Medication Order Cosigner Process and Global usage in VA Vista

[Ponnumani G]

I need clarification on the medication order cosigner process in VistA. 

1. Cosigner Workflow: What is the step-by-step process for a junior provider creating an order, and how does the attending physician cosign it? How are additional signers added?

2. Fields for Cosigner Information: Where is cosigner information (name, ID, date/time) stored in VistA? Which files and fields track this?

3. Cosignature Required: How does VistA determine if an order needs a cosigner? Is this automatic or manual?

4. Troubleshooting: If cosigner data is missing or incorrect, what are common issues and solutions?

[Sam Habiel]

VistA does not do co-signatures for orders, only notes. Orders can be placed on another person's behalf, and people use this to simulate co-signature. The order is not active till the provider signs it. It's not a true "cosignature".

--Sam

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