$TXT Created by at VIPDEV31.AAC.DOMAIN.EXT (KIDS) on Tuesday, 05/01/18 at 09:24 ============================================================================= Run Date: AUG 06, 2018 Designation: PSO*7*505 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #434 Status: Released Compliance Date: SEP 06, 2018 ============================================================================= Associated patches: (v)PSO*7*225 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*313 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*372 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*385 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*391 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*411 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*416 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*444 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*446 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*467 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*488 <<= must be installed BEFORE `PSO*7*505' (v)PSO*7*504 <<= must be installed BEFORE `PSO*7*505' Subject: MEDICATION PERMISSIONS/DISPENSING UPDATES Category: - Routine Description: ============ Outpatient pharmacy is being enhanced to provide new and updated functionality. Certain fields in controlled substance prescriptions can no longer be edited (such as Provider, Orderable Item, and Drug). Controlled substance prescriptions will now require the patient to have a zip code on file in order for the order to be written or dispensed through the 'Patient Prescription Processing' option [PSO LM BACKDOOR] or the 'Complete Orders from OERR option [PSO LMOE FINISH]. Titration/Maintenance functionality is now being blocked for all controlled substance prescriptions. Outpatient pharmacy now allows leading zeros in fractional quantity prescriptions, allowing users to accurately dispense outpatient medications. New sorting/filtering criteria have been added to 'Complete Orders from OERR' [PSO LMOE FINISH] to allow pharmacist more flexibility in selecting the prescriptions they wish to finish. These changes will improve efficiency during the process of finishing prescriptions. A new secondary sort criteria is being introduced, allowing another level of restriction on the list of prescriptions being provided to the user. Two new options within controlled substance sorting have been added as well. These are NON-CS + SCHEDULES III-IV, and NON-CS. Supply item sorting has also been incorporated into the sort/filter process. The current email generated from the scheduled option 'Expire Prescriptions' [PSO EXPIRE PRESCRIPTIONS] has been modified to a new format to include the facility name/institution file internal entry number. This is being done to provide better information to the user receiving the email. Finally, the HL7 logic has been modified so that 'EL' for Electronic will be sent to the Outpatient Pharmacy Automation Interface (OPAI) if a controlled substance prescription has been digitally signed. This enhancement provides the authorization type in the ORC segment allowing the dispensing device to consume the authorization type. The dispensing device can then make use of the authorization type to inform the pharmacist whether or not a hard-copy prescription needs to be collated with the medication. Patch Components: ----------------- Files & Fields Associated: -------------------------- N/A Forms Associated: ----------------- N/A Mail Groups Associated: ----------------------- N/A Options Associated: ------------------- N/A Protocols Associated: --------------------- N/A Security Keys Associated: ------------------------ N/A Templates Associated: --------------------- N/A Additional Information: ----------------------- New Service Requests (NSRs): ---------------------------- NSR #20130711 Item #1: -------- Prevent the use of titration/maintenance functionality on all controlled substance prescriptions, so it is consistent between Electronic Prescriptions for Controlled Substances (EPCS) prescriptions and paper prescriptions. Resolution: ----------- Routine PSOOTMRX has been modified to check and prevent the use of the titration functionality on all controlled substance prescriptions. Item #2: -------- Enhance outpatient pharmacy to allow leading zeros in fractional quantity prescriptions. This will allow users to finish and dispense outpatient medications accurately. Resolution: ----------- Modified PSODIR1 to add a 0 (zero) in front of the decimal place for fractional quantity prescriptions. Added logic to NFILE^PSON52 to ensure a leading zero is attached to fractional quantity prescriptions. Modified PSOORNEW to remove the + from the quantity display so leading zeros will display for fractional quantity prescriptions. Item #3: -------- Enhance messaging to the Outpatient Pharmacy Automation Interface (OPAI) to include an indicator if a prescription was digitally signed. Resolution: ----------- Routine PSOHLDS4 has been modified to pass 'EL' in the ORC | 30 segment if the prescription is a controlled substance and has been digitally signed. Item #4: -------- Modify the edit logic for pending Schedule II-V orders to stop the editing process if one of the fields in the selection range is an uneditable field that would create a new prescription. Resolution: ----------- Routines PSOOREDT and PSOORNEW have been modified to check each individual field when being edited. If the field is an uneditable field for a controlled substance prescription, those fields will not be available to the user during their editing. Item #5: -------- Add legend drugs (non-controlled substances) and controlled substances C-III through C-V (the lower schedules of controlled substances) to the sort filter functionality in 'Complete Orders from OERR' [PSO LMOE FINISH]. Resolution: ----------- Routine PSOORFI5 has been modified to now include legend drugs and controlled substances C-III through C-V and non-controlled substances. Item #6: -------- Add the ability to select supply items as a sort filter in 'Complete Orders from OERR' [PSO LMOE FINISH]. Resolution: ----------- Enhanced the filter selection prompt in PSOORFIN to now include supply items. Enhanced help text in ST^PSOORFI1 to include supply items. Added a new linetag to PSOORFI5 that controlls processing of supply items. Item #7: -------- Add a secondary sort filter selection in 'Complete Orders from OERR' [PSO LMOE FINISH]. Resolution: ----------- Routines PSOORFIN, PSOORFI5, PSOORFI3, and PSOORFI6 have been modified to now allow a user to select a primary and a secondary sort criteria. After selecting a primary sort criteria, the user will not be able to select the same criteria as the secondary sort. Item #8: -------- Prevent users from dispensing controlled substance medications if the patient is missing a zip code in the patient address information. DEA regulation 21 CFR 1306.05(a) compliance. Resolution: ----------- Routine PSOORNEW has been modified to block the Finish action when finishing a prescription that is a controlled substance when the patient does not have zip code on file. Item #9: -------- Modify the subject and body of the expiring DEA mail message so the user has more comprehensive information about an expriring DEA number. Resolution: ----------- Modified routine PSOHLEXP to update the subject and body of the email message being sent. Patient Safety Issues (PSIs): ----------------------------- N/A Remedy Ticket(s) & Overview: ---------------------------- N/A Test Sites: ---------- New York Harbor Kansas City 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: https://www.domain.ext/vdl/ Title File Name FTP Mode ------------------------------------------------------------------------ Outpatient Pharmacy Technical Manual/Security Guide PSO_7_TM_R0818.pdf Binary Outpatient Pharmacy Manager's User Manual PSO_7_UM_R0818.pdf Binary Patch Installation: Pre/Post Installation Overview: ------------------------------- N/A Pre-Installation Instructions: ------------------------------ N/A 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. 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 PSO*7*505. a. 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.). b. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Select the installation option Backup a Transport Global. This option will create a backup message of any routines exported with this patch in case you need to backout this patch. It will not backup any other changes such as Data Dictionaries (DD's) or templates. It is important this step be followed, because if backout of this patch is necessary, having the backup will make the process much easier. 5. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 6. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer 'NO'. 7. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer 'NO' 8. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer 'NO'. 9. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions: ------------------------------- N/A Back-out Procedures ------------------- Back-out Procedures are only needed if there are major problems (examples include the KIDS notice of incompletion or hard errors) resulting from the installation of this patch. You must have concurrence from Health Product Support before a rollback can occur. Enter a ServiceNow helpdesk ticket to obtain this concurrence. Prior to installing a patch, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routines onto the VistA System. Validation of Roll Back Procedure --------------------------------- The Roll Back Procedure can be verified by printing the first 2 lines of the PSO Routines contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the routines contained in the PSO*7.0*505 patch have been rolled back, the first two lines of the Routines will no longer contain the designation of patch PSO*7.0*505 in the patch list section on line 2. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 39 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSODIR1 Before: B93842245 After: B95371987 **23,46,78,102,121,131,146,166, 184,222,268,206,266,340,391, 444,446,505** Routine Name: PSOHELP Before: B49812789 After: B50313084 **3,23,29,48,46,117,131,222, 268,206,276,282,444,505** Routine Name: PSOHLDS4 Before: B16602666 After: B16987762 **156,255,279,385,505** Routine Name: PSOHLEXP Before: B22400492 After: B24025393 **10,22,36,73,148,257,391,505** Routine Name: PSON52 Before: B98826270 After:B102819042 **1,16,23,27,32,46,71,111,124, 117,131,139,157,143,219,148, 239,201,268,260,225,303,358, 251,387,379,390,391,313,408, 473,504,505** Routine Name: PSOOREDT Before: B82334396 After: B91171061 **4,20,27,37,57,46,78,102,104, 119,143,148,260,281,304,289, 298,379,377,391,313,427,411, 505** Routine Name: PSOORFI1 Before: B82061614 After: B86566158 **7,15,23,27,32,44,51,46,71, 90,108,131,152,186,210,222,258, 260,225,391,408,444,467,505** Routine Name: PSOORFI3 Before: B74671626 After: B77499735 **15,27,32,46,84,99,130,117, 139,172,225,300,384,372,505** Routine Name: PSOORFI5 Before: B48135325 After: B76809208 **225,315,266,391,372,416,504,505** Routine Name: PSOORFI6 Before: B23497771 After:B120103085 **225,505** Routine Name: PSOORFIN Before: B64024579 After: B72047260 **7,15,27,32,44,46,84,106,111, 117,131,146,139,195,225,315, 266,338,391,372,416,446,505** Routine Name: PSOORNE6 Before: B50160901 After: B50434819 **46,103,117,156,210,488,505** Routine Name: PSOORNEW Before: B98552577 After:B112662411 **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, 486,446,505** Routine Name: PSOOTMRX Before: B20486782 After: B23201302 **313,505** Routine list of preceding patches: 385, 446, 467, 488, 504 ============================================================================= User Information: Entered By : Date Entered : OCT 09, 2017 Completed By: Date Completed: AUG 01, 2018 Released By : Date Released : AUG 06, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT