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Pharmacy Data Management (PDM). Orderable Items. Urban Health Programs August 2010. Section Objectives. Describe and manage Orderable Items Demonstrate impact on EHR ordering. Orderable items. Integrated with Drug Enter/Edit Also has own menu
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Pharmacy Data Management (PDM) Orderable Items Urban Health Programs August 2010
Section Objectives • Describe and manage Orderable Items • Demonstrate impact on EHR ordering
Orderable items • Integrated with Drug Enter/Edit • Also has own menu • Providers see orderable items in EHR, not dispense drugs • Also used in Quick order creation • Orderable Item + Dose will determine the dispense drug
Orderable Item in Drug Enter/Edit • If a new agent and creating a new orderable item: ** You are NOW in the ORDERABLE ITEM matching for the dispense drug. ** Dosage Form -> INJ,SOLN Match to another Orderable Item with same Dosage Form? NO// Dosage Form -> INJ,SOLN Dispense Drug -> ADALIMUMAB 40MG/0.8ML INJ KIT Orderable Item Name: ADALIMUMAB// Matching ADALIMUMAB 40MG/0.8ML INJ KIT to ADALIMUMAB INJ,SOLN Is this OK? YES// Match Complete!
Now editing Orderable Item: ADALIMUMAB INJ,SOLN FORMULARY STATUS: N/F// (No Editing) Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SC 1 SC SUBCUTANEOUS SC 2 SC ED CAUD SUBCUTANEOUS EPIDURAL CAUDAL SC ED CAUD 3 SC IA SUBCUTANEOUS INTRA-ARTICULAR SC IA 4 SC ID SUBCUTANEOUS INTRADERMAL SC ID 5 SC ID IM SUBCUTANEOUS INTRADERMAL INTRAMUSCULAR SC ID IM Press <RETURN> to see more, '^' to exit this list, OR CHOOSE 1-5: 1 SUBCUTANEOUS SC SCHEDULE TYPE: SCHEDULE: Q-OTHER-WEEK Outpatient Expansion: EVERY OTHER WEEK PATIENT INSTRUCTIONS: FAR CONTROL FOR ARTHRITIS CONTROL Select SYNONYM: HUMIRA Are you adding 'HUMIRA' as a new SYNONYM (the 1ST for this PHARMACY ORDERABLE ITEM)? No// Y (Yes) SYNONYM: HUMIRA// Select SYNONYM:
Orderable Item in Drug Enter/Edit • If other drugs with same ingredient and dosage form already exist: ** You are NOW in the ORDERABLE ITEM matching for the dispense drug. ** There are other Dispense Drugs with the same VA Generic Name and same Dose Form already matched to orderable items. Choose a number to match, or enter '^' to enter a new one. Disp. drug -> AMOXICILLIN 250MG CAPS 1 AMOXICILLIN CAP,ORAL Choose number of Orderable Item to match, or '^' to enter a new one: 1 Matching AMOXICILLIN 250MG CAPS to AMOXICILLIN CAP,ORAL Is this OK? YES// Match Complete!
Now editing Orderable Item: AMOXICILLIN CAP,ORAL FORMULARY STATUS: Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: TID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM: ? Answer with SYNONYM Choose from: AMOXCD AMOXIL You may enter a new SYNONYM, if you wish Answer must be 1-30 characters in length. Select SYNONYM:
Orderable Item Management menu Edit Orderable Items Dispense Drug/Orderable Item Maintenance Orderable Item/Dosages Report Patient Instructions Report
Edit Orderable Item • For changing the name of the orderable, or one or more of the orderable item fields • NOT for changing the orderable item tied to a dispense drug • Will also show the dispense drugs tied to a particular orderable item
Select PHARMACY ORDERABLE ITEM NAME: AMOX 1 AMOXICILLIN PWDR,RENST-ORAL 2 AMOXICILLIN CAP,ORAL 3 AMOXICILLIN *CLINIC* CAP,ORAL 4 AMOXICILLIN/CLAVULANATE PWDR,RENST-ORAL 5 AMOXICILLIN/CLAVULANATE TAB Press <RETURN> to see more, '^' to exit this list, OR CHOOSE 1-5: 2 AMOXICILLIN CAP,ORAL Orderable Item -> AMOXICILLIN Dosage Form -> CAP,ORAL Orderable Item -> AMOXICILLIN Dosage Form -> CAP,ORAL Dispense Drugs: --------------- AMOXICILLIN 250MG (30'S) CAP PREPACK AMOXICILLIN 4.5 GM DENTAL 18 X 250 MG FEB 11, 1999 AMOXICILLIN 250 MG DENTAL PROPHY SEP 08, 1999 AMOXICILLIN 250MG CAP AMOXICILLIN 250MG CAP U/D AMOXICILLIN 500MG CAP U/D AMOXICILLIN= 500MG CAP
Are you sure you want to edit this Orderable Item? NO// YES Now editing Orderable Item: AMOXICILLIN CAP,ORAL Orderable Item Name: AMOXICILLIN// This Orderable Item is Formulary. This Orderable Item is marked as a Non-VA Med. Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: TID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM:
Dispense Drug/Orderable Item Maintenance • Allows for changing the dispense drug to a new orderable item • Change to an existing item • Create a new item • Will also allow for editing of the orderable item
Select DISPENSE DRUG: AMOXICILLIN 250MG CAPS AM111 00093-3107-05 AMOXICILLIN 250MG CAPS is already matched to AMOXICILLIN *CLINIC* CAP,ORAL There are other Dispense Drugs with the same VA Generic Name and same Dose Form already matched to orderable items. Choose a number to match, or enter '^' to enter a new one. Disp. drug -> AMOXICILLIN 250MG CAPS 1 AMOXICILLIN CAP,ORAL Choose number of Orderable Item to match, or '^' to enter a new one: 1 Matching AMOXICILLIN 250MG CAPS to AMOXICILLIN CAP,ORAL Is this OK? YES// Match Complete! Now editing Orderable Item: AMOXICILLIN CAP,ORAL FORMULARY STATUS: Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: TID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM:
Orderable item Doses Dispense Drug