============================================================================= Run Date: DEC 07, 2021 Designation: OR*3*498 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #484 Status: Released Compliance Date: JAN 21, 2022 ============================================================================= Associated patches: (v)PXRM*2*71 install with patch `OR*3*498' (v)WV*1*26 install with patch `OR*3*498' (v)PSO*7*622 install with patch `OR*3*498' (v)TIU*1*341 install with patch `OR*3*498' (v)OR*3*350 <<= must be installed BEFORE `OR*3*498' (v)OR*3*377 <<= must be installed BEFORE `OR*3*498' (v)OR*3*413 <<= must be installed BEFORE `OR*3*498' (v)OR*3*512 <<= must be installed BEFORE `OR*3*498' (v)PSS*1*238 <<= must be installed BEFORE `OR*3*498' (v)OR*3*519 <<= must be installed BEFORE `OR*3*498' Subject: CPRS V31.B FOLLOW UP Category: - Routine - Other Description: ============ This patch is part of the CPRS v31b follow-up updates. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- WOMEN'S HEALTH v1.0 WV*1.0*26 CLINICAL REMINDERS v2.0 PXRM*2.0*71 OUTPATIENT PHARMACY v7.0 PSO*7.0*622 TEXT INTEGRATION UTLITIES v1.0 TIU*1.0*341 ORDER ENTRY/RESULTS REPORTING v3.0 OR*3.0*498 All these patches are released via a Kernel Installation and Distribution System (KIDS) multi-build distribution as CPRS V31B FOLLOW-UP PATCHES 1.0. 1. This patch will prevent the renewal of Clozapine orders from the Meds tab. 2. Since the release of CPRS v29, there have been multiple reports of Controlled Substance orders with no valid digital signature. A report called Controlled Substance Order Anomalies is being added to the CPRS Configuration (Clin Coord) [OR PARAM COORDINATOR MENU] This report will find all orders for controlled substances for Schedule 2-5 medications that are missing a Digital Signature. All orders for these controlled substances require a Digital Signature to comply with DEA regulations. The purpose of this report is to determine the extent of this problem in hopes to determine how these orders are placed into the system without a Digital Signature. CPRS version 29 is when the ability to order Controlled Substances with Digital Signatures began. This report looks up the date that CPRS v29 was installed and presents that date as a default start date for the report. Any date range can be entered to do the lookup. Jazz 258438 3. HITPS-947 Meds Tab Date Range Values for display - A provider in CPRS does not have an easy way to determine the search date range used to load data on the Meds tab. A provider can define a single search date range for the Meds tab. However, this is not mandatory and if a date range is not passed to the pharmacy packages, each package will do its own date range search. Two new date range parameters have been created for display purposes on the Meds tab of CPRS GUI: One for Outpatient Pharmacy and Non-VA Meds and the other for Inpatient Pharmacy. The date range values for these parameters will display on the Meds tab regardless of whether or not they are defined by the user (or defaulted by the application). 4. Outpatient prescriptions orders and the EXCEPT conjunction. CPRS v31b plus the associated Outpatient Pharmacy patch removed the ability to add EXCEPT as a conjunction to new Outpatient prescription orders. However, some actions are still allowed on existing Outpatient orders with EXCEPT as a conjunction. To prevent any potential orders, this patch will ensure no action other than refill is allowed on any existing Outpatient prescription orders. 5. In CPRS v31b an enhancement was made to limit the Radiology Urgency Options to improve the communication between CPRS and the Radiology package. However, there is an issue with the ASAP versus URGENT urgencies. This patch will correct that problem. 6. In CPRS v31b, improvements were made to the display of Immunizations on the cover sheet. However, one item: a standard report parameter modification, was missed. This patch will add that modification, ensuring that the long name for Immunizations displays on the cover sheet. 7. In CPRS v31b, changes were made to handling of Radiology orders to prevent the Radiology package from rejecting them. However, the copying of orders was not updated. This patch will correct that problem. 8. In CPRS v31b some enhancements were made to send the debug emails to the OR CACS mailgroup automatically. Several sites have reported issues with this. To address those concerns, this patch will make the recipient email a parameter. 9. In CPRS v31b, during the cover sheet redesign, a change was inadvertently made to the sort order of the medications in the Active Medications panel. This patch will correct that problem. 10. In CPRS v31b, a security update was set that allows only those with programmer access to access the CANCELLED ORDERS AND ORDER CHECKS file (#100.3). This patch will correct that problem. 11. In CPRS v31b, unsigned outpatient medication orders were blocked from being copied. This patch will allow them to be copied. 12. To improve the performance of the pharmacy extracts for VistaWeb and the CPRS All Medication Report, routine ORDV06B will be updated to use the PLACER^PSSUTLA1 API (released with patch PSS*1*238) instead of the OEL^PSOORRL API. 13. In CPRS v31b, when displaying HSWPComponet type reports from the CPRS reports tab, it was hard coded to only return a max of 100 entries. This patch will change it so that the HSWPComponet type reports that support max occurrence limits, will use the max occurrence limit defined in the ORWRP TIME/OCC LIMITS INDV and ORWRP TIME/OCC LIMITS ALL parameters. 14. In CPRS v31MA, when initiating a PDMP query, if the patient's address contained XML reserved characters, it would return an error message: "VDIF encountered error when processing the request from CPRS." This patch will correct this problem. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- OR CS ORDER ANOMALIES Routine New OR PARAM COORDINATOR MENU Menu Modified Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- OR CPRS DEBUG EMAIL New ORQQTIU COPY/PASTE IDENT Modified Additional Information: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): HITPS-947 - Start/stop dates date are not being displayed on the CPRS-Meds tab HITPS-1964 - Inpatient Clozapine orders renewable through CPRS Meds tab HITPS-7163 - Outpatient Clozapine orders renewable through the CPRS Meds tab HITPS-7061 - Hard error when pharmacist attempts to finish inpatient clozapine renew order Defect Tracking System Ticket(s) & Overview: 1. SNOW INC11686314 Problem: -------- The new file that was sent out in OR*3.0*377, CANCELLED ORDERS AND ORDER CHECKS FILE (#100.3), required programmer FileMan access ("@") to be able to read it. Resolution: ----------- Removed the security codes for DD, RD, WR, LAYGO, and AUDIT access. 2. INC10187995 - PAL - SF+2^PSGNE3 *% Problem: -------- Currently, renewal of a Clozapine order is blocked from the Orders Tab, but not the Meds tab. This results in an error in the Inpatient Medications package. Resolution: ----------- Modify the renewal process to prevent renewing Clozapine orders from the Meds Tab. 3. INC11848160 - IMAGES+16^MAGGNTI INC11738530 (duplicate) Problem: -------- When viewing an Anatomic Pathology (AP) report in CPRS that is not linked to a TIU note and VistA Imaging Display is open this error is generated. Resolution: ----------- When an AP report that is not linked to a TIU note is selected in CPRS and a Windows Message is generated, change it so that it sends a "0" for the TIU note, instead of sending the null string (""). 4. INC12041717 - Prescriptions with EXCEPT as conjunction able to be copied and renewed Problem: -------- Prescriptions with EXCEPT as the conjunction are able to be renewed and changed in CPRS v31b. With the release of CPRS v31b, prescriptions with EXCEPT as the conjunction were not supposed to be renewed, copied, or changed. Resolution: ----------- In CPRS, blocked renewals and changes to outpatient medication orders with an Except conjunction. Test Sites: ----------- Northport VAMC (Northport, NY) Durham VA Health Care System (Durham, NC) Pittsburgh VA Medical Center (Pittsburgh, PA) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/CPRSV31B_FOLLOW_UP.KID Other Software Files: This release DOES NOT include other software files. 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 can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE Documentation Title File Name --------------------------------------------------------------------- CPRS v31b Follow-Up Build OR_3_0_498_DIBR.PDF Deployment, Installation, OR_3_0_498_DIBR.DOCX Back Out and Rollback Guide CPRS v31b Follow-Up Setup and OR_3_0_498_SETUP.PDF Configuration Guide OR_3_0_498_SETUP.DOCX CPRS Technical Manual: CPRSLMTM.PDF List Manager Version CPRSLMTM.DOCX CPRS User Guide: CPRSGUIUM.PDF GUI Version CPRSGUIUM.DOCX Patch Installation: ------------------- Please refer to the "CPRS v31b Follow-Up Build, Deployment, Installation, Back Out and Rollback Guide" for installation and set-up information. This document is exported as OR_3_0_498_DIBR.DOCX and OR_3_0_498_DIBR.PDF. Post-Installation Instructions: ------------------------------- See guide listed above. Back-Out/Roll Back Plan: ------------------------ Please refer to the "CPRS v31b Follow-Up Build, Deployment, Installation, Back Out and Rollback Guide. 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 38 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: OR498P Before: n/a After: B8766942 **498** Routine Name: ORB3U1 Before: B67528641 After: B72818433 **9,74,88,91,105,179,220,250, 379,377,498** Routine Name: ORB3U2 Before: B43212434 After: B91861349 **9,74,105,179,498** Routine Name: ORB3USER Before: B73763137 After: B74828188 **74,91,105,139,200,220,458,377,498** Routine Name: ORBSMART Before: B39545683 After: B41887919 **377,498** Routine Name: ORCACT01 Before:B100470643 After:B114181826 **94,116,134,141,163,187,190, 213,243,306,374,350,397,377, 498** Routine Name: ORDEBUG Before: B15661026 After: B16554061 **350,498** Routine Name: ORDV02A Before: B13469506 After: B13647857 **243,377,498** Routine Name: ORDV06B Before: B45001391 After: B44630064 **312,350,424,428,377,498** Routine Name: ORLPREM Before: B31103665 After: B32531974 **377,498** Routine Name: ORPDMPNT Before: B35600206 After: B35626953 **519,498** Routine Name: ORPDMPWS Before:B169255708 After:B184364456 **519,498** Routine Name: ORS100C Before: n/a After: B41802538 **498** Routine Name: ORSMART Before: B4695133 After: B3089952 **377,498** Routine Name: ORWDRA32 Before: B26546154 After: B27726747 **10,116,141,215,280,377,498** Routine Name: ORWDXM1 Before:B125197255 After:B127137244 **10,85,131,132,141,178,185, 187,215,243,280,331,388,350, 423,434,494,397,377,512,498** Routine Name: ORWDXM3 Before:B124900806 After:B132401126 **10,85,131,132,141,185,187, 190,195,215,243,303,296,280, 350,434,441,397,377,498** Routine Name: ORWORB Before: B95278963 After: B99052906 **10,85,116,148,173,190,215, 243,296,329,334,410,377,498** Routine Name: ORWPCE3 Before: B65582403 After: B65944434 **10,85,116,190,280,306,371, 361,385,377,498** Routine Name: ORWPS Before: B65076275 After: B87678827 **10,85,116,132,141,173,203, 190,195,265,275,243,280,350, 498** Routine Name: ORWRP Before: B77042335 After: B82715505 **1,10,85,109,132,160,194,227, 215,262,243,280,377,498** Routine Name: ORY498 Before: n/a After: B195772 **498** Routine list of preceding patches: 512, 519 ============================================================================= User Information: Entered By : Date Entered : NOV 27, 2018 Completed By: Date Completed: DEC 07, 2021 Released By : Date Released : DEC 07, 2021 ============================================================================= Packman Mail Message: ===================== No routines included