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1 | EPIP.zip\PSS_1.0_225_PSB_3.0_103 _Aug_2018 | psb_3_tm_r1118.doc | Tue Aug 28 12:14:54 2018 UTC |
2 | EPIP.zip\PSS_1.0_225_PSB_3.0_103 _Aug_2018 | psb_3_tm_r1118.doc | Tue Aug 28 12:31:56 2018 UTC |
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1 | BCMA Techn ical Manua l | |
2 | BAR CODE M EDICATION ADMINISTRA TION (BCMA ) | |
3 | TECHNICAL MANUAL/SEC URITY GUID E | |
4 | Version 3. 0 | |
5 | February 2 004 | |
6 | (Revised N ovember 20 18) | |
7 | Department of Vetera ns Affairs | |
8 | Office of Informatio n and Tech nology | |
9 | Revision H istory | |
10 | DateRevise d PagesPat ch NumberD escription 11/20187, 8, 9PSB*3* 103Added n ew routine names to the Routin es Install ed table. Added "Rep ort for Re spiratory Therapy Me dications" option to the Medic ation Admi nistration Menu Phar macy. | |
11 | (G. Miller , PM; T. T urowski, T ech Writer )12/2016i, 8, 9PSB*3 *88Add “BC MA Drug IE N Synonym Check” opt ion to Pha rmacy Medi cation Adm inistratio n Menu12/2 016All | |
12 | 6 | |
13 | 7 | |
14 | 9 | |
15 | 19 PSB*3*8 3Renumbere d pages to remove su b-pages a, b, etc. | |
16 | Updated nu mber of ro utines in list. | |
17 | Added new Routine “P SBVDLRM”. | |
18 | Spelled ou t first us e of acron ym CHUI. | |
19 | Added new RPC “PSB G ETSETWP” t o table an d included RPC “PSB GETINJECTI ONSITE” fr om previou s patch. | |
20 | (D. Connol ly, PM; E. Phelps, R . Walters, Tech Writ ers)12/201 3i-ii, 9, 10, 10a-10 b, 14, | |
21 | 18aPSB*3*7 0Added “Do cumenting Backlog PR Ns” to Man ager’s Men u. Added n ote that M issed Medi cations, W ard Admini stration T imes, and Due List B CMA CHUI r eports are Inpatient , only. A dded PSB N O WITNESS Security K ey. Missin g Dose Req uest optio n removed from CHUI menus. Add ed “VHIC 4 .0 Card Ba r Code Sca nning Supp ort” to Ex ternal Rel ations sec tion. | |
22 | (R. Santos , DM; B. T homas, Tec h Writer)0 1/2011i-ii , 6, 7, 10 , 15, | |
23 | B-2, B-4 | |
24 | PSB*3*42Ad ded note a nd list of BCMA Repo rts that w ere added to GUI onl y. | |
25 | Added defi nition of data field change fo r Indian H ealth Serv ice. | |
26 | Added Indi an Health Service te rms to Glo ssary. | |
27 | (R. Singe r, DM; B. Thomas, Te ch Writer) 10/2009i-i i, 7, 9, 1 7PSB*3*47A dded PSBPX FL and PSB PXLP to th e list of installed routines. Add Immun izations D ocumentati on by BCMA Nightly T ask [PSB P X BCMA2PCE TASK] opt ion to the Manager [ PSB MGR] m enu. Adde d Patient Care Encou nter to th e External Relations hips secti on. | |
28 | (R. Singer , DM; D. D ertien/R. Silverman, Tech Writ er)01/2009 i-ii, iv, 6-7, | |
29 | 13-14, | |
30 | 18-19, 21P SB*3*28- U pdate Tabl e of Conte nts to inc lude Remot e Procedur e Calls. ( p. iv) | |
31 | - Increase d the tota l for the BCMA V .3. 0 routines to 85 and files to 6. (p.6-7) | |
32 | - Updated the files and “BCMA V.3.0 Rout ines Insta lled onto VistA Serv er” Exampl e. (p.7) | |
33 | - Updated the Mail G roup Types in BCMA V .3.0 to in clude scan ning | |
34 | failures. (p. 13) | |
35 | - Updated Security K eys to inc lude PSB U NABLE TO S CAN. (p. 1 4) | |
36 | - Added li st of Remo te Procedu re Calls ( RPCs). (p. 18) | |
37 | -Added new Glossary entry for LIMITED AC CESS BCMA. (p. 19) | |
38 | - Added ne w Glossary entry for PSB UNABL E TO SCAN. (p. 21) | |
39 | (R. Singer , PM; R. T homas, Tec h Writer)0 3/20086-7, 9-10, | |
40 | C-1, C-2, | |
41 | C-4, C-5, | |
42 | C-7, C-9PS B*3*2Descr iption of [PSBO BZ] functional ity added, code stri ngs update d (p. C-1. ) | |
43 | - Updated Intermec P rinter Tea m Type Cod es Informa tion, Inte rmec Barcode Label Fiel d Position Map, Inte rmec print er Sample Terminal T ype File c ode descri ptions upd ated (pp. C-4, C-5, C-7.) | |
44 | - Barcode samples up dated – re ferences t o “Dosage” changed t o “Dose” a nd space b etween col on and dos e measurem ent delete d (p. C-9. ) | |
45 | (E. Willia mson, PM; G. O’Conno r, Tech Wr iter)09/20 076-7PSB*3 *32– Incre ased the t otal for t he BCMA V. 3.0. rout ines to 68 . (p.6) | |
46 | – Updated the “BCMA V. 3.0 Rou tines Inst alled onto VistA Ser ver” examp le to incl ude the fo llowing ro utine: PSB O XA. (p. 7) | |
47 | (R. Singer , PM; E. P helps, Tec h Writer)0 8/20066-7, | |
48 | 9, 13PSB*3 *13– Incre ased the t otal for t he BCMA V. 3.0. rout ines to 68 . (p.6) | |
49 | – Updated the “BCMA V. 3.0 Rou tines Inst alled onto VistA Ser ver” examp le to incl ude the fo llowing ro utine: PSB O XA. (p. 7) | |
50 | – Updated Manager Me nu [PSB MG R] options list to i nclude Mis sing Dose Followup ( correction ) and Unkn own Action Status Re port (new with this patch). (p . 9) | |
51 | – Added de scription of the “Un known Acti ons” mail group para meter. (p. 13) | |
52 | (R. Singer , PM; M. N ewman, Tec h Writer)0 8/2006iv, | |
53 | 6, | |
54 | C1-C10PSB* 3*2Note: T he functio nality lis ted below will be ac tivated wi th the rel ease of PS B*3*2. | |
55 | – Updated Table of C ontents to include n ew Appendi x C. (p. i v) | |
56 | – Added re ference to new Unit Dose label printing functional ity and Ap pendix C. (p. 6) | |
57 | – Added Ap pendix C: Interfacin g with the Bar Code Label Prin ter. (p. C 1-C10) | |
58 | (R. Singer , PM; M. N ewman, Tec h Writer)1 2/20056-7P SB*3*16– I ncreased t he total f or the BCM A V. 3.0. routines t o 67. (p.6 ) | |
59 | – Updated the “BCMA V. 3.0 Rou tines Inst alled onto VistA Ser ver” examp le to incl ude the fo llowing ro utines: PS BCSUTL, PS BCSUTX, PS BCSUTY. (p . 7) | |
60 | (R. Singer , PM; M. N ewman, Tec h Writer)0 1/20056-7, | |
61 | 14, | |
62 | 20-21PSB*3 *4– Increa sed the to tal for th e BCMA V. 3.0. routi nes to 64. (p.6) | |
63 | – Updated the “BCMA V. 3.0 Rou tines Inst alled on t o VistA Se rver” exam ple to inc lude the P SBOPF rout ine. (p. 7 ). | |
64 | – Added de scription for new PS B READ ONL Y security key. (p.1 4) | |
65 | – Added ne w Glossary entries f or PSB REA D ONLY and Read-Only BCMA. (p. 20-21) | |
66 | (R. Singer , PM; M. N ewman, Tec h Writer)1 0/20046-7 | |
67 | PSB*3*3– I ncreased t he total f or the BCM A V. 3.0 r outines to 63. (p. 6 ) | |
68 | – Updated the “BCMA V. 3.0 Rou tines Inst alled on t o VistA Se rver” exam ple to ref lect the i nclusion o f routines PSBML2, P SBML3, and PSBMLLKU to the Vis tA Server. (p. 7) | |
69 | (R. Singer , PM; M. N ewman, Tec h Writer)0 2/2004Orig inal Relea sed BCMA V . 3.0 Tech nical Manu al/Securit y Guide | |
70 | (R. Singer , PM; M. P ospisil, T ech Writer )Table of Contents | |
71 | 1BCMA V. 3 .0 and Thi s Guide | |
72 | ||
73 | ||
74 | 1Benefits of BCMA V. 3.0 | |
75 | ||
76 | ||
77 | 1Benefits of This Gu ide | |
78 | ||
79 | ||
80 | 1Our Targe t Audience | |
81 | ||
82 | ||
83 | 2Other Sou rces of In formation | |
84 | ||
85 | ||
86 | 2Backgroun d/Technica l Informat ion | |
87 | ||
88 | ||
89 | 2This Manu al and Rel ated Docum entation | |
90 | ||
91 | ||
92 | 2Conventio ns Used in This Guid e | |
93 | ||
94 | ||
95 | 3Obtaining On-line H elp | |
96 | ||
97 | ||
98 | 3Locating Detailed L istings | |
99 | ||
100 | ||
101 | 3Routines | |
102 | ||
103 | ||
104 | 3Data Dict ionaries | |
105 | ||
106 | ||
107 | 5Implement ation and Maintenanc e | |
108 | ||
109 | ||
110 | 5Minimum R equired Pa ckages | |
111 | ||
112 | ||
113 | 5Installat ion Time E stimates | |
114 | ||
115 | ||
116 | 6Resource Requiremen ts | |
117 | ||
118 | ||
119 | 6Response Time Monit or | |
120 | ||
121 | ||
122 | 6Laptops a nd Bar Cod e Scanners | |
123 | ||
124 | ||
125 | 6Printers | |
126 | ||
127 | ||
128 | 6Unit Dose Label Pri nter Devic es | |
129 | ||
130 | ||
131 | 6IV Label Printer De vices | |
132 | ||
133 | ||
134 | 7Files Req uired to R un BCMA V. 3.0 | |
135 | ||
136 | ||
137 | 7Routines Installed | |
138 | ||
139 | ||
140 | 7Routine M apping | |
141 | ||
142 | ||
143 | 8Exported Options | |
144 | ||
145 | ||
146 | 8BCMA CHUI Menus | |
147 | ||
148 | ||
149 | 8Manager M enu [PSB M GR] | |
150 | ||
151 | ||
152 | 9Medicatio n Administ ration Men u Pharmacy [PSB PHAR MACY] | |
153 | ||
154 | ||
155 | 9Nursing M edication Administra tion Menu [PSB NURSE ] | |
156 | ||
157 | ||
158 | 12Archivin g and Purg ing | |
159 | ||
160 | ||
161 | 12Archive and Purge Capabiliti es | |
162 | ||
163 | ||
164 | 14Security Features | |
165 | ||
166 | ||
167 | 14Defining Mail Grou ps in BCMA | |
168 | ||
169 | ||
170 | 14Creating Mail Grou ps for BCM A V. 3.0 | |
171 | ||
172 | ||
173 | 14Mail Gro up Types i n BCMA V. 3.0 | |
174 | ||
175 | ||
176 | 15Assignin g Menus to Users | |
177 | ||
178 | ||
179 | 15CHUI Ver sion | |
180 | ||
181 | ||
182 | 15GUI Vers ion | |
183 | ||
184 | ||
185 | 15Allocati ng Securit y Keys to Users | |
186 | ||
187 | ||
188 | 15Establis hing Elect ronic Sign ature Code s | |
189 | ||
190 | ||
191 | 16Developi ng a Conti ngency Pla n | |
192 | ||
193 | ||
194 | 18Internal and Exter nal Relati ons | |
195 | ||
196 | ||
197 | 18Internal Relations | |
198 | ||
199 | ||
200 | 18Options | |
201 | ||
202 | ||
203 | 18Package- Wide Varia bles | |
204 | ||
205 | ||
206 | 18Template s | |
207 | ||
208 | ||
209 | 18External Relations | |
210 | ||
211 | ||
212 | 19Callable Routines, Entry Poi nts, and V ariables | |
213 | ||
214 | ||
215 | 19Database Integrati on Agreeme nts (DBIAs ) | |
216 | ||
217 | ||
218 | 19Remote P rocedure C alls (RPCs ) | |
219 | ||
220 | ||
221 | 20VHIC 4.0 Card Bar Code Scann ing Suppor t | |
222 | ||
223 | ||
224 | 22Glossary | |
225 | ||
226 | ||
227 | 22Learning BCMA V. 3 .0 Lingo | |
228 | ||
229 | ||
230 | 1Appendix A: Process ing of Sch edule Info rmation | |
231 | ||
232 | ||
233 | 1How BCMA Processes Schedule I nformation | |
234 | ||
235 | ||
236 | 1Steps for Processin g Schedule Informati on | |
237 | ||
238 | ||
239 | 4Examples of Odd Sch edules | |
240 | ||
241 | ||
242 | 4Examples of Schedul es That Ar e Not Odd Schedules | |
243 | ||
244 | ||
245 | 1Appendix B: HL7 Mes saging for BCMA | |
246 | ||
247 | ||
248 | 1Sample HL 7 Data Fie lds Broadc ast to BCM A Subscrib ers | |
249 | ||
250 | ||
251 | 4Definitio ns of Data Fields Un der FIELD NAME Colum n | |
252 | ||
253 | ||
254 | 8Sample HL 7 Data Fie lds Passed in Each T rigger Eve nt | |
255 | ||
256 | ||
257 | 1Appendix C: Interfa cing with the Bar Co de Label P rinter | |
258 | ||
259 | ||
260 | 1Introduct ion | |
261 | ||
262 | ||
263 | 1Hardware Setup | |
264 | ||
265 | ||
266 | 1Software Setup | |
267 | ||
268 | ||
269 | 2Printer C ontrol Cod es | |
270 | ||
271 | ||
272 | 2Control C ode Set Up | |
273 | ||
274 | ||
275 | 6Example T erminal Ty pe Files | |
276 | ||
277 | ||
278 | 8Dot Matri x and Lase r Printers | |
279 | ||
280 | ||
281 | 9Printed B ar Code Un it Dose La bel Sample | |
282 | ||
283 | ||
284 | 10JCAHO St andard for Medicatio n Labeling * | |
285 | ||
286 | ||
287 | ||
288 | ||
289 | BCMA V. 3. 0 and This Guide | |
290 | Benefits o f BCMA | |
291 | V. 3.0The Bar Code M edication Administra tion (BCMA ) V. 3.0 s oftware in cludes new routines and files, Phase Rel ease chang es, and ma intenance fixes. Thi s version also inclu des enhanc ements, wh ich are a direct res ult of fee dback from the BCMA Workgroup and our ma ny end use rs. | |
292 | The patch descriptio n for BCMA V. 2.0 in cludes mor e detailed informati on about t he mainten ance fixes and enhan cements fo r Phase Re leases I t hrough IV, which wer e provided in patche s PSB*2*20 , *24, *31 , and *36. | |
293 | BCMA softw are is des igned to i mprove the accuracy of the med ication ad ministrati on process . By autom ating this process, Department of Vetera ns Affairs Medical C enters (VA MCs) can e xpect enha nced patie nt safety and patien t care. | |
294 | The electr onic infor mation tha t BCMA V. 3.0 provid es clinici ans improv es their a bility to administer medicatio ns safely and effect ively to p atients on wards dur ing their medication passes. I t also hel ps to impr ove the da ily commun ication th at occurs between Nu rsing and Pharmacy s taffs. | |
295 | Benefits o f This Gui deThis gui de will he lp you dis cover the many techn ical and s ecurity as pects of B CMA V. 3.0 . It descr ibes imple mentation and mainte nance feat ures; inte rfaces, va riables, a nd relatio nships; an d security managemen t. | |
296 | Our Target Audience | |
297 | We have de veloped th is guide f or members of the Au tomated Da ta Process ing (ADP) group and the Inform ation Reso urces Mana gement (IR M) group w ho are res ponsible f or maintai ning and s upporting this packa ge. | |
298 | We assume that indiv iduals wit hin these groups hav e the foll owing expe rience or skills. | |
299 | Experience d with oth er Veteran s Health I nformation Systems a nd Technol ogy Archit ecture (Vi stA) softw are | |
300 | Have worke d with or will work with an Ap plications Package C oordinator (ADPAC) o r Clinical Applicati ons Coordi nator (CAC ) familiar with the medication administr ation proc ess in a V AMC | |
301 | BCMA V. 3. 0 and This Guide | |
302 | Other Sour ces of Inf ormationRe fer to the Web sites listed be low when y ou want to receive m ore backgr ound and t echnical i nformation about BCM A V. 3.0, and to dow nload this manual an d related documentat ion. | |
303 | Background /Technical Informati on | |
304 | From your Intranet, enter http :// DNS . DNS /bcma in t he Address field to access the BCMA Main Web page. | |
305 | This Manua l and Rela ted Docume ntation | |
306 | From your Intranet, enter http ://www. DNS /vdl in th e Address field to a ccess this manual, a nd those l isted belo w, from th e VistA Do cumentatio n Library (VDL). | |
307 | Installati on Guide | |
308 | GUI User M anual | |
309 | Nursing CH UI User Ma nual | |
310 | Pharmacy C HUI User M anual | |
311 | Manager’s User Manua l | |
312 | Convention s Used in This Guide Before ins talling BC MA V. 3.0, review th is section to learn the many c onventions used thro ughout thi s guide. | |
313 | Keyboard R esponses: Keys provi ded in bol dface, wit hin the co py, help y ou quickly identify what to pr ess on you r keyboard to perfor m an actio n. For exa mple, when you see e nter in th e copy, pr ess this k ey on your keyboard. | |
314 | Mouse Resp onses: But tons provi ded in bol dface, wit hin the st eps, indic ate what y ou should click on y our comput er screen using the mouse. For example, when you s ee next, y es/no, or ok in the steps, cli ck the app ropriate b utton on y our screen . | |
315 | Screen Cap tures: Pro vide “shad ed” exampl es of what you will see on you r computer screen, a nd possibl e user res ponses. | |
316 | Notes: Pro vided with in the ste ps, descri be excepti ons or spe cial cases about the informati on present ed. They r eflect the experienc e of our S taff, Deve lopers, an d Testers. | |
317 | Tips: Loca ted in the left marg in, these helpful hi nts are de signed to help you w ork more e fficiently with BCMA V. 3.0. | |
318 | Menu Optio ns: Provid ed in ital ics. For e xample, Yo u may esta blish Elec tronic Sig natures Co des using the Kernel Electroni c Signatur e code Edi t [XUSESIG ] option. | |
319 | BCMA V. 3. 0 and This Guide | |
320 | Obtaining On-line He lpOn-line help is de signed rig ht into th e Graphica l User Int erface (GU I) and Cha racter-bas ed User In terface (C HUI) versi ons of BCM A V. 3.0, making it quick and easy for y ou to get answers to your ques tions. Her e’s how to access he lp in both versions of BCMA V. 3.0: | |
321 | GUI BCMA: Provides c ontext-sen sitive, on -line help and the H elp menu. | |
322 | Context-Se nsitive He lp: Place your “focu s” on a fe ature, but ton, or Ta b on the B CMA Virtua l Due List (VDL) usi ng the tab key, and then press f1 to rec eive help specific t o that are a of the V DL. In the case of a command, first high light it i n the Menu Bar or Ri ght Click drop-down menu, and then | |
323 | press f1. | |
324 | Help Menu: Open the Help menu, and then choose the Contents and Index command to receive h elp for ev ery featur e in GUI B CMA V. 3.0 . | |
325 | CHUI BCMA: Lets you enter up t o two ques tion marks at any pr ompt to re ceive on-l ine help. | |
326 | One Questi on Mark: P rovides a brief stat ement rela ted to the prompt. | |
327 | Two Questi on Marks: Displays m ore detail ed informa tion about the promp t, plus an y hidden a ctions. | |
328 | Locating D etailed Li stingsYou can obtain and print listings about BCMA V. 3.0 ro utines, an d Data Dic tionaries using the informatio n provided below. | |
329 | Routines | |
330 | Use the Ke rnel routi ne XINDEX to produce detailed listings o f routines . Use the Kernel Fir st Line Ro utine Prin t [XU FIRS T LINE PRI NT] option to print a list con taining th e first li ne of ever y PSB rout ine. | |
331 | Data Dicti onaries | |
332 | You can us e the VA F ileMan Lis t File Att ributes [D ILIST] opt ion, under the Data Dictionary Utilities [DI DDU] option, to print the Dictionar ies. | |
333 | Implementa tion and M aintenance | |
334 | Minimum Re quired Pac kages | |
335 | Before ins talling BC MA V. 3.0, make sure that your system in cludes the following Departmen t of Veter ans Affair s (VA) sof tware pack ages and v ersions (t hose liste d or highe r). | |
336 | Example: M inimum Req uired Pack ages and V ersions | |
337 | PackageMin imum Versi on NeededI npatient M edications 5.0Kernel8 .0MailMan8 .0Nursing4 .0Order En try/Result s Reportin g3.0Pharma cy Data Ma nagement1. 0RPC Broke r (32-bit) 1.1Toolkit 7.3VA File Man22.0Vit als/Measur ements5.0I nstallatio n Time Est imates | |
338 | On average , it takes approxima tely two m inutes to install BC MA | |
339 | V. 3.0. Th is estimat e was prov ided by a few of our BCMA V. 3 .0 Beta Te st sites. Actual tim es may var y, dependi ng on how your site is using i ts system resources. | |
340 | Suggested time to in stall: non -peak requ irement ho urs. Durin g the inst all proces s, PC Clie nt users s hould not be accessi ng the Cli ent Softwa re. | |
341 | Implementa tion and M aintenance | |
342 | ||
343 | Resource R equirement sThis sect ion summar izes the ( approximat e) number of resourc es require d to insta ll BCMA V. 3.0. | |
344 | Routines | |
345 | ||
346 | 93 | |
347 | Globals | |
348 | ||
349 | 1 (^PSB) | |
350 | Files | |
351 | ||
352 | 6 (53.66-5 3.79) | |
353 | ^PSB Size | |
354 | ||
355 | Unit Dose = 300 x # of Medicat ions | |
356 | (in bytes) | |
357 | ||
358 | Administer ed | |
359 | ||
360 | ||
361 | IV = 2100 x # of IV Bags | |
362 | ||
363 | ||
364 | Administer ed | |
365 | FTEE Suppo rt | |
366 | ||
367 | .2 | |
368 | FTEE Maint enance | |
369 | ||
370 | .2 | |
371 | Response T ime Monito r | |
372 | BCMA V. 3. 0 does not include R esponse Ti me Monitor hooks. | |
373 | Laptops an d Bar Code Scanners | |
374 | The approx imate requ irements f or laptops and bar c ode scanne rs depend on the num ber of Inp atient are as at your site that use BCMA | |
375 | V. 3.0 for administe ring activ e medicati on orders. The BCMA Developmen t Team rec ommends th at your si te have a minimum of three lap tops and t hree scann ers for ea ch ward. | |
376 | Printers | |
377 | Your site should pro vide print ers for cr eating pat ient wrist bands and medication bar code labels, an d for hand ling Missi ng Dose Re quests sen t from BCM A V. 3.0 t o the Phar macy. | |
378 | Unit Dose Label Prin ter Device s | |
379 | BCMA V. 3. 0 includes the Label Print [PS BO BL] opt ion for pr inting ind ividual or batch Uni t Dose bar code labe ls. This o ption allo ws sites t he flexibi lity to us e any prin ter that h as bar cod e printing capabilit ies to pro duce BCMA bar code l abels. Rou tine PSBOB L uses sit e-specific printers or termina ls to prod uce labels . See Appe ndix C: “I nterfacing with the Bar Code L abel Print er” for de tailed set up informa tion. | |
380 | IV Label P rinter Dev ices | |
381 | Inpatient Medication s V. 5.0 p rovides a menu optio n for prin ting indiv idual or b atch IV ba r code lab els. See t he section “Interfac ing with t he Bar Cod e Label Pr inter” in the Inpati ent Medica tions V. 5 .0 Technic al Manual/ Security G uide for d etailed se tup inform ation.Impl ementation and Maint enance | |
382 | Files Requ ired to Ru n BCMA V. 3.0BCMA V. 3.0 uses the follow ing files installed on the Vis tA Server. “Journali ng” is rec ommended. | |
383 | ^PSB (53.6 6, | |
384 | BCMA IV Pa rameters | |
385 | ^PSB (53.6 8, | |
386 | BCMA Missi ng Dose Re quest | |
387 | ^PSB (53.6 9, | |
388 | BCMA Repor t Request | |
389 | ^PSB (53.7 7, | |
390 | BCMA Unabl e to Scan Log | |
391 | ^PSB (53.7 8, | |
392 | BCMA Medic ation Vari ance Log | |
393 | ^PSB (53.7 9, | |
394 | BCMA Medic ation Log | |
395 | Note: You can learn more about these fil es by gene rating a l ist with f ile attrib utes using VA FileMa n.Routines Installed Review the listing b elow to le arn the ro utines ins talled on your site’ s VistA Se rver durin g the inst allation o f BCMA V. 3.0. The f irst line of each ro utine brie fly descri bes its ge neral func tion. | |
396 | Note: You can use th e Kernel F irst Line Routine Pr int [XU FI RST LINE P RINT] opti on to prin t a list c ontaining the first line of ea ch PSB rou tine. | |
397 | Routine Ma pping | |
398 | At this ti me, we do not offer any recomm endations for routin e mapping. However, if you cho ose to map the BCMA V. 3.0 pac kage routi nes, you w ill need t o bring yo ur system down, and then resta rt it to l oad the ne w routines into memo ry. Examp le: BCMA V . 3.0 Rout ines Insta lled onto VistA Serv er | |
399 | PSB3P103PS BALLPSBAPI PMPSBCHIVH PSBCHKIVPS BCSUTLPSBC SUTXPSBCSU TYPSBINJEC PSBMDPSBML PSBML1PSBM L2PSBML3PS BMLENPSBML EN1PSBMLHS PSBMLLKUPS BMLTSPSBML UPSBMLVALP SBMMRBPSBO PSBO1PSBOA LPSBOBLPSB OBLUPSBOBZ PSBOCEPSBO CE1PSBOCIP SBOCI1PSBO CMPSBOCM1P SBOCPPSBOC P1PSBODLPS BODL1PSBOD OPSBOHDRPS BOHDR1PSBO IVPSBOIV1P SBOMDPSBOM HPSBOMH1PS BOMH2PSBOM H3PSBOMLPS BOMMPSBOMM 2PSBOMTPSB OMT1PSBOMV PSBOPEPSBO PFPSBOPIPS BOPMPSBOPM 1PSBORTPSB OSFPSBOSTP SBOVTPSBOW APSBOXAPSB PARPSBPARI VPSBPOIVPS BPRNPSBPRN DPSBPXFLPS BPXLPPSBRP CPSBRPC1PS BRPC2PSBRP C3PSBRPCMO PSBRPCXMPS BSAGGPSBSV HL7PSBUTLP SBVARPSBVD LIVPSBVDLP APSBVDLPBP SBVDLRMPSB VDLTBPSBVD LU1PSBVDLU 2PSBVDLU3P SBVDLUDPSB VDLVLPSBVI TFLPSBVPRP SBVTPSBVT1 PSBXMRGExp orted Opti ons | |
400 | BCMA CHUI MenusBCMA V. 3.0 exp orts three main menu s. They in clude thos e listed b elow, in t he Charact er-based U ser Interf ace (CHUI) version o f BCMA V. 3.0. The o ptions for each menu are liste d in this section. | |
401 | Manager Me nu: [PSB M GR] is ass igned to m anagers | |
402 | Pharmacist Menu: [PS B PHARMACY ] is assig ned to all inpatient Pharmacis ts | |
403 | Nurse Menu : [PSB NUR SE] is ass igned to a ll clinica ns and oth er personn el who adm inister ac tive medic ation orde rs | |
404 | Manager Me nu [PSB MG R] | |
405 | This menu includes t he followi ng options : | |
406 | Documentin g Backlog PRNs | |
407 | Drug File Inquiry | |
408 | Immunizati ons Docume ntation by BCMA Nigh tly Task | |
409 | Medication Administr ation Menu Nursing | |
410 | Medication Administr ation Log Report | |
411 | Missed Med ications R eport (INP ATIENT ONL Y) | |
412 | Ward Admin istration Times Repo rt (INPATI ENT ONLY) | |
413 | Due List R eport (INP ATIENT ONL Y) | |
414 | PRN Effect iveness Li st Report | |
415 | Enter PRN Effectiven ess | |
416 | Manual Med ication En try | |
417 | Medication Administr ation Hist ory (MAH) Report | |
418 | Medication Variance Log | |
419 | Drug File Inquiry | |
420 | Medication Administr ation Menu Pharmacy | |
421 | Medication Administr ation Log Report | |
422 | Missed Med ications R eport (INP ATIENT ONL Y) | |
423 | Due List R eport (INP ATIENT ONL Y) | |
424 | Medication Administr ation Hist ory (MAH) Report | |
425 | Missing Do se Followu p | |
426 | Missing Do se Report | |
427 | Label Prin t | |
428 | Drug File Inquiry | |
429 | Barcode La bel Print | |
430 | BCMA Drug IEN Synony m Check | |
431 | Report for Respirato ry Therapy Medicatio ns | |
432 | Missing Do se Followu p | |
433 | Reset User Parameter s | |
434 | Trouble Sh oot Med Lo g | |
435 | Unknown Ac tion Statu s Report | |
436 | Exported O ptions | |
437 | BCMA CHUI Menus (con t.)Medicat ion Admini stration M enu Pharma cy | |
438 | ||
439 | [PSB PHARM ACY] | |
440 | This menu includes t he followi ng options : | |
441 | Medication Administr ation Log Report | |
442 | Missed Med ications R eport (INP ATIENT ONL Y) | |
443 | Due List R eport (INP ATIENT ONL Y) | |
444 | Medication Administr ation Hist ory (MAH) Report | |
445 | Missing Do se Followu p | |
446 | Missing Do se Report | |
447 | Label Prin t | |
448 | Drug File Inquiry | |
449 | Barcode La bel Print | |
450 | BCMA Drug IEN Synony m Check | |
451 | Report for Respirato ry Therapy Medicatio ns | |
452 | Nursing Me dication A dministrat ion Menu | |
453 | [PSB NURSE ] | |
454 | This menu includes t he followi ng options : | |
455 | Medication Administr ation Log Report | |
456 | Missed Med ications R eport (INP ATIENT ONL Y) | |
457 | Ward Admin istration Times Repo rt (INPATI ENT ONLY) | |
458 | Due List R eport (INP ATIENT ONL Y) | |
459 | PRN Effect iveness Li st Report | |
460 | Enter PRN Effectiven ess | |
461 | Manual Med ication En try | |
462 | Medication Administr ation Hist ory (MAH) Report | |
463 | Medication Variance Log | |
464 | Drug File Inquiry | |
465 | Note: The Missed Med ications, Ward Admin istration Times, and Due List BCMA CHUI reports wi ll only in clude Inpa tient orde rs in the report. T he menus c ontaining these opti ons will b e updated to include “(INPATIE NT ONLY)” in the rep ort label/ descriptio n. To run these rep orts for C linic orde rs and upd ated repor t selectio n options, the repor ts must be generated in the BC MA GUI. | |
466 | Note: The following reports ha ve been ad ded to BCM A and are available via GUI on ly, but ha ve not bee n added to the CHUI menus. | |
467 | Cover Shee t Reports | |
468 | Medication Overview | |
469 | PRN Overvi ew | |
470 | IV Overvie wExported Options | |
471 | BCMA CHUI Menus (con t.)Expired /DC’d/Expi ring Order s | |
472 | IV Bag Sta tus Report | |
473 | Medication Therapy R eport | |
474 | Unable to Scan Detai led Report | |
475 | Unable to Scan Summa ry Report | |
476 | Archiving and Purgin g | |
477 | Archive an d Purge Ca pabilities BCMA V. 3. 0 stores d etailed in formation about each inpatient at your V AMC, inclu ding medic ations adm inistered to them an d the PRN Effectiven ess (when applicable ). | |
478 | Average Un it Dose Ad ministrati on: Requir es about 3 00 bytes o f disk spa ce | |
479 | Average IV Administr ation: Req uires abou t 2100 byt es | |
480 | of disk sp ace | |
481 | Note: Alth ough archi ve and pur ge capabil ities are not curren tly availa ble in BCM A V. 3.0, when they are, they will be co nsistent w ith the Co mputerized Patient R ecord Syst em (CPRS) package. B CMA | |
482 | V. 3.0 wil l offer th is feature once it i s made ava ilable in CPRS. | |
483 | Security F eatures | |
484 | Defining M ail Groups in BCMAIn BCMA V. 3 .0, you ca n define t wo “Mail G roups” for notifying Pharmacy, IRM, and other inte rnal staff about err ors and Mi ssing Dose Requests. This sect ion descri bes how yo u can crea te mail gr oups, and the purpos e of each group. | |
485 | Creating M ail Groups for BCMA V. 3.0 | |
486 | Creating m ail groups for BCMA V. 3.0 inv olves usin g the Vist A Mail Gro up Enter/E dit [XMUSE R] option to set the TYPE fiel d to PUBLI C. Once th is task is accomplis hed, you c an then us e the Para meters Tab of the GU I BCMA Sit e Paramete rs applica tion to de fine the m ail groups that you created. | |
487 | Mail Group Types in BCMA V. 3. 0 | |
488 | This secti on describ es the mai l groups t hat you ca n define u sing the P arameters Tab of the GUI BCMA Site Param eters appl ication. | |
489 | Due List E rror: Gene rates an E -mail mess age for an y medicati on order t hat BCMA V . 3.0 cann ot resolve for the B CMA VDL pl acement, a nd sends i t to the m ail group members. A n example might incl ude no adm inistratio n times en tered for a Continuo us order. | |
490 | Missing Do se Notific ation: Gen erates an E-mail mes sage for a ny Missing Dose Requ est entere d using th e BCMA | |
491 | V. 3.0 GUI menu opti on. The E- mail is se nt to all members of the mail group, spe cifically Pharmacy, as a “fail safe” eve n if the d esignated Missing Do se printer is not fu nctioning. | |
492 | Unknown Ac tions: Thi s field ge nerates an E-mail me ssage for any admini stration w ith an “Un known” sta tus while processing administr ations to display on the VDL. | |
493 | Unable to Scan: Gene rates an E -mail mess age to ale rt the mai l group wh en a user creates a scanning f ailure ent ry, and to assist in researchi ng the rea sons for a scanning failure. | |
494 | Security F eatures | |
495 | Assigning Menus | |
496 | to UsersUs e this sec tion to as sign menus to BCMA V . 3.0 CHUI and GUI u sers, if t hey have n ot already been assi gned. | |
497 | CHUI Versi on | |
498 | Refer to t his sectio n for BCMA V. 3.0 CH UI menu as signments. | |
499 | PSB MGR: a ssign to a manager | |
500 | PSB PHARMA CY: assign to all In patient Ph armacists | |
501 | PSB NURSE: assign to all clini cians and other pers onnel who administer active me dication o rders | |
502 | GUI Versio n | |
503 | Refer to t his sectio n for BCMA V. 3.0 GU I menu ass ignments. | |
504 | PSB GUI CO NTEXT – US ER: assign to all cl inicians a nd other p ersonnel w ho adminis ter active medicatio n orders | |
505 | Allocating Security Keys to Us ersRefer t o this sec tion to al locate the following security keys to ap propriate site perso nnel. | |
506 | PSB MANAGE R: designa tes the ho lder as a manager | |
507 | PSB INSTRU CTOR: desi gnates the holder as a nursing instructo r supervis ing studen t nurses | |
508 | PSB STUDEN T: designa tes the ho lder as a student nu rse, requi ring that an instruc tor also s ign on to BCMA V. 3. 0 at the s ame time | |
509 | PSB CPRS M ED BUTTON: designate s the hold er as a nu rse who ca n document administe red verbal - and phon e-type STA T and NOW (One-Time) orders us ing the CP RS Med Ord er Button on the BCM A VDL | |
510 | PSB READ O NLY: desig nates the holder as a user tha t only has Read-Only access to BCMA. Not e that use rs with Re ad-Only ac cess will also be re quired to have the P SB GUI CON TEXT – USE R secondar y menu opt ion. | |
511 | PSB UNABLE TO SCAN: designates the holde r as a use r that can run the U nable to S can (Detai led and Su mmary) rep orts. | |
512 | PSB NO WIT NESS: desi gnates the holder as a BCMA us er not aut horized to witness h igh risk/h igh alert administra tions, suc h as Unlic ensed Assi stive Pers onnel and Respirator y Therapis ts.Establi shing Elec tronic Sig nature Cod esYou may establish Electronic Signature s Codes us ing the Ke rnel Elect ronic Sign ature code Edit [XUS ESIG] opti on. | |
513 | Note: For easier acc ess by all users, th is option is tied to the Commo n Options, under the User’s To olbox [XUS ERTOOLS] s ubmenu.Sec urity Feat ures | |
514 | Developing a Conting ency PlanI n March 20 06, patch PSB*3*8, t he BCMA Ba ckup Syste m (BCBU), was reissu ed with si gnificant enhancemen ts to the field as a Class I s olution fo r the BCMA Contingen cy Plan. T his patch provides r eal-time b ackup of a ll inpatie nt medicat ion activi ties on a designated workstati on. Review the patch descripti on to lear n more abo ut the ben efits of t his patch. | |
515 | Internal a nd Externa l Relation s | |
516 | Internal R elationsTh is section describes options, package-wi de variabl es, and te mplates wi thin BCMA V. 3.0. | |
517 | Options | |
518 | You can in voke ALL o ptions in BCMA V. 3. 0 independ ently. | |
519 | Package-Wi de Variabl es | |
520 | BCMA V. 3. 0 does not include p ackage-wid e variable s. | |
521 | Templates | |
522 | BCMA V. 3. 0 does not include a ny templat es for Sor t, Input, or Print.E xternal Re lationsBCM A V. 3.0 c an only be run in an environme nt that al ready has several ex isting fea tures, suc h as a sta ndard MUMP S operatin g system. | |
523 | It also re quires the following Departmen t of Veter ans Affair s (VA) sof tware pack ages (vers ions liste d or highe r) — and a ll current patches. Otherwise, BCMA V. 3 .0 will no t be fully functiona l for your users. | |
524 | Inpatient Medication s | |
525 | ||
526 | 5.0 | |
527 | Kernel | |
528 | ||
529 | ||
530 | 8.0 | |
531 | MailMan | |
532 | ||
533 | ||
534 | 8.0 | |
535 | Nursing | |
536 | ||
537 | ||
538 | 4.0 | |
539 | Order Entr y/Results | |
540 | ||
541 | ||
542 | 3.0 | |
543 | Reporting | |
544 | Patient Ca re Encount er | |
545 | 1.0 | |
546 | Pharmacy D ata | |
547 | ||
548 | ||
549 | 1.0 | |
550 | Management | |
551 | RPC Broker (32-bit) | |
552 | ||
553 | ||
554 | 1.1 | |
555 | Toolkit | |
556 | ||
557 | ||
558 | 7.3 | |
559 | VA FileMan | |
560 | ||
561 | ||
562 | 22.0 | |
563 | Vitals/Mea surements | |
564 | ||
565 | 5.0 | |
566 | Internal a nd Externa l Relation s | |
567 | External R elations | |
568 | (cont.)Cal lable Rout ines, Entr y Points, and Variab les | |
569 | BCMA V. 3. 0 includes two calla ble routin es: PSBAPI PM and PSB MLHS. Each routine i s describe d in this section, a long with the entry points and variables informati on for eac h. | |
570 | PSBAPIPM: Provides i nformation to Inpati ent Medica tions | |
571 | V. 5.0 for determini ng the sta rt date fo r a renewe d order. | |
572 | PSBMLHS: P rovides ot her softwa re package s with the ability t o call the BCMA Medi cation His tory Repor t. The rep ort lists medication s, that a patient ha s received , by order able item. | |
573 | Database I ntegration Agreement s (DBIAs) | |
574 | BCMA subsc ribes to D atabase In tegration Agreements (DBIAs) w ith the In patient Me dications, CPRS, Nur sing, and Registrati on package s. BCMA V. 3.0 also offers DBI As for oth er package s to subsc ribe to as well. | |
575 | For detail ed informa tion about these DBI As, log in to FORUM and select the Integ ration Agr eements Me nu [DBA IA ISC] opti on located under the DBA [DBA] option (D ata Base A dministrat or). Once in the Int egration A greements Menu Optio n, select “Inquire” and type B CMA at the “Select I NTEGRATION REFERENCE S:” prompt . | |
576 | Remote Pro cedure Cal ls (RPCs) | |
577 | Following is a list of Remote Procedure Calls asso ciated wit h BCMA. | |
578 | 1 PSB AL LERGY | |
579 | 2 PSB BA G DETAIL | |
580 | 3 PSB CH ECK IV | |
581 | 4 PSB CH ECK SERVER | |
582 | 5 PSB CO VERSHEET1 | |
583 | 6 PSB CP RS ORDER | |
584 | 7 PSB DE VICE | |
585 | 8 PSB FM DATE | |
586 | 9 PSB GE TINJECTION SITE | |
587 | 10 PSB G ETIVPAR | |
588 | 11 PSB GE TORDERTAB | |
589 | 12 PSB GE TPRNS | |
590 | 13 PSB GE TPROVIDER | |
591 | 14 PSB GE TSETWP | |
592 | 15 PSB IN STRUCTOR | |
593 | 16 PSB IV ORDER HIS TORY | |
594 | 17 PSB LO CK | |
595 | 18 PSB MA IL | |
596 | 19 PSB MA N SCAN FAI LURE | |
597 | 20 PSB MA XDAYS | |
598 | 21 PSB ME D LOG LOOK UP | |
599 | 22 PSB ME DICATION H ISTORY | |
600 | 23 PSB MO B DRUG LIS T | |
601 | 24 PSB NU RS WARDLIS T | |
602 | 25 PSB PA RAMETER | |
603 | 26 PSB PU TIVPAR | |
604 | 27 PSB RE PORT | |
605 | 28 PSB SC ANMED | |
606 | 29 PSB SC ANPT | |
607 | 30 PSB SE RVER CLOCK VARIANCE | |
608 | 31 PSB SU BMIT MISSI NG DOSE | |
609 | 32 PSB TR ANSACTION | |
610 | 33 PSB US ERLOAD | |
611 | 34 PSB US ERSAVE | |
612 | 35 PSB UT L XSTATUS SRCH | |
613 | 36 PSB VA LIDATE ESI G | |
614 | 37 PSB VA LIDATE ORD ER | |
615 | 38 PSB VE RSION CHEC K | |
616 | 39 PSB VI TAL MEAS F ILE | |
617 | 40 PSB VI TALS | |
618 | 41 PSB WAR DLIST | |
619 | Internal a nd Externa l Relation s | |
620 | External R elations ( cont.)VHIC 4.0 Card Bar Code S canning Su pport | |
621 | To incorpo rate looku p of patie nts by sca nning the bar code o n the new VIC 4.0 ca rd or a Do D CAC card , a new su pported AP I (RPCVIC^ DPTLK) fro m dependen t patch DG *5.3*857 h as been in corporated into PSB SCANPT, wh ich return s a patien t DFN for lookup in BCMA. | |
622 | Glossary | |
623 | Learning B CMA | |
624 | V. 3.0 Lin goThe alph abetical l isting, in this sect ion, is de signed to familiariz e you with the many acronyms a nd terms u sed throug hout this guide.Exam ple: Alpha betical Li sting of B CMA V. 3.0 Acronyms and Terms | |
625 | Acronym/Te rmDefiniti on | |
626 | ArchiveTo transfer f iles from a computer onto long -term stor age.BCMA C linical Re mindersA m arquee loc ated in th e lower, r ight-hand corner of the VDL th at identif ies PRN me dication o rders need ing effect iveness do cumentatio n. The set ting is ba sed on the “PRN Docu mentation” site para meter, and applies t o current admissions or the si te paramet er timefra me (whiche ver is gre ater). A m ouse-over list displ ays when t he pointer is placed over the PRN Effect iveness Ac tivity, or a full li st is avai lable by d ouble clic king on th e Activity .CHUIChara cter-based User Inte rface.Clie ntAn archi tecture in which one computer can get in formation from anoth er. The Cl ient is th e computer that asks for acces s to data, software, or servic es.CPRSCom puterized Patient Re cord Syste m. A VistA software applicatio n that all ows users to enter p atient ord ers into d ifferent p ackages fr om a singl e applicat ion. All p ending ord ers that a ppear in t he Unit Do se and IV packages a re initial ly entered through t he CPRS pa ckage. Cli nicians, M anagers, Q uality Ass urance Sta ff, and Re searchers use this i ntegrated record sys tem.Data D ictionaryA lso called “DD,” the dictionar y that con tains file attribute s.DBIAData base Integ ration Agr eement. A formal und erstanding between t wo or more applicati on package s which de scribes ho w data is shared or how packag es interac t. This Ag reement ma intains in formation between pa ckage Deve lopers, al lowing the use of in ternal ent ry points or other p ackage-spe cific feat ures.FileM anThe Vist A database managemen t system.G UIGraphica l User Int erface. Th e type of interface chosen for BCMA V. 3 .0.IVA med ication gi ven intrav enously (w ithin a ve in) to a p atient fro m an IV ba g. IV type s include Admixture, Chemother apy, Hyper al, Piggyb ack, and S yringe.Jou rnalingA r ecord of c hanges mad e in files and messa ges transm itted. It is quite u seful when recoverin g previous versions of a file before upd ates were made, or t o reconstr uct update s if an up dated file gets dama ged.LIMITE D ACCESS B CMAA mode in which B CMA can be accessed that provi des medica tion admin istering u sers the a bility to access pat ient recor ds for non -medicatio n administ ration doc umentation , review a nd reporti ng purpose s without being at t he patient ’s bedside .Glossary | |
627 | Learning B CMA | |
628 | V. 3.0 Lin go (cont.) The alphab etical lis ting, in t his sectio n, is desi gned to fa miliarize you with t he many ac ronyms and terms use d througho ut this gu ide.Exampl e: Alphabe tical List ing of BCM A V. 3.0 A cronyms an d Terms | |
629 | Acronym/Te rmDefiniti on | |
630 | MAHMedicat ion Admini stration H istory. A patient re port that lists a cl inician’s name and i nitials, a nd the exa ct time th at an acti on was tak en on an o rder (in a conventio nal MAR fo rmat). Eac h order is listed al phabetical ly by the orderable item. The date colum n lists th ree asteri sks (***) if a medic ation was Discontinu ed.MARMedi cation Adm inistratio n Record. The tradit ional, han dwritten r ecord used for notin g when a p atient rec eived a me dication. BCMA V. 3. 0 replaces this reco rd with an MAH.NOW O rderA medi cation ord er given A SAP to a p atient, en tered as a One-Time order by P roviders a nd Pharmac ists. This order typ e displays for a fix ed length of time on the VDL, as defined by the or der Start and Stop D ate/Time.P atient Tra nsfer Noti ficationA message th at display s when a p atient’s r ecord is o pened or t he Unit Do se or IVP/ IVPB Medic ation Tab is viewed for the fi rst time. This messa ge indicat es that th e patient has had a movement t ype (usual ly a trans fer) withi n the site -definable parameter , and the last actio n for the medication occurred before the movement, but still within th e defined timeframe. PRN OrderT he Latin a bbreviatio n for Pro Re Nata. A medicatio n dosage g iven to a patient on an “as ne eded” basi s.PSB CPRS MED BUTTO NThe name of the sec urity “key ” that mus t be assig ned to nur ses who do cument ver bal- and p hone-type STAT and N OW (One-Ti me) medica tion order s using th e CPRS Med Order But ton on the BCMA VDL. PSB INSTRU CTORThe na me of the security “ key” that must be as signed to nursing in structors, supervisi ng nursing students, so they c an access user optio ns within BCMA V. 3. 0. PSB MAN AGERThe na me of the security “ key” that must be as signed to managers s o they can access th e PSB Mana ger option s within B CMA V. 3.0 .PSB READ ONLYThe na me of the security “ key” that must be as signed to users that can only access BCM A in Read- Only mode. Users who are assig ned the PS B READ ONL Y security key will never be a ble to adm inister me dications or perform any actio ns against a patient ’s medical record. T he PSB REA D ONLY sec urity key overrides all other BCMA secur ity keys.G lossary | |
631 | Learning B CMA | |
632 | V. 3.0 Lin go (cont.) The alphab etical lis ting, in t his sectio n, is desi gned to fa miliarize you with t he many ac ronyms and terms use d througho ut this gu ide.Exampl e: Alphabe tical List ing of BCM A V. 3.0 A cronyms an d Terms | |
633 | Acronym/Te rmDefiniti on | |
634 | PSB STUDEN TThe name of the sec urity “key ” that mus t be assig ned to nur sing stude nts, super vised by n ursing ins tructors, so they ca n access u ser option s within B CMA V. 3.0 . This key also requ ires that a nursing instructor sign on t o BCMA.PSB UNABLE TO SCANThe n ame of the security “key” that must be a ssigned to allow the user to r un the Una ble to Sca n (Detaile d and Summ ary) repor ts.PurgeTo delete a set of dat a, and all reference s to the d ata.Read-O nly BCMAA mode in wh ich BCMA c an be acce ssed that provides n on-medicat ion admini stering us ers the ab ility to v iew a pati ent’s VDL and print reports, w ithout per forming an y actions against a patient’s medical re cord.RPC R emote Proc edure Call . A proced ure stored on the Vi stA Server , which is executed to return data to th e Client. RPC Broker A Client/S erver Syst em within the VA’s V eterans He alth Infor mation Sys tems and T echnology Architectu re (VistA) environme nt. It ena bles clien t applicat ions to co mmunicate and exchan ge data wi th M Serve rs.Securit y KeysUsed to access specific options wi thin BCMA V. 3.0 tha t are othe rwise “loc ked” witho ut the sec urity key. Only user s designat ed as “Hol ders” may access the se options .ServerAn architectu re in whic h one comp uter can g et informa tion from another. T he Server, which can be anythi ng from a personal c omputer to a mainfra me, suppli es the req uested dat a or servi ces to the Client.ST AT OrderA medication order giv en immedia tely to a patient, e ntered as a One-Time order by Providers and Pharma cists. Thi s order ty pe display s for a fi xed length of time o n the VDL, as define d by the o rder Start and Stop Date/Time. VDLVirtual Due List. An on-lin e “list” u sed by cli nicians wh en adminis tering act ive medica tion order s (i.e., U nit Dose, IV Push, I V Piggybac k, and lar ge-volume IVs) to a patient. T his is the Main Scre en in BCMA V. 3.0. | |
635 | Note: This is called BCMA VDL in this gu ide to eli minate con fusion wit h the Vist A Document ation Libr ary (VDL) also menti oned in th is guide.V istAVetera ns Health Informatio n Systems and Techno logy Archi tecture.Wa rd StockUn it Dose an d IV medic ations tha t are “sto cked” on a n ongoing basis on w ards and p atient car e areas. T hey are pa ckaged in a ready-to -use form or compoun ded by the medicatio n administ rator.ZPLZ ebra Progr amming Lan guage.Appe ndix A: Pr ocessing o f Schedule Informati on | |
636 | How BCMA P rocesses S chedule In formationT his sectio n describe s how BCMA V. 3.0 pr ocesses Sc hedule inf ormation f rom Inpati ent Medica tions V. 5 .0, and ho w it deter mines when to displa y a Contin uous medic ation orde r on the V DL. Keep i n mind tha t BCMA dis plays medi cation ord ers on the VDL betwe en the ord er Start a nd Stop Da te and Tim e. | |
637 | The inform ation prov ided below defines t erm used i n this sec tion: | |
638 | Admin Time : The ADMI N TIMES fi eld (#41) of the UNI T DOSE mul tiple (#62 ) of the P HARMACY PA TIENT file (#55), an d the ADMI NISTRATION TIMES fie ld (#.12) of the IV multiple ( #100) of t he PHARMAC Y PATIENT file (#55) . | |
639 | Frequency: The FREQU ENCY field (#42) of the UNIT D OSE multip le (#62) o f the PHAR MACY PATIE NT file (# 55), and t he SCHEDUL E INTERVAL field (#. 17) of the IV multip le (#100) of the PHA RMACY PATI ENT file ( #55). | |
640 | Schedule: The SCHEDU LE field ( #26) of th e UNIT DOS E multiple (#62) of the PHARMA CY PATIENT file (#55 ), and the SCHEDULE field (#.0 9) of the IV multipl e (#100) o f the PHAR MACY PATIE NT file (# 55). | |
641 | Schedule T ype: The S CHEDULE TY PE field ( #7) of the UNIT DOSE multiple (#62) of t he PHARMAC Y PATIENT file (#55) . For IV o rders, it refers to the pseudo -type dete rmined by Inpatient Medication s that is sent to BC MA. | |
642 | Steps for Processing Schedule Informatio nThis sect ion descri bes the st eps for pr ocessing s chedule in formation from Inpat ient Medic ations to BCMA. | |
643 | BCMA check s the Inpa tient Medi cations or der for a Schedule T ype of “Co ntinuous.” | |
644 | If a Sched ule Type o ther than “Continuou s” is list ed, BCMA q uits proce ssing the order, and proceeds to the cor rect proce ssing meth od for tha t order’s Schedule T ype. | |
645 | Appendix A : Processi ng of Sche dule Infor mation | |
646 | Steps for Processing Schedule Informatio n (cont.)B CMA verifi es informa tion provi ded in the Schedule of the Inp atient Med ications o rder. | |
647 | If the Sch edule is b lank, BCMA quits pro cessing th e order an d sends a Due List E rror Notif ication me ssage. (No te: A blan k indicate s that no Schedule w as specifi ed.) | |
648 | If the Sch edule list s a Day of the Week (i.e., MO- WE@1200), BCMA check s the Admi n Time(s) for the co rrect two- or four-d igit forma t (i.e., 1 2-14, 1200 , 1400). | |
649 | If an Admi n Time is listed, BC MA display s the orde r on the V DL, on spe cified day s, using t he Admin T ime. | |
650 | If no Admi n Time is listed, BC MA quits p rocessing the order and sends a Due List Error Not ification message. | |
651 | If the Sch edule list s an Admin Time (i.e ., 12-14, 1200, 1400 ), BCMA ch ecks the A dmin Time in the Inp atient Med ications o rder. | |
652 | If the Adm in Time is blank, BC MA quits p rocessing the order and sends a Due List Error Not ification message. | |
653 | If an Admi n Time is listed, BC MA verifie s for the correct tw o- or four -digit for mat (i.e., 12-14, 12 00, 1400). If valid, BCMA disp lays the o rder on th e VDL ever y day usin g the Admi n Time pro vided. If invalid, B CMA quits processing the order and sends a Due Lis t Error No tification message. | |
654 | BCMA verif ies inform ation prov ided in th e Frequenc y of the I npatient M edications order. (N ote: The F requency i s the amou nt of time between m edication administra tions.) | |
655 | If the Fre quency is blank, con tains a le tter other than “O” (the lette r), or lis ts a Frequ ency less than one m inute, BCM A quits pr ocessing t he order a nd sends a Due List Error Noti fication m essage. (N ote: A bla nk indicat es that no Frequency was speci fied.) | |
656 | If the Fre quency lis ts “O” (th e letter), BCMA conv erts the F requency t o 1440 min utes (one day) and p roceeds to Step #4. | |
657 | Appendix A : Processi ng of Sche dule Infor mation | |
658 | Steps for Processing Schedule Informatio n (cont.)B CMA verifi es whether the order contains an Odd Sch edule by d etermining that data in the or der Freque ncy is not divisible by 1440 m inutes (on e day), an d that 144 0 minutes is not div isible by the data i n the orde r Frequenc y. See the examples provided b elow. | |
659 | If the ord er contain s an Odd S chedule an d times in the Admin Time, BCM A quits pr ocessing t he order a nd sends a Due List Error Noti fication m essage. | |
660 | If the ord er contain s an Odd S chedule, b ut no time s in the A dmin Time, BCMA disp lays the m edication order on t he VDL usi ng the Fre quency and order Sta rt Date/Ti me provide d by Inpat ient Medic ations to calculate the Admin Times. | |
661 | If the ord er does no t contain an Odd Sch edule and no times a re listed in the Adm in Time, B CMA displa ys the med ication or der on the VDL using the Frequ ency and o rder Start Date/Time provided by Inpatie nt Medicat ions to ca lculate th e Admin Ti mes. | |
662 | If the ord er does no t contain an Odd Sch edule, but times are listed in the Admin Time, BCM A verifies the Frequ ency liste d in the o rder. | |
663 | If the Fre quency is less than 1440 minut es (or one day), BCM A displays the medic ation orde r on the V DL every d ay, based on the Adm in Times p rovided in the order . | |
664 | If the Fre quency is greater th an 1440 mi nutes (or one day), BCMA uses the Freque ncy inform ation from Inpatient Medicatio ns to dete rmine whic h day to d isplay the medicatio n order on the VDL, based on t he Admin T ime provid ed in the order. | |
665 | Appendix A : Processi ng of Sche dule Infor mation | |
666 | Steps for Processing Schedule Informatio n (cont.)T his sectio n provides examples showing Sc hedule Typ es that ar e processe d as Odd S chedules a nd those t hat are no t. | |
667 | Note: For an Odd Sch edule to o ccur, both statement s for a Sc hedule Typ e must be False. | |
668 | Examples o f Odd Sche dules | |
669 | Schedule T ype: Q5H ( 300 minute s) | |
670 | 300 minute s divided by 1440 mi nutes = fr action, no t a whole number = F alse | |
671 | 1440 divid ed by 300 minutes = 4.8 (fract ion, not a whole num ber) = Fal se | |
672 | Schedule T ype: Q3XM (13440 min utes) | |
673 | 13440 minu tes divide d by 1440 minutes = 9.3 (fract ion, not a whole num ber) = Fal se | |
674 | 1440 divid ed by 1344 0 minutes = fraction , not a wh ole number = False | |
675 | Examples o f Schedule s That Are Not Odd S chedules | |
676 | Schedule T ype: Q2H ( 120 minute s) | |
677 | 120 minute s divided by 1440 mi nutes = 8. 3 (fractio n, not a w hole numbe r) = False | |
678 | 1440 minut es divided by 120 = 12 (whole number) = True | |
679 | Schedule T ype: QOD ( 2880 minut es) | |
680 | 2880 minut es divided by 1440 m inutes = 2 (whole nu mber) = Tr ue | |
681 | 1440 minut es divided by 2880 = 0.5 (frac tion, not a whole nu mber) = Fa lse | |
682 | Appendix B : HL7 Mess aging for BCMA | |
683 | Sample HL7 Data Fiel ds Broadca st to BCMA Subscribe rsBCMA inc ludes the Standards from the H L7 V. 2.4 (VistA Mes saging) pa ckage. For more info rmation, r efer to th e VistA Me ssaging an d Interfac e Services Web site at: http:/ / DNS . DNS /messaging /hl7. | |
684 | This secti on provide s a list o f sample H ealth Leve l Seven (H L7) data f ields that BCMA broa dcasts to BCMA HL7 s ubscribers . Review t he informa tion to le arn the “R AS” messag es created for the a dministrat ion and/or update of a medicat ion order. The activ ities, whi ch cause t he broadca st of BCMA HL7 messa ges, are c alled “tri gger event s.” BCMA H L7 trigger events ar e MEDPASS, UPDATE ST ATUS, PRN EFFECTIVEN ESS, and A DD COMMENT . | |
685 | Note: Ever y message will not u se every d ata field and every segment pr ovided. So me segment s may repe at as nece ssary. Som e segments may not a ppear in t he exact o rder depic ted below for all tr igger even ts, but th ey will be consisten t for each specific trigger ev ent.Exampl e: “RAS” M essages Cr eated for the Admini stration o f a Medica tion Order | |
686 | SEGSEQFiel d NameExam pleHL7 Typ eMSH1Field Separator ^string2En coding Cha racters~|\ &string3Se nding Appl icationPSB HL7 SRVhi erarchic d esignator4 Sending Fa cilityhier archic des ignator5Re ceiving Ap plicationP SB HL7 SUB hierarchic designato r6Receivin g Facility hierarchic designato r7D/T of M essage2003 0530075514 -0600HL7 f ormat time stamp (yyy ymmddhhnns s-0600)8Se curitystri ng9Message TypeRAS~O 17composit e10Message Control I D5001457st ring11Proc essing IDP processing type12Ver sion ID2.4 ID13Sequen ce Numbern umeric14Co ntinuation Pointerst ring15Acce pt Acknowl edgement T ypeALID16A pplication Acknowled gment Type NEID17Coun try CodeUS AID18Chara cter SetID 19Principa l Language of Messag e coded el ementAppen dix B: HL7 Messaging for BCMA | |
687 | Example: “ RAS” Messa ges Create d for the Administra tion of a Medication Order | |
688 | (cont.) | |
689 | SEGSEQFiel d NameExam pleHL7 Typ ePID3Patie nt Identif ier List74 8composite ID4Altern ate Patien t ID54~~~~ AGEextende d composit e ID5Patie nt NameBCM APATIENT~T WOpatient name7Date/ Time of Bi rth1949010 1HL7 forma t timestam p (yyyymmd d)8Adminis trative Se xMuser tab le19SSN Nu mber (VA) | |
690 | or HRN Num ber (IHS)– Patient00 0001000 (V A) | |
691 | or 123456 (IHS)strin gPV12Patie nt ClassUt able 00043 Patient Lo cation7A G EN MED 724 -A~~~500us er table7A ttending D octorBCMAP ROVIDER~ON Ecomposite IDORC1Ord er Control XXtable 11 92Placer O rder Numbe r1045~PSB~ 1045~IENen tity ident ifier3Fill er Order N umber13Ven tity ident ifier7Quan tity/Timin g~~~~~~~~~ Cdosage, s cheduled a dministrat ion time, schedule t ype8Parent ~composite 9D/T of Tr ansaction2 0030530075 514-0600HL 7 format t imestamp ( yyyymmddhh nnss-0600) 10Entered byBCMANURS E~ONEexten ded compos ite name15 Order Effe ctive D/T2 0030530075 514-0600HL 7 format t imestamp ( yyyymmddhh nnss-0600) 19Action B yBCMANURSE ~ONEextend ed composi te nameRXR 1RouteIVta ble 01622A dministrat ion Site3 INJECTION SITEtable 0163RXO1Re quested Gi ve Code269 ~FLUOROURA CILcoded e lement2Req uested Giv e Amountnu meric10Req uested Dis pense Code 748V52code d element2 1Requested Give Rate Amount~25 0 ml/hrstr ingAppendi x B: HL7 M essaging f or BCMA | |
692 | Example: “ RAS” Messa ges Create d for the Administra tion of a Medication Order | |
693 | (cont.) | |
694 | SEGSEQFiel d NameExam pleHL7 Typ eRXC1RX Co mponent Ty peAtable 0 1662Compon ent Code20 ~5-FLUOURA CILcoded e lement3Com ponent Amo unt5-FLUOU RACILnumer ic4Compone nt Unitsco ded elemen tRXC1RX Co mponent Ty peBtable 0 1662Compon ent Code8~ AMINO ACID SOLUTION 8.5%coded element3Co mponent Am ountAMINO ACID SOLUT ION 8.5%nu meric4Comp onent Unit scoded ele mentRXA1Gi ve Sub-ID Counter0nu mber2Admin istration Sub-ID Cou nter1numbe r3Date/Tim e Start of Administr ation20030 530075514- 0600HL7 fo rmat times tamp (yyyy mmddhhnnss -0600)5Adm inistered Code20~5-F LUOURACILc oded eleme nt6Adminis tered Amou nt450 MGnu mber7Admin istered Un it9Adminis tration No tescoded e lement18Su bstance/Tr eatment Re fusal Reas on~Elevate d Blood Su garcoded e lement19In dication~c oded eleme nt20Comple tion Statu sCuser tab leNTE2Sour ce of Comm enttable 1 053Comment This is a comment …f ree text4C omment Typ eBCMANURSE ~ONE~20030 530075514- 0600~Date Enteredcod ed element | |
695 | (includes HL7 format timestamp [yyyymmdd hhnnss-060 0])Appendi x B: HL7 M essaging f or BCMA | |
696 | Definition s of Data Fields Und er FIELD N AME Column This secti on lists t he definit ions for s ome of the data fiel ds provide d under th e FIELD NA ME column, along wit h the loca tion of th e data fie ld. The me ssage head er (i.e., the MSH se gment) is constructe d and supp orted by t he VistA H L7 message developme nt tool. | |
697 | Note: The MSH segmen t field na mes are no t describe d below. | |
698 | PATIENT ID : Field (# .01) of th e BCMA MED ICATION LO G file (#5 3.79) and Internal E ntry Numbe r (IEN) po inter to t he PATIENT file (#2) . | |
699 | PATIENT NA ME: As ret urned by t he Applica tion Progr am Interfa ce (API) V ADPT. | |
700 | DATE OF BI RTH: As re turned by the API VA DPT. | |
701 | ADMINISTRA TIVE SEX: As returne d by the A PI VADPT. | |
702 | SSN NUMBER (VA) or H RN NUMBER (IHS): As returned b y the API VADPT. | |
703 | PATIENT LO CATION: Fi eld (#.02) of the BC MA MEDICAT ION LOG fi le (#53.79 ), which c ontains th e actual r oom-bed an d ward loc ation of t he patient at the ti me the med ication pa ss occurre d. Also co ntains fie ld (#.03) of the BCM A MEDICATI ON LOG fil e (#53.79) , which co ntains the division number of the ward t hat the pa tient was on during the medica tion pass. | |
704 | PLACER ORD ER NUMBER: IEN for t he BCMA ME DICATION L OG file (# 53.79). | |
705 | FILLER ORD ER NUMBER: Contains the ORDER REFERENCE NUMBER fie ld (#.11) of the BCM A MEDICATI ON LOG fil e (#53.79) , which co ntains the IEN of th e actual m edication order from the PHARM ACY PATIEN T file (#5 5)PREVIOUS ORDER NUM BER as ret urned by t he API PSJ BCMA1. | |
706 | QUANTITY/T IMING: Con tains the order dosa ge, schedu le type, a nd schedul ed adminis tration ti me data fr om the BCM A MEDICATI ON LOG fil e (#53.79) , fields # .15, #.12, and #.13 respective ly. | |
707 | PARENT: Co ntains the PREVIOUS ORDER NUMB ER as retu rned by th e PSB rout ine PSBVT. | |
708 | DATE/TIME OF TRANSAC TION: Cont ains the A CTION DATE /TIME fiel d (#.06) o f the BCMA MEDICATIO N LOG file (#53.79), which con tains the FileMan da te/time of the actua l time tha t the acti on was tak en. | |
709 | Appendix B : HL7 Mess aging for BCMA | |
710 | Definition s of Data Fields Und er FIELD N AME Column (cont.)Th is section lists the definitio ns for som e of the d ata fields provided under the FIELD NAME column, a long with the locati on of the data field . | |
711 | ENTERED BY : Field (# .05) of th e BCMA MED ICATION LO G file (#5 3.79), whi ch contain s the IEN pointer to the NEW P ERSON file (#200) fo r the user who enter ed the dat a, along w ith the ac tual name of that pe rson as re turned by FileMan. | |
712 | ORDER EFFE CTIVE DATE /TIME: Pro vides data from the ENTERED DA TE/TIME fi eld (#.04) of the BC MA MEDICAT ION LOG fi le (#53.79 ), which c ontains th e FileMan date/time that the a ction was taken. | |
713 | ACTION BY: Field (#. 07) of the BCMA MEDI CATION LOG file (#53 .79), whic h contains the IEN p ointer to the NEW PE RSON file (#200) for the user who took t he action. | |
714 | ROUTE: Con tains MEDI CATION ROU TE data as returned by the PSB routine P SBVT. The ROUTE data is requir ed for the RXR messa ge segment . | |
715 | ADMINISTRA TION SITE: Presents the INJECT ION SITE f ield (#.16 ) of the B CMA MEDICA TION LOG f ile (#53.7 9), which lists the injection site where the medic ation was administer ed. | |
716 | REQUESTED GIVE CODE: Presents the ADMINI STRATION M EDICATION field (#.0 8) of the BCMA MEDIC ATION LOG file (#53. 79), conta ining a po inter to t he ORDERAB LE ITEM fi le (#50.7) , which pr ovides the medicatio n entered for the or der, as we ll as the actual ord erable ite m name as returned b y FileMan. | |
717 | REQUESTED GIVE AMOUN T: Provide s the ORDE R DOSAGE f ield (#.15 ) of the B CMA MEDICA TION LOG f ile (#53.7 9), which contains t he dosage from the o riginal me dication o rder. | |
718 | REQUESTED DISPENSE C ODE: Prese nts the IV UNIQUE ID field (#. 26) of the BCMA MEDI CATION LOG file (#53 .79), whic h contains the uniqu e ID numbe r for an | |
719 | IV bag. | |
720 | REQUESTED GIVE RATE AMOUNT: Pr esents the INFUSION RATE field (#.35) of the BCMA MEDICATION LOG file (#53.79), which cont ains the i nfusion ra te for an | |
721 | IV bag. | |
722 | RX COMPONE NT TYPE: C ontains da ta specify ing the “t ype” of it em/compone nt process ed. Within the HL7 s tandard ta ble, “A” s ignifies a dditive an d “B” sign ifies base . | |
723 | Appendix B: HL7 Mes saging for BCMA | |
724 | Definition s of Data Fields Und er FIELD N AME Column (cont.)Th is section lists the definitio ns for som e of the d ata fields provided under the FIELD NAME column, a long with the locati on of the data field . | |
725 | COMPONENT CODE: Pres ents the A DMINISTRAT ION MEDICA TION field (#.08) of the BCMA MEDICATION LOG file (#53.79), containing a pointer to the OR DERABLE IT EM file (# 50.7), whi ch provide s the medi cation ent ered for t he order, as well as the actua l orderabl e item nam e as retur ned by Fil eMan. | |
726 | COMPONENT AMOUNT:Pre sents the DOSES ORDE RED field (#.02) wit hin the DI SPENSE DRU G multiple (#.5) wit hin the BC MA MEDICAT ION LOG fi le (#53.79 ), which c ontains th e number o f units. | |
727 | COMPONENT UNITS: Con sists of t he UNIT OF ADMINISTR ATION fiel d (#.04) o f the resp ective fil e multiple (i.e., DI SPENSE DRU G [#.5], A DDITIVES [ #.6], or S OLUTIONS [ .7]) withi n the BCMA MEDICATIO N LOG file (#53.79), which con tains the unit(s) fo r the medi cation adm inistered. | |
728 | GIVE SUB-I D COUNTER: A require d field wi th a value | |
729 | of “00.” | |
730 | ADMINISTRA TION SUB-I D COUNTER: A require d field wi th a numer ic value. | |
731 | DATE/TIME START OF A DMINISTRAT ION: Prese nts the AC TION DATE/ TIME field (#.06) of the BCMA MEDICATION LOG file (#53.79), which cont ains the F ileMan dat e/time tha t the acti on was tak en. | |
732 | ADMINISTER ED CODE: C omposed of the ADMIN ISTRATION MEDICATION field (#. 08) of the BCMA MEDI CATION LOG file (#53 .79), whic h contains a pointer to ORDERA BLE ITEM f ile (#50.7 ), which p rovides th e medicati on entered for the o rder, as w ell as the actual or derable it em name as returned by FileMan . | |
733 | ADMINISTER ED AMOUNT: Consists of the DOS ES GIVEN f ield (#.03 ) of the r espective file multi ple (i.e., DISPENSE DRUG [#.5] , ADDITIVE S [#.6], o r SOLUTION S [.7]) wi thin the B CMA MEDICA TION LOG f ile (#53.7 9), which contains t he actual number of units admi nistered t o the pati ent. | |
734 | Appendix B : HL7 Mess aging for BCMA | |
735 | Definition s of Data Fields Und er FIELD N AME Column (cont.)Th is section lists the definitio ns for som e of the d ata fields provided under the FIELD NAME column, a long with the locati on of the data field . | |
736 | ADMINISTER ED UNIT: U NIT OF ADM INISTRATIO N field (# .04) of th e respecti ve file mu ltiple (i. e., DISPEN SE DRUG [# .5], ADDIT IVES [#.6] , or SOLUT IONS [.7]) within th e BCMA MED ICATION LO G file (#5 3.79), whi ch contain s the unit (s) for th e medicati on adminis tered. | |
737 | ADMINISTRA TION NOTES : Consists of the AU DIT LOG fi eld (#.9) and the AU DIT LOG fi eld (#.01) of the AU DIT LOG mu ltiple (#. 9) within the BCMA M EDICATION LOG file ( #53.79). | |
738 | SUBSTANCE/ TREATMENT REFUSAL RE ASON: Fiel d (#.21) o f the BCMA MEDICATIO N LOG file (#53.79), which con tains the PRN reason for admin istering a PRN medic ation. | |
739 | INDICATION : Consists of the OR DER ADMINI STRATION V ARIANCE fi eld (#.14) , of the B CMA MEDICA TION LOG f ile (#53.7 9), which if a Conti nuous medi cation ord er, will c ontain the minutes e arly (<1) or late (> 1) that th e medicati on was adm inistered. | |
740 | COMPLETION STATUS: C onsists of the ACTIO N STATUS f ield (#.09 ) of the B CMA MEDICA TION LOG f ile (#53.7 9), which contains t he status of the med ication pa ss. Values in this f ield will equal an A CTION STAT US value. | |
741 | SOURCE OF COMMENTS: “O” source of the su bsequent m essage. | |
742 | COMMENT: C ontains th e PRN EFFE CTIVENESS field (#.2 2) of the BCMA MEDIC ATION LOG file (#53. 79). When appropriat e, contain s a compos ite of the COMMENT f ield (#.3) and the C OMMENT fie ld (#.01) of the COM MENT multi ple (#.3) within the BCMA MEDI CATION LOG file (#53 .79), whic h contains the comme nts entere d. | |
743 | COMMENT TY PE: Contai ns a compo site of th e ENTERED BY field ( #.02) of t he COMMENT multiple (#.3) with in the BCM A MEDICATI ON LOG fil e (#53.79) , which co ntains the pointer t o the NEW PERSON fil e (#200) f or the use r that ent ered the c omment; al ong with t he actual name of th e user as returned b y FileMan; as well a s the ENTE RED DATE/T IME field (#.03) of the COMMEN T multiple (#.3) wit hin the BC MA MEDICAT ION LOG fi le (#53.79 ), which c ontains th e date and time that the entry was filed and the s tring “Dat e Entered. ” | |
744 | Appendix B : HL7 Mess aging for BCMA | |
745 | Sample HL7 Data Fiel ds Passed in Each Tr igger Even tThis sect ion identi fies the H L7 data fi elds that are passed in each o f the four “trigger events” as sociated w ith BCMA, and exampl es of medi cation adm inistratio ns. The pr ocessed tr igger even ts are MED PASS, UPDA TE STATUS, PRN EFFEC TIVENESS, and ADD CO MMENT. For each even t, there i s an order control c ode and a set of dat a fields l isted. For any given event; ho wever, som e of the d ata fields may be em pty. Admin istration Notes is s uch an exa mple. | |
746 | The protoc ols provid ed in the table, use the BCMA name spaci ng convent ion (“PSB” ), as do t he message s sent by BCMA. The BCMA HL7 m essages ar e unsolici ted; there fore, ackn owledgment messages are unnece ssary and not recogn ized by th e PSB prot ocol. | |
747 | Note: Word wrapping is in effe ct for the example M edications Administr ations on the follow ing pages. Example: D ata Fields Passed in Each Trig ger Event Associated with BCMA HL7 | |
748 | ActionBroa dcast from BCMASubsc ribing App licationME DPASS | |
749 | ProtocolPS B RAS O17 SRVPSB RAS O17 SUB | |
750 | Order Cont rolXX (Ord er/service changed) | |
751 | HL7 Fields MSH (as pr epared by HL7 tool) | |
752 | PID: 3,4,5 ,7,8,19 | |
753 | PV1: 2,3,7 | |
754 | ORC: 1,2,3 ,7,8,9,10, 15,19 | |
755 | RXO: 1,2,1 0,21 | |
756 | NTE: 2,3,4 | |
757 | RXR: 1,2 | |
758 | RXC: 1,2,3 ,4 | |
759 | RXA: 1,2,3 ,4,5,6,7,9 ,18,19,20A ppendix B: HL7 Messa ging for B CMA | |
760 | Example: M edication Administra tions | |
761 | MEDPASS | |
762 | Message: | |
763 | ||
764 | MESSAGE HE ADER: | |
765 | MSH^~|\&^P SB HL7 SRV ^^PSB HL7 SUB^^20030 530075514- 0600^^RAS~ O17^500155 9^P^2.4^^^ AL^NE^USA | |
766 | MESSAGE TE XT: | |
767 | PID^^^748^ 54~~~~AGE^ BCMAPATIEN T~TWO^^194 90101^M^^^ ^^^^^^^^00 0001000 | |
768 | PV1^^U^7A GEN MED 72 4-A~~~500^ ^^^BCMANUR SE~ONE | |
769 | ORC^XX^104 5~PSB~1045 ~IEN^13V^^ ^^~~~~~~~~ ~C^~^20030 5300755140 -600^BCMAN URSE~ONE^^ ^^^2003053 0075514-06 00^^^^BCMA NURSE~ONE | |
770 | RXO^269~FL UOROURACIL ^^^^^^^^^7 48V52^^^^^ ^^^^^^~250 ml/hr | |
771 | NTE^^O^1~T his is a c omment...^ BCMANURSE~ ONE~200305 30075514-0 600~Date E ntered | |
772 | RXR^IV^3 I NJECTION S ITE | |
773 | RXC^A^20~5 -FLUOURACI L^5-FLUOUR ACIL^ | |
774 | RXC^B^8~AM INO ACID S OLUTION 8. 5%^AMINO A CID SOLUTI ON 8.5%^ | |
775 | RXA^0^1^20 0305300755 14-0600^ ^ 20~5-FLUOU RACIL^450 MG^^^^^^^^ ^^^^^~^I | |
776 | RXA^0^2^20 0305300755 14-0600^ ^ 8~AMINO AC ID SOLUTIO N 8.5%^500 ML^^^^^^^ ^^^^^^~^I | |
777 | UPDATE STA TUS | |
778 | Message: | |
779 | MESSAGE HE ADER: | |
780 | MSH^~|\&^P SB HL7 SRV ^^PSB HL7 SUB^^20030 530090340- 0600^^RAS~ O17^500156 1^P^2.4^^^ AL^NE^USA | |
781 | MESSAGE TE XT: | |
782 | PID^^^748^ 54~~~~AGE^ BCMAPATIEN T~TWO^^194 90101^M^^^ ^^^^^^^^00 0001000 | |
783 | PV1^^U^7A GEN MED 72 4-A~~~500^ ^^^BCMANUR SE~ONE | |
784 | ORC^XX^104 5~PSB~1045 ~IEN^13V^^ ^^~~~~~~~~ ~C^~^20030 5300903400 -600^BCMAN URSE~ONE^^ ^^^2003053 0075514-06 00^^^^BCMA NURSE~ONE | |
785 | RXO^269~FL UOROURACIL ^^^^^^^^^7 48V52^^^^^ ^^^^^^~250 ml/hr | |
786 | NTE^^O^2~A dd this co mment to t he adminis tration... ^BCMANURSE ~ONE~20030 530082444- 0600~Date Entered | |
787 | RXR^IV^3 I NJECTION S ITE | |
788 | RXC^A^20~5 -FLUOURACI L^5-FLUOUR ACIL^ | |
789 | RXC^B^8~AM INO ACID S OLUTION 8. 5%^AMINO A CID SOLUTI ON 8.5%^ | |
790 | RXA^0^1^20 0305300903 40-0600^ ^ 20~5-FLUOU RACIL^450 MG^^^4~200 3053009034 0-0600^^^^ ^^^^^^~^C | |
791 | RXA^0^2^20 0305300903 40-0600^ ^ 8~AMINO AC ID SOLUTIO N 8.5%^500 ML^^^4~20 0305300903 40-0600^^^ ^^^^^^^~^C | |
792 | Appendix B : HL7 Mess aging for BCMA | |
793 | Example: M edication Administra tions (con t.) | |
794 | PRN EFFECT IVENESS | |
795 | Message: | |
796 | ||
797 | MESSAGE HE ADER: | |
798 | MSH^~|\&^P SB HL7 SRV ^^PSB HL7 SUB^^20030 530110049- 0600^^RAS~ O17^500156 2^P^2.4^^^ AL^NE^USA | |
799 | MESSAGE TE XT: | |
800 | PID^^^748^ 54~~~~AGE^ BCMAPATIEN T~TWO^^194 90101^M^^^ ^^^^^^^^00 0001000 | |
801 | ORC^XX^104 0~PSB~1040 ~IEN^28U^^ ^^13oz~Q6H ~~~~~~~~P^ ~^20030529 132246-060 0^BCMANURS E~ONE^^^^^ 2003052913 2246-0600^ ^^^BCMANUR SE~ONE | |
802 | NTE^^O^ Ef fectivenes s comment for 5/29/2 003 1:22PM admin...^ BCMANURSE~ ONE~200305 30110049-0 600~Date E ntered~~12 98~PRN Min utes | |
803 | ADD COMMEN T | |
804 | Message: | |
805 | ||
806 | MESSAGE HE ADER: | |
807 | MSH^~|\&^P SB HL7 SRV ^^PSB HL7 SUB^^20030 530082444- 0600^^RAS~ O17^500156 0^P^2.4^^^ AL^NE^USA | |
808 | MESSAGE TE XT: | |
809 | PID^^^748^ 54~~~~AGE^ BCMAPATIEN T~TWO^^194 90101^M^^^ ^^^^^^^^00 0001000 | |
810 | ORC^XX^104 5~PSB~1045 ~IEN^13V^^ ^^~~~~~~~~ ~C^~^20030 530075514- 0600^BCMAN URSE~ONE^^ ^^^2003053 0075514-06 00^^^^BCMA NURSE~ONE | |
811 | NTE^^O^2~A dd this co mment to t he adminis tration... ^BCMANURSE ~ONE~20030 530082444- 0600~Date Entered | |
812 | Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
813 | Introducti onThe Bar Code Medic ation Admi nistration (BCMA) Me dication p ackage inc ludes an i nterface b etween the Label Pri nt [PSBO B L] option and the ba r code lab el printer . The Labe l Print [ PSBO BL] o ption curr ently prin ts Unit Do se labels on a label printer. This inter face allow s a unique bar code to be prin ted on the first lin e of the U nit Dose l abel. | |
814 | Since user s can now customize their own label form ats using control co des, it is important to note t hat all Un it Dose an d Ward Sto ck medicat ion labels must conf orm to the JCAHO Sta ndard for Medication Labeling (Standard MM.4.30). Please ref er to the excerpt of the stand ard and re ferences a t the end of this Ap pendix. | |
815 | Any printe r that sup ports bar code print ing can be used for the Unit D ose labels . However, the scan success ra te will pr obably be lower if a nything ot her than d irect ther mal transf er on synt hetic labe ls is used . Labels f rom dot ma trix print ers, laser printers, or even b ar code pr inters usi ng other t ypes of tr ansfer, wi pe off mor e easily. The label could beco me unreada ble, espec ially in a reas where the bag m ight becom e wet. Wit h a direct thermal t ransfer on to a synth etic label , the prin t actually bonds to the label material. Essentiall y, the lab el would h ave to be ripped to damage the print. | |
816 | Hardware S etupThe pr inter must be physic ally conne cted to th e network and then d efined in the DEVICE (#3.5) an d TERMINAL TYPE (#3. 2) files. | |
817 | Software S etupThe ty pe of prin ter will d etermine t he next st ep. The Ze bra and In termec pri nters requ ire contro l codes, w here the d ot matrix or laser p rinters do not requi re these c odes. The Unit Does print rout ine checks the exist ence of th e control codes befo re attempt ing to exe cute. It i s not requ ired for a ll control codes to be defined ; just bui ld the nec essary con trol codes for the s elected pr inter. | |
818 | When setti ng up the Terminal T ype file f or the Zeb ra bar cod e printer device, th e Terminal Type file entry mus t contains the word “ZEBRA” as part of t he file na me. | |
819 | For exampl e: P-ZEBRA | |
820 | When setti ng up the Terminal T ype file f or the Int ermec bar code print er device, the Termi nal Type f ile entry must conta ins the wo rd “INTERM EC” as par t of the f ile name. | |
821 | For exampl e: P-INTER MEC | |
822 | Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
823 | Software S etup (cont ’d)The pri nter must be physica lly connec ted to the network a nd then de fined in t he DEVICE (#3.5) and TERMINAL TYPE (#3.2 ) files. | |
824 | Printer Co ntrol Code s | |
825 | For this t ype of pri nter to pr int a uniq ue bar cod e on the U nit Dose l abels, IRM s must bui ld control codes. Th e CONTROL CODES fiel ds [#55] a re added t o the TERM INAL TYPE file (#3.2 ) in the K ernel patc h XU*8*205 . This pat ch must be installed before pr oceeding. | |
826 | Control Co de Set Up | |
827 | The Unit D ose label print rout ine curren tly uses p rinter con trol codes and code names that are built within Fi leMan. The following table ill ustrates t he control codes and correspon ding names for the Z ebra print er. | |
828 | Example: Z ebra Print er Termina l Type Con trol Codes | |
829 | Abbreviati onFull Nam eControl C odeETEnd T ext N/AETF End Text F ield N/AEB End Barcod e W !,"^FO 20,150^A0N ,30,20^CI1 3^FR^FD"_T EXT_"^FS"E BFEnd Barc ode Field N/AELEnd L abel W !," ^XZ"FEForm at End N/A FIFormat I nitializat ion N/AFI1 Format Ini tializatio n 1 N/AFI2 Format Ini tializatio n 2 N/ASBS tart Barco de S PSBTY PE=$S(PSBS YM="I25":" B2N",PSBSY M="128":"B CN",1:"B3N ") S:PSBSY M="" PSBBA R="NO-CODE " W !,"^B Y2,3.0^FO2 0,100^"_PS BTYPE_",N, 80,Y,N^FR^ FD"_PSBBAR _"^FS"SBFS tart Barco de Field N /ASLStart Label W !, "^XA",!,"^ LH0,0^FS"S TStart Tex t W !,"^FO "_PSBTYPE_ "^A0N,30,2 0^CI13^FR^ FD"_TEXT_" ^FS"STFSta rt Text Fi eldS PSBTY PE=$S(PSBT LE="PSBDRU G":"20,25" ,PSBTLE="P SBDOSE":"2 0,60", PSB TLE="PSBNA ME":"350,6 0",PSBTLE= "PSBWARD": "350,90", PSBTLE="PS BLOT":"350 ,120", PSB TLE="PSBEX P":"350,15 0", PSBTLE ="PSBMFG": "500,150", PSBTLE="P SBFCB":"35 0,180",1:" 0,0")Appen dix C: Int erfacing w ith the Ba r Code Lab el Printer | |
830 | Software S etup (cont ’d)The fie ld positio n map belo w identifi es the spe cific cont rol codes for the Ze bra printe r that dir ect the ex act positi on in whic h the fiel ds are pri nted on th e bar code label.Exa mple: Zebr a Bar Code Label - F ield Posit ion Map | |
831 | Abbreviati onControl Code ( Fie ld Coordin ates) Desc riptionEBF O20,150“No – Code” s tatementSB FO20,100 " Bar code G raphSTFPSB TLE="PSBDR UG":"20,25 " Drug Nam ePSBTLE="P SBDOSE":"2 0,60", Do sagePSBTLE ="PSBNAME" :"350,60" Patient Na me and Qua lityPSBTLE ="PSBWARD" :"350,90", Ward Loca tionPSBTLE ="PSBLOT": "350,120", Lot Numbe rPSBTLE="P SBEXP":"35 0,150", Ex piration D atePSBTLE= "PSBMFG":" 500,150", Manufactur erPSBTLE=" PSBFCB":"3 50,180"Fil led By/Che cked ByApp endix C: I nterfacing with the Bar Code L abel Print er | |
832 | Software S etup (cont ’d)The fol lowing tab le illustr ates the c ontrol cod es and cor responding names for the Inter mec printe r.Example: Intermec Printer Te rminal Typ e Control Codes | |
833 | Abbreviati onFull Nam eControl C odeETEnd T ext N/AETF End Text F ield N/AEB End Barcod e W "<STX> H8;o50,40; f3;c7;h2;w 2;d0,80;<E TX>",!EBFE nd Barcode Field N/A ELEnd Labe l W "<STX> <ETB><ETX> ",!FEForma t End N/AF IFormat In itializati on W "<STX ><ESC>C<ET X>",!,"<ST X><ESC>P<E TX>",!,"<S TX>E2;F2<E SC><ETX>", !FI1Format Initializ ation 1 W "<STX>H7;o 30,260;f3; c7;h2;w2;d 0,80;<ETX> ",!,"<STX> H6;o50,440 ;f3;c7;h2; w2;d0,20;< ETX>",!,"< STX>H5;o50 ,260;f3;c7 ;h2;w2;d0, 20;<ETX>", !,"<STX>H4 ;o70,260;f 3;c7;h2;w2 ;d0,20;<ET X>",! | |
834 | FI2Format Initializa tion 2 W " <STX>H3;o9 0,260;f3;c 7;h2;w2;d0 ,20;<ETX>" ,!,"<STX>H 2;o110,260 ;f3;c7;h2; w2;d0,20;< ETX>",!,"< STX>H1;o11 0,40;f3;c7 ;h2;w2;d0, 20;<ETX>", !,"<STX>H0 ;o130,40;f 3;c7;h2;w2 ;d0,40;<ET X>",! | |
835 | SBStart Ba rcode W "< STX>"_TEXT _"<ETX>",! SBFStart B arcode Fie ld S PSBTY PE=$S(PSBS YM="I25":" c2,0",PSBS YM="128":" c6,0",1:"c 0,0") W "< STX>B8;o85 ,40;f3;"_P SBTYPE_";i 1;do,25;p@ ;<ETX>",!, "<STX>I8;h 1;w1;<ETX> ",!SLStart Label W " <STX>R;<EX T>",!,"<ST X><ESC>E2< EXT>",!STS tart Text W "<STX>"_ TEXT_"<CR> <ETX>",!ST FStart Tex t FieldN/A Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
836 | Software S etup (cont ’d)The fie ld positio n map belo w identifi es the spe cific cont rol codes for the In termec pri nter that direct the exact pos ition in w hich the f ields are printed on the bar c ode label. Example: I ntermec Ba r Code Lab el - Field Position Map | |
837 | Abbreviati onControl Code ( Fie ld Coordin ates) Desc riptionEB< STX>H8;o50 ,40;f3;c7; h2;w2;d0,8 0;<ETX>“No – Code” s tatementFI 1<STX>H7;o 30,260;f3; c7;h2;w2;d 0,80;<ETX> Filled By/ Checked By <STX>H6;o5 0,440;f3;c 7;h2;w2;d0 ,20;<ETX>" Manufactur er<STX>H5; o50,260;f3 ;c7;h2;w2; d0,20;<ETX >Expiratio n Date<STX >H4;o70,26 0;f3;c7;h2 ;w2;d0,20; <ETX>Lot N umberFI2<S TX>H3;o90, 260;f3;c7; h2;w2;d0,2 0;<ETX>War d Location <STX>H2;o1 10,260;f3; c7;h2;w2;d 0,20;<ETX> Patient Na me and Qua lity<STX>H 1;o110,40; f3;c7;h2;w 2;d0,20;<E TX>Dosage< STX>H0;o13 0,40;f3;c7 ;h2;w2;d0, 40;<ETX>Dr ug NameSBF <STX>B8;o8 5,40;f3;"_ PSBTYPE_"; i1;do,25;p @;<ETX> | |
838 | <STX>I8;h1 ;w1;<ETX>" Bar code G raphAppend ix C: Inte rfacing wi th the Bar Code Labe l Printer | |
839 | Software S etup (cont ’d)Example Terminal Type Files | |
840 | The follow ing are ex amples of terminal t ype file s etups that were used in the de velopment process. T hese examp les are pr ovided to guide the user in th e setup pr ocess. Ple ase note t hat they a re only ex amples, an d may not be appropr iate for y our config uration. | |
841 | Example: Z ebra Print er Sample Terminal T ype File | |
842 | NUMBER: 1 ABBREVIATI ON: SL | |
843 | FULL NAM E: Star La bel CONTROL CO DE: W !,"^ XA",!,"^LH 0,0^FS" | |
844 | NUMBER: 2 ABBREVIATI ON: EL | |
845 | FULL NAM E: End Lab el CON TROL CODE: W !,"^XZ" | |
846 | NUMBER: 3 A BBREVIATIO N: SB | |
847 | FULL NAM E: Start B arcode | |
848 | CONTROL CODE: S PS BTYPE=$S(P SBSYM="I25 ":"B2N",PS BSYM="128" :"BCN",1:" B3N") S:PS BSYM="" PS BBAR="NO-C ODE" W !, "^BY2,3.0^ FO20,100^" _PSBTYPE_" ,N,80,Y,N^ FR^FD"_PSB BAR_"^FS" | |
849 | NUMBER: 4 A BBREVIATIO N: EB | |
850 | FULL NAM E: End Bar code | |
851 | CONTROL CODE: W !, "^FO20,150 ^A0N,30,20 ^CI13^FR^F D"_TEXT_"^ FS" | |
852 | NUMBER: 5 A BBREVIATIO N: ST | |
853 | FULL NAM E: Start T ext | |
854 | CONTROL CODE: W !, "^FO"_PSBT YPE_"^A0N, 30,20^CI13 ^FR^FD"_TE XT_"^FS" | |
855 | NUMBER: 6 A BBREVIATIO N: STF | |
856 | FULL NAM E: Start T ext Field | |
857 | CONTROL CODE: S PS BTYPE=$S(P SBTLE="PSB DRUG":"20, 25",PSBTLE ="PSBDOSE" :"20,60", PSBTLE="PS BNAME":"35 0,60",PSBT LE="PSBWAR D":"350,90 ", PSBTLE= "PSBLOT":" 350,120", PSBTLE="PS BEXP":"350 ,150", PSB TLE="PSBMF G":"500,15 0", PSBTLE ="PSBFCB": "350,180", 1:"0,0") | |
858 | Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
859 | Software S etup (cont ’d)The fol lowing sho ws a sampl e Intermec printer t erminal ty pe file. | |
860 | Example: I ntermec Pr inter Samp le Termina l Type Fil e | |
861 | NUMBER: 1 ABBREVIATI ON: SL | |
862 | FULL NAM E: Start L abel | |
863 | CONTROL CODE: W "< STX>R;<EXT >",!,"<STX ><ESC>E2<E XT>",! | |
864 | NUMBER: 2 ABBREVIATI ON: EL | |
865 | FULL NAM E: End Lab el CON TROL CODE: W "<STX>< ETB><ETX>" ,! | |
866 | NUMBER: 3 ABBREVIATI ON: FI1 | |
867 | FULL NAM E: Format Initializa tion 1 | |
868 | CONTROL CODE: W "< STX>H7;o30 ,260;f3;c7 ;h2;w2;d0, 80;<ETX>", !,"<STX>H6 ;o50,440;f 3;c7;h2;w2 ;d0,20;<ET X>",!,"<ST X>H5;o50,2 60;f3;c7;h 2;w2;d0,20 ;<ETX>",!, "<STX>H4;o 70,260;f3; c7;h2;w2;d 0,20;<ETX> ",! | |
869 | NUMBER: 4 ABBREVIATI ON: FI2 | |
870 | FULL NAM E: Format Initializa tion 2 | |
871 | CONTROL CODE: W "< STX>H3;o90 ,260;f3;c7 ;h2;w2;d0, 20;<ETX>", !,"<STX>H2 ;o110,260; f3;c7;h2;w 2;d0,20;<E TX>",!,"<S TX>H1;o110 ,40;f3;c7; h2;w2;d0,2 0;<ETX>",! ,"<STX>H0; o130,40;f3 ;c7;h2;w2; d0,40;<ETX >",! | |
872 | NUMBER: 5 ABBREVIATI ON: SBF | |
873 | FULL NAM E: Start B arcode Fie ld | |
874 | CONTROL CODE: S PS BTYPE=$S(P SBSYM="I25 ":"c2,0",P SBSYM="128 ":"c6,0",1 :"c0,0") W "<STX>B8; o85,40;f3; "_PSBTYPE_ ";i1;do,25 ;p@;<ETX>" ,!,"<STX>I 8;h1;w1;<E TX>",! | |
875 | NUMBER: 6 A BBREVIATIO N: SB | |
876 | FULL NAM E: Start B arcode CONTROL CO DE: W "<ST X>"_TEXT_" <ETX>",! | |
877 | NUMBER: 7 A BBREVIATIO N: EB | |
878 | FULL NAM E: End Bar code | |
879 | CONTROL CODE: W "< STX>H8;o50 ,40;f3;c7; h2;w2;d0,8 0;<ETX>",! | |
880 | NUMBER: 8 A BBREVIATIO N: FI | |
881 | FULL NAM E: Format Initializa tion | |
882 | CONTROL CODE: W "< STX><ESC>C <ETX>",!," <STX><ESC> P<ETX>",!, "<STX>E2;F 2<ESC><ETX >",! | |
883 | NUMBER: 9 A BBREVIATIO N: ST | |
884 | FULL NAM E: Start T ext | |
885 | CONTROL CODE: W "< STX>"_TEXT _"<CR><ETX >",! | |
886 | Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
887 | Software S etup (cont ’d)Dot Mat rix and La ser Printe rs | |
888 | The contro l codes in the TERMI NAL TYPE f ile (#3.2) are not r equired fo r dot matr ix and las er printer s. However , the BAR CODE ON fi eld [#60] and BAR CO DE OFF fie ld [#61] i n the TERM INAL TYPE file (#3.2 ) are need ed. | |
889 | An example of each f ield is sh own below for the Ou tput Techn ology Corp oration (O TC) printe rs. Please note that it is onl y an examp le and ma y not be a ppropriate for your configurat ion. | |
890 | Example: O TC Printer Example | |
891 | BAR CODE O FF: $C(27) ,"[0t",! | |
892 | BAR CODE O N: $C(27) ,"[4;4;0;2 ;4;2;4;2}" ,$C(27),"[ 3t" | |
893 | Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
894 | Printed Ba r Code Uni t Dose Lab el SampleW ith this i nterface, a unique b ar code wi ll be prin ted on the first lin e of the U nit Dose l abel with the label number pri nted below it. Depen ding upon the type o f printer used, the asterisks (*) may or may not b e printed on either side of th e label nu mber. | |
895 | Example: S ample Unit Dose Bar Code Label | |
896 | Drug: BACL OFEN 10MG TABS (Qty: 1)Dosage: 25MGPatie nt: BCMAPA TIENT,ONE | |
897 | Ward: GEN MED | |
898 | Lot: 12314 1 | |
899 | ||
900 | Exp: 4/5/2 006 Mfg: UPJOHN | |
901 | Filled/Che cked By: X X/XX | |
902 | *500-2564* Example: S ample Ward Stock Bar Code Labe l | |
903 | Drug: BACL OFEN 10MG TABS (Qty: 1)Dosage: 25MGPatie nt: | |
904 | Ward: | |
905 | Lot: 12314 1 | |
906 | ||
907 | Exp: 4/5/2 006 Mfg: UPJOHN | |
908 | Filled/Che cked By:__ _____/____ ___ | |
909 | *500-2564* Appendix C : Interfac ing with t he Bar Cod e Label Pr inter | |
910 | JCAHO Stan dard for M edication Labeling*T he followi ng is an e xcerpt fro m the The Comprehens ive Accred itation Ma nual for H ospitals: The Offici al Handboo k (CAMH) t hat lists the JCAHO standard f or medicat ion labeli ng. All pr inted medi cation lab els must a dhere to t his standa rd.Standar d MM.4.30M edications are label ed.Rationa le for MM. 4.30A stan dardized m ethod for labeling a ll medicat ions will minimize e rrors.Elem ents of Pe rformance for MM.4.3 0Medicatio ns are lab eled in a standardiz ed manner according to law or regulation and stand ards of pr actice.Any time one or more me dications or solutio ns are pre pared but are not ad ministered immediate ly, the me dication c ontainer* must be la beled.At a minimum, all medica tions prep ared in th e hospital are label ed with th e followin g:Drug nam e, strengt h, amount (if not ap parent fro m the cont ainer)Expi ration dat e† when no t used wit hin 24 hou rsExpirati on time wh en expirat ion occurs in less t han 24 hou rsThe date prepared and the di luent for all compou nded IV ad mixtures a nd parente ral nutrit ion soluti onsWhen pr eparing in dividualiz ed medicat ions for m ultiple sp ecific pat ients, or when the p erson prep aring the individual ized medic ations is not the pe rson admin istering t he medica tion, the label also includes the follow ing:Patien t namePati ent locati onDirectio ns for use and any a pplicable cautionary statement s either o n the labe l or attac hed as an accessory label (for example, “requires refrigerat ion,” “for IM use on ly”) | |
911 | *Source: J oint Commi ssion on A ccreditati on of Hosp ital Organ izations ( JCAHO). (J anuary, 20 06). The C omprehensi ve Accredi tation Man ual for Ho spitals: T he Officia l Handbook (CAMH) | |
912 | (pp. MM-11 -MM‑12). O akbrook Te rrace, Il: Joint Com mission Re sources, I nc. Web l ink: | |
913 | http://vaw w.oqp. URL /oqp_servi ces/accred itation/up loads/JCAH O2006/2006 %20CAMH%20 Core.pdf | |
914 | tip: | |
915 | BCMA is de signed to augment, n ot replace , the clin ical judgm ent of the medicatio n administ rator, or clinician. | |
916 | ||
917 | � | |
918 | ||
919 | ||
920 | ||
921 | tip: | |
922 | Use this g uide for w orking wit h the CHUI version o f BCMA, V. 3.0. | |
923 | ||
924 | � | |
925 | ||
926 | ||
927 | ||
928 | ||
929 | tip: | |
930 | Bookmark t hese sites for futur e referenc e. | |
931 | ||
932 | � | |
933 | ||
934 | ||
935 | ||
936 | tip: | |
937 | Bookmark t hese sites for futur e referenc e. | |
938 | ||
939 | � | |
940 | ||
941 | ||
942 | ||
943 | tip: | |
944 | In a CHUI environmen t, when yo u press th e ENTER ke y, instead of typing a respons e, the sys tem accept s the defa ult value shown to t he left of the doubl e slash (/ /) at a pr ompt or fi eld. | |
945 | ||
946 | � | |
947 | ||
948 | ||
949 | ||
950 | tip: | |
951 | In a CHUI environmen t, when yo u press en ter, inste ad of typi ng a respo nse, the s ystem acce pts the de fault valu e shown to the left of the dou ble slash (//) at a prompt or a field. | |
952 | ||
953 | � | |
954 | ||
955 | ||
956 | ||
957 | tip: | |
958 | The BCMA V irtual Due List (VDL ) is calle d “BCMA VD L” in this guide to eliminate confusion with�the V istA Docum entation L ibrary (VD L)�also me ntioned�in this guid e. | |
959 | ||
960 | � | |
961 | ||
962 | ||
963 | ||
964 | important: | |
965 | You should install a nd test BC MA in your test acco unts befor e installi ng in your productio n accounts . | |
966 | ||
967 | � | |
968 | ||
969 | ||
970 | ||
971 | tip: | |
972 | The approx imate size for ^PSB was calcul ated using a “normal ” medicati on pass fo r a Unit D ose and an IV medica tion order . This is only an es timated nu mber; it s erves as t he “mean.” | |
973 | ||
974 | � | |
975 | ||
976 | ||
977 | ||
978 | tip: | |
979 | The approx imate size for ^PSB was calcul ated using a "normal ” Med Pass for a Uni t Dose and an IV med ication or der. This is only an estimated number; i t serves a s the “mea n.” | |
980 | ||
981 | � | |
982 | ||
983 | ||
984 | ||
985 | tip: | |
986 | The namesp ace for th e BCMA pac kage is PS B and the primary gl obal�is ^P SB. | |
987 | ||
988 | � | |
989 | ||
990 | ||
991 | ||
992 | tip: | |
993 | Archive an d purge ca pabilities are not a vailable i n�BCMA V. 3.0. | |
994 | ||
995 | � | |
996 | ||
997 | ||
998 | ||
999 | tip: | |
1000 | Archive an d purge ca pabilities are not a vailable i n this ver sion of BC MA. | |
1001 | ||
1002 | � | |
1003 | ||
1004 | ||
1005 | ||
1006 | tip: | |
1007 | You can lo cate speci fic routin es in the “Routines Installed” section o f this gui de. | |
1008 | ||
1009 | � | |
1010 | ||
1011 | ||
1012 | ||
1013 | ||
1014 | ||
1015 | ||
1016 | tip: | |
1017 | The RXC se gment may repeat, on ce for eac h solution and each additive, in an IV m edication order. The RX COMPON ENT TYPE i s “A” for an additiv e” and “B” for a sol ution. | |
1018 | ||
1019 | � | |
1020 | ||
1021 | ||
1022 | ||
1023 | ||
1024 | �Blue high lighting d enotes a c orrection of existin g VDL text ; not a change mad e by patch *103. | |
1025 | ||
1026 | February 2 004 | |
1027 | BCMA V. 3. 0 Technica l Manual/S ecurity Gu ide | |
1028 | iii | |
1029 | _104417916 0.doc |
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