Order Checks
Content Developed by:
Philip Taylor, BA, RN
Clinical Consultant
Learning Objectives
•
Understand Order Check configuration.
•
Understand Order Checks required for
Meaningful Use.
•
Generate an on demand Order Check on the
Order Checks
•
The implementation of Meaningful Use for
EHR requires that certain Order Checks be
enabled and mandatory.
•
If these are not properly configured this
menu option will fail:
Order Checks
Order Checks that must be properly configured:
Allergy-Contrast Media Interaction
Allergy-Drug Interaction
Allergy Unassessable
Critical Drug Interaction
Dangerous Meds For Pt > 64
Estimated Creatinine Clearance
Glucophage-Contrast Media
Glucophage-Lab Results
No Allergy Assessment
Order Checks
•
Meaningful Use Order Checks must be
enabled at the system level and must be
marked as
Not Editable by User
at the system
level.
•
These Order Checks must not be configured
Orders Checks
•
From the RPMS-EHR Configuration Master
Enable an Order Check
MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Order Check Parameters
CON Creatinine Date Range for Contrast Media Orders CTH CT Scanner Height Limit
CTW CT Scanner Weight Limit DAN Set Clinical Danger Level
DBG Enable/Disable Debug Message Logging DPL Lab Duplicate Order Range
DPO Orderable Item Duplicate Order Range DPR Radiology Duplicate Order Range
EDT Mark Order Checks Editable by User ENA Enable/Disable an Order Check
GLU Creatinine Date Range for Glucophage-Lab Results LCL Edit Local Terms
MRH MRI Scanner Height Limit MRW MRI Scanner Weight Limit
PLY Number of Medications for Polypharmacy USR Order Checks a User Can Receive
Enable an Order Check
MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 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 [MEDSPHERE DEMO HOSPITAL]
5 System SYS [DEMO.MEDSPHERE.COM]
6 Package PKG [ORDER ENTRY/RESULTS REPORTING]
Enter selection: 5 System DEMO.MEDSPHERE.COM
-- Setting Order Check Processing Flag for System: DEMO.MEDSPHERE.COM -- Select Order Check: ALLERGY-DRUG INTERACTION
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION Value: Enabled//
Mark Order Check Not Editable by User
MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Order Check Parameters
CON Creatinine Date Range for Contrast Media Orders CTH CT Scanner Height Limit
CTW CT Scanner Weight Limit DAN Set Clinical Danger Level
DBG Enable/Disable Debug Message Logging DPL Lab Duplicate Order Range
DPO Orderable Item Duplicate Order Range DPR Radiology Duplicate Order Range
EDT Mark Order Checks Editable by User ENA Enable/Disable an Order Check
GLU Creatinine Date Range for Glucophage-Lab Results LCL Edit Local Terms
MRH MRI Scanner Height Limit MRW MRI Scanner Weight Limit
PLY Number of Medications for Polypharmacy USR Order Checks a User Can Receive
Select Order Check Parameters Option: EDT Mark Order Checks Editable by User
Mark Order Check Not Editable by User
MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Mark Order Checks Editable by User
Order Check On/Off Editable by User may be set for the following:
1 Division DIV [MEDSPHERE DEMO HOSPITAL] 2 System SYS [DEMO.MEDSPHERE.COM]
Enter selection: 2 System DEMO.MEDSPHERE.COM
Setting Order Check On/Off Editable by User for System: DEMO.MEDSPHERE.COM
Select Order Check: ALLERGY-DRUG INTERACTION
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
Order Check Configuration
•
This process must be completed for all 10
Order Checks required for Meaningful Use.
•
If there is a setting at any level other than
system, you will be notified when trying to
set the Meaningful Use Clean Date.
•
Remove the setting that prevents setting the
Removal of Disabled Order Check
MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 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 [MEDSPHERE DEMO HOSPITAL]
5 System SYS [DEMO.MEDSPHERE.COM]
6 Package PKG [ORDER ENTRY/RESULTS REPORTING]
Enter selection: 1 User NEW PERSON
Select NEW PERSON NAME: DOLITTLE,DUDLEY D DDD DOCTOR
---- Setting Order Check Processing Flag for User: DOLITTLE,DUDLEY D ---- Select Order Check: ALLERGY-DRUG INTERACTION
Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRUG INTERACTION ALLERGY-DRU
G INTERACTION
List All Order Check Settings
•
If you wish to have a listing of all settings of
all Order Checks in your system, you can
accomplish this via the General Parameter
Tools menu.
Order Check Settings Listing
The General Parameter Tools option List Values for a
Selected Parameter will list ALL Order Check Values in
RPMS:
LV List Values for a Selected Parameter
LE List Values for a Selected Entity
LP List Values for a Selected Package
LT List Values for a Selected Template
EP Edit Parameter Values
ET Edit Parameter Values with Template
EK Edit Parameter Definition Keyword
Select General Parameter Tools Option: LV List Values for a
Selected Parameter
Select PARAMETER DEFINITION NAME: ORK PROCESSING FLAG
Order Check Processing Flag
Order Check Settings at Other Levels
Values for ORK PROCESSING FLAG
Parameter Instance Value
--- PKG: ORDER ENTRY/RESULTS REPOR ESTIMATED CREATININE Enabled
PKG: ORDER ENTRY/RESULTS REPOR ORDER CHECKING NOT A Enabled PKG: ORDER ENTRY/RESULTS REPOR ALLERGY-DRUG INTERAC Enabled PKG: ORDER ENTRY/RESULTS REPOR ALLERGY-CONTRAST MED Enabled PKG: ORDER ENTRY/RESULTS REPOR CT & MRI PHYSICAL LI Enabled
…… [Some items in list removed for clarity]
SYS: DEMO.MEDSPHERE.COM GLUCOPHAGE-LAB RESUL Enabled SYS: DEMO.MEDSPHERE.COM DANGEROUS MEDS FOR P Enabled SYS: DEMO.MEDSPHERE.COM NO ALLERGY ASSESSMEN Enabled SYS: DEMO.MEDSPHERE.COM ALLERGIES UNASSESSIB Enabled LOC: INPATIENT POLYPHARMACY Disabled USR: TAYLOR,PHILIP K CT & MRI PHYSICAL LI Disabled USR: DOLITTLE,DUDLEY D ALLERGY-DRUG INTERAC Disabled
On Demand Order Check
•
The Medication Tab contains a “Check” button. Click
Hands-on Activity
1. Review order check
Allergy Unaccessible
to
ensure it is enabled and marked as
Uneditable
by User at the system level.
2. Run
Clean Date
option in RPMS to ensure all
Order Checks are correctly configured for
