$TXT Created by CMNT.FO-BIRM.DOMAIN.EXT (KIDS) on Wednesday, 04/06/16 at 13:09 ============================================================================= Run Date: JUL 07, 2016 Designation: PSO*7*444 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #381 Status: Released Compliance Date: AUG 07, 2016 ============================================================================= Associated patches: (v)PSO*7*221 <<= must be installed BEFORE `PSO*7*444' (v)PSO*7*411 <<= must be installed BEFORE `PSO*7*444' (v)PSO*7*427 <<= must be installed BEFORE `PSO*7*444' (v)PSS*1*189 <<= must be installed BEFORE `PSO*7*444' (v)PSO*7*456 <<= must be installed BEFORE `PSO*7*444' Subject: GREATER THAN 90 DAYS SUPPLY ENHANCEMENT Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ This patch is part of the Pharmacy Safety Updates project which was established to address specific New Service Requests (NSRs) as well as Remedy Ticket(s) and a Patient Safety Issue (PSI) related to the VistA Pharmacy applications as approved by the Health Systems Enterprise Systems Manager(ESM). This project is comprised of patches from five different applications, as shown below: APPLICATION/VERSION PATCH ----------------------------------------------------------------- PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*189 OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*444 INPATIENT MEDICATIONS (IM) V.5.0 PSJ*5*313 NATIONAL DRUG FILE (NDF) V. 4.0 PSN*4*429 INTEGRATED BILLING (IB) V. 2.0 IB*2*545 The following New service Requests (NSRs), Remedy Ticket(s) and Patient Safety Issue (PSI) are being addressed by this patch: NSRs 20060601/20111206 Allow Dispensing of Greater Than 90 Day Supply PSI PSPO00002098 Need to be able to enter greater than 90-days supply on medications that only come in units designed to last greater than 90 days --------------------------------------------------------------------------- The Outpatient Pharmacy and supporting VistA applications are being modified to allow dispensing of more than 90 day supply fill for outpatient prescriptions. The new limit will be 365 days and will be set for each drug individually. See below for more information on specific menu options related to this enhancement. ========================================================================= PSI PSPO00002793 Patient Prescription Processing error, truncating the second character of the Days Supply Remedy 387051 Patient Medication Profile Bad Address Indicator display ---------------------------------------------------------------------------- The Outpatient Pharmacy Medication Profile has a display problem for a prescription with the following characteristics: 2-letter status (e.g., DC), drug marked for Consolidated Mail Outpatient Pharmacy (CMOP) and Bad Address Indicator. When a prescription with all three features is displayed the DAY SUP column value is being truncated as illustrated below where the Day Supply value is actually 90 and it displays as 9. ISSUE LAST REF DAY # RX # DRUG QTY ST DATE FILL REM SUP --------------------------------DISCONTINUED-------------------------------- 1 100005604$ TOBRAMYCIN 80MG/2ML INJ 100 DC>B01-21 01-21 0 9 ========================================================================= Remedy 1049220 Outpatient Pharmacy - Electronic Prescribing of CS (ePCS) ------------------------------------------------------------------------ Control substance (TRAMADOL) defaulting to 90 supply instead of 30. ========================================================================= This patch modifies the Outpatient Pharmacy application regarding the enhancements and issues listed above: 1. Patient Prescription Processing [PSO LM BACKDOOR ORDERS] option a) The backdoor pharmacy was modified to accept the new maximum value for the DAYS SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY field (#66) introduced in patch PSS*1*189 in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32) introduced in patch PSN*4*429 in the VA PRODUCT (#50.68) file. If alternate maximum values do not exist, the current limits will remain the same. Note: The MAXIMUM DAYS SUPPLY field (#32) added to the VA PRODUCT file (#50.68) is being introduced by patch PSN*4*429, however it will not be populated initially by the Pharmacy Product System - National (PPS-N) as changes will be required to that application to edit and export this new field. b) The medication profile was modified to display the Bad Address Indicator in a different line in order to address the Remedy Ticket 387051 and Patient Safety Issue PSPO00002793 mentioned above. The indicator will be placed in the next line, as seen below. ----------------------------------ACTIVE--------------------------------- 1 100005598 ALSEROXYLON 2MG TAB 400 A> 12-11 03-01 2 90 **Bad Address** 2 100005596 DESIPRAMINE 25MG TAB 90 DC 11-01 11-01 11 30 **Bad Address** 3 100005601A NAPROXEN 250MG S.T. 170 HP>12-17 12-17 5 30 **Bad Address** 4 100005595 TIMOLOL 0.25% OPTH SOL 10ML 90 S> 11-01 11-21 10 30 c) The calculation of the number of refills for a prescription was modified to take into account the new maximum value allowed for the DAYS SUPPLY field. The current calculation (up to 90 days supply) will remain the same and a new formula will be introduced to calculate the number of refills for days supply values of 91 up to 365. The table below shows the number of refills allowed based on the days supply value: ---------------------------------+------------------------------------ NON-CONTROLLED SUBSTANCES | CONTROLLED SUBSTANCES (NO CHANGE) ---------------+-----------------+------------------+----------------- DAYS SUPPLY | # OF REFILLS | DAYS SUPPLY | # OF REFILLS ---------------+-----------------+------------------+----------------- 1 - 59 | 11 | 1 - 59 | 5 60 - 89 | 5 | 60 - 89 | 2 90 - 91 | 3 | 90 | 1 92 - 121 | 2 | | 122 - 182 | 1 | | 183 - 365 | 0 | | ---------------+-----------------+------------------+---------------- 2. Complete Orders From OERR [PSO LMOE FINISH] option This option was modified to accept the new maximum value for the DAYS SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY field (#66) in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32) in the VA PRODUCT (#50.68) file. If alternate maximum values exist, the current limits will remain the same. 3. Edit Prescriptions [PSO RXEDIT] option This option was also modified to accept the new maximum value for the DAYS SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY field (#66) in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32) in the VA PRODUCT (#50.68) file. If alternate maximum values exist, the current limits will remain the same. 4. Barcode Batch Prescription Entry [PSO BATCH BARCODE] option The renewal functionality within this option was also modified to accept the new maximum value for the DAYS SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY field (#66) in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32) in the VA PRODUCT (#50.68) file. If alternate maximum values exist, the current limits will remain the same. 5. Prescription Management Data Compilation The algorithm used to compile prescription management data was modified to account for prescriptions with greater than 90 days supply. The OVER 90 DAYS (#8) field in the OUTPATIENT PHARMACY MANAGEMENT DATA file (#59.12), which is used as a counter for the number of prescription fills with DAYS SUPPLY value greater than 90, will now be populated. 6. Count of Prescriptions [PSO MGMT REPORT RX COUNTS] option & Count of Prescriptions [PSO MGMT MONTHLY RX COUNTS] option These daily and monthly reports have been modified to include a new column called ">90 DAY", as seen below. This column will display the total number of prescription fills with a DAYS SUPPLY value greater than 90, as shown below. 30 60 90 >90 EQ TOT TOT DAY DAY DAY DAY FLS METH RX EQ FL ...===========================================================... 1 3 0 1 11 0 5 11 0 0 1 2 14 0 3 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ...=== ======= ======= ======= ======= ======= ======= =======... 1 3 1 3 25 3 8 25 Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------------ ----------------------------------- -------------------- PRESCRIPTION (#52) DAYS SUPPLY (#8) Modified RETURN TO STOCK LOG (#52.07) DAYS SUPPLY (#4) Modified REFILL (#52.1) DAYS SUPPLY (#1.1) Modified PENDING OUTPATIENT ORDERS (#52.41) DAYS SUPPLY (#101) Modified 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 New/Modified/Deleted ------------- -------------------- N/A Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ---- ------------- -------------------- N/A New Service Requests (NSRs): ---------------------------- 20060601 20111206 Patient Safety Issues (PSIs): ----------------------------- PSPO00002793 PSPO00002098 Remedy Ticket(s) & Overviews: ----------------------------- 387051-Patient Medication Profile Bad Address Indicator display 1049220-Outpatient Pharmacy - Electronic Prescribing of CS (ePCS) TEST Sites: =========== LOUISVILLE, KY NEW YORK HARBOR HCS HEARTLAND EAST Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is 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: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext Documentation can also be retrieved from the VA Software Documentation Library (VDL) on the Internet at the following address: http://www4.domain.ext/vdl. File Description File Name FTP Mode -------------------------------------------------------------------------- OUTPATIENT PHARMACY PHARMACIST'S USER PSO_7_PHAR_UM_R0616.DOC ASCII MANUAL Patch Installation: Pre Installation Overview -------------------------- This project is comprised of patches from five different applications as listed here. The patches will get released together and the suggested installation order is as shown. An installation guide released with patch PSS*1*189, discusses the installation process as PSS*1*189 is the patch that must be installed first. APPLICATION/VERSION PATCH ----------------------------------------------------------------- PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*189 OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*444 INPATIENT MEDICATIONS (IM) V.5.0 PSJ*5*313 NATIONAL DRUG FILE (NDF) V. 4.0 PSN*4*429 INTEGRATED BILLING (IB) V. 2.0 IB*2*545 ----------------------------------------------------------------- Post Installation Overview -------------------------- N/A Installation Instructions ------------------------- Although this installation will not take much time, it is recommended that it be installed overnight to prevent any disruption of service to other users. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System (KIDS) menu, select the Installation menu. 3. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSO*7.0*444). a. Backup a Transport Global - This option will create a backup message of any routines exported with the patch. It will NOT back up 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 the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - This option will ensure the integrity of the routines that are in the transport global. d. Print Transport Global - This option will allow you to view the components of the KIDS build. 4. Use the Install Package(s) option and select the package PSO*7.0*444. 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 34 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSODIR1 Before: B94639325 After: B95631218 **23,46,78,102,121,131,146,166, 184,222,268,206,266,340,391, 444** Routine Name: PSODIR3 Before: B29211268 After: B18185000 **3,46,184,222,206,318,444** Routine Name: PSOHELP Before: B53907821 After: B49812789 **3,23,29,48,46,117,131,222, 268,206,276,282,444** Routine Name: PSOHELP1 Before: B53295057 After: B49158758 **23,36,88,146,227,222,408,444** Routine Name: PSOMGCM1 Before: B39573969 After: B39462059 **20,28,175,185,198,444** Routine Name: PSOMGCOM Before: B20999263 After: B21894614 **20,28,174,221,444** Routine Name: PSOMGMN1 Before: B12723391 After: B12434382 **14,444** Routine Name: PSOMGRP1 Before: B13479977 After: B13150824 **14,444** Routine Name: PSOORCPY Before: B34153930 After: B35592105 **10,21,27,32,46,100,117,148, 313,411,444** Routine Name: PSOORED1 Before: B73633714 After: B64951982 **5,23,46,78,114,117,131,146, 223,148,244,249,268,206,313, 444** Routine Name: PSOORED3 Before: B65846558 After: B66176959 **46,78,99,117,133,148,249,251, 379,378,372,416,313,444** Routine Name: PSOORFI1 Before: B84234137 After: B79665537 **7,15,23,27,32,44,51,46,71, 90,108,131,152,186,210,222,258, 260,225,391,408,444** Routine Name: PSOORFI4 Before: B81023299 After: B73807105 **46,74,78,99,117,131,207,258, 274,300,308,251,384,391,444** Routine Name: PSOORNE3 Before: B68981522 After: B69565652 **11,9,39,59,46,103,124,139, 152,194,391,313,444** Routine Name: PSOORNE5 Before: B68801944 After: B54881611 **11,27,32,46,78,99,117,131, 146,171,180,210,222,268,206, 225,391,444** Routine Name: PSOORNEW Before: B94643833 After: B97649814 **11,23,27,32,55,46,71,90,94, 106,131,133,143,237,222,258, 206,225,251,386,390,391,372, 416,431,313,408,436,411,444** Routine Name: PSOORNW1 Before: B45684581 After: B34218715 **23,46,78,117,131,133,172,148, 222,268,206,251,379,391,313, 444** Routine Name: PSOORUT1 Before: B83981960 After: B83321658 **1,14,30,46,132,148,233,274, 225,305,289,251,387,385,313, 427,444** Routine Name: PSORENW1 Before: B60533620 After: B63022534 **20,37,51,46,71,117,157,143, 219,239,225,444** Routine Name: PSORENW3 Before: B40461998 After: B40697440 **11,20,46,100,117,444** Routine Name: PSORENW4 Before: B66539714 After: B65687099 **11,23,27,32,37,64,46,75,71, 100,130,117,152,148,264,225, 301,390,313,411,444** Routine Name: PSOSIGDS Before: B46304418 After: B46733813 **46,222,391,282,444** Routine Name: PSOSIGMX Before: B14811697 After: B9129541 **46,78,108,131,222,206,444** Routine Name: PSOUTIL Before: B67041213 After: B95292700 **64,456,444** Routine Name: PSOUTLA Before: B43668686 After: B37861740 **1,15,23,56,126,222,354,444** Routine Name: PSOUTLA1 Before: B59550372 After: B66629257 **35,186,218,259,206,388,444** Routine list of preceding patches: 198, 221, 282, 318, 354, 388, 411, 427 456 ============================================================================= User Information: Entered By : Date Entered : JAN 26, 2015 Completed By: Date Completed: JUL 07, 2016 Released By : Date Released : JUL 07, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT