With the release of Allscripts TouchWorksTM EHR 15.1, there are quite a few vital signs enhancements geared toward improving the user experience in areas such as clinical documentation and administration.
System administrators can now determine which vital signs are required fields. This change will highlight mandatory fields in yellow, and require all necessary information to be entered before users are able to commit and finalize the clinical documentation. Benefits of this improvement will help ensure all necessary information is captured and in real time.
This change can also be seen while in the Note Authoring workspace (NAW) when a vitals panel with required vital signs is included in that note. As you can see from the image below, the table of contents will display Vitals in pale yellow. Also notice that the individual required items are highlighted in the grid. Once again, this requires the entry of all required values prior to signing or finalizing the note. A message will display giving users the option to select Yes, which will open vitals section of the note allowing users to enter the necessary info, or No, which will return users to the NAW. Notice that Remove Cited View is grayed out and unavailable for vital signs panels requiring items.
Also, if Finalize Note on Save is selected for a document type in the template properties for the note output, an additional message may be displayed. This safeguard now ensures that required vital signs entries are completed before users can save, sign, and finalize the note. Selecting Ok once again brings users to the vitals section of the note, forcing them to enter any required information. While in the Chart Viewer, users are also unable to sign a note as final if uncharted vital signs are required. The same pop-up window is presented where clicking Yes brings users to the NAW, and clicking No opens the Note Signature, allowing users to cancel the signature. As you can see, there are various dialog boxes that are triggered depending on the configuration.
Configuration for this requirement is done within the Orderable Item dictionary. There is a new Required Components column within the Sequence Linked Orderable Items table. Selecting the checkbox for an item in this section will make that orderable item a required entry for that panel, and will be reflected in the Order Details and Vitals section of the NAW as referenced above.
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