Smart Flow Sheet and Patient Alerts
Hi All,
Can someone please point me to where we can (if we can) define which alerts are mapped to Smart Flow Sheet patient alerts - "custom" and / or "critical note"? I can find some discussion to the 'patient alert class' but this is not a field that we have on our alerts? How do we add this in?
It would be great it along with the 'allergy' alert, other patient alerts could be also sent across to SFS.
Many thanks
David
Re: Smart Flow Sheet and Patient Alerts
David - I am not really competent to answer this (not being a smartflow user), but have some insight from doing the 2.0 documentation.
2.0 includes a 'patient sales alert' facility that can set a patient alert when a given product is sold to the patient. This required an adjustment of the archetypes to a) change the Patient Alert Type from a Lookup to a Type and add more fields to it; and b) to modify what was the Patient Alert Lookup to become the Patient Alert Class Lookup.
See http://www.openvpms.org/documentation/csh/2.0/admin/type/patientAlertType which says "Class - an optional classification for the alert. OpenVPMS provides two types by default, Allergy and Aggression. (These are set via Administration|Lookups|Patient Alert Class.) Patient alerts with these classifications will be sent to HL7 interfaces, and Smart Flow Sheet."
I suspect that in 1.9 only the Aggression and Allergy alerts are sent to SmartFlow, whereas in 2.0 you can class multiple Patient Alert Types as class=Aggression and they will be sent to SmartFlow. However, it is my understanding that SmartFlow will just display some sort of warning marker and not the alert name. ie if you class both 'Must use a muzzle' and 'Tries to scratch you' as class Aggression, then SmartFlow will still display the same warning marker.
Regards, Tim G
Re: Smart Flow Sheet and Patient Alerts
Hi Tim,
Thanks for this. The notes you have there are the ones that I found. It appears that currently SFS will accept some patient notes, but I can't find any specific documentation. My suspicion (based on trial and error) is that it will send through alerts whose names is "Aggressive" or "Allergy".
The only reference to the patient allergy class is what you've listed above. Tim / Tony is there any more documentation around this? I can't find it listed in any of the projects / enhancements for OpenVPMS2.0? Does this feature need to be added separately or turned on somewhere within 2.0?
Many thanks
David
Re: Smart Flow Sheet and Patient Alerts
Alerts that are marked as Allergies will be displayed in the Critical Notes field of the Edit Patient screen in SFS, and next to various Critical labels on the whiteboard.
If there is an Alert marked Aggression, then this adds a Caution stripe to the patient.
There is no support to display other patient alerts in SFS.
Re: Smart Flow Sheet and Patient Alerts
Hi Tim,
Thanks for this. From Tim G's comments and yours above - does this mean that when we have the "patient alert class" lookup available we will be able to define which alerts are classed as aggressive or allergy.
The allergy alert is fine, but we don't use the term "aggressive" as an alert because we've had some clients who have looked at the patient screen (vet / nurse out of the consult room / etc) and taken offence to the term aggressive, and we now use an alert of 'care' with a black background. Semantics of keeping people happy.
Many thanks
David
Re: Smart Flow Sheet and Patient Alerts
You can do this in 1.9, with the Patient Alert Type in Administration - Lookups.
You should have a Patient Alert Type with name 'Aggression'. You can use the Administration - Lookups - Replace function to replace the existing Care lookup with the Agression lookup, and then edit the Aggression lookup to rename 'Aggression' to 'Care'.
Patients with alerts with this alert type will then display the Caution bar in SFS.
This works because it is the internal code of the Patient Alert Type that determines if the alert is sent ot SFS or not. For the default Agression type, the code is AGGRESSION. The Name field is for display purposes, so can be whatever you want.