$TXT Created by HAWSEY,JASON at CPRS29.FO-SLC.MED.VA.GOV  (KIDS) on Wednesday, 07/27/11 at 07:16
=============================================================================
Run Date: AUG 11, 2011                     Designation: OR*3*346
Package : OR - ORDER ENTRY/RESULTS REPORTING  Priority: EMERGENCY
Version : 3       SEQ #292                      Status: Released
                  Compliance Date: SEP 15, 2011
=============================================================================

Associated patches: (v)OR*3*272    <<= must be installed BEFORE `OR*3*346'

Subject: PHARMACY RE-ENGINEERING MOCHA V1.0 FOLLOWUP PATCH

Category: 
  - Routine

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

 ****************************** Note **************************************
 This patch is a follow-up patch for Medication Order Check Healthcare 
 Application v1.0 (MOCHA).  The MOCHA v1.0 patches are being released as a 
 phased implementation release.  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 should have received instructions and guidance on the installation 
 of MOCHA v1.0 as it is a phased implementation. Patches PSO*7*387,
 PSJ*5*263, PSS*1*163 and OR*3*346 need to be installed within 2 business 
 days at all sites that have MOCHA v1.0 installed in production.  The 
 remaining sites need to install the patches included with this release 
 immediately after the installation of the MOCHA v1.0 patches.  These 
 patches may be installed in any order after the MOCHA v1.0 patches are 
 installed.   (The MOCHA v1.0 installation included patches PSS*1*136, 
 PSO*7*251, PSJ*5*181, OR*3*272, PSS*1*117, PSO*7*375)
  
 **************************************************************************
  
 Specific issues handled
 with this patch include the following:
  
 - Vendor DB Down
    It was reported that upon signature of the order, the Order Check 
 Detail no longer displayed that Order Checks could not be performed for 
 Drug Interactions when the First Data Bank (FDB) database was down.  This 
 issue has been fixed in this patch.
  
 - Double Drug-Drug Interaction
    For certain drug-drug interaction such as Warfarin/Amiodarone, at the 
 time of signature the user would receive two identical order checks.  
 This has been fixed in this patch.
  
 - Timeout when signing large numbers of med orders
    A scenario where the user would enter large number of med orders 
 (either through a large order set or many individual orders) and choose 
 to sign all of those orders at once was causing CPRS to hang and 
 eventually timeout.  This would result in a locked patient chart and the 
 user could not finish signing the orders.  It was determined that 
 repetitive and unnecessary calls to the FDB server were taking place for 
 each med order being signed.  This patch modifies the implementation of 
 how CPRS processes the Pharmacy Enhanced Order Checks to remove the 
 redundant calls and thus improving Order Check performance which in 
 turn eliminates the Timeout scenario. This issue is logged as Remedy 
 Ticket HD0000000502389.
  
  
 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:
   
   <tab>;;3.0;ORDER ENTRY/RESULTS REPORTING;**[patch list]**;Dec 17, 1997
   
 Total number of routines modified: 8
 Total number of new routines: 0
 Total number of routines: 8
  
 The following is a list of files included in this patch:
 ========================================================
 There are no files associated with this patch.   
  
 Remedy Tickets:
 ---------------
 502389 
 505254
    
 Test Sites:
 -----------
 Palo Alto HCS
 VAMC Oklahoma City
 Heartland West
 Tuscaloosa
  
 INSTALLATION INSTRUCTIONS:
 ==========================
 Below are the basic instructions for this patch. OR*3*346 is part of the 
 MOCHA 1.0 follow-up release but is being distributed as a standalone 
 patch.  Thus it can be installed at any time after the required patch 
 OR*3*272 is installed.
  
 It is not necessary to disable any options. You may install 
 these routines at any time without interruption to users. It should
 take less than 10 minutes to install this patch.
  
   1. Choose the PackMan message containing this patch and invoke the
          INSTALL/CHECK MESSAGE PackMan option. 
  
   2. From the Kernel Installation & Distribution System menu, select 
          the Installation menu.  
  
   3. From this menu, you may select to use the following options: 
          (when prompted for INSTALL NAME, enter OR*3.0*346)
    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. Use the Install Package(s) option and select the package 
          OR*3.0*346
  
   5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? 
          YES//" respond NO.  
  
   6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, 
          and Protocols? YES//" respond NO.

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 5

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

Routine Name: ORCHECK
    Before:B109684735   After:B109156050  **7,56,70,94,141,215,243,293,
                                           280,346**
Routine Name: ORCSAVE2
    Before: B84878914   After: B84601504  **4,27,56,70,94,116,190,157,
                                           215,265,243,293,280,346**
Routine Name: ORKCHK6
    Before: B26186989   After: B26376206  **6,32,74,87,94,123,162,190,
                                           249,280,272,346**
Routine Name: ORKPS
    Before: B59221403   After: B67862708  **6,32,74,94,123,141,190,232,
                                           316,272,346**
Routine Name: ORKPS1
    Before: B67186878   After: B71033645  **232,272,346**
Routine Name: OROCAPI1
    Before: B44849780   After: B44857555  **293,346**
Routine Name: ORQ2
    Before: B52016905   After: B51979169  **12,56,75,94,141,213,195,243,
                                           282,293,280,346**
Routine Name: ORWDXC
    Before: B52838872   After: B61402104  **10,141,221,243,280,346**
 
Routine list of preceding patches: 272

=============================================================================
User Information:
Entered By  : HAWSEY,JASON                  Date Entered  : MAR 14, 2011
Completed By: SHANE,CLARK                   Date Completed: AUG 11, 2011
Released By : SCHMIT,BECKY                  Date Released : AUG 11, 2011
=============================================================================


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

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