Medication Order Check Healthcare Application (MOCHA) Server is a Java Enterprise Edition (JEE) application, used by the MOCHA Veterans Health Information Systems and Technology Architecture (VistA) Pharmacy Application to perform enhanced order checks using First Data Bank’s (FDB) MedKnowledge Framework. MOCHA Server is a VA-built custom web application; it is not a legacy or COTS application or an Enterprise Shared Service (ESS). FDB MedKnowledge Framework is a drug data product that provides the latest identification and safety information on medications, along with the latest algorithms used to perform order checks. The order checks performed by MOCHA Server include:
• Enhanced Drug-Drug Interactions Order Check provides the clinician with more information by displaying a short description of the clinical effects of the drug interaction and providing an optional view of a detailed professional drug interaction monograph. It checks interactions between two or more drugs, including interaction monographs.
• Enhanced Duplicate Therapy Order Check uses FDB’s Enhanced Therapeutic Classification (ETC) System, which allows checking for duplicated drug classifications between two or more drugs.
• Drug Dose Order Check is the prescribed dose for an ordered drug within the proper dosing parameters based on the patient’s age, weight, and body surface area. This includes both maximum single dose checking and daily dose range checking. General dosing information for a drug will be provided when the other dosing checks cannot be performed.