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This information is accurate as of VetView version 1.6.1

The Medical Record Setup tab under Hospital Setup allows you to customize the appearance of the patient record.

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Each section under this tab controls an aspect of the medical record, from the highest level (Medical record category) to the more granular components such as TPRs.

Video Tutorial: 
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titleMedical record Category Setup
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This page was originally created for VetView 2.1. It has been updated on 9/9/2024 to reflect changes made in VetView 4.0 and later.

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Medical Record Setup Tab

The Medical Record Setup tab is where you customize the sections of the medical record, as well as certain features on the patient record.  Because VetView can be tailored to your hospital's existing workflows and terminology, some setup is required to get those unique values added if they were not imported through migration.  This flexibility also allows you to change the medical record and the workflows as your hospital's needs change - new service areas and new compliance rules can be accommodated without a programmatic change in many cases. 

Medical Record Category Setup

Medical Record Categories are the "

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This tab also allows you to control the display of the EHR on the Hospital Portal.

Info
titleHard Coded Categories

The hard coded types are:  Assigned People, Pre-Admission, Labs, Imaging, SOAPs, Vitals / TPRs, Medication, Diagnosis, and Billing.  You will only need one of each type for your medical record to function properly.  You can add additional types for related documents to those categories, or you can keep the documents within the same category if you wish.  For example, you can create documents to be stored in your Assigned People (Personnel) category for field services that require additional travel forms, or you can create a custom document section called Travel Forms. 

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Label: The name of the category as it will appear on the medical record and on the Hospital Portal

Description:  Additional details about the category if the label needs elaboration

Type:  A more technical name or older name for a category

Owner:  Determines at what stage of approval the Owner of the patient can view this category on the medical record

RDVM/Clinic:  Determines at what stage of approval the RDVM/Clinic for this patient can view this category on the medical record

Active:  Whether this category is currently active.  To preserve historic information on patient records, categories cannot be deleted.

Note
titleCategories on Episode Types

This screen only controls the available categories for all medical records.  You can customize the categories used on each individual type of episode on the /wiki/spaces/IWIKI/pages/28344355 tab. 

Add Med Rec Category

To create a new category, click on the Add Med Rec Category button.

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To create a new category, click on the Add Med Rec Category button.

A window to build out the settings for your new category will open.

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Order on the Patient Record

The Move Up / Move Down arrows allow you to rearrange how the categories will appear on your patient records and on the Hospital Portal.

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For example, if pre-admissions should always come before all other documents, you can set them to be at the very top on this screen.

Many categories will not appear on the patient record until a request has been put in for documents or services of that type.  For example, Imaging will not display unless you have either requested Imaging be done for the patient, or if the Episode Type has the Imaging category always turned on.  

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titleMedical Record Transfer Reasons

Video Tutorial:  Medical Record Transfer Reasons

VetView allows for users to track the movements of physical copies of the medical records via the Medical Record Transfer Screen. 

To allow your hospital to customize the locations and reasons for this movement, VetView allows you to add and deactivate the "reasons" for transfer.

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To add a new Transfer reason, click on the Add button and enter the information.

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titleManagement vs Transfer

The Medical Record Tracking screen is where users can check physical records in and out your records department.  The Medical Record Management screen is where users can print records, view the contents of episodes, and process them against  requirements for their episode type.  The physical location of your record is independent from the internal VetView documentation.  In the event that a record is misplaced or lost or destroyed, the record can be recreated from Medical Records Management by printing out the individual episodes. 

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titleComm Log Setup

The Comm Log Setup tab allows you to define any custom methods of communication that your hospital can use to contact clients and RDVMs.

If you are experimenting with new forms of communication, such as Facebook messaging, you can create these methods here.

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Click on the Add button to create a new method, or the Edit button to alter an existing method.

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Once added, these methods will be available on the Communication Worklist on the patient record.

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titleDischarge Setup

This section allows you to control the statuses available for your patients on discharge.

You can also assign certain statuses to automatically mark the patient as deceased upon Discharge.

Other actions can be automated on discharge via the /wiki/spaces/IWIKI/pages/28344355

Click on Add New status to create a new type of Discharge status for use within VetView.

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titleTPR Setup

VetView's TPR setup allows you to customize the minimum and maximum value ranges, and also to put in comments that will appear on the info dot.

The comments can be used as teaching tools for your students, or to give an explanation of the reasoning behind the limiters.

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titleProblem Setup

The Problem Setup section allows you to link to a custom Value List to force users to choose from a set of pre-established master problems, but also allows you to turn on a Free Text option to let students or clinicians bypass the value list.

Turn the check box off to force users to pull Master Problems only from the pre-established value list.

The value list for your Problems is customized under the Value List setup in Catalog Setup. 

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folders" inside each patient record.  The episode is split into these categories.  Some categories are hard coded, such as personnel and diagnosis.  Other sections can be added and adjusted to match your digital document structure.

This section also allows you to display or hide each section of the medical record from the Hospital Portal. 

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Add Medical Record Category

Click on the Add Med Rec Category button to start creating a new section on patient records.

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Field

Description

Label

The name of the medical record category.  This should be short and clear.  It will appear as the header for the section on the medical record.

Description

A longer description of the medical record category.  This part is not visible on the patient records, but can be helpful for keeping sections unique.

Type

If this new category should appear as part of one of the hard-coded sections of the medical record, it can be selected here.  If this is going to be a Catalog Item only category, then the Type can be left unfilled.  

Active Flag

If a medical record category is no longer going to be used on patient records, it can be disabled.  Categories cannot be deleted once they have been added and used in a patient record, to preserve historical information.

Owner

At what point the owner may see documents and requests added to this medical record category on the Client Portal.  Note that this is different than the episode events, which send the communications on a push to an email address or fax number.  This is passive visibility if they have access to the portal.  The options are Never, Discharge, and Anytime.  Only Complete and Verified documents are ever visible.

RDVM/Clinic

At what point the RDVM or Clinic may see documents and requests added to this medical record category on the Client Portal.  Note that this is different than the episode events, which send the communications on a push to an email address or fax number.  This is passive visibility if they have access to the portal.  The options are Never, Discharge, and Anytime.  Only Complete and Verified documents are ever visible.

The Medical record categories can be sorted on the patient record using the Move Up and Move Down buttons.  (Sorts may not be immediately visible when the category is first added and will require a reload of the page.)    Select the line you want to adjust and move it relative to the other parts of the record.  Since only categories included in the base episode type are immediately visible for a new visit, the sort will only impact new categories that are added as the episode progresses. 

This list is also mirrored on the left hand panel of the patient record, which includes the episode date filters as well as the category filters. 

Medical Record Transfer Reasons

This section pertains to the physical Medical Record that is stored in your hospital records department.  Under Medical Record Tracking, you can have a custom specified reason for a user to take out a medical record, such as for a research project.  VetView allows you the flexibility to set these reasons as individual service areas as the location where it will be temporarily stored, or any other reason you might find necessary to check out a physical record. 

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Add a new Transfer Reason

Click on the Add button to create a new transfer reason.  Enter in the Reason, and a detailed description.  Click on Save to add the reason.  It will immediately become available on the Medical Record Tracking screen once saved.

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Reasons that will no longer be necessary can be set as Inactive.  While these reasons cannot be deleted (to preserve historical data), inactive reasons will disappear from the Tracking screen going forward.

Comm Log Setup

This section allows you to create a new Mode of Communication on the patient record.  As technology changes and you want to experiment with your communication options, you can add the new options into VetView.  For example, if you want to try using Facebook Messenger service, it could be added as a communication type here.

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Add New Communication Type

Click on the Add button to create a new mode of communication.  Enter in the name of the new method, and click on Save.

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The new mode of communication will become available on the Communication Log on the patient record.

Discharge Setup

VetView allows you to customize your Discharge statuses to match your hospital's workflows.    The Discharge status is also tied in to certain automated events, and one of those triggers is an automatic deceased date if your patient is discharged under a deceased status.    (Discharge can also trigger an automated sex change, but that is tied into a Document with that feature turned on, not the Discharge Status itself.) 

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Add a new Discharge Status

Click on the Add button to add a new Discharge status.

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Field

Description

Status

The name of the status as it will appear in the drop down menu on the Discharge window from the patient record.

Deceased Flag

This discharge status should mark the patient as deceased under Patient Details, with the discharge date as the deceased date. The discharge status will display a warning that the patient will be marked as deceased if you proceed.

Default

The default discharge status for all patients.  There can only be one default for the hospital, so setting this flag will change all other Default flags to No.  This is the Discharge status that will load on the Discharge window automatically, but it can be changed to any other status manually.

Active Flag

This discharge status is currently active and available.  Discharge statuses cannot be deleted once they are added, but you can turn off the flag for any which will no longer be used.

TPR Setup

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This has been moved to a new TPR Setup screen in version 5.0. See: TPR Setup in 5.0

Although VetView does not allow for customization of the TPR layout on the medical record prior to 5.0, you can customize the minimum and maximum accepted values, and add notes regarding each of the values.  This can be useful from a teaching perspective for students who may not be familiar with the normal ranges for these, and it can also prevent errors made by typos.

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Problem Setup

The Problem setup tab allows you to set the Value List (from the Value List setup under Catalog Setup) that Problems can be pulled from.  You can also give the option to allow problems to be "free text" rather than only from the Value List that you set.

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