$TXT Created by VIPDEV31.AAC.DOMAIN.EXT (KIDS) on Thursday, 11/10/16 at 15:30 ============================================================================= Run Date: NOV 30, 2016 Designation: PSO*7*454 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #388 Status: Released Compliance Date: DEC 15, 2016 ============================================================================= Associated patches: (v)PSO*7*427 <<= must be installed BEFORE `PSO*7*454' (v)PSO*7*444 <<= must be installed BEFORE `PSO*7*454' Subject: ONEVA PHARMACY - REMOTE REFILLS/PARTIAL FILLS Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ PSO*7.0*454 introduces new functionality that allows for a pharmacist to remotely refill a prescription from another Veterans Affairs (VA) Medical Center. This patch utilizes Health Level 7 (HL7) messaging to send and receive remote prescription details from another VA Medical Center. This allows a 'dispensing', or 'non-custodial' Pharmacy to refill a prescription that originated from another VA facility. The VA facility where the prescription exists is considered the 'host' Facility. VistA utilizes HL7 to send a query message to Enterprise Messaging Services (eMI). eMI is used to query the Health Data Repository/Clincal Data Service (HDR/CDS) Repository for all active medications from all sites. The medications are returned to the querying site. Once the prescriptions are received, they are displayed below any 'local' prescriptions within the Patient Prescription Processing [PSO LM BACKDOOR ORDERS] option sorted by facility. The pharmacist can then view the remote prescriptions, and will be able to refill or partially fill any active prescriptions that are not considered controlled substances at either facility. All remote refills are logged in a new file REMOTE PRESCRIPTION LOG file (#52.09). A new option has been created to allow reporting regarding what 'remote' prescriptions have been filled by a particular facility, and what facilities have refilled prescriptions that belong to a target facility. This report is OneVA Pharmacy Prescription Report [PSO REMOTE RX REPORT]. A new HL7 logical link, PSORRXSEND will facilitate the sending of the HL7 messages to EMI. The PSO VISTA PHARM and PSO EMI PHARM application parameters will control the message processing within VistA. The existing multi-threaded listener will be leveraged at each facility for receiving the HL7 messages into VistA. A new field 'OneVA Pharmacy Flag' (#3001) has been added to the Outpatient Site file (#59). This field will allow each division to toggle the OneVA Pharmacy logic 'on' or 'off' depending on current needs. The field can be changed by using VA FileMan and editing the 'OneVA Pharmacy Flag' field. The OneVA Pharmacy flag will be delivered to each division in the 'off' state. When this flag is in the 'off' state, the HDR will not be queried for external prescriptions, and other facilities will not be able to refill prescriptions that belong to the Outpatient site with the flag set to the 'off' state. When in the 'on' state, all prescription queries and actions may be taken for remote queries, refills, and partial fills. In order to process prescriptions from another site, that site will also need to have their OneVA Pharmacy flag set to the 'on' state. DO NOT turn on the OneVA Pharmacy Flag until directed to do so. Please know, OneVA Pharmacy will be rolled out nationally in in accordance to the schedule as outlined in the 'Deployment/Installation' table of the OneVA Pharmacy Release guide or the OneVA Pharmacy Deployment, Installation, Back-Out, and Rollback Guide. The software will be released, deployed, and installed with the activation flag set to the "off" position. The Existing Product Intake Program (EPIP) Implementation Team will coordinate with the sites' Pharmacy Automatic Data Processing Application Coordinator (ADPAC) on the specific date in which to activate the software. Patch Components: ----------------- List Templates: Template Name Type ------------------ ------- PSO LM REMOTE ORDER SELECTION Protocol PSO LM REMOTE REPORT DETAILS Display PSO LM REMOTE RX REPORT Protocol Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PRESCRIPTION (#52) REFILL (#52.1) REMOTE FILL SITE New (#52.1,91) REMOTE PHARMACMIST New (#52.1,92) REMOTE PHARMACIST New PHONE (#52.1,93) PARTIAL DATE (#52.2) REMOTE FILL SITE New (#52.2,91) REMOTE PHARMACMIST New (#52.2,92) REMOTE PHARMACIST New PHONE (#52.2,93) OUTPATIENT SITE (#59) ONEVA PHARMACY FLAG New REMOTE PRESCRIPTION LOG DATE/TIME (.01) New LOG (#52.09) PATIENT (.02) New RX NUMBER (.03) New SITE NUMBER (.04) New REQUEST TYPE (.05) New OUTGOING REQUEST PHARMACIST (.06) New REMOTE FILLING PHARMACIST (.061) New QUANTITY (.07) New DAYS SUPPLY (.08) New REFILL/PARTIAL DATE (.09) New DISPENSED DATE (.1) New REMOTE DRUG NAME (1) New LOCAL (MATCHED) DRUG (1.1) New TOTAL REFILL/PARTIAL FILL COST (1.2) New VA PRODUCT ID (1.3) New MESSAGE DETAILS (2) New LABEL DATA (3) New Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A HL7 Application Parameter: New/Modified/Deleted -------------------------- -------------------- PSO EMI PHARM New PSO VISTA PHARM New HL7 Logical Link: New/Modified/Deleted ------------------ -------------------- PSORRXSEND New Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- Rx (Prescriptions) [PSO RX] Menu Modified OneVA Pharmacy Prescription Report [PSO REMOTE RX REPORT] Action New Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- PSO LM MEDICATION PROFILE Modified PSO LM REFILL REMOTE ORDER New PSO LM REMOTE ORDER MENU New PSO LM REMOTE PARTIAL New PSO LM REMOTE RX REPORT MENU New PSO LM SELECT REPORT ITEM New PSO REMOTE RX QBP-Q13 ESUBS New PSO REMOTE RX QBP-Q13 EVENT New PSO REMOTE RX RDS-O13 ESUIBS New PSO REMOTE RX RDS-O13 EVENT New Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Remedy Ticket(s) & Overview: ---------------------------- N/A Test Sites: ---------- Denver, Colorado Salt Lake City, Utah Grand Junction 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 documentation Installation pso_7_p454_ig.pdf Release pso_7_p454_rn.pdf User pso_7_p454_um.pdf 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 found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Title File Name FTP Mode -------------------------------------------------------------------------- OneVA Pharmacy Installation pso_7_p454_ig.pdf binary Guide OneVA Pharmacy Release pso_7_p454_rn.pdf binary Notes OneVA Pharmacy User pso_7_454_um.pdf binary Manual **Note: The VDL Outpatient Pharmacy user and technical manuals are to be updated in early December 2016 to reflect changes made by OneVA. Patch Installation: Pre/Post Installation Overview: ------------------------------- There is no pre-init functionality for the OneVA Pharmacy patch. A post-init function has been included to turn the OneVA Pharmacy flag to the 'OFF' state at each Outpatient Site residing in the Outpatient Site file (#59). This function will also configure the PSORRXSEND HL7 logical link to be associated with each sites' domain, and will configure the connection point Fully Qualified Domain Name (FQDN) vaaussoalebp2.aac.domain.ext for EMI. Pre-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 5 minutes to install. Installation Instructions: -------------------------- 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 #(ex. PSO*7.0*454): 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. The backup transport global will allow a rollback to the prior version of the routines released in this patch in the event a rollback is required. 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 Rebuild Menu Trees Upon Completion of Install? NO// 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' 8. When prompted for which Menu Options to disable, enter: 'PSO LM BACKDOOR ORDERS'. 9. 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: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 349 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSOORAL2 Before: B19100790 After: B25020405 **258,260,386,427,454** Routine Name: PSOORNE2 Before: B68332016 After:B107800723 **11,21,23,27,32,37,46,84,103, 117,131,146,156,210,148,222, 238,264,281,289,251,379,391, 313,282,427,454** Routine Name: PSOORUT1 Before: B83321658 After:B124954661 **1,14,30,46,132,148,233,274, 225,305,289,251,387,385,313, 427,444,454** Routine Name: PSORLLL1 Before: n/a After: B70716253 **454** Routine Name: PSORLLL2 Before: n/a After: B16763889 **454** Routine Name: PSORLLL3 Before: n/a After: B8122377 **454** Routine Name: PSORLLL4 Before: n/a After: B11420707 **454** Routine Name: PSORLLL5 Before: n/a After: B32390251 **454** Routine Name: PSORLLLH Before: n/a After: B10351529 **454** Routine Name: PSORLLLI Before: n/a After: B70303116 **454** Routine Name: PSOROS Before: n/a After: B917829 **454** Routine Name: PSORRD Before: n/a After: B2373596 **454** Routine Name: PSORREF Before: n/a After: B44063843 **454** Routine Name: PSORREF0 Before: n/a After: B46515290 **454** Routine Name: PSORREF1 Before: n/a After: B3242931 **454** Routine Name: PSORRP Before: n/a After: B74346330 **454** Routine Name: PSORRPA1 Before: n/a After: B75304679 **454** Routine Name: PSORRX1 Before: n/a After:B139750868 **454** Routine Name: PSORRX2 Before: n/a After: B32510176 **454** Routine Name: PSORWRAP Before: n/a After:B112263517 **454** Routine Name: PSORX1 Before: B66023082 After: B82763052 **7,22,23,57,62,46,74,71,90, 95,115,117,146,139,135,182,195, 233,268,300,170,320,326,324, 334,251,454** ============================================================================= User Information: Entered By : Date Entered : NOV 16, 2015 Completed By: Date Completed: NOV 28, 2016 Released By : Date Released : NOV 30, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT