| DESCRIPTION OF ENHANCEMENTS |
The purpose of this patch is to provide software enhancements for Order
to improve the data that is displayed on the VDL. These order
validation requirements will apply to Unit Dose Medications and applied
to intermittent IV orders schedules (IV orders do not have Schedule
Type).
These enhancements are:
1. Order Validation Check One
For Intermittent IV orders, references to an order's Schedule Type will
refer to either the TYPE OF SCHEDULE from the Administration Schedule
Validation defined by the BCMA-Inpatient Medications Request for
file (#51.1), or PRN for schedule names in PRN format, or CONTINUOUS
for schedule names in Day of Week format.
2. Order Validation Check Two
If an order has the Schedule Type of Continuous and the Schedule
entered is NOT in Day of Week (Ex. MO-FR) or PRN (Ex. TID PC PRN)
format, then the system shall prevent the number of administration
times associated with the order from being greater than the number of
administration times for that frequency, if the orders frequency is
numeric (minutes). The number of administration times can be less than
Special Focus Group (SFG) Initial Request Analysis (IRA)
but not equal to zero administration times.
3. Order Validation Check Three
If an order has a Schedule Type of Continuous and is an Odd Schedule, a
schedule whose frequency is not evenly divisible by or into 1440
minutes (1 day), then the system shall prevent the entry of
administration times.
4. Order Validation Check Four
If an order has a Schedule Type of Continuous with a non-odd frequency
of greater than of 1 day (1440 minutes) then the system shall prevent
more than one administration time.
5. Order Validation Check Five
If an order has a Schedule Type of One Time or if an order is entered
with a schedule that is defined in the schedule file as One Time then
the system shall prevent the user from entering more than one
administration time.
6. Order Validation Check Six
Currently, Inpatient Medications allows orders to be created with
For an order with a Schedule Type of Continuous where no
doses/administration times are scheduled between the order's Start
Date/Time and the Stop Date/Time, then the system shall present a
warning message to the user and not allow the order to be accepted or
verified until the Start/Stop Date Times, schedule, and/or
administration times are adjusted so that at least one dose is
scheduled to be given.
7. Change the Sequence of the Schedule Type and Schedule Prompts
Currently the order of the prompts in inpatient meds order entry is
conflicting administration times, frequencies, schedules, and schedule
Schedule Type followed by Schedule. The sequence of the prompts will
be changed so that the Schedule prompt falls before the Schedule Type
prompt.
8. Schedule Validation Requirement One
When a schedule is selected at the Schedule Field the system shall
default the Schedule Type for the schedule entered from the Schedule
File into the order.
9. Schedule Validation Requirement Two
types such that orders may not always display correctly on the Virtual
If the user changes the schedule, they will be given a warning message
that the administration times and the schedule type for the schedule
selected will be defaulted to this order.
10. Schedule Validation Check Three
If the schedule type is changed from Continuous to PRN the system shall
automatically remove any administration times that were associated with
the schedule so that the order will not include administration times.
11. Modify VistA Help Text
Due List (VDL) in the Barcode Medication Administration (BCMA)
The Help Text in Inpatient Order Entry was modified to add additional
text so the user is able to see the added constraints when entering
Administration Times.
application. This enhancement adds several new order validation checks
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