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How to know when patient has uncoded meds

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CPS, C-EMR, PM

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joeg1962

(@joeg1962)

Posts: 843

Noble Member

Topic starter

we have been struggling with the issue of uncoded meds. Sometimes these may be the doctor manually typing in the medicine, but other times the medicine may simply 'change' and be no longer valid.

If I read the tables correctly, an uncoded medicine will not have a valid entry for MEDICATE.NDCLABPROD

Assuming that to be correct (let me know if I am wrong), then I next want to look at the MEL function MEDS_AFTER and when delimited the "NDC CODE" that is returned.

Finally, if all these assumptions are correct, then if I put the MEDS_AFTER into an array, I should be able to cycle thru the entries to see if any current meds return null/zero for that field. Correct?

Or, is there a simpler way of doing this?

Thanks in advance....

Posted : May 1, 2014 10:45 pm

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

We have the same issue, I wrote this to check NDC, I think your assumptions are correct.

{fn UncodedMedsPres(meds,allergies){

local temp = getfield(meds,"|","")

local hold

local rslt = ""

for i=1, i<=size(temp),i=i+1do

hold = getfield(temp[i],"^","")

if hold[5] == "" then

if rslt <> "" then

rslt = rslt + hret

endif

rslt = hold[1] + " (" + hold[7] + ")"

endif

endfor

return rslt

}}

Posted : May 2, 2014 1:46 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

Michael, when are you using this? I'm curious as to where in the workflow your providers are checking this.

Thanks,

Posted : May 2, 2014 5:54 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

In the Rx Refill document, when they open the Rx Refill document it runs and if not blank a popup warns the user which meds are uncoded. In our workflow if a provider wants to refill a med they select the med from a listbox on the assessment and plan and click a button to send a flag to a proxy user with the request, a staff member then fills the request.

Posted : May 2, 2014 6:00 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

Michael

Are you using a custom Rx refill form?

Laurie

Posted : May 14, 2014 1:01 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

No, I added another form to the Rx Refill document type. You could also use this in a text component though and add that to the encounter (I think). Then the staff would not see anything different

Posted : May 14, 2014 1:34 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

Thank you!

Posted : May 14, 2014 1:37 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

gibsonmi said:

No, I added another form to the Rx Refill document type. You could also use this in a text component though and add that to the encounter (I think). Then the staff would not see anything different

I created a Text Component and added it to our phone note encounter, but did not get any results. Thanks.

Posted : May 19, 2014 2:59 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

This is exactly what I have in the form component for it to work -

{!document.popblock}

{!fn UncodedMedsPres(meds,allergies){

local temp = getfield(meds,

"|","")

local hold

local rslt =

for i=1, i<=size(temp),i=i+1do

hold = getfield(temp[i],

"^","")

if hold[5] ==

"" then

if rslt <>

"" then

rslt = rslt + hret

endif

rslt = rslt + hold[1] +

" (" + hold[7] + ")"

endif

endfor

return rslt

}}{!if UncodedMedsPres(MEDS_AFTER(

"Delimited"),"") <> "" and document.popblock == "" then

userok(

"The following medication(s) are not coded for prescribing -" + hret + hret + (UncodedMedsPres(MEDS_AFTER("Delimited"),"")) + hret + hret + "If this is a medication you are trying to fill, please remove it from the patient list and add a coded medication.")

document.popblock =

"Done"

else

"" endif}

Posted : May 19, 2014 3:36 am

ronmoses

(@ronmoses)

Posts: 158

Estimable Member

I'm curious as to why there's an allergy parameter when it doesn't appear to be used in the function. Assuming you were planning on always looking at MEDS_AFTER, could you eliminate the parameters entirely and set temp = getfield(MEDS_AFTER...)?

Posted : May 19, 2014 3:52 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

It was there from an older version of the function, what you describe could work just the same for the way I called it. If you leave the meds as a parameter though you could also have it run any time you change medications instead of just once, it leaves your options open at least...

Posted : May 19, 2014 3:59 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

Wow, thanks! Worked perfectly. I wish we could access the Rx Refill form though, I would like to see the pop up only when I checked an uncoded medication for refill...

Posted : May 19, 2014 4:07 am

DavidShower

(@davidshower)

Posts: 1255

Noble Member

You could always try exporting the clinical kit for the form, pasting the code into the XLW file and then reimporting it and see if that would work....

Posted : May 19, 2014 6:05 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

DavidShower said:

You could always try exporting the clinical kit for the form, pasting the code into the XLW file and then reimporting it and see if that would work....

I can't find the clinical kit for the Rx Refill form.

Posted : May 19, 2014 6:09 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

ljburnham said:

DavidShower said:

You could always try exporting the clinical kit for the form, pasting the code into the XLW file and then reimporting it and see if that would work....

I can't find the clinical kit for the Rx Refill form.

And if it wasn't such a long day, then I would know it was under Prescriptions, not RX! Tried it, and it actually did the same thing. The pop up came when I clicked the Rx Refill quick button. Thanks.

Posted : May 19, 2014 6:32 am

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