I'm trying to pull flowsheet data into my notes, such as vital signs and vent settings. Home > Insights > Epic Smartlink 101: Everything You Need to Know. A trackboard with too few columns may be missing information that could serve as helpful mental prompts about tasks that need to be completed or cue you into the severity of a patients condition or make it easier to know who is part of each patients care team. Procedure orders (static) ERX. Pulmonary Typical property numbers for category items are: Other properties are specific to what is returned. There may be a need to pull a specific item of information into SmartText or SmartPhrases but no currently available SmartLink capturing that data. 2)Hyperlipidemia - At NCEP ATP III guidelines. Please use "14^" to pull the AHS standard date format (dd MMM yyyy), Please use "13^" to pull the AHS standard time format (HH:ss), Truncation: optional number to limit the length of a returned string to the specified number of characters, Special parameters available only if CVG, EPM, EPP or RFL master files are used (see DBLINK descriptors), Special record pull parameters available only if CVG, EPM, EPP master files used (see DBLINK descriptors). If your organization has not created these, you can create your own customized orders. The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. Three additional specifications can be specified, separated by commas: Data display options (which can be combined): N (only display label if data evaluates as 1), E (look back to previous encounters to find a value), D (display multi-line data on a single line separated by specified delimiter), P (if displaying data filed from SmartForms), Label text: using asterisk to separate text words, such as "Patient*pronoun*preference:*" for "Patient pronoun preference: ". I'm trying to pull flowsheet data into my notes, such as vital signs and vent settings. Performance, Finance & Asset. Start a new EpicCare Link session If you dont enter a line number, line 1 is used. Enter a list of orders that you might frequently place together. If left blank or there is no data for the item, no label appears. Calls code d SLink^SNETLINK(ID,DAT,path,frmt,date,time,inst,cat,trim,inln,conj,futr,primaryLangOnly) with 13 configurable parameters: ID - Enter the record ID; preferred is the dynamic patient identifier variable "patID", DAT - Enter the contact date in DAT form; preferred is the dynamic encounter value "patDAT", path - Enter the path to the networked item that you want to look up data for. Clinical Pharmacology ; If the study includes billable services, the billing grid information in OnCore is shared with Epic. After you complete one of the lessons within the olie lesson "Epic IP . User settings can reduce the amount of time spent on clicks, typing, scrolling, and more. Macros allow you to automatically select certain buttons within the NoteWriter template and different macros can be created for certain combinations of age, gender, chief complaint, etc. Smartlinks are some of the most versatile tools within the Epic system, allowing users to insert patient data into individual notes, configure SmartText for reports and instructions, swap specific characters for important patient information within their own electronic heath record (EHR), and quickly write notes by pulling important information Thank you Gastroenterology Journeys in Medicine Used only with BED, ROM, DEP master files (see DBLINK descriptors), Default text to display if no value is returned. Use the Record Viewer to find item numbers. Property Number: (optional) where a master file record contains multiple properties (e.g., title, abbreviation, title and number, etc.) <>
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Vice Chairs All care team members should be able to view What Matters within the older adult's chart. The purpose of this training is to show physicians who use Epic's electronic medical record how to configure the software to accommodate patient workflows in specialty and subspecialty areas . Select the flowsheet name to add it to the chart. Nursing Sharing successes, challenges and daily happenings in the Department of Medicine. Flowsheets Cascading Rows Calculated Assessments And Charging Flowsheets Worklist Tasks Required Doc Scoring Systems We Rules Clin Admin/Text Profile Reports And Print Groups Synopsis Navigators Key Links Pricing Corporate Training Teachers & Schools iOS App Android App Help Center Subjects Medical & Nursing Law Education Foreign Languages A) Record Name: R PT EXERCISE TYPE. 87 =j`NVlqq7{-Beg6h[^Cm#EK{Rjdr6|!8A.o`[j6I.LAfxVs@eb If you are accessing the Flowsheet from a navigator section, you can close the section and click Edit in Doc Flowsheets to open it. Users generally should look at the entire encounter summary to get a full picture of what happened during the course of an encounter. Displays information based on a rule record. and press enter, you will see the SmartPhrase with instructions. Enter 3 to use all lowercase. Within Epic, a flowsheet entry is just one part of an encounter. You can choose to show parts of the SmartLink that match the rule criteria, if the rule evaluates to true, or if the rule is false. ?n36o=C3{uD">'
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gf=$N]^fNkkd!F}>eC|<>G$>[J7A>~%0WsJq?v+!:)K}L$_9[ 5F<<=&"^v,M\+Su ;,I>1oZ69Rig>k#\0(Za61R0Wg}D]}0XnM>&v77~{oIH|{5amr *EOR#vd|>z:L}:c-a@_c0&y?>+aPXN3[Y^;^xojX_z2)+AOFN Heres a list of a few of the most commonly used Epic Smartlinks, 2) @DOB@ = Patients date of birth (MM/DD/YEAR), 3) @LOS@ = Patients length of stay (in days), 4) @VSRANGES@ = Patients vital signs within the last 24 hours, 5) @CMED@ = Current list of medications (list view). Innovation Click Done when finished. You can use a flowsheet in Epic to document almost any kind of information. . Use 99 to retrieve the last value in a list. Epic From within the side-by-side trackboard, you can see a patients past medical history, medications, vital signs, triage note, results, and even add time-stamped updates to the patients ED course which can be automatically included in your note by using the .edcourse SmartPhrase in your note template. Fill out the form below and lets get started! endobj
futr - Determines whether the SmartLink allows lookup for future dates. Finally, test your order panel by typing its name as an order (ie: INI_CP). .RISIMP24H imports impressions of imaging results from the last 24 hours, .RISIMP72H imports impressions of imaging results from the last 72 hours You can quickly jump between *** wildcards using F2 or using hotkeys included with many voice dictation solutions. This parameter is ignored for languages that dont use the Latin alphabet. Within the Reports tab, select Library in the left-hand navigation bar to see a list of reports that are available to you. 40 avenue de Flandre59964 Croix. For .IOBRIEF, the fourth parameter in the smartlink code is the start time. This is useful for lists where the SmartData element name is stored as the data value. Can you easily create audit reports from the data gathered during charting? The results have been a huge success saving our team time and effort. Leave blank to show all lines of data on a single line, separated by semicolons. Diversity If the rule is found to be false, a SmartLink with English text is used. 1 000 Employees. A new SmartLink can be created with options for more precise controls. Parameter 4 - Set to 1 to remove unexpected line feeds from the SmartLink text. Telephone encounters will automatically close after 7 days r>>AS !~G093yL(WWGu.7D]cTf?n=uBvv}by48+H5,DS qdH]&@NPwS&Boi^GOlKl#Ak6V?YJ
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There is also an "add" button beneath the list of "available columns" that lets you search for additional columns that are not part of the report template defaults. Click on the desired SmartLink. Contact your Epic representative if you wish to use this setting to specify an alternate date and time format. - If there is no unit specified in those locations and there is a unit specified in the Height and Weight field on the Unit Display and Entry screen in the user's profile, then that unit is used. Determines whether to show a blank line if multiple copies of this SmartLink are used in a SmartText and the SmartLink has no data for its item. Enter 2 to use all capitals. Promotions Parameter 6 - Set to 1 to display the SmartLink text starting on a new line. Epic consulting is just one of the healthcare IT services we provide hospitals and health systems, and an expert from our Epic team is ready to help you get the most out of your Epic EMR solution. Preview the contents of a SmartText on the right-hand side of the SmartText Lookup window before adding it to your documentation. Director's Reflections /ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
The configuration settings are similar. After creating a name for your new SmartList, enter the choices that youd like to see displayed, indicate whether any of the choices should be selected by default, indicate whether the list should allow a single or multiple selections, and be sure to click the release button before saving, otherwise your SmartList will not be able to be used. Many organizations have created orders that automatically select common doses, frequencies, and durations of treatment for medications. endobj
The following logic is used to determine which units appear for weight and height: - If there is a unit specified for the patient's age on the Weight Validation or Height Validation screens in the user's profile, that unit is used. 103 Reference guide. Division Directors From the Options drop-down menu, select Create Panel.. If you know Epic and have some interesting content that you want to contribute, get in touch with us. Build out different types of cascades based on age, sex, or answers to various questions. Each department may have a different way that they like to Let us know how we can support your initiatives and take some of the heavy lifting from healthcare IT. Bayview Internal Medicine Residency Program Cardiology Can you put in a hard stop to ensure clinical users collect this important data? If you try to send a data point(s) to EPIC and it fails, you will receive the incident below: Incident type: Software" and text is "EPIC FAIL: A row of data fails to submit to the epic flowsheet. Used by nurses, nurse practitioners, managers, therapists, physicians, physician assistants, case managers and social . Some SmartLinks enable text automation results not supported by typical Foundation SmartTools. af]8WQ=szScPK?N wu&Zacj
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uzwjZITvd$^+Ms)`, hVzA USH:+?| >&*]p]FaE&JW)@fz21eKhF\3-[~RZLL"x?{!zSE This parameter is needed only if the item specified is a category item, networked item, or the name of a master file record (.2 item). However, it can be embedded in SmartPhrases with all needed user-provided settings so that the SmartPhrase represents exactly how the builder intends CERMSG to behave. . << /Length 5 0 R /Filter /FlateDecode >> As previously mentioned, if the demographic information registered differs between the two organizations, an automatic match will not be made. d SLink^SNETLINK(patID,patDAT,"EPT23015/RFL66",,"MM/dd/yyyy), d SLink^SNETLINK(patID,patDAT,"EPT23015/RFL18100,All/HNO40",4,,,,,,,,1), d SLink^SNETLINK(ID,DAT,"EPT2500/HAR838","","","","",2). There are known as "report templates." Enter the link code in the format that uses 13 parameters: d DBLink^HUPPDB3("","","","","","","","","","","","",""). ; When a patient is enrolled into a study with an Epic billing calendar/billing grid, an Epic timeline MUST be generated . For example, if a Smartlink is shown with just the @ symbols and no words in between, theres an issue with your Epic Smartlinks, and they are most likely not evaluating properly. This should generate a hover pop-up that lists the CSN. I am guessing that searching by common name will be difficult as many common names have white space characters and dashes, both of which end the .LASTLAB (and . primaryLangOnly - Determines whether the SmartLink can display data using only the primary language or if the data can be translated into alternate languages. For the most part, linking a patients records across Epic organizations is not an automated process, it requires querying specific organizations where the patient has been seen. Line Number: (optional) if returned data is multi-response, optionally retrieve a specific line (option) from the data. Your technology. Default (null) is to retrieve all. The SmartLink has the following parameters which can be user-entered or SmartText/SmartPhrase specified. Multi-data selection: Determines which values appear in the SmartLink. Nephrology Epic's standard system, which includes content and workflows based on the expertise /Type /Page
5) Configure Smartlink settings to ensure user needs are met. However, there may be times when you want to pull the values of a flowsheet entry into your note. And the next time you search for Zofran at discharge, your customized order will appear. So, if you want the 7AM - 7AM I/O, it works just fine at 7AM. Many tools in Epic that conditionally show one thing or another, or perform one function or another, based on changing circumstances operate using CER rules in the background. Read on to learn more about the software, as well as how our team of senior-level consultants can benefit your organization. In addition to being able to populate the content of your note using free-text, SmartPhrases, SmartText, SmartLists, and voice transcription, Epic also includes a NoteWriter tool that allows point-and-click documentation. Mentoring 1100 Dr. Martin L. King Jr. Blvd, Suite 1700 Nashville, TN 37203, document.write(new Date().getFullYear()); All Rights Reserved CereCore Either pick an existing SmartPhrase, or create a new one. Make sure you review the available contexts of the CER rule(s), SmartLink, and SmartText(s) that you are using. The trackboard is an essential way to know which patients are in your ED, where they are located, who is caring for them, their current condition, and where they are at in the course of their work-up. In the second tab, you can arrange the order or hide certain trackboard views from automatically displaying. This tag calls the code d CvgLink^SNETLINK(ID,DAT,path,MCpath,frmt,date,time,inst,cat,trim,inln,conj,futr,primaryLangOnly) and has 14 customizable parameters: path - Enter the path to look up non-managed care coverages. This parameter should be set when displaying data captured using a SmartForm Instant component or a SmartForm Field component with type Date Entry or Time Entry. Enter 2 to use the abbreviation. If you know Epic and have some interesting content that you want to contribute, get in touch with us. Parameters include rule identifiers, SmartText identifiers and settings affecting result formatting. When ready to use, type in ***name of your template***. If left blank, all lines appear. For example, Date: X^ where X is the date format item in Category list E4K 1010 and time formats are in E4K 2010. Hospital Medicine at JHBMC Click to the left of the report's name. Epic's Flowsheet SmartForms are a great tool that can help your clinical teams more easily capture regulatory data during their clinical documentation workflow. {"serverDuration": 83, "requestCorrelationId": "9a57519c4867911d"}. After opening SlicerDicer, you will be asked to select a data model. When creating Smartlinks and integrating them with CER rules, there are a few key considerations to ensure your Smartlink is configured properly and your organization is using them correctly. This may be indicated if there is a database element frequently needed and not otherwise supported by available SmartLinks. Chart Central (All Applications) An activity in Hyperspace that provides patient-based access to charts, deficiencies, release requests. No bull, no bias, no breadcrumbs. Whether you need help configuring the settings for your CER rule parameters, navigating CER rules and criteria in the Epic Reporting Workbench, organizing patient data in available columns within Epic reports, or anything in between, Surety Systems is here to help. Flowsheet SmartForms are smart forms designed with programming and scripting behavior as simple or as complex as you would like. Development However, I can't figure out where the ID numbers are listed in Epic. Awards Received Open up a test patient in any encounter type to access Flowsheets. /Parent 2 0 R
When hovering over each report, you will also see options to Run or Edit the report. If the item is a date, the available options are: If the item is a time, then the available options are: If the item is an instant, then the available options are, X^Y where x is an E4K 1010 category value and y is an E4K 2010 category value, AHS standard date format is 11 and standard time format is 13, RULESMARTLINK, RULESMARTLINKREFRESH (HHS 60402, 60404), The SmartLink does not support embedded parameter settings, here is little value in replicating this SmartLink. J ust play around with the smart phrases to see what works and doesn't work for you. Try making the SmartLink available to all contexts, and check the contexts of the SmartText, Use the rule tester to make sure your CER rule is evaluating as expected. SmartLink master file. General Internal Medicine cat - Determines how category data should be formatted. BCU Update %PDF-1.7
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2) Find the correct Smartlink for the Rule Error message. In order to pull in a set of Flowsheet values into a SmartLink, you first need todetermine the FLO ID(s). The Recommended Exercise group from questions 2 and 3 is complete,and you want to include it in your template. Your organization may require certain columns to always be displayed (these will appear with a lock icon) and you are only able to add columns that your organization has decided to make available to you. Locating SmartLink Click and Impression URLs, and QR Codes. A window appears prompting you to confirm your choice. /Tabs /S
Browse available SmartPhrases and SmartLinks 1. The SmartLink/Phrase Butler opens and any SmartPhrases you've created appear. You can either insert properties into the error message of your rule, or enter in text in the rule (enclosed in "quotations"). How successful are you capturing regulatory data in Epic via clinical documentation workflows? Then enter in the following information (there should be 3 flowsheet mappings per BP question): Field = questionID/formatted_blood_pressure, When set to true (default value) data will need to be approved from manage data before being sent to EPIC flowsheets, When set to false data will automatically be sent to EPIC flowsheets without needing approval, In order to prevent issues all flowsheet mappings for a given data source need to have the same value for this field, If one mapping has a true value and another has a false the data will be sent to the flowsheet that has a false value and the form submission's epic status will be updated to sent (even though the mapping that required approval was not actually sent). Find company research, competitor information, contact details & financial data for SYNPSH of CROIX, HAUTS DE FRANCE. They WILL need to be signed, but it is important to let the signing physician know that they should sign the order, but not close the encounter. FLO records are the basic foundation of the forms and run in the background. conj - Enter the conjunction to use when returning info in inline form. If left blank, a blank line appears if this SmartLink has no data for its item. The downside to the Epic list is that, it's just the baseline list and doesn't include ones added at the system level (or remove ones that are replaced at the individual system level). You can saved edited reports under a new report name (for instance, if your organization only has a report to show you the patients that youve seen in the last 7 days, but youd like to be able to filter patients that youve seen in the last 24 hours, you could edit the existing 7 day report). Plan: *** Daniel C Ginsberg, MD, FACP The second tab of report settings determines which columns show up on the report. Awards Documentation Flowsheets are used in Epic to allow end users to document a variety of information, from Vital Signs to custom structured data. Enter 1 to use title case. A trackboard with too many columns is information overload and may limit your ability to focus on what is essential, especially if column widths are so narrow as to not allow you to easily read their contents. To find the CSN manually, have the encounter open and hover over the participant name/image section on the top left of the chart. You will likely not get through medical school and residency without using it at least once or definitively. Specifies free text for the item label. 4 0 obj
Indeed, SmartData elements can be defined for a specific documentation purpose, adding to the vast number of already defined data variables and definitions in the Epic system. Flowsheets are composed of rows. >>
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The first tab of report settings defines criteria for the search (time period, inclusion, exclusion, etc). Because many applications and tools within the Epic system perform one function or the other based on changing organizational circumstances, custom CER rules can be used to organize and show certain information in columns, outline criteria in the Reporting Workbench, specify and display Rule Error messages, and more. To remove the report from your Favorites, click the again. 1. Alternately, if the encounter is already open in the Encounter view when the W2H EPIC Embed is launched, W2H should be able to pick up the CSN automatically. To fix this, users need to make the Smartlink available to all contexts and check the configuration of their SmartText. |D,,9JUgLH4J When it is null (""), as released, all values appear. This is true for Encounter view only. Enter a blank (e.g., "EPT18862,") to just pull the latest line. Watch the Epic weLearning Video to see this process in action. People take the time to adjust settings on their smartphones, and the EHR should be no different. We are able to differentiate between admission and discharge scoring questions, and we can offer hard stops for required items. When the link is inserted into SmartText, SmartPhrase or documentation objects, it accepts the following parameters: Master File: (required) 3 letter INI code for the Master file where the data resides, Item Identifier: (required) numeric code for the specific data item in the Master File. Our expertise. 3. To show information from a delivery record, enter HSB by default. Click on the SmartTools toolbar. This should generate a hover pop-up that lists the CSN. ! As discussed on theMerge Request if it becomes an issue we will address it in the future. This way I can just refresh my smartlinks instead of doing it manually. SmartLinks are some of the most versatile tools you can use in Epic. 3) Click Save As to create a copy of the message. d CvgLink^SNETLINK(patID,patDAT,"EPT2207/CVG100/EPM100,All","EPT2207/CVG115/ PPG90/EPM100,All",1), d CvgLink^SNETLINK(patID,patDAT,"EPT2207/CVG100/EPM602","EPT2207/CVG115/ PPG90/EPM602",1), d CvgLink^SNETLINK(patID,patDAT,"EPT2207/CVG100/EPM.2","EPT2207/CVG115/PPG90/EPM.2",1), CERMSG, CERMSGREFRESH - Rule Conditional Text (HHS 64343, 14042), CUIPAT, CUIENC - Retrieve Patient-level SmartData (HHS 224), DBLINK - Retrieve Data from Master Files (HHS 38001). For instance, you may be interested in finding a list of all of your patients in the past 48 hours that have incomplete notes, which you might be able to identify by finding a column that shows an icon for an incomplete note, or a timestamp for the last time that you signed a note for the patient, or a list of physicians who did sign a note for that patient. Enter your CER rule as a parameter and configure the settings as needed.Tips and tricks, Let us know how we can help optimize your Epic system. Only set this parameter if your SmartLink text is incorrectly appearing on a single line. The associated SmartLink URLs and QR code will be displayed in the detail card. In order to pull in a set of Flowsheet values into a SmartLink, you first need to determine the FLO ID (s). Within some CER rules, you can specify an error message that gets returned as a result of the rule returning true. This SmartLink can be used to pull the content of print groups (LPG) into text documentation. This post tells you a little about Flowsheets in Epic, how they are structured, . If you use values 22 and 23, the units are based on your profile and system-wide settings for units. To use this method, set up the SmartLink without a code template or user-entered parameters. Not all Epic clinical service desks are created the same. Also in that encounter could be notes, orders, charges, and SmartForm documentation, just to name a few. Each row allows a specific type of data entry, such as free text, numeric, selection list, or date/time. The "report template" has a default list of "available columns" that you can move back and forth between the "selected columns" using the arrows between the two lists. For example, you can create a rule to evaluate if the patient speaks Spanish. HARpath - Enter the path to use if looking up information starting from HAR, d AcctLink^SNETLINK(patID,patDAT,"EPT2207/CVG240","EPT2500/HAR300/CVG240",,,,,1), d AcctLink^SNETLINK(patID,patDAT,"EPT2207/CVG255","EPT2500/HAR300/CVG255",1), d AcctLink^SNETLINK(patID,patDAT,"EPT2207/CVG2340","EPT2500/HAR300/CVG2340"). Start studying Epic CLN 102 INI. 4 0 obj .RISIMP24H imports impressions of imaging results from the last 24 hours, .RISIMP72H imports impressions of imaging results from the last 72 hours. Biocontainment Unit 2 0 obj
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CUIPAT is pre-set for patient-level SmartData, whereas CUIENC for encounter-level data and CUIEPI for episode-level data. Specifies the free text message that appears if there is no data for the item. With Epicflow you will have: and tasks based on predictive analytics. A new SmartForm may be developed, for example, with no Foundation SmartLinks configured to work with the SmartData elements in that SmartForm. When approval is required (default setting), Navigate to the Manage Data Page for the Data Source that is integrated with an EPIC Flowsheet, You will see a list of all data entries for each participant, You can chose individually or chose all from this list to send their data to EPIC, You can chose a participant(s) by checking the box near their data entry, Once you have checked all of the data entries to be sent to the EPIC Flowsheet, Click the blue button that says "CHOOSE AN ACTION", On the dropdown menu that appears, click "SEND TO EPIC", This will queue all of the data to be sent to EPIC, The selected data will appear in the EPIC Flowsheet within 5 minutes, When approval is not required (See WTH-5762), Data will automatically be sent to EPIC after it has been received within Way to Health (should appear in the EPIC flowsheet within 5 minutes). qQ^G*V{wG0l~>w\7EujrOubrZ`. /Annots [12 0 R 14 0 R 15 0 R 16 0 R 18 0 R 20 0 R 22 0 R 24 0 R 27 0 R 28 0 R]
At CereCore, our Epic help desk is focused on providing well-informed Level 1 agents backed by experts with decades of clinical expertise. An Epic Implementation Story: Fast Tracking Epic Integration for a New Pediatric Facility. They pull health information (e.g., problem lists, medication lists, vitals) from the health record, replacing the inserted token with the desired information. Parameter 3 - Enter the mnemonic of the SmartLink to display if the rule is false. ", Troubleshooting "Epic Fail" Software Alert for failed flowsheet submission. First, within any patients chart. Leave this parameter blank to not change the capitalization of the data. Users can also access other Epic applications from Chart Central. 5 Examples of Regulatory Data Collection Using Epic Flowsheet SmartForms. ASP session timed out. @d3MBdk|jm j[22_~kkgqnDb=~F)Oa($oL);bkWVq*m`#(/0A])K%]L\[tX^5"aBa(&YM(e:l`fYAFHDh>/q8N\
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fA5SrG%hQ`'ufT)3dcmpv3YJT6(n21uBzO0vOXq6NmCfc[dhD.h]w)Aaj/jR@Cx[*?DRRm%@d Y2W:3DNgGM@[vJ`8#dCO;]l,*Z@M#]NE`N+3){tT]GYK,CCE/dkpO=%uQUo[V3w}. See SmartLink description for more details. Copyright 2019 All Rights Reserved by Sanders & Sons. The SmartLink does not support embedded parameter settings. In this example, we will look for all patients seen in the past 48 hours who were arrived or roomed in the emergency department. A link could open a flowsheet in a pop-up window, a . The creation of rules (CER) and new SmartLinks (HHS) is typically restricted only to project team members.