Create New Custom Drug-Drug Pair

This page allows users to create or delete drug pairs to associated with the VA Customized Drug-Drug interaction as well as perform mass VA Approval Workflow updates to all Drug Pairs associated. To reach this page, the user must click the 'Drug Pairs' button on a VA customized Drug-Drug interaction detail page. This is the preferred method of creating or modifying customized drug pairs.

The header on this page lists the VA Interaction ID (to which they are associating the Drug Pairs), that Interaction's Description, Severity and Action Status (point in the VA Approval Workflow).

This also lists the FDB Interaction ID (from which the VA Customized Interaction was spawned), the FDB Interaction's Description and Severity. ('Action Status' will always be 'N/A' for the FDB record, as it does not go through the VA Approval Workflow).

Select Drug Pairs to add to the above VA Custom Interaction Panel

There are two methods to add drug pairs to a VA custom Drug-Drug interaction. The user will select the radio button to choose which source to select drug pairs from.

  1. If the interaction is customized from an FDB record, the user will be able to select any or all of the corresponding FDB drug pairs. Each FDB drug pair consists of Routed Generic #1 and Routed Generic #2. The user must check the box to the left of the drug pair to select it to add to the custom interaction.

    The 'Select/Deselect All Drug Pairs Displayed from Corresponding FDB Interaction' allows the user to select, or deselect in one click, all of the Drug Pairs to be added. Quantities selected can be limited by selecting the radio buttons next to '100 max', '200 max', '1000 max', or 'All'.

    The 'Get Record Counts' button will display the count of all FDB drug pairs. This helps the user to determine how many drug pairs to select to add to the interaction at one time. It is recommended that quantities be limited to 1000 drug pairs at a time to prevent negative impacts to system performance.

  2. If the interaction is customized from a blank form there are no FDB drug pairs to choose from. The user will choose drug pairs from Routed Generic drug lists. The user will select the first drug 'Routed Generic #1 Description' and then select the second drug 'Routed Generic #2 Description' for the Drug Pair they are associating to this VA customized Drug-Drug Interaction. Note that a drug pair must be chosen before clicking the 'Customize button'. 'Routed Generic #1' and 'Routed Generic #2' fields cannot contain the same chosen value. 'Routed Generic #1' and 'Routed Generic #2' must follow the same order as the Interaction Description. The user must be careful to select all routed generics that contain the desired drug as an ingredient. Combination products may not fall alphabetically close to single ingredient products. The Routed Generic drug lists can also be used to add drug pairs to a drug-drug interaction customized from an FDB record if the drug pairs to be added do not exist in the FDB database.

Fields

Shaded fields cannot be modified within PECS.

Reference Text Field for the user to enter any drug pair reference text needed to support the addition of this/these drug pair(s).
Current Action Reason Applicable to VA record only. Free form text that can be used to specify the reason for taking the specific action of creating new, modifying, assigning, rejecting, reviewing, approving, or deleting the customization.

Buttons

Customize Creates the Drug Pair record and associates it to the VA Customized Drug-Drug Interaction.
Cancel Disregards chosen Drug Pair and any text entered into fields and collapses this panel.

Drug Pairs Panel

This lists all the VA Customized Drug Pairs already associated to the VA Customized Drug-Drug Interaction (noted at the top of the page). It lists the first Drug in the Drug Pair (Routed Generic #1 Description), the second Drug in the Drug Pair (Routed Generic #2 Description), the VA Customized Drug-Drug Interaction Description, the Severity Level Code of that Drug-Drug Interaction, the Drug Pair's Action Status (yes, even VA Customized Drug Pairs go through the VA Approval Workflow), the user that created the Drug Pair and associated it to the VA Customized Drug-Drug Interaction and other fields. This section enables 'batch updates' in that it allows mass Action Status value changes to the shown Drug Pairs in one transaction.

There are checkboxes at the top of this panel, which are filters allowing the user to select any combination of Action Statuses for the associated Drug Pairs by checking any checkbox combination. (The records displayed as a result of checking a checkbox are ACTIVE records only, not the Historical versions of those records). The drug pairs must be in the same state before an action can be performed on them.

The 'Select/Deselect All Drug Pairs Displayed from VA Custom Interaction' allows the user to select, or deselect in one click, all of the Drug Pairs associated to the VA Customized Drug-Drug Interaction. Drug Pairs shown here must be in the same 'Action Status' in order to have one Approval Workflow action performed on them at the same time. Quantities selected can be limited by selecting the radio buttons next to '100 max', '200 max', '1000 max', or 'All'.

The 'Get Record Counts' button will display the count of all VA customized drug pairs. This helps the user to determine how many drug pairs to select to perform an action against at one time. It is recommended that quantities be limited to 200 drug pairs at a time to prevent negative impacts to system performance.

To batch update' drug pairs:

  1. Use the Action Status checkbox filters to make sure all drug pairs selected are in the same Action Statuses
  2. Select the drug pair records that will be updated in this one action
  3. Select the allowed Approval Workflow action to be performed (Submit as Reviewed, Approve, Reject, etc)

Repeat this process for all of the drug pairs until the entire set of drug pairs is in the desired point in the Approval Workflow.