Using the medication reconciliation tool

(and how it works)

First, you'll want to make sure you have a template the pulls in the |ACTIVE MEDICATIONS| and the |OUTPATIENT MEDS|. If you don't have a template for these, see this page to create one. The template I use is below:

============================= INPATIENT MEDS =============================

|ACTIVE MEDICATIONS|

============================= OUTPATIENT MEDS ============================

|OUTPATIENT MEDS|

1. Copy the meds from the template

Inpatient meds

Using the |ACTIVE MEDICATIONS| portion of the template, copy all lines from the first medication (including the number 1) until the last line of the last medication. It's important the the first line starts with 1) and that you don't copy the long line of ==='s above the first medication. Copy this text into the "Inpatient meds" box on the webpage

Note: If you use |ACTIVE MEDICATIONS| while a patient is still outpatient in CPRS, it will display their outpatient medications. So you can't use this to compare the admission med rec for patients who are in the ED (because the ED is outpatient).

Figure 1a: The text that should be copied from Inpatient meds

Outpatient meds

Use the |OUTPATIENT MEDS| portion of the template to copy the meds populated from this template.

When you paste this one over to the "Outpatient meds" box on the webpage, be sure that you don't have any blank lines that got copied over.

Figure 1b: The text that should be copied from Outpatient meds

2. Process the medication lists

Once you're done with the step above, the webpage should look like Figure 2. Click on the and buttons to build the respective lists. You'll see a popup that shows how the app parsed the input, so take a second to make sure everything looks right.

Once you close out of the popup, you'll see the medications populated in list format below the button you clicked.

Figure 2: What it should look like before processing the medication list

3. Sorting & toggle medications

Once the lists have been processed, you can sort the lists and toggle each individual medication. Someone who is smarter than me could add more features if this actually became a QI project.

Alphabetizing & reordering

Pressing will sort the list in alphabetical order (Figure 3), which can make it easier to compare what they are getting inpatient vs outpatient.

You can also click and drag medications (within the list) to reorder where you want them.

Toggling colors

You can change the color of each medication by clicking the medication. You can use the mouse to single left or right click as well as double left click to toggle among the colors (Figure 4).

See the script_v2.js file for the actual code. Also when viewing the code, please give me some grace. Javascript is not my "language" and I wrote the code when I was on wards as an intern. So there are certainly more efficient ways to accomplish these goals!

General

For both the inpatient and outpatient medications, the contents of <textarea> tags are read as text using jQuery and split into an array, with each line being a string in the array. Example below:

var inputTEXT = $("#input-txt").val().split("\n");

Outpatient meds

For outpatient meds, every set of two lines (e.g. 1-2, 3-4, 5-6, ...) are paired together. Conceptually this is what is done:

for (i=0; i<inputTEXT.length; i += 2){
  var med = inputTEXT[i] + inputTEXT[i+1].toLowerCase();              
  outputList.push(med); 
}

Inpatient meds

The inpatient meds are a little trickier and requires regular expressions to work. I basically find the lines that start with a number followed by a parentheses (the regex is ^\d+\)), since this tells me this is the start of a new medication. I replace that regex with a phrase that should never be in the Rx from CPRS (in this case I use [[NEW_ITEM]]). Finally, I collapse the array back into a string and split the string by my phrase so the Array.length matches the number of medications.

This simplified version of the actual code shows how it's done:

const itemRegex =  /^\d+\)/;
const spliterText = '[[NEW_ITEM]]';
var linesTemp = Array();


for (i=0; i<inputTEXT.length; i += 1){
  var line  = inputTEXT[i];
  
  // If matches the REGEX, replace it with a phrase that 
  // shouldn't be in CPRS
  line = line.replace(itemRegex,spliterText);

  linesTemp.push(line);
}

// Join it all back together then split by our phrase
linesTemp = linesTemp.join(' ');
var outputList = linesTemp.split(spliterText);