============================================================================= Run Date: APR 19, 2011 Designation: OR*3*272 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #290 Status: Released Compliance Date: SEP 15, 2011 ============================================================================= Associated patches: (v)OR*3*280 <<= must be installed BEFORE `OR*3*272' (v)OR*3*316 <<= must be installed BEFORE `OR*3*272' Subject: PHARMACY RE-ENGINEERING MOCHA V1.0 Category: - Routine - Enhancement (Mandatory) Description: ============ This patch is part of a group of patches that make up the new Medication Order Check Healthcare Application v1.0 (MOCHA). These patches will replace most of the current VistA medication order checking system with version 1.0 of the new Medication Order Check Healthcare Application (MOCHA) system that uses the First DataBank (FDB) Drug Information Framework (DIF) interfaces and database. The VistA Drug Interaction module will be replaced by the FDB Drug-Drug Interaction Module (DDIM). The VistA Duplicate Class module will be replaced by the FDB Enhanced Therapeutic Classification (ETC) System. In addition, the following three order checks that use VistA data have been added to Inpatient Medications and Outpatient Pharmacy. These checks currently occur in Computerized Patient Record System (CPRS), but will be new to Pharmacy with the installation of these patches: Aminoglycoside Ordered Dangerous Meds for Patients > 64 Glucophage - Lab Results A new Graphical User Interface (GUI) module is also being introduced called Pharmacy Enterprise Customization System (PECS), to be used only by members of Pharmacy Benefits Management (PBM). It will allow the NDF Support Group to customize the data provided by FDB for use in VistA. The following three patient safety issues have also been addressed in these patches: Order Checks on PreMix IV Solutions (PSI-06-012) Order Check display sequence changes (PSI-07-080) Eliminating confusion in Inpatient Medications Order Check display and processing (PSI-07-080) Please refer to the documentation referenced below for more information. MOCHA v1.0 consists of two host files: PSS_1_136.zip, PRE_I_3_PHARMACY_BUILD.KID, and two patches PSS*1*117 and PSO*7*375. These files and patches contain software that support MOCHA v1.0 functionality. The host files were created to simplify installation at Veterans Health Administration (VHA) facilities and to assist in the phased implementation release method for MOCHA v1.0. To see current status and target dates for Sites/VISN/Region please refer to the following site: http://vaww.itfo.portal.va.gov/svcs/itfopmo/pre05/default.aspx Sites will be provided instructions and guidance on installation and implementation by the MOCHA Implementation team. Installation information for MOCHA v1.0 is included in the VistA to MOCHA v1.0 Interface Installation Guide and the MOCHA v1.0 Combined Build Installation Guide. The patch post installation routine changes the Order Check file (#100.8) IEN 17 "DUPLICATE DRUG CLASS ORDER" changed to "DUPLICATE DRUG THERAPY". Please refer to the release notes for more information on the functional changes relating to DUPLICATE DRUG THERAPY. Patch Information: PSS_1_136.zip includes the components necessary for the interface that will be used in MOCHA v1.0: PRE_I_3_INTERFACE_BUILD.KID (contains PSS*1*136) PSSPRE_1_0.XML PRE_I_3_PHARMACY_BUILD.KID includes the following required patches to enable the MOCHA v1.0 functionality: PSO*7*251 PSJ*5*181 OR*3*272 These patches will be distributed as standalone patches via FORUM and will support MOCHA v1.0: PSS*1*117 PSO*7*375 The software will be distributed in a controlled process due to the phased implementation. During each implementation phase, the Implementation Team will provide each site the instructions and location to obtain the software. Documentation Retrieval: ------------------------ Updated documentation describing the new functionality introduced by this patch will be downloaded to sites from the FTP address as directed by the PRE Implementation team. The documentation distribution includes: File Description File Name FTP Mode -------------------------------------------------------------------------- CPRS GUI User Manual CPRSGUIUM.PDF (binary) CPRS Technical Manual CPRSLMTM.PDF (binary) CPRS Setup Manual CPRSSETUP.PDF (binary) PDM Technical Manual/Security Guide (Revised April 2011) PSS_1_TM_R0411.PDF (binary) PDM Technical Manual Change Pages PSS_1_P136_AND_P117_TM_CP.PDF (binary) PDM User Manual (Revised April 2011) PSS_1_UM_R0411.PDF (binary) PDM User Manual Change Pages PSS_1_P136_AND_P117_UM_CP.PDF (binary) Medication Order Check Healthcare Application (MOCHA) v1.0 Release Notes PSO_7_PSJ_5_PSS_1_RN.PDF (binary) Medication Order Check Healthcare Application (MOCHA) v1.0 Combined Build Installation Guide MOCHA_CB_PSS_1_P117_IG.PDF (binary) VistA to MOCHA v1.0 Interface Installation Guide PSS_1_IG_R0411.PDF (binary) The CPRS Help Files have also been updated to reflect changes made in this patch. Once released, documentation may be retrieved from the VA Software Document Library (VDL) on the Internet at the following address, http://www.va.gov/vdl Components Sent With Patch -------------------------- Routine Summary The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[patch list]**;Dec 17, 1997 Total number of routines modified: 6 Total number of new routines: 1 Total number of routines: 7 The following is a list of files included in this patch: ======================================================== There are no files associated with this patch. Test Sites: ----------- BOISE, ID CHARLESTON, SC KANSAS CITY, MO NORTHERN CALIFORNIA HCS, CA PALO ALTO HCS, CA TUSCALOOSA HCS, AL INSTALLATION INSTRUCTIONS: ================================== Sites will be given access to the VISTA TO MOCHA V1.0 INTERFACE INSTALLATION GUIDE and the MOCHA V1.0 COMBINED BUILD INSTALLATION GUIDE during their implementation. Sites will be contacted with installation instructions and guidance by the Implementation Team. 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 52 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ORKCHK4 Before: B26885813 After: B22903679 **6,32,74,87,94,123,162,190,249,272** Routine Name: ORKCHK6 Before: B31072886 After: B26186989 **6,32,74,87,94,123,162,190, 249,280,272** Routine Name: ORKPS Before: B48296673 After: B59221403 **6,32,74,94,123,141,190,232, 316,272** Routine Name: ORKPS1 Before: B19784774 After: B67186878 **232,272** Routine Name: OROCAPI Before: n/a After: B1276161 **272** Routine Name: ORX8 Before: B13883123 After: B14076092 **13,21,48,68,92,141,163,272** Routine Name: ORY272 Before: n/a After: B1468191 **272** Routine list of preceding patches: 163, 280, 316 ============================================================================= User Information: Entered By : HAWSEY,JASON Date Entered : MAR 20, 2007 Completed By: SHANE,CLARK Date Completed: APR 19, 2011 Released By : SCHMIT,BECKY Date Released : APR 19, 2011 ============================================================================= Packman Mail Message: ===================== No routines included