Topics Medication History Search:  
Introduction: Once the patient is determined to be eligible, the application sends a medication history request to RxHub or PBMs covering the patient. RxHub or PBMs send the medication history information back to the application. Medication history displays a list of dispensed medications that were paid for and used by the patient for a certain time frame. Medication History is available to the user based on the patient's consent. The user can select the patient's 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 the encounter date or for 2 years. By default, this property is turned Off, which means, by default, the Medication History for a patient is fetched for the last 2 years from the encounter date. Surescripts does not support the availability of Medication History for more than 1 year as part of the latest upgrade based on NCPDP SCRIPT Version 2017071. An error message 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 from occurring, 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, and CRISP PDMP.

Pharmacy

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

PBM

The PBM tab displays the medication history of the patient retrieved from the PBM. The available Pharmacy Benefit Managers display details such as Denial Reason Code and Denial Reason; Prescriber; Benefit Coordination; Patient Received; Patient in EMR; along with a summary of the drug's details. If the value selected on the PBM drop-down list is 'All', then the list of PBMs is displayed in serial order with the individual PBM name highlighted in yellow. To view the medication details one PBM at a time, the 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 has associated hyperlinks that, when clicked, 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 has the state codes as its value set. Currently, only one value CA is made available in it. If CA is selected in the property, then the CA PDMP tab is displayed in the Medication History popup. CA PDMP refers to the Medication History PDMP Integration feature that provides authorized health care practitioners with the 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 the appropriate prescribing, ordering, administering, furnishing, and dispensing of controlled substances. Starting in 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., the California State Registry. Hence, all of the information on the CA PDMP tab is fetched directly from the 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.
  • The patient's gender is shown from the CURES response adjacent to the patient's DOB in the 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 error messages are shown in a bold red font and in the same font as the data response on the CA PDMP tab of the 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 two checkboxes on the CA PDMP tab of the Medication History popup:
  1. Search Partial: Determines whether the program should search for a patient's Medication History using a 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 multiple patient matches are received from CURES, this checkbox determines that the program should show a 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 of these checkboxes—Search Partial and Picklist—are unchecked so that an exact match of the Medication History for the selected patient can be obtained on the first attempt.

PMP

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

FAQ button: Click the FAQ button to view the Frequently Asked Questions for the PMP tab. This button is visible for the 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, checkboxes are 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 an NDC code is present for that drug.
  • If the patient's consent is not available, there is an option to send the consent, and then the Medication History will be available for the patient.
  • If the medication history has been discussed in another format with the patient, then the 'Have you reconciled the Medication list provided by the patient in another 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 also displayed when Medical History is present.
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Action Buttons:

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

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