WELCOME TO BASIC VA FILEMAN REPORTS SESSION Tom Fagan, Pharmacy Benefits Management Clinical Informatics VA FileMan Instructor and Clinical Applications Coordinator at VAMC Richmond, Virginia Pharmacy Informatics Workgroup 1 LEARNING OBJECTIVES AND CLASS FORMAT 1. Be able to use basic report functions; inquire, print and search. 2. Be able to use List File Attributes to identify file and field numbers or labels and data types 3. Know how to create and use templates for search, sort and print. 4. Understand Intermediate concepts: point (jump files) and multiples (sub files). 5. Know where to find additional References 6. Understand Importance of Data Validation and Privacy/Security Pharmacy Informatics Workgroup 2 Sources of Data for PI Analysis Report type Start with Access to Real all patients ALL Time in database fields and files Easy to Learn Access Comments for any user FILEMAN YES YES YES NO Maybe DSS (data warehouse)/ ProClarity PBM rollup CPRS QUERY TOOL YES NO NO NA NO NO NO YES YES YES Ideal for Clinical Care WARD or Clinical REMINDER DUE YES NO YES MENU YES REMINDER PATIENT LIST NO YES NO NO Monitor Clinical Care Patients/ Performance monitor Monitor Clinical Care , display results and demographics YES Pharmacy Informatics Workgroup ANYTHING; patient safety alert; create VISTA option Service COST Analysis /Drug budget/ NOT REAL TIME? Data Sources continued • MUMPS Routines • Standard VISTA options – Class III – Data Validation – Multiples – No modifications – Pointing to related files – Import to MS-app (space delimiter) – Require Programmer? – System Performance? Pharmacy Informatics Workgroup Data Use • Package Support – Reports not present in package • Management – Budget – Workload • Research • Patient Safety Pharmacy Informatics Workgroup TERMINOLOGY Most Important 1. FileMan or VA FILE MANAGER 2. SYNTAX exact sequence of characters and words for a function to work, may be case sensitive 3. CONTEXT ! 4. Primary Source of Frustration Pharmacy Informatics Workgroup 6 TERMINOLOGY Miscellaneous • IEN NUMBER is the unique number assigned to record by software, contained in the NUMBER Field Pharmacy Informatics Workgroup 7 TERMINOLOGY Intermediate • MULTIPLE is a sub file or a file within a file can contain zero or multiple entries • JUMPING(POINTING) access a field in related file. • QUALIFIERS and FUNCTIONS are MUMPS expressions used to enhance sort or output Pharmacy Informatics Workgroup 8 TERMINOLOGY Database Related • DATABASE collection of files used to store data –FILE collection of records • RECORDS are unique entries in File –FIELDS data type place holders to store information in records Pharmacy Informatics Workgroup 9 PAPER ANALOGY Filing Cabinet with drawers (DATABASE), folder (FILES) and sheets of paper (RECORDS AND FIELDS) • Complex Relationships Pharmacy Informatics Workgroup 10 LIST FILE ATTRIBUTES • Data Dictionary Utility “Display Structure” • File Number or Label • Field Number or Label • Data Type • Pointers • Suggest Brief format Pharmacy Informatics Workgroup 11 LIST FILE ATTRIBUTES DATA TYPES • DATE/TIME Date of Birth • FREE TEXT Address • SET OF CODES M=Male F=Female • WORD-PROCESSING Comments • NUMERIC Number • COMPUTED Age Pharmacy Informatics Workgroup 12 REPORT FUNCTIONS • Inquire to File Entries • Print File Entries • Search File Entries Pharmacy Informatics Workgroup 13 REPORT FUNCTIONS • Inquire to File Entries • Print File Entries • Search File Entries Pharmacy Informatics Workgroup 14 REPORT FUNCTIONS • Inquire to File Entries • Print File Entries • Search File Entries ??? For help Pharmacy Informatics Workgroup 15 LIST ALL FIELDS USING INQUIRE Drug = SIMVASTATIN 80MG TAB At Print FIRST PRINT FIELD PROMPT ? Answer with FIELD NUMBER, or LABEL Do you want the entire 386-Entry FIELD List? y (Yes) = SORT by FIELD NUMBER Do you want the entire 386-Entry FIELD List? ^A = Sort FIELDS by LABEL starting with A ASCII SORT Pharmacy Informatics Workgroup 16 TEMPLATE COMPARISON • Search = saved Search Results or Saved Search Logic • Print Sort = saved Sort Logic • Print Output = saved Print or Display Format Pharmacy Informatics Workgroup 17 SEARCH TEMPLATE • Static as of Run Date and Time • Access Results from Print (Sort) • Access Logic from Search • Orders from a month Pharmacy Informatics Workgroup 18 PRINT (SORT) TEMPLATE • Dynamic • Use to Refine Search Template TIP: Sort by: field name [ “TEXT” = field name Contains TEXT Pharmacy Informatics Workgroup 19 PRINT OUTPUT TEMPLATE • Save Print Format • Select Fields • ']' TO FORCE SAVING PRINT TEMPLATE • Print “TEXT” • Print Qualifier syntax is FIELD; CHARACTERS • EXAMPLE;Ln (Left Justify (Limit)) FIRST PRINT FIELD: NAME;L8 = Print 8 characters of the name Pharmacy Informatics Workgroup 20 PRINT OUTPUT TEMPLATE STANDARD CAPTIONED OUTPUT FIRST PRINT FIELD: [CAPTIONED = SYNTAX Include COMPUTED fields: (N/Y/R/B): Enter a code from the list. Select one of the following: N = NO - No record number (IEN), no Computed Fields Y = Computed Fields R = Record Number (IEN) B = BOTH Computed Fields and Record Number (IEN) DISPLAYS only populated fields – default with INQUIRE Pharmacy Informatics Workgroup 21 INQUIRE SEARCH PRINT PRINT SORT OUTPUT Type of Templates To Inquire Create or Edit Template Use Function Search (NO Edit) Print ALL Functions from FIRST PRINT FIELD To Print Access Template Use Function Print for results OR Search – run again Print ALL Functions from FIRST PRINT FIELD 22 INTERMEDIATE CONCEPT JUMP FILES • Jump or Point with : • Access a field in related file (example patient demographics from prescription file) • Syntax: Prescription (first print field): PATIENT:AGE OR FIRST PRINT FIELD: PATIENT: THEN PRINT PATIENT FIELD: AGE Pharmacy Informatics Workgroup 23 POINTERS for JUMPING When A Field In The Start File Points To The File We Want To Go To, A FORWARD Pointer Relationship Exists – Read access required to RELATED file Pharmacy Informatics Workgroup 24 INTERMEDIATE CONCEPT MULTIPLES FIELDS • Multiples Fields: Sub file within a file • Designation: (multiple) and “indent” • Can be blank or contain one or more entries • Subfield has all characteristics of a file, folder within a folder Pharmacy Informatics Workgroup 25 E-TRIP NATIONAL RESOURCES • FileMan Homepage url: http://www.va.gov/vdl/application.asp?appid=5 Advanced VA FileMan User Manual contains explaination commands and examples • PBM FileMan SharePoint: http://vaww.infoshare.va.gov/sites/vapharmacy informatics/WIKI/FileMan/Home.aspx Pharmacy Informatics Workgroup 26 DATA VALIDATION • • • • • • Does Your Output Make Sense? Random Sample Time Or Single Events (Snowbirds) Intuition Consult An ADPAC Or Expert Other DATA SOURCES, CPRS QUERY TOOLS, VISTA REPORTS, Clinical Reminders Pharmacy Informatics Workgroup 27 PRIVACY SECURITY ISSUES For Protected Health Information (PHI) • Distribution: Need to Know- VISTA Email or Outlook with PKI or RMS • Secure – Encryption or Server Role of Local VISN Information Security Officer National Website: https://vaww.infoprotection.va.gov/index.aspx Pharmacy Informatics Workgroup 28 1-800-HELP ME Phone: Tom Fagan (804)675-5298 EMAIL: THOMAS.FAGAN@VA.GOV Pharmacy Informatics Workgroup 29 QUESTIONS ? Pharmacy Informatics Workgroup 30 LOG IN FOR HANDS ON ACCESS: nnVEHU VERIFY: VEHUnn nn number to be assigned by instructor Training Menu Training Menu 1 List File Attributes 2 Inquire to File Entries 3 Print File Entries 4 Search File Entries 5 Template Edit Pharmacy Informatics Workgroup