$TXT Created by W at PREMV.FO-BIRM.DOMAIN.EXT (KIDS) on Tuesday, 10/24/17 at 12:08 ============================================================================= Run Date: DEC 13, 2017 Designation: PSO*7*467 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #414 Status: Released Compliance Date: JAN 13, 2018 ============================================================================= Associated patches: (v)PSO*7*444 <<= must be installed BEFORE `PSO*7*467' (v)PSO*7*446 <<= must be installed BEFORE `PSO*7*467' Subject: INBOUND ELECTRONIC PRESCRIBING Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ ************************************************************************** ***Important*** In order to manage the complex technical nature of implementing Inbound ePrescribing, patch PSO*7*467 will install the software in a dormant state. All VA medical centers will receive the patch simultaneously upon its national release, with an expectation that it will be installed within the standard 30-day compliance period. When ready to start receiving Inbound eRXs, sites will need to enlist the assistance of the Inbound eRX Support Team and follow the steps in the Implementation Guide - Inbound ePrescribing (IEP) Version 2.0. which is included in the Documentation Retrieval Instructions section of this patch description and the Vista Documenation Library (vdl). Once training and initial configuration steps are completed, sites should submit a help desk ticket to the VA National Service Desk (NSD) at 855-NSD-HELP (673-4357) and reference "Inbound eRx". Implementation of Inbound ePrescribing by the eRX Support Team will be delayed until the release of Emergency patch PSO*7*506 which is currently under development and being tested. ************************************************************************** Veterans Health Administration (VHA), Patient Care Services (PCS) and Pharmacy Benefits Management (PBM) has requested a new capability as part of the Pharmacy Reengineering (PRE) program to receive inbound electronic prescriptions (e-prescriptions or eRxs) from an external provider (e.g., a doctor not associated with the Department of Veterans Affairs [VA], medical staff at a Department of Defense [DoD] military treatment facility, etc.). Once received, these prescriptions will be moved into the existing Veterans Health Information Systems and Technology Architecture (VistA) Outpatient Pharmacy (OP) for processing and dispensing. A new list manager interface has been created that provides a list of inbound electronic prescriptions. This list is commonly called the 'eRx Holding Queue'. Search and sort functionality allows a user to look for specific prescriptions if needed. Once a user selects a prescription, the interface allows the users to validate patient, provider, and drug information. After the patient, provider, and drug have been validated, the user can then accept the electronic prescription. Once an eRx is accepted it is sent to the PENDING OUTPATIENT ORDERS file (#52.41). Users can then use the existing option Complete Orders from OERR [PSO LMOE FINISH] to finish the prescription. Additional options are also available that allow users to place an electronic prescription on hold, remove it from hold, reject, print, accept, and remove prescriptions. Enhancements have been made to the functionality that builds the existing medication profile displays in Complete Orders from OERR [PSO LMOE FINISH] and Patient Prescription Processing [PSO LM BACKDOOR ORDERS]. If a user selects a prescription that was initially accepted from inbound electronic Prescribing, Complete Orders from OERR [PSO LMOE FINISH] and Patient Prescription Processing [PSO LM BACKDOOR ORDERS] will now display information about the original electronic prescription, allowing the user to review and/or make final adjustments. A new hidden action has been created in both Complete Orders from OERR [PSO LMOE FINISH] and Patient Prescription Processing [PSO LM BACKDOOR ORDERS]. The hidden action Print eRx [PSO ERX OP PRINT] allows the user to print the original electronic prescription information to a hard copy for review. The inbound electronic prescribing patch consists of Data dictionaries, routines, and Remote Procedure Calls (RPC's) that facilitate the receipt and processing of an incoming eRx. New RPC's allow the eRx Processing Hub to call into Vista to perform actions such as validating a provider or drug. The eRx Processing Hub works in conjunction with the VistA eRx Holding Queue and associated procedures in multiple VistA OP instances. High-level functions of the eRx Processing Hub are: - Receive, persist, validate, manipulate, and construct/send National Council for Prescription Drug Programs (NCPDP) Extended Markup Language (XML) messages. - Validate designated pharmacy from NCPDP XML and match to VistA OP instance. - Perform auto-validation and matching (including patient, enrollment/registration, provider, drug). - Transform prescription data and send to VistA eRx Holding Queue format. - Maintain processing statuses and perform error/exception handling. - Provide administrative User Interface (UI) to track, enable/disable transmission, validate eRx and run reports. A new option, Complete Orders from eRx [PSO ERX FINISH] is being added to the Rx (Prescriptions) [PSO RX] menu within the outpatient pharmacy package. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- OUTPATIENT SITE (#59) DEFAULT ERX CLINIC (#10) New ERX SERVICE REASON CODES (#52.45) NUMBER (#.001) New SERVICE REASON CODE (#.01) New BRIEF DESCRIPTION (#.02) New CODE TYPE (#.03) New FULL DESCRIPTION (#1) New ERX EXTERNAL PATIENT (#52.46) NAME (#.01) New LAST NAME (#.02) New FIRST NAME(#.03) New MIDDLE NAME(#.04) New SUFFIX(#.05) New PREFIX(#.06) New GENDER(#.07) New DATE OF BIRTH(#.08) New ERX EXTERNAL PHARMACY(#.09) New FILE ID(#1.1) New MEDICAL RECORD ID #(#1.2) New ACCOUNT NUMBER(#1.3) New SSN(#1.4) New LINKED VISTA PATIENT(#1.5) New PLACE/LOCATION QUALIFIER(#1.6) New PATIENT RELATIONSHIP(#1.7) New COMMUNICATION(#2) New ADDRESS LINE 1(#3.1) New ADDRESS LINE 2(#3.2) New CITY(#3.3) New STATE(#3.4) New ZIP CODE(#3.5) New IDENTIFICATION(#5) New ERX EXTERNAL PHARMACY (#52.47) NAME(#.01) New NCPDP ID(#.02) New NPI(#.03) New DEA NUMBER(#.04) New STORE NAME(#.05) New ADDRESS LINE 1(#1.1) New ADDRESS LINE 2(#1.2) New CITY(#1.3) New STATE(#1.4) New ZIP(#1.5) New TYPE(#1.6) New PLACE/LOCATION QUALIFIER(#1.7) New SPECIALTY(#1.8) New IDENTIFICATION(#2) New COMMUNICATION(#3) New ASSOCIATED ERX PERSON(#4) New ERX EXTERNAL PERSON (#52.48) NAME(#.01) New LAST NAME(#.02) New FIRST NAME(#.03) New MIDDLE NAME(#.04) New SUFFIX(#.05) New PREFIX(#.06) New PERSON TYPE(#1.1) New SPECIALTY(#1.2) New ASSOCIATED ERX PHARMACY(#1.3) New NCPDP ID(#1.4) New NPI(#1.5) New DEA #(#1.6) New HIN(#1.7) New STATE LICENSE NUMBER(#1.8) New CLINIC NAME(#2.1) New PLACE/LOCATION QUALIFIER(#2.2) New COMMUNICATION(#3) New STREET ADDRESS LINE 1(#4.1) New ADDRESS LINE 2(#4.2) New CITY(#4.3) New STATE(#4.4) New ZIP CODE(#4.5) New AGENT LAST NAME(#5.1) New AGENT FIRST NAME(#5.2) New AGENT MIDDLE NAME(#5.3) New AGENT SUFFIX(#5.4) New AGENT PREFIX(#5.5) New IDENTIFICATION(#6) New ERX HOLDING QUEUE (#52.49) ERX HUB ID(#.01) New RELATED OR PARENT MESSAGE ID(#.02) New MESSAGE DATE/TIME(#.03) New EXTERNAL PATIENT IDENTIFIER(#.04) New VISTA PATIENT(#.05) New INSTITUTION(#.06) New PHARMACY SYSTEM(#.07) New MESSAGE TYPE(#.08) New EXTERNAL/PROVIDER ORDER NUMBER(#.09) New VISTA PENDING OUTPATIENT ORDER(#.1) New OE/RR ORDER NUMBER(#.12) New PHARMACY PRESCRIPTION NUMBER(#.13) New ERX ORDER STATUS(#1) New DRUG VALIDATED BY(#1.11) New DRUG VALIDATED DATE/TIME(#1.12) New PATIENT VALIDATED BY(#1.13) New PATIENT VALIDATED DATE/TIME(#1.14) New PROV STAT (AUTO VALIDATION)( #1.2) New PROV STAT (MANUAL VALIDATION)( #1.3) New DRUG STAT (AUTO VALIDATION)( #1.4) New DRUG STAT (MANUAL VALIDATION)( #1.5) New PATIENT STATUS (AUTO VAL)( #1.6) New PATIENT STATUS (MANUAL VAL)( #1.7) New PROVIDER VALIDATED BY(#1.8) New PROVIDER VALIDATED DATE/TIME(#1.9) New EXTERNAL PROVIDER(#2.1) New EXTERNAL PHARMACIST(#2.2) New VA MATCHED PROVIDER(#2.3) New TO/FROM QUALIFIER(#2.4) New ERX EXTERNAL PHARMACY(#2.5) New ERX EXTERNAL SUPERVISOR(#2.6 New EXTERNAL DRUG/SUPPLY(#3.1) New MATCHED DRUG/SUPPLY(#3.2) New PRODUCT CODE(#4.1) New DRUG DB CODE QUALIFIER(#4.11) New PRODUCT CODE QUALIFIER(#4.2) New STRENGTH(#4.3) New DRUG DB CODE(#4.4) New FORM SOURCE CODE(#4.5) New FORM CODE(#4.6) New STRENGTH SOURCE CODE(#4.7) New STRENGTH CODE(#4.8) New DEA SCHEDULE(#4.9) New QUANTITY(#5.1) New CODE LIST QUALIFIER(#5.2) New UNIT SOURCE CODE(#5.3) New POTENCY UNIT CODE(#5.4) New DAYS SUPPLY(#5.5) New REFILLS(#5.6) New REFILL QUALIFIER(#5.7) New SUBSTITUTIONS(#5.8) New WRITTEN DATE(#5.9) New LAST FILL DATE(#6.1) New EXPIRATION DATE(#6.2) New EFFECTIVE DATE(#6.3) New PERIOD END(#6.4) New DELIVERED ON DATE(#6.5) New DATE VALIDATED(#6.6) New DIRECTIONS(#7) New NOTES(#8) New DIAGNOSIS(#9) New PRIOR AUTHORIZATION(#10.2) New PRIOR AUTHORIZATION QUALIFIER(#10.3) New PRIOR AUTHORIZATION STATUS(#10.4) New DO NOT FILL(#10.5) New NEEDED NO LATER THAN(#10.6) New TIMEZONE(#10.7) New TIME ZONE DIFFERENCE QUANTITY(#10.8) New NEEDED NO LATER THAN REASON(#10.9) New STRUCTURED SIG(#11) New ORDER CHECKS(#12) PATIENT FACILITY UNIT(#13.1) New BED(#13.2) New ROOM(#13.3) New OBSERVATION(#14) New OBSERVATION NOTES(#15) New DRUG USE EVALUATION(#16) New EXTERNAL PHARMACY(#17.1) New EXTERNAL PHARMACIST(#17.2) New TRANSFERRED TO VA PHARMACY(#17.3) New XFER TO EXTERNAL PHARMACY(#17.4) New PAYER INFORMATION(#18) New STATUS HISTORY(#19) New VISTA QUANTITY(#20.1) New VISTA DAYS SUPPLY(#20.2) New VISTA VERB(#20.3) New VISTA ROUTING(#20.4) New VISTA REFILLS(#20.5) New VISTA CLINIC(#20.6) New QUANTITY/TIMING(#21) New FROM(22.1) New FROM QUALIFIER(#22.2) New TO(#22.3) New TO QUALIFIER(#22.4) New CH SENT DATE/TIME(#22.5) New RELATED INSTITUTION(#24.1) New DIVISION(24.2) New SENDER SECONDARY ID(#24.3 New SENDER TERTIARY ID(#24.4) New RECEIVER SECONDARY ID(#24.5) New RECEIVER TERTIARY ID(#24.6) New CH MESSAGE ID(25) New PENDING OUTPATIENT ORDER#(#25.2) New VA DISPENSING INSTRUCTIONS(#26) New VA PATIENT INSTRUCTIONS(#27) New DRUG COVERAGE STATUS(#28) New VA PROVIDER COMMENTS(#30) New VA UNEXPANDED SIG(#31) New EXTERNAL FORM CODE(#41) New EXTERNAL POTENCY UNIT New CODE(#42) New EXTERNAL STRENTH CODE(#43) New PAYER CARDHOLDER ID CONVERTED (#44) New PROCESSING ERRORS(#100) New Forms Associated: ----------------- N/A List Templates Associated: List Template Name New/Modified/Deleted ------------------ -------------------- PSO ERX DRUG VALIDATION New PSO ERX HOLDING QUEUE New PSO ERX HQ DISPLAY New PSO ERX PATIENT VALIDATION New PSO ERX PROVIDER VALIDATION New Mail Groups Associated: ----------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- PSO ERX FINISH Action New PSO WEB SERVICES OPTION Web Service New PSO RX Menu Modified Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- PSO ERX ACCEPT ERX New PSO ERX ACCEPT VALIDATION New PSO ERX DISPLAY MENU New PSO ERX EDIT New PSO ERX HIDDEN ACTIONS New PSO ERX HOLD New PSO ERX HQ MENU New PSO ERX HQ SEARCH New PSO ERX HQ SELECT New PSO ERX HQ SORT New PSO ERX OP PRINT New PSO ERX PRINT New PSO ERX REMOVE New PSO ERX REJECT New PSO ERX RENEW REQUEST New PSO ERX SELECT BY NUMBER New PSO ERX UNHOLD New PSO ERX VALIDATE DRUG New PSO ERX VALIDATE PATIENT New PSO ERX VALIDATE PROVDIER New PSO ERX VALIDATION MENU New PSO HIDDEN ACTIONS Modified PSO HIDDEN ACTIONS #3 Modified Remote Procedure Calls: Remote Procedure Name: ---------------------- PSOERXA0 DRGMTCH - drug matching logic PSOERXA0 PRVMTCH - provider match logic PSOERXA1 INCERX - read and file incoming eRx (XML) Security Keys Associated: Security Key Name ----------------- PSO ERX ADV TECH (NEW) PSO ERX TECH (NEW) PSO ERX VIEW (NEW) Templates Associated: --------------------- N/A Additional Information: N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Remedy Ticket(s) & Overview: ---------------------------- N/A Test Sites: ---------- CENTRAL ALABAMA VETERANS HEALTHCARE SYSTEM VA OMAHA MEDICAL CENTER (CENTRAL PLAINS) SIOUX FALLS VA HEALTHCARE SYSTEM VETERANS HEALTH CARE SYSTEM OF THE OZARKS HEALTH ADMINISTRATION CENTER (MEDS BY MAIL) INDIANAPOLIS VA MEDICAL CENTER 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 directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- User Manual - Inbound ePrescribing (IEP) Version 2.0 pso_7_0_p467_um.pdf Technical Manual Outpatient Pharmacy 7.0 pso_7_0_p467_tm.pdf Implementation Guide - Inbound ePrescribing (IEP) Version 2.0 pso_7_0_p467_img.pdf Installation Guide Inbound ePrescribing (IEP) Version 2.0 pso_7_0_p467_ig.pdf Release Notes - Inbound ePrescribing (IEP) Version 2.0 pso_7_0_p467_rn.pdf Patch Installation: Pre/Post Installation Overview: ------------------------------- The user installing this patch must hold the XUMGR security key. This key is needed to ensure the creation of the application proxy user (PSOAPPLICATIONPROXY,PSO) completes properly. Follow post-installation steps to configure the proxy connector and web service for the Inbound eRx package. 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: PSO*7.0*467 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. 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? NO//' Post-Installation Instructions: ------------------------------- There are additional steps to be completed prior to Implementation and Go-Live for Inbound eRX. Please refer to the Implementation Guide -Inbound ePrescribing (IEP) Version 2.0 found in the Documentation Retrieval Instructions or on the Vista Documenation Library (vdl) when site is ready to complete final setup. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 153 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSO467PI Before: n/a After: B851231 **467** Routine Name: PSO467PO Before: n/a After: B15790041 **467** Routine Name: PSOERX Before: n/a After: B62148150 **467** Routine Name: PSOERX1 Before: n/a After: B73483713 **467** Routine Name: PSOERX1A Before: n/a After:B116223189 **467** Routine Name: PSOERX1B Before: n/a After:B200406933 **467** Routine Name: PSOERX1C Before: n/a After: B35864468 **467** Routine Name: PSOERXA0 Before: n/a After: B33077655 **467** Routine Name: PSOERXA1 Before: n/a After:B228588207 **467** Routine Name: PSOERXA2 Before: n/a After: B75232526 **467** Routine Name: PSOERXA3 Before: n/a After: B37438894 **467** Routine Name: PSOERXA4 Before: n/a After: B86435195 **467** Routine Name: PSOERXD1 Before: n/a After:B120565051 **467** Routine Name: PSOERXD2 Before: n/a After:B205678720 **467** Routine Name: PSOERXH1 Before: n/a After: B14280628 **467** Routine Name: PSOERXO1 Before: n/a After: B57309099 **467** Routine Name: PSOERXP1 Before: n/a After: B23837983 **467** Routine Name: PSOERXR1 Before: n/a After: B24483319 **467** Routine Name: PSOERXU1 Before: n/a After: B72865919 **467** Routine Name: PSOERXX1 Before: n/a After: B44864162 **467** Routine Name: PSOERXX2 Before: n/a After:B181162473 **467** Routine Name: PSOERXX3 Before: n/a After: B81556769 **467** Routine Name: PSOERXX4 Before: n/a After: B86144240 **467** Routine Name: PSOERXX5 Before: n/a After:B181218192 **467** Routine Name: PSOORFI1 Before: B79665537 After: B82061614 **7,15,23,27,32,44,51,46,71, 90,108,131,152,186,210,222,258, 260,225,391,408,444,467** Routine Name: PSOORNE2 Before:B107853949 After:B111459106 **11,21,23,27,32,37,46,84,103, 117,131,146,156,210,148,222, 238,264,281,289,251,379,391, 313,282,427,454,446,467** ============================================================================= User Information: Entered By : Date Entered : AUG 03, 2016 Completed By: Date Completed: DEC 11, 2017 Released By : Date Released : DEC 13, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT