rhyming - [Hardhats] Digest for hardhats@googlegroups.com - 4 updates in 1 topic
krs...@gmail.com
A Poem for Poor Kevin!
Oh dear Kevin, in a techy fix,
Trying to add tirzepatide to your mix.
With allergies logged and bugs abound,
Your pharmacy skills are tightly bound!
You traced through code, yet came out so frail,
Like trying to catch a fish in a pail.
"Help me!" you cried, through digital air,
As your queries floated with virtual flair!
Ben and Sam chimed in with their wisdom most sweet,
To navigate hurdles, you’ll need quite the feat!
So update those files, and don’t you despair,
For tirzepatide allergies—those you WILL bear!
stats: gpt-4o-mini-2024-07-18 -> 1835 + 284 = 2119
OG content:
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Kevin Toppenberg <kdt...@gmail.com>: Jul 21 04:28PM -0700
The only part of the pharmacy system that we use in our office is entering DRUG ALLERGIES. I need to add tirzepatide into my system so I can list it as an allergy. I found this prior thread (https://groups.google.com/g/hardhats/c/vlOa-KO0oh4/m/7rcUZ7arshwJ) with a link to this page: https://vistapedia.net/index.php/Enter_A_Drug written by Sam Habiel. I tried to follow the instructions, but I think because there is no matching drug in multiple files that comprise the national drug file, I can't fully get it to work. I created this record: Showing FILE: DRUG (#50) Entry #94724, .001-NUMBER : 94724 .01-GENERIC NAME : TIRZEPATIDE 1-AHFS NUMBER : : 0.00 2-VA CLASSIFICATION : HS500 9-SYNONYM : <MULTIPLE-VALUED> SUBFILE #50.1 Entry #1 .01-SYNONYM : Mounjaro 1-INTENDED USE : TRADE NAME Entry #2 .01-SYNONYM : Zepbound 1-INTENDED USE : TRADE NAME 2-NDC CODE : 00002-1152-01 18-INV ORDER UNITS : 0.00 25-NATIONAL DRUG CLASS : HS500 (`128 in #50.605) 26-VA DRUG CLASS CODE : HS500 BLOOD GLUCOSE REGULATION AGENTS 31-NDC : 00002-1152-01 63-APPLICATION PACKAGES' USE : OX 82-NCPDP DISPENSE UNIT : EACH 83-NCPDP QUANTITY MULTIPLIER : 1 900-OLD NAMES : <MULTIPLE-VALUED> SUBFILE #50.01 Entry #1 .01-OLD NAMES : tirzepatide .02-DATE CHANGED : JUL 21, 2025 ------------------------------- But I still can't select the drug in the Add Allergy functionality of CPRS. I are a few years behind on our patches. I looked in the PSN package for patches, and there are only 2 (SEQ# 556 - PSN*4.0*574, SEQ# 557 - PSN*4.0*57) and both of these seems to be bug fixes rather than file update. I traced through the RPC code from CPRS, ORWDAL32 ALLERGY MATCH, that searches for matches to user's entry. It does not seem to support looking for entries in the local drug file. Looking at the code, it seems that it used to, but then functionality was removed (incompletely). Question: Can anyone give guidance on how to add ability to enter a drug allergy for tirzepatide? Thanks Kevin |
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Benjamin Irwin <benon...@gmail.com>: Jul 21 05:06PM -0700
This might help. There are a number of files that is uses for the lookup listed in the text below. STANDARD DATA DICTIONARY #120.8 -- PATIENT ALLERGIES FILE 6/27/25 PAGE 1 120.8,.02 REACTANT 0;2 FREE TEXT (Required) CAUSATIVE AGENT INPUT TRANSFORM: D EN^DDIOL("Editing not allowed!","","$C(7),!?4") K X LAST EDITED: AUG 13, 2004 HELP-PROMPT: Answer must be 3-30 characters in length. DESCRIPTION: This is the agent to which the patient had this reaction. This is the name of the reactant and will be the result of a look up on either the GMR Allergies (120.82), National Drug (50.6), Drug Ingredients (50.416), Local Drug (50) or VA Drug Class (50.605) files. On Monday, July 21, 2025 at 7:28:05 PM UTC-4 Kevin Toppenberg wrote: |
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Sam Habiel <sam.h...@gmail.com>: Jul 22 08:58AM -0400
Can you see if you can still add an allergy from the Outpatient Pharmacy Package from the backend? But otherwise, you will need to update your national drug files, which is a long long road. I can give you instructions, but expect that there will be hurdles on the way, and it may take you a couple of weeks. --Sam On Mon, Jul 21, 2025 at 8:06 PM Benjamin Irwin <benon...@gmail.com> wrote: |
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Kevin Toppenberg <kdt...@gmail.com>: Jul 22 11:35AM -0700
Thank you Ben and Sam. I don't know how to add an allergy from the roll-and-scroll. But I can add them for existing drugs in CPRS. I agree that I need to update the national drug files. I discussed with Nancy, Dave, et al, on the support call last night. They said that you had some code that would automate the loading and installation of the .DAT files. Do you have instructions or guidance for that? Thanks Kevin On Tuesday, July 22, 2025 at 8:58:50 AM UTC-4 Sam Habiel wrote: |
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Nancy Anthracite
:-) I think this is a first on this mailing list!
--
Nancy Anthracite
On Tuesday, July 22, 2025 2:05:11 PM CDT krs...@gmail.com wrote:
> A Poem for Poor Kevin!
>
> Oh dear Kevin, in a techy fix,
> Trying to add tirzepatide to your mix.
> With allergies logged and bugs abound,
> Your pharmacy skills are tightly bound!
>
> You traced through code, yet came out so frail,
> Like trying to catch a fish in a pail.
> "Help me!" you cried, through digital air,
> As your queries floated with virtual flair!
>
> Ben and Sam chimed in with their wisdom most sweet,
> To navigate hurdles, you’ll need quite the feat!
> So update those files, and don’t you despair,
> For tirzepatide allergies—those you WILL bear!
> ------------------------------
>
> stats: gpt-4o-mini-2024-07-18 -> 1835 + 284 = 2119
> ------------------------------
>
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