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| 1 | ePharmacy_Bundle 12.zip | pso_7_0_p512_tech_um.docx | Wed Sep 12 15:33:39 2018 UTC |
| 2 | ePharmacy_Bundle 12.zip | pso_7_0_p512_tech_um.docx | Mon Sep 17 20:41:59 2018 UTC |
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| 1 | Outpatient Pharmacy (PSO) | |
| 2 | Technician ’s User Ma nual | |
| 3 | ||
| 4 | Version 7. 0 | |
| 5 | December 1 997 | |
| 6 | (Revised N ovember 20 18) | |
| 7 | Department of Vetera ns Affairs (VA) | |
| 8 | Office of Informatio n and Tech nology (OI T) | |
| 9 | Enterprise Program M anagement Office | |
| 10 | ||
| 11 | Revision H istory | |
| 12 | When updat es occur, the Title Page lists the new r evised dat e and this page desc ribes the changes. B ookmarks l ink the de scribed co ntent chan ges to its place wit hin manual . There ar e no bookm arks for f ormat upda tes. Page numbers ch ange with each updat e; therefo re, they a re not inc luded as a reference in the Re vision His tory. | |
| 13 | Date | |
| 14 | Patch | |
| 15 | Descriptio n | |
| 16 | 11/2018 | |
| 17 | PSO*7.0*51 2 | |
| 18 | Add ECME# to OP Medc iations Sc reen: 124, 128, 129, 136, 143 | |
| 19 | 04/2018 | |
| 20 | PSO*7*502 | |
| 21 | Updates fo r ScripTal k enhancem ent: | |
| 22 | Included S cripTalk M apping Err or Message s | |
| 23 | 508 & OIT Compliance update th roughout | |
| 24 | (H. Chipma n, SQA; K. Watson, T W) | |
| 25 | 02/2018 | |
| 26 | PSO*7*402 | |
| 27 | Updated ti tle page t o reflect month/year of revisi on | |
| 28 | Updated pa tient head er display s | |
| 29 | 3, 6, 27, 30, 48, 5 0, 60-61, 64, 66-67, 69, 73, 7 6-77, 79, 90, 92, 10 1, 106-107 , 116, 122 , 126-127, 131-132,1 36, 140, 1 56 | |
| 30 | Updated Av ailable Do sage List displays | |
| 31 | 37, 62, 64 , 68, 77-7 8, 81-82, 89, 100-10 1, 104-105 , 110, 114 -115, 140 | |
| 32 | Updated Sc hedule pro mpt displa ys: 37, 62 -64, 68, 7 8, 82, 89, 100, 101- 102, 106, 112, 114, 140 | |
| 33 | Updated in formation on Availab le Dosage List displ ay changes | |
| 34 | Updated te xt for sch edule chan ges | |
| 35 | Updated Er ror Table Informatio n: 33,163 | |
| 36 | Updated Do sing Order Check sec tion | |
| 37 | (
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| 38 | 9/2017 | |
| 39 | PSO*7*422 | |
| 40 | Removed “D o You want to Edit t he SIG?” | |
| 41 | ( PII , TW) | |
| 42 | 05/2017 | |
| 43 | PSO*7*479 | |
| 44 | Modifies t he prompt to the use r when pri nting a On eVA Pharma cy label. | |
| 45 | ( PII , Tech Wri ter) | |
| 46 | 12/2016 | |
| 47 | PSO*7*460 | |
| 48 | Updated co pay activi ty log for Fixed Med ication Co payment Ti ers (FMCT) | |
| 49 | ||
| 50 | Updated Ti tle Page t o current OI&T Stand ards | |
| 51 | Updated Re vision His tory | |
| 52 | Updated Ta ble of Con tents | |
| 53 | Updated fo oter date to March 2 014 per bu siness req uest. | |
| 54 | (
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| 55 | 12/2016 | |
| 56 | PSO*7*454 | |
| 57 | Updated Ti tle Page R evised Dat e; Updated Revision History; U pdated Tab le of Cont ents; Upda ted Footer Date; Upd ated Intro duction; U pdated Med ication Pr ofile; Add ed OneVA P harmacy to Patient P rescriptio n Processi ng; Update d Glossary ; Updated Index. | |
| 58 | ( PII Tech Writ er) | |
| 59 | 08/2016 | |
| 60 | PSO*7*448 | |
| 61 | Using the Copy Actio n section | |
| 62 | Updated Ho lding and Unholding a Prescrip tion secti on | |
| 63 | Updated ex amples to read “Vete ran Prescr iption” | |
| 64 | (
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| 65 | 04/2016 | |
| 66 | PSO*7*411 | |
| 67 | ||
| 68 | Updated Re vision His tory | |
| 69 | Updated Ta ble of Con tents | |
| 70 | Added Alle rgy Order Checks | |
| 71 | Added Clin ical Remin der Order Checks cha nges | |
| 72 | Updated Sc reensUpdat ed descrip tion, capt ures | |
| 73 | Updated Gl ossary | |
| 74 | Updated In dex | |
| 75 | (
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| 76 | 01/2016 | |
| 77 | PSO*7*427 | |
| 78 | Updated co ver date t o January 2016. Upda ted screen shots to d isplay the National Drug Code (NDC) in a ccordance with new f unctionali ty associa ted with P SO*7*427 a s | |
| 79 | well as ad ditional t ext added to Chapter 10 “Pull Early From Suspense” (3rd para graph abou t the Labe l Log) and additiona l new scre enshot. | |
| 80 | (
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| 81 | 03/2015 | |
| 82 | PSO*7*438 | |
| 83 | Updated he lp text fo r patient lookup. | |
| 84 | 08/2014 | |
| 85 | PSO*7*313 | |
| 86 | Updated Ou tpatient P harmacy Hi dden Actio ns | |
| 87 | Added sect ion on tit ration | |
| 88 | Updated [P SO LM BACK DOOR ORDER S] | |
| 89 | Updated Gl ossary | |
| 90 | Updated In dex | |
| 91 | (
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| 92 | 03/2014 | |
| 93 | PSO*7*421 | |
| 94 | Updated al l pages th roughout t he documen t | |
| 95 | Updated co ntents to reflect ad ded/remove d function ality of c urrent pat ch. | |
| 96 | Added Reje ct Resolut ion Requir ed informa tion | |
| 97 | Added Exam ple for ha ndling Rej ect Requir ed Rejecte d | |
| 98 | Added if c laim submi ssion retu rns a Reje ct Resolut ion Requir ed informa tion | |
| 99 | Added Reje ct Resolut ion Requir ed reject to index | |
| 100 | (
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| 101 | 09/2013 | |
| 102 | PSO*7*372 | |
| 103 | Updated Re vision His tory & Tab le of Cont ents | |
| 104 | Added to t he Related Manuals | |
| 105 | Update tex t | |
| 106 | Delete tex t | |
| 107 | Update scr eens | |
| 108 | Add Dosing Order Che cks inform ation | |
| 109 | Updated Er ror Messag e section | |
| 110 | Update Ind ex | |
| 111 | (
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| 112 | 05/2013 | |
| 113 | ||
| 114 | PSO*7*391 | |
| 115 | Updated Ta ble of Con tents | |
| 116 | New sort s election f or CS. | |
| 117 | New securi ty key nam ed "PSDRPH " introduc ed. | |
| 118 | Added Hash Counts an d DEA Cert ification section. | |
| 119 | Added two System Err or message s. | |
| 120 | Updated In dex | |
| 121 | (
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| 122 | 01/2013 | |
| 123 | PSO*7*390 | |
| 124 | Updated Re vision His tory & Tab le of Cont ents | |
| 125 | Added new option Che ck Interac tion | |
| 126 | Added Crea tinine Cle arance (Cr Cl) and Bo dy Surface Area (BSA ), when av ailable, t o the head er area of Patient a nd Medicat ion Profil e displays | |
| 127 | Added new option Che ck Drug In teraction | |
| 128 | Added info rmation re garding cl inic order s | |
| 129 | Update Hid den Action s | |
| 130 | Added drug allergy c hanges | |
| 131 | Update Glo ssary | |
| 132 | Update Ind ex | |
| 133 | (
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| 134 | 09/2012 | |
| 135 | PSO*7*386 | |
| 136 | Added sect ion on HOL D and UNHO LD functio nality. | |
| 137 | (
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| 138 | 02/2012 | |
| 139 | PSO*7*385 | |
| 140 | PSO*7*359 | |
| 141 | Added sign ature aler t | |
| 142 | Expanded E CME Number s to twelv e digits | |
| 143 | Corrected typos | |
| 144 | Updated wo rding on p . 34 from “a message ” to “mess ages” | |
| 145 | Updated Se rvice Code values | |
| 146 | Added CHAM PVA functi onality | |
| 147 | Added TRIC ARE to Glo ssary | |
| 148 | Added CHAM PVA to Glo ssary | |
| 149 | (
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| 150 | 04/2011 | |
| 151 | PSO*7*251 | |
| 152 | The follow ing change s are incl uded in th is patch: | |
| 153 | -Updated R evision Hi story | |
| 154 | -Updated T able of Co ntents | |
| 155 | -Outpatien t List Man ager Scree n Views | |
| 156 | -Added HP and H to H old Status , and Adde d DF,DE,DP ,DD and DA | |
| 157 | -Added Int ervention menu hidde n action i nformation | |
| 158 | -Added DF, DE,DP,DD a nd DA, and Added HP and H to H old Status | |
| 159 | -Replaced Medication Short Pro file | |
| 160 | -Added Int ervention menu hidde n action i nformation | |
| 161 | -Inserted enhanced O rder check s, Outpati ent Pharma cy generat ed order c hecks | |
| 162 | -Added IN to Screen Scrape | |
| 163 | -Modified New Order Screen Scr ape | |
| 164 | -Updated E ntering a New Order, Added All ergy/ADR, Therapeuti c Duplicat ion, and C PRS Order Checks | |
| 165 | -Duplicate Drug exam ples | |
| 166 | -Duplicate Drug exam ples | |
| 167 | -CPRS Orde r Checks – How They Work | |
| 168 | -Error Mes sages | |
| 169 | -Added API , DATUP, D IF, DoD, E TC, FDB, H DR-Hx, and HDR-IMS t o the Glos sary, and updated pa ge numberi ng | |
| 170 | -Updated I ndex to in clude Enha nced Drug- Drug Inter actions, D uplicate D rug Order Check, All ergy/ADR O rder Check Display, Therapeuti c Duplicat ion, and C PRS Order Checks, an d updated page numbe ring | |
| 171 | (PII, Tec h Writer) | |
| 172 | 10/2009 | |
| 173 | PSO*7*326 | |
| 174 | The Social Security Number was removed f rom print outs given to patien ts. The pa tient look up has bee n expanded to includ e the abil ity to loo k up by pr escription number or wand a ba rcode with the presc ription fr om many op tions. | |
| 175 | (
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| 176 | 08/2009 | |
| 177 | PSO*7*320 | |
| 178 | The follow ing change s are incl uded in th is patch. | |
| 179 | Remote Dat a prompt, notificati on, and sc reen have been added . | |
| 180 | A hidden a ction, DR [Display R emote], ha s been add ed. | |
| 181 | "THIS PATI ENT HAS PR ESCRIPTION S AT OTHER FACILITIE S" prints at the end of the Pu ll Early f rom Suspen se report. | |
| 182 | (
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| 183 | ||
| 184 | (This page included for two-si ded copyin g.) | |
| 185 | ||
| 186 | Preface | |
| 187 | ||
| 188 | This user manual des cribes the functiona l characte ristics of Outpatien t Pharmacy V. 7.0. I t is inten ded for ph armacists and techni cians who are famili ar with th e function ing of Out patient Ph armacy in a VA Medic al Center. | |
| 189 | ||
| 190 | (This page included for two-si ded copyin g.) | |
| 191 | ||
| 192 | ||
| 193 | ||
| 194 | ||
| 195 | ||
| 196 | ||
| 197 | ||
| 198 | Table of C ontents | |
| 199 | ||
| 200 | Chapter 1: Introduct ion1 | |
| 201 | Documentat ion Conven tions1 | |
| 202 | Getting He lp2 | |
| 203 | Related Ma nuals2 | |
| 204 | Chapter 2: List Mana ger3 | |
| 205 | Outpatient List Mana ger3 | |
| 206 | Using List Manager w ith Outpat ient Pharm acy6 | |
| 207 | Entering A ctions7 | |
| 208 | Outpatient Pharmacy Hidden Act ions8 | |
| 209 | Speed Acti ons10 | |
| 210 | Other Outp atient Pha rmacy List Man Action s11 | |
| 211 | Other Scre en Actions 11 | |
| 212 | Chapter 3: Using the Pharmacy Technician ’s Menu14 | |
| 213 | Patient Lo okup14 | |
| 214 | Chapter 4: Using the Bingo Boa rd User Me nu17 | |
| 215 | Bingo Boar d User17 | |
| 216 | Enter New Patient17 | |
| 217 | Display Pa tient's Na me on Moni tor18 | |
| 218 | Remove Pat ient's Nam e from Mon itor18 | |
| 219 | Status of Patient's Order18 | |
| 220 | Chapter 5: Changing the Label Printer21 | |
| 221 | Change Lab el Printer 21 | |
| 222 | Chapter 6: Check Dru g Interact ion23 | |
| 223 | Check Drug Interacti on23 | |
| 224 | Chapter 7: Creating, Editing, and Printi ng a DUE A nswer Shee t25 | |
| 225 | DUE User25 | |
| 226 | Enter a Ne w Answer S heet25 | |
| 227 | Edit an Ex isting Ans wer Sheet2 5 | |
| 228 | Batch Prin t Question naires25 | |
| 229 | Chapter 8: Using the Medicatio n Profile2 8 | |
| 230 | Medication Profile28 | |
| 231 | Medication Profile: Short Form at28 | |
| 232 | OneVA Phar macy and t he Medicat ion Profil e30 | |
| 233 | Medication Profile: Long Forma t32 | |
| 234 | Chapter 9: Processin g a Prescr iption35 | |
| 235 | Patient Pr escription Processin g35 | |
| 236 | Allergy Or der Checks 39 | |
| 237 | OneVA Phar macy Proce ssing with in Patient Prescript ion Proces sing43 | |
| 238 | Outpatient Allergy O rder Entry Process51 | |
| 239 | Clinical R eminder Or der Checks 55 | |
| 240 | Enhanced D rug-Drug I nteraction s56 | |
| 241 | Clinic Ord ers58 | |
| 242 | Titration7 5 | |
| 243 | Entering a New Order 76 | |
| 244 | Allergy/AD R Order Ch eck Displa y83 | |
| 245 | Provider O verride Re ason: N/A - Order En tered Thro ugh VistA8 6 | |
| 246 | Therapeuti c Duplicat ion86 | |
| 247 | Dosing Ord er Checks1 05 | |
| 248 | CPRS Order Checks105 | |
| 249 | Entering a New Order – ePharma cy (Third Party Bill able)117 | |
| 250 | NDC Valida tion130 | |
| 251 | Using the Copy Actio n131 | |
| 252 | Copying an ePharmacy Order135 | |
| 253 | Holding an d Unholdin g a Prescr iption138 | |
| 254 | Renewing a Prescript ion140 | |
| 255 | Renewing a n ePharmac y Order142 | |
| 256 | Chapter 10 : Pull Ear ly from Su spense145 | |
| 257 | Pull Early from Susp ense145 | |
| 258 | Chapter 11 : Queue CM OP Prescri ption147 | |
| 259 | Queue CMOP Prescript ion147 | |
| 260 | Chapter 12 : Releasin g Medicati on149 | |
| 261 | Release Me dication14 9 | |
| 262 | Fixed Medi cation Cop ayment Tie rs (FMCT)1 52 | |
| 263 | Changes to Releasing Orders Fu nction - D igitally S igned Orde rs Only152 | |
| 264 | Changes to Releasing Orders Fu nction - S cripTalk15 5 | |
| 265 | Changes to Releasing Orders Fu nction – S ignature A lert155 | |
| 266 | Changes to Releasing Orders fu nction – H IPAA NCPDP Global155 | |
| 267 | Chapter 13 : Updating a Patient ’s Record1 58 | |
| 268 | Update Pat ient Recor d158 | |
| 269 | Chapter 14 : CPRS Ord er Checks: How They Work160 | |
| 270 | Introducti on160 | |
| 271 | Order Chec k Data Cac hing160 | |
| 272 | Hash Count s and DEA Certificat ion161 | |
| 273 | Chapter 15 : Error Me ssages164 | |
| 274 | Glossary16 6 | |
| 275 | Index175 | |
| 276 | ||
| 277 | Chapter 1: Introduct ion | |
| 278 | ||
| 279 | The Outpat ient Pharm acy (OP) s oftware pr ovides a w ay to mana ge the med ication re gimen of V eterans se en in the outpatient clinics a nd to moni tor and ma nage the w orkload an d costs in the Outpa tient Phar macy. The Pharmacy O rdering En hancements (POE) pro ject (patc h PSO*7*46 for Outpa tient Phar macy) impr oves the f low of ord ers betwee n Inpatien t and Outp atient Pha rmacy as w ell as bet ween Compu terized Pa tient Reco rd System (CPRS) and backdoor pharmacy. | |
| 280 | ||
| 281 | The primar y benefits to the Ve teran are the assura nce that h e or she i s receivin g the prop er medicat ion and th e convenie nce of obt aining ref ills easil y. The cli nicians an d pharmaci sts respon sible for patient ca re benefit from a co mplete, ac curate, an d current medication profile a vailable a t any time to permit professio nal evalua tion of tr eatment pl ans. Utili zation, co st, and wo rkload rep orts provi de managem ent cost c ontrolling tools whi le maintai ning the h ighest lev el of pati ent care. | |
| 282 | ||
| 283 | The OneVA Pharmacy p roject (pa tch PSO*7* 454 - Dece mber 2016) provided Pharmacist s the capa bility to dispense p rescriptio ns that or iginated i n other Vi stA host s ites. The OneVA Phar macy User Manual and Installat ion Guide describe t he site pa rameter re quired to use this f unctionali ty. | |
| 284 | Documentat ion Conven tions | |
| 285 | This Outpa tient Phar macy V. 7. 0 Technici an’s User Manual inc ludes docu mentation convention s, also kn own as not ations, wh ich are us ed consist ently thro ughout thi s manual. Each conve ntion is o utlined be low. | |
| 286 | Convention | |
| 287 | Example | |
| 288 | Menu optio n text is italicized . | |
| 289 | There are eight opti ons on the Archiving menu. | |
| 290 | Screen pro mpts are d enoted wit h quotatio n marks ar ound them. | |
| 291 | The “Dosag e:” prompt displays next. | |
| 292 | Responses in bold fa ce indicat e user inp ut. | |
| 293 | Select Ord ers by num ber: (1-6 ): 5 | |
| 294 | <Enter> in dicates th at the Ent er key (or Return ke y on some keyboards) must be p ressed. | |
| 295 | <Tab> indi cates that the Tab k ey must be pressed. | |
| 296 | Type Y for Yes or N for No and press <En ter>. | |
| 297 | Press <Tab > to move the cursor to the ne xt field. | |
| 298 | Indicates especially important or helpfu l informat ion. | |
| 299 | Up to four of the la st LAB res ults can b e displaye d in the m essage. | |
| 300 | Indicates that optio ns are loc ked with a particula r security key. The user must hold the p articular security k ey to be a ble to per form the m enu option . | |
| 301 | This optio n requires the secur ity key AI . | |
| 302 | ||
| 303 | Getting He lp | |
| 304 | ?, ??, ??? One, two or three question m arks can b e entered at any of the prompt s for onli ne help. O ne questio n mark eli cits a bri ef stateme nt of what informati on is appr opriate fo r the prom pt. Two qu estion mar ks provide more help , plus the hidden ac tions, and three que stion mark s will pro vide more detailed h elp, inclu ding a lis t of possi ble answer s, if appr opriate. | |
| 305 | Related Ma nuals | |
| 306 | The follow ing manual s are loca ted on the VistA Doc umentation Library ( VDL) at: h ttp:// URL . | |
| 307 | ||
| 308 | Main Packa ge Documen tation: | |
| 309 | Outpatient Pharmacy V. 7.0 Rel ease Notes | |
| 310 | Outpatient Pharmacy V. 7.0 Man ager’s Use r Manual | |
| 311 | Outpatient Pharmacy V. 7.0 Pha rmacist’s User Manua l | |
| 312 | Outpatient Pharmacy V. 7.0 Tec hnician’s User Manua l | |
| 313 | Outpatient Pharmacy V. 7.0 Use r Manual – Supplemen tal | |
| 314 | Outpatient Pharmacy V. 7.0 Tec hnical Man ual/Securi ty Guide | |
| 315 | Dosing Ord er Check U ser Manual | |
| 316 | VistA to M OCHA Inter face Docum ent | |
| 317 | Installati on Guide – OneVA Pha rmacy | |
| 318 | Release No tes – OneV A Pharmacy | |
| 319 | User Manua l – OneVA Pharmacy | |
| 320 | ||
| 321 | Additional Documenta tion: | |
| 322 | Additional documenta tion relat ed to spec ific proje cts is als o located on the VDL . For exam ple, there may be se veral diff erent Rele ase Notes documents, which app ly to spec ific proje cts. Also, there may be severa l sets of “Change Pa ge” docume nts, which apply to changes ma de only fo r a specif ic package patch. | |
| 323 | Chapter 2: List Mana ger | |
| 324 | ||
| 325 | The screen displayed when proc essing an order has changed dr amatically from the previous v ersion of Outpatient Pharmacy (e.g., v. 6.0). The new screen was desig ned using List Manag er. | |
| 326 | ||
| 327 | This new s creen give s more inf ormation a nd easier accessibil ity to vit al reports and areas of a pati ent’s char t. | |
| 328 | ||
| 329 | Please tak e the time to read o ver the ex planation of the scr een and th e actions that can n ow be exec uted at th e touch of a key. Th is type of preparati on before attempting to use Li st Manager will redu ce the tim e and effo rt needed to become skilled in order pro cessing wi th this ne w version of List Ma nager. | |
| 330 | ||
| 331 | Outpatient List Mana ger | |
| 332 | ||
| 333 | ||
| 334 | Patient In formation Feb 09, 2006 16:31:03 Page: 1 of 2 | |
| 335 | OPPATIENT1 7, ONE <A> | |
| 336 | PID: 000- 12-3456 Ht(cm) : 175.26 ( 08/06/2000 ) | |
| 337 | DOB: AUG 30,1948 (5 7) Wt(kg) : 108.18 ( 01/14/2006 ) | |
| 338 | SEX: MALE | |
| 339 | CrCL: <Not Found> (C REAT: Not Found) BSA (m2) : 2.09 | |
| 340 | + | |
| 341 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 70 | |
| 342 | RX PATIENT STATUS: S C LESS THA N 50% | |
| 343 | ||
| 344 | Disabiliti es: | |
| 345 | ||
| 346 | 1313 TWIN OAKS LANE | |
| 347 | HOME PHONE : 555-555- 8361 | |
| 348 | ANYVILLE CELL PHONE : | |
| 349 | ALABAMA 1 2345 WORK PHONE : | |
| 350 | Prescripti on Mail De livery: Re gular Mail | |
| 351 | ||
| 352 | ||
| 353 | Allergies | |
| 354 | Verifi ed: PEANUT S, | |
| 355 | + Enter ?? for more actions | |
| 356 | EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate | |
| 357 | DD Detail ed Allergy /ADR List EX Exit P atient Lis t | |
| 358 | Select Act ion: Quit/ / | |
| 359 | Allergy In dicator | |
| 360 | Header Are a | |
| 361 | Message Wi ndow | |
| 362 | Action Are a | |
| 363 | List Area | |
| 364 | (Scrolling region) | |
| 365 | Screen Tit le | |
| 366 | Patient In formation Feb 09, 2006 16:31:03 Page: 1 of 2 | |
| 367 | OPPATIENT1 7, ONE <A> | |
| 368 | PID: 000- 12-3456 Ht(cm) : 175.26 ( 08/06/2000 ) | |
| 369 | DOB: AUG 30,1948 (5 7) Wt(kg) : 108.18 ( 01/14/2006 ) | |
| 370 | SEX: MALE | |
| 371 | CrCL: <Not Found> (C REAT: Not Found) BSA (m2) : 2.09 | |
| 372 | + | |
| 373 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 70 | |
| 374 | RX PATIENT STATUS: S C LESS THA N 50% | |
| 375 | ||
| 376 | Disabiliti es: | |
| 377 | ||
| 378 | 1313 TWIN OAKS LANE | |
| 379 | HOME PHONE : 555-555- 8361 | |
| 380 | ANYVILLE CELL PHONE : | |
| 381 | ALABAMA 1 2345 WORK PHONE : | |
| 382 | Prescripti on Mail De livery: Re gular Mail | |
| 383 | ||
| 384 | ||
| 385 | Allergies | |
| 386 | Verifi ed: PEANUT S, | |
| 387 | + Enter ?? for more actions | |
| 388 | EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate | |
| 389 | DD Detail ed Allergy /ADR List EX Exit P atient Lis t | |
| 390 | Select Act ion: Quit/ / | |
| 391 | Allergy In dicator | |
| 392 | Header Are a | |
| 393 | Message Wi ndow | |
| 394 | Action Are a | |
| 395 | List Area | |
| 396 | (Scrolling region) | |
| 397 | Screen Tit le | |
| 398 | ||
| 399 | ||
| 400 | ||
| 401 | ||
| 402 | ||
| 403 | ||
| 404 | ||
| 405 | ||
| 406 | ||
| 407 | ||
| 408 | ||
| 409 | ||
| 410 | ||
| 411 | ||
| 412 | ||
| 413 | ||
| 414 | ||
| 415 | ||
| 416 | ||
| 417 | ||
| 418 | ||
| 419 | Screen tit le: | |
| 420 | The screen title cha nges accor ding to wh at type of informati on List Ma nager is d isplaying (e.g., Pat ient Infor mation, Me dication P rofile, Ne w OP Order (ROUTINE) , etc.). | |
| 421 | Allergy in dicator: | |
| 422 | This indic ator displ ays when t here has b een inform ation ente red into t he ALLERGY field for the patie nt. The in dicator di splays “NO ALLERGY A SSESSMENT” if there is no alle rgy assess ment for t he patient . | |
| 423 | Header are a: | |
| 424 | The header area is a "fixed" ( non-scroll able) area that disp lays patie nt informa tion. | |
| 425 | List area: | |
| 426 | (scrolling region) T his area s crolls (li ke the pre vious vers ion) and d isplays th e informat ion on whi ch action can be tak en. | |
| 427 | Message wi ndow: | |
| 428 | This secti on display s a plus ( +) sign, m inus (-) s ign, or in formationa l text (i. e., Enter ?? for mor e actions) . If a plu s sign is entered at the actio n prompt, List Manag er will "j ump" forwa rd a page. If a minu s sign is displayed and entere d at the a ction prom pt, List M anager wil l "jump" b ack a scre en. The pl us and min us signs a re only va lid action s if they are displa yed in the message w indow. | |
| 429 | Action are a: | |
| 430 | A list of actions di splay in t his area o f the scre en. If a d ouble ques tion mark (??) is en tered at t he “Select Item(s)” prompt, a “hidden” l ist of add itional ac tions that are avail able will be display ed. Outpat ient Pharm acy hidden actions a re display ed with th e letters (OP) next to the act ion. | |
| 431 | ||
| 432 | Allergy In dicator | |
| 433 | Allergy In dicator | |
| 434 | Order Stat us and CMO P Indicato rs | |
| 435 | Order Stat us and CMO P Indicato rs | |
| 436 | Example: S howing mor e Indicato rs and Def initions | |
| 437 | Medication Profile May 22, 20 06 10:44:5 6 Page: 1 of 1 | |
| 438 | OPPATIENT1 6,ONE<A> | |
| 439 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2004) | |
| 440 | DOB: APR 3,1941 (6 5) Wt(kg): 9 0.45 (02/0 8/2004) | |
| 441 | ||
| 442 | Return | |
| 443 | To Stock I ndicator | |
| 444 | Return | |
| 445 | To Stock I ndicator SEX: MALE | |
| 446 | CrCL: 102 .4(est.) ( CREAT:1.0m g/dL 10/30 /12) B SA (m2): 2 .08 | |
| 447 | Non-VA Med s on File | |
| 448 | ||
| 449 | Copay Indi cator | |
| 450 | Copay Indi cator Last e ntry on 01 /13/01 | |
| 451 | I SSUE LAST REF DAY | |
| 452 | # RX # DRU G QTY ST DATE FILL REM SUP | |
| 453 | ||
| 454 | ---------- ---------- ---------- ------ACTI VE-------- ---------- ---------- ------ | |
| 455 | 1 503902 ACE TAMINOPHEN 500MG TAB 60 AT 05 -22 05-22 3 30 | |
| 456 | ||
| 457 | ePharmacy Indicator | |
| 458 | ePharmacy Indicator 2 503886$ DIGO XIN (LANOX IN) 0.2MG CAP 60 A> 05- 07 05-07 5 30 | |
| 459 | 3 503871$ HIS TOPLASMIN 1ML 1 A 03 -14 03-14R 5 30 | |
| 460 | 4 1000020 42$e NAL BUPHINE HC L INJ 10MG /ML 1 A 03 -14 03-14 5 30 | |
| 461 | 5 1000020 40$ SAL ICYLIC ACI D 40% OINT (OZ) 1 S 03 -14 03-17 5 30 | |
| 462 | ---------- ---------- ---------- ---DISCONT INUED----- ---------- ---------- --------- | |
| 463 | 6 503881 BAC LOFEN 10MG TABS 30 DC 04 -07 05-01 2 30 | |
| 464 | 7 1000020 20A$ TIM OLOL 0.25% OPTH SOL 10ML 1 DE 02 -03 02-03 5 30 | |
| 465 | 8 1000020 5 HAL OPERIDOL 2 0MG TAB 1 DF 02 -03 02-03 5 30 | |
| 466 | 9 8201954 BIL AFUMIN .05 MG CAP 1 DP 01 -03 03-03 5 30 | |
| 467 | 10 6041972 RON INPENSATE 15MG SA TA B 1 DD 03 -03 04-03 5 30 | |
| 468 | 11 3012001 PRE STANUS 1% SOL 1 DA 02 -03 02-03 5 30 | |
| 469 | ||
| 470 | ---------- ---------- ---------- --------HO LD-------- ---------- ---------- --------- | |
| 471 | ||
| 472 | Pending Or ders | |
| 473 | Pending Or ders12 825 1996 VONITRATE CAL 325MG EC TAB 1 H P 02-03 02 -03 5 3 0 | |
| 474 | 13 1000019 42 ABD OMINAL PAD 7 1/2 X 8 STERILE 1 H 09 -28 09-28 5 30 | |
| 475 | ||
| 476 | ||
| 477 | Flagged Or der | |
| 478 | Flagged Or der------- ---------- ---------- -------NON -VERIFIED- ---------- ---------- ---------- -- | |
| 479 | 14 100002 039$ BA CLOFEN 10M G TABS 30 N 0 3-14 03-14 5 30 | |
| 480 | ---------- ---------- ---------- ------PEND ING------- ---------- ---------- --------- | |
| 481 | 15 AMPICIL LIN 250MG CAP QTY: 40 ISDT : 05-29 R EF: 0 | |
| 482 | 16 SIMETHI CONE 40MG TAB QTY: 30 ISDT: 05-30 RE F: 3 | |
| 483 | ||
| 484 | Non-VA Med s Orders | |
| 485 | Non-VA Med s Orders-- ---------- ---------- --NON-VA M EDS (Not d ispensed b y VA)----- ---------- ------- | |
| 486 | GINKO EXT 1 TAB ONCE A DAY BY MOUTH Date Doc umented: 0 1/13/01 | |
| 487 | IBUPROFPEN 50MG TAB Date Doc umented: 1 2/10/00 | |
| 488 | ||
| 489 | Enter ?? f or more ac tions | |
| 490 | PU Patien t Record U pdate NO New Or der | |
| 491 | PI Patien t Informat ion SO Select Order | |
| 492 | Select Act ion: Quit/ / | |
| 493 | ||
| 494 | All orders are sub-g rouped by like statu ses and th en listed alphabetic ally withi n the sub- group. | |
| 495 | ||
| 496 | Order Stat us: | |
| 497 | The curren t status o f the orde r. These s tatuses in clude: | |
| 498 | ||
| 499 | AActive | |
| 500 | ||
| 501 | SSuspended | |
| 502 | ||
| 503 | NNon-Verif ied or Dru g Interact ions | |
| 504 | ||
| 505 | HPPlaced o n hold by provider t hrough CPR S | |
| 506 | ||
| 507 | HPlaced on hold via backdoor P harmacy | |
| 508 | ||
| 509 | EExpired | |
| 510 | ||
| 511 | DAAuto dis continued due to adm ission | |
| 512 | ||
| 513 | DPDisconti nued by pr ovider thr ough CPRS | |
| 514 | ||
| 515 | The Status column ma y also ref lect the t ype of Dis continue a ction perf ormed on t he order: | |
| 516 | DFDisconti nued due t o edit by a provider through C PRS | |
| 517 | DEDisconti nued due t o edit via backdoor Pharmacy | |
| 518 | DCDisconti nued via b ackdoor Ph armacy | |
| 519 | DDDisconti nued due t o death | |
| 520 | ||
| 521 | A “B” will be append ed to the above stat uses if th e Bad Addr ess Indica tor was se t and ther e was no a ctive temp orary addr ess at the time of t he last la bel activi ty. | |
| 522 | ||
| 523 | CMOP Indic ators:Ther e are two separate i ndicators when the d rug in an order is m arked for Consolidat ed Mail Ou tpatient P harmacy (C MOP) proce ssing. Thi s indicato r is displ ayed after the Order Status if applicabl e. | |
| 524 | >Drug for the prescr iption is marked for CMOP | |
| 525 | TDisplayed when the last fill is either in a Trans mitted or Retransmit ted CMOP s tate. (Thi s indicato r can over write the “>” indica tor. | |
| 526 | ||
| 527 | Copay Indi cator:A “$ ” displaye d to the r ight of th e prescrip tion numbe r indicate s the pres cription i s copay el igible. | |
| 528 | ||
| 529 | ePharmacy An ‘e’ dis played to the right of the pre scription number ind icates tha t | |
| 530 | Indicator: the prescr iption is electronic third-par ty billabl e. | |
| 531 | ||
| 532 | Return to StockAn “R ” displaye d to the r ight of th e Last Fil l Date ind icates the last fill | |
| 533 | Indicator: was return ed to stoc k. | |
| 534 | ||
| 535 | Pending Or ders:Any o rders ente red throug h Computer ized Patie nt Records System (C PRS), or a nother out side sourc e, that ha ve not bee n finished by Outpat ient Pharm acy. | |
| 536 | ||
| 537 | Non-VA Med s:Any over the count er (OTC) m edications , herbal s upplements , medicati ons. | |
| 538 | ||
| 539 | Orders:pre scribed by providers outside t he VA, and medicatio ns prescri bed by the VA, but p urchased b y the pati ent at an outside ph armacy are displayed here. Non -VA Meds o rders cann ot be plac ed or upda ted in Out patient Ph armacy. Th e user can input inf ormation a bout a pat ient’s use of Non-VA Meds only through C PRS. Howev er, the us er can use either CP RS or Outp atient Pha rmacy menu options t o view Non -VA Meds d ata in a p atient’s m edical rec ords. | |
| 540 | ||
| 541 | Third Part y RejectsA ny prescri ptions tha t are reje cted by th ird-party payers bec ause of Re fill Too S oon (code 79) or Dru g Utilizat ion Review (DUR - co de 88) are displayed in this s ection. | |
| 542 | ||
| 543 | Example: S howing Rej ected Pres criptions | |
| 544 | Medication Profile Aug ust 12, 20 06@12:35:0 4 Page: 1 of 1 | |
| 545 | OPPATIENT, ONE <A > | |
| 546 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2005) | |
| 547 | DOB: APR 3,1941 (6 5) Wt(kg): 9 0.45 (02/ 08/2005) | |
| 548 | SEX: MAL E | |
| 549 | CrCL: 78.1 (est.) (CR EAT:1.0mg/ dL 6/24/03 ) BSA (m2): 2.08 | |
| 550 | ISSUE LAST REF DAY | |
| 551 | # RX # DRU G QTY ST DATE FILL REM SUP | |
| 552 | ||
| 553 | ---------- ------REFI LL TOO SOO N/DUR REJE CTS (Third Party)--- ---------- --------- | |
| 554 | 1 51368009 $e DIG OXIN (LANO XIN) 0.05M G CAP 90 A> 02-16 02-1 6 3 90 | |
| 555 | 2 51360563 e OXY BUTYNIN CH LORIDE 15M G SA TAB 180 S> 02-15 05-0 6 0 90 | |
| 556 | ---------- ---------- ---------- ---ACTIVE- ---------- ---------- ---------- -------- | |
| 557 | 3 10000347 0e ABS ORBABLE GE LATIN FILM 1 A 11-04 11-0 4 5 31 | |
| 558 | 4 10000346 1 ACE TAMINOPHEN 650MG SUP POS. 10 A> 11-04 11-0 4 1 10 | |
| 559 | 5 10000318 5e ALB UMIN 25% 5 0ML 2 A 08-01 08-0 1 5 5 | |
| 560 | ---------- ---------- ---------- -----DISCO NTINUED--- ---------- ---------- -------- | |
| 561 | 6 10000353 0 ANAL GESIC BALM 1 POUND 1 A 01-08 01-0 8 3 90 | |
| 562 | 7 10000340 0 APPL ICATORS, C OTTON TIP STERILE 10 A 09-23 09-2 3 5 31 | |
| 563 | ||
| 564 | ||
| 565 | + Enter ?? f or more ac tions | |
| 566 | PU Patien t Record U pdate NO New Or der | |
| 567 | PI Patien t Informat ion SO Select Order | |
| 568 | Select Act ion: Next Screen// | |
| 569 | ||
| 570 | Using List Manager w ith Outpat ient Pharm acy | |
| 571 | List Manag er is a to ol designe d so that a list of items can be present ed to the user for a n action. | |
| 572 | ||
| 573 | For Outpat ient Pharm acy, the L ist Manage r does the following : | |
| 574 | Allows the pharmacis t or techn ician to b rowse thro ugh a list of action s. | |
| 575 | Allows the pharmacis t or techn ician to t ake action against t hose items . | |
| 576 | Allows the user to s elect an a ction that displays an action or informa tional pro file. | |
| 577 | Allows the user to s elect a di fferent ac tion witho ut leaving an option . | |
| 578 | ||
| 579 | Not all fu nctionalit y displaye d in this section (i .e., hidde n and spee d actions) is availa ble to pha rmacy tech nicians. | |
| 580 | ||
| 581 | Entering A ctions | |
| 582 | Actions ar e entered by typing the name(s ), or syno nym(s) at the “Selec t Item(s)” prompt. I n addition to the va rious acti ons that m ay be avai lable spec ific to a particular option, L ist Manage r provides generic a ctions app licable to any List Manager sc reen. A do uble quest ion mark ( ??) may be entered a t the “Sel ect Action ” prompt f or a list of all act ions avail able. The following is a list of generic List Mana ger action s with a b rief descr iption. Th e synonym for each a ction is s hown in br ackets fol lowing the action na me. Enteri ng the syn onym is th e quickest way to se lect an ac tion. Outp atient Pha rmacy hidd en actions are displ ayed with the letter s (OP) nex t to the a ction. | |
| 583 | Action | |
| 584 | Descriptio n | |
| 585 | Next Scree n [+] | |
| 586 | Move to th e next scr een (may b e shown as a default ). | |
| 587 | Previous S creen [-] | |
| 588 | Move to th e previous screen. | |
| 589 | Up a Line [UP] | |
| 590 | Move up on e line. | |
| 591 | Down a Lin e [DN] | |
| 592 | Move down one line. | |
| 593 | Shift View to Right [>] | |
| 594 | Move the s creen to t he right i f the scre en width i s more tha n 80 chara cters. | |
| 595 | Shift View to Left [ <] | |
| 596 | Move the s creen to t he left if the scree n width is more than 80 charac ters. | |
| 597 | First Scre en [FS] | |
| 598 | Move to th e first sc reen. | |
| 599 | Last Scree n [LS] | |
| 600 | Move to th e last scr een. | |
| 601 | Go to Page [GO] | |
| 602 | Move to an y selected page in t he list. | |
| 603 | Re Display Screen [R D] | |
| 604 | Redisplay the curren t. | |
| 605 | Print Scre en [PS] | |
| 606 | Prints the header an d the port ion of the list curr ently disp layed. | |
| 607 | Print List [PL] | |
| 608 | Prints the list of e ntries cur rently dis played. | |
| 609 | Search Lis t [SL] | |
| 610 | Finds sele cted text in list of entries. | |
| 611 | Auto Displ ay (On/Off ) [ADPL] | |
| 612 | Toggles th e menu of actions to be displa yed/not di splayed au tomaticall y. | |
| 613 | Quit [QU] | |
| 614 | Exits the screen (ma y be shown as a defa ult). | |
| 615 | ||
| 616 | Outpatient Pharmacy Hidden Act ions | |
| 617 | The Outpat ient Pharm acy hidden actions w ill displa y with the previous hidden act ions once a complete d or finis hed order is selecte d and a do uble quest ion mark ( ??) is ent ered at th e “Select Action” pr ompt. | |
| 618 | ||
| 619 | The follow ing hidden actions a ppear on t he prescri ption prof ile screen and can o nly be app lied to on e order at a time. | |
| 620 | ||
| 621 | ActionDesc ription | |
| 622 | ||
| 623 | Activity L ogs [AL]Di splays the Activity Logs. | |
| 624 | ||
| 625 | Copy [CO]A llows the user to co py and edi t an order . | |
| 626 | ||
| 627 | Check Inte ractions [ CK]Allows a user to perform or der checks against t he patient ’s active medication profile w ith or wit hout a pro spective d rug. | |
| 628 | ||
| 629 | DINDisplay s availabl e drug res triction/g uideline i nformation for theDi spense Dru g and Orde rable Item associate d with the selected medication order. | |
| 630 | ||
| 631 | Interventi on Menu (I N)Allows a user to e nter a new intervent ion or del ete, edit, print and view an e xisting in tervention . | |
| 632 | ||
| 633 | Hold [HD]P laces an o rder on a hold statu s. | |
| 634 | ||
| 635 | Other OP A ctions [OT H]Allows t he user to choose fr om the fol lowing sub -actions: | |
| 636 | Progress N ote [PN], | |
| 637 | Action Pro file [AP], | |
| 638 | Print Medi cation Ins tructions [MI], | |
| 639 | Display Or ders' Stat uses [DO], or | |
| 640 | Non-VA Med s Report [ NV]. | |
| 641 | Patient In formation [PI]Shows patient in formation, allergies , adverse reactions, and pendi ng clinic appointmen ts. | |
| 642 | ||
| 643 | Pull Rx [P P]Action t aken to pu ll prescri ption(s) e arly from suspense. | |
| 644 | ||
| 645 | Reprint [R P]Reprints the label . | |
| 646 | Note: The Reprint f unction is not enabl ed for | |
| 647 | OneVA Phar macy label s. To repr int a OneV A Pharmacy | |
| 648 | label exe cute a One VA Pharmac y partial. | |
| 649 | ||
| 650 | View Rejec t [REJ]All ows the us er to view and resol ve the Ref ill Too So on or Drug Utilizati on Review returned b y the thir d party pa yer for a specific p rescriptio n/fill cla im. | |
| 651 | ||
| 652 | Unhold [UH ]Removes a n order fr om a hold status. | |
| 653 | ||
| 654 | Verify [VF ]Allows th e pharmaci st to veri fy an orde r a pharma cy technic ian has en tered. | |
| 655 | ||
| 656 | The PSO HI DDEN ACTIO NS Protoco l in PROTO COL File ( #101) incl udes two h idden acti ons, PSO L M BACKDOOR MARK AS T ITRATION a nd PSO LM BACKDOOR T ITRATION R X REFILL, which are both added to the PR OTOCOL Fil e (#101). | |
| 657 | ||
| 658 | ||
| 659 | ******** ********** ********** ** IMPORT ANT ***** ********** ********** ****** | |
| 660 | The enha ncements r elated to Titration/ Maintenanc e dose Rx are made o nly | |
| 661 | for Outp atient Pha rmacy pack age. The c orrespondi ng changes to CPRS p ackage | |
| 662 | are not included a t this tim e. Therefo re, the CP RS Order C opy and Or der | |
| 663 | Change f unctionali ties will continue t o function as is. Fu rthermore, there | |
| 664 | will be no indicat ion of a T itration/M aintenance order in the CPRS | |
| 665 | applicat ion. | |
| 666 | ******** ********** ********** ********** ********** ********** ********** ****** | |
| 667 | ||
| 668 | There is a lso a hidd en action, TR (Conve rt Titrati on Rx), in the Patie nt Prescri ption Proc essing [PS O LM BACKD OOR TITRAT ION RX REF ILL] optio n. This ac tion popul ates the M AINTENANCE DOSE RX ( #45.2) fie ld in the PRESCRIPTI ON File (# 52). When a titratio n to maint enance pre scription needs to b e refilled so the pa tient can continue o n the Main tenance Do se, this o ption allo ws the use rs to crea te a new p rescriptio n with the maintenan ce dose on ly. This p rocess wor ks similar to copyin g an exist ing prescr iption; ho wever, it can only b e used on prescripti ons with t he followi ng charact eristics: | |
| 669 | ||
| 670 | Rx is a co mplex orde r with a T HEN conjun ction | |
| 671 | Rx is rele ased | |
| 672 | Rx status is ACTIVE | |
| 673 | Rx does no t have ref ills previ ously orde red | |
| 674 | Rx # Of Re fills is g reater tha n 0 (zero) | |
| 675 | ||
| 676 | Before the new Maint enance Rx can be acc epted, the user is p rompted to validate the QTY fi eld for th e new Rx, which may or may not be automa tically re -calculate d. Only th e last dos e from the original prescripti on is carr ied over t o the new Maintenanc e Rx, and the # of R efills fie ld is decr eased by 1 because t he new Mai ntenance R x counts a s a fill. | |
| 677 | ||
| 678 | Once a use r verifies the infor mation for the Maint enance Rx is accurat e, they ca n accept t he Mainten ance Rx. T his action triggers a Duplicat e Drug che ck against the origi nal comple x order, w hich must be discont inued befo re the new Maintenan ce Rx can be accepte d. After t he new Mai ntenance R x is accep ted, it wi ll have th e new indi cator 'm' on the rig ht side of the Rx # in the pat ient's Med ication Pr ofile. | |
| 679 | ||
| 680 | : : : | |
| 681 | ISSUE LA ST REF DAY | |
| 682 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 683 | -------- ---------- ---------- ---ACTIVE- ---------- ---------- ---------- | |
| 684 | 1 10000 5436m AMO XAPINE 50M G TAB 30 S 09-26 09- 26 1 30 | |
| 685 | 2 10000 5022 AMO XICILLIN 2 50MG CAP 30 A 08-18 08- 18 11 30 | |
| 686 | 3 10000 5035 KAL ETRA 3 A 09-29 09- 29 0 3 | |
| 687 | : : : | |
| 688 | ||
| 689 | ||
| 690 | Speed Acti ons | |
| 691 | ||
| 692 | These Outp atient Pha rmacy acti ons are re ferred to as “speed actions” a nd appear on the med ication pr ofile scre en. These actions ca n be appli ed to one or more or ders at a time. | |
| 693 | Action | |
| 694 | Descriptio n | |
| 695 | Reprint [R P] | |
| 696 | Reprints t he label. | |
| 697 | Note: The Reprint f unction is not enabl ed for One VA Pharmac y labels. To reprint a OneVA P harmacy la bel execut e a OneVA Pharmacy p artial. | |
| 698 | Renew [RN] | |
| 699 | A continua tion of a medication authorize d by the p rovider. | |
| 700 | Refill [RF ] | |
| 701 | A second o r subseque nt filling authorize d by the p rovider. | |
| 702 | Reprint Si gnature [R S] | |
| 703 | Reprints t he signatu re log. | |
| 704 | Discontinu e [DC] | |
| 705 | Status use d when an order was made inact ive either by a new order or b y the requ est of a p hysician. | |
| 706 | Release [R L] | |
| 707 | Action tak en at the time the o rder is fi lled and r eady to be given to the patien t. | |
| 708 | Pull Rx [P P] | |
| 709 | Action tak en to pull prescript ion(s) ear ly from su spense. | |
| 710 | Inpat. Pro file [IP] | |
| 711 | Action tak en to view an Inpati ent Profil e. | |
| 712 | CM | |
| 713 | Action tak en to manu ally queue to CMOP. | |
| 714 | Fill/Rel D ate Disply [RDD] | |
| 715 | Switch bet ween displ aying the FILL DATE column and the LAST RELD colum n. | |
| 716 | Display Re mote [DR] | |
| 717 | Action tak en to disp lay a pati ent’s remo te prescri ptions. | |
| 718 | ||
| 719 | Other Outp atient Pha rmacy List Man Action s | |
| 720 | Action | |
| 721 | Descriptio n | |
| 722 | Exit [EX] | |
| 723 | Exit proce ssing pend ing orders | |
| 724 | AC | |
| 725 | Accept | |
| 726 | BY | |
| 727 | Bypass | |
| 728 | DC | |
| 729 | Discontinu e | |
| 730 | ED | |
| 731 | Edit | |
| 732 | FN | |
| 733 | Finish | |
| 734 | Other Scre en Actions | |
| 735 | Action | |
| 736 | Descriptio n | |
| 737 | Edit/Enter Allergy/A DR Data [E A] | |
| 738 | Provides a ccess to t he Adverse Reaction Tracking p ackage to allow entr y and/or e dit of all ergy adver se reactio n data for the patie nt. See th e Adverse Reaction T racking pa ckage docu mentation for more i nformation on allerg y/ADR proc essing. | |
| 739 | Detailed A llergy Dis play [DA] | |
| 740 | Displays a detailed listing of the selec ted item f rom the pa tient's al lergy/ADR list. Entr y to the E dit Allerg y/ADR Data action is provided with this list also. | |
| 741 | Patient Re cord Updat e [PU] | |
| 742 | Allows edi ting of pa tient data such as S SN, birth date, addr ess, phone , and outp atient nar rative. Pa tient data can also be updated using the Update Pa tient Reco rd menu op tion. If i mplementin g Other La nguage Mod ifications , either c an be used to set a patient's other lang uage prefe rence. | |
| 743 | New Order [NO] | |
| 744 | Allows new orders to be entere d for the patient. | |
| 745 | Exit Patie nt List [E X] | |
| 746 | Exit patie nt’s Patie nt Informa tion scree n so that a new pati ent can be selected. | |
| 747 | Refill Rx from Anoth er VA Phar macy (RF) | |
| 748 | ||
| 749 | OneVA Phar macy (patc h PSO*7*45 4) introdu ced the RF action it em on the new ‘REMOT E OP Medic ations’ pr ofile. The RF action item allo ws the Pha rmacist to refill a prescripti on order t hat origin ated from another VA Pharmacy location. | |
| 750 | Note: For additiona l informat ion regard ing OneVA Pharmacy R F process ing go to the VA Sof tware Docu ment Libra ry (VDL), select the Clinical section th en choose the “Pharm : Outpatie nt Pharmac y” page. L ocate the “User Manu al – OneVA Pharmacy” document. | |
| 751 | Partial fr om Another VA Pharma cy (PR) | |
| 752 | OneVA Phar macy (patc h PSO*7*45 4) introdu ced the PR action it em on the new ‘REMOT E OP Medic ations’ pr ofile. The PR action item allo ws the Pha rmacist to partial a prescript ion order that origi nated from another V A Pharmacy location. | |
| 753 | Note: For additiona l informat ion regard ing OneVA Pharmacy P R processi ng go to t he VA Soft ware Docum ent Librar y (VDL), s elect the Clinical s ection the n choose t he “Pharm: Outpatien t Pharmacy ” page. Lo cate the “ User Manua l – OneVA Pharmacy” document. | |
| 754 | ||
| 755 | ||
| 756 | (This page included for two-si ded copyin g.) | |
| 757 | Chapter 3: Using the Pharmacy Technician ’s Menu | |
| 758 | ||
| 759 | The option s shown in this chap ter are in tended for use by ph armacy tec hnicians a nd other p harmacy pe rsonnel as signed the PSO USER2 menu, who will view prescript ions and/o r inquire into other Outpatien t Pharmacy files. | |
| 760 | ||
| 761 | Example: A ccessing t he Pharmac y Technici an’s Menu | |
| 762 | Select OPT ION NAME: PSO USER2 Phar macy Techn ician's Me nu | |
| 763 | Outpatient Pharmacy software - Version 7 .0 | |
| 764 | ||
| 765 | The follow ing option s are avai lable on t his menu: | |
| 766 | Bingo Boar d User ... | |
| 767 | Change Lab el Printer | |
| 768 | DUE User . .. | |
| 769 | Medication Profile | |
| 770 | Patient Pr escription Processin g | |
| 771 | Pull Early from Susp ense | |
| 772 | Queue CMOP Prescript ion | |
| 773 | Release Me dication | |
| 774 | Update Pat ient Recor d | |
| 775 | Patient Lo okup | |
| 776 | The abilit y to look up a patie nt by pres cription n umber or w and a barc ode with t he prescri ption has been added to the pa tient look up prompt on the fol lowing opt ions. | |
| 777 | Bingo Boar d User ... [PSO BING O USER] | |
| 778 | Medication Profile [ PSO P] | |
| 779 | Patient Pr escription Processin g [PSO LM BACKDOOR O RDERS] | |
| 780 | Update Pat ient Recor d [PSO PAT ] | |
| 781 | ||
| 782 | The help t ext for pa tient look up reads a s follows. | |
| 783 | ||
| 784 | Enter th e prescrip tion numbe r prefixed by a # (e x. #XXXXXX X) or | |
| 785 | Wand the barcode o f the pres cription. The format of the ba rcode is | |
| 786 | NNN-NNNN NNN where the first 3 digits a re your st ation numb er. | |
| 787 | - OR - | |
| 788 | Enter th e universa l Member I D number f rom the pa tient's VH IC Card | |
| 789 | or wand the barcod e of the V HIC card | |
| 790 | - OR - | |
| 791 | Answer w ith PATIEN T NAME, or SOCIAL SE CURITY NUM BER, or la st 4 digit s | |
| 792 | of SOCIA L SECURITY NUMBER, o r first in itial of l ast name w ith last 4 | |
| 793 | digits o f SOCIAL S ECURITY NU MBER | |
| 794 | Do you w ant the en tire NNNNN NNN-Entry PATIENT Li st? | |
| 795 | (This page included for two-si ded copyin g.) | |
| 796 | Chapter 4: Using the Bingo Boa rd User Me nu | |
| 797 | ||
| 798 | This chapt er describ es the opt ions avail able on th e Bingo Bo ard User m enu. | |
| 799 | Bingo Boar d User | |
| 800 | [PSO BINGO USER] | |
| 801 | ||
| 802 | This menu enables us e of the b ingo board display. The option s on this menu allow the user to display , enter, o r remove a patient’s name or a number fr om the bin go board d isplay loc ated in th e pharmacy area. | |
| 803 | ||
| 804 | When the r outing for an order is set to “Window”, the enteri ng of pres cription o rders stor es informa tion in th e bingo bo ard PATIEN T NOTIFICA TION (Rx R EADY) file . For new, renew, pu ll early f rom suspen se, refill orders, b arcode ref ill/renew, and finis h process for orders entered v ia Compute rized Pati ent Record System (C PRS), the date and t ime is cap tured when the order is stored in this f ile. The s ame occurs for parti als, excep t the time is captur ed when a prescripti on number is entered . | |
| 805 | ||
| 806 | Releasing the prescr iption pla ces the na me or tick et number of the pat ient on th e bingo bo ard monito r if a dis play group exists an d stores d ata in the WAITING T IME file. The option s on this menu are u sed to man ually ente r, display , or remov e a patien t’s name o r number f rom the mo nitor. | |
| 807 | ||
| 808 | The follow ing option s are avai lable on t he Bingo B oard User menu: | |
| 809 | Enter New Patient | |
| 810 | Display Pa tient’s Na me on Moni tor | |
| 811 | Remove Pat ient’s Nam e from Mon itor | |
| 812 | Status of Patient’s Order | |
| 813 | Enter New Patient | |
| 814 | [PSO BINGO NEW PATIE NT] | |
| 815 | ||
| 816 | Use this o ption to m anually en ter the na me of a ne w patient on the bin go board. Each presc ription nu mber for t he patient 's order m ust be ent ered. | |
| 817 | ||
| 818 | A “Ticket #” prompt appears if ticket nu mber was c hosen as t he method of display in the En ter/Edit D isplay opt ion on the Bingo Boa rd Manager menu. Ent er the tic ket number and at th e next pro mpt enter each of th e prescrip tion numbe rs for tha t patient. | |
| 819 | Display Pa tient's Na me on Moni tor | |
| 820 | [PSO BINGO DISPLAY P ATIENT] | |
| 821 | ||
| 822 | Use this o ption to b egin displ aying the name or nu mber of a patient wh ose prescr iption is ready. The message, “PRESCRIPT IONS ARE R EADY FOR:” appears a s fixed te xt on the display sc reen. Thi s option d isplays th e followin g reminder for ECME billable p rescriptio ns: “*** T his Pharma cy Rx requ ires a pat ient signa ture! ***” | |
| 823 | Remove Pat ient's Nam e from Mon itor | |
| 824 | [PSO BINGO DELETE PA TIENT] | |
| 825 | ||
| 826 | After the patient pi cks up the prescript ion, remov e the name or ticket number fr om the dis play eithe r manually or throug h the barc ode reader . | |
| 827 | ||
| 828 | It is reco mmended th at a patie nt’s name be removed from the monitor as soon as t he prescri ption is p icked up. | |
| 829 | ||
| 830 | Status of Patient's Order | |
| 831 | [PSO BINGO STATUS] | |
| 832 | ||
| 833 | This optio n enables checking o f the numb er of pres criptions a patient has ready, the divis ion, time in/time ou t, and the prescript ion number (s). There are four possible s tatuses: | |
| 834 | ||
| 835 | Status | |
| 836 | Descriptio n | |
| 837 | Pending | |
| 838 | Active ord er input v ia CPRS th at is in t he PENDING OUTPATIEN T ORDERS f ile. | |
| 839 | Being Proc essed | |
| 840 | Order that is in the PATIENT N OTIFICATIO N (Rx READ Y) file, b ut not dis played. | |
| 841 | Ready For Pickup | |
| 842 | Order that is in the PATIENT N OTIFICATIO N (Rx READ Y) file an d is being displayed . | |
| 843 | Picked Up | |
| 844 | Order that has been picked up. | |
| 845 | ||
| 846 | Example: S tatus of P atient’s O rder | |
| 847 | Select Bin go Board U ser Option : STATUS o f Patient' s Order | |
| 848 | Enter Pati ent Name: OPPATIENT3 ,ONE 02- 23-74 0 00579013 NO NSC VETERAN | |
| 849 | ||
| 850 | ||
| 851 | OP PATIENT3,O NE has the following orders fo r 10/31/06 | |
| 852 | ||
| 853 | ||
| 854 | Being Proc essed: *** Entered on OCT 31, 2 006*** | |
| 855 | Divis ion: GENER AL HOSPITA L Time In : 10:27 Time Out: | |
| 856 | Rx #: 500416, | |
| 857 | ||
| 858 | Pending: | |
| 859 | Order able Item: ACETAMINO PHEN Pr ovider: OP PROVIDER3, TWO | |
| 860 | Enter ed By: OPC LERK2,FOUR T ime In: 10 /31/06@06: 46 | |
| 861 | Drug: ACETAMINO PHEN 325MG TAB UD Ro uting: MAI L | |
| 862 | ||
| 863 | Ready For Pickup: | |
| 864 | Divis ion: GENER AL HOSPITA L Time I n: 10:36 Time Out : 10:46 | |
| 865 | Rx #: 1022731, | |
| 866 | ||
| 867 | ||
| 868 | Enter Pati ent Name: | |
| 869 | ||
| 870 | ScripTalk Mapping Er ror Messag es | |
| 871 | ||
| 872 | This is a list of th e error me ssages tha t will be displayed on the scr een for a site using the Bingo Board in the event of a mappi ng issue w ith the Sc ripTalk de vice when ScripTalk labels are printed. | |
| 873 | ||
| 874 | Error Leve l | |
| 875 | Error Mess age | |
| 876 | Why messag e is being displayed . | |
| 877 | System | |
| 878 | Please rev iew ScripT alk mapped device se tup. | |
| 879 | The system has detec ted that t here is a printer in the PRINT ER TO BE M APPED fiel d, but no device has been sele cted. | |
| 880 | System | |
| 881 | NO SCRIPTA LK PRINTER DEFINED F OR THIS DI VISION! | |
| 882 | The system cannot fi nd a divis ion printe r defined. However, there is a properly defined pr inter in t he PRINTER TO BE MAP PED field. | |
| 883 | System | |
| 884 | There is n o mapped p rinter and the divis ion printe r is set f or manual. | |
| 885 | There is n o PRINTER TO BE MAPP ED and the Division printer is set for m anual. No ScripTalk label will print. | |
| 886 | System | |
| 887 | NO SCRIPTA LK PRINTER DEFINED F RO THIS DI VISION! No mapped pr inter defi ned. No Sc ripTalk la bel will p rint. | |
| 888 | No printer s are defi ned so no label will print. | |
| 889 | (This page included for two-si ded copyin g.) | |
| 890 | Chapter 5: Changing the Label Printer | |
| 891 | ||
| 892 | This chapt er describ es the Cha nge Label Printer op tion. | |
| 893 | Change Lab el Printer | |
| 894 | [PSO CHANG E PRINTER] | |
| 895 | ||
| 896 | This optio n allows t he user to change th e printer to which l abels are printed. | |
| 897 | ||
| 898 | Select Out patient Ph armacy Man ager Optio n: Change Label Prin ter | |
| 899 | Select LAB EL PRINTER : LABELPRT 2// <Ente r> LABELPR T2 | |
| 900 | ||
| 901 | OK to assu me label a lignment i s correct? YES//<Ent er> | |
| 902 | (This page included for two-si ded copyin g.) | |
| 903 | Chapter 6: Check Dru g Interact ion | |
| 904 | ||
| 905 | This chapt er describ es the Che ck Drug In teraction option sho wn on the Outpatient Pharmacy Manager [P SO MANAGER ] menu and the Pharm acist Menu [PSO USER 1]. | |
| 906 | Check Drug Interacti on | |
| 907 | [PSO CHECK DRUG INTE RACTION] | |
| 908 | ||
| 909 | This optio n allows a user to c heck drug interactio ns between two or mo re drugs. | |
| 910 | ||
| 911 | Select Out patient Ph armacy Man ager Optio n: CHECK D rug Intera ction | |
| 912 | Drug 1: WARFARIN 2MG TABS BL1 10 | |
| 913 | . ..OK? Yes/ / (Yes) | |
| 914 | ||
| 915 | Drug 2: SI MVASTATIN 40MG TAB | |
| 916 | Lookup: GENERIC NA ME | |
| 917 | SIMVASTATI N 40MG TAB CV350 | |
| 918 | . ..OK? Yes/ / (Yes) | |
| 919 | ||
| 920 | Drug 3: | |
| 921 | ||
| 922 | ||
| 923 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 924 | ||
| 925 | *** DRUG I NTERACTION (S) *** | |
| 926 | ========== ========== ========== ========== ========== ========== | |
| 927 | ***Signifi cant*** Dr ug Interac tion with | |
| 928 | SIMVASTATI N 40MG TAB and | |
| 929 | WARFARIN 2 MG TABS | |
| 930 | ||
| 931 | CLINICAL E FFECTS: I ncrease hy poprothrom binemic ef fects of w arfarin. | |
| 932 | ||
| 933 | ========== ========== ========== ========== ========== ========== | |
| 934 | Press Retu rn to Cont inue...: | |
| 935 | ||
| 936 | Display Pr ofessional Interacti on monogra ph? N// YE S | |
| 937 | ||
| 938 | DEVICE: HO ME// SSH VIRTUAL T ERMINAL Right Mar gin: 80// | |
| 939 | ||
| 940 | ||
| 941 | ---------- ---------- ---------- ---------- ---------- ---------- | |
| 942 | Profession al Monogra ph | |
| 943 | Drug Inter action wit h SIMVASTA TIN 40MG T AB and WAR FARIN 2MG TABS | |
| 944 | This informatio n is gener alized and not inten ded as spe cific medi cal | |
| 945 | advic e. Consult your heal thcare pro fessional before tak ing or | |
| 946 | disco ntinuing a ny drug or commencin g any cour se of trea tment. | |
| 947 | ||
| 948 | MONOG RAPH TITLE : Selecte d Anticoag ulants/Sel ected HMG- CoA Reduct ase | |
| 949 | Inhib itors | |
| 950 | ||
| 951 | SEVER ITY LEVEL: 3-Modera te Interac tion: Asse ss the ris k to the | |
| 952 | patie nt and tak e action a s needed. | |
| 953 | ||
| 954 | MECHA NISM OF AC TION: The exact mec hanism of this inter action is | |
| 955 | unkno wn. The HM G-CoA redu ctase inhi bitor may inhibit th e hepatic | |
| 956 | hydro xylation o f warfarin . The HMG -CoA reduc tase inhib itors, whi ch | |
| 957 | are h ighly plas ma protein bound, ma y displace warfarin from its | |
| 958 | bindi ng site. | |
| 959 | ||
| 960 | Press Retu rn to Cont inue or "^ " to Exit: | |
| 961 | ||
| 962 | ||
| 963 | Profession al Monogra ph | |
| 964 | Drug In teraction with SIMVA STATIN 40M G TAB and WARFARIN 2 MG TABS | |
| 965 | ||
| 966 | CLINI CAL EFFECT S: Increa se hypopro thrombinem ic effects of warfar in. | |
| 967 | ||
| 968 | PREDI SPOSING FA CTORS: No ne determi ned. | |
| 969 | ||
| 970 | PATIE NT MANAGEM ENT: Pati ents shoul d be monit ored for c hanges in | |
| 971 | proth rombin tim e when a H MG Co-A re ductase in hibitor is added to or | |
| 972 | disco ntinued fr om warfari n therapy, or if the dosage of the HMG C o-A | |
| 973 | reduc tase inhib itor is ad justed. | |
| 974 | ||
| 975 | DISCU SSION: Ca se reports in the me dical lite rature and to the | |
| 976 | manuf acturer ha ve documen ted an int eraction b etween lov astatin an d | |
| 977 | warfa rin. A cas e report h as documen ted an int eraction b etween | |
| 978 | prava statin and fluindion e (an oral ly adminis tered inda nedione | |
| 979 | antic oagulant), suggestin g that pra vastatin c ould also interact | |
| 980 | simil arly with warfarin. Informatio n concerni ng a poten tial | |
| 981 | inter action wit h simvasta tin is con flicting. A case rep ort has | |
| 982 | docum ented an i nteraction between s imvastatin and aceno coumarol w hile | |
| 983 | anoth er case re port showe d no inter action wit h warfarin . One grou p of | |
| 984 | autho rs reporte d three ca se reports of increa sed intern ational | |
| 985 | norma lized rati os (INRs) following the additi on of fluv astatin to | |
| 986 | warfa rin therap y. The add ition of r osuvastati n to patie nts stabil ized | |
| 987 | on wa rfarin res ulted in c linically significan t changes in INR. | |
| 988 | ||
| 989 | Press Retu rn to Cont inue or "^ " to Exit: | |
| 990 | ||
| 991 | Profession al Monogra ph | |
| 992 | Drug In teraction with SIMVA STATIN 40M G TAB and WARFARIN 2 MG TABS | |
| 993 | ||
| 994 | REFER ENCES: | |
| 995 | 1.Ahm ad S. Lova statin. Wa rfarin int eraction. Arch Inter n Med 1990 Nov; | |
| 996 | 150(1 1):2407. | |
| 997 | 2.Hof fman HS. T he interac tion of lo vastatin a nd warfari n. Conn Me d | |
| 998 | 1992 Feb; 56(2) :107. | |
| 999 | 3.Ili adis EA, K onwinski M F. Lovasta tin during warfarin therapy | |
| 1000 | resul ting in bl eeding. Pa Med 1995 Dec;98(12) :31. | |
| 1001 | 4.Per sonal comm unication. Merck & C o., Inc. 1 991. | |
| 1002 | 5.Tre nque T, Ch oisy H, Ge rmain ML. Pravastati n: interac tion with oral | |
| 1003 | antic oagulant?. BMJ 1996 Apr 6;312( 7035):886. | |
| 1004 | 6.Gra u E, Perel la M, Past or E. Simv astatin-or al anticoa gulant | |
| 1005 | inter action. La ncet 1996 Feb 10;347 (8998):405 -6. | |
| 1006 | 7.Gaw A, Wosorn u D. Simva statin dur ing warfar in therapy in | |
| 1007 | hyper lipoprotei naemia. La ncet 1992 Oct 17;340 (8825):979 -80. | |
| 1008 | 8.Tri lli LE, Ke lley CL, A spinall SL , Kroner B A. Potenti al interac tion | |
| 1009 | betwe en warfari n and fluv astatin. A nn Pharmac other 1996 Dec; | |
| 1010 | 30(12 ):1399-402 . | |
| 1011 | ||
| 1012 | Press Retu rn to Cont inue or "^ " to Exit: | |
| 1013 | ||
| 1014 | ||
| 1015 | Profession al Monogra ph | |
| 1016 | Drug In teraction with SIMVA STATIN 40M G TAB and WARFARIN 2 MG TABS | |
| 1017 | 9.Cre stor (rosu vastatin c alcium) US prescribi ng informa tion. | |
| 1018 | Astra Zeneca Pha rmaceutica ls LP Febr uary, 2012 . | |
| 1019 | ||
| 1020 | Copyr ight 2012 First Data Bank, Inc. | |
| 1021 | ||
| 1022 | ---------- ---------- ---------- ---------- ---------- ---------- | |
| 1023 | ||
| 1024 | Enter RETU RN to cont inue or '^ ' to exit: | |
| 1025 | ||
| 1026 | ||
| 1027 | Display Pr ofessional Interacti on monogra ph? N// O | |
| 1028 | Chapter 7: Creating, Editing, and Printi ng a DUE A nswer Shee t | |
| 1029 | ||
| 1030 | This chapt er describ es the opt ions on th e DUE User menu. | |
| 1031 | DUE User | |
| 1032 | [PSOD DUE USER] | |
| 1033 | ||
| 1034 | This menu provides t he means t o create a n answer s heet entry in the DU E ANSWER S HEET file and edit a n existing Answer Sh eet. A bla nk form of a selecte d DUE ques tionnaire can also b e printed in multipl e copies t o be distr ibuted to providers to complet e when ord ering medi cations be ing evalua ted. | |
| 1035 | Enter a Ne w Answer s heet | |
| 1036 | Edit an Ex isting Ans wer Sheet | |
| 1037 | Batch Prin t Question naires | |
| 1038 | Enter a Ne w Answer S heet | |
| 1039 | [PSOD CREA TE ANSWER SHEET] | |
| 1040 | ||
| 1041 | In this op tion, answ ers to a D UE Questio nnaire can be entere d. This cr eates an a nswer shee t entry in the DUE A NSWER SHEE T file. Th ese answer sheets ca n be kept online for statistic al and/or compliance studies. Answer she ets are st ored in th e file usi ng a seque nce number . This num ber is aut omatically generated by the co mputer and should be written o n the hard copy of t he answer sheet imme diately so that it c an be used later in editing or deleting the entry. | |
| 1042 | Edit an Ex isting Ans wer Sheet | |
| 1043 | [PSOD EDIT ANSWER SH EET] | |
| 1044 | ||
| 1045 | Edit a DUE Answer Sh eet entry using this option. O rdinarily, the seque nce number is availa ble when e diting the Answer Sh eet; howev er, the us er can sea rch the fi le if the provider, drug, or q uestionnai re is know n by typin g ^S at th e “SEQUENC E NUMBER” prompt. Th e search d isplays al l of the e ntries con taining th e combinat ion of pro vider, dru g, or ques tionnaire used in th e search. | |
| 1046 | ||
| 1047 | Batch Prin t Question naires | |
| 1048 | [PSOD BATC H PRINT QU ESTIONNAIR E] | |
| 1049 | ||
| 1050 | To print a blank for m of a sel ected ques tionnaire, enter the number of copies an d a printe r device. These ques tionnaire answer she ets can be distribut ed to prov iders to c omplete wh en orderin g medicati ons being evaluated. | |
| 1051 | (This page included for two-si ded copyin g.) | |
| 1052 | Chapter 8: Using the Medicatio n Profile | |
| 1053 | ||
| 1054 | This chapt er describ es the Med ication Pr ofile, its different formats, and how it can be us ed in pati ent care. | |
| 1055 | Medication Profile | |
| 1056 | [PSO P] | |
| 1057 | ||
| 1058 | The Medica tion Profi le display s a profil e of all p rescriptio ns on file for a par ticular pa tient. The prescript ion displa y includes all Non-V A Med orde rs also. E ffective w ith the On eVA Pharma cy (patch PSO*7*454 – December 2016), th e Medicati on Profile displays all active medicatio ns from ot her facili ties. The medication s are retr ieved from the Healt h Data Rep ository/Cl inical Dat a Service (HDR/CDS) Repository and are d isplayed b elow the ‘ local’ or ‘Non-VA Me d’ orders and are so rted/group ed by faci lity. The prescripti ons origin ating from other VA Pharmacy l ocations d isplay und er a divid er header line showi ng the sit e name, si te number, and statu s. The use r may view this info rmation di rectly on the screen or reques t it to be printed. The medica tion profi le is avai lable in t wo formats : short or long. | |
| 1059 | Medication Profile: Short Form at | |
| 1060 | The short format dis plays the following informatio n: | |
| 1061 | ||
| 1062 | patient na me | |
| 1063 | address | |
| 1064 | last four digits of the patien t’s SSN | |
| 1065 | DOB | |
| 1066 | Eligibilit y | |
| 1067 | narrative | |
| 1068 | reactions | |
| 1069 | prescripti ons | |
| 1070 | prescripti on number | |
| 1071 | drug name | |
| 1072 | Sig | |
| 1073 | status | |
| 1074 | quantity | |
| 1075 | issue date | |
| 1076 | last fill date | |
| 1077 | refills re maining | |
| 1078 | ||
| 1079 | The short report for mat of the fields fo r Non-VA M ed orders include th e drug nam e or order able item name, dosa ge, schedu le and dat e document ed. | |
| 1080 | ||
| 1081 | The short format dis plays the status and or action in an abb reviated f orm. The f ollowing i s an expla nation of the codes: | |
| 1082 | ||
| 1083 | CodeStatus /Descripti on | |
| 1084 | AActive | |
| 1085 | B Bad Addr ess Indica ted | |
| 1086 | DFDisconti nued due t o edit by a provider through C PRS | |
| 1087 | DEDisconti nued due t o edit via backdoor Pharmacy | |
| 1088 | DPDisconti nued by pr ovider thr ough CPRS | |
| 1089 | DCDisconti nued via b ackdoor Ph armacy | |
| 1090 | DDDisconti nued due t o death | |
| 1091 | DAAuto dis continued due to adm ission | |
| 1092 | E Expired | |
| 1093 | HPPlaced o n hold by provider t hrough CPR S | |
| 1094 | H Placed o n hold via backdoor Pharmacy | |
| 1095 | N Non Veri fied | |
| 1096 | P Pending due to dru g interact ions | |
| 1097 | S Suspende d | |
| 1098 | $ Copay el igible | |
| 1099 | EThird-par ty electro nically bi llable | |
| 1100 | RReturned to stock p rescriptio n (next to last fill date) | |
| 1101 | ||
| 1102 | Example: M edication Profile – Short Form at | |
| 1103 | Medication Profile Jun 12, 20 06@22:33:1 3 Page: 1 of 1 | |
| 1104 | OPPATIENT1 6, ONE | |
| 1105 | PID: 000 -55-3421 Ht(cm): _ ______ (__ ____) | |
| 1106 | DOB: DEC 2, 1923 ( 82) Wt(kg): 1 00.00 (06/ 24/2003) | |
| 1107 | SEX: MAL E | |
| 1108 | CrCL: <No t Found> ( CREAT: Not Found) BSA (m2): _______ | |
| 1109 | N on-VA Meds on File | |
| 1110 | La st entry o n 1-20-05 | |
| 1111 | ISSUE LA ST REF DAY | |
| 1112 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 1113 | ||
| 1114 | ---------- ------REFI LL TOO SOO N/DUR REJE CTS (Third Party)--- ---------- --------- | |
| 1115 | 1 2390$e DIGOXIN ( LANOXIN) 0 .05MG CAP 9 0 A> 02-1 6 02-16 3 90 | |
| 1116 | 2 2391e OXYBUTYNIN CHLORIDE 15MG SA TA B 180 S> 02-15 05-06 0 90 | |
| 1117 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------- | |
| 1118 | 3 2396 A MPICILLIN 250MG CAP 40 A> 06-12 06-12 0 10 | |
| 1119 | 4 2395 A ZATHIOPRIN E 50MG TAB 90 E 06-10 05-03 3 90 | |
| 1120 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ---------- | |
| 1121 | 5 2398 F OLIC ACID 1MG TAB 9 0 DD> 05-0 3 05-03R 3 90 | |
| 1122 | 6 2400 H YDROCORTIS ONE 1%CR 1 DE> 05- 03 05-03R 11 30 | |
| 1123 | 7 2394 I BUPROFEN 4 00MG TAB 5 00'S 270 D C 05-03 0 5-03 3 90 | |
| 1124 | 8 2399 M VI CAP/TAB 90 DP> 0 5-03 05-03 R 3 90 | |
| 1125 | 9 2402 T EMPAZEPAM 15MG CAP 30 DF 06- 01 06-01 5 30 | |
| 1126 | 10 2392 T HIAMINE HC L 100MG TA B 90 DA> 05-03 05-0 3R 3 90 | |
| 1127 | ---------- ---------- ---------- --------HO LD-------- ---------- ---------- ---------- | |
| 1128 | 11 2393 W ARFARIN 5M G TAB 90 H 05-03 - 3 90 | |
| 1129 | 12 2401 F UROSEMIDE 40MG TAB 90 HP 05- 03 - 2 90 | |
| 1130 | --------- ---------- ---------- -----NON-V ERIFIED--- ---------- ---------- ---------- | |
| 1131 | 13 2397 B ACLOFEN 10 MG TABS 3 0 N 03-1 4 03-14 5 30 | |
| 1132 | --------- ---------- ---------- -------PEN DING------ ---------- ---------- ---------- | |
| 1133 | 14 CAPTOPR IL 25MG TA B QTY: 180 I SDT: 06-12 REF: 3 | |
| 1134 | 15 MULTIVI TAMIN CAP/ TAB QTY: 30 I SDT: 06-12 > REF: 3 | |
| 1135 | ---------- ---------- ----NON-VA MEDS (Not dispensed by VA) -- ---------- ---------- | |
| 1136 | GINKO EXT 1 TAB ONCE A DAY BY MOUTH Date Doc umented: 0 1/13/01 | |
| 1137 | ||
| 1138 | Enter ?? for more actions | |
| 1139 | ||
| 1140 | PU Patien t Record U pdate NO New Or der | |
| 1141 | PI Patien t Informat ion SO Select Order | |
| 1142 | ||
| 1143 | Select Act ion: Quit/ / | |
| 1144 | Order #4 i s highligh ted (rever se video) to indicat e that it has recent ly expired . | |
| 1145 | Orders #5, 7, 10 are highlight ed (revers e video) t o indicate that they were rece ntly disco ntinued. | |
| 1146 | Hold Type display co des are sh own in blu e. | |
| 1147 | Discontinu e Type dis play codes are shown in blue. | |
| 1148 | OneVA Phar macy and t he Medicat ion Profil e | |
| 1149 | Effective with the O neVA Pharm acy patch PSO*7*454 – December 2016, the Medicatio n Profile displays a ll active medication s from oth er facilit ies. The m edications are retri eved from the Health Data Repo sitory/Cli nical Data Service ( HDR/CDS) R epository and are di splayed be low the ‘l ocal’ or ‘ Non-VA Med ’ orders a nd are sor ted/groupe d by facil ity. The p rescriptio ns origina ting from other VA P harmacy lo cations di splay unde r a divide r header l ine showin g the site name, sit e number, and status . | |
| 1150 | Note: For additiona l informat ion regard ing OneVA Pharmacy p rocessing go to the VA Softwar e Document Library ( VDL), sele ct the Cli nical sect ion then c hoose the “Pharm: Ou tpatient P harmacy” p age. Locat e the “Use r Manual – OneVA Pha rmacy” doc ument. | |
| 1151 | The exampl e shown be low displa ys three p ages of a test patie nt’s Medic ation Prof ile, displ aying the ‘local’ pr escription orders fo llowed by prescripti on orders that origi nated at o ther facil ities. | |
| 1152 | ||
| 1153 | Medication Profile Jul 28, 20 16@05:20:2 3 Page: 1 of 3 | |
| 1154 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1155 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1156 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1157 | SEX: FEM ALE | |
| 1158 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1159 | ISSUE LA ST REF DAY | |
| 1160 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 1161 | ||
| 1162 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------- | |
| 1163 | 1 1000012 6 FLU TICAS 100/ SALMETEROL 50 INHL D ISK 60 E> 06-01 02- 02 11 45 | |
| 1164 | Qty: 2 | |
| 1165 | 2 1000012 8 NIA CIN 250MG TAB 270 S> 06-08 08- 27 2 90 | |
| 1166 | 3 1000012 2 RAM IPRIL 5MG CAP 30 A> 05-31 05- 31 8 30 | |
| 1167 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ---------- | |
| 1168 | 4 1000012 5 HYD ROCHLOROTH IAZIDE 25M G TAB 60 DC >02-01 02- 02 5 60 | |
| 1169 | ---------- ---------- ---------- --------HO LD-------- ---------- ---------- ---------- | |
| 1170 | 5 1000012 7 LIS INOPRIL 2. 5MG TAB 90 H> 03-10 - 3 90 | |
| 1171 | ---------- ---------- ---------- DAYTON (55 2) ACTIVE- ---------- ---------- ---------- | |
| 1172 | + Enter ?? f or more ac tions | |
| 1173 | PU Patien t Record U pdate NO New Or der | |
| 1174 | PI Patien t Informat ion SO Select Order | |
| 1175 | Select Act ion: Next Screen// | |
| 1176 | ||
| 1177 | Medication Profile Jul 28, 20 16@05:20:4 6 Page: 2 of 3 | |
| 1178 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1179 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1180 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1181 | SEX: FEM ALE | |
| 1182 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1183 | ISSUE LA ST REF DAY | |
| 1184 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 1185 | + | |
| 1186 | 6 2718399 IBU PROFEN 800 MG TAB 30 A 06-09 07- 19 0 10 | |
| 1187 | 7 2718383 OME PRAZOLE 10 MG SA CAP 30 A 02-02 06- 10 11 30 | |
| 1188 | 8 2718397 VER APAMIL HCL 120MG TAB 60 A 06-15 06- 15 5 60 | |
| 1189 | ---------- ---------- -------DAY TON (552) DISCONTINU ED-------- ---------- ---------- | |
| 1190 | 9 2718398 ASP IRIN 325MG BUFFERED TAB 300 DC 03-15 03- 15 2 90 | |
| 1191 | ---------- ---------- ---------- -DAYTON (5 52) HOLD-- ---------- ---------- ---------- | |
| 1192 | 10 2718400 ALB UTEROL 0.5 % INHL SOL N 2 H 06-09 - 1 14 | |
| 1193 | ---------- ---------- ---------D AYTON (552 ) SUSPENDE D--------- ---------- ---------- | |
| 1194 | 11 2718401 CAL CIUM GLUCO NATE 500MG TAB 30 S 05-25 07- 14 3 30 | |
| 1195 | ---------- ---------- -----DAYTS HR TEST LA B (984) AC TIVE------ ---------- ---------- | |
| 1196 | + Enter ?? f or more ac tions | |
| 1197 | PU Patien t Record U pdate NO New Or der | |
| 1198 | PI Patien t Informat ion SO Select Order | |
| 1199 | Select Act ion: Next Screen// | |
| 1200 | ||
| 1201 | Medication Profile Jul 28, 20 16@05:16:3 1 Page: 3 of 3 | |
| 1202 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1203 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1204 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1205 | SEX: FEM ALE | |
| 1206 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1207 | ISSUE LA ST REF DAY | |
| 1208 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 1209 | + | |
| 1210 | 12 2718902 BAN DAGE, GAUZ E, ROLLER 2 IN X 6 Y D 3 A 04-19 04- 19 9 29 | |
| 1211 | 13 2718744 OME PRAZOLE 10 MG SA CAP 60 A 05-03 05- 03 5 60 | |
| 1212 | ---------- ---------- --DAYTSHR TEST LAB ( 984) DISCO NTINUED--- ---------- ---------- | |
| 1213 | 14 2718745 QUI NAPRIL 20M G TAB 30 DC 03-04 03- 04 11 30 | |
| 1214 | ---------- ---------- -----DAYTS HR TEST LA B (984) EX PIRED----- ---------- ---------- | |
| 1215 | 15 2718746 AMO XICILLIN 2 50MG CAP 30 E 06-01 05- 04 0 10 | |
| 1216 | ---------- ---------- ------DAYT SHR TEST L AB (984) H OLD------- ---------- ---------- | |
| 1217 | 16 2718747 CET IRIZINE HC L 10MG TAB 45 H 04-23 - 4 45 | |
| 1218 | ---------- ---------- ----DAYTSH R TEST LAB (984) SUS PENDED---- ---------- ---------- | |
| 1219 | 17 2718748 TRA ZODONE HCL 50MG TAB 90 S 04-05 06- 24 2 90 | |
| 1220 | Enter ?? f or more ac tions | |
| 1221 | PU Patien t Record U pdate NO New Or der | |
| 1222 | PI Patien t Informat ion SO Select Order | |
| 1223 | Select Act ion: Quit/ / | |
| 1224 | ||
| 1225 | The OneVA Pharmacy O neVA Pharm acy patch PSO*7*454 – December 2016 intr oduces the new view, ‘REMOTE O P Medicati ons’, whic h displays the detai ls of the remote pre scription order. Whe n selectin g a OneVA Pharmacy p rescriptio n order fr om the Med ication Pr ofile scre en, the ne w ‘REMOTE OP Medicat ions’ page display a s shown in the examp le below. | |
| 1226 | ||
| 1227 | REMOTE OP Medication s (ACTIVE) Jul 27, 20 16@10:12:3 7 Page: 1 of 1 | |
| 1228 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1229 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1230 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1231 | SEX: FEF EMALE | |
| 1232 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1233 | ||
| 1234 | S ite #: 984 (DAYTSHR T EST LAB) | |
| 1235 | Rx #: 271 8862 | |
| 1236 | Drug Name: IBU PROFEN 800 MG TAB | |
| 1237 | Days S upply: 30 | |
| 1238 | Qua ntity: 60 | |
| 1239 | Re fills: 11 | |
| 1240 | Expiration Date: 06/ 01/17 | |
| 1241 | Issue Date: 05/ 31/16 | |
| 1242 | Stop Date: 06/ 01/17 | |
| 1243 | Last Fill Date: 05/ 31/16 | |
| 1244 | Sig: TAK E ONE TABL ET BY MOUT H TWICE A DAY AS NEE DED --TAKE WITH | |
| 1245 | FOOD IF GI UPSE T OCCURS/D O NOT CRUS H OR CHEW- - | |
| 1246 | ||
| 1247 | Enter ?? f or more ac tions | |
| 1248 | RF Refil l Rx from Another VA Pharmacy PR Parti al | |
| 1249 | Select Act ion:Quit// | |
| 1250 | ||
| 1251 | Note: For additiona l informat ion regard ing OneVA Pharmacy p rocessing go to the VA Softwar e Document Library ( VDL), sele ct the Cli nical sect ion then c hoose the “Pharm: Ou tpatient P harmacy” p age. Locat e the “Use r Manual – OneVA Pha rmacy” doc ument. | |
| 1252 | Medication Profile: Long Forma t | |
| 1253 | The long f ormat disp lays all i nformation contained on the sh ort format as well a s the foll owing addi tional fie lds: | |
| 1254 | ||
| 1255 | physician’ s name | |
| 1256 | clerk code | |
| 1257 | fill date | |
| 1258 | total allo wable refi lls | |
| 1259 | dates of r efills/par tial fills | |
| 1260 | which divi sion fille d it | |
| 1261 | whether th e prescrip tion was f illed at t he pharmac y window o r by mail | |
| 1262 | ||
| 1263 | ||
| 1264 | The long r eport form at of the fields for Non-VA Me d orders i nclude the start dat e, CPRS or der #, sta tus, docum ented by, order chec k(s), over ride reaso n, overrid e provider , and stat ement of e xplanation . | |
| 1265 | ||
| 1266 | Example: M edication Profile – Long Forma t | |
| 1267 | Select PAT IENT NAME: OPPATI ENT,ONE 8-5-1 9 66600 0777 N O NSC | |
| 1268 | VETERAN OPPATIEN T,ONE | |
| 1269 | WARNING : ** This pa tient has been flagg ed with a Bad Addres s Indicato r. | |
| 1270 | LONG or SH ORT: SHORT // LONG | |
| 1271 | Sort by DA TE, CLASS or MEDICAT ION: DATE/ / <Enter> | |
| 1272 | ||
| 1273 | All Medica tions or S election ( A/S): All/ / <Enter> | |
| 1274 | DEVICE: HO ME// [Sele ct Print D evice] GE NERIC INCO MING TELNE T | |
| 1275 | ||
| 1276 | OPPATIENT, ONE ID#: 077 7 | |
| 1277 | (TEMP ADDRESS f rom AUG 28 ,2006 till (no end d ate)) | |
| 1278 | LINE1 DOB: AUG 5,1919 | |
| 1279 | ANYTOWN PHONE: 555 -1212 | |
| 1280 | TEXAS 773 79 ELIG: NSC | |
| 1281 | CANNOT USE SAFETY CA PS. | |
| 1282 | ||
| 1283 | ||
| 1284 | WEIGHT(Kg) : HEIGHT(cm ): | |
| 1285 | CrCL: <Not Found> (C REAT: Not Found) BSA (m2): ________ | |
| 1286 | ||
| 1287 | DISABILITI ES: | |
| 1288 | ||
| 1289 | ALLERGIES: __________ __________ __________ __________ __________ __________ _____ | |
| 1290 | ||
| 1291 | ADVERSE RE ACTIONS:__ __________ __________ __________ __________ __________ _____ | |
| 1292 | ||
| 1293 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
| 1294 | ||
| 1295 | Outpatient prescript ions are d iscontinue d 72 hours after adm ission | |
| 1296 | Medication Profile S orted by I SSUE DATE | |
| 1297 | ||
| 1298 | ||
| 1299 | Rx #: 100 001968Ae Drug: L OPERAMIDE 2MG CAP | |
| 1300 | SIG: TAK E TWO CAPS ULES BY MO UTH EVERY DAY | |
| 1301 | QTY: 60 # of Re fills: 5 Issue /Expr: 12- 15-05/06-1 6-06 | |
| 1302 | Prov: OP PROVIDER16 ,TWO Ent ry By: 100 00000013 F illed: 01- 14-06 (M) | |
| 1303 | Last Rel eased: Origi nal Releas e: | |
| 1304 | Refilled : 02-19-04 (M) Released: | |
| 1305 | Remarks: | |
| 1306 | Division : ALBANY ( 500) Active 4 Refills Left | |
| 1307 | ||
| 1308 | Example: M edication Profile – Long Forma t (continu ed) | |
| 1309 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 1310 | Non-VA MEDS (Not Dispensed by VA) | |
| 1311 | GINKO BILL OBA TAB | |
| 1312 | Dosage: 1 TABLET | |
| 1313 | Schedule : ONCE A D AY | |
| 1314 | Route: M OUTH | |
| 1315 | Status: Discontinu ed (10/08/ 03) | |
| 1316 | Start Da te: 09/03/ 03 CPR S Order #: 12232 | |
| 1317 | Document ed By: OPC LERK21,FOU R on 09/03 /03 | |
| 1318 | Statemen t of Expla nation: No n-VA medic ation not recommende d by VA pr ovider. | |
| 1319 | ||
| 1320 | Example: M edication Profile – Long Forma t (continu ed) | |
| 1321 | ACETAMINPH EN 325MG C T | |
| 1322 | Dosage: 325MG | |
| 1323 | Schedule : | |
| 1324 | Route: | |
| 1325 | Status: Active | |
| 1326 | Start Da te: 09/03/ 03 CPR S Order #: 12234 | |
| 1327 | Document ed By: OPC LERK21,FOU R on 09/03 /03 | |
| 1328 | Statemen t of Expla nation: No n-VA medic ation reco mmended by VA provid er | |
| 1329 | Pa tient want s to buy f rom Non-VA pharmacy | |
| 1330 | ||
| 1331 | The Interv ention men u hidden a ction has been inclu ded in the Patient I nformation , the Medi cation Pro file and D etailed Or der ListMa n screens when utili zing the f ollowing o ptions: | |
| 1332 | Patient Pr escription Processin g [PSO LM BACKDOOR O RDERS] | |
| 1333 | Complete O rders from OERR [PSO LMOE FINI SH] | |
| 1334 | Edit Presc riptions [ PSO RXEDIT ] | |
| 1335 | ||
| 1336 | Note: Patc h PSO*7*39 1 added a new sort s election, 'CS' to th e Complete Orders fr om OERR, e nabling us ers to sel ect digita lly signed pending C S orders s eparately. | |
| 1337 | ||
| 1338 | See “Using the Pharm acy Interv ention Men u” for mor e details. | |
| 1339 | ||
| 1340 | Chapter 9: Processin g a Prescr iption | |
| 1341 | ||
| 1342 | This chapt er describ es the opt ion and pr ocesses us ed in proc essing pre scriptions . | |
| 1343 | Patient Pr escription Processin g | |
| 1344 | [PSO LM BA CKDOOR ORD ERS] | |
| 1345 | ||
| 1346 | The Patien t Prescrip tion Proce ssing opti on is used to proces s outpatie nt medicat ion orders from OERR V. 3.0. T his option uses List Manager f eatures th at allow t he pharmac y technici an to perf orm the fo llowing ac tions on a prescript ion withou t leaving this optio n. | |
| 1347 | ||
| 1348 | Enter a ne w Rx | |
| 1349 | Release | |
| 1350 | Refill | |
| 1351 | Order a pa rtial | |
| 1352 | Copy (new) | |
| 1353 | Pull early from susp ense | |
| 1354 | Renew | |
| 1355 | Show a pro file | |
| 1356 | Reprint | |
| 1357 | View activ ity log (n ew) | |
| 1358 | ||
| 1359 | When a new drug orde r is proce ssed (new, renewal, finish, ve rify, copy , or an ed it that cr eates a ne w order), order chec ks are per formed. Th ese includ e checking for dupli cate drug, duplicate drug ther apy, drug- drug inter action, dr ug allergy , and maxi mum single dose. | |
| 1360 | ||
| 1361 | Outpatient Pharmacy generated order chec ks are dis played in this seque nce: | |
| 1362 | System Err ors | |
| 1363 | Duplicate Drug | |
| 1364 | Clozapine | |
| 1365 | Allergy/AD R (local & remote) o r Non-Asse ssment | |
| 1366 | CPRS check s generate d backdoor (3 new ch ecks) | |
| 1367 | Drug Level Errors | |
| 1368 | Local & Re mote Criti cal Drug I nteraction s | |
| 1369 | Local & Re mote Signi ficant Dru g Interact ions | |
| 1370 | Local & Re mote Dupli cate Thera py | |
| 1371 | Maximum Si ngle Dose | |
| 1372 | ||
| 1373 | Additional ly, the or der check display se quence is applied to the follo wing proce sses: | |
| 1374 | Backdoor n ew order e ntry | |
| 1375 | Finishing a pending order | |
| 1376 | Renewing a n outpatie nt medicat ion order | |
| 1377 | Creating a new order when edit ing an out patient me dication o rder | |
| 1378 | Verifying an outpati ent medica tion order | |
| 1379 | Copying an outpatien t medicati on order | |
| 1380 | Reinstatin g a discon tinued out patient me dication o rder | |
| 1381 | ||
| 1382 | There are three leve ls of erro r messages associate d with Enh anced Orde r Checking (Drug Int eractions, Duplicate Therapy, and Dosing ): | |
| 1383 | System - W hen a syst em level e rror occur s, no Drug Interacti on, Duplic ate Therap y, or Dosi ng order c hecks that utilize t he COTS da tabase (FD B) will be performed . Other or der checks , such as Allergy/AD Rs, Duplic ate Drug ( for outpat ient only) , and the new CPRS o rder check s, etc. th at are per formed ent irely with in VISTA w ill contin ue to be e xecuted. | |
| 1384 | Drug - Whe n a drug l evel error occurs, n o Drug Int eraction, Duplicate Therapy, o r Dosing o rder check s will be performed for a spec ific drug. Drug leve l errors c an occur f or the pro spective d rug (drug being proc essed) or the profil e drug. If a drug le vel error occurs on the prospe ctive drug , no profi le drug er rors will be display ed. The on ly excepti on to this is when y ou are pro cessing an IV order with multi ple prospe ctive drug s (i.e. mu ltiple IV Additives) . Profile drug level errors wi ll only be shown onc e per pati ent sessio n. | |
| 1385 | There are two reason s that a d rug level error is g enerated; the drug i s not matc hed to NDF or the dr ug is matc hed to NDF , but the VA Product to which it is matc hed does n ot have a GCNSEQNO a ssigned or the GCNSE QNO assign ed does no t match up to the GC NSEQNO in the COTS d atabase. T he latter (GCNSEQNO mismatch) is rare. | |
| 1386 | Order - Th e third er ror level is for the order. Or der level errors wil l only occ ur with do sing order checks. P lease see the Dosing Order Che ck User Ma nual for m ore inform ation. | |
| 1387 | ||
| 1388 | See table below for an explana tion of th e errors: | |
| 1389 | Error Leve l | |
| 1390 | Error Mess age | |
| 1391 | Reason | |
| 1392 | Why messag e is being displayed . | |
| 1393 | System | |
| 1394 | No Enhance d Order Ch ecks can b e performe d. | |
| 1395 | Vendor Dat abase cann ot be reac hed. | |
| 1396 | The connec tivity to the vendor database has gone d own. A Mai lMan messa ge is sent to the G. PSS ORDER CHECKS ma il group w hen the li nk goes do wn and whe n it comes back up. | |
| 1397 | System | |
| 1398 | No Enhance d Order Ch ecks can b e performe d. | |
| 1399 | The connec tion to th e vendor d atabase ha s been dis abled. | |
| 1400 | A user has executed the Enable /Disable V endor Data base Link [PSS ENABL E/DISABLE DB LINK] o ption and disabled t he interfa ce. | |
| 1401 | System | |
| 1402 | No Enhance d Order Ch ecks can b e performe d | |
| 1403 | Vendor dat abase upda tes are be ing proces sed | |
| 1404 | The vendor database (custom an d standard data) is being upda ted using the DATUP (Data Upda te) proces s. | |
| 1405 | System | |
| 1406 | No Dosing Order Chec ks can be performed | |
| 1407 | Dosing Ord er Checks are disabl ed | |
| 1408 | A user has executed the Enable /Disable D osing Orde r Checks [ PSS Dosing Order Che cks] optio n. | |
| 1409 | Drug | |
| 1410 | Enhanced O rder Check s cannot b e performe d for Loca l or Remot e Outpatie nt Drug: < DRUG NAME> | |
| 1411 | Drug not m atched to NDF | |
| 1412 | The local drug being ordered/ or on prof ile has no t been mat ched to ND F. Matchin g the drug to a VA P roduct wil l eliminat e this mes sage. | |
| 1413 | Drug | |
| 1414 | Order Chec ks could n ot be done for Remot eDrug: <DR UG NAME>, please com plete a ma nual check for Drug Interactio ns and Dup licate The rapy. | |
| 1415 | ||
| 1416 | If this er ror messag e is displ ayed, it m eans that the VA pro duct that the local or remote drug being ordered/o r on local or remote profile d oes not ha ve a GCNSE QNO or in rare cases , the GCNS EQNO assig ned to the VA Produc t does not match up with a GCN SEQNO in t he vendor database. | |
| 1417 | Drug | |
| 1418 | Enhanced O rder Check s cannot b e performe d for Orde rable Item : <OI NAME > | |
| 1419 | No active Dispense D rug found | |
| 1420 | Highly unl ikely that this erro r would be seen. At the time the order check was being perf ormed the orderable item did n ot have an active di spense dru g associat ed. | |
| 1421 | ||
| 1422 | See exampl es below t o illustra te error s equences: | |
| 1423 | ||
| 1424 | New Order Entry – Sy stem Level Error | |
| 1425 | Select Act ion: Quit/ / NO New Order | |
| 1426 | ||
| 1427 | Eligibilit y: SC LESS THAN 50% SC%: 4 0 | |
| 1428 | RX PATIENT STATUS: S C LESS THA N 50%// | |
| 1429 | DRUG: AMLO D | |
| 1430 | Lookup: GENERIC NA ME | |
| 1431 | 1 A MLODIPINE 10MG/BENAZ APRIL 20MG TAB CV400 | |
| 1432 | 2 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB CV20 0 | |
| 1433 | CHOOSE 1-2 : 1 AMLOD IPINE 10MG /BENAZAPRI L 20MG TAB C V400 | |
| 1434 | ||
| 1435 | Now doing remote ord er checks. Please wa it... | |
| 1436 | ||
| 1437 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 1438 | ||
| 1439 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 1440 | ||
| 1441 | Now Proces sing Enhan ced Order Checks! Pl ease wait. .. | |
| 1442 | ||
| 1443 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 1444 | ||
| 1445 | No Enhance d Order Ch ecks can b e performe d. | |
| 1446 | Reason: Vendor d atabase ca nnot be re ached. | |
| 1447 | ||
| 1448 | Press Retu rn to Cont inue... | |
| 1449 | ||
| 1450 | There are 2 Availabl e Dosage(s ): | |
| 1451 | ||
| 1452 | 1 TABLET | |
| 1453 | 2 TABLETS | |
| 1454 | ||
| 1455 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 1456 | or Enter a Question Mark (?) t o view lis t: 1 1 TAB LET | |
| 1457 | ||
| 1458 | You entere d 1 TABLET is this c orrect? Ye s// YES | |
| 1459 | VERB: TAKE | |
| 1460 | ROUTE: PO/ / | |
| 1461 | 1 P O ORAL (B Y MOUTH) PO | |
| 1462 | 2 P O ORAL PO | |
| 1463 | CHOOSE 1-2 : 1 ORAL (BY MOUTH) PO MOUTH | |
| 1464 | Schedule: Q4H | |
| 1465 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 1466 | Q4H Q4H EVERY 4 HOURS | |
| 1467 | . ..OK? Yes/ / (Yes) | |
| 1468 | (EVERY 4 HOURS LIMI TED DURATI ON (IN DAY S, HOURS O R MINUTES) : | |
| 1469 | CONJUNCTIO N: | |
| 1470 | ||
| 1471 | ||
| 1472 | Drug Error Message – Finishing Pending O utpatient Order | |
| 1473 | + Enter ?? f or more ac tions | |
| 1474 | BY Bypass DC Discon tinue | |
| 1475 | ED Edit FN Finish | |
| 1476 | Select Ite m(s): Next Screen// FN Finis h | |
| 1477 | ||
| 1478 | Now doing remote ord er checks. Please wa it... | |
| 1479 | ||
| 1480 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 1481 | ||
| 1482 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 1483 | ||
| 1484 | Now Proces sing Enhan ced Order Checks! Pl ease wait. .. | |
| 1485 | ||
| 1486 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 1487 | ||
| 1488 | Enhanced O rder Check s cannot b e performe d for Loca l Drug: WA RFARIN 5MG TAB | |
| 1489 | Reason: Drug not matched to NDF | |
| 1490 | ||
| 1491 | Press Retu rn to Cont inue... | |
| 1492 | ||
| 1493 | Was treatm ent for Se rvice Conn ected cond ition? YES // | |
| 1494 | ||
| 1495 | Are you su re you wan t to Accep t this Ord er? NO// | |
| 1496 | ||
| 1497 | Renewing a n Order – Therapeuti c Duplicat ion – Drug Level Err or | |
| 1498 | + Enter ?? f or more ac tions | |
| 1499 | DC Disco ntinue PR Partial RL Rel ease | |
| 1500 | ED Edit RF Refill RN Ren ew | |
| 1501 | Select Act ion: Next Screen// r n Renew | |
| 1502 | FILL DATE: (3/12/20 08 - 3/13/ 2009): TOD AY// (MA R 12, 2008 ) | |
| 1503 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 1504 | METHOD OF PICK-UP: | |
| 1505 | Nature of Order: WRI TTEN// W | |
| 1506 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 1507 | ||
| 1508 | Do you wan t to enter a Progres s Note? No // NO | |
| 1509 | ||
| 1510 | Now Renewi ng Rx # 25 80 Drug: SUCRALFAT E 1GM TAB | |
| 1511 | ||
| 1512 | ||
| 1513 | Press Retu rn to Cont inue... | |
| 1514 | ||
| 1515 | Now doing remote ord er checks. Please wa it... | |
| 1516 | ||
| 1517 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 1518 | ||
| 1519 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 1520 | ||
| 1521 | Now Proces sing Enhan ced Order Checks! Pl ease wait… | |
| 1522 | ||
| 1523 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 1524 | ||
| 1525 | Order Chec ks could n ot be done for Drug: RANITIDIN E 150MG TA B, please complete a manual ch eck for Dr ug Interac tions and Duplicate Therapy. | |
| 1526 | ||
| 1527 | ========== ========== ========== ========== ========== ========== ========== ========== ==== | |
| 1528 | *** THERAP EUTIC DUPL ICATION(S) *** SUCRA LFATE 1GM TAB with | |
| 1529 | ||
| 1530 | L ocal Rx#: 2574 | |
| 1531 | Dru g: CIMETID INE 300MG TAB (DISCO NTINUED) | |
| 1532 | SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY | |
| 1533 | QT Y: 180 Days Sup ply: 90 | |
| 1534 | Pr ocessing S tatus: Rel eased loca lly on 03/ 07/08@08:5 5:32 (Win dow) | |
| 1535 | Las t Filled O n: 11/08/0 6 | |
| 1536 | ||
| 1537 | L ocal Rx#: 2573 | |
| 1538 | Dru g: NIZATID INE 150MG CAP (ACTIV E) | |
| 1539 | SI G: TAKE ON E CAPSULE BY MOUTH T WICE A DAY | |
| 1540 | QT Y: 180 Days Sup ply: 90 | |
| 1541 | Pr ocessing S tatus: Rel eased loca lly on 03/ 07/08@08:5 5:32 (Win dow) | |
| 1542 | Las t Filled O n: 11/08/0 6 | |
| 1543 | ||
| 1544 | ||
| 1545 | Local Rx #: 2599 | |
| 1546 | Dru g: FAMOTID INE 20MG T AB (PROVID ER HOLD) | |
| 1547 | SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY | |
| 1548 | QT Y: 180 Days Sup ply: 90 | |
| 1549 | Pr ocessing S tatus: Rel eased loca lly on 03/ 07/08@08:5 5:32 (Win dow) | |
| 1550 | Las t Filled O n: 11/08/0 6 | |
| 1551 | ||
| 1552 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists | |
| 1553 | ||
| 1554 | ========== ========== ========== ========== ========== ========== ========== ========== ==== | |
| 1555 | Discontinu e RX #2573 NIZATIDIN E 150MG CA P? Y/N No | |
| 1556 | ||
| 1557 | Press Retu rn to Cont inue: | |
| 1558 | ||
| 1559 | 2580A SUCRALF ATE 1GM TA B QTY : 360 | |
| 1560 | # OF REFIL LS: 3 ISS UED: 03-12 -08 | |
| 1561 | SIG: TAKE ONE TABLET BY MOUTH FOUR TIMES A DAY | |
| 1562 | FILLED: 03 -12-08 | |
| 1563 | ROUTING: W INDOW PHYS: PSOP ROVIDER,ON E | |
| 1564 | ||
| 1565 | Edit renew ed Rx ? Y/ / n NO | |
| 1566 | ||
| 1567 | SC Percent: 8 0% | |
| 1568 | Disab ilities: N ONE STATED | |
| 1569 | ||
| 1570 | Was treatm ent for a Service Co nnected co ndition? N O// | |
| 1571 | ||
| 1572 | Allergy Or der Checks | |
| 1573 | ||
| 1574 | This chapt er describ es the dis play of Al lergy Orde r Checks f unctionali ty that ap pear prior to Clinic al Reminde r Order Ch ecks (CROC s) and Enh anced Orde r Checks. | |
| 1575 | ||
| 1576 | The follow ing change s have bee n made to the existi ng allergy order che cks: | |
| 1577 | In Backdoo r Pharmacy , the syst em will re quire the pharmacist to comple te an Inte rvention i f the seve rity value equals ‘S evere’ bef ore allowi ng the pha rmacist to continue with the o rder. | |
| 1578 | ||
| 1579 | Note : Severity for an al lergy can ONLY be en tered for (O)bserved and NOT ( H)istorica l Allergy/ Adverse Re actions an d the user MUST HOLD the GMRA- ALLERGY VE RIFY key a nd complet e an obser ved reacti on report to enter M ECHANISM a nd SEVERIT Y for Obse rved types of Allerg y/Adverse Reactions. | |
| 1580 | ||
| 1581 | Clerk Does Not Get I nterventio n Prompt: | |
| 1582 | Observed: | |
| 1583 | Now doing remote ord er checks. Please wa it... | |
| 1584 | ||
| 1585 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 1586 | ||
| 1587 | ||
| 1588 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
| 1589 | ||
| 1590 | Prospe ctive Drug : NITROGLY CERIN 0.3M G S.L.T. | |
| 1591 | Causa tive Agent : NITROGLY CERIN (ALB ANY - 01/2 1/16) | |
| 1592 | Historica l/Observed : OBSERVED | |
| 1593 | Severity : SEVERE | |
| 1594 | Sign s/Symptoms : NAUSEA,V OMITING | |
| 1595 | Drug Class : CV250 AN TIANGINALS | |
| 1596 | ||
| 1597 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
| 1598 | ||
| 1599 | Press Retu rn to cont inue: | |
| 1600 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 1601 | ||
| 1602 | Historical : | |
| 1603 | ||
| 1604 | ||
| 1605 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 1606 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
| 1607 | Prospe ctive Drug : AMPICILL IN 250MG Causat ive Agent: AMPICILLI N (ALBANY - 01/14/16 ) Histori cal/Observ ed: HISTOR ICAL Sev erity: Not Entered In gredients: AMPICILLI N Si gns/Sympto ms: DRY MO UTH, HIVES Drug Clas s: AM111 P ENICILLINS ,AMINO DER IVATIVES | |
| 1608 | Press Retu rn to cont inue: | |
| 1609 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 1610 | ||
| 1611 | ||
| 1612 | ||
| 1613 | Allergies that are m ild or mod erate are still capt ured and s tored by o rder numbe r in the O RDER CHECK INSTANCES file (#10 0.05), reg ardless of whether o r not an i nterventio n was ente red. The i nformation can be vi ewed from the prescr iption scr een using the hidden action – DA Display Drug Alle rgies | |
| 1614 | ||
| 1615 | CPRS Aller gy Entry P rocess | |
| 1616 | ||
| 1617 | From the O rder tab, enter a ne w allergy using the Allergies Dialog: | |
| 1618 | ||
| 1619 | ||
| 1620 | Example of Historica l Allergy: | |
| 1621 | ||
| 1622 | ||
| 1623 | Example of Observed Allergy: | |
| 1624 | ||
| 1625 | ||
| 1626 | OneVA Phar macy Proce ssing with in Patient Prescript ion Proces sing | |
| 1627 | Note: For informati on regardi ng OneVA P harmacy pr ocessing g o to the V A Software Document Library (V DL), selec t the Clin ical secti on then ch oose the “ Pharm: Out patient Ph armacy” pa ge. Locate the “User Manual – OneVA Phar macy” docu ment. | |
| 1628 | ||
| 1629 | OneVA Phar macy patch PSO*7*454 introduce s new mes saging to query the Health Dat a Reposito ry/Clinica l Data Ser vices (HDR /CDS) Repo sitory for prescript ions from other VA P harmacy lo cations an d displays them in the Medic ations Pro file view. The new q uery will only execu te if the patient ha s been tre ated at mo re than on e VA Medic al Center. The query retrieves all presc riptions a ssociated with the p atient fro m the repo sitory, wh ich requir es additio nal time. To execute the HDR/C DS Reposit ory query, the user must accep t the defa ult of ‘YE S’ to the ‘Would you like to q uery presc riptions f rom other OneVA Phar macy locat ions?’ pro mpt. When the user r esponds ‘Y ES’ or acc epts the d efault to the OneVA Pharmacy p rompt, the system di splays the OneVA Pha rmacy Quer y Message. | |
| 1630 | The OneVA Pharmacy’s feature t o query th e HDR/CDS Repository will not execute if the patie nt has onl y one entr y in the ‘ TREATING F ACILITY LI ST file (# 391.91)’. | |
| 1631 | The system identifie s and quer ies the HD R/CDS Repo sitory for all the p rescriptio ns that ar e active, suspended, on hold, expired (w ithin 120 days), or discontinu ed (within 120 days) . | |
| 1632 | If the que ry connect ion to the HDR/CDS R epository fails, a m essage wil l display stating ‘T he system is down or not respo nding. Cou ld not que ry prescri ptions at other VA P harmacy lo cations. T he user sh ould press return to continue and contac t local su pport if t his proble m persists . | |
| 1633 | When the s ystem is d own messag e displays , the Vist A session will conti nue to dis play the l ocal/dispe nsing site s prescrip tions on t he Medicat ion Profil e view. Th ere will b e no indic ation if a patient i s register ed or has prescripti ons on oth er sites ( i.e., remo te site/On eVA Pharma cy prescri ptions wil l not disp lay on the Medicatio n Profile view.) | |
| 1634 | If the pat ient does not have a ny prescri ption reco rds from o ther VA Ph armacy loc ations, ma tching the search cr iteria, a message wi ll display stating t he “Patien t found wi th no pres cription r ecords mat ching sear ch criteri a.” | |
| 1635 | Example: O neVA Pharm acy Proces sing | |
| 1636 | Select PAT IENT NAME: PSOPAT IENT,SIX 2- 13-61 6 66012136 NO | |
| 1637 | NSC VETERA N | |
| 1638 | ||
| 1639 | No Patient Warnings on file fo r PSOPATIE NT,SIX. | |
| 1640 | ||
| 1641 | Press RETU RN to cont inue... | |
| 1642 | ||
| 1643 | PSOPATIENT ,SIX (666- 01-2136) | |
| 1644 | No Al lergy Asse ssment! | |
| 1645 | ||
| 1646 | Press Retu rn to cont inue: | |
| 1647 | ||
| 1648 | Would you like to qu ery prescr iptions fr om other O neVA Pharm acy | |
| 1649 | locations? YES// | |
| 1650 | ||
| 1651 | Please wai t. Checkin g for pres criptions at other V A Pharmacy locations . This may | |
| 1652 | take a mo ment... | |
| 1653 | ||
| 1654 | ||
| 1655 | REMOTE PRE SCRIPTIONS AVAILABLE ! | |
| 1656 | Display Re mote Data? N// O | |
| 1657 | ||
| 1658 | Eligibilit y: | |
| 1659 | RX PATIENT STATUS: O UTPT NON-S C// | |
| 1660 | ||
| 1661 | OneVA Phar macy Refil l Example | |
| 1662 | ||
| 1663 | Medication Profile Jul 27, 20 16@10:11:2 8 Page: 1 of 1 | |
| 1664 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1665 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1666 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1667 | SEX: FEM ALE | |
| 1668 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1669 | ISSUE LA ST REF DAY | |
| 1670 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 1671 | ||
| 1672 | <No local prescripti ons found. > | |
| 1673 | ---------- ---------- -----DAYTS HR TEST LA B (984) AC TIVE------ ---------- ---------- | |
| 1674 | 1 2718861 CET IRIZINE HC L 10MG TAB 30 A 05-21 07- 07 7 30 | |
| 1675 | 2 2718863 HYD RALAZINE H CL 25MG TA B 60 A 05-11 05- 11 5 60 | |
| 1676 | 3 2718862 IBU PROFEN 800 MG TAB 60 A 05-31 05- 31 11 30 | |
| 1677 | ||
| 1678 | ||
| 1679 | ||
| 1680 | ||
| 1681 | ||
| 1682 | Enter ?? f or more ac tions | |
| 1683 | PU Patien t Record U pdate NO New Or der | |
| 1684 | PI Patien t Informat ion SO Select Order | |
| 1685 | Select Act ion: Quit/ / | |
| 1686 | ||
| 1687 | ||
| 1688 | Select Act ion: Quit/ / SO Sel ect Order | |
| 1689 | Select Ord ers by num ber: (1-3 ): 3 | |
| 1690 | ||
| 1691 | ||
| 1692 | REMOTE OP Medication s (ACTIVE) Jul 27, 20 16@10:12:3 7 Page: 1 of 1 | |
| 1693 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1694 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1695 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1696 | SEX: FEM ALE | |
| 1697 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1698 | ||
| 1699 | S ite #: 984 (DAYTSHR T EST LAB) | |
| 1700 | Rx #: 271 8862 | |
| 1701 | Drug Name: IBU PROFEN 800 MG TAB | |
| 1702 | Days S upply: 30 | |
| 1703 | Qua ntity: 60 | |
| 1704 | Re fills: 11 | |
| 1705 | Expiration Date: 06/ 01/17 | |
| 1706 | Issue Date: 05/ 31/16 | |
| 1707 | Stop Date: 06/ 01/17 | |
| 1708 | Last Fill Date: 05/ 31/16 | |
| 1709 | Sig: TAK E ONE TABL ET BY MOUT H TWICE A DAY AS NEE DED --TAKE WITH | |
| 1710 | FOOD IF GI UPSE T OCCURS/D O NOT CRUS H OR CHEW- - | |
| 1711 | ||
| 1712 | Enter ?? f or more ac tions | |
| 1713 | RF Refil l Rx from Another VA Pharmacy PR Parti al | |
| 1714 | Select Act ion:Quit// | |
| 1715 | ||
| 1716 | Select Act ion:Quit// RF | |
| 1717 | ||
| 1718 | Select Act ion:Quit// RF Refi ll Rx from Another V A Pharmacy | |
| 1719 | ||
| 1720 | Remote sit e drug nam e: IBUPROF EN 800MG T AB | |
| 1721 | Matching D rug Found for Dispen sing: IBUP ROFEN 800M G TAB | |
| 1722 | Would you like to us e the syst em matched drug for this | |
| 1723 | refill/par tial fill? NO// | |
| 1724 | ||
| 1725 | refill/par tial fill? NO// YES | |
| 1726 | ||
| 1727 | Processing refill re quest. Ple ase be pat ient as it may take a moment | |
| 1728 | for the ho st site to respond a nd generat e your lab el data... | |
| 1729 | ||
| 1730 | MESSAGE SE NT TO TARG ET VISTA; TIMED OUT AWAITING R EPLY | |
| 1731 | Press RETU RN to cont inue: | |
| 1732 | ||
| 1733 | Processing refill re quest. Ple ase be pat ient as it may take a moment | |
| 1734 | for the ho st site to respond a nd generat e your lab el data... | |
| 1735 | ||
| 1736 | Select LAB EL DEVICE: | |
| 1737 | ||
| 1738 | ||
| 1739 | ||
| 1740 | Select LAB EL DEVICE: 0 DEC Wi ndows | |
| 1741 | ||
| 1742 | VAMC DA YTON, OH 45428-0415 VAMC D AYTON, OH 45428-041 | |
| 1743 | 5 (REPRINT ) | |
| 1744 | 984 93 7-267-5325 (35783/ ) 984 9 37-267-532 5 (35783 | |
| 1745 | / ) 984 (357 83/ ) JUL 27,2016@10 :14:57 | |
| 1746 | Rx# 271886 2 JUL 27, 2016 Fill 2 of 12 Rx# 27 18862 JUL 27,2016 | |
| 1747 | Fill 2 of 12 Rx# 2718 862 JUL 2 7,2016 Fi ll 2 of 12 | |
| 1748 | PSOPATIENT ,SIX PSOPAT IENT,SIX | |
| 1749 | PSOPATIE NT,SIX | |
| 1750 | TAKE ONE T ABLET BY M OUTH TWICE A DAY AS NEEDED TAKE O NE TABLET BY MOUTH T | |
| 1751 | WICE A DAY AS NEEDED TAKE ONE TABLET BY MOUTH TWI CE A DAY A S NEEDED | |
| 1752 | --TAKE WIT H FOOD IF GI UPSET O CCURS/DO N OT --TAKE WITH FOOD IF GI UPS | |
| 1753 | ET OCCURS/ DO NOT --TAKE W ITH FOOD I F GI UPSET OCCURS/DO NOT | |
| 1754 | CRUSH OR C HEW-- CRUSH OR CHEW-- | |
| 1755 | CRUSH OR CHEW-- | |
| 1756 | PII PII | |
| 1757 | PII | |
| 1758 | Qty: 60 T AB Qty: 6 0 TAB | |
| 1759 | Qty: 60 TAB | |
| 1760 | IBUPROFEN 800MG TAB IBUPRO FEN 800MG TAB | |
| 1761 | IBUPROFE N 800MG TA B | |
| 1762 | 10 Ref ills remai n prior to | |
| 1763 | JUN 1,201 7 Mfg ____ ____ Lot# ________ | |
| 1764 | PO BOX 415 COPAY Days S upply: 30 | |
| 1765 | Tech____ ______RPh_ ________ | |
| 1766 | DAYTON, OH 45428-04 15 | |
| 1767 | ||
| 1768 | ||
| 1769 | ||
| 1770 | ADDRESS SE RVICE REQU ESTED | |
| 1771 | Read FDA Med Guide | |
| 1772 | ||
| 1773 | ***DO NOT MAIL*** , | |
| 1774 | Routing: WINDOW | |
| 1775 | ||
| 1776 | Days sup ply: 30 Ca p: SAFETY | |
| 1777 | ||
| 1778 | Isd: MAY 31,2016 E xp: JUN 1, 2017 | |
| 1779 | PSOPATIENT ,SIX *Indic ate addres s change o | |
| 1780 | n back of this form Last Fil l: 05/31/2 016 | |
| 1781 | [ ] Pe rmanent | |
| 1782 | Pat. Sta t ONSC Cli nic: CINCI | |
| 1783 | [ ] Te mporary un til __/__/ | |
| 1784 | __ DRUG WAR NING 8,10, 19 | |
| 1785 | ||
| 1786 | Signat ure_______ __________ | |
| 1787 | __________ ______ | |
| 1788 | PSOPAT IENT,SIX | |
| 1789 | PSOPATIE NT,SIX | |
| 1790 | Rx# 27 18862 | |
| 1791 | ||
| 1792 | IBUPRO FEN 800MG TAB | |
| 1793 | Verified Allergies | |
| 1794 | DRUG W ARNING: | |
| 1795 | -------- ---------- | |
| 1796 | DO NOT DRINK ALC OHOLIC BEV | |
| 1797 | ERAGES | |
| 1798 | when t aking this medicatio | |
| 1799 | n. Non-Veri fied Aller gies | |
| 1800 | TAKE W ITH FOOD O R MILK. | |
| 1801 | -------- ---------- ---- | |
| 1802 | This i s the same medicatio | |
| 1803 | n you | |
| 1804 | have b een gettin g. Color, | |
| 1805 | size Verified Adverse R eactions | |
| 1806 | or sha pe may app ear differ | |
| 1807 | ent. -------- ---------- -------- | |
| 1808 | ||
| 1809 | ||
| 1810 | ||
| 1811 | Non-Veri fied Adver se Reactio ns | |
| 1812 | ||
| 1813 | -------- ---------- ---------- -- | |
| 1814 | ||
| 1815 | PSOPAT IENT,SIX JUL 27,20 | |
| 1816 | 16 | |
| 1817 | ||
| 1818 | ||
| 1819 | ||
| 1820 | Pharmacy S ervice (11 9) | |
| 1821 | DAYTON | |
| 1822 | P.O. BOX 4 15 | |
| 1823 | DAYTON, OH 45428-04 15 | |
| 1824 | ||
| 1825 | ||
| 1826 | ||
| 1827 | ||
| 1828 | ||
| 1829 | ||
| 1830 | ||
| 1831 | ||
| 1832 | ||
| 1833 | ||
| 1834 | ||
| 1835 | Use the la bel above to mail th e computer | |
| 1836 | copies bac k to us. A pply enoug h postage | |
| 1837 | to your en velope to ensure del ivery. | |
| 1838 | ||
| 1839 | The VA Not ice of Pri vacy Pract ices, IB 1 0-163, whi ch outline s your pri vacy | |
| 1840 | rights, is available online at http://ww w1.va.gov/ Health/ or you may o btain | |
| 1841 | a copy by writing th e VHA Priv acy Office (19F2), 8 10 Vermont Avenue NW , | |
| 1842 | Washington , DC 20420 . | |
| 1843 | ||
| 1844 | Rx # 27188 62 refille d. | |
| 1845 | Press RETU RN to cont inue: | |
| 1846 | ||
| 1847 | Updating p rescriptio n order li st... | |
| 1848 | ||
| 1849 | OneVA Phar macy Parti al Example | |
| 1850 | ||
| 1851 | Medication Profile Jul 27, 20 16@10:26:2 3 Page: 1 of 1 | |
| 1852 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 1853 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 1854 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 1855 | SEX: FEM ALE | |
| 1856 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 1857 | ISSUE LA ST REF DAY | |
| 1858 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 1859 | ||
| 1860 | <No local prescripti ons found. > | |
| 1861 | ---------- ---------- -----DAYTS HR TEST LA B (984) AC TIVE------ ---------- ---------- | |
| 1862 | 1 2718861 CET IRIZINE HC L 10MG TAB 30 A 05-21 07- 07 7 30 | |
| 1863 | 2 2718863 HYD RALAZINE H CL 25MG TA B 60 A 05-11 05- 11 5 60 | |
| 1864 | 3 2718862 IBU PROFEN 800 MG TAB 60 A 05-31 07- 27 10 30 | |
| 1865 | ||
| 1866 | ||
| 1867 | ||
| 1868 | ||
| 1869 | ||
| 1870 | Enter ?? f or more ac tions | |
| 1871 | PU Patien t Record U pdate NO New Or der | |
| 1872 | PI Patien t Informat ion SO Select Order | |
| 1873 | Select Act ion: Quit/ / | |
| 1874 | ||
| 1875 | ||
| 1876 | ||
| 1877 | Select Act ion:Quit// PR Part ial | |
| 1878 | ||
| 1879 | Remote sit e drug nam e: CETIRIZ INE HCL 10 MG TAB | |
| 1880 | Matching D rug Found for Dispen sing: CETI RIZINE HCL 10MG TAB | |
| 1881 | Would you like to us e the syst em matched drug for this | |
| 1882 | refill/par tial fill? NO// YES | |
| 1883 | Enter Quan tity: 10 | |
| 1884 | DAYS SUPPL Y: 10 | |
| 1885 | Select PHA RMACIST Na me: COPE,T HOMAS J// TJC 192 BAY PIN ES TEST LA | |
| 1886 | B | |
| 1887 | REMARKS: l ast refill lost | |
| 1888 | ||
| 1889 | Processing partial f ill reques t. Please be patient as it may take a mo ment | |
| 1890 | for the ho st site to respond a nd generat e your lab el data... | |
| 1891 | ||
| 1892 | ||
| 1893 | Select LAB EL DEVICE: | |
| 1894 | ||
| 1895 | Select LAB EL DEVICE: 0 DEC Wi ndows | |
| 1896 | ||
| 1897 | VAMC DA YTON, OH 45428-0415 VAMC D AYTON, OH 45428-041 | |
| 1898 | 5 (REPRINT )(PARTIAL) | |
| 1899 | 984 93 7-267-5325 (35783/ ) 984 9 37-267-532 5 (35783 | |
| 1900 | / ) 984 (357 83/ ) JUL 27,2016@10 :29:20 | |
| 1901 | Rx# 271886 1 JUL 27, 2016 Fill 2 of 9 Rx# 27 18861 JUL 27,2016 | |
| 1902 | Fill 2 of 9 Rx# 2718 861 JUL 2 7,2016 Fi ll 2 of 9 | |
| 1903 | PSOPATIENT ,SIX PSOPAT IENT,SIX | |
| 1904 | PSOPATIE NT,SIX | |
| 1905 | TAKE ONE T ABLET BY M OUTH DAILY TAKE O NE TABLET BY MOUTH D | |
| 1906 | AILY TAKE ONE TABLET BY MOUTH DAI LY | |
| 1907 | ||
| 1908 | ||
| 1909 | PII PII | |
| 1910 | PII | |
| 1911 | Qty: 10 T AB Qty: 1 0 TAB | |
| 1912 | Qty: 10 TAB | |
| 1913 | CETIRIZINE HCL 10MG TAB CETIRI ZINE HCL 1 0MG TAB | |
| 1914 | CETIRIZI NE HCL 10M G TAB | |
| 1915 | 7 Refi lls remain prior to | |
| 1916 | MAY 22,201 7 Mfg ____ ____ Lot# ________ | |
| 1917 | PO BOX 415 Days S upply: 10 | |
| 1918 | Tech____ ______RPh_ ________ | |
| 1919 | DAYTON, OH 45428-04 15 | |
| 1920 | ||
| 1921 | ||
| 1922 | ||
| 1923 | ADDRESS SE RVICE REQU ESTED | |
| 1924 | ||
| 1925 | ***DO NOT MAIL*** , | |
| 1926 | Routing: WINDOW | |
| 1927 | ||
| 1928 | Days sup ply: 10 Ca p: SAFETY | |
| 1929 | ||
| 1930 | Isd: MAY 21,2016 E xp: MAY 22 ,2017 | |
| 1931 | PSOPATIENT ,SIX *Indic ate addres s change o | |
| 1932 | n back of this form Last Fil l: 05/23/2 016 | |
| 1933 | [ ] Pe rmanent | |
| 1934 | Pat. Sta t ONSC Cli nic: CINCI | |
| 1935 | [ ] Te mporary un til __/__/ | |
| 1936 | __ DRUG WAR NING 1,8 | |
| 1937 | ||
| 1938 | Signat ure_______ __________ | |
| 1939 | __________ ______ | |
| 1940 | PSOPAT IENT,SIX | |
| 1941 | PSOPATIE NT,SIX | |
| 1942 | Rx# 27 18861 | |
| 1943 | ||
| 1944 | CETIRI ZINE HCL 1 0MG TAB | |
| 1945 | Verified Allergies | |
| 1946 | DRUG W ARNING: | |
| 1947 | -------- ---------- | |
| 1948 | -MAY CAUSE DROW SINESS- | |
| 1949 | ||
| 1950 | Alcoho l may inte nsify this | |
| 1951 | effect. Non-Veri fied Aller gies | |
| 1952 | USE CA RE when dr iving or | |
| 1953 | -------- ---------- ---- | |
| 1954 | when o perating d angerous m | |
| 1955 | achinery. | |
| 1956 | DO NOT DRINK ALC OHOLIC BEV | |
| 1957 | ERAGES Verified Adverse R eactions | |
| 1958 | when t aking this medicatio | |
| 1959 | n. -------- ---------- -------- | |
| 1960 | ||
| 1961 | ||
| 1962 | ||
| 1963 | Non-Veri fied Adver se Reactio ns | |
| 1964 | ||
| 1965 | -------- ---------- ---------- -- | |
| 1966 | ||
| 1967 | PSOPAT IENT,SIX JUL 27,20 | |
| 1968 | 16 | |
| 1969 | ||
| 1970 | ||
| 1971 | ||
| 1972 | Pharmacy S ervice (11 9) | |
| 1973 | DAYTON | |
| 1974 | P.O. BOX 4 15 | |
| 1975 | DAYTON, OH 45428-04 15 | |
| 1976 | ||
| 1977 | ||
| 1978 | ||
| 1979 | ||
| 1980 | ||
| 1981 | ||
| 1982 | ||
| 1983 | ||
| 1984 | ||
| 1985 | ||
| 1986 | ||
| 1987 | Use the la bel above to mail th e computer | |
| 1988 | copies bac k to us. A pply enoug h postage | |
| 1989 | to your en velope to ensure del ivery. | |
| 1990 | ||
| 1991 | The VA Not ice of Pri vacy Pract ices, IB 1 0-163, whi ch outline s your pri vacy | |
| 1992 | rights, is available online at http://ww w1.va.gov/ Health/ or you may o btain | |
| 1993 | a copy by writing th e VHA Priv acy Office (19F2), 8 10 Vermont Avenue NW , | |
| 1994 | Washington , DC 20420 . | |
| 1995 | ||
| 1996 | Partial co mplete for RX #27188 61. | |
| 1997 | Press RETU RN to cont inue: | |
| 1998 | ||
| 1999 | Updating p rescriptio n order li st... | |
| 2000 | ||
| 2001 | Medication Profile Jul 27, 20 16@10:31:1 1 Page: 1 of 1 | |
| 2002 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 2003 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 2004 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 2005 | SEX: FEM ALE | |
| 2006 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 2007 | ISSUE LA ST REF DAY | |
| 2008 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 2009 | ||
| 2010 | <No local prescripti ons found. > | |
| 2011 | ---------- ---------- -----DAYTS HR TEST LA B (984) AC TIVE------ ---------- ---------- | |
| 2012 | 1 2718861 CET IRIZINE HC L 10MG TAB 30 A 05-21 07- 07 7 30 | |
| 2013 | 2 2718863 HYD RALAZINE H CL 25MG TA B 60 A 05-11 05- 11 5 60 | |
| 2014 | 3 2718862 IBU PROFEN 800 MG TAB 60 A 05-31 07- 27 10 30 | |
| 2015 | ||
| 2016 | ||
| 2017 | ||
| 2018 | ||
| 2019 | ||
| 2020 | Enter ?? f or more ac tions | |
| 2021 | PU Patien t Record U pdate NO New Or der | |
| 2022 | PI Patien t Informat ion SO Select Order | |
| 2023 | Select Act ion: Quit/ / | |
| 2024 | Medication Profile Jul 28, 20 16@05:20:2 3 Page: 1 of 3 | |
| 2025 | PSOPATIENT ,SIX <NO ALLERGY A SSESSMENT> | |
| 2026 | PID: 666 -01-2136 Ht(cm): _ ______ (__ ____) | |
| 2027 | DOB: FEB 13,1961 ( 55) Wt(kg): _ ______ (__ ____) | |
| 2028 | SEX: FEM ALE | |
| 2029 | CrCL: <No t Found> B SA (m2): _ ______ | |
| 2030 | ISSUE LA ST REF DAY | |
| 2031 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 2032 | ||
| 2033 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------- | |
| 2034 | 1 1000012 6 FLU TICAS 100/ SALMETEROL 50 INHL D ISK 60 E> 06-01 02- 02 11 45 | |
| 2035 | Qty: 2 | |
| 2036 | 2 1000012 8 NIA CIN 250MG TAB 270 S> 06-08 08- 27 2 90 | |
| 2037 | 3 1000012 2 RAM IPRIL 5MG CAP 30 A> 05-31 05- 31 8 30 | |
| 2038 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ---------- | |
| 2039 | 4 1000012 5 HYD ROCHLOROTH IAZIDE 25M G TAB 60 DC >02-01 02- 02 5 60 | |
| 2040 | ---------- ---------- ---------- --------HO LD-------- ---------- ---------- ---------- | |
| 2041 | 5 1000012 7 LIS INOPRIL 2. 5MG TAB 90 H> 03-10 - 3 90 | |
| 2042 | ---------- ---------- ---------- DAYTON (55 2) ACTIVE- ---------- ---------- ---------- | |
| 2043 | + Enter ?? f or more ac tions | |
| 2044 | PU Patien t Record U pdate NO New Or der | |
| 2045 | PI Patien t Informat ion SO Select Order | |
| 2046 | ||
| 2047 | ||
| 2048 | One Va Pha rmacy patc h PSO*7*47 9 modifies routine P SORRX2 to add the fo llowing te xt if no e rror messa ge is retu rned when retrieving the label informati on from th e host sys tem. The f ollowing t ext is dis played jus t prior to the Label Device: ‘ prompt: | |
| 2049 | ||
| 2050 | For a refi ll: | |
| 2051 | TRANSACTIO N SUCCESSF UL... The refill fo r RX #7630 02 has bee n recorded on | |
| 2052 | the prescr iption at the host s ystem. | |
| 2053 | ||
| 2054 | Select a p rinter to generate t he label o r '^' to b ypass prin ting. | |
| 2055 | ||
| 2056 | QUEUE TO P RINT ON | |
| 2057 | DEVICE: | |
| 2058 | ||
| 2059 | For a part ial fill: | |
| 2060 | TRANSACTIO N SUCCESSF UL... The partial f or RX #763 002 has be en recorde d on | |
| 2061 | the prescr iption at the host s ystem. | |
| 2062 | ||
| 2063 | Select a p rinter to generate t he label o r '^' to b ypass prin ting. | |
| 2064 | ||
| 2065 | QUEUE TO P RINT ON | |
| 2066 | DEVICE: | |
| 2067 | ||
| 2068 | Outpatient Allergy O rder Entry Process | |
| 2069 | ||
| 2070 | Observed A llergy Exa mple | |
| 2071 | Patient In formation Jan 20, 20 16@16:50:3 9 Page: 2 of 2 | |
| 2072 | ROWPATNM,B OAT < A> | |
| 2073 | PID: 666 -00-0363 Ht(cm): _ ______ (__ ____) | |
| 2074 | DOB: MAR 4,1950 (6 5) Wt(kg): _ ______ (__ ____) | |
| 2075 | SEX: FEM ALE | |
| 2076 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): | |
| 2077 | + | |
| 2078 | Non-Verifi ed: PENICI LLIN, | |
| 2079 | Remo te: | |
| 2080 | ||
| 2081 | Adverse Re actions | |
| 2082 | Verifi ed: ASPIRI N, | |
| 2083 | ||
| 2084 | ||
| 2085 | Enter ?? f or more ac tions | |
| 2086 | EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate | |
| 2087 | DD Detail ed Allergy /ADR List EX Exit P atient Lis t | |
| 2088 | Select Act ion: Quit/ / EA Ent er/Edit Al lergy/ADR Data | |
| 2089 | ||
| 2090 | ||
| 2091 | OB S/ | |
| 2092 | REACTANT VER. MECH. HI ST TYPE | |
| 2093 | -------- ---- - ------ -- -- ---- | |
| 2094 | PENICILLIN NO U NKNOWN OB S DRUG | |
| 2095 | Reacti ons: RASH | |
| 2096 | ASPIRIN YES P HARM OB S DRUG | |
| 2097 | Reacti ons: ANXIE TY FOOD | |
| 2098 | CHOCOLATE AUTO U NKNOWN HI ST DRUG | |
| 2099 | (FLAVOR) FOOD | |
| 2100 | Reacti ons: ANXIE TY | |
| 2101 | ||
| 2102 | Enter Caus ative Agen t: GENTAMI CIN | |
| 2103 | ||
| 2104 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
| 2105 | ||
| 2106 | ||
| 2107 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
| 2108 | ||
| 2109 | ||
| 2110 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
| 2111 | ||
| 2112 | 1 G ENTAMICIN | |
| 2113 | 2 G ENTAMICIN/ PREDNISOLO NE | |
| 2114 | 3 G ENTAMICIN/ SODIUM CHL ORIDE | |
| 2115 | CHOOSE 1-3 : 1 GENTA MICIN | |
| 2116 | GENTAMI CIN OK? Yes// (Y es) | |
| 2117 | ||
| 2118 | ||
| 2119 | (O)bserved or (H)ist orical All ergy/Adver se Reactio n: O OBSE RVED | |
| 2120 | Select dat e reaction was OBSER VED (Time Optional): T-15 (J AN 05, 201 6) JAN 0 | |
| 2121 | 5, 2016 ( JAN 05, 20 16) | |
| 2122 | Are you adding 'JA N 05, 2016 ' as | |
| 2123 | a new ADVERSE RE ACTION REP ORTING? No // Y (Yes ) | |
| 2124 | ||
| 2125 | No signs/s ymptoms ha ve been sp ecified. Please add some now. | |
| 2126 | ||
| 2127 | The follow ing are th e top ten most commo n signs/sy mptoms: | |
| 2128 | 1. ANXIET Y 7. H IVES | |
| 2129 | 2. ITCHIN G,WATERING EYES 8. D RY MOUTH | |
| 2130 | 3. ANOREX IA 9. D RY NOSE | |
| 2131 | 4. DROWSI NESS 10. R ASH | |
| 2132 | 5. NAUSEA ,VOMITING 11. O THER SIGN/ SYMPTOM | |
| 2133 | 6. DIARRH EA | |
| 2134 | Enter from the list above : 7 ,10 | |
| 2135 | Date(Time Optional) of appeara nce of Sig n/Symptom( s): Jan 05 , 2016// (JAN 05, 2 | |
| 2136 | 016) | |
| 2137 | ||
| 2138 | The follow ing is the list of r eported si gns/sympto ms for thi s reaction : | |
| 2139 | ||
| 2140 | Signs /Symptoms Date Ob served | |
| 2141 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
| 2142 | 1 HIVES Jan 05, 2016 | |
| 2143 | 2 RASH Jan 05, 2016 | |
| 2144 | ||
| 2145 | Select Act ion (A)DD, (D)ELETE OR <RET>: | |
| 2146 | ||
| 2147 | ||
| 2148 | COMMENTS: | |
| 2149 | No exist ing text | |
| 2150 | Edit? NO // | |
| 2151 | Enter anot her Causat ive Agent? YES// NO | |
| 2152 | ||
| 2153 | ||
| 2154 | Causative Agent Data edited th is Session : | |
| 2155 | ADVERSE RE ACTION | |
| 2156 | ---------- ------ | |
| 2157 | GENTAMIC IN | |
| 2158 | ||
| 2159 | Obs/Hist: OBSERVED | |
| 2160 | Obs d/t: Jan 05, 2 016 | |
| 2161 | Signs /Symptoms: HIVES (1/ 5/16) | |
| 2162 | RASH (1/5 /16) | |
| 2163 | ||
| 2164 | Is this co rrect? NO/ / YES | |
| 2165 | This sessi on you hav e CHOSEN: | |
| 2166 | GENTA MICIN | |
| 2167 | ||
| 2168 | ||
| 2169 | ||
| 2170 | Historical Allergy e ntry | |
| 2171 | ||
| 2172 | Patient In formation Jan 20, 20 16@17:02:4 0 Page: 1 of 2 | |
| 2173 | OPHEPPAT,O NE < A> | |
| 2174 | PID: 666 -03-1990 Ht(cm): _ ______ (__ ____) | |
| 2175 | DOB: MAR 19,1990 ( 25) Wt(kg): _ ______ (__ ____) | |
| 2176 | SEX: MAL E Non-VA M eds on Fil e - Last e ntry on 08 /04/15 | |
| 2177 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 2178 | ||
| 2179 | Eligibilit y: | |
| 2180 | RX PATIENT STATUS: O THER FEDER AL | |
| 2181 | ||
| 2182 | Disabiliti es: | |
| 2183 | ||
| 2184 | ||
| 2185 | HOME PHONE : | |
| 2186 | CELL PHONE : | |
| 2187 | WORK PHONE : | |
| 2188 | Prescripti on Mail De livery: Re gular Mail | |
| 2189 | ||
| 2190 | ||
| 2191 | Allergies | |
| 2192 | Verifi ed: METFOR MIN, PENIC ILLIN, ASP IRIN, | |
| 2193 | + Enter ?? f or more ac tions | |
| 2194 | EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate | |
| 2195 | DD Detail ed Allergy /ADR List EX Exit P atient Lis t | |
| 2196 | Select Act ion: Next Screen// e a Enter/ Edit Aller gy/ADR Dat a | |
| 2197 | ||
| 2198 | ||
| 2199 | OB S/ | |
| 2200 | REACTANT VER. MECH. HI ST TYPE | |
| 2201 | -------- ---- - ------ -- -- ---- | |
| 2202 | METFORMIN AUTO A LLERGY OB S DRUG | |
| 2203 | (METFORMI N HYDROCHL ORIDE) | |
| 2204 | Reacti ons: ANXIE TY, HIVES, ITCHING,W ATERING EY ES | |
| 2205 | OXYCODONE NO A LLERGY OB S DRUG | |
| 2206 | Reacti ons: COMA, SHORTNESS OF BREATH | |
| 2207 | PENICILLIN AUTO A LLERGY OB S DRUG | |
| 2208 | Reacti ons: ANAPH YLAXIS, RA SH, NAUSEA ,VOMITING, | |
| 2209 | BELCH ING | |
| 2210 | ASPIRIN AUTO A LLERGY OB S DRUG | |
| 2211 | Reacti ons: DIARR HEA, NAUSE A,VOMITING , HIVES FOOD | |
| 2212 | ||
| 2213 | Enter Caus ative Agen t: Gentami cin | |
| 2214 | ||
| 2215 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
| 2216 | ||
| 2217 | ||
| 2218 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
| 2219 | ||
| 2220 | ||
| 2221 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
| 2222 | ||
| 2223 | 1 G ENTAMICIN | |
| 2224 | 2 G ENTAMICIN/ PREDNISOLO NE | |
| 2225 | 3 G ENTAMICIN/ SODIUM CHL ORIDE | |
| 2226 | CHOOSE 1-3 : 1 GENTA MICIN | |
| 2227 | GENTAMI CIN OK? Yes// (Y es) | |
| 2228 | ||
| 2229 | (O)bserved or (H)ist orical All ergy/Adver se Reactio n: h HIST ORICAL | |
| 2230 | ||
| 2231 | ||
| 2232 | No signs/s ymptoms ha ve been sp ecified. Please add some now. | |
| 2233 | ||
| 2234 | The follow ing are th e top ten most commo n signs/sy mptoms: | |
| 2235 | 1. ANXIET Y 7. H IVES | |
| 2236 | 2. ITCHIN G,WATERING EYES 8. D RY MOUTH | |
| 2237 | 3. ANOREX IA 9. D RY NOSE | |
| 2238 | 4. DROWSI NESS 10. R ASH | |
| 2239 | 5. NAUSEA ,VOMITING 11. O THER SIGN/ SYMPTOM | |
| 2240 | 6. DIARRH EA | |
| 2241 | Enter from the list above : 7 ,10 | |
| 2242 | Date(Time Optional) of appeara nce of Sig n/Symptom( s): t (JA N 20, 2016 ) | |
| 2243 | ||
| 2244 | ||
| 2245 | The follow ing is the list of r eported si gns/sympto ms for thi s reaction : | |
| 2246 | ||
| 2247 | Signs /Symptoms Date Ob served | |
| 2248 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
| 2249 | 1 HIVES Jan 20, 2016 | |
| 2250 | 2 RASH Jan 20, 2016 | |
| 2251 | ||
| 2252 | Select Act ion (A)DD, (D)ELETE OR <RET>: | |
| 2253 | ||
| 2254 | ||
| 2255 | COMMENTS: | |
| 2256 | No exist ing text | |
| 2257 | Edit? NO // | |
| 2258 | Enter anot her Causat ive Agent? YES// n NO | |
| 2259 | ||
| 2260 | ||
| 2261 | Causative Agent Data edited th is Session : | |
| 2262 | ADVERSE RE ACTION | |
| 2263 | ---------- ------ | |
| 2264 | GENTAMIC IN | |
| 2265 | ||
| 2266 | Obs/Hist: HISTORICA L | |
| 2267 | Signs /Symptoms: HIVES (1/ 20/16) | |
| 2268 | RASH (1/2 0/16) | |
| 2269 | ||
| 2270 | Is this co rrect? NO/ / y YES | |
| 2271 | This sessi on you hav e CHOSEN: | |
| 2272 | GENTA MICIN | |
| 2273 | ||
| 2274 | Clinical R eminder Or der Checks | |
| 2275 | ||
| 2276 | This secti on describ es the Cli nical Remi nder Order Checks an d function ality brou ght in wit h patch PS O*7*411. | |
| 2277 | ||
| 2278 | Order Chec ks now inc ludes the ability to view Clin ical Remin ders (prio r to the d isplay of Enhanced D rug-Drug i nteraction s). Remind ers are us ed to aid physicians in perfor ming tasks to fulfil l Clinical Practice Guidelines and perio dic proced ures or ed ucation as needed fo r Veteran patients. | |
| 2279 | ||
| 2280 | Note: Tec hnicians d o not get prompted f or interve ntions. | |
| 2281 | ||
| 2282 | ||
| 2283 | Severe Cli nical Rem inder Exam ple | |
| 2284 | ||
| 2285 | ||
| 2286 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 2287 | ||
| 2288 | ||
| 2289 | ||
| 2290 | ========== ========== ========== ========== ========== ========== == | |
| 2291 | *** Clinic al Reminde r Order Ch eck | Seve rity: HIGH *** | |
| 2292 | ||
| 2293 | Potentiall y Teratoge nic Medica tion (FDA Category D or C) | |
| 2294 | ||
| 2295 | Concern ha s been rai sed about use of thi s medicati on during pregnancy. | |
| 2296 | 1) Pregnan cy status should be determined . Discuss use of thi s medicati on on the | |
| 2297 | context of risks to the mother and child of untrea ted diseas e. Potenti al | |
| 2298 | benefits m ay warrant use of th e drug in pregnant w omen despi te risks. | |
| 2299 | 2) The pat ient must be provide d contrace ptive coun seling on potential risk vs. | |
| 2300 | benefit of taking th is medicat ion if she were to b ecome preg nant. | |
| 2301 | ********** ********** ********** ********** ********** ********** ********** ** | |
| 2302 | ||
| 2303 | The 'Terat ogenic Med ications' Order Chec k will dis play for f emale pati ents | |
| 2304 | between th e ages of 12 and 50, except th ose with a known exc lusion cri terion | |
| 2305 | (e.g., hys terectomy) , or those with a do cumented I UD placeme nt that is more | |
| 2306 | recent tha n a docume nted IUD r emoval. | |
| 2307 | ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 2308 | Do you wan t to Conti nue? Y// E S | |
| 2309 | ||
| 2310 | ||
| 2311 | ||
| 2312 | Medium Sev erity Clin ical Remin der Exampl e | |
| 2313 | ||
| 2314 | *** Clinic al Reminde r Order Ch eck | Seve rity: MEDI UM *** | |
| 2315 | This patie nt has rec eived NSAI D/Cox II f or at leas t 365 days . A Creati nine level | |
| 2316 | Is recomme nded at th is time to safely mo nitor NSAI D/Cox II T herapy. | |
| 2317 | ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 2318 | Do you wan t to Conti nue? Y// | |
| 2319 | ||
| 2320 | Enhanced D rug-Drug I nteraction s | |
| 2321 | This secti on describ es the enh anced Outp atient Pha rmacy appl ication Dr ug-Drug in teraction functional ity (PSO*7 *251). | |
| 2322 | ||
| 2323 | Legacy Vis tA drug-dr ug interac tions have been enha nced to ut ilize Firs t DataBank (FDB) Med Knowledge Framework business rules, App lication P rogramming Interface s (APIs) a nd databas e to provi de more cl inically r elevant dr ug interac tion infor mation. Vi stA severi ty levels of ‘critic al’ and ‘s ignificant ’ will con tinue to b e used. No changes h ave been m ade to the existing user actio ns for cri tical or s ignificant drug inte ractions. The pharma cist will have to lo g an inter vention fo r local, p ending and remote cr itical int eractions and have t he option of logging an interv ention for local and remote si gnificant interactio ns. No act ion is req uired for Non-VA med ications o rders. | |
| 2324 | ||
| 2325 | See exampl es: | |
| 2326 | ||
| 2327 | Drug inter action war ning messa ge for a l ocal outpa tient orde r: | |
| 2328 | ||
| 2329 | Critical D rug Intera ction with Local Rx | |
| 2330 | ***CRITICA L*** Drug Interactio n with Pro spective D rug: | |
| 2331 | INDINAVIR 400MG CAP and | |
| 2332 | ||
| 2333 | L ocal Rx#: 2443 | |
| 2334 | Drug: AMIODARONE 200MG TAB (ACTIVE) | |
| 2335 | SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY | |
| 2336 | Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window ) | |
| 2337 | Last F illed On: 11/08/06 | |
| 2338 | ||
| 2339 | The concur rent admin istration of amiodar one with i ndinavir,( 1) nelfina vir,(2) ri tonavir,(3 ) or tipra navir coad ministered with rito navir(4) m ay result in increas ed levels, clinical effects, a nd toxicit y of amiod arone. | |
| 2340 | ||
| 2341 | SIGNIFICAN T Drug Int eraction w ith Local Rx | |
| 2342 | ***SIGNIFI CANT*** Dr ug Interac tion with Prospectiv e Drug: | |
| 2343 | WARFARIN 5 MG TAB and | |
| 2344 | ||
| 2345 | L ocal RX#: 2443 | |
| 2346 | Drug: ASPIRIN 32 5MG TAB (A CTIVE) | |
| 2347 | SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY | |
| 2348 | Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window ) | |
| 2349 | Last F illed On: 11/08/06 | |
| 2350 | ||
| 2351 | *** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS | |
| 2352 | ||
| 2353 | Drug inter action war ning messa ge for a r emote outp atient ord er: | |
| 2354 | ||
| 2355 | Significan t Drug Int eraction w ith Remote Rx | |
| 2356 | *** Signif icant*** D rug Intera ction with Prospecti ve Drug: | |
| 2357 | WARFARIN 5 MG TAB and | |
| 2358 | ||
| 2359 | LOCATION: <VA or DOD facility> Remote R X#: 109500 21 | |
| 2360 | Drug: ASPIRIN 32 5MG EC TAB (ACTIVE) | |
| 2361 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 2362 | Last F illed On: 11/08/06 | |
| 2363 | ||
| 2364 | *** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS | |
| 2365 | ||
| 2366 | Critical D rug Intera ction with Remote Rx | |
| 2367 | ***CRITICA L*** Drug Interactio n with Pro spective D rug: | |
| 2368 | INDINAVIR 400MG CAP and | |
| 2369 | ||
| 2370 | LO CATION: <V A or DOD F acility> Remote Rx #: 2443 | |
| 2371 | Drug: AMIODARONE 200MG TAB (ACTIVE) | |
| 2372 | SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY | |
| 2373 | Last F illed On: 11/08/06 | |
| 2374 | ||
| 2375 | The concur rent admin istration of amiodar one with i ndinavir,( 1) nelfina vir,(2) ri tonavir,(3 ) or tipra navir coad ministered with rito navir(4) m ay result in increas ed levels, clinical effects, a nd toxicit y of amiod arone. | |
| 2376 | Drug inter action war ning messa ge that is currently displayed for a Non -VA medica tion: | |
| 2377 | ||
| 2378 | Critical D rug Intera ction with Non-VA Me d Order | |
| 2379 | ***Critica l*** Drug Interactio n with Pro spective D rug: | |
| 2380 | WARFAR IN 5MG TAB and | |
| 2381 | ||
| 2382 | Non-VA M ed: CIMETI DINE 200MG TAB | |
| 2383 | SIG: ONE TABLE T Sche dule: AT B EDTIME | |
| 2384 | ||
| 2385 | The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing. | |
| 2386 | ||
| 2387 | Significan t Drug Int eraction w ith Non-VA Med Order | |
| 2388 | ***Signifi cant*** Dr ug Interac tion with Prospectiv e Drug: | |
| 2389 | WARFAR IN 5MG TAB and | |
| 2390 | ||
| 2391 | Non-VA M ed: ASPIRI N 325MG TA B | |
| 2392 | SIG: ONE TABLE T Sche dule: <NOT ENTERED> | |
| 2393 | ||
| 2394 | *** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS | |
| 2395 | ||
| 2396 | Drug inter action war ning messa ge that sh all be dis played for a pending order: | |
| 2397 | ||
| 2398 | Critical D rug Intera ction with Pending O rder | |
| 2399 | ***CRITICA L*** Drug Interactio n with Pro spective D rug: | |
| 2400 | INDINAVIR 400MG CAP and | |
| 2401 | ||
| 2402 | Pend ing Drug: AMIODARONE 200MG TAB | |
| 2403 | SIG: TAKE ONE T ABLET EVER Y 8 HOURS | |
| 2404 | ||
| 2405 | The concur rent admin istration of amiodar one with i ndinavir,( 1) nelfina vir,(2) ri tonavir,(3 ) or tipra navir coad ministered with rito navir(4) m ay result in increas ed levels, clinical effects, a nd toxicit y of amiod arone. | |
| 2406 | ||
| 2407 | Significan t Drug Int eraction w ith Pendin g Order | |
| 2408 | ***SIGNIFI CANT*** Dr ug Interac tion with Prospectiv e Drug: | |
| 2409 | WARFARIN 5 MG TAB and | |
| 2410 | ||
| 2411 | Pend ing Drug: ASPIRIN 32 5MG TAB | |
| 2412 | SIG: TAKE ONE T ABLET EVER Y 8 HOURS | |
| 2413 | ||
| 2414 | *** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS | |
| 2415 | ||
| 2416 | Clinic Ord ers | |
| 2417 | Clinic ord ers are cr eated via CPRS gener ally using the Meds Inpatient tab or the IV Fluids tab. Drug orders th at have a clinic and an appoin tment date and time are consid ered clini c orders. The clinic must be d efined wit h ‘ADMINIS TER INPATI ENT MEDS?’ prompt an swered YES under the SETUP A C LINIC [SDB UILD] opti on in the Scheduling package. Defining t he clinic in this ma nner ensur es that an appointme nt date an d time are defined. Orders pla ced via ba ckdoor inp atient med ications a re not con sidered cl inic order s. | |
| 2418 | ||
| 2419 | MOCHA v1.0 Enhanceme nts 1 adds drug inte raction an d therapeu tic duplic ation orde r checks f or clinic orders to Outpatient Pharmacy. Previousl y Inpatien t Medicati ons packag e performe d order ch ecks on ac tive, pend ing, and n on-verifie d clinic o rders. Wit h the MOCH A v1.0 Enh ancements 1, Inpatie nt medicat ions will perform en hanced ord er checks for recent ly discont inued and expired i npatient m edications clinic or ders. | |
| 2420 | ||
| 2421 | For both p ackages, t he system will displ ay clinic orders in a standard format to different iate them from Inpat ient Medic ations and Outpatien t Pharmacy order che cks. | |
| 2422 | ||
| 2423 | Discontinu ed/expired orders mu st have a stop date within the last 90 d ays to be evaluated during enh anced orde r checks. For pendin g clinic o rders, a v ariety of start and stop dates are avail able based on the in formation that the p rovider en ters durin g initial order entr y. The fol lowing are the scena rios that drive whic h dates wi ll be disp layed for the clinic order: | |
| 2424 | If there a re start/s top dates defined, t hey are di splayed. | |
| 2425 | If there a re no stop /start dat es defined , the ‘req uested sta rt/stop da tes’ will be display ed with th e word “Re quested” p rior to th e start/st op date he ader. | |
| 2426 | If there a re no requ ested star t/stop dat es defined , the orde r date wil l be displ ayed and t he start/s top date h eaders wil l be displ ayed with “********” for the d ate. | |
| 2427 | If there i s either a requested start dat e or a req uested sto p date, th e availabl e date wil l be displ ayed and “ ********” will be di splayed fo r the unde fined date . | |
| 2428 | ||
| 2429 | Unit Dose Clinic Ord er Check E xample: | |
| 2430 | ||
| 2431 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 2432 | ||
| 2433 | ***CRITICA L*** Drug Interactio n with Pro spective D rug: | |
| 2434 | CIMETIDINE 300 MG an d | |
| 2435 | ||
| 2436 | Clin ic Order: PHENYTOIN 100MG CAP (DISCONTIN UED) | |
| 2437 | Schedule: Q8H | |
| 2438 | Dosage: 100MG | |
| 2439 | St art Date: FEB 27, 20 12@13:00 | |
| 2440 | S top Date: FEB 28, 20 12@15:22:2 7 | |
| 2441 | ||
| 2442 | Concurre nt use of cimetidine or raniti dine may r esult in e levated le vels | |
| 2443 | of and t oxicity fr om the hyd antoin.Neu tropenia a nd thrombo cytopenia have | |
| 2444 | been rep orted with concurren t cimetidi ne and phe nytoin. | |
| 2445 | ||
| 2446 | ||
| 2447 | IV Clinic Order Chec k Example: | |
| 2448 | ||
| 2449 | ***CRITICA L*** Drug Interactio n with Pro spective D rug: | |
| 2450 | WARFARIN 2 MG TAB and | |
| 2451 | ||
| 2452 | Clin ic Order: POTASSIUM CHLORIDE 2 0 MEQ (ACT IVE) | |
| 2453 | Other Add itive(s): MAGNESIUM SULFATE 1 GM (1), CA LCIUM GLUC ONATE 1 GM (2), | |
| 2454 | HEPARIN 10 00 UNITS, CIMETIDINE 300 MG | |
| 2455 | Sol ution(s): DEXTROSE 2 0% 500 ML 125 ml/hr | |
| 2456 | AMINO ACID SOLUTION 8.5% 500 M L 125 ml/h r | |
| 2457 | St art Date: APR 05, 20 12@15:00 | |
| 2458 | S top Date: APR 27, 20 12@24:00 | |
| 2459 | ||
| 2460 | The phar macologic effects of warfarin may be inc reased res ulting in severe | |
| 2461 | bleeding . | |
| 2462 | Therapeuti c Duplicat ion – IV a nd Unit Do se clinic order ther apeutic du plications display i n the same format as drug inte ractions. | |
| 2463 | ||
| 2464 | Unit Dose Clinic Ord er Check E xample: | |
| 2465 | *** THERAP EUTIC DUPL ICATION(S) *** POTAS SIUM CHLOR IDE 30 MEQ with | |
| 2466 | ||
| 2467 | C linic Orde r: POTASSI UM CHLORID E 10MEQ TA B (PENDING ) | |
| 2468 | Schedul e: BID | |
| 2469 | Dosag e: 20MEQ | |
| 2470 | Requested Start Dat e: NOV 20, 2012@17:0 0 | |
| 2471 | Stop Dat e: ******* * | |
| 2472 | ||
| 2473 | Class(es) Involved i n Therapeu tic Duplic ation(s): Potassium | |
| 2474 | ||
| 2475 | IV Order C heck Examp le: | |
| 2476 | ||
| 2477 | *** THERAP EUTIC DUPL ICATION(S) *** CEFAZ OLIN 1 GM with | |
| 2478 | ||
| 2479 | C linic Orde r: CEFAZOL IN 2 GM (P ENDING) | |
| 2480 | Solution(s ): 5% DEXT ROSE 50 ML OVER 30 M INUTES | |
| 2481 | Schedul e: Q8H | |
| 2482 | Order Dat e: NOV 20, 2012@11:0 1 | |
| 2483 | Start Dat e: ******* * | |
| 2484 | Stop Dat e: ******* * | |
| 2485 | ||
| 2486 | C linic Orde r: CEFAZOL IN SOD 1GM INJ (EXPI RED) | |
| 2487 | Solution(s ): 5% DEXT ROSE 50 ML OVER 30 M INUTES | |
| 2488 | Schedul e: Q12H | |
| 2489 | Start Dat e: OCT 24, 2012@16:4 4 | |
| 2490 | Stop Dat e: OCT 25, 2012@24:0 0 | |
| 2491 | ||
| 2492 | Class(es) Involved i n Therapeu tic Duplic ation(s): Beta-Lacta ms, | |
| 2493 | Cephalospo rins, Ceph alosporins - 1st Gen eration | |
| 2494 | ||
| 2495 | The Duplic ate Drug o rder check is perfor med agains t active, pending, n on-verifie d, orders on hold (i nitiated t hrough pha rmacy or C PRS), expi red and di scontinued orders. T he timefra me for inc lusion of expired an d disconti nued order s is deter mined by t he display rules on the medica tion profi le. This c heck will be perform ed on acti ve Non-VA Medication orders. | |
| 2496 | ||
| 2497 | Users have the capab ility to d iscontinue duplicate orders. T he existin g order wi ll only be discontin ued upon a cceptance of the ord er being p rocessed. No discont inue actio ns can be performed on remote outpatient orders, N on-VA medi cations, d iscontinue d, and exp ired order s or order s placed o n provider hold thro ugh CPRS. If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to ‘No’, no discont inue actio n is allow ed for a c lerk on a duplicate drug check . If a med ication or der is bei ng entered through t he pharmac y backdoor options i t will be deleted. I f finishin g a pendin g order, t he user wi ll be forc ed to disc ontinue it . | |
| 2498 | ||
| 2499 | Any remote Outpatien t order (f rom anothe r VAMC or Department of Defens e (DoD) fa cility) us ing data f rom Health Data Repo sitory His torical (H DR-Hx) or Health Dat a Reposito ry- Interi m Messagin g Solution (HDR-IMS) that has been expir ed for 30 days or le ss will be included in the lis t of medic ations to be checked . | |
| 2500 | ||
| 2501 | The Duplic ate Drug w arning dis plays the following informatio n for a lo cal or rem ote outpat ient medic ation orde r: | |
| 2502 | ||
| 2503 | Local Rx | |
| 2504 | Duplicate Drug in Lo cal Rx: | |
| 2505 | ||
| 2506 | Rx #: 2608 | |
| 2507 | Dr ug: ASPIRI N 81MG EC TAB | |
| 2508 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 2509 | Q TY: 30 Refills re maining: 1 1 | |
| 2510 | Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08 | |
| 2511 | Stat us: Active Last fi lled on: 0 3/24/08 | |
| 2512 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
| 2513 | Days Supply: 3 0 | |
| 2514 | ||
| 2515 | Remote Rx | |
| 2516 | Duplicate Drug in Re mote Rx: | |
| 2517 | ||
| 2518 | L OCATION NA ME: <NAME OF FACILIT Y> | |
| 2519 | Rx #: 2608 | |
| 2520 | Dr ug: ASPIRI N 81MG EC TAB | |
| 2521 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 2522 | Q TY: 30 Refills re maining: 1 1 | |
| 2523 | Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08 | |
| 2524 | Stat us: Active Last fi lled on: 0 3/24/08 | |
| 2525 | Days Supply: 3 0 | |
| 2526 | ||
| 2527 | Duplicate Drug order check for Pending O rders: | |
| 2528 | ||
| 2529 | Pending Or der | |
| 2530 | DUPLICATE DRUG in a Pending Or der for: | |
| 2531 | ||
| 2532 | Dr ug: ALLOPU RINOL 300M G TAB | |
| 2533 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 2534 | Q TY: 180 # of Refills: 3 | |
| 2535 | Provid er: PSOPRO VIDER,TEN Iss ue Date: 0 3/24/08@14 :44:15 | |
| 2536 | Provi der Commen ts: <only if data pr esent> | |
| 2537 | ||
| 2538 | Duplicate Drug order check for Non-Va Me dications: | |
| 2539 | ||
| 2540 | Non-VA Med Order | |
| 2541 | Duplicate Drug in a Non-VA Med Order for | |
| 2542 | ||
| 2543 | Drug : CIMETIDI NE 300MG T AB | |
| 2544 | Dosage : 300MG | |
| 2545 | Schedule : AT BEDTI ME | |
| 2546 | Medica tion Route : MOUTH | |
| 2547 | Start Date : <NOT ENT ERED> CPRS Order #: 13554 | |
| 2548 | Doc umented By : PSOPROVI DER,TEN on Mar 24, 2 008@14:44: 15 | |
| 2549 | ||
| 2550 | Duplicate Drug Order Check bus iness rule s: | |
| 2551 | ||
| 2552 | If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to NO, th e system w ill not pr ompt a cle rk (no PSO RPH key) t o disconti nue the or der when a Duplicate Drug orde r check oc curs. | |
| 2553 | ||
| 2554 | b.If the D RUG CHECK FOR CLERK outpatient site para meter is s et to NO, and a new order is b eing enter ed by a cl erk (no PS ORPH key) via the ph armacy bac kdoor, the order bei ng process ed will be deleted b y the syst em immedia tely after the dupli cate drug warning is displayed . | |
| 2555 | ||
| 2556 | c.If the d uplicate d rug is a r emote orde r, the sys tem will a llow the c lerk to pr ocess the new order after the display of the dupli cate drug warning. | |
| 2557 | ||
| 2558 | d.If the D RUG CHECK FOR CLERK outpatient site para meter is s et to NO, and a cler k (no PSOR PH key) is finishing a pending order: | |
| 2559 | d1.When th e VERIFICA TION outpa tient site parameter is set to YES and t he duplica te drug is a local o rder, the system wil l return t he user ba ck to the detailed o rder ListM an display with the available actions of Accept/Ed it/Discont inue. | |
| 2560 | d2.When th e VERIFICA TION outpa tient site parameter is set to YES and t he duplica te drug is a remote order. | |
| 2561 | d2a.A dupl icate drug warning w ill be dis played. | |
| 2562 | d2b.The cl erk will b e allowed to finish the order. | |
| 2563 | d2c.The fi nished ord er will ha ve a statu s of non-v erified. | |
| 2564 | d3.When th e VERIFICA TION outpa tient site parameter is set to NO, the c lerk will not be all owed to fi nish the o rder. | |
| 2565 | d4.If the DRUG CHECK FOR CLERK outpatien t site par ameter is set to Yes , a clerk (no PSORPH key) will see the s ame discon tinue prom pts as a p harmacist. | |
| 2566 | ||
| 2567 | e.If the V ERIFICATIO N outpatie nt site pa rameter is set to YE S when rei nstating a n order, n o duplicat e message will be di splayed an d the rein stated ord er will ha ve a non-v erified st atus. | |
| 2568 | ||
| 2569 | f.No disco ntinuation prompt wi ll be disp layed for a duplicat e Non-VA m edication order in a ny situati on. | |
| 2570 | ||
| 2571 | After the Duplicate Drug warni ng is disp layed, the system wi ll ask the user if t hey wish t o disconti nue the or der. | |
| 2572 | ||
| 2573 | Active Ord er | |
| 2574 | Discontinu e RX #2580 A SUCRALFA TE 1GM TAB ? Y/N | |
| 2575 | ||
| 2576 | Pending Or der | |
| 2577 | Discontinu e Pending Order for ALLOPURINO L 300MG? Y /N | |
| 2578 | ||
| 2579 | If the use r chooses not to dis continue t he display ed order w hen enteri ng a new o rder via t he pharmac y backdoor , the syst em will de lete the o rder being entered ( prospectiv e drug). | |
| 2580 | ||
| 2581 | If the use r chooses not to dis continue t he display ed order w hen finish ing a pend ing order, the syste m will red isplay the pending o rder and p rompt them to accept , edit or discontinu e the orde r. | |
| 2582 | ||
| 2583 | If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to NO, an d if the c lerk (no P SORPH key) is copyin g an order , the syst em will re turn them back to th e detailed order Lis tMan displ ay where t he copy ac tion was i nitiated. | |
| 2584 | ||
| 2585 | If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to NO and the VERIF ICATION ou tpatient s ite parame ter is set to YES wh en a clerk (no PSORP H key) is reinstatin g a discon tinued ord er for a m edication for which an active local orde r exists, the system will dele te the act ive order and reinst ate the di scontinued order. | |
| 2586 | ||
| 2587 | If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to NO and the VERIF ICATION ou tpatient s ite parame ter is set to NO whe n a clerk is reinsta ting a dis continued order for a medicati on for whi ch an acti ve local o rder exist s, the sys tem will d isplay a d uplicate d rug warnin g, but the order wil l not be r einstated. | |
| 2588 | ||
| 2589 | If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to YES or NO and th e VERIFICA TION outpa tient site parameter is set to NO when a clerk is reinstatin g a discon tinued ord er for a m edication for which a remote o rder exist s, the sys tem will d isplay a d uplicate d rug warnin g and the reinstated order wil l be assig ned an act ive status . | |
| 2590 | ||
| 2591 | If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to YES or NO and th e VERIFICA TION outpa tient site parameter is set to YES when a clerk is reinstati ng a disco ntinued or der, the s ystem will not displ ay a dupli cate drug warning an d the rein stated ord er will be assigned a non-veri fied statu s. | |
| 2592 | ||
| 2593 | If a dupli cate drug warning is displayed for a med ication or der, it wi ll not be included i n a duplic ate therap y order ch eck. | |
| 2594 | ||
| 2595 | The follow ing exampl es illustr ate the co nditions d escribed a bove. | |
| 2596 | ||
| 2597 | Duplicate Pending Or der | |
| 2598 | Pending OP Orders (R OUTINE) Mar 24, 20 08@13:52:0 4 Page: 1 of 2 | |
| 2599 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 2600 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 2601 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 2602 | SEX: MAL E | |
| 2603 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .58 | |
| 2604 | ||
| 2605 | ||
| 2606 | Order Chec ks: | |
| 2607 | Dupl icate drug order: AS PIRIN TAB, EC 325MG TAKE ONE T ABLET BY M OUTH EVERY | |
| 2608 | MORN ING [ACTI VE] | |
| 2609 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 2610 | Overr iding Reas on: TESTIN G DUPLICAT E THERAPY FUNCTIONAL ITY | |
| 2611 | ||
| 2612 | *(1) Order able Item: ASPIRIN T AB,EC | |
| 2613 | (2) Drug: ASPIRIN 3 25MG EC TA B <DIN> | |
| 2614 | (3) *Dosage: 325 (MG) | |
| 2615 | Verb: TAKE | |
| 2616 | Dispe nse Units: 1 | |
| 2617 | Noun: TABLET | |
| 2618 | *Route: ORAL | |
| 2619 | *Schedule: QAM | |
| 2620 | + Enter ?? f or more ac tions | |
| 2621 | BY Bypass DC Discon tinue | |
| 2622 | ED Edit FN Finish | |
| 2623 | Select Ite m(s): Next Screen// FN Finis h | |
| 2624 | ||
| 2625 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2626 | Duplicate Drug in Lo cal Rx: | |
| 2627 | ||
| 2628 | RX #: 2603 | |
| 2629 | Dr ug: ASPIRI N 325MG EC TAB | |
| 2630 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 2631 | Q TY: 30 Ref ills remai ning: 11 | |
| 2632 | Provid er: PSOPRO VIDER,TEN Is sued: 03/2 4/08 | |
| 2633 | Stat us: Active Last fille d on: 03/2 4/08 | |
| 2634 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
| 2635 | Days Su pply: 30 | |
| 2636 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2637 | Discontinu e RX #2603 ASPIRIN 3 25MG EC TA B? Y/N NO -Prescript ion was no t disconti nued... | |
| 2638 | ||
| 2639 | Now doing remote ord er checks. Please wa it... | |
| 2640 | ||
| 2641 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 2642 | ||
| 2643 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 2644 | ||
| 2645 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 2646 | ||
| 2647 | Press Retu rn to Cont inue: | |
| 2648 | ||
| 2649 | Pending OP Orders (R OUTINE) Mar 24, 20 08@13:52:4 5 Page: 1 of 2 | |
| 2650 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 2651 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 2652 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 2653 | SEX: MAL E | |
| 2654 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .58 | |
| 2655 | ||
| 2656 | Order Chec ks: | |
| 2657 | Dupl icate drug order: AS PIRIN TAB, EC 325MG TAKE ONE T ABLET BY M OUTH EVERY | |
| 2658 | MORN ING [ACTI VE] | |
| 2659 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 2660 | Overr iding Reas on: TESTIN G DUPLICAT E THERAPY FUNCTIONAL ITY | |
| 2661 | ||
| 2662 | *(1) Order able Item: ASPIRIN T AB,EC | |
| 2663 | (2) Drug: ASPIRIN 3 25MG EC TA B <DIN> | |
| 2664 | NDC: 00056-0176 -75 | |
| 2665 | (3) *Dosage: 325 (MG) | |
| 2666 | Verb: TAKE | |
| 2667 | Dispe nse Units: 1 | |
| 2668 | NOUN: TABLET | |
| 2669 | *Route: ORAL | |
| 2670 | *Schedule: QAM | |
| 2671 | + Enter ?? f or more ac tions | |
| 2672 | AC Accept ED E dit DC Disco ntinue | |
| 2673 | Select Ite m(s): Next Screen// | |
| 2674 | . | |
| 2675 | . | |
| 2676 | OR | |
| 2677 | ||
| 2678 | Discontinu e RX #2603 ASPIRIN 3 25MG EC TA B? Y/N YE S | |
| 2679 | ||
| 2680 | RX #2603 A SPIRIN 325 MG EC TAB will be di scontinued after the acceptanc e of the n ew order. | |
| 2681 | ||
| 2682 | ||
| 2683 | Rx # 2604 03/24/0 8 | |
| 2684 | PSOPATIENT ,FOUR #30 | |
| 2685 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 2686 | ||
| 2687 | ASPIRIN 32 5MG EC TAB | |
| 2688 | PSOPROVIDE R,TEN PSO PHARMACIST ,ONE | |
| 2689 | # of Refil ls: 11 | |
| 2690 | ||
| 2691 | ||
| 2692 | SC Percent: 1 00% | |
| 2693 | Disab ilities: N ONE STATED | |
| 2694 | ||
| 2695 | Was treatm ent for a Service Co nnected co ndition? Y ES// YES | |
| 2696 | Are you su re you wan t to Accep t this Ord er? NO// Y ES | |
| 2697 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 2698 | ||
| 2699 | Do you wan t to enter a Progres s Note? No // NO | |
| 2700 | ||
| 2701 | -Duplicat e Drug Rx #2603 ASPI RIN 325MG EC TAB has been disc ontinued.. . | |
| 2702 | ||
| 2703 | Press Retu rn to Cont inue: | |
| 2704 | ||
| 2705 | New Order Entry Back door – Dup licate Dru g | |
| 2706 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 2707 | RX PATIENT STATUS: O PT NSC// | |
| 2708 | DRUG: aspi rin | |
| 2709 | Lookup : DRUG GE NERIC NAME | |
| 2710 | 1 A SPIRIN 325 MG EC TAB CN103 | |
| 2711 | 2 A SPIRIN 325 MG SUPPOSI TORY CN103 | |
| 2712 | 3 A SPIRIN 325 MG TAB CN1 03 | |
| 2713 | 4 A SPIRIN 650 MG/BUTALBI TAL 50MG T AB CN103 | |
| 2714 | 5 A SPIRIN 81M G EC TAB C N103 | |
| 2715 | Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR | |
| 2716 | CHOOSE 1-5 : 1 ASPIR IN 325MG E C TAB CN103 | |
| 2717 | Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D): No// NO | |
| 2718 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2719 | Duplicate Drug in Lo cal Rx: | |
| 2720 | ||
| 2721 | RX #: 2604 | |
| 2722 | Drug: ASPIRIN 32 5MG EC TAB | |
| 2723 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 2724 | QTY: 30 Refil ls remaini ng: 11 | |
| 2725 | Provider: PSOPROVIDE R,TEN Issu ed: 03/24/ 08 | |
| 2726 | Status: Active La st filled on: 03/24/ 08 | |
| 2727 | Processin g Status: Released l ocally on 3/24/08@08 :55:32 (W indow) | |
| 2728 | Days Supp ly: 30 | |
| 2729 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2730 | Discontinu e RX #2604 ASPIRIN 3 25MG EC TA B? Y/N NO -Prescrip tion was n ot discont inued... | |
| 2731 | ||
| 2732 | RX DELETED | |
| 2733 | ||
| 2734 | OR | |
| 2735 | ||
| 2736 | Discontinu e RX #2604 ASPIRIN 3 25MG EC TA B? Y/N YE S | |
| 2737 | ||
| 2738 | RX #2604 A SPIRIN 325 MG EC TAB will be di scontinued after the acceptanc e of the n ew order. | |
| 2739 | ||
| 2740 | ||
| 2741 | VERB: TAKE | |
| 2742 | There are 2 Availabl e Dosage(s ): | |
| 2743 | 1. 325MG | |
| 2744 | 2. 650MG | |
| 2745 | ||
| 2746 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 2747 | or Enter a Question Mark (?) t o view lis t: 1 325MG | |
| 2748 | ||
| 2749 | You entere d 325MG is this corr ect? Yes// YES | |
| 2750 | VERB: TAKE | |
| 2751 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 2752 | Dosage Ord ered: 325M G | |
| 2753 | ||
| 2754 | NOUN: TABL ET | |
| 2755 | ROUTE: PO/ / ORAL PO MO UTH | |
| 2756 | Schedule: BID | |
| 2757 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 2758 | BID BID TWICE A DAY | |
| 2759 | . ..OK? Yes/ / (Yes) | |
| 2760 | (TWICE A DAY) | |
| 2761 | ||
| 2762 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): | |
| 2763 | CONJUNCTIO N: | |
| 2764 | PATIENT IN STRUCTIONS : | |
| 2765 | ||
| 2766 | (TAKE ONE TABLET BY MOUTH TWIC E A DAY) | |
| 2767 | ||
| 2768 | DAYS SUPPL Y: (1-90) : 30// | |
| 2769 | QTY ( TAB ) : 60// 6 0 | |
| 2770 | COPIES: 1/ / 1 | |
| 2771 | # OF REFIL LS: (0-11 ): 11// | |
| 2772 | PROVIDER: PSOPROV IDER,TEN | |
| 2773 | CLINIC: | |
| 2774 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 2775 | METHOD OF PICK-UP: | |
| 2776 | REMARKS: | |
| 2777 | ISSUE DATE : TODAY// (MAR 24, 2008) | |
| 2778 | FILL DATE: (3/24/20 08 - 3/25/ 2009): TOD AY// (MA R 24, 2008 ) | |
| 2779 | Nature of Order: WRI TTEN// W | |
| 2780 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 2781 | ||
| 2782 | Do you wan t to enter a Progres s Note? No // NO | |
| 2783 | ||
| 2784 | Rx # 2605 03/24/0 8 | |
| 2785 | PSOPATIENT ,FOUR #60 | |
| 2786 | TAKE ONE T ABLET BY M OUTH TWICE A DAY | |
| 2787 | ||
| 2788 | ASPIRIN 32 5MG EC TAB | |
| 2789 | PSOPROVIDE R,TEN PSO PHARMACIST ,ONE | |
| 2790 | # of Refil ls: 11 | |
| 2791 | ||
| 2792 | ||
| 2793 | SC Percent: 1 00% | |
| 2794 | Disab ilities: N ONE STATED | |
| 2795 | ||
| 2796 | Was treatm ent for a Service Co nnected co ndition? n NO | |
| 2797 | Is this co rrect? YES // | |
| 2798 | ||
| 2799 | -Duplicat e Drug RX #2604 ASPI RIN 325MG EC TAB has been disc ontinued.. . | |
| 2800 | ||
| 2801 | ||
| 2802 | Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES// | |
| 2803 | ||
| 2804 | Editing Di spense Dru g – Create New Order | |
| 2805 | Rx # : 2605A | |
| 2806 | (1) *Orde rable Item : ASPIRIN TAB,EC | |
| 2807 | (2) Drug : ASPIRIN 325MG EC T AB <DIN> | |
| 2808 | NDC : 00056-01 76-75 | |
| 2809 | (3) *Dosage : 325 (MG) | |
| 2810 | Verb : TAKE | |
| 2811 | Disp ense Units : 1 | |
| 2812 | Noun : TABLET | |
| 2813 | *Route : ORAL | |
| 2814 | *Schedule : BID | |
| 2815 | (4)Pat In structions : | |
| 2816 | SIG : TAKE ONE TABLET BY MOUTH TWI CE A DAY | |
| 2817 | (5) Pati ent Status : OPT NSC | |
| 2818 | (6) Issue Date : 03/24/08 (7) Fill Date: 03/24/08 | |
| 2819 | Last Fill Date : 03/24/08 (Window) | |
| 2820 | + Enter ?? f or more ac tions | |
| 2821 | DC Disco ntinue PR Partial RL Rel ease | |
| 2822 | ED Edit RF Refill RN Ren ew | |
| 2823 | Select Act ion: Next Screen// E D Edit | |
| 2824 | ||
| 2825 | Select fie lds by num ber: (1-1 9): 2 | |
| 2826 | DRUG: ASPI RIN 325MG EC TAB// A SPIRIN 8 | |
| 2827 | ||
| 2828 | Lookup: GENERIC NA ME | |
| 2829 | ASPIRIN 81 MG EC TAB CN103 | |
| 2830 | . ..OK? Yes/ / (Yes) | |
| 2831 | ||
| 2832 | TRADE NAME : | |
| 2833 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2834 | Duplicate Drug in Lo cal Rx: | |
| 2835 | ||
| 2836 | Rx #: 2606 | |
| 2837 | Dr ug: ASPIRI N 81MG EC TAB | |
| 2838 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 2839 | Q TY: 30 Refill s remainin g: 11 | |
| 2840 | Provid er: PSOPRO VIDER,TEN Issue d: 03/24/0 8 | |
| 2841 | Stat us: Active Las t filled o n: 03/24/0 8 | |
| 2842 | Proce ssing Stat us: Releas ed locally on 03/24/ 08@08:55:3 2 (Window ) | |
| 2843 | Days Suppl y: 30 | |
| 2844 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2845 | Discontinu e RX #2606 ASPIRIN 8 1MG EC TAB ? Y/N NO - Prescripti on was not discontin ued... | |
| 2846 | . | |
| 2847 | . | |
| 2848 | OR | |
| 2849 | ||
| 2850 | Discontinu e RX #2606 ASPIRIN 8 1MG EC TAB ? Y/N YES | |
| 2851 | ||
| 2852 | RX #2606 A SPIRIN 81M G EC TAB w ill be dis continued after the acceptance of the ne w order. | |
| 2853 | ||
| 2854 | You have c hanged the dispense drug from | |
| 2855 | ASPIRIN 32 5MG EC TAB to ASPIRI N 81MG EC TAB. | |
| 2856 | ||
| 2857 | Current SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY | |
| 2858 | There are 2 Availabl e Dosage(s ): | |
| 2859 | 1. 81MG | |
| 2860 | 2. 162MG | |
| 2861 | ||
| 2862 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 2863 | or Enter a Question Mark (?) t o view lis t: 1 81MG | |
| 2864 | ||
| 2865 | You entere d 81MG is this corre ct? Yes// YES | |
| 2866 | This edit will disco ntinue the duplicate Rx & chan ge the dis pensed dru g! | |
| 2867 | Do You Wan t to Proce ed? NO// Y ES | |
| 2868 | ||
| 2869 | VERB: TAKE // TAKE | |
| 2870 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 2871 | Dosage Ord ered: 81MG | |
| 2872 | ||
| 2873 | NOUN: TABL ET// TABLE T | |
| 2874 | ROUTE: ORA L// ORAL | |
| 2875 | Schedule: BID// QAM | |
| 2876 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 2877 | QAM QAM EVERY MO RNING | |
| 2878 | . ..OK? Yes/ / (Yes) | |
| 2879 | (EVERY MO RNING) | |
| 2880 | LIMITED DU RATION (IN MONTHS, W EEKS, DAYS , HOURS OR MINUTES): | |
| 2881 | CONJUNCTIO N: | |
| 2882 | ||
| 2883 | New OP Ord er (ROUTIN E) Mar 24, 20 08@14:10:2 0 Page: 1 of 2 | |
| 2884 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 2885 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 2886 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 2887 | SEX: MAL E | |
| 2888 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .58 | |
| 2889 | ||
| 2890 | Orde rable Item : ASPIRIN TAB,EC | |
| 2891 | (1) Drug : ASPIRIN 81MG EC TA B | |
| 2892 | (2) Pati ent Status : OPT NSC | |
| 2893 | (3) Issue Date : MAR 24,2 008 (4) Fill Date: MAR 24,20 08 | |
| 2894 | (5) Dosa ge Ordered : 81 (MG) | |
| 2895 | Verb : TAKE | |
| 2896 | Disp ense Units : 1 | |
| 2897 | Noun : TABLET | |
| 2898 | Route : ORAL | |
| 2899 | Schedule : QAM | |
| 2900 | (6)Pat I nstruction : | |
| 2901 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 2902 | (7) D ays Supply : 30 (8) QTY (TAB) : 60 | |
| 2903 | (9) # of Refills : 11 (10) Routing: WINDOW | |
| 2904 | + This chang e will cre ate a new prescripti on! | |
| 2905 | AC Accep t ED Edit | |
| 2906 | Select Act ion: Next Screen// A C Accept | |
| 2907 | ||
| 2908 | Nature of Order: SER VICE CORRE CTION// S | |
| 2909 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 2910 | ||
| 2911 | Do you wan t to enter a Progres s Note? No // NO | |
| 2912 | ||
| 2913 | Rx # 2607 03/24/0 8 | |
| 2914 | PSOPATIENT ,FOUR #60 | |
| 2915 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 2916 | ||
| 2917 | ASPIRIN 81 MG EC TAB | |
| 2918 | PSOPROVIDE R,TEN PSO PHARMACIST ,ONE | |
| 2919 | # of Refil ls: 11 | |
| 2920 | ||
| 2921 | SC Percent: 1 00% | |
| 2922 | Disab ilities: N ONE STATED | |
| 2923 | ||
| 2924 | Was treatm ent for a Service Co nnected co ndition? Y ES// | |
| 2925 | Is this co rrect? YES // ... | |
| 2926 | ||
| 2927 | -Duplicate Drug RX # 2606 ASPIR IN 81MG EC TAB has b een discon tinued... | |
| 2928 | ||
| 2929 | Clerk Ente ring New O rder via B ackdoor – Drug Check for Clerk Parameter set to No | |
| 2930 | PI Patien t Informat ion SO Select Order | |
| 2931 | Select Act ion: Quit/ / NO New Order | |
| 2932 | ||
| 2933 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 2934 | RX PATIENT STATUS: O PT NSC// | |
| 2935 | DRUG: ASPI RIN 81 | |
| 2936 | Lookup: GENERIC NA ME | |
| 2937 | ASPIRIN 81 MG EC TAB CN103 | |
| 2938 | . ..OK? Yes/ / (Yes) | |
| 2939 | ||
| 2940 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2941 | Duplicate Drug in Lo cal Rx: | |
| 2942 | ||
| 2943 | Rx #: 2608 | |
| 2944 | Drug: ASPIRIN 81 MG EC TAB | |
| 2945 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 2946 | QTY: 30 Re fills rema ining: 11 | |
| 2947 | Provider: PSOPROVIDE R,TEN I ssued: 03/ 24/08 | |
| 2948 | Status: Active Last fill ed on: 03/ 24/08 | |
| 2949 | Processin g Status: Released l ocally on 3/24/08@08 :55:32 (W indow) | |
| 2950 | Days S upply: 30 | |
| 2951 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2952 | RX DELETED | |
| 2953 | ||
| 2954 | ||
| 2955 | Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES// | |
| 2956 | ||
| 2957 | Clerk Ente ring New O rder via B ackdoor – Drug Check for Clerk Parameter set to No – Duplica te Drug – Discontinu ed Status | |
| 2958 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 2959 | RX PATIENT STATUS: O PT NSC// | |
| 2960 | DRUG: ASPI RIN | |
| 2961 | Lookup: GENERIC NA ME | |
| 2962 | 1 A SPIRIN 325 MG EC TAB CN103 | |
| 2963 | 2 A SPIRIN 325 MG SUPPOSI TORY CN103 | |
| 2964 | 3 A SPIRIN 325 MG TAB CN1 03 | |
| 2965 | 4 A SPIRIN 650 MG/BUTALBI TAL 50MG T AB CN103 | |
| 2966 | 5 A SPIRIN 81M G EC TAB C N103 | |
| 2967 | Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR | |
| 2968 | CHOOSE 1-5 : 1 ASPIR IN 325MG E C TAB CN103 | |
| 2969 | Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D): No// NO | |
| 2970 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2971 | Duplicate Drug in Lo cal Rx: | |
| 2972 | ||
| 2973 | Rx #: 2605A | |
| 2974 | Dr ug: ASPIRI N 325MG EC TAB | |
| 2975 | S IG: TAKE O NE TABLET BY MOUTH T WICE A DAY | |
| 2976 | Q TY: 60 Refil ls remaini ng: 11 | |
| 2977 | Provid er: PSOPRO VIDER,TEN Issu ed: 03/24/ 08 | |
| 2978 | Stat us: Discon tinued (Ed it) La st filled on: 03/24/ 08 | |
| 2979 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
| 2980 | Days Supp ly: 30 | |
| 2981 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 2982 | ||
| 2983 | Press Retu rn to Cont inue: | |
| 2984 | ||
| 2985 | Clerk Fini shing Pend ing Order – Drug Che ck for Cle rk paramet er set to No | |
| 2986 | ED (Edit) FN Finish | |
| 2987 | ||
| 2988 | Pending OP Orders (R OUTINE) Mar 24, 20 08@14:35:2 1 Page: 1 of 3 | |
| 2989 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 2990 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 2991 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 2992 | SEX: MAL E | |
| 2993 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .58 | |
| 2994 | ||
| 2995 | CPRS Order Checks: | |
| 2996 | Dupl icate drug order: AS PIRIN TAB, EC 81MG T AKE ONE TA BLET BY MO UTH EVERY | |
| 2997 | MORN ING [ACTI VE] | |
| 2998 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 2999 | Overr iding Reas on: TESTIN G | |
| 3000 | ||
| 3001 | Dupl icate drug class ord er:(ASPIRI N TAB,EC 325MG | |
| 3002 | TAKE ONE TABLE T BY MOUTH EVERY MOR NING [UNR ELEASED]) | |
| 3003 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3004 | Overr iding Reas on: TESTIN G | |
| 3005 | ||
| 3006 | *(1) Order able Item: ASPIRIN T AB,EC | |
| 3007 | (2) Drug: ASPIRIN 8 1MG EC TAB | |
| 3008 | NDC: 00056-017 6-75 | |
| 3009 | (3) *Dosage: 81 (MG) | |
| 3010 | + Enter ?? f or more ac tions | |
| 3011 | BY Bypass DC (Disco ntinue) | |
| 3012 | ED (Edit) FN Finish | |
| 3013 | Select Ite m(s): Next Screen// FN Finis h | |
| 3014 | ||
| 3015 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3016 | Duplicate Drug in Lo cal Rx: | |
| 3017 | ||
| 3018 | Rx #: 2608 | |
| 3019 | Dr ug: ASPIRI N 81MG EC TAB | |
| 3020 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 3021 | Q TY: 30 Refills re maining: 1 1 | |
| 3022 | Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08 | |
| 3023 | Stat us: Active Last fi lled on: 0 3/24/08 | |
| 3024 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
| 3025 | Days Supply: 3 0 | |
| 3026 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
| 3027 | Now doing remote ord er checks. Please wa it... | |
| 3028 | ||
| 3029 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 3030 | ||
| 3031 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 3032 | ||
| 3033 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 3034 | ||
| 3035 | Press Retu rn to Cont inue: | |
| 3036 | ||
| 3037 | Pending OP Orders (R OUTINE) Mar 24, 20 08@14:35:2 5 Page: 1 of 3 | |
| 3038 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 3039 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 3040 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 3041 | SEX: MAL E | |
| 3042 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .58 | |
| 3043 | ||
| 3044 | CPRS Order Checks: | |
| 3045 | Dupl icate drug order: AS PIRIN TAB, EC 81MG T AKE ONE TA BLET BY MO UTH EVERY | |
| 3046 | MORN ING [ACTI VE] | |
| 3047 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3048 | Overr iding Reas on: TESTIN G | |
| 3049 | ||
| 3050 | Dupl icate drug class ord er: NON-OP IOID ANALG ESICS (ASP IRIN TAB,E C 325MG | |
| 3051 | TAKE ONE TABLE T BY MOUTH EVERY MOR NING [UNR ELEASED]) | |
| 3052 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3053 | Overr iding Reas on: TESTIN G | |
| 3054 | ||
| 3055 | *(1) Order able Item: ASPIRIN T AB,EC | |
| 3056 | (2) Drug: ASPIRIN 8 1MG EC TAB | |
| 3057 | NDC: 00056-017 6-75 | |
| 3058 | (3) *Dosage: 81 (MG) | |
| 3059 | + Enter ?? f or more ac tions | |
| 3060 | AC Accept ED E dit DC Disco ntinue | |
| 3061 | Select Ite m(s): Next Screen// DC Disco ntinue | |
| 3062 | ||
| 3063 | Nature of Order: SER VICE CORRE CTION// S | |
| 3064 | ||
| 3065 | Requesting PROVIDER: PSOPROVID ER,TEN// LBB 119 | |
| 3066 | Comments: Per Pharma cy Request Replace | |
| 3067 | ||
| 3068 | Press Retu rn to : | |
| 3069 | ||
| 3070 | ||
| 3071 | PI Patien t Informat ion SO Select Order | |
| 3072 | ||
| 3073 | PU Patien t Record U pdate NO New Or der | |
| 3074 | PI Patien t Informat ion SO Select Order | |
| 3075 | Select Act ion: Quit/ / 2 | |
| 3076 | ||
| 3077 | Medication Profile Mar 24, 20 08@14:36:2 8 Page: 1 of 1 | |
| 3078 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 3079 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 3080 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 3081 | SEX: MAL E | |
| 3082 | CrCL: 102 .4(est.) ( CREAT:1.0m g/dL 10/30 /12) B SA (m2): 1 .78 | |
| 3083 | ISSUE LA ST REF DAY | |
| 3084 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 3085 | ||
| 3086 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------- | |
| 3087 | 1 2608 ASP IRIN 81MG EC TAB 30 A 03-24 03- 24 11 30 | |
| 3088 | ---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------- | |
| 3089 | 2 2609 ASP IRIN 325MG EC TAB 30 N 03-24 03- 24 5 30 | |
| 3090 | ||
| 3091 | Duplicate with Non-V A Med – No Action Re quired | |
| 3092 | DRUG: CIME TIDINE | |
| 3093 | Lookup: GENERIC NA ME | |
| 3094 | 1 C IMETIDINE 100MG TAB GA301 | |
| 3095 | 2 C IMETIDINE 200MG TAB GA301 | |
| 3096 | 3 C IMETIDINE 300MG TAB GA301 90 DAY SUPPLY | |
| 3097 | 4 C IMETIDINE 400MG TAB GA301 | |
| 3098 | 5 C IMETIDINE 800MG TAB GA301 | |
| 3099 | CHOOSE 1-5 : 3 CIMET IDINE 300M G TAB GA301 90 DAY SUPPL Y | |
| 3100 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
| 3101 | Duplicate Drug in a Non-VA Med Order for | |
| 3102 | ||
| 3103 | ||
| 3104 | Drug : CIMETIDI NE 300MG T AB | |
| 3105 | Dosage : 300MG | |
| 3106 | Schedule : AT BEDTI ME | |
| 3107 | Medica tion Route : MOUTH | |
| 3108 | Start Date : C PRS Order #: 13554 | |
| 3109 | Doc umented By : PSOPROVI DER,TEN on Mar 24, 2 008@14:44: 15 | |
| 3110 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
| 3111 | ||
| 3112 | Press Retu rn to Cont inue: | |
| 3113 | ||
| 3114 | VERB: TAKE | |
| 3115 | There are 2 Availabl e Dosage(s ): | |
| 3116 | 1. 300MG | |
| 3117 | 2. 600MG | |
| 3118 | ||
| 3119 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 3120 | or Enter a Question Mark (?) t o view lis t: 1 300MG | |
| 3121 | ||
| 3122 | You entere d 300MG is this corr ect? Yes// | |
| 3123 | ||
| 3124 | Duplicate Drug with Pending Or der | |
| 3125 | Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES// | |
| 3126 | ||
| 3127 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 3128 | RX PATIENT STATUS: O PT NSC// | |
| 3129 | DRUG: ALLO PURINOL | |
| 3130 | Lookup: GENERIC NA ME | |
| 3131 | 1 A LLOPURINOL 100MG TAB MS400 | |
| 3132 | 2 A LLOPURINOL 300MG TAB MS400 | |
| 3133 | CHOOSE 1-2 : 2 ALLOP URINOL 300 MG TAB MS400 | |
| 3134 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3135 | DUPLICATE DRUG in a Pending Or der for: | |
| 3136 | ||
| 3137 | Dr ug: ALLOPU RINOL 300M G TAB | |
| 3138 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 3139 | Q TY: 180 # of Refills: 3 | |
| 3140 | Provid er: PSOPRO VIDER,TEN Iss ue Date: 0 3/24/08@14 :44:15 | |
| 3141 | ||
| 3142 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3143 | Discontinu e Pending Order for ALLOPURINO L 300MG? Y /N YES | |
| 3144 | ||
| 3145 | Pending Or der for AL LOPURINOL 300MG will be discon tinued aft er the acc eptance of the new o rder. | |
| 3146 | ||
| 3147 | VERB: TAKE | |
| 3148 | There are 2 Availabl e Dosage(s ): | |
| 3149 | 1. 300MG | |
| 3150 | 2. 600MG | |
| 3151 | ||
| 3152 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 3153 | or Enter a Question Mark (?) t o view lis t: 1 300MG | |
| 3154 | ||
| 3155 | You entere d 300MG is this corr ect? Yes// YES | |
| 3156 | VERB: TAKE | |
| 3157 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 3158 | Dosage Ord ered: 300M G | |
| 3159 | ||
| 3160 | NOUN: TABL ET | |
| 3161 | ROUTE: PO/ / ORAL PO MO UTH | |
| 3162 | Schedule: QAM // | |
| 3163 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 3164 | QAM QAM EVERY MO RNING | |
| 3165 | . ..OK? Yes/ / (Yes) | |
| 3166 | (EVERY MO RNING) | |
| 3167 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): | |
| 3168 | CONJUNCTIO N: | |
| 3169 | PATIENT IN STRUCTIONS : | |
| 3170 | ||
| 3171 | (TAKE ONE TABLET BY MOUTH EVER Y MORNING) | |
| 3172 | ||
| 3173 | DAYS SUPPL Y: (1-90) : 30// | |
| 3174 | QTY ( TAB ) : 30// 3 0 | |
| 3175 | COPIES: 1/ / 1 | |
| 3176 | # OF REFIL LS: (0-11 ): 11// | |
| 3177 | PROVIDER: PSOPROV IDER,TEN | |
| 3178 | CLINIC: | |
| 3179 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 3180 | METHOD OF PICK-UP: | |
| 3181 | REMARKS: | |
| 3182 | ISSUE DATE : TODAY// (MAR 24, 2008) | |
| 3183 | FILL DATE: (3/24/20 08 - 3/25/ 2009): TOD AY// (MA R 24, 2008 ) | |
| 3184 | Nature of Order: WRI TTEN// W | |
| 3185 | ||
| 3186 | Rx # 2610 03/24/0 8 | |
| 3187 | PSOPATIENT ,FOUR #30 | |
| 3188 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3189 | ||
| 3190 | ALLOPURINO L 300MG TA B | |
| 3191 | PSOPROVIDE R,TEN PSO PHARMACIST ,ONE | |
| 3192 | # of Refil ls: 11 | |
| 3193 | ||
| 3194 | ||
| 3195 | SC Percent: 1 00% | |
| 3196 | Disab ilities: N ONE STATED | |
| 3197 | ||
| 3198 | Was treatm ent for a Service Co nnected co ndition? y YES | |
| 3199 | Is this co rrect? YES // | |
| 3200 | ||
| 3201 | - Duplicat e Drug Pen ding Order for ALLOP URINOL 300 MG has bee n disconti nued... | |
| 3202 | ||
| 3203 | Copying an Existing Order | |
| 3204 | RN Renew | |
| 3205 | Select Act ion: Next Screen// C O CO | |
| 3206 | ||
| 3207 | OP Medicat ions (ACTI VE) Mar 12, 20 08@09:15:4 8 Page: 1 of 2 | |
| 3208 | PSOPATIENT ,TWO < A> | |
| 3209 | PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005) | |
| 3210 | DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005) | |
| 3211 | SEX: MAL E | |
| 3212 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): 2. 09 | |
| 3213 | ||
| 3214 | Rx # : 2584$ | |
| 3215 | (1) *Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB | |
| 3216 | (2) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB | |
| 3217 | Verb : TAKE | |
| 3218 | (3) *Dosage : ONE TABL ET | |
| 3219 | *Route : ORAL | |
| 3220 | *Schedule : QAM | |
| 3221 | (4)Pat In structions : | |
| 3222 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 3223 | (5) Pati ent Status : OPT NSC | |
| 3224 | (6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08 | |
| 3225 | Last Fill Date : 03/12/08 (Window) | |
| 3226 | Last Re lease Date : (8) Lot #: | |
| 3227 | Expires : 03/13/09 MFG: | |
| 3228 | + Enter ?? f or more ac tions | |
| 3229 | ||
| 3230 | ||
| 3231 | AC Accep t ED Edit | |
| 3232 | ||
| 3233 | New OP Ord er (COPY) Mar 12, 20 08@09:15:4 8 P age: 1 of 2 | |
| 3234 | PSOPATIENT ,TWO <A> | |
| 3235 | PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005) | |
| 3236 | DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005) | |
| 3237 | SEX: MAL E | |
| 3238 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): 2. 09 | |
| 3239 | ||
| 3240 | Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB | |
| 3241 | (1) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB | |
| 3242 | (2) Pati ent Status : OPT NSC | |
| 3243 | (3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08 | |
| 3244 | Verb : TAKE | |
| 3245 | (5) Dosa ge Ordered : ONE TABL ET | |
| 3246 | Route : ORAL | |
| 3247 | Schedule : QAM | |
| 3248 | (6)Pat I nstruction : | |
| 3249 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 3250 | (7) D ays Supply : 30 (8) QTY ( ): 30 | |
| 3251 | (9) # of Refills : 11 (10) Routing: WINDOW | |
| 3252 | (11) Clinic : | |
| 3253 | (12) Provider : PSOPROVI DER,ONE (13) Copies: 1 | |
| 3254 | + Enter ?? f or more ac tions | |
| 3255 | AC Accep t ED Edit | |
| 3256 | Select Act ion: Next Screen// A C Accept | |
| 3257 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 3258 | Duplicate Drug in Lo cal RX: | |
| 3259 | ||
| 3260 | Rx #: 2584 | |
| 3261 | Drug: AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB | |
| 3262 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3263 | QTY: 30 Refills re maining: 1 1 | |
| 3264 | Provider: OPPROVIDER , ONE Issued: 0 3/12/07 | |
| 3265 | Status: ACTIVE Last fi lled on: 0 3/12/07 | |
| 3266 | Processin g Status: Released l ocally on 3/12/07@08 :55:32 (W indow) | |
| 3267 | Days Supply: 3 0 | |
| 3268 | ||
| 3269 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 3270 | Discontinu e Rx #2584 AMLODIPIN E 5MG/ATOR VASTATIN 1 0MG TAB? Y /N YES | |
| 3271 | ||
| 3272 | Rx #2584 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB will be discon tinued aft er the acc eptance of the new o rder. | |
| 3273 | ||
| 3274 | Nature of Order: WRI TTEN// W | |
| 3275 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 3276 | ||
| 3277 | Do you wan t to enter a Progres s Note? No // NO | |
| 3278 | ||
| 3279 | Rx # 2585 03/12/0 8 | |
| 3280 | PSOPATIENT ,TWO T #30 | |
| 3281 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3282 | ||
| 3283 | AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB | |
| 3284 | PSOPROVIDE R,ONE PSOPHARM ACIST,ONE | |
| 3285 | # of Refil ls: 11 | |
| 3286 | ||
| 3287 | ||
| 3288 | SC Percent: 4 0% | |
| 3289 | Disab ilities: N ONE STATED | |
| 3290 | ||
| 3291 | Was treatm ent for Se rvice Conn ected cond ition? NO/ / | |
| 3292 | ||
| 3293 | Is this co rrect? YES // ... | |
| 3294 | ||
| 3295 | Duplicate Drug Rx #2 584 AMLODI PINE 5MG/A TORVASTATI N 10MG TAB has been discontinu ed... | |
| 3296 | ||
| 3297 | The CPRS A uto Refill field can be update d using th e Pharmacy Systems P arameter E dit [PSS M GR] option . This par ameter wor ks in conj unction wi th the PSO UATRF secu rity key. | |
| 3298 | When the C PRS Auto R efill fiel d is set t o YES and the PSOAUT RF securit y key has been assig ned to at least one user, all refills pl aced in CP RS by the provider a re process ed and sus pended wit h the next fill date and all r outing is set to Mai l automati cally. | |
| 3299 | When the C PRS Auto R efill fiel d is set t o NO or if the PSOAU TRF securi ty key is not assign ed, the ma nual refil l process is require d. | |
| 3300 | ||
| 3301 | If the aut o refill p rocess fai ls, the or der will n ot be proc essed and will requi re manual refilling. A MailMan message w ill be sen t to the h olders of the PSOAUT RF key des cribing th e reason f or not fil ling the a uto refill . All of t he refill activity, manual or automatic, is record ed in the Activity L og entry n otes. | |
| 3302 | ||
| 3303 | Following the instal lation of patches PS O*7*207 an d OR*3*238 (Remote D ata Intero perability (RDI) tri gger patch ), order c hecks will be made u sing addit ional data from the Health Dat a Reposito ry Interim Messaging Solution (HDR-IMS) and the HD R-Historic al (HDR-Hx ). This wi ll contain both Outp atient ord ers from o ther VAMCs as well a s from Dep artment of Defense ( DoD) facil ities, if available. All remot e prescrip tion statu ses will b e included in order checking f or a new o rder being processed from with in backdoo r outpatie nt pharmac y and for new orders being pla ced by CPR S or by In patient Me dications. Any remot e Outpatie nt order t hat has be en expired or discon tinued for 30 days o r less wil l be inclu ded in the list of m edications to be che cked. | |
| 3304 | ||
| 3305 | If the ver ification site param eter is tu rned on, p rescriptio ns entered by the te chnician w ill be non -verified and must b e verified by the ph armacist. If the ver ification site param eter is tu rned off t he label i s queued t o print as though th e pharmaci st has ent ered it un less the p rescriptio n causes a critical drug inter action. In which cas e, the pre scription will be no n-verified and must be verifie d by the p harmacist. | |
| 3306 | ||
| 3307 | Actions ar e displaye d in the a ction area of the sc reen. Acti ons with a parenthes is ( ) aro und them a re invalid actions f or that or der. A dou ble questi on mark (? ?) display s all the actions av ailable, i ncluding t he Outpati ent Pharma cy hidden actions de scribed in “Chapter 2: List Ma nager”. If one of th e hidden a ctions is selected a nd it is i nvalid, a message wi ll display in the me ssage wind ow. Outpat ient Pharm acy hidden actions a re display ed with th e letters OP next to the actio n. | |
| 3308 | ||
| 3309 | With Patch PSO*7*233 , when a n ame is sel ected, if the patien t’s addres s is flagg ed with a Bad Addres s Indicato r, a warni ng message is displa yed. If th e user has proper au thorizatio n (i.e., t he PSO SIT E paramete r “EDIT PA TIENT DATA ” is set t o Yes or t he user ho lds the ne w PSO ADDR ESS UPDATE security key), a pr ompt appea rs asking if the use r wants to update th e address. | |
| 3310 | ||
| 3311 | For the Pa tient Pres cription P rocessing, if a temp orary addr ess has no end date, the follo wing text is display ed in the Status col umn: “(Tem p address from XXX 9 9,9999 til l (no end date))”. | |
| 3312 | ||
| 3313 | Titration | |
| 3314 | Introduced in PSO*7* 313, the u ser has th e ability to mark pr escription s as 'Titr ation to M aintenance ' when fin ishing pre scriptions from CPRS as well a s via the Patient Pr escription Processin g [PSO LM BACKDOOR O RDERS] opt ion by inv oking the new hidden action 'T M' - Mark Rx as Titr ation. Thi s action w ill result in preven ting the f ollowing a ctions to be taken o n the pres cription: Refill, Re newal (inc luding via CPRS), an d Copy and editing o f any fiel d that req uires a ne w Rx to be created. This actio n will als o set the new field TITRATION RX FLAG (# 45.3) in t he PRESCRI PTION File (#52) as well as th e new fiel d TITRATIO N DOSE RX (#45.1) in the PRESC RIPTION Fi le (#52). Prescripti ons that a re marked as Titrati on/Mainten ance will have the l etter 't' postfix to the RX # as seen be low (entry #1): | |
| 3315 | ||
| 3316 | : : : | |
| 3317 | ISSUE LA ST REF DAY | |
| 3318 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 3319 | -------- ---------- ---------- ---ACTIVE- ---------- ---------- ---------- | |
| 3320 | 1 10000 5024t AMO XAPINE 50M G TAB 30 S 09-26 09- 26 2 30 | |
| 3321 | 2 10000 5022 AMO XICILLIN 2 50MG CAP 30 A 08-18 08- 18 11 30 | |
| 3322 | 3 10000 5035 KAL ETRA 3 A 09-29 09- 29 0 3 | |
| 3323 | : : : | |
| 3324 | ||
| 3325 | Note: A pr escription can be un marked as Titration/ Maintenanc e by invo king the s ame TM ac tion on an already m arked pres cription. | |
| 3326 | ||
| 3327 | There is a lso a new hidden act ion in the Patient P rescriptio n Processi ng [PSO LM BACKDOOR ORDERS] op tion calle d TR (Conv ert Titra tion Rx). This actio n populate s the MAIN TENANCE DO SE RX (#45 .2) field in the PRE SCRIPTION File (#52) . When a t itration t o maintena nce prescr iption nee ds to be r efilled so the patie nt can con tinue on t he Mainten ance Dose, this opti on allows users to c reate a ne w prescrip tion with the mainte nance dose only. The process w orks simil ar to copy ing an exi sting pres cription; however, i t can only be used o n prescrip tions with the follo wing chara cteristics : | |
| 3328 | ||
| 3329 | Rx is a co mplex orde r with a T HEN conjun ction | |
| 3330 | Rx is rele ased | |
| 3331 | Rx status is ACTIVE | |
| 3332 | Rx does no t have ref ills previ ously orde red | |
| 3333 | Rx # Of Re fills is g reater tha n 0 (zero) | |
| 3334 | ||
| 3335 | Before the new Maint enance Rx can be acc epted, the user is p rompted to validate the QTY fi eld for th e new Rx, which may or may not be autom atically r e-calculat ed. Only t he last do se from th e original prescript ion is car ried over to the new Maintenan ce Rx, and the # of Refills fi eld is dec reased by 1 because the new Ma intenance Rx counts as a fill. Once the user verif ies the in formation for the Ma intenance Rx is accu rate, they can accep t the Main tenance Rx . This act ion will t rigger a D uplicate D rug check against th e original complex o rder, whic h must be discontinu ed before the new Ma intenance Rx can be accepted. After the new Mainte nance Rx i s accepted , it will have the n ew indicat or 'm' on the right side of th e Rx # in the patien t's Medica tion Profi le as seen below (en try #1): | |
| 3336 | ||
| 3337 | : : : | |
| 3338 | ISSUE LA ST REF DAY | |
| 3339 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 3340 | -------- ---------- ---------- ---ACTIVE- ---------- ---------- ---------- | |
| 3341 | 1 10000 5436m AMO XAPINE 50M G TAB 30 S 09-26 09- 26 1 30 | |
| 3342 | 2 10000 5022 AMO XICILLIN 2 50MG CAP 30 A 08-18 08- 18 11 30 | |
| 3343 | 3 10000 5035 KAL ETRA 3 A 09-29 09- 29 0 3 | |
| 3344 | : : : | |
| 3345 | ||
| 3346 | Entering a New Order | |
| 3347 | If a doubl e question mark (??) is entere d at the “ Select Act ion” promp t, the fol lowing hid den action s will dis play in th e action a rea. Actio ns that ap ply only t o outpatie nt orders are follow ed by (OP) . | |
| 3348 | ||
| 3349 | The follow ing action s are also available : | |
| 3350 | RP Repri nt (OP) DN Down a Li ne LS Las t Screen | |
| 3351 | RN Renew (OP) RD Re Displa y Screen FS Fir st Screen | |
| 3352 | DC Disco ntinue (OP ) PT Print Lis t GO Go to Page | |
| 3353 | RL Relea se (OP) PS Print Scr een + Nex t Screen | |
| 3354 | RF Refil l (OP) > Shift Vie w to Right - Pre vious Scre en | |
| 3355 | PP Pull Rx (OP) < Shift Vie w to Left ADPL Aut o Display( On/Off) | |
| 3356 | IP Inpat . Profile (OP) SL Search Li st CK Che ck Interac tions | |
| 3357 | RS Repri nt Sig Log RDD Fill/Rel Date Displ y IN Int ervention Menu | |
| 3358 | CM Manua l Queue to CMOP DR Display R emote UP Up a Line | |
| 3359 | OTH Other OP Action s QU Quit | |
| 3360 | ||
| 3361 | First, a p atient is selected. | |
| 3362 | ||
| 3363 | Example: E ntering a New Order | |
| 3364 | Select Pha rmacy Tech nician's M enu Option : PATient Prescripti on Process ing | |
| 3365 | Select PAT IENT NAME: OPPATIENT 16,ONE 4-3-41 00024680 2 YES SC VET ERAN | |
| 3366 | Patient is enrolled to receive ScripTalk ‘talking’ prescript ion labels . | |
| 3367 | ||
| 3368 | Eligibilit y: SC | |
| 3369 | RX PATIENT STATUS: S ERVICE CON NECTED// <Enter> | |
| 3370 | ||
| 3371 | [Patient I nformation Screen sk ipped] | |
| 3372 | ||
| 3373 | If RDI is active and a patient has presc riptions a t another location, when the u ser select s the pati ent to ent er a new o rder from Patient Pr escription Processin g, the fol lowing mes sage appea rs. | |
| 3374 | ||
| 3375 | REMOTE PRE SCRIPTIONS AVAILABLE ! | |
| 3376 | Display Re mote Data? N// | |
| 3377 | ||
| 3378 | If the use r responds NO, then the normal procedure occurs fo r entering prescript ions. If t he user re sponds YES , the “Rem ote Facili ties Visit ed” screen appears. See the Di splaying a Patient’s Remote Pr escription s section later in E ntering a New Order for more d etails. | |
| 3379 | ||
| 3380 | Although “ Quit” is t he default at the “S elect Acti on” prompt shown on the Patien t Informat ion screen , <Enter> at this pr ompt quits the scree n and disp lays the M edication Profile. T his Medica tion Profi le include s any Non- VA Med ord ers docume nted via t he CPRS GU I package. | |
| 3381 | ||
| 3382 | Medication Profile Jun 12, 20 01 14:12:2 1 Page: 1 of 1 | |
| 3383 | OPPATIENT1 6,ONE | |
| 3384 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999) | |
| 3385 | DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999) | |
| 3386 | SEX: MAL E | |
| 3387 | CrCL: 102 .4(est.) ( CREAT:1.0m g/dL 10/30 /12) B SA (m2): 2 .08 | |
| 3388 | ISSUE LAS T REF DAY | |
| 3389 | # RX # DRU G QTY ST DATE FIL L REM SUP | |
| 3390 | ||
| 3391 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 3392 | 1 503904$ AMP ICILLIN 25 0MG CAP 80 E 05-25 05-2 5 0 10 | |
| 3393 | 2 503886$ DIG OXIN (LANO XIN) 0.2MG CAP 60 A> 05-07 05-0 7 5 30 | |
| 3394 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- --------- | |
| 3395 | 3 503902 ACE TAMINOPHEN 500MG TAB 60 DC> 05-22 05-2 2 3 30 | |
| 3396 | ||
| 3397 | ||
| 3398 | Enter ?? f or more ac tions | |
| 3399 | PU Patien t Record U pdate NO New Or der | |
| 3400 | PI Patien t Informat ion SO Select Order | |
| 3401 | Select Act ion: Quit/ / NO New Order | |
| 3402 | ||
| 3403 | Typing in the letter s “NO” at the “Selec t Action” prompt cre ates a new order. | |
| 3404 | ||
| 3405 | Example: E ntering a New Order (continued ) | |
| 3406 | Medication Profile Mar 29, 20 11@14:34:2 7 Page: 1 of 1 | |
| 3407 | (Patient i nformation is displa yed here.) | |
| 3408 | : | |
| 3409 | Enter ?? f or more ac tions | |
| 3410 | PU Patien t Record U pdate NO New Or der | |
| 3411 | PI Patien t Informat ion SO Select Order | |
| 3412 | Select Act ion: Quit/ / NO New Order | |
| 3413 | ||
| 3414 | Eligibilit y: | |
| 3415 | RX PATIENT STATUS: S C LESS THA N 50%// | |
| 3416 | DRUG: ACET AMINOPHEN | |
| 3417 | Lookup: GENERIC NA ME | |
| 3418 | 1 A CETAMINOPH EN 160MG/5 ML LIQUID CN103 NATL F ORM; 480 M | |
| 3419 | L/BT (NDC) | |
| 3420 | 2 A CETAMINOPH EN 325MG T AB CN103 NAT L FORM; DU : INCREMEN | |
| 3421 | TS OF 100 ONLY *** A UTOMED & S CRIPTPRO * ** | |
| 3422 | 3 A CETAMINOPH EN 325MG/B UTALBITAL 50MG TAB C N103 N /F N | |
| 3423 | ATL N/F | |
| 3424 | 4 A CETAMINOPH EN 500MG T AB CN103 NAT L FORM; DU : INCREMEN | |
| 3425 | TS OF 100 ONLY*** AU TOMED & SC RIPTPRO ** * | |
| 3426 | 5 A CETAMINOPH EN 650MG R TL SUPP CN 103 NATL FOR M (IEN) | |
| 3427 | ||
| 3428 | CHOOSE 1-5 : 5 ACETA MINOPHEN 6 50MG RTL S UPP CN103 NATL FORM (IEN | |
| 3429 | ) | |
| 3430 | ||
| 3431 | Now doing remote ord er checks. Please wa it... | |
| 3432 | ||
| 3433 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 3434 | ||
| 3435 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 3436 | ||
| 3437 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 3438 | ||
| 3439 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 3440 | *** THERAP EUTIC DUPL ICATION(S) *** ACETA MINOPHEN 6 50MG RTL S UPP with | |
| 3441 | L ocal RX#: 2054930 | |
| 3442 | Drug: ACETAMINOP HEN 500MG TAB (Activ e) | |
| 3443 | SIG: TAKE ONE T ABLET BY M OUTH EVERY FOUR HOUR S AS NEEDE D | |
| 3444 | QTY: 180 Days Supp ly: 30 | |
| 3445 | Proce ssing Stat us: Not re leased loc ally (Wind ow) | |
| 3446 | Last F illed On: 03/29/11 | |
| 3447 | ||
| 3448 | Class(es) Involved i n Therapeu tic Duplic ation(s): Non-Narcot ic | |
| 3449 | Analgesic/ Antipyreti c, Non-Sal icylate | |
| 3450 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 3451 | ||
| 3452 | Press Retu rn to cont inue: | |
| 3453 | Discontinu e Rx #2054 930 ACETAM INOPHEN 50 0MG TAB Y/ N ? | |
| 3454 | ||
| 3455 | The system checks th e medicati on selecte d for any duplicate drugs or c lasses, in teractions , or aller gies that are noted in the pat ient’s loc al and rem ote record . This als o includes any local Non-VA Me ds. See th e followin g order ch eck exampl es. | |
| 3456 | ||
| 3457 | Clerk Ente ring New O rder via B ackdoor – Drug Check for Clerk Parameter set to No | |
| 3458 | PI Patien t Informat ion SO Select Order | |
| 3459 | Select Act ion: Quit/ / NO New Order | |
| 3460 | ||
| 3461 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 3462 | RX PATIENT STATUS: O PT NSC// | |
| 3463 | DRUG: ASPI RIN 81 | |
| 3464 | Lookup: GENERIC NA ME | |
| 3465 | ASPIRIN 81 MG EC TAB CN103 | |
| 3466 | . ..OK? Yes/ / (Yes) | |
| 3467 | ||
| 3468 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3469 | Duplicate Drug in Lo cal Rx: | |
| 3470 | ||
| 3471 | Rx #: 2608 | |
| 3472 | Drug: ASPIRIN 81 MG EC TAB | |
| 3473 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3474 | QTY: 30 Re fills rema ining: 11 | |
| 3475 | Provider: PSOPROVIDE R,TEN I ssued: 03/ 24/08 | |
| 3476 | Status: Active Last fill ed on: 03/ 24/08 | |
| 3477 | Processin g Status: Released l ocally on 3/24/08@08 :55:32 (W indow) | |
| 3478 | Days S upply: 30 | |
| 3479 | ------- RX DELETED | |
| 3480 | ||
| 3481 | ||
| 3482 | Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES// | |
| 3483 | . | |
| 3484 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 3485 | ||
| 3486 | Clerk Ente ring New O rder via B ackdoor – Drug Check for Clerk Parameter set to No – Duplica te Drug – Discontinu ed Status | |
| 3487 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 3488 | RX PATIENT STATUS: O PT NSC// | |
| 3489 | DRUG: ASPI RIN | |
| 3490 | Lookup: GENERIC NA ME | |
| 3491 | 1 A SPIRIN 325 MG EC TAB CN103 | |
| 3492 | 2 A SPIRIN 325 MG SUPPOSI TORY CN103 | |
| 3493 | 3 A SPIRIN 325 MG TAB CN1 03 | |
| 3494 | 4 A SPIRIN 650 MG/BUTALBI TAL 50MG T AB CN103 | |
| 3495 | 5 A SPIRIN 81M G EC TAB C N103 | |
| 3496 | Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR | |
| 3497 | CHOOSE 1-5 : 1 ASPIR IN 325MG E C TAB CN103 | |
| 3498 | Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D): No// NO | |
| 3499 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3500 | Duplicate Drug in Lo cal Rx: | |
| 3501 | ||
| 3502 | Rx #: 2605A | |
| 3503 | Dr ug: ASPIRI N 325MG EC TAB | |
| 3504 | S IG: TAKE O NE TABLET BY MOUTH T WICE A DAY | |
| 3505 | Q TY: 60 Refil ls remaini ng: 11 | |
| 3506 | Provid er: PSOPRO VIDER,TEN Issu ed: 03/24/ 08 | |
| 3507 | Stat us: Discon tinued (Ed it) La st filled on: 03/24/ 08 | |
| 3508 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
| 3509 | Days Supp ly: 30 | |
| 3510 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3511 | ||
| 3512 | Press Retu rn to Cont inue: | |
| 3513 | ||
| 3514 | Clerk Fini shing Pend ing Order – Drug Che ck for Cle rk paramet er set to No | |
| 3515 | ED (Edit) FN Finish | |
| 3516 | ||
| 3517 | Pending OP Orders (R OUTINE) Mar 24, 20 08@14:35:2 1 Page: 1 of 3 | |
| 3518 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 3519 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 3520 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 3521 | SEX: MAL E | |
| 3522 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .78 | |
| 3523 | ||
| 3524 | ||
| 3525 | CPRS Order Checks: | |
| 3526 | Dupl icate drug order: AS PIRIN TAB, EC 81MG T AKE ONE TA BLET BY MO UTH EVERY | |
| 3527 | MORN ING [ACTI VE] | |
| 3528 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3529 | Overr iding Reas on: TESTIN G | |
| 3530 | ||
| 3531 | Dupl icate drug class ord er:(ASPIRI N TAB,EC 325MG | |
| 3532 | TAKE ONE TABLE T BY MOUTH EVERY MOR NING [UNR ELEASED]) | |
| 3533 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3534 | Overr iding Reas on: TESTIN G | |
| 3535 | ||
| 3536 | *(1) Order able Item: ASPIRIN T AB,EC | |
| 3537 | (2) Drug: ASPIRIN 8 1MG EC TAB | |
| 3538 | NDC: 00056-017 6-75 | |
| 3539 | (3) *Dosage: 81 (MG) | |
| 3540 | + Enter ?? f or more ac tions | |
| 3541 | BY Bypass DC (Disco ntinue) | |
| 3542 | ED (Edit) FN Finish | |
| 3543 | Select Ite m(s): Next Screen// FN Finis h | |
| 3544 | ||
| 3545 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3546 | Duplicate Drug in Lo cal Rx: | |
| 3547 | ||
| 3548 | Rx #: 2608 | |
| 3549 | Dr ug: ASPIRI N 81MG EC TAB | |
| 3550 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 3551 | Q TY: 30 Refills re maining: 1 1 | |
| 3552 | Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08 | |
| 3553 | Stat us: Active Last fi lled on: 0 3/24/08 | |
| 3554 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
| 3555 | Days Supply: 3 0 | |
| 3556 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
| 3557 | ||
| 3558 | Pending OP Orders (R OUTINE) Mar 24, 20 08@14:35:2 5 Page: 1 of 3 | |
| 3559 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 3560 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 3561 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 3562 | SEX: MAL E | |
| 3563 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 2 .09 | |
| 3564 | ||
| 3565 | CPRS Order Checks: | |
| 3566 | Dupl icate drug order: AS PIRIN TAB, EC 81MG T AKE ONE TA BLET BY MO UTH EVERY | |
| 3567 | MORN ING [ACTI VE] | |
| 3568 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3569 | Overr iding Reas on: TESTIN G | |
| 3570 | ||
| 3571 | Dupl icate drug class ord er: NON-OP IOID ANALG ESICS (ASP IRIN TAB,E C 325MG | |
| 3572 | TAKE ONE TABLE T BY MOUTH EVERY MOR NING [UNR ELEASED]) | |
| 3573 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 3574 | Overr iding Reas on: TESTIN G | |
| 3575 | ||
| 3576 | *(1) Order able Item: ASPIRIN T AB,EC | |
| 3577 | (2) Drug: ASPIRIN 8 1MG EC TAB | |
| 3578 | NDC: 00056-017 6-75 | |
| 3579 | (3) *Dosage: 81 (MG) | |
| 3580 | + Enter ?? f or more ac tions | |
| 3581 | AC Accept ED E dit DC Disco ntinue | |
| 3582 | Select Ite m(s): Next Screen// DC Disco ntinue | |
| 3583 | ||
| 3584 | Nature of Order: SER VICE CORRE CTION// S | |
| 3585 | ||
| 3586 | Requesting PROVIDER: PSOPROVID ER,TEN// LBB 119 | |
| 3587 | Comments: Per Pharma cy Request Replace | |
| 3588 | ||
| 3589 | Press Retu rn to : | |
| 3590 | ||
| 3591 | PI Patien t Informat ion SO Select Order | |
| 3592 | PU Patien t Record U pdate NO New Or der | |
| 3593 | PI Patien t Informat ion SO Select Order | |
| 3594 | Select Act ion: Quit/ / 2 | |
| 3595 | ||
| 3596 | Medication Profile Mar 24, 20 08@14:36:2 8 Page: 1 of 1 | |
| 3597 | PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT > | |
| 3598 | PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006) | |
| 3599 | DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006) | |
| 3600 | SEX: MAL E | |
| 3601 | CrCL: 102 .4(est.) ( CREAT:1.0m g/dL 10/30 /12) B SA (m2): 1 .78 | |
| 3602 | ISSUE LA ST REF DAY | |
| 3603 | # RX # DRU G QTY ST DATE FI LL REM SUP | |
| 3604 | ||
| 3605 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------- | |
| 3606 | 1 2608 ASP IRIN 81MG EC TAB 30 A 03-24 03- 24 11 30 | |
| 3607 | ---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------- | |
| 3608 | 2 2609 ASP IRIN 325MG EC TAB 30 N 03-24 03- 24 5 30 | |
| 3609 | ||
| 3610 | Duplicate with Non-V A Med – No Action Re quired | |
| 3611 | DRUG: CIME TIDINE | |
| 3612 | Lookup: GENERIC NA ME | |
| 3613 | 1 C IMETIDINE 100MG TAB GA301 | |
| 3614 | 2 C IMETIDINE 200MG TAB GA301 | |
| 3615 | 3 C IMETIDINE 300MG TAB GA301 90 DAY SUPPLY | |
| 3616 | 4 C IMETIDINE 400MG TAB GA301 | |
| 3617 | 5 C IMETIDINE 800MG TAB GA301 | |
| 3618 | CHOOSE 1-5 : 3 CIMET IDINE 300M G TAB GA301 90 DAY SUPPL Y | |
| 3619 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
| 3620 | Duplicate Drug in a Non-VA Med Order for | |
| 3621 | ||
| 3622 | ||
| 3623 | Drug : CIMETIDI NE 300MG T AB | |
| 3624 | Dosage : 300MG | |
| 3625 | Schedule : AT BEDTI ME | |
| 3626 | Medica tion Route : MOUTH | |
| 3627 | Start Date : C PRS Order #: 13554 | |
| 3628 | Doc umented By : PSOPROVI DER,TEN on Mar 24, 2 008@14:44: 15 | |
| 3629 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
| 3630 | ||
| 3631 | Press Retu rn to Cont inue: | |
| 3632 | ||
| 3633 | VERB: TAKE | |
| 3634 | There are 2 Availabl e Dosage(s ): | |
| 3635 | 1. 300MG | |
| 3636 | 2. 600MG | |
| 3637 | ||
| 3638 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 3639 | or Enter a Question Mark (?) t o view lis t: 1 300MG | |
| 3640 | ||
| 3641 | You entere d 300MG is this corr ect? Yes// | |
| 3642 | ||
| 3643 | Duplicate Drug with Pending Or der | |
| 3644 | Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES// | |
| 3645 | ||
| 3646 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100 | |
| 3647 | RX PATIENT STATUS: O PT NSC// | |
| 3648 | DRUG: ALLO PURINOL | |
| 3649 | Lookup: GENERIC NA ME | |
| 3650 | 1 A LLOPURINOL 100MG TAB MS400 | |
| 3651 | 2 A LLOPURINOL 300MG TAB MS400 | |
| 3652 | CHOOSE 1-2 : 2 ALLOP URINOL 300 MG TAB MS400 | |
| 3653 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3654 | DUPLICATE DRUG in a Pending Or der for: | |
| 3655 | ||
| 3656 | Dr ug: ALLOPU RINOL 300M G TAB | |
| 3657 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
| 3658 | Q TY: 180 # of Refills: 3 | |
| 3659 | Provid er: PSOPRO VIDER,TEN Iss ue Date: 0 3/24/08@14 :44:15 | |
| 3660 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 3661 | Discontinu e Pending Order for ALLOPURINO L 300MG? Y /N YES | |
| 3662 | ||
| 3663 | Pending Or der for AL LOPURINOL 300MG will be discon tinued aft er the acc eptance of the new o rder. | |
| 3664 | ||
| 3665 | VERB: TAKE | |
| 3666 | There are 2 Availabl e Dosage(s ): | |
| 3667 | 1. 300MG | |
| 3668 | 2. 600MG | |
| 3669 | ||
| 3670 | Select fro m list of Available Dosages(1- 2), Enter Free Text Dose | |
| 3671 | or Enter a Question Mark (?) t o view lis t: 1 300MG | |
| 3672 | ||
| 3673 | You entere d 300MG is this corr ect? Yes// YES | |
| 3674 | VERB: TAKE | |
| 3675 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 3676 | Dosage Ord ered: 300M G | |
| 3677 | ||
| 3678 | NOUN: TABL ET | |
| 3679 | ROUTE: PO/ / ORAL PO MO UTH | |
| 3680 | Schedule: QAM // | |
| 3681 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 3682 | QAM QAM EVERY MO RNING | |
| 3683 | . ..OK? Yes/ / (Yes) | |
| 3684 | (EVERY MO RNING) | |
| 3685 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): | |
| 3686 | CONJUNCTIO N: | |
| 3687 | PATIENT IN STRUCTIONS : | |
| 3688 | ||
| 3689 | (TAKE ONE TABLET BY MOUTH EVER Y MORNING) | |
| 3690 | ||
| 3691 | DAYS SUPPL Y: (1-90) : 30// | |
| 3692 | QTY ( TAB ) : 30// 3 0 | |
| 3693 | COPIES: 1/ / 1 | |
| 3694 | # OF REFIL LS: (0-11 ): 11// | |
| 3695 | PROVIDER: PSOPROV IDER,TEN | |
| 3696 | CLINIC: | |
| 3697 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 3698 | METHOD OF PICK-UP: | |
| 3699 | REMARKS: | |
| 3700 | ISSUE DATE : TODAY// (MAR 24, 2008) | |
| 3701 | FILL DATE: (3/24/20 08 - 3/25/ 2009): TOD AY// (MA R 24, 2008 ) | |
| 3702 | Nature of Order: WRI TTEN// W | |
| 3703 | ||
| 3704 | Rx # 2610 03/24/0 8 | |
| 3705 | PSOPATIENT ,FOUR #30 | |
| 3706 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3707 | ||
| 3708 | ALLOPURINO L 300MG TA B | |
| 3709 | PSOPROVIDE R,TEN PSO PHARMACIST ,ONE | |
| 3710 | # of Refil ls: 11 | |
| 3711 | ||
| 3712 | ||
| 3713 | SC Percent: 1 00% | |
| 3714 | Disab ilities: N ONE STATED | |
| 3715 | ||
| 3716 | Was treatm ent for a Service Co nnected co ndition? y YES | |
| 3717 | Is this co rrect? YES // | |
| 3718 | ||
| 3719 | - Duplicat e Drug Pen ding Order for ALLOP URINOL 300 MG has bee n disconti nued... | |
| 3720 | ||
| 3721 | Copying an Existing Order | |
| 3722 | RN Renew | |
| 3723 | Select Act ion: Next Screen// C O CO | |
| 3724 | ||
| 3725 | OP Medicat ions (ACTI VE) Mar 12, 20 08@09:15:4 8 Page: 1 of 2 | |
| 3726 | PSOPATIENT ,TWO < A> | |
| 3727 | PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005) | |
| 3728 | DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005) | |
| 3729 | SEX: MAL E | |
| 3730 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): 1. 78 | |
| 3731 | ||
| 3732 | Rx # : 2584$ | |
| 3733 | (1) *Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB | |
| 3734 | (2) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB | |
| 3735 | Verb : TAKE | |
| 3736 | (3) *Dosage : ONE TABL ET | |
| 3737 | *Route : ORAL | |
| 3738 | *Schedule : QAM | |
| 3739 | (4)Pat In structions : | |
| 3740 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 3741 | (5) Pati ent Status : OPT NSC | |
| 3742 | (6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08 | |
| 3743 | Last Fill Date : 03/12/08 (Window) | |
| 3744 | Last Re lease Date : (8) Lot #: | |
| 3745 | Expires : 03/13/09 MFG: | |
| 3746 | + Enter ?? f or more ac tions | |
| 3747 | ||
| 3748 | ||
| 3749 | AC Accep t ED Edit | |
| 3750 | ||
| 3751 | New OP Ord er (COPY) Mar 12, 20 08@09:15:4 8 P age: 1 of 2 | |
| 3752 | PSOPATIENT ,TWO <A> | |
| 3753 | PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005) | |
| 3754 | DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005) | |
| 3755 | SEX: MAL E | |
| 3756 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): 1. 78 | |
| 3757 | ||
| 3758 | Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB | |
| 3759 | (1) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB | |
| 3760 | (2) Pati ent Status : OPT NSC | |
| 3761 | (3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08 | |
| 3762 | Verb : TAKE | |
| 3763 | (5) Dosa ge Ordered : ONE TABL ET | |
| 3764 | Route : ORAL | |
| 3765 | Schedule : QAM | |
| 3766 | (6)Pat I nstruction : | |
| 3767 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 3768 | (7) D ays Supply : 30 (8) QTY ( ): 30 | |
| 3769 | (9) # of Refills : 11 (10) Routing: WINDOW | |
| 3770 | (11) Clinic : | |
| 3771 | (12) Provider : PSOPROVI DER,ONE (13) Copies: 1 | |
| 3772 | + Enter ?? f or more ac tions | |
| 3773 | AC Accep t ED Edit | |
| 3774 | Select Act ion: Next Screen// A C Accept | |
| 3775 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 3776 | Duplicate Drug in Lo cal RX: | |
| 3777 | ||
| 3778 | Rx #: 2584 | |
| 3779 | Drug: AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB | |
| 3780 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3781 | QTY: 30 Refills re maining: 1 1 | |
| 3782 | Provider: OPPROVIDER , ONE Issued: 0 3/12/07 | |
| 3783 | Status: ACTIVE Last fi lled on: 0 3/12/07 | |
| 3784 | Processin g Status: Released l ocally on 3/12/07@08 :55:32 (W indow) | |
| 3785 | Days Supply: 3 0 | |
| 3786 | ||
| 3787 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 3788 | Discontinu e Rx #2584 AMLODIPIN E 5MG/ATOR VASTATIN 1 0MG TAB? Y /N YES | |
| 3789 | ||
| 3790 | Rx #2584 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB will be discon tinued aft er the acc eptance of the new o rder. | |
| 3791 | ||
| 3792 | Nature of Order: WRI TTEN// W | |
| 3793 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 3794 | ||
| 3795 | Do you wan t to enter a Progres s Note? No // NO | |
| 3796 | ||
| 3797 | Rx # 2585 03/12/0 8 | |
| 3798 | PSOPATIENT ,TWO T #30 | |
| 3799 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 3800 | ||
| 3801 | AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB | |
| 3802 | PSOPROVIDE R,ONE PSOPHARM ACIST,ONE | |
| 3803 | # of Refil ls: 11 | |
| 3804 | ||
| 3805 | ||
| 3806 | SC Percent: 4 0% | |
| 3807 | Disab ilities: N ONE STATED | |
| 3808 | ||
| 3809 | Was treatm ent for Se rvice Conn ected cond ition? NO/ / | |
| 3810 | ||
| 3811 | Is this co rrect? YES // ... | |
| 3812 | ||
| 3813 | Duplicate Drug Rx #2 584 AMLODI PINE 5MG/A TORVASTATI N 10MG TAB has been discontinu ed... | |
| 3814 | ||
| 3815 | Note: More than one ingredient and more than one V A Drug Cla ss may be associated with an A llergy/ADR . See outp ut below: | |
| 3816 | ||
| 3817 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
| 3818 | ||
| 3819 | Drug: DILT IAZEM (DIL ACOR XR) 2 40MG SA CA P | |
| 3820 | Ingredi ents: DILT IAZEM (REM OTE SITE(S )), | |
| 3821 | Class: CV200 CALC IUM CHANNE L BLOCKERS (REMOTE S ITE(S)) | |
| 3822 | Allergy/AD R Order Ch eck Displa y | |
| 3823 | This secti on details the Aller gy/ADR ord er check d isplay wit hin Outpat ient Pharm acy. | |
| 3824 | ||
| 3825 | Outpatient Pharmacy displays t he same Al lergy/ADR warning on ly once if both a dr ug class(e s) and dru g ingredie nt(s) are defined fo r the Alle rgy/ADR. T he drug cl ass and dr ug ingredi ent will b e listed o n the sing le display . The user is prompt ed to inte rvene once . If no in tervention is chosen , the stan dard order entry dia log will r esume. Loc al and rem ote Allerg y/ADRs are combined. | |
| 3826 | ||
| 3827 | If no Alle rgy Assess ment has b een docume nted for t he patient for whom the medica tion order is being processed, the user will be fo rced to lo g an inter vention fo r every me dication o rder enter ed until t he allergy assessmen t is resol ved. | |
| 3828 | ||
| 3829 | See exampl es below: | |
| 3830 | ||
| 3831 | ||
| 3832 | Note: Tec hnicians d o not get prompted f or interve ntions. | |
| 3833 | ||
| 3834 | ||
| 3835 | Remote All ergy/ADR – New Order Entry Bac kdoor – Bo th Ingredi ent and Dr ug Class d efined for Allergy/A DR | |
| 3836 | ||
| 3837 | Select Act ion: Quit/ / NO New O rder | |
| 3838 | PATIENT ST ATUS: SC// | |
| 3839 | DRUG: DILT IAZEM | |
| 3840 | Lookup: GE NERIC NAME | |
| 3841 | 1 DILTIAZE M (DILACOR XR) 240MG SA CAP CV 200 N/F Th is | |
| 3842 | drug will not be pro cessed wit hout Drug Request Fo rm 10-7144 | |
| 3843 | 2 DILTIAZE M (INWOOD) 120MG SA CAP CV200 | |
| 3844 | 3 DILTIAZE M (INWOOD) 180MG SA CAP CV200 | |
| 3845 | 4 DILTIAZE M (INWOOD) 240MG SA CAP CV200 | |
| 3846 | 5 DILTIAZE M (INWOOD) 300MG SA CAP CV200 | |
| 3847 | Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR | |
| 3848 | CHOOSE 1-5 : 1 DILTIA ZEM (DILAC OR XR) 240 MG SA CAP CV200 N/F This drug will not b e processe d without Drug Reque st Form 10 -7144 | |
| 3849 | Now doing allergy ch ecks. Plea se wait... | |
| 3850 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
| 3851 | Prospectiv e Drug: DI LTIAZEM (D ILACOR XR) 240MG SA CAP | |
| 3852 | Causative Agent: DIL TIAZEM (SI TE REPORTI NG ALLERGY – DATE RE PORTED) | |
| 3853 | Historical /Observed: OBSERVED | |
| 3854 | Severity: MODERATE | |
| 3855 | Ingredient s: DILTIAZ EM , | |
| 3856 | Signs/Symp toms: ITCH ING,WATERI NG EYES, A NOREXIA, N AUSEA,VOMI TING, | |
| 3857 | ANXIETY, D ROWSINESS, DRY MOUTH , DRY NOSE , RASH, | |
| 3858 | Drug Class : CV200 CA LCIUM CHAN NEL BLOCKE RS | |
| 3859 | , | |
| 3860 | Provider O verride Re ason: N/A - Order En tered Thro ugh VistA | |
| 3861 | VERB: TAKE | |
| 3862 | There are 2 Availabl e Dosage(s ): | |
| 3863 | 1. 2 40MG | |
| 3864 | 2. 4 80MG | |
| 3865 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 3866 | or Enter a Question Mark (?) t o view lis t: | |
| 3867 | ||
| 3868 | ||
| 3869 | ||
| 3870 | Local Alle rgy/ADR – New Order Entry Back door - Onl y Drug Cla ss defined . | |
| 3871 | Another Ne w Order fo r PSOPATIE NT, TEN? Y ES// | |
| 3872 | ||
| 3873 | Eligibilit y: NSC | |
| 3874 | RX PATIENT STATUS: O PT NSC// | |
| 3875 | ||
| 3876 | DRUG: PENI CILLIN | |
| 3877 | Lookup: GENERIC NA ME | |
| 3878 | 1 P ENICILLIN GK 5 MILLI ON UNIT VI AL INJ A M110 | |
| 3879 | 2 P ENICILLIN VK 250MG T AB BWATC AM110 | |
| 3880 | 3 P ENICILLIN VK 500MG T AB AM110 02- 25-20 | |
| 3881 | 4 P ENICILLIN VK SUSP 25 0MG/5ML AM110 MAY BE TAKEN WIT | |
| 3882 | HOUT REGAR D TO FOOD | |
| 3883 | CHOOSE 1-4 : 2 PENIC ILLIN VK 2 50MG TAB BWA TC AM1 10 | |
| 3884 | ||
| 3885 | ||
| 3886 | ||
| 3887 | Now doing remote ord er checks. Please wa it... | |
| 3888 | ||
| 3889 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 3890 | ||
| 3891 | ||
| 3892 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
| 3893 | ||
| 3894 | Prospe ctive Drug : PENICILL IN VK 250M G TAB | |
| 3895 | Causa tive Agent : PENICILL IN (CLE13 TEST LAB - 06/18/02) | |
| 3896 | Historica l/Observed : HISTORIC AL | |
| 3897 | Severity : Not Ente red | |
| 3898 | I ngredients : PENICILL IN | |
| 3899 | Sign s/Symptoms : HIVES | |
| 3900 | Drug Class : AM110 PE NICILLIN-G RELATED P ENICILLINS | |
| 3901 | ||
| 3902 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
| 3903 | ||
| 3904 | Press Retu rn to cont inue: | |
| 3905 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 3906 | ||
| 3907 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 3908 | ||
| 3909 | VERB: TAKE | |
| 3910 | There is 1 Available Dosage(s) : | |
| 3911 | 1. 250MG | |
| 3912 | ||
| 3913 | Select fro m list of Available Dosages (1 -1), Enter Free Text Dose | |
| 3914 | or Enter a Question Mark (?) t o view lis t: 1 1 TAB LET | |
| 3915 | ||
| 3916 | You entere d 1 TABLET is this c orrect? Ye s// YES | |
| 3917 | VERB: TAKE | |
| 3918 | ROUTE: PO/ / ORAL PO MO UTH | |
| 3919 | Schedule: BID | |
| 3920 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 3921 | BID BID TWICE A DAY | |
| 3922 | . ..OK? Yes/ / (Yes) | |
| 3923 | (TWICE A DAY LIMITE D DURATION (IN DAYS, HOURS OR MINUTES): | |
| 3924 | Local & Re mote Aller gy/ADR – M ulti-ingre dients, Pe nding Orde r | |
| 3925 | ||
| 3926 | Note: Te chnicians do not get prompted for interv entions. | |
| 3927 | ||
| 3928 | ED Edit FN Finish | |
| 3929 | Select Ite m(s): Next Screen// NEXT SCREE N | |
| 3930 | Pending OP Orders (R OUTINE) Ma r 24, 2008 @21:56:03 Page: 2 of 3 | |
| 3931 | PSOPATIENT ,THREE <A> | |
| 3932 | PID: 000-0 0-0000 Ht( cm): 167.6 4 (06/10/1 993) | |
| 3933 | DOB: FEB 2 ,1939 (69) Wt(kg): 6 8.18 (06/1 0/1993) | |
| 3934 | + | |
| 3935 | *(1) Order able Item: SULFAMETH OXAZOLE/TR IMETHOPRIM TAB | |
| 3936 | (2) Drug: SULFAMETHO XAZOLE/TRI METHOPRIM DS TAB | |
| 3937 | Verb: TAKE | |
| 3938 | (3) *Dosag e: 1 TABLE T | |
| 3939 | *Route: OR AL | |
| 3940 | *Schedule: Q12H | |
| 3941 | (4) Pat In struct: | |
| 3942 | Provider C omments: | |
| 3943 | Instructio ns: TAKE 1 TABLET PO Q12H | |
| 3944 | SIG: TAKE 1 TABLET B Y MOUTH EV ERY 12 HOU RS | |
| 3945 | (5) Patien t Status: OPT NSC | |
| 3946 | (6) Issue Date: MAR 24,2008 (7 ) Fill Dat e: MAR 24, 2008 | |
| 3947 | + Enter ?? for more actions | |
| 3948 | BY Bypass DC Discont inue | |
| 3949 | ED Edit FN Finish | |
| 3950 | Select Ite m(s): Next Screen// FN Finish | |
| 3951 | Now doing allergy ch ecks. Plea se wait... | |
| 3952 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
| 3953 | Prospectiv e Drug: SU LFAMETHOXA ZOLE/TRIME THOPRIM DS TAB | |
| 3954 | Causative Agent: SUL FADIAZINE/ SULFAMERAZ INE/SULFAM ETHAZINE ( SITE REPOR TING ALLER GY – DATA REPORTED) | |
| 3955 | Historical /Observed: HISTORICA L | |
| 3956 | Severity: Not Entere d | |
| 3957 | Ingredient s: SULFAME THOXAZOLE TRIMETHOPR IM | |
| 3958 | Signs/Symp toms: ITCH ING,WATERI NG EYES, A NOREXIA, | |
| 3959 | NAUSEA,VOM ITING, ANX IETY, DROW SINESS, | |
| 3960 | Provider O verride Re ason: N/A - Order En tered Thro ugh VistA | |
| 3961 | Therapeuti c Duplicat ion | |
| 3962 | This secti on describ es enhance ments to t he existin g VistA Du plicate Cl ass order checks. Th e current VistA Dupl icate Clas s checks h ave been e nhanced us ing the FD B business rules and database, as well a s the FDB Enhanced T herapeutic Classific ation (ETC ) system. The Duplic ate Class check will now be re ferred to as the Dup licate The rapy order check. Th is order c heck will continue t o be perfo rmed again st active, pending, non-verifi ed orders on hold (i nitiated t hrough pha rmacy or C PRS), expi red and di scontinued orders. T he timefra me for inc lusion of locally di scontinued orders is determine d by the f ollowing f ormula: Di scontinued Date (Can cel Date) + Days Sup ply + 7. T his check will be pe rformed on active No n-VA Medic ation orde rs. | |
| 3963 | ||
| 3964 | No changes have been made to t he existin g user act ions for D uplicate T herapy ord er checks. Users wil l continue to have t he ability to discon tinue the order. The existing order will only be d iscontinue d upon acc eptance of the order being pro cessed. No discontin ue actions can be pe rformed on remote ou tpatient o rders, Non -VA medica tions, dis continued, and expir ed orders or orders placed on provider h old throug h CPRS. If the CANCE L DRUG IN SAME CLASS outpatien t site par ameter is set to ‘No ’, no disc ontinue ac tion is al lowed on a ny duplica te class o rder. | |
| 3965 | ||
| 3966 | Any remote Outpatien t order (f rom anothe r VAMC or Department of Defens e (DoD) fa cility) us ing data f rom Health Data Repo sitory His torical (H DR-Hx) or Health Dat a Reposito ry- Interi m Messagin g Solution (HDR-IMS) that has been expir ed for 30 days or le ss will be included in the lis t of medic ations to be checked . | |
| 3967 | ||
| 3968 | FDB custom tables wi ll be used to store custom cha nges to th e duplicat ion allowa nce for a FDB therap eutic clas sification . Each dup licate the rapy class is assign ed a dupli cation all owance. Th e duplicat ion allowa nce for a therapeuti c allowanc e determin es whether or not th e therapeu tic duplic ation warn ing will b e displaye d to the u ser. | |
| 3969 | ||
| 3970 | The Vendor 's (curren tly FDB) E nhanced Th erapeutic Classifica tion (ETC) System is now used in place o f the VA D rug Class for the Du plicate Th erapy (for merly dupl icate clas s) order c hecks. | |
| 3971 | ||
| 3972 | Duplicate Therapy or der checks will no l onger be p rocessed i n pairs. E ach duplic ate therap y warning includes a s many out patient me dication o rders as i t applies to. | |
| 3973 | ||
| 3974 | A duplicat e therapy warning is only disp layed if t he number of duplica te therapy matches e xceeds the duplicati on allowan ce specifi ed for the FDB dupli cate thera py class. | |
| 3975 | ||
| 3976 | The follow ing proces ses use th e enhanced functiona lity: | |
| 3977 | Entering a new outpa tient medi cation ord er through pharmacy options | |
| 3978 | Finishing a pending outpatient medicatio n order | |
| 3979 | Renewing a n outpatie nt medicat ion order | |
| 3980 | When a new outpatien t medicati on order i s created via an edi t | |
| 3981 | Verificati on of an o utpatient medication order ent ered or fi nished by a non-phar macist | |
| 3982 | Copy of an outpatien t medicati on order | |
| 3983 | Reinstatem ent of an outpatient medicatio n order | |
| 3984 | ||
| 3985 | See illust rations be low: | |
| 3986 | ||
| 3987 | Example: L ocal RX | |
| 3988 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 3989 | *** THERAP EUTIC DUPL ICATION(S) *** FAMOT IDINE 20MG TAB with | |
| 3990 | ||
| 3991 | Local Rx #: 2561 | |
| 3992 | Dru g: CIMETID INE 300MG TAB (DISCO NTINUED) | |
| 3993 | SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME | |
| 3994 | QT Y: 30 Days Sup ply: 30 | |
| 3995 | Pr ocessing S tatus: Rel eased loca lly on 3/4 /08@08:55: 32 (Windo w) | |
| 3996 | Las t Filled O n: 11/08/0 6 | |
| 3997 | ||
| 3998 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists) | |
| 3999 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4000 | ||
| 4001 | Example: R emote Rx | |
| 4002 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4003 | *** THERAP EUTIC DUPL ICATION(S) *** SUCRA LFATE 1GM TAB with | |
| 4004 | ||
| 4005 | LO CATION: <V A OR DOD F ACILITY> Remote Rx #: 65343 | |
| 4006 | Dru g: RANITID INE HCL 15 0MG TAB (E XPIRED) | |
| 4007 | SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY | |
| 4008 | QT Y: 180 Days Sup ply: 90 | |
| 4009 | Las t Filled O n: 11/08/0 6 | |
| 4010 | ||
| 4011 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents | |
| 4012 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4013 | ||
| 4014 | Example: P ending Ord er | |
| 4015 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4016 | ||
| 4017 | *** THERAP EUTIC DUPL ICATION(S) *** NIZAT IDINE 150M G CAP with | |
| 4018 | ||
| 4019 | Pending Dr ug: FAMOTI DINE 20MG TAB | |
| 4020 | S IG: TAKE O NE TABLET BY TWICE D AILY | |
| 4021 | ||
| 4022 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents | |
| 4023 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4024 | ||
| 4025 | Example: N on-VA Med Order | |
| 4026 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4027 | ||
| 4028 | *** THERAP EUTIC DUPL ICATION(S) *** FAMOT IDINE 20MG TAB with | |
| 4029 | ||
| 4030 | Non-VA Me d: CIMETID INE 300MG TAB | |
| 4031 | Dosag e: 300MG Schedule : TWICE A DAY | |
| 4032 | ||
| 4033 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists) | |
| 4034 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4035 | ||
| 4036 | If the CAN CEL DRUG I N SAME CLA SS outpati ent site p arameter i s set to ‘ No’, the f ollowing i nformation is shown for the du plicate th erapy warn ing: | |
| 4037 | ||
| 4038 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4039 | *** THERAP EUTIC DUPL ICATION(S) *** NIZAT IDINE 150M G CAP with | |
| 4040 | ||
| 4041 | Local R x #2561 (A CTIVE) for CIMETIDIN E 300MG TA B | |
| 4042 | ||
| 4043 | Local R x #2572 (P ROVIDER HO LD) for SU CRALFATE 1 MG TAB | |
| 4044 | ||
| 4045 | Remote Rx #2571 ( DISCONTINU ED) for RA NITIDINE H CL 150MG T AB | |
| 4046 | ||
| 4047 | Pending Order for FAMOTIDIN E 20MG TAB | |
| 4048 | ||
| 4049 | Non-VA Med Order for CIMETI DINE 300MG TAB | |
| 4050 | ||
| 4051 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P EPTIC ULCE R AGENTS, HISTAMINE- 2 RECEPTOR ANTAGOINS TS (H2 ANT AGONISTS) | |
| 4052 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4053 | ||
| 4054 | If there i s more tha n one remo te, local, pending o r Non-VA m ed order i nvolved in the thera peutic dup lication, the order details wi ll be disp layed one after the other. | |
| 4055 | ||
| 4056 | If the sam e drugs ar e involved in multip le therape utic dupli cations, a single th erapeutic duplicatio n warning will be di splayed an d multiple therapeut ic classes will be l isted. | |
| 4057 | ||
| 4058 | If the CAN CEL DRUG I N SAME CLA SS outpati ent site p arameter i s set to ‘ No’, no di scontinue action pro mpt will b e presente d. | |
| 4059 | ||
| 4060 | After all the therap eutic dupl ication wa rnings are displayed and if th e CANCEL D RUG IN SAM E CLASS ou tpatient s ite parame ter is set to ‘Yes’, the user will be as ked if the y want to discontinu e any of t he orders. | |
| 4061 | ||
| 4062 | See Exampl es: | |
| 4063 | ||
| 4064 | Discontinu e RX #2580 A SUCRALFA TE 1GM TAB ? Y/N | |
| 4065 | ||
| 4066 | Discontinu e Pending Order SUCR ALFATE 1GM TAB? Y/N | |
| 4067 | ||
| 4068 | The system will only allow a d iscontinua tion actio n on activ e, pending , non-veri fied and o rders plac ed on hold by pharma cy. | |
| 4069 | ||
| 4070 | The system will disp lay the fo llowing in formation for the nu mbered lis t of order s: | |
| 4071 | Prescripti on number (if applic able) | |
| 4072 | Dispense D rug (Order able item if dispens e drug not assigned to order) | |
| 4073 | Indicate i f the orde r is pendi ng (with t ext ‘Pendi ng Order’) | |
| 4074 | ||
| 4075 | See exampl e below: | |
| 4076 | ||
| 4077 | 1. Pen ding order AMLODIPI NE 5MG/ATO RVASTATIN 10MG | |
| 4078 | 2. RX #2426 LOVA STATIN 40M G TAB | |
| 4079 | ||
| 4080 | The discon tinuation of selecte d orders b y the syst em will oc cur at th e time the user acce pts the or der that i s being pr ocessed. | |
| 4081 | ||
| 4082 | Discontinu e order(s) ? Y/N Y e s | |
| 4083 | ||
| 4084 | 1. RX #2577 AMLO DIPINE 5MG /ATORVASTA TIN 10MG T AB | |
| 4085 | 2. RX #2581 CHOL ESTYRAMINE 9GM PACKE TS | |
| 4086 | ||
| 4087 | Select (1- 2): 1 Du plicate Th erapy RX # 2577 AMLOD IPINE 5MG/ ATORVASTAT IN 10MG TA B will be discontinu ed after t he accepta nce of the new order . | |
| 4088 | ||
| 4089 | Discontinu e order(s) ? Y/N Y e s | |
| 4090 | ||
| 4091 | 1. RX #2577 AMLO DIPINE 5MG /ATORVASTA TIN 10MG T AB | |
| 4092 | 2. Pen ding Order CHOLESTYR AMINE 9GM PACKETS | |
| 4093 | ||
| 4094 | Select (1- 2): 2 Du plicate Th erapy Pend ing Order CHOLESTYRA MINE 9GM P ACKETS wil l be disco ntinued af ter the ac ceptance o f the new order. | |
| 4095 | ||
| 4096 | If the use r fails to accept th e order th at is bein g processe d or exits before ac cepting th e order, t he system will not d iscontinue the order (s) select ed. | |
| 4097 | ||
| 4098 | The messag e displaye d to the u ser will c ontain: | |
| 4099 | Indicate t hat discon tinuance w as for Dup licate The rapy | |
| 4100 | The prescr iption num ber or tex t ‘Pending order’ if order sta tus is pen ding. | |
| 4101 | Dispense D rug (Order able item if dispens e drug not assigned to order) | |
| 4102 | Ending wit h text ‘NO T Disconti nued’ | |
| 4103 | ||
| 4104 | See exampl es below: | |
| 4105 | ||
| 4106 | Duplicate Therapy R X #2710 CI METIDINE 3 00MG TAB N OT Discont inued. | |
| 4107 | ||
| 4108 | Duplicate Therapy P ending Ord er RANITID INE 150MG TAB NOT D iscontinue d. | |
| 4109 | ||
| 4110 | Once the o rder being processed is accept ed and the re were or ders selec ted for di scontinuat ion, the s ystem will inform th e user whe n the disc ontinuatio n occurs. | |
| 4111 | ||
| 4112 | The messag e displaye d to the u ser will c ontain: | |
| 4113 | An indicat ion that d iscontinua nce was fo r Duplicat e Therapy | |
| 4114 | The prescr iption num ber or tex t ‘Pending order’ if order sta tus is pen ding. | |
| 4115 | Dispense D rug (Order able item if dispens e drug not assigned to order) | |
| 4116 | Ending wit h text ‘ha s been dis continued. ’ | |
| 4117 | ||
| 4118 | See exampl es below: | |
| 4119 | ||
| 4120 | Duplicate Therapy RX #2549 CIM ETIDINE 30 0MG TAB ha s been dis continued. .. | |
| 4121 | ||
| 4122 | Duplicate Therapy P ending Ord er RANITID INE 150MG TAB has b een discon tinued. | |
| 4123 | ||
| 4124 | See Therap eutic Dupl ication ex amples bel ow: | |
| 4125 | ||
| 4126 | Example: F inishing p ending ord er – Thera peutic Dup lication w ith Non-VA med and d iscontinue d order -N o disconti nue action allowed. | |
| 4127 | *(1) Order able Item: FAMOTIDIN E TAB ***( N/F)*** <D IN> | |
| 4128 | (2) CMOP Drug: FAMOTIDIN E 20MG TAB ***(N/F)* ** <DIN> | |
| 4129 | NDC: 00056-017 6-75 | |
| 4130 | (3) *Dosage: 20 (MG) | |
| 4131 | Verb: TAKE | |
| 4132 | Dispe nse Units: 1 | |
| 4133 | Noun: TABLET | |
| 4134 | *Route: ORAL | |
| 4135 | + Enter ?? f or more ac tions | |
| 4136 | BY Bypass DC Discon tinue | |
| 4137 | ED Edit FN Finish | |
| 4138 | Select Ite m(s): Next Screen// FN Finis h | |
| 4139 | ||
| 4140 | Now doing remote ord er checks. Please wa it... | |
| 4141 | ||
| 4142 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4143 | ||
| 4144 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4145 | ||
| 4146 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 4147 | ||
| 4148 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 4149 | *** THERAP EUTIC DUPL ICATION(S) *** FAMOT IDINE 20MG TAB with | |
| 4150 | ||
| 4151 | Local Rx #: 2561 | |
| 4152 | Dru g: CIMETID INE 300MG TAB (DISCO NTINUED) | |
| 4153 | SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME | |
| 4154 | QT Y: 30 Days Sup ply: 30 | |
| 4155 | Proces sing Statu s: Release d locally on 3/4/08@ 08:55:32 (Window) | |
| 4156 | Las t Filled O n: 11/08/0 6 | |
| 4157 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 4158 | Non-VA Me d: CIMETID INE 300MG TAB | |
| 4159 | Dosag e: 300MG Schedule : TWICE A DAY | |
| 4160 | ||
| 4161 | ||
| 4162 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists) | |
| 4163 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4164 | ||
| 4165 | Press Retu rn to Cont inue: | |
| 4166 | ||
| 4167 | Rx # 2570 03/07/0 8 | |
| 4168 | PSOPATIENT ,ONE #180 | |
| 4169 | TAKE ONE T ABLET BY M OUTH TWICE A DAY | |
| 4170 | ||
| 4171 | FAMOTIDINE 20MG TAB | |
| 4172 | PSOPROVIDE R,ONE PSO PHARMACIST ,ONE | |
| 4173 | # of Refil ls: 3 | |
| 4174 | ||
| 4175 | ||
| 4176 | SC Percent: 8 0% | |
| 4177 | Disab ilities: N ONE STATED | |
| 4178 | ||
| 4179 | Was treatm ent for a Service Co nnected co ndition? Y ES// | |
| 4180 | Are you su re you wan t to Accep t this Ord er? NO// | |
| 4181 | ||
| 4182 | Example: N ew Order E ntry Backd oor – Ther apeutic Du plication with pendi ng and act ive order. Disconti nue action shown. | |
| 4183 | PU Patien t Record U pdate NO New Or der | |
| 4184 | PI Patien t Informat ion SO Select Order | |
| 4185 | Select Act ion: Quit/ / no New Order | |
| 4186 | ||
| 4187 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 80 | |
| 4188 | RX PATIENT STATUS: S C// | |
| 4189 | DRUG: Niza tidine | |
| 4190 | Lookup : DRUG GE NERIC NAME | |
| 4191 | NIZATIDINE 150MG CAP GA302 | |
| 4192 | . ..OK? Yes/ / (Yes) | |
| 4193 | ||
| 4194 | Now doing remote ord er checks. Please wa it... | |
| 4195 | ||
| 4196 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4197 | ||
| 4198 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4199 | ||
| 4200 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 4201 | ||
| 4202 | ========== ========== ========== ========== ========== ========== ========== ====== | |
| 4203 | *** THERAP EUTIC DUPL ICATION(S) *** NIZAT IDINE 150M G CAP with | |
| 4204 | ||
| 4205 | Local Rx #: 2549 | |
| 4206 | Dru g: CIMETID INE 300MG TAB (ACTIV E) | |
| 4207 | SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME | |
| 4208 | QT Y: 30 Days Sup ply: 30 | |
| 4209 | Pr ocessing S tatus: Rel eased loca lly on 3/4 /09@08:55: 32 (Windo w) | |
| 4210 | Las t Filled O n: 11/08/0 6 | |
| 4211 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 4212 | P ending Dru g: FAMOTID INE 20MG T AB | |
| 4213 | SI G: TAKE ON E TABLET B Y TWICE DA ILY | |
| 4214 | ||
| 4215 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists) | |
| 4216 | ========== ========== ========== ========== ========== ========== ========== ======== | |
| 4217 | Discontinu e order(s) ? Y/N No | |
| 4218 | ||
| 4219 | Press Retu rn to Cont inue... | |
| 4220 | ||
| 4221 | There are 2 Availabl e Dosage(s ): | |
| 4222 | 1. 150MG | |
| 4223 | 2. 300MG | |
| 4224 | ||
| 4225 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 4226 | or Enter a Question Mark (?) t o view lis t: | |
| 4227 | . | |
| 4228 | . | |
| 4229 | O R | |
| 4230 | Discontinu e order(s) ? Y/N Y e s | |
| 4231 | ||
| 4232 | 1. Pen ding Order FAMOTIDIN E 20MG TAB | |
| 4233 | 2. RX #2549 CIME TIDINE 300 MG TAB | |
| 4234 | ||
| 4235 | Select (1- 2): 2 Du plicate Th erapy RX # 2549 CIMDT IDINE 300M G TAB will be discon tinued aft er the acc eptance of the new o rder. | |
| 4236 | ||
| 4237 | There are 2 Availabl e Dosage(s ): | |
| 4238 | 1. 150MG | |
| 4239 | 2. 300MG | |
| 4240 | ||
| 4241 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 4242 | or Enter a Question Mark (?) t o view lis t: 1 150MG | |
| 4243 | ||
| 4244 | You entere d 150MG is this corr ect? Yes// YES | |
| 4245 | VERB: TAKE | |
| 4246 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 4247 | Dosage Ord ered: 150M G | |
| 4248 | ||
| 4249 | NOUN: TABL ET | |
| 4250 | ROUTE: PO/ / ORAL PO MO UTH | |
| 4251 | Schedule: | |
| 4252 | This is a required r esponse. E nter '^' t o exit | |
| 4253 | Schedule: BID | |
| 4254 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 4255 | BID BID TWICE A DAY | |
| 4256 | . ..OK? Yes/ / (Yes) | |
| 4257 | (TWICE A DAY) | |
| 4258 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): | |
| 4259 | CONJUNCTIO N: | |
| 4260 | PATIENT IN STRUCTIONS : | |
| 4261 | (TAKE ONE TABLET BY MOUTH TWO TIMES A DA Y) | |
| 4262 | ||
| 4263 | DAYS SUPPL Y: (1-90) : 60// | |
| 4264 | QTY ( ) : 360// 180 | |
| 4265 | COPIES: 1/ / 1 | |
| 4266 | # OF REFIL LS: (0-3) : 3// | |
| 4267 | PROVIDER: PSOPROV IDER,ONE | |
| 4268 | CLINIC: BARB'S CL INIC 2 | |
| 4269 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 4270 | METHOD OF PICK-UP: | |
| 4271 | REMARKS: | |
| 4272 | ISSUE DATE : TODAY// (MAR 12, 2008) | |
| 4273 | FILL DATE: (3/12/20 08 - 3/13/ 2009): TOD AY// (MA R 12, 2008 ) | |
| 4274 | Nature of Order: WRI TTEN// W | |
| 4275 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 4276 | ||
| 4277 | Do you wan t to enter a Progres s Note? No // NO | |
| 4278 | ||
| 4279 | Rx # 2580 03/12/0 8 | |
| 4280 | PSOPATIENT ,ONE #18 0 | |
| 4281 | TAKE ONE T ABLET BY M OUTH TWO T IMES A DAY | |
| 4282 | ||
| 4283 | NIZATIDINE 150MG CAP | |
| 4284 | PSOPROVIDE R,ONE PSOPHARM ACIST,ONE | |
| 4285 | # of Refil ls: 3 | |
| 4286 | ||
| 4287 | ||
| 4288 | SC Percent: 8 0% | |
| 4289 | Disab ilities: N ONE STATED | |
| 4290 | ||
| 4291 | Was treatm ent for a Service Co nnected co ndition? | |
| 4292 | This is a required r esponse. E nter '^' t o exit | |
| 4293 | Was treatm ent for a Service Co nnected co ndition? N O | |
| 4294 | Is this co rrect? YES // | |
| 4295 | ||
| 4296 | -Duplicat e Therapy RX #2549 C IMETIDINE 300MG TAB has been d iscontinue d... | |
| 4297 | ||
| 4298 | ||
| 4299 | Another Ne w Order fo r PSOPATIE NT,ONE? YE S// | |
| 4300 | ||
| 4301 | Example: F inishing P ending Ord er – Thera peutic Dup lication w ith Non-Ve rified and Active or ders. One drug is in volved in both thera peutic dup lications. One dupli cation all owance val ue is grea ter than ‘ 0’. | |
| 4302 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ------- | |
| 4303 | 1 2577 AMLODI PINE 5MG/A TORVASTATI N 10MG TAB 90 A 03 -07 03-07 3 90 | |
| 4304 | 2 2578 ITRACO NAZOLE 100 MG CAP 60 A 03 -07 03-07 0 30 | |
| 4305 | 3 2576 SUCRAL FATE 1MG T AB 120 A 03 -07 03-07 0 30 | |
| 4306 | ---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ------- | |
| 4307 | 4 2581 CHOLES TYRAMINE 9 GM PACKETS 60 N 03 -12 03-12 11 30 | |
| 4308 | ---------- ---------- ---------- ------PEND ING------- ---------- ---------- ------- | |
| 4309 | 5 SIMVAST ATIN 20MG TAB QTY: 30 ISD T: 03-12 REF: 6 | |
| 4310 | ||
| 4311 | Enter ?? f or more ac tions | |
| 4312 | ||
| 4313 | ED Edit FN Finish | |
| 4314 | ||
| 4315 | Pending OP Orders (R OUTINE) Mar 12, 20 08@07:54:2 1 Page: 1 of 3 | |
| 4316 | OPPATIENT, THREE<A> | |
| 4317 | PID: 666 -44-4444 Ht(cm): _ ______ (__ ____) | |
| 4318 | DOB: JUL 3,1949 (5 8) Wt(kg): 5 1.36 (10/0 1/1996) | |
| 4319 | SEX: MAL E | |
| 4320 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 4321 | ||
| 4322 | CPRS Order Checks: | |
| 4323 | CRIT ICAL drug- drug inter action: IT RACONAZOLE & SIMVAST ATIN | |
| 4324 | (ITRA CONAZOLE C AP,ORAL 1 00MG TAKE ONE CAPSUL E BY MOUTH EVERY 12 HOURS | |
| 4325 | [ACTI VE]) | |
| 4326 | Overr iding Prov ider: PSOP ROVIDER,ON E | |
| 4327 | Overr iding Reas on: TESTIN G | |
| 4328 | ||
| 4329 | CRIT ICAL drug- drug inter action: IT RACONAZOLE & SIMVAST ATIN | |
| 4330 | ITRAC ONAZOLE CA P,ORAL 10 0MG PO BID [ACTIVE] ) | |
| 4331 | Overr iding Prov ider: PSOP ROVIDER,ON E | |
| 4332 | Overr iding Reas on: TESTIN G | |
| 4333 | ||
| 4334 | Dupl icate drug class ord er: ANTILI PEMIC AGEN TS (CHOLES TYRAMINE 9 GM | |
| 4335 | PACK ETS TAKE O NE PACKET BY MOUTH T WICE A DAY DISSOLVE IN WATER O R | |
| 4336 | JUIC E. [PENDIN G]) | |
| 4337 | ||
| 4338 | + Enter ?? f or more ac tions | |
| 4339 | BY Bypass DC Discon tinue | |
| 4340 | ED Edit FN Finish | |
| 4341 | Select Ite m(s): Next Screen// FN Finis h | |
| 4342 | ||
| 4343 | Now doing remote ord er checks. Please wa it... | |
| 4344 | ||
| 4345 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4346 | ||
| 4347 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4348 | ||
| 4349 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 4350 | ||
| 4351 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 4352 | THERAPEUTI C DUPLICAT ION(S) *** SIMVASTAT IN 20MG TA B with | |
| 4353 | ||
| 4354 | Local Rx #: 2577 | |
| 4355 | Dru g: AMLODIP INE 5MG/AT ORVASTATIN 10MG TAB (ACTIVE) | |
| 4356 | SI G: TAKE ON E TABLET B Y MOUTH EV ERY MORNIN G | |
| 4357 | QT Y: 90 Days Sup ply: 90 | |
| 4358 | Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w) | |
| 4359 | Las t Filled O n: 03/07/0 8 | |
| 4360 | ||
| 4361 | Local Rx #: 2581 | |
| 4362 | Dru g: CHOLEST YRAMINE 9G M PACKETS (NON-VERIF IED) | |
| 4363 | SI G: TAKE ON E PACKET B Y MOUTH TW ICE A DAY DISSOLVE I N WATER | |
| 4364 | OR JUI CE. | |
| 4365 | QT Y: 60 Days Sup ply: 30 | |
| 4366 | Pr ocessing S tatus: Not released locally (W indow) | |
| 4367 | Las t Filled O n: 11/08/0 6 | |
| 4368 | Class(es)I nvolved in Therapeut ic Duplica tion(s): H MGCo-A Red uctase Inh ibitors, A ntihyperli pidemics | |
| 4369 | ||
| 4370 | ========== ========== ========== ========== ========== ========== ========== ======== | |
| 4371 | Discontinu e order(s) ? Y/N Y e s | |
| 4372 | ||
| 4373 | 1. RX #2577 AMLO DIPINE 5MG /ATORVASTA TIN 10MG T AB | |
| 4374 | 2. RX #2581 CHOL ESTYRAMINE 9GM PACKE TS | |
| 4375 | ||
| 4376 | Select (1- 2): 1 Du plicate Th erapy RX # 2577 AMLOD IPINE 5MG/ ATORVASTAT IN 10MG TA B will be discontinu ed after t he accepta nce of the new order . | |
| 4377 | ||
| 4378 | ||
| 4379 | Rx # 2582 03/12/0 8 | |
| 4380 | TEST,D #30 | |
| 4381 | TAKE ONE T ABLET BY M OUTH EVERY EVENING | |
| 4382 | ||
| 4383 | SIMVASTATI N 20MG TAB | |
| 4384 | PSOPROVIDE R,ONE PSOPHAR MACIST,ONE | |
| 4385 | # of Refil ls: 6 | |
| 4386 | ||
| 4387 | ||
| 4388 | This Rx ha s been fla gged by th e provider as: NO CO PAY | |
| 4389 | ||
| 4390 | ||
| 4391 | Was treatm ent relate d to Agent Orange ex posure? YE S// | |
| 4392 | Are you su re you wan t to Accep t this Ord er? NO// Y ES | |
| 4393 | ||
| 4394 | METHOD OF PICK-UP: | |
| 4395 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 4396 | ||
| 4397 | Do you wan t to enter a Progres s Note? No // NO | |
| 4398 | ||
| 4399 | -Duplicate Therapy R X #2577 AM LODIPINE 5 MG/ATORVAS TATIN 10MG TAB has b een discon tinued... | |
| 4400 | ||
| 4401 | Press Retu rn to Cont inue: | |
| 4402 | ||
| 4403 | Example: R enewing an order –Th erapeutic Duplicatio n involvin g 5 drugs, one thera py class a nd only on e order ca n be disco ntinued. | |
| 4404 | + Enter ?? f or more ac tions | |
| 4405 | DC Disco ntinue PR Partial RL Rel ease | |
| 4406 | ED Edit RF Refill RN Ren ew | |
| 4407 | Select Act ion: Next Screen// r n Renew | |
| 4408 | FILL DATE: (3/12/20 08 - 3/13/ 2009): TOD AY// (MA R 12, 2008 ) | |
| 4409 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 4410 | METHOD OF PICK-UP: | |
| 4411 | Nature of Order: WRI TTEN// W | |
| 4412 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 4413 | ||
| 4414 | Do you wan t to enter a Progres s Note? No // NO | |
| 4415 | ||
| 4416 | Now Renewi ng Rx # 25 80 Drug: SUCRALFAT E 1GM TAB | |
| 4417 | ||
| 4418 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4419 | *** THERAP EUTIC DUPL ICATION(S) *** SUCRA LFATE 1GM TAB with | |
| 4420 | ||
| 4421 | Local Rx #: 2574 | |
| 4422 | Dru g: CIMETID INE 300MG TAB (DISCO NTINUED) | |
| 4423 | SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY | |
| 4424 | QT Y: 180 Days Sup ply: 90 | |
| 4425 | Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w) | |
| 4426 | Las t Filled O n: 03/07/0 8 | |
| 4427 | ||
| 4428 | Local Rx #: 2573 | |
| 4429 | Dru g: NIZATID INE 150MG CAP (HOLD) | |
| 4430 | SI G: TAKE ON E CAPSULE BY MOUTH T WICE A DAY | |
| 4431 | QT Y: 180 Days Sup ply: 90 | |
| 4432 | Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w) | |
| 4433 | Las t Filled O n: 03/07/0 8 | |
| 4434 | ||
| 4435 | LOCATIO N: <VA OR DOD FACILI TY> Remo te Rx#: 65 343 | |
| 4436 | Dru g: RANITID INE HCL 15 0MG TAB (E XPIRED) | |
| 4437 | SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY | |
| 4438 | QT Y: 180 Days Sup ply: 90 | |
| 4439 | ||
| 4440 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists) | |
| 4441 | ||
| 4442 | ========== ========== ========== ========== ========== ========== ========== ======== | |
| 4443 | Discontinu e RX #2573 NIZATIDIN E 150MG CA P? Y/N No | |
| 4444 | ||
| 4445 | Press Retu rn to Cont inue: | |
| 4446 | ||
| 4447 | 2580A SUCRALF ATE 1MG TA B QTY : 360 | |
| 4448 | # OF REFIL LS: 3 ISS UED: 03-12 -08 | |
| 4449 | SIG: TAKE ONE TABLET BY MOUTH FOUR TIMES A DAY | |
| 4450 | FILLED: 03 -12-08 | |
| 4451 | ROUTING: W INDOW PHYS: PSOP ROVIDER,ON E | |
| 4452 | ||
| 4453 | Edit renew ed Rx ? Y/ / n NO | |
| 4454 | ||
| 4455 | SC Percent: 8 0% | |
| 4456 | Disab ilities: N ONE STATED | |
| 4457 | ||
| 4458 | Was treatm ent for a Service Co nnected co ndition? N O// | |
| 4459 | ||
| 4460 | Example: V erificatio n of Non-V erified Or der | |
| 4461 | OP Medicat ions (NON- VERIFIED) Dec 20, 20 11@14:45:5 4 Page: 1 of 2 | |
| 4462 | PSOPATIENT ,ONE < A> | |
| 4463 | PID: 666 -00-0000 Ht(cm): _ ______ (__ ____) | |
| 4464 | DOB: JAN 1,1945 (6 6) Wt(kg): _ ______ (__ ____) | |
| 4465 | SEX: MAL E | |
| 4466 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 4467 | ||
| 4468 | ||
| 4469 | Rx # : 2382$ | |
| 4470 | (1) *Orde rable Item : NIZATIDI NE CAP,ORA L | |
| 4471 | (2) Drug : NIZATIDI NE 150MG C AP | |
| 4472 | NDC : 00056-01 76-75 | |
| 4473 | (3) *Dosage : 150 (MG) | |
| 4474 | Verb : TAKE | |
| 4475 | Disp ense Units : 1 | |
| 4476 | Noun : CAPSULE | |
| 4477 | *Route : ORAL | |
| 4478 | *Schedule : BID | |
| 4479 | (4)Pat In structions : | |
| 4480 | SIG : TAKE ONE CAPSULE B Y BY MOUTH TWICE A D AY | |
| 4481 | (5) Pati ent Status : OPT NSC | |
| 4482 | (6) Issue Date : 12/20/11 (7) Fill Date: 12/20/11 | |
| 4483 | Last Fill Date : 12/20/11 (Window) | |
| 4484 | + Enter ?? f or more ac tions | |
| 4485 | DC Disco ntinue PR (Partial) RL (Re lease) | |
| 4486 | ED Edit RF (Refill) RN (Re new) | |
| 4487 | Select Act ion: Next Screen// V F VF | |
| 4488 | ||
| 4489 | RX: 2382 PATIENT: P SOPATIENT, ONE (666-0 0-0000) | |
| 4490 | STATUS: No n-Verified CO-PAY STATUS | |
| 4491 | DRUG : NIZATIDI NE 150MG C AP | |
| 4492 | QTY : 180 90 DAY SUP PLY | |
| 4493 | SIG : TAKE ONE CAPSULE B Y BY MOUTH TWICE A D AY | |
| 4494 | LATEST : 12/20/20 11 # O F REFILLS: 3 REMAIN ING: 3 | |
| 4495 | ISSUED : 12/20/11 PROVIDER: | |
| 4496 | LOGGED : 12/20/11 CLINIC: NOT ON FI LE | |
| 4497 | EXPIRES : 12/20/12 DIVISION: HINES (49 9) | |
| 4498 | CAP : SAFETY ROUTING: WINDOW | |
| 4499 | ENTRY BY : PSTECH,O NE VE RIFIED BY: | |
| 4500 | ||
| 4501 | EDIT: (Y/ N/P): N// O | |
| 4502 | ||
| 4503 | PSOPATIENT ,ONE ID#:666- 00-0000 R X#: 2382 | |
| 4504 | ||
| 4505 | ISSUE LAS T REF DAY | |
| 4506 | RX # DRU G QTY ST DATE FIL L REM SUP | |
| 4507 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 4508 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 4509 | 2380$ ACE TAMINOPHEN 325MG TAB U.D. 540 A 12-20 12-2 0 3 90 | |
| 4510 | 2379$ WAR FARIN 2.5M G TABS 90 A 12-20 12-2 0 3 90 | |
| 4511 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- --------- | |
| 4512 | 2378$ IND OMETHACIN 25MG CAP 270 DC 12-20 12-2 0 3 90 | |
| 4513 | 2377$ WAR FARIN 10MG TABS 2160 DC 12-20 12-2 0 3 90 | |
| 4514 | ---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- --------- | |
| 4515 | 2382$ NIZ ATIDINE 15 0MG CAP 180 N 12-20 12-2 0 3 90 | |
| 4516 | 2381$ SUC RALFATE 1 GM TAB 360 N 12-20 12-2 0 3 90 | |
| 4517 | ||
| 4518 | ||
| 4519 | Press Retu rn to cont inue: | |
| 4520 | ||
| 4521 | Now doing remote ord er checks. Please wa it... | |
| 4522 | ||
| 4523 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4524 | ||
| 4525 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4526 | ||
| 4527 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 4528 | ||
| 4529 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4530 | *** THERAP EUTIC DUPL ICATION(S) *** NIZAT IDINE 150M G CAP with | |
| 4531 | ||
| 4532 | L ocal RX#: 2381 | |
| 4533 | Drug: SUCRALFATE 1 GM TAB (Non-Verif ied) | |
| 4534 | SIG: TAKE ONE T ABLET BY B Y MOUTH FO UR TIMES A DAY | |
| 4535 | QTY: 360 Days Supp ly: 90 | |
| 4536 | Proce ssing Stat us: Not re leased loc ally (Wind ow) | |
| 4537 | Last F illed On: 12/20/11 | |
| 4538 | Class(es) Involved in Therape utic Dupli cation(s): Peptic Ul cer Agents | |
| 4539 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4540 | ||
| 4541 | Press Retu rn to cont inue: | |
| 4542 | ||
| 4543 | ||
| 4544 | Discontinu e Rx #2381 SUCRALFAT E 1 GM TAB Y/N ? NO | |
| 4545 | ||
| 4546 | PSOPATIENT ,ONE ID#:666- 00-0000 R X#: 2382 | |
| 4547 | NIZATIDINE 150MG CAP | |
| 4548 | ||
| 4549 | VERIFY FOR PSOPATIEN T,ONE ? (Y /N/Delete/ Quit): Y// ES | |
| 4550 | ||
| 4551 | Example: C opying an Existing O rder | |
| 4552 | New OP Ord er (COPY) Mar 12, 20 08@09:15:4 8 P age: 1 of 2 | |
| 4553 | PSOPATIENT ,TWO < A> | |
| 4554 | PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005) | |
| 4555 | DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005) | |
| 4556 | SEX: MAL E | |
| 4557 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): 1. 78 | |
| 4558 | ||
| 4559 | Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB | |
| 4560 | (1) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB | |
| 4561 | (2) Pati ent Status : OPT NSC | |
| 4562 | (3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08 | |
| 4563 | Verb : TAKE | |
| 4564 | (5) Dosa ge Ordered : ONE TABL ET | |
| 4565 | Route : ORAL | |
| 4566 | Schedule : QAM | |
| 4567 | (6)Pat I nstruction : | |
| 4568 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 4569 | (7) D ays Supply : 30 (8) QTY ( ): 30 | |
| 4570 | (9) # of Refills : 11 (10) Routing: WINDOW | |
| 4571 | (11) Clinic : | |
| 4572 | (12) Provider : PSOPROVI DER,ONE (13) Copies: 1 | |
| 4573 | + Enter ?? f or more ac tions | |
| 4574 | AC Accep t ED Edit | |
| 4575 | Select Act ion: Next Screen// A C Accept | |
| 4576 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 4577 | Duplicate Drug in Lo cal Rx: | |
| 4578 | ||
| 4579 | Rx #: 2584 | |
| 4580 | Drug: AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB | |
| 4581 | SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 4582 | QTY: 30 Refills re maining: 1 1 | |
| 4583 | Provider: OPPROVIDER , ONE Issued: 0 3/12/07 | |
| 4584 | Status: ACTIVE Last fi lled on: 0 3/12/07 | |
| 4585 | Processin g Status: Released l ocally on 03/12/07@0 8:55:32 ( Window) | |
| 4586 | Days Supply: 3 0 | |
| 4587 | ||
| 4588 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
| 4589 | Discontinu e Rx #2584 AMLODIPIN E 5MG/ATOR VASTATIN 1 0MG TAB? Y /N YES | |
| 4590 | ||
| 4591 | Rx #2584 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB will be discon tinued aft er the acc eptance of the new o rder. | |
| 4592 | ||
| 4593 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4594 | *** THERAP EUTIC DUPL ICATION(S) *** AMLOD IPINE 5MG/ ATORVASTAT IN 10MG TA B with | |
| 4595 | ||
| 4596 | P ending Dru g: LOVASTA TIN 20MG T AB | |
| 4597 | SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME F OR HIGH CH OLESTEROL | |
| 4598 | P ending Dru g: NIFEDIP INE 10MG C AP | |
| 4599 | SI G: TAKE ON E CAPSULE BY MOUTH T HREE TIMES A DAY | |
| 4600 | Class(es)I nvolved in Therapeut ic Duplica tion(s): C alcium Cha nnel Block ers, HMGCo -A Reducta se Inhibit ors | |
| 4601 | ||
| 4602 | ========== ========== ========== ========== ========== ========== ========== ======== | |
| 4603 | Discontinu e order(s) ? Y/N Y e s | |
| 4604 | ||
| 4605 | 1. Pen ding Order NIFEDIPIN E 10MG CAP | |
| 4606 | 2. Pen ding Order LOVASTATI N 20MG TAB | |
| 4607 | ||
| 4608 | Select (1- 2): 1-2 Pending Or der NIFEDI PINE 10MG CAP will b e disconti nued after the accep tance of t he new ord er. | |
| 4609 | Pending Or der LOVAST ATIN 20MG TAB will b e disconti nued after the accep tance of t he new ord er. | |
| 4610 | ||
| 4611 | Nature of Order: WRI TTEN// W | |
| 4612 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 4613 | ||
| 4614 | Do you wan t to enter a Progres s Note? No // NO | |
| 4615 | ||
| 4616 | Rx # 2585 03/12/0 8 | |
| 4617 | PSOPATIENT ,TWO T #30 | |
| 4618 | TAKE ONE T ABLET BY M OUTH EVERY MORNING | |
| 4619 | ||
| 4620 | AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB | |
| 4621 | PSOPROVIDE R,ONE PSOPHARM ACIST,ONE | |
| 4622 | # of Refil ls: 11 | |
| 4623 | ||
| 4624 | ||
| 4625 | SC Percent: 4 0% | |
| 4626 | Disab ilities: N ONE STATED | |
| 4627 | ||
| 4628 | Was treatm ent for Se rvice Conn ected cond ition? NO/ / | |
| 4629 | ||
| 4630 | Is this co rrect? YES // ... | |
| 4631 | ||
| 4632 | Duplicate Drug Rx 25 84 AMLODIP INE 5MG/AT ORVASTATIN 10MG TAB has been d iscontinue d… | |
| 4633 | Duplicate Therapy Pe nding Orde r NIFEDIPI NE 10MG CA P has been discontin ued… | |
| 4634 | Duplicate Therapy Pe nding Orde r LOVASTAT IN 20MG TA B has been discontin ued… | |
| 4635 | ||
| 4636 | Example: R einstating a Discont inued Orde r | |
| 4637 | Rx # : 2586 | |
| 4638 | (1) *Orde rable Item : CIMETIDI NE TAB | |
| 4639 | (2) Drug : CIMETIDI NE 300MG T AB | |
| 4640 | NDC : 00056-01 76-75 | |
| 4641 | (3) *Dosage : 300 (MG) | |
| 4642 | Verb : TAKE | |
| 4643 | Disp ense Units : 1 | |
| 4644 | Noun : TABLET | |
| 4645 | *Route : ORAL | |
| 4646 | *Schedule : QHS | |
| 4647 | (4)Pat In structions : | |
| 4648 | SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME | |
| 4649 | (5) Pati ent Status : OPT NSC | |
| 4650 | (6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08 | |
| 4651 | Last Fill Date : 03/12/08 (Window) | |
| 4652 | + Enter ?? f or more ac tions | |
| 4653 | DC Disco ntinue PR (Partial) RL Rel ease | |
| 4654 | ED (Edit ) RF (Refill) RN Ren ew | |
| 4655 | Select Act ion: Next Screen// d c Discon tinue | |
| 4656 | Are you su re you wan t to Reins tate? NO// YES | |
| 4657 | ||
| 4658 | Comments: REINSTATIN G | |
| 4659 | Nature of Order: SER VICE CORRE CTION// S | |
| 4660 | ========== ========== ========== ========== ========== ========== ========== ========== | |
| 4661 | ||
| 4662 | 2586 CIME TIDINE 300 MG TAB | |
| 4663 | ||
| 4664 | ||
| 4665 | Now doing remote ord er checks. Please wa it... | |
| 4666 | ||
| 4667 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4668 | ||
| 4669 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4670 | ||
| 4671 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 4672 | ||
| 4673 | ||
| 4674 | ========== ========== ========== ========== ========== ========== ========== ======== | |
| 4675 | *** THERAP EUTIC DUPL ICATION(S) *** CIMET IDINE 300M G TAB with | |
| 4676 | ||
| 4677 | Local Rx #: 2576 | |
| 4678 | Dru g: SUCRALF ATE 1GM TA B (ACTIVE) | |
| 4679 | SI G: TAKE ON E TABLET B Y MOUTH FO UR TIMES A DAY | |
| 4680 | QT Y: 1200 Days Sup ply: 30 | |
| 4681 | Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w) | |
| 4682 | Las t Filled O n: 03/07/0 8 | |
| 4683 | ||
| 4684 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents | |
| 4685 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 4686 | Discontinu e RX # 257 6 SUCRALFA TE 1GM TAB ? Y/N NO - Prescript ion was no t disconti nued... | |
| 4687 | ||
| 4688 | ||
| 4689 | Prescripti on #2586 R EINSTATED! | |
| 4690 | Prescri ption #258 6 Filled: MAR 12, 20 08Printed: Rele ased: | |
| 4691 | Eithe r print th e label us ing the re print opti on | |
| 4692 | or check late r to see i f the labe l has been printed. | |
| 4693 | ||
| 4694 | Example: C reating a New Order – Editing the Ordera ble Item | |
| 4695 | Rx # : 2594 | |
| 4696 | (1) *Orde rable Item : ENALAPRI L TAB ***( N/F)*** | |
| 4697 | (2) Drug : ENALAPRI L 5MG TAB ***(N/F)** * | |
| 4698 | NDC : 00056-01 76-75 | |
| 4699 | (3) *Dosage : 5 (MG) | |
| 4700 | Verb : TAKE | |
| 4701 | Disp ense Units : 1 | |
| 4702 | Noun : TABLET | |
| 4703 | *Route : ORAL | |
| 4704 | *Schedule : QAM | |
| 4705 | (4)Pat In structions : | |
| 4706 | SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING | |
| 4707 | (5) Pati ent Status : SC | |
| 4708 | (6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08 | |
| 4709 | Last Fill Date : 03/12/08 (Window) | |
| 4710 | + Enter ?? f or more ac tions | |
| 4711 | DC Disco ntinue PR Partial RL Rel ease | |
| 4712 | ED Edit RF Refill RN Ren ew | |
| 4713 | Select Act ion: Next Screen// 1 | |
| 4714 | ||
| 4715 | Current Or derable It em: ENALAP RIL TAB | |
| 4716 | ||
| 4717 | Select PHA RMACY ORDE RABLE ITEM NAME: ENA LAPRIL// d ip | |
| 4718 | 1 D IPHENHYDRA MINE CREAM,TOP | |
| 4719 | 2 D IPHENHYDRA MINE CAP,ORAL | |
| 4720 | 3 D IPYRIDAMOL E TA B | |
| 4721 | CHOOSE 1-3 : 3 DIPYR IDAMOLE TAB | |
| 4722 | ||
| 4723 | New Ordera ble Item s elected. T his edit w ill create a new pre scription! | |
| 4724 | ||
| 4725 | ||
| 4726 | Press Retu rn to Cont inue... | |
| 4727 | ||
| 4728 | ||
| 4729 | DRUG NAME REQUIRED! | |
| 4730 | ||
| 4731 | Instructio ns: | |
| 4732 | ||
| 4733 | The follow ing Drug(s ) are avai lable for selection: | |
| 4734 | 1. DIPYRID AMOLE 25MG TAB | |
| 4735 | 2. DIPYRID AMOLE 50MG TAB | |
| 4736 | ||
| 4737 | Select Dru g by numbe r: (1-2): 1 | |
| 4738 | ||
| 4739 | Now doing remote ord er checks. Please wa it... | |
| 4740 | ||
| 4741 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4742 | ||
| 4743 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4744 | ||
| 4745 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 4746 | ||
| 4747 | ========== ========== ========== ========== ========== ========== ========== ======== | |
| 4748 | *** THERAP EUTIC DUPL ICATION(S) *** DIPYR IDAMOLE 25 MG TAB wit h | |
| 4749 | ||
| 4750 | Local Rx #: 2560 | |
| 4751 | Dru g: WAFFARI N 5MG TAB (ACTIVE) | |
| 4752 | SI G: TAKE ON E TABLET B Y MOUTH EV ERY EVENIN G | |
| 4753 | QT Y: 90 Days Sup ply: 90 | |
| 4754 | Pr ocessing S tatus: Rel eased loca lly on 3/4 /08@08:55: 32 (Windo w) | |
| 4755 | Las t Filled O n: 03/04/0 8 | |
| 4756 | ||
| 4757 | Class(es)I nvolved in Therapeut ic Duplica tion(s): A ntiplatele t Drugs, A ntithrombo tic Drugs | |
| 4758 | ||
| 4759 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4760 | Discontinu e RX # 256 0 WAFFARIN 5MG TAB? Y/N NO -P rescriptio n was not discontinu ed... | |
| 4761 | ||
| 4762 | You have c hanged the Orderable Item from ENALAPRIL to | |
| 4763 | DIPYRIDAMO LE. | |
| 4764 | ||
| 4765 | There are 2 Availabl e Dosage(s ): | |
| 4766 | 1. 25MG | |
| 4767 | 2. 50MG | |
| 4768 | ||
| 4769 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 4770 | or Enter a Question Mark (?) t o view lis t: 1 25MG | |
| 4771 | ||
| 4772 | You entere d 25MG is this corre ct? Yes// YES | |
| 4773 | VERB: TAKE // TAKE | |
| 4774 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 4775 | Dosage Ord ered: 25MG | |
| 4776 | ||
| 4777 | NOUN: TABL ET// TABLE T | |
| 4778 | ||
| 4779 | ROUTE: ORA L// ORAL | |
| 4780 | Schedule: QAM// TID | |
| 4781 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 4782 | TID TID THREE TI MES A DAY | |
| 4783 | . ..OK? Yes/ / (Yes) | |
| 4784 | (THREE TI MES A DAY) | |
| 4785 | LIMITED DU RATION (IN MONTHS, W EEKS, DAYS , HOURS OR MINUTES): | |
| 4786 | CONJUNCTIO N: | |
| 4787 | ||
| 4788 | ||
| 4789 | New OP Ord er (ROUTIN E) Mar 12, 20 08@10:58:2 4 Pa ge: 1 o f 2 | |
| 4790 | PSOPATIENT ,ONE < A> | |
| 4791 | PID: 666 -00-0000 Ht(cm): _ ______ (__ ____) | |
| 4792 | DOB: JAN 1,1910 (9 8) Wt(kg): _ ______ (__ ____) | |
| 4793 | SEX: FEM ALE N on-VA Meds on File Last e ntry on 03 /03/08 | |
| 4794 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 4795 | ||
| 4796 | Orde rable Item : DIPYRIDA MOLE TAB | |
| 4797 | (1) Drug : DIPYRIDA MOLE 25MG TAB | |
| 4798 | (2) Pati ent Status : SC | |
| 4799 | (3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08 | |
| 4800 | (5) Dosa ge Ordered : 25 (MG) | |
| 4801 | Verb : TAKE | |
| 4802 | Disp ense Units : 1 | |
| 4803 | Noun : TABLET | |
| 4804 | Route : ORAL | |
| 4805 | Schedule : TID | |
| 4806 | (6)Pat I nstruction : | |
| 4807 | SIG : TAKE ONE TABLET BY MOUTH THR EE TIMES A DAY | |
| 4808 | (7) D ays Supply : 90 (8) QTY (TAB) : 180 | |
| 4809 | (9) # of Refills : 3 (10) Routing: WINDOW | |
| 4810 | + This chang e will cre ate a new prescripti on! | |
| 4811 | AC Accep t ED Edit | |
| 4812 | Select Act ion: Next Screen// a c Accept | |
| 4813 | Nature of Order: SER VICE CORRE CTION// S | |
| 4814 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 4815 | ||
| 4816 | Do you wan t to enter a Progres s Note? No // NO | |
| 4817 | ||
| 4818 | Rx # 2595 03/12/0 8 | |
| 4819 | PSOPATIENT ,ONE #180 | |
| 4820 | TAKE ONE T ABLET BY M OUTH THREE TIMES A D AY | |
| 4821 | ||
| 4822 | DIPYRIDAMO LE 25MG TA B | |
| 4823 | PSOPROVIDE R,ONE PSO PHARMACIST ,ONE | |
| 4824 | # of Refil ls: 3 | |
| 4825 | ||
| 4826 | ||
| 4827 | The Pharma cy Orderab le Item ha s changed for this o rder. Plea se review any | |
| 4828 | existing S C or Envir onmental I ndicator d efaults ca refully fo r appropri ateness. | |
| 4829 | ||
| 4830 | ||
| 4831 | SC Percent: 8 0% | |
| 4832 | Disab ilities: N ONE STATED | |
| 4833 | ||
| 4834 | Was treatm ent for a Service Co nnected co ndition? Y ES// | |
| 4835 | Is this co rrect? YES // ... | |
| 4836 | ||
| 4837 | Example: C ancel drug in same c lass param eter set t o No | |
| 4838 | PSOPATIENT ,ONE < A> | |
| 4839 | PID: 666 -00-0000 Ht(cm): _ ______ (__ ____) | |
| 4840 | DOB: JAN 1,1910 (9 8) Wt(kg): _ ______ (__ ____) | |
| 4841 | SEX: FEM ALE N on-VA Meds on File Last e ntry on 03 /03/08 | |
| 4842 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 4843 | ISSUE LAST REF DAY | |
| 4844 | # RX # DRUG QT Y ST DATE FILL REM SUP | |
| 4845 | ||
| 4846 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ------- | |
| 4847 | 1 2562 AMINOP HYLLINE 20 0MG TAB 360 A 03 -04 03-04 3 90 | |
| 4848 | 2 2567 CAPTOP RIL 12.5MG TAB 180 A 03 -06 03-06 3 90 | |
| 4849 | 3 2563 CISAPR IDE 10MG 90 A 03 -06 03-06 3 90 | |
| 4850 | 4 2568 DIGOXI N 0.125MG 30 A 03 -06 03-06 3 90 | |
| 4851 | 5 2550 IBUPRO FEN 600MG TAB 270 A 03 -03 03-04 3 90 | |
| 4852 | 6 2560 WARFAR IN 5MG TAB 90 A 03 -04 03-04 3 90 | |
| 4853 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ------- | |
| 4854 | 7 2561 CIMETI DINE 300MG TAB 90 DC 03 -04 03-04 3 90 | |
| 4855 | ---------- ---------- ---------- --------HO LD-------- ---------- ---------- ------- | |
| 4856 | + Enter ?? f or more ac tions | |
| 4857 | PU Patien t Record U pdate NO New Or der | |
| 4858 | PI Patien t Informat ion SO Select Order | |
| 4859 | Select Act ion: Next Screen// N O New Or der | |
| 4860 | ||
| 4861 | Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 80 | |
| 4862 | RX PATIENT STATUS: S C// | |
| 4863 | DRUG: NIZA TIDINE | |
| 4864 | Lookup: GENERIC NA ME | |
| 4865 | NIZATIDINE 150MG CAP GA301 | |
| 4866 | . ..OK? Yes/ / (Yes) | |
| 4867 | ||
| 4868 | Now doing remote ord er checks. Please wa it... | |
| 4869 | ||
| 4870 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4871 | ||
| 4872 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4873 | ||
| 4874 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 4875 | ||
| 4876 | ||
| 4877 | ========== ========== ========== ========== ========== ========== ========== = | |
| 4878 | *** THERAP EUTIC DUPL ICATION(S) *** NIZAT IDINE 150M G CAP with | |
| 4879 | ||
| 4880 | Local R x #2561 (A CTIVE) for CIMETIDIN E 300MG TA B | |
| 4881 | ||
| 4882 | Local R x #2572 (P ROVIDER HO LD) for SU CRALFATE 1 MG TAB | |
| 4883 | ||
| 4884 | Remote Rx #2571 ( DISCONTINU ED) for RA NITIDINE H CL 150MG T AB | |
| 4885 | ||
| 4886 | Pending Order FAM OTIDINE 20 MG TAB | |
| 4887 | ||
| 4888 | Non-VA Med Order for CIMETI DINE 300MG TAB | |
| 4889 | ||
| 4890 | Class(es) Involved i n Therapeu tic Duplic ation(s): PEPTIC ULC ER AGENTS, HISTAMINE -2 RECEPTO R ANTAGOIN STS (H2 AN TAGONISTS) | |
| 4891 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 4892 | VERB: TAKE | |
| 4893 | There are 2 Availabl e Dosage(s ): | |
| 4894 | 1. 150MG | |
| 4895 | 2. 300MG | |
| 4896 | ||
| 4897 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 4898 | or Enter a Question Mark (?) t o view lis t: | |
| 4899 | ||
| 4900 | Example: E ntering a New Order – Not acce pting orde r, duplica te therapy not disco ntinued | |
| 4901 | Select Act ion: Quit/ / NO New Order | |
| 4902 | ||
| 4903 | Eligibilit y: NSC SC%: 5 | |
| 4904 | RX PATIENT STATUS: O PT NSC// | |
| 4905 | DRUG: FAMO TIDINE | |
| 4906 | Lookup: GENERIC NA ME | |
| 4907 | FAMOTIDINE 20MG TAB GA301 | |
| 4908 | . ..OK? Yes/ / (Yes) | |
| 4909 | ||
| 4910 | Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D/O/B): No // NO | |
| 4911 | ||
| 4912 | Now doing remote ord er checks. Please wa it... | |
| 4913 | ||
| 4914 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 4915 | ||
| 4916 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 4917 | ||
| 4918 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 4919 | ||
| 4920 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4921 | *** THER APEUTIC DU PLICATION( S) *** FAM OTIDINE 20 MG TAB wit h | |
| 4922 | ||
| 4923 | L ocal RX#: 2586A | |
| 4924 | Drug: CIMETIDINE 300MG TAB (DISCONTI NUED) | |
| 4925 | SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME | |
| 4926 | QTY: 90 Days Supply: 30 | |
| 4927 | Proce ssing Stat us: Releas ed locally on 3/12/0 8@08:55:32 (Window) | |
| 4928 | Last F illed On: 03/12/08 | |
| 4929 | ||
| 4930 | Press Retu rn to Cont inue: | |
| 4931 | ||
| 4932 | L ocal RX#: 2710 | |
| 4933 | Drug: RANITIDINE HCL 150MG TAB (ACTI VE) | |
| 4934 | SIG: TAKE ONE T ABLET BY M OUTH TWICE A DAY | |
| 4935 | QTY: 60 Days Supply: 30 | |
| 4936 | Proce ssing Stat us: Releas ed locally on 6/1/09 @08:55:32 (Window) | |
| 4937 | Last F illed On: 06/01/09 | |
| 4938 | ||
| 4939 | Press Retu rn to Cont inue: | |
| 4940 | ||
| 4941 | Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists) | |
| 4942 | ||
| 4943 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4944 | Press Retu rn to Cont inue: | |
| 4945 | ||
| 4946 | Discontinu e Rx #2710 for RANIT IDINE HCL 150MG TAB Y/N ? YES | |
| 4947 | ||
| 4948 | Duplicate Therapy RX #2710 RAN ITIDINE HC L 150MG TA B will be discontinu ed after t he accepta nce of the new order . | |
| 4949 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 4950 | ||
| 4951 | VERB: TAKE | |
| 4952 | There are 2 Availabl e Dosage(s ): | |
| 4953 | 1. 20MG | |
| 4954 | 2. 40MG | |
| 4955 | ||
| 4956 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 4957 | or Enter a Question Mark (?) t o view lis t: 1 20MG | |
| 4958 | ||
| 4959 | You entere d 20MG is this corre ct? Yes// YES | |
| 4960 | VERB: TAKE | |
| 4961 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 4962 | Dosage Ord ered: 20MG | |
| 4963 | ||
| 4964 | NOUN: TABL ET | |
| 4965 | ROUTE: PO/ / ORAL PO MO UTH | |
| 4966 | Schedule: BID// QAM | |
| 4967 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 4968 | QAM QAM EVERY MO RNING | |
| 4969 | . ..OK? Yes/ / (Yes) | |
| 4970 | (EVERY MO RNING) | |
| 4971 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): | |
| 4972 | CONJUNCTIO N: | |
| 4973 | PATIENT IN STRUCTIONS : | |
| 4974 | ||
| 4975 | (TAKE ONE TABLET BY MOUTH EVER Y MORNING ) | |
| 4976 | ||
| 4977 | DAYS SUPPL Y: (1-90) : 30// ^ | |
| 4978 | RX DELETED | |
| 4979 | ||
| 4980 | Duplicate Therapy RX #2710 RAN ITIDINE HC L 150MG TA B NOT Disc ontinued. | |
| 4981 | Dosing Ord er Checks | |
| 4982 | MOCHA v2.0 implement s the firs t incremen t of dosag e checks a nd introdu ces the Ma ximum Sing le Dose Ch eck for si mple and c omplex ord ers for bo th Outpati ent Pharma cy and Inp atient Med ications a pplication s. MOCHA v 2.1b imple ments the second inc rement of dosage che cks and in troduces t he Max Dai ly Dose Ch eck for si mple order s for both Outpatien t Pharmacy and Inpat ient Medic ations app lications. MOCHA v2. 0 and MOCH A v2.1b us e the same interface to First Databank ( FDB) as MO CHA v1.0. | |
| 4983 | ||
| 4984 | Please ref er to the Dosing Ord er Checks User Manua l for a de tailed des cription o f dosing o rder check s. | |
| 4985 | ||
| 4986 | CPRS Order Checks | |
| 4987 | ||
| 4988 | Three CPRS order che cks have b een added to the lis t of order checks pe rformed wi thin the O utpatient Pharmacy a pplication . | |
| 4989 | Aminoglyco side Order ed | |
| 4990 | Dangerous Meds for P atient >64 | |
| 4991 | Glucophage –Lab Resu lts | |
| 4992 | ||
| 4993 | The CPRS o rder check s shall be incorpora ted in the following Outpatien t Pharmacy order ent ry process es: | |
| 4994 | Entering a new order via backd oor pharma cy options | |
| 4995 | Finishing a pending order | |
| 4996 | Renewing a n order | |
| 4997 | Editing an order whi ch results in a new order bein g created. | |
| 4998 | Verifying an order | |
| 4999 | Copying an order | |
| 5000 | Reinstatin g a discon tinued ord er | |
| 5001 | ||
| 5002 | No user ac tion/inter vention sh all be req uired afte r a CPRS o rder check warning i s displaye d. | |
| 5003 | ||
| 5004 | The follow ing inform ation is d isplayed f or the Ami noglycosid e Ordered order chec k: | |
| 5005 | Order Chec k Name | |
| 5006 | Text messa ge display ing an est imated CrC L if avail able or a message th at it is n ot | |
| 5007 | ||
| 5008 | ***Aminogl ycoside Or dered*** | |
| 5009 | ||
| 5010 | Aminoglyco side - est . CrCl: <V ALUE> (CRE AT: <resul t> BUN: < result>) [ Est. CrCl | |
| 5011 | Based on m odified Co ckcroft-Ga ult equati on using A djusted Bo dy Weight (if ht > 6 0 in)]. | |
| 5012 | ||
| 5013 | -OR- | |
| 5014 | ||
| 5015 | ***Aminogl ycoside Or dered*** | |
| 5016 | ||
| 5017 | Aminoglyco side – est . CrCl: <U navailable > (<Result s Not Foun d>) [Est. CrCl | |
| 5018 | Based on m odified Co ckcroft-Ga ult equati on using A djusted Bo dy Weight (if ht > 6 0 | |
| 5019 | ||
| 5020 | The follow ing inform ation is d isplayed f or the Dan gerous Med s for Pati ent >64 or der check: | |
| 5021 | Order Chec k Name | |
| 5022 | Text messa ge display ing a mess age if pat ient is gr eater than 64 and ha s been pre scribed Am itriptylin e | |
| 5023 | ||
| 5024 | ***Dangero us Meds fo r Patient >64*** | |
| 5025 | ||
| 5026 | Patient is <age>. A mitriptyli ne can cau se cogniti ve impairm ent and lo ss of bala nce in old er patient s. Consid er other a ntidepress ant medica tions on f ormulary. | |
| 5027 | ||
| 5028 | -OR- | |
| 5029 | ||
| 5030 | Text messa ge display ing a mess age if pat ient is gr eater than 64 and ha s been pre scribed Ch lorpropami de | |
| 5031 | ||
| 5032 | ***Dangero us Meds fo r Patient >64*** | |
| 5033 | ||
| 5034 | Patient is <age>. O lder patie nts may ex perience h ypoglycemi a with Chl orpropamid e due do i ts long du ration and variable renal secr etion. The y may also be at inc reased ris k for Chlo rpropamide -induced S IADH. | |
| 5035 | ||
| 5036 | -OR- | |
| 5037 | ||
| 5038 | Text messa ge display ing a mess age if pat ient is gr eater than 64 and ha s been pre scribed Di pyridamole | |
| 5039 | ||
| 5040 | ***Dangero us Meds fo r Patient >64*** | |
| 5041 | ||
| 5042 | Patient is <age>. O lder patie nts can ex perience a dverse rea ctions at high doses of Dipyri damole (e. g., headac he, dizzin ess, synco pe, GI int olerance.) There is also ques tionable e fficacy at lower dos es. | |
| 5043 | ||
| 5044 | The follow ing inform ation is d isplayed f or the Glu cophage La b Results order chec k: | |
| 5045 | Order Chec k Name | |
| 5046 | Text messa ge display ing a seru m creatini ne does no t exist or it is gre ater than 1.5 | |
| 5047 | ||
| 5048 | ***Metform in Lab Res ults*** | |
| 5049 | ||
| 5050 | Metformin - no serum creatinin e within p ast 60 day s. | |
| 5051 | ||
| 5052 | -OR- | |
| 5053 | ||
| 5054 | ***Metform in Lab Res ults*** | |
| 5055 | ||
| 5056 | Metformin – Creatini ne results : <creatin ine greate r than 1.5 w/in past <x> days> | |
| 5057 | ||
| 5058 | Examples o f CPRS Ord er Checks | |
| 5059 | ||
| 5060 | New Order Entry – Ba ckdoor – D angerous M eds for Pa tient > 64 for Dipyr idamole | |
| 5061 | Select Act ion: Quit/ / NO New Order | |
| 5062 | ||
| 5063 | Eligibilit y: NSC | |
| 5064 | RX PATIENT STATUS: O PT NSC// | |
| 5065 | DRUG: DIPY RIDAMOLE | |
| 5066 | Lookup: GENERIC NA ME | |
| 5067 | 1 D IPYRIDAMOL E 25MG TAB BL117 | |
| 5068 | 2 D IPYRIDAMOL E 50MG TAB BL117 | |
| 5069 | CHOOSE 1-2 : 1 DIPYR IDAMOLE 25 MG TAB BL117 | |
| 5070 | ||
| 5071 | ***DANGERO US MEDS FO R PATIENT >64*** | |
| 5072 | ||
| 5073 | Patient is 78. Olde r patients can exper ience adve rse reacti ons at hig h doses of Dipyridam ole (e.g., headache, dizziness , syncope, GI intole rance.) T here is al so questio nable effi cacy at lo wer doses. | |
| 5074 | ||
| 5075 | ||
| 5076 | ||
| 5077 | VERB: TAKE | |
| 5078 | There are 2 Availabl e Dosage(s ): | |
| 5079 | 1. 25MG | |
| 5080 | 2. 50MG | |
| 5081 | ||
| 5082 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 5083 | or Enter a Question Mark (?) t o view lis t: 1 25MG | |
| 5084 | ||
| 5085 | You entere d 25MG is this corre ct? Yes// YES | |
| 5086 | VERB: TAKE | |
| 5087 | DISPENSE U NITS PER D OSE(TABLET ): 1// 1 | |
| 5088 | Dosage Ord ered: 25MG | |
| 5089 | ||
| 5090 | NOUN: TABL ET | |
| 5091 | ROUTE: PO/ / | |
| 5092 | ||
| 5093 | Renewing a n Order – Dangerous Meds for P atient >64 for Chlo rpropamide | |
| 5094 | Rx # : 2613$ | |
| 5095 | (1) *Orde rable Item : CHLORPRO PAMIDE TAB | |
| 5096 | (2) Drug : CHLORPRO PAMIDE 25O MG TAB | |
| 5097 | NDC : 00056-01 76-75 | |
| 5098 | (3) *Dosage : 250 (MG) | |
| 5099 | Verb : TAKE | |
| 5100 | Disp ense Units : 1 | |
| 5101 | Noun : TABLET | |
| 5102 | *Route : ORAL | |
| 5103 | *Schedule : BID | |
| 5104 | (4)Pat In structions : | |
| 5105 | SIG : TAKE ONE TABLET BY MOUTH TWI CE A DAY | |
| 5106 | (5) Pati ent Status : OPT NSC | |
| 5107 | (6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08 | |
| 5108 | Last Fill Date : 03/25/08 (Mail) | |
| 5109 | + Enter ?? f or more ac tions | |
| 5110 | DC Disco ntinue PR Partial RL Rel ease | |
| 5111 | ED Edit RF Refill RN Ren ew | |
| 5112 | Select Act ion: Next Screen// R N Renew | |
| 5113 | ||
| 5114 | FILL DATE: (3/25/20 08 - 3/26/ 2009): TOD AY// (MA R 25, 2008 ) | |
| 5115 | MAIL/WINDO W: WINDOW/ / WINDOW | |
| 5116 | METHOD OF PICK-UP: | |
| 5117 | Nature of Order: WRI TTEN// W | |
| 5118 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 5119 | ||
| 5120 | Do you wan t to enter a Progres s Note? No // NO | |
| 5121 | ||
| 5122 | Now Renewi ng Rx # 26 13 Drug: CHLORPROP AMIDE 25OM G TAB | |
| 5123 | ||
| 5124 | ||
| 5125 | ***DANGERO US MEDS FO R PATIENT >64*** | |
| 5126 | ||
| 5127 | Patient is 78. Olde r patients may exper ience hypo glycemia w ith Chlorp ropamide d ue do its long durat ion and va riable ren al secreti on. They m ay also be at increa sed risk f or Chlorpr opamide-in duced SIAD H. | |
| 5128 | ||
| 5129 | ||
| 5130 | 2613A CHLORPR OPAMIDE 25 OMG TAB QTY : 60 | |
| 5131 | # OF REFIL LS: 3 ISS UED: 03-25 -08 | |
| 5132 | SIG: TAKE ONE TABLET BY MOUTH TWICE A DA Y | |
| 5133 | ||
| 5134 | Creating N ew Order f rom Edit – Glucophag e Lab Resu lts for Me tformin | |
| 5135 | *(1) Order able Item: METFORMIN TAB,ORAL | |
| 5136 | (2) Drug: METFORMIN 500MG TAB | |
| 5137 | NDC: 00056-017 6-75 | |
| 5138 | (3) *Dosage: 500 (MG) | |
| 5139 | Verb: TAKE | |
| 5140 | ED Edit FN Finish | |
| 5141 | Select Ite m(s): Next Screen// NEXT SC REEN | |
| 5142 | ||
| 5143 | BY Bypass DC Discon tinue | |
| 5144 | Pending OP Orders (R OUTINE) Mar 25, 20 08@15:33:4 7 Page: 2 of 3 | |
| 5145 | PSOPATIENT ,NINE <A> | |
| 5146 | PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005) | |
| 5147 | DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005) | |
| 5148 | + | |
| 5149 | Dispe nse Units: 1 | |
| 5150 | Noun: TABLET | |
| 5151 | *Route: ORAL | |
| 5152 | *Schedule: Q12H | |
| 5153 | (4) Pat Instruct: | |
| 5154 | Provider Comments: | |
| 5155 | Ins tructions: TAKE ONE TABLET PO Q12H | |
| 5156 | SIG: TAKE ONE TABLET BY MOUTH EVER Y 12 HOURS | |
| 5157 | (5) Patie nt Status: OPT NSC | |
| 5158 | (6) I ssue Date: MAR 25,20 08 (7) Fill D ate: MAR 2 5,2008 | |
| 5159 | (8) Da ys Supply: 30 ( 9) QTY ( TAB): 60 | |
| 5160 | Pro vider orde red 2 refi lls | |
| 5161 | (10) # o f Refills: 2 (1 1) Routi ng: MAIL | |
| 5162 | (12) Clinic: BARB'S CL INIC | |
| 5163 | + Enter ?? f or more ac tions | |
| 5164 | ED Edit FN Finish | |
| 5165 | Select Ite m(s): Next Screen// ED Edit | |
| 5166 | * Indicate s which fi elds will create an new Order | |
| 5167 | Select Fie ld to Edit by number : (1-15): 3 | |
| 5168 | ||
| 5169 | Press Retu rn to : | |
| 5170 | ||
| 5171 | There are 2 Availabl e Dosage(s ): | |
| 5172 | 1. 500MG | |
| 5173 | 2. 1000MG | |
| 5174 | ||
| 5175 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 5176 | or Enter a Question Mark (?) t o view lis t: 500MG// 2 1000MG | |
| 5177 | ||
| 5178 | You entere d 1000MG i s this cor rect? Yes/ / YES | |
| 5179 | VERB: TAKE // TAKE | |
| 5180 | DISPENSE U NITS PER D OSE(TABLET S): 2// 2 | |
| 5181 | Dosage Ord ered: 1000 MG | |
| 5182 | ||
| 5183 | NOUN: TABL ETS// TABL ETS | |
| 5184 | ROUTE: ORA L// ORAL | |
| 5185 | Schedule: Q12H// QHS | |
| 5186 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 5187 | QHS QHS AT BEDTI ME | |
| 5188 | . ..OK? Yes/ / (Yes) | |
| 5189 | (AT BEDTI ME) | |
| 5190 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): | |
| 5191 | CONJUNCTIO N: | |
| 5192 | ||
| 5193 | Pending OP Orders (R OUTINE) Mar 25, 20 08@15:34:0 8 Page: 1 of 3 | |
| 5194 | PSOPATIENT ,NINE <A> | |
| 5195 | PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005) | |
| 5196 | DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005) | |
| 5197 | SEX: MAL E | |
| 5198 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 2 .09 | |
| 5199 | ||
| 5200 | CPRS Order Checks: | |
| 5201 | Dupl icate drug class ord er: ORAL H YPOGLYCEMI C AGENTS,O RAL (CHLOR PROPAMIDE | |
| 5202 | ||
| 5203 | ||
| 5204 | TAB 250MG TAK E ONE TABL ET BY MOUT H TWICE A DAY [PEND ING]) | |
| 5205 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 5206 | Overr iding Reas on: testin g | |
| 5207 | ||
| 5208 | Metf ormin - no serum cre atinine wi thin past 60 days. | |
| 5209 | Overr iding Prov ider: PSOP ROVIDER,TE N | |
| 5210 | Overr iding Reas on: testin g | |
| 5211 | ||
| 5212 | *(1) Order able Item: METFORMIN TAB,ORAL | |
| 5213 | (2) Drug: METFORMIN 500MG TAB | |
| 5214 | NDC: 00056-017 6-75 | |
| 5215 | (3) *Dosage: 1000 (MG) | |
| 5216 | Verb: TAKE | |
| 5217 | ||
| 5218 | + This chang e will cre ate a new prescripti on! | |
| 5219 | AC Accept ED E dit DC Disco ntinue | |
| 5220 | Select Ite m(s): Next Screen// AC Accep t | |
| 5221 | ||
| 5222 | ***Metform in Lab Res ults*** | |
| 5223 | ||
| 5224 | Metformin - no serum creatinin e within p ast 60 day s. | |
| 5225 | ||
| 5226 | ||
| 5227 | Rx # 2614 03/25/0 8 | |
| 5228 | PSOPATIENT ,NINE #1440 | |
| 5229 | TAKE TWO T ABLETS BY MOUTH AT B EDTIME | |
| 5230 | ||
| 5231 | METFORMIN 500MG TAB | |
| 5232 | PSOPROVIDE R,TEN PSO PHARMACIST ,22 | |
| 5233 | # of Refil ls: 2 | |
| 5234 | ||
| 5235 | ||
| 5236 | Are you su re you wan t to Accep t this Ord er? NO// Y ES | |
| 5237 | Nature of Order: SER VICE CORRE CTION// | |
| 5238 | ||
| 5239 | Copying an Order – A minoglycos ide Ordere d - Gentam icin | |
| 5240 | Select Act ion: Next Screen// C O CO | |
| 5241 | ||
| 5242 | OP Medicat ions (ACTI VE) Mar 25, 20 08@15:46:1 8 Page: 1 of 2 | |
| 5243 | PSOPATIENT ,NINE <A> | |
| 5244 | PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005) | |
| 5245 | DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005) | |
| 5246 | SEX: MAL E | |
| 5247 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .78 | |
| 5248 | ||
| 5249 | Rx # : 2616$ | |
| 5250 | (1) *Orde rable Item : GENTAMIC IN INJ,SOL N | |
| 5251 | (2) Drug : GENTAMIC IN 40MG/ML 2ML VI | |
| 5252 | Verb : INJECT | |
| 5253 | (3) *Dosage : 80MG | |
| 5254 | *Route : INTRAMUS CULAR | |
| 5255 | *Schedule : Q8H | |
| 5256 | (4)Pat In structions : | |
| 5257 | SIG : INJECT 8 0MG IM EVE RY 8 HOURS | |
| 5258 | (5) Pati ent Status : OPT NSC | |
| 5259 | (6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08 | |
| 5260 | Last Fill Date : 03/25/08 (Window) | |
| 5261 | Last Re lease Date : (8) Lot #: | |
| 5262 | Expires : 04/24/08 MFG: | |
| 5263 | + Enter ?? f or more ac tions | |
| 5264 | ||
| 5265 | ||
| 5266 | AC Accep t ED Edit | |
| 5267 | ||
| 5268 | ||
| 5269 | New OP Ord er (COPY) Mar 25, 20 08@15:46:1 8 Page: 1 of 2 | |
| 5270 | PSOPATIENT ,NINE <A> | |
| 5271 | PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005) | |
| 5272 | DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005) | |
| 5273 | SEX: MAL E | |
| 5274 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 1 .78 | |
| 5275 | ||
| 5276 | Orde rable Item : GENTAMIC IN INJ,SOL N | |
| 5277 | (1) Drug : GENTAMIC IN 40MG/ML 2ML VI | |
| 5278 | (2) Pati ent Status : OPT NSC | |
| 5279 | (3) Issue Date : MAR 25,2 008 (4) Fill Date: MAR 25,20 08 | |
| 5280 | Verb : INJECT | |
| 5281 | (5) Dosa ge Ordered : 80MG | |
| 5282 | Route : INTRAMUS CULAR | |
| 5283 | Schedule : Q8H | |
| 5284 | (6)Pat I nstruction : | |
| 5285 | SIG : INJECT 8 0MG IM EVE RY 8 HOURS | |
| 5286 | (7) D ays Supply : 10 (8) QTY (VI): 10 | |
| 5287 | (9) # of Refills : 0 (10) Routing: WINDOW | |
| 5288 | (11) Clinic: SHIRL-2 | |
| 5289 | (12) Provider : PSOPROVI DER,TEN (13) Copies: 1 | |
| 5290 | + Enter ?? f or more ac tions | |
| 5291 | AC Accep t ED Edit | |
| 5292 | Select Act ion: Next Screen// A C Accept | |
| 5293 | ||
| 5294 | ||
| 5295 | ***Aminogl ycoside Or dered*** | |
| 5296 | ||
| 5297 | Aminoglyco side - est . CrCl: <U navailable > (<Result s Not Foun d>) [Est. | |
| 5298 | CrCl based on modifi ed Cockcro ft-Gault e quation us ing Adjust ed Body | |
| 5299 | Weight (if ht > 60 i n)] | |
| 5300 | ||
| 5301 | Nature of Order: WRI TTEN// W | |
| 5302 | WAS THE PA TIENT COUN SELED: NO/ / NO | |
| 5303 | ||
| 5304 | Do you wan t to enter a Progres s Note? No // NO | |
| 5305 | ||
| 5306 | Rx # 2617 03/25/0 8 | |
| 5307 | PSOPATIENT ,NINE #10 | |
| 5308 | INJECT 80M G IM EVERY 8 HOURS | |
| 5309 | ||
| 5310 | GENTAMICIN 40MG/ML 2 ML VI | |
| 5311 | PSOPROVIDE R,TEN PSO PHARMACIST ,22 | |
| 5312 | # of Refil ls: 0 | |
| 5313 | ||
| 5314 | ||
| 5315 | Is this co rrect? YES // | |
| 5316 | ||
| 5317 | Reinstatin g a Discon tinued Ord er – Gluco phage Lab Results fo r Metformi n | |
| 5318 | ||
| 5319 | ||
| 5320 | Rx # : 2614$ | |
| 5321 | (1) *Orde rable Item : METFORMI N TAB,ORAL | |
| 5322 | (2) Drug : METFORMI N 500MG TA B | |
| 5323 | NDC : 00056-01 76-75 | |
| 5324 | (3) *Dosage : 1000 (MG ) | |
| 5325 | Verb : TAKE | |
| 5326 | Disp ense Units : 2 | |
| 5327 | Noun : TABLETS | |
| 5328 | *Route : ORAL | |
| 5329 | *Schedule : QHS | |
| 5330 | (4)Pat In structions : | |
| 5331 | SIG : TAKE TWO TABLETS B Y MOUTH AT BEDTIME | |
| 5332 | (5) Pati ent Status : OPT NSC | |
| 5333 | (6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08 | |
| 5334 | Last Fill Date : 03/25/08 (Mail) | |
| 5335 | ||
| 5336 | ||
| 5337 | + Enter ?? f or more ac tions | |
| 5338 | DC Disco ntinue PR (Partial) RL Rel ease | |
| 5339 | ED (Edit ) RF (Refill) RN Ren ew | |
| 5340 | Select Act ion: Next Screen// D C Discon tinue | |
| 5341 | Are you su re you wan t to Reins tate? NO// YES | |
| 5342 | ||
| 5343 | Comments: TESTING | |
| 5344 | Nature of Order: SER VICE CORRE CTION// S | |
| 5345 | ========== ========== ========== ========== ========== ========== ========== ========== 2614 METF ORMIN 500M G TAB | |
| 5346 | ||
| 5347 | ||
| 5348 | Now doing remote ord er checks. Please wa it... | |
| 5349 | ||
| 5350 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 5351 | ||
| 5352 | ***Metform in Lab Res ults*** | |
| 5353 | ||
| 5354 | Metformin – Creatini ne results : <creatin ine greate r than 1.5 w/in past <7> days> | |
| 5355 | ||
| 5356 | ||
| 5357 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 5358 | ||
| 5359 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
| 5360 | ||
| 5361 | ||
| 5362 | Prescripti on #2614 R EINSTATED! | |
| 5363 | Prescri ption #261 4 | |
| 5364 | Filled: MA R 25, 2008 Printe d: MAR 25, 2008 Released: | |
| 5365 | ||
| 5366 | ||
| 5367 | Eithe r print th e label us ing the re print opti on | |
| 5368 | or check late r to see i f the labe l has been printed. | |
| 5369 | ||
| 5370 | ||
| 5371 | ||
| 5372 | The list o f availabl e possible dosages s hown after order che cks is lin ked to the drug orde red. One o f the dosa ges listed may be ch osen or a different, free text dosage ma y be enter ed. Confir mation of the dosage is requir ed and the value ent ered is di splayed ag ain to all ow the use r to confi rm that it is correc t. | |
| 5373 | ||
| 5374 | With patch PSO*7*402 , there we re changes made to t he display of the av ailable do sage list to break o nly after the third dosage. Te xt changes were also made to e xisting pr ompts (wit h or witho ut a page break) to inform a u ser of the number of dosages d efined for the drug selected a nd that mo re dosages exist sho uld a brea k occur. Text chang es were al so made wh en no dosa ges are av ailable. | |
| 5375 | Example: E ntering a New Order (continued ) | |
| 5376 | There are 3 Availabl e Dosage(s ): | |
| 5377 | 1. 250MG | |
| 5378 | 2. 500MG | |
| 5379 | 3. 1000MG | |
| 5380 | ||
| 5381 | Select fro m list of Available Dosages (1 -3), Enter Free Text Dose | |
| 5382 | or Enter a Question Mark (?) t o view lis t: 3 500MG | |
| 5383 | ||
| 5384 | You entere d 500MG is this corr ect? Yes// <Enter> Y ES | |
| 5385 | ||
| 5386 | Break only after 3 d osages wit h text cha nges | |
| 5387 | ||
| 5388 | There are 5 Availabl e Dosage(s ): | |
| 5389 | 1. 10MG | |
| 5390 | 2. 20MG | |
| 5391 | 3. 40MG | |
| 5392 | Enter RETU RN to view additiona l dosages or ‘^’ to exit list of dosages : | |
| 5393 | ---------- ---------- ---------< Page Break >--------- ---------- ---------- ------- | |
| 5394 | 4. 80MG | |
| 5395 | 5. 120MG | |
| 5396 | ||
| 5397 | Select fro m list of Available Dosages (1 -5), Enter Free Text Dose | |
| 5398 | or Enter a Question Mark (?) t o view lis t: | |
| 5399 | ||
| 5400 | ||
| 5401 | No Available Dosages | |
| 5402 | ||
| 5403 | ||
| 5404 | There are NO Availab le Dosage( s). | |
| 5405 | ||
| 5406 | Pleas e Enter a Free Text Dose: | |
| 5407 | ||
| 5408 | For numeri c dosages, the Dispe nse Units Per Dose v alue is ca lculated b ased on th e strength of the do sage order ed divided by the st rength of the medica tion order ed. The 50 0 mg dosag e ordered will requi re two 250 mg capsul es. The Do sage Order ed is re-d isplayed a fter the D ispense Un its to all ow the ent ry to be d ouble-chec ked. | |
| 5409 | ||
| 5410 | DISPENSE U NITS PER D OSE(CAPSUL ES): 2// < Enter> 2 | |
| 5411 | Dosage Ord ered: 500M G | |
| 5412 | ||
| 5413 | If a Route has not b een associ ated with the Dispen se Drug, t he default Route of PO or Oral will be d isplayed. A differen t Route ca n be enter ed or it c an be dele ted at thi s point if needed. T he Route i s not requ ired to co mplete a p rescriptio n. If the abbreviati on entered is in the stored li st of poss ible route s, the ent ry will be expanded in the Sig . | |
| 5414 | ||
| 5415 | ROUTE: PO/ / <Enter> ORAL PO MOUT H | |
| 5416 | or | |
| 5417 | ROUTE: PO/ / @ <Enter to delete > | |
| 5418 | ||
| 5419 | A default schedule a ssociated with the d rug ordere d is displ ayed. The default ca n be accep ted or a d ifferent f ree text s chedule ca n be enter ed. Free t ext entrie s cannot c ontain mor e than two spaces or be more t han twenty character s long. En tries will be compar ed against a list of common ab breviation s and expa nded if th e entry ma tches. Any entry not found in the list o f common a bbreviatio ns will be displayed in the Si g as enter ed. | |
| 5420 | ||
| 5421 | With patch PSO*7*402 , the user will be i nformed fr om which f ile the sc hedule sel ection is made and i f the valu e entered will be co nsidered a s free tex t. The NAM E, OLD SCH EDULE NAME (S) fields will be u sed for lo okup from the ADMNIS TRATION SC HEDULE fil e. The NAM E, SYNONYM and OLD M ED INSTRUC TION NAME( S) fields will be us ed for loo kup from t he MEDICAT ION INSTRU CTION file . The user will firs t be prese nted with selections from the ADMINISTRA TION SCHED ULE file b ased on th e value en tered at t he schedul e prompt. If the use r selects an entry, the lookup is comple te. If the user choo ses not to select a value from the ADMIN ISTRATION SCHEDULE f ile, the s oftware di splays sel ections fr om the MED ICATION IN STRUCTION file. If a selection is made, the lookup is comple te. If the user choo ses not to select a value, the software informs th e user tha t the valu e as enter ed will be accepted at the sch edule prom pt as a fr ee text en try. | |
| 5422 | ||
| 5423 | Schedule: BID | |
| 5424 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 5425 | BID BID TWICE A DAY | |
| 5426 | . ..OK? Yes/ / N (No) | |
| 5427 | ||
| 5428 | 1 B ID EXCLUDE MDD BI D | |
| 5429 | 2 B ID PRN BID | |
| 5430 | 3 B ID-AM B ID | |
| 5431 | 4 B ID-NOON BID | |
| 5432 | 5 B ID-W/MEAL BID | |
| 5433 | Press <Ent er> to see more, '^' to exit t his list, OR | |
| 5434 | CHOOSE 1-5 : | |
| 5435 | 6 B ID2 PRN BID | |
| 5436 | CHOOSE 1-6 : | |
| 5437 | Now search ing MEDICA TION INSTR UCTION (#5 1) file... | |
| 5438 | BID T WICE A DAY | |
| 5439 | . ..OK? Yes/ / N (No) | |
| 5440 | AP BIDA P TWICE A DAY IN MO RNING AND EVENING | |
| 5441 | . ..OK? Yes/ / N (No) | |
| 5442 | ||
| 5443 | Free tex t 'BID' en tered for schedule ( TWICE A DA Y) | |
| 5444 | ||
| 5445 | The LIMITE D DURATION field is used only when a med ication sh ould be ta ken for a limited pe riod of ti me. Days a re assumed for numer ic entries . Follow t he number with an “H ” to speci fy hours o r an “M” t o specify minutes. | |
| 5446 | ||
| 5447 | Note: Do n ot use thi s field fo r Days Sup ply. | |
| 5448 | ||
| 5449 | ||
| 5450 | Example: E ntering a New Order (continued ) | |
| 5451 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): 10 ( DAYS) | |
| 5452 | ||
| 5453 | The CONJUC TION field is used t o join dos ing sequen ces in com plex order s. Entries are limit ed to AND, THEN, or EXCEPT. AN D is used for concur rent doses , such as “Take 1 ta blet every morning A ND take 2 tablets at bedtime.” THEN is u sed for co nsecutive doses, suc h as “Take 2 tablets daily for one week THEN take 1 tablet f or five da ys.” EXCEP T is used to describ e any dosi ng sequenc e that is not routin e, such as “Take 1 t ablet ever y day EXCE PT take no tablets W ednesday.” See Chapt er 2 in th e User Man ual - Supp lemental f or example s. | |
| 5454 | ||
| 5455 | CONJUNCTIO N: <Enter> | |
| 5456 | ||
| 5457 | Any entry in the PAT IENT INSTR UCTIONS fi eld will f irst be ch ecked to s ee if it c ontains an y abbrevia tions that can be ex panded. Th e entry wi ll be adde d to the e nd of the Sig, after the dosin g informat ion, and t he entire Sig will b e displaye d. | |
| 5458 | ||
| 5459 | PATIENT IN STRUCTIONS : WF WITH FOOD | |
| 5460 | ||
| 5461 | (TAKE TWO CAPSULES B Y MOUTH FO UR TIMES A DAY FOR 1 0 DAYS WIT H FOOD) | |
| 5462 | ||
| 5463 | OTHER PATI ENT INSTRU CTIONS: WF CON ALIMEN TO | |
| 5464 | ||
| 5465 | Patch PSS* 1*47 adds two new op tional fie lds, OTHER LANGUAGE PREFERENCE and PMI L ANGUAGE PR EFERENCE i n the PHAR MACY PATIE NT file (# 55) that s tores if a patient h as another language preference and if th e patient’ s PMI shee ts should print in E nglish or Spanish at the CMOP. The CMOP functional ity was re quested fo r future C MOP use. W hen printi ng locally from Outp atient Pha rmacy this parameter is not us ed. These fields are accessed through th e option U pdate Pati ent Record [PSO PAT] and the p rotocol Pa tient Reco rd Update [PSO PATIE NT RECORD UPDATE]. I f the othe r language preferenc e is indic ated for a patient, the user w ill be pro mpted to e nter OTHER PATIENT I NSTRUCTION S after se lecting th e PATIENT INSTRUCTIO NS field t o enter/ed it. If a q uick code is entered at the OT HER PATIEN T INSTRUCT IONS promp t, the exp ansion ent ered at th e OTHER PA TIENT INST RUCTIONS E XPANSIONS will print on the pr escription label. | |
| 5466 | ||
| 5467 | A default value for Days Suppl y based on patient s tatus is d isplayed. A default quantity i s calculat ed when po ssible. Se e Chapter 2 in the U ser Manual - Supplem ental for more infor mation on this calcu lation. | |
| 5468 | ||
| 5469 | DAYS SUPPL Y: (1-90) : 30// 10 QTY ( CAP ) : 80// < Enter> 80 | |
| 5470 | ||
| 5471 | Example: E ntering a New Order (continued ) | |
| 5472 | COPIES: 1/ / <Enter> 1 | |
| 5473 | # OF REFIL LS: (0-11 ): 11// 0 | |
| 5474 | PROVIDER: OPPROVI DER4,TWO | |
| 5475 | CLINIC: OUTPT NUR SE GREEN T EAM | |
| 5476 | MAIL/WINDO W: WINDOW/ / <Enter> WINDOW | |
| 5477 | METHOD OF PICK-UP: < Enter> | |
| 5478 | REMARKS: < Enter> | |
| 5479 | ISSUE DATE : TODAY// <Enter> (MAY 30, 2 001) | |
| 5480 | FILL DATE: (5/30/20 01 - 6/9/2 001): TODA Y// <Ente r> (MAY 3 0, 2001) | |
| 5481 | Nature of Order: WRI TTEN// ?? | |
| 5482 | ||
| 5483 | Require Prin t Prin t on | |
| 5484 | Nature o f Order Ac tivity E .Signature Chart C opy Summ ary | |
| 5485 | -------- ---------- ------ - ---------- ------- --- ---- ---- | |
| 5486 | WRITTEN x | |
| 5487 | VERBAL x x x | |
| 5488 | TELEPHON ED x x x | |
| 5489 | SERVICE CORRECTION | |
| 5490 | POLICY x x | |
| 5491 | DUPLICAT E | |
| 5492 | SERVICE REJECT x x | |
| 5493 | ||
| 5494 | Nature of Order: WRI TTEN// <E nter> W | |
| 5495 | WAS THE PA TIENT COUN SELED: NO/ / y YES | |
| 5496 | WAS COUNSE LING UNDER STOOD: NO/ / y YES | |
| 5497 | ||
| 5498 | An option to add a p rogress no te has bee n added. I f “Yes” is entered a t this pro mpt, the p rogress no te entry w ill begin after the order info rmation ha s been dis played and confirmed . The orde r is redis played, al ong with i nformation on any se rvice-conn ected disa bilities o n record. | |
| 5499 | ||
| 5500 | Do you wan t to enter a Progres s Note? No // <Enter> | |
| 5501 | ||
| 5502 | Rx # 50390 6 05/30/0 1 | |
| 5503 | OPPATIENT1 6,ONE #80 | |
| 5504 | TAKE TWO C APSULES BY MOUTH FOU R TIMES A DAY FOR 10 DAYS WITH FOOD | |
| 5505 | ||
| 5506 | AMPICILLIN 250MG CAP | |
| 5507 | OPPROVIDER 4,TWO OPPH ARMACIST4, THREE | |
| 5508 | # of Refil ls: 11 | |
| 5509 | SC Perce nt: 40%Dis abilities: NONE STAT EDWas trea tment for Service Co nnected co ndition? N O | |
| 5510 | ||
| 5511 | To determi ne if the order shou ld be char ged copay, eligible copay exem ptions for the order are promp ted one at a time. I n this exa mple, the user is pr ompted if the order is being p rescribed for any of the servi ce-connect ed conditi ons displa yed. If an y other se rvice conn ected cond itions app ly to the patient, q uestions f or each wo uld appear . In this example, t he patient is enroll ed for Ser vice Conne ction and Agent Oran ge exposur e. Each ap plicable c opay exemp tion promp t will app ear no mat ter what i s answered previousl y. | |
| 5512 | ||
| 5513 | Example: E ntering a New Order (continued ) | |
| 5514 | Was treatm ent relate d to Agent Orange ex posure? NO Is this co rrect? YES // <Enter > | |
| 5515 | ||
| 5516 | Another Ne w Order fo r OPPATIEN T16,ONE? Y ES// | |
| 5517 | ||
| 5518 | Medication s with non -numeric d osages, su ch as oint ments and creams, wi ll display non-numer ic possibl e default dosages. B ecause the dosage is non-numer ic, values for dispe nse units per dose a nd quantit y cannot b e calculat ed. | |
| 5519 | ||
| 5520 | DRUG: H YDROCORTIS ONE 0.5% C REAM DE200 VISN FOR M; 30 GM/T UBE (IEN) | |
| 5521 | . ..OK? Yes/ / (Yes) | |
| 5522 | Now doing order chec ks. Pleas e wait... | |
| 5523 | ||
| 5524 | There are 4 Availabl e Dosage(s ): | |
| 5525 | 1. SMALL AMOU NT | |
| 5526 | 2. MODERATE A MOUNT | |
| 5527 | 3. LIBERALLY | |
| 5528 | 4. LARGE AMOU NT | |
| 5529 | ||
| 5530 | Select fro m list of Available Dosages (1 -4), Enter Free Text Dose | |
| 5531 | or Enter a Question Mark (?) t o view lis t: 2 MODER ATE AMOUNT | |
| 5532 | ||
| 5533 | You entere d MODERATE AMOUNT is this corr ect? Yes// <Enter> Y ES | |
| 5534 | ROUTE: TOP ICAL// TOP ICAL | |
| 5535 | ||
| 5536 | A default quantity c annot be c alculated for comple x orders c ontaining the conjun ction “Exc ept.” | |
| 5537 | Displaying a Patient ’s Remote Prescripti ons | |
| 5538 | If RDI is active and a patient has presc riptions a t another location, when the u ser select s the pati ent to ent er a new o rder from Patient Pr escription Processin g, the fol lowing mes sage appea rs. | |
| 5539 | ||
| 5540 | REMOTE PRE SCRIPTIONS AVAILABLE ! | |
| 5541 | Display Re mote Data? N// | |
| 5542 | ||
| 5543 | If the use r responds NO, then the normal procedure occurs fo r entering prescript ions. If t he user re sponds YES , the “Rem ote Facili ties Visit ed” screen appears s uch as the following example. | |
| 5544 | ||
| 5545 | Remote Fac ilities Vi sited Dec 30, 20 08@17:26:4 7 Page: 1 o f 1 | |
| 5546 | ||
| 5547 | Patient: P SOPATIENT, ONE (000- 00-0000) DOB: 0 1/02/1967 | |
| 5548 | ||
| 5549 | Station | |
| 5550 | HDR CHEY ENNE | |
| 5551 | ||
| 5552 | ||
| 5553 | ||
| 5554 | Enter ?? f or more ac tions | |
| 5555 | DR Displa y Remote P harmacy Da ta DB Displa y Both Pha rmacy Data | |
| 5556 | Action:Qui t//DR | |
| 5557 | ||
| 5558 | To display the presc riptions a t the remo te pharmac y location , enter DR at the “A ction” pro mpt. The “ Medication Profile – Remote” s creen appe ars such a s the foll owing exam ple. | |
| 5559 | ||
| 5560 | Medication Profile - Remote Dec 30, 20 08@17:29:4 3 Pa ge: 1 of 2 | |
| 5561 | ||
| 5562 | Patient: P SOPATIENT, ONE (000 -00-0000) DOB: 01/02/1967 | |
| 5563 | ||
| 5564 | RX# DRUG ST QTY ISSUE D LAST FI LLED | |
| 5565 | HDR CHEYEN NE | |
| 5566 | 712885 AMOXIC ILLIN TRIH YDRATE 250 MG CAP A 90 11/06 /08 11/06 /08 | |
| 5567 | SIG: T AKE ONE CA PSULE BY M OUTH THREE TIMES A D AY | |
| 5568 | PROVID ER: MCKAY, ELMER | |
| 5569 | 712886 DILTIA ZEM (INWOO D) 240MG C AP,SA A 30 11/28 /08 11/28 /08 | |
| 5570 | SIG: T AKE ONE CA PSULE BY M OUTH EVERY DAY | |
| 5571 | PROVID ER: MCKAY, ELMER | |
| 5572 | 712888 LABETA LOL HCL 20 0MG TAB A 60 12/30 /08 12/30 /08 | |
| 5573 | SIG: T AKE ONE TA BLET BY MO UTH TWICE A DAY | |
| 5574 | PROVID ER: MCKAY, ELMER | |
| 5575 | 712887 SIMVAS TATIN 20MG TAB A 15 12/09 /08 12/09 /08 | |
| 5576 | SIG: T AKE ONE-HA LF TABLET BY MOUTH E VERY EVENI NG TESTING | |
| 5577 | F OR PATTEST ING FOR PA TIENT TEST ING FOR PA TTESTING | |
| 5578 | F OR PATIENT ENT INTRUC TION ON SI G1 TESTING FOR | |
| 5579 | P ATIENT INT RUCTION ON SIG1 TEST ING FOR PA TIENT | |
| 5580 | R EPLACE IEN T WITH IEN T TESTING FOR PATIEN T | |
| 5581 | + Enter ?? f or more ac tions | |
| 5582 | ||
| 5583 | Select Act ion:Next S creen// | |
| 5584 | ||
| 5585 | Entering a New Order – ePharma cy (Third Party Bill able) | |
| 5586 | For patien ts who hav e third pa rty insura nce and ha ve the app ropriate e ligibility requireme nts, the s oftware wi ll create an ePharma cy order u pon finish ing of the prescript ion entry. | |
| 5587 | ||
| 5588 | After a WI NDOW order is entere d and fini shed, the billing da ta is sent to the El ectronic M anagement Claims Eng ine (ECME) . ECME sen ds message s back to Outpatient Pharmacy displaying the statu s of the c laim. For MAIL order s, the com munication between O utpatient Pharmacy a nd ECME ha ppens eith er during the Local Mail Label Print or during the CMOP tran smission. | |
| 5589 | ||
| 5590 | The follow ing exampl e shows th e creation of a new WINDOW ord er startin g with the “DRUG:” p rompt. | |
| 5591 | ||
| 5592 | Example: E ntering a New Order for ePharm acy Billin g | |
| 5593 | DRUG: PRED NISONE | |
| 5594 | Lookup: GENERIC NA ME | |
| 5595 | 1 P REDNISONE 1MG TAB HS 051 | |
| 5596 | 2 P REDNISONE 20MG S.T. HS051 | |
| 5597 | 3 P REDNISONE 5MG TAB HS 051 | |
| 5598 | CHOOSE 1-3 : 3 PREDN ISONE 5MG TAB HS051 | |
| 5599 | Now doing order chec ks. Pleas e wait... | |
| 5600 | Previously entered I CD diagnos is codes: <Enter> | |
| 5601 | ||
| 5602 | Select Pri mary ICD C ode: <Ente r> | |
| 5603 | VERB: TAKE | |
| 5604 | There are 2 Availabl e Dosage(s ): | |
| 5605 | 1. 20MG | |
| 5606 | 2. 40MG | |
| 5607 | ||
| 5608 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 5609 | or Enter a Question Mark (?) t o view lis t: 1 20MG | |
| 5610 | ||
| 5611 | You entere d 20MG is this corre ct? Yes// <Enter> Y ES | |
| 5612 | VERB: TAKE | |
| 5613 | DISPENSE U NITS PER D OSE(TABLET ): 1// <En ter> 1 | |
| 5614 | Dosage Ord ered: 20MG | |
| 5615 | ||
| 5616 | NOUN: TABL ET | |
| 5617 | ROUTE: PO/ / <Enter> | |
| 5618 | 1 P O ORAL (B Y MOUTH) PO | |
| 5619 | 2 P O ORAL PO | |
| 5620 | CHOOSE 1-2 : 2 ORAL PO B Y MOUTH | |
| 5621 | Schedule: TID | |
| 5622 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 5623 | TID TID THREE TI MES A DAY | |
| 5624 | ...OK? Yes // (Yes) | |
| 5625 | (THREE TI MES A DAY) | |
| 5626 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): 10 ( DAYS) | |
| 5627 | CONJUNCTIO N: <Enter> | |
| 5628 | PATIENT IN STRUCTIONS : WF | |
| 5629 | WITH FOOD | |
| 5630 | (TAKE ONE TABLET BY BY MOUTH THREE TIME S A DAY FO R 10 DAYS WITH FOOD) | |
| 5631 | ||
| 5632 | Example: E ntering a New Order for ePharm acy Billin g (continu ed) | |
| 5633 | DAYS SUPPL Y: (1-90) : 30// <En ter> | |
| 5634 | QTY ( TAB ) : 30// < Enter> 30 | |
| 5635 | COPIES: 1/ / <Enter> 1 | |
| 5636 | # OF REFIL LS: (0-5) : 5// <Ent er> | |
| 5637 | PROVIDER: OPPROVIDER 4,TWO | |
| 5638 | CLINIC: <E nter> | |
| 5639 | MAIL/WINDO W: WINDOW/ / <Enter> WINDOW | |
| 5640 | METHOD OF PICK-UP: < Enter> | |
| 5641 | REMARKS: < Enter> | |
| 5642 | ISSUE DATE : TODAY// <Enter> ( NOV 02, 20 05) | |
| 5643 | FILL DATE: (11/2/20 05 - 11/3/ 2006): TOD AY// <Ente r> (NOV 0 2, 2005) | |
| 5644 | Nature of Order: WRI TTEN// < Enter> W | |
| 5645 | WAS THE PA TIENT COUN SELED: NO/ / YES | |
| 5646 | WAS COUNSE LING UNDER STOOD: NO/ / YES | |
| 5647 | ||
| 5648 | Do you wan t to enter a Progres s Note? No // <Enter > NO | |
| 5649 | ||
| 5650 | Rx # 10000 3840 11/02/0 5 | |
| 5651 | OPPATIENT, FOUR #30 | |
| 5652 | TAKE ONE T ABLET BY B Y MOUTH TH REE TIMES A DAY FOR 10 DAYS WI TH FOOD | |
| 5653 | ||
| 5654 | PREDNISONE 5MG TAB | |
| 5655 | OPPROVIDER 4,TWO OPP HARMACIST4 ,THREE | |
| 5656 | # of Refil ls: 5 | |
| 5657 | ||
| 5658 | ||
| 5659 | Is this co rrect? YES // <Enter> YES | |
| 5660 | Veteran Pr escription 100003840 successfu lly submit ted to ECM E for clai m generati on. | |
| 5661 | ||
| 5662 | Claim Stat us: | |
| 5663 | IN PROGRES S-Waiting to start | |
| 5664 | IN PROGRES S-Gatherin g claim in fo | |
| 5665 | IN PROGRES S-Packet b eing built | |
| 5666 | IN PROGRES S-Waiting for transm it | |
| 5667 | IN PROGRES S-Transmit ting | |
| 5668 | E PAYABLE | |
| 5669 | ||
| 5670 | Another Ne w Order fo r OPPATIEN T,FOUR? YE S// NO | |
| 5671 | ||
| 5672 | View of RX : | |
| 5673 | Medication Profile Nov 02, 20 05@07:33:2 9 Page: 1 of 1 | |
| 5674 | OPPATIENT, FOUR | |
| 5675 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 5676 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 5677 | SEX: MAL E | |
| 5678 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 5679 | IS SUE LAST REF DAY | |
| 5680 | # RX # DRU G QTY ST D ATE FILL REM SUP | |
| 5681 | ||
| 5682 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 5683 | 1 100003 840e PRE DNISONE 5M G TAB 30 A> 11 -02 11-02 5 30 | |
| 5684 | ||
| 5685 | Denotes eP harmacy Rx | |
| 5686 | Denotes eP harmacy Rx | |
| 5687 | ||
| 5688 | ||
| 5689 | ||
| 5690 | ||
| 5691 | ||
| 5692 | ||
| 5693 | ||
| 5694 | ||
| 5695 | Enter ?? f or more ac tions | |
| 5696 | PU Patien t Record U pdate NO New Or der | |
| 5697 | PI Patien t Informat ion SO Select Order | |
| 5698 | Select Act ion: Quit/ / | |
| 5699 | ||
| 5700 | If a new o rder is re jected due to a Drug Utilizati on Review (DUR), Rej ect Resolu tion Requi red, or Re fill Too S oon, the p rescriptio n will be marked as “REJECTED” , and the user will have the o pportunity to resolv e before c ontinuing. | |
| 5701 | ||
| 5702 | The follow ing exampl e displays a sample ECME trans mission re jection, a nd how to resolve th e rejectio n error. | |
| 5703 | ||
| 5704 | Example: H andling a Rejected N ew Order f or ePharma cy Billing | |
| 5705 | Veteran Pr escription 999999 su ccessfully submitted to ECME f or claim g eneration. | |
| 5706 | ||
| 5707 | Claim Stat us: | |
| 5708 | IN PROGRES S-Waiting to start | |
| 5709 | IN PROGRES S-Waiting for packet build | |
| 5710 | IN PROGRES S-Waiting for transm it | |
| 5711 | IN PROGRES S-Transmit ting | |
| 5712 | E REJECTED | |
| 5713 | *** VETERAN - REJECT REC EIVED FROM THIRD PAR TY PAYER * ** | |
| 5714 | ------- ---------- ---------- ---------- ---------- ---------- ---------- --- | |
| 5715 | Divisio n : ALBANY NCPDP: 1 23456789 N PI#: 39393 939 | |
| 5716 | Patient : OPPATI ENT,FOUR(0 00-01-1322 P) Sex: M DOB: JAN 13,19 22(83) | |
| 5717 | Prescri ption : 99 999999/0 - TESTOSTER ONE (ANDRO D ECME#: 000001234 567 | |
| 5718 | Reject Type : 88 - DUR REJ ECT receiv ed on FEB 27, 2006@1 0:58:25 | |
| 5719 | Payer M essage: DU R Reject E rror | |
| 5720 | Reason : ER (OVERUSE PRECAUTION ) | |
| 5721 | DUR Tex t : AN DRODERM DIS 5MG/2 4HR | |
| 5722 | Insuran ce : EM DEON Contact: 8 00 555-555 5 | |
| 5723 | Group N ame : RX INS Group Number: 1 2454 | |
| 5724 | Cardhol der ID: 00 0011322P | |
| 5725 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5726 | ||
| 5727 | Selec t one of t he followi ng: | |
| 5728 | ||
| 5729 | O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S | |
| 5730 | I (I)GNORE - FILL Rx W ITHOUT CLA IM SUBMISS ION | |
| 5731 | Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION) | |
| 5732 | ||
| 5733 | (O)verride ,(I)gnore, (Q)uit: Q/ / O OVERR IDE | |
| 5734 | ||
| 5735 | When a cla im is reje cted, typi cally the Payer prov ides a “Re ason for S ervice Cod e”, which displays o n the reje ct as “Rea son”. The user can u se this re ason to th en select which code is entere d for “Pro fessional Service Co de” and “R esult of S ervice Cod e”. To see a list of service c odes, ente r ? at the specified prompt.Ex ample: Han dling a Re jected New Order for ePharmacy Billing ( continued) | |
| 5736 | ||
| 5737 | Reason for Service C ode : ER - OVERUSE | |
| 5738 | Profession al Service Code: RT RECO MMENDED LA BORATORY T EST | |
| 5739 | Result of Service Co de : 1G FILL ED, WITH P RESCRIBER APPROVAL | |
| 5740 | ||
| 5741 | Reaso n for Serv ice Code : ER - OVE RUSE | |
| 5742 | Profe ssional Se rvice Code : RT - REC OMMENDED L ABORATORY TEST | |
| 5743 | Resul t of Servi ce Code : 1G - FIL LED, WITH PRESCRIBER APPROVAL | |
| 5744 | ||
| 5745 | Confi rm? ? YES/ / <Enter> | |
| 5746 | ||
| 5747 | Veteran Pr escription 99999999 successful ly submitt ed to ECME for claim generatio n. | |
| 5748 | ||
| 5749 | Claim Stat us: | |
| 5750 | IN PROGRES S-Waiting to start | |
| 5751 | IN PROGRES S-Waiting for packet build | |
| 5752 | IN PROGRES S-Packet b eing built | |
| 5753 | IN PROGRES S-Waiting for transm it | |
| 5754 | IN PROGRES S-Transmit ting | |
| 5755 | IN PROGRES S-Waiting to process response | |
| 5756 | E PAYABLE | |
| 5757 | ||
| 5758 | For Refill Too Soon rejects, t he same ch oices appl y. | |
| 5759 | ||
| 5760 | Example: H andling a Reject Res olution Re quired rej ected New Prescripti on for ePh armacy Bil ling | |
| 5761 | ||
| 5762 | For VETERA N prescrip tions, a r eject code can be sp ecified in the Rejec t Resoluti on Require d section of the ePh armacy Sit e Paramete r screen t o stop a p rescriptio n from bei ng filled. The Reje ct Resolut ion Requir ed reject codes will prevent a a prescr iption fro m being fi lled durin g any clai ms process ing under the follow ing condit ions: | |
| 5763 | VETERAN el igibility | |
| 5764 | The prescr iption is an origina l fill | |
| 5765 | The prescr iption is not releas ed | |
| 5766 | The reject is on the Reject Re solution R equired li st for the division | |
| 5767 | The total gross amou nt of the prescripti on is at o r above th e specifie d threshol d amount | |
| 5768 | ||
| 5769 | For VETERA N prescrip tion rejec tions that have Reje ct Resolut ion Requir ed rejects , the user will be a ble to sel ect from ( I)gnore, w hich bypas ses claims processin g and allo ws the pre scription to be fill ed, or (Q) uit which sends it t o the Thir d Party Pa yer Reject s – Workli st. Prescr iptions wi th these t ype reject s cannot b e filled u ntil the r eject is r esolved. E xample: | |
| 5770 | ||
| 5771 | Example: H andling a Reject Res olution Re quired rej ected New Order for ePharmacy Billing (c ontinued) | |
| 5772 | Claim Stat us: | |
| 5773 | IN PROGRES S-Waiting to start | |
| 5774 | IN PROGRES S-Building the claim | |
| 5775 | IN PROGRES S-Building the HL7 p acket | |
| 5776 | IN PROGRES S-Transmit ting | |
| 5777 | IN PROGRES S-Processi ng respons e | |
| 5778 | E REJECTED | |
| 5779 | ||
| 5780 | ||
| 5781 | *** VETERAN - REJECT REC EIVED FROM THIRD PAR TY PAYER * ** | |
| 5782 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5783 | Divisio n : ALBANY NPI : 12345678 9 NCP DP: 415000 1 | |
| 5784 | Patient : OP,FOU R(000-01-1 322P) Sex : M D OB: JAN 13 , 1922(83) | |
| 5785 | Rx/Drug : 999999 99/0 – TES TOSTERONE (ANDROD ECME#: 000001234 567 | |
| 5786 | Reject( s): 76 - P lan Limita tions Exce eded Recei ved on JUN 07, 2013@ 11:26:05 | |
| 5787 | ||
| 5788 | Payer M essage: DA YS SUPPLY IS MORE TH AN ALLOWED BY PLAN | |
| 5789 | Insuran ce : TE ST INS Contact: 800-555-5 555 | |
| 5790 | Group N ame : RX INS G roup Numbe r: 12454 | |
| 5791 | Cardhol der ID: 00 00011322P | |
| 5792 | ||
| 5793 | Reject Resolution Required | |
| 5794 | Gross A mount Due ($34.42) i s greater than or eq ual to | |
| 5795 | Thresho ld Dollar Amount ($0 ) | |
| 5796 | Please select Qui t to resol ve this re ject on th e Reject W orklist. | |
| 5797 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5798 | ||
| 5799 | Selec t one of t he followi ng: | |
| 5800 | ||
| 5801 | I (I)GNORE - FILL Rx W ITHOUT CLA IM SUBMISS ION | |
| 5802 | Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION) | |
| 5803 | ||
| 5804 | (I)gnore,( Q)uit: Q// | |
| 5805 | ||
| 5806 | Example: H andling a TRICARE Re jected New Order for ePharmacy Billing | |
| 5807 | ||
| 5808 | Rejected T RICARE cla ims will b e denoted with “TRIC ARE” durin g submissi on to ECME and withi n the subs equent rej ect notifi cation scr een. Also, the rejec t codes wi ll be disp layed in b oth places . The foll owing exam ple shows a prescrip tion being submitted to ECME a nd this pr ocess occu rs directl y followin g the “Is this corre ct? YES//” prompt du ring finis h. Where D UR or RTS are one of the rejec t codes, t he user wi ll be able to select from (D)i scontinue the prescr iption, su bmit (O)ve rride code s, or (Q)u it which s ends the r ejection t o the Thir d Party Pa yer Reject s - Workli st. A TRIC ARE reject ion may no t be (I)gn ored. | |
| 5809 | ||
| 5810 | TRICARE Pr escription 101110 su bmitted to ECME for claim gene ration. | |
| 5811 | ||
| 5812 | Claim Stat us: | |
| 5813 | IN PROGRES S-Waiting to start | |
| 5814 | IN PROGRES S-Building the claim | |
| 5815 | IN PROGRES S-Transmit ting | |
| 5816 | IN PROGRES S-Processi ng respons e | |
| 5817 | E REJECTED | |
| 5818 | 79 - R efill Too Soon | |
| 5819 | 14 - M /I Eligibi lity Clari fication C ode | |
| 5820 | ||
| 5821 | ||
| 5822 | *** REJECT REC EIVED FOR TRICARE PA TIENT *** | |
| 5823 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5824 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 5825 | Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 5826 | Rx/Drug : 101110 /0 - NAPRO XEN 250MG S.T. ECME#: 000000112 303 | |
| 5827 | Reject( s): REFILL TOO SOON (79), 14 - M/I Eligi bility Cla rification Code (14) . | |
| 5828 | Receiv ed on MAR 03, 2008@1 4:40:57. | |
| 5829 | ||
| 5830 | Insuran ce : TR ICARE Contact: | |
| 5831 | Group N ame : TR ICARE PRIM E Group Number: 1 23123 | |
| 5832 | Cardhol der ID: SI 9844532 | |
| 5833 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5834 | ||
| 5835 | Selec t one of t he followi ng: | |
| 5836 | ||
| 5837 | O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S | |
| 5838 | D (D)isconti nue - DO N OT FILL PR ESCRIPTION | |
| 5839 | Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION) | |
| 5840 | ||
| 5841 | (O)verride ,(D)iscont inue,(Q)ui t: Q// | |
| 5842 | ||
| 5843 | Example: H andling a non-DUR/RT S or non-c linical TR ICARE reje cted New O rder for e Pharmacy B illing | |
| 5844 | ||
| 5845 | For TRICAR E prescrip tion rejec tions that have non- DUR/RTS or non-clini cal reject s, the use r will be able to se lect from (D)isconti nue the pr escription or (Q)uit which sen ds it to t he Third P arty Payer Rejects - Worklist. TRICARE p rescriptio ns with th ese type r ejects can not be fil led until the reject ion is res olved. Exa mple: | |
| 5846 | ||
| 5847 | TRICARE Pr escription 101113 su bmitted to ECME for claim gene ration. | |
| 5848 | ||
| 5849 | Claim Stat us: | |
| 5850 | IN PROGRES S-Waiting to start | |
| 5851 | IN PROGRES S-Building the claim | |
| 5852 | IN PROGRES S-Building the HL7 p acket | |
| 5853 | IN PROGRES S-Transmit ting | |
| 5854 | E REJECTED | |
| 5855 | 07 - M /I Cardhol der ID Num ber | |
| 5856 | 14 - M /I Eligibi lity Clari fication C ode | |
| 5857 | ||
| 5858 | ||
| 5859 | *** REJECT REC EIVED FOR TRICARE PA TIENT *** | |
| 5860 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5861 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 5862 | Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 5863 | Rx/Drug : 101113 /0 - SIMET HICONE 40M G TAB ECME#: 000000112 306 | |
| 5864 | Reject( s): M/I El igibility Clarificat ion Code ( 14), M/I C ardholder ID | |
| 5865 | Number (07). Re ceived on MAR 03, 20 08@14:43:4 2. | |
| 5866 | ||
| 5867 | Insuran ce : TR ICARE Contact: | |
| 5868 | Group N ame : TR ICARE PRIM E Group Number: 1 23123 | |
| 5869 | Cardhol der ID: SI 9844532 | |
| 5870 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5871 | ||
| 5872 | Selec t one of t he followi ng: | |
| 5873 | ||
| 5874 | D (D)isconti nue - DO N OT FILL PR ESCRIPTION | |
| 5875 | Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION) | |
| 5876 | ||
| 5877 | (D)isconti nue,(Q)uit : Q// | |
| 5878 | ||
| 5879 | For non-bi llable TRI CARE presc riptions, an abbrevi ated versi on of the reject not ification screen wil l be displ ayed. Beca use the pr escription is non-bi llable, th e insuranc e and ECME informati on that's currently provided f or DUR/RTS rejects w ill not be displayed (i.e. ins urance, gr oup name, group #, E CME #, con tact, card holder ID) . In this case, the prescripti on must be discontin ued. | |
| 5880 | ||
| 5881 | Is this co rrect? YES // ... | |
| 5882 | ||
| 5883 | *** TR ICARE - NO N-BILLABLE *** | |
| 5884 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5885 | Divisio n : ALBANY ISC NPI#: | |
| 5886 | Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 5887 | Rx/Drug : 102058 /0 - ABSOR BABLE GELA TIN S | |
| 5888 | Date/Ti me: AUG 27 , 2008@16: 49:46 | |
| 5889 | Reason : Drug n ot billabl e. | |
| 5890 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5891 | ||
| 5892 | This is a non-billab le TRICARE prescript ion. It c annot be f illed or s ent | |
| 5893 | to the rej ect workli st. It mu st be disc ontinued. | |
| 5894 | ||
| 5895 | Press <RET URN> to co ntinue... | |
| 5896 | Nature of Order: SER VICE CORRE CTION// S | |
| 5897 | ||
| 5898 | Requesting PROVIDER: OPHARM O PPHARM,ONE OO | |
| 5899 | Labels wil l not prin t for disc ontinued T RICARE pre scriptions , and repr int label will not b e allowed for TRICAR E rejected prescript ions. | |
| 5900 | ||
| 5901 | Select Rx (Prescript ions) Opti on: REPrin t an Outpa tient Rx L abel | |
| 5902 | ||
| 5903 | ||
| 5904 | ||
| 5905 | Reprint Pr escription Label: 10 1113 SIMETHICO NE 40MG TA B | |
| 5906 | Number of Copies? : (1-99): 1 // | |
| 5907 | Print adhe sive porti on of labe l only? ? No// NO | |
| 5908 | Do you wan t to resen d to Dispe nsing Syst em Device? No// NO | |
| 5909 | Comments: REPRINT | |
| 5910 | ||
| 5911 | Rx # 10111 3 03/03/0 8 | |
| 5912 | OPTRICARE, ONE #180 | |
| 5913 | ||
| 5914 | ONE MOUTH TWICE A DA Y | |
| 5915 | ||
| 5916 | SIMETHICON E 40MG TAB | |
| 5917 | OPPHARM,ON E OP PHARM,ONE | |
| 5918 | # of Refil ls: 3 | |
| 5919 | ||
| 5920 | Select LAB EL DEVICE: NULL Bit Bucket | |
| 5921 | ||
| 5922 | ||
| 5923 | ||
| 5924 | No Label(s ) printed. | |
| 5925 | ||
| 5926 | ||
| 5927 | Reprint Pr escription Label: | |
| 5928 | ||
| 5929 | Suspended TRICARE pr escription s will rem ain on sus pense when a reject occurs, wh en the pre scription is non-bil lable, or when the t hird party claim rem ains in an 'IN PROGR ESS' statu s in ECME. Labels w ill not pr int. Once the rejec t is resol ved, the u ser may pu ll the pre scription early from suspense or wait fo r the next scheduled Print fro m Suspense option ru ns at whic h time lab els will p rint accor dingly. Th is include s CMOP and local sus pense. | |
| 5930 | ||
| 5931 | TRICARE Pr escription 101607 su bmitted to ECME for claim gene ration. | |
| 5932 | ||
| 5933 | Claim Stat us: | |
| 5934 | IN PROGRES S-Building the claim | |
| 5935 | IN PROGRES S-Transmit ting | |
| 5936 | IN PROGRES S-Parsing response | |
| 5937 | ||
| 5938 | ||
| 5939 | ** * TRICARE - 'IN PROG RESS' ECME status ** * | |
| 5940 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5941 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 5942 | Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 5943 | Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG | |
| 5944 | Date/Ti me: APR 20 , 2008@20: 11:17 | |
| 5945 | Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed | |
| 5946 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 5947 | ||
| 5948 | This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved, | |
| 5949 | it may be printed or pulled ea rly from s uspense. | |
| 5950 | ||
| 5951 | ||
| 5952 | Press <RET URN> to co ntinue... | |
| 5953 | ||
| 5954 | A rejected TRICARE p rescriptio n may not have a par tial fill ordered un til the re ject is re solved. | |
| 5955 | ||
| 5956 | OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2 | |
| 5957 | OPTRICARE, ONE | |
| 5958 | PID: 666 -55-4789 Ht(cm): _ ______ (__ ____) | |
| 5959 | DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____) | |
| 5960 | SEX: MAL E | |
| 5961 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 5962 | ||
| 5963 | Rx # : 101526e (ECME #: 000009 999999) | |
| 5964 | (1) *Orde rable Item : ACETAZOL AMIDE PILL | |
| 5965 | (2) Drug : ACETAZOL AMIDE 500M G SEQUELS | |
| 5966 | Verb : TAKE | |
| 5967 | (3) *Dosage : 1 PILL | |
| 5968 | *Route : ORAL | |
| 5969 | *Schedule : BID | |
| 5970 | (4)Pat In structions : | |
| 5971 | SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY | |
| 5972 | (5) Pati ent Status : OTHER FE DERAL | |
| 5973 | (6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08 | |
| 5974 | Last Fill Date : 04/19/08 (Window) | |
| 5975 | Last Re lease Date : (8) Lot #: | |
| 5976 | Expires : 04/19/09 MFG: | |
| 5977 | + | |
| 5978 | DC Disco ntinue PR Partial RL Rel ease | |
| 5979 | ED Edit RF (Refill) RN Ren ew | |
| 5980 | Select Act ion: Next Screen// p Partial | |
| 5981 | ||
| 5982 | ||
| 5983 | OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2 | |
| 5984 | OPTRICARE, ONE | |
| 5985 | PID: 666 -55-4789 Ht(cm): _ ______ (__ ____) | |
| 5986 | DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____) | |
| 5987 | SEX: MAL E | |
| 5988 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 5989 | ||
| 5990 | Rx # : 101526e (ECME# : 0000099 99999) | |
| 5991 | (1) *Orde rable Item : ACETAZOL AMIDE PILL | |
| 5992 | (2) Drug : ACETAZOL AMIDE 500M G SEQUELS | |
| 5993 | Verb : TAKE | |
| 5994 | (3) *Dosage : 1 PILL | |
| 5995 | *Route : ORAL | |
| 5996 | *Schedule : BID | |
| 5997 | (4)Pat In structions : | |
| 5998 | SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY | |
| 5999 | (5) Pati ent Status : OTHER FE DERAL | |
| 6000 | (6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08 | |
| 6001 | Last Fill Date : 04/19/08 (Window) | |
| 6002 | Last Re lease Date : (8) Lot #: | |
| 6003 | Expires : 04/19/09 MFG: | |
| 6004 | + Partial ca nnot be fi lled on TR ICARE non- payable Rx | |
| 6005 | DC Disco ntinue PR Partial RL Rel ease | |
| 6006 | ED Edit RF (Refill) RN Ren ew | |
| 6007 | Select Act ion: Next Screen// | |
| 6008 | ||
| 6009 | If ECME's status on the claim remains in an "In Pr ogress" st ate past t he process ing timeou t during f inish of t he prescri ption, TRI CARE presc riptions w ill not be allowed t o be fille d. Instead it will b e placed o n suspense until the rejection is resolv ed. Below is an exam ple of thi s screen: | |
| 6010 | ||
| 6011 | TRICARE Pr escription 101607 su bmitted to ECME for claim gene ration. | |
| 6012 | ||
| 6013 | Claim Stat us: | |
| 6014 | IN PROGRES S-Building the claim | |
| 6015 | IN PROGRES S-Transmit ting | |
| 6016 | IN PROGRES S-Parsing response | |
| 6017 | ||
| 6018 | ||
| 6019 | ** * TRICARE - 'IN PROG RESS' ECME status ** * | |
| 6020 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6021 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 6022 | Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 6023 | Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG | |
| 6024 | Date/Ti me: APR 20 , 2008@20: 11:17 | |
| 6025 | Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed | |
| 6026 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6027 | ||
| 6028 | This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved, | |
| 6029 | it may be printed or pulled ea rly from s uspense. | |
| 6030 | ||
| 6031 | ||
| 6032 | Press <RET URN> to co ntinue... | |
| 6033 | ||
| 6034 | If a pharm acy is act ive for eP harmacy pr ocessing b ut an insu rance plan is not li nked or no t active, TRICARE pr escription will be a llowed to be filled without th ird party claim subm ission. T he phrase "Inactive ECME TRICA RE" will b e displaye d during F inish and an ECME lo g entry wi ll be adde d stating such. | |
| 6035 | ||
| 6036 | Example of message d uring fini sh: | |
| 6037 | Do you wan t to enter a Progres s Note? No // NO | |
| 6038 | ||
| 6039 | Rx # 10204 6 08/27/0 8 | |
| 6040 | OPTRICARE, TEST #180 | |
| 6041 | ONE MOUTH TWICE A DA Y | |
| 6042 | ||
| 6043 | DANTROLENE 25MG CAP | |
| 6044 | OPPROVIDER ,ONE OPP HAR,ONE | |
| 6045 | # of Refil ls: 3 | |
| 6046 | ||
| 6047 | ||
| 6048 | Is this co rrect? YES // ... | |
| 6049 | -Rx 10192 1 has been discontin ued... | |
| 6050 | ||
| 6051 | ||
| 6052 | ||
| 6053 | ||
| 6054 | Inactive E CME TRICAR E | |
| 6055 | ||
| 6056 | Example of ECME Acti vity Log e ntry: | |
| 6057 | ECME Log: | |
| 6058 | # Date/T ime Rx Ref Initiator Of Activit y | |
| 6059 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 6060 | 1 8/27/0 8@11:07:45 ORIGIN AL OPPHARM,ON E | |
| 6061 | Comments: TRICARE-In active ECM E TRICARE | |
| 6062 | ||
| 6063 | Example: H andling a CHAMPVA Re jected New Order for ePharmacy Billing | |
| 6064 | ||
| 6065 | Rejected C HAMPVA cla ims will b e denoted with “CHAM PVA” durin g submissi on to ECME and withi n the subs equent rej ect notifi cation scr een. Also, the rejec t codes wi ll be disp layed in b oth places . The foll owing exam ple shows a prescrip tion being submitted to ECME a nd this pr ocess occu rs directl y followin g the “Is this corre ct? YES//” prompt du ring finis h. Where D UR or RTS are one of the rejec t codes, t he user wi ll be able to select from (D)i scontinue the prescr iption, su bmit (O)ve rride code s, or (Q)u it which s ends the r ejection t o the Thir d Party Pa yer Reject s - Workli st. A CHAM PVA reject ion may no t be (I)gn ored. | |
| 6066 | ||
| 6067 | CHAMPVA Pr escription 101110 su bmitted to ECME for claim gene ration. | |
| 6068 | ||
| 6069 | Claim Stat us: | |
| 6070 | IN PROGRES S-Waiting to start | |
| 6071 | IN PROGRES S-Building the claim | |
| 6072 | IN PROGRES S-Transmit ting | |
| 6073 | IN PROGRES S-Processi ng respons e | |
| 6074 | E REJECTED | |
| 6075 | 79 - R efill Too Soon | |
| 6076 | 14 - M /I Eligibi lity Clari fication C ode | |
| 6077 | ||
| 6078 | ||
| 6079 | *** REJECT REC EIVED FOR CHAMPVA PA TIENT *** | |
| 6080 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6081 | Divisio n : ALBANY ISC NPI#: 500 0000021 NCPDP:1234 567 | |
| 6082 | Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 6083 | Rx/Drug : 101110 /0 - NAPRO XEN 250MG S.T. ECME#: 000000112 303 | |
| 6084 | Reject( s): REFILL TOO SOON (79), 14 - M/I Eligi bility Cla rification Code (14) . | |
| 6085 | Receiv ed on MAR 03, 2008@1 4:40:57. | |
| 6086 | ||
| 6087 | Insuran ce : CH AMPVA Contact: | |
| 6088 | Group N ame : CH AMPVA PRIM E Group Number: 1 23123 | |
| 6089 | Cardhol der ID: SI 9844532 | |
| 6090 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6091 | ||
| 6092 | Selec t one of t he followi ng: | |
| 6093 | ||
| 6094 | O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S | |
| 6095 | D (D)isconti nue - DO N OT FILL PR ESCRIPTION | |
| 6096 | Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION) | |
| 6097 | ||
| 6098 | (O)verride ,(D)iscont inue,(Q)ui t: Q// | |
| 6099 | ||
| 6100 | Example: H andling a non-DUR/RT S or non-c linical CH AMPVA reje cted New O rder for e Pharmacy B illing | |
| 6101 | ||
| 6102 | For CHAMPV A prescrip tion rejec tions that have non- DUR/RTS or non-clini cal reject s, the use r will be able to se lect from (D)isconti nue the pr escription or (Q)uit which sen ds it to t he Third P arty Payer Rejects - Worklist. CHAMPVA p rescriptio ns with th ese type r ejects can not be fil led until the reject ion is res olved. Exa mple: | |
| 6103 | ||
| 6104 | CHAMPVA Pr escription 101113 su bmitted to ECME for claim gene ration. | |
| 6105 | ||
| 6106 | Claim Stat us: | |
| 6107 | IN PROGRES S-Waiting to start | |
| 6108 | IN PROGRES S-Building the claim | |
| 6109 | IN PROGRES S-Building the HL7 p acket | |
| 6110 | IN PROGRES S-Transmit ting | |
| 6111 | E REJECTED | |
| 6112 | 07 - M /I Cardhol der ID Num ber | |
| 6113 | 14 - M /I Eligibi lity Clari fication C ode | |
| 6114 | ||
| 6115 | ||
| 6116 | *** REJECT REC EIVED FOR CHAMPVA PA TIENT *** | |
| 6117 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6118 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 6119 | Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 6120 | Rx/Drug : 101113 /0 - SIMET HICONE 40M G TAB ECME#: 000000112 306 | |
| 6121 | Reject( s): M/I El igibility Clarificat ion Code ( 14), M/I C ardholder ID | |
| 6122 | Number (07). Re ceived on MAR 03, 20 08@14:43:4 2. | |
| 6123 | ||
| 6124 | Insuran ce : CH AMPVA Contact: | |
| 6125 | Group N ame : CH AMPVA PRIM E Group Number: 1 23123 | |
| 6126 | Cardhol der ID: SI 9844532 | |
| 6127 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6128 | ||
| 6129 | Selec t one of t he followi ng: | |
| 6130 | ||
| 6131 | D (D)isconti nue - DO N OT FILL PR ESCRIPTION | |
| 6132 | Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION) | |
| 6133 | ||
| 6134 | (D)isconti nue,(Q)uit : Q// | |
| 6135 | ||
| 6136 | For non-bi llable CHA MPVA presc riptions, an abbrevi ated versi on of the reject not ification screen wil l be displ ayed. Beca use the pr escription is non-bi llable, th e insuranc e and ECME informati on that's currently provided f or DUR/RTS rejects w ill not be displayed (i.e. ins urance, gr oup name, group #, E CME #, con tact, card holder ID) . In this case, the prescripti on must be discontin ued. | |
| 6137 | ||
| 6138 | Is this co rrect? YES // ... | |
| 6139 | ||
| 6140 | ||
| 6141 | ||
| 6142 | *** CH AMPVA - NO N-BILLABLE *** | |
| 6143 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6144 | Divisio n : ALBANY ISC NPI#: | |
| 6145 | Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 6146 | Rx/Drug : 102058 /0 - ABSOR BABLE GELA TIN S | |
| 6147 | Date/Ti me: AUG 27 , 2008@16: 49:46 | |
| 6148 | Reason : Drug n ot billabl e. | |
| 6149 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6150 | ||
| 6151 | This is a non-billab le CHAMPVA prescript ion. It c annot be f illed or s ent | |
| 6152 | to the rej ect workli st. It mu st be disc ontinued. | |
| 6153 | ||
| 6154 | Press <RET URN> to co ntinue... | |
| 6155 | Nature of Order: SER VICE CORRE CTION// S | |
| 6156 | ||
| 6157 | Requesting PROVIDER: OPHARM O PPHARM,ONE OO | |
| 6158 | ||
| 6159 | Labels wil l not prin t for disc ontinued C HAMPVA pre scriptions , and repr int label will not b e allowed for CHAMPV A rejected prescript ions. | |
| 6160 | ||
| 6161 | Select Rx (Prescript ions) Opti on: REPrin t an Outpa tient Rx L abel | |
| 6162 | ||
| 6163 | ||
| 6164 | ||
| 6165 | Reprint Pr escription Label: 10 1113 SIMETHICO NE 40MG TA B | |
| 6166 | Number of Copies? : (1-99): 1 // | |
| 6167 | Print adhe sive porti on of labe l only? ? No// NO | |
| 6168 | Do you wan t to resen d to Dispe nsing Syst em Device? No// NO | |
| 6169 | Comments: REPRINT | |
| 6170 | ||
| 6171 | Rx # 10111 3 03/03/0 8 | |
| 6172 | OPCHAMPVA, ONE #180 | |
| 6173 | ||
| 6174 | ONE MOUTH TWICE A DA Y | |
| 6175 | ||
| 6176 | SIMETHICON E 40MG TAB | |
| 6177 | OPPHARM,ON E OP PHARM,ONE | |
| 6178 | # of Refil ls: 3 | |
| 6179 | ||
| 6180 | Select LAB EL DEVICE: NULL Bit Bucket | |
| 6181 | ||
| 6182 | ||
| 6183 | ||
| 6184 | No Label(s ) printed. | |
| 6185 | ||
| 6186 | ||
| 6187 | Reprint Pr escription Label: | |
| 6188 | ||
| 6189 | Suspended CHAMPVA pr escription s will rem ain on sus pense when a reject occurs, wh en the pre scription is non-bil lable, or when the t hird party claim rem ains in an 'IN PROGR ESS' statu s in ECME. Labels w ill not pr int. Once the rejec t is resol ved, the u ser may pu ll the pre scription early from suspense or wait fo r the next scheduled Print fro m Suspense option ru ns at whic h time lab els will p rint accor dingly. Th is include s CMOP and local sus pense. | |
| 6190 | ||
| 6191 | CHAMPVA Pr escription 101607 su bmitted to ECME for claim gene ration. | |
| 6192 | ||
| 6193 | Claim Stat us: | |
| 6194 | IN PROGRES S-Building the claim | |
| 6195 | IN PROGRES S-Transmit ting | |
| 6196 | IN PROGRES S-Parsing response | |
| 6197 | ||
| 6198 | ||
| 6199 | ** * CHAMPVA - 'IN PROG RESS' ECME status ** * | |
| 6200 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6201 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 6202 | Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 6203 | Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG | |
| 6204 | Date/Ti me: APR 20 , 2008@20: 11:17 | |
| 6205 | Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed | |
| 6206 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6207 | ||
| 6208 | This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved, | |
| 6209 | it may be printed or pulled ea rly from s uspense. | |
| 6210 | ||
| 6211 | ||
| 6212 | Press <RET URN> to co ntinue... | |
| 6213 | ||
| 6214 | A rejected CHAMPVA p rescriptio n may not have a par tial fill ordered un til the re ject is re solved. | |
| 6215 | ||
| 6216 | OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2 | |
| 6217 | OPCHAMPVA, ONE | |
| 6218 | PID: 666 -55-4789 Ht(cm): _ ______ (__ ____) | |
| 6219 | DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____) | |
| 6220 | SEX: MAL E | |
| 6221 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 6222 | ||
| 6223 | Rx # : 101526e (ECME# : 0000099 99999) | |
| 6224 | (1) *Orde rable Item : ACETAZOL AMIDE PILL | |
| 6225 | (2) Drug : ACETAZOL AMIDE 500M G SEQUELS | |
| 6226 | Verb : TAKE | |
| 6227 | (3) *Dosage : 1 PILL | |
| 6228 | *Route : ORAL | |
| 6229 | *Schedule : BID | |
| 6230 | (4)Pat In structions : | |
| 6231 | SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY | |
| 6232 | (5) Pati ent Status : OTHER FE DERAL | |
| 6233 | (6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08 | |
| 6234 | Last Fill Date : 04/19/08 (Window) | |
| 6235 | Last Re lease Date : (8) Lot #: | |
| 6236 | Expires : 04/19/09 MFG: | |
| 6237 | + | |
| 6238 | DC Disco ntinue PR Partial RL Rel ease | |
| 6239 | ED Edit RF (Refill) RN Ren ew | |
| 6240 | Select Act ion: Next Screen// p Partial | |
| 6241 | ||
| 6242 | ||
| 6243 | OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2 | |
| 6244 | OPCHAMPVA, ONE | |
| 6245 | PID: 666 -55-4789 Ht(cm): _ ______ (__ ____) | |
| 6246 | DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____) | |
| 6247 | SEX: MAL E | |
| 6248 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 6249 | ||
| 6250 | Rx # : 101526e (ECME# : 0000099 99999) | |
| 6251 | (1) *Orde rable Item : ACETAZOL AMIDE PILL | |
| 6252 | (2) Drug : ACETAZOL AMIDE 500M G SEQUELS | |
| 6253 | Verb : TAKE | |
| 6254 | (3) *Dosage : 1 PILL | |
| 6255 | *Route : ORAL | |
| 6256 | *Schedule : BID | |
| 6257 | (4)Pat In structions : | |
| 6258 | SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY | |
| 6259 | (5) Pati ent Status : OTHER FE DERAL | |
| 6260 | (6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08 | |
| 6261 | Last Fill Date : 04/19/08 (Window) | |
| 6262 | Last Re lease Date : (8) Lot #: | |
| 6263 | Expires : 04/19/09 MFG: | |
| 6264 | + Partial ca nnot be fi lled on CH AMPVA non- payable Rx | |
| 6265 | DC Disco ntinue PR Partial RL Rel ease | |
| 6266 | ED Edit RF (Refill) RN Ren ew | |
| 6267 | Select Act ion: Next Screen// | |
| 6268 | ||
| 6269 | If ECME's status on the claim remains in an "In Pr ogress" st ate past t he process ing timeou t during f inish of t he prescri ption, a C HAMPVA pre scription will not b e allowed to be fill ed. Instea d it will be placed on suspens e until th e rejectio n is resol ved. Below is an exa mple of th is screen: | |
| 6270 | ||
| 6271 | CHAMPVA Pr escription 101607 su bmitted to ECME for claim gene ration. | |
| 6272 | ||
| 6273 | Claim Stat us: | |
| 6274 | IN PROGRES S-Building the claim | |
| 6275 | IN PROGRES S-Transmit ting | |
| 6276 | IN PROGRES S-Parsing response | |
| 6277 | ||
| 6278 | ||
| 6279 | ** * CHAMPVA - 'IN PROG RESS' ECME status ** * | |
| 6280 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6281 | Divisio n : ALBANY ISC NPI#: 500000002 1 | |
| 6282 | Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44) | |
| 6283 | Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG | |
| 6284 | Date/Ti me: APR 20 , 2008@20: 11:17 | |
| 6285 | Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed | |
| 6286 | ------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
| 6287 | ||
| 6288 | This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved, | |
| 6289 | it may be printed or pulled ea rly from s uspense. | |
| 6290 | ||
| 6291 | ||
| 6292 | Press <RET URN> to co ntinue... | |
| 6293 | ||
| 6294 | If a pharm acy is act ive for eP harmacy pr ocessing b ut an insu rance plan is not li nked or no t active, the CHAMPV A prescrip tion will be allowed to be fil led withou t third pa rty claim submission . The phra se "Inacti ve ECME CH AMPVA" wil l be displ ayed durin g Finish a nd an ECME log entry will be a dded stati ng such. | |
| 6295 | ||
| 6296 | Example of message d uring fini sh: | |
| 6297 | Do you wan t to enter a Progres s Note? No // NO | |
| 6298 | ||
| 6299 | Rx # 10204 6 08/27/0 8 | |
| 6300 | OPCHAMPVA, TEST #180 | |
| 6301 | ONE MOUTH TWICE A DA Y | |
| 6302 | ||
| 6303 | DANTROLENE 25MG CAP | |
| 6304 | OPPROVIDER ,ONE OPP HAR,ONE | |
| 6305 | # of Refil ls: 3 | |
| 6306 | ||
| 6307 | ||
| 6308 | Is this co rrect? YES // ... | |
| 6309 | -Rx 10192 1 has been discontin ued... | |
| 6310 | ||
| 6311 | ||
| 6312 | ||
| 6313 | ||
| 6314 | Inactive E CME CHAMPV A | |
| 6315 | ||
| 6316 | Example of ECME Acti vity Log e ntry: | |
| 6317 | ECME Log: | |
| 6318 | # Date/T ime Rx Ref Initiator Of Activit y | |
| 6319 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 6320 | 1 8/27/0 8@11:07:45 ORIGIN AL OPPHARM,ON E | |
| 6321 | Comments: CHAMPVA -I nactive EC ME CHAMPVA | |
| 6322 | NDC Valida tion | |
| 6323 | The initia l validati on of the NDC can be performed by a phar macy techn ician. Thi s function ality only applies t o local fi lls that a re not sen t to OPAI. This func tion provi des a phar macy techn ician the ability to manually enter or s can the ba r code of the existi ng prescri ption labe l and then manually enter or s can the ND C of the s tock bottl e used to fill the p rescriptio n. When th e system m atches the NDC, conf irmation i s provided to the ph armacy tec h and allo ws the tec hnician to continue processing . However, if the sy stem detec ts a misma tch and th e NDC of t he stock b ottle has an associa ted entry in the syn onym file, the NDC w ill be upd ated in Pr escription file (#52 ) for the fill. The system wil l then pro mpt the te chnician t o press en ter to con tinue, a n ew label w ill be pri nted, the original e lectronic claim reve rsed, and a new clai m submissi on will be transmitt ed with th e new NDC. In the ev ent that t he revised NDC promp ts a RTS/D UR rejecti on or a Re ject Resol ution Requ ired rejec tion, the system wil l immediat ely send t he item to the Rejec t Worklist . | |
| 6324 | ||
| 6325 | In a case where the NDC entere d is not d efined for the drug, the syste m prompts the techni cian that a mismatch has occur red and th e prescrip tion needs to be val idated by a pharmaci st. The sy stem notes that the NDC had no t been val idated and allows th e pharmacy tech to m ove to the next pres cription. In the eve nt of a ch ange of ND C promptin g a reject ion, the s ystem imme diately se nds the it em to the Reject Wor klist. | |
| 6326 | ||
| 6327 | The releas ing pharma cist will receive a notation t hat NDC ha s been val idated by the techni cian when processing . If the N DC change has prompt ed a claim reversal and produc ed a RTS/D UR rejecti on or a Re ject Resol ution Requ ired rejec tion, the pharmacist will be p resented w ith a Reje ct Process ing screen at releas e. | |
| 6328 | ||
| 6329 | Example: M atched NDC : | |
| 6330 | Select ePh armacy Men u Option: NV NDC Va lidation | |
| 6331 | ||
| 6332 | WAND BARCO DE or ente r Rx#: 205 4787B | |
| 6333 | ||
| 6334 | Rx: 205478 7B Fill: 0 Patient: O PPATIENT,T WO | |
| 6335 | Drug: AMOX ICILLIN 25 0MG CAP NDC: 00003 -0101-60 | |
| 6336 | ||
| 6337 | ** This ND C has not been valid ated. | |
| 6338 | ||
| 6339 | ||
| 6340 | PRODUCT ND C: 00003-0 101-60// 0 0003-0101- 60 | |
| 6341 | ||
| 6342 | NDC match confirmed. | |
| 6343 | ||
| 6344 | ||
| 6345 | WAND BARCO DE or ente r Rx#: | |
| 6346 | ||
| 6347 | Example: C hanged NDC or Modifi ed NDC: | |
| 6348 | Select ePh armacy Men u Option: NDC Valid ation | |
| 6349 | ||
| 6350 | WAND BARCO DE or ente r Rx#: | |
| 6351 | ||
| 6352 | Rx: 102009 Fill: 0 Patient: O PPATIENT,O NE | |
| 6353 | Drug: BIPE RIDEN 2MG TAB NDC: 00044 -0120-04 | |
| 6354 | ||
| 6355 | ** This ND C has not been valid ated. | |
| 6356 | ||
| 6357 | ||
| 6358 | PRODUCT ND C: 00044-0 120-04// 0 0044-0120- 05 00044-0 120-05 | |
| 6359 | ||
| 6360 | ||
| 6361 | Veteran Pr escription 102009 su ccessfully submitted to ECME f or claim g eneration. | |
| 6362 | ||
| 6363 | Claim Stat us: | |
| 6364 | Reversing and Rebill ing a prev iously sub mitted cla im... | |
| 6365 | IN PROGRES S-Waiting to start | |
| 6366 | IN PROGRES S-Building the trans action | |
| 6367 | IN PROGRES S-Building the claim | |
| 6368 | IN PROGRES S-Transmit ting | |
| 6369 | E REVERSAL ACCEPTED | |
| 6370 | IN PROGRES S-Building the claim | |
| 6371 | IN PROGRES S-Building the HL7 p acket | |
| 6372 | IN PROGRES S-Transmit ting | |
| 6373 | E PAYABLE | |
| 6374 | ||
| 6375 | ||
| 6376 | NDC match confirmed. | |
| 6377 | ||
| 6378 | ||
| 6379 | WAND BARCO DE or ente r Rx#: | |
| 6380 | Using the Copy Actio n | |
| 6381 | If a doubl e question mark (??) is entere d at the “ Select Act ion” promp t, the hid den action s on the f ollowing p age will d isplay in the action area. | |
| 6382 | ||
| 6383 | The follow ing action s are also available : | |
| 6384 | AL Activ ity Logs ( OP) REJ View REJE CT DN Do wn a Line | |
| 6385 | VF Verif y (OP) VER View ePha rmacy Rx FS Fi rst Screen | |
| 6386 | CO Copy (OP) RES Resubmit Claim GO Go to Page | |
| 6387 | TR Conve rt Titrati on Rx REV Reverse C laim LS La st Screen | |
| 6388 | TM Titra tion Mark/ UnmarkIN Intervent ion Menu PS Pr int Screen | |
| 6389 | RP Repri nt (OP) DA Display D rug Allerg iesPT Pri nt List | |
| 6390 | HD Hold (OP) DIN Drug Rest r/Guide (O P) QU Qu it | |
| 6391 | UH Unhol d (OP) + Next Scre en RD Re Display S creen | |
| 6392 | PI Patie nt Informa tion - Previous Screen SL Se arch List | |
| 6393 | PP Pull Rx (OP) < Shift Vie w to Left UP Up a Line | |
| 6394 | IP Inpat . Profile (OP) > Shift Vie w to Right | |
| 6395 | OTH Other OP Action s ADPL Auto Disp lay(On/Off ) | |
| 6396 | ||
| 6397 | ||
| 6398 | Use the Co py action to make a duplicate order. Any field of the newly created or der can be edited. T he origina l order wi ll remain active, bu t the dupl icate orde r check wi ll be proc essed befo re the new order can be accept ed. | |
| 6399 | ||
| 6400 | Example: U sing the C opy Action | |
| 6401 | Medication Profile Jun 12, 20 01 14:39:1 1 Page: 1 of 1 | |
| 6402 | OPPATIENT1 6,ONE | |
| 6403 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999) | |
| 6404 | DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999) | |
| 6405 | SEX: MAL E | |
| 6406 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 2 .09 | |
| 6407 | ||
| 6408 | ISSUE LAS T REF DAY | |
| 6409 | # RX # DRU G QTY ST DATE FIL L REM SUP | |
| 6410 | ||
| 6411 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 6412 | 1 503904$ AMP ICILLIN 25 0MG CAP 80 E 05-25 05-2 5 0 10 | |
| 6413 | 2 503886$ DIG OXIN (LANO XIN) 0.2MG CAP 60 A> 05-07 05-0 7 5 30 | |
| 6414 | 3 503916 NAD OLOL 40MG TAB 60 A> 06-12 06-1 2 11 30 | |
| 6415 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- --------- | |
| 6416 | 4 503902 ACE TAMINOPHEN 500MG TAB 60 DC> 05-22 05-2 2 3 30 | |
| 6417 | ||
| 6418 | ||
| 6419 | ||
| 6420 | ||
| 6421 | ||
| 6422 | Enter ?? f or more ac tions | |
| 6423 | PU Patien t Record U pdate NO New Or der | |
| 6424 | PI Patien t Informat ion SO Select Order | |
| 6425 | Select Act ion: Quit/ / SO Sel ect Order | |
| 6426 | Select Ord ers by num ber: (1-4 ):3 | |
| 6427 | ||
| 6428 | The Order Number can be entere d at the “ Select Act ion” promp t instead of “SO”. | |
| 6429 | ||
| 6430 | Once an or der is sel ected, the Copy acti on can be used. | |
| 6431 | ||
| 6432 | OP Medicat ions (ACTI VE) Jun 12, 20 01 14:42:1 7 Page: 1 of 2 | |
| 6433 | OPPATIENT1 6,ONE | |
| 6434 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999) | |
| 6435 | DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999) | |
| 6436 | SEX: MAL E | |
| 6437 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 2 .09 | |
| 6438 | ||
| 6439 | Rx # : 503916 | |
| 6440 | (1) *Orde rable Item : NADOLOL TAB ***(N/ F)*** | |
| 6441 | (2) CMOP Drug : NADOLOL 40MG TAB * **(N/F)*** | |
| 6442 | NDC : 00056-01 76-75 | |
| 6443 | (3) *Dosage : 40 (MG) | |
| 6444 | Verb : TAKE | |
| 6445 | Disp ense Units : 1 | |
| 6446 | Noun : TABLET | |
| 6447 | *Route : ORAL | |
| 6448 | *Schedule : BID | |
| 6449 | (4)Pat In structions : | |
| 6450 | SIG : TAKE ONE TABLET BY MOUTH TWI CE A DAY | |
| 6451 | (5) Pati ent Status : SERVICE CONNECTED | |
| 6452 | (6) Issue Date : 06/12/01 (7) Fill Date: 06/12/01 | |
| 6453 | Last Fill Date : 06/12/01 (Window) | |
| 6454 | + Enter ?? f or more ac tions | |
| 6455 | DC Disco ntinue PR Partial RL Rel ease | |
| 6456 | ED Edit RF Refill RN Ren ew | |
| 6457 | Select Act ion: Next Screen// C O COPY | |
| 6458 | ||
| 6459 | After “CO” is entere d, the hea ding on th e screen c hanges to “New OP Or der (COPY) ” and the available actions ar e limited to “Accept ” or “Edit ”. | |
| 6460 | ||
| 6461 | (New Order (Copy) sc reen displ ays merged to save s pace) | |
| 6462 | ||
| 6463 | Example: U sing the C opy Action (continue d) | |
| 6464 | New OP Ord er (COPY) Jun 12, 20 01 14:47:5 3 P age: 1 of 2 | |
| 6465 | OPPATIENT1 6,ONE | |
| 6466 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999) | |
| 6467 | DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999) | |
| 6468 | SEX: MAL E | |
| 6469 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 2 .09 | |
| 6470 | ||
| 6471 | Orde rable Item : NADOLOL TAB ***(N/ F)*** | |
| 6472 | (1) CMOP Drug : NADOLOL 40MG TAB * **(N/F)*** | |
| 6473 | (2) Pati ent Status : SERVICE CONNECTED | |
| 6474 | (3) Issue Date : JUN 12,2 001 (4) Fill Date: JUN 12,20 01 | |
| 6475 | (5) Dosa ge Ordered : 40 (MG) | |
| 6476 | Verb : TAKE | |
| 6477 | Disp ense Units : 1 | |
| 6478 | Noun : TABLET | |
| 6479 | Route : ORAL | |
| 6480 | Schedule : BID | |
| 6481 | (6)Pat I nstruction : | |
| 6482 | SIG : TAKE ONE TABLET BY MOUTH TWI CE A DAY | |
| 6483 | (7) D ays Supply : 30 (8) QTY (TAB) : 60 | |
| 6484 | (9) # of Refills : 11 (10) Routing: WINDOW | |
| 6485 | (11) Clinic : OUTPT NU RSE BLUE T EAM | |
| 6486 | (12) Provider : OPPROVID ER4,TWO (13) Copies: 1 | |
| 6487 | (14) Remarks : New Orde r Created by copying Rx # 5039 16. | |
| 6488 | Entry B y: OPPROVI DER4,TWO Ent ry Date: J UN 12,2001 14:47:53 | |
| 6489 | ||
| 6490 | + Enter ?? f or more ac tions | |
| 6491 | AC Accep t ED Edit | |
| 6492 | Select Act ion: Next Screen// A C Accept | |
| 6493 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 6494 | Duplicate Drug in Lo cal Rx: | |
| 6495 | ||
| 6496 | Rx #: 503916 | |
| 6497 | Dr ug: NADOLO L 40MG TAB | |
| 6498 | S IG: TAKE O NE TABLET BY MOUTH T WICE A DAY | |
| 6499 | Q TY: 60 Refills re maining: 1 1 | |
| 6500 | Provid er: OPPROV IDER4,TWO Issued: 0 6/12/01 | |
| 6501 | Stat us: Active Last fi lled on: 0 6/12/01 | |
| 6502 | Proce ssing Stat us: Releas ed locally on 06/12/ 01@11:34:1 3 (Mail) | |
| 6503 | Days Supply: 3 0 | |
| 6504 | --------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 6505 | ||
| 6506 | Discontinu e Rx # 503 916 NADOLO L 40MG TAB Y/N? YES | |
| 6507 | ||
| 6508 | Rx # 50391 6 NADOLOL 40MG TAB w ill be dis continued after the acceptance of the ne w order. | |
| 6509 | ||
| 6510 | Now doing remote ord er checks. Please wa it... | |
| 6511 | ||
| 6512 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 6513 | ||
| 6514 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 6515 | ||
| 6516 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 6517 | ||
| 6518 | Now doing order chec ks. Pleas e wait... | |
| 6519 | ||
| 6520 | Nature of Order: WRI TTEN// ?? | |
| 6521 | Require Prin t Prin t on | |
| 6522 | Nature o f Order Ac tivity E .Signature Chart C opy Summ ary | |
| 6523 | -------- ---------- ------ - ---------- ------- --- ---- ---- | |
| 6524 | WRITTEN x | |
| 6525 | VERBAL x x x | |
| 6526 | TELEPHON ED x x x | |
| 6527 | SERVICE CORRECTION | |
| 6528 | POLICY x x | |
| 6529 | DUPLICAT E | |
| 6530 | SERVICE REJECT x x | |
| 6531 | ||
| 6532 | Nature of Order: WRI TTEN// <E nter> W | |
| 6533 | WAS THE PA TIENT COUN SELED: NO/ / <Enter>N O | |
| 6534 | ||
| 6535 | Do you wan t to enter a Progres s Note? No // <Enter> NO | |
| 6536 | ||
| 6537 | Rx # 50391 9 06/12/0 1 | |
| 6538 | OPPATIENT1 6,ONE #60 | |
| 6539 | TAKE ONE T ABLET BY M OUTH TWICE A DAY | |
| 6540 | ||
| 6541 | NADOLOL 40 MG TAB | |
| 6542 | OPPROVIDER 4,TWO OPPHA RMACIST4,T HREE | |
| 6543 | # of Refil ls: 11 | |
| 6544 | ||
| 6545 | Is this co rrect? YES // <Enter> ... | |
| 6546 | -Duplicat e Drug Rx #503916 NA DOLOL 40MG TAB has b een discon tinued... | |
| 6547 | ||
| 6548 | SC Percent: 2 0% | |
| 6549 | Disab ilities: | |
| 6550 | KNEE CONDI TION 10% - SERV ICE CONNEC TED | |
| 6551 | TRAUMATIC ARTHRITIS 10% - SERV ICE CONNEC TED | |
| 6552 | TRAUMATIC ARTHRITIS 0% - SERV ICE CONNEC TED | |
| 6553 | SEPTUM, NA SAL, DEVIA TION OF 0% - SERV ICE CONNEC TED | |
| 6554 | RESIDUALS OF FOOT IN JURY 0% - SERV ICE CONNEC TED | |
| 6555 | ||
| 6556 | Was treatm ent for Se rvice Conn ected cond ition? NO | |
| 6557 | ||
| 6558 | The Medica tion Profi le screen is redispl ayed at th is point. Note that the orders tagged fo r patient copay char ges have a dollar si gn ($) aft er the RX #. | |
| 6559 | ||
| 6560 | Medication Profile Jun 12, 20 01 15:03:1 0 Page: 1 of 1 | |
| 6561 | OPPATIENT1 6,ONE | |
| 6562 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999) | |
| 6563 | DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999) | |
| 6564 | SEX: MAL E | |
| 6565 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): 2 .09 | |
| 6566 | ||
| 6567 | ISSUE LAS T REF DAY | |
| 6568 | # RX # DRU G QTY ST DATE FIL L REM SUP | |
| 6569 | ||
| 6570 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 6571 | 1 503904$ AMP ICILLIN 25 0MG CAP 80 E 05-25 05-2 5 0 10 | |
| 6572 | 2 503886$ DIG OXIN (LANO XIN) 0.2MG CAP 60 A> 05-07 05-0 7 5 30 | |
| 6573 | 3 503919$ NAD OLOL 40MG TAB 60 A> 06-12 06-1 2 11 30 | |
| 6574 | ---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- --------- | |
| 6575 | 4 503902 ACE TAMINOPHEN 500MG TAB 60 DC> 05-22 05-2 2 3 30 | |
| 6576 | ||
| 6577 | Enter ?? f or more ac tions | |
| 6578 | PU Patien t Record U pdate NO New Or der | |
| 6579 | PI Patien t Informat ion SO Select Order | |
| 6580 | Select Act ion: Quit/ / | |
| 6581 | Copying an ePharmacy Order | |
| 6582 | When copyi ng an ePha rmacy orde r, upon ac ceptance o f the copi ed order t he origina l prescrip tion will be discont inued and a new orde r created. If the la test fill of the ori ginal orde r has not been relea sed and is E Payable , the clai m for that fill will be revers ed. A new claim is s ubmitted f or the new prescript ion. | |
| 6583 | ||
| 6584 | Patient In formation Nov 04, 20 05@09:19:2 6 Page: 1 of 1 | |
| 6585 | OPPATIENT, FOUR <A> | |
| 6586 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 6587 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 6588 | SEX: MAL E | |
| 6589 | CrCL: <Not Found> (C REAT: Not Found) BS A (m2): __ _____ | |
| 6590 | ||
| 6591 | Eligibilit y: NSC, VA PENSION | |
| 6592 | ||
| 6593 | Disabiliti es: | |
| 6594 | ||
| 6595 | 123123 A | |
| 6596 | BIRMINGHAM P HONE: (205 )4444444 | |
| 6597 | ALABAMA 3 5235 | |
| 6598 | Prescripti on Mail De livery: Re gular Mail | |
| 6599 | ||
| 6600 | ||
| 6601 | Allergies: | |
| 6602 | ||
| 6603 | Adverse Re actions: | |
| 6604 | ||
| 6605 | Enter ?? f or more ac tions | |
| 6606 | EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate | |
| 6607 | DD Detail ed Allergy /ADR List EX Exit P atient Lis t | |
| 6608 | Select Act ion: Quit/ / <Enter> QUIT | |
| 6609 | Medication Profile Nov 04, 2 005@09:23: 47 Page: 1 of 1 | |
| 6610 | OPPATIENT, FOUR <A> | |
| 6611 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 6612 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 6613 | SEX: MAL E | |
| 6614 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): __ _____ | |
| 6615 | ISSUE LAS T REF DAY | |
| 6616 | # RX # DRU G QTY ST DATE FIL L REM SUP | |
| 6617 | ||
| 6618 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 6619 | 1 1000038 52e PRE DNISONE 5M G TAB 30 A> 11-04 11-0 4 5 30 | |
| 6620 | ||
| 6621 | ||
| 6622 | ||
| 6623 | ||
| 6624 | ||
| 6625 | ||
| 6626 | PU Patien t Record U pdate NO New Or der | |
| 6627 | PI Patien t Informat ion SO Select Order | |
| 6628 | Select Act ion: Quit/ / 1 | |
| 6629 | ||
| 6630 | Medication Profile Nov 04, 20 05@09:24:0 4 Page: 1 of 1 | |
| 6631 | OPPATIENT, FOUR <A> | |
| 6632 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 6633 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 6634 | SEX: MAL E | |
| 6635 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 6636 | ||
| 6637 | ISSUE LAS T REF DAY | |
| 6638 | # RX # DRU G QTY ST DATE FIL L REM SUP | |
| 6639 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 6640 | OP Medica tions (ACT IVE) Nov 04, 2 005@09:24: 17 Page: 1 of 3 | |
| 6641 | OPPATIENT, FOUR <A> | |
| 6642 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 6643 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 6644 | SEX: MAL E | |
| 6645 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 6646 | ||
| 6647 | Rx # : 10000385 2e (EC ME#: 0000 09999999) | |
| 6648 | (1) *Orde rable Item : PREDNISO NE TAB | |
| 6649 | (2) CMOP Drug : PREDNISO NE 5MG TAB | |
| 6650 | NDC : 00056-01 76-75 | |
| 6651 | (3) *Dosage : 20 (MG) | |
| 6652 | Verb : TAKE | |
| 6653 | Disp ense Units : 1 | |
| 6654 | Noun : TABLET | |
| 6655 | *Route : ORAL | |
| 6656 | *Schedule : QID | |
| 6657 | *Duration : 30 (DAYS ) | |
| 6658 | (4)Pat In structions : WITH FOO D AVOIDING DAIRY FOO DS | |
| 6659 | SIG : TAKE ONE TABLET BY MOUTH FOU R TIMES A DAY FOR 30 DAYS | |
| 6660 | WITH FOO D AVOIDING DAIRY FOO DS | |
| 6661 | (5) Pati ent Status : OPT NSC | |
| 6662 | ||
| 6663 | Enter ?? f or more ac tions | |
| 6664 | DC Disco ntinue PR Partial RL Rel ease | |
| 6665 | ED Edit RF Refill RN Ren ew | |
| 6666 | Select Act ion: Next Screen// C O CO | |
| 6667 | ||
| 6668 | Once “Copy ” is enter ed, the he ading on t he screen changes to “New OP O rder (COPY )” and the available actions a re limited to “Edit” or “Accep t.” | |
| 6669 | ||
| 6670 | New OP Ord er (COPY) Nov 04, 20 05@09:24:1 7 Page: 1 of 2 | |
| 6671 | OPPATIENT, FOUR <A> | |
| 6672 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 6673 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 6674 | SEX: MAL E | |
| 6675 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 6676 | ||
| 6677 | Orde rable Item : PREDNISO NE TAB | |
| 6678 | (1) CMOP Drug : PREDNISO NE 5MG TAB | |
| 6679 | (2) Pati ent Status : OPT NSC | |
| 6680 | (3) Issue Date : NOV 4,20 05 (4) F ill Date: NOV 4,2005 | |
| 6681 | (5) Dosa ge Ordered : 20 (MG) | |
| 6682 | Verb : TAKE | |
| 6683 | Disp ense Units : 1 | |
| 6684 | Noun : TABLET | |
| 6685 | Route : ORAL | |
| 6686 | Schedule : QID | |
| 6687 | *Duration : 30 (DAYS ) | |
| 6688 | (6)Pat I nstruction : WITH FOO D AVOIDING DAIRY FOO DS | |
| 6689 | SIG : TAKE ONE TABLET BY MOUTH FOU R TIMES A DAY FOR 30 | |
| 6690 | DAYS WIT H FOOD AVO IDING DAIR Y FOODS | |
| 6691 | + Enter ?? f or more ac tions | |
| 6692 | AC Accep t ED Edit | |
| 6693 | Select Act ion: Next Screen// A C Accept | |
| 6694 | ||
| 6695 | Example: C opying an ePharmacy Order (con tinued) | |
| 6696 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 6697 | Duplicate Drug in Lo cal Rx: | |
| 6698 | ||
| 6699 | Rx #: 100003852 | |
| 6700 | Dr ug: PREDNI SONE 5MG T AB | |
| 6701 | S IG: TAKE O NE TABLET BY MOUTH F OUR TIMES A DAY FOR 30 | |
| 6702 | DAYS W ITH FOOD A VOIDING DA IRY FOODS | |
| 6703 | Q TY: 30 Refil ls remaini ng: 5 | |
| 6704 | Provid er: OPPROV IDER4,TWO Issued: 11 /04/05 | |
| 6705 | Stat us: Active La st filled on: 11/04/ 05 | |
| 6706 | Proce ssing Stat us: Releas ed locally on 11/04/ 05@11:34:1 3 (Mail) | |
| 6707 | Days Supp ly: 30 | |
| 6708 | --------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 6709 | ||
| 6710 | Discontinu e Rx # 100 003852 PRE DNISONE 5M G TAB Y/N? YES | |
| 6711 | ||
| 6712 | Rx # 10000 3852 PREDN ISONE 5MG TAB will b e disconti nued after the accep tance of t he new ord er. | |
| 6713 | ||
| 6714 | Now doing remote ord er checks. Please wa it... | |
| 6715 | ||
| 6716 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 6717 | ||
| 6718 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 6719 | ||
| 6720 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 6721 | ||
| 6722 | Nature of Order: WRI TTEN// < Enter> W | |
| 6723 | WAS THE PA TIENT COUN SELED: NO/ / YES | |
| 6724 | WAS COUNSE LING UNDER STOOD: NO/ / YES | |
| 6725 | ||
| 6726 | Do you wan t to enter a Progres s Note? No // <Enter > NO | |
| 6727 | ||
| 6728 | Rx # 10000 3853 11/04/0 5 | |
| 6729 | OPPATIENT, FOUR #30 | |
| 6730 | TAKE ONE T ABLET BY M OUTH FOUR TIMES A DA Y FOR 30 D AYS WITH F OOD | |
| 6731 | AVOIDING D AIRY FOODS | |
| 6732 | ||
| 6733 | PREDNISONE 5MG TAB | |
| 6734 | OPPROVIDER 4,TWO OPP HARMACIST4 ,THREE | |
| 6735 | # of Refil ls: 5 | |
| 6736 | ||
| 6737 | ||
| 6738 | Is this co rrect? YES // YES... | |
| 6739 | Reversing prescripti on 1000038 52. | |
| 6740 | ||
| 6741 | Claim Stat us: | |
| 6742 | Reversing and Rebill ing a prev iously sub mitted cla im... | |
| 6743 | Reversing. .. | |
| 6744 | IN PROGRES S-Waiting for transm it | |
| 6745 | IN PROGRES S-Transmit ting | |
| 6746 | IN PROGRES S-Waiting to process response | |
| 6747 | E REVERSAL ACCEPTED | |
| 6748 | ||
| 6749 | -Duplicate Drug Rx # 100003852 PREDNISONE 5MG TAB h as been di scontinued ... | |
| 6750 | ||
| 6751 | Veteran Pr escription 100003853 successfu lly submit ted to ECM E for clai m generati on. | |
| 6752 | ||
| 6753 | Claim Stat us: | |
| 6754 | IN PROGRES S-Waiting to start | |
| 6755 | IN PROGRES S-Waiting for packet build | |
| 6756 | IN PROGRES S-Waiting for transm it | |
| 6757 | IN PROGRES S-Transmit ting | |
| 6758 | E PAYABLE | |
| 6759 | ||
| 6760 | View of RX : | |
| 6761 | Medication Profile Nov 04, 20 05@09:25:1 4 Page: 1 of 1 | |
| 6762 | OPPATIENT, FOUR | |
| 6763 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 6764 | DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____) | |
| 6765 | SEX: MAL E | |
| 6766 | CrCL: <No t Found> ( CREAT: Not Found) BS A (m2): __ _____ | |
| 6767 | ISSUE LAS T REF DAY | |
| 6768 | # RX # DRU G QTY ST DATE FIL L REM SUP | |
| 6769 | ||
| 6770 | ---------- ---------- ---------- -------ACT IVE------- ---------- ---------- --------- | |
| 6771 | 1 1000038 53e PRE DNISONE 5M G TAB 30 A> 11-04 11-0 4 5 30 | |
| 6772 | ||
| 6773 | ||
| 6774 | Enter ?? f or more ac tions | |
| 6775 | PU Patien t Record U pdate NO New Or der | |
| 6776 | PI Patien t Informat ion SO Select Order | |
| 6777 | Select Act ion: Quit/ / | |
| 6778 | Holding an d Unholdin g a Prescr iption | |
| 6779 | If a doubl e question mark (??) is entere d at the “ Select Act ion” promp t, the hid den action s on the f ollowing p age will d isplay in the action area. | |
| 6780 | ||
| 6781 | The follow ing action s are also available : | |
| 6782 | AL Activ ity Logs ( OP) REJ View REJE CT DN Do wn a Line | |
| 6783 | VF Verif y (OP) VER View ePha rmacy Rx FS Fi rst Screen | |
| 6784 | CO Copy (OP) RES Resubmit Claim GO Go to Page | |
| 6785 | TR Conve rt Titrati on Rx REV Reverse C laim LS La st Screen | |
| 6786 | TM Titra tion Mark/ UnmarkIN Intervent ion Menu PS Pr int Screen | |
| 6787 | RP Repri nt (OP) DA Display D rug Allerg iesPT Pri nt List | |
| 6788 | HD Hold (OP) DIN Drug Rest r/Guide (O P) QU Qu it | |
| 6789 | UH Unhol d (OP) + Next Scre en RD Re Display S creen | |
| 6790 | PI Patie nt Informa tion - Previous Screen SL Se arch List | |
| 6791 | PP Pull Rx (OP) < Shift Vie w to Left UP Up a Line | |
| 6792 | IP Inpat . Profile (OP) > Shift Vie w to Right | |
| 6793 | OTH Other OP Action s ADPL Auto Disp lay(On/Off ) | |
| 6794 | ||
| 6795 | Use the Ho ld (HD) ac tion to pu t a prescr iption on hold. Use the Unhold (UH) acti on to remo ve a presc ription fr om hold. | |
| 6796 | ||
| 6797 | Only key h olders of the PSORPH security key or the PSO TECH ADV securi ty key can hold or u nhold a pr escription . | |
| 6798 | ||
| 6799 | PSORPH sec urity key holders ar e allowed to put a p rescriptio n on hold using the following HOLD reaso ns: | |
| 6800 | 1 INSUFFIC IENT QTY I N STOCK | |
| 6801 | 2 DRUG-DRU G INTERACT ION | |
| 6802 | 4 PROVIDER TO BE CON TACTED | |
| 6803 | 6 ADVERSE DRUG REACT ION | |
| 6804 | 7 BAD ADDR ESS | |
| 6805 | 8 PER PATI ENT REQUES T | |
| 6806 | 9 CONSULT/ PRIOR APPR OVAL NEEDE D | |
| 6807 | 98 OTHER/T ECH (NON-C LINICAL) | |
| 6808 | 99 OTHER/R PH (CLINIC AL) | |
| 6809 | ||
| 6810 | ||
| 6811 | ||
| 6812 | Note: HOLD reasons 9 8 and 99 r equire the user to e nter a HOL D comment. | |
| 6813 | ||
| 6814 | PSO TECH A DV securit y key hold ers are al lowed to p ut a presc ription on hold usin g the foll owing HOLD reasons: | |
| 6815 | ||
| 6816 | 1 INSUFFIC IENT QTY I N STOCK | |
| 6817 | 7 BAD ADDR ESS | |
| 6818 | 8 PER PATI ENT REQUES T | |
| 6819 | 98 OTHER/T ECH (NON-C LINICAL) | |
| 6820 | ||
| 6821 | ||
| 6822 | Note: HOLD reason 98 requires the user t o enter a HOLD comme nt. | |
| 6823 | ||
| 6824 | While PSOR PH securit y key hold ers are al lowed to r emove a pr escription from HOLD under any HOLD reas on, PSO TE CH ADV sec urity key holders ar e only all owed to re move a pre scription from HOLD under the above HOLD reasons ( reasons 1, 7, 8, and 98). | |
| 6825 | ||
| 6826 | Example: H OLD with P SORPH Secu rity Key o r PSO TECH ADV Secur ity Key | |
| 6827 | OP Medicat ions (SUSP ENDED) May 11, 20 12@10:12:5 6 Page: 1 of 3 | |
| 6828 | PAGPATNM,M <A> | |
| 6829 | PID: 666 -00-0286 Ht(cm): _ ______ (__ ____) | |
| 6830 | DOB: DEC 1,1900 Wt(kg): _ ______ (__ ____) | |
| 6831 | SEX: MAL E | |
| 6832 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 6833 | ||
| 6834 | Rx # : 10000292 6 | |
| 6835 | (1) *Orde rable Item : FLUOXETI NE CAP,ORA L | |
| 6836 | (2) CMOP Drug : EFFEXOR | |
| 6837 | NDC : 00056-01 76-75 | |
| 6838 | (3) *Dosage : 10 (MG) | |
| 6839 | Verb : TAKE | |
| 6840 | Disp ense Units : 1 | |
| 6841 | Noun : CAPSULE | |
| 6842 | *Route : ORAL | |
| 6843 | *Schedule : QAM | |
| 6844 | (4)Pat In structions : | |
| 6845 | SIG : TAKE ONE CAPSULE M OUTH EVERY MORNING | |
| 6846 | (5) Pati ent Status : OPT NSC | |
| 6847 | (6) Issue Date : 02/14/12 (7) Fill Date: 05/09/12 | |
| 6848 | Last Fill Date : 05/29/12 (Mail) | |
| 6849 | + Enter ?? f or more ac tions | |
| 6850 | DC Disco ntinue PR Partial RL Rel ease | |
| 6851 | ED Edit RF (Refill) RN Ren ew | |
| 6852 | Select Act ion: Next Screen// H D HD | |
| 6853 | Nature of Order: WRI TTEN// W | |
| 6854 | ||
| 6855 | If the use r has the PSORPH sec urity key, the follo wing HOLD reasons ar e availabl e: | |
| 6856 | ||
| 6857 | HOLD REASO N: ? | |
| 6858 | ||
| 6859 | Enter reas on medicat ion is pla ced in a ' Hold' stat us. | |
| 6860 | Choose fro m: | |
| 6861 | 1 I NSUFFICIEN T QTY IN S TOCK | |
| 6862 | 2 D RUG-DRUG I NTERACTION | |
| 6863 | 4 P ROVIDER TO BE CONTAC TED | |
| 6864 | 6 A DVERSE DRU G REACTION | |
| 6865 | 7 B AD ADDRESS | |
| 6866 | 8 P ER PATIENT REQUEST | |
| 6867 | 9 C ONSULT/PRI OR APPROVA L NEEDED | |
| 6868 | 98 O THER/TECH (NON-CLINI CAL) | |
| 6869 | 99 O THER/RPH ( CLINICAL) | |
| 6870 | ||
| 6871 | If the use r has the PSO TECH A DV securit y key, the following HOLD reas ons are av ailable: | |
| 6872 | ||
| 6873 | HOLD REASO N: ? | |
| 6874 | ||
| 6875 | Enter reas on medicat ion is pla ced in a ' Hold' stat us. | |
| 6876 | Choose fro m: | |
| 6877 | 1 I NSUFFICIEN T QTY IN S TOCK | |
| 6878 | 7 B AD ADDRESS | |
| 6879 | 8 P ER PATIENT REQUEST | |
| 6880 | 98 O THER/TECH (NON-CLINI CAL) | |
| 6881 | ||
| 6882 | The same c onditions apply for Unholding a prescrip tion. User s with the PSORPH se curity key can unhol d for the following reason: | |
| 6883 | ||
| 6884 | 1 I NSUFFICIEN T QTY IN S TOCK | |
| 6885 | 2 D RUG-DRUG I NTERACTION | |
| 6886 | 4 P ROVIDER TO BE CONTAC TED | |
| 6887 | 6 A DVERSE DRU G REACTION | |
| 6888 | 7 B AD ADDRESS | |
| 6889 | 8 P ER PATIENT REQUEST | |
| 6890 | 9 C ONSULT/PRI OR APPROVA L NEEDED | |
| 6891 | 98 O THER/TECH (NON-CLINI CAL) | |
| 6892 | 99 O THER/RPH ( CLINICAL) | |
| 6893 | ||
| 6894 | Users with only the PSO TECH A DV securit y key can unhold for the follo wing reaso ns: | |
| 6895 | ||
| 6896 | 1 I NSUFFICIEN T QTY IN S TOCK | |
| 6897 | 7 B AD ADDRESS | |
| 6898 | 8 P ER PATIENT REQUEST | |
| 6899 | 98 O THER/TECH (NON-CLINI CAL) | |
| 6900 | ||
| 6901 | Note: If a user does not have a PSORPH s ecurity ke y and trie s to unhol d a prescr iption, th e message “The HOLD can only b e removed by a pharm acist” is displayed. | |
| 6902 | ||
| 6903 | Each time a user hol ds or unho lds a pres cription, an entry i s created in the Act ivity Log. These ent ries inclu de HOLD CO MMENTS an d the HOLD REASON wh en a presc ription is placed on HOLD and UNHOLD COM MENTS when the presc ription is removed f rom HOLD. Again, HOL D reasons 98 and 99 require th e user to enter a HO LD comment . | |
| 6904 | ||
| 6905 | Example: A ctivity Lo g with HOL D/UNHOLD C omments | |
| 6906 | Activity L og: | |
| 6907 | # Date Reason Rx Ref Initiato r Of Activ ity | |
| 6908 | ... | |
| 6909 | 8 05/10/12 HOLD REF ILL 1 USER,PHA RMACY | |
| 6910 | Comm ents: Rx p laced on H OLD (Reaso n: BAD ADD RESS) and removed fr om | |
| 6911 | SUSPE NSE - HOLD COMMENTS ENTERED BY THE USER MANUALLY. | |
| 6912 | ... | |
| 6913 | 9 05/10/12 UNHOLD REF ILL 1 USER,PHA RMACY | |
| 6914 | Comm ents: Rx R emoved fro m HOLD - U NHOLD COMM ENTS ENTER ED BY THE USER | |
| 6915 | WHEN REMOVING THE RX FRO M HOLD. | |
| 6916 | Renewing a Prescript ion | |
| 6917 | This actio n allows t he pharmac y technici an to proc ess renewa ls for exi sting orde rs. | |
| 6918 | ||
| 6919 | Example: R enewing a Prescripti on | |
| 6920 | [This exa mple begin s after an order has been sele cted from the Medica tion Profi le screen. ] | |
| 6921 | ||
| 6922 | OP Medicat ions (ACTI VE) Jun 12, 20 01 15:08:4 3 Page: 1 of 3 | |
| 6923 | OPPATIENT1 6,ONE | |
| 6924 | PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999) | |
| 6925 | DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999) | |
| 6926 | SEX: MAL E | |
| 6927 | CrCL: 78. 1(est.) (C REAT:1.0mg /dL 2/19/9 9) B SA (m2): 2 .08 | |
| 6928 | ||
| 6929 | Rx # : 503886$ | |
| 6930 | (1) *Orde rable Item : DIGOXIN CAP,ORAL | |
| 6931 | (2) CMOP Drug : DIGOXIN (LANOXIN) 0.2MG CAP | |
| 6932 | NDC : 00056-01 76-75 | |
| 6933 | (3) *Dosage : .2 (MG) | |
| 6934 | Verb : TAKE | |
| 6935 | Disp ense Units : 1 | |
| 6936 | Noun : CAPSULE | |
| 6937 | *Route : ORAL (BY MOUTH) | |
| 6938 | *Schedule : Q12H | |
| 6939 | (4)Pat In structions : TAKE AFT ER MEALS | |
| 6940 | Provide r Comments : TAKE AFT ER MEALS | |
| 6941 | SIG : TAKE ONE CAPSULE B Y MOUTH EV ERY 12 HOU RS TAKE AF TER MEALS | |
| 6942 | (5) Pati ent Status : SERVICE CONNECTED | |
| 6943 | (6) Issue Date : 05/07/01 (7) Fill Date: 05/07/01 | |
| 6944 | + Enter ?? f or more ac tions | |
| 6945 | DC Disco ntinue PR Partial RL Rel ease | |
| 6946 | ED Edit RF Refill RN Ren ew | |
| 6947 | Select Act ion: Next Screen// R N Renew | |
| 6948 | FILL DATE: (6/12/20 01 - 6/13/ 2002): TOD AY// <Ente r>MAIL/WIN DOW: WINDO W// <Enter > WINDOW | |
| 6949 | METHOD OF PICK-UP: < Enter> | |
| 6950 | Nature of Order: WRI TTEN// <E nter> W | |
| 6951 | WAS THE PA TIENT COUN SELED: NO/ / Y ES | |
| 6952 | WAS COUNSE LING UNDER STOOD: NO/ / Y ES | |
| 6953 | ||
| 6954 | Do you wan t to enter a Progres s Note? No // <Enter> NO | |
| 6955 | ||
| 6956 | Now Renewi ng Rx # 50 3886 Dru g: DIGOXIN (LANOXIN) 0.2MG CAP | |
| 6957 | ||
| 6958 | Now doing remote ord er checks. Please wa it... | |
| 6959 | ||
| 6960 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 6961 | ||
| 6962 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 6963 | ||
| 6964 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 6965 | ||
| 6966 | 503886A DIGOXIN (LANOXIN) 0.2MG CAP QTY : 60 | |
| 6967 | # OF REFIL LS: 5 ISS UED: 06-12 -01 | |
| 6968 | SIG: TAKE ONE CAPSUL E BY MOUTH EVERY 12 HOURS TAKE AFTER MEA LS | |
| 6969 | FILLED: 06 -12-01 | |
| 6970 | ROUTING: W INDOW PHYS: OPPR OVIDER4,TW O | |
| 6971 | ||
| 6972 | Edit renew ed Rx ? Y/ / <Enter> ES | |
| 6973 | ||
| 6974 | At this po int, the o rder can b e edited a s discusse d in the E diting a N ew Order e xample. If the order is not ed ited, the order is r enewed and the displ ay returns to the Me dication P rofile scr een. | |
| 6975 | ||
| 6976 | The user m ay renew m ore than o ne order o n the same patient b y typing t he desired order num bers separ ated by a comma (for example: 1,3, and 5 ). | |
| 6977 | ||
| 6978 | After the edits are made, the order is r edisplayed and it ca n be re-ed ited or ac cepted. | |
| 6979 | ||
| 6980 | If an orde r was ente red before patch PSO *7*46 upda te, the us er will be prompted to fill in any missi ng dosing informatio n needed a s illustra ted in thi s example. | |
| 6981 | ||
| 6982 | Example: R enewing a Prescripti on (contin ued) | |
| 6983 | Edit renew ed Rx ? Y/ / NO | |
| 6984 | ||
| 6985 | Dosing Ins truction M issing!!Dr ug: CALCIU M CARBONAT E 650MG TA B | |
| 6986 | TAKE 1 TAB LET(S) BY MOUTH THRE E TIMES A DAY | |
| 6987 | ||
| 6988 | FILLED: 04 -02-01 | |
| 6989 | ROUTING: W INDOW PHYS: OPPR OVIDER29,T WO | |
| 6990 | ||
| 6991 | Edit renew ed Rx ? Y/ / <Enter> ES | |
| 6992 | There are 2 Availabl e Dosage(s ): | |
| 6993 | 1. 650MG | |
| 6994 | 2. 1300MG | |
| 6995 | ||
| 6996 | Select fro m list of Available Dosages (1 -2), Enter Free Text Dose | |
| 6997 | or Enter a Question Mark (?) t o view lis t: 1 650MG | |
| 6998 | ||
| 6999 | You entere d 650MG is this corr ect? Yes// <Enter> YES | |
| 7000 | DISPENSE U NITS PER D OSE(TAB): 1// <Enter > 1 | |
| 7001 | Dosage Ord ered: 650M G | |
| 7002 | ROUTE: PO/ / <Enter> ORAL PO MOUTH | |
| 7003 | Schedule: TID | |
| 7004 | Now search ing ADMINI STRATION S CHEDULE (# 51.1) file ... | |
| 7005 | TID TID THREE TI MES A DAY | |
| 7006 | . ..OK? Yes/ / (Yes) | |
| 7007 | (THREE TI MES A DAY) | |
| 7008 | LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): <Ent er> | |
| 7009 | CONJUNCTIO N: <Enter> | |
| 7010 | PATIENT IN STRUCTIONS : <Enter> | |
| 7011 | ||
| 7012 | (TAKE ONE TAB BY MOU TH THREE T IMES A DAY ) | |
| 7013 | ||
| 7014 | ||
| 7015 | 1460971A CALCIUM CARBONATE 650MG TAB QTY : 100 | |
| 7016 | # OF REFIL LS: 10 IS SUED: 04-0 2-01 | |
| 7017 | SIG: TAKE ONE TAB BY MOUTH THR EE TIMES A DAY | |
| 7018 | ||
| 7019 | Original P rovider Co mments are not carri ed over to any renew als in Out patient Ph armacy. | |
| 7020 | Renewing a n ePharmac y Order | |
| 7021 | When renew ing an ePh armacy ord er, upon a cceptance of the ren ewed order the origi nal prescr iption wil l be disco ntinued an d a new or der create d. If the latest fil l of the o riginal or der has no t been rel eased and is E Payab le, the cl aim for th at fill wi ll be reve rsed. A ne w claim is submitted for the n ew prescri ption. | |
| 7022 | ||
| 7023 | [This exam ple begins after an order is s elected fr om the Med ication Pr ofile scre en.] | |
| 7024 | ||
| 7025 | OP Medicat ions (ACTI VE) Nov 04, 20 05@11:48:1 4 Page: 1 of 3 | |
| 7026 | OPPATIENT, FOUR | |
| 7027 | PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) | |
| 7028 | DOB: NOV 12,1975 ( 29) Wt(kg): _ ______ (__ ____) | |
| 7029 | SEX: MAL E | |
| 7030 | CrCL: <No t Found> ( CREAT: Not Found) B SA (m2): _ ______ | |
| 7031 | ||
| 7032 | ||
| 7033 | Rx #: 100003642 $e (EC ME#: 0000 09999999) | |
| 7034 | (1) *Orde rable Item : SIMETHIC ONE TAB,CH EWABLE | |
| 7035 | (2) Drug : SIMETHIC ONE 40MG T AB | |
| 7036 | NDC : 00056-01 76-75 | |
| 7037 | (3) *Dosage : 40 (MG) | |
| 7038 | Verb : CHEW | |
| 7039 | Disp ense Units : 1 | |
| 7040 | Noun : TABLET | |
| 7041 | *Route : ORAL | |
| 7042 | *Schedule : TID | |
| 7043 | (4)Pat In structions : | |
| 7044 | SIG : CHEW ONE TABLET BY BY MOUTH THREE TIME S A DAY | |
| 7045 | (5) Pati ent Status : OPT NSC | |
| 7046 | (6) Issue Date : 08/11/05 (7) Fill Date: 08/11/05 | |
| 7047 | Last Fill Date : 08/11/05 (Window) | |
| 7048 | + Enter ?? f or more ac tions | |
| 7049 | DC Disco ntinue PR Partial RL Rel ease | |
| 7050 | ED Edit RF Refill RN Ren ew | |
| 7051 | Select Act ion: Next Screen// RN Renew | |
| 7052 | FILL DATE: (11/4/20 05 - 11/5/ 2006): TOD AY// <Ente r> (NOV 0 4, 2005) | |
| 7053 | MAIL/WINDO W: WINDOW/ / <Enter>W INDOW | |
| 7054 | METHOD OF PICK-UP: < Enter> | |
| 7055 | Nature of Order: WRI TTEN// <Enter> W | |
| 7056 | WAS THE PA TIENT COUN SELED: NO/ /<Enter> N O | |
| 7057 | ||
| 7058 | Now Renewi ng Rx # 10 0003642 Drug: SIME THICONE 40 MG TAB | |
| 7059 | ||
| 7060 | Now doing remote ord er checks. Please wa it... | |
| 7061 | ||
| 7062 | Now doing allergy ch ecks. Ple ase wait.. . | |
| 7063 | ||
| 7064 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
| 7065 | ||
| 7066 | Now Proces sing Enhan ced Order Checks! P lease Wait ... | |
| 7067 | ||
| 7068 | ||
| 7069 | 100003642A SIMETHI CONE 40MG TAB QTY : 90 | |
| 7070 | # OF REFIL LS: 5 ISS UED: 11-04 -05 | |
| 7071 | SIG: CHEW ONE TABLET BY BY MOU TH THREE T IMES A DAY | |
| 7072 | FILLED: 11 -04-05 | |
| 7073 | ROUTING: W INDOW PHYS: OPPR OVIDER4,TW O | |
| 7074 | ||
| 7075 | Edit renew ed Rx ? Y/ / <Enter> ES | |
| 7076 | ||
| 7077 | Example: R enewing an ePharmacy Order (co ntinued) | |
| 7078 | [To save s pace, only the secon d Prescrip tion Renew screen is displayed in this e xample.] | |
| 7079 | ||
| 7080 | Prescripti on Renew Jun 04, 20 01 16:18:1 7 Page: 2 of 2 | |
| 7081 | OPPATIENT, FOUR | |
| 7082 | PID: 000 -01-1322P Ht(cm): _______ (_ _____) | |
| 7083 | DOB: NOV 12,1975 ( 29) Wt(kg): _ ______ (__ ____) | |
| 7084 | + | |
| 7085 | D ays Supply : 30 | |
| 7086 | QTY ( ): 90 | |
| 7087 | (3) # of Refills : 5 | |
| 7088 | (4) Routing : WINDOW | |
| 7089 | (5) Clinic : | |
| 7090 | (6) Provider : OPPROVID ER4,TWO | |
| 7091 | (7) Copies : 1 | |
| 7092 | (8) Remarks : RENEWED FROM RX # 100003642 | |
| 7093 | Entry B y: OPPHARM ACIST4,THR EE Entry Dat e: NOV 4,2 005 11:56: 31 | |
| 7094 | ||
| 7095 | Enter ?? f or more ac tions | |
| 7096 | AC Accep t DC Disco ntinue | |
| 7097 | BY Bypas s ED Edit | |
| 7098 | Select Ite m(s): Quit // 5 | |
| 7099 | ||
| 7100 | CLINIC: 3E N | |
| 7101 | Prescripti on Renew Jun 04, 20 01 16:24:3 2 Page: 2 of 2 | |
| 7102 | OPPATIENT, FOUR | |
| 7103 | PID: 000 -01-1322P Ht(cm): _______ (_ _____) | |
| 7104 | DOB: NOV 12,1975 ( 29) Wt(kg): _ ______ (__ ____) | |
| 7105 | + | |
| 7106 | D ays Supply : 30 | |
| 7107 | QTY ( ): 90 | |
| 7108 | (3) # of Refills : 5 | |
| 7109 | (4) Routing : WINDOW | |
| 7110 | (5) Clinic : | |
| 7111 | (6) Provider : OPPROVID ER4,TWO | |
| 7112 | (7) Copies : 1 | |
| 7113 | (8) Remarks : RENEWED FROM RX # 100003642 | |
| 7114 | Entry B y: OPPHARM ACIST4,THR EE E ntry Date: NOV 4,200 5 11:56:31 | |
| 7115 | ||
| 7116 | Enter ?? f or more ac tions | |
| 7117 | AC Accep t DC Disco ntinue | |
| 7118 | BY Bypas s ED Edit | |
| 7119 | Select Ite m(s): Quit // AC Acc ept | |
| 7120 | SC Percent: 4 0% | |
| 7121 | Disab ilities: N ONE STATED | |
| 7122 | ||
| 7123 | Was treatm ent for Se rvice Conn ected cond ition? NO/ / <Enter> | |
| 7124 | Reversing prescripti on 1000036 42. | |
| 7125 | ||
| 7126 | Claim Stat us: | |
| 7127 | Reversing and Rebill ing a prev iously sub mitted cla im... | |
| 7128 | Reversing. .. | |
| 7129 | IN PROGRES S-Waiting for transm it | |
| 7130 | IN PROGRES S-Transmit ting | |
| 7131 | IN PROGRES S-Waiting to process response | |
| 7132 | E REVERSAL ACCEPTED | |
| 7133 | ||
| 7134 | -Rx 10000 3642 has b een discon tinued... | |
| 7135 | ||
| 7136 | Veteran Pr escription 100003642 A successf ully submi tted to EC ME for cla im generat ion. | |
| 7137 | ||
| 7138 | Claim Stat us: | |
| 7139 | IN PROGRES S-Waiting to start | |
| 7140 | IN PROGRES S-Waiting for packet build | |
| 7141 | IN PROGRES S-Packet b eing built | |
| 7142 | IN PROGRES S-Waiting for transm it | |
| 7143 | IN PROGRES S-Transmit ting | |
| 7144 | IN PROGRES S-Receivin g response | |
| 7145 | E PAYABLE | |
| 7146 | ||
| 7147 | Original P rovider Co mments are not carri ed over to any renew als in Out patient Ph armacy. | |
| 7148 | ||
| 7149 | ||
| 7150 | ||
| 7151 | Chapter 10 : Pull Ear ly from Su spense | |
| 7152 | ||
| 7153 | This chapt er describ es the opt ions used for handli ng suspend ed prescri ptions. | |
| 7154 | Pull Early from Susp ense | |
| 7155 | [PSO PNDRX ] | |
| 7156 | ||
| 7157 | This optio n is used to pull a specific p rescriptio n or all p rescriptio ns for a p atient ear ly. If a p rescriptio n is pulle d early us ing this o ption, it will not b e associat ed with an y printed batch, and the user will not b e able to reprint a label with the Repri nt Batches from Susp ense optio n. Since p rescriptio ns that ar e pulled e arly from suspense d o not belo ng to any printed ba tch and ca nnot be re printed fr om suspens e, there i s no reaso n to leave them in s uspense. | |
| 7158 | ||
| 7159 | The user m ay also ed it the “Me thod of Pi ckup”. For the promp t "Pull Rx (s) and de lete from Suspense", the user should ans wer YES to pull the prescripti ons. | |
| 7160 | ||
| 7161 | If the Lab el Long in dicates th at a Label has alrea dy printed for this prescripti on and fil l,then the user is a sked wheth er to cont inue. If t he user ch ooses “No” , the labe l will not print. In addition, the presc ription sh all be rem oved from Suspense u nless the suspense q ueue indic ates that a user has previousl y requeste d a reprin t of the s uspended p rescriptio n. If the user choos es “Yes”, the prescr iption sha ll continu e and will print the label. In the examp le below, the label will not p rint but t he Prescri ption will be left o n Suspense . | |
| 7162 | ||
| 7163 | Labe l for Rx#1 04872 Fill #0 has alr eady been printed | |
| 7164 | Do you wan t to conti nue? No// No | |
| 7165 | Reprint Fl ag is on. Prescripti on left on suspense. | |
| 7166 | ||
| 7167 | If the pat ient has r emote pres criptions, then the text “THIS PATIENT H AS PRESCRI PTIONS AT OTHER FACI LITIES” wi ll appear on the rep ort as sho wn in the following example. | |
| 7168 | ||
| 7169 | PRESCRIPT ION PROFIL E AS OF 12 /30/2008 | |
| 7170 | ||
| 7171 | NAME: PSOPATIENT ,ONE | |
| 7172 | ID# : 000-00-000 0 | |
| 7173 | ||
| 7174 | THIS PA TIENT HAS PRESCRIPTI ONS AT OTH ER FACILIT IES | |
| 7175 | ||
| 7176 | PHARMA CIST: ____ __________ ____ DATE : ________ | |
| 7177 | ||
| 7178 | If a presc ription is determine d to be an ePharmacy prescript ion (e.g., third par ty electro nically bi llable), a n electron ic claim w ill be sen t by ECME to the thi rd party p ayer. The communicat ion events between O utpatient Pharmacy a nd ECME ar e recorded in the EC ME Log sec tion of ea ch prescri ption. The ECME log can be vie wed in the patient M edication Profile sc reen (Acti vity Log o ption - AL ) and also from the View Presc riptions o ption. If the claim submission returns a Refill To o Soon (79 ), Reject Resolution Required or Drug Ut ilization Review (88 ) reject, the label is not pri nted for t he prescri ption and it is move d to the R efill Too Soon/DUR s ection of the patien t Medicati on Profile screen un til the us er resolve s the reje ct. The pr escription will also display o n the Thir d Party Pa yer Reject Worklist. If the cl aim submis sion retur ns a Rejec t Resoluti on Require d reject, the label is not pri nted for t he prescri ption and it is move d to the R eject Reso lution Req uired sect ion of the Third Par ty Payer R eject Work list. | |
| 7179 | ||
| 7180 | Chapter 11 : Queue CM OP Prescri ption | |
| 7181 | ||
| 7182 | This chapt er describ es the opt ion for su spending p rescriptio ns for mai l-routed C MOP drugs. | |
| 7183 | Queue CMOP Prescript ion | |
| 7184 | [PSO RX QU EUE CMOP] | |
| 7185 | ||
| 7186 | The Queue CMOP Presc ription op tion allow s the user s (includi ng pharmac y technici ans) to pu t mail-rou ted prescr iption(s) for CMOP d rugs on su spense for CMOP. | |
| 7187 | ||
| 7188 | Example: Q ueue CMOP Prescripti on | |
| 7189 | Select Sus pense Func tions Opti on: QUEUE CMOP Presc ription | |
| 7190 | Enter the Rx # to qu eue to CMO P: 300486 | |
| 7191 | ||
| 7192 | If the pre scription does not h ave a rout ing of Mai l, has alr eady been released, or is not for a CMOP drug, and does not pass all t he other n ormal chec ks for CMO P, it will not be pu t on suspe nse for CM OP. | |
| 7193 | ||
| 7194 | (This page included for two-si ded copyin g.) | |
| 7195 | Chapter 12 : Releasin g Medicati on | |
| 7196 | ||
| 7197 | This chapt er describ es the opt ion used f or releasi ng medicat ions. | |
| 7198 | Release Me dication | |
| 7199 | [PSO RELEA SE] | |
| 7200 | ||
| 7201 | The Releas e Medicati on option is used at the time the prescr iption is filled and ready to be given t o the pati ent. Inven tory is de creased, c ertain fie lds in the file are updated, a nd a copay is genera ted if the action is applicabl e to the p rescriptio n. With th is option, prescript ions can b e batch pr ocessed. C ommunicati on is made with the Integrated Funds Con trol, Acco unting and Procureme nt (IFCAP) and Integ rated Bill ing (IB) s oftware to generate copay char ges. IFCAP and IB so ftware han dle patien t billing, tracking of charges , and paym ent receiv ed. | |
| 7202 | ||
| 7203 | The copay status of a prescrip tion is re -evaluated whenever a fill is released. Various ac tions can occur base d on chang es to the criteria t hat determ ine the co pay status of a pres cription. The action s that may result at the time a fill is released a re describ ed below. | |
| 7204 | ||
| 7205 | No action is taken. No changes to the cr iteria tha t determin e copay st atus of a prescripti on have oc curred. | |
| 7206 | ||
| 7207 | The copay status of the prescr iption is automatica lly reset and an ent ry is plac ed in the Copay acti vity log. | |
| 7208 | ||
| 7209 | Example: T he drug fo r which th e prescrip tion is wr itten is n o longer m arked for investigat ional use. The copay status of the presc ription is reset fro m No Copay ment to Co pay. | |
| 7210 | ||
| 7211 | 3.The copa y status o f the pres cription i s automati cally rese t, an entr y is place d in the C opay activ ity log, a nd a MailM an message is genera ted detail ing missin g informat ion requir ed for use r follow-u p. | |
| 7212 | ||
| 7213 | Example: T he drug fo r which th e prescrip tion is wr itten is n o longer m arked for investigat ional use. The copay status of the presc ription is reset fro m No Copay ment to Co pay. The p atient has been docu mented as being expo sed to Sou thwest Asi a Conditio ns (SWAC) during Per sian Gulf War servic e since th e last fil l. A MailM an message will be g enerated i nforming t he user th at the ‘Is this Rx f or treatme nt related to servic e in SW As ia?’ quest ion must b e addresse d and docu mented usi ng the Res et Copay S tatus/Canc el Charges option. | |
| 7214 | ||
| 7215 | A MailMan message is generated detailing missing i nformation required for user f ollow-up. | |
| 7216 | ||
| 7217 | Example: A Veteran i s document ed as havi ng Agent O range expo sure. Refi ll #2 for a prescrip tion enter ed into th e system b efore the new medica tion copay exemption s took eff ect on Jan uary 1, 20 02 is rele ased. The prescripti on is copa y eligible . A MailMa n message will be ge nerated in forming re cipients t hat the ‘I s this Rx for treatm ent of Vie tnam-Era H erbicide ( Agent Oran ge) exposu re?’ quest ion must b e addresse d. The cop ay status of the pre scription may change based on the respon se entered using the Reset Cop ay Status/ Cancel Cha rges optio n. | |
| 7218 | ||
| 7219 | If a MailM an message is genera ted at the time a pr escription fill is r eleased, t he recipie nts of the message w ill be the provider of record, the pharm acy user w ho finishe d the orde r, and hol ders of th e PSO COPA Y key. The message l ists the p atient nam e, prescri ption numb er, and me dication o rdered, cu rrent copa y status, and applic able copay exemption questions that need addressin g to deter mine the p rescriptio n’s copay status. Th e Reset Co pay Status /Cancel Ch arges opti on must be used to e nter the r esponses t o the medi cation cop ay exempti on questio ns listed in the Mai lMan messa ge. If res ponses are not enter ed for the applicabl e medicati on copay e xemption q uestions, any subseq uent refil ls when re leased for this pres cription a nd possibl y other pr escription s for this patient w ill contin ue to gene rate the s ame MailMa n message. | |
| 7220 | ||
| 7221 | Example: M ailMan Mes sage | |
| 7222 | Subj: PRES CRIPTION Q UESTIONS R EVIEW NEED ED (500) [#30364] 1 0/11/05@19 :56 | |
| 7223 | 35 lines | |
| 7224 | From: OUTP ATIENT PHA RMACY PACK AGE In 'I N' basket. Page 1 | |
| 7225 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 7226 | ||
| 7227 | OPPATIENT2 9,ONE (65 43P) CH EYENNE VAM &ROC | |
| 7228 | Eligibilit y: SC LESS THAN 50% SC%: 2 0 | |
| 7229 | REIMBUR SABLE INSU RANCE | |
| 7230 | ||
| 7231 | Disabiliti es: ARTHRI TIS-10%(SC ), FOREARM CONDITION -5%(NSC), | |
| 7232 | FOREAR M CONDITIO N-4%(NSC), BENIGN EY E GROWTH-0 %(NSC), | |
| 7233 | LOSS O F FIELD OF VISION-20 %(SC), | |
| 7234 | ||
| 7235 | Rx# 101906 (1) CO PAY | |
| 7236 | ALBUTEROL SO4 0.083% INHL 3ML | |
| 7237 | Due to a c hange in c riteria, a dditional informatio n listed b elow is ne eded | |
| 7238 | to determi ne the fin al VA copa y and/or i nsurance b illable st atus for t his Rx | |
| 7239 | so that ap propriate action can be taken by pharmac y personne l. | |
| 7240 | ||
| 7241 | Is this Rx for a Ser vice Conne cted Condi tion? | |
| 7242 | ||
| 7243 | Is this Rx for treat ment relat ed to serv ice in SW Asia? | |
| 7244 | ||
| 7245 | This messa ge has bee n sent to the provid er of reco rd, the ph armacist w ho | |
| 7246 | finished t he prescri ption orde r, and all holders o f the PSO COPAY key. | |
| 7247 | ||
| 7248 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
| 7249 | ||
| 7250 | Subj: PRES CRIPTION Q UESTIONS R EVIEW NEED ED (500) [#30364] Page 2 | |
| 7251 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 7252 | ||
| 7253 | Providers: | |
| 7254 | Please res pond with your answe r to the q uestion(s) as a repl y to this | |
| 7255 | message. T he prescri ption will be update d by the a ppropriate staff. | |
| 7256 | ||
| 7257 | Staff assi gned to up date the P rescriptio n response s: | |
| 7258 | Please use the RESET COPAY STA TUS/CANCEL CHARGES o ption to e nter the r esponses | |
| 7259 | to the que stions abo ve, which may result in a Rx c opay statu s change a nd/or | |
| 7260 | the need t o remove V A copay ch arges or m ay result in a charg e to the p atient's | |
| 7261 | insurance carrier. | |
| 7262 | ||
| 7263 | Note: The SC questio n is now a sked for V eterans wh o are SC>4 9% in orde r to | |
| 7264 | determine if the Rx can be bil led to a t hird party insurance . These Ve terans | |
| 7265 | will NOT b e charged a VA copay . | |
| 7266 | ||
| 7267 | Supply and investiga tional dru gs are not charged a VA copay but could be | |
| 7268 | reimbursab le by thir d party in surance. | |
| 7269 | ||
| 7270 | Enter mess age action (in IN ba sket): Ign ore// | |
| 7271 | ||
| 7272 | An annual copayment cap is app lied to pa tients in specific p riority en rollment g roups. Onc e a patien t reaches the annual copayment cap, no f urther med ication co pay charge s will be billed for the calen dar year. An entry t o that eff ect is mad e to the C opay Activ ity Log. T he ‘$’ ind icator rem ains next to the pre scription number to indicate t hat the pr escription is still copay elig ible. | |
| 7273 | ||
| 7274 | Integrated Billing s oftware ke eps track of all pre scription fills not billed due to the an nual cap. | |
| 7275 | ||
| 7276 | Example: C opay Activ ity Log Wh en Annual Cap Reache d | |
| 7277 | Copay Acti vity Log: | |
| 7278 | # Date Reas on Rx Ref Initiato r Of Activ ity | |
| 7279 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 7280 | 1 10/23/ 01 ANNU AL CAP REA CHED ORI GINAL OPPROVID ER11,TWO | |
| 7281 | Comment: NO BILLING FOR THIS FILL | |
| 7282 | ||
| 7283 | If for wha tever reas on (e.g. p rescriptio n fill is returned t o stock an d copay ch arges canc elled), a patient fa lls below the annual copayment cap, the Integrated Billing p ackage can initiate copay char ges to bri ng the pat ient back up to the annual cop ayment cap . Integrat ed billing software will go ba ck and bil l a copay charge for those fil ls previou sly not ch arged due to the ann ual cap, b ringing th e patient’ s total co payment up to the ca p. Wheneve r this occ urs an ent ry will be placed in the Copay activity log. | |
| 7284 | ||
| 7285 | Example: C opay Activ ity Log wi th IB-Init iated Char ge | |
| 7286 | Copay Acti vity Log: | |
| 7287 | # Date Reas on Rx Ref Initiato r Of Activ ity | |
| 7288 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 7289 | 1 10/23/ 01 ANNU AL CAP REA CHED ORI GINAL OPPROVID ER11,TWO | |
| 7290 | Comment: NO BILLING FOR THIS FILL | |
| 7291 | 2 10/23/ 01 IB-I NITIATED C OPAY ORI GINAL OPROVIDE R11,TWO | |
| 7292 | ||
| 7293 | ||
| 7294 | Comment: P ARTIAL CHA RGE | |
| 7295 | ||
| 7296 | If a presc ription is not in a releasable status, t he user wi ll be give n an error message, such as: | |
| 7297 | Prescripti on has a s tatus of ( status) an d is not e ligible fo r release. | |
| 7298 | Prescripti on was del eted. | |
| 7299 | Improper b arcode for mat. | |
| 7300 | Non-existe nt prescri ption. | |
| 7301 | ||
| 7302 | Copay is n ot charged for a par tial fill. | |
| 7303 | Important: This is a mandatory function that the p harmacy mu st use. | |
| 7304 | Fixed Medi cation Cop ayment Tie rs (FMCT) | |
| 7305 | Patch PSO* 7*460 intr oduces cop ay tiers f or drugs. The Chief Business O ffice (CBO ) requests updating IT systems to confor m with cha nges to qu alified pr escription medicatio ns within VistA and VA Nationa l and Loca l Drug Fil es, to est ablish fix ed copayme nt amounts depending on the cl ass of med ication (T ier 1, Tie r 2, or Ti er 3) whil e still ma intaining the utilit y of the $ 700 copaym ent cap pe r calendar year for PG 2-8, as applicabl e, on an i ndividual Veteran ba sis. The P BM is requ esting the addition of Tier 0 for exclud ed and exe mpt produc ts with no copayment . Changes to Outpati ent Pharma cy will be seen in t he copay a ctivity lo g. | |
| 7306 | ||
| 7307 | Rx #: 1000 02266 Or iginal Fil l Released : 08/23/16 | |
| 7308 | Routing: W indow Finished by: CROSSM AN,PAMELA | |
| 7309 | ||
| 7310 | Copay Acti vity Log: | |
| 7311 | # Date Reas on Rx Ref Initiato r Of Activ ity | |
| 7312 | ========== ========== ========== ========== ========== ========== ========== ========= | |
| 7313 | 1 08/23/ 16 COPA Y RESET ORI GINAL CROSSMAN ,PAMELA | |
| 7314 | Comment: C opay Tier 1 Old val ue=No Copa y New va lue=Copay | |
| 7315 | Changes to Releasing Orders Fu nction - D igitally S igned Orde rs Only | |
| 7316 | The releas e function in the Pa tient Pres cription P rocessing option has been modi fied with patch PSO* 7*131 to r equire tha t all digi tally sign ed orders for Schedu le II cont rolled sub stances (C SII orders ) be relea sed throug h the Outp atient Rx’ s option i n the Cont rolled Sub stances (C S) menu. I f DEA/PKI is activat ed and an order is d igitally s igned, the user is a dvised tha t the orde r must be released t hrough the Outpatien t Rx’s opt ion in the Controlle d Substanc es (CS) me nu. The sa me message displays if a user attempts t o release a digitall y signed C SII order during Spe ed Release or when u sing the R elease Med ication op tion. | |
| 7317 | ||
| 7318 | A new secu rity key n amed "PSDR PH", was i ntroduced by the Con trolled Su bstances p atch PSD*3 *76 that a uthorizes pharmacist s to finis h/verify d igitally s igned Sche dule II-V CS orders placed via CPRS. | |
| 7319 | ||
| 7320 | When proce ssing a di gitally si gned pendi ng order, the integr ity of the original order plac ed in CPRS is now be ing checke d to ensur e that the data fiel ds listed below are not altere d from the time the order is s igned in C PRS and la ter select ed for pro cessing in backdoor pharmacy. This is do ne by pass ing the da ta element s listed b elow to a Kernel App lication P rogramming Interface (API), In tegration Control Re gistration (ICR) #35 39 along w ith the CP RS hash co unt provid ed by ICR #5709. The Kernel AP I compares these two hash valu es and ret urns an "O K" if the pending or der is una ltered; ot herwise, a "-1^error code^erro r message" is return ed. | |
| 7321 | ||
| 7322 | Example: " -1^8980201 6^Mismatch ed digital signature hash valu es." | |
| 7323 | ||
| 7324 | The follow ing fields are used in the has h check: | |
| 7325 | Date of Is suance | |
| 7326 | Full Name and Addres s of the P atient | |
| 7327 | Drug Name | |
| 7328 | Quantity P rescribed | |
| 7329 | Directions for Use | |
| 7330 | Prescriber Name | |
| 7331 | Prescriber Address ( site addre ss) | |
| 7332 | Prescriber DEA / VA Registrati on Number | |
| 7333 | Order Numb er (CPRS) | |
| 7334 | ||
| 7335 | The Kernel API will also check for the v alidity of the DEA c ertificate . If the c ertificate is revoke d or expir ed, the AP I will ret urn the ap propriate error code . If the e rror code is related to hash m ismatch, o r the DEA certificat e is revok ed, the fo llowing ev ents will be trigger ed during pending or der proces sing: | |
| 7336 | The order will be au to discont inued. | |
| 7337 | First line of the pe nding orde r screen w ill have t he message "Digital Signature Failed: C orrupted ( Hash misma tch)" or " Certificat e revoked" concatena ted with " Order Auto Discontin ued", and the messag e will be highlighte d. | |
| 7338 | The status bar of th e screen w ill have t he message "Signatur e Failed: Corrupted (Hash mism atch)" or Certificat e revoked. " | |
| 7339 | ||
| 7340 | A mail mes sage will be generat ed to the holders of the PSDMG R key noti fying that the order has been auto-disco ntinued (s imilar to the exampl e listed b elow). If the discon tinuation is due to a hash mis match as a result of altering one of the fields li sted above , the mail message w ill show t he altered fields wi th the dis crepancies as shown in the fol lowing exa mple. | |
| 7341 | ||
| 7342 | Example: M ail Messag e of Disco ntinuation Due to Ha sh Mismatc h | |
| 7343 | Subj: DI GITALLY SI GNED NEW O RDER AUTO DISCONTINU ED [#1963 53] | |
| 7344 | 03 /20/12@17: 1024 lines | |
| 7345 | From: PO STMASTER In 'IN' ba sket. Pa ge 1 *New * | |
| 7346 | ||
| 7347 | -------- ---------- ---------- ---------- ---------- ---------- ---------- --- | |
| 7348 | ||
| 7349 | Followin g order wa s auto dis continued when finis hing a pen ding order | |
| 7350 | due to C orrupted ( Hash misma tch) - 898 02016 | |
| 7351 | ||
| 7352 | Division : GR EELEY CLIN IC | |
| 7353 | CPRS Ord er # : 55 87651 | |
| 7354 | Issue Da te : MA R 7,2012 | |
| 7355 | Patient : TE ST,PATIENT (0908) | |
| 7356 | Address : P. O. BOX 31 | |
| 7357 | LA PORTE, CA 95981 | |
| 7358 | Drug : CO DEINE SULF ATE 60MG T AB | |
| 7359 | Dosage O rdered: 12 0(MG) | |
| 7360 | Dosage F orm : TA BLETS | |
| 7361 | Quantity : 54 | |
| 7362 | Provider : TE ST,PROVIDE R | |
| 7363 | DEA# : TA 1234563 | |
| 7364 | Site Add ress : 23 60 E PERSH ING BLVD | |
| 7365 | 23 60 East Pe rshing Bou levard | |
| 7366 | CH EYENNE | |
| 7367 | ||
| 7368 | Differen ces in CPR S and Phar macy Pendi ng File | |
| 7369 | ||
| 7370 | Data Nam e CPRS Fil e Pharmacy P ending Fil e | |
| 7371 | -------- - -------- - ---------- ---------- - | |
| 7372 | ||
| 7373 | ||
| 7374 | QTY PRES CRIBED 15 30 | |
| 7375 | ||
| 7376 | If the err or code is related t o 'certifi cate expir ed', the p ending ord er will be processed (will not be auto-d iscontinue d), and a notificati on will be sent to t he provide r with the message " DEA certif icate expi red. Renew your cert ificate." | |
| 7377 | ||
| 7378 | The follow ing change s have bee n made for finishing a CS orde r: | |
| 7379 | When finis hing a pen ding CS or der, if th e user doe s not hold the new P SDRPH secu rity key, the order will be ma rked as 'N on-Verifie d'. To ver ify a 'Non -Verified' CS order, the PSDRP H security key is no w required . To disco ntinue a p ending CS order, the PSDRPH se curity key is now re quired. | |
| 7380 | The pendin g order sc reen will now displa y the prov ider's DEA /VA #, the DETOX# (i f availabl e), and th e site add ress. | |
| 7381 | When finis hing a new pending C S order, t he dosage, provider name, or t he number of refills will not be allowed editing; however, t he user wi ll be allo wed to sel ect other possible d osages for the same drug if av ailable. I f the chan ges to the dispense drug resul ts in crea ting a new order, th e user wil l be notif ied by the message " Digitally Signed Or der - No s uch change s allowed. " If pharm acy wants to make su ch changes , then the y have to discontinu e (DC) the pending o rder and s tart a new order. Ho wever, the user will be allowe d to selec t other po ssible dos ages for t he same dr ug that do es not cha nge the pr escribed d osage. | |
| 7382 | When finis hing a new pending C S order, t he day sup ply or the quantity will not b e allowed to increas e but can be decreas ed. If the day suppl y is decre ased, the number of refills wi ll also be adjusted accordingl y dependin g on the d rug setup (maximum r efills, no t refillab le, etc.). The quant ity may be auto-calc ulated to a higher q uantity by the syste m only whe n the dosa ge remains the same, but the d ispense dr ug strengt h is chang ed – i.e. 2mg tablet s #30 is c hanged to 1mg tablet s, the Sig is update d, and the system ch anges the quantity t o 60. A ma nual chang e to a hig her quanti ty is not allowed. | |
| 7383 | When finis hing a pen ding CS or der or ver ifying a C S order by the PSDRP H key hold er, any ed it to some of the ke y fields, such as di spense dru g, dosage, dispense units, iss ue date, d ay's suppl y, quantit y or numbe r of refil ls, will n ow be capt ured and s tored in t he activit y log. | |
| 7384 | ||
| 7385 | Note: In p atch PSO*7 *99, a cha nge was ma de for pen ding order s not to r ecalculate the quant ity for CS drugs on selecting a differen t strength of the sa me drug an d resultin g in the s ame prescr ibed dosag e. This ch ange is re moved in p atch PSO*7 *391. | |
| 7386 | Changes to Releasing Orders Fu nction - S cripTalk | |
| 7387 | The releas e function in the Pa tient Pres cription P rocessing option has been modi fied to di splay a me ssage to t he user wh en the sit e is using a Bingo B oard and w hen the pa tient is e nrolled in ScripTalk . This mes sage will alert the user that the patien t is enrol led in Scr ipTalk and may need to have a verbal ann ouncement that the p rescriptio n(s) is re ady, inste ad of a vi sual annou ncement. | |
| 7388 | ||
| 7389 | Example: R eleasing M edication to a Scrip Talk Patie nt | |
| 7390 | Pre scription Number 400 693 Releas ed | |
| 7391 | No Refill(s) to be Rele ased | |
| 7392 | No Partial(s) to be Rel eased | |
| 7393 | ||
| 7394 | OPPATIENT1 6,ONE adde d to the W AITING dis play. | |
| 7395 | This patie nt is enro lled in Sc ripTalk an d may bene fit from | |
| 7396 | a non-visu al announc ement that prescript ions are r eady. | |
| 7397 | ||
| 7398 | Press Retu rn to Cont inue: | |
| 7399 | Changes to Releasing Orders Fu nction – S ignature A lert | |
| 7400 | With Patch PSO*7*385 , the rele ase functi on in the Patient Pr escription Processin g option h as been mo dified to display a message to the user when an EC ME-billabl e prescrip tion is be ing releas ed as a wi ndow fill. This mess age will a lert the u ser that t he patient ’s signatu re must be obtained. The user is not re quired to press <Ent er> to con tinue or r espond to the alert in any oth er manner. | |
| 7401 | ||
| 7402 | Example: R eleasing a n ePharmac y Window F ill | |
| 7403 | Pre scription Number 100 003853 Rel eased | |
| 7404 | No Refill(s) to be Rele ased | |
| 7405 | No Partial(s) to be Rel eased | |
| 7406 | ||
| 7407 | ePharmacy Rx – Obtai n Signatur e | |
| 7408 | Changes to Releasing Orders fu nction – H IPAA NCPDP Global | |
| 7409 | The releas e function has been modified w ith patch PSO*7*148 to perform National Drug Code (NDC) vali dation for ePharmacy prescript ions. Thes e changes also affec t the Cont rolled Sub stance pre scription release, w hich is pe rformed th rough the Controlled Substance s package. | |
| 7410 | ||
| 7411 | The user r eleasing t he third-p arty elect ronically billable p rescriptio n will be prompted f or the NDC for the d rug being dispensed to the pat ient. The NDC code p reviously retrieved when the p rescriptio n was fini shed will be present ed as the current (d efault) ND C for the prescripti on. The ot her possib le values that the u ser will b e able to choose fro m are: | |
| 7412 | NDC field value in t he DRUG fi le, if val id and dif ferent tha n the curr ent prescr iption NDC . | |
| 7413 | LAST LOCAL NDC field value in NDC BY OUT PATIENT SI TE sub-fil e in the D RUG file f or the div ision fill ing the pr escription , if valid and diffe rent that the curren t prescrip tion NDC. | |
| 7414 | NDC CODE f ield value s in the S YNONYM sub -file in t he DRUG fi le, if val id and dif ferent tha t the curr ent prescr iption NDC . | |
| 7415 | ||
| 7416 | If the NDC dispensed is not on the list to select, the user must conta ct the ADP AC or othe r designat ed person to add the NDC in a synonym mu ltiple for that drug in the DR UG file. | |
| 7417 | ||
| 7418 | If the NDC code sele cted match es the cur rent NDC i n the pres cription n o further NDC proces sing is re quired. H owever, if the user selects a different NDC, the f ollowing s teps will occur: | |
| 7419 | Outpatient Pharmacy V. 7.0 wil l instruct the Elect ronic Clai ms Managem ent Engine (ECME) to reverse t he previou s claim fo r the prev ious NDC c ode and su bmit a new claim for the newly selected NDC code. | |
| 7420 | The newly selected N DC code wi ll be save d in the L AST LOCAL NDC field in NDC BY OUTPATIENT SITE sub- file in th e DRUG fil e for the division f illing the prescript ion. | |
| 7421 | ||
| 7422 | The follow ing exampl es show th e new prom pt for NDC validatio n during t he release process. For ePharm acy prescr iptions, t he releasi ng pharmac ist will r eceive a n otation as to whethe r the NDC was previo usly valid ated. If prior vali dation of the NDC re sulted in a third pa rty claims rejection , the phar macist wil l be prese nted with a Reject P rocessing screen at release. | |
| 7423 | ||
| 7424 | Example: R eleasing a n ePharmac y Order – Selecting Default ND C | |
| 7425 | Select Out patient Ph armacy Man ager Optio n: RELEASE Medicatio n | |
| 7426 | ||
| 7427 | Enter PHAR MACIST: OP PHARMACIST 4,THREE | |
| 7428 | ||
| 7429 | Enter/Wand PRESCRIPT ION number : 10000385 3 | |
| 7430 | ** The fol lowing NDC was valid ated on SE P 19, 2008 @16:21:23 by OPTECH, ONE. | |
| 7431 | NDC: 00580 -0277-10// ? | |
| 7432 | ||
| 7433 | Select one of the fo llowing va lid NDC co de(s) belo w: | |
| 7434 | ||
| 7435 | 1 - 00580 -0277-10 | |
| 7436 | ||
| 7437 | NDC: 00580 -0277-10// <Enter> 0 0580-0277- 10 | |
| 7438 | Pre scription Number 100 003853 Rel eased | |
| 7439 | No Refill(s) to be Rele ased | |
| 7440 | No Partial(s) to be Rel eased | |
| 7441 | ||
| 7442 | ePharmacy Rx – Obtai n Signatur e | |
| 7443 | ||
| 7444 | Example: R eleasing a n ePharmac y Order – Selecting Different NDC | |
| 7445 | Select Out patient Ph armacy Man ager Optio n: RELEASE Medicatio n | |
| 7446 | ||
| 7447 | Enter PHAR MACIST: OP PHARMACIST 4,THREE | |
| 7448 | ||
| 7449 | Enter/Wand PRESCRIPT ION number : 10000385 3 | |
| 7450 | NDC: 00580 -0277-10// ? | |
| 7451 | ||
| 7452 | Select one of the fo llowing va lid NDC co de(s) belo w: | |
| 7453 | ||
| 7454 | 1 - 00580 -0277-10 | |
| 7455 | 2 - 00580 -0277-14 | |
| 7456 | ||
| 7457 | NDC: 00580 -0277-10// 2 00580- 0277-14 | |
| 7458 | ||
| 7459 | Veteran Pr escription 100003853 successfu lly submit ted to ECM E for clai m generati on. | |
| 7460 | ||
| 7461 | Claim Stat us: | |
| 7462 | Reversing and Rebill ing a prev iously sub mitted cla im... | |
| 7463 | Reversing. .. | |
| 7464 | IN PROGRES S-Waiting to start | |
| 7465 | IN PROGRES S-Waiting for packet build | |
| 7466 | IN PROGRES S-Waiting for transm it | |
| 7467 | IN PROGRES S-Transmit ting | |
| 7468 | Resubmitti ng... | |
| 7469 | IN PROGRES S-Waiting to start | |
| 7470 | IN PROGRES S-Waiting for packet build | |
| 7471 | IN PROGRES S-Waiting for transm it | |
| 7472 | IN PROGRES S-Transmit ting | |
| 7473 | IN PROGRES S-Waiting to process response | |
| 7474 | E PAYABLE | |
| 7475 | ||
| 7476 | Pre scription Number 100 003853 Rel eased | |
| 7477 | No Refill(s) to be Rele ased | |
| 7478 | No Partial(s) to be Rel eased | |
| 7479 | ||
| 7480 | ||
| 7481 | Chapter 13 : Updating a Patient ’s Record | |
| 7482 | ||
| 7483 | This chapt er describ es the opt ion used f or updatin g a patien t’s record . | |
| 7484 | Update Pat ient Recor d | |
| 7485 | [PSO PAT] | |
| 7486 | ||
| 7487 | Use this o ption to u pdate the patient in formation currently in the com puter and to update patient re cords bein g viewed b y using th e Patient Record Upd ate screen action. I f implemen ting Other Language Modificati ons, use e ither to s et a patie nt’s other language preference . | |
| 7488 | ||
| 7489 | In support of Regist ration pat ch DG*5.3* 522, the O utpatient Pharmacy s oftware pr ovides for the autom atic popul ation of c ity, state , and coun ty based o n entry of a zip cod e. | |
| 7490 | ||
| 7491 | Example: U pdating a patient re cord | |
| 7492 | Bingo Boar d Display: OUTPATIEN T// <Enter > | |
| 7493 | Update Pat ient Recor d | |
| 7494 | ||
| 7495 | Select Pat ient: O PPATIENT,O NE 12-4 -53 0000 07890 YE S SC V ETERAN | |
| 7496 | ||
| 7497 | OPPATIENT, ONE ID#: 000 -00-7890 | |
| 7498 | 4500 S MAI N ST DOB: DEC 4,1953 | |
| 7499 | ADDRESS LI NE2 | |
| 7500 | LINE 3 OF ADDRESS | |
| 7501 | MADISON PHONE: 555 -555-1653 | |
| 7502 | WISCONSIN 53705 ELIG: SC LESS THAN 50% | |
| 7503 | SC%: 10 | |
| 7504 | ||
| 7505 | WEIGHT(Kg) : HEIGHT(cm ): | |
| 7506 | CrCL: <Not Found> (C REAT: Not Found) BSA (m2 ): | |
| 7507 | DISABILITI ES: ARTHRI TIS-10% (S C), FOREAR M CONDITIO N-5% (NSC) , | |
| 7508 | FOREAR M CONDITIO N-4% (NSC) , BENIGN E YE GROWTH- 0% (NSC), | |
| 7509 | LOSS O F FIELD OF VISION-20 % (SC), | |
| 7510 | ||
| 7511 | ALLERGIES: | |
| 7512 | ||
| 7513 | ADVERSE RE ACTIONS: | |
| 7514 | ||
| 7515 | If the PSO site para meter is s et to allo w editing of patient data, thi s prompt, “Do you wa nt to upda te the Per manent add ress/phone ? //N”, is displayed . If the u ser enters “NO”, the n the soft ware will not allow the user t o update t he permane nt address and Bad A ddress Ind icator fie lds. | |
| 7516 | ||
| 7517 | Do you wan t to updat e the addr ess/phone? NO// YES | |
| 7518 | Update (P) ermanent a ddress, (T )emporary, or (B)oth : BOTH// P ERMANENT | |
| 7519 | STREET ADD RESS [LINE 1]: 4500 S MAIN ST/ / 4800 S M AIN ST | |
| 7520 | STREET ADD RESS [LINE 2]: ADDRE SS LINE2// <Enter> ADDRESS LI NE2 | |
| 7521 | STREET ADD RESS [LINE 3]: LINE 3 OF ADDRE SS// <Ente r> LINE 3 OF ADDRES S | |
| 7522 | ZIP+4: 537 05// <Ente r> 53705 | |
| 7523 | ||
| 7524 | Selec t one of t he followi ng: | |
| 7525 | ||
| 7526 | 1 MADISON* | |
| 7527 | CITY: MADI SON// <Ent er> * | |
| 7528 | STATE: WIS CONSIN | |
| 7529 | COUNTY: DA NE | |
| 7530 | PHONE NUMB ER [RESIDE NCE]: 555- 555-1653// 555-555-1 653 | |
| 7531 | PHONE NUMB ER [WORK]: | |
| 7532 | BAD AD DRESS INDI CATOR: ? | |
| 7533 | ||
| 7534 | Please enter 1 i f the addr ess is 'UN DELIVERABL E', 2 if t he patient | |
| 7535 | is 'HO MELESS', o r 3 for 'O THER' bad address re asons. | |
| 7536 | Choose from: | |
| 7537 | 1 UNDELIV ERABLE | |
| 7538 | 2 HOMELES S | |
| 7539 | 3 OTHER | |
| 7540 | Are you su re that yo u want to save the a bove chang es? YES | |
| 7541 | Change sav ed. | |
| 7542 | ||
| 7543 | Changes to the perma nent addre ss/Bad Add ress Indic ator will not be sav ed until t he prompt “Are you s ure that y ou want to save the above chan ges?” is a nswered YE S. | |
| 7544 | ||
| 7545 | Press ENTE R to conti nue: <Ente r> | |
| 7546 | ||
| 7547 | Temporary Address: | |
| 7548 | ||
| 7549 | ||
| 7550 | TEMPORARY ADDRESS AC TIVE?: NO/ / <Enter> NO | |
| 7551 | ||
| 7552 | Press Retu rn to cont inue: <Ent er> | |
| 7553 | ||
| 7554 | PHONE NUMB ER [CELLUL AR]: <Ente r> | |
| 7555 | CNH CURREN T: <Enter> | |
| 7556 | FEE HOSPIT AL I.D.: < Enter> | |
| 7557 | REMARKS: < Enter> | |
| 7558 | ||
| 7559 | ||
| 7560 | >>PHA RMACY PATI ENT DATA<< | |
| 7561 | ||
| 7562 | CAP: <Ente r> | |
| 7563 | MAIL: <Ent er> | |
| 7564 | MAIL STATU S EXPIRATI ON DATE: < Enter> | |
| 7565 | DIALYSIS P ATIENT: <E nter> | |
| 7566 | NARRATIVE: <Enter> | |
| 7567 | Eligibilit y: COLLATE RAL OF VET . <Enter> | |
| 7568 | Disabiliti es: <Enter > | |
| 7569 | PATIENT ST ATUS: SERV ICE CONNEC TED// <Ent er> | |
| 7570 | COMMUNITY NURSING HO ME: <Enter > | |
| 7571 | NURSING HO ME CONTRAC T: <Enter> | |
| 7572 | LAST DATE OF CONTRAC T: <Enter> | |
| 7573 | RESPITE PA TIENT STAR T DATE: <E nter> | |
| 7574 | RESPITE PA TIENT END DATE: <Ent er> | |
| 7575 | OTHER LANG UAGE PREFE RENCE: <En ter> | |
| 7576 | PMI LANGUA GE PREFERE NCE: <Ente r> | |
| 7577 | Chapter 14 : CPRS Ord er Checks: How They Work | |
| 7578 | Introducti on | |
| 7579 | In CPRS, O rder Check s occur by evaluatin g a reques ted order against ex isting pat ient data. Most ord er checks are proces sed via th e CPRS Exp ert System . A few ar e processe d within t he Pharmac y, Allergy Tracking System, an d Order En try packag es. Order Checks are a real-ti me process that occu rs during the orderi ng session and is dr iven by re sponses en tered by t he orderin g provider . Order Ch eck messag es are dis played int eractively in the or dering ses sion. | |
| 7580 | ||
| 7581 | Order Chec ks review existing d ata and cu rrent even ts to prod uce a rele vant messa ge, which is present ed to pati ent caregi vers. Orde r Checks u se the CPR S Expert S ystem (OCX namespace ), to defi ne logical expressio ns for thi s evaluati on and mes sage creat ion. In ad dition to the expert system Or der Checks have some hard-code d algorith ms. For ex ample, the drug-drug interacti on order c heck is ma de via an entry poin t in the p harmacy pa ckage wher eas Renal Functions for Patien ts 65 and Over is de fined as a rule in t he CPRS Ex pert Syste m. | |
| 7582 | Order Chec k Data Cac hing | |
| 7583 | Data cachi ng was rec ently adde d to impro ve the spe ed of orde r checks. Before dat a caching, order che cks could be slow be cause each order che ck retriev ed data fr om the oth er VISTA p ackages—ev en if the order chec ks used th e same dat a. With da ta caching , the firs t order ch eck in an ordering s ession ret rieves dat a from oth er VISTA p ackages, u ses the da ta to eval uate wheth er it shou ld display a warning , and then stores th e retrieve d data in the ^XTMP( “OCXCACHE” global fo r five min utes. The order chec ks that oc cur in the next five minutes c an use the cached da ta, if it is the app ropriate d ata, inste ad of retr ieving dat a from the other pac kages. Aft er five mi nutes, the cached da ta expires , and orde r checks m ust retrie ve new dat a from the VISTA pac kages. | |
| 7584 | ||
| 7585 | For exampl e, before data cachi ng was imp lemented, if an orde r check to ok 3 secon ds to retr ieve data from other VISTA pac kages, and there wer e 12 order checks, c linicians might wait 36 second s to sign orders. Wi th data ca ching, the first ord er check m ight take 3 seconds to retriev e the data , but subs equent ord er checks could use the cache and might take only .03 second s each. Th at would b e 3.33 sec onds compa red to 36 seconds. T he numbers in this e xample are for illus tration on ly and do not reflec t real sys tem speed. However, data cachi ng should speed up o rder check s. | |
| 7586 | ||
| 7587 | To avoid u sing all a vailable d isk space for storin g data fro m order ch ecks, ther e are seve ral ways t o clear th e ^XTMP(“O CXCACHE” g lobal. ORM TIME remov es data fr om the glo bal when i t runs. Th e suggeste d frequenc y for runn ing ORMTIM E is every 30 minute s, but not every sit e runs it that frequ ently. Ker nel clean up utiliti es also re move data from the c ache when they run, which is u sually eve ry 24 hour s. If need ed, users that have access to the progra mmer’s pro mpt can ma nually cle ar the cac he from th at prompt by using P URGE^OCXCA CHE. | |
| 7588 | ||
| 7589 | Hash Count s and DEA Certificat ion | |
| 7590 | When proce ssing a di gitally si gned pendi ng order, the integr ity of the original order plac ed in CPRS is now be ing checke d to ensur e that the data fiel ds listed below are not altere d from the time the order is s igned in C PRS and la ter select ed for pro cessing in backdoor pharmacy. This is do ne by pass ing the da ta element s listed b elow to a Kernel App lication P rogramming Interface (API), In tegration Control Re gistration (ICR) #35 39 along w ith the CP RS hash co unt provid ed by ICR #5709. The Kernel AP I compares these two hash valu es and ret urns an "O K" if the pending or der is una ltered; ot herwise, a "-1^error code^erro r message" is return ed. | |
| 7591 | ||
| 7592 | Example: " -1^8980201 6^Mismatch ed digital signature hash valu es." | |
| 7593 | ||
| 7594 | The follow ing fields are used in the has h check: | |
| 7595 | Date of Is suance | |
| 7596 | Full Name and Addres s of the P atient | |
| 7597 | Drug Name | |
| 7598 | Quantity P rescribed | |
| 7599 | Directions for Use | |
| 7600 | Prescriber Name | |
| 7601 | Prescriber Address ( site addre ss) | |
| 7602 | Prescriber DEA / VA Registrati on Number | |
| 7603 | Order Numb er (CPRS) | |
| 7604 | ||
| 7605 | The Kernel API will also check for the v alidity of the DEA c ertificate . If the c ertificate is revoke d or expir ed, the AP I will ret urn the ap propriate error code . If the e rror code is related to hash m ismatch, o r the DEA certificat e is revok ed, the fo llowing ev ents will be trigger ed during pending or der proces sing: | |
| 7606 | The order will be au to discont inued. | |
| 7607 | First line of the pe nding orde r screen w ill have t he message "Digital Signature Failed: Co rrupted (H ash mismat ch)" or "C ertificate revoked" concatenat ed with "O rder Auto Discontinu ed", and t he message will be h ighlighted . | |
| 7608 | The status bar of th e screen w ill have t he message "Signatur e Failed: Corrupted (Hash mism atch)" or Certificat e revoked. " | |
| 7609 | ||
| 7610 | A mail mes sage will be generat ed to the holders of the PSDMG R key noti fying that the order has been auto-disco ntinued (s imilar to the exampl e listed b elow). If the discon tinuation is due to a hash mis match as a result of altering one of the fields li sted above , the mail message w ill show t he altered fields wi th the dis crepancies as shown in the fol lowing exa mple. | |
| 7611 | ||
| 7612 | Example: M ail Messag e of Disco ntinuation Due to Ha sh Mismatc h | |
| 7613 | Subj: DI GITALLY SI GNED NEW O RDER AUTO DISCONTINU ED [#1963 53] | |
| 7614 | 03 /20/12@17: 1024 lines | |
| 7615 | From: PO STMASTER In 'IN' ba sket. Pa ge 1 *New * | |
| 7616 | ||
| 7617 | -------- ---------- ---------- ---------- ---------- ---------- ---------- --- | |
| 7618 | ||
| 7619 | Followin g order wa s auto dis continued when finis hing a pen ding order | |
| 7620 | due to C orrupted ( Hash misma tch) - 898 02016 | |
| 7621 | ||
| 7622 | Division : GR EELEY CLIN IC | |
| 7623 | CPRS Ord er # : 55 87651 | |
| 7624 | Issue Da te : MA R 7,2012 | |
| 7625 | Patient : TE ST,PATIENT (0908) | |
| 7626 | Address : P. O. BOX 31 | |
| 7627 | LA PORTE, CA 95981 | |
| 7628 | Drug : CO DEINE SULF ATE 60MG T AB | |
| 7629 | Dosage O rdered: 12 0(MG) | |
| 7630 | Dosage F orm : TA BLETS | |
| 7631 | Quantity : 54 | |
| 7632 | Provider : TE ST,PROVIDE R | |
| 7633 | DEA# : TA 1234563 | |
| 7634 | Site Add ress : 23 60 E PERSH ING BLVD | |
| 7635 | 23 60 East Pe rshing Bou levard | |
| 7636 | CH EYENNE | |
| 7637 | ||
| 7638 | Differen ces in CPR S and Phar macy Pendi ng File | |
| 7639 | ||
| 7640 | Data Nam e CPRS Fil e Pharmacy P ending Fil e | |
| 7641 | -------- - -------- - ---------- ---------- - | |
| 7642 | QTY PRES CRIBED 15 30 | |
| 7643 | ||
| 7644 | If the err or code is related t o 'certifi cate expir ed', the p ending ord er will be processed (will not be auto-d iscontinue d), and a notificati on will be sent to t he provide r with the message, "DEA certi ficate exp ired. Rene w your cer tificate." | |
| 7645 | ||
| 7646 | The follow ing change s have bee n made for finishing a CS orde r: | |
| 7647 | When finis hing a pen ding CS or der, if th e user doe s not hold the new P SDRPH secu rity key, the order will be ma rked as 'N on-Verifie d'. To ver ify a 'Non -Verified' CS order, the PSDRP H security key is no w required . To disco ntinue a p ending CS order, the PSDRPH se curity key is now re quired. | |
| 7648 | The pendin g order sc reen will now displa y the prov ider's DEA /VA #, the DETOX# (i f availabl e), and th e site add ress. | |
| 7649 | When finis hing a new pending C S order, t he dosage, provider name, or t he number of refills will not be allowed editing; however, t he user wi ll be allo wed to sel ect other possible d osages for the same drug if av ailable. I f the chan ges to the dispense drug resul ts in crea ting a new order, th e user wil l be notif ied by the message " Digitally Signed Ord er - No su ch changes allowed." If pharma cy wants t o make suc h changes, then they have to d iscontinue (DC) the pending or der and st art a new order. How ever, the user will be allowed to select other pos sible dosa ges for th e same dru g that doe s not chan ge the pre scribed do sage. | |
| 7650 | When finis hing a new pending C S order, t he day sup ply or the quantity will not b e allowed to increas e but can be decreas ed. If the day suppl y is decre ased, the number of refills wi ll also be adjusted accordingl y dependin g on the d rug setup (maximum r efills, no t refillab le, etc.). The quant ity may be auto-calc ulated to a higher q uantity by the syste m only whe n the dosa ge remains the same, but the d ispense dr ug strengt h is chang ed – i.e. 2mg tablet s #30 is c hanged to 1mg tablet s, the Sig is update d, and the system ch anges the quantity t o 60. A ma nual chang e to a hig her quanti ty is not allowed. | |
| 7651 | When finis hing a pen ding CS or der or ver ifying a C S order by the PSDRP H key hold er, any ed it to some of the ke y fields, such as di spense dru g, dosage, dispense units, iss ue date, d ay's suppl y, quantit y or numbe r of refil ls, will n ow be capt ured and s tored in t he activit y log. | |
| 7652 | ||
| 7653 | Note: In p atch PSO*7 *99, a cha nge was ma de for pen ding order s not to r ecalculate the quant ity for CS drugs on selecting a differen t strength of the sa me drug an d resultin g in the s ame prescr ibed dosag e. This ch ange is re moved in p atch PSO*7 *391. | |
| 7654 | Chapter 15 : Error Me ssages | |
| 7655 | Error Info rmation | |
| 7656 | The text i n the erro r message and reason column wi ll be disp layed to t he user. T he type of error is displayed in column 1. | |
| 7657 | Three Leve ls of Erro r Messages | |
| 7658 | System | |
| 7659 | When such an error o ccurs, no Drug Inter action, Du plicate Th erapy, or Dosing ord er checks will be pe rformed. O ther order checks th at do not use the CO TS databas e (FDB) wi ll still b e performe d such as allergy/AD Rs, duplic ate drug ( for outpat ient only) and new C PRS order checks, et c. | |
| 7660 | Drug | |
| 7661 | The second error lev el is for the drug a nd no Drug Interacti on/Duplica te Therapy or Dosing order che cks will b e performe d for a sp ecific dru g. Drug le vel errors can occur for the p rospective drug (dru g being pr ocessed) o r the prof ile drug. If a drug level erro r occurs o n the pros pective dr ug, no pro file drug errors wil l be displ ayed. The only excep tion to th is is when you are p rocessing an IV orde r with mul tiple pros pective dr ugs (i.e. multiple I V Additive s). Profil e drug lev el errors will only be shown o nce per pa tient sess ion. | |
| 7662 | There are two reason s that a d rug level error is g enerated; the drug i s not matc hed to NDF or the dr ug is matc hed to NDF , but the VA Product to which it is matc hed does n ot have a GCNSEQNO a ssigned or the GCNSE QNO assign ed does no t match up to the GC NSEQNO in the COTS d atabase. T he latter (GCNSEQNO mismatch) is rare. | |
| 7663 | Order | |
| 7664 | The third error leve l is for t he order. Order leve l errors w ill only o ccur with dosing ord er checks. Please se e the Dosi ng Order C heck User Manual for more info rmation. | |
| 7665 | ||
| 7666 | Error Leve l | |
| 7667 | Error Mess age | |
| 7668 | Reason | |
| 7669 | Why messag e is being displayed | |
| 7670 | System | |
| 7671 | No Enhance d Order Ch ecks can b e performe d. | |
| 7672 | Vendor Dat abase cann ot be reac hed. | |
| 7673 | The connec tivity to the vendor database has gone d own. A Mai lMan messa ge is sent to the G. PSS ORDER CHECKS ma il group w hen the li nk goes do wn and whe n it comes back up. | |
| 7674 | System | |
| 7675 | No Enhance d Order Ch ecks can b e performe d. | |
| 7676 | The connec tion to th e vendor d atabase ha s been dis abled. | |
| 7677 | A user has executed the Enable /Disable V endor Data base Link [PSS ENABL E/DISABLE DB LINK] o ption and disabled t he interfa ce. | |
| 7678 | System | |
| 7679 | No Enhance d Order Ch ecks can b e performe d | |
| 7680 | Vendor dat abase upda tes are be ing proces sed | |
| 7681 | The vendor database (custom an d standard data) is being upda ted using the DATUP (Data Upda te) proces s. | |
| 7682 | System | |
| 7683 | “Signature Failed- O rder Auto Discontinu ed” | |
| 7684 | Hash Misma tch | |
| 7685 | Original d igitally s igned CS o rder place d in CPRS is checked to ensure data fiel ds are not altered f rom the ti me the ord er is sign ed in CPRS and later selected for proces sing in ba ckdoor pha rmacy. | |
| 7686 | System | |
| 7687 | “DEA certi ficate exp ired. Rene w your cer tificate.” | |
| 7688 | Validity o f the DEA certificat e. | |
| 7689 | Kernel API check for the valid ity of the DEA certi ficate. If certifica te is revo ked or exp ired, the API will r eturn the appropriat e error co de. | |
| 7690 | System | |
| 7691 | No Enhance d Order Ch ecks can b e performe d | |
| 7692 | An unexpec ted error has occurr ed | |
| 7693 | There is a system ne twork prob lem and th e vendor d atabase ca nnot be re ached or a software interface issue. | |
| 7694 | System | |
| 7695 | No Dosing Order Chec ks can be performed | |
| 7696 | Dosing Ord er Checks are disabl ed | |
| 7697 | A user has executed the Enable /Disable D osing Orde r Checks [ PSS Dosing Order Che cks] optio n. | |
| 7698 | Drug | |
| 7699 | Enhanced O rder Check s cannot b e performe d for Loca l or Local Outpatien t Drug: <D RUG NAME> | |
| 7700 | Drug not m atched to NDF | |
| 7701 | The local drug being ordered/ or on prof ile has no t been mat ched to ND F. Matchi ng the dru g to a VA Product wi ll elimina te this me ssage. | |
| 7702 | Drug | |
| 7703 | ||
| 7704 | Order Chec ks could n ot be done for Remot e Drug: <D RUG NAME>, please co mplete a m anual chec k for Drug Interacti ons and Du plicate Th erapy. | |
| 7705 | Remote ord er indicat or | |
| 7706 | ||
| 7707 | If this er ror messag e is displ ayed, it m eans that the VA pro duct that the local or remote drug being ordered/o r on the l ocal or re mote profi le does no t have a G CNSEQNO or in rare c ases, the GCNSEQNO a ssigned to the VA Pr oduct does not match up with a GCNSEQNO in the ven dor databa se. | |
| 7708 | Drug | |
| 7709 | Enhanced O rder Check s cannot b e performe d for Orde rable Item : <OI NAME > | |
| 7710 | No active Dispense D rug found | |
| 7711 | Highly unl ikely that this erro r would be seen. At the time t he order c heck was b eing perfo rmed the o rderable i tem did no t have an active dis pense drug associate d. | |
| 7712 | Glossary | |
| 7713 | The follow ing table provides d efinitions for commo n acronyms and terms used in t his manual . | |
| 7714 | ||
| 7715 | Acronym/Te rm | |
| 7716 | Definition | |
| 7717 | Action Pro file | |
| 7718 | A list of all active and recen tly cancel ed or expi red prescr iptions fo r a patien t sorted b y classifi cation. Th is profile also incl udes a sig nature lin e for each prescript ion to all ow the phy sician to cancel or renew it. | |
| 7719 | Activity L og | |
| 7720 | A log, by date, of c hanges mad e to or ac tions take n on a pre scription. An entry is made in this log each time the prescr iption is edited, ca nceled, re instated a fter being canceled, or renewe d. An entr y will be made into this log e ach time a label is reprinted. A CMOP ac tivity log will cont ain inform ation rela ted to CMO P dispensi ng activit ies. | |
| 7721 | Allergy/AD R Informat ion | |
| 7722 | Includes n on-verifie d and veri fied aller gy and/or adverse re action inf ormation a s defined in the Adv erse React ion Tracki ng (ART) p ackage. Th e allergy data is so rted by ty pe (DRUG, OTHER, FOO D). If no data is fo und for a category, the headin g for that category is not dis played. | |
| 7723 | Allergy Or der Checks | |
| 7724 | The proces s that com pares the drugs pres cribed for a patient against t hat patien t’s record ed allergi es | |
| 7725 | AMIS | |
| 7726 | Automated Management Informati on System | |
| 7727 | Answer She et | |
| 7728 | An entry i n the DUE ANSWER SHE ET file. I t contains the quest ions and a nswers of a DUE ques tionnaire. This term is also u sed to ref er to the hard copy representa tion of a DUE ANSWER SHEET ent ry. | |
| 7729 | API | |
| 7730 | Applicatio n Programm ing Interf aces | |
| 7731 | APSP | |
| 7732 | Originally Indian He alth Servi ce Pharmac y's name s pace now o wned by th e Outpatie nt Pharmac y software . | |
| 7733 | BSA | |
| 7734 | Body Surfa ce Area. T he Dubois formula is used to c alculate t he Body Su rface Area using the following formula: | |
| 7735 | BSA (m²) = 0.20247 x Height (m )0.725 x W eight (kg) 0.425 | |
| 7736 | The equati on is perf ormed usin g the most recent pa tient heig ht and wei ght values that are entered in to the vit als packag e. | |
| 7737 | The calcul ation is n ot intende d to be a replacemen t for inde pendent cl inical jud gment. | |
| 7738 | Bypass | |
| 7739 | Take no ac tion on a medication order. | |
| 7740 | CHAMPVA | |
| 7741 | CHAMPVA (C ivilian He alth and M edical Pro gram of th e Departme nt of Vete rans Affai rs) is a c ost-shared health be nefits pro gram estab lished for the depen dents and survivors of certain severely disabled a nd/or dece ased Veter ans. | |
| 7742 | Clinical R eminder Or der Checks (CROC) | |
| 7743 | CPRS Order Checks th at use Cli nical Remi nder funct ionality, both remin der terms and remind er definit ions, to p erform che cks for gr oups of or derable it ems. | |
| 7744 | CMOP | |
| 7745 | Consolidat ed Mail Ou tpatient P harmacy. | |
| 7746 | CPRS | |
| 7747 | Computeriz ed Patient Record Sy stem. CPRS is an ent ry point i n VistA th at allows the user t o enter al l necessar y orders f or a patie nt in diff erent pack ages (e.g. , Outpatie nt Pharmac y, Inpatie nt Pharmac y, etc.) f rom a sing le entry p oint. | |
| 7748 | CrCL | |
| 7749 | Creatinine Clearance . The CrCL value whi ch display s in the p harmacy he ader is id entical to the CrCL value calc ulated in CPRS. The formula ap proved by the CPRS C linical Wo rkgroup is the follo wing: | |
| 7750 | Modified C ockcroft-G ault equat ion using Adjusted B ody Weight in kg (if ht > 60in ) | |
| 7751 | This calcu lation is not intend ed to be a replaceme nt for ind ependent c linical ju dgment. | |
| 7752 | Critical | |
| 7753 | Interactio ns with se vere conse quences th at require some type of action (finding facts, con tacting pr escribers) to preven t potentia l serious harm. | |
| 7754 | DATUP | |
| 7755 | Data Updat e (DATUP). Functiona lity that allows the Pharmacy Enterprise Customiza tion Syste m (PECS) t o send out VA custom and stand ard commer cial-off-t he-shelf ( COTS) vend or databas e changes to update the produc tion and p re-product ion centra lized MOCH A database s at Austi n and Phil adelphia. | |
| 7756 | DEA | |
| 7757 | Drug Enfor cement Age ncy | |
| 7758 | DEA Specia l Handling | |
| 7759 | The Drug E nforcement Agency sp ecial Hand ling code used for d rugs to de signate if they are over-the c ounter, na rcotics, b ulk compou nds, suppl y items, e tc. | |
| 7760 | DHCP | |
| 7761 | See VistA | |
| 7762 | DIF | |
| 7763 | Drug Infor mation Fra mework | |
| 7764 | Dispense D rug | |
| 7765 | The Dispen se Drug na me has the strength attached t o it (e.g. , Acetamin ophen 325 mg). The n ame alone without a strength a ttached is the Order able Item name. | |
| 7766 | DoD | |
| 7767 | Department of Defens e | |
| 7768 | Dosage Ord ered | |
| 7769 | After the user has s elected th e drug dur ing order entry, the dosage or dered prom pt is disp layed. | |
| 7770 | Drug/Drug Interactio n | |
| 7771 | The pharma cological or clinica l response to the ad ministrati on of a dr ug combina tion diffe rent from that antic ipated fro m the know n effects of the two agents wh en given a lone. | |
| 7772 | DUE | |
| 7773 | Drug Usage Evaluatio n | |
| 7774 | Enhanced O rder Check | |
| 7775 | Drug – Dru g Interact ion, Dupli cate Thera py, and Do sing order checks th at are exe cuted util izing FDB’ s MedKnowl edge Frame work APIs and databa se. | |
| 7776 | ETC | |
| 7777 | Enhanced T herapeutic Classific ation syst em | |
| 7778 | Expiration /Stop | |
| 7779 | The date o n which a prescripti on is no l onger acti ve. Typica lly, this date is 30 days afte r the issu e date for narcotics , 365 days after the issue dat e for othe r medicati ons and 36 5 days aft er the iss ue date fo r supplies . | |
| 7780 | FDB | |
| 7781 | First Data Bank | |
| 7782 | Finish | |
| 7783 | Term used for comple ting order s from Ord er Entry/R esults Rep orting V. 3.0. | |
| 7784 | GUI | |
| 7785 | Acronym fo r Graphica l User Int erface. | |
| 7786 | Issue Date | |
| 7787 | The date o n which th e prescrip tion was w ritten. Th is date is usually, but not al ways, the same as th e first fi ll date. T his date c annot be l ater than the first fill date. | |
| 7788 | HDR/CDS | |
| 7789 | Health Dat a Reposito ry/Clinica l Data Ser vices Repo sitory | |
| 7790 | HDR-Hx | |
| 7791 | Health Dat a Reposito ry Histori cal | |
| 7792 | HDR-IMS | |
| 7793 | Health Dat a Reposito ry- Interi m Messagin g Solution | |
| 7794 | HFS | |
| 7795 | Host File Server. | |
| 7796 | Health Ins urance Por tability a nd Account ability Ac t of 1996 (HIPAA) | |
| 7797 | A Federal law that m akes a num ber of cha nges that have the g oal of all owing pers ons to qua lify immed iately for comparabl e health i nsurance c overage wh en they ch ange their employmen t relation ships. Tit le II, Sub title F, o f HIPAA gi ves HHS th e authorit y to manda te the use of standa rds for th e electron ic exchang e of healt h care dat a; to spec ify what m edical and administr ative code sets shou ld be used within th ose standa rds; to re quire the use of nat ional iden tification systems f or health care patie nts, provi ders, paye rs (or pla ns), and e mployers ( or sponsor s); and to specify t he types o f measures required to protect the secur ity and pr ivacy of p ersonally identifiab le health care infor mation. Al so known a s the Kenn edy-Kasseb aum Bill, the Kasseb aum-Kenned y Bill, K2 , or Publi c Law 104- 191. | |
| 7798 | JCAHO | |
| 7799 | Joint Comm ission on Accreditat ion of Hea lthcare Or ganization s | |
| 7800 | Label/Prof ile Monito r | |
| 7801 | A file for each prin ter which records, i n the orde r in which they were printed, the last 1 000 labels or profil es printed on that p rinter. Th is allows a rapid re print of a series of labels or profiles that were damaged by a printer malfuncti on or othe r event. | |
| 7802 | Local Poss ible Dosag es | |
| 7803 | Free text dosages th at are ass ociated wi th drugs t hat do not meet all of the cri teria for Possible D osages. | |
| 7804 | Medication Instructi on File | |
| 7805 | The MEDICA TION INSTR UCTION fil e is used by Unit Do se and Out patient Ph armacy. It contains the medica tion instr uction nam e, expansi on and int ended use. | |
| 7806 | Medication Order | |
| 7807 | A prescrip tion | |
| 7808 | Medication Profile | |
| 7809 | A list of all active or recent ly cancele d or expir ed prescri ptions for a patient sorted ei ther by da te, drug, or classif ication. U nlike the action pro file, this profile i s for info rmation on ly and doe s not prov ide a sign ature line for a phy sician to indicate a ction to b e taken on the presc ription. | |
| 7810 | Medication Routes Fi le | |
| 7811 | The MEDICA TION ROUTE S file con tains medi cation rou te names. The user c an enter a n abbrevia tion for e ach route to be used at the lo cal site. The abbrev iation wil l most lik ely be the Latin abb reviation for the te rm. | |
| 7812 | Med Route | |
| 7813 | The method in which the prescr iption is to be admi nistered ( e.g., oral , injectio n). | |
| 7814 | NCCC | |
| 7815 | National C lozapine C oordinatin g Center. | |
| 7816 | Non-Formul ary Drugs | |
| 7817 | The medica tions, whi ch are def ined as co mmercially available drug prod ucts not i ncluded in the VA Na tional For mulary. | |
| 7818 | Non-VA Med s | |
| 7819 | Term that encompasse s any Over -the-Count er (OTC) m edications , Herbal s upplements , Veterans Health Ad ministrati on (VHA) p rescribed medication s but purc hased by t he patient at an out side pharm acy, and m edications prescribe d by provi ders outsi de VHA. Al l Non-VA M eds must b e document ed in pati ents’ medi cal record s. | |
| 7820 | OneVA Phar macy | |
| 7821 | Prescripti ons that o riginated from anoth er VistA i nstance ot her than t he site di spensing t he prescri ption. | |
| 7822 | Order | |
| 7823 | Request fo r medicati on. | |
| 7824 | Order Chec k | |
| 7825 | Order chec ks (drug-a llergy/ADR interacti ons, drug- drug, dupl icate drug , duplicat e therapy, and dosin g) are per formed whe n a new me dication o rder is pl aced throu gh either the CPRS o r Outpatie nt Pharmac y applicat ions. They are also performed when medic ation orde rs are ren ewed, when Orderable Items are edited, o r during t he finishi ng process in Outpat ient Pharm acy. This functional ity will e nsure the user is al erted to p ossible ad verse drug reactions and will reduce the possibili ty of a me dication e rror. | |
| 7826 | Orderable Item | |
| 7827 | An Orderab le Item na me has no strength a ttached to it (e.g., Acetamino phen). The name with a strengt h attached to it is the Dispen se drug na me (e.g., Acetaminop hen 325mg) . | |
| 7828 | Partial Pr escription | |
| 7829 | A prescrip tion that has been f illed for a quantity smaller t han reques ted. A pos sible reas on for a p artial fil l is that a patient is to retu rn to the clinic in ten days b ut the pre scription calls for a thirty-d ay supply. Partials do count a s workload but do no t count ag ainst the total numb er of refi lls for a prescripti on. | |
| 7830 | Payer | |
| 7831 | In health care, an e ntity that assumes t he risk of paying fo r medical treatments . This can be an uni nsured pat ient, a se lf-insured employer, or a heal th care pl an or Heal th Mainten ance Organ ization (H MO). | |
| 7832 | Pending Or der | |
| 7833 | A pending order is o ne that ha s been ent ered by a provider t hrough CPR S without Pharmacy f inishing t he order. Once Pharm acy has fi nished the order, it will beco me active. | |
| 7834 | Pharmacy N arrative | |
| 7835 | OUTPATIENT NARRATIVE field tha t may be u sed by pha rmacy staf f to displ ay informa tion speci fic to the patient. | |
| 7836 | Polypharma cy | |
| 7837 | The admini stration o f many dru gs togethe r. | |
| 7838 | POE | |
| 7839 | Pharmacy O rdering En hancements (POE) pro ject. Patc h PSO*7*46 contains all the re lated chan ges for Ou tpatient P harmacy. | |
| 7840 | Possible D osages | |
| 7841 | Dosages th at have a numeric do sage and n umeric dis pense unit s per dose appropria te for adm inistratio n. For a d rug to hav e possible dosages, it must be a single ingredient product t hat is mat ched to th e DRUG fil e. The DRU G file ent ry must ha ve a numer ic strengt h and the dosage for m/unit com bination m ust be suc h that a n umeric str ength comb ined with the unit c an be an a ppropriate dosage se lection. | |
| 7842 | Prescripti on | |
| 7843 | This term is now ref erred to t hroughout the softwa re as medi cation ord ers. | |
| 7844 | Prescripti on Status | |
| 7845 | A prescrip tion can h ave one of the follo wing statu ses. | |
| 7846 | Active - A prescript ion with t his status can be fi lled or re filled. | |
| 7847 | Canceled - This term is now re ferred to throughout the softw are as Dis continued. (See Disc ontinued.) | |
| 7848 | Discontinu ed - This status is used when a prescrip tion was m ade inacti ve either by a new p rescriptio n or by th e request of a physi cian. | |
| 7849 | Discontinu ed (Edit) - Disconti nued (Edit ) is the s tatus used when a me dication o rder has b een edited and cause s a new or der to be created du e to the e diting of certain da ta element s. | |
| 7850 | Deleted - This statu s is used when a pre scription is deleted . Prescrip tions are no longer physically deleted f rom the sy stem, but marked as deleted. O nce a pres cription i s marked d eleted no access is allowed ot her than v iew. | |
| 7851 | Expired - This statu s indicate s the expi ration dat e has pass ed. | |
| 7852 | *Note: A p rescriptio n that was canceled or has exp ired more recently t han the da te specifi ed by the cutoff dat e, typical ly 120 day s in the p ast, can s till be ac ted upon. | |
| 7853 | Hold - A p rescriptio n that was placed on hold due to reasons determine d by the p harmacist. | |
| 7854 | Non-verifi ed - There are two t ypes of no n-verified statuses. Depending on a site parameter , prescrip tions ente red by a t echnician do not bec ome active until a p harmacist reviews th em. Until such revie w, they re main non-v erified an d cannot b e printed, canceled or edited except thr ough the V erificatio n menu.The second no n-verified status is given to prescripti ons when a drug/drug interacti on is enco untered du ring the n ew order e ntry or ed iting of a prescript ion. | |
| 7855 | Pending - A prescrip tion that has been e ntered thr ough OERR. | |
| 7856 | Refill - A second or subsequen t filling authorized by the pr ovider. | |
| 7857 | Suspended - A prescr iption tha t will be filled at some futur e date. | |
| 7858 | Progress N otes | |
| 7859 | A componen t of Text Integratio n Utilitie s (TIU) th at can fun ction as p art of CPR S. | |
| 7860 | Provider | |
| 7861 | The person who autho rized an o rder. Only users ide ntified as providers who are a uthorized to write m edication orders may be select ed. | |
| 7862 | Reprinted Label | |
| 7863 | Unlike a p artial pre scription, a reprint does not count as w orkload. | |
| 7864 | Questionna ire | |
| 7865 | An entry i n the DUE QUESTIONNA IRE file. This file entry cont ains the s et of ques tions rela ted to a D UE as well as the dr ugs being evaluated. | |
| 7866 | Schedule | |
| 7867 | The freque ncy by whi ch the dos es are to be adminis tered, suc h as Q8H, BID, NOW, etc. | |
| 7868 | Sig | |
| 7869 | The instru ctions pri nted on th e label. | |
| 7870 | Significan t | |
| 7871 | The potent ial for ha rm is eith er rare or generally known so that it is reasonabl e to expec t that all prescribe rs have ta ken this i nformation into acco unt. | |
| 7872 | Speed Acti ons | |
| 7873 | See Action s | |
| 7874 | Suspense | |
| 7875 | A prescrip tion may n ot be able to be fil led on the day it wa s requeste d. When th e prescrip tion is en tered, a l abel is no t printed. Rather, t he prescri ption is p ut in the RX SUSPENS E file to be printed at a late r date. | |
| 7876 | Third (3rd ) Party Cl aims | |
| 7877 | Health car e insuranc e claims s ubmitted t o an entit y for reim bursement of health care bills . | |
| 7878 | Time In | |
| 7879 | This is th e time tha t the pati ent's name was enter ed in the computer. | |
| 7880 | Time Out | |
| 7881 | This is th e time tha t the pati ent's name was enter ed on the bingo boar d monitor. | |
| 7882 | TRICARE | |
| 7883 | TRICARE is the unifo rmed servi ce health care progr am for: | |
| 7884 | active dut y service members an d their fa milies | |
| 7885 | retired se rvice memb ers and th eir famili es | |
| 7886 | members of the Natio nal Guard and Reserv es and the ir familie s | |
| 7887 | survivors, and | |
| 7888 | others who are eligi ble | |
| 7889 | There are difference s in how p rescriptio ns for TRI CARE benef iciaries a re process ed versus how prescr iptions ar e processe d for Vete rans. | |
| 7890 | TIU | |
| 7891 | Text Integ ration Uti lities; a package fo r document handling, that incl udes Consu lts, Disch arge summa ry, and Pr ogress Not es, and wi ll later a dd other d ocument ty pes such a s surgical pathology reports. TIU compon ents can b e accessed for indiv idual pati ents throu gh the CPR S, or for multiple p atients th rough the TIU interf ace. | |
| 7892 | Titration | |
| 7893 | Titration is the pro cess of gr adually ad justing th e dose of a medicati on until o ptimal res ults are r eached. | |
| 7894 | Units per Dose | |
| 7895 | The number of Units (tablets, capsules, etc.) to b e dispense d as a Dos e for an o rder. Frac tional num bers will be accepte d for medi cations th at can be split. | |
| 7896 | VistA | |
| 7897 | Acronym fo r Veterans Health In formation Systems an d Technolo gy Archite cture, the new name for Decent ralized Ho spital Com puter Prog ram (DHCP) . | |
| 7898 | Wait Time | |
| 7899 | This is th e amount o f time it took to fi ll the pre scription. It is the differenc e between Time In an d Time Out . For orde rs with mo re than on e prescrip tion, the wait time is the sam e for each . | |
| 7900 | ||
| 7901 | Index | |
| 7902 | ||
| 7903 | ||
| 7904 | A | |
| 7905 | Allergy/AD R Order Ch eck Displa y, 79 | |
| 7906 | B | |
| 7907 | Batch Prin t Question naires, 24 | |
| 7908 | Bingo Boar d User, 16 | |
| 7909 | C | |
| 7910 | Check Drug Interacti on, 22 | |
| 7911 | Clinical R eminder Or der Checks , 52 | |
| 7912 | Clinical R eminders, 52 | |
| 7913 | CPRS Order Checks, 9 9 | |
| 7914 | CPRS Order Checks: H ow They Wo rk, 152 | |
| 7915 | D | |
| 7916 | DEA Certif ication, 1 53 | |
| 7917 | Display Pa tient's Na me on Moni tor, 17 | |
| 7918 | Dosing Ord er Checks, 99 | |
| 7919 | DUE User, 24 | |
| 7920 | Duplicate Drug Order Check, 57 | |
| 7921 | E | |
| 7922 | Edit an Ex isting Ans wer Sheet, 24 | |
| 7923 | Enhanced D rug-Drug I nteraction s, 52 | |
| 7924 | Enter a Ne w Answer S heet, 24 | |
| 7925 | Enter New Patient, 1 6 | |
| 7926 | Entering a New Order , 72 | |
| 7927 | Entering A ctions, 7 | |
| 7928 | Error Info rmation, 1 56 | |
| 7929 | Error Mess ages, 156 | |
| 7930 | H | |
| 7931 | Hash Count s, 153 | |
| 7932 | I | |
| 7933 | Introducti on, 1 | |
| 7934 | L | |
| 7935 | List Manag er, 3 | |
| 7936 | M | |
| 7937 | Medication Profile, 26 | |
| 7938 | N | |
| 7939 | NDC Valida tion, 123 | |
| 7940 | Non-VA Med s Usage Re port, 8 | |
| 7941 | O | |
| 7942 | OneVA Phar macy and t he Medicat ion Profil e, 28 | |
| 7943 | OneVA Phar macy Proce ssing with in Patient Prescript ion Proces sing, 40 | |
| 7944 | Order Chec k Data Cac hing, 152 | |
| 7945 | Other Outp atient Pha rmacy List Man Action s, 10 | |
| 7946 | Other Scre en Actions , 11 | |
| 7947 | Outpatient Pharmacy Hidden Act ions, 7 | |
| 7948 | P | |
| 7949 | Patient Lo okup, 14 | |
| 7950 | Patient Pr escription Processin g, 32 | |
| 7951 | Processing a Prescri ption, 32 | |
| 7952 | Pull Early from Susp ense, 138, 140 | |
| 7953 | Q | |
| 7954 | Queue CMOP Prescript ion, 140 | |
| 7955 | R | |
| 7956 | Reject Res olution Re quired rej ect, 113 | |
| 7957 | Release Me dication, 142 | |
| 7958 | Reminders, 52 | |
| 7959 | Remove Pat ient's Nam e from Mon itor, 17 | |
| 7960 | S | |
| 7961 | Speed Acti ons, 9 | |
| 7962 | Status of Patient's Order, 17 | |
| 7963 | T | |
| 7964 | Therapeuti c Duplicat ion, 82 | |
| 7965 | Titration, 71 | |
| 7966 | Two Levels of Error Messages, 156 | |
| 7967 | U | |
| 7968 | Update Pat ient Recor d, 150 | |
| 7969 | Using List Manager w ith Outpat ient Pharm acy, 6 | |
| 7970 | Using the Bingo Boar d, 16 | |
| 7971 |
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