$TXT Created by at CLN2G1.AAC.DOMAIN.EXT (KIDS) on Tuesday, 11/14/23 at 16:29 ============================================================================= Run Date: DEC 07, 2023 Designation: PSO*7*700 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #611 Status: Released Compliance Date: JAN 07, 2024 ============================================================================= Associated patches: (v)PSO*7*243 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*545 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*557 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*669 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*686 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*689 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*706 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*715 <<= must be installed BEFORE `PSO*7*700' (v)PSO*7*718 <<= must be installed BEFORE `PSO*7*700' Subject: NEW ERX HOLDING QUEUE OPTION W/ MBM CLASS 3 FUNCTIONALITY Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ The Inbound Electronic Prescribing (eRx) enhancements delivered in this patch include updates to the current eRx functionality to convert all of the MbM Class 3 modifications into Class 1. Below is a summary of the changes being delivered in this patch. For a more comprehensive description of the changes please refer to the documents listed in the Documentation section of this description. 1. 'Semi-retirement' of the Complete Orders from eRx [ PSO ERX FINISH] option --------------------------------------------------------------------------- While this option is not being deleted or blocked from being accessed by this patch, its functionality is being 100% replaced by a new option described below. Upon entering this option the users will now see the following message: ************************** NOTICE **************************** This option will be retired soon. Please, use the new option: ERX eRx Holding Queue Processing [PSO ERX QUEUE PROCESSING] It fully replaces this option and provides some additional functionality that will help you process incoming eRx records more efficiently. ************************************************************** NOTE: A subsequent patch (PSO*7*746) scheduled to be released in the second half of 2024 will disable this option. 2. New option: eRx Holding Queue Processing [PSO ERX QUEUE PROCESSING] --------------------------------------------------------------------------- This new option was created to replace the Complete Orders from eRx [PSO ERX FINISH] option mentioned above. The new option will have 100% of the functionality of the replaced option and some additional features described below. The ePrescribing User's Manuals 7 Part 1 & 2 released along with this patch contain more detailed information on each functionality described below: a)Most of the prompts when entering the option have been converted into User Preferences changed after loading the list and can be saved by each user as their preferred View. b)The header part of the option was modified to display information about the parameters used to compose the list, such as LOOK BACK DAYS, MAX. QUEUE SIZE, ERX STATUS, etc. c)The Grouping by CS (Controlled Substances) have a new format, which separates entries in the queue. This is performed via the Group by CS/Non-CS action (CS), also described in details in the ePrescribing User's manual. d)The user will be able to more easily switch views between the Patient Centric and the Rx Medication queues via the Patient Centric (PC) and Rx Medication (RX) actions. e)Queue Search/Filter adds 3 new options in the Patient Centric View: RX #, VISTA PATIENT and MATCH STATUS. In addition, the interface for performing searches was changed to display information about the selected filters, including in the header part of the list. The current filters can easily be reset via the RAF (Remove All Filters) action or individually. f)Queue Search/Filter adds 4 new options in the Medication View: RX #, VISTA PATIENT, VISTA PROVIDER and MATCH STATUS. g)The MATCH STATUS filter was added to the Patient Centric and Medication View and it has 4 different choices shown below: 1 PATIENT NOT MATCHED 2 PROVIDER NOT MATCHED 3 DRUG NOT MATCHED 4 PATIENT, PROVIDER AND DRUG MATCHED 1: Includes records where the patient has not been matched 2: Includes records where the provider has not been matched yet, but the patient is matched 3: Includes records where the drug has not been matched yet, but the patient and the provider are matched 4: Includes records with the patient, provider and drug matched h)The header in the Patient Centric and Medication views will display information about the selected filters, as shown below: Rx Medication Queue Jan 28, 2023@15:46:17 Page: 1 of 1 LOOK BACK DAYS: 200 CS/NON-CS: BOTH (II-V) MAX. QUEUE SIZE: 999 FILTERED BY: 01/08/23-01/18/23|PATIENT(XXXX,XXXXXXX) _________________________________________________________________________ # PATIENT DOB DRUG PROVIDER STA REC.DAT ... Note: The current filters can easily be reset via the RAF (Remove All Filters) action. i)Queue Sorting was streamlined to allow the user to quickly sort the list through specific actions for each column and also allows for Descending Sorting (not available in the replaced option). j)The Change View (CV) action allows the user to reconfigure the way the list is displayed and allows them to save the configuration to be applied to que queue when they re-enter the option. k)A new action called Refresh (REF) was added to allow the user to re-display the queue. This feature allows the user view the latest 'locks' from other users that have been placed since the queue was last built. l)A new action called Change Look Back Days (LBD) was created to quickly allow the user to change the number of days to look back for records. m)A new action called Next Patient (NP) was created to assist users in selecting the next eRx Patient on the queue to be worked on without too many keystrokes. n)A new action called Show/Hide Details (DET) under the Single Patient list will show/hide additional information about each one of the eRx on the list. It will display Qty, # of Refills, Days Supply and the SIG (medication instructions). o)A new action called Include All Statuses (IAS) under the Single Patient list will show/hide non-actionable statuses like Processed (PR), Removed (RM), etc. Furthermore, a field on the header will indicate which statuses are being displayed: ALL or ACTIONABLE only. p)A new option is being added to the initial selection before entering the The new option is called Workload Processing (WP) and it is designed for processing the current workload in a FIFO (First In First Out) method. Instead of loading a list of patients (PC Centric Queue) or Prescriptions (Rx View), this option will automatically choose the patient with the oldest record to be worked on and will load it for the user to process their prescriptions. Once the user finishes processing the prescription for the first patient loaded they can choose the Next Patient (NP) action to move on to the next patient. This option will use the ERX DEFAULT LOOKBACK DAYS field (#10.2) in the OUTPATIENT SITE file (#59) to determine which one is the patient with the oldest record on file that needs to be worked on next. The record must be in one of these 3 statuses: New, In-Process or Wait. Additionally, this option allows the user to work on patients with specific records that match the criteria below (see g bullet above for more information on each filter): 1 PATIENT NOT MATCHED 2 PROVIDER NOT MATCHED 3 DRUG NOT MATCHED 4 PATIENT, PROVIDER AND DRUG MATCHED 5 ALL (NO FILTERS) q)Within the Rx Medication Screen (or Rx List View Screen) the user will have the ability to easily filter the list by Message Type by selecting one of the following hidden actions. NEW New Rx's Only CR Change Request Only RXF Rx Refill Only IE Inbound Errors Only OE Outbound Errors Only CA Cancel Rx's Only CN Cancel Response Only CX Change Response Only RRQ Renewal Request Only RRP Renewal Response Only ALL All Message Types Note: The same result can be accomplished via the SQ (Search Queue) action and selecting #7 and then the specific message type. r)The NDC code will now be printed under the eRx Drug in the output print from the Print eRx action, as shown below: ... ***************PRESCRIPTION INFORMATION****************** eRx Drug: MELOXICAM 15MG TAB NDC: 00378108901 eRx Written Date: MAR 17, 2023 eRx Issue Date: ... s)The Remove eRx (RM) action will now work for eRx records that are currently on Hold. Before, the user had to Un-Hold the record before removing it. t)The Jump to OP (JO) action only allowed the user to 'jump' to Backdoor Pharmacy option if the patient had pending orders to be finished. This restriction is being removed by this patch. On the other hand, a restriction is being introduced to not allow the user to 'jump' until the matched VistA patient has been validated. 3. VistA Patient Suggestion --------------------------------------------------------------------------- This and the next topics are still part of the new option described above. When matching eRx Patient to a corresponding VistA Patient before the user is prompted for the VistA entry it will first be presented with suggestion (if any) based on the following logic: - Once a VistA Patient is matched and later validated to an eRx Patient it is then "remembered." - When a new eRx prescription is received for the same eRx Patient the "remembered" VistA Patient(s) are then presented as suggestions for the user to select, as shown below (Validate Patient Screen - Edit action): Select Item(s): Next Screen// E Edit |Sugg. 1 of 1 - 08/08/23| ERX PATIENT VISTA PATIENT |From eRx#: 99999999 | __________________________________________________________________________ Name:XXXXXXXXX,XXXXXXX |Name:XXXXXXXXX,XXXXXXX F DOB :XXX 99, 9999 |DOB :XXX 99, 9999 Sex :MALE |Sex :MALE SSN :999999999 |SSN :999-99-9999 Address: |Address: 123 FAKE STREET #101 | 123 FLAKE ST SUITE 101 XXXXXXX, XX 99999 | XXXXXXXX,XX 99999 Primary Phone: 999999999 | __________________________________|_______________________________________ ACTION on SUGGESTION: (A)CCEPT (F)ORGET (E)XIT: EXIT// - The left column has information about the eRx Patient while the right column has information about the VistA Patient. The date after 'Sugg. 1 of 1' is that date received for the eRx right below it. This eRx was for the same eRx Patient in the current eRx and it was matched and validated with VistA Patient being suggested. When a corresponding field on either side does not match it will display in reverse video. - When presented with a suggestion the user is given 3 options: (A)ccept, (F)orget or (E)xit: ACCEPT - Accepts the suggested VistA Patient and matches it to the eRx FORGET - Forgets this suggested VistA Patient so that it is not presented again in the future to any user EXIT - Exits and proceed to match the VistA Patient manually If more than one suggestion exists, then a 4th option is included: (N)ext: ACTION on SUGGESTION: (A)CCEPT (F)ORGET (N)EXT (E)XIT: EXIT// NEXT - Ignores the current suggestion and view the next one 4. VistA Provider Suggestion --------------------------------------------------------------------------- When matching eRx Provider to a corresponding VistA Provider before the user is prompted for the VistA entry it will first be presented with suggestion (if any) based on the following logic: - Once a VistA Provider is matched and later validated to an eRx Provider it is then "remembered." - When a new eRx prescription is received for the same eRx Provider the "remembered" VistA Provider(s) are then presented as suggestions for the user to select, as shown below (Validate Patient Screen - Edit action): Select Item(s): Next Screen// E Edit - Below is an example for the Provider matching (Validate Provider Screen - Edit action): |Sugg. 1 of 1 - 08/08/23| ERX PROVIDER VISTA PROVIDER|From eRx#: 99999999 | __________________________________________________________________________ Name:XXXXXXXX,XXXXXXXXX |Name:XXXXXXXX,XXXXXXXXX NPI :9999999999 |NPI :9999999999 DEA#:XX9999999 |DEA#:XX9999999 Phone #: 999-999-9999 |Phone #: (999) 999-9999 Address: |Address: 9999 NOWHERE RD |9999 NOWHERE AVE XXXXXXXXXXXXX, XX 99999 |XXXXXXXXXXXXX, XX 99999 __________________________________|_______________________________________ ACTION on SUGGESTION: (A)CCEPT (F)ORGET (E)XIT: EXIT// - The left column has information about the eRx Provider while the right column has information about the VistA Provider. The date after 'Sugg. 1 of 1' is that date received for the eRx right below it. This eRx was for the same eRx Provider in the current eRx and it was matched and validated with VistA Provider being suggested. When a corresponding field on either side does not match it will display in reverse video. - When presented with a suggestion the user is given 3 options: (A)ccept, (F)orget or (E)xit: ACCEPT - Accepts the suggested VistA Provider and matches it to the eRx FORGET - Forgets this suggested VistA Provider so that it is not presented again in the future to any user EXIT - Exits and proceed to match the VistA Provider manually If more than one suggestion exists, then a 4th option is included: (N)ext: ACTION on SUGGESTION: (A)CCEPT (F)ORGET (N)EXT (E)XIT: EXIT// NEXT - Ignores the current suggestion and view the next one 5. VistA Medication (Drug, Dosage, Qty, etc...) Suggestion --------------------------------------------------------------------------- When matching the eRx Drug to a corresponding VistA Drug before the user is prompted for the VistA entry it will first be presented with suggestion (if any) based on the following logic: - Once an eRx is accepted, it moves to the Pending Queue as a Pending Order. After the Pending Order is finished it becomes an Active prescription. At this point the software will "create a memory" of how the prescription was entered (Drug, Dosage, Days Supply, Qty, # of refills, etc.). - When a new eRx prescription is received for the same eRx Drug, NDC Code, SIG, Qty, Days Supply, # of Refills and Substitution allowance. the "remembered" VistA fields are then presented as suggestions for the user to select, as shown below (Validate Drug Screen - Edit action): Select Item(s): Next Screen// E Edit - Below is an example for the Provider matching (Validate Provider Screen - Edit action): |Sugg. 1 of 1 - 06/11/23| RX MED VISTA MED |From Rx#: 9999999 | ____________________________________________________________________________ Drug: Meloxicam 15mg Tablet |Drug: MELOXICAM 15MG TAB Substitution? YES Renewals? YES |Drug Message: | NATL FORM (2/10) ____________________________________|_______________________________________ SIG: |SIG: TAKE ONE TABLET PO EVERY SIX HOURS | TAKE ONE TABLET BY MOUTH ONCE DAILY AS NEEDED | DAILY ____________________________________|_______________________________________ Provider Notes/Comments: |Provider Comments: | ____________________________________|_______________________________________ Quantity: 30 |Quantity: 90 Dispense Unit: |Dispense Unit: TAB Qty Qualifier: Original Quantity | ____________________________________|_______________________________________ Days Supply: 30 Refills: 11 |Days Supply: 90 Refills: 4 ____________________________________|_______________________________________ ACTION on SUGGESTION: (A)CCEPT (F)ORGET (E)XIT: EXIT// - When presented with a suggestion the user is given 3 options: (A)ccept, (F)orget or (E)xit: ACCEPT - Accepts the suggested VistA data and matches it to the eRx FORGET - Forgets this suggested VistA Provider so that it is not presented again in the future to any user EXIT - Exits and proceed to match the VistA Provider manually If more than one suggestion exists, then a 4th option is included: (N)ext: ACTION on SUGGESTION: (A)CCEPT (F)ORGET (N)EXT (E)XIT: EXIT// NEXT - Ignores the current suggestion and view the next one 6. Patient Validation Screen --------------------------------------------------------------------------- The content of the Patient Validation screen was completely re-arranged to show the eRx Patient and the VistA Patient side-by-side. In addition, the eRx Patient allergy list (received from the outside prescriber) will be displayed as well as the ChampVA Rx Benefit eligibility (MBM sites only). Besides displaying the patients side-by-side, a few other features were introduced to make the screen more user friendly, such as: a) When there is a mismatch for field (e.g., Name, DOB, etc.) the content of such field will display in reverse video in for both records, eRx and VistA Patients. b) The content will display in highlight to stand from the field label. Note: These features depend on the terminal display settings being set differently for reverse video and highlighted font for it to work. Below is an example of how the new screen will be displayed (without the reverse or highlighted video features): _________________________________________________________________________ eRx Reference #: 916 ChampVA Rx Benefit: ELIGIBLE Status: AUTO-MATCHED/EDITED & VALIDATED by XXXX,XXXX on 1/28/23@14:52:29 ERX PATIENT VISTA PATIENT _________________________________________________________________________ Name: XXXX,XXXXXXX BETA |Name: XXXX,XXXXXXX BETA DOB : XXX 99, 9999 |DOB : XXX 99, 9999 SSN : 999999999 |SSN : 999-99-9999 Sex : MALE |Sex : MALE Address: |Address: 123 PATIENT WAY | 123 PATIENT WAY XXXXXXXXXX,XX 99999 | XXXXXXXXXX,XX 99999 Home Phone: 999999999 |Home Phone: 999-999-9999 _______________________________________|_________________________________ Allergy: |Allergy: NO ALLERGY INFORMATION RECEIVED | NO KNOWN ALLERGIES _______________________________________|_________________________________ |Pharmacy Narrative: _______________________________________|_________________________________ Weight(Kg): |Weight(Kg): Height(cm): |Height(cm): _______________________________________|_________________________________ 7. Provider Validation Screen --------------------------------------------------------------------------- The content of the Provider Validation screen was completely re-arranged to show the eRx Provider and the VistA Provider side-by-side. In addition, the Besides displaying the providers side-by-side, a few other features were introduced to make the screen more user friendly, such as: a) When there is a mismatch for field (e.g., Name, DEA#, etc.) the content of such field will display in reverse video in for both records, eRx and VistA providers. b) The content will display in highlight to stand from the field label. Note: These features depend on the terminal display settings being set differently for reverse video and highlighted font for it to work. Below is an example of how the new screen will be displayed (without the reverse or highlighted video features): _________________________________________________________________________ Provider Validation Apr 16, 2023@17:52:07 Page: 1 of 1 eRx Reference #: 344422 eRx Patient: XXXX,XXXXXXX Status: AUTO-MATCHED ERX PROVIDER VISTA PROVIDER _________________________________________________________________________ Name: XXXX,XXXXXXXX |Name: XXXX,XXXXXXXX NPI : 9999999999 |NPI : 9999999999 DEA : XX9999999 |DEA : XX9999999 DEA EXP: 12/23/27 | Address: |Address: 123 FAKE STREET SOUTH | 123 FAKE STREET NORTH XXXXXXXXXX,XX 99999 | XXXXXXXXXX,XX 99999 Tel: 999-999-9999 | Tel: (99) 999-9999 Fax: | Fax: ______________________________________|__________________________________ 8. Drug Validation Screen --------------------------------------------------------------------------- The content of the Drug Validation screen was completely re-arranged to show the eRx Drug information and the VistA corresponding fields in a side-by-side arrangement. In addition, the eRx Patient allergy list (received from the outside prescriber) will be displayed as well as the list of allergies from the VistA patient. Besides displaying the information side-by-side, a few other features were introduced to make the screen more user friendly, such as: a) When there is a mismatch for field (e.g., Drug Name, Qty, etc.) the content of such field will display in reverse video for both fields, eRx and VistA. b) The content will display in highlight to stand from the field label. Note: These features depend on the terminal display settings being set differently for reverse video and highlighted font for it to work. Below is an example of how the new screen will be displayed (without the reverse or highlighted video features): Drug Validation Aug 18, 2023@13:58:45 Page: 1 of 3 eRx Reference #: 99999999 eRx Patient: XXXXXXXXXX,XXXXX X Date Written : 99/99/99 Effective Date: Status: MANUALLY-MATCHED ERX MED | VISTA MED Allergy: |Allergy: NO ALLERGY INFORMATION RECEIVED| NO KNOWN ALLERGIES ________________________________|_____________________________________ Drug: BREZTRI AEROSPHERE 160 MCG|1)Drug: BREZTRI AEROSPHERE 160 MCG -9MCG-4.8MCG/ACTUATION HFA| AEROSOL INHALER | Substitution? YES Renewals? YES|Drug Message: | NATL FORM (10-01) (NDC) ________________________________|_____________________________________ SIG: |SIG: Inhale 2 puffs twice a day by | INHALE 1 PUFF PSIV EVERY MORNING inhalation route for 30 days. | ________________________________|_____________________________________ |2) Dosage: 1 PUFF | Verb: INHALE |Disp. Units: | Noun: | Route: NASAL | Schedule: QAM ________________________________|_____________________________________ |3)Patient Instructions: | ________________________________|_____________________________________ Provider Notes/Comments: |4)Provider Comments: | TEST ________________________________|_____________________________________ |5)Pat. Status: OTHER FEDERAL ________________________________|_____________________________________ Quantity: 30 |6)Quantity: 30 Dispense Unit: | Dispense Unit: BX Qty Qualifier: Original Quantity| ________________________________|_____________________________________ Days Supply: 30 Refills: 5 |7)Days Supply: 30 8)Refills: 5 ________________________________|_____________________________________ |9)Routing: MAIL ________________________________|_____________________________________ |10)Clinic: ________________________________|_____________________________________ 9. New action View History Log (HL) --------------------------------------------------------------------------- This new action added eRx Holding Queue Display screen will allow the user to view a comprehensive history of the eRx as it moves through the OP application, including activities in Backdoor Pharmacy. Please, refer to the user documentation for more information about this new option. 10. Batch Hold and Un-Hold Functionality --------------------------------------------------------------------------- The current Hold and Un-Hold actions were modified to perform the following additional function: every time a prescription is put on Hold or removed from Hold, the software will check other prescriptions exist for that patient that were sent by the same prescriber on the same day. If any is found, the software will ask the user if they want to Hold (or Un-Hold) those additional eRx records as well, as shown below: ... Select Action: Next Screen// H Hold Select HOLD reason code: HAL NO ALLERGY ASSESSMENT Additional Comments (Optional): TESTING BATCH HOLD Updating...done. The following prescriptions are from the same provider and received on the same day: PROVIDER: XXXX,XXXXXXXX eRx RECEIVED DATE: JAN 28, 2023@10:57:14 ERX ID DRUG NAME PROVIDER STATUS -------------------------------------------------------------------------- 123011 GABAPENTIN 300MG CAP XXXX,XXXXXXXX N 123012 CITALOPRAM HYDROBROMIDE 20MG T XXXX,XXXXXXXX N 123013 IBUPROFEN 400MG TAB XXXX,XXXXXXXX N 123014 ACETAMINOPHEN 325MG TAB XXXX,XXXXXXXX N Do you want to put them on HOLD-HAL? No// YES Updating...done. 11. New Allergy Functionality Enhancements --------------------------------------------------------------------------- Functionality related allergies is being improved through the following modifications: a) When matching or accepting validation of a VistA patient it will display in the warnings if the VistA patient selected has no Allergy Assessment: ******************************* WARNING(S) ************************* VistA Patient does not have an Allergy Assessment. *********************************************************************** MbM sites only: -------------- i) User won't be able to accept validation of a VistA Patient that does not have an Allergy Assessment. ii) All the actionable records for the same eRx patient will be automatically be put on Hold with the code HAL - NO ALLERGY ASSESSMENT, the user will be notified as shown below: The following eRx record(s) have been put on Hold (HAL) because the VistA Patient selected (XXXXXXXXXX,XXXXXXX) does not have an Allergy Assessment: ERX ID DRUG NAME PROVIDER STATUS ----------------------------------------------------------------------- 123010 CETIRIZINE HCL 10MG TAB XXXX,XXXXXXXX HAL 123011 GABAPENTIN 300MG CAP XXXX,XXXXXXXX HAL 123012 CITALOPRAM HYDROBROMIDE 20MG T XXXX,XXXXXXXX HAL 123013 IBUPROFEN 400MG TAB XXXX,XXXXXXXX HAL 123014 ACETAMINOPHEN 325MG TAB XXXX,XXXXXXXX HAL Type to continue or '^' to exit: b) A new screen titled 'Patient Allergies' was created to show the eRx Patient allergies side-by-side with the VistA Patient allergies in detail. This new Screen can be invoked by using the PA (Patient Allergy) hidden action from the following screens: - eRx Holding Queue Display Screen (eRx Holding Queue) - Patient Validation Screen (eRx Holding Queue) - Drug Validation Screen (eRx Holding Queue) - Pending Order Orders Screen (Backdoor OP) This new screen contains an action called VPA (VistA Patient Allergies), which allows the user to update the VistA Patient Allergies without leaving the option. Note: To use the VPA action the VistA Patient has to have been previously matched. 12.New Eligibility Functionality (MbM sites only) --------------------------------------------------------------------------- Functionality related ChampVA Rx Benefit Eligibility is being improved through the following modifications: a) ChampVA Rx Benefit eligibility information will be displayed in the new Patient Validation Screen in the Header section. It will have one of these 3 possible Values: ELIGIBLE, NOT ELIGIBLE or SB (Spine Bifida). b) When matching a VistA patient it will display in the warnings if the VistA patient selected is not eligible for ChampVA Rx Benefit (soft- stop): ******************************* WARNING(S) ************************* VistA Patient is not eligible for ChampVA Rx Benefit. *********************************************************************** c) It will not allow accepting validation of a matched VistA patient that is not eligible for ChampVA Rx Benefit (hard-stop): *******************************INVALID PATIENT************************* VistA Patient is not eligible for ChampVA Rx Benefit. *********************************************************************** d) When matching or accepting validation for a VistA patient that is not eligible for ChampVA Rx Benefit all the actionable records for the same eRx patient will be automatically be put on Hold with the code HEL - ELIGIBILITY ISSUES, the user will be notified as shown below: The following eRx record(s) have been put on Hold (HEL) because the VistA Patient selected (XXXXXXXXXXXX,XXXXX) is not Eligible for ChampVA Rx Benefit: ERX ID DRUG NAME PROVIDER STATUS ----------------------------------------------------------------------- 123010 CETIRIZINE HCL 10MG TAB XXXX,XXXXXXXX HEL 123011 GABAPENTIN 300MG CAP XXXX,XXXXXXXX HEL 123012 CITALOPRAM HYDROBROMIDE 20MG T XXXX,XXXXXXXX HEL 123013 IBUPROFEN 400MG TAB XXXX,XXXXXXXX HEL 123014 ACETAMINOPHEN 325MG TAB XXXX,XXXXXXXX HEL Type to continue or '^' to exit: 13.Duplicate VistA Patient Check (MbM sites only) --------------------------------------------------------------------------- A new check will be performed when the users selects a patient (Edit) or Accept Validation of a previously selected patient. The software will check whether potential duplicate VistA patients exist and if so it will warn the user about it, as seen below (Patient Validation Screen): Edit Patient (Soft Stop): ------------------------ ... P Print H Hold UH Un Hold E Edit AV Accept Validation RJ Reject Select Item(s): Edit// e Edit VISTA PATIENT: XXXXXX,XXXXX X 1 XXXXXX,XXXXX X 99/99/9999 999999999 XXXXXXXXXXX,ID 2 XXXXXX,XXXXX X 99/99/9999 999999999 XXXXX XXXXXX,FL 3 XXXXXX,XXXXX X 99/99/9999 999999999 XXX XXXXXXXXXX,DE CHOOSE 1-3: 1 XXXXXX,XXXXX X 99/99/9999 9999999999 XXXXXXXXXXX,ID Enrollment Priority: Category: IN PROCESS End Date: ****************************** WARNING(S) ***************************** The following VistA Patient(s) has been identified as potential duplicate(s): 42211-XXXXXX,XXXXX X 99/99/9999 999999999 XXXXXXXXXXX,ID 42737-XXXXXX,XXXXX X 99/99/9999 999999999 XXX XXXXXXXXXX,DE ************************************************************************** eRx Patient VistA Patient ---------------------------------------+---------------------------------- Name:XXXXXX,XXXXX |Name:XXXXXX,XXXXX X DOB :XXX 99, 9999 |DOB :XXX 99, 9999 Sex :MALE |Sex :MALE SSN :999-99-9999 |SSN :999-99-9999 Phone #: 9999999999 |Phone #: Address: |Address: 123 FAKE STREET #101 |9999 NO WAY OUT AVE. XXX XXXXXXXXXX,XX 999999 |XXXXXXXXXX,XX 999999 ---------------------------------------+---------------------------------- Would you like to use this patient? NO// Accept Validation (Soft Stop): ----------------------------- ... Select Item(s): Next Screen// AV Accept Validation ******************************* WARNING(S) *************************** The following VistA Patient(s) has been identified as potential duplicate(s): 42211-XXXXXX,XXXXX X 99/99/9999 999999999 XXXXXXXXXXX,ID 42737-XXXXXX,XXXXX X 99/99/9999 999999999 XXX XXXXXXXXXX,DE ************************************************************************* Would you like to mark this patient as VALIDATED? Enter Yes or No: NO// 14.Lock Timeout Change (MbM ONLY) --------------------------------------------------------------------------- The LOCK timeout was intentionally changed to 0.01 seconds for MbM for the following options in order to assist MbM in the processing of high-volume incoming eRx's: Complete Orders from eRx [PSO ERX FINISH] eRx Holding Queue Processing [PSO ERX QUEUE PROCESSING] Complete Orders from OERR [PSO LMOE FINISH] 15.eRx Provider Auto-Validation (MbM ONLY) --------------------------------------------------------------------------- a) A new logic for auto-validating a VistA Providers for MbM sites is being added by this patch to assist MbM in the processing of high-volume incoming eRx's. In order to auto-validate a provider the following conditions must be fulfilled: - eRx Providers was auto-matched to a VistA Provider - eRx Provider last name matches VistA Provider last name - First letter of eRx Provider first name matches first letter of VistA Provider first name - Zip code for the eRx Provider matches the zip code for the VistA Provider - eRx is not electronically signed (CS eRx) b) The Audit Log will display "AUTO-VALIDATED" to indicate that a provider was auto-validated, as seen in the example below: New Value: XXXXXX,XXXXX X(DEA#: XX9999999) - AUTO-VALIDATED c) The Single Patient list will identify such event (auto-validation) by by highlighting the letter "V" under the MATCHING/PR column. 16. VistA Patient and VistA Provider Look-up (MbM ONLY) --------------------------------------------------------------------------- The VistA Patient and Provider lookup prompts have been modified to display different information for MbM sites only: - For the VistA Patient it displays: Name, DOB, SSN, City and State (e.g., XXXXXX,XXXXXXXXXX 99/99/9999 9999999999 XXXXXXXXXXX,MD) - For the VistA Provider it displays: Name, City, State, DEA# and Exp. (if any) (e.g., XXXXXXXX,XXXXXXXXX TORRINGTON,WY DEA#: XX9999999 (Exp: 01/01/24) 17.Routing field edit enabled for CS eRx orders --------------------------------------------------------------------------- Users will now be allowed to edit the Routing (Mail/Window) field for a CS eRx Pending order. Before, all field were un-editable in the OP Pending Order Queue because an audit is not captured. However, the Remarks field does not exist until created by the user in the OP Pending Order Queue. 18.New Pending Order side-by-side interface for eRx orders --------------------------------------------------------------------------- Similar to the eRx Drug Validation screen shown above the view of a pending order that originated from an eRx will be displayed differently in the Patient Prescription Processing [PSO LM BACKDOOR ORDERS] and Complete Orders from OERR [PSO LMOE FINISH] options. When these option identify the pending order an eRx prescription it will automatically switch the display of the data to a side-by-side viewing where the left side shows the eRx prescription information (from the outside doctor) while the right-side shows the VistA corresponding information. Besides displaying the information side-by-side, a few other features were introduced to make the screen more user friendly, such as: a) When there is a mismatch for field (e.g., Drug Name, Qty, etc.) the content of such field will display in reverse video for both fields, eRx and VistA. b) The content will display in highlight to stand from the field label. Obs) These features depend on the terminal display settings being set differently for reverse video and highlighted font for it to work. Below is an example of how the new screen will be displayed (without the reverse or highlighted video features) for a new eRx Pending Order: Pending OP Orders (ROUTINE) Aug 18, 2023@14:22:27 Page: 1 of 6 XXXXXXXX,XXXXXXXXXXX XXXX PID: 999-99-9999 Ht(cm): 999.99 (99/99/9999) DOB: XXX 99,9999 (99) Wt(kg): 999.99 (99/99/9999) SEX: MALE Non-VA Meds on File Last entry on 99/99/99 CrCL: 99.9(est.) (CREAT: 9.99mg/dL 99/99/99) BSA (m2): 9.99 ------------------------------------------------------------------------- ERX (123360) | VISTA PENDING ORDER ------------------------------------------------------------------------- PATIENT MANUALLY-MATCHED | VALIDATED by XXXXXXX,XXXXX on 8/17/23@14:51:21 Name: XXXXXXXXXXXXX,XXXXXXXXXX |Name: XXXXXXXXXXXXX,XXXXXXXXXX XXX DOB : XXX 99, 9999 |DOB : XXX 99, 9999 SSN : 999999999 |SSN : 999-99-9999 Sex : MALE |Sex : MALE __________________________________|_____________________________________ |Pharmacy Narrative: |terbinafine ok x 90 days (5/06); |ROSIGLITAZONE; PANTOPRAZOLE; ZOLPIDEM __________________________________|_____________________________________ Allergy: |Allergy: NO ALLERGY INFORMATION RECEIVED | NO KNOWN ALLERGIES __________________________________|_____________________________________ PROVIDER AUTO-MATCHED | VALIDATED by XXXXXXX,XXXXXX on 8/17/23@14:51:40 Name: XXXXXXXX, XXXX |Name: XXXXXXXX, XXXX NPI : 9999999999 |NPI : 9999999999 DEA : XX9999999 |DEA : XX9999999 __________________________________|_____________________________________ DRUG MANUALLY-MATCHED | VALIDATED by XXXXXXX,XXXXXX on 8/17/23@14:51:55 Substitution? YES |1) Orderable Item: ***(N/F)*** Renewals? YES | PANTOPRAZOLE NA TAB,EC __________________________________|_____________________________________ Drug: |2) Drug: ***(N/F)*** PANTOPRAZOLE NA 40MG EC TAB | PANTOPRAZOLE NA 40MG EC TAB UD |Drug Message: | NATL N/F; INCREMENT OF 100s __________________________________|_____________________________________ SIG: |SIG: TAKE ONE TABLET BY MOUTH EVERY DAY| TAKE ONE TABLET BY MOUTH ONCE DAILY __________________________________|_____________________________________ |3) *Dosage: 40 (MG) | Verb: TAKE | Disp. Units: 1 | Noun: TABLET | *Route: ORAL | *Schedule: ONCE DAILY __________________________________|_____________________________________ |4)Patient Instruction: | __________________________________|_____________________________________ Provider Notes/Comments: |Provider Comments: __________________________________|_____________________________________ |5) Pat.Status: OUTPATIENT CARE __________________________________|_____________________________________ Date Written: AUG 10, 2023 |6) Issue Date: AUG 10,2023 Effective Date: |7) Fill Date: Sep 12, 2023 __________________________________|_____________________________________ Days Supply: 30 |8) Days Supply: 30 __________________________________|_____________________________________ Quantity: 30 |9) QTY (TAB): 30 Dispense Unit: | Qty Qualifier: Original Quantity | __________________________________|_____________________________________ Refills: 5 |10) Refills: 5 __________________________________|_____________________________________ |11) Routing: MAIL __________________________________|_____________________________________ |12) Clinic: __________________________________|_____________________________________ Provider: XXXXXXXX, XXXX W |13)Provider: XXXXXXXXX, XXXXXX __________________________________|_____________________________________ |14)Copies: 1 __________________________________|_____________________________________ |15)Remarks: __________________________________|_____________________________________ eRx Received on 9/20/23@11:44 | Accepted by XXXX,XXXX on 9/26/23@10:30 Below is an example of how the new screen will be displayed (without the reverse or highlighted video features) for a renewal eRx Pending Order: --------------------------------------------------------------------------- Prescription Renew Sep 12, 2023@14:28:50 Page: 1 of 1 XXXXXX,XXXXXX XXXXXXX PID: 999-99-9999 Ht(cm): 999.99 (99/99/9999) DOB: XXX 99,9999 (99) Wt(kg): 999.99 (99/99/9999) SEX: MALE Non-VA Meds on File Last entry on 99/99/99 CrCL: 99.9(est.) (CREAT: 9.99mg/dL 99/99/99) BSA (m2): 9.99 ------------------------------------------------------------------------- ERX (123360) | VISTA PENDING ORDER ------------------------------------------------------------------------- PATIENT MANUALLY-MATCHED | VALIDATED by XXXXXXX,XXXXX on 8/17/23@14:51:21 Name: XXXXXXXXXXX,XXXXXX X |Name: XXXXXXXXXXX,XXXXXX X DOB : XXX 99, 9999 |DOB : XXX 99, 9999 SSN : 999999999 |SSN : 999-99-9999 Sex : MALE |Sex : MALE _______________________________________|___________________________________ |Pharmacy Narrative: _______________________________________|___________________________________ Allergy: |Allergy: NO ALLERGY INFORMATION RECEIVED | Verified: | IBUPROFEN,PERCODAN,VALIUM _______________________________________|___________________________________ PROVIDER AUTO-MATCHED | VALIDATED by XXXXXXX,XXXXXX on 8/17/23@14:51:40 Name: XXXXXXXX, XXXX |Name: XXXXXXXX, XXXX NPI : 9999999999 |NPI : 9999999999 DEA : XX9999999 |DEA : XX9999999 _______________________________________|___________________________________ DRUG MANUALLY-MATCHED | VALIDATED by XXXXXXX,XXXXX on 8/16/23@14:50:55 Substitution? YES |Orderable Item: Renewals? YES | MELOXICAM TAB _______________________________________|___________________________________ Drug: |CMOP Drug: MELOXICAM 7.5MG TAB | MELOXICAM 7.5MG TAB |Drug Message: | NATL FORM (2/10) _______________________________________|___________________________________ SIG: |SIG: TAKE 1 TABS ORALLY ONCE DAILY | TAKE ONE TABLET BY MOUTH ONCE | DAILY WITH FOOD - IF SPLITTING | TABLET, SPLIT JUST PRIOR TO USE _______________________________________|___________________________________ | *Dosage: 15 (MG) | Verb: TAKE | Disp. Units: 1 | Noun: TABLET | *Route: ORAL | *Schedule: ONCE DAILY-WITH FOOD _______________________________________|___________________________________ |Patient Instruction: | - IF SPLITTING TABLET, SPLIT JUST | PRIOR TO USE _______________________________________|___________________________________ Provider Notes/Comments: |Provider Comments: _______________________________________|___________________________________ |Pat.Status: OUTPATIENT CARE _______________________________________|___________________________________ Date Written: AUG 09, 2023 |1) Issue Date: Aug 09, 2023 Effective Date: |2) Fill Date: Sep 12, 2023 _______________________________________|___________________________________ Days Supply: 30 |Days Supply: 30 _______________________________________|___________________________________ Quantity: 30 |QTY (TAB): 30 Dispense Unit: | Qty Qualifier: Original Quantity | _______________________________________|___________________________________ Refills: 10 (Renewal) |3) Refills: 11 _______________________________________|___________________________________ |4) Routing: MAIL _______________________________________|___________________________________ |5) Clinic: _______________________________________|___________________________________ Provider: XXXXXXX,XXXX02 |6) Provider: XXXXXXX,XXXX _______________________________________|___________________________________ |7) Copies: 1 _______________________________________|___________________________________ |8) Remarks: | RENEWED FROM RX # 2297959 _______________________________________|___________________________________ eRx Received on 9/20/23@11:44 | Accepted by XXXXXXX,XXXX on 9/26/23@10:30 18.INC25762338 - Broken eRx drug auto-match on RxRenewalResponses --------------------------------------------------------------------------- The ticket above will be addressed by this patch. This issue was caused by PSO*7*706 released on December 12th, 2022. This patch moved the auto-matching functionality of provider and drug from the Hub to VistA. However, the VistA did not implement drug auto-matching for RxRenewalResponse records forcing the users to match the VistA dispense drug manually. This patch will fix the issue by extending the VistA auto-matching functionality to RxRenewalResponse records as well. 19.Ticket INC28342622 - PSOERXR1 - DEA # display --------------------------------------------------------------------------- After the release of patch PSO*7*545 it was reported that the VistA Provider DEA# was no long being displayed on the eRx Holding Queue Display screen. This addresses the problem. 20.Ticket INC28554236 - Un-Accept/EC/HC Hold Issue --------------------------------------------------------------------------- It was reported that an eRx record was wrongly automatically being marked as PR (PROCESSED) after the user un-accepted an order from the Pending Queue back into the eRx Holding Queue and a placed a Change Request for it. The PR status was assigned as soon as the user removed the eRx record from Hold. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ----------------- -------------------------------------- -------------------- ERX HOLDING QUEUE PREFERENCES (#52.35) New NAME (#.01) New PATIENT CENTRIC VIEW (#10) New - USER (#.01) New - LOOK BACK DAYS (#1) New - SORT BY (#2) New - SORT ORDER (#3) New - INCLUDE CS/NON-CS (#4) New - CS SCHEDULE (#5) New - GROUP BY CS (#6) New - MAXIMUM QUEUE SIZE (#7) New SINGLE PATIENT VIEW (#20) New - USER (#.01) New - LOOK BACK DAYS (#1) New - SORT BY (#2) New - SORT ORDER (#3) New - DISPLAY SIG (#4) New - GROUP BY CS (#5) New - INCLUDE ALL STATUSES (#6) New PRESCRIPTION VIEW New - USER (#.01) New - LOOK BACK DAYS (#1) New - SORT BY(#2) New - SORT ORDER (#3) New - GROUP BY CS (#4) New - INCLUDE ALL STATUSES (#5) New - MESSAGE TYPE (#6) New - MAXIMUM QUEUE SIZE (#7) New - INCLUDE CS/NON-CS (#8) New - CS SCHEDULE (#9) New ERX HOLDING QUEUE (#52.49) Modified VISTA PATIENT (#0.5) Modified PROV STAT (AUTO MATCHING) (#1.2) Modified DRUG STAT (AUTO MATCHING) (#1.4) Modified PATIENT STATUS (AUTO MATCHING) (#1.6) Modified VA MATCHED PROVIDER (#2.3) Modified PROVIDER AUTO VALIDATED FLAG (#2.7) New Protocols Associated: Protocol Name Type New/Modified/Deleted ------------- ------- -------------------- PSO ERX ALL PATIENTS CHANGE LOOK BACK DAYS Action New PSO ERX ALL PATIENTS CHANGE VIEW Action New PSO ERX ALL PATIENTS GROUP BY CS Action New PSO ERX ALL PATIENTS NEXT PATIENT Action New PSO ERX ALL PATIENTS QUEUE HIDDEN ACTIONS MENU Menu New PSO ERX ALL PATIENTS QUEUE MENU Menu New PSO ERX ALL PATIENTS REFRESH LIST Action New PSO ERX ALL PATIENTS REMOVE FILTERS Action New PSO ERX ALL PATIENTS RX VIEW SWITCH Action New PSO ERX ALL PATIENTS SEARCH QUEUE Action New PSO ERX ALL PATIENTS SELECT Action New PSO ERX ALL PATIENTS SORT BY DOB Action New PSO ERX ALL PATIENTS SORT BY ELAPSED DAYS Action New PSO ERX ALL PATIENTS SORT BY PATIENT NAME Action New PSO ERX ALL RXS CANCELRX ONLY Action New PSO ERX ALL RXS CANCELRXRESPONSE ONLY Action New PSO ERX ALL RXS CHANGE LOOK BACK DAYS Action New PSO ERX ALL RXS CHANGE VIEW Action New PSO ERX ALL RXS GROUP BY CS Action New PSO ERX ALL RXS INBOUND ERROR ONLY Action New PSO ERX ALL RXS NEWRX ONLY Action New PSO ERX ALL RXS OUTBOUND ERROR ONLY Action New PSO ERX ALL RXS PATIENT CENTRIC VIEW SWITCH Action New PSO ERX ALL RXS QUEUE HIDDEN ACTIONS MENU Menu New PSO ERX ALL RXS QUEUE MENU Menu New PSO ERX ALL RXS REFRESH LIST Action New PSO ERX ALL RXS REMOVE FILTERS Action New PSO ERX ALL RXS RXCHANGEREQUEST ONLY Action New PSO ERX ALL RXS RXCHANGERESPONSE ONLY Action New PSO ERX ALL RXS RXFILL ONLY Action New PSO ERX ALL RXS RXRENAWLRESPONSE ONLY Action New PSO ERX ALL RXS RXRENEWALREQUEST ONLY Action New PSO ERX ALL RXS SEARCH QUEUE Action New PSO ERX ALL RXS SELECT Action New PSO ERX ALL RXS SHOW/HIDE DETAILS Action New PSO ERX ALL RXS SORT BY DRUG NAME Action New PSO ERX ALL RXS SORT BY PATIENT DOB Action New PSO ERX ALL RXS SORT BY PATIENT NAME Action New PSO ERX ALL RXS SORT BY PROVIDER NAME Action New PSO ERX ALL RXS SORT BY RECEIVED DATE Action New PSO ERX ALL RXS SORT BY STATUS Action New PSO ERX DRUG VALIDATION HIDDEN MENU Menu New PSO ERX ENTER PROGRESS NOTES Action New PSO ERX HISTORY LOG MENU Menu New PSO ERX JUMP TO OP Action New PSO ERX PATIENT ALLERGIES MENU Menu New PSO ERX PATIENT ALLERGIES VIEW Action New PSO ERX PATIENT ALLERGIES VISTA PATIENT Action New PSO ERX PATIENT VALIDATION HIDDEN MENU Menu New PSO ERX PATIENT VALIDATION MENU Menu New PSO ERX PROVIDER VALIDATION MENU Menu New PSO ERX SINGLE PATIENT CHANGE LOOK BACK DAYS Action New PSO ERX SINGLE PATIENT CHANGE VIEW Action New PSO ERX SINGLE PATIENT GROUP BY CS Action New PSO ERX SINGLE PATIENT REFRESH Action New PSO ERX SINGLE PATIENT NEXT PATIENT Action New PSO ERX SINGLE PATIENT QUEUE HIDDEN ACTIONS MENU Menu New PSO ERX SINGLE PATIENT QUEUE MENU Action New PSO ERX SINGLE PATIENT SELECT Action New PSO ERX SINGLE PATIENT SHOW/HIDE SIG Action New PSO ERX SINGLE PATIENT SORT BY ALL MATCHES Action New PSO ERX SINGLE PATIENT SORT BY DRUG MATCH Action New PSO ERX SINGLE PATIENT SORT BY DRUG NAME Action New PSO ERX SINGLE PATIENT SORT BY ERX ID Action New PSO ERX SINGLE PATIENT SORT BY PATIENT MATCH Action New PSO ERX SINGLE PATIENT SORT BY PROVIDER MATCH Action New PSO ERX SINGLE PATIENT SORT BY PROVIDER NAME Action New PSO ERX SINGLE PATIENT SORT BY RECEIVED DATE Action New PSO ERX SINGLE PATIENT SORT BY STATUS Action New PSO ERX SINGLE RXRENEWAL REQUEST Action New PSO ERX SINGLE PATIENT BATCH HOLD Action New PSO ERX SINGLE PATIENT BATCH UNHOLD Action New PSO ERX SINGLE PATIENT INCLUDE ALL STATUSES Action New Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ---- ------------- -------------------- PSO ERX ALL PATIENTS QUEUE List N/A New PSO ERX ALL RXS QUEUE List N/A New PSO ERX SINGLE PATIENT QUEUE List N/A New PSO ERX DRUG VALIDATION List N/A New PSO ERX HISTORY LOG List N/A New PSO ERX PATIENT ALLERGIES List N/A New PSO ERX PATIENT VALIDATION List N/A New PSO ERX PROVIDER VALIDATION List N/A New Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- PSO ERX QUEUE PROCESSING Action New Test Sites: ---------- Central Texas VAMC Meds-By-Mail Documentation Retrieval Instructions: ------------------------------------- The software for this patch is being released in a PackMan message. Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. Title File Name ---------------------------------------------------------------------- Deployment, Installation Back-Out PSO_7_0_P700_DIBRG.DOCX and Rollback Guide PSO_7_0_P700_DIBRG.PDF Outpatient Pharmacy Version 7 Manager's PSO_7_0_P700_MAN_UM.DOCX User Manual PSO_7_0_P700_MAN_UM.PDF Outpatient Pharmacy Version 7 PSO_7_0_P700_PHARM_UM.DOCX Pharmacist's User Manual PSO_7_0_P700_PHARM_UM.PDF Outpatient Pharmacy Version 7 PSO_7_0_P700_TECH_UM.DOCX Technician's User Manual PSO_7_0_P700_TECH_UM.PDF Technical Manual/Security Guide - PSO_7_0_P700_TM.DOCX Outpatient Pharmacy V.7.0 PSO_7_0_P700_TM.PDF Outpatient Pharmacy Version 7 Technical PSO_7_0_P700_TM.DOCX Manual Security Guide PSO_7_0_P700_TM.PDF Inbound ePrescribing User Manual PSO_7_0_P700_UM_71.DOCX (Unit 7 Part 1) PSO_7_0_P700_UM_71.PDF Inbound ePrescribing User Manual PSO_7_0_P700_UM_72.DOCX (Unit 7 Part 2) PSO_7_0_P700_UM_72.PDF Patch Installation: Pre-Installation Instructions: ============================= A pre-install process will check whether any of the new protocols in this patch already exists at the site where the patch is being installed. If any protocol is found it will be deleted. None of the new protocols should exist at your site prior to installation of this patch for the first time, it will be more important in the unlike event of the need to install the patch twice. This patch should be installed during non-peak hours to minimize potential disruption to users. Staff should not be processing prescriptions while patch is being installed. This patch should take between 30 and 120 minutes to complete installation. The installation time depends on how many eRx records there are in your database. 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*700) NOTE: Using 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. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build PSO*7.0*700 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. 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. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer NO. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. Post-Install ============ A few steps will be performed soon after the patch is installed: 1) The new file ERX HOLDING QUEUE PREFERENCES (#52.35) created to store user preferences for eRx Holding Queue lists will be initialized to later store individual user's preferences. 2) Three new Holding Codes are being created by this patch: - HAL - NO PATIENT ALLERGY ASSESSMENT - HEL - PATIENT ELIGIBILITY ISSUE - HUR - UN-REMOVED 3) The following new cross-references will be build: - APATVPAT - This cross-reference is used to suggest a VistA Patient - APRVVPRV - This cross-reference is used to suggest a VistA Provider - AVPAT - This cross reference is used to determine the last received date of an eRx for a VistA Patient - AVPRV - This cross reference is used to determine the last received date of an eRx for a VistA Provider - ADRGVRX - This cross-reference is used to suggest a Drug along with all the other fields (Dosage, SIG, Days Supply, Qty, etc..) - AMSGDTSTS - This cross reference is used to considerably increase performance for loading eRx Holding Queue lists (Patient Centric and Rx Medication) Back-out/Rollback Strategy: ========================== 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. To back-out data from a production account could cause broken pointers, errors and hard MUMPS crashes. The back-out plan for data only patches is to report your findings and wait for a repair patch. Contact Help desk to log a ticket. Validation of Back-out Procedure: -------------------------------- The Back-out 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*700 patch have been backed out, the second line of the Routines will no longer contain the designation of patch PSO*7.0*700 in the patch list section. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 261 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSO700PI Before: n/a After: B44912255 **700** Routine Name: PSODIR1 Before:B117923004 After:B118043086 **23,46,78,102,121,131,146,166, 184,222,268,206,266,340,391, 444,446,505,543,457,574,612, 686,700** Routine Name: PSOERALL Before: n/a After:B120636335 **700** Routine Name: PSOERHL0 Before: n/a After:B121070908 **700** Routine Name: PSOERHL1 Before: n/a After: B23585360 **700** Routine Name: PSOERPC0 Before: n/a After:B200854807 **700** Routine Name: PSOERPC1 Before: n/a After:B142593598 **700** Routine Name: PSOERPC2 Before: n/a After: B7710980 **700** Routine Name: PSOERPR0 Before: n/a After: B42460343 **700** Routine Name: PSOERPR1 Before: n/a After: B53701907 **700** Routine Name: PSOERPR2 Before: n/a After: B34679017 **700** Routine Name: PSOERPT0 Before: n/a After:B103147741 **700** Routine Name: PSOERPT1 Before: n/a After: B94555733 **700** Routine Name: PSOERPT2 Before: n/a After: B18900786 **700** Routine Name: PSOERPV1 Before: n/a After: B14909686 **700** Routine Name: PSOERRX0 Before: n/a After: B99582585 **700** Routine Name: PSOERRX1 Before: n/a After:B108656993 **700** Routine Name: PSOERUT Before: B2212347 After: B45643439 **692,700** Routine Name: PSOERUT0 Before: n/a After:B108445469 **700** Routine Name: PSOERUT1 Before: n/a After: B49401821 **700** Routine Name: PSOERUT2 Before: n/a After:B154595210 **700** Routine Name: PSOERUT3 Before: n/a After: B71997905 **700** Routine Name: PSOERUT4 Before: n/a After:B149314150 **700** Routine Name: PSOERUT5 Before: n/a After:B176056414 **700** Routine Name: PSOERUT6 Before: n/a After: B12929316 **700** Routine Name: PSOERX1 Before: B1264803 After: B1366149 **467,520,527,508,551,581,635, 617,700** Routine Name: PSOERX1A Before:B226817121 After:B238628329 **467,527,508,551,581,617,669,700** Routine Name: PSOERX1B Before:B159757583 After:B187424113 **467,506,520,527,508,551,591, 606,581,617,700** Routine Name: PSOERX1C Before:B114763111 After:B119987173 **467,520,527,508,551,581,617, 646,700** Routine Name: PSOERX1E Before: B1908867 After: B20227172 **581,700** Routine Name: PSOERX1F Before:B156552550 After:B176636135 **617,651,700** Routine Name: PSOERX1G Before:B182938181 After:B173422954 **617,646,689,700** Routine Name: PSOERX1H Before: n/a After: B1469522 **700** Routine Name: PSOERXD1 Before:B167376443 After: B61765873 **467,520,551,582,581,635,617, 651,689,700** Routine Name: PSOERXD2 Before:B183005048 After:B182366488 **467,506,520,508,551,581,617, 651,689,700** Routine Name: PSOERXD3 Before: B7653993 After: B12463872 **651,700** Routine Name: PSOERXEN Before: B22187992 After: B25939445 **508,581,617,700** Routine Name: PSOERXH1 Before: B37438342 After: B43557715 **467,527,508,581,617,700** Routine Name: PSOERXH2 Before: n/a After: B5940949 **700** Routine Name: PSOERXI1 Before:B214099544 After: B47133714 **581,617,692,706,700** Routine Name: PSOERXI2 Before: n/a After: B95050067 **700** Routine Name: PSOERXIA Before: B81005829 After: B88122150 **581,700** Routine Name: PSOERXIB Before: B57255225 After: B57927286 **581,700** Routine Name: PSOERXIC Before: B14137332 After: B14485808 **581,700** Routine Name: PSOERXP1 Before: B28700221 After: B6271070 **467,520,527,551,581,700** Routine Name: PSOERXR1 Before: B31817644 After: B4504672 **467,520,527,581,545,700** Routine Name: PSOERXU1 Before:B169224625 After:B174726367 **467,520,508,551,565,581,617, 651,700** Routine Name: PSOERXU3 Before:B189510920 After:B189943231 **508,591,606,581,617,646,700** Routine Name: PSOERXU4 Before: B72585508 After: B93420978 **520,508,551,581,635,617,651,700** Routine Name: PSOERXU6 Before:B124286819 After:B132205310 **508,551,581,631,617,672,715,700** Routine Name: PSOERXU7 Before: B44861191 After: B49240419 **581,617,700** Routine Name: PSOERXU8 Before: B16282202 After: B17242344 **581,617,700** Routine Name: PSOERXU9 Before: B30267841 After: B44860046 **617,700** Routine Name: PSOERXUT Before:B134426845 After:B153985248 **617,667,651,718,700** Routine Name: PSOERXUX Before: n/a After: B14640367 **700** Routine Name: PSOLMPO Before: B1379839 After: B1512919 **46,225,436,700** Routine Name: PSOLMPO1 Before: B1200387 After: B1483032 **46,71,225,700** Routine Name: PSOLMRN Before: B821442 After: B899068 **11,46,84,225,386,700** Routine Name: PSONEW Before: B39804624 After: B39838062 **11,27,32,46,94,130,268,225, 251,379,390,417,313,411,457, 524,711,545,700** Routine Name: PSONFI Before: B8543831 After: B9346460 **46,94,131,225,391,700** Routine Name: PSOORCPY Before: B57944618 After: B58343473 **10,21,27,32,46,100,117,148, 313,411,444,468,504,477,441, 545,700** Routine Name: PSOOREDT Before:B104267007 After:B104661775 **4,20,27,37,57,46,78,102,104, 119,143,148,260,281,304,289, 298,379,377,391,313,427,411, 505,517,574,524,617,441,700** Routine Name: PSOORFI1 Before:B110132560 After:B118025167 **7,15,23,27,32,44,51,46,71, 90,108,131,152,186,210,222,258, 260,225,391,408,444,467,505, 617,441,651,700** Routine Name: PSOORFI3 Before: B77850540 After: B85211636 **15,27,32,46,84,99,130,117, 139,172,225,300,384,372,505, 557,700** Routine Name: PSOORFI4 Before: B77664295 After: B78885315 **46,74,78,99,117,131,207,258, 274,300,308,251,384,391,444, 441,700** Routine Name: PSOORNE4 Before:B101921491 After:B106064020 **11,27,32,36,46,75,96,103,99, 117,131,225,386,390,391,313, 411,661,441,700** Routine Name: PSOORNEW Before:B136066922 After:B141690400 **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, 486,446,505,517,508,457,581, 617,441,651,700** Routine Name: PSOORUT3 Before: B9741935 After: B9927373 **5,25,243,700** Routine list of preceding patches: 243, 545, 557, 669, 686, 689, 706, 715 718 ============================================================================= User Information: Entered By : Date Entered : AUG 22, 2022 Completed By: Date Completed: DEC 07, 2023 Released By : Date Released : DEC 07, 2023 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