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given the new immunization structure and our extensive use of protocols for this purpose before, we now have no way of knowing who needs a particular immunization without opening the chart and checking the immunization history and looking and knowing the recommendations for that immunization in our head.
Called support they told me to come here and ask or pay someone to build a report.
Seems like this should be basic EMR functionality in 2016 and we are going backwards.
I was told there are enhancements request regarding this but there are no enhancement numbers, is there an enhancement list somewhere I believe I have seen.
Frustrated as usual.
Thanks.
Posted : July 20, 2016 11:18 am
I agree, I am anxious to see what others think.
Posted : July 20, 2016 11:52 am
We we're faced with a similar challenge, this will require you to be in the chart in an update but at least it may can point you in the right direction:
{!fn grabflu() {
local hold = getfield(IMMUN_GETLIST("Influenza", "last"), "|", "")
local temp
local rslt = ""
for i = 1, i <= size(hold), i = i + 1 do
temp = getfield(hold[i], "^", "")
if (rslt <> "") then
rslt = rslt
endif
rslt = temp[30]
endfor
return rslt
}}
{!fn zflu(){
local date = ._TODAYSDATE
local avalue = grabflu()
cond
case avalue == ""
return ""
case val(ADDDATES(avalue,"1","","1"))>= date
return ""
else
return "DUE NOW"
endcond
}}
{!if zflu() <> "" then
userok("Reminder:
Flu is due")
else ""
endif}
This simply throws a pop up warning that the flu is due because it's been a year since the patient's last one. This can also be helpful in a form to display the previous date of a vacation and say it's due beside it.
I haven't tried it but I imagine it could work in the history view tab.
Hope this helps.
Posted : July 21, 2016 2:34 am
We dealt with a similar problem and also moved to just looking in the charts, but the protocols were just to valuable for us. We ended up buying a small program from Aphoenix which syncs all the immunization form data to obsterms allowing the protocols to work again. At first I wasn't sure about the added cost but it was only a one time payment and they happily set it up for us and showed us how to use it. Turned out to be a pretty good solution.
Posted : July 21, 2016 3:42 am
I still don't understand why GE moved away from assigning obs terms for vaccines. I keep waiting for them to go back, but I don't think they have (we became members of CQIC last year and one of the expressed goals was to be able to use their Immunization Management form which will update BOTH data tables and obs terms when you document vaccines are given...they have a great Immunizations Due button that we still can't totally rely on because we had 6+ months without any obs terms).
Posted : July 21, 2016 6:51 am
We use custom VFE immunization forms that write to both the OBS table and the IMMUNIZATION table. We went this direction because we knew that all of our letters, handouts, reports, CDS, etc. would have to be re-worked if we did not continue writing to the OBS table as well.
So happy we went this route!
Posted : July 21, 2016 7:20 am
Could you send me the contact Info for Aphoenix? We are interested in getting a quote/more information on this!
Please send to: [email protected]
Thank you!
Sirna
Posted : July 21, 2016 9:08 am
