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Discharged patients may requires specific considerations:

 

•If a discharge Medication Reconciliation has been performed or the patient has been discharged for more than 24 hours (e.g., Medication Reconciliation is "locked"), processing Home Medications from Clinical Information Reconciliation will reconcile into Prescription Entry instead of Medication Reconciliation. Additionally, accessing the Medication Reconciliation application when it is "locked" will display the prompt, Clinical Information Reconciliation data is pending in Prescription Entry. Prescription Entry may be accessed directly to complete Clinical Information Reconciliation. NOTE: This does not apply to clinics since Medication Reconciliation does not lock for clinic stay types. If a clinic user wants to reconcile directly into Prescription Entry for a stay type that allows this functionality, the user must access the Prescription Entry application and complete Clinical Information Reconciliation.

 

•If a user accesses the Medication Reconciliation application on a patient visit that has been discharged for more than 24 hours and a CCDA has been imported onto that patient's discharged visit (e.g., new imported Clinical Information Reconciliation data pending), a prompt will display stating, Medication Reconciliation has been disabled. Reason: This patient has been discharged for more than 24 hours. Imported Medication data is pending for Reconciliation in Prescription Entry.

 

•A filter is available in the Allergies application for discharged patients titled Show All Profile Allergies. When a user adds an allergy via the Allergies application or Clinical Information Reconciliation application on a discharged patient, they will receive a prompt stating, Entered allergy information will be updated on the Person Profile and will not update discharged accounts. Continue? If the user continues, the new allergy will display under this filter. The allergies can then be sorted by Active, Inactive, Removed or All.

 

•If the patient has been discharged when allergies are imported via Clinical Information Reconciliation, any active account on the profile will get the notification in Pharmacy that an allergy has been added. Clinical Monitoring checking against that profile may then be performed.

 

•If there is pending Clinical Information Reconciliation data for Home Medications and Clinical Information Reconciliation has been postponed, users will still be able to begin a discharge Medication Reconciliation. The system will display the prompt, Clinical Information Reconciliation for Medication Reconciliation has not been performed yet. Would you like to perform Clinical Information Reconciliation? Selecting Yes will access the Clinical Information Reconciliation application for the user to complete before performing a discharge Medication Reconciliation. Selecting No will allow the user to bypass Clinical Information Reconciliation and continue into the Medication Reconciliation application to complete the discharge Medication Reconciliation.