$TXT Created by ROCHA,MARCELO at CINP.FO-BIRM.MED.VA.GOV (KIDS) on Thursday, 02/02/12 at 08:33 ============================================================================= Run Date: FEB 21, 2012 Designation: PSN*4*297 Package : PSN - NATIONAL DRUG FILE Priority: EMERGENCY Version : 4 SEQ #301 Status: Released Compliance Date: FEB 23, 2012 ============================================================================= Associated patches: (v)PSN*4*304 <<= must be installed BEFORE `PSN*4*297' Subject: DRUG CLASS AM400 (QUINOLONE) ALLERGY FIX Category: - Routine Description: ============ VistA Patch PSN*4*304 released November 10, 2011 created a new VA drug class "AM400 QUINOLONES". The quinolone antibiotics were previously located under VA drug class "AM900 ANTI-INFECTIVES,OTHER". Existing patient allergies in the PATIENT ALLERGIES file (#120.8) to antibiotics in the quinolone class were not automatically updated to the new VA drug classification with the release of PSN*4*304. Consequently the entry of a new order for an antibiotic in the Quinolone VA drug class will not trigger a drug allergy alert. A facility reported that the drug-allergy order check in VistA/CPRS did not trigger appropriately when a patient was ordered a fluroquinolone type antibiotic that the patient had a known allergy to. The drug allergy was properly documented in the VistA Adverse Reaction Tracking (ART) System. This patch contains a post-install routine that will loop through all the patient allergies entries for quinolones and will correctly update such entries with the new class "AM400 QUINOLONES", which should trigger the drug-allergy order check when the patient is ordered a medication under this drug class. Once completed, the post-install routine will generate and send the Mailman message below to the person who installed the patch, the mail group 'NDF DATA' and all the 'PSNMGR' security key holders. Subj: Post-install results from patch PSN*4*297 [#110557] 02/02/12 From: NDF MANAGER In 'IN' basket. Page 1 --------------------------------------------------------------------- Number of Patient Allergy entries by class: Before update: AM900 - ANTI-INFECTIVES,OTHER: 1601 AM400 - QUINOLONES : 11 After update: AM900 - ANTI-INFECTIVES,OTHER: 919 AM400 - QUINOLONES : 693 Enter message action (in IN basket): Ignore// The results above will vary from site to site. Some sites might even have the exact same numbers 'Before' and 'After' the update, which means the site was not affected by the problem in PSN*4*304 when it was installed. NOTE: Allergy clean up in the past should have converted all allergies to a match with an entry from National drug files, however, there might still be some allergies pointing to drug file 50 for example Levofloxacin 500 MG TAB. These entries if present will not convert. Separate instructions will be sent to the field for correcting such allergies. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------------- ------------------------------ -------------------- N/A 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 ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A Associated Remedy Ticket(s): ============================ 590635 Associated Patient Safety Issues (PSIs): ======================================= PSPO #2175 PSPO #2141 Associated New Service Request (NSR): ===================================== N/A Test Sites: ----------- HEARTLAND-WEST HCS NEW JERSEY HCS OKLAHOMA CITY, OK Patch Installation: Pre/Post Installation Overview ------------------------------ A post-install routine will run and will correct all the entries in the PATIENT ALLERGIES file (#120.8) to correctly update the Drug Class AM400 for patients with allergies for Quinolones. A Mailman message with the number of entries updated will be generated and sent users involved in the NDF Monthly Data Update as mentioned above. The post-install routine PSN297P will be deleted once the installation of the patch is completed. 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. The installation may take some time, therefore it is recommended that it be queued for non-peak hours. 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 option. When prompted for the INSTALL enter the patch # (PSN*4.0*297): 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 DD's 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, DD's, 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. Enter PSN*4.0*297. 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. 7. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions ------------------------------ N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;4.0;NATIONAL DRUG FILE;**[Patch List]**; 30 Oct 98;Build 9 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSN297P Before: n/a After: B6228794 **297** ============================================================================= User Information: Entered By : ANWER,MOHAMED Date Entered : AUG 10, 2011 Completed By: GREER,MIKE Date Completed: FEB 21, 2012 Released By : MIAN,NAEEM Date Released : FEB 21, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT