$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Tuesday, 09/16/25 at 16:33 ============================================================================= Run Date: APR 16, 2026 Designation: PSJ*5*462 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #398 Status: Released Compliance Date: MAY 17, 2026 ============================================================================= Associated patches: (v)PSJ*5*399 <<= must be installed BEFORE `PSJ*5*462' Subject: BCBU UNIT DOSE DOSAGE EDITING ISSUE Category: - Routine Description: ============ This patch addresses one issue: When the dispense drug on an active Inpatient Medications unit dose order is edited to a different strength but for the same dose, the updated strength is not filed into the Bar Code Medication Administration Backup System (BCBU) workstations. (Example: An order for one 50 mg tablet is changed to two 25 mg tablets.) EHRM Impact Statement: ---------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. 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 Option Name Type New/Modified/Deleted ----------------------------------- ----------- -------------------- N/A 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 -------------- -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: =========================================== INC39992769: BCBU Unit Dose Dosage Editing Issue Problem: -------- When the dispense drug on an active Inpatient Medications unit dose order is edited to a different strength but for the same dose, the updated strength is not filed into the BCBU workstations. (Example: An order for one 50 mg tablet is changed to two 25 mg tablets.) The root cause of the issue is that the HL7 RXE segment sent to the BCBU workstations is missing information. Resolution: ----------- Modify routine PSJHL3 to send needed information in the HL7 RXE segment to BCBU workstations after a unit dose medication order is edited. Test Sites: ----------- Lebanon VA Medical Center (Lebanon, PA) Asheville VA Medical Center (Asheville, NC) SNOW Change Order Number: ------------------------- LEB: CHG0713979 ASH: CHG0713449 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation updates are not included in this release. Patch Installation: ------------------- Pre-Installation Instructions: This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. It is not necessary to disable any options. Installation Instructions: ------------------------- This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. 1. Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch name: PSJ*5.0*462. B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build PSJ*5.0*462. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", Press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer NO. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. Back-out/Roll Back Plan: ------------------------ Back-out will be done only with the concurrence and participation of development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between development team, VA site/region personnel and other appropriate VA personnel. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed-up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routines onto the VistA System. If the patch was backed up for the build, from the Kernel Installation and Distribution System Menu, select the Installation Menu. Then select the Install Package(s) option and choose the patch (PSJ*5.0*462b) to install. The back-out plan is to restore the routines from the backup created. No data was modified by this patch installation and, therefore no rollback strategy is required. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;INPATIENT MEDICATIONS;**[Patch List]**;16 DEC 97;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSJHL3 Before:B121732712 After:B122552124 **1,11,14,40,42,47,50,56,58, 92,101,102,123,110,111,152,134, 226,267,260,281,315,406,364, 399,462** Routine list of preceding patches: 399 ============================================================================= User Information: Entered By : Date Entered : AUG 28, 2025 Completed By: Date Completed: APR 16, 2026 Released By : Date Released : APR 16, 2026 ============================================================================= Packman Mail Message: ===================== $END TXT