English French Notes Complete/Exclude The following are the ten most common signs/symptoms: Enter the number of the sign/symptom that you would like to edit: ENTER THE CORRECT NUMBER (1-10) OF THE SIGN/SYMPTOM TO BE EDITED 2;3;3.5;4;7;7.1;7.2;7.3SEND CHART MARK BULLETIN FOR NEW ADMISSIONS;10;10.1ENABLE COMMENTS FIELD FOR REACTIONS THAT ARE ENTERED IN ERROR REPORTER NAME: CITY: ZIP: OCCUPATION: Do you want to edit Reporter Information shown above ENTER YES TO CHANGE/ADD THE SITE'S DEFAULT REPORTER INFORMATION THAT WILL APPEAR ON THE FDA ADR REPORTS, ELSE ANSWER NO. DATE MUST BE IN THE PAST, AND TIME IS NOT A REQUIRED RESPONSE. DATE MUST BE GREATER THAN DATE/TIME OBSERVED^LESS THAN DATE/TIME MD NOTIFIED The list is currently being built by another user so this option is temporarily unavailable. Please try again in a few minutes. The utility is currently in use by the following people: As a result, the existing free text list will be used. The free text list was last built on Do you want to rebuild the list Enter yes to rebuild the list of free text entries. Enter NO to use the currently existing list Building list of free text allergies...this may take a few minutes GMRA FIX Allergy Tracking Free Text Entries Select one or more entries GMRA FIX FREE TEXT LIST OTHER ALLERGY/ADVERSE REACTION Use AE to add local allergies to the GMR ALLERGY file. This should only be done if you're sure no existing reactant matches your needs. Use EE to mark all entries within the selected group as entered in error. You may select multiple groups if you like. Use DD to get a detailed display. It's highly recommended that you use the detailed display menu to make all changes. Use UR to update the reactant. Extreme caution should be used when doing mass updates. It would be better to do the updates from within the detailed display menu. You should use the detailed display option to review entries in this group before doing a mass update. CHANGES CANNOT BE UN-DONE! You are about to ALL allergies with the selected reactant as entered in error. to a new reactant. If you're unsure, use the 'detailed display' option to get a list of individual patients. Answering YES to this prompt will cause all allergies associated with the selected reactant to be marked as entered in error. updated to the new reactant. Be SURE this is what you want to do. Updating Marked Entered in Error during clean up process **NOTE: By marking this reaction as entered in error, no longer has an assessment on file. You may reassess this patient now by answering the following prompt or hit return to do it later. entered in error Patient listing for reactant Select a patient GMRA FIX DETAIL MENU Please select one entry from the list. Press enter to continue Use EE to mark all selected entries as entered in error. You may select multiple patients if you like. reactants. You may select multiple patients if you like, Use PR to add new allergies for the selected patient in addition to the ones listed here. Use DD to get details about the free text entry that you're currently working on for this patient. the selected patient Once allergies are updated or marked as entered in error it cannot be undone! Be sure this is what you want to do. Enter Causative Agent Checking GMR ALLERGIES (#120.82) file for matches... Now checking INGREDIENT (#50.416) file for matches... Now checking VA DRUG CLASS (#50.605) file for matches... Now checking the National Drug File - Generic Names (#50.6) Now checking the National Drug File - Trade Names (#50.67) Select the number of desired causative agent Now checking the DRUG (#50) file for matches... Could not find in any files. Please try again (check spelling, etc). If you need to add a new reactant, use the AE option. You selected Answer yes if this is the correct reactant Choose from the following Press to see more, or ^ to stop ... Enter new causative agent to be assigned to the selected entries. Enter between 3 and 30 characters. The entered text will then be searched for in a number of different files. Select the appropriate entry from the appropriate file to update the selected patient. Enter ^ to skip the current patient or ^^ to exit the entire process. For patient Use reactant Patient already has an active allergy for this reactant. Duplicate not allowed. suspected agent Updated using clean up process. Changed reactant from (free text) Performing order checking... Patient has a(n) order for Please choose only one entry for the detailed display. Select Entries from list: Enter the items you wish to act on, as a range or list of numbers. >>>Too many entries selected, try using smaller ranges >>You may only choose ONE group for detailed display. group is being edited by another user You should use this option to add NEW reactions only. If you mark existing free text entries as entered in error from within this option it will not update the utility's display until the list is rebuilt upon re-entry of this option. This could cause confusion as the list will no longer be accurate. Now working with patient Press return to continue or '^' to stop ENTER THE NAME OF THE CAUSATIVE AGENT, 3-30 CHARACTERS. Would you like to see a list of: 1 Local Allergies (Food/Drug/Other) 2 Drug Classes 3 Drug Ingredients 4 National Drugs 5 Local Drugs Select a number (1-5): ANSWER WITH THE NUMBER (1-5) OF THE SELECTION FOR WHICH YOU WISH TO SEE MORE HELP. MILD - Requires minimal therapeutic interventions and does not prolong length of stay. MODERATE - Requires therapeutic intervention and/or prolongs hospitalization by at least one day. SEVERE - Life threatening or contributed to death or permanently disabling; recovery takes > 15 days. Select Action (A/D/E): ENTER A TO ADD NEW LAB DATA, D TO DELETE LAB DATA OR E TO EDIT LAB DATA ON FILE FOR THIS PATIENT LAB TEST: Collection DT Specimen Results Hi/Low THE LAB EXTRACT IS NOT PRESENT, COULD NOT GET LAB TEST DATA THERE IS NO LAB DATA FOR THIS PATIENT FOR THIS DATE RANGE. THIS PATIENT HAS NO LAB TEST ON FILE FOR THIS ADVERSE REACTION REPORT This patient has the following Test selected: TEST/TX DRAW DATE/TIME View Tx/Test from: YOU CANNOT EDIT WHEN THERE IS NO DATA ON FILE. Enter the number of the TX/Test to ADD or for NEW: ENTER THE NUMBER OF THE ENTRY YOU WANT OR FOR A NEW TEST INVALID SELECTION PLEASE SELECT ONE OF THE TEST/TX LISTED OR You already have a Do You still want to add this one ENTER YES TO ADD THE TEST/TX OR NO TO SELECT ANOTHER THERE IS NO LAB DATA SELECTED FOR THIS PATIENT YOU CAN ONLY EDIT OBSERVED DRUG REACTIONS MANUFACTURER Report Completion This session you have CHOSEN: Have been marked for these CAUSATIVE AGENTS this CAUSATIVE AGENT ANSWER YES IF THE HAS BEEN MARKED, ELSE ANSWER NO. No CAUSATIVE AGENTS have been selected for this patient. You have selected the following CAUSATIVE AGENTS: You may choose CAUSATIVE AGENTS from the following list for this patient: There are no reactions on file for this patient. THIS DATA IS CURRENTLY BEING EDITED, TRY LATER. another CAUSATIVE AGENT: ENTER THE CAUSATIVE AGENT YOU WISH TO INDICATE HAS HAD ITS ID BAND OR CHART MARKED. ENTER ?? TO SEE LIST OF ALL CAUSATIVE AGENT YOU HAVE SELECTED OR CAN SELECT. YOU HAVE NOT SELECTED THAT CAUSATIVE AGENT. YOU HAVE ALREADY SELECTED THAT CAUSATIVE AGENT Do you want to select all the patient's CAUSATIVE AGENTS ENTER YES OR NO IF YOU WANT ALL THE PATIENT'S CAUSATIVE AGENTS Press to continue or ^ to stop: ENTER TO CONTINUE LISTING OR ^ TO EXIT LISTING Does this patient have any known allergies or adverse reactions? Patient will still be listed as not being asked about Allergies/Adverse Reactions. Currently this patient has Causative Agents on file. You will have to answer YES to this question and then indicate that each of the Causative Agents are incorrect. Then you will be reasked this question and will be able to enter NO. GMRD(120.82, PS(50.605, NOTE: This patient is deceased ( This patient has no allergy/adverse reaction data. Would you like to edit any of this data ANSWER YES IF YOU WISH TO CHANGE ANY OF THE DATA ABOVE, ELSE ANSWER NO. 6(O)bserved or (H)istorical Allergy/Adverse Reaction You cannot change the type of reaction. If this is incorrect please exit and mark this entry as entered-in-error and then re-enter the correct information. ANSWER YES IF THIS IS THE CORRECT ALLERGY/ADVERSE REACTION, ELSE ANSWER NO. Reactions: (cont.) Select VA DRUG CLASS: YOU CAN NOT DELETE A VA DRUG CLASS. ANSWER YES IF THIS ENTRY IS OK, ELSE ANSWER NO. .01 VA DRUG CLASS Is the reaction information correct ANSWER NO IF THIS ALLERGY IS INCORRECT AND NEEDS TO BE MARKED AS ENTERED IN ERROR, ELSE ANSWER YES. Mark this reaction as 'Entered-in-Error' COMMENTS ARE REQUIRED. DETERMINATION OF LIKELIHOOD OF ALLERGY/ADVERSE REACTION: The likelihood of this reaction was previously determined as HIGHLY PROBABLE Would you like to enter/edit Likelihood ANSWER YES IF YOU WISH TO CHANGE THIS LIKELIHOOD, ELSE ANSWER NO. Does the event have a reasonable temporal association with use of drug Was there a dechallenge from the drug Did the observed event abate upon dechallenge Was there a rechallenge Did the reaction or event reappear upon rechallenge Could the event be due to an existing clinical condition THE LIKELIHOOD IS DETERMINED AS IS THAT OK Answer Yes if this is correct, else answer No. ENTER YES IF THIS QUESTION IS TRUE, ELSE ANSWER NO. Enter another Causative Agent? This reaction has been signed off. DO YOU WISH TO EDIT OBSERVED DATA? You must enter a valid date or an Up-arrow to exit DO YOU WISH TO EDIT VERIFIED DATA? Required data not entered, deleting entry... Observed reactions must have at least one observation entry. If this reaction is incorrect then enter a date and then proceed to mark it as entered in error. GMRA-SUPERVISOR THE PERSON INITIALLY ENTERING THIS ALLERGY/ADVERSE REACTION HAS NOT FINISHED ENTERING THE MANDATORY FIELDS, YOU CANNOT EDIT Are you sure you want to make that change ANSWER YES IF THE CHANGE IS OK, ELSE ANSWER NO. This Causative Agent will be Auto-verified when it is signed off. OBSERVATION DATE IS A REQUIRED ENTRY!! Complete the observed reaction report ENTER YES TO EDIT REACTION DATA OR NO TO SKIP REACTION DATA No signs/symptoms have been specified. Please add some now. SIGNS/SYMPTOMS MUST BE SPECIFIED. THIS IS A REQUIRED RESPONSE. The following is the list of reported signs/symptoms for this reaction: These reactions were entered by another user: Date Observed Select Action (A)DD OR : ENTER AN A TO ADD SIGNS/SYMPTOMS TO THIS LIST, OR D TO DELETE SIGNS/SYMPTOMS FROM THIS LIST, OR TO ACCEPT THIS LIST OF SIGNS/SYMPTOMS. The following are the top ten most common signs/symptoms: Enter from the list above : PLEASE ENTER THE NUMBERS OF THE SIGNS/SYMPTOMS YOU WOULD LIKE TO ADD. RANGES CAN BE SEPARATED BY A HYPHEN (-) AND GROUPS OF NUMBERS, SEPARATED BY A COMMA (,). Enter OTHER SIGN/SYMPTOM: ANSWER YES IF THE DATA ABOVE IS CORRECT, ELSE ANSWER NO. Would you like to add another sign/symptom ANSWER YES TO ADD ANOTHER SIGN/SYMPTOM, ELSE ANSWER NO. is not in the Sign/Symptoms file. Would you like to add it for this patient ANSWER YES IF YOU WANT TO PUT THIS SIGNS/SYMPTOMS INTO THE PATIENT DATA, Date(Time Optional) of appearance of Sign/Symptom(s): Delete which signs/symptoms: BAD DATA CONTACT IRM Enter Causative Agent: Checking existing PATIENT ALLERGIES (#120.8) file for matches... Now checking GMR ALLERGIES (#120.82) file for matches... Now checking the INGREDIENTS (#50.416) file for matches... Now checking VA DRUG CLASS (50.605) file for matches... Before sending an email requesting the addition of a new reactant, please try entering the first 3 or 4 letters of the reactant to search for the desired entry. Would you like to send an email requesting be added as a causative agent? Send email Error - Message not sent - Message sent - NOTE: This reactant was NOT added for this patient. This Agent has been Entered in Error once before. Are you sure you want to select this Agent again ENTER 'Y' FOR YES OR 'N' FOR NO Allergy Package Request to add new reactant G.GMRA REQUEST NEW REACTANT A request to add as a new reactant was entered for patient User's contact information: Title : Office Phone : Digital Pager: The user added the following comment: Please verify with the user the intended reactant and then take the appropriate action. Be sure to try alternate spellings, etc before adding new local allergies. Please note, a reaction WAS NOT entered for this patient! GMRATXT( Enter YES to send an email to the allergy coordinator(s) indicating that Reactant--> #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################