| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | placer number(+) | 0;1 | FREE TEXT | B | This field contains the internal number of the order from the ORDER file (#100), representing the corresponding Computerized Patient Record System (CPRS) order to this pending Outpatient Pharmacy order. This field also acts as a temporary holding place for any external system order number, for orders received from any external system. An external system order number will only be stored here temporarily, until the CPRS order number is received to replace the external system order number. | |
| 1 | patient(+) | 0;2 | POINTER | 2 | P | This is the pointer to the Patient file. |
| 1.1 | patient location | 0;13 | POINTER | 44 | HL | This is the pointer to the Hospital Location file. |
| 2 | order type(+) | 0;3 | SET OF CODES | NW:NEW ORDER HD:HOLD RNW:RENEW DE:DISCONTINUED (EDIT) DC:DISCONTINUED RF:REFILL REQUEST | This field describes the status of the Pending order. | |
| 3 | quantity timing sub-file | 1;0 | MULTIPLE | 52.413 | This sub-file is used to store the quantity timing field from the ORC segment from CPRS. The components are used to build a Possible Sig for the finish process in Pharmacy. | |
| 4 | entered by(+) | 0;4 | POINTER | 200 | This is the person who entered the order in CPRS, pointer to the New Person file. | |
| 5 | provider(+) | 0;5 | POINTER | 200 | This is the provider for the order, pointer to the New Person file. | |
| 6 | effective date | 0;6 | DATE-TIME | This is the date the order goes into effect. | ||
| 7 | nature of order | 0;7 | SET OF CODES | W:WRITTEN P:TELEPHONE V:VERBAL E:PROVIDER ENTERED | This is the Nature of the order, as it is entered through CPRS. | |
| 8 | pharmacy orderable item | 0;8 | POINTER | 50.7 | This is the Pharmacy Orderable Item for the order, as entered through CPRS. | |
| 9 | provider comments | 2;0 | WORD-PROCESSING | This field contains any Provider comments that may have been entered through CPRS. | ||
| 10 | pharmacy instructions | 3;0 | WORD-PROCESSING | This field contains any special instructions for the Pharmacist, as entered through CPRS. | ||
| 11 | drug | 0;9 | POINTER | 50 | This is the pointer to the Drug file entry that is associated with the Pharmacy Orderable Item. Not all orders will have a Drug when received from CPRS, but upon finishing the order, a Drug must be entered. | |
| 12 | qty | 0;10 | NUMERIC | This shows the amount of the medication to be dispensed. | ||
| 13 | # of refills | 0;11 | NUMERIC | The number of refills allowed for this order. | ||
| 15 | login date | 0;12 | DATE-TIME | This is the date that the order was received from CPRS. | ||
| 16 | med route | 0;15 | POINTER | 51.2 | This is the Med Route that the medication is to be administered by. | |
| 17 | service connected | 0;16 | FREE TEXT | This indicates whether the order is for a service connected or non-service connected condition. | ||
| 18 | orders checks | OBX;0 | MULTIPLE | 52.4118 | This is a multiple for the order checks passed to Pharmacy from CPRS. | |
| 19 | pickup routing | 0;17 | SET OF CODES | M:MAIL W:WINDOW C:ADMINISTERED IN CLINIC | This is how the medication is to be given to the patient. | |
| 21 | rx refill request | 0;19 | NUMERIC | ARF | This field will be used to indicate the Rx number for refill request from CPRS. | |
| 22 | reason order created | 0;20 | SET OF CODES | N:NEW R:RENEWAL E:EDIT F:REFILL | This shows why the order was created in CPRS. | |
| 22.1 | previous order # | 0;21 | NUMERIC | This field will store the pointer value to the Rx that is being Renewed. | ||
| 23 | comments | 4;1 | FREE TEXT | This field contains any comments associated with the order. | ||
| 24 | dispensing instructions | SIG;0 | MULTIPLE | 52.4124 | Dispensing instruction for the medication. | |
| 25 | priority | 0;14 | SET OF CODES | S:STAT E:EMERGENCY R:ROUTINE | This field is used to indicate the urgency of the order. | |
| 26 | possible filldate | 0;18 | DATE-TIME | This field will be used to display the effective date of a discharge med or pass med. | ||
| 33 | date/time flagged | FLG;1 | DATE-TIME | This is the date/time when this order was flagged. | ||
| 34 | flagged by | FLG;2 | POINTER | 200 | This is the user who flagged this order. | |
| 35 | reason for flag | FLG;3 | FREE TEXT | |||
| 36 | date/time unflagged | FLG;4 | DATE-TIME | This is the date/time this order was unflagged. | ||
| 37 | unflagged by | FLG;5 | POINTER | 200 | This is the user who unflagged this order. | |
| 38 | reason for unflag | FLG;6 | FREE TEXT | This is the reason for unflagging this order, usually a response to the reason for flag. | ||
| 100 | related institution(+) | INI;1 | POINTER | 4 | This is the Institution that the order was issued from. | |
| 101 | days supply | 0;22 | NUMERIC | Enter a whole number between 1 and 90. The maximum upper limit is 90, but may be lower based on the maximum specified for this patient status. This parameter is defined in the RX PATIENT STATUS File (#53). | ||
| 102 | flag | 0;23 | SET OF CODES | 1:Flagged | This field shall designate whether or not a prescription has been flagged for follow up with a provider. | |
| 103 | pre-poe order | POE;1 | BOOLEAN | 1:YES | This field will be used to identify pending orders entered before the installation of the Pharmacy Order Enhancement patch. PSO*7*46. | |
| 104 | patient instructions | INS;1 | FREE TEXT | The text in this field shall be used for the Patient Instructions in the Outpatient Pharmacy package when entering orders, if the Dispense Drug selected is matched to a Pharmacy Orderable Item with patient instructions. | ||
| 104.1 | patient instructions flag | INS;2 | BOOLEAN | 1:YES 0:NO | This field will be used to indicate for the provider wanted the patient instructions included in the SIG. | |
| 105 | expanded patient instructions | INS1;0 | WORD-PROCESSING | |||
| 106 | military sexual trauma | IBQ;1 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been treated for Military Sexual Trauma, the clinician will be asked to identify whether or not the outpatient medication order being prescribed is being used to treat a condition related to Military Sexual Trauma. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 107 | agent orange exposure | IBQ;2 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been exposed to Agent Orange during Vietnam service, the clinician will be asked to identify whether or not the outpatient medication order prescribed is being used to treat a condition due to this exposure. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 108 | ionizing radiation exposure | IBQ;3 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been exposed to ionizing radiation during military service, the clinician will be asked to identify whether or not the outpatient medication order prescribed is being used to treat a condition due to this exposure. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 109 | southwest asia conditions | IBQ;4 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been exposed to Southwest Asia Conditions during the Persian Gulf War, the clinician will be asked to identify whether or not the outpatient medication order prescribed is being used to treat a condition due to this exposure. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 110 | head and/or neck cancer | IBQ;5 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been treated for Head and/or Neck Cancer due to nose or throat radium treatments while in the military, the clinician will be asked to identify whether or not the outpatient medication order prescribed is being used to treat this condition. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 110.1 | combat veteran | IBQ;6 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been treated for a condition related to Combat Services, the clinician will be asked to identify whether or not the outpatient medication order being prescribed is being used to treat a condition related to Combat Services. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 110.2 | proj 112/shad | IBQ;7 | BOOLEAN | 0:NO 1:YES | During CPRS order entry, if a veteran has been identified as having been treated for a condition related to PROJ 112/SHAD, the clinician will be asked to identify whether or not the outpatient medication order being prescribed is being used to treat a condition related to PROJ 112/SHAD. This field will store the response that was entered for this question. This value will be used as the default value for the same prompt presented to the pharmacist when finishing the medication order that was entered through CPRS. | |
| 111 | ddstatus | DDSTA;1 | FREE TEXT | This field will hold the status of the pending order at the time a date of death was entered. | ||
| 114 | external placer order number | EXT;1 | FREE TEXT | This field represents the external system order number of this order. This field will only be populated if this order was originally received from an external system into Vista. | ||
| 115 | external system order replaced | EXT;2 | BOOLEAN | 0:NO 1:YES | This field will be set to 1 by the software when an external system order number is successfully replaced by a Computerized Patient Record System (CPRS) order number. | |
| 116 | external application | EXT;3 | FREE TEXT | This field represents the name of the external system from where the external order was received. | ||
| 117 | signature status | 0;24 | BOOLEAN | 1:YES 0:NO | Digital Signature status indicator. | |
| 118 | drug included | 0;25 | BOOLEAN | 1:YES 0:NO | This field indicates CPRS included the dispense drug as part of the hash calculation for digitally signed orders. | |
| 120 | directions for use | 9;0 | MULTIPLE | 52.44 | This multiple contains the raw HL7 dosage data as sent from CPRS. | |
| 311 | diagnosis | ICD;0 | MULTIPLE | 52.41311 | This multiple is used to store up to eight ICD-9 codes per prescription with the first always being the primary diagnosis code and subsequent ones being secondary diagnosis codes. Also stored in this multiple are all of the Service Connection (SC) and Environmental Indicators (EI) that directly relate to each ICD-9 code. These SC/EI's are passed from CPRS in this manner. This ICD-9/SC/EI relationship is necessary for 3rd Party Billing. Current Copay functionality deals only with SC<50% and only stores EI's when with this is true or not overridden in some way. The new SC/EI fields allow for Outpatient Pharmacy to know if a prescription is SC 0-100%, to know all EI's that apply, and to know how they relate to the ICD-9 code without affecting Copay functionality. |
Not Referenced