1. CPRS PARAMETERS & YOU
Randy Frommater
NVS Clin 2
Jeanie Scott

2. Presented by: Randy Frommater NVS - Clin 2, Salt Lake City OIFO
XPAR MENU TOOLS
Presented by: Randy Frommater
NVS - Clin 2, Salt Lake City OIFO

3. XPAR MENU TOOLS General Parameter Tools
LV List Values for a Selected Parameter
LE List Values for a Selected Entity
LP List Values for a Selected Package
LT List Values for a Selected Template
EP Edit Parameter Values
ET Edit Parameter Values with Template

4. LV List Values for a Selected Parameter [XPAR LIST BY PARAM]
Select General Parameter Tools Option: LV List Values for a Selected Parameter
Select PARAMETER DEFINITION NAME: ORWPCE ANYTIME ENCOUNTERS Anytime Encounters
USR: PASTERNOCK,JOY YES
USR: WHITEHEAD,DONNA YES
SYS: CPR.ISC-ALBANY.VA.GOV NO

5. LE List Values for a Selected Entity [XPAR LIST BY ENTITY]
Select General Parameter Tools Option: LE List Values for a Selected Entity
Entities may be set for the following:
10 User USR [choose from NEW PERSON]
20 Team (OE/RR) OTL [choose from OE/RR LIST]
30 Class CLS [choose from USR CLASS]
40 Location LOC [choose from HOSPITAL LOCATION]
50 Service SRV [choose from SERVICE/SECTION]
60 Division DIV [VAMC ALBANY PIA]
70 System SYS [CPR.ISC-ALBANY.VA.GOV]
Enter selection: 10 User NEW PERSON
Select NEW PERSON NAME: PASTERNOCK,JOY

6. Values for USR: PASTERNOCK,JOY
ORQQLR DATE RANGE OUTPT
ORQQLR DATE RANGE INPT
ORB PROCESSING FLAG NPO DIET MORE THAN 7 Enabled
ORB PROCESSING FLAG CONSULT/REQUEST UPDA Disabled
ORLP DEFAULT LIST SOURCE Ward List
ORLP DEFAULT LIST ORDER Alphabetic
ORLP DEFAULT WARD A GEN MED
ORLP DEFAULT CLINIC START DATE T-180
ORLP DEFAULT CLINIC STOP DATE T+30
ORQQAP SEARCH RANGE START T-365
ORQQVS SEARCH RANGE START T-365
ORQQVS SEARCH RANGE STOP T+30
ORB SORT METHOD Patient
OR ADD ORDERS MENU ORZ ADD MENU CLINICIAN

7. LP LIST VALUES FOR SELECTED PACKAGE
Select General Parameter Tools Option: LP List Values for a Selected
Package
Select PACKAGE NAME: LAB SERVICE LR
Values for PKG: LAB SERVICE
LR IGNORE HOLIDAYS YES
LR COLLECT FRIDAY YES
LR COLLECT THURSDAY YES
LR COLLECT WEDNESDAY YES
LR COLLECT TUESDAY YES
LR COLLECT MONDAY YES
LR COLLECT SUNDAY NO
LR COLLECT SATURDAY NO
LR LAB COLLECT FUTURE

8. LT LIST VALUES FOR A SELECTED TEMPLATE
Select General Parameter Tools Option: LT List Values for a Selected
Template
Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER)
Select NEW PERSON NAME: PASTERNOCK,JOY
General GUI Parameters for User: PASTERNOCK,JOY
Initial Tab when CPRS Starts Notes
Use Last Selected Tab on Patient Change NO
Interval for Autosave of Notes
Verify Note Title
Notice the format of the current values between the two dotted lines and then the section that allows you to edit the value. This option utilizes the same option templates that are used in the parameter options found in the CAC configuration menu.

9. EP Edit Parameter Values [XPAR EDIT PARAMETER]
Select PARAMETER DEFINITION NAME: ORWPCE ANYTIME
ENCOUNTERS Anytime Encounters
ORWPCE ANYTIME ENCOUNTERS may be set for the following:
1 User USR [choose from NEW PERSON]
3 Service SRV [choose from SERVICE/SECTION]
4 Division DIV [VAMC ALBANY PIA]
5 System SYS [CPR.ISC-ALBANY.VA.GOV]
Enter selection: 5 System CPR.ISC-ALBANY.VA.GOV
---- Setting ORWPCE ANYTIME ENCOUNTERS for System: CPR.ISC-ALBANY.VA.GOV ----
ANYTIME ENCOUNTERS: YES//

10. ET EDIT PARAMETER VALUES WITH TEMPLATE
Select General Parameter Tools Option: ET Edit Parameter Values with
Template
Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER)
Select NEW PERSON NAME: PASTERNOCK,JOY
General GUI Parameters for User: PASTERNOCK,JOY
Verify Default Title:

11. ET EDIT PARAMETER VALUES WITH TEMPLATE
Initial Tab when CPRS Starts Notes
Use Last Selected Tab on Patient Change NO
Interval for Autosave of Notes
Verify Note Title
Initial Chart Tab: Notes//
Use Last Selected Tab: NO//
Auto-Save Interval: 60//
Verify Default Title:

12. NVS - Clin 2, Salt Lake City OIFO
PCE PARAMETERS
Presented by: Randy Frommater
NVS - Clin 2, Salt Lake City OIFO
Slides by Joy Pasternock

13. PARAMETERS In the beginning, life was simple: NOW….. TIU parameters:
SUPPRESS DX/CPT ON ENTRY:
FORCE RESPONSE TO EXPOSURES:
ASK DX/CPT ON ALL OPT VISITS:
Then ORWPCE parameters were added
ORWPCE ASK ENCOUNTER UPDATE
ORWPCE FORCE ENTRY
NOW…..

14. ORWPCE ANYTIME ENCOUNTERS
ORWPCE ASK ENCOUNTER UPDATE
ORWPCE DISABLE AUTO CHECKOUT
ORWPCE DISABLE AUTO VISIT TYPE
ORWPCE EXCLUDE IMMUNIZATIONS
ORWPCE EXCLUDE EXAMS
ORWPCE EXCLUDE HEALTH FACTORS
ORWPCE EXCLUDE SKIN TESTS
ORWPCE EXCLUDE PATIENT ED
ORWPCE FORCE PCE ENTRY

15. ORWPCE ASK ENCOUNTER UPDATE
When signing a note, this parameter is used to determine if the user should be prompted to enter encounter information when signing the note, based on one of eight possible settings:
Entity Levels:
User, Location, Service, Division, System, Package
Option:
Parameter Edit

16. ORWPCE ASK ENCOUNTER UPDATE
0 Primary/Data Needed (Default Setting) - The user will be asked to enter encounter information if they are the primary encounter provider, and if data is needed for the encounter.
1 Primary/Outpatient - The user will be asked to enter encounter information if they are the primary encounter provider, and the service category is “A” (Ambulatory), “I” (In Hospital), or “T” (Telecommunications).
2 Primary Always - The user will be asked to enter encounter information on all encounters, if they are the primary encounter provider.

17. 3 Data Needed - All users will be asked to enter encounter information if data is needed for the encounter.
4 Outpatient - All users will be asked to enter encounter information, if the service category is “A” (Ambulatory), “I” (In Hospital), or “T” (Telecommunications).
5 Always - All users will be asked to enter encounter information on all encounters.
6 Never – The user will never be asked to enter encounter information when signing the note.
7 Disable - The user will never be asked to enter encounter information when signing the note, and the encounter button will be disabled, even when a note is being edited.

18. DATA NEEDED??? QUESTION DATA NEEDED
Date of encounter is in the future? NO
Service category is not ambulatory
TIU Suppress DX/CPT on Entry is YES on title
The encounter is a stand-alone visit
YES
TIU parameter, ASK DX/CPT ON ALL OPT VISITS is set to Yes
OTHERWISE….

20. Prompting for Encounters
WEB PAGE
Prompting for Encounters
Data Needed
Search for ‘Prompting for Encounters’ & ‘Data Needed’. Unable to give exact page #s as the docs are updated as other functionality is released

21. ORWPCE FORCE PCE ENTRY
Forces the PRIMARY ENCOUNTER PROVIDER to enter PCE data before being allowed to sign/complete a progress note.
Overrides the parameter ORWPCE ASK ENCOUNTER UPDATE if you are the primary encounter provider
If you are not the primary encounter provider – follows the settings in ORWPCE ASK ENCOUNTER UPDATE
Entity Levels
User, Location, Service, Division, System, Package
Option:
Parameter Edit
“You must enter the encounter information before you can sign the note”, and given “OK” and “Cancel” buttons. Pressing the “Cancel” button will terminate the note signing process, resulting in an unsigned note (the user will be warned that the note was not signed). If this parameter is set to NO, the user will be asked if they want to enter encounter information, and will be given “Yes”, “No” and “Cancel” buttons. Again, pressing the “Cancel” button will terminate the note signing process, resulting in an unsigned note. Pressing the “No” button will allow the note to be signed.
If ORWPCE FORCE PCE ENTRY is set to NO or null, then CPRS will check ORWPCE ASK ENCOUNTER UPDATE and use it’s value.

23. Visit Info Visit Info box added to reminder dialogs
Visit Info auto ask on finishing a reminder dialog
This is not a parameter but it is new functionality that you should know about.

24. In case you already knew about this one, you might want to notice

25. ORWPCE Disable Auto Checkout
Disables the automatic checkout of encounters that do not have a diagnosis, procedure, or provider information.
Entity Levels:
User, Location, Service, Division, System
Option:
-Parameter Editor
In v14, every encounter filed automatically checks out that encounter. In cases where, all an encounter entry or reminder dialog wanted to do was enter a health factor or education topic for an encounter, it was still checking out the encounter. Many sites had problems with this due to work flow (other sites like it this way). So, if this parameter is set, encounters will not automatically check out unless there is a diagnosis, procedure or visit type, and provider. This includes immunizations or other codes that map to CPT codes. A corresponding change (if the parameter is set) is that encounters without one of these codes can be entered without a provider.

26. ORWPCE Disable Auto Visit Type
This parameter prevents the automatic selection of a Type of Visit on the Visit Tab of the encounter form.
When set to yes, this parameter prevents the automatic selection of the first Type of Visit defined for that encounter location.
Prevents Billing problems at location where a mix of patients are seen.
Only used with electronic encounter forms.
Entity Levels:
User, Location, Service,Division, System
Option:
Parameter Edit
Normally, when first entering the Visit Type tab of the encounter form, the first Type of Visit defined for that encounter location is automatically selected. For some clinics that see a wide variety of different patient types, this behavior leads to user error where the wrong type of visit is selected. The ORWPCE DISABLE AUTO VISIT TYPE parameter can be set to force the selection of a Type of Visit before allowing selection of an E&M code.

27. ORWPCE Disable Auto Visit TypeNo
Yes

28. ORWPCE Anytime Encounters
Allow updating/editing encounters for notes that have already been signed.
Choosing a patient without pre-defined visit
New Encounter
Edit Note Encounter
Selecting a patient with a pre-defined visit
Edit Current Encounter
Allows encounter entry on dictated progress notes, while not editing a note
Entity Levels:
User, Service, Division, System
Option:
Parameter Edit

29. Selecting a patient without a pre-defined visit

30. Selecting a patient with a pre-defined visit

31. ORWPCE Exclude… Option:
Some types of encounter data can be restricted from entry within the encounter form.
This may be needed when specific encounter information should only be entered through reminder dialogs, and prevents entry through the encounter form.
There are five parameters that allow specific encounter information to be excluded from the “Other” buttons on the encounter form tabs.
ORWPCE Exclude Immunizations
ORWPCE Exclude Skin Tests
ORWPCE Exclude Patient Education
ORWPCE Exclude Health Factors
ORWPCE Exclude Exams
Entity Levels:
User, Location, Service, Division, System, Package
Option:
Parameter Edit
Settings:
Select Sequence, Exclusion item
There are individuals parameters for the above 5 entries that allow for exclusion

32. With Flu Shot 2000 not excluded, it shows up in the general list, notice it here between the ENCEPHALITIS and FLU 3 YRS.

33. With FLU SHOT 2000 excluded, it no longer is available for selection.

34. CLINICAL REMINDERS PARAMETERS
Presented by: Jeanie Scott
NVS - Clin 2, Albany OIFO
Slides by Joy Pasternock

35. ORQQPX REMINDER FOLDERS
This parameter is used and set by the CPRS GUI.
Each letter represents a reminder folder that is visible in the reminder tree.
Entity Levels:
User, Service, Division, System, Package
Option:
Parameter Edit
Settings:
Visible Folders - D=Due, A=Applicable, N=Not Applicable, E=Evaluated, O=Other.
Visible Reminder Folders: DANEO//

36. ORQQPX REMINDER FOLDERS
Notes Tab
Cover Sheet Availabe Reminders Icon

37. ORQQPX DEFAULT LOCATIONS
Returns a list of default (preferences) outside locations for display in a reminder dialog, using the additional prompt PXRM OUTSIDE LOCATION.
Enter a text default location, or a pointer to the INSTITUTION FILE (#4). Uses the internal entry in file 4.
Entity Levels:
User, Service, Division, System, Package
Option:
Parameter Edit
Settings:
Select Sequence, Enter free text entry, or the IEN in file 4.

39. ORQQPX REMINDER TEXT AT CURSOR
Allows text generated by a reminder dialog, when processing a reminder, to be inserted at the current cursor location instead of at the bottom of the note.
Insert Reminder Dialog Generated Text at Cursor Location.
Entity Levels:
User, Service, Division, System
Option:
Parameter Edit

40. ORQQPX REMINDER TEXT AT CURSOR = NO

41. ORQQPX REMINDER TEXT AT CURSOR = YES

42. ORQQPX NEW REMINDER PARAMS
Indicates if the New Cover Sheet reminders should be used in place of ORRQPX SEARCH ITEMS
The available reminders as well as the reminder drawer will no longer hold the reminders that were set in ORRQPX SEARCH ITEMS
Uses ORQQPX COVER SHEET REMINDERS or ORQQPX COVER SHEET REM CLASSES which uses the GUI to set these 2 parameters.
Entity Levels:
User, Service, Division, System, Package
Option:
Parameter Edit (yes/no)

43. ORQQPX COVER SHEET REMINDERS
Intended for CACs, not users. CAC must have PXRM CPRS CONFIGURATION MENU in their menu pathway
Settings done in the GUI and displayed in this parameter. Do NOT edit any settings in XPAR MENU TOOLS. Edit via the GUI EDIT COVER SHEET REMINDER LIST under Available Reminders.
Cover Sheet Reminder Info:
This parameter is cumulative, so sequence ranges should be assigned.
Entity Levels:
User, Location, Service, Division, System, Package
Option:
GUI EDIT COVER SHEET REMINDER LIST/PXRM CPRS CONFIGURATION MENU
Values are in the form of FlagTypeIEN, where Flag indicates L:Lock, R:Remove or N:Normal, Type is a 'C' or 'R', indicating that # is the internal entry number of a Category or a Reminder.

44. ORQQPX COVER SHEET REM CLASSES
This parameter works in conjunction with the ORQQPX COVER SHEET REMINDERS parameter, acting as another level to the cumulative parameter of User Class, inserted between the User and Location Levels.
Do NOT Edit the settings in XPAR MENU TOOLS. Do all editing via the GUI option EDIT COVER SHEET REMINDER LIST under AVAILABLE REMINDERS.

47. ORQQPX COVER SHEET REMINDERS
Display Sequence Value
NR500044
NR500030
NR34

48. TIU/CONSULTS PARAMETERS
Presented by: Jeanie Scott
NVS - Clin 2, Albany OIFO
Slides by Anne Rega

49. TIU FIELD EDITOR CLASS
Determines who has the authority to edit Template Fields.
Based on ASU user classes.
Entity levels:
User, Service,Division,System,Package
Option
CAC Parameter editor
TIU FIELD EDITOR CLASS - The options menu of the notes, consults and Discharge Summary tabs contains one additional menu item, Edit Template Fields. This menu option is enabled based on the user classes entered in this parameter.
This multi-valued parameter contains a list of ASU user classes and can be set at the User, Service, Division and System levels.
Set at the usual 5 levels, user, service, division, system, package
Establishes who can edit Template Fields.
Based on ASU user class
To edit Template Fields you go to the notes page,

52. TIU TEMPLATE PERSONAL OBJECTS
Establishes what TIU objects are allowed to be added to personal templates.
No objects entered, then all objects are allowed.
Entity Level
Parameter is cumulative at all levels.
Option
CAC Parameter editor
Users that are allowed to create personal templates have access to all active patient data objects.
This parameter can be used to limit the patient data objects available in the template editor for users that cannot create shared templates. Only those objects specified in this parameter will appear in the Insert Patient data Objects dialog of the template editor.
BLANK = all objects available
Cumulative
This parameter is cumulative at all levels.
If no objects are entered in this parameter, all objects will be allowed.

55. TIU TEMPLATE REMINDER DIALOGS
Determines which Reminder Dialogs can be used as TIU Templates.
Entity Level
Parameter is cumulative at all levels.
Option
CAC Parameter editor
Reminder dialogs can be linked to templates so that a reminder dialog can be selected from the templates drawer (Reminder specific text will not be inserted into the note when the finish button is pressed). This allows templates to create orders, enter encounter data, vitals and do everything else that a reminder dialog can do. When a template is defined as a reminder dialog type, a list of reminder dialogs contained in this parameter is then available in the template editor that can be linked to that reminder dialog.

58. TIU TEMPLATE USER AUTO DELETE
Determines if non-shared personal TIU templates will be deleted upon user termination.
Yes/No parameter
Entity
Division,System,Package
Option
CAC : ‘TIU Template Mgmt Functions’

59. TIU DEFAULT TEMPLATE
Default Template for Notes;Consults;DC Summary tabs
Entity
User
Option
User : CPRS GUI Template drawer, right click

60. GMRC CONSULT LIST DAYS
Sets the number of days that will be searched backwards for a Consult to be associated with a note.
Entity
Division, System, Package (default 365 days)
Option
CAC Parameter editor

61. Will list consults done within time frame set by this parameter

62. New Reports/Notification Parameters
Presented by: Randy Frommater
NVS – Clin2, Salt Lake City

63. ORWRP REPORT LIST
This parameter allows for customization of the Reports Tab
Reports display sequence
Reports Tab content
Must add ORRPW REPORT CATEGORIES
From new file OE/RR REPORT
Entity levels:
User, Division, System, Package
Option:
Parameter Editor

65. After version 19 of the GUI is released, a new folder labeled Dept
After version 19 of the GUI is released, a new folder labeled Dept. of Defense will show up with the six RDV reports currently compatible. The reports were placed under their own folder because it was too difficult to expect users to remember which reports worked and which didn’t with DOD data. The only potential confusion might be in a user thinking that they can only get DOD data with these reports and will have to click on the other version found under Clinical Reports in order to get VA data. THIS IS NOT TRUE!. The reports under the Dept. of Defense folder will find both VA and DOD data.

66. ORWRP REPORT LAB LIST
This parameter allows for customization of the Reports on the Lab Tab
Reports display sequence
Lab Tab content
Entity levels:
User, Division, System, Package
Option:
Parameter Editor

68. ORWRP TIME/OCC LIMITS INDV
Allows individual Remote Data Reports to have their date range and occurrence limits set
Each report can be modified individually for:
Start date, Stop date, Max occurrence
Entity levels:
User, Division, System, Package
Option:
Personal: CPRS GUI Options menu
CAC: Parameter Editor

69. Tools – Options - Reports

70. Tools – Options – Reports – Set Individual Report

71. ORWRP TIME/OCC LIMITS ALL
Allows the setting of date range and occurrence limits for Remote Data Reports
One setting applies to all reports
Entity levels:
User, Division, System, Package
Option:
Personal: CPRS GUI options menu
CAC: Parameter editor

72. Tools – Options – Reports

73. Tools – Options – Reports – Set All Reports

74. ORB ERASE ALL
Allows the site to control who has access to the personal preference button “Remove Pending Notifications”
Entity levels:
User, Division, System, Package
Option:
Parameter Editor

76. ORWCV1 COVERSHEET LIST Allows site to customize the cover sheet
Rearrange cover sheet boxes
Remove cover sheet boxes
Entity levels:
User, Division, System, Package
Option:
Parameter Editor

78. ORWOR SHOW SURGERY TAB
Allows site control over who will have access to the new Surgery Tab
Functional when Surgery patch 100 has been installed
Entity levels:
User, Division, System, Package
Option:
Parameter Editor

79. ORWCOM PATIENT SELECTED
Allows sites to associates a COM object with the patient selection action
Locally developed
COTS product
New file – OE/RR COM OBJECTS(101.15)
Entity levels:
User, Service, Division, System
Option:
Parameter Editor

80. ORWCOM ORDER ACCEPTED
Allows the site to associate a COM object to the order acceptance action
Locally developed
COTS product
New file – OE/RR COM OBJECTS(101.15)
Entity levels:
User, Service, Division, System
Option:
Parameter Editor

81. TIU TEMPLATE COM
Allows the site to utilize a COM OBJECT type when creating a new GUI Template
Locally developed
COTS product
New file – OE/RR COM OBJECTS(101.15)
Option:
Fileman

82. TIU TEMPLATE COM
After you have purchased or created a COM object, you need to add it to the OE/RR COM OBJECT file:
INPUT TO WHAT FILE: VISIT// OE/RR COM OBJECTS (15 entries)
EDIT WHICH FIELD: ALL//
Select OE/RR COM OBJECTS NAME: JEREMY'S NEW INTERFACE TEST
NAME: JEREMY'S NEW INTERFACE TEST Replace
OBJECT GUID: {63DC61D9-6BE0-11D5-82E6-00C04F72C274}
Replace
INACTIVE:
PARAM1: Testing Param1//
The GUID is a GUI ID of sorts that is created by Delphi or whatever GUI tools is used to create the COM object. This is a simple file but this number must be entered correctly.

83. TIU TEMPLATE COM
When in the Template editor and you select a type of COM Object, you will get two other edit boxes displayed. One for selecting the COM Object to link with the template (this comes from the OE/RR COM OBJECT file) and the other is the Passed Value for any parameters that might be passable to the COM Object.

84. ORK CONTRAST MEDIA CREATININE
Allows the site to set the number of days for a look back of creatinine results (default=30)
Used when imaging procedure containing contrast media is ordered
Used by the Biochem Abnormality for Contrast Media order check
Entity levels:
Location, Division, System, Package
Option:
CAC: Order Check Mgmt menu

85. ORB LAB > THRESHOLD
Allows the site to set trigger thresholds for new Lab Threshold Exceeded Notification
If result exceeds threshold, notification is triggered
Entity levels:
User
Option:
CAC : establish thresholds via ‘Flag Orderable Item(s) to Send Notifications’
Personal : CPRS GUI options menu

86. ORB LAB < THRESHOLD
Allows the site to set trigger thresholds for new Lab Threshold Exceeded Notification
If result exceeds threshold, notification is triggered
Entity levels:
User
Option:
CAC : establish thresholds via ‘Flag Orderable Item(s) to Send Notifications’
Personal : CPRS GUI options menu

87. ORWOR REQUIRE CURRENT CLIENT
Allows site to stop access to CPRS if the user’s client is out of date
Entity levels:
System, Package
Option :
Parameter Editor

88. Our crystal ball tells us
there are many questions.