Order Management (OM)
6.0 Customer Defined Parameters

 

The following outlines the customer defined parameters within Order Management (OM). These Order Management parameters can be accessed by users with OM Dictionaries on their menu. For these users, they will have the Parameters option at the top of their Dictionary menu. Or, for users that do not have access to the Dictionaries, the OmParam.Mgmt procedure mnemonic can be added to the menu in the MIS Menu Procedure Access Dictionary.

Orders - All Users Tab
Use this screen to enter data about the order management functionality of your clinical system.

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Training Printer
Enter the report queue that handles all requisitions printed for training purposes.

Lookup: Report Queue Dictionary

Stop Orders
Enter the number of hours prior to an order stop date during which the orders appear in red within the clinical system. Having an order appear in red helps warn users when it is close to its stop date.

Generate New Order on OM Renew
Specify whether the system creates a new order or updates an existing one when users renew a medication order.

To:                                                                            Enter
Discontinue the existing order and generate a new one        Y
Update the existing order                                               N

Provider Stop Reason Default
Enter the reason that is automatically assigned when physicians discontinue an order. Physicians can edit this reason when discontinuing orders. But having a default value can save time.

Lookup: Comment/Instruction/Reason Dictionary (restricted to Cancelled type reasons only)

Default Access Group
Enter the access group (for order management functions) automatically assigned to users that are not already assigned to an access group. Generally, the default access group has minimum access to routines and functions.

Lookup: OM Access Dictionary

Default Interaction/Conflict Group
Enter the interaction/conflict group automatically assigned to users that are not already assigned to one (in the OM Access dictionary).

Lookup: Interaction/Conflict Group Dictionary

Interaction Auto-Override Comment
Enter the override comment automatically filed with orders that encounter a drug interaction conflict that is automatically overridden for a user.

Lookup: NPR MIS Override Comment Dictionary

Disable Forms Printing
Use this field to control the amount of paper generated by your test system (before your system goes LIVE).

To:                                                                                            Enter
Disable forms printing and prompt users with a reminder                      Yes
When signing onto Order Management.
Keep printing enabled.                                                                   No
Disable printing and prevent reminder messages.                                Silent

Note: This field is not accessible after your system is LIVE.

Duplicate Reason Category
Enter the override category from which you want to select a Default Duplicate Reason.

Lookup: Override Category Dictionary

Default Duplicate Reason
Enter a default reason that appears when a non-physician enters duplicate orders. Users can edit this reason when entering orders, but having a default value can save time.

Lookup: Override Comment Dictionary (restricted to the category selected at the Duplicate Reason Category field)

Transfer Order
Enter the order automatically generated for a patient when users manage a transfer patient’s orders.

When a user initially uses the Manage Transfer function for a patient, this order appears as a new current order for that patient.

Lookup:" Transfer-type orders in the Order Dictionary

Transfer Continue Orders – Create New Orders for
When users transfer patients, they have the option of continuing orders with a patient transfer, or stopping those orders and creating new ones. Use this field to determine what types of orders (if any) are created for the patient when continuing their orders with a transfer.

To create new orders for:                                                          Enter
Medication orders, only.                                                             Meds
Non-medication orders, only.                                                      Orders
Both medication and non-medication orders                                   Both
Neither type of order. The existing orders continue for the patient     Neither (or blank)
after the transfer.

The system uses this information when users process transfer orders.

Note: This field applies only to those orders that users choose to continue with the transfer.

Transfer Stop Orders – Stop Reason Default
When using transfer patients, they have the option of continuing orders with a patient transfer, or stopping those orders and creating new ones. Use this field to enter the default stop order reason when stopping an existing order.

The system uses this information when users process transfer orders.

This field is not available when the value of the Transfer Continue Orders- Create New Orders for field is Neither (or blank)

Lookup: Cancelled Order- type reasons in the Comment/Instruction/Reason Dictionary

Update Clinical Data Queries
Enter the queries that the system updates in the patient’s clinical data when users respond to them during order entry, and vice versa. For example, if a user answers the Ability to Arise? query when entering an order, the system also updates the value of that field in the Clinical Data Routine.

Lookup: Query Dictionary

Update Clinical Data Fields
Enter the fields from the Clinical Data Routine that the system updates when users respond to them during order entry, and vice versa. For example., if a user answers the Is Patient Pregnant? query when entering an order, the system also updates the value of that field in the Clinical Data Routine.


Orders for Non-PIN Users Tab
Use this screen to enter information about the appearance and functionality of the clinical system specific to users who are not physicians.

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Default to Attending Doctor on Orders
If the name of the attending provider should appear as the default Ordering Provider value when a non-physician places orders enter Y.

To prevent the attending doctor from appearing automatically during order entry, enter N. Users need to select an ordering doctor during order entry.

Default Interaction/Conflict Group
Enter the interaction/conflict group automatically assigned to users that are not already assigned to one (in the OM Access dictionary).

Lookup: Interaction/Conflict Group Dictionary

Duplicate Reason Category
Enter the override category from which you want to select a Default Duplicate Reason.

Lookup: Override Category Dictionary

Default Duplicate Reason
Enter a default reason that appears when a non-physician enters duplicate orders. Users can edit this reason when entering orders, but having a default value can save time.

Lookup: Override Comment Dictionary (restricted to the category selected at the Duplicate Reason Category field)

Exclude Order Categories for New Order Defaults
When placing new orders, the orders belonging to the categories defined in this parameter will be excluded from having the provider or order source default in.  

Lookup: OM Category dictionary

Display Activity
Specify the type of order activity that you want to appear to your users when processing orders. For each type of activity that you want to appear, enter Y. To hide a type of activity, enter N

-Cancelations
-Completions
-Edits
-Order Entry
-Renewals
-Results
-Signing
-Stopping
-Verification
-Pending Orders


Query Maps Tab
Use this screen to define additional queries used to collect information in your clinical system.


Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Query Map Fields
Use these fields to define the queries used to collect the selected type of information in Care Manager.

Oxygen Delivery Method
Enter the group response containing the oxygen delivery methods available to users when they set up that information for orders and interventions.

These responses are available at the Oxygen Delivery Method field in the Order Dictionary, and at the Delivery Method fields in the Intervention Dictionary.

Lookup: Group Response Dictionary


Clinical Data Tab
Use this screen to enter information about the appearance and collection of clinical data in your clinical system.

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Required Fields
Specify the fields that require completion when entering patient data. For each required field enter Y otherwise enter N.

You can require the following patient data.

-Condition
-Whether visitors are allowed
-Condition comment
-Reason for visit
-Height
-Weight

Hold Tray
To specify that the Hold Tray field appears when entering patient data, enter Y. To exclude the Hold Tray field enter N.

Temporary Location
To specify that the Temporary Location field appears when entering patient data, enter Y. To exclude the Temporary Location field, enter N.

Body Surface Area Calc Method
Enter the method by which the system calculates body surface area. (BSA).

To use this method:     and calculate with this equation:                       Enter:
Boyd                         Wt(kg) x (0.7285 – 0.0188 log Wt(kg))               Boyd
                               x Ht(cm) 0.3 x 0.003207
Dubois and Dubois       0.007184 x Ht(cm) 0.725 x Wt(kg) 0.425             Dubois
Gehan and George       0.0235 x Ht(cm) 0.42246 x Wt(kg) 0.51456         Gehan&George
Haycock                    0.024265 x Ht(cm) 0.3964 x Wt(kg) 0.5378         Haycock
Mosteller                   [(Ht(cm) x Wt(kg)]/3600]                             Mosteller
A custom method        Enter an equation at the following fields              Other

Height
Enter the height modifier used in your custom body surface area (BSA) calculation method.

Weight
Enter the weight modifier used in your custom body surface area (BSA) calculation method.

Modifier
Enter the modifier used in your custom body surface area (BSA) calculation method.


Dietary Data Tab
Use this screen to enter information about the appearance and collection of dietary data in your clinical system.

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Breakfast
Enter the time (in military time) at which breakfast is served.

Lookup: Enter Time Screen

Lunch
Enter the time (in military time) at which lunch is served.

Lookup: Enter Time Screen

Dinner
Enter the time (in military time) at which dinner is served.

Lookup: Enter Time Screen

Print to Patient’s Location
To print hold-tray messages to the location associated with the patient receiving the meal, enter Y. Otherwise enter N.

Other Locations
Enter the other locations that receive hold-tray messages

Lookup: Location Dictionary

Complete Old diets
Specify the way you want the system to handle old diets when a user orders a new diet.

To:                                                                                                   Enter:
Automatically complete the old diet and then replace wit with a new diet.      Yes
Keep the old diet active.                                                                       No
Ask users if they want to complete the old diet.                                        Ask

Meal Label
Specify what information prints on meal labels. You can enter one of the following.

Location and Name

Location and Name with Diet

Location and Name with Diet and Date

Nourishment Label
Specify what information prints on nourishment labels. You can enter one of the following.

Location and Name

Location and Name with Diet

Location and Name with Diet and Date


Reports Tab
This parameter page allows you to adjust the title of the patient order summary, dictate whether a patient order summary should be automatically printed on discharge, decide which patient locations should be included/excluded, and printing options for current and transfer orders.

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Patient Order Summary Title
This parameter allows you to create a customized report title for the report printed in the Print Patient Order Summary Routine. This report can be printed manually and is also automatically printed upon discharge. For example, if you want to refer to the report as a discharge summary, enter Discharge Summary. If you leave this parameter blank, Patient Order Summary appears as the report's title.

Print Patient Order Summary on Discharge?
If you want the system to automatically print a summary of a patient's orders at discharge to the printer associated with the patient's location (if defined), enter Y. Otherwise, enter N.

You can also use the Print Patient Order Summary Routine to print the report manually.

Print For
Determine whether the order sheet prints for the following users.

To print the sheet for:   Enter:
Physicians                      Y
All users                        N
No users                       Nil

Pharmacy Printer
Enter the device to which the POM Order Sheet prints. To define a destination set, enter a slash (/) followed by the destination set. Defining multiple printers as destination sets is convenient if your organization has more than one Pharmacy Department.

Lookup: UNV Printer Dictionary

Print Med Orders Only?
If set to Y, the order session sheet printed to the pharmacy printer will include only medication orders. If set to N the order session sheet printed to the pharmacy printer will include all orders. This parameter is defined for Current Orders and Transfer Orders.

Patient Location to Use
Determine where the order sheet prints.

To print the sheet to:              Enter:
Patient’s permanent location        P
Patient’s temporary location        T
Both                                        B

Process Transfers Only
This field should only be defined for Transfer Orders. To allow an order session sheet to queue for printing each time transfer orders are saved enter N. To allow an order session sheet to print only when the transfer orders are processed enter Y.


Pharmacy Data Tab
Use this screen to enter information about pharmacy orders, and the appearance of pharmacy information in your clinical system.

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Display OUT orders
To include outpatient medication orders with the other current orders, enter Y. Otherwise, enter N.

Stock Meds Display in OM?
To include stock type medication orders with the other current orders, enter Y. To exclude these types of orders enter N.

Require Med Resume Date/Time
To require users to enter a date and time for when medications should resume, enter Y. Otherwise enter N.

Non Formulary Custom Defined Screen
Enter the custom-data screen used when placing non-formulary orders (medication, IV, or compound). The queries on this screen appear to users when entering these orders. Once entered, the system sends the query responses to the Pharmacy application.

Lookup: Screen Dictionary

IV Custom Defined Screen
Enter the custom-data screen used for IV orders.

Lookup: Screen Dictionary

IV Infusion Site Lookup
Enter the group response used to define the lookup at the Infusion Site field when users enter IV orders.

Lookup: Group Response Dictionary

Include Bags
To allow providers to order IV medications by bag or bottle, enter Y. A Bags field appears on the appropriate order screen. Otherwise, enter N.

Include Volume
To allow providers to order IV medications by volume enter Y. A Volume field appears on the appropriate order screen.


Ambulatory Orders Screen Tab
Use this screen to enter data about the ambulatory orders issued with your clinical system.

 

Facility Selection Fields
These fields display all of the facilities information defined in this dictionary.

Select the facility whose information you want to view or edit. When you select a facility, the values of the other fields on the page change to reflect the values defined for that facility.

Evaluate At
Specify when the associated rules are evaluated for orders at the selected facility.

To evaluate rules when users:                                                     Enter:
Add the order the patient account and when the save the order.      Order
Save the order during order entry.                                               Save
Convert the order.                                                                    Convert
Change the order dosage                                                           Dose
Renew the order                                                                       Renew

Note: Rules can be established for specific orders, categories of orders, and ambulatory orders at identical fields in the Order, Category, and AOM Drug dictionaries, respectively.

Rule
Enter the rules that apply to orders at this facility. The system evaluates these rules after the event specified at the Evaluate At field. Rules are evaluated in the order defined at this field.

Note: Rules can be established for specific orders, categories of orders, and ambulatory orders at identical fields in the Order, Category, and AOM Drug dictionaries, respectively.

Lookup: OM ORDER-type rules in the Order Rule Dictionary

Location
Enter the locations to which the printing rules below apply.

Print Rule
Enter the rules evaluated by the system when printing an order at the selected facility, in the order in which you want them evaluated. For example, you can create a rule that prints orders to a different printer on the weekends.

Note: Print rules can be established for specific orders and ambulatory orders at the identical fields in the Order and AOM drug dictionaries, respectively.

Lookup: OM PRINT-type rules in the Order Rule Dictionary