# View Inpatient Medications

When you click to open the Inpatient Meds category, the Meds Review plug-in displays a summary list of your patient's inpatient medications. For each medication on the list, the plug-in displays the following items:

- The medication's name
- Its last administration date and time
- Dosage and administration information (81 MG PO QDAY, for example)
- The medication's status (pending or active, for example)
- The medicatiion's category (inpatient or IV, for example)
- The order's expiration date
- The medication's scheduled administration times

In addition, summary information includes a graph that illustrates the times your patient received this medication over successive 24-hour periods. (The graph uses shading to demarkate these periods.)

### View administration details

Darkly shaded rectangles on the graph indicate medication administration occurrances. To view details for these occurrances, use your mouse pointer to display a hover hint. Hover hints include the following information:

- The medication's name, dosage, and form (tab, for example)
- Its status (given, for example)
- The units given
- The name of the person who gave the medication (surname, first name format)
- The date and time this person gave the medication

You can scroll the graph forward and backward along successive 24-hour periods by clicking the graph and, keeping your mouse button depressed, dragging your mouse's pointer right or left.

### View Medication Details

On the detail view's left side, the Meds Review plug-in includes an Actions menu that enables you to create a new task, which the Meds Review plug-in automatically associates with the medication.

The left side also offers links to knowledge resources called Infobuttons and a set of buttons (Order Hx and Admin Hx) that you can click to display either the medication's order or administration history, respectively. The numbers on the buttons' right sides indicate the number of items in each history.

When you select the Order Hx button, the plug-in displays a date-centric list of orders for the medication, flagging the active order if an active order exists. When you select an order from this list, the detail view's right side displays the following information:

- The medication's name, form, and status
- Its order number
- The order's dose and schedule information
- The provider's name (surname,first name format)
- The pharmacist's name (surname, first name format)
- The location
- The facility

When you select the Admin Hx button, the plug-in displays each administration's date, time, and status (given, for example).

## Clinical Practice Environment

With its CPE (Clinical Practice Environment) application, the HMP Team Facing framework delivers software that serves healthcare teams and helps meet their needs in caring for our veterans. CPE software will help transition Veterans Health Administration from a chart-centric model of care to a team-based, patient-centered model of care through advanced clinical software and a modern software architecture. This software represents an effort to reestablish close clinician-IT collaborative relationships and to build field-driven, web-based modules that meet the following functional and technology goals.

- Functional Goals:
  - Comprehensive, coded, integrated data
  - Knowledge-driven, context-based decision support
  - Role- and conditions-based workflow-driven systems
  - Multi-patient, team-based care
- Technology Goals:
  - Open source, with a service-oriented architecture (SOA)
  - Web-based, with a flexible, scalable architecture
  - Context-aware, with an extensible, modular platform

While its initial operating capabilities are present, HMP software is a work-in-progress. Specific features and instructions for using them will evolve as our partners in the clinical community evaluate the software and provide feedback, thus realizing the close collaboration between IT and clinical interests that informed this software's genesis.