E-Mar Long-Term
Care (LTC™) System
Requirements Document




       (January 2006)
LifeCare Technologies, Inc.™


                                                                         E-Mar Long-Term
  ...
E-Mar Long-Term Care (LTC) System

    3.2       Data Specifications.........................................................
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       7.1.6       Order On Hold .........................................................
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                   All materials in this specification documentation are confidentia...
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1 Document Profile

1.1        Purpose of this Document
       The purpose of this d...
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1.3        Who Can Use this Document?
       This document is intended for use primar...
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2 System Login

2.1        Logical Specifications
       All actors must use a valid...
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                         Figure 2-2 E-Mar LTC Dose Alert Screen (tiled view)

      ...
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        To log back into the normal view, the actor:
            1. Scans an ID badge...
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3 The Dose Alert Screen
  (Tiled View)

3.1        Logical Specifications
       The...
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                                  RESIDENT TILES “COLOR CODES”
       White or light...
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3.1.2 The Global Command Bar
       The bar at the bottom of the Dose Alert screen i...
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                 Med Pass is set up using the E-Mar LTC Administration Tool. The acto...
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3.1.2.4 The Census/Tiled Button
       The actor clicks on the Census/Tiled button t...
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3.1.4 The Resident Identification Window
       The actor can click on any resident ...
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        The information, or actions, available from the Resident Identification windo...
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   Field         Length        Type          Data         Required        Related   ...
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   Field         Length        Type         Data         Required        Related    ...
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   Field         Length        Type         Data         Required        Related    ...
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   Field        Length        Type         Data         Required        Related     ...
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   Field        Length       Type         Data         Required        Related      ...
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   Field        Length       Type         Data         Required        Related      ...
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   Field        Length        Type         Data         Required        Related     ...
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         4 The Resident Census Screen

         4.1        Logical Specifications
  ...
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           The Resident Identification Pane displays the resident’s name, an image of...
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                     Figure 4-3 Resident Observations tab for entering Vitals/Histor...
E-Mar Long-Term Care (LTC) System




                       Figure 4-5 Resident Observations tab for entering Allergies d...
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                         Figure 4-7 Resident Observations tab for entering Notes dat...
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4.1.2 Adding an Image
       The actor can add the resident’s image to the Resident I...
E-Mar Long-Term Care (LTC) System




                                        Figure 4-10 Census List Options


       The...
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                                       Figure 4-11 Once Dose window


       The act...
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4.2          Data Specifications
    Field           Length        Type          Dat...
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    Field           Length         Type          Data          Required      Related...
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    Field           Length         Type        Data        Required       Related   ...
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    Field           Length          Type        Data        Required        Related ...
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    Field           Length         Type         Data        Required       Related  ...
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    Field           Length         Type        Data       Required       Related    ...
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E-Mar LTC Requirements Document

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This was an internal requirements document, drafted for development personnel, of an automated healthcare device for the distribution and management of medications within long-term care facilities.

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E-Mar LTC Requirements Document

  1. 1. E-Mar Long-Term Care (LTC™) System Requirements Document (January 2006)
  2. 2. LifeCare Technologies, Inc.™ E-Mar Long-Term Care (LTC™) System Requirements Document Contents 1 Document Profile.................................................................................................................... 6 1.1 Purpose of this Document........................................................................................................... 6 1.2 Scope and Layout of this Document .......................................................................................... 6 1.3 Who Can Use this Document? ................................................................................................... 7 1.4 Document Format ....................................................................................................................... 7 2 System Login........................................................................................................................... 8 2.1 Logical Specifications ................................................................................................................. 8 2.1.1 First Login ...............................................................................................................................................9 2.1.2 Login After Step Away............................................................................................................................9 2.2 Data Specifications.................................................................................................................... 10 3 The Dose Alert Screen (Tiled View)..................................................................................... 11 3.1 Logical Specifications ............................................................................................................... 11 3.1.1 The Residents Tiles................................................................................................................................11 3.1.2 The Global Command Bar.....................................................................................................................13 3.1.2.1 The Menu Button ..........................................................................................................................13 3.1.2.2 The Med Pass Button ....................................................................................................................13 3.1.2.3 The View Button...........................................................................................................................14 3.1.2.4 The Census/Tiled Button ..............................................................................................................15 3.1.2.5 The Help Button............................................................................................................................15 3.1.2.6 The Step Away Button ..................................................................................................................15 3.1.2.7 The Log Off Button.......................................................................................................................15 3.1.3 The MAR Control Buttons ....................................................................................................................15 3.1.4 The Resident Identification Window .....................................................................................................16 Approvals: Project Lead _______ B.A. ________ Development Lead _______ Final Review _______ Release 1.0 – E-Mar LTC System Requirements Document 2 of 105
  3. 3. E-Mar Long-Term Care (LTC) System 3.2 Data Specifications.................................................................................................................... 17 4 The Resident Census Screen ................................................................................................ 25 4.1 Logical Specifications ............................................................................................................... 25 4.1.1 Adding Observations .............................................................................................................................26 4.1.2 Adding an Image....................................................................................................................................30 4.1.3 Census List Options ...............................................................................................................................30 4.1.4 The Once Dose Feature..........................................................................................................................31 4.2 Data Specifications.................................................................................................................... 33 5 The Resident MAR Screen ................................................................................................... 51 5.1 Logical Specifications ............................................................................................................... 51 5.1.1 Resident MAR Banner...........................................................................................................................52 5.1.2 Medication Order Area (Order Tiles) ....................................................................................................52 5.1.2.1 Status Button Selections................................................................................................................53 5.1.3 Due/Chart Tab .......................................................................................................................................54 5.1.3.1 STAT Order Options.....................................................................................................................54 5.1.3.2 Due or Past Due Order Options ....................................................................................................54 5.1.3.3 Charting Options...........................................................................................................................55 5.1.3.4 Outcome Options ..........................................................................................................................55 5.1.4 Routine Orders Tab................................................................................................................................55 5.1.5 PRN Orders Tab ....................................................................................................................................56 5.1.6 All Orders Tab .......................................................................................................................................57 5.1.6.1 Order List Section .........................................................................................................................57 5.1.6.2 Order Details Section ....................................................................................................................58 5.1.6.3 Order Rules Section ......................................................................................................................58 5.1.6.4 Order History Button ....................................................................................................................58 5.1.6.5 Control Buttons .............................................................................................................................58 5.1.7 Unverified Orders Tab ...........................................................................................................................58 5.1.8 History Tab ............................................................................................................................................59 5.1.8.1 Filters Section ...............................................................................................................................60 5.1.8.2 Dose Documentation Details Section............................................................................................60 5.1.8.3 Print MAR Button.........................................................................................................................61 5.1.8.4 Additional Functions.....................................................................................................................61 5.1.9 Global Command Bar ............................................................................................................................61 5.2 Data Specifications.................................................................................................................... 61 6 Order Verification................................................................................................................. 78 6.1 Logical Specifications ............................................................................................................... 78 6.1.1 The First Dose........................................................................................................................................79 6.1.2 The Schedule Page.................................................................................................................................80 6.1.3 The Confirmation Page..........................................................................................................................81 6.1.4 The Dose Confirmation Window...........................................................................................................83 6.1.4.1 The Progress Bar...........................................................................................................................84 6.2 Data Specifications.................................................................................................................... 84 7 Barcoding and System Messages ......................................................................................... 90 7.1 Logical Specifications ............................................................................................................... 90 7.1.1 Dose Confirmation.................................................................................................................................90 7.1.2 Barcode Scanning ..................................................................................................................................91 7.1.3 Med Not Due .........................................................................................................................................91 7.1.4 Wrong Resident .....................................................................................................................................92 7.1.5 Minimum Time Between Orders ...........................................................................................................92 Release 1.0 – E-Mar LTC System Requirements Document 3 of 105
  4. 4. E-Mar Long-Term Care (LTC) System 7.1.6 Order On Hold .......................................................................................................................................93 7.1.7 Order Discontinued................................................................................................................................93 7.1.8 Resident Record Locked........................................................................................................................94 7.1.9 Similar Name Alert................................................................................................................................94 7.2 Data Specifications.................................................................................................................... 95 8 Using the E-Mar LTC System .............................................................................................. 96 8.1 Logical Work Flow ................................................................................................................... 96 8.1.1 Quick Admit ..........................................................................................................................................96 8.1.2 Dose Administration..............................................................................................................................96 8.1.2.1 Due or Past Due Doses..................................................................................................................96 8.1.2.2 Dosing PRN Orders ......................................................................................................................97 8.1.2.3 Early Doses ...................................................................................................................................97 8.1.2.4 Once Dose.....................................................................................................................................98 8.1.2.5 Bypass a Dose ...............................................................................................................................99 8.1.2.6 Injections.......................................................................................................................................99 8.1.2.7 Sliding Scale .................................................................................................................................99 8.1.3 Orders ..................................................................................................................................................100 8.1.3.1 Routine Order Verification .........................................................................................................100 8.1.3.2 Reject an Order ...........................................................................................................................100 8.1.3.3 Order Discontinuation.................................................................................................................100 8.1.3.4 Order Hold/Resume ....................................................................................................................101 8.1.4 Modify an Order ..................................................................................................................................101 8.1.5 Frequencies ..........................................................................................................................................101 8.1.5.1 Daily (one or more per day) ........................................................................................................101 8.1.5.2 Range (hours, days, weeks or months between doses)................................................................102 8.1.5.3 PRN.............................................................................................................................................102 8.1.5.4 Mapped Frequencies ...................................................................................................................102 8.1.5.5 Add a Frequency .........................................................................................................................103 8.1.5.6 Unsupported Frequencies............................................................................................................103 8.1.6 Adding Observations ...........................................................................................................................103 Index ........................................................................................................................................... 104 Release 1.0 – E-Mar LTC System Requirements Document 4 of 105
  5. 5. E-Mar Long-Term Care (LTC) System All materials in this specification documentation are confidential to LifeCare Technologies, Inc., and cannot be disclosed to anyone outside of the company without specific permission from authorized management. The methodology, formats and business applications used herein are copyright protected products of LifeCare Technologies, Inc. Their use by persons or for purposes not authorized in writing by LifeCare Technologies, Inc. is unlawful. Photocopy duplication and distribution is limited to LifeCare Technologies, Inc., and their legal assignees. All rights to electronic duplication, distribution, or alteration are strictly limited to LifeCare Technologies, Inc. This document identifies the Logical Design Requirements for the E-Mar Long-Term Care™ (LTC) System. The information in this document is subject to change. LifeCare Technologies, Inc. may occasionally issue revisions to advise of changes and/or additions. © Copyright 2006 LifeCare Technologies, Inc.™ All rights reserved. LifeCare Technologies, Inc. 4710 Eisenhower Boulevard Suite A-10 Tampa, FL 33634 (813) 886-7500 www.lifecaretech.com Release 1.0 – E-Mar LTC System Requirements Document 5 of 105
  6. 6. E-Mar Long-Term Care (LTC) System 1 Document Profile 1.1 Purpose of this Document The purpose of this document is to identify the System Requirements for the long-term care (LTC) version of the E-Mar system. This document is intended to provide the Logical Design necessary to pilot the Physical Design and Development phase of the E-Mar LTC product. This document takes into account material accrued from earlier product phases, identifies any additional system objects, determines operations and data structures for all objects, validates relationships and interactions between objects, and prototypes actor interface objects. The ultimate goal of this document is to identify specific actor actions that will result in predictive outcomes when utilized by users of the E-Mar LTC product. Note that this document does not attempt to limit design choices based on any platform or language decisions that were made in previous product phases. Any constraints that resulted from such platform or language decisions will be dealt with during the Physical Design phase. 1.2 Scope and Layout of this Document This document contains instructions for the E-Mar LTC System, including: • administering physician-ordered medications by pre-authorized personnel, • managing the dosing schedule by providing real-time reminders that an action is required, • accessing a resident’s complete MAR from multiple locations, • ensuring the right resident, drug, dose, route, and time, • documenting the administration of administered medications, • charting of observations, assessments, outcomes and other dose-related information. Both the end-user software, and the administration software, must be installed and the associated servers set up before the instructions in this document can be applied. Because all activities in the system are performed via displays on the monitor screen, all instructions in this document are associated with those particular screens. Release 1.0 – E-Mar LTC System Requirements Document 6 of 105
  7. 7. E-Mar Long-Term Care (LTC) System 1.3 Who Can Use this Document? This document is intended for use primarily by the LifeCare Technologies, Inc. development staff as a general guide in the creation of the Physical Design of the E-Mar LTC (End-User) system. However, senior management and/or the marketing staff may elect to use some edited version of this document for new-client presentations or RFP/RFI applications, as desired. 1.4 Document Format This document uses a combination of grammatical and graphical formats, that is, narrative text combined with screen views, window views, and tabled data. A red highlight or underline indicates that a data field or some process requires editing or a definition of what’s being described. These pending issues will be dealt with during the Physical Design phase of the project, and reflected in a later, revised version of this document. This requirements document can be viewed as a two-part logical overview of the LTC system: • Part I – Chapters 2 through 7 of the document cover the general layout and design of the system. After describing the initial login procedure (Chapter 1), the next six chapters cover the three main “views” of the E-Mar LTC system: • The Dose Alert Screen or Tiled View • The Census View • The MAR Screen Also, order verification process, barcoding, and related system messages are covered. Chapters 2 through 7 are also organized into two main sections • Logical Specifications: This section covers the logical application of the topics covered in the particular chapter, using narrative text and screen/window views as mentioned earlier. • Data Specifications: This section maps all of the fields (i.e., entry vs. display) in Chapters 2 through 7 only. These “data maps” – which are organized in tabled format – include the Field Name, Length, Type, Data Type, Required Fields, Related Fields, Duplicates Allowed, and Related Source(s) for every field on all the screen/window views. • Part II – Chapter 8 of the document covers the practical application of the LTC system, such as working with barcodes, Quick Admits, Dose Administration, Orders, Recording Observations, and all of the related functions and views used by the actor to manage the dispensation of orders to the residents under the actor’s defined area of responsibility. The electronic version of this document features extensive hyperlinks that allow the reader to navigate among the various topics, and to access cross-references embedded in the text. These links are color-coded and underlined wherever they appear within the document. Release 1.0 – E-Mar LTC System Requirements Document 7 of 105
  8. 8. E-Mar Long-Term Care (LTC) System 2 System Login 2.1 Logical Specifications All actors must use a valid User Name and Password combination in order to log into the E-Mar LTC system. Access to the system should be available only to authorized actors who have been previously identified in the system. If an actor does not have the appropriate security level defined in the system, an “Invalid User or Password” message is displayed. The access table (to be defined) should identify the actor’s: • User Name, • Password, and • the level of security and privileges for which the actor is authorized. Figure 2-1 E-Mar LTC Login window Once the actor enters a valid User Name/Password combination in the appropriate fields, the actor clicks on the arrow key to display the Dose Alert Screen (tiled view). Release 1.0 – E-Mar LTC System Requirements Document 8 of 105
  9. 9. E-Mar Long-Term Care (LTC) System Figure 2-2 E-Mar LTC Dose Alert Screen (tiled view) Prior to software delivery, some actors are set up with various levels of security privileges based on input received from the facility. Additionally, some facilities support scanning which enables the actor to login by scanning an ID tag and typing a password. 2.1.1 First Login When the actor logs into the LTC system for the first time, a disclaimer information window is displayed. The actor acknowledges the agreement by clicking on the appropriate button and then OK. Note that this is a one-time-only function. Once the actor accepts the disclaimer terms, the window does not display again for subsequent sessions by the same actor. 2.1.2 Login After Step Away When doses of medications are prepared for dispensing, the actor clicks on a Step Away button in the lower right corner of the Dose Alert Screen to log out of the E-Mar system temporarily while administering the medication. When this action is taken, all resident-specific identification (with the exception of the room number and bed) is hidden. Release 1.0 – E-Mar LTC System Requirements Document 9 of 105
  10. 10. E-Mar Long-Term Care (LTC) System To log back into the normal view, the actor: 1. Scans an ID badge, or 2. Double-clicks on the User in the window below to fill the User Name field, 3. Types the Password in the appropriate field, and 4. Clicks on the arrow key to re-displayed the normal tiled view. 2.2 Data Specifications Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) User Un- Entry Alpha- Y Password Y ? Name defined numeric Edit Validation Logic: Actor’s level of security and privileges authorization must first be established in the system. Field is dynamic and unedited, accepting both alpha and numeric characters. Password Un- Entry Alpha- Y User Name Y ? defined numeric Edit Validation Logic: Actor’s level of security and privileges authorization must first be established in the system. Field is dynamic and unedited, accepting both alpha and numeric characters. OK n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on the button to confirm a pending action. Global function. Step Away n/a Button Action Y n/a N System Config. Edit Validation Logic: Allows the actor to temporarily log out of the system while administering medication to a resident. Actor must log back into the system to re-display the normal view. Release 1.0 – E-Mar LTC System Requirements Document 10 of 105
  11. 11. E-Mar Long-Term Care (LTC) System 3 The Dose Alert Screen (Tiled View) 3.1 Logical Specifications The Dose Alert Screen always defaults to the tiled view at the start up of the LTC system. Each location is represented by a Resident Tile. The Dose Alert Screen changes depending on whether or not someone is logged in. When no one is logged in, resident locations are displayed on the Resident Tiles as Occupied, instead of by the resident’s name, to ensure privacy. 3.1.1 The Residents Tiles Information on the Dose Alert Screen tiles is communicated to the actor via verbal, graphical, and color-coded means. The resident’s Name is displayed at the top of the tile. If two residents have similar names , a warning icon is displayed. The location is defined by the Room Number and Bed. The Next Dose Due is displayed as a date/time stamp. The Med Status area displays icons that indicate if a dose is due or overdue, if charting is needed, or if an outcome must be documented. No symbol indicates that the actor does not need to take any action. The areas of the residents tile are discussed further in the Data Specifications section of this chapter. The table below defines the icons, color coding, and watermarks used in the tiled view. RESIDENT TILES “STATUS ICONS” Located to the left of the resident’s name Indicates that there are residents with similar names. (color-coded purple.) Indicates resident has one or more medication Located in the Med Status area of tile. doses due. (Color-coded green.) Indicates resident has one or more medication Located in the Med Status area of tile. doses past due. (Color-coded red.) Indicates resident has one or more medication Located in the Med Status area of tile. doses that require charting or assessment. (Color-coded orange.) Indicates resident has one or more medication Located in the Med Status area of tile. doses with an outcome that needs to be documented. (Color-coded light blue.) Release 1.0 – E-Mar LTC System Requirements Document 11 of 105
  12. 12. E-Mar Long-Term Care (LTC) System RESIDENT TILES “COLOR CODES” White or light gray Some action is required as indicated by icons and watermarks. Teal The resident has unverified orders. Pink The resident has a STAT dose due. Medium Gray Normal. No dose is due. RESIDENT TILES “WATERMARKS” No watermark shown on tile. Normal condition. The resident has one or more doses that are due immediately (STAT). The resident has one or more unverified orders. The resident is on a leave of absence from the LTC facility. The resident has one or more medication doses past due. Release 1.0 – E-Mar LTC System Requirements Document 12 of 105
  13. 13. E-Mar Long-Term Care (LTC) System 3.1.2 The Global Command Bar The bar at the bottom of the Dose Alert screen is comprised of several command buttons. Figure 3-1 Global Command Bar 3.1.2.1 The Menu Button The actor clicks on the Menu button to display the following drop-down list of options: • Administration Tools… This selection enables the actor to navigate to the Administration Tool where various set-up tables are maintained. The actor can then add, modify, or delete table data. • Quick Admit… This allows the actor to admit a resident on an emergency basis. (See the section on Quick Admit for further information.) • View View enables the actor to open a window to set filters and other options controlling the residents included in the view. The two drop-down selections under View – View and Census – operate the same as the View or Census buttons on the Global Command Bar. • Minimize E-MAR The actor clicks on this button to reduce the screen view to a button displayed in the lower left corner of the computer screen. Double-clicking the button restores the previous view. • Exit the Application The actor shuts down the E-Mar LTC system completely with this selection 3.1.2.2 The Med Pass Button The actor clicks on the Med Pass button to filter the resident tiles on the Dose Alert Screen to those residents assigned to a particular area. Med Pass is present in the tiled and census views but not on the MAR screen. Clicking on the Med Pass button displays some previously selected Med Passes. The actor clicks on Select to show a complete list of all available Med Passes. The actor can select any Med Pass that is on the list. Release 1.0 – E-Mar LTC System Requirements Document 13 of 105
  14. 14. E-Mar Long-Term Care (LTC) System Med Pass is set up using the E-Mar LTC Administration Tool. The actor selects the Med Pass Function from the Administration Tool system to add, edit, or delete Med Passes. The actor can designate any Med Pass identifiers desired, according to the facility’s protocol. 3.1.2.3 The View Button The actor clicks on the View button to filter, sort, and organize the display of residents on the Dose Alert Screen, for both the tiled and the census views. Drop-down list displays units when Resident on Unit selected. Figure 3-2 Select View Settings window When the actor selects Resident on Unit, a drop-down list is available that allows the actor to indicate the particular unit. The actor can filter the view further by selecting Due Orders, Unverified Orders, or Charting Required. The actor can sort the view by Last Name or Room. Additionally, the actor can select the Unverified Order, STAT Orders, Doses Due, or Charting Required radio buttons to organize the screen view by urgency of dose dispensation. Residents requiring no action are placed at the end of the listing, along with any actions that are not checked on the Select View Settings window. When the actor selects Set As Default, those radio buttons selected for filtering and ordering become the default settings. Release 1.0 – E-Mar LTC System Requirements Document 14 of 105
  15. 15. E-Mar Long-Term Care (LTC) System 3.1.2.4 The Census/Tiled Button The actor clicks on the Census/Tiled button to toggle between the tiled and census view of the Dose Alert Screen. (See Chapter 4 on The Census View for further information about this view.) The MAR screen provides separate tiled and census buttons. 3.1.2.5 The Help Button The actor clicks on the Help button to display the online Help Contents screen. The actor can also click on F1 on any field to display the Help relating to that screen. 3.1.2.6 The Step Away Button The actor clicks on the Step Away button to temporarily log out of the system when administering medications. The actor later logs back into the system by following the procedure described in Chapter 2 under Login After Step Away. (In some facilities the actor can scan their ID to log back into the system.) If the actor steps away from the E-Mar system for longer that the time permitted by the facility, the actor is automatically logged off. 3.1.2.7 The Log Off Button The actor clicks on the Log Off button to completely log off the system. The actor logs back into the system by following the procedure described in Chapter 2 under System Login. 3.1.3 The MAR Control Buttons When the actor clicks on a resident’s tile and Select from the Resident Identification window, a new set of control buttons are displayed at the bottom of the screen. Figure 3-3 MAR control buttons The Menu and Help buttons function the same on the Dose Alert Screen. The actor clicks on the Census or Tiled buttons, depending on the screen view desired. Release 1.0 – E-Mar LTC System Requirements Document 15 of 105
  16. 16. E-Mar Long-Term Care (LTC) System 3.1.4 The Resident Identification Window The actor can click on any resident panel in the tiled view of the E-Mar LTC system to display the Resident Identification window. Display -Only Areas Action Buttons Figure 3-4 Resident Identification window The window can also be displayed by scanning the resident’s barcoded wrist band. The Resident Identification window displays resident-related information that the actor has already entered in the census view of the system. Additionally, the actor can perform certain actions by clicking on any of the four buttons in the lower left side of the window. Release 1.0 – E-Mar LTC System Requirements Document 16 of 105
  17. 17. E-Mar Long-Term Care (LTC) System The information, or actions, available from the Resident Identification window include: • The resident’s name and ID number. • An image of the resident. (See the section on Adding an Image for further details.) • The resident’s location (Facility-Unit-Room-Bed). • Observations relating to allergies, diagnosis, notes, and complaints. • The MAR screen of the medications prescribed for the resident. (The actor clicks on the Select action button.) • The Once Dose window, which enables the actor to administer a single medication. (The actor clicks on the Once Dose action button.) • The Resident Observations window, which the actor uses to record resident data. (The actor clicks on the Observations action button.) • The Cancel action button, which stops a pending action. 3.2 Data Specifications Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) “RESIDENTS TILES” SECTION Room n/a Display Alpha- Y Bed N Facility-Unit- numeric Room-Bed (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Bed n/a Display Alpha- Y Room N Facility-Unit- numeric Room-Bed (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Date/Time 10 + 5 Display Numeric Y n/a N Internal to Stamp E-Mar/DBase (Next Dose Due) Edit Validation Logic: Field on Dose Alert Screen tile that indicates when the resident’s next dose is due. If no doses are past due, then the date/time of the oldest dose is displayed. If none is scheduled, then the area of the tile is blank. Release 1.0 – E-Mar LTC System Requirements Document 17 of 105
  18. 18. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Last Name n/a Display Alpha- Y First Name N Residents numeric (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. First Name n/a Display Alpha- Y Last Name N Residents numeric (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Location n/a Display Alpha- Y Room, Bed N Facility-Unit- numeric Room-Bed (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Med Status n/a Display Icons Y Doses N ? Edit Validation Logic: Icons display if the dose is due or overdue, if charting is required, or if an outcome needs to be documented. No icon displayed means no action is required. (See the Residents Tiles section.) STAT n/a Display Color + Y ? N Item/Formulary W-mark (Admin. Tool) Edit Validation Logic: Resident’s tile color (on Dose Alert Screen) turns pink, and the STAT watermark displays, indicating that the resident has one or more doses due immediately. UNV n/a Display Color + N n/a N n/a W-mark Edit Validation Logic: Resident’s tile color turns teal, and the UNV watermark displays, indicating that a new order(s) has been received from the pharmacy to the facility’s E-Mar system that requires review and verification. LOA n/a Display Color + Y ? N Residents W-mark (Admin. Tool) Edit Validation Logic: Resident’s tile color turns gray, and the LOA watermark displays, indicating that the resident is away from the facility on a Leave of Absence. “GLOBAL COMMAND BAR” MENU n/a Button Selection Y n/a N n/a Edit Validation Logic: Actor clicks on the button to access (1.) Administration Tools, (2.) Quick Admit, (3.) View, (4.) Minimize E-MAR, and (5.) Exit the Application. (See the The Menu Button section also in this chapter for further information.) Release 1.0 – E-Mar LTC System Requirements Document 18 of 105
  19. 19. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) MED PASS n/a Button Selection Y n/a N n/a Edit Validation Logic: Actor clicks on button to filter residents according to a selected Med Pass. This function is present in the tiled and census views, but not on the MAR screen. Med Pass is set up on the E-Mar LTC Administration Tool. (See The Med Pass Button section also in this chapter for further information.) Select n/a List Func. Selection Y Med Pass N n/a Edit Validation Logic: Actor clicks on Select to display a complete list of available Med Passes. — (Fields under the “View” button on the Global Command Bar) — VIEW n/a Button Selection Y n/a N n/a Edit Validation Logic: Enables actor to open the Select View Settings window to set filters and other options that control how residents are displayed in both the tiled (default) and census views. This function is not present on the MAR screen. (See The View Button also in this chapter section for further information.) All n/a Radio Action Y n/a N Med Pass Residents Button (Admin. Tool) Edit Validation Logic: Actor filters all residents to be viewed on the Dose Alert Screen view. Resident on n/a Radio Selection N n/a N Med Pass Unit Button List (Admin. Tool) Edit Validation Logic: Actor filters only those residents to be viewed on a particular unit. A drop-down list enables the actor to select a unit to enter in the field. The field is validated by the E-Mar LTC Administration Tool. Due Orders n/a Radio Selection N n/a N n/a Button Edit Validation Logic: A filtering selection, enabling the actor to map the Dose Alert Screen view as desired. Unverified n/a Radio Selection N n/a N n/a Orders Button Edit Validation Logic: Both a filtering and hierarchical selection, enabling the actor to map the Dose Alert Screen . STAT n/a Radio Selection N n/a N Items/Formulary Orders Button (Admin. Tool) Edit Validation Logic: A hierarchical selection, enabling the actor to organize the Dose Alert Screen. Doses Due n/a Radio Selection N n/a N n/a Button Edit Validation Logic: A hierarchical selection, enabling the actor to organize the Dose Alert Screen. Charting n/a Radio Selection N n/a N n/a Required Button Edit Validation Logic: Both a filtering and hierarchical selection, enabling the actor to map the Dose Alert Screen. Release 1.0 – E-Mar LTC System Requirements Document 19 of 105
  20. 20. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Set As n/a Button Action N All on N n/a Default “Select View Settings” Edit Validation Logic: When the actor selects Set As Default, all radio buttons selected for filtering and ordering become the default settings. (See the section on The View Button also in this chapter for further information.) OK n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to confirm a pending action. Global function. Cancel n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to stop a pending action. Global function. — (End of fields under the “View” button on the Global Command Bar) — CENSUS n/a Button Selection Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to switch to the census view. Both the tiled and census views are present on the MAR screen. (See The Census/Tiled Button section also in this chapter for more information.) HELP n/a Button Selection Y n/a Y Help Module Edit Validation Logic: Allows actor to display the online Help Content screen. (See The Help Button section also in this chapter for further information.) STEP n/a Button Selection Y n/a N n/a AWAY Edit Validation Logic: Allows the actor to temporarily log out of the system while administering a medication. Actor logs back in by following the procedure described in Chapter 2 under Login After Step Away. LOG OFF n/a Button Selection Y n/a N n/a Edit Validation Logic: Actor completely logs out of the system. Actor logs back into the system by following the procedure described in Chapter 2 under System Login. — (Fields relating to selections under the “View” button only) — Admin- n/a Menu Navigation Y n/a N n/a istration Selection Function Tools Edit Validation Logic: Actor navigates to the E-Mar LTC Administration Tool system where various set-up tables are maintained. The actor can then add, modify, or delete the table data as necessary. (For detailed information on E-Mar’s table functions, see the “Administration Tool User Manual.”) Quick n/a Menu Data Entry Y n/a N n/a Admit Selection Window Edit Validation Logic: Actor uses this function to quick-admit a resident to the facility on an emergency basis. Release 1.0 – E-Mar LTC System Requirements Document 20 of 105
  21. 21. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Load n/a Button Action N n/a N ? Image Edit Validation Logic: Actor can import an image of the resident into the LTC system, if capability is available. Gender 1 Entry Selection N n/a N Residents List (Admin. Tool) Edit Validation Logic: Actor enters the resident’s gender. Field is validated in the Administration Tool. Birth Date 10 Entry Numeric N n/a N Residents (Admin. Tool) Edit Validation Logic: Actor enters the resident’s birth date, using an online calendar function. Resident 8 Entry Numeric N ? N Residents ID (Admin. Tool) Edit Validation Logic: Actor enters the resident’s ID. The field is validated in the Administration Tool. However, the field is dynamic and unedited, accepting both alpha and numeric characters. MR # TBD Entry Numeric N ? N Residents (Admin. Tool) Edit Validation Logic: Actor enters the resident’s Medical Record number. The field is validated in the Administration Tool. However, the field is dynamic and unedited, accepting both alpha and numeric characters. Acct. No. TBD Entry Numeric N ? N Residents (Admin. Tool) Edit Validation Logic: Actor enters the resident’s Account Number. The field is validated in the Administration Tool. However, the field is dynamic and unedited, accepting both alpha and numeric characters. SSN 9 Entry Numeric N Resident N Residents Name (Admin. Tool) Edit Validation Logic: Actor enters the resident’s Social Security Number in this field. Field is dynamic and unedited, accepting both alpha and numeric characters. Similar n/a Radio Y/N N Resident N Residents Name Alert Button Name (Admin. Tool) Edit Validation Logic: Actor clicks on radio button to indicate if there is another resident in the facility with a similar name. This feature is validated by a one-character field (Y/N) on the Administration Tool. Release 1.0 – E-Mar LTC System Requirements Document 21 of 105
  22. 22. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Use Alias n/a Radio Y/N N n/a N Residents Button (Admin. Tool) Edit Validation Logic: Actor clicks on radio button to indicate if the resident has used an alias during the normal ADMIT process. The feature is validated by a one-character field (Y/N) on the Administration Tool. Email to n/a Radio Y/N N n/a N n/a Pharmacy Button Edit Validation Logic: Allows the actor to send an email notice to the pharmacy serving the LTC facility of the emergency admission Admit n/a Button Action Y n/a N n/a Edit Validation Logic: Actor clicks on button to quick-admit a resident to the LTC facility on an emergency basis. Reset n/a Button Action N n/a Y n/a Edit Validation Logic: Allows actor to clear all previously populated fields on the Quick Admit window. Cancel n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to stop a pending action. Global function. View n/a Menu Selection Y n/a N n/a (under Selection Menu button) Edit Validation Logic: View selection enables the actor to open Select View Settings window to set filters and other options that control how the residents are displayed in both the tiled and census views. The census selection displays the census view. This selection operates the same as the View button on the Global Command Bar. STAT n/a Radio Selection N n/a N Items/Formulary Orders Button (Admin. Tool) Edit Validation Logic: A hierarchical selection, enabling the actor to organize the Dose Alert Screen. Doses Due n/a Radio Selection N n/a N n/a Button Edit Validation Logic: A hierarchical selection, enabling the actor to organize the Dose Alert Screen. Minimize n/a Menu Formatt- N n/a N n/a E-MAR Selection ing Edit Validation Logic: Actor clicks on this button to reduce the Dose Alert Screen to a button displayed in the lower left corner of the computer screen. Double-clicking on this button restores the screen view to its original size. Release 1.0 – E-Mar LTC System Requirements Document 22 of 105
  23. 23. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Exit the n/a Menu Action Y n/a N n/a Application Selection Edit Validation Logic: The actor clicks on this selection to completely exit the system. — (End of fields relating to selections under the “View” button only) — “RESIDENT IDENTIFICATION” WINDOW Facility n/a Display Alpha- Y Unit, Room, N Facility-Unit- numeric Bed Room-Bed (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Unit n/a Display Alpha- Y Facility, N Facility-Unit- numeric Room, Bed Room-Bed (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Room n/a Display Alpha- Y Facility, N Facility-Unit- numeric Unit, Bed Room-Bed (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Bed n/a Display Alpha- Y Facility, N Facility-Unit- numeric Room, Room-Bed Room (Admin. Tool) Edit Validation Logic: Field defined in the E-Mar LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Allergies n/a Display Alpha- N n/a ? Allergy Type numeric (Admin. Tool) Edit Validation Logic: Field defined in the E-Mart LTC Administration Tool during the normal ADMIT process. Field is dynamic and unedited, accepting both alpha and numeric characters. Diagnosis n/a Display Alpha- Y Resident ID Y Resident Diagnosis numeric (Admin. Tool) Edit Validation Logic: Field displays the resident’s diagnostic data as entered on the Resident Observations window. Release 1.0 – E-Mar LTC System Requirements Document 23 of 105
  24. 24. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Notes n/a Display Alpha- Y Resident ID Y n/a numeric Edit Validation Logic: Field displays the actor’s notations as entered on the Resident Observations window. Complaints n/a Display Alpha- Y Resident ID Y n/a numeric Edit Validation Logic: Field displays the resident’s complaints as entered on the Resident Observations window. Select n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to navigate to the MAR screen of resident medications. Once Dose n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to open the Once Dose window. This enables the actor to administer a single dosage of a medication that was not received by the E-Mar system from the pharmacy. Obser- n/a Button Action Y n/a Y Residents vations (Admin. Tool) Edit Validation Logic: Actor clicks on this button to display the Resident Observations window, where resident- related information such as vitals signs/history, diagnosis, allergies, and dietary data are entered. Cancel n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to stop a pending action. Global function. Release 1.0 – E-Mar LTC System Requirements Document 24 of 105
  25. 25. E-Mar Long-Term Care (LTC) System 4 The Resident Census Screen 4.1 Logical Specifications The actor clicks on the Census button on the Global Command Bar to change from the tiled view to the Resident Census Screen below. Current Residents Section Resident Identification Pane Total Orders Section Figure 4-1 Census View screen The census view is divided into three sections: • Resident Identification Pane • Current Residents • Total Orders Release 1.0 – E-Mar LTC System Requirements Document 25 of 105
  26. 26. E-Mar Long-Term Care (LTC) System The Resident Identification Pane displays the resident’s name, an image of the resident (if available from the LTC facility), allergies, diagnostic information, notes and any resident complaints. (For information on how to add an image a resident’s image to the top of the pane, see the section on Adding an Image.) The Current Residents section displays the resident’s name, next dose due, and the location, as well as the relevant icon for each resident. The actor double-clicks on a resident line to open that resident’s MAR. When the actor right-clicks on a resident a list of functions is displayed. (See the section on Census List Option. for further information.) The Total Orders section displays all the orders or medications for a selected resident. 4.1.1 Adding Observations The actor can add resident-related observations to the E-Mar LTC database by clicking on the Observations button on the Resident Identification Pane to display the Resident Observations window. Resident Observations is comprised of seven tabs (entry windows) for entering a range of data, including: Vitals, Vitals/History, Diagnosis, Allergies, Complaints, Notes, and Dietary. ► The actor clicks on Add after entering the required data on any window, No longer required to clear the data for a selected date/entry, Print Report, or Close to exit an entry window. For definitions of the fields under each tab, as well as their parameters (i.e., data type, length, related fields, etc.), refer to the Data Specifications section in this chapter. Figure 4-2 Resident Observations tab for entering Vitals data Release 1.0 – E-Mar LTC System Requirements Document 26 of 105
  27. 27. E-Mar Long-Term Care (LTC) System Figure 4-3 Resident Observations tab for entering Vitals/History data Figure 4-4 Resident Observations tab for entering Diagnosis data Release 1.0 – E-Mar LTC System Requirements Document 27 of 105
  28. 28. E-Mar Long-Term Care (LTC) System Figure 4-5 Resident Observations tab for entering Allergies data Figure 4-6 Resident Observations tab for entering Complaints data Release 1.0 – E-Mar LTC System Requirements Document 28 of 105
  29. 29. E-Mar Long-Term Care (LTC) System Figure 4-7 Resident Observations tab for entering Notes data Figure 4-8 Resident Observations tab for entering Dietary data Release 1.0 – E-Mar LTC System Requirements Document 29 of 105
  30. 30. E-Mar Long-Term Care (LTC) System 4.1.2 Adding an Image The actor can add the resident’s image to the Resident Identification Pane, if the LTC facility has configured the system to use the feature. To add an image to the census view, the actor: 1. Clicks on the Image button in the Resident Identification Pane to display the form_ImageProcessing window, Figure 4-9 form_ImageProcessing window 2. Clicks on the Load Image button (for a new image ), or the Reset Image button (to update an existing image), 3. Selects an image from the window that opens, then 4. Clicks on OK to insert the image in the Resident Identification Pane. 4.1.3 Census List Options The actor can right-click on any resident line in the Current Residents section of the census view to display the Census List Options window (shown on the next page). Release 1.0 – E-Mar LTC System Requirements Document 30 of 105
  31. 31. E-Mar Long-Term Care (LTC) System Figure 4-10 Census List Options The actor clicks on: • View MAR to display the MAR screen of the E-Mar system, • Unverified Orders to go to the Unverified Orders tab in MAR, • Due Orders to go to the Due/Chart tab in MAR, • Reports to list reports that can be printed, • Once Dose to open the Once Dose window, and • Resident Observations to open the Resident Observations window. Definitions of the Reports, as well as parameters for the fields under the Once Dose and Resident Observations windows, are provided in the Data Specifications section. 4.1.4 The Once Dose Feature The actor can access the Once Dose function from: • The Census List Options in the census view, • The All Orders tab or the Unverified Orders tab on the MAR screen, and • The Resident Identification window, by clicking on any resident tile in the tiled view. (see Once Dose window on next page) Release 1.0 – E-Mar LTC System Requirements Document 31 of 105
  32. 32. E-Mar Long-Term Care (LTC) System Figure 4-11 Once Dose window The actor uses the Once Dose feature to administer a one-time dosage to the resident that was not originally received by the E-Mar system from the pharmacy. (See the section on Once Dose for further information.) Release 1.0 – E-Mar LTC System Requirements Document 32 of 105
  33. 33. E-Mar Long-Term Care (LTC) System 4.2 Data Specifications Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) “RESIDENT IDENTIFICATION PANE” — (Fields under “Resident Observations” window, Resident Identification Pane) — Obser- n/a Button Action Y n/a Y Residents vations (Admin. Tool) Edit Validation Logic: Actor clicks on this button to display the Resident Observations window, where resident- related information such as vitals signs/history, diagnosis, allergies, and dietary data are entered. Report Date 10 + 10 Entry Numeric Y n/a Y n/a Range (Start/End) Edit Validation Logic: Actor enters start/end observations dates, using the online calendar function. Temp (F) 5 Entry Numeric Y n/a Y Resident Vitals (under (Admin. Tool) “Vitals” tab) Edit Validation Logic: Actor enters the resident’s temperature (in Fahrenheit) in this field. Heart Rate 3 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s heart rate in this field. Respiration 3 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s respiration in this field. Intake 5 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s intake of fluids. Drop-down list displays units in cc and mm. Release 1.0 – E-Mar LTC System Requirements Document 33 of 105
  34. 34. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Outtake 5 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s output of fluids. Drop-down list displays units in cc and mm. Saturation 3 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s pulse/oxygen ratio as a percentage. Blood 7 Entry Numeric Y n/a Y Resident Pressure Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s systolic/diastolic blood pressure in this field. Weight 5 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s weight (in pounds or kilograms) in this field. Height 3 Entry Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Actor enters the resident’s height (in inches or centimeters) in this field. Physical 250 max. Entry Alphanumeric N n/a Y Resident Obser- Vitals vation (Admin. Tool) Edit Validation Logic: Freeform area, allowing the actor to enter clinical observations of the resident’s condition. Clear n/a Button Action Y n/a Y n/a Edit Validation Logic: Allows actor to clear all populated fields under the Vitals tab. Add n/a Button Action Y n/a Y Admin. Tool Edit Validation Logic: Actor clicks on this button to add all vitals entries to LTC system, as well as the Administration Tool simultaneously, since all resident data resides on a common database. Release 1.0 – E-Mar LTC System Requirements Document 34 of 105
  35. 35. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Close n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to close the Resident Observations window. Global function. Date 10 + 8 Display Numeric Y n/a Y Resident (under Vitals “Vitals/ (Admin. History” tab) Tool) Edit Validation Logic: Date/time stamp indicating when the resident’s vitals were entered under the Vitals tab. Blood 7 Display Numeric Y n/a Y Resident Pressure Vitals (Admin. Tool) Edit Validation Logic: Resident’s blood pressure as entered by the actor under the Vitals tab. Body Temp. 5 Display Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Resident’s body temperature as entered by the actor under the Vitals tab. Heart Rate 3 Display Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Resident’s heart rate as entered by the actor under the Vitals tab. Saturation 3 Display Numeric Y n/a Y Resident (%SaO2) Vitals (Admin. Tool) Edit Validation Logic: Resident’s pulse/oxygen ratio (percentage) as entered by the actor under the Vitals tab. Initials 2 Display Alpha Y User Name Y Resident Vitals (Admin. Too.) Edit Validation Logic: Actor’s initials are automatically entered in field following logging into the system, and adding data under the Vitals tab, on the Resident Observations window. Release 1.0 – E-Mar LTC System Requirements Document 35 of 105
  36. 36. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Physical 250 max. Display Alpha- N n/a Y Resident Obser- numeric Vitals vations (Admin. Tool) Edit Validation Logic: Physical observations as entered by the actor under the Vitals tab. Freeform field. Height 3 Display Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Resident’s height as entered by the actor under the Vitals tab. Weight 3 Display Numeric Y n/a Y Resident Vitals (Admin. Tool) Edit Validation Logic: Resident’s weight as entered by the actor under the Vitals tab. Intake/ 5+5 Display Numeric Y n/a Y Resident Outtake Vitals (Admin. Tool) Edit Validation Logic: Resident’s flue intake and output as entered by the actor under the Vitals tab. No Longer n/a Button Action N n/a Y n/a Required Edit Validation Logic: Displays a Confirm window. Actor clicks on Yes to clear the resident’s vitals information for the selected date. Actor clicks on No to close the window and retain the entries under the Vitals tab. Print Report n/a Button Action N n/a Y n/a Edit Validation Logic: Actor clicks on this button to print a report of the resident’s vitals data. Close n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to close the Resident Observations window. Global function. Date 10 + 8 Display Numeric Y n/a Y Resident (under Diagnosis “Diagnosis” (Admin. tab) Tool) Edit Validation Logic: Date/time stamp showing when the diagnostic data were entered under the Diagnosis tab. Release 1.0 – E-Mar LTC System Requirements Document 36 of 105
  37. 37. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Notes n/a Display Alpha- Y Diagnosis Y Resident numeric Diagnosis (Admin. Tool) Edit Validation Logic: Field displays data entered on the Diagnosis line when the actor clicks on the Add button. Initials 2 Display Alpha Y User Name Y Resident Diagnosis (Admin. Too.) Edit Validation Logic: Actor’s initials are automatically entered in the field following logging into the system, and adding data under the Diagnosis tab, on the Resident Observations window. Type n/a Entry Selection Y n/a n/a Resident Diagnosis (Admin. Tool) Edit Validation Logic: Actor enters the diagnosis type from the pull-down list under the Diagnosis tab. Classification n/a Entry Selection Y n/a n/a Resident Diagnosis (Admin. Tool) Edit Validation Logic: Actor enters the diagnosis classification from the pull-down list under the Diagnosis tab. Diagnosis 250 max. Entry Alpha- Y Resident Y Resident numeric ID Diagnosis (Admin. Tool) Edit Validation Logic: Freeform field. Actor enters the diagnosis under the Diagnosis tab. No Longer n/a Button Action N n/a Y n/a Required Edit Validation Logic: Displays a Confirm window. Actor clicks on Yes to clear the diagnostic data for the selected date. The actor clicks on No to close the window and to retain the entries under the Diagnosis tab. Print Report n/a Button Action N n/a Y n/a Edit Validation Logic: Actor clicks on this button to print a report of the resident’s diagnostic data. Add n/a Button Action Y n/a Y Admin. Tool Edit Validation Logic: Actor clicks on this button to add diagnostic entries to the LTC System, as well as the Administration Tool simultaneously, since all resident data resides on a common database. Release 1.0 – E-Mar LTC System Requirements Document 37 of 105
  38. 38. E-Mar Long-Term Care (LTC) System Field Length Type Data Required Related Duplicates Related Name Type Field? Fields Allowed? Source(s) Close n/a Button Action Y n/a Y n/a Edit Validation Logic: Actor clicks on this button to close the Resident Observations window. Global function. Date 10 + 8 Display Numeric Y n/a Y Resident (under Allergy “Allergies” (Admin. tab) Tool) Edit Validation Logic: Date/time stamp indicating when the allergy data were entered under the Allergies tab. Notes n/a Display Alpha- Y Allergy Y Resident numeric Allergy (Admin. Tool) Edit Validation Logic: Field displays data entered on the Allergy line when the actor clicks on the Add button. Initials 2 Display Alpha Y User Y Resident Name Allergy (Admin. Tool) Edit Validation Logic: Actor’s initials are automatically entered in the field following logging into system, and adding data under the Allergies tab, on the Resident Observations window. Type n/a Entry Selection Y n/a n/a Resident Allergy (Admin. Tool) Edit Validation Logic: Actor enters the allergy type from the pull-down list under the Allergies tab. Severity n/a Entry Selection Y n/a n/a Resident Allergy (Admin. Tool) Edit Validation Logic: Actor enters the allergy severity level from the pull-down list under the Allergies tab. Allergy 250 max. Entry Alpha- Y n/a n/a Resident numeric Allergy (Admin. Tool) Edit Validation Logic: Freeform field. Actor enters allergy information under the Allergies tab. Release 1.0 – E-Mar LTC System Requirements Document 38 of 105

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