Certified Translation

CERTIFICATION:

Under penalty of absolute nullity, I certify that no public servant of the Department of Health is party to or has any interest in the earnings or benefits of the 

agreement that concerns this invoice, and that should they be party to or have an interest in the earnings or benefits, they have received a prior exemption. 

The only consideration for providing the goods or services that concern the agreement has been the payment agreed upon with the authorized 

representatives; the products have been delivered (the services provided) and they have not been paid for.

I CERTIFY THAT THIS IS CORRECT:

DATE

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[Allergies]

[Illegible]

[Allergies]

[Congs.]

Press "Add Patient" 

Button

The message displayed 

should read: "There are no 

results in the Central 

Patient Index. Proceed to 

add the patient."

"Save Patient"

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[Didn't bring the #R.C.]

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1. Enter the "Quantity" according 

to the prescription.

2. Select the "Unit" (at the right) 

according to the prescription

Press "Add Prescription" 

"Enter the prescriber signature and 

press the "Sign" button.

Select "Code" 253.5 from the list by 

clicking on the line.

Select the "Define Diagnosis" 

option

Enter the word "diabet" in the 

"Description" field. Press "Search" 

button.

The "Prescription has been 

sent successfully" will 

display.

The "Prescription" screen will 

display with the medication. 

The "Prescription" window will 

display the medication with the 

selected diagnostic. 

The "Diagnosis Search" window 

will display.

"The search includes 

generics (<drug name>)"

Enter drug in the "Commercial 

Name" from the Appendix 2.

Press "Search Medication" 

button.

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"Enter the prescriber signature and 

press the "Sign" button.

The "prescription has been sent 

successfully" will

Select "Code" 253.5 from the list by 

clicking on the line.

Enter the word "diabet" in the 

"Description" field. Press "Search" 

button.

Select the "Define Diagnosis" 

option

The "Search Diagnosis" 

window will display

1. Enter the "Quantity" according 

to the prescription.

2. Select the "Unit" (at the right) 

according to the prescription

Press "Add Prescription" 

Enter drug in the "Commercial 

Name" from the Appendix 2.

Press "Search Medication" 

button.

"The search includes 

generics (<drug name>)"

sent successfully" will display.

The "Prescription" window will 

display the medication with the 

selected diagnostic.

The "Prescription" screen will 

display with the medication. 

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"Description"

"Search"

"Sign"

"Code"

"Print"

"You cannot send

 prescriptions with 

CONTROLLED medications, 

only print them"

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successfully"

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DEPARTMENT OF

HEALTH

Contracts Office

Department of Health

Commonwealth of Puerto Rico

PO Box 70184, San Juan, PR. 00936-8182

COVER SHEET FOR:

Procedure

To:

Fax 

No.

Subject:

From:

Date: November 23, 2011

INTERIM DIRECTOR

CONTRACTS OFFICE

DISTRIBUTION OF CONTRACT IN FAVOR OF:

*PHARMA-BIO SERV PR, INC. *#2012-050427 *OIAT

*COMPUTER PROGRAMMING ADVICE AND CONSULTING, AND IMPLEMENTATION OF PRESCRIPTION SERV.

-HIE

ACTION TO BE TAKEN:

For approval

Respond

Confirm Delivery

Take pertinent action

Produce copy

For your information

Remake with indicated Amendments

For your knowledge and records

To retain

Respond to sign:

Return signed document to:

Take note and return to:

Evaluate and submit information to:

Comments:

Received by: Date:

Contracts office - Confidentiality Notice: This communication, the notes, and other accompanying 

documents are for the exclusive use of the intended recipient. If you are not the intended recipient, and you 

have not been authorized by them to read this communication, you are hereby advised that its contents are 

CONFIDENTIAL and property of the Department of Health, and that it may contain Health Information, and that 

it may contain privileged information that is protected by the Law.

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