$TXT Created by                CPRS30.DOMAIN.EXT  (KIDS) on Wednesday, 06/01/16 at 14:22
=============================================================================
Run Date: JUL 13, 2016                     Designation: GMRA*4*52
Package : GMRA - ADVERSE REACTION TRACKING    Priority: Mandatory
Version : 4        SEQ #47                      Status: Released
                  Compliance Date: AUG 13, 2016
=============================================================================

Associated patches: (v)GMRA*4*46   <<= must be installed BEFORE `GMRA*4*52'

Subject: ALLERGY ORDER CHECK SIGNS/SYMPTOMS FOLLOW-UP

Category: 
  - Routine

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

 This patch contains bug fixes for issues identified late in the testing
 stage of patch GMRA*4*46.
  
 Patch Components:
 -----------------
  
  
 Files & Fields Associated:
  
 File Name (Number)      Field Name (Number)     New/Modified/Deleted
 ------------------      -------------------     --------------------
 N/A
  
  
 Forms Associated:
  
 Form Name       File #  New/Modified/Deleted
 ---------       ------  --------------------
 N/A
  
  
 Mail Groups Associated:
  
 Mail Group Name New/Modified/Deleted
 --------------- --------------------
 N/A
  
  
 Options Associated:
  
 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
  
  
 New Service Requests (NSRs):
 ----------------------------  
 N/A
  
  
 Patient Safety Issues (PSIs):
 -----------------------------
 PSPO 3222 Error PASS+10^GMRADPT *%("") received when the mechanism field 
           for an allergy is null.
  
 Problem:
 --------
 This error prevents users from receiving drug-allergy order check 
 messages when ordering or finishing medication orders. It also prevents 
 the display of adverse reactions in the Computerized Patient Record 
 System (CPRS).
  
 Resolution:
 -----------
 See the resolution for RTC 328799 below in the Defect Tracking System 
 Ticket(s) & Overview section.
  
  
 Defect Tracking System Ticket(s) & Overview:
 --------------------------------------------
 1. RTC 281175 Free-Text Dosage Does Not Generate Adverse Reaction Order 
               Check Message
  
 Problem:
 --------
 Given a patient with a documented adverse reaction to a drug ingredient,
 when a provider orders a medication with that ingredient in the 
 computerized patient record system (CPRS) and enters a free text dosage,
 the adverse reaction order check message is not displayed in CPRS (the
 order check message does display during the pharmacy order finishing
 process).
  
 Resolution:
 -----------
 After installing this patch, the adverse reaction order check
 message will display in CPRS.
  
 2. RTC 300867 Drug-Allergy Order Check Messages for Local and Remote 
               Reactions are Not Combined
  
 Problem:
 --------
 Given a patient with a local observed reaction to a drug with no severity
 and a remote observed reaction to the same drug, when a provider orders a
 medication that could cause an adverse reaction, two separate drug-allergy
 order check messages are displayed in CPRS.
  
 Resolution:
 -----------
 After installing this patch, one combined order check message (showing
 data from both the local and remote reactions) will display in CPRS.
  
 3. RTC 328799 Error <SUBSCRIPT>PASS+10^GMRADPT *%("")
    I9074984FY16 subscript/undefined errors after MOCHA enhancement 
                 patches installation 
  
 Problem:
 --------
 When retrieving a list of patient allergies for building the CWAD (Crisis 
 notes, clinical Warnings, Allergies and advanced Directive) string 
 displayed in the Postings button in the CPRS header bar, a subscript 
 error is generated for reactions that have no value for the MECHANISM 
 (#17) field in the PATIENT ALLERGIES file (#120.8). This error prevents 
 the Postings button from correctly displaying the patient's CWAD string, 
 prevents CPRS from displaying adverse reactions and prevents the 
 drug-allergy order check from functioning. In Pharmacy, it prevents users 
 from finishing orders.
  
 Resolution:
 -----------
 After installing this patch, the error is no longer generated for adverse 
 reactions that have no value for the MECHANISM (#17) field.
  
  
 Test Sites:
 ----------
 VA Maryland Health Care System
 Sioux Falls VA Health Care System
 Orlando VA Medical Center
  
  
 Patch Installation:
  
  
 Pre/Post Installation Overview
 ------------------------------
 There is no pre nor post installation for this patch.
  
  
 Installation Instructions
 -------------------------
 This patch may be installed with users on the system.  This patch should 
 take less than 5 minutes to install.  There are no options to disable for 
 this installation.
  
  
 Pre-Installation Instructions
 -----------------------------
 1.  Choose the PackMan message containing this patch.
  
 2.  Choose the INSTALL/CHECK MESSAGE PackMan option.  
  
 3.  From the Kernel Installation and Distribution System Menu, select
     the Installation Menu.  From this menu, you may elect to use the
     following options. When prompted for the INSTALL enter the patch #
     (ex. GMRA*4.0*52):
  
     a.  Backup a Transport Global - This option will create a backup
         message of any routines exported with this patch. It will not
         backup any other changes such as DDs or templates.
     b.  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 components of this patch
         (routines, DDs, templates, etc.).
     c.  Verify Checksums in Transport Global - This option will allow
         you to ensure the integrity of the routines that are in the
         transport global.
      
 4.  From the Installation Menu, select the Install Package(s) option and
     enter GMRA*4.0*52.
  
 5.  When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
     Install? NO//', answer NO.
  
 6.  When prompted 'Want KIDS to INHIBIT LOGONs during the install?
     NO//', answer NO.
  
 7.  When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
     and Protocols? NO//', answer NO.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;4.0;Adverse Reaction Tracking;**[Patch List]**;Mar 29, 1996;Build 7

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: GMRADPT
    Before: B83164261   After: B83390495  **2,10,46,52**
Routine Name: GMRAOR
    Before:B151697530   After:B152346772  **2,13,26,37,41,42,44,46,52**
 
Routine list of preceding patches: 46

=============================================================================
User Information:
Entered By  :                               Date Entered  : FEB 25, 2016
Completed By:                               Date Completed: JUL 12, 2016
Released By :                               Date Released : JUL 13, 2016
=============================================================================


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

$END TXT