============================================================================= Run Date: JUL 15, 2019 Designation: PSJ*5*327 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #331 Status: Released Compliance Date: AUG 14, 2019 ============================================================================= Associated patches: (v)PSJ*5*54 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*299 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*344 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*353 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*355 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*357 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*366 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*367 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*378 <<= must be installed BEFORE `PSJ*5*327' (v)PSJ*5*382 <<= must be installed BEFORE `PSJ*5*327' Subject: MENTAL HEALTH NCC PROJECT 5.01 Category: - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ This patch will add enhancements to the Inpatient Order Entry routines for the National Clozapine Coordination project. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- MENTAL HEALTH (MH) V. 5.01 YS*5.01*122 OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*457 INPATIENT MEDICATIONS (IP) V. 5.0 PSJ*5*327 ORDER ENTRY/RESULTS REPORTING (OR) V. 3.0 OR*3*427 The patches (YS*5.01*122, PSO*7*457, PSJ*5*327, and OR*3*427) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution MENTAL HEALTH NCC PROJECT 5.01. Abbreviations for terms used in the multi-build patch descriptions include the National Clozapine Coordinating Center (NCCC) located in Dallas, Texas; Absolute Neutrophil Count (ANC); White Blood Cells (WBC); Initial Operating Capability (IOC); and Computerized Patient Record System (CPRS). The purpose of this software package is to maintain compliance with legislative and federal mandates, as well as to add Clozapine Order Checking to the Inpatient Pharmacy application. In addition, this package replaces the weekly roll-up functionality and now transmits data to the National Clozapine server nightly. This specific patch contains the following functionality: --------------------------------------------------------- The routines for the VistA Inpatient Order Entry [PSJ OE] option will be modified to 1. Add logic to verify that the ordering provider holds the YSCL AUTHORIZED key when the pharmacist enters a new Clozapine order in back door pharmacy. If the ordering provider does NOT hold the YSCL AUTHORIZED key a message will be displayed and will prevent the order from being entered. 2. Add logic to verify that the pharmacist holds the PSOLOCKCLOZ key. A local override is needed when the ANC lab values are >= 1000 and < 1500. This key will allow the pharmacist to perform the override action, if needed. 3. A new routine ^PSJCLOZ will be created to perform various order checks and override functions. 4. A new file CLOZAPINE MEDICATION OVERRIDES (#53.8) will be a cloned from the CLOZAPINE PRESCRIPTION OVERRIDE file (#52.52) and will hold the override data for Inpatient Medication orders. 5. A new menu PSJL MANAGER (Clozapine Inpatient Medications Manager) contains options used to control inpatient Clozapine dispensing. 6. A new option PSJLAB LIST (Display Inpatient Lab Tests and Results) displays results of lab tests for patients receiving clozapine as required by the circular regarding patient management protocol for the use of clozapine. This is for inpatient pharmacy. 7. A new option PSJLIST OVERRIDES (List Inpatient Clozapine Overrides) is used to generate a list of inpatient ordered clozapine prescriptions entered by overriding the lockout. 8. The new menu PSJU MGR (Unit Dose Medications) is the main menu for the Unit Dose Medications software. This menu must be given to all Unit Dose Medications users. 9. Add new field CLOZAPINE DOSAGE (MG/DAY) (#301) to the sub-file UNIT DOSE (#55.06) of the PHARMACY PATIENT file (#55) to hold the Clozapine Total Daily Dose verified/entered by the Pharmacist. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted -------------------- --------------------- CLOZAPINE MEDICATION OVERRIDES DATE TIME [1D] (#.01) NEW (#53.8) ORDER NUMBER [2P:100] (#1) NEW USER ENTERING [3P:20 0] (#2) NEW APPROVING TEAM MEMBER [4P:200] (#3) NEW REASON FOR OVERRIDE [5P:52.54] (#4) NEW COMMENTS [6F] (#5) NEW SECOND APPROVING TEAM MEMBER [1P:200] (#6) NEW PHARMACY PATIENT file (#55) sub-file UNIT DOSE (#55.06) CLOZAPINE DOSAGE (MG/DAY) (#301) NEW 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 ----------- ---- -------------------- PSJL MANAGER Menu New PSJLAB LIST Run Routine New PSJLIST OVERRIDES Run Routine New Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name New/Modified/Deleted ---------------------- -------------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: New Service Requests (NSRs): ---------------------------- Request Name: National Clozapine Coordination Project Request ID: 20100703 Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Known Defects: -------------- The following defect was identified during IOC testing and will be fixed during this patch's warranty period: Defect 940970 - During pharmacist verification the system correctly, automatically overrode the stop date to reflect the 7-day limit for the "weekly" patient, but the Duration field still displays 90 days. Test Sites: ----------- Battle Creek VA Medical Center VA Black Hills Health Care System Software and Documentation Retrieval Instructions: -------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ -------------------------------------------------------------------------- Title File Name FTP Mode -------------------------------------------------------------------------- MENTAL HEALTH NCC PROJECT 5.01 MH_NCC_PROJ_5_01.KID (ASCII) MENTAL HEALTH NCC PROJECT 5.01 MH_NCC_Proj_5_01_UG_R0719.PDF (binary) Technical Manual / Security Guide Inpatient Medications psj_5_p327_tm.PDF (binary) Nurse's User Manual psj_5_p327_nurse_um.PDF (binary) Pharmacist's User Manual psj_5_p327_phar_um.PDF (binary) Deploy Install BO RB Guide MH_NCC_Proj_5_01_UG_R0719.PDF (binary) Quick Reference Card MH_NCC_Proj_5_01_PSO_PSJ_QR_R0719.PDF (binary) Patch Installation: Pre-Install/Install/Post-Install Instructions --------------------------------------------- The components sent with this patch PSJ*5*327 have been included in the host file MH_NCC_PROJ_5_01.KID Please follow the (pre/install/post) installation instructions listed in the patch description for patch YS*5.01*122. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 114 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSGNE3 Before: B86543610 After: B96072062 **4,26,47,50,63,69,105,80,111, 183,193,179,275,378,327** Routine Name: PSGOD Before: B30464827 After: B41024059 **67,58,111,133,181,286,281, 315,338,256,347,367,327** Routine Name: PSGOE41 Before:B104146997 After:B134934850 **50,63,64,69,58,111,136,113, 267,315,334,373,366,327** Routine Name: PSGOE42 Before: B10268792 After: B13181041 **366,327** Routine Name: PSGOE7 Before: B40589301 After: B45336185 **9,26,34,52,55,50,87,111,181, 254,267,260,288,281,317,355, 327** Routine Name: PSGOE8 Before: B54413557 After: B60586386 **47,50,65,72,110,111,188,192, 113,223,269,287,315,338,366, 327** Routine Name: PSGOE81 Before:B117103092 After:B156313151 **26,50,64,58,82,110,111,136, 113,267,315,334,373,366,327** Routine Name: PSGOE82 Before: B34233969 After: B42921710 **2,35,50,67,58,81,127,168,181, 276,317,366,327** Routine Name: PSGOE91 Before:B122701385 After:B154370497 **50,64,58,110,111,136,113,179, 265,267,285,315,334,373,366, 327** Routine Name: PSGOE92 Before: B43075516 After: B47365647 **2,35,50,58,81,110,215,237, 276,316,317,366,327** Routine Name: PSGOEC Before: B75500256 After: B76544319 **23,58,110,175,201,134,181, 260,288,257,299,327** Routine Name: PSGOEE Before:B108119491 After:B130091847 **4,7,29,47,64,58,82,91,110, 111,112,142,179,181,254,267, 268,281,315,338,373,366,327** Routine Name: PSGOEF Before:B126624363 After:B147534789 **7,30,29,35,39,47,50,56,80, 116,110,111,133,153,134,222, 113,181,260,199,281,315,256, 373,327** Routine Name: PSGOER Before: B90786181 After: B93777816 **11,30,29,35,70,58,95,110,111, 133,141,198,181,246,278,281, 315,338,256,347,327** Routine Name: PSGOER0 Before: B23514547 After: B25398399 **11,45,47,50,63,64,70,69,58, 80,110,127,136,181,281,327** Routine Name: PSGOERS Before: B39916956 After: B41465316 **11,29,35,47,58,110,281,327** Routine Name: PSGOETO Before: B39634920 After: B46539798 **3,13,25,31,33,50,68,58,85, 105,90,117,110,111,112,161,254, 267,268,315,327** Routine Name: PSGOEV Before: B95461290 After:B102409211 **5,7,15,28,33,50,64,58,77,78, 80,110,111,133,171,207,241,267, 268,260,288,199,281,256,347, 327** Routine Name: PSGON Before: B39542310 After: B39542310 **2,22,54,327** Routine Name: PSGOT Before: B23271906 After: B26696723 **13,68,90,110,173,134,161,254, 267,257,315,327** Routine Name: PSGPEN Before: B58018481 After: B58080181 **30,37,50,58,115,110,127,129, 323,317,357,386,327** Routine Name: PSJ327P Before: n/a After: B688619 **327** Routine Name: PSJCLOLS Before: n/a After: B10135228 **327** Routine Name: PSJCLOZ Before: n/a After:B192160082 **327** Routine Name: PSJCOM Before: B43877303 After: B47683425 **110,186,267,281,315,338,327** Routine Name: PSJCOM1 Before: B49883276 After: B54823711 **110,127,281,315,327** Routine Name: PSJLMPRU Before: B25811546 After: B26845194 **16,58,85,110,185,181,267,323, 317,373,327** Routine Name: PSJLMUDE Before: B97320744 After: B98434237 **7,47,50,63,64,58,80,116,110, 111,164,175,201,181,254,267, 228,315,317,338,373,327** Routine Name: PSJOE Before:B108530036 After:B121657110 **7,26,29,33,42,50,56,72,58, 85,95,80,110,111,133,140,151, 149,181,252,281,315,256,344, 327** Routine Name: PSJOE1 Before: B33458884 After: B42053305 **2,7,25,30,47,56,64,179,181, 252,281,315,338,373,353,327** Routine Name: PSJOEA Before: B33792351 After: B34137251 **110,127,133,167,171,254,315, 367,327** Routine Name: PSJOEA1 Before: B31393636 After: B31482767 **110,127,133,171,254,382,327** Routine Name: PSJRXLAB Before: n/a After: B37749956 **327** Routine list of preceding patches: 54, 299, 344, 353, 355, 366, 367, 378 382, 386 ============================================================================= User Information: Entered By : Date Entered : JAN 06, 2016 Completed By: Date Completed: JUL 15, 2019 Released By : Date Released : JUL 15, 2019 ============================================================================= Packman Mail Message: ===================== No routines included