English French Notes Complete/Exclude WINDOW - NEXT PATIENT (fill document continued) (continued on next fill document) Mfr ___________________ Lot# _______________________ Tech__________________ RPh _______________________ DO NOT MAIL Days supply: Last Fill: NO REFILL for this prescription NO REFILLS LEFT for this prescription PHONE IN OR MAIL YOUR REFILL REQUEST Follow the refill instructions provided with your prescription. NO REFILL NO REFILLS LEFT refills left until HAS YOUR ADDRESS CHANGED? Write address changes in the blanks, sign the form, and return to your pharmacy. [ ] Permanent [ ] Temporary until ____/____/____ Signature Additional Allergies or Adverse Reactions Exist. Talk to your Physician or Pharmacist. The following prescriptions will be mailed to you on or after the date indicated. Rx# Date Use the adhesive label above to mail prescription documents to your pharmacy. Patient's Signature & Date Refills Patient's Signature & Date You have no refillable prescriptions as of Please contact your provider if you need new prescriptions. Please check prescriptions to be refilled, sign the form, then mail or return to your pharmacy. This prescription has caused a DRUG-DRUG INTERACTION. has caused a DRUG-DRUG INTERACTION with the following prescription(s): This prescription was entered by: This prescription may require THIS PRESCRIPTION HAS CAUSED A DRUG-DRUG INTERACTION The above prescription has a status of PENDING due to a DRUG-DRUG INTERACTION. Please review printouts of all labels for this patient that follow. has indicated a DRUG ALLERGY: This prescription was entered by This prescription may require reviewing by a pharmacist No terminal type available. No DUZ defined. FileMan access must be @. CONTROL CODES already defined. HP or LexMark: Enter H for HP or L for LexMark You will be copying the CONTROL CODES to device: are you sure? LASER LABEL LASER LABEL INIT TEN POINT FONT - NO BOLD EIGHT POINT FONT - NO BOLD TWELVE POINT FONT - NO BOLD NINE POINT FONT - NO BOLD START OF TEXT CRITICAL DRUG INTERACTION INITIALIZATION PMI SECTION INITIALIZATION SIX POINT FONT, BOLDED EIGHT POINT FONT, BOLDED NINE POINT FONT, BOLDED TEN POINT FONT, BOLDED 12 POINT FONT BOLDED MAILING LABEL INITIALIZATION ADDRESS CHANGE INITIALIZATION ALLERGY SECTION INITIALIZATION FONT WITH UNDERLINE FONT DISABLE UNDERLINE RETURN MAIL INITIALIZATION SUSPENSE PRINT INITIALIZATION WARNING LABEL INITIALIZATION REFILL NARRATIVE INITIALIZATION COPAY NARRATIVE INITIALIZATION PATIENT INSTRUCTION INITIALIZATION REFILL PRINT INITIALIZATION BOTTLE LABEL HEADER INITIALIZATION BOTTLE LABEL BODY INITIALIZATION BOTTLE LABEL FOOTER INITIALIZATION ROTATE TEXT NORMAL ROTATION PHARMACY FILL DOCUMENT INITIALIZATION PHARMACY FILL DOCUMENT QUANTITY PHARMACY FILL DOCUMENT WARNING ALLERGY WARNING INITIALIZATION SIX POINT FONT - NO BOLD END OF BARCODE TEXT BOTTLE LABEL BARCODE PHARMACY FILL DOCUMENT TRAILER END OF BOTTLE LABEL BARCODE START OF BARCODE TEXT PATIENT FILL INITIALIZATION No CONTROL CODES defined. PSO LM ALLERGY DISPLAY This is a test header for PSO LM ACTION ORDER. This is the second line PSO LM ACTIVE ORDERS PSO LM DETAILED ALLERGY PSO LM ORDER SELECTION This is a test header for PSO LM ORDER SELECTION. OP Medications ( Site Parameters must be Defined! >>PHARMACY PATIENT DATA<< Patient Data is Being Edited by Another User! PSO LM PROFILE PSO LM Patient Information PSO LM PENDING ORDER Pending OP Orders ( PSO LM COMPLETE ORDER PSO LM BACKDOOR ORDER New OP Order ( PSO LM RENEW LIST Site parameter must be defined! PSO REFILL PSO RENEW PSO REPRINT PSO EDIT ORDERS PSO RELEASE PSO PARTIAL PSO CANCEL PSO HOLD PSO UNHOLD PSO LM BACKDOOR COPY PSO VERIFY PSO ACTIVITY LOGS PSO LM DISCONTINUE PSO LM EDIT PSO LM FINISH DUZ Number must be defined !! Outpatient Pharmacy software - Version PSO_V7 INSTALL Outpatient Pharmacy software is being installed. PLEASE TRY LATER! Site parameters must be specified for at least one site. This is usually done by the package Co-ordinator. Do you want to continue: Enter Y to edit site parameters or N to exit. Enter 'Y' to select Division or 'N' to EXIT A 'DIVISION' must be selected! Select PROFILE PRINTER: OK to assume label alignment is correct Enter Y if labels are aligned, N if they need to be aligned. Printer is busy. Align labels so that a perforation is at the top of the print head and the left side is at column zero. Enter Y if labels are aligned correctly, N if they need to be aligned. Default printer for labels must be entered. Bingo Board Display: Enter 'Y' to select Bingo Board Display or 'N' to EXIT A 'BINGO BOARD DISPLAY' should be selected! A display group must be defined in order to run Bingo Board. ******* Auto Expire of Prescriptions ******* You need to run this job only if expired prescriptions are showing up as active orders on the Orders tab in CPRS. This could be due to the following: 1. The Expire Prescriptions [PSO EXPIRE PRESCRIPTIONS] option was not queued as a daily task. ***** AND ***** 2. Those patient's prescription(s) were never being accessed/viewed in Patient Prescription Processing [PSO LM BACKDOOR ORDERS] option. * For sites that have not queued the Expire Prescriptions job on their * * daily task schedule, you should do so by selecting the Queue Background * * Jobs [PSO AUTOQUEUE JOBS] option from the Maintenance (Outpatient Pharmacy) * * [PSO MAINTENANCE] option and in the Edit Option Schedule template make an * * entry for Expire Prescriptions [PSO EXPIRE PRESCRIPTIONS] option and * * schedule it to run daily. * ***** Outpatient installation date was not found, ***** ***** therefore this job cannot be run!!!!! ***** Job not queued! Auto expire of Rxs Purge Management Statistics Ending date: Purge from No data has been purged. Outpatient Pharmacy Management Data Purge Do you want to compile data prior to yesterday Outpatient Pharmacy Daily Compile of Management Data Outpatient Pharmacy Management Data Recompile One Day Range of Days DIV TOTAL GR TOTAL QUARTER OUTPATIENT PRESCRIPTION COSTS/PATIENT = $ QUARTERLY OUTPATIENT PRESCRIPTION COST/PATIENT NOT AVAILABLE PRESCRIPTION COUNTS CAT A^CAT C^OTH^CAT^DAY^DAY^DAY^FLS^METH^RX^EQ FL^REQ^REQ^REQ TYPE OF PRESCRIPTIONS FILLED % OF FEE FL BY VA PRESCRIPTION COSTS GRAND TOTAL: INTRAVENOUS ADMIXTURE ALL DIVISIONS PIGGYBKS & SYRS PER DATE TOT AVG CST TOT TOT CST **Prescription data available to print starts with **There is no prescription data available to print.** Use the Date Range Compile data option to make the data available. **IV data available to print starts with **There is no IV data available to print.** There is no prescription and IV data available to print. Print data for all or a specific division Answer 'A' for all if you want to print all divisions' report. Answer 'S' for specific if you want to print one division's report. *** PLEASE PRINT ON WIDE PAPER, I.E., 132 COLUMNS. *** Beginning MONTH/YEAR : Data available to print starts with End of month cannot be in the future There is no prescription data between Use the Date Range Compile option to make the data available. For IV data, use the Intravenous Admixture option. Report not Queued! Outpatient Management Report PRINT MANAGEMENT STATS STARTING: INVALID ENDING DATE ??? **There is no prescription data between MON TOTAL MONTH TOTAL Is this Rx for treatment of Military Sexual Trauma This Renewal has been designated as being used for treatment of Military Sexual Trauma. Is this Rx for treatment of Vietnam-Era Herbicide (Agent Orange) exposure being used for treatment of Vietnam-Era Herbicide (Agent Orange) exposure. Is this Rx for treatment of ionizing radiation exposure being used for treatment of ionizing radiation exposure. Is this Rx for treatment of environmental contaminant exposure during the Persian Gulf War being used for treatment of Is this Rx related to treatment of Head and/or Neck Cancer being used for treatment related to Head and/or Neck Cancer. Please use the 'Reset Copay Status/Cancel Charges' option to make corrections. Charges' option to make corrections. NEXT POSSIBLE REFILL TYPE OF RX DISPENSED DATE LOGIN DATE CPRS Order # Sent By Provider. CHCS NUMBER EXTERNAL SYSTEM RELEASED DATE/TIME LAST DISPENSED DATE Another New Order for OLD LAST RX# Incomplete Dosaging Data! Cannot jump ahead .. fill date is greater than possible expiration date of -Pending Order was discontinued... has been discontinued... No information available Select New Rx # for DO REFILL ERR FLG Not a new prescription number!!! Rxn: Prescription Rx# already being processed. Rx Deleted Fatal error in Autonumbering - No Numbers Left! See Application Package Coordinator! PSO LM ACTIVITY LOGS Rx View Select Activity Log by number 4. Label 5. Copay 6. CMOP Events 7. All Logs 4. Labels 5. Copay 6. All Logs Original Fill Released: (Returned to Stock Finished by: # Date Reason Rx Ref Initiator Of Activity There's NO Activity to report REFILL Label Log: # Date Rx Ref Printed By There are NO Labels printed. Copay Activity Log: # Date Reason Rx Ref Initiator Of Activity There's NO Copay activity to report ANNUAL CAP REACHED^COPAY RESET^IB-INITIATED COPAY^REMOVE COPAY CHARGE^RX EDITED^ Old value= New value= Refill Log: # Log Date Refill Date Qty Routing Lot # Pharmacist There are NO Refills For this Prescription Dispensed: Returned to Stock: Partial Fills: # Log Date Date Qty Routing Lot # Pharmacist There are NO Partials for this Prescription RETURNED TO STOCK: Entry By: Hold Reason: #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################