1. Orderable Items Pharmacy Data Management (PDM) Urban Health Programs August 2010

2. Section Objectives Describe and manage Orderable Items Demonstrate impact on EHR ordering

3. Orderable items Integrated with Drug Enter/Edit Also has own menu Providers see orderable items in EHR, not dispense drugs –Also used in Quick order creation –Orderable Item + Dose will determine the dispense drug

4. Orderable Item in Drug Enter/Edit If a new agent and creating a new orderable item: ** You are NOW in the ORDERABLE ITEM matching for the dispense drug. ** Dosage Form -> INJ,SOLN Match to another Orderable Item with same Dosage Form? NO// Dosage Form -> INJ,SOLN Dispense Drug -> ADALIMUMAB 40MG/0.8ML INJ KIT Orderable Item Name: ADALIMUMAB// Matching ADALIMUMAB 40MG/0.8ML INJ KIT to ADALIMUMAB INJ,SOLN Is this OK? YES// Match Complete!

5. Now editing Orderable Item: ADALIMUMAB INJ,SOLN FORMULARY STATUS: N/F// (No Editing) Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SC 1 SC SUBCUTANEOUS SC 2 SC ED CAUD SUBCUTANEOUS EPIDURAL CAUDAL SC ED CAUD 3 SC IA SUBCUTANEOUS INTRA-ARTICULAR SC IA 4 SC ID SUBCUTANEOUS INTRADERMAL SC ID 5 SC ID IM SUBCUTANEOUS INTRADERMAL INTRAMUSCULAR SC ID IM Press to see more, '^' to exit this list, OR CHOOSE 1-5: 1 SUBCUTANEOUS SC SCHEDULE TYPE: SCHEDULE: Q-OTHER-WEEK Outpatient Expansion: EVERY OTHER WEEK PATIENT INSTRUCTIONS: FAR CONTROL FOR ARTHRITIS CONTROL Select SYNONYM: HUMIRA Are you adding 'HUMIRA' as a new SYNONYM (the 1ST for this PHARMACY ORDERABLE ITEM)? No// Y (Yes) SYNONYM: HUMIRA// Select SYNONYM:

6. Orderable Item in Drug Enter/Edit If other drugs with same ingredient and dosage form already exist: ** You are NOW in the ORDERABLE ITEM matching for the dispense drug. ** There are other Dispense Drugs with the same VA Generic Name and same Dose Form already matched to orderable items. Choose a number to match, or enter '^' to enter a new one. Disp. drug -> AMOXICILLIN 250MG CAPS 1 AMOXICILLIN CAP,ORAL Choose number of Orderable Item to match, or '^' to enter a new one: 1 Matching AMOXICILLIN 250MG CAPS to AMOXICILLIN CAP,ORAL Is this OK? YES// Match Complete!

7. Now editing Orderable Item: AMOXICILLIN CAP,ORAL FORMULARY STATUS: Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: TID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM: ? Answer with SYNONYM Choose from: AMOXCD AMOXIL You may enter a new SYNONYM, if you wish Answer must be 1-30 characters in length. Select SYNONYM:

8. Orderable Item Management menu Edit Orderable Items Dispense Drug/Orderable Item Maintenance Orderable Item/Dosages Report Patient Instructions Report

9. Edit Orderable Item For changing the name of the orderable, or one or more of the orderable item fields NOT for changing the orderable item tied to a dispense drug Will also show the dispense drugs tied to a particular orderable item

10. Select PHARMACY ORDERABLE ITEM NAME: AMOX 1 AMOXICILLIN PWDR,RENST-ORAL 2 AMOXICILLIN CAP,ORAL 3 AMOXICILLIN *CLINIC* CAP,ORAL 4 AMOXICILLIN/CLAVULANATE PWDR,RENST-ORAL 5 AMOXICILLIN/CLAVULANATE TAB Press to see more, '^' to exit this list, OR CHOOSE 1-5: 2 AMOXICILLIN CAP,ORAL Orderable Item -> AMOXICILLIN Dosage Form -> CAP,ORAL Orderable Item -> AMOXICILLIN Dosage Form -> CAP,ORAL Dispense Drugs: --------------- AMOXICILLIN 250MG (30'S) CAP PREPACK AMOXICILLIN 4.5 GM DENTAL 18 X 250 MG FEB 11, 1999 AMOXICILLIN 250 MG DENTAL PROPHY SEP 08, 1999 AMOXICILLIN 250MG CAP AMOXICILLIN 250MG CAP U/D AMOXICILLIN 500MG CAP U/D AMOXICILLIN= 500MG CAP

11. Are you sure you want to edit this Orderable Item? NO// YES Now editing Orderable Item: AMOXICILLIN CAP,ORAL Orderable Item Name: AMOXICILLIN// This Orderable Item is Formulary. This Orderable Item is marked as a Non-VA Med. Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: TID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM:

12. Dispense Drug/Orderable Item Maintenance Allows for changing the dispense drug to a new orderable item –Change to an existing item –Create a new item Will also allow for editing of the orderable item

13. Select DISPENSE DRUG: AMOXICILLIN 250MG CAPS AM111 00093-3107-05 AMOXICILLIN 250MG CAPS is already matched to AMOXICILLIN *CLINIC* CAP,ORAL There are other Dispense Drugs with the same VA Generic Name and same Dose Form already matched to orderable items. Choose a number to match, or enter '^' to enter a new one. Disp. drug -> AMOXICILLIN 250MG CAPS 1 AMOXICILLIN CAP,ORAL Choose number of Orderable Item to match, or '^' to enter a new one: 1 Matching AMOXICILLIN 250MG CAPS to AMOXICILLIN CAP,ORAL Is this OK? YES// Match Complete! Now editing Orderable Item: AMOXICILLIN CAP,ORAL FORMULARY STATUS: Select OI-DRUG TEXT ENTRY: INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: TID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM:

14. Orderable item Doses Dispense Drug