Adverse Reaction Tracking (GMRA)
Main Adverse Reaction Tracking menu (may vary by site):
1
2
3
4
5
Enter/Edit Site Configurable Files ...
Adverse Reaction Tracking User Menu ...
Adverse Reaction Tracking Clinician Menu ...
Adverse Reaction Tracking Verifier Menu ...
P&T Committee Menu ...
Enter/Edit Site Configurable Files…
1
Edit Allergy File
2
Enter/Edit Signs/Symptoms Data
3
Enter/Edit Site Parameters
4
Sign/Symptoms List
5
Allergies File List
6
Allergy clean up utility
Main EHR (BEH) menu (may vary by site):
ART
CCX
CON
EDU
ENC
EXM
FRM
HFA
IMG
IMM
LAB
MED
NOT
ORD
PAT
PHX
PLS
POV
PRC
REM
RPT
SPL
TIU
VIT
Adverse Reaction Tracking Configuration ...
Chief Complaint Configuration ...
Consult Tracking Configuration ...
Patient Education Configuration ...
Encounter Context Configuration ...
Exam Configuration ...
VueCentric Framework Configuration ...
Health Factor Configuration ...
VistA Imaging Extensions ...
Immunization Configuration ...
Lab Configuration ...
Medication Management Configuration ...
Notification Configuration ...
Order Entry Configuration ...
Patient Context Configuration ...
Personal Health Hx Configuration ...
Problem List Configuration ...
POV Configuration ...
Procedure Configuration ...
Reminder Configuration ...
Report Configuration ...
Spellchecking Configuration ...
TIU Configuration ...
Vital Measurement Configuration ...
Enter/Edit Site Configurable Files:
Select Adverse Reaction Tracking Option: 1 Enter/Edit Site Configurable Files
1
2
3
4
5
Edit Allergy File
Enter/Edit Signs/Symptoms Data
Enter/Edit Site Parameters
Sign/Symptoms List
Allergies File List
Select Enter/Edit Site Configurable Files Option: 3 Enter/Edit Site Parameters
Select GMR ALLERGY SITE PARAMETERS NAME: ?
Answer with GMR ALLERGY SITE PARAMETERS NAME: {Should always be “HOSPITAL”}
HOSPITAL
You may enter a new GMR ALLERGY SITE PARAMETERS, if you wish
Answer must be 3-30 characters in length.
Select GMR ALLERGY SITE PARAMETERS NAME: HOSPITAL
NAME: HOSPITAL// (No editing)
Select DIVISION: DEMO HOSPITAL// ? {All the site divisions should be listed here}
Answer with DIVISION:
DEMO HOSPITAL
You may enter a new DIVISION, if you wish
Answer with INSTITUTION NAME, or STATUS, or STATION NUMBER, or OFFICIAL VA NAME, or CURRENT
LOCATION, or CODING SYSTEM/ID PAIR, or NPI, or STATUS, or NAME (CHANGED FROM), or CODING SYSTEM
Do you want the entire INSTITUTION List? N (No)
Select DIVISION: DEMO HOSPITAL// <ENTER>
The following are the ten most common signs/symptoms:
1. ANXIETY
6. DIARRHEA
2. ITCHING,WATERING EYES
7. HIVES
3. HYPOTENSION
8. DRY MOUTH
4. DROWSINESS
9. ANAPHYLAXIS
5. NAUSEA,VOMITING
10. RASH
Enter the number of the sign/symptom that you would like to edit: <ENTER> {There must ALWAYS be 10 entries!}
AUTOVERIFY FOOD/DRUG/OTHER: NO AUTOVERIFY// ? {Autoverify cautiously, and spot check what is
verified}
Choose from:
0
NO AUTOVERIFY
1
AUTOVERIFY DRUG ONLY
2
AUTOVERIFY FOOD ONLY
3
AUTOVERIFY DRUG/FOOD
4
AUTOVERIFY OTHER ONLY
5
AUTOVERIFY DRUG/OTHER
6
AUTOVERIFY FOOD/OTHER
7
AUTOVERIFY ALL
AUTOVERIFY FOOD/DRUG/OTHER: NO AUTOVERIFY// <ENTER>
AUTOVERIFY OBSERVED/HISTORICAL: NO AUTOVERIFY// ? {Autoverify cautiously, and spot check what is
verified}
Choose from:
0
NO AUTOVERIFY
1
AUTOVERIFY HISTORICAL ONLY
2
AUTOVERIFY OBSERVED ONLY
3
AUTOVERIFY BOTH
AUTOVERIFY OBSERVED/HISTORICAL: NO AUTOVERIFY// <ENTER>
AUTOVERIFY LOGICAL OPERATOR: AND// ?
Choose from:
!
OR
&
AND
AUTOVERIFY LOGICAL OPERATOR: AND// <ENTER>
REQUIRE ORIGINATOR COMMENTS: NO// ? {Not recommended}
Choose from:
0
NO
1
YES
REQUIRE ORIGINATOR COMMENTS: NO// <ENTER>
MARK ID BAND FLAG: NO// ?
Choose from:
0
NO
1
YES
MARK ID BAND FLAG: NO//
METHOD OF NOTIFICATION: BULLETIN// ?
Choose from:
0
BULLETIN
1
OE/RR TEAMS
2
NO NOTIFICATION
METHOD OF NOTIFICATION: BULLETIN// <ENTER>
ALERT ID BAND/CHART MARK: NO// ?
Will turn off/on the alert function of the ID Band/Chart Mark option.
Choose from:
1
YES
0
NO
ALERT ID BAND/CHART MARK: NO// <ENTER>
SEND CHART MARK BULLETIN FOR NEW ADMISSIONS: NO// ?
Choose from:
1
YES
0
NO
SEND CHART MARK BULLETIN FOR NEW ADMISSIONS: NO// <ENTER>
FDA DATA REQUIRED: NO// ?
Choose from:
y
YES
n
NO
FDA DATA REQUIRED: NO//
ENABLE COMMENTS FIELD FOR REACTIONS THAT ARE ENTERED IN ERROR: YES// ? {STRONGLY
recommended}
Choose from:
1
YES
0
NO
ENABLE COMMENTS FIELD FOR REACTIONS THAT ARE ENTERED IN ERROR: YES
// <ENTER>
REPORTER NAME:
ADDRESS: ANY INDIAN HOSPITAL
HOSPITAL ROAD
CITY: ANYCITY
STATE: ANYSTATE
ZIP: 12345
PHONE: 555-497-9163
OCCUPATION:
Do you want to edit Reporter Information shown above? No// Y (Yes)
REPORTER NAME: <ENTER>
REPORTER ADDRESS1: ANY INDIAN HOSPITAL Replace <ENTER>
REPORTER ADDRESS2: HOSPITAL ROAD// <ENTER>
REPORTER ADDRESS3: <ENTER>
REPORTER CITY: ANYCITY// <ENTER>
REPORTER STATE: ANYSTATE// <ENTER>
REPORTER ZIP: 12345// <ENTER>
REPORTER PHONE: 555-497-9163// <ENTER>
OCCUPATION: <ENTER>
Viewing Signs/Symptoms and Allergies:
1
2
3
4
5
Edit Allergy File
Enter/Edit Signs/Symptoms Data
Enter/Edit Site Parameters
Sign/Symptoms List
Allergies File List
Although options 1 and 2 are still present, they are not
operational and you will get an error message.
Options 4 and 5 allow you to look at what is already in
the system.
Select Enter/Edit Site Configurable Files Option: 4 Sign/Symptoms List
START WITH NAME: FIRST// <ENTER>
DEVICE: Home <ENTER> VT Right Margin: 80// <ENTER>
SIGN/SYMPTOMS LIST
NOV 3,2010 10:01 PAGE 1
NAME
Nat'l/Local SYNONYM
-------------------------------------------------------------------------------AGITATION
AGRANULOCYTOSIS
ALOPECIA
ANAPHYLAXIS
ANEMIA
ANOREXIA
[…]
1
2
3
4
5
National
National
National
National
National
National
Edit Allergy File
Enter/Edit Signs/Symptoms Data
Enter/Edit Site Parameters
Sign/Symptoms List
Allergies File List
Select Enter/Edit Site Configurable Files Option: 5 Allergies File List
START WITH NAME: FIRST// <ENTER>
DEVICE: Home <ENTER> VT Right Margin: 80// <ENTER>
GMR ALLERGIES LIST
NOV 3,2010 10:02 PAGE 1
-------------------------------------------------------------------------------NAME: ADHESIVE TAPE
ALLERGY TYPE: OTHER
NATIONAL ALLERGY: NATIONAL ALLERGY
NAME: ALCOHOL
ALLERGY TYPE: DRUG, FOOD
NATIONAL ALLERGY: NATIONAL ALLERGY
DRUG INGREDIENT: ALCOHOL
NAME: ANTIRABIES SERUM
ALLERGY TYPE: DRUG, FOOD
NATIONAL ALLERGY: NATIONAL ALLERGY
VA DRUG CLASSES: IM400
DRUG INGREDIENT: ANTIRABIES SERUM
[…]
EHR settings (see below for complete list of allergy related order checks to set!):
DEMO HOSPITAL
RPMS-EHR Management
RPMS-EHR Configuration Master Menu
ART
CCX
CON
EDU
ENC
EXM
FRM
HFA
IMG
IMM
LAB
MED
NOT
ORD
PAT
PHX
PLS
POV
PRC
REM
RPT
SPL
TIU
VIT
Version 1.1
Adverse Reaction Tracking Configuration ...
Chief Complaint Configuration ...
Consult Tracking Configuration ...
Patient Education Configuration ...
Encounter Context Configuration ...
Exam Configuration ...
VueCentric Framework Configuration ...
Health Factor Configuration ...
VistA Imaging Extensions ...
Immunization Configuration ...
Lab Configuration ...
Medication Management Configuration ...
Notification Configuration ...
Order Entry Configuration ...
Patient Context Configuration ...
Personal Health Hx Configuration ...
Problem List Configuration ...
POV Configuration ...
Procedure Configuration ...
Reminder Configuration ...
Report Configuration ...
Spellchecking Configuration ...
TIU Configuration ...
Vital Measurement Configuration ...
Select RPMS-EHR Configuration Master Menu Option: ART Adverse Reaction Tracking
DEMO HOSPITAL
RPMS-EHR Management
Adverse Reaction Tracking Configuration
AUT
ENT
VER
Version 1.1
Automatic Signature of Adverse Reaction Data
Enable Adverse Reaction Data Entry
Allow Adverse Reaction Verification
Select Adverse Reaction Tracking Configuration Option: AUT Automatic Signature
DEMO HOSPITAL
RPMS-EHR Management
Automatic Signature of Adverse Reaction Data
Version 1.1
Force automatic signature of ADR entries may be set for the following:
100 User
200 Class
800 Division
900 System
USR [choose from NEW PERSON]
CLS [choose from USR CLASS]
DIV [choose from INSTITUTION]
SYS [DEMO-HO.IHS.GOV]
Enter selection: 900 System DEMO-HO.IHS.GOV {Strongly recommend this set to yes at system level}
Setting Force automatic signature of ADR entries for System: DEMO-HO.IHS.GOV
Automatic signature of ADR entries?: YES// ? {This applies the signature without having to type it in}
Enter either 'Y' or 'N'.
Automatic signature of ADR entries?: YES// <ENTER>
AUT
ENT
VER
Automatic Signature of Adverse Reaction Data
Enable Adverse Reaction Data Entry
Allow Adverse Reaction Verification
Select Adverse Reaction Tracking Configuration Option: ENT Enable Adverse React
DEMO HOSPITAL
RPMS-EHR Management
Enable Adverse Reaction Data Entry
Version 1.1
Allow entry of adverse reaction data may be set for the following:
100 User
200 Class
800 Division
900 System
USR [choose from NEW PERSON]
CLS [choose from USR CLASS]
DIV [choose from INSTITUTION]
SYS [DEMO-HO.IHS.GOV]
Enter selection: 900 System DEMO-HO.IHS.GOV {Which level this is set at is site specific!}
- Setting Allow entry of adverse reaction data for System: DEMO-HO.IHS.GOV Allow entry of adverse reaction data?: YES// ? {This turns the ability to enter reaction in EHR on for users
with the right keys}
Enter either 'Y' or 'N'.
Allow entry of adverse reaction data?: YES// <ENTER>
AUT
ENT
VER
Automatic Signature of Adverse Reaction Data
Enable Adverse Reaction Data Entry
Allow Adverse Reaction Verification
Select Adverse Reaction Tracking Configuration Option: VER Allow Adverse React
DEMO HOSPITAL
RPMS-EHR Management
Allow Adverse Reaction Verification
Version 1.1
GMRA-ALLERGY VERIFY Key Management
Select a user for key assignment: USER {Which users have this is site specific! Should limit to users who
understand VA Class Codes and ingredients.}
1 USER,AASTUDENT
2 USER,AGATHA B
3 USER,ALLEN W
4 USER,ASTUDENT
5 USER,BBSTUDENT
Press <RETURN> to see more, '^' to exit this list, OR
CHOOSE 1-5: 1 USER,AASTUDENT
This user already has the GMRA-ALLERGY VERIFY key.
Do you wish to remove the key assignment? N
DEMO HOSPITAL
RPMS-EHR Management
Allow Adverse Reaction Verification
GMRA-ALLERGY VERIFY Key Management
Select a user for key assignment: <ENTER>
Version 1.1
DEMO HOSPITAL
RPMS-EHR Management
RPMS-EHR Configuration Master Menu
ART
CCX
CON
EDU
ENC
EXM
FRM
HFA
IMG
IMM
LAB
MED
NOT
ORD
PAT
PHX
PLS
POV
PRC
REM
RPT
SPL
TIU
VIT
Version 1.1
Adverse Reaction Tracking Configuration ...
Chief Complaint Configuration ...
Consult Tracking Configuration ...
Patient Education Configuration ...
Encounter Context Configuration ...
Exam Configuration ...
VueCentric Framework Configuration ...
Health Factor Configuration ...
VistA Imaging Extensions ...
Immunization Configuration ...
Lab Configuration ...
Medication Management Configuration ...
Notification Configuration ...
Order Entry Configuration ...
Patient Context Configuration ...
Personal Health Hx Configuration ...
Problem List Configuration ...
POV Configuration ...
Procedure Configuration ...
Reminder Configuration ...
Report Configuration ...
Spellchecking Configuration ...
TIU Configuration ...
Vital Measurement Configuration ...
Select RPMS-EHR Configuration Master Menu Option: ORD
DEMO HOSPITAL
RPMS-EHR Management
Order Entry Configuration
DOC
KEY
MNU
OCX
PAR
PRN
RPT
Version 1.1
Delayed Orders Configuration ...
Key Management ...
Order Menu Management ...
Order Check Configuration ...
Order Parameters ...
Print/Report Parameters ...
Order Reports ...
Select Order Entry Configuration Option: OCX
DEMO HOSPITAL
RPMS-EHR Management
Order Check Configuration
ACT
COM
ENA
INQ
PAR
Version 1.1
Activate/Inactivate Rules
Compile Rules
Enable/Disable Order Checking System
Expert System Inquiry
Order Check Parameters ...
Select Order Check Configuration Option: PAR
DEMO HOSPITAL
RPMS-EHR Management
Order Check Parameters
<ENTER>
Version 1.1
CON
CTH
CTW
DAN
DBG
DPL
DPO
DPR
EDT
ENA
GLU
LCL
MRH
MRW
PLY
USR
Creatinine Date Range for Contrast Media Orders
CT Scanner Height Limit
CT Scanner Weight Limit
Set Clinical Danger Level
Enable/Disable Debug Message Logging
Lab Duplicate Order Range
Orderable Item Duplicate Order Range
Radiology Duplicate Order Range
Mark Order Checks Editable by User
Enable/Disable an Order Check
Creatinine Date Range for Glucophage-Lab Results
Edit Local Terms
MRI Scanner Height Limit
MRI Scanner Weight Limit
Number of Medications for Polypharmacy
Order Checks a User Can Receive
Select Order Check Parameters Option: ENA {turn specific order checks on or off}
DEMO HOSPITAL
RPMS-EHR Management
Enable/Disable an Order Check
Version 1.1
Order Check Processing Flag may be set for the following:
1
2
3
4
5
User
Location
Service
Division
System
USR [choose from NEW PERSON]
LOC [choose from HOSPITAL LOCATION]
SRV [choose from SERVICE/SECTION]
DIV [choose from INSTITUTION]
SYS [DEMO-HO.IHS.GOV]
Enter selection: 5 System DEMO-HO.IHS.GOV {Which level this is set at is site specific!}
------ Setting Order Check Processing Flag for System: DEMO-HO.IHS.GOV -----Select Order Check: ALL
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 2 ALLERGY-DRUG INTERACTION {This must be on for allergy checks to work}
Order Check: ALLERGY-DRUG INTERACTION// <ENTER> ALLERGY-DRUG INTERACTION
ALLERGY-DRUG INTERACTION
Value: Enabled// <ENTER>
Select Order Check: ALLER
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 1 ALLERGY-CONTRAST MEDIA INTERACTION {turn on if the contrast is ordered at your
site, even if not given at your site}
Are you adding ALLERGY-CONTRAST MEDIA INTERACTION as a new Order Check? Yes// <ENTER>
YES
Order Check: ALLERGY-CONTRAST MEDIA INTERACTION// <ENTER> ALLERGY-CONTRAST MEDIA
INTERACTION ALLERGY-CONTRAST MEDIA INTERACTION
Value: Enabled
DEMO HOSPITAL
RPMS-EHR Management
Enable/Disable an Order Check
<ENTER>
CON Creatinine Date Range for Contrast Media Orders
Version 1.1
CTH
CTW
DAN
DBG
DPL
DPO
DPR
EDT
ENA
GLU
LCL
MRH
MRW
PLY
USR
CT Scanner Height Limit
CT Scanner Weight Limit
Set Clinical Danger Level
Enable/Disable Debug Message Logging
Lab Duplicate Order Range
Orderable Item Duplicate Order Range
Radiology Duplicate Order Range
Mark Order Checks Editable by User
Enable/Disable an Order Check
Creatinine Date Range for Glucophage-Lab Results
Edit Local Terms
MRI Scanner Height Limit
MRI Scanner Weight Limit
Number of Medications for Polypharmacy
Order Checks a User Can Receive
Select Order Check Parameters Option: EDT
DEMO HOSPITAL
RPMS-EHR Management
Mark Order Checks Editable by User
Version 1.1
Order Check On/Off Editable by User may be set for the following:
1 Division
2 System
DIV [choose from INSTITUTION]
SYS [DEMO-HO.IHS.GOV]
Enter selection: 2 System DEMO-HO.IHS.GOV {Which level this is set at is site specific!}
-- Setting Order Check On/Off Editable by User for System: DEMO-HO.IHS.GOV -Select Order Check: ALL
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 2 ALLERGY-DRUG INTERACTION
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
Editable by User?: NO// <ENTER> {Be careful of the negative here--“no” means it is mandatory}
Select Order Check: ALLERG
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 1 ALLERGY-CONTRAST MEDIA INTERACTION
Are you adding ALLERGY-CONTRAST MEDIA INTERACTION as a new Order Check? Yes// <ENTER>
YES
Order Check: ALLERGY-CONTRAST MEDIA INTERACTION// ALLERGY-CONTRAST MEDIA INTER
ACTION ALLERGY-CONTRAST MEDIA INTERACTION
Editable by User?: NO {Be careful of the negative here--“no” means it is mandatory}
DEMO HOSPITAL
RPMS-EHR Management
Version 1.1
Mark Order Checks Editable by User
<ENTER>
CON
CTH
CTW
DAN
DBG
DPL
DPO
DPR
EDT
ENA
GLU
LCL
MRH
MRW
PLY
USR
Creatinine Date Range for Contrast Media Orders
CT Scanner Height Limit
CT Scanner Weight Limit
Set Clinical Danger Level
Enable/Disable Debug Message Logging
Lab Duplicate Order Range
Orderable Item Duplicate Order Range
Radiology Duplicate Order Range
Mark Order Checks Editable by User
Enable/Disable an Order Check
Creatinine Date Range for Glucophage-Lab Results
Edit Local Terms
MRI Scanner Height Limit
MRI Scanner Weight Limit
Number of Medications for Polypharmacy
Order Checks a User Can Receive
Select Order Check Parameters Option: DAN
DEMO HOSPITAL
RPMS-EHR Management
Set Clinical Danger Level
Version 1.1
Order Check Clinical Danger Level may be set for the following:
1 Division
2 System
DIV [choose from INSTITUTION]
SYS [DEMO-HO.IHS.GOV]
Enter selection: 2 System DEMO-HO.IHS.GOV {Which level this is set at is site specific!}
--- Setting Order Check Clinical Danger Level for System: DEMO-HO.IHS.GOV --Select Order Check: ALL
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 2 ALLERGY-DRUG INTERACTION
Order Check: ALLERGY-DRUG INTERACTION// <ENTER> ALLERGY-DRUG INTERACTION
ALLERGY-DRUG INTERACTION
Value: High// <ENTER> {“High” means the ordering provider MUST enter a reason when ordering}
Select Order Check: ALLERG
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 1 ALLERGY-CONTRAST MEDIA INTERACTION
Are you adding ALLERGY-CONTRAST MEDIA INTERACTION as a new Order Check? Yes// <ENTER>
YES
Order Check: ALLERGY-CONTRAST MEDIA INTERACTION// <ENTER> ALLERGY-CONTRAST MEDIA
INTERACTION ALLERGY-CONTRAST MEDIA INTERACTION
Value: High
Adverse Reaction related order checks:
 Allergies Unassessible
 Allergy-Contrast Media Interaction
 Allergy-Drug Interaction
 No Allergy Assessment