| DESCRIPTION OF ENHANCEMENTS |
The Inbound Electronic Prescribing (eRx) Phase 2 Enhancements delivered in this
1. (HDSO-7262) New eRx RX CHANGE REQUEST user interface
---------------------------------------------------------------------------
The current eRx Change Request (EC) is being significantly improved to
facilitate the submission of RX CHANGE REQUEST messages to the prescriber.
Below is a list of modifications delivered in this patch:
a)When the user selects the CHANGE REQUEST CODE D - DUE (Drug Use
Evaluation), they will be prompt to select a CHANGE REQUEST SUB-CODE as
shown below:
File Name (#) Field Name (#) New/Modified/Deleted
. . .
Select one of the following:
D DUE (Drug Use Evaluation)
G Generic Substitution
OS Out of Stock
P Prior Authorization Required
S Script Clarification
T Therapeutic Interchange/Substitution
U Prescriber Authorization
----------------- ---------------- --------------------
CHANGE REQUEST CODE: d DUE (Drug Use Evaluation)
Select one of the following:
AR - Adverse Drug Reaction
DA - Drug-Allergy
DD - Drug-Drug Interaction
DI - Drug Incompatibility
DR - Dose Range Conflict
ERX SERVICE REASON CODES (#52.45) Modified
HD - High Dose
ID - Ingredient Duplication
LD - Low Dose
MS - Missing Information/Clarification
PS - Product Selection Opportunity
SX - Drug-Gender
TD - Therapeutic
TP - Payer/Processor
UD - Duplicate Drug
CHANGE REQUEST REASON TEXT (#20) New
Type '?' for the full list.
. . .
b)The code G - Generic Substitution will always be available for selection
and in case the user selects this code for an eRx that already allows
substitution the following message will display:
. . .
CHANGE REQUEST CODE: G Generic Substitution
Substitutions are already allowed by prescriber for this eRx.
CHANGE REQUEST CODE:
. . .
c)A new field called NOTE TO PROVIDER will be presented to the user after
the code (and sub-code) is answered. It's a word-processing field and it
will be pre-populated for most codes/sub-codes selected with a
pre-defined template text. Some pre-defined texts contains place holders
such as [ADD_TEXT_HERE] and [DRUG_NAME] that must be replaced with the
actual information before proceeding.
ERX HOLDING QUEUE (#52.49) Modified
. . .
CHANGE REQUEST CODE: s Script Clarification
=[ WRAP ]=[INSERT ]======< NOTE TO PROVIDER >=[Press <PF1>H for help]====
The eRx is missing or unclear on [ADD_TEXT_HERE], Please edit and respond
or cancel Rx and send a new prescription with the requested information.
=======T=======T=======T=======T=======T=======T=======T=======T=======T=
Saving Text...
FUTURE FILL HOLD DATE (#6.7) New
The place holder [ADD_TEXT_HERE] must be replaced before proceeding.
Press Return to continue:
=[ WRAP ]=[INSERT ]======< NOTE TO PROVIDER >=[Press <PF1>H for help]====
The eRx is missing or unclear on [ADD_TEXT_HERE], Please edit and respond
or cancel Rx and send a new prescription with the requested information.
=======T=======T=======T=======T=======T=======T=======T=======T=======T=
CHANGE REQUEST REASON TEXT (#317) New
d)Users will now be allowed to send more than one change request for the
same eRx. The software will inform the user that one (or more) Change
Request(s) has already been sent for the eRx right after they select EC
(eRx Change Request) and will allow them to proceed, as shown below:
2 Rx Change Requests have already been sent for this eRx.
e)Users will be able to enter up to 9 different drug suggestions, before
it was limited to a maximum 3 entries.
CH REQ PROGRESS NOTE REF # (#320.1) New
f)The interface for entering drug suggestion was improved to easily allow
the user to view, edit and delete entries before submitting the RX CHANGE
REQUEST to the prescriber, as shown below:
...
Select Drug Suggestion Option: (N)EW (F)INISH: NEW
Select one of the following:
E USE ERX DRUG
V CHOOSE A VISTA DRUG
patch is a continuation effort to convert all of the MbM Class 3 modifications
CH REQ PROGRESS NOTE COMMENT (#320.2) New
DRUG SELECTION: E USE ERX DRUG
eRx Drug: ACETAMINOPHEN 325MG TAB UPN: 00069306030
SUBSTITUTIONS? YES//
QUANTITY: 120//
Select one of the following:
38 Original Quantity
40 Remaining Quantity
87 Quantity Received
QS Quantity sufficient as determined by the disp. pharmacy
QT Quantity Transferred
CF Compound Final Quantity
UQ Central Fill Unit of Use Quantity
QTY QUALIFIER: 38// Original Quantity
QTY UNIT OF MEASURE: TABLET DOSING UNIT C48542 TABLET DOSING UNIT
STATUS HISTORY Sub file (#52.4919) Modified
DAYS SUPPLY: (1-365): 30//
# OF REFILLS: (0-11): 0//
SIG Text: ..
==[ WRAP ]==[INSERT ]========< SIG Text >=====[Press <PF1>H for help]====
TAKE ONE TABLET PO Q4H PRN FOR 10 DAYS
=======T=======T=======T=======T=======T=======T=======T=======T=======T=
ADDITIONAL NOTE TO PROVIDER: NOTE TO PRESCRIBER
Updating...OK
FUTURE FILL HOLD DATE (#.05) New
# DRUG QTY # REFS DAYS SUPPLY SUBS
--------------------------------------------------------------------------
1 (E)ACETAMINOPHEN 325MG TAB 120 0 30 YES
Sig : TAKE ONE TABLET PO Q4H PRN FOR 10 DAYS
Note: NOTE TO PRESCRIBER
Select Drug Suggestion Option: (N)EW (E)DIT (D)ELETE (F)INISH:
g) After entering the suggested medications the user will be prompted to
enter a comment for the field VA PROGRESS NOTE COMMENTS (Optional).
The input from the user will be appended to the patient progress note
automatically created after the Change Request is submitted to the
prescriber.
h) A Summary will be displayed to the user and a prompt asking if they
want to edit the Change Request before submitting to the prescriber, as
show below:
RX CHANGE REQUEST SUMMARY
------------------------------------------------------------------------
Change Request Reason Code: D - DUE (Drug Use Evaluation)
Forms Associated:
Change Request Reason Sub-Code: AR - Adverse Drug Reaction
Note to Provider:
Patient has an adverse drug reaction to medication/component of
medication prescribed. To fill as is, send denial to this request with
note stating reason fill is acceptable. If med should not be filled-
Cancel RX and send a replacement.
# DRUG QTY # REFS DAYS SUPPLY SUBS
-------------------------------------------------------------------------
1 (E)OMEPRAZOLE 20MG EC CAP 90 11 30 YES
Sig : TAKE ONE CAPSULE BY MOUTH ONCE DAILY BEFORE MEAL
Note: NOTE TO COMMUNITY PRESCRIBER REGARDING THIS DRUG
VA Progress Note Comment: NOTE TO INCLUDE IN THE PROGRESS NOTE
Would you like to edit this Rx Change Request before sending it? NO//
i)Once the user submits the Change Request to the prescriber a Progress
Note will be automatically created for the patient. The content of the
Progress Note created will be same text from the eRx Change Request
Form Name File Number New/Modified/Deleted
Display record addition of the VA PROGRESS NOTE COMMENT field mentioned
above:
Would you like to edit this Rx Change Request before sending it? NO//
Would you like to send this Rx Change Request? YES// YES
Sending Request to Provider...Done.
Creating a new Progress Note...Done.
--------- ----------- --------------------
Type <Enter> to continue or '^' to exit:
j)When the response is received from the prescriber for the submitted
Change Request an addendum to Progress Note created for the Request will
be automatically created with the Change Response content.
2. (HDSO-7263) eRx Holding Queue Display Conversion (Patient Summary
Display)
---------------------------------------------------------------------------
The new Single eRx View/Display option will replace the existing eRx
N/A
Holding Queue Display. The header will contain the following information
(without the reverse or highlighted video features):
Single eRx View/Display Mar 04, 2024@15:49:40 Page: 1 of 3
eRx Patient: LASTNAME,FIRSTNAME Y eRx Reference #: 999998
eRx Message Type: NEWRX
eRx Status: HC - HOLD DUE TO CHANGE
The eRx Hold Reason will be displayed on the first line or row of the
Single eRx View/Display list area.
into Class 1. Below is a summary of the changes being delivered in this patch.
Only display the eRx Hold Reason if it contains data. In the event that the
user put the eRx on hold but did not enter any reason, the eRx Hold Reason
will not be displayed.
Note: If the on-hold reason is longer than 60 characters, the eRx Hold
Reason will be truncated. The last three characters will be replaced
with three dots (...).
Within the Single eRx View/Display body/list area, the following will no
Mail Groups Associated:
longer be displayed.
* Hold Status
* Hold Reason
* Placed on hold by
a)If the message type is NEWRX, the display will be in a side-by-side
format. Below is an example of the before conversion and how the new
screen will be displayed.
Side-by-Side Format (without the reverse or highlighted video features):
------------------------------------------------------------------------
Single eRx View/Display Mar 04, 2024@15:49:40 Page: 1 of 3
eRx Patient: LASTNAME,FIRSTNAME Y eRx Reference #: 999998
eRx Message Type: NEWRX
eRx Status: HC - HOLD DUE TO CHANGE
ERX | VISTA
------------------------------------------------------------------------
PATIENT AUTO-MATCHED | VALIDATED by NAME,TEST on 3/3/24@15:08:08
------------------------------------------------------------------------
Name: LASTNAME,FIRSTNAME Y |Name: TESTPATIENT,PATIENT
Mail Group Name New/Modified/Deleted
DOB : NOV 20, 1965 |DOB : NOV 20,1965
Cell Phone: |Cell Phone: (222) 222-2222
PROVIDER AUTO-MATCHED
------------------------------------------------------------------------
Name: PROVIDER,PROVIDERNAME |Name: PROVIDER,TESTONE
NPI : 1902127376 |NPI : 1144228248
DEA : |DEA :
DRUG AUTO-MATCHED | VALIDATED by NAME,TEST on 3/6/24@12:42:58
------------------------------------------------------------------------
Drug: predniSONE 20 mg tablet |Drug: PREDNISONE 20MG TAB
--------------- --------------------
(DELTASONE)
Substitution? YES Renewals? YES |Drug Message:
| NATL FORM
SIG: |SIG:
Take 3 tablets (60 mg total) by | TAKE ONE TABLET BY MOUTH ONCE
mouth daily. for 5 days | DAILY FOR 6 HOURS, THEN TAKE
| ONE-HALF TABLET ONCE DAILY
Prescriber Drug Use Evaluation: | FOR 4 HOURS WITH FOOD
None | FOR INFLAMMATION
| Dosage: 20 (MG)
N/A
| Verb: TAKE
|Disp. Units: 1
| Noun: TABLET
| Route: ORAL (BY MOUTH)
| Schedule: ONCE DAILY
| Duration: 6H (HOURS)
|Conjunction: THEN
| Dosage: 10 (MG)
| Verb: TAKE
|Disp. Units: 0.5
| Noun: TABLET
| Route: ORAL (BY MOUTH)
| Schedule: ONCE DAILY
| Duration: 4H (HOURS)
|Patient Instructions:
| WITH FOOD FOR INFLAMMATION
Provider Notes/Comments: |Provider Comments:
| TESTING
Quantity: 15 |Quantity: 15
Dispense Unit: | Dispense Unit: TAB
Options Associated:
Qty Qualifier: Original Quantity |
Days Supply: Refills: 0 |Days Supply: 1 Refills: 0
|Routing: MAIL
|Clinic: CHY TEST CLINIC 2
Written: 12/12/23 Effective: |
Allergy: |Allergy:
NO ALLERGY INFORMATION RECEIVED | NO KNOWN ALLERGIES
_____________________________________|__________________________________
eRx Received on 12/12/23@15:47
b)If the message type is one of the following (see below), the display
will not be in side-by-side format, but the data entered will have a
reverse video display and highlighted and bolded fonts.
These features depend on the terminal display settings being set
differently for reverse video and highlighted font in order for them
to work.
Below is an example of how the new screen will be displayed (without
the reverse or highlighted video features).
'RR' FOR RXRENEWALREQUEST;
Option Name Type New/Modified/Deleted
'RE' FOR RXRENEWALRESPONSE;
'CR' FOR RXCHANGEREQUEST;
'RXF' FOR RXFILL;
'IE' FOR INBOUND ERROR;
'OE' FOR OUTBOUND ERROR;
'CA' FOR CANCELRX;
'CN' FOR CANCELRXRESPONSE;
'CX' FOR RXCHANGERESPONSE;
On your screen, the data entered will have a reverse video display
For a more comprehensive description of the changes please refer to the
----------- ---- --------------------
and a highlighted and bolded fonts:
--------------------------------------------------------------------
Single eRx View/Display Mar 04, 2024@16:06:51 Page: 1 of 3
eRx Patient: TESTMAN,TEST eRx Reference #: 123456789
eRx Message Type: RXRENEWALRESPONSE - APPROVED WITH CHANGES
eRx Status: HWR - CS PRESCRIPTION WRITTEN/ISSUE DATE HAS PROBLEMS
________________________________________________________________________
eRx Hold Reason: HOLD REASON COMMENT
MEDICATION PRESCRIBED
PSO ERX FINISH Action Modified
------------------------------------------------------------------------
eRx Patient Primary Telephone: 1111111111
eRx Patient: TESTMAN,TEST DOB: 99/99/99
Vista Patient[v]: TESTMAN,TESTTWO DOB: 99/99/99
________________________________________________________________________
eRx Provider: PROVIDER,PROVIDERNAME DEA#: XX9999999 NPI: 9999999999
Vista Provider[v]: PROVIDER,TESTONE DEA#: NPI: 9999999999
________________________________________________________________________
eRx Drug: CLONIDINE 0.2MG/24HR PATCH
eRx Qty: 13 eRx Refills: 0 eRx Days Supply:
eRx Written Date: JAN 30, 2024 eRx Issue Date:
eRx Notes: TEST COMING FROM XML SIMULATOR
Allergies
Verified: LISINOPRIL, TESTOSTERONE,
Remote: No remote data available
Adverse Reactions
RXRENEWAL RESPONSE INFORMATION
------------------------------------------------------------------------
APPROVED WITH CHANGES
Response Date/Time: JAN 30, 2024@11:25:58
Note:
RxRenewal Response Comments:
Comments By:
Comments Date/Time:
MEDICATION DISPENSED
------------------------------------------------------------------------
VA Rx#: Unable to resolve.
RXRENEWAL REQUEST INFORMATION
------------------------------------------------------------------------
Requested By:
Protocols Associated:
Request Date/Time:
# of Refills Requested:
RxRenewal Request Comments:
Comments By:
Comments Date/Time:
MESSAGE HISTORY
------------------------------------------------------------------------
Request Reference #:
New eRx Reference #:
Response eRx Reference #: 123456789
________________________________________________________________________
eRx Received on 1/30/24@11:25
c)At the end of the Single eRx View/Display, users will find the eRx
received time stamp.
Below is an example of how the new screen will be displayed (without the
reverse or highlighted video features).
Single eRx View/Display Mar 04, 2024@16:22:37 Page: 3 of 3
eRx Patient: TESTMAN,TEST eRx Reference #: 123456789
Protocol Name Type New/Modified/Deleted
eRx Message Type: RXRENEWALRESPONSE - APPROVED WITH CHANGES
eRx Status: HWR - CS PRESCRIPTION WRITTEN/ISSUE DATE HAS PROBLEMS
_________________________________________________________________________
Request Date/Time:
# of Refills Requested:
RxRenewal Request Comments:
Comments By:
Comments Date/Time:
MESSAGE HISTORY
-------------------------------------------------------------------------
------------- ----- --------------------
Request Reference #:
New eRx Reference #:
Response eRx Reference #: 123456789
_________________________________________________________________________
eRx Received on 1/30/24@11:25
3. (HDSO-7266) Batch eRx Remove and Un-Remove Functionality
---------------------------------------------------------------------------
The current Remove and Un-Remove actions were modified to now allow users
to perform a batch Remove and Un-Remove of eRx for a patient.
PSO ERX CHANGE REQUEST Action Modified
Every time a prescription is Remove or Un-Remove, the software will check
if other prescriptions exist for that patient that were sent by the same
prescriber on the same day.
If any are found, the software will ask the user if they want to Remove
(or Un-Remove) those additional eRx records as well, as shown below:
3.1 Batch eRx Remove Functionality:
------------------------------
Select Action: Next Screen// RM Remove eRx
PSO ERX DISPLAY MENU Menu Modified
Select REMOVAL reason code: REM01 Drug out of stock or on backorder and un
available for processing
Additional Comments (Optional): TESTING REMOVE
Would you like to 'Remove' eRx #12345678901236? Y// ES
The following prescriptions are from the same provider and received on the
same day:
PROVIDER: PROVIDER,PROVIDERNAME eRx RECEIVED DATE: FEB 07, 2024@11:11:54
documents listed in the Documentation section of this description.
PSO ERX DRUG VALIDATION HIDDEN MENU Menu Modified
ERX ID DRUG NAME PROVIDER STS
--------------------------------------------------------------------------
12345678901235 ASPIRIN 325MG EC TAB PROVIDER,PROVIDERNAME HUR
12345678901237 LISINOPRIL 20MG TAB PROVIDER,PROVIDERNAME HUR
12345678901238 NAPROXEN 500MG TAB PROVIDER,PROVIDERNAME HUR
Do you want to 'Remove' them - REM01? No// YES
Updating...done.
3.2 Batch eRx Un-Remove Functionality:
PSO ERX HIDDEN ACTIONS Menu Modified
---------------------------------
Select Action: Next Screen// UR UR
Select HOLD reason code: HUR// UN-REMOVED
Additional Comments (Optional): TESTING UN-REMOVED
Would you like to 'Un-Remove' eRx #12345678901235? Y// ES
The following prescriptions are from the same provider and received on the
same day:
PSO ERX JUMP TO ERX PATIENT Action New
PROVIDER: PROVIDER,PROVIDERNAME eRx RECEIVED DATE: FEB 07, 2024@11:09:39
ERX ID DRUG NAME PROVIDER STS
--------------------------------------------------------------------------
12345678901236 IBUPROFEN 800MG TAB PROVIDER,PROVIDERNAME REM03
12345678901237 LISINOPRIL 20MG TAB PROVIDER,PROVIDERNAME REM03
12345678901238 NAPROXEN 500MG TAB PROVIDER,PROVIDERNAME REM03
Do you want to 'Un-Remove' them? No// YES
Updating...done.
PSO ERX PATIENT VALIDATION HIDDEN MENU Menu Modified
4. (HDSO-7264) Pending Order Suggested Fill Date auto calculation
---------------------------------------------------------------------------
Currently, the Fill Date field for an eRx Pending Order is always set to
the current date. In some cases this is not ideal because the patient might
still have enough medication to last a few more days and a future fill
date, based on the last fill for the medication might be more appropriate.
The algorithm will auto calculate the suggested Fill Date using the
following logic:
PSO ERX PROVIDER VALIDATION HIDDEN MENU Menu Modified
Requirement:
- A previous prescription for the exact same drug must be found on the
patient's profile
- The SIG from the previous prescription must match exactly with the
SIG for the new eRx Pending Order (excluding Patient Instructions)
Suggested Future Fill Date:
- If Last Fill is Released and the Release Date + Days Supply results
in a future date, this futures date suggested as the Fill Date for
the eRx Pending Order.
PSO ERX RESEND CHANGE REQUEST Action New
- If the CMOP Transmission status for the Last Fill is TRANSMITTED or
RE-TRANSMITTED, the Fill Date for the eRx Pending Order will be
today's date + Days Supply for the Suspended fill.
- If Last Fill is Suspended with a future Fill Date this future date
will be suggested as the Fill Date for the eRx Pending Order.
5. (HDSO-7380) Removal of VistA Drug Selection Restriction
---------------------------------------------------------------------------
Currently, when they user tries to select a VistA Drug to match to the eRx
they are not able to select drugs that are marked as INVESTIGATIONAL, BULK
PSO ERX VIEW DRUG SUGGESTIONS Action New
COMPOUND or MANUFACTURED IN PHARMACY (DEA SPECIAL HDLG field contains "I",
"M" or "0"). This patch removes such restriction.
6. (HDSO-7449) Provider Auto-Validation for VAMCs
---------------------------------------------------------------------------
The Provider Auto-Validation functionality released with patch PSO*7*700,
will now work at VA Medical Centers as well. In order for the provider to
be auto-validated the following conditions must be fulfilled:
- eRx Providers was auto-matched to a VistA Provider
PSO ERX VIEW ORIGINAL ERX Action New
- eRx Provider last name matches VistA Provider last name
- First letter of eRx Provider first name matches first letter of VistA
Provider first name
- Zip code for the eRx Provider matches the zip code for the VistA
Provider
- eRx is not electronically signed (CS eRx)
7. (HDSO-7450) Clinic name in the Validate Provider Screen
---------------------------------------------------------------------------
The field Clinic is being added to the Provider Validation Screen. It will
PSO ERX VIEW PATIENT SUGGESTIONS Action New
display the eRx Provider Business Name when there is one. There will be no
corresponding information on the VistA side of the side-by-side screen.
This information will also display on the eRx Summary Display screen:
______________________________________________________________________
ERX PROVIDER | VISTA PROVIDER
Name: TEST,PROVIDER |Name: TEST, PROVIDER MD
NPI : 9999999999 |NPI : 9999999999
DEA : XX9999999 |DEA : XX9999999
Clinic: BUSINESS NAME |
______________________________________________________________________
PSO ERX VIEW PROVIDER SUGGESTIONS Action New
8. (HDSO-7768) Hold for Future Fill Functionality
---------------------------------------------------------------------------
A new hold code named HOLD FOR FUTURE FILL (HFF) is being added. This new
hold code will work differently than all other hold codes. Once the user
selects this code, the software will prompt the user to enter a future fill
date. If there is an effective fill date on file for the eRx, this date
will be used as the default date, as seen below:
...
Select Action:Next Screen// H Hold
PSO ERX VIEW REQUEST ERX Action New
Select HOLD reason code: HFF HOLD FOR FUTURE FILL
The eRx will be un-held automatically on the date you enter below and
placed in 'IN PROCESS' status.
Future Fill Hold Date: MM/DD/YY//
The Status History (SH) and History Log (HL) actions will display the
the hold date.
PSO ERX VIEW RESPONSE ERX Action New
Status History:
05/02/24@15:01:06 HFF HOLD FOR FUTURE FILL (MAY 12, 2024)
Entered By: ROCHA,MARCELO
Comments: COMMENT...
History Log:
Status History:
Date/Time Status Entered By
---------------------------------------------------------------------
PSO HIDDEN ACTIONS #1 Menu Modified
05/02/24@15:01:06 HFF-HOLD FOR FUTURE FILL (May 12, 2024) USER,NAME
Comments: COMMENT...
On the date the eRx was held for it will be automatically un-held and
and placed on the eRx Holding Queue as In-Process or Wait status.
9. (HDSO-7769) Manually Hold and Un-Hold with HC hold code
---------------------------------------------------------------------------
The hold code HOLD FOR CHANGE (HC) was used solely for Change Requests,
which was assigned automatically after the users sent a Change Request to
PSO HIDDEN ACTIONS #2 Menu Modified
the prescriber. This is being changed to allow the user to manually use
this code to place eRx's on hold and also to un-hold eRx's held with this
code.
10.(HDSO-7770) Prescriber Drug Use Evaluation (DUE) Information
---------------------------------------------------------------------------
The prescriber DUE information will be included in the Single eRx View/
Display Screen for New Rx, Change Response, Renewal Response records as
well as in the Validate Drug Screen, Pending order (OP) screen and CPRS
Progress Notes Addendum, as shown below:
New Rx:
------
...
SIG: |SIG:
TAKE 1 CAP PO 3X DAILY | TAKE ONE CAPSULE BY MOUTH THREE
| TIMES A DAY WITH FOOD
| PATIENT INSTRUCTIONS
Prescriber Drug Use Evaluation: | Dosage: 300 (MG)
Co-Agent: Nsaids (Non-Steroidal Anti-In| Verb: TAKE
flammatory Drug) |Disp. Units: 1
Security Keys Associated:
Reason: Drug-Allergy | Noun: CAPSULE
Result: Prescribed w/ acknowledgements | Route: ORAL
Acknowledgement: Previously Tolerated | Schedule: BID-WITH FOOD
...
Change Response/Renewal Response/CPRS Progress Notes Addendum:
-------------------------------------------------------------
...
Prescriber Drug Use Evaluation:
Co-Agent: Ibuprofen
Reason: Drug-Allergy
Result: Prescribed w/ acknowledgements
Acknowledgement: Previously Tolerated
...........................................................................
Co-Agent: Nsaids (Non-Steroidal Anti-Inflammatory Drug)
Reason: Drug-Allergy
Result: Prescribed w/ acknowledgements
Acknowledgement: Previously Tolerated
...
Validate Drug Screen:
Security Key Name
--------------------
_______________________________________|__________________________________
Prescriber Drug Use Evaluation: |2) Dosage: 300 (MG)
Co-Agent: Ibuprofen | Verb: TAKE
Reason: Drug-Allergy |Disp. Units: 1
Result: Prescribed w/ acknowledgements | Noun: CAPSULE
Acknowledgement: Previously Tolerated | Route: ORAL
...................................... | Schedule: BID-WITH FOOD
Co-Agent: Nsaids (Non-Steroidal Anti-In|__________________________________
flammatory Drug) |3)Patient Instructions:
-----------------
Reason: Drug-Allergy |
Result: Prescribed w/ acknowledgements |
Acknowledgement: Previously Tolerated |
_______________________________________|__________________________________
Pending Order:
-------------
_______________________________________|__________________________________
Prescriber Drug Use Evaluation: |3) Dosage: 300 (MG)
Co-Agent: Ibuprofen | Verb: TAKE
N/A
Reason: Drug-Allergy |Disp. Units: 1
Result: Prescribed w/ acknowledgements | Noun: CAPSULE
Acknowledgement: Previously Tolerated | Route: ORAL
...................................... | Schedule: BID-WITH FOOD
Co-Agent: Nsaids (Non-Steroidal Anti-In|__________________________________
flammatory Drug) |4)Patient Instructions:
Reason: Drug-Allergy |
Result: Prescribed w/ acknowledgements |
Acknowledgement: Previously Tolerated |
_______________________________________|__________________________________
Patch Components
11.(HDSO-7771) eRx Meds on File notitifcation
---------------------------------------------------------------------------
A note "eRx Meds on File" is being added to the Patient Prescription
Processing [PSO LM BACKDOOR ORDERS] option header when the patient has at
least one 'actionable' eRx in the eRx Holding Queue, as shown below:
Patient Information May 02, 2024@17:19:54 Page: 1 of 2
TEST,NAME
PID: 999-99-9999 Ht(cm): _______ (______)
Templates Associated:
DOB: XXX 99,9999 (99) Wt(kg): _______ (______)
SEX: MALE eRx Meds on File
CrCL: <Not Found> (CREAT: Not Found) BSA (m2): _______
...
12.(HDSO-7772) Jump to eRx Patient from Backdoor
---------------------------------------------------------------------------
A new hidden action called Jump to eRx Patient (JE) is being added to the
Patient Prescription Processing [PSO LM BACKDOOR ORDERS] option. It will be
available in the Patient Information screen as well as in the Medication
Profile screen. This option will allow the user to jump to the eRx Holding
Queue in the eRx Single Patient Queue.
13.(HDSO-7773) View Suggestions for Patient, Provider and Drug
---------------------------------------------------------------------------
A new hidden action called View Suggestion(s) (VS) is being added to the
Validate Patient, Validate Provider and Validate Drug screens. This feature
will allow users to view and manage suggestions at any time, before or
after the eRx has been accepted/processed. Below are some examples for each
screen:
Template Name Type File Name (#) New/Modified/Deleted
Validate Patient:
----------------
...
Select Item(s): Next Screen// VS
|Sugg. 1 of 1 - 03/07/24|
ERX PATIENT VISTA PATIENT |From eRx#: 111001 |
__________________________________________________________________________
Name: TEST,PATIENT A |Name: TEST,PATIENT A
DOB : XXX 99, 9999 |DOB : XXX 99, 9999
SSN : 999999999 |SSN : 999-99-9999
------------- ---- ------------ --------------------
Sex : MALE |Sex : MALE
Address: |Address:
123 FAKE AVE | 123 FAKE ST
XXXXXXXXX, XX 999999 | XXXXXXXXX, XX 999999
Primary Phone: 5184724307 |
___________________________________|______________________________________
ACTION on SUGGESTION: (F)ORGET (E)XIT: EXIT//
...
Validate Provider:
PSO ERX SINGLE ERX DISPLAY List N/A New
-----------------
...
Select Item(s): Quit// VS
|Sugg. 1 of 1 - 05/02/24|
ERX PROVIDER VISTA PROVIDER|From eRx#: 123431 |
___________________________________________________________________________
Name: PROVIDER,TEST |Name: PROVIDER,TEST
NPI : 9999999999 |NPI : 9999999999
DEA : XX9999999 |DEA : XX9999999
Clinic: TEST CLINIC NAME |
PSO ERX PROVIDER VALIDATION List N/A Modified
___________________________________|_______________________________________
Address: |Address:
9876 HEALTH CIR | 9876 HEALTH CIR
XXXXXXXXXXXX,XX 99999 | XXXXXXXXXXXX,XX 99999
Tel: 999-999-9999 |Tel: 999-999-9999
___________________________________|_______________________________________
ACTION on SUGGESTION: (F)ORGET (E)XIT: EXIT//
Validate Drug:
-------------
...
Select Item(s): Next Screen// VS
|Sugg. 1 of 1 - 03/19/24|
ERX MED VISTA MED |From Rx#: 2298007 |
___________________________________________________________________________
Drug: DOCUSATE CA 240MG CAP |Drug: DOCUSATE CA 240MG CAP
Substitution? YES Renewals? YES |Drug Message:
| NATL FORM (09/01) (INCREMENT OF
| 100s)
___________________________________|_______________________________________
Remote Procedures Associated:
SIG: |SIG:
1 CAP PO DAILY | TAKE ONE CAPSULE BY MOUTH ONCE DAILY
___________________________________|_______________________________________
Provider Notes/Comments: |Provider Comments:
|
___________________________________|_______________________________________
Quantity: 30 |Quantity: 30
Dispense Unit: |Dispense Unit: CAP
Qty Qualifier: Original Quantity |QTY Dispense Message:
| CAP (INCREMENTS OF 100)
___________________________________|_______________________________________
Days Supply: 30 Refills: 11 |Days Supply: 30 Refills: 11
___________________________________|_______________________________________
ACTION on SUGGESTION: (F)ORGET (E)XIT: EXIT//
...
14.(HDSO-7774) RESEND eRx Change Request
---------------------------------------------------------------------------
The new action called Resend Change Request (REC) will now allow the user
to send the previously sent eRx Change Request to the prescriber. Right
================
Remote Procedure Name New/Modified/Deleted
after user enters REC in the Select Action:Next Screen// prompt, the
software will display the RX CHANGE REQUEST SUMMARY. This allows the user
to review the previously sent eRx Change Request. The user can edit the
existing eRx Change Request or just leave them as is, as shown below:
Single eRx View/Display May 03, 2024@10:41:48 Page: 1 of 4
eRx Patient: LASTNAME,FIRSTNAME TEST
eRx Message Type: RXCHANGEREQUEST
eRx Status: CRX - RXCHANGE REQUEST EXPIRED
_______________________________________________________________________
--------------------- --------------------
Change Request Type: DUE (Drug Use Evaluation)
Change Request Sub Type: Missing Information/Clarification
Change Request Reason Text:
The eRx is missing or unclear on RESENDING EXISTING ERX CHANGE REQUEST
WITH A V record. Please edit and respond or cancel Rx and send a new
prescription with the requested information.
MEDICATION PRESCRIBED
_______________________________________________________________________
eRx Patient Primary Telephone: 555-555-5555
eRx Patient: LASTNAME,FIRSTNAME TEST DOB: 3/1/70
N/A
Vista Patient: NOT LINKED DOB: N/A
_______________________________________________________________________
eRx Provider: PROVIDER,PROVIDERNAME DEA#: FB1234567 NPI: 1234567890
Vista Provider: NOT LINKED DEA#: N/A NPI: N/A
_______________________________________________________________________
+ Enter ?? for more actions
VP (VALIDATE PATIENT) VM (VALIDATE PROVIDER) VD (VALIDATE DRUG/SIG)
P Print RJ (Reject) AC (Accept eRx)
H (Hold) UH (Un Hold) RM (Remove eRx)
Select Action:Next Screen// REC REC
RX CHANGE REQUEST SUMMARY
_______________________________________________________________________
Change Request Reason Code: D - DUE (Drug Use Evaluation)
Change Request Reason Sub-Code: MS - Missing Information/Clarification
Note to Provider:
The eRx is missing or unclear on RESENDING EXISTING ERX CHANGE REQUEST
WITH A V record. Please edit and respond or cancel Rx and send a new
prescription with the requested information.
Parameter Definitions Associated:
# DRUG QTY # REFS DAYS SUPPLY SUBS
_______________________________________________________________________
1 (E)LISINOPRIL 40MG TAB 20 3 30 YES
Sig : TAKE ONE TABLET A DAY ON AN EMPTY STOMACH.
Note: Testing REC.
2 (V)RIBOFLAVIN 100MG TAB 90 1 90 NO
Sig : TAKE 1 TABLET ORALLY EACH DAY FOR 90 DAYS.
Note: Testing REC.
VA Progress Note Comment:
TEST VA PROGRESS NOTE COMMENT
_______________________________________________________________________
Would you like to edit this Rx Change Request before sending it? NO//
Would you like to send this Rx Change Request? YES// YES
Sending Request to Provider...Done.
Creating a new Progress Note...Done.
Parameter Name New/Modified/Deleted
15.(HDSO-????) Diagnosis and Drug Use Evaluation (DUE) info on eRx Print
---------------------------------------------------------------------------
The eRx Print action in the eRx Holding Queue was changed to include two
new sections: Diagnosis and DUE information. These sections will only be
included when the information exists in the eRx. They will look like the
examples below:
*************************DIAGNOSIS INFORMATION**************************
Primary Dx:
ICD-10 A01.01 TYPHOID MENINGITIS
-------------- --------------------
Typhoid meningitis_Test primary diagnosis
........................................................................
Secondary Dx:
ICD-10 E11.21 TYPE 2 DIABETES MELLITUS WITH DIABETIC NEPHROPATHY
Test secondary Diagnosis
*********************PRESCRIBER DRUG USE EVALUATION*********************
Co-Agent: Nsaids (Non-Steroidal Anti-Inflammatory Drug)
Reason: Drug-Allergy
Result: Prescribed w/ acknowledgements
N/A
Override: Previously Tolerated
************************************************************************
16. INC26069186 - eRx Prescription # wrong in file ###.## Order DEA Archive
---------------------------------------------------------------------------
For eRx prescriptions, file #101.52 ORDER DEA ARCHIVE field #1
PRESCRIPTION NUMBER is storing the wrong value. The value stored is the
IEN of the eRx's pending order from file 52.41 OUTPATIENT PENDING ORDER
before it is finished.
When viewed from a global listing, the node 0 piece 2 shows an IEN
appended with an "S", which is how file 100 stores a PACKAGE REFERENCE to
a PENDING OUTPATIENT ORDERS file #52.41.
This erroneous display occurs when completing the eRX order in Complete
Orders from eRx [PSO ERX FINISH] and can be viewed both before and after
finishing the prescription in Patient Prescription Processing [PSO LM
BACKDOOR ORDERS].
Resolution:
Files & Fields Associated:
Additional Information:
-----------
This will need to be addressed with changes to Pharmacy code as well as
CPRS code. This patch will address the pharmacy changes. This patch
does not address the existing PENDING OUTPATIENT ORDERS file #52.41 that
exist in ORDER DEA ARCHIVE INFO file #101.52, that will be addressed by
a follow up patch from CPRS. This patch corrects the field value going
forward.
Routine PSOORFI1 is modified to allow array PSOCSP to be setup for eRX
orders the same as they are for pending orders signed in CPRS. This
-----------------------
array is needed in the Patient Prescription Processing finishing process.
Routine PSON52 is modified to allow eRX orders that do not have a
SIGNATURE STATUS field #117 set in PENDING OUTPATIENT ORDERS file
#52.41. This will allow the process to flow into code that allows the
PRESCRIPTION file #52 IEN to be set into the PRESCRIPTION NUMBER field
#1 of the ORDER DEA ARCHIVE INFO file #101.52
Routine PSOERX1F is modified to delete the PRESCRIPTION NUMBER field #1
of the ORDER DEA ARCHIVE INFO file #101.52 after processing returns from
New Service Requests (NSRs): N/A
calling protocol PS EVSEND OR via routine EN^PSOHLSNC during PSO ERX
FINISH processing. This removes the #52.41 IEN and thus allows PSON52 to
update it with the correct IEN to file #52. This change will likely not
be released but is necessary for testing this patch until the CPRS
release is ready.
Patient Safety Issues (PSIs):
-----------------------------
N/A
Defect Tracking System Ticket(s) & Overview:
============================================
|
