Difference between revisions of "CPRS Config: Notifications"

Revision as of 21:51, 29 September 2011

Welcome to the Notifications Configuration Page.

What Are Notifications?

It's a message generated by the system at specific events. Notifications are the closest thing to an SMS text message you will get in VISTA. Notifications are intended to be more 'real time' than a mail message in mailman is, in that VISTA keeps bugging you until you process them. Some common messages are:

• Lab Results
• Note needs to be signed
• Order needs to be signed
• New Consult

You have to be very careful on how you configure notifications: not to deliver too many, and they actually are processed by the users. Many patient related events are relayed through the notification system; as such, proper use is essential to the functioning of VISTA as an EMR.

Notifications are handled by the alert system in the kernel. All notifications are alerts; but not all alerts are notifications. An alert is a notification only if it has a patient associated with it.

Pre Configuration

For each, you need to ask these questions?

• On/Off/Mandatory?
• Who should get the notification? The user who entered it?; the provider under whom the order was written?; the OE/RR Team?

For some, you may need to ask these questions, but usually these settings are adjusted later.

• Urgency of Notification (High/Medium/Low)
• Should Deletion happen when a single person processes it, or when all recipients process it?
• Should a certain entity (person or group) always get the notification?

Here is the list of Notifications that comes with VISTA. Some of them are duds, like the one for Order Co-Signature (there is no such thing in VISTA: only note co-signature). Of note, TIU does not use this list for generating notifications; it uses its own settings. You can completely have notifications shut down, but TIU will still generate them if TIU is in use.

ABNORMAL IMAGING RESULTS
ABNORMAL LAB RESULT (INFO)
ABNORMAL LAB RESULTS (ACTION)
ADMISSION
ANATOMIC PATHOLOGY RESULTS
CONSULT/PROC INTERPRETATION
CONSULT/REQUEST CANCEL/HOLD
CONSULT/REQUEST RESOLUTION
CONSULT/REQUEST UPDATED
CRITICAL LAB RESULT (INFO)
CRITICAL LAB RESULTS (ACTION)
DC ORDER
DECEASED PATIENT
DISCHARGE
DNR EXPIRING
ERROR MESSAGE
FLAGGED OI EXPIRING - INPT
FLAGGED OI EXPIRING - OUTPT
FLAGGED OI ORDER - INPT
FLAGGED OI ORDER - OUTPT
FLAGGED OI RESULTS - INPT
FLAGGED OI RESULTS - OUTPT
FLAG ORDER FOR CLARIFICATION
FOOD/DRUG INTERACTION
FREE TEXT
IMAGING PATIENT EXAMINED
IMAGING REQUEST CANCEL/HELD
IMAGING REQUEST CHANGED
IMAGING RESULTS
IMAGING RESULTS AMENDED
LAB ORDER CANCELED
LAB RESULTS
LAB THRESHOLD EXCEEDED
MAMMOGRAM RESULTS
MEDICATIONS EXPIRING - INPT
MEDICATIONS EXPIRING - OUTPT
NEW ORDER
NEW SERVICE CONSULT/REQUEST
NPO DIET MORE THAN 72 HRS
ORDER CHECK
ORDERER-FLAGGED RESULTS
ORDER REQUIRES CHART SIGNATURE
ORDER REQUIRES CO-SIGNATURE
ORDER REQUIRES ELEC SIGNATURE
PAP SMEAR RESULTS
SERVICE ORDER REQ CHART SIGN
STAT IMAGING REQUEST
STAT ORDER
STAT RESULTS
TRANSFER FROM PSYCHIATRY
UNSCHEDULED VISIT
UNVERIFIED MEDICATION ORDER
UNVERIFIED ORDER
URGENT IMAGING REQUEST

Notification Configuration for CPRS

Main Menu

   1      Enable/Disable Notifications 
   2      Erase Notifications
   3      Set Urgency for Notifications (GUI)
   4      Set Deletion Parameters for Notifications
   5      Set Default Recipient(s) for Notifications
   6      Set Default Recipient Device(s) for Notifications
   7      Set Provider Recipients for Notifications
   8      Flag Orderable Item(s) to Send Notifications
   9      Archive(delete) after <x> Days
   10     Forward Notifications ...
   11     Set Delays for Unverified Orders ...
   13     Send Flagged Orders Bulletin
   14     Determine Recipients for a Notification
   15     Display Patient Alerts and Alert Recipients
   16     Enable or Disable Notification System
   17     Display the Notifications a User Can Receive

Disable Everything at the System Level

Because VISTA by default comes with rather strange defaults at the Package Level, let alone that the notification system is even turned on, I turn everything off first.

               Set PROCESSING FLAG Parameters for Notifications

Processing Flag may be set for the following:

     1   User          USR    [choose from NEW PERSON]
     2   Team (OE/RR)  OTL    [choose from OE/RR LIST]
     3   Service       SRV    [choose from SERVICE/SECTION]
     4   Location      LOC    [choose from HOSPITAL LOCATION]
     5   Division      DIV    [choose from INSTITUTION]
     6   System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 6  System   VISTA.ICH.LOCAL

------------ Setting Processing Flag  for System: VISTA.ICH.LOCAL ------------
Select Notification: abnormal imaGING RESULTS  
Are you adding ABNORMAL IMAGING RESULTS as a new Notification? Yes//   YES

Notification: ABNORMAL IMAGING RESULTS//   ABNORMAL IMAGING RESULTS   ABNORMAL I
MAGING RESULTS
Value: ?

Code indicating processing flag for the entity and notification.

     Select one of the following:

          M         Mandatory
          E         Enabled
          D         Disabled

Value: d  Disabled
Select Notification: abnormal lab result,in  ABNORMAL LAB RESULT (INFO)
Are you adding ABNORMAL LAB RESULT (INFO) as a new Notification? Yes//   YES

Notification: ABNORMAL LAB RESULT (INFO)//   ABNORMAL LAB RESULT (INFO)   ABNORM
AL LAB RESULT (INFO)
Value: d  Disabled
Select Notification: abnormal lab result (ac ??
Select Notification: abno,lab,ac  ABNORMAL LAB RESULTS (ACTION)
Are you adding ABNORMAL LAB RESULTS (ACTION) as a new Notification? Yes//   YES

Notification: ABNORMAL LAB RESULTS (ACTION)//   ABNORMAL LAB RESULTS (ACTION)   
ABNORMAL LAB RESULTS (ACTION)
Value: d  Disabled
Select Notification: admissION  
Are you adding ADMISSION as a new Notification? Yes//   YES

Notification: ADMISSION//   ADMISSION   ADMISSION
Value: d  Disabled
Select Notification: anaTOMIC PATHOLOGY RESULTS  
Are you adding ANATOMIC PATHOLOGY RESULTS as a new Notification? Yes//   YES

Notification: ANATOMIC PATHOLOGY RESULTS//   ANATOMIC PATHOLOGY RESULTS   ANATOM
IC PATHOLOGY RESULTS
Value: d  Disabled
Select Notification: consult/proc inTERPRETATION  
Are you adding CONSULT/PROC INTERPRETATION as a new Notification? Yes//   YES

Notification: CONSULT/PROC INTERPRETATION//   CONSULT/PROC INTERPRETATION   CONS
ULT/PROC INTERPRETATION
Value: d  Disabled
Select Notification: consult/request canCEL/HOLD  
Are you adding CONSULT/REQUEST CANCEL/HOLD as a new Notification? Yes//   YES

Notification: CONSULT/REQUEST CANCEL/HOLD//   CONSULT/REQUEST CANCEL/HOLD   CONS
ULT/REQUEST CANCEL/HOLD
Value: d  Disabled
Select Notification: consult/request reSOLUTION  
Are you adding CONSULT/REQUEST RESOLUTION as a new Notification? Yes//   YES

Notification: CONSULT/REQUEST RESOLUTION//   CONSULT/REQUEST RESOLUTION   CONSUL
T/REQUEST RESOLUTION
Value: d  Disabled
Select Notification: consult/request updATED  
Are you adding CONSULT/REQUEST UPDATED as a new Notification? Yes//   YES

Notification: CONSULT/REQUEST UPDATED//   CONSULT/REQUEST UPDATED   CONSULT/REQU
EST UPDATED
Value: d  Disabled
Select Notification: criti,lab,info  CRITICAL LAB RESULT (INFO)
Are you adding CRITICAL LAB RESULT (INFO) as a new Notification? Yes//   YES

Notification: CRITICAL LAB RESULT (INFO)//   CRITICAL LAB RESULT (INFO)   CRITIC
AL LAB RESULT (INFO)
Value: d  Disabled
Select Notification: critical,lab,ac  CRITICAL LAB RESULTS (ACTION)
Are you adding CRITICAL LAB RESULTS (ACTION) as a new Notification? Yes//   YES

Notification: CRITICAL LAB RESULTS (ACTION)//   CRITICAL LAB RESULTS (ACTION)   
CRITICAL LAB RESULTS (ACTION)
Value: d  Disabled
Select Notification: dc orDER  
Are you adding DC ORDER as a new Notification? Yes//   YES

Notification: DC ORDER//   DC ORDER   DC ORDER
Value: d  Disabled
Select Notification: deceaSED PATIENT  
Are you adding DECEASED PATIENT as a new Notification? Yes//   YES

Notification: DECEASED PATIENT//   DECEASED PATIENT   DECEASED PATIENT
Value: d  Disabled
Select Notification: dischARGE  
Are you adding DISCHARGE as a new Notification? Yes//   YES

Notification: DISCHARGE//   DISCHARGE   DISCHARGE
Value: d  Disabled
Select Notification: dnr expiRING  
Are you adding DNR EXPIRING as a new Notification? Yes//   YES

Notification: DNR EXPIRING//   DNR EXPIRING   DNR EXPIRING
Value: d  Disabled
Select Notification: error meSSAGE  
Are you adding ERROR MESSAGE as a new Notification? Yes//   YES

Notification: ERROR MESSAGE//   ERROR MESSAGE   ERROR MESSAGE
Value: d  Disabled
Select Notification: flagged oi,ex,in  FLAGGED OI EXPIRING - INPT
Are you adding FLAGGED OI EXPIRING - INPT as a new Notification? Yes//   YES

Notification: FLAGGED OI EXPIRING - INPT//   FLAGGED OI EXPIRING - INPT   FLAGGE
D OI EXPIRING - INPT
Value: d  Disabled
Select Notification: flagg,oi,ex,ou  FLAGGED OI EXPIRING - OUTPT
Are you adding FLAGGED OI EXPIRING - OUTPT as a new Notification? Yes//   YES

Notification: FLAGGED OI EXPIRING - OUTPT//   FLAGGED OI EXPIRING - OUTPT   FLAG
GED OI EXPIRING - OUTPT
Value: d  Disabled
Select Notification: flagg,oi,ord,in  FLAGGED OI ORDER - INPT
Are you adding FLAGGED OI ORDER - INPT as a new Notification? Yes//   YES

Notification: FLAGGED OI ORDER - INPT//   FLAGGED OI ORDER - INPT   FLAGGED OI O
RDER - INPT
Value: d  Disabled
Select Notification: flagg,oi,or,out  FLAGGED OI ORDER - OUTPT
Are you adding FLAGGED OI ORDER - OUTPT as a new Notification? Yes//   YES

Notification: FLAGGED OI ORDER - OUTPT//   FLAGGED OI ORDER - OUTPT   FLAGGED OI
 ORDER - OUTPT
Value: d  Disabled
Select Notification: flagg,oi,res,inp  FLAGGED OI RESULTS - INPT
Are you adding FLAGGED OI RESULTS - INPT as a new Notification? Yes//   YES

Notification: FLAGGED OI RESULTS - INPT//   FLAGGED OI RESULTS - INPT   FLAGGED 
OI RESULTS - INPT
Value: d  Disabled
Select Notification: fla,oi,res,outpt  FLAGGED OI RESULTS - OUTPT
Are you adding FLAGGED OI RESULTS - OUTPT as a new Notification? Yes//   YES

Notification: FLAGGED OI RESULTS - OUTPT//   FLAGGED OI RESULTS - OUTPT   FLAGGE
D OI RESULTS - OUTPT
Value: d  Disabled
Select Notification: flag
     1   FLAG ORDER FOR CLARIFICATION  
     2   FLAGGED OI EXPIRING - INPT  
     3   FLAGGED OI EXPIRING - OUTPT  
     4   FLAGGED OI ORDER - INPT  
     5   FLAGGED OI ORDER - OUTPT  
Press <Enter> to see more, '^' to exit this list,  OR
CHOOSE 1-5: 1  FLAG ORDER FOR CLARIFICATION
Are you adding FLAG ORDER FOR CLARIFICATION as a new Notification? Yes//   YES

Notification: FLAG ORDER FOR CLARIFICATION//   FLAG ORDER FOR CLARIFICATION   FL
AG ORDER FOR CLARIFICATION
Value: d  Disabled
Select Notification: food/drug inTERACTION  
Are you adding FOOD/DRUG INTERACTION as a new Notification? Yes//   YES

Notification: FOOD/DRUG INTERACTION//   FOOD/DRUG INTERACTION   FOOD/DRUG INTERA
CTION
Value: d  Disabled
Select Notification: free text  
Are you adding FREE TEXT as a new Notification? Yes//   YES

Notification: FREE TEXT//   FREE TEXT   FREE TEXT
Value: d  Disabled
Select Notification: imag,pat,exam  IMAGING PATIENT EXAMINED
Are you adding IMAGING PATIENT EXAMINED as a new Notification? Yes//   YES

Notification: IMAGING PATIENT EXAMINED//   IMAGING PATIENT EXAMINED   IMAGING PA
TIENT EXAMINED
Value: d  Disabled
Select Notification: imag,req,can  IMAGING REQUEST CANCEL/HELD
Are you adding IMAGING REQUEST CANCEL/HELD as a new Notification? Yes//   YES

Notification: IMAGING REQUEST CANCEL/HELD//   IMAGING REQUEST CANCEL/HELD   IMAG
ING REQUEST CANCEL/HELD
Value: d  Disabled
Select Notification: imag,req,chan  IMAGING REQUEST CHANGED
Are you adding IMAGING REQUEST CHANGED as a new Notification? Yes//   YES

Notification: IMAGING REQUEST CHANGED//   IMAGING REQUEST CHANGED   IMAGING REQU
EST CHANGED
Value: d  Disabled
Select Notification: imag,res
     1   IMAGING RESULTS  
     2   IMAGING RESULTS AMENDED  
CHOOSE 1-2: 1  IMAGING RESULTS
Are you adding IMAGING RESULTS as a new Notification? Yes//   YES

Notification: IMAGING RESULTS//   IMAGING RESULTS   IMAGING RESULTS
Value: d  Disabled
Select Notification: imagin,res,amen  IMAGING RESULTS AMENDED
Are you adding IMAGING RESULTS AMENDED as a new Notification? Yes//   YES

Notification: IMAGING RESULTS AMENDED//   IMAGING RESULTS AMENDED   IMAGING RESU
LTS AMENDED
Value: d  Disabled
Select Notification: lab,order,can  LAB ORDER CANCELED
Are you adding LAB ORDER CANCELED as a new Notification? Yes//   YES

Notification: LAB ORDER CANCELED//   LAB ORDER CANCELED   LAB ORDER CANCELED
Value: d  Disabled
Select Notification: lab,res  LAB RESULTS
Are you adding LAB RESULTS as a new Notification? Yes//   YES

Notification: LAB RESULTS//   LAB RESULTS   LAB RESULTS
Value: d  Disabled
Select Notification: lab,thres  LAB THRESHOLD EXCEEDED
Are you adding LAB THRESHOLD EXCEEDED as a new Notification? Yes//   YES

Notification: LAB THRESHOLD EXCEEDED//   LAB THRESHOLD EXCEEDED   LAB THRESHOLD 
EXCEEDED
Value: d  Disabled
Select Notification: mammogRAM RESULTS  
Are you adding MAMMOGRAM RESULTS as a new Notification? Yes//   YES

Notification: MAMMOGRAM RESULTS//   MAMMOGRAM RESULTS   MAMMOGRAM RESULTS
Value: d  Disabled
Select Notification: medica,exp,inpt  MEDICATIONS EXPIRING - INPT
Are you adding MEDICATIONS EXPIRING - INPT as a new Notification? Yes//   YES

Notification: MEDICATIONS EXPIRING - INPT//   MEDICATIONS EXPIRING - INPT   MEDI
CATIONS EXPIRING - INPT
Value: d  Disabled
Select Notification: medica,exp,out  MEDICATIONS EXPIRING - OUTPT
Are you adding MEDICATIONS EXPIRING - OUTPT as a new Notification? Yes//   YES

Notification: MEDICATIONS EXPIRING - OUTPT//   MEDICATIONS EXPIRING - OUTPT   ME
DICATIONS EXPIRING - OUTPT
Value: d  Disabled
Select Notification: new ordER  
Are you adding NEW ORDER as a new Notification? Yes//   YES

Notification: NEW ORDER//   NEW ORDER   NEW ORDER
Value: d  Disabled
Select Notification: new service CONSULT/REQUEST  
Are you adding NEW SERVICE CONSULT/REQUEST as a new Notification? Yes//   YES

Notification: NEW SERVICE CONSULT/REQUEST//   NEW SERVICE CONSULT/REQUEST   NEW 
SERVICE CONSULT/REQUEST
Value: d  Disabled
Select Notification: npo dieT MORE THAN 72 HRS  
Are you adding NPO DIET MORE THAN 72 HRS as a new Notification? Yes//   YES

Notification: NPO DIET MORE THAN 72 HRS//   NPO DIET MORE THAN 72 HRS   NPO DIET
 MORE THAN 72 HRS
Value: d  Disabled
Select Notification: order chECK  
Are you adding ORDER CHECK as a new Notification? Yes//   YES

Notification: ORDER CHECK//   ORDER CHECK   ORDER CHECK
Value: d  Disabled
Select Notification: orderer-flaGGED RESULTS  
Are you adding ORDERER-FLAGGED RESULTS as a new Notification? Yes//   YES

Notification: ORDERER-FLAGGED RESULTS//   ORDERER-FLAGGED RESULTS   ORDERER-FLAG
GED RESULTS
Value: d  Disabled
Select Notification: order requ,ch,sig  ORDER REQUIRES CHART SIGNATURE
Are you adding ORDER REQUIRES CHART SIGNATURE as a new Notification? Yes//   YES

Notification: ORDER REQUIRES CHART SIGNATURE//   ORDER REQUIRES CHART SIGNATURE 
  ORDER REQUIRES CHART SIGNATURE
Value: d  Disabled
Select Notification: ord,req,co,sig  ORDER REQUIRES CO-SIGNATURE
Are you adding ORDER REQUIRES CO-SIGNATURE as a new Notification? Yes//   YES

Notification: ORDER REQUIRES CO-SIGNATURE//   ORDER REQUIRES CO-SIGNATURE   ORDE
R REQUIRES CO-SIGNATURE
Value: d  Disabled
Select Notification: ord,req,ele,sig  ORDER REQUIRES ELEC SIGNATURE
Are you adding ORDER REQUIRES ELEC SIGNATURE as a new Notification? Yes//   YES

Notification: ORDER REQUIRES ELEC SIGNATURE//   ORDER REQUIRES ELEC SIGNATURE   
ORDER REQUIRES ELEC SIGNATURE
Value: d  Disabled
Select Notification: pap smear resULTS  
Are you adding PAP SMEAR RESULTS as a new Notification? Yes//   YES

Notification: PAP SMEAR RESULTS//   PAP SMEAR RESULTS   PAP SMEAR RESULTS
Value: d  Disabled
Select Notification: serive order req ch ??
Select Notification: service ordER REQ CHART SIGN  
Are you adding SERVICE ORDER REQ CHART SIGN as a new Notification? Yes//   YES

Notification: SERVICE ORDER REQ CHART SIGN//   SERVICE ORDER REQ CHART SIGN   SE
RVICE ORDER REQ CHART SIGN
Value: d  Disabled
Select Notification: stats imaging re ??
Select Notification: stat imAGING REQUEST  
Are you adding STAT IMAGING REQUEST as a new Notification? Yes//   YES

Notification: STAT IMAGING REQUEST//   STAT IMAGING REQUEST   STAT IMAGING REQUE
ST
Value: d  Disabled
Select Notification: stat ordER  
Are you adding STAT ORDER as a new Notification? Yes//   YES

Notification: STAT ORDER//   STAT ORDER   STAT ORDER
Value: d  Disabled
Select Notification: stat results  
Are you adding STAT RESULTS as a new Notification? Yes//   YES

Notification: STAT RESULTS//   STAT RESULTS   STAT RESULTS
Value: d  Disabled
Select Notification: transfer from psyCHIATRY  
Are you adding TRANSFER FROM PSYCHIATRY as a new Notification? Yes//   YES

Notification: TRANSFER FROM PSYCHIATRY//   TRANSFER FROM PSYCHIATRY   TRANSFER F
ROM PSYCHIATRY
Value: d  Disabled
Select Notification: unscheDULED VISIT  
Are you adding UNSCHEDULED VISIT as a new Notification? Yes//   YES

Notification: UNSCHEDULED VISIT//   UNSCHEDULED VISIT   UNSCHEDULED VISIT
Value: d  Disabled
Select Notification: unveri
     1   UNVERIFIED MEDICATION ORDER  
     2   UNVERIFIED ORDER  
CHOOSE 1-2:  ??
Select Notification: unveri
     1   UNVERIFIED MEDICATION ORDER  
     2   UNVERIFIED ORDER  
CHOOSE 1-2: 1  UNVERIFIED MEDICATION ORDER
Are you adding UNVERIFIED MEDICATION ORDER as a new Notification? Yes//   YES

Notification: UNVERIFIED MEDICATION ORDER//   UNVERIFIED MEDICATION ORDER   UNVE
RIFIED MEDICATION ORDER
Value: d  Disabled
Select Notification: unverified order  
Are you adding UNVERIFIED ORDER as a new Notification? Yes//   YES

Notification: UNVERIFIED ORDER//   UNVERIFIED ORDER   UNVERIFIED ORDER
Value: d  Disabled
Select Notification: urgent imaGING REQUEST  
Are you adding URGENT IMAGING REQUEST as a new Notification? Yes//   YES

Notification: URGENT IMAGING REQUEST//   URGENT IMAGING REQUEST   URGENT IMAGING
 REQUEST
Value: d  Disabled
Select Notification: 

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