Active Order Awareness - Signed Orders

[Michael Burrows]

Hey guys,

I would like to display a message in my HTML file if an existing order is has not been signed by a physician.

More specifically: There is an "Admission Status" order that may or may not have been "signed" by a physician. We aren't supposed to discharge that patient until the order is signed. Is there a parameter on the order that I can read with VGR that tells me the "Signed" status of the order?

If so, we have a discharge iForm that is used for every patient that I could manipulate to show a certain message based on the status.

Thanks,

Mike Burrows

Phoebe Putney Health System

[TWessel]

If you can put a special comment on your admit order that identifies that the order requires co-sign, then you can use Active Order Awareness to read the comment and also place the "@CS" order in your VGR code.  @CS displays the co-sign screen.

___________________________

Tom Wessel, MD

CMIO

SRHS

Spartanburg, SC

[Michael Burrows]

Thanks for the suggestion. I was not aware of the "@CS" command. I will check it out.

Michael Burrows

Phoebe Putney Health System

[Michael Burrows]

I finally got around to implementing a solution using the "@CS" command... so far, I have not been able to get it to work.

When I type "@CS" directly into HEO, it displays the cosign screen, as expected. But when it is submitted by VGR form, nothing happens.

Here is the offending portion of my code:

EDIT,IF,,btn_showcs,EQ,"OK",THEN

EDIT,SET,LOCAL,orderstring,CAT,"@CS"

EDIT,IF,,btn_iggy,EQ,"Ignore",THEN

EDIT,EXIT,ALL

#Load the order string

EDIT,LOAD_ORDER,,,,orderstring

EDIT,EXIT,ALL

Can anyone see what I'm doing wrong (assuming you actually can call the cosign screen from VGR)? I have tested the functionality of the button with a different order, which works fine.

Thanks!

Michael Burrows

Phoebe Putney Health System

[Michael Hudson]

Michael,

Try concatenating using the OIS 12006152, which is an OIS for an order that does not display, it actually is the special order for a spacer used in an outline. I use this same process to load the @VGR command so they will go to the next iform.

EDIT,IF,,btn_showcs,EQ,"OK",THEN

EDIT,SET,LOCAL,orderstring,CAT,"@LOAD_ORDER=OIS=12006152^^^OOS=0^^^@CS"

Hope this helps,

Michael

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[Michael Burrows]

Thanks; good idea, but that didn't do it either, unfortunately. I am perplexed.

Mike

[Jeffrey Rees]

Mike -

Sometime the spacer OIS varies by facility so if you are typing in a non-existent OIS the @CS function still will not work.

Trying querying the empty OIS # 

SELECT order_item_seq, perf_fac_id FROM ccdev.o_item WHERE order_type = 's' AND order_name like 'EMPTY%'

[Michael Burrows]

Yep, I thought that might be the case and stumbled upon a thread on here telling me how to do it. As it turns out, my facility's empty OIS is 12006153.

Unfortunately, it made no difference and @CS still doesn't work from the iForm, regardless of what OIS I call (or don't).

I will let you all know if I find the answer.

Thanks for your response!

Mike

[Brady Deckard]

This should work:

EDIT,IF,,btn_showcs,EQ,"OK",THEN

EDIT,SET,LOCAL,cs_variable,TO,"@CS"

EDIT,EXIT,ALL,cs_variable

[Michael Burrows]

That worked! Thanks so much! 

I had no idea that you could do that. I thought once and "EDIT,EXIT,ALL" was called, that was it... but apparently you can put more commands on that line (if they are stored in a variable). Interesting, and great to know.

(In hindsight, I'm guessing that the problem was that the "EDIT,EXIT,ALL" was closing out the cosign screen immediately.)

Thanks again,

Mike Burrows

Phoebe Putney Health System