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Welcome to this special edition of the Rx-Pert Newsletter. The entire Rx-Pert is devoted to tips on understanding the intricacies of implementing the SMS Pharmacy to INVISION Med/IV Orders Interface. The original document was created by Bruce Clutcher (Senior Consultant, SSG) and Jim Terry (HSC, Chicago), based on their experience at Columbia Hospital and Bruce’s experience at North Shore Medical Center. Special thanks goes out to Jay Margolis and Roger Braun for help with editing this document.

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BACKGROUND

This document contains useful information to assist in implementing the SMS Pharmacy to INVISION Med/IV Orders interface. The document is intended to supplement the official Detail Design Specification or SPC documentation, and offers some practical suggestions in implementing and tailoring the interface.

PREREQUISITES

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  • PRDDT - Set for all SM Common Segment defaults with ‘PHM’ entry for any new drug entered in SM.
  • PRRXS - Set for all SM Labeler Segment defaults for any new drug entered in SM.
  • PRDPT - Make sure all PHM entries are in this profile with the appropriate (model) process TCL (e.g., ‘ORDPHMALL’ for order entry). You will need to create entries for Enter Order (ORD), Refill (REF), Shift (SHF), Renew (REN), Cancel/Discontinue (CAN), Resume (RES) and Verify (VER). The process TCL for the Med/IV Order Processing pathway must have the same conditional logic for the SMS Pharmacy to INVISION Med/IV Orders Interface as contained in the Model TCL RXPVEO01 to stack TCL RXADON03 when %RTIFAGE is valued.
  • PRALC - Members, SMSRXTOA, SMSRXHRS and SMSRXFRQ need to be added with the appropriate DVAL expressions (see specs).
  • PRPRI - The interface utilizes priority names (Ord Prio Desc), not the numeric value (Ord Prio Class) for priorities. The names in this profile must match with the names in the TCL RXIFEO05 (this TCL is delivered with the interface).
  • PRSTS - Make sure all pharmacy statuses are in this profile (e.g., 20, 40, 50, 52, 78, 80, 85).
  • PRWFQ - Must map to all values on SMS Rx with Type SIG=D.
  • PRDFQ - See details following.

  • PRDFQ - Must map to all Latin SIGs on SMS Rx, plus any possible hourly and fractional frequencies (e.g., Q4HRS and Q4.5HRS) for IV orders.
  • Use the ‘ALL’ entry if nurse station specific frequencies may be used. For a specific nurse station exception, the nurse station name should be used as the first four characters in PRDFQ.
  • All SMS Rx Latin Sigs with established administration times (e.g., TID) should be entered on INVISION in PRDFQ (e.g., ‘ALL TID’) as Class 3 frequencies. All interval Latin Sigs with no preset times (e.g., ‘Q4HPRN’) should also be entered in PRDFQ as Class 2 frequencies.
  • Intermittent IV order frequencies must have frequencies set up on INVISION with the following format: QnHRS or QnnHRS where n/nn represents the numeric interval found on SMS Pharmacy (see other frequency considerations pertaining to fractional frequencies and non-alternating continuous IVs under IV Processing Considerations below).
  • Some Latin Sigs may need to be set up on INVISION with a clinically similar frequency name, but with functional logical processing in PRDFQ. Some examples:
  • 3 Latin Sig, BIDP --> use ‘BIDP’ in PRDFQ as a Class 2 "Q12H" frequency.

  • 3 Latin Sig, Q3-4H --> use ‘Q3-4H’ in PRDFQ as a Class 2 "Q3H" frequency.

  • All Latin Sigs should have a length of eight characters or less, since the frequency in PRDFQ is limited to eight characters.

(Cont...)


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