1. RPMS EHR "Techie" Training 2008

2. VIM Design Mode Exercise Advanced Design Exercise

3. Using Group Panes Alternative method to usual "tabbed chart" Advantages: -Like items can be grouped together Disadvantages: -Items can be "hidden" as a sub-item on a Group Pane -Full tab components lose space to Group Pane side bar General Considerations

4. Building a Group Pane

5. Layout Manager view

6. Individual Pane Layout

7. Layout Manager Refer to included "Group Pane Setup.doc" for detailed view of Layout for CIH template

8. Create New Template Open a session of RPMS-EHR Click the Medsphere Logo and click on "Design Mode" (alternatively you can use "Ctrl + Alt + D)

9. Start with a "Clean Slate" Click the Design menu and click on "Clear Desktop" On the Confirm dialog click "Yes"

10. Create a new Template Right click in empty template and click on "Add Object"

11. Adding Splitter Pane Click on the "+" left of "Name" to expand the list Scroll to "Splitter Pane," click on it and click the "Add" button

12. Change Orientation Right click in the Splitter Pane and click on "Properties"

13. Change Orientation Click on the drop-down menu in the Value column or "Orient" and change it from "Horizontal" to Vertical" and click "Apply"

14. Splitter Pane Orientation You'll now see the Splitter Pane has changed orientation

15. Splitter Pane Alignment Right click in the Splitter Pane and click on "Align" and then click on "All" from the drop-down menu

16. Moving the divider Left click and drag the Splitter Pane divider

17. Add another Splitter Pane Right click in the Splitter Pane and click on "Add Object" and add another Splitter Pane

18. Setup Splitter Pane Align by right clicking in the Splitter Pane and click on "Align" and then click on "All" from the drop-down menu Left click the divider drag it to the center of the new Splitter Pane

19. Add Patient Identifier In the upper left Pane, right click, click on Add Object, scroll to "Patient Identification Header" and click "Add"

20. Align Patient Identifier Double click in the newly added Object to Align it in the Splitter Pane

21. Add Encounter Information Header In the upper left Pane, right click, click on Add Object, scroll to "Encounter Information Header" and click "Add"

22. Align Encounter Information Header Double click in the newly added Object to Align it in the Splitter Pane

23. Add a new Tab In the lower Pane, right click, click Add Object, scroll to "Tabbed Notebook," click it and click "Add"

24. Align the new Tab Double click in the new Tab make it fill the entire pane

25. Reconfigure Tab Right click in the Tab and click on "Properties"

26. Reconfigure Tab Click on the "Tab Editor" button

27. Reconfigure Tab Click on the Tab name (Main) and click the Rename Icon (the Pencil) Rename the Tab-"Visit Requirements"

28. Reconfigure Tab Now click on the "TabPosition" button and in the right drop-down menu change "Top" to "Bottom," click "Apply" and "OK"

29. Add a Group Bar Right click in the Tab, click "Add an Object," scroll to "Group Bar" click on it and click the "Add" button

30. Align the Group Bar Right click on the Group Bar, click on Align and the on "All" in the drop-down

31. Add Groups to the Group Bar Right click on the Group Bar, click on "Properties" In the Properties dialog click the "Group Editor" button

32. Add Groups to the Group Bar Click the "+" sign at the top to add a new item, name it "Triage"

33. Add Groups to Group Bar Add these Groups to the Group Bar: -Vitals -Screening -Health Promotion -Visit Codes -Procedures -Lab Results -Medications -Orders

34. Add Groups to Group Bar The Properties dialog should now look like this:

35. Edit Group Name Click on "Group 1" and click the Pencil icon and rename it "Overview"

36. Check our Progress Click "Apply" and "OK" and your template should look like this:

37. Adding Objects to Groups Let's start from the bottom up Go back into the Group Editor: -Right click and click "Properties," click on the "Group Editor" button

38. Adding Objects to Groups In the Group Editor click on the group "Orders" and then click the "+" and name the new item "Orders List"

39. Adding Objects to Groups To make this a sub-item of the Orders group, click the  button

40. Add Object to Groups Click "Apply" and "OK," under the Orders group, click on the new "Orders List" item In the right Pane, right click and scroll to "Orders (CPRS), click on it and click "Add"

41. Add Objects to Groups Align the Orders object by double clicking it

42. Continue Adding Objects Let's repeat the previous process, but add the Medications List Go back into the Group Editor Add a new item, "Medications List" Click the up arrow until the new Medications List item is just below Medications Click the right arrow to make the new item a sub-item of Medications

43. Continue Adding Objects

44. Continuing to Add Objects Click "Apply" and "OK" to close the editor Then click on the "Medications List" item under Medications group Right click in the right pane and click "Add Object" Scroll to "Medication Management" and click "Add

45. Continuing to Add Objects

46. Double click "Medications Management to fill the entire Pane

47. Continuing to Add Objects Repeat the above process once again, but this time and item "Labs" and place the Object "Lab Results" on it

48. Adding Multiple Objects Next let's setup Procedures This item contains multiple Objects, so we'll need to place Splitter Panes before placing the Objects themselves As above, let's add a new item to Procedures called "Procedures/Codes" Now to this item lets add a Splitter Pane, change the orientation to vertical and align it to fill the Pane

49. Adding Multiple Objects Now click and drag the divider about 2/3rds of the way up in the Pane

50. Adding Multiple Objects Now add a new Splitter Pane to the bottom Pane Again change the orientation to Vertical and Align it to fill the entire Pane You should now have three approximately equal-sized Panes Add and Align the Objects for Super-Bill, E & M Coding and VCPT to these Panes

51. Adding Multiple Objects

52. Now let's setup Visit Codes Add a new item "Diagnosis/POV" Just as we did with Procedures, after adding the item, add 2 Splitter Panes to create 3 equal Panes Then let's add and align ICD Pick List, POV History and VPOV

53. Adding Multiple Objects

54. Let's set up the next Group, Health Promotion by adding an item "Education/Immunizations" Again lets add 2 Splitter Panes to make 3 equal Panes and add and align Objects for Education, Immunization and Skin Tests

55. Adding Multiple Objects

56. Let's move on to the Screening Group Again lets add an item, let's call it "History/Exams" Lets add 3 Splitter Panes – the first divides top and bottom, then add one to each Pane to again divide them in half

57. Adding Multiple Objects

58. Now to these four Panes, let's add – Health Factors, Exams, Personal Health History and Allergies We need to add title to "Allergies" Right click on the Allergies component, then click on Properties In the "Caption" field enter "\Allergies" Change "CaptionStyle" from "No Caption" to Title Bar

59. Allergies Component setup

60. Vital Signs Group Let's move up to Vitals Create a new item called "Vital Signs" and add it to the Vitals Group. Add and align the Object for Vital Measurement Display

61. Vital Signs Group

62. Triage Group Let's create an item called "CC/Problems" and add it to the Triage Group Let's add 2 Splitter Panes to form a "T" and then add and align the Objects for Chief Complaint, Triage Summary and Problem Management

63. Triage Group

64. Overview Group Finally let's create a new item called "Coversheet" and add it to the Overview Group Add 3 Splitter Panes to divide it into 4 equal quarters Then add and align the Objects-Alerts, Appointments, Crisis Alerts and Lab Orders

65. Overview Group As with the Allergies component, each component on the Overview group will need to have the Caption entered and enabled and change "DetailPane" to False

66. Overview Group

67. Group Editor

68. Group Pane Styles Task List Style:

69. Group Pane Styles Outlook Style:

70. Group Pane Styles Category Style:

71. Final Thoughts This was just an exercise A "real" template would have contained additional buttons and tabs, but this is a thorough exercise to learn about Groups.

72. Questions and Discussion Really Powerful at Measuring Stuff