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SIMG_ISHMED_CLIM_BC - Manage Basic Catalogs and Basic Catalog Set

SIMG_ISHMED_CLIM_BC - Manage Basic Catalogs and Basic Catalog Set

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In order to be able to use the vital sign entry application, you require configured basic catalogs with special versions of basic catalog categories:

  • Main Catalog: Clinical measurements (CLIM)
    In the CLIM - Clinical Measurements category you manage the catalog items which should be available to the user as measurements during vital sign entry or vital sign planning. The measurements can be numeric or character strings.
  • Property Catalog: Value ranges (CLIR)
    The CLIR - Value Ranges catalog category contains the corresponding normal, warning and extreme ranges. If you use i.s.h.med charting this catalog also contains the corresponding display ranges.
    The value ranges always refer to numerical main catalog items. The definition of numerical value ranges enables the interpretation of entered or transferred values within the application. The system compares the numerical values with the assigned value ranges and, if these differ from the norm, flags these in the database table with an abnormality indicator. The system graphically highlights documented measurements which deviate from the norm for the user.
  • Property Catalog: Fixed values (CLIF)
    The fixed value catalog fills the input help for the measured values in the Value field in the table for vital sign entry. The catalog items in the fixed value catalog are "dimensionsless" content without a specific data type or measurement unit and are available for selection in the apllication as text values.
    You can also define fixed values in the name of the catalog item as number values, which are then used as "character strings" in the application to preset from the selection help. Such "number-character strings" from the selection help behave in the application in the same way as a manually typed number value. A typical example here would be a numerical pain scale.
  • Property Catalog: Additional information (CLIA)
    You can manage additional information for a documented measurement. The content of this basic catalog category is available to the user as input help for the Additional Information field when documenting measurements.

The effectivity of the basic catalogs belonging to the vital signs application is determined using the so-called basic catalog set of the Vital Signs work area:

  • You integrate the main catalog within the basic catalog set, i.e. the basic catalog of the CLIM - Clinical Measurements catalog category, with a valid time interval. In order to be able to define the basic catalog set for the Vital Signs work area, the main catalog must exist and be configured.
  • Exactly one basic catalog set is valid for the Vital Signs work area at any time. When you create another basic catalog set with a new validity, the validity of the older basic catalog set ends with this day.
  • You do not assing property catalogs for vital signs, i.e. of the CLIR - Value Ranges, CLIF - Fixed Values and CLIA - Additional Information catalog categories in the basic catalog set, but directly within main catalog management.

Normal Value Comparison Sets Abnormality Indicator

Using the embedded defined value range intervals the system checks and interprets the documented measurement during vital sign entry, and sets the abnormality indicator in the database table as follows:

  • Measurements within the normal range limits:
    No abnormality indicator
  • Measurements between lower normal range threshold and lower warning range threshold:
    Abnormality indicator L (Low)
  • Measurements between lower warning range threshold and lower extreme range threshold:
    Abnormality indicator LL (Very Low)
  • Measurements between upper normal range threshold and upper warning range threshold:
    Abnormality indicator H (High)
  • Measurements between upper warning range threshold and upper extreme range threshold:
    Abnormality indicator HH (Very High)

You can find information on the use of value ranges under Value Ranges of Clinical Measurements.

Activities

Checklist for Basic Catalog Management for Vital Signs Application:

  • Predefined Units of Measurement are required for the numerical catalog items, which you assign when entering item details. Call transaction CUNI to configure the units of measurement. Check whether all units of measure which you require already exist in the system and, if necessary, define the units of measure which are missing.
  • Call the transaction for managing basic catalogs and basic catalog sets. You can find corresponding documentation in customizing under Industry-Specific Component Clinical System → Cross-Application Settings → Basic Catalogs.
  • First, create the Property Catalogs, to whose entries you wish to create connections:
  • In the catalog of the CLIR - Value Ranges catalog category define the required value ranges and, if necessary, display ranges.
    Please note: Numerical measurements are only effective in the application if you have connected them with at least one minimum constellation of corresponding value ranges. This means that for each numerical item from the main catalog of the CLIM - Clinical Measurements catalog category you must have assigned at least one Normal Range and an Extreme Range from the property catalog of the CLIR - Value Ranges catalog category. In order to receive a complete graphical display in the chart, you must also have defined and assigned a Warning Range and a Display Range. Measurement items of the character string data type do not require a value range assignment.

  • You can optionally store fixed values in the catalog of the CLIF - Fixed Values catalog category, in order to fill the selection help for the measurement to be documented in the application.

  • You can optionally store additional information in the catalog of the CLIA - Additional Information catalog category, in order to be able to fill the selection help for the Additional Information field when documenting measurements in the application.

  • You then create a main catalog of the CLIM - Clinical Measurements catalog category and define the catalog items, which should be documented as measurements in the application.
  • The assignments of value ranges, fixed values and additional information to individual measurement items must be made in the main catalog.
    A prerequisite for this is you have assigned each property catalog with content which should be assigned, in the main catalog within the header data on the Catalog Assignment Definition tab page.
    You can then make item assignments by assigning individual catalog items of the main Value Ranges, Fixed Values, and Additional Information catalogs from the property catalogs, under the following conditions:
  • Assign the items from the property catalog of the CLIR - Value Ranges catalog category individually.

  • Assignments from the property catalogs of the CLIF- Fixed Values or CLIA - Additional Information catalog categories must be made in groups, by explicitly selecting the group when assigning items.
    You must remember to configure the group concerned as selectable.
    You should ensure that the assignment of a group for fixed values or additional information to an item of the main catalog is unique, i.e. you can only assign one group item of the corresponding property catalog to an item of the CLIM - Clinical Measurements catalog category.

  • Ensure that no other catalog definitions or item assignments are made between each other within the property catalogs of the CLIR - Value Ranges, CLIF - Fixed Values and CLIA - Additional Information catalog categories, because the system does not support such assignments in the applications.

  • You then define a suitable basic catalog set for the Vital Signs work area. In this set you assign the desired main catalog of the CLIM - Clinical Measurements catalog category:
  • On the Catalogs tab page the system offers the main catalogs available for connection.

  • The management data of the connected main catalog is displayed on the Main Catalog and you determine the validity period here.

  • You can assign several main catalogs of the CLIM - Clinical Measurements catalog category in the basic catalog set. The catalog validities specified in the set may not overlap.

  • On the Main Catalog tab page you can also activate the Display Configurations option. Read the "Display Configurations" section for more information on this.

  • Within the main catalog of the CLIM - Clinical Measurements catalog category you must determine a range of values for each organizational unit (OU) in which the Vital Signs application is in use. The system will only offer the catalog items contained in the OU-related range in the selection help for the Code field (catalog code for a measurement) during vital sign entry and vital sign planning. Measurement items from the main catalog, which are not defined within the range, do not exist in the selection help.
    To do this you activate the Ranges drawer, create a new range, assign it to one or more OUs and use the Hierarchy tab page to insert the items from the catalog which should appear in this range.

Structure Catalog Items in Groups

Group and individual entries are possible in the basic catalogs. In order to simplify the subsequent assignment of entries in the property catalogs to entries in the main catalog, we recommend that you create entries in property catalogs below the groups. For a group you determine whether it is selectable in the selection help within vital sign planning or vital sign entry and whether the system should automatically replace it with the sub-items following selection within vital sign planning or vital sign entry:

  • Selectable groups are required for item assignments from the property catalogs of the CLIF- Fixed Values and CLIA - Additional Information catalog categories.
  • In the case of value ranges, groups are optional but recommended sorting criteria. However, you cannot use these for item assignments, because value ranges are assigned at individual item level.

Validities and Delimitations of Catalog Items

In catalog management and in the individual assignments you should pay careful attention to the validity (date, time) of the individual item! The system will preset these with one day in advance so that you can configure for the future. Please note:

  • If you wish the assignment or definition to be valid immediately, you must set the time to the current value.
  • If the validity time of a catalog item has been reached (compared with the system time), changes can then only be made using a delimitation.

The term "delimitation" describes the versioning of catalog items when specific attributes, content or assignments change at the time of the delimitation. Delimitations are important in connection with the abnormality indicator determined and saved for a measurement during vital sign entry, because the evaluation of this indicator and the graphical display of the value ranges valid at the time of measurement are aligned with these.

To cancel an outpatient emergency admission, proceed as follows:

  • Call the item to be changed by double-clicking and navigate to the Delimitations tab page at bottom right. Choose the Create Delimitation pushbutton.
  • By double-clicking on the new table line for the created delimitation you access an editable dialog for the item. You can now change the item data and make or change item assignments from the property catalogs. You can still edit changes within the delimitation as long as the validity time has not yet been reached. After this modification is no longer possible. You may then only create a new delimitation.

Item Details in Main Catalog of CLIM - Clinical Measurements Catalog Category:

  • Data Type: Here you determine whether the catalog item is of the numeric or character string data type.
  • Unit of Measurement: (Only) numerical catalog items must have a unit of measurement specified.
  • Pair Formation and Corresponding Name: Regardless of group formation (!) in the main catalog you can declare that two defined measurement items are a pair, by determining the same pair key for these two values in the item details. This pair definition, for example systolic and diastolic blood pressure, is interpreted in a paired chart display and also means it is possible to input value pairs while configuring input elements for entering vital signs. The units of the paired catalog items must match.
    In the application the pair key for simple tabular vital sign entry without input elements is not interpreted.

Item Details in Property Catalog of CLIR - Value Ranges Catalog Category:

  • Range category: Specify whether this is a normal range, an extreme range or a display range for the chart.
    Note: You must define the normal range, warning range and extreme range as nested combined intervals: The normal range is the smallest interval within the interval for the warning range and the warning range lies within the interval for the extreme range.
    [ Lower Extreme Threshold [ Lower Warning Threshold [ Normal Range ] Upper Warning Threshold ] Upper Extreme Threshold ]
  • Age (Optional): You can define value ranges with an age reference.
  • Sex (Optional): You can define value ranges with a sex reference.
  • Range From - To: Interval limits of value ranges
  • Unit of Measurement: This must match the unit of measurement of the main catalog item to which it will later be assigned.

Option Display Configurations

You can optionally determine display configurations from the main catalog selection. The display configurations affect the display sequence of documented vital signs in the application: In the list the system will display the measurements listed in the display configuration first and any other documented measurements in the lines below. Proceed as follows:

  • In the main catalog of the CLIM - Clinical Measurements catalog category activate the Display Configuration drawer, name a display configuration and assign this to the catalog items concerned.
  • You must activate the display configuration defined in the main catalog in the valid basic catalog set. To do this you enter the display configurations in the basic catalog set on the Main Catalog tab page, whereby you must determine a "default configuration" or one display configuration each for the "Presentation in Dialog", "Print" and "Clinical Overview" purposes, with an OU reference.

Example

The following examples should clarify further:

  • A "PULSE / Heart Rate" catalog item in a Vital Signs main catalog (of the CLIM - Clinical Measurements catalog category) receives assignments to value ranges: These are individual items from the catalog of the CLIR - Value Ranges catalog category, classified as the normal range, extreme range and warning range and if necessary, as a chart-relevant display range.
    Furthermore "PULSE / Heart Rate" also has an assignment to a group of values from a catalog of the CLIA - Additional Information catalog category which contains several entries with content which qualifies the pulse, for example, “Pulse hardly palpable”.
  • Another "PAIN / Pain Perception" catalog item receives an assignment to a group of values from a catalog of the CLIF - Fixed Values catalog category, which maps pain assessment on a scale of 0 ("no pain") to 10 ("unbearable pain") and offers these in the selection help for the value input during vital sign entry. Measurements for a pain scale can be of the character string data type without a unit of measurement.
    However, if the pain scale should be graphically mapped in the chart, the pain measurements must be of the numeric data type, have a defined unit of measurement and also have value ranges and a display range from the catalog of the CLIR - Value Ranges catalog category assigned.
  • Pair Formation: For the blood pressure you define the catalog items "Systolic Blood Pressure" and "Diastolic Blood Pressure" and allocate the same pair key with pair name for these two. Under these circumstances you can
  • use the Industry-Specific Component Clinical System → Clinical Documentation → Clinical Measurements → Vital Signs: Input Elements → Vital Signs: Input Element Assignment to assign the input element for the blood pressure and the suitable "systolic" or "diastolic" measurement, so that the system displays the input element for blood pressure to the user during vital sign planning or vital sign presetting.

  • define a chart which displays the measurement pair "Systolic / Diastolic Blood Pressure" together.






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