============================================================================= Run Date: APR 19, 2011 Designation: PSJ*5*181 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #209 Status: Released Compliance Date: SEP 15, 2011 ============================================================================= Associated patches: (v)PSJ*5*60 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*98 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*137 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*147 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*148 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*149 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*155 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*161 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*162 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*168 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*179 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*184 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*185 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*186 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*198 <<= must be installed BEFORE `PSJ*5*181' (v)PSJ*5*221 <<= must be installed BEFORE `PSJ*5*181' Subject: MEDICATION ORDER CHECK HEALTHCARE APPLICATION v1.0 Category: - Routine - Data Dictionary 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 this release: 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 MOCHA v1.0 Release Notes for additional 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. 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. Please refer to the documentation referenced below for more information. ******************************* WARNING ********************************** If your facility has the Pyxis/Omnicell/McKesson interface from ILC this patch will overwrite any "local" modifications in routines PSGOEE and PSJCOMR. This could affect certain orders being sent across this interface. The modifications will have to be reintroduced following installation of this patch. ************************************************************************** If a patient has a non-VA med order without a dosage specified, the order check process will loop through each of the dispense drugs tied to the Pharmacy Orderable Item. This causes multiple warning messages to display for the same order. This patch calls ^PSODDPR4 routine, a new application programming interface (API), that will use the first active dispense drug found for the Pharmacy Orderable Item in the order checks. The following tickets are addressed with this fix: HD0000000130974 HD0000000143776 HD0000000144157 HD0000000170500 HD0000000213650 HD0000000295220 HD0000000188980 When a pending unit dose order was selected for finishing, only part of the CPRS order checks narrative was displayed. HD0000000313339 This patch will include entries marked for premixes in the IV SOLUTIONS File (#52.7) in the order checks. PSI-06-012, HD0000000067588, HD0000000128116 The display of the order checks and allergy information is causing confusion to the user when prompting to log an intervention. It was not clear which warnings the intervention is being logged for. This patch is changing the display for the order checks and allergy warnings. PSI-07-080(HD0000000188098). When the additive field is edited on a pending order during the finishing process, a new order is not created. This patch will create a new order for this situation. HD0000000307136 This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following Associated PSIs: --------------------------------------------------- PSI-07-080 PSI-06-012 This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- HD0000000130974 Problems with order checks looping HD0000000143776 Unable to complete Inpatient Order HD0000000144157 Lots of duplicate order checks HD0000000170500 Excessive order check for inpatient meds HD0000000188980 Unable to finish/verify orders HD0000000213650 Multiple duplicate order checks HD0000000295220 UD Rx processing repeats interaction warnings HD0000000313339 Partial CPRS order checks narrative was display HD0000000067588 Order Check Problem (Pre-mix) HD0000000128116 E3R #19349, Order Checks for IV Fluids (RTU solutions) HD0000000307136 Edit the additive while finishing an IV pending order HD0000000188098 Not all order checks displayed when verifying order Components Exported With Patch: ------------------------------- The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ----------------------------- --------------------------------------- HOURS OF RECENTLY DC/EXPIRED 7 INPATIENT WARD PARAMETERS 59.6 The following is a list of templates included in this patch: Template Name File Name (Number) ----------------------------- --------------------------------------- PSJ IWP EDIT INPATIENT WARD PARAMETERS 59.6 The following is a list of protocols included in this patch: Protocol Name ACTIONS ------------- ---------------------- PSJ LM ORDER VIEW HIDDEN ACTIONS USE AS LINK FOR MENU ITEMS PSJ LM PHARMACY INTERVENTION MENU MERGE MENU ITEMS PSJ LM PROFILE HIDDEN ACTIONS USE AS LINK FOR MENU ITEMS 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: FILENAME DESCRIPTION -------- ----------- PSS_1_IG_R0411.PDF VistA to MOCHA v1.0 Interface Installation Guide PSO_7_PSJ_5_PSS_1_RN.PDF Medication Order Check Healthcare Application (MOCHA) v1.0 Release Notes MOCHA_CB_PSS_1_P117_IG.PDF MOCHA v1.0 Combined Build Installation Guide PSJ_5_NURSE_UM_R0411.PDF Inpatient Medications Nurse's User Manual PSJ_5_PHAR_UM_R0411.PDF Inpatient Medications Pharmacist's User Manual PSJ_5_SUPR_UM_R0411.PDF Inpatient Supervisor's User Manual PSJ_5_TM_R0411.PDF Inpatient Medications Technical Manual/ Security Guide PSJ_5_P181_NURSE_UM_CP.PDF Inpatient Medications Nurse's User Manual Change Pages PSJ_5_P181_PHAR_UM_CP.PDF Inpatient Medications Pharmacist's User Manual Change Pages PSJ_5_P181_SUPR_UM_CP.PDF Inpatient Supervisor's User Manual Change Pages PSJ_5_P181_TM_CP.PDF Inpatient Medications Technical Manual/ Security Guide Change Pages Once released, documentation may be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl Test Sites: =========== BOISE, ID CHARLESTON, SC KANSAS CITY, MO NORTHERN CALIFORNIA HCS, CA PALO ALTO HCS, CA TUSCALOOSA, AL The second line of each of these routines now looks like: ;;5.0; INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 190 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSGFILED Before: B24389200 After: B24429385 **20,50,63,119,110,111,112,154, 184,181** Routine Name: PSGO Before: B25169824 After: B25195352 **4,58,110,181** Routine Name: PSGOD Before: B19402686 After: B21325344 **67,58,111,133,181** Routine Name: PSGOE Before: B25900556 After: B26201410 **22,29,56,72,95,80,133,181** Routine Name: PSGOE7 Before: B18772802 After: B19204515 **9,26,34,52,55,50,87,111,181** Routine Name: PSGOE82 Before: B20573084 After: B20946655 **2,35,50,67,58,81,127,168,181** Routine Name: PSGOEC Before: B67210353 After: B67778509 **23,58,110,175,201,134,181** Routine Name: PSGOECS Before: B48040655 After: B48391335 **23,29,44,58,81,110,134,181** Routine Name: PSGOEE Before: B63399742 After: B73215103 **4,7,29,47,64,58,82,91,110, 111,112,142,179,181** Routine Name: PSGOEF Before: B83231206 After: B92772116 **7,30,29,35,39,47,50,56,80, 116,110,111,133,153,134,222, 113,181** Routine Name: PSGOEF1 Before: B29654971 After: B29780196 **2,7,35,39,45,47,50,63,67,58, 95,110,186,181** Routine Name: PSGOER Before: B73856519 After: B79614016 **11,30,29,35,70,58,95,110,111, 133,141,198,181** Routine Name: PSGOER0 Before: B21577841 After: B22183476 **11,45,47,50,63,64,70,69,58, 80,110,127,136,181** Routine Name: PSGOERI Before: B16682330 After: B17021979 **17,27,31,88,110,137,181** Routine Name: PSGOES Before: B19404808 After: B21797415 **12,22,30,34,50,58,111,181** Routine Name: PSGOESF Before: B27646476 After: B31588811 **7,11,29,35,127,133,221,181** Routine Name: PSGOU Before: B31137117 After: B31799973 **34,110,181** Routine Name: PSGP Before: B11482901 After: B11885377 **10,53,111,181** Routine Name: PSGSETU Before: B13119552 After: B13243102 **3,11,26,39,58,115,133,181** Routine Name: PSGSICHK Before: B68358169 After: B80627011 **3,9,26,29,44,49,59,110,139, 146,160,175,201,185,181** Routine Name: PSIV Before: B25417268 After: B24224990 **7,16,29,38,53,56,72,58,110,181** Routine Name: PSIVACT Before: B16249645 After: B16650605 **15,38,58,110,181** Routine Name: PSIVEDRG Before: B44029620 After: B44643985 **21,33,50,65,74,84,128,147,181** Routine Name: PSIVEDT Before: B41996183 After: B49813774 **4,110,127,133,134,181** Routine Name: PSIVOC Before: n/a After: B12227272 **181** Routine Name: PSIVOCDS Before: n/a After:B112584128 **181** Routine Name: PSIVOD Before: B13277996 After: B13557709 **110,127,181** Routine Name: PSIVOPT Before: B56600170 After: B57204242 **17,27,58,88,104,110,155,181** Routine Name: PSIVOPT1 Before: B39564315 After: B44616556 **29,58,101,110,127,181** Routine Name: PSIVOPT2 Before: B34249546 After: B36149205 **23,29,58,110,127,133,135,157,181** Routine Name: PSIVORC1 Before: B43227243 After: B45810564 **1,37,69,110,157,134,181** Routine Name: PSIVORC2 Before: B58079429 After: B56200056 **29,49,50,65,58,85,101,110, 127,151,181** Routine Name: PSIVORE Before: B41910420 After: B42579774 **18,29,50,56,58,81,110,127, 133,157,203,213,181** Routine Name: PSIVORFB Before: B61354894 After: B61355252 **3,18,28,68,58,85,110,111,120, 134,213,161,181** Routine Name: PSIVPRO Before: B34459076 After: B36988166 **38,58,85,110,181** Routine Name: PSIVUTL Before: B27771040 After: B28169331 **69,58,81,85,110,133,181** Routine Name: PSJAC Before: B14263824 After: B14319225 **8,10,50,127,181** Routine Name: PSJADT0 Before: B32509433 After: B33159772 **17,111,112,135,181** Routine Name: PSJAPIDS Before: n/a After: B29473329 **181** Routine Name: PSJBLDOC Before: n/a After: B34049037 **181** Routine Name: PSJCOMR Before: B76543767 After: B75920625 **110,127,136,157,181** Routine Name: PSJGMRA Before: n/a After: B17486425 **181** Routine Name: PSJHL5 Before: B31480184 After: B32301721 **1,28,39,40,42,84,85,95,80, 173,134,181** Routine Name: PSJHL6 Before: B30866688 After: B31795642 **1,11,27,34,40,42,51,59,88,98,181** Routine Name: PSJHLU Before: B34501644 After: B34870321 **1,56,72,102,134,181** Routine Name: PSJHVARS Before: B73339517 After: B74499296 **16,22,30,58,181** Routine Name: PSJLIACT Before: B40055313 After: B42251773 **15,47,62,58,82,97,80,110,111, 134,181** Routine Name: PSJLIFN Before: B25627091 After: B28386650 **1,29,34,37,42,47,50,56,94, 80,116,110,181** Routine Name: PSJLIFNI Before: B11199375 After: B11257196 **1,29,34,37,50,94,116,110,111,181** Routine Name: PSJLIVFD Before: B39296093 After: B39326819 **7,50,63,64,58,81,91,80,116, 110,111,180,134,181** Routine Name: PSJLMHED Before: B27197793 After: B30170338 **4,58,85,110,148,181** Routine Name: PSJLMPRI Before: B18941536 After: B19651424 **58,85,118,110,133,154,181** Routine Name: PSJLMPRU Before: B13929235 After: B14487092 **16,58,85,110,185,181** Routine Name: PSJLMUDE Before: B59012480 After: B62710638 **7,47,50,63,64,58,80,116,110, 111,164,175,201,181** Routine Name: PSJLMUT1 Before: B65316144 After: B67028323 **4,27,29,49,58,107,110,146, 175,201,181** Routine Name: PSJMISC Before: n/a After: B44078587 **181** Routine Name: PSJMISC2 Before: n/a After: B11318290 **181** Routine Name: PSJMON Before: n/a After: B33274000 **181** Routine Name: PSJO Before: B21417551 After: B23069149 **31,58,110,181** Routine Name: PSJO1 Before: B30966503 After: B32562541 **3,47,56,58,109,110,127,162,181** Routine Name: PSJOC Before: n/a After: B19432161 **181** Routine Name: PSJOCDC Before: n/a After: B1499223 **181** Routine Name: PSJOCDI Before: n/a After: B82259996 **181** Routine Name: PSJOCDS Before: n/a After: B61757941 **181** Routine Name: PSJOCDSD Before: n/a After: B19852742 **181** Routine Name: PSJOCDT Before: n/a After: B28304577 **181** Routine Name: PSJOCERR Before: n/a After: B3747914 **181** Routine Name: PSJOCOR Before: n/a After: B3349794 **181** Routine Name: PSJOCVAR Before: n/a After: B55813758 **16,22,30,58,181** Routine Name: PSJOE Before: B83953005 After: B83867833 **7,26,29,33,42,50,56,72,58, 85,95,80,110,111,133,140,151, 149,181** Routine Name: PSJOE1 Before: B23435460 After: B27457189 **2,7,25,30,47,56,64,179,181** Routine Name: PSJP Before: B18154439 After: B20677558 **10,53,60,181** Routine Name: PSJRXI Before: B9572318 After: B11564101 **3,181** Routine list of preceding patches: 60, 98, 113, 137, 147, 148, 149, 155 161, 162, 168, 179, 184, 185, 186, 198, 221 ============================================================================= User Information: Entered By : FLEGEL,CHRIS M Date Entered : JUL 07, 2006 Completed By: SAVKOVIC,DAVID Date Completed: APR 15, 2011 Released By : VECE,VIRGINIA Date Released : APR 19, 2011 ============================================================================= Packman Mail Message: ===================== No routines included