============================================================================= Run Date: APR 19, 2011 Designation: PSO*7*251 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #310 Status: Released Compliance Date: SEP 15, 2011 ============================================================================= Associated patches: (v)PSS*1*129 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*279 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*287 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*289 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*298 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*324 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*334 <<= must be installed BEFORE `PSO*7*251' (v)PSO*7*358 <<= must be installed BEFORE `PSO*7*251' Subject: MEDICATION ORDER CHECK HEALTHCARE APPLICATION v1.0 Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Other 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: PRE_1_3_PHARMACY_BUILD.KID, PSS_1_136.zip, 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. ************************** WARNING *************************** ************************************************************** If your facility has the Parata or Kirby Lester interface from ILC, this patch will overwrite any "local" modifications in routines PSOCAN2, PSOCAN3, PSOLBL, PSORXL and PSORXL1. This could affect certain orders being sent across this interface. The modifications will have to be reintroduced following installation of this patch. ************************************************************** ************************************************************** 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. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- #339431 - Outpatient Pharmacy allows entry of 2 Rxs for the same drug. #188098 - 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). Associated PSIs: ---------------- PSI-07-080 Components Exported With Patch: ------------------------------- The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ----------------------------------- ------------------------------ DISCONTINUE TYPE 100.1 PRESCRIPTION 52 Description - This field is used to distinguish what type of external discontinue action occurred for a prescription. RECENTLY DC'D/EXPIRED DAYS 3.2 OUTPATIENT SITE 59 Description - This field indicates the number of days a discontinued or expired prescription appears in reverse video on a patient's medication profile. The following is a list of options included in this patch: Option Name Type Action ----------- ---- ------ PSO ORDER CHECKS VERIFY Run SEND TO SITE PSO INTERACTION VERIFY Run DELETE AT SITE ================OTHER================= The following menu item, PSO LM INTERVENTION MENU, was added to the following menus, PSO HIDDEN ACTIONS #2, PSO HIDDEN ACTIONS #1 and PSO HIDDEN ACTIONS. The following menu items are linked to the following menu PSO LM INTERVENTION MENU, PSO LM DELETE INTERVENTION, PSO LM EDIT INTERVENTION, PSO LM ADD INTERVENTION, PSO LM PRINT INTERVENTION and PSO LM VIEW INTERVENTION. None of the aforementioned menus or their menus items are new for this release. The following is a list of protocols included in this patch: Protocol Name ACTIONS -------------------------------------------------------------------------- PSO HIDDEN ACTIONS #2 USE AS LINK FOR MENU ITEMS PSO LM ACTION PROFILE SEND TO SITE PSO LM BACKDOOR SELECT ORDER SEND TO SITE PSO LM DISPLAY ORDER STATUS SEND TO SITE PSO LM HIDDEN OTHER SEND TO SITE PSO LM INPATIENT MEDICATION PROFILE SEND TO SITE PSO LM MEDICATION PROFILE SEND TO SITE PSO LM MULTI-RX PRINT SEND TO SITE PSO LM NON-VA MEDS RPT SEND TO SITE PSO LM PRINT MED INFO SEND TO SITE PSO NEW ORDER SEND TO SITE PSO PATIENT INFORMATION SEND TO SITE PSO PATIENT RECORD UPDATE SEND TO SITE PSO SPEED CANCEL SEND TO SITE PSO SPEED PULL SUSPENSE SEND TO SITE PSO SPEED REFILL SEND TO SITE PSO SPEED RELEASE SEND TO SITE PSO SPEED RENEW SEND TO SITE PSO SPEED REPRINT SEND TO SITE VALM DOWN A LINE SEND TO SITE VALM FIRST SCREEN SEND TO SITE VALM GOTO PAGE SEND TO SITE VALM LAST SCREEN SEND TO SITE VALM LEFT SEND TO SITE VALM NEXT SCREEN SEND TO SITE VALM PREVIOUS SCREEN SEND TO SITE VALM PRINT LIST SEND TO SITE VALM PRINT SCREEN SEND TO SITE VALM QUIT SEND TO SITE VALM REFRESH SEND TO SITE VALM RIGHT SEND TO SITE VALM SEARCH LIST SEND TO SITE VALM TURN ON/OFF MENUS SEND TO SITE VALM UP ONE LINE SEND TO SITE PSO HIDDEN ACTIONS #1 USE AS LINK FOR MENU ITEMS PSO LM INTERVENTION MENU SEND TO SITE PSO LM DELETE INTERVENTION SEND TO SITE PSO LM EDIT INTERVENTION SEND TO SITE PSO LM ADD INTERVENTION SEND TO SITE PSO LM PRINT INTERVENTION SEND TO SITE PSO HIDDEN ACTIONS USE AS LINK FOR MENU ITEMS PSO ACTIVITY LOGS SEND TO SITE PSO LM BACKDOOR COPY SEND TO SITE PSO HOLD SEND TO SITE PSO UNHOLD SEND TO SITE PSO VERIFY SEND TO SITE PSO REPRINT SEND TO SITE PSO PULL ONE RX FROM SUSPENSE SEND TO SITE PSO DRUG RESTR/GUIDE INFO SEND TO SITE PSO REJECT DISPLAY OUTSIDE CALL SEND TO SITE PSO LM VIEW INTERVENTION SEND TO SITE Test Sites ========== BOISE, ID CHARLESTON, SC KANSAS CITY, MO NORTHERN CALIFORNIA HCS, CA PALO ALTO HCS, CA TUSCALOOSA, AL 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 MOCHA Implementation team. This documentation will be in the form of Adobe Acrobat files. The documentation distribution includes: FILE NAME DESCRIPTION ========= =========== PSO_7_MAN_UM_R0411.PDF Outpatient Pharmacy V. 7.0 Manager's User Manual PSO_7_P251_MAN_UM_CP.PDF Outpatient Pharmacy V. 7.0 Manager's User Manual Change Pages PSO_7_PHAR_UM_R0411.PDF Outpatient Pharmacy V. 7.0 Pharmacist's User Manual PSO_7_P251_PHAR_UM_CP.PDF Outpatient Pharmacy V. 7.0 Pharmacist's User Manual Change Pages PSO_7_TECH_UM_R0411.PDF Outpatient Pharmacy V. 7.0 Technician's User Manual PSO_7_P251_TECH_UM_CP.PDF Outpatient Pharmacy V. 7.0 Technician's User Manual Change Pages PSO_7_TM_R0411.PDF Outpatient Pharmacy V. 7.0 Technical Manual/Security Guide PSO_7_P251_TM_CP.PDF Outpatient Pharmacy V. 7.0 Technical Manual/Security Guide Change Pages PSO_7_PSJ_5_PSS_1_RN.PDF Medication Order Check Healthcare Application (MOCHA) v1.0 Release Notes PSS_1_IG_R0411.PDF VistA to MOCHA v1.0 Interface Installation Guide MOCHA_CB_PSS_1_P117_IG.PDF MOCHA v1.0 Combined Build Installation Guide Documentation can also be retrieved from the Vista Software Documentation Library (VDL) on the Internet at the following address: http://www.va.gov/vdl. ================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. The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 202 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSO251PO Before: n/a After: B7870474 **251** Routine Name: PSOAUTOC Before: B66619284 After: B66695978 **3,24,30,36,88,146,132,223, 148,249,324,251** Routine Name: PSOBUILD Before: B39788051 After: B42733386 **23,82,119,132,235,206,251** Routine Name: PSOCAN Before: B47289602 After: B49079548 **11,21,24,27,32,37,88,117,131, 185,253,251** Routine Name: PSOCAN2 Before: B71168070 After: B76842420 **8,18,62,46,88,164,235,148, 259,281,287,251** Routine Name: PSOCAN3 Before: B70537692 After: B71472770 **15,24,27,32,36,94,88,117,131, 146,139,132,223,235,148,249, 225,324,251** Routine Name: PSOCMOP Before: B37104900 After: B39239270 **2,16,21,27,43,61,126,148,274, 347,251** Routine Name: PSOCPPRE Before: n/a After: B10424566 **251** Routine Name: PSODDPR1 Before: n/a After: B53867555 **251** Routine Name: PSODDPR2 Before: n/a After:B152050761 **251** Routine Name: PSODDPR3 Before: n/a After:B158305951 **251** Routine Name: PSODDPR4 Before: n/a After: B78835687 **251** Routine Name: PSODDPR5 Before: n/a After: B70994765 **251** Routine Name: PSODDPRE Before: n/a After:B115217514 **324,251** Routine Name: PSODELI Before: B2912116 After: B7741003 **10,268,251** Routine Name: PSODGAL1 Before: n/a After: B18486423 **251** Routine Name: PSODGDG1 Before: B34909765 After: B41300360 **251** Routine Name: PSODGDG2 Before: B12156402 After: B14020404 **27,130,251** Routine Name: PSODGDGP Before: n/a After: B48532465 **251** Routine Name: PSODOSCL Before: n/a After: B27277557 **251** Routine Name: PSODOSU2 Before: n/a After: B79224153 **251** Routine Name: PSODOSUN Before: n/a After: B34559589 **251** Routine Name: PSODOSUT Before: n/a After:B107545070 **251** Routine Name: PSODRDU2 Before: B29471172 After: B21988780 **132,251** Routine Name: PSODRG Before: B38932823 After: B61621761 **20,23,36,53,54,46,112,139, 207,148,243,268,324,251** Routine Name: PSODSPL Before: B19120882 After: B20367519 **132,251** Routine Name: PSOFUNC Before: B6545033 After: B6752191 **146,223,249,251** Routine Name: PSOHLNEW Before: B80638841 After: B83284791 **1,7,15,46,71,98,111,124,117, 131,146,132,143,223,235,148, 239,249,225,324,251** Routine Name: PSOLBL Before: B63221606 After: B65338340 **8,19,30,36,47,71,92,120,157, 244,206,225,303,266,326,251** Routine Name: PSOLBLD Before: B27529765 After: B32921586 **117,251** Routine Name: PSOLBLN Before: B33988152 After: B58195867 **16,36,71,107,110,117,135,233,251** Routine Name: PSOLLL8 Before: B24617611 After: B27800299 **120,251** Routine Name: PSOLLLI Before: B66532826 After: B67875911 **120,157,189,161,244,200,206, 225,303,266,326,251** Routine Name: PSOLMAO Before: B247627 After: B1822420 **225,251** Routine Name: PSON52 Before: B64423774 After: B70712029 **1,16,23,27,32,46,71,111,124, 117,131,139,157,143,219,148, 239,201,268,260,225,303,358, 251** Routine Name: PSONEW Before: B28292272 After: B28582823 **11,27,32,46,94,130,268,225,251** Routine Name: PSONEW2 Before: B32398190 After: B41668970 **32,37,46,71,94,124,139,157, 143,226,237,239,225,251** Routine Name: PSOORDRG Before: B43080029 After: B43185005 **3,29,49,46,81,105,134,144, 132,188,207,148,243,251** Routine Name: PSOORED2 Before: B73436344 After: B74670919 **2,51,46,78,102,114,117,133, 159,148,247,260,281,289,276, 358,251** Routine Name: PSOORED3 Before: B56356282 After: B61521458 **46,78,99,117,133,148,249,251** Routine Name: PSOORED4 Before: B47668549 After: B52076927 **46,91,78,99,111,117,133,159, 148,251** Routine Name: PSOORED5 Before: B54868370 After: B59866468 **46,75,78,100,99,117,133,251** Routine Name: PSOORED6 Before: B63277277 After: B68912143 **78,104,117,133,143,219,148, 247,268,260,269,251** Routine Name: PSOORFI4 Before: B81135007 After: B81645508 **46,74,78,99,117,131,207,258, 274,300,308,251** Routine Name: PSOORNE1 Before: B69029902 After: B73585771 **11,21,27,32,37,46,71,94,104, 117,133,148,279,251** Routine Name: PSOORNE2 Before: B68054586 After: B68912310 **11,21,23,27,32,37,46,84,103, 117,131,146,156,210,148,222, 238,264,281,289,251** Routine Name: PSOORNEW Before: B72157265 After: B74656936 **11,23,27,32,55,46,71,90,94, 106,131,133,143,237,222,258, 206,225,251** Routine Name: PSOORNW1 Before: B43500701 After: B44316879 **23,46,78,117,131,133,172,148, 222,268,206,251** Routine Name: PSOORNW2 Before: B45461771 After: B45717814 **10,23,37,46,117,131,133,148, 222,269,206,251** Routine Name: PSOORRD2 Before: B23700480 After: B24528466 **207,251** Routine Name: PSOORRDI Before: B63177422 After: B49421616 **207,243,251** Routine Name: PSOORROC Before: n/a After: B54619210 **251** Routine Name: PSOORUT1 Before: B71103407 After: B78073421 **1,14,30,46,132,148,233,274, 225,305,289,251** Routine Name: PSOP1 Before: B26127323 After: B26371231 **15,46,103,132,148,233,326,251** Routine Name: PSORENW0 Before: B79577371 After: B84117072 **11,27,32,59,64,46,71,96,100, 130,237,206,251** Routine Name: PSORN52 Before: B47667744 After: B50777957 **1,11,27,37,46,79,71,100,117, 157,143,219,148,239,201,225, 303,358,251** Routine Name: PSORN52C Before: B49927643 After: B50060838 **1,7,11,27,46,75,87,100,111, 124,117,131,146,148,200,225, 251** Routine Name: PSORX1 Before: B63276635 After: B66023082 **7,22,23,57,62,46,74,71,90, 95,115,117,146,139,135,182,195, 233,268,300,170,320,326,324, 334,251** Routine Name: PSORXI Before: B11542094 After: B15085329 **268,324,251** Routine Name: PSORXL Before: B74408988 After: B74408988 **8,21,24,32,47,135,148,287,334,251** Routine Name: PSORXL1 Before: B49207569 After: B52372204 **36,46,148,260,274,287,289,358,251** Routine Name: PSORXPR Before: B29756238 After: B29984044 **131,156,148,251** Routine Name: PSORXRP2 Before: B33732214 After: B33732214 **11,27,120,138,135,156,185,280,251** Routine Name: PSOVER Before: B63192896 After: B81926399 **16,21,27,117,131,146,251** Routine Name: PSOVER1 Before: B57808886 After:B108309187 **32,46,90,131,202,207,148,243, 268,281,324,358,251** Routine Name: PSOVER2 Before: B13290514 After: B13436802 **131,251** Routine Name: PSOVRPT Before: B19486000 After: B19926932 **251** Routine list of preceding patches: 253, 279, 280, 308, 334, 347, 358 ============================================================================= User Information: Entered By : RUZBACKI,RON T Date Entered : JUL 07, 2006 Completed By: CHALASANI,LAKSHMI Date Completed: APR 19, 2011 Released By : VECE,VIRGINIA Date Released : APR 19, 2011 ============================================================================= Packman Mail Message: ===================== No routines included