Electronic Health Record

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1 RESOURCE AND PATIENT MANAGEMENT SYSTEM Electronic Health Record (EHR) Version 1.1 Patch 12 Office of Information Technology Division of Information Resource Management Albuquerque, New Mexico

2 Table of Contents 1.0 Introduction Updating from UpToDate to ClinicalKey Step One: Add Clinical Key as New Web Reference Site View Existing Info button Sites in FileMan Add New Info Button Site in FileMan Step Two: Inactivate Web Reference Site Entry for UpToDate Step Three: Default Web Reference Search Add BEHWEB DEFSURL and BEHWEB GETSITES RPC s to the Options file... 5 Contact Information... 7 ii Table of Contents

3 1.0 Introduction The IHS subscription to UpToDate expires on 8/31/2014. The IHS subscription to Clinical Key begins 9/1/2014. Clinical Application Coordinators will need to add Clinical Key as a Web Reference Search option; most will want to default the Web Reference Search selection to Clinical Key. The current function of the Infobutton ( I button) in RPMS EHR v1.1 patch 12 and preceding is as follows: If the user highlights content and clicks the I button, this launches a search of MedlinePlus or Lab Tests Online for patient education content. If nothing is highlighted and the user clicks the I button, then the Web Reference Search is launched. Many sites have set this search function to default to UpToDate. 1 Introduction

4 2.0 Web References Search Configuration for I Button 2.1 Updating from UpToDate to ClinicalKey When a user has nothing selected and clicks the I button on the Problem List, Visit Diagnoses, Historical Diagnoses, Patient Education, or Visit Services component, the following search tool is presented to the user with options as shown in Figure 2-1, depending on local configuration. Figure 2-1: Web Reference Search dialog 2.2 Step One: Add Clinical Key as New Web Reference Site These must be added in FileMan; use caution. The goal is to add a URL that will result in an appropriate returned search for the Search Term entered by the user. The search URL must be entered, not the home URL for a given site View Existing Info button Sites in FileMan VA Fileman Select VA FileMan Option: print File Entries OUTPUT FROM WHAT FILE: BEH INFO BUTTON SITES// SORT BY: WEB REFERENCE SITE// START WITH WEB REFERENCE SITE: FIRST// FIRST PRINT FIELD:.01;L15 WEB REFERENCE SITE THEN PRINT FIELD:.02;L25 SEARCH URL THEN PRINT FIELD:.03;L5 SEQUENCE THEN PRINT FIELD: Heading (S/C): BEH INFO BUTTON SITES LIST Replace STORE PRINT LOGIC IN TEMPLATE: DEVICE: VIRTUAL TERMINAL Right Margin: 80// BEH INFO BUTTON SITES LIST AUG 27, :09 PAGE 1 WEB REFERENCE SITE SEARCH URL SEQUENCE CDC 1 FamilyDoctor.org 2 Google 3 JAMA 4 2

5 Medline 5 UpToDate Add New Info Button Site in FileMan Select VA FileMan Option: Enter or Edit File Entries INPUT TO WHAT FILE: BEH INFO BUTTON SITES// EDIT WHICH FIELD: ALL// Select BEH INFO BUTTON SITES WEB REFERENCE SITE: ClinicalKey Are you adding 'ClinicalKey' as a new BEH INFO BUTTON SITES (the 7TH)? No// y (Yes) SEARCH URL: <<< This must be exact SEQUENCE: 7 <<<< This number will be any number of the site s choosing as long as it is not already used as a sequence INACTIVE: 2.3 Step Two: Inactivate Web Reference Site Entry for UpToDate After inactivating, UpToDate will no longer be selectable on the Web Reference Search dropdown. There is no requirement to inactivate UpToDate, but if there is no site license for the product the user will receive a login challenge. Select VA FileMan Option: Enter or Edit File Entries INPUT TO WHAT FILE: BEH INFO BUTTON SITES// EDIT WHICH FIELD: ALL// Inactive THEN EDIT FIELD: Select BEH INFO BUTTON SITES WEB REFERENCE SITE: UpToDate INACTIVE:? Choose from: 1 YES 0 NO INACTIVE: 1 Yes 2.4 Step Three: Default Web Reference Search Now that the reference site(s) have been added, you may default the Web Reference Search tool. Select PARAMETER DEFINITION NAME: BEH default WEB SEARCH SITE Site BEH DEFAULT WEB SEARCH SITE may be set for the following: Default Web Search 700 Division DIV [choose from INSTITUTION] 800 System SYS [2013-DEMO.NA.IHS.GOV] Enter selection: 800 System 2013-DEMO.NA.IHS.GOV <<< set this at system or division level 3

6 Setting BEH DEFAULT WEB SEARCH SITE for System- Search Site: ClinicalKey The system when it presents the Web Reference Search dialog will now include your addition and default to Clinical Key. Figure 2-2: ClinicalKey default The user can now type in a search term, and upon clicking Search, will be taken to the Clinical Key website which will return the first-level search results as shown in Figure 2-4. Figure 2-3: Entering a search term 4

7 Figure 2-4: Clinical Key website 2.5 Add BEHWEB DEFSURL and BEHWEB GETSITES RPC s to the Options file For EHR users, two RPCs (BEHWEB DEFSURL and BEHWEB GETSITES) must be added to the OPTIONS file via Fileman enter/edit mode as shown below: Select OPTION: 1 ENTER OR EDIT FILE ENTRIES INPUT TO WHAT FILE: OPTION// EDIT WHICH FIELD: ALL// RPC (multiple) EDIT WHICH RPC SUB-FIELD: ALL// THEN EDIT FIELD: Select OPTION NAME: VUE 5

8 1 VUECENTRIC CIAV VUECENTRIC VueCentric 2 VUECENTRIC FRAMEWORK CONFIGURA CIAV MANAGER VueCentric Framework Configuration CHOOSE 1-2: 1 CIAV VUECENTRIC VueCentric Select RPC: BGOVPED2 TOPIC// BEHWEB DEFSURL Are you adding 'BEHWEB DEFSURL' as a new RPC (the 1794TH for this OPTION)? No// Y (Yes) RPCKEY: RULES: Select RPC: ^ ====================================================== Select OPTION: 1 ENTER OR EDIT FILE ENTRIES INPUT TO WHAT FILE: OPTION// EDIT WHICH FIELD: ALL// RPC (multiple) EDIT WHICH RPC SUB-FIELD: ALL// THEN EDIT FIELD: Select OPTION NAME: VUE 1 VUECENTRIC CIAV VUECENTRIC VueCentric 2 VUECENTRIC FRAMEWORK CONFIGURA CIAV MANAGER VueCentric Framework Configuration CHOOSE 1-2: 1 CIAV VUECENTRIC VueCentric Select RPC: BGOVPED2 TOPIC// BEHWEB GETSITES Are you adding BEHWEB GETSITES as a new RPC (the 1795TH for this OPTION)? No// Y (Yes) RPCKEY: RULES: Select RPC: ^ 6

9 Contact Information If you have any questions or comments regarding this distribution, please contact the OIT Help Desk (IHS). Phone: (888) (toll free) Web: Contact Information

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