CPRS Config: Notifications

Welcome to the Notifications Configuration Page.

What Are Notifications?
It's a message generated by the system at specific events. Notifications are the closest thing to an SMS text message you will get in VISTA. Notifications are intended to be more 'real time' than a mail message in mailman is, in that VISTA keeps bugging you until you process them. Some common messages are:
 * Lab Results
 * Note needs to be signed
 * Order needs to be signed
 * New Consult

You have to be very careful on how you configure notifications: not to deliver too many, and they actually are processed by the users. Many patient related events are relayed through the notification system; as such, proper use is essential to the functioning of VISTA as an EMR.

Notifications are handled by the alert system in the kernel. All notifications are alerts; but not all alerts are notifications. An alert is a notification only if it has a patient associated with it.

Pre pConfiguration
For each, you need to ask these questions?
 * On/Off/Mandatory?
 * Who should get the notification? The user who entered it?; the provider under whom the order was written?; the OE/RR Team?

For some, you may need to ask these questions, but usually these settings are adjusted later.
 * Urgency of Notification (High/Medium/Low)
 * Should Deletion happen when a single person processes it, or when all recipients process it?
 * Should a certain entity (person or group) always get the notification?

Here is the list of Notifications (entries in the OE/RR NOTIFICATIONS File #100.9) that comes with VISTA. Some of them are duds, like the one for Order Co-Signature (there is no such thing in VISTA: only note co-signature). Of note, TIU does not use this list for generating notifications; it uses its own settings. You can completely have notifications shut down, but TIU will still generate them if TIU is in use.

 ABNORMAL IMAGING RESULTS ABNORMAL LAB RESULT (INFO) ABNORMAL LAB RESULTS (Action) ADMISSION ANATOMIC PATHOLOGY RESULTS CONSULT/PROC INTERPRETATION CONSULT/REQUEST CANCEL/HOLD CONSULT/REQUEST RESOLUTION CONSULT/REQUEST UPDATED CRITICAL LAB RESULT (INFO) CRITICAL LAB RESULTS (Action) DC ORDER DECEASED PATIENT DISCHARGE DNR EXPIRING ERROR MESSAGE FLAGGED OI EXPIRING - INPT FLAGGED OI EXPIRING - OUTPT FLAGGED OI ORDER - INPT FLAGGED OI ORDER - OUTPT FLAGGED OI RESULTS - INPT FLAGGED OI RESULTS - OUTPT FLAG ORDER FOR CLARIFICATION FOOD/DRUG INTERACTION FREE TEXT IMAGING PATIENT EXAMINED IMAGING REQUEST CANCEL/HELD IMAGING REQUEST CHANGED IMAGING RESULTS IMAGING RESULTS AMENDED LAB ORDER CANCELED LAB RESULTS LAB THRESHOLD EXCEEDED MAMMOGRAM RESULTS MEDICATIONS EXPIRING - INPT MEDICATIONS EXPIRING - OUTPT NEW ORDER NEW SERVICE CONSULT/REQUEST NPO DIET MORE THAN 72 HRS ORDER CHECK ORDERER-FLAGGED RESULTS ORDER REQUIRES CHART SIGNATURE ORDER REQUIRES CO-SIGNATURE ORDER REQUIRES ELEC SIGNATURE PAP SMEAR RESULTS SERVICE ORDER REQ CHART SIGN STAT IMAGING REQUEST STAT ORDER STAT RESULTS TRANSFER FROM PSYCHIATRY UNSCHEDULED VISIT UNVERIFIED MEDICATION ORDER UNVERIFIED ORDER URGENT IMAGING REQUEST

Main Menu
 1     Enable/Disable Notifications 2     Erase Notifications 3     Set Urgency for Notifications (GUI) 4     Set Deletion Parameters for Notifications 5     Set Default Recipient(s) for Notifications 6     Set Default Recipient Device(s) for Notifications 7     Set Provider Recipients for Notifications 8     Flag Orderable Item(s) to Send Notifications 9     Archive(delete) after  Days 10    Forward Notifications ...   11     Set Delays for Unverified Orders ... 13    Send Flagged Orders Bulletin 14    Determine Recipients for a Notification 15    Display Patient Alerts and Alert Recipients 16    Enable or Disable Notification System 17    Display the Notifications a User Can Receive

Disable Everything at the System Level
Because VISTA by default comes with rather strange defaults at the Package Level, let alone that the notification system is even turned on, I turn everything off first.  Set PROCESSING FLAG Parameters for Notifications

Processing Flag may be set for the following:

1  User          USR    [choose from NEW PERSON] 2  Team (OE/RR)  OTL    [choose from OE/RR LIST] 3  Service       SRV    [choose from SERVICE/SECTION] 4  Location      LOC    [choose from HOSPITAL LOCATION] 5  Division      DIV    [choose from INSTITUTION] 6  System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 6 System   VISTA.ICH.LOCAL

Setting Processing Flag for System: VISTA.ICH.LOCAL Select Notification: abnormal imaGING RESULTS Are you adding ABNORMAL IMAGING RESULTS as a new Notification? Yes//  YES

Notification: ABNORMAL IMAGING RESULTS//  ABNORMAL IMAGING RESULTS   ABNORMAL I MAGING RESULTS Value: ?

Code indicating processing flag for the entity and notification.

Select one of the following:

M        Mandatory E        Enabled D        Disabled

Value: d Disabled Select Notification: abnormal lab result,in ABNORMAL LAB RESULT (INFO) Are you adding ABNORMAL LAB RESULT (INFO) as a new Notification? Yes//  YES

Notification: ABNORMAL LAB RESULT (INFO)//  ABNORMAL LAB RESULT (INFO)   ABNORM AL LAB RESULT (INFO) Value: d Disabled Select Notification: abnormal lab result (ac ?? Select Notification: abno,lab,ac ABNORMAL LAB RESULTS (Action) Are you adding ABNORMAL LAB RESULTS (Action) as a new Notification? Yes//   YES

Notification: ABNORMAL LAB RESULTS (Action])//  ABNORMAL LAB RESULTS ([[ACTION~|Action)   ABNORMAL LAB RESULTS (Action) Value: d  Disabled Select Notification: admissION  Are you adding ADMISSION as a new Notification? Yes//   YES

Notification: ADMISSION//  ADMISSION   ADMISSION Value: d Disabled Select Notification: anaTOMIC PATHOLOGY RESULTS Are you adding ANATOMIC PATHOLOGY RESULTS as a new Notification? Yes//  YES

Notification: ANATOMIC PATHOLOGY RESULTS//  ANATOMIC PATHOLOGY RESULTS   ANATOM IC PATHOLOGY RESULTS Value: d Disabled Select Notification: consult/proc inTERPRETATION Are you adding CONSULT/PROC INTERPRETATION as a new Notification? Yes//  YES

Notification: CONSULT/PROC INTERPRETATION//  CONSULT/PROC INTERPRETATION   CONS ULT/PROC INTERPRETATION Value: d Disabled Select Notification: consult/request canCEL/HOLD Are you adding CONSULT/REQUEST CANCEL/HOLD as a new Notification? Yes//  YES

Notification: CONSULT/REQUEST CANCEL/HOLD//  CONSULT/REQUEST CANCEL/HOLD   CONS ULT/REQUEST CANCEL/HOLD Value: d Disabled Select Notification: consult/request reSOLUTION Are you adding CONSULT/REQUEST RESOLUTION as a new Notification? Yes//  YES

Notification: CONSULT/REQUEST RESOLUTION//  CONSULT/REQUEST RESOLUTION   CONSUL T/REQUEST RESOLUTION Value: d Disabled Select Notification: consult/request updATED Are you adding CONSULT/REQUEST UPDATED as a new Notification? Yes//  YES

Notification: CONSULT/REQUEST UPDATED//  CONSULT/REQUEST UPDATED   CONSULT/REQU EST UPDATED Value: d Disabled Select Notification: criti,lab,info CRITICAL LAB RESULT (INFO) Are you adding CRITICAL LAB RESULT (INFO) as a new Notification? Yes//  YES

Notification: CRITICAL LAB RESULT (INFO)//  CRITICAL LAB RESULT (INFO)   CRITIC AL LAB RESULT (INFO) Value: d Disabled Select Notification: critical,lab,ac CRITICAL LAB RESULTS (Action) Are you adding CRITICAL LAB RESULTS (Action) as a new Notification? Yes//  YES

Notification: CRITICAL LAB RESULTS (Action)//  CRITICAL LAB RESULTS (Action) CRITICAL LAB RESULTS (Action) Value: d Disabled Select Notification: dc orDER Are you adding DC ORDER as a new Notification? Yes//  YES

Notification: DC ORDER//  DC ORDER   DC ORDER Value: d Disabled Select Notification: deceaSED PATIENT Are you adding DECEASED PATIENT as a new Notification? Yes//  YES

Notification: DECEASED PATIENT//  DECEASED PATIENT   DECEASED PATIENT Value: d Disabled Select Notification: dischARGE Are you adding DISCHARGE as a new Notification? Yes//  YES

Notification: DISCHARGE//  DISCHARGE   DISCHARGE Value: d Disabled Select Notification: dnr expiRING Are you adding DNR EXPIRING as a new Notification? Yes//  YES

Notification: DNR EXPIRING//  DNR EXPIRING   DNR EXPIRING Value: d Disabled Select Notification: error meSSAGE Are you adding ERROR MESSAGE as a new Notification? Yes//  YES

Notification: ERROR MESSAGE//  ERROR MESSAGE   ERROR MESSAGE Value: d Disabled Select Notification: flagged oi,ex,in FLAGGED OI EXPIRING - INPT Are you adding FLAGGED OI EXPIRING - INPT as a new Notification? Yes//  YES

Notification: FLAGGED OI EXPIRING - INPT//  FLAGGED OI EXPIRING - INPT   FLAGGE D OI EXPIRING - INPT Value: d Disabled Select Notification: flagg,oi,ex,ou FLAGGED OI EXPIRING - OUTPT Are you adding FLAGGED OI EXPIRING - OUTPT as a new Notification? Yes//  YES

Notification: FLAGGED OI EXPIRING - OUTPT//  FLAGGED OI EXPIRING - OUTPT   FLAG GED OI EXPIRING - OUTPT Value: d Disabled Select Notification: flagg,oi,ord,in FLAGGED OI ORDER - INPT Are you adding FLAGGED OI ORDER - INPT as a new Notification? Yes//  YES

Notification: FLAGGED OI ORDER - INPT//  FLAGGED OI ORDER - INPT   FLAGGED OI O RDER - INPT Value: d Disabled Select Notification: flagg,oi,or,out FLAGGED OI ORDER - OUTPT Are you adding FLAGGED OI ORDER - OUTPT as a new Notification? Yes//  YES

Notification: FLAGGED OI ORDER - OUTPT//  FLAGGED OI ORDER - OUTPT   FLAGGED OI ORDER - OUTPT Value: d Disabled Select Notification: flagg,oi,res,inp FLAGGED OI RESULTS - INPT Are you adding FLAGGED OI RESULTS - INPT as a new Notification? Yes//  YES

Notification: FLAGGED OI RESULTS - INPT//  FLAGGED OI RESULTS - INPT   FLAGGED OI RESULTS - INPT Value: d Disabled Select Notification: fla,oi,res,outpt FLAGGED OI RESULTS - OUTPT Are you adding FLAGGED OI RESULTS - OUTPT as a new Notification? Yes//  YES

Notification: FLAGGED OI RESULTS - OUTPT//  FLAGGED OI RESULTS - OUTPT   FLAGGE D OI RESULTS - OUTPT Value: d Disabled Select Notification: flag 1  FLAG ORDER FOR CLARIFICATION 2  FLAGGED OI EXPIRING - INPT 3  FLAGGED OI EXPIRING - OUTPT 4  FLAGGED OI ORDER - INPT 5  FLAGGED OI ORDER - OUTPT Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 1  FLAG ORDER FOR CLARIFICATION Are you adding FLAG ORDER FOR CLARIFICATION as a new Notification? Yes//  YES

Notification: FLAG ORDER FOR CLARIFICATION//  FLAG ORDER FOR CLARIFICATION   FL AG ORDER FOR CLARIFICATION Value: d Disabled Select Notification: food/drug inTERACTION Are you adding FOOD/DRUG INTERACTION as a new Notification? Yes//  YES

Notification: FOOD/DRUG INTERACTION//  FOOD/DRUG INTERACTION   FOOD/DRUG INTERA CTION Value: d Disabled Select Notification: free text Are you adding FREE TEXT as a new Notification? Yes//  YES

Notification: FREE TEXT//  FREE TEXT   FREE TEXT Value: d Disabled Select Notification: imag,pat,exam IMAGING PATIENT EXAMINED Are you adding IMAGING PATIENT EXAMINED as a new Notification? Yes//  YES

Notification: IMAGING PATIENT EXAMINED//  IMAGING PATIENT EXAMINED   IMAGING PA TIENT EXAMINED Value: d Disabled Select Notification: imag,req,can IMAGING REQUEST CANCEL/HELD Are you adding IMAGING REQUEST CANCEL/HELD as a new Notification? Yes//  YES

Notification: IMAGING REQUEST CANCEL/HELD//  IMAGING REQUEST CANCEL/HELD   IMAG ING REQUEST CANCEL/HELD Value: d Disabled Select Notification: imag,req,chan IMAGING REQUEST CHANGED Are you adding IMAGING REQUEST CHANGED as a new Notification? Yes//  YES

Notification: IMAGING REQUEST CHANGED//  IMAGING REQUEST CHANGED   IMAGING REQU EST CHANGED Value: d Disabled Select Notification: imag,res 1  IMAGING RESULTS 2  IMAGING RESULTS AMENDED CHOOSE 1-2: 1 IMAGING RESULTS Are you adding IMAGING RESULTS as a new Notification? Yes//  YES

Notification: IMAGING RESULTS//  IMAGING RESULTS   IMAGING RESULTS Value: d Disabled Select Notification: imagin,res,amen IMAGING RESULTS AMENDED Are you adding IMAGING RESULTS AMENDED as a new Notification? Yes//  YES

Notification: IMAGING RESULTS AMENDED//  IMAGING RESULTS AMENDED   IMAGING RESU LTS AMENDED Value: d Disabled Select Notification: lab,order,can LAB ORDER CANCELED Are you adding LAB ORDER CANCELED as a new Notification? Yes//  YES

Notification: LAB ORDER CANCELED//  LAB ORDER CANCELED   LAB ORDER CANCELED Value: d Disabled Select Notification: lab,res LAB RESULTS Are you adding LAB RESULTS as a new Notification? Yes//  YES

Notification: LAB RESULTS//  LAB RESULTS   LAB RESULTS Value: d Disabled Select Notification: lab,thres LAB THRESHOLD EXCEEDED Are you adding LAB THRESHOLD EXCEEDED as a new Notification? Yes//  YES

Notification: LAB THRESHOLD EXCEEDED//  LAB THRESHOLD EXCEEDED   LAB THRESHOLD EXCEEDED Value: d Disabled Select Notification: mammogRAM RESULTS Are you adding MAMMOGRAM RESULTS as a new Notification? Yes//  YES

Notification: MAMMOGRAM RESULTS//  MAMMOGRAM RESULTS   MAMMOGRAM RESULTS Value: d Disabled Select Notification: medica,exp,inpt MEDICATIONS EXPIRING - INPT Are you adding MEDICATIONS EXPIRING - INPT as a new Notification? Yes//  YES

Notification: MEDICATIONS EXPIRING - INPT//  MEDICATIONS EXPIRING - INPT   MEDI CATIONS EXPIRING - INPT Value: d Disabled Select Notification: medica,exp,out MEDICATIONS EXPIRING - OUTPT Are you adding MEDICATIONS EXPIRING - OUTPT as a new Notification? Yes//  YES

Notification: MEDICATIONS EXPIRING - OUTPT//  MEDICATIONS EXPIRING - OUTPT   ME DICATIONS EXPIRING - OUTPT Value: d Disabled Select Notification: new ordER Are you adding NEW ORDER as a new Notification? Yes//  YES

Notification: NEW ORDER//  NEW ORDER   NEW ORDER Value: d Disabled Select Notification: new service CONSULT/REQUEST Are you adding NEW SERVICE CONSULT/REQUEST as a new Notification? Yes//  YES

Notification: NEW SERVICE CONSULT/REQUEST//  NEW SERVICE CONSULT/REQUEST   NEW SERVICE CONSULT/REQUEST Value: d Disabled Select Notification: npo dieT MORE THAN 72 HRS Are you adding NPO DIET MORE THAN 72 HRS as a new Notification? Yes//  YES

Notification: NPO DIET MORE THAN 72 HRS//  NPO DIET MORE THAN 72 HRS   NPO DIET MORE THAN 72 HRS Value: d Disabled Select Notification: order chECK Are you adding ORDER CHECK as a new Notification? Yes//  YES

Notification: ORDER CHECK//  ORDER CHECK   ORDER CHECK Value: d Disabled Select Notification: orderer-flaGGED RESULTS Are you adding ORDERER-FLAGGED RESULTS as a new Notification? Yes//  YES

Notification: ORDERER-FLAGGED RESULTS//  ORDERER-FLAGGED RESULTS   ORDERER-FLAG GED RESULTS Value: d Disabled Select Notification: order requ,ch,sig ORDER REQUIRES CHART SIGNATURE Are you adding ORDER REQUIRES CHART SIGNATURE as a new Notification? Yes//  YES

Notification: ORDER REQUIRES CHART SIGNATURE//  ORDER REQUIRES CHART SIGNATURE ORDER REQUIRES CHART SIGNATURE Value: d Disabled Select Notification: ord,req,co,sig ORDER REQUIRES CO-SIGNATURE Are you adding ORDER REQUIRES CO-SIGNATURE as a new Notification? Yes//  YES

Notification: ORDER REQUIRES CO-SIGNATURE//  ORDER REQUIRES CO-SIGNATURE   ORDE R REQUIRES CO-SIGNATURE Value: d Disabled Select Notification: ord,req,ele,sig ORDER REQUIRES ELEC SIGNATURE Are you adding ORDER REQUIRES ELEC SIGNATURE as a new Notification? Yes//  YES

Notification: ORDER REQUIRES ELEC SIGNATURE//  ORDER REQUIRES ELEC SIGNATURE ORDER REQUIRES ELEC SIGNATURE Value: d Disabled Select Notification: pap smear resULTS Are you adding PAP SMEAR RESULTS as a new Notification? Yes//  YES

Notification: PAP SMEAR RESULTS//  PAP SMEAR RESULTS   PAP SMEAR RESULTS Value: d Disabled Select Notification: serive order req ch ?? Select Notification: service ordER REQ CHART SIGN Are you adding SERVICE ORDER REQ CHART SIGN as a new Notification? Yes//  YES

Notification: SERVICE ORDER REQ CHART SIGN//  SERVICE ORDER REQ CHART SIGN   SE RVICE ORDER REQ CHART SIGN Value: d Disabled Select Notification: stats imaging re ?? Select Notification: stat imAGING REQUEST Are you adding STAT IMAGING REQUEST as a new Notification? Yes//  YES

Notification: STAT IMAGING REQUEST//  STAT IMAGING REQUEST   STAT IMAGING REQUE ST Value: d Disabled Select Notification: stat ordER Are you adding STAT ORDER as a new Notification? Yes//  YES

Notification: STAT ORDER//  STAT ORDER   STAT ORDER Value: d Disabled Select Notification: stat results Are you adding STAT RESULTS as a new Notification? Yes//  YES

Notification: STAT RESULTS//  STAT RESULTS   STAT RESULTS Value: d Disabled Select Notification: transfer from psyCHIATRY Are you adding TRANSFER FROM PSYCHIATRY as a new Notification? Yes//  YES

Notification: TRANSFER FROM PSYCHIATRY//  TRANSFER FROM PSYCHIATRY   TRANSFER F ROM PSYCHIATRY Value: d Disabled Select Notification: unscheDULED VISIT Are you adding UNSCHEDULED VISIT as a new Notification? Yes//  YES

Notification: UNSCHEDULED VISIT//  UNSCHEDULED VISIT   UNSCHEDULED VISIT Value: d Disabled Select Notification: unveri 1  UNVERIFIED MEDICATION ORDER 2  UNVERIFIED ORDER CHOOSE 1-2: ?? Select Notification: unveri 1  UNVERIFIED MEDICATION ORDER 2  UNVERIFIED ORDER CHOOSE 1-2: 1 UNVERIFIED MEDICATION ORDER Are you adding UNVERIFIED MEDICATION ORDER as a new Notification? Yes//  YES

Notification: UNVERIFIED MEDICATION ORDER//  UNVERIFIED MEDICATION ORDER   UNVE RIFIED MEDICATION ORDER Value: d Disabled Select Notification: unverified order Are you adding UNVERIFIED ORDER as a new Notification? Yes//  YES

Notification: UNVERIFIED ORDER//  UNVERIFIED ORDER   UNVERIFIED ORDER Value: d Disabled Select Notification: urgent imaGING REQUEST Are you adding URGENT IMAGING REQUEST as a new Notification? Yes//  YES

Notification: URGENT IMAGING REQUEST//  URGENT IMAGING REQUEST   URGENT IMAGING REQUEST Value: d Disabled Select Notification:

Re-enable the ones you want
Note that there is no separate Prompt to make them mandatory.  Set PROCESSING FLAG Parameters for Notifications

Processing Flag may be set for the following:

1  User          USR    [choose from NEW PERSON] 2  Team (OE/RR)  OTL    [choose from OE/RR LIST] 3  Service       SRV    [choose from SERVICE/SECTION] 4  Location      LOC    [choose from HOSPITAL LOCATION] 5  Division      DIV    [choose from INSTITUTION] 6  System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 6 System   VISTA.ICH.LOCAL

Setting Processing Flag for System: VISTA.ICH.LOCAL Select Notification: criti 1  CRITICAL LAB RESULT (INFO) 2  CRITICAL LAB RESULTS (Action) CHOOSE 1-2: 2 CRITICAL LAB RESULTS (Action)

Notification: CRITICAL LAB RESULTS (Action)//  CRITICAL LAB RESULTS (Action) CRITICAL LAB RESULTS (Action) Value: Disabled// m Mandatory Select Notification: flag 1  FLAG ORDER FOR CLARIFICATION 2  FLAGGED OI EXPIRING - INPT 3  FLAGGED OI EXPIRING - OUTPT 4  FLAGGED OI ORDER - INPT 5  FLAGGED OI ORDER - OUTPT Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 1  FLAG ORDER FOR CLARIFICATION

Notification: FLAG ORDER FOR CLARIFICATION//  FLAG ORDER FOR CLARIFICATION   FL AG ORDER FOR CLARIFICATION Value: Disabled// m Mandatory Select Notification: food/drug intERACTION

Notification: FOOD/DRUG INTERACTION//  FOOD/DRUG INTERACTION   FOOD/DRUG INTERA CTION Value: Disabled// e Enabled Select Notification: lab resULTS

Notification: LAB RESULTS//  LAB RESULTS   LAB RESULTS Value: Disabled// m Mandatory Select Notification: orderer-gl ?? Select Notification: orderer-flAGGED RESULTS

Notification: ORDERER-FLAGGED RESULTS//  ORDERER-FLAGGED RESULTS   ORDERER-FLAG GED RESULTS Value: Disabled// e Enabled Select Notification: order rerq,ele,si ?? Select Notification: ord,ele,sig ORDER REQUIRES ELEC SIGNATURE

Notification: ORDER REQUIRES ELEC SIGNATURE//  ORDER REQUIRES ELEC SIGNATURE ORDER REQUIRES ELEC SIGNATURE Value: Disabled// m Mandatory Select Notification: stat order

Notification: STAT ORDER//  STAT ORDER   STAT ORDER Value: Disabled// e Enabled Select Notification: stat resuLTS

Notification: STAT RESULTS//  STAT RESULTS   STAT RESULTS Value: Disabled// e Enabled Select Notification: stat ordER

Turn the Notification System On
If it is not on already.  Enable or Disable Notification System

Enable or disable notifications. may be set for the following:

1  Division      DIV    [choose from INSTITUTION] 2  System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 2 System   VISTA.ICH.LOCAL

--- Setting Enable or disable notifications. for System: VISTA.ICH.LOCAL --- Value: ?

Enter 'Enable/E' for notifications, 'Disable/D' to stop notifications.

Select one of the following:

E        Enable D        Disable

Value: e Enable The flood gates are now opened!