SMART enhances the ability to track and manage mammography results. SMART creates the ability to link a result notification directly to a documentation template. These templates are specific to the Breast Imaging Reporting and Data System (BIRAD) code and contain typical next steps in management, links to orders, and ability to document how and when a patient was notified of their result.
The template allows users to view the patient’s last three breast images, regardless of the ordering provider; and to view all data captured in CPRS/VistA related to the patient’s breast care, beginning with when the result was entered into VistA. Once implemented, data from the SMART templates will populate the Breast Cancer Clinical Case Registry (BCCCR), enhancing the registry.
SMART features in CPRS include:
new alerts
a new alert dialog that is patient-centric rather than provider-centric
new reminder dialogs and TIU templates
The features should allow providers to get the alert for a mammogram and process the alert. The patient-centric alert dialog should enable providers to more easily see the alert for the patient if needed. The dialog displays all alerts for the patient, not just SMART alerts.
When the provider processes a SMART alert, it will take them to a template containing a reminder dialog. The provider and fill out the appropriate BIRAD dialog that helps the provider record the result and follow up actions.
Completing the template and dialog
creates a progress note
files health factors
when available, updates the BCCCR