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1674
The system shall improve accessibility of online clinical information and results.
Requirement
1688
The system shall integrate all components of the patient record to provide comprehensive and intelligent clinical information access and reporting.
Requirement
1689
The system shall allow multiple use and integration of information, including cutting and pasting among components, boilerplate capabilities, templates, etc., thus decreasing the amount of duplicate entry of data.
Requirement
1690
The system shall be easy to use by improving the user interface to reflect industry standards and principles of usability and user-centered design.
Requirement
1691
The system shall use HL-7 communications protocol for transferring messages among packages
Requirement
1692
The system shall allow setting of business rules, document types, user classes, etc. to control access to documents, reports, verification, signing, and so on
Requirement
1693
The system shall support the Ambulatory Care Date Capture project for capturing encounter data for workload credit, as well as capturing clinically relevant data for reminders and reports
Requirement
1694
The system shall have pre-defined progress note templates.
Requirement
1695
The system shall allow creation of personalized templates to fit the specific needs of individual practices.
Requirement
1696
The system shall include clinical reminders to provide relevant information to providers, at the point of care, for improving patient care.
Requirement
1697
The system shall include a graphing feature to allow users to view lab test results and vital signs in a graph.
Requirement
1675
The system shall provide a means to view patient demographics, allergies and adverse reactions, postings (cautions, warnings, allergies, and advance directives), clinical reminders, current medications, problems, appointments, etc.
Requirement
1698
The system shall include a report construction feature so each site can individually run related to patient data including: Health Summary, Vitals Cumulative, Nutritional Assessment, Daily Order Summary and Order Summary for a Date Range reports.
Requirement
1699
The system shall support role-based access for security controls.
Requirement
1700
The system shall support audit capability.
Requirement
1701
The system shall support requirements for codified data, including diagnosis data using ICD-9 codes.
Requirement
1702
The system shall have the capability to capture and store risk, social and medical factors; including, but not limited to the following: Tobacco use and history including number of years and packs per day (PPD), Alcohol use history, Drug use history, Occupational environment, Marital status, Occupation, Religious preference, Ethnicity, Healthcare surrogate with alert, Guardian/legal representative with alert.
Requirement
1703
The system shall document discharge summary hospitalization data, as well as procedure and diagnosis-related information.
Requirement
1704
The system shall capture history of received immunizations.
Requirement
1705
The system shall include capabilities for ordering laboratory tests and reviewing results.
Requirement
1706
The system shall allow medication orders to be placed and filled from local stocks of medications while providing full auditing of all medication orders within the medication profile.
Requirement
1707
The system shall provide the following pediatric functionality including: Pediatric progress note templates based on the Indian Health Services (IHS) progress note templates and American Academy of Pediatric Bright Futures templates
Requirement
1708
The system shall provide OB/GYN progress note templates based on the IHS progress note templates.
Requirement
1676
The system shall improve efficiency of entering orders.
Requirement
1677
The system shall provide a way for user to quickly click on the specifications that he or she wants for each order placed.
Requirement
1678
The system shall provide an option to so a user can quickly set up orders for frequently placed orders.
Requirement
1679
The system shall allow several orders to be placed with the ability for a user to sign for them all at once.
Requirement
1680
The system shall allow event-delay capability for pre-admission, discharge, and transfer orders
Requirement
1709
The system will provide the ability to register patients of all types.
Requirement
1710
The system shall have the capability to capture and store risk, social, and medical factors for each new patient.
Requirement
1711
The system shall allow physician offices to use social security numbers or medical record numbers to identify patients.
Requirement
1712
The system shall support the requirements for codified data specified by the DOQ-IT quality improvement measures.
Requirement
1713
The system shall trigger registration reminders when patient meets eligibility requirements for the DOQ-IT program.
Requirement
1714
The system shall include Standard Laboratory and Medication orderable files.
Requirement
1715
The system shall include the ability to print prescriptions for signature and fax prescriptions to a local pharmacy with an electronic signature.
Requirement
1716
The system shall provide a platform for building interfaces to external lab services enabling automated order entry and results reporting.
Requirement
1717
The system shall provide an open source integration platform to build interfaces to Billing/Practice Management systems.
Requirement
1718
The system shall require handwritten signatures for outpatient medication orders of schedule 2 and schedule 2n controlled substances due to DEA policy.
Requirement
1719
The system's pilot program shall use a smart card to digitally sign medication orders.
Requirement
1720
The system shall require a smart card reader, smart card, and a PIN to digitally sign an order.
Requirement
1721
The system shall require most orders or documents, such as progress notes, reports, or health summaries, to have an electronic signature.
Requirement
1722
The system shall not release orders to services or activated until they are signed if they require a signature.
Requirement
1723
The system shall not require a signature for an order if the order is designated as signed on chart or a generic order that does not require a signature.
Requirement
1681
The system shall allow complete order sets to be predefined and personalized.
Requirement
1724
The system shall implement a user class hierarchy to identify the roles that different users fulfill within the hospital.
Requirement
1725
The system shall provide tools for creating business rules that apply to documents used by members of such groups.
Requirement
1734
The system shall automatically considered any member of a given User Class to be a member of all superclasses of that class.
Requirement
1735
The system shall automatically include membership in a given User Class to all member of subclasses of that class.
Requirement
1736
The system shall design the Kernel Person Class File to accommodate the HCFA National Provider System Taxonomy of Professionals/Occupations.
Requirement
1726
The system shall provide a method for identifying who is AUTHORIZED to do something (for example, sign and order).
Requirement
1727
The system shall define, populate, and retrieve information about user classes.
Requirement
1728
The system shall allow user classes to be defined hospital-wide or more narrowly for a specific service.
Requirement
1729
The system shall allow user classes to be used across VistA to replace and/or complement security keys.
Requirement
1730
The system shall allow infinite hierarchies of subclasses to be created in the User Hierarchy Class structure.
Requirement
1731
The system shall allow document types to inherit authorizations from a higher level when using classes to assign roles.
Requirement
1732
The system shall impose no limitation on the depth or specificity of the User Class hierarchy which a site may choose to develop.
Requirement
1733
The system shall allow concurrent membership in more than one User Class.
Requirement
1737
The document-handling system (TIU) shall include Consults/Request Tracking, Discharge Summary, and Progress Notes.
Requirement
1738
The document-handling system (TIU) shall have boilerplate and cut and paste capabilities.
Requirement
1739
The system shall allow other VistA applications to access the user class file to determine the role of an employee.
Requirement
1740
The system shall require provider, location, date and time encounter data to be entered for each visit (or telephone call) with a patient.
Requirement
1741
The system shall require service connection, provider name, location, date, diagnosis, procedure, and visit information to be entered in the enounter form to receive workload credit.
Requirement
1742
The system shall timeout after a period of inactivity.
Requirement
1743
The system shall ask the user if the user wants to continue using the system before timing out.
Requirement
1744
The system shall require the entry of an access code and a verify code to gain access to the system.
Requirement
1745
The system shall stored the names of users who view remote data in the remote site's database.
Requirement
1746
The system shall audit sensitive records, enabling a site to follow up on a record accessed by a remote location.
Requirement
1747
The system shall provide a way to limit the users or sites that have access to remote retrievable data.
Requirement
1748
The system shall allow users who hold any of the ORES/ORELSE/PROVIDER keys to be viewed as a clinical user and has full access privileges to all problem list options.
Requirement
1749
The system shall view users who hold the OREMAS key to be a clerical user, and, consequently, the verify, remove, restore, and view removed options will not be available.
Requirement
1750
The system shall enforce these access levels when problems are entered via the encounter form. Problems entered on the encounter form by clerical personnel shall be left as UNVERIFIED.
Requirement
1751
The system shall require a unique match in the Medication, Dosage, Route, and Schedule fields for inpatient medications before CPRS will auto-select an item from the list. The system shall require the Medication and Schedule fields to be an item from the list for inpatient medications, but the Dosage and Route can be a free-text entry (the route must be in the MEDICATION ROUTES file #51.2).
Requirement
1682
The system shall allow order checking.
Requirement
1683
The system shall provide background checks on duplicate orders, drug-drug interactions, and many other criteria that a user can choose.
Requirement
1752
The system shall allow users to enter time in several different formats.
Requirement
1753
The system shall require times to be entered as a 24-hour time, not with a 12-hour clock and an a.m. and p.m.
Requirement
1754
The system shall require a user to review and sign changed if a user has just entered orders or documents that are unsigned.
Requirement
1755
The system shall only auto-select(highlights in blue and places that entry in the field) a patient name if the user types enough characters to uniquely identify a name in the list.
Requirement
1756
The system shall wait until the user explicitly selects an item using the mouse or the keyboard if the user does not enter enough characters to uniquely identify an item.
Requirement
1757
The system shall display a box listing possible matches if CPRS finds more than one patient with the same last name and same last four digits of the social security numbers.
Requirement
1758
The system shall allow the user to group the patient list according to provider, team, specialty, clinic, or ward.
Requirement
1759
The system shall use a set of characters that include uppercase and lowercase Latin alphabetic characters (A-Z, a-z), numbers (0-9), and other special characters.
Requirement
1760
The system shall display a message indicating the patient?s ability to pay for medical services must be evaluated.
Requirement
1761
The system shall display a message that a patient has data from the legacy system used before the site was consolidated that is not being displayed which a user may want to access.
Requirement
1762
The system shall indicate that the record is sensitive and may only be viewed by authorized users.
Requirement
1763
The system shall display a message telling the user that the selected patient is deceased.
Requirement
1764
The system shall display a message of possible matches if more than one match is found when a user partially enters a patient's name and last four digits of a social security number.
Requirement
1765
The system shall allow the creation of patient lists or team lists that simplify tasks such as reviewing patient charts, ordering, and signing orders and notes and these lists can be based on wards, clinics, teams, or other groups.
Requirement
1766
The system shall use patient lists allow a person to quickly locate patients without going through all the patients in the list.
Requirement
1767
The system shall allow clinicians to create patient lists for who can sign or cosign for each other.
Requirement
1768
The system shall ensure that all team members receive necessary information about a patient by using patient lists to tie notifications to teams.
Requirement
1769
The system shall allow notifications to be renewed if the user decides the alert should not go away when the user views it.
Requirement
1778
The system shall sort notifications based on column heading: Urgency (valued HIGH, Moderate, or low as indicated by the CPRS parameter ORB URGENCY. TIU alerts are given a Moderate urgency value. Other alerts without a parameter value are given an urgency of low.)
Requirement
1779
The system shall sort notifications based on column heading: Alert Date/Time (date/time the alert was triggered, newest to oldest or oldest to newest)
Requirement
1780
The system shall sort notifications based on column heading: Message (alert message or text, alphabetical or reverse alphabetical)
Requirement
1781
The system shall sort notifications based on column heading: Forwarded By/When (sorts alerts alphabetically and then by time for the same forwarding person)
Requirement
1782
The system shall store which column the user sorted by when the user exits or changes patients and sorts by that column again when the Patient Selection/Notifications screen is next displayed.
Requirement
1770
The system shall allow a user to foward notification to someone else at the site.
Requirement
1771
The system shall allow users to disable unwanted notifications as desired.
Requirement
1772
The system shall not allow mandatory notifications to be disabled.
Requirement
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