with the Scheduling Package at this time. This action is intended only for annotational purposes.

Unlike the Receive action, this action sends an alert. You can use this alert to inform the requestor of the date and time of the appointment.

In the following example we change the status of a consult from “p” pending to “s” scheduled:

CONSULT TRACKING Jun 08, 2000 21:14:16 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request 

1 07/22/99 p 1561 EXERCISE TOLERANCE TEST CARDIOLOGY Proc

2 05/20/99 p 1470 CARDIOLOGY (oex) CARDIOLOGY Cons

3 04/13/99 c 1437 CARDIOLOGY (oex) CARDIOLOGY Cons

4 04/01/99 c 1429 CARDIOLOGY (oex) CARDIOLOGY Cons

5 02/26/99 c 1406 CARDIOLOGY Cons

6 01/05/99 c 1312 CARDIOLOGY Cons

7 01/04/99 c 1290 *CARDIOLOGY Cons

8 12/18/98 c 1252 CARDIOLOGY Cons

9 12/14/98 c 1234 CARDIOLOGY Cons
Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit//SC Schedule

CHOOSE No. 1-9: 2

Who scheduled it?: CPRSPROVIDER,ONE CPRSPROVIDER,ONE OC PHYSICIAN

Enter COMMENT...

1>9:30 pm Jun 23 in Bldg 4

2>

EDIT Option:

Do You Wish To Send An Alert With This Comment? N// Y YES

Send Alert To Requesting Provider CPRSPROVIDER,THREE? N// Y YES

Send Alert to:

Processing Alerts...

(Continued on the next page.)
CONSULT TRACKING Jun 08, 2000 21:16:45 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 200

Requested St No. Consult/Procedure Request

1 07/22/99 p 1561 EXERCISE TOLERANCE TEST CARDIOLOGY Proc

2 05/20/99 s 1470 CARDIOLOGY (oex) CARDIOLOGY Cons

3 04/13/99 c 1437 CARDIOLOGY (oex) CARDIOLOGY Cons

4 04/01/99 c 1429 CARDIOLOGY (oex) CARDIOLOGY Cons

5 02/26/99 c 1406 CARDIOLOGY Cons

6 01/05/99 c 1312 CARDIOLOGY Cons

7 01/04/99 c 1290 *CARDIOLOGY Cons

8 12/18/98 c 1252 CARDIOLOGY Cons

9 12/14/98 c 1234 CARDIOLOGY Cons

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit//

Select New Patient (SP) Action

This option allows you to change patients at any time.

Example:
CONSULT TRACKING Jun 20, 1997 14:44:26 Page: 1 of 1

CPRSPATIENT,FOUR 666-43-8796 2B M DEC 4,1949 (50)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 08/18/99 a 1586 PULMONARY Cons

2 08/18/99 a 1585 PULMONARY Cons

3 06/23/99 c 1545 PULMONARY Cons

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit// SP New Patient

Select Patient: CPRSPATIENT,THREE 01-01-51 666123456 YES SC VETERAN
Select Service/Specialty: ALL SERVICES// PULMONARY

List From Starting Date: ALL DATES // ALL DATES

(Continued on the next page.)
CONSULT TRACKING Jun 20, 1997 14:44:38 Page: 1 of 1

CPRSPATIENT,THREE 666-12-3456 2B MAR 3,1960 (40)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 09/14/98 c 1163 PULMONARY Cons

2 09/09/98 dc 1162 PULMONARY Cons

3 07/14/98 dc 1116 PULMONARY Cons

4 07/14/98 c 1114 *CARDIOLOGY PULMONARY Cons

Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Quit//

Significant Findings (SF) Action

The Significant Findings action allows a clinic or service to append a significant findings flag onto a consult (whether completed or not). The action prompts you to enter a comment and sends an alert either at the time the SF action is taken or when the consult is complete. An asterisk is placed next to the consults that have a Significant Findings value of Y.

In this example we add a significant finding to an already completed consult:
CONSULT TRACKING May 01, 1998 14:51:35 Page: 1 of 2

CPRSPATIENT,THREE 666-12-3456 2B MAR 3,1960 (40)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 09/21/00 p 1764 Electrocardiogram CARDIOLOGY Proc

2 04/25/00 c 1713 CARDIOLOGY Cons

3 01/26/00 c 1665 CARDIOLOGY Cons

4 06/02/99 c 1483 VENTRICAL LEAD IMPLANT CARDIOLOGY Proc

5 04/29/99 c 1455 CARDIOLOGY (oex) CARDIOLOGY Cons

6 02/18/99 x 1395 CARDIOLOGY Cons

7 01/05/99 c 1310 *GASTROENTEROLOGY CARDIOLOGY Cons

8 01/04/99 c 1287 CARDIOLOGY Cons

9 12/18/98 c 1249 CARDIOLOGY Cons

10 10/09/98 c 1184 CARDIOLOGY Cons

11 08/24/98 dc 1144 CARDIOLOGY Cons

12 07/13/98 c 1113 *CARDIOLOGY Cons

+ Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Next Screen// SF Sig Findings
CHOOSE No. 1-17: 1
Current Significant Findings = not entered yet
Are there significant findings? (Y/N/U): unknown// yes

Enter COMMENT:

1>Pt experiencing 60% loss of breathing efficiency.

2>

EDIT Option:

Alert will be sent to Requesting Provider: CPRSPROVIDER,TWO

Send Alert to: CPRSPROVIDER,TWO added to the list.

And Send Alert to: CPRSPROVDER,THREE already in the list.

And Send Alert to:

Processing Alerts...

(Continued on the next page.)

CONSULT TRACKING May 01, 1998 14:52:28 Page: 1 of 2

CPRSPATIENT,THREE 666-12-3456 2B MAR 3,1960 (40)

Wt.(lb): 184

Requested St No. Consult/Procedure Request

1 09/21/00 p 1764 *Electrocardiogram CARDIOLOGY Proc

2 04/25/00 c 1713 CARDIOLOGY Cons

3 01/26/00 c 1665 CARDIOLOGY Cons

4 06/02/99 c 1483 VENTRICAL LEAD IMPLANT CARDIOLOGY Proc

5 04/29/99 c 1455 CARDIOLOGY (oex) CARDIOLOGY Cons

6 02/18/99 x 1395 CARDIOLOGY Cons

7 01/05/99 c 1310 *GASTROENTEROLOGY CARDIOLOGY Cons

8 01/04/99 c 1287 CARDIOLOGY Cons

9 12/18/98 c 1249 CARDIOLOGY Cons

10 10/09/98 c 1184 CARDIOLOGY Cons

11 08/24/98 dc 1144 CARDIOLOGY Cons

12 07/13/98 c 1113 *CARDIOLOGY Cons

+ Enter ?? for more actions

SP Select Patient FR Forward CT Complete/Update RT Results Display

CV Change View ... CX Cancel (Deny) MA Make Addendum PF Print Form 513

RC Receive DC Discontinue SF Sig Findings RM Remove Med Rslt

SC Schedule CM Add Comment DD Detailed Display ER Edit/Resubmit

Select: Next Screen//