Outpatient Pharmacy (PSO) - Veterans Affairs
Outpatient Pharmacy (PSO)Pharmacist’s User ManualVersion 7.0December 2007(Revised December 2020)Department of Veterans Affairs (VA)Office of Information and Technology (OIT)Enterprise Program Management Office (EPMO)
Revision HistoryWhen updates occur, the Title Page lists the new revised date and this page describes thechanges. Bookmarks link the described content changes to its place within manual. There are nobookmarks for format updates. Page numbers change with each update; therefore, they are notincluded as a reference in the Revision History.DatePatchDescriptionUpdate Third Party Payer Rejects – View/Process: 304Updated Result of Service Code Table: 31412/2020PSO*7* 549Updated Reason for Service Code Table: 315Updated Title Page date, footers, Table of Contents page numbersMCCF EDI TAS ePharmacy Development Team06/2020PSO*7*477Update title page, FootersAdded several notes about the EXCEPT conjunction: 173, 248, 268, 284Remove reference to EXCEPT conjunction: 238REDACTED05/2020PSO*7*608Updated Print From Suspense option for consistency with othermanuals: 54REDACTED04/2020PSO*7*544Added two new messages for the Resubmit Claim action: 317Updated Reporting criteria for Productivity/Revenue Report: 348Updated Title Page, Revision History, and FootersREDACTED07/2019PSO*7*528Updated Revision HistoryUpdated TRICARE CHAMPVA Override report: 291, 292, 307,309, 316,318, 319, 321, 324, 333, 388REDACTED07/2019PSO*7*457Updated title pageUpdated footers throughoutUpdated Revision HistoryUpdated note in section “Entering a New Order” referencing Chapter9 in Manager’s User Manual for new clozapine ordersREDACTED02/2019PSO*7*532Update System Message under Use Case: Dispense Order fromanother VA Pharmacy Location.Updated the OneVA Pharmacy System Not Responding MessageReplaced “Steps to Turn On ONEVA PHARMACY FLAG (#101)” with“Pharmacy System Parameters Edit”Updated references of ONEVA PHARMACY FLAG (#3001) to (#101)throughout.Updated references of Outpatient Site file (#59) to PHARMACYSYSTEM File (#59.7) throughout.REDACTEDDecember 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualii
12/2018PSO*7*522Added ‘Sending Drug File (#50) Data” subsection to “Using theSoftware” section. (REDACTED) Pg 43801/2019PSO*7*512Ignored Rejects Report: 292Information text to Edit Transfer Reject Code: 300Look up by ECME# in View/Process: 302Edit Claim Submitted (ECS): 306, 310, 314, 315-316Dual Eligible Submit from WL: 307REDACTED11/2018PSO*7*525Updated available options at Medication Route Prompt. AddedMedication Route Prompt section under Chapter 23.170, 235, 265REDACTED11/2018PSO*7*452Updated information about the Medication Profile [PSO P] and a relatedexample, View Prescriptions [PSO VIEW], Patient PrescriptionProcessing [PSO LM BACKDOOR], and Complete Orders from OERR[PSO LMOE FINISH] options to include enhanced patient demographicinformation and new Clinical Alerts displayed in the List Manager headerarea.Added information about the capability to filter by category when printingfrom the Suspense file using the Print from Suspense File[PSO PNDLBL] option.REDACTED10/2018PSO*7*507Updated Hidden Menu Actons: 9-10Updated Lookup List display of Administration Schedule: 211REDACTED08/2018PSO*7*482Update title page, Footers, View Prescription screen, Activity Log: 332Ignored rejects from Reject Notification Screen and Reject InformationScreen: 294, 295, 299, 320-321, 322Add Ignored Rejects Threshold to ePharmacy Site Parameters: 287, 289Add Patient Billing Notes: 219, 220, 224, 225, 295, 297, 299, 321, 324,325, 326, 327, 328, 330, 333Add PSO ePharmacy Patient Comments: 280, 305, 335-336REDACTED08/2018PSO*7*505Titration and Maintenance blocked for CS prescriptionsComplete Orders from OERR, added sort selectionsComplete Orders from OERR, added secondary filterEdit CS prescription enhancementsREDACTED04/2018PSO*7*519Updates to OneVa Pharmacy PromptUpdates to Continuity of OperationsREDACTED04/2018PSO*7*502December 2020Updates for ScripTalk enhancementOutpatient Pharmacy V. 7.0Pharmacist’s User Manualiii
Included ScripTalk Mapping Error Message508 & OIT Compliance update throughoutREDACTED02/2018PSO*7*402Updated title page to reflect month/year of revisionUpdated Patient Demographic Header Displays: 4-5, 7, 32, 38, 40-43,57, 60,81,84, 85-86, 88, 90, 92-94, 97, 100, 101,102, 108, 110, 115,124, 132-133, 162, 171, 174, 177, 179, 185, 190, 193, 195, 196-198,206, 211, 218, 221-222, 226, 227, 228-230, 232, 234, 236, 238, 240243, 247, 251-252, 254, 260-263, 315, 330Updated Available Dosage List displays: 70, 72, 74-77, 79, 103, 106,115-116, 122, 132, 133-135, 159, 169, 174, 177-178, 188-190, 193,196, 202, 206-207, 222Updated Schedule Displays: 115, 124, 133, 135, 159, 174, 179, 190,196, 203Updated text for Schedule changes: 206-207, 222Updated text for Available Dosage List ChangesUpdated Chapter 18 – Dosing ChecksUpdated Error Information table: 159, 344REDACTED01/2018PSO*7*49711/2017PSO*7*478Update with OneVA Pharmacy Medication Permissions and DispensingUpgradesREDACTEDUpdate title page, Reject Information screen and add Print action ed “Do You want to Edit the SIG?”REDACTEDModifies the prompt to the user when printing a OneVA Pharmacy label.REDACTED12/2016PSO*7*460Updated title page to reflect December as new month to release.REDACTED11/2016PSO*7*460Updated copay activity log for Fixed Medication Copayment Tiers(FMCT)Updated Title Page to current OI&T StandardsUpdated Revision HistoryUpdated Table of ContentsUpdated footer date to March 2014 per business request.REDACTED08/2016PSO*7*448Updated Title Page to current OI&T StandardsUpdated Revision HistoryUpdated Table of ContentsUpdated Using the Copy Action sectionUpdated Holding and Unholding a Prescription sectionDecember 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualiv
Updated examples to read “Veteran Prescription”Updated [PSO LM BACKDOOR ORDERS]Updated [BPS RPT VIEW ECME RX]Updated [PSO EPHARMACY MENU]Updated [PSO IGNORED REJECTS REPORT]Updated [POS REJECTS VIEW/PROCESS]06/2016PSO*7*444Added Ex. 5 re Medication Profile list item with Bad Address IndicatorMax Day Supply has been added and now Days Supply can be enteredfrom 1-365 for a drug.Added table comparing MAXIMUM DAYS SUPPLY values in files 50.68and 50. Displaying the effect on the days supply. REDACTED01/2016PSO*7*427Updated cover page.pg 223-224: added DC 9Discontinued RX0 hidden action; addedavailable actions to Resolving openRejects screenPg 226: added screenshot of Resolve Open RejectsResponded/updated NDC numbers to match sample prescriptions aswell as other customer comments throughout.Updated View Prescription, Edit Prescription, Screens, MedicationProfile, Open/Unresolved Bulletin,View/Process Third Party Reject, and Third PartyRejects Worklist in accordance with new functionality associated withPSO*7*427.REDACTED04/2016PSO*7*411Updated Revision HistoryUpdated Table of ContentsAdded Allergy Order Checks sectionUpdated Allergy Display ScreensAdded Clinical Reminder Order Checks sectionUpdated Screen CapturesUpdated Glossary and *433Updated help text for patient lookup.REDACTEDRenumbered pages throughout entire document.Changed November 2010 footer dates to December 1997 per clientinstructions.Renumbered pages throughout entire document.Modified Revision History.Print from Suspense FileEntering a New Order – ePharmacy (Third Party Billable)ePharmacy MenuNDC ValidationDecember 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualv
Third Party Payer Rejects – View/ProcessThird Party Payer Rejects – Worklist (Discontinued TRICARE andCHAMPVA prescriptions no longer appear on the Third Party PayerRejects - Worklist [PSO REJECTS WORKLIST]).Reject Resolution Required RejectsAdded material throughout relating to new RejectSecurity KeysPSO EPHARMACY SITE MANAGERAccess to the EPHARMACY SITE PARAMETERS [PSO ePHARM SITEPARAMETERS] option requires the new PSO EPHARMACY SITEMANAGER security key.Revised table showing Site Parameter actions and screen-shot showingrelated dialog.Added option names throughout.Added revised ePharmacy Site Parameters Screen and relatedsubscreen sections; removed discontinued functionality.Added additional index references.Added Lookup National Clean-Up Utility DataREDACTED09/2013PSO*7*372PSO*7*416Added two new documents to Related Documentation sectionAdded Order Check information to Chapter 14Changed Chapter 14 heading to Processing Order ChecksUpdated screen captures with new checking messagesAdded Chapter 14.5: Dosing Order ChecksAdded references to the Dosing Order Check User ManualUpdated Index(REDACTED)05/2013PSO*7*391Updated Revision HistoryUpdated Table of ContentsNew security key named "PSDRPH" introduced.Updated Changes to OERR.Added Changes to Processing a Prescription section.Added Hash Counts and DEA Certification section.Added two System Error messages.Updates to Index(REDACTED01/2013PSO*7*390Added Check Drug InteractionAdded Creatinine Clearance (CrCl) and Body Surface Area (BSA) to thePatient and Medication Profile displays.Added drug allergy changesAdded Clinic Order sectionUpdated GlossaryUpdated IndexDecember 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualvi
REDACTED09/2012PSO*7*386Added section on HOLD and UNHOLD functionality.Updated Flagging and Unflagging Pending Orders.Updated Activity Log for HOLD/UNHOLD comments.Added PSO TECH ADV key information.REDACTED03/2012PSO*7*367To add functionality to Outpatient Pharmacy for the printing and storingof FDA Medication Guides.Updates to IndexREDACTED03/2012PSO*7*354Update to TOCAutomated Dispensing Device (ADD) enhancementADD, DNS, OPAI added to Glossary.REDACTED02/2012PSO*7*385Removed incorrect listing of View Additional Reject Info (ARI) actionAdded signature alertsUpdated wording for ¾ Days Supply HoldAdded rounding functionality for ¾ Days Supply HoldAdded new actions Submit Multiple Actions (SMA) and Suspense DateCalculation (SMA)Added new option View ePharmacy Rx (VER)Corrected earlier formatting errorsCorrected typosUpdated Service Code valuesUpdated changed security key namesAdded TRICARE and CHAMPVA examples of rejects on a new orderUpdated name of TRICARE CHAMPVA Bypass/Override ReportUpdated screen shots related to patch changesUpdated wording based on reviewer feedbackAdded CHAMPVA functionalityAdded separate section to list changes to security keysAdded CHAMPVA to GlossaryREDACTED10/2011PSO*7*359Added new action View Additional Reject Info (ARI)Expanded ECME Numbers to twelve digitsUpdated screen shots related to patch changesAdded TRICARE to GlossaryCorrected typosCorrected formatting errors from 11/10 reissueREDACTEDDecember 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualvii
09/2011PSO*7*38204/2011PSO*7*343Added information regarding the new [PSO HRC PROFILE/REFILL]option.REDACTEDTo add functionality to Outpatient Pharmacy for the On-DemandDisplaying of FDA Medication Guides.Display FDA Medication Guide [MG] added to Other OP Actions [OTH]Updates to IndexREDACTED04/2011PSO*7*251The following changes are included in this patch:- Outpatient List Manager Screen Views- Added HP and H to Hold Status- Removed DC code; Added DF,DE,DP,DD and DA- Added to Hidden Action List: IN- Removed DC code; Added DF,DE,DP,DD and DA, and- Added HP and H to Hold Status- Replaced Medication Short Profile- Inserted enhanced Order checks, Outpatient Pharmacy generatedorder checks- Added IN to Screen Scrape- Modified New Order Screen Scrape- Inserted Drug Allergy Screens-Updated Glossary and Index to start on odd pagesREDACTED11/2010PSO*7*358Added information regarding TRICARE Active DutyBypass/Override detailsREDACTEDDecember 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualviii
PrefaceThis user manual describes the functional characteristics of Outpatient Pharmacy V. 7.0. It isintended for pharmacists and technicians who are familiar with the functioning of OutpatientPharmacy in a Veterans Affairs Medical Center (VAMC).December 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualix
Table of ContentsOutpatient Pharmacy (PSO) . iPharmacist’s User Manual . iChapter 1: Introduction . 1Documentation Conventions . 2Getting Help . 3Related Manuals . 3Chapter 2: List Manager . 4Outpatient List Manager . 4Using List Manager with Outpatient Pharmacy . 8Entering Actions . 8Outpatient Pharmacy Hidden Actions. 9Speed Actions . 11Other Outpatient Pharmacy ListMan Actions . 12Patient Demographics and Clinical Alerts . 14Chapter 3: Using the Pharmacist Menu . 16Patient Lookup. 16Chapter 4: Using the Bingo Board . 17Bingo Board User . 17Enter New Patient . 17Display Patient's Name on Monitor . 17Remove Patient's Name from Monitor . 18Status of Patient's Order . 18ScripTalk Mapping Error Messages . 19Chapter 4: Changing the Label Printer . 20Change Label Printer . 20Chapter 5: Changing the Suspense Date . 22Change Suspense Date. 22Chapter 6: Check Drug Interaction . 24Check Drug Interaction . 24Chapter 7: Evaluating Drug Usage . 27DUE Supervisor. 27Enter a New Answer Sheet . 27Edit an Existing Answer Sheet . 27Create/Edit a Questionnaire . 28Batch Print Questionnaires . 28DUE Report . 28Chapter 8: Enter/Edit Clinic Sort Groups. 29Enter/Edit Clinic Sort Groups. 29December 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualx
Chapter 9: Using the Interface Menu . 31External Interface Menu . 31Purge External Batches. 31Reprint External Batches . 31View External Batches . 32Chapter 10: Using the Medication Profile . 35Medication Profile . 35Medication Profile: Short Format. 35OneVA Pharmacy and Medication Profile . 37OneVA Pharmacy Exception Messages . 40Medication Profile: Long Format . 42Chapter 11: Using the Medication Reconciliation Tools . 50Medication Reconciliation . 50Chapter 12: Using the Pharmacy Intervention Menu . 52Pharmacy Intervention Menu . 52Enter Pharmacy Intervention . 52Edit Pharmacy Intervention . 52Print Pharmacy Intervention . 52Delete Intervention . 53View Intervention . 53Chapter 13: Print from Suspense File . 54Print from Suspense File. 54Chapter 14: Allergy Order Checks . 67CPRS Allergy/Adverse Reaction Entry Process . 69VistA Outpatient Allergy/Adverse Reaction Entry Process . 71Chapter 16: Clinical Reminder Order Checks . 77Chapter 17: Processing Order Checks . 79Processing Order Checks . 79Allergy/ADR Order Checks (PSO*7*251) . 127Therapeutic Duplication . 131Chapter 18: Dosing Order Checks . 152Chapter 19: Pull Early from Suspense . 154Pull Early from Suspense . 154Chapter 20: Queue CMOP Prescription . 157QUEUE CMOP Prescription . 157Chapter 21: Releasing Medication . 159Release Medication. 159Fixed Medication Copayment Tiers (FMCT) . 162Changes to Releasing Orders function - Digitally Signed Orders Only . 162December 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualxi
Changes to Releasing Orders function - ScripTalk . 165Changes to Releasing Orders Function – Signature Alert . 166Changes to Releasing Orders function – HIPAA NCPDP Global . 166Chapter 22: Returning Medication to Stock . 170Return Medication to Stock . 170Chapter 23: Ordering/Processing a Prescription . 172Rx (Prescriptions) . 172Patient Prescription Processing. 173OneVA Pharmacy Processing within Patient Prescription Processing . 178Duplicate Drug Order Check . 186Titration . 200Entering a New Order . 201Entering a New Order --ePharmacy (Third Party Billable) . 209CPRS Order Checks. 225Clinic Orders . 234Editing a New Order . 241Using the Copy Action. 248Holding and Unholding a Prescription. 255Flagging and Unflagging Pending Orders . 263Medication Route Prompt . 267Barcode Rx Menu . 268Barcode Batch Prescription Entry . 268Check Quality of Barcode . 269Process Internet Refills . 269Complete Orders from OERR . 271Flagging and Unflagging Pending Orders . 275Changes to Finishing Pending Orders Process - Digitally Signed Orders Only . 279Finishing an Order from OERR with Multiple Institutions . 279Finishing an ePharmacy Order. 280Activity Log . 280Discontinue Prescription(s) . 284Edit Prescriptions. 286ePharmacy Menu. 292Ignored Rejects Report . 293ePharmacy Medication Profile (View Only) . 295NDC Validation . 297ePharmacy Medication Profile Division Preferences . 298ePharmacy Site Parameters . 299Third Party Payer Rejects - View/Process . 304Third Party Payer Rejects - Worklist . 309Other Rejects . 343Reject Resolution Required Rejects. 347View ePharmacy Rx . 348MailMan Message for Open/Unresolved Rejects . 351Alerts for Discontinued CMOP Prescription . 353Discontinued by a Background Process . 353Discontinued by a Foreground Pharmacy Process . 353List One Patient's Archived Rx's . 353Manual Print of Multi-Rx Forms. 354December 2020Outpatient Pharmacy V. 7.0Pharmacist’s User Manualxii
OneVA Pharmacy Prescription Report . 354Reprint an Outpatient Rx Label . 359Signature Log Reprint . 361View Prescriptions . 361Restrictions to Providers on Controlled Substances Orders. 361Chapter 24: Updating a Patient’s Record . 364Update Patient Record .
December 2020 Outpatient Pharmacy V. 7.0 ix Pharmacist’s User Manual Preface This user manual describes the functional characteristics of Outpatient Pharmacy V. 7.0. It is intended for pharmacists and technicians who are familiar with the functioning of Outpatient P
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