Reminder Exchange

Introduction Reminders can be sent from one facility to another Area Offices can create a central repository for each service unit’s locally created reminders with/without dialogs National Reminders are installed in the exchange. Service Units pick and choose National Reminders they would like to implement

How Does it Work? Can be sent via a host file Can also be sent in Reminders Patches Puts the reminder into a Reminder Exchange File Site can review the reminder and install it Have the option to skip any pieces that already exist at a site

Problems Taxonomies –Indian Health sites do not have standardized files for some files such as ICD9 and CPT codes –If there are problems with a term, it will not install Quick Orders –Quick orders cannot be sent through Exchange Objects –Will not install an object in a dialog if it does not exist at the site.

Using Reminder Exchange

Receiving a Reminder Actions are listed at the bottom of the screen Load Host File – Searches (by default the default folder for files with extension.PRD) When Loading a Host File, enter the whole file name, no partial searches

Receiving – Part 2 Choose the file you wish to import from the list You should then see it in the list on the screen Choose IFE – Install Exchange File Entry Choose the entry you wish to install

Receiving – Part 3 You can scroll through the definition Check the upper left to review what you are looking at Choose IA to Install all components

Components – Already there For each component, there is a choice list If a site already has the component, the default is Skip, do not install again. This can be overwritten if desired

Components – New Install is the default for all new components

Review Look it over after installation Each component should have an X in the exists column If not, try installing that component using IS – Install Selected Components Fix any errors that occur on installation

Installing a Dialog If a dialog came with the reminder, you will next see this screen to install the dialog Check carefully. This looks a lot like the other screen Chose IA Install All

Install Dialog All dialog components for INSULIN HGBA1C>8 are new. Install reminder dialog and all components with no further changes:Y// ES FINDING entry Q.ORZ INSULIN does not exist. Select one of the following: D Delete (from the reminder/dialog) P Replace (in the reminder/dialog) with an existing entry Q Quit the install Enter response: This is an example of a quick order in a dialog Its important to review the dialog first and make any quick orders that will be needed Second choice, is to put a “placeholder” order dialog here and fix it later

Dialogs - Linking If the reminder and dialog have the same name, they will be automatically linked If not, you will be asked to link them together Select Reminder to be Linked

Review Components Review the components before leaving Make sure that there is an X in the exists column for each one Hit return to go back to the reminder components Hit return again to return to the list of items in exchange

Dialogs - Activate Dialogs are always disabled when they come in reminder exchange When you review the dialog, it must be activated before it can be used in a progress note

Sending a Reminder Choose CFE to Create an Exchange File Entry Enter the name of the reminder to pack DIABETES SCREEN

Sending a Reminder Next enter a description. If you put one in when you made the reminder, it will appear Next enter Keywords. These can be used to search for a reminder. They are not required You will get a message that the reminder is being packed

Sending a Reminder It should now appear on the list Choose CHF (Create a host file)

Create Host File Enter a path: C:\TEMP\// –The default will be whatever path is in the Default Directory for HFS field in the Kernel Systems Parameters Domain Name file –This can be overwritten Enter a file name: SCREEN Will save selected entries to host file C:\TEMP\SCREEN.PRD?: Y// –The extension is ALWAYS PRD Send in Exchange

Questions and Discussion