=============================================================================
Run Date: SEP 08, 2011                     Designation: OR*3*333
Package : OR - ORDER ENTRY/RESULTS REPORTING  Priority: Mandatory
Version : 3       SEQ #293                      Status: Released
                  Compliance Date: OCT 09, 2011
=============================================================================

Associated patches: (v)OR*3*323    <<= must be installed BEFORE `OR*3*333'

Subject: COMPLEX THEN ORDERS NOT CALCULATING CORRECT START TIME

Category: 
  - Routine

Description:
============

 This patch will address the following issue:
  
 When a complex Unit Dose order is entered in CPRS, and the complex order
 uses a THEN conjunction, and the Administration time of the first section
 of the order is before the current time, the Administration time for the
 subsequent section(s) is incorrect.
  
  
 ASSOCIATED NSR(S):
 ==================
 N/A
  
  
 ASSOCIATED REMEDY:
 ==================
 HD0000000282528 - Complex Order using conjunction of THEN skips the first
                   dose of the second part when the first part has a
                   duration of 1 day.
 Duplicates:
 HD0000000228645 - Complex delayed orders - copy and transfer problems
 HD0000000236194 - PSPO#848 4 Complex Dates Overlap on StepUp dosing
 HD0000000391656 - PSPO#1691 6 Known Complex Order Issue
  
  
 PARTICIPATING TEST SITES:
 =========================
 Lebanon VAMC
 Milwaukee VAMC
 San Diego VAMC
  
  
 REMEDY TICKET OVERVIEW:
 =======================
 HD0000000282528 - Complex Order using conjuction of THEN skips the first
                   dose of the second part when the first part has a
                   duration of 1 day.
  
 Patient Safety Issue:
 ---------------------
 PSPO #1136
  
 Problem:
 --------
 The system currently calculates the start time of each section of a 
 complex order independently and the calculations are erroneously based
 on NOW. This is causing the subsequent sections in a complex order to
 have an incorrect start time.
  
  
 Example:
    
 If it is 1000 and the second part of a complex order using the THEN
 conjunction has Administration times of 0900 and 1700, this order would
 start on that day at 1700 because 0900 today has already passed. This
 is incorrect.
  
 Resolution:
 -----------
 Routine PSJORPOE has been modified so that tag STARTSTP now accepts 
 another parameter and allows the start date calculation to be based on
 an initial date. Previously all calculations were based on NOW. After
 this correction, calculations will be based on the date/time passed in.
  
 **NOTE** 
 This change modifies Integration Agreement #3167 
  
  
 Installation Instructions:
 ==========================
 PSJ*5.0*235 is being released in conjunction with ORDER ENTRY/RESULTS 
 REPORTING patch, OR*3.0*333.  Installing PSJ*5.0*235 will also install
 OR*3.0*333.
  
 PLEASE SEE PATCH PSJ*5.0*235 FOR INSTALLATION INSTRUCTIONS.

Routine Information:
====================
The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: ORCSEND1
    Before: B65475435   After: B67360308  **4,29,45,61,79,94,116,138,158,
                                           149,187,215,243,282,323,333**
 
Routine list of preceding patches: 323

=============================================================================
User Information:
Entered By  : THOMPSON,SETH                 Date Entered  : MAY 17, 2010
Completed By: WERNER,GARY                   Date Completed: AUG 22, 2011
Released By : PIERSON,YVONNE E              Date Released : SEP 08, 2011
=============================================================================


Packman Mail Message:
=====================

No routines included