Re: [Hardhats-members] Pharmacy snafu ... enforced dosing schedules

[Gregory Woodhouse]

On Jun 24, 2006, at 8:45 PM, Kevin Toppenberg wrote: In summary, the VistA system seems designed to allow a pharmacist to put in the appropriate dosing for a particular drug, and it is difficult for a physcian to be more creative with dosing that was not anticipated.  But this approach makes the system nearly impossible to completely fill with ALL possible medications due to the huge amount of time this would take to put in each drug individually.  I would stongly suspect that this is why no one already has a complete formulary. In CPRS there is a "complex dosing" tab.  I wish there was a multiplier column.  This would allow a doctor to write: Zocor 80 mg * [0.25] PO QHS. I just realized another limitation is the allowed frequencies.  There are the usualy Q1h, Q2h, even QOD, etc.  But there is no allowance for 1x/month, 1x/week, 2x/wk, 4x/wk etc. It looks like there are some free text fields that allow me to get around some of this.  But it does feel strongly like "standing on one's head" to get the job done.  And it looses the quantitated data in fields that allow future data manipulation. Hmmm... I'll have to think about this.. Kevin Is anyone recording desired/needed enhancements like this? Gregory Woodhouse [EMAIL PROTECTED] "Judge a man by his questions not  his answers."   --Voltaire

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