Difference between revisions of "Pharmacy Issues"
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=== Keys Needed for Pharm. Setup === | === Keys Needed for Pharm. Setup === | ||
We searched pharmacy routines and found keys that were needed for some of the pharmacy setup routines. Here are the keys that were found: | We searched pharmacy routines and found keys that were needed for some of the pharmacy setup routines. Here are the keys that were found: | ||
| − | PSA ORDERS, PSAMGR, PSJ RPWARN, PSB MANAGER, | + | [[SECURITY KEY PSA ORDERS|PSA ORDERS]], [[SECURITY KEY PSAMGR|PSAMGR]], [[SECURITY KEY PSJ RPWARN|PSJ RPWARN]], [[SECURITY KEY PSB MANAGER|PSB MANAGER]], [[SECURITY KEY PSB CPRS MED BUTTON|PSB CPRS MED BUTTON]], [[SECURITY KEY PSB INSTRUCTOR|PSB INSTRUCTOR]], [[SECURITY KEY PROVIDER|PROVIDER]], [[SECURITY KEY PSD TECH|PSD TECH]], [[SECURITY KEY PSDMGR|PSDMGR]], [[SECURITY KEY PSD BUMGR|PSD BUMGR]], [[SECURITY KEY PSD ERROR|PSD ERROR]], [[SECURITY KEY PSD PARAM|PSD PARAM]], [[SECURITY KEY PSD TRAN|PSD TRAN]] |
---- | ---- | ||
=== Files and Relationships === | === Files and Relationships === | ||
| − | *<b>VA PRODUCT</b> file (file #50.68, ^PSNDF(50.68,*)) holds ALL possible drugs. Some people refer to this as the National Drug File. [[ | + | *<b>VA PRODUCT</b> file (file #50.68, ^PSNDF(50.68,*)) holds ALL possible drugs. Some people refer to this as the National Drug File. [[FILE 50.68]] |
*<b>VA GENERIC</b> file (file #50.6, ^PSNDF(50.6)) | *<b>VA GENERIC</b> file (file #50.6, ^PSNDF(50.6)) | ||
| − | *<b>DRUG</b> file (file #50, ^PSDRUG(*)) holds all the drugs in the local formulary. This links to above. [[ | + | *<b>DRUG</b> file (file #50, ^PSDRUG(*)) holds all the drugs in the local formulary. This links to above. [[FILE 50]] |
| − | *<b>PHARMACY ORDERABLE ITEM</b> file (file #50.7, ^PS(50.7,*)) holds things that can be ordered from the pharmacy. This links to above. [[ | + | *<b>PHARMACY ORDERABLE ITEM</b> file (file #50.7, ^PS(50.7,*)) holds things that can be ordered from the pharmacy. This links to above. [[FILE 50.7]] |
| − | *<b>ORDERABLE ITEM</b> file (file #101.43, ^ORD(101.43,*)) holds things that can be ordered, including labs and drugs. This links to above. [[ | + | *<b>ORDERABLE ITEM</b> file (file #101.43, ^ORD(101.43,*)) holds things that can be ordered, including labs and drugs. This links to above. [[FILE 101.43]] |
| − | *<b>ORDER QUICK VIEW</b> file (file #101.44, ^ORD(101.44,*)) holds "quick order" entries. This links to above. [[ | + | *<b>ORDER QUICK VIEW</b> file (file #101.44, ^ORD(101.44,*)) holds "quick order" entries. This links to above. [[FILE 101.44]] |
| − | *<b>PENDING OUTPATIENT ORDERS</b> file (file #52.41, ^PS(52.41,*)) holds prescription requests entries, to be approved by pharmacist [[ | + | *<b>PENDING OUTPATIENT ORDERS</b> file (file #52.41, ^PS(52.41,*)) holds prescription requests entries, to be approved by pharmacist [[FILE 52.41]] |
| − | *<b>PRESCRIPTION FILE</b> file (file #52, ^PSRX(*)) holds prescriptions [[ | + | *<b>PRESCRIPTION FILE</b> file (file #52, ^PSRX(*)) holds prescriptions [[FILE 52]] |
[[Summary of Pharmacy File Linkages]] | [[Summary of Pharmacy File Linkages]] | ||
| Line 500: | Line 500: | ||
Select New Rx # for TEST,KEVIN: | Select New Rx # for TEST,KEVIN: | ||
| − | ''Initially I had a problem, but then got this working, after fixing a bug in my version of the PSO code. I kept getting a crash at ACP+6^PSOORNEW when I would enter a prescription number. I stepped through it and found that PSONEW("QFLG") was not being set, which then caused a "variable-doesn't-exist" error. I wrapped this in a $G() and the code was able to continue and complete the prescription. ... Another problem was that I didn't have the setting correct regarding automatically numbering prescriptions. I needed to set that | + | ''Initially I had a problem, but then got this working, after fixing a bug in my version of the PSO code. I kept getting a crash at ACP+6^PSOORNEW when I would enter a prescription number. I stepped through it and found that PSONEW("QFLG") was not being set, which then caused a "variable-doesn't-exist" error. I wrapped this in a $G() and the code was able to continue and complete the prescription. ... Another problem was that I didn't have the setting correct regarding automatically numbering prescriptions. I needed to set that to "YES", and then give an upper and lower range and a last-prescribed value into a fields 27000...'' |
Tracing through the code, I find the following stack (order of execution) (earliest calls on the bottom) when I break at the first [[prompt~|Prompt]] after launching a FN finish. | Tracing through the code, I find the following stack (order of execution) (earliest calls on the bottom) when I break at the first [[prompt~|Prompt]] after launching a FN finish. | ||
| Line 506: | Line 506: | ||
EN^PSON52 <-- create new entry in prescription file | EN^PSON52 <-- create new entry in prescription file | ||
ACP+10^PSOORNEW <-- Module: display orders from oerr | ACP+10^PSOORNEW <-- Module: display orders from oerr | ||
| − | LOOP+6^XQOR1 <-- | + | LOOP+6^XQOR1 <-- [[Kernel Unwinder]] code |
| − | STAK+3^XQOR1 <-- | + | STAK+3^XQOR1 <-- [[Kernel Unwinder]] code |
| − | ASK+1^VALM <-- | + | ASK+1^VALM <-- [[ListMan]] code |
| − | EN+8^VALM <-- | + | EN+8^VALM <-- [[ListMan]] code |
| − | EN+1^PSOLMPO <-- starts | + | EN+1^PSOLMPO <-- starts [[ListMan]] session to allow FN to be chosen |
PST+42^PSOORFI1 <-- shows order | PST+42^PSOORFI1 <-- shows order | ||
ORD+14^PSOORFIN <-- Module: finish [[cprs~|CPRS]] orders | ORD+14^PSOORFIN <-- Module: finish [[cprs~|CPRS]] orders | ||
Latest revision as of 16:25, 20 February 2013
This page will contain notes to work out pharmacy programming issues.
Initiated by K. Toppenberg 4/2005
Contents
- 1 Keys Needed for Pharm. Setup
- 2 Files and Relationships
- 3 Example of Data
- 4 Example Entry
- 5 Other Important Pharmacy Files and Relationships
- 6 Steps to Adding One Drug / Making Available in CPRS
- 7 Relevent Menu Options
- 8 Emails Regarding Adding Drugs
- 9 Instructions for entering a drug through menus
- 10 RPC Calls
- 11 Completion of [[CPRS~|CPRS] drug orders
- 12 Prescription Auto-Finishing
Keys Needed for Pharm. Setup
We searched pharmacy routines and found keys that were needed for some of the pharmacy setup routines. Here are the keys that were found: PSA ORDERS, PSAMGR, PSJ RPWARN, PSB MANAGER, PSB CPRS MED BUTTON, PSB INSTRUCTOR, PROVIDER, PSD TECH, PSDMGR, PSD BUMGR, PSD ERROR, PSD PARAM, PSD TRAN
Files and Relationships
- VA PRODUCT file (file #50.68, ^PSNDF(50.68,*)) holds ALL possible drugs. Some people refer to this as the National Drug File. FILE 50.68
- VA GENERIC file (file #50.6, ^PSNDF(50.6))
- DRUG file (file #50, ^PSDRUG(*)) holds all the drugs in the local formulary. This links to above. FILE 50
- PHARMACY ORDERABLE ITEM file (file #50.7, ^PS(50.7,*)) holds things that can be ordered from the pharmacy. This links to above. FILE 50.7
- ORDERABLE ITEM file (file #101.43, ^ORD(101.43,*)) holds things that can be ordered, including labs and drugs. This links to above. FILE 101.43
- ORDER QUICK VIEW file (file #101.44, ^ORD(101.44,*)) holds "quick order" entries. This links to above. FILE 101.44
- PENDING OUTPATIENT ORDERS file (file #52.41, ^PS(52.41,*)) holds prescription requests entries, to be approved by pharmacist FILE 52.41
- PRESCRIPTION FILE file (file #52, ^PSRX(*)) holds prescriptions FILE 52
Summary of Pharmacy File Linkages
What I Have Learned so Far
1. File 50.7 (PHARMACY ORDERABLE ITEM):
**A Record in this file should be created first. .01 field should be the generic name of the drug. When the Record is created, an entry in fle 101.43 (ORDERABLE ITEM) will automatically be made. Also, a Record in in ORDER QUICK VIEW will also be created (but it is incomplete--see below.) Note: new drugs may not be added unless PSEDITNM>0. So to setup a drug in fileman, set PSEDITNM=1 from the command-line, then DO D^DI to get into Fileman with vars intact. In the MED ROUTE field, the input transform does not allow an input of "ORAL". (If left blank ORAL will be shown in CPRS) This file can hold the synonyms of a drug etc. When this Record is created, for some reason it is automatically given the current date in the INACTIVE DATE field--meaning it is created in an inactive state. One must go back and edit the Record a second time to remove the entry from this field. File 101.43 (ORDERABLE ITEM), field ID holds a text pointer to this file, e.g. "10;99PSP" <---- 10 is IEN in file #50.7 There is no pointer field from file 50.7 up to file 50. The link is FROM file #50 TO #50.7 (via file #50's field 2.1(PHARMACY ORDERABLE ITEM)). HOWEVER, File #50's "ASP" cross-reference for the field "PHARMACY ORDERABLE ITEM (#2.1) i.e. ^PSDRUG("ASP",IEN_in_50.7,*), contains list of linked Records in file #50
2. In file# 50 (DRUG, ^PSDRUG):
This file will hold a separate Record for every different medication/tablet size. For example, there will be one for AMOXICILLIN 250, and another for AMOXICILLIN 500. Both of the above Records would be linked to one Record in the PHARMACY ORDERABLE ITEM, i.e. an AMOXICILLIN Record. The link should be in field 2.1 (the PHARMACY ORDERABLE ITEM field), which will hold a pointer to file 50.7 (PHARMACY ORDERABLE ITEM file)
3. In file 101.43 (ORDERABLE ITEM) an entry for the drug must exist like this:
This entry should have been made automatically when the PHARMACY ORDERABLE ITEM was created. file 101.43 Record: .01 NAME = LISINOPRIL 2 ID = "Unique identifier, created from primary key passed in the Orderable Items update message from each package; it will be in the form of 'package code;99XXX' where XXX indicates the package table originating this item (i.e. RAP,LRT,etc.) [e.g. in my system, then entry for DILTIAZEM TAB is 1;99PSP] "Package code" should be the IEN on the PHARMACY ORDERABLE ITEM (#50.7)
4. 101.44 (ORDER QUICK VIEW) For meds to show up in the dialog box in CPRS, it must have a entry like this:
Again, this entry should have been created automatically when the PHARMACY ORDERABLE ITEM was created. But for some reason, the DISPLAY TEXT field is not filled in. Without this, the drug will not appear in CPRS. So this must be manually supplied.
file: 101.44 (ORDER QUICK VIEW); Record: ORWDSET O RX; subfile: SET MEMBER (101.442) Record: SET MEMBER: _IEN_ pointer to 101.43 (ORDERABLE ITEM) ... a drug would go here DISPLAY TEXT: "A name to appear in CPRS appears here. Record: SET MEMBER: _IEN_ pointer to 101.43 (ORDERABLE ITEM) ... a drug would go here DISPLAY TEXT: "A name to appear in CPRS appears here. Record: SET MEMBER: _IEN_ pointer to 101.43 (ORDERABLE ITEM) ... a drug would go here DISPLAY TEXT: "A name to appear in CPRS appears here. Record: SET MEMBER: _IEN_ pointer to 101.43 (ORDERABLE ITEM) ... a drug would go here DISPLAY TEXT: "A name to appear in CPRS appears here.
Example of Data
File 101.44 (ORDER QUICK VIEW)
.01-NAME : ORWDSET O RX
6-LAST UPDATE : 60414,61441
20-SET MEMBER :
-snip-
Multiple Entry #15 <--- notice that there are no doses
.01-SET MEMBER : SILDENAFIL TAB <-- pointer to 101.43
2-DISPLAY TEXT : SILDENAFIL TAB
-snip-
Multiple Entry #17 <--- notice that there are no doses
.01-SET MEMBER : SILDENAFIL TAB <-- pointer to 101.43
2-DISPLAY TEXT : VIAGRA <SILDENAFIL TAB>
-snip-
||
||
\/
File 101.43 (ORDERABLE ITEM)
.01-NAME : SILDENAFIL TAB
1-SYNONYMS :
Multiple Entry #1
.01-SYNONYM : VIAGRA
1.1-PACKAGE NAME : SILDENAFIL TAB
2-ID : 4;99PSP <--- pointer to IEN=4 in 50.7
5-DISPLAY GROUP : PHARMACY
9-SET MEMBERSHIP :
Multiple Entry #1
.01-SET : RX
-snip-
||
||
\/
File 50.7 (PHARMACY ORDERABLE ITEM)
.01-NAME : SILDENAFIL
.02-DOSAGE FORM : TAB
.05-DAY (nD) or DOSE (nL) LIMIT : 2L
.07-SCHEDULE TYPE : FILL ON REQUEST
2-SYNONYM :
Multiple Entry #1
.01-SYNONYM : VIAGRA <-- free text
7-PATIENT INSTRUCTIONS : [Do not take with nitroglycerin]
||
||
\/
ASP index in file 50 allows link from 50.7 --> 50
^PSDRUG("ASP",4,7118) = IEN# 4 in 50.7 --> IEN# 7118 in 50
||
||
\/
File 50 (DRUG file) (some noncontributory fields edited)
.001-NUMBER : 7118
.01-GENERIC NAME : SILDENAFIL (Viagra) 50MG TAB
2.1-PHARMACY ORDERABLE ITEM : SILDENAFIL
9-SYNONYM :
Multiple Entry #2
.01-SYNONYM : VIAGRA
1-INTENDED USE : TRADE NAME
14.5-DISPENSE UNIT : TAB
20-NATIONAL DRUG FILE ENTRY : SILDENAFIL
21-VA PRODUCT NAME : SILDENAFIL CITRATE 50MG TAB
22-PSNDF VA PRODUCT NAME ENTRY : SILDENAFIL CITRATE 50MG TAB
101-MESSAGE : Use for 25mg dose only
215-QUANTITY DISPENSE MESSAGE : MAX 4 DOSE/MO-CONTRAINDICATED WITH NITRATES
901-STRENGTH : 50
902-UNIT : MG
903-POSSIBLE DOSAGES :
Multiple Entry #1
.01-DISPENSE UNITS PER DOSE : 1
2-PACKAGE : IO
Multiple Entry #2
.01-DISPENSE UNITS PER DOSE : .5
2-PACKAGE : O
Multiple Entry #3
.01-DISPENSE UNITS PER DOSE : 1
1-DOSE : 50
2-PACKAGE : IO
Multiple Entry #4
.01-DISPENSE UNITS PER DOSE : 2
1-DOSE : 100
2-PACKAGE : IO
Example Entry
Here is an example of entering the drug the "proper" way, via menu options: Drug Entry Edit Example
Here is a sample inquirery of one successfuly added drug: furosemide (NOTICE: in this system, there is only 1 orderable drug from CPRS)
OUTPUT FROM WHAT FILE: NEW PERSON// 50.7 PHARMACY ORDERABLE ITEM
(1 entry)
(NOTE: reformatted for easier reading)
Select PHARMACY ORDERABLE ITEM NAME: ?
Answer with PHARMACY ORDERABLE ITEM NAME, or SYNONYM, or OI-DRUG TEXT ENTRY:
FUROSEMIDE FUROSEMIDE TAB
Select PHARMACY ORDERABLE ITEM NAME: furOSEMIDE TAB
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes// (Yes)
Include COMPUTED fields: (N/Y/R/B): NO// b BOTH Computed Fields and Record Number (IEN)
NUMBER: 1
NAME: FUROSEMIDE
SYNONYM: LASIX
DOSAGE FORM: TAB
Select PHARMACY ORDERABLE ITEM NAME:
OUTPUT FROM WHAT FILE: 101.43 ORDERABLE ITEMS//
(NOTE: reformatted for easier reading)
Select ORDERABLE ITEMS NAME: furose
1 FUROSEMIDE
2 FUROSEMIDE TAB
CHOOSE 1-2: 1 FUROSEMIDE
ANOTHER ONE: furo
1 FUROSEMIDE
2 FUROSEMIDE TAB
CHOOSE 1-2: 2 FUROSEMIDE TAB
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes// (Yes)
Include COMPUTED fields: (N/Y/R/B): NO// b BOTH Computed Fields and Record Number (IEN)
NUMBER: 774
NAME: FUROSEMIDE
ID: 828;99LRT
DISPLAY GROUP: LABORATORY
PACKAGE NAME: FUROSEMIDE
SYNONYM: LASIX
SET: LAB
TYPE: both
NUMBER: 1659
NAME: FUROSEMIDE TAB
ID: 1;99PSP <---- x;99PSP x=IEN in file# 50.7 (PHARMACY ORDERABLE ITEM)
DISPLAY GROUP: PHARMACY
PACKAGE NAME: FUROSEMIDE TAB
SET: RX
SET: UD RX
SET: O RX
INPATIENT MED: YES
OUTPATIENT MED: YES
IV BASE: NO
IV ADDITIVE: NO
SUPPLY: NO
NON-FORMULARY: NO
NON-VA MEDS: NO
Select ORDERABLE ITEMS NAME:
OUTPUT FROM WHAT FILE: 101.44 ORDER QUICK VIEW
(2 entries)
(NOTE: reformatted for easier reading)
Select ORDER QUICK VIEW NAME: ?
Answer with ORDER QUICK VIEW NAME
Choose from:
ORWDQ PKG35 DO
ORWDSET O RX
Select ORDER QUICK VIEW NAME: orwdset O RX
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes// (Yes)
Include COMPUTED fields: (N/Y/R/B): NO// b BOTH Computed Fields and Record Number (IEN)
NUMBER: 2
NAME: ORWDSET O RX
LAST UPDATE: 60201,74282
SET MEMBER: FUROSEMIDE TAB
DISPLAY TEXT: FUROSEMIDE TAB
Select ORDER QUICK VIEW NAME:
Other Important Pharmacy Files and Relationships
Steps to Adding One Drug / Making Available in CPRS
GTM>set PSEDITNM=1
GTM>D D^DI
VA FileMan 22.0
Select OPTION: enter OR EDIT FILE ENTRIES
INPUT TO WHAT FILE: DRUG// 50.7 PHARMACY ORDERABLE ITEM
(3 entries)
EDIT WHICH FIELD: ALL//
Select PHARMACY ORDERABLE ITEM NAME: VIAGRA
Are you adding 'VIAGRA' as a new PHARMACY ORDERABLE ITEM (the 4TH)? No// Y
(Yes)
PHARMACY ORDERABLE ITEM DOSAGE FORM: tab
1 TAB
2 TAB,BUCC,SA
3 TAB,BUCCAL
4 TAB,CHEWABLE
5 TAB,CHEWG GUM
Press <RETURN> to see more, '^' to exit this list, OR
CHOOSE 1-5: 1 TAB
PHARMACY ORDERABLE ITEM INACTIVE DATE:
DOSAGE FORM: TAB// (No Editing)
IV FLAG:
INACTIVE DATE:
DAY (nD) or DOSE (nL) LIMIT: ??
Type a whole number between 0 and 99, 0 decimal digits, followed by either
a "D" (for NUMBER OF DAYS) or an "L" (for DOSE LIMIT).
DAY (nD) or DOSE (nL) LIMIT: 2L
MED ROUTE:
SCHEDULE TYPE: r FILL ON REQUEST
SCHEDULE:
SUPPLY:
Select SYNONYM: VIAGRA
Are you adding 'VIAGRA' as a new SYNONYM (the 1ST for this PHARMACY ORDERABLE ITEM)? No// Y (Yes)
Select SYNONYM:
Select OI-DRUG TEXT ENTRY:
PATIENT INSTRUCTIONS: [Do not take with nitroglycerin]
[Do not take with nitroglycerin]
OTHER LANGUAGE INSTRUCTIONS:
NON-VA MED:
Select PHARMACY ORDERABLE ITEM NAME:
Select OPTION:
Note: You have to go back and edit the INACTIVE DATE, and delete the value.
Now create link from #50, field 2.1 --> 50.7
Select OPTION: eNTER OR EDIT FILE ENTRIES INPUT TO WHAT FILE: DRUG// 50 DRUG (5173 entries) EDIT WHICH FIELD: ALL// pharmACY ORDERABLE ITEM THEN EDIT FIELD: Select DRUG GENERIC NAME: viagra 1 VIAGRA SILDENAFIL (Viagra) 50MG TAB GU900 Use for 25mg dose only 2 VIAGRA SILDENAFIL (Viagra) 100MG TAB GU900 ONLY 4 DOSES PER MONTH ALLOWED CHOOSE 1-2: 1 SILDENAFIL (Viagra) 50MG TAB GU900 Use for 25mg dose only PHARMACY ORDERABLE ITEM: viagra TAB 04-25-2005 <--- Date is an INACTIVE data. Delete value in 50.7 Select DRUG GENERIC NAME: viag 1 VIAGRA SILDENAFIL (Viagra) 50MG TAB GU900 Use for 25mg dose only 2 VIAGRA SILDENAFIL (Viagra) 100MG TAB GU900 ONLY 4 DOSES PER MONTH ALLOWED CHOOSE 1-2: 2 SILDENAFIL (Viagra) 100MG TAB GU900 ONLY 4 DOSES PER MONTH ALLOWED PHARMACY ORDERABLE ITEM: viagra TAB 04-25-2005 <--- Date is an INACTIVE data. Delete value in 50.7 Select DRUG GENERIC NAME: Select OPTION:
... to be continued later.....
Relevent Menu Options
Here is a pharmacy option/menu setup I gathered:
ADD Drug Enter/Edit [PSS DRUG ENTER/EDIT]
cv Protocol Conversion Utilities ... [ORCM CONVERSION UTILITIES]
EOI Edit Orderable Items [PSS EDIT ORDERABLE ITEMS]
Mgr Pharmacy Data Management ... [PSS MGR]
NDF National Drug File Menu ... [PSNMGR]
Out Outpatient Pharmacy Manager ... [PSO MANAGER]
xxx Enter/Edit a Drug [PSA DRUG ENTER/EDIT] <--- don't use this one
Drug Accountability Menu ... [PSA DRUG ACCOUNTABILITY MENU]
Drug Receipt History Review [PSA DRUG HISTORY]
Drug Transaction History [PSA DRUG DISPLAY]
Inquire/Compare DRUG file/ITEM MASTER file [PSA DRUG INQUIRE]
Emails Regarding Adding Drugs
Moved here: Pharmacy Setup Emails
Helpful post here: Instructions for New Drug Entry
RPC Calls
ORWUL^FVSUB -- gets the list of drugs to display in the box.
ORWDXA ISACTOI
ORWDPS1 FAILDEA
ORWOR PKISITE
When a drug is selected in the new medicine dialog, the following RPC's are called:
ORWDPS2 OISLCT example params: 1158,0,1,Y,N
Remote procedure file details for this: OISLCT^ORWDPS2(LST,OI,PSTYPE,ORVP,NEEDPI,PKIACTIV)
This returns defaults for ordering
Example:
Params ------------------------------------------------------------------
literal 1158
literal O
literal 1
literal Y
literal N
Results -----------------------------------------------------------------
~Medication
d1158^ACYCLOVIR CAP,ORAL
~Verb
dTAKE
~Preposition
dBY
~PtInstr
~AllDoses
i200MG^5671^200&MG&1&CAPSULE&200MG&5671&200&MG
i400MG^5671^400&MG&2&CAPSULES&400MG&5671&200&MG
NOTE: format-- iDrugName^Strength^NF^TDose&Units&U/D&Noun&LDose&Stren^
DoseText^CostText^MaxRefills^DispUnits^CanSplit
~Dosage
iACYCLOVIR 200MG^200MG^^200&MG&1&CAPSULE&200MG&5671&200&MG^200MG^^11^CAP
iACYCLOVIR 200MG^200MG^^400&MG&2&CAPSULES&400MG&5671&200&MG^400MG^^11^CAP
NOTE: format-- iDrugName^Strength^NF^TDose&Units&U/D&Noun&LDose&Stren^
DoseText^CostText^MaxRefills^DispUnits^CanSplit
~Dispense
i5671^200^MG^ACYCLOVIR 200MG^0
NOTE: format-- DrugIEN^Strength^Units^Name^Splict
~Route
i1^ORAL^PO^MOUTH^0
~Schedule
~Guideline
~Message
~DEASchedule
d
Completion of [[CPRS~|CPRS] drug orders
The menu option for completing a medication order entered in CPRS is PSO LMOE FINISH
This menu option causes execution of code: DO ^PSOORFIN The code for PSOORFIN.m in my VOE folder has a copyright GNU GPL WorldVista. This is different from the one in my older server setup.
File 52.41 holds PENDING OUTPATIENT ORDERS And after the order is "finished" via the above order, it is removed from this file.
older stuff below------------
This is a debug trace. First, I entered a drug in CPRS, but didn't sign it....
CPRS gets name of drug order (unsigned) via ORWORR GETTXT Params: "239;1" Results: PENICILLIN TAB 250MG TAKE ONE TABLET BY MOUTH TWICE A DAY Quantity: 20 Refills: 0 *UNSIGNED* Above, 239;1 is the link to the drug order. It comes from: ORWORR AGET Params: "70774", "2^0", "1", "0", "0", "" Results ----------------------------------------------------------------- 10^2^ 239;1^4^3080202.1616^^ <----- the drug order 229;1^43^3080201.1208^^ ... I then signed the order in CPRS. It is now displayed on the medications tab. Here is the RPC that got that:
ORWPS ACTIVE Params "70774" Results ~OP^44P;O^PENICILLIN TAB 250 MG^^^^^^239^PENDING^^^20^^0 PENICILLIN TAB 250 MG Qty: 20 \ Sig: TAKE ONE TABLET BY MOUTH TWICE A DAY After a drug is entered in CPRS, it is put into: file 52.41 - PENDING OUTPATIENT ORDERS
Now, to complete the prescription, must go to Terminal mode.
menu options:
PSO MANAGER --> PSO RX --> PSO LM BACKDOOR ORDERS
From there I am taken into a screenman form where I can view and update the patient information. I press ENTER twice, and then I am shown the prescription that is pending (i.e. signed in CPRS).
I am able to edit the prescription. And then I enter FN to finish the prescription.
From there I am prompted:
Select New Rx # for TEST,KEVIN: ??
ENTER A VALID PRESCRIPTION NUMBER
OR BARCODE PRESCRIPTION NUMBER
OR 'P' TO GET A PATIENT PROFILE
(works only if in the OUTPATIENT package)
This is the prescription number.
Select New Rx # for TEST,KEVIN:
Initially I had a problem, but then got this working, after fixing a bug in my version of the PSO code. I kept getting a crash at ACP+6^PSOORNEW when I would enter a prescription number. I stepped through it and found that PSONEW("QFLG") was not being set, which then caused a "variable-doesn't-exist" error. I wrapped this in a $G() and the code was able to continue and complete the prescription. ... Another problem was that I didn't have the setting correct regarding automatically numbering prescriptions. I needed to set that to "YES", and then give an upper and lower range and a last-prescribed value into a fields 27000...
Tracing through the code, I find the following stack (order of execution) (earliest calls on the bottom) when I break at the first Prompt after launching a FN finish.
EN^PSON52 <-- create new entry in prescription file ACP+10^PSOORNEW <-- Module: display orders from oerr LOOP+6^XQOR1 <-- Kernel Unwinder code STAK+3^XQOR1 <-- Kernel Unwinder code ASK+1^VALM <-- ListMan code EN+8^VALM <-- ListMan code EN+1^PSOLMPO <-- starts ListMan session to allow FN to be chosen PST+42^PSOORFI1 <-- shows order ORD+14^PSOORFIN <-- Module: finish CPRS orders OK^PSOORNE5 NEWSEL+2^PSOORNE2 NEWSEL+1^PSOORNE2 NEWSEL+1^PSOLMUTL ...
My goal was to see if I could create an API out of this process, so that the launching of completion of the FN could be done programatically.
I did find that EN^PSON52(PSOX) seems to be a key entry point. It is called from ACP^PSOORNEW
Starting in ACP^PSOORNEW, I found that PSONEW is modified. Then it is passed as PSOX into EN^PSON52. So the question is, what is setup prior to this call?
PSODRUG seems to contain the info for the drug that has been prescribed.
PSODRUG("CLN")=269
PSODRUG("COST")=""
PSODRUG("DEA")=""
PSODRUG("EXPIRATION DATE")=""
PSODRUG("OIN")="A-HYDROCORT INJ"
PSODRUG("SIG")="USE AS DIRECTED"
PSODRUG("UNIT")=""
PSODRUG("VA CLASS")="HS051"
PSONEW contains other info
PSONEW("# OF REFILLS")=0
PSONEW("CHCS NUMBER")=""
PSONEW("CLERK CODE")=73
PSONEW("CLINIC")=6
PSONEW("DAYS SUPPLY")=30
PSONEW("DFLG")=0
PSONEW("DOSE",1)="54;14"
PSONEW("DOSE ORDERED",1)=1
PSONEW("DURATION",1)=""
PSONEW("ENT")=1
PSONEW("EXTERNAL SYSTEM")=""
PSONEW("FILL DATE")=3090404
PSONEW("ISSUE DATE")="APR 4,2009"
PSONEW("MAIL/WINDOW")="W"
PSONEW("NOUN",1)=""
PSONEW("PATIENT STATUS")=20
PSONEW("PROVIDER")=73
PSONEW("PROVIDER NAME")="TOPPENBERG,KEVIN S"
PSONEW("QFLG")=0
PSONEW("QTY")=60
PSONEW("REMARKS")=""
PSONEW("ROUTE",1)=1
PSONEW("SCHEDULE",1)="BID"
PSONEW("UNITS",1)=1391
PSONEW("VERB",1)="TAKE"
By the end of ACP, PSONEW has had the following fields added:
PSONEW("NEWCOPAY")=0
PSONEW("OLD LAST RX#",8)=22
PSONEW("POE")=1
PSONEW("RX #")=23
After passed as PSORX into EN^PSON52, the values are as below. Notice that drug name is still missing, so I think that PSODRUG is also still required.
PSOX("# OF REFILLS")=0
PSOX("CHCS NUMBER")=""
PSOX("CLERK CODE")=73
PSOX("CLINIC")=6
PSOX("DAYS SUPPLY")=30
PSOX("DFLG")=0
PSOX("DOSE",1)="5;30;100"
PSOX("DOSE ORDERED",1)=1
PSOX("DURATION",1)=""
PSOX("ENT")=1
PSOX("EXTERNAL SYSTEM")=""
PSOX("FILL DATE")=3090403
PSOX("ISSUE DATE")="APR 3,2009"
PSOX("MAIL/WINDOW")="W"
PSOX("NEWCOPAY")=0
PSOX("NOUN",1)=""
PSOX("OLD LAST RX#",8)=22
PSOX("PATIENT STATUS")=20
PSOX("POE")=1
PSOX("PROVIDER")=73
PSOX("PROVIDER NAME")="TOPPENBERG,KEVIN S"
PSOX("QFLG")=0
PSOX("QTY")=5
PSOX("REMARKS")=""
PSOX("ROUTE",1)=1
PSOX("RX #")=23
PSOX("SCHEDULE",1)="NOW"
PSOX("UNITS",1)=967
PSOX("VERB",1)="TAKE"
After creating the new entry, the pending entry is deleted here
DCORD+1^PSONEW2
So the next question is, how can I populate PSONEW given an IEN in the pending orders file?
After the drug is completed in the Terminal, it is removed from File 52.41 holds PENDING OUTPATIENT ORDERS.
However, from CPRS, it is still the same RPC call [ORWPS ACTIVE] that gets the list of active medications--both those Pending (await terminal-mode completion, meaning that they are in the PENDING OUTPATIENT ORDERS) and those that are completed.
Prescription Auto-Finishing
This section got too long. So moved to a separate page.
