ECalcs - Integrated Health Calculators

Integrated	Patient Specific	Documented
eCalcs is fully integrated into the Allscripts TouchWorks (formally Enterprise) EHR, eliminating the need to keep a list of links to outside health calculators and saving precious time with patients.	The current patient’s health information is pre-loaded into the calculator, reducing the time and errors in entering the clinical indicators for the calculator.	With the score in hand, we can also seamlessly document this in the patient’s EHR chart.

Introduction to eCalcs - 55s	How to use eCalcs - 2m45s	Configuring eCalcs
download the video	download the video	download the video

Read more about eCalcs or Request a Demo

Common Questions

Which calculators are available?
Galen offers dozens of calculators, including the most popular ones like the Framingham Cardiac Risk, Breast Cancer Risk, CHADS2 for Risk of Stroke, ADA Diabetes Risk, MELD Score for Liver Disease. For a full list, see the list of Available Calculators below.
Is it configurable?
Yes, the calculators are configurable and many are available from Galen. The chart data used for each measure is also configurable via a web-based management screen built into TWAdmin.
How are scores documented?
Scores are documented as Results within the patient chart based on the Resultables setup to document the results of each calculator. Results may be shown in a flow sheet and auto-cited into a Note.
Can I cite the score into the Note?
Yes. The Result that is added to the patient’s chart may be cited into the current Note, and auto-cited into new Notes.
Is eCalcs supported by Allscripts?
Galen fully supports eCalcs in your Allscripts environment. eCalcs utilizes standard components within Allscripts like the Web Framework and the standard Interface APIs.
What software or controls are required?
None - eCalcs is fully integrated into Allscripts. No new ActiveX controls or other software is required on PCs using eCalcs within the Allscripts TouchWorks EHR.
What new hardware is required?
No new server or PC hardware is required.
Is Citrix supported?
Yes, eCalcs fully supports Citrix.
Does eCalcs have an impact on the EHR?
There is no impact on the EHR in terms of performance or other negative consequences. Loading the eCalcs page is lightweight, requiring fewer web page and database calls than most screens in the EHR.
How does eCalcs support upgrades to the EHR?
eCalcs is designed to be minimally impacted by any changes in the EHR system. Upgrades and migrations may require eCalcs components to be re-applied, though rarely will any configuration or software changes be required with a new version of Allscripts. In these cases, Galen will support the new version as part of the normal eCalcs maintenance package.
When updates to the algorithms for calculators are made, is eCalcs updated?
Yes, the eCalcs maintenance package covers this. eCalcs calculators are updated along with changes in the medical research that support the online calculators.

Implementation Details

Galen

• Our EHR technicians will install the web server and database server components.
• Training on configuration of eCalcs to client.

Client – EHR Analyst

• Training from Galen on configuration of eCalcs - about one hour.
• Configure each calculator’s inputs, e.g. mapping which resultables should be considered the Total Cholesterol input for the Framingham Risk calculator – typically less than one hour per calculator.
• Optional: add Orderable and Resultable Item Dictionary entries used to store the eCalcs. Clients typically have Galen deliver these entries by default using SSMT, which saves our clients the hour of setup this normally requires in TWAdmin.

Client Resources

• Server technician – provide access to the appropriate EHR servers – 1 hour.
• EHR analyst – person familiar with the EHR build and dictionaries to configure the inputs on each calculator. See above for effort, approximately 2 hours plus 1 x number of calculators.
• Clinical advisor – nurse, mid-level or provider to answer any clinical questions from the EHR analyst during setup.

Available Calculators

Currently Available

• ADA Diabetes Risk (2013 Update)
• Annual Health Assessment
• Anticoag Module
• ARIC Coronary Heart Disease Risk
• AUA Symptom Score (for prostate disease)
• Bariatric Surgery
• Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
• Body Surface Area
• Breast Cancer Risk
• CAGE Alcohol Screening
• Caloric Requirements
• CEAP Classification for Chronic Venous Disorders
• Cardiovascular Risk (ASCVD)
• CHA2DS2 - VASc for Risk of Stroke
• CHADS2 for Risk of Stroke
• Child-Pugh Score
• Clinical COPD Questionnaire
• Corrected QT Interval
• Corrected Serum Calcium for Albumin
• CRAFFT Screening Questions)
• Creatinine Clearance
• Creatinine Clearance (MDRD)
• Crohn's Activity Index
• DASS21 (Depression/Anxiety/Stress)
• DIRE Score
• Disease Activity Score (DAS28) for Rheumatoid Arthritis
• Duke Treadmill Score
• Edinburgh Postnatal Depression Scale (EPDS)
• Edmonton Symptom Assessment Scale (ESAS)
• Epworth Sleepiness Study
• Falls Risk Assessment
• Final Parental Height (FPH) Child Height Prediction
• Framingham Risk (2015)
• Framingham Risk for General CVD
• Framingham Risk for Heart Attack
• Framingham Stroke Risk
• FRAX WHO Fracture Risk
• Free Bioavailable and Testosterone
• GAD-7 General Anxiety Disorder
• GRACE ACS Risk
• Growth Velocity
• Gupta Perioperative Cardiac Risk
• HAS-BLED Score
• HbA1c to Glucose Converter
• Ideal Body Weight (All Ages)
• Ideal Body Weight (Hamwi)
• IPSS-R / IPSS-RA Calculator
• Knee Society Score
• LACE Index Scoring Tool
• Lung Cancer Screening Recommendation
• MCHAT-R
• Medication Adherence Rating Scale (MARS)
• MELD Score for Liver Disease
• MELD Score for Liver Diease (w/ NA)
• Mood Disorder Questionnaire
• Narcotic Equivalency Converter
• Newborn Weight Loss Percentage
• Opioid Morphine Equivalent Dose Calculator
• Opioid Risk Tool
• Oswestry Disability Index (ODI)
• Oxford Hip Score
• Pediatric Blood Pressure Percentile
• Pediatric BMI-for-Age Z-Score Calculator
• Pediatric Symptom Checklist (PSC)
• PHQ 2014 (Depression Screening)
• PHQ - 9 (Depression Screening)
• PHQ - A (PHQ-9 for Adolescents)
• Pneumonia Severity Index
• Post Concussion Symptom Scale
• Predicted Peak Flow
• Pregnancy Due Dates
• Premature Baby Corrected Age
• PRIME-MD Depression Screening
• QFracture Risk (QFRAX)
• RAPID3
• Reynolds Risk Score
• Revised Cardiac Risk Calculator
• Rheumatoid Arthritis Clinical Disease Activity Index (CDAI)
• Risk Stratification Scoring
• S2BI Oregon - Adolescent Annual Questionnaire
• SBIRT Screen
• SBIRT Screening (Oregon)
• Simple Disease Activity Index (SDAI)\
• Six-Item Cognitive Impairment Test (6CIT)
• Smoking Pack Years Calculator
• STOP BANG Questionnaire
• Systemic Lupus Erythematosus Disease Activity Index (SLEDAI)
• Extended Falls Risk Screening (STEADI)
• Tobacco Screening
• Tufts DPP Risk Estimator
• Venous Severity Scoring (VSS)
• Vulnerable Elders Survey (VES-13)
• Wells Score (DVT Risk)
• Wound Care Management

General Configuration Options

Description

In addition to the calculator specific configuration options the eCalcs solution also offers a list a global configuration options than can be set and applied the solution. These configuration options are located in TWAdmin - eCalcs Config - expand the top gear option named "Miscellaneous Configuration" to show the list of settings.

Miscellaneous Configuration Options

Name	Description	Settings
Accession Number Prefix	The prefix for note output accession numbers generated by eCalcs.	G-MCF (default)
Auto Calculate	When a calculator has all data it needs to calculate the result, and there are no inputs that are no populated by chart data, the calculator can automatically display the results without forcing the user to explicitly click the calculate button.	True (default) - calculators will automatically perform the calculation preview when minimum required information is met. False - the user will be required to click Calculate in order to generate a calculation preview.
Default Encounter Type	Sets the code value for the encounter type to use when attempting to Add to Chart without an encounter already in context.	3
Default Ethnicity Entry To Blank	Indicates whether or not the ethnicity inputs on calculators should default to blank.	True - global ethnicity mappings are not enabled or recognized and will require the ethnicity to be manually set in order to perform calculations where applicable. False (default) - global ethnicity mappings are enabled and recognized for all calculators utilizing ethnicity as an input.
Default Provider Code	The entry code for the provider to use when using Add to Chart and there is no encounter provider currently in context.	1TW090
Default Race Entry To Blank	Indicates whether or not the race inputs on calculator should default to blank.	True - global race mappings are not enabled or recognized and will require the race to be manually set in order to perform calculations where applicable. False (default) - global race mappings are enabled and recognized for all calculators utilizing race as an input.
Ethnicity Caucasian Mapping Codes	A comma-separated input list of codes that references the TouchWorks Ethnicity dictionary, used for supporting one or many valid Caucasian code values for any calculator utilizing an ethnicity input.	blank (default) - valid values are a comma separated list of TouchWorks Caucasian code values for this ethnicity type.
Ethnicity Declined Mapping Codes	A comma-separated input list of codes that references the TouchWorks Ethnicity dictionary, used for supporting one or many valid Declined code values for any calculator utilizing an ethnicity input.	Declined (default) - valid values are a comma separated list of TouchWorks Declined code values for this ethnicity type.
Ethnicity Hispanic Mapping Codes	A comma-separated input list of codes that references the TouchWorks Ethnicity dictionary, used for supporting one or many valid Hispanic code values for any calculator utilizing an ethnicity input.	Hispanic (default) - valid values are a comma separated list of TouchWorks Hispanic code values for this ethnicity type.
Ethnicity Non Hispanic Mapping Codes	A comma-separated input list of codes that references the TouchWorks Ethnicity dictionary, used for supporting one or many valid Non Hispanic code values for any calculator utilizing an ethnicity input.	NonHispan,NotHispan (default) - valid values are a comma separated list of TouchWorks Non Hispanic code values for this ethnicity type.
Ethnicity Not Reported Mapping Codes	A comma-separated input list of codes that references the TouchWorks Ethnicity dictionary, used for supporting one or many valid Not Reported code values for any calculator utilizing an ethnicity input.	NotReport (default) - valid values are a comma separated list of TouchWorks Not Reported code values for this ethnicity type.
Ethnicity Unknown Mapping Codes	A comma-separated input list of codes that references the TouchWorks Ethnicity dictionary, used for supporting one or many valid Unknown code values for any calculator utilizing an ethnicity input.	Unknown (default) - valid values are a comma separated list of TouchWorks Unknown code values for this ethnicity type.
Filter And Favorites Threshold	When the number of installed calculators equals or surpasses this number, the searching and favorites features will become enabled.	10
Interface Source Id	The interface source ID to use when using Add to Chart.	623
Maximum Mapper Items	Sets the maximum number of results to display in mapper controls.	200
Orderable Item Mapping	Sets the Orderable Item (QO_Classification_DE) entry code to use when filing calculator results into a patients chart if no calculator specific orderable item is set.
Race Asian Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Asian code values for any calculator utilizing a race input.	AsianorPac,AO,Chinese,Japanese,Korean,Vietnamese
Race Black Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Black code values for any calculator utilizing a race input.	Black (default) - valid values are a comma separated list of TouchWorks Unknown code values for this ethnicity type.
Race Declined Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Declined code values for any calculator utilizing a race input.	Declined
Race Hispanic Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Hispanic code values for any calculator utilizing a race input.	Hispanic
Race Native American Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Native American code values for any calculator utilizing a race input.	AmericanIn
Race Native Hawaiian of Pacific Islander Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Native Hawaiian Or Pacific Islander code values for any calculator utilizing a race input.	Hawaiian,PIO,Palauan,Pohnpeian,Samoan,Marchalles,Guamanian
Race Not Reported Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Race Not Reported code values for any calculator utilizing a race input.	NotReport
Race Unknown Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid Unknown code values for any calculator utilizing a race input.	Unknown
Race White Mapping Codes	A comma-separated input list of codes that references the TouchWorks Race dictionary, used for supporting one or many valid White code values for any calculator utilizing a race input.	Caucasian,White
Save Input Values	Indicates whether calculators should save the inputs used to generate results as an item level comment.	True
Set Task Owner To Encounter Provider When User Not A Provider	OK
Show Unity Debugging	Indicates whether to show call-related debug information on calculator pages.	False
Units Pick List Name	Specifies the name of the units picklist assigned to eCalcs output resultable items and v10 units Note rendering.	Health Calculator Units
Use Custom Ethnicity Mapping	Indicates whether or not the custom Ethnicity mappings in the global miscellaneous configuration will be used.	False
Use Custom Race Mapping	Indicates whether or not the custom Race mappings defined in the global miscellaneous configuration will be used.	True
Use Unity	Sets whether to use Unity calls where available.	False
Use WIP Data	Sets whether or not to look in WIP tables for patient data.	True
Where Performed Code	The where performed entry code value set when Adding to Chart.	1

Downloads

An electronic copy of this page may be downloaded as a PDF: eCalcs Brochure

Articles

• Open App Spotlight: Do Patients know what those numbers mean?
• eCalcs New Release (11/8/2014)
• eCalcs: First steps towards meaningful use compliance