| DESCRIPTION OF ENHANCEMENTS |
MD*1.0*16 (Clinical Flowsheets Version 1.0)
collected information as discrete data. Some data elements, such as
vital signs, are available to the Vitals Package and Computerized Patient
Record System (CPRS). Various reports built on the other data elements
are available for CPRS in the form of TIU Notes.
There are two ways to enter data into Clinical Flowsheets: manually and
via Health Level 7 (HL7) messaging. Any instrument or external system
capable of sending HL7 messages can be considered a source of data for
Clinical Flowsheets (provided that the HL7 messages conform to Clinical
Flowsheets requirements).
Clinical Flowsheets uses VistA Data Extraction Framework (VDEF) support,
HL7 messaging, and the CP Gateway service to notify the medical device of
the patient's admission, discharge, and transfer.
The Clinical Flowsheets patch consists of these three (3) Graphical User
Interface (GUI) components and one (1) Kernel Installation & Distribution
System (KIDS) build:
- CP Console
The Clinical Flowsheets patch of the Clinical Procedures (CP) package
- CP Flowsheets
- CP Gateway Service
- MD1_0P16.KID
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NOTE:
A. IF THE SITE IS NOT CURRENTLY RUNNING CLINICAL PROCEDURES, ONLY
THE KIDS BUILD NEEDS TO BE INSTALLED. ALL OTHER INSTALLATION
INSTRUCTIONS AND POST-INSTALLS CAN BE IGNORED.
provides an electronic representation of the traditional paper flowsheet
B. IF THE SITE IS RUNNING CLINICAL PROCEDURES AND DOES NOT PLAN ON
IMPLEMENTING CLINICAL FLOWSHEETS AT THIS TIME, ONLY THE KIDS AND CP
CONSOLE (REPLACEMENT FOR THE CURRENT CP MANAGER) NEED TO BE INSTALLED.
C. IF THE SITE IS RUNNING CLINICAL PROCEDURES AND WISH TO BEGIN THE
IMPLEMENTATION OF CLINICAL FLOWSHEETS, THEN ALL 4 COMPONENTS NEED TO BE
INSTALLED: KIDS, CP CONSOLE, CP FLOWSHEETS AND THE NEW CP GATEWAY
SERVICE.-
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maintained during each inpatient stay. Vitals, Intake & Output (I&O),
FEATURES:
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1. FEATURE: Provide GUI to view, enter and edit patient's data.
Clinical Flowsheets provides a user-friendly, customizable, GUI with
"flow-sheets" to view, manually edit, and manually enter patient ICU
Vitals and I&O information.
2. FEATURE: Interface with Intensive Care Unit (ICU) devices.
Wound Documentation, etc., are examples of data types that can be
Clinical Flowsheets project and application will provide an interface for
the collection of patient data from ICU monitoring devices. The
collected and verified data will be stored automatically in the
appropriate VistA database(s).
3. FEATURE: Introduces the Admission Discharge Transfer (ADT) system.
With VDEF support, HL7 messaging, and the CP Gateway service, CP's ADT
sub-system will notify the ICU device of the patient admission,
discharge,
and transfer.
recorded via Clinical Flowsheets into the Veterans Health Information
4. FEATURE: Standardized Terminology Files.
Clinical Flowsheets supports standardized terminology files with Vitals
Measurements, and I&O terms. This standardized terminology file is also
a component of patch MD*1*16.
System and Technology Architecture (VistA) system. Clinical Flowsheets
provides a departure from its predecessor applications by storing
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