Topics Medication History Search:  
Introduction: Once the patient is determined as eligible, the application sends a medication history request to RxHub or PBMs covering the patient. RxHub or PBMs sends information of medication history back to application. Medication history displays list of dispensed medications that were paid and used by patient for a certain time frame. Medication History is available for user based on Patient’s consent. User can select Patient consent at the time of patient registration from the Med Hx Consent dropdown in the Others tab on the Patient Registration screen. The property rx.medhist.offset.1year is used to fetch the medication history for the last 1 year from encounter date or for 2 years. By default, this property is turned Off, which means, by default, Medication History for a patient is fetched for last 2 years from the encounter date. Surescripts does not support availability of Medication History for more than 1 year as part of latest upgrade based on NCPDP SCRIPT Version 2017071. An error message coming from Surescripts is shown, if the system tries to fetch it for more than 1 year. Hence, in order to comply with the latest standards and to avoid any exception to occur, the property rx.medhist.offset.1year is forcefully modified to be turned On.

The different tabs on the Medication History popup are: Pharmacy, PBM, CA PDMP, PMP, CRISP PDMP

Pharmacy

The Pharmacy tab displays all the medication history data of the patient retrieved from pharmacies directly.

PBM

The PBM tab displays the medication history of the patient retrieved from PBM. The available Pharmacy Benefit Managers displays details such as Denial Reason Code and Denial Reason; Prescriber; Benefit Coordination; Patient Received; Patient in EMR; along with summary of the drug's details. If the value selected on the PBM drop-down list is ‘All' then the list of PBMs are displayed in a serial order with the individual PBM name highlighted in yellow. To view the medication details one PBM at a time, User should select the respective PBM name from the PBM drop-down list. To display additional drug details an additional column, Detail has been added in the Medication History popup. The Detail column have hyperlinks associated that when clicked these display additional drug details in a Drug Detail popup.

CA PDMP

The appearance of the CA PDMP tab is based on the system level property rx.surescript.medhist.pdmp.states. This property is used to specify the list of states from which Medication History from Surescripts (PDMP) is expected. It is a Multi-select property and shall have the State codes as its value set. Currently only one value CA is made available into it. If CA is selected in the property, then tab CA PDMP is displayed in the Medication History popup. CA PDMP refers to the Medication History PDMP Integration feature that provides authorized health care practitioners electronic delivery of controlled substance data from the CURES (California’s Controlled Substance Utilization Review and Evaluation System) database to assist them in their efforts to ensure appropriate prescribing, ordering, administering, furnishing, and dispensing of controlled substances. Starting November 2021, CURES (Controlled Substance Utilization Review and Evaluation System) is integrated with PrognoCIS EMR via the CURES Information Exchange Web service (IEWS) for the state of California, i.e., California State Registry. Hence, all the information on the CA PDMP tab is directly fetched from California State Registry whenever the user navigates to this tab.

Note:
  • The DEA number is mandatory for CURES, hence, it is validated to be present to avoid the "Missing parameter" error response from CURES.
  • Patient gender is shown from CURES response adjacent to patient DOB in Patient details section.
  • The Prescriber needs to be registered with CURES.
  • The system level property rx.surescript.medhist.pdmp.states needs to be updated with the value CA.
  • All the error messages are shown in RED BOLD font and in same font as data response on the CA PDMP tab of Medication History popup.
  • The CURES services are available only from 08:00 AM PST to 05:00 PM PST.
Medication History is retrieved based on the patient’s First Name, Last Name, Date of Birth, and Gender. There are 2 checkboxes in the CA PDMP tab of the 3 Medication History popup:
  1. Search Partial: Determines whether the program should search for a patient’s Medication History using partial or exact match mode. If this checkbox is unchecked then, an exact search is done based on the available parameters of the Medication History search. If this checkbox is checked, then the program considers a partial patient match based on the available parameters of the Medication History search.
  2. Picklist: In case of multiple patient matches received from CURES, this checkbox determines that the program should show the list of all the available matches so that the User can pick the most appropriate option and then send one or multiple single requests to retrieve the prescription history associated with the matched entity.
By default, both these checkboxes—Search Partial and Picklist, are unchecked so that an exact match of Medication History for the selected patient can be obtained in the first go.

PMP

For the PMP tab to be displayed the property rx.medhist.frompmp should be Off.

FAQ button: Click on the FAQ button to view Frequently Asked Questions for PMP tab. This button is visible for Appriss PDMP Interface setup.

CRISP PDMP

For the CRISP-PDMP tab to be displayed, the property rx.medhist.from.crisppdmp should be Off.

Note:
  • On this popup, there are checkboxes provided with each drug row so that the user can select the drug and add it to Current Medication.
  • The checkboxes are enabled for Open Encounters if NDC code is present for that drug.
  • If patient consent is not available then there is an option to send the consent and then Medication History will be available for the patient.
  • If the medication history has been discussed in another format with the patient then an option 'Have you reconciled Medication list provided by patient in other format?' checkbox is present at the bottom of the popup.
  • If this checkbox is checked then it is grayed out as selected and a check mark is displayed on the Medication History button. This indicates that the medication reconciliation is done. The check mark on the Medication History button is displayed also when Medical History is present.
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Action Buttons:

OK button: Click on the OK button to save selected changes on the Medication History popup and close the popup.

RETRY button: Click on the RETRY button to refresh the details on the Medication History popup.
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