Diabetes Management System User Manual
Contents
1. Diabetes Management System User Manual HL7 Interface Engine Supplement Copyright 2011 by Harbor Software Inc ALL RIGHTS RESERVED Diabetes Management System HL7 Interface Engine Manual Introduction The Diabetes Management System has a stand alone HL7 Interface Engine The application is located in the Diabetes Mgmt System program folder and is named DMSHL7 EXE The Engine uses the HL7 v2 x standard The Engine can import patient demographic and lab data using the PID PV1 NK1 and OBX message segments The Engine can export Diabetes Mgmt System generated data into HL7 format for use in other systems The following data can be exported into HL7 format Patient Demographics using the PID PV1 NK1 and OBX segments Clinical Values from Assessment Visits using OBX segments Narrative and SOAP Notes using NTE segments Educational Records using NTE segments Educational Assessment Records using NTE segments Goal Status Records using NTE segments Medication Records using NTE segments Diabetes Management System Manual Setting Up the HL7 Engine Shortcuts to the Engine should only be set up on the workstations that need to run the Engine Setting up the Engine just is a matter of mapping the drive and folder where the Diabetes Mgmt System resides if itis not mapped already and setting up a shortcut to the HL7Engine application DMSHL7 EXE Starting the HL7 Engine The H2. data You can use the Browse button to navigate folder quickly Patient Number to be Used The HL7 standard PID segment has three different fields that can contain a patient number and you can choose which one to use for the Medical Record Number during importation The default and normal field is the first choice the HL7 Internal ID Default Status Code for New Assessment Records If new Assessment Records are imported into the System this Status Code Assessment Visit Type will be used for these records Update Type You can choose the update type of importation records Add New and Update Existing Records Add Only New Records no updates Lab Type Identifiers This section contains all the lab values that can be imported by the Engine Enter the lab text your importation file contains for that particular lab type The Engine uses these value labels to identify the vatious values Program Entry Date This is the date the Engine will use to use for Program Entry Date for new imported demographic records Import Button Starts the Importation Process Update Defaults Button Saves your values on this window as the system default values Cancel Button Cancels this procedure and closes the window Diabetes Management System HL7 Interface Engine Manual HL7 Exportation B eaae payari Regul iH j F gq ein emg Casier PaT dien Haan al Sen HL Capi Hula DAARAAN IRE mome Pahon rip iaa Farga Dam Bie
3. 0 1111120070102 OBX 003 NM HDL MG DL 55 11 11120070102 OBX 004 NMILDL MG DL 90 1111120070102 OBXI055 NMIHbAtc 7 0 1 11120070312 OBX 057 NM BLOOD PRESSURE 118 70 111120070312 NTE Segment Notes and Comments The NTE Segment is used to export several types of patient records Narrative Notes SOAP Notes Educational Records Educational Assessment Records Goals and Medications Sample Generate d NTE Segments for Narrative Notes NTE 1 Nar Note Note Date 20070205 Signer Susan Hemme RN Record ID 3663473 NTE 2 Patient came with wife Both very apprehensive and worried Wife will be involved in care Patient willing to work hard at controlling blood sugar for his wife Right now patient refuses to do his own testing Wife will do it and come to all classes with patient SH NTE Segments for Narratives contain two records for each narrative Line 1 contains general note information with each field identified within parenthesis Line 2 contains the body of the note Diabetes Management System Manual Sample Generate d NTE Segments for SOAP Notes NTE 1 SOAP Note Note Date 20070305 Signer Debra King Record ID 4268540 NTEJ 2 SUBJECTIVE I don t want to alter my life don t think can do my own blood sugars NTE 3 OBJECTIVE Patient has reservations about new diagnosis Seems embarrassed for his friends and family to know NTEJ4JASSESSMENT Wife is supportive and willing to help while patient get
4. L7 Engine is password protected Only users with administrative access to the Diabetes Management System Users can only be maintained with the main Diabetes Mgmt System alias E Harbor Sofware NTERNATIONAL DEMONSTRATION HOSPITAL Only Utere with Adminisirsiva Rights can leg into the itertsce Engine Emir Tee ff Pines AMOR Fon Doi i Cul ux nl 233 34 BUE lac n Veep Wr brciegh ri Hur Ryn Terre EM Change 2 Log in g esta s Cuers ans Ei art Roluago Aim Uyam i F ofbmery The HL7 Interface Engine Log In Window Diabetes Management System HL7 Interface Engine Manual LI EI REL RE L Has Soporte x cor CopyrsgHt c 2012 by Harbor Salter Iri ALL RIGHTS RESERVED n 47 aa6k n Mnrck 20 FRI Malnate The HL7 Interface Engine Main Window HL7 Importation alin d sees rar oe ares e rien bei Ld Ps IECIT ST WINE hss Sr ils ol D mi Utes Lisa Por Seer rer RT PC ut SOL Ue pred EC Pane dead feed Heimi i iiaii ias dU j r t dpi ode die phi mtr p mop Pedy UU ey hr CU D i AGREE fer Lit Plate DID Lali Ippen Drienie Da TST ites Oa Haga ET WII mae Fe ach irm ALT ET bis me En Lots ages eel re si lee Dries x cant The HL7 Interface Engine Importation Window Diabetes Management System Manual Importation Window Options Path File Name of the Importation File Enter the complete path and file name of the file containing the HL7 importation
5. contain one record for each exported Educational Assessment record each field identified within the parenthesis Diabetes Management System HL7 Interface Engine Manual Sample Generate d NTE Segments for Goal Records NTE 003 Goal Rcd Desc l WILL EXAMINE MY FEET EVERY DAY BehavGrp REDUCING STRESS Set Dte 20070205 Sch Dte 20070319 Met Dte 20070628 Acheive 100 FU1 FU196 90 FU2 FU296 O FU3 FU396 O FU4 FU496 0 REDUCE RISK OF FOOT RELATED COMPLICATIONS NOT A HARD GOAL TO MEET CHECK FEET AFTER SHOWER N TE Segments for Goal Records contain one record for each exported Patient Goal each field identified within the parenthesis Sample Generate d NTE Segments for Medication Records NTEJ001 Meds WELLBUTRIN Dose 100MG BID Ord By LOOM P A C Start Dte 20060518 DC Dte 20060518 Cmts STATES IT HAS HELPED HER KEEP ON TASK NTE 002 Meds LANTUS Dose 44 UNITS PM DAILY Ord By HALLAH MD Start Dte 20061116 DC Dte 20061116 Cmts SKIPS EVENING SLIDING SCALE N TE Segments for Medication Records contain one record for each exported Patient Medication each field identified within the parenthesis Audit Activity File The Engine records activity with the interface to a text file named HAUDIT TXT located in the HL7 folder beneath the DMS program folder 10
6. e PID segment contains information about the patient and is used to export demographic data fields from the Diabetes Mgmt System Sample Generate d MSH Segment PIDJ OO J111 200705171051038 JJOHNSON JACK BENJAMIN 19461 115 MI W 115 WILLSTOM ST PETOSKEY MI 321 74 2313478866 2313479473 E M IIIIIIIII PV1 Segment Patient Visit Information The PV1 segment is used to contain additional information about the patient The HL7 Engine uses this record to export info about the patient s referring physician Sample Generate d MSH Segment PV1 0001 DMS Rj 1 HALLAH MD KATHLEEN L II III IIIIIIIIIIIIIIII I 200702050800 11111110000000 00 0000000 00 Diabetes Management System HL7 Interface Engine Manual NK1 Segment Next of Kin Information The NK1 Segment is used to export the patient s Contact Person information If the patient has two contacts in their demographic record two NK1 segments are generated Sample Generate d NK1 Segment NK1 0001 CANDY JOHNSON 115 WILLSTOM ST PETOSKEY MI 32174 231 347 8866 OBX Segment Observation Information The OBX Segment is used to export one patient observation per record The Engine generates OBX segments for Barriers to Learning and for Clinical Assessment Values Sample Generate d OBX Segment for a Barrier to Learning OBX 001 ST Learning Barrier VISUALLY IMPAIRED 120070102 Sample Generate d OBX Segments for Clinical Lab Value OBX 002 NMICHOLESTEROL MG 18
7. s TAN lO deeDwe ienr mH n n Ld red 4m F4 Check the Hnc poets in E epos _ S pps ossi imm aly iat pup poa i roseis Gelade Fue E tenn Fact Emei EL 7 LE E w pred Hara loben T Lope tenian ig m pd The HL7 Interface Engine Exportation Window Exportation Window Options Path File Name of the Export File Enter the complete path and file name of the file where you wish to export your exported HL7 data to You can use the Browse button to navigate folder quickly Export Type Options The Export will automatically at a minimum the patient demographic data This section allows you to select which record types beyond the demographics you wish to export All the record types are set to export by default Uncheck the record types you wish to suppress exportation Update Defaults Button Saves your Exportation Path File Name as the system export default value Export HL7 Data Button Begins the HL7 Process Cancel Button Cancels the Exportation and Closes this window Diabetes Management System Manual Generated HL7 Export File Record Details MSH Segment Message Header The MSH segment is required for all messages and will always be the first segment in the message Sample Generated MSH Segment MSH amp HarborDMS HarborDMS 20120327101 102 ADT A08 HSI4977077 P 2 3 All generated Export files will have a ADT AO8 message type Patient Update PID Segment Patient Identification Th
8. s used to new diagnosis NTE 5 PLAN wife to come to all education Pt willing to go through complete education N TE Segments for SOAP Notes contain five records for each SOAP Line 1 contains general note information with each field identified within parenthesis Line 2 contains the Subjective data Line 3 contains the Objective data Line 4 Assessment data and Line 5 the Plan Sample Generate d NTE Segments for Educational Records NTE 001 Ed Rcd Class Date 20070205 Class INITIAL INTERVIEW Minutes 60 Instructor Initials SH NTEJ002 Ed Rcd Class Date 20070319 Class SESSION 1 Minutes 180 Instructor Initials DK NTE Segments for Educational Records contain one record for each exported record each field identified within the parenthesis Sample Generate d NTE Segments for Educational Assessment Records NTE 001 Ed Assess Content Area PREVENTING DETECTING AND TREATING ACUTE COMPLICATIONS PrePgm Assess Date 20070205 PrePgm Initials SH PrePgm Knowledge O Date Taught 20070409 PostPgm Assess Date 20070518 PostPgm Initials SH PostPgm Knowledge 1 Reinforcement Date Signatures NTEJ002 Ed Assess Content Area PREVENTING DETECTING AND TREATING CHRONIC COMPLICATIONS PrePgm Assess Date 20070205 PrePgm Initials SH PrePgm Knowledge O Date Taught 20070409 PostPgm Assess Date 20070518 PostPgm Initials SH PostPgm Knowledge 1 Reinforcement Date Signatures NTE Segments for Educational Assessment Records
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