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VA Code in Flight Submission - OR*3*444 T55
Revision: 7
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11231
OR*3.0*444 enables a clinician to view existing inpatient and outpatient medication orders from the local site on a single page when preparing to discharge a patient. This order information is displayed on a new Unified Action Profile (UAP) form available from the View menu on the Computerized Patient Record System (CPRS) Orders tab.

Duplicate orders can occur because outpatient orders remain in the system after a patient is admitted, and new inpatient orders are created after admission. When discharging a patient, a clinician must review all orders to avoid duplication, while ensuring the correct medication orders are continued for patient safety and care. The clinician must take the appropriate action for each medication order, deciding whether to continue, change, renew, or discontinue the order prior to discharge.

Previously, when preparing to discharge a patient, a clinician had to switch between forms in order to review all medication orders. OR*3.0*444 enables the clinician to review all medication orders at one time from the new UAP form. This change both simplifies order reconciliation and reduces the time and effort required from the clinician when making decisions on each active inpatient and outpatient order. The UAP sorts orders by drug name so that inpatient and outpatient medications are grouped together. Sorting drugs by medication name ensures that the clinician sees all existing orders for each drug when making decisions during reconciliation.

In the UAP view, Infusions are sorted alphabetically by the first orderable item identified as an additive; solutions are ignored for the purpose of sorting. The orderable items that display are reorganized based on the orderable additive item used for sorting. This change supports alphabetical sorting by a meaningful additive in the UAP, but does not change the original order in the ORDER file (#100). Infusions usually have more than one orderable item and sorting by the first additive ensures a consistent alphabetized display of infusion orders in the UAP view.

Infusion orders cannot be continued, changed, or renewed using UAP because CPRS does not convert inpatient infusion orders to an outpatient order when preparing for discharge. To prevent issues with discharge medication orders, these options are grayed when performing UAP medication reconciliation for an inpatient Infusion order.

Note: When an order is modified by a pharmacist during prescription processing, the order is marked with an asterisk when displayed in CPRS. In the UAP view, this asterisk is hidden when displaying orders; this preserves the alphabetical sorting critical to the reconciliation process.

The UAP includes a Reviewed column that displays the decision made by the clinician during review. A new "UAP Reviewed?" field (#.61) is added to the order record in the ORDER file (#100). This field denotes whether an order was reviewed ("1") or not reviewed ("0"). Two additional fields store information about previous reviews: the "UAP Last Reviewed" field (#.62) stores the date an order was last reviewed using the UAP form; the "UAP Last Reviewed By" field (#.63) stores identification information for the last person to perform a review of the order using the UAP view.
Revision Version
Submitted By
Submission Date
Certified
Notes
7OIT EPMO Open Source Coordination Office01-10-2019This revision provides the in flight source code and patch OR*3*444 T55.
6OIT EPMO Open Source Coordination Office06-05-2018This revision provides OR*3*405 Build 48 which includes the following patches: TIU*1.0*289, PSO*7.0*441, PXRM*2.0*65, GMRA*4.0*51, GMTS*2.7*115, PX*1.0*217, OR*3.0*405, GMRC*3.0*84, LR*5.2*472, PSS*1.0*187, XU*8.0*662
5OIT EPMO Open Source Coordination Office06-05-2018This revision provides OR83*405 Build 48 which includes the following patches: TIU*1.0*289, PSO*7.0*441, PXRM*2.0*65, GMRA*4.0*51, GMTS*2.7*115, PX*1.0*217, OR*3.0*405, GMRC*3.0*84, LR*5.2*472, PSS*1.0*187, XU*8.0*662
Build45OIT EPMO Open Source Coordination Office05-16-2018This revision provides OR83*405 Build 45 which includes the following patches: TIU*1.0*289, PSO*7.0*441, PXRM*2.0*65, GMRA*4.0*51, GMTS*2.7*115, PX*1.0*217, OR*3.0*405, GMRC*3.0*84, LR*5.2*472
3OIT EPMO Open Source Coordination Office08-03-2017This revision provides the source and patches for CPRS v32 Phase 2 T26.
Patches include: PSS*1*187v4, XU*8*662v5, TIU*1.0*289, PSO*7.0*441, PXRM*2.0*65, GMRA*4.0*51, GMTS*2.7*115, OR*3.0*405
GMRC*3.0*84
LR*5.2*472
PSS*1*204
2OIT EPMO Open Source Coordination Office02-17-2017This revision makes avaialable the in-flight source code for CPRS v32 T20 (OR*3.0*405v20) to include patches: TIU*1.0*289, PSO*7.0*441, PXRM*2.0*65, GMRA*4.0*51, GMTS*2.7*115, OR*3.0*405, GMRC*3.0*84, LR*5.2*472, XU*8*662, PSS*1.0*187.
1OIT EPMO Open Source Coordination Office08-24-2016

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