$TXT Created by                  at CLN1G1.AAC.DOMAIN.EXT  (KIDS) on Friday, 08/23/19 at 12:53
=============================================================================
Run Date: SEP 30, 2019                     Designation: PSJ*5*390
Package : PSJ - INPATIENT MEDICATIONS         Priority: Mandatory
Version : 5       SEQ #334                      Status: Released
                  Compliance Date: OCT 31, 2019
=============================================================================

Associated patches: (v)PSJ*5*274   <<= must be installed BEFORE `PSJ*5*390'
                    (v)PSJ*5*327   <<= must be installed BEFORE `PSJ*5*390'

Subject: PRE-EXCHANGE DOSES FOR CLINIC ORDERS/DECEASED PATIENT ACTIVE ORDERS NOT DC'D

Category: 
  - Routine

Description:
============

  
 Patient Safety Issues (HITPS):
 -----------------------------
 NONE
  
 Defect Tracking System Ticket(s) & Overview:
 --------------------------------------------
 1. INC5234880- Pre-Exchange DOSES issue
 2. INC5915715- Clinical orders not discontinued for deceased patients
  
  
 1. INC5234880  Pre-Exchange DOSES issue
    
 Problem: 
 ========
 An issue was discovered with an Outpatient Clinic order when the clinic and the
 medication are both tied to a PADE device on the patients previous ward.  If
 the patient was previous admitted to a ward then obtained a clinic order for a
 PADE medication, the Pre-Exchange DOSES default value will display differently
 based on the Inpatient Ward Parameters Edit opton  (PSJ IWP EDIT). 
  
 It was also noticed that the message "The dispense drug for this order is a
 PADE item"  would only display if the patients prior ward parameter was set to
 YES.
  
  
 Resolution:
 ===========
 A modification will be made to routine PSGPEN to ensure that clinic orders
 display the appropriate Pre-Exchange values and the message "The dispense drug
 for this order is a PADE item" if the clinic and medication are tied to a PADE
 device. 
  
  
 2. INC5915715- Clinical orders not discontinued for deceased patients
  
 Problem: 
 ========
 Upon the entry of a date of death for a patient the patient's active 
 clinical orders (IMO) are not being discontinued.
  
 Resolution:
 ===========
 The process has been modified to allow the process to discontinue all of 
 the active clinical orders for a patient when a date of death is entered 
 via VA Fileman. 
  
  
 Test Sites:
 ===========
 Albany VAMC
 Connecticut HCS
  
 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.
  
 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*390
  
   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:
 ---------------------------
 In the event of a catastrophic failure, the Facility CIO may make the 
 decision to back-out the patch.
  
 It is imperative that you have performed a backup of the routines included
 in this patch prior to installation.
  
 The back-out plan is to restore the routines from the backup created.
  
 No data was modified by this patch installation and, therefore, no 
 rollback strategy is required.
  
 To verify the back-out completed successfully, ensure the checksum 
 matches the pre-patch checksum from this patch description.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;5.0;INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 7

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: PSGPEN
    Before: B58080181   After: B60242312  **30,37,50,58,115,110,127,129,
                                           323,317,357,386,327,390**
Routine Name: PSJADT0
    Before: B33182966   After: B33746201  **17,111,112,135,181,274,390**
 
Routine list of preceding patches: 274, 327

=============================================================================
User Information:
Entered By  :                               Date Entered  : MAY 06, 2019
Completed By:                               Date Completed: SEP 25, 2019
Released By :                               Date Released : SEP 30, 2019
=============================================================================


Packman Mail Message:
=====================

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