National Reminders Install -National Reminders Install -Tobacco ScreeningTobacco Screening

Introduction

• The national reminders are in Patch 1005 of clinical reminders.

• The site manager should load this patch at your site.

• This will put all the national reminders into the Reminder Exchange file.

Preparation

• Document pxrm0150.1005 contains setup of each reminder.

• Check the taxonomy

• Check for reminder terms

• Check for orders

Reminder Exchange – Install Reminder

• Choose IHS-TOBACCO SCREEN 2007

Reminder Installation

• Select IFE to install the reminder

• Review the reminder

Order Dialog

• This reminder contains an order dialog for a consult for tobacco cessation

• You can either create this consult quick order, substitute one of your own, or delete it from your dialog

Install the ComponentsREMINDER TAXONOMY entry IHS-TOBACCO COUNSELING 2007

already EXISTS,

what do you want to do?

Select one of the following:

C Create a new entry by copying to a new name

I Install or Overwrite the current entry

Q Quit the install

S Skip, do not install this entry

Enter response: S//

IHS – TOBACCO USE

REMINDER TAXONOMY entry IHS-TOBACCO USE 2007 already EXISTS,

what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install or Overwrite the current entry Q Quit the install S Skip, do not install this entry Enter response: S//

Error on Taxonomy

If there is an error in the taxonomy, you need to build it manually

The screen shows what this error would look like

Use the pxrm0150.1005o document to determine what codes are in this taxonomy.

REMINDER TAXONOMY entry IHS-ASTHMA 2007 is NEW,what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install or Overwrite the current entry Q Quit the install S Skip, do not install this entry Enter response: I// nstall or Overwrite the current entryThe update failed, UPDATE^DIE returned the following error

message:MSG("DIERR")=1^1MSG("DIERR",1)=701MSG("DIERR",1,"PARAM",0)=3MSG("DIERR",1,"PARAM",3)=493.02MSG("DIERR",1,"PARAM","FIELD")=.01MSG("DIERR",1,"PARAM","FILE")=811.23102MSG("DIERR",1,"TEXT",1)=The value '493.02 ' for field

SELECTABLE DIAGNOSIS in SELECTABLE DIAGNOSIS SUB-FIELD in file REMINDER

TAXONOMY is not valid.MSG("DIERR","E",701,1)= REMINDER TAXONOMY entry IHS-ASTHMA 2007 did not get

installed!Examine the above error message for the reason.

Taxonomy Creation

Taxonomy CreationGive it the same nameICD9 Codes: Range 305.1-305.12 Code ICD Diagnosis ---- ------------- 305.1 TOBACCO USE DISORDER 305.10 TOBACCO USE DISORDER UNSPECIFI 305.11 TOBACCO USE-CONTINUOUS 305.12 TOBACCO ABUSE-EPISODIC Range V15.82-V15.82 Code ICD Diagnosis ---- ------------- V15.82 HX-TOBACCO USE Range 649.00-649.04 Code ICD Diagnosis ---- ------------- 649.00 TOBACCO COMPLIC PREG UNSPEC 649.01 TOBACCO PREGNANCY DELIVERED 649.02 TOBACCO PREG DELIV'D COMPLI 649.03 TOBACCO COMPLIC PREG ANTEPART 649.04 TOBACCO COMPLIC PREG POSTPART•

Taxonomy Creation

• After the taxonomy is created

• Re-load the reminder and use SKIP when you reach the taxonomy installation

Reminder Term

REMINDER TERM entry IHS-TOBACCO SCREEN HEALTH FACTORS already EXISTS,

what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install or Overwrite the current entry Q Quit the install S Skip, do not install this entry Enter response: S//

Reminder Term

REMINDER TERM entry IHS-TOBACCO SCREEN EDUCATION TOPICS already EXISTS,

what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install or Overwrite the current entry Q Quit the install S Skip, do not install this entry Enter response: S//

Duplicate Education Topics

• Sites will get errors on installation of patient education if they have 2 topics with the same name.

• If this error occurs, manually create the Reminder Term as you did a taxonomy

• You can add both active and inactive topics to the reminder term.

Reminder DefinitionREMINDER DEFINITION entry IHS-TOBACCO SCREEN 2007 already

EXISTS,what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install or Overwrite the current entry Q Quit the install S Skip, do not install this entry Enter response: S// kip, do not install this entry

Installing the Dialog

• Install the dialog after the reminder is installed

• It may appear that you are installing the reminder again

• Look to the upper left to see where you are

Installing the Dialog

Look here for directions

Select IA again for dialog pieces

Attach to the Reminder

• You are usually asked to attach the dialog to a reminder

• I have named the dialogs and the reminders the same

• If you are not asked during the install, you can manually attach them when you activate the dialog

Dialog Installation

• An X should be by all the pieces of the dialog

Activate the Dialog

• All dialogs installed through reminder exchange are disabled.

• Exit out of Reminder Exchange and go to the DM (Dialog Management)

Select Reminder Managers Menu Option: DM Reminder Dialog Management

DP Dialog Parameters ... DI Reminder Dialogs Choose DI (Reminder Dialogs)

Activate the Dialog

• The initial View is of reminders, use CV and Select D to go to dialogs

Activate Dialogs

Activate the Dialog• Choose the dialog by number then ED

Activate Dialog

Name : IHS-TOBACCO SCREEN 2007

DISABLE: DISABLED IN EXCHANGE Replace @

SURE YOU WANT TO DELETE? Y (Yes)

CLASS: LOCAL//

SPONSOR:

REVIEW DATE:

SOURCE REMINDER: IHS-TOBACCO SCREEN 2007

Select SEQUENCE: 1//

SEQUENCE: 1//

DIALOG ELEMENT/GROUP: HD TOBACCO//

Select SEQUENCE:

Activate Dialog

Add to GUI and TEST!!!

• Add to GUI (first so just the CAC can see and use it)

• TEST TEST TEST TEST TEST