Step Two: Open PharmaNet Profile Medications (Pharmacy, Nursing and Provider)

Click on the steps in the graphic below to view additional information and complete the BPMH in the patient's chart.

Step Two: Open PharmaNet Profile Medications List (Pharmacy, Nursing, and Provider)

PharmaNet is one of many resources used to capture the BPMH. Other sources should be used when completing the BPMH.

NOTE: PharmaNet is a reference profile and is not mapped to CST Cerner.

PharmaNet does not record all prescription medications that a patient receives:

Through the BC Cancer (i.e. oncology medications administered by BC Cancer sites)

Open External Rx History Reference Window

Click the External Rx History reference drop-down arrow.

NOTE:The External Rx History drop-down is located in a different spot, depending on the screen.

Providers and nurses will access it from the Document Medication by Hx window. ViewView

Pharmacy may access it on the Orders Menu page. ViewView

Select Import.

NOTE:

Import opens a side-by-side view of PharmaNet Profile (External Medication Hx) and CST Cerner Document Medications by Hx.

View opens a list of PharmaNet medications.

In the External History window:

Review the Confidentiality RequirementsConfidentiality Requirements.

Access to a patient’s PharmaNet profile may only occur:

In support of providing patient care (and not more than 5 days before/after a clinical encounter with the patient)

Browsing is not permitted

PharmaNet data must be kept confidential and must not be used or disclosed for any purpose other than to provide care or to provide the patient with a copy of their own profile

The printed or distributed copy of the medication profile must either be maintained on the patient’s medical chart or it must be appropriately destroyed

PharmaNet must not be accessed from outside of Canada

Review the patient demographics.

Click Continue to access the patient's PharmaNet record.

At this point you might see a window requiring you to enter the Patient’s Protected KeywordPatient’s Protected Keyword.

In some cases, the patient will have a Keyword associated with their medication profile as a privacy measure. If this happens, there will be a prompt asking for the Keyword. Ask the patient for it so you can have access to their PharmaNet profile.

NOTES:

Patients can request a keyword to protect their PharmaNet profile. They will need to provide this keyword to whomever is accessing their PharmaNet file.

In situations where a keyword is needed but the patient is unable to provide (e.g., unconscious), contact PharmaNet by telephone: 1-800-554-0225 (toll free), or 604-682-7120 (Vancouver) . The PharmaNet Help Desk is monitored 24/7 including stats, except on Christmas Day.

In the event the Keyword cannot be obtained contact the PharmaNet Help Desk (1-800-554-0225) to remove the Keyword. The PharmaNet Help Desk is monitored 24/7 including stats, except on Christmas Day.

Situations where it may be necessary to request that the PharmaNet Help Desk remove the keyword are:

The patient is unconscious or semi-conscious;

The patient is apparently impaired by drugs or alcohol;

There is a reason the patient is incapable of giving consent or is refusing to give consent.

When calling PharmaNet Help Desk to override a patient’s keyword, be prepared to provide the following information:

Site ID (the hospital you’re calling from)

Your name

Problem that you are calling about: PharmaNet keyword removal

Patient’s PHN

Patient’s full name

Patient’s address

Patient’s gender

Afterwards, the patient will be informed by Health Insurance BC (HIBC) that their Keyword was removed, and the patient will be able to re-establish it if they wish to do so.

More information on the Keyword can be found at: https://www2.gov.bc.ca/gov/content/health/health-drug-coverage/pharmacare-for-bc-residents/pharmanet/protective-word-for-a-pharmanet-record

Review PharmaNet Patient Profile

After accessing the patient's PharmaNet record, the External Rx History window will open.

You will see your patient’s PharmaNet Patient Profile. These are adverse reactions and conditions that community pharmacists have entered.

Update the Adverse Reactions when required. In the images below, you will see two examples. On the left, you will see that nothing has been entered for the patient. On the right, you can see a patient whose PharmaNet Patient Profile displays Adverse Reactions and Conditions.

Adverse reactions may include (but are not limited to) allergies, intolerances, side effects, and contraindications.

Adverse Reactions are not imported into CST Cerner, and so they must be added to the patient’s chart on the Allergy page in CST Cerner as needed. This is done by a nurse during the admission process.

For Nurses and providers, see Add a New Allergy

For pharmacy see Document Allergies in Pharmacy Medication Manager (Pharmacy).

Look for the *ADE in the Conditions section of the patient profile, it denotes an Adverse Drug Event (ADE) record. When you see *ADE, you must look for additional ADE details by matching against the same timestamp in the Adverse Reactions section of the patient’s profile.

More information is available on the Ministry of Health (MOH) website regarding ADEs in PharmaNet.

https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/pharmanet-bc-s-drug-information-network/ades-pharmanet

Review Medical Conditions in PharmaNet. This is for reference only.

Click Continue.

This example shows that a community pharmacist has not entered Adverse Reactions or Conditions into PharmaNet.

This example shows that a community pharmacist has entered Adverse Reactions or Conditions into PharmaNet.

When you click Continue the External Rx History window opens, left of the Document Medication by Hx window.

Two windows Side-by-Side Display for Comparison

External Rx History

PharmaNet Profile reference list opens in CST Cerner on the left side.

Document Medication by Hx

Medication History opens from the last documented BPMH done in CST Cerner on the right side.

Medications prescribed by a provider using CST Cerner during a previous discharge will also display.

Select the Last 6 Months in the drop-down Display option on the PharmaNet Profile.

Medication Reconciliation TerminologyMedication Reconciliation Terminology

Medication Reconciliation
Canadian Terminology	Cerner Terminology
BPMH: Best Possible Medication History (Collection and Verfication)	Document Medication by Hx
Reconciliation	Admission Reconciliation Transfer Reconciliation Discharge Reconciliation

Medication Reconciliation IconsMedication Reconciliation Icons

Icon	Description
	Documented (Home) Medication by History: Indicates that the information is medication information documented by history.
	Inpatient/ED Medication: Indicates the order is an inpatient or emergency department medication.
	Ambulatory Order: Indicates the order is an ambulatory medication.
	Prescription: Denotes that this order is a prescription for the patient to get filled at a community pharmacy .
	Add new medications: Button to add a new medication to the Document History (BPMH).
	PowerPlan: Indicates a plan has been ordered for the patient.
	Check Interactions: Allows you to check the patient’s medication interactions.
	Requires BPMH: Indicates any patient requiring Best Possible Medication History (BPMH) within FirstNet or ED Tracking.
	Auto Sub Medication / Therapeutic Substitution: Indicates medication has automatically been therapeutically substituted.
	Medication Not Reconciled: Indicates medication has not gone through reconciliation process.
	Incomplete Reconciliation: Indicates no reconciliation has taken place.
	Partially Completed and Planned Reconciliation: Indicates reconciliation is partially completed and planned.
	Completed and Planned Reconciliation: Indicates reconciliation is completed and planned.
	Reconciliation In Progress: Indicates medication reconciliation is in progress.
	Complete Reconciliation: Indicates medication reconciliation is complete.
	Status: Continue
	Status: Do not continue
	Indicates that the order is from a previous visit.
	Most common medication dose.
	Next most common medication dose.
	Least common medication dose.
	Indicates that the order is not available at the current facility and the order needs to be resolved.
	Indicates that the order is a Pending Proposal order.
	Indicates order details incomplete.
	Indicates that medication schedule should be reviewed.
	Medication is non-formulary.
	Medication is restricted.

PharmaNet FAQ - Troubleshooting Tips

Review the PharmaNet Medications in the External Rx History Window

As you compare the External RX History (PharmaNet) with the medications in CST Cerner, you need to know how to read all of the information.

Sort the Imported Medications in OrderSort the Imported Medications in Order

By default, the newest filled medication will appear at the top of the list. Sorting the medications alphabetically will help ensure you do not miss any medications as you compare the two windows.

Click on the Order Name/Details column header in the PharmaNet (External Rx History) window to display the medication alphabetically.

View Prescriber and Quantity of PrescriptionView Prescriber and Quantity of Prescription

Hover your mouse over the medication listed to see the quantity dispensed and name of prescriber. This medication is already listed in BPMH in CST Cerner.

Identify Medications Not Yet Reflected in CST Cerner BPMHIdentify Medications Not Yet Reflected in CST Cerner BPMH

The Medication Not Reconciled (star burst) icon indicates that this medication is not yet reflected in the patient’s profile in CST Cerner on the Document Medications by Hx side. After you add a medication to CST Cerner, the Medication Not Reconciled icon will disappear.

View Previous Dispensed Incidences (Expand Bundles)View Previous Dispensed Incidences (Expand Bundles)

It is recommended to always expand bundled medications to view separate dispensing incidences.

In the far left column, the Medication Fill indicator displays a number in brackets. This number indicates that dispensed medications have been grouped or bundled together.

The number indicates the number of fills for the listed medication.

PharmaNet groups medications by separate prescriptions for the same medication name with different forms, strengths, refills, or instructions.

You need to Expand the bundles to view the medication order sentences:

Click the black arrow next to a medication.

In this example (Carbidopa/Levodopa), you can see different fill dates for the medication.

In this example (Hydromorphone), you can see different strengths and order sentences for the medication.

Understand Indicator StatusesUnderstand Indicator Statuses

Occasionally, there are indicators preceding the medication name with updated statuses such as Discontinued or Adapted-Filled.

When a prescription status is filled, this notation does not appear.

Other Indicator Statuses appear in brackets (e.g. Discontinued, Reversed, Adapted-Filled).

List of Indicator Statuses

Indicator Status	Description
Discontinued	The prescription has been discontinued; medication was previously dispensed, but the patient should no longer be taking the medication
Reversed	The prescription has reversed with an intervention code other than “Data Entry Error” (RE); Medication was not dispensed
Adapted Rx and Filled	The prescription has been adapted by a pharmacist then filled; medication was dispensed
Adapted Rx and Not Filled	The prescription has been adapted by a pharmacist and not filled due to refusal to fill; medication was not dispensed
Adapted Rx and Discontinued	The prescription has been adapted by a pharmacist and discontinued; medication was previously dispensed, but the patient should no longer be taking the medication
Adapted Rx and Reversed	The prescription has been adapted by a pharmacist then filled; medication was dispensed

Next see Step 3 after opening the patient's External Rx History.

Related Positions

Provider

Nurse

Pharmacy

Last Updated: January 11, 2021