============================================================================= Run Date: AUG 20, 2008 Designation: PSJ*5*134 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #180 Status: Released Compliance Date: OCT 06, 2008 ============================================================================= Associated patches: (v)PSJ*5*120 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*140 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*141 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*152 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*153 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*156 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*157 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*173 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*174 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*180 <<= must be installed BEFORE `PSJ*5*134' (v)PSJ*5*201 <<= must be installed BEFORE `PSJ*5*134' Subject: PHARMACY CHANGES TO SUPPORT CPRS GUI V27 Category: - Routine - Data Dictionary - Informational - Enhancement (Mandatory) Description: ============ This patch contains changes in support of Computerized Patient Record System (CPRS) GUI v27 release. CPRS GUI v27 consists of two host files: OR_PSJ_PSO_27.KID and CPRS_BUNDLE_GUI_27_REQ_REL.KID. These two host files contain software patches that support CPRS GUI v27 functionality. The host files were created to simplify installation at Veterans Health Administration (VHA) facilities. Please refer to the "CPRS GUI v.27 and Associated Patches Installation Guide" for installation sequence information. This document is exported as OR_30_243IG.doc and OR_30_243IG.pdf and is included in OR_30_243.ZIP. No additional installation or set-up steps specific to Inpatient Medications are required once the software is installed. 1. MEDICATION ROUTE CHANGES (PSI-07-036) ----------------------------------------- - Inpatient Medications V. 5.0 will use the medication route received from CPRS as the default when finishing an IV order entered via CPRS. For new orders entered via Inpatient Medications V. 5.0, if all of the orderable items associated with an order contain the same default medication route, that route will be used as the default. If there are any differences, there will be no default medication route. - Inpatient Medications V. 5.0 will send to BCMA V. 3.0 the full medication route name for display on the Virtual Due List (VDL). This addresses PSI-07-036 (Remedy Ticket HD178478). 2. INFUSION RATE CHANGES ------------------------- - Inpatient Medications V. 5.0 now accepts infusion rate from CPRS in both ml/hour and as 'infuse over time'. - In the order view screen for an order with an intermittent IV type, the infusion rate now displays as "Infuse Over" followed by the time. For example, "Infuse Over 30 minutes". The infusion rate for an intermittent IV order can be null. 3. IV TYPE CHANGES ------------------- - Inpatient Medications V. 5.0 shall accept an IV type of "I" (Intermittent) or "C" (Continuous) from CPRS. When an IV type of CONTINUOUS is received, Inpatient Medications V. 5.0 defaults to an IV type of Admixture. When IV type of INTERMITTENT is received, Inpatient Medications V. 5.0 defaults to an IV type of Piggyback. Inpatient Medications V. 5.0 sends to CPRS updates to an order's IV type. - Inpatient Medications V. 5.0 now accepts schedule information from CPRS for intermittent IV orders entered via the IV Fluid Ordering Dialog. Inpatient Medications V. 5.0 also sends to CPRS any schedule changes for intermittent IV orders. - A new field, IV TYPE CATEGORY (#128) is being added to the NON- VERIFIED ORDERS file (#53.1). The IV TYPE CATEGORY will be "C" (Continuous) for orders with an IV TYPE of Admixture, Hyperal, Non-Intermittent Syringe, or Chemotherapy with a CHEMOTHERAPY TYPE of Admixture, Hyperal, or Non-Intermittent Syringe. The IV TYPE CATEGORY will be "I" (Intermittent) for orders with an IV TYPE of Piggyback, Intermittent Syringe, or Chemotherapy with a CHEMOTHERAPY TYPE of Piggyback or Intermittent Syringe. 4. RENEWED ORDER CHANGES (PSI-06-023, PSI-05-006) -------------------------------------------------- - When discontinuing pending renewal orders, Inpatient Medications V. 5.0 will provide the user an option to discontinue the pending renewal order and/or the original orders. The pharmacist shall be given the option to discontinue the pending order, both orders, or exit the discontinue function. This addresses PSI-06-023 (Remedy Ticket HD132020) and PSI-05-006 (Remedy Ticket HD71193). 5. REMOVE CALLS TO OBSOLETE ROUTINE ------------------------------------ - At the request of CPRS, active calls to obsolete routine OR3CONV have been removed from Inpatient Medications V. 5.0. 6. EXPECTED FIRST DOSE FOR ONE-TIME ORDERS (HD 98365) ------------------------------------------------------ Problem: During testing of the CPRS GUI v26 release, sites reported a problem with an incorrect display of expected first dose for orders with a schedule type of "ONE TIME". Resolution: If the schedule type is "ONE TIME", do not display an Expected First Dose for the order. This addresses Remedy Ticket HD98365. 7. CORRECT ABBREVIATION OF MILLIMOLE (HD 145562) ------------------------------------------------- Problem: The correct abbreviation for the word MILLIMOLE, which is MMOL is not available in the system. Resolution: The abbreviation for Millimole, "MMOL", will be included in this patch. This addresses Remedy Ticket HD145562. Associated PSIs: ================ PSI-05-006 PSI-06-023 PSI-07-036 Associated Remedy Tickets: ========================== HD 71193 Pending Renewal DC HD 98365 Expected First Dose calculates incorrectly. HD 132020 Aborted Renewals HD 145562 Units for millimole display as MM instead of MMOL HD 178478 Epidural Infusion Quick Order Question Associated NSRs: ================ N/A Associated E3Rs: ================ N/A Test Sites: =========== Charleston, SC Cleveland, OH Heartland East Hudson Valley HCS, NY Loma Linda, CA Northern California HCS, CA Palo Alto HCS, CA Philadelphia, PA San Diego, CA Tampa, FL Documentation Retrieval: ======================== Sites may retrieve documentation in one of the following ways: 1. The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. 2. Sites may also elect to retrieve documentation 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 3. Documentation can also be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. The documentation distribution includes: FILENAME DESCRIPTION PSJ_5_NURSE_UM_R0808.PDF Inpatient Medications Nurse's User Manual PSJ_5_PHAR_UM_R0808.PDF Inpatient Medications Pharmacist's User Manual PSJ_5_TM_R0808.PDF Inpatient Medications Technical Manual/ Security Guide PSJ_5_P134_NURSE_UM_CP.PDF Inpatient Medications Nurse's User Manual Change Pages PSJ_5_P134_PHAR_UM_CP.PDF Inpatient Medications Pharmacist's User Manual Change Pages PSJ_5_P134_TM_CP.PDF Inpatient Medications Technical Manual/ Security Guide Change Pages PSJ_5_PSO_7_PSS_1_RN.PDF Pharmacy Changes to Support CPRS GUI v27 Release Notes Installation Instructions: ========================== Please refer to patch OR*3*243 for the complete installation instructions. This patch is not intended to be installed as a stand-alone patch. CPRS GUI v27 consists of three patches. The patches are combined in host file OR_PSJ_PSO_27.KID in order to simplify installation at Veterans Health Administration (VHA) facilities. Installation of this file should be coordinated among the three packages affected since only one installation is necessary. The patches are: PSJ*5*134 INPATIENT MEDICATIONS PSO*7*225 OUTPATIENT MEDICATIONS OR*3*243 ORDER ENTRY/RESULTS REPORTING Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0; INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 124 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSGOE1 Before: B29854333 After: B29072557 **7,19,26,39,58,85,80,110,127, 133,134** Routine Name: PSGOE6 Before: B23062511 After: B24315055 **3,7,39,45,65,58,81,156,134** Routine Name: PSGOEC Before: B49394829 After: B67210353 **23,58,110,175,201,134** Routine Name: PSGOECS Before: B43208185 After: B48040655 **23,29,44,58,81,110,134** Routine Name: PSGOEF Before: B57485925 After: B63235308 **7,30,29,35,39,47,50,56,80, 116,110,111,133,153,134** Routine Name: PSGOT Before: B13106682 After: B14273547 **13,68,90,110,173,134** Routine Name: PSGS0 Before: B43879660 After: B51528600 **12,25,26,50,63,74,83,116,110, 111,133,138,174,134** Routine Name: PSIVCAL Before: B58510061 After: B65800854 **4,26,41,47,63,67,69,58,94, 80,110,111,177,120,134** Routine Name: PSIVEDT Before: B39067377 After: B41996183 **4,110,127,133,134** Routine Name: PSIVORA Before: B28741555 After: B28909914 **29,41,110,134** Routine Name: PSIVORC Before: B22263402 After: B24718262 **23,53,80,110,134** Routine Name: PSIVORC1 Before: B33734585 After: B43227243 **1,37,69,110,157,134** Routine Name: PSIVOREN Before: B28317661 After: B27138020 **3,18,69,110,127,133,140,134** Routine Name: PSIVORFA Before: B26473261 After: B24701688 **4,7,18,28,50,71,58,91,80,110, 111,134** Routine Name: PSIVORFB Before: B42928811 After: B50190472 **3,18,28,68,58,85,110,111,120,134** Routine Name: PSIVSP Before: B34275860 After: B37490534 **30,37,41,50,56,74,83,111,133, 138,134** Routine Name: PSIVUTL1 Before: B16891513 After: B26385588 **58,81,111,134** Routine Name: PSJHL2 Before: B32582079 After: B36875797 **1,18,16,23,28,42,50,70,58, 100,102,110,111,112,144,141, 134** Routine Name: PSJHL3 Before: B62290777 After: B65300768 **1,11,14,40,42,47,50,56,58, 92,101,102,123,110,111,152,134** Routine Name: PSJHL4 Before: B75218206 After: B72457593 **1,12,27,34,40,42,55,47,50, 56,58,98,85,105,107,110,111, 154,134** Routine Name: PSJHL4A Before: B37280684 After: B56736588 **105,111,154,170,159,134** Routine Name: PSJHL5 Before: B30798054 After: B31480184 **1,28,39,40,42,84,85,95,80,173,134** Routine Name: PSJHL9 Before: B51714224 After: B61245429 **1,18,31,42,47,50,63,72,75, 58,80,110,111,134** Routine Name: PSJHLU Before: B13579096 After: B34501644 **1,56,72,102,134** Routine Name: PSJLIACT Before: B40797272 After: B40055313 **15,47,62,58,82,97,80,110,111,134** Routine Name: PSJLIVFD Before: B38290279 After: B39296093 **7,50,63,64,58,81,91,80,116, 110,111,180,134** Routine Name: PSJLIVMD Before: B69996973 After: B77166995 **37,50,63,58,81,91,80,116,110, 111,180,134** Routine Name: PSJOREN Before: B13957518 After: B15419073 **109,127,134** Routine Name: PSJORPOE Before: B33672695 After: B37937868 **50,56,92,80,110,127,133,134** Routine Name: PSJORRE Before: B30514336 After: B32121973 **22,51,50,58,81,110,111,112,134** Routine Name: PSJORRE1 Before: B37494898 After: B35337470 **22,51,50,58,81,91,110,111,134** Routine Name: PSJORREN Before: B19932169 After: B20851674 **50,70,58,89,91,110,127,134** Routine Name: PSJORRN Before: n/a After: B60756345 **134** Routine Name: PSJORRN1 Before: n/a After: B54888629 **134** Routine Name: PSJORRO Before: n/a After: B61708639 **134** Routine Name: PSJORUT2 Before: B46889798 After: B47514615 **14,29,50,56,58,107,152,134** Routine Name: PSJUTL Before: B63047097 After: B65061820 **9,47,58,80,110,136,157,177,134** ============================================================================= User Information: Entered By : KEHOE,THOMAS C Date Entered : JAN 25, 2005 Completed By: FARMER,LINDA Date Completed: AUG 19, 2008 Released By : VECE,VIRGINIA Date Released : AUG 20, 2008 ============================================================================= Packman Mail Message: ===================== No routines included