$TXT Created by F at CLN1G1.AAC.DOMAIN.EXT (KIDS) on Wednesday, 07/07/21 at 13:19 ============================================================================= Run Date: OCT 06, 2021 Designation: PSJ*5*421 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #363 Status: Released Compliance Date: NOV 06, 2021 ============================================================================= Subject: CLINIC NOT SETUP FOR BCMA WARNING NOT FIRING FOR CLINIC IV ORDERS Category: - Other Description: ============ This patch will resolve the following issue: INC18070852 - Clinic Not Setup for BCMA Issue not firing for IV orders HITPS-8005 Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC18070852 - Clinic Not Setup for BCMA Issue not firing for IV orders HITPS-8005 Problem: -------- The West Haven VA Medical Center reported that whenever they tried to finish an Intravenous (IV) clinic order for an patient not admitted (outpatient) using the Inpatient Order Entry [PSJ OE] option it did not warn the user that the clinic for the order is not setup for BCMA (shown below). For a Unit Dose (UD) clinic order the option properly displayed the warning below: Clinic CHY AQUATIC EXERCISE is not defined in the CLINIC DEFINITION (#53.46) file. This order will NOT display in BCMA, unless the clinic is defined in the CLINIC DEFINITION (#53.46) file, and the SEND TO BCMA (#3) field is set to YES. Please contact your Pharmacy ADPAC. Note: This issue is also being considered a Patient Safety Issue (PSI) and the number assigned by the Patient Safety team is HITPS-8005. Resolution: ---------- It was confirmed that the warning only displayed for UD clinic orders and not for IV clinic orders. The code was changed to also perform the check for IV clinic orders during finish and it will now display the message above when necessary. Technical Resolution: -------------------- The ENTRY ACTION field for the protocol PSJI LM FINISH did not contain a call to the API CWARN^PSJBCMA6 responsible for performing the check mentioned above. The ENTRY ACTION field was modified the following way: Before: ------- S PSJINFIN=1 K ^TMP("PSJINTER",$J) D OVRDISF^PSGSICH2($G(DFN),$G(PSJORD),2) D FINISH^PSJLIFN D SETIVINT^PSGSICH1 After: ------ S PSJINFIN=1 K ^TMP("PSJINTER",$J) D CWARN^PSJBCMA6($G(DFN),$G(PSJORD)), OVRDISF^PSGSICH2($G(DFN),$G(PSJORD),2) D FINISH^PSJLIFN D SETIVINT^PSGSICH1 Patient Safety Issues (PSIs): ----------------------------- HITPS-8005 Test Sites: ----------- VA Connecticut Healthcare System Ralph H. Johnson VAMC (Charleston) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Patch Installation: Pre/Post Installation Overview: ------------------------------- It is not necessary to disable any options. Pre-Installation Instructions: ------------------------------ This patch should be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 2 minutes to install. Installation Instructions: -------------------------- 1. Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. PSJ*5.0*421) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build PSJ*5.0*421 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. 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 of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer . ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer . iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer . Post Installation Instructions: ------------------------------- None. Back-out Procedures: -------------------- 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. 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. Validation of Back-out Procedure: --------------------------------- The Back-out Procedure can be verified by printing the first 2 lines of the routines contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the routines contained in PSJ*5.0*421 patch have been backed out, the first two lines of the routines will no longer contain the designation of this patch in the patch list section on line 2. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JUN 24, 2021 Completed By: Date Completed: OCT 06, 2021 Released By : Date Released : OCT 06, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT