CPRS Config: Order Checks
From VistApedia
Welcome to the Order Checks Configuration Page.
Contents
What Are Order Checks?
Order checks are checks that take place when an order is placed in VISTA. Common order checks are to see if a patient has had allergies assessed if you are ordering a medication; or to see if the medications ordered interact with each other.
Pre Configuration
Before you configure order checks, you need to list them out and sit down with the decision makers at your facility to get an initial configuration. Don't expect to get this right the first time you do it though, as you may need to tweak this in the future.
For each, you need to ask these questions?
- Enable?
- Is it Mandatory (Users cannot disable it)?
- Danger Level (High, Low, Medium)
Here is the list of Order Checks that comes with VISTA.
ALLERGY-CONTRAST MEDIA INTERAC ALLERGY-DRUG INTERACTION AMINOGLYCOSIDE ORDERED BIOCHEM ABNORMALITY FOR CONTRA CLOZAPINE APPROPRIATENESS CRITICAL DRUG INTERACTION CT & MRI PHYSICAL LIMITATIONS DANGEROUS MEDS FOR PT > 64 DISPENSE DRUG NOT SELECTED DUPLICATE DRUG CLASS ORDER DUPLICATE DRUG ORDER DUPLICATE OPIOID MEDICATIONS DUPLICATE ORDER ERROR MESSAGE ESTIMATED CREATININE CLEARANCE GENERIC RESULTS GLUCOPHAGE-CONTRAST MEDIA GLUCOPHAGE-LAB RESULTS LAB ORDER FREQ RESTRICTIONS MISSING LAB TESTS FOR ANGIOGRA NO ALLERGY ASSESSMENT ORDER CHECKING NOT AVAILABLE POLYPHARMACY RECENT BARIUM STUDY RECENT ORAL CHOLECYSTOGRAM RENAL FUNCTIONS OVER AGE 65 SIGNIFICANT DRUG INTERACTION
Configuration
Here's how to get to the menu: Main Menu
AL Allocate OE/RR Security Keys KK Check for Multiple Keys DC Edit DC Reasons GP GUI Parameters ... GA GUI Access - Tabs, RPL MI Miscellaneous Parameters NO Notification Mgmt Menu ... OC Order Checking Mgmt Menu ... MM Order Menu Management ... LI Patient List Mgmt Menu ... FP Print Formats PR Print/Report Parameters ... RE Release/Cancel Delayed Orders US Unsigned orders search EX Set Unsigned Orders View on Exit NA Search orders by Nature or Status CM Care Management Menu ... DO Event Delayed Orders Menu ... PM Performance Monitor Report Select CPRS Configuration (Clin Coord) Option: oc Order Checking Mgmt Menu 1 Enable/Disable an Order Check 2 Set Clinical Danger Level for an Order Check 3 CT Scanner Height Limit 4 CT Scanner Weight Limit 5 MRI Scanner Height Limit 6 MRI Scanner Weight Limit 7 Orderable Item Duplicate Order Range 8 Lab Duplicate Order Range 9 Radiology Duplicate Order Range 10 Enable or Disable Order Checking System 11 Enable or Disable Debug Message Logging 12 Display the Order Checks a User Can Receive 13 Edit Site Local Terms 14 Set Number of Medications for Polypharmacy 15 Set Creatinine Date Range for Glucophage-Lab Rslts 16 Set Order Checks to be Uneditable By Users 17 Set Creatinine Date Range for Contrst Media Orders
Disable the Order Checking System
Enable or Disable Order Checking System
Enable or disable order checking system. may be set for the following:
1 Division DIV [choose from INSTITUTION]
2 System SYS [VISTA.ICH.LOCAL]
Enter selection: 2 System VISTA.ICH.LOCAL
Setting Enable or disable order checking system. for System: VISTA.ICH.LOCAL
Value: ?
Enter 'Enable/E' for order checking, 'Disable/D' to stop order checking.
Select one of the following:
E Enable
D Disable
Value: Disable
Disable all Order Checks at the System Level
For some odd reason, VISTA comes exported with some Order Checks turned on by default at the Invisible Package Level (they are not necessarily good defaults either from my experience), so you have to make sure that every one is disabled for your system.
Enable/Disable an Order Check
Order Check Processing Flag may be set for the following:
1 User USR [choose from NEW PERSON]
2 Location LOC [choose from HOSPITAL LOCATION]
3 Service SRV [choose from SERVICE/SECTION]
4 Division DIV [choose from INSTITUTION]
5 System SYS [VISTA.ICH.LOCAL]
Enter selection: 5 System VISTA.ICH.LOCAL
------ Setting Order Check Processing Flag for System: VISTA.ICH.LOCAL ------
Select Order Check: aller
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: ??
Select Order Check: ??
Choose from:
ALLERGY-CONTRAST MEDIA INTERAC
ALLERGY-DRUG INTERACTION
AMINOGLYCOSIDE ORDERED
BIOCHEM ABNORMALITY FOR CONTRA
CLOZAPINE APPROPRIATENESS
CRITICAL DRUG INTERACTION
CT & MRI PHYSICAL LIMITATIONS
DANGEROUS MEDS FOR PT > 64
DISPENSE DRUG NOT SELECTED
DUPLICATE DRUG CLASS ORDER
DUPLICATE DRUG ORDER
DUPLICATE OPIOID MEDICATIONS
DUPLICATE ORDER
ERROR MESSAGE
ESTIMATED CREATININE CLEARANCE
GENERIC RESULTS
GLUCOPHAGE-CONTRAST MEDIA
GLUCOPHAGE-LAB RESULTS
LAB ORDER FREQ RESTRICTIONS
to exit:
MISSING LAB TESTS FOR ANGIOGRA
NO ALLERGY ASSESSMENT
ORDER CHECKING NOT AVAILABLE
POLYPHARMACY
RECENT BARIUM STUDY
RECENT ORAL CHOLECYSTOGRAM
RENAL FUNCTIONS OVER AGE 65
SIGNIFICANT DRUG INTERACTION
Select Order Check: all
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 1 ALLERGY-CONTRAST MEDIA INTERACTION
Are you adding ALLERGY-CONTRAST MEDIA INTERACTION as a new Order Check? Yes//
YES
Order Check: ALLERGY-CONTRAST MEDIA INTERACTION// ALLERGY-CONTRAST MEDIA INTER
ACTION ALLERGY-CONTRAST MEDIA INTERACTION
Value: ?
Code indicating the processing flag for the entity and order check.
Select one of the following:
E Enabled
D Disabled
Value: d Disabled
Select Order Check: allergy-druG INTERACTION
Are you adding ALLERGY-DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
Value: d Disabled
Select Order Check: aminoglycoside orDERED
Are you adding AMINOGLYCOSIDE ORDERED as a new Order Check? Yes// YES
Order Check: AMINOGLYCOSIDE ORDERED// AMINOGLYCOSIDE ORDERED AMINOGLYCOSIDE
ORDERED
Value: d Disabled
Select Order Check: biochem ABNORMALITY FOR CONTRAST MEDIA
Are you adding BIOCHEM ABNORMALITY FOR CONTRAST MEDIA as a new Order Check? Yes/
/ y YES
Order Check: BIOCHEM ABNORMALITY FOR CONTRAST MEDIA// BIOCHEM ABNORMALITY FOR
CONTRAST MEDIA BIOCHEM ABNORMALITY FOR CONTRAST MEDIA
Value: d Disabled
Select Order Check: clozapINE APPROPRIATENESS
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes// YES
Order Check: CLOZAPINE APPROPRIATENESS// CLOZAPINE APPROPRIATENESS CLOZAPINE
APPROPRIATENESS
Value: d Disabled
Select Order Check: critical drug inTERACTION
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: CRITICAL DRUG INTERACTION// CRITICAL DRUG INTERACTION CRITICAL
DRUG INTERACTION
Value: d Disabled
Select Order Check: cr & mri ??
Select Order Check: ct & mri PHYSICAL LIMITATIONS
Are you adding CT & MRI PHYSICAL LIMITATIONS as a new Order Check? Yes// YES
Order Check: CT & MRI PHYSICAL LIMITATIONS// CT & MRI PHYSICAL LIMITATIONS C
T & MRI PHYSICAL LIMITATIONS
Value: d Disabled
Select Order Check: dangerOUS MEDS FOR PT > 64
Are you adding DANGEROUS MEDS FOR PT > 64 as a new Order Check? Yes// YES
Order Check: DANGEROUS MEDS FOR PT > 64// DANGEROUS MEDS FOR PT > 64 DANGERO
US MEDS FOR PT > 64
Value: d Disabled
Select Order Check: dispense DRUG NOT SELECTED
Are you adding DISPENSE DRUG NOT SELECTED as a new Order Check? Yes// YES
Order Check: DISPENSE DRUG NOT SELECTED// DISPENSE DRUG NOT SELECTED DISPENS
E DRUG NOT SELECTED
Value: d Disabled
Select Order Check: duplicate drug class order
Are you adding DUPLICATE DRUG CLASS ORDER as a new Order Check? Yes// YES
Order Check: DUPLICATE DRUG CLASS ORDER// DUPLICATE DRUG CLASS ORDER DUPLICA
TE DRUG CLASS ORDER
Value: d Disabled
Select Order Check: duplicate drug order
Are you adding DUPLICATE DRUG ORDER as a new Order Check? Yes// YES
Order Check: DUPLICATE DRUG ORDER// DUPLICATE DRUG ORDER DUPLICATE DRUG ORDE
R
Value: d Disabled
Select Order Check: duplicate opiod me ??
Select Order Check: duplicate opiOID MEDICATIONS
Are you adding DUPLICATE OPIOID MEDICATIONS as a new Order Check? Yes// YES
Order Check: DUPLICATE OPIOID MEDICATIONS// DUPLICATE OPIOID MEDICATIONS DUP
LICATE OPIOID MEDICATIONS
Value: d Disabled
Select Order Check: duplicate orDER
Are you adding DUPLICATE ORDER as a new Order Check? Yes// YES
Order Check: DUPLICATE ORDER// DUPLICATE ORDER DUPLICATE ORDER
Value: d Disabled
Select Order Check: error MESSAGE
Are you adding ERROR MESSAGE as a new Order Check? Yes// YES
Order Check: ERROR MESSAGE// ERROR MESSAGE ERROR MESSAGE
Value: d Disabled
Select Order Check: estimated crEATININE CLEARANCE
Are you adding ESTIMATED CREATININE CLEARANCE as a new Order Check? Yes// YES
Order Check: ESTIMATED CREATININE CLEARANCE// ESTIMATED CREATININE CLEARANCE
ESTIMATED CREATININE CLEARANCE
Value: d Disabled
Select Order Check: generIC RESULTS
Are you adding GENERIC RESULTS as a new Order Check? Yes// YES
Order Check: GENERIC RESULTS// GENERIC RESULTS GENERIC RESULTS
Value: d Disabled
Select Order Check: glucophage-conTRAST MEDIA
Are you adding GLUCOPHAGE-CONTRAST MEDIA as a new Order Check? Yes// YES
Order Check: GLUCOPHAGE-CONTRAST MEDIA// GLUCOPHAGE-CONTRAST MEDIA GLUCOPHAG
E-CONTRAST MEDIA
Value: d Disabled
Select Order Check: glucophage-laB RESULTS
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes// YES
Order Check: GLUCOPHAGE-LAB RESULTS// GLUCOPHAGE-LAB RESULTS GLUCOPHAGE-LAB
RESULTS
Value: d Disabled
Select Order Check: lab order freq RESTRICTIONS
Are you adding LAB ORDER FREQ RESTRICTIONS as a new Order Check? Yes// YES
Order Check: LAB ORDER FREQ RESTRICTIONS// LAB ORDER FREQ RESTRICTIONS LAB O
RDER FREQ RESTRICTIONS
Value: d Disabled
Select Order Check: missing lab tests for ANGIOGRAM PROCEDURE
Are you adding MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE as a new Order Check? Y
es// y YES
Order Check: MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE// MISSING LAB TESTS FOR
ANGIOGRAM PROCEDURE MISSING LAB TESTS FOR ANGIOGRAM PROCEDURE
Value: d Disabled
Select Order Check:
Select Order Check: no allERGY ASSESSMENT
Are you adding NO ALLERGY ASSESSMENT as a new Order Check? Yes// YES
Order Check: NO ALLERGY ASSESSMENT// NO ALLERGY ASSESSMENT NO ALLERGY ASSESS
MENT
Value: d Disabled
Select Order Check: order CHECKING NOT AVAILABLE
Are you adding ORDER CHECKING NOT AVAILABLE as a new Order Check? Yes// YES
Order Check: ORDER CHECKING NOT AVAILABLE// ORDER CHECKING NOT AVAILABLE ORD
ER CHECKING NOT AVAILABLE
Value: d Disabled
Select Order Check: polyphARMACY
Are you adding POLYPHARMACY as a new Order Check? Yes// YES
Order Check: POLYPHARMACY// POLYPHARMACY POLYPHARMACY
Value: d Disabled
Order Check: RECENT BARIUM STUDY// RECENT BARIUM STUDY RECENT BARIUM STUDY
Value: d Disabled
Select Order Check: RECENT ORAL CHOLECYSTOGRAM
Are you adding RECENT ORAL CHOLECYSTOGRAM as a new Order Check? Yes// YES
Order Check: RECENT ORAL CHOLECYSTOGRAM// RECENT ORAL CHOLECYSTOGRAM RECENT
ORAL CHOLECYSTOGRAM
Value: Disabled
Select Order Check: RENAL FUNCTIONS OVER AGE 65
Are you adding RENAL FUNCTIONS OVER AGE 65 as a new Order Check? Yes// YES
Order Check: RENAL FUNCTIONS OVER AGE 65// RENAL FUNCTIONS OVER AGE 65 RENAL
FUNCTIONS OVER AGE 65
Value: Disabled
Select Order Check: SIGNIFICANT DRUG INTERACTION
Are you adding SIGNIFICANT DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: SIGNIFICANT DRUG INTERACTION// SIGNIFICANT DRUG INTERACTION SIG
NIFICANT DRUG INTERACTION
Value: Disabled
Select Order Check:
Turn the ones we want back on
Enable/Disable an Order Check
Order Check Processing Flag may be set for the following:
1 User USR [choose from NEW PERSON]
2 Location LOC [choose from HOSPITAL LOCATION]
3 Service SRV [choose from SERVICE/SECTION]
4 Division DIV [choose from INSTITUTION]
5 System SYS [VISTA.ICH.LOCAL]
Enter selection: 5 System VISTA.ICH.LOCAL
------ Setting Order Check Processing Flag for System: VISTA.ICH.LOCAL ------
Select Order Check: allergy drug ??
Select Order Check: all
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 2 ALLERGY-DRUG INTERACTION
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
Value: Disabled// ?
Code indicating the processing flag for the entity and order check.
Select one of the following:
E Enabled
D Disabled
Value: Disabled// Enabled
Select Order Check: CLOZAPINE APPROPRIATENESS
Order Check: CLOZAPINE APPROPRIATENESS// CLOZAPINE APPROPRIATENESS CLOZAPINE
APPROPRIATENESS
Value: Disabled// Enabled
Select Order Check: CRITICAL DRUG INTERACTION
Order Check: CRITICAL DRUG INTERACTION// CRITICAL DRUG INTERACTION CRITICAL
DRUG INTERACTION
Value: Disabled// Enabled
Select Order Check: DANGEROUS MEDS FOR PT > 64
Order Check: DANGEROUS MEDS FOR PT > 64// DANGEROUS MEDS FOR PT > 64 DANGERO
US MEDS FOR PT > 64
Value: Disabled// Enabled
Select Order Check: DUPLICATE DRUG ORDER
Order Check: DUPLICATE DRUG ORDER// DUPLICATE DRUG ORDER DUPLICATE DRUG ORDE
R
Value: Disabled// Enabled
Select Order Check: DUPLICATE OPIOID MEDICATIONS
Order Check: DUPLICATE OPIOID MEDICATIONS// DUPLICATE OPIOID MEDICATIONS DUP
LICATE OPIOID MEDICATIONS
Value: Disabled// Enabled
Select Order Check: DUPLICATE ORDER
Order Check: DUPLICATE ORDER// DUPLICATE ORDER DUPLICATE ORDER
Value: Disabled// Enabled
Select Order Check: GLUCOPHAGE-LAB RESULTS
Order Check: GLUCOPHAGE-LAB RESULTS// GLUCOPHAGE-LAB RESULTS GLUCOPHAGE-LAB
RESULTS
Value: Disabled// Enabled
Select Order Check: NO ALLERGY ASSESSMENT
Order Check: NO ALLERGY ASSESSMENT// NO ALLERGY ASSESSMENT NO ALLERGY ASSESS
MENT
Value: Disabled// Enabled
Select Order Check: RENAL FUNCTIONS OVER AGE 65
Order Check: RENAL FUNCTIONS OVER AGE 65// RENAL FUNCTIONS OVER AGE 65 RENAL
FUNCTIONS OVER AGE 65
Value: Disabled// Enabled
Select Order Check:
=== Make Selected Ones Mandatory ===
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Set One or More Order Checks to be Uneditable By End Users
Order Check On/Off Editable by User may be set for the following:
1 Division DIV [choose from INSTITUTION]
2 System SYS [VISTA.ICH.LOCAL]
Enter selection: 2 System VISTA.ICH.LOCAL
-- Setting Order Check On/Off Editable by User for System: VISTA.ICH.LOCAL --
Select Order Check: all
1 ALLERGY-CONTRAST MEDIA INTERACTION
2 ALLERGY-DRUG INTERACTION
CHOOSE 1-2: 2 ALLERGY-DRUG INTERACTION
Are you adding ALLERGY-DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
Editable by User?: no NO
Select Order Check: CLOZAPINE APPROPRIATENESS
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes// YES
Order Check: CLOZAPINE APPROPRIATENESS// CLOZAPINE APPROPRIATENESS CLOZAPINE
APPROPRIATENESS
Editable by User?: NO
Select Order Check: CRITICAL DRUG INTERACTION
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: CRITICAL DRUG INTERACTION// CRITICAL DRUG INTERACTION CRITICAL
DRUG INTERACTION
Editable by User?: NO
Select Order Check: GLUCOPHA
1 GLUCOPHAGE-CONTRAST MEDIA
2 GLUCOPHAGE-LAB RESULTS
CHOOSE 1-2: 2 GLUCOPHAGE-LAB RESULTS
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes// YES
Order Check: GLUCOPHAGE-LAB RESULTS// GLUCOPHAGE-LAB RESULTS GLUCOPHAGE-LAB
RESULTS
Editable by User?: NO
Select Order Check: NO ALLERGY ASSESSMENT
Are you adding NO ALLERGY ASSESSMENT as a new Order Check? Yes// YES
Order Check: NO ALLERGY ASSESSMENT// NO ALLERGY ASSESSMENT NO ALLERGY ASSESS
MENT
Editable by User?: NO
Now Set Danger Levels for each Order Check
Set Clinical Danger Level for an Order Check
Order Check Clinical Danger Level may be set for the following:
1 Division DIV [choose from INSTITUTION]
2 System SYS [VISTA.ICH.LOCAL]
Enter selection: 2 System VISTA.ICH.LOCAL
--- Setting Order Check Clinical Danger Level for System: VISTA.ICH.LOCAL ---
Select Order Check: allergy-drug intERACTION
Are you adding ALLERGY-DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
Value: ?
Enter the code indicating the clinical danger level of the order check.
Select one of the following:
1 High
2 Moderate
3 Low
Value: 1 High
Select Order Check: clozapine APPROPRIATENESS
Are you adding CLOZAPINE APPROPRIATENESS as a new Order Check? Yes// YES
Order Check: CLOZAPINE APPROPRIATENESS// CLOZAPINE APPROPRIATENESS CLOZAPINE
APPROPRIATENESS
Value: h High
Select Order Check: critical DRUG INTERACTION
Are you adding CRITICAL DRUG INTERACTION as a new Order Check? Yes// YES
Order Check: CRITICAL DRUG INTERACTION// CRITICAL DRUG INTERACTION CRITICAL
DRUG INTERACTION
Value: h High
Select Order Check: dangerOUS MEDS FOR PT > 64
Are you adding DANGEROUS MEDS FOR PT > 64 as a new Order Check? Yes// YES
Order Check: DANGEROUS MEDS FOR PT > 64// DANGEROUS MEDS FOR PT > 64 DANGERO
US MEDS FOR PT > 64
Value: l Low
Select Order Check: duplicate drug orDER
Are you adding DUPLICATE DRUG ORDER as a new Order Check? Yes// YES
Order Check: DUPLICATE DRUG ORDER// DUPLICATE DRUG ORDER DUPLICATE DRUG ORDE
R
Value: l Low
Select Order Check: duplicate opIOID MEDICATIONS
Are you adding DUPLICATE OPIOID MEDICATIONS as a new Order Check? Yes// YES
Order Check: DUPLICATE OPIOID MEDICATIONS// DUPLICATE OPIOID MEDICATIONS DUP
LICATE OPIOID MEDICATIONS
Value: l Low
Select Order Check: duplicate orDER
Are you adding DUPLICATE ORDER as a new Order Check? Yes// YES
Order Check: DUPLICATE ORDER// DUPLICATE ORDER DUPLICATE ORDER
Value: l Low
Select Order Check: glucoph
1 GLUCOPHAGE-CONTRAST MEDIA
2 GLUCOPHAGE-LAB RESULTS
CHOOSE 1-2: 2 GLUCOPHAGE-LAB RESULTS
Are you adding GLUCOPHAGE-LAB RESULTS as a new Order Check? Yes// YES
Order Check: GLUCOPHAGE-LAB RESULTS// GLUCOPHAGE-LAB RESULTS GLUCOPHAGE-LAB
RESULTS
Value: h High
Select Order Check: no allERGY ASSESSMENT
Are you adding NO ALLERGY ASSESSMENT as a new Order Check? Yes// YES
Order Check: NO ALLERGY ASSESSMENT// NO ALLERGY ASSESSMENT NO ALLERGY ASSESS
MENT
Value: h High
Select Order Check: renal FUNCTIONS OVER AGE 65
Are you adding RENAL FUNCTIONS OVER AGE 65 as a new Order Check? Yes// YES
Order Check: RENAL FUNCTIONS OVER AGE 65// RENAL FUNCTIONS OVER AGE 65 RENAL
FUNCTIONS OVER AGE 65
Value: m Moderate
Select Order Check:
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