4. EPMO Open Source Coordination Office Redaction File Detail Report

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4.1 Files compared

#	Location	File	Last Modified
1	MCCF EDI TAS BPS PSO PSX Bundle.zip\MCCF EDI TAS BPS PSO PSX Bundle	pso_7_phar_um_r0617.doc	Tue Jul 18 13:54:06 2017 UTC
2	MCCF EDI TAS BPS PSO PSX Bundle.zip\MCCF EDI TAS BPS PSO PSX Bundle	pso_7_phar_um_r0617.doc	Wed Aug 30 20:26:51 2017 UTC

4.2 Comparison summary

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Changed	24	50
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4.3 Comparison options

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4.4 Active regular expressions

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4.5 Comparison detail

	1	Department of Vetera ns Affairs Outpatien t Pharmacy Pharmacis t's User M anual v. 7 OUTPATIENT PHARMACY (PSO)
	2	PHARMACIST ’S USER MA NUAL
	3	Version 7. 0
	4	December 2 007
	5	(Revised D ecember Ju ly 20167)
	6	Department of Vetera ns Affairs
	7	Office of Informatio n and Tech nology (OI &T)
	8	(This page included for two-si ded copyin g.)
	9	Revision H istory
	10	Each time this manua l is updat ed, the Ti tle Page l ists the n ew revised date and this page describes the change s. If the Revised Pa ges column lists “Al l,” replac e the exis ting manua l with the reissued manual. If the Revis ed Pages c olumn list s individu al entries (e.g., 25 , 32), eit her update the exist ing manual with the Change Pag es Documen t or print the entir e new manu al.
	11	DateRevise d PagesPat ch NumberD escription 07/2017Tit le
	12	263-268, 2 92-297, 30 1PSO7478 Update tit le page, R eject Info rmation sc reen and a dd Print a ction to V E12/2016Ti tle PagePS O7460Upd ated title page to r eflect Dec ember as n ew month t o release. (P. Cross man, Devel oper)11/20 16140
	13	PSO7460U pdated cop ay activit y log for Fixed Medi cation Cop ayment Tie rs (FMCT)
	14	Updated Ti tle Page t o current OI&T Stand ards
	15	Updated Re vision His tory
	16	Updated Ta ble of Con tents
	17	Updated fo oter date to March 2 014 per bu siness req uest.
	18	(S. Pelcha r PM; P. C rossman, D eveloper)0 8/2016i-v, ix-xii,
	19	45, 144, 1 68, 191, 1 92-194, 21 1-212, 217 , 218-219, 239, 249- 251, 255, 263-265, 2 68, 273, 2 82-283, 29 2-293, 297 , 299, 302 -303, 315P SO7448Up dated Titl e Page to current OI &T Standar ds
	20	Updated Re vision His tory
	21	Updated Ta ble of Con tents
	22	Updated Us ing the Co py Action section
	23	Updated Ho lding and Unholding a Prescrip tion secti on
	24	Updated ex amples to read “Vete ran Prescr iption”
	25	Updated [P SO LM BACK DOOR ORDER S]
	26	Updated [B PS RPT VIE W ECME RX]
	27	Updated [P SO EPHARMA CY MENU]
	28	Updated [P SO IGNORED REJECTS R EPORT]
	29	Updated [P OS REJECTS VIEW/PROC ESS]06/201 637
	30	245PSO74 44Added Ex . 5 re Med ication Pr ofile list item with Bad Addre ss Indicat or
	31	Max Day Su pply has b een added and now Da ys Supply can be ent ered from 1-365 for a drug.
	32	Added tabl e comparin g MAXIMUM DAYS SUPPL Y values i n files 50 .68 and 50 . Display ing the ef fect on th e days sup ply. (A. Z ak, T. Nix on, L. Ram os, Tech W riter)01/2 016Cover p age,
	33	i-xi, 41, 62-
	34	63, 65, 68 ,
	35	70-71, 73- 74,
	36	76, 80, 92 , 96,
	37	99, 107, 1 30,
	38	132-133, 1 33-
	39	134, 138, 147,
	40	150-151, 1 53,
	41	155, 167, 171,
	42	174-175, 1 80,
	43	183, 186, 188,
	44	190, 192, 204,
	45	215-220, 2 22-
	46	228, 235,
	47	228-229, 2 31,
	48	233-236, 2 40-
	49	241, 243-2 45,
	50	249, 252, 254,
	51	282PSO74 27Updated cover page .
	52	pg 223-224 : added DC 9Disconti nued RX0 h idden acti on; added available actions to Resolving open
	53	Rejects sc reen
	54	Pg 226: ad ded screen shot of Re solve Open Rejects R esponded/u pdated NDC numbers t o match sa mple presc riptions a s well as other cust omer comme nts throug hout.
	55	Updated Vi ew Prescri ption, Edi t Prescri ption, Scr eens, Medi cation Pro file, Open /Unresolve d Bulletin ,
	56	View/Proce ss Third P arty Rejec t, and Thi rd Party
	57	Rejects Wo rklist in accordance with new functional ity associ ated with PSO7427.
	58	(T. Tarlet on, PM; V Dunie, Tec hnical Wri ter)04/201 6i, 44, 48 , 49, 50, 51, 52, 53 , 54, 55, 56, 68, 7 2, 89, 90, 102, 105, 106, 108, 119, 120, 122, 123, 125, 148, 149, 150 , 169, 170 , 174, 175 , 213, 336 PSO7411
	59	Updated Re vision His tory
	60	Updated Ta ble of Con tents
	61	Added Alle rgy Order Checks sec tion
	62	Updated Al lergy Disp lay Screen s
	63	Added Clin ical Remin der Order Checks sec tion
	64	Updated Sc reen Captu res
	65
	66
	67
	68	Updated Gl ossary and Index
	69	(H. Cross, PM; Regi na Lule, T ech Writer )03/201513 PSO7438U pdated hel p text for patient l ookup.
	70	T. Downing , PM; R. S utton, Tec hnical Wri ter08/2014 i-iv, viii , x, 8-9, 139-140, 193, 206, 288-289, 2 92PSO731 303/2014Al l, i-x, 42 , 158, 160 , 161-162, 207-208, 216, 217. 218-219, 2 20, 251-25 2, 279, 28 1, 289-290 PSO7421
	71	PSO7433R enumbered pages thro ughout ent ire docume nt.
	72	Changed No vember 201 0 footer d ates to De cember 199 7 per clie nt instruc tions.
	73	Renumbered pages thr oughout en tire docum ent.
	74	Modified R evision Hi story.
	75	Print from Suspense File
	76	Entering a New Order – ePharma cy (Third Party Bill able)
	77	ePharmacy Menu
	78	NDC Valida tion
	79	Third Part y Payer Re jects – Vi ew/Process
	80	Third Part y Payer Re jects – Wo rklist (Di scontinued TRICARE a nd CHAMPVA prescript ions no lo nger appea r on the T hird Party Payer Rej ects - Wor klist [PSO REJECTS W ORKLIST]).
	81	Reject Res olution Re quired Rej ects
	82	Added mate rial throu ghout rela ting to ne w Reject
	83	Security K eys
	84	PSO EPHARM ACY SITE M ANAGER
	85	Access to the EPHARM ACY SITE P ARAMETERS [PSO ePHAR M SITE PAR AMETERS] o ption requ ires the n ew PSO EPH ARMACY SIT E MANAGER security k ey.
	86	Revised ta ble showin g Site Par ameter act ions and s creen-shot showing r elated dia log.
	87	Added opti on names t hroughout.
	88	Added revi sed ePharm acy Site P arameters Screen and related s ubscreen s ections; r emoved dis continued functional ity.
	89	Added addi tional ind ex referen ces.
	90	Added Look up Nationa l Clean-Up Utility D ata
	91	(C. Powel l, PM; K. Kapple, Te ch Writer) 09/2013i – x, 2, 39, 39tt, 39u u, 39uu2 – 39yy, 39g gg - 39hhh , 39ooo, 3 9qqq, 54 - 54a, 55-6 0l, 84, 86 , 95, 99, 169 - 170, 172, 174, 178PSO7 372
	92	PSO7416
	93	Added two new docume nts to Rel ated Docum entation s ection
	94	Added Orde r Check in formation to Chapter 14
	95	Changed Ch apter 14 h eading to Processing Order Che cks
	96	Updated sc reen captu res with n ew checkin g messages
	97	Added Chap ter 14.5: Dosing Ord er Checks
	98	Added refe rences to the Dosing Order Che ck User Ma nual
	99	Updated In dex
	100	(D. McCanc e, PM; G. Tucker, PM ; G. Scorc a/D. Hoff, Tech Writ ers)05/201 3i, ii, vi i-x, 48-48 d, 95- 96, 160b-160d , 167-167d , 169-170, 177 – 178 PSO7391U pdated Rev ision Hist ory
	101	Updated Ta ble of Con tents
	102	New securi ty key nam ed "PSDRPH " introduc ed.
	103	Updated Ch anges to O ERR.
	104	Added Chan ges to Pro cessing a Prescripti on section .
	105	Added Hash Counts an d DEA Cert ification section.
	106	Added two System Err or message s.
	107	Updates to Index
	108	(Niha Goy al, PM; Jo hn Owczarz ak, Tech W riter).01/ 2013i-x, 4 , 6, 8, 11 , 18a-18d, 28, 29, 3 0a, 30c, 3 0d, 39y, 3 9bb, 39ff, 39hh, 39q q, 39tt - 39uu2, 39v v, 39ww-39 ww2, 39mmm , 53, 58, 60-60o, 66 , 73, 77, 79, 80, 83 , 89, 100, 155, 171- 176, 177-1 78PSO739 0Added Che ck Drug In teraction
	109	Added Crea tinine Cle arance (Cr Cl) and Bo dy Surface Area (BSA ) to the P atient and Medicatio n Profile displays.
	110	Added drug allergy c hanges
	111	Added Clin ic Order s ection
	112	Updated Gl ossary
	113	Updated In dex
	114	(D. McCanc e, PM; G. Tucker, PM ; G. Scorc a, Tech Wr iter)09/20 12i, iib, vii, viii, 83a – 83 d, 89 – 91 b, 99, 107 a, 170mPSO 7386Adde d section on HOLD an d UNHOLD f unctionali ty.
	115	Updated Fl agging and Unflaggin g Pending Orders.
	116	Updated Ac tivity Log for HOLD/ UNHOLD com ments.
	117	Added PSO TECH ADV k ey informa tion.
	118	(Niha Goya l, PM; Joh n Owczarza k, Tech Wr iter)03/20 12i, viii, 8, 15, 24 , 35-36, 4 1, 160, 17 0a, 170e-1 70l, 170m- 170n, 177- 178 PSO7 367To add functional ity to Out patient Ph armacy for the print ing and st oring of F DA Medicat ion Guides .
	119	Updates to Index
	120	(N. Goyal, PM; B. Th omas, Tech Writer)03 /2012i, vi i, 63,107a -107b,160- 160b,171, 172, 173
	121	PSO7354U pdate to T OC
	122	Automated Dispensing Device (A DD) enhanc ement
	123	ADD, DNS, OPAI added to Glossa ry.
	124	(Niha Goya l, PM; Joh n Owczarza k, Tech Wr iter)02/20 12i-ii, ii a-iib, v-v iii, 10, 1 3-14, 36-3 7, 43, 48a -48b, 50, 67, 67a-67 n, 75, 111 , 117-119, 122-123, 123a-123b, 125-128, 128a-128b, 130-134, 134a-134b, 135-138, 138a-138b, 139-140, 140a-140b, 141, 141a -141b, 142 -146, 147- 149, 149a, 150-154, 156a-156b, 157, 170e -170f, 171 -178PSO7 385Removed incorrect listing o f View Add itional Re ject Info (ARI) acti on
	125	Added sign ature aler ts
	126	Updated wo rding for ¾ Days Sup ply Hold
	127	Added roun ding funct ionality f or ¾ Days Supply Hol d
	128	Added new actions Su bmit Multi ple Action s (SMA) an d Suspense Date Calc ulation (S MA)
	129	Added new option Vie w ePharmac y Rx (VER)
	130	Corrected earlier fo rmatting e rrors
	131	Corrected typos
	132	Updated Se rvice Code values
	133	Updated ch anged secu rity key n ames
	134	Added TRIC ARE and CH AMPVA exam ples of re jects on a new order
	135	Updated na me of TRIC ARE CHAMPV A Bypass/O verride Re port
	136	Updated sc reen shots related t o patch ch anges
	137	Updated wo rding base d on revie wer feedba ck
	138	Added CHAM PVA functi onality
	139	Added sepa rate secti on to list changes t o security keys
	140	Added CHAM PVA to Glo ssary
	141	(S. Spence , PM; C. S mith, Tech Writer)10 /2011i-ii, v-viii, 4 , 7-10, 36 , 56-58, 6 4, 66, 95, 118, 120- 124, 126-1 27, 128-12 8b, 135-13 7, 139-145 , 146-146b , 148, 149 -149b, 150 -153, 154- 154b, 155- 156, 165, 175-178PSO 7359Adde d new acti on View Ad ditional R eject Info (ARI)
	142	Expanded E CME Number s to twelv e digits
	143	Updated sc reen shots related t o patch ch anges
	144	Added TRIC ARE to Glo ssary
	145	Corrected typos
	146	Corrected formatting errors fr om 11/10 r eissue
	147	(S. Spence , PM; C. S mith, Tech Writer)09 /2011i,vi- vii, 30a-3 0fPSO738 2Added inf ormation r egarding t he new [PS O HRC PROF ILE/REFILL ] option.
	148	(N. Goyal, PM; J. Ow czarzak, T ech Writer )04/2011i, viii, 8, 170a-170d, 177-179PS O7343To add functi onality to Outpatien t Pharmacy for the O n-Demand D isplaying of FDA Med ication Gu ides.
	149	Display FD A Medicati on Guide [ MG] added to Other O P Actions [OTH]
	150	Updates to Index
	151	(T. Legget t, PM; B. Thomas, Te ch Writer) 04/2011i, vi, vii, v iii, 5, 8, 10, 27-27 b, 28, 30, 39-39nnn, 40, 54-54 t, 58, 59, 60-60l, 7 8, 82, 159 , 163, 16 7-180 PSO* 7*251The f ollowing c hanges are included in this pa tch:
	152	-Outpatien t List Man ager Scree n Views
	153	-Added HP and H to H old Status
	154	-Removed D C code; Ad ded DF,DE, DP,DD and DA
	155	-Added to Hidden Act ion List: IN
	156	- Removed DC code; A dded DF,DE ,DP,DD and DA, and
	157	- Added HP and H to Hold Statu s
	158	-Replaced Medication Short Pro file
	159	-Inserted enhanced O rder check s, Outpati ent Pharma cy generat ed order c hecks
	160	-Added IN to Screen Scrape
	161	-Modified New Order Screen Scr ape
	162	-Inserted Drug Aller gy Screens
	163	-Updated G lossary an d Index to start on odd pages
	164	(G. Tucker , PM; G. S corca, Tec h Writer)1 1/2010AllP SO7358Ad ded inform ation rega rding TRIC ARE Active Duty Bypa ss/Overrid e details
	165	(S. Spence , PM; G. J ohnson, Te ch Writer) (This page included for two-si ded copyin g.)
	166	Preface
	167	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 Veterans Affairs M edical Cen ter (VAMC) .
	168	(This page included for two-si ded copyin g.)
	169	Table of C ontents
	170	1Chapter 1 : Introduc tion
	171
	172
	173	1Documenta tion Conve ntions
	174
	175
	176	2Getting H elp
	177
	178
	179	2Related M anuals
	180
	181
	182	3Chapter 2 : List Man ager
	183
	184
	185	3Outpatien t List Man ager
	186
	187
	188	6Using Lis t Manager with Outpa tient Phar macy
	189
	190
	191	6Entering Actions
	192
	193
	194	7Outpatien t Pharmacy Hidden Ac tions
	195
	196
	197	9Speed Act ions
	198
	199
	200	10Other Ou tpatient P harmacy Li stMan Acti ons
	201
	202
	203	10Other Sc reen Actio ns
	204
	205
	206	13Chapter 3: Using t he Pharmac ist Menu
	207
	208
	209	13Patient Lookup
	210
	211
	212	15Chapter 4: Using t he Bingo B oard
	213
	214
	215	15Bingo Bo ard User
	216
	217
	218	15Enter Ne w Patient
	219
	220
	221	15Display Patient's Name on Mo nitor
	222
	223
	224	16Remove P atient's N ame from M onitor
	225
	226
	227	16Status o f Patient' s Order
	228
	229
	230	17Chapter 5: Changin g the Labe l Printer
	231
	232
	233	17Change L abel Print er
	234
	235
	236	19Chapter 6: Changin g the Susp ense Date
	237
	238
	239	19Change S uspense Da te
	240
	241
	242	21Chapter 7: Check D rug Intera ction
	243
	244
	245	21Check Dr ug Interac tion
	246
	247
	248	23Chapter 8: Evaluat ing Drug U sage
	249
	250
	251	23DUE Supe rvisor
	252
	253
	254	23Enter a New Answer Sheet
	255
	256
	257	23Edit an Existing A nswer Shee t
	258
	259
	260	24Create/E dit a Ques tionnaire
	261
	262
	263	24Batch Pr int Questi onnaires
	264
	265
	266	24DUE Repo rt
	267
	268
	269	25Chapter 9: Enter/E dit Clinic Sort Grou ps
	270
	271
	272	25Enter/Ed it Clinic Sort Group s
	273
	274
	275	27Chapter 10: Using the Interf ace Menu
	276
	277
	278	27External Interface Menu
	279
	280
	281	27Purge Ex ternal Bat ches
	282
	283
	284	27Reprint External B atches
	285
	286
	287	28View Ext ernal Batc hes
	288
	289
	290	31Chapter 11: Using the Medica tion Profi le
	291
	292
	293	31Medicati on Profile
	294
	295
	296	31Medicati on Profile : Short Fo rmat
	297
	298
	299	32Medicati on Profile : Long For mat
	300
	301
	302	40Chapter 12: Using the Medica tion Recon ciliation Tools
	303
	304
	305	40Medicati on Reconci liation
	306
	307
	308	42Chapter 13: Using the Pharma cy Interve ntion Menu
	309
	310
	311	42Pharmacy Intervent ion Menu
	312
	313
	314	42Enter Ph armacy Int ervention
	315
	316
	317	42Edit Pha rmacy Inte rvention
	318
	319
	320	42Print Ph armacy Int ervention
	321
	322
	323	43Delete I nterventio n
	324
	325
	326	43View Int ervention
	327
	328
	329	44Chapter 14: Print from Suspe nse File
	330
	331
	332	44Print fr om Suspens e File
	333
	334
	335	48Chapter 15: Allerg y Order Ch ecks
	336
	337
	338	50CPRS All ergy/Adver se Reactio n Entry Pr ocess
	339
	340
	341	52VistA Ou tpatient A llergy/Adv erse React ion Entry Process
	342
	343
	344	58Chapter 16: Clinic al Reminde r Order Ch ecks
	345
	346
	347	60Chapter 17: Proces sing Order Checks
	348
	349
	350	60Processi ng Order C hecks
	351
	352
	353	107Allergy /ADR Order Checks (P SO7251)
	354
	355
	356	111Therape utic Dupli cation
	357
	358
	359	130Chapter 18: Dosin g Order Ch ecks
	360
	361
	362	132Chapter 19: Pull Early from Suspense
	363
	364
	365	132Pull Ea rly from S uspense
	366
	367
	368	135Chapter 20: Queue CMOP Pres cription
	369
	370
	371	135QUEUE C MOP Prescr iption
	372
	373
	374	137Chapter 21: Relea sing Medic ation
	375
	376
	377	137Release Medicatio n
	378
	379
	380	140Fixed M edication Copayment Tiers (FMC T)
	381
	382
	383	140Changes to Releas ing Orders function - Digitall y Signed O rders Only
	384
	385
	386	143Changes to Releas ing Orders function - ScripTal k(
	387
	388
	389	143Changes to Releas ing Orders Function – Signatur e Alert
	390
	391
	392	143Changes to Releas ing Orders function – HIPAA NC PDP Global
	393
	394
	395	147Chapter 22: Retur ning Medic ation to S tock
	396
	397
	398	147Return Medication to Stock
	399
	400
	401	149Chapter 23: Order ing/Proces sing a Pre scription
	402
	403
	404	149Rx (Pre scriptions )
	405
	406
	407	149Patient Prescript ion Proces sing
	408
	409
	410	155Duplica te Drug Or der Check
	411
	412
	413	168Titrati on
	414
	415
	416	169Enterin g a New Or der
	417
	418
	419	176CPRS Or der Checks
	420
	421
	422	185Clinic Orders
	423
	424
	425	190Enterin g a New Or der --ePha rmacy (Thi rd Party B illable)
	426
	427
	428	205Editing a New Ord er
	429
	430
	431	211Using t he Copy Ac tion
	432
	433
	434	218Holding and Unhol ding a Pre scription
	435
	436
	437	225Flaggin g and Unfl agging Pen ding Order s
	438
	439
	440	229Barcode Rx Menu
	441
	442
	443	229Barcode Batch Pre scription Entry
	444
	445
	446	230Check Q uality of Barcode
	447
	448
	449	230Process Internet Refills
	450
	451
	452	231Complet e Orders f rom OERR
	453
	454
	455	235Flaggin g and Unfl agging Pen ding Order s
	456
	457
	458	238Changes to Finish ing Pendin g Orders P rocess - D igitally S igned Orde rs Only
	459
	460
	461	238Finishi ng an Orde r from OER R with Mul tiple Inst itutions
	462
	463
	464	239Finishi ng an ePha rmacy Orde r
	465
	466
	467	239Activit y Log
	468
	469
	470	243Discont inue Presc ription(s)
	471
	472
	473	244Edit Pr escription s
	474
	475
	476	250ePharma cy Menu
	477
	478
	479	251Ignored Rejects R eport
	480
	481
	482	252ePharma cy Medicat ion Profil e (View On ly)
	483
	484
	485	255NDC Val idation
	486
	487
	488	256ePharma cy Medicat ion Profil e Division Preferenc es
	489
	490
	491	257ePharma cy Site Pa rameters
	492
	493
	494	261Third P arty Payer Rejects - View/Proc ess
	495
	496
	497	266Third P arty Payer Rejects - Worklist
	498
	499
	500	296Other R ejects
	501
	502
	503	301Reject Resolution Required Rejects
	504
	505
	506	302View eP harmacy Rx
	507
	508
	509	303MailMan Message f or Open/Un resolved R ejects
	510
	511
	512	305Alerts for Discon tinued CMO P Prescrip tion
	513
	514
	515	305Discont inued by a Backgroun d Process
	516
	517
	518	305Discont inued by a Foregroun d Pharmacy Process
	519
	520
	521	306List On e Patient' s Archived Rx's
	522
	523
	524	306Manual Print of M ulti-Rx Fo rms
	525
	526
	527	306Reprint an Outpat ient Rx La bel
	528
	529
	530	308Signatu re Log Rep rint
	531
	532
	533	308View Pr escription s
	534
	535
	536	308Restric tions to P roviders o n Controll ed Substan ces Orders
	537
	538
	539	311Chapter 24: Updat ing a Pati ent’s Reco rd
	540
	541
	542	311Update Patient Re cord
	543
	544
	545	313Chapter 25: Verif ying Presc riptions
	546
	547
	548	313Verific ation
	549
	550
	551	313List No n-Verified Scripts
	552
	553
	554	314Non-Ver ified Coun ts
	555
	556
	557	315Rx Veri fication b y Clerk
	558
	559
	560	315Verifyi ng ePharma cy Orders
	561
	562
	563	317Chapter 26: CPRS Order Chec ks: How Th ey Work
	564
	565
	566	317Introdu ction
	567
	568
	569	317Order C heck Data Caching
	570
	571
	572	318Hash Co unts and D EA Certifi cation
	573
	574
	575	321Chapter 27: Error Messages
	576
	577
	578	323Chapter 28: FDA M edication Guides
	579
	580
	581	323Display ing an FDA Medicatio n Guide
	582
	583
	584	326Printin g an FDA M edication Guide
	585
	586
	587	326Site Pa rameters
	588
	589
	590	326FDA Med ication Gu ide Printe r Selectio n
	591
	592
	593	327The Def ault FDA M edication Guide Prin ter
	594
	595
	596	328Reprint ing an FDA Medicatio n Guide
	597
	598
	599	330Changin g the FDA Medication Guide Pri nter
	600
	601
	602	330Prompt During Lab el Print
	603
	604
	605	331Label L og and CMO P Event Lo g Display
	606
	607
	608	331Audit T rail for F DA Medicat ion Guide Printing
	609
	610
	611	331Automat ically Pri nting FDA Medication Guides is Optional
	612
	613
	614	333Chapter 29: Secur ity Keys
	615
	616
	617	333Securit y Keys
	618
	619
	620	333PSO TRI CARE/CHAMP VA
	621
	622
	623	333PSO TRI CARE/CHAMP VA MGR
	624
	625
	626	333PSO TEC H ADV
	627
	628
	629	333PSO EPH ARMACY SIT E MANAGER
	630
	631
	632	335Glossar y
	633
	634
	635	343Index
	636
	637
	638
	639
	640	Chapter 1: Introduct ion XE "In troduction "
	641	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 PSO746 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.
	642	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.
	643	Documentat ion Conven tions
	644	This Outpa tient Phar macy V. 7. 0 Manager’ s User Man ual includ es documen tation con ventions, also known as notati ons, which are used consistent ly through out this m anual. Eac h conventi on is outl ined below .
	645	Convention ExampleMen u option t ext is ita licized.Th ere are ei ght option s on the A rchiving m enu.Screen prompts a re denoted with quot ation mark s around t hem.The “D osage:” pr ompt displ ays next.R esponses i n bold fac e indicate user inpu t.Select O rders by n umber: (1 -6): 5<Ent er> indica tes that t he Enter k ey (or Ret urn key on some keyb oards) mus t be press ed.
	646	<Tab> indi cates that the Tab k ey must be pressed.T ype Y for Yes or N f or No and press <Ent er>.
	647	Press <Tab > to move the cursor to the ne xt field.
	648	Indicates especially important or helpfu l informat ion.
	649	Up to four of the la st LAB res ults can b e displaye d in the m essage.Ind icates tha t options are locked with a pa rticular s ecurity ke y. The use r must hol d the part icular sec urity key to be able to perfor m the menu option.Th is option requires t he securit y key PSOL OCKCLOZ.Ge tting Help
	650	?, ??, ??? 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.
	651	Related Ma nuals
	652	The follow ing manual s are loca ted on the VistA Doc umentation Library ( VDL) at: h ttp://www. va.gov/vdl .
	653	Main Packa ge Documen tation:
	654	Outpatient Pharmacy V. 7.0 Rel ease Notes
	655	Outpatient Pharmacy V. 7.0 Man ager’s Use r Manual
	656	Outpatient Pharmacy V. 7.0 Pha rmacist’s User Manua l
	657	Outpatient Pharmacy V. 7.0 Tec hnician’s User Manua l
	658	Outpatient Pharmacy V. 7.0 Use r Manual – Supplemen tal
	659	Outpatient Pharmacy V. 7.0 Tec hnical Man ual/Securi ty Guide
	660	Dosing Ord er Check U ser Manual
	661	VistA to M OCHA Inter face Docum ent
	662	Additional Documenta tion:
	663	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.
	664	Chapter 2: List Mana ger XE "Li st Manager "
	665	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.
	666	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.
	667	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.
	668	Outpatient List Mana ger
	669	Screen tit le: The sc reen title changes a ccording t o what typ e of infor mation Lis t Manager is display ing (e.g., Patient I nformation , Medicati on Profile , New OP O rder (ROUT INE), etc. ).Allergy indicator: This indi cator disp lays when there has been infor mation ent ered into the ALLERG Y field fo r the pati ent. The i ndicator d isplays “N O ALLERGY ASSESSMENT ” if there is no all ergy asses sment for the patien t. Header area: The header are a is a "fi xed" (non- scrollable ) area tha t displays patient i nformation . List are a:(scrolli ng region) This area scrolls ( like the p revious ve rsion) and displays the inform ation on w hich actio n can be t aken. Mess age window : This sec tion displ ays a plus (+) sign, minus (-) sign, or informatio nal text ( i.e., Ente r ?? for m ore action s). If a p lus sign i s entered at the act ion prompt , List Man ager will "jump" for ward a pag e. If a mi nus sign i s displaye d and ente red at the action pr ompt, List Manager w ill "jump" back a sc reen. The plus and m inus signs are only valid acti ons if the y are disp layed in t he message window. A ction area :A list of actions d isplay in this area of the scr een. If a double que stion mark (??) is e ntered at the "Selec t Item(s)" prompt, a "hidden" list of ad ditional a ctions tha t are avai lable will be displa yed.
	670	Example: S howing mor e Indicato rs and Def initions
	671
	672	Medication Profile May 22, 20 06 10:44:5 6 Page: 1 of 1
	673	OPPATIENT1 6,ONE
	674	<A>
	675	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2004)
	676	DOB: APR 3,1941 (6 5) Wt(kg): 9 0.45 (02/0 8/2004)
	677	SEX: MAL E Non-VA Med s on File
	678	CrCL: <No t Found> B SA (m2): 2 .11
	679	L ast entry on 01/13/0 1
	680	I SSUE LAST REF DAY
	681	# RX # DRU G QTY ST DATE FILL REM SUP
	682
	683	---------- ---------- ---------- ------ACTI VE-------- ---------- ---------- ------
	684	1 503902 ACE TAMINOPHEN 500MG TAB 60 AT 05 -22 05-22 3 30
	685	2 503886$ DIG OXIN (LANO XIN) 0.2MG CAP 60 A> 05 -07 05-07 5 30
	686	3 503871$ HIS TOPLASMIN 1ML 1 A 03 -14 03-14R 5 30
	687	4 1000020 42$e NAL BUPHINE HC L INJ 10MG /ML 1 A 03 -14 03-14 5 30
	688	5 1000020 40$ SAL ICYLIC ACI D 40% OINT (OZ) 1 S 03 -14 03-17 5 30
	689	---------- ---------- ---------- ---DISCONT INUED----- ---------- ---------- ---------
	690	6 503881 BAC LOFEN 10MG TABS 30 DC 04 -07 05-01 2 30
	691	7 1000020 20A$ TIM OLOL 0.25% OPTH SOL 10ML 1 DE 02 -03 02-03 5 30
	692	---------- ---------- ---------- --------HO LD-------- ---------- ---------- ---------
	693	8 1000019 42 ABD OMINAL PAD 7 1/2 X 8 STERILE 1 H 09 -28 09-28 5 30
	694	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------
	695	9 1000020 39$ BAC LOFEN 10MG TABS 30 N 03 -14 03-14 5 30
	696	---------- ---------- ---------- ------PEND ING------- ---------- ---------- ---------
	697	10 AMPICIL LIN 250MG CAP QTY: 40 ISDT : 05-29 R EF: 0
	698	11 SIMETHI CONE 40MG TAB
	699
	700
	701	QTY: 30
	702	ISDT: 0 5-30 REF: 3
	703	---------- ---------- ----NON-VA MEDS (Not dispensed by VA)--- ---------- ---------
	704	GINKO EXT 1 TAB ONCE A DAY BY MOUTH Date Doc umented: 0 1/13/01
	705	IBUPROFPEN 50MG TAB Date Doc umented: 1 2/10/00
	706	Enter ?? f or more ac tions
	707	PU Patien t Record U pdate NO New Or der
	708	PI Patien t Informat ion SO Select Order
	709	Select Act ion: Quit/ /
	710	All orders are sub-g rouped by like statu ses and th en listed alphabetic ally withi n the sub- group.
	711	Order Stat us:
	712	The curren t status o f the orde r. These s tatuses in clude:A
	713	ActiveS
	714	SuspendedN
	715	Non-Verifi ed or Drug Interacti onsHP
	716	Placed on hold by pr ovider thr ough CPRSH
	717	Placed on hold via b ackdoor Ph armacyE
	718	ExpiredDA
	719	Auto disco ntinued du e to admis sionDP
	720	Discontinu ed by prov ider throu gh CPRSThe Status co lumn may a lso reflec t the type of Discon tinue acti on perform ed on the order:
	721
	722	DF
	723	Discontinu ed due to edit by a provider t hrough CPR S
	724
	725	DE
	726	Discontinu ed due to edit via b ackdoor Ph armacy
	727
	728	DC
	729	Discontinu ed via bac kdoor Phar macy
	730
	731	DD
	732	Discontinu ed due to death
	733
	734	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.
	735	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.
	736	>
	737	Drug for t he prescri ption is m arked for CMOP.
	738	T
	739	Displayed when the l ast fill i s either i n a Transm itted or R etransmitt ed.
	740
	741	CMOP state . (This in dicator ca n overwrit e the “>” indicator. 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.ePh armacy Ind icator:An ‘e’ displa yed to the right of the prescr iption num ber indica tes that t he prescri ption is e lectronic third-part y billable . Return t o Stock In dicator:An “R” displ ayed to th e right of the Last Fill Date indicates the last f ill was re turned to stock.Pend ing Orders :Any order s entered through CP RS, or ano ther outsi de source, that have not been finished b y Outpatie nt Pharmac y.Non-VA M eds:Any ov er the cou nter (OTC) medicatio ns, herbal supplemen ts, medica tions.Orde rs:Prescri bed by pro viders out side the V A, and med ications p rescribed by the VA, but purch ased by th e patient at an outs ide pharma cy are dis played her e. Non-VA Meds order s cannot b e placed o r updated in Outpati ent Pharma cy. The us er can inp ut informa tion about a patient ’s use of Non-VA Med s only thr ough CPRS. However, the user c an use eit her CPRS o r Outpatie nt Pharmac y menu opt ions to vi ew Non-VA Meds data in a patie nt’s medic al records . Third Pa rty Reject sAny presc riptions t hat are re jected by third-part y payers b ecause of Refill Too Soon (cod e 79) or D rug Utiliz ation Revi ew (DUR - code 88) a re display ed in this section.E xample: Sh owing Reje cted Presc riptions
	742	Medication Profile Aug ust 12, 20 06@12:35:0 4 Page: 1 of 1
	743	OPPATIENT1 6,ONE < A>
	744	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2005)
	745	DOB: APR 3,1941 (6 5) Wt(kg): 9 0.45 (02/ 08/2005)
	746	SEX: MAL E
	747	CrCL: <No t Found> B SA (m2): 2 .11
	748	ISSUE LAST REF DAY
	749	# RX # DRU G QTY ST DATE FILL REM SUP
	750	---------- ------REFI LL TOO SOO N/DUR REJE CTS (Third Party)--- ---------- ---------
	751	1 51368009 $e DIG OXIN (LANO XIN) 0.05M G CAP 90 A> 02-16 02-1 6 3 90
	752	2 51360563 e OXY BUTYNIN CH LORIDE 15M G SA TAB 180 S> 02-15 05-0 6 0 90
	753	---------- ---------- ---------- ---ACTIVE- ---------- ---------- ---------- --------
	754	3 10000347 0e ABS ORBABLE GE LATIN FILM 1 A 11-04 11-0 4 5 31
	755	4 10000346 1 ACE TAMINOPHEN 650MG SUP POS. 10 A> 11-04 11-0 4 1 10
	756	5 10000318 5e ALB UMIN 25% 5 0ML 2 A 08-01 08-0 1 5 5
	757	---------- ---------- ---------- -----DISCO NTINUED--- ---------- ---------- --------
	758	6 10000353 0 ANAL GESIC BALM 1 POUND 1 A 01-08 01-0 8 3 90
	759	7 10000340 0 APPL ICATORS, C OTTON TIP STERILE 10 A 09-23 09-2 3 5 31
	760	+ Enter ?? f or more ac tions
	761	PU Patien t Record U pdate NO New Or der
	762	PI Patien t Informat ion SO Select Order
	763	Select Act ion: Next Screen//
	764	Using List Manager w ith Outpat ient Pharm acy XE "Us ing List M anager wit h Outpatie nt Pharmac y"
	765	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.
	766	For Outpat ient Pharm acy, the L ist Manage r does the following :
	767	Allows the pharmacis t or techn ician to b rowse thro ugh a list of action s.
	768	Allows the pharmacis t or techn ician to t ake action against t hose items .
	769	Allows the user to s elect an a ction that displays an action or informa tional pro file.
	770	Allows the user to s elect a di fferent ac tion witho ut leaving an option .
	771	Entering A ctions XE "Entering Actions"
	772	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.
	773	The synony m for each action is shown in brackets f ollowing t he action name. Ente ring the s ynonym is the quicke st way to select an action.
	774	ActionDesc riptionNex t Screen [ +]Move to the next s creen (may be shown as a defau lt).Previo us Screen [-]Move to the previ ous screen .Up a Line [UP]Move up one lin e.Down a L ine [DN]Mo ve down on e line.Shi ft View to Right [>] Move the s creen to t he right i f the scre en width i s more tha n 80 chara cters.Shif t View to Left [<]Mo ve the scr een to the left if t he screen width is m ore than 8 0 characte rs.First S creen [FS] Move to th e first sc reen.Last Screen [LS ]Move to t he last sc reen.Go to Page [GO] Move to an y selected page in t he list.Re Display S creen [RD] Redisplay the curren t.Print Sc reen [PS]P rints the header and the porti on of the list curre ntly displ ayed.Print List [PL] Prints the list of e ntries cur rently dis played.Sea rch List [ SL]Finds s elected te xt in list of entrie s.Auto Dis play (On/O ff) [ADPL] Toggles th e menu of actions to be displa yed/not di splayed au tomaticall y.Quit [QU ]Exits the screen (m ay be show n as a def ault).Outp atient Pha rmacy Hidd en Actions XE "Outpa tient Phar macy Hidde n Actions"
	775	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.
	776	The follow ing hidden actions a ppear on t he Medicat ion Profil e screen a nd can onl y be appli ed to one order at a time.
	777	ActionDesc riptionAct ivity Logs [AL]Displ ays the Ac tivity Log s.Copy [CO ]Allows th e user to copy and e dit an ord er.Check I nteraction s [CK]Allo ws a user to perform order che cks agains t the pati ent’s acti ve medicat ion profil e with or without a Prospectiv e drug.DIN Displays a vailable d rug restri ction/guid eline info rmation fo r the Disp ense Drug and Ordera ble Item a ssociated with the s elected me dication o rder.INInt ervention MenuHold [ HD]Places an order o n a hold s tatus.Othe r OP Actio ns [OTH]Al lows the u ser to cho ose from t he followi ng sub-act ions:
	778	Progress N ote [PN]
	779	Action Pro file [AP]
	780	Print Medi cation Ins tructions [MI]
	781	Display Or ders' Stat uses [DO]
	782	Non-VA Med s Report X E "Non-VA Meds Usage Report" [NV]
	783	Display FD A Medicati on Guide [ MG]
	784	Reprint FD A Medicati on Guide [ RM]]Patien t Informat ion [PI]Sh ows patien t informat ion, aller gies, adve rse reacti ons, and p ending cli nic appoin tments.Pul l Rx [PP]A ction take n to pull prescripti on(s) earl y from sus pense.Repr int [RP]Re prints the label.Vie w Reject [ REJ]Allows the user to view an d resolve the Refill Too Soon or Drug Ut ilization Review ret urned by t he third p arty payer for a spe cific pres cription/f ill claim. Unhold [UH ]Removes a n order fr om a hold status.Ver ify [VF]Al lows the p harmacist to verify an order a pharmacy technician has enter ed.The PSO HIDDEN AC TIONS Prot ocol in PR OTOCOL Fil e (#101) includes t wo hidden actions, P SO LM BACK DOOR MARK AS TITRATI ON and PSO LM BACKDO OR TITRATI ON RX REFI LL, which are both a dded to th e PROTOCOL File (#10 1).
	785	****** ****** ****** IMPORT ANT *** ****** ****** ****
	786	The enha ncements r elated to Titration/ Maintenanc e dose Rx are made o nly
	787	for Outp atient Pha rmacy pack age. The c orrespondi ng changes to CPRS p ackage
	788	are not included a t this tim e. Therefo re, the CP RS Order C opy and Or der
	789	Change f unctionali ties will continue t o function as is. Fu rthermore, there
	790	will be no indicat ion of a T itration/M aintenance order in the CPRS
	791	applicat ion.
	792	****** ****** ****** ****** ****** ****** ****** ****
	793	There is a lso a hidd en action, TR (Conve rt Titrati on Rx), i n the Pati ent Prescr iption Pro cessing [P SO LM BACK DOOR TITRA TION RX RE FILL] opti on. This a ction popu lates the MAINTENANC E DOSE RX (#45.2) fi eld in the PRESCRIPT ION File ( #52). When a titrati on to main tenance pr escription needs to be refille d so the p atient can continue on the Mai ntenance D ose, this option all ows the us ers to cre ate a new prescripti on with th e maintena nce dose o nly. This process wo rks simila r to copyi ng an exis ting presc ription; h owever, it can only be used on prescript ions with the follow ing charac teristics:
	794	Rx is a co mplex orde r with a T HEN conjun ction
	795	Rx is rele ased
	796	Rx status is ACTIVE
	797	Rx does no t have ref ills previ ously orde red
	798	Rx # Of Re fills is g reater tha n 0 (zero)
	799	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.
	800	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.
	801	: : :
	802	ISSUE LA ST REF DAY
	803	# RX # DRU G QTY ST DATE FI LL REM SUP
	804	-------- ---------- ---------- ---ACTIVE- ---------- ---------- ----------
	805	1 10000 5436m AMO XAPINE 50M G TAB 30 S 09-26 09- 26 1 30
	806	2 10000 5022 AMO XICILLIN 2 50MG CAP 30 A 08-18 08- 18 11 30
	807	3 10000 5035 KAL ETRA 3 A 09-29 09- 29 0 3
	808	: : :
	809	Speed Acti ons XE "Sp eed Action s"
	810	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.
	811	ActionDesc riptionRep rint [RP]R eprints th e label.Re new [RN]A continuati on of a me dication a uthorized by the pro vider.Refi ll [RF]A s econd or s ubsequent filling au thorized b y the prov ider.Repri nt Signatu re [RS]Rep rints the signature log.Discon tinue [DC]
	812	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. Release [R L]
	813	Action tak en at the time the o rder is fi lled and r eady to be given to the patien t. Pull Rx [PP]Actio n taken to pull pres cription(s ) early fr om suspens e.Inpat. P rofile [IP ]Action ta ken to vie w an Inpat ient Profi le.CMActio n taken to manually queue to C MOP.Fill/R el Date Di sply [RDD] Switch bet ween displ aying the FILL DATE column and the LAST RELD colum n.Display Remote [DR ]Action ta ken to dis play a pat ient’s rem ote prescr iptions.Ot her Outpat ient Pharm acy ListMa n Actions XE "Other Outpatient Pharmacy ListMan Ac tions"
	814	ActionDesc riptionExi t [EX]Exit processin g pending orders. AC Accept.BYB ypass.EDEd it. FNFini sh.Other S creen Acti ons XE "Ot her Screen Actions"
	815	ActionDesc riptionEdi t/Enter Al lergy/ADR Data [EA]P rovides ac cess to th e Adverse Reaction T racking pa ckage to a llow entry and/or ed it of alle rgy advers e reaction data for the patien t. See the Adverse R eaction Tr acking pac kage docum entation f or more in formation on allergy /ADR proce ssing.Deta iled Aller gy Display [DA]Displ ays a deta iled listi ng of the selected i tem from t he patient 's allergy /ADR list. Entry to the Edit A llergy/ADR Data acti on is prov ided with this list also.Patie nt Record Update [PU ]Allows ed iting of p atient dat a such as SSN, birth date, add ress, phon e, and out patient na rrative. P atient dat a can also be update d using th e Update P atient Rec ord menu o ption. If implementi ng Other L anguage Mo dification s, either can be use d to set a patient's other lan guage pref erence.New Order [NO ]Allows ne w orders t o be enter ed for the patient.E xit Patien t List [EX ]Exit pati ent’s Pati ent Inform ation scre en so that a new pat ient can b e selected .(This pag e included for two-s ided copyi ng.)
	816	Chapter 3: Using the Pharmacis t Menu
	817	The option s on the P harmacist Menu are i ntended fo r use by p harmacists .
	818	Example: A ccessing t he Pharmac ist Menu
	819	Select OPT ION NAME: PSO USER1 Phar macist Men u
	820	Outpatient Pharmacy software - Version 7 .0
	821	The follow ing option s are avai lable on t he Pharmac ist Menu:
	822	Bingo Boar d User ...
	823	Change Lab el Printer
	824	Change Sus pense Date
	825	Check Drug Interacti on
	826	DUE Superv isor ...
	827	Enter/Edit Clinic So rt Groups
	828	External I nterface M enu ...
	829	Medication Profile
	830	Pharmacy I nterventio n Menu ...
	831	Print from Suspense File
	832	Process Dr ug/Drug In teractions
	833	Pull Early from Susp ense
	834	Queue CMOP Prescript ion
	835	Release Me dication
	836	Return Med ication to Stock
	837	Rx (Prescr iptions) . ..
	838	Update Pat ient Recor d
	839	Verificati on ...
	840	Patient Lo okup XE "P atient Loo kup"
	841	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.
	842	Bingo Boar d User ... [PSO BING O USER]
	843	Medication Profile [ PSO P]
	844	Rx (Prescr iptions) . .. [PSO RX ]
	845	Update Pat ient Recor d [PSO PAT ]
	846	The help t ext for pa tient look up reads a s follows.
	847	Enter th e prescrip tion numbe r prefixed by a # (e x. #XXXXXX X) or
	848	Wand the barcode o f the pres cription. The format of the ba rcode is
	849	NNN-NNNN NNN where the first 3 digits a re your st ation numb er.
	850	- OR -
	851	Enter th e universa l Member I D number f rom the pa tient's VH IC Card
	852	or wand the barcod e of the V HIC card
	853	- OR -
	854	Answer w ith PATIEN T NAME, or SOCIAL SE CURITY NUM BER, or la st 4 digit s
	855	of SOCIA L SECURITY NUMBER, o r first in itial of l ast name w ith last 4
	856	digits o f SOCIAL S ECURITY NU MBER
	857	Do you w ant the en tire NNNNN NNN-Entry PATIENT Li st?
	858	Chapter 4: Using the Bingo Boa rd
	859	This chapt er describ es the opt ions avail able on th e Bingo Bo ard User m enu.
	860	Bingo Boar d User
	861	[PSO BINGO USER]
	862	The Bingo Board User menu enab les use of the bingo board dis play. The options on this menu allow a p atient’s n ame or a n umber to b e displaye d, entered , or remov ed from th e bingo bo ard displa y located in the pha rmacy area .
	863	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 CPRS, t he date an d time is captured w hen the or der is sto red in thi s file. Th e same occ urs for pa rtials, ex cept the t ime is cap tured when a prescri ption numb er is ente red.
	864	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 ts name or number fr om the mon itor.
	865	The follow ing option s are avai lable on t he Bingo B oard User menu:
	866	Enter New Patient
	867	Display Pa tient’s Na me on Moni tor
	868	Remove Pat ient’s Nam e from Mon itor
	869	Status of Patient’s Order
	870	Enter New Patient XE "Enter Ne w Patient"
	871	[PSO BINGO NEW PATIE NT]
	872	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 also b e entered.
	873	A "Ticket #" prompt displays i f ticket n umber was chosen as the method of displa y in the E nter/Edit Display op tion on th e Bingo Bo ard Manage r menu. En ter the ti cket numbe r and at t he next pr ompt enter each of t he prescri ption numb ers for th at patient .
	874	Display Pa tient's Na me on Moni tor XE "Di splay Pati ent's Name on Monito r"
	875	[PSO BINGO DISPLAY P ATIENT]
	876	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: “* This Pharm acy Rx req uires a pa tient sign ature! * ”
	877	Remove Pat ient's Nam e from Mon itor XE "R emove Pati ent's Name from Moni tor"
	878	[PSO BINGO DELETE PA TIENT]
	879	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 .
	880	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.
	881	Status of Patient's Order XE " Status of Patient's Order"
	882	[PSO BINGO STATUS]
	883	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:
	884	StatusDesc riptionPen dingActive order inp ut via CPR S that is in the PEN DING OUTPA TIENT ORDE RS file.Be ing Proces sedOrder t hat is in the PATIEN T NOTIFICA TION (Rx R EADY) file , but not displayed. Ready For PickupOrde r that is in the PAT IENT NOTIF ICATION (R x READY) f ile and is being dis played.Pic ked Up Ord er that ha s been pic ked up.Exa mple: Stat us of Pati ent's Orde r
	885	Select Bin go Board U ser Option : Status o f Patient' s Order
	886	Enter Pati ent Name: OPPATIENT1 7,ONE 08-30-48 000123 456 NO NSC VETE RAN
	887	OP PATIENT17, ONE has th e followin g orders f or 10/31/0 6
	888	Being Proc essed: * Entered on OCT 31, 2 006*
	889	Divis ion: GENER AL HOSPITA L Time In : 10:27 Time Out:
	890	Rx #: 500416,
	891	Pending:
	892	Order able Item: ACETAMINO PHEN Pr ovider: OP PROVIDER24 ,TWO
	893	Enter ed By: OPC LERK28,FOU R T ime In: 10 /31/06@06: 46
	894	Drug: ACETAMINO PHEN 325MG TAB UD Ro uting: MAI L
	895	Ready For Pickup:
	896	Divis ion: GENER AL HOSPITA L Time I n: 10:36 Time Out : 10:46
	897	Rx #: 1022731,
	898	Enter Pati ent Name: <Enter>
	899	Chapter 5: Changing the Label Printer XE "Change L abel Print er"
	900	This chapt er describ es the Cha nge Label Printer op tion.
	901	Change Lab el Printer
	902	[PSO CHANG E PRINTER]
	903	This optio n allows t he user to change th e printer to which l abels are printed.
	904	Select Out patient Ph armacy Man ager Optio n: Change Label Prin ter
	905	Select LAB EL PRINTER : LABELPRT 2// <Ente r> LABELPR T2
	906	OK to assu me label a lignment i s correct? YES//<Ent er>
	907	ALBANY's F DA Medicat ion Guide Printer(s) on file:
	908	BIRM1 $PRT
	909	L8150 $PRT
	910	Select FDA MED GUIDE PRINTER: HOME// SUP
	911	1 SUPPORT LEXMARK L ASERJET SUP HALLWA Y - LINE 1 11
	912	2 SUPPORT LINE PRIN TER ROOM 273
	913	3 SUPPORT TEST PRIN TER ROOM 269
	914	Choose 1-3 > 1 SUPPO RT LEXMARK LASERJET SUP HALLW AY - LINE 111 Rig ht Margin:
	915	96//
	916	This devic e cannot b e used for printing FDA Medica tion Guide s.
	917	Please, co ntact your IRM and a sk them to update th e Windows
	918	Network Pr inter Name for this device.
	919	Select FDA MED GUIDE PRINTER: HOME// L81 50$PRT
	920	(This page included for two-si ded copyin g.)
	921	Chapter 6: Changing the Suspen se Date XE "Change S uspense Da te"
	922	This chapt er describ es the Cha nge Suspen se Date op tion.
	923	Change Sus pense Date
	924	[PSO PNDCH G]
	925	This optio n allows t he suspens e date to be changed for a spe cific pres cription o r all pres criptions for a pati ent. The n ew suspens e date wil l become t he fill/re fill date automatica lly. The o pportunity is also g iven to de lete a spe cific pres cription, or all pre scriptions for a pat ient, from suspense while in t his option . If a ref ill is del eted from suspense t hat has no t yet been printed, the refill informati on will be deleted f rom the pr escription , and the various fi ll dates w ill be adj usted acco rdingly. T his option does not produce a label.
	926	When proce ssing a dr ug/drug in teraction, the profi le will li st the sta tus of the interacti ng drugs a s pending (P).
	927	(This page included for two-si ded copyin g.)
	928	Chapter 7: Check Dru g Interact ion
	929	This chapt er describ es the Che ck Drug In teraction option sho wn on the Pharmacist Menu [PSO USER1].
	930	Check Drug Interacti on
	931	[PSO CHECK DRUG INTE RACTION]
	932	This optio n allows a user to c heck drug interactio ns between two or mo re drugs.
	933	Select Pha rmacist Me nu Option: CHECK Dru g Interact ion
	934	Drug 1: WARFARIN 2MG TAB BL11 0
	935	. ..OK? Yes/ / (Yes)
	936	Drug 2: SI MVASTATIN 40MG TAB
	937	Lookup: GENERIC NA ME
	938	SIMVASTATI N 40MG TAB CV350
	939	. ..OK? Yes/ / (Yes)
	940	Drug 3:
	941	Now Proces sing Enhan ced Order Checks! P lease wait ...
	942	* DRUG I NTERACTION (S) *
	943	========== ========== ========== ========== ========== ==========
	944	*Signifi cant* Dr ug Interac tion with
	945	SIMVASTATI N 40MG TAB and
	946	WARFARIN 2 MG TAB
	947	CLINICAL E FFECTS: I ncrease hy poprothrom binemic ef fects of w arfarin.
	948	========== ========== ========== ========== ========== ==========
	949	Press Retu rn to Cont inue...:
	950	Display Pr ofessional Interacti on monogra ph? N// YE S
	951	DEVICE: HO ME// SSH VIRTUAL T ERMINAL Right Mar gin: 80//
	952	---------- ---------- ---------- ---------- ---------- ----------
	953	Profession al Monogra ph
	954	Drug Inter action wit h SIMVASTA TIN 40MG T AB and WAR FARIN 2MG TAB
	955	This informatio n is gener alized and not inten ded as spe cific medi cal
	956	advic e. Consult your heal thcare pro fessional before tak ing or
	957	disco ntinuing a ny drug or commencin g any cour se of trea tment.
	958	MONOG RAPH TITLE : Selecte d Anticoag ulants/Sel ected HMG- CoA Reduct ase
	959	Inhib itors
	960	SEVER ITY LEVEL: 3-Modera te Interac tion: Asse ss the ris k to the
	961	patie nt and tak e action a s needed.
	962	MECHA NISM OF AC TION: The exact mec hanism of this inter action is
	963	unkno wn. The HM G-CoA redu ctase inhi bitor may inhibit th e hepatic
	964	hydro xylation o f warfarin . The HMG -CoA reduc tase inhib itors, whi ch
	965	are h ighly plas ma protein bound, ma y displace warfarin from its
	966	bindi ng site.
	967	Press Retu rn to Cont inue or "^ " to Exit:
	968	Profession al Monogra ph
	969	Drug In teraction with SIMVA STATIN 40M G TAB and WARFARIN 2 MG TAB
	970	CLINI CAL EFFECT S: Increa se hypopro thrombinem ic effects of warfar in.
	971	PREDI SPOSING FA CTORS: No ne determi ned.
	972	PATIE NT MANAGEM ENT: Pati ents shoul d be monit ored for c hanges in
	973	proth rombin tim e when a H MG Co-A re ductase in hibitor is added to or
	974	disco ntinued fr om warfari n therapy, or if the dosage of the HMG C o-A
	975	reduc tase inhib itor is ad justed.
	976	DISCU SSION: Ca se reports in the me dical lite rature and to the
	977	manuf acturer ha ve documen ted an int eraction b etween lov astatin an d
	978	warfa rin. A cas e report h as documen ted an int eraction b etween
	979	prava statin and fluindion e (an oral ly adminis tered inda nedione
	980	antic oagulant), suggestin g that pra vastatin c ould also interact
	981	simil arly with warfarin. Informatio n concerni ng a poten tial
	982	inter action wit h simvasta tin is con flicting. A case rep ort has
	983	docum ented an i nteraction between s imvastatin and aceno coumarol w hile
	984	anoth er case re port showe d no inter action wit h warfarin . One grou p of
	985	autho rs reporte d three ca se reports of increa sed intern ational
	986	norma lized rati os (INRs) following the additi on of fluv astatin to
	987	warfa rin therap y. The add ition of r osuvastati n to patie nts stabil ized
	988	on wa rfarin res ulted in c linically significan t changes in INR.
	989	Press Retu rn to Cont inue or "^ " to Exit:
	990	Profession al Monogra ph
	991	Drug In teraction with SIMVA STATIN 40M G TAB and WARFARIN 2 MG TAB
	992	REFER ENCES:
	993	1.Ahm ad S. Lova statin. Wa rfarin int eraction. Arch Inter n Med 1990 Nov;
	994	150(1 1):2407.
	995	2.Hof fman HS. T he interac tion of lo vastatin a nd warfari n. Conn Me d
	996	1992 Feb; 56(2) :107.
	997	3.Ili adis EA, K onwinski M F. Lovasta tin during warfarin therapy
	998	resul ting in bl eeding. Pa Med 1995 Dec;98(12) :31.
	999	4.Per sonal comm unication. Merck & C o., Inc. 1 991.
	1000	5.Tre nque T, Ch oisy H, Ge rmain ML. Pravastati n: interac tion with oral
	1001	antic oagulant?. BMJ 1996 Apr 6;312( 7035):886.
	1002	6.Gra u E, Perel la M, Past or E. Simv astatin-or al anticoa gulant
	1003	inter action. La ncet 1996 Feb 10;347 (8998):405 -6.
	1004	7.Gaw A, Wosorn u D. Simva statin dur ing warfar in therapy in
	1005	hyper lipoprotei naemia. La ncet 1992 Oct 17;340 (8825):979 -80.
	1006	8.Tri lli LE, Ke lley CL, A spinall SL , Kroner B A. Potenti al interac tion
	1007	betwe en warfari n and fluv astatin. A nn Pharmac other 1996 Dec;
	1008	30(12 ):1399-402 .
	1009	Press Retu rn to Cont inue or "^ " to Exit:
	1010	Profession al Monogra ph
	1011	Drug In teraction with SIMVA STATIN 40M G TAB and WARFARIN 2 MG TAB
	1012	9.Cre stor (rosu vastatin c alcium) US prescribi ng informa tion.
	1013	Astra Zeneca Pha rmaceutica ls LP Febr uary, 2012 .
	1014	Copyr ight 2012 First Data Bank, Inc.
	1015	---------- ---------- ---------- ---------- ---------- ----------
	1016	Enter RETU RN to cont inue or '^ ' to exit:
	1017	Display Pr ofessional Interacti on monogra ph? N// O
	1018	Chapter 8: Evaluatin g Drug Usa ge XE "Eva luating Dr ug Usage"
	1019	This chapt er describ es the opt ions on th e DUE Supe rvisor men u.
	1020	DUE Superv isor XE "D UE Supervi sor"
	1021	[PSOD SUPE RVISOR]
	1022	This menu provides o ptions to create a q uestionnai re based o n the crit eria of a Drug Usage Evaluatio n. An answ er sheet c an also be printed f or the pro vider's us e in answe ring the q uestionnai re. The an swer sheet can be di stributed to the cli nic so tha t the prov ider may c omplete it when orde ring a med ication be ing evalua ted. An an swer sheet can also be generat ed (option al) when a patient's Action Pr ofile prin ts, if the profile c ontains a medication being eva luated. Th e provider 's respons es can be entered in to the DUE ANSWER SH EET file.
	1023	The follow ing option s are avai lable on t he DUE Sup ervisor me nu:
	1024	Enter a Ne w Answer s heet
	1025	Edit an Ex isting Ans wer Sheet
	1026	Create/Edi t a Questi onnaire
	1027	Batch Prin t Question naires
	1028	DUE Report
	1029	Enter a Ne w Answer S heet XE "E nter a New Answer Sh eet"
	1030	[PSOD CREA TE ANSWER SHEET]
	1031	In this op tion the u ser enters answers t o a DUE Qu estionnair e. 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.
	1032	Edit an Ex isting Ans wer Sheet XE "Edit a n Existing Answer Sh eet"
	1033	[PSOD EDIT ANSWER SH EET]
	1034	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 fi le can be searched i f the prov ider, drug , or quest ionnaire i s known by typing ^S at the "S EQUENCE NU MBER" prom pt. The se arch displ ays all of the entri es contain ing the co mbination of provide r, drug, o r question naire used in the se arch.
	1035	Create/Edi t a Questi onnaire XE "Create/E dit a Ques tionnaire"
	1036	[PSOD DUE BUILD QUES TIONNAIRE]
	1037	To create a question naire, fir st select one or mor e drugs be ing evalua ted. After selecting the drugs , create a set of qu estions to be used o n the ques tionnaire. These que stions do not have t o be added to the DU E QUESTION file sinc e they are being add ed through this opti on. The qu estionnair e must be marked as “Active” a nd “Active for Profi les” for t he Answer Sheet to a utomatical ly print w ith the Ac tion Profi les. A sum mary can b e printed for the qu estionnair e using th e DUE Repo rt option. For this reason, wh en creatin g a questi onnaire, t he user sh ould striv e to make each quest ion a yes, no, or un known type question. Questions having a free text or numeric type answ er are ign ored in th e summary.
	1038
	1039	The PRINT DUE QUESTI ONNAIRE si te paramet er needs t o be set t o “YES” fo r the ques tionnaire to print w ith the Ac tion Profi le.
	1040	Batch Prin t Question naires XE "Batch Pri nt Questio nnaires"
	1041	[PSOD BATC H PRINT QU ESTIONNAIR E]
	1042	To print a blank for of a sele cted quest ionnaire, enter the number of copies and a printer device. T hese quest ionnaire a nswer shee ts can be distribute d to provi ders to co mplete whe n ordering medicatio ns being e valuated.
	1043	DUE Report XE "DUE R eport"
	1044	[PSOD DUE SORT AND P RINT]
	1045	This repor t displays entries f rom the DU E ANSWER S HEET file. A summary of this r eport, sho wing the n umber of a nswer shee ts, number of questi onnaires, and a brea kdown of a ll yes/no/ unknown ty pe questio ns is avai lable. Thi s breakdow n shows ea ch questio n number a nd the num ber of tim es it was answered y es/no/unkn own, or un answered. For this r eason, whe n creating a questio nnaire, th e user sho uld strive to make e ach questi on a yes, no, or unk nown type question. Questions having a f ree text o r numeric type answe r are igno red in the summary.
	1046	Chapter 9: Enter/Edi t Clinic S ort Groups XE "Enter /Edit Clin ic Sort Gr oups"
	1047	This chapt er describ es the Ent er/Edit Cl inic Sort Groups opt ion.
	1048	Enter/Edit Clinic So rt Groups XE "Reprin t External Batches"
	1049	[PSO SETUP CLINIC GR OUPS]
	1050	This optio n enables a group of clinics t o be ident ified that will prin t together for the a ction/info rmational profiles.
	1051	Example: E nter/Edit Clinic Sor t Groups
	1052	Select Pha rmacist Me nu Option: ENTer/Edi t Clinic S ort Groups
	1053	Select Cli nic Sort G roup: ?
	1054	Answer wi th OUTPATI ENT CLINIC SORT GROU P NAME
	1055	Choose fro m:
	1056	CLINIC 1
	1057	Clinic 2
	1058	You m ay enter a new OUTPA TIENT CLIN IC SORT GR OUP, if yo u wish
	1059	Answe r must be 3-30 chara cters in l ength.
	1060	Select Cli nic Sort G roup: CLIN IC 3
	1061	Are you adding 'CL INIC 3' as
	1062	a new OUTPATIENT CLINIC SO RT GROUP ( the 6TH)? Y <Enter> (Yes)
	1063	NAME: CLIN IC 3// <En ter>
	1064	Select SOR T GROUPS: ?
	1065	Answer wi th SORT GR OUP SORT G ROUPS
	1066	You m ay enter a new SORT GROUP, if you wish
	1067	Enter name of c linic to b e included in the so rt group.
	1068	Answer wi th HOSPITA L LOCATION NAME, or ABBREVIATI ON
	1069	Do you wa nt the ent ire 122-En try HOSPIT AL LOCATIO N List? N (No)
	1070	Select SOR T GROUPS: 2 EAST
	1071	Are you adding '2 EAST' as a new SORT GROUP (the 1ST for t his OUTPAT IENT CLINI C SORT GRO UP)? Y (Y es)
	1072	Select SOR T GROUPS: <Enter>
	1073	(This page included for two-si ded copyin g.)
	1074	Chapter 10 : Using th e Interfac e Menu XE "Using the Interface Menu"
	1075	This chapt er describ es the opt ions on th e External Interface Menu.
	1076	This menu is locked with the P SOINTERFAC E lock. Th e PSOINTER FACE key s hould be a ssigned to all perso ns respons ible for p erforming these func tions.
	1077	External I nterface M enu XE "Ex ternal Int erface Men u"
	1078	[PSO EXTER NAL INTERF ACE]
	1079	This menu contains t he followi ng options for using an extern al interfa ce device.
	1080	Purge Exte rnal Batch es
	1081	Reprint Ex ternal Bat ches
	1082	View Exter nal Batche s
	1083	Purge Exte rnal Batch es XE "Pur ge Externa l Batches"
	1084	[PSO INTER FACE PURGE ]
	1085	This optio n purges e ntries fro m the PHAR MACY EXTER NAL INTERF ACE file.
	1086	Example: P urge Exter nal Batche s
	1087	Select Ext ernal Inte rface Menu Option: P urge Exter nal Batche s
	1088	Enter cuto ff date fo r purge of External Interface file: 022 807 (FEB 28, 2007)
	1089	Purge entr ies that w ere not su ccessfully processed ? NO// <E nter>
	1090	Purge queu ed to run in backgro und.
	1091	Select Ext ernal Inte rface Menu Option:
	1092	Reprint Ex ternal Bat ches XE "R eprint Ext ernal Batc hes"
	1093	[PSO INTER FACE REPRI NT]
	1094	This optio n enables the reprin ting of la bels for b atches of prescripti ons that h ave been s ent to the external interface.
	1095	Example: R eprint Ext ernal Batc hes
	1096	Select Ext ernal Inte rface Menu Option: R eprint Ext ernal Batc hes
	1097	Enter a da te/time ra nge to see all batch es sent to the Exter nal Interf ace.
	1098	Start date /time: 022 807 (FEB 28, 2007)
	1099	End date/t ime: 03070 7 (MAR 07 , 2007)
	1100	Gathering batches, p lease wait ...
	1101	BATCH QUEUED TO PRINT ON: PATIENT: ALB ANY
	1102	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	1103	1 FEB 28,200 7@08:06:14 OPPATIENT1 2,ONE
	1104	2 FEB 28,200 7@08:10:56 OPPATIENT1 2,ONE
	1105	3 FEB 28,200 7@08:19:20 OPPATIENT2 2,ONE
	1106	4 FEB 28,200 7@08:38:17 OPPATIENT2 8,ONE
	1107	5 FEB 28,200 7@08:50:32 OPPATIENT9 ,ONE
	1108	6 FEB 28,200 7@09:15:35 OPPATIENT9 ,ONE
	1109	7 FEB 28,200 7@09:33:48 OPPATIENT1 8,ONE
	1110	8 FEB 28,200 7@09:39:31 OPPATIENT1 ,ONE
	1111	9 FEB 28,200 7@10:36:51 OPPATIENT1 0,ONE
	1112	10 FEB 28,200 7@13:37:24 OPPATIENT4 ,ONE
	1113	11 FEB 28,200 7@13:46:07 OPPATIENT8 ,ONE
	1114	Select Bat ch(s) to r eprint: ( 1-11): 5,6
	1115	Batches se lected for Reprint a re:
	1116	Batch 5 Qu eued for F EB 28,2007 @08:50:32 by OPPHARM ACIST4,THR EE
	1117	Batch 6 Qu eued for F EB 28,2007 @09:15:35 by OPPHARM ACIST4,THR EE
	1118	Reprint th e FDA Medi cation Gui de? No// Y ES
	1119	Before Rep rinting, w ould you l ike a list of these prescripti ons? N// < Enter> O
	1120	Are you su re you wan t to Repri nt labels? Y// <Ente r> YES..
	1121	Select LAB EL DEVICE: [Select P rint Devic e]
	1122	LABEL(S) Q UEUED TO P RINT!
	1123	Select Ext ernal Inte rface Menu Option:
	1124	View Exter nal Batche s XE "View External Batches"
	1125	[PSO INTER FACE VIEW]
	1126	With this option, ba tches of p rescriptio ns that ha ve printed from the external i nterface c an be view ed.
	1127	Example: V iew Extern al Batches
	1128	Select Ext ernal Inte rface Menu Option: V iew Extern al Batches
	1129	Enter a da te/time ra nge to see all batch es sent to the Exter nal Interf ace.
	1130	Start date /time: 022 807 (FEB 28, 2007)
	1131	End date/t ime: 03070 7 (MAR 07 , 2007)
	1132	Gathering batches, p lease wait ...
	1133	BATCH QUEUED TO PRINT ON: PATIENT: BROW NS PLACE
	1134	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	1135	1 FEB 28,200 7@08:06:14 OPPATIENT1 2,ONE
	1136	2 FEB 28,200 7@08:10:56 OPPATIENT1 2,ONE
	1137	3 FEB 28,200 7@08:19:20 OPPATIENT2 2,ONE
	1138	4 FEB 28,200 7@08:38:17 OPPATIENT2 8,ONE
	1139	5 FEB 28,200 7@08:50:32 OPPATIENT9 ,ONE
	1140	6 FEB 28,200 7@09:15:35 OPPATIENT9 ,ONE
	1141	7 FEB 28,200 7@09:33:48 OPPATIENT1 8,ONE
	1142	8 FEB 28,200 7@09:39:31 OPPATIENT1 ,ONE
	1143	9 FEB 28,200 7@10:36:51 OPPATIENT1 0,ONE
	1144	10 FEB 28,200 7@13:37:24 OPPATIENT4 ,ONE
	1145	11 FEB 28,200 7@13:46:07 OPPATIENT8 ,ONE
	1146	Select Bat ch(s) to r eprint: ( 1-11): 5,6
	1147	Batches se lected for Viewing a re:
	1148	Batch 5 Qu eued for F EB 28,2007 @08:50:32 by OPPHARM ACIST4,THR EE
	1149	Batch 6 Qu eued for F EB 28,2007 @09:15:35 by OPPHARM ACIST4,THR EE
	1150	Print list to the sc reen or to a printer : (S/P): Screen// < Enter>
	1151	Enter RETU RN to cont inue or '^ ' to exit: <Enter>
	1152	RX # NA ME -> OPPA TIENT9,ONE BATCH 5
	1153	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	1154	2820 NA DOLOL 40MG TAB ACTIVE
	1155	Enter RETU RN to cont inue or '^ ' to exit: <Enter>
	1156	RX # NA ME -> OPPA TIENT9,ONE BATCH 6
	1157	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	1158	2821 MI CONAZOLE N ITRATE 2% LOT 60ML ACTIVE
	1159	END OF LIS T
	1160	(This page included for two-si ded copyin g.)
	1161	Chapter 11 : Using th e Medicati on Profile XE "Medic ation Prof ile"
	1162	This chapt er describ es the Med ication Pr ofile, its different formats, and how it can be us ed in pati ent care.
	1163	Medication Profile
	1164	[PSO P]
	1165	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. T he user ma y view thi s informat ion direct ly on the screen or request it to be pri nted. The medication profile i s availabl e in two f ormats: sh ort or lon g.
	1166	Medication Profile: Short Form at
	1167	The short format dis plays the following informatio n:
	1168	patient na meDOBeligi bilitynarr ativereact ionsprescr iptionspre scription numberdrug nameSigSt atusquanti tyissue da telast fil l daterefi lls remain ing. addre ssThe shor t report f ormat of t he fields for Non-VA Med order s include the drug n ame or ord erable ite m name, do sage, sche dule and d ate docume nted.
	1169	The short format dis plays the status in an abbrevi ated form. The follo wing is an explanati on of the codes:
	1170	Code
	1171	Status/Des cription
	1172	A
	1173	Active
	1174	B
	1175	Bad Addres s Indicate d
	1176	DF
	1177	Discontinu ed due to edit by a provider t hrough CPR S
	1178	DE
	1179	Discontinu ed due to edit via b ackdoor Ph armacy
	1180	DP
	1181	Discontinu ed by prov ider throu gh CPRS
	1182	DC
	1183	Discontinu ed
	1184	DD
	1185	Discontinu ed due to death
	1186	DA
	1187	Auto disco ntinued du e to admis sion
	1188	E
	1189	Expired
	1190	HP
	1191	Placed on hold by pr ovider thr ough CPRS
	1192	H
	1193	Placed on hold via b ackdoor Ph armacy
	1194	N
	1195	Non Verifi ed
	1196	P
	1197	Pending du e to drug interactio ns
	1198	S
	1199	Suspended
	1200	$
	1201	Copay elig ible
	1202	E
	1203	Third-part y electron ically bil lable
	1204	R
	1205	Returned t o stock pr escription (next to last fill date)
	1206	For the Pa tient Pres cription P rocessing, Complete Orders fro m OERR, an d Action P rofile (13 2 COLUMN P RINTOUT) o ptions, if a tempora ry address has no en d date, th e followin g text is displayed in the Sta tus column : “(Temp a ddress fro m XXX 99,9 999 till ( no end dat e))”.
	1207	Example: M edication Profile – Short Form at
	1208	Medication Profile Jun 12, 20 06@22:33:1 3 Page: 1 of 1
	1209	OPPATIENT1 6, ONE
	1210	PID: 000 -55-3421 Ht(cm): _ ______ (__ ____)
	1211	DOB: DEC 2, 1923 ( 82) Wt(kg): 1 00.00 (06/ 24/2003)
	1212	SEX: MAL E N on-VA Meds on File
	1213	CrCL: <Not Found>
	1214
	1215
	1216
	1217
	1218	BSA (m2) :
	1219	La st entry o n 1-20-05
	1220	I SSUE LAST REF DAY
	1221	# RX # DRU G QTY ST DATE FILL REM SUP
	1222	---------- ------REFI LL TOO SOO N/DUR REJE CTS (Third Party)--- ---------- ---------
	1223	1 2390$e
	1224	DIGOXIN (LANOXIN) 0.05MG CAP 90 A> 02-1 6 02-16 3 90
	1225	2 2391e
	1226	OXYBUTYN IN CHLORID E 15MG SA TAB 1 80 S> 02-1 5 05-06 0 90
	1227	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	1228	3 2396
	1229	AMPICILL IN 250MG C AP 40 A> 06-1 2 06-12 0 10
	1230	4 2395
	1231	AZATHIOP RINE 50MG TAB 90 E 06-1 0 05-03 3 90
	1232	---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ---------
	1233	5 2398
	1234	FOLIC AC ID 1MG TAB
	1235
	1236	90 D D> 05-03 0 5-03R 3 90
	1237	6 2400
	1238	HYDROCOR TISONE 1%C R
	1239
	1240	1 D E> 05-03 0 5-03R 11 30
	1241	7 2394
	1242	IBUPROFE N 400MG TA B 500'S
	1243	270 D C 05-03 0 5-03 3 90
	1244	8 2399
	1245	MVI CAP/ TAB
	1246
	1247
	1248
	1249	90 D P> 05-03 0 5-03R 3 90
	1250	9 2402
	1251	TEMPAZEP AM 15MG CA P
	1252
	1253	30 D F 06-01 0 6-01 5 30
	1254	10 2392
	1255	THIAMINE HCL 100MG TAB
	1256
	1257	90 D A> 05-03 0 5-03R 3 90
	1258	---------- ---------- ---------- --------HO LD-------- ---------- ---------- ---------
	1259	11 2393
	1260	WARFARIN 5MG TAB
	1261
	1262
	1263	90 H 05-03 - 3 90
	1264	12 2401
	1265	FUROSEMI DE 40MG TA B
	1266
	1267	90 H P 05-03 - 2 90
	1268	--------- ---------- ---------- -----NON-V ERIFIED--- ---------- ---------- ---------
	1269	13 2397
	1270	BACLOFEN 10MG TABS
	1271
	1272	30 N 03-14 0 3-14 5 30
	1273	--------- ---------- ---------- -------PEN DING------ ---------- ---------- ---------
	1274	14 CAPTOPR IL 25MG TA B QTY: 180 I SDT: 06-12 REF: 3
	1275	15 MULTIVI TAMIN CAP/ TAB QTY: 30 I SDT: 06-12 > REF: 3
	1276	---------- ---------- ----NON-VA MEDS (Not dispensed by VA) -- ---------- ---------
	1277	GINKO EXT 1 TAB ONCE A DAY BY MOUTH Date Doc umented: 0 1/13/01
	1278	Enter ?? for more actions
	1279	PU Patien t Record U pdate NO New Or der
	1280	PI Patien t Informat ion SO Select Order
	1281	Select Act ion: Quit/ /
	1282	Order #4 i s highligh ted (rever se video) to indicat e that it has recent ly expired .
	1283	Orders #5, 7,10 are h ighlighted (reverse video) to indicate t hat they w ere recent ly discont inued.
	1284	Hold Type display co des are sh own in red .
	1285	Discontinu e Type dis play codes are shown in red.
	1286	Medication Profile: Long Forma t
	1287	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:
	1288	physician’ s namecler k code fil l datetota l allowabl e refillsd ates of re fills/part ial fillsw hich divis ion filled itwhether the presc ription wa s filled a t the phar macy windo w or by ma ilThe long report fo rmat of th e fields f or Non-VA Med orders include t he start d ate, CPRS order #, s tatus, doc umented by , order ch eck(s), ov erride rea son, overr ide provid er, and st atement of explanati on.
	1289	Example: M edication Profile – Long Forma t
	1290	Select PAT IENT NAME: OPPATI ENT,ONE 8-5-1 9 66600 0777 N O NSC
	1291	VETERAN OPPATIEN T,ONE
	1292	WARNING : ** This pa tient has been flagg ed with a Bad Addres s Indicato r.
	1293	LONG or SH ORT: SHORT // LONG
	1294	Sort by DA TE, CLASS or MEDICAT ION: DATE/ / <Enter>
	1295	All Medica tions or S election ( A/S): All/ / <Enter>
	1296	DEVICE: HO ME// [Sele ct Print D evice] GE NERIC INCO MING TELNE T
	1297	OPPATIENT, ONE
	1298	(TEMP ADDRESS f rom AUG 28 ,2006 till (no end d ate))
	1299	LINE1 DOB: AUG 5,1919
	1300	ANYTOWN PHONE: 555 -1212
	1301	TEXAS 773 79 ELIG: NSC
	1302	CANNOT USE SAFETY CA PS.
	1303	WEIGHT(Kg) : HEIGHT(cm ):
	1304	CrCL: <Not Found>
	1305
	1306
	1307
	1308	BSA (m2 ):
	1309	DISABILITI ES:
	1310	ALLERGIES: __________ __________ __________ __________ __________ __________ _____
	1311	ADVERSE RE ACTIONS:__ __________ __________ __________ __________ __________ _____
	1312	Enter RETU RN to cont inue or '^ ' to exit: <Enter>
	1313	Outpatient prescript ions are d iscontinue d 72 hours after adm ission
	1314	Medication Profile S orted by I SSUE DATE
	1315	Rx #: 100 001968Ae Drug: L OPERAMIDE 2MG CAP
	1316	SIG: TAK E TWO CAPS ULES BY MO UTH EVERY DAY
	1317	QTY: 60 # of Re fills: 5 Issue /Expr: 12- 15-05/06-1 6-06
	1318	Prov: OP PROVIDER16 ,TWO Ent ry By: 100 00000013 F illed: 01- 14-06 (M)
	1319	Last Rel eased: Origi nal Releas e:
	1320	Refilled : 02-19-04 (M) Released:
	1321	Remarks:
	1322	Division : ALBANY ( 500) Active 4 Refills Left
	1323	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	1324	Non-VA MEDS (Not Dispensed by VA)
	1325	GINKO BILL OBA TAB
	1326	Dosage: 1 TABLET
	1327	Schedule : ONCE A D AY
	1328	Route: M OUTH
	1329	Status: Discontinu ed (10/08/ 03)
	1330	Start Da te: 09/03/ 03 CPR S Order #: 12232
	1331	Document ed By: OPC LERK21,FOU R on 09/03 /03
	1332	Statemen t of Expla nation: No n-VA medic ation not recommende d by VA pr ovider.
	1333	ACETAMINPH EN 325MG C T
	1334	Dosage: 325MG
	1335	Schedule :
	1336	Route:
	1337	Status: Active
	1338	Start Da te: 09/03/ 03 CPR S Order #: 12234
	1339	Document ed By: OPC LERK21,FOU R on 09/03 /03
	1340	Statemen t of Expla nation: No n-VA medic ation reco mmended by VA provid er
	1341	Pa tient want s to buy f rom Non-VA pharmacy
	1342	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:
	1343	Patient Pr escription Processin g [PSO LM BACKDOOR O RDERS]
	1344	Complete O rders from OERR [PSO LMOE FINI SH]
	1345	Edit Presc riptions [ PSO RXEDIT ]
	1346	See “Using The Pharm acy Interv ention Men u” for mor e details. Medicatio n Profile and Refill
	1347	[PSO HRC P ROFILE/REF ILL]
	1348	This optio n was orig inally req uested by the Health Resource Center (HR C) to prov ide a new standalone option si milar to t hat of the ePharmacy Medicatio n Profile (View Only ) [PSO PMP ] option f or the Com pensation and Pensio n Record I nterchange (CAPRI) s ystem. It allows use rs to view a medicat ion profil e as well as refill prescripti ons for a specific p atient.
	1349	Example 1: Medicatio n Profile with defau lt view
	1350	Patient Me dication P rofile Jun 04, 20 07@19:22:1 6 Pa ge: 1 o f 1
	1351	OPPATIENT, ONE <A>
	1352	PID: 000 -12-5678 HEIGH T(cm): 175 .26 (11/21 /2006)
	1353	DOB: NOV 28,1900 ( 111) WEIGH T(kg): 108 .18 (08/09 /2007)
	1354	CrCL: 78.1 (est.) (CR EAT:1.0mg/ dL 2/19/99 ) BSA (m2): 2.29
	1355	SEX: MAL E EXP /CANCEL CU TOFF: 120 DAY
	1356	I SSUE LA ST REF DAY
	1357	# Rx# DR UG [^] QTY ST D ATE FI LL REM SUP
	1358	1 100004 112 AL BUTEROL IN HALER 1 A 0 4-21-07 04 -21-07 11 7
	1359	2 300483 e AL PRAZOLAM 0 .25MG TABS 30 DC 0 6-14-07 06 -14-07 11 30
	1360	3 100004 113 AM ITRIPTYLIN E 10MG TAB 60 A 0 4-21-07 04 -21-07 11 30
	1361	4 100004 075e CA BERGOLINE 0.5MG TAB 7 E 0 5-18-05 05 -18-05 6 7
	1362	5 100004 155 DE SIPRAMINE 25MG 90 S 0 2-23-07 02 -11-07 11 90
	1363	6 100004 022$e DI GOXIN 0.05 MG/ML ELIX (60CC) 30 A 0 2-01-07 02 -20-07 10 90
	1364	7 100004 081 ME TAPROTEREN OL 5% SOLU TION 10ML 15 DC 0 6-02-07 06 -03-07 11 15
	1365	8 100004 082 ME TAPROTEREN OL 5% SOLU TION 10ML 10 DC 0 6-02-07 06 -03-07 11 10
	1366	9 100004 083 ME TAPROTEREN OL 5% SOLU TION 10ML 15 A> 0 6-02-07 06 -23-07 11 15
	1367	10 100004 079 NI COTINE 10M G/ML SOLN NASAL SPRA Y 1 A> 0 6-02-07 06 -23-07 11 15
	1368	11 100003 298 SI MVASTATIN 20MG TAB 5 DC 0 5-28-05 04 -27-07 3 30
	1369	12 100003 298A SO DIUM CHLOR IDE 0.9% N ASAL SOLN( O 1 A 0 5-10-07 05 -10-07 11 30
	1370	13 100004 070e VA LSARTAN 80 MG TAB 5 S 0 6-28-07 05 -31-07 11 30
	1371	PENDING (2 order)
	1372	14 ALBUTE ROL INHALE R RF 0 6-03-07 2 30
	1373	15 AMITRI PTYLINE 10 MG TAB RN 0 6-02-07 3 10
	1374	Non-VA MED S (Not dis pensed by VA) (1 ord er)
	1375	16 TAMOXI FEN CITRAT E 10MG TAB S Date Docum ented: 06/ 04/07
	1376	Enter ?? f or more ac tions
	1377	CV Change View PI Patient In formation SIG Show /Hide SIG
	1378	GS Group by Status RF Refill
	1379	Select: Qu it//
	1380	The follow ing option s are avai lable as H idden Menu actions o n this scr een:
	1381	DR
	1382	- Sort by Drug
	1383
	1384
	1385	LF
	1386	- Sort by Last Fill
	1387	RX
	1388	- Sort by Prescripti on
	1389
	1390	ID
	1391	- Sort by Issue Date
	1392	The CV (Ch ange View) action al lows the u ser to cha nge some c haracteris tics of th e screen a bove. The user can a lso save a nd/or dele te prefere nces, whic h will be used every time the user runs this optio n. The use rs can hav e one set of prefere nces for e ach Divisi on defined .
	1393	Example 2: Change Vi ew action
	1394	Enter CV a t the “Sel ect” promp t to chang e the view preferenc es.
	1395	OPPRO VIDER,ONE' s current default vi ew (ALBANY ):
	1396	----- ---------- ---------- ---------- ----
	1397	EXP/C ANCEL CUTO FF : 120 DAYS
	1398	SORT BY : DRUG NAME
	1399	SORT ORDER : ASCE NDING
	1400	DISPL AY SIG : NO
	1401	GROUP BY STATUS : YES
	1402	DISPL AY ORDER C OUNT: YES
	1403	Delet e this def ault view? NO// <Ent er>
	1404	EXP/CANCEL CUTOFF: 1 20// 120 D AYS
	1405	SORT BY: D R// DRUG N AME
	1406	SORT ORDER : ASCENDIN G// ASCEND ING
	1407	DISPLAY SI G: OFF// O FF
	1408	GROUP BY S TATUS: OFF // ON
	1409	DISPLAY OR DER COUNT: ON// OFF
	1410	Save as yo ur default View? NO/ / YES
	1411	Saving...O K!
	1412	Example 3: Patient I nformation action
	1413	Enter PI a t the “Sel ect” promp t to view patient in formation.
	1414	Patient In formation Jul 12, 20 11@13:28:5 3 Page: 1 of 2
	1415	OPPATIENT, ONE <A>
	1416	PID: 000 -12-5678 Ht (cm): ____ ___ (_____ _)
	1417	DOB: NOV 28,1900 ( 111) Wt (kg): ____ ___ (_____ _)
	1418	SEX: MAL E
	1419	Eligibilit y: NSC, VA PENSION
	1420	RX PATIENT STATUS: O PT NSC
	1421	Disabiliti es: POST-T RAUMATIC S TRESS DISO RDER-100% (SC),
	1422	2222 CENTR AL AVE
	1423	HOME PHONE :
	1424	ALBANY CELL PHONE :
	1425	NEW YORK 01280-7654 WORK PHONE :
	1426	Prescripti on Mail De livery: Re gular Mail
	1427	Cannot use safety ca ps.
	1428	Allergies
	1429	Verifi ed: PENICI LLIN,
	1430	Adverse Re actions
	1431	+ Enter ?? f or more ac tions
	1432	DD Detail ed Allergy /ADR List EX Exit P atient Lis t
	1433	Select Act ion: Next Screen//
	1434	Example 4: Medicatio n Profile with SIG e xpanded
	1435	Enter SIG at the “Se lect” prom pt to show /hide the Rx SIG.
	1436	Patient Me dication P rofile Jun 04, 20 07@19:22:1 6 Page: 1 of 1
	1437	OPPATIENT, ONE <A>
	1438	PID: 000 -12-5678 HE IGHT(cm): 175.26 (11 /21/2006)
	1439	DOB: NOV 28,1900 ( 111) WE IGHT(kg): 108.18 (08 /09/2007)
	1440	SEX: MAL E EXP/CANCEL CUTOFF: 1 20 DAY
	1441	CrCL: <No t Found> B SA (m2): 2 .29
	1442	I SSUE LA ST REF DAY
	1443	# Rx# DR UG [^] QTY ST D ATE FI LL REM SUP
	1444	1 100004 112 AL BUTEROL IN HALER 1 A 0 4-21-07 04 -21-07 11 7
	1445	SIG: T AKE 1 PUFF BY MOUTH EVERY DAY FOR 10 DAY S
	1446	2 300483 e AL PRAZOLAM 0 .25MG TABS 30 DC 0 6-14-07 06 -14-07 11 30
	1447	SIG: T AKE ONE CA PSULE BY B Y MOUTH EV ERY MORNIN G
	1448	3 100004 113 AM ITRIPTYLIN E 10MG TAB 60 A 0 4-21-07 04 -21-07 11 30
	1449	SIG: T AKE ONE TA BLET BY BY MOUTH EVE RY MORNING
	1450	4 100004 075e CA BERGOLINE 0.5MG TAB 7 E 0 5-18-05 05 -18-05 6 7
	1451	SIG: T AKE 2 TABL ET(S) BY B Y MOUTH EV ERY 12 HOU RS
	1452	5 100004 155 DE SIPRAMINE 25MG 90 S 0 2-23-07 02 -11-07 11 90
	1453	SIG: T AKE 2 TABL ET(S) BY B Y MOUTH EV ERY 12 HOU RS
	1454	6 100004 022$e DI GOXIN 0.05 MG/ML ELIX (60CC) 30 A 0 2-01-07 02 -20-07 10 90
	1455	SIG: I NJECT 1000 IM EVERY D AY
	1456	7 100004 081 ME TAPROTEREN OL 5% SOLU TION 10ML 15 DC 0 6-02-07 06 -03-07 11 15
	1457	SIG: I NJECT 1000 IM EVERY DAY
	1458	8 100004 082 ME TAPROTEREN OL 5% SOLU TION 10ML 10 DC 0 6-02-07 06 -03-07 11 10
	1459	SIG: I NJECT 1000 IM EVERY DAY
	1460	9 100004 083 ME TAPROTEREN OL 5% SOLU TION 10ML 15 A> 0 6-02-07 06 -23-07 11 15
	1461	SIG: I NJECT 1000 IM EVERY DAY
	1462	10 100004 079 NI COTINE 10M G/ML SOLN NASAL SPRA Y 1 A> 0 6-02-07 06 -23-07 11 15
	1463	SIG: A PPLY 1 PAT CH ON SHOU LDER DAILY
	1464	11 100003 298 SI MVASTATIN 20MG TAB 5 DC 0 5-28-05 04 -27-07 3 30
	1465	SIG: T AKE 2 TABL ET(S) PO F OUR TIMES A DAY
	1466	12 100003 298A SO DIUM CHLOR IDE 0.9% N ASAL SOLN( O 1 A 0 5-10-07 05 -10-07 11 30
	1467	SIG: T AKE 2 PUFF S EACH NOS TRIL EVERY 8 HOURS
	1468	13 100004 070e VA LSARTAN 80 MG TAB 5 S 0 6-28-07 05 -31-07 11 30
	1469	SIG: T AKE ONE TA BLET BY MO UTH EVERY MORNING
	1470	PENDING (2 order)
	1471	14 ALBUTE ROL INHALE R RF 0 6-03-07 2 30
	1472	SIG: 1 PUFF BY M OUTH EVERY DAY FOR 5 DAYS
	1473	15 AMITRI PTYLINE 10 MG TAB RN 0 6-02-07 3 10
	1474	SIG: T AKE 2 TABL ET(S) PO F OUR TIMES A DAY
	1475	Non-VA MED S (Not dis pensed by VA) (1 ord er)
	1476	16 TAMOXI FEN CITRAT E 10MG TAB S Date Docum ented: 06/ 04/07
	1477	SIG: T AKE 2 TABL ET(S) PO F OUR TIMES A DAY
	1478	Enter ?? f or more ac tions
	1479	CV Change View PI Patient In formation SIG Show /Hide SIG
	1480	GS Group by Status RF Refill
	1481	Select: Qu it//
	1482	Example 5: Medicatio n Profile list item with Bad A ddress Ind icator:
	1483	The Outpat ient Pharm acy Medica tion Profi le has a d isplay pro blem for a prescript ion with t he followi ng charact eristics:
	1484	1. 2-lett er status (e.g., DC)
	1485	2. Drug m arked for Consolidat ed Mailout Outpatien t Pharmacy (CMOP)
	1486	3. Bad Ad dress Indi cator
	1487	When a pre scription with all t hree featu res is dis played the DAY SUP c olumn valu e is being truncated as illust rated belo w where th e Day Supp ly value i s actually 90 and it displays as 9.
	1488
	1489	To resolve this issu e, the BAD ADDRESS I NDICATOR i s now disp layed on a separate line.
	1490	Medication Profile Sep 22, 20 15@09:16:3 7 P age: 1 of 2
	1491	OUTPATIENT ,DELBERT <NO ALLERGY A SSESSMENT>
	1492	PID: 666 -06-1944 Ht(cm): _ ______ (__ ____)
	1493	DOB: JUN 15,1944 ( 71) Wt(kg): _ ______ (__ ____)
	1494	SEX: MAL E
	1495	CrCL: <No t Found> B SA (m2): _ ______
	1496	IS SUE LAST REF DAY
	1497	# RX # DRUG QTY ST D ATE FILL REM SUP
	1498	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	1499	1 301278A ALBU TEROL INHA LER 66 A 09- 02 09-02 1 40
	1500	* B ad Address *
	1501	2 301276 INSU LIN NPH U- 100 INJ (P ORK) 59 S 08- 28 12-14 3 59
	1502	* B ad Address *
	1503	3 301282$ LOMU STINE 10MG CAP 30 A 09- 09 09-09 5 60
	1504	* B ad Address *
	1505	4 10000305 9A PARA LDEHYDE OR AL LIQUID (OZ) 1 A 08- 28 09-09 0 90
	1506	* B ad Address *
	1507	5 301277 PIMO ZIDE 2MG 91 A 08- 28 08-28 3 91
	1508	Enter ?? f or more ac tions
	1509	PU Patien t Record U pdate NO New Or der
	1510	PI Patien t Informat ion SO Select Order
	1511	Select Act ion: Next Screen//
	1512	Example 6: Group By Status act ion
	1513	Enter GS a t the “Sel ect” promp t to group /ungroup l ist by Rx status.
	1514	Patient Me dication P rofile Jun 04, 20 07@19:22:1 6 Page: 1 of 1
	1515	OPPATIENT, ONE <A>
	1516	PID: 000 -12-5678 HE IGHT(cm): 175.26 (11 /21/2006)
	1517	DOB: NOV 28,1900 ( 111) WE IGHT(kg): 108.18 (08 /09/2007)
	1518	SEX: MAL E EXP/CANCEL CUTOFF: 1 20 DAY
	1519	CrCL: <No t Found> B SA (m2): 2 .29
	1520	I SSUE LA ST REF DAY
	1521	# Rx# DR UG [^] QTY ST D ATE FI LL REM SUP
	1522	ACTIVE (6 orders)
	1523	1 100004 112 AL BUTEROL IN HALER 1 A 0 4-21-07 04 -21-07 11 7
	1524	2 100004 113 AM ITRIPTYLIN E 10MG TAB 60 A 0 4-21-07 04 -21-07 11 30
	1525	3 100004 022$e DI GOXIN 0.05 MG/ML ELIX (60CC) 30 A 0 2-01-07 02 -20-07 10 90
	1526	4 100004 083 ME TAPROTEREN OL 5% SOLU TION 10ML 15 A> 0 6-02-07 06 -23-07 11 15
	1527	5 100004 079 NI COTINE 10M G/ML SOLN NASAL SPRA Y 1 A> 0 6-02-07 06 -23-07 11 15
	1528	6 100003 298A SO DIUM CHLOR IDE 0.9% N ASAL SOLN( O 1 A 0 5-10-07 05 -10-07 11 30
	1529	DISCONTINU ED (4 orde rs)
	1530	7 300483 e AL PRAZOLAM 0 .25MG TABS 30 DC 0 6-14-07 06 -14-07 11 30
	1531	8 100004 081 ME TAPROTEREN OL 5% SOLU TION 10ML 15 DC 0 6-02-07 06 -03-07 11 15
	1532	9 100004 082 ME TAPROTEREN OL 5% SOLU TION 10ML 10 DC 0 6-02-07 06 -03-07 11 10
	1533	10 100003 298 SI MVASTATIN 20MG TAB 5 DC 0 5-28-05 04 -27-07 3 30
	1534	SUSPENDED (2 orders)
	1535	11 100004 155 DE SIPRAMINE 25MG 90 S 0 2-23-07 02 -11-07 11 90
	1536	12 100004 070e VA LSARTAN 80 MG TAB 5 S 0 6-28-07 05 -31-07 11 30
	1537	EXPIRED (1 order)
	1538	13 100004 075e CA BERGOLINE 0.5MG TAB 7 E 0 5-18-05 05 -18-05 6 7
	1539	PENDING (2 order)
	1540	14 ALBUTE ROL INHALE R RF 0 6-03-07 2 30
	1541	15 AMITRI PTYLINE 10 MG TAB RN 0 6-02-07 3 10
	1542	Non-VA MED S (Not dis pensed by VA) (1 ord er)
	1543	16 TAMOXI FEN CITRAT E 10MG TAB S Date Docum ented: 06/ 04/07
	1544	Enter ?? f or more ac tions
	1545	CV Change View PI Patient In formation SIG Show /Hide SIG
	1546	GS Group by Status RF Refill
	1547	Select: Qu it//
	1548	Example 6: Refill ac tion
	1549	Enter RF a t the “Sel ect” promp t to reque st a refil l for one or more pr escription s as shown below. Th is action is also av ailable af ter select ing a spec ific presc ription.
	1550	Enter ?? f or more ac tions
	1551	CV Change View PI Patient In formation SIG Show /Hide SIG
	1552	GS Group by Status RF Refill
	1553	Select: Qu it// RF Refill
	1554	Barcode Re fill? NO//
	1555	Select Ord ers by num ber: (1-1 6): ?
	1556	This respo nse must b e a list o r range, e .g., 1,3,5 or 2-4,8.
	1557	Select Ord ers by num ber: (1-1 6): 2
	1558	FILL DATE: (5/2/201 1 - 11/2/2 011): TODA Y// (JUL 12, 2011)
	1559	MAIL/WINDO W: MAIL// MAIL
	1560	Now refill ing Rx# 10 0004113 Drug: AMIT RIPTYLINE 10MG TAB
	1561	Qty: 120 S ig: TAKE O NE TABLET BY MOUTH F OUR TIMES A DAY
	1562	RX# 100004 113 has be en suspend ed until 0 7-12-11.
	1563	NOTE: The system has the flexi bility to sort the M edication Profile by different columns ( RX, drug n ame, date, etc). Whe n selectin g a range of prescri ptions fro m the Medi cation Pro file to be refilled, selection is not li mited to a ctive pres criptions. If discon tinued or expired pr escription s are incl uded in a range, the system wi ll display a message stating t he status of each pr escription as they a re process ed within the range. For examp le:
	1564	Cannot ref ill Rx # 1 00002897, Rx is in D ISCONTINUE D status.
	1565	Chapter 12 : Using th e Medicati on Reconci liation To ols XE "Me dication R econciliat ion"
	1566	This chapt er describ es the too ls availab le to perf orm Medica tion Recon ciliation functions via the CP RS Reports tab and C PRS Notes tab.
	1567	Medication Reconcili ation
	1568	The Medica tion Recon ciliation functions may be per formed via the use o f four too ls. The to ols utiliz e Health S ummary com ponents an d Text Int egrated Ut ility (TUI ) data obj ects to cr eate a lis t of curre nt medicat ions. Thes e Medicati on Reconci liation to ols also l everage th e Remote D ata Intero perability (RDI) sof tware to i nclude med ication da ta from ot her sites.
	1569	Tool 1 is a Medicati on Reconci liation Pr ofile heal th summary component . This rep ort create s an alpha betical li st of outp atient pre scriptions , unit dos e medicati ons, docum ented non- VA medicat ions, and remote VA medication s. This su mmary can be used at transitio n points i n a patien t’s care, (admission , discharg e, etc.) t o identify medicatio ns that ne ed to be c ontinued, new items to be orde red, old i tems to be discontin ued, or or ders that need to be changed.
	1570	Tool 2 is a Medicati on Workshe et compone nt. This r eport prov ides a gri d-formatte d list of active and pending m edications suitable for giving to a pati ent at a c linic visi t or upon discharge from the h ospital.
	1571	Tool 3 is a TIU data object pr ovided as an alterna tive to th e Medicati on Chart h ealth summ ary proces s. The uni que aspect of this o bject is t hat the li st, genera ted for th e patient, includes recently e xpired med ications b ut not rec ently disc ontinued m edications .
	1572	Tool 4 is a series o f TIU data objects a nd health summary co mponents t hat retrie ve remote active med ications a nd remote allergy/AD R data.
	1573	For a comp lete list of functio nality, pl ease refer to Medica tion Recon ciliation Tools Impl ementation Guide. Up on complet ion of the steps lis ted in the Implement ation Guid e, users w ill be abl e to retri eve report s useful f or Medicat ion Reconc iliation b y selectin g the newl y created Health Sum maries on the CPRS R eports tab or by usi ng the new ly created TIU templ ates and o bjects fro m the CPRS Notes Tab ’s Templat es Drawer and/or any progress note title s in which they have been embe dded.
	1574	(This page included for two-si ded copyin g.)
	1575	Chapter 13 : Using th e Pharmacy Intervent ion Menu X E "Pharmac y Interven tion"
	1576	This chapt er describ es the opt ions in th e Pharmacy Intervent ion Menu.
	1577	This menu is locked with the PSORPH key .
	1578	Pharmacy I nterventio n XE "Phar macy Inter vention" Menu
	1579	[PSO INTER VENTION ME NU]
	1580	The Pharma cy Interve ntion Menu enables t he user to enter, ed it, print, delete, o r view int erventions in the AP SP INTERVE NTION file .
	1581	The follow ing option s are avai lable on t his menu:
	1582	Enter Phar macy Inter vention
	1583	Edit Pharm acy Interv ention
	1584	Print Phar macy Inter vention
	1585	Delete Int ervention
	1586	View Inter vention
	1587	Enter Phar macy Inter vention XE "Enter Ph armacy Int ervention"
	1588	[PSO INTER VENTION NE W ENTRY]
	1589	When it is necessary to interr upt the fi lling of a prescript ion to con tact the p rovider in order to change, cl arify, or cancel the prescript ion, use t his option to add a new interv ention ent ry into th e APSP INT ERVENTION file.
	1590	Edit Pharm acy Interv ention XE "Edit Phar macy Inter vention"
	1591	[PSO INTER VENTION ED IT]
	1592	Using this option, a n already existing e ntry in th e APSP INT ERVENTION file can b e edited.
	1593	Print Phar macy Inter vention XE "Print Ph armacy Int ervention"
	1594	[PSO INTER VENTION PR INTOUT]
	1595	Print a ca ptioned pr intout of pharmacy i nterventio ns for a c ertain dat e range wi th this op tion. The report pri nts out on normal wi dth paper and can be queued to print at a later ti me.
	1596	The subtot al on this report re presents t he number of interve ntions for a specifi c type of interventi on where t he recomme ndation fo r the inte rvention w as accepte d. The tot al is the sum of all intervent ions in wh ich the re commendati on was acc epted.
	1597	The sub co unt on thi s report i s the numb er of inte rventions for a spec ific type of interve ntion over the speci fic date r ange. The count is t he total n umber of a ll interve ntions ove r the spec ific date range.
	1598	Delete Int ervention XE "Delete Intervent ion"
	1599	[PSO INTER VENTION DE LETE]
	1600	This optio n can be u sed to del ete an int ervention from the A PSP INTERV ENTION fil e. An inte rvention c an be dele ted only o n the same day that it was ent ered.
	1601	View Inter vention XE "View Int ervention"
	1602	[PSO INTER VENTION VI EW]
	1603	This optio n displays pharmacy interventi ons in a c aptioned f ormat on t he screen. More than one inter vention ca n be viewe d at a tim e.
	1604	Chapter 14 : Print fr om Suspens e File XE "Print fro m Suspense File"
	1605	This chapt er describ es the Pri nt from Su spense Fil e option used for p rinting su spended pr escription s.
	1606	Print from Suspense File XE "P rint from Suspense F ile"
	1607	[PSO PNDLB L]
	1608	This optio n allows t he user to print lab els from t he RX SUSP ENSE file. First, en ter the “P rint Throu gh” date. Any prescr iptions wi th a suspe nse date o n or befor e the date entered w ill print. Additiona lly, if a patient ha s at least one presc ription on or before the date entered, a ny other p rescriptio ns for tha t patient that are i n suspense will be p rinted for the site parameter specified number of days to be pulled fr om suspens e.
	1609	For exampl e, if toda y’s date i s entered and Patien t A has a prescripti on to be p rinted thr ough the t hat date, all of Pat ient A's p rescriptio ns between the date entered pl us the num ber of day s set in t he local s ite parame ter will b e printed. If there are no pre scriptions for Patie nt A throu gh the dat e entered, no labels will prin t.
	1610	Labels can be sorted by the pa tient name , the SSN, or the DE A Special Handling c ode. If so rted by DE A, the lab els must t hen sort b y patient name or SS N. Sorting by DEA wi ll send th e labels t o the prin ter in thr ee groups:
	1611	First grou p – will contain al l the pres criptions with drugs that cont ain an “A” (narcotic s and alco holics) or a “C“ (co ntrolled s ubstances- non narcot ic) in the DEA Speci al Handlin g field.
	1612	Second gr oup – wil l contain all the pr escription s with dru gs contain ing an “S” (supply) in the DEA Special H andling fi eld.
	1613	Third grou p – will contain al l others. If a patie nt has pre scriptions in suspen se that fa ll in all three cate gories, th at patient 's labels will be pr inted thre e times, o nce in eac h group.
	1614	Only one j ob is task ed for all of the pr escription s in the b atch; ther efore, if the job is queued by mistake, only one t asked job must be un done. Any prescripti on that is put in su spense for the "Prin t Through Date" betw een the ti mes the jo b was queu ed until t he time it actually runs will be include d in the j ob.
	1615	Labels for each job printed fr om suspens e will be part of a batch. Eac h batch is identifie d by the D ivision, t he user wh o queued t he batch, and the da te/time th at the job was queue d to begin .
	1616	A label wi ll not pri nt if the Label Log shows that the label has alrea dy printed unless th e suspense queue ind icates tha t a user h as request ed a repri nt of the suspended prescripti on.
	1617	Prescripti ons pulled early fro m suspense will not be part of a batch, so they wi ll not be able to be reprinted through t he Reprint Batches f rom Suspen se option.
	1618	Prescripti ons with a n FDA Medi cation Gui de associa ted will a utomatical ly print a long with the labels (if one i s availabl e). In ord er to ensu re that th e document s are sent to an act ual printe r users wi ll be requ ired to en ter a vali d printer for printi ng the FDA Medicatio n Guides a t this opt ion if one has not b een select ed when th ey logged on to the Outpatient Pharmacy Division.
	1619	A short pr ofile for every pati ent for wh om a label for a new prescript ion is bei ng printed will also be printe d if the l ocal Profi le with Ne w Prescrip tions site parameter is set to Yes.
	1620	If a patie nt has par tial presc riptions w ith regula r fills, o nly one se t of trail ing docume nts will p rint for t hat patien t. (In V. 6.0 traile r document s were pri nted after each part ial.)
	1621	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 the E lectronic Claims Man agement En gine (ECME ) to the t hird party payer. TR ICARE and CHAMPVA pr escription s are exce ptions, as noted in the TRICAR E and CHAM PVA sectio n. The co mmunicatio n events b etween Out patient Ph armacy and ECME are recorded i n the ECME Log secti on of each prescript ion. The E CME log ca n be viewe d in the p atient Med ication Pr ofile scre en (Activi ty Log opt ion - AL) and also f rom the Vi ew Prescri ptions opt ion. If th e claim su bmission r eturns a R efill Too Soon (79) 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 – Wo rklist.
	1622	¾ Days Sup ply Hold X E "3/4 Day s Supply H old"
	1623	Because of the great number of refill-to o-soon thi rd party c laim rejec tions that can occur due to pr escription s being fi lled too e arly, the system ver ifies that ¾ of the days suppl y has elap sed on the previous fill befor e the ePha rmacy pres cription m ay be refi lled. To r educe refi ll-too-soo n third pa rty claim rejections for new p rescriptio ns, prior prescripti ons are ch ecked for the same p atient and product t o verify t hat ¾ of t he days su pply has e lapsed on the prior prescripti ons before the new p rescriptio ns may be filled. Th e followin g list des cribes thi s function ality.
	1624	ePharmacy prescripti ons are de layed from being sen t to CMOP and printe d for loca l mail unt il ¾ of th e days sup ply has el apsed. Fo r CMOP sus pense and local mail suspense, a partial day will be rounded up (ex.: ¾ of 30 d ays will b e 23 days) . With th e release of PSO73 67, this r ounding fu nctionalit y will als o be avail able for l ocal mail suspense.
	1625	When check ing a prio r prescrip tion for t he same pa tient and product, t he prior p rescriptio n cannot b e in a non -verified status, th e prior pr escription must have a release date, and the prior prescript ion must h ave an exp iration da te no earl ier than 1 20 days pr ior to the current d ate. The 3 /4 days' s upply chan ge applies to prescr iptions th at are ren ewed, loca lly suspen ded, suspe nded via C MOP or mod ified usin g the SDC - Suspense Date Calc action.
	1626	An activit y log entr y will sta te the dat e/time tha t the Rx w ill be all owed to be removed f rom suspen se. The ac tivity log will be d efined on the initia l evaluati on. The fo llowing is an exampl e of the l og entry:
	1627	4 06/18/ 08 SUSP ENSE REFILL 2 OPHA RM,ONE
	1628	Comments: 3/4 of Day s Supply S USPENSE HO LD until 6 /20/08.
	1629	To fill th e prescrip tion earli er, users may pull t hese types of prescr iptions ea rly from s uspense.
	1630	Host Error s XE "Host Errors"
	1631	Prescripti ons (ePhar macy only) will be p revented f rom being filled/sen t to CMOP when a hos t processi ng error o ccurs as a claim is submitted through EC ME. Host p rocessing errors are identifie d by rejec t codes M6 , M8, NN, and 99 whi ch are ret urned by t he third p arty payer . The foll owing cond itions app ly when th is scenari o occurs.
	1632	The transm ission of the prescr iption fil l will be delayed 1 day in hop es that th e host pro cessing is sues will be resolve d by the t hird party payer.
	1633	An activit y log entr y will sta te the dat e/time alo ng with a comment st ating that the Rx/fi ll was lef t in suspe nse hold d ue to a ho st process ing error. The follo wing is an example o f the log entry:2 06/25/08 SUSPENSE ORI GINAL OPPHARM, TWO
	1634	Comments: SUSPENSE H OLD until 6/26/08 du e to host reject err or.
	1635	The Pull E arly from Suspense f unction is not impac ted by thi s added fu nctionalit y. Users may pull t hese type prescripti ons early from suspe nse.
	1636	There is n o user int eraction f or this fu nction. It initiates when the Print from Suspense [PSO PNDLB L] option is initiat ed for CMO P prescrip tions.
	1637	TRICARE an d CHAMPVA
	1638	If there i s an overr ide or byp ass for a TRICARE or CHAMPVA p rescriptio n and ther e are no o pen claim rejections for that prescripti on, then a n electron ic claim i s not gene rated from suspense, and the l abel will be printed when the prescripti on is proc essed from suspense. This exc eption app lies to TR ICARE and CHAMPVA eP harmacy bi llable pre scriptions and non-b illable pr escription s.
	1639	If a claim is submit ted from s uspense fo r a TRICAR E or CHAMP VA prescri ption, the prescript ion will b e displaye d on the T hird Party Payer Rej ect workli st if the claim subm ission ret urns any t ype of rej ect. Also , non-bill able TRICA RE and CHA MPVA presc riptions w ill be dis played on the Third Party Paye r Reject w orklist. A user must resolve t he reject or submit an overrid e before t he prescri ption can be process ed through suspense.
	1640	(This page included for two-si ded copyin g.)
	1641	Chapter 15 : Allergy Order Chec ks XE "All ergy Order Checks"
	1642	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.
	1643	The follow ing change s have bee n made to the existi ng allergy order che cks:
	1644	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. The interventi on functio nality wil l be simil ar to the Critical D rug-Drug I nteraction s in backd oor pharma cy today.
	1645	Note: Seve rity for a n allergy can ONLY b e entered for (O)bse rved and N OT (H)isto rical Alle rgy/Advers e Reaction s. The use r MUST HOL D the GMRA -ALLERGY V ERIFY key and comple te an obse rved react ion report to enter MECHANISM and SEVERI TY for Obs erved Alle rgies/Adve rse Reacti ons.
	1646	For a Seve re Allergy the user is require d to enter an interv ention and their ele ctronic si gnature
	1647	For allerg ies/advers e reaction s with Sev erity of M ild, Moder ate, or No t Entered, the syste m will con tinue the same as it does toda y with the option th at allows the pharma cist to en ter an int ervention at their d iscretion.
	1648	All Allerg ies/advers e reaction s are capt ured and s tored with the order number in the ORDER CHECK INS TANCES fil e (#100.05 ),, regard less of wh ether or n ot an inte rvention w as entered . The info rmation ca n be viewe d from the prescript ion screen using the hidden ac tion – DA Display Dr ug Allergi es.
	1649	Remote/HDR allergy S igns/Sympt oms are no w displaye d when doi ng Allergy /ADR Order Checks.
	1650	Modified A llergy/ADR Order Che ck to disp lay actual Station N ame in lie u of Local or Remote terminolo gy
	1651	Examples o f Allergy/ Adverse Re action Ord er Checks:
	1652	Mild:
	1653	Now doing allergy ch ecks. Ple ase wait.. .
	1654	A Drug-All ergy React ion exists for this medication and/or cl ass!
	1655	Prospectiv e Drug: AS PIRIN 81MG EC TAB
	1656	Causa tive Agent : ASPIRIN (ALBANY - 01/14/16)
	1657	Historica l/Observed : OBSERVED
	1658	Severity : MILD
	1659	I ngredients : ASPIRIN
	1660	Sign s/Symptoms : DRY MOUT H, HIVES
	1661	Drug Class : CN103 NO N-OPIOID A NALGESICS
	1662	Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er
	1663	Do you want to In tervene? Y ES// n NO
	1664	Moderate:
	1665	A Drug -Allergy R eaction ex ists for t his medica tion and/o r class!
	1666	Prospe ctive Drug : MINOXIDI L 2.5MG TA B
	1667	Causa tive Agent : MINOXIDI L (ALBANY - 09/22/15 )
	1668	Historica l/Observed : OBSERVED
	1669	Severity : MODERATE
	1670	I ngredients : MINOXIDI L
	1671	Sign s/Symptoms : HYPOTENS ION
	1672
	1673	Drug Class : CV490 AN TIHYPERTEN SIVES,OTHE R
	1674	Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er
	1675	Do you want to In tervene? Y ES// n NO
	1676	Historical -Severity Not Entere d:
	1677	Now doing allergy ch ecks. Ple ase wait.. .
	1678	A Drug-All ergy React ion exists for this medication and/or cl ass!
	1679	Prospectiv e Drug: AM PICILLIN 2 50MG
	1680	Causa tive Agent : AMPICILL IN (ALBANY - 01/14/1 6)
	1681	Historica l/Observed : HISTORIC AL
	1682	Severity : Not Ente red
	1683	I ngredients : AMPICILL IN
	1684	Sign s/Symptoms : DRY MOUT H, HIVES
	1685	Drug Class : AM111 PE NICILLINS, AMINO DERI VATIVES
	1686	Provi der Overri de Reason: N/A - Ord er Check N ot Evaluat ed by Prov ider
	1687	Do yo u want to Intervene? YES// NO
	1688	Severe wit hout Inter vention:
	1689	A Drug-All ergy React ion exists for this medication and/or cl ass!
	1690	Prospe ctive Drug : ACETAMIN OPHEN 325M G TAB
	1691	Causative Agent: ACE TAMINOPHEN / ASPIRIN/ CAFFEINE ( DNS ENNE VAMC -
	1692	02/09/15 )
	1693	Historica l/Observed : OBSERVED
	1694	Severity : SEVERE
	1695	I ngredients : ACETAMIN OPHEN
	1696	Sign s/Symptoms : DIARRHEA , NAUSEA A ND VOMITIN G, RASH
	1697
	1698	Drug Class : CN103 NO N-OPIOID A NALGESICS
	1699	Provider Override Reason: N/ A - Order Check Not Evaluated by Provide r
	1700	Do you wan t to Inter vene? YES/ / n NO
	1701	With a SEV ERE reacti on, an int ervention is require d!
	1702	Note: “Wi th a sever e reaction , an inter vention is required”
	1703	Severe wit h Interven tion:
	1704	A Drug-All ergy React ion exists for this medication and/or cl ass!
	1705	Prospe ctive Drug : ACETAMIN OPHEN 325M G TAB
	1706	Causative Agent: ACE TAMINOPHEN / ASPIRIN/ CAFFEINE ( DNS ENNE VAMC -
	1707	02/09/15 )
	1708	Historica l/Observed : OBSERVED
	1709	Severity : SEVERE
	1710	I ngredients : ACETAMIN OPHEN
	1711	Sign s/Symptoms : DIARRHEA , NAUSEA A ND VOMITIN G, RASH
	1712	Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er
	1713	Do you wan t to Inter vene? YES/ /
	1714	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	1715	Now creati ng Pharmac y Interven tion
	1716	For ACETAM INOPHEN 32 5MG TAB
	1717	PROVIDER: pears PEA RSON,HOLLY HP 192 SYSTEMS ANALYST
	1718	RECOMMENDA TION: 8 N O CHANGE
	1719	See 'Pharm acy Interv ention Men u' if you want to de lete this
	1720	interventi on or for more optio ns.
	1721	CPRS Aller gy/Adverse Reaction Entry Proc ess
	1722	From the O rder tab, enter a ne w allergy using the Allergies Dialog:
	1723	Figure 1: Allergies Dialog
	1724
	1725	Figure 2: Example of Observed Allergy
	1726
	1727	VistA Outp atient All ergy/Adver se Reactio n Entry Pr ocess
	1728	Observed A llergy exa mple:
	1729	Patient In formation Jan 20, 20 16@16:50:3 9 Page: 2 of 2
	1730	ROWPATNM,B OAT < A>
	1731	PID: 666 -00-0363 Ht(cm): _ ______ (__ ____)
	1732	DOB: MAR 4,1950 (6 5) Wt(kg): _ ______ (__ ____)
	1733	SEX: FEM ALE
	1734	+
	1735	Non-Verifi ed: PENICI LLIN,
	1736	Remo te:
	1737	Adverse Re actions
	1738	Verifi ed: ASPIRI N,
	1739	Enter ?? f or more ac tions
	1740	EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate
	1741	DD Detail ed Allergy /ADR List EX Exit P atient Lis t
	1742	Select Act ion: Quit/ / EA Ent er/Edit Al lergy/ADR Data
	1743	OB S/
	1744	REACTANT VER. MECH. HI ST TYPE
	1745	-------- ---- - ------ -- -- ----
	1746	PENICILLIN NO U NKNOWN OB S DRUG
	1747	Reacti ons: RASH
	1748	ASPIRIN YES P HARM OB S DRUG
	1749	Reacti ons: ANXIE TY FOOD
	1750	CHOCOLATE AUTO U NKNOWN HI ST DRUG
	1751	(FLAVOR) FOOD
	1752	Reacti ons: ANXIE TY
	1753	Enter Caus ative Agen t: GENTAMI CIN
	1754	Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s...
	1755	Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes...
	1756	Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6)
	1757	1 G ENTAMICIN
	1758	2 G ENTAMICIN/ PREDNISOLO NE
	1759	3 G ENTAMICIN/ SODIUM CHL ORIDE
	1760	CHOOSE 1-3 : 1 GENTA MICIN
	1761	GENTAMI CIN OK? Yes// (Y es)
	1762	(O)bserved or (H)ist orical All ergy/Adver se Reactio n: O OBSE RVED
	1763	Select dat e reaction was OBSER VED (Time Optional): T-15 (J AN 05, 201 6) JAN 0
	1764	5, 2016 ( JAN 05, 20 16)
	1765	Are you adding 'JA N 05, 2016 ' as
	1766	a new ADVERSE RE ACTION REP ORTING? No // Y (Yes )
	1767	No signs/s ymptoms ha ve been sp ecified. Please add some now.
	1768	The follow ing are th e top ten most commo n signs/sy mptoms:
	1769	1. ANXIET Y 7. H IVES
	1770	2. ITCHIN G,WATERING EYES 8. D RY MOUTH
	1771	3. ANOREX IA 9. D RY NOSE
	1772	4. DROWSI NESS 10. R ASH
	1773	5. NAUSEA ,VOMITING 11. O THER SIGN/ SYMPTOM
	1774	6. DIARRH EA
	1775	Enter from the list above : 7 ,10
	1776	Date(Time Optional) of appeara nce of Sig n/Symptom( s): Jan 05 , 2016// (JAN 05, 2
	1777	016)
	1778	The follow ing is the list of r eported si gns/sympto ms for thi s reaction :
	1779	Signs /Symptoms Date Ob served
	1780	---------- ---------- ---------- ---------- ---------- ---------- ---------- -----
	1781	1 HIVES Jan 05, 2016
	1782	2 RASH Jan 05, 2016
	1783	Select Act ion (A)DD, (D)ELETE OR <RET>:
	1784	Choose one of the fo llowing:
	1785	A - ALLERG Y
	1786	P - PHARMA COLOGICAL
	1787	U - UNKNOW N
	1788	MECHANISM: UNKNOWN// A ALLERG Y
	1789	COMMENTS:
	1790	No exist ing text
	1791	Edit? NO //
	1792	COMMENTS A RE REQUIRE D.
	1793	Press RETU RN to cont inue
	1794	Complete t he observe d reaction report? Y es// (Ye s)
	1795	DATE/TIME OF EVENT: MAR 7,2016 // 1/5/201 6 (JAN 05 , 2016) ( JAN 05, 20 16)
	1796	OBSERVER: SEBURN,CIN DY// PEARS ON,HOLLY HP 192 BAY PINES TES
	1797	T LAB
	1798	SEVERITY: ?
	1799	MI LD - R equires mi nimal ther apeutic in tervention such as
	1800	d iscontinua tion of dr ug(s).
	1801	MO DERATE - R equires ac tive treat ment of ad verse reac tion, or
	1802	f urther tes ting or ev aluation t o assess
	1803	e xtent of n on-serious outcome ( see SEVERE for
	1804	d efinition of serious ).
	1805	SE VERE - I ncludes an y serious outcome, r esulting i n life or organ
	1806	t hreatening situation or death, significa nt or perm anent
	1807	d isability, requiring intervent ion to pre vent perma nent
	1808	i mpairment or damage, or requir ing/prolon ging
	1809	h ospitaliza tion.
	1810	Choos e from:
	1811	1 MILD
	1812	2 MODE RATE
	1813	3 SEVE RE
	1814	SEVERITY: 3 SEVERE
	1815	DATE MD NO TIFIED: Ma r 7,2016// (MAR 07 , 2016)
	1816	Complete t he FDA dat a? Yes// N (No)
	1817	Enter anot her Causat ive Agent? YES// NO
	1818	Causative Agent Data edited th is Session :
	1819	ADVERSE RE ACTION
	1820	---------- ------
	1821	GENTAMIC IN
	1822	Obs/Hist: OBSERVED
	1823	Obs d/t: Jan 05, 2 016
	1824	Signs /Symptoms: HIVES (1/ 5/16)
	1825	RASH (1/5 /16)
	1826	Causative Agent Data edited th is Session :
	1827	ADVERSE RE ACTION
	1828	---------- ------
	1829	GENTAMIC IN
	1830	Obs/Hist: OBSERVED
	1831	Obs d/t: Jan 05, 2 016
	1832	Signs /Symptoms: RASH (1/5 /16)
	1833	URTICARIA (1/5/16)
	1834	ORIGI NATOR
	1835	COMM ENTS:
	1836	Date: Feb 26, 2016@1 0:52 User: PE ARSON,HOLL Y
	1837	Title: SY STEMS ANAL YST
	1838	This is a requ ired comme nt
	1839	Is this co rrect? NO/ /
	1840	Is this co rrect? NO/ / YES
	1841	This sessi on you hav e CHOSEN:
	1842	GENTA MICIN
	1843	Historical Allergy e xample:
	1844	Patient In formation Jan 20, 20 16@17:02:4 0 Page: 1 of 2
	1845	OPHEPPAT,O NE < A>
	1846	PID: 666 -03-1990 Ht(cm): _ ______ (__ ____)
	1847	DOB: MAR 19,1990 ( 25) Wt(kg): _ ______ (__ ____)
	1848	SEX: MAL E Non-VA M eds on Fil e - Last e ntry on 08 /04/15
	1849	Eligibilit y:
	1850	RX PATIENT STATUS: O THER FEDER AL
	1851	Disabiliti es:
	1852	HOME PHONE :
	1853	CELL PHONE :
	1854	WORK PHONE :
	1855	Prescripti on Mail De livery: Re gular Mail
	1856	Allergies
	1857	Verifi ed: METFOR MIN, PENIC ILLIN, ASP IRIN,
	1858	+ Enter ?? f or more ac tions
	1859	EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate
	1860	DD Detail ed Allergy /ADR List EX Exit P atient Lis t
	1861	Select Act ion: Next Screen// e a Enter/ Edit Aller gy/ADR Dat a
	1862	OB S/
	1863	REACTANT VER. MECH. HI ST TYPE
	1864	-------- ---- - ------ -- -- ----
	1865	METFORMIN AUTO A LLERGY OB S DRUG
	1866	(METFORMI N HYDROCHL ORIDE)
	1867	Reacti ons: ANXIE TY, HIVES, ITCHING,W ATERING EY ES
	1868	OXYCODONE NO A LLERGY OB S DRUG
	1869	Reacti ons: COMA, SHORTNESS OF BREATH
	1870	PENICILLIN AUTO A LLERGY OB S DRUG
	1871	Reacti ons: ANAPH YLAXIS, RA SH, NAUSEA ,VOMITING,
	1872	BELCH ING
	1873	ASPIRIN AUTO A LLERGY OB S DRUG
	1874	Reacti ons: DIARR HEA, NAUSE A,VOMITING , HIVES FOOD
	1875	Enter Caus ative Agen t: Gentami cin
	1876	Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s...
	1877	Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes...
	1878	Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6)
	1879	1 G ENTAMICIN
	1880	2 G ENTAMICIN/ PREDNISOLO NE
	1881	3 G ENTAMICIN/ SODIUM CHL ORIDE
	1882	CHOOSE 1-3 : 1 GENTA MICIN
	1883	GENTAMI CIN OK? Yes// (Y es)
	1884	(O)bserved or (H)ist orical All ergy/Adver se Reactio n: h HIST ORICAL
	1885	No signs/s ymptoms ha ve been sp ecified. Please add some now.
	1886	The follow ing are th e top ten most commo n signs/sy mptoms:
	1887	1. ANXIET Y 7. H IVES
	1888	2. ITCHIN G,WATERING EYES 8. D RY MOUTH
	1889	3. ANOREX IA 9. D RY NOSE
	1890	4. DROWSI NESS 10. R ASH
	1891	5. NAUSEA ,VOMITING 11. O THER SIGN/ SYMPTOM
	1892	6. DIARRH EA
	1893	Enter from the list above : 7 ,10
	1894	Date(Time Optional) of appeara nce of Sig n/Symptom( s): t (JA N 20, 2016 )
	1895	The follow ing is the list of r eported si gns/sympto ms for thi s reaction :
	1896	Signs /Symptoms Date Ob served
	1897	---------- ---------- ---------- ---------- ---------- ---------- ---------- -----
	1898	1 HIVES Jan 20, 2016
	1899	2 RASH Jan 20, 2016
	1900	Select Act ion (A)DD, (D)ELETE OR <RET>:
	1901	COMMENTS:
	1902	No exist ing text
	1903	Edit? NO //
	1904	Enter anot her Causat ive Agent? YES// n NO
	1905	Causative Agent Data edited th is Session :
	1906	ADVERSE RE ACTION
	1907	---------- ------
	1908	GENTAMIC IN
	1909	Obs/Hist: HISTORICA L
	1910	Signs /Symptoms: HIVES (1/ 20/16)
	1911	RASH (1/2 0/16)
	1912	Is this co rrect? NO/ / y YES
	1913	This sessi on you hav e CHOSEN:
	1914	GENTA MICIN
	1915	(This page included for two-si ded copyin g.)
	1916	Chapter 16 : Clinical Reminder Order Chec ks XE "Cli nical Remi nders"
	1917	This chapt er describ es the dis play of Cl inical Rem inder Orde r Checks t hat appear prior to Enhanced O rder Check s. Patch P SO7411 b rings in n ew Clinica l Reminder Order Che cks functi onality.
	1918	Order Chec ks now inc lude the a bility to view Clini cal Remind ers (prior to the di splay of E nhanced Dr ug-Drug in teractions ). XE "Cli nical Remi nders" Re minders XE "Reminder s" 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.
	1919	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	1920	========== ========== ========== ========== ========== ========== ==
	1921	* Clinic al Reminde r Order Ch eck \| Seve rity: SEVE RE *
	1922	Potentiall y Teratoge nic Medica tion (FDA Category D or C)
	1923	Concern ha s been rai sed about use of thi s medicati on during pregnancy.
	1924	1) Pregnan cy status should be determined . Discuss use of thi s medicati on on the
	1925	context of risks to the mother and child of untrea ted diseas e. Potenti al
	1926	benefits m ay warrant use of th e drug in pregnant w omen despi te risks.
	1927	2) The pat ient must be provide d contrace ptive coun seling on potential risk vs.
	1928	benefit of taking th is medicat ion if she were to b ecome preg nant.
	1929	******** ****** ****** ****** ****** ****** ******
	1930	Press Retu rn to Cont inue...:
	1931	The 'Terat ogenic Med ications' Order Chec k will dis play for f emale pati ents
	1932	between th e ages of 12 and 50, except th ose with a known exc lusion cri terion
	1933	(e.g., hys terectomy) , or those with a do cumented I UD placeme nt that is more
	1934	recent tha n a docume nted IUD r emoval.
	1935	(This page included for two-si ded copyin g.)
	1936	Chapter 17 : Processi ng Order C hecks XE " Process Dr ug/Drug In teractions "
	1937	This chapt er describ es the opt ion used f or process ing order checks.
	1938	Processing Order Che cks
	1939	[PSO ORDER CHECKS VE RIFY]
	1940	Using this option, i nformation for medic ations tha t have bee n marked a s a drug/d rug intera ction or a dosing or der check warning ca n be proce ssed. This allows pr escription s with dru g/drug int eractions or a dosin g order ch eck warnin g to be pr ocessed, d eleted, or bypassed. An assign ed signatu re code, w hich will not appear on the sc reen, must be entere d to compl ete any of these act ions. The pharmacist will then be given the option to Verify , Delete, Quit the p rocess, or leave the prescript ion in a N on-Verifie d status. The Electr onic Signa ture code Edit optio n can be f ound under the User' s Toolbox menu in Ke rnel V. 8. 0.
	1941
	1942	When proce ssing a dr ug/drug in teraction or dosing order chec k warning, the profi le will li st the sta tus of the interacti ng drug or ders to be processed as non-ve rified (N) .
	1943	This secti on describ es the Dru g/Drug Int eraction e nhancement s made to the Outpat ient Pharm acy applic ation incl uded in PS O7251 an d Maximum Single Dos e Check en hancement in PSO73 72.
	1944	Legacy Vis tA Drug/Dr ug Interac tions have been enha nced to ut ilize Firs t DataBank ’s (FDB) D rug Inform ation Fram ework (DIF ) business rules, AP Is and dat abase to p rovide mor e clinical ly relevan t Drug Int eraction i nformation . No chang es have be en made to the exist ing user a ctions for critical or signifi cant Drug Interactio ns. The ph armacist w ill have t o log an i nterventio n for loca l, pending and remot e critical interacti ons and ha ve the opt ion of log ging an in tervention for local and remot e signific ant intera ctions. No action is required for Non-VA medicatio ns orders.
	1945	FDB custom Drug Inte raction ta bles will be used to store cus tom change s to FDB s tandard re ference Dr ug Interac tion table s. FDB Dru g Interact ions that are design ated as cr itical in VistA will have thei r severity level mod ified to ‘ 1’. All F DB Drug In teractions that are designated as signif icant in V istA will have their severity level modi fied to ‘2 ’. Any Dr ug Interac tion in Vi stA that i s not in F DB will be added to the FDB cu stom table s. For th ese intera ctions a c ustom mono graph will be create d with a c linical ef fects sect ion.
	1946	The follow ing Outpat ient Pharm acy order entry proc esses have been enha nced:
	1947	Entering a new order via backd oor pharma cy options
	1948	Finishing a pending order
	1949	Renewing a n order
	1950	Editing an order whi ch results in a new order bein g created.
	1951	Verifying an order
	1952	Copying an order
	1953	Reinstatin g a discon tinued ord er
	1954	If a dispe nse drug i s associat ed with an active No n-VA med o rder, that dispense drug will be used fo r the Drug Interacti on order c heck. If n o dispense drug is a ssociated with an ac tive Non-V A med orde r, the fir st active dispense d rug marked for Non-V A med use associated with the Orderable Item will be used fo r the Drug Interacti on order c heck.
	1955	If there a re no acti ve dispens e drugs ma rked for N on-VA med use that a re associa ted with t he Orderab le Item, t hen the fi rst active dispense drug marke d for Outp atient use associate d with the Orderable item will be used.
	1956	If there a re no acti ve dispens e drugs ma rked for O utpatient use associ ated with the Ordera ble Item, the first active dis pense drug s associat ed with th e Orderabl e Item wil l be used.
	1957	If there a re no acti ve dispens e drugs as sociated w ith the Or derable It em for the Non-VA me d order, n o Drug Int eraction o rder check will be p erformed.
	1958	Drug inter action ord er checks will be pe rformed ag ainst pend ing orders .
	1959	The softwa re will di splay to a non-pharm acist (doe s not hold PSORPH ke y) when en tering a n ew order v ia pharmac y backdoor options o r when fin ishing an order ente red throug h CPRS the same Drug Interacti on warning informati on as show n to a pha rmacist.
	1960	See exampl es below:
	1961	Example: C ritical Dr ug Interac tion with Local Rx
	1962	*CRITICA L* Drug Interactio n with Pro spective D rug:
	1963	INDINAVIR 400MG CAP and
	1964	L ocal Rx#: 2443
	1965	Drug: AMIODARONE 200MG TAB (ACTIVE)
	1966	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	1967	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	1968	Last F illed On: 11/08/06
	1969	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.
	1970	Example: S ignificant Drug Inte raction wi th Local R x
	1971	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	1972	WARFARIN 5 MG TAB and
	1973	L ocal RX#: 2443
	1974	Drug: ASPIRIN 32 5MG TAB (A CTIVE)
	1975	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	1976	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	1977	Last F illed On: 11/08/06
	1978	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	1979	Example: S ignificant Drug Inte raction wi th Remote Rx
	1980	* Signif icant* D rug Intera ction with Prospecti ve Drug:
	1981	WARFARIN 5 MG TAB and
	1982	LOCATION: <VA or DOD facility> Remote R X#: 109500 21
	1983	Drug: ASPIRIN 32 5MG EC TAB (ACTIVE)
	1984	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	1985	Last F illed On: 11/08/06
	1986	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	1987	Example: C ritical Dr ug Interac tion with Remote Rx
	1988	*CRITICA L* Drug Interactio n with Pro spective D rug:
	1989	INDINAVIR 400MG CAP and
	1990	LO CATION: <V A or DOD F acility> Remote Rx #: 2443
	1991	Drug: AMIODARONE 200MG TAB (ACTIVE)
	1992	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	1993	Last F illed On: 11/08/06
	1994	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.
	1995	Example: C ritical Dr ug Interac tion with Non-VA Med Order
	1996	*Critica l* Drug Interactio n with Pro spective D rug:
	1997	WARFAR IN 5MG TAB and
	1998	Non-VA M ed: CIMETI DINE 200MG TAB
	1999	SIG: ONE TABLE T Sche dule: AT B EDTIME
	2000	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	2001	Example: S ignificant Drug Inte raction wi th Non-VA Med Order
	2002	*Signifi cant* Dr ug Interac tion with Prospectiv e Drug:
	2003	WARFAR IN 5MG TAB and
	2004	Non-VA M ed: ASPIRI N 325MG TA B
	2005	SIG: ONE TABLE T Sche dule: <NOT ENTERED>
	2006	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2007	Example: C ritical Dr ug Interac tion with Pending Or der
	2008	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2009	INDINAVIR 400MG CAP and
	2010	Pend ing Drug: AMIODARONE 200MG TAB
	2011	SIG: TAKE ONE T ABLET EVER Y 8 HOURS
	2012	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.
	2013	Example: S ignificant Drug Inte raction wi th Pending Order
	2014	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	2015	WARFARIN 5 MG TAB and
	2016	Pend ing Drug: ASPIRIN 32 5MG TAB
	2017	SIG: TAKE ONE T ABLET EVER Y 8 HOURS
	2018	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2019	The FDB st andard pro fessional Drug Inter action mon ograph is shown belo w:
	2020	This infor mation is generalize d and not intended a s specific medical a dvice. Con sult your healthcare professio nal before taking or discontin uing any d rug or com mencing an y course o f treatmen t.
	2021	MONOGRAPH TITLE: An ticoagulan ts/Salicyl ates
	2022	SEVERITY L EVEL: 2-S evere Inte raction: A ction is r equired to reduce th e risk of severe adv erse inter action.
	2023	MECHANISM OF ACTION: Multiple processes are invol ved: 1) S alicylate doses grea ter than 3 gm daily decrease p lasma prot hrombin le vels. 2) S alicylates may also displace a nticoagula nts from p lasma prot ein bindin g sites. 3 ) Salicyla tes impair platelet function, resulting in prolong ed bleedin g time. 4) Salicylat es may cau se gastroi ntestinal bleeding d ue to irri tation.
	2024	CLINICAL E FFECTS: T he concurr ent use of anticoagu lants and salicylate s may resu lt in incr eased INR values and increase the risk o f bleeding .
	2025	PREDISPOSI NG FACTORS : None de termined.
	2026	PATIENT MA NAGEMENT: Avoid con comitant a dministrat ion of the se drugs. If salicyl ate use is necessary , monitor prothrombi n time, bl eeding tim e, or INR values clo sely. Whe n possible , the admi nistration of a non- aspirin sa licylate w ould be pr eferable.
	2027	DISCUSSION : This int eraction h as been re ported bet ween aspir in and war farin and between as pirin and dicumarol. Diflunisa l, sodium salicylate , and topi cal methyl salicylat e have bee n shown to interact with antic oagulants as well. Based on t he propose d mechanis ms, other salicylate s would be expected to interac t with ant icoagulant s as well. The time of highest risk for a coumarin -type drug interacti on is when the preci pitant dru g is initi ated, alte red, or di scontinued .
	2028	REFERENCES :
	2029	1.Quick AJ , Clesceri L. Influe nce of ace tylsalicyl ic acid an d salicyla mide on th e coagulat ion of blo od. J Phar macol Exp Ther 1960; 128:95-8.
	2030	2.Watson R M, Pierson RN, Jr. E ffect of a nticoagula nt therapy upon aspi rin-induce d gastroin testinal b leeding. C irculation 1961 Sep; 24:613-6.
	2031	3.Barrow M V, Quick D T, Cunning ham RW. Sa licylate h ypoprothro mbinemia i n rheumato id arthrit is with li ver diseas e. Report of two cas es. Arch I ntern Med 1967 Nov;1 20(5):620- 4.
	2032	4.Weiss HJ , Aledort LM, Kochwa S. The ef fect of sa licylates on the hem ostatic pr operties o f platelet s in man. J Clin Inv est 1968 S ep; 47(9): 2169-80.
	2033	5.Udall JA . Drug int erference with warfa rin therap y. Clin Me d 1970 Aug ; 77:20-5.
	2034	6.Fausa O. Salicylat e-induced hypoprothr ombinemia. A report of four ca ses. Acta Med Scand 1970 Nov;1 88(5):403- 8.
	2035	7.Zucker M B, Peterso n J. Effec t of acety lsalicylic acid, oth er nonster oidal anti -inflammat ory agents , and dipy ridamole o n human bl ood platel ets. J Lab Clin Med 1970 Jul;7 6(1):66-75 .
	2036	8.O'Reilly RA, Sahud MA, Aggel er PM. Imp act of asp irin and c hlorthalid one on the pharmacod ynamics of oral anti coagulant drugs in m an. Ann N Y Acad Sci 1971 Jul 6;179:173- 86.
	2037	9.Dale J, Myhre E, L oew D. Ble eding duri ng acetyls alicylic a cid and an ticoagulan t therapy in patient s with red uced plate let reacti vity after aortic va lve replac ement. Am Heart J 19 80 Jun;99( 6):746-52.
	2038	10.Donalds on DR, Sre eharan N, Crow MJ, R ajah SM. A ssessment of the int eraction o f warfarin with aspi rin and di pyridamole . Thromb H aemost 198 2 Feb 26;4 7(1):77.
	2039	11.Chesebr o JH, Fust er V, Elve back LR, M cGoon DC, Pluth JR, Puga FJ, W allace RB, Danielson GK, Orszu lak TA, Pi ehler JM, Schaff HV. Trial of combined w arfarin pl us dipyrid amole or a spirin the rapy in pr osthetic h eart valve replaceme nt: danger of aspiri n compared with dipy ridamole. Am J Cardi ol 1983 Ma y 15;51(9) :1537-41.
	2040	12.Chow WH , Cheung K L, Ling HM , See T. P otentiatio n of warfa rin antico agulation by topical methylsal icylate oi ntment. J R Soc Med 1989 Aug;8 2(8):501-2 .
	2041	13.Meade T W, Roderic k PJ, Bren nan PJ, Wi lkes HC, K elleher CC . Extra-cr anial blee ding and o ther sympt oms due to low dose aspirin an d low inte nsity oral anticoagu lation. Th romb Haemo st 1992 Ju l 6;68(1): 1-6.
	2042	Copyright <Insert Cu rrent Year > First Da taBank, In c.
	2043	Following the drug i nteraction monograph prompts, when a cri tical or s ignificant drug inte raction is generated with a lo cal, pendi ng, Non-VA med or re mote medic ation orde r, users n ot holding a PSORPH key shall be present ed with th e next pro mpt in the current o rder entry dialog. T hey shall not be sho wn any int ervention prompts or dialog.
	2044	Following the Drug I nteraction monograph prompts, when a sig nificant D rug Intera ction is g enerated w ith a loca l, pending , or remot e medicati on order, the user w ill be pre sented wit h ‘Do you want to in tervene?’ prompt for the follo wing proce sses:
	2045	New order entry via backdoor p harmacy op tions
	2046	Finishing a pending order
	2047	Renewing a n order
	2048	Copying an order
	2049	Editing an order whi ch results in creati on of a ne w order
	2050	Verifying an order
	2051	Reinstatin g an order
	2052	Example: C ritical Dr ug Interac tion with Local Rx – No Monogr aph –Backd oor New Or der Entry
	2053	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2054	INDINAVIR 400MG CAP and
	2055	L ocal RX#: 2443
	2056	Drug: AMIODARONE 200MG TAB (ACTIVE)
	2057	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	2058	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	2059	Last F illed On: 11/08/06
	2060	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.
	2061	Display Pr ofessional Interacti on Monogra ph? No// N o
	2062	Do you wan t to Conti nue? Y// n NO
	2063	RX DELETED
	2064	Or
	2065	Do you wan t to Conti nue? Y// E S
	2066	Do you wan t to Proce ss medicat ion
	2067	INDINAVIR 400MG CAP: P// ROCES S
	2068	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2069	Remote dat a not avai lable - On ly local o rder check s processe d.
	2070	Press Retu rn to Cont inue...
	2071	Now creati ng Pharmac y Interven tion
	2072	for INDINA VIR 400MG CAP
	2073	PROVIDER: OPPROVIDER , ONE
	2074	RECOMMENDA TION: NO C HANGE
	2075	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2076	interventi on or for more optio ns.
	2077	Would you like to ed it this in tervention ? N// O
	2078	VERB: TAKE
	2079	Available Dosage(s)
	2080	1. 400MG
	2081	2. 800MG
	2082	Select fro m list of Available Dosages, E nter Free Text Dose
	2083	or Enter a Question Mark (?) t o view lis t: 1 400MG
	2084	You entere d 400MG is this corr ect? Yes// YES
	2085	VERB: TAKE
	2086	DISPENSE U NITS PER D OSE(CAPSUL E): 1// 1
	2087	Dosage Ord ered: 400M G
	2088	NOUN: CAPS ULE
	2089	ROUTE: ORA L// ORAL
	2090	Example: S ignificant Drug Inte raction wi th Local R x – With M onograph – Backdoor New Order Entry
	2091	* Signif icant * Drug Inter action wit h Prospect ive Drug:
	2092	WARFARIN 5 MG TAB and
	2093	L ocal RX#: 2411
	2094	Drug: ASPIRIN 32 5MG EC TAB (ACTIVE)
	2095	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	2096	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	2097	Last F illed On: 11/08/06
	2098	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2099	Display Pr ofessional Interacti on Monogra ph? No// Y es
	2100	Device: Ho me// <Home would pri nt to scre en, or a s pecific de vice could be specif ied>
	2101	Profession al Monogra ph
	2102	Drug Inter action wit h WARFARIN and ASPIR IN
	2103	This infor mation is generalize d and not intended a s specific medical a dvice. Con sult your healthcare professio nal before taking or discontin uing any d rug or com mencing an y course o f treatmen t.
	2104	MONOGRAPH TITLE: An ticoagulan ts/Salicyl ates
	2105	SEVERITY L EVEL: 2-S evere Inte raction: A ction is r equired to reduce th e risk of severe adv erse inter action.
	2106	MECHANISM OF ACTION: Multiple processes are invol ved: 1) S alicylate doses grea ter than 3 gm daily decrease p lasma prot hrombin le vels. 2) S alicylates may also displace a nticoagula nts from p lasma prot ein bindin g sites. 3 ) Salicyla tes impair platelet function, resulting in prolong ed bleedin g time. 4) Salicylat es may cau se gastroi ntestinal bleeding d ue to irri tation.
	2107	CLINICAL E FFECTS: T he concurr ent use of anticoagu lants and salicylate s may resu lt in incr eased INR values and increase the risk o f bleeding .
	2108	PREDISPOSI NG FACTORS : None de termined.
	2109	PATIENT MA NAGEMENT: Avoid con comitant a dministrat ion of the se drugs. If salicyl ate use is necessary , monitor prothrombi n time, bl eeding tim e, or INR values clo sely. Whe n possible , the admi nistration of a non- aspirin sa licylate w ould be pr eferable.
	2110	DISCUSSION : This in teraction has been r eported be tween aspi rin and wa rfarin and between a spirin and dicumarol . Difluni sal, sodiu m salicyla te, and to pical meth yl salicyl ate have b een shown to interac t with ant icoagulant s as well. Based on the propo sed mechan isms, othe r salicyla tes would be expecte d to inter act with a nticoagula nts as wel l. The tim e of highe st risk fo r a coumar in-type dr ug interac tion is wh en the pre cipitant d rug is ini tiated, al tered, or discontinu ed.
	2111	REFERENCES :
	2112	1.Quick AJ , Clesceri L. Influe nce of ace tylsalicyl ic acid an d salicyla mide on th e coagulat ion of blo od. J Phar macol Exp Ther 1960; 128:95-8.
	2113	2.Watson R M, Pierson RN, Jr. E ffect of a nticoagula nt therapy upon aspi rin-induce d gastroin testinal b leeding. C irculation 1961 Sep; 24:613-6.
	2114	3.Barrow M V, Quick D T, Cunning ham RW. Sa licylate h ypoprothro mbinemia i n rheumato id arthrit is with li ver diseas e. Report of two cas es. Arch I ntern Med 1967 Nov;1 20(5):620- 4.
	2115	4.Weiss HJ , Aledort LM, Kochwa S. The ef fect of sa licylates on the hem ostatic pr operties o f platelet s in man. J Clin Inv est 1968 S ep; 47(9): 2169-80.
	2116	5.Udall JA . Drug int erference with warfa rin therap y. Clin Me d 1970 Aug ; 77:20-5.
	2117	6.Fausa O. Salicylat e-induced hypoprothr ombinemia. A report of four ca ses. Acta Med Scand 1970 Nov;1 88(5):403- 8.
	2118	7.Zucker M B, Peterso n J. Effec t of acety lsalicylic acid, oth er nonster oidal anti -inflammat ory agents , and dipy ridamole o n human bl ood platel ets. J Lab Clin Med 1970 Jul;7 6(1):66-75 .
	2119	8.O'Reilly RA, Sahud MA, Aggel er PM. Imp act of asp irin and c hlorthalid one on the pharmacod ynamics of oral anti coagulant drugs in m an. Ann N Y Acad Sci 1971 Jul 6;179:173- 86.
	2120	9.Dale J, Myhre E, L oew D. Ble eding duri ng acetyls alicylic a cid and an ticoagulan t therapy in patient s with red uced plate let reacti vity after aortic va lve replac ement. Am Heart J 19 80 Jun;99( 6):746-52.
	2121	10.Donalds on DR, Sre eharan N, Crow MJ, R ajah SM. A ssessment of the int eraction o f warfarin with aspi rin and di pyridamole . Thromb H aemost 198 2 Feb 26;4 7(1):77.
	2122	11.Chesebr o JH, Fust er V, Elve back LR, M cGoon DC, Pluth JR, Puga FJ, W allace RB, Danielson GK, Orszu lak TA, Pi ehler JM, Schaff HV. Trial of combined w arfarin pl us dipyrid amole or a spirin the rapy in pr osthetic h eart valve replaceme nt: danger of aspiri n compared with dipy ridamole. Am J Cardi ol 1983 Ma y 15;51(9) :1537-41.
	2123	12.Chow WH , Cheung K L, Ling HM , See T. P otentiatio n of warfa rin antico agulation by topical methylsal icylate oi ntment. J R Soc Med 1989 Aug;8 2(8):501-2 .
	2124	13.Meade T W, Roderic k PJ, Bren nan PJ, Wi lkes HC, K elleher CC . Extra-cr anial blee ding and o ther sympt oms due to low dose aspirin an d low inte nsity oral anticoagu lation. Th romb Haemo st 1992 Ju l 6;68(1): 1-6.
	2125	Copyright <Insert Cu rrent Year > First Da taBank, In c.
	2126	Do you wan t to Inter vene? Y// NO
	2127	Remote dat a not avai lable - On ly local o rder check s processe d.
	2128	Press Retu rn to Cont inue...
	2129	VERB: TAKE
	2130	Available Dosage(s)
	2131	1. 2.5MG
	2132	2. 5MG
	2133	.
	2134	.
	2135	.
	2136	OR
	2137	Do you wan t to Inter vene? Y// ES
	2138	Remote dat a not avai lable - On ly local o rder check s processe d.
	2139	Press Retu rn to Cont inue...
	2140	Now creati ng Pharmac y Interven tion
	2141	for WARFAR IN 5MG TAB
	2142	PROVIDER: OPPROVIDER ,ONE OPP 1 19
	2143	RECOMMENDA TION: NO C HANGE
	2144	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2145	interventi on or for more optio ns.
	2146	Would you like to ed it this in tervention ? N// O
	2147	VERB: TAKE
	2148	Available Dosage(s)
	2149	1. 5MG
	2150	2. 10MG
	2151	Select fro m list of Available Dosages, E nter Free Text Dose
	2152	or Enter a Question Mark (?) t o view lis t: 1 5MG
	2153	You entere d 5MG is t his correc t? Yes// YES
	2154	VERB: TAKE
	2155	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	2156	Dosage Ord ered: 5MG
	2157	NOUN: TABL ET
	2158	ROUTE: PO/ / ORAL PO MO UTH
	2159	Example: S ignificant Drug Inte raction wi th Remote Rx - With Monograph –Backdoor New Order Entry
	2160	* Signif icant* D rug Intera ction with Prospecti ve Drug:
	2161	WARFARIN 5 MG TAB and
	2162	LOCATION: <VA or DOD facility> Remot e RX#: 109 50021
	2163	Drug: ASPIRIN 32 5MG EC TAB (ACTIVE)
	2164	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING)
	2165	Last F illed On: 11/08/06
	2166	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2167	Display Pr ofessional Interacti on Monogra ph? No// Y es
	2168	Device: Ho me// <Home would pri nt to scre en, or a s pecific de vice could be specif ied>
	2169	Profession al Monogra ph
	2170	Drug Inter action wit h WARFARIN and ASPIR IN
	2171	MONOGRAPH TITLE: An ticoagulan ts/Salicyl ates
	2172	SEVERITY L EVEL: 2-S evere Inte raction: A ction is r equired to reduce th e risk of severe adv erse inter action.
	2173	MECHANISM OF ACTION: Multiple processes are invol ved: 1) S alicylate doses grea ter than 3 gm daily decrease p lasma prot hrombin le vels. 2) S alicylates may also displace a nticoagula nts from p lasma prot ein bindin g sites. 3 ) Salicyla tes impair platelet function, resulting in prolong ed bleedin g time. 4) Salicylat es may cau se gastroi ntestinal bleeding d ue to irri tation.
	2174	CLINICAL E FFECTS: T he concurr ent use of anticoagu lants and salicylate s may resu lt in incr eased INR values and increase the risk o f bleeding .
	2175	PREDISPOSI NG FACTORS : None de termined.
	2176	PATIENT MA NAGEMENT: Avoid con comitant a dministrat ion of the se drugs. If salicyl ate use is necessary , monitor prothrombi n time, bl eeding tim e, or INR values clo sely. Whe n possible , the admi nistration of a non- aspirin sa licylate w ould be pr eferable.
	2177	DISCUSSION : This in teraction has been r eported be tween aspi rin and wa rfarin and between a spirin and dicumarol . Difluni sal, sodiu m salicyla te, and to pical meth yl salicyl ate have b een shown to interac t with ant icoagulant s as well. Based on the propo sed mechan isms, othe r salicyla tes would be expecte d to inter act with a nticoagula nts as wel l. The tim e of highe st risk fo r a coumar in-type dr ug interac tion is wh en the pre cipitant d rug is ini tiated, al tered, or discontinu ed.
	2178	REFERENCES :
	2179	1.Quick AJ , Clesceri L. Influe nce of ace tylsalicyl ic acid an d salicyla mide on th e coagulat ion of blo od. J Phar macol Exp Ther 1960; 128:95-8.
	2180	2.Watson R M, Pierson RN, Jr. E ffect of a nticoagula nt therapy upon aspi rin-induce d gastroin testinal b leeding. C irculation 1961 Sep; 24:613-6.
	2181	3.Barrow M V, Quick D T, Cunning ham RW. Sa licylate h ypoprothro mbinemia i n rheumato id arthrit is with li ver diseas e. Report of two cas es. Arch I ntern Med 1967 Nov;1 20(5):620- 4.
	2182	4.Weiss HJ , Aledort LM, Kochwa S. The ef fect of sa licylates on the hem ostatic pr operties o f platelet s in man. J Clin Inv est 1968 S ep; 47(9): 2169-80.
	2183	5.Udall JA . Drug int erference with warfa rin therap y. Clin Me d 1970 Aug ; 77:20-5.
	2184	6.Fausa O. Salicylat e-induced hypoprothr ombinemia. A report of four ca ses. Acta Med Scand 1970 Nov;1 88(5):403- 8.
	2185	7.Zucker M B, Peterso n J. Effec t of acety lsalicylic acid, oth er nonster oidal anti -inflammat ory agents , and dipy ridamole o n human bl ood platel ets. J Lab Clin Med 1970 Jul;7 6(1):66-75 .
	2186	8.O'Reilly RA, Sahud MA, Aggel er PM. Imp act of asp irin and c hlorthalid one on the pharmacod ynamics of oral anti coagulant drugs in m an. Ann N Y Acad Sci 1971 Jul 6;179:173- 86.
	2187	9.Dale J, Myhre E, L oew D. Ble eding duri ng acetyls alicylic a cid and an ticoagulan t therapy in patient s with red uced plate let reacti vity after aortic va lve replac ement. Am Heart J 19 80 Jun;99( 6):746-52.
	2188	10.Donalds on DR, Sre eharan N, Crow MJ, R ajah SM. A ssessment of the int eraction o f warfarin with aspi rin and di pyridamole . Thromb H aemost 198 2 Feb 26;4 7(1):77.
	2189	11.Chesebr o JH, Fust er V, Elve back LR, M cGoon DC, Pluth JR, Puga FJ, W allace RB, Danielson GK, Orszu lak TA, Pi ehler JM, Schaff HV. Trial of combined w arfarin pl us dipyrid amole or a spirin the rapy in pr osthetic h eart valve replaceme nt: danger of aspiri n compared with dipy ridamole. Am J Cardi ol 1983 Ma y 15;51(9) :1537-41.
	2190	12.Chow WH , Cheung K L, Ling HM , See T. P otentiatio n of warfa rin antico agulation by topical methylsal icylate oi ntment. J R Soc Med 1989 Aug;8 2(8):501-2 .
	2191	Copyright <Insert Cu rrent Year > First Da taBank, In c.
	2192	Do you wan t to Inter vene? Y// NO
	2193	Press Retu rn to Cont inue...
	2194	VERB: TAKE
	2195	Available Dosage(s)
	2196	1. 2.5MG
	2197	2. 5MG
	2198	.
	2199	.
	2200	.
	2201	OR
	2202	Do you wan t to Inter vene? Y// ES
	2203	Press Retu rn to Cont inue...
	2204	Now creati ng Pharmac y Interven tion
	2205	for WARFAR IN 5MG TAB
	2206	PROVIDER: OPPROVIDER ,ONE OPP 1 19
	2207	RECOMMENDA TION: NO C HANGE
	2208	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2209	interventi on or for more optio ns.
	2210	Would you like to ed it this in tervention ? N// O
	2211	VERB: TAKE
	2212	Available Dosage(s)
	2213	1. 5MG
	2214	2. 10MG
	2215	Select fro m list of Available Dosages, E nter Free Text Dose
	2216	or Enter a Question Mark (?) t o view lis t: 1 5MG
	2217	You entere d 5MG is t his correc t? Yes// YES
	2218	VERB: TAKE
	2219	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	2220	Dosage Ord ered: 5MG
	2221	NOUN: TABL ET
	2222	ROUTE: PO/ / ORAL PO MO UTH
	2223	Example: C ritical Dr ug Interac tion with Remote Rx - No Monog raph – Bac kdoor New Order Entr y
	2224	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2225	INDINAVIR 400MG CAP and
	2226	LOCATION: <VA or DOD facility> Remote RX#: 25437 89
	2227	Drug: AMIODARONE 200MG TAB (ACTIVE)
	2228	SIG: TAKE ONE T ABLET BY M OUTH EVERY 8 HOURS
	2229	Last F illed On: 11/08/06
	2230	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.
	2231	Display Pr ofessional Interacti on Monogra ph? No// N o
	2232	Do you wan t to Conti nue? Y// n NO
	2233	RX DELETED
	2234	OR
	2235	Do you wan t to Conti nue? Y// E S
	2236	Do you wan t to Proce ss medicat ion
	2237	INDINAVIR 400MG CAP: P// ROCES S
	2238	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2239	Press Retu rn to Cont inue...
	2240	Now creati ng Pharmac y Interven tion
	2241	for INDINA VIR 400MG CAP
	2242	PROVIDER: OPPROVIDER , ONE
	2243	RECOMMENDA TION: NO C HANGE
	2244	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2245	interventi on or for more optio ns.
	2246	Would you like to ed it this in tervention ? N// O
	2247	VERB: TAKE
	2248	Available Dosage(s)
	2249	1. 400MG
	2250	2. 800MG
	2251	Select fro m list of Available Dosages, E nter Free Text Dose
	2252	or Enter a Question Mark (?) t o view lis t: 1 400MG
	2253	You entere d 400MG is this corr ect? Yes// YES
	2254	VERB: TAKE
	2255	DISPENSE U NITS PER D OSE(CAPSUL E): 1// 1
	2256	Dosage Ord ered: 400M G
	2257	NOUN: CAPS ULE
	2258	ROUTE: ORA L// ORAL
	2259	Example: C ritical Dr ug Interac tion with Non-VA Med ication Or der – Back door New O rder Entry – No Mono graph
	2260	Select Act ion: Quit/ / NO New Order
	2261	Eligibilit y: SC LESS THAN 50% SC%: 4 0
	2262	RX PATIENT STATUS: S C LESS THA N 50%//
	2263	DRUG: WARF ARIN
	2264	Lookup: GENERIC NA ME
	2265	1 W ARFARIN 2. 5MG TAB BL 110
	2266	2 W ARFARIN 5M G TAB BL11 0
	2267	CHOOSE 1-2 : 2 WARFA RIN 5MG TA B BL110
	2268	Now doing remote ord er checks. Please wa it...
	2269	Now doing allergy ch ecks. Ple ase wait.. .
	2270	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2271	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2272	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2273	*Critica l* Drug Interactio n with Pro spective D rug:
	2274	WARFAR IN 5MG TAB and
	2275	Non-VA M ed: CIMETI DINE 200MG TAB
	2276	SIG: ONE TABLE T Sched ule: AT BE DTIME
	2277	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	2278	Display Pr ofessional Interacti on Monogra ph? No// N o
	2279	VERB: TAKE
	2280	Available Dosage(s)
	2281	1. 5MG
	2282	2. 10MG
	2283	Select fro m list of Available Dosages, E nter Free Text Dose
	2284	or Enter a Question Mark (?) t o view lis t: 1 5MG
	2285	You entere d 5MG is t his correc t? Yes//
	2286	Example: C ritical Dr ug Interac tion with Pending Or der – No M onograph – Backdoor N ew Order E ntry
	2287	*CRITICA L* Drug Interactio n with Pro spective D rug
	2288	INDINAVIR 400MG CAP and
	2289	Pend ing Drug: AMIODARONE 200MG TAB
	2290	SIG: TAKE ONE T ABLET EVER Y 8 HOURS
	2291	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.
	2292	Display Pr ofessional Interacti on Monogra ph? No// N o
	2293	Do you wan t to Conti nue? Y// n NO
	2294	RX DELETED
	2295	Or
	2296	Do you wan t to Conti nue? Y// E S
	2297	Do you wan t to Proce ss medicat ion
	2298	INDINAVIR 400MG CAP: P// ROCES S
	2299	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2300	Remote dat a not avai lable - On ly local o rder check s processe d.
	2301	Press Retu rn to Cont inue...
	2302	Now creati ng Pharmac y Interven tion
	2303	for INDINA VIR 400MG CAP
	2304	PROVIDER: OPPROVIDER , ONE
	2305	RECOMMENDA TION: NO C HANGE
	2306	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2307	interventi on or for more optio ns.
	2308	Would you like to ed it this in tervention ? N// O
	2309	VERB: TAKE
	2310	Available Dosage(s)
	2311	1. 400MG
	2312	2. 800MG
	2313	Select fro m list of Available Dosages, E nter Free Text Dose
	2314	or Enter a Question Mark (?) t o view lis t: 1 400MG
	2315	You entere d 400MG is this corr ect? Yes// YES
	2316	VERB: TAKE
	2317	DISPENSE U NITS PER D OSE(CAPSUL E): 1// 1
	2318	Dosage Ord ered: 400M G
	2319	NOUN: CAPS ULE
	2320	ROUTE: ORA L// ORAL
	2321	Example: S ignificant Drug Inte raction wi th Pending Rx – With Monograph – Backdoo r New Orde r Entry
	2322	* Signif icant * Drug Inter action wit h Prospect ive Drug
	2323	WARFARIN 5 MG TAB and
	2324	Pend ing Drug: ASPIRIN 32 5MG EC TAB
	2325	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	2326	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2327	Display Pr ofessional Interacti on Monogra ph? No// Y es
	2328	Device: Ho me// <Home would pri nt to scre en, or a s pecific de vice could be specif ied>
	2329	Profession al Monogra ph
	2330	Drug Inter action wit h WARFARIN and ASPIR IN
	2331	This infor mation is generalize d and not intended a s specific medical a dvice. Con sult your healthcare professio nal before taking or discontin uing any d rug or com mencing an y course o f treatmen t.
	2332	MONOGRAPH TITLE: An ticoagulan ts/Salicyl ates
	2333	SEVERITY L EVEL: 2-S evere Inte raction: A ction is r equired to reduce th e risk of severe adv erse inter action.
	2334	MECHANISM OF ACTION: Multiple processes are invol ved: 1) S alicylate doses grea ter than 3 gm daily decrease p lasma prot hrombin le vels. 2) S alicylates may also displace a nticoagula nts from p lasma prot ein bindin g sites. 3 ) Salicyla tes impair platelet function, resulting in prolong ed bleedin g time. 4) Salicylat es may cau se gastroi ntestinal bleeding d ue to irri tation.
	2335	CLINICAL E FFECTS: T he concurr ent use of anticoagu lants and salicylate s may resu lt in incr eased INR values and increase the risk o f bleeding .
	2336	PREDISPOSI NG FACTORS : None de termined.
	2337	PATIENT MA NAGEMENT: Avoid con comitant a dministrat ion of the se drugs. If salicyl ate use is necessary , monitor prothrombi n time, bl eeding tim e, or INR values clo sely. Whe n possible , the admi nistration of a non- aspirin sa licylate w ould be pr eferable.
	2338	DISCUSSION : This in teraction has been r eported be tween aspi rin and wa rfarin and between a spirin and dicumarol . Difluni sal, sodiu m salicyla te, and to pical meth yl salicyl ate have b een shown to interac t with ant icoagulant s as well. Based on the propo sed mechan isms, othe r salicyla tes would be expecte d to inter act with a nticoagula nts as wel l. The tim e of highe st risk fo r a coumar in-type dr ug interac tion is wh en the pre cipitant d rug is ini tiated, al tered, or discontinu ed.
	2339	REFERENCES :
	2340	1.Quick AJ , Clesceri L. Influe nce of ace tylsalicyl ic acid an d salicyla mide on th e coagulat ion of blo od. J Phar macol Exp Ther 1960; 128:95-8.
	2341	2.Watson R M, Pierson RN, Jr. E ffect of a nticoagula nt therapy upon aspi rin-induce d gastroin testinal b leeding. C irculation 1961 Sep; 24:613-6.
	2342	3.Barrow M V, Quick D T, Cunning ham RW. Sa licylate h ypoprothro mbinemia i n rheumato id arthrit is with li ver diseas e. Report of two cas es. Arch I ntern Med 1967 Nov;1 20(5):620- 4.
	2343	4.Weiss HJ , Aledort LM, Kochwa S. The ef fect of sa licylates on the hem ostatic pr operties o f platelet s in man. J Clin Inv est 1968 S ep; 47(9): 2169-80.
	2344	5.Udall JA . Drug int erference with warfa rin therap y. Clin Me d 1970 Aug ; 77:20-5.
	2345	6.Fausa O. Salicylat e-induced hypoprothr ombinemia. A report of four ca ses. Acta Med Scand 1970 Nov;1 88(5):403- 8.
	2346	7.Zucker M B, Peterso n J. Effec t of acety lsalicylic acid, oth er nonster oidal anti -inflammat ory agents , and dipy ridamole o n human bl ood platel ets. J Lab Clin Med 1970 Jul;7 6(1):66-75 .
	2347	8.O'Reilly RA, Sahud MA, Aggel er PM. Imp act of asp irin and c hlorthalid one on the pharmacod ynamics of oral anti coagulant drugs in m an. Ann N Y Acad Sci 1971 Jul 6;179:173- 86.
	2348	9.Dale J, Myhre E, L oew D. Ble eding duri ng acetyls alicylic a cid and an ticoagulan t therapy in patient s with red uced plate let reacti vity after aortic va lve replac ement. Am Heart J 19 80 Jun;99( 6):746-52.
	2349	10.Donalds on DR, Sre eharan N, Crow MJ, R ajah SM. A ssessment of the int eraction o f warfarin with aspi rin and di pyridamole . Thromb H aemost 198 2 Feb 26;4 7(1):77.
	2350	11.Chesebr o JH, Fust er V, Elve back LR, M cGoon DC, Pluth JR, Puga FJ, W allace RB, Danielson GK, Orszu lak TA, Pi ehler JM, Schaff HV. Trial of combined w arfarin pl us dipyrid amole or a spirin the rapy in pr osthetic h eart valve replaceme nt: danger of aspiri n compared with dipy ridamole. Am J Cardi ol 1983 Ma y 15;51(9) :1537-41.
	2351	12.Chow WH , Cheung K L, Ling HM , See T. P otentiatio n of warfa rin antico agulation by topical methylsal icylate oi ntment. J R Soc Med 1989 Aug;8 2(8):501-2 .
	2352	13.Meade T W, Roderic k PJ, Bren nan PJ, Wi lkes HC, K elleher CC . Extra-cr anial blee ding and o ther sympt oms due to low dose aspirin an d low inte nsity oral anticoagu lation. Th romb Haemo st 1992 Ju l 6;68(1): 1-6.
	2353	Copyright <Insert Cu rrent Year > First D ataBank, I nc.
	2354	Do you wan t to Inter vene? Y// NO
	2355	Remote dat a not avai lable - On ly local o rder check s processe d.
	2356	Press Retu rn to Cont inue...
	2357	VERB: TAKE
	2358	Available Dosage(s)
	2359	1. 2.5MG
	2360	2. 5MG
	2361	.
	2362	.
	2363	.
	2364	OR
	2365	Do you wan t to Inter vene? Y// ES
	2366	Remote dat a not avai lable - On ly local o rder check s processe d.
	2367	Press Retu rn to Cont inue...
	2368	Now creati ng Pharmac y Interven tion
	2369	for WARFAR IN 5MG TAB
	2370	PROVIDER: OPPROVIDER ,ONE OPP 1 19
	2371	RECOMMENDA TION: NO C HANGE
	2372	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2373	interventi on or for more optio ns.
	2374	Would you like to ed it this in tervention ? N// O
	2375	VERB: TAKE
	2376	Available Dosage(s)
	2377	1. 5MG
	2378	2. 10MG
	2379	Select fro m list of Available Dosages, E nter Free Text Dose
	2380	or Enter a Question Mark (?) t o view lis t: 1 5MG
	2381	You entere d 5MG is t his correc t? Yes// YES
	2382	VERB: TAKE
	2383	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	2384	Dosage Ord ered: 5MG
	2385	NOUN: TABL ET
	2386	ROUTE: PO/ / ORAL PO MO UTH
	2387	Example: S ignificant Drug Inte raction wi th Local R x – Finish ing Pendin g Order – No Monogra ph
	2388	+ Enter ?? f or more ac tions
	2389	BY Bypass DC Discon tinue
	2390	ED Edit FN Finish
	2391	Select Ite m(s): Next Screen// FN Finis h
	2392	Now doing remote ord er checks. Please wa it...
	2393	Now doing allergy ch ecks. Ple ase wait.. .
	2394	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2395	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2396	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2397	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	2398	WARFARIN 5 MG TAB and
	2399	L ocal RX#: 2498
	2400	Drug: ASPIRIN 32 5MG EC TAB (ACTIVE)
	2401	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	2402	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	2403	Last F illed On: 11/08/06
	2404	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2405	Display Pr ofessional Interacti on Monogra ph? No// N o
	2406	Do you wan t to Inter vene? Y// NO
	2407	Was treatm ent for Se rvice Conn ected cond ition? YES //
	2408	Are you su re you wan t to Accep t this Ord er? NO//
	2409	.
	2410	.
	2411	.
	2412	OR
	2413	Do you wan t to Inter vene? Y// ES
	2414	Now creati ng Pharmac y Interven tion
	2415	for WARFAR IN 5MG TAB
	2416	PROVIDER: OERRPRO VIDER, ONE
	2417	RECOMMENDA TION: NO C HANGE
	2418	See 'Inter vention Me nu' if you want to d elete this
	2419	interventi on or for more optio ns.
	2420	Would you like to ed it this in tervention ? N// O
	2421	Rx # 2500 10/19/0 7
	2422	OPPATIENT, ONE #30
	2423	TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2424	WARFARIN 5 MG TAB
	2425	OERRPROVID ER,ONE O PPHARMACIS T,ONE
	2426	# of Refil ls: 11
	2427	SC Percent: 4 0%
	2428	Disab ilities: N ONE STATED
	2429	This Rx ha s been fla gged by th e provider as: NO CO PAY
	2430	Was treatm ent for Se rvice Conn ected cond ition? YES //
	2431	Are you su re you wan t to Accep t this Ord er? NO//
	2432	Example: C ritical Dr ug Interac tion with Local Rx – Finishing Pending O rder – No Monograph
	2433	+ Enter ?? f or more ac tions
	2434	BY Bypass DC Discon tinue
	2435	ED Edit FN Finish
	2436	Select Ite m(s): Next Screen// FN Finis h
	2437	Now doing remote ord er checks. Please wa it...
	2438	Now doing allergy ch ecks. Ple ase wait.. .
	2439	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2440	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2441	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2442	INDINAVIR 400MG CAP and
	2443	L ocal RX#: 2443
	2444	Drug: AMIODARONE 200MG TAB (ACTIVE)
	2445	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	2446	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	2447	Last F illed On: 11/08/06
	2448	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.
	2449	Display Pr ofessional Interacti on Monogra ph? No// N o
	2450	Do you wan t to Conti nue? Y// n NO
	2451	Pending OP Orders (R OUTINE) Oct 19, 20 07@08:55:1 2 Page: 1 of 4
	2452	OPPATIENT, ONE <A>
	2453	PID: 666 -45-6754 Ht(cm): 1 87.96 (07/ 05/1994)
	2454	DOB: JAN 1,1945 (6 2) Wt(kg): 7 7.27 (07/0 5/1994)
	2455	CPRS Order Checks:
	2456	SIG NIFICANT d rug-drug i nteraction : ASPIRIN & IBUPROFE N (ASPIRIN TAB,EC 3 25MG
	2457	TAKE ONE TABLE T BY MOUTH EVERY MOR NING [ACT IVE])
	2458	Overr iding Prov ider: OERR PROVIDER, ONE
	2459	Overr iding Reas on: TESTIN G
	2460	SIGN IFICANT dr ug-drug in teraction: IBUPROFEN & WARFARI N (WARFARI N TAB 5MG
	2461	TAKE ONE TABLE T BY MOUTH AT BEDTIM E [PENDIN G])
	2462	Overr iding Prov ider: OERR PROVIDER, ONE
	2463	Overr iding Reas on:
	2464	SIGN IFICANT dr ug-drug in teraction: IBUPROFEN & METHOTR EXATE (MET HOTREXATE
	2465	TAB 2.5MG TAK E ONE TABL ET BY MOUT H TWICE A DAY [PEND ING])
	2466	Overr iding Prov ider: OERR PROVIDER,O NE
	2467	+ Enter ?? f or more ac tions
	2468	AC Accept ED E dit DC Disco ntinue
	2469	Select Ite m(s): Next Screen//.
	2470	.
	2471	.
	2472	OR
	2473	Do you wan t to Conti nue? Y// Y ES
	2474	Do you wan t to Proce ss medicat ion
	2475	IBUPROFEN 600MG TAB : P// ROCE SS
	2476	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2477	Now creati ng Pharmac y Interven tion
	2478	for IBUPRO FEN 600MG TAB
	2479	PROVIDER: OERRPRO VIDER, ONE
	2480	RECOMMENDA TION: NO C HANGE
	2481	See 'Inter vention Me nu' if you want to d elete this
	2482	interventi on or for more optio ns.
	2483	Would you like to ed it this in tervention ? N// O
	2484	Rx # 2501 10/19/0 7
	2485	OPPATIENT, ONE #9 0
	2486	TAKE ONE T ABLET BY M OUTH THREE TIMES A D AY WITH FO OD OR MILK
	2487	IBUPROFEN 600MG TAB
	2488	OERRPROVID ER,ONE OP PHARMACIST ,ONE
	2489	# of Refil ls: 11
	2490	SC Percent: 4 0%
	2491	Disab ilities: N ONE STATED
	2492	This Rx ha s been fla gged by th e provider as: NO CO PAY
	2493	Was treatm ent for Se rvice Conn ected cond ition? YES //
	2494	Are you su re you wan t to Accep t this Ord er? NO//
	2495	Example: S ignificant Drug Inte raction wi th Pending Order – F inishing P ending Ord er – No Mo nograph
	2496	+ Enter ?? f or more ac tions
	2497	BY Bypass DC Discon tinue
	2498	ED Edit FN Finish
	2499	Select Ite m(s): Next Screen// FN Finis h
	2500	Now doing remote ord er checks. Please wa it...
	2501	Now doing allergy ch ecks. Ple ase wait.. .
	2502	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2503	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2504	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2505	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	2506	W ARFARIN 5M G TAB and
	2507	Pendi ng Drug: A SPIRIN 325 MG EC TAB
	2508	SIG: T AKE ONE TA BLET BY MO UTH EVERY MORNING
	2509	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2510	Display Pr ofessional Interacti on Monogra ph? No// N o
	2511	Do you wan t to Inter vene? Y// NO
	2512	Was treatm ent for Se rvice Conn ected cond ition? YES //
	2513	Are you su re you wan t to Accep t this Ord er? NO//
	2514	.
	2515	.
	2516	.
	2517	OR
	2518	Do you wan t to Inter vene? Y// ES
	2519	Now creati ng Pharmac y Interven tion
	2520	for WARFAR IN 5MG TAB
	2521	PROVIDER: OERRPRO VIDER, ONE
	2522	RECOMMENDA TION: NO C HANGE
	2523	See 'Inter vention Me nu' if you want to d elete this
	2524	interventi on or for more optio ns.
	2525	Would you like to ed it this in tervention ? N// O
	2526	Rx # 2500 10/19/0 7
	2527	OPPATIENT, ONE #30
	2528	TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2529	WARFARIN 5 MG TAB
	2530	OERRPROVID ER,ONE O PPHARMACIS T,ONE
	2531	# of Refil ls: 11
	2532	SC Percent: 4 0%
	2533	Disab ilities: N ONE STATED
	2534	This Rx ha s been fla gged by th e provider as: NO CO PAY
	2535	Was treatm ent for Se rvice Conn ected cond ition? YES //
	2536	Are you su re you wan t to Accep t this Ord er? NO//
	2537	Example: C ritical Dr ug Interac tion with Pending Or der – Fini shing Pend ing Order – No Monog raph
	2538	+ Enter ?? f or more ac tions
	2539	BY Bypass DC Discon tinue
	2540	ED Edit FN Finish
	2541	Select Ite m(s): Next Screen// FN Finis h
	2542	Now doing remote ord er checks. Please wa it...
	2543	Now doing allergy ch ecks. Ple ase wait.. .
	2544	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2545	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2546	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2547	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2548	INDINAVIR 400MG CAP and
	2549	L ocal RX#: 2443
	2550	Drug: AMIODARONE 200MG TAB (ACTIVE)
	2551	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	2552	Proce ssing Stat us: Releas ed locally on 11/08/ 06@08:55:3 2 (Window )
	2553	Last F illed On: 11/08/06
	2554	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.
	2555	Display Pr ofessional Interacti on Monogra ph? No// N o
	2556	Do you wan t to Conti nue? Y// n NO
	2557	Pending OP Orders (R OUTINE) Oct 19, 20 07@08:55:1 2 Page: 1 of 4
	2558	OPPATIENT, ONE <A>
	2559	PID: 666 -45-6754 Ht(cm): 1 87.96 (07/ 05/1994)
	2560	DOB: JAN 1,1945 (6 2) Wt(kg): 7 7.27 (07/0 5/1994)
	2561	CPRS Order Checks:
	2562	SIG NIFICANT d rug-drug i nteraction : ASPIRIN & IBUPROFE N (ASPIRIN TAB,EC 3 25MG
	2563	TAKE ONE TABLE T BY MOUTH EVERY MOR NING [ACT IVE])
	2564	Overr iding Prov ider: OERR PROVIDER, ONE
	2565	Overr iding Reas on: TESTIN G
	2566	SIGN IFICANT dr ug-drug in teraction: IBUPROFEN & WARFARI N (WARFARI N TAB 5MG
	2567	TAKE ONE TABLE T BY MOUTH AT BEDTIM E [PENDIN G])
	2568	Overr iding Prov ider: OERR PROVIDER, ONE
	2569	Overr iding Reas on:
	2570	SIGN IFICANT dr ug-drug in teraction: IBUPROFEN & METHOTR EXATE (MET HOTREXATE
	2571	TAB 2.5MG TAK E ONE TABL ET BY MOUT H TWICE A DAY [PEND ING])
	2572	Overr iding Prov ider: OERR PROVIDER,O NE
	2573	+ Enter ?? f or more ac tions
	2574	AC Accept ED E dit DC Disco ntinue
	2575	Select Ite m(s): Next Screen//
	2576	OR
	2577	Do you wan t to Conti nue? Y// Y ES
	2578	Do you wan t to Proce ss medicat ion
	2579	IBUPROFEN 600MG TAB : P// ROCE SS
	2580	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2581	Now creati ng Pharmac y Interven tion
	2582	for IBUPRO FEN 600MG TAB
	2583	PROVIDER: OERRPRO VIDER, ONE
	2584	RECOMMENDA TION: NO C HANGE
	2585	See 'Inter vention Me nu' if you want to d elete this
	2586	interventi on or for more optio ns.
	2587	Would you like to ed it this in tervention ? N// O
	2588	Rx # 2501 10/19/0 7
	2589	OPPATIENT, ONE #9 0
	2590	TAKE ONE T ABLET BY M OUTH THREE TIMES A D AY WITH FO OD OR MILK
	2591	IBUPROFEN 600MG TAB
	2592	OERRPROVID ER,ONE OP PHARMACIST ,ONE
	2593	# of Refil ls: 11
	2594	SC Percent: 4 0%
	2595	Disab ilities: N ONE STATED
	2596	This Rx ha s been fla gged by th e provider as: NO CO PAY
	2597	Was treatm ent for Se rvice Conn ected cond ition? YES //
	2598	Are you su re you wan t to Accep t this Ord er? NO//
	2599	Example: C ritical In teraction –Renewing an Order
	2600	OP Medicat ions (ACTI VE) Feb 14, 20 08@07:25:2 8 Page: 1 of 3
	2601	OPPATIENT, THREE <A>
	2602	PID: 000 -00-0000 Ht(cm): 1 67.64 (10/ 16/1993)
	2603	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2604	Rx # : 2530$
	2605	(1) *Orde rable Item : WARFARIN TAB
	2606	(2) Drug : WARFARIN 2.5MG TAB
	2607	NDC : 51672-40 29-01
	2608	(3) *Dosage : 2.5 (MG)
	2609	Verb : TAKE
	2610	Disp ense Units : 1
	2611	Noun : TABLET
	2612	*Route : ORAL
	2613	*Schedule : QHS
	2614	(4)Pat In structions :
	2615	SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME
	2616	(5) Pati ent Status : OPT NSC
	2617	(6) Issue Date : 02/13/08 (7) Fill Date: 02/13/08
	2618	Last Fill Date : 02/13/08 (Window)
	2619	+ Enter ?? f or more ac tions
	2620	DC Disco ntinue PR Partial RL Rel ease
	2621	ED Edit RF Refill RN Ren ew
	2622	Select Act ion: Next Screen// R N Renew
	2623	FILL DATE: (2/14/20 08 - 2/14/ 2009): TOD AY// (FE B 14, 2008 )
	2624	MAIL/WINDO W: WINDOW/ / WINDOW
	2625	METHOD OF PICK-UP:
	2626	Nature of Order: WRI TTEN// W
	2627	WAS THE PA TIENT COUN SELED: NO/ / NO
	2628	Do you wan t to enter a Progres s Note? No // NO
	2629	Now Renewi ng Rx # 25 30 Drug: WARFARIN 2.5MG TAB
	2630	Now doing remote ord er checks. Please wa it...
	2631	Now doing allergy ch ecks. Ple ase wait.. .
	2632	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2633	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2634	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2635	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2636	WARFARIN 2 .5MG TAB a nd
	2637	L ocal RX#: #2527
	2638	Drug: CIMETIDINE 300MG TAB (ACTIVE)
	2639	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2640	Proce ssing Stat us: Releas ed locally on 09/08/ 07@08:55:3 2 (Window )
	2641	Last F illed On: 09/08/07
	2642	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	2643	Display Pr ofessional Interacti on Monogra ph? No// N o
	2644	Do you wan t to Conti nue? Y// N O
	2645	RENEWED RX DELETED
	2646	OR
	2647	Do you wan t to Conti nue? Y// E S
	2648	Do you wan t to Proce ss medicat ion
	2649	WARFARIN 2 .5MG TAB: P// ROCESS
	2650	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2651	Now creati ng Pharmac y Interven tion
	2652	for WARFAR IN 2.5MG T AB
	2653	PROVIDER: OPPROVI DER, FOUR FPP 119
	2654	RECOMMENDA TION: N O CHANGE
	2655	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2656	interventi on or for more optio ns.
	2657	Would you like to ed it this in tervention ? N// O
	2658	2530A WARFARI N 2.5MG TA B QTY : 30
	2659	# OF REFIL LS: 11 IS SUED: 02-1 4-08
	2660	SIG: TAKE ONE TABLET BY MOUTH AT BEDTIME
	2661	FILLED: 03 -04-08
	2662	ROUTING: W INDOW PHYS: OPPR OVIDER, FO UR
	2663	Edit renew ed Rx ? Y/ /
	2664	Example: S ignificant Interacti on – Renew ing an Ord er
	2665	OP Medicat ions (ACTI VE) Feb 14, 20 08@07:15:3 1 Page: 1 of 3
	2666	OPPATIENT, THREE <A>
	2667	PID: 000 -00-0000 Ht(cm): 1 67.64 (10/ 16/1993)
	2668	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2669	Rx # : 2531$
	2670	(1) *Orde rable Item : INDOMETH ACIN CAP,O RAL
	2671	(2) Drug : INDOMETH ACIN 25MG CAP
	2672	NDC : 0378-014 3-01
	2673	(3) *Dosage : 25 (MG)
	2674	Verb : TAKE
	2675	Disp ense Units : 1
	2676	Noun : CAPSULE
	2677	*Route : ORAL
	2678	*Schedule : TID
	2679	(4)Pat In structions :
	2680	SIG : TAKE ONE CAPSULE B Y MOUTH TH REE TIMES A DAY
	2681	(5) Pati ent Status : OPT NSC
	2682	(6) Issue Date : 02/13/08 (7) Fill Date: 02/13/08
	2683	Last Fill Date : 02/13/08 (Window)
	2684	+ Enter ?? f or more ac tions
	2685	DC Disco ntinue PR Partial RL Rel ease
	2686	ED Edit RF Refill RN Ren ew
	2687	Select Act ion: Next Screen// R N Renew
	2688	FILL DATE: (2/14/20 08 - 2/14/ 2009): TOD AY// (FE B 14, 2008 )
	2689	MAIL/WINDO W: WINDOW/ / WINDOW
	2690	METHOD OF PICK-UP:
	2691	Nature of Order: WRI TTEN// W
	2692	WAS THE PA TIENT COUN SELED: NO/ / NO
	2693	Do you wan t to enter a Progres s Note? No // NO
	2694	Now Renewi ng Rx # 25 31 Drug: INDOMETHA CIN 25MG C AP
	2695	Now doing remote ord er checks. Please wa it...
	2696	Now doing allergy ch ecks. Ple ase wait.. .
	2697	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2698	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2699	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2700	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	2701	INDOMETHAC IN 25MG CA P and
	2702	L ocal RX#: 2530
	2703	DRUG: WARFARIN 2 .5MG TAB
	2704	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2705	Proce ssing Stat us: Releas ed locally on 01/08/ 08@08:55:3 2 (Window )
	2706	Last F illed On: 01/08/08
	2707	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2708	Display Pr ofessional Interacti on Monogra ph? No// N o
	2709	Do you wan t to Inter vene? Y// ES
	2710	Remote dat a not avai lable - On ly local o rder check s processe d.
	2711	Press Retu rn to Cont inue...
	2712	Now creati ng Pharmac y Interven tion
	2713	for INDOME THACIN 25M G CAP
	2714	PROVIDER: OPPROVI DER,FOUR FPP 119
	2715	RECOMMENDA TION: N O CHANGE
	2716	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2717	interventi on or for more optio ns.
	2718	Would you like to ed it this in tervention ? N// O
	2719	2531A INDOMET HACIN 25MG CAP QTY : 90
	2720	# OF REFIL LS: 11 IS SUED: 02-1 4-08
	2721	SIG: TAKE ONE CAPSUL E BY MOUTH THREE TIM ES A DAY
	2722	FILLED: 03 -04-08
	2723	ROUTING: W INDOW PHYS: OPPR OVIDER,FOU R
	2724	Edit renew ed Rx ? Y/ /
	2725	.
	2726	.
	2727	OR
	2728	Do you wan t to Inter vene? Y// NO
	2729	Remote dat a not avai lable - On ly local o rder check s processe d.
	2730	Press Retu rn to Cont inue...
	2731	2531A INDOMET HACIN 25MG CAP QTY : 90
	2732	# OF REFIL LS: 11 IS SUED: 02-1 4-08
	2733	SIG: TAKE ONE CAPSUL E BY MOUTH THREE TIM ES A DAY
	2734	FILLED: 03 -04-08
	2735	ROUTING: W INDOW PHYS: OPPR OVIDER,FOU R
	2736	Edit renew ed Rx ? Y/ /
	2737	Example: C opying An Order – Cr itical Int eraction
	2738	OP Medicat ions (ACTI VE) Feb 14, 20 08@09:20:0 4 Pa ge: 1 o f 3
	2739	OPPATIENT, TWO <A>
	2740	PID: 666 -33-3333 Ht(cm): 1 67.64 (10/ 16/1993)
	2741	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2742	Rx # : 2530$
	2743	(1) *Orde rable Item : WARFARIN TAB
	2744	(2) Drug : WARFARIN 2.5MG TAB
	2745	NDC : 51672-40 29-01
	2746	(3) *Dosage : 2.5 (MG)
	2747	Verb : TAKE
	2748	Disp ense Units : 1
	2749	Noun : TABLET
	2750	*Route : ORAL
	2751	*Schedule : QHS
	2752	(4)Pat In structions :
	2753	SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME
	2754	(5) Pati ent Status : OPT NSC
	2755	(6) Issue Date : 02/13/08 (7) Fill Date: 02/13/08
	2756	Last Fill Date : 02/13/08 (Window)
	2757	+ Enter ?? f or more ac tions
	2758	DC Disco ntinue PR Partial RL Rel ease
	2759	ED Edit RF Refill RN Ren ew
	2760	Select Act ion: Next Screen// c o CO
	2761	New OP Ord er (COPY) Feb 14, 20 08@09:20:0 4 Page: 1 of 2
	2762	OPPATIENT, TWO <A>
	2763	PID: 666 -33-3333 Ht(cm): 1 67.64 (10/ 16/1993)
	2764	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2765	Orde rable Item : WARFARIN TAB
	2766	(1) Drug : WARFARIN 2.5MG TAB
	2767	(2) Pati ent Status : OPT NSC
	2768	(3) Issue Date : FEB 14,2 008 (4) Fill Date: FEB 14,20 08
	2769	(5) Dosa ge Ordered : 2.5 (MG)
	2770	Verb : TAKE
	2771	Disp ense Units : 1
	2772	Noun : TABLET
	2773	Route : ORAL
	2774	Schedule : QHS
	2775	(6)Pat I nstruction :
	2776	SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME
	2777	(7) D ays Supply : 30 (8) QTY (TAB) : 30
	2778	(9) # of Refills : 11 (10) Routing: WINDOW
	2779	+ Enter ?? f or more ac tions
	2780	AC Accep t ED Edit
	2781	Select Act ion: Next Screen// a c Accept
	2782	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2783	Duplicate Drug in Lo cal RX:
	2784	Rx #: 2530
	2785	Drug: WARFARIN 2 .5MG TAB
	2786	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2787	QTY: 30 Refills re maining: 1 1
	2788	Provider: OPPROVIDER , ONE Issued: 0 2/13/08
	2789	Status: ACTIVE Last fi lled on: 0 2/13/08
	2790	Processin g Status: Released l ocally on 02/13/08@0 8:55:32 ( Window)
	2791	Days Supply: 3 0
	2792	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2793	Discontinu e Rx #2530 WARFARIN 2.5MG TAB? Y/N YES
	2794	Rx #2530 W ARFARIN 2. 5MG TAB wi ll be disc ontinued a fter the a cceptance of the new order.
	2795	Now doing remote ord er checks. Please wa it...
	2796	Now doing allergy ch ecks. Ple ase wait.. .
	2797	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2798	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2799	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2800	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2801	WARFARIN 2 .5MG TAB a nd
	2802	L ocal RX#: 2443
	2803	Drug: AMIODARONE 200MG TAB (ACTIVE)
	2804	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	2805	Proce ssing Stat us: Releas ed locally on 02/18/ 06@08:55:3 2 (Window )
	2806	Last F illed On: 02/18/08
	2807	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	2808	Display Pr ofessional Interacti on Monogra ph? No// N o
	2809	Do you wan t to Conti nue? Y// E S
	2810	Do you wan t to Proce ss medicat ion
	2811	WARFARIN 2 .5MG TAB: P// ROCESS
	2812	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2813	Remote dat a not avai lable - On ly local o rder check s processe d.
	2814	Press Retu rn to Cont inue...
	2815	Now creati ng Pharmac y Interven tion
	2816	for WARFAR IN 2.5MG T AB
	2817	PROVIDER: OPPROVI DER,ONE OPP 119
	2818	RECOMMENDA TION: N O CHANGE
	2819	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2820	interventi on or for more optio ns.
	2821	Would you like to ed it this in tervention ? N// O
	2822	Nature of Order: WRI TTEN//
	2823	.
	2824	.
	2825	.
	2826	OR
	2827	Do you wan t to Conti nue? Y// N O
	2828	Duplicate Drug Rx #2 530 WARFAR IN 2.5MG T AB was NOT Discontin ued.
	2829	Example: C opying an Order – Si gnificant Interactio n
	2830	Medication Profile Feb 14, 20 08@08:56:4 0 Page: 1 of 1
	2831	OPPATIENT, TWO <A>
	2832	PID: 666 -33-3333 Ht(cm): 1 67.64 (10/ 16/1993)
	2833	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2834	SEX: MAL E
	2835	CrCL: <No t Found> B SA (m2): 1 .78
	2836	ISSUE LAS T REF DAY
	2837	# RX # DRU G QTY ST DATE FIL L REM SUP
	2838	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	2839	1 2528$ AMI NOPHYLLINE 200MG TAB 120 A 02-13 02-1 3 11 30
	2840	2 2529$ ASP IRIN 325MG EC TAB 30 A 02-13 02-1 3 11 30
	2841	3 2527$ CIM ETIDINE 30 0MG TAB 30 A 02-13 02-1 3 11 30
	2842	4 2531$ IND OMETHACIN 25MG CAP 90 A 02-13 02-1 3 11 30
	2843	5 2530$ WAR FARIN 2.5M G TAB 30 A 02-13 02-1 3 11 30
	2844	DC Disco ntinue PR Partial RL Rel ease
	2845	ED Edit RF Refill RN Ren ew
	2846	Select Act ion: Next Screen// c o CO
	2847	New OP Ord er (COPY) Feb 14, 20 08@08:56:4 3 Page: 1 of 2
	2848	OPPATIENT, TWO <A>
	2849	PID: 666 -33-3333 Ht(cm): 1 67.64 (10/ 16/1993)
	2850	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2851	Orde rable Item : ASPIRIN TAB,EC
	2852	(1) Drug : ASPIRIN 325MG EC T AB <DIN>
	2853	(2) Pati ent Status : OPT NSC
	2854	(3) Issue Date : FEB 14,2 008 (4) Fill Date: FEB 14,20 08
	2855	(5) Dosa ge Ordered : 325 (MG)
	2856	Verb : TAKE
	2857	Disp ense Units : 1
	2858	Noun : TABLET
	2859	Route : ORAL
	2860	Schedule : QAM
	2861	(6)Pat I nstruction :
	2862	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	2863	(7) D ays Supply : 30 (8) QTY (TAB) : 30
	2864	(9) # of Refills : 11 (10) Routing: WINDOW
	2865	+ Enter ?? f or more ac tions
	2866	AC Accep t ED Edit
	2867	Select Act ion: Next Screen// a c Accept
	2868	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2869	Duplicate Drug in Lo cal RX:
	2870	Rx #: 2529
	2871	Drug: ASPIRIN 32 5MG EC TAB
	2872	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	2873	QTY: 30 Refills re maining: 1 1
	2874	Provider: OPPROVIDER , ONE Issued: 0 2/13/08
	2875	Status: ACTIVE Last fi lled on: 0 2/13/08
	2876	Processin g Status: Released l ocally on 02/13/08@0 8:55:32 ( Window)
	2877	Days Supply: 3 0
	2878	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2879	Discontinu e Rx #2529 ASPIRIN 3 25MG EC TA B? Y/N YE S
	2880	Rx #2529 A SPIRIN 325 MG EC TAB will be di scontinued after the acceptanc e of the n ew order.
	2881	Now doing remote ord er checks. Please wa it...
	2882	Now doing allergy ch ecks. Ple ase wait.. .
	2883	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	2884	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	2885	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2886	*SIGNIFI CANT* Dr ug Interac tion with
	2887	ASPIRIN 32 5MG EC TAB and
	2888	Local RX #: 2530
	2889	DRUG: WARFARIN 2 .5MG TAB ( ACTIVE)
	2890	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2891	Proce ssing Stat us: Releas ed locally on 01/08/ 08@08:55:3 2 (Window )
	2892	Last F illed On: 01/08/08
	2893	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	2894	Display Pr ofessional Interacti on Monogra ph? No// N o
	2895	Do you wan t to Inter vene? Y// n NO
	2896	Remote dat a not avai lable - On ly local o rder check s processe d.
	2897	Press Retu rn to Cont inue...
	2898	Nature of Order: WRI TTEN// W
	2899	WAS THE PA TIENT COUN SELED: NO/ /
	2900	.
	2901	.
	2902	.
	2903	OR
	2904	Do you wan t to Inter vene? Y// ES
	2905	Remote dat a not avai lable - On ly local o rder check s processe d.
	2906	Press Retu rn to Cont inue...
	2907	Now creati ng Pharmac y Interven tion
	2908	for ASPIRI N 325MG EC TAB
	2909	PROVIDER: OPPROVI DER,ONE OPP 119
	2910	RECOMMENDA TION: N O CHANGE
	2911	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2912	interventi on or for more optio ns.
	2913	Would you like to ed it this in tervention ? N// O
	2914	Nature of Order: WRI TTEN//
	2915	Example: V erifying a n Order – Critical D rug Intera ction
	2916	OP Medicat ions (NON- VERIFIED) Feb 13, 20 08@08:49:4 8 Page: 1 of 2
	2917	PSOPATIENT ,TWO <A>
	2918	PID: 000 -00-0000 Ht(cm): 1 67.64 (10/ 16/1993)
	2919	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2920	Rx # : 2528$
	2921	(1) *Orde rable Item : AMINOPHY LLINE TAB
	2922	(2) Drug : AMINOPHY LLINE 200M G TAB
	2923	NDC : 00143-10 25
	2924	(3) *Dosage : 200 (MG)
	2925	Verb : TAKE
	2926	Disp ense Units : 1
	2927	Noun : TABLET
	2928	*Route : ORAL
	2929	*Schedule : Q6H
	2930	(4)Pat In structions :
	2931	SIG : TAKE ONE TABLET BY MOUTH EVE RY 6 HOURS
	2932	(5) Pati ent Status : OPT NSC
	2933	(6) Issue Date : 02/13/08 (7) Fill Date: 02/13/08
	2934	Last Fill Date : 02/13/08 (Window)
	2935	+ Enter ?? f or more ac tions
	2936	DC Disco ntinue PR (Partial) RL (Re lease)
	2937	ED (Edit ) RF (Refill) RN (Re new)
	2938	Select Act ion: Next Screen// V F VF
	2939	PSOPATIENT ,TWO ID #:000-00-0 000 RX #2 528
	2940	ISSUE LAS T REF DAY
	2941	RX # DRU G QTY ST DATE FIL L REM SUP
	2942	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2943	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------
	2944	1 2528$ AMI NOPHYLLINE 200MG TAB 120 N 02-13 02-1 3 11 30
	2945	2 2529$ ASP IRIN 325MG EC TAB 30 N 02-13 02-1 3 11 30
	2946	3 2527$ CIM ETIDINE 30 0MG TAB 30 N 02-13 02-1 3 11 30
	2947	4 2531$ IND OMETHACIN 25MG CAP 90 N 02-13 02-1 3 11 30
	2948	5 2530$ WAR FARIN 2.5M G TAB 30 N 02-13 02-1 3 11 30
	2949	Press RETU RN to Cont inue:
	2950	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	2951	*CRITICA L* Drug Interactio n with Pro spective D rug:
	2952	AMINOPHYLL INE 200MG TAB and
	2953	L ocal RX#: 2527
	2954	Drug: CIMETIDINE 300MG (AC TIVE)
	2955	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	2956	Proce ssing Stat us: Releas ed locally on 11/08/ 08@08:55:3 2 (Window )
	2957	Last F illed On: 11/08/08
	2958	Concurrent cimetidin e and theo phylline d erivative therapy ma y result i n elevated theophyll ine deriva tive conce ntration l evels, pro longed eli mination h alf-life, and decrea sed cleara nce.
	2959	Display Pr ofessional Interacti on Monogra ph? No// N o
	2960	Do you wan t to Conti nue? Y// N O
	2961	Medication Profile Feb 13, 20 08@08:50:0 4 Page: 1 of 1
	2962	PSOPATIENT ,TWO <A>
	2963	PID: 000 -00-0000 Ht(cm): 1 67.64 (10/ 16/1993)
	2964	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	2965	SEX: MAL E
	2966	CrCL: <No t Found> B SA (m2): 1 .78
	2967	ISSUE LAS T REF DAY
	2968	# RX # DRU G QTY ST DATE FIL L REM SUP
	2969	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------
	2970	1 2528$ AMI NOPHYLLINE 200MG TAB 120 N 02-13 02-1 3 11 30
	2971	2 2529$ ASP IRIN 325MG EC TAB 30 N 02-13 02-1 3 11 30
	2972	3 2527$ CIM ETIDINE 30 0MG TAB 30 N 02-13 02-1 3 11 30
	2973	4 2531$ IND OMETHACIN 25MG CAP 90 N 02-13 02-1 3 11 30
	2974	5 2530$ WAR FARIN 2.5M G TAB 30 N 02-13 02-1 3 11 30
	2975	Enter ?? f or more ac tions
	2976	ED (Edit ) RF (Refill) RN (Re new)
	2977	.
	2978	.
	2979	OR
	2980	Do you wan t to Conti nue? Y// Y ES
	2981	Do you wan t to Proce ss or Canc el medicat ion?
	2982	Rx #2528 DRUG: AMIN OPHYLLINE 200MG TAB: PROCESS//
	2983	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	2984	Now creati ng Pharmac y Interven tion
	2985	for AMINOP HYLLINE 20 0MG TAB
	2986	PROVIDER: PSOPROV IDER,TWO TPP 119
	2987	RECOMMENDA TION: N O CHANGE
	2988	See 'Pharm acy Interv ention Men u' if you want to de lete this
	2989	interventi on or for more optio ns.
	2990	Would you like to ed it this in tervention ? N// O
	2991	RX: 2528 PATIENT: P SOPATIENT, TWO (000-0 0-0000)
	2992	STATUS: No n-Verified CO-PAY STATUS
	2993	DRUG : AMINOPHY LLINE 200M G TAB
	2994	QTY : 120 30 DAY SUP PLY
	2995	SIG : TAKE ONE TABLET BY MOUTH EVE RY 6 HOURS
	2996	LATEST : 02/13/20 08 # O F REFILLS: 11 REMAI NING: 11
	2997	ISSUED : 02/13/08 PROVIDER:
	2998	LOGGED : 02/13/08 CLINIC: NOT ON FI LE
	2999	EXPIRES : 02/13/09 DIVISION: HINES (49 9)
	3000	CAP : SAFETY ROUTING: WINDOW
	3001	ENTRY BY : PSOPHARM ACIST,ONE VERIFIED BY:
	3002	LABEL LOG:
	3003	# DATE RX REF PRINTED BY
	3004	========== ========== ========== ========== ========== ========== ========== =========
	3005	1 02/13/0 8 ORIGIN AL OPCLERK,ON E
	3006	COMMENTS: From RX nu mber 2528 Drug-Drug interactio n
	3007	PATIENT ST ATUS : OPT NSC COPIES : 1
	3008	Now doing remote ord er checks. Please wa it...
	3009	Remote dat a not avai lable - On ly local o rder check s processe d.
	3010	Now doing allergy ch ecks. Ple ase wait.. .
	3011	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3012	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3013	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3014	Press Retu rn to Cont inue...
	3015	EDIT: (Y/ N/P): N// O
	3016	VERIFY FOR PSOPATIEN T,TWO ? (Y /N/Delete/ Quit): Y// ES
	3017	Example: V erifying a n Order – Significan t Drug Int eraction
	3018	OP Medicat ions (NON- VERIFIED) Feb 13, 20 08@08:51:4 0 Page: 1 of 2
	3019	PSOPATIENT ,TWO <A>
	3020	PID: 000 -00-0000 Ht(cm): 1 67.64 (10/ 16/1993)
	3021	DOB: JUL 1,1934 (7 3) Wt(kg): 6 8.18 (10/1 6/1993)
	3022	Rx # : 2531$
	3023	(1) *Orde rable Item : INDOMETH ACIN CAP,O RAL
	3024	(2) Drug : INDOMETH ACIN 25MG CAP
	3025	NDC : 0378-014 3-01
	3026	(3) *Dosage : 25 (MG)
	3027	Verb : TAKE
	3028	Disp ense Units : 1
	3029	Noun : CAPSULE
	3030	*Route : ORAL
	3031	*Schedule : TID
	3032	(4)Pat In structions :
	3033	SIG : TAKE ONE CAPSULE B Y MOUTH TH REE TIMES A DAY
	3034	(5) Pati ent Status : OPT NSC
	3035	(6) Issue Date : 02/13/08 (7) Fill Date: 02/13/08
	3036	Last Fill Date : 02/13/08 (Window)
	3037	+ Enter ?? f or more ac tions
	3038	DC Disco ntinue PR (Partial) RL (Re lease)
	3039	ED Edit RF (Refill) RN (Re new)
	3040	Select Act ion: Next Screen// V F VF
	3041	PSOPATIENT ,TWO ID #:000-00-0 000 RX #2 531
	3042	ISSUE LAS T REF DAY
	3043	RX # DRU G QTY ST DATE FIL L REM SUP
	3044	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3045	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	3046	1 2528$ AMI NOPHYLLINE 200MG TAB 120 A 02-13 02-1 3 11 30
	3047	2 2529$ ASP IRIN 325MG EC TAB 30 A 02-13 02-1 3 11 30
	3048	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------
	3049	3 2527$ CIM ETIDINE 30 0MG TAB 30 N 02-13 02-1 3 11 30
	3050	4 2531$ IND OMETHACIN 25MG CAP 90 N 02-13 02-1 3 11 30
	3051	5 2530$ WAR FARIN 2.5M G TAB 30 N 02-13 02-1 3 11 30
	3052	Press RETU RN to Cont inue:
	3053	Now doing remote ord er checks. Please wa it...
	3054	Now doing allergy ch ecks. Ple ase wait.. .
	3055	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3056	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3057	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3058	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3059	INDOMETHA CIN 25MG C AP and
	3060	Local RX #: #2530
	3061	DRUG: WARFARIN 2 .5MG TAB ( ACTIVE)
	3062	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	3063	Proce ssing Stat us: Releas ed locally on 02/13/ 08@08:55:3 2 (Window )
	3064	Last F illed On: 02/13/08
	3065	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	3066	Display Pr ofessional Interacti on Monogra ph? No// N o
	3067	Do you wan t to Inter vene? Y// NO
	3068	RX: 2531 PATIENT: P SOPATIENT, TWO (000-0 0-0000)
	3069	STATUS: No n-Verified CO-PAY STATUS
	3070	DRUG : INDOMETH ACIN 25MG CAP
	3071	QTY : 90 3 0 DAY SUPP LY
	3072	SIG : TAKE ONE CAPSULE B Y MOUTH TH REE TIMES A DAY
	3073	LATEST : 02/13/20 08 # O F REFILLS: 11 REMAI NING: 11
	3074	ISSUED : 02/13/08 PROVIDER:
	3075	LOGGED : 02/13/08 CLINIC: NOT ON FI LE
	3076	EXPIRES : 02/13/09 DIVISION: HINES (49 9)
	3077	CAP : SAFETY ROUTING: WINDOW
	3078	ENTRY BY : OPCLERK, ONE VE RIFIED BY:
	3079	PATIENT ST ATUS : OPT NSC COPIES : 1
	3080	Now doing remote ord er checks. Please wa it...
	3081	Remote dat a not avai lable - On ly local o rder check s processe d.
	3082	Press Retu rn to Cont inue...
	3083	EDIT: (Y/ N/P): N// O
	3084	VERIFY FOR PSOPATIEN T,TWO ? (Y /N/Delete/ Quit): Y// NO
	3085	.
	3086	.
	3087	.
	3088	OR
	3089	Do you wan t to Inter vene? Y// ES
	3090	Now creati ng Pharmac y Interven tion
	3091	for INDOME THACIN 25M G CAP
	3092	PROVIDER: PSOPROV IDER,TWO TPP 119
	3093	RECOMMENDA TION: N O CHANGE
	3094	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3095	interventi on or for more optio ns.
	3096	Would you like to ed it this in tervention ? N// O
	3097	RX: 2531 PATIENT: P SOPATIENT, TWO (000-0 0-0000)
	3098	STATUS: No n-Verified CO-PAY STATUS
	3099	DRUG : INDOMETH ACIN 25MG CAP
	3100	QTY : 90 3 0 DAY SUPP LY
	3101	SIG : TAKE ONE CAPSULE B Y MOUTH TH REE TIMES A DAY
	3102	LATEST : 02/13/20 08 # O F REFILLS: 11 REMAI NING: 11
	3103	ISSUED : 02/13/08 PROVIDER:
	3104	LOGGED : 02/13/08 CLINIC: NOT ON FI LE
	3105	EXPIRES : 02/13/09 DIVISION: HINES (49 9)
	3106	CAP : SAFETY ROUTING: WINDOW
	3107	ENTRY BY : OPCLERK, ONE VE RIFIED BY:
	3108	PATIENT ST ATUS : OPT NSC COPIES : 1
	3109	Now doing remote ord er checks. Please wa it...
	3110	Remote dat a not avai lable - On ly local o rder check s processe d.
	3111	Press Retu rn to Cont inue...
	3112	EDIT: (Y/ N/P): N// O
	3113	VERIFY FOR PSOPATIEN T,TWO ? (Y /N/Delete/ Quit): Y// YES
	3114	Example: R einstating A Discont inued Orde r – Critic al Interac tion
	3115	Rx # : 2473
	3116	(1) *Orde rable Item : AMINOPHY LLINE TAB
	3117	(2) Drug : AMINOPHY LLINE 200M G TAB
	3118	NDC : 00143-10 25
	3119	(3) *Dosage : 200 (MG)
	3120	Verb : TAKE
	3121	Disp ense Units : 1
	3122	Noun : TABLET
	3123	*Route : ORAL
	3124	*Schedule : Q6H
	3125	(4)Pat In structions :
	3126	SIG : TAKE ONE TABLET BY MOUTH EVE RY 6 HOURS
	3127	(5) Pati ent Status : SC LESS THAN 50%
	3128	(6) Issue Date : 06/25/07 (7) Fill Date: 06/25/07
	3129	Last Fill Date : 02/12/08 (Window)
	3130	+ Enter ?? f or more ac tions
	3131	DC Disco ntinue PR (Partial) RL Rel ease
	3132	ED (Edit ) RF (Refill) RN Ren ew
	3133	Select Act ion: Next Screen// D C Discon tinue
	3134	Are you su re you wan t to Reins tate? NO// YES
	3135	Comments: TESTING
	3136	Nature of Order: SER VICE CORRE CTION// S
	3137	========== ========== ========== ========== ========== ========== ========== =========
	3138	2473 AMIN OPHYLLINE 200MG TAB
	3139	Now doing remote ord er checks. Please wa it...
	3140	Now doing allergy ch ecks. Ple ase wait.. .
	3141	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3142	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3143	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3144	*CRITICA L* Drug Interactio n with Pro spective D rug:
	3145	AMINOPHYLL INE 200MG TAB and
	3146	L ocal RX#: 2527
	3147	Drug: CIMETIDINE 300MG (AC TIVE)
	3148	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	3149	Proce ssing Stat us: Releas ed locally on 02/13/ 08@08:55:3 2 (Window )
	3150	Last F illed On: 02/13/08
	3151	Concurrent cimetidin e and theo phylline d erivative therapy ma y result i n elevated theophyll ine deriva tive conce ntration l evels, pro longed eli mination h alf-life, and decrea sed cleara nce.
	3152	Display Pr ofessional Interacti on Monogra ph? No// N o
	3153	Do you wan t to Conti nue? Y// N O
	3154	Medication Profile Feb 14, 20 08@11:43:1 7 Page: 1 of 1
	3155	PSOPATIENT , TEN <A >
	3156	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	3157	DOB: JAN 1,1922 (8 6) Wt(kg): _ ______ (__ ____)
	3158	SEX: MAL E
	3159	CrCL: <No t Found> B SA (m2): _ ______
	3160	ISSUE LAS T REF DAY
	3161	# RX # DRU G QTY ST DATE FIL L REM SUP
	3162	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	3163	1 2472 CIM ETIDINE 30 0MG TAB 60 A 06-25 02-1 2 11 30
	3164	2 2526 IND INAVIR 400 MG CAP 90 A 02-12 02-1 2 11 30
	3165	3 2469 RIF AMPIN 300M G CAP 120 A 06-25 02-1 2 11 30
	3166	4 2525 WAR FARIN 5MG TAB 30 A 02-12 02-1 2 11 30
	3167	---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ---------
	3168	5 2473 AMI NOPHYLLINE 200MG TAB 120 DC 06-25 02-1 2 11 30
	3169	6 2533 AMI ODARONE 20 0MG TAB 180 DC 02-14 02-1 4 11 30
	3170	7 2465 ASP IRIN 325MG EC TAB 30 DC 06-25 02-1 2 11 30
	3171	8 2471 CAR BAMAZEPINE 200MG TAB 90 DC 06-25 02-1 2 11 30
	3172	9 2524 WAR FARIN 2.5M G TAB 90 DC 02-12 02-1 2 11 30
	3173	Enter ?? f or more ac tions
	3174	ED (Edit ) RF (Refill) RN Ren ew
	3175	.
	3176	.
	3177	Or
	3178	Do you wan t to Conti nue? Y// E S
	3179	Do you wan t to Proce ss medicat ion
	3180	AMINOPHYLL INE 200MG TAB: P// R OCESS
	3181	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	3182	Now creati ng Pharmac y Interven tion
	3183	for AMINOP HYLLINE 20 0MG TAB
	3184	PROVIDER: OPPROVI DER, ELEVE N EPP
	3185	RECOMMENDA TION: N O CHANGE
	3186	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3187	interventi on or for more optio ns.
	3188	Would you like to ed it this in tervention ? N// O
	3189	Prescripti on #2473 R EINSTATED!
	3190	Prescri ption #247 3 Filled: JUN 25, 2 007Printed : JUN 25, 2007Releas ed:
	3191	** Do you want to print t he label n ow? N// O
	3192	ED (Edit ) RF (Refill) RN Ren ew
	3193	Example: R einstating A Discont inued Orde r – Signif icant Inte raction
	3194	Rx # : 2465
	3195	(1) *Orde rable Item : ASPIRIN TAB,EC
	3196	(2) Drug : ASPIRIN 325MG EC T AB <DIN>
	3197	NDC : 33261-01 53-14
	3198	(3) *Dosage : 325 (MG)
	3199	Verb : TAKE
	3200	Disp ense Units : 1
	3201	Noun : TABLET
	3202	*Route : ORAL
	3203	*Schedule : QAM
	3204	(4)Pat In structions :
	3205	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	3206	(5) Pati ent Status : SC LESS THAN 50%
	3207	(6) Issue Date : 06/25/07 (7) Fill Date: 06/25/07
	3208	Last Fill Date : 02/12/08 (Window)
	3209	+ Enter ?? f or more ac tions
	3210	DC Disco ntinue PR (Partial) RL Rel ease
	3211	ED (Edit ) RF (Refill) RN Ren ew
	3212	Select Act ion: Next Screen// D C Discon tinue
	3213	Are you su re you wan t to Reins tate? NO// YES
	3214	Comments: REINSTATIN G
	3215	Nature of Order: SER VICE CORRE CTION// S
	3216	========== ========== ========== ========== ========== ========== ========== ==========
	3217	2465 ASPI RIN 325MG EC TAB
	3218	Now doing remote ord er checks. Please wa it...
	3219	Now doing allergy ch ecks. Ple ase wait.. .
	3220	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3221	Now Proces sing Enhan ced Order Checks! P lease wait ...
	3222	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3223	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3224	ASPIRIN 32 5MG EC TAB and
	3225	L ocal RX#: 2524
	3226	Drug: WARFARIN 2 .5MG TAB ( ACTIVE)
	3227	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	3228	Proce ssing Stat us: Releas ed locally on 02/12/ 07@08:55:3 2 (Window )
	3229	Last F illed On: 02/12/07
	3230	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	3231	Display Pr ofessional Interacti on Monogra ph? No// N o
	3232	Do you wan t to Inter vene? Y// NO
	3233	Prescripti on #2524 R EINSTATED!
	3234	Prescri ption #252 4 Filled: FEB 12, 20 07Printed: Rele ased:
	3235	Eithe r print th e label us ing the re print opti on
	3236	or check late r to see i f the labe l has been printed.
	3237	.
	3238	.
	3239	OR
	3240	Do you wan t to Inter vene? Y// YES
	3241	Do you wan t to Proce ss medicat ion
	3242	CARBAMAZEP INE 200MG TAB: P// R OCESS
	3243	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	3244	Now creati ng Pharmac y Interven tion
	3245	for CARBAM AZEPINE 20 0MG TAB
	3246	PROVIDER: OPPROVI DER, ELEVE N EPP
	3247	RECOMMENDA TION: N O CHANGE
	3248	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3249	interventi on or for more optio ns.
	3250	Would you like to ed it this in tervention ? N// O
	3251	Prescripti on #2471 R EINSTATED!
	3252	Prescri ption #247 1 Filled: JUN 25, 2 007Printed : JUN 25, 2007Releas ed:
	3253	** Do you want to print t he label n ow? N// O
	3254	Example: C reating a New Order – Editing the Ordera ble Item – Duplicate Drug
	3255	Medication Profile Feb 14, 20 08@12:26:3 8 Page: 1 of 2
	3256	OPPATIENT, ONE <A>
	3257	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	3258	DOB: JAN 1,1922 (8 6) Wt(kg): _ ______ (__ ____)
	3259	SEX: MAL E
	3260	CrCL: <No t Found> B SA (m2): _ ______
	3261	ISSUE LAS T REF DAY
	3262	# RX # DRUG QTY ST DATE FILL REM SUP
	3263
	3264	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	3265	1 2473 AMIN OPHYLLINE 200MG TAB 120 A 0 6-25 02-12 11 30
	3266	2 2537 ASPI RIN 325MG EC TAB 30 A 0 2-14 02-14 11 30
	3267	3 2471 CARB AMAZEPINE 200MG TAB 90 A 0 6-25 02-12 11 30
	3268	4 2472 CIME TIDINE 300 MG TAB 60 A 0 6-25 02-12 11 30
	3269	5 2526 INDI NAVIR 400M G CAP 90 A 0 2-12 02-12 11 30
	3270	6 2469 RIFA MPIN 300MG CAP 120 A 0 6-25 02-12 11 30
	3271	---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ---------
	3272	7 2533 AMIO DARONE 200 MG TAB 180 DC 0 2-14 02-14 11 30
	3273	8 2536 DIPY RIDAMOLE 2 5MG TAB 30 DE 0 2-14 02-14 11 30
	3274	9 2524 WARF ARIN 2.5MG TAB 90 DC 0 2-12 02-12 11 30
	3275	+ Enter ?? f or more ac tions
	3276	DC Disco ntinue PR Partial RL Rel ease
	3277	ED Edit RF Refill RN Ren ew
	3278	Select Act ion: Next Screen// E D
	3279	Rx # : 2537
	3280	(1) *Orde rable Item : ASPIRIN TAB,EC
	3281	(2) Drug : ASPIRIN 325MG EC T AB <DIN>
	3282	NDC : 00056-01 76-75
	3283	(3) *Dosage : 325 (MG)
	3284	Verb : TAKE
	3285	Disp ense Units : 1
	3286	Noun : TABLET
	3287	*Route : ORAL
	3288	OP Medicat ions (ACTI VE) Feb 14, 20 08@12:26:3 8 Page: 1 of 2
	3289	OPPATIENT, ONE <A>
	3290	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	3291	DOB: JAN 1,1922 (8 6) Wt(kg): _ ______ (__ ____)
	3292
	3293	*Schedule : QAM
	3294	(4)Pat In structions :
	3295	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	3296	(5) Pati ent Status : SC LESS THAN 50%
	3297	(6) Issue Date : 02/14/08 (7) Fill Date: 02/14/08
	3298	Last Fill Date : 02/14/08 (Window)
	3299	+ Enter ?? f or more ac tions
	3300	DC Disco ntinue PR Partial RL Rel ease
	3301	ED Edit RF Refill RN Ren ew
	3302	Select Act ion: Next Screen// 1
	3303	Current Or derable It em: ASPIRI N TAB,EC
	3304	Select PHA RMACY ORDE RABLE ITEM NAME: ASP IRIN// AMI ODARONE A MIODARONE TAB
	3305	New Ordera ble Item s elected. T his edit w ill create a new pre scription!
	3306	Press Retu rn to Cont inue...
	3307	Now doing remote ord er checks. Please wa it...
	3308	Now doing allergy ch ecks. Ple ase wait.. .
	3309	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3310	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3311	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3312	Duplicate Drug in Lo cal Rx:
	3313	Rx #: 2533
	3314	Drug: AMIODARON E 200MG TA B
	3315	SIG: TAKE TWO TABLETS BY MOUTH THR EE TIMES A DAY
	3316	QTY: 180 Refills remaining: 11
	3317	Provider: OPPROVIDE R,TEN Issued: 02/14/08
	3318	Status: Discontin ued Last filled on: 02/14/08
	3319	Processi ng Status: Released locally on 02/14/08@ 08:55:32 (Window)
	3320	Da ys Supply: 30
	3321	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3322	Discontinu e RX #2533 AMIODARON E 200MG TA B? Y/N NO -Prescript ion was no t disconti nued...
	3323	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3324	*CRITICA L* Drug Interactio n with Pro spective D rug:
	3325	AMIODAR ONE 200MG TAB and
	3326
	3327	Local RX #: 2526
	3328	Dru g: INDINAV IR 400MG C AP (ACTIVE )
	3329	SI G: TAKE ON E CAPSULES EVERY 8 H OURS
	3330	Pr ocessing S tatus: Rel eased loca lly on 02/ 12/08@08:5 5:32 (Win dow)
	3331	Las t Filled O n: 02/12/0 8
	3332	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.
	3333	Display Pr ofessional Interacti on Monogra ph? N//No
	3334	Do you wan t to Conti nue? Y// N O
	3335	Rx # : 2537
	3336	(1) *Orde rable Item : ASPIRIN TAB,EC
	3337	(2) Drug : ASPIRIN 325MG EC T AB <DIN>
	3338	NDC : 00056-01 76-75
	3339	(3) *Dosage : 325 (MG)
	3340	Verb : TAKE
	3341	Disp ense Units : 1
	3342	Noun : TABLET
	3343	*Route : ORAL
	3344	*Schedule : QAM
	3345	OP Medicat ions (ACTI VE) Feb 14, 20 08@12:27:0 9 Page: 1 of 2
	3346	OPPATIENT, ONE <A>
	3347	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	3348	DOB: JAN 1,1922 (8 6) Wt(kg): _ ______ (__ ____)
	3349
	3350	(4)Pat In structions :
	3351	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	3352	(5) Pati ent Status : SC LESS THAN 50%
	3353	(6) Issue Date : 02/14/08 (7) Fill Date: 02/14/08
	3354	Last Fill Date : 02/14/08 (Window)
	3355	+ Enter ?? f or more ac tions
	3356	DC Disco ntinue PR Partial RL Rel ease
	3357	ED Edit RF Refill RN Ren ew
	3358	Select Act ion: Next Screen//
	3359	.
	3360	.
	3361	OR
	3362	Do you wan t to Conti nue? Y// E S
	3363	Do you wan t to Proce ss medicat ion
	3364	AMIODARONE 200MG TAB : P// ROCE SS
	3365	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	3366	Now creati ng Pharmac y Interven tion
	3367	for AMIODA RONE 200MG TAB
	3368	PROVIDER: PSOPROV IDER, THRE E TPP
	3369	RECOMMENDA TION: N O CHANGE
	3370	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3371	interventi on or for more optio ns.
	3372	Would you like to ed it this in tervention ? N// O
	3373	Example: E diting An Order – Cr eating a N ew Order – Significa nt Interac tion
	3374	Rx # : 2537
	3375	(1) *Orde rable Item : ASPIRIN TAB,EC
	3376	(2) Drug : ASPIRIN 325MG EC T AB <DIN>
	3377	NDC : 33261-01 53-14
	3378	(3) *Dosage : 325 (MG)
	3379	Verb : TAKE
	3380	Disp ense Units : 1
	3381	Noun : TABLET
	3382	*Route : ORAL
	3383	*Schedule : QAM
	3384	OP Medicat ions (ACTI VE) Feb 14, 20 08@12:27:0 9 Page: 1 of 2
	3385	OPPATIENT, TWO <A>
	3386	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	3387	DOB: JAN 1,1922 (8 6) Wt(kg): _ ______ (__ ____)
	3388	(4)Pat In structions :
	3389	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	3390	(5) Pati ent Status : SC LESS THAN 50%
	3391	(6) Issue Date : 02/14/08 (7) Fill Date: 02/14/08
	3392	Last Fill Date : 02/14/08 (Window)
	3393	+ Enter ?? f or more ac tions
	3394	DC Disco ntinue PR Partial RL Rel ease
	3395	ED Edit RF Refill RN Ren ew
	3396	Select Act ion: Next Screen// E DIT Edit
	3397	Select fie lds by num ber: (1-1 9): 1
	3398	Current Or derable It em: ASPIRI N TAB,EC
	3399	Select PHA RMACY ORDE RABLE ITEM NAME: ASP IRIN// AMI ODARONE A MIODARONE TAB
	3400	New Ordera ble Item s elected. T his edit w ill create a new pre scription!
	3401	Enter RETU RN to cont inue or '^ ' to exit:
	3402	Now doing remote ord er checks. Please wa it...
	3403	Now doing allergy ch ecks. Ple ase wait.. .
	3404	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3405	Now Proces sing Enhan ced Order Checks! P lease wait ...
	3406	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3407	Duplicate Drug in Lo cal Rx:
	3408	Rx #: 2533
	3409	Drug: AMIODARON E 200MG TA B
	3410	SIG: TAKE TWO TABLETS BY MOUTH THR EE TIMES A DAY
	3411	QTY: 180 Refills remaining: 11
	3412	Provider: OPPROVIDE R,TEN Issued: 02/14/08
	3413	Status: Discontin ued Last filled on: 02/14/08
	3414	Processi ng Status: Released locally on 02/14/08@ 08:55:32 (Window)
	3415	Da ys Supply: 30
	3416	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3417	Press Retu rn to Cont inue:
	3418	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3419	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3420	AMIODAR ONE 200MG TAB and
	3421	Local RX #: 2469
	3422	Dru g: CIPROFL OXACIN 750 MG TAB (AC TIVE)
	3423	SI G: TAKE ON E TABLET E VERY 12 HO URS
	3424	Pr ocessing S tatus: Rel eased loca lly on 02/ 12/08@08:5 5:32 (Win dow)
	3425	Las t Filled O n: 02/12/0 8
	3426	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	3427	Display Pr ofessional Interacti on Monogra ph? N//No
	3428	Do you wan t to Inter vene? Y// ES
	3429	Now creati ng Pharmac y Interven tion
	3430	for AMIODA RONE 200MG TAB
	3431	PROVIDER: OPPROVI DER,ELEVEN EPP
	3432	RECOMMENDA TION: N O CHANGE
	3433	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3434	interventi on or for more optio ns.
	3435	Would you like to ed it this in tervention ? N// O
	3436	.
	3437	.
	3438	OR
	3439	Do you wan t to Inter vene? Y// NO
	3440	You have c hanged the Orderable Item from
	3441	ASPIRIN to AMIODARON E.
	3442	Do You wan t to Edit the SIG? N O// YES
	3443	Available Dosage(s)
	3444	1. 200MG
	3445	2. 400MG
	3446	Select fro m list of Available Dosages, E nter Free Text Dose
	3447	or Enter a Question Mark (?) t o view lis t: 1 200MG
	3448	You entere d 200MG is this corr ect? Yes// YES
	3449	VERB: TAKE // TAKE
	3450	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	3451	Example: B ackdoor Ne w Order En try by Non -Pharmacis t – Critic al Interac tion with Non-VA Med plus Sign ificant In teraction with Local Rx
	3452	E nter ?? fo r more act ions
	3453	PU Patien t Record U pdate NO New Or der
	3454	PI Patien t Informat ion SO Select Order
	3455	Select Act ion: Quit/ / NO New Order
	3456	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 80
	3457	RX PATIENT STATUS: S C//
	3458	DRUG: WARF AR
	3459	Lookup: GENERIC NA ME
	3460	1 W ARFARIN 2. 5MG TAB BL 110
	3461	2 W ARFARIN 5M G TAB BL11 0
	3462	CHOOSE 1-2 : 2 WARFA RIN 5MG TA B BL110
	3463	Now doing remote ord er checks. Please wa it...
	3464	Now doing allergy ch ecks. Ple ase wait.. .
	3465	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3466	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3467	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3468	*Critica l* Drug Interactio n with Pro spective D rug:
	3469	WARFAR IN 5MG TAB and
	3470	Non-VA M ed: CIMETI DINE 300MG TAB
	3471	SIG: ONE TABLE T Schedul e: AT BEDT IME
	3472	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	3473	Display Pr ofessional Interacti on Monogra ph? No// N o
	3474	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3475	WARFARIN 5 MG TAB and
	3476	L ocal RX#: 2443
	3477	Drug: IBUPROFEN 600MG TAB (ACTIVE)
	3478	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	3479	Proce ssing Stat us: Releas ed locally on 11/08/ 07@08:55:3 2 (Window )
	3480	Last F illed On: 11/08/07
	3481	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFFECTS
	3482	Display Pr ofessional Interacti on Monogra ph? No// Y es
	3483	Device: Ho me// <Home would pri nt to scre en, or a s pecific de vice could be specif ied>
	3484	Profession al Monogra ph
	3485	Drug Inter action wit h WARFARIN and IBUPR OFEN
	3486	MONOGRAPH TITLE: An ticoagulan ts/NSAIDs
	3487	SEVERITY L EVEL: 3-M oderate In teraction: Assess th e risk to the patien t and take action as needed.
	3488	MECHANISM OF ACTION: The exac t mechanis m is unkno wn. Some N SAIDs may displace a nticoagula nts from p lasma prot ein bindin g sites. N SAIDs also have the potential to produce gastroint estinal ul ceration a nd bleedin g. Some NS AIDs may i mpair plat elet funct ion and pr olong blee ding times .
	3489	CLINICAL E FFECTS: I n some pat ients, NSA IDs have b een associ ated with an increas e in the h ypoprothro mbinemic e ffect to a nticoagula nts.
	3490	PREDISPOSI NG FACTORS : None de termined.
	3491	PATIENT MA NAGEMENT: If concur rent thera py with an ticoagulan ts and NSA IDs is war ranted, pa tients sho uld be mon itored for an increa sed hypopr othrombine mic respon se when NS AIDs are a dded to th e patient' s drug reg imen. In a ddition to routine m onitoring of INR val ues, the p atient sho uld be obs erved for signs of i ncreased e ffect, inc luding bru ising or b leeding. T he time of highest r isk for a coumarin-t ype drug i nteraction is when t he precipi tant drug is initiat ed or disc ontinued. Consult wi th the pre scriber be fore initi ating, alt ering the dose of, o r disconti nuing eith er drug.
	3492	DISCUSSION : The eff ects of NS AIDs on th e hypoprot hrombinemi c response to antico agulants a ppears to vary betwe en patient s as well as with di fferent NS AIDs. Docu mentation is frequen tly contra dictory - while stud ies have s hown sever al NSAIDs to have no effect on the pharm acokinetic s of warfa rin, case reports ha ve documen ted increa sed effect s with and without b leeding wh en these s ame NSAIDs were admi nistered c oncurrentl y with war farin. Whi le celecox ib has bee n shown no t to affec t platelet aggregati on or blee ding times and had n o effects on the ant icoagulant effect of warfarin in healthy subjects, increased prothromb in times a nd bleedin g episodes , some of which were fatal, ha ve been re ported, pr edominantl y in the e lderly, in patients receiving concurrent therapy w ith celeco xib and wa rfarin. Ro fecoxib ha s been sho wn to incr ease proth rombin tim es in subj ects who r eceived co ncurrent w arfarin th erapy. If concurrent therapy w ith antico agulants a nd NSAIDs is warrant ed, it wou ld be prud ent to mon itor patie nts closel y for incr eased anti coagulant effects.
	3493	REFERENCES :
	3494	1.Thilo D, Nyman D. A study of the effec ts of the anti-rheum atic drug ibuprofen (Brufen) o n patients being tre ated with the oral a nti-coagul ant phenpr ocoumon (M arcoumar). J Int Med Res 1974; 2:276-8.
	3495	2.Boekhout -Mussert M J, Loelige r EA. Infl uence of i buprofen o n oral ant i-coagulan t with phe nprocoumon . J Int Me d Res 1974 ;2:279-83.
	3496	3.Penner J A, Abbrech t PH. Lack of intera ction betw een ibupro fen and wa rfarin Cur r Ther Res Clin Exp 1975 Dec;1 8(6):862-7 1.
	3497	4.Michot F , Ajdacic K, Glaus L . A double -blind cli nical tria l to deter mine if an interacti on exists between di clofenac s odium and the oral a nticoagula nt acenoco umarol (ni coumalone) . J Int Me d Res 1975 ;3(3):153- 7.
	3498	5.Marbet G A, Duckert F, Walter M, Six P, Airenne H . Interact ion study between ph enprocoumo n and flur biprofen. Curr Med R es Opin 19 77;5(1):26 -31.
	3499	6.Slattery JT, Levy G, Jain A, McMahon F G. Effect of naproxe n on the k inetics of eliminati on and ant icoagulant activity of a singl e dose or warfarin. Clin Pharm acol Ther 1979 Jan;2 5(1):51-60 .
	3500	7.Jain A, McMahon FG , Slattery JT, Levy G. Effect of naproxe n on the s teady-stat e serum co ncentratio n and anti coagulant activity o f warfarin . Clin Pha rmacol The r 1979 Jan ;25(1):61- 6.
	3501	8.Loftin J P, Vesell ES. Intera ction betw een sulind ac and war farin: dif ferent res ults in no rmal subje cts and in an unusua l patient with a pot assium-los ing renal tubular de fect. J Cl in Pharmac ol 1979 No v-Dec; 19( 11-12):733 -42.
	3502	9.Carter S A. Potenti al effect of sulinda c on respo nse of pro thrombin-t ime to ora l anticoag ulants. La ncet 1979 Sep 29;2(8 144):698-9 .
	3503	10.Ross JR , Beeley L . Sulindac , prothrom bin time, and antico agulants. Lancet 197 9 Nov 17;2 (8151):107 5.
	3504	11.Stricke r BH, Delh ez JL. Int eractions between fl urbiprofen and couma rins. Br M ed J (Clin Res Ed) 1 982 Sep 18 ;285(6344) :812-3.
	3505	12.Dahl SL , Ward JR. Pharmacol ogy, clini cal effica cy, and ad verse effe cts of pir oxicam, a new nonste roidal ant i-inflamma tory agent . Pharmaco therapy 19 82 Mar-Apr ;2(2):80-9 0.
	3506	13.Rhodes RS, Rhodes PJ, Klein C, Sintek CD. A war farin-piro xicam drug interacti on. Drug I ntell Clin Pharm 198 5 Jul-Aug; 19(7-8):55 6-8.
	3507	14.Flessne r MF, Knig ht H. Prol ongation o f prothrom bin time a nd severe gastrointe stinal ble eding asso ciated wit h combined use of wa rfarin and ketoprofe n. JAMA 19 88 Jan 15; 259(3):353 .
	3508	15.Griffin MR, Piper JM, Daugh erty JR, S nowden M, Ray WA. No nsteroidal anti-infl ammatory d rug use an d increase d risk for peptic ul cer diseas e in elder ly persons . Ann Inte rn Med 199 1 Feb 15;1 14(4):257- 63.
	3509	16.Gabriel SE, Jaakk imainen L, Bombardie r C. Risk for seriou s gastroin testinal c omplicatio ns related to use of nonsteroi dal anti-i nflammator y drugs. A meta-anal ysis. Ann Intern Med 1991 Nov 15; 115(10 ):787-96.
	3510	17.Shorr R I, Ray WA, Daugherty JR, Griff in MR. Con current us e of nonst eroidal an ti-inflamm atory drug s and oral anticoagu lants plac es elderly persons a t high ris k for hemo rrhagic pe ptic ulcer disease. Arch Inter n Med 1993 Jul 26;15 3(14):1665 -70.
	3511	18.Hillema n DE, Mohi uddin SM, Lucas BD, Jr. Nonste roidal ant iinflammat ory drug u se in pati ents recei ving warfa rin: empha sis on nab umetone. A m J Med 19 93 Aug 9;9 5(2A):30S- 34S.
	3512	19.Mieszcz ak C, Wint her K. Lac k of inter action of ketoprofen with warf arin. Eur J Clin Pha rmacol 199 3;44(2):20 5-6.
	3513	20.Celebre x (celecox ib) US pre scribing i nformation . Pfizer I nc. Decemb er, 2006.2 1.Vioxx (r ofecoxib) US prescri bing infor mation. Me rck & Co., Inc. Marc h, 2004.
	3514	Copyright <Insert Cu rrent Year > First D ataBank, I nc.
	3515	Do you wan t to Inter vene? Y// ES
	3516	Now creati ng Pharmac y Interven tion
	3517	for WARFAR IN 5MG TAB
	3518	PROVIDER: OPPROVI DER,ELEVEN EPP
	3519	RECOMMENDA TION: N O CHANGE
	3520	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3521	interventi on or for more optio ns.
	3522	Would you like to ed it this in tervention ? N// O
	3523	.
	3524	.
	3525	OR
	3526	Do you wan t to Inter vene? Y// NO
	3527	VERB: TAKE
	3528	Available Dosage(s)
	3529	1. 5MG
	3530	2. 10MG
	3531	Select fro m list of Available Dosages, E nter Free Text Dose
	3532	or Enter a Question Mark (?) t o view lis t:
	3533	Example: F inishing a Pending O rder by No n-Pharmaci st
	3534	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3535	*Critica l* Drug Interactio n with Pro spective D rug:
	3536	WARFAR IN 5MG TAB and
	3537	Non-VA M ed: CIMETI DINE 300MG TAB
	3538	SIG: ONE TABLE T Sched ule: AT BE DTIME
	3539	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	3540	Display Pr ofessional Interacti on Monogra ph? No// N o
	3541	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3542	WARFARIN 5 MG TAB and
	3543	L ocal RX#: 2443
	3544	Drug: IBUPROFEN 600MG TAB (ACTIVE)
	3545	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	3546	Proce ssing Stat us: Releas ed locally on 11/08/ 07@08:55:3 2 (Window )
	3547	Last F illed On: 11/08/07
	3548	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	3549	Display Pr ofessional Interacti on Monogra ph? No// N o
	3550	Do you wan t to Inter vene? Y// ES
	3551	Now creati ng Pharmac y Interven tion
	3552	for WARFAR IN 5MG TAB
	3553	PROVIDER: OPPROVI DER,ELEVEN EPP
	3554	RECOMMENDA TION: N O CHANGE
	3555	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3556	interventi on or for more optio ns.
	3557	Would you like to ed it this in tervention ? N// O
	3558	.
	3559	.
	3560	OR
	3561	Do you wan t to Inter vene? Y// NO
	3562	Rx # 2559 03/04/0 8
	3563	OPPATIENT, ONE #9 0
	3564	TAKE ONE T ABLET BY M OUTH EVERY EVENING
	3565	WARFARIN 5 MG TAB
	3566	OERRPROVID ER,ONE PSOPHARMA CIST,ONE
	3567	# of Refil ls: 3
	3568	SC Percent: 8 0%
	3569	Disab ilities: N ONE STATED
	3570	Was treatm ent for a Service Co nnected co ndition? Y ES//
	3571	Example: P harmacist Verifying Order with Two Drug Interactio ns
	3572	OP Medicat ions (NON- VERIFIED) Mar 04, 20 08@11:55:2 1 Page: 1 of 2
	3573	OPPATIENT, ONE <A >
	3574	PID: 666 -00-0000 Ht(cm): _ ______ (__ ____)
	3575	DOB: JAN 1,1910 (9 8) Wt(kg): _ ______ (__ ____)
	3576	Rx # : 2560
	3577	(1) *Orde rable Item : WARFARIN TAB
	3578	(2) Drug : WARFARIN 5MG TAB
	3579	NDC : 00056-01 76-75
	3580	(3) *Dosage : 5 (MG)
	3581	Verb : TAKE
	3582	Disp ense Units : 1
	3583	Noun : TABLET
	3584	*Route : ORAL
	3585	*Schedule : QPM
	3586	(4)Pat In structions :
	3587	SIG : TAKE ONE TABLET BY MOUTH EVE RY EVENING
	3588	(5) Pati ent Status : SC
	3589	(6) Issue Date : 03/04/08 (7) Fill Date: 03/04/08
	3590	Last Fill Date : 03/04/08 (Window)
	3591	+ Enter ?? f or more ac tions
	3592	DC Disco ntinue PR (Partial) RL (Re lease)
	3593	ED Edit RF (Refill) RN (Re new)
	3594	Select Act ion: Next Screen// V F VF
	3595	RX: 2560 PATIENT: O PPATIENT,O NE (666-00 -0000)
	3596	STATUS: No n-Verified
	3597	DRUG : WARFARIN 5MG TAB
	3598	QTY : 90 9 0 DAY SUPP LY
	3599	SIG : TAKE ONE TABLET BY MOUTH EVE RY EVENING
	3600	LATEST : 03/04/20 08 # O F REFILLS: 3 REMAIN ING: 3
	3601	ISSUED : 03/04/08 PROVIDER:
	3602	LOGGED : 03/04/08 CLINIC: BARB'S CL INIC
	3603	EXPIRES : 03/05/09 DIVISION: HINES (49 9)
	3604	CAP : SAFETY ROUTING: WINDOW
	3605	ENTRY BY : OERRPROV IDER,ONE VERIFIED BY:
	3606	EDIT: (Y/ N/P): N// O
	3607	OPPATIENT, ONE ID#:666 -00-0000 RX #2560
	3608	ISSUE LAS T REF DAY
	3609	RX # DRU G QTY ST DATE FIL L REM SUP
	3610	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3611	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	3612	1 2550 IBU PROFEN 600 MG TAB 270 A 03-03 03-0 4 3 90
	3613	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------
	3614	2 2560 WAR FARIN 5MG TAB 90 N 03-04 03-0 4 3 90
	3615	---------- ---------- ---------- ------PEND ING------- ---------- ---------- ---------
	3616	3 FAMOTID INE 20MG T AB QTY: 180 I SDT: 03-04 > REF: 3
	3617	4 INDOMET HACIN 25MG CAP QTY: 270 I SDT: 03-04 REF: 3
	3618	5 LOVASTA TIN 10MG T AB QTY: 90 I SDT: 03-03 REF: 3
	3619	6 NIFEDIP INE 90MG S A TAB QTY: 90 I SDT: 03-03 REF: 3
	3620	---------- ---------- ---Non-VA MEDS (Not dispensed by VA)---- ---------- ---------
	3621	CIMETIDI NE 300MG T AB 300MG T WICE A DAY Date Docum ented: 03/ 03/08
	3622	Press RETU RN to Cont inue:
	3623	Now doing remote ord er checks. Please wa it...
	3624	Now doing allergy ch ecks. Ple ase wait.. .
	3625	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3626	Now Proces sing Enhan ced Order Checks! P lease wait ...
	3627	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3628	*Critica l* Drug Interactio n with Pro spective D rug:
	3629	WARFAR IN 5MG TAB and
	3630	Non-VA M ed: CIMETI DINE 300MG TAB
	3631	SIG: ONE TABLE T Sched ule: AT BE DTIME
	3632	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	3633	Display Pr ofessional Interacti on Monogra ph? No// N o
	3634	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3635	WARFARIN 5 MG TAB and
	3636	L ocal RX#: 2443
	3637	Drug: IBUPROFEN 600MG TAB (ACTIVE)
	3638	SIG: TAKE ONE T ABLET BY M OUTH THREE TIMES DAI LY
	3639	Proce ssing Stat us: Releas ed locally on 11/08/ 07@08:55:3 2 (Window )
	3640	Last F illed On: 11/08/07
	3641	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	3642	Display Pr ofessional Interacti on Monogra ph? No// N o
	3643	Do you wan t to Inter vene? Y// NO
	3644	RX: 2560 PATIENT: O PPATIENT,O NE (666-00 -0000)
	3645	STATUS: No n-Verified
	3646	DRUG : WARFARIN 5MG TAB
	3647	QTY : 90 9 0 DAY SUPP LY
	3648	SIG : TAKE ONE TABLET BY MOUTH EVE RY EVENING
	3649	LATEST : 03/04/20 08 # O F REFILLS: 3 REMAIN ING: 3
	3650	ISSUED : 03/04/08 PROVIDER:
	3651	LOGGED : 03/04/08 CLINIC: BARB'S CL INIC
	3652	EXPIRES : 03/05/09 DIVISION: HINES (49 9)
	3653	CAP : SAFETY ROUTING: WINDOW
	3654	ENTRY BY : OERRPROV IDER,ONE VERIFIED BY:
	3655	ACTIVITY L OG:
	3656	# DATE REASON RX RE F INITIATOR OF ACTIVIT Y
	3657	========== ========== ========== ========== ========== ========== ========== =========
	3658	1 03/04/0 8 PATIEN T INST.ORI GINAL
	3659	COMMENTS: Patient In structions Not Sent By Provide r.
	3660	PATIENT ST ATUS : SC COPIES : 1
	3661	EDIT: (Y/ N/P): N// NO
	3662	VERIFY FOR OPPATIENT ,ONE ? (Y/ N/Delete/Q uit): Y// ES
	3663	PI Patien t Informat ion SO Select Order
	3664	Medication Profile Mar 04, 20 08@11:55:3 1 Page: 1 of 1
	3665	OPPATIENT, ONE <A >
	3666	PID: 666 -00-0000 Ht(cm): _ ______ (__ ____)
	3667	DOB: JAN 1,1910 (9 8) Wt(kg): _ ______ (__ ____)
	3668	SEX: FEM ALE Non-VA M eds on Fil e Las t entry on 03/03/08
	3669	CrCL: <No t Found> B SA (m2): _ ______
	3670	ISSUE LAS T REF DAY
	3671	# RX # DRU G QTY ST DATE FIL L REM SUP
	3672	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	3673	1 2550 IBU PROFEN 600 MG TAB 270 A 03-03 03-0 4 3 90
	3674	2 2560 WAR FARIN 5MG TAB 90 A 03-04 03-0 4 3 90
	3675	---------- ---------- ---------- ------PEND ING------- ---------- ---------- ---------
	3676	3 FAMOTID INE 20MG T AB QTY: 180 I SDT: 03-04 > REF: 3
	3677	4 INDOMET HACIN 25MG CAP QTY: 270 I SDT: 03-04 REF: 3
	3678	5 LOVASTA TIN 10MG T AB QTY: 90 I SDT: 03-03 REF: 3
	3679	6 NIFEDIP INE 90MG S A TAB QTY: 90 I SDT: 03-03 REF: 3
	3680	---------- ---------- ---Non-VA MEDS (Not dispensed by VA)---- ---------- ---------
	3681	CIMETIDI NE 300MG T AB 300MG T WICE A DAY Date Docum ented: 03/ 03/08
	3682	E nter ?? fo r more act ions
	3683	PU Patien t Record U pdate NO New Or der
	3684	PI Patien t Informat ion SO Select Order
	3685	Select Act ion: Quit/ /
	3686	For orders with mult iple drug interactio ns, the us er is pres ented with a drug in teraction monograph display pr ompt and i nterventio n prompt a fter each drug inter action war ning is di splayed.
	3687	Example: M ultiple Dr ug Interac tions
	3688	Another Ne w Order fo r OPPATIEN T,ONE? YES //
	3689	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 60
	3690	PRISONER O F WAR
	3691	RX PATIENT STATUS: S C//
	3692	DRUG: WARF AR
	3693	Lookup: GENERIC NA ME
	3694	1 W ARFARIN (C OUMADIN) N A 2.5MG TA B BL110
	3695	2 W ARFARIN 5M G TAB BL11 0
	3696	CHOOSE 1-2 : 1 WARFA RIN (COUMA DIN) NA 2. 5MG TAB BL11 0
	3697	Now doing remote ord er checks. Please wa it...
	3698	Now doing allergy ch ecks. Ple ase wait.. .
	3699	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3700	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3701	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3702	*Critica l* Drug Interactio n with Pro spective D rug:
	3703	WARFARIN 2 .5MG TAB a nd
	3704	L ocal RX#: 2376
	3705	Drug: CIMETIDINE 300MG TAB (ACTIVE)
	3706	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	3707	Proce ssing Stat us: Releas ed locally on 11/08/ 07@08:55:3 2 (Window )
	3708	Last F illed On: 11/08/07
	3709	The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere bleed ing.
	3710	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3711	Display Pr ofessional Interacti on Monogra ph? No// N o
	3712	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3713	*SIGNIFI CANT* Dr ug Interac tion with Prospectiv e Drug:
	3714	WARFARIN 2 .5MG TAB a nd
	3715	L ocal RX#: 2378
	3716	Drug: ASPIRIN 32 5MG EC TAB (ACTIVE)
	3717	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	3718	Proce ssing Stat us: Releas ed locally on 11/08/ 07@08:55:3 2 (Window )
	3719	Last F illed On: 11/08/07
	3720	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS
	3721	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3722	Display Pr ofessional Interacti on Monogra ph? No// N o
	3723	Do you wan t to Conti nue? Y// Y ES
	3724	Do you wan t to Proce ss medicat ion
	3725	CIMETIDINE 300MG TAB P// ROCES S
	3726	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	3727	Remote dat a not avai lable - On ly local o rder check s processe d.
	3728	Press Retu rn to Cont inue...
	3729	Now creati ng Pharmac y Interven tion
	3730	for CIMETI DINE 300MG TAB
	3731	PROVIDER: OPPROVIDER , ONE
	3732	RECOMMENDA TION: NO C HANGE
	3733	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3734	interventi on or for more optio ns.
	3735	Would you like to ed it this in tervention ? N// O
	3736	.
	3737	.
	3738	.
	3739	Now Proces sing Enhan ced Order Checks! P lease wait ...
	3740	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3741	*Criti cal* Dr ug Interac tion with Prospectiv e Drug:
	3742	WARFARI N (C0UMADI N) NA 5MG TAB and
	3743	Local Rx #: 509974
	3744	Dru g: AMIODAR ONE 200MG TAB (SUSP ENDED)
	3745	SI G: TAKE ON E TABLET B Y MOUTH TH REE TIMES A DAY
	3746	Pr ocessing S tatus: Not released locally (W indow)
	3747	Las t Filled O n: 11/08/0 6
	3748	Pe nding Drug : AMIODARO NE HCL (PA CERONE) 20 0MG TAB
	3749	SIG : TAKE ONE TABLET BY MOUTH EVE RY 8 HOURS
	3750	The conc urrent adm inistratio n of amiod arone and an anticoa gulant may result
	3751	in an in crease in the clinic al effects of the an ticoagulan t and an
	3752	increase d risk of bleeding.( 1-22) It may take s everal wee ks of conc urrent
	3753	therapy before the full effe cts of thi s interact ion are no ted. The effect
	3754	of amiod arone on a nticoagula nt levels may contin ue for sev eral month s after
	3755	amiodaro ne is disc ontinued.
	3756	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3757	Display In teraction Monograph? No// NO
	3758	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3759	*Criti cal* Dr ug Interac tion with Prospectiv e Drug:
	3760	WARFARI N (C0UMADI N) NA 5MG TAB
	3761	Local Rx #: 502214
	3762	Dru g: KETOCON AZOLE 200M G TAB (AC TIVE)
	3763	SI G: TAKE ON E TABLET B Y MOUTH TH REE TIMES A DAY
	3764	Pr ocessing S tatus: Not released locally (W indow)
	3765	Las t Filled O n: 11/08/0 6
	3766	The anti coagulant effect of warfarin m ay be incr eased.
	3767	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3768	Display In teraction Monograph? No// NO
	3769	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3770	*Criti cal* Dr ug Interac tion with Prospectiv e Drug:
	3771	WARFARIN ( C0UMADIN) NA 5MG TAB and
	3772	No n-VA Med: CIMETIDINE 300MG TAB
	3773	SI G: 300MG Sche dule: TWIC E A DAY
	3774	The phar macologic effects of warfarin may be inc reased res ulting in severe
	3775	bleeding .
	3776	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3777	Display In teraction Monograph? No// NO
	3778	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3779	*Signi ficant* Drug Inte raction wi th Prospec tive Drug:
	3780	WARFARI N (C0UMADI N) NA 5MG TAB and
	3781	Locatio n: <Remote facility name> Re mote Rx#: 502211
	3782	Dru g: ASPIRIN 325MG EC TAB (ACTI VE)
	3783	SI G: TAKE ON E TABLET B Y MOUTH EV ERY MORNIN G
	3784	Las t Filled O n: 11/08/0 6
	3785	Non-VA Me d: ASPIRIN 325MG EC TAB
	3786	SIG: 325MG Schedul e: EVERY M ORNING
	3787	*** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL
	3788	Display In teraction Monograph? No// NO
	3789	Do you wan t to Conti nue? Y// E S
	3790	Do you wan t to Proce ss medicat ion
	3791	WARFARIN ( C0UMADIN) NA 5MG TAB : P// ROCE SS
	3792	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	3793	Now creati ng Pharmac y Interven tion
	3794	for WARFA RIN (C0UMA DIN) NA 5M G TAB
	3795	PROVIDER:
	3796	RECOMMENDA TION: N O CHANGE
	3797	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3798	interventi on or for more optio ns.
	3799	Would you like to ed it this in tervention ? N// O
	3800	Allergy/AD R Order Ch ecks (PSO* 7*251)
	3801	This secti on will de tail the A llergy/ADR order che ck display within Ou tpatient P harmacy.
	3802	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.
	3803	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.
	3804	See exampl es below:
	3805	Remote All ergy/ADR – New Order Entry Bac kdoor – Bo th Ingredi ent and Dr ug Class d efined for Allergy/A DR
	3806	Select Act ion: Quit/ / NO New Order
	3807	PATIENT ST ATUS: SC//
	3808	DRUG: DILT IAZEM
	3809	Lookup: GENERIC NA ME
	3810	1 D ILTIAZEM ( DILACOR XR ) 240MG SA CAP CV200 N/F This
	3811	drug will not be pro cessed wit hout Drug Request Fo rm 10-7144
	3812	2 D ILTIAZEM ( INWOOD) 12 0MG SA CAP CV200
	3813	3 D ILTIAZEM ( INWOOD) 18 0MG SA CAP CV200
	3814	4 D ILTIAZEM ( INWOOD) 24 0MG SA CAP CV200
	3815	5 D ILTIAZEM ( INWOOD) 30 0MG SA CAP CV200
	3816	Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR
	3817	CHOOSE 1-5 : 1 DILTI AZEM (DILA COR XR) 24 0MG SA CAP C V200 N /F This drug will not be pro cessed wit hout Drug Request Fo rm 10-7144
	3818	Now doing remote ord er checks. Please wa it...
	3819	Now doing allergy ch ecks. Ple ase wait.. .
	3820	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3821	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3822	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3823	A Drug-All ergy React ion exists for this medication and/or cl ass!
	3824	Prospe ctive Drug : DILTIAZE M (DILACOR XR) 240MG SA CAP
	3825	Causa tive Agent : DILTIAZE M (SITE RE PORTING AL LERGY – DA TE REPORTE D)
	3826	Historica l/Observed : OBSERVED
	3827	Severity : MODERATE
	3828	I ngredients : DILTIAZE M
	3829	Sign s/Symptoms : ITCHING, WATERING E YES, ANORE XIA, NAUSE A,VOMITING ,
	3830	ANXIETY, DROWSINES S, DRY MOU TH, DRY NO SE, RASH,
	3831	Drug Class : CV200 CA LCIUM CHAN NEL BLOCKE RS (REMOTE (SITE(S)),
	3832	Provide r Override Reason: N /A - Order Entered T hrough Vis tA
	3833	Do you wan t to Inter vene? Y// NO
	3834	VERB: TAKE
	3835	Available Dosage(s)
	3836	1. 240MG
	3837	2. 480MG
	3838	Select fro m list of Available Dosages, E nter Free Text Dose
	3839	or Enter a Question Mark (?) t o view lis t:
	3840	.
	3841	.
	3842	OR
	3843	Do you wan t to Inter vene? Y// ES
	3844	Now creati ng Pharmac y Interven tion
	3845	for DILTIA ZEM (DILAC OR XR) 240 MG SA CAP
	3846	PROVIDER: PSOPROV IDER,THREE TPP 119
	3847	RECOMMENDA TION: N O CHANGE
	3848	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3849	interventi on or for more optio ns.
	3850	Would you like to ed it this in tervention ? N// O
	3851	VERB: TAKE
	3852	Available Dosage(s)
	3853	1. 240MG
	3854	2. 480MG
	3855	Select fro m list of Available Dosages, E nter Free Text Dose
	3856	or Enter a Question Mark (?) t o view lis t:
	3857	Local Alle rgy/ADR – New Order Entry Back door - Onl y Drug Cla ss defined .
	3858	Another Ne w Order fo r PSOPATIE NT, TEN? Y ES//
	3859	Eligibilit y: NSC
	3860	RX PATIENT STATUS: O PT NSC//
	3861	DRUG: SEPT RA
	3862	Lookup: GENERIC NA ME
	3863	SEPTRA DS TAB AM650
	3864	. ..OK? Yes/ / (Yes)
	3865	Now doing remote ord er checks. Please wa it...
	3866	Now doing allergy ch ecks. Ple ase wait.. .
	3867	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3868	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3869	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3870	A Drug-All ergy React ion exists for this medication and/or cl ass!
	3871	Prospe ctive Drug : SEPTRA D S TAB
	3872	Causa tive Agent : SULFADIA ZINE/SULFA MERAZINE/S ULFAMETHAZ INE(SITE R EPORTING A LLERGY – D ATE REPORT ED)
	3873	Historica l/Observed : HISTORIC AL
	3874	Severity : Not Ente red
	3875	Sign s/Symptoms : ITCHING, WATERING E YES, ANORE XIA, NAUSE A,VOMITING ,
	3876	ANXIETY, DROWSINES S,
	3877	Drug Class : AM650 SU LFONAMIDE/ RELATED AN TIMICROBIA LS
	3878	Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er
	3879	Do you wan t to Inter vene? YES/ /
	3880	Now creati ng Pharmac y Interven tion
	3881	for SEPTRA DS TAB
	3882	PROVIDER: PSOPROV IDER,FOUR FPP 119
	3883	RECOMMENDA TION: N O CHANGE
	3884	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3885	interventi on or for more optio ns.
	3886	Would you like to ed it this in tervention ? N// O
	3887	Available Dosage(s)
	3888	1. 1 TABLET
	3889	2. 2 TABLETS
	3890	Select fro m list of Available Dosages, E nter Free Text Dose
	3891	or Enter a Question Mark (?) t o view lis t: 1 1 TAB LET
	3892	You entere d 1 TABLET is this c orrect? Ye s// YES
	3893	VERB: TAKE
	3894	ROUTE: PO/ / ORAL PO MO UTH
	3895	Schedule: BID (TWICE A DAY)
	3896	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	3897	Local & Re mote Aller gy/ADR – M ulti-ingre dients, Pe nding Orde r
	3898	ED Edit FN Finish
	3899	Select Ite m(s): Next Screen// NEXT SC REEN
	3900	Pending OP Orders (R OUTINE) Mar 24, 20 08@21:56:0 3 Page: 2 of 3
	3901	PSOPATIENT ,THREE <A>
	3902	PID: 000 -00-0000 Ht(cm): 1 67.64 (06/ 10/1993)
	3903	DOB: FEB 2,1939 (6 9) Wt(kg): 6 8.18 (06/1 0/1993)
	3904	+
	3905	*(1) Order able Item: SULFAMETH OXAZOLE/TR IMETHOPRIM TAB
	3906	(2) Drug: SULFAMETH OXAZOLE/TR IMETHOPRIM DS TAB
	3907	Verb: TAKE
	3908	(3) *Dosage: 1 TABLET
	3909	*Route: ORAL
	3910	*Schedule: Q12H
	3911	(4) Pat Instruct:
	3912	Provider Comments:
	3913	Ins tructions: TAKE 1 TA BLET PO Q1 2H
	3914	SIG: TAKE 1 TA BLET BY MO UTH EVERY 12 HOURS
	3915	(5) Patie nt Status: OPT NSC
	3916	(6) I ssue Date: MAR 24,20 08 (7) Fill D ate: MAR 2 4,200
	3917	+ Enter ?? f or more ac tions
	3918	BY Bypass DC Discon tinue
	3919	ED Edit FN Finish
	3920	Select Ite m(s): Next Screen// FN Finis h
	3921	Now doing remote ord er checks. Please wa it...
	3922	Now doing allergy ch ecks. Ple ase wait.. .
	3923	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	3924	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	3925	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	3926	A Drug-All ergy React ion exists for this medication and/or cl ass!
	3927	Prospe ctive Drug : SULFAMET HOXAZOLE/T RIMETHOPRI M DS TAB
	3928	Causa tive Agent : SULFADIA ZINE/SULFA MERAZINE/S ULFAMETHAZ INE(SITE R EPORTING A LLERGY – D ATE REPORT ED)
	3929	Historica l/Observed : HISTORIC AL
	3930	Severity : Not Ente red
	3931	I ngredients : SULFAMET HOXAZOLE, TRIMETHOPR IM
	3932	Sign s/Symptoms : ITCHING, WATERING E YES, ANORE XIA,
	3933	NAUSEA,V OMITING, A NXIETY, DR OWSINESS,
	3934	Drug Class : AM650 SU LFONAMIDE/ RELATED AN TIMICROBIA LS
	3935	Provide r Override Reason: P atient say s has take n before
	3936	Do you wan t to Inter vene? YES/ /
	3937	Now creati ng Pharmac y Interven tion
	3938	for SULFAM ETHOXAZOLE /TRIMETHOP RIM DS TAB
	3939	PROVIDER: PSOPROV IDER, 11 PP 119
	3940	RECOMMENDA TION: N O CHANGE
	3941	See 'Pharm acy Interv ention Men u' if you want to de lete this
	3942	interventi on or for more optio ns.
	3943	Would you like to ed it this in tervention ? N// O
	3944	Rx # 2611 03/24/0 8
	3945	PSOPATIENT ,THREE #20
	3946	TAKE 1 TAB LET BY MOU TH EVERY 1 2 HOURS
	3947	SULFAMETHO XAZOLE/TRI METHOPRIM DS TAB
	3948	PSOPROVIDE R, 11 PSO PHARMACIST ,TWO
	3949	# of Refil ls: 1
	3950	Are you su re you wan t to Accep t this Ord er? NO// Y
	3951	Therapeuti c Duplicat ion XE "Th erapeutic Duplicatio n"
	3952	This secti on describ es enhance ments to t he existin g VistA Du plicate Cl ass order checks.
	3953	The curren t VistA Du plicate Cl ass checks have been enhanced using the FDB busine ss rules a nd databas e, as well as the FD B Enhanced Therapeut ic Classif ication (E TC) system . The Dupl icate Clas s check wi ll now be referred t o as the D uplicate T herapy ord er check. This order check wil l continue to be per formed aga inst activ e, pending , non-veri fied order s on hold (initiated through p harmacy or CPRS), ex pired and discontinu ed orders. The timef rame for i nclusion o f expired orders is determined by the di splay rule s on the m edication profile. 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.
	3954	No changes have been made to t he existin g user act ions for D uplicate T herapy ord er checks. Users wi ll continu e to have the abilit y to disco ntinue the order. Th e existing order wil l only be discontinu ed upon ac ceptance o f the orde r being pr ocessed. N o disconti nue action s can be p erformed o n remote o utpatient orders, No n-VA medic ations, di scontinued , and expi red orders or orders placed on provider hold throu gh CPRS. I f the CANC EL DRUG IN SAME CLAS S outpatie nt site pa rameter is set to ‘N o’, no dis continue a ction is a llowed on any duplic ate class order.
	3955	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 120 days or l ess will b e included in the li st of medi cations to be checke d.
	3956	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.
	3957	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.
	3958	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.
	3959	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.
	3960	The follow ing proces ses use th e enhanced functiona lity:
	3961	Entering a new outpa tient medi cation ord er through pharmacy options
	3962	Finishing a pending outpatient medicatio n order
	3963	Renewing a n outpatie nt medicat ion order
	3964	When a new outpatien t medicati on order i s created via an edi t
	3965	Verificati on of an o utpatient medication order ent ered or fi nished by a non-phar macist
	3966	Copy of an outpatien t medicati on order
	3967	Reinstatem ent of an outpatient medicatio n order
	3968	See illust rations be low:
	3969	Example: L ocal RX
	3970	========== ========== ========== ========== ========== ========== ========== =========
	3971	* THERAP EUTIC DUPL ICATION(S) * FAMOT IDINE 20MG TAB with
	3972	Local Rx #: 2561
	3973	Dru g: CIMETID INE 300MG TAB (DISCO NTINUED)
	3974	SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME
	3975	QT Y: 30 Days Sup ply: 30
	3976	Pr ocessing S tatus: Rel eased loca lly on 3/4 /08@08:55: 32 (Windo w)
	3977	Las t Filled O n: 11/08/0 6
	3978	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists)
	3979	========== ========== ========== ========== ========== ========== ========== =========
	3980	Example: R emote Rx
	3981	========== ========== ========== ========== ========== ========== ========== =========
	3982	* THERAP EUTIC DUPL ICATION(S) * SUCRA LFATE 1GM TAB with
	3983	LO CATION: <V A OR DOD F ACILITY> Remote Rx #: 65343
	3984	Dru g: RANITID INE HCL 15 0MG TAB (E XPIRED)
	3985	SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY
	3986	QT Y: 180 Days Sup ply: 90
	3987	Las t Filled O n: 11/08/0 6
	3988	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents
	3989	========== ========== ========== ========== ========== ========== ========== =========
	3990	Example: P ending Ord er
	3991	========== ========== ========== ========== ========== ========== ========== =========
	3992	* THERAP EUTIC DUPL ICATION(S) * NIZAT IDINE 150M G CAP with
	3993	Pending Dr ug: FAMOTI DINE 20MG TAB
	3994	S IG: TAKE O NE TABLET BY TWICE D AILY
	3995	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents
	3996	========== ========== ========== ========== ========== ========== ========== =========
	3997	Example: N on-VA Med Order
	3998	========== ========== ========== ========== ========== ========== ========== =========
	3999	* THERAP EUTIC DUPL ICATION(S) * FAMOT IDINE 20MG TAB with
	4000	Non-VA Me d: CIMETID INE 300MG TAB
	4001	SIG: 300MG S chedule: T WICE A DAY
	4002	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists)
	4003	========== ========== ========== ========== ========== ========== ========== =========
	4004	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:
	4005	========== ========== ========== ========== ========== ========== ========== ==========
	4006	* THERAP EUTIC DUPL ICATION(S) * NIZAT IDINE 150M G CAP with
	4007	Local R x #2561 (A CTIVE) for CIMETIDIN E 300MG TA B
	4008	Local R x #2572 (P ROVIDER HO LD) for SU CRALFATE 1 MG TAB
	4009	Remote Rx #2571 ( DISCONTINU ED) for RA NITIDINE H CL 150MG T AB
	4010	Pending Order for FAMOTIDIN E 20MG TAB
	4011	Non-VA Med Order for CIMETI DINE 300MG TAB
	4012	Class(es)I nvolved in Therapeut ic Duplica tion(s): P EPTIC ULCE R AGENTS, HISTAMINE- 2 RECEPTOR ANTAGOINS TS (H2 ANT AGONISTS)
	4013	========== ========== ========== ========== ========== ========== ========== =========
	4014	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.
	4015	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.
	4016	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.
	4017	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.
	4018	See Exampl es:
	4019	Discontinu e RX #2580 A SUCRALFA TE 1GM TAB ? Y/N
	4020	Discontinu e Pending Order SUCR ALFATE 1GM TAB? Y/N
	4021	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.
	4022	The system will disp lay the fo llowing in formation for the nu mbered lis t of order s:
	4023	Prescripti on number (if applic able)
	4024	Dispense D rug (Order able item if dispens e drug not assigned to order)
	4025	Indicate i f the orde r is pendi ng (with t ext ‘Pendi ng Order’)
	4026	See exampl e below:
	4027	1. Pendi ng order AMLODIPINE 5MG/ATORV ASTATIN 10 MG
	4028	2. RX #2 426 LOVAST ATIN 40MG TAB
	4029	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.
	4030	Discontinu e order(s) ? Y/N Y e s
	4031	1. RX #2577 AMLO DIPINE 5MG /ATORVASTA TIN 10MG T AB
	4032	2. RX #2581 CHOL ESTYRAMINE 9GM PACKE TS
	4033	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 .
	4034	Discontinu e order(s) ? Y/N Y e s
	4035	1. RX #2577 AMLO DIPINE 5MG /ATORVASTA TIN 10MG T AB
	4036	2. Pen ding Order CHOLESTYR AMINE 9GM PACKETS
	4037	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.
	4038	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 shall not discontinu e the orde r(s) selec ted.
	4039	The messag e displaye d to the u ser shall contain:
	4040	Indicate t hat discon tinuance w as for Dup licate The rapy
	4041	The prescr iption num ber or tex t ‘Pending order’ if order sta tus is pen ding.
	4042	Dispense D rug (Order able item if dispens e drug not assigned to order)
	4043	Ending wit h text ‘NO T Disconti nued.’
	4044	See exampl es below:
	4045	Duplicate Therapy R X #2710 CI METIDINE 3 00MG TAB N OT Discont inued.
	4046	Duplicate Therapy P ending Ord er RANITID INE 150MG TAB NOT D iscontinue d.
	4047	Once the o rder being processed is accept ed and the re were or ders selec ted for di scontinuat ion, the s ystem shal l inform t he user wh en the dis continuati on occurs.
	4048	The messag e displaye d to the u ser shall contain:
	4049	Indicate t hat discon tinuance w as for Dup licate The rapy
	4050	The prescr iption num ber or tex t ‘Pending order’ if order sta tus is pen ding.
	4051	Dispense D rug (Order able item if dispens e drug not assigned to order)
	4052	Ending wit h text ‘ha s been dis continued. ’
	4053	See exampl es below:
	4054	Duplicate Therapy RX #2549 CIM ETIDINE 30 0MG TAB ha s been dis continued. ..
	4055	Duplicate Therapy P ending Ord er RANITID INE 150MG TAB has b een discon tinued…
	4056	See Therap eutic Dupl ication ex amples bel ow:
	4057	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.
	4058	(1) Order able Item: FAMOTIDIN E TAB ( N/F)* <D IN>
	4059	(2) CMOP Drug: FAMOTIDIN E 20MG TAB **(N/F) ** <DIN>
	4060	NDC: 000172-57 28-70
	4061	(3) *Dosage: 20 (MG)
	4062	Verb: TAKE
	4063	Dispe nse Units: 1
	4064	Noun: TABLET
	4065	*Route: ORAL
	4066	+ Enter ?? f or more ac tions
	4067	BY Bypass DC Discon tinue
	4068	ED Edit FN Finish
	4069	Select Ite m(s): Next Screen// FN Finis h
	4070	Now doing remote ord er checks. Please wa it...
	4071	Now doing allergy ch ecks. Ple ase wait.. .
	4072	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4073	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4074	========== ========== ========== ========== ========== ========== ========== =======
	4075	* THERAP EUTIC DUPL ICATION(S) * FAMOT IDINE 20MG TAB with
	4076	Local Rx #: 2561
	4077	Dru g: CIMETID INE 300MG TAB (DISCO NTINUED)
	4078	SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME
	4079	QT Y: 30 Days Sup ply: 30
	4080
	4081	Proce ssing Stat us: Releas ed locally on 3/4/08 @08:55:32 (Window)
	4082	Las t Filled O n: 11/08/0 6
	4083	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	4084	Non-VA Me d: CIMETID INE 300MG TAB
	4085	SIG: 300MG S chedule: T WICE A DAY
	4086	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists)
	4087	========== ========== ========== ========== ========== ========== ========== =========
	4088	Press Retu rn to Cont inue:
	4089	Rx # 2570 03/07/0 8
	4090	PSOPATIENT ,ONE #180
	4091	TAKE ONE T ABLET BY M OUTH TWICE A DAY
	4092	FAMOTIDINE 20MG TAB
	4093	PSOPROVIDE R,ONE PSO PHARMACIST ,ONE
	4094	# of Refil ls: 3
	4095	SC Percent: 8 0%
	4096	Disab ilities: N ONE STATED
	4097	Was treatm ent for a Service Co nnected co ndition? Y ES//
	4098	Are you su re you wan t to Accep t this Ord er? NO//
	4099	Example: N ew Order E ntry Backd oor – Ther apeutic Du plication with pendi ng and act ive order. Disconti nue action shown.
	4100	PU Patien t Record U pdate NO New Or der
	4101	PI Patien t Informat ion SO Select Order
	4102	Select Act ion: Quit/ / no New Order
	4103	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 80
	4104	RX PATIENT STATUS: S C//
	4105	DRUG: Niza tidine
	4106	Lookup : DRUG GE NERIC NAME
	4107	NIZATIDINE 150MG CAP GA302
	4108	. ..OK? Yes/ / (Yes)
	4109	Now doing remote ord er checks. Please wa it...
	4110	Now doing allergy ch ecks. Ple ase wait.. .
	4111	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4112	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4113	========== ========== ========== ========== ========== ========== ========== ======
	4114	* THERAP EUTIC DUPL ICATION(S) * NIZAT IDINE 150M G CAP with
	4115	Local Rx #: 2549
	4116	Dru g: CIMETID INE 300MG TAB (ACTIV E)
	4117	SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME
	4118	QT Y: 30 Days Sup ply: 30
	4119	Pr ocessing S tatus: Rel eased loca lly on 3/4 /09@08:55: 32 (Windo w)
	4120	Las t Filled O n: 11/08/0 6
	4121	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	4122	P ending Dru g: FAMOTID INE 20MG T AB
	4123	SI G: TAKE ON E TABLET B Y TWICE DA ILY
	4124	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists)
	4125	========== ========== ========== ========== ========== ========== ========== ========
	4126	Discontinu e order(s) ? Y/N No
	4127	Press Retu rn to Cont inue...
	4128	Available Dosage(s)
	4129	1. 150MG
	4130	2. 300MG
	4131	Select fro m list of Available Dosages, E nter Free Text Dose
	4132	or Enter a Question Mark (?) t o view lis t:
	4133	.
	4134	.
	4135	.
	4136	O R
	4137
	4138	Discontinu e order(s) ? Y/N Y e s
	4139	1. Pen ding Order FAMOTIDIN E 20MG TAB
	4140	2. RX #2549 CIME TIDINE 300 MG TAB
	4141	Select (1- 2): 2 RX #2549 CIM DTIDINE 30 0MG TAB wi ll be disc ontinued a fter the a cceptance of the new order.
	4142	Available Dosage(s)
	4143	1. 150MG
	4144	2. 300MG
	4145	Select fro m list of Available Dosages, E nter Free Text Dose
	4146	or Enter a Question Mark (?) t o view lis t: 1 150MG
	4147	You entere d 150MG is this corr ect? Yes// YES
	4148	VERB: TAKE
	4149	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	4150	Dosage Ord ered: 150M G
	4151	NOUN: TABL ET
	4152	ROUTE: PO/ / ORAL PO MO UTH
	4153	Schedule:
	4154	This is a required r esponse. E nter '^' t o exit
	4155	Schedule: BID (TWO T IMES A DAY )
	4156	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	4157	CONJUNCTIO N:
	4158	PATIENT IN STRUCTIONS :
	4159	(TAKE ONE TABLET BY MOUTH TWO TIMES A DA Y)
	4160	DAYS SUPPL Y: (1-90) : 60//
	4161	QTY ( ) : 360// 180
	4162	COPIES: 1/ / 1
	4163	# OF REFIL LS: (0-3) : 3//
	4164	PROVIDER: PSOPROV IDER,ONE
	4165	CLINIC: BARB'S CL INIC 2
	4166	MAIL/WINDO W: WINDOW/ / WINDOW
	4167	METHOD OF PICK-UP:
	4168	REMARKS:
	4169	ISSUE DATE : TODAY// (MAR 12, 2008)
	4170	FILL DATE: (3/12/20 08 - 3/13/ 2009): TOD AY// (MA R 12, 2008 )
	4171	Nature of Order: WRI TTEN// W
	4172	WAS THE PA TIENT COUN SELED: NO/ / NO
	4173	Do you wan t to enter a Progres s Note? No // NO
	4174	Rx # 2580 03/12/0 8
	4175	PSOPATIENT ,ONE #18 0
	4176	TAKE ONE T ABLET BY M OUTH TWO T IMES A DAY
	4177	NIZATIDINE 150MG CAP
	4178	PSOPROVIDE R,ONE PSOPHARM ACIST,ONE
	4179	# of Refil ls: 3
	4180	SC Percent: 8 0%
	4181	Disab ilities: N ONE STATED
	4182	Was treatm ent for a Service Co nnected co ndition?
	4183	This is a required r esponse. E nter '^' t o exit
	4184	Was treatm ent for a Service Co nnected co ndition? N O
	4185	Is this co rrect? YES //
	4186	-Duplicat e Therapy RX #2549 C IMETIDINE 300MG TAB has been d iscontinue d...
	4187	Another Ne w Order fo r PSOPATIE NT,ONE? YE S//
	4188	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’.
	4189	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- -------
	4190	1 2577 AMLODI PINE 5MG/A TORVASTATI N 10MG TAB 90 A 03 -07 03-07 3 90
	4191	2 2578 ITRACO NAZOLE 100 MG CAP 60 A 03 -07 03-07 0 30
	4192	3 2576 SUCRAL FATE 1MG T AB 120 A 03 -07 03-07 0 30
	4193	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- -------
	4194	4 2581 CHOLES TYRAMINE 9 GM PACKETS 60 N 03 -12 03-12 11 30
	4195	---------- ---------- ---------- ------PEND ING------- ---------- ---------- -------
	4196	5 SIMVAST ATIN 20MG TAB QTY: 30 ISD T: 03-12 REF: 6
	4197	Enter ?? f or more ac tions
	4198	ED Edit FN Finish
	4199	Pending OP Orders (R OUTINE) Mar 12, 20 08@07:54:2 1 Page: 1 of 3
	4200	OPPATIENT, THREE
	4201
	4202
	4203
	4204
	4205
	4206
	4207	<A>
	4208	PID: 666 -44-4444 Ht(cm): _ ______ (__ ____)
	4209	DOB: JUL 3,1949 (5 8) Wt(kg): 5 1.36 (10/0 1/1996)
	4210	CPRS Order Checks:
	4211	CRIT ICAL drug- drug inter action: IT RACONAZOLE & SIMVAST ATIN
	4212	(ITRA CONAZOLE C AP,ORAL 1 00MG TAKE ONE CAPSUL E BY MOUTH EVERY 12 HOURS
	4213	[ACTI VE])
	4214	Overr iding Prov ider: PSOP ROVIDER,ON E
	4215	Overr iding Reas on: TESTIN G
	4216	CRIT ICAL drug- drug inter action: IT RACONAZOLE & SIMVAST ATIN
	4217	ITRAC ONAZOLE CA P,ORAL 10 0MG PO BID [ACTIVE] )
	4218	Overr iding Prov ider: PSOP ROVIDER,ON E
	4219	Overr iding Reas on: TESTIN G
	4220	Dupl icate drug class ord er: ANTILI PEMIC AGEN TS (CHOLES TYRAMINE 9 GM
	4221	PACK ETS TAKE O NE PACKET BY MOUTH T WICE A DAY DISSOLVE IN WATER O R
	4222	JUIC E. [PENDIN G])
	4223	+ Enter ?? f or more ac tions
	4224	BY Bypass DC Discon tinue
	4225	ED Edit FN Finish
	4226	Select Ite m(s): Next Screen// FN Finis h
	4227	Now doing remote ord er checks. Please wa it...
	4228	Now doing allergy ch ecks. Ple ase wait.. .
	4229	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4230	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4231	========== ========== ========== ========== ========== ========== ========== ======= TH ERAPEUTIC DUPLICATIO N(S) *** S IMVASTATIN 20MG TAB with
	4232	Local Rx #: 2577
	4233	Dru g: AMLODIP INE 5MG/AT ORVASTATIN 10MG TAB (ACTIVE)
	4234	SI G: TAKE ON E TABLET B Y MOUTH EV ERY MORNIN G
	4235	QT Y: 90 Days Sup ply: 90
	4236	Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w)
	4237	Las t Filled O n: 03/07/0 8
	4238	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	4239	Local Rx #: 2581
	4240	Dru g: CHOLEST YRAMINE 9G M PACKETS (NON-VERIF IED)
	4241	SI G: TAKE ON E PACKET B Y MOUTH TW ICE A DAY DISSOLVE I N WATER
	4242	OR JUI CE.
	4243	QT Y: 60 Days Sup ply: 30
	4244	Pr ocessing S tatus: Not released locally (W indow)
	4245	Las t Filled O n: 11/08/0 6
	4246	Class(es)I nvolved in Therapeut ic Duplica tion(s): H MGCo-A Red uctase Inh ibitors, A ntihyperli pidemics
	4247	========== ========== ========== ========== ========== ========== ========== ========
	4248	Discontinu e order(s) ? Y/N Y e s
	4249	1. RX #2577 AMLO DIPINE 5MG /ATORVASTA TIN 10MG T AB
	4250	2. RX #2581 CHOL ESTYRAMINE 9GM PACKE TS
	4251	Select (1- 2): 1 RX #2577 AML ODIPINE 5M G/ATORVAST ATIN 10MG TAB will b e disconti nued after the accep tance of t he new ord er.
	4252	Rx # 2582 03/12/0 8
	4253	TEST,D #30
	4254	TAKE ONE T ABLET BY M OUTH EVERY EVENING
	4255	SIMVASTATI N 20MG TAB
	4256	PSOPROVIDE R,ONE PSOPHAR MACIST,ONE
	4257	# of Refil ls: 6
	4258	This Rx ha s been fla gged by th e provider as: NO CO PAY
	4259	Was treatm ent relate d to Agent Orange ex posure? YE S//
	4260	Are you su re you wan t to Accep t this Ord er? NO// Y ES
	4261	METHOD OF PICK-UP:
	4262	WAS THE PA TIENT COUN SELED: NO/ / NO
	4263	Do you wan t to enter a Progres s Note? No // NO
	4264	-Duplicate Therapy R X #2577 AM LODIPINE 5 MG/ATORVAS TATIN 10MG TAB has b een discon tinued...
	4265	Press Retu rn to Cont inue:
	4266	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.
	4267	+ Enter ?? f or more ac tions
	4268	DC Disco ntinue PR Partial RL Rel ease
	4269	ED Edit RF Refill RN Ren ew
	4270	Select Act ion: Next Screen// r n Renew
	4271	FILL DATE: (3/12/20 08 - 3/13/ 2009): TOD AY// (MA R 12, 2008 )
	4272	MAIL/WINDO W: WINDOW/ / WINDOW
	4273	METHOD OF PICK-UP:
	4274	Nature of Order: WRI TTEN// W
	4275	WAS THE PA TIENT COUN SELED: NO/ / NO
	4276	Do you wan t to enter a Progres s Note? No // NO
	4277	Now Renewi ng Rx # 25 80 Drug: SUCRALFAT E 1GM TAB
	4278	Now doing remote ord er checks. Please wa it...
	4279	Now doing allergy ch ecks. Ple ase wait.. .
	4280	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4281	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4282	========== ========== ========== ========== ========== ========== ========== =========
	4283	* THERAP EUTIC DUPL ICATION(S) * SUCRA LFATE 1GM TAB with
	4284	Local Rx #: 2574
	4285	Dru g: CIMETID INE 300MG TAB (DISCO NTINUED)
	4286	SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY
	4287	QT Y: 180 Days Sup ply: 90
	4288	Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w)
	4289	Las t Filled O n: 03/07/0 8
	4290	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	4291	Local Rx #: 2573
	4292	Dru g: NIZATID INE 150MG CAP (HOLD)
	4293	SI G: TAKE ON E CAPSULE BY MOUTH T WICE A DAY
	4294	QT Y: 180 Days Sup ply: 90
	4295	Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w)
	4296	Las t Filled O n: 03/07/0 8
	4297	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	4298	LOCATIO N: <VA OR DOD FACILI TY> Remo te Rx#: 65 343
	4299	Dru g: RANITID INE HCL 15 0MG TAB (E XPIRED)
	4300	SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY
	4301	QT Y: 180 Days Sup ply: 90
	4302	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists)
	4303	========== ========== ========== ========== ========== ========== ========== ========
	4304	Discontinu e RX #2573 NIZATIDIN E 150MG CA P? Y/N No
	4305	Press Retu rn to Cont inue:
	4306	2580A SUCRALF ATE 1MG TA B QTY : 360
	4307	# OF REFIL LS: 3 ISS UED: 03-12 -08
	4308	SIG: TAKE ONE TABLET BY MOUTH FOUR TIMES A DAY
	4309	FILLED: 03 -12-08
	4310	ROUTING: W INDOW PHYS: PSOP ROVIDER,ON E
	4311	Edit renew ed Rx ? Y/ / n NO
	4312	SC Percent: 8 0%
	4313	Disab ilities: N ONE STATED
	4314	Was treatm ent for a Service Co nnected co ndition? N O//
	4315	Example: V erificatio n of Non-V erified Or der
	4316	OP Medicat ions (NON- VERIFIED) Dec 20, 20 11@14:45:5 4 Page: 1 of 2
	4317	PSOPATIENT ,ONE < A>
	4318	PID: 666 -00-0000 Ht(cm): _ ______ (__ ____)
	4319	DOB: JAN 1,1945 (6 6) Wt(kg): _ ______ (__ ____)
	4320	Rx # : 2382$
	4321	(1) *Orde rable Item : NIZATIDI NE CAP,ORA L
	4322	(2) Drug : NIZATIDI NE 150MG C AP
	4323	NDC : 0378-515 0-91
	4324	(3) *Dosage : 150 (MG)
	4325	Verb : TAKE
	4326	Disp ense Units : 1
	4327	Noun : CAPSULE
	4328	*Route : ORAL
	4329	*Schedule : BID
	4330	(4)Pat In structions :
	4331	SIG : TAKE ONE CAPSULE B Y BY MOUTH TWICE A D AY
	4332	(5) Pati ent Status : OPT NSC
	4333	(6) Issue Date : 12/20/11 (7) Fill Date: 12/20/11
	4334	Last Fill Date : 12/20/11 (Window)
	4335	+ Enter ?? f or more ac tions
	4336	DC Disco ntinue PR (Partial) RL (Re lease)
	4337	ED Edit RF (Refill) RN (Re new)
	4338	Select Act ion: Next Screen// V F VF
	4339	RX: 2382 PATIENT: P SOPATIENT, ONE (666-0 0-0000)
	4340	STATUS: No n-Verified CO-PAY STATUS
	4341	DRUG : NIZATIDI NE 150MG C AP
	4342	QTY : 180 90 DAY SUP PLY
	4343	SIG : TAKE ONE CAPSULE B Y BY MOUTH TWICE A D AY
	4344	LATEST : 12/20/20 11 # O F REFILLS: 3 REMAIN ING: 3
	4345	ISSUED : 12/20/11 PROVIDER:
	4346	LOGGED : 12/20/11 CLINIC: NOT ON FI LE
	4347	EXPIRES : 12/20/12 DIVISION: HINES (49 9)
	4348	CAP : SAFETY ROUTING: WINDOW
	4349	ENTRY BY : PSTECH,O NE VE RIFIED BY:
	4350	EDIT: (Y/ N/P): N// O
	4351	PSOPATIENT ,ONE ID#:666- 00-0000 R X#: 2382
	4352	Now doing remote ord er checks. Please wa it...
	4353	Now doing allergy ch ecks. Ple ase wait.. .
	4354	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4355	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4356	ISSUE LA ST REF DAY
	4357	RX # DRU G QTY ST DATE FI LL REM SUP
	4358	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	4359	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	4360	2380$ ACE TAMINOPHEN 325MG TAB U.D. 540 A 12-20 12- 20 3 90
	4361	2379$ WAR FARIN 2.5M G TABS 90 A 12-20 12- 20 3 90
	4362	---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ----------
	4363	2378$ IND OMETHACIN 25MG CAP 270 DC 12-20 12- 20 3 90
	4364	2377$ WAR FARIN 10MG TABS 2160 DC 12-20 12- 20 3 90
	4365	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ----------
	4366	2382$ NIZ ATIDINE 15 0MG CAP 180 N 12-20 12- 20 3 90
	4367	2381$ SUC RALFATE 1 GM TAB 360 N 12-20 12- 20 3 90
	4368	Press Retu rn to cont inue:
	4369	Now doing remote ord er checks. Please wa it...
	4370	Now doing allergy ch ecks. Ple ase wait.. .
	4371	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4372	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	4373	========== ========== ========== ========== ========== ========== ========== =========
	4374	* THERAP EUTIC DUPL ICATION(S) * NIZAT IDINE 150M G CAP with
	4375	L ocal RX#: 2381
	4376	Drug: SUCRALFATE 1 GM TAB (Non-Verif ied)
	4377	SIG: TAKE ONE T ABLET BY B Y MOUTH FO UR TIMES A DAY
	4378	QTY: 360 Days Supp ly: 90
	4379	P rocessing Status: No t released locally ( Window)
	4380	Last F illed On: 12/20/11
	4381	Class(es) Involved i n Therapeu tic Duplic ation(s): Peptic Ulc er Agents
	4382	========== ========== ========== ========== ========== ========== ========== =========
	4383	Press Retu rn to cont inue:
	4384	Discontinu e Rx #2381 SUCRALFAT E 1 GM TAB Y/N ? NO
	4385	PSOPATIENT ,ONE ID#:666- 00-0000 R X#: 2382
	4386	NIZATIDINE 150MG CAP
	4387	VERIFY FOR PSOPATIEN T,ONE ? (Y /N/Delete/ Quit): Y// ES
	4388	Example: C opying an Existing O rder
	4389	New OP Ord er (COPY) Mar 12, 20 08@09:15:4 8 P age: 1 of 2
	4390	PSOPATIENT ,TWO < A>
	4391	PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005)
	4392	DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005)
	4393	Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB
	4394	(1) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB
	4395	(2) Pati ent Status : OPT NSC
	4396	(3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08
	4397	Verb : TAKE
	4398	(5) Dosa ge Ordered : ONE TABL ET
	4399	Route : ORAL
	4400	Schedule : QAM
	4401	(6)Pat I nstruction :
	4402	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	4403	(7) D ays Supply : 30 (8) QTY ( ): 30
	4404	(9) # of Refills : 11 (10) Routing: WINDOW
	4405	(11) Clinic :
	4406	(12) Provider : PSOPROVI DER,ONE (13) Copies: 1
	4407	+ Enter ?? f or more ac tions
	4408	AC Accep t ED Edit
	4409	Select Act ion: Next Screen// A C Accept
	4410	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	4411	Duplicate Drug in Lo cal Rx:
	4412	Rx #: 2584
	4413	Drug: AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB
	4414	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	4415	QTY: 30 Refills re maining: 1 1
	4416	Provider: OPPROVIDER , ONE Issued: 0 3/12/07
	4417	Status: ACTIVE Last fi lled on: 0 3/12/07
	4418	Processin g Status: Released l ocally on 03/12/07@0 8:55:32 ( Window)
	4419	Days Supply: 3 0
	4420	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	4421	Discontinu e Rx #2584 AMLODIPIN E 5MG/ATOR VASTATIN 1 0MG TAB? Y /N YES
	4422	Rx #2584 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB will be discon tinued aft er the acc eptance of the new o rder.
	4423	Now doing remote ord er checks. Please wa it...
	4424	Now doing allergy ch ecks. Ple ase wait.. .
	4425	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4426	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4427	========== ========== ========== ========== ========== ========== ========== =========
	4428	* THERAP EUTIC DUPL ICATION(S) * AMLOD IPINE 5MG/ ATORVASTAT IN 10MG TA B with
	4429	P ending Dru g: LOVASTA TIN 20MG T AB
	4430	SI G: TAKE ON E TABLET B Y MOUTH AT BEDTIME F OR HIGH CH OLESTEROL
	4431	P ending Dru g: NIFEDIP INE 10MG C AP
	4432	SI G: TAKE ON E CAPSULE BY MOUTH T HREE TIMES A DAY
	4433	Class(es)I nvolved in Therapeut ic Duplica tion(s): C alcium Cha nnel Block ers, HMGCo -A Reducta se Inhibit ors
	4434	========== ========== ========== ========== ========== ========== ========== ========
	4435	Discontinu e order(s) ? Y/N Y e s
	4436	1. Pen ding Order NIFEDIPIN E 10MG CAP
	4437	2. Pen ding Order LOVASTATI N 20MG TAB
	4438	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.
	4439	Pending Or der LOVAST ATIN 20MG TAB will b e disconti nued after the accep tance of t he new ord er.
	4440	Nature of Order: WRI TTEN// W
	4441	WAS THE PA TIENT COUN SELED: NO/ / NO
	4442	Do you wan t to enter a Progres s Note? No // NO
	4443	Rx # 2585 03/12/0 8
	4444	PSOPATIENT ,TWO T #30
	4445	TAKE ONE T ABLET BY M OUTH EVERY MORNING
	4446	AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB
	4447	PSOPROVIDE R,ONE PSOPHARM ACIST,ONE
	4448	# of Refil ls: 11
	4449	SC Percent: 4 0%
	4450	Disab ilities: N ONE STATED
	4451	Was treatm ent for Se rvice Conn ected cond ition? NO/ /
	4452	Is this co rrect? YES // ...
	4453	Duplicate Drug Rx 25 84 AMLODIP INE 5MG/AT ORVASTATIN 10MG TAB has been d iscontinue d…
	4454	Duplicate Therapy Pe nding Orde r NIFEDIPI NE 10MG CA P has been discontin ued…
	4455	Duplicate Therapy Pe nding Orde r LOVASTAT IN 20MG TA B has been discontin ued…
	4456	Example: R einstating a Discont inued Orde r
	4457	Rx # : 2586
	4458	(1) *Orde rable Item : CIMETIDI NE TAB
	4459	(2) Drug : CIMETIDI NE 300MG T AB
	4460	NDC : 0378-031 7-01
	4461	(3) *Dosage : 300 (MG)
	4462	Verb : TAKE
	4463	Disp ense Units : 1
	4464	Noun : TABLET
	4465	*Route : ORAL
	4466	*Schedule : QHS
	4467	(4)Pat In structions :
	4468	SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME
	4469	(5) Pati ent Status : OPT NSC
	4470	(6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08
	4471	Last Fill Date : 03/12/08 (Window)
	4472	+ Enter ?? f or more ac tions
	4473	DC Disco ntinue PR (Partial) RL Rel ease
	4474	ED (Edit ) RF (Refill) RN Ren ew
	4475	Select Act ion: Next Screen// d c Discon tinue
	4476	Are you su re you wan t to Reins tate? NO// y YES
	4477	Comments: testing du plicate th erapy chec k
	4478	Nature of Order: SER VICE CORRE CTION// S
	4479	Now doing remote ord er checks. Please wa it...
	4480	Now doing allergy ch ecks. Ple ase wait.. .
	4481	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4482	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4483	========== ========== ========== ========== ========== ========== ========== ========
	4484	* THERAP EUTIC DUPL ICATION(S) * CIMET IDINE 300M G TAB with
	4485	Local Rx #: 2576
	4486	Dru g: SUCRALF ATE 1GM TA B (ACTIVE)
	4487	SI G: TAKE ON E TABLET B Y MOUTH FO UR TIMES A DAY
	4488	QT Y: 1200 Days Sup ply: 30
	4489	Pr ocessing S tatus: Rel eased loca lly on 3/7 /08@08:55: 32 (Windo w)
	4490	Las t Filled O n: 03/07/0 8
	4491	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents
	4492	========== ========== ========== ========== ========== ========== ========== =======
	4493	Discontinu e RX # 257 6 SUCRALFA TE 1GM TAB ? Y/N NO - Prescript ion was no t disconti nued...
	4494	Prescripti on #2586 R EINSTATED!
	4495	Prescri ption #258 6 Filled: MAR 12, 20 08Printed: Rele ased:
	4496	Eithe r print th e label us ing the re print opti on
	4497	or check late r to see i f the labe l has been printed.
	4498	Example: C reating a New Order – Editing the Ordera ble Item
	4499	Rx # : 2594
	4500	(1) Orde rable Item : ENALAPRI L TAB ( N/F)*
	4501	(2) Drug : ENALAPRI L 5MG TAB *(N/F) *
	4502	NDC : 00093-00 27-01
	4503	(3) *Dosage : 5 (MG)
	4504	Verb : TAKE
	4505	Disp ense Units : 1
	4506	Noun : TABLET
	4507	*Route : ORAL
	4508	*Schedule : QAM
	4509	(4)Pat In structions :
	4510	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	4511	(5) Pati ent Status : SC
	4512	(6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08
	4513	Last Fill Date : 03/12/08 (Window)
	4514	+ Enter ?? f or more ac tions
	4515	DC Disco ntinue PR Partial RL Rel ease
	4516	ED Edit RF Refill RN Ren ew
	4517	Select Act ion: Next Screen// 1
	4518	Current Or derable It em: ENALAP RIL TAB
	4519	Select PHA RMACY ORDE RABLE ITEM NAME: ENA LAPRIL// d ip
	4520	1 D IPHENHYDRA MINE CREAM,TOP
	4521	2 D IPHENHYDRA MINE CAP,ORAL
	4522	3 D IPYRIDAMOL E TA B
	4523	CHOOSE 1-3 : 3 DIPYR IDAMOLE TAB
	4524	New Ordera ble Item s elected. T his edit w ill create a new pre scription!
	4525	Press Retu rn to Cont inue...
	4526	DRUG NAME REQUIRED!
	4527	Instructio ns:
	4528	The follow ing Drug(s ) are avai lable for selection:
	4529	1. DIPYRID AMOLE 25MG TAB
	4530	2. DIPYRID AMOLE 50MG TAB
	4531	Select Dru g by numbe r: (1-2): 1
	4532	Now doing remote ord er checks. Please wa it...
	4533	Now doing allergy ch ecks. Ple ase wait.. .
	4534	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4535	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4536	* THERAP EUTIC DUPL ICATION(S) * DIPYR IDAMOLE 25 MG TAB wit h
	4537	Local Rx #: 2560
	4538	Dru g: WAFFARI N 5MG TAB (ACTIVE)
	4539	SI G: TAKE ON E TABLET B Y MOUTH EV ERY EVENIN G
	4540	QT Y: 90 Days Sup ply: 90
	4541	Pr ocessing S tatus: Rel eased loca lly on 3/4 /08@08:55: 32 (Windo w)
	4542	Las t Filled O n: 03/04/0 8
	4543	Class(es)I nvolved in Therapeut ic Duplica tion(s): A ntiplatele t Drugs, A ntithrombo tic Drugs
	4544	========== ========== ========== ========== ========== ========== ========== =========
	4545	Discontinu e RX # 256 0 WAFFARIN 5MG TAB? Y/N NO -P rescriptio n was not discontinu ed...
	4546	You have c hanged the Orderable Item from ENALAPRIL to
	4547	DIPYRIDAMO LE.
	4548	Do You wan t to Edit the SIG? N O// y YES
	4549	Available Dosage(s)
	4550	1. 25MG
	4551	2. 50MG
	4552	Select fro m list of Available Dosages, E nter Free Text Dose
	4553	or Enter a Question Mark (?) t o view lis t: 1 25MG
	4554	You entere d 25MG is this corre ct? Yes// YES
	4555	VERB: TAKE // TAKE
	4556	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	4557	Dosage Ord ered: 25MG
	4558	NOUN: TABL ET// TABLE T
	4559	ROUTE: ORA L// ORAL
	4560	Schedule: QAM// tid (THREE TIM ES A DAY)
	4561	LIMITED DU RATION (IN MONTHS, W EEKS, DAYS , HOURS OR MINUTES):
	4562	CONJUNCTIO N:
	4563	New OP Ord er (ROUTIN E) Mar 12, 20 08@10:58:2 4 Pa ge: 1 o f 2
	4564	PSOPATIENT ,ONE < A>
	4565	PID: 666 -00-0000 Ht(cm): _ ______ (__ ____)
	4566	DOB: JAN 1,1910 (9 8) Wt(kg): _ ______ (__ ____)
	4567	Orde rable Item : DIPYRIDA MOLE TAB
	4568	(1) Drug : DIPYRIDA MOLE 25MG TAB
	4569	(2) Pati ent Status : SC
	4570	(3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08
	4571	(5) Dosa ge Ordered : 25 (MG)
	4572	Verb : TAKE
	4573	Disp ense Units : 1
	4574	Noun : TABLET
	4575	Route : ORAL
	4576	Schedule : TID
	4577	(6)Pat I nstruction :
	4578	SIG : TAKE ONE TABLET BY MOUTH THR EE TIMES A DAY
	4579	(7) D ays Supply : 90 (8) QTY (TAB) : 180
	4580	(9) # of Refills : 3 (10) Routing: WINDOW
	4581	+ This chang e will cre ate a new prescripti on!
	4582	AC Accep t ED Edit
	4583	Select Act ion: Next Screen// a c Accept
	4584	Nature of Order: SER VICE CORRE CTION// S
	4585	WAS THE PA TIENT COUN SELED: NO/ / NO
	4586	Do you wan t to enter a Progres s Note? No // NO
	4587	Rx # 2595 03/12/0 8
	4588	PSOPATIENT ,ONE #180
	4589	TAKE ONE T ABLET BY M OUTH THREE TIMES A D AY
	4590	DIPYRIDAMO LE 25MG TA B
	4591	PSOPROVIDE R,ONE PSO PHARMACIST ,ONE
	4592	# of Refil ls: 3
	4593	The Pharma cy Orderab le Item ha s changed for this o rder. Plea se review any
	4594	existing S C or Envir onmental I ndicator d efaults ca refully fo r appropri ateness.
	4595	SC Percent: 8 0%
	4596	Disab ilities: N ONE STATED
	4597	Was treatm ent for a Service Co nnected co ndition? Y ES//
	4598	Is this co rrect? YES // ...
	4599	Example: C ancel drug in same c lass param eter set t o No
	4600	PSOPATIENT ,ONE < A>
	4601	PID: 666 -00-0000 Ht(cm): _ ______ (__ ____)
	4602	DOB: JAN 1,1910 (9 8) Wt(kg): _ ______ (__ ____)
	4603	SEX: FEM ALE N on-VA Meds on File Last e ntry on 03 /03/08
	4604	CrCL: <No t Found> B SA (m2):
	4605	ISSUE LA ST REF DAY
	4606	# RX # DRUG QT Y ST DATE FILL REM SUP
	4607	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- -------
	4608	1 2562 AMINOP HYLLINE 20 0MG TAB 360 A 03 -04 03-04 3 90
	4609	2 2567 CAPTOP RIL 12.5MG TAB 180 A 03 -06 03-06 3 90
	4610	3 2563 CISAPR IDE 10MG 90 A 03 -06 03-06 3 90
	4611	4 2568 DIGOXI N 0.125MG 30 A 03 -06 03-06 3 90
	4612	5 2550 IBUPRO FEN 600MG TAB 270 A 03 -03 03-04 3 90
	4613	6 2560 WARFAR IN 5MG TAB 90 A 03 -04 03-04 3 90
	4614	---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- -------
	4615	7 2561 CIMETI DINE 300MG TAB 90 DC 03 -04 03-04 3 90
	4616	---------- ---------- ---------- --------HO LD-------- ---------- ---------- -------
	4617	+ Enter ?? f or more ac tions
	4618	PU Patien t Record U pdate NO New Or der
	4619	PI Patien t Informat ion SO Select Order
	4620	Select Act ion: Next Screen// N O New Or der
	4621	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 80
	4622	RX PATIENT STATUS: S C//
	4623	DRUG: NIZA TIDINE
	4624	Lookup: GENERIC NA ME
	4625	NIZATIDINE 150MG CAP GA301
	4626	. ..OK? Yes/ / (Yes)
	4627	Now doing remote ord er checks. Please wa it...
	4628	Now doing allergy ch ecks. Ple ase wait.. .
	4629	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4630	Now Proces sing Enhan ced Order Checks! P lease wait ...
	4631	========== ========== ========== ========== ========== ========== ========== =
	4632	* THERAP EUTIC DUPL ICATION(S) * NIZAT IDINE 150M G CAP with
	4633	Local R x #2561 (A CTIVE) for CIMETIDIN E 300MG TA B
	4634	Local R x #2572 (P ROVIDER HO LD) for SU CRALFATE 1 MG TAB
	4635	Remote Rx #2571 ( DISCONTINU ED) for RA NITIDINE H CL 150MG T AB
	4636	Pending Order FAM OTIDINE 20 MG TAB
	4637	Non-VA Med Order for CIMETI DINE 300MG TAB
	4638	Class(es) Involved i n Therapeu tic Duplic ation(s): PEPTIC ULC ER AGENTS, HISTAMINE -2 RECEPTO R ANTAGOIN STS (H2 AN TAGONISTS)
	4639	========== ========== ========== ========== ========== ========== ========== =======
	4640	VERB: TAKE
	4641	Available Dosage(s)
	4642	1. 150MG
	4643	2. 300MG
	4644	Select fro m list of Available Dosages, E nter Free Text Dose
	4645	or Enter a Question Mark (?) t o view lis t:
	4646	Example: E ntering a New Order – Not acce pting orde r, duplica te therapy not disco ntinued
	4647	Select Act ion: Quit/ / NO New Order
	4648	Eligibilit y: NSC SC%: 5
	4649	RX PATIENT STATUS: O PT NSC//
	4650	DRUG: FAMO TIDINE
	4651	Lookup: GENERIC NA ME
	4652	FAMOTIDINE 20MG TAB GA301
	4653	. ..OK? Yes/ / (Yes)
	4654	Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D/O/B): No // NO
	4655	Now doing remote ord er checks. Please wa it...
	4656	Now doing allergy ch ecks. Ple ase wait.. .
	4657	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	4658	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	4659	========== ========== ========== ========== ========== ========== ========== =
	4660	* THER APEUTIC DU PLICATION( S) * FAM OTIDINE 20 MG TAB wit h
	4661	L ocal RX#: 2586A
	4662	Drug: CIMETIDINE 300MG TAB (DISCONTI NUED)
	4663	SIG: TAKE ONE T ABLET BY M OUTH AT BE DTIME
	4664	QTY: 90 Days Supply: 30
	4665	Proce ssing Stat us: Releas ed locally on 3/12/0 8@08:55:32 (Window)
	4666	Last F illed On: 03/12/08
	4667	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	4668	Press Retu rn to Cont inue:
	4669	L ocal RX#: 2710
	4670	Drug: RANITIDINE HCL 150MG TAB (ACTI VE)
	4671	SIG: TAKE ONE T ABLET BY M OUTH TWICE A DAY
	4672	QTY: 60 Days Supply: 30
	4673	Proce ssing Stat us: Releas ed locally on 6/1/09 @08:55:32 (Window)
	4674	Last F illed On: 06/01/09
	4675	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	4676	Press Retu rn to Cont inue:
	4677	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists)
	4678	========== ========== ========== ========== ========== ========== ========== =========
	4679	Press Retu rn to Cont inue:
	4680	Discontinu e Rx #2710 for RANIT IDINE HCL 150MG TAB Y/N ? YES
	4681	Duplicate Therapy RX #2710 RAN ITIDINE HC L 150MG TA B will be discontinu ed after t he accepta nce of the new order .
	4682	========== ========== ========== ========== ========== ========== ========== =========
	4683	VERB: TAKE
	4684	Available Dosage(s)
	4685	1. 20MG
	4686	2. 40MG
	4687	Select fro m list of Available Dosages, E nter Free Text Dose
	4688	or Enter a Question Mark (?) t o view lis t: 1 20MG
	4689	You entere d 20MG is this corre ct? Yes// YES
	4690	VERB: TAKE
	4691	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	4692	Dosage Ord ered: 20MG
	4693	NOUN: TABL ET
	4694	ROUTE: PO/ / ORAL PO MO UTH
	4695	Schedule: BID// QAM (EVERY MO RNING )
	4696	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	4697	CONJUNCTIO N:
	4698	PATIENT IN STRUCTIONS :
	4699	(TAKE ONE TABLET BY MOUTH EVER Y MORNING )
	4700	DAYS SUPPL Y: (1-90) : 30// ^
	4701	RX DELETED
	4702	Duplicate Therapy RX #2710 RAN ITIDINE HC L 150MG TA B NOT Disc ontinued.
	4703	Chapter 18 : Dosing O rder Check s
	4704	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 v2.0 uses the same i nterface t o First Da tabank (FD B) as MOCH A v1.0.
	4705
	4706	NOTE: Plea se refer t o the Dosi ng Order C hecks User Manual fo r a detail ed descrip tion of do sing order checks.
	4707	(This page included for two-si ded copyin g.)
	4708	Chapter 19 : Pull Ear ly from Su spense XE "Pull Earl y from Sus pense"
	4709	This chapt er describ es the opt ion for pu lling pres criptions early from the SUSPE NSE file.
	4710	Pull Early from Susp ense XE "P ull Early from Suspe nse"
	4711	[PSO PNDRX ]
	4712	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. A l abel canno t be repri nted with the Reprin t Batches from Suspe nse option if the pr escription has been pulled ear ly suspens e. In addi tion, Meth od of Pick up can be edited. Al so, there is no long er a "DELE TE FROM SU SPENSE PRO MPT." That prompt ha s been cha nged to "P ull Rx(s) and delete from Susp ense." Yes must be a nswered to this prom pt to pull the presc riptions, and they w ill always be delete d from sus pense. Sin ce prescri ptions tha t are pull ed early f rom suspen se do not belong to any printe d batch an d cannot b e reprinte d from sus pense, the re is no r eason to l eave them in suspens e.
	4713	If the Lab el Log ind icates tha t a Label has alread y printed for this p rescriptio n and fill , then the user is a sked wheth er to cont inue. If the user c hooses “No ”, the lab el will no t print. In additio n, the pre scription shall be r emoved fro m Suspense unless th e suspense queue ind icates tha t a user h as previou sly reques ted a repr int of the suspended prescript ion. If t he user ch ooses “Yes ”, the pre scription shall cont inue and w ill print the label. In the e xample bel ow, the la bel will n ot print b ut the Pre scription will be le ft on Susp ense.
	4714	Label for Rx#104872 Fill#0 has already b een printe d
	4715	Do you wan t to conti nue? No// NO
	4716	Reprint Fl ag is on. Prescript ion left o n suspense .
	4717
	4718	If the pre scription being pull ed from su spense has an FDA Me dication G uide assoc iated, the user will be requir ed to ente r a valid FDA Medica tion Guide printer.
	4719
	4720	If the rou ting is ch anged to “ Window” wh en pulling from susp ense early , and the bingo boar d is being used, tho se prescri ptions wil l be sent to the bin go board.
	4721	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.
	4722	PRESCRIPT ION PROFIL E AS OF 12 /30/2008
	4723	NAME: PSOPATIENT ,ONE
	4724	THIS PA TIENT HAS PRESCRIPTI ONS AT OTH ER FACILIT IES
	4725	PHARMA CIST: ____ __________ ____ DATE : ________
	4726	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 ) or Drug Utilizatio n Review ( 88) reject , the labe l is not p rinted for the presc ription an d it is mo ved to the Refill To o Soon/DUR section o f the pati ent Medica tion Profi le screen until the user resol ves the re ject. The prescripti on will al so display on the Th ird Party Payer Reje ct worklis t.
	4727	(This page included for two-si ded copyin g.)
	4728	Chapter 20 : Queue CM OP Prescri ption XE " Pull Early from Susp ense"
	4729	This chapt er describ es the opt ion for su spending p rescriptio ns for mai l-routed C MOP drugs.
	4730	QUEUE CMOP Prescript ion
	4731	[PSO RX QU EUE CMOP]
	4732	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.
	4733	Example: Q ueue CMOP Prescripti on
	4734	Select Sus pense Func tions Opti on: QUEUE CMOP Presc ription
	4735	Enter the Rx # to qu eue to CMO P: 300486
	4736	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.
	4737	(This page included for two-si ded copyin g.)
	4738	Chapter 21 : Releasin g Medicati on XE "Rel ease Medic ation"
	4739	This chapt er describ es the opt ion used f or releasi ng medicat ions.
	4740	Release Me dication
	4741	[PSO RELEA SE]
	4742	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.
	4743	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.
	4744	No action is taken. No changes to the cr iteria tha t determin e copay st atus of a prescripti on have oc curred.
	4745	The copay status of the prescr iption is automatica lly reset and an ent ry is plac ed in the copay acti vity log.
	4746	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.
	4747	The copay status of the prescr iption is automatica lly reset, an entry is placed in the cop ay activit y log, and a MailMan message i s generate d detailin g missing informatio n required for user follow up.
	4748	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 during Persian Gu lf War ser vice since the last fill. A Ma ilMan mess age will b e generate d informin g the user that the ‘Is this R x for trea tment rela ted to ser vice in SW Asia?’ qu estion mus t be addre ssed and d ocumented using the Reset Copa y Status/C ancel Char ges option .
	4749	A MailMan message is generated detailing missing i nformation required for user f ollow-up.
	4750	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 Rx may change based on the respon se entered using the Reset Cop ay Status/ Cancel Cha rges optio n.
	4751	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.
	4752	Example: M ailMan Mes sage
	4753	Subj: PRES CRIPTION Q UESTIONS R EVIEW NEED ED (500) [#30364] 1 0/11/05@19 :56
	4754	35 lines
	4755	From: OUTP ATIENT PHA RMACY PACK AGE In 'I N' basket. Page 1
	4756	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	4757	OPPATIENT2 9,ONE (6543P) DNS ENNE VAM&R OC
	4758	Eligibilit y: SC LESS THAN 50% SC%: 2 0
	4759	REIMBUR SABLE INSU RANCE
	4760	Disabiliti es: ARTHRI TIS-10%(SC ), FOREARM CONDITION -5%(NSC),
	4761	FOREAR M CONDITIO N-4%(NSC), BENIGN EY E GROWTH-0 %(NSC),
	4762	LOSS O F FIELD OF VISION-20 %(SC),
	4763	Rx# 102006 (1) CO PAY
	4764	ALBUTEROL SO4 0.083% INHL 3ML
	4765	Due to a c hange in c riteria, a dditional informatio n listed b elow is ne eded
	4766	to determi ne the fin al VA copa y and/or i nsurance b illable st atus for t his Rx
	4767	so that ap propriate action can be taken by pharmac y personne l.
	4768	Is this Rx for a Ser vice Conne cted Condi tion?
	4769	Is this Rx for treat ment relat ed to serv ice in SW Asia?
	4770	This messa ge has bee n sent to the provid er of reco rd, the ph armacist w ho
	4771	finished t he prescri ption orde r, and all holders o f the PSO COPAY key.
	4772	Enter RETU RN to cont inue or '^ ' to exit: <Enter>
	4773	Example: M ailMan Mes sage (cont inued)
	4774	Subj: PRES CRIPTION Q UESTIONS R EVIEW NEED ED (500) [#30364] Page 2
	4775	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	4776	Providers:
	4777	Please res pond with your answe r to the q uestion(s) as a repl y to this
	4778	message. T he prescri ption will be update d by the a ppropriate staff.
	4779	Staff assi gned to up date the P rescriptio n response s:
	4780	Please use the RESET COPAY STA TUS/CANCEL CHARGES o ption to e nter the r esponses
	4781	to the que stions abo ve, which may result in a Rx c opay statu s change a nd/or
	4782	the need t o remove V A copay ch arges or m ay result in a charg e to the p atient's
	4783	insurance carrier.
	4784	Note: The SC questio n is now a sked for V eterans wh o are SC>4 9% in orde r to
	4785	determine if the Rx can be bil led to a t hird party insurance . These Ve terans
	4786	will NOT b e charged a VA copay .
	4787	Supply, nu tritional and invest igational drugs are not charge d a VA cop ay but cou ld be
	4788	reimbursab le by thir d party in surance.
	4789	Enter mess age action (in IN ba sket): Ign ore//
	4790	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.
	4791	Integrated Billing s oftware ke eps track of all pre scription fills not billed due to the an nual cap.
	4792	Example: C opay Activ ity Log Wh en Annual Cap Reache d
	4793	Copay Acti vity Log:
	4794	# Date Reas on Rx Ref Initiato r Of Activ ity
	4795	========== ========== ========== ========== ========== ========== ========== =========
	4796	1 10/23/ 01 ANNU AL CAP REA CHED ORI GINAL OPPHARMA CIST11,THR EE
	4797	Comment: NO BILLING FOR THIS FILL
	4798	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.
	4799	Example: C opay Activ ity Log Wi th IB-Init iated Char ge
	4800	Copay Acti vity Log:
	4801	# Date Reas on Rx Ref Initiato r Of Activ ity
	4802	========== ========== ========== ========== ========== ========== ========== =========
	4803	1 10/23/ 01 ANNU AL CAP REA CHED ORI GINAL OPPHARMA CIST11,THR EE
	4804	Comment: NO BILLING FOR THIS FILL
	4805	2 10/23/ 01 IB-I NITIATED C OPAY ORI GINAL OPPHARMA CIST11,THR EE
	4806	Comment: P ARTIAL CHA RGE
	4807	Fixed Medi cation Cop ayment Tie rs (FMCT)
	4808	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.
	4809	Rx #: 1000 02266 Or iginal Fil l Released : 08/23/16
	4810	Routing: W indow Finished by: CROSSM AN,PAMELA
	4811
	4812	Copay Acti vity Log:
	4813	# Date Reas on Rx Ref Initiato r Of Activ ity
	4814	========== ========== ========== ========== ========== ========== ========== =========
	4815	1 08/23/ 16 COPA Y RESET ORI GINAL CROSSMAN ,PAMELA
	4816	Comment: C opay Tier 1 Old val ue=No Copa y New va lue=Copay
	4817	If a presc ription is not in a releasable status, t he user wi ll be give n an error message, such as:
	4818	Prescripti on has a s tatus of ( status) an d is not e ligible fo r release.
	4819	Prescripti on was del eted.
	4820	Improper b arcode for mat.
	4821	Non-existe nt prescri ption.
	4822	Copay is n ot charged for a par tial fill.
	4823
	4824	Important: This is a mandatory function that must be used by the pharm acy.
	4825	Changes to Releasing Orders fu nction - D igitally S igned Orde rs Only
	4826	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 option in the Contro lled Subst ances (CS) menu. If DEA/PKI i s activate d and an o rder is di gitally si gned, the user will be advised that the order must be releas ed through the Outpa tient Rx o ption in t he Control led Substa nces (CS) menu. The same messa ge will di splay if a user atte mpts to re lease a di gitally si gned CSII order duri ng Speed R elease or when using the Relea se Medicat ions optio n.
	4827	A new secu rity key n amed "PSDR PH", was i ntroduced by the Con trolled Su bstances p atch PSD3 76 that authorizes pharmacis ts to fini sh/verify digitally signed Sch edule II-V CS orders placed vi a CPRS.
	4828	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.
	4829	Example: " -1^8980201 6^Mismatch ed digital signature hash valu es."
	4830	The follow ing fields are used in the has h check:
	4831	Date of Is suance
	4832	Full Name and Addres s of the P atient
	4833	Drug Name
	4834	Quantity P rescribed
	4835	Directions for Use
	4836	Prescriber Name
	4837	Prescriber Address ( site addre ss)
	4838	Prescriber DEA / VA Registrati on Number
	4839	Order Numb er (CPRS)
	4840	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:
	4841	The order will be au to discont inued.
	4842	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.
	4843	The status bar of th e screen w ill have t he message "Signatur e Failed: Corrupted (Hash mism atch)" or Certificat e revoked. "
	4844	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.
	4845	Example: M ail Messag e of Disco ntinuation Due to Ha sh Mismatc h
	4846	Subj: DI GITALLY SI GNED NEW O RDER AUTO DISCONTINU ED [#1963 53]
	4847	03 /20/12@17: 1024 lines
	4848	From: PO STMASTER In 'IN' ba sket. Pa ge 1 New
	4849	-------- ---------- ---------- ---------- ---------- ---------- ---------- ---
	4850	Followin g order wa s auto dis continued when finis hing a pen ding order
	4851	due to C orrupted ( Hash misma tch) - 898 02016
	4852	Division : GR EELEY CLIN IC
	4853	CPRS Ord er # : 55 87651
	4854	Issue Da te : MA R 7,2012
	4855	Patient : TE ST,PATIENT (0908)
	4856	Address : P. O. BOX 31
	4857	LA PORTE, CA 95981
	4858	Drug : CO DEINE SULF ATE 60MG T AB
	4859	Dosage O rdered: 12 0(MG)
	4860	Dosage F orm : TA BLETS
	4861	Quantity : 54
	4862	Provider : TE ST,PROVIDE R
	4863	DEA# : TA 1234563
	4864	Site Add ress : 23 60 E PERSH ING BLVD
	4865	23 60 East Pe rshing Bou levard
	4866	DNS ENNE
	4867	Differen ces in CPR S and Phar macy Pendi ng File
	4868	Data Nam e CPRS Fil e Pharmacy P ending Fil e
	4869	-------- - -------- - ---------- ---------- -
	4870	QTY PRES CRIBED 15 30
	4871	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."
	4872	The follow ing change s have bee n made for finishing a CS orde r:
	4873	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.
	4874	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.
	4875	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.
	4876	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 quanti ty may be auto-calcu lated to a higher qu antity by the system only when the dosag e remains the same, but the di spense dru g strength is change d – i.e. 2 mg tablets #30 is ch anged to 1 mg tablets , the Sig is updated , and the system cha nges the q uantity to 60. A man ual change to a high er quantit y is not a llowed.
	4877	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.
	4878	In patch P SO799, a change wa s made for pending o rders not to recalcu late the q uantity fo r CS drugs on select ing a diff erent stre ngth of th e same dru g and resu lting in t he same pr escribed d osage. Thi s change i s removed in patch P SO7391.
	4879	Changes to Releasing Orders fu nction - S cripTalk(
	4880	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 me ssage will alert the user that the patie nt is enro lled in Sc ripTalk( a nd may nee d to have a verbal a nnouncemen t that the prescript ion(s) is ready, ins tead of a visual ann ouncement.
	4881	Example: R eleasing M edication to a Scrip Talk( Pati ent
	4882	Pre scription Number 400 693 Releas ed
	4883	No Refill(s) to be Rele ased
	4884	No Partial(s) to be Rel eased
	4885	OPPATIENT1 6,ONE adde d to the W AITING dis play.
	4886	This patie nt is enro lled in Sc ripTalk an d may bene fit from
	4887	a non-visu al announc ement that prescript ions are r eady.
	4888	Press Retu rn to Cont inue:
	4889	Changes to Releasing Orders Fu nction – S ignature A lert
	4890	With Patch PSO7385 , 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.
	4891	Example: R eleasing a n ePharmac y Window F ill
	4892	Pre scription Number 100 003853 Rel eased
	4893	No Refill(s) to be Rele ased
	4894	No Partial(s) to be Rel eased
	4895	Changes to Releasing Orders fu nction – H IPAA NCPDP Global
	4896	The releas e function has been modified w ith patch PSO7148 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.
	4897	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:
	4898	NDC field value in t he DRUG fi le, if val id and dif ferent tha n the curr ent prescr iption NDC .
	4899	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.
	4900	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 .
	4901	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 file 5 0.
	4902	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. Ho wever, if the user s elects a d ifferent N DC, the fo llowing st eps will o ccur:
	4903	Outpatient Pharmacy V. 7.0 wil l instruct ECME to r everse the previous claim for the previo us NDC cod e and subm it a new c laim for t he newly s elected ND C code.
	4904	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.
	4905	The follow ing exampl es show th e new prom pt for NDC validatio n during t he release process.
	4906	Example: R eleasing a n ePharmac y Order – Selecting Default ND C
	4907	Select Out patient Ph armacy Man ager Optio n: RELEASE Medicatio n
	4908	Enter PHAR MACIST: OP PHARMACIST 4,THREE
	4909	Enter/Wand PRESCRIPT ION number : 10000385 3
	4910	NDC: 00580 -0277-10// ?
	4911	Select one of the fo llowing va lid NDC co de(s) belo w:
	4912	1 - 00580 -0277-10
	4913	NDC: 00580 -0277-10// <Enter> 0 0580-0277- 10
	4914	Pre scription Number 100 003853 Rel eased
	4915	No Refill(s) to be Rele ased
	4916	No Partial(s) to be Rel eased
	4917	Example: R eleasing a n ePharmac y Order – Selecting Different NDC
	4918	Select Out patient Ph armacy Man ager Optio n: RELEASE Medicatio n
	4919	Enter PHAR MACIST: OP PHARMACIST 4,THREE
	4920	Enter/Wand PRESCRIPT ION number : 10000385 3
	4921	NDC: 00580 -0277-10// ?
	4922	Select one of the fo llowing va lid NDC co de(s) belo w:
	4923	1 - 00580 -0277-10
	4924	2 - 00580 -0277-14
	4925	NDC: 00580 -0277-10// 2 00580- 0277-14
	4926	Veteran Pr escription 100003853 successfu lly submit ted to ECM E for clai m generati on.
	4927	Claim Stat us:
	4928	Reversing and Rebill ing a prev iously sub mitted cla im...
	4929	Reversing. ..
	4930	IN PROGRES S-Waiting to start
	4931	IN PROGRES S-Waiting for packet build
	4932	IN PROGRES S-Waiting for transm it
	4933	IN PROGRES S-Transmit ting
	4934	Resubmitti ng...
	4935	IN PROGRES S-Waiting to start
	4936	IN PROGRES S-Waiting for packet build
	4937	IN PROGRES S-Waiting for transm it
	4938	IN PROGRES S-Transmit ting
	4939	IN PROGRES S-Waiting to process response
	4940	E PAYABLE
	4941	Pre scription Number 100 003853 Rel eased
	4942	No Refill(s) to be Rele ased
	4943	No Partial(s) to be Rel eased
	4944	(This page included for two-si ded copyin g.)
	4945	Chapter 22 : Returnin g Medicati on to Stoc k XE "Retu rn Medicat ion to Sto ck"
	4946	This chapt er describ es the opt ion used f or returni ng medicat ion to sto ck.
	4947	Return Med ication to Stock
	4948	[PSO RETUR NED STOCK]
	4949	This optio n is used when a pre scription has been r eleased, b ut has bee n refused, not picke d up, or n ot given t o the pati ent for so me reason. Comments can be ent ered to ex plain why the medica tion was r eturned to stock.
	4950	A prescrip tion can o nly be ret urned to s tock if th e prescrip tion statu s is Activ e, Discont inued, or Expired. I f the pres cription i s not rele ased, ther e is no ne ed to retu rn it to s tock. This function increases the invent ory so tha t a more c urrent lev el is main tained by the Outpat ient Pharm acy packag e and remo ves the co pay charge if it is applicable to the pr escription . It is hi ghly recom mended tha t this opt ion be use d.
	4951	When an eP harmacy pr escription is return ed to stoc k, the sof tware chec ks if the it has a P AYABLE cla im, if so, a request is sent t o ECME to electronic ally rever se the cla im with th e third pa rty payer. Also, if the prescr iption con tains any unresolved DUR or RE FILL TOO S OON reject , it will be marked resolved w ith the re ason ‘Pres cription R eturned To Stock’.
	4952	If a copay charge is removed b y returnin g a prescr iption fil l to stock , an entry will be p laced in t he copay a ctivity lo g document ing the ac tion.
	4953	Example: R eturning M edication to Stock
	4954	Copay Acti vity Log:
	4955	# Date Reas on Rx Ref Initiato r Of Activ ity
	4956	========== ========== ========== ========== ========== ========== ========== =========
	4957	1 11/21/ 01 REMO VE COPAY C HARGE REF ILL 1 OPPHARMA CIST9,THRE E
	4958	Comment: R X REFUSED Returned t o stock
	4959	If an orig inal fill is returne d to stock and repri nted, it c an be rele ased again . If a ref ill is ret urned to s tock, the refill is deleted so the patie nt will no t lose it.
	4960	(This page included for two-si ded copyin g.)
	4961	Chapter 23 : Ordering /Processin g a Prescr iption XE "Ordering/ Processing a Prescri ption"
	4962	This chapt er describ es the men u and opti ons used i n processi ng prescri ptions.
	4963	Rx (Prescr iptions) X E "Rx (Pre scriptions )"
	4964	[PSO RX]
	4965	The Rx (Pr escription s) menu al lows the p harmacist to manipul ate inform ation that pertains to prescri ptions. Ac tions are taken on p rescriptio ns via thi s menu. So me previou s options, such as r enew, refi ll, edit, release, a re now act ions in th e Patient Prescripti on Process ing option found on this menu. Also, dat a now must be entere d for the individual fields th at are use d to build a Sig.
	4966	Default va lues displ ay for pos sible dosa ges, sched ules, med routes, an d patient instructio ns. When p ossible, d efault qua ntities ar e calculat ed using d ata entere d into spe cific fiel ds during medication order ent ry.
	4967	The follow ing option s are avai lable on t his menu:
	4968	Patient Pr escription Processin g
	4969	Barcode Rx Menu ...
	4970	Check Drug Interacti on
	4971	Complete O rders from OERR
	4972	Discontinu e Prescrip tion(s)
	4973	Edit Presc riptions
	4974	ePharmacy Menu ...
	4975	List One P atient's A rchived Rx 's
	4976	Manual Pri nt of Mult i-Rx Forms
	4977	Reprint an Outpatien t Rx Label
	4978	Signature Log Reprin t
	4979	View Presc riptions
	4980	Patient Pr escription Processin g XE "Pati ent Prescr iption Pro cessing"
	4981	[PSO LM BA CKDOOR ORD ERS]
	4982	This optio n is used to process outpatien t medicati on through OERR V. 3 .0. The Pa tient Pres cription P rocessing option is found on t he Outpati ent Pharma cy Manager Menu and the Pharma cist Menu under the Rx (Prescr iptions) o ption. Thi s option u ses List M anager fea tures to a llow the o utpatient pharmacy m anager and pharmacis t to perfo rm the fol lowing act ions on a prescripti on without leaving t his option .
	4983	Enter a ne w RxReleas eDiscontin ueReprintE ditCopyRef illVerify a prescrip tionRenewS how a prof ileHoldVie w activity logUnhold Pull early from susp enseOrder a partialW hen a new drug order is proces sed (new, renewal, f inish, ver ify, copy, or an edi t that cre ates a new order), o rder check s are perf ormed. The se include checking for Duplic ate Drug, Maximum Si ngle Dose, Duplicate Drug Ther apy, Drug- Drug Inter action, an d Drug-Dru g Allergy.
	4984	With the i ntroductio n of enhan ced Order checks (PS O7251) , Outpatien t Pharmacy generated order che cks are di splayed in this sequ ence:
	4985	System Err ors
	4986	Duplicate Drug
	4987	Clozapine
	4988	Allergy/AD R (local & remote) o r Non-Asse ssment
	4989	CPRS check s generate d backdoor (3 new ch ecks)
	4990	Drug Level Errors
	4991	Local & Re mote Criti cal Drug I nteraction s
	4992	Local & Re mote Signi ficant Dru g Interact ions
	4993	Local & Re mote Dupli cate Thera py
	4994	Additional ly, the or der check display se quence is applied to the follo wing proce sses:
	4995	Backdoor n ew order e ntry
	4996	Finishing a pending order
	4997	When renew ing an out patient me dication o rder
	4998	Creating a new order when edit ing an out patient me dication o rder
	4999	Verifying an outpati ent medica tion order .
	5000	Copying an outpatien t medicati on order
	5001	Reinstatin g a discon tinued out patient me dication o rder.
	5002	There are three leve ls of erro r messages associate d with Enh anced Orde r Checking (Drug Int eractions, Duplicate Therapy, and Dosing ):
	5003	System - W hen such a n error oc curs, no D rug Intera ction, Dup licate The rapy, or D osing orde r checks w ill be per formed. Ot her order checks tha t do not u se the COT S database (FDB) wil l still be performed such as a llergy/ADR s, duplica te drug (f or outpati ent only), and new C PRS order checks, et c.
	5004	Drug - The second er ror level is for the drug and no Drug In teraction, Duplicate Therapy, or Dosing order chec ks will be performed for a spe cific drug . Drug lev el errors can occur for the pr ospective drug (drug being pro cessed) or the profi le drug. I f a drug l evel error occurs on the prosp ective dru g, no prof ile drug e rrors will be displa yed. The o nly except ion to thi s is when you are pr ocessing a n IV order with mult iple prosp ective dru gs (i.e. m ultiple IV Additives ). Profile drug leve l errors w ill only b e shown on ce per pat ient sessi on.
	5005	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.
	5006	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.
	5007	See table below for an explana tion of th e errors:
	5008	Error Leve lError Mes sageReason Why messag e is being displayed .SystemNo Enhanced O rder Check s can be p erformed.V endor Data base canno t be reach ed.The con nectivity to the ven dor databa se has gon e down. A MailMan me ssage is s ent to the G. PSS OR DER CHECKS mail grou p when the link goes down and when it co mes back u p.SystemNo Enhanced Order Chec ks can be performed. The connec tion to th e vendor d atabase ha s been dis abled.A us er has exe cuted the Enable/Dis able Vendo r Database Link [PSS ENABLE/DI SABLE DB L INK] optio n and disa bled the i nterface.S ystemNo En hanced Ord er Checks can be per formed.Ven dor databa se updates are being processed The vendor database (custom an d standard data) is being upda ted using the DATUP (Data Upda te) proces s.SystemNo Enhanced Order Chec ks can be performed. An unexpec ted error has occurr ed.There i s a system network p roblem and the vendo r database cannot be reached o r a softwa re interfa ce issue.D rugEnhance d Order Ch ecks canno t be perfo rmed for L ocal or Lo cal Outpat ient Drug: <DRUG NAM E>Drug not matched t o NDF.The local drug being ord ered/ or o n profile has not be en matched to NDF. M atching th e drug to a VA Produ ct will el iminate th is message .DrugOrder Checks co uld not be done for Remote Dru g: <DRUG N AME>, plea se complet e a manual check for Drug Inte ractions a nd Duplica te Therapy .
	5009	Remote ord er indicat orIf this error mess age is dis played, it means tha t the VA p roduct tha t the loca l or remot e drug bei ng ordered /or on the local or remote pro file does not have a GCNSEQNO or in rare cases, th e GCNSEQNO assigned to the VA Product do es not mat ch up with a GCNSEQN O in the v endor data base. Drug Enhanced O rder Check s cannot b e performe d for Orde rable Item : <OI NAME >No active Dispense Drug found .Highly un likely tha t this err or would b e 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.See Exa mples belo w to illus trate erro r sequence s.
	5010	Example: N ew Order E ntry – Sys tem Level Error
	5011	Select Act ion: Quit/ / NO New Order
	5012	Eligibilit y: SC LESS THAN 50% SC%: 4 0
	5013	RX PATIENT STATUS: S C LESS THA N 50%//
	5014	DRUG: AMLO D
	5015	Lookup: GENERIC NA ME
	5016	1 A MLODIPINE 10MG/BENAZ APRIL 20MG TAB CV400
	5017	2 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB CV20 0
	5018	CHOOSE 1-2 : 1 AMLOD IPINE 10MG /BENAZAPRI L 20MG TAB C V400
	5019	Now doing remote ord er checks. Please wa it...
	5020	Now doing allergy ch ecks. Ple ase wait.. .
	5021	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5022	Now Proces sing Enhan ced Order Checks! Pl ease wait. ..
	5023	No Enhance d Order Ch ecks can b e performe d.
	5024	Reason: Vendor d atabase ca nnot be re ached.
	5025	Press Retu rn to Cont inue...
	5026	Available Dosage(s)
	5027	1 TABLET
	5028	2 TABLETS
	5029	Select fro m list of Available Dosages, E nter Free Text Dose
	5030	or Enter a Question Mark (?) t o view lis t: 1 1 TAB LET
	5031	You entere d 1 TABLET is this c orrect? Ye s// YES
	5032	VERB: TAKE
	5033	ROUTE: PO/ /
	5034	1 P O ORAL (B Y MOUTH) PO
	5035	2 P O ORAL PO
	5036	CHOOSE 1-2 : 1 ORAL (BY MOUTH) PO MOUTH
	5037	Schedule: Q4H (EVERY 4 HOURS)
	5038	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	5039	CONJUNCTIO N:
	5040	Example: D rug Error Message – Finishing Pending Ou tpatient O rder
	5041	+ Enter ?? f or more ac tions
	5042	BY Bypass DC Discon tinue
	5043	ED Edit FN Finish
	5044	Select Ite m(s): Next Screen// FN Finis h
	5045	Now doing remote ord er checks. Please wa it...
	5046	Now doing allergy ch ecks. Ple ase wait.. .
	5047	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5048	Now Proces sing Enhan ced Order Checks! Pl ease wait. ..
	5049	Enhanced O rder Check s cannot b e performe d for Loca l Drug: WA RFARIN 5MG TAB
	5050	Reason: Drug not matched to NDF
	5051	Press Retu rn to Cont inue...
	5052	Was treatm ent for Se rvice Conn ected cond ition? YES //
	5053	Are you su re you wan t to Accep t this Ord er? NO//
	5054	Example: R enewing an Order – T herapeutic Duplicati on – Drug Level Erro r
	5055	+ Enter ?? f or more ac tions
	5056	DC Disco ntinue PR Partial RL Rel ease
	5057	ED Edit RF Refill RN Ren ew
	5058	Select Act ion: Next Screen// r n Renew
	5059	FILL DATE: (3/12/20 08 - 3/13/ 2009): TOD AY// (MA R 12, 2008 )
	5060	MAIL/WINDO W: WINDOW/ / WINDOW
	5061	METHOD OF PICK-UP:
	5062	Nature of Order: WRI TTEN// W
	5063	WAS THE PA TIENT COUN SELED: NO/ / NO
	5064	Do you wan t to enter a Progres s Note? No // NO
	5065	Now Renewi ng Rx # 25 80 Drug: SUCRALFAT E 1GM TAB
	5066	Press Retu rn to Cont inue...
	5067	Now doing remote ord er checks. Please wa it...
	5068	Now doing allergy ch ecks. Ple ase wait.. .
	5069	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5070	Now Proces sing Enhan ced Order Checks! Pl ease wait…
	5071	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.
	5072	========== ========== ========== ========== ========== ========== ========== =========
	5073	* THERAP EUTIC DUPL ICATION(S) * SUCRA LFATE 1GM TAB with
	5074	L ocal Rx#: 2574
	5075	Dru g: CIMETID INE 300MG TAB (DISCO NTINUED)
	5076	SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY
	5077	QT Y: 180 Days Sup ply: 90
	5078	Pr ocessing S tatus: Rel eased loca lly on 03/ 07/08@08:5 5:32 (Win dow)
	5079	Las t Filled O n: 11/08/0 6
	5080	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5081	L ocal Rx#: 2573
	5082	Dru g: NIZATID INE 150MG CAP (ACTIV E)
	5083	SI G: TAKE ON E CAPSULE BY MOUTH T WICE A DAY
	5084	QT Y: 180 Days Sup ply: 90
	5085	Pr ocessing S tatus: Rel eased loca lly on 03/ 07/08@08:5 5:32 (Win dow)
	5086	Las t Filled O n: 11/08/0 6
	5087	--------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5088	Local Rx #: 2599
	5089	Dru g: FAMOTID INE 20MG T AB (PROVID ER HOLD)
	5090	SI G: TAKE ON E TABLET B Y MOUTH TW ICE A DAY
	5091	QT Y: 180 Days Sup ply: 90
	5092	Pr ocessing S tatus: Rel eased loca lly on 03/ 07/08@08:5 5:32 (Win dow)
	5093	Las t Filled O n: 11/08/0 6
	5094	Class(es)I nvolved in Therapeut ic Duplica tion(s): P eptic Ulce r Agents, Histamine- 2 Receptor Antagonis ts (H2 Ant agonists
	5095	========== ========== ========== ========== ========== ========== ========== =========
	5096	Discontinu e RX #2573 NIZATIDIN E 150MG CA P? Y/N No
	5097	Press Retu rn to Cont inue:
	5098	2580A SUCRALF ATE 1GM TA B QTY : 360
	5099	# OF REFIL LS: 3 ISS UED: 03-12 -08
	5100	SIG: TAKE ONE TABLET BY MOUTH FOUR TIMES A DAY
	5101	FILLED: 03 -12-08
	5102	ROUTING: W INDOW PHYS: PSOP ROVIDER,ON E
	5103	Edit renew ed Rx ? Y/ / n NO
	5104	SC Percent: 8 0%
	5105	Disab ilities: N ONE STATED
	5106	Was treatm ent for a Service Co nnected co ndition? N O//
	5107	Duplicate Drug Order Check
	5108	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:
	5109	Example: L ocal Rx
	5110	Duplicate Drug in Lo cal Rx:
	5111	Rx #: 2608
	5112	Dr ug: ASPIRI N 81MG EC TAB
	5113	S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG
	5114	Q TY: 30 Refills re maining: 1 1
	5115	Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08
	5116	Stat us: Active Last fi lled on: 0 3/24/08
	5117	Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window)
	5118	Days Supply: 3 0
	5119	Example: R emote Rx
	5120	Duplicate Drug in Re mote Rx:
	5121	L OCATION NA ME: <NAME OF FACILIT Y>
	5122	Rx #: 2608
	5123	Dr ug: ASPIRI N 81MG EC TAB
	5124	S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG
	5125	Q TY: 30 Refills re maining: 1 1
	5126	Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08
	5127	Stat us: Active Last fi lled on: 0 3/24/08
	5128	Days Supply: 3 0
	5129	Duplicate Drug Order Check for Pending O rders:
	5130	Example: P ending Ord er
	5131	DUPLICATE DRUG in a Pending Or der for:
	5132	Dr ug: ALLOPU RINOL 300M G TAB
	5133	S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG
	5134	Q TY: 180 # of Refills: 3
	5135	Provid er: PSOPRO VIDER,TEN Iss ue Date: 0 3/24/08@14 :44:15
	5136	Provi der Commen ts: <only if data pr esent>
	5137	Duplicate Drug order check for Non-VA Me dications
	5138	Example: N on-VA Med Order
	5139	Duplicate Drug in a Non-VA Med Order for
	5140	Drug : CIMETIDI NE 300MG T AB
	5141	SIG: 3 00MG
	5142	Schedule : AT BEDTI ME
	5143	Medica tion Route : MOUTH
	5144	Start Date : <NOT ENT ERED> CPRS Order #: 13554
	5145	Doc umented By : PSOPROVI DER,TEN on Mar 24, 2 008@14:44: 15
	5146	Duplicate Drug Order Check bus iness rule s:
	5147	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.
	5148	If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to NO, an d a new or der is bei ng entered by a cler k (no PSOR PH key) vi a the phar macy backd oor, the o rder being processed will be d eleted by the system immediate ly after t he duplica te drug wa rning is d isplayed.
	5149	If the dup licate dru g is a rem ote order, the syste m will all ow the cle rk to proc ess the ne w order af ter the di splay of t he duplica te drug wa rning.
	5150	If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to NO, an d a clerk (no PSORPH key) is f inishing a pending o rder:
	5151	When the V ERIFICATIO N outpatie nt site pa rameter is set to YE S and the duplicate drug is a local orde r, the sys tem will r eturn the user back to the det ailed orde r ListMan display wi th the ava ilable act ions of Ac cept/Edit/ Discontinu e.
	5152	When the V ERIFICATIO N outpatie nt site pa rameter is set to YE S and the duplicate drug is a remote ord er
	5153	A duplicat e drug war ning will be display ed
	5154	The clerk will be al lowed to f inish the order
	5155	The finish ed order w ill have a status of non-verif ied
	5156	When the V ERIFICATIO N outpatie nt site pa rameter is set to NO , the cler k will not be allowe d to finis h the orde r,
	5157	If the DRU G CHECK FO R CLERK ou tpatient s ite parame ter is set to Yes, a clerk (no PSORPH ke y) will se e the same discontin ue prompts as a phar macist,
	5158	If the VER IFICATION outpatient site para meter is s et to YES when reins tating an order, no duplicate message wi ll be disp layed and the reinst ated order will have a non-ver ified stat us.
	5159	No discont inuation p rompt will be displa yed for a duplicate Non-VA med ication or der in any situation .
	5160	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.
	5161	Active Ord er
	5162	Discontinu e RX #2580 A SUCRALFA TE 1GM TAB ? Y/N
	5163	Pending Or der
	5164	Discontinu e Pending Order for ALLOPURINO L 300MG? Y /N
	5165	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).
	5166	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.
	5167	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.
	5168	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.
	5169	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.
	5170	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 .
	5171	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.
	5172	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.
	5173	The follow ing exampl es illustr ate the co nditions d escribed a bove.
	5174	Example: D uplicate P ending Ord er
	5175	Pending OP Orders (R OUTINE) Mar 24, 20 08@13:52:0 4 Page: 1 of 2
	5176	PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT >
	5177	PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006)
	5178	DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006)
	5179	Order Chec ks:
	5180	Dupl icate drug order: AS PIRIN TAB, EC 325MG TAKE ONE T ABLET BY M OUTH EVERY
	5181	MORN ING [ACTI VE]
	5182	Overr iding Prov ider: PSOP ROVIDER,TE N
	5183	Overr iding Reas on: TESTIN G DUPLICAT E THERAPY FUNCTIONAL ITY
	5184	*(1) Order able Item: ASPIRIN T AB,EC
	5185	(2) Drug: ASPIRIN 3 25MG EC TA B <DIN>
	5186	NDC: 33261-015 3-14
	5187	(3) *Dosage: 325 (MG)
	5188	Verb: TAKE
	5189	Dispe nse Units: 1
	5190	Noun: TABLET
	5191	*Route: ORAL
	5192	*Schedule: QAM
	5193	+ Enter ?? f or more ac tions
	5194	BY Bypass DC Discon tinue
	5195	ED Edit FN Finish
	5196	Select Ite m(s): Next Screen// FN Finis h
	5197	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5198	Duplicate Drug in Lo cal Rx:
	5199	RX #: 2603
	5200	Dr ug: ASPIRI N 325MG EC TAB
	5201	S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG
	5202	Q TY: 30 Ref ills remai ning: 11
	5203	Provid er: PSOPRO VIDER,TEN Is sued: 03/2 4/08
	5204	Stat us: Active Last fille d on: 03/2 4/08
	5205	Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window)
	5206	Days Su pply: 30
	5207	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5208	Discontinu e RX #2603 ASPIRIN 3 25MG EC TA B? Y/N NO -Prescript ion was no t disconti nued...
	5209	Pending OP Orders (R OUTINE) Mar 24, 20 08@13:52:4 5 Page: 1 of 2
	5210	PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT >
	5211	PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006)
	5212	DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006)
	5213	Order Chec ks:
	5214	Dupl icate drug order: AS PIRIN TAB, EC 325MG TAKE ONE T ABLET BY M OUTH EVERY
	5215	MORN ING [ACTI VE]
	5216	Overr iding Prov ider: PSOP ROVIDER,TE N
	5217	Overr iding Reas on: TESTIN G DUPLICAT E THERAPY FUNCTIONAL ITY
	5218	*(1) Order able Item: ASPIRIN T AB,EC
	5219	(2) Drug: ASPIRIN 3 25MG EC TA B <DIN>
	5220	NDC: 33261-0153 -14
	5221	(3) *Dosage: 325 (MG)
	5222	Verb: TAKE
	5223	Dispe nse Units: 1
	5224	NOUN: TABLET
	5225	*Route: ORAL
	5226	*Schedule: QAM
	5227	+ Enter ?? f or more ac tions
	5228	AC Accept ED E dit DC Disco ntinue
	5229	Select Ite m(s): Next Screen//
	5230	.
	5231	OR
	5232	Discontinu e RX #2603 ASPIRIN 3 25MG EC TA B? Y/N YE S
	5233	RX #2603 A SPIRIN 325 MG EC TAB will be di scontinued after the acceptanc e of the n ew order.
	5234	Rx # 2604 03/24/0 8
	5235	PSOPATIENT ,FOUR #30
	5236	TAKE ONE T ABLET BY M OUTH EVERY MORNING
	5237	ASPIRIN 32 5MG EC TAB
	5238	PSOPROVIDE R,TEN PSO PHARMACIST ,ONE
	5239	# of Refil ls: 11
	5240	SC Percent: 1 00%
	5241	Disab ilities: N ONE STATED
	5242	Was treatm ent for a Service Co nnected co ndition? Y ES// YES
	5243	Are you su re you wan t to Accep t this Ord er? NO// Y ES
	5244	WAS THE PA TIENT COUN SELED: NO/ / NO
	5245	Do you wan t to enter a Progres s Note? No // NO
	5246	-Duplicat e Drug Rx #2603 ASPI RIN 325MG EC TAB has been disc ontinued.. .
	5247	Press Retu rn to Cont inue:
	5248	Example: N ew Order E ntry Backd oor – Dupl icate Drug
	5249	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100
	5250	RX PATIENT STATUS: O PT NSC//
	5251	DRUG: aspi rin
	5252	Lookup : DRUG GE NERIC NAME
	5253	1 A SPIRIN 325 MG EC TAB CN103
	5254	2 A SPIRIN 325 MG SUPPOSI TORY CN103
	5255	3 A SPIRIN 325 MG TAB CN1 03
	5256	4 A SPIRIN 650 MG/BUTALBI TAL 50MG T AB CN103
	5257	5 A SPIRIN 81M G EC TAB C N103
	5258	Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR
	5259	CHOOSE 1-5 : 1 ASPIR IN 325MG E C TAB CN103
	5260	Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D): No// NO
	5261	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5262	Duplicate Drug in Lo cal Rx:
	5263	RX #: 2604
	5264	Drug: ASPIRIN 32 5MG EC TAB
	5265	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	5266	QTY: 30 Refil ls remaini ng: 11
	5267	Provider: PSOPROVIDE R,TEN Issu ed: 03/24/ 08
	5268	Status: Active La st filled on: 03/24/ 08
	5269	Processin g Status: Released l ocally on 3/24/08@08 :55:32 (W indow)
	5270	Days Supp ly: 30
	5271	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5272	Discontinu e RX #2604 ASPIRIN 3 25MG EC TA B? Y/N NO -Prescrip tion was n ot discont inued...
	5273	RX DELETED
	5274	OR
	5275	Discontinu e RX #2604 ASPIRIN 3 25MG EC TA B? Y/N YE S
	5276	RX #2604 A SPIRIN 325 MG EC TAB will be di scontinued after the acceptanc e of the n ew order.
	5277	Now doing remote ord er checks. Please wa it...
	5278	Now doing allergy ch ecks. Ple ase wait.. .
	5279	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5280	Now Proces sing Enhan ced Order Checks! P lease wait ...
	5281	VERB: TAKE
	5282	Available Dosage(s)
	5283	1. 325MG
	5284	2. 650MG
	5285	Select fro m list of Available Dosages, E nter Free Text Dose
	5286	or Enter a Question Mark (?) t o view lis t: 1 325MG
	5287	You entere d 325MG is this corr ect? Yes// YES
	5288	VERB: TAKE
	5289	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	5290	Dosage Ord ered: 325M G
	5291	NOUN: TABL ET
	5292	ROUTE: PO/ / ORAL PO MO UTH
	5293	Schedule: bid (TWICE A DAY)
	5294	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	5295	CONJUNCTIO N:
	5296	PATIENT IN STRUCTIONS :
	5297	(TAKE ONE TABLET BY MOUTH TWIC E A DAY)
	5298	DAYS SUPPL Y: (1-90) : 30//
	5299	QTY ( TAB ) : 60// 6 0
	5300	COPIES: 1/ / 1
	5301	# OF REFIL LS: (0-11 ): 11//
	5302	PROVIDER: PSOPROV IDER,TEN
	5303	CLINIC:
	5304	MAIL/WINDO W: WINDOW/ / WINDOW
	5305	METHOD OF PICK-UP:
	5306	REMARKS:
	5307	ISSUE DATE : TODAY// (MAR 24, 2008)
	5308	FILL DATE: (3/24/20 08 - 3/25/ 2009): TOD AY// (MA R 24, 2008 )
	5309	Nature of Order: WRI TTEN// W
	5310	WAS THE PA TIENT COUN SELED: NO/ / NO
	5311	Do you wan t to enter a Progres s Note? No // NO
	5312	Rx # 2605 03/24/0 8
	5313	PSOPATIENT ,FOUR #60
	5314	TAKE ONE T ABLET BY M OUTH TWICE A DAY
	5315	ASPIRIN 32 5MG EC TAB
	5316	PSOPROVIDE R,TEN PSO PHARMACIST ,ONE
	5317	# of Refil ls: 11
	5318	SC Percent: 1 00%
	5319	Disab ilities: N ONE STATED
	5320	Was treatm ent for a Service Co nnected co ndition? n NO
	5321	Is this co rrect? YES //
	5322	-Duplicat e Drug RX #2604 ASPI RIN 325MG EC TAB has been disc ontinued.. .
	5323	Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES//
	5324	Example: C lerk Enter ing New Or der via Ba ckdoor – D rug Check for Clerk Parameter set to No
	5325	PI Patien t Informat ion SO Select Order
	5326	Select Act ion: Quit/ / NO New Order
	5327	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100
	5328	RX PATIENT STATUS: O PT NSC//
	5329	DRUG: ASPI RIN 81
	5330	Lookup: GENERIC NA ME
	5331	ASPIRIN 81 MG EC TAB CN103
	5332	. ..OK? Yes/ / (Yes)
	5333	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5334	Duplicate Drug in Lo cal Rx:
	5335	Rx #: 2608
	5336	Drug: ASPIRIN 81 MG EC TAB
	5337	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	5338	QTY: 30 Re fills rema ining: 11
	5339	Provider: PSOPROVIDE R,TEN I ssued: 03/ 24/08
	5340	Status: Active Last fill ed on: 03/ 24/08
	5341	Processin g Status: Released l ocally on 3/24/08@08 :55:32 (W indow)
	5342	Days S upply: 30
	5343	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5344	RX DELETED
	5345	Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES//
	5346	Example: C lerk Enter ing New Or der via Ba ckdoor – D rug Check for Clerk Parameter set to No – Duplicat e Drug – D iscontinue d Status
	5347	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100
	5348	RX PATIENT STATUS: O PT NSC//
	5349	DRUG: ASPI RIN
	5350	Lookup: GENERIC NA ME
	5351	1 A SPIRIN 325 MG EC TAB CN103
	5352	2 A SPIRIN 325 MG SUPPOSI TORY CN103
	5353	3 A SPIRIN 325 MG TAB CN1 03
	5354	4 A SPIRIN 650 MG/BUTALBI TAL 50MG T AB CN103
	5355	5 A SPIRIN 81M G EC TAB C N103
	5356	Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR
	5357	CHOOSE 1-5 : 1 ASPIR IN 325MG E C TAB CN103
	5358	Restrict ion/Guidel ine(s) exi st. Displ ay? : (N/ D): No// NO
	5359	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5360	Duplicate Drug in Lo cal Rx:
	5361	Rx #: 2605A
	5362	Dr ug: ASPIRI N 325MG EC TAB
	5363	S IG: TAKE O NE TABLET BY MOUTH T WICE A DAY
	5364	Q TY: 60 Refil ls remaini ng: 11
	5365	Provid er: PSOPRO VIDER,TEN Issu ed: 03/24/ 08
	5366	Stat us: Discon tinued (Ed it) La st filled on: 03/24/ 08
	5367	Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window)
	5368	Days Supp ly: 30
	5369	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5370	Press Retu rn to Cont inue: .
	5371	Example: C lerk Finis hing Pendi ng Order – Drug Chec k for Cler k paramete r set to N o
	5372	ED (Edit) FN Finish
	5373	Pending OP Orders (R OUTINE) Mar 24, 20 08@14:35:2 1 Page: 1 of 3
	5374	PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT >
	5375	PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006)
	5376	DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006)
	5377	CPRS Order Checks:
	5378	Dupl icate drug order: AS PIRIN TAB, EC 81MG T AKE ONE TA BLET BY MO UTH EVERY
	5379	MORN ING [ACTI VE]
	5380	Overr iding Prov ider: PSOP ROVIDER,TE N
	5381	Overr iding Reas on: TESTIN G
	5382	Dupl icate drug class ord er:(ASPIRI N TAB,EC 325MG
	5383	TAKE ONE TABLE T BY MOUTH EVERY MOR NING [UNR ELEASED])
	5384	Overr iding Prov ider: PSOP ROVIDER,TE N
	5385	Overr iding Reas on: TESTIN G
	5386	*(1) Order able Item: ASPIRIN T AB,EC
	5387	(2) Drug: ASPIRIN 8 1MG EC TAB
	5388	NDC: 33261-015 3-14
	5389	(3) *Dosage: 81 (MG)
	5390	+ Enter ?? f or more ac tions
	5391	BY Bypass DC (Disco ntinue)
	5392	ED (Edit) FN Finish
	5393	Select Ite m(s): Next Screen// FN Finis h
	5394	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5395	Duplicate Drug in Lo cal Rx:
	5396	Rx #: 2608
	5397	Dr ug: ASPIRI N 81MG EC TAB
	5398	S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG
	5399	Q TY: 30 Refills re maining: 1 1
	5400	Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08
	5401	Stat us: Active Last fi lled on: 0 3/24/08
	5402	Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window)
	5403	Days Supply: 3 0
	5404	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5405	Pending OP Orders (R OUTINE) Mar 24, 20 08@14:35:2 5 Page: 1 of 3
	5406	PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT >
	5407	PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006)
	5408	DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006)
	5409	CPRS Order Checks:
	5410	Dupl icate drug order: AS PIRIN TAB, EC 81MG T AKE ONE TA BLET BY MO UTH EVERY
	5411	MORN ING [ACTI VE]
	5412	Overr iding Prov ider: PSOP ROVIDER,TE N
	5413	Overr iding Reas on: TESTIN G
	5414	Dupl icate drug class ord er: NON-OP IOID ANALG ESICS (ASP IRIN TAB,E C 325MG
	5415	TAKE ONE TABLE T BY MOUTH EVERY MOR NING [UNR ELEASED])
	5416	Overr iding Prov ider: PSOP ROVIDER,TE N
	5417	Overr iding Reas on: TESTIN G
	5418	*(1) Order able Item: ASPIRIN T AB,EC
	5419	(2) Drug: ASPIRIN 8 1MG EC TAB
	5420	NDC: 00056-017 6-75
	5421	(3) *Dosage: 81 (MG)
	5422	+ Enter ?? f or more ac tions
	5423	AC Accept ED E dit DC Disco ntinue
	5424	Select Ite m(s): Next Screen// DC Disco ntinue
	5425	Nature of Order: SER VICE CORRE CTION// S
	5426	Requesting PROVIDER: PSOPROVID ER,TEN// LBB 119
	5427	Comments: Per Pharma cy Request Replace
	5428	Press Retu rn to :
	5429	PI Patien t Informat ion SO Select Order
	5430	PU Patien t Record U pdate NO New Or der
	5431	PI Patien t Informat ion SO Select Order
	5432	Select Act ion: Quit/ / 2
	5433	Medication Profile Mar 24, 20 08@14:36:2 8 Page: 1 of 1
	5434	PSOPATIENT ,FOUR <N O ALLERGY ASSESSMENT >
	5435	PID: 000 -00-0000 Ht(cm): 1 68.91 (04/ 11/2006)
	5436	DOB: MAY 20,1966 ( 41) Wt(kg): 6 8.18 (09/0 6/2006)
	5437	SEX: MAL E
	5438	ISSUE LAS T REF DAY
	5439	# RX # DRU G QTY ST DATE FIL L REM SUP
	5440	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	5441	1 2608 ASP IRIN 81MG EC TAB 30 A 03-24 03-2 4 11 30
	5442	---------- ---------- ---------- ----NON-VE RIFIED---- ---------- ---------- ---------
	5443	2 2609 ASP IRIN 325MG EC TAB 30 N 03-24 03-2 4 5 30
	5444	Example: D uplicate w ith Non-VA Med – No Action Req uired
	5445	DRUG: CIME TIDINE
	5446	Lookup: GENERIC NA ME
	5447	1 C IMETIDINE 100MG TAB GA301
	5448	2 C IMETIDINE 200MG TAB GA301
	5449	3 C IMETIDINE 300MG TAB GA301 90 DAY SUPPLY
	5450	4 C IMETIDINE 400MG TAB GA301
	5451	5 C IMETIDINE 800MG TAB GA301
	5452	CHOOSE 1-5 : 3 CIMET IDINE 300M G TAB GA301 90 DAY SUPPL Y
	5453	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5454	Duplicate Drug in a Non-VA Med Order for
	5455	Drug : CIMETIDI NE 300MG T AB
	5456	SIG: 3 00MG
	5457	Schedule : AT BEDTI ME
	5458	Medica tion Route : MOUTH
	5459	Start Date : C PRS Order #: 13554
	5460	Doc umented By : PSOPROVI DER,TEN on Mar 24, 2 008@14:44: 15
	5461	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5462	Press Retu rn to Cont inue:
	5463	VERB: TAKE
	5464	Available Dosage(s)
	5465	1. 300MG
	5466	2. 600MG
	5467	Select fro m list of Available Dosages, E nter Free Text Dose
	5468	or Enter a Question Mark (?) t o view lis t: 1 300MG
	5469	You entere d 300MG is this corr ect? Yes//
	5470	Example: D uplicate D rug with P ending Ord er
	5471	Another Ne w Order fo r PSOPATIE NT,FOUR? Y ES//
	5472	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 100
	5473	RX PATIENT STATUS: O PT NSC//
	5474	DRUG: ALLO PURINOL
	5475	Lookup: GENERIC NA ME
	5476	1 A LLOPURINOL 100MG TAB MS400
	5477	2 A LLOPURINOL 300MG TAB MS400
	5478	CHOOSE 1-2 : 2 ALLOP URINOL 300 MG TAB MS400
	5479	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5480	DUPLICATE DRUG in a Pending Or der for:
	5481	Dr ug: ALLOPU RINOL 300M G TAB
	5482	S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG
	5483	Q TY: 180 # of Refills: 3
	5484	Provid er: PSOPRO VIDER,TEN Iss ue Date: 0 3/24/08@14 :44:15
	5485	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5486	Discontinu e Pending Order for ALLOPURINO L 300MG? Y /N YES
	5487	Pending Or der for AL LOPURINOL 300MG will be discon tinued aft er the acc eptance of the new o rder.
	5488	Now doing remote ord er checks. Please wa it...
	5489	Now doing allergy ch ecks. Ple ase wait.. .
	5490	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5491	Now Proces sing Enhan ced Order Checks! P lease wait ...
	5492	VERB: TAKE
	5493	Available Dosage(s)
	5494	1. 300MG
	5495	2. 600MG
	5496	Select fro m list of Available Dosages, E nter Free Text Dose
	5497	or Enter a Question Mark (?) t o view lis t: 1 300MG
	5498	You entere d 300MG is this corr ect? Yes// YES
	5499	VERB: TAKE
	5500	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	5501	Dosage Ord ered: 300M G
	5502	NOUN: TABL ET
	5503	ROUTE: PO/ / ORAL PO MO UTH
	5504	Schedule: QAM// (EV ERY MORNIN G)
	5505	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	5506	CONJUNCTIO N:
	5507	PATIENT IN STRUCTIONS :
	5508	(TAKE ONE TABLET BY MOUTH EVER Y MORNING)
	5509	DAYS SUPPL Y: (1-90) : 30//
	5510	QTY ( TAB ) : 30// 3 0
	5511	COPIES: 1/ / 1
	5512	# OF REFIL LS: (0-11 ): 11//
	5513	PROVIDER: PSOPROV IDER,TEN
	5514	CLINIC:
	5515	MAIL/WINDO W: WINDOW/ / WINDOW
	5516	METHOD OF PICK-UP:
	5517	REMARKS:
	5518	ISSUE DATE : TODAY// (MAR 24, 2008)
	5519	FILL DATE: (3/24/20 08 - 3/25/ 2009): TOD AY// (MA R 24, 2008 )
	5520	Nature of Order: WRI TTEN// W
	5521	Rx # 2610 03/24/0 8
	5522	PSOPATIENT ,FOUR #30
	5523	TAKE ONE T ABLET BY M OUTH EVERY MORNING
	5524	ALLOPURINO L 300MG TA B
	5525	PSOPROVIDE R,TEN PSO PHARMACIST ,ONE
	5526	# of Refil ls: 11
	5527	SC Percent: 1 00%
	5528	Disab ilities: N ONE STATED
	5529	Was treatm ent for a Service Co nnected co ndition? y YES
	5530	Is this co rrect? YES //
	5531	- Duplicat e Drug Pen ding Order for ALLOP URINOL 300 MG has bee n disconti nued...
	5532	Example: C opying an Existing O rder
	5533	RN Renew
	5534	Select Act ion: Next Screen// C O CO
	5535	OP Medicat ions (ACTI VE) Mar 12, 20 08@09:15:4 8 Page: 1 of 2
	5536	PSOPATIENT ,TWO < A>
	5537	PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005)
	5538	DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005)
	5539	Rx # : 2584$
	5540	(1) *Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB
	5541	(2) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB
	5542	NDC : 00056-01 76-75
	5543	Verb : TAKE
	5544	(3) *Dosage : ONE TABL ET
	5545	*Route : ORAL
	5546	*Schedule : QAM
	5547	(4)Pat In structions :
	5548	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	5549	(5) Pati ent Status : OPT NSC
	5550	(6) Issue Date : 03/12/08 (7) Fill Date: 03/12/08
	5551	Last Fill Date : 03/12/08 (Window)
	5552	Last Re lease Date : (8) Lot #:
	5553	Expires : 03/13/09 MFG:
	5554	+ Enter ?? f or more ac tions
	5555	AC Accep t ED Edit
	5556	New OP Ord er (COPY) Mar 12, 20 08@09:15:4 8 P age: 1 of 2
	5557	PSOPATIENT ,TWO <A>
	5558	PID: 000 -00-0000 Ht(cm): 18 2.88 (04/1 3/2005)
	5559	DOB: JAN 1,1945 (6 3) Wt(kg): 77 .27 (04/13 /2005)
	5560	Orde rable Item : AMLODIPI NE/ATORVAS TATIN TAB
	5561	(1) Drug : AMLODIPI NE 5MG/ATO RVASTATIN 10MG TAB
	5562	(2) Pati ent Status : OPT NSC
	5563	(3) Issue Date : MAR 12,2 008 (4) Fill Date: MAR 12,20 08
	5564	Verb : TAKE
	5565	(5) Dosa ge Ordered : ONE TABL ET
	5566	Route : ORAL
	5567	Schedule : QAM
	5568	(6)Pat I nstruction :
	5569	SIG : TAKE ONE TABLET BY MOUTH EVE RY MORNING
	5570	(7) D ays Supply : 30 (8) QTY ( ): 30
	5571	(9) # of Refills : 11 (10) Routing: WINDOW
	5572	(11) Clinic :
	5573	(12) Provider : PSOPROVI DER,ONE (13) Copies: 1
	5574	+ Enter ?? f or more ac tions
	5575	AC Accep t ED Edit
	5576	Select Act ion: Next Screen// A C Accept
	5577	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	5578	Duplicate Drug in Lo cal RX:
	5579	Rx #: 2584
	5580	Drug: AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB
	5581	SIG: TAKE ONE T ABLET BY M OUTH EVERY MORNING
	5582	QTY: 30 Refills re maining: 1 1
	5583	Provider: OPPROVIDER , ONE Issued: 0 3/12/07
	5584	Status: ACTIVE Last fi lled on: 0 3/12/07
	5585	Processin g Status: Released l ocally on 3/12/07@08 :55:32 (W indow)
	5586	Days Supply: 3 0
	5587	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	5588	Discontinu e Rx #2584 AMLODIPIN E 5MG/ATOR VASTATIN 1 0MG TAB? Y /N YES
	5589	Rx #2584 A MLODIPINE 5MG/ATORVA STATIN 10M G TAB will be discon tinued aft er the acc eptance of the new o rder.
	5590	Now doing remote ord er checks. Please wa it...
	5591	Now doing allergy ch ecks. Ple ase wait.. .
	5592	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5593	Now Proces sing Enhan ced Order Checks! P lease wait ...
	5594	Nature of Order: WRI TTEN// W
	5595	WAS THE PA TIENT COUN SELED: NO/ / NO
	5596	Do you wan t to enter a Progres s Note? No // NO
	5597	Rx # 2585 03/12/0 8PSOPATIEN T,TWO T #30
	5598	TAKE ONE T ABLET BY M OUTH EVERY MORNING
	5599	AMLODIPINE 5MG/ATORV ASTATIN 10 MG TAB
	5600	PSOPROVIDE R,ONE PSOPHARM ACIST,ONE
	5601	# of Refil ls: 11
	5602	SC Percent: 4 0%
	5603	Disab ilities: N ONE STATED
	5604	Was treatm ent for Se rvice Conn ected cond ition? NO/ /
	5605	Is this co rrect? YES // ...
	5606	Duplicate Drug Rx #2 584 AMLODI PINE 5MG/A TORVASTATI N 10MG TAB has been discontinu ed...
	5607	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.
	5608	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.
	5609	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.
	5610	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.
	5611	With Patch PSO7233 , 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. Also, for the Patie nt Prescri ption Proc essing, Co mplete Ord ers from O ERR, and A ction Prof ile (132 C OLUMN PRIN TOUT) opti ons, if a temporary address ha s no end d ate, the f ollowing t ext is now displayed : “(Temp a ddress fro m XXX 99,9 999 till ( no end dat e))”.
	5612	Following the instal lation of patches PS O7207 an d OR3238 (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 remo te prescri ption stat uses will be include d in order checking for a new order bein g processe d from wit hin backdo or outpati ent pharma cy and for new order s being pl aced by CP RS or by I npatient M edications . Any remo te Outpati ent order that has b een expire d or disco ntinued fo r 30 days or less wi ll be incl uded in th e list of medication s to be ch ecked.
	5613	The check for remote data avai lability i s performe d upon ent ering the patient’s profile, r ather than on each o rder, to e nsure that both remo te data an d local da ta are use d for orde r checking .
	5614	Once the a bove patch es have be en install ed, a new comment fo r remote o rder check s,
	5615	"Now doing remote or der checks . Please w ait..." ha s been add ed to the screen. Th e previous comment, "Now doing order che cks. Pleas e wait… " is replace d by: "Now doing dru g interact ion and al lergy chec ks. Please wait..."T he followi ng will no t be inclu ded in ord er checks (after pat ch PSO72 43):
	5616	Prescripti ons with a status of “DELETED” in the ST ATUS field in the PR ESCRIPTION file from a remote facility.
	5617	Prescripti ons with a missing e xpiration date, unle ss the ISS UE DATE fi eld of the PRESCRIPT ION file i s within t he past ye ar.
	5618	Remote ord er checkin g added (a fter patch PSO7243 ):
	5619	For drug c lass when orders are placed fo r locally defined dr ugs.
	5620	Allergy An algesic cl ass order checks onl y match ag ainst the specific 5 -character class if the class begins wit h “CN10”.
	5621	If for any reason re mote order checks ca nnot be pe rformed, t he followi ng message displays:
	5622	Remote dat a not avai lable - On ly local o rder check s processe d.
	5623	For remote order che cking, if the remote order doe s not have a VA PROD UCT file V UID, then it will no t be inclu ded in dru g-drug ord er checks. However, future pat ches are p lanned to send/recei ve the dru g class to the HDR, and then i t will be possible t o use non -standardi zed remote orders fo r duplicat e drug cla ss checks.
	5624
	5625	When an or der is an ePharmacy order (det ermined to be third party bill able), the billing d ata is sen t to the E lectronic Claims Man agement En gine (ECME ) when an order is f inished. E CME sends a message back to Ou tpatient P harmacy di splaying t he status of the cla im. This m essage dis plays for new, edite d, copied, and renew ed ePharma cy orders.
	5626	Is this co rrect? YES // <Enter>
	5627	-Rx 10000 3869A has been disco ntinued...
	5628	Veteran Pr escription 100003919 successfu lly submit ted to ECM E for clai m generati on.
	5629	Claim Stat us:
	5630	IN PROGRES S-Waiting to start
	5631	IN PROGRES S-Waiting for packet build
	5632	IN PROGRES S-Packet b eing built
	5633	IN PROGRES S-Waiting for transm it
	5634	IN PROGRES S-Transmit ting
	5635	E PAYABLE
	5636	Titration XE "Titrat ion" XE " Titration"
	5637	Introduced in PSO7 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):
	5638	: : :
	5639	ISSUE LA ST REF DAY
	5640	# RX # DRU G QTY ST DATE FI LL REM SUP
	5641	-------- ---------- ---------- ---ACTIVE- ---------- ---------- ----------
	5642	1 10000 5024t AMO XAPINE 50M G TAB 30 S 09-26 09- 26 2 30
	5643	2 10000 5022 AMO XICILLIN 2 50MG CAP 30 A 08-18 08- 18 11 30
	5644	3 10000 5035 KAL ETRA 3 A 09-29 09- 29 0 3
	5645	: : :
	5646
	5647	Note: A pr escription can be un marked as Titration/ Maintenanc e by invo king the s ame TM act ion on an already ma rked presc ription.
	5648	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 :
	5649	- Rx is a compl ex order w ith a THEN conjuncti on
	5650	- Rx is release d
	5651	- Rx status is ACTIVE
	5652	- Rx does not h ave refill s previous ly ordered
	5653	- Rx # Of Refil ls is grea ter than 0 (zero)
	5654	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.
	5655	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):
	5656	: : :
	5657	ISSUE LA ST REF DAY
	5658	# RX # DRU G QTY ST DATE FI LL REM SUP
	5659	-------- ---------- ---------- ---ACTIVE- ---------- ---------- ----------
	5660	1 10000 5436m AMO XAPINE 50M G TAB 30 S 09-26 09- 26 1 30
	5661	2 10000 5022 AMO XICILLIN 2 50MG CAP 30 A 08-18 08- 18 11 30
	5662	3 10000 5035 KAL ETRA 3 A 09-29 09- 29 0 3
	5663	: : :
	5664	Entering a New Order
	5665	Actions di splay in t he action area of th e screen. Actions wi th parenth eses ( ) a round them are inval id actions for that order. A d ouble ques tion mark (??) displ ays all th e actions available, including the Outpa tient Phar macy actio ns describ ed in the section "U sing List Manager." If one of the hidden actions i s selected and it is invalid, a message will displ ay in the message wi ndow.
	5666	Example: E ntering a New Order
	5667	Select Opt ion: RX (P rescriptio ns)
	5668	Orders to be complet ed for all divisions : 14
	5669	Do you wan t an Order Summary? No//
	5670	A summary list of th e number o f pending orders can be displa yed by Div ision or b y each Cli nic within the Divis ion where the user i s signed o n. This is helpful w hen comple ting batch orders. I n this exa mple, an i ndividual patient na me is ente red.
	5671	Patient Pr escription Processin g
	5672	Barcode Rx Menu ...
	5673	Check Drug Interacti on
	5674	Complete O rders from OERR
	5675	Discontinu e Prescrip tion(s)
	5676	Edit Presc riptions
	5677	List One P atient's A rchived Rx 's
	5678	Manual Pri nt of Mult i-Rx Forms
	5679	Reprint an Outpatien t Rx Label
	5680
	5681	Signatu re Log Rep rint
	5682
	5683
	5684	View Presc riptions
	5685	Select Rx (Prescript ions) Opti on: PATien t Prescrip tion Proce ssing
	5686	Select PAT IENT NAME: OPPATIENT 16,ONE OP PATIENT16, ONE 4-3- 41 0002 46802
	5687	YES S C VETERAN
	5688	Patient is enrolled to receive ScripTalk ‘talking’ prescript ion labels .
	5689	Eligibilit y: SC
	5690	RX PATIENT STATUS: S ERVICE CON NECTED// <Enter>
	5691	A detailed explanati on of the different parts of t he screen can be fou nd under “ List Manag er Options ” at the b eginning o f this man ual. The P atient Inf ormation s creen disp lays the i nformation on two pa ges. Only the second screen is shown in this examp le.
	5692	Example: E ntering a New Order (continued )
	5693	Patient In formation May 22, 20 01 10:44:3 8 Page: 2 of 2
	5694	OPPATIENT1 6,ONE
	5695	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999)
	5696	DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999)
	5697	SEX: MAL E
	5698	+
	5699	Allergies:
	5700	Remote : ASPIRIN, NON-OPIOI D ANALGESI CS
	5701	Adverse Re actions:
	5702	Enter ?? f or more ac tions
	5703	EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate
	5704	DD Detail ed Allergy /ADR List EX Exit P atient Lis t
	5705	Select Act ion: Quit/ / <Enter>
	5706	Although t he default option is “Quit” at the "Sele ct Action" prompt, p ressing th e Enter ke y here qui ts the Pat ient Infor mation scr een and di splays the Medicatio n Profile. This Medi cation Pro file inclu des any No n-VA Med o rders docu mented via the CPRS GUI applic ation.
	5707	Medication Profile May 22, 20 01 10:44:5 6 Page: 1 of 1
	5708	OPPATIENT1 6,ONE
	5709	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999)
	5710	DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999)
	5711	CrCL: <No t Found> B SA (m2): 2 .11
	5712	I SSUE LAST REF DAY
	5713	# RX # DRU G QTY ST D ATE FILL REM SUP
	5714	---------- ---------- ---------- ------ACTI VE-------- ---------- ---------- ------
	5715	1 503902 ACE TAMINOPHEN 500MG TAB 60 A> 05 -22 05-22 3 30
	5716	2 503886$ DIG OXIN (LANO XIN) 0.2MG CAP 60 A> 05 -07 05-07 5 30
	5717	---------- ---------- ---------- ------PEND ING------- ---------- ---------- ---------
	5718	3 AMPICIL LIN 250MG CAP QTY: 40 ISDT : 05-29 R EF: 0
	5719	Enter ?? f or more ac tions
	5720	PU Patien t Record U pdate NO New Or der
	5721	PI Patien t Informat ion SO Select Order
	5722	Select Act ion: Quit/ /
	5723	If a doubl e question mark (??) is entere d at the a bove “Sele ct Action” prompt, t he followi ng hidden actions di splay in t he action area.
	5724	The follow ing action s are also available :
	5725	RP Repri nt (OP) OTH Other OP Actions DR Dis play Remot e
	5726	RN Renew (OP) DN Down a Li ne QU Qui t
	5727	DC Disco ntinue (OP ) RD Re Displa y Screen LS Las t Screen
	5728	RL Relea se (OP) PT Print Lis t FS Fir st Screen
	5729	RF Refil l (OP) PS Print Scr een GO Go to Page
	5730	PP Pull Rx (OP) > Shift Vie w to Right + Nex t Screen
	5731	IP Inpat . Profile (OP) < Shift Vie w to Left - Pre vious Scre en
	5732	RS Repri nt Sig Log SL Search Li st ADPL Aut o Display( On/Off)
	5733	IN Inter vention Me nu CM Manual Qu eue to CMO P RDD Fil l/Rel Date Disply
	5734	UP Up a Line
	5735	Select Act ion: Quit/ / OTH OT H
	5736	--- Other OP Action s ---
	5737	Typing in the letter s NO creat es a new o rder.
	5738	Example: E ntering a New Order (continued )
	5739	Medication Profile Mar 29, 20 11@14:34:2 7 Page: 1 of 1
	5740	(Patient i nformation is displa yed here.)
	5741	:
	5742	Enter ?? f or more ac tions
	5743	PU Patien t Record U pdate NO New Or der
	5744	PI Patien t Informat ion SO Select Order
	5745	Select Act ion: Quit/ / NO New Order
	5746	Eligibilit y:
	5747	RX PATIENT STATUS: S C LESS THA N 50%//
	5748	DRUG: ACET AMINOPHEN
	5749	Lookup: GENERIC NA ME
	5750	1 A CETAMINOPH EN 160MG/5 ML LIQUID CN103 NATL F ORM; 480 M
	5751	L/BT (NDC)
	5752	2 A CETAMINOPH EN 325MG T AB CN103 NAT L FORM; DU : INCREMEN
	5753	TS OF 100 ONLY *** A UTOMED & S CRIPTPRO * **
	5754	3 A CETAMINOPH EN 325MG/B UTALBITAL 50MG TAB C N103 N /F N
	5755	ATL N/F
	5756	4 A CETAMINOPH EN 500MG T AB CN103 NAT L FORM; DU : INCREMEN
	5757	TS OF 100 ONLY* AU TOMED & SC RIPTPRO *
	5758	5 A CETAMINOPH EN 650MG R TL SUPP CN 103 NATL FOR M (IEN)
	5759	CHOOSE 1-5 : 5 ACETA MINOPHEN 6 50MG RTL S UPP CN103 NATL FORM (IEN
	5760	)
	5761	Now doing remote ord er checks. Please wa it...
	5762	Now doing allergy ch ecks. Ple ase wait.. .
	5763	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5764	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	5765	========== ========== ========== ========== ========== ========== ========== =========
	5766	* THERAP EUTIC DUPL ICATION(S) * ACETA MINOPHEN 6 50MG RTL S UPP with
	5767	L ocal RX#: 2054930
	5768	Drug: ACETAMINOP HEN 500MG TAB (Activ e)
	5769	SIG: TAKE ONE T ABLET BY M OUTH EVERY FOUR HOUR S AS NEEDE D
	5770	QTY: 180 Days Supp ly: 30
	5771	Proce ssing Stat us: Not re leased loc ally (Wind ow)
	5772	Last F illed On: 03/29/11
	5773	Class(es) Involved i n Therapeu tic Duplic ation(s): Non-Narcot ic
	5774	Analgesic/ Antipyreti c, Non-Sal icylate
	5775	========== ========== ========== ========== ========== ========== ========== =========
	5776	Press Retu rn to cont inue:
	5777	Discontinu e Rx #2054 930 ACETAM INOPHEN 50 0MG TAB Y/ N ?
	5778	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 example of local a nd remote order chec king.
	5779	If the new order is for Clozap ine, there are addit ional rest rictions f or filling a prescri ption. See “Chapter 8: Control ling the D ispensing of Clozapi ne” for mo re informa tion.
	5780	Note: Mor e than one ingredien t and more than one VA Drug Cl ass may be associate d with an Allergy/AD R.
	5781	See output below:
	5782	A Drug-All ergy React ion exists for this medication and/or cl ass!
	5783	Prospe ctive Drug : DILTIAZE M 120MG SA CAP
	5784	Causa tive Agent : DILTIAZE M (LOCAL o r REMOTE S ITE – 12/2 3/13)
	5785	Historica l/Observed : OBSERVED
	5786	Severity : MODERATE
	5787	I ngredients : DILTIAZE M
	5788	Sign s/Symptoms : ITCHING, WATERING E YES, ANORE XIA, NAUSE A,VOMITING ,
	5789	ANXIETY, DROWSINES S, DRY MOU TH, DRY NO SE, RASH,
	5790	Drug Class : CV200 CA LCIUM CHAN NEL BLOCKE RS
	5791	Provide r Override Reason: N /A - Order Entered T hrough Vis tA
	5792	After the Allergy/AD R warning is display ed, the sy stem ask t he user if they want to interv ene.
	5793	If the use r chooses to interve ne after t he Allergy /ADR warni ng is disp layed, the intervent ion dialog will laun ch.
	5794	If the use r chooses not to int ervene aft er the All ergy/ADR w arning is displayed, the order entry dia log will s tart.
	5795
	5796	Note: If t he Severit y is ‘Seve re’, an in tervention is REQUIR ED.
	5797	Example: R emote Alle rgy/ADR – New Order Entry Back door – Bot h Ingredie nt and Dru g Class de fined for Allergy/AD R
	5798	Select Act ion: Quit/ / NO New Order
	5799	PATIENT ST ATUS: SC//
	5800	DRUG: DILT IAZEM
	5801	Lookup: GENERIC NA ME
	5802	1 D ILTIAZEM ( DILACOR XR ) 240MG SA CAP CV200 N/F This
	5803	drug will not be pro cessed wit hout Drug Request Fo rm 10-7144
	5804	2 D ILTIAZEM ( INWOOD) 12 0MG SA CAP CV200
	5805	3 D ILTIAZEM ( INWOOD) 18 0MG SA CAP CV200
	5806	4 D ILTIAZEM ( INWOOD) 24 0MG SA CAP CV200
	5807	5 D ILTIAZEM ( INWOOD) 30 0MG SA CAP CV200
	5808	Press <RET URN> to se e more, '^ ' to exit this list, '^^' to e xit all li sts, OR
	5809	CHOOSE 1-5 : 1 DILTI AZEM (DILA COR XR) 24 0MG SA CAP C V200 N /F This drug will not be pro cessed wit hout Drug Request Fo rm 10-7144
	5810	Now doing remote ord er checks. Please wa it...
	5811	Now doing allergy ch ecks. Ple ase wait.. .
	5812	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5813	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	5814	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5815	A Drug-All ergy React ion exists for this medication and/or cl ass!
	5816	Prospe ctive Drug : DILTIAZE M 120MG SA CAP
	5817	Causa tive Agent : DILTIAZE M (LOCAL o r REMOTE S ITE – 12/2 3/13)
	5818	Historica l/Observed : OBSERVED
	5819	Severity : MODERATE
	5820	I ngredients : DILTIAZE M
	5821	Sig ns/Symptom s: ITCHING ,WATERING EYES, ANOR EXIA, NAUS EA,VOMITIN G,
	5822	ANXIETY, DROWSINES S, DRY MOU TH, DRY NO SE, RASH,
	5823	Drug Class : CV200 CA LCIUM CHAN NEL BLOCKE RS
	5824	Provide r Override Reason: N /A - Order Entered T hrough Vis tA
	5825	Do you wan t to Inter vene? Y// NO
	5826	VERB: TAKE
	5827	Available Dosage(s)
	5828	1. 240MG
	5829	2. 480MG
	5830	Select fro m list of Available Dosages, E nter Free Text Dose
	5831	or Enter a Question Mark (?) t o view lis t:
	5832	.
	5833	.
	5834	.
	5835	OR
	5836	Do you wan t to Inter vene? Y// ES
	5837	Now creati ng Pharmac y Interven tion
	5838	for DILTIA ZEM (DILAC OR XR) 240 MG SA CAP
	5839	PROVIDER: PSOPROV IDER,THREE TPP 119
	5840	RECOMMENDA TION: N O CHANGE
	5841	See 'Pharm acy Interv ention Men u' if you want to de lete this
	5842	interventi on or for more optio ns.
	5843	Would you like to ed it this in tervention ? N// O
	5844	Now doing remote ord er checks. Please wa it...
	5845	Now doing allergy ch ecks. Ple ase wait.. .
	5846	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5847	Now Proces sing Enhan ced Order Checks! P lease wait ...
	5848	VERB: TAKE
	5849	Available Dosage(s)
	5850	1. 240MG
	5851	2. 480MG
	5852	Select fro m list of Available Dosages, E nter Free Text Dose
	5853	or Enter a Question Mark (?) t o view lis t:
	5854	Example: L ocal Aller gy/ADR – N ew Order E ntry Backd oor - Only Drug Clas s defined
	5855	Another Ne w Order fo r PSOPATIE NT, TEN? Y ES//
	5856	Eligibilit y: NSC
	5857	RX PATIENT STATUS: O PT NSC//
	5858	DRUG: SEPT RA
	5859	Lookup: GENERIC NA ME
	5860	SEPTRA DS TAB AM650
	5861	. ..OK? Yes/ / (Yes)
	5862	Now doing remote ord er checks. Please wa it...
	5863	Now doing allergy ch ecks. Ple ase wait.. .
	5864	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5865	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	5866	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5867	A Drug-All ergy React ion exists for this medication and/or cl ass!
	5868	Prospe ctive Drug : SEPTRA D S TAB
	5869	Causa tive Agent : SULFADIA ZINE/SULFA MERAZINE/S ULFAMETHAZ INE (SITE REPORTING ALLERGY – DATE REPOR TED)
	5870	Historic al/Observe d: HISTORI CAL
	5871	Severity : Not Ente red
	5872	Sign s/Symptoms : ITCHING, WATERING E YES, ANORE XIA, NAUSE A,VOMITING ,
	5873	ANXIETY, DROWSINES S
	5874	Drug Class : AM650 SU LFONAMIDE/ RELATED AN TIMICROBIA LS
	5875	Provide r Override Reason: N /A - Order Entered T hrough Vis tA
	5876	Do you wan t to Inter vene? Y// ES
	5877	Now creati ng Pharmac y Interven tion
	5878	for SEPTRA DS TAB
	5879	PROVIDER: PSOPROV IDER,FOUR FPP 119
	5880	RECOMMENDA TION: N O CHANGE
	5881	See 'Pharm acy Interv ention Men u' if you want to de lete this
	5882	interventi on or for more optio ns.
	5883	Would you like to ed it this in tervention ? N// O
	5884	Now doing remote ord er checks. Please wa it...
	5885	Now doing allergy ch ecks. Ple ase wait.. .
	5886	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5887	Now Proces sing Enhan ced Order Checks! P lease wait ...
	5888	Available Dosage(s)
	5889	1. 1 TABLET
	5890	2. 2 TABLETS
	5891	Select fro m list of Available Dosages, E nter Free Text Dose
	5892	or Enter a Question Mark (?) t o view lis t: 1 1 TAB LET
	5893	You entere d 1 TABLET is this c orrect? Ye s// YES
	5894	VERB: TAKE
	5895	ROUTE: PO/ / ORAL PO MO UTH
	5896	Schedule: BID (TWICE A DAY)
	5897	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):.
	5898	Example: L ocal & Rem ote Allerg y/ADR – Mu lti-ingred ients, Pen ding Order
	5899	ED Edit FN Finish
	5900	Select Ite m(s): Next Screen// NEXT SC REEN
	5901	Pending OP Orders (R OUTINE) Mar 24, 20 08@21:56:0 3 Page: 2 of 3
	5902	PSOPATIENT ,THREE <A>
	5903	PID: 000 -00-0000 Ht(cm): 1 67.64 (06/ 10/1993)
	5904	DOB: FEB 2,1939 (6 9) Wt(kg): 6 8.18 (06/1 0/1993)
	5905	+
	5906	*(1) Order able Item: SULFAMETH OXAZOLE/TR IMETHOPRIM TAB
	5907	(2) Drug: SULFAMETH OXAZOLE/TR IMETHOPRIM DS TAB
	5908	NDC: 00056-017 6-75
	5909	Verb: TAKE
	5910	(3) *Dosage: 1 TABLET
	5911	*Route: ORAL
	5912	*Schedule: Q12H
	5913	(4) Pat Instruct:
	5914	Provider Comments:
	5915	Ins tructions: TAKE 1 TA BLET PO Q1 2H
	5916	SIG: TAKE 1 TA BLET BY MO UTH EVERY 12 HOURS
	5917	(5) Patie nt Status: OPT NSC
	5918	(6) I ssue Date: MAR 24,20 08 (7) Fill D ate: MAR 2 4,2008
	5919	+ Enter ?? f or more ac tions
	5920	BY Bypass DC Discon tinue
	5921	ED Edit FN Finish
	5922	Select Ite m(s): Next Screen// FN Finis h
	5923	Now doing remote ord er checks. Please wa it...
	5924	Now doing allergy ch ecks. Ple ase wait.. .
	5925	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	5926	Now Proces sing Enhan ced Order Checks! P lease Wait ...
	5927	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	5928	A Drug-All ergy React ion exists for this medication and/or cl ass!
	5929	Prospe ctive Drug : SULFAMET HOXAZOLE/T RIMETHOPRI M DS TAB
	5930	Causa tive Agent : SULFADIA ZINE/SULFA MERAZINE/S ULFAMETHAZ INE (SITE REPORTING ALLERGY – DATE REPOR TED)
	5931	Historica l/Observed : HISTORIC AL
	5932	Severity : Not Ente red
	5933	I ngredients : SULFAMET HOXAZOLE T RIMETHOPRI M
	5934	Sign s/Symptoms : ITCHING, WATERING E YES, ANORE XIA
	5935	NAUSEA,V OMITING, A NXIETY, DR OWSINESS,
	5936	Drug Class : AM650 SU LFONAMIDE/ RELATED AN TIMICROBIA LS
	5937	Provide r Override Reason: N /A - Order Entered T hrough Vis tA
	5938	Do you wan t to Inter vene? Y// ES
	5939	Now creati ng Pharmac y Interven tion
	5940	for SULFAM ETHOXAZOLE /TRIMETHOP RIM DS TAB
	5941	PROVIDER: PSOPROV IDER, 11 PP 119
	5942	RECOMMENDA TION: N O CHANGE
	5943	See 'Pharm acy Interv ention Men u' if you want to de lete this
	5944	interventi on or for more optio ns.
	5945	Would you like to ed it this in tervention ? N// O
	5946	Rx # 2611 03/24/0 8
	5947	PSOPATIENT ,THREE #20
	5948	TAKE 1 TAB LET BY MOU TH EVERY 1 2 HOURS
	5949	SULFAMETHO XAZOLE/TRI METHOPRIM DS TAB
	5950	PSOPROVIDE R, 11 PSO PHARMACIST ,TWO
	5951	# of Refil ls: 1
	5952	Are you su re you wan t to Accep t this Ord er? NO// Y
	5953	CPRS Order Checks
	5954	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 .
	5955	Aminoglyco side Order ed
	5956	Dangerous Meds for P atient >64
	5957	Glucophage –Lab Resu lts
	5958	The CPRS o rder check s shall be incorpora ted in the following Outpatien t Pharmacy order ent ry process es:
	5959	Entering a new order via backd oor pharma cy options
	5960	Finishing a pending order
	5961	Renewing a n order
	5962	Editing an order whi ch results in a new order bein g created
	5963	Verifying an order
	5964	Copying an order
	5965	Reinstatin g a discon tinued ord er
	5966	No user ac tion/inter vention sh all be req uired afte r a CPRS o rder check warning i s displaye d.
	5967	The follow ing inform ation is d isplayed f or the Ami noglycosid e Ordered order chec k:
	5968	Order Chec k Name
	5969	Text messa ge display ing an est imated CrC L if avail able or a message th at it is n ot.
	5970	*Aminogl ycoside Or dered*
	5971	Aminoglyco side - est . CrCl: <V ALUE> (CRE AT: <resul t> BUN: < result>) [ Est. CrCl
	5972	Based on m odified Co ckcroft-Ga ult equati on using A djusted Bo dy Weight (if ht > 6 0 in)].
	5973	-OR-
	5974	*Aminogl ycoside Or dered*
	5975	Aminoglyco side – est . CrCl: <U navailable > (<Result s Not Foun d>) [Est. CrCl
	5976	Based on m odified Co ckcroft-Ga ult equati on using A djusted Bo dy Weight (if ht > 6 0
	5977	The follow ing inform ation is d isplayed f or the Dan gerous Med s for Pati ent >64 or der check:
	5978	Order Chec k Name
	5979	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.
	5980	*Dangero us Meds fo r Patient >64*
	5981	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.
	5982	-OR-
	5983	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.
	5984	*Dangero us Meds fo r Patient >64*
	5985	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.
	5986	-OR-
	5987	Text messa ge display ing a mess age if pat ient is gr eater than 64 and ha s been pre scribed Di pyridamole .
	5988	*Dangero us Meds fo r Patient >64*
	5989	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.
	5990	The follow ing inform ation is d isplayed f or the Glu cophage La b Results order chec k:
	5991	Order Chec k Name
	5992	Text messa ge display ing a seru m creatini ne does no t exist or it is gre ater than 1.5
	5993	*Metform in Lab Res ults*
	5994	Metformin - no serum creatinin e within p ast 60 day s.
	5995	-OR-
	5996	*Metform in Lab Res ults*
	5997	Metformin – Creatini ne results : <creatin ine greate r than 1.5 w/in past <x> days>
	5998	Examples o f CPRS Ord er Checks
	5999	Example: N ew Order E ntry – Bac kdoor – Da ngerous Me ds for Pat ient >64 for Dipyri damole
	6000	Select Act ion: Quit/ / NO New Order
	6001	Eligibilit y: NSC
	6002	RX PATIENT STATUS: O PT NSC//
	6003	DRUG: DIPY RIDAMOLE
	6004	Lookup: GENERIC NA ME
	6005	1 D IPYRIDAMOL E 25MG TAB BL117
	6006	2 D IPYRIDAMOL E 50MG TAB BL117
	6007	CHOOSE 1-2 : 1 DIPYR IDAMOLE 25 MG TAB BL117
	6008	Now doing remote ord er checks. Please wa it...
	6009	Now doing allergy ch ecks. Ple ase wait.. .
	6010	*Dangero us Meds fo r Patient >64*
	6011	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.
	6012	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	6013	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6014	VERB: TAKE
	6015	Available Dosage(s)
	6016	1. 25MG
	6017	2. 50MG
	6018	Select fro m list of Available Dosages, E nter Free Text Dose
	6019	or Enter a Question Mark (?) t o view lis t: 1 25MG
	6020	You entere d 25MG is this corre ct? Yes// YES
	6021	VERB: TAKE
	6022	DISPENSE U NITS PER D OSE(TABLET ): 1// 1
	6023	Dosage Ord ered: 25MG
	6024	NOUN: TABL ET
	6025	ROUTE: PO/ /
	6026	Example: F inishing a Pending O rder – Dan gerous Med s for Pati ent >64 f or Amitrip tyline
	6027	Pending OP Orders (R OUTINE) Mar 25, 20 08@15:29:0 9 Page: 1 of 2
	6028	PSOPATIENT ,NINE <A>
	6029	PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005)
	6030	DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005)
	6031	*(1) Order able Item: AMITRIPTY LINE TAB
	6032	(2) Drug: AMITRIPTY LINE 25MG TAB
	6033	NDC: 00056-017 6-75
	6034	(3) *Dosage: 25 (MG)
	6035	Verb: TAKE
	6036	Dispe nse Units: 1
	6037	Noun: TABLET
	6038	*Route: ORAL
	6039	*Schedule: QHS
	6040	(4) Pat Instruct:
	6041	Provider Comments:
	6042	Ins tructions: TAKE ONE TABLET PO QHS
	6043	SIG: TAKE ONE TABLET BY MOUTH AT B EDTIME
	6044	(5) Patie nt Status: OPT NSC
	6045	(6) I ssue Date: MAR 25,20 08 (7) Fill D ate: MAR 2 5,2008
	6046	+ Enter ?? f or more ac tions
	6047	BY Bypass DC Discon tinue
	6048	ED Edit FN Finish
	6049	Select Ite m(s): Next Screen// FN Finis h
	6050	Now doing remote ord er checks. Please wa it...
	6051	Now doing allergy ch ecks. Ple ase wait.. .
	6052	*Dangero us Meds fo r Patient >64*
	6053	Patient is 79. Ami triptyline can cause cognitive impairmen t and loss of
	6054	balance in older p atients. C onsider ot her antide pressant m edications on
	6055	formular y.
	6056	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	6057	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6058	Rx # 2612 03/25/0 8
	6059	PSOPATIENT ,NINE #30
	6060	TAKE ONE T ABLET BY M OUTH AT BE DTIME
	6061	AMITRIPTYL INE 25MG T AB
	6062	PSOPROVIDE R,TEN PSO PHARMACIST ,22
	6063	# of Refil ls: 3
	6064	Are you su re you wan t to Accep t this Ord er? NO// Y ES
	6065	WAS THE PA TIENT COUN SELED: NO/ /
	6066	Example: R enewing an Order – D angerous M eds for Pa tient >64 for Chlor propamide
	6067	Rx # : 2613$
	6068	(1) *Orde rable Item : CHLORPRO PAMIDE TAB
	6069	(2) Drug : CHLORPRO PAMIDE 25O MG TAB
	6070	NDC : 0378-021 0-01
	6071	(3) *Dosage : 250 (MG)
	6072	Verb : TAKE
	6073	Disp ense Units : 1
	6074	Noun : TABLET
	6075	*Route : ORAL
	6076	*Schedule : BID
	6077	(4)Pat In structions :
	6078	SIG : TAKE ONE TABLET BY MOUTH TWI CE A DAY
	6079	(5) Pati ent Status : OPT NSC
	6080	(6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08
	6081	Last Fill Date : 03/25/08 (Mail)
	6082	+ Enter ?? f or more ac tions
	6083	DC Disco ntinue PR Partial RL Rel ease
	6084	ED Edit RF Refill RN Ren ew
	6085	Select Act ion: Next Screen// R N Renew
	6086	FILL DATE: (3/25/20 08 - 3/26/ 2009): TOD AY// (MA R 25, 2008 )
	6087	MAIL/WINDO W: WINDOW/ / WINDOW
	6088	METHOD OF PICK-UP:
	6089	Nature of Order: WRI TTEN// W
	6090	WAS THE PA TIENT COUN SELED: NO/ / NO
	6091	Do you wan t to enter a Progres s Note? No // NO
	6092	Now Renewi ng Rx # 26 13 Drug: CHLORPROP AMIDE 25OM G TAB
	6093	Now doing remote ord er checks. Please wa it...
	6094	Now doing allergy ch ecks. Ple ase wait.. .
	6095	*DANGERO US MEDS FO R PATIENT >64*
	6096	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.
	6097	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	6098	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6099	2613A CHLORPR OPAMIDE 25 OMG TAB QTY : 60
	6100	# OF REFIL LS: 3 ISS UED: 03-25 -08SIG: TA KE ONE TAB LET BY MOU TH TWICE A DAY
	6101	Example: C reating Ne w Order fr om Edit – Glucophage Lab Resul ts for Met formin
	6102	*(1) Order able Item: METFORMIN TAB,ORAL
	6103	(2) Drug: METFORMIN 500MG TAB
	6104	NDC: 00093-104 8-98
	6105	(3) *Dosage: 500 (MG)
	6106	Verb: TAKE
	6107	ED Edit FN Finish
	6108	Select Ite m(s): Next Screen// NEXT SC REEN
	6109	BY Bypass DC Discon tinue
	6110	Pending OP Orders (R OUTINE) Mar 25, 20 08@15:33:4 7 Page: 2 of 3
	6111	PSOPATIENT ,NINE <A>
	6112	PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005)
	6113	DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005)
	6114	+
	6115	Dispe nse Units: 1
	6116	Noun: TABLET
	6117	*Route: ORAL
	6118	*Schedule: Q12H
	6119	(4) Pat Instruct:
	6120	Provider Comments:
	6121	Ins tructions: TAKE ONE TABLET PO Q12H
	6122	SIG: TAKE ONE TABLET BY MOUTH EVER Y 12 HOURS
	6123	(5) Patie nt Status: OPT NSC
	6124	(6) I ssue Date: MAR 25,20 08 (7) Fill D ate: MAR 2 5,2008
	6125	(8) Da ys Supply: 30 ( 9) QTY ( TAB): 60
	6126	Pro vider orde red 2 refi lls
	6127	(10) # o f Refills: 2 (1 1) Routi ng: MAIL
	6128	(12) Clinic: BARB'S CL INIC
	6129	+ Enter ?? f or more ac tions
	6130	ED Edit FN Finish
	6131	Select Ite m(s): Next Screen// ED Edit
	6132	* Indicate s which fi elds will create an new Order
	6133	Select Fie ld to Edit by number : (1-15): 3
	6134	Press Retu rn to :
	6135	Available Dosage(s)
	6136	1. 500MG
	6137	2. 1000MG
	6138	Select fro m list of Available Dosages, E nter Free Text Dose
	6139	or Enter a Question Mark (?) t o view lis t: 500MG// 2 1000MG
	6140	You entere d 1000MG i s this cor rect? Yes/ / YES
	6141	VERB: TAKE // TAKE
	6142	DISPENSE U NITS PER D OSE(TABLET S): 2// 2
	6143	Dosage Ord ered: 1000 MG
	6144	NOUN: TABL ETS// TABL ETS
	6145	ROUTE: ORA L// ORAL
	6146	Schedule: Q12H// QHS (AT BEDTI ME)
	6147	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES):
	6148	CONJUNCTIO N:
	6149	Pending OP Orders (R OUTINE) Mar 25, 20 08@15:34:0 8 Page: 1 of 3
	6150	PSOPATIENT ,NINE <A>
	6151	PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005)
	6152	DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005)
	6153	CPRS Order Checks:
	6154	Dupl icate drug class ord er: ORAL H YPOGLYCEMI C AGENTS,O RAL (CHLOR PROPAMIDE
	6155	TAB 250MG TAK E ONE TABL ET BY MOUT H TWICE A DAY [PEND ING])
	6156	Overr iding Prov ider: PSOP ROVIDER,TE N
	6157	Overr iding Reas on: testin g
	6158	Metf ormin - no serum cre atinine wi thin past 60 days.
	6159	Overr iding Prov ider: PSOP ROVIDER,TE N
	6160	Overr iding Reas on: testin g
	6161	*(1) Order able Item: METFORMIN TAB,ORAL
	6162	(2) Drug: METFORMIN 500MG TAB
	6163	(3) *Dosage: 1000 (MG)
	6164	Verb: TAKE
	6165	+ This chang e will cre ate a new prescripti on!
	6166	AC Accept ED E dit DC Disco ntinue
	6167	Select Ite m(s): Next Screen// AC Accep t
	6168	Now doing remote ord er checks. Please wa it...
	6169	Now doing allergy ch ecks. Ple ase wait.. .
	6170	*Metform in Lab Res ults*
	6171	Metformi n - no ser um creatin ine within past 60 d ays.
	6172	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	6173	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6174	Rx # 2614 03/25/0 8
	6175	PSOPATIENT ,NINE #1440
	6176	TAKE TWO T ABLETS BY MOUTH AT B EDTIME
	6177	METFORMIN 500MG TAB
	6178	PSOPROVIDE R,TEN PSO PHARMACIST ,22
	6179	# of Refil ls: 2
	6180	Are you su re you wan t to Accep t this Ord er? NO// Y ES
	6181	Nature of Order: SER VICE CORRE CTION//
	6182	Example: V erifying a n Order – Dangerous Meds for P atient >64 for Dipyr idamole
	6183	OP Medicat ions (NON- VERIFIED) Mar 25, 20 08@15:39:0 3 Page: 1 of 2
	6184	PSOPATIENT ,NINE <A>
	6185	PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005)
	6186	DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005)
	6187	Rx # : 2615$
	6188	(1) *Orde rable Item : DIPYRIDA MOLE TAB
	6189	(2) Drug : DIPYRIDA MOLE 25MG TAB
	6190	NDC : 0115-107 0-01
	6191	(3) *Dosage : 25 (MG)
	6192	Verb : TAKE
	6193	Disp ense Units : 1
	6194	Noun : TABLET
	6195	*Route : ORAL
	6196	*Schedule : QHS
	6197	(4)Pat In structions :
	6198	SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME
	6199	(5) Pati ent Status : OPT NSC
	6200	(6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08
	6201	Last Fill Date : 03/25/08 (Mail)
	6202	+ Enter ?? f or more ac tions
	6203	DC Disco ntinue PR (Partial) RL (Re lease)
	6204	ED Edit RF (Refill) RN (Re new)
	6205	Select Act ion: Next Screen// V F VF
	6206	RX: 2615 PATIENT: P SOPATIENT, NINE (000- 00-0000)
	6207	STATUS: No n-Verified CO-PAY STATUS
	6208	DRUG : DIPYRIDA MOLE 25MG TAB
	6209	QTY : 30 3 0 DAY SUPP LY
	6210	SIG : TAKE ONE TABLET BY MOUTH AT BEDTIME
	6211	LATEST : 03/25/20 08 # O F REFILLS: 3 REMAIN ING: 3
	6212	ISSUED : 03/25/08 PROVIDER:
	6213	LOGGED : 03/25/08 CLINIC: BARB'S CL INIC
	6214	EXPIRES : 03/26/09 DIVISION: HINES (49 9)
	6215	CAP : SAFETY ROUTING: MAIL
	6216	ENTRY BY : PSOPROVI DER,TEN VERIFIED B Y:
	6217	ACTIVITY L OG:
	6218	# DATE REASON RX RE F INITIATOR OF ACTIVIT Y
	6219	========== ========== ========== ========== ========== ========== ========== =========
	6220	1 03/25/0 8 PATIEN T INST.ORI GINAL
	6221	COMMENTS: Patient In structions Not Sent By Provide r.
	6222	PATIENT ST ATUS : OPT NSC COPIES : 1
	6223	Press RETU RN to Cont inue:
	6224	Now doing remote ord er checks. Please wa it...
	6225	Now doing allergy ch ecks. Ple ase wait.. .
	6226	*DANGERO US MEDS FO R PATIENT >64*
	6227	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.
	6228	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	6229	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6230	EDIT: (Y/ N/P): N// O
	6231	VERIFY FOR PSOPATIEN T,NINE ? ( Y/N/Delete /Quit): Y/ / ES
	6232	Example: C opying an Order – Am inoglycosi de Ordered – Gentami cin
	6233	Select Act ion: Next Screen// C O CO
	6234	OP Medicat ions (ACTI VE) Mar 25, 20 08@15:46:1 8 Page: 1 of 2
	6235	PSOPATIENT ,NINE <A>
	6236	PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005)
	6237	DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005)
	6238	Rx # : 2616$
	6239	(1) *Orde rable Item : GENTAMIC IN INJ,SOL N
	6240	(2) Drug : GENTAMIC IN 40MG/ML 2ML VI
	6241	Verb : INJECT
	6242	(3) *Dosage : 80MG
	6243	*Route : INTRAMUS CULAR
	6244	*Schedule : Q8H
	6245	(4)Pat In structions :
	6246	SIG : INJECT 8 0MG IM EVE RY 8 HOURS
	6247	(5) Pati ent Status : OPT NSC
	6248	(6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08
	6249	Last Fill Date : 03/25/08 (Window)
	6250	Last Re lease Date : (8) Lot #:
	6251	Expires : 04/24/08 MFG:
	6252	+ Enter ?? f or more ac tions
	6253	AC Accep t ED Edit
	6254	New OP Ord er (COPY) Mar 25, 20 08@15:46:1 8 Page: 1 of 2
	6255	PSOPATIENT ,NINE <A>
	6256	PID: 000 -00-0000 Ht(cm): 1 77.80 (10/ 14/2005)
	6257	DOB: JAN 1,1930 (7 8) Wt(kg): 1 36.36 (10/ 14/2005)
	6258	Orde rable Item : GENTAMIC IN INJ,SOL N
	6259	(1) Drug : GENTAMIC IN 40MG/ML 2ML VI
	6260	(2) Pati ent Status : OPT NSC
	6261	(3) Issue Date : MAR 25,2 008 (4) Fill Date: MAR 25,20 08
	6262	Verb : INJECT
	6263	(5) Dosa ge Ordered : 80MG
	6264	Route : INTRAMUS CULAR
	6265	Schedule : Q8H
	6266	(6)Pat I nstruction :
	6267	SIG : INJECT 8 0MG IM EVE RY 8 HOURS
	6268	(7) D ays Supply : 10 (8) QTY (VI): 10
	6269	(9) # of Refills : 0 (10) Routing: WINDOW
	6270	(11) Clinic : SHIRL-2
	6271	(12) Provider : PSOPROVI DER,TEN (13) Copies: 1
	6272	+ Enter ?? f or more ac tions
	6273	AC Accep t ED Edit
	6274	Select Act ion: Next Screen// A C Accept
	6275	*Aminogl ycoside Or dered*
	6276
	6277	Aminoglyco side - est . CrCl: <U navailable > (<Result s Not Foun d>) [Est.
	6278	CrCl based on modifi ed Cockcro ft-Gault e quation us ing Adjust ed Body
	6279	Weight (if ht > 60 i n)]
	6280	Nature of Order: WRI TTEN// W
	6281	WAS THE PA TIENT COUN SELED: NO/ / NO
	6282	Do you wan t to enter a Progres s Note? No // NO
	6283	Rx # 2617 03/25/0 8
	6284	PSOPATIENT ,NINE #10
	6285	INJECT 80M G IM EVERY 8 HOURS
	6286	GENTAMICIN 40MG/ML 2 ML VI
	6287	PSOPROVIDE R,TEN PSO PHARMACIST ,22
	6288	# of Refil ls: 0
	6289	Is this co rrect? YES //
	6290	Example: R einstating a Discont inued Orde r – Glucop hage Lab R esults for Metformin
	6291	Rx # : 2614$
	6292	(1) *Orde rable Item : METFORMI N TAB,ORAL
	6293	(2) Drug : METFORMI N 500MG TA B
	6294	NDC : 00093-10 48-98
	6295	(3) *Dosage : 1000 (MG )
	6296	Verb : TAKE
	6297	Disp ense Units : 2
	6298	Noun : TABLETS
	6299	*Route : ORAL
	6300	*Schedule : QHS
	6301	(4)Pat In structions :
	6302	SIG : TAKE TWO TABLETS B Y MOUTH AT BEDTIME
	6303	(5) Pati ent Status : OPT NSC
	6304	(6) Issue Date : 03/25/08 (7) Fill Date: 03/25/08
	6305	Last Fill Date : 03/25/08 (Mail)
	6306	+ Enter ?? f or more ac tions
	6307	DC Disco ntinue PR (Partial) RL Rel ease
	6308	ED (Edit ) RF (Refill) RN Ren ew
	6309	Select Act ion: Next Screen// D C Discon tinue
	6310	Are you su re you wan t to Reins tate? NO// YES
	6311	Comments: TESTING
	6312	Nature of Order: SER VICE CORRE CTION// S
	6313	========== ========== ========== ========== ========== ==== 2614 METFORMIN 500MG TAB
	6314	Now doing remote ord er checks. Please wa it...
	6315	Now doing allergy ch ecks. Ple ase wait.. .
	6316	*Metform in Lab Res ults*
	6317	Metformin – Creatini ne results : <creatin ine greate r than 1.5 w/in past <x> days>
	6318	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	6319	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6320	Prescripti on #2614 R EINSTATED!
	6321	Prescri ption #261 4 Filled: MAR 25, 20 08Printed: MAR 25, 2 008Release d:
	6322	Eithe r print th e label us ing the re print opti on
	6323	or check late r to see i f the labe l has been printed.
	6324	Clinic Ord ers
	6325	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 pl aced via b ackdoor in patient me dications are not c onsidered clinic ord ers.
	6326	MOCHA 1 En hancement 1 adds dru g interact ion and th erapeutic duplicatio n order ch ecks for c linic orde rs to Outp atient Pha rmacy. Pre viously In patient Me dications package pe rformed or der checks on active , pending and non-ve rified cli nic orders . With the MOCHA 1 E nhancement 1, Inpati ent medica tions will perform e nhanced or der checks for recen tly discon tinued and expired i npatient m edications clinic or ders.
	6327	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.
	6328	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:
	6329	If there a re start/s top dates defined, t hey are di splayed.
	6330	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.
	6331	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.
	6332	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 .
	6333	Unit Dose Clinic Ord er Check E xample:
	6334
	6335
	6336
	6337
	6338
	6339
	6340
	6341
	6342
	6343
	6344	Now Proces sing Enhan ced Order Checks! P lease wait ...
	6345	*CRITICA L* Drug Interactio n with Pro spective D rug:
	6346	CIMETIDINE 300 MG an d
	6347	Clin ic Order: PHENYTOIN 100MG CAP (DISCONTIN UED)
	6348	Schedule: Q8H
	6349	Dosage: 100MG
	6350	St art Date: FEB 27, 20 12@13:00
	6351	S top Date: FEB 28, 20 12@15:22:2 7
	6352	Concurre nt use of cimetidine or raniti dine may r esult in e levated le vels
	6353	of and t oxicity fr om the hyd antoin.Neu tropenia a nd thrombo cytopenia have
	6354	been rep orted with concurren t cimetidi ne and phe nytoin.
	6355	IV Clinic Order Chec k Example:
	6356	*CRITICA L* Drug Interactio n with Pro spective D rug:
	6357	WARFARIN 2 MG TAB and
	6358	Clin ic Order: POTASSIUM CHLORIDE 2 0 MEQ (ACT IVE)
	6359	Other Add itive(s): MAGNESIUM SULFATE 1 GM (1), CA LCIUM GLUC ONATE 1 GM (2),
	6360	HEPARIN 10 00 UNITS, CIMETIDINE 300 MG
	6361	Sol ution(s): DEXTROSE 2 0% 500 ML 125 ml/hr
	6362	AMINO ACID SOLUTION 8.5% 500 M L 125 ml/h r
	6363	St art Date: APR 05, 20 12@15:00
	6364	S top Date: APR 27, 20 12@24:00
	6365	The phar macologic effects of warfarin may be inc reased res ulting in severe
	6366	bleeding .
	6367	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.
	6368	Unit Dose Clinic Ord er Check E xample:
	6369
	6370
	6371
	6372
	6373
	6374
	6375
	6376
	6377
	6378
	6379
	6380
	6381
	6382
	6383
	6384
	6385	* THERAP EUTIC DUPL ICATION(S) * POTAS SIUM CHLOR IDE 30 MEQ with
	6386	C linic Orde r: POTASSI UM CHLORID E 10MEQ TA B (PENDING )
	6387	Schedul e: BID
	6388	Dosag e: 20MEQ
	6389	Requested Start Dat e: NOV 20, 2012@17:0 0
	6390	Stop Dat e: ******* *
	6391	Class(es) Involved i n Therapeu tic Duplic ation(s): Potassium
	6392	IV Order C heck Examp le:
	6393	* THERAP EUTIC DUPL ICATION(S) * CEFAZ OLIN 1 GM with
	6394	C linic Orde r: CEFAZOL IN 2 GM (P ENDING)
	6395	Solution(s ): 5% DEXT ROSE 50 ML OVER 30 M INUTES
	6396	Schedul e: Q8H
	6397	Order Dat e: NOV 20, 2012@11:0 1
	6398	Start Dat e: ******* *
	6399	Stop Dat e: ******* *
	6400	C linic Orde r: CEFAZOL IN SOD 1GM INJ (EXPI RED)
	6401	Solution(s ): 5% DEXT ROSE 50 ML OVER 30 M INUTES
	6402	Schedul e: Q12H
	6403	Start Dat e: OCT 24, 2012@16:4 4
	6404	Stop Dat e: OCT 25, 2012@24:0 0
	6405	Class(es) Involved i n Therapeu tic Duplic ation(s): Beta-Lacta ms,
	6406	Cephalospo rins, Ceph alosporins - 1st Gen eration
	6407	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.
	6408	Available Dosage(s)
	6409	1. 250MG
	6410	2. 500MG
	6411	3. 1000MG
	6412	Select fro m list of Available Dosages, E nter Free Text Dose
	6413	or Enter a Question Mark (?) t o view lis t: 3 500MG
	6414	You entere d 500MG is this corr ect? Yes// <Enter> Y ES
	6415	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.
	6416	DISPENSE U NITS PER D OSE(CAPSUL ES): 2// < Enter> 2
	6417	Dosage Ord ered: 500M G
	6418	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 MEDICATIO N ROUTES f ile, the e ntry will be expande d in the S ig based o n the OUTP ATIENT EXP ANSION fie ld.
	6419	ROUTE: PO/ / <Enter> ORAL PO MOUT H
	6420
	6421	or
	6422	ROUTE: PO/ / @ <Enter to delete >
	6423	A default schedule a ssociated with the O rderable I tem of the drug orde red is dis played at the “Sched ule:” prom pt. The de fault can be accepte d or a dif ferent fre e text sch edule can be entered . Free tex t entries cannot con tain more than two s paces or b e more tha n twenty c haracters long. Entr ies will b e compared against a list of c ommon abbr eviations, first in the ADMINI STRATION S CHEDULE fi le and the n in the M EDICATION INSTRUCTIO N file, an d expanded if the en try matche s. Any ent ry not fou nd in the list of co mmon abbre viations w ill be dis played in the Sig as entered.
	6424	Schedule: QID// (FO UR TIMES A DAY)
	6425	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 . The user should fo llow the n umber with an “H” to specify h ours or an “M” to sp ecify minu tes.
	6426
	6427	Do not use the LIMIT ED DURATIO N field fo r Days Sup ply.
	6428	Example: E ntering a New Order (continued )
	6429	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): 10 ( DAYS)
	6430	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.
	6431	CONJUNCTIO N: <Enter>
	6432	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.
	6433	PATIENT IN STRUCTIONS : WF
	6434
	6435
	6436	WITH FOOD
	6437	(TAKE TWO CAPSULES B Y MOUTH FO UR TIMES A DAY FOR 1 0 DAYS WIT H FOOD)
	6438	OTHER PATI ENT INSTRU CTIONS: WF
	6439
	6440	CON ALIMEN TO
	6441	Two option al fields, OTHER LAN GUAGE PREF ERENCE and PMI LANGU AGE PREFER ENCE in th e PHARMACY PATIENT f ile, store if a pati ent has an other lang uage prefe rence and if the pat ient’s PMI sheets sh ould print in Englis h or Spani sh at the CMOP. The CMOP funct ionality w as request ed for fut ure CMOP u se. When p rinting lo cally from Outpatien t Pharmacy this para meter is n ot used. T hese field s are acce ssed throu gh the Upd ate Patien t Record o ption and the protoc ol Patient Record Up date [PSO PATIENT RE CORD UPDAT E]. If the other lan guage pref erence is indicated for a pati ent, the u ser will b e prompted to enter OTHER PATI ENT INSTRU CTIONS aft er selecti ng the PAT IENT INSTR UCTIONS fi eld to ent er/edit. I f a quick code is en tered at t he OTHER P ATIENT INS TRUCTIONS prompt, th e expansio n entered at the OTH ER PATIENT INSTRUCTI ONS EXPANS IONS will print on t he prescri ption labe l.
	6442	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 QUANTITY c alculation s.
	6443	DAYS SUPPL Y: (1-90) : 30// 10
	6444	QTY ( CAP ) : 80// < Enter> 80
	6445	Example: E ntering a New Order (continued )
	6446	COPIES: 1/ / <Enter> 1
	6447	# OF REFIL LS: (0-11 ): 11// 0
	6448	PROVIDER: OPPROVI DER4,TWO
	6449	CLINIC: OUTPT NUR SE GREEN T EAM
	6450	MAIL/WINDO W: WINDOW/ / <Enter> WINDOW
	6451	METHOD OF PICK-UP: < Enter>
	6452	REMARKS: < Enter>
	6453	ISSUE DATE : TODAY// <Enter> (MAY 30, 2 001)
	6454	FILL DATE: (5/30/20 01 - 6/9/2 001): TODA Y// <Ente r> (MAY 3 0, 2001)
	6455	Nature of Order: WRI TTEN// <E nter> W
	6456	WAS THE PA TIENT COUN SELED: NO/ / Y YES
	6457	WAS COUNSE LING UNDER STOOD: NO/ / Y YES
	6458	An option to add a p rogress no te has bee n added. If “Yes” i s entered at this pr ompt, the progress n ote entry will begin after the order inf ormation h as been di splayed an d confirme d. The ord er is redi splayed, a long with informatio n on any s ervice-con nected dis abilities on record.
	6459	Do you wan t to enter a Progres s Note? No // <Enter>
	6460	Rx # 50390 6 05/30/0 1
	6461	OPPATIENT1 6,ONE #80
	6462	TAKE TWO C APSULES BY MOUTH FOU R TIMES A DAY FOR 10 DAYS WITH FOOD
	6463	AMPICILLIN 250MG CAP
	6464	OPPROVIDER 1,TWO OPPH ARMACIST4, THREE
	6465	# of Refil ls: 11
	6466
	6467
	6468
	6469	SC Perce nt: 40%
	6470
	6471	Disabiliti es: NONE S TATED
	6472
	6473	Was treatm ent for Se rvice Conn ected cond ition?
	6474	To determi ne if the order shou ld be char ged copay, eligible copay exem ptions for the order are displ ayed one a t a time. The user i s asked if it the fi rst applie s to the o rder. In t his exampl e, the use r is first asked if the order is being p rescribed for any of the servi ce-connect ed conditi ons displa yed. If ye s had been entered a t this pro mpt, the f ill would have been set for No Copay and no other exemption questions would have been aske d. In this example, the patien t has repo rted expos ure to her bicides du ring Vietn am-era ser vice.
	6475	Was treatm ent relate d to Agent Orange ex posure? NO
	6476
	6477	Is this co rrect? YES // <Enter >
	6478	Another Ne w Order fo r OPPATIEN T16,ONE? Y ES//
	6479	Medication s with non -numeric d osages, su ch as oint ments and creams, wi ll display non-numer ic possibl e dosages as a defau lt. Becaus e the dosa ge is non- numeric, v alues for dispense u nits per d ose and qu antity can not be cal culated.
	6480	Example: E ntering a New Order (continued )
	6481	DRUG: H YDROCORTIS ONE 0.5% C REAM DE200 VISN FOR M; 30 GM/T UBE (IEN)
	6482	. ..OK? Yes/ / (Yes)
	6483	Now doing order chec ks. Pleas e wait...
	6484	Available Dosage(s)
	6485	1. SMALL AMOU NT
	6486	2. MODERATE A MOUNT
	6487	3. LIBERALLY
	6488	4. LARGE AMOU NT
	6489	Select fro m list of Available Dosages, E nter Free Text Dose
	6490	or Enter a Question Mark (?) t o view lis t: 2 MODER ATE AMOUNT
	6491	You entere d MODERATE AMOUNT is this corr ect? Yes// <Enter> Y ES
	6492	ROUTE: TOP ICAL// <En ter> TOPIC AL
	6493	During pre scription processing , if the l abel print er selecte d has an A utomated D ispensing Device (AD D) defined , then Rx will be ro uted to th e appropri ate automa ted dispen sing devic es. A mess age will b e displaye d indicati ng the aut omated dis pensing de vices wher e the Rx w ill be rou ted. Below is an exa mple of th e routing message.
	6494	PRESCRIPTI ONS SENT T O:
	6495	OP TIFILL1
	6496	100002815 ACETA MINOPHEN 3 25MG C.T.
	6497	100002816 AMOXI CILLIN 250 MG CAP
	6498	100002824 AMOXA PINE 50MG TAB
	6499	SC RIPTPRO1
	6500	100002844 CIMET IDINE 200M G TAB
	6501	Entering a New Order --ePharma cy (Third Party Bill able)
	6502	For patien ts who hav e active t hird party insurance and have the approp riate elig ibility re quirements , the soft ware will submit ele ctronic cl aims to th eir insura nce compan ies when p rescriptio ns for bil lable drug s are orde red.
	6503	After a WI NDOW order is entere d and fini shed, the billing da ta is sent to the El ectronic C laims Mana gement Eng ine (ECME) . ECME sen ds a messa ge back to Outpatien t Pharmacy displayin g the stat us of the claim. For MAIL orde rs, the co mmunicatio n between Outpatient Pharmacy and ECME h appens eit her during the Local Mail Labe l Print or during th e CMOP tra nsmission.
	6504	The follow ing exampl e shows th e creation of a new WINDOW ord er startin g with the "DRUG:" p rompt.
	6505	Example: E ntering a New Order for ePharm acy Billin g
	6506	DRUG: PRED NISONE
	6507	Lookup: GENERIC NA ME
	6508	1 P REDNISONE 1MG TAB HS 051
	6509	2 P REDNISONE 20MG S.T. HS051
	6510	3 P REDNISONE 5MG TAB HS 051
	6511	CHOOSE 1-3 : 3 PREDN ISONE 5MG TAB HS051
	6512	Now doing order chec ks. Pleas e wait...
	6513	Previously entered I CD diagnos is codes: <Enter>
	6514	Select Pri mary ICD C ode: <Ente r>
	6515	VERB: TAKE
	6516	Available Dosage(s)
	6517	1. 20MG
	6518	2. 40MG
	6519	Select fro m list of Available Dosages, E nter Free Text Dose
	6520	or Enter a Question Mark (?) t o view lis t: 1 20MG
	6521	You entere d 20MG is this corre ct? Yes// <Enter> Y ES
	6522	VERB: TAKE
	6523	DISPENSE U NITS PER D OSE(TABLET ): 1// <En ter> 1
	6524	Dosage Ord ered: 20MG
	6525	NOUN: TABL ET
	6526	ROUTE: PO/ / <Enter>
	6527	1 P O ORAL (B Y MOUTH) PO
	6528	2 P O ORAL PO
	6529	CHOOSE 1-2 : 2 ORAL PO B Y MOUTH
	6530	Schedule: TID (THREE TIMES A D AY)
	6531	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): 10 ( DAYS)
	6532	CONJUNCTIO N: <Enter>
	6533	PATIENT IN STRUCTIONS : WF
	6534	WITH FOOD
	6535	(TAKE ONE TABLET BY BY MOUTH THREE TIME S A DAY FO R 10 DAYS WITH FOOD)
	6536	DAYS SUPPL Y: (1-90) : 30// <En ter>
	6537	QTY ( TAB ) : 30// < Enter> 30
	6538	COPIES: 1/ / <Enter> 1
	6539	# OF REFIL LS: (0-5) : 5// <Ent er>
	6540	PROVIDER: OPPROVIDER 4,TWO
	6541	CLINIC: <E nter>
	6542	MAIL/WINDO W: WINDOW/ / <Enter> WINDOW
	6543	METHOD OF PICK-UP: < Enter>
	6544	REMARKS: < Enter>
	6545	ISSUE DATE : TODAY// <Enter> ( NOV 02, 20 05)
	6546	FILL DATE: (11/2/20 05 - 11/3/ 2006): TOD AY// <Ente r> (NOV 0 2, 2005)
	6547	Nature of Order: WRI TTEN// < Enter> W
	6548	WAS THE PA TIENT COUN SELED: NO/ / YES
	6549	WAS COUNSE LING UNDER STOOD: NO/ / YES
	6550	Do you wan t to enter a Progres s Note? No // <Enter > NO
	6551	Rx # 10000 3840 11/02/0 5
	6552	OPPATIENT, FOUR #30
	6553	TAKE ONE T ABLET BY B Y MOUTH TH REE TIMES A DAY FOR 10 DAYS WI TH FOOD
	6554	PREDNISONE 5MG TAB
	6555	OPPROVIDER 4,TWO OPP HARMACIST4 ,THREE
	6556	# of Refil ls: 5
	6557	Is this co rrect? YES // <Enter> YES
	6558	Veteran Pr escription 100003840 successfu lly submit ted to ECM E for clai m generati on.
	6559	Claim Stat us:
	6560	IN PROGRES S-Waiting to start
	6561	IN PROGRES S-Gatherin g claim in fo
	6562	IN PROGRES S-Packet b eing built
	6563	IN PROGRES S-Waiting for transm it
	6564	IN PROGRES S-Transmit ting
	6565	E PAYABLE
	6566	Another Ne w Order fo r OPPATIEN T,FOUR? YE S// NO
	6567	View of RX :
	6568	Medication Profile Nov 02, 20 05@07:33:2 9 Page: 1 of 1
	6569	OPPATIENT, FOUR
	6570	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	6571	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	6572	SEX: MAL E
	6573	CrCL: <No t Found> B SA (m2): _ ______
	6574	IS SUE LAST REF DAY
	6575	# RX # DRU G QTY ST D ATE FILL REM SUP
	6576	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	6577	1 100003 840e PRE DNISONE 5M G TAB 30 A> 11 -02 11-02 5 30
	6578	Enter ?? f or more ac tions
	6579	PU Patien t Record U pdate NO New Or der
	6580	PI Patien t Informat ion SO Select Order
	6581	Select Act ion: Quit/ /
	6582	If a new o rder is re jected due to a Drug Utilizati on Review (DUR) ), R eject Reso lution Req uired, or Refill Too Soon, the prescript ion will b e marked a s “REJECTE D”, and th e user wil l have the opportuni ty to reso lve before continuin g.
	6583	The follow ing exampl e shows a sample ECM E transmis sion rejec tion, and how to res olve the r ejection e rror.
	6584	Example: H andling a Rejected N ew Order f or ePharma cy Billing
	6585	Veteran Pr escription 999999 su ccessfully submitted to ECME f or claim g eneration.
	6586	Claim Stat us:
	6587	IN PROGRES S-Waiting to start
	6588	IN PROGRES S-Waiting for packet build
	6589	IN PROGRES S-Waiting for transm it
	6590	IN PROGRES S-Transmit ting
	6591	E REJECTED
	6592	*** VETERAN - REJECT REC EIVED FROM THIRD PAR TY PAYER * **
	6593	------- ---------- ---------- ---------- ---------- ---------- ---------- ---
	6594	Divisio n : ALBANY NPI#: 12 34567890 NCPDP: 4150001
	6595	Patient : OPPAT. ,FOUR(000- 01-1322P) Sex: M DOB: J AN 13,1922 (83)
	6596	Prescri ption : 99 999999/0 - TESTOSTER ONE (ANDRO D ECME#: 000001234 567
	6597	Reject Type : 88 - DUR REJ ECT receiv ed on FEB 27, 2006@1 0:58:25
	6598	Payer M essage: DU R Reject E rror
	6599	Reason : ER (OVERUSE PRECAUTION )
	6600	DUR Tex t : AN DRODERM DIS 5MG/2 4HR
	6601	Insuran ce : TE ST INS Contact: 800 555-5 555
	6602	Group N ame : RX INS Gro up Number: 12454
	6603	Cardhol der ID: 00 0011322P
	6604	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6605	Selec t one of t he followi ng:
	6606	O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S
	6607	I (I)GNORE - FILL Rx W ITHOUT CLA IM SUBMISS ION
	6608	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	6609	(O)verride ,(I)gnore, (Q)uit: Q/ / O OVERR IDE
	6610	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 “Pr ofessional Service C ode” and “ Result of Service Co de”. To se e a list o f service codes, ent er ? at th e specifie d prompt.
	6611	Reason for Service C ode : ER - OVERUSE
	6612	Profession al Service Code: RT RECO MMENDED LA BORATORY T EST
	6613	Result of Service Co de : 1G FILL ED, WITH P RESCRIBER APPROVAL
	6614	Reaso n for Serv ice Code : ER - OVE RUSE
	6615	Profe ssional Se rvice Code : RT - REC OMMENDED L ABORATORY TEST
	6616	Resul t of Servi ce Code : 1G - FIL LED, WITH PRESCRIBER APPROVAL
	6617	Confi rm? ? YES/ / <Enter>
	6618	Veteran Pr escription 99999999 successful ly submitt ed to ECME for claim generatio n.
	6619	Claim Stat us:
	6620	IN PROGRES S-Waiting to start
	6621	IN PROGRES S-Waiting for packet build
	6622	IN PROGRES S-Packet b eing built
	6623	IN PROGRES S-Waiting for transm it
	6624	IN PROGRES S-Transmit ting
	6625	IN PROGRES S-Waiting to process response
	6626	E PAYABLE
	6627	For Refill Too Soon rejects, t he same ch oices appl y.
	6628	Example: H andling a Reject Res olution Re quired rej ected New Prescripti on for ePh armacy Bil ling.
	6629	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 Rejec t Resoluti on Require d reject c odes will prevent a prescripti on from be ing filled during an y claims p rocessing under the following conditions :
	6630	VETERAN el igibility
	6631	The prescr iption is an origina l fill
	6632	The prescr iption is not releas ed
	6633	The reject is on the Reject Re solution R equired li st for the division
	6634	The total gross amou nt of the prescripti on is at o r above th e specifie d threshol d amount
	6635	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. S ee followi ng example .
	6636	Example: H andling a Reject Res olution Re quired rej ected New Order for ePharmacy Billing (c ontinued)
	6637	Claim Stat us:
	6638	IN PROGRES S-Waiting to start
	6639	IN PROGRES S-Building the claim
	6640	IN PROGRES S-Building the HL7 p acket
	6641	IN PROGRES S-Transmit ting
	6642	IN PROGRES S-Processi ng respons e
	6643	E REJECTED
	6644	*** VETERAN - REJECT REC EIVED FROM THIRD PAR TY PAYER * **
	6645	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6646	Divisio n : ALBANY NPI : 12345678 90 NC PDP: 41500 01
	6647	Patient : OP,FOU R(000-01-1 322P) Sex : M D OB: JAN 13 , 1922(83)
	6648	Rx/Drug : 999999 99/0 – TES TOSTERONE (ANDROD ECME#: 000001234 567
	6649	Reject( s): 76 - P lan Limita tions Exce eded Rece ived on JU N 07, 2013 @11:26:05
	6650	Payer M essage: DA YS SUPPLY IS MORE TH AN ALLOWED BY PLAN
	6651	Insuran ce : TE ST INS Contact: 800-555-5 555
	6652	Group N ame : RX INS G roup Numbe r: 12454
	6653	Cardhol der ID: 00 00011322P
	6654	Reject Resolution Required
	6655	Gross A mount Due ($34.42) i s greater than or eq ual to
	6656	Thresho ld Dollar Amount ($0 )
	6657	Please select Qui t to resol ve this re ject on th e Reject W orklist.
	6658	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6659	Selec t one of t he followi ng:
	6660	I (I)GNORE - FILL Rx W ITHOUT CLA IM SUBMISS ION
	6661	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	6662	(I)gnore,( Q)uit: Q//
	6663	Example: H andling a TRICARE Re jected New Order for ePharmacy Billing
	6664	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.
	6665	TRICARE Pr escription 101110 su bmitted to ECME for claim gene ration.
	6666	Claim Stat us:
	6667	IN PROGRES S-Waiting to start
	6668	IN PROGRES S-Building the claim
	6669	IN PROGRES S-Transmit ting
	6670	IN PROGRES S-Processi ng respons e
	6671	E REJECTED
	6672	79 - R efill Too Soon
	6673	14 - M /I Eligibi lity Clari fication C ode
	6674	* REJECT REC EIVED FOR TRICARE PA TIENT *
	6675	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6676	Divisio n : ALBANY ISC NPI#: 500000002 1
	6677	Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6678	Rx/Drug : 101110 /0 - NAPRO XEN 250MG S.T. ECME#: 000000112 303
	6679	Reject( s): REFILL TOO SOON (79), 14 - M/I Eligi bility Cla rification Code (14) .
	6680	Receiv ed on MAR 03, 2008@1 4:40:57.
	6681	Insuran ce : TR ICARE Contact:
	6682	Group N ame : TR ICARE PRIM E Group Number: 1 23123
	6683	Cardhol der ID: SI 9844532
	6684	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6685	Selec t one of t he followi ng:
	6686	O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S
	6687	D (D)isconti nue - DO N OT FILL PR ESCRIPTION
	6688	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	6689	(O)verride ,(D)iscont inue,(Q)ui t: Q//
	6690	Example: H andling a non-DUR/RT S or non-c linical TR ICARE reje cted New O rder for e Pharmacy B illing.
	6691	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:
	6692	TRICARE Pr escription 101113 su bmitted to ECME for claim gene ration.
	6693	Claim Stat us:
	6694	IN PROGRES S-Waiting to start
	6695	IN PROGRES S-Building the claim
	6696	IN PROGRES S-Building the HL7 p acket
	6697	IN PROGRES S-Transmit ting
	6698	E REJECTED
	6699	07 - M /I Cardhol der ID Num ber
	6700	14 - M /I Eligibi lity Clari fication C ode
	6701	* REJECT REC EIVED FOR TRICARE PA TIENT *
	6702	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6703	Divisio n : ALBANY ISC NPI#: 500000002 1
	6704	Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6705	Rx/Drug : 101113 /0 - SIMET HICONE 40M G TAB ECME#: 000000112 306
	6706	Reject( s): M/I El igibility Clarificat ion Code ( 14), M/I C ardholder ID
	6707	Number (07). Re ceived on MAR 03, 20 08@14:43:4 2.
	6708	Insuran ce : TR ICARE Contact:
	6709	Group N ame : TR ICARE PRIM E Group Number: 1 23123
	6710	Cardhol der ID: SI 9844532
	6711	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6712	Selec t one of t he followi ng:
	6713	D (D)isconti nue - DO N OT FILL PR ESCRIPTION
	6714	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	6715	(D)isconti nue,(Q)uit : Q//
	6716	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.
	6717	Is this co rrect? YES // ...
	6718	* TR ICARE - NO N-BILLABLE *
	6719	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6720	Divisio n : ALBANY ISC NPI#:
	6721	Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6722	Rx/Drug : 102058 /0 - ABSOR BABLE GELA TIN S
	6723	Date/Ti me: AUG 27 , 2008@16: 49:46
	6724	Reason : Drug n ot billabl e.
	6725	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6726	This is a non-billab le TRICARE prescript ion. It c annot be f illed or s ent
	6727	to the rej ect workli st. It mu st be disc ontinued.
	6728	Press <RET URN> to co ntinue...
	6729	Nature of Order: SER VICE CORRE CTION// S
	6730	Requesting PROVIDER: OPHARM O PPHARM,ONE OO
	6731	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.
	6732	Select Rx (Prescript ions) Opti on: REPrin t an Outpa tient Rx L abel
	6733	Reprint Pr escription Label: 10 1113 SIMETHICO NE 40MG TA B
	6734	Number of Copies? : (1-99): 1 //
	6735	Print adhe sive porti on of labe l only? ? No// NO
	6736	Do you wan t to resen d to Dispe nsing Syst em Device? No// NO
	6737	Comments: REPRINT
	6738	Rx # 10111 3 03/03/0 8
	6739	OPTRICARE, ONE #180
	6740	ONE MOUTH TWICE A DA Y
	6741	SIMETHICON E 40MG TAB
	6742	OPPHARM,ON E OP PHARM,ONE
	6743	# of Refil ls: 3
	6744	Select LAB EL DEVICE: NULL Bit Bucket
	6745	No Label(s ) printed.
	6746	Reprint Pr escription Label:
	6747	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 wi ll not pri nt. Once t he reject is resolve d, the use r may pull the presc ription ea rly from s uspense or wait for the next s cheduled P rint from Suspense o ption runs at which time label s will pri nt accordi ngly. This includes CMOP and l ocal suspe nse.
	6748	TRICARE Pr escription 101607 su bmitted to ECME for claim gene ration.
	6749	Claim Stat us:
	6750	IN PROGRES S-Building the claim
	6751	IN PROGRES S-Transmit ting
	6752	IN PROGRES S-Parsing response
	6753	** * TRICARE - 'IN PROG RESS' ECME status ** *
	6754	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6755	Divisio n : ALBANY ISC NPI#: 500000002 1
	6756	Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6757	Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG
	6758	Date/Ti me: APR 20 , 2008@20: 11:17
	6759	Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed
	6760	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6761	This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved,
	6762	it may be printed or pulled ea rly from s uspense.
	6763	Press <RET URN> to co ntinue...
	6764	A rejected TRICARE p rescriptio n may not have a par tial fill ordered un til the re ject is re solved.
	6765	OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2
	6766	OPTRICARE, ONE
	6767	PID: 666 -55-4789 Ht(cm): _ ______ (__ ____)
	6768	DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____)
	6769	Rx # : 101526e
	6770	(1) *Orde rable Item : ACETAZOL AMIDE PILL
	6771	(2) Drug : ACETAZOL AMIDE 500M G SEQUELS
	6772	NDC : 00555-05 13-02
	6773	Verb : TAKE
	6774	(3) *Dosage : 1 PILL
	6775	*Route : ORAL
	6776	*Schedule : BID
	6777	(4)Pat In structions :
	6778	SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY
	6779	(5) Pati ent Status : OTHER FE DERAL
	6780	(6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08
	6781	Last Fill Date : 04/19/08 (Window)
	6782	Last Re lease Date : (8) Lot #:
	6783	Expires : 04/19/09 MFG:
	6784	+
	6785	DC Disco ntinue PR Partial RL Rel ease
	6786	ED Edit RF (Refill) RN Ren ew
	6787	Select Act ion: Next Screen// p Partial
	6788	OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2
	6789	OPTRICARE, ONE
	6790	PID: 666 -55-4789 Ht(cm): _ ______ (__ ____)
	6791	DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____)
	6792	Rx # : 101526e
	6793	(1) *Orde rable Item : ACETAZOL AMIDE PILL
	6794	(2) Drug : ACETAZOL AMIDE 500M G SEQUELS
	6795	Verb : TAKE
	6796	(3) *Dosage : 1 PILL
	6797	*Route : ORAL
	6798	*Schedule : BID
	6799	(4)Pat In structions :
	6800	SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY
	6801	(5) Pati ent Status : OTHER FE DERAL
	6802	(6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08
	6803	Last Fill Date : 04/19/08 (Window)
	6804	Last Re lease Date : (8) Lot #:
	6805	Expires : 04/19/09 MFG:
	6806	+ Partial ca nnot be fi lled on TR ICARE non- payable Rx
	6807	DC Disco ntinue PR Partial RL Rel ease
	6808	ED Edit RF (Refill) RN Ren ew
	6809	Select Act ion: Next Screen//
	6810	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:
	6811	TRICARE Pr escription 101607 su bmitted to ECME for claim gene ration.
	6812	Claim Stat us:
	6813	IN PROGRES S-Building the claim
	6814	IN PROGRES S-Transmit ting
	6815	IN PROGRES S-Parsing response
	6816	** * TRICARE - 'IN PROG RESS' ECME status ** *
	6817	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6818	Divisio n : ALBANY ISC NPI#: 500000002 1
	6819	Patient : OPTRIC ARE,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6820	Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG
	6821	Date/Ti me: APR 20 , 2008@20: 11:17
	6822	Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed
	6823	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6824	This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved,
	6825	it may be printed or pulled ea rly from s uspense.
	6826	Press <RET URN> to co ntinue...
	6827	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.
	6828	Example of message d uring fini sh:
	6829	Do you wan t to enter a Progres s Note? No // NO
	6830	Rx # 10204 6 08/27/0 8
	6831	OPTRICARE, TEST #180
	6832	ONE MOUTH TWICE A DA Y
	6833	DANTROLENE 25MG CAP
	6834	OPPROVIDER ,ONE OPP HAR,ONE
	6835	# of Refil ls: 3
	6836	Is this co rrect? YES // ...
	6837	-Rx 10192 1 has been discontin ued...
	6838	Inactive E CME TRICAR E
	6839	Example of ECME Acti vity Log e ntry:
	6840	ECME Log:
	6841	# Date/T ime Rx Ref Initiator Of Activit y
	6842	========== ========== ========== ========== ========== ========== ========== =========
	6843	1 8/27/0 8@11:07:45 ORIGIN AL OPPHARM,ON E
	6844	Comments: TRICARE-In active ECM E TRICARE
	6845	Example: H andling a CHAMPVA Re jected New Order for ePharmacy Billing
	6846	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.
	6847	CHAMPVA Pr escription 101110 su bmitted to ECME for claim gene ration.
	6848	Claim Stat us:
	6849	IN PROGRES S-Waiting to start
	6850	IN PROGRES S-Building the claim
	6851	IN PROGRES S-Transmit ting
	6852	IN PROGRES S-Processi ng respons e
	6853	E REJECTED
	6854	79 - R efill Too Soon
	6855	14 - M /I Eligibi lity Clari fication C ode
	6856	* REJECT REC EIVED FOR CHAMPVA PA TIENT *
	6857	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6858	Divisio n : ALBANY ISC NPI#: 500000002 1
	6859	Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6860	Rx/Drug : 101110 /0 - NAPRO XEN 250MG S.T. ECME#: 000000112 303
	6861	Reject( s): REFILL TOO SOON (79), 14 - M/I Eligi bility Cla rification Code (14) .
	6862	Receiv ed on MAR 03, 2008@1 4:40:57.
	6863	Insuran ce : CH AMPVA Contact:
	6864	Group N ame : CH AMPVA PRIM E Group Number: 1 23123
	6865	Cardhol der ID: SI 9844532
	6866	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6867	Selec t one of t he followi ng:
	6868	O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S
	6869	D (D)isconti nue - DO N OT FILL PR ESCRIPTION
	6870	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	6871	(O)verride ,(D)iscont inue,(Q)ui t: Q//
	6872	Example: H andling a non-DUR/RT S or non-c linical CH AMPVA reje cted New O rder for e Pharmacy B illing.
	6873	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:
	6874	CHAMPVA Pr escription 101113 su bmitted to ECME for claim gene ration.
	6875	Claim Stat us:
	6876	IN PROGRES S-Waiting to start
	6877	IN PROGRES S-Building the claim
	6878	IN PROGRES S-Building the HL7 p acket
	6879	IN PROGRES S-Transmit ting
	6880	E REJECTED
	6881	07 - M /I Cardhol der ID Num ber
	6882	14 - M /I Eligibi lity Clari fication C ode
	6883	* REJECT REC EIVED FOR CHAMPVA PA TIENT *
	6884	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6885	Divisio n : ALBANY ISC NPI#: 500000002 1
	6886	Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6887	Rx/Drug : 101113 /0 - SIMET HICONE 40M G TAB ECME#: 000000112 306
	6888	Reject( s): M/I El igibility Clarificat ion Code ( 14), M/I C ardholder ID
	6889	Number (07). Re ceived on MAR 03, 20 08@14:43:4 2.
	6890	Insuran ce : CH AMPVA Contact:
	6891	Group N ame : CH AMPVA PRIM E Group Number: 1 23123
	6892	Cardhol der ID: SI 9844532
	6893	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6894	Selec t one of t he followi ng:
	6895	D (D)isconti nue - DO N OT FILL PR ESCRIPTION
	6896	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	6897	(D)isconti nue,(Q)uit : Q//
	6898	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.
	6899	Is this co rrect? YES // ...
	6900	* CH AMPVA - NO N-BILLABLE *
	6901	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6902	Divisio n : ALBANY ISC NPI#:
	6903	Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6904	Rx/Drug : 102058 /0 - ABSOR BABLE GELA TIN S
	6905	Date/Ti me: AUG 27 , 2008@16: 49:46
	6906	Reason : Drug n ot billabl e.
	6907	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6908	This is a non-billab le CHAMPVA prescript ion. It c annot be f illed or s ent
	6909	to the rej ect workli st. It mu st be disc ontinued.
	6910	Press <RET URN> to co ntinue...
	6911	Nature of Order: SER VICE CORRE CTION// S
	6912	Requesting PROVIDER: OPHARM O PPHARM,ONE OO
	6913	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.
	6914	Select Rx (Prescript ions) Opti on: REPrin t an Outpa tient Rx L abel
	6915	Reprint Pr escription Label: 10 1113 SIMETHICO NE 40MG TA B
	6916	Number of Copies? : (1-99): 1 //
	6917	Print adhe sive porti on of labe l only? ? No// NO
	6918	Do you wan t to resen d to Dispe nsing Syst em Device? No// NO
	6919	Comments: REPRINT
	6920	Rx # 10111 3 03/03/0 8
	6921	OPCHAMPVA, ONE #180
	6922	ONE MOUTH TWICE A DA Y
	6923	SIMETHICON E 40MG TAB
	6924	OPPHARM,ON E OP PHARM,ONE
	6925	# of Refil ls: 3
	6926	Select LAB EL DEVICE: NULL Bit Bucket
	6927	No Label(s ) printed.
	6928	Reprint Pr escription Label:
	6929	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.
	6930	CHAMPVA Pr escription 101607 su bmitted to ECME for claim gene ration.
	6931	Claim Stat us:
	6932	IN PROGRES S-Building the claim
	6933	IN PROGRES S-Transmit ting
	6934	IN PROGRES S-Parsing response
	6935	** * CHAMPVA - 'IN PROG RESS' ECME status ** *
	6936	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6937	Divisio n : ALBANY ISC NPI#: 500000002 1
	6938	Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	6939	Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG
	6940	Date/Ti me: APR 20 , 2008@20: 11:17
	6941	Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed
	6942	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	6943	This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved,
	6944	it may be printed or pulled ea rly from s uspense.
	6945	Press <RET URN> to co ntinue...
	6946	A rejected CHAMPVA p rescriptio n may not have a par tial fill ordered un til the re ject is re solved.
	6947	OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2
	6948	OPCHAMPVA, ONE
	6949	PID: 666 -55-4789 Ht(cm): _ ______ (__ ____)
	6950	DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____)
	6951	Rx # : 101526e
	6952	(1) *Orde rable Item : ACETAZOL AMIDE PILL
	6953	(2) Drug : ACETAZOL AMIDE 500M G SEQUELS
	6954	NDC : 00555-05 13-02
	6955	Verb : TAKE
	6956	(3) *Dosage : 1 PILL
	6957	*Route : ORAL
	6958	*Schedule : BID
	6959	(4)Pat In structions :
	6960	SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY
	6961	(5) Pati ent Status : OTHER FE DERAL
	6962	(6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08
	6963	Last Fill Date : 04/19/08 (Window)
	6964	Last Re lease Date : (8) Lot #:
	6965	Expires : 04/19/09 MFG:
	6966	+
	6967	DC Disco ntinue PR Partial RL Rel ease
	6968	ED Edit RF (Refill) RN Ren ew
	6969	Select Act ion: Next Screen// p Partial
	6970	OP Medicat ions (SUSP ENDED) Apr 18, 20 08@19:10:1 6 Page: 1 of 2
	6971	OPCHAMPVA, ONE
	6972	PID: 666 -55-4789 Ht(cm): _ ______ (__ ____)
	6973	DOB: OCT 18,1963 ( 44) Wt(kg): _ ______ (__ ____)
	6974	Rx # : 101526e
	6975	(1) *Orde rable Item : ACETAZOL AMIDE PILL
	6976	(2) Drug : ACETAZOL AMIDE 500M G SEQUELS
	6977	Verb : TAKE
	6978	(3) *Dosage : 1 PILL
	6979	*Route : ORAL
	6980	*Schedule : BID
	6981	(4)Pat In structions :
	6982	SIG : TAKE 1 P ILL BY MOU TH TWICE A DAY
	6983	(5) Pati ent Status : OTHER FE DERAL
	6984	(6) Issue Date : 04/18/08 (7) Fill Date: 04/19/08
	6985	Last Fill Date : 04/19/08 (Window)
	6986	Last Re lease Date : (8) Lot #:
	6987	Expires : 04/19/09 MFG:
	6988	+ Partial ca nnot be fi lled on CH AMPVA non- payable Rx
	6989	DC Disco ntinue PR Partial RL Rel ease
	6990	ED Edit RF (Refill) RN Ren ew
	6991	Select Act ion: Next Screen//
	6992	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:
	6993	CHAMPVA Pr escription 101607 su bmitted to ECME for claim gene ration.
	6994	Claim Stat us:
	6995	IN PROGRES S-Building the claim
	6996	IN PROGRES S-Transmit ting
	6997	IN PROGRES S-Parsing response
	6998	** * CHAMPVA - 'IN PROG RESS' ECME status ** *
	6999	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	7000	Divisio n : ALBANY ISC NPI#: 500000002 1
	7001	Patient : OPCHAM PVA,ONE(66 6-55-4789) Sex: M DOB: OCT 18,19 63(44)
	7002	Rx/Drug : 101607 /0 - ACETA ZOLAMIDE 2 50MG
	7003	Date/Ti me: APR 20 , 2008@20: 11:17
	7004	Reason : ECME S tatus is i n an 'IN P ROGRESS' s tate and c annot be f illed
	7005	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	7006	This presc ription wi ll be susp ended. Af ter the th ird party claim is r esolved,
	7007	it may be printed or pulled ea rly from s uspense.
	7008	Press <RET URN> to co ntinue...
	7009	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.
	7010	Example of message d uring fini sh:
	7011	Do you wan t to enter a Progres s Note? No // NO
	7012	Rx # 10204 6 08/27/0 8
	7013	OPCHAMPVA, TEST #180
	7014	ONE MOUTH TWICE A DA Y
	7015	DANTROLENE 25MG CAP
	7016	OPPROVIDER ,ONE OPP HAR,ONE
	7017	# of Refil ls: 3
	7018	Is this co rrect? YES // ...
	7019	-Rx 10192 1 has been discontin ued...
	7020	Inactive E CME CHAMPV A
	7021	Example of ECME Acti vity Log e ntry:
	7022	ECME Log:
	7023	# Date/T ime Rx Ref Initiator Of Activit y
	7024	========== ========== ========== ========== ========== ========== ========== =========
	7025	1 8/27/0 8@11:07:45 ORIGIN AL OPPHARM,ON E
	7026	Comments: CHAMPVA -I nactive EC ME CHAMPVA
	7027	Displaying a Patient ’s Remote Prescripti ons
	7028	If a patie nt has pre scriptions at anothe r location , when the user sele cts the pa tient to e nter a new order fro m Patient Prescripti on Process ing, the f ollowing m essage app ears.
	7029	REMOTE PRE SCRIPTIONS AVAILABLE !
	7030	Display Re mote Data? N//
	7031	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.
	7032	Remote Fac ilities Vi sited Dec 30, 20 08@17:26:4 7 Page: 1 o f 1
	7033	Patient: P SOPATIENT, ONE (000- 00-0000) DOB: 0 1/02/1967
	7034	Station
	7035	HDR DNS ENNE
	7036	Enter ?? f or more ac tions
	7037	DR Displa y Remote P harmacy Da ta DB Displa y Both Pha rmacy Data
	7038	Action:Qui t//DR
	7039	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.
	7040	Medication Profile - Remote Dec 30, 20 08@17:29:4 3 Pa ge: 1 of 2
	7041	Patient: P SOPATIENT, ONE (000 -00-0000) DOB: 01/02/1967
	7042	RX# DRUG ST QTY ISSUE D LAST FI LLED
	7043	HDR DNS ENNE
	7044	712885 AMOXIC ILLIN TRIH YDRATE 250 MG CAP A 90 11/06 /08 11/06 /08
	7045	SIG: T AKE ONE CA PSULE BY M OUTH THREE TIMES A D AY
	7046	PROVID ER: MCKAY, ELMER
	7047	712886 DILTIA ZEM (INWOO D) 240MG C AP,SA A 30 11/28 /08 11/28 /08
	7048	SIG: T AKE ONE CA PSULE BY M OUTH EVERY DAY
	7049	PROVID ER: MCKAY, ELMER
	7050	712888 LABETA LOL HCL 20 0MG TAB A 60 12/30 /08 12/30 /08
	7051	SIG: T AKE ONE TA BLET BY MO UTH TWICE A DAY
	7052	PROVID ER: MCKAY, ELMER
	7053	712887 SIMVAS TATIN 20MG TAB A 15 12/09 /08 12/09 /08
	7054	SIG: T AKE ONE-HA LF TABLET BY MOUTH E VERY EVENI NG TESTING
	7055	F OR PATTEST ING FOR PA TIENT TEST ING FOR PA TTESTING
	7056	F OR PATIENT ENT INTRUC TION ON SI G1 TESTING FOR
	7057	P ATIENT INT RUCTION ON SIG1 TEST ING FOR PA TIENT
	7058	R EPLACE IEN T WITH IEN T TESTING FOR PATIEN T
	7059	+ Enter ?? f or more ac tions
	7060	Select Act ion:Next S creen//
	7061
	7062	Editing a New Order
	7063	An asteris k or star (*) is sho wn in fron t of each field that will crea te a new o rder if it is change d. The Sig field can not be edi ted direct ly, but it will chan ge if the fields use d to const ruct the S ig are edi ted.
	7064	When editi ng fields preceded b y an aster isk (*) in an ePharm acy order (or electr onically t hird party billable prescripti on), upon acceptance of the ed ited 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. For more info rmation, s ee the exa mple Editi ng an ePha rmacy Orde r.
	7065	Note: Do n ot use the up-arrow (^) after editing on e field to jump past the rest of the fie lds. Using just the up-arrow r esults in the change s just ent ered being deleted. The user m ust press <Enter> th rough all the order fields whe n editing to save th e changes.
	7066	Example: E diting a N ew Order
	7067	OP Medicat ions (ACTI VE) May 30, 20 01 16:48:0 5 Page: 1 of 3
	7068	OPPATIENT1 6,ONE
	7069
	7070
	7071
	7072
	7073
	7074
	7075
	7076	<A>
	7077
	7078	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999)
	7079	DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999)
	7080	Rx # : 503908
	7081	(1) Orde rable Item : AMPICILL IN CAP,ORA L (N/F) *
	7082	(2) Drug : AMPICILL IN 250MG C AP *(N/F )*
	7083	NDC : 00093-51 45
	7084	(3) *Dosage : 500 (MG)
	7085	Verb : TAKE
	7086	Disp ense Units : 2
	7087	Noun : CAPSULES
	7088	*Route : ORAL
	7089	*Schedule : QID
	7090	*Duration : 10D (DAY S)
	7091	(4)Pat In structions : with foo d
	7092	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY FOR 10 DAYS
	7093	WITH FOO D
	7094	(5) Pati ent Status : SERVICE CONNECTED
	7095	+ Enter ?? f or more ac tions
	7096	DC Disco ntinue PR Partial RL Rel ease
	7097	ED Edit RF (Refill) RN Ren ew
	7098	Select Act ion: Next Screen// E D Edit
	7099	Select fie lds by num ber: (1-1 9): 4
	7100	PATIENT IN STRUCTIONS : WITH FOO D// WITH F OOD AVOIDI NG DAIRY F OODS
	7101	If a new o rder is cr eated due to the edi ting of a field that affects c opay, like Duration, the value s previous ly entered display a s defaults .
	7102	Edits to f ields that are not s tarred (*) , like Pat ient Instr uctions, w ill not cr eate a new order. No te that th e new Pati ent Instru ction text now appea rs at the end of the Sig.
	7103	Example: E diting a N ew Order ( continued)
	7104	OP Medicat ions (ACTI VE) May 30, 20 01 16:54:2 5 Page: 1 of 3
	7105	OPPATIENT1 6,ONE
	7106
	7107
	7108
	7109
	7110
	7111
	7112
	7113	<A>
	7114
	7115	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999)
	7116	DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999)
	7117	Rx # : 503908
	7118	(1) Orde rable Item : AMPICILL IN CAP,ORA L (N/F) *
	7119	(2) Drug : AMPICILL IN 250MG C AP *(N/F )*
	7120	NDC : 00093-51 45
	7121	(3) *Dosage : 500 (MG)
	7122	Verb : TAKE
	7123	Disp ense Units : 2
	7124	Noun : CAPSULES
	7125	*Route : ORAL
	7126	*Schedule : QID
	7127	*Duration : 10D (DAY S)
	7128	(4)Pat In structions : with foo d avoiding dairy foo ds
	7129	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY FOR 10 DAYS
	7130	WITH FOO D AVOIDING DAIRY FOO DS
	7131	(5) Pati ent Status : SERVICE CONNECTED
	7132	+ Enter ?? f or more ac tions
	7133	DC Disco ntinue PR Partial RL Rel ease
	7134	ED Edit RF (Refill) RN Ren ew
	7135	Select Act ion: Next Screen//
	7136	When a sta rred field , like Dos age, is ch anged, a n ew order i s created. The disp ense units per dose and quanti ty are rec alculated, if possib le, and th e new orde r includes a remark noting the original prescripti on number.
	7137	Select fro m list of Available Dosages, E nter Free Text Dose
	7138	or Enter a Question Mark (?) t o view lis t: 500// 7 50MG 750MG
	7139	You entere d 750MG is this corr ect? Yes// <Enter> Y ES
	7140	VERB: TAKE // <Enter > TAKE
	7141	DISPENSE U NITS PER D OSE (CAPSU LE(S)): 3/ / <Enter> 3
	7142	Dosage Ord ered: 750M G
	7143	NOUN: CAPS ULE(S)// < Enter> CAP SULE(S)
	7144	ROUTE: ORA L// <Ente r> ORAL
	7145	Schedule: QID// <En ter> (FOU R TIMES A DAY)
	7146	LIMITED DU RATION (IN DAYS, HOU RS OR MINU TES): 10D/ / <Enter> 10D (DAYS )
	7147	CONJUNCTIO N: <Enter>
	7148	New OP Ord er (ROUTIN E) May 30, 20 01 17:11:4 4 Page: 1 of 2
	7149	OPPATIENT1 6,ONE
	7150
	7151
	7152
	7153
	7154
	7155
	7156
	7157	<A>
	7158
	7159	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999)
	7160	DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999)
	7161	Orde rable Item : AMPICILL IN CAP,ORA L *(N/F) *
	7162	(1) Drug : AMPICILL IN 250MG C AP *(N/F )*
	7163	(2) Pati ent Status : SERVICE CONNECTED
	7164	(3) Issue Date : MAY 30,2 001 (4) Fill Date: MAY 30,20 01
	7165	(5) Dosa ge Ordered : 750 (MG)
	7166	Verb : TAKE
	7167	Disp ense Units : 3
	7168	Noun : CAPSULE( S)
	7169	Route : ORAL
	7170	Schedule : QID
	7171	*Duration : 10D (DAY S)
	7172	(6)Pat I nstruction : WITH FOO D AVOIDING DAIRY FOO DS
	7173	SIG : TAKE THR EE CAPSULE S BY MOUTH FOUR TIME S A DAY FO R 10
	7174	DAYS WIT H FOOD AVO IDING DAIR Y FOODS
	7175	:
	7176	(7) D ays Supply : 10 (8) QTY (CAP) : 120
	7177	(9) # of Refills : 0 (10) Routing: WINDOW
	7178	(11) Clinic : OUTPT NU RSE GREEN TEAM
	7179	(12) Provider : OPPROVID ER4,TWO (13) Copies: 1
	7180	(14) Remarks : New Orde r Created by editing Rx # 5039 08.
	7181	Entry B y: OPPROVI DER4,TWO Entry Date: MAY 30,2001 1 7:11:44
	7182	This chang e will cre ate a new prescripti on!
	7183	AC Accep t ED Edit
	7184	Select Act ion: Edit/ / AC
	7185	If the DAY S SUPPLY f ield is ed ited, the QTY field is recalcu lated. If the QTY fi eld is edi ted, the D AYS SUPPLY field val ue does no t change, but a mess age is dis played war ning the u ser of the change an d recommen ding that the value be checked .
	7186	New OP Ord er (ROUTIN E) May 31, 20 01 12:57:0 6 Page: 2 of 2
	7187	OPPATIENT1 6,ONE
	7188
	7189
	7190
	7191
	7192
	7193
	7194
	7195	<A>
	7196
	7197	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/1999)
	7198	DOB: APR 3,1941 (6 0) Wt(kg): 9 0.45 (02/0 8/1999)
	7199	+
	7200	(7) D ays Supply : 30 (8) QTY (CAP) : 120
	7201	(9) # of Refills : 0 (10) Routing: WINDOW
	7202	(11) Clinic : OUTPT NU RSE GREEN TEAM
	7203	(12) Provider : OPPROVID ER4,TWO (13) Copies: 1
	7204	(14) Remarks : New Orde r Created by editing Rx # 5039 10.
	7205	Entry B y: OPPROVI DER4,TWO Entry Date: MAY 31,2001 1 2:57:06
	7206	Enter ?? f or more ac tions
	7207	AC Accep t ED Edit
	7208	Select Act ion: Edit/ / <Enter> Edit
	7209	Select Fie ld to Edit by number : (1-14): 7
	7210	DAYS SUPPL Y: (1-90) : 10// 7
	7211	Once chang es are ent ered the s creen redi splays wit h the chan ges and th e order ca n be accep ted or edi ted again.
	7212	If the ord er is acce pted, the prescripti on is chec ked for dr ug/drug in teractions and, if n one exist, prompts f ollow for nature of order and whether th e patient was counse led.
	7213	Example: E diting a N ew Order ( continued)
	7214	Now doing remote ord er checks. Please wa it...
	7215	Now doing allergy ch ecks. Ple ase wait.. .
	7216	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	7217	Now Proces sing Enhan ced Order Checks! P lease wait ...
	7218	Nature of Order: WRI TTEN// ??
	7219	Require Prin t Prin t on
	7220	Nature o f Order Ac tivity E .Signature Chart C opy Summ ary
	7221	-------- ---------- ------ - ---------- ------- --- ---- ----
	7222	WRITTEN x
	7223	VERBAL x x x
	7224	TELEPHON ED x x x
	7225	SERVICE CORRECTION
	7226	POLICY x x
	7227	DUPLICAT E
	7228	SERVICE REJECT x x
	7229	Nature of Order: WRI TTEN// <En ter> WRIT TEN
	7230	WAS THE PA TIENT COUN SELED: NO/ / Y YES
	7231	WAS COUNSE LING UNDER STOOD: NO/ / Y YES
	7232	Editing an ePharmacy Order
	7233	When editi ng fields preceded b y an aster isk (*) in an ePharm acy order (or electr onically t hird party billable prescripti on), upon acceptance of the ed ited 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.
	7234	If the ori ginal clai m was E Pa yable, and edits are made to a ny of thes e fields – Provider, Qty, Days Supply, D ivision, F ill Date, NDC, or DA W Code – t hen the or iginal pay able claim is revers ed and a n ew claim i s submitte d to ECME. If the or iginal cla im was rej ected, the n a revers al is not necessary, and a new claim is submitted to ECME.
	7235	Medication Profile Nov 03, 20 05@12:33:2 9 Page: 1 of 1
	7236	OPPATIENT, FOUR <A>
	7237	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7238	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7239	SEX: MAL E
	7240	CrCL: <No t Found> B SA (m2): _ ______
	7241	IS SUE LAST REF DAY
	7242	# RX # DRU G QTY ST D ATE FILL REM SUP
	7243	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	7244	1 100003 840e PRE DNISONE 5M G TAB 30 A> 11 -02 11-02 5 30
	7245	Enter ?? f or more ac tions
	7246	PU Patien t Record U pdate NO New Or der
	7247	PI Patien t Informat ion SO Select Order
	7248	Select Act ion: Quit/ / 1
	7249	Press <Ent er> twice to scroll to page 3 of the Med ication Pr ofile. Not ice that a new field displays on the pro file: DAW Code XE "D AW Code" . DAW stand s for “Dis pense as W ritten XE "Dispense as Written " ” and re fers to a set of ten NCPDP cod es (0-9) t hat tells third part y payers w hy a brand or generi c product was select ed to fill a prescri ption. Whe n a new pr escription is entere d for a sp ecific dru g, the DAW code from the drug is stored in the PRE SCRIPTION file (#52) for each fill. This field is solely bei ng used fo r electron ic billing purposes. It commun icates to the third party paye r that a d rug has a special ch aracterist ic, which may preven t the paye r from rej ecting the claim. Th e availabl e codes in clude:
	7250	CodeDescri ption0NO P RODUCT SEL ECTION IND ICATED1SUB STITUTION NOT ALLOWE D BY PRESC RIBER2SUBS TITUTION A LLOWED-PAT IENT REQUE STED PRODU CT DISPENS ED3SUBSTIT UTION ALLO WED-PHARMA CIST SELEC TED PRODUC T DISPENSE D4SUBSTITU TION ALLOW ED-GENERIC DRUG NOT IN STOCK5S UBSTITUTIO N ALLOWED- BRAND DRUG DISPENSED AS A GENE RIC6OVERRI DE7SUBSTIT UTION NOT ALLOWED-BR AND DRUG M ANDATED BY LAW8SUBST ITUTION AL LOWED-GENE RIC DRUG N OT AVAILAB LE IN MARK ETPLACE9OT HERThe DAW Code defa ult is 0 – No Produc t Selectio n Indicate d, unless the DAW Co de has bee n set for this drug at the DRU G file lev el.
	7251	Enter 21 t o edit the field.
	7252	Example: E diting an ePharmacy Order (con tinued)
	7253	OP Medicat ions (ACTI VE) Nov 03, 20 05@12:51:5 2 Page: 3 of 3
	7254	OPPATIENT, FOUR <A>
	7255	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7256	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7257	(19) Counseling : YES Was Counselin g Understo od: YES
	7258	(20) R efill Data
	7259	(21) DAW Code : 0 - NO P RODUCT SEL ECTION IND ICATED
	7260	Entry B y: OPPHARM ACIST4,THR EE Entry Dat e: 11/03/0 5 12:50:51
	7261	+ Enter ?? f or more ac tions
	7262	DC Disco ntinue PR Partial RL Rel ease
	7263	ED Edit RF Refill RN Ren ew
	7264	Select Act ion: Next Screen// 2 1
	7265	Select fie lds by num ber: (1-2 1): 21
	7266	DAW CODE: 0// ??
	7267	Answer wit h BPS NCPD P DAW CODE
	7268	Choose from:
	7269	0 NO PRODU CT SELECTI ON INDICAT ED
	7270	1 SUBSTITU TION NOT A LLOWED BY PRESCRIBER
	7271	2 SUBSTITU TION ALLOW ED-PATIENT REQUESTED PRODUCT D ISPENSED
	7272	3 SUBSTITU TION ALLOW ED-PHARMAC IST SELECT ED PRODUCT DISPENSED
	7273	4 SUBSTITU TION ALLOW ED-GENERIC DRUG NOT IN STOCK
	7274	5 SUBSTITU TION ALLOW ED-BRAND D RUG DISPEN SED AS A G ENERIC
	7275	6 OVERRIDE
	7276	7 SUBSTITU TION NOT A LLOWED-BRA ND DRUG MA NDATED BY LAW
	7277	8 SUBSTITU TION ALLOW ED-GENERIC DRUG NOT AVAILABLE IN MARKETP LACE
	7278	9 OTHER
	7279	Dispensed As Written code. Thi s informat ion is use d for elec tronic cla im transmi
	7280	ssion to t hird party payers (i nsurance c ompanies).
	7281	DAW CODE: 0// 5 - SU BSTITUTION ALLOWED-B RAND DRUG DISPENSED AS A GENER IC
	7282	Are You Su re You Wan t to Updat e Rx 10000 3853? Yes/ / <Enter>
	7283	The field is updated and displ ayed in th e Medicati on Profile .
	7284	OP Medicat ions (ACTI VE) Nov 03, 20 05@12:51:5 2 Page: 1 of 3
	7285	OPPATIENT, FOUR <A>
	7286	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7287	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7288	(19) Counseling : YES Was Counselin g Understo od: YES
	7289	(20) R efill Data
	7290	(21) DAW Code : 0 - NO P RODUCT SEL ECTION IND ICATED
	7291	Entry B y: OPPHARM ACIST4,THR EE Entry Dat e: 11/03/0 5 12:50:51
	7292	+ Enter ?? f or more ac tions
	7293	DC Disco ntinue PR Partial RL Rel ease
	7294	ED Edit RF Refill RN Ren ew
	7295	Select Act ion: Quit/ /
	7296	New OP Ord er (ROUTIN E) Nov 04, 20 05@08:36:2 9 Page: 2 of 2
	7297	OPPATIENT, FOUR <A>
	7298	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7299	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7300	+
	7301	(7) D ays Supply : 30 (8) QTY (TAB) : 30
	7302	(9) # of Refills : 5 (10) Routing: WINDOW
	7303	(11) Clinic :
	7304	(12) Provider : OPPROVID ER4,TWO (13) Copies: 1
	7305	(14) Remarks : New Orde r Created by editing Rx # 1000 03840.
	7306	Entry B y: OPPHARM ACIST4,THR EE E ntry Date: NOV 4,200 5 08:36:06
	7307	This chang e will cre ate a new prescripti on!
	7308	AC Accep t ED Edit
	7309	Select Act ion: Edit/ / AC Acc ept
	7310	Nature of Order: SER VICE CORRE CTION// <Enter> S
	7311	WAS THE PA TIENT COUN SELED: NO/ / YES
	7312	WAS COUNSE LING UNDER STOOD: NO/ / YES
	7313	Do you wan t to enter a Progres s Note? No // <Enter > NO
	7314	Rx # 10000 3852 11/04/0 5
	7315	OPPATIENT, FOUR #30
	7316	TAKE ONE T ABLET BY B Y MOUTH FO UR TIMES A DAY FOR 3 0 DAYS WIT H FOOD
	7317	AVOIDING D AIRY FOODS
	7318	PREDNISONE 5MG TAB
	7319	OPPROVIDER 4,TWO OPP HARMACIST4 ,THREE
	7320	# of Refil ls: 5
	7321
	7322	Is this co rrect? YES // <Enter> YES...
	7323	Claim has status E R EJECTED. Not revers ed.
	7324
	7325	Veteran Pr escription 100003852 successfu lly submit ted to ECM E for clai m generati on.
	7326	Claim Stat us:
	7327	IN PROGRES S-Waiting to start
	7328	IN PROGRES S-Waiting for packet build
	7329	IN PROGRES S-Packet b eing built
	7330	IN PROGRES S-Waiting for transm it
	7331	IN PROGRES S-Transmit ting
	7332	E PAYABLE
	7333	Using the Copy Actio n
	7334	When a dou ble questi on mark (? ?) is ente red at the “Select A ction" pro mpt above, the hidde n actions below will display i n the acti on area.
	7335	The follow ing action s are also available :
	7336	AL Activ ity Logs ( OP) REJ View REJE CT DN Dow n a Line
	7337	VF Verif y (OP) VER View ePha rmacy Rx FS Fir st Screen
	7338	CO Copy (OP) RES Resubmit Claim GO Go to Page
	7339	TR Conve rt Titrati on Rx REV Reverse C laim LS Las t Screen
	7340	TM Titra tion Mark/ UnmarkIN Intervent ion Menu PS Pri nt Screen
	7341	RP Repri nt (OP) DA Display D rug Allerg iesPT Pri nt List
	7342	HD Hold (OP) DIN Drug Rest r/Guide (O P)QU Qui t
	7343	UH Unhol d (OP) + Next Scre en RD Re Display Sc reen
	7344	PI Patie nt Informa tion - Previous Screen SL Sea rch List
	7345	PP Pull Rx (OP) < Shift Vie w to Left UP Up a Line
	7346	IP Inpat . Profile (OP) > Shift Vie w to Right
	7347	OTH Other OP Action s ADPL Auto Disp lay(On/Off )
	7348	Copy is a hidden act ion used t o create a new order exactly l ike the or iginal ord er. Any fi eld of the new order can be ed ited. This action do es not aff ect the st atus of th e original order but the dupli cate order checks wi ll occur.
	7349	Example: U sing the C opy Action
	7350	Medication Profile Jun 04, 20 01 15:49:0 9 Page: 1 of 1
	7351	OPPATIENT6 ,ONE < A>
	7352	PID: 000 -13-5790 Ht(cm): 1 75.26 (08/ 10/1999)
	7353	DOB: FEB 8,1922 (7 9) Wt(kg): 7 5.45 (08/1 0/1999)
	7354	CrCL: <No t Found> B SA (m2): 1 .92
	7355	ISSUE LAS T REF DAY
	7356	# RX # DRU G QTY ST DATE FIL L REM SUP
	7357	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	7358	1 503911$ AMP ICILLIN 25 0MG CAP 80 A 05-25 06-0 1 0 10
	7359	2 503901 LIS INOPRIL 10 MG TAB 150 A> 05-17 05-1 7 2 30
	7360	Enter ?? f or more ac tions
	7361	PU Patien t Record U pdate NO New Or der
	7362	PI Patien t Informat ion SO Select Order
	7363	Select Act ion: Quit/ / SO Sel ect Order [Or enter the order number he re, e.g. 1 ]
	7364	Select Ord ers by num ber: (1-2 ): 1
	7365	Actions in parenthes es, like R efill in t he example below, ar e not avai lable for the order.
	7366	OP Medicat ions (ACTI VE) Jun 04, 20 01 15:50:4 9 Page: 1 of 3
	7367	OPPATIENT6 ,ONE < A>
	7368	PID: 000 -13-5790 Ht(cm): 1 75.26 (08/ 10/1999)
	7369	DOB: FEB 8,1922 (7 9) Wt(kg): 7 5.45 (08/1 0/1999)
	7370	Rx # : 503911$
	7371	(1) Orde rable Item : AMPICILL IN CAP,ORA L (N/F) *
	7372	(2) Drug : AMPICILL IN 250MG C AP *(N/F )*
	7373	NDC : 00093-51 45
	7374	(3) *Dosage : 500 (MG)
	7375	Verb : TAKE
	7376	Disp ense Units : 2
	7377	Noun : CAPSULES
	7378	*Route : ORAL
	7379	*Schedule : QID
	7380	(4)Pat In structions : Prov Com ments
	7381	Provide r Comments : Prov Com ments
	7382	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY PROV COMMENTS
	7383	(5) Pati ent Status : OUTPT NO N-SC
	7384	(6) Issue Date : 05/25/01 (7) Fill Date: 06/01/01
	7385	+ Enter ?? f or more ac tions
	7386	DC Disco ntinue PR Partial RL Rel ease
	7387	ED Edit RF (Refill) RN Ren ew
	7388	Select Act ion: Next Screen//CO
	7389	CO
	7390	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 ”.
	7391	Example: U sing the C opy Action (continue d)
	7392	New OP Ord er (COPY) Jun 04, 20 01 15:51:3 2 Page: 1 of 2
	7393	OPPATIENT6 ,ONE < A>
	7394	PID: 000 -13-5790 Ht(cm): 1 75.26 (08/ 10/1999)
	7395	DOB: FEB 8,1922 (7 9) Wt(kg): 7 5.45 (08/1 0/1999)
	7396	Orde rable Item : AMPICILL IN CAP,ORA L *(N/F) *
	7397	(1) Drug : AMPICILL IN 250MG C AP *(N/F )*
	7398	(2) Pati ent Status : OUTPT NO N-SC
	7399	(3) Issue Date : JUN 4,20 01 (4) F ill Date: JUN 4,2001
	7400	(5) Dosa ge Ordered : 500 (MG)
	7401	Verb : TAKE
	7402	Disp ense Units : 2
	7403	Noun : CAPSULES
	7404	Route : ORAL
	7405	Schedule : QID
	7406	(6)Pat I nstruction : Prov Com ments
	7407	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY PROV
	7408	COMMENTS
	7409	(7) D ays Supply : 10 (8) QTY (CAP) : 80
	7410	+ Enter ?? f or more ac tions
	7411	AC Accep t ED Edit
	7412	Select Act ion: Next Screen// A C Accept
	7413	Once the c opied orde r is accep ted, the p revious or der inform ation disp lays.
	7414	Duplicate Drug in Lo cal Rx:
	7415	Rx #: 503911
	7416	Dr ug: AMPICI LLIN 250MG CAP
	7417	S IG: TAKE T WO CAPSULE S BY MOUTH FOUR TIME S A DAY PR OV COMMENT S
	7418	Q TY: 80 Refills re maining: 0
	7419	Provid er: OPPROV IDER4,TWO Issued: 0 5/25/01
	7420	Stat us: Active Last fi lled on: 0 6/01/01
	7421	Proce ssing Stat us: Releas ed locally on 06/01/ 01@11:34:1 3 (Window )
	7422	Days Supply: 1 0
	7423	Discontinu e Rx # 503 911? YES
	7424	Duplicate Drug will be discont inued afte r the acce ptance of the new or der.
	7425	Now doing remote ord er checks. Please wa it...
	7426	Now doing allergy ch ecks. Ple ase wait.. .
	7427	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	7428	Now Proces sing Enhan ced Order Checks! P lease wait ...
	7429	Press Retu rn to Cont inue:
	7430	Nature of Order: WRI TTEN// <En ter> W
	7431	WAS THE PA TIENT COUN SELED: NO/ / <Enter> NO
	7432	Do you wan t to enter a Progres s Note? No // <Enter> NO
	7433	The new or der inform ation is d isplayed a nd, once v erified, t he old ord er is disc ontinued.
	7434	Example: U sing the C opy Action (continue d)
	7435	Rx # 50391 3 06/04/0 1
	7436	OPPATIENT6 ,ONE #80
	7437	TAKE TWO C APSULES BY MOUTH FOU R TIMES A DAY PROV C OMMENTS
	7438	AMPICILLIN 250MG CAP
	7439	OPPROVIDER 4,TWO OPPH ARMACIST4, THREE
	7440	# of Refil ls: 0
	7441	Is this co rrect? YES //<Enter> ...
	7442	-Rx 50391 1 has been discontin ued...
	7443	SC Percent: 1 0%
	7444	Disab ilities:
	7445	PROSTATE G LAND CONDI TION 10% - SERVICE CONNECTED
	7446	INGUINAL H ERNIA 0% - SERVICE CONNECTED
	7447	Was treatm ent for Se rvice Conn ected cond ition: N
	7448	The Medica tion Profi le screen is redispl ayed at th is point. The dollar sign afte r the firs t prescrip tion numbe r means th at a copay charge is associate d with tha t order. T he default printer i s displaye d and the user can q ueue the l abel to pr int, chang e the defa ult printe r, or hold , suspend, or bypass printing.
	7449	Medication Profile Jun 04, 20 01 16:03:5 5 Page: 1 of 1
	7450	OPPATIENT6 ,ONE < A>
	7451	PID: 000 -13-5790 Ht(cm): 1 75.26 (08/ 10/1999)
	7452	DOB: FEB 8,1922 (7 9) Wt(kg): 7 5.45 (08/1 0/1999)
	7453	CrCL: <No t Found> B SA (m2): 1 .92
	7454	ISSUE LAS T REF DAY
	7455	# RX # DRU G QTY ST DATE FIL L REM SUP
	7456	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ---------
	7457	1 503913$ AMP ICILLIN 25 0MG CAP 80 A 06-04 06-0 4 0 10
	7458	2 503901 LIS INOPRIL 10 MG TAB 150 A> 05-17 05-1 7 2 30
	7459	Enter ?? f or more ac tions
	7460	PU Patien t Record U pdate NO New Or der
	7461	PI Patien t Informat ion SO Select Order
	7462	Select Act ion: Quit/ / <Enter>
	7463
	7464	Label Prin ter: TELNE T
	7465	LABEL: QUE UE/CHANGE PRINTER/HO LD/SUSPEND or '^' to bypass Q/ /<Enter>
	7466	LABEL(S) Q UEUED TO P RINT
	7467	Select PAT IENT NAME: <Enter>
	7468	Copying an ePharmacy Order
	7469	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.
	7470	Patient In formation Nov 04, 20 05@09:19:2 6 Page: 1 of 1
	7471	OPPATIENT, FOUR <A>
	7472	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7473	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7474	SEX: MAL E
	7475	Eligibilit y: NSC, VA PENSION
	7476	Disabiliti es:
	7477	123 ANY ST REET HOME PHONE :
	7478	BIRMINGHAM CELL PHONE :
	7479	ALABAMA WORK PHONE :
	7480	Prescripti on Mail De livery: Re gular Mail
	7481	Allergies:
	7482	Adverse Re actions:
	7483	Enter ?? f or more ac tions
	7484	EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate
	7485	DD Detail ed Allergy /ADR List EX Exit P atient Lis t
	7486	Select Act ion: Quit/ / <Enter> QUIT
	7487	Medication Profile Nov 04, 2 005@09:23: 47 Page: 1 of 1
	7488	OPPATIENT, FOUR <A>
	7489	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7490	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7491	SEX: MAL E
	7492	CrCL: <No t Found> B SA (m2): _ ______
	7493	ISSUE LA ST REF DAY
	7494	# RX # DRU G QTY ST DATE FI LL REM SUP
	7495	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	7496	1 1000038 52e PRE DNISONE 5M G TAB 30 A> 11-04 11- 04 5 30
	7497	PU Patien t Record U pdate NO New Or der
	7498	PI Patien t Informat ion SO Select Order
	7499	Select Act ion: Quit/ / 1
	7500	Medication Profile Nov 04, 20 05@09:24:0 4 Page: 1 of 1
	7501	OPPATIENT, FOUR <A>
	7502	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7503	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7504	SEX: MAL E .
	7505	ISSUE LA ST REF DAY
	7506	# RX # DRU G QTY ST DATE FI LL REM SUP
	7507	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	7508	OP Medica tions (ACT IVE) Nov 04, 2 005@09:24: 17 Page: 1 of 3
	7509	OPPATIENT, FOUR <A>
	7510	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7511	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7512	Rx # : 10000385 2e
	7513	(1) *Orde rable Item : PREDNISO NE TAB
	7514	(2) CMOP Drug : PREDNISO NE 5MG TAB
	7515	NDC : 00054-47 28
	7516	(3) *Dosage : 20 (MG)
	7517	Verb : TAKE
	7518	Disp ense Units : 1
	7519	Noun : TABLET
	7520	*Route : ORAL
	7521	*Schedule : QID
	7522	*Duration : 30 (DAYS )
	7523	(4)Pat In structions : WITH FOO D AVOIDING DAIRY FOO DS
	7524	SIG : TAKE ONE TABLET BY BY MOUTH FOUR TIMES A DAY FOR 30 DAYS
	7525	WITH FOO D AVOIDING DAIRY FOO DS
	7526	(5) Pati ent Status : OPT NSC
	7527	Enter ?? f or more ac tions
	7528	DC Disco ntinue PR Partial RL Rel ease
	7529	ED Edit RF Refill RN Ren ew
	7530	Select Act ion: Next Screen// C O CO
	7531	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.”
	7532	New OP Ord er (COPY) Nov 04, 20 05@09:24:1 7 Page: 1 of 2
	7533	OPPATIENT, FOUR <A>
	7534	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7535	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7536	Orde rable Item : PREDNISO NE TAB
	7537	(1) CMOP Drug : PREDNISO NE 5MG TAB
	7538	(2) Pati ent Status : OPT NSC
	7539	(3) Issue Date : NOV 4,20 05 (4) F ill Date: NOV 4,2005
	7540	(5) Dosa ge Ordered : 20 (MG)
	7541	Verb : TAKE
	7542	Disp ense Units : 1
	7543	Noun : TABLET
	7544	Route : ORAL
	7545	Schedule : QID
	7546	*Duration : 30 (DAYS )
	7547	(6)Pat I nstruction : WITH FOO D AVOIDING DAIRY FOO DS
	7548	SIG : TAKE ONE TABLET BY BY MOUTH FOUR TIMES A DAY FOR 30
	7549	DAYS WIT H FOOD AVO IDING DAIR Y FOODS
	7550	+ Enter ?? f or more ac tions
	7551	AC Accep t ED Edit
	7552	Select Act ion: Next Screen// A C Accept
	7553	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	7554	Duplicate Drug in Lo cal Rx:
	7555
	7556
	7557	Rx #: 100003852
	7558	Dr ug: PREDNI SONE 5MG T AB
	7559	S IG: TAKE O NE TABLET BY BY MOUT H FOUR TIM ES A DAY F OR 30
	7560	DAYS W ITH FOOD A VOIDING DA IRY FOODS
	7561	Q TY: 30 Refil ls remaini ng: 5
	7562	Provid er: OPPROV IDER4,TWO
	7563	Issued: 11/04/05
	7564	Stat us: Active La st filled on: 11/04/ 05
	7565	Proce ssing Stat us: Releas ed locally on 11/04/ 05@11:34:1 3 (Mail)
	7566	Days Supp ly: 30
	7567	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	7568	Discontinu e Rx # 100 003852? YE S
	7569	Duplicate Drug will be discont inued afte r the acce ptance of the new or der.
	7570	Now doing remote ord er checks. Please wa it...
	7571	Now doing allergy ch ecks. Ple ase wait.. .
	7572	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	7573	Now Proces sing Enhan ced Order Checks! P lease wait ...
	7574	Nature of Order: WRI TTEN// < Enter> W
	7575	WAS THE PA TIENT COUN SELED: NO/ / YES
	7576	WAS COUNSE LING UNDER STOOD: NO/ / YES
	7577	Do you wan t to enter a Progres s Note? No // <Enter > NO
	7578	Rx # 10000 3853 11/04/0 5
	7579	OPPATIENT, FOUR #30
	7580	TAKE ONE T ABLET BY B Y MOUTH FO UR TIMES A DAY FOR 3 0 DAYS WIT H FOOD
	7581	AVOIDING D AIRY FOODS
	7582	PREDNISONE 5MG TAB
	7583	OPPROVIDER 4,TWO OPP HARMACIST4 ,THREE
	7584	# of Refil ls: 5
	7585	Is this co rrect? YES // YES...
	7586	Reversing prescripti on 1000038 52.
	7587	Claim Stat us:
	7588	Reversing and Rebill ing a prev iously sub mitted cla im...
	7589	Reversing. ..
	7590	IN PROGRES S-Waiting for transm it
	7591	IN PROGRES S-Transmit ting
	7592	IN PROGRES S-Waiting to process response
	7593	E REVERSAL ACCEPTED
	7594	-Rx 10000 3852 has b een discon tinued...
	7595	Veteran Pr escription 100003853 successfu lly submit ted to ECM E for clai m generati on.
	7596	Claim Stat us:
	7597	IN PROGRES S-Waiting to start
	7598	IN PROGRES S-Waiting for packet build
	7599	IN PROGRES S-Waiting for transm it
	7600	IN PROGRES S-Transmit ting
	7601	E PAYABLE
	7602	View of RX :
	7603	Medication Profile Nov 04, 20 05@09:25:1 4 Page: 1 of 1
	7604	OPPATIENT, FOUR
	7605	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	7606	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	7607	SEX: MAL E
	7608	CrCL: <No t Found> B SA (m2): _ ______
	7609	ISSUE LA ST REF DAY
	7610	# RX # DRU G QTY ST DATE FI LL REM SUP
	7611	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	7612	1 1000038 53e PRE DNISONE 5M G TAB 30 A> 11-04 11- 04 5 30
	7613	Enter ?? f or more ac tions
	7614	PU Patien t Record U pdate NO New Or der
	7615	PI Patien t Informat ion SO Select Order
	7616	Select Act ion: Quit/ /
	7617	Reversing an ePharma cy Claim
	7618	Reverse Cl aim is ano ther hidde n action, used to re verse a cl aim. Claim s are almo st always reversed b y the ePha rmacy Site Manager a nd not by untrained Pharmacy s taff membe rs. If the prescript ion has a primary an d secondar y claim, n either cla im may be reversed w ith this a ction. In that case, contact a n OPECC to resolve t he issue.
	7619	The action will prom pt for a f ill number with a de fault valu e of the m ost recent fill.
	7620	Example: R eversing a n ePharmac y Claim
	7621	Select Act ion: Next Screen// R EV Rever se Claim
	7622	Enter the line numbe rs for the Payable c laim(s) to be Revers ed.
	7623	You've cho sen to REV ERSE the f ollowing p rescriptio n for OPPA TIENT,ONE
	7624	2.62 CO LCHICINE 0 .6MG 0014 3120110 05 /06 272068 4 0/00 0004317569 W RT AC/N
	7625	Enter REQU IRED REVER SAL REASON : ?
	7626	This respo nse must h ave no mor e than 60 characters
	7627	and must n ot contain embedded up arrow.
	7628	Enter REQU IRED REVER SAL REASON : TESTING
	7629	Are you su re?(Y/N)? YES
	7630	Processing Primary c laim...
	7631	Claim Stat us:
	7632	Reversing. ..
	7633	IN PROGRES S-Building the claim
	7634	IN PROGRES S-Transmit ting
	7635	E REVERSAL ACCEPTED
	7636	Reversal A ccepted
	7637	1 claim re versal sub mitted.
	7638	Holding an d Unholdin g a Prescr iption
	7639	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.
	7640	The follow ing action s are also available :
	7641	AL Activ ity Logs ( OP) REJ View REJE CT DN Dow n a Line
	7642	VF Verif y (OP) VER View ePha rmacy Rx FS Fir st Screen
	7643	CO Copy (OP) RES Resubmit Claim GO Go to Page
	7644	TR Conve rt Titrati on Rx REV Reverse C laim LS Las t Screen
	7645	TM Titra tion Mark/ UnmarkIN Intervent ion Menu PS Pri nt Screen
	7646	RP Repri nt (OP) DA Display D rug Allerg iesPT Pri nt List
	7647	HD Hold (OP) DIN Drug Rest r/Guide (O P)QU Qui t
	7648	UH Unhol d (OP) + Next Scre en RD Re Display Sc reen
	7649	PI Patie nt Informa tion - Previous Screen SL Sea rch List
	7650	PP Pull Rx (OP) < Shift Vie w to Left UP Up a Line
	7651	IP Inpat . Profile (OP) > Shift Vie w to Right
	7652	OTH Other OP Action s ADPL Auto Disp lay(On/Off )
	7653	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.
	7654	Only key h olders of the PSORPH security key or the PSO TECH ADV securi ty key can hold or unhold a p rescriptio n.
	7655	PSORPH sec urity key holders ar e allowed to put a p rescriptio n on hold using the following HOLD reaso ns:
	7656	1 INSUFFIC IENT QTY I N STOCK
	7657	2 DRUG-DRU G INTERACT ION
	7658	4 PROVIDER TO BE CON TACTED
	7659	6 ADVERSE DRUG REACT ION
	7660	7 BAD ADDR ESS
	7661	8 PER PATI ENT REQUES T
	7662	9 CONSULT/ PRIOR APPR OVAL NEEDE D
	7663	98 OTHER/T ECH (NON-C LINICAL)
	7664	99 OTHER/R PH (CLINIC AL)
	7665
	7666	HOLD reaso ns 98 and 99 require the user to enter a HOLD comm ent.
	7667	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:
	7668	1 INSUFFIC IENT QTY I N STOCK
	7669	7 BAD ADDR ESS
	7670	8 PER PATI ENT REQUES T
	7671	98 OTHER/T ECH (NON-C LINICAL)
	7672
	7673	HOLD reaso n 98 requi res the us er to ente r a HOLD c omment.
	7674	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).
	7675	Example: H OLD with P SORPH Secu rity Key o r PSO TECH ADV Secur ity Key
	7676	OP Medicat ions (SUSP ENDED) May 11, 20 12@10:12:5 6 Page: 1 of 3
	7677	PAGPATNM,M <A>
	7678	PID: 666 -00-0286 Ht(cm): _ ______ (__ ____)
	7679	DOB: DEC 1,1900 Wt(kg): _ ______ (__ ____)
	7680	Rx # : 10000292 6
	7681	(1) *Orde rable Item : FLUOXETI NE CAP,ORA L
	7682	(2) CMOP Drug : EFFEXOR
	7683	NDC : 55111-01 47
	7684	(3) *Dosage : 10 (MG)
	7685	Verb : TAKE
	7686	Disp ense Units : 1
	7687	Noun : CAPSULE
	7688	*Route : ORAL
	7689	*Schedule : QAM
	7690	(4)Pat In structions :
	7691	SIG : TAKE ONE CAPSULE M OUTH EVERY MORNING
	7692	(5) Pati ent Status : OPT NSC
	7693	(6) Issue Date : 02/14/12 (7) Fill Date: 05/09/12
	7694	Last Fill Date : 05/29/12 (Mail)
	7695	+ Enter ?? f or more ac tions
	7696	DC Disco ntinue PR Partial RL Rel ease
	7697	ED Edit RF (Refill) RN Ren ew
	7698	Select Act ion: Next Screen// H D HD
	7699	Nature of Order: WRI TTEN// W
	7700	If the use r has the PSORPH sec urity key, the follo wing HOLD reasons ar e availabl e:
	7701	HOLD REASO N: ?
	7702	Enter reas on medicat ion is pla ced in a ' Hold' stat us.
	7703	Choose fro m:
	7704	1 I NSUFFICIEN T QTY IN S TOCK
	7705	2 D RUG-DRUG I NTERACTION
	7706	4 P ROVIDER TO BE CONTAC TED
	7707	6 A DVERSE DRU G REACTION
	7708	7 B AD ADDRESS
	7709	8 P ER PATIENT REQUEST
	7710	9 C ONSULT/PRI OR APPROVA L NEEDED
	7711	98 O THER/TECH (NON-CLINI CAL)
	7712	99 O THER/RPH ( CLINICAL)
	7713	If the use r has the PSO TECH A DV securit y key, the following HOLD reas ons are av ailable:
	7714	HOLD REASO N: ?
	7715	Enter reas on medicat ion is pla ced in a ' Hold' stat us.
	7716	Choose fro m:
	7717	1 I NSUFFICIEN T QTY IN S TOCK
	7718	7 B AD ADDRESS
	7719	8 P ER PATIENT REQUEST
	7720	98 O THER/TECH (NON-CLINI CAL)
	7721	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:
	7722	1 I NSUFFICIEN T QTY IN S TOCK
	7723	2 D RUG-DRUG I NTERACTION
	7724	4 P ROVIDER TO BE CONTAC TED
	7725	6 A DVERSE DRU G REACTION
	7726	7 B AD ADDRESS
	7727	8 P ER PATIENT REQUEST
	7728	9 C ONSULT/PRI OR APPROVA L NEEDED
	7729	98 O THER/TECH (NON-CLINI CAL)
	7730	99 O THER/RPH ( CLINICAL)
	7731	Users with only the PSO TECH A DV securit y key can unhold for the follo wing reaso ns:
	7732	1 I NSUFFICIEN T QTY IN S TOCK
	7733	7 B AD ADDRESS
	7734	8 P ER PATIENT REQUEST
	7735	98 O THER/TECH (NON-CLINI CAL)
	7736	If a user does not h ave a PSOR PH securit y key and tries to u nhold a pr escription , the mess age “The H OLD can on ly be remo ved by a p harmacist” is displa yed.
	7737	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 .
	7738	Example: A ctivity Lo g with HOL D/UNHOLD C omments
	7739	Activity L og:
	7740	# Date Reason Rx Ref Initiato r Of Activ ity
	7741	...
	7742	8 05/10/12 HOLD REF ILL 1 USER,PHA RMACY
	7743	Comm ents: Rx p laced on H OLD (Reaso n: BAD ADD RESS) and removed fr om
	7744	SUSPE NSE - HOLD COMMENTS ENTERED BY THE USER MANUALLY.
	7745	...
	7746	9 05/10/12 UNHOLD REF ILL 1 USER,PHA RMACY
	7747	Comm ents: Rx R emoved fro m HOLD - U NHOLD COMM ENTS ENTER ED BY THE USER
	7748	WHEN REMOVING THE RX FRO M HOLD. Re newing a P rescriptio n
	7749	This actio n allows t he pharmac y manager, pharmacis t, or phar macy techn ician to p rocess ren ewals for existing o rders.
	7750	Example: R enewing a Prescripti on
	7751	(This exam ple begins after an order is s elected fr om the Med ication Pr ofile scre en.)
	7752	OP Medicat ions (ACTI VE) Jun 04, 20 01 16:14:4 0 Page: 1 of 3
	7753	OPPATIENT2 9,ONE <A>
	7754	PID: 000 -87-6543 Ht(cm): 1 75.26 (06/ 07/2000)
	7755	DOB: SEP 12,1919 ( 81) Wt(kg): 7 9.09 (06/0 7/2000)
	7756	Rx # : 503910
	7757	(1) Orde rable Item : AMPICILL IN CAP,ORA L (N/F) *
	7758	(2) Drug : AMPICILL IN 250MG C AP *(N/F )*
	7759	NDC : 00093-51 45
	7760	(3) *Dosage : 500 (MG)
	7761	Verb : TAKE
	7762	Disp ense Units : 2
	7763	Noun : CAPSULES
	7764	*Route : ORAL
	7765	*Schedule : QID
	7766	*Duration : 10D (DAY S)
	7767	(4)Pat In structions : with foo d
	7768	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY FOR 10 DAYS
	7769	WITH FOO D
	7770	(5) Pati ent Status : SERVICE CONNECTED
	7771	Enter ?? f or more ac tions
	7772	DC Disco ntinue PR Partial RL Rel ease
	7773	ED (Edit ) RF (Refill) RN Ren ew
	7774	Select Act ion: Quit/ / RN
	7775	Renew
	7776	FILL DATE: (6/4/200 1 - 7/4/20 01): TODAY // <Enter> (JUN 04, 2001)
	7777	MAIL/WINDO W: WINDOW/ / <Enter> WINDOW
	7778	METHOD OF PICK-UP: <Enter>
	7779	Nature of Order: WRI TTEN// <En ter> W
	7780	WAS THE PA TIENT COUN SELED: NO/ / <Enter> NO
	7781	Do you wan t to enter a Progres s Note? No // <Enter> NO
	7782	Now Renewi ng Rx # 50 3910 Dru g: AMPICIL LIN 250MG CAP
	7783	Now doing remote ord er checks. Please wa it...
	7784	Now doing allergy ch ecks. Ple ase wait.. .
	7785	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	7786	Now Proces sing Enhan ced Order Checks! P lease wait …
	7787	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	7788	503910A AMPICIL LIN 250MG CAP QTY : 80
	7789	# OF REFIL LS: 0 ISS UED: 06-04 -01
	7790	SIG: TAKE TWO CAPSUL ES BY MOUT H FOUR TIM ES A DAY F OR 10 DAYS WITH FOOD
	7791	FILLED: 06 -20-01
	7792	ROUTING: W INDOW PHYS: OPPR OVIDER4,TW O
	7793	Edit renew ed Rx ? Y/ /
	7794	If the ord er is not edited, th e order is renewed a nd the dis play retur ns to the Medication Profile s creen.
	7795	Example: R enewing a Prescripti on (contin ued)
	7796	(To save space, onl y the seco nd Prescri ption Rene w screen i s displaye d in this example.)
	7797	Prescripti on Renew Jun 04, 20 06 16:18:1 7 Page: 2 of 2
	7798	OPPATIENT2 9,ONE < A>
	7799	PID: 000 -87-6543 Ht(cm): 1 75.26 (06/ 07/2000)
	7800	DOB: SEP 12,1919 ( 81) Wt(kg): 7 9.09 (06/0 7/2000)
	7801	+
	7802	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY FOR 10 DAYS
	7803	WITH FOO D
	7804	D ays Supply : 30
	7805	QTY (CAP): 80
	7806	(3) # of Refills : 0
	7807	(4) Routing : WINDOW
	7808	(5) Clinic : OUTPT NU RSE GREEN TEAM
	7809	(6) Provider : OPPROVID ER4,TWO
	7810	(7) Copies : 1
	7811	(8) Remarks : RENEWED FROM RX # 503910
	7812	Entry B y: OPPROVI DER4,TWO En try Date: JUN 4,2006 16:16:27
	7813	Enter ?? f or more ac tions
	7814	AC Accep t DC Disco ntinue
	7815	BY Bypas s ED Edit
	7816	Select Ite m(s): Quit // ED Ed it [Or en ter the fi eld(s), e. g., 1,5,7]
	7817	Select Fie ld to Edit by number : (1-8): 5
	7818	CLINIC: OU TPT NURSE GREEN TEAM //OUT
	7819	1 O UTPT NURSE BLUE TEAM
	7820	2 O UTPT NURSE GREEN TEA M
	7821	3 O UTPT NURSE YELLOW TE AM
	7822	CHOOSE 1-3 : 1 OUTPT NURSE BLU E TEAM
	7823	Prescripti on Renew Jun 04, 20 06 16:24:3 2 Page: 2 of 2
	7824	OPPATIENT2 9,ONE < A>
	7825	PID: 000 -87-6543 Ht(cm): 1 75.26 (06/ 07/2000)
	7826	DOB: SEP 12,1919 ( 81) Wt(kg): 7 9.09 (06/0 7/2000)
	7827	+
	7828	SIG : TAKE TWO CAPSULES BY MOUTH F OUR TIMES A DAY FOR 10 DAYS
	7829	WITH FOO D
	7830	D ays Supply : 30
	7831	QTY (CAP): 80
	7832	(3) # of Refills : 0
	7833	(4) Routing : WINDOW
	7834	(5) Clinic : OUTPT NU RSE BLUE T EAM
	7835	(6) Provider : OPPROVID ER4,TWO
	7836	(7) Copies : 1
	7837	(8) Remarks : RENEWED FROM RX # 503910
	7838	Entry B y: OPPROVI DER4,TWO En try Date: JUN 4,2006 16:23:56
	7839	Enter ?? f or more ac tions
	7840	AC Accep t DC Disco ntinue
	7841	BY Bypas s ED Edit
	7842	Select Ite m(s): Quit // AC Acc ept
	7843	RX# 503910 A has been suspended until 06- 20-01.
	7844
	7845	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:. 1,3,5). O riginal pr ovider com ments are not carrie d over to any renewa ls in Outp atient Pha rmacy.
	7846	Renewing a n ePharmac y Order
	7847	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.
	7848	(This exam ple begins after an order is s elected fr om the Med ication Pr ofile scre en.)
	7849	OP Medicat ions (ACTI VE) Nov 04, 20 05@11:48:1 4 Page: 1 of 3
	7850	OPPATIENT, FOUR
	7851	PID: 000 -01-1322P Ht(cm): _______ (_ _____)
	7852	DOB: NOV 12,1075 ( 29) Wt(kg): _ ______ (__ ____)
	7853	Rx #: 100003642 $e
	7854	(1) *Orde rable Item : SIMETHIC ONE TAB,CH EWABLE
	7855	(2) Drug : SIMETHIC ONE 40MG T AB
	7856	NDC : 55154-86 06-0
	7857	(3) *Dosage : 40 (MG)
	7858	Verb : CHEW
	7859	Disp ense Units : 1
	7860	Noun : TABLET
	7861	*Route : ORAL
	7862	*Schedule : TID
	7863	(4)Pat In structions :
	7864	SIG : CHEW ONE TABLET BY BY MOUTH THREE TIME S A DAY
	7865	(5) Pati ent Status : OPT NSC
	7866	(6) Issue Date : 08/11/05 (7) Fill Date: 08/11/05
	7867	Last Fill Date : 08/11/05 (Window)
	7868	+ Enter ?? f or more ac tions
	7869	DC Disco ntinue PR Partial RL Rel ease
	7870	ED Edit RF Refill RN Ren ew
	7871	Select Act ion: Next Screen// RN Renew
	7872	FILL DATE: (11/4/20 05 - 11/5/ 2006): TOD AY// <Ente r> (NOV 0 4, 2005)
	7873	MAIL/WINDO W: WINDOW/ / <Enter>W INDOW
	7874	METHOD OF PICK-UP: < Enter>
	7875	Nature of Order: WRI TTEN// <Enter> W
	7876	WAS THE PA TIENT COUN SELED: NO/ /<Enter> N O
	7877	Now Renewi ng Rx # 10 0003642 Drug: SIME THICONE 40 MG TAB
	7878	Now doing remote ord er checks. Please wa it...
	7879	Now doing allergy ch ecks. Ple ase wait.. .
	7880	Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . ..
	7881	Now Proces sing Enhan ced Order Checks! P lease wait …
	7882	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	7883	100003642A SIMETHI CONE 40MG TAB QTY : 90
	7884	# OF REFIL LS: 5 ISS UED: 11-04 -05
	7885	SIG: CHEW ONE TABLET BY BY MOU TH THREE T IMES A DAY
	7886	FILLED: 11 -04-05
	7887	ROUTING: W INDOW PHYS: OPPR OVIDER4,TW O
	7888	Edit renew ed Rx ? Y/ / <Enter> ES
	7889	Example: R enewing an ePharmacy Order (co ntinued)
	7890	(To save s pace, only the secon d Prescrip tion Renew screen is displayed in this e xample.)
	7891	Prescripti on Renew Jun 04, 20 01 16:18:1 7 Page: 2 of 2
	7892	OPPATIENT, FOUR
	7893	PID: 000 -01-1322P Ht(cm): _______ (_ _____)
	7894	DOB: NOV 12,1075 ( 29) Wt(kg): _ ______ (__ ____)
	7895	+
	7896	D ays Supply : 30
	7897	QTY ( ): 90
	7898	(3) # of Refills : 5
	7899	(4) Routing : WINDOW
	7900	(5) Clinic :
	7901	(6) Provider : OPPROVID ER4,TWO
	7902	(7) Copies : 1
	7903	(8) Remarks : RENEWED FROM RX # 100003642
	7904	Entry B y: OPPHARM ACIST4,THR EE Entry Dat e: NOV 4,2 005 11:56: 31
	7905	Enter ?? f or more ac tions
	7906	AC Accep t DC Disco ntinue
	7907	BY Bypas s ED Edit
	7908	Select Ite m(s): Quit // 5
	7909	CLINIC: 3E N
	7910	Prescripti on Renew Jun 04, 20 01 16:24:3 2 Page: 2 of 2
	7911	OPPATIENT, FOUR
	7912	PID: 000 -01-1322P Ht(cm): _______ (_ _____)
	7913	DOB: NOV 12,1075 ( 29) Wt(kg): _ ______ (__ ____)
	7914	+
	7915	D ays Supply : 30
	7916	QTY ( ): 90
	7917	(3) # of Refills : 5
	7918	(4) Routing : WINDOW
	7919	(5) Clinic :
	7920	(6) Provider : OPPROVID ER4,TWO
	7921	(7) Copies : 1
	7922	(8) Remarks : RENEWED FROM RX # 100003642
	7923	Entry B y: OPPHARM ACIST4,THR EE E ntry Date: NOV 4,200 5 11:56:31
	7924	Enter ?? f or more ac tions
	7925	AC Accep t DC Disco ntinue
	7926	BY Bypas s ED Edit
	7927	Select Ite m(s): Quit // AC Acc ept
	7928	SC Percent: 4 0%
	7929	Disab ilities: N ONE STATED
	7930	Was treatm ent for Se rvice Conn ected cond ition? NO/ / <Enter>
	7931	Reversing prescripti on 1000036 42.
	7932	Claim Stat us:
	7933	Reversing and Rebill ing a prev iously sub mitted cla im...
	7934	Reversing. ..
	7935	IN PROGRES S-Waiting for transm it
	7936	IN PROGRES S-Transmit ting
	7937	IN PROGRES S-Waiting to process response
	7938	E REVERSAL ACCEPTED
	7939	-Rx 10000 3642 has b een discon tinued...
	7940
	7941	Original p rovider co mments are not carri ed over to any renew als in Out patient Ph armacy.
	7942	Flagging a nd Unflagg ing Pendin g Orders X E "Flaggin g and Unfl agging a N ew Pending Order"
	7943	Flagging a pending o rder allow s you to p revent an order from processin g and atta ch a note known as a flag to t he pending order. Fl ag/Unflag functional ity is onl y availabl e for Pend ing new or ders and P ending ren ewals; onl y holders of the PSO RPH securi ty key can flag or u nflag an o rder.
	7944	The follow ing provid es example s of how t o flag and unflag a pending or der from a medicatio n profile within Pat ient Presc ription Pr ocessing.
	7945	If a pendi ng order i s flagged, the row n umber is h ighlighted on the Me dication P rofile scr een (shown in the fo llowing ex ample). Se lect the o rder to vi ew the fla g or to fl ag the new pending o rder.
	7946	Example: A Flagged P ending Ord er
	7947	Medication Profile Mar 13, 20 08@16:31:2 4 Page: 1 of 1
	7948	OPPATIENT1 6,ONE < NO ALLERGY ASSESSMEN T>
	7949	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	7950	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	7951	SEX: MAL E .
	7952	CrCL: <No t Found> B SA (m2): 2 .08
	7953	ISSUE LAS T REF DAY
	7954	# RX # DRU G QTY ST DATE FIL L REM SUP
	7955	---------- ---------- ---------- ------ACTI VE-------- ---------- ---------- ---------
	7956	1 1000025 18 PEN ICILLAMINE 250MG TAB 31 A 02-29 02- 29 5 31
	7957	---------- ---------- ---------- ------PEND ING------- ---------- ---------- ---------
	7958	2 ACETAMI NOPHEN 500 MG TAB QTY: 60 I SDT: 03-13 REF: 3
	7959	Enter ?? f or more ac tions
	7960	PU Patien t Record U pdate NO New Or der
	7961	PI Patien t Informat ion SO Select Order
	7962	Select Act ion: Quit/ / SO Selec t Order
	7963	Select Ord ers by num ber: (1-2 ): 2
	7964	From the P ending OP Orders scr een, you c an flag an d unflag a n order, a s well as view the f lagged rea son. To fl ag the ord er, enter FL and the n enter a “REASON FO R FLAG”, a lert the p roper indi vidual tha t the flag has been added by p ressing <E nter> to s elect the default na me or ente ring a dif ferent use r name and pressing <Enter>, a nd the fla gging proc ess is com plete.
	7965	Example: F lagging an Order
	7966	REASON FOR FLAG: DOU BLE CHECK WITH PATIE NT FOR HEA RT CONDITI ON BEFORE DISPENSING .
	7967	Send alert to: PSOUS ER,ONE// BIRM INGHAM ALABAMA OP PHARM ACIST
	7968	... order flagged.
	7969	When an or der is fla gged, “FL- ” is place d in front of “Pendi ng OP Orde rs” in the upper lef t corner, and the fl agged reas on is list ed below t he patient identifyi ng informa tion.
	7970	Example: A Flagged N ew Pending Order
	7971	FL-Pending OP Orders (ROUTINE) March 13, 2008 16:31 :33 Page: 1 of 2
	7972	OPPATIENT1 6,ONE <NO ALLERG Y ASSESSME NT>
	7973	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	7974	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	7975	Flagged by OPPHARM,T WO on 03/1 3/08@23:14 : DOUBLE CHECK WITH PATIENT F OR HEART C ONDITION B EFORE DISP ENSING.
	7976	(1) Order able Item: ACETAMINO PHEN TAB Editing s tarred fie lds will
	7977	(2) CMOP Drug: ACETAMINO PHEN 500MG TAB create a new order
	7978	Dru g Message: NATL FORM
	7979	(3) *Dosage: 500 (MG)
	7980	Verb: TAKE
	7981	Dispe nse Units: 1
	7982	*Route: ORAL
	7983	*Schedule: BID
	7984	(4) Pat Instruct:
	7985	Provider Comments: ProvComme nts
	7986	SIG: TAKE ONE TABLET BY MOUTH TWIC E A DAY
	7987	(5) Patie nt Status: SERVICE C ONNECTED
	7988	(6) I ssue Date: MAR 13,20 08 ( 7) Fill Da te: MAR 13 ,2008
	7989	(8) Da ys Supply: 30 ( 9) QTY ( TAB): 60
	7990	+ Enter ?? f or more ac tions
	7991	BY Bypass DC Discontinu e
	7992	FL Fl ag/Unflag
	7993	ED Edit FN Finish
	7994	Select Ite m(s): Next Screen// FL Flag/Un flag
	7995	Example: A Flagged R enewal
	7996	FL-Prescri ption Rene w Jun 12, 20 12@14:00:5 1 Page: 1 of 2
	7997	PAGPATNM,M <A>
	7998	PID: 666 -00-0286 Ht(cm): _ ______ (__ ____)
	7999	DOB: DEC 1,1900 Wt(kg): _ ______ (__ ____)
	8000
	8001	Flagged by PHARMACY, USER on 6/ 12/12@14:0 0: test
	8002
	8003	Rx# : 10000194 3A
	8004	Orde rable Item : ACETAMIN OPHEN TAB
	8005	CMOP Drug : THIORIDA ZINE 30MG/ ML CONC.
	8006	NDC : 24236-64 1-02
	8007	Pati ent Status : OPT NSC
	8008	(1) Issue Date : JUN 12,2 012
	8009	(2) Fill Date : JUN 12,2 012
	8010	Dosage : 20 (MG)
	8011	Verb : TAKE
	8012	Disp ense Units : 2
	8013	Noun : TABLETS
	8014	Route : ORAL (BY MOUTH)
	8015	Schedule : BID-PRN
	8016	+ Enter ?? f or more ac tions
	8017	AC Accep t DC Discontin ue FL Fla g/Unflag
	8018	BY Bypas s ED Edit
	8019	Select Ite m(s): Next Screen//
	8020	To unflag an order, enter FL a t the “Sel ect Item(s )” prompt, and then enter your “COMMENTS ”. When yo u press <E nter>, the order is no longer flagged.
	8021	Example: U nflagging an Order
	8022	FLAGGED: 0 3/13 23:14 by OPPHAR M,TWO
	8023	DOUBLE CHE CK WITH PA TIENT FOR HEART COND ITION BEFO RE DISPENS ING.
	8024	COMMENTS: CHECKED WI TH PATIENT . NO HEART CONDITION .
	8025	... order unflagged.
	8026	At that po int, the f lag from t he Medicat ion Profil e is remov ed, but th e flagged/ unflagged reason rem ains on th e Pending OP Orders screen unl ess you re flag the o rder.
	8027
	8028	Note: If a user does not have the PSORPH security key, they cannot unf lag an ord er and wil l receive the follow ing messag e when sel ecting the Accept (A C) action:
	8029	+ Enter ?? f or more ac tions
	8030	AC Accep t DC (Disconti nue) FL (Fl ag/Unflag)
	8031	BY Bypas s ED (Edit)
	8032	Select Ite m(s): Next Screen// AC Accep t
	8033	Order must be unflag ged by a p harmacist before it can be fin ished.
	8034	Enter RETU RN to cont inue:
	8035	Example: A n Unflagge d Order
	8036	Pending OP Orders (R OUTINE) March 14, 2008 09:16 :33 Page: 1 of 2
	8037	OPPATIENT1 6,ONE <NO ALLERG Y ASSESSME NT>
	8038	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	8039	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	8040	Flagged by OPPHARM,T WO on 03/1 3/08@23:14 : DOUBLE CHECK WITH PATIENT F OR HEART C ONDITION B EFORE DISP ENSING.
	8041	Unflagged by OPPHARM ,TWO on 03 /14/08@09: 26: CHECK ED WITH PA TIENT. NO HEART COND ITION.
	8042	(1) Order able Item: ACETAMINO PHEN TAB Editing s tarred fie lds will
	8043	(2) CMOP Drug: ACETAMINO PHEN 500MG TAB create a new order
	8044	Dru g Message: NATL FORM
	8045	(3) *Dosage: 500 (MG)
	8046	Verb: TAKE
	8047	Dispe nse Units: 1
	8048	*Route: ORAL
	8049	*Schedule: BID
	8050	(4) Pat Instruct:
	8051	Provider Comments: ProvComme nts
	8052	SIG: TAKE ONE TABLET BY MOUTH TWIC E A DAY
	8053	(5) Patie nt Status: SERVICE C ONNECTED
	8054	(6) I ssue Date: MAR 13,20 08 ( 7) Fill Da te: MAR 13 ,2008
	8055	(8) Da ys Supply: 30 ( 9) QTY ( TAB): 60
	8056	+ Enter ?? f or more ac tions
	8057	BY Bypass DC Discontinu e
	8058	FL Fl ag/Unflag
	8059	ED Edit FN Finish
	8060	Select Ite m(s): Next Screen//
	8061	Example: A n Unflagge d Renewal
	8062	Prescripti on Renew Jun 12, 20 12@14:02:1 8 Page: 1 of 2
	8063	PAGPATNM,M <A>
	8064	PID: 666 -00-0286 Ht(cm): _ ______ (__ ____)
	8065	DOB: DEC 1,1900 Wt(kg): _ ______ (__ ____)
	8066
	8067	Flagged by PHARMACY, USER on 6/ 12/12@14:0 0: test
	8068	Unflagged by PHARMAC Y,USER on 6/12/12@14 :02: testi ng unflag
	8069
	8070	Rx# : 10000194 3A
	8071	Orde rable Item : ACETAMIN OPHEN TAB
	8072	CMOP Drug : THIORIDA ZINE 30MG/ ML CONC.
	8073	Pati ent Status : OPT NSC
	8074	(1) Issue Date : JUN 12,2 012
	8075	(2) Fill Date : JUN 12,2 012
	8076	Dosage : 20 (MG)
	8077	Verb : TAKE
	8078	Disp ense Units : 2
	8079	Noun : TABLETS
	8080	Route : ORAL (BY MOUTH)
	8081	+ Enter ?? f or more ac tions AC Accep t DC Discontin ue FL Fla g/Unflag
	8082	BY Bypas s ED Edit
	8083	Select Ite m(s): Next Screen// Prescripti on Renew Jun 12, 20 12@14:02:1
	8084	8 Page: 1 of 2
	8085	After pend ing orders have been unflagged , they can be proces sed.
	8086	If you att empt to pr ocess a fl agged orde r and are a user wit h a PSORPH security key, you a re prompte d “Unflag Order? NO/ /”. If you respond Y ES, enter comments t o unflag t he order a nd continu e with pro cessing. I f you resp ond NO, yo u cannot p rocess the order bec ause it is still fla gged. User s with onl y the PSO TECH ADV s ecurity ke y cannot u nflag an o rder and w ill receiv e the foll owing mess age when s electing t he Accept (AC) actio n:
	8087	+ Enter ?? f or more ac tions
	8088	AC Accep t DC (Disconti nue) FL (Fl ag/Unflag)
	8089	BY Bypas s ED (Edit)
	8090	Select Ite m(s): Next Screen// AC Accep t
	8091	Order must be unflag ged by a p harmacist before it can be fin ished.
	8092	Enter RETU RN to cont inue:
	8093	Barcode Rx Menu XE " Barcode Rx Menu"
	8094	[PSO BARCO DE MENU]
	8095	Use this m enu to bat ch barcode refills a nd renewal s of presc riptions, and check the qualit y of the b arcode pri nt. The me nu contain s the foll owing opti ons:
	8096	Barcode Ba tch Prescr iption Ent ry
	8097	Check Qual ity of Bar code
	8098	Process In ternet Ref ills
	8099	Barcode Ba tch Prescr iption Ent ry XE "Bar code Batch Prescript ion Entry"
	8100	[PSO BATCH BARCODE]
	8101	Enter refi lls or ren ewals by b atch entry using bar codes with this opti on. Select either re fills or r enews. The n fill in informatio n for the prescripti ons to be batch barc ode, i.e., fill date , route, e tc. Next, use a barc ode wand t o enter th e barcodes for the p rescriptio ns to be r efilled or renewed.
	8102	When using the Barco de Batch P rescriptio n Entry op tion [PSO BATCH BARC ODE], if t he prescri ption has been marke d as a Tit ration/Mai ntenance R x, and the user atte mpts to re new or ref ill the pr escription , the foll owing mess age will d isplay:
	8103	For a rene wal:
	8104	"Rx# XX XXXX is ma rked as Ti tration Rx and canno t be renew ed."
	8105	For a ref ill:
	8106	"Rx# XX XXXX is ma rked as Ti tration Rx and canno t be refil led."
	8107	Check Qual ity of Bar code XE "C heck Quali ty of Barc ode"
	8108	[PSO BARCO DE CHECK]
	8109	No action is taken o n the pres cription b y using th is option. Use this option to check the quality of the print ed barcode s or use i t to pract ice using the barcod e reader. After the barcode is scanned t he barcode number wi ll echo ba ck on the screen and the scree n will ret urn to the "Read Bar code" prom pt. No act ion is tak en on the prescripti on by usin g this opt ion.
	8110	The follow ing are so me common causes for failure o f the barc ode reader and how t hey can be corrected .
	8111	Barcode to o faint ( change pri nter ribbo n)
	8112	Improper s canning ( move the w and at a s teady rate )
	8113	Defective barcode re ader (rep lace the r eader)
	8114	Process In ternet Ref ills XE "P rocess Int ernet Refi lls"
	8115	[PSO INTER NET REFILL S]
	8116	This optio n allows t he pharmac ist to pro cess presc ription or ders enter ed on the Internet t hrough My HealtheVet . The syst em will pr ompt the u ser for th e informat ion as sho wn in the following example. T he user en ters the a ppropriate response for each p rompt by p ressing En ter on the keyboard to accept the defaul t setting for a prom pt. The us er must ty pe the app ropriate w ord or let ter to ent er a respo nse contra ry to the default.
	8117	The recomm ended usag e of this option is three time s a day to ensure th e requeste d refills are proces sed in a t imely mann er.
	8118	Example: P rocess Int ernet Refi lls Screen
	8119	FILL DATE: (1/28/20 05 - 12/31 /2699): TO DAY// <Ent er> (AUG 1 1, 2005)
	8120	MAIL/WINDO W: MAIL// <Enter> MA IL
	8121	Will these refills b e Queued o r Suspende d? Q// S < Enter> USP ENDED
	8122	Allow refi lls for in patient ? N// <Enter > O
	8123	Allow refi lls for CN H ? N//<En ter> O
	8124	Allow earl y refills? N// <Ente r> O
	8125	Process in ternet ref ill reques ts at this time? YES // <Enter> YES
	8126	Process in ternet ref ills for a ll divisio ns? NO// <Enter> O
	8127	Users can process re fills for their divi sion or al l division s within a site. How ever, site s can set parameters in the PH ARMACY SYS TEM file f or the INT ERDIVISION AL PROCESS ING and DI VISION PRO MPT ASKED fields tha t control responses to user in put on the Internet Refills Sc reen. Note that site control p arameters override a ny entries made by t he user in the Proce ss Interne t Refills screen.
	8128	If the INT ERDIVISION AL PROCESS ING parame ter is set to No, re gardless o f the user ’s input a t the “Pro cess inter net refill s for all divisions? ” prompt, only the r efills for the user’ s division will be f illed.
	8129	If the INT ERDIVISION AL PROCESS ING parame ter is set to Yes an d the DIVI SION PROMP T ASKED pa rameter is set to No , then the refill or ders are p rocessed f or all div isions wit hout any a dditional user input .
	8130	If the INT ERDIVISION AL PROCESS ING parame ter is set to Yes an d the DIVI SION PROMP T ASKED pa rameter is set to Ye s, refills for the u ser’s divi sion will be process ed without any addit ional inpu t. If unpr ocessed re fills outs ide the us er’s divis ion exist, the “Cont inue?” pro mpt displa ys, allowi ng the use r to confi rm each re fill, as s hown in th e example below.
	8131	Example: P rocess Int ernet Refi lls for al l Division s?
	8132	Process in ternet ref ills for a ll divisio ns? NO// Y YES
	8133	Now refill ing Rx# 10 0002310 Drug: CAPTROPRIL 100MG TA BS
	8134	Qty: 60 Sig: TAKE ONE TABLET BY MOUTH TWICE A DA Y
	8135
	8136	Rx # 100002310 is for (A LBANY) div ision.
	8137	Continue? N// Y YES
	8138	If the use r enters Y es at the “Continue? ” prompt, the refill will be p rocessed.
	8139	If the use r enters N o at the “ Continue?” prompt, t he refill will not p rocess at this time, and the r efill requ est will r emain in t he PRESCRI PTION REFI LL REQUEST file. The se refill requests m ay be proc essed late r by a use r in the s ame divisi on, or any division, depending on the PH ARMACY SYS TEM file p arameters.
	8140	Refills pr ocessed su ccessfully are flagg ed as FILL ED in the RESULTS fi eld of the PRESCRIPT ION REFILL REQUEST f ile. Refil ls not pro cessed due to condit ions such as: Rx Exp ired, Disc ontinued, On Hold, D eleted, ar e flagged as NOT FIL LED in the RESULTS f ield of PR ESCRIPTION REFILL RE QUEST file .Complete Orders fro m OERR XE "Complete Orders fro m OERR"
	8141	[PSO LMOE FINISH]
	8142	When a cli nician has created a n order fo r a patien t, the pha rmacist th en complet es and ver ifies the order. The Complete Orders fro m OERR opt ion is use d to compl ete orders entered i nto the pa tient reco rd through Order Ent ry Results Reporting (OERR) V. 3.0. This option us es the Lis t Manager features. PSO7391 added a ne w sort sel ection, 'C S' enablin g users to select di gitally si gned CS or ders separ ately.
	8143	The user m ay select orders by patient, r oute, prio rity, clin ic, flag, or control led substa nces. If C linic is s elected, t he user ma y then cho ose to sel ect by Cli nic or Cli nic Sort G roup. In a ny sort, o rders are completed on a first -in/first- out basis by patient . Clinic S ort Groups can be ad ded or edi ted in the Enter/Edi t Clinic S ort Groups option, f ound under the Maint enance (Ou tpatient P harmacy) m enu option . Orders e ntered bef ore implem entation o f patch PS O746 (Ph armacy Ord ering Enha ncements ( POE)) must have the fields use d to build the Sig f illed in b efore proc essing can be comple ted.
	8144	If a tempo rary addre ss has no end date, the follow ing text i s now disp layed: “(T emp addres s from XXX 99,9999 t ill (no en d date))”.
	8145	For ePharm acy orders , after an order is finished, the billin g data is sent to th e Electron ic Claims Management Engine (E CME). ECME sends a m essage bac k to Outpa tient Phar macy displ aying the status of the claim. For an ex ample, see “Finishin g an ePhar macy Order ” in this section.
	8146	Example: F inishing a n Order fr om OERR
	8147	Select Out patient Ph armacy Man ager Optio n: RX (Pre scriptions )
	8148	Orders to be complet ed for all divisions : 16
	8149	Do you wan t an Order Summary? No// <En ter> NO
	8150	Patient Pr escription Processin g
	8151	Barcode Rx Menu ...
	8152	Check Drug Interacti on
	8153	Complete O rders from OERR
	8154	Discontinu e Prescrip tion(s)
	8155	Edit Presc riptions
	8156	ePharma cy Menu...
	8157	List On e Patient' s Archived Rx's
	8158	Manual Print of M ulti-Rx Fo rms
	8159	Reprint an Outpatien t Rx Label
	8160
	8161	Signatu re Log Rep rint
	8162	View Pr escription s
	8163	Select Rx (Prescript ions) Opti on: Comple te Orders from OERR
	8164	There are multiple I nstitution s associat ed with th is Outpati ent Site f or
	8165	finishing orders ent ered throu gh CPRS. S elect the Institutio n for whic h to
	8166	finish ord ers from. Enter '?' to see al l choices.
	8167	Select CPR S ORDERING INSTITUTI ON: ALBANY // <Enter> NY VA MC 500
	8168	You have s elected AL BANY.
	8169	After comp leting the se orders, you may r e-enter th is option and select again.
	8170	Select By: (PA/RT/P R/CL/FL/CS /E): PATIE NT// <Ente r>
	8171	All Patien ts or Sing le Patient : (A/S/E) : SINGLE// <Enter>
	8172	Select Pat ient: OPPA TIENT16,ON E OPPATIE NT16,ONE 4-3- 41 0002 46802
	8173	YES SC VETERAN
	8174	Do you wan t to see M edication Profile? Y es//
	8175	The user m ay enter a question mark at th e “Select Patient” p rompt to v iew a list of patien ts with p ending ord ers. A sin gle patien t may be s elected fo r processi ng, or pen ding order s for all patients m ay be proc essed in s equence by the time of each or der’s entr y into the system.
	8176	Flagged or ders will not be pro cessed. Th ey are not a part of any pendi ng orders. To proces s flagged orders, yo u should e nter FL at the “Sele ct By” pro mpt. This ensures yo u will vie w all pati ents with flagged pe nding orde rs, allowi ng you to address th eir flagge d orders; however, i f you know which pat ients have flagged o rders, you can acces s the flag ged orders through t he Medicat ion Profil e.
	8177	If the use r answers YES to “Do you want to see Med ication Pr ofile?” an d the pati ent has re mote pres cription(s ), the fol lowing pro mpt appear s.
	8178	REMOTE PRE SCRIPTIONS AVAILABLE !
	8179	Display Re mote Data? N//
	8180	If the use r answers YES to “Di splay Remo te Data?” then the “ Remote Fac ilities Vi sited” scr een appear s, allowin g the user to see wh at facilit ies the pa tient has prescripti ons at and what thos e prescrip tions are.
	8181	After the user answe rs the med ication pr ofile prom pt, a warn ing displa ys if no a llergy ass essment ha s been mad e. The pat ient’s eli gibility a nd RX pati ent status also disp lays.
	8182	Example: F inishing a n Order fr om OERR (c ontinued)
	8183	OPPATIEN T16,ONE 4-3-4 1 00042 46802
	8184	YES SC VETERAN
	8185	Press Retu rn to cont inue: <Ent er>
	8186	Eligibilit y: SC
	8187	RX PATIENT STATUS: S ERVICE CON NECTED// < Enter>
	8188	(The Patie nt Informa tion and M edication Profile sc reens disp lay next, but are no t shown in this exam ple.)
	8189	Pending OP Orders (R OUTINE) March 13, 2008 16:31 :33 Page: 1 of 2
	8190	OPPATIENT1 6,ONE
	8191	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	8192	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	8193	(1) Order able Item: ACETAMINO PHEN TAB Editing s tarred fie lds will
	8194	(2) CMOP Drug: ACETAMINO PHEN 500MG TAB create a new order
	8195	Dru g Message: NATL FORM
	8196	(3) *Dosage: 500 (MG)
	8197	Verb: TAKE
	8198	Dispe nse Units: 1
	8199	*Route: ORAL
	8200	*Schedule: BID
	8201	(4) Pat Instruct:
	8202	Provider Comments: ProvComme nts
	8203	SIG: TAKE ONE TABLET BY MOUTH TWIC E A DAY
	8204	(5) Patie nt Status: SERVICE C ONNECTED
	8205	(6) I ssue Date: MAR 13,20 08 (7) Fill D ate: MAR 1 3,2008
	8206	(8) Da ys Supply: 30 ( 9) QTY ( TAB): 60
	8207	+ Enter ?? f or more ac tions
	8208	BY Bypass DC Discontinu e
	8209	FL Fl ag/Unflag
	8210	ED Edit FN Finish
	8211	Select Ite m(s): Next Screen/// / FN Finis h
	8212	After “Fin ish” is se lected, th e user is prompted t o fill in any inform ation miss ing from f ields need ed to comp lete the o rder.
	8213	If you att empt to pr ocess a fl agged orde r, you are prompted “Unflag Or der? NO//” . If you r espond YES , enter co mments to unflag the order and continue with proce ssing. If you respon d NO, you cannot pro cess the o rder becau se it is s till flagg ed.
	8214	If an orde r is sent from OERR without a Dispense D rug select ed, and th ere is onl y one Disp ense Drug tied to th e Orderabl e Item, th at drug wi ll be inse rted in th e DRUG fie ld (#2 on the screen ). If ther e is more than one D ispense Dr ug tied to the Order able Item, a “No Dis pense Drug Selected” message w ill displa y in the D RUG field (#2 on the screen) a nd a Dispe nse Drug m ust be sel ected to c omplete/fi nish the o rder.
	8215	The follow ing Drug a re availab le for sel ection:
	8216	1. ACETAMI NOPHEN 325 MG
	8217	2. ACETAMI NOPHEN EXT RA STR 500 MG
	8218
	8219	If the dru g list is empty, the user shou ld select a new orde rable item or the or der can be discontin ued.
	8220	Example: F inishing a n Order fr om OERR (c ontinued)
	8221	Select Dru g by numbe r: (1-2): 1
	8222	If the use r chooses to copy Pr ovider Com ments into the Patie nt Instruc tions, the y will be displayed on the end of both t he Patient Instructi ons and th e Sig.
	8223
	8224	If the pat ient has b een identi fied as ha ving anoth er languag e preferen ce, the Pr ovider Com ments will not be ap pended to the other language S ig.
	8225	Provider C omments:
	8226	WITH A FUL L MEAL
	8227	Copy Provi der Commen ts into th e Patient Instructio ns? No// Y YES
	8228	(TAKE ONE TABLET BY MOUTH TWIC E A DAY WI TH A FULL MEAL)
	8229	Rx # 50390 2 05/22/0 1
	8230	OPPATIENT1 6,ONE #60
	8231	TAKE ONE T ABLET BY M OUTH TWICE A DAY WIT H A FULL M EAL
	8232	ACETAMINOP HEN 500MG TAB
	8233	OPPROVIDER 4,TWO OPPH ARMACIST4, THREE
	8234	# of Refil ls: 3
	8235	Are you su re you wan t to Accep t this Ord er? NO// Y YES
	8236	After an o rder is ac cepted, th e user wil l be promp ted to ent er the mis sing infor mation.
	8237	METHOD OF PICK-UP:
	8238	WAS THE PA TIENT COUN SELED: NO/ / Y YES
	8239	WAS COUNSE LING UNDER STOOD: NO/ / Y YES
	8240	Do you wan t to enter a Progres s Note? No // <Enter> NO
	8241	SC Percent: 2 0%
	8242	Disab ilities:
	8243	KNEE CONDI TION 10% - SERV ICE CONNEC TED
	8244	TRAUMATIC ARTHRITIS 10% - SERV ICE CONNEC TED
	8245	SEPTUM, NA SAL, DEVIA TION OF 0% - SERV ICE CONNEC TED
	8246	RESIDUALS OF FOOT IN JURY 0% - SERV ICE CONNEC TED
	8247	This Rx ha s been fla gged as: S C
	8248	Was treatm ent for Se rvice Conn ected cond ition: YES // <Enter>
	8249	Press Retu rn to Cont inue:
	8250	Flagging a nd Unflagg ing Pendin g Orders X E "Flaggin g and Unfl agging a N ew Pending Order"
	8251	Flagging a pending o rder allow s you to p revent an order from processin g and atta ch a note known as a flag to t he pending order. Fl ag/Unflag functional ity is onl y availabl e for Pend ing new or ders and P ending ren ewals; onl y holders of the PSO RPH securi ty key can flag or u nflag an o rder.
	8252	Flagged or ders will not be pro cessed. Th ey are not a part of any pendi ng orders. When you have flagg ed orders to process from the Complete O rders from OERR opti on, you sh ould enter FL at the “Select B y” prompt (shown in the follow ing exampl e). This e nsures you will view all patie nts with f lagged pen ding order s, allowin g you to a ddress the ir flagged orders; h owever, if you know which pati ents have flagged or ders, you can access the flagg ed orders through th e Medicati on Profile .
	8253	The follow ing provid es example s of how t o flag and unflag pe nding orde rs from a medication profile w ithin the Complete O rders from OERR opti on.
	8254	Example: F inishing a n Order fr om OERR
	8255	Select Out patient Ph armacy Man ager Optio n: RX (Pre scriptions )
	8256	Orders to be complet ed for all divisions : 16
	8257	Do you wan t an Order Summary? No// <En ter> NO
	8258	Patient Pr escription Processin g
	8259	Barcode Rx Menu ...
	8260	Check Drug Interacti on
	8261	Complete O rders from OERR
	8262	Discontinu e Prescrip tion(s)
	8263	Edit Presc riptions
	8264
	8265	ePharma cy Menu...
	8266
	8267	List On e Patient' s Archived Rx's
	8268	Manual Print of M ulti-Rx Fo rms
	8269	Reprint an Outpatien t Rx Label
	8270
	8271	Signatu re Log Rep rint
	8272	View Pr escription s
	8273	Select Rx (Prescript ions) Opti on: COMPle te Orders from OERR
	8274	There are multiple I nstitution s associat ed with th is Outpati ent Site f or
	8275	finishing orders ent ered throu gh CPRS. S elect the Institutio n for whic h to
	8276	finish ord ers from. Enter '?' to see al l choices.
	8277	Select CPR S ORDERING INSTITUTI ON: ALBANY // <Ente r> NY V AMC 500
	8278	You have s elected AL BANY.
	8279	After comp leting the se orders, you may r e-enter th is option and select again.
	8280	<The re are 3 f lagged ord ers for AL BANY>
	8281	Select By: (PA/RT/P R/CL/FL/E) : PATIENT/ / FL <Ente r>
	8282	Do you wan t to see M edication Profile? Y es// <Ente r>
	8283	After answ ering the “Medicatio n Profile” prompt, a warning d isplays if no allerg y assessme nt has bee n made. Th e patient’ s eligibil ity and RX patient s tatus also displays.
	8284	OPPATIEN T16,ONE 4-3-4 1 00024 6802
	8285	YES SC VETERAN
	8286	No Al lergy Asse ssment!
	8287	Press Retu rn to cont inue: <Ent er>
	8288	Eligibilit y: SC
	8289	RX PATIENT STATUS: S ERVICE CON NECTED// < Enter>
	8290	If a pendi ng order i s flagged, the row n umber is h ighlighted on the Me dication P rofile scr een (shown in the fo llowing ex ample). Se lect the o rder to vi ew the fla g or to fl ag the new pending o rder.
	8291	Example: A Flagged P ending Ord er
	8292	Medication Profile Mar 13, 20 08@16:31:2 4 Page: 1 of 1
	8293	OPPATIENT1 6,ONE < NO ALLERGY ASSESSMEN T>
	8294	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	8295	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	8296	SEX: MAL E .
	8297	CrCL: <No t Found> B SA (m2): _ ______
	8298	ISSUE LAS T REF DAY
	8299	# RX # DRU G QTY ST DATE FIL L REM SUP
	8300	---------- ---------- ---------- ------ACTI VE-------- ---------- ---------- ---------
	8301	1 1000025 18 PEN ICILLAMINE 250MG TAB 31 A 02-29 02- 29 5 31
	8302	---------- ---------- ---------- ------PEND ING------- ---------- ---------- ---------
	8303	2 ACETAMI NOPHEN 500 MG TAB QTY: 60 I SDT: 03-13 REF: 3
	8304	Enter ?? f or more ac tions
	8305	PU Patien t Record U pdate NO New Or der
	8306	PI Patien t Informat ion SO Select Order
	8307	Select Act ion: Quit/ / SO Selec t Order
	8308	Select Ord ers by num ber: (1-2 ): 2
	8309	From the P ending OP Orders scr een, you c an flag an d unflag a n order, a s well as view the f lagged rea son. To fl ag the ord er, enter FL and the n enter a “REASON FO R FLAG”, a lert the p roper indi vidual tha t the flag has been added by p ressing <E nter> to s elect the default na me or ente ring a dif ferent use r name and pressing <Enter>, a nd the fla gging proc ess is com plete.
	8310	Example: F lagging an Order
	8311	REASON FOR FLAG: DOU BLE CHECK WITH PATIE NT FOR HEA RT CONDITI ON BEFORE DISPENSING .
	8312	Send alert to: PSOUS ER,ONE// BIRM INGHAM ALABAMA OP PHARM ACIST
	8313	... order flagged.
	8314	When an or der is fla gged, “FL- ” is place d in front of “Pendi ng OP Orde rs” in the upper lef t corner, and the fl agged reas on is list ed below t he patient identifyi ng informa tion.
	8315	Example: A Flagged O rder
	8316	FL-Pending OP Orders (ROUTINE) March 13, 2008 16:31 :33 Page: 1 of 2
	8317	OPPATIENT1 6,ONE <NO ALLERG Y ASSESSME NT>
	8318	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	8319	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	8320	Flagged by OPPHARM,T WO on 03/1 3/08@23:14 : DOUBLE CHECK WITH PATIENT F OR HEART C ONDITION B EFORE DISP ENSING.
	8321	(1) Order able Item: ACETAMINO PHEN TAB Editing s tarred fie lds will
	8322	(2) CMOP Drug: ACETAMINO PHEN 500MG TAB create a new order
	8323	Dru g Message: NATL FORM
	8324	(3) *Dosage: 500 (MG)
	8325	Verb: TAKE
	8326	Dispe nse Units: 1
	8327	*Route: ORAL
	8328	*Schedule: BID
	8329	(4) Pat Instruct:
	8330	Provider Comments: ProvComme nts
	8331	SIG: TAKE ONE TABLET BY MOUTH TWIC E A DAY
	8332	(5) Patie nt Status: SERVICE C ONNECTED
	8333	(6) I ssue Date: MAR 13,20 08 ( 7) Fill Da te: MAR 13 ,2008
	8334	(8) Da ys Supply: 30 ( 9) QTY ( TAB): 60
	8335	+ Enter ?? f or more ac tions
	8336	BY Bypass DC Discontinu e
	8337	FL Fl ag/Unflag
	8338	ED Edit FN Finish
	8339	Select Ite m(s): Next Screen// FL Flag/Un flag
	8340	To unflag an order, enter FL a t the “Sel ect Item(s )” prompt, and then enter your “COMMENTS ”. When yo u press <E nter>, the order is no longer flagged.
	8341	Example: U nflagging an Order
	8342	FLAGGED: 0 3/13 23:14 by OPPHAR M,TWO
	8343	DOUBLE CHE CK WITH PA TIENT FOR HEART COND ITION BEFO RE DISPENS ING.
	8344	COMMENTS: CHECKED WI TH PATIENT . NO HEART CONDITION .
	8345	... order unflagged.
	8346	At that po int, the f lag from t he Medicat ion Profil e is remov ed, but th e flagged/ unflagged reason rem ains on th e Pending OP Orders screen unl ess you re flag the o rder.
	8347	Example: A n Unflagge d Order
	8348	Pending OP Orders (R OUTINE) March 14, 2008 09:16 :33 Page: 1 of 2
	8349	OPPATIENT1 6,ONE <NO ALLERG Y ASSESSME NT>
	8350	PID: 000 -24-6802 Ht(cm): 1 77.80 (02/ 08/2007)
	8351	DOB: APR 3,1941 (6 6) Wt(kg): 9 0.45 (02/0 8/2007)
	8352	Flagged by OPPHARM,T WO on 03/1 3/08@23:14 : DOUBLE CHECK WITH PATIENT F OR HEART C ONDITION B EFORE DISP ENSING.
	8353	Unflagged by OPPHARM ,TWO on 03 /14/08@09: 26: CHECK ED WITH PA TIENT. NO HEART COND ITION.
	8354	(1) Order able Item: ACETAMINO PHEN TAB Editing s tarred fie lds will
	8355	(2) CMOP Drug: ACETAMINO PHEN 500MG TAB create a new order
	8356	Dru g Message: NATL FORM
	8357	(3) *Dosage: 500 (MG)
	8358	Verb: TAKE
	8359	Dispe nse Units: 1
	8360	*Route: ORAL
	8361	*Schedule: BID
	8362	(4) Pat Instruct:
	8363	Provider Comments: ProvComme nts
	8364	SIG: TAKE ONE TABLET BY MOUTH TWIC E A DAY
	8365	(5) Patie nt Status: SERVICE C ONNECTED
	8366	(6) I ssue Date: MAR 13,20 08 ( 7) Fill Da te: MAR 13 ,2008
	8367	(8) Da ys Supply: 30 ( 9) QTY ( TAB): 60
	8368	+ Enter ?? f or more ac tions
	8369	BY Bypass DC Discontinu e
	8370	FL Fl ag/Unflag
	8371	ED Edit FN Finish
	8372
	8373	Select Ite m(s): Next Screen//
	8374	After pend ing orders have been unflagged , they can be proces sed.
	8375	If you att empt to pr ocess a fl agged orde r, you are prompted “Unflag Or der? NO//” . If you r espond YES , enter co mments to unflag the order and continue with proce ssing. If you respon d NO, you cannot pro cess the o rder becau se it is s till flagg ed.
	8376	Changes to Finishing Pending O rders Proc ess - Digi tally Sign ed Orders Only
	8377	Digitally signed ord ers will b e identifi able by th e “Digital ly Signed Order’ mes sage in re verse vide o on the m essage bar .
	8378	If the ter minal in u se is set up as a VT -100, ther e may be p roblems wi th this me ssage disp lay and th e “Process ing Digita lly Signed Order” me ssage. Upd ating the VistA term inal sessi on to use VT-320 wil l avoid th is problem .
	8379	The provid er’s PKI c ertificate is re-val idated whe n accessin g a digita lly signed order. If the valid ation chec k is unsuc cessful, a n error co de is sent to the ph armacist a nd an entr y is made in the Rx Activity L og. The er ror code t ype will r esult in e ither the order bein g automati cally reje cted/disco ntinued or the pharm acist bein g given th e choice t o finish, bypass, or discontin ue the ord er. Digita lly signed prescript ions that have been discontinu ed cannot be reinsta ted. The S peed Disco ntinuation functiona lity will no longer delete unv erified pr escription s.
	8380	Finishing an Order f rom OERR w ith Multip le Institu tions
	8381	Multiple I nstitution entries c an be adde d using th e Site Par ameter Ent er/Edit op tion. If t he local s ite has mu ltiple ent ries in th e CPRS ORD ERING INST ITUTION fi eld the us er will be prompted for an Ins titution w hen enteri ng the Com plete Orde rs from OE RR option. After an Institutio n is selec ted, then the Pendin g Orders t hat will b e shown fo r completi on will be those Pen ding Order s from cli nics that are associ ated with the Instit ution sele cted.
	8382	Example: F inishing a n Order fr om OERR wi th Multipl e Institut ions
	8383	Select Out patient Ph armacy Man ager Optio n: RX (Pre scriptions )
	8384	Orders to be complet ed for all divisions : 21
	8385	Do you wan t an Order Summary:? No// <Ent er> NO
	8386	Select Rx (Prescript ions) Opti on: COmple te Orders from OERR
	8387	There are multiple I nstitution s associat ed with th is Outpati ent Site f or finishi ng orders entered th rough CPRS . Select t he Institu tion from which to f inish orde rs. Enter '?' to see all choic es.
	8388	Select CPR S ORDERING INSTITUTI ON: BIRMIN GHAM, AL./ / <Enter> BIRMINGHAM , AL.521
	8389	You have s elected BI RMINGHAM, AL..
	8390	After comp leting the se orders, you may r e-enter th is option and select again.
	8391	Select By: (PA/RT/P R/CL/E): P ATIENT// P A
	8392	[See the p revious ex ample for completion of this o ption.]
	8393	Finishing an ePharma cy Order
	8394	After the user revie ws the ePh armacy ord er and cho oses to ac cept the o rder, the billing da ta is sent to ECME, which send s a messag e back to Outpatient Pharmacy displaying the statu s of the c laim. The ECME secti on of the Activity L og is also updated.
	8395	Is this co rrect? YES // <Enter>
	8396	-Rx 10000 3869A has been disco ntinued...
	8397	Veteran Pr escription 100003919 successfu lly submit ted to ECM E for clai m generati on.
	8398	Claim Stat us:
	8399	IN PROGRES S-Waiting to start
	8400	IN PROGRES S-Waiting for packet build
	8401	IN PROGRES S-Packet b eing built
	8402	IN PROGRES S-Waiting for transm it
	8403	IN PROGRES S-Transmit ting
	8404	E PAYABLE
	8405	Activity L og
	8406	Multiple A ctivity Lo gs exist f or a compl eted or fi nished ord er. Any si ngle activ ity log or all activ ity logs c an be view ed.
	8407	Use the hi dden actio n (AL) to view the a ctivity lo g once a c ompleted o r finished order is selected.
	8408	Example: A ctivity Lo g
	8409	OP Medicat ions (ACTI VE) Jun 08, 20 01 11:01:2 9 Page: 1 of 3
	8410	OPPATIENT2 9,ONE <A>
	8411	PID: 000 -87-6543 Ht(cm): 1 75.26 (06/ 07/2000)
	8412	DOB: SEP 12,1919 ( 81) Wt(kg): 7 9.09 (06/0 7/2000)
	8413	Rx # : 503915
	8414	(1) Orde rable Item : AMPICILL IN CAP,ORA L (N/F) *
	8415	(2) Drug : AMPICILL IN 250MG C AP *(N/F )*
	8416	NDC : 00093-51
	8417	(3) *Dosage : 750 (MG)
	8418	Verb : TAKE
	8419	Disp ense Units : 3
	8420	Noun : CAPSULE( S)
	8421	*Route : ORAL
	8422	*Schedule : QID
	8423	*Duration : 10D (DAY S)
	8424	(4)Pat In structions : WITH FOO D AVOIDING DAIRY FOO DS
	8425	SIG : TAKE THR EE CAPSULE S BY MOUTH FOUR TIME S A DAY FO R 10 DAYS
	8426	WITH FOO D AVOIDING DAIRY FOO DS
	8427	(5) Pati ent Status : SERVICE CONNECTED
	8428	+ Enter ?? f or more ac tions
	8429	DC Disco ntinue PR Partial RL Rel ease
	8430	ED Edit RF (Refill) RN Ren ew
	8431	Select Act ion: Next Screen// A L
	8432	Select Act ivity Log by number
	8433	1. Refill 2. Partial 3. Act ivity 4. Labels
	8434	5. Copay 6. ECME 7. All Logs: (1 -7): 7// < Enter>
	8435	The prompt for the s election o f the Acti vity Log d epends on what type of prescri ption is s elected. F or example , if the p rescriptio n is an eP harmacy pr escription , ECME dis plays as i tem #6. If the presc ription is a CMOP pr escription , CMOP dis plays as i tem #6.
	8436	Example: A ctivity Lo g (continu ed)
	8437	Rx Activit y Log Jun 0 8, 2001 11 :02:51 Page: 1 of 2
	8438	OPPATIENT1 6,ONE
	8439	PID: 000 -24-6802 Ht(cm) : 177.80 ( 02/08/1999 )
	8440	DOB: APR 3,1941 (6 0) Wt(kg) : 90.45 (0 2/08/1999)
	8441	Rx #: 5039 04 Origi nal Fill R eleased: 5 /25/01
	8442	Routing: W indow Finished by: OPPHAR MACIST4,TH REE
	8443	Refill Log :
	8444	# Log Dat e Refill Date Qty Routing L ot # Ph armacist
	8445	========== ========== ========== ========== ========== ========== ==========
	8446	There are NO Refills For this Prescript ion
	8447	Partial Fi lls:
	8448	# Log Da te Date Qty Rout ing Lot # Ph armacist
	8449	========== ========== ========== ========== ========== ========== ==========
	8450	There are NO Partial s for this Prescript ion
	8451	Activity L og:
	8452	# Date Reas on Rx Ref Init iator Of A ctivity
	8453	========== ========== ========== ========== ========== ========== ==========
	8454	1 05/25/ 01 ORIGINAL
	8455	Comments: Patient In structions Not Sent By Provide r.
	8456	2 05/25/ 01 PROC ESSED ORIGINAL OPPH ARMACIST4, THREE
	8457	Comments: Label neve r queued t o print by User
	8458	Label Log:
	8459	# Date Rx R ef Printed By
	8460	========== ========== ========== ========== ========== ========== ==========
	8461	1 09/25/ 06 ORIG INAL OPPHARMA CIST31,THR EE
	8462	Comments: ScripTalk label prin ted
	8463	2 09/25/ 06 ORIG INAL OPPROVID ER,ONE
	8464	Comments: ROUTING=WI NDOW (BAD ADDRESS)
	8465
	8466	Copay Acti vity Log:
	8467	# Date Reas on Rx Ref Init iator Of A ctivity
	8468	========== ========== ========== ========== ========== ========== ==========
	8469	There’s NO Copay act ivity to r eport
	8470	ECME Log:
	8471	# Date/T ime Rx Ref Initiator Of Activit y
	8472	========== ========== ========== ========== ========== ========== ========== =========
	8473	1 11/30/ 05@18:38:2 9 ORIGIN AL OPPHARMACI ST,ONE
	8474	Comments: No claim s ubmission made. Bil ling Deter mination w as: DRUG N OT BILLABL E.
	8475	[This sho ws an exte nded view of what di splays on the scree n.]
	8476	Enter ?? f or more ac tions
	8477	Select Act ion:Quit// <Enter>
	8478	The Activi ty Logs wi ll appear the same a s the OP l ogs with t he excepti on of the addition o f a CMOP E vent Log. Here is an example o f a sample CMOP Even t Log:
	8479	Rx Activit y Log Ju l 06, 2006 09:54:24 P age: 2 of 2
	8480	OPPATIENT2 ,ONE
	8481	PID: 000 -23-4567 Ht(cm): 1 88.40 (12 /02/00)
	8482	DOB: DEC 14,1060 ( 34) Wt(kg): 1 09.10 (12 /02/00)
	8483	CMOP Event Log:
	8484	Date/Time Rx Ref TRN-Orde r Sta t Commen ts
	8485	========== ========== ========== ========== ========== ========== ========== ========
	8486	09/17/00@1 526 Ref 1 267-4 D ISP NDC : 1234TEST 5678
	8487	CMOP Lot#/ Expiration Date Log:
	8488	Rx Ref Lot # Expiratio n Date
	8489	========== ========== ========== ========== ========== ========== ========== ========
	8490	Ref 1 1234TST 07/07/00
	8491	Enter ?? f or more ac tions
	8492	Select Act ion:Quit// <Enter>
	8493	If this we re an ePha rmacy pres cription, the prompt will disp lay as fol lows:
	8494	Select Act ivity Log by number
	8495	1. Refill 2. Partial 3. Act ivity 4. Labels
	8496	5. Copay 6. ECME 7. All Logs: (1 -7): 7/// 6
	8497	For an ePh armacy pre scription, the ECME Event Log displays b efore the CMOP Event Log.
	8498	Example: E CME Event Log of an ePharmacy prescripti on
	8499	Rx Activit y Log Nov 07, 20 05@12:23:3 7 Page: 1 of 1
	8500	OPPATIENT, FOUR
	8501	PID: 000 -01-1322P Ht(cm): _______ (_ _____)
	8502	DOB: NOV 12,1075 ( 29) Wt(kg): _ ______ (__ ____)
	8503	Rx #: 1000 03861 Or iginal Fil l Released :
	8504	Routing: W indow Finished by: OPPHAR MACIST4,TH REE
	8505	ECME Log:
	8506	# Date Rx R ef Initiator Of Activi ty
	8507	========== ========== ========== ========== ========== ========== ========== =========
	8508	1 5/16/0 7@14:40:40 ORIGI NAL OPPHARMACI ST4,THREE
	8509	Comments: ECME:WINDO W FILL(NDC :00058-246 7-05)-E PA YABLE-pOPP INSURANCE
	8510	2 5/16/0 7@14:40:40 ORIGIN AL OPPHARMACI ST4,THREE
	8511	Comments: Billing qu antity sub mitted thr ough ECME: 25.000 (M L)
	8512	3 5/20/0 7@14:21:52 ORIGI NAL OPPHARMAC IST4,THREE
	8513	Comments: ECME:REJEC T WORKLIST -DUR OVERR IDE CODES( AD/AS/1B)- E
	8514	REJECTED- pOPP INSUR ANCE
	8515	4 5/20/0 7@14:21:52 ORIGI NAL OPPHARMAC IST4,THREE
	8516	Comments: Billing qu antity sub mitted thr ough ECME: 25.000 (M L)
	8517	========== ========== ========== ========== ========== ========== ========== =========
	8518	Enter ?? f or more ac tions
	8519	Select Act ion:Quit// <Enter>
	8520	The activi ty log has an entry indicating that the Rx has bee n sent to the extern al interfa ce. With p atch PSO7 354, this activity entry is e nhanced to indicate the routin g automate d dispensi ng device. The Domai n Name Ser ver (DNS) informatio n of the a utomated d ispensing device is appended t o the Comm ent field of the act ivity log. This is u sually an IP address or the DN S name.
	8521	The activi ty log was also upda ted to dis play the m ail tracki ng informa tion avail able in th e RXD-13 s egment of the HL7 me ssage rece ived by Vi stA from t he externa l dispensi ng interfa ce.
	8522	Example: A ctivity Lo g with Mul tiple Disp ensing Dev ices
	8523	Rx Activit y Log May 23, 20 11@12:30:1 2 Page: 2 of 3
	8524	OUTPATIENT ,SIX <A>
	8525	PID: 355 -43-4343 Ht(cm): _ ______ (__ ____)
	8526	DOB: OCT 29,1932 ( 78) Wt(kg): _ ______ (__ ____)
	8527	+
	8528	1 05/04/ 11 REPR INT ORIGINAL OPPH ARMACIST4, FOUR
	8529	Comments: TESTING MU LTIDEVICES (1 COPIES )
	8530	2 05/04/ 11 X-IN TERFACE ORIGINAL OPPH ARMACIST4, FOUR
	8531	Comments: Prescripti on (Reprin t) sent to external interface.
	8532	3 05/04/ 11 X-IN TERFACE ORIGINAL POST MASTER
	8533	Comments: HL7 ID - 5 0073974 ME SSAGE TRAN SMITTED TO IP
	8534	4 05/04/ 11 X-IN TERFACE ORIGINAL POST MASTER
	8535	Comments: HL7 ID - 5 0073975 ME SSAGE TRAN SMITTED TO IP
	8536	5 05/04/ 11 DISP COMPLETED ORIGINAL
	8537	Comments: External I nterface D ispensing is Complet e. Fille d By: OPTE CH,ONE
	8538	Checking P harmacist: OPPHARMAC IST4,FOUR
	8539	Mail Track ing Info.: USPS #123 456789 rec eived at 0 5/04/11@15 :32:23
	8540	Label Log:
	8541	# Date Rx R ef Printed By
	8542	========== ========== ========== ========== ========== ========== ========== =========
	8543	1 05/02/ 11 ORIG INAL OPPHARMA CIST4,FIVE
	8544	Comments: From RX nu mber 10000 2987
	8545	2 05/04/ 11 ORIG INAL OPPHARMA CIST4,FOUR
	8546	Comments: From RX nu mber 10000 2987 (Repr int)
	8547	+ Enter ?? f or more ac tions
	8548	Select Act ion:Next S creen//
	8549	For HOLD/U NHOLD of p rescriptio ns, the ac tivity log entries i nclude HOL D COMMENTS and the HOLD REASO N when a p rescriptio n is place d on HOLD and UNHOLD COMMENTS when the p rescriptio n is remov ed from HO LD.
	8550	Example: A ctivity Lo g with HOL D/UNHOLD C omments
	8551	Activity L og:
	8552	# Date Reason Rx Ref Initiato r Of Activ ity
	8553	...
	8554	8 05/10/12 HOLD REF ILL 1 USER,PHA RMACY
	8555	Comm ents: Rx p laced on H OLD (Reaso n: BAD ADD RESS) and removed fr om
	8556	SUSPE NSE - HOLD COMMENTS ENTERED BY THE USER MANUALLY.
	8557	...
	8558	9 05/10/12 UNHOLD REF ILL 1 USER,PHA RMACY
	8559	Comm ents: Rx R emoved fro m HOLD - U NHOLD COMM ENTS ENTER ED BY THE USER
	8560	WHEN REMOVING THE RX FRO M HOLD.
	8561	The activi ty logs fo r both Tit ration and Maintenan ce Rx's wi ll record the corre sponding T itration a nd Mainten ance Rx # if they ex ist.
	8562	Example: A ctivity Lo g with act ivity logs for both Titration and Mainte nance Rx's
	8563	Titration Rx:
	8564	---------- --
	8565	# Date Reas on Rx Ref Init iator of A ctivity
	8566	========== ========== ========== ========== ========== ========== ==========
	8567	1 09/29/ 08 EDIT ORIGINAL OPUS ER,ONE
	8568	Comments: Maintenanc e Dose Rx: 100005130
	8569	Maintenanc e Rx:
	8570	---------- ----
	8571	# Date Reas on Rx Ref Init iator of A ctivity
	8572	========== ========== ========== ========== ========== ========== ==========
	8573	1 09/29/ 08 EDIT ORIGINAL OPUS ER,TWO
	8574	Comments: Titration Dose Rx: 1 00005392
	8575	Discontinu e Prescrip tion(s) XE "Disconti nue Prescr iption(s)"
	8576	[PSO C]
	8577	This optio n is used either to discontinu e a prescr iption wit hout delet ing its re cord from the files, or to rei nstate a p rescriptio n disconti nued by ph armacy.
	8578	Example: D iscontinui ng a presc ription
	8579	Select Rx (Prescript ions) Opti on: DISCON TINUE Pres cription(s )
	8580	Discontinu e/Reinstat e by Rx# o r patient name: (R/ P): PATIEN T NAME
	8581	Are you en tering the patient n ame or bar code: (P/ B): Patien t Name
	8582	Select PAT IENT NAME: OPPATIENT 16,ONE OP PATIENT16, ONE 9-7-52 000246802
	8583	YES SC VETE RAN
	8584	ISSUE LA ST REF DAY
	8585	RX # DRU G QTY ST DATE FI LL REM SUP
	8586	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	8587	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	8588	1 1000032 18 AMP ICILLIN 50 0MG CAP 10 A 05-11 05- 11 5 30
	8589	2 1000032 38 PRE DNISONE 5M G TAB 30 A 05-30 05- 30 3 10
	8590	3 1000032 05$ TRI PROLIDINE & PSEUDOEP HEDRINE 10 A 05-01 05- 01 5 31
	8591	---------- ---------- ---------- ----DISCON TINUED---- ---------- ---------- ----------
	8592	4 1000032 16$ AMP ICILLIN 10 GM INJ. M. D.V. 30 DC 05-07 05- 07 5 30
	8593	5 1000032 14 PRE DNISONE 1M G TAB 30 DE 05-07 05- 07 3 10
	8594	Press RETU RN to cont inue: <Ent er>
	8595	Discontinu e all or s pecific Rx #'s?: (A/ S): SPECIF IC Rx's
	8596	ENTER THE LINE #: ( 1-5): 2
	8597	Comments: RESTRICTE D/NF MED
	8598	Nature of Order: SER VICE CORRE CTION// ??
	8599	Require Prin t Prin t on
	8600	Nature o f Order Ac tivity E .Signature Chart C opy Summ ary
	8601	-------- ---------- ------ - ---------- ------- --- ---- ----
	8602	WRITTEN x
	8603	VERBAL x x x
	8604	TELEPHON ED x x x
	8605	SERVICE CORRECTION
	8606	POLICY x x
	8607	DUPLICAT E
	8608	SERVICE REJECT x x
	8609	Nature of Order: SER VICE CORRE CTION// SE RVICE REJE CT R
	8610	Requesting PROVIDER: OPPROVIDE R30,TWO // <Enter> TO
	8611	100003238 PREDNISON E 5MG TAB OPPATIEN T16,ONE
	8612	Rx to be Discon tinued
	8613	Press Retu rn to Cont inue: <Ent er>
	8614	OK to Disc ontinue? N // YES
	8615	When a pre scription is discont inued, the software checks for any unres olved ECME rejection s for that prescript ion. If a DUR REJECT or REFILL TOO SOON REJECT is found, it will be ma rked resol ved with t he reason PRESCRIPTI ON DISCONT INUED.
	8616	When an eP harmacy pr escription is discon tinued, th e software checks fo r any unre leased fil ls with a PAYABLE cl aim. If fo und, a rev ersal requ est is sen t to ECME, which for wards it o n to the t hird party payer.
	8617	When a pen ding renew al order i s disconti nued, Outp atient Pha rmacy veri fies if th ere is an active pre scription for the sa me drug. I f an activ e prescrip tion is fo und, you a re prompte d with “Th ere is an active Rx for this p ending ord er, Discon tinue both (Y/N)?” I f you resp ond YES, b oth the pe nding orde r and the active ord er are dis continued. If you re spond NO, only the p ending ord er is disc ontinued a nd the act ive order is not dis continued.
	8618	E XE "Edit Prescript ion(s)" di t Prescrip tions
	8619	[PSO EXEDI T]
	8620	This optio n allows c hanges to be made to entered o rders. New ly entered orders ca n be edite d before r elease by typing in the corres ponding fi eld number . Previous ly entered orders ca n be edite d by enter ing the pr escription number, t hen specif ying the f ield to be edited. A n asterisk or star ( *) is show n in front of each f ield that will creat e a new or der if it is changed . See the section “E diting an Order” for an exampl e.
	8621	When editi ng fields preceded b y an aster isk (*) in an ePharm acy order (or electr onically t hird party billable prescripti on), upon acceptance of the ed ited 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, the claim for that fill will be r eversed. A new claim is create d for the new prescr iption. Se e “Editing an ePharm acy Order” for an ex ample of e diting ePh armacy ord ers.
	8622	MAXIMUM DA YS SUPPLY
	8623	Maximum Da ys Supply has been a dded to bo th the VA PRODUCT Fi le (50.68) and the D rug File ( #50.0). T his field allows the user to i ncrease th e Max Days supply al lowed for a drug to greater th an 90 up t o 365. Co ntrolled s ubstances will remai n at 1-90 days suppl y.
	8624	With the a ddition of Max Days Supply, Da ys Supply can now be entered f rom 1-365 for a drug .
	8625	Important Note: When the MAXIM UM DAYS SU PPLY is po pulated in both the VA PRODUCT File (50. 68) and th e Drug Fil e (#50), t he lower o f the two values tak es priorit y.
	8626	Example: D AYS SUPPLY : (1-90): 90// ( Active Ord er)
	8627	The MAXIMU M DAYS SUP PLY in the Drug File (#50) and the MAXIM UM DAYS SU PPLY in th e VA PRODU CT File (# 50.68) are NOT set.
	8628	The MAXIMU M DAYS SUP PLY for th e Drug Fil e (#50) is a NULL va lue.
	8629	The MAXIMU M DAYS SUP PLY for th e VA PRODU CT File (# 50.68) is a NULL val ue.
	8630	The DAYS S UPPLY for this presc ription ca n be set t o a maximu m of 90.
	8631	OP Medicat ions (ACTI VE) May 26, 20 16@10:33:1 9 Page: 1 of 3
	8632	TEST,PATIE NT <NO ALLERG Y ASSESSME NT>
	8633	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	8634	DOB: JAN 2,1947 (6 9) Wt(kg): _ ______ (__ ____)
	8635	SEX: MAL E
	8636	CrCL: <No t Found> B SA (m2): _ ______
	8637	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	8638	Rx # : 10000261 0$
	8639	(1) *Orde rable Item : ASPIRIN TAB
	8640	(2) Drug : ASPIRIN BUFFERED 3 25MG TAB
	8641	NDC : 00182-01 96-10
	8642	(3) *Dosage : 325 (MG)
	8643	Verb : TAKE
	8644	Disp ense Units : 1
	8645	Noun : TABLET
	8646	*Route : ORAL (BY MOUTH)
	8647	*Schedule : PRN
	8648	(4)Pat In structions :
	8649	SIG : TAKE ONE TABLET BY MOUTH AS NEEDED
	8650	(5) Patie nt Status: OPT NSC
	8651	(6) Issue Date : 05/26/16 (7) Fill Date: 05/26/16
	8652	Last Fill Date : 05/26/16 (Window)
	8653	Last Re lease Date : (8) Lot #:
	8654	Expires : 05/27/17 MFG:
	8655	(9) D ays Supply : 90 (10) QTY (CAP): 90
	8656	(11) # of Refills : 3 Remaining: 3
	8657	(12) Provider : XXXX,XXX XX
	8658	(13) Routing : WINDOW (14) Copie s: 1
	8659	Method of Pickup :
	8660	(15) Clinic : Not on F ile
	8661	(16) Division : ALBANY ( 500)
	8662	+--------- Enter ?? F or more ac tions----- ---------- ---------- ---------- ----------
	8663	DC Disco ntinue PR Partial RL Rel ease
	8664	ED Edit RF Refill RN Ren ew
	8665	Select Act ion: Next Screen// 9
	8666	DAYS SUPPL Y: (1-90) : 90//
	8667	Example: D AYS SUPPLY : (1-265) : 90// (Active Or der)
	8668	MAXIMUM DA YS SUPPLY in the Dru g File (#5 0) is grea ter than t he MAXIMUM DAYS SUPP LY in the VA PRODUCT File (#50 .68).
	8669	The MAXIMU M DAYS SUP PLY for th e Drug Fil e (#50) is 365.
	8670	The MAXIMU M DAYS SUP PLY for th e VA PRODU CT File (# 50.68) is null.
	8671	After an u pdate from the Pharm acy Produc t System f or a maxim um days su pply of 26 5 the foll owing woul d occur:
	8672	The MAXIMU M DAYS SUP PLY for th e Drug Fil e (#50) is 365.
	8673	The MAXIMU M DAYS SUP PLY for th e VA PRODU CT File (# 50.68) is 265.
	8674	In this sc enario, th e value in the VA PR ODUCT File (#50.68) takes prio rity since it is the lower of the two va lues.
	8675	The DAYS S UPPLY for this presc ription ca n be set t o a maximu m of 265.
	8676	OP Medicat ions (ACTI VE) May 25, 20 16@17:18:4 7 Page: 1 of 3
	8677	TEST,PATIE NT <NO ALLERG Y ASSESSME NT>
	8678	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	8679	DOB: JAN 2,1947 (6 9) Wt(kg): _ ______ (__ ____)
	8680	SEX: MAL E
	8681	CrCL: <No t Found> B SA (m2): _ ______
	8682	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	8683	Rx # : 10000260 9$
	8684	(1) *Orde rable Item : ASPIRIN TAB
	8685	(2) Drug : ASPIRIN BUFFERED 3 25MG TAB
	8686	NDC : 00182-01 96-10
	8687	(3) *Dosage : 325 (MG)
	8688	Verb : TAKE
	8689	Disp ense Units : 1
	8690	Noun : TABLET
	8691	*Route : ORAL (BY MOUTH)
	8692	*Schedule : PRN
	8693	(4)Pat In structions :
	8694	SIG : TAKE ONE TABLET BY MOUTH AS NEEDED
	8695	(5) Patie nt Status: OPT NSC
	8696	(6) Issue Date : 05/25/16 (7) Fill Date: 05/25/16
	8697	Last Fill Date : 05/25/16 (Window)
	8698	Last Re lease Date : (8) Lot #:
	8699	Expires : 05/26/17 MFG:
	8700	(9) D ays Supply : 90 (10) QTY (CAP): 90
	8701	(11) # of Refills : 3 Remaining: 3
	8702	(12) Provider : XXXX,XXX XX
	8703	(13) Routing : WINDOW (14) Copie s: 1
	8704	Method of Pickup :
	8705	(15) Clinic : Not on F ile
	8706	(16) Division : ALBANY ( 500)
	8707	+--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ----------
	8708	DC Disco ntinue PR Partial RL Rel ease
	8709	ED Edit RF Refill RN Ren ew
	8710	Select Act ion: Next Screen// 9
	8711	DAYS SUPPL Y: (1-265 ): 90//
	8712	Example: D AYS SUPPLY : (1-250) : 90// (Active Or der)
	8713	MAXIMUM DA YS SUPPLY in the VA PRODUCT Fi le (#50.68 ) is great er than th e MAXIMUM DAYS SUPPL Y in the D rug File ( #50).
	8714	The MAXIMU M DAYS SUP PLY for th e Drug Fil e (#50) is 250.
	8715	The MAXIMU M DAYS SUP PLY for th e VA PRODU CT File (# 50.68) is 365.
	8716	In this sc enario, th e value in the Drug File (#50) takes pri ority sinc e it is th e lower of the two v alues.
	8717	The DAYS S UPPLY for this presc ription ca n be set t o a maximu m of 250.
	8718	OP Medicat ions (ACTI VE) May 25, 20 16@16:37:2 8 Page: 1 of 3
	8719	TEST,PATIE NT <NO ALLERG Y ASSESSME NT>
	8720	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	8721	DOB: JAN 2,1947 (6 9) Wt(kg): _ ______ (__ ____)
	8722	SEX: MAL E
	8723	CrCL: <No t Found> B SA (m2): _ ______
	8724	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	8725	Rx # : 10000260 8$
	8726	(1) *Orde rable Item : ASPIRIN TAB
	8727	(2) Drug : ASPIRIN BUFFERED 3 25MG TAB
	8728	NDC : 00182-01 96-10
	8729	(3) *Dosage : 325 (MG)
	8730	Verb : TAKE
	8731	Disp ense Units : 1
	8732	Noun : TABLET
	8733	*Route : ORAL (BY MOUTH)
	8734	*Schedule : PRN
	8735	(4)Pat In structions :
	8736	SIG : TAKE ONE TABLET BY MOUTH AS NEEDED
	8737	(5) Patie nt Status: OPT NSC
	8738	(6) Issue Date : 05/25/16 (7) Fill Date: 05/25/16
	8739	Last Fill Date : 05/25/16 (Window)
	8740	Last Re lease Date : (8) Lot #:
	8741	Expires : 05/26/17 MFG:
	8742	(9) D ays Supply : 90 (10) QTY (CAP): 90
	8743	(11) # of Refills : 3 Remaining: 3
	8744	(12) Provider : XXXX,XXX XX
	8745	(13) Routing : WINDOW (14) Copie s: 1
	8746	Method of Pickup :
	8747	(15) Clinic : Not on F ile
	8748	(16) Division : ALBANY ( 500)
	8749	+--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ----------
	8750	DC Disco ntinue PR Partial RL Rel ease
	8751	ED Edit RF Refill RN Ren ew
	8752	Select Act ion: Next Screen// 9
	8753	DAYS SUPPL Y: (1-250 ): 90//
	8754	Example: D AYS SUPPLY : (1-365) : 90// (Pending O rder)
	8755	MAXIMUM DA YS SUPPLY in the Dru g File (#5 0) is grea ter than t he MAXIMUM DAYS SUPP LY in the VA PRODUCT File (#50 .68)
	8756	The MAXIMU M DAYS SUP PLY for th e Drug Fil e (#50) is 365.
	8757	The MAXIMU M DAYS SUP PLY for th e VA PRODU CT File (# 50.68) is a NULL val ue.
	8758	In this sc enario, th e value in the Drug File (#50) takes pri ority sinc e it is th e only val ue.
	8759	The DAYS S UPPLY for this presc ription ca n be set t o a maximu m of 365.
	8760	Pending OP Orders (R OUTINE) May 31, 20 16@11:00:0 4 Page: 1 of 2
	8761	TEST,PATIE NT <NO ALLERG Y ASSESSME NT>
	8762	PID: 000 -00-0000 Ht(cm): _ ______ (__ ____)
	8763	DOB: JAN 2,1947 (6 9) Wt(kg): _ ______ (__ ____)
	8764	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	8765	*(1) Order able Item: ASPIRIN T AB
	8766	(2) Drug: ASPIRIN B UFFERED 32 5MG TAB
	8767	Dru g Message: INTEN
	8768	(3) *Dosage: 325 (MG)
	8769	Verb: TAKE
	8770	Dispe nse Units: 1
	8771	Noun: TABLET
	8772	*Route: ORAL (BY MOUTH)
	8773	*Schedule: PRN
	8774	(4) Pat Instruct:
	8775	Provider Comments:
	8776	Ins tructions: TAKE ONE TABLET PO PRN
	8777	SIG: TAKE ONE TABLET BY MOUTH AS N EEDED
	8778	(5) Patie nt Status: OPT NSC
	8779	(6) I ssue Date: MAY 31,20 16 (7) Fill D ate: MAY 3 1,2016
	8780	(8) Da ys Supply: 90 ( 9) QTY ( CAP): 90
	8781	Pro vider orde red 3 refi lls
	8782	(10) # o f Refills: 3 (1 1) Routi ng: WINDOW
	8783	(12) Clinic: 242
	8784	(13) Provider: XXXXX,XXX X
	8785	(14) Copies: 1
	8786	(15) Remarks:
	8787	Entry B y: XXXXX,X XXX En try Date: 05/31/16 1 0:56:42
	8788	---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ----------
	8789	BY Bypass DC Discontinu e FL Flag /Unflag
	8790	ED Edit FN Finish
	8791	Select Ite m(s): Quit // 8
	8792	DAYS SUPPL Y: (1-365 ): 90//
	8793	MAXIMUM DA YS SUPPLY
	8794	VA Product File (#50 .68) vs Lo cal Drug F ile (#50)D ays Supply VA Product File Loca l Drug Fil e Outpati ent Pharma cy
	8795	‘Days Supp ly’ Prompt 60NULLNULL Days Suppl y (1-90): 60//60NULL 365Days Su pply (1-36 5): 60//60 365365Days Supply (1 -365): 60/ /60300265D ays Supply (1-265): 60//603003 65****** ******** 60150NULLD ays Supply (1-150): 60//The ab ove table displays t he MAXIMUM DAYS SUPP LY for fil es 50.68 a nd 50, and the effec t on the d ays supply range dis played to the user i n Outpatie nt Pharmac y. The ma ximum valu e for the days suppl y is alway s the less er value i f the MAXI MUM DAYS S UPPLY is p opulated i n both fil es.
	8796	**The defa ult of 60 is set by the days s upply esta blished in the Rx Pa tient Stat us file (# 53).
	8797	When en tering a M AXIMUM DAY S SUPPLY v alue using the Drug Enter/Edit [PSS
	8798	DRUG ENT ER/EDIT], and the va lue is gre ater than the VA Pro duct File value, the
	8799	followin g message displays t o the user :
	8800	“Cannot be greater than NDF Maximum Da ys Supply: <value>”
	8801	The MAXIMU M DAYS SUP PLY value in the Loc al Drug Fi le (#50) s hould not exceed
	8802	the MAX IMUM DAYS SUPPLY val ue in the VA Product File (#50 .68).
	8803	DAW/NDC Ed it XE "DA W/NDC Edit "
	8804	The Dispen sed As Wri tten (DAW) /National Drug Code (NDC) fiel d for disc ontinued a nd expired orders ca n be edite d.
	8805	For ePharm acy prescr iptions, t he DAW/NDC field for discontin ued and ex pired orde rs can be edited. Th e followin g statuses are edita ble.
	8806	11 – EXPIR ED
	8807	12 – DISCO NTINUED
	8808	14 - DISCO NTINUED BY PROVIDER
	8809	15 - DISCO NTINUED (E DIT)
	8810	These are additional status re sults from the presc ription be ing discon tinued fro m CPRS. Fo r status 1 4 - DISCON TINUED BY PROVIDER, the user c an choose to discont inue the p rescriptio n in CPRS by selecti ng “Reques ting Physi cian Cance lled” for the reason .
	8811	The follow ing is an example of the activ ity log en try stored on the pr escription for this type of di scontinue:
	8812	1 06/20/ 08 DISC ONTINUED ORIGINAL OPPH ARM,ONE
	8813	Comments: Discontinu ed by OE/R R.
	8814	For status 15 - DISC ONTINUED ( EDIT), the user can edit a pre scription in CPRS wh ich discon tinues the prescript ion being edited res ulting in status 15 in the Out patient Ph armacy pac kage. The following is an exam ple of the activity log entry on the pre scription in OP:
	8815	2 06/05/ 08 DISC ONTINUED ORIGINAL OPHA RM,ONE
	8816	ePharmacy Menu XE "e Pharmacy M enu"
	8817	[PSO EPHAR MACY MENU]
	8818
	8819	The follow ing menu i tems are l ocked with the PSORP H key: ePh armacy Med ication Pr ofile Divi sion Prefe rences, Th ird Party Payer Reje cts – View /Process a nd Third P arty Payer Rejects – Worklist. The follo wing menu item is lo cked with the PSO TR ICARE/CHAM PVA MGR ke y: TRICARE CHAMPVA B ypass/Over ride Repor t. The ePh armacy Sit e Paramete rs [PSO eP HARM SITE PARAMETERS ] menu is locked wi th the PSO EPHARMACY SITE MANA GER Key.
	8820	The follow ing menu i tems allow the user to perform ePharmacy specific functions including rejections by third party paye rs includi ng DUR/RTS and has t he followi ng options :
	8821	Ignored Re jects Repo rt
	8822	ePharmacy Medication Profile ( View Only)
	8823	NDC Valida tion
	8824	ePharmacy Medication Profile D ivision Pr eferences
	8825	ePharmacy Site Param eters
	8826	Third Part y Payer Re jects – Vi ew/Process
	8827	Third Part y Payer Re jects – Wo rklist
	8828	TRICARE CH AMPVA Bypa ss/Overrid e Report
	8829	View ePhar macy Rx
	8830	Pharmacy P roductivit y/Revenue Report
	8831	DURs can o ccur when a third pa rty determ ines there are safet y issues i nvolved wi th an Rx c laim submi ssion, and they can be due to high dose, drug inte raction, a nd excessi ve utiliza tion. The third part y payer re turns an N CPDP rejec tion code of 88 to i ndicate a DUR.
	8832	Refill Too Soon reje ctions hap pen when a third par ty payer d etermines that a pre scription is being p rocessed t oo early c ompared to the last time the p rescriptio n was fill ed. This c an occur f or several reasons, including third part y payer’s policy dif fers from VA policy, patient r eceiving m edication at another pharmacy, or the pr ovider may have incr eased the dosage or frequency of the med ication. T he third p arty payer returns a n NCPDP re jection co de of 79 t o indicate a Refill Too Soon.
	8833	Prescripti ons reject ed as DUR, Reject Re solution R equired, a nd Refill Too Soon a re moved t o the REFI LL TOO SOO N/DUR REJE CT RESOLUT ION REQUIR ED (Third Party) sec tion of th e Medicati on Profile . Prescrip tions reje cted as Re ject Resol ution Requ ired, TRIC ARE and CH AMPVA are displayed in the OTH ER REJECTS PENDING R ESOLUTION section of the Medic ation Prof ile. The u ser must r esolve a r ejected pr escription before ot her action s such as release, l abel print , renew, a nd refill, among oth ers, can b e performe d on it. A ctions may still be taken on t hese presc riptions t hrough CPR S.
	8834	Ignored Re jects Repo rt XE "Ign ored Rejec ts Report"
	8835	[PSO IGNOR ED REJECTS REPORT]
	8836	This optio n gives th e user the ability t o run a re port for t hird-party rejects t hat have b een ignore d and cons equently c losed by t he pharmac y users.
	8837	The user c an select one of the following parameter s to filte r the data in the re port:
	8838	DIVISION: Allows the user to s elect one, some or a ll divisio ns.
	8839	DATE RANGE : Allows t he user to select a date range .
	8840	SORT BY: A llows the user to ch oose diffe rent field s to sort the report by. Any c ombination can be se lected:
	8841	PATIENT: A llows the user to se lect a sin gle, multi ple or all patients
	8842	DRUG: Allo ws the use r to selec t a single , multiple or all dr ugs.
	8843	USER: Allo ws the use r to selec t a single , multiple or all us ers that h ave ignore d third pa rty reject s.
	8844	Even thoug h the repo rt display s the Bill ed Amount, that amou nt cannot be used to determine potential revenue. The Bille d Amount s hows what was billed to the th ird-party payer.
	8845	Example: I gnored Rej ects Repor t
	8846	Select ePh armacy Men u Option: IR Ignore d Rejects Report
	8847	You may se lect a sin gle or mul tiple DIVI SIONS,
	8848	or enter ^ ALL to sel ect all DI VISIONS.
	8849	DIVISION: ^ALL
	8850	BEGIN REJE CT DATE: 0 30606 (MA R 06, 2006 )
	8851	END REJE CT DATE: 0 61407 (JU N 14, 2007 )
	8852	Enter the SORT f ield(s) fo r this Rep ort:
	8853	1 - PATIENT
	8854	2 - DRUG
	8855	3 - USER
	8856	Or any combinati on of the above, sep arated by comma,
	8857	as in these exam ples:
	8858	2,1 - BY PAT IENT, THEN DRUG
	8859	3,1, 2 - BY USE R, THEN BY PATIENT, THEN BY DR UG
	8860	SORT BY: P ATIENT// 1 ,2
	8861	SORT BY PATIENT
	8862	THEN BY DR UG
	8863	You may se lect a sin gle or mul tiple PATI ENTS,
	8864	or enter ^ ALL to sel ect all PA TIENTS.
	8865	PATIENT: ^ ALL
	8866	You may se lect a sin gle or mul tiple DRUG S,
	8867	or enter ^ ALL to sel ect all DR UGS.
	8868	DRUG: ^ALL
	8869	DEVICE: HO ME// [Sele ct Printer Device]
	8870	Ignored Re jects Repo rt Page: 1
	8871	Sorted by PATIENT, D RUG Di vision: AL BANY
	8872	Date Range : 03/06/20 07 - 06/14 /2007 Ru n Date: Ju n 15, 2007 @15:26:35
	8873	Note: Bill ed amount is what wa s billed a nd
	8874	cannot be used to de termine po tential re venue.
	8875	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	8876	Rx# DRUG PATI ENT IGNO RE DT IGNO RED BY
	8877	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	8878	1192029A SODIU M CHLORIDE 0.9% OPPA TIENT,ONE( 9999) 04/ 18/07 OPU SER,ONE
	8879	Billed Amo unt: 14.18
	8880	Comme nts: PATIE NT WAS RUN NING OUT O F DRUG.
	8881	Payer Mess age: NEXT RFL 041907 ,DAYS TO R FL 1,LAST FILL 11270 6 VIA MAIL ,REFILL
	8882	TOO S OON.
	8883	2990211 ALEND RONATE 70M G/75M OPPA TIENT,TWO( 0000) 05/ 20/07 OPU SER,ONE
	8884	Billed Amo unt: 21.99
	8885	Comme nts: NEXT POSSIBLE F ILL WAS TO O FAR OUT.
	8886	Payer Mess age: PLAN LIMIT EXCE EDED. NEXT POSSIBLE FILL: 05/2 9/2007
	8887	TOTAL: 2 P atients.
	8888	ePharmacy Medication Profile ( View Only)
	8889	[PSO PMP]
	8890	Although t he name in dicates “e Pharmacy M edication Profile”, this optio n can be u sed to lis t the medi cation pro file for a ny patient on file. It will be used most ly by ePha rmacy user s for clai ms researc h purposes . This fun ctionality is also a vailable f rom the Re ject Workl ist throug h the Medi cation Pro file (MP) action.
	8891	Example 1: Medicatio n Profile with defau lt view
	8892	Patient Me dication P rofile Jun 04, 20 07@19:22:1 6 Page: 1 of 1
	8893	OPPATIENT, ONE <A>
	8894	PID: 000 -12-5678 HEI GHT(cm): 1 75.26 (11/ 21/2006)
	8895	DOB: NOV 28,1946 ( 60) WEI GHT(kg): 1 08.18 (08/ 09/2007)
	8896	SEX: MAL E EXP/CANCEL CUTOFF: 1 20 DAY .
	8897	I SSUE LA ST REF DAY
	8898	# Rx# DR UG [^] QTY ST D ATE FI LL REM SUP
	8899	1 100004 112e AL BUTEROL IN HALER 1 A 0 4-21-07 04 -21-07 11 7
	8900	2 300483 e AL PRAZOLAM 0 .25MG TABS 30 DC 0 6-14-07 06 -14-07 11 30
	8901	3 100004 113e AM ITRIPTYLIN E 10MG TAB 60 A 0 4-21-07 04 -21-07 11 30
	8902	4 100004 075e CA BERGOLINE 0.5MG TAB 7 E 0 5-18-05 05 -18-05 6 7
	8903	5 100004 155 DE SIPRAMINE 25MG 90 S 0 2-23-07 02 -11-07 11 90
	8904	6 100004 022$e DI GOXIN 0.05 MG/ML ELIX (60CC) 30 A 0 2-01-07 02 -20-07 10 90
	8905	7 100004 081 ME TAPROTEREN OL 5% SOLU TION 10ML 15 DC 0 6-02-07 06 -03-07 11 15
	8906	8 100004 082 ME TAPROTEREN OL 5% SOLU TION 10ML 10 DC 0 6-02-07 06 -03-07 11 10
	8907	9 100004 083e ME TAPROTEREN OL 5% SOLU TION 10ML 15 A> 0 6-02-07 06 -23-07 11 15
	8908	10 100004 079e NI COTINE 10M G/ML SOLN NASAL SPRA Y 1 A> 0 6-02-07 06 -23-07 11 15
	8909	11 100003 298 SI MVASTATIN 20MG TAB 5 DC 0 5-28-05 04 -27-07 3 30
	8910	12 100003 298A SO DIUM CHLOR IDE 0.9% N ASAL SOLN( O 1 A 0 5-10-07 05 -10-07 11 30
	8911	13 100004 070e VA LSARTAN 80 MG TAB 5 S 0 6-28-07 05 -31-07 11 30
	8912	PENDING (2 order)
	8913	14 ALBUTE ROL INHALE R RF 0 6-03-07 2 30
	8914	15 AMITRI PTYLINE 10 MG TAB RN 0 6-02-07 3 10
	8915	Non-VA MED S (Not dis pensed by VA) (1 ord er)
	8916	16 TAMOXI FEN CITRAT E 10MG TAB S Date Docum ented: 06/ 04/07
	8917	Enter ?? f or more ac tions
	8918	CV Change View PI Patient In formation SIG Show /Hide SIG
	8919	GS Group by Status PU Patient Re cord Updat e
	8920	Select: Qu it//
	8921	The follow ing option s are avai lable as H idden Menu actions o n this scr een.
	8922	DR - Sort by Drug
	8923
	8924
	8925	LF - Sort by Last Fi ll
	8926	RX - Sort by Prescri ption
	8927
	8928	ID - Sort by Issue D ate
	8929	RDD - Swit ch between LAST FILL and LAST RELD (rele ase date)
	8930	After sele cting a pr escription on this s creen, the REJ optio n is avail able on th e “RX View ” screen’s hidden me nu. This a ction disp lays third party rej ect inform ation for the prescr iptions wi th third p arty rejec ts.
	8931	The CV (Ch ange View) option al lows the u ser to cha nge some c haracteris tics of th e screen a bove. The user can a lso save a nd/or dele te prefere nces, whic h will be used every time the user runs the Medica tion Profi le option or invokes it from t he Reject Worklist. The users can have o ne set of preference s for each Division defined.
	8932	Example 2: Change Vi ew action
	8933	Enter CV a t the “Sel ect:” prom pt to chan ge the vie w preferen ces.
	8934	OPPRO VIDER,ONE' s current default vi ew (ALBANY ):
	8935	----- ---------- ---------- ---------- ----
	8936	EXP/C ANCEL CUTO FF : 120 DAYS
	8937	SORT BY : DRUG NAME
	8938	SORT ORDER : ASCE NDING
	8939	DISPL AY SIG : NO
	8940	GROUP BY STATUS : YES
	8941	DISPL AY ORDER C OUNT: YES
	8942	Delet e this def ault view? NO// <Ent er>
	8943	EXP/CANCEL CUTOFF: 1 20// 120 D AYS
	8944	SORT BY: D R// DRUG N AME
	8945	SORT ORDER : ASCENDIN G// ASCEND ING
	8946	DISPLAY SI G: OFF// O FF
	8947	GROUP BY S TATUS: OFF // ON
	8948	DISPLAY OR DER COUNT: ON// OFF
	8949	Save as yo ur default View? NO/ / YES
	8950	Saving...O K!
	8951	Example 3: Display S IG action
	8952	Enter SIG at the “Se lect:” pro mpt to tog gle the Si g display on or off.
	8953	Patient Me dication P rofile Jun 04, 20 07@19:22:1 6 Page: 1 of 1
	8954	PID: 000 -12-5678 HEI GHT(cm): 1 75.26 (11/ 21/2006)
	8955	DOB: NOV 28,1946 ( 60) WEI GHT(kg): 1 08.18 (08/ 09/2007)
	8956	SEX: MAL E EXP/CANCEL CUTOFF: 1 20 DAY .
	8957	IS SUE LAS T DAY
	8958	# Rx# DR UG [^] QTY ST DA TE FIL L SUP
	8959	1 100004 112e AL BUTEROL IN HALER 1 A 04 -21-07 04- 21-07 7
	8960	SIG: T AKE ONE TA BLET BY MO UTH TWICE A DAY
	8961	2 300483 e AL PRAZOLAM 0 .25MG TABS 30 DC 06 -14-07 06- 14-07 30
	8962	SIG: T AKE 2 CAPS ULES BY MO UTH TAKE
	8963	3 100004 113e AM ITRIPTYLIN E 10MG TAB 60 A 04 -21-07 04- 21-07 30
	8964	SIG: T AKE TWO BY MOUTH EVE RY DAY
	8965	4 100004 075e CE FOPERAZONE 7 E 05 -18-05 05- 18-05 7
	8966	SIG: T AKE 1 TABL ESPOONFUL BY MOUTH Q 4-6H AS NE EDED
	8967	5 100004 155 DE SIPRAMINE 25MG 90 S 02 -23-07 02- 11-07 90
	8968	SIG: T AKE ONE TA BLET BY MO UTH TWICE A DAY
	8969	6 100004 022$e DI GOXIN 0.05 MG/ML ELIX (60CC) 30 A 02 -01-07 02- 20-07 90
	8970	SIG: 3 00 LB BY M OUTH EVERY FOUR HOUR S
	8971	7 100004 081 ME TAPROTEREN OL 5% SOLU TION 10ML 15 DC 06 -02-07 06- 03-07 15
	8972	SIG: T AKE 1 TABL ESPOONFUL BY MOUTH Q 4-6H AS NE EDED
	8973	8 100004 082 ME TAPROTEREN OL 5% SOLU TION 10ML 10 DC 06 -02-07 06- 03-07 10
	8974	SIG: T AKE 2 TABL ESPOONFUL BY MOUTH Q 4-6H AS NE EDED
	8975	9 100004 083e ME TAPROTEREN OL 5% SOLU TION 10ML 15 A 06 -02-07 06- 23-07 15
	8976	SIG: T AKE 3 TABL ESPOONFUL BY MOUTH Q 4-6H AS NE EDED
	8977	Enter ?? f or more ac tions
	8978	CV Change View PI Patient In formation SIG Show /Hide SIG
	8979	GS Group by Status PU Patient Re cord Updat e
	8980	Select: Qu it//
	8981	NDC Valida tion XE "N DC Validat ion"
	8982	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 the prescripti on number or scan th e bar code of the ex isting pre scription label. The n the user may manua lly enter or scan th e NDC of t he stock b ottle used to fill t he prescri ption. Whe n the syst em matches the NDC, confirmati on is prov ided to th e pharmacy tech and allows the technicia n to conti nue proces sing. Howe ver, if th e system d etects a m ismatch an d the NDC of the sto ck bottle has an ass ociated en try in the synonym f ile, the N DC will be updated i n Prescrip tion file (#52) for the fill. The system will then prompt th e technici an to pres s enter to continue, a new lab el will be printed, the origin al electro nic claim reversed, and a new claim subm ission wil l be trans mitted wit h the new NDC. In th e event th at the rev ised NDC p rompts a R TS/DUR rej ection, th e system w ill immedi ately send the item to the Rej ect Workli st.
	8983	In a case where the NDC entere d is not d efined for the drug in the Dru g File, th e system p rompts the technicia n that a m ismatch ha s occurred and the p rescriptio n needs to be valida ted by a p harmacist. The syste m notes th at the NDC had not b een valida ted and al lows the p harmacy te ch to move to the ne xt prescri ption. In the event of a chang e of NDC p rompted a rejection, the syste m immediat ely sends the item t o the Reje ct Worklis t.
	8984	The releas ing pharma cist will receive a notation t hat NDC ha s been val idated by technician when proc essing. If the NDC c hange has prompted a claim rev ersal and produced a RTS/DUR r ejection, the pharma cist will be present ed with a Reject Pro cessing sc reen at re lease.
	8985	Example: M atched NDC :
	8986	Select ePh armacy Men u Option: NV NDC Va lidation
	8987	Prescripti on: 101310 DIP YRIDAMOLE 25MG TAB
	8988	Rx: 101310 Fill: 0 Patient: O PPATIENT,O NE
	8989	Drug: DIPY RIDAMOLE 2 5MG TAB NDC: 00597 -0017-10
	8990	Prescripti on label N DC: 00597- 0017-10
	8991	Stock NDC: 005970017 10
	8992	NDC match confirmed
	8993	Prescripti on:
	8994	Example: N on-matched NDC:
	8995	Prescripti on: 101 341 BI PERIDEN 2M G TAB
	8996	Rx: 101341 Fill: 0 Patient: O PPATIENT,O NE
	8997	Drug: BIPE RIDEN 2MG TAB NDC: 00044 -0120-05
	8998	Prescripti on label N DC: 00044- 0120-05
	8999	Stock NDC: 000440120 06
	9000	Due to a c hange in N DC, a clai ms reversa l and resu bmission w ill be per formed.
	9001	Veteran Pr escription 101341 su ccessfully submitted to ECME f or claim g eneration.
	9002	Claim Stat us:
	9003	IN PROGRES S-Building the claim
	9004	IN PROGRES S-Transmit ting
	9005	E PAYABLE
	9006	Prescripti on:
	9007	ePharmacy Medication Profile D ivision Pr eferences XE "ePharm acy Medica tion Profi le Divisio n Preferen ces"
	9008	[PSO PMP S ITE PREFER ENCES]
	9009	This optio n allows t he user to specify c ertain set tings that will cont rol how th e ePharmac y Medicati on Profile option wo rks for th at user. B elow is th e list of settings t hat can be specified through t his option :
	9010	EXP/CANCEL CUTOFF: I ndicates t he maximum number of days for an expired and/or di scontinued prescript ion to be cut from t he profile .
	9011	SORT BY: I ndicates t he default sorting c olumn. The options a re: Rx#, D rug Name, Issue Date or Last F ill Date.
	9012	SORT ORDER : Indicate s the orde r in which the colum n above wi ll be sort ed: Ascend ing or Des cending.
	9013	DISPLAY SI G: Indicat es whether the SIG s hould be d isplayed u nder each prescripti on or if i t should b e hidden.
	9014	GROUP BY S TATUS: Ind icates whe ther the l ist should be groupe d by statu s (Active, Discontin ued, Hold, etc…) or not.
	9015	DISPLAY OR DER COUNT: Indicates whether t he number of orders under each group sho uld be dis played bes ide the gr oup name. Example __ ____ACTIVE (3 orders )_____
	9016	Select ePh armacy Men u Option: PF ePharm acy Medica tion Profi le Divisio n Preferen ces
	9017	ALBAN Y ISC's cu rrent defa ult view:
	9018	----- ---------- ---------- --------
	9019	EXP/C ANCEL CUTO FF : 200 DAYS
	9020	SORT BY : Rx#
	9021	SORT ORDER : ASCE NDING
	9022	DISPL AY SIG : ON
	9023	GROUP BY STATUS : OFF
	9024	DISPL AY ORDER C OUNT: OFF
	9025	Delet e this def ault view? NO// <Ent er>
	9026	EXP/CANCEL CUTOFF: 2 00// <Ente r> DAYS
	9027	SORT BY: R X// <Ente r> Rx#
	9028	SORT ORDER : ASCENDIN G// ^EXP
	9029	EXP/CANCEL CUTOFF: 2 00// 120 D AYS
	9030	SORT BY: R X// <Ente r> Rx#
	9031	SORT ORDER : ASCENDIN G// <Enter >
	9032	DISPLAY SI G: ON// <E nter>
	9033	GROUP BY S TATUS: OFF // <Enter>
	9034	DISPLAY OR DER COUNT: OFF//<Ent er>
	9035	Saving...O K!
	9036
	9037	If there i s a set of preferenc es already on file f or the div ision the user is lo gged under , the opti on to dele te such pr eferences is present ed to the user as se en above.
	9038	ePharmacy Site Param eters XE " ePharmacy Site Param eters"
	9039	The ePharm acy Site P arameters file (#52. 86) stores the ePhar macy Site parameters by divisi on. The E PHARMACY S ITE PARAME TERS [PSO ePHARM SIT E PARAMETE RS] option can be ac cessed fro m the ePha rmacy Menu [PSO EPHA RMACY MENU ].
	9040
	9041	This optio n requires the PSO E PHARMACY S ITE MANAGE R security key.
	9042	The follow ing site p arameters are defina ble in the General P arameters section:
	9043	REJECT WOR KLIST DAYS : This is the number of days a n unresolv ed reject can remain on the Th ird Party Payer Reje cts – Work list witho ut being i ncluded in the night ly reject worklist a lert mail message.
	9044	EPHARMACY RESPONSE P AUSE: This defines t he length of an opti onal pause after the display o f the cla im transmi ssion mess ages for r ejects res olved from the Rejec t Worklist . The pau se can be set to a v alue from zero (0) t o three (3 ) seconds with a def ault of tw o (2) seco nds. The delay appe ars at the end of cl aims trans mission me ssaging an d will all ow the pha rmacist to read the transmissi on message s before d isplaying the next s creen
	9045	In the Tra nsfer Reje ct Paramet ers sectio n, the use r may ente r as many reject cod es as they desire al ong with t he manner in which e ach will b e allowed to be plac ed on the Third Part y Payer Re jects – Wo rklist. Th is is what appears i n the Tran sfer Rejec t Paramete rs section :
	9046	REJECT COD E: A valid third par ty claim r eject code should be entered. A listing of these c odes is pr ovided whe n double q uestion ma rks (??) a re entered for this prompt. Va lid codes are contai ned within the BPS N CPDP REJEC T CODES fi le (#90023 13.93). Al so, a valu e defined in this fi eld trigge rs definit ion of USE R field (# 2) and DAT E OF LAST UPDATE fie ld (#3).
	9047	AUTO SEND: This prom pt is a co mpanion to the REJEC T CODE pro mpt. Enter YES to al low the en tered REJE CT CODE to be automa tically pl aced on th e Pharmacy Reject Wo rklist or NO to requ ire Outpat ient Pharm acy Electr onic Claim s Coordina tor (OPECC ) interven tion to do so. A nul l value wi ll be trea ted the sa me as ente ring NO in this fiel d.
	9048	In the Rej ect Resolu tion Requi red Parame ters secti on, the us er may ent er as many reject co des as the y desire a long with the manner in which each will be allowed to be pla ced on the Third Par ty Payer R ejects – W orklist. T his is wha t appears in the Rej ect Resolu tion Requi red Parame ters secti on:
	9049	REJECT RES OLUTION RE QUIRED COD E: A valid third par ty claim r eject code should be entered. A listing of these c odes is pr ovided whe n double q uestion ma rks (??) a re entered for this prompt. Va lid codes are contai ned within the BPS N CPDP REJEC T CODES fi le (#90023 13.93).
	9050	THRESHOLD AMOUNT: Th is prompt is a compa nion to th e Reject R esolution Required C ode prompt . The thre shold amou nt is comp ared to th e gross am ount due f or the pre scription. If the gr oss amount due is eq ual to or greater th an the thr eshold amo unt, then the gross amount due has met t he thresho ld.
	9051	If a rejec t code is specified as a rejec t resoluti on require d code, an d that rej ect code i s received from a th ird party payer, the system wi ll evaluat e the pres cription f or Reject Resolution Required processing . The pres cription w ill not be filled if these cri teria are met: origi nal fill, Veteran el igibility, not relea sed, the r eject is o n the Reje ct Resolut ion Requir ed list fo r the curr ent divisi on, and th e total gr oss amount of the pr escription is at or above the specified threshold.
	9052	The short format dis plays the status in an abbrevi ated form. The follo wing is an explanati on of the Site Param eter actio ns:
	9053	ActionDesc riptionEdi t All Para meters [EA ]Edit all parameters on the sc reen. This action is a compila tion of Ed it General Parameter s [EG], Ed it Transfe r Reject C ode [ET], and Edit R ej. Resolu tion Requi red Code [ ER].Edit G eneral Par ameters [E G]Edit the General P arameters section of the scree n. Add, ed it, or del ete data.E dit Transf er Reject Code [ET]E dit the Tr ansfer Rej ect Code s ection of the screen . Add, edi t or delet e reject c odes and t he associa ted auto-s end parame ter.Edit R ej. Resolu tion Requi red Code [ ER]Edit th e Edit Rej . Resoluti on Require d Code sec tion of th e screen. Add, edit or delete reject cod es and the associate d threshol d paramete r.Copy Par ameters [C P]The para meters for the divis ion displa yed on the screen wi ll be copi ed to one or more se lected div isions. Al l paramete rs for the destinati on divisio ns are ove rwritten w hen the co py action is used.Di splay Site Parameter s [DP]Sele ct multipl e division s to displ ay paramet ersChange Division [ CD]Select a division to displa y on the s creenExit [EX]Exit t he ePharma cy Site Pa rameters o ptionExamp le: ePharm acy Site P arameter S creen
	9054	ePharmacy Site Param eters Jun 19, 20 15@15:28:4 4 Page: 1 of 2
	9055	Pharmacy D ivision: DNS ENNE VAM&R OC
	9056
	9057	Pharmacy D ivision: DNS ENNE VAM&R OC
	9058	General Parameters
	9059	Reject W orklist Da ys: 1
	9060	ePharmac y Response Pause: 0
	9061	Transfer Reject Co des
	9062	Code De scription Auto-Send
	9063	---- -- ---------- ---------- ---------- ---------- ---------- -------- ---------
	9064	56 No n-Matched Prescriber ID NO
	9065	57 No n-Matched PA/MC Numb er NO
	9066	58 No n-Matched Primary Pr escriber NO
	9067	60 Pr oduct/Serv ice Not Co vered For Patient Ag e YES
	9068	61 Pr oduct/Serv ice Not Co vered For Patient Ge nder YES
	9069	62 Pa tient/Card Holder ID Name Mism atch YES
	9070	+ Enter ?? f or more ac tions
	9071	EA Edit A ll Paramet ers CP Copy P arameters
	9072	EG Edit G eneral Par ameters DP Displa y Site Par ameters
	9073	ET Edit T ransfer Re ject Code CD Change Division
	9074	ER Edit R ej. Resolu tion Requi red Code EX Exit
	9075	Select Act ion: Next Screen//
	9076	Example: E dit Genera l Paramete rs (EG) ac tion
	9077	Select Act ion: Next Screen// E G Edit G eneral Par ameters
	9078	REJECT WOR KLIST DAYS : 1// ??
	9079	Th e number o f days an uncommente d reject c an remain on the rej ect
	9080	wo rklist wit hout being included in the nig htly rejec t worklist alert
	9081	ma il message .
	9082
	9083	REJECT WOR KLIST DAYS : 1//
	9084	EPHARMACY RESPONSE P AUSE: 2// ??
	9085	Th is field c ontains th e number o f seconds the claim status mes sage will
	9086	be displayed on the sc reen after the trans mission me ssage. The number
	9087	of seconds t o delay ma y be from 0 to 3 wit h the defa ult of 2 s econds.
	9088
	9089	EPHARMACY RESPONSE P AUSE: 2//
	9090	Example: E T (Edit Tr ansfer Rej ect Code) action
	9091	Select Act ion: Next Screen// E T Edit T ransfer Re ject Code
	9092	All transf er rejects will auto matically be placed on the Thi rd Party P ayer
	9093	Rejects - Worklist i f the reje ct code is defined i n the site parameter file
	9094	and the AU TO SEND pa rameter is set to ye s. The OPE CC must ma nually tra nsfer
	9095	the reject if the re ject code is defined in the si te paramet er file
	9096	and the AU TO SEND pa rameter is set to no . (To be u sed when P harmacy ca n
	9097	possibly c orrect a l ocally fil led Rx.)
	9098	TRANSFER R EJECT CODE : ??
	9099
	9100	Choose from:
	9101	10 M/I Pat ient Gende r Code
	9102	11 M/I Pat ient Relat ionship Co de
	9103	12 M/I Pla ce of Serv ice
	9104	13 M/I Oth er Coverag e Code
	9105	14 M/I Eli gibility C larificati on Code
	9106	15 M/I Dat e of Servi ce
	9107	16 M/I Pre scription/ Service Re ference Nu mber
	9108	17 M/I Fil l Number
	9109	18 M/I Met ric Quanti ty
	9110	.
	9111	.
	9112	.
	9113	TRANSFER R EJECT CODE : 81 Claim Too Old
	9114	You are entering a new tran sfer rejec t code - 8 1.
	9115	TRANSFER R EJECT CODE : 81//
	9116	AUTO SEND: NO// ??
	9117	En ter YES to allow the Third Par ty claim r eject code to be
	9118	au tomaticall y placed o n the Phar macy Rejec t Worklist or NO
	9119	to require O utpatient Pharmacy E lectronic Claims
	9120	Co ordinator (OPECC) in tervention to do so. A null v alue
	9121	wi ll be trea ted the sa me as ente ring NO in this fiel d.
	9122
	9123	Choos e from:
	9124	0 NO
	9125	1 YES
	9126	AUTO SEND: NO//
	9127	ANOTHER TR ANSFER REJ ECT CODE:
	9128	Example: E R (Edit Re j. Resolut ion Requir ed Code) a ction
	9129	Select Act ion: Next Screen// E R Edit R ej. Resolu tion Requi red Code
	9130	All Reject Resolutio n Required reject co des will a utomatical ly be plac ed
	9131	on the Thi rd Party P ayer Rejec ts - Workl ist. This parameter applies to
	9132	rejects fo r original unrelease d fills on ly. Prescr iptions wi ll not be filled
	9133	until the rejects id entified b y the Reje ct Resolut ion parame ter are re solved.
	9134	REJECT RES OLUTION RE QUIRED COD E: ??
	9135
	9136	Choose from:
	9137	10 M/I Pat ient Gende r Code
	9138	11 M/I Pat ient Relat ionship Co de
	9139	12 M/I Pla ce of Serv ice
	9140	13 M/I Oth er Coverag e Code
	9141	14 M/I Eli gibility C larificati on Code
	9142	15 M/I Dat e of Servi ce
	9143	16 M/I Pre scription/ Service Re ference Nu mber
	9144	17 M/I Fil l Number
	9145	18 M/I Met ric Quanti ty
	9146	19 M/I Day s Supply
	9147	20 M/I Com pound Code
	9148	21 M/I Pro duct/Servi ce ID
	9149	22 M/I Dis pense As W ritten (DA W)/Product Selection Code
	9150	23 M/I Ing redient Co st Submitt ed
	9151	24 M/I SAL ES TAX
	9152	25 M/I Pre scriber ID
	9153	26 M/I Uni t Of Measu re
	9154	27 Product Identifie r not FDA/ NSDE Liste d
	9155	28 M/I Dat e Prescrip tion Writt en
	9156	29 M/I Num ber Of Ref ills Autho rized
	9157	.. . .
	9158	REJECT RES OLUTION RE QUIRED COD E: 27 Product Identifie r not FDA/ NSDE Liste d
	9159	You are entering a new reje ct resolut ion requir ed code - 27.
	9160	REJECT RES OLUTION RE QUIRED COD E: 27//
	9161	DOLLAR THR ESHOLD: 0/ / ??
	9162	If a Reject Resolution Required Code is re ceived on an ECME cl aim reject ,
	9163	th e value of this fiel d is compa red to the Gross Amo unt Due of the
	9164	pr escription .
	9165
	9166	If the Gross Amount Du e is great er or equa l to the v alue of th is field
	9167	th en the rej ect is tra nsferred t o the Thir d Party Wo rkList for Reject
	9168	Re solution R equired (R RR) proces sing.
	9169
	9170	If the value of this f ield is le ft blank o r set to 0 , then all rejects
	9171	wi th the RRR reject co de will be transferr ed to the Third Part y Worklist
	9172	fo r RRR proc essing.
	9173
	9174	DOLLAR THR ESHOLD: 0/ /
	9175	ANOTHER RE JECT RESOL UTION REQU IRED CODE:
	9176	Example: C P (Copy Pa rameters) action
	9177	Select Act ion: Next Screen// C P Copy P arameters
	9178	The parame ters will be copied from DNS ENNE VAM&R OC Divisio n.
	9179	Select the Pharmacy Division(s ) to overw rite.
	9180	You may se lect a sin gle or mul tiple Phar macy Divis ions,
	9181	or enter ^ ALL to sel ect all Ph armacy Div isions.
	9182	Select a P harmacy Di vision to be overwri tten: ??
	9183
	9184	Choose from:
	9185	FORT CO LLINS CLIN IC 442 GC
	9186	GREELEY CLINIC 442GD
	9187	MOC - DNS ENNE 442HK
	9188	SIDNEY CLINIC 442GB
	9189
	9190	Select a P harmacy Di vision to be overwri tten: FORT COLLINS C LINIC 4 42GC
	9191	ANOTHER ON E:
	9192	The parame ters from Pharmacy D ivision DNS ENNE VAM&R OC
	9193	will overw rite the p arameters in Pharmac y Division :
	9194	FORT COLLI NS CLINIC
	9195	Do you wan t to conti nue? NO//
	9196	Third Part y Payer Re jects - Vi ew/Process XE "Third Party Pay er Rejects - View/Pr ocess"
	9197	[PSO REJEC TS VIEW/PR OCESS]
	9198	This optio n provides informati on about r ejects tha t have bee n on the T hird Party Payer Rej ects – Wor klist. Thi s option a llows the user to fi nd, displa y and reop en rejects previousl y resolved from the Third Part y Payer Re jects – Wo rklist in order to t ake action on them a gain.
	9199	The user c an choose to view re jects for one, multi ple, or al l Outpatie nt Pharmac y Division s.
	9200	Example: V iewing and Resolving Open Reje cts XE "Vi ewing and Resolving Open Rejec ts"
	9201	Select ePh armacy Men u Option: VP Third Party Paye r Rejects - View/Pro cess
	9202	You may se lect a sin gle or mul tiple DIVI SIONS,
	9203	or enter ^ ALL to sel ect all DI VISIONS.
	9204	DIVISION: ^ALL
	9205	The user c an select one of the following selection s to filte r the data displayed :
	9206	DATE RANGE : Selects a date ran ge (Defaul t: Last 90 days).
	9207	BEGIN REJE CT DATE: T -90// <Ent er> (MAR 0 9, 2007)
	9208	END REJECT DATE: T// <Enter> ( JUN 07, 20 07)
	9209	(P)ATIENT: Selects a single pa tient, mul tiple pati ents, or a ll patient s.
	9210	(D)RUG: Se lects a si ngle drug, multiple drugs, or all drugs.
	9211	(R)x: Sele cts a sing le prescri ption numb er, or mul tiple pres cription n umbers.
	9212	(I)NSURANC E: Selects a single insurance, multiple insurances , or all i nsurances.
	9213	Selec t one of t he followi ng:
	9214	P PATIENT
	9215	D DRUG
	9216	R Rx
	9217	I INSURANCE
	9218	By (P)atie nt, (D)rug , (R)x or (I)nsuranc e: P// INS URANCE
	9219	You may se lect a sin gle or mul tiple INSU RANCES,
	9220	or enter ^ ALL to sel ect all IN SURANCES.
	9221	INSURANCE: TEST
	9222	1 T EST INS PL US 1 11 STREET ADDRESS CITY MONTA NA Y
	9223	2 T EST INSURA NCE 123 MAIN S T CHICAGO ILLINOIS Y
	9224	CHOOSE 1-2 : 2 TEST INSURANCE 123 MA IN ST CHICAG O ILLI NOIS
	9225	Y TEST INSURANCE
	9226	ANOTHER ON E:
	9227	Next, the user can c hoose to d isplay eit her Unreso lved, Reso lved, or B oth types of rejects .
	9228	Selec t one of t he followi ng:
	9229	U UNRESOLVED
	9230	R RESOLVED
	9231	B BOTH
	9232	(U)NRESOLV ED, (R)RES OLVED or ( B)OTH REJE CT statuse s: B// <En ter> BOTH
	9233	Please wai t...
	9234	Example: V iewing and Resolving Open Reje cts (conti nued)
	9235	Rejects Pr ocessing S creen Nov 21, 20 05@08:27:3 7 Page: 1 of 1
	9236	Divisions: ALL
	9237	Selection: ALL REJEC TS FOR TES T INS
	9238	# Rx# PAT IENT(ID)[^ ] DRUG REASON
	9239	1 100003 872 OPP ATIENT,FOU R(1322P A AN D Z OINTME NT DUR :
	9240	Payer Message:
	9241	2 100003 873 OPP ATIENT,FOU R(1322P PHYT ONADIONE 5 MG TAB 79 :REFILL TO O SO
	9242	Payer Message:
	9243	3 100003 873 OPP ATIENT,FOU R(1322P PHYT ONADIONE 5 MG TAB DUR :
	9244	Payer Message:
	9245	4 100003 785 OPP ATIENT,TEN (3222) AL BUMIN 5% 2 50ML D UR:
	9246	Payer Message:
	9247	5 100003 882 OPP ATIENT,TEN (3222) AL BUTEROL IN HALER D UR:
	9248	Payer Message:
	9249	6 100003 884 OPP ATIENT,TEN (3222) TE MAZEPAM 15 MG CAP D UR:
	9250	Payer Message:
	9251	Select the entry # t o view or ?? for mor e actions
	9252	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	9253	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	9254	Select: Qu it//
	9255	The follow ing option s are avai lable on t he screen above:
	9256	DR – Sorts the list by the dru g name.
	9257	PA – Sorts the list by the pat ient’s las t name.
	9258	RE – Sorts the list by the rej ect reason .
	9259	RF – Refre shes the s creen. (Th is selecti on retriev es DUR/ RE FILL TOO S OON reject s that hap pened afte r the scre en was ori ginally po pulated.)
	9260	RX – Sorts the list by Prescri ption numb er.
	9261	GI – Group s the reje cts by Ins urance Com pany name.
	9262	The follow ing hidden actions a re also av ailable (e xcluding s tandard Li stManager hidden act ions):
	9263	TRI (Show/ Hide TRICA RE) – Togg le that in dicates wh ether to d isplay or hide TRICA RE rejecti ons.
	9264	CVA (Show/ Hide CHAMP VA) – Togg le that in dicates wh ether to d isplay or hide CHAMP VA rejecti ons.
	9265	PSX (Print to Excel) – Allows the curren t display list of re jection to output in a format that can e asily be i mported in to a sprea dsheet.
	9266	The follow ing two se ts of char acters den ote the or der by whi ch the lis t is being sorted: [ ^] for asc ending and [v] for d escending. The order inverts e very time the user s elects the same colu mn by whic h the list is alread y ordered . Thus, if the list is current ly ordered by Patien t in ascen ding order ([^]) and the user types “PA” , the list will be r e-sorted i n descendi ng order a nd the ord er indicat or will ch ange to ([ v]).
	9267	The user s elects a s pecific re cord to di splay all relevant i nformation about the prescript ion and th e claim su bmitted to the payer .
	9268	Example: V iewing and Resolving Open Reje cts (conti nued)
	9269	Reject Inf ormation(V eteran)Nov 21, 2005@ 08:29:30 Pa ge: 1 o f 2
	9270	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ALBA NY NPI#: 1234567890 NCPDP: 4150001P
	9271	Patient : OPPATIENT ,FOUR (000 -01-1322P) Sex: M DOB: JAN 1 3,1922(83)
	9272	Rx# : 100003873 /0 EC ME#: 00000 0504455 Da te of Serv ice: Nov 1 5, 2005
	9273	CMOP Drug: DOCUSATE NA 100MG C A
	9274
	9275
	9276
	9277	NDC Code : 54629-06 00-01
	9278	__________ __________ __________ __________ __________ __________ __________ __________ REJECT Informatio n__(Vetera n)________ __________ __________ __________ __________ ___
	9279	Reject Typ e : 79 - REFILL T OO SOON re ceived on NOV 15, 20 05@14:13:5 1
	9280	Reject Sta tus : OPE N/UNRESOLV ED
	9281	Next Avail Fill: NOV 20,2005
	9282	Payer Addl Msg : NEX T RFL 1118 05,DAYS TO RFL 3,LAS T FILL 101 805 AT YOU R
	9283	PHA RM,REFILL TOO SOON
	9284	Reason Cod e : ER (OVERUSE P RECAUTION )
	9285	DUR Text : RET AIL
	9286	DUR Add Ms g : THI S IS THE D UR ADDITIO NAL TEXT._ __________ __________ __________
	9287	OTHER REJE CTS_______ __________ __________ __________ __________ __________ __________
	9288	29 - M/I N umber Refi lls Author ized
	9289	39 - M/I D iagnosis C ode_______ __________ __________ __________ __________ __________
	9290	INSURANCE Informatio n_________ __________ __________ __________ __________ __________
	9291	Insurance : TES T INS
	9292	Contact : 1-8 00-555-505 0
	9293	BIN / PCN : RXIN S / XXXXXX XXXXXXX___ __________ __________ __________ __________ BIN : 741 852 ______ __________ __________ __________ __________ __________ __
	9294	+ Enter ?? f or more ac tions
	9295	VW View R x IGN Ignore Rej ect OVR Submi t Override Codes
	9296	MP Medica tion Profi le RES Resubmit C laim CSD Chang e Suspense Date
	9297	Select: Ne xt Screen/ / IGN Ig nore Rejec t
	9298	These opti ons are av ailable on the scree n above:
	9299	VW (View R X) – Takes the user to the Vie w Prescrip tion optio n to revie w details for that p rescriptio n.
	9300	MP (Medica tion Profi le) – Invo kes the pa tient’s li st of medi cation.
	9301	IGN (Ignor e Reject) – Allows t he user to close or resolve th e DUR/REFI LL TOO SOO N/REJECT R ESOLUTION REQUIRED R eject with out resubm ission to the payer. The user will be re quired to enter a fr ee-text co mment and his/her el ectronic s ignature.
	9302	RES (Resub mit Claim) – Allows the user t o re-submi t the clai m to the p ayer. This will auto matically mark the r eject reso lved. The RES action can be us ed to subm it a claim for TRICA RE and CHA MPVA non-b illable pr escription s with ope n pseudo-r ejection c odes of eT and eC. The Reject Informati on screen only displ ays the RE SUBMISSION indicator if the cl aim was re submitted from the E CME User S creen.
	9303	OVR (Submi t Override Codes) – Allows the user to r e-submit t he claim b y entering NCPDP ove rride code s, which s hall trigg er a new c laim submi ssion be s ent to the payer.
	9304	CSD (Chang e Suspense Date) – A llows the user to ch ange the f ill date f or suspend ed prescri ptions.
	9305	DC (Discon tinue Rx) – C (Disco ntinue Rx) – Allows the user t o disconti nue a TRIC ARE, CHAMP VA or Vete ran prescr iption. •
	9306	Note that this is pr imary acti on when th e prescrip tion is fo r a TRICAR E or CHAMP VA patient and a hid den action when the prescripti on is for a Veteran patient.
	9307	Hidden act ions:
	9308	COM (Add C omments) – Allows th e user to add reject specific comments. This comme nts are lo cal to the Reject Wo rklist and View/Proc ess option s and are not transm itted to E CME.
	9309	CLA (Submi t Clarif. Code) – Al lows the u ser to re- submit a c laim with Clarificat ion Codes.
	9310	ED (Edit R x) – Allow s the user to edit t he prescri ption. If, after ed iting the prescripti on, the fi ll date is equal to the curren t date or is in the future and the presc ription is not alrea dy suspend ed, the us er will ge t the LABE L prompt, which will allow the user to s uspend the prescript ion.
	9311	DC (Discon tinue Rx) – Allows t he user to discontin ue a TRICA RE, CHAMPV A or Veter an prescri ption. No te that th is is prim ary action when the prescripti on is for a TRICARE or CHAMPVA patient a nd a hidde n action w hen the pr escription is for a Veteran pa tient.
	9312	PA (Submit Prior Aut h.) – Allo ws the use r to re-su bmit a cla im with Pr ior Author ization in formation.
	9313	ARI (View Addtnl Rej Info) – A llows the user to di splay addi tional rej ect inform ation from the payer , if avail able.
	9314	SDC (Suspe nse Date C alculation ) – Allows the user to calcula te a new s uspense da te based o n Last Dat e of Servi ce and Las t Days Sup ply. The s uspense da te calcula tion will also consi der prior prescripti ons for th e same pat ient and d rug to all ow calcula tion of a suspense d ate for a new prescr iption.
	9315	SMA (Submi t Multiple Actions) – Allows t he user to resubmit a claim wi th multipl e actions, including the follo wing infor mation: Pr ior Author ization, S ubmission Clarificat ion Code, Reason for Service C ode, Profe ssional Se rvice Code , and Resu lt of Serv ice Code.
	9316	VER (View ePharmacy Rx) - Allo ws the use r to view and print informatio n for one prescripti on, combin ing inform ation from Outpatien t Pharmacy , Integrat ed Billing and ECME.
	9317	Example: V iewing and Resolving Open Reje cts (conti nued)
	9318	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	9319	Comments: changed qu antity
	9320	When you confir m this REJ ECT will b e marked R ESOLVED.
	9321	Confi rm? ? NO// Y YES [Closing.. .OK]
	9322	The follow ing is a s ample of t he ECME Ac tivity Log update th at occurs when a rej ect is res olved:
	9323	Example: E CME Activi ty Log ent ry: Reject Resolved
	9324	Rx Activit y Log Nov 21, 20 05@09:43:3 3 Page: 3 of 3
	9325	OPPATIENT, FOUR
	9326	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____) DOB: JAN 1 3,1922 (83 ) W t(kg): ___ ____ (____ __)
	9327	+ .
	9328	1 11/15/ 05@14:13:5 2 ORIGIN AL OPPHARMACI ST4,THREE
	9329	Comments: Submitted to ECME:RE JECT WORKL IST-DUR OV ERRIDE COD ES(DD/M0/1 B)-E PAYAB LE
	9330	ECME REJEC T Log:
	9331	# Date/Ti me Rcvd Rx Ref Reject Ty pe STA TUS Da te/Time Re solved
	9332	========== ========== ========== ========== ========== ========== ========== =========
	9333	1 12/11/0 5@19:03:31 ORIGINAL DUR RES OLVED 12 /12/05@16: 45:21
	9334	Comments: CLAIM RE-S UBMITTED
	9335	2 5/30/06 @19:13:57 REFILL 2 DUR RES OLVED 5/ 31/06@15:5 8:32
	9336	Comments: CLAIM RE-S UBMITTED
	9337	Enter ?? f or more ac tions
	9338	Select Act ion: Quit/ /
	9339	Third Part y Payer Re jects - Wo rklist XE "Third Par ty Payer R ejects - W orklist"
	9340	[PSO REJEC TS WORKLIS T]
	9341	This optio n gives th e user the ability t o process Third Part y Payer Re jects, CHA MPVA Non-b illable re jects and TRICARE No n-billable rejects f or one, mu ltiple, or all Outpa tient Phar macy Divis ions. Only OPEN/UNRE SOLVED rej ects that have clini cal signif icance, su ch as DUR and Refill Too Soon, and rejec ts transfe rred from the ECME u ser screen , are adde d to the W orklist. O nce the re ject is ma rked CLOSE D/RESOLVED , it is au tomaticall y removed from the W orklist.
	9342	Discontinu ed TRICARE and CHAMP VA prescri ptions no longer app ear on the Third Par ty Payer R ejects - W orklist [P SO REJECTS WORKLIST] .
	9343	Example: R esolving O pen Reject s XE "Reso lving Open Rejects"
	9344	Select Rx (Prescript ions) Opti on: EPHARM ACY Menu
	9345	IR Ignored Re jects Repo rt
	9346	MP ePharmacy Medication Profile ( View Only)
	9347	NV NDC Valida tion
	9348	PF ePharmacy Medication Profile D ivision Pr eferences
	9349	SP ePharmacy Site Param eters
	9350	VP Third Part y Payer Re jects - Vi ew/Process
	9351	WL Third Part y Payer Re jects - Wo rklist
	9352	TC TRICARE CH AMPVA Bypa ss/Overrid e Report
	9353	VER View ePhar macy Rx
	9354	Select ePh armacy Men u Option: WL Third Party Paye r Rejects - Worklist
	9355	You may se lect a sin gle or mul tiple DIVI SIONS,
	9356	or enter ^ ALL to sel ect all DI VISIONS.
	9357	DIVISION: ^ALL
	9358	Insurance Rejects – Worklist Nov 09, 2 010@11:24: 10 Page: 1 of 1
	9359	Divisions: ALL
	9360	Selection: ALL UNRES OLVED REJE CTS
	9361	# Rx# PAT IENT(ID)[^ ] DRUG REASON
	9362	1 100003 521 OPP ATIENT,TWE LVE(5444) ACETYLCY STEINE 20% 3 79 :REF ILL TOO SO
	9363	Payer Message: P LAN = 8906 NEXT F ILL: 20050 429
	9364	2 100003 521 OPP ATIENT,TWE LVE(5444) ACETYLCY STEINE 20% 3 79 :REF ILL TOO SO
	9365	Payer Message: R TS – Rx: 9 306343 DT: 31-MAR-20 05 DS: 30 RD: 23-APR IL 2005
	9366	3 100003 872 OPP ATIENT,FOU R(1322P) A AND Z OINTMENT DUR:
	9367	Payer Message: D UR Reject Error
	9368	REJ ECT RESOLU TION REQUI RED
	9369	4 100003 872 OPP ATIENT,FOU R(1322P) A AND Z OINTMENT 07 :M/I Cardholde
	9370	Payer Message:
	9371	C HAMPVA - N on-DUR/RTS
	9372	5 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :M/I Cardholde
	9373	Payer Message:
	9374	6 100923 OPC VACARE,TWO (4933) LORAZEPA M 1MG TAB 07 :M/I Cardholde
	9375	Payer Message:
	9376	T RICARE - N on-DUR/RTS
	9377	7 101359 OPT RICARE,ONE (7894) BACLOFEN 10MG TABS 07 :M/I Cardholde
	9378	Payer Message:
	9379	8 100924 OPT RICARE,TRI (4932) LORAZEPA M 1MG TAB 07 :M/I Cardholde
	9380	Payer Message:
	9381	OTHER R EJECTS
	9382	9 101173 OPP ATIENT,THR EE(9877) FENOPR OFEN 300MG CAP 08 :M /I Person Co
	9383	Payer Message:
	9384	Select the entry # t o view or ?? for mor e actions
	9385	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	9386	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	9387	The follow ing option s are avai lable on t he screen above:
	9388	DR – Sorts the list by the dru g name.
	9389	PA – Sorts the list by the pat ient’s las t name.
	9390	RE – Sorts the list by the rej ect reason .
	9391	RF – Refre shes the s creen. (Th is selecti on retriev es DUR/ RE FILL TOO S OON reject s that hap pened afte r the scre en was ori ginally po pulated.)
	9392	RX – Sorts the list by Prescri ption numb er.
	9393	GI – Group s the reje cts by Ins urance Com pany name.
	9394	The follow ing hidden actions a re also av ailable (e xcluding s tandard Li stManager hidden act ions):
	9395	TRI (Show /Hide TRIC ARE) - Whe n toggled to Show, T RICARE Non -DUR/RTS r ejects wil l be autom atically d isplayed a t the end of the lis ting. Tog gling the TRI action to Hide w ill remove them from the scree n.
	9396	CVA (Show /Hide CHAM PVA) - Whe n toggled to Show, C HAMPVA Non -DUR/RTS r ejects wil l be autom atically d isplayed a t the end of the lis ting. Tog gling the CVA action to Hide w ill remove them from the scree n.
	9397	PSX (Print to Excel) – Allows the curren t display list of re jection to output in a format that can e asily be i mported in to a sprea dsheet.
	9398	After sele cting a re ject from the list, the follow ing screen is displa yed
	9399	Example: R esolving O pen Reject s (continu ed)
	9400	Reject Inf ormation(U NRESOLVED) Nov 21, 20 05@09:51:1 5 Page: 1 of 1
	9401	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ALBA NY NPI#: 123456789 0 NCPDP : 4150001
	9402	Patient : OPPATIENT ,FOUR(000- 01-1322P) Sex: M DOB: JAN 1 3,1922(83)
	9403	Rx# : 100003872 /0 EC ME#: 00000 0504454 Da te of Serv ice: Nov 1 5, 2005
	9404	CMOP Drug: DOCUSATE NA 100MG C A
	9405
	9406
	9407
	9408	NDC Code : 54629-06 00-01
	9409	__________ __________ __________ __________ __________ __________ __________ __________
	9410	REJECT Inf ormation__ __________ __________ __________ __________ __________ __________
	9411	Reject Typ e : 88 - DUR REJE CT receive d on NOV 1 5, 2005@14 :11:51
	9412	Reject Sta tus : OPE N/UNRESOLV ED
	9413	Next Avail Fill: NOV 20,2005
	9414	Payer Addl Msg : DUR Reject Er ror
	9415	Reason Cod e :
	9416	DUR Text :____ __________ __________ __________ __________ __________ __________
	9417	INSURANCE Informatio n_________ __________ __________ __________ __________ __________
	9418	Insurance : TES T INS
	9419	Contact :
	9420	BIN / PCN : 7418 52 / XXXXX XXXXXBIN : 741852
	9421	Group Numb er : 124 54
	9422	Cardholder ID : 000 011322P___ __________ __________ __________ __________ __________
	9423	Enter ?? f or more ac tions
	9424	VW View R x IGN Ignore Rej ect OVR Submi t Override Codes
	9425	MP Medica tion Profi le RES Resubmit C laim CSD Chang e Suspense Date
	9426	Select: Qu it// OVR Submit Ov erride Cod es
	9427	These opti ons are av ailable on the scree n above:
	9428	VW (View R x) – Takes the user to the Vie w Prescrip tion optio n to revie w details for that p rescriptio n.
	9429	MP (Medica tion Profi le) – Invo kes the pa tient’s li st of medi cation.
	9430	IGN (Ignor e Reject) – Allows t he user to close or resolve th e DUR/REFI LL TOO SOO N Reject o r the Reje ct Resolut ion Requir ed Reject without re submission to the pa yer. The u ser will b e required to enter a free-tex t comment and his/he r electron ic signatu re.
	9431	RES (Resub mit Claim) – Allows the user t o re-submi t the clai m to the p ayer. This will auto matically mark the r eject reso lved. The RES action can be us ed to subm it a claim for TRICA RE and CHA MPVA non-b illable pr escription s with ope n pseudo-r ejection c odes of eT and eC. T he Reject Informatio n screen o nly displa ys the RES UBMISSION indicator if the cla im was res ubmitted f rom the EC ME User Sc reen.
	9432	OVR (Submi t Override Codes) – Allows the user to r e-submit t he claim b y entering NCPDP ove rride code s, which s hall trigg er a new c laim submi ssion be s ent to the payer. Th is option is active for DUR re jects only .
	9433	CSD (Chang e Suspense Date) – A llows the user to ch ange the f ill date f or suspend ed prescri ptions.
	9434	DC (Discon tinue Rx) – Allows t he user to discontin ue a TRICA RE, CHAMPV A or Veter an prescri ption. Not e that thi s is a pri mary actio n when the prescrfip tion is fo r a TRICAR E or CHAMP VA patient and a hid den action when the prescripti on is for a Veteran patient.
	9435	Hidden act ions:
	9436	COM (Add C omments) – Allows th e user to add reject specific comments. These comm ents are l ocal to th e Reject W orklist an d View/Pro cess optio ns and are not trans mitted to ECME.
	9437	CLA (Submi t Clarif. Code) – Al lows the u ser to re- submit a c laim with Clarificat ion Codes.
	9438	ED (Edit R x) – Allow s the user to edit t he prescri ption.
	9439	DC (Discon tinue Rx) – Allows t he user to discontin ue a TRICA RE, CHAMPV A or Veter an prescri ption. No te that th is is prim ary action when the prescripti on is for a TRICARE or CHAMPVA patient a nd a hidde n action w hen the pr escription is for a Veteran pa tient.
	9440	PA (Submit Prior Aut h.) – Allo ws the use r to re-su bmit a cla im with Pr ior Author ization in formation.
	9441	ARI (View Addtnl Rej Info) – A llows the user to di splay addi tional rej ect inform ation from the payer , if avail able.
	9442	SDC (Suspe nse Date C alculation ) – Allows the user to calcula te a new s uspense da te.
	9443	SMA (Submi t Multiple Actions) – Allows t he user to resubmit a claim wi th multipl e actions.
	9444	When a cla im is reje cted, typi cally the Payer retu rns a “Rea son for Se rvice Code ”, which b ecomes the default f or the “Re ason for S ervice Cod e” prompt. The user can use th is reason to then se lect which code is e ntered for “Professi onal Servi ce Code” a nd “Result of Servic e Code”.
	9445	Available codes for “Professio nal Servic e Code” in clude:
	9446	Code
	9447	Descriptio n
	9448	00
	9449	NO INTERVE NTION
	9450	AS
	9451	PATIENT AS SESSMENT
	9452	CC
	9453	COORDINATI ON OF CARE
	9454	DE
	9455	DOSING EVA LUATION/DE TERMINATIO N
	9456	DP
	9457	DOSAGE EVA LUATED
	9458	FE
	9459	FORMULARY ENFORCEMEN T
	9460	GP
	9461	GENERIC PR ODUCT SELE CTION
	9462	M0
	9463	PRESCRIBER CONSULTED
	9464	MA
	9465	MEDICATION ADMINISTR ATION
	9466	MB
	9467	OVERRIDING BENEFIT
	9468	MP
	9469	PATIENT WI LL BE MONI TORED
	9470	MR
	9471	MEDICATION REVIEW
	9472	P0
	9473	PATIENT CO NSULTED
	9474	PA
	9475	PREVIOUS P ATIENT TOL ERANCE
	9476	PE
	9477	PATIENT ED UCATION/IN STRUCTION
	9478	PH
	9479	PATIENT ME DICATION H ISTORY
	9480	PM
	9481	PATIENT MO NITORING
	9482	PT
	9483	PERFORM LA BORATORY R EQUEST
	9484	R0
	9485	PHARMACIST CONSULTED OTHER SOU RCE
	9486	RT
	9487	RECOMMENDE D LABORATO RY TEST
	9488	SC
	9489	SELF-CARE CONSULTATI ON
	9490	SW
	9491	LITERATURE SEARCH/RE VIEW
	9492	TC
	9493	PAYER/PROC ESSOR CONS ULTED
	9494	TH
	9495	THERAPEUTI C PRODUCT INTERCHANG E
	9496	ZZ
	9497	OTHER ACKN OWLEDGEMEN T
	9498	Available codes for “Result of Service C ode” inclu de:
	9499	Code
	9500	Descriptio n
	9501	00
	9502	NOT SPECIF IED
	9503	1A
	9504	FILLED AS IS, FALSE POSITIVE
	9505	1B
	9506	FILLED PRE SCRIPTION AS IS
	9507	1C
	9508	FILLED, WI TH DIFFERE NT DOSE
	9509	1D
	9510	FILLED, WI TH DIFFERE NT DIRECTI ONS
	9511	1E
	9512	FILLED, WI TH DIFFERE NT DRUG
	9513	1F
	9514	FILLED, WI TH DIFFERE NT QUANTIT Y
	9515	1G
	9516	FILLED, WI TH PRESCRI BER APPROV AL
	9517	1H
	9518	BRAND-TO-G ENERIC CHA NGE
	9519	1J
	9520	RX-TO-OTC CHANGE
	9521	1K
	9522	FILLED, WI TH DIFFERE NT DOSAGE FORM
	9523	2A
	9524	PRESCRIPTI ON NOT FIL LED
	9525	2B
	9526	NOT FILLED , DIRECTIO NS CLARIFI ED
	9527	3A
	9528	RECOMMENDA TION ACCEP TED
	9529	3B
	9530	RECOMMENDA TION NOT A CCEPTED
	9531	3C
	9532	DISCONTINU ED DRUG
	9533	3D
	9534	REGIMEN CH ANGED
	9535	3E
	9536	THERAPY CH ANGED
	9537	3F
	9538	THERAPY CH ANGED - CO ST INCREAS E ACKNOWLE DGED
	9539	3G
	9540	DRUG THERA PY UNCHANG ED
	9541	3H
	9542	FOLLOW-UP REPORT
	9543	3J
	9544	PATIENT RE FERRAL
	9545	3K
	9546	INSTRUCTIO NS UNDERST OOD
	9547	3M
	9548	COMPLIANCE AID PROVI DED
	9549	3N
	9550	MEDICATION ADMINISTE RED
	9551	4A
	9552	PRESCRIBED WITH ACKN OWLEDGEMEN TS
	9553	Available codes for “Reason fo r Service Code” incl ude:
	9554	Code
	9555	Descriptio n
	9556	AD
	9557	ADDITIONAL DRUG NEED ED
	9558	AN
	9559	PRESCRIPTI ON AUTHENT ICATION
	9560	AR
	9561	ADVERSE DR UG REACTIO N
	9562	AT
	9563	ADDITIVE T OXICITY
	9564	CD
	9565	CHRONIC DI SEASE MANA GEMENT
	9566	CH
	9567	CALL HELP DESK
	9568	CS
	9569	PATIENT CO MPLAINT/SY MPTOM
	9570	DA
	9571	DRUG-ALLER GY
	9572	DC
	9573	DRUG-DISEA SE (INFERR ED)
	9574	DD
	9575	DRUG-DRUG INTERACTIO N
	9576	DF
	9577	DRUG-FOOD INTERACTIO N
	9578	DI
	9579	DRUG INCOM PATIBILITY
	9580	DL
	9581	DRUG-LAB C ONFLICT
	9582	DM
	9583	APPARENT D RUG MISUSE
	9584	DR
	9585	DOSE RANGE CONFLICT
	9586	DS
	9587	TOBACCO US E
	9588	ED
	9589	PATIENT ED UCATION/IN STRUCTION
	9590	ER
	9591	OVERUSE
	9592	EX
	9593	EXCESSIVE QUANTITY
	9594	HD
	9595	HIGH DOSE
	9596	IC
	9597	IATROGENIC CONDITION
	9598	ID
	9599	INGREDIENT DUPLICATI ON
	9600	LD
	9601	LOW DOSE
	9602	LK
	9603	LOCK IN RE CIPIENT
	9604	LR
	9605	UNDERUSE
	9606	MC
	9607	DRUG-DISEA SE (REPORT ED)
	9608	MN
	9609	INSUFFICIE NT DURATIO N
	9610	MS
	9611	MISSING IN FORMATION/ CLARIFICAT ION
	9612	MX
	9613	EXCESSIVE DURATION
	9614	NA
	9615	DRUG NOT A VAILABLE
	9616	NC
	9617	NON-COVERE D DRUG PUR CHASE
	9618	ND
	9619	NEW DISEAS E/DIAGNOSI S
	9620	NF
	9621	NON-FORMUL ARY DRUG
	9622	NN
	9623	UNNECESSAR Y DRUG
	9624	NP
	9625	NEW PATIEN T PROCESSI NG
	9626	NR
	9627	LACTATION/ NURSING IN TERACTION
	9628	NS
	9629	INSUFFICIE NT QUANTIT Y
	9630	OH
	9631	ALCOHOL CO NFLICT
	9632	PA
	9633	DRUG-AGE
	9634	PC
	9635	PATIENT QU ESTION/CON CERN
	9636	PG
	9637	DRUG-PREGN ANCY
	9638	PH
	9639	PREVENTIVE HEALTH CA RE
	9640	PN
	9641	PRESCRIBER CONSULTAT ION
	9642	PP
	9643	PLAN PROTO COL
	9644	PR
	9645	PRIOR ADVE RSE REACTI ON
	9646	PS
	9647	PRODUCT SE LECTION OP PORTUNITY
	9648	RE
	9649	SUSPECTED ENVIRONMEN TAL RISK
	9650	RF
	9651	HEALTH PRO VIDER REFE RRAL
	9652	SC
	9653	SUBOPTIMAL COMPLIANC E
	9654	SD
	9655	SUBOPTIMAL DRUG/INDI CATION
	9656	SE
	9657	SIDE EFFEC T
	9658	SF
	9659	SUBOPTIMAL DOSAGE FO RM
	9660	SR
	9661	SUBOPTIMAL REGIMEN
	9662	SX
	9663	DRUG-GENDE R
	9664	TD
	9665	THERAPEUTI C
	9666	TN
	9667	LABORATORY TEST NEED ED
	9668	TP
	9669	PAYER/PROC ESSOR QUES TION
	9670	UD
	9671	DUPLICATE DRUG
	9672	Example: R esolving O pen Reject s (continu ed)
	9673	Profession al Service Code: MR MEDI CATION REV IEW
	9674	Result of Service Co de : 1D FILL ED, WITH D IFFERENT D IRECTIONS
	9675	Profe ssional Se rvice Code : MR - MED ICATION RE VIEW
	9676	Resul t of Servi ce Code : 1D - FIL LED, WITH DIFFERENT DIRECTIONS
	9677	When you confir m, a new c laim will be submitt ed for
	9678	the p rescriptio n and this REJECT wi ll be mark ed
	9679	resol ved.
	9680	Confi rm? ? YES/ / <Enter>
	9681	Prescripti on 1000038 72 success fully subm itted to E CME for cl aim genera tion.
	9682	Claim Stat us:
	9683	IN PROGRES S-Waiting to start
	9684	IN PROGRES S-Waiting for packet build
	9685	IN PROGRES S-Packet b eing built
	9686	IN PROGRES S-Waiting for transm it
	9687	IN PROGRES S-Waiting to process response
	9688	E PAYABLE
	9689	The follow ing is a s ample of t he ECME Ac tivity Log update th at occurs when a rej ect is res olved.
	9690	Example: E CME Activi ty Log ent ry: Reject Resolved
	9691	Rx Activit y Log Nov 21, 20 05@11:11:5 3 Page: 3 of 3
	9692	OPPATIENT, FOUR
	9693	PID: 000 -01-1322P Ht(cm): _ ______ (__ ____)
	9694	DOB: JAN 13,1922 ( 83) Wt(kg): _ ______ (__ ____)
	9695	+
	9696	# Date/T ime Rx Ref Initiator Of Activit y
	9697	========== ========== ========== ========== ========== ========== ========== =========
	9698	1 5/16/0 7@14:40:40 ORIGI NAL OPPHARMACI ST4,THREE
	9699	Comments: Submitted to ECME:WI NDOW FILL( NDC:00058- 2467-05)
	9700	2 5/16/0 7@14:40:40 ORIGIN AL OPPHARMACI ST4,THREE
	9701	Comments: Billing qu antity sub mitted thr ough ECME: 25.000 (M L)
	9702	3 5/20/0 7@14:21:52 ORIGI NAL OPPHARMAC IST4,THREE
	9703	Comments: Submitted to ECME:RE JECT WORKL IST-DUR OV ERRIDE COD ES(AD/AS/1 B)-E
	9704	REJECTED
	9705	4 5/20/0 7@14:21:52 ORIGI NAL OPPHARMAC IST4,THREE
	9706	Comments: Billing qu antity sub mitted thr ough ECME: 25.000 (M L)
	9707	ECME REJEC T Log:
	9708	# Date/T ime Rcvd Rx Re f Rejec t Type STATUS Date/Tim e Resolved
	9709	========== ========== ========== ========== ========== ========== ========== =========
	9710	1 5/16/0 7@14:40:40 ORIGI NAL DUR RESO LVED 5/2 0/07@14:21 :52
	9711	Comments: CLAIM RE-S UBMITTED
	9712	Enter ?? f or more ac tions
	9713	Select Act ion:Quit// TRICARE CH AMPVA Bypa ss/Overrid e Report
	9714	Example: R esubmittin g an ePhar macy Claim
	9715	Select ED (Edit Rx) and the fo llowing hi dden actio ns are ava ilable for use.
	9716	AL Activ ity Logs ( OP) REJ View REJE CT DN Dow n a Line
	9717	VF Verif y (OP) VER View ePha rmacy Rx FS Fir st Screen
	9718	CO Copy (OP) RES Resubmit Claim GO Go to Page
	9719	TR Conve rt Titrati on Rx REV Reverse C laim LS Las t Screen
	9720	TM Titra tion Mark/ UnmarkIN Intervent ion Menu PS Pri nt Screen
	9721	RP Repri nt (OP) DA Display D rug Allerg iesPT Pri nt List
	9722	HD Hold (OP) DIN Drug Rest r/Guide (O P)QU Qui t
	9723	UH Unhol d (OP) + Next Scre en RD Re Display Sc reen
	9724	PI Patie nt Informa tion - Previous Screen SL Sea rch List
	9725	PP Pull Rx (OP) < Shift Vie w to Left UP Up a Line
	9726	IP Inpat . Profile (OP) > Shift Vie w to Right
	9727	OTH Other OP Action s ADPL Auto Disp lay(On/Off )
	9728	Resubmit C laim is a hidden act ion used t o resubmit a claim t o the thir d-party pa yer. Clai ms are alm ost always resubmitt ed by the ePharmacy Site Manag er and not by untrai ned Pharma cy staff m embers. A resubmiss ion is not allowed f or the fol lowing:
	9729	TRICARE no n-billable prescript ion with a pseudo-re jection of eT
	9730	CHAMPVA no n-billable prescript ion with a pseudo-re jection of eC
	9731	Any prescr iption wit h a primar y and seco ndary clai m
	9732	The action will prom pt for a f ill number with a de fault valu e of the m ost recent fill.
	9733	If a user resubmits a claim an d resolves a Reject Resolution Required rejection, additiona l informat ion will d isplay bel ow the cla im process ing messag e. The add itional in formation only displ ays if the resubmit occurs fro m Outpatie nt Pharmac y, not ECM E, and onl y if the c laim statu s is E PAY ABLE.
	9734	Example: R esubmittin g an ePhar macy Claim to Resolv e a Reject Resolutio n Required rejection
	9735	Veteran Pr escription 100937 su ccessfully submitted to ECME f or claim g eneration.
	9736	Processing Primary c laim...
	9737	Claim Stat us:
	9738	IN PROGRES S-Building the claim
	9739	IN PROGRES S-Transmit ting
	9740	E PAYABLE
	9741	Total Amou nt Paid: 4 0.00 I ngredient Cost Paid: 0.00
	9742	Amount of Copay/Coin surance: 9 .00 D ispensing Fee Paid: 0.00
	9743	Amount App lied to Pe riodic Ded uctible: 0 .00
	9744	Remaining Deductible Amount: 0 .00
	9745	Enter RETU RN to cont inue or '^ ' to exit:
	9746	[PSO Bypas s/Override Report]
	9747
	9748	This menu option is locked wit h the PSO TRICARE/CH AMPVA MGR security k ey.
	9749	This optio n provides informati on in a de tail or su mmary repo rt format that will list presc riptions w here the B ypass or O verride wa s performe d to enabl e processi ng of thes e TRICARE and CHAMPV A prescrip tions. The user has the abilit y to list (I)npatien t; (N)on-B illable Pr oduct; (R) eject Over ride; or(A )ll. Besid es allowin g the sele ction of a ll types, the report allows th e selectio n of one o r two type s. For exa mple, the user can s elect Non- billable a nd Reject for the sa me report.
	9750	Example: A ccessing t he TRICARE CHAMPVA B ypass/Over ride Repor t
	9751	Select Rx (Prescript ions) Opti on: epharm acy Menu
	9752	IR Ignored Re jects Repo rt
	9753	MP ePharmacy Medication Profile ( View Only)
	9754	NV NDC Valida tion
	9755	PF ePharmacy Medication Profile D ivision Pr eferences
	9756	SP ePharmacy Site Param eters
	9757	VP Third Part y Payer Re jects - Vi ew/Process
	9758	WL Third Part y Payer Re jects - Wo rklist
	9759	TC TRICARE CH AMPVA Bypa ss/Overrid e Report
	9760	You've got PRIORITY mail!
	9761	Select eP harmacy Me nu Option: TC TRICA RE CHAMPVA Bypass/Ov erride Rep ort
	9762	Selec t one of t he followi ng:
	9763	D DIVISION
	9764	A ALL
	9765	Select Cer tain Pharm acy (D)ivi sions or ( A)LL:
	9766	Example: T RICARE CHA MPVA Bypas s/Override Report Fi lters and Data Eleme nts
	9767	Select one of the fo llowing:
	9768	D DIVISION
	9769	A ALL
	9770	Select Cer tain Pharm acy (D)ivi sions or ( A)LL: DIVI SION
	9771	Select ECM E Pharmacy Division( s): BATTLE CREEK
	9772	Selected :
	9773	BATTLE CRE EK
	9774	Select ECM E Pharmacy Division( s): GRAND RAPIDS MI CBOC 515BY V A GRAND RA PIDS OPC 515BY V A GRAND RA PIDS OPC
	9775	Selected :
	9776	BATTLE CRE EK
	9777	VA GRAND R APIDS OPC
	9778	Select ECM E Pharmacy Division( s):
	9779	Select one of the fo llowing:
	9780	T TRICARE
	9781	C CHAMPVA
	9782	A ALL
	9783	Select Eli gibility ( T)RICARE, (C)HAMPVA or (A)LL E ntries: AL L// ALL
	9784	Selec t one of t he followi ng:
	9785	S Summary
	9786	D Detail
	9787	Display (S )ummary or (D)etail Format: De tail//
	9788	START WITH TRANSACTI ON DATE: T -1// T-10 (APR 30, 2010)
	9789	GO TO TR ANSACTION DATE: T// T-9 (MAY 01, 2010)
	9790	Selec t one of t he followi ng:
	9791	I INPATIENT
	9792	N NON-BILLAB LE
	9793	R REJECT OVE RRIDE
	9794	P PARTIAL FI LL
	9795	A ALL
	9796	Select one of the fo llowing: * Can selec t multiple s - limit of 2* : <no defaul t> ALL
	9797	Select one of th e followin g:
	9798	S SPECIFIC P HARMACIST( S)
	9799	A ALL PHARMA CISTS
	9800	Select Spe cific Phar macist(s) or include ALL Pharm acists: AL L//
	9801	Select one of th e followin g:
	9802	S SPECIFIC P ROVIDER(S)
	9803	A ALL PROVID ERS
	9804	Select Spe cific Prov ider(s) or include A LL Provide rs: ALL//
	9805	Selec t one of t he followi ng:
	9806	R Pharmacist
	9807	P Provider/P rescriber Name
	9808	Group/Subt otal Repor t by Pharm acy (R)Pha rmacist or (P)rovide r: <no def ault> Phar macist
	9809	Do you wan t to captu re report data for a n Excel do cument? NO //
	9810	WARNING - THIS REPOR T REQUIRES THAT A DE VICE WITH 132 COLUMN WIDTH BE USED.
	9811	IT WILL NO T DISPLAY CORRECTLY USING 80 C OLUMN WIDT H DEVICES
	9812	DEVICE: HO ME// 0;132 ;99 INCOM ING TELNET
	9813	Please wai t...
	9814	** When se lecting fr om above, Specific P harmacist( s), the us er will be able to c ontinue se lecting Ph armacist(s ) as neces sary. This filter wi ll have th e same fun ctionality as the Di vision/Ins urance Com pany selec tion filte rs.
	9815	** When se lecting fr om above, Specific P rovider(s) , the user will be a ble to con tinue sele cting Prov ider(s) as necessary . This fil ter will h ave the sa me functio nality as the Divisi on/Insuran ce Company selection filters.
	9816	Example of TRICARE C HAMPVA Byp ass/Overri de Report Summary
	9817	TRICARE CH AMPVA BYPA SS/OVERRID E AUDIT RE PORT - SUMMARY Pr int Date: NOV 10, 20 10@10:05:2 6 PA GE: 1
	9818	DIVISION(S ): ALL
	9819	ELIGIBILIT Y: ALL
	9820	TC TYPES: INPATIENT, NON-BILLA BLE, PARTI AL FILL, R EJECT OVER RIDE
	9821	ALL PRESCR IPTIONS BY AUDIT DAT E: From 10 /31/10 thr ough 11/10 /10
	9822	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==========
	9823	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	9824	DIVISION: DIVISION O NE
	9825	******** ****** ***** CHAMPVA INPATIENT **** ****** ****** ****
	9826	PHAR MACIST: PH ARMACIST,O NE
	9827	----- --------
	9828	SUB- TOTALS 45.00
	9829	RX C OUNT 1
	9830	MEAN 10.00
	9831	PHAR MACIST: PH ARMACIST,T WO ------- ------
	9832	SUB- TOTALS 30.00
	9833	RX C OUNT 1
	9834	MEAN 30.00
	9835	------- ------
	9836	CHAMPVA IN PATIENT
	9837	SUBTOTALS
	9838
	9839
	9840	75.00
	9841	RX COUNT
	9842
	9843	2
	9844	MEAN
	9845
	9846	37.50
	9847	******** ****** ******* CHAMPVA NON-BILLAB LE
	9848	******** ****** ***
	9849	PHAR MACIST: PH ARMACIST,T HREE ------ -------
	9850	SUB- TOTALS 20.00
	9851	RX C OUNT 1
	9852	MEAN 20.00
	9853	CHAMPVA NO N-BILLABLE
	9854	SUBTOTALS
	9855
	9856	20.00
	9857	RX COUNT
	9858
	9859	1
	9860	MEAN
	9861
	9862	20.00
	9863	******** ****** ****** CHAMPVA PARTIAL F ILL ****** ****** ****** *
	9864	PHA RMACIST: P HARMACIST, FOUR ------ -------
	9865	SUB -TOTALS 16.20
	9866	RX COUNT 2
	9867	MEA N 8.10
	9868	PHA RMACIST: P HARMACIST, FIVE ------- ------
	9869	SUB -TOTALS 8.00
	9870	RX COUNT 1
	9871	MEA N 8.00
	9872	PHA RMACIST: P HARMACIST, SIX ------- ------
	9873	SUB -TOTALS 23.58
	9874	RX COUNT 1
	9875	MEA N 23.58
	9876	CHAMP VA PARTIAL FILL
	9877	SUBTO TALS 47.78
	9878	RX CO UNT 4
	9879	MEAN 11.95
	9880	******** ****** ******** * CHAMPV A REJECT O VERRIDE ******** ****** ******
	9881	CHAMPVA RE JECT OVERR IDE
	9882	SUBTOTALS
	9883
	9884	0.00
	9885	RX COUNT
	9886
	9887	0
	9888	MEAN
	9889
	9890	0.00
	9891	******** ****** ****** TRICARE INPATIENT *** ****** ****** ****** *
	9892	TRICA RE INPATIE NT
	9893	SUBTO TALS 11.93
	9894	RX CO UNT 1
	9895	MEAN 11.93
	9896	******** ****** ******** TRICARE NON-BILLA BLE
	9897	******** ****** *******
	9898	PHA RMACIST: O PPHARM,ONE ------ -------
	9899	SUB -TOTALS 8.03
	9900	RX COUNT 1
	9901	MEA N 8.03
	9902	TRICA RE NON-BIL LABLE
	9903	SUBTO TALS 8.03
	9904	RX CO UNT 1
	9905	MEAN 8.03
	9906	******** ****** ****** TRICARE PARTIAL F ILL ****** ****** ****** *
	9907	PHA RMACIST: O PPHARM,FOU R ------ -------
	9908	SUB -TOTALS 8.54
	9909	RX COUNT 1
	9910	MEA N 8.54
	9911	PHA RMACIST: O PPHARM,FIV E ------ -------
	9912	SUB -TOTALS 16.20
	9913	RX COUNT 2
	9914	MEA N 8.10
	9915	TRICA RE PARTIAL FILL
	9916	SUBTO TALS 2 4.74
	9917	RX CO UNT 3
	9918	MEAN 8.25
	9919	******** ****** ******** TRICARE REJECT OV ERRIDE * ******** ****** ****** *
	9920	PHA RMACIST: O PPHARM,TWO ------ -------
	9921	SUB -TOTALS 29.17
	9922	RX COUNT 3
	9923	MEA N 9.72
	9924	PHA RMACIST: O PPHARM,THR EE ------ -------
	9925	SUB -TOTALS 10.38
	9926	RX COUNT 1
	9927	MEA N 10.38
	9928	TRICA RE REJECT OVERRIDE
	9929	SUBTO TALS 39.55
	9930	RX CO UNT 4
	9931	MEAN 9.89
	9932	DIVISION D IVISION ON E --------- ----
	9933	SUBTOTALS 154.51
	9934	RX COUNT 9
	9935	MEAN 17.17
	9936	--------- ----
	9937	--------- ----
	9938	GRAND TOTA LS 154.51
	9939	RX COUNT 9
	9940	MEAN 17.17
	9941	--------- ----
	9942	REPORT HAS FINISHED
	9943	Press Retu rn to cont inue, '^' to exit:
	9944	Example of TRICARE C HAMPVA Byp ass/Overri de Report Detail
	9945	TRICARE CH AMPVA BYPA SS/OVERRID E AUDIT RE PORT - DETAIL Pri nt Date: O CT 31, 201 0@11:59:22 Pa ge: 1
	9946	DIVISION(S ): DIVISIO N ONE, DIV ISION TWO
	9947	ELIGIBILIT Y: ALL
	9948	TC TYPES: INPATIENT, NON-BILLA BLE, PARTI AL FILL, R EJECT OVER RIDE
	9949	ALL PRESCR IPTIONS BY AUDIT DAT E: From 09 /01/10 thr ough 09/30 /10
	9950	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==========
	9951	BENEFICIAR Y NAME/ID RX# REF/EC ME# RX DATE RX INFO
	9952	ACTION DATE USER NA ME $B ILLED QTY NDC# DRUG
	9953	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==========
	9954	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	9955	DIVISION: DIVISION O NE
	9956	******** ****** ***** CHAMPVA INPATIENT **** ****** ****** ****
	9957	CVAPATIENT ,TWO/xxxx 1075 0570B$ 0/0000 09300476 02/13/10 C RT AC/ N
	9958	02/13/ 10 POSTMAS TER 45 .00 180 065243 28809 METFORM IN HCL 500 MG TAB
	9959	CHAMPV A INPATIEN T/DISCHARG E
	9960	CVAPATIENT ,THREE/xxx x 1075 0570B$ 0/0000 09300476 02/13/10 C RT AC/ N
	9961	02/13/1 0 POSTMAS TER 30 .00 180 065243 28809 METFORM IN HCL 500 MG TAB
	9962	CHAMPVA INPATIENT /DISCHARGE
	9963	CHAMPV A INPATIEN T
	9964	SUBTOT ALS 75.00
	9965	RX COU NT 2
	9966	MEAN 37.50
	9967	******** ****** ***** CHAMPVA NON-BILLAB LE *** ****** ****** ****
	9968	CVAPATIENT ,ONE/xxxx 1075 0570B$ 0/0000 09300476 02/13/10 C RT AC/ N
	9969	02/13/1 0 POSTMAS TER 20 .00 180 065243 28809 DOCUSAT E NA 100MG CA
	9970	ec CHAM PVA DRUG N OT BILLABL E
	9971	Fill Pe r Provider
	9972	P SOUSER,ONE
	9973	S UB-TOTALS 20.00
	9974	R X COUNT 1
	9975	M EAN 20.00
	9976	CHAMPV A NON-BILL ABLE
	9977	SUBTOT ALS 20.00
	9978	RX COU NT 1
	9979	MEAN 20.00
	9980	******** ****** ****** CHAMPVA PARTIAL F ILL ****** ****** ****** *
	9981	OPCVA,TWO/ 272P 2719 140 0/N/A 07/27/11 W ** AC/N
	9982	07/27/ 11 PSOUSER, THREE 8. 18 60 511110 48893 ACETAMI NOPHEN 325 MG TAB
	9983	eC:CHA MPVA-DRUG NON BILLAB LE
	9984	CHAMPV A Partial Fill
	9985	OPCVA,TWO/ 272P 2719 141 0/0000 04315966 07/27/11 W ** AC/N
	9986	07/27/ 11 PSOUSER, THREE 8. 02 1 581770 32404 NITROGL YCERIN 0.4 MG SL T
	9987	79:Ref ill Too So on
	9988	CHAMPV A Partial Fill
	9989	PSOUSER,ON E
	9990	SUBTOTALS 16.20
	9991	RX COUNT 2
	9992	MEAN 8.10
	9993	TCOUSER,TW O/265P 2719 348 0/N/A 09/08/11 W ** AC/N
	9994	09/08/ 11 PSOUSER, FOUR 8. 00 1 511110 48893 ACETAMI NOPHEN 325 MG TAB
	9995	CHAMPV A Partial Fill
	9996	PSOUSER,TW O
	9997	SUBTOTALS 8.00
	9998	RX COUNT 1
	9999	MEAN 8.00
	10000	TCOUSER,TW O/265P 2719 354 0/0000 04316183 09/08/11 W ** AC/N
	10001	09/08/ 11 PSOUSER, FOUR 2 3.58 30 000520 47260 CALCIFE DIOL 20MCG CAPS
	10002	79:Ref ill Too So on
	10003	22:M/I Dispense As Written (DAW)/Pro duct Selec tion Code
	10004	23:M/I Ingredien t Cost Sub mitted
	10005	24:M/I SALES TAX
	10006	25:M/I Prescribe r ID
	10007	26:M/I Unit Of M easure
	10008	CHAMPV A Partial Fill
	10009	PSOUSER,FI VE
	10010	SUBTOTALS 23.58
	10011	RX COUNT 1
	10012	MEAN 23.58
	10013	CHAMP VA PARTIAL FILL
	10014	SUBTO TALS 47.78
	10015	RX CO UNT 4
	10016	MEAN 11.95
	10017	******** ****** ******** * CHAMPV A REJECT O VERRIDE ******** ****** ******
	10018	CHAMPV A REJECT O VERRIDE
	10019	SUBTOT ALS
	10020
	10021	0.00
	10022	RX COU NT
	10023
	10024	0
	10025	MEAN 0.00
	10026	******** ****** ****** TRICARE INPATIENT *** ****** ****** *****
	10027	OPPATIENT, TRIONE/XXX X 1075 0XXXX$ 0/0000 09300XXX 09/10/1 0 C RT AC/ N
	10028	09/10/ 10 POSTMAST ER 45 .00 180 06XXX3 XXXXX METFORM IN HCL 500 MG TAB
	10029	TRICAR E Inpatien t/Discharg e
	10030	TRICA RE INPATIE NT
	10031	SUBTO TALS 45.00
	10032	RX CO UNT 1
	10033	MEAN 45.00
	10034	******** ****** ***** TRICARE NON-BILLAB LE *** ****** ****** ****
	10035	OPPATIENT, TRITWO/XXX X 1075 XXXXX$ 0/0000 0930XXXX 09/10/1 0 C RT AC/ N
	10036	09/10/ 10 OPPHARM, ONE 20 .00 180 06XXX3 XXXXX DOCUSAT E NA 100MG CA
	10037	eT TRI CARE DRUG NOT BILLAB LE
	10038	Fill P er Provide r
	10039	OPPHARM,ON E
	10040
	10041	SUB-TOTALS 20.00
	10042	RX COUNT 1
	10043	MEAN 20.00
	10044	TRICA RE NON-BIL LABLE
	10045	SUBTO TALS 20.00
	10046	RX CO UNT 1
	10047	MEAN 20.00
	10048	******** ****** ***** TRICARE REJECT OVE RRIDE ******** ****** ****** *
	10049	OPPATIENT, TRIFOUR/XX XX 107X XXX0B$ 0/0000 0930XXXX 09/10/1 0 C RT AC/ N
	10050	09/10/ 10 OPPHARM ,ONE 20 .00 180 065243 28809 DOCUSAT E NA 100MG CA
	10051	50:Non -Matched P harmacy Nu mber
	10052	25:M/I Prescribe r ID
	10053	OPHARM,ONE
	10054	SUB-TOTALS 20.00
	10055	RX COUNT 1
	10056	MEAN 20.00
	10057	TRICA RE REJECT
	10058
	10059	SUBTO TALS 20.00
	10060	RX CO UNT 1
	10061	MEAN 20.00
	10062	DIVISION: DIVISION O NE ---------- ---
	10063	SUBTOTALS 180.00
	10064	RX COUNT 6
	10065	MEAN 30.00
	10066	---------- ---
	10067	DIVISION: DIVISION T WO
	10068	******** ****** ***** CHAMPVA INPATIENT **** ****** ****** ****
	10069	CVAPATIENT ,TWO/xxxx 1075 0570B$ 0/0000 09300476 02/13/10 C RT AC/ N
	10070	02/13/1 0 POSTMAST ER 10 .00 180 065243 28809 METFORM IN HCL 500 MG TAB
	10071	CHAMPVA INPATIENT /DISCHARGE
	10072	SUB- TOTALS 10.0 0
	10073	RX C OUNT 1
	10074	MEAN 10.0 0
	10075	CVAPATIENT ,THREE/xxx x 1075 0570B$ 0/0000 09300476 02/13/10 C RT AC/ N
	10076	02/13/1 0 POSTMAST ER 40 .00 180 065243 28809 METFORM IN HCL 500 MG TAB
	10077	CHAMPVA INPATIENT /DISCHARGE
	10078	SUB- TOTALS 40.0 0
	10079	RX C OUNT 1
	10080	MEAN 40.0 0
	10081	CHAMPV A INPATIEN T
	10082	SUBTOT ALS 50.0 0
	10083	RX COU NT 2
	10084	MEAN 25.0 0
	10085	******** ****** ***** CHAMPVA NON-BILLAB LE *** ****** ****** ****
	10086	CVAPATIENT ,ONE/xxxx 1075 0570B$ 0/0000 09300476 02/13/10 C RT AC/ N
	10087	02/13/1 0 POSTMAST ER 60 .00 180 065243 28809 DOCUSAT E NA 100MG CA
	10088	ec CHAM PVA DRUG N OT BILLABL E
	10089	Fill Pe r Provider
	10090	OPUS ER,SIX
	10091	SUB- TOTALS 60.0 0
	10092	RX C OUNT 1
	10093	MEAN 60.0 0
	10094	CHAMPV A NON-BILL ABLE
	10095	SUBTOT ALS 60.0 0
	10096	RX COU NT 1
	10097	MEAN 60.0 0
	10098	******** ****** ****** CHAMPVA PARTIAL F ILL ****** ****** ****** *
	10099	OPCVA,TWO/ 272P 2719 140 0/N/A 07/27/11 W ** AC/N
	10100	07/27/ 11 OPUSER,T HREE 8. 18 60 511110 48893 ACETAMI NOPHEN 325 MG TAB
	10101	eC:CHA MPVA-DRUG NON BILLAB LE
	10102	CHAMPV A Partial Fill
	10103	OPCVA,TWO/ 272P 2719 141 0/0000 04315966 07/27/11 W ** AC/N
	10104	07/27/ 11 OPUSER,T HREE 8. 02 1 581770 32404 NITROGL YCERIN 0.4 MG SL T
	10105	79:Ref ill Too So on
	10106	CHAMPV A Partial Fill
	10107	OPUSER,TWO
	10108	SUBTOTALS 16.20
	10109	RX COUNT 2
	10110	MEAN 8.10
	10111	CHAMP VA PARTIAL FILL
	10112	SUBTO TALS 16.20
	10113	RX CO UNT 2
	10114	MEAN 8.10
	10115	******** ****** ******** * CHAMPV A REJECT O VERRIDE ******** ****** ******
	10116	CHAMPV A REJECT O VERRIDE
	10117	SUBTOT ALS
	10118
	10119	0.00
	10120	RX COU NT
	10121
	10122	0
	10123	MEAN 0.00
	10124	******** ****** ***** TRICARE INPATIENT **** ****** ****** ****
	10125	OPPATIENT, TRISIX/XXX X 107X XXXXX$ 0/0000 0930XXXX 09/10/1 0 C RT AC/ N
	10126	09/10/ 10 POSTMASTE R 10 .00 180 06XXXX XXXXX METFORM IN HCL 500 MG TAB
	10127	PATIEN T IS CURRE NTLY ON A WEEKEND PA SS AND WIL L RETURN O N MONDAY 0 9/13/2010.
	10128	OPPATIENT, TRISEVEN/X XXX 107X XXXXB$ 0/0000 093XXXXX 09/10/1 0 C RT AC/ N
	10129	09/10/ 10 POSTMAST ER 40 .00 180 06XXXX XXXXX METFORM IN HCL 500 MG TAB
	10130	PATIEN T IS CURRE NTLY ON A WEEKEND PA SS AND WIL L RETURN O N MONDAY 0 9/13/2010.
	10131	TRICA RE INPATIE NT
	10132	SUB-T OTALS 50.00
	10133	RX CO UNT 2
	10134	MEAN 50.00
	10135	******** ****** ******* TRICARE NON-BILLAB LE
	10136	******** ****** *
	10137	OPPATIENT, TRIEIGHT/X XXX 107X XXXXX$ 0/0000 09300XXX 09/10/1 0 C RT AC/ N
	10138	09/10/ 10 OPPHARM ,THREE 60 .00 180 06XXX 3XXXXX DOCUSAT E NA 100MG CA
	10139	eT TRI CARE DRUG NOT BILLAB LE
	10140	Fill P er Provide r
	10141	OPHRAM,THR EE
	10142	SUBTOTALS 60.00
	10143	RX COUNT 1
	10144	MEAN 60.00
	10145	TRICA RE NON-BIL LABLE
	10146	SUBTO TALS 60.00
	10147	RX CO UNT 1
	10148	MEAN 60.00
	10149	******** ****** ***** TRICARE REJECT OVE RRIDE ******** ****** *****
	10150	OPPATIENT, TRININE/XX XX 107XXX XXX$ 0/000009 30XXXX 09/10/10 C RT AC/N
	10151	09/10/ 10 OPHARM, TWO 20.0 0 180 06XXXXXX XXX METFORMIN HCL 500MG TAB
	10152	Claim ID: VA2005 -056XXXX-X XXXXX-0007 XXX
	10153	50:Non -Matched P harmacy Nu mber
	10154	25:M/I Prescribe r ID
	10155	OPPHARM,T WO
	10156	SUBTOTALS 20.00
	10157	RX COUNT 1
	10158	MEAN 20.00
	10159	TRICA RE REJECT
	10160	SUBTO TALS 20.00
	10161	RX CO UNT 1
	10162	MEAN 20.00
	10163	DIVISION: DIVISION T WO ---------- ---
	10164	SUBTOTALS 200.00
	10165	RX COUNT 7
	10166	MEAN 28.57
	10167	---------- ---
	10168	---------- ---
	10169	GRAND TOTA LS 380.00
	10170	RX COUNT 13
	10171	MEAN 29.23
	10172	---------- ---
	10173	REPORT HAS FINISHED
	10174	Press RETU RN to cont inue, '^' to exit: T RICARE/CHA MPVA Rejec t Processi ng XE "TRI CARE Rejec t Processi ng"
	10175	The Third Party Paye r Rejects - Worklist [PSO REJE CTS WORKLI ST] and Th ird Party Payer Reje cts - View /Process [ PSO REJECT S VIEW/PRO CESS] opti ons have b een modifi ed in the following manner:
	10176	Display of non-DUR/R TS rejects
	10177	Non-DUR/RT S TRICARE and CHAMPV A rejectio ns each wi ll be segr egated at the end of the displ ayed infor mation. Th ey will be denoted w ith a "TRI CARE - Non -DUR/RTS" or "CHAMPV A - Non-DU R/RTS" hea der. This header rem ains regar dless of w hether the GI - Grou p by Insur ance actio n is toggl ed on or o ff. The TR ICARE and CHAMPVA se ctions sor t in the s ame manner as the ma in sort fo r non-TRIC ARE/CHAMPV A prescrip tions (by Rx, drug, patient).
	10178	Insurance Rejects-Wo rklist Aug 13, 20 08@16:04:0 5 Page: 1 of 1
	10179	Division : ALBANY I SC
	10180	Selection : ALL UNRE SOLVED REJ ECTS
	10181	# Rx# PAT IENT(ID) [ ^] DRUG REASON
	10182	1 101238 ECM EIBTEST,ON E(5566) MEDROXYP ROGESTRONE 1 79 :REF ILL TOO SO
	10183	Payer Message:
	10184	2 100739 ECM EPAT,TWO(8 887) BENZTROP INE 2MG TA B 79 :REF ILL TOO SO
	10185	Payer Message:
	10186	3 101960 OPT RICARE,ONE (4789) ACETAZOL AMIDE 250M G 79 :REF ILL TOO SO
	10187	Payer Message:
	10188	C HAMPVA - N on-DUR/RTS
	10189	4 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :M/I Cardholde
	10190	Payer Message:
	10191	5 100923 OPC VACARE,TWO (4933) LORAZEPA M 1MG TAB 07 :M/I Cardholde
	10192	Payer Message:
	10193	T RICARE - N on-DUR/RTS
	10194	6 101980 OPT RICARE,ONE (4789) DANTROLE NE 25MG CA P 14 :M/I Eligibili
	10195	Payer Message:
	10196	Select the entry # t o view or ?? for mor e actions
	10197	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10198	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10199	Select: Qu it//
	10200	TRICARE an d CHAMPVA DUR/RTS re jects disp lay with a ll other D UR/RTS rej ects. See the boxed text in th e example below. Seq uences 5 a nd 9 are r ejects for the same prescripti on. Also n ote that i n the foll owing exam ple GI - G roup by In surance ac tion is to ggled OFF.
	10201	Insurance Rejects-Wo rklist Aug 13, 20 08@16:10:2 2 Page: 1 of 1
	10202	Division : ALBANY I SC
	10203	Selection : ALL UNRE SOLVED REJ ECTS
	10204	# Rx# PAT IENT(ID) [ ^] DRUG REASON
	10205	1 101238 ECM EIBTEST,ON E(5566) MEDROXYP ROGESTRONE 1 79 :REF ILL TOO SO
	10206	Payer Message:
	10207	2 100739 ECM EPAT,TWO(8 887) BENZTROP INE 2MG TA B 79 :REF ILL TOO SO
	10208	Payer Message:
	10209	3 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :REF ILL TOO SO
	10210	Payer Message:
	10211	4 101960 OPT RICARE,ONE (4789) ACETAZOL AMIDE 250M G 79 :REF ILL TOO SO
	10212	Payer Message:
	10213	5 101981 OPT RICARE,ONE (4789) ATENOLOL 100MG TAB 79 :REF ILL TOO SO
	10214	Payer Message:
	10215	C HAMPVA - N on-DUR/RTS
	10216	6 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :M/I Cardholde
	10217	Payer Message:
	10218	7 100923 OPC VACARE,TWO (4933) LORAZEPA M 1MG TAB 07 :M/I Cardholde
	10219	Payer Message:
	10220	T RICARE - N on-DUR/RTS
	10221	8 101980 OPT RICARE,ONE (4789) DANTROLE NE 25MG CA P 14 :M/I Eligibili
	10222	Payer Message:
	10223	9 101981 OPT RICARE,ONE (4789) ATENOLOL 100MG TAB 14 :M/I Eligibili
	10224	Payer Message:
	10225	Select the entry # t o view or ?? for mor e actions
	10226	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10227	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10228	Select: Qu it//
	10229	When GI - Group by I nsurance a ction is t oggled ON, the heade rs "TRICAR E" and “CH AMPVA” dis play, and these "TRI CARE" and “CHAMPVA” sections s ort alphab etically w ithin RTS/ DUR insura nces. Thes e TRICARE/ CHAMPVA se ctions are separate from the N on-DUR/RTS section t hat displa ys at the end of the listing.
	10230	Example wi th GI acti on toggled on:
	10231	Insurance Rejects-Wo rklist Aug 13, 20 08@16:12:4 6 Page: 1 of 1
	10232	Division : ALBANY I SC
	10233	Selection : ALL UNRE SOLVED REJ ECTS GROUP ED BY INSU RANCE
	10234	# Rx# PAT IENT(ID) [ ^] DRUG REASON
	10235	B LUE CROSS BLUE SHIEL D
	10236	1 100739 ECM EPAT,TWO(8 887) BENZTROP INE 2MG TA B 79 :REF ILL TOO SO
	10237	Payer Message:
	10238	CHAM PVA
	10239	2 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :REF ILL TOO SO
	10240	Payer Message:
	10241	TRIC ARE
	10242	3 101960 OPT RICARE,ONE (4789) ACETAZOL AMIDE 250M G 79 :REF ILL TOO SO
	10243	Payer Message:
	10244	ZENITH ADM INISTATORS
	10245	4 101238 ECM EIBTEST,ON E(5566) MEDROXYP ROGESTRONE 1 79 :REF ILL TOO SO
	10246	Payer Message:
	10247	5 101981 OPTR ICARE,ONE( 4789) ATENOLOL 100MG TAB 79 :REFI LL TOO SO
	10248	Payer M essage:
	10249	C HAMPVA - N on-DUR/RTS
	10250	6 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :M/I Cardholde
	10251	Payer Message:
	10252	7 100923 OPC VACARE,TWO (4933) LORAZEPA M 1MG TAB 07 :M/I Cardholde
	10253	Payer Message:
	10254	T RICARE - N on-DUR/RTS
	10255	8 101980 OPT RICARE,ONE (4789) DANTROLE NE 25MG CA P 14 :M/I Eligibili
	10256	Payer Message:
	10257	9 101981 OPT RICARE,ONE (4789) ATENOLOL 100MG TAB 14 :M/I Eligibili
	10258	Payer Message:
	10259	Select the entry # t o view or ?? for mor e actions
	10260	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10261	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10262	Select: Qu it//
	10263	The TRI - Show/Hide TRICARE an d CVA - Sh ow/Hide CH AMPVA togg le actions appear on the hidde n menu on the Insura nce Reject s screen. When the T RI action is toggled to Show, TRICARE No n-DUR/RTS rejects wi ll automat ically dis play at th e end of t he listing . Toggling the TRI a ction to H ide will r emove them from the screen. Th e CVA acti on behaves likewise for CHAMPV A Non-DUR/ RTS reject s.
	10264	Example wi th TRICARE and CHAMP VA rejects displayed :
	10265	Insurance Rejects-Wo rklist Aug 13, 20 08@16:04:0 5 Page: 1 of 1
	10266	Division : ALBANY I SC
	10267	Selection : ALL UNRE SOLVED REJ ECTS
	10268	# Rx# PAT IENT(ID) [ ^] DRUG REASON
	10269	1 101238 ECM EIBTEST,ON E(5566) MEDROXYP ROGESTRONE 1 79 :REF ILL TOO SO
	10270	Payer Message:
	10271	2 100739 ECM EPAT,TWO(8 887) BENZTROP INE 2MG TA B 79 :REF ILL TOO SO
	10272	Payer Message:
	10273	3 101960 OPT RICARE,ONE (4789) ACETAZOL AMIDE 250M G 79 :REF ILL TOO SO
	10274	Payer Message:
	10275	C HAMPVA - N on-DUR/RTS
	10276	4 101358 OPC VACARE,ONE (7895) BACLOFEN 10MG TABS 07 :M/I Cardholde
	10277	Payer Message:
	10278	T RICARE - N on-DUR/RTS
	10279	5 101980 OPT RICARE,ONE (4789) DANTROLE NE 25MG CA P 14 :M/I Eligibili
	10280	Payer Message:
	10281	Select the entry # t o view or ?? for mor e actions DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10282	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10283	Select: Qu it// ??
	10284	The follow ing action s are also available :
	10285	TRI Show/ Hide TRICA RE DN Down a Li ne PT Pri nt List
	10286	CVA Show/ Hide CHAMP VA FS First Scr een SL Sea rch List
	10287	VER View ePharmacy Rx LS Last Scre en ADPL Aut o Display( On/Off)
	10288	+ Next Screen GO Go to Pag e QU Qui t
	10289	- Previ ous Screen RD Re Displa y Screen
	10290	UP Up a Line PS Print Scr een
	10291	Enter RETU RN to cont inue or '^ ' to exit:
	10292	Example of TRICARE a nd CHAMPVA rejects r emoved fro m display:
	10293	Insurance Rejects-Wo rklist Aug 13, 20 08@16:04:0 5 Page: 1 of 1
	10294	Division : ALBANY I SC
	10295	Selection : ALL UNRE SOLVED REJ ECTS
	10296	# Rx# PAT IENT(ID) [ ^] DRUG REASON
	10297	1 101238 ECM EIBTEST,ON E(5566) MEDROXYP ROGESTRONE 1 79 :REF ILL TOO SO
	10298	Payer Message:
	10299	2 100739 ECM EPAT,TWO(8 887) BENZTROP INE 2MG TA B 79 :REF ILL TOO SO
	10300	Payer Message:
	10301	3 101960 OPT RICARE,ONE (4789) ACETAZOL AMIDE 250M G 79 :REF ILL TOO SO
	10302	Payer Message:
	10303	Select the entry # t o view or ?? for mor e actions
	10304	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10305	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10306	Select: Qu it// ??
	10307	The follow ing action s are also available :
	10308	TRI Show/ Hide TRICA RE DN Down a Li ne PT Pri nt List
	10309	CVA Show/ Hide CHAMP VA FS First Scr een SL Sea rch List
	10310	VER View ePharmacy Rx LS Last Scre en ADPL Aut o Display( On/Off)
	10311	+ Next Screen GO Go to Pag e QU Qui t
	10312	- Previ ous Screen RD Re Displa y Screen
	10313	UP Up a Line PS Print Scr een
	10314	Enter RETU RN to cont inue or '^ ' to exit
	10315	Processing of TRICAR E and CHAM PVA Reject ions – TRI CARE/CHAMP VA Eligibl e Bypass/O verride Fu nctions
	10316	A bypass f unction is provided to allow c ontinued p rocessing of prescri ptions for TRICARE a nd CHAMPVA eligible inpatients who have Environmen tal Indica tors at th e time the prescript ion is iss ued.
	10317	Whenever a n TRICARE or CHAMPVA inpatient prescript ion is aut o-reversed by the EC ME NIGHTLY BACKGROUN D JOB, the prescript ion will b e recorded to the TR ICARE CHAM PVA Bypass /Override Report as payment wi ll not be received f or this pr escription
	10318	In the fol lowing exa mple a TRI CARE patie nt has Mil itary Sexu al Trauma The system displays the Non-Bi llable Rea son “MILIT ARY SEXUAL TRAUMA” o n the scre en.
	10319	ISSUE DATE : JAN 27,2 015// (J AN 27, 201 5)
	10320	FILL DATE: (1/27/20 15 - 1/28/ 2016): JAN 27,2015// (JAN 27 , 2015)
	10321	Nature of Order: WRI TTEN// W
	10322	WAS THE PA TIENT COUN SELED: NO/ /
	10323	Do you wan t to enter a Progres s Note? No // NO
	10324	Rx # 10489 7 01/27/1 5
	10325	OPTRICARE, TWO #360
	10326	TAKE TWO T ABLETS BY MOUTH TWIC E A DAY
	10327	BACLOFEN 1 0MG TABS
	10328	BLAESER,DA VE BLAES ER,DAVE
	10329	# of Refil ls: 3
	10330	Was treatm ent relate d to Milit ary Sexual Trauma? y YES
	10331	Is this co rrect? YES //
	10332
	10333	MILITARY S EXUAL TRAU MA
	10334	Another Ne w Order fo r OPTRICAR E,TWO? YES //
	10335	The follow ing is a s ample of t he View Pr escription ECME Log update. Th e Non-Bill able Reaso n “MILITAR Y SEXUAL T RAUMA” is now displa yed on the View Pres cription E CME Log. T his allows the syste m to recor d why a TR ICARE pres cription w as allowed to be byp assed.
	10336	Example: V iew Prescr iption ECM E Log entr y: TRICARE INPATIENT /DISCHARGE
	10337	Rx View (A ctive) Jun 25, 2015@1 6:13:31 Pag e: 5 of 5
	10338	OPTRICARE, TWO
	10339	PID: 666 -55-8741 Ht(cm): _ ______ (__ ____)
	10340	DOB: OCT 20,1955 ( 59) Wt(kg): _ ______ (__ ____)
	10341	+
	10342	ECME Log:
	10343	# Date/T ime Rx Ref Initiator Of Activit y
	10344	========== ========== ========== ========== ========== ========== ========== =========
	10345	1 1/27/1 5@15:28:54 ORIGIN AL BLAESER,DA VE
	10346	Comments: TRICARE-No t ECME Bil lable: MIL ITARY SEXU AL TRAUMA
	10347	In a simil ar situati on where a prescript ion is iss ued to a C HAMPVA pat ient with an Environ mental Ind icator wou ld be disp layed on t he reject processing screen an d in the V iew Prescr iption ECM E Log.
	10348	TRICARE/CH AMPVA Elig ible Outpa tient Over ride Funct ion
	10349	An overrid e function is provid ed to allo w continue d processi ng of pres criptions for TRICAR E or CHAMP VA eligibl e outpatie nts when a rejected response i s received from the TRICARE or CHAMPVA p ayer/PBM.
	10350	The Reject Action pr ompt will default to “Quit”. I f the Q (Q uit) actio n is selec ted, the r ejected cl aim will g o to the T RICARE or CHAMPVA se ction, as appropriat e, of the Pharmacy T hird Party Payer Rej ects – Wor klist. If the D (Dis continue) action is selected, the next p rompt “Nat ure of Ord er” will d efault to “Service R eject”. Th e I (Ignor e) action is availab le if the user holds the “PSO TRICARE/CH AMPVA” sec urity key and if sel ected, con tinued pro cessing wi ll occur.
	10351	The Reject Action pr ompt will be updated to a defa ult of “Qu it”.
	10352	Example of Reject No tification Screen No n-DUR/RTS with the d efault act ion of D ( Discontinu e)
	10353	IN PROGRES S-Transmit ting
	10354	IN PROGRES S-Parsing response
	10355	E REJECTED
	10356	21 - M /I Product /Service I D
	10357	* TRICAR E - REJECT RECEIVED FROM THIRD PARTY PAY ER *
	10358	---------- ---------- ---------- ---------- ---------- ---------- ---------- -----
	10359	Division : XXXX DIV ISION NPI#: XXXXXXXXXX
	10360	Patient : TRICARE, ONE(XXXX) Sex: M DO B: OCT 1,1 9XX(XX)
	10361	Rx/Drug : XXX5341/ 0 - AMOXIC ILLIN 250M G CA ECME#: 0000023456 78
	10362	Reject(s) : M/I Prod uct/Servic e ID (21) Received on NOV 01, 2010@09:3 0:03.
	10363	Insurance : EXPR ESS SCRIPT Co ntact:
	10364	Group Nam e : TRIC ARE Group N umber: DOD A
	10365	---------- ---------- ---------- ---------- ---------- ---------- ----------
	10366	Select one of the following :
	10367	I (I )GNORE – F ILL Rx WIT HOUT CLAIM SUBMISSIO N
	10368	D (D )iscontinu e - DO NOT FILL PRES CRIPTION
	10369	Q (Q )UIT - SEN D TO WORKL IST (REQUI RES INTERV ENTION)
	10370	(I)gnore,( D)iscontin ue,(Q)uit: Q//Discon tinue
	10371	Nature of Order: SER VICE REJEC T//
	10372	Requesting PROVIDER: DNS VIDER,ONE 111 PHYSICIAN
	10373	In the fol lowing exa mple a pre scription is rejecte d from the Third Par ty Payer w ith a reje ct code of (88) DUR REJECT. Th e pharmaci st has the option to Discontin ue, Ignore , Override or Quit.
	10374	The Ignore action is only disp layed for holders of the PSO T RICARE/CHA MPVA secur ity key.
	10375	Example of Reject No tification Screen DU R/RTS
	10376	88 - DUR R eject Erro r
	10377	* TRIC ARE - REJE CT RECEIVE D FROM THI RD PARTY P AYER *
	10378	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	10379	Divisio n : XXXXXX NPI#: 999999999 9
	10380	Patient : OPPATI ENT,TRICAR E (XXXX) S ex: F DOB: OCT 17,19 XX(XX)
	10381	Rx/Drug : 2718XX X/0 - BALN ETAR 7.5 O Z ECME#: 00000431X XXX
	10382	Reject( s): DUR RE JECT (88). Received on NOV 01 , 2010@07: 08:44.
	10383	Insuran ce : EX PRESS SCRI PTS Contact:
	10384	Group N ame : TR ICARE Group Number: D ODA
	10385	------- ---------- ---------- ---------- ---------- ---------- ---------- ------
	10386	Selec t one of t he followi ng:
	10387	O (O)VERRIDE - RESUBMI T WITH OVE RRIDE CODE S
	10388	I (I)GNORE - FILL Rx W ITHOUT CLA IM SUBMISS ION
	10389	D (D)isconti nue - DO N OT FILL PR ESCRIPTION
	10390	Q (Q)UIT - S END TO WOR KLIST (REQ UIRES INTE RVENTION)
	10391
	10392	(O)verride ,(I)gnore, (D)isconti nue,(Q)uit : Q// i ( I)GNORE - FILL Rx WI THOUT CLAI
	10393	M SUBMISSI ON
	10394	You are by passing cl aims proce ssing. Do you wish t o continue ? NO// y YES
	10395	For Non-Bi llable TRI CARE or CH AMPVA reje cts, a Non -Billable Notificati on Screen is provide d to allow continued processin g of presc riptions. The Reject Action pr ompt will default to “Discontin ue”. If th e action D (Disconti nue) is se lected, th e prompt “ Nature of Order” wil l default to “Servic e Reject”. The I (Ig nore) acti on is avai lable if t he user ho lds the “P SO TRICARE /CHAMPVA” security k ey and if it is sele cted, cont inued proc essing wil l occur. I f the acti on Q (Quit ) is selec ted, the N on-Billabl e TRICARE or CHAMPVA eligible prescripti on will go to the Ph armacy Thi rd Party P ayer Rejec ts – Workl ist utiliz ing either Reject Co de “eT” wi th reject descriptio n “TRICARE -DRUG NON BILLABLE” or Reject Code “eC” with rejec t descript ion “CHAMP VA-DRUG NO N BILLABLE .” (The re ject codes “eT” and “eC” are f or use int ernal to t he VistA s ystem only and have no relatio n to any N CPDP rejec t code lis ting.) The new entry will be d isplayed i n the TRIC ARE or CHA MPVA secti on of the Pharmacy Third Part y Payer Re jects – Wo rklist, as applicabl e.
	10396	In the fol lowing exa mple a TRI CARE Activ e Duty pat ient with Outpatient status su bmits an O TC, Non-Bi llable dru g or suppl ies prescr iption for dispensin g. The pha rmacist wi ll have th e option o f Disconti nuing the Rx, Ignori ng the Rx or Quittin g. Discont inue is th e option d isplayed b elow.
	10397	Example of Non-Billa ble Notifi cation Scr een
	10398	Is this co rrect? YES //
	10399	DRUG NOT B ILLABLE
	10400
	10401
	10402
	10403	* TRICAR E - NON-BI LLABLE *
	10404	------- ---------- ---------- ---------- ---------- ---------- ---------- ---
	10405	Divisio n : XXXX D IVISION NPI#: X XXXXXXXXX
	10406	Patient : TRICAR E,ONE(XXX- XX-XXXX) Sex: M DOB: J AN 1,19XX( XX)
	10407	Rx/Drug : XXX533 9/0 - DOCU SATE NA 10 0MG CA
	10408	Date/Ti me: OCT 31 , 2010@12: 22:10
	10409	Reason : Drug n ot billabl e
	10410	------- ---------- ---------- ---------- ---------- ---------- ---------- ---
	10411	This is a non-bil lable TRIC ARE prescr iption.
	10412	Sel ect one of the follo wing:
	10413	D (D)iscon tinue - DO NOT FILL PRESCRIPTI ON
	10414	Q (Q)UIT - SEND TO W ORKLIST (R EQUIRES IN TERVENTION )
	10415	I (I)gnore – FILL Rx WITHOUT C LAIM SUBMI SSION
	10416	(D)isconti nue,(Q)uit , (I)gnore : D// Disc ontinue
	10417	Nature of Order: SER VICE REJEC T//
	10418	Requesting PROVIDER: DNS VIDER,ONE 111 PHYSICIAN
	10419	In the fol lowing exa mple a TRI CARE Activ e Duty pat ient with Outpatient status su bmitted an OTC, Non- Billable d rug or Sup plies pres cription f or dispens ing. The p harmacist selected t he Quit op tion to se nd the pre scription to the wor klist for further re view. The Non-Billab le drug is displayed on the Ph armacy Thi rd Party P ayer Rejec ts – Workl ist with a reason co de “eT”.
	10420	Example of Pharmacy Third Part y Payer Re jects – Wo rklist
	10421	Insurance Rejects-Wo rklist Oct 31, 20 10@09:15:5 8 Page: 2 of 5
	10422	Division : ALBANY I SC
	10423	Selection : ALL UNRE SOLVED REJ ECTS
	10424	# Rx# PAT IENT(ID) [ ^] DRUG REASON
	10425	Payer Me ssage:
	10426	T RICARE - N on-DUR/RTS
	10427	13 102xxx OPT RICARE,ONE (4789) DIAZOXID E 300MG IN J eT :TRI CARE-DRUG NON
	10428	Payer Message:
	10429	14 102xxx OPT RICARE,ONE (4789) MANNITOL 15% S.S. LV 22 :M/I Dispense
	10430	Payer Message:
	10431	15 1028xx x OPT RICARE,ONE (4789) METHOCAR BAMOL 750M G 34 :M/I Submissio
	10432	Payer Message:
	10433	16 103xxx OPT RICARE,ONE (4789) BENZTROP INE 2MG TA B 07 :M/I Cardholde
	10434	Payer Message:
	10435	17 103xxx OPT RICARE,ONE (4789) DEXAMETH ASONE 0.5M G 07 :M/I Cardholde
	10436	Payer Message:
	10437	18 102xxx TRI CARE,ONLYT RICAR(3939 ) NEODECAD RON OPHTMA LI 07 :M/I Cardholde
	10438	Payer Message:
	10439	19 102xxx TRI CARE,ONLYT RICAR(3939 ) GENTAMIC IN OPHTHAL MI 07 :M/I Cardholde
	10440	Payer Message:
	10441	+ Select the entry # t o view or ?? for mor e actions
	10442	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10443	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10444	Select: Ne xt Screen/ /
	10445	The Non-Bi llable TRI CARE presc riptions w ill appear on the Re ject Infor mation scr een shown in the exa mple below once the TRICARE No n-Billable claim has been sele cted from the Pharma cy Third P arty Payer Rejects – Worklist. The scree n will dis play:
	10446	ECME# fiel d – will b e blank.
	10447	Insurance Informatio n – will b e blank.
	10448	Reject cod e section will have the reject code eT a nd status will state “NO CLAIM SUBMITTED ”.
	10449	Available Actions wi ll be DC – Discontin ue Rx, VW -View Rx, MP – Medic ation Prof ile, FIL – Fill Rx a nd IGN Ign ore Reject (FIL and IGN will r equire PSO TRICARE/C HAMPVA Sec urity key) .
	10450	Available Hidden Act ions will be COM – A dd Comment s, ED – Ed it Rx, VER – View eP harmacy Rx and all o ther stand ard List M anager hid den action s.
	10451	If the act ion DC is chosen, th e system w ill discon tinue the prescripti on and the prompt “N ature of O rder” will default t o “SERVICE REJECT”.
	10452	The follow ing action s will not be select able when processing a TRICARE or CHAMPV A eligible Non-Billa ble reject : Change S uspense Da te (CSD)/S ubmit Over ride Codes (OVR)/Sub mit Clarif Code (CLA )/Submit P rior Auth (PA)/Suspe nse Date C alculation (SDC)/Sub mit Mult A ctions (SM A). If sel ected for a TRICARE reject, an error mes sage will appear: “[ action] no t allowed for TRICAR E Non-Bill able claim ”. If sele cted for a CHAMPVA r eject, an error mess age will a ppear: “[a ction] not allowed f or CHAMPVA Non-Billa ble claim” . The only actions a vailable a re to Disc ontinue, F ill the pr escription , View pre scription, Resubmit Claim or M edication Profile.
	10453	Example of Non-Billa ble Reject Informati on Screen
	10454	Reject Inf ormation ( TRICARE) Oct 30, 20 10@10:15:0 1 Page : 1 of 1
	10455	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ECME DIVISION N PI#: XXXXX XXXXX
	10456	Patient : TRICARE,T WO(XXX-XX- XXXX) Sex : M DOB: JUL 1,19XX (XX)
	10457	Rx# : ###4928/0 EC ME#: Date of Service: Mar 16, 20 09
	10458	CMOP Drug: DOCUSATE NA 100MG C A
	10459
	10460
	10461
	10462	NDC Code: 54629-0600 -01
	10463	.
	10464	REJECT Inf ormation ( TRICARE) .
	10465	Reject Typ e : TRI CARE DRUG NOT BILLAB LE(eT) rec eived on O CT 17, 201 0@13:19:22
	10466	Reject Sta tus : NO CLAIM SUBM ITTED
	10467	Payer Addl Msg : Not ECME Bill able: DRUG NOT BILLA BLE
	10468	Reason Cod e :
	10469	DUR Text :____ __________ __________ __________ __________ __________ __________ ____
	10470	COMMENTS .
	10471	- AUG 25, 2010@13:25 :07 - Tran sferred by OPECC. (O PCLERK,ONE )
	10472	INSURANCE Informatio n .
	10473	Insurance :
	10474	Contact :
	10475	BIN / PCN :
	10476	Group Numb er :
	10477	Cardholder ID : .
	10478	Enter ?? f or more ac tions .
	10479	VW View R x FIL Fill Rx CSD Cha nge Suspen se Date
	10480	MP Medica tion Profi le DC Discontinu e Rx IGN Ign ore Reject
	10481	RES Resubm it Claim OVR Submit Ove rride Code s
	10482	Select Ite m(s): Next Screen //
	10483	Example of Non-Billa ble Reject Informati on Screen displaying the actio n OVR (Sub mit Overri de Codes) error mess age
	10484	Reject Inf ormation ( TRICARE) Nov 11, 20 10@12:37:3 0 Page : 1 of 2
	10485	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ECME DIVISION NPI#:
	10486	Patient : OPPATIENT ,TRICARE(X XX-XX-XXXX ) Sex: F DOB: OCT 7,19X X(XX)
	10487	Rx# : 27XXXXX/0 E CME#: Date o f Service: Sep 16, 2 010
	10488	Drug : ALUMINUM HYDROXIDE GEL 320MG/ 5ML SUSP NDC Code: 00054-303 5-63
	10489	REJECT Inf ormation ( TRICARE) .
	10490	Reject Typ e : TRI CARE DRUG NOT BILLAB LE(eT) rec eived on S EP 16, 201 0@13:07:12
	10491	Reject Sta tus : NO CLAIM SUBM ITTED
	10492	Payer Addl Msg : Not ECME Bill able: DRUG NOT BILLA BLE
	10493	Reason Cod e :
	10494	DUR Text :____ __________ __________ __________ __________ __________ __________ ____
	10495	COMMENTS .
	10496	- SEP 16, 2010@13:07 :12 - Tran sferred by (XXXXXXX X,XXXX)
	10497	INSURANCE Informatio n .
	10498	Insurance :
	10499	Contact :
	10500	BIN / BIN :
	10501	Group Numb er :
	10502	+ OVR not al lowed for TRICARE No n-Billable claim.
	10503	VW View R x FIL Fill Rx CSD Chan ge Suspens e Date
	10504	MP Medica tion Profi le DC Discontinu e Rx IGN Igno re Reject
	10505	RES Resubm it Claim OVR Submit Ove rride Code s
	10506	Select Ite m(s): Next Screen//
	10507	Reject Inf ormation S creen – El ectronic S ignature a nd TRICARE /CHAMPVA J ustificati on
	10508	This acti on require s the secu rity key P SO TRICARE /CHAMPVA.
	10509	A user mus t hold the “PSO TRIC ARE/CHAMPV A” securit y key to p erform the Fill Rx ( FIL) and I gnore Reje ct (IGN) a ctions on the Third Party Paye r Rejects – Worklist and the “ Ignore” ac tion on th e TRICARE or CHAMPVA Reject No tification screen. I f the user holds the security key “PSO T RICARE/CHA MPVA”, the prompt wi ll display : “You are bypassing claims pr ocessing. Do you wis h to conti nue?” If t he user en ters (No=D efault), t he user wi ll return to the rej ect notifi cation scr een. If th e user sel ects Yes t o continue , the syst em will mi mic the cu rrent Igno re action/ functional ity and al low proces sing of th e prescrip tion. The user will be prompte d to enter their ele ctronic si gnature co de and ask ed to ente r data int o the TRIC ARE Justif ication or CHAMPVA J ustificati on field, which is required. The user w ill be all owed to “^ ” out of t he process . If the u ser opts t o “^” out of the pro cess, they will be t aken back to the Rej ect Inform ation scre en prompt.
	10510	In the fol lowing exa mple a TRI CARE patie nt with Ou tpatient s tatus subm its a pres cription f or process ing and a rejected r esponse is received from the T RICARE pay er/PBM. Th e pharmaci st initial ly sends t he prescri ption to t he Third P arty Payer Rejects – Worklist then later decides t o finish p rocessing the prescr iption and chooses t he FIL act ion.
	10511	Example of Reject In formation Screen – E lectronic Signature and TRICAR E Justific ation
	10512	Reject Inf ormation ( TRICARE) Sep 30, 20 10@10:25:1 3 Page : 1 of 1
	10513	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ECME DIVISION NPI #: XXXXXXX XXX
	10514	Patient : TRICARE,T WO(XXX-XX- XXXX) Sex : M DOB: JA N 1,19XX(X X)
	10515	Rx# : XXX4928/0 EC ME#: 00000 1231234 Date of S ervice: Fe b 08, 2009
	10516	CMOP Drug: ACARBOSE 25MG TAB ND C Code: 00 026-2863-5 2
	10517	REJECT Inf ormation ( TRICARE)
	10518
	10519
	10520
	10521	.
	10522	Reject Typ e : M/I Cardholde r ID (07) received o n JUL 10, 2010@12:22 :10
	10523	Reject Sta tus : OPE N/UNRESOLV ED - E REJ ECTED
	10524	Payer Addl Msg :
	10525	Reason Cod e :
	10526	DUR Text :____ __________ __________ __________ __________ __________ __________ ____
	10527	COMMENTS .
	10528	- AUG 25, 2010@13:25 :07 - Tran sferred by OPECC. (O PCLERK,ONE )
	10529	INSURANCE Informatio n
	10530
	10531
	10532
	10533
	10534
	10535	.
	10536	Insurance : EXP RESS SCRIP TS
	10537	Contact :
	10538	BIN / PCN : 741 852 / XXXX XXXXXBIN : 741852
	10539	Group Numb er : DOD A
	10540	Cardholder ID : XXX XXXX .
	10541	Enter ?? f or more ac tions
	10542
	10543
	10544
	10545
	10546	.
	10547	VW View R x FIL Fi ll Rx CSD Chang e Suspense Date
	10548	MP Medica tion Profi le DC Di scontinue Rx IGN Ignor e Reject
	10549	RES Resubm it Claim OVR Su bmit Overr ide Codes
	10550	Select Ite m(s): Quit //FIL
	10551
	10552	You are by passing cl aims proce ssing. Do you wish t o continue (Y/N)? No //Yes
	10553
	10554	Enter your Current S ignature C ode: SI GNATURE VE RIFIED
	10555	TRICARE Ju stificatio n: Patient required medication
	10556	If the use r does not hold the security k ey “PSO TR ICARE/CHAM PVA”, an o n screen a lert to th e user wil l display “Action Re quires <PS O TRICARE/ CHAMPVA> s ecurity ke y” as disp layed in t he below e xample. Th e user wil l need to press any key to ret urn to the Reject In formation screen.
	10557	Example of Reject In formation Screen – S ecurity Ke y – ALERT
	10558	Reject Inf ormation ( TRICARE) Sep 30, 20 10@10:25:1 3 Page : 1 of 1
	10559	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ECME DIVISION NPI #: XXXXXXX XXX
	10560	Patient : TRICARE,T WO(XXXX) Sex: M DOB: JA N 1,19XX(X X)
	10561	Rx# : XXX4928/0 EC ME#: 00000 1231234 Date of S ervice: Fe b 08, 2009
	10562	CMOP Drug: ACARBOSE 25MG TAB ND C Code: 00 026-2863-5 2
	10563	REJECT Inf ormation ( TRICARE)
	10564
	10565
	10566
	10567	.
	10568	Reject Typ e : M/I Cardholde r ID (07) received o n JUL 10, 2010@12:22 :10
	10569	Reject Sta tus : OPE N/UNRESOLV ED - E REJ ECTED
	10570	Payer Addl Msg :
	10571	Reason Cod e :
	10572	DUR Text :____ __________ __________ __________ __________ __________ __________ ____
	10573	COMMENTS .
	10574	- AUG 25, 2010@13:25 :07 - Tran sferred by OPECC. (O PCLERK,ONE )
	10575	INSURANCE Informatio n
	10576
	10577
	10578
	10579
	10580
	10581	.
	10582	Insurance : EXP RESS SCRIP TS
	10583	Contact :
	10584	BIN / PCN : 741 852 / XXXX XXXXXBIN : 741852
	10585	Group Numb er : DOD A
	10586	Cardholder ID : XXX XXXX
	10587	+ Action Req uires <PSO TRICARE/C HAMPVA> Se curity Key
	10588
	10589
	10590
	10591
	10592	VW View R x FIL Fi ll Rx CSD Chang e Suspense Date
	10593	MP Medica tion Profi le DC Di scontinue Rx IGN Ignor e Reject
	10594	RES Resubm it Claim OVR Su bmit Overr ide Codes
	10595	Select Ite m(s): Next Screen//
	10596	The person that reso lves TRICA RE and CHA MPVA non-D UR/RTS rej ects is de pendent up on the typ e of rejec t. Dispens e As Writt en (DAW) r eject code 22 can be resolved by the pha rmacy staf f by editi ng the pre scription and enteri ng the app ropriate D AW code wh ich result s in a cla ims resubm ission. Ot her insura nce-relate d rejects (missing e ligibility or cardho lder ID nu mber) are resolved b y the Outp atient Pha rmacy Elec tronic Cla ims Coordi nator (OPE CC). Once the reject ion has be en resolve d, the Rej ect Inform ation scre en under t he pharmac y reject w orklist sh ows the st atus of th e prescrip tion as E PAYABLE. A t this poi nt the use r may sele ct the FIL action th at will pr ompt for l abel print .
	10597	Reject Inf ormation ( TRICARE) Sep 30, 20 10@10:25:1 3 Page : 1 of 1
	10598	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : ECME DIVISION NPI #: XXXXXXX XXX
	10599	Patient : TRICARE,T WO(XXXX) Sex: M DOB: JA N 1,19XX(X X)
	10600	Rx# : XXX4928/0 ECME #: 0000012 31234 Date of S ervice: Fe b 08, 2009
	10601	CMOP Drug: ACARBOSE 25MG TAB ND C Code: 00 026-2863-5 2
	10602	REJECT Inf ormation ( TRICARE)
	10603
	10604
	10605
	10606	.
	10607	Reject Typ e : M/I Cardholde r ID (07) received o n JUL 10, 2010@12:22 :10
	10608	Reject Sta tus : OPE N/UNRESOLV ED - E REJ ECTED
	10609	Payer Addl Msg :
	10610	Reason Cod e :
	10611	DUR Text :____ __________ __________ __________ __________ __________ __________ ____
	10612	COMMENTS .
	10613	- AUG 25, 2010@13:25 :07 - Tran sferred by OPECC. (O PCLERK,ONE )
	10614	INSURANCE Informatio n
	10615
	10616
	10617
	10618
	10619
	10620	.
	10621	Insuranc e : E XPRESS SCR IPTS
	10622	Contact :
	10623	BIN / PC N : 7 41852 / XX XXXXXXXBIN : 741852
	10624	Group Nu mber : D ODA
	10625	Cardhold er ID : X XXXXXX
	10626
	10627
	10628	.
	10629	E nter ?? fo r more act ions
	10630	VW View R x FIL Fill Rx OVR Subm it Overrid e Codes
	10631	MP Medica tion Profi le DC Discontinu e Rx CSD Chan ge Suspens e Date
	10632	Select Ite m(s): Quit // FIL F ill Rx
	10633	[Closing a ll rejecti ons for pr escription 102059:
	10634	07 - ...OK]
	10635	Print Labe l? ? YES//
	10636	Select LAB EL PRINTER : HOME// UCX/TELNE T Right Margin: 8 0//
	10637	For reject s that rem ain in sus pense, the user will be allowe d to proce ss the rej ection as indicated above; how ever no la bels will be printed until the prescript ion is pul led early or printed from susp ense. Upon resolving the rejec t, the use r will be notified o f this inf ormation. CMOP presc riptions w ill functi on in the same manne r.
	10638	Other Reje cts XE "Ot her Reject s"
	10639	[PSO REJEC TS WORKLIS T]
	10640	Rejects un der the OT HER REJECT S section of the scr een contai n non-clin ical rejec ts and are resolved in the sam e manner a s DUR/RTS rejects. T he comment s section denotes wh ether the reject was transferr ed automat ically as is the cas e in the e xample bel ow or “Tra nsferred b y OPECC” w ill denote those rej ects where the OPECC manually transferre d them to pharmacy f or resolut ion.
	10641	The follow ing exampl e shows th e user sel ecting to resolve se quence 16 from the T hird Party Payer Rej ects - Wor klist opti on shown a bove. The user selec ts ED to e dit the DA W code for the presc ription, t hen resubm its the cl aim afterw ard. Since the claim was payab le, both t he RTS rej ect in seq uence 13 a nd the DAW reject in sequence 16 were ma rked resol ved. Also both are r emoved fr om the wor klist afte r submissi on. The us er then pr oceeds to Patient Pr escription Processin g option t o view the ECME logs which sho w that cla im resubmi ssion was payable an d that bot h rejects have been resolved.
	10642	Reject Inf ormation(V eteran)Jul 30, 2008@ 14:54:51 Pa ge: 1 o f 2
	10643	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX -XXXXXXXDi vision : DNS ENNE VAM&R OC NPI#: 1164 471991
	10644	Patient : OPPATIENT ,FOUR(666- 55-9987) Sex: M DOB: OCT 2 0,1965(42)
	10645	Rx# : 2055203/1 EC ME#: 00000 1615102 Da te of Serv ice: Jul 1 5, 2008
	10646	CMOP Drug: DANAZOL 5 0MG CAP
	10647
	10648
	10649	NDC Code : 00024-03 04-06
	10650
	10651	REJECT Inf ormation ( Veteran)
	10652	Reject Typ e : 22 - M/I Disp ense As Wr itten- rec eived on J UL 30, 200 8@14:32:16
	10653	Reject Sta tus : OPE N/UNRESOLV ED
	10654	Payer Addl Msg :
	10655	Reason Cod e :
	10656	DUR Text :
	10657
	10658	OTHER REJE CTS
	10659	79 - Refil l Too Soon
	10660
	10661	COMMENTS
	10662	- JUL 30, 2008@14:32 :16 - Auto matically transferre d due to o verride fo r reject
	10663	code. (O PHARM,ONE)
	10664
	10665	+ Enter ?? f or more ac tions
	10666	VW View R x IGN Ignore Rej ect OVR Subm it Overrid e Codes
	10667	MP Medica tion Profi le RES Resubmit C laim CSD Chan ge Suspens e Date
	10668	Select: Ne xt Screen/ / ed ED
	10669	Jul 30, 20 08@14:54:5 3
	10670	Rx # : 2055203$ e
	10671	(1) *Orde rable Item : DANAZOL CAP,ORAL
	10672	(2) CMOP Drug : DANAZOL 50MG CAP
	10673	N DC: 00055- 0633-02
	10674	(3) *Dosage : 50 (MG)
	10675	Verb : TAKE
	10676	Disp ense Units : 1
	10677	Noun : CAPSULE
	10678	*Route : ORAL (BY MOUTH)
	10679	*Schedule : BID
	10680	(4)Pat In structions :
	10681	SIG : TAKE ONE CAPSULE B Y MOUTH TW ICE A DAY
	10682	(5) Pati ent Status : OUTPT NO N-SC
	10683	(6) Issue Date : 07/11/08 (7) Fill Date: 07/11/08
	10684	Last Fill Date : 07/15/08 (Window)
	10685	Select Act ion: Next Screen// NEXT SCR EEN
	10686	Last Re lease Date : (8) Lot #:
	10687	Expires : 07/12/09 MFG:
	10688	(9) D ays Supply : 3 (10) QTY (CAP): 6
	10689	(11) # of Refills : 11 Remaining: 10
	10690	(12) Provider : OPPROVID ER,ONE
	10691	(13) Routing : MAIL (14) Copies: 1
	10692	(15) Clinic : Not on F ile
	10693	(16) Division: DNS ENNE VAM&R OC (442)
	10694	(17) Pharmacist :
	10695	(18) Remarks : New Orde r Created by copying Rx # 2055 182.
	10696	(19) Counseling : NO
	10697	(20) R efill Data
	10698	(21) DAW Code : 0 - NO P RODUCT SEL ECTION IND ICATED
	10699	F inished By : OPHARM,O NE
	10700	+ Enter ?? f or more ac tions
	10701	DC (Disc ontinue) PR (Partial) RL (Re lease)
	10702	ED Edit RF (Refill) RN (Re new)
	10703	Select Act ion: Next Screen// 2 1
	10704	DAW CODE: 0// ?
	10705	OP Medicat ions (SUSP ENDED) Jul 30, 20 08@14:54:5 5 Page: 2 of 3
	10706	OPPATIENT, FOUR
	10707	PID: 666 -55-9987 Ht(cm): _ ______ (__ ____)
	10708	DOB: OCT 20,1965 ( 42) Wt(kg): _ ______ (__ ____)
	10709	+
	10710	Answer with BPS NCPDP DAW CODE
	10711	Choose from:
	10712	0 NO PRODU CT SELECTI ON INDICAT ED
	10713	1 SUBSTITU TION NOT A LLOWED BY PRESCRIBER
	10714	2 SUBSTITU TION ALLOW ED-PATIENT REQUESTED PRODUCT D ISPENSED
	10715	3 SUBSTITU TION ALLOW ED-PHARMAC IST SELECT ED PRODUCT DISPENSED
	10716	4 SUBSTITU TION ALLOW ED-GENERIC DRUG NOT IN STOCK
	10717	5 SUBSTITU TION ALLOW ED-BRAND D RUG DISPEN SED AS A G ENERIC
	10718	6 OVERRIDE
	10719	7 SUBSTITU TION NOT A LLOWED-BRA ND DRUG MA NDATED BY LAW
	10720	8 SUBSTITU TION ALLOW ED-GENERIC DRUG NOT AVAILABLE IN MARKETP LACE
	10721	9 OTHER
	10722
	10723	DAW CODE: 0// 1 - SU BSTITUTION NOT ALLOW ED BY PRES CRIBER
	10724	Are You Su re You Wan t to Updat e Rx 20552 03? Yes// YES
	10725	OP Medicat ions (SUSP ENDED) Jul 30, 20 08@14:55:2 1 Page: 2 of 3
	10726	OPPATIENT, FOUR
	10727	PID: 666 -55-9987 Ht(cm): _ ______ (__ ____)
	10728	DOB: OCT 20,1965 ( 42) Wt(kg): _ ______ (__ ____)
	10729	+
	10730	Last Re lease Date : (8) Lot #:
	10731	Expires : 07/12/09 MFG:
	10732	(9) D ays Supply : 3 (10) QTY (CAP): 6
	10733	(11) # of Refills : 11 Remaining: 10
	10734	(12) Provider : OPPROVID ER,ONE
	10735	(13) Routing : MAIL (14) Copies: 1
	10736	(15) Clinic : Not on F ile
	10737	(16) Division: DNS ENNE VAM&R OC (442)
	10738	(17) Pharmacist :
	10739	(18) Remarks : New Orde r Created by copying Rx # 2055 182.
	10740	(19) Counseling : NO
	10741	(20) R efill Data
	10742	(21) DAW Code : 1 - SUBS TITUTION N OT ALLOWED BY PRESCR IBER
	10743	F inished By : OPHARM,O NE
	10744	+ Enter ?? f or more ac tions
	10745	DC (Disc ontinue) PR (Partial) RL (Re lease)
	10746	ED Edit RF (Refill) RN (Re new)
	10747	Select Act ion: Next Screen// ^
	10748	Reject Inf ormation(V eteran)Jul 30, 2008@ 14:55:28 Pa ge: 1 o f 2
	10749	Division : DNS ENNE VAM&R OC NPI#: 1164 471991
	10750	Patient : OPPATIENT ,FOUR(666- 55-9987) Sex: M DOB: OCT 2 0,1965(42)
	10751	Rx# : 2055203/1 EC ME#: 00000 1615102 Da te of Serv ice: Jul 1 5, 2008
	10752	CMOP Drug: DOCUSATE NA 100MG C A
	10753
	10754
	10755	NDC Code : 54629-06 00-01
	10756
	10757	REJECT Inf ormation (Veteran)
	10758	Reject Typ e : 22 - M/I Disp ense As Wr itten- rec eived on J UL 30, 200 8@14:32:16
	10759	Reject Sta tus : OPE N/UNRESOLV ED
	10760	Payer Addl Msg :
	10761	Reason Cod e :
	10762	DUR Text :
	10763
	10764	OTHER REJE CTS
	10765	79 - Refil l Too Soon
	10766
	10767	COMMENTS
	10768	- JUL 30, 2008@14:32 :16 - Auto matically transferre d due to o verride fo r reject
	10769	code. (O PHARM,ONE)
	10770
	10771	+ Enter ?? f or more ac tions
	10772	VW View R x IGN Ignore Rej ect OVR Subm it Overrid e Codes
	10773	MP Medica tion Profi le RES Resubmit C laim CSD Chan ge Suspens e Date
	10774	Select: Ne xt Screen/ / RES Re submit Cla im
	10775	When you confir m, a new c laim will be submitt ed for
	10776	the p rescriptio n and this REJECT wi ll be mark ed
	10777	resol ved.
	10778
	10779	Confi rm? YES//
	10780	TRICARE Pr escription 2055203 s uccessfull y submitte d to ECME for claim generation .
	10781	Claim Stat us:
	10782	IN PROGRES S-Waiting to start
	10783	IN PROGRES S-Transmit ting
	10784	E PAYABLE
	10785	Please w ait...
	10786	Insurance Rejects-Wo rklist Jul 30, 20 08@14:38:3 8 Page: 2 of 3
	10787	Division : DNS ENNE VAM&R OC
	10788	Selection : ALL UNRE SOLVED REJ ECTS
	10789	# Rx# PAT IENT(ID) [ v] DRUG REASON
	10790	Payer Message:
	10791	13 205520 2 OPP ATIENT,FOU R(9987) BACLOFEN 10MG TAB 79 :REF ILL TOO SO
	10792	Payer Message:
	10793	14 205515 5 OPP ATIENT,FOU R(9987) BENAZEPR IL HCL 40M G 79 :REF ILL TOO SO
	10794	Payer Message:
	10795	OTHER R EJECTS
	10796	15 2055134 A OPPA TIENT,FOUR (9987) CALCIUM G LUCONATE 6 5 22 :M/I Dispense
	10797	Payer Message:
	10798	+ Select the entry # t o view or ?? for mor e actions
	10799	DR Sort b y Drug RE Sort by Re ason RX Sort by Prescr iption
	10800	PA Sort b y Patient RF Screen Ref resh GI Grou p by Insur ance
	10801	Select: Ne xt Screen/ /^
	10802	Below is t aken from Patient Pr escription Processin g option f or the Rx in this ex ample:
	10803	Medication Profile Jul 30, 20 08@15:03:2 5 Page: 1 of 2
	10804	OPPATIENT, FOUR
	10805	PID: 666 -55-9987 Ht(cm): _ ______ (__ ____)
	10806	DOB: OCT 20,1965 ( 42) Wt(kg): _ ______ (__ ____)
	10807	SEX: MAL E .
	10808	CrCL: <No t Found> B SA (m2): _ ______
	10809	ISSUE LA ST REF DAY
	10810	# RX # DRU G QTY ST DATE FI LL REM SUP
	10811
	10812	---------- ---------R EFILL TOO SOON/DUR R EJECTS (Th ird Party) ---------- ----------
	10813	1 2055202 $e BAC LOFEN 10MG TAB 14 S> 07-08 12- 12 11 3
	10814	2 2055155 $e BEN AZEPRIL HC L 40MG TAB 1 S> 06-24 06- 26 10 1
	10815	3 2055134 A$e CAL CIUM GLUCO NATE 650MG TAB 4 A> 06-16 07- 30 10 2
	10816	---------- ---------- ---------- -------ACT IVE------- ---------- ---------- ----------
	10817	4 2055174 $e ACE BUTOLOL HC L 200MG CA P 1 S> 06-26 06- 27 11 1
	10818	5 2055123 $e BAC ITRACIN 50 0 UNT/GM O PHTHALMIC OINT 1 AT 06-13 06- 14 10 30
	10819	6 2055203 $e DAN AZOL 50MG CAP 6 S> 07-11 07- 15 10 3
	10820	7 2055183 $e FAM CICLOVIR 1 25MG TAB 2 AT 06-26 06- 26 11 2
	10821	8 2055215 $ GAB APENTIN 10 0MG CAP 6 S> 07-30 07- 30 11 3
	10822	9 2055186 $e HAL OPERIDOL 0 .5MG TAB 2 AT 06-26 06- 26 11 4
	10823	+ Enter ?? f or more ac tions
	10824	DC Disco ntinue PR Partial RL Rel ease
	10825	ED Edit RF (Refill) RN Ren ew
	10826	Select Act ion: Next Screen// A L AL
	10827	OP Medicat ions (SUSP ENDED) Jul 30, 20 08@15:03:2 5 Page: 1 of 3
	10828	OPPATIENT, FOUR
	10829	PID: 666 -55-9987 Ht(cm): _ ______ (__ ____)
	10830	DOB: OCT 20,1965 ( 42) Wt(kg): _ ______ (__ ____)
	10831
	10832	Rx # : 2055203$ e
	10833	(1) *Orde rable Item : DANAZOL CAP,ORAL
	10834	(2) CMOP Drug : DANAZOL 50MG CAP
	10835	N DC: 00055- 0633-02
	10836	(3) *Dosage : 50 (MG)
	10837	Verb : TAKE
	10838	Disp ense Units : 1
	10839	Noun : CAPSULE
	10840	*Route : ORAL (BY MOUTH)
	10841	*Schedule : BID
	10842	(4)Pat In structions :
	10843	SIG : TAKE ONE CAPSULE B Y MOUTH TW ICE A DAY
	10844	(5) Pati ent Status : OUTPT NO N-SC
	10845	(6) Issue Date : 07/11/08 (7) Fill Date: 07/11/08
	10846	Last Fill Date : 07/15/08 (Window)
	10847	+ Enter ?? f or more ac tions
	10848	DC Disco ntinue PR Partial RL Rel ease
	10849	ED Edit RF (Refill) RN Ren ew
	10850	Select Act ion: Next Screen// A L AL
	10851
	10852	Select Act ivity Log by number
	10853	1. Refill 2. Partial 3. Act ivity 4. Labels
	10854	5. Copay 6. ECME 7. CMO P Events 8. All Lo gs: (1-8) : 8// 6
	10855	Rx #: 2055 203 Orig inal Fill Released:
	10856	Routing: M ail F inished by : OPPHARM, ONE
	10857
	10858	ECME Log:
	10859	# Date/T ime Rx Ref Initiator Of Activit y
	10860	========== ========== ========== ========== ========== ========== ========== =========
	10861	1 7/11/0 8@10:13:11 ORIGIN AL OPPHARM,ON E
	10862	Comments: ECME:PULLE D FROM SUS PENSE(NDC: 00024-0303 -06)-E PAY ABLE-p OPP INSURANCE
	10863	2 7/30/0 8@14:32:17 REFILL 1 OPPHARM,TW O
	10864	Comments: ECME:PULLE D FROM SUS PENSE(NDC: 00024-0303 -06)-E REJ ECTED-p OP P INSURANC E
	10865	3 7/30/0 8@14:55:56 REFILL 1 OPPHARM,TW O
	10866	Comments: Submitted to ECME:RE JECT WORKL IST-E PAYA BLE
	10867
	10868	ECME REJEC T Log:
	10869	# Date/Ti me Rcvd Rx Ref Reject Ty pe STA TUS Da te/Time Re solved
	10870	========== ========== ========== ========== ========== ========== ========== =========
	10871	1 7/30/08 @14:32:16 REFILL 1 M/I Dispe nse As RES OLVED 7/ 30/08@14:5 5:40
	10872	Comments: AUTOMATICA LLY CLOSED (CLAIM RE -SUBMITTED )
	10873	2 7/30/08 @14:32:16 REFILL 1 REFILL TO O SOON RES OLVED 7/ 30/08@14:5 5:40
	10874	Comments: AUTOMATICA LLY CLOSED (CLAIM RE -SUBMITTED )
	10875	Enter ?? f or more ac tions
	10876	Select Act ion:Quit//
	10877	Reject Res olution Re quired Rej ects XE "R eject Reso lution Req uired Reje cts"
	10878	[PSO REJEC TS WORKLIS T]
	10879	Rejects un der the RE JECT RESOL UTION REQU IRED secti on of the screen are resolved in the sam e manner a s DUR/RTS rejects. T he comment s section will denot e that the reject wa s transfer red automa tically to the Third Party Pay er Rejects – Worklis t for reso lution.
	10880	The follow ing is an example of the Rejec t Informat ion Screen for Rejec t Resoluti on Require d rejects.
	10881	Reject Inf ormation(V eteran)Jun 05, 2013@ 07:46:18 Pa ge: 1 o f 1
	10882	Division : ALBANY NPI#: 1234 567890 NCPDP: 415 0001P TAX ID: XX-XX XXXXXDivis ion : DAYT ON NPI : 40500000 15 NCPDP: 4150001
	10883	Patient : OPORVET,J -CNF(061P) Sex: M DOB: NOV 2 0,1961(51)
	10884	Rx# : 2720321/0 ECME #: 0000043 17186 Da te of Serv ice: May 2 8, 2013
	10885	Drug : AMPICILLI N 1GM INJ NDC C ode: 00015 -7404-99
	10886	REJECT Inf ormation B ACK-BILL
	10887	Reject Typ e : 76 – Plan Lim itations E xceeded - received o n MAY 28, 2013@08:59
	10888	Reject Sta tus : OPE N/UNRESOLV ED - E PAY ABLE
	10889	Payer Addl Msg : EMD 1000: CLA IM PAID RX :000004317 186FILL:20 13-05-28 B IN:610144
	10890	PCN :TEST
	10891	Reason Cod e :
	10892	+DUR Text :
	10893	INSURANCE Informatio n
	10894	Insurance : EPO R7 C oord. Of B enefits: P RIMARY
	10895	Contact : 333 -444-5555
	10896	BIN / PCN : 610 144 / XXXX XXXXBIN : 610144
	10897	Group Numb er : 777
	10898	Cardholder ID : 152 364859
	10899	Enter ?? f or more ac tions
	10900	Cardholder ID : 152 364859
	10901	Enter ?? f or more ac tions
	10902	VW View R x IGN Ignore Rej ect OVR Subm it Overrid e Codes
	10903	MP Medica tion Profi le RES Resubmit C laim CSD Chan ge Suspens e Date
	10904	(I)gnore,( Q)uit: Q//
	10905	COMMENTS
	10906	- JUN 11, 2013@11:18 1 – Automa tically tr ansferred due to Rej ect Resolu tion Requi red reject Code. (PO STMASTER)
	10907	View ePhar macy Rx
	10908	[BPS RPT V IEW ECME R X]
	10909	The View e Pharmacy R x option a llows you to view in formation for one pr escription , combinin g informat ion from O utpatient Pharmacy, Integrated Billing a nd ECME. M ore inform ation on t his report is availa ble in the Electroni c Claims M anagement Engine (EC ME) User M anual.
	10910	Productivi ty/Revenue Report
	10911	[PSO PRODU CTIVITY RE VENUE RPT]
	10912	This optio n gives th e user the ability t o run a re port for P harmacy pr oductivity , or for R evenue ass ociated wi th Reject Resolution Required.
	10913	The user c an select one of the following parameter s to filte r the data on the re port:
	10914	DIVISION: Allows the user to s elect one, some, or all divisi ons.
	10915	RRR Revenu e or Produ ctivity: A llows the user to ru n the RRR Revenue re port, or t he Product ivity repo rt.
	10916	Closed/Res olved: All ows the us er to choo se a claim status of Closed/Re solved E P AYABLE, Cl osed/Resol ved E REJE CTED, or b oth.
	10917	Begin Date Resolved: Allows th e user to pick the b eginning d ate to beg in the sea rch. The b eginning r esolved da te default s to T-90.
	10918	End Date R esolved: Allows the user to p ick the en ding date to end the search. T he ending resolved d ate defaul ts to T.
	10919	Any combin ation can be selecte d:
	10920	PATIENT: A llows the user to se lect a sin gle, multi ple, or al l patients
	10921	DRUG: Allo ws the use r to selec t a single , multiple , or all d rugs.
	10922	RX: Allows the user to select a single, multiple, or all pre scriptions .
	10923	INSURANCE: Allows th e user to select a s ingle, mul tiple, or all insura nces.
	10924	REJECT COD E: Allows the user t o select a single, m ultiple, o r all reje ct codes.
	10925	Sort: All ows the us er to choo se one opt ion for th e report s ort. Optio ns include :
	10926	Division
	10927	Date Resol ved
	10928	Resolved B y
	10929	Drug Name
	10930	Reject Cod e
	10931	Patient Na me: Allow s the user to includ e, or excl ude the pa tient name on the re port.
	10932	The report can also be exporte d to Excel .
	10933	For the Pr oductivity option, p rescriptio ns will be reported if the fil l has a re jection th at is disp layed, or has been d isplayed o n the Phar macy workl ist.
	10934	Example: P roductivit y Report
	10935	Pharmacy P roductivit y Report Pr int Date: Oct 20, 20 15@15:52 Pag e: 1
	10936	Selected D ivisions: ALL
	10937	Date Rejec t Resolved : 07/22/15 - 10/20/1 5
	10938	Select by PATIENT: A LL
	10939	Sort by DI VISION
	10940	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==
	10941	RX#/FILL REL DATE DT REJEC TED DT RE SOLVED RE SOLVED BY ACTIO N TAKEN A MT PAID IN SURANCE NA ME
	10942	DRUG REJE CTION DIVI SION PATIEN T NAME
	10943	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==
	10944	111822/0 09/29/11 08/18 /15 DA WSON,MARK R CLAIM RE-SUBMIT TED 0.00 E PHARM INSU RA
	10945	FLUORE SCEIN 10% 5ML INJ 79 - Refill To o Soon ALBA NY ISC ECMEPA TIENT,DAVE
	10946	111938/0 09/03/15 09/03 /15 ST ILES,CINDY F CLAIM RE-SUBMIT TED 0.00 E XPRESS SCR IP
	10947	DIGITO XIN 0.1MG S.T. 88 - DUR Rejec t Error ALBA NY ISC CS,TRI
	10948	For the Re venue Repo rt, prescr iptions wi ll be repo rted if a Reject Res olution Re quired rej ect has be en resolve d to a pay able claim . The orig inal fill and all su bsequent r efills ass ociated wi th reject will displ ay.
	10949	Example: R evenue Rep ort
	10950	RRR Revenu e Report Pr int Date: Oct 20, 20 15@15:55 Pag e: 1
	10951	Selected D ivisions: ALL
	10952	Date Rejec t Resolved : 07/22/15 - 10/20/1 5 Status: CL OSED/RESOL VED - E PA YABLE, E R EJECTED
	10953	Select by PATIENT: A LL
	10954	Sort by DI VISION
	10955	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==
	10956	RX#/FILL REL DATE DT REJEC TED DT RE SOLVED RE SOLVED BY ACTIO N TAKEN A MT PAID IN SURANCE NA ME
	10957	DRUG REJE CTION DIVI SION PATIEN T NAME
	10958	========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==
	10959	111822/0 09/29/11 08/18 /15 DA WSON,MARK R CLAIM RE-SUBMIT TED 0.00 E PHARM INSU RA
	10960	FLUORE SCEIN 10% 5ML INJ 79 - Refill To o Soon ALBA NY ISC ECMEPA TIENT,DAVE
	10961	111938/0 09/03/15 09/03 /15 ST ILES,CINDY F CLAIM RE-SUBMIT TED 0.00 E XPRESS SCR IP
	10962	DIGITO XIN 0.1MG S.T. 88 - DUR Rejec t Error ALBA NY ISC CS,TRI
	10963	MailMan Me ssage for Open/Unres olved Reje cts XE "Fl agging and Unflaggin g a New Pe nding Orde r"
	10964
	10965	XE "MailM an message for Open/ Unresolved Rejects"
	10966	When presc riptions r emain on t he Third P arty Payer Reject – Worklist o ver the sp ecified nu mber of da ys, the sy stem will send a Mai lman Messa ge. This m essage wil l be sent to the PSO REJECTS B ACKGROUND MESSAGE ma il group. Those user s needing access to this infor mation wil l need to be added m anually to this mail group.
	10967	The specif ied number of days r eferred to above is the number of days a n uncommen ted reject can remai n on the r eject work list witho ut being i ncluded in the night ly reject worklist a lert mail message. T he number of days ar e defined in the EPH ARMACY SIT E PARAMETE RS file (# 52.86) in the REJECT WORKLIST DAYS field .
	10968	The follow ing are th e criteria for gener ating a Ma ilman mess age regard ing a reje cted claim :
	10969	Prescripti on is acti ve
	10970	Prescripti on is unre leased
	10971	Claim is o n the Reje ct Worklis t for spec ified numb er of days or greate r
	10972	Claim has no comment s added wi thin date range
	10973	Adding a c omment to the reject will auto matically reset the clock for the alert. The speci fied numbe r of days will be si te configu rable and stored in EPHARMACY SITE PARAM ETERS file (#52.86). The initi al patch d efault set ting will be five (5 ) days; ho wever, the site will be able t o reset th e paramete r between one (1) an d thirty ( 30) to gen erate the alert mess age. MailM an message will be s ent as a P riority me ssage, and there wil l be a sep arate Mail Man messag e for each division. The follo wing is an example o f the mess age:
	10974	Subj: ePha rmacy - OP EN/UNRESOL VED REJECT S LIST for GENERIC S ITE [#241 7022]
	10975	11/17/14@1 3:18 70 l ines
	10976	From: OUTP ATIENT PHA RMACY PACK AGE In 'I N' basket. Page 1
	10977	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	10978	No action has been t aken withi n the past 3 days to resolve t he rejects
	10979	listed in this messa ge. They will conti nue to sho w on the T hird Party
	10980	Payer Reje cts - Work list until acted upo n. Please use the Th ird Party Payer
	10981	Rejects - Worklist o ption to r esolve the rejection or add a comment to the
	10982	rejection.
	10983	Prescripti ons will n ot be fill ed for Unr esolved DU R, RTS, RR R, TRICARE and
	10984	CHAMPVA re jects.
	10985	FILL REJECT
	10986	# RX/FIL L PAT IENT(ID) DRU G DATE DATE
	10987	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	10988	1 104523 /1 OPP ATIENT,ON( 1111) NIT ROGLYCERIN 0.3MG S. 2/28/13 11/11/14
	10989	Rx St atus: ACTI VE
	10990	Reaso n: 79 :Re fill Too S oon
	10991	2 104861 /0 OPP ATIENT,ON( 1111) AMY L NITRITE 0.3ML INH 11/12/14 11/12/14
	10992	Rx St atus: ACTI VE
	10993	Reaso n: 79 :Re fill Too S oon
	10994	C HAMPVA - N on-DUR/RTS
	10995	3 104520 /1 OPP ATIENT,ON( 1111) AMO XICILLIN 2 50MG CAP 2/24/13 6/13/13
	10996	Rx St atus: ACTI VE
	10997	Reaso n: 07 :M/ I Cardhold er ID
	10998	COMMENT S: -JUN 13 , 2013@08: 53:37 - Au tomaticall y transfer red due to
	10999	overrid e for reje ct code. ( POSTMASTER )
	11000	4 104522 /1 OPP ATIENT,ON( 1111) GUA NETHIDINE 10MG S.T. 2/28/13 6/13/13
	11001	Rx St atus: ACTI VE
	11002	Reaso n: 07 :M/ I Cardhold er ID
	11003	COMMENT S: -JUN 13 , 2013@08: 53:43 - Au tomaticall y transfer red due to
	11004	overrid e for reje ct code. ( POSTMASTER )
	11005	T RICARE - N on-DUR/RTS
	11006	5 104836 /0 OPP ATIENT,TH( 3333) CAS TOR OIL 60 ML 7/10/14 7/10/14
	11007	Rx St atus: ACTI VE
	11008	Reaso n: eT :
	11009	OTHER R EJECTS
	11010	6 104463 /1 OPP ATIENT,TH( 3333) ACT IVATED CHA RCOAL USP 2/20/13
	11011	Rx St atus: ACTI VE
	11012	Reaso n: eC :
	11013	Enter RETU RN to cont inue or '^ ' to exit:
	11014	Alerts for Discontin ued CMOP P rescriptio n XE "Aler ts for Dis continued CMOP Presc ription"
	11015	Discontinu ed by a Ba ckground P rocess XE "Discontin ued by a B ackground Process"
	11016	When a CMO P prescrip tion with a status o f Transmit ted or Ret ransmitted is discon tinued by a backgrou nd process to the Ou tpatient P harmacy op tions, e.g . CPRS or Registrati on V. 5.3 packages, an email w ill be sen t to the P SX EXTERNA L DISPENSE ALERTS ma il group. If no reci pients are defined i n the new mail group , the mess age will b e sent to PSXCMOPMGR key holde rs stating that a pr escription was just discontinu ed and tha t the CMOP status fo r the disc ontinued p rescriptio n was eith er Transmi tted or Re transmitte d.
	11017	Subj: TR OY - DC Al ert on CMO P Rx 12345 6789 TRANS MITTED [# 90494]
	11018	03/03/09 @17:37 8 l ines
	11019	From: PO STMASTER In 'IN' ba sket. Pa ge 1 New
	11020	-------- ---------- ---------- ---------- ---------- ---------- ---------- ----
	11021	Rx #: 123456789 Fill: 0
	11022	Patient: OUTPATIEN T,DCONE (6 660)
	11023	Drug: TAMOXIFEN CITRATE 1 0MG TABS
	11024	Rx Status: DISCONTIN UED BY PRO VIDER
	11025	Processi ng Status: TRANSMITT ED to CMOP on 02/27/ 09
	11026	Provider: OPPROVIDE R, PROV
	11027	****** Please contact C MOP or tak e appropri ate action **
	11028	Enter me ssage acti on (in IN basket): I gnore//
	11029	-------- ---------- ---------- ---------- ---------- ---------- ---------- ----
	11030	Discontinu ed by a Fo reground P harmacy Pr ocess XE " Discontinu ed by a Fo reground P harmacy Pr ocess"
	11031	When a CMO P prescrip tion with a status o f Transmit ted or Ret ransmitted is discon tinued by a foregrou nd Pharmac y process due to a d uplicate d rug scenar io that wo uld trigge r the dupl icate to b e disconti nued, then the Proce ssing Stat us field o f the dupl icate drug message i s highligh ted to ale rt the use r.
	11032	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	11033	Duplicate Drug in Lo cal Rx:
	11034
	11035
	11036	Rx #: 123456789
	11037	Dr ug: A AND Z OINTMENT
	11038	S IG: APPLY 1 TUBE TO AFFECTED A REA TWICE A DAY
	11039	Q TY: 1 Refil ls remaini ng: 5
	11040	Provid er: OPPROV IDER, PROV
	11041	Issued: 11/27/09
	11042	Stat us: Active La st filled on: 11/27/ 09
	11043	Proce ssing Stat us: Transm itted to C MOP on 11/ 27/09
	11044	Days Supp ly: 5
	11045	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	11046	In the abo ve example , the line “Processi ng Status: Transmitt ed to CMOP on 11/27/ 09” is bol d.
	11047	List One P atient's A rchived Rx 's XE "Lis t One Pati ent's Arch ived Rx's"
	11048	[PSO ARCHI VE LIST RX 'S]
	11049	This optio n shows th e basic pa tient demo graphics a nd the pre scription numbers an d dates of archiving for archi ved prescr iptions fo r this pat ient.
	11050	Manual Pri nt of Mult i-Rx Forms XE "Manua l Print of Multi-Rx Forms"
	11051	[PSO LM MU LTI-RX PRI NT]
	11052	This optio n allows t he user to reprint t he Multi-R x Refill R equest for m on laser label sto ck without having to reprint t he entire prescripti on labels. The user will recei ve a syste m confirma tion that this form has been q ueued to p rint.
	11053	Example: M anually Pr inting Mul ti-Rx Form s
	11054	Select Rx (Prescript ions) Opti on: MANual Print of Multi-Rx F orms
	11055	Enter pati ent to rep rint Multi -Rx refill form for: OPPATIENT 2,ONE
	11056	Select LAB EL DEVICE: LEX2 LEX 2$PRT Bay Pines
	11057	Multi-Rx f orm queued to print
	11058	Reprint an Outpatien t Rx Label XE "Repri nt an Outp atient Rx Label"
	11059	[PSO RXRPT ]
	11060	The label reprint fu nction all ows a sing le label o r many cop ies of the same labe l to be re produced. When the p atient is enrolled i n ScripTal k(, a mess age is dis played to the user i ndicating this and p rompting t he user to use the S cripTalk( label for the prescr iption bot tle.
	11061	Example: R eprinting an Outpati ent Rx Lab el
	11062	Select Rx (Prescript ions) Opti on: REPRIN T AN OUTPA TIENT RX L ABEL
	11063	Reprint Pr escription Label: 40 0693 ADHESIVE TAPE WATER PROOF 1IN ROLL
	11064	Patient is a ScripTa lk patient . Use Scri pTalk labe l for pres cription b ottle.
	11065	Number of Copies? : (1-99): 1 // <Enter>
	11066	Print adhe sive porti on of labe l only? N/ / <Enter> O
	11067	Reprint th e FDA Medi cation Gui de? No// Y ES
	11068	Comments:
	11069	Rx # 40069 3 06/27/0 3
	11070	OPPATIENT1 6,ONE #1
	11071	AS DIR ON AFFECTED A REA
	11072	ADHESIVE T APE WATERP ROOF 1IN R OLL
	11073	OPPROVIDER 3O,TWO OP PHARMACIST 4,THREE
	11074	# of Refil ls: 2
	11075	Select LAB EL DEVICE: L8150$PRT COPY ROO M 1A
	11076	ALBANY's F DA Medicat ion Guide Printer(s) on file:
	11077	BIRM1 $PRT(Defau lt)
	11078	L8150 $PRT
	11079	Select FDA MED GUIDE PRINTER: BIRM1$PRT/ / <Enter>
	11080	LABEL(S) Q UEUED TO P RINT
	11081	When repri nting, you can choos e whether or not you want to r esend to a dispensin g device u sing an ex ternal int erface. If you do ch oose to re send, then the presc ription wi ll be sent to the di spensing s ystem, and an entry will be ma de in the label log. This docu ments that this was a reprint and also r esent to t he dispens ing system device. I f you do n ot resend the prescr iption to the dispen sing devic e, then on ly one ent ry is made in the la bel log.
	11082	Example: R eprinting an Outpati ent Rx Lab el – Multi ple Dispen sing Devic e
	11083	Select Rx (Prescript ions) Opti on: REPRIN T AN OUTPA TIENT RX L ABEL
	11084	Reprint Pr escription Label: 10 0002987 BACLOF EN 10MG TA BS
	11085	Number of Copies? : (1-99): 1 //
	11086	Print adhe sive porti on of labe l only? ? No// NO
	11087	Do you wan t to resen d to Dispe nsing Syst em Device? No// y Y ES
	11088	Comments: Multipe di spensing d evices
	11089	Rx # 10000 2987 05/02/1 1
	11090	OPPATIENT, TEN #7
	11091	TAKE ONE T ABLET BY B Y MOUTH EV ERY DAY FO R 7 DAYS
	11092	BACLOFEN 1 0MG TABS
	11093	OPPHARMACI ST,FOUR
	11094	OPPHARMACI ST,NINE
	11095	# of Refil ls: 7
	11096	Select LAB EL DEVICE: LEXMARK5$ PRT
	11097	LABEL(S) Q UEUED TO P RINT
	11098	PRESCRIPTI ONS SENT T O:
	11099	SCRIPTP RO1
	11100	10000 2987 BACLOFEN 1 0MG TABS
	11101	STORAGE DE VICES
	11102	SCRIPTC ENTER
	11103	10000 2987 BACLOFEN 1 0MG TABS
	11104	Signature Log Reprin t
	11105	[PSO SIGLO G REPRINT]
	11106	This optio n allows t he user to reprint t he Signatu re Log for a prescri ption. The system wi ll prompt for a pres cription n umber and printer de vice. The user will receive a system con firmation that this log has be en queued to print.
	11107	Example: R eprinting a Signatur e Log
	11108	Select Rx (Prescript ions) Opti on: Signa ture Log R eprint
	11109	Reprint Si gnature Lo g for Pres cription: 1000022 77A PR EDNISONE 2 0MG S.T.
	11110	Select LAB EL DEVICE: LEX2 LEX 2$PRT Bay Pines
	11111	Signature Log Reprin t queued
	11112	View Presc ription XE "View Pre scriptions " s
	11113	[PSO VIEW]
	11114	View the m ost comple te informa tion avail able for a specific prescripti on. The ac tivity log lists the date, rea son, presc ription re ference (R x Ref), th e initiato r of the a ctivity, a nd comment s. The lab el log lis ts the dat e, prescri ption (Rx Ref), the person who printed i t, and com ments. Pre scriptions with a de leted stat us cannot be viewed.
	11115	Restrictio ns to Prov iders on C ontrolled Substances Orders
	11116	As part of patch PSO 7391, th e Kernel p atch XU8 580 introd uced new f ields to t he NEW PER SON file ( #200). Apa rt from th e DEA#/VA# requireme nt, DEA fu rther clas sifies wha t CS sched ule a prov ider is au thorized t o write. T hese new f ields are:
	11117	55.1 SCHEDU LE II NARC OTIC (S), [PS3;1]
	11118	55.2 SCHEDU LE II NON- NARCOTIC ( S), [PS3;2 ]
	11119	55.3 SCHEDU LE III NAR COTIC (S), [PS3;3]
	11120	55.4 SCHEDU LE III NON -NARCOTIC (S), [PS3; 4]
	11121	55.5 SCHEDU LE IV (S), [PS3;5]
	11122	55.6 SCHEDU LE V (S), [PS3;6]
	11123	If one of the above fields is populated for a prov ider, then when plac ing a new order in b ackdoor ph armacy, th e software will now check for the drug s chedule wi th the pro vider priv ileges. If the provi der does n ot have sc hedule II privileges , the soft ware will display th e followin g message:
	11124	"Provider not author ized to wr ite Federa l Schedule 2 prescri ptions."
	11125	When placi ng an orde r for a CS Detoxific ation drug , the soft ware will now check for a vali d Detoxifi cation num ber for th e provider . If the p rovider do es not hav e a Detoxi fication n umber, the software will displ ay the fol lowing mes sage:
	11126	"Provider must have a DETOX# t o order th is drug."
	11127	Prior to P SO7391, the defaul t days sup ply for al l drugs wa s based on Patient R x Status. PSO7391 changes th e default for CS sch edule II d rugs to be set to 30 (or to th e current Patient Rx Status if lower tha n 30). The Integrati on Control Registrat ion #3278 that retur ns day sup ply (DSUP^ PSOSIGDS) is modifie d to retur n 30 for C S schedule II drugs.
	11128	(This page included for two-si ded copyin g.)
	11129	Chapter 24 : Updating a Patient ’s Record XE "Update Patient R ecord"
	11130	This chapt er describ es the opt ion used f or updatin g a patien t’s record .
	11131	Update Pat ient Recor d
	11132	[PSO PAT]
	11133	Use this o ption to u pdate the patient in formation currently in the com puter. Pat ient recor ds can als o be updat ed while b eing viewe d by using the Patie nt Record Update scr een action . If imple menting Ot her Langua ge Modific ations, us e either t o set a pa tient’s ot her langua ge prefere nce.
	11134	In support of Regist ration pat ch DG5.3 522, 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.
	11135	Example: U pdating a patient re cord
	11136	Select Out patient Ph armacy Man ager Optio n: UPDATE Patient Re cord
	11137	Select Pat ient: O PPATIENT,O NE 12-4 -53 0000 07890 YE S SC V ETERAN
	11138	OPPATIENT, ONE ID#: 000 -00-7890
	11139	4500 S MAI N ST DOB: DEC 4,1953
	11140	ADDRESS LI NE2
	11141	LINE 3 OF ADDRESS
	11142	MADISON PHONE: 555 -555-1653
	11143	WISCONSIN 53705 ELIG: SC LESS THAN 50%
	11144	SC%: 10
	11145	WEIGHT(Kg) : HEIGHT(cm ):
	11146	DISABILITI ES: ARTHRI TIS-10% (S C), FOREAR M CONDITIO N-5% (NSC) ,
	11147	FOREAR M CONDITIO N-4% (NSC) , BENIGN E YE GROWTH- 0% (NSC),
	11148	LOSS O F FIELD OF VISION-20 % (SC),
	11149	ALLERGIES:
	11150	ADVERSE RE ACTIONS:
	11151	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.
	11152	Do you wan t to updat e the addr ess/phone? N// Y YE S
	11153	Update (P )ermanent address, ( T)emporary , or (B)ot h: BOTH// <Enter>
	11154	STREET ADD RESS [LINE 1]: 4500 S MAIN ST/ / 4800 S M AIN ST
	11155	STREET ADD RESS [LINE 2]: ADDRE SS LINE2// <Enter> ADDRESS LI NE2
	11156	STREET ADD RESS [LINE 3]: LINE 3 OF ADDRE SS// <Ente r> LINE 3 OF ADDRES S
	11157	ZIP+4: 537 05// <Ente r> 53705
	11158	Selec t one of t he followi ng:
	11159	1 MADISON*
	11160	CITY: MADI SON// <Ent er> *
	11161	STATE: WIS CONSIN
	11162	COUNTY: DA NE
	11163	PHONE NUMB ER [WORK]:
	11164	BAD AD DRESS INDI CATOR: ? < Enter>
	11165	Please enter 1 i f the addr ess is 'UN DELIVERABL E', 2 if t he patient
	11166	is 'HO MELESS', o r 3 for 'O THER' bad address re asons.
	11167	Choose from:
	11168	1 UNDELIV ERABLE
	11169	2 HOMELES S
	11170	3 OTHER
	11171	Are you su re that yo u want to save the a bove chang es? YES
	11172	Change sav ed.
	11173	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.
	11174	Press ENTE R to conti nue:
	11175	Temporary Address:
	11176	TEMPORARY ADDRESS AC TIVE?: NO/ / <Enter> NO
	11177	Press Retu rn to cont inue: <Ent er>
	11178	PHONE NUMB ER [CELLUL AR]:
	11179	CNH CURREN T:
	11180	FEE HOSPIT AL I.D.:
	11181	TEMPORARY ADDRESS AC TIVE?: NO/ /
	11182	REMARKS:
	11183	>>PHA RMACY PATI ENT DATA<<
	11184	CAP:
	11185	MAIL:
	11186	MAIL STATU S EXPIRATI ON DATE:
	11187	DIALYSIS P ATIENT:
	11188	NARRATIVE:
	11189	Eligibilit y: COLLATE RAL OF VET .
	11190	Disabiliti es:
	11191	PATIENT ST ATUS: SERV ICE CONNEC TED//
	11192	COMMUNITY NURSING HO ME:
	11193	NURSING HO ME CONTRAC T:
	11194	LAST DATE OF CONTRAC T:
	11195	RESPITE PA TIENT STAR T DATE:
	11196	RESPITE PA TIENT END DATE:
	11197	OTHER LANG UAGE PREFE RENCE:
	11198	PMI LANGUA GE PREFERE NCE:
	11199	Chapter 25 : Verifyin g Prescrip tions XE " Verifying Prescripti ons"
	11200	This chapt er describ es the opt ion and me thods used for verif ying presc riptions.
	11201	Verificati on
	11202	[PSO VER]
	11203	The Verifi cation men u is used by pharmac ists to ve rify presc riptions w ith a non- verified s tatus; obt ain a list ing of tho se remaini ng non-ver ified pres criptions; or calcul ate the nu mber of no n-verified prescript ions by en tering the patient o r the cler k.
	11204	The follow ing option s are avai lable on t he Verific ation menu :
	11205	List Non-V erified Sc ripts
	11206	Non-Verifi ed Counts
	11207	Rx Verific ation by C lerk
	11208	If the ver ification site param eter is se t to yes, new prescr iptions en tered by a non-pharm acist (i.e ., someone who does not hold t he PSORPH key) will be put in a non-veri fied statu s, entered into the non-verifi ed orders file, and will not b e made act ive (nor w ill labels be printe d) until t hey are re viewed and verified by a pharm acist. Onc e new and renewed pr escription s for a pa tient are verified, all labels for that patient wi ll be prin ted togeth er. If a p atient has refills o nly, these labels wi ll be prin ted as the y are ente red.
	11209	A pharmaci st may cho ose to ver ify all en tries made by a part icular tec hnician ra ther than all the pr escription s for an i ndividual patient.
	11210	Prescripti ons in a n on-verifie d status c annot be c anceled, e dited, or deleted th rough the usual opti ons. If a non-verifi ed prescri ption is a uto cancel ed on admi ssion, it can be rei nstated, b ut it retu rns to the non-verif ied status .
	11211	When the V ERIFICATIO N outpatie nt site pa rameter is set to ‘N o’, a user who does not hold t he PSORPH key will n ot be allo wed to fin ish a pend ing order.
	11212	The Patien t Prescrip tion Proce ssing [PSO LM BACKDO OR ORDERS] and Compl ete Orders from OERR [PSO LMOE FINISH] o ptions hav e been mod ified to i ncorporate the above functiona lity.
	11213	List Non-V erified Sc ripts XE " List Non-V erified Sc ripts"
	11214	[PSO VRPT]
	11215	This optio n allows t he user to obtain a list of al l scripts remaining in a statu s of 'Non- Verified' by either patient or entering clerk.
	11216	Example: N on-verifie d prescrip tions (sor ted by pat ient)
	11217	Select Out patient Ph armacy Man ager Optio n: Verific ation
	11218	Select Ver ification Option: L ist Non-Ve rified Scr ipts
	11219	Sort By Pa tient or C lerk: P// <Enter> AT IENT
	11220	DEVICE: HO ME// [Sel ect Print Device]
	11221	N ON-VERIFIE D PRESCRIP TIONS
	11222	A S OF JUL 1 6,2007@14: 49:54
	11223	SORTED BY PATIEN T
	11224	(# indic ates Criti cal Drug I nteraction )
	11225	Patient name Page: 1
	11226	Rx # Issued Drug Entry By
	11227	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	11228	OPPATIEN T,FIVE
	11229	100001860A 04/01/0 4 ACETAMI NOPHEN 100 0MG TABLET 100 00000028
	11230	OPPATIEN T,FOUR
	11231	100001591A 07/27/9 8 ASPIRIN BUFFERED 325MG TAB 11733
	11232	OPPATIEN T,ONE
	11233	100001853 10/23/0 2 ERYTHRI TYL TETRAN IT. 10MG T AB 100 00000022
	11234	OPPATIEN T,TWELVE
	11235	100001854 11/25/0 2 ACETAMI NOPHEN 100 0MG TABLET 100 00000022
	11236	100001798A 04/19/9 9 INSULIN NPH U-100 INJ (PORK ) 100
	11237	Select Ver ification Option:
	11238	Non-Verifi ed Counts XE "Non-Ve rified Cou nts"
	11239	[PSO NVCNT ]
	11240	This optio n allows t he user to obtain a count of t he number of prescri ptions rem aining in a status o f non-veri fied.
	11241	Example: T otal of No n-verified prescript ions
	11242	Select Ver ification Option: N ON-Verifie d Counts
	11243	DEVICE: HO ME// [Sel ect Print Device]
	11244	NON-VE RIFIED PRE SCRIPTION COUNTS
	11245	JUL 16,200 7@14:57:34
	11246	TOTAL NUMB ER OF NON- VERIFIED P RESCRIPTIO NS : 12
	11247	NUMBER OF PATIENTS W ITH ONE OR MORE NON- VERIFIED P RESCRIPTIO NS : 9
	11248	(NOTE: Tot al number of patient s listed h ere may no t always e qual the n umber at
	11249	the bottom , since so me patient s at the b ottom may be counted more than once,
	11250	possibly h aving non- verified R x's entere d on diffe rent days. )
	11251	# of # of
	11252	Date Non-ve rified Rx' s Diffe rent Patie nts
	11253	---- ------ ---------- - ----- ---------- ---
	11254	07-27-9 8 1 1
	11255	05-18-9 9 2 1
	11256	06-22-0 0 2 2
	11257	TOTAL 5 4
	11258	Enter RETU RN to cont inue or '^ ' to exit:
	11259	Rx Verific ation by C lerk XE "R x Verifica tion by Cl erk"
	11260	[PSO VR]
	11261	This optio n verifies prescript ions in th e non-veri fied statu s by enter ing the cl erk.
	11262	Verifying ePharmacy Orders
	11263	Verifying an ePharma cy order i s similar to finishi ng an orde r. After t he user re views the ePharmacy order and chooses to accept th e order, t he billing data is s ent to ECM E, which s ends a mes sage back to Outpati ent Pharma cy display ing the st atus of th e claim. T he ECME se ction of t he Activit y Log is a lso update d.
	11264	RX: 101435 PATIENT : OPPATIEN T,FOUR (00 0-01-1322P )
	11265	STATUS: No n-Verified
	11266	DRUG : ENTEX CA P
	11267	QTY : 10 1 0 DAY SUPP LY
	11268	SIG : TAKE 25M G BY BY MO UTH EVERY DAY FOR 10 DAYS WITH FOOD
	11269	LATEST : 11/05/20 05 # O F REFILLS: 0 REMAIN ING: 0
	11270	ISSUED : 11/05/20 05 PROVIDER :
	11271	LOGGED : 11/05/20 05 CLINIC: NOT ON FIL E
	11272	EXPIRES : 11/15/20 05 DIVISION : ALBANY I SC (500)
	11273	CAP : NON-SAFE TY ROUTING: WINDOW
	11274	ENTRY BY : OPPHARMA CIST,ONE VERIFIED BY:
	11275	PATIENT ST ATUS : SC LESS THAN 50% COPIES : 1
	11276	EDIT: (Y/ N/P): N// NO
	11277	VERIFY FOR OPPHARMAC IST4,THREE ? (Y/N/De lete/Quit) : Y// <Ent er>
	11278	Veteran Pr escription 100003840 successfu lly submit ted to ECM E for clai m generati on.
	11279	Claim Stat us:
	11280	IN PROGRES S-Waiting to start
	11281	IN PROGRES S-Gatherin g claim in fo
	11282	IN PROGRES S-Packet b eing built
	11283	IN PROGRES S-Waiting for transm it
	11284	IN PROGRES S-Transmit ting
	11285	E PAYABLE
	11286	Another Ne w Order fo r OPPATIEN T,FOUR? YE S//
	11287	(This page included for two-si ded copyin g.)
	11288	Chapter 26 : CPRS Ord er Checks: How They Work XE "C PRS Order Checks: Ho w They Wor k"
	11289	Introducti on
	11290	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.
	11291	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.
	11292	Order Chec k Data Cac hing XE "O rder Check Data Cach ing"
	11293	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.
	11294	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.
	11295	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.
	11296	Hash Count s XE "Hash Counts" and DEA Ce rtificatio n XE "DEA Certificat ion"
	11297	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.
	11298	Example: " -1^8980201 6^Mismatch ed digital signature hash valu es."
	11299	The follow ing fields are used in the has h check:
	11300	Date of Is suance
	11301	Full Name and Addres s of the P atient
	11302	Drug Name
	11303	Quantity P rescribed
	11304	Directions for Use
	11305	Prescriber Name
	11306	Prescriber Address ( site addre ss)
	11307	Prescriber DEA / VA Registrati on Number
	11308	Order Numb er (CPRS)
	11309	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:
	11310	The order will be au to discont inued.
	11311	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.
	11312	The status bar of th e screen w ill have t he message "Signatur e Failed: Corrupted (Hash mism atch)" or “Certifica te revoked ."
	11313	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.
	11314	Example: M ail Messag e of Disco ntinuation Due to Ha sh Mismatc h
	11315	Subj: DI GITALLY SI GNED NEW O RDER AUTO DISCONTINU ED [#1963 53]
	11316	03 /20/12@17: 1024 lines
	11317	From: PO STMASTER In 'IN' ba sket. Pa ge 1 New
	11318	-------- ---------- ---------- ---------- ---------- ---------- ---------- ---
	11319	Followin g order wa s auto dis continued when finis hing a pen ding order
	11320	due to C orrupted ( Hash misma tch) - 898 02016
	11321	Division : GR EELEY CLIN IC
	11322	CPRS Ord er # : 55 87651
	11323	Issue Da te : MA R 7,2012
	11324	Patient : TE ST,PATIENT (0908)
	11325	Address : P. O. BOX 31
	11326	LA PORTE, CA 95981
	11327	Drug : CO DEINE SULF ATE 60MG T AB
	11328	Dosage O rdered: 12 0(MG)
	11329	Dosage F orm : TA BLETS
	11330	Quantity : 54
	11331	Provider : TE ST,PROVIDE R
	11332	DEA# : TA 1234563
	11333	Site Add ress : 23 60 E PERSH ING BLVD
	11334	23 60 East Pe rshing Bou levard
	11335	DNS ENNE
	11336	Differen ces in CPR S and Phar macy Pendi ng File
	11337	Data Nam e CPRS Fil e Pharmacy P ending Fil e
	11338	-------- - -------- - ---------- ---------- -
	11339	QTY PRES CRIBED 15 30
	11340	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."
	11341	The follow ing change s have bee n made for finishing a CS orde r:
	11342	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.
	11343	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.
	11344	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.
	11345	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 quanti ty may be auto-calcu lated to a higher qu antity by the system only when the dosag e remains the same, but the di spense dru g strength is change d – i.e. 2 mg tablets #30 is ch anged to 1 mg tablets , the Sig is updated , and the system cha nges the q uantity to 60. A man ual change to a high er quantit y is not a llowed.
	11346	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.
	11347	In patch PSO799, a change w as made fo r pending orders not to recalc ulate the quantity f or CS drug s on selec ting a dif ferent str ength of t he same dr ug and res ulting in the same p rescribed dosage. Th is change is removed in patch PSO7391.
	11348	Chapter 27 : Error Me ssages XE "Error Mes sages"
	11349	Error Info rmation XE "Error In formation"
	11350	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.
	11351	Three Leve ls of Erro r Messages
	11352	SystemWhen such an e rror occur s, no Drug Interacti on, Duplic ate Therap y, or Dosi ng order c hecks will be perfor med. Other order che cks that d o not use the COTS d atabase (F DB) will s till be pe rformed su ch as alle rgy/ADRs, duplicate drug (for outpatient only) and new CPRS order chec ks, etc.Dr ug The sec ond error level is f or the dru g and no D rug Intera ction/Dupl icate Ther apy or Dos ing order checks wil l be perfo rmed for a specific drug. Drug level err ors can oc cur for th e prospect ive drug ( drug being processed ) or the p rofile dru g. If a dr ug level e rror occur s on the p rospective drug, no profile dr ug errors will be di splayed. T he only ex ception to this is w hen you ar e processi ng an IV o rder with multiple p rospective drugs (i. e. multipl e IV Addit ives). Pro file drug level erro rs will on ly be show n once per patient s ession.
	11353	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 (GCNSQENO mismatch) is rare.Or derThe thi rd error l evel is fo r the orde r. Order l evel error s will onl y occur wi th dosing order chec ks. Please see the D osing Orde r Check Us er Manual for more i nformation .Error Lev elError Me ssageReaso nWhy messa ge is bein g displaye d.SystemNo Enhanced Order Chec ks can be performed. Vendor Dat abase cann ot be reac hed.The co nnectivity to the ve ndor datab ase has go ne down. A MailMan m essage is sent to th e G. PSS O RDER CHECK S mail gro up when th e link goe s down and when it c omes back up.SystemN o Enhanced Order Che cks can be performed .The conne ction to t he vendor database h as been di sabled.A u ser has ex ecuted the Enable/Di sable Vend or Databas e Link [PS S ENABLE/D ISABLE DB LINK] opti on and dis abled the interface. SystemNo E nhanced Or der Checks can be pe rformed.Ve ndor datab ase update s are bein g processe d.The vend or databas e (custom and standa rd data) i s being up dated usin g the DATU P (Data Up date) proc ess.System “Signature d Failed- Order Auto Discontin ued”.Hash MismatchOr iginal dig itally sig ned CS ord er placed in CPRS is checked t o ensure d ata fields are not a ltered fro m the time the order is signed in CPRS a nd later s elected fo r processi ng in back door pharm acy. Syste m“DEA cert ificate ex pired. Ren ew your ce rtificate. ”Validity of the DEA certifica te.Kernel API check for the va lidity of the DEA ce rtificate. If certif icate is r evoked or expired, t he API wil l return t he appropr iate error code.Syst emNo Enhan ced Order Checks can be perfor med.An une xpected er ror has oc curred.The re is a sy stem netwo rk problem and the v endor data base canno t be reach ed or a so ftware int erface iss ue.DrugEnh anced Orde r Checks c annot be p erformed f or Local o r Local Ou tpatient D rug: <DRUG NAME>Drug not match ed to NDF. 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.Drug 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.
	11354	Remote ord er indicat orIf this error mess age is dis played, it means tha t the VA p roduct tha t the loca l or remot e drug bei ng ordered /or on the local or remote pro file does not have a GCNSEQNO or in rare cases, th e GCNSEQNO assigned to the VA Product do es not mat ch up with a GCNSEQN O in the v endor data base. Drug Enhanced O rder Check s cannot b e performe d for Orde rable Item : <OI NAME >No active Dispense Drug found .Highly un likely tha t this err or would b e 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.Chapter 28: FDA M edication Guides
	11355	Medication Guides ar e paper ha ndouts tha t come wit h many pre scription medicines. These gui des addres s issues t hat are sp ecific to particular drugs and drug clas ses, and t hey contai n FDA appr oved infor mation tha t can help patients avoid seri ous advers e events. The FDA re quires tha t medicati on guides be issued with certa in prescri bed drugs and biolog ical produ cts when t he agency determines that: cer tain infor mation is necessary to prevent serious a dverse eff ect; patie nt decisio n-making s hould be i nformed by informati on about a known ser ious side effect wit h a produc t; or pati ent adhere nce to dir ections fo r the use of a produ ct are ess ential to its effect iveness. T he VA mai ntains a w eb-enabled repositor y of all a pproved FD A Medicati on Guides, both curr ent and ar chived ver sions of t he documen ts. Follow ing is the link to t his reposi tory: http ://vaww.na tional.cmo p.va.gov/F DAMedGuide s/
	11356	Displaying an FDA Me dication G uide
	11357	The system provides users the ability to display i ndividual FDA Medica tion Guide s for a sp ecific pre scription when one i s availabl e.
	11358	Outpatient Pharmacy provides a n option u nder the O TH hidden action wit hin the Pa tient Pres cription P rocessing [PSO LM BA CKDOOR] op tion, aka ‘Backdoor Pharmacy’, allowing users to r etrieve th e Medicati on Guide a ssociated with a pr escription similar t o the repr int of the PMI. User s may retr ieve an FD A Mediatio n Guide fo r a specif ic prescri ption by i nvoking th e OTH (Oth er OP Acti ons) hidde n action a nd selecti ng the new action, M G Display FDA Medica tion Guide .
	11359	A Java sof tware comp onent runn ing on the user’s PC will then display t he FDA Med ication Gu ide Adobe Acrobat do cument (.p df) by aut omatically opening i t through the Adobe Acrobat re ader via M icrosoft I nternet Ex plorer.
	11360	Example 1: Displayin g an FDA M edication Guide
	11361	--- Other OP Actions ---
	11362	PN Prog ress Note (OP)
	11363	AP Acti on Profile (OP)
	11364	MI Prin t Medicati on Instruc tions
	11365	DO Disp lay Orders ' Statuses
	11366	MG Disp lay FDA Me dication G uide
	11367
	11368	Select It em(s): MG Display FDA Medica tion Guide
	11369
	11370	The follo wing URL p rovides th e link to the FDA Me dication G uide
	11371	associate d with thi s medicati on: Thin C lient user s; copy/pa ste the UR L below in to a brows er to acce ss the FDA Medicatio n Guide fo r this dru g:
	11372
	11373	vaww.natio nal.cmop.v a.gov/FDAM edGuides/L indane_(Ge neric)_(20 08).pdf
	11374
	11375	Please wai t...
	11376	Enter RETU RN to cont inue, '?' for HELP, or '^' to exit:
	11377	The follow ing Intern et explore r browser will open automatica lly:
	11378
	11379	Example 2: Displayin g an FDA M edication Guide for an Rx when the Java Software C omponent i s not inst alled.
	11380	If a user tries to u se this op tion from a computer which doe s not have the requi red Java s oftware co mponent in stalled, t he followi ng message will disp lay:
	11381	Select Ite m(s): MG Display F DA Medicat ion Guide
	11382	The follow ing URL pr ovides the link to t he FDA Med ication Gu ide associ ated
	11383	with this medication . Thin Cli ent users: copy/past e the URL below into a
	11384	browser to access th e FDA Medi cation Gui de for thi s drug:
	11385	vaww.natio nal.cmop.v a.gov/FDAM edGuides/L indane_(Ge neric)_(20 08).pdf
	11386	Please wai t...
	11387	The system is unable to displa y FDA Med Guide auto matically.
	11388	The FDA Me dication G uide will not automa tically op en on Thin Client an d some
	11389	types of e ncrypted s essions. I f you do n ot believe this is t he reason contact
	11390	your local technical support f or assista nce.
	11391	You can co py/paste t he link ab ove into y our browse r's addres s bar to r etrieve
	11392	the FDA Me dication G uide.
	11393	Enter RETU RN to cont inue, '?' for HELP, or '^' to exit: ?
	11394	When unabl e to get t he FDA Med ication Gu ide to dis play, revi ew the fol lowing
	11395	suggestion (s) for tr oubleshoot ing potent ial proble ms:
	11396	1) The bro wser did n ot open au tomaticall y. This ma y be due t o the foll owing:
	11397	- You m ight be co nnected to VistA via Thin Clie nt or an e ncrypted s ession
	11398	that prevents t he FDA Med Guide fro m automati cally disp laying. Pl ease
	11399	copy and paste the URL li nk below i nto your b rowser's a ddress bar to
	11400	retri eve the FD A Medicati on Guide:
	11401	vaww.nati onal.cmop. va.gov/FDA MedGuides/ Lindane_Lo tion_(Gene ric)_(2008 ).pdf
	11402	- The c omputer mi ght not ha ve the req uired Java software component
	11403	insta lled or th e software might not be functi oning prop erly. Plea se,
	11404	conta ct technic al support for assis tance.
	11405	2) When do ing a copy /paste of the link i nto the br owser's ad dress and an HTTP
	11406	404 - F ile Not Fo und error is receive d. This ma y be due t o the foll owing:
	11407	- A com mon issue exists whe n the link is displa yed in two lines in the
	11408	termi nal screen . When you copy both lines at the same t ime and pa ste it
	11409	into the browse r's addres s, the sec ond line i s ignored by the bro wser
	11410	resul ting in a 'broken' l ink. To re solve this issue, co py and pas te one
	11411	line at a time from the t erminal sc reen into the browse r's addres s to
	11412	make sure the c omplete li nk is used .
	11413	- The F DA Medicat ion Guide Server may be down a t the mome nt. Please , wait
	11414	a few minutes a nd try aga in. If the problem p ersists, c ontact tec hnical
	11415	suppo rt for ass istance.
	11416	3) The bro wser opene d automati cally, how ever you r eceive an HTTP 404 - File
	11417	Not Fou nd error. This may b e due to t he followi ng:
	11418	- The F DA Medicat ion Guide Server may be down a t the mome nt. Please , wait
	11419	a few minutes a nd try aga in. If the problem p ersists, c ontact tec hnical
	11420	suppo rt for ass istance.
	11421	Example 3: Displayin g an FDA M edication Guide for a medicati on that do es not hav e an FDA M edication Guide on f ile.
	11422	If a user tries to u se this op tion for a medicatio n that doe s not have an FDA Me dication G uide on fi le, the fo llowing me ssage will display:
	11423	Select Ite m(s): MG Display F DA Medicat ion Guide
	11424	There is n o FDA Medi cation Gui de associa ted with t his medica tion.
	11425	Enter RETU RN to cont inue, '?' for HELP, or '^' to exit: ?
	11426	When unabl e to get t he FDA Med ication Gu ide to dis play, revi ew the fol lowing
	11427	suggestion (s) for tr oubleshoot ing potent ial proble ms:
	11428	1) If no F DA Medicat ion Guide exists for a product that you believe sh ould
	11429	have on e, confirm that one is require d by visit ing the FD A website
	11430	(www.fd a.gov). If one is re quired, lo g a suppor t ticket t o request its
	11431	additio n. Please understand that ther e may be a delay bet ween the t ime
	11432	that a new Medica tion Guide is posted to the FD A website and when i t is
	11433	made av ailable in VistA thr ough a Nat ional Drug File data update pa tch.
	11434	Printing a n FDA Medi cation Gui de
	11435	The Outpat ient Pharm acy applic ation auto matically prints an FDA Medica tion Guide on a sepa rate, desi gnated pri nter after printing the prescr iption lab el and PMI sheet, if one is av ailable, f or the med ication be ing dispen sed. Anyti me a label is printe d, the sys tem ensure s that if the specif ic drug ha s an assoc iated medi cation gui de, it wil l be print ed whether the scrip t is a nor mal fill, a partial fill or a refill.
	11436	When an FD A medicati on guide i s sent to the printe r, informa tion is in cluded in the footer of the do cument to identify t he Patient , the Rx# and the da te it was printed.
	11437	The system indicates when an a ssociated medication guide exi sts on the prescript ion label printout. The printo ut contain s the foll owing stat ement on t he same li ne where A dditional Warnings appear: “R ead FDA ME D Guide.”
	11438	Site Param eters
	11439	[PSO SITE PARAMETERS ]
	11440	There are new site p arameters related to the autom atic print ing of FDA Medicatio n Guides.
	11441	Example 1: Updating the FDA Me dication G uide Print Server UR L
	11442	Select Out patient Ph armacy Man ager Optio n: MAINten ance (Outp atient Pha rmacy)
	11443	Select Mai ntenance ( Outpatient Pharmacy) Option: S ITE Parame ter Enter/ Edit
	11444	Select SIT E NAME: ALBANY 5 00
	11445	Would you like to se e all site parameter s for this division? Y// NO
	11446	NAME: ALBA NY//
	11447	MAILING FR ANK STREET ADDRESS: 114 HOLLAN D AVE//
	11448	AREA CODE: 518//
	11449	PHONE NUMB ER: 472-43 07//
	11450	MAILING FR ANK ZIP+4 CODE: 1218 0//
	11451	SITE NUMBE R: 514//
	11452	NCPDP NUMB ER: ^FDA
	11453	1 F DA MED GUI DE PRINT S ERVER URL
	11454	2 F DA MED GUI DE PRINTER
	11455	CHOOSE 1-2 : 1 FDA M ED GUIDE P RINT SERVE R URL
	11456	FDA MED GU IDE PRINT SERVER URL : ??
	11457	Th is is the Uniform Re source Loc ator (URL) and Port Number for the Print
	11458	Se rver runni ng the Jav a Applicat ion respon sible for automatica lly
	11459	pr inting of the Food a nd Drug Ad ministrati on (FDA) M edication Guides for
	11460	the divisi on (e.g., 'http:// IP /').
	11461	FDA MED GU IDE PRINT SERVER URL : http:// IP /
	11462	FDA Medica tion Guide Printer S election
	11463	Upon loggi ng into ou tpatient p harmacy, i n addition to select ing the La bel and Pr ofile prin ters, the user is pr ompted to select the FDA Medic ation Guid e printer as well. O nly device s with a W INDOWS NET WORK PRINT ER NAME fi eld (#135) defined i n the DEVI CE file (# 3.5) are s electable. The FDA M edication Guide prin ter can be changed a t any poin t of the d ispensing process. T he user ca n also cha nge the FD A Medicati on Guide p rinter thr ough the C hange Labe l Printer option [PS O CHANGE P RINTER].
	11464	Example 2: Selecting the Print er
	11465	Select OPT ION NAME: PSO MAN
	11466	1 P SO MANAGER Out patient Ph armacy Man ager
	11467	2 P SO MANUAL AUTO EXPIR E Ma nual Auto Expire Rxs
	11468	CHOOSE 1-2 : 1 PSO M ANAGER Outpatien t Pharmacy Manager
	11469	Outpatient Pharmacy software - Version
	11470	Division: ALBANY 500
	11471	You are lo gged on un der the AL BANY divis ion.
	11472	Select PRO FILE PRINT ER: HOME// GENERIC INCOMING TELNET
	11473	Select LAB EL PRINTER : HOME// GENERIC I NCOMING TE LNET
	11474	OK to assu me label a lignment i s correct? YES//
	11475	ALBANY's F DA Medicat ion Guide Printer(s) on file:
	11476	BIRM1 $PRT
	11477	L8150 $PRT
	11478	Select FDA MED GUIDE PRINTER: HINES FDA MED GUIDE PRINTER// HINES
	11479	Bingo Boar d Display: OUTPATIEN T//
	11480	The Defaul t FDA Medi cation Gui de Printer
	11481	[PSO SITE PARAMETERS ]
	11482	Only one p rinter fro m the PHAR MACY DIVIS ION file ( #59) list of availab le printer s used to print FDA Medication Guides ma y be selec ted as the default p rinter. Th e use of t he list by the sites is option al. The us er also ha s the abil ity to cha nge the de fault FDA Medication Guide pri nter throu gh the Sit e Paramete r Enter/Ed it option [PSO SITE PARAMETERS ].
	11483	Example 3: Setting t he Default FDA Medic ation Guid e Printer
	11484	Select Out patient Ph armacy Man ager Optio n: MAINten ance (Outp atient Pha rmacy)
	11485	Select Mai ntenance ( Outpatient Pharmacy) Option: S ITE Parame ter Enter/ Edit
	11486	Select SIT E NAME: ALBANY 5 00
	11487	Would you like to se e all site parameter s for this division? Y// NO
	11488	NAME: ALBA NY//MAILIN G FRANK ST REET ADDRE SS: 114 HO LLAND AVE/ /
	11489	AREA CODE: 518// ^FD A 1 FDA MED GU IDE PRINT SERVER URL
	11490	2 F DA MED GUI DE PRINTER
	11491	CHOOSE 1-2 : 2 FDA M ED GUIDE P RINTER
	11492	Select FDA MED GUIDE PRINTER: BAY PINES FDA MED GU IDE PRINTE R
	11493	/ / ?
	11494	Answer with FDA MED GUIDE PRINTER
	11495	Choose from:
	11496	SUPPORT LINE PRIN TER
	11497	BIRM1$P RT
	11498	HINES F DA MED GUI DE PRINTER
	11499	BAY PIN ES MED GUI DE PRINTER
	11500	Yo u may ente r a new FD A MED GUID E PRINTER, if you wi sh
	11501	En ter the FD A Medicati on Guide p rinter for the divis ion.
	11502	On ly devices with a Wi ndows Netw ork Printe r Name are allowed.
	11503	Answer wi th DEVICE NAME, or L OCAL SYNON YM, or $I, or VOLUME SET(CPU), or
	11504	SIGN- ON/SYSTEM DEVICE, or FORM CURR ENTLY MOUN TED
	11505	Do you wa nt the ent ire DEVICE List? N (No)
	11506	Select FDA MED GUIDE PRINTER: BAY PINES MED GUIDE PRINTER
	11507	// BIRM1 BIRM1$PRT BHM \|PRN\|\\ DN S LAB5\BIRM1
	11508	. ..OK? Yes/ / (Yes)
	11509	FDA MED GUIDE PRIN TER: BIRM1 $PRT//
	11510	DEFAULT PRINTER: ?
	11511	Indic ate whethe r the prin ter is the default F DA Medicat ion Guide Printer
	11512	for t he divisio n.
	11513	Choos e from:
	11514	1 YES
	11515	DEFAULT PRINTER: 1 YES
	11516	Select FDA MED GUIDE PRINTER:
	11517	Reprinting an FDA Me dication G uide
	11518	[PSO LM BA CKDOOR ORD ERS]
	11519	The system allows th e user to reprint th e associat ed FDA Med ication Gu ide for a given pres cription f ill (or th e latest F DA Medicat ion Guide available for the me dication o n the pres cription w hen reprin ting a pre scription label) and for presc ription fi lls sent t o CMOP by invoking t he RM acti on under t he OTH (Ot her OP Act ions) afte r selectin g a specif ic prescri ption in B ackdoor Ph armacy, as seen belo w. The sys tem prompt s the user whether t o reprint a medicati on guide, if an FDA Medication Guide is associated with a Pr escription , when rep rinting a label. The Default i s set to ‘ NO’.
	11520	Example 4: Drug Not matched to National Drug File
	11521	If a user tries to u se this op tion for a medicatio n that is not matche d to the N ational Dr ug File, t he followi ng message will disp lay:
	11522	--- Other OP Actions ---
	11523	PN Progr ess Note ( OP)
	11524	AP Actio n Profile (OP)
	11525	MI Print Medicatio n Instruct ions
	11526	DO Displ ay Orders' Statuses
	11527	MG Displ ay FDA Med ication Gu ide
	11528	RM Repri nt FDA Med ication Gu ide
	11529	Select Ite m(s): RM Reprint F DA Medicat ion Guide
	11530	ACETAMINOP HEN 325MG C.T. not m atched to the Nation al Drug Fi le (NDF)
	11531	Enter RETU RN to cont inue:
	11532	Example 5: No FDA Me dication G uide Assoc iated with Drug
	11533	If a user tries to u se this op tion for a medicatio n that doe s not have an FDA Me dication G uide on fi le, the fo llowing me ssage will display:
	11534	--- Other OP Actions ---
	11535	PN Progr ess Note ( OP)
	11536	AP Actio n Profile (OP)
	11537	MI Print Medicatio n Instruct ions
	11538	DO Displ ay Orders' Statuses
	11539	MG Displ ay FDA Med ication Gu ide
	11540	RM Repri nt FDA Med ication Gu ide
	11541	Select Ite m(s): RM Reprint F DA Medicat ion Guide
	11542	No FDA Med ication Gu ide on fil e for this Rx.
	11543	Enter RETU RN to cont inue:
	11544	Example 6: Reprintin g an FDA M edication Guide for a Medicati on that ha s an FDA M edication Guide on F ile
	11545	--- Other OP Actions ---
	11546	PN Progr ess Note ( OP)
	11547	AP Actio n Profile (OP)
	11548	MI Print Medicatio n Instruct ions
	11549	DO Displ ay Orders' Statuses
	11550	MG Displ ay FDA Med ication Gu ide
	11551	RM Repri nt FDA Med ication Gu ide
	11552	Select Ite m(s): RM Reprint F DA Medicat ion Guide
	11553	ALBANY's F DA Medicat ion Guide Printer(s) on file:
	11554	BIRM1 $PRT
	11555	L8150 $PRT
	11556	Select FDA MED GUIDE PRINTER: SUPPORT LI NE PRINTER // ROOM 234
	11557	Select FDA Medicatio n Guide to reprint:
	11558	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	11559	# FL FDA MED GUIDE FILE NAME TYPE DATE
	11560	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	11561	1 0 Lin dane_Lotio n_(Generic )_(2008).p df WINDO W 07/02/11
	11562	2 P1 Lin dane_Lotio n_(Generic )_(2008).p df WINDO W 08/16/11
	11563	3 1 Lin dane_Lotio n_(Generic )_(2008).p df WINDO W 09/21/11
	11564	4 Lin dane_Lotio n_(Generic )_(2008).p df LATES T
	11565	Select FDA Med Guide (1-4): 3 Lindane_Lo tion_(Gene ric)_(2008 ).pdf
	11566	FDA Medica tion Guide sent to p rinter.
	11567	Enter RETU RN to cont inue:Examp le 7: Repr inting FDA Medicatio n Guide fr om Profile
	11568	OP Medicat ions (ACTI VE) Oct 04, 20 11@10:52:2 3 Page: 1 of 2
	11569	OUTPATNM,C ATHLEEN < NO ALLERGY ASSESSMEN T>
	11570	PID: 666 -00-0704 Ht(cm): _ ______ (__ ____)
	11571	DOB: FEB 1,1955 (5 6) Wt(kg): _ ______ (__ ____)
	11572	---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
	11573	Rx # : 300411$
	11574	(1) *Orde rable Item : LINDANE SHAMPOO
	11575	(2) Drug : LINDANE 1% SHAMPOO
	11576	Verb : SHAMPOO
	11577	(3) *Dosage : 1
	11578	*Route : ORAL (BY MOUTH)
	11579	*Schedule : QD
	11580	(4)Pat In structions :
	11581	SIG : SHAMPOO 1 BY MOUTH EVERY DAY
	11582	(5) Pati ent Status : SC LESS THAN 50%
	11583	(6) Issue Date : 09/02/11 (7) Fill Date: 09/02/11
	11584	Last Fill Date : 09/02/11 (Window)
	11585	Last Re lease Date : (8) Lot #:
	11586	Expires : 09/02/12 MFG:
	11587	+--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ----------
	11588	DC Disco ntinue PR Partial RL Rel ease
	11589	ED Edit RF Refill RN Ren ew
	11590	Select Act ion: Next Screen// r p RP
	11591	Number of Copies? : (1-99): 1 //
	11592	Print adhe sive porti on of labe l only? No // NO
	11593	Reprint th e FDA Medi cation Gui de? No// Y ES
	11594	Comments: TESTING SI NGLE RX RE PRINT
	11595	Rx # 30041 1 09/02/1 1
	11596	OUTPATNM,C ATHLEEN #1
	11597	SHAMPOO 1 BY MOUTH E VERY DAY
	11598	LINDANE 1% SHAMPOO
	11599	ROBERTSON, MARK ROCHA ,MARCELO
	11600	# of Refil ls: 5
	11601	Press Retu rn to Cont inue:
	11602	Changing t he FDA Med ication Gu ide Printe r
	11603	[PSO CHANG E PRINTER]
	11604	Users have the abili ty to chan ge the cur rently sel ected FDA Medication Guide pri nter throu gh the Cha nge Label Printer op tion [PSO Change Pri nter.]
	11605	Example 8: Changing the FDA Me d Guide Pr inter
	11606	Select Out patient Ph armacy Man ager Optio n: Change Label Pri nter
	11607	Select PRO FILE PRINT ER: TELNET -IN// GE NERIC INCO MING TELNE T
	11608	Select LAB EL PRINTER : TELNET-I N// GENE RIC INCOMI NG TELNET
	11609	OK to assu me label a lignment i s correct? YES//
	11610	ALBANY's F DA Medicat ion Guide Printer(s) on file:
	11611	BIRM1 $PRT L 8150$PRT
	11612	Select FDA MED GUIDE PRINTER: BIRM1$PRT/ / hines H INES FDA M ED GUIDE P RINTER HI
	11613	NES
	11614	Prompt Dur ing Label Print
	11615	The system prompts t he user to select a different FDA Medica tion Guide printer w hen printi ng labels, if at lea st one FDA Medicatio n Guide is associate d with a P rescriptio n label be ing printe d.
	11616	Label Log and CMOP E vent Log D isplay
	11617	The Label Log as wel l as the C MOP Event Log displa ys the FDA MED Guide URL under the Comme nts line t o denote t hat an FDA Medicatio n Guide pr inted alon g with the label or that there was one a ssociated with the m edication when the p rescriptio n fill was transmitt ed to CMOP .
	11618	Example 9: Label Log and CMOP Event Log Display
	11619	Label Log:
	11620	# Date Rx R ef Printed By
	11621	========== ========== ========== ========== ========== ========== ========== =========
	11622	1 10/04/ 11 ORIG INAL ROCHA,MA RCELO
	11623	Comments: From RX nu mber 30041 8
	11624	FDA Med Gu ide: Linda ne_Lotion_ (Generic)_ (2008).pdf
	11625	CMOP Event Log:
	11626	Date/Time Rx Ref TRN-Order Stat Comment s
	11627	========== ========== ========== ========== ========== ========== ========== =========
	11628	10/04/11@0 943 Orig 15-1 TRAN
	11629	FDA Med Gu ide: NSAID s_(Class)_ (2009).pdf
	11630	Audit Trai l for FDA Medication Guide Pri nting
	11631	The system stores th e unique F DA Medicat ion Guide document n ame for ea ch fill be ing transm itted to C MOP in the PRESCRIPT ION file ( #52).
	11632	Automatica lly Printi ng FDA Med ication Gu ides is Op tional
	11633	The FDA Me dication G uide autom atic print ing functi onality is an option al functio nality. Ea ch pharmac y division may choos e to turn this funct ionality O N or OFF. Reasons a pharmacy d ivision mi ght choose to turn t he FDA Med ication Gu ide automa tic printi ng functio nality OFF are:
	11634	FDA Medica tion Guide s print on a differe nt printer than the prescripti on labels. High-volu me window prescripti on dispens ing sites may not ha ve the nec essary res ources for collating FDA Medic ation Guid es with th eir corres ponding pr escription labels.
	11635	Automated- dispensing systems s uch as Opt fill also perform th e prescrip tion label printing, which usu ally happe ns at a la ter time t han when t he labels are printe d in VistA . Since FD A Medicati on Guides automatica lly print at the sam e time lab els print from VistA , medicati on guides may print too early in the dis pensing pr ocess, cau sing confu sion.
	11636	To turn th e FDA Medi cation Gui de automat ic printin g function ality OFF or to not turn it ON for a spe cific phar macy divis ion, make sure the F DA MED GUI DE PRINT S ERVER URL field has no value. This field can be ed ited via t he Site Pa rameter En ter/Edit [ PSO SITE P ARAMETERS] option, a s shown be low.
	11637	Whether th e function ality is b eing turne d ON or OF F, the pre scription label prin ted from V istA will still incl ude the no te “Read F DA Med Gui de” when o ne is asso ciated wit h the medi cation bei ng dispens ed.
	11638	Example 10 : Updating the FDA M ed Guide P rint Serve r URL Fiel d
	11639	Select Ou tpatient P harmacy Ma nager Opti on: SUPERv isor Funct ions
	11640	Add New Pr oviders
	11641	Daily Rx C ost
	11642	Delete a P rescriptio n
	11643	Edit Provi der
	11644	Initialize Rx Cost S tatistics
	11645	Inter-Divi sional Pro cessing
	11646	Inventory
	11647	Lookup Cle rk by Code
	11648	Lookup Nat ional Clea n-Up Utili ty Data
	11649	Monthly Rx Cost Comp ilation
	11650	Patient Ad dress Chan ges Report
	11651	Pharmacist Enter/Edi t
	11652	Purge Drug Cost Data
	11653	Recompile AMIS Data
	11654	Site Param eter Enter /Edit
	11655	View Provi der
	11656	Select Sup ervisor Fu nctions Op tion: SITE Parameter Enter/Edi t
	11657	Select SIT E NAME: AL BANY 50 0
	11658	Would you like to se e all site parameter s for this division? Y// NO
	11659	NAME: ALBA NY//
	11660	MAILING FR ANK STREET ADDRESS: 114 HOLLAN D AVE//
	11661	AREA CODE: 518//
	11662	PHONE NUMB ER: 472-43 07//
	11663	MAILING FR ANK ZIP+4 CODE: 1220 8//
	11664	SITE NUMBE R: 500//
	11665	NCPDP NUMB ER:
	11666	...
	11667	LOGICAL LI NK: PSO DI SP//
	11668	PROCESS AU TO REFILLS FOR INPAT :
	11669	PROCESS AU TO REFILLS FOR CNH:
	11670	FDA MED GU IDE PRINT SERVER URL : ??
	11671	This is the Un iform Reso urce Locat or (URL) a nd Port Nu mber for t he Print
	11672	Serv er running the Java Applicatio n responsi ble for au tomaticall y
	11673	prin ting of th e Food and Drug Admi nistration (FDA) Med ication Gu ides for
	11674	the divisi on (e.g.,' http:// IP /').
	11675
	11676	FDA MED GU IDE PRINT SERVER URL :
	11677	Chapter 29 : Security Keys XE " Security K eys"
	11678	A security key is a unique ent ry in the Security K ey file (^ DIC(19.1,) which may prevent a ccess to a specific option or action by including the key as part of t he option’ s entry in the Optio n file (^D IC(19,). O nly users entered in the Holde r field of the Secur ity Key fi le may acc ess the op tion or ac tion.
	11679	Security K eys XE "Ne w or Modif ied Securi ty Keys"
	11680	PSO TRICAR E/CHAMPVA
	11681	PSO7385 renamed th e PSO TRIC ARE securi ty key to PSO TRICAR E/CHAMPVA. Please s ee TRICARE /CHAMPVA E ligible Ou tpatient O verride Fu nction for further i nformation on this s ecurity ke y.
	11682	PSO TRICAR E/CHAMPVA MGR
	11683	PSO7385 renamed th e PSO TRIC ARE MGR se curity key to PSO TR ICARE/CHAM PVA MGR. Please see TRICARE C HAMPVA Byp ass/Overri de Report for furthe r informat ion on thi s security key.
	11684	PSO TECH A DV
	11685	PSO7386 added the PSO TECH A DV securit y key for use of hol ding and u nholding p rescriptio ns. Please see Holdi ng and Unh olding a P rescriptio n for furt her inform ation on t his securi ty key.
	11686	PSO EPHARM ACY SITE M ANAGERxe " PSO EPHARM ACY SITE M ANAGER Sec urity Key"
	11687
	11688	xe "Securi ty Key, PS O EPHARMAC Y SITE MAN AGER"
	11689	PSO7421 added the PSO EPHARM ACY SITE M ANAGER sec urity key for use of changing ePharmacy Site Param eters. Ple ase see eP harmacy Si te Paramet ers for fu rther info rmation on this secu rity key.
	11690	(This page included for two-si ded copyin g.)
	11691	Glossary
	11692	The follow ing table provides d efinitions for commo n acronyms and terms used in t his manual .
	11693	Acronym/Te rmDefiniti onAction P rofileA li st of all active and recently canceled o r expired prescripti ons for a patient so rted by cl assificati on. This p rofile als o includes a signatu re line fo r each pre scription to allow t he physici an to canc el or rene w it.Activ ity LogA l og, by dat e, of chan ges made t o or actio ns taken o n a prescr iption. An entry is made in th is log eac h time the prescript ion is edi ted, cance led, reins tated afte r being ca nceled, or renewed. An entry w ill be mad e into thi s log each time a la bel is rep rinted. A CMOP activ ity log wi ll contain informati on related to CMOP d ispensing activities .ADDAutoma ted Dispen sing Devic e.Allergy/ ADR Inform ationInclu des non-ve rified and verified allergy an d/or adver se reactio n informat ion as def ined in th e Adverse Reaction T racking (A RT) packag e. The all ergy data is sorted by type (D RUG, OTHER , FOOD). I f no data is found f or a categ ory, the h eading for that cate gory is no t displaye d.Allergy Order Chec ksThe proc ess that c ompares th e drugs pr escribed f or a patie nt against that pati ent’s reco rded aller giesAMISAu tomated Ma nagement I nformation System.An swer Sheet 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.APIAppl ication Pr ogramming Interfaces .APSPOrigi nally Indi an Health Service Ph armacy's n ame space now owned by the Out patient Ph armacy sof tware.BSAB ody Surfac e Area. Th e Dubois f ormula is used to ca lculate th e Body Sur face Area using the following formula:
	11694	BSA (m²) = 0.20247 x Height (m )0.725 x W eight (kg) 0.425
	11695	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.
	11696	The calcul ation is n ot intende d to be a replacemen t for inde pendent cl inical jud gment.Bypa ssTake no action on a medicati on order.C HAMPVACHAM PVA (Civil ian Health and Medic al Program of the De partment o f Veterans Affairs) is a cost- shared hea lth benefi ts program establish ed for the dependent s and surv ivors of c ertain sev erely disa bled and/o r deceased veterans. Clinical R eminder Or der Checks (CROC)CPR S Order Ch ecks that use Clinic al Reminde r function ality, bot h reminder terms and reminder definition s, to perf orm checks for group s of order able items .CMOPConso lidated Ma il Outpati ent Pharma cy.CPRSCom puterized Patient Re cord Syste m. CPRS is an entry point in V istA that allows the user to e nter all n ecessary o rders for a patient in differe nt package s (e.g., O utpatient Pharmacy, Inpatient Pharmacy, etc.) from a single entry poin t.CrCLCrea tinine Cle arance. Th e CrCl val ue which d isplays in the pharm acy header is identi cal to the CrCl valu e calculat ed in CPRS . The for mula appro ved by the CPRS Clin ical Workg roup is th e followin g:
	11697	Modified C ockcroft-G ault equat ion using Adjusted B ody Weight in kg (if ht > 60in )
	11698	This calcu lation is not intend ed to be a replaceme nt for ind ependent c linical ju dgment.Cri ticalInter actions wi th severe consequenc es that re quire some type of a ction (fin ding facts , contacti ng prescri bers) to p revent pot ential ser ious harm. DATUPData Update (DA TUP). Func tionality that allow s the Phar macy Enter prise Cust omization System (PE CS) to sen d out cust om and sta ndard comm ercial-off -the-shelf (COTS) ve ndor datab ase change s to updat e the two centralize d database s at Austi n and Mart insburg.DE ADrug Enfo rcement Ag ency.DEA S pecial Han dlingThe D rug Enforc ement Agen cy special Handling code used for drugs to designa te if they are over- the counte r, narcoti cs, bulk c ompounds, supply ite ms, etc.DH CPSee Vist A.DIFDrug Informatio n Framewor k.Dispense DrugThe D ispense Dr ug name ha s the stre ngth attac hed to it (e.g., Ace taminophen 325 mg). The name a lone witho ut a stren gth attach ed is the Orderable Item name. DNSDomain Name Serve r.DoDDepar tment of D efense.Dos age Ordere dAfter the user has selected t he drug du ring order entry, th e dosage o rdered pro mpt is dis played. Dr ug/Drug In teractionT he pharmac ological o r clinical response to the adm inistratio n of a dru g combinat ion differ ent from t hat antici pated from the known effects o f the two agents whe n given al one.DUEDru g Usage Ev aluation.E nhanced Or der CheckD rug – Drug Interacti on, Duplic ate Therap y, and Dos ing order checks tha t are exec uted utili zing FDB’s MedKnowle dge Framew ork APIs a nd databas e.ETCEnhan ced Therap eutic Clas sification . Expirati on/StopThe date on w hich a pre scription is no long er active. Typically , this dat e is 30 da ys after t he issue d ate for na rcotics, 3 65 days af ter the is sue date f or other m edications and 365 d ays after the issue date for s upplies.FD BFirst Dat aBankFinis hTerm used for compl eting orde rs from Or der Entry/ Results Re porting.GU IAcronym f or Graphic al User In terface.HD R-HxHealth Data Repo sitory His torical.HD R-IMSHealt h Data Rep ository- I nterim Mes saging Sol ution.Issu e DateThe date on wh ich the pr escription was writt en. This d ate is usu ally, but not always , the same as the fi rst fill d ate. This date canno t be later than the first fill date.HFSH ost File S erver.Heal th Insuran ce Portabi lity and A ccountabil ity Act of 1996 (HIP AA)A Feder al law tha t makes a number of changes th at have th e goal of allowing p ersons to qualify im mediately for compar able healt h insuranc e coverage when they change th eir employ ment relat ionships. Title II, Subtitle F , of HIPAA gives HHS the autho rity to ma ndate the use of sta ndards for the elect ronic exch ange of he alth care data; to s pecify wha t medical and admini strative c ode sets s hould be u sed within those sta ndards; to require t he use of national i dentificat ion system s for heal th care pa tients, pr oviders, p ayers (or plans), an d employer s (or spon sors); and to specif y the type s of measu res requir ed to prot ect the se curity and privacy o f personal ly identif iable heal th care in formation. Also know n as the K ennedy-Kas sebaum Bil l, the Kas sebaum-Ken nedy Bill, K2, or Pu blic Law 1 04-191.JCA HOAcronym for Joint Commission on Accred itation of Healthcar e Organiza tions.Labe l/Profile Monitor A file for e ach printe r which re cords, in the order in which t hey were p rinted, th e last 100 0 labels o r profiles printed o n that pri nter. This allows a rapid repr int of a s eries of l abels or p rofiles th at were da maged by a printer m alfunction or other event.Loca l Possible DosagesFr ee text do sages that are assoc iated with drugs tha t do not m eet all of the crite ria for Po ssible Dos ages.Medic ation Inst ruction Fi leThe MEDI CATION INS TRUCTION f ile is use d by Unit Dose and O utpatient Pharmacy. It contain s the medi cation ins truction n ame, expan sion and i ntended us e. Medicat ion OrderA prescript ion.Medica tion Profi leA list o f all acti ve or rece ntly cance led or exp ired presc riptions f or a patie nt sorted either by date, drug , or class ification. Unlike th e action p rofile, th is profile is for in formation only and d oes not pr ovide a si gnature li ne for a p hysician t o indicate action to be taken on the pre scription. Medication Routes Fi leThe MEDI CATION ROU TES file c ontains me dication r oute names . The user can enter an abbrev iation for each rout e to be us ed at the local site . The abbr eviation w ill most l ikely be t he Latin a bbreviatio n for the term.Med R outeThe me thod in wh ich the pr escription is to be administer ed (e.g., oral, inje ction). NC CCAcronym for Nation al Clozapi ne Coordin ating Cent er.Non-For mulary Dru gsThe medi cations, w hich are d efined as commercial ly availab le drug pr oducts not included in the VA National F ormulary.N on-VA Meds 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.OPAIOutp atient Pha rmacy Auto mated Inte rface.Orde rRequest f or medicat ion.Order CheckOrder checks (d rug-allerg y/ADR inte ractions, drug-drug, duplicate drug, dup licate the rapy, and dosing) ar e performe d when a n ew medicat ion order is placed through ei ther the C PRS or Out patient Ph armacy app lications. They are also perfo rmed when medication orders ar e renewed, when Orde rable Item s are edit ed, or dur ing the fi nishing pr ocess in O utpatient Pharmacy. This funct ionality w ill ensure the user is alerted to possib le adverse drug reac tions and will reduc e the poss ibility of a medicat ion error. Orderable ItemAn Ord erable Ite m name has no streng th attache d to it (e .g., Aceta minophen). The name with a str ength atta ched to it is the Di spense dru g name (e. g., Acetam inophen 32 5mg). Part ial Prescr iptionA pr escription that has been fille d for a qu antity sma ller than requested. A possibl e reason f or a parti al fill is that a pa tient is t o return t o the clin ic in ten days but t he prescri ption call s for a th irty-day s upply. Par tials do c ount as wo rkload but do not co unt agains t the tota l number o f refills for a pres cription.P ayerIn hea lth care, an entity that assum es the ris k of payin g for medi cal treatm ents. This can be an uninsured patient, a self-ins ured emplo yer, or a health car e plan or Health Mai ntenance O rganizatio n (HMO).Pe nding Orde rA pending order is one that h as been en tered by a provider through CP RS without Pharmacy finishing the order. Once Phar macy has f inished th e order, i t will bec ome active .Pharmacy NarrativeO UTPATIENT NARRATIVE field that may be us ed by phar macy staff to displa y informat ion specif ic to the patient.Po lypharmacy The admini stration o f many dru gs togethe r.POEAcron ym for Pha rmacy Orde ring Enhan cements (P OE) projec t. Patch P SO746 co ntains all the relat ed changes for Outpa tient Phar macy.Possi ble Dosage sDosages t hat have a numeric d osage and numeric di spense uni ts per dos e appropri ate for ad ministrati on. For a drug to ha ve possibl e dosages, it must b e a single ingredien t product that is ma tched to t he DRUG fi le. The DR UG file en try must h ave a nume ric streng th and the dosage fo rm/unit co mbination must be su ch that a numeric st rength com bined with the unit can be an appropriat e dosage s election.P rescriptio nThis term is now re ferred to throughout the softw are as med ication or ders.Presc ription St atusA pres cription c an have on e of the f ollowing s tatuses.
	11699	Active - A prescript ion with t his status can be fi lled or re filled.
	11700	Canceled - This term is now re ferred to throughout the softw are as Dis continued. (See Disc ontinued.)
	11701	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.
	11702	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.
	11703	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.
	11704	Expired - This statu s indicate s the expi ration dat e has pass ed.
	11705	*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.
	11706	Hold - A p rescriptio n that was placed on hold due to reasons determine d by the p harmacist.
	11707	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.
	11708	The second non-verif ied status is given to prescri ptions whe n a drug/d rug intera ction is e ncountered during th e new orde r entry or editing o f a prescr iption.
	11709	Pending - A prescrip tion that has been e ntered thr ough OERR.
	11710	Refill - A second or subsequen t filling authorized by the pr ovider.
	11711	Suspended - A prescr iption tha t will be filled at some futur e date.Pro gress Note sA compone nt of Text Integrati on Utiliti es (TIU) t hat can fu nction as part of CP RS.Provide rThe perso n who auth orized an order. Onl y users id entified a s provider s who are authorized to write medication orders ma y be selec ted. Repri nted Label Unlike a p artial pre scription, a reprint does not count as w orkload.Qu estionnair eAn entry in the DUE QUESTIONN AIRE file. This file entry con tains the set of que stions rel ated to a DUE as wel l as the d rugs being evaluated .ScheduleT he frequen cy by whic h the dose s are to b e administ ered, such as Q8H, B ID, NOW, e tc. SigThe instructi ons printe d on the l abel. Sign ificantThe potential for harm is either rare or ge nerally kn own so tha t it is re asonable t o expect t hat all pr escribers have taken this info rmation in to account .Speed Act ionsSee Ac tions.Susp enseA pres cription m ay not be able to be filled on the day i t was requ ested. Whe n the pres cription i s entered, a label i s not prin ted. Rathe r, the pre scription is put in the RX SUS PENSE file to be pri nted at a later date . Third (3 rd) Party ClaimsHeal th care in surance cl aims submi tted to an entity fo r reimburs ement of h ealth care bills.Tim e InThis i s the time that the patient's name was e ntered in the comput er.Time Ou tThis is t he time th at the pat ient's nam e was ente red on the bingo boa rd monitor .TIUText I ntegration Utilities ; a packag e for docu ment handl ing, that includes C onsults, D ischarge s ummary, an d Progress Notes, an d will lat er add oth er documen t types su ch as surg ical patho logy repor ts. TIU co mponents c an be acce ssed for i ndividual patients t hrough the CPRS, or for multip le patient s through the TIU in terface.Ti trationTit ration is the proces s of gradu ally adjus ting the d ose of a m edication until opti mal result s are reac hed.TRICAR ETRICARE i s the unif ormed serv ice health care prog ram for: a ctive duty service m embers and their fam ilies reti red servic e members and their families m embers of the Nation al Guard a nd Reserve s and thei r families survivors , and othe rs who are eligible.
	11712	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.Units per DoseT he number of Units ( tablets, c apsules, e tc.) to be dispensed as a Dose for an or der. Fract ional numb ers will b e accepted for medic ations tha t can be s plit.VistA 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) .Wait Time 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 .(This pag e included for two-s ided copyi ng.)
	11713	Index
	11714
	11715	3
	11716	3/4 Days S upply Hold , 44
	11717	A
	11718	Alerts for Discontin ued CMOP P rescriptio n, 291
	11719	Allergy Or der Checks , 47
	11720	B
	11721	Barcode Ba tch Prescr iption Ent ry, 224
	11722	Barcode Rx Menu, 224
	11723	Batch Prin t Question naires, 24
	11724	C
	11725	Change Lab el Printer , 17
	11726	Change Sus pense Date , 19
	11727	Check Qual ity of Bar code, 225
	11728	Clinical R eminder Or der Checks , 56
	11729	Complete O rders from OERR, 226
	11730	CPRS Order Checks
	11731	How They W ork, 303
	11732	Create/Edi t a Questi onnaire, 2 4
	11733	D
	11734	DAW Code, 286
	11735	DAW/NDC Ed it, 240
	11736	DEA Certif ication, 3 04
	11737	Delete Int ervention, 42
	11738	Discontinu e Prescrip tion(s), 2 38
	11739	Discontinu ed by a Ba ckground P rocess, 29 1
	11740	Discontinu ed by a Fo reground P harmacy Pr ocess, 292
	11741	Dispense a s Written, 205
	11742	Display Pa tient's Na me on Moni tor, 15
	11743	DUE Report , 24
	11744	DUE Superv isor, 23
	11745	E
	11746	Edit an Ex isting Ans wer Sheet, 23
	11747	Edit Pharm acy Interv ention, 41
	11748	Edit Presc ription(s) , 239
	11749	Enter a Ne w Answer S heet, 23
	11750	Enter New Patient, 1 5
	11751	Enter Phar macy Inter vention, 4 1
	11752	Enter/Edit Clinic So rt Groups, 25
	11753	Entering A ctions, 6
	11754	ePharmacy Medication Profile D ivision Pr eferences, 246
	11755	ePharmacy Menu, 240
	11756	ePharmacy Site Param eters, 247
	11757	Error Info rmation, 3 07
	11758	Error Mess ages, 307
	11759	Evaluating Drug Usag e, 23
	11760	External I nterface M enu, 27
	11761	F
	11762	Flagging a nd Unflagg ing a New Pending Or der, 221, 230, 290
	11763	H
	11764	Hash Count s, 304
	11765	Host Error s, 44
	11766	I
	11767	Ignored Re jects Repo rt, 241
	11768	Introducti on, 1
	11769	L
	11770	List Manag er, 3
	11771	List Non-V erified Sc ripts, 299
	11772	List One P atient's A rchived Rx 's, 292
	11773	M
	11774	MailMan me ssage for Open/Unres olved Reje cts, 290
	11775	Manual Pri nt of Mult i-Rx Forms , 292
	11776	Medication Profile, 31
	11777	Medication Reconcili ation, 39
	11778	N
	11779	NDC Valida tion, 245
	11780	New or Mod ified Secu rity Keys, 319
	11781	Non-VA Med s Usage Re port, 8
	11782	Non-Verifi ed Counts, 300
	11783	O
	11784	Order Chec k Data Cac hing, 303
	11785	Ordering/P rocessing a Prescrip tion, 145
	11786	Other Outp atient Pha rmacy List Man Action s, 10
	11787	Other Reje cts, 284
	11788	Other Scre en Actions , 10
	11789	Outpatient Pharmacy Hidden Act ions, 7
	11790	P
	11791	Patient Lo okup, 13
	11792	Patient Pr escription Processin g, 145
	11793	Pharmacy I nterventio n, 41
	11794	Print from Suspense File, 43
	11795	Print Phar macy Inter vention, 4 1
	11796	Process Dr ug/Drug In teractions , 57
	11797	Process In ternet Ref ills, 225
	11798	PSO EPHARM ACY SITE M ANAGER Sec urity Key, 319
	11799	Pull Early from Susp ense, 130 131
	11800	Purge Exte rnal Batch es, 27
	11801	R
	11802	Reject Res olution Re quired Rej ects, 289
	11803	Release Me dication, 133
	11804	Remove Pat ient's Nam e from Mon itor, 16
	11805	Reprint an Outpatien t Rx Label , 293
	11806	Reprint Ex ternal Bat ches, 25, 27
	11807	Resolving Open Rejec ts, 253
	11808	Return Med ication to Stock, 14 3
	11809	Rx (Prescr iptions), 145
	11810	Rx Verific ation by C lerk, 301
	11811	S
	11812	Security K ey, PSO EP HARMACY SI TE MANAGER , 319
	11813	Security K eys, 319
	11814	Speed Acti ons, 9
	11815	Status of Patient's Order, 16
	11816	T
	11817	Therapeuti c Duplicat ion, 109
	11818	Third Part y Payer Re jects - Vi ew/Process , 249
	11819	Third Part y Payer Re jects - Wo rklist, 25 3
	11820	Titration, 164
	11821	TRICARE Re ject Proce ssing, 273
	11822	U
	11823	Update Pat ient Recor d, 297
	11824	Using List Manager w ith Outpat ient Pharm acy, 6
	11825	Using the Interface Menu, 27
	11826	V
	11827	Verifying Prescripti ons, 299
	11828	View Exter nal Batche s, 28
	11829	View Inter vention, 4 2
	11830	View Presc riptions, 294
	11831	Viewing an d Resolvin g Open Rej ects, 249
	11832
	11833
	11834	Patient In formation Feb 09, 2006 16:31:03 Page: 1 of 2
	11835	OPPATIENT1 7, ONE <A>
	11836	PID: 000- 12-3456 Ht(cm) : 175.26 ( 08/06/2000 )
	11837	DOB: AUG 30,1948 (5 2) Wt(kg) : 108.18 ( 01/14/2006 )
	11838	SEX: MALE
	11839	+
	11840	Eligibilit y: SERVICE CONNECTED 50% to 10 0% SC% : 70
	11841	RX PATIENT STATUS: S C LESS THA N 50%
	11842
	11843	Disabiliti es:
	11844
	11845	1313 TWIN OAKS LANE
	11846	HOME PHONE : 555-555- 8361
	11847	ANYVILLE CELL PHONE :
	11848	ALABAMA 1 2345 WORK PHONE :
	11849	Prescripti on Mail De livery: Re gular Mail
	11850
	11851
	11852	Allergies
	11853	Verifi ed: PEANUT S,
	11854	+ Enter ?? for more actions
	11855	EA Enter/ Edit Aller gy/ADR Dat a PU Patien t Record U pdate
	11856	DD Detail ed Allergy /ADR List EX Exit P atient Lis t
	11857	Select Act ion: Quit/ /
	11858
	11859	Allergy In dicator
	11860
	11861	Header Are a
	11862
	11863	Message Wi ndow
	11864
	11865	Action Are a
	11866
	11867	List Area
	11868	(Scrolling region)
	11869
	11870	Screen Tit le
	11871
	11872	Order Stat us and CMO P Indicato rs
	11873
	11874	Allergy In dicator
	11875
	11876	Return
	11877	To Stock I ndicator
	11878
	11879	Copay Indi cator
	11880
	11881	ePharmacy Indicator
	11882
	11883	Non-VA Med s Orders
	11884
	11885	Pending Or ders
	11886
	11887	Flagged Or der
	11888
	11889	ISSUE LA ST REF D AY
	11890	# RX # DRU G QTY ST DATE FI LL REM S UP
	11891	--------- ---------- ---------- ---DISCONT INUED----- ---------- ---------- -------
	11892	1 1000056 04$ TOB RAMYCIN 80 MG/2ML INJ 100 DC>B 01-21 01-2 1 0 9<< Truncated
	11893
	11894
	11895	Denotes eP harmacy Rx
	11896
	11897	This statu s refers t o the orig inal presc ription.
	11898
	11899	This statu s refers t o the newl y created prescript ion.
	11900
	11901	This refil l is outsi de the use r’s divisi on.
	11902
	11903	Make sure this field is blank (no value) .
	11904
	11905
	11906	November 2 010
	11907	Outpatient Pharmacy V.7.0
	11908	i
	11909
	11910	Pharmacist ’s User Ma nual