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Acutally pregnancy is a "disease" in the FSV database so you could add
it to a patient and have the system find any drug conflicts.

Breast Feeding is not however.

Terry 


Terry Lehmann B.S.P.
Consultant
Healthtech Inc.
Email: [EMAIL PROTECTED]
Phone: 416.483.5974 ext.38
Fax: 416.221.3002
http://www.healthtech.on.ca
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Bill Mullins
Sent: Wednesday, September 06, 2006 11:41 AM
To: Melissa Wyant; [EMAIL PROTECTED]; [email protected]
Cc: [EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] FW: Med Order Screening in Pregnant Patients

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We use a similar process as Melissa does, we also added the Pregnant and
or Breast Feeding query response to the PHA PAT CDS (red screen in PHA
process orders routine.

HEIGHT:     ft          in           cm      DIAG: 40 WEEKS IUP POSSIBL
WEIGHT: 213 lbs         oz    96.615 kg      BSA:        m2
Lactating/Pregnant: Y            Type of feeding: BREAST
DRUG ALLERGIES: NONE
------------------------------------------------------------------------
-

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Melissa Wyant
Sent: Friday, September 01, 2006 9:13 AM
To: [EMAIL PROTECTED]; [email protected]
Cc: [EMAIL PROTECTED]
Subject: Re: [MEDITECH-L] FW: Med Order Screening in Pregnant Patients

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Nursing has a Admission Assessment CDS that uses a Pregnancy Y/N query.
We created an evaluate at MED rule in pharmacy to give a pop-up warning
during order entry if the answer is Y and attached the rule to the
pharmacy CDP .  See rule below where NURPREG is our pregnancy query:

;RULE TO NOTIFY THE PHARMACY VIA A POP UP THAT PATIENT IS PREGNANT,
"****PATIENT IS PREGNANT ****, MAKE SURE DRUG OK DURING PREGNANCY"^A,

IF{[q NURPREG]="Y" [f rx msg](A);[f rx ok]}};

Hope this helps,
Melissa

Melissa Wyant, R.Ph.
Pharmacy Application Analyst
Information Systems
Holyoke Medical Center
575 Beech Street
Holyoke, MA 01040
Phone: 413-534-2842
Beeper: 413-755-8318
[EMAIL PROTECTED]

>>> "Favello, Helen" <[EMAIL PROTECTED]> 8/30/2006 3:11:22 PM >>>
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Currently we are Meditech Magic 4.9 SR7

How are sites identifying patients that are pregnant but are admitted
for non-pregnancy related issues?
In particular, how is Pharmacy notified so that medications can be
screened for contraindications in pregnancy?  
Are sites using admission diagnoses?
Are sites using PHA Disease fields?
For sites that are using some mechanism to identify these patients, how
are you handling making sure that the information is removed from the
patient record when no longer appropriate?  
For example, PHA Disease works best for screening meds a order entry,
but it is demo recall and will be retained for future visits, even if no
longer appropriate.

Currently, we are free-texting this info into a customer defined field
on the Administrative Care Data screen, along with other conditions.
This makes it difficult to construct PHA order rules, or utilize other
means to notify the pharmacist when entering orders that the patient is
pregnant.

R. Paula Archer
R. Paula Archer, R.Ph.
Sr. Systems Analyst
Information Services
x2066
[EMAIL PROTECTED] 

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