============================================================================= Run Date: JUL 15, 2019 Designation: PSO*7*457 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #463 Status: Released Compliance Date: AUG 14, 2019 ============================================================================= Associated patches: (v)PSO*7*422 <<= must be installed BEFORE `PSO*7*457' (v)PSO*7*518 <<= must be installed BEFORE `PSO*7*457' (v)PSO*7*526 <<= must be installed BEFORE `PSO*7*457' (v)PSO*7*537 <<= must be installed BEFORE `PSO*7*457' (v)PSO*7*538 <<= must be installed BEFORE `PSO*7*457' (v)PSO*7*550 <<= must be installed BEFORE `PSO*7*457' (v)PSO*7*555 <<= must be installed BEFORE `PSO*7*457' Subject: MENTAL HEALTH NCC PROJECT 5.01 Category: - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ This patch will add enhancements to the Inpatient Order Entry routines for the National Clozapine Coordination project. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- MENTAL HEALTH (MH) V. 5.01 YS*5.01*122 OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*457 INPATIENT MEDICATIONS (IP) V. 5.0 PSJ*5*327 ORDER ENTRY/RESULTS REPORTING (OR) V. 3.0 OR*3*427 The patches (YS*5.01*122, PSO*7*457, PSJ*5*327, and OR*3*427) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution MENTAL HEALTH NCC PROJECT 5.01. Abbreviations for terms used in the multi-build patch descriptions include the National Clozapine Coordinating Center (NCCC) located in Dallas, Texas; Absolute Neutrophil Count (ANC); White Blood Cells (WBC); Initial Operating Capability (IOC); and Computerized Patient Record System (CPRS). The purpose of this software package is to maintain compliance with legislative and federal mandates, as well as to add Clozapine Order Checking to the Inpatient Pharmacy application. In addition, this package replaces the weekly roll-up functionality and now transmits data to the National Clozapine server nightly. This specific patch contains the following functionality: --------------------------------------------------------- Modifications to ^PSOCLO1 routine. 1. Added new Override reasons, 8 ;;REGISTER NON-DUTY HRS/WE (MAX 4D) 9 ;;PRESCRIBER APPROVED 4 DAY SUPPLY 10 ;;MILD NEUTROPENIA PRESCRIBER APPROVED 2. Modified the CHECK module to look at the ANC values instead of WBC as well as add more selections for the values of the PSOYS variable that displays the override reasons. 3. Added new warning for critically low ANC readings. 4. Added capability to produce a list of only active approving members with the "PSOLOCKCLOZ" security key to choose from for the second approving member for the Clozapine Override process. 5. Created a view alert to be sent to the provider, member approving the override, and the secondary approving member selected. This alert is available in CPRS. When the user double clicks on the alert, it will be removed from the list. 6. Inpatient Medications PSJOE was modified to detect the drug chosen. When a clozapine drug is chosen, the code calls the new PSJCLOZ routine, then uses the existing but modified outpatient medication routine PSOCLO1. This means both outpatient and inpatient clozapine orders go through the same order checks and override procedure. The divergence occurs when recording the override. When an outpatient is detected "CLOZAPINE PRESCRIPTION OVERRIDES" file (#52.52) is updated. And when an inpatient is detected "CLOZAPINE MEDICATION OVERRIDES" file (#53.8) is updated. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- CLOZAPINE PRESCRIPTION OVERRIDES REASON FOR OVERRIDE (#4) MODIFIED (#52.52) SECOND APPROVING TEAM MEMBER (#6) NEW CLOZAPINE OVERRIDE REASONS OVERRIDE REASON (#.01) NEW (#52.54) 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 ----------- ---- -------------------- PSOL MANAGER Menu Modified PSOL EDIT Run Routine Modified PSOL REGISTER PATIENT Run Routine Modified PSOLAB LIST Run Routine Modified PSOLIST OVERRIDES Run Routine Modified 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 (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: New Service Requests (NSRs): ---------------------------- Request Name: National Clozapine Coordination Project Request ID: 20100703 Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- This patch has the following known defects that are logged in the Rational Tools: 940970 - During pharmacist verification the system correctly, automatically overrode the stop date to reflect the 7-day limit for a weekly patient, but the Duration field still displays 90 days 969788 - Inpatient complex orders - Stop date in order details does not match stop date in profile view. Making CPRS order, able to create complex Clozapine order past patient dispense frequency 981761 - During backdoor pharmacy process of Outpatient 4 Day Override order, a field called LIMITED DURATION appears Known Defects: -------------- The following defects were identified during IOC testing and will be fixed during this patch's warranty period: Defect 940970 - During pharmacist verification the system correctly, automatically overrode the stop date to reflect the 7-day limit for a weekly patient, but the Duration field still displays 90 days Defect 969788 - Inpatient complex orders - Stop date in order details does not match stop date in profile view. Making CPRS order, able to create complex Clozapine order past patient dispense frequency Defect 981761 - During backdoor pharmacy process of Outpatient 4 Day Override order, a field called LIMITED DURATION appears Test Sites: ----------- Battle Creek VA Medical Center VA Black Hills Health Care System Software and Documentation Retrieval Instructions: -------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are 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: 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 -------------------------------------------------------------------------- MENTAL HEALTH NCC PROJECT 5.01 MH_NCC_PROJ_5_01.KID (ASCII) MENTAL HEALTH NCC PROJECT 5.01 MH_NCC_Proj_5_01_UG_R0719.PDF (binary) User Manual - Manager - Outpatient Pharmacy V.7.0 pso_7_P457_man_um.PDF (binary) User Manual - Pharmacist - Outpatient Pharmacy V.7.0 pso_7_p457_phar_um.PDF (binary) Deploy Install BO RB Guide MH_NCC_Proj_5_01_IG_R0719.PDF (binary) Quick Reference Guide MH_NCC_Proj_5_01_PSO_PSJ_QR_R0719.PDF (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ N/A Pre-Install/Install/Post-Install Instructions --------------------------------------------- The components sent with this patch PSO*7*457 have been included in the host file MH_NCC_PROJ_5_01.KID. Please follow the (pre/install/post) installation instructions listed in the patch description for patch YS*5.01*122. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;March 2019;Build 116 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSO457P Before: n/a After: B1583709 **457** Routine Name: PSOBKDED Before: B97742354 After: B94241318 **11,46,91,78,99,117,133,143, 268,378,416,282,450,402,518, 525,538,457** Routine Name: PSOCAN3 Before: B73058805 After: B73878473 **15,24,27,32,36,94,88,117,131, 146,139,132,223,235,148,249, 225,324,251,375,379,372,540, 508,457** Routine Name: PSOCLO1 Before: B28077371 After:B149456436 **1,23,37,222,457** Routine Name: PSOCLOLS Before: B9406774 After: B14700402 **457** Routine Name: PSOCLOU Before: n/a After: B77943063 **457** Routine Name: PSOCLUTL Before: B30326336 After:B101965385 **28,56,122,222,268,457** Routine Name: PSODIR Before: B42513700 After: B42041292 **37,46,111,117,146,164,211, 264,275,391,372,416,422,504, 457** Routine Name: PSODIR1 Before: B95790697 After:B108575993 **23,46,78,102,121,131,146,166, 184,222,268,206,266,340,391, 444,446,505,543,457** Routine Name: PSODIR2 Before: B29095518 After: B32390771 **3,9,26,46,124,146,139,152, 166,504,526,457** Routine Name: PSODRG Before:B100166024 After: B99583322 **20,23,36,53,54,46,112,139, 207,148,243,268,324,251,375, 387,398,390,427,411,458,504, 517,457** Routine Name: PSON52 Before:B103399623 After:B118986186 **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, 473,504,505,517,457** Routine Name: PSONEW Before: B33443923 After: B38956670 **11,27,32,46,94,130,268,225, 251,379,390,417,313,411,457** Routine Name: PSONEW1 Before: B18114075 After: B21636420 **46,104,117,143,422,457** Routine Name: PSOORED1 Before: B76283215 After: B79193159 **5,23,46,78,114,117,131,146, 223,148,244,249,268,206,313, 444,422,457** Routine Name: PSOORED5 Before:B105280160 After:B114405743 **46,75,78,100,99,117,133,251, 378,372,416,313,450,486,402, 500,507,525,537,555,457** Routine Name: PSOORNEW Before:B119220767 After:B119452733 **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, 486,446,505,517,508,457** Routine Name: PSORENW Before: B51301339 After: B54413066 **11,27,30,46,71,96,100,130, 148,206,388,390,417,313,411, 504,508,550,457** Routine Name: PSORENW0 Before: B84933755 After: B98608427 **11,27,32,59,64,46,71,96,100, 130,237,206,251,375,379,372, 411,518,457** Routine Name: PSORENW4 Before: B76190857 After: B91746035 **11,23,27,32,37,64,46,75,71, 100,130,117,152,148,264,225, 301,390,313,411,444,504,508, 550,457** Routine list of preceding patches: 526, 538, 543, 550, 555 ============================================================================= User Information: Entered By : Date Entered : JAN 06, 2016 Completed By: Date Completed: JUL 15, 2019 Released By : Date Released : JUL 15, 2019 ============================================================================= Packman Mail Message: ===================== No routines included