Reminder Exchange

Introduction
• Reminders can be sent from one facility to
another
• Area Offices can create a central
repository for each service unit’s locally
created reminders with/without dialogs
• National Reminders are installed in the
exchange. Service Units pick and choose
National Reminders they would like to
implement
 How Does it Work?
• Can be sent via a host file
• Can also be sent in Reminders Patches
• Puts the reminder into a Reminder Exchange
File
• Site can review the reminder and install it
• Have the option to skip any pieces that already
exist at a site
 Problems
• Taxonomies
– Indian Health sites do not have standardized files for
some files such as ICD9 and CPT codes
– If there are problems with a term, it will not install
• Quick Orders
– Quick orders cannot be sent through Exchange
• Objects
– Will not install an object in a dialog if it does not exist
at the site.
Using Reminder Exchange
 Receiving a Reminder
• Actions are listed at
the bottom of the
screen
• Load Host File –
Searches (by default
the default folder for
files with extension
.PRD)
• When Loading a
Host File, enter the
whole file name, no
partial searches
 Receiving – Part 2
• Choose the file you
wish to import from
the list
• You should then see
it in the list on the
screen
• Choose IFE – Install
Exchange File Entry
• Choose the entry
you wish to install
Receiving – Part 3
• You can scroll
through the definition
• Check the upper left
to review what you
are looking at
• Choose IA to Install
all components
Components – Already there
• For each component,
there is a choice list
• If a site already has
the component, the
default is Skip, do not
install again.
• This can be
overwritten if desired
 Components – New
• Install is the default
for all new
components
 Review
• Look it over after
installation
• Each component should
have an X in the exists
column
• If not, try installing that
component using IS –
Install Selected
Components
• Fix any errors that occur
on installation
Installing a Dialog
• If a dialog came with
the reminder, you will
next see this screen
to install the dialog
• Check carefully. This
looks a lot like the
other screen
• Chose IA Install All
 Install Dialog
• All dialog components for INSULIN
HGBA1C>8 are new.
• Install reminder dialog and all
components with no further
changes:Y// ES
• FINDING entry Q.ORZ INSULIN does
not exist.
Select one of the following:
• This is an example of a quick
order in a dialog
• Its important to review the dialog
first and make any quick orders
that will be needed
• Second choice, is to put a
“placeholder” order dialog here
and fix it later

D Delete (from the reminder/dialog)

P Replace (in the reminder/dialog)
with an existing entry
Q Quit the install

Enter response:
 Dialogs - Linking
• If the reminder and dialog have the same
name, they will be automatically linked
• If not, you will be asked to link them
together
• Select Reminder to be Linked
 Review Components
• Review the components
before leaving
• Make sure that there is
an X in the exists column
for each one
• Hit return to go back to
the reminder components
• Hit return again to return
to the list of items in
exchange
 Dialogs - Activate
• Dialogs are always disabled when they
come in reminder exchange
• When you review the dialog, it must be
activated before it can be used in a
progress note
 Sending a Reminder
• Choose CFE to
Create an Exchange
File Entry
• Enter the name of the
reminder to pack
DIABETES SCREEN
 Sending a Reminder
• Next enter a description. If you put one in
when you made the reminder, it will
appear
• Next enter Keywords. These can be used
to search for a reminder. They are not
required
• You will get a message that the reminder
is being packed
Sending a Reminder
• It should now
appear on the list
• Choose CHF
(Create a host file)
 Create Host File
• Enter a path: C:\TEMP\//
– The default will be whatever path is in the Default
Directory for HFS field in the Kernel Systems
Parameters Domain Name file
– This can be overwritten
• Enter a file name: SCREEN
• Will save selected entries to host file
C:\TEMP\SCREEN.PRD?: Y//
– The extension is ALWAYS PRD
• Send in Exchange
Questions and Discussion