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263ecb98f7ea8da1a5f854b9df53bea7.ppt
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Support Scenarios Incident Reporting
RPMS-EHR Technical Overview Presenters Support Scenarios – Incident Reporting: Mary Hager RN
General Concepts • Always try to clarify the problem as much as possible – Ask lots of questions – User stating that they can’t sign their notes is not sufficient for a help desk call – Be specific – If possible, duplicate the scenario or at least watch as it occurs
Questions for the user • Which component were you using? (not which tab were you on) • What were you trying to do? • What had you just finished doing? • Can you do it again? • Is it just this one patient or any patient?
CAC actions • Can you do the same thing the user does and get the same error? • If not, do other users get the error or just this user? • One patient or all patients? • Does the error happen all the time or intermittently? • Can you watch the provider produce the error if you cannot.
Site Manager Actions • Is there an error in the error trap? – This means there is a Mumps code error • If it is a repeatable GUI error, can you see the error using the Vue. Centric Manager? – If no error trap error, the problem could be on the EHR side.
Sending to IHS Help Desk • Send as much information as possible since we don’t have access to sites • Get all the information you can from the CAC and the user • Send screen shots of everything if possible • Do NOT send patient names, so the screen shots will need to be cleaned up
Error Trap Errors • • Process ID: 21395 (21395) • Username: • UCI/VOL: [CHNWV, CHNWV] • $ZA: 0 • Current $IO: /dev/null: 21395 • CPU time: • Direct I/O: • $ZE=
• • • • • • • $DEVICE= $ECODE=, M 7, $ESTACK=11 $ETRAP=D UNWIND^CIANBLIS Q: $Q 0 Q $QUIT=0 $STACK=15 $STACK(000)= $STACK(000, "ECODE")= $STACK(000, "MCODE")= $STACK(000, "PLACE")=EN+13^CIANBLIS +1 $STACK(001)=DO $STACK(001, "ECODE")= $STACK(001, "MCODE")= $STACK(001, "PLACE")=LISTEN+2^CIANBLIS +3 $STACK(002)=DO $STACK(002, "ECODE")= $STACK(002, "MCODE")= $STACK(002, "PLACE")=LISTEN+4^CIANBLIS +1 $STACK(003)=$$ $STACK(003, "ECODE")= $STACK(003, "MCODE")= $STACK(003, "PLACE")=DOACTION+14^CIANBLIS +2 $STACK(004)=DO $STACK(004, "ECODE")= $STACK(004, "MCODE")= $STACK(004, "PLACE")=DOACTION+17^CIANBLIS +1 $STACK(005)=DO
$STACK(005, "ECODE")= $STACK(005, "MCODE")= $STACK(005, "PLACE")=ACTR+16^CIANBACT +2 $STACK(006)=DO $STACK(006, "ECODE")= $STACK(006, "MCODE")= $STACK(006, "PLACE")=ACTR+18^CIANBACT +2 $STACK(007)=DO $STACK(007, "ECODE")= $STACK(007, "MCODE")= $STACK(007, "PLACE")=DORPC+8^CIANBACT +1 $STACK(008)=DO $STACK(008, "ECODE")= $STACK(008, "MCODE")= I $$VALID^ORCACT 0(ORID, ACTION, . VAL, $G(ORWNAT)) S VAL="" ; V AL=error $STACK(008, "PLACE")=VALID+32^ORWDXA +1 $STACK(009)=$$ $STACK(009, "ECODE")= $STACK(009, "MCODE")=RN I ACTION="RN" D RN^ORCACT 01 G VQ ; renew $STACK(009, "PLACE")=RN^ORCACT 0 +2 $STACK(010)=DO $STACK(010, "ECODE")= $STACK(010, "MCODE")= I DG="O RX" D Q ; Outpt Meds $STACK(010, "PLACE")=RN 1+2^ORCACT 01 +2 $STACK(011)=DO $STACK(011, "ECODE")= $STACK(011, "MCODE")=. I ORZ>1 S ORD=+$$VALUE^ORX 8(+IFN, "DRUG"), X=$$RENEW^PSOREN W(PSIFN, ORD, DAYS) $STACK(011, "PLACE")=RN 1+8^ORCACT 01 +3 $STACK(012)=$$ $STACK(012, "ECODE")=, M 7, $STACK(012, "MCODE")= S RX 0=^PSRX(RXN, 0), PSODRG=+$P(^PSRX(RXN, 0), "^", 6), ST=+^("ST A"), PSODRUG 0=^PSDRUG(PSODRG, 0) $STACK(012, "PLACE")=RENEW+6^PSORENW +4 $STACK(013)=DO
$STACK(013, "ECODE")= $STACK(013, "MCODE")= $STACK(013, "PLACE")=ETRAP 2+2^CIANBLIS +1 $X $Y=24 4 $ZU(56, 2)=/v/v 5 -0 -21/build 6408/common/src/symbol. c 9719 $ZV=Cache for UNIX (Linux Intel/32 -bit) 5. 0. 21 (Build 6408) Tue Jan 3 2006 14: 15 : 25 EST %1=69 %DT=T %N=91 %T=0 %X=DUZ( %ZT("^XUTL("XQ", $J)")= ACT=R ACTION=RN ACTSTS= AGE=69 AIFN=1 APCDANE= ARG=4 ARG("1")= ARG("2")= ARG("3")= ARG("4")= ATXVIS= AUPNDAYS=25393 AUPNDOB=2380303 AUPNDOD= AUPNPAT=38683 AUPNSEX=M AUPNTALK= AUPNVSIT=104309
BLK=1 CDT=12/13/06 CIA("ASY")=0 CIA("CTX")=CIAV VUECENTRIC CIA("EOD")=255 CIA("RPC")=ORWDXA VALID CIA("UID")=34139 CIA("VER")=0 CIAERR("0")=0 CIAIP= CIAMODE=2 CIAOS=3 CIAPORT=9220 CIARETRY=1 CIATDEV=|TCP|9220|21395 CIAUCI=CHNWV CIAXUT=1 CNT=8 COMMENT= D 0=38481 DA=83 DAT= DATE=6929089. 0842 DAYS=180 DDER=0 DENT=09/05/2007 DFN=1835 DG=O RX DIALLVAL=1 DIC=^TIU(8925, DILOCKTM=1 DIQ 2=1605 DISYS=18 DIWI=Type Ii Or Unspecified Type, DIWT=5, 10, 15, 20, 25 DIWTC=0 DIWX= DL 5=& DLGIEN=147 DN=1
RENEW+6^PSORENW ERR=0" src="https://present5.com/presentation/263ecb98f7ea8da1a5f854b9df53bea7/image-13.jpg" alt="DOB=2380303 DQ=0 DT=3070910 DTIME=600 DUZ=3065 DUZ("0")= DUZ("1")= DUZ("2")=1946 DUZ("AG")=I DUZ("AUTO")=1 DUZ("BUF")=1 DUZ("LANG")= ECSAV=
IFN=92772; 1 INDX=5 IO=/dev/null IO("0")=/dev/null IOBS=$C(8) IOF=# IOHG= IOM=132 ION= IOPAR= IOS=0 IOSL=64 IOST=P-OTHER IOST("0")=16 IOT=TRM IOUPAR= IOXY= IPL=~ ISIV=0 IVOD=0 LAB("NOT")=0 LIST("13113")=13113^INSULIN NOVOLIN 70/30 INJ PENFILL 3 ML^26^INJ^129^HS 501 LIST("13351")=13351^INSULIN HUMULIN 70/30 (NPH/REG) INJ PEN, 3 ML^26^INJ^129^HS 501 LIST("13352")=13352^INSULIN NPH HUMAN 100 U/ML INJ PEN 3 ML^26^INJ^129^HS 501^I LIST("13353")=13353^INSULIN, LISPRO, HUMAN 100 UNT/ML INJ, PEN, 3 ML^26^INJ^129^HS 501 LIST("13484")=13484^INSULIN NPH HUMULIN-N 100 U/ML INJ PEN 3 ML^26^INJ^129^HS 501 LIST("13485")=13485^INSULIN NPH NOVOLIN-N 100 U/ML INJ PEN 3 ML^26^INJ^129^HS 501 LIST("13486")=13486^INSULIN REGULAR NOVOLIN-R 100 U/ML PEN 3 ML^26^INJ^129^HS 501 LIST("14371")=14371^INSULIN, LISPRO, HUMAN 75/25 INJ, PEN, 3 ML^26^INJ^129^HS 501 LIST("14476")=14476^INSULIN, GLARGINE, HUMAN 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("14477")=14477^INSULIN, GLARGINE, HUMAN 100 UNT/ML INJ, CARTRIDGE, 3 ML^26^INJ^1 29^HS 501
LIST("14591")=14591^INSULIN, ASPART, HUMAN 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("14592")=14592^INSULIN, ASPART, HUMAN 100 UNT/ML INJ, CARTRIDGE, 3 ML^26^INJ^129 ^HS 501 LIST("14913")=14913^INSULIN, LISPRO, HUMAN 75/25 INJ, HUMALOG^26^INJ^129^HS 501 LIST("16199")=16199^INSULIN NPH HUMAN 100 U/ML INJ SYRINGE 1. 5 ML^26^INJ^129^HS 50 1 LIST("16200")=16200^INSULIN NPH HUMAN 100 U/ML INJ INNOLET 3 ML^26^INJ^129^HS 501 LIST("16263")=16263^INSULIN, ASPART, HUMAN 70/30 INJ, NOVOLOG^26^INJ^129^HS 501 LIST("16264")=16264^INSULIN, ASPART, HUMAN 70/30 INJ, NOVOLOG, PENFILL, 3 ML^26^INJ^12 9^HS 501 LIST("16265")=16265^INSULIN, ASPART, HUMAN 70/30 INJ, NOVOLOG, FLEXPEN, 3 ML^26^INJ^12 9^HS 501 LIST("16280")=16280^INSULIN, ASPART, HUMAN 100 U/ML, NOVOLOG, FLEXPEN, 3 ML^26^INJ^129^ HS 501 LIST("16370")=16370^INSULIN REG HUMAN 100 U/ML INJ INNOLET 3 ML^26^INJ^129^HS 501 LIST("16437")=16437^INSULIN NOVOLIN 70/30 INJ INNOLET 3 ML^26^INJ^129^HS 501 LIST("16466")=16466^INSULIN. LISPRO, HUMAN 100 UNIT/ML INJ, CARTRIDGE, 3 ML^26^INJ^12 9^HS 501^I LIST("16467")=16467^INSULIN, LISPRO, HUMAN 100 UNIT/ML INJ, CARTRIDGE, 3 ML^26^INJ^12 9^HS 501 LIST("16665")=16665^INSULIN, ASPART, HUMAN 100 UNIT/ML INJ, PENFILL, 3 ML^26^INJ^129^ HS 501 LIST("16746")=16746^INSULIN, GLULISINE, HUMAN 100 UNIT/ML INJ^26^INJ^129^HS 501 LIST("821")=821^INSULIN, PROTAMINE ZINC, BEEF/PORK 100 UNT/ML INJ^26^INJ^129^HS 501^ I LIST("822")=822^INSULIN, PROTAMINE ZINC, PORK/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501^I LIST("823")=823^INSULIN, PROTAMINE ZINC, BEEF/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501^I
LIST("824")=824^INSULIN, PROTAMINE ZINC, BEEF/PORK 40 UNT/ML INJ^26^INJ^129^HS 501^I LIST("825")=825^INSULIN, REGULAR, BEEF/PORK 100 UNT/ML INJ^26^INJ^129^HS 501^I LIST("826")=826^INSULIN, REGULAR, PORK/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("827")=827^INSULIN, REGULAR, BEEF/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501^I LIST("828")=828^INSULIN, REGULAR, HUMAN 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("829")=829^INSULIN, REGULAR, BEEF/PORK 40 UNT/ML INJ^26^INJ^129^HS 501^I LIST("830")=830^INSULIN, NPH, BEEF/PORK 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("831")=831^INSULIN, NPH, PORK/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("832")=832^INSULIN, NPH, BEEF/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("833")=833^INSULIN, NPH, HUMAN 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("834")=834^INSULIN, NPH, BEEF/PORK 40 UNT/ML INJ^26^INJ^129^HS 501 LIST("835")=835^INSULIN, LENTE, BEEF/PORK 100 UNT/ML INJ^26^INJ^129^HS 501^I LIST("836")=836^INSULIN, LENTE, PORK/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("837")=837^INSULIN, LENTE, BEEF/PURIFIED 100 UNT/ML INJ^26^INJ^129^HS 501 LIST("838")=838^INSULIN, LENTE, BEEF/PORK 40 UNT/ML INJ^26^INJ^129^HS 501 LIST("839")=839^INSULIN, REGULAR, PORK/PURIFIED CONC 500 UNT/ML INJ^84^INJ, SOLN^129 LNCT=1 LSTDS=30 LSTFD=3070908 LSTRD= MEDPARM=2 MSG=0^Patient Postings on file NAME 1="XQAID" NATR= NDF=1795 A 7544 NM= NMBCOD=CLAY 3 OCXSEG=ZAL OIIEN=0
ONSET= OR 0=92772^38683; DPT(^^2924^147; ORD(101. 41, ^3040^3070702. 1402^^^64; SC(^4^O^^ 225^^ 2^^ OR 3=3070702. 18372^90^6^147; ORD(101. 41, ^^^1^^^^0 ORA 0=3070702. 1402^NW^2924^1^2924^3070702. 1837^^^^^^8^3040^1^^3070702. 1837^ 2924 ORD=0 ORDSTS=6 ORID=92772; 1 ORIFN=92772; 1 ORNP=2924 ORTKG= ORVER=N ORVP=38683; DPT( ORWCLVER=1 ORWNAT= ORY= ORZ=3 P=P 4 P 1=92772; 1 P 2=RN P 3=2924 P 4= PKG=PS PLACER=40212 PNAR=Diabetes Type 2 POP=0 PR=1 PRI= PRMT=138 PRTID=0 PRV=SHARPE, HEATHER PSIFN=40212 PSOCPDRG=0 PSODC=INSULIN
PSODRG=0 PSODTCUT=3070513 PSONODD=1 PSOSHH=0 PXRMHRCN=PRI 11632 REC=72^38683^81061^^2903 RESULT("1")=BLOOD PRESSURE: 130/76 (Sep 10, 2007@08: 45) RESULT("2")=WEIGHT: 166. 8 (0 kg) (Sep 10, 2007@08: 45) RESULT("3")=HEIGHT: 69 (0 cm) (Sep 10, 2007@08: 45) RESULT("4")=TEMPERATURE: 98. 3 (36. 8 C) (Sep 10, 2007@08: 45) RESULT("5")=RESPIRATIONS: 18 (Sep 10, 2007@08: 45) RESULT("6")=PULSE: 92 (Sep 10, 2007@08: 45) RESULT("7")=PAIN: 0 (Sep 10, 2007@08: 45) RESULT("8")=O 2 SATURATION: 98 (Sep 10, 2007@08: 45) RPC=878 RT=P 4 RTN=VALID^ORWDXA(. CIAD, . P 1, . P 2, . P 3, . P 4) RX 0=114258^38683^1^2924^64^^30^30^3^^W^^3070702^^^3040^^1 RXN=40212 SB= SEQ=128 SEX=M SSN=279347973 ST=0 STAT=A STS=5 SUCCESS=83124 TAB=
TITLE=OUTSIDE CONSULTS, PROVIDERS AND SPECIALIST - KAY M. Cons TIUCHNG=1 TIUDIV 1("4", "1946", ". 01")=PRIMARY CARE CLAY TIUDPRM("0")=3^0^2^1^^^^1^1^1^^^^0^0^ TIUDPRM("5")=471^626 TIUFPRIV=1 TIUPRM 0=1946^1^80^^2^P^0^^H^^^^^1^^C^^0 TIUPRM 1=^^^^^@@@^3041214 TMPLST=0 U=^ VA("BID")=PRI 11632 VA("PID")=PRI 11632 VAC=DPQRSU VADM("1")=xxxxx VADM("10")= VADM("11")=0 VADM("12")=0 VADM("2")=279347973^PRI 11632 VADM("3")=2380303^MAR 3, 1938 VADM("4")=69 VADM("5")=M^MALE VADM("6")= VADM("7")= VADM("8")= VADM("9")= VADMVT= VAERR=0 VALMCNT=10 VASITE=-1 VER=3 VIEN=104309 VL= VUNT=0 VUNT("0")=^^
VUNT("1")=^^ W=TRICOUNTY US EXAMS^^^^^1 X=0 X 0=PSO OERR^Outpatient Medications^^D^4^2^225^1^2 XPARSYS=1; DIC(4. 2, XQI=3070910. 083134 XQVOL=CHNWV XQXFLG=0^0 XQXFLG("LLOG")=3070908. 135618^0^1^3070713 XQY=2889299 XUCI=CHNWV XUENV=CHNWV^WVPCN 1 S 11. corp. wvpcn. com^CHNWV: CACHE XUF=0 XUF(". 3")=3065 XUIOP= XUVOL=CHNWV^^1000 XWBAPVER=0 XWBOS=Open. M XWBPTYPE=1 XWBWRAP=0 Y 15=BUN Z= ^XUTL("XQ", $J, "DUZ")=3065 ^XUTL("XQ", $J, "DUZ(0)")= ^XUTL("XQ", $J, "DUZ(1)")= ^XUTL("XQ", $J, "DUZ(2)")=1946 ^XUTL("XQ", $J, "DUZ(AG)")=I
^XUTL("XQ", $J, "DUZ(AUTO)")=1 ^XUTL("XQ", $J, "DUZ(BUF)")=1 ^XUTL("XQ", $J, "DUZ(LANG)")= ^XUTL("XQ", $J, "IO")=/dev/null ^XUTL("XQ", $J, "IOBS")=$C(8) ^XUTL("XQ", $J, "IOF")=# ^XUTL("XQ", $J, "IOM")=132 ^XUTL("XQ", $J, "ION")= ^XUTL("XQ", $J, "IOS")=0 ^XUTL("XQ", $J, "IOSL")=64 ^XUTL("XQ", $J, "IOST")=P-OTHER ^XUTL("XQ", $J, "IOST(0)")=16 ^XUTL("XQ", $J, "IOT")=TRM ^XUTL("XQ", $J, "IOXY")= ^XUTL("XQ", $J, "T")=1 ^XUTL("XQ", $J, "XQVOL")=CHNWV ^XUTL("XQ", $J, 0)=3070910. 080732 ^XUTL("XQ", $J, 1)=2889299^CIAV VUECENTRIC^Vue. Centric^^B^2869^^^^^^^ $ZE=
vc. Manager Trace Log Entries
• If there is an error then send it along with the RPC list. • If no error, send several RPCs that are near where the problem is occurring. • You can use screen captures or just send the text • Send at least one list of the RPCs around the error
Sending Text • • • You need to use the CTL C and CTL V to copy data from the RPC to an E-mail message The Parameters tell you what was sent to the M routine. The results tell you what came back Send several RPCs since you don’t know where the problem may be This RPC gets the boilerplate • • • RPC: TIU TEMPLATE GETBOIL _______________Parameters__________ #1 : 18847 _______________Results__________ This coding request pertains to the visit on: {FLD: GEN DATE} • • {FLD: CIH CODING CHOICE} {FLD: GEN WORD PROCESSING} • ______________________________
Get the text of the boilerplate • • RPC: TIU TEMPLATE GETTEXT __________________Parameters________________ ___ #1 : 3 #2 : 21; 3070910. 1037; A; 365 #3 : (1, 0)=This coding request pertains to the visit on: {FLD: GEN DATE} (2, 0)= (3, 0)={FLD: CIH CODING CHOICE} (4, 0)={FLD: GEN WORD PROCESSING} __________________Results_________________ ___ ^^4^4^3070910^^ This coding request pertains to the visit on: {FLD: GEN DATE} • • {FLD: CIH CODING CHOICE} {FLD: GEN WORD PROCESSING} • _______________________________________ ___ • •
Get the data in the template fields • • RPC: TIU TEMPLATE GETTEXT __________________Param eters__________________ #1 : 3 #2 : 21; 3070910. 1037; A; 365 #3 : (1, 0)=This coding request pertains to the visit on: {FLD: GEN DATE} (2, 0)= (3, 0)={FLD: CIH CODING CHOICE} (4, 0)={FLD: GEN WORD PROCESSING} __________________Resul ts___________________ ^^4^4^3070910^^ This coding request pertains to the visit on: {FLD: GEN DATE} • • {FLD: CIH CODING CHOICE} {FLD: GEN WORD PROCESSING} • _________________________________________ • • • • • RPC: TIU TEMPLATE GETTEXT __________________Param eters__________________ #1 : 3 #2 : 21; 3070910. 1037; A; 365 #3 : (1, 0)=This coding request pertains to the visit on: {FLD: GEN DATE} (2, 0)= (3, 0)={FLD: CIH CODING CHOICE} (4, 0)={FLD: GEN WORD PROCESSING} __________________Resul ts___________________ ^^4^4^3070910^^ This coding request pertains to the visit on: {FLD: GEN DATE}
Data Saved • • • • RPC: TIU SET DOCUMENT TEXT __________________Parameters___________ #1 : 177 #2 : ("HDR")=1^1 ("TEXT", "1", "0")=This coding request pertains to the visit on: 10 -Sep-2007 ("TEXT", "2", "0")= ("TEXT", "3", "0")=Please add a POV for this visit, Please add an E and M code for this visit ("TEXT", "4", "0")=because you didn't add anything #3 : 1 __________________Results_____________ 177^1^1 __________________________________
Access to System • Access to your system may take several days • Inform the NOSC to open up the port that we need to get access • We will need access to RPMS • We generally cannot get access to the GUI
Support Scenarios Incident Reporting
Sending Incident Report to Help Desk • • • Site Information (site location, phone number) Issue contact person (Name, Phone number) Software Information (Version #) How long has this problem been occurring? (Days) Were there any software upgrades or configuration changes prior to this problem (Y/N) – If Yes, please list them
Sending Incident Report to Help Desk (cont. ) • Are there any sites experiencing similar problem? (Y/N) – • • Is this problem repeatable at the site (Y/N) Is this problem reproducible in IHS test environment (Y/N) – – • If Yes, please provide list If Yes, provide test data set up and step by step instructions to reproduce this issue. Also provide screen captures at each step. If No, obtain step-by-step instructions from user and also obtain screen captures at each step. THEN SUBMIT ISSUE to Medsphere Support by emailing the issue with the above information to ihs-helpdesk@medsphere. com