Visual Flow Sheet (VFS)
Visual Flow Sheet is an overlay to Meditech’s PCI application to provide users the ability to
view Meditech PCI data in a windows based clinical flowsheet format. It is also interactive
by allowing real-time documentation of nursing interventions and medications in one step.
Log into Meditech PCI. VFS is an option on the Table of Contents.
Right arrow or double click on Visual Flowsheet.
VFS is based on an Account Number/Facility so a Facility must be entered. The intent at
this time is to be encounter specific knowing that the entire patient record is available in
PCI as usual. VFS is an enhancement to PCI in response to concerns by physicians that
the Electronic Medication Administration Record (eMAR) was more difficult to visualize
once Affinity went live with eMAR/Bedside Medication Verification (BMV) and paper
documentation was no longer being utilized. If the patient has had visits at various facilities
within Affinity you will be prompted to fill in the facility. You can use the F9 (Function 9)
key to view available facilities or enter the appropriate code directly in the box.
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A box will pop up that indicates the system is generating the Visual Flowsheet:
The patient identifying information is listed at the top consisting of the patient’s name,
Account Number, Unit Number, Age, Date of Birth, Gender and Location.
User buttons allow Affinity to customize the flowsheet to link to routines for greater
efficiency.
The first button on the left initiates Print.
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Moving from left to right, the buttons represent the following:
Graph – Users may select available data elements to graph
Choose Graph Selected
Row(s)
Highlight row/s to graph
Graph will apear to next to screen.
Click on red X in left corner of graph to close it.
To close
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Graph – HT / WT
Right click on data element (HT/WT)
Select Graph Selected Row – graph will appear at right, you can add other elements to this
same graph by repeating process.
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Split – The split screen is vertical in VFS and can be chosen with any of the available tabs.
A common example would be EMAR and Lab.
Adjust – There will be default parameters set for users but each user can manually adjust
these parameters to display more data. By clicking the Adjust button the box will pop up to
change the current tab, all tabs, etc.
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Refresh – Allows users to manually refresh the VFS.
Calculator – Will bring up a desktop calculator.
AHS Home Page – Links users to our Home page.
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Forms Auto –
Med Rec – Medical Reconciliation Forms
Banner: The Yellow section that contains important data regarding the patient. Affinity
has chosen to include the following data, if available.
Code Status
Pneumococcal Vaccine Date*
Influenza Vaccine Date*
Allergies
Height/Weight/BMI
*As entered by nursing staff not from the Wisconsin Immunization Registry (WIR)
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Worksheet Tabs (Note: When lettering is red, data is loading, grey lettering is outside of
the default parameter, yellow shading is out of normal range, black lettering indicates
current data)
Worksheet Tab descriptions follow:
Alerts – Predetermined sets of clinical values that are defined outside the normal range
either high or low to alert providers.
Snapshot – Certain data to provide a quick overall picture of the health of the patient.
EMAR – Electronic Medication Administration Record is a visual record of the medications
a patient is on in the hospital. It can be expanded and collapsed for ease of viewing and is
displayed active, one time, scheduled, PRN, Discontinued, Unverified. The current view is
4 days with the date and time range displaying on the top. If SCHED is in red, then the
medication is overdue and has not been documented yet. By hovering over a field with the
mouse available data will display and by double clicking on a field the full order will display.
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Full Order – EMAR
Face Sheet – To provide some basic patient data for the provider from the VFS.
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VS/WT/%Eaten – To display computerized documentation
There are additional Worksheet Tabs created with criteria based on input from various
provider groups during development. There will be ongoing changes over time. If data is
captured in Meditech, it is probable that we could capture it in the VFS, if we chose to.
Some of the additional tabs:
 Antibiotics Labs/Meds
 Labs By MR#
 Pain Mgt
 Diabetic Mgt
 Labs
 MICRO
 PATH
 COAGULATION LABS/MEDS
 Reports (This Visit Only)
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