| | Description | Pharmacy Module
It is required to be a pharmacy information system to include : medication administration record, patient profiles, I.V. and TRN tables, medication charges, inventory control, automated admissions and reporting capabilities.
It should help pharmacists to process orders , check drug interactions, maintain inventory levels, check lab test results, create order rules, and comply with government regulations
The Pharmacy module should allow for the setting up of drug formularies, dispensing prescriptions, production of labels and comprehensive reporting for patient profiles and stock consumption. The module should be integrated with the stock control management module.
Furthermore, the Pharmacy module should help pharmacists across the Hospital, process orders, maintain inventory levels, check drug interaction, check lab test results, create order rules and comply with controlled substance regulations
The Hospital may define charge formulas to control percent mark-ups, minimum charges, and handling fees. |
| 1 | | Maintain accurate, online patient profile | | 2 | | Checks for drugs and allergy interactions | | 3 | | Prints hospital-defined labels and medical administration records | | 4 | | Updates inventory levels and schedules refills | | 5 | | Calculates the dose(s) to be dispensed, I.V.drip rates, patient charges, and body surface area ( based on height and weight ) | | 6 | | Generates drug utilization, revenue, and workload statistics | | 7 | | Tracks clinical interventions | | 8 | | Generates management reports on demand | | 9 | | Accommodates inventory control for multiple facilities | | 10 | | Automates drug administration and provides an on-line history | | 11 | | Reports recent lab results when a pharmacist or technician enters a medication order | | 12 | | Allows flexible order entry | | 13 | | Ability to perform patient search for verification purposes ( ex: name, ward and clinic searches) | | 14 | | Ability to view patient’s medical history | | 15 | | Ability to display alerts and allergies | | 16 | | Ability to handle multiple sub-pharmacy departments in the Hospital | | 17 | | Allow other authorized departments to view the dispensed drugs/items | | 18 | | Support entry of all patient types ( ex: Inpatient , Outpatient , Emergency , Operating Rooms) |
| 19 | | Ability to differentiate between inpatient and outpatient prescriptions (scripts) | | 20 | | Ability to generate dispensing labels in English and Arabic | | 21 | | Ability to produce the following types of labels : | | 26 | | Automatically calculate quantities required for dispensing , with override capabilities | | 27 | | Handling of repeat prescriptions | | 28 | | Check for previous quantities dispensed and display warning messages | | 29 | | Record drug interactions and appropriately deal with | | 30 | | Dispense drugs by batch | | 31 | | Handling of bedside prescriptions | | 32 | | Ability to dispense narcotic drugs with full authentication | | 33 | | Maintain audit trail of dispensed drug | | 34 | | Automatically check new I.V. admixture orders for conflicts with patient’s allergies | | 35 | | Display online all interaction, duplicate therapy, and incompatibility conflicts for patients | | 36 | | Support online acknowledgement of interactions with override control ( and audit trail ) by authorized user | | 37 | | Support designation of natural or special medication groupings within formulary | | 38 | | Provide online formulary lookup using soundex search method | | 39 | | Maintain drug mnemonics in formulary | | 40 | | Support option to use bar code readers | | 41 | | Support option to maintain and print standard drug specific administration directions on labels | | 42 | | Maintain audit trail of persons making changes to I.V. orders | | 43 | | Allow online entry of multiple standing IV orders from a single screen | | 44 | | Print IV summary update worksheets showing new orders since last printing of worksheet | | 45 | | Support varying dosage scheduling methods ( ex: q6h, qid, M>W>F ) | | 46 | | Allow online changes, suspension and renewal to medication orders without having to re-key all order information | | 47 | | Maintain predefined standard order sets ( ex: pre-op medications ) by physician for quick order entry | | 48 | | Automatically check and warn of duplicate medication orders | | 49 | | Print pharmacist and technician initials on prescription label | | 50 | | Provide ability to manually assign prescription numbers by key entry | | 51 | | Provide ability to perform price checks without filling the prescription | | 52 | | Maintain patient prescription data including : number of days supply | | 53 | | Provide ability to override discontinue date | | 54 | | Provide ability to increase number of refills | | 55 | | Provide ability to detect early refills ( ex: for suspected overuse) | | 56 | | Provide ability to specify number of days checked for clinical edit checking | | 57 | | Maintain refill data including : days supply | | 58 | | Maintain refill data including :co-pay amount ( ex: social security 90% , self 10% ) | | 59 | | Provide alert for price change when performing refills | | 60 | | Provide ability to change drug brands when performing refills | | 61 | | Provide ability to accept returns and adjust billing | | 62 | | Allow utilization of non-formulary drugs ( under testing ) |
| >>> Patient Demographic Data | | | | 63 | | Edit and display of demographic data ( in conjunction with registration module ) | | 64 | | Automatic transfer of patient’s height, weight, allergies, and other details from the order entry module | | 65 | | Ability to define multiple patient profile types | | 66 | | Automatic calculation of body surface area |
| >>> Inpatient Medication Orders | | | | 67 | | Schedules medication administration | | 68 | | Updates a patient’s active profile and refill lists | | 69 | | Checks for drug interactions, drug allergies, incompatible I.V. ingredients, and duplicate medication orders | | 70 | | Discontinues orders according to recorded stop dates and times | | 71 | | Calculate patient charges, doses to dispense, and I.V. drip rates | | 72 | | Updates central, floor stock, and satellite sub-pharmacy inventory levels | | 73 | | Allows order entry and final verification by nurses and technicians | | 74 | | Allow users to combine medications, dosages, and directions into standard orders | | 75 | | Identifies stock medications at all stock locations | | 76 | | Identify formulary medications by generic or trade name, NDC number, or mnemonic | | 77 | | Checks newly-entered medication allergies against existing medication orders | | 78 | | Documents Adverse Drug Reactions ( ADR ) on the patient record independently of allergies | | 79 | | I.V. ordering capabilities:- Calculate intravenous ingredient volumes | | 80 | | I.V. ordering capabilities:- Calculate nutritional values of Hyperalimentation Fluids (HAF) , ‘custom I.V.s’ and ‘I.V.drip’ | | 81 | | I.V. ordering capabilities:- Provide dose and volume of drugs to be ordered in cardiac emergency | | 82 | | I.V. ordering capabilities:- Produce a Patient Information Leaflets (PILs) , in English and Arabic | | 83 | | I.V. ordering capabilities:- Provide option to automatically charge patients at time of order entry | | 84 | | I.V. ordering capabilities:- Allow override of standard price in order entry process for special circumstances | | 85 | | I.V. ordering capabilities:- Support tracking of charges by user-defined categories ( ex: DRG, antibiotics, floor stock ) | | 86 | | I.V. ordering capabilities:- Provide ability to change or add to patient coverage without leaving prescription filling screen | | 87 | | I.V. ordering capabilities:- Provide ability to price by regular or MOH rates , referencing patient NSSF number | | 88 | | I.V. ordering capabilities:- Provide ability to compare inpatient medication profile with discharge prescriptions to detect omissions or inconsistencies | | 89 | | I.V. ordering capabilities:- Calculation of charges for each medication order | | 90 | | I.V. ordering capabilities:- Assign billing codes for formulary items | | 91 | | I.V. ordering capabilities:- Billing inquiry and list | | 92 | | I.V. ordering capabilities:- Automatic transfer of charges to billing / account receivable modules | | 93 | | I.V. ordering capabilities:- Billing summary by patient | | 94 | | I.V. ordering capabilities:- Ability to bill manually for non-formulary drugs ( drugs under research ) |
| >>> Outpatient Prescriptions | | | | 95 | | Display profile of active medications | | 96 | | Check for drug interactions and drug allergies, incompatible I.V. ingredients, and duplicate medication orders | | 97 | | Calculate amount to dispense and update inventory | | 98 | | Automatically calculate charges with user-defined charge formulas | | 99 | | Produce labels and update profiles | | 100 | | Debit / credit outpatient orders | | 101 | | Accommodate I.V. order entry | | 102 | | Support user-defined outpatient categories for proper outpatient pricing |
| 103 | | Provide online drug formulary details | | 104 | | Is the drug formulary BNF standardized | | 105 | | If the drug is not BNF standardized can the drug formulary be set up on the system | | 106 | | Ability to assign separate drug codes for each type and strength of drug ( ex: Amoxicillin 250 mg as AMOX1 and AMOXICILLIN 500 mg as AMOX2) | | 107 | | Ability to support stock particulars and details | | 108 | | Allow for accessing drugs using generic as well as trade names | | 109 | | Provide ability to query if a drug is covered by third party payer without filling the description ( MOH list of drugs ) |
| >>> Stock Control / Inventory | | | | 110 | | Display stock details online | | 111 | | Allow stocks to be grouped together ( ex: IV fluids, narcotics etc) | | 112 | | Display stock on hand | | 113 | | Allow for pack sizes to be clearly identified | | 114 | | Stock prices based upon unit of issue | | 115 | | Stock prices based on 2 decimal places | | 116 | | Allow for batch controls | | 117 | | Support automated stock-take procedures | | 118 | | Account for full as well as part units for dispensing | | 119 | | Handle multiple pharmacy store around the hospital | | 120 | | Account for maximum, minimum re-order levels and critical stock levels | | 121 | | Warn if stocks are low | | 122 | | Warn if drugs are about to expire | | 123 | | Accept definition and handling of Donations | | 124 | | Produce Stock medications reports to help floor nurse account for drug usage | | 125 | | Monthly nurse station charges | | 126 | | Drug usage/revenue by location | | 127 | | Debit/credit stock medication |
| 128 | | Support online inquiries for viewing the status of requisitions at ward/clinics | | 129 | | Allow for checking backorders | | 130 | | Produce picking slips | | 131 | | Account for stock returns | | 132 | | Allow for canceling requisitions once ordered | | 133 | | Handle inter pharmacy requisitions | | 134 | | Accept prices from Ministry Table ( by file ) | | 135 | | Interface to purchasing / receiving system |
| 136 | | Maintain an automated imprest lists for the wards/clinics | | 137 | | Automated issue of imprest stock to wards | | 138 | | Display maximum stock levels for wards | | 139 | | Maintain and record stock levels at wards | | 140 | | Support the use of barcodes | | 141 | | Create requisitions and picking slips |
| 142 | | Support medication and drugs searches | | 143 | | Support selection of inpatient / outpatient for inquiry by ‘scrolling’ through patient names listed on screen | | 144 | | Provide online drug lookup screen by trade or generic name within I.V. order processing | | 145 | | Online edit/display of all medication orders and profiles | | 146 | | Ability to debit or credit, activate or deactivate, and/or discontinue or reschedule orders | | 147 | | Up-to-date display of patient’s demographic data | | 148 | | Online inquiry of dispensed amounts ( ex: drug orders , refill amounts , dosage , etc.. ) | | 149 | | Online inquiry of formulary medications ( ex: drug types , vendors , etc..) |
| 150 | | Print drug utilization review report to analyze drug therapy usage trends and costs | | 151 | | Print about to expire list of drugs with user defined period ( ex: one month before expiry date ) | | 152 | | Print revenue analysis report listing revenues and costs of goods by order type | | 153 | | Print suspicion of lost drug report | | 154 | | Print drug pricing report | | 155 | | Print detailed prescription register report by third party plan | | 156 | | Print daily controlled substances report meeting Government requirements | | 157 | | Print profit reports with percent margin and profile detail | | 158 | | Print drug ranking analysis report listing drugs in activity order by number of prescriptions filled | | 159 | | Print prescription transfer report | | 160 | | Print drug list in NDC number order | | 161 | | Print report showing variance between usual charge and third party allowed charge | | 162 | | Automatically update inventory quantities upon posting receipts of ordered drugs | | 163 | | Print critical re-order report of items below minimum quantities | | 164 | | Print daily controlled substances dispensed report by location | | 165 | | Print exception report of significant supplier cost increases or decreases | | 166 | | Print vendor performance analysis of orders, back orders, unfilled orders, and turnaround time | | 167 | | Drug reports :- Drug profiles per patient | | 168 | | Drug reports :- Drugs formulary | | 169 | | Drug reports :- Drugs listing by pharmacological classification | | 170 | | Drug reports :- Drugs listing by trade names | | 171 | | Drug reports :- Drugs listing by generic names | | 172 | | Drug reports :- End of month reports | | 173 | | Drug reports :- Financial costs of drugs | | 174 | | Statistical reports :- Most used drugs | | 175 | | Statistical reports :- Least used drugs | | 176 | | Statistical reports :- Current year to date figures | | 177 | | Statistical reports :- Workload statistics | | 178 | | Stock reports :- Stock catalogues | | 179 | | Stock reports :- Non stock catalogues | | 180 | | Stock reports :- End of month reports | | 181 | | Stock reports :- Stock usage | | 182 | | Stock reports :- Departmental usage | | 183 | | Stock reports :- Current year to date | | 184 | | Stock reports :- Audit trails | | 185 | | Stock reports :- Price variations | | 186 | | Stock reports :- Stock movements with critical levels | | 187 | | Inpatient Reports :- I.V. refill lists | | 188 | | Inpatient Reports :- Initial orders list | | 189 | | Inpatient Reports :- Billing lists with debit/credit transactions | | 190 | | Inpatient Reports :- Anticipated medication expiration list | | 191 | | Inpatient Reports :- Medication administration record (MAR) | | 192 | | Inpatient Reports :- Nurse station worksheets | | 193 | | Inpatient Reports :- Debit/credit transaction log | | 194 | | Outpatient Reports:- Log of outpatient activity | | 195 | | Outpatient Reports:- List of prescriptions awaiting pick-up | | 196 | | Outpatient Reports:- List of outpatient charges | | 197 | | Outpatient Reports:- Refill list for outpatient locations, same day surgery |
| 198 | | Interface to an online inventory management system | | 203 | | Admissions, transfer & discharge | | 205 | | Purchasing ( procurement ) material management |
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