how do I write a surgery (operation) report?

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wdl

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Dec 15, 2009, 2:03:59 AM12/15/09
to Hardhats
I perused both user manuals for surgery and tiu and haven't found how
to edit a surgery report. I would like to populate a patient record
with surgical history for a demo. Any help is welcome.

thanks

-wl

I, Valdes

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Dec 15, 2009, 10:54:30 AM12/15/09
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On the WorldVistA distribution, (I do not have an OpenVistA handy
right now to check) there is four surgical templates predefined in the
Shared Templates folder in the templates area in the left hand side of
CPRS. You can also define your own. Here is an okay guide to doing
that:

http://vistapedia.net/index.php?title=Episode25

wdl

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Dec 15, 2009, 12:51:21 PM12/15/09
to Hardhats
Thanks,

So does it mean that a Surgical Report is a Progress Note? I think I
know how to define and write documents as progress notes.
I take we could do the same for clinical procedures (e.g.,
Catheterization, Colonoscopy etc.)
So the solution of making every documentation a progress note is
convenient, as we could use the note editing power of CPRS.

So is this the way that surgeons (or terminal operators) enter the
report of a surgery? Can I link that with a surgery in the surgery
package?
What is the purpose of the Surgery Report class in TIU?

-wl

Rich Vertigan, CPRS Developer (retired)

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Dec 15, 2009, 1:13:22 PM12/15/09
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You really need to get your hands on the patch descriptions for
TIU*1*112 and SR*3*100, which implemented Surgery Electronic Signature
in CPRS/TIU. It must be in the documentation somewhere as well, but
I've struck out so far. And while the KIDS files for both of these
patches are in the VDL, the descriptions are not, as far as I can see.
> > > -wl- Hide quoted text -
>
> - Show quoted text -

Rich Vertigan, CPRS Developer (retired)

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Dec 15, 2009, 2:20:06 PM12/15/09
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You can find the TIU*1*112 docs here, but only via FTP for some odd
reason:

ftp://ftp.va.gov/FOIA/VistAdocs/Clinical/CPRS-Text_Integration_Utility_%28TIU%29/

On Dec 15, 1:13 pm, "Rich Vertigan, CPRS Developer (retired)"
> > - Show quoted text -- Hide quoted text -

Nancy Anthracite

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Dec 15, 2009, 2:42:45 PM12/15/09
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Try
<http://opensourcevista.net:8888/NancysVistAServer/FOIA12-06/SoftwarePlusSomeDocs/Software/Packages/Text
Integration Utilities - TIU/TIU-1_SEQ-164_PAT-112.txt>

and

<http://opensourcevista.net:8888/NancysVistAServer/FOIA12-06/SoftwarePlusSomeDocs/Software/Packages/Surgery
- SR/SR-3_SEQ-121_PAT-100.txt>

and

http://opensourcevista.net:8888/NancysVistAServer followed by

/FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_IM.doc
/FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_IG.PDF
/FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_IM.PDF
/FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_RN.PDF
/FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_0_UM_R1003.PDF
--
Nancy Anthracite

wdl

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Feb 8, 2010, 9:45:54 PM2/8/10
to Hardhats
Thanks for the replies. I checked all the references, read several
times. What the documentation is not very clear is the way that I
create/attach a TIU document, representing an operative report, to a
given surgery case. It does not seem to have any option for that. Any
time I try to access an operative report for edit, VistA replies that
the report hasn't been created.

From what I've read, the only way to attach the surgery report is by
uploading it, using the transcriptionist menu. Is this the only way? I
see there are RPCs that allows you to retrieve all reports associated
to a surgical case (operative, anesthesiology, non-op, and nurse), but
i cannot really use it if nothing is attached to the surgical case,
right?

One related question, possibly for the doctors: is a non-operative
report a report for a non-invasive procedure done by the surgicenter?
For example, is it conceptually right to use a non-operative surgery
report to report a catheterization? Or should it be entered through
the clinical procedure package?

thanks

-wl

On Dec 15 2009, 11:42 am, Nancy Anthracite <nanthrac...@earthlink.net>
wrote:
> Try
> <http://opensourcevista.net:8888/NancysVistAServer/FOIA12-06/SoftwareP...


> Integration Utilities - TIU/TIU-1_SEQ-164_PAT-112.txt>
>
> and
>

> <http://opensourcevista.net:8888/NancysVistAServer/FOIA12-06/SoftwareP...
> - SR/SR-3_SEQ-121_PAT-100.txt>
>
> and
>
> http://opensourcevista.net:8888/NancysVistAServerfollowed by


>
> /FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_IM.doc
> /FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_IG.PDF
> /FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_IM.PDF
> /FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_P100_RN.PDF
> /FOIA12-06/SoftwarePlusSomeDocs/VistAdocs/Clinical/Surgery/SR_3_0_UM_R1003.PDF
>
> On Tuesday 15 December 2009, Rich Vertigan, CPRS Developer (retired) wrote:
>
>
>
> > You really need to get your hands on the patch descriptions for

> > TIU*1*112 and SR*3*100, which implementedSurgeryElectronic Signature


> > in CPRS/TIU.  It must be in the documentation somewhere as well, but
> > I've struck out so far.  And while the KIDS files for both of these
> > patches are in the VDL, the descriptions are not, as far as I can see.
>
> > On Dec 15, 12:51 pm, wdl <wand...@gmail.com> wrote:
> > > Thanks,
>
> > > So does it mean that a Surgical Report is a Progress Note? I think I
> > > know how to define and write documents as progress notes.
> > > I take we could do the same for clinical procedures (e.g.,
> > > Catheterization, Colonoscopy etc.)
> > > So the solution of making every documentation a progress note is
> > > convenient, as we could use the note editing power of CPRS.
>
> > > So is this the way that surgeons (or terminal operators) enter the

> > > report of asurgery? Can I link that with asurgeryin thesurgery
> > > package?
> > > What is the purpose of theSurgeryReport class in TIU?


>
> > > -wl
>
> > > On Dec 15, 7:54 am, "I, Valdes" <ival...@hal-pc.org> wrote:
> > > > On the WorldVistA distribution, (I do not have an OpenVistA handy
> > > > right now to check) there is four surgical templates predefined in the
> > > > Shared Templates folder in the templates area in the left hand side of
> > > > CPRS. You can also define your own. Here is an okay guide to doing
> > > > that:
>
> > > >http://vistapedia.net/index.php?title=Episode25
>
> > > > On Dec 15, 1:03 am, wdl <wand...@gmail.com> wrote:

> > > > > I perused both user manuals forsurgeryand tiu and haven't found how
> > > > > to edit asurgeryreport. I would like to populate a patient record

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