3Q96 Pages 1 & 2
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 Bruces experience at North Shore Medical Center. Special thanks goes out to Jay Margolis and Roger Braun for help with editing this document.
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.
1. PROFILES: Note that all INVISION profiles used by the interface must be at hospital level:
- 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.
2. FREQUENCY SET-UP: You must set up and map the SMS Pharmacy Latin Sig to equivalent INVISION frequencies in PRDFQ/PRWFQ.
- 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.
FREQUENCY SET-UP QUESTIONS:
RESPONSE: The Phase I and II interface software does not accommodate this feature. Therefore non-standard weekly frequencies cannot be used on SMS Rx. If you have been Live on SMS Pharmacy, you could write a DAS report of all non-standard weekly frequencies used and enter these non-standard weekly frequencies as standard weekly frequencies on SMS Pharmacy and INVISION.
Response: Any order entered on SMS Rx with non-standard times (whether an existing Latin Sig was used or not) will automatically create a non-standard frequency on INVISION. The nonstandard times will come across the interface and value %RXOEXPL. The expression in PRALC (Data Evaluator) accessing SMSRXFRQ will parse this 39 character %field into (and up to) the 8 x 4 non-standard time components C3701 through C3708. The INVISION frequency in C1215 will be set to *xxxxxxx (where xxxxxx will be the frequency name passed from SMS Rx. The non standard SIG created on SMS Rx must be associated with a non-PRN order and must therefore have TOAs associated with the frequency. The transaction will error on INVISION if a non-standard SIG is used with a PRN order.