$TXT Created by               at CLN1G1.AAC.DOMAIN.EXT  (KIDS) on Wednesday, 09/16/20 at 16:13
=============================================================================
Run Date: NOV 05, 2020                     Designation: PSO*7*624
Package : PSO - OUTPATIENT PHARMACY           Priority: Mandatory
Version : 7       SEQ #507                      Status: Released
                  Compliance Date: DEC 06, 2020
=============================================================================

Associated patches: (v)PSO*7*611   <<= must be installed BEFORE `PSO*7*624'

Subject: PSO PACKAGE INAPPROPRIATELY DEFAULTS TO MAX REFILLS

Category: 
  - PATCH FOR A PATCH
  - Routine

Description:
============

 Defect Tracking System Ticket(s) & Overview:
 --------------------------------------------
 1. INC12449254 - PSO package inappropriately defaults to max refills.
  
 Problem: 
 --------
 When patch PSO*7*611 is installed there is an unintended behavior that 
 may result in providers or RPH issuing a greater duration of medication 
 than intended. In the patient's medication profile, if you change the 
 DAYS SUPPLY on an Rx that is not specifically a Clozapine drug there is 
 an unintended prompt for the # OF REFILLS that will appear. The issue 
 with the unintended # OF REFILLS prompt is that the prompt populates with 
 the MAX refills and this potentially, if not noticed, could result in 
 patients being on a drug longer than intended.
  
 Resolution:
 -----------
 When a user changes the DAYS SUPPLY (for Clozapine Rx's only) the user
 should be prompted to select the appropriate # OF REFILLS.  
  
 Technical Resolution:
 ---------------------
 Change routine PSOORED7+9 adding additional code to prompt the user (for 
 Clozapine flagged Rx's with at least one registered lab test only) for the
 # OF REFILLS based on the DAYS SUPPLY selected.
  
 Test Sites:
 -----------
 Louis Stokes DVA Medical Center Cleveland, OH
 Iron Mountain VAMC Iron Mountain, MI
  
  
 Software and Documentation Retrieval Instructions:
 --------------------------------------------------
 The software for this patch is being released in a PackMan message.   
  
 Patch Installation:
 -------------------
  
 Pre/Post Installation Overview:
 -------------------------------
 It is not necessary to disable any options.  
  
 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 build. Then select 
    the INSTALL/CHECK MESSAGE PackMan option to load the build.
   
 2. From the Kernel Installation and Distribution System Menu, select the  
    Installation Menu.  From this menu, 
    A.  Select the Verify Checksums in Transport Global 
        option to confirm the integrity of the routines that 
        are in the transport global. When prompted for the 
        INSTALL NAME enter the patch or build name. 
        (ex. PSO*7.0*624)
  
         NOTE: Using <spacebar><enter> will not bring up a 
               Multi-Package build even if it was loaded 
               immediately before this step. It will only 
               bring up the last patch in the build.
  
     B. Select the Backup a Transport Global option to create a 
        backup message of any routines exported with this patch. 
        It will not backup any other changes such as DDs or 
        templates. 
  
     C. You may also elect to use the following options: 
          i.  Print Transport Global - This option will allow 
              you to view the components of the KIDS build.
          ii. 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 of the components of this patch, such as 
              routines, DDs, templates, etc.
  
     D. Select the Install Package(s) option and choose the 
        patch to install. 
  
        i.  When Prompted "Want KIDS to INHIBIT LOGONs during the install?
            NO//" respond NO.  
   
        ii. When Prompted "Want to DISABLE Scheduled Options, Menu Options,
            and Protocols? NO//" respond NO.
  
        iii. If prompted 'Delay Install (Minutes):  (0-60): 0//' respond 0.
  
 Post Installation Instructions:
 -------------------------------
 None.
  
 Back-Out/Roll Back Plan:
 ------------------------
 Back-out will be done only with the concurrence and participation of
 development team and appropriate VA site/region personnel. The decision to
 back-out or rollback software will be a joint decision between development
 team, VA site/region personnel and other appropriate VA personnel.
  
 Prior to installing an updated KIDS package, 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. 
  
 The back-out plan is to restore the routines from the backup created.
  
 No data was modified by this patch installation and, therefore, no 
 rollback strategy is required.
  
 Validation of Back-out Procedure
 --------------------------------
 The Back-out Procedure can be verified by printing the first 2 lines of
 the 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*624 patch have been backed out, the first two lines of the
 routines will no longer contain the designation of this patch 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 9

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: PSOORED7
    Before: B26756404   After: B28957053  **148,247,281,289,358,385,584,
                                           611,624**
 
Routine list of preceding patches: 611

=============================================================================
User Information:
Entered By  :                               Date Entered  : SEP 08, 2020
Completed By:                               Date Completed: NOV 05, 2020
Released By :                               Date Released : NOV 05, 2020
=============================================================================


Packman Mail Message:
=====================

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