Clinical User Guide

Revised April, 2018

2

Table of Contents

HIE Basics

I.

II.

Applications Dashboard

III. -7

IV.

a. -10

b. -14

c.

d. Lab -17

i. -19

ii. -21

iii.

iv.

e.

i. Search

V. -25

a. -30

b. -34

VI.

a. Sending messages

b.

c.

d.

3

I. Logging into Camden HIE

To access the Camden HIE use the link below: https://camdenhie.careevolution.com/CamdenHie/

Enter your username and password (displayed below)

https://camdenhie.careevolution.com/CamdenHie/

4

II. Basic Home View

The home view gives a generalized view of everything you might need when

entering the HIE including access to patient lists, beacon reports, and the inbox

to all HIE sent or received messages.

5

III. Steps to Access My Patient Lists

Click on My Patient Lists

Simple Census - generic

display of any and all relevant

patient health information

(PHI)

My Census - Displays

specific/targeted patients that

you may currently be engaging

or wish to engage

6

Enter the demographics to search for the patient.

Note: The default view will show the simple census. You must click the drop

box and select to look at your specific panel of active patients

and their respective PHI.

You can also search a patient by only entering the first few letters of their first

or last name and ending it with an asterisk (*) at the end. This will provide a

list of results that is identical to or contains the characters entered for

searching a patient.

Census Search Criteria

Use this search to look for

specific PHI. You can

search by MRN, or Last

Name and First Name, or

Date of Birth.

7

To add a patient to my census, hover the mouse over the patients name and

right- Add to My

Census located at the bottom. In addition, the list contains

additional options as an easier navigation to view specific sections of the

symbol at the right end of each row.

Recent Admissions.

8

IV.

a. Dashboard

Dashboard is the default tab. The Dashboard offers providers a high-level

-to-read, comprehensive view.

Problems, Encounters, Medications, Reports, Lab Results, Providers,

Immunizations, and Allergies are included by default.

i. Place your mouse over the patients MRN, address or allergies to trace

back where the information is coming from

9

ii. When Status shows active it means that the Camden Coalition is

currently in contact with the patient. An extension (ext.) of the lead

Coalition care manager would be listed to encourage other HIE users

to coordinate care with the Coalition staff.

iii. Options are provided at the bottom of each grid on Dashboard:

- The grid can be reloaded or refreshed

- The grid can be expanded

- You can look for specific information within the grid

- You are able to print details from the grid

10

b. Timeline

procedures, and medications across clinical encounters.

available within the HIE. By default, the top row of the timeline begins with

However, to improve performance, only the most recent 24 months of data

will be displayed in the summary when the page loads. Any history prior to

the default time period is represented by the faded portion of the colored

line.

11

Click on the plus sign to view additional information listed under the primary

problem.

You can a filter by data source.

12

You can drag the arrow on either end of the timeline to narrow the timeline to view a

specific period. For instance- dragging the timeline to focus on all primary problems for

a)

b)

The bottom row of the timeline is an expanded representation of the same time period.

Dragging the edges of the date range on the top row increases or decreases the visible

date range of the summary.

13

Detailed Information

Each data point within problems, providers, and procedures is represented on

the longitudinal summary by one of the following icons to indicate the type of

encounter for each. Medications are represented by a purple capsule-like

icon.

i. You can click on any icon within the Timeline tab, and a box will pop up with

detailed information about that specific encounter.

14

You can also click on the drop down menu for medications and select by class to view

the type of medication.

a)

b)

15

c. Reports

The Reports section includes all available text-based reports such as:

history and physicals, consults, ED reports, office visits, operative notes,

imaging studies (radiology), and other correspondence regarding the

patient.

Click the title to display the text of the report. The contents will be

displayed to the right of the list.

16

d. Lab Trends

The Lab Trends tab is useful in viewing the trend of a condition over time.

It is configured in descending timeline order with one result displayed per

column, by default. The display may be configured by result type and time.

Enter the date into the Date box at the top-right of the screen or use the

date picker to search for results on a specific date. The directional buttons

in the top left and right-hand corners allow you to scroll through the

columns of results.

17

The figure below are red points along the top of the timeline that represent

lab results.

Placing the cursor over a result will display additional details. This

includes any additional values that falls between the minimum and

maximum values.

18

i. Hierarchy Options

Hierarchy Options allow users to customize the sequence and

grouping of the Labs display.

Add New Hierarchy to create your own configuration.

Time compression may be set to daily, weekly, monthly, quarterly,

or yearly. Greater time compression (e.g. quarterly or yearly) might

be more helpful in tracking the progression of a disease of longer

periods of time, while a lesser time compression (daily or weekly)

would be more appropriate when viewing results from an acute

episode or single encounter.

If a specific lab result exists more than once during the selected

time compression, the row will show the min and max values of

that lab result during that time period.

19

Checking the Report-based box organizes labs as they were

ordered/resulted (i.e. in a Report form), not by the selected

hierarchy. For example, checking this box groups related analytics,

such as Hemoglobin, Hematocrit, and WBCs together. If

unchecked, the labs will appear per the hierarchy options.

ii. Page Actions

Page Actions allow users to customize their current view of Labs. Panel

Shortcuts facilitate navigation.

Checking Display Most

Recent Column inserts a

column with the most

recent result of each lab

panel currently displayed to

the left of all columns.

Organize All Panels

allows drag-and-drop

organization of the lab

panels. For example, after

checking this box, you can

grab the CBC Basic panel

with your mouse and move

it to a lower position.

20

Graphing lab results is possible by checking at least one box for a panel

or the individual items within a panel and then clicking the Graph

Checked Row Lab Data button. You can check off more than one box as

well.

21

Graph for Glucose

Graph for Potassium and Sodium Level

Filter Results

the lab will be displayed. After viewing the filtered results, click on the

Remove Filter button that is displayed above the first lab panel.

22

iii. Legend

Legend indicates the values other than normal lab results.

iv. Panel Shortcuts

Clicking on any of the Panel Shortcuts in the lower left-hand corner of the

page will take you directly to the desired panel, instead of scrolling through

the panels displayed above it.

23

e. Lab Reports

The Lab Reports tab provides, in a modified format, the same information

found in the Lab Trends tab. Results are defined by panel and ordered by

date, starting with the most recent.

i. Search Options

The search bar allows users to filter panels by a specific lab value, where

the labs were drawn, and the observation date.

Note: Print Selected Lab Reports

You can select the desired lab reports by clicking the check boxes for

each and print. All lab reports that are printed will also have the CHIE

watermark at the top of each page.

24

V. Beacon Surveillance

Beacon Reports can be accessed for certain patients through the Analytics tab

located at the top or it can also be found in the Basic Home View (main

dashboard), specifically in the Analytics section.