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Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

I know there are two different MEL codes for "removed medications"

{'{MED_LIST_CHANGES()}'}

{'{MEDS_REMOVED("list", "dat")}'}

Which somewhat works but I'm looking to see how to bring in the REASON the medication was removed

Posted : June 26, 2012 6:15 am

jjordet

(@jjordet)

Posts: 545

Honorable Member

Looks like either of the 2 functions will return a reason when using the 'delimited' parameter...

MED_LIST_CHANGES

description

List all medications and refills entered, changed, or removed during the current update.

type

Data symbol function

syntax

MED_LIST_CHANGES(delimited)

arguments

delimited - Optional. Returns a delimited list of all medication information, with pipes (|) between medication records and carets (^) between fields.

Note. Arguments cannot be used when the symbol is set to evaluate continuously.

when to evaluate

When inserted in the chart note or continuously

returns

Information returned is in the following table. If the argument is not present the medication information is returned in list format.

Field#	Field Description	Sample
1	Action	CHANGE
2	Description	TRIPHASIL (21) TABS
3	Instructions	1 po qd
4	Start Date	09/29/2003
5	Stop Date	12/29/2003
6	Stop Reason (remove only)	C
7	DDID	59711
8	GPI	25992002100310
9	Quantity	3 pks
10	Refills	4
11	Description2 (change only)	ORTHO-NOVUM 7/7/7 (21) TAB
12	Instructions2 (change only)	1 po qd
13	Start Date2 (change only)	08/15/2000
14	Stop Date2 (change only)	09/29/2003
15	Stop Reason2 (change only)	C
16	DDID2 (change only)	59702
17	GPI2 (change only)	25992002200310
18	Quantity2 (change only)	3 pks
19	Refills2 (change only)	4
20	Status (Signed/Unsigned)	UNSIGNED
21	BMN	BMN
22	BMN2 (change only)	BMN
23	Comments	prn HTM
24	Comments2 (change only)	prn HTM
25	RxType1	P
26	RxType2	P
27	Indications	HYPERCHOLESTEROLEMIA
28	Indications2 (change only)	Ankle Edema~Coronary Artery Disease

comment

This data symbol function provides a listing of changes made during the current update.

example 1

{MED_LIST_CHANGES()}

returns

Added new medication of FUROSEMIDE 20 MG TABS (FUROSEMIDE) 1 po qd; Indications: Ankle edema – Signed;

Removed medication of NITROSTAT SUB 04MG (NITROGLYCERIN) 1 sI pm c/p, max of 3 in 15 mm; Indications: HYPERCHOLESTEROLEMIA; Risk of CORONARY ARTERY DISEASE

Rx of FUROSEMIDE 20 MG TABS (FUROSEMIDE) 1 po qd; #30 x 3; Signed; Entered by: Harry S Winston MD; Authorized by: Harry S Winston MD; Method used: Print then Give to Patient;

example 2

{MED_LIST_CHANGES('delimited')}

returns

ADD^DIOVAN HCT 160-25 MG TABS^take one tablet daily^01/24/2010^^^76501^36994002700350^90^3^^^^^^^^^^UNSIGNED^BMN^^prt HTN^^P^^^^|

PRESCRIB^DIOVAN HCT 160-25 MG TABS^take one tablet daily^01/24/2010^^^76501^36994002700350^90^3^^^^^^^^^^UNSIGNED^BMN^^prt HTN^^P^^^^

where used

Chart: text components, chart notes, and quick text

Encounter Form Editor: Data Display items with a Clinical Function connection and MEL expressions

*****************************************************************************

MEDS_REMOVED

description

Lists medications removed from the patient’s medication list.

type

Data symbol function

syntax

MEDS_REMOVED(list_type, dat)

arguments

list_type

The list format:

list - List one per line

comma - List on a single line, separated by commas

delimited - List on a single line, rows separated by pipes (|), fields separated by carets (^). Fields returned are:

medication description

generic medication description

DDID

GPI code

NDC code

legend
R = prescription medications
O = over-the-counter medications

instructions

removal comments

onset date

stop date (only available in delimited format)

stop reason

Y indicates BMN (brand medically necessary)

medication comments (up to 2000 characters)

indications - if there are two or more indications for a medication, they are separated by a tilde (~)

dat

The date the medicated is removed from the patient’s medication list in the format mm/dd/yyyy.

when to evaluate

Continuously

returns

Medications removed during the current chart update

comment

list is the default argument for the list_type parameter.

Fields returned by MEDS_REMOVED("delimited"): medication description, generic medication description, DDID, GPI code, NDC code, legend, instructions, comments, onset date, stop date, stop reason

example

{'{MEDS_REMOVED("list")}'}

returns

METAMUCIL 1 tsp in 8 oz water tid

IBUPROFEN TAB 600MG 1 po tid prn elbow pain

{'{MEDS_REMOVED("comma", "dat")}'}

returns

11/11/2001 METAMUCIL 1 tsp in 8 oz water tid, 11/11/2001

IBUPROFEN TAB 600MG 1 po tid prn elbow pain

{MEDS_REMOVED("delimited")}

returns

NITROSTAT SUB 0.4MG^NITROGLYCERIN^15050^32100030000715^00071057013^R^1 sl prn c/p, max of 3 in 15 min^^05/15/2002^^^^1239656750000620^HYPERCHOLESTEROLEMIA~ANGINA, FUNCTIONAL CLASS III

where used

Chart: text components, chart notes, and quick text

Encounter Form Editor: Data Display items with a Clinical Function connection and MEL expressions

Posted : June 26, 2012 6:27 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

Nothing I seem to be doing with either MED_LIST_CHANGES or MEDS_REMOVED seems to be working ... it indeed tells me the med was removed but I NEED the reason the med was removed to show as well

When I go into "Update Medications" and I "remove" a medication, the "Remove Medication" window allows me to give a "Reason for Removal" as well as a "Removal Comment" ... NONE of that is printing in text on the note

Getting frustrated as this is an important feature to us Yell Confused Cry Frown

Posted : June 27, 2012 10:52 pm

jjordet

(@jjordet)

Posts: 545

Honorable Member

where are you trying to use this? form? handout?

Posted : June 27, 2012 11:10 pm

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

I'm trying to make a text component ... if it won't work there, will it work w/in a VFE form?

Posted : June 27, 2012 11:35 pm

jjordet

(@jjordet)

Posts: 545

Honorable Member

doc says text, form, quick text...so should work. do you have an example of the code?

Posted : June 27, 2012 11:43 pm

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

{'{cfmt(MED_LIST_CHANGES(), "", "Medications Added / Removed This Encounter:

", "B,1", "")}'}

Posted : June 28, 2012 12:18 am

jjordet

(@jjordet)

Posts: 545

Honorable Member

Note. Arguments cannot be used when the symbol is set to evaluate continuously.

If the argument is not present the medication information is returned in list format.

You are evaluating continuously in the text component, so you can't use 'delimited' and I'm guessing that the default 'list' format doesn't include the reason/comments.

You can try calling the function from a form with the 'delimited' format and string together the pieces you want using GETFIELD.

Posted : June 28, 2012 12:28 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

Alright i'm going to try that ... a little more complicated than I can understand but I'll work through it

Do you personally know of a way to incorporate the Removed or as we use to call it "inactive" meds in the note text EACH time .

we are a cardiology office and might discontinue a patient's coumadin for said reason and we want it documented EACH office visit note so other physicians who might be on call or might get a copy of teh note don't try and represcribe that Confused

Posted : June 28, 2012 1:59 am

jjordet

(@jjordet)

Posts: 545

Honorable Member

I don't know of any workflow here that shows removed meds. We usually show all meds. I guess if a provider wants others to know a reason for removing a med, he'll just enter the needed text in a comment field or at the end of the note.

Posted : June 28, 2012 2:25 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

One last thing ... when you say "all meds" does that include ones that have been removed or just active

Posted : June 28, 2012 3:35 am

jjordet

(@jjordet)

Posts: 545

Honorable Member

active...usually we save the active meds at the beginning of the update (pmh) and then the active after changes have been made.

Posted : June 28, 2012 3:47 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Try this to see if it pulls what you need: you can then call the function on a form to a datadisplay...

{!fn fnLoopALLMeds(){
local returnMS = "Inactive Medications: " + HRET
local i =
getRowCount("_MasterMed")
for x = 0, x < i, x = x+1
do local MIDx =
getRow("_MasterMed",x,"MID")
local XIDx =
find("_MasterMed","XID","MID",MIDx)
local RSNx = find("_MasterMed","StopReason","MID",MIDx)
local Reason = "Due to " + cond
case RSNx == "A" "Adverse Reaction "
case RSNx == "C" "Changed Medication "
case RSNx == "D" "Removed Medication "
casecRSNx == "E" "Other Reason "
case RSNx == "N" "Not Effective "
case RSNx == "O" "Other Reason "
case RSNx == "P" "Patient Request "
case RSNx == "R" "Regimen Completed "
case RSNx == "S" "Side Effects "
case RSNx == "T" "Cost "
else "Other Reason "
endcond
returnMS = returnMS +
if XIDx = 1000000000000000000.00 then ""
else
Reason + ": " + find("_MasterMed","Description","MID",MIDx) + " " +
"Started: " + find("_MasterMed","StartDate","MID",MIDx) + " " +
if find("_MasterMed","StopDate","MID",MIDx) == "12/31/4700" then "" else
"Stopped: " + find("_MasterMed","StopDate","MID",MIDx) endif + " " +
if find("_MasterMed","Comments","MID",MIDx) == "" then "" else
"Comment: " + find("_MasterMed","Comments","MID",MIDx) endif + HRET
endif
endfor
returnMS}}

{fnLoopALLMeds()}

Posted : July 3, 2012 4:00 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

Okay so this fnloop is somewhat working ... I'm really dull to this extreme coding even though I took the intermediate VFE course ...

I put it in to a data display which works but three things:

1) I can figure the format to actually get it into text

2) in the data display it shows "Due to Other Reason" and "Due to Adverse Reaction" for each med ... so it duplicates it

3) it's not showing my "comment"

Posted : July 12, 2012 3:18 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

If you send me your email, I will forward a form to you that has all the code. As for comments, I cannot find a way to pulls those in... If you do, let me know!

Posted : July 12, 2012 3:24 am

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