Difference between revisions of "CPRS Config: Order Checks"

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(Added glossary link to Allergy~)
 
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Welcome to the Order Checks Configuration Page.
 
Welcome to the Order Checks Configuration Page.
  
−
Before you configure order checks, you need to list them out and sit down with the decision makers at your facility to get an initial configuration.
+
== What Are Order Checks? ==
 +
Order checks are checks that take place when an order is placed in VISTA. Common order checks are to see if a patient has had allergies assessed if you are ordering a medication; or to see if the medications ordered interact with each other.
 +
 
 +
== Pre Configuration ==
 +
Before you configure order checks, you need to list them out and sit down with the decision makers at your facility to get an initial configuration. Don't expect to get this right the first time you do it though, as you may need to tweak this in the future.
 +
 
 +
For each, you need to ask these questions?
 +
* Enable?
 +
* Is it Mandatory (Users cannot disable it)?
 +
* Danger Level (High, Low, Medium)
  
 
Here is the list of Order Checks that comes with VISTA.
 
Here is the list of Order Checks that comes with VISTA.
  
−
<pre>
+
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
−
   ALLERGY-CONTRAST MEDIA INTERAC   
+
   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERAC   
−
   ALLERGY-DRUG INTERACTION   
+
   [[ALLERGY~|Allergy]]-DRUG INTERACTION   
 
   AMINOGLYCOSIDE ORDERED   
 
   AMINOGLYCOSIDE ORDERED   
 
   BIOCHEM ABNORMALITY FOR CONTRA   
 
   BIOCHEM ABNORMALITY FOR CONTRA   
Line 26: Line 35:
 
   LAB ORDER FREQ RESTRICTIONS   
 
   LAB ORDER FREQ RESTRICTIONS   
 
   MISSING LAB TESTS FOR ANGIOGRA   
 
   MISSING LAB TESTS FOR ANGIOGRA   
−
   NO ALLERGY ASSESSMENT   
+
   NO [[ALLERGY~|Allergy]] ASSESSMENT   
 
   ORDER CHECKING NOT AVAILABLE   
 
   ORDER CHECKING NOT AVAILABLE   
 
   POLYPHARMACY   
 
   POLYPHARMACY   
Line 34: Line 43:
 
   SIGNIFICANT DRUG INTERACTION   
 
   SIGNIFICANT DRUG INTERACTION   
 
</pre>
 
</pre>
 +
 +
== Configuration ==
 +
Here's how to get to the menu:
 +
Main Menu
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
  AL    Allocate OE/RR Security Keys
 +
  KK    Check for Multiple Keys
 +
  DC    Edit DC Reasons
 +
  GP    GUI Parameters ...
 +
  GA    GUI Access - Tabs, RPL
 +
  MI    Miscellaneous Parameters
 +
  NO    Notification Mgmt Menu ...
 +
  OC    Order Checking Mgmt Menu ...
 +
  MM    Order Menu Management ...
 +
  LI    Patient List Mgmt Menu ...
 +
  FP    Print Formats
 +
  PR    Print/Report Parameters ...
 +
  RE    Release/Cancel Delayed Orders
 +
  US    Unsigned orders search
 +
  EX    Set Unsigned Orders View on Exit
 +
  NA    Search orders by Nature or Status
 +
  CM    Care Management Menu ...
 +
  DO    Event Delayed Orders Menu ...
 +
  PM    Performance Monitor Report
 +
 +
Select CPRS Configuration (Clin Coord) Option: oc  Order Checking Mgmt Menu
 +
 +
 +
  1      Enable/Disable an Order Check
 +
  2      Set Clinical Danger Level for an Order Check
 +
  3      CT Scanner Height Limit
 +
  4      CT Scanner Weight Limit
 +
  5      MRI Scanner Height Limit
 +
  6      MRI Scanner Weight Limit
 +
  7      Orderable Item Duplicate Order Range
 +
  8      Lab Duplicate Order Range
 +
  9      Radiology Duplicate Order Range
 +
  10    Enable or Disable Order Checking System
 +
  11    Enable or Disable Debug Message Logging
 +
  12    Display the Order Checks a User Can Receive
 +
  13    Edit Site Local Terms
 +
  14    Set Number of Medications for Polypharmacy
 +
  15    Set Creatinine Date Range for Glucophage-Lab Rslts
 +
  16    Set Order Checks to be Uneditable By Users
 +
  17    Set Creatinine Date Range for Contrst Media Orders
 +
</pre>
 +
=== Disable the Order Checking System ===
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
        Enable or Disable Order Checking System
 +
 +
Enable or disable order checking system. may be set for the following:
 +
 +
    1  Division      DIV    [choose from INSTITUTION]
 +
    2  System        SYS    [VISTA.ICH.LOCAL]
 +
 +
Enter selection: 2  System  VISTA.ICH.LOCAL
 +
 +
Setting Enable or disable order checking system.  for System: VISTA.ICH.LOCAL
 +
Value: ?
 +
 +
Enter 'Enable/E' for order checking, 'Disable/D' to stop order checking.
 +
 +
    Select one of the following:
 +
 +
          E        Enable
 +
          D        Disable
 +
 +
Value: Disable
 +
</pre>
 +
=== Disable all Order Checks at the System Level ===
 +
For some odd reason, VISTA comes exported with some Order Checks turned on by default at the Invisible Package Level (they are not necessarily good defaults either from my experience), so you have to make sure that every one is disabled for your system.
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
                        Enable/Disable an Order Check
 +
 +
Order Check Processing Flag may be set for the following:
 +
 +
    1  User          USR    [choose from NEW PERSON]
 +
    2  Location      LOC    [choose from HOSPITAL LOCATION]
 +
    3  Service      SRV    [choose from SERVICE/SECTION]
 +
    4  Division      DIV    [choose from INSTITUTION]
 +
    5  System        SYS    [VISTA.ICH.LOCAL]
 +
 +
Enter selection: 5  System  VISTA.ICH.LOCAL
 +
 +
------ Setting Order Check Processing Flag  for System: VISTA.ICH.LOCAL ------
 +
Select Order Check: aller
 +
    1  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION 
 +
    2  [[ALLERGY~|Allergy]]-DRUG INTERACTION 
 +
CHOOSE 1-2:  ??
 +
Select Order Check: ??
 +
   
 +
  Choose from:
 +
  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERAC 
 +
  [[ALLERGY~|Allergy]]-DRUG INTERACTION 
 +
  AMINOGLYCOSIDE ORDERED 
 +
  BIOCHEM ABNORMALITY FOR CONTRA 
 +
  CLOZAPINE APPROPRIATENESS 
 +
  CRITICAL DRUG INTERACTION 
 +
  CT & MRI PHYSICAL LIMITATIONS 
 +
  DANGEROUS MEDS FOR PT > 64 
 +
  DISPENSE DRUG NOT SELECTED 
 +
  DUPLICATE DRUG CLASS ORDER 
 +
  DUPLICATE DRUG ORDER 
 +
  DUPLICATE OPIOID MEDICATIONS 
 +
  DUPLICATE ORDER 
 +
  ERROR MESSAGE 
 +
  ESTIMATED CREATININE CLEARANCE 
 +
  GENERIC RESULTS 
 +
  GLUCOPHAGE-CONTRAST MEDIA 
 +
  GLUCOPHAGE-LAB RESULTS 
 +
  LAB ORDER FREQ RESTRICTIONS 
 +
                                  to exit:
 +
  MISSING LAB TESTS FOR ANGIOGRA 
 +
  NO [[ALLERGY~|Allergy]] ASSESSMENT 
 +
  ORDER CHECKING NOT AVAILABLE 
 +
  POLYPHARMACY 
 +
  RECENT BARIUM STUDY 
 +
  RECENT ORAL CHOLECYSTOGRAM 
 +
  RENAL FUNCTIONS OVER AGE 65 
 +
  SIGNIFICANT DRUG INTERACTION 
 +
 
 +
Select Order Check: all
 +
    1  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION 
 +
    2  [[ALLERGY~|Allergy]]-DRUG INTERACTION 
 +
CHOOSE 1-2: 1  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION
 +
Are you adding [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION as a new Order Check? Yes// 
 +
YES
 +
 +
Order Check: [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION//  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTER
 +
ACTION  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION
 +
Value: ?
 +
 +
Code indicating the processing flag for the entity and order check.
 +
 +
    Select one of the following:
 +
 +
          E        Enabled
 +
          D        Disabled
 +
 +
Value: d  Disabled
 +
Select Order Check: [[allergy~|Allergy]]-druG INTERACTION 
 +
Are you adding [[ALLERGY~|Allergy]]-DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//  [[ALLERGY~|Allergy]]-DRUG INTERACTION  [[ALLERGY~|Allergy]]-DRU
 +
G INTERACTION
 +
Value: d  Disabled
 +
Select Order Check: aminoglycoside orDERED 
 +
Are you adding AMINOGLYCOSIDE ORDERED as a new Order Check? Yes//  YES
 +
 +
Order Check: AMINOGLYCOSIDE ORDERED//  AMINOGLYCOSIDE ORDERED  AMINOGLYCOSIDE
 +
ORDERED
 +
Value: d  Disabled
 +
Select Order Check: biochem ABNORMALITY FOR CONTRAST MEDIA 
 +
Are you adding BIOCHEM ABNORMALITY FOR CONTRAST MEDIA as a new Order Check? Yes/
 +
/ y  YES
 +
 +
Order Check: BIOCHEM ABNORMALITY FOR CONTRAST MEDIA//  BIOCHEM ABNORMALITY FOR
 +
CONTRAST MEDIA  BIOCHEM ABNORMALITY FOR CONTRAST MEDIA
 +
Value: d  Disabled
 +
Select Order Check: clozapINE APPROPRIATENESS 
 +
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes//  YES
 +
 +
Order Check: CLOZAPINE APPROPRIATENESS//  CLOZAPINE APPROPRIATENESS  CLOZAPINE
 +
APPROPRIATENESS
 +
Value: d  Disabled
 +
Select Order Check: critical drug inTERACTION 
 +
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: CRITICAL DRUG INTERACTION//  CRITICAL DRUG INTERACTION  CRITICAL
 +
DRUG INTERACTION
 +
Value: d  Disabled
 +
Select Order Check: cr & mri ??
 +
Select Order Check: ct & mri PHYSICAL LIMITATIONS 
 +
Are you adding CT & MRI PHYSICAL LIMITATIONS as a new Order Check? Yes//  YES
 +
 +
Order Check: CT & MRI PHYSICAL LIMITATIONS//  CT & MRI PHYSICAL LIMITATIONS  C
 +
T & MRI PHYSICAL LIMITATIONS
 +
Value: d  Disabled
 +
Select Order Check: dangerOUS MEDS FOR PT > 64 
 +
Are you adding DANGEROUS MEDS FOR PT > 64 as a new Order Check? Yes//  YES
 +
 +
Order Check: DANGEROUS MEDS FOR PT > 64//  DANGEROUS MEDS FOR PT > 64  DANGERO
 +
US MEDS FOR PT > 64
 +
Value: d  Disabled
 +
Select Order Check: dispense DRUG NOT SELECTED 
 +
Are you adding DISPENSE DRUG NOT SELECTED as a new Order Check? Yes//  YES
 +
 +
Order Check: DISPENSE DRUG NOT SELECTED//  DISPENSE DRUG NOT SELECTED  DISPENS
 +
E DRUG NOT SELECTED
 +
Value: d  Disabled
 +
Select Order Check: duplicate drug class order 
 +
Are you adding DUPLICATE DRUG CLASS ORDER as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE DRUG CLASS ORDER//  DUPLICATE DRUG CLASS ORDER  DUPLICA
 +
TE DRUG CLASS ORDER
 +
Value: d  Disabled
 +
Select Order Check: duplicate drug order 
 +
Are you adding DUPLICATE DRUG ORDER as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE DRUG ORDER//  DUPLICATE DRUG ORDER  DUPLICATE DRUG ORDE
 +
R
 +
Value: d  Disabled
 +
Select Order Check: duplicate opiod me ??
 +
Select Order Check: duplicate opiOID MEDICATIONS 
 +
Are you adding DUPLICATE OPIOID MEDICATIONS as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE OPIOID MEDICATIONS//  DUPLICATE OPIOID MEDICATIONS  DUP
 +
LICATE OPIOID MEDICATIONS
 +
Value: d  Disabled
 +
Select Order Check: duplicate orDER 
 +
Are you adding DUPLICATE ORDER as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE ORDER//  DUPLICATE ORDER  DUPLICATE ORDER
 +
Value: d  Disabled
 +
Select Order Check: error MESSAGE 
 +
Are you adding ERROR MESSAGE as a new Order Check? Yes//  YES
 +
 +
Order Check: ERROR MESSAGE//  ERROR MESSAGE  ERROR MESSAGE
 +
Value: d  Disabled
 +
Select Order Check: estimated crEATININE CLEARANCE 
 +
Are you adding ESTIMATED CREATININE CLEARANCE as a new Order Check? Yes//  YES
 +
 +
Order Check: ESTIMATED CREATININE CLEARANCE//  ESTIMATED CREATININE CLEARANCE 
 +
ESTIMATED CREATININE CLEARANCE
 +
Value: d  Disabled
 +
Select Order Check: generIC RESULTS 
 +
Are you adding GENERIC RESULTS as a new Order Check? Yes//  YES
 +
 +
Order Check: GENERIC RESULTS//  GENERIC RESULTS  GENERIC RESULTS
 +
Value: d  Disabled
 +
Select Order Check: glucophage-conTRAST MEDIA 
 +
Are you adding GLUCOPHAGE-CONTRAST MEDIA as a new Order Check? Yes//  YES
 +
 +
Order Check: GLUCOPHAGE-CONTRAST MEDIA//  GLUCOPHAGE-CONTRAST MEDIA  GLUCOPHAG
 +
E-CONTRAST MEDIA
 +
Value: d  Disabled
 +
Select Order Check: glucophage-laB RESULTS 
 +
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes//  YES
 +
 +
Order Check: GLUCOPHAGE-LAB RESULTS//  GLUCOPHAGE-LAB RESULTS  GLUCOPHAGE-LAB
 +
RESULTS
 +
Value: d  Disabled
 +
Select Order Check: lab order freq RESTRICTIONS 
 +
Are you adding LAB ORDER FREQ RESTRICTIONS as a new Order Check? Yes//  YES
 +
 +
Order Check: LAB ORDER FREQ RESTRICTIONS//  LAB ORDER FREQ RESTRICTIONS  LAB O
 +
RDER FREQ RESTRICTIONS
 +
Value: d  Disabled
 +
Select Order Check: missing lab tests for ANGIOGRAM PROCEDURE 
 +
Are you adding MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE as a new Order Check? Y
 +
es// y  YES
 +
 +
Order Check: MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE//  MISSING LAB TESTS FOR
 +
ANGIOGRAM PROCEDURE  MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE
 +
Value: d  Disabled
 +
Select Order Check:
 +
 +
Select Order Check: no [[allERGY~|Allergy]] ASSESSMENT 
 +
Are you adding NO [[ALLERGY~|Allergy]] ASSESSMENT as a new Order Check? Yes//  YES
 +
 +
Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//  NO [[ALLERGY~|Allergy]] ASSESSMENT  NO [[ALLERGY~|Allergy]] ASSESS
 +
MENT
 +
Value: d  Disabled
 +
Select Order Check: order CHECKING NOT AVAILABLE 
 +
Are you adding ORDER CHECKING NOT AVAILABLE as a new Order Check? Yes//  YES
 +
 +
Order Check: ORDER CHECKING NOT AVAILABLE//  ORDER CHECKING NOT AVAILABLE  ORD
 +
ER CHECKING NOT AVAILABLE
 +
Value: d  Disabled
 +
Select Order Check: polyphARMACY 
 +
Are you adding POLYPHARMACY as a new Order Check? Yes//  YES
 +
 +
Order Check: POLYPHARMACY//  POLYPHARMACY  POLYPHARMACY
 +
Value: d  Disabled
 +
 +
Order Check: RECENT BARIUM STUDY//  RECENT BARIUM STUDY  RECENT BARIUM STUDY
 +
Value: d  Disabled
 +
Select Order Check: RECENT ORAL CHOLECYSTOGRAM 
 +
Are you adding RECENT ORAL CHOLECYSTOGRAM as a new Order Check? Yes//  YES
 +
 +
Order Check: RECENT ORAL CHOLECYSTOGRAM//  RECENT ORAL CHOLECYSTOGRAM  RECENT
 +
ORAL CHOLECYSTOGRAM
 +
Value: Disabled
 +
Select Order Check: RENAL FUNCTIONS OVER AGE 65 
 +
Are you adding RENAL FUNCTIONS OVER AGE 65 as a new Order Check? Yes//  YES
 +
 +
Order Check: RENAL FUNCTIONS OVER AGE 65//  RENAL FUNCTIONS OVER AGE 65  RENAL
 +
FUNCTIONS OVER AGE 65
 +
Value: Disabled
 +
Select Order Check: SIGNIFICANT DRUG INTERACTION 
 +
Are you adding SIGNIFICANT DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: SIGNIFICANT DRUG INTERACTION//  SIGNIFICANT DRUG INTERACTION  SIG
 +
NIFICANT DRUG INTERACTION
 +
Value: Disabled
 +
Select Order Check:
 +
</pre>
 +
=== Turn the ones we want back on ===
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
                        Enable/Disable an Order Check
 +
 +
Order Check Processing Flag may be set for the following:
 +
 +
    1  User          USR    [choose from NEW PERSON]
 +
    2  Location      LOC    [choose from HOSPITAL LOCATION]
 +
    3  Service      SRV    [choose from SERVICE/SECTION]
 +
    4  Division      DIV    [choose from INSTITUTION]
 +
    5  System        SYS    [VISTA.ICH.LOCAL]
 +
 +
Enter selection: 5  System  VISTA.ICH.LOCAL
 +
 +
------ Setting Order Check Processing Flag  for System: VISTA.ICH.LOCAL ------
 +
Select Order Check: [[allergy~|Allergy]] drug ??
 +
Select Order Check: all
 +
    1  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION 
 +
    2  [[ALLERGY~|Allergy]]-DRUG INTERACTION 
 +
CHOOSE 1-2: 2  [[ALLERGY~|Allergy]]-DRUG INTERACTION
 +
 +
Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//  [[ALLERGY~|Allergy]]-DRUG INTERACTION  [[ALLERGY~|Allergy]]-DRU
 +
G INTERACTION
 +
Value: Disabled// ?
 +
 +
Code indicating the processing flag for the entity and order check.
 +
 +
    Select one of the following:
 +
 +
          E        Enabled
 +
          D        Disabled
 +
 +
Value: Disabled// Enabled
 +
Select Order Check: CLOZAPINE APPROPRIATENESS 
 +
 +
Order Check: CLOZAPINE APPROPRIATENESS//  CLOZAPINE APPROPRIATENESS  CLOZAPINE
 +
APPROPRIATENESS
 +
Value: Disabled// Enabled
 +
Select Order Check: CRITICAL DRUG INTERACTION 
 +
 +
Order Check: CRITICAL DRUG INTERACTION//  CRITICAL DRUG INTERACTION  CRITICAL
 +
DRUG INTERACTION
 +
Value: Disabled// Enabled
 +
Select Order Check: DANGEROUS MEDS FOR PT > 64 
 +
 +
Order Check: DANGEROUS MEDS FOR PT > 64//  DANGEROUS MEDS FOR PT > 64  DANGERO
 +
US MEDS FOR PT > 64
 +
Value: Disabled// Enabled
 +
Select Order Check: DUPLICATE DRUG ORDER 
 +
 +
Order Check: DUPLICATE DRUG ORDER//  DUPLICATE DRUG ORDER  DUPLICATE DRUG ORDE
 +
R
 +
Value: Disabled// Enabled
 +
Select Order Check: DUPLICATE OPIOID MEDICATIONS 
 +
 +
Order Check: DUPLICATE OPIOID MEDICATIONS//  DUPLICATE OPIOID MEDICATIONS  DUP
 +
LICATE OPIOID MEDICATIONS
 +
Value: Disabled// Enabled
 +
Select Order Check: DUPLICATE ORDER 
 +
 +
Order Check: DUPLICATE ORDER//  DUPLICATE ORDER  DUPLICATE ORDER
 +
Value: Disabled// Enabled
 +
Select Order Check: GLUCOPHAGE-LAB RESULTS 
 +
 +
Order Check: GLUCOPHAGE-LAB RESULTS//  GLUCOPHAGE-LAB RESULTS  GLUCOPHAGE-LAB
 +
RESULTS
 +
Value: Disabled// Enabled
 +
Select Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT 
 +
 +
Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//  NO [[ALLERGY~|Allergy]] ASSESSMENT  NO ]]ALLERGY~|Allergy]] ASSESS
 +
MENT
 +
Value: Disabled// Enabled
 +
Select Order Check: RENAL FUNCTIONS OVER AGE 65 
 +
 +
Order Check: RENAL FUNCTIONS OVER AGE 65//  RENAL FUNCTIONS OVER AGE 65  RENAL
 +
FUNCTIONS OVER AGE 65
 +
Value: Disabled// Enabled
 +
Select Order Check:
 +
=== Make Selected Ones Mandatory ===
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
          Set One or More Order Checks to be Uneditable By End Users
 +
 +
Order Check On/Off Editable by User may be set for the following:
 +
 +
    1  Division      DIV    [choose from INSTITUTION]
 +
    2  System        SYS    [VISTA.ICH.LOCAL]
 +
 +
Enter selection: 2  System  VISTA.ICH.LOCAL
 +
 +
-- Setting Order Check On/Off Editable by User  for System: VISTA.ICH.LOCAL --
 +
Select Order Check: all
 +
    1  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION 
 +
    2  [[ALLERGY~|Allergy]]-DRUG INTERACTION 
 +
CHOOSE 1-2: 2  [[ALLERGY~|Allergy]]-DRUG INTERACTION
 +
Are you adding ALLERGY-DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//  [[ALLERGY~|Allergy]]-DRUG INTERACTION  [[ALLERGY~|Allergy]]-DRU
 +
G INTERACTION
 +
Editable by User?: no  NO
 +
Select Order Check: CLOZAPINE APPROPRIATENESS 
 +
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes//  YES
 +
 +
Order Check: CLOZAPINE APPROPRIATENESS//  CLOZAPINE APPROPRIATENESS  CLOZAPINE
 +
APPROPRIATENESS
 +
Editable by User?: NO
 +
Select Order Check: CRITICAL DRUG INTERACTION 
 +
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: CRITICAL DRUG INTERACTION//  CRITICAL DRUG INTERACTION  CRITICAL
 +
DRUG INTERACTION
 +
Editable by User?: NO
 +
Select Order Check: GLUCOPHA
 +
    1  GLUCOPHAGE-CONTRAST MEDIA 
 +
    2  GLUCOPHAGE-LAB RESULTS 
 +
CHOOSE 1-2: 2  GLUCOPHAGE-LAB RESULTS
 +
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes//  YES
 +
 +
Order Check: GLUCOPHAGE-LAB RESULTS//  GLUCOPHAGE-LAB RESULTS  GLUCOPHAGE-LAB
 +
RESULTS
 +
Editable by User?: NO
 +
Select Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT 
 +
Are you adding NO [[ALLERGY~|Allergy]] ASSESSMENT as a new Order Check? Yes//  YES
 +
 +
Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//  NO [[ALLERGY~|Allergy]] ASSESSMENT  NO [[ALLERGY~|Allergy]] ASSESS
 +
MENT
 +
Editable by User?: NO
 +
</pre>
 +
=== Now Set Danger Levels for each Order Check ===
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
                Set Clinical Danger Level for an Order Check
 +
 +
Order Check Clinical Danger Level may be set for the following:
 +
 +
    1  Division      DIV    [choose from INSTITUTION]
 +
    2  System        SYS    [VISTA.ICH.LOCAL]
 +
 +
Enter selection: 2  System  VISTA.ICH.LOCAL
 +
 +
--- Setting Order Check Clinical Danger Level  for System: VISTA.ICH.LOCAL ---
 +
Select Order Check: [[allergy~|Allergy]]-drug intERACTION 
 +
Are you adding [[ALLERGY~|Allergy]]-DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//  [[ALLERGY~|Allergy]]-DRUG INTERACTION  [[ALLERGY~|Allergy]]-DRU
 +
G INTERACTION
 +
Value: ?
 +
 +
Enter the code indicating the clinical danger level of the order check.
 +
 +
    Select one of the following:
 +
 +
          1        High
 +
          2        Moderate
 +
          3        Low
 +
 +
Value: 1  High
 +
Select Order Check: clozapine APPROPRIATENESS 
 +
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes//  YES
 +
 +
Order Check: CLOZAPINE APPROPRIATENESS//  CLOZAPINE APPROPRIATENESS  CLOZAPINE
 +
APPROPRIATENESS
 +
Value: h  High
 +
Select Order Check: critical DRUG INTERACTION 
 +
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes//  YES
 +
 +
Order Check: CRITICAL DRUG INTERACTION//  CRITICAL DRUG INTERACTION  CRITICAL
 +
DRUG INTERACTION
 +
Value: h  High
 +
Select Order Check: dangerOUS MEDS FOR PT > 64 
 +
Are you adding DANGEROUS MEDS FOR PT > 64 as a new Order Check? Yes//  YES
 +
 +
Order Check: DANGEROUS MEDS FOR PT > 64//  DANGEROUS MEDS FOR PT > 64  DANGERO
 +
US MEDS FOR PT > 64
 +
Value: l  Low
 +
Select Order Check: duplicate drug orDER 
 +
Are you adding DUPLICATE DRUG ORDER as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE DRUG ORDER//  DUPLICATE DRUG ORDER  DUPLICATE DRUG ORDE
 +
R
 +
Value: l  Low
 +
Select Order Check: duplicate opIOID MEDICATIONS 
 +
Are you adding DUPLICATE OPIOID MEDICATIONS as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE OPIOID MEDICATIONS//  DUPLICATE OPIOID MEDICATIONS  DUP
 +
LICATE OPIOID MEDICATIONS
 +
Value: l  Low
 +
Select Order Check: duplicate orDER 
 +
Are you adding DUPLICATE ORDER as a new Order Check? Yes//  YES
 +
 +
Order Check: DUPLICATE ORDER//  DUPLICATE ORDER  DUPLICATE ORDER
 +
Value: l  Low
 +
Select Order Check: glucoph
 +
    1  GLUCOPHAGE-CONTRAST MEDIA 
 +
    2  GLUCOPHAGE-LAB RESULTS 
 +
CHOOSE 1-2: 2  GLUCOPHAGE-LAB RESULTS
 +
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes//  YES
 +
 +
Order Check: GLUCOPHAGE-LAB RESULTS//  GLUCOPHAGE-LAB RESULTS  GLUCOPHAGE-LAB
 +
RESULTS
 +
Value: h  High
 +
Select Order Check: no [[allERGY~|Allergy]] ASSESSMENT 
 +
Are you adding NO [[ALLERGY~|Allergy]] ASSESSMENT as a new Order Check? Yes//  YES
 +
 +
Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//  NO [[ALLERGY~|Allergy]] ASSESSMENT  NO [[ALLERGY~|Allergy]] ASSESS
 +
MENT
 +
Value: h  High
 +
Select Order Check: renal FUNCTIONS OVER AGE 65 
 +
Are you adding RENAL FUNCTIONS OVER AGE 65 as a new Order Check? Yes//  YES
 +
 +
Order Check: RENAL FUNCTIONS OVER AGE 65//  RENAL FUNCTIONS OVER AGE 65  RENAL
 +
FUNCTIONS OVER AGE 65
 +
Value: m  Moderate
 +
Select Order Check:
 +
</pre>
 +
=== Map Local data to National Terms ===
 +
Some order checks (like checking for a recent serum creatinine for Metformin orders) require mapping the term Serum Creatinine to a local lab in file 60. Here's what I have done:
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
          Order Check National Terms
 +
 +
    SERUM CREATININE
 +
    SERUM UREA NITROGEN
 +
    DNR
 +
    PROTHROMBIN TIME
 +
    THROMBOPLASTIN TIME PARTIAL
 +
    NPO
 +
    SERUM SPECIMEN
 +
    PARTIAL THROMBOPLASTIN TIME
 +
    ANGIOGRAM (PERIPHERAL)
 +
    WBC
 +
 +
      < Enter ?? to see the rest of the national terms on this list>
 +
 +
 +
National Term: SERUM UREA NITROGEN
 +
 +
  Translated from file: 'LABORATORY TEST'  60
 +
 +
    UREA NITROGEN    (174)
 +
 +
Select LABORATORY TEST NAME:
 +
 +
National Term: THROMBOPLASTIN TIME PARTIAL
 +
 +
  Translated from file: 'LABORATORY TEST'  60
 +
 +
    COAGULATION (PT & PTT)    (377)
 +
    PARTIAL THROMBOPLASTIN TIME    (34)
 +
    PTT    (468)
 +
    PTT CONTROL    (379)
 +
</pre>
 +
=== Set-up Date Ranges, HT & WT Ranges etc ===
 +
There is a bunch of menu options to change a few ranges. Review these and see what needs to be done. Here's an example
 +
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
 +
 +
    Set Creatinine Search Range for Glucophage-Lab Results Order Check
 +
 +
Creatinine Results for Glucophage may be set for the following:
 +
 +
    1  Location      LOC    [choose from HOSPITAL LOCATION]
 +
    2  Division      DIV    [choose from INSTITUTION]
 +
    3  System        SYS    [VISTA.ICH.LOCAL]
 +
    4  Package      PKG    [ORDER ENTRY/RESULTS REPORTING]
 +
 +
Enter selection: 3  System  VISTA.ICH.LOCAL
 +
 +
  Setting Creatinine Results for Glucophage  for System: VISTA.ICH.LOCAL ---
 +
Days: 14
 +
</pre>
 +
=== Turn the order check system back on ===
 +
Using the same menu option as above, turn this back on.

Latest revision as of 10:47, 22 February 2012

Welcome to the Order Checks Configuration Page.

What Are Order Checks?

Order checks are checks that take place when an order is placed in VISTA. Common order checks are to see if a patient has had allergies assessed if you are ordering a medication; or to see if the medications ordered interact with each other.

Pre Configuration

Before you configure order checks, you need to list them out and sit down with the decision makers at your facility to get an initial configuration. Don't expect to get this right the first time you do it though, as you may need to tweak this in the future.

For each, you need to ask these questions?

  • Enable?
  • Is it Mandatory (Users cannot disable it)?
  • Danger Level (High, Low, Medium)

Here is the list of Order Checks that comes with VISTA. 

   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERAC   
   [[ALLERGY~|Allergy]]-DRUG INTERACTION   
   AMINOGLYCOSIDE ORDERED   
   BIOCHEM ABNORMALITY FOR CONTRA   
   CLOZAPINE APPROPRIATENESS   
   CRITICAL DRUG INTERACTION   
   CT & MRI PHYSICAL LIMITATIONS   
   DANGEROUS MEDS FOR PT > 64   
   DISPENSE DRUG NOT SELECTED   
   DUPLICATE DRUG CLASS ORDER   
   DUPLICATE DRUG ORDER   
   DUPLICATE OPIOID MEDICATIONS   
   DUPLICATE ORDER   
   ERROR MESSAGE   
   ESTIMATED CREATININE CLEARANCE   
   GENERIC RESULTS   
   GLUCOPHAGE-CONTRAST MEDIA   
   GLUCOPHAGE-LAB RESULTS   
   LAB ORDER FREQ RESTRICTIONS   
   MISSING LAB TESTS FOR ANGIOGRA   
   NO [[ALLERGY~|Allergy]] ASSESSMENT   
   ORDER CHECKING NOT AVAILABLE   
   POLYPHARMACY   
   RECENT BARIUM STUDY   
   RECENT ORAL CHOLECYSTOGRAM   
   RENAL FUNCTIONS OVER AGE 65   
   SIGNIFICANT DRUG INTERACTION

Configuration

Here's how to get to the menu: Main Menu 

   AL     Allocate OE/RR Security Keys
   KK     Check for Multiple Keys
   DC     Edit DC Reasons
   GP     GUI Parameters ...
   GA     GUI Access - Tabs, RPL
   MI     Miscellaneous Parameters
   NO     Notification Mgmt Menu ...
   OC     Order Checking Mgmt Menu ...
   MM     Order Menu Management ...
   LI     Patient List Mgmt Menu ...
   FP     Print Formats
   PR     Print/Report Parameters ...
   RE     Release/Cancel Delayed Orders
   US     Unsigned orders search
   EX     Set Unsigned Orders View on Exit
   NA     Search orders by Nature or Status
   CM     Care Management Menu ...
   DO     Event Delayed Orders Menu ...
   PM     Performance Monitor Report

Select CPRS Configuration (Clin Coord) Option: oc  Order Checking Mgmt Menu


   1      Enable/Disable an Order Check
   2      Set Clinical Danger Level for an Order Check
   3      CT Scanner Height Limit
   4      CT Scanner Weight Limit
   5      MRI Scanner Height Limit
   6      MRI Scanner Weight Limit
   7      Orderable Item Duplicate Order Range
   8      Lab Duplicate Order Range
   9      Radiology Duplicate Order Range
   10     Enable or Disable Order Checking System
   11     Enable or Disable Debug Message Logging
   12     Display the Order Checks a User Can Receive
   13     Edit Site Local Terms
   14     Set Number of Medications for Polypharmacy
   15     Set Creatinine Date Range for Glucophage-Lab Rslts
   16     Set Order Checks to be Uneditable By Users
   17     Set Creatinine Date Range for Contrst Media Orders

Disable the Order Checking System

         Enable or Disable Order Checking System

Enable or disable order checking system. may be set for the following:

     1   Division      DIV    [choose from INSTITUTION]
     2   System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 2  System   VISTA.ICH.LOCAL

 Setting Enable or disable order checking system.  for System: VISTA.ICH.LOCAL 
Value: ?

Enter 'Enable/E' for order checking, 'Disable/D' to stop order checking.

     Select one of the following:

          E         Enable
          D         Disable

Value: Disable

Disable all Order Checks at the System Level

For some odd reason, VISTA comes exported with some Order Checks turned on by default at the Invisible Package Level (they are not necessarily good defaults either from my experience), so you have to make sure that every one is disabled for your system. 

                         Enable/Disable an Order Check

Order Check Processing Flag may be set for the following:

     1   User          USR    [choose from NEW PERSON]
     2   Location      LOC    [choose from HOSPITAL LOCATION]
     3   Service       SRV    [choose from SERVICE/SECTION]
     4   Division      DIV    [choose from INSTITUTION]
     5   System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 5  System   VISTA.ICH.LOCAL

------ Setting Order Check Processing Flag  for System: VISTA.ICH.LOCAL ------
Select Order Check: aller
     1   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION  
     2   [[ALLERGY~|Allergy]]-DRUG INTERACTION  
CHOOSE 1-2:  ??
Select Order Check: ??
    
   Choose from:
   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERAC   
   [[ALLERGY~|Allergy]]-DRUG INTERACTION   
   AMINOGLYCOSIDE ORDERED   
   BIOCHEM ABNORMALITY FOR CONTRA   
   CLOZAPINE APPROPRIATENESS   
   CRITICAL DRUG INTERACTION   
   CT & MRI PHYSICAL LIMITATIONS   
   DANGEROUS MEDS FOR PT > 64   
   DISPENSE DRUG NOT SELECTED   
   DUPLICATE DRUG CLASS ORDER   
   DUPLICATE DRUG ORDER   
   DUPLICATE OPIOID MEDICATIONS   
   DUPLICATE ORDER   
   ERROR MESSAGE   
   ESTIMATED CREATININE CLEARANCE   
   GENERIC RESULTS   
   GLUCOPHAGE-CONTRAST MEDIA   
   GLUCOPHAGE-LAB RESULTS   
   LAB ORDER FREQ RESTRICTIONS   
                                   to exit: 
   MISSING LAB TESTS FOR ANGIOGRA   
   NO [[ALLERGY~|Allergy]] ASSESSMENT   
   ORDER CHECKING NOT AVAILABLE   
   POLYPHARMACY   
   RECENT BARIUM STUDY   
   RECENT ORAL CHOLECYSTOGRAM   
   RENAL FUNCTIONS OVER AGE 65   
   SIGNIFICANT DRUG INTERACTION   
   
Select Order Check: all
     1   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION  
     2   [[ALLERGY~|Allergy]]-DRUG INTERACTION  
CHOOSE 1-2: 1  [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION
Are you adding [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION as a new Order Check? Yes//   
YES

Order Check: [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION//   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTER
ACTION   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION
Value: ?

Code indicating the processing flag for the entity and order check.

     Select one of the following:

          E         Enabled
          D         Disabled

Value: d  Disabled
Select Order Check: [[allergy~|Allergy]]-druG INTERACTION  
Are you adding [[ALLERGY~|Allergy]]-DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//   [[ALLERGY~|Allergy]]-DRUG INTERACTION   [[ALLERGY~|Allergy]]-DRU
G INTERACTION
Value: d  Disabled
Select Order Check: aminoglycoside orDERED  
Are you adding AMINOGLYCOSIDE ORDERED as a new Order Check? Yes//   YES

Order Check: AMINOGLYCOSIDE ORDERED//   AMINOGLYCOSIDE ORDERED   AMINOGLYCOSIDE 
ORDERED
Value: d  Disabled
Select Order Check: biochem ABNORMALITY FOR CONTRAST MEDIA  
Are you adding BIOCHEM ABNORMALITY FOR CONTRAST MEDIA as a new Order Check? Yes/
/ y  YES

Order Check: BIOCHEM ABNORMALITY FOR CONTRAST MEDIA//   BIOCHEM ABNORMALITY FOR 
CONTRAST MEDIA   BIOCHEM ABNORMALITY FOR CONTRAST MEDIA
Value: d  Disabled
Select Order Check: clozapINE APPROPRIATENESS  
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes//   YES

Order Check: CLOZAPINE APPROPRIATENESS//   CLOZAPINE APPROPRIATENESS   CLOZAPINE
 APPROPRIATENESS
Value: d  Disabled
Select Order Check: critical drug inTERACTION  
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: CRITICAL DRUG INTERACTION//   CRITICAL DRUG INTERACTION   CRITICAL 
DRUG INTERACTION
Value: d  Disabled
Select Order Check: cr & mri ??
Select Order Check: ct & mri PHYSICAL LIMITATIONS  
Are you adding CT & MRI PHYSICAL LIMITATIONS as a new Order Check? Yes//   YES

Order Check: CT & MRI PHYSICAL LIMITATIONS//   CT & MRI PHYSICAL LIMITATIONS   C
T & MRI PHYSICAL LIMITATIONS
Value: d  Disabled
Select Order Check: dangerOUS MEDS FOR PT > 64  
Are you adding DANGEROUS MEDS FOR PT > 64 as a new Order Check? Yes//   YES

Order Check: DANGEROUS MEDS FOR PT > 64//   DANGEROUS MEDS FOR PT > 64   DANGERO
US MEDS FOR PT > 64
Value: d  Disabled
Select Order Check: dispense DRUG NOT SELECTED  
Are you adding DISPENSE DRUG NOT SELECTED as a new Order Check? Yes//   YES

Order Check: DISPENSE DRUG NOT SELECTED//   DISPENSE DRUG NOT SELECTED   DISPENS
E DRUG NOT SELECTED
Value: d  Disabled
Select Order Check: duplicate drug class order  
Are you adding DUPLICATE DRUG CLASS ORDER as a new Order Check? Yes//   YES

Order Check: DUPLICATE DRUG CLASS ORDER//   DUPLICATE DRUG CLASS ORDER   DUPLICA
TE DRUG CLASS ORDER
Value: d  Disabled
Select Order Check: duplicate drug order  
Are you adding DUPLICATE DRUG ORDER as a new Order Check? Yes//   YES

Order Check: DUPLICATE DRUG ORDER//   DUPLICATE DRUG ORDER   DUPLICATE DRUG ORDE
R
Value: d  Disabled
Select Order Check: duplicate opiod me ??
Select Order Check: duplicate opiOID MEDICATIONS  
Are you adding DUPLICATE OPIOID MEDICATIONS as a new Order Check? Yes//   YES

Order Check: DUPLICATE OPIOID MEDICATIONS//   DUPLICATE OPIOID MEDICATIONS   DUP
LICATE OPIOID MEDICATIONS
Value: d  Disabled
Select Order Check: duplicate orDER  
Are you adding DUPLICATE ORDER as a new Order Check? Yes//   YES

Order Check: DUPLICATE ORDER//   DUPLICATE ORDER   DUPLICATE ORDER
Value: d  Disabled
Select Order Check: error MESSAGE  
Are you adding ERROR MESSAGE as a new Order Check? Yes//   YES

Order Check: ERROR MESSAGE//   ERROR MESSAGE   ERROR MESSAGE
Value: d  Disabled
Select Order Check: estimated crEATININE CLEARANCE  
Are you adding ESTIMATED CREATININE CLEARANCE as a new Order Check? Yes//   YES

Order Check: ESTIMATED CREATININE CLEARANCE//   ESTIMATED CREATININE CLEARANCE  
 ESTIMATED CREATININE CLEARANCE
Value: d  Disabled
Select Order Check: generIC RESULTS  
Are you adding GENERIC RESULTS as a new Order Check? Yes//   YES

Order Check: GENERIC RESULTS//   GENERIC RESULTS   GENERIC RESULTS
Value: d  Disabled
Select Order Check: glucophage-conTRAST MEDIA  
Are you adding GLUCOPHAGE-CONTRAST MEDIA as a new Order Check? Yes//   YES

Order Check: GLUCOPHAGE-CONTRAST MEDIA//   GLUCOPHAGE-CONTRAST MEDIA   GLUCOPHAG
E-CONTRAST MEDIA
Value: d  Disabled
Select Order Check: glucophage-laB RESULTS  
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes//   YES

Order Check: GLUCOPHAGE-LAB RESULTS//   GLUCOPHAGE-LAB RESULTS   GLUCOPHAGE-LAB 
RESULTS
Value: d  Disabled
Select Order Check: lab order freq RESTRICTIONS  
Are you adding LAB ORDER FREQ RESTRICTIONS as a new Order Check? Yes//   YES

Order Check: LAB ORDER FREQ RESTRICTIONS//   LAB ORDER FREQ RESTRICTIONS   LAB O
RDER FREQ RESTRICTIONS
Value: d  Disabled
Select Order Check: missing lab tests for ANGIOGRAM PROCEDURE  
Are you adding MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE as a new Order Check? Y
es// y  YES

Order Check: MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE//   MISSING LAB TESTS FOR
 ANGIOGRAM PROCEDURE   MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE
Value: d  Disabled
Select Order Check: 

Select Order Check: no [[allERGY~|Allergy]] ASSESSMENT  
Are you adding NO [[ALLERGY~|Allergy]] ASSESSMENT as a new Order Check? Yes//   YES

Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//   NO [[ALLERGY~|Allergy]] ASSESSMENT   NO [[ALLERGY~|Allergy]] ASSESS
MENT
Value: d  Disabled
Select Order Check: order CHECKING NOT AVAILABLE  
Are you adding ORDER CHECKING NOT AVAILABLE as a new Order Check? Yes//   YES

Order Check: ORDER CHECKING NOT AVAILABLE//   ORDER CHECKING NOT AVAILABLE   ORD
ER CHECKING NOT AVAILABLE
Value: d  Disabled
Select Order Check: polyphARMACY  
Are you adding POLYPHARMACY as a new Order Check? Yes//   YES

Order Check: POLYPHARMACY//   POLYPHARMACY   POLYPHARMACY
Value: d  Disabled

Order Check: RECENT BARIUM STUDY//   RECENT BARIUM STUDY   RECENT BARIUM STUDY
Value: d  Disabled
Select Order Check: RECENT ORAL CHOLECYSTOGRAM  
Are you adding RECENT ORAL CHOLECYSTOGRAM as a new Order Check? Yes//   YES

Order Check: RECENT ORAL CHOLECYSTOGRAM//   RECENT ORAL CHOLECYSTOGRAM   RECENT 
ORAL CHOLECYSTOGRAM
Value: Disabled
Select Order Check: RENAL FUNCTIONS OVER AGE 65  
Are you adding RENAL FUNCTIONS OVER AGE 65 as a new Order Check? Yes//   YES

Order Check: RENAL FUNCTIONS OVER AGE 65//   RENAL FUNCTIONS OVER AGE 65   RENAL
 FUNCTIONS OVER AGE 65
Value: Disabled
Select Order Check: SIGNIFICANT DRUG INTERACTION  
Are you adding SIGNIFICANT DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: SIGNIFICANT DRUG INTERACTION//   SIGNIFICANT DRUG INTERACTION   SIG
NIFICANT DRUG INTERACTION
Value: Disabled
Select Order Check:

Turn the ones we want back on

                         Enable/Disable an Order Check

Order Check Processing Flag may be set for the following:

     1   User          USR    [choose from NEW PERSON]
     2   Location      LOC    [choose from HOSPITAL LOCATION]
     3   Service       SRV    [choose from SERVICE/SECTION]
     4   Division      DIV    [choose from INSTITUTION]
     5   System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 5  System   VISTA.ICH.LOCAL

------ Setting Order Check Processing Flag  for System: VISTA.ICH.LOCAL ------
Select Order Check: [[allergy~|Allergy]] drug ??
Select Order Check: all
     1   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION  
     2   [[ALLERGY~|Allergy]]-DRUG INTERACTION  
CHOOSE 1-2: 2  [[ALLERGY~|Allergy]]-DRUG INTERACTION

Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//   [[ALLERGY~|Allergy]]-DRUG INTERACTION   [[ALLERGY~|Allergy]]-DRU
G INTERACTION
Value: Disabled// ?

Code indicating the processing flag for the entity and order check.

     Select one of the following:

          E         Enabled
          D         Disabled

Value: Disabled// Enabled
Select Order Check: CLOZAPINE APPROPRIATENESS  

Order Check: CLOZAPINE APPROPRIATENESS//   CLOZAPINE APPROPRIATENESS   CLOZAPINE
 APPROPRIATENESS
Value: Disabled// Enabled
Select Order Check: CRITICAL DRUG INTERACTION  

Order Check: CRITICAL DRUG INTERACTION//   CRITICAL DRUG INTERACTION   CRITICAL 
DRUG INTERACTION
Value: Disabled// Enabled
Select Order Check: DANGEROUS MEDS FOR PT > 64  

Order Check: DANGEROUS MEDS FOR PT > 64//   DANGEROUS MEDS FOR PT > 64   DANGERO
US MEDS FOR PT > 64
Value: Disabled// Enabled
Select Order Check: DUPLICATE DRUG ORDER  

Order Check: DUPLICATE DRUG ORDER//   DUPLICATE DRUG ORDER   DUPLICATE DRUG ORDE
R
Value: Disabled// Enabled
Select Order Check: DUPLICATE OPIOID MEDICATIONS  

Order Check: DUPLICATE OPIOID MEDICATIONS//   DUPLICATE OPIOID MEDICATIONS   DUP
LICATE OPIOID MEDICATIONS
Value: Disabled// Enabled
Select Order Check: DUPLICATE ORDER  

Order Check: DUPLICATE ORDER//   DUPLICATE ORDER   DUPLICATE ORDER
Value: Disabled// Enabled
Select Order Check: GLUCOPHAGE-LAB RESULTS  

Order Check: GLUCOPHAGE-LAB RESULTS//   GLUCOPHAGE-LAB RESULTS   GLUCOPHAGE-LAB 
RESULTS
Value: Disabled// Enabled
Select Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT  

Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//   NO [[ALLERGY~|Allergy]] ASSESSMENT   NO ]]ALLERGY~|Allergy]] ASSESS
MENT
Value: Disabled// Enabled
Select Order Check: RENAL FUNCTIONS OVER AGE 65  

Order Check: RENAL FUNCTIONS OVER AGE 65//   RENAL FUNCTIONS OVER AGE 65   RENAL
 FUNCTIONS OVER AGE 65
Value: Disabled// Enabled
Select Order Check: 
=== Make Selected Ones Mandatory ===
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">
          Set One or More Order Checks to be Uneditable By End Users

Order Check On/Off Editable by User may be set for the following:

     1   Division      DIV    [choose from INSTITUTION]
     2   System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 2  System   VISTA.ICH.LOCAL

-- Setting Order Check On/Off Editable by User  for System: VISTA.ICH.LOCAL --
Select Order Check: all
     1   [[ALLERGY~|Allergy]]-CONTRAST MEDIA INTERACTION  
     2   [[ALLERGY~|Allergy]]-DRUG INTERACTION  
CHOOSE 1-2: 2  [[ALLERGY~|Allergy]]-DRUG INTERACTION
Are you adding ALLERGY-DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//   [[ALLERGY~|Allergy]]-DRUG INTERACTION   [[ALLERGY~|Allergy]]-DRU
G INTERACTION
Editable by User?: no  NO
Select Order Check: CLOZAPINE APPROPRIATENESS  
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes//   YES

Order Check: CLOZAPINE APPROPRIATENESS//   CLOZAPINE APPROPRIATENESS   CLOZAPINE
 APPROPRIATENESS
Editable by User?: NO
Select Order Check: CRITICAL DRUG INTERACTION  
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: CRITICAL DRUG INTERACTION//   CRITICAL DRUG INTERACTION   CRITICAL 
DRUG INTERACTION
Editable by User?: NO
Select Order Check: GLUCOPHA
     1   GLUCOPHAGE-CONTRAST MEDIA  
     2   GLUCOPHAGE-LAB RESULTS  
CHOOSE 1-2: 2  GLUCOPHAGE-LAB RESULTS
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes//   YES

Order Check: GLUCOPHAGE-LAB RESULTS//   GLUCOPHAGE-LAB RESULTS   GLUCOPHAGE-LAB 
RESULTS
Editable by User?: NO
Select Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT  
Are you adding NO [[ALLERGY~|Allergy]] ASSESSMENT as a new Order Check? Yes//   YES

Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//   NO [[ALLERGY~|Allergy]] ASSESSMENT   NO [[ALLERGY~|Allergy]] ASSESS
MENT
Editable by User?: NO

Now Set Danger Levels for each Order Check

                 Set Clinical Danger Level for an Order Check

Order Check Clinical Danger Level may be set for the following:

     1   Division      DIV    [choose from INSTITUTION]
     2   System        SYS    [VISTA.ICH.LOCAL]

Enter selection: 2  System   VISTA.ICH.LOCAL

--- Setting Order Check Clinical Danger Level  for System: VISTA.ICH.LOCAL ---
Select Order Check: [[allergy~|Allergy]]-drug intERACTION  
Are you adding [[ALLERGY~|Allergy]]-DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: [[ALLERGY~|Allergy]]-DRUG INTERACTION//   [[ALLERGY~|Allergy]]-DRUG INTERACTION   [[ALLERGY~|Allergy]]-DRU
G INTERACTION
Value: ?

Enter the code indicating the clinical danger level of the order check.

     Select one of the following:

          1         High
          2         Moderate
          3         Low

Value: 1  High
Select Order Check: clozapine APPROPRIATENESS  
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes//   YES

Order Check: CLOZAPINE APPROPRIATENESS//   CLOZAPINE APPROPRIATENESS   CLOZAPINE
 APPROPRIATENESS
Value: h  High
Select Order Check: critical DRUG INTERACTION  
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes//   YES

Order Check: CRITICAL DRUG INTERACTION//   CRITICAL DRUG INTERACTION   CRITICAL 
DRUG INTERACTION
Value: h  High
Select Order Check: dangerOUS MEDS FOR PT > 64  
Are you adding DANGEROUS MEDS FOR PT > 64 as a new Order Check? Yes//   YES

Order Check: DANGEROUS MEDS FOR PT > 64//   DANGEROUS MEDS FOR PT > 64   DANGERO
US MEDS FOR PT > 64
Value: l  Low
Select Order Check: duplicate drug orDER  
Are you adding DUPLICATE DRUG ORDER as a new Order Check? Yes//   YES

Order Check: DUPLICATE DRUG ORDER//   DUPLICATE DRUG ORDER   DUPLICATE DRUG ORDE
R
Value: l  Low
Select Order Check: duplicate opIOID MEDICATIONS  
Are you adding DUPLICATE OPIOID MEDICATIONS as a new Order Check? Yes//   YES

Order Check: DUPLICATE OPIOID MEDICATIONS//   DUPLICATE OPIOID MEDICATIONS   DUP
LICATE OPIOID MEDICATIONS
Value: l  Low
Select Order Check: duplicate orDER  
Are you adding DUPLICATE ORDER as a new Order Check? Yes//   YES

Order Check: DUPLICATE ORDER//   DUPLICATE ORDER   DUPLICATE ORDER
Value: l  Low
Select Order Check: glucoph
     1   GLUCOPHAGE-CONTRAST MEDIA  
     2   GLUCOPHAGE-LAB RESULTS  
CHOOSE 1-2: 2  GLUCOPHAGE-LAB RESULTS
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes//   YES

Order Check: GLUCOPHAGE-LAB RESULTS//   GLUCOPHAGE-LAB RESULTS   GLUCOPHAGE-LAB 
RESULTS
Value: h  High
Select Order Check: no [[allERGY~|Allergy]] ASSESSMENT  
Are you adding NO [[ALLERGY~|Allergy]] ASSESSMENT as a new Order Check? Yes//   YES

Order Check: NO [[ALLERGY~|Allergy]] ASSESSMENT//   NO [[ALLERGY~|Allergy]] ASSESSMENT   NO [[ALLERGY~|Allergy]] ASSESS
MENT
Value: h  High
Select Order Check: renal FUNCTIONS OVER AGE 65  
Are you adding RENAL FUNCTIONS OVER AGE 65 as a new Order Check? Yes//   YES

Order Check: RENAL FUNCTIONS OVER AGE 65//   RENAL FUNCTIONS OVER AGE 65   RENAL
 FUNCTIONS OVER AGE 65
Value: m  Moderate
Select Order Check:

Map Local data to National Terms

Some order checks (like checking for a recent serum creatinine for Metformin orders) require mapping the term Serum Creatinine to a local lab in file 60. Here's what I have done: 

          Order Check National Terms

     SERUM CREATININE
     SERUM UREA NITROGEN
     DNR
     PROTHROMBIN TIME
     THROMBOPLASTIN TIME PARTIAL
     NPO
     SERUM SPECIMEN
     PARTIAL THROMBOPLASTIN TIME
     ANGIOGRAM (PERIPHERAL)
     WBC

      < Enter ?? to see the rest of the national terms on this list>


National Term: SERUM UREA NITROGEN

  Translated from file: 'LABORATORY TEST'  60

     UREA NITROGEN    (174)

Select LABORATORY TEST NAME: 

National Term: THROMBOPLASTIN TIME PARTIAL

  Translated from file: 'LABORATORY TEST'  60

     COAGULATION (PT & PTT)    (377)
     PARTIAL THROMBOPLASTIN TIME    (34)
     PTT    (468)
     PTT CONTROL    (379)

Set-up Date Ranges, HT & WT Ranges etc

There is a bunch of menu options to change a few ranges. Review these and see what needs to be done. Here's an example 


    Set Creatinine Search Range for Glucophage-Lab Results Order Check

Creatinine Results for Glucophage may be set for the following:

     1   Location      LOC    [choose from HOSPITAL LOCATION]
     2   Division      DIV    [choose from INSTITUTION]
     3   System        SYS    [VISTA.ICH.LOCAL]
     4   Package       PKG    [ORDER ENTRY/RESULTS REPORTING]

Enter selection: 3  System   VISTA.ICH.LOCAL

  Setting Creatinine Results for Glucophage  for System: VISTA.ICH.LOCAL ---
Days: 14

Turn the order check system back on

Using the same menu option as above, turn this back on.

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