| DESCRIPTION OF ENHANCEMENTS |
Remote Data Interoperability (RDI) functionality includes receiving data
This patch contains the following changes for RDI order checking:
1. Prescriptions with a status of "DELETED" in the STATUS field (#100) in
the PRESCRIPTION file (#52) from a remote facility should not be included
in order checks. This patch filters out DELETED remote prescriptions.
2. Some older prescriptions do not have an expiration date in the
EXPIRATION DATE field (#26) of the PRESCRIPTION file (#52). This patch
from the Health Data Repository (HDR) in order to perform order checking
restricts prescriptions with a missing expiration date from being used in
remote order checks unless the ISSUE DATE (#1) field of the PRESCRIPTION
file (#52) is within the past year.
3. Drugs not matched to the National Drug file were not performing remote
order checks. These drugs could have a drug class defined. This patch
adds the remote order check for drug class when orders are placed for
locally defined drugs.
4. When Adverse Reaction Tracking (ART) patch GMRA*4*26 is installed at a
against outpatient prescription and allergy data from remote VA or
site, this patch adds the display of LOCAL, REMOTE SITE(S), or LOCAL AND
REMOTE SITE(S) to allergy order checks to indicate whether the allergy
entry originated at the local site or it came from a remote site. For
backdoor outpatient pharmacy, currently only the drug class code and not
the drug class name is displayed for an allergy drug class order check.
This patch adds the display of the class name.
Example:
A Drug-Allergy Reaction exists for this medication and/or class!
Department of Defense (DoD) facilities.
Drug: AMOXICILLIN 250MG CAP
Drug Class: AM110 PENICILLIN-G RELATED PENICILLINS (LOCAL)
5. When the VUID field (#99.99) of the VA PRODUCT file (#50.68) of a
remote prescription is inactive, every order being placed incorrectly
displayed a duplicate drug order check. This patch corrects that problem.
6. Remote order checking against remote discontinued or expired outpatient
prescriptions is changed to perform the order check if the remote
prescription was expired or discontinued in the last 30 days instead of
within the last 120 days.
7. During testing of RDI, a problem was discovered with the order checks
involving remote allergy classes. Not all of the remote allergies were
being retrieved from the HDR. A change was made to use a different
Application Program Interface (API) to the allergy package that does
retrieve the remote data.
When RDI is turned on (by the Computerized Patient Record System (CPRS)
8. An issue with too many false positive order checks was discovered when
doing allergy order checks on certain drug classes. Analgesics, as a
class, were performing order checks across all members. For example: class
CN101 was generating an order check for class CN102. This patch corrects
this problem by ensuring that allergy Analgesic class order checks only
match against the specific 5-character class if the class begins with
"CN10".
9. One feature of RDI is the notification to the user when processing
orders that only local data is being used if the remote data is
patch OR*3*238), the RDI order checking checks the current drug being
unavailable. Several sites reported issues with this mechanism. This
patch corrects this problem by performing the check for remote data
availability upon entering the patient's chart, rather than on each order.
10. The list of remote allergies is added to allergy/adverse reaction
portion of the Medication Profile. If a patient has the same allergy
information from several remote sites, it will only be listed once.
ordered for duplicate drugs, duplicate drug classes, drug-drug
interactions, and drug allergies.
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