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Run Date: APR 08, 2021                     Designation: OR*3*552
Package : OR - ORDER ENTRY/RESULTS REPORTING  Priority: Mandatory
Version : 3       SEQ #459                      Status: Released
                  Compliance Date: MAY 09, 2021
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Subject: CPRS TECHNICAL MANUAL INFORMATIONAL UPDATE

Category: 
  - Informational

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

 This Informational patch will update the CPRS Technical Manual: GUI 
 Version and CPRS Technical Manual: List Manager Version.
  
 Patient Safety Issues (PSIs):
 ============================
 HITPS-7744
  
 Defect Tracking System Ticket(s) & Overview:
 ============================================
 INC16713088: Pending Inpatient Medications and Auto D/C Rules 
  
 Problem:
 -------
 At a site, a patient did not get a critical inpatient medication 
 reinstated since it was still PENDING and had not been processed by
 Pharmacy before the discharge from Observation movement was done. There
 was no warning to the ordering provider of the discontinuation of that
 critical inpatient medication or any warning to the Inpatient Pharmacy
 staff.
  
 The CPRS Technical Manual: GUI Version and CPRS Technical Manual: List
 Manager Version have been updated to clarify the CPRS functionality
 for reinstating orders if the Auto D/C rule for Discharge is set to
 "Except from observation: IF READMITTING". The rule only works for
 inpatient medication orders that are in the "ACTIVE" status and not
 Inpatient medications orders in "PENDING" status. Inpatient medications
 orders in "PENDING" status are discontinued when a patient is discharged
 from OBS and then admitted to a regular ward.
  
 Resolution:
 ------------
 The following verbiage has been added to the CPRS Technical Manual: GUI 
 Version and CPRS Technical Manual: List Manager Version.
  
 NOTE:  Medication orders in a "Pending" status cannot be exceptions to 
        Auto-Discontinue rules for a Discharge from an Observation Treating
        Specialty.  If this field is set to "YES", or set to "If
        Readmitting" and the user inputs "YES", a pending medication order
        will still be Auto-Discontinued upon Discharge from an Observation
        Treating Specialty. Only medication orders in an "Active" status
        will be reinstated if the Except from Observation field is set to
        "YES" or if the user enters "YES" to the question, "Will the
        patient be re-admitted immediately?" 
  
        This field can be set in the following ways:          
        >  Yes - if you set the field to yes, a discharge from an 
           observation treating specialty will always be an exception to
           this rule (should not cause an order to be discontinued).
        >  No - if you set this field to no, this rule will be applied 
           regardless of whether the patient is discharged from an
           observation treating specialty.
        >  If Readmitting - If you set this field to If Readmitting, the 
           user will be prompted to enter whether the patient will be
           immediately readmitted.  If the user answers yes, the order will
           not be automatically discontinued. If the user answers no, the
           rule will be applied. 
  
  
 Documentation Retrieval Instructions
 ------------------------------------
 Documentation describing the new functionality is included in this
 release. Documentation can be found on the VA Software Documentation
 Library at: https://www.domain.ext/vdl/
  
 Documentation Title                             File 
 Name                     
 ---------------------------------------------------------------------
 CPRS Technical Manual: GUI Version              cprsguitm.docx   
                                                 cprsguitm.pdf
  
 CPRS Technical Manual: List Manager Version     cprslmtm.docx
                                                 cprslmtm.pdf
  
 Installation Instructions:
 --------------------------
 This patch is INFORMATIONAL and there is nothing to install.

Routine Information:
====================
No routines included.

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User Information:
Entered By  :                               Date Entered  : MAR 17, 2021
Completed By:                               Date Completed: APR 07, 2021
Released By :                               Date Released : APR 08, 2021
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Packman Mail Message:
=====================

No routines included