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How To For Providers:
Outpatient Medication
Ordering Process for a
Facility without a Pharmacy
Marvin Friedman, PharmD
Jeanette Klement, MAEd
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vxCPRS
• Objectives
Review Outpatient Medication Order Status
Definitions
Review Outpatient Medication Ordering process
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vxCPRS
• Outpatient Medication Order Status
Written
Renewed
Discontinued
Expired
Active
Pending
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• Outpatient Medication Order Status Definitions
Written
 Order became active automatically without a
pharmacist having to approve it
Renewed
 Renewal of a previous order
 New order will have a status of Written or Active
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Outpatient Medication Order Status Definitions
Expired
 Orders with a Stop date that has expired
Discontinued
 Order stopped – due to duplicate order, ineffective drug, etc.
Active
 Pharmacist finished the order
Pending
 Order that will not auto-verify (e.g.Dose was free texted)
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vxCPRS
• Written Order = vxVista Auto-finishing order
• Details of Order
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxVista
• Renewed Order Status- Renewal of an Order
• Details of Order
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Expired Order = Stop Date has Expired
• Details of the Order
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vxCPRS
• Discontinued Order – Order Stopped
• Details of the Order
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vxCPRS
• Ordering Examples
Expired Order – Copying to New Order
Change an Expired Order to Discontinue
Picking Wrong Dosage
Ordering ½ tablet
Dosage Range
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vxCPRS
• Expired Order – Copying to New Order
Select (Highlight) Expired Medication
Click Action on Menu bar
Select: Copy to New Order
Release Orders immediately
Select Edit to make changes; Accept Order
Select Sign Order
Enter Electronic Signature
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vxCPRS
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
• Select Expired Medication
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vxCPRS
• Click Action on Menu bar
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
www.vxvista.org
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
• Select: Copy to New Order
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vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
• Release Orders immediately
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• Select Edit to make changes; Click Accept
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Select Sign Order
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
• Enter Electronic Signature Code
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vxCPRS
• Change an Expired Order to Discontinue
Select Expired order
Click Action on Menu bar
Select Discontinue/Cancel
Select Reason for Discontinue
Highlight and Select Sign Order
Enter Electronic Signature
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vxCPRS
• Select Expired Order
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
• Click Action on Menu bar
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vxCPRS
• Select Discontinue/Cancel
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
www.vxvista.org
vxCPRS
• Select Reason for Discontinue; Click OK
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Picking Wrong Dosage Example
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Incorrect Dosage Form for the Dose
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Ordering ½ Tablet
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
• Dosage Range Example
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
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vxCPRS
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
www.vxvista.org
vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.
Questions?
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