The following LIVEs took place since the last issue:

• Union Hospital, Terre Haute, Indiana, 10/3/95, Live on INVISION Med/IV Charting (Bruce Clutcher, Daniela  Mahoney and Jerry Johnson).
• Wake Medical Center, Raleigh, NC 2/10/96, Live on INVISION Pharmacy (Tom Lancaster, Bert Frazier).

 Here is a list of EVTS tickets relating to INVISION Pharmacy or Med/IV Charting. If you are encountering a similar problem, please open up a ticket for your client and have Tech Support reference the appropriate ticket below:

• #1516016 - (Mercy Hospital - see also #1548790 from Davies and model ticket #1580258) - CHPPOC05/06 need to print nurse station name for Uncharted/Charted Orders Report if no orders qualify.

• #1570338 - (Union Hospital) Need Patient Education Monograph Code added to NDDF Selected Services Report.

Fixed: on 12.95 SUP/96.1 SUT.

• #1575099 - (Mercy Hospital ticket #1540960) CHPPGHST process support needed for CHPPRX91 cart acknowledge program (being fixed.)

• #1661536 - (Children’s of Alabama #1638476; original model ticket is 1404125) - Unable to credit OP like in a bed IV orders. These patients are ‘Like In A Bed’; i.e., they are not in a bed on the INVISION system, but are made to process as inpatients (%OMBEDID=1 was set when visit was created). When crediting through Enter Credit, you receive E4190 ORDER IS CHARGED BY THE CART, USE ENTER IV CREDIT; and when you go through Enter IV Credit, you get E4802 PT MUST BE AN IP TO CREDIT AN IV BOTTLE. Until this is fixed by SMS, you will need to continue to credit
• through Enter Miscellaneous Unrelated Credit for these patients.

Fixed: User can now user Enter Pharmacy Unrelated Credit. On 2.96 SUP/96.2SUT, T-RXGEEU01 stacks T-RXGEMD05 when entering pharmacy unrelated credit.

• #1638492 - (Children’s of Alabama; model ticket #1649134) - Print Pharmacy Worklists does not support Complex Med Processing.

• #1636181 - (Union Hospital #1634398) - multiple patient charting error.

Fixed: on 11.95 SUP/96.1 SUT. Revised T-OCLAST01 to not do the DVA of %PCCOMPT, and changed the conditional stack logic to ‘WHERE ALL OF %PCSUBNO IS VALUED AND %ZVPAIND IS UNVALUED THEN %PCCOMPT=Y, $P=CHPPAE13’.

• #1642246 - (Presbyterian Hospital) - received a concatenation error (components not in AUDA) in D/C & Renew.

Fixed: one the 1.96 SUP/96.1 SUT - T-ZHGEDW00 should not contain the %ORPCPOT=ZHPCCN00.

• #1675330 - (Union Hospital) - need option to page break for PRN orders on MAR/IVAR From Automated Charting.

Fixed: Changed CHPPOC01/02 to support %OCPRNPG=1 to page break for PRNs - on 1.96 SUP/96.1 SUT

Fixed: To change the allowable report edits in S-SCMAIN01:

1. Stack S-SCMAIN01
2. Option 10 ALLOWABEL REPORTS EDIT
3. Inquire on Report Lib. and Report (Action = I)
4. Action = N until the nurse station appears in the bottom field
5. Action = C add the character needed for scheduling replacing any end character (i.e., ? or !); these are important
6. Hit enter twice to process

• #1689614 - (Union Hospital) - unable to chart a once/once PRN traditional order. These orders have one occurrence built when order is placed with a start D/T=stop D/T. Charting tries to build another occurrence but has no place to put the occurrence.

Fixed: The recommendation was to place a TCL in the enter order pathway to use a class 2 daily frequency and make the start D/T and stop D/T different (separate by 15min up to 23 hrs).

• #1693319 - (Union Hospital) - charting (CHPPOC31) allows charting a PRN order as Not Admin.

• #1717304 - (Oakwood Hospital) - drug interaction (and therapeutic dup) is only flagging one interaction even if there are multiple interactions (being fixed).

I would like to report a fix to an earlier-reported EVTS ticket #1089474 (Carilion Health Systems). When you key in order duration in #hrs for a PRN order, the system tends to calculate a stop D/T one occurrence less than the specified #hrs duration. A fix came out some time ago (93.12 SUP/1.94 SUT) to move the order start time to the order stop time for a PRN order when the new field, %ORSTPTI=1 and is placed in the AUDA before CHPPO190 runs. Everyone should be taking advantage of this new %field, otherwise, your recurring PRN orders will not be as long as you would like.

 The latest customer memos for INVISION Pharmacy, Med/IV Charting and related areas are listed below.

1. #867 (August 25, 1995) Install Model Physician View Order Entry - (9.95 SUP/95.4 SUT )

2. #873 (August 25, 1995) Enhanced Contraindications Update And Display Pathway - (9.95 SUP/95.4 SUT) - The enhancements to Contraindications include:

• Redesign of the Contraindication display screen to emphasize the contraindication descriptions and reactions.
• Alphabrowse (against the Service Master) by patient allergy to find and carry the allergy code into the Contraindication pathway. This will minimize the guess work associated with assigning the code to the patient-specific allergy.
• Creation of a separate allergy code for each ingredient of a combination product.
• Addition of a selection list from the hospital’s most common contraindications and reactions.

3. #874 (August 25, 1995) Enhanced Print/Display Patient Orders Program - (8.95 SUP/95.4 SUT) - Print/Display Orders has been enhanced to include to CHPPO477:

• Order Approaching Expiration and Orders Pending Countersignature sort to the top of the orders display with banners.
• The Orders Approaching Expiration display can include or exclude one-time orders.
• The new sort option enables subdepartments to be sorted in the order specified.
• The new selection options that enables selection by status process date and time.
• One-time orders that have ended can remain on an Active Orders Display or Orders Approaching Expiration Display for a specified number of hours by department and subdepartment.
• D/C’d orders can use the D/C D/T rather than the Stop D/T when qualifying orders on the Order Stop D/T.
• Non pharmacy orders can have a second line of order information defined on both displays and prints.
• Long order descriptions (up to 99 lines) can be printed.
• The preconfirmation session indicators remain with the order, allowing orders entered together to be grouped on the print report.

4. #902 (October 27, 1995) - Print/Display Patient Orders Enhancements (11.95 SUP/96.1 SUT) to CHPPO477:

• Option to include held orders in the active display.
• Option to unload the order information without display/printing the detail first.
• Ability to exclude departments and statuses from display/print.
• Ability to suppress the ‘no orders qualified’ error message on the Rounds Report.
• Ability to sort orders by dept/subdept.
• Ability to display a user’s full name rather than the sign-on ID in the Print/Display Patient Orders Detail.

5. #903 - (November 27, 1995) - Clinical Observations and Results (COR) Outbound Interface to SMS Pharmacy (12.95 SUP/96.1 SUT) - For those INVISION clients who have installed SMS Pharmacy as a standalone, departmental system, this enhancement will be useful in allowing pharmacy personnel to view INVISION COR results on SMS Pharmacy. Up to thirteen COR values can be displayed on the SMS Pharmacy expanded patient information screen. Their abbreviations and display order can be modified and can be unique for each pharmacy function set used. Delivery Systems Version 22.0 is a prerequisite for installing the COR Outbound Interface. Note: COR results were made available to INVISION Pharmacy in 8/93 (see Customer Memo #590).

6. #908 (November 24, 1995) - Medication/IV Orders Install Model Enhancements (12.95 SUP/96.1 SUT) includes:

• Clinical Intervention - allows clinical user to input, store, display and print information relating to intervening in the patient care.
• Tapering Dose pathway - facilitates order entry of ‘taper dose’ orders, creating up to five single orders.