Catching duplicate orders with an Exit Check

[James B]

Is it possible to check for specific duplicate orders, with an Exit Check?

The problem is code diagnosis.  An example would be the patient is admitted and a Code 3 status is entered by a physician.  Later, a different physician would come in and complete an Admission iForm and he would enter a Code 3 status as well.  

Now there are two Code 3 Statuses.  While it probably doesn't hurt anything, it looks clunky.  I've been trying to figure out how to catch it with an Exit Check but I'm not sure if it has the ability to look for a Code 1 AND a different Code 1.

Any ideas, other than modifying all of our iForms to catch the duplicate when the iForm is submitted?  That would be a TON of work.

[TWessel]

Would it work to just set the "one per patient" flag in the orders toolkit?  This is what our build looks like for the Code Status order:

[James B]

TWessel, you're a saint.  Not sure how I overlooked that prompt but it seems to be exactly what I need.  Thanks again.

[James B]

Well, I might have jumped the gun on my specific issue.  Using the "one per patient" flag will break pre-orders if there is a code status active on a patient, and then a duplicate one ordered during pre-orders.  When you attempt to activate those pre-orders, you'll receive a playback error.

On Friday, January 23, 2015 at 1:04:41 PM UTC-6, James B wrote:

[Michael Hudson]

James, 

You an run a formless VGR for the exit check and have it not place the order if one already exists. Something like:

# Get order UI of most recent Code Status order

INIT,MAP,LOCAL,codestatusui,TO,get_order.ui.238979.1

# Get order status of order in queue (1 is unaccepted aka "New", 2 is previously ordered)

INIT,MAP,LOCAL,codeorderstatus,TO,get_order.status.238979.1

$ Get value of order status prompt, repeat for as many as you think they could have

INIT,MAP,LOCAL,codestatusvalue,TO,get_order.12345.238979.1

INIT,MAP,LOCAL,codestatusvalue2,TO,get_order.12345.238979.2

INIT,MAP,LOCAL,codestatusvalue3,TO,get_order.12345.238979.3

# DC order if it already exits, repeat for all possible code statuses

INIT,IF,,codeorderstatus,EQ,1,AND

INIT,IF,,codestatusvalue,EQ,"Code1",AND

INIT,IF,,codestatusvalue2,EQ,"Code1",OR,

INIT,IF,,codestatusvalue3,EQ,"Code1",THEN,

INIT,LOAD_ORDER,,,,"@DC_ORDER=UI=`codestatusui"

INIT,IF,,codeorderstatus,EQ,1,AND

INIT,IF,,codestatusvalue,EQ,"Code2",AND

INIT,IF,,codestatusvalue2,EQ,"Code2",OR,

INIT,IF,,codestatusvalue3,EQ,"Code2",THEN,

INIT,LOAD_ORDER,,,,"@DC_ORDER=UI=`codestatusui"

INIT,IF,,codeorderstatus,EQ,1,AND

INIT,IF,,codestatusvalue,EQ,"Code3",AND

INIT,IF,,codestatusvalue2,EQ,"Code3",OR,

INIT,IF,,codestatusvalue3,EQ,"Code3",THEN,

INIT,LOAD_ORDER,,,,"@DC_ORDER=UI=`codestatusui" 

INIT,EXIT,ALL

This is just a frame. Email me if you want to talk about it.

Michael

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