============================================================================= Run Date: JUN 10, 2013 Designation: PSD*3*73 Package : PSD - CONTROLLED SUBSTANCES Priority: Mandatory Version : 3 SEQ #62 Status: Released Compliance Date: NOV 04, 2013 ============================================================================= Associated patches: (v)PSD*3*28 <<= must be installed BEFORE `PSD*3*73' (v)PSD*3*67 <<= must be installed BEFORE `PSD*3*73' (v)PSS*1*166 <<= must be installed BEFORE `PSD*3*73' Subject: DEA E-PRESCRIBING FOR CS (CPRS v29) Category: - Routine - Enhancement (Mandatory) - Other Description: ============ Computerized Patient Record System (CPRS) v29 is an enhancement release with modifications for the Drug Enforcement Agency (DEA) electronic prescribing (ePCS) of controlled substances, Problem List changes for the use of SNOMED CT codes, and the display of Mental Health Treatment Coordinator (MHTC) information entered through the Primary Care Management Module. In addition to these enhancements, software changes are being made to correct several PSIs, Section 508 issues, and additional miscellaneous defect fixes. CPRS GUI version 29 consists of several host files, updated CPRS GUI and several Help files; too many to list (which will be located in a single directory named HELP): HDI_1_11.KID CONTAINS HDI*1*11 PATCH PSS_1_166.KID CONTAINS PSS*1*166 PATCH CPRSV29_PSO_PSD.KID CONTAINS PSO*7*391 AND PSD*3*73 PATCHES OR_GMPL_GMTS_XU_29.KID CONTAINS XU*8*609, GMPL*2*36, GMTS*2.7*86 AND OR*3.0*306 PATCHES CPRSChart.exe OR_30_371.KID CONTAINS OR*3.0*371 PATCH PSO_7_426.KID CONTAINS PSO*7*426 PATCH The host files were created to simplify installation and also to control the phased implementation of CPRS V29 at the Veterans Health Administration (VHA) facilities. To see the current status and target dates for Sites/VISN/Regions, please refer to the following site: http://go.usa.gov/TfvW Then open the document "CPRS GUI v29 Deployment Schedule.xslx". Patch information: HDI_1_11 supports CPRS v29 functionality by adding data for the Problem List Domain to the HDIS DOMAIN file (#7115.1). PSS*1*166, PSO*7*391, PSD*3*73 and PSO*7*426 supports the DEA ePCS functionality. GMPL*2*36 is an extension to accommodate SNOMED-CT. GMTS*2.7*86 supports the Problem List Standardization. XU*8*609 ePCS Support OR*3*306 New CPRS version 29 which contains several Remedy ticket fixes and enhances the Primary Care button by adding the Mental Health Treatment Coordinator and the Associate Provider. Adds a new Bulletin "OR PROBLEM NTRT BULLETIN" and reissues Mail Group OR CACS. By default, this bulletin will be delivered to the OR CACS Mail Group. It may be configured to be delivered to separate local mail groups for each Medical Center Division by setting the new OR PROBLEM NTRT BY DIVISION parameter. OR_30_371 includes support for CPRS v.29. Please refer to the "CPRS GUI v.29 Installation Guide" for installation and set-up information. This document is exported as OR_30_306_IG.doc and OR_30_306_IG.pdf and is included in OR_30_306.ZIP. Installation of these host files must be coordinated among the personnel affected because these host files will be installed in one installation session. The following modifications and enhancements are included in this patch (PSD*3*73): 1. Digitally Signed CS Orders Report [PSD DIGITALLY SIGNED ORDERS] -------------------------------------------------------------- a) This option is modified to allow the selection of specific CS Schedules when running the report as seen below: ... Sort By: Drug// ? Enter a code from the list. Select one of the following: D Drug PR Provider PA Patient S Schedule Sort By: Drug// Schedule Select controlled substance schedule(s) Select one of the following: 1 SCHEDULE II 2 SCHEDULES III - V 3 SCHEDULES II - V Select Schedule(s): 3// ... b) Two new fields are being added to the report output: 'Detox #' and '# of Refills'. 2. Digitally Signed OP Released Rx Report [PSD DIG. SIGNED RELEASED RX] -------------------------------------------------------------------- a) This option is modified to allow the selection of specific CS Schedules when running the report as seen below: ... Start Date: T (FEB 29, 2012) End Date: T (FEB 29, 2012) Select a schedule(s) Select one of the following: 1 SCHEDULE II 2 SCHEDULES III - V 3 SCHEDULES II - V Select Schedule(s): 3// ... b) Two new fields are being added to the report output: 'Detox #' and '# of Refills'. 3. Inspector's Log for Controlled Substances [PSD PRINT INSPECTOR LOG] ------------------------------------------------------------------- This option is modified to allow the selection of specific CS Schedules when running the report as seen below: ... Select NAOU: All Controlled Substances or Selected Schedules? Select one of the following: 1 SCHEDULES I - II 2 SCHEDULES III - V 3 SCHEDULES I - V Select Schedule(s): 3// SCHEDULES I - V Do you wish to sort by Inventory Type? NO// ... 4. List On-Hand Amounts [PSD ON-HAND] and List On-Hand Amounts [PSD ON-HAND TECH] ------------------------------------------------------------------ These options are modified to allow the selection of specific CS Schedules when running the report as seen below: ... Select Primary Dispensing Site: OPC VAULT// Select Schedule/Drug Select one of the following: 1 SCHEDULES I - II 2 SCHEDULES III - V 3 SCHEDULES I - V 4 INDIVIDUAL DRUG Select Schedule(s): 3// SCHEDULES I - V DEVICE: ... 5. Inventory Sheet Print [PSD INVEN SHEET PRT] ------------------------------------------- This option is modified to allow the selection of specific CS Schedules when running the report as seen below: ... Select Primary Dispensing Site: OPC VAULT// Select Schedule/Drug Select one of the following: 1 SCHEDULES I - II 2 SCHEDULES III - V 3 SCHEDULES I - V 4 INDIVIDUAL DRUG Select Schedule(s): 3// SCHEDULES I - V DEVICE: ... 6. Controlled Substance Prescriptions Report [PSD CS PRESCRIPTIONS REPORT] ----------------------------------------------------------------------- This option is a new option. It will provide a report of digitally signed orders that have been filled for Schedules I-V CS. The report will be for a date range with the option of including discontinued and/or expired orders and various sort criteria, list by patient, by provider, by drug and by schedule, etc. It will be an 80-column report and will be queued to a printer. 7. DEA DATA - Waived Practitioner Report [PSD DEA SUBOXONE] -------------------------------------------------------- This option is a new option. This report provides a list of patients that were prescribed Suboxone drugs. Two views are available, one with details, and another with just the counts of Suboxone patients per prescriber. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------------ ----------------------------------- -------------------- Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- PSD CS PRESCRIPTIONS REPORT SEND TO SITE New PSD DEA SUBOXONE SEND TO SITE New PSD PRODUCTION REPORTS Modified Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs): ----------------------------- 20080702 Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A TEST Sites: =========== CHARLESTON, SC CLEVELAND, OH HEARTLAND-EAST HCS HEARTLAND-WEST HCS HINES, IL LOMA LINDA, CA PALO ALTO HCS SAN DIEGO, CA TAMPA, FL Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.med.va.gov/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Document Library at: http://www4.va.gov/vdl/ File Description File Name FTP Mode -------------------------------------------------------------------------- Controlled Substances V. 3.0 Supervisor PSD_3_UM_SUPV_R0513.PDF (binary) User Manual Controlled Substances V. 3.0 Supervisor PSD_3_P73_UM_SUPV_CP.PDF (binary) User Manual Change Pages Controlled Substances V. 3.0 Technical PSD_3_TM_R0513.PDF (binary) Manual Controlled Substances V. 3.0 Technical PSD_3_P73_TM_CP.PDF (binary) Manual Change Pages Patch Installation: Pre/Post Installation Overview ------------------------------ CPRSV29_PSO_PSD.KID includes patches PSO*7*391 and PSD*3*73. The host file was created to simplify installation at Veterans Health Administration (VHA) facilities and to assist in the phased implementation release method for CPRS GUI v29. 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. File Name Contents Retrieval Format ---------------------------- -------- ---------------- CPRSV29_PSO_PSD.KID PSD*3*73 ASCII PSO*7*391 Installation Instructions ------------------------- Do not install this patch while Outpatient Pharmacy users are on the system or when Outpatient orders are being entered and signed through Computerized Patient Record System. Installation will take no longer than 5 minutes. Pre-Installation Instructions ----------------------------- 1. Download CPRSV29_PSO_PSD.KID into your local directory. 2. From the Kernel Installation & Distribution System (KIDS) menu, select the Installation menu. 3. Select the Load a Distribution and enter the directory that you FTP'ed the host file to and CPRSV29_PSO_PSD.KID. Example: USER$:[ABC]CPRSV29_PSO_PSD.KID 4. From the Kernel Installation & Distribution System (KIDS) menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSO_PSD_V29 1.0 a. 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. b. 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.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 5. Use the Install Package(s) option and select the package PSO_PSD_V29 1.0. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond NO. Post-Installation Instructions ------------------------------ N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;CONTROLLED SUBSTANCES;**[Patch List]**;13 Feb 97;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSDBAL Before: B16952502 After: B22121079 **73** Routine Name: PSDBALI Before: B22304429 After: B28472924 **73** Routine Name: PSDBALI1 Before: B4606716 After: B5019533 **73** Routine Name: PSDDSOR Before: B76244326 After: B86052358 **40,42,45,67,73** Routine Name: PSDDSOR1 Before: B9308208 After: B31741433 **40,67,73** Routine Name: PSDDSOR2 Before: B21366672 After: B23181227 **40,42,45,73** Routine Name: PSDPLOG Before: B17283374 After: B19818011 **8,73** Routine Name: PSDPLOG1 Before: B24167221 After: B25428029 **22,28,73** Routine Name: PSDPLOG2 Before: B16699847 After: B17681782 **73** Routine Name: PSDPLOG3 Before: B19498393 After: B20151384 **73** Routine Name: PSDSUBOX Before: n/a After: B32552011 **73** ============================================================================= User Information: Entered By : ANWER,MOHAMED Date Entered : MAY 25, 2011 Completed By: BANGRAKULUR,KRISHNA Date Completed: JUN 05, 2013 Released By : BLOCH,JACULYN Date Released : JUN 10, 2013 ============================================================================= Packman Mail Message: ===================== No routines included