John Leo might like to jump in here as he set up something to print prescriptions with a picture of the patient on them. I don't know how easily his code would integrate with VistA, if it would at all.
For my nonEMR use, I use a prescription templates for Meds I commonly use, and I suspect the template system in CPRS might be adaptable for writing prescriptions by calling in the fields on a form to make the prescription, i.e., name DOB, address, DEA number, doctor's name, etc. and then the med fields. I don't know if that would work as I have only read about templates, not made them. I assume you could put calculated fields in templates to get the correct dose by patient weight, etc. It would have to be done very carefully to avoid errors, which I suspect is at the root of Mark's desire to have a pharmacist involved. However, I doubt Kevin has one in his practice, so it will likely have to be doc checking doc. On Sunday 16 January 2005 03:36 pm, Mark Amundson wrote: > <P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: > 10pt; FONT-FAMILY: 'Courier New'">Kevin�s questions:<o:p></o:p></SPAN></P> > <P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: > 10pt; FONT-FAMILY: 'Courier New'"><o:p> </o:p></SPAN></P> <P > class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; > FONT-FAMILY: 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">1. Add patient's drug list into chart in CPRS > <o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN > style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">The > simplest would be to manually add them for each patient.<SPAN > style="mso-spacerun: yes"> </SPAN>I would not rule out importing them > if you had all the right info in the right > format/places.<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Look > at:<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">CPRS > Technical Manual (GUI)<o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><SPAN style="mso-tab-count: > 1"> </SPAN>Medication Tab Setting � Pg > 42<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"><SPAN > style="mso-tab-count: 1"> </SPAN>Orders Tab > Setting � Pg 44<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"><A > href="http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS >)/CPRSGUITM.pdf">http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd >_Sys_(CPRS)/CPRSGUITM.pdf</A><o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">CPRS User Guide <o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><SPAN style="mso-tab-count: > 1"> </SPAN>Meds Tab � Pg > 107<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"><SPAN > style="mso-tab-count: 1"> </SPAN>Orders Tab � > Pg 125<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"><A > href="http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS >)/cprsguium.pdf">http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd >_Sys_(CPRS)/cprsguium.pdf</A><o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">You will also want to look at the Order Menu Management > option (I think the option name is ORCM MGMT, but not a computer to verify > it).<SPAN style="mso-spacerun: yes"> </SPAN>For order set and quick > order setup.<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">2. Write > new prescriptions in CPRS, and have script get printed out for patient to > take to pharmacy.<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: > 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">The same > as #1 but current FOIA does not print a prescription once an order is > signed, simply stated it is sent to the VA�s pharmacy to be finished and > then filled.<SPAN style="mso-spacerun: yes"> </SPAN>The only written > prescription floating around most VA�s are SCH II and fee basis MD�s, there > is a pilot project out there to get rid of SCH II written prescriptions in > the VA�s.<SPAN style="mso-spacerun: yes"> </SPAN>There is an option > call Action Profile that does print prescriptions in a list this but I do > not see it very workable for a clinic.<SPAN style="mso-spacerun: > yes"> </SPAN>What is needed is code that will print the prescription > after a prescription gets an electronic signature.<SPAN > style="mso-spacerun: yes"> </SPAN>We have looked at this but stopped > doing any further work on this project since one of VistAOfficeEHR > modifications (as I u nder stand it) will be to print prescriptions, > possibly fax the prescription and in future releases send them > electronically to a pharmacy.<SPAN style="mso-spacerun: yes"> > </SPAN>I do not know what or how VistAOfficeEHR is going to handle this if > anybody does please let me/us know.<o:p></o:p></SPAN></P> <P > class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; > FONT-FAMILY: 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">3. Refill scripts by choosing a previously entered drug and > choosing number of refills etc. <o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">See #1 and #2 above.<SPAN style="mso-spacerun: yes"> > </SPAN>But yes renews are easily done.<o:p></o:p></SPAN></P> <P > class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; > FONT-FAMILY: 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">4. Ideally have some screening for allergies and drug > interactions.<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">For Meds > it will do Drug-Drug interaction, Allergies, Duplicate drug class and > others via the CPRS Expert system and I belive some are hard coded.<SPAN > style="mso-spacerun: yes"> </SPAN>For complete info and how to set up > see the CPRS Technical Manual:<o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><SPAN style="mso-tab-count: > 1"> </SPAN>Appendix E � Order Check � Pg > 275<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"><A > href="http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS >)/CPRSLMTM.pdf">http://www.va.gov/vdl/VistA_Lib/Clinical/Comp_Patient_Recrd_ >Sys_(CPRS)/CPRSLMTM.pdf</A><o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">NOTE:<SPAN style="mso-spacerun: yes"> </SPAN>These > manuals talk about some features that may or may not be in you current CPRS > version.<SPAN style="mso-spacerun: yes"> </SPAN>The most obvious to > me is NON-VA Meds, but this should give you a good start on Meds in > CPRS.<SPAN style="mso-spacerun: yes"> </SPAN>You can skip over the > inpatient ordering info, I can not think of any case where it would affect > what I believe you want to accomplish but I may be > wrong.<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I was > the person who talked to you about our File50 project which is really two > products.<SPAN style="mso-spacerun: yes"> </SPAN>The first a complete > up to date File50 and related files with all current medications including > a lot of OTC�s, supplies, herbal, natural meds, dosing and other info.<SPAN > style="mso-spacerun: yes"> </SPAN>We have designed this for both > outpatient and inpatient usage, you would take File50 and related files and > bring them into your VistA system at startup and you would have a complete > up to date working drug file from day one.<SPAN style="mso-spacerun: > yes"> </SPAN>Our second project is an update service that would > automatically add any new product to File50 so when the newest med is > released by the FDA for use we will send out a patch for File50 to the user > and it will show up in a clinics drug file so it can be dispensed to a > patient complete with pointers and interactions.<SPAN style="mso-spacerun: > yes"> </SPAN><o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: > 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Do you > need these products/service?<SPAN style="mso-spacerun: yes"> </SPAN>I > will be the first to say NO, as long as you are willing to take on the > responsibility for the File50 maintenance.<SPAN style="mso-spacerun: > yes"> </SPAN>Initially you can get a drug file somewhere probably > VistAOfficeEHR will have one to use, this will probably come from some VA > and it will be probably pretty good but probably not as complete or as up > to date as one would like and will need work.<SPAN style="mso-spacerun: > yes"> </SPAN>Each VA has pharmacy responsible for maintenance of > File50 they spend 10-20 hours per month on this task (both inpatient and > outpatient).<SPAN style="mso-spacerun: yes"> </SPAN>We looked at this > as a service to provide, I do not see a small physician�s office having the > resources to do this and the expertise.<SPAN style="mso-spacerun: yes > "> </SPAN>It is no longer just adding drug name to a file it gets a > little more in depth that we fell that it is a task for a > pharmacist.<o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in 0in > 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier > New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0in > 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Sorry > this got a bit long.<SPAN style="mso-spacerun: yes"> </SPAN>Any > questions please drop me a line.<o:p></o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'">Mark Amundson PharmD<o:p></o:p></SPAN></P> <P > class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; > FONT-FAMILY: 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P> <P class=MsoNormal > style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: > 'Courier New'"><o:p> </o:p></SPAN></P><BR> <BR> > <BR> > <BR> > <B>On Sat, 15 Jan 2005 15:47 , Kevin Toppenberg <[EMAIL PROTECTED]> > sent:<BR> <BR> > </B> > <BLOCKQUOTE style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; > BORDER-LEFT: #f5f5f5 2px solid; MARGIN-RIGHT: 0px">Hey all, <BR> <BR> > Here is what we would like to do about pharmacy. <BR> > There is a great deal of documentation about pharmacy <BR> > in the VA Doc library, but I need to know where to <BR> > focus in. I need to know if these tasks are possible, <BR> > and how to config. <BR> > <BR> > 1. Add patient's drug list into chart in CPRS <BR> > 2. Write new prescriptions in CPRS, and have script <BR> > get printed out for patient to take to pharmacy <BR> > 3. Refill scripts by choosing a previously entered <BR> > drug and choosing number of refills etc. <BR> > 4. Ideally have some screening for allergies and drug <BR> > interactions. <BR> > <BR> > I have cooresponded with a pharmacist that was selling <BR> > a service of keeping a drug file up to date. Is this <BR> > required or does the FOIA vista have all the drugs <BR> > already entered into the file? <BR> > <BR> > Much of the documentation seems to be regarding <BR> > supporting an actual pharmacy, and for inpatient <BR> > pharmacy issues. I will want to skip over those <BR> > features. <BR> > <BR> > So any pointers or suggestions as to which documents <BR> > to read first? <BR> > <BR> > Thanks <BR> > Kevin <BR> > <BR> > <BR> > <BR> > <BR> > <BR> > <BR> > __________________________________ <BR> > Do you Yahoo!? <BR> > All your favorites on one personal page � Try My Yahoo! <BR> > <A href="modules/refer.pl?redirect=http%3A%2F%2Fmy.yahoo.com" > target=_blank><FONT color=red>http://my.yahoo.com</FONT></A> <BR> <BR> > <BR> > ------------------------------------------------------- <BR> > The SF.Net email is sponsored by: Beat the post-holiday blues <BR> > Get a FREE limited edition SourceForge.net t-shirt from ThinkGeek. <BR> > It's fun and FREE -- well, almost....<A > href="modules/refer.pl?redirect=http%3A%2F%2Fwww.thinkgeek.com%2Fsfshirt" > target=_blank><FONT color=red>http://www.thinkgeek.com/sfshirt</FONT></A> > <BR> _______________________________________________ <BR> > Hardhats-members mailing list <BR> > <A > href="javascript:parent.opencompose('[email protected] >','','','')">[email protected]</A><BR> > </BLOCKQUOTE><BR> > > > ------------------------------------------------------- > The SF.Net email is sponsored by: Beat the post-holiday blues > Get a FREE limited edition SourceForge.net t-shirt from ThinkGeek. > It's fun and FREE -- well, almost....http://www.thinkgeek.com/sfshirt > _______________________________________________ > Hardhats-members mailing list > [email protected] > https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite ------------------------------------------------------- The SF.Net email is sponsored by: Beat the post-holiday blues Get a FREE limited edition SourceForge.net t-shirt from ThinkGeek. 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