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-----Original Message-----
From: Nelson Eric
To: Kawa, William
Sent: 2/28/06 10:10 AM
Subject: RE: [MEDITECH-L] Pharmacy Rule for anticoagulants

Mr. Kawa,

We developed a custom keyword that looks at active orders and sees if
there is a potential conflict.  If so, the keyword (as called from a
rule) will then cause the rule to display an alert on the screen.  This
was developed some time ago, before some of the newer keywords were
available.  So there might be a better way, but this works for us.  We
are Magic 5.4.1 (HCA version).   This only looks at ACTIVE orders.

The keyword is:

Function    RX           Name  RX

Mnemonic    z hep lmwh dup check       Assign to Group  Z

Active?     Y

Name        heparin lmwh duplicate check

Multiple Output Lines?                 Special Flag   Value

Minimum Output Length

Maximum Output Length

Number of Arguments

Execute at Translation?

Edit Code?

1^/ZDUP["ENOXAPARIN","HEPARIN NA"],

1^/ZDUP["DALTEPARIN","HEPARIN NA"],

1^/ZDUP["ENOXAPARIN","HEPARIN DW"],

1^/ZDUP["DALTEPARIN","HEPARIN DW"],

@PHA.DRUG.generic^GEN,

DO{>(patient.rx.x[^?,patient,"AC",SUB],URN)^SUB @number[^?,URN]^RXNUM,

   [EMAIL PROTECTED],URN,"1"];@med[^?,URN]}^MED,

   @PHA.DRUG.generic[MED]^GEN2,

   IF{(/ZDUP[GEN,GEN2])!(/ZDUP[GEN2,GEN]) CNT+1^CNT,

      "DUPLICATE: RX "_RXNUM_" "[EMAIL PROTECTED],

MSG


The rule is:

[f z hep lmwh dup check]^TXT,

IF{TXT [f rx win init],

" "^T0,

" This order, if activated, will result in this patient receiving both
"^T1,

" a low molecular weight heparin product and unfractionated heparin
"^T2,

" which greatly increases risk of bleeding to the patient. "^T3,

" Please follow up with MD and encourage use of one product only, "^T4,

" or verify need/length of RX for both agents, and document results.
"^T5,

       [f rx win add](TXT),

       [f rx win add](T0),

       [f rx win add](T1),

       [f rx win add](T2),

       [f rx win add](T3),

       [f rx win add](T4),

       [f rx win add](T5),

       [f rx win disp]},

1;


The keyword will have to be edited for your specific generic mnemonics.
Additional lines of mnemonics may need to be added.

Good luck!

Eric Nelson

San Antonio, Tx


-----Original Message-----
From: [EMAIL PROTECTED] [
mailto:[EMAIL PROTECTED]
<mailto:[EMAIL PROTECTED]> ] On Behalf Of Kawa, William
Sent: Monday, February 27, 2006 10:09 AM
To: '[email protected]'
Subject: [MEDITECH-L] Pharmacy Rule for anticoagulants

All messages should be posted in plain text.  HTML will be converted to

attachments.    The meditech-l web site is MTUsers.com

======================================

Does anyone have a rule to prevent or, at least, address the problem of

concomitant administation of heparin and Lovenox?

Thanks,

Bill

William B. Kawa

Senior Pharmacist

Erie County Medical Center

[EMAIL PROTECTED]

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