$TXT Created by P at CHEY04.VACO.DOMAIN.EXT (KIDS) on Wednesday, 08/31/16 at 16:09 ============================================================================= Run Date: NOV 28, 2016 Designation: GMRA*4*50 Package : GMRA - ADVERSE REACTION TRACKING Priority: Mandatory Version : 4 SEQ #49 Status: Released Compliance Date: DEC 29, 2016 ============================================================================= Associated patches: (v)GMRA*4*36 <<= must be installed BEFORE `GMRA*4*50' (v)GMRA*4*42 <<= must be installed BEFORE `GMRA*4*50' Subject: SEND MAIL MESSAGE WHEN VA DRUG CLASS FIELD IS EMPTY Category: - Routine Description: ============ ************************** WARNING *************************** **************************************************************** If your facility has the Pyxis/Omnicell/Aesynt (McKesson) interface from ILC/Document Storage Systems, this patch will overwrite a "local" modification in routine GMRAPEM0. This could affect allergy data being sent across this interface. The modification will have to be reintroduced following installation of this patch IF YOUR SITE HAS NOT BEEN CONFIGURED TO USE RX-FRAMEWORK. Please get the appropriate file from the Document Storage Systems FTP online directory: o Pyxis sites, please retrieve the file PPU_1_0_P28.KID o Omnicell sites, please retrieve the file OPU_1_0_P28.KID o Aesynt (McKesson) sites, please retrieve the file MPU_1_0_P28.KID If you have questions about accessing the FTP directory, contact DSS support directly at 561-284-7200. **************************************************************** **************************************************************** Patch GMRA*4*50 generates an email message through the VistA MailMan application when a new causative agent is added to a Patient Allergies File (#120.8) and the VA Drug Class is not specified in the VA Drug Class field (#3). Causative agents are medications and substances to which the patient exhibits an adverse reaction or allergy, and are tracked for each patient in the Patient Allergies File (#120.8) using the VistA Adverse Reaction Tracking package. The email message is sent the first time a new causative agent without a designated VA Drug Class is added for a patient. Subsequent observations associated with the same causative agent do not trigger an email. The email is sent only once for each causative agent without a designated VA Drug Class added to a Patient Allergies File (#120.8). The email message is directed to members of a predefined email group. This email group, "ADVERSE_ALLERGY_WARNING," is created by a post-installation routine if it is not present upon installation of the patch. The email group must be populated with the email addresses of individuals to be notified when a new causative agent is added to a Patient Allergies File (#120.8) without a designated VA Drug Class in the VA Drug Class field (#3). This intake has been implemented locally at the Indianapolis, IN VAMC. This patch addresses the following requirement: VHBAO: NEED496665: Provide the ability to notify a provider when a drug class is missing from allergy information coded with a drug ingredient so that patient safety issues will not occur due to missed cross-interaction order checks. 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 --------------- -------------------- ADVERSE_ALLERGY_WARNING New 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 Additional Information: N/A New Service Requests (NSRs) ---------------------------- 20140712 SEND MAIL MESSAGE WHEN VA DRUG CLASS FIELD IS EMPTY Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A Problem: -------- Resolution: ----------- Test Sites: ---------- Richard L. Roudebush VA Medical Center (Indianapolis), IN VA St. Louis Health Care System (St. Louis, Poplar Bluff, Marion) Software and Documentation Retrieval Instructions: ---------------------------------------------------- The followng documentation can also be found on the VA Software Documentation Library (VDL) at: http://www4.domain.ext/vdl/. Title File Name ----------------------------------------------------------------- GMRA*4.0*50 Release Notes gmra_4_50_rn.pdf Adverse Reaction Tracking Technical Manual gmra_4_tm.pdf Adverse Reaction Tracking User Manual gmra_4_um.pdf Pre/Post Installation Overview ------------------------------ There is a post installation routine that adds the mail group: ADVERSE_ALLERGY_WARNING. 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. 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 NAME enter GMRA*4.0*50. a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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, DD's, templates, etc.). d. 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 DD's or templates. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' press . 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO// Press 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// Press 8. If prompted 'Delay Install (Minutes): (0-60): 0//', press . 9. If prompted 'Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// HOME (CRT)', press . Post-Installation Instructions ------------------------------ The mail group: ADVERSE_ALLERGY_WARNING was added with this patch. Appropriate persons will need to be added to this mail group that should receive the email when the VA Drug Class field is empty. Routine Information: ==================== The second line of each of these routines now looks like: ;;4.0;Adverse Reaction Tracking;**[Patch List]**;Oct 19, 2015;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: GMRA50P1 Before: n/a After: B2416014 **50** Routine Name: GMRAGUI1 Before: B59206501 After: B59594462 **21,25,36,38,42,50** Routine Name: GMRAPEM0 Before: B43826251 After: B67572191 **2,5,17,21,36,50** Routine list of preceding patches: 42 ============================================================================= User Information: Hold Date : NOV 28, 2016 Entered By : Date Entered : SEP 24, 2015 Completed By: Date Completed: NOV 22, 2016 Released By : Date Released : NOV 28, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT