1. General Information
2. Contact Information
3. Facility Description
4. Local IT Support
5. PC Hardware
6. Computer Environment
7. Server Hardware
8. Network Environment
9. Printers
10. Digital Imaging
11. Backups
12. EHR Environment
13. Version/Domain/Other
14. Training
15. Implementation Actions
16. General Notes
17. Implementation
18. Upgrades
19. Site Documents
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U.S. Department of Health and Human Services
Indian Health Service
The Federal Health Program for American Indians and Alaska Natives
EDR Management Admin Tool
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Site EHR Environment
Is the facility running EHR?
Yes
No
Site's EHR:
Check if RPMS is applicable.
1. RPMS version:
2. Location of Remote Server RPMS:
3. What is the Inbound/Outbound port number reserved on the RPMS server for connecting to the [new] EDR server?
NOTE: Port Numbers 5000 to 5050 are recommended. Typically, 5028 is used for EDR inbound and 5027 for EDR outbound.
4. Is Ensemble installed on your RPMS server?
Yes
No
What version?
5. Is HealthShare installed on your RPMS server?
Yes
No
What version?
6. Is the RPMS HL7 interface installed and configured?
Yes
No
7. Do you have any remote locations sharing one RPMS database with the main facility?
Yes
No
8. Do you have multiple divisions (locations) established in your RPMS LOCATION file, i.e. do you register patients with more than one assigned Location and Chart Number?
Yes
No
9. Have you installed, or are you planning to install, any of the following interfaces with RPMS (check all that apply)?
AGMPI (Pt. Merge)
JVN (Jocelyn Vision)
NHIN C-32 (Interoperability)
Comments
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