$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Thursday, 07/12/18 at 14:07 ============================================================================= Run Date: OCT 17, 2018 Designation: PSJ*5*370 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #317 Status: Released Compliance Date: NOV 17, 2018 ============================================================================= Associated patches: (v)PSJ*5*371 <<= must be installed BEFORE `PSJ*5*370' Subject: INCOMPLETE/INCORRECT MEDICATION ORDER INFORMATION Category: - Routine Description: ============ This patch addresses two issues: INC0660799 Incomplete Medication Order Information. INC1220251 Special Instructions lost when new order is created due to edit Patient Safety Issues (PSIs): ----------------------------- PSPO 3723 - INC0660799 Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC0660799 Incomplete Medication Order Information Problem: ======== A unit dose order was placed in CPRS with long provider comments, in excess of 15 lines including blank lines. When finished and displayed in Vista and BCMA all is fine but when displayed in CPRS the comments are truncated. This order had 17 lines in total for the provider comments. The 15th line was a blank line. When the order is finished in Pharmacy, the Provider Comments copied into Special Instructions, the code was deleting the 15 line of the comment if it was blank due to a coding error. The code is looking at the total number of lines for the comment and it will delete the last line if it is blank. What happened in the code was instead of looking at the last line in node 15, it was looking at line 15 of node 15. In this case it was a blank line and was deleted. When CPRS pulls up the order it appears to the user that the comments were modified and all lines after line 14 are not displayed. Resolution: =========== A modification was made to routine PSJBCMA2 to ensure the correct number of comment lines are acquired. INC1220251 Special Instructions lost when new order is created due to edit Problem: ======== When an edit is made to an active Unit Dose order where a starred field and the Special Instructions are modified, the original orders Special Instructions are modified as well. The original orders history of Special Instructions are lost. Resolution: =========== Modifications were made to routines PSJBCMA2 & PSJBCMA5 to ensure the Special Instructions are displayed on the proper orders when a new order is created due to an edit. Test Sites: =========== Atlanta VA HCS Oklahoma City VAMC Pre/Post Installation Overview: ------------------------------- It is not necessary to disable any options to install this patch. Pre-Installation Instructions: ------------------------------ This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 2 minutes to install. Installation Instructions: -------------------------- This patch should take less than 2 minutes to install. 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter the patch PSJ*5.0*370. 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 DDs 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, DDs, 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. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond 'NO'. 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', respond 'NO'. Back-out/Rollback Strategy: --------------------------- Back-out will be done only with the concurrence and participation of development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between development team, VA site/region personnel and other appropriate VA personnel. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routines onto the VistA System. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;INPATIENT MEDICATIONS;**[Patch List]**;16 DEC 97;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSJBCMA2 Before: B57484334 After: B58323287 **32,41,54,56,81,267,370** Routine Name: PSJBCMA5 Before: B80438277 After: B81407826 **267,275,361,371,370** Routine list of preceding patches: 371 ============================================================================= User Information: Entered By : Date Entered : JUN 13, 2018 Completed By: Date Completed: OCT 15, 2018 Released By : Date Released : OCT 17, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT