Global: ^PXRMD(801.41

Dialogs that are auto-generated from a reminder will default to the name of the reminder for ease in identifying the reminder dialog entry. Dialog elements that are auto-generated use the following naming convention:

Finding type prefix_ _Name from finding file_ _Resolution Status. Examples of two dialog element entry names generated from an Exam file entry for DIABETIC EYE EXAM follow.

EX DIABETIC EYE EXAM DONE EX DIABETIC EYE EXAM DONE ELSEWHERE

Any item created locally can use any type of naming convention. Your site may want to create special namespacing for dialog entries that you create locally.

Entries prefixed with PXRM are prompts, result groups, and result elements that were distributed with the Clinical Reminders package. The PXRM-prefixed prompts are the additional prompts that can be asked for particular

types of PCE findings and WH Notification Purpose. For example: PXRM COMMENT can be added to any PCE file to allow the user to enter an additional COMMENT beyond the dialog element's progress note text, and the PXRM LEVEL

OF UNDERSTANDING can only be used with PCE Education Topic findings.

Short Descr:  This xref checks to see if the disable value can be deleted

Description:  This cross-reference checks to see if the disable value can be deleted from the DISABLE field. Note: deleting the value, i.e., making the field NULL, activates the dialog element. A dialog element can be active only if its

findings, orderable items, or additional findings are active.

Set Logic:  Q

Kill Logic:  S $P(^PXRMD(801.41,DA,0),U,3)=X1(2)

Kill Cond:  S X=$S($$DISCKINP^PXRMDLG6(DA,.X2,.X1)=0:1,1:0)

X(1):  NAME  (801.41,.01)  (Subscr 1)  (forwards)

X(2):  DISABLE  (801.41,3)  (Subscr 2)  (forwards)

Unique for:  Key B (#64), File #801.41

Short Descr:  B Cross-reference

Description:  This is the "B" cross-reference redone as a new style cross reference.

Set Logic:  S ^PXRMD(801.41,"B",$E(X,1,64),DA)=""

Kill Logic:  K ^PXRMD(801.41,"B",$E(X,1,64),DA)

Whole Kill:  K ^PXRMD(801.41,"B")

X(1):  NAME  (801.41,.01)  (Subscr 1)  (Len 64)  (forwards)

This identifies which reminder definition is associated with this "Reminder Dialog" entry.  "Reminder Dialog" type entries are the only entries that require this field.

1)= S ^PXRMD(801.41,"AG",$E(X,1,30),DA)=""

2)= K ^PXRMD(801.41,"AG",$E(X,1,30),DA)

Index of dialogs by source reminder.

Short Descr:  This xref checks to see if the disable value can be deleted

Description:  This cross-reference checks to see if the disable value can be deleted from the DISABLE field. Note: deleting the value, i.e., making the field NULL, activates the dialog element. A dialog element can be active only if its

findings, orderable items, or additional findings are active.

Set Logic:  Q

Kill Logic:  S $P(^PXRMD(801.41,DA,0),U,3)=X1(2)

Kill Cond:  S X=$S($$DISCKINP^PXRMDLG6(DA,.X2,.X1)=0:1,1:0)

X(1):  NAME  (801.41,.01)  (Subscr 1)  (forwards)

X(2):  DISABLE  (801.41,3)  (Subscr 2)  (forwards)

Reminder dialogs are the dialog entries that can be mapped to a reminder definition. Reminder dialogs will typically contain several dialog elements and/or dialog groups.

Dialog elements that are auto-generated represent a finding item and resolution status combination, based on the Finding Type Parameters for auto-generation. The dialog elements can be defined manually if needed. Dialog

elements must have the FINDING ITEM field defined in order to cause the finding to be updated automatically. When no finding item is defined, the dialog element is treated as a header or instruction text in the CPRS GUI.

Sites can also add Additional Finding items to automatically update when a dialog element is checked off. An example of using the additional finding would be for a dialog element for a diagnosis, that must always be

recorded with a second diagnosis.  Another example is when an Exam or Education Topic dialog element checked off should automatically add an additional ICD9 and/or CPT finding to PCE.

Dialog elements will use the DIALOG/PROGRESS NOTE TEXT to display in the CPRS GUI window. This text will also be added to the progress note, unless the optional ALTERNATE PROGRESS NOTE TEXT field is defined. If the dialog

text to display to the user needs to be different from the text to add to the progress note, use the ALTERNATE PROGRESS NOTE TEXT field to define the progress note text.

Dialog Groups can be used to group dialog elements together. Groups can be displayed with a box around them and have selection rules applied to them (e.g., select one, one or more)  A dialog element can be changed to a

dialog group by changing its TYPE.  Prompts are distributed in the PXRM namespace to represent additional fields that the user can enter when an element is checked off. Prompts are added to dialog elements during

auto-generation based on the finding type parameters. The PXRM COMMENT field is a generic comment field that can be used on all PCE related finding items. Dialog elements for "DONE ELSEWHERE" need to require the historical

visit date prompt. The forced value is similar to a prompt, except it represents a stuffed prompt which doesn't need to be presented to answer. The PXRM prompts can be copied for local modification to create additional

forced value entries if necessary.

Prompts created locally (not copies of PXRM prompts) are treated as display text with checkboxes, which, when checked off, add text to a comment field which is added to the progress note text. Refer to these as Local

Comment Prompts.

Result Groups and Result Elements are distributed in the PXRM namespace and are associated with Mental Health Instrument finding items during auto-generation of a reminder dialog. When the mental health instrument finding

item dialog element is selected by the CPRS GUI user, a window will be opened which contains the test's questions and probable answers.  The selected answers are sent to the mental health package when the user selects OK.

The mental health package returns the score and results which can be used within sentences. These sentences are defined as Result Elements, and can vary depending on the test score. If multiple sentences are possible

depending on the score, the result elements should be defined in a result group. The result group should be added to the mental health test's dialog elements RESULT GROUP/ELEMENT field. Mental Health tests for use by

Mental Health clinicians only are not available for CPRS reminder resolution.

A reminder dialog can be made into a dialog group and added to another reminder's dialog. This allows multiple reminders to be addressed by one reminder dialog.

Reminder Dialogs can include dialog elements that don't have anything to do with the findings defined in the reminder.

Taxonomy dialogs are auto-generated based on the Taxonomy Dialog Parameters. The taxonomy dialog can be used as a black box that allows the users to enter current or historical encounter diagnoses or procedures, based on

the selectable list of diagnosis parameters. Alternatively, a taxonomy can have individual dialog elements created for each coded value in the selectable list of diagnoses and procedures. It may be more useful for sites to

create dialog elements for the common diagnoses and procedures they actively use and add them to groups, similar to the encounter form section and coded value groupings.

1)= S ^PXRMD(801.41,"TYPE",$E(X,1,30),DA)=""

2)= K ^PXRMD(801.41,"TYPE",$E(X,1,30),DA)

caption field to specify a header to use on a box around the group of dialog elements. The reminder dialog component can use the caption to specify a header to use on a box around the dialog elements for a reminder.

This flag will be used to determine whether the components will be presented to the user in a box. If the caption field is defined, it will appear as header text in the top line of the box.

This is the number of indents that should be made before presenting the group's components/elements. Indent is used only for dialog groups.

This field is used only for a dialog group where different dialog elements have common prompts. Prompts will be shared for all dialog elements unless otherwise selected.

1 indicates that only one element in the dialog group may be selected.  2 indicates that one or more elements must be selected.  3 indicates that either none or one selection is required.  4 indicates all selections are

required.  0 or null indicates no selection required.

Reminder dialogs have dialog group or dialog element components.

Dialog groups have a combination of dialog element components.

Dialog elements have prompt and forced value components.

"WRITE":    N OR0,ORNM S OR0=^(0) I $P(OR0,U,2) S ORNM=$P($G(^PXRMD(801.41,+$P(OR0,U,2),0)),U) D:$L(ORNM) EN^DDIOL(ORNM,,"?10")

This field contains what type of resolution is represented by this dialog entry.

CPT  Procedure

ED   Education Topic

EX   Exam

HF   Health Factor

IM   Immunization

OI   Orderable Item

POV  Diagnosis (ICD9)

ST   Skin Test

VM   Vital Measurement

WH   WH Notification Purpose

(e.g. PXRM Contraindicated is restricted to IMMUNIZATION, finding type IM)

This is the finding item that should be created if the dialog element/group is checked in CPRS. Additional findings may be entered into the additional findings field.

Orderable item from the reminder definition.

This field is used only in the dialog display.

If entering defaults for the PXRM VISIT DATE prompt (or copies) then the following codes are available:

0  - no year is initially set (forces required dates to be entered).

M  - Month is required.

M0 - Month is required, no year initially set.

This is the value that will be used for a forced value type dialog.

This field indicates that the question text of the dialog element will be excluded from the progress note.

This is the caption that will be used for this prompt.  This caption can be overridden by the OVERRIDE PROMPT CAPTION field in the ITEMS multiple, which can be more specific for the instance of the prompt.

This is the sentence text that will appear in the reminder dialog and progress note.

This field is only required if the text on the progress note differs from the dialog text.

Comment prompts (with a GUI Process ID of COM) may have a number of checkboxes associated with the comment prompt.

populated by the copy process.

1 indicates that the group will be hidden until checked 0 indicates that the group will be displayed

If the dialog element or group header has a finding item associated with it the SUPPRESS CHECKBOX flag will be ignored.

Also if the HIDE/SHOW GROUP field is set to hide, then the SUPPRESS CHECKBOX field will be ignored (the group header question must be a checkbox).

In a dialog group the dialog questions may be indented. This field allows the progress note text to be indented also.

note if the SCORE from the mental health test is below 2.

Result Elements will only use the Raw Score returned from a MH test.

This flag is used to control whether or not a mental health instrument question will be excluded from the progress note text when the component is acted upon.

This is the class of dialog. National dialogs cannot be edited.

This is the organization or group that sponsors this dialog.

The REVIEW DATE is used to determine when the dialog should be reviewed, to verify that it is current with the latest standards and guidelines.

This multiple is used to record a history of changes to the dialog.

another had IHD2 located in this field, we would know that they were associated with each other and were both part of the same project.

1)= S ^PXRMD(801.41,"AC",$E(X,1,30),DA)=""

2)= K ^PXRMD(801.41,"AC",$E(X,1,30),DA)

"AC",IDENTIFY,DA

defined at the item level of the Reminder Dialog.

This field is used by CPRS to identify if the dialog set-up should be cached or re-built between every use. If the field is set to Yes, then the dialog will be re-loaded every time it is opened in CPRS. If the field is set

to No or Null, the dialog set-up will be stored in CPRS the first time the dialog is loaded for the user.

CPRS.

If the value is 0, the user is not required to select/open the MH test before the reminder dialog can be finished.

If the value is 1, the user is required to select/open and complete the MH test in the reminder dialog before the reminder dialog can be finished.

If the value is 2, the user is not required to select/open the MH test in the reminder dialog; however, if the user opens the MH test, then the user is required to complete or Cancel the MH test before the reminder dialog

can be finished.

Clicking Cancel in the MH test dialog is considered the same as not opening the MH test.

A value of 2 only works with CPRS 27 and the YS_MHA.dll file. If 2 is used in a pre-CPRS 27 environment, the value of 2 will be considered the same as the value 1.

only finding item defined for the element/group is an order.

value. The value returned by the Reminder Term evaluation is used in conjunction with the Reminder Term Status field.

result of the term evaluation will be compared to the value defined in this field. If the value matches the dialog, it will complete the action defined in field #118. If the reminder term evaluation value does not match

the value defined in this field, the default action of the element/group is loaded into CPRS.

If the Reminder Term defined in field #116 is evaluated and matches the value defined in field #117, then the dialog element/group will either be replaced or suppressed depending on the value defined in this field. This

field points to file 801.41.  If there is an active element/group defined in this field, then the original dialog element/group will be replaced with the new dialog element/group. If this field is null, then the original

dialog element/group will be suppressed in CPRS.

Short Descr:  This will be used for identifying replacement elements/groups

Set Logic:  S ^PXRMD(801.41,"R",X,DA)=""

Kill Logic:  K ^PXRMD(801.41,"R",X,DA)

Whole Kill:  K ^PXRMD(801.41,"R")

X(1):  REPLACEMENT ELEMENT/GROUP  (801.41,118)  (Subscr 1)  (forwards)

e used in a dialog.

in the MH Scale field, #120.

A: Displays two pick lists one for Diagnosis Codes and one for

procedure codes.

D: Displays a pick list for Diagnosis Codes only. The procedures codes

will automatically be filed to VistA when the dialog is finish.

P: Displays a pick list for Procedure Codes only. The diagnosis codes

will automatically be filed to VistA when the dialog is finish.

N: Does not displays a pick list. Both the diagnosis and procedures

codes will be filed to VistA when the dialog is finish.

Short Descr:  This xref is used to delete corresponding fields when the value is changed

Set Logic:  Q

Kill Logic:  D DELLOG^PXRMDTAX(.DA,123,X1,X2)

X(1):  TAXONOMY PICK LIST  (801.41,123)  (forwards)

This field is used to set the diagnosis header text to display in CPRS when using a Taxonomy.

This field is used to set the Procedure Text to display in CPRS when using a Taxonomy.