The Department of Veterans Affairs uses the electronic medical record system VistA with Computerized Patient Record System (CPRS) as the graphical user interface. Custom menus can be created with the help of the Clinical Applications team. The development process can be more efficient with the use of mockups to visually show what is requested in CPRS.
Here I use HTML and CSS to quickly create mockups rendered in Google Chrome. Besides a text editor (even Notepad works), no special software is needed and these can be created on VA computers.
<div class="cprs-pane"></div><div class="cprs-pane">
<h1>Add a title for the menu</h1>
</div><div class="cprs-pane">
<div class="backfwd"></div>
<h1>Admission Orders</h1>
</div>Each column is defined by a child div of the div with class cprs-columns.
Use h2 for headings within columns. The column widths expand to the content or can be set manually in CSS.
<div class="cprs-pane">
<div class="backfwd"></div>
<h1>Admission Orders</h1>
<div class="cprs-columns">
<div><h2>General Left</h2></div>
<div><h2>General Right</h2></div>
</div>
</div>Use an unordered list to create the column content.
<div class="cprs-pane">
<div class="backfwd"></div>
<h1>Admission Orders</h1>
<div class="cprs-columns">
<div>
<h2>General Heading</h2>
<ul>
<li>Core Orders...</li>
<li>Bladder Management...</li>
<li>Bowel Management...</li>
<li>Respiratory...</li>
<li>Medications...</li>
<li>Consults...</li>
<li>Laboratory...</li>
<li>Imaging...</li>
<li> </li>
<li>Wound Admission...</li>
</ul>
</div>
</div>
</div>Unordered lists that are children of a column li have a more compact layout for multi-line descriptions, for example.
<div class="cprs-pane">
<div class="backfwd"></div>
<h1>Core Orders</h1>
<div class="cprs-columns">
<div>
<h2>Core</h2>
<ul>
<li>Admission Orders (MRSA, NPO)</li>
<li>Primary Diagnosis</li>
<li>Condition: stable</li>
<li>Vitals Q12Hrs</li>
<li>Vitals orthostatic x2 sets</li>
<li>Notify provider if SBP>180 mmHg or <80 mmHg,<br />
DBP>100mmHg or <60 mmHg, HR > 110bpm or T>38.3C</li>
</ul>
</div>
<div>
<ul>
<li>EKG</li>
<li>DVT prophylaxis</li>
<li>Code status</li>
<li>Turns q 2 hours while in bed (advance per RN protocol)</li>
<li>Full pressure relief q15min when sitting up > 30 deg (e.g. in wheelchair</li>
<li>Activity
<ul>
<li>Bed rest (flat protocol) completely flat<br /> with no reverse Trendelenburg positioning</li>
<li>Timed sitting q 4 hours</li>
<li>Activity per nursing/PT/OT evaluations</li>
<li>Specific Mobility Restriction</li>
</ul>
</li>
<li>Diets/NPO/Tubefeeding</li>
</ul>
</div>
</div>
</div><div class="cprs-pane">
<div class="backfwd"> </div>
<h1>Consults</h1>
<div class="cprs-columns">
<div>
<h2>SCI/D Service</h2>
<ul>
<li>Physical Therapy</li>
<li>Occupational Therapy</li>
<li>Speech & Language Pathology Inpatient</li>
<li>Respiratory Therapy</li>
<li>Telehealth </li>
<li>Psychology </li>
<li>Recreation Therapy </li>
<li>Wound Care</li>
<li>SCI/D Center</li>
</ul>
</div>
<div>
<h2>Other Departments</h2>
<ul>
<li>Pulmonary</li>
<li>Infectious disease</li>
<li>Neurology</li>
<li>Palliative Care </li>
<li>Plastic Surgery</li>
<li>Orthopedic Surgery</li>
<li>Interventional Radiology</li>
<li>Urology</li>
</ul>
</div>
</div>
</div><div class="cprs-pane">
<div class="backfwd"> </div>
<h1>Pressure Injury Admission</h1>
<div class="cprs-columns">
<div>
<h2>Serum Labs</h2>
<ul>
<li>Prealbumin</li>
<li>CBC</li>
<li>ESR</li>
<li>CRP</li>
<li>PT/INR</li>
<li>Nicotine</li>
<li>Hemoglobin A1C</li>
<li>Vit. D</li>
<li>Total Cholesterol</li>
<li>CMP</li>
<li>HCV</li>
<li>HIV</li>
</ul>
<h2>Imaging</h2>
<ul>
<li>MRI Pelvis w/wo contrast</li>
</ul>
</div>
<div>
<h2>Consults</h2>
<ul>
<li>Plastic Surgery</li>
<li>Orthopedic Surgery</li>
<li>Wound Care</li>
<li>General Surgery</li>
<li>Infectious Disease</li>
<li>Nutrition</li>
</ul>
</div>
<div>
<h2>Bone Biopsy</h2>
<ul>
<li>Interventional Radiology Order (for - for bone biopsy), placed as Imaging order not a Consult</li>
<li>Culture: Tissue/Bone w/ Gram Stain</li>
<li>Culture: Mycology (Tissue/Bone)</li>
<li>Culture: Anaerobic Tissue/Bone</li>
<li>AFB: Tissue/Bone</li>
</ul>
</div>
</div>
</div>Templates can be used as targets for menu options, consult structures, etc. View the templates.html file to see the finished example. It makes use of CSS classes to adjust formatting of the html.
This repository is not associated with the Department of Veterans Affairs.