### Edit Orderable Item

This screen exists to allow any user to view an Orderable Item
A generic type representing one conceptual entity consisting of a collection of data fields. For example, a medication may contain the following collection of data fields: Product Name, Generic Name, Trade Name, Dosage Form, NDC, etc. Conceptual entities include Medications, Supplies, and Investigationals., and authorized users to edit an Orderable Item or approve a change another user has made to an Orderable item. If a user does not have a role that enables them to edit the orderable item, all the input actions on the screen will be disabled and the buttons at the bottom of the screen will not be visible. The screen is broken up into multiple tabs

Some of the data fields listed in this screen are not editable at the National level. The attribute is displayed on the screen for consistency sake but none of the National Roles have the ability to edit the attribute. An example of that is the Labs and Vitals tab. None of the attributes in that tab are editable at the national level.

If a field is modified that requires a second review then the change will not take place immediately. Instead a request for the change will be placed into the system.

If the user is approving a change that someone else placed into the system, the change will happen once the approval is completed.

#### Header

The header is visible no matter which of the sub-tabs are chosen for the OI
Office of Information fields. The Header contains the following information.

Ø PPS OI Name

Ø Item Status

Ø OI Safety Indicator

Ø Dosage Form
The medium used to administer the active ingredient(s) in health products. Dosage forms include, but are not limited to capsules, tablets, injectables, oral solutions, drops, creams, ointments, and patches.

#### Details

The Details tab contains general information concerning the orderable item. This tab contains the following list of attributes:

· Application
A software product that provides a specified functionality. Package
A set of routines, files, options, templates, security keys, screens, bulletins, functions, help frames, forms, blocks, objects, protocols, dialogues, list templates, windows, and namespaces according to DBA requirements that function as a unit. Use

· Non-VA Medication
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has indicated that all medications, including herbal supplements, over-the-counter (OTC) non-prescription medications, and medications prescribed by providers outside the VA (collectively known as “Non-VA medications”), should be entered in the medical record. The user will be able to enter this information into the medical record so that Providers have a better picture of the medications the Patient is taking and that order checks against these medications can occur. Entering Non-VA medications is not the same as placing orders. Users simply enter information to provide a more complete view of what the Patient is taking.

· OI IV
Intravenous Flag

· Item Status

· Category: Changes to the Category field an the Orderable Item level will cascade to all the underlying items. If this Orderable Item has three products associated with it and each product has three NDCs, then changing the category field on the OI will also cause the three products and the nine NDCs to also change.

· Sub-Category: Changes to the sub-category field to not cascade to all the underlying items.

· OI Synonym

· Schedule
The frequency by which the doses are to be administered (i.e., Q8H, BID, NOW). Often referred to as Administration Schedule. Type

· Schedule

· Day (ND) or Dose
A specified quantity of a therapeutic agent, such as a drug, prescribed to be taken at one time or at stated intervals. (NL) Limit

· Standard Medication Route
The method in which the product is to be administered (e.g., oral, injection).

· National Formulary
A collection of pharmaceutical substances along with their formulas, uses, and methods of preparation. Additionally, this can be a list of products that are approved for use with Patients (for the appropriate indications). Indicator

#### Safety

The Safety tab contains Safety information concerning the orderable item. This tab contains the following list of attributes:

· High Alert

· Special Instructions

· National OI-Drug Text Entry

· Patient
An authorized person who is allowed to receive care or is identified as needing care. Receives medications as an Inpatient in a ward or as an Outpatient in a specialty clinic. Also, receives medications as an Outpatient at the pharmacy (window pick-up or mail). Note that a Patient may also include active military personnel and family members of veterans.A person who requires medical treatment, typically the veteran or one of their relatives. Instructions

· Other Language Instructions

· Lifetime Cumulative Dosage

#### Labs & Vitals

The Labs & Vitals tab contains information concerning the laboratories and vital types that are important to the orderable item. The lists are pulled from the corresponding local Vista instances.

· Labs during Order
A request for a product that will be used in the support of a single Patient care. Usually initiated by a Physician or an authorized person. Entry

· Labs during Finishing an Order

· Labs during Administration

· Vitals during Order Entry

· Vitals during Finishing an Order

· Vitals during Administration

#### Products

The Products tab contains information concerning the products associated with the orderable item and contains the ability to perform limited actions on those products.

This tab contains a table listing the products. The table contains the following information

· Select: This field allows the user to select an entry. The selected entry will be used if the user selects the Move Products button.

· VA Product Name
A unique name assigned to each drug product in the National Drug files.

· Print Name

· Generic Name
A non-proprietary name assigned to an item (e.g., drug, supply).

· Primary Class

· New Item Request
A user action that a PEPS Item (OI, Product Item, or NDC Item) addition or modification be considered by the PNM for updates within the PEPS enterprise database.

· F/NF
Non-formulary: This field indicates if the product is part of the National Formulary.

· Application PKG

· NDCs: This is a count of how many NDCs are associated with the product.

· Inactivation Date

Select All button: This button is used to select all the items visible in the table.

Move Products button: This button is used to move the selected products to a different Orderable item. When the button is selected, an OI search screen is displayed that will allow the user to select the OI to which the products will be moved.

Create New Product (from Blank) hyperlink: This link is used to populate the new Product wizard screen and pre-populating the Product with this Orderable Item.

#### History

The History tab contains information concerning the changes that have been made to the Orderable Item since it was migrated or approved. This tab contains several attributes and then a table listing the changes that have been made.

· New Item Request

· Request Rejection Reason

· Rejection Reason Comment

The table consists of the following fields:

· Event
An occurrence that may be synchronous or asynchronous and to which an application must respond in some manner. Category: This is the major category for why the change occurred. For Example a System Event occurs based on an automated action of the system while a National Modification occurs based on a user action.

· Detail Event Category: When multiple attributes are changes at the same time, there is a single event that captures the change but each change is listed separately and this field is populated.

· Field Name: This is the name of the attribute that was modified.

· Reason: This is the reason for the change. In most cases, this is optional free text that is entered by the user.

· Old Value: This is the original value.

· New Value: This is the modified value.

· Date/Time Modified: This is the date and time the change was made.

· Username: The user who modified or approved the request.

#### A – Z tab

The A - Z tab contains a listing of all the attributes of the orderable item in a table format. There are captions on some of the labels.

· L: indicates the field is Local Only and cannot be modified by National Users.

· *: indicates a mandatory field.

· R: Indicates a Read Only field. Read only fields are fields that can be entered when an Orderable Item is created but cannot be modified after the creation.

The table consists of all the attributes of the Orderable Item.

· Application Package Use

· Category

· Day (ND) or Dose (NL) Limit

· Dosage Form

· High Alert

· Labs during Administration

· Labs during Finishing an Order

· Labs during Order Entry

· Local Medication Route

· Local OI-Drug Text Entry

· Local Use

· National Formulary Indicator

· National OI-Drug Text Entry

· New Item Request

· Non-VA Med

· OI Inactivation Date

· OI IV Flag

· OI Synonym

· OI Type

· Other Language Instruction

· Patient Instructions

· PPS OI Name

· Previously Marked for Local Use

· Proposed Inactivation Date

· Rejection Reason Comment

· Request Rejection Reason

· Schedule

· Schedule Type

· Special Instructions

· Standard Medication Route

· Sub-Category

· VistA Orderable Item Name

· Vitals during Administration

· Vitals during Finishing an Order

· Vitals during Order Entry

#### Buttons at the bottom of the page

Cancel
An undo action in a GUI (“cancel” is not an action on an order). button: This button is used to return the user to the previously selected page.

Save Work in Progress button: This button is used to save the current state of the product to a temporary location so the user may exit the screen and then come back and work on the product without submitting the current set of changes.

Submit button: This button is used to submit the current changes to the database.

Create New OI (from existing) hyperlink: This link is used to populate the new Orderable Item wizard screen and pre-populating the wizard with the information from this Orderable Item.