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Diagnoses in VFE

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Last Post by DavidShower 8 years ago

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jessicaw

(@jessicaw)

Posts: 434

Prominent Member

Topic starter

I am trying to use a RUNPROCESS in VFE to add MEL order for Flu vaccine. I want to associate a problem with the order but when I browse for the diagnosis within the Add Order screen in VFE it is not populating all of the Diagnoses that are available in GE. Does anyone know how I can "sync" the lists between VFE and GE?

I tried to "trouble shoot" and just free type in the correct code and description in the MEL_ADD_ORDER but it does not work.

This is what I have entered with my manual edits to the ICD code and description.

MEL_ADD_ORDER("S", "Injections", "Flu Injection 6 months- 35 months", "", "ICD 10- Z23", "Flu vaccine", "", "", "", "", "")

Posted : September 27, 2016 6:01 am

BrianAPHN

(@brianaphn)

Posts: 106

Estimable Member

Jessica,

Its hard to tell here, but in the email feed I believe you have a space between ICD and the 10. Try putting it all together ICD10-Z23 and see if that works

Brian

Posted : September 27, 2016 6:19 am

jessicaw

(@jessicaw)

Posts: 434

Prominent Member

Topic starter

Sorry Brian, it is hard to tell here. I do not have a space there.

Posted : September 27, 2016 6:26 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

Double check the space, when I copied it from here into notepad there was a space, also after Z23 there is a single quote, that needs to be a double quote. After that it looks like everything is in the correct spot. Just make sure that you have a service order with the category Injections that has the exact name Flu Injection 6 months- 35 months. If you still have trouble you can run a mel trace and see what code is returned. Here is the list -

0 : Success

-1 : Invalid Order Type

-2 : Invalid order category

-3 : Invalid Description

-4 : Order obsolete

-5 : Invalid Diagnosis Code

-6 : Comments field too long

-7 : Invalid Priority

-8 : Invalid or obsolete authorizing provider

-9 : Invalid order date

-10: Invalid Modifier

-11: Additional information is required for this order

-12: Unequal number of diagnosis codes and diagnosis code descriptions

-13: Invalid quantity or units

Posted : September 28, 2016 12:00 am

jessicaw

(@jessicaw)

Posts: 434

Prominent Member

Topic starter

Amateur here......I have never run a trace. How do I go about doing that?

I did get it to work but it would still be nice to know how to run a trace for future reference. Thanks!!

Posted : September 28, 2016 1:30 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

CPS - Open document, navigate to form with the code in it, use keystroke CTRL+ALT+M to turn on trace, do whatever it is that should add the order, use CTRL+ALT+M to turn trace off.

Go to C:\Users\[your username here]\AppData\Local\Centricity\Logs\TraceMel.log and search for the MEL_ADD_ORDER code

cEMR - Open document, close the form. Use keystroke CTRL+ALT+M to turn on trace, open the form with the code in it, do whatever it is that should add the order, close the form, use CTRL+ALT+M to turn trace off.

Go to C:\Users\[your username here]\AppData\Roaming\TraceMel.log and search for the MEL_ADD_ORDER code.

Notes - those paths are valid for windows 7, they may be a little different for other versions of windows. When the trace is active you should see that it is active on the title bar of the Centricity window.

Posted : September 28, 2016 1:51 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

Jessica, did you ever get this fixed? Also, the Diagnoses you said were missing in VFE - did they come from custom lists or were they in the reference list? Do you have any examples I could look at?

Thanks,

Posted : October 26, 2016 4:07 am

jessicaw

(@jessicaw)

Posts: 434

Prominent Member

Topic starter

I was able to get it to work by just free typing it in the MEL. I have attached some screen shots. The first two are the return I get when searching for that problem in VFE. The last image is the return I get when searching in GE and the selection I wanted to associate in VFE for this specific form.

flu-screen-shots

Posted : October 26, 2016 4:20 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

Jessica, your screen shot shows you using the Smart Search. VFE only looks through the Reference List and not your custom lists or GE acronyms like Smart Search does (to the best of my knowledge). I see flu shot listed as Z23 in your screen shot. Z23 is "Encounter for Immunizations" in the Reference List so it would show up searching for Encounter or Immunization. We are adding the ability to search by code as well as name in VFE version 8, which is in Beta right now.

Thank you,

Posted : October 27, 2016 6:30 am

jessicaw

(@jessicaw)

Posts: 434

Prominent Member

Topic starter

I apologize. I didn't even think about the smart list when I was taking the screen shots. Please see the updated attachment with screen shots using what I think of as the "reference list". The options on the "reference list" are still not the same as the options in VFE.

Maybe I need a better understanding of what reference list VFE pulls from because when I type in Z23 on what I am thinking of as the reference list I am not getting a description of "Encounter for Immunizations".

Feeling like I am missing something here......

flu-screen-shots

Posted : October 27, 2016 7:30 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

Jessica, what are you running - CPS or C-EMR? Your profile says both. Are you running EMR for chart and CPS for PM? Also, what program versions. From what I can figure out, VFE is using the MasterDiagnosis table and the problem search is using the ProblemDescriptionMap table. I verify this.

And in VFE 7, which you probably have, you can't search for codes so Z23 won't show anything. You can only search by description. To find Z23 you would have to search for the word Encounter or Immunization. VFE 8, which is in Beta testing, will let you search by code.

Posted : October 27, 2016 8:08 am

jessicaw

(@jessicaw)

Posts: 434

Prominent Member

Topic starter

I have updated my profile. We are running CPS version 12.0.10. VFE is version 7.04.

Where can I find the MasterDiagnosis table and the ProblemDescriptionMap table?

I realize that I can't search by code in VFE but I am not understanding how I will know what description to search for when the description VFE is using is not the same description I would find if I was adding the problem to a patients list within CPS?

Posted : October 27, 2016 8:34 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

Those two tables exist in your CPS database. I think a quick way to see what you will see in VFE is to go to Administration/Chart in CPS and use the dialog to add a new Problem to a Problem Custom list. I think you will only see Reference items there. I'm still looking at it.

Posted : October 27, 2016 9:46 am

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