Gaps #92943
closedER/IP/OP > Pharmacist Amendments Not Reflected in Clinicare Notifications to Prescribing User
Added by Kierthini Nethi 7 months ago. Updated 5 months ago.
Description
Description:
When a pharmacist makes changes to a prescription in Medcare Pharmacy (e.g., dosage adjustment, frequency, or medication details), these updates are currently not being reflected in Clinicare notifications for the prescribing user.
This results in a lack of visibility for the prescribing doctor regarding modifications made after the initial prescription, which may impact clinical decision making and continuity of care.
Steps to Reproduce:
1) Prescribing user enters a prescription in Clinicare.
2) Pharmacist accesses the prescription via Medcare Pharmacy.
3) Pharmacist modifies details (e.g., dosage, frequency, or medication).
4) Observe that no notification/update is sent to the prescribing user in Clinicare.
Expected Result:
Any amendments made by the pharmacist in Medcare Pharmacy should trigger a notification in Clinicare to the original prescribing user, clearly indicating:
- What changes were made
- Who made the changes
- Timestamp of the modification
- Justification to why changes were made
Current Result:
No notification is sent to the prescribing user after pharmacist modifications.
Impact:
1) Prescribers are unaware of post-prescription changes
2) Potential risk to patient safety and treatment accuracy
3) Lack of audit visibility for clinical decisions
Files
Updated by Kierthini Nethi 7 months ago
- Related to Gaps #86956: GAPS > PHIS > "Once a prescription has been intervened by pharmacist , the doctor should get notification in clinicare. added
Updated by Kierthini Nethi 6 months ago
Updated by Daniyal Ansari 6 months ago
- Assignee changed from Mehdi Mehdi to Logeshwaran Ravi
Updated by Daniyal Ansari 6 months ago
- Assignee changed from Logeshwaran Ravi to Prajval Tambe
Updated by Mehdi Mehdi 6 months ago
- Dev Due date set to 20/05/2026
- Release date to QA set to 22/05/2026
Updated by Kierthini Nethi 6 months ago · Edited
Should be implemented across all 3 modules - ER, IP, OP
Updated by Rohit Jadhav 5 months ago
new kafka created
topic-> "onprem.stockservice.updatemedicationdoseemr.0";
kafka payload ->{
"className": "updatemedicationdoseemr",
"requestJson": "{\"itemCode\":\"MED-12309\",\"clinicareOrderId\":\"6a118818ee70687d0f23453e\",\"itemQuantity\":45.0,\"updatedById\":\"50122\",\"updatedBy\":\"Mahesh Bubane\",\"frequencyDetail\":[{\"dose\":\"3\",\"doseUnit\":\"Tablet\",\"daysPharmacy\":\"Day/s\",\"duration\":5,\"singleDose\":\"3 Tablet\",\"drugInstruction\":\"Take with or without Food\",\"frequencyCode\":null,\"orderQuantity\":45.0,\"startDate\":\"2026-05-25T13:01:34.681+08:00\",\"stopDate\":\"2026-05-30T13:01:34.681+08:00\",\"routeOfAdministrationCode\":null,\"priorityCode\":null,\"totalVolume\":0.0,\"rateFlow\":null,\"flowDuration\":null,\"flowDurationUnit\":null,\"patientInstruction\":null,\"pharmacyInstruction\":null,\"prnComments\":null,\"comment\":\"ryrt\",\"baseSizeCode\":null,\"isPrn\":false,\"isCounselling\":false,\"isUnitDosing\":false,\"isTtaMedication\":false}]}"
}
Updated by Prajval Tambe 5 months ago
Consume the above Kafka message and pass the received value in the Clinicare API under `medicationOrder.amendedBy` as an object.
Updated by Mehdi Mehdi 5 months ago
- Assignee changed from Prajval Tambe to Sagar Pokale
Updated by Sarfrazul Haque 5 months ago
- Status changed from New to Assigned
- Function Standard added
- Function deleted (
HUMS)
Updated by Sagar Pokale 5 months ago
- Assignee changed from Sagar Pokale to Prajval Tambe
Hi @Prajval,
Implemented the given changes on backend side,
Also added value 'medicationOrder.amendedBy'
Please work on the UI part,
If anything let me know
Updated by Anis Yusof 5 months ago
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- Status changed from QA to Re-open
- Assignee changed from Prajval Tambe to Mehdi Mehdi
Please find the observation below:
Tested in QA
ER/IP/OP > Pharmacist Amendments Not Reflected in Clinicare Notifications to Prescribing User - FAIL in QA for following findings as confirmed with @Kierthini Nethi ;
- Timestamp & date of the modification are not showing in the Prescribing User - FAIL
- Amended Frequency detail made by Pharmacist is not highlighted - FAIL
- The reason of amendment is not showing - FAIL
- The medication amendment details is not recorded in the Medication Order History - FAIL
- The medication amendment details is not recorded in the Last Known/Past Medication - FAIL
Updated by Mehdi Mehdi 5 months ago
- Assignee changed from Mehdi Mehdi to Prajval Tambe
Updated by Mehdi Mehdi 5 months ago
- Assignee changed from Prajval Tambe to Mangesh Pangrekar
Updated by Anis Yusof 5 months ago
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- Status changed from QA to Re-open
- Assignee changed from Mangesh Pangrekar to Mehdi Mehdi
Please find the observation below:
Verified in QA
ER/IP/OP > Pharmacist Amendments Not Reflected in Clinicare Notifications to Prescribing User - FAIL in QA for following findings;
- Timestamp & date of the modification are not showing in the Prescribing User - PASS in QA for OP/IP/ER
- Amended Frequency detail made by Pharmacist is not highlighted - FAIL in QA as amended value is not showing for OP/IP/ER
- The reason of amendment is not showing - FAIL in QA as reason value is not showing for OP/IP/ER
- The medication amendment details is not recorded in the Medication Order History - FAIL in QA as Frequency and Reason details is showing 'null' upon hovering on the 'i' button for OP/IP/ER
- The medication amendment details is not recorded in the Last Known/Past Medication - FAIL in QA as amended history is not available in OP & Frequency and Reason details is showing 'null' upon hovering on the 'i' button in IP/ER
Updated by Anis Yusof 5 months ago
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Updated by Mehdi Mehdi 5 months ago
- Assignee changed from Mehdi Mehdi to Prajval Tambe
Updated by Mehdi Mehdi 5 months ago
- Status changed from Re-open to Coded
QA team, could you please re-test this in the QA environment? The Medcare changes have been deployed to QA.
Updated by Mehdi Mehdi 5 months ago
- Status changed from Coded to QA
- Assignee changed from Prajval Tambe to Mangesh Pangrekar
Updated by Anis Yusof 5 months ago · Edited
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- Status changed from QA to Tested
Please find the observation below:
Verified in QA
ER/IP/OP > Pharmacist Amendments Not Reflected in Clinicare Notifications to Prescribing User - PASS in QA for following findings;
- Timestamp & date of the modification are not showing in the Prescribing User - PASS in QA as who and timestamps details are showing accordingly for OP/IP/ER
- Amended Frequency detail made by Pharmacist is not highlighted - PASS in QA as amended frequency is showing accordingly in OP/IP/ER
- The reason of amendment is not showing - PASS in QA as reason value is showing accordingly for OP/IP/ER
- The medication amendment details is not recorded in the Medication Order History - PASS in QA as amended details are showing accordingly upon hovering on the 'i' button for OP/IP/ER but for IP & ER modules, the details are showing under Order Reason column instead of Amended History column As confirmed with @Kierthini Nethi new issue will be logged for this - https://pmo.hatiintl.com.my/issues/94110
- The medication amendment details is not recorded in the Last Known/Past Medication - PASS in QA as amended details are showing accordingly upon hovering on the 'i' button in OP/IP/ER
Updated by Anis Yusof 5 months ago
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Updated by Kierthini Nethi 5 months ago
- Assignee changed from Mangesh Pangrekar to Marcella David Kok
Updated by Marcella David Kok 5 months ago
- File ER DR_ORDER MEDS_1.png ER DR_ORDER MEDS_1.png added
- File ER PHARMACY AMEND DOSE ORDER.png ER PHARMACY AMEND DOSE ORDER.png added
- File ER PHARMACY AMENDED ORDER DOSE REMARK.png ER PHARMACY AMENDED ORDER DOSE REMARK.png added
- File ER DR_VIEW ON AMENDED DOSE.png ER DR_VIEW ON AMENDED DOSE.png added
- File ER DR_MEDICATION ORDER HISTORY.png ER DR_MEDICATION ORDER HISTORY.png added
- File OP DR_ORDER MEDS_.png OP DR_ORDER MEDS_.png added
- File OP PHARMACY AMEND DOSE ORDER.png OP PHARMACY AMEND DOSE ORDER.png added
- File OP PHARMACY AMENDED ORDER DOSE REMARK.png OP PHARMACY AMENDED ORDER DOSE REMARK.png added
- File OP DR_VIEW ON AMENDED DOSE.png OP DR_VIEW ON AMENDED DOSE.png added
- File OP DR_MEDICATION ORDER HISTORY.png OP DR_MEDICATION ORDER HISTORY.png added
- Status changed from Tested to Reviewed
- Function HUMS added
- Function deleted (
Standard)
ER/IP/OP > Pharmacist Amendments Not Reflected in Clinicare Notifications to Prescribing User
16/06/2026
TESTED & REVIEWED RESULT:
ER/IP/OP
Pharmacist Amendments → Clinicare Notifications
Successfully reflected in Clinicare for the prescribing user across all modules.
EMERGENCY SCENARIO
IMAGE 1:
ER DOCTOR ORDERED MEDS
IMAGE 2:
PHARMACIST TO AMEND DOSE WITH REASON
IMAGE 3:
DOSE AMENDED BY PHARMACIST
IMAGE 4:
ER DR VIEW ON AMENDED DOSE
IMAGE 5:
ER MEDICATION ORDER HISTORY
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
OUTPATIENT SCENARIO
IMAGE 1:
OP DOCTOR ORDERED MEDS
IMAGE 2:
PHARMACIST TO AMEND DOSE WITH REASON
IMAGE 3:
DOSE AMENDED BY PHARMACIST
IMAGE 4:
OP DR VIEW ON AMENDED DOSE
IMAGE 5:
OP MEDICATION ORDER HISTORY
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Updated by Marcella David Kok 5 months ago
- File IP DR_ORDER MEDS_.png IP DR_ORDER MEDS_.png added
- File IP PHARMACY AMEND DOSE ORDER.png IP PHARMACY AMEND DOSE ORDER.png added
- File IP PHARMACY AMENDED ORDER DOSE REMARK.png IP PHARMACY AMENDED ORDER DOSE REMARK.png added
- File IP DR_VIEW ON AMENDED DOSE.png IP DR_VIEW ON AMENDED DOSE.png added
- File IP DR_MEDICATION ORDER HISTORY.png IP DR_MEDICATION ORDER HISTORY.png added
INPATIENT SCENARIO
IMAGE 1:
IP DOCTOR ORDERED MEDS
IMAGE 2:
PHARMACIST TO AMEND DOSE WITH REASON
IMAGE 3:
DOSE AMENDED BY PHARMACIST
IMAGE 4:
IP DR VIEW ON AMENDED DOSE
IMAGE 5:
IP MEDICATION ORDER HISTORY