Radiology Order Entry RPMS EHR Chris Saddler and David Taylor DRAFT
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1 Radiology Order Entry RPMS EHR 2014 Chris Saddler and David Taylor 1
2 Radiology Order Entry for MU 2 Radiology Exam CPOE Register Patient in Radiology Edit Exam by Patient Complete Exam Receive Report 2
3 CPOE of Radiology Exam Order Exam through EHR Electronically Sign and Release the Order
4 Register the Patient in Radiology Exam Entry/Edit Menu... Register Patient for Exams Select Exam Entry/Edit Menu Option: Register Patient for Exams Select Patient: WOOTEN,DENNIS
5 *********** Patient Demographics *********** Name : WOOTEN,DENNIS Pt ID : Date of Birth: JUN 21,1984 (30) Veteran : No Eligibility : Unknown Sex : MALE Other Allergies: 'V' denotes verified allergy 'N' denotes non-verified allergy Case # Last 5 Procedures/New Orders Exam Date Status of Exam Imaging Loc HAND 3 OR MORE VIEWS DEC 10,2005 COMPLETE RADIOLOGY - CHEST 2 VIEWS PA&LAT Ord 8/19/14 DEMO HOSPITA Imaging Exam Date/Time: NOW// (AUG 19, 2014@12:01)
6 **** Requested Exams for WOOTEN,DENNIS **** 1 Requests St Urgency Procedure / (Img. Loc.) Desired Requester Req'g Loc p ROUTINE CHEST 2 VIEWS PA&LAT 08/19/2014 TAYLOR,DAVID ER (DEMO HOSPITAL - RADIOLOGY) Select Request(s) 1-1 or '^' to Exit: Exit// 1 Procedure: CHEST 2 VIEWS PA&LAT...will now register WOOTEN,DENNIS with the next case number... (AUG 19, 2014@12:01) Case Number: PROCEDURE: CHEST 2 VIEWS PA&LAT// Select PROCEDURE MODIFIERS: CATEGORY OF EXAM: OUTPATIENT// OUTPATIENT PRINCIPAL CLINIC: ER// TECHNOLOGIST COMMENT: (RAD Detailed) CPT:71020
7 Edit Exam by Patient Exam Entry/Edit Menu... Edit Exam by Patient Select Exam Entry/Edit Menu Option: Edit Exam by Patient Select Patient: WOOTEN,DENNIS
8 **** Edit Exams By Patient **** Patient's Name: WOOTEN,DENNIS Run Date: AUG 19,2014 Case No. Procedure Exam Date Status of Exam Imaging Loc CHEST 2 VIEWS PA&LAT 08/19/14 WAITING FOR EXAM DEMO HOSPIT HAND 3 OR MORE VIEWS 12/10/05 COMPLETE RADIOLOGY - Type a '^' to STOP, or CHOOSE FROM 1-2: 1 Case No.:11 Procedure:CHEST 2 VIEWS PA&LAT Date:AUG 19, :01 (RAD Detailed) CPT:71020 PROCEDURE: CHEST 2 VIEWS PA&LAT// CONTRAST MEDIA USED: NO// Select PROCEDURE MODIFIERS: Select CPT MODIFIERS:
9 CATEGORY OF EXAM: OUTPATIENT// PRINCIPAL CLINIC: ER// REQUESTING PHYSICIAN: TAYLOR,DAVID// Select TECHNOLOGIST: SADDLER,CHRIS// TECHNOLOGIST COMMENT: COMPLICATION: NO COMPLICATION// PRIMARY CAMERA/EQUIP/RM: DH RM 1 DEMO HOSPITAL EXAM ROOM 1 Select FILM SIZE: Laser// FILM SIZE: Laser// AMOUNT(#films or cine ft): 2//...will now designate exam status as 'EXAMINED'...for case no. 11 STATUS CHANGE DATE/TIME: AUG 19,2014@12:25//...exam status successfully updated.
10 Complete Exam Select Rad/Nuc Med Total System Menu Option: Supervisor Menu Override a Single Exam's Status to 'complete'
11 Select Supervisor Menu Option: OVerride a Single Exam's Status to 'complete' Enter Case Number: Name : WOOTEN,DENNIS Pt ID : Case No. : 11 Procedure : CHEST 2 VIEWS PA&LAT Exam Date: AUG 19, :01 Technologist: HAGER,JERRI RENEE Req Phys : SADDLER,CHRIS Are you sure? No// Y...will now attempt override... STATUS CHANGE DATE/TIME: AUG 19,2014@13:56//...exam status is now 'COMPLETE'....will now designate request status as 'COMPLETE'......request status successfully updated. Enter Case Number:
12 Receive Report Radiology Interfaces All are HL7 Generic Interface System (GIS) VISTA Types of Interfaces: PACS Transcription (Remote or On-site) PACS + Transcription
13 No attempt should be made to build quick orders or EHR menus until the Radiology Package has been totally configured. Note that a Common Procedure List will be displayed ONLY if it has been built in the Radiology Package. A Common Procedure List is not required as Procedures may be entered by CPT code or by Name as well as by the procedure number on the common procedure list. Dorothy recommends that sites build a common procedure list in the event they need to order/reorder an exam in RPMS.
14 RAD/NUC MED FILES: Imaging Location Set up Division Parameter Set up Camera/Equip/Room Enter/Edit Procedure Enter/Edit Procedure Modifier Enter/Edit Common Procedure List Examination Status Enter/Edit Report Header/Footer Rad/Nuc Med Personnel
15 Cimarron has a work order for assisting the set up of 50 sites. Contact information: Dorothy K. Russell Cimarron Medical Informatics, LLC (520)
16 Questions and Discussion 16
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