============================================================================= Run Date: AUG 29, 2025 Designation: PREM*4*4 Package : PREM - MEDICATION ORDER CHECK (MOCH Priority: Mandatory Version : 4 SEQ #3 Status: Released Compliance Date: SEP 29, 2025 ============================================================================= Subject: MEDICATION ORDER CHECK HEALTHCARE APPLICATION (MOCHA) 3.0 Category: - Informational - Other Description: ============ NOTE: There is no installation required on the local VistA systems. The Pharmacy Reengineering (PRE) Project provided innovative enhancements to Clinical Decision Support (CDS) within the Veterans Health Administration (VHA). Medication order checks are currently accomplished through the synergistic functionality of multiple applications, including Medication Order Check Healthcare Application (MOCHA), Pharmacy Enterprise Customization System (PECS), Pharmacy Product System-National (PPS-N), and Data Update (DATUP). MOCHA Server is a Java Enterprise Edition (JEE) application, used by the MOCHA Veterans Health Information Systems and Technology Architecture (VistA) Pharmacy Application to perform enhanced order checks using First Databank's (FDB) MedKnowledge Framework (Fwk). MOCHA Server is a Department of Veterans Affairs (VA) built custom web application; it is not a legacy or Commercial-Off-The-Shelf (COTS) application or an Enterprise Shared Service (ESS). FDB MedKnowledge Fwk is a drug data product that provides the latest identification and safety information on medications, along with the latest algorithms used to perform order checks. VHA, Patient Care Services (PCS), and Pharmacy Benefits Management (PBM) has requested an enhancement to the existing VA Medication Order Check Healthcare Application (MOCHA) system to add Pharmacogenomic (PGx) functionality to provide Healthcare providers and clinicians the tools necessary to identify which medications might need to have dosages adjusted based on a Veteran's specific genetic makeup. ****** Please note, this informational patch is release 2 in a series of releases to add PGx functionality to VA clinical applications. For this release, MOCHA Server with PGx functionality will be deployed to production, to run in parallel to the existing MOCHA Server using FDB version 4.5. MOCHA Server using FDB version 4.5 will continue to be used nationally by VistA sites until a subsequent PREM patch and VistA patch are released. ****** EHRM Impact Statement: ---------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. ****** This is an informational patch ONLY. ****** ****** There is NO install to be done by sites. ****** Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- Not Applicable (N/A) 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: N/A 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 Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: Blood Bank Team Coordination: ---------------------------- N/A New Service Requests (NSRs): --------------------------- N/A Patient Safety Issues (PSIs): ---------------------------- N/A Defect Tracking System Ticket(s) & Overview: N/A Problem: ------- N/A Resolution: ----------- N/A Test Sites: ----------- User Acceptance Testing (UAT) will be completed by the Business Office, Pharmacy Benefits Management (PBM). Test Sites - SNOW Change Order #: --------------------------------- N/A Software and Documentation Retrieval Instructions: ------------------------------------------------- N/A. This is an Informational patch only and will not be installed in VistA IOC or Production accounts. Other Software Files: This release does not include other software files. File Title File Name Format -------------------------------------------------------------------------- N/A Documentation for this release can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. Documentation Title File Name --------------------------------------------------------------------- MOCHA 4.0.4 Deployment, Installation, Back-Out & Rollback Guide PREM_4_0_P4_DIBR.DOCX PREM_4_0_P4_DIBR.PDF MOCHA 4.0.4 Release Notes PREM_4_0_P4_RN.DOCX PREM_4_0_P4_RN.PDF Patch Installation: ------------------- This is a Web Service Application JAVA Build. This is a Centralized Server promotion. ****** This is an Informational patch ONLY. ****** ****** There is NO install to be done by sites. ****** Pre/Post Installation Overview: N/A Pre-Installation Instructions: N/A Installation Instructions: N/A Post-Installation Instructions: N/A Back-Out/Roll Back Plan: ------------------------ Refer to the MOCHA 3.0 Deployment, Installation, Back-Out & Rollback Guide (DIBRG). Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : OCT 29, 2024 Completed By: Date Completed: AUG 29, 2025 Released By : Date Released : AUG 29, 2025 ============================================================================= Packman Mail Message: ===================== No routines included