============================================================================= Run Date: MAR 29, 2024 Designation: PREA*1*6 Package : PREA - ADVANCED MEDICATION PLATFORM Priority: Mandatory Version : 1 SEQ #5 Status: Released Compliance Date: APR 29, 2024 ============================================================================= Subject: ADVANCED MEDICATION PLATFORM (AMPL) GUI BUILD 2.1.46 Category: - Informational Description: ============ Advanced Medication Platform (AMPL) GUI Release 2.1.46 will be promoted to the Production environment on Thursday, March 28, 2024. NOTE: There is no installation required on the local VisTa systems. The following issues are addressed in this release: Allergies - When the user clicks on the postings button for the patient (whether A is displaying or not), all the allergy information including Allergies, No Known Allergies, and No Allergy Assessment data is displayed regardless of the currently chosen site. Allergies - In the Postings pop-up, allergy data is now displayed at the top portion of the window. Allergy information including Allergies, No Known Allergies, and No Allergy Assessment data for the patient is displayed regardless of the currently chosen site. Consults - The following fields have been added to enable filtering the results in the Consults tab: (From) Service, Requesting Provider, Service Rendered as, Urgency, Patient Location, Reason for Request, Last Action, Provisional Diagnosis, and Orderable Item. For each field, the user will be provided a drop down of value choices to filter the results. For some fields, multi-value selection is available. Hover help text is provided for each field. Coversheet - Outpatient and Inpatient narratives and the mail/do not mail icons are now displayed on the coversheet header. Coversheet - For all fields in the Query Editor, a 'No Value' entry was created to represent a Null string. Coversheet - Resolved a defect to enable Height and Weight values with text qualifiers to properly display in the coversheet header. Demographics - In patient demographics, unique language entries will be listed only once for the patient when the same language has been documented at multiple sites. Demographics - Enhancement for Inpatient header to enable display of Height and Weight in patient demographics when only text values are available. Demographics - Enhancement for Outpatient header to enable display of Height and Weight in patient demographics when only text values are available. Demographics - Resolved a defect dealing with failed AMPL measurement calls for patient demographics. Demographics - Resolved a defect dealing with improper Height and Weight displays in patient demographics when the Vitals tab is filtered. Demographics - Resolved a defect dealing with improper Height and Weight display in patient demographics on initial patient load. General - Updated code to resolve a security vulnerability finding dealing with error handling. General - Updated code to resolve a security vulnerability finding dealing with unused variables. General - Resolved a defect dealing with load of certain patients that caused the inability for the user to switch stations. General - Performance enhancement have been made. General - To enhance performance, updated the AMPL domain tabs to load when selected (on-demand) rather than at patient load. The Med List and Allergies Tabs will continue to load at patient load. General - Updated the logging configuration to enable a new rolling log stream in the local container. General - Resolved a defect with login failure after issues with the VDIF backend responses. General - Resolved a defect dealing with the inability to change stations after loading certain patients. General - Resolved a defect for slow patient load by improving error handling for VDIF PADE Transaction data failures. General - Resolved a defect with info level log messages displaying sensitive information. Labs - The Detailed View for a Lab record will now display any comments that were entered with laboratory test results. Med List - On the detailed display for an Outpatient order, the most recent date/time of the window fill or window partial fill was added to the method of pickup information. Med List - Icons were added to the MedList display to enable the Long Profile view for Outpatient, Inpatient, and Clinic orders. Med List - The 'EXPIRED' header was added to the Outpatient medication orders column view and the 'RECENTLY DC'D/EXP (LAST # DAYS)' column was removed. The 'Active/Expired' header was renamed 'Active' for both column and expanded views. If there are no local outpatient medication orders that are 'EXPIRED', the 'EXPIRED' header will not be displayed. Med List - On the expanded view for remote outpatient medication orders, the header 'FACILITY NAME (STATION NUMBER) ACTIVE/EXPIRED' was renamed 'FACILITY NAME (STATION NUMBER) ACTIVE'. If there are no remote outpatient medication orders that are 'EXPIRED', the 'FACILITY NAME (STATION NUMBER) EXPIRED' header will not be displayed. Orders with statuses of 'DISCONTINUED', 'DISCONTINUED BY PROVIDER', or 'DISCONTINUED (EDIT)' will display under the 'DISCONTINUED' header. Med List - Enhancement to enable the Long Profile view for Inpatient orders. This shows all active and last 5 years of non-active (discontinued/expired) Inpatient Medication orders for a patient. The ability to enter a date range based on the start date/time of the order is provided to limit the amount of orders displayed. Med List - Enhancement to add hospital location, facility, and previous hospitalization data to the Long Profile view for Inpatient orders. Med List - Resolved a defect dealing with an error displaying the MedList tab when a medication quantity numeric value ended with a decimal point without a number following the decimal point. Med List - Enhancement to enable the Long Profile view for Clinic orders. This shows all active and last 5 years of non-active (discontinued/expired) Clinic Medication orders for a patient. The ability to enter a date range based on the start date/time of the order is provided to limit the amount of orders displayed. Med List - Enhancement to add hospital location, facility, and previous hospitalization data to the Long Profile view for Clinic orders. Med List - Enhancement to enable the Long Profile view for Outpatient orders. This shows all active and last 5 years of non-active (discontinued/expired) Outpatient Medication orders for a patient. The ability to enter a date range based on the issue date of the order is provided to limit the amount of orders displayed. Med List - Enhancement to add hospital location, facility, and previous hospitalization data to the Long Profile view for Outpatient orders. Med List - For complex orders with no available dispense drug the text 'No Dispense Drug Found' followed by the text '- COMPLEX' in parenthesis next to the 'Dosage Ordered:' value will be displayed for the first dosage sequence. Med List - Formatting changes were made to dosage displays to enable a simple Non-VA medication to match a simple outpatient medication order. Med List - Hazardous Med Icons were incorporated in the Detailed Display for an Outpatient Dispense Drug. Med List - Hazardous Med Icons were incorporated in the Detailed Display for an Inpatient or Clinic Unit Dose order Dispense Drug. Med List - Hazardous Med Icons were incorporated in the Detailed Display for a Non-VA Med Dispense Drug. Med List - For the Inpatient medications expanded view, a column was added to indicate a drug has been flagged. Med List - For the Clinic medications expanded view, a column was added to indicate a drug has been flagged. Med List - The display of Admin Hx activity entries has been organized to show the most recent activity first. Med List - Resolved a defect with complex Outpatient orders missing a dosage ordered for the 1st sequence. Med List - Resolved a defect dealing with the display of Outpatient Expired orders under the Active header. Med List - Resolved a defect dealing with improper column order for the Inpatient medications Expanded View. Med List - Resolved a defect dealing with proper display of the Hazardous to Handle/Dispose icons for Non-VA medication. Med List - Resolved a defect to show missing discontinued and expired Inpatient/Clinic orders. Med List - Resolved a bug to enable proper display of the Hazardous to Handle and/or Hazardous to Dispose icons for Outpatient medications. Med List - Resolved a defect with the display of the hover help text for the Long Profile and More buttons. Med List - Resolved a defect for Inpatient medications expanded view dealing with the column to indicate a drug has been flagged. Med List - Resolved a defect for Inpatient medications expanded view dealing with missing flag indications. Med List - Resolved a defect for Non-VA medications to display the proper start date. Med List - Resolved a defect to highlight 'L' icon for the Long Profile view when it is hovered over. Med List - Resolved a defect with alphabetical sort in the Long Profile view for cases with more than one solution an no additive. Med List - Resolved a defect with missing expired orders from the Outpatient Long Profile view. Med List - Resolved a defect for Med List load issues by improving error handling for VDIF medication data failures. Med List - Resolved a defect with improper display of 'Rx Patient Status' value. Med List - Resolved a defect with display of Hazardous Med Icons for Non-VA medications. Patient Selection - The display of pop-up boxes and alerts after patient selection have been arranged to show in the same order as VistA. Patient Selection - Resolved a defect with syncing a patient from VistA to load in AMPL. POM - The VistA logo button was added to the Pending Order Manager (POM) page to enable sync up with the VistA session patient. POM - For the Outpatient Orders by Date and the Outpatient Orders by Location tabs in the Pending Orders Manager, the 'All Outpatient Sites' option was added to the Outpatient Site prompt. POM - for the Inpatient Orders tab in Pending Orders Manager, added the 'All Divisions' option to the 'Select Division' prompt. POM - Enhancement to organize the patient Queue. Patients that have been processed will be listed to the left of the current patient. Patients not yet processed will be listed to the right of the current patient. POM - Resolved a defect to fix display of help text when hovering over the label in the Clinic Orders tab. Progress Notes - Filtering for the Progress Notes tab has been enhanced. A drop down of value choices has been added for applicable filter fields. For some fields, multi-value selection is now available. Progress Notes - The following fields have been added to enhance filtering the results in the Progress Notes tab: Report Text, Expected Signer, Expected Cosigner, and Urgency. For each field, the user will be provided a drop down of value choices to filter the results. For some fields, multi-value selection is available. Hover help text is provided for each field. Sort/Filter - In results tables, the sort for a column can be reversed by clicking on the arrow icon. Sort/Filter - The Expected Signer and Expected Cosigner sorts were added to be Query Editor for the Progress Notes Tab. Sort/Filter - The (From) Service, Requesting Provider, Service Rendered as, and Patient Location sorts were added to be Query Editor for the Consults Tab. Sort/Filter - For the Inpatient Orders tab in the Pending Orders Manager, added the ability to filter by 'Priority' with conditions of STAT, ASAP, or ROUTINE. Multi-condition selection is available. Sort/Filter - For the Clinic Orders tab in the Pending Orders Manager, added the ability to filter by 'Priority' with conditions of STAT, ASAP, or ROUTINE. Multi-condition selection is available. Sort/Filter - Enhancement to enable sorting on the STAT columns for the Inpatient Orders tab in the Pending Orders Manager. Sort/Filter - Enhancement to enable sorting on the STAT columns for the Clinic Orders tab in the Pending Orders Manager. Sort/Filter - Updated the priority filter for the Inpatient Orders tab in Pending Orders Manager to match what the users see in the STAT column. Sort/Filter - Updated the priority filter for the Clinic Orders tab in Pending Orders Manager to match what the users see in the STAT column. Sort/Filter - Added capability to the Query Editor to filter by time in addition to date. Sort/Filter - Resolved a defect with the filtering in the Consults tab so that when the user selects to filter on Reason for Request, the only criteria available will be 'contains' and the user will be able to search for a keyword in text. Sort/Filter - Resolved a defect with the filtering in the Progress Notes tab to show the proper results when filtering by Expected Signer, Expected Cosigner, and Urgency. Sort/Filter - Resolved a defect in Progress Notes dealing with filtering by facility. Sort/Filter - Resolved a defcet to enable direct entry of a date to limit the items displayed in the Long Profile View. Sort/Filter - Resolved a defect to return the proper results when filtering by date on the Pending Orders Manager - Inpatient Orders tab. Sort/Filter - Resolved a defect to show help text when hovering over the Urgent filter criteria. Sort/Filter - Resolved a defect for the Allergies/ADRs tab dealing with the ability to filter fields with no entry. Sort/Filter - Resolved a defect with the display of checkboxes for multi-selection of filter criteria. Sort/Filter - Resolved a defect for Pending Orders Manager Inpatient and Clinic Tabs returning the proper results when using the'Priority' filter. Sort/Filter - Resolved a defect for the Labs tab dealing with returning the proper results when filtering by the flag field. Sort/Filter - Resolved a defect to show help text when hovering over the Urgent filter criteria. Sort/Filter - Resolved a defect in the Pending Orders Manager Inpatient and Clinic tabs top table missing 'false' values for filter criteria. Sort/Filter - Resolved a defect in the Pending Orders Manager Inpatient and Clinic tabs missing filter values for the 'IV Type Category' field. Vitals - Enhancements were made to the latest vitals table to include the latest calculated Body Mass Index (BMI). The BMI over time can also be displayed. Vitals - Any additional vitals that are added during a user session will remain in place while switching between patients during that same user session. Vitals - Redefined the current height used for the BMI calculation to correctly reflect historical readings. Vitals - Resolved a defect in the Vitals tab regarding selection of Height and Weight vitals by default. Vitals - Resolved a defect dealing with console errors being generated when loading the Vitals tab for a patient. Vitals - Resolved a defect dealing with console errors being generated when loading the Vitals tab for specific patients. Vitals - Resolved a defect dealing with the Vitals tab display of historical BMI values. Vitals - Resolved a defect in the Vitals tab regarding selection of Height and Weight vitals by default. Vitals - Resolved a defect in the Latest Vitals table to show the proper date for the metric records entered as numeric or text values. Vitals - Resolved a defect to clarify what height and weight values are to be used to calculate BMI. Vitals - Resolved a defect for the Vitals tab dealing with the proper display of BMI data in the readings table. Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A 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 Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A HL7 Application Parameters Associated: HL7 Application Parameter Name New/Modified/Deleted ------------------------------ -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: N/A Test Sites: ----------- Charleston, SC Chillicothe, OH Coatesville, PA Eastern Colorado HCS Fresno, CA Shreveport, LA West Palm Beach, FL Software and Documentation Retrieval Instructions: -------------------------------------------------- Documentation describing the new functionality is included in this release. Sites may retrieve the documentation directly using Secure File Transfer Protocol (SFTP) from DOWNLOAD.VISTA.DOMAIN.EXT Documentation can also be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Documentation Title File Name ----------------------------------------------------------------------- AMPL GUI User Guide PREA_1_6_AMPL_GUI_UG.PDF AMPL GUI Technical Manual Security Guide PREA_1_6_AMPL_GUI_TM.PDF Deployment, Installation, Back-out and PREA_1_6_AMPL_GUI_DIBRG.PDF Rollback Guide (DIBRG) Production Operations Manual (POM) PREA_1_6_AMPL_GUI_POM.PDF Installation Instructions: ==================== No routines included. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JAN 22, 2024 Completed By: Date Completed: MAR 27, 2024 Released By : Date Released : MAR 29, 2024 ============================================================================= Packman Mail Message: ===================== No routines included