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| 2 | <html>
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| 4 | <title>EDIS Tracker: Sign In</title>
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| 6 | <meta name="keywords" content="add vista patients, add new patients, add unknown patients, select patients, patient-status notifications, display board complaint, room, area, source, cancel, save, patient information bar, active patientslist, patient information pane">
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| 9 | <link href="Accessible_Design.css" rel="stylesheet" type="text/css" media="all">
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| 10 | </head>
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| 11 |
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| 12 |
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| 13 | <h1 align="center"><img src="images/EDIS_ICON_Small.gif" alt="EDIS icon" width="184" height="184"><br>Sign In View</h1>
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| 14 |
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| 15 | <h2 align="center">Adding Patients to EDIS</h2>
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| 16 | <hr>
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| 17 | <hr>
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| 18 | <p>EDIS automatically adds patients when you use VistAs Scheduling (Appointment Management) package to create an emergency department appointment for patients. </p>
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| 19 |
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| 20 | <p>The EDPF LOCATION parameter, which holds your sites emergency department location or locations, controls this functionality. Parameter settings ensure that only emergency-department check ins and appointments add patients to EDIS. </p>
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| 21 | <p>You can also add patients to the application from its <strong>Sign In</strong> and <strong>Triage</strong> views.</p>
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| 22 | <p>The <b>Sign In</b> view encompasses four areas:</p> <ul>
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| 23 | <li><b>Add Patient </b>button: the <b>Add Patient</b> button enables you to add patients to the application</li>
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| 24 | <li><b>Active Patients </b> list: the <b>Active Patients List</b> is a comprehensive list of patients who are currently active in the application</li>
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| 25 | <li><b>Patient Information </b> bar: when you select a patient in the <b>Active Patients</b> list, the <b>Patient Information </b> bar displays the patient’s demographic information from VistA. It also displays notifications such as patient-record flags</li>
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| 26 | <li><a href="#patientinformationpane"><b>Patient Information </b>pane:</a> this area includes several data-entry fields that are usually available at sign in</li>
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| 27 | </ul>
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| 28 |
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| 29 | <p><img src="images/add_patient_dialog_sign_in.png" alt="Screen capture: the add patient dialog box" width="600" height="376" border="1"><br />
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| 30 | The <strong>Add Patient</strong> dialog box.</p>
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| 31 | <h3 align="left"><a name="add_patients_sign_in"></a>Add Patients from the Sign In View</h3>
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| 32 |
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| 33 | <P>
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| 34 | Click <b>Add Patient</b> in the upper right-hand corner of the <b>Active Patients</b> list. Keyboard users: use the TAB key to locate the <b>Add Patient</b> button and then press the SPACEBAR key to select it. The application displays the <b>Add Patient</b> dialog box, which offers the following three selections: </p>
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| 35 | <ul>
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| 36 | <li><a href="#findpatient"><b>Search for Patient in VistA</b></a>: enables you to add patients who are already in your local VistA system</li>
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| 37 | <li><a href="#noneoftheabove"><b>Enter Name, Patient Is Not in VistA</b></a>: enables you to add patients who are not in your local VistA system</li>
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| 38 | <li><b><a href="#ambulancearriving">Ambulance Is Arriving, Patient Name Is Unknown</a></b>: enables you to add information for patients whose identities are unknown</li></ul>
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| 39 | <p>The <strong>Identify Patient</strong> button allows you to associate the emergency-department tracking records of patients who were added using the <strong>Enter Name, Patient Is Not in VistA</strong> or <strong>Ambulance Is Arriving, Patient Name Is Unknown</strong> selections with their electronic records in VistA. This button is located on the <b>Patient Information</b> bar. </p>
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| 40 | <table><!--This table is for formatting purposes only--><tr align="top"><td valign="top"><i>Note:</i></td>
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| 41 | <td><i>EDIS does not activate the <b>Add Patient</b> button when you are already in the process of signing in a patient or updating a patient’s sign-in information. To activate the <b>Add Patient</b> button in either of these cases, you must click <b>Save</b> to complete the sign-in process or <b>Cancel</b> to cancel the process and discard the information you’ve entered.<br/><br/>
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| 42 | Keyboard users: press the TAB key to locate the <b>Cancel</b> or <b>Save</b> button. Press the SPACEBAR key to select the button of your choice.</i></td>
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| 43 | </tr></table>
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| 44 | <blockquote>
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| 45 | <h3 align="left"><a name="findpatient"></a>Search for Patient in VistA</h3>
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| 46 |
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| 47 | <ol>
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| 48 |
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| 49 | <li>If necessary, select <b>Search for Patient in VistA</b>. (<b>Search for Patient in VistA</b> is the application’s default selection; in most cases, you wont need to manually select this button.) Keyboard: if the <strong>Search for Patient in VistA</strong> button isn’t already selected, use the TAB key to locate the button that is selected (<strong>Enter Name, Patient Is Not in VistA </strong>or <strong>Ambulance Is Arriving, Patient Name Is Unknown</strong>). Use the UP ARROW key to locate the <strong>Search for Patient in VistA</strong> button and use the SPACEBAR key to select it.</li>
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| 50 | <li>Type all or part of the patient’s name in the <strong>Find Patient</strong> box using this format: Surname,Firstname. For example, you can search using the patient’s surname only, or the patient’s surname and the first initial of his or her first name. You can also search using the initial letter of the patient’s surname concatenated with the last four digits of his or her Social Security number (X9999 format), the patient’s entire Social Security number (SSN), or the last four digits of his or her SSN. </li>
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| 51 | <li>Click <b>Search</b> or press the ENTER key. </li>
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| 52 | <li>The <b>Add Patient</b> dialog box lists possible matches. Select the correct patient and press the ENTER key or click <b>Continue</b>. Keyboard: use the DOWN ARROW and UP ARROW keys to locate the correct patient, and then press the ENTER key to select the patient. You can also use the TAB key to locate the <strong>Continue</strong> button and then press the SPACEBAR key to select the button. The application displays the <b>Patient Information</b> pane.</li>
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| 53 | </ol>
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| 54 |
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| 55 |
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| 56 | <h3 align="left"><a name="noneoftheabove"></a>Enter Name, Patient Is Not in VistA</h3>
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| 57 | <p>If the <b>Find Patient</b> search list does not contain a match, add the patient using the <b>Enter Name, Patient Is Not in VistA</b> selection.</p>
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| 58 |
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| 59 | <ol>
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| 60 |
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| 61 | <li>Select <b>Enter Name, Patient Is Not in VistA.</b> Keyboard: use the TAB key to locate the currently selected button and then use the DOWN ARROW or UP ARROW key to locate the <strong>Enter Name, Patient Is Not in VistA</strong> button. Press the SPACEBAR key to select this button.</li>
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| 62 | <li>EDIS automatically populates the <strong>Patient Name</strong> box with the name you typed to initiate a VistA search. If this name is incorrect or incomplete, type the patient’s full name in the <strong>Patient Name </strong>box using this format: Lastname,Firstname. Keyboard: use the TAB key to locate the <strong>Patient Name</strong> box.</li>
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| 63 | <li>Press the ENTER key or click <b>Continue.</b> The application displays the <b>Patient Information</b> pane.</li>
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| 64 | </ol>
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| 65 | <blockquote><h4><a name="Adding_unidentified_patients"></a>Adding Unidentified Patients</h4>
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| 66 | <p>When you must add unresponsive patients whose identities you do not know, use the <strong>Enter Name, Patient Is Not in VistA </strong>selection and follow the naming protocol defined in section 12 of VHA Directive 2006-036: <em>Data Quality Requirements for Identity Management and Master Patient Index Functions</em>. (Use the name UU-UNRESPONSIVE,PATIENT for the first such patient, UU-UNRESPONSIVE,PATIENT A for the second, UU-UNRESPONSIVE,PATIENT B for the third, and so forth.) You can find the full text of this directive at http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1434. </p>
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| 67 | </blockquote>
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| 68 |
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| 69 | <h3 align="left"><a name="ambulancearriving"></a>Ambulance Is Arriving, Patient Name Is Unknown</h3>
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| 70 | <p>The application enables you to add unknown patients who are arriving by ambulance or other types of emergency transportation, thereby allowing you to make room, provider, and nurse assignments before these patients arrive.</p>
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| 71 |
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| 72 |
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| 73 | <ol>
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| 74 | <li>Select <b>Ambulance Is Arriving, Patient Name Is Unknown.</b> Keyboard: use the TAB key to locate the currently selected button, and use the DOWN ARROW key to locate the <strong>Ambulance Is Arriving, Patient Name Is Unknown </strong>button. Press the SPACEBAR key to select this button. </li>
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| 75 | <li>Click <b>Continue.</b> Keyboard: use the TAB key to locate the <strong>Continue</strong> button and use the SPACEBAR key to select it. The application displays the <b>Patient Information</b> pane.</li>
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| 76 | </ol>
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| 77 |
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| 78 | </blockquote>
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| 79 |
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| 80 | <h3 align="left"><a name="patientinformationpane"></a>Add Information to the Patient Information Pane</h3>
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| 81 | <p><img src="images/patient_information_pane_sign_in.png" alt="screen capture: the patient information pane, sign in view" width="500" height="297" border="1"><br />
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| 82 | The <strong>Patient Information </strong>pane.</p>
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| 83 |
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| 84 |
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| 85 | <ol>
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| 86 | <li>In the <b>Complaint for Display Board</b> box, type the complaint you want the application to display on the display board. This information is mandatory; you must type a complaint in this box or the application will not add your patient. The box accepts up to 50 characters.</b> Keyboard: press the TAB key to locate the <strong>Complaint for Display Board</strong> box. </li>
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| 87 | <li>Open the <b>Room / Area</b> list. Keyboard: press the TAB key to locate the <strong>Room / Area</strong> list.</li>
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| 88 | <li>Select a room or area. This information is mandatory. You must select a room or area or the application will not add your patient. The application’s default selection is the waiting room. Keyboard: with the application’s focus on the <strong>Room / Area</strong> list, use the DOWN ARROW and UP ARROW keys to select a room or area from the list. </li>
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| 89 | <li>Open the <b>Source</b> list and select the source of the patient’s emergency-department visit—an offsite clinic, for example.</b> Keyboard: use the TAB key to locate the <strong>Source</strong> list and use the DOWN ARROW and UP ARROW keys to select a source from the list.
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| 90 | <li>Click <b>Save</b> to save the patient’s sign-in information and add him or her to the display board.<br>
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| 91 | -or-<br>
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| 92 | Click <b>Cancel</b> to cancel the sign-in process. Keyboard: use the TAB key to locate the <strong>Save</strong> or <strong>Cancel</strong> button and press the SPACEBAR key to select the button.</li>
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| 93 | </ol>
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| 94 | <h4><a name="sourcedefs"></a>Definitions for Nationally Released Source Selections</h4>
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| 95 | <p>The EDIS TWG has provided the following definitions for nationally released source selections:</p>
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| 96 | <p><strong>Non-VA Clinic/Office—</strong>a non-VA clinic, primary care, or other type of provider sent the patient.<br>
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| 97 | <strong>VA Clinic, Off-Site</strong>—an offsite VA clinic—a community-based outpatient clinic (CBOC), for example—sent the patient.<br>
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| 98 | <strong>On-Site Clinic</strong><strong>—</strong>an onsite physician, nurse practitioner, physician assistant, nurse, or other care provider sent the patient for evaluation.<br>
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| 99 | <strong>Non-VA Nursing Home—</strong>a non-VA community living center (CLC) sent the patient.<br>
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| 100 | <strong>VA Nursing Home, Off-Site—</strong>an off-campus VA CLC transferred the patient.<br>
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| 101 | <strong>On-Site Nursing Home—</strong>an on-campus VA CLC transferred the patient.<br>
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| 102 | <strong>Self-Referred</strong>—the patient presents from outside the community without a referral—regardless of his or her mode of transportation.<br>
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| 103 | <strong>Transfer, Other—</strong>other facilities transferred the patient (VA ED-to-ED transfers for subspecialty care would fall into this category).</p>
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| 104 | <h3 align="left">Related Topics</h3>
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| 105 | <ul><li><a href="General.html">General Information</a></li>
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| 106 | <li><a href="IdentifyPatient.htm">Identify Unknown Patients</a></li>
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| 107 | <li><a href="Triage.html">Triage View</a></li>
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| 108 | <li><a href="TOC.html">Table of Contents</a></li>
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| 109 | <li><a href="Index.html">Index</a></li>
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| 110 | </ul>
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| 111 |
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| 112 |
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| 113 | </body>
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| 114 | </html>
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