============================================================================= Run Date: JUN 04, 2020 Designation: OR*3*377 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #437 Status: Released Compliance Date: SEP 30, 2020 ============================================================================= Associated patches: (c)GMTS*2.7*67 install with patch `OR*3*377' (c)WV*1*24 install with patch `OR*3*377' (c)PXRM*2*45 install with patch `OR*3*377' (c)TIU*1*290 install with patch `OR*3*377' (c)GMRA*4*53 install with patch `OR*3*377' (c)GMRC*3*88 install with patch `OR*3*377' (c)DG*5.3*932 install with patch `OR*3*377' (c)PSO*7*477 install with patch `OR*3*377' (v)OR*3*226 <<= must be installed BEFORE `OR*3*377' (v)OR*3*272 <<= must be installed BEFORE `OR*3*377' (v)OR*3*273 <<= must be installed BEFORE `OR*3*377' (v)OR*3*315 <<= must be installed BEFORE `OR*3*377' (v)OR*3*320 <<= must be installed BEFORE `OR*3*377' (v)OR*3*332 <<= must be installed BEFORE `OR*3*377' (v)OR*3*341 <<= must be installed BEFORE `OR*3*377' (v)OR*3*347 <<= must be installed BEFORE `OR*3*377' (v)OR*3*367 <<= must be installed BEFORE `OR*3*377' (v)OR*3*379 <<= must be installed BEFORE `OR*3*377' (v)OR*3*387 <<= must be installed BEFORE `OR*3*377' (v)OR*3*389 <<= must be installed BEFORE `OR*3*377' (v)OR*3*397 <<= must be installed BEFORE `OR*3*377' (v)OR*3*398 <<= must be installed BEFORE `OR*3*377' (v)XU*8*653 <<= must be installed BEFORE `OR*3*377' (v)OR*3*410 <<= must be installed BEFORE `OR*3*377' (v)OR*3*417 <<= must be installed BEFORE `OR*3*377' (v)OR*3*422 <<= must be installed BEFORE `OR*3*377' (v)OR*3*428 <<= must be installed BEFORE `OR*3*377' (v)OR*3*435 <<= must be installed BEFORE `OR*3*377' (v)OR*3*444 <<= must be installed BEFORE `OR*3*377' (v)OR*3*449 <<= must be installed BEFORE `OR*3*377' (v)OR*3*452 <<= must be installed BEFORE `OR*3*377' (v)OR*3*458 <<= must be installed BEFORE `OR*3*377' (v)OR*3*469 <<= must be installed BEFORE `OR*3*377' (v)OR*3*475 <<= must be installed BEFORE `OR*3*377' (v)XT*7.3*142 <<= must be installed BEFORE `OR*3*377' (v)OR*3*479 <<= must be installed BEFORE `OR*3*377' (v)OR*3*485 <<= must be installed BEFORE `OR*3*377' (v)OR*3*494 <<= must be installed BEFORE `OR*3*377' (v)OR*3*496 <<= must be installed BEFORE `OR*3*377' (v)OR*3*509 <<= must be installed BEFORE `OR*3*377' Subject: CPRS GUI V31.B Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch is part of CPRS v31b updates. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- KERNEL v8.0 XU*8.0*653 TOOLKIT v7.3 XT*7.3*142 TEXT INTEGRATION UTILITIES v1.0 TIU*1.0*290 WOMEN'S HEALTH v1.0 WV*1.0*24 HEALTH SUMMARY v2.7 GMTS*2.7*67 REGISTRATION v5.3 DG*5.3*932 CLINICAL REMINDERS v2.0 PXRM*2.0*45 ADVERSE REACTION TRACKING v4.0 GMRA*4.0*53 CONSULT/REQUEST TRACKING v3.0 GMRC*3.0*88 OUTPATIENT PHARMACY v7.0 PSO*7.0*477 ORDER ENTRY/RESULTS REPORTING v3.0 OR*3.0*377 Patches XU*8.0*653 and XT*7.3*142 are being released in their individual Kernel Installation and Distribution System (KIDS) Host files. The other patches (TIU*1.0*290, WV*1.0*24, GMTS*2.7*67, DG*5.3*932, PXRM*2.0*45, GMRA*4.0*53, GMRC*3.0*88, PSO*7.0*477, and OR*3.0*377) are being released in the KIDS multi-package build CPRS V31B REQUIRED PATCHES 1.0. The Computerized Patient Record System (CPRS) Graphical User Interface (GUI) v31.b is an enhancement release with the following modifications: 1) System for Mammography Results Tracking (SMART), NSR 20100701 SMART enhances the ability to track and manage mammography results. SMART creates the ability to link a result notification directly to a documentation template. These templates are specific to the Breast Imaging Reporting and Data System (BIRAD) code, and contain typical next steps in management, links to orders, and ability to document how and when a patient was notified of their result. The template allows users to view the patient's last three breast images, regardless of the ordering provider; and to view all data captured in CPRS/VistA related to the patient's breast care beginning with when the result was entered into VistA. Once implemented, SMART data from the SMART templates will populate the Breast Care Registry, enhancing the registry. 2) Women's Health Potentially Unsafe Medications, NSR 20071218 The current version of the VHA's Veterans Health Information Systems and Technology Architecture (VistA) and CPRS software does not provide any information to the provider that a particular medication is teratogenic. Teratogens are drugs (including medications), chemicals, or other exposures, like radiation, that can interfere with normal embryonic/fetal development and thus, may lead to birth defects or pregnancy loss. In addition, there is a group of medications that pose a potential risk to breastfed infants. The requested enhancements will provide a notification or alert to prevent inadvertent prescribing of teratogenic medications to patients who are pregnant or at risk for pregnancy and inadvertent prescribing of medications of potential risk to breastfed infants for patients who are lactating. The notification or alert will prompt the provider to consider whether to initiate or continue a medication for a patient who is pregnant or lactating and will provide an opportunity for counseling and consideration of appropriate therapeutic alternatives for female patients who are pregnant, lactating, or of childbearing potential. 3) The patch introduces new components and modifications to support the Other Than Honorable (OTH) functionality for the Suicide High Risk Patient Enhancements (SHRPE) project (NSR 20170403): a) The new "OROTHCL GET" Remote Procedure Call (RPC) is used to display the OTH status for the patient on the CPRS GUI screen b) The new OROTHCL M-routine supports the "OROTHCL GET" RPC, c) The new "OROTHCL GET RPC" is being added to the "OR CPRS GUI CHART" option that maintains the registration of the RPCs used by CPRS. Note: The OROTHCL code will check for the installation of patch DG*5.3*952. If this patch is not installed, CPRS will not display the OTH button/status. This approach eliminates a hard dependency on patch 952 and allows CPRS GUI v31b to release independently of that patch. 4) This version of CPRS introduces changes to Consult/Request Tracking and Text Integration Utilities (TIU) in support of the interface with the Healthcare Claims Processing System (HCPS), Referral and Authorization System (RAS) in the Austin Financial Services Center (FSC). In Consults, a MailMan error message is generated when there is a communication issue between RAS and VistA. This message has been improved to include the HCPS support mail group as a recipient. In addition, the message body will now include the consult number and facility name from where the consult originated. These new elements will assist HCPS support with more rapid resolution of communication errors. Reference the Consult/Request Tracking patch GMRC*3.0*88 for the technical details of these enhancements. For TIU, the ability to lock a TIU Template and the associated template fields from edit has been introduced. A System-level parameter has been added that will facilitate the locking. This enhancement stems from the RAS/VistA interface mentioned above. Editing certain fields in a template used by the RAS/VistA interface can create a communication error in the interface. These templates should not be edited by facilities and as such will be locked during the installation of CPRS GUI v31b. Reference the TIU*1*290 patch description for technical details about this enhancement. 5) Dietetics, NSR 20080323 The dietetics ordering functionality has been modified in order to prevent previous active diet orders replacing NPO orders upon expiration, DC, or cancellation. The following changes have been made: a) The NPO orderable item will be added to the Auto-DC Rules when the patch is installed. With this change, the auto-DC rules will prevent the discontinuation of the Nothing Permitted Orally (NPO) diet orders for the following event types: Specialty transfer (S) OR (O) Transfer (T) and the NPO diet remains intact b) When NPO diet orders are attempted to be manually discontinued, prevent that action from being taken and display the dialog box to the user with text "NPO Diet cannot be discontinued. c) Disallow all diet orders to have an Expiration Date/Time when ordered, and prevent automatic reinstatement of a previous diet. If a new diet order is desired, a new diet must be ordered to replace the active diet order. d) When ordering NPO, if a patient is currently on tube-feeding, the provider is displayed the dialog box "The patient currently has an active tubefeeding order ". e) The Cancel Future Order Prompt from the tubefeeding order dialog has been removed. A conversion routine has been created to remove the prompt from any Quick Order. Additionally, Quick Orders will no longer allow the features of Auto Accept or Verify. f) The Cancel Future Order Prompt from the tubefeeding order dialog has been removed. A conversion routine has been created to remove the prompt from any Quick Order. Additionally, Quick Orders will no longer allow the features of Auto Accept or Verify. g) Accepting a tubefeeding order will prompt one of two different messages depending on the current diet status of the patient. If no existing order, user will be prompted to enter a new diet order. If an existing diet order is present, the user will be prompted to keep the current diet or enter a new diet order. 6) Long Text Informational Alerts This new functionality provides the ability to display informational alerts that are longer than the standard character count that the alert display provides. Long Text Informational Alerts will display in a pop up window when processed and provide additional actions for the user to take based on that alert. 7) Order Check History, NSR 20140806 This request updates the mechanism by which order checks are captured and stored, ensuring there is always a history of the event. Storing the order check history will permit data analysis of how many order checks are overridden and how many resulted in a change to the initial provider's order. Specifically, the changes in this release will capture order check information that was previously not captured such as when an order entry is abandoned after the user is presented with the order checks, and also when an order is changed and new order checks are performed. 8) Copy/Paste - The Ability to Identify and Monitor, NSR 20080528 The functionality will allow CPRS to capture (Copy/Paste) texts in the Text Integration Utility (TIU) notes. The service will log each instance of pasted text with copy where originated and when (date/time) the paste actions occurred. he data captured for each Copy/Paste action can be provided for chart and policy reviews. Thus, creating an audit trail of paste actions performed on each new document where Copy/Paste action occurs. It will also provide reports to summarize logged content that tracks Copy/Paste events. Copy/Paste actions within the same active document would not be logged as it is assumed that the user is reformatting the document for clarity. Captured Copy/Paste data will be stored for a few months allowing it to be used for reporting/viewing. Functionality was designed with total flexibility in mind by providing the ability to tweak parameters, add or include/exclude note titles, classes or even disable Copy/Paste tracking (package level), therefore giving clinicians and system administrators total flexibility to best suit their need. 9) CDC Short Description, NSR 20130903 PX*1*210 implemented a change such that the SHORT NAME field of an immunization is no longer populated. The Immunization panel of the Cover Sheet will now display the NAME field of an immunization. If the size of the CPRS display prevents the full NAME from showing, the full NAME will be visible via by hovering the mouse over the truncated name. 10) Rehost/Reengineer Primary Care Management Module (PCMM) Work Effort Unique Identifying, NSR 20070415. New capabilities for display/use of PCMM-related data are now available in CPRS GUI. Specific changes included are: a) A PCMM option added to the Patient List area of the Patient Selection screen. b) The Source Combinations screen (Tools > Options > List/Teams tab) now includes PCMM as a source option. c) The Patient Selection Defaults screen (Tools > Options > List/Teams tab > Patient Selection Defaults) now includes PCMM Team as an option for the List Source, and a dropdown list to choose a default PCMM Team. d) Source Combinations (Tools > Options > List/Teams tab > Source Combinations) now offers PCMM as a source option. e) Team Information (Tools > Options > List/Teams tab > Teams Information) has added a checkbox to include PCMM teams with descriptive text indicating that PCMM teams may not be edited via CPRS. 11) Software changes are also being made to correct several Patient Safety Issues, and additional miscellaneous defect fixes. 12) Software changes to correct the remote site selection panel when it does not respect certain acronyms and coverts them to proper case. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- CANCELLED ORDERS AND ORDER CHECKS (#100.3) New OE/RR AUTO-DC RULES (#100.6) EXCEPT FOR ORDERABLE Modified ITEM (multiple field .01, sub-file #100.68) OE/RR LIST (#100.21) LAST UPDATED D/T (#12.1) New CURATOR (#12.2) New MEMBER (multiple field #.01, sub-file #100.2101) Modified OE/RR NOTIFICATIONS (#100.9) MESSAGE TEXT (#.03) Modified PROCESS AS SMART New NOTIFICATION (#6.1) NOTE TITLE (#6.2) New ALLOW ADDENDUM (#6.3) New TIU OBJECT (#6.4) New DEPENDENT (#7) New REPLACE DEPENDENT (#8) New DEPENDENT LOGIC (#9) New OE/RR PT SEL COMBO (#100.24) COMBINATION ITEM Modified (multiple field .01, sub-file #100.241) PROCESSING FLAGS Multiple PROCESSING FLAG (#.01) Modified (#100.92) SCHEDULED ALERTS (#100.97) New PATIENT (#.01) New CREATED (#1) New WHEN (#2) New WHO (#3) New XQAID (#4) New TITLE (#5) New BODY (#6)(Mult. 100.976) New BODY (#.01) New FIRED (#7) New Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A List Templates Associated: List Template Name New/Modified/Deleted ----------------- -------------------- OR ORDER CHECKS DISPLAY New ORLP TEAM LIST FROM REM New Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- OR CPRS GUI CHART Broker Modified ORK CANCELLED ORDER CHK VIEW Routine Modified ORK ORDER CHK MGMT MENU Menu Modified ORLP SETUP TEAM LIST Routine New FROM REM ORLP TEAM LIST FROM REM Routine New ORLP TEAM MENU Menu Modified Parameters Associated: Parameter Name New/Modified/Deleted -------------- -------------------- OR CPRS DISABLE DLL LOAD ONCE New OR CPRS EXCEPTION EMAIL New OR CPRS EXCEPTION LOGGER New OR CPRS EXCEPTION PURGE New OR CPRS HELP DESK TEXT New OR EXCLUDE FROM MIXCASE New OR LAB CANCEL ERROR MESSAGE New OR ONE STEP CLINIC ADMIN OFF New OR RELEASE FORM HELP New OR RELEASE FORM TEXT New OR SD ADDITIONAL INFORMATION Modified OR SD CIDC STOP OFFSET New OR SD DIALOG PREREQ New ORCH CONTEXT MEDS INPAT New ORCH CONTEXT MEDS OUTPAT NONVA New ORLP DEFAULT LIST SOURCE Modified ORLP DEFAULT PCMM TEAM New ORLP DEFAULT PXMM TEAM New ORLP TEAM LIST FROM REM New ORLP TEAM LIST FROM REM FREQ New ORLP TEAM LIST FROM REM LAST New ORQQTUI COPY BUFFER DISABLE New ORQQTIU COPY/PASTE EXCLUDE APP New ORQQTIU COPY/PASTE IDENT New ORWCV1 COVERSHEET LIST New ORWOR COVER RETRIEVAL NEW Modified Parameter Templates Associated: Parameter Template: New/Modified/Deleted ------------------- -------------------- ORQQ SEARCH RANGE (DIVISION) New Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- ORCHK LISTMAN 1 MAIN MENU New ORCHK LISTMAN CHANGE SEARCH New ORCHK LISTMAN SELECT ENTRY New ORCHK LISTMAN VIEW ORDER New ORCHK SRCHPARAM 1 MAIN MENU New ORCHK SRCHPARAM 2 OCCURRENCE MENU New ORCHK SRCHPARAM 3 DANGER MENU New ORCHK SRCHPARAM CLIN DANGER LEVEL New ORCHK SRCHPARAM CLIN DANGER LEVEL HIGH New ORCHK SRCHPARAM CLIN DANGER LEVEL LOW New ORCHK SRCHPARAM CLIN DANGER LEVEL MEDIUM New ORCHK SRCHPARAM LOCATION New ORCHK SRCHPARAM OCCURRENCE New ORCHK SRCHPARAM OCCURRENCE ACCEPTED_CANCELLED New ORCHK SRCHPARAM OCCURRENCE CANCELLED New ORCHK SRCHPARAM OCCURRENCE RTCLICK_CANCELLED New ORCHK SRCHPARAM ORDER CHECK New ORCHK SRCHPARAM ORDERABLE ITEM New ORCHK SRCHPARAM PATIENT New ORCHK SRCHPARAM USER New ORLPREM ADD ENTRY New ORLPREM DEL ENTRY New ORLPREM EDIT ENTRY New ORLPREM MGMT MENU New ORLPREM REFRESH New ORLPREM RUN NOW New Remote Procedure Calls Associated: Remote Procedure Call Name New/Modified/Deleted -------------------------- -------------------- ORB3UTL DEFER New ORB3UTL GET DESCRIPTION New ORB3UTL GET EXISTING NOTES New ORB3UTL GET NOTIFICATION New ORB3UTL NOTIFPG New ORBSMART INSMALRT New ORBSMART ISSMNOT New ORBSMART OUSMALRT New ORDDPAPI RLSMSG New ORDEA AUINTENT New ORNORC CANCEL New OROTHCL GET New ORQPT PTEAM PATIENTS New ORQPT PTEAMPR New ORQQPP LIST Modified ORQQPXRM DIALOG PROMPTS Modified ORQQPXRM REMINDER LINK SEQ New ORWDPS1 MAXDS New ORWDSD1 GETINFO New ORWDSD1 ODSLCT New ORWDXC2 SAVECANC New ORWORB GETLTXT New ORWPCE SAVE Modified ORWPT CWAD Modified ORWPT SELECT Modified ORWTIU EXCCOPY New ORWTIU GETPASTE New ORWTIU LDCPIDNT New ORWTIU PCTCOPY New ORWTIU POLL New ORWTIU START New ORWTIU STOP New ORWTIU SVCOPY New ORWTIU SVCPIDNT New ORWTIU SVPASTE New ORWTIU VIEWCOPY New ORWTIU WRDCOPY New ORWTPD GETOCMIN New ORWTPD GETOCMOP New ORWTPD PUTOCMIN New ORWTPD PUTOCMOP New ORWTPP PCMTEAMS New ORWTPT GETPTEAM Modified ORWU SYSPARAM New Security Keys Associated: Security Key Name New/Modified/Deleted ----------------- -------------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- OREV AUTO DC INPUT OE/RR AUTO-DC RULES Modified (#100.6) New Service Requests (NSRs) ---------------------------- 20071218 - Teratogenic Drugs 20080323 - Prevent Previous Active Diet Replacing NPO Order Upon exp-dc-canc 20140806 - Order Check History and Validation 20070415 - Rehost/Reengineer Primary Care Management Module Work Effort Unique Identifying 20080528 - Copy/Paste - The Ability To Identify and Monitor 20100701 - Breast Cancer Registry and Tracking of Abnormal Results (SMART) 20130903 - CDC-Short Description 20170403 - Expand Mental Health Care for Other Than Honorable (OTH) Discharge Note that the NSR 20080323 software changes in this patch do not include modification of the active patient diets at the time of the install. Patient Safety Issues --------------------- HITPS-0391, 0737, 1172, and 1843 There is a potential for a patient to receive an unintentional diet upon transfer from a service that required a NPO (Nothing Permitted Orally) diet. This may lead to problems such as choking, airway obstruction and respiratory arrest. Several changes were made to the NPO diet order process to prevent auto and manual discontinue of diet orders and also provide better warnings to the user when attempting certain discontinue and ordering operations. Reference NSR 20080323 and Remedy ticket 210982. Also see HITPS-2308 below for discussion of this issue with sites using the Computrition software. HITPS-0454 If two of the Medications Expiring notifications are generated at the same time for the same ordering provider, they are recognized a duplicates and only one is sent. Providers may not recognize that more than one medication may be expiring. When processing notifications for expiring medications, the header text of "Medications, Expiring" on the CPRS GUI Orders tab view is now bolded. Related alerts are deleted when expiring meds are discontinued or renewed. HITPS-0737, 1534 Time Delay Orders Not Being Released Due to a Multitude of Issues It was discovered that time delay orders may not be released when they should due to several possible issues such as: The movement event didn't take place. The movement event was delayed. A change in the treating specialty. CPRS GUI Orders tab display was updated to clarify when patients have delayed orders and prompt providers which set of orders they would like to view. Reference Remedy Ticket #198146 HITPS-0853 Complex Outpatient Medication Orders with the "EXCEPT" Conjunction Do Not Accurately "Transfer to Inpatient" Inpatient orders do not have a feature to support the "EXCEPT" conjunction. In this transfer situation, a patient could receive and over- or under-dosing of medication. CPRS has been modified to remove the "EXCEPT" conjunction from the "then/and" column when entering Complex medication orders. HITPS-1134 - Confusion when Writing Delayed Orders The help text statement displayed in the Release Order pop up window is confusing and may possibly contribute to duplicate orders displaying after staff manually release inappropriate delayed orders. When writing Delayed Orders, the Release Orders window has been updated with text that is easier to understand and also additional help text/options have been created to assist users in completing this task. Reference Remedy ticket #320527. HITPS-1471 - Copy/Paste NSR 20080528 is implemented in this version of CPRS. The ability to identify and monitor copied and pasted text into the medical chart is now available. HITPS-1590 - Allow Greater than 90 days Supply on Outpatient Meds New long acting formulations of medications have come onto the market and been added to VHA formulary. Providers need to be able to enter greater than 90-days supply on medications that only come in units designed to last greater than 90 days. This will require multiple packages to correct. For example "Eligard" is a depot injectable that is administered every 180 days. Patient may receive dose too often with current functionality. VistA Pharmacy and CPRS GUI have been updated to allow medication orders with a maximum days supply of greater than 90 days. HITPS-1819 - Accidental Selection of Wrong Patient When selecting a patient in CPRS GUI, it is possible to accidentally select the wrong patient due to the selection window "automatically" scrolling. CPRS GUI was updated to prevent scrollbars from appearing in the patient selection window which will prevent the automatic scrolling. HITPS-1855 - Note Corruption on Signature An addendum added by an additional signer to a consult-resulted progress note may get corrupted upon signature, causing the addendum to be unsigned, detached from the parent, and removed from the display, plus the parent note's signature scrambled. This issue has now been corrected. Reference Remedy ticket #594883. HITPS-1922 - Problem Forwarding Consult - Selection Jumps to Different Service In the Forward Consult window of CPRS GUI, when attempting to select the last service from the drop down list, it is possible for the selection to "jump" to an incorrect service. The user may not realize that the incorrect service was selected. This issue has now been corrected. Reference Remedy ticket 1051196. HITPS-1931 - Tooltip not Updating on Problem List of Encounter Form On the CPRS Encounter form, the tooltip is not always updating to the correct item. On the Problems tab of the Encounter form, when the form size is reduced in order to generate a scrollbar and the mouse hovers over a problem in the list, a tooltip is generated. When the mouse is moved to other items in the list, the tooltip remains unchanged from the initial item. The tooltip will now change as the mouse is moved to different items in the list. Reference Remedy tickets 536815 and 394902 and SDM ticket R6418568FY16. HITPS-2117, 2147, and 2215 When a patient from a site with the Computrition software is ordered a tubefeeding and is not ordered a SEND NO TRAY "diet" at the same time, a previously ordered diet without an expiration date will automatically reinstate, without notification to dietary staff or the healthcare provider. HITPS-2298 - CPRS Cover Sheet Immunization Display The Cover Sheet Immunization display area displays the Short Name of the immunization. For example, Pneumococcal PPSV23 vaccination displays as "Pneumococcal", which may lead to a provider thinking PCV13 was given. CPRS Cover Sheet will now display the full name of the immunization instead of the short name (i.e. "Pneumococcal Polysaccharide Ppv23" instead of "Pneumovax"). Reference SDM ticket R10995796FY17. Note: there is one remaining issue to completely correct the Log Name issue and that will be released in OR*3*498. HITPS-2308, 2425 - A Manual or Auto-discontinued NPO Diet in CPRS can Cause a Previously Ordered Diet to Reinstate in Computrition NPO diets in Computrition can revert to the previous diet order upon auto or manual discontinuation in CPRS, without any notification to the dietary staff or healthcare provider. This occurs because the discontinuation of the NPO diet in CPRS is communicated to Computrition and, because Computrition always expects a diet for a patient, it automatically reinstates the most recent previously ordered active Computrition diet. When this issue occurs, CPRS will also automatically reinstate the most recent previously ordered diet. Because of this, the diet listed in CPRS and the diet listed in Computrition may be completely different (and it is possible the patient should have remained on the NPO diet). The updates to CPRS GUI/VistA described in HITPS-0391 above are intended to mitigate the possibility of downstream issues in Computrition. HITPS-2313 - Autosave of Progress Note The progress note autosave functionality is not working in CPRS versions 30b (OR*3*350) and 30c (OR*3*423) under certain circumstances. This issue is only apparent when there is an abnormal termination of the CPRS session, AND the user has NOT saved the progress note without signature or signed the progress note. One example of an abnormal termination of the CPRS session is when the user invokes Windows Task Manager to End that Process. CPRS GUI has now been corrected to restore the autosave of TIU notes in this scenario. HITPS-2251, 2260, 2316 - Patient Data Objects Incorrectly Listed Clinic Order as an Active Inpatient Order Nationally exported TIU Patient Data Objects (PDOs) that display patient medication information did not distinguish Clinic Medications/Infusions from other medications. The rules for medication object PDOs have been updated to either remove Clinic Medications from the display or place Clinic Medications in their own sub-heading. See TIU*1*290 and the TIU Technical Manual for additional details. HITPS-2367 - Skin Test Health Summary Component Display of Reading Values Skin test Health Summary components readings in CPRS are displayed as "0 mm" when the purified protein derivative (PPD) skin test was given, yet not read. Providers interpreted this as a negative reading, when actually, no reading should display, and Results should state "UNREPORTED". The Reading field on the Skin Test tab of the CPRS GUI Encounter form has been updated. This field now has a drop down list to enter skin test reading values and the field will no longer default to a zero value. The default zero value was the root cause of the misleading display in the Health Summary components. Reference CA SDM ticket R10995796FY17 HITPS-2387 - Provider unable to renew outpatient prescription in CPRS, receive LPack error during order checking. The Kernel Infrastructure team made a modification to the broker code to expand the size of the messages that can be sent between the VistA server and the CPRS GUI. This change should accomodate the current needs plus room for future expansion. HITPS 2482, 6617, 6618, 6619 - Radiology orders are getting rejected for several reasons: urgency field not being populated, invalid reason for study, invalid request date, and missing reason for study. Changes were made to validate the required fields prior to the order being signed. In addition, updates were made to the handling of quick orders to correct issues uncovered during testing. changes will be made in OR*3*498 to address the copying of potentially problematic orders. HITPS 6507 - Return to Clinic Order Cancelled When writing delayed orders and copying an active Return to Clinic order for a patient, the user is not being prompted for a date for the RTC. This causes the RTC order to be automatically cancelled. Changes were made so that when copying an active RTC order, the user is prompted for the date. Remedy Ticket(s) & Overview --------------------------- INC000000067447 INC000000069287 INC000000069337 INC000000069685 INC000000069758 INC000000070504 INC000000133674 INC000000198146 INC000000198536 INC000000205811 INC000000210982 INC000000214447 INC000000215908 INC000000221092 INC000000240130 INC000000245545 INC000000301412 INC000000305468 INC000000319910 INC000000320527 INC000000328153 INC000000433206 INC000000434226 INC000000443011 INC000000450139 INC000000482781 INC000000536815 INC000000583563 INC000000603534 INC000000444608 INC000000853662 INC000000914776 I7439454FY16 I10799607FY16 I14165711FY17 I7546770FY16 I8633754FY16 I9235462FY16 R10995796FY17 I17427419FY18 I16805536FY18 I16877892FY18 I18660001FY18 I18906933FY18 INC000000914776 (HITPS-1819) I6910726FY16 I7705227FY16 INC000000419622 INC0000002148685 INC0000002101214 I19275515FY18 INC3817952 INC3830220 1. INC000000067447 8 HIN-0102-41933 REVIEW/SIGN CHANGES ASKS NATURE OF ORDER FOR HEALTH FACTOR Problem: ------- The Sign/Don't Sign button on Review/Sign changes dialog was not always displaying the correct label under all circumstances. Resolution: ---------- Dialog logic was updated to display the correct Sign/Don't Sign label under all use cases. 2. INC000000069287 PAL-0600-62575 Order Set Doesn't Work right Problem: ------- Order Set not displaying correctly. In some situations while using an order set the user is able to cancel out of the set without any warning, leaving orders that would need to be discontinued before re-running the order set again. Resolution: ---------- A warning message is now present when clicking on the "Done" button from the order set menu. 3. INC000000069337 FAR-1100-41820 PPD Reminder Dialog does not send over a 0 reading Problem: ------- Dialog progress note text is not displaying PPD skin test reading in mm when completed. Resolution: ---------- Code modified to allow user to enter a value including a zero reading. 4. INC000000069685 HIN-0302-41180 MISSING ERROR WHEN LINK REMINDER DIALOG TO CONSULT REQUEST Problem: ------- Error message not displaying when a user attempts to link a reminder dialog to a consult/procedure. Resolution: ---------- The system will now prevent users from being able to move reminder dialogs over to a consult/procedure reason for request. 5. INC000000069758 4 UNY-0502-12261 Dose/Draw times inappropriate/incorrect Problem: ------- Accessions/orders with missing or incorrect dose/draw times in lab file 60. When moving off of the date boxes in the labs tab the date box will become blank if a previous date & time were already present in the box. Resolution: ----------- The date & time are now properly formatted so that the conversion to FileMan date & time does not fail. 6. INC000000070504 PUG-0104-51406 Rem dialogs not respecting indent of W-P temp field Problem: ------- Reminder dialogs not respecting the properties of the template field when configured in a reminder dialog element. Resolution: ---------- Dialogs will now reflect correct formatting and indentions. 7. INC000000133674 4 Problem with Edit/Resubmit in CPRS. Problem: ------- When a provider orders a consult (not tracking only), the consult user then forwards this consult to a tracking only consult. Then the consult user cancels the consult, The provider comes back in and tries to resubmit the consult but when trying to accept they are confronted with a "list index out of bounds" error. Resolution: ---------- Users will now see the entire list of services when attempting to Edit/Resubmit a non-tracking consult. 8. INC000000198146 (HITPS-0737) Problem: ------- It was discovered that time delay orders may not be released when they should due to several possible issues such as: The movement event didn't take place. The movement event was delayed. A change in the treating specialty. Resolution ---------- In CPRS GUI, if the patient has delayed orders and the user accesses the Orders tab, a dialog window opens labeled "Delayed Orders Exist for this Patient". This dialog contains the list of the order "sets" available for the patient. The user must choose which set of orders to access. 9. INC000000198536 6 Blank Orders Problem: ------- CPRS is allowing a user to copy an existing blank Text Order. When a text order is initiated and then edited to remove all text, the order can still be signed. The result is the release of a blank text order which can then be copied into a new blank order. Resolution: ---------- Since this was caused by leading and trailing spaces the text is now rimmed to ensure that no extra spaces would be present and cause this issue. 10. INC000000205811 6 Name not being capitalized in Primary Care Team/Provider dialog box Problem: ------- Name not being capitalized in Primary Care Team/Provider dialog box. Resolution: ---------- Additional characters have been added to the mix character functionality. 11. INC000000210982 (HITPS-0391, 0751, 1172, 1843) Auto-DC rules changed to prevent discontinuation of NPO diet orders for the Specialty transfer (S), OR (O), Transfer (T) event types Problem: ------- Auto-DC rules permit discontinuation of NPO diet orders for the Specialty transfer (S), OR (O), Transfer (T) event types Resolution: ---------- -Prevent manual DC of NPO diet orders in CPRS GUI and display. informational dialog with reason the action is prevented -Disallow all Outpatient diet orders to have an Expiration Date/Time when ordered. -When ordering NPO, if the patient is currently on tubefeeding, display dialog to the provider stating as much with CANCEL and CONTINUE options. -Removed "Cancel Future Tray Orders" text and checkbox from tubefeeding order dialog -Removed "Auto Accept" and "Verify" options from Quick Orders -Add a dialog box after tubefeeding is accepted, with the following information and two options: "A tubefeeding order must also have an active diet order" "CONTINUE current diet order (in addition to tubefeeding order) and " "Order new diet order (includes NPO diet) in addition to tubefeeding order". This option would take the user to the diet tab of the DIET ORDER order dialog. 12. INC000000214447 6 Quantity/Days Supply issues when entering an Outpatient Order Problem: ------- Outpatient Pharmacy calculation of default Quantities and Days' Supply for a complex order are not returning the Pharmacy API to CPRS for the Quantity calculation when an edit is made to the day's supply field. Resolution: ---------- Ensure that the fields are re-calculated as changes are applied to them. 13. INC000000215908 6 menus in order set automatically moving to next screen Problem: ------- Menus in order set are automatically moving to next screen. Resolution: ---------- When processing from an order menu from within an order set the user is now returned to the menu to perform any additional orders before moving to the next part of the order set. 14. INC000000221092 6 "stacked" alerts Problem: ------- When processing "stacked alerts" for a patient, the alerts are all pointing to the same action so when they are processed the system is not processing the correct one. Resolution: ---------- When processing alerts, ensure that the correct alert action is being processed. 15. INC000000240130 VAMHCS - TIU*1*222 printing issue Problem: ------- Work Copy print option for a Windows default printer displays Social Security Number and Date of Birth and does not allow user to change to Chart Copy. If the default printer is set to a VISTA printer, users have the option to choose between Work and Chart copies. Resolution: ---------- Users will now always get the dialog to choose chart or work copy as well as a VistA printer. 16. INC000000245545 Can copy an order with an inactive drug Problem: ------- CPRS allows an outpatient medication order to be copied even when the drug has been made inactive or has since been marked that it is not for outpatient med use. This can occur if there is more than one drug linked to the orderable item, and one of the drugs is still active and marked for outpatient use. Resolution: ---------- When copying an outpatient medication order, check the drug on the prescription, and if it is not active or not marked for outpatient use, do not allow it to be copied. 17. INC000000301412 6 "No Report Generated" warning not clearing between tabs Problem: ------- "No Report Generated" warning not clearing between tabs. Resolution: ---------- Developers made a logic change to clear the warning when switching to a new tab. 18. INC000000305468 2 Users getting kicked out of CPRS with access violations Problem: ------- Users getting kicked out of CPRS with access violations and other errors when entering notes and orders. Resolution: ---------- Gracefully close modal dialogs when CPRS times out or loses connection. 19. INC000000319910 6 Marking SHAD for encounters Problem: ------- On the Encounter form, the SHAD condition is dependent on the SC box being checked. Resolution: ---------- Developers made a change in CPRS to remove the dependency between SHAD and SC. 20. INC000000320527 1 Delayed Orders instruction confusion Problem: ------- When a user selects the Write Delayed Orders button to use delayed orders for an inpatient transfer, the instructions are unclear, causing users to think the order is cancelled rather than the Hold being cancelled. Resolution: ---------- When writing Delayed Orders, the Release Orders window has been updated. The "Event Delay List" text has been replaced with "Delay Orders Until". A single radio button is present on the window with the text: "Delay release of new order(s) until". And two new parameters have been added that can be used to add descriptive help text within the form itself, and also to launch (via button click on the form) a site-defined webpage for additional information/help with writing delayed orders. 21. INC000000328153 9 Need to add logging capability into CPRS. Problem: ------- There is a need for logging capability in CPRS to assist with debugging and correcting exceptions (access violations, etc.) and runtime errors (Stack overflow error, etc.) Resolution: ---------- Developers added a parameter and additional coding to allow CPRS logging to be turned on/off. 22. INC000000433206 5 AP reports from another VA showing up in patient CPRS record Problem: ------- The ORWRP CIRN AUTOMATIC parameter determines if remote patient data queries are done for all sites. In this case, the parameter was turned on which led the user to see AP reports from another facility. However, it was found that CPRS was not correctly implementing the parameter value and would only select the first site in the list instead of all sites. Resolution: ---------- Developers made a change to CPRS such that when the ORWRP CIRN AUTOMATIC is turned on, "All Available Sites" from which remote data can be retrieved will be checked. 23. INC000000434226 5 When Surgery tab is selected for a certain patient user gets invalid index error Problem: ------- CPRS would sometimes "hang" on loading the Surgery tab for certain patients. Resolution: ---------- Developers made changes to the Surgery tab logic in order to prevent the error. 24. INC000000443011 2 Encounter Pop-Up Box Not Appearing with Flu Reminder as Secondary Diagnosis Problem: ------- Providers are not being prompted to enter primary diagnosis codes when a nurse has documented a flu vaccine on the primary care visit via the clinical reminder. The nurse documentation includes a secondary diagnosis only. Resolution: ---------- If primary diagnosis is not present then add this to the popup informing the user that it is needed. 25. INC000000450139 6 Pt name on reminder definition in CPRS Problem: ------- Patient name prints on reminder definition when printing from CPRS/Reminder Inquiry. Patient name should be suppressed due to potential breach of patient privacy. Resolution: ---------- Set a flag to determine if the header should print or not. 26. I13413770FY17 5 Non-VA Meds & Additional Diet orders NOT releasing v28 Problem: ------- Non VA meds are not showing up in notifications when closing CPRS, refreshing the patient or selecting a new patient. Resolution: ---------- Unsigned order notifications are only removed when both the signature and the order check (if applicable) have been completed. 27. INC000000482781 4 V28 Release from Hold Action Problem: ------- Hold action messages for medications is causing confusion when removing the Hold and needs to be reworded in both Pharmacy and CPRS. Resolution: ---------- Changed code to force action to respect parameter. 28. INC000000536815 PCE software/issue INC000000394902 (d) R6418568FY16 (d) Problem: ------- Entry of a secondary diagnosis to an encounter form in CPRS is not stuffed when selected from the miscellaneous list if the list is long enough to require the user to scroll. Resolution: ---------- Users will see that scrolling now puts the box around what is actually behind the mouse. 29. INC000000583563 6 Inactive Dietary Tube Feed Quick Order still functions Problem: ------- Inactive Dietary Tube Feed Quick Order still functions even though the tube feeding entry has been "inactivated" & there is no indication to the provider that the entry is inactive. Resolution: ---------- A message will now display to the user that the orderable is inactive and the dialog will not open. 30. INC000000603534 2 a note title association got somehow LINKED to the ROOT folder "Document Titles'. Problem: ------- A note title association was inappropriately LINKED to the ROOT folder "Document Titles' resulting in the 'associated title' field for all note titles not displaying. Resolution: ---------- Developers made a change to the CPRS GUI Template Editor to prevent linking note titles to the root folders. 31. INC000000444608 2 Discharge Summary - Attending Physician Problem: ------- In a Discharge Summary, use of the Identify Additional Signer (Right Click) to change the Expected Cosigner allows a user without Expected Cosigner credentials to be selected as the Expected Cosigner. If an author selects Attending Physician prior to selecting Discharge Summary Title, Residents are not displayed. Also, once a Discharge Summary is being edited, the Change button displays the Residents under the Attending Physician field. Resolution: ---------- Users will now have only users that are appropriately designated as Expected Co-Signers. 32. INC000000853662 6 OERR - Orders Tab: Problem: ------- Message box for entry of delayed orders generates a warning that patient is already admitted when the release orders box opens and the "OK" button cannot be selected to exit the message. Resolution: ---------- Users will now be able to move the mouse so that the OK button is selectable and the message/hint window will be hidden when not appropriate. 33. INC000001051196 (HITPS-1922) Problem Forwarding Consult - Selection Jumps to Different Service Problem: ------- In the Forward Consult window of CPRS GUI, when attempting to select the last service from the drop down list, it is possible for the selection to "jump" to an incorrect service. The user may not realize that the incorrect service was selected. Resolution: ---------- The service list display has been updated to prevent the incorrect selection from occurring. 34. Problem: -------- There is a need to restrict the One Step Clinic Administration menu item on the Action menu of the Orders Tab using a site configurable parameter. Resolution: ----------- A new parameter has been created called OR ONE STEP CLINIC ADMIN OFF. This parameter is used to disable/enable the 'One Step Clinic Admin' option on the Action menu on the ORDERS Tab. This parameter is exported with a Package level default set to NO which leaves the 'One Step Clinic Admin' menu item on the Action menu of the ORDERS tab active/selectable. Setting this parameter at the System | Division | User level to YES will make this menu inactive/unselectable. 35. I7439454FY16: Lab Order Discontinue Issue INC4466842 Problem: ------- Lab orders are not eligible for canceling or discontinuing after the orders are accessioned in the Laboratory package. The accessioning process indicates that labels have printed, and testing may have begun on the specimen. However, it is possible to discontinue a Lab order after accessioning if accessioning occurs between the time the order was specified to be discontinued in CPRS and the time the discontinue was signed in CPRS. Solution: -------- Modify routine ORCACT01 to perform a check as to whether an order was accessioned before allowing the user to sign a discontinue in CPRS. The following message will display: "This order may not be discontinued. Cancel the discontinue to remove it from the patient's record." Sites may add additional text to the message (i.e. listing a phone number to call for assistance) by defining text for the parameter "OR LAB CANCEL ERROR MESSAGE". 36. I10799607FY16 CPRS crashes with certain order sets I14165711FY17 I8633754FY16 I9235462FY16 Problem: -------- In certain cases, CPRS will abnormally terminate when executing certain order sets/menus. Resolution: ----------- Even though this problem is easily reproduced in v30c and v31a, it can no longer be recreated in v31b. Unfortunately, there was no specific project or task that was started to address this issue. It is being included in testing for 31b to verify that it is resolved. 37. R10995796FY17(HITPS-2298) CPRS Coversheet immunization display issue due to Immunization Short Name - Patient Safety Issue reported Problem: -------- CPRS Cover Sheet Immunization area displays the Short Name of the Immunization. For example, Pneumococcal PPSV23 vaccination displays as "Pneumococcal" on the CPRS coversheet, which may lead to a provider thinking PCV13 was given. Resolution: ----------- CPRS Cover Sheet will now display the full name of the immunization instead of the short name (i.e. "Pneumococcal Polysaccharide Ppv23" instead of "Pneumovax"). 38. I16877892FY18: Post Patch OR*3*461 fixing generic orders and sending FORUM messages, these are NOT medication orders Problem: ------- The debug code that was added to OR*3*461 is sending too many generic order "false positives." It should not send generic orders, only medication orders. Resolution: ---------- Altered the code to filter out generic orders. 39. I17427419FY18: BCMA Radio Buttons not properly displaying warning messages Problem: -------- When the user selects a radio button for a report range that is invalid, an error is displayed ("The Date Range selected is greater than the Maximum Days Allowed of 7 for this report."), but only the first time. After that, selecting a new date range button will not update the report nor inform the user of an incorrect choice. Resolution: ----------- The CPRS GUI was not clearing the 'button click' after processing. The GUI was modified to clear after processing each time. Therefore, the error message will display each time an inappropriate selection is made. 40. I16805536FY18: Receiving access violations daily. Problem: -------- When looking up a diagnosis in the "Lookup Other Diagnosis" form, if the user double-clicks on the white space next a search result when no search result has yet been selected, there is an access violation. Resolution: ----------- The double-click handler for the search results now checks to make sure something is selected (and not nil). 41. I16877892FY18: Problem with messages after OR*3*461 released Problem: -------- Post Patch OR*3*461 fixing generic orders and sending FORUM messages, these are NOT medication orders Currently the post patch process requires someone from CLIN 2 (mainly me) processing All of these FORUM messages. So far as of today there have been 2189 generic orders being identified where the TO field was changed by OR*3*461. There have been about 343 messages PSJ OR PAT OE related medications fixed and 30 PSJ OR CLINIC medications fixed. Solution: --------- The audit code, created in OR*3*461, to assist in tracking down display group issues has been modified to ignore generic (nurse, text, activity, etc.) orders that are associated with the Inpatient Meds display group. 42. I18660001FY18 - Error in ORQPTQ5 Problem: ------- When the provider attempted to log in to CPRS, there was an immediate M error in routine ORQPTQ5. Solution: -------- The error had to do with having a patient selection list that contained over 200 appointments plus a particular combination of selection list parameters, as well as only future appointments no more than one day in the future. Modified the routine ORQPTQ5 to handle this particular situation. 43. I18906933FY18 - CPRS GUI Access Violations when she selected a patient and in another case when she processed an alert Problem: ------- When the connection the Vista server is slow enough, it's possible for the CPRS user to click on File, Select New Patient... multiple times before the server responds. This can create a situation where opening the Select Patient form from the first menu click is interrupted in mid-setup by the second. The error won't happen, though, until the Select Patient form is closed by selecting a patient or processing an alert. The interrupted attempt tries to restart, and fails, creating an access violation. Resolution: ---------- The call to "Application.ProcessMessages" in ResizeDescendants in ORFn.pas has been removed to prevent a possible attempt to open the Select Patient form a second time while it is already being opened. 44. INC000000914776 (HITPS-1819) - Patient selection screen issue Problem: -------- When selecting a patient in CPRS GUI, it is possible to accidentally select the wrong patient due to the selection window "automatically" scrolling. Resolution: ----------- CPRS GUI was updated to prevent scrollbars from appearing in the patient selection window which will prevent the automatic scrolling. 45. I6910726FY16 - Display Issue in CPRS for IV Order Problem: -------- Initially, the problem being reported was that the Total Dose display in the Order Detail for IV orders displayed different values depending on whether or not the finishing pharmacist had auto-verify turned on or off in the Pharmacy package. Further investigation revealed that, in fact, the Total Dose was ambiguous for IV orders, in general. The best example is a multi-additive IV order. Total Dose has no meaning. Resolution: --------------- Per the decision of the Pharmacy Benefits Management group, Total Dose has been moved from the Order Detail display for IV orders. It will remain for Unit Dose medications. 46. I7705227FY16 - Pharmacy Quick Orders Problem: -------- The message, Instructions may not be longer than 60 characters, prevents the entering of a quick order. This message is encountered when local dosage instructions are over 60 characters and BCMA UNITS are defined. Resolution ---------- Modify routine ORCDPS2 to use the "D" index in the local ORDIALOG array instead of the "B" index. The D index contains the local dosage instructions without the BCMA amount. The "B" index included the BCMA amount and was the reason the condition failed displaying the message and prevented the completion of the quick order. 47. INC000000419622 - RA OERR EXAM Menu does not allow user to scroll through all exams Problem: ------- Problem reported: A provider could not locate an U/S Thyroid order. It was found that the user can only scroll through part of the list using the mouse. About half way through it stops scrolling. Users either need to select one of the exams and use the arrow keys on the keyboard to continue scrolling or type the exact name of the test. The problem stems from how the component attempts to cache the value of the "page size" of the visible listbox. The cached value is incorrect, calculated against a 0-pixel height, which causes the scrolling to behave erratically. Resolution: ---------- Instead of relying on the cached value of the "page size," the "page size" is calculated based on the control's current height just before the value is needed. Since the calculation is simple (FLargeChange := (Height div ItemHeight) - 1), caching isn't required. 48. INC0000002148685 - RTC Order Cancellation IEN issue INC0000002101214 (d) Problem: ------- In CPRS, Orders tab, enter a "Return to Clinic" order, when the user selects the return date, types in the name of the clinic (not using the dropdown list), then clicks on "Accept" without tabbing out of the clinic field/editbox, the clinic name isn't being saved. Resolution: ---------- The clinic field/editbox automatically verifies the typed in clinic name against the list and properly records it in the order. 49. I19275515FY18 - VistaWeb button label issue in CPRS Problem: ------- The remote site selection panel does not respect certain acronyms and coverts them to proper case. Resolution: ---------- GUI was modified to better respect acronyms. A new parameter (OR EXCLUDE FROM MIXCASE) was created to allow new acronyms to be added on the fly to the CPRS GUI. 50. INC3817952 - Review RTC Order Cancelled INC3830220 (d) Problem: ------- When writing delayed orders and copying an active Return to Clinic order for a patient, the user is not being prompted for a date for the RTC. This causes the RTC order to be automatically cancelled. Resolution: ---------- When copying an active RTC order, the user is prompted for the date. Test Sites: =========== Atlanta VA Health Care System (Decatur, GA) Hampton VA Medical Center (Hampton, VA) Northport VA Medical Center (Northport, NY) Louis Stokes Cleveland VA Medical Center (Cleveland, OH) Documentation and Software Retrieval: ===================================== Sites may retrieve the software and/or documentation directly using the Secure File Transfer Protocol (SFTP) address as directed by the CPRS Implementation team. Installation instructions will be distributed when your site begins the implementation process. Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ after the phased deployment has been completed. The updated documentation will not be on the vdl until after the phased deployment has completed. File Name Contents --------- -------- CPRSGUITM.PDF CPRS Technical Manual: GUI Version CPRSGUIUM.PDF CPRS User Guide: GUI Version CPRSLMTM.PDF CPRS Technical Manual OR_30_377_RN.PDF CPRS GUI v.31 (Patch OR*3.0*377) Release Notes OR_3_0_377_DIBR.DOCX CPRS GUI v.31 Installation Guide OR_3_0_377_DIBR.PDF OR_3_0_377_SETUP.DOCX CPRS GUI v.31 Config and set up OR_3_0_377_SETUP.PDF The software distribution includes: File Name Contents Retrieval Format --------- -------- ---------------- OR_30_377.ZIP CPRSCHART.EXE BINARY CPRS_31_Help.ZIP HELP Directory BINARY OR_30_377_SRC.ZIP CPRS v31 Source BINARY CPRS31_REQUIRED.KID CPRS V31 REQUIRED ASCII Patch Installation: =================== Pre/Post Installation Overview ------------------------------ Please refer to the "CPRS v31b Deployment, Installation, Back Out and Rollback Guide" for installation and set-up information. This document is exported as or_3_0_377_dibr.docx and or_3_0_377_dibr.pdf and is included in OR_30_377.ZIP and will be emailed to the installation points of contact by the CPRS Implementation team. It is important to note that the CPRS v31b Deployment, Installation, Back Out and Rollback Guide also refers you to a CPRS v31b Configuration and Setup Guide. This guide provides instructions for both pre and post install items that must be completed. Installation of these host files must be coordinated among the personnel affected because these host files will be installed in one installation session. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[Patch List]**;Dec 17, 1997;Build 582 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ORB3 Before:B141411958 After:B147244257 **31,74,91,105,139,190,220,253, 265,296,348,350,452,377** Routine Name: ORB3FUP1 Before: B77909013 After: B79968159 **9,64,74,105,139,243,350,377** Routine Name: ORB3U1 Before: B66692365 After: B67528641 **9,74,88,91,105,179,220,250, 379,377** Routine Name: ORB3USER Before: B73039956 After: B73763137 **74,91,105,139,200,220,458,377** Routine Name: ORB3UTL Before: n/a After: B52863216 **377** Routine Name: ORBSMART Before: n/a After: B39545683 **377** Routine Name: ORCACT0 Before: B67480788 After: B69260079 **7,27,48,72,86,92,94,141,165, 177,173,190,215,243,289,204, 306,350,425,434,377** Routine Name: ORCACT01 Before: B89927371 After:B100470643 **94,116,134,141,163,187,190, 213,243,306,374,350,397,377** Routine Name: ORCDFHTF Before: B19437978 After: B19311201 **7,141,215,350,377** Routine Name: ORCDPS1 Before: B86245200 After: B85374723 **94,117,141,149,195,215,243, 280,337,311,350,377** Routine Name: ORCDPS2 Before: B68376826 After: B68753642 **94,116,125,131,243,311,350,377** Routine Name: ORCDSD Before: B4626273 After: B6051457 **434,377** Routine Name: ORCMEDT1 Before: B45769509 After: B47348452 **8,46,57,95,110,245,243,296, 341,377** Routine Name: ORCMEDT4 Before:B106382562 After:B121393493 **8,46,95,245,313,389,397,377** Routine Name: ORCSAVE Before:B127708326 After:B107621242 **7,56,70,73,92,94,116,141,163, 187,190,195,243,303,293,280, 306,286,269,423,421,382,397, 377** Routine Name: ORCSAVE2 Before:B113061054 After: B99294281 **4,27,56,70,94,116,190,157, 215,265,243,293,280,346,269, 421,382,377** Routine Name: ORDDPAPI Before: B1521511 After: B2022075 **243,377** Routine Name: ORDEA Before: B85690484 After:B110223519 **306,374,377** Routine Name: ORDV02A Before: B11152192 After: B13469506 **243,377** Routine Name: ORDV02B Before: B32191615 After: B43440865 **350,423,377** Routine Name: ORDV02C Before: B17644720 After: B23842995 **350,423,377** Routine Name: ORDV02D Before: B33524231 After: B33598562 **423,377** Routine Name: ORDV06B Before: B45001391 After: B45001391 **312,350,424,428,377** Routine Name: ORDV06C Before: n/a After: B24501975 **377** Routine Name: ORDVX1 Before: B5908194 After: B6697049 **243,315,377** Routine Name: ORERRH Before: n/a After: B6636797 **377** Routine Name: OREV4 Before: B24244068 After: B58326954 **141,367,377** Routine Name: ORIMO Before: B3277195 After: B2969759 **187,190,195,215,243,350,424,377** Routine Name: ORLPREM Before: n/a After: B31103665 **377** Routine Name: ORLPREML Before: n/a After:B248216418 **377** Routine Name: ORMBLDSD Before: B17520894 After: B17863045 **434,475,377** Routine Name: ORMTIME Before: B9294457 After: B10041387 **40,253,243,377** Routine Name: ORNORC Before: n/a After:B122919271 **377** Routine Name: OROCLM Before: n/a After: B46986445 **377** Routine Name: OROTHCL Before: n/a After: B1444236 **377** Routine Name: ORQ12 Before: B44346271 After: B45328486 **12,27,78,92,116,190,220,215, 243,356,441,444,377** Routine Name: ORQ21 Before: B37800373 After: B39169290 **141,190,195,215,243,361,350, 417,377** Routine Name: ORQOUTL Before: n/a After: B14665061 **377** Routine Name: ORQPT2 Before: B9409133 After: B9350341 **377** Routine Name: ORQPTQ1 Before: B56022861 After: B82276856 **9,74,63,91,85,139,243,449,377** Routine Name: ORQPTQ11 Before: B56702520 After: B62771472 **82,85,109,132,173,253,320,377** Routine Name: ORQPTQ5 Before: B76840931 After: B81774796 **82,85,187,190,320,377** Routine Name: ORQPTQ6 Before: B45127106 After: B47621876 **82,85,187,320,377** Routine Name: ORQQAL Before: B15654998 After: B15657851 **9,85,162,190,216,232,243,269,377** Routine Name: ORQQPL1 Before:B134129327 After:B140973389 **10,85,148,173,203,206,249, 243,280,306,361,385,350,479, 377** Routine Name: ORQQPP Before: B2945231 After: B2405247 **377** Routine Name: ORQQPX Before: B64886105 After: B60789060 **10,85,184,187,190,226,377** Routine Name: ORQQPXRM Before: B30470800 After: B14969381 **10,85,116,173,187,190,215, 243,306,389,377** Routine Name: ORSMART Before: n/a After: B4695133 **377** Routine Name: ORUTL Before: B85871234 After: B92870890 **95,280,218,350,422,377** Routine Name: ORUTL4 Before: B10504145 After: B15715664 **350,424,434,377** Routine Name: ORWCV Before: B90464307 After: B93259608 **10,85,109,132,209,214,195, 215,260,243,282,302,280,496, 377** Routine Name: ORWCV1 Before: B4557494 After: B4018714 **85,377** Routine Name: ORWDPS1 Before: B65920710 After: B70522709 **85,132,141,163,215,255,243, 306,350,435,377** Routine Name: ORWDPS2 Before: B68292926 After: B66925440 **85,116,125,131,132,148,141, 195,215,258,243,424,420,454, 452,377** Routine Name: ORWDRA32 Before: B21891696 After: B26546154 **10,116,141,215,280,377** Routine Name: ORWDSD1 Before: B8338183 After: B14434385 **434,377** Routine Name: ORWDX Before: B92501053 After: B93902926 **10,85,125,131,132,141,164, 178,187,190,195,215,246,243, 283,296,280,306,350,424,421, 461,490,397,377** Routine Name: ORWDXA Before:B119665285 After: B95175401 **10,85,116,132,148,141,149, 187,213,195,215,243,280,306, 390,421,436,434,397,377** Routine Name: ORWDXC Before: B77488724 After: B73923918 **10,141,221,243,280,346,345, 311,395,269,469,377** Routine Name: ORWDXC2 Before: n/a After: B371736 **377** Routine Name: ORWDXM1 Before:B121528037 After:B122786806 **10,85,131,132,141,178,185, 187,215,243,280,331,388,350, 423,434,494,397,377** Routine Name: ORWDXM2 Before: B76657020 After: B78268362 **10,85,109,116,132,158,187, 195,215,243,280,356,377** Routine Name: ORWDXM3 Before:B121166242 After:B124900806 **10,85,131,132,141,185,187, 190,195,215,243,303,296,280, 350,434,441,397,377** Routine Name: ORWORB Before: B74023568 After: B95278963 **10,85,116,148,173,190,215, 243,296,329,334,410,377** Routine Name: ORWOTHER Before: B999661 After: B1589164 **485,377** Routine Name: ORWPCE Before: B63752206 After: B65964605 **10,85,116,173,190,195,215, 243,295,280,306,361,385,398, 377** Routine Name: ORWPCE3 Before: B60736821 After: B65582403 **10,85,116,190,280,306,371, 361,385,377** Routine Name: ORWPT1 Before: B33003577 After: B34392896 **10,109,280,340,306,387,377** Routine Name: ORWRP Before: B77042419 After: B77042335 **1,10,85,109,132,160,194,227, 215,262,243,280,377** Routine Name: ORWRP2 Before: B30528782 After: B31547954 **10,109,212,309,332,377** Routine Name: ORWSR Before: B28551721 After: B30131258 **109,116,132,148,160,190,274, 347,377** Routine Name: ORWTIU Before: B10078381 After:B133270007 **10,85,109,132,195,243,377** Routine Name: ORWTPD Before: B13966510 After: B18832323 **109,120,132,148,141,173,195, 243,377** Routine Name: ORWTPL Before: B28051857 After: B29501739 **85,109,173,243,273,377** Routine Name: ORWTPP Before: B19368874 After: B20201254 **85,149,243,377** Routine Name: ORWTPT Before: B20925260 After: B35877461 **85,243,377** Routine Name: ORWU Before: B62136332 After: B99312497 **10,85,132,148,149,187,195, 215,243,350,424,377** Routine Name: ORX8 Before: B14076092 After: B15610721 **13,21,48,68,92,141,163,272,377** Routine Name: ORY377 Before: n/a After: B43125694 **377** Routine Name: ORY377B Before: n/a After: B7763170 **377** Routine Name: ORY377O Before: n/a After:B135014084 **377** Routine Name: ORYDLG Before: B14515305 After: B14946667 **141,165,216,243,280,377** Routine list of preceding patches: 226, 272, 273, 315, 320, 332, 341, 347 367, 379, 387, 397, 398, 410, 417, 422, 428, 435 444, 449, 452, 458, 469, 475, 479, 485, 496 ============================================================================= User Information: Entered By : Date Entered : JUL 29, 2013 Completed By: Date Completed: JUN 02, 2020 Released By : Date Released : JUN 04, 2020 ============================================================================= Packman Mail Message: ===================== No routines included