Shape up - Prescription printing at
pharmacy
Author: Karla Pérez
Problem
Print the prescription when Dispensing medication in pharmacy
Appetite
Big appetite
Solution
The prescription can be from inpatient or outpatient.
Prescriptions should be printed in pharmacies and contain information about the encounter
and other information about the prescription and the medication included.
The prescription can be from different types of patient and types of medicine, so the labels
can change in some cases.
The combination of cases are: In patent, outpatient (unique dose), intravenous.
Here is the information that is necessary to print for each case.
1) ALL THE CASES:
Date
Time
Px name
MRN
Unit
Room
Drug
Dose
User
2) When is an IV :
Diluent
Infusion rate
Storage
Prep date
exp date
exp hr
3) When is Not an IV medication:
Generic (name)
Batch#
Exp. date
4) No unidose (inpatient)
Qty (number of boxes)
5) OutPatient
Payment: credit or cash.
These are some examples of the labels.
Labels detail
Inpatient O
ne label per dose
IV drug + diluent
Date & Time (current time)
Name: Patient Name (currently all names are in english)
MR: Medical Record Number (MRN)
Unit: Service station value R
oom: Room value Bed: Bed value
Drug: Brand name product
Generic: Active Substance(s)
Diluent: related medication for IV*
Dose: Qty + Uom + DoseRate
Dose date and time schedule date (from exme_planmedline)
Indications (we currently no have fields for IV)
Notes (added by pharmacy…. Can be null)
Prep By: (username that prepare the dose) Check By (blank)
Include barcode (exme_planmedline_id) in the button for dosing mobile app
Doses
Date & Time (current time)
Name: Patient Name (currently all names are in english)
MR: Medical Record Number (MRN)
Unit: Service station value R
oom: Room value Bed: Bed value
Drug: Brand name product
Generic: Active Substance(s)
Dose: Qty + Uom + DoseRate + route (via) + frequency (value)
Dose date and time schedule date (from exme_planmedline)
Qty: D
ispense qty + uom (movement line information)
Exp. Date: Lot guarantee date Batch: Lot number
Prep By: (username that prepare the dose) Check By (blank)
Include barcode (exme_planmedline_id) in the button for dosing mobile app
Outpatient One label per drug
Date & Time (current time)
Name: Patient Name (currently all names are in english)
MR: Medical Record Number (MRN) P
ayment: Cred / Cash
Drug: Brand name product
Generic: Active Substance(s)
Dose: Qty + Uom + Route (via) + Frequency (value) + PRN / blank + Number of
days
Indications (can be blank)
**Note: these prescription can be created from Cirrus or Nimbo
Cirrus outpatient:
Nimbo outpatient:
IV Labels
There are different priorities in the fields needed in the label. The client express that the
fields such as:
● Diluent
● Dose
● Infusion rate
● Concentration: this is calculated according to the concentration of the drug
related to the diluent ie. if to a diluent of 1000 ml is added a drug of 100ml what
is the concentration in 10 ml.
● Prepared by
● Checked by
● LASA
● Notes: they will add indications there
Are important but can be added after the go-live, so for now they can be added
manually, the information that t hey cannot go-live without are:
● Date
● Time
● Patient name
● MRN
Unit
●
Room: If applicable
●
Bed: if applicable
●
*Storage info:ie. Room, temperature, protected from light, etc.
●
User who reviewed
●
Preparation date
●
*Expiration date: after preparation according to the diluent and drug
●
*Expiration hour: after preparation (24 hr format)
●
*They have a list of all IV drugs mapped with the storage and time information.
Payment ( not relevant for pharmacy but required by MOH)
Credit: Medication covered by the insurance company.
Cash: does not have insurance, or the medication is not included in the insurance.
Maestro de Producto , sección medicamentos…
Storage: <Room temp. ref….> combo?? abierto??
Protegido [ ] checkbox
Expira [ dias ] 1 / 7 /…. Numerico
Calculo
Día en que se prepara + dias expiración = nueva fecha ….
Rabbit holes
Details about the solution worth calling out to avoid problems
No-gos
Anything specifically excluded from the concept: functionality or use cases we
intentionally aren’t covering to fit the appetite or make the problem tractable
Remember to ALWAYS review our U
I guidelines, and if something is a conflict please
ask Product and your technical leader for any confirmation.
https://docs.google.com/spreadsheets/d/1wNHiqH4RcIrgqD6ANpSovXpwxBcr2aUb9x
mR_n4j-XY/edit#gid=0
Reference
Examples of the labels and images from the printers.
CDD Pharmacy (inpatient)
37 Inpatient Pharmacist Unidose We need to modify our labels to comply
Pharmacy delivery to with what they need. The label should
patients contain the information about the LOT
they came from and it should be in
english and arabic (we need an
example of that label, we currently have
only the english label)
48 Inpatient Pharmacist IV Prep/Expiry Identify all the IV medications with new
Pharmacy Date expiry date and to be printed on the IV
labelsCode
prescription,Stability,Infusion
rate,Refrigerated(Y/N),High
Risk,Protect from Light.
Prescription should be printed in
pharmacy and contain the complete
criteria; Patient's Name, Medical
Record Number, Age, Sex, Body Weight
Outpatient And Height, Pregnancy And Lactation,
313 Prescription Ordering
Pharmacy Diagnosis, Drug /Food Allergy, Date
And Time, Name Of Drug, Strengths Or
Concentration Of Drug, Dosage Form /
Dose, Frequency/ No. Of Boxes,
Updated Prices, Sfda Registration,
Duration Of Treatment, physician
name and ID
Development Notes
QA
https://ecaresoft.atlassian.net/plugins/servlet/ac/com.infostretch.QmetryTestManager
/qtm4j-test-management?project.key=CIR&project.id=10000#!/TestCycleDetail/bGpc9rj
Szxmn/Test%20Cases?projectId=10000
1. Are the test cases complete? yes / no (if no please contact QA to review them)
2. Did you make any additional changes that are not considered in the test cases?
