1. RPMS - EHR v1.1 Techie Class Really Powerful at Measuring Stuff

2. RPMS-EHR Technical Overview Version 1.1 May 2008

3. RPMS - EHR v1.1 Techie Class Really Powerful at Measuring Stuff Session Five

4. Component Configuration TIU Object Creation

5. RPMS-EHR Technical Overview TIU Objects: Mary Hager RN Presenters – May 19-22, 2008

6. TIU Objects IHS has created many generic objects – Sample Sites can copy and modify them for their own use These objects are sent out inactive

7. Using Copy for a new TIU object Copy can be used if the program that finds the object data is generic For the lab objects, the lookup routine passes the lab test name as a parameter so it can be used to copy. Copy can also be used for note titles, immunizations, health factors Use the Create Objects option on the Document Definitions (Manager) menu on the TIU Maintenance Menu.

8. Using Copy Using copy only works if the routine has a parameter for the item to find. S X=$$LASTHF^BTIULO2(+$G(DFN),"FACTORNAME") Other objects such as this one for allergies do not have a parameter that could be copied. S X= $$MAIN^TIULADR(DFN,1,"^TMP(""TIULADR"",$J)",0)

9. Only Programmers may create/copy objects

10. New TIU Object Select Entry to Copy: (29-42): 40 Copy into (different) Name: LAST LAB TEST (SAMPLE)// LAST MAGNESIUM OBJECT copied into File Entry #1302 Press RETURN to continue or '^' or '^^' to exit: Please test the copy object and activate it when it is ready for users to embed it in boilerplate text. Pick the lab test to copy making sure it Is visible on the screen Give it a new name Hit return a couple of times It now needs to be edited

11. New TIU Object

12. Edit the new TIU object

13. Edit – part 2 Edit the technical fields and change the name to the new one Be sure you know the real laboratory name Select Action: Quit// tech Technical Fields OBJECT METHOD: S X=$$SLAB^BTIUPCC(DFN,“LAB TEST NAME") Replace LAB TEST NAME With MAGNESIUM Edit the Basic fields and make it active User must be defined as a Clinical Coordinator

14. Edit TIU Objects

15. New Objects Once activated, this object will appear in the list of objects when making a template Users do need to log off and back on to the EHR before they can see the new objects

16. Creating Objects w/o Programmer Access Another way to make objects is to create health summary objects Health summary types and components MUST be VA health summary types Most IHS components have been converted to VA HS components

17. Document Definitions DDM1 Edit Document Definitions DDM2 Sort Document Definitions DDM3 Create Document Definitions DDM4 Create Objects DDM5 List Object Descriptions DDM6 Create TIU/Health Summary Objects

18. Create TIU/HS Object

19. Create TIU Object Enter a New TIU OBJECT NAME: FAMILY HISTORY Object Name: FAMILY HISTORY Is this correct? YES// YES Use a pre-existing Health Summary Object? NO// NO Checking FAMILY HISTORY (TIU) with Health Summary... Creating Health Summary Object 'FAMILY HISTORY (TIU)‘ Select Health Summary Type: FAMILY HISTORY Are you adding 'FAMILY HISTORY' as a new HEALTH SUMMARY TYPE (the 26th)? No//YES

20. Create HS Object NAME: FAMILY HISTORY// TITLE: Family History SUPPRESS PRINT OF COMPONENTS WITHOUT DATA: n no LOCK: OWNER: HAGER,MARY G// Do you wish to copy COMPONENTS from an existing Health Summary Type? YES//no

21. Create HS Object Select COMPONENT: FAMILY HISTORY FH SUMMARY ORDER: 5// 5 ICD TEXT DISPLAYED: s short text PROVIDER NARRATIVE DISPLAYED: Y yes HEADER NAME: Family History// Select COMPONENT:

22. Create HS Object Do you wish to review the Summary Type structure before continuing? NO// Please hold on while I resequence the summary order. Do you want to overwrite the TIME LIMITS in the Health Summary Type 'FAMILY HISTORY'? N// O Print standard Health Summary Header with the Object? N// O Partial Header: Print Report Date? N// O Print Confidentiality Banner? N// O Print Report Header? N// O Print the standard Component Header? Y// ES

23. Create HS Object Use report time/occurrence limits? N// O Underline Component Header? N// O Add a Blank Line after the Component Header? N// O Print the date a patient was deceased? N// O Print a LABEL before the Health Summary Object? N// O Suppress Components without Data? N// O OBJECT DESCRIPTION: No existing text Edit? NO// Create a TIU Object named: FAMILY HISTORY Ok? YES// TIU Object created successfully.

24. TIU/Health Summary Objects

25. Add to Note Name is in the list and can be inserted into any templates

26. TIU Student Exercise