English French Notes Complete/Exclude ' THE CODE= IS DISPLAYED BUT THE CODE= WILL BE TRANSMITTED SELECT CPT PROCEDURE ' HAS A LIST FOR CPT PROCEDURES THAT PERHAPS SHOULD BE REPLACED WITH VISIT TYPE Answer YES if you want to automatically add 1 hand print field to each selection list. If you answer NO nothing will be added. Hand print fields can be automatically added to your form if you wish. If there isn't suffient room in the block or on the form them adding the hand print field will cause part of the list to disappear. Automatically Add 'Other' Hand Print Fields Answer YES if you want codes in the selection lists that will be transmitted to PCE to automatically be updated to match the displayed codes. If you answer No, warnings will be generated but the codes will not be updated. Automatically update codes to be transmitted The original form will be replaced with the converted form in all of the clinics and divisions where it is used. Is that okay The converted form has been substituted everywhere for the original Do you want the original form deleted THIS IS NOT YET IMPLEMENTED! IBDF EF CLINIC GROUP LT This is a list of the Clinic Groups and the Clinics and Divisions under them. Clinic Group: In use by parameter group, Not deleted Are You Sure you want to delete Enter the clinics for this clinic group. Enter as many Clinics as you want. If you want all clinics for a division, do not enter any clinics but enter the division name at the Select Division: prompt. Select GROUP NAME: Select Clinic Group you wish to move to: There is no data listed for this Clinic Group There are no CLINIC GROUPS listed. ADDING CLINIC: IBDF FORM COMPONENTS Display Form Components Enter the Encounter Form Name you want to review. Select Encounter Form FORM-OBJ STARTING ROW: STARTING COLUMN: BLOCK WIDTH: BLOCK HEIGHT: There are no Components listed for this form. Form Name: FORM ID #: Uncompiled Use ICR: Simplex/Duplex: Simplex Duplex Long-Edge Duplex Short-Edge Entry No. IBDF COMPONENT EXPAND Sp/Ln/Sp Subcolumn Width Rule DESCRIP. ANY NUMBER ONLY 1 AT MOST 1 AT LEAST 1 Form Name: Block Name: AICS List of Clinics with No Encounter Form in Use FORM IN PROGRESS List of Clinics Without Encounter Forms No active clinics found without an assigned encounter form Division Count = (Clinic Currently Inactive) IBD - Clinics with No Forms Data Entry of Encounter Forms (by Form) Enter the encounter form id, printed on the form. This is the second number from the left, just right of the label 'ID:'. Encounter Form ID Form is currently being entered by another user, try again later! Form Tracking Entry has been deleted, Data entry not available Form is not scannable. Data entry not available Form Definition entry not defined for form tracking entry. Data entry not available. Form Definition Entry has been deleted. Can not determine Encounter Form from Form Tracking entry. Encounter Form has been deleted. Data entry not available. is for an Appointment that has been canceled. Current form Status is and was checked out , Status is Data Entry on this form appears to have been completed by either scanning or data entry. Deleting or editing of data is not allowed with this option. Answer 'Yes' if you wish to continue, or 'No' if to select another form. Enter ?? to see a list of data stored in PCE. Appointment has already been Checked Out on Status is: This appointment appears to have been checked out on . Deleting or editing of data is not allowed with this option. Answer 'Yes' if you wish to continue, or 'No' if to select another form. No action Taken IBD-OBJ PROVIDER PI IBD-PI-CNT Form ID: Form Name: Form Status: Items available for Input: IBD-ASK IBD-LCODE IBD-LST IBD-LTEXT Entry in Form Tracking file (357.96) = Entry in Form Definition (357.95) = Entry if Encounter Form file (357) = >>> Check out interview... not available at this time. no questions. not required already completed today already complete. Checkout Date: Checkout Deleted! Was treatment for SC Condition Was treatment related to Agent Orange Exposure Was treatment related to Ionizing Radiation Exposure Was treatment related to Environmental Contaminant Exposure Was treatment related to MST (Note: ask provider only) Required information missing. This response requires an appointment Date and Time Check out interview... Checkout Date: Treatment for SC Condition: Agent Orange Exposure: Ionizing Radiation Exposure: Environmental Contaminants: Checkout Date SC Condition Agent Orange Ionizing Radiation Env. Contaminants Nothing Selected!! You have entered the following: Is this Okay IBD-SAVED Sending Data to PCE... Elapsed time for data entry: Do you want to delete an item Enter 'Yes' if you want to delete an item or 'No' to just add more items. GMP INPUT CLINIC COMMON PROBLEMS Associated Modifier(s): Selected during Data Entry Modifier(s): Enter 'Yes' to make another appointment for this patient or 'No' if no appointment is to be made. Do you wish to make a follow-up appointment for The following Error(s) occurred while validating data in PCE for: Do you want to Re-Edit The following data was sent to PCE for: Warning: You are about to create a stand alone visit for: Patient has appointment in Okay to Create Stand Alone Encounter Okay to use appointment date/time Required variables not defined for this list: Form = Interface = List = Any Number of allowed (including zero). Exactly one At most one At least 1 (1 or more) Select an item from the form, enter by name or number. Enter '??' to see the list of items on the form. When editing, press enter to accept, '@' to delete, or enter a new selection. Or enter an item written on the form. Using Default Provider : Spacebar Return Not allowed! Valid Blocks to Jump to: PX INPUT PATIENT ACTIVE PROBLEM Warning: The ICD9 Diagnosis associated with this problem needs to be updated! Warning: The ICD9 code associated with this problem is inactive. This is a valid icd9 code CPT Procedure Code Visit Type (EM) Code Using Default Qualifier: ' IS NOT A VALID SELECTION, RE-ENTER Ambiguous answer, enter the number. You have previously selected: INPUT PROCEDURE CODE INPUT DIAGNOSIS CODE INPUT VISIT TYPE No Provider Block on form. Using Default Provider from Clinic as Primary. Using Provider: You must choose a data qualifier for this item. Enter a number from 1- Or enter the first letter, or enter the full name. Enter more than one qualifier separated by commas (ie 1,2 or P,A). Select Other WARNING: Item selected not from Encounter Form. ...Entry of Narrative Required! Enter a number from 1 - or return to see more. More than one selected, you must delete one selection is required Do you want to remove this modifier as being Associated with this CPT Procedure? is not a valid modifier for Enter GAF Score GAF Score is numeric from 1-100. You must enter a GAF Score (1-100)! IBD GAF SCORE SD GAF SCORE INPUT VITALS Enter the value on the form, or enter Return if there is no value Invalid format. Enter as SYSTOLIC/DIASTOLIC (120/80). SYSTOLIC must be between 20 and 275. DIASTOLIC must be between 20 and 200. SYSTOLIC must be greater than DIASTOLIC. Enter a body weight, 1 decimal place allowed, between 2 and 750 lbs. Enter the body height in inches, 1 decimal place allowed, between 10 and 80. Enter the abdominal girth in inches, no decimal places, between 10 and 750. Enter 8 readings for right ear followed by 8 readings for left ear, all followed by slashes (/). Values must be between 0 and 110. EXAMPLE: 100/100/100/95/90/90/85/80/105/105/105/105/100/100/95/90/ Enter the body temperature in degrees fahrenheit, must be between 94 and 109.9. Enter Fetal Heart Tone. Must be in the range 50 -250. Enter a fundal Height. Must be in the range 10 - 50 To enter head circumference in inches, enter the inches and decimal. Must be 10 - 30 inches and the fractional decimal part must be a multiple of 1/8 (.125) Enter 'A' for abnormal, or 'N' for Normal. Enter the patients 1 minute pulse, enter a number between 30 and 250. Enter the patients 1 minute number of resperations, enter a number between 8 and 90. Enter a reading for the RIGHT eye, followed by a SLASH, followed by the reading for the LEFT eye. The SLASH is required. Readings can be Enter denominators only. The 20/ is assumed. Enter right eye / left eye in form n/n (20/20). If right eye only enter n (20). If left eye only enter /n (/20). Must be between 10 and 999. selection is required. form is in use, data entry compile failed IBD-Patch 2 populate 357.96;.14 Queing the Conversion to populate the .14 field (NO APPOINTMENT ENTRY) of file 357.96 ENCOUNTER FORM TRACKING...... Removing 'RECD' cross-reference on PRINTED FORM ID field Removing 'RECD2' cross-reference on DATE/TIME RECEIVED IN VISTA field Removing 'RECD3' cross-reference on DATE/TIME PRINTED field Updating PCE DIM OUTPUT TRANSFORM in file 357.6 Updating Package Interface File for Data Entry Diagnosis Code Active Problem Patient Education Health Factors Immunizations Skin Tests Diagnosis, Problem, or Term Data Entry of Encounter Forms (by Clinic) IBD-PL No appointments on that Date! No forms Printed for Patient If you wish to enter data for this patient anyway, chose whether to use the default form, select any form, or use the clinic setup. Answer None if you don't wish to enter any data. Enter Data from [A]ny form, [C]linic Setup, [D]efault, [N]one: CLINIC SETUP No Forms Defined for Clinic PRIMARY CARE SAMPLE V2.1 No forms defined for clinic Please wait, Creating the necessary entry... Enter the name of the clinic that you are entering encounter forms for. Select Clinic Appointment Date: Enter the date for the clinic that you wish to enter encounter forms for Enter the listed number or the name of the patient or the last 4 number of the SSN or the first letter of the last name with the last 4 numbers of the SSN. IBD-PL4 IBD-PLB IBD-PLN ?? Not Found NO FORM PRINTED The following are valid Appointment dates in the past 60 days: Basic Form: Active Forms: IBD-MORE IBD-PLCHK Data Entry of Encounter Forms for Group Clinics No valid appointments at that Date/Time! No forms Printed for first Patient Form contains patient specific information, Not available for this option! Check out interview for: Appointment Date/Time Enter the date/time for the clinic that you wish to enter encounter forms for. Appointments must be present to enter the date time. ?? No appointments that time. Enter the number of the patient to exclude. Exclude Patient Exclude Another Patient You must select a number from the list. Excluded! No patients left The following are valid Appointment date/times in the past 60 days: Data Entry Pre-Printed form, No appointment Select the patient you wish to enter data on for an encounter. Appointment Date/Time: for Data Entry Patient has the following appointments: No appointments for Patient found on Display Form Components for Data Entry IBD* IBD - Print form components CHECKOUT INTERVIEW As Required Hand Print Selection List Multiple Choice RULE-ONLY Form Components Available for Data Entry Form Name: Form Status: #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################