$TXT Created by at NHM0026D.FO-BAYPINES.DOMAIN.EXT (KIDS) on Friday, 09/06/24 at 11:54 ============================================================================= Run Date: OCT 15, 2024 Designation: PSO*7*769 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #633 Status: Released Compliance Date: NOV 15, 2024 ============================================================================= Associated patches: (v)PSO*7*753 <<= must be installed BEFORE `PSO*7*769' Subject: ERX PATCH PSO*7*746 FOLLOW-UP PATCH Category: - Routine Description: ============ This patch is being released to address a few small eRx related issues encountered after the patch PSO*7*746 was released: 1. Written Date with Time display issue 2. Changed ADDITIONAL NOTE TO PROVIDER prompt to SUGGESTED PROVIDER NOTE (FOR RESPONSE RX) 3. View Suggestion(s) action fix 4. DUE (Drug Use Evaluation) Override Reason display issue 5. Print action fixes 6. NDC code included in the Requested Medication section of the eRx Rx Change Request 7. Complete Orders from eRx [PSO ERX FINISH] option removal 8. SIG over 512 characters cause a error Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ------------ ---- -------------------- PSO ERX FINISH ACTION DELETE Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A List Templates Associated: Template Name Type New/Modified/Deleted ------------- ---- ------------ N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: ============================================ N/A Adaptive Maintenance: ===================== 1. [HDSO-8479] Written Date with Time display issue -------------------------------------------------------------------------- Some prescribers send eRx's with a timestamp for the Written Date and this causes a display issue which overwrites the 'eRx Status' label as shown below: Single eRx View/Display Aug 10, 2024@10:28:15 Page: 1 of 2 eRx Patient: PATIENT,TEST eRx Reference #: 999999999 eRx Msg Type: NEWRX Written: 08/23/24 @11:11:11s: W - WAIT ^^^^^^^^^ 2. [HDSO-8480] Changed ADDITIONAL NOTE TO PROVIDER prompt to SUGGESTED PROVIDER NOTE (FOR RESPONSE RX) + Default for eRx drug selection -------------------------------------------------------------------------- After verifying data from several Rx Responses from the prescriber it was determined that the prompt ADDITIONAL NOTE TO PROVIDER was wrongly worded. This field is not supposed to be used by Pharmacy to communicate with the prescriber, the correct use is for pharmacy to enter a suggested Provider Note content that the prescriber will then decide to keep, change or delete when adopting the requested medication. SUGGESTED PROVIDER NOTE (FOR RESPONSE RX): ? This is the suggested Provider Note that will be sent back with Rx Response if this drug option is selected by the outside Provider. It may be edited/removed by the Provider before sending the response back. 3. [HDSO-8481] View Suggestion(s) action fix -------------------------------------------------------------------------- Sometimes the VS (View Suggestion(s)) action does not show any suggestions and does not say 'No suggestions found' either. This is being fixed with this patch. 4. [HDSO-8482] DUE (Drug Use Evaluation) Override Reason display issue -------------------------------------------------------------------------- When the Override field from a DUE is longer than 28 characters it 'spills' over into the next section (VistA), as shown below: Prescriber Drug Use Evaluation: |________________________________ Co-Agent: |3)Patient Instructions: Reason: Product Selection Opportunity | Result: | Override: Substitute as necessary, ple | ase provide documentat|on to patient for assistanc| After fix: --------- Prescriber Drug Use Evaluation: |________________________________ Co-Agent: |3)Patient Instructions: Reason: Product Selection Opportunity | Result: | Override: Substitute as necessary, plea| se provide documentation to p| atient for assistance | 5. [HDSO-8483] Print action fixes -------------------------------------------------------------------------- Two small changes were made to the Print action in the PATIENT INFORMATION section: - Fixed a misspelling of the label 'Nane:' to 'Name:' - Changed label 'Primary Telephone' to 'Primary Phone' 6. [HDSO-8484] NDC code included in the Requested Medication section of the eRx Rx Change Request -------------------------------------------------------------------------- Sometimes when an RX Change Request is sent the outside prescriber software returns an error saying the drug suggested is not recognized. This issue happens when the user selects a VistA drug for the Requested Medication and the VistA NDC for this drug is not recognized by the prescriber software. In order to facilitate the troubleshooting of such issue the NDC sent to the prescriber for the Requested Medication will now be displayed in the Requested Medication of the Rx Change Request section, as shown below: --------------------------MEDICATION REQUESTED 1------------------------- Drug: NAPROXEN 250MG TAB Substitutions: YES NDC: 77771-0434-05 Note: Aware of Allergy. Patient Tolerates Qty: 30 Refills: 5 Days Supply: 180 Quantity Unit Of Measure: TABLET DOSING UNIT Sig: TAKE 1 TAB PO DAILY ------------------------------------------------------------------------ 7. [HDSO-8485] Complete Orders from eRx [PSO ERX FINISH] option removal -------------------------------------------------------------------------- The Complete Orders from eRx [PSO ERX FINISH] option was put Out-of-Order by the PSO*7*746 patch because its functionality has been fully replaced by the eRx Holding Queue Processing [PSO ERX QUEUE PROCESSING] option. This patch will now remove/delete this obsolete option from your menu. 8. INC34885971 - SIG over 512 characters cause a error -------------------------------------------------------------------------- When the user tried to select the VistA drug to match the eRx drug and a VistA suggestion exists with a SIG that is longer than 512 characters they software throws a error, which will be addressed by this patch. Test Sites: ----------- Central Texas VAMC, Temple TX Meds-By-Mail SNOW Change Order #: -------------------- Central Texas VAMC, Temple Texas - CO#-CHG0519987 Meds-By-Mail - CO# Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. No documentation included with this release. Documentation Title File Name --------------------------------------------------------------------- N/A Patch Installation: ------------------- Pre-Installation Instructions: This patch should be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 2 minutes to install. Post-Install Routine: N/A 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*769) 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*769 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Backup Type: B// build (including Routines) **This Backup mail message should be sent to a Mail Group. This will Allow anyone in the Mail Group to back out the changes.** 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 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 build 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 build 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 build 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 confirming the checksums have been returned to the pre-patch value using CHECK1^XTSUMBLD. It can also be verified by printing the first 2 lines of the PSO routine(s) contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the routine(s) contained in this patch have been backed out, the Second line of each routine will no longer contain the designation of patch PSO*7*769. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 26 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSO769PI Before: n/a After: B1428752 **769** Routine Name: PSODIR1 Before:B118043086 After:B118115170 **23,46,78,102,121,131,146,166, 184,222,268,206,266,340,391, 444,446,505,543,457,574,612, 686,700,769** Routine Name: PSOERCR1 Before: B41004165 After: B46252949 **746,769** Routine Name: PSOERPT1 Before: B96893167 After: B98203689 **700,750,746,769** Routine Name: PSOERPV1 Before: B15764162 After: B16341380 **700,746,769** Routine Name: PSOERRX1 Before:B108656993 After:B108552724 **700,769** Routine Name: PSOERSE1 Before: B87319520 After:B102102684 **746,769** Routine Name: PSOERSE3 Before: B34690268 After: B34918673 **746,769** Routine Name: PSOERUT Before:B106424726 After:B107331848 **692,700,746,769** Routine Name: PSOERUT0 Before:B132890766 After:B127399770 **700,750,746,769** Routine Name: PSOERUT2 Before:B155662863 After:B155662863 **700,746,769** Routine Name: PSOERUT4 Before:B173642078 After:B173872765 **700,746,769** Routine Name: PSOERUT5 Before:B165472910 After:B164844096 **700,746,769** Routine Name: PSOERUT6 Before: B26525642 After: B32370212 **700,746,769** Routine Name: PSOERUT7 Before: B37226192 After: B37310895 **746,769** Routine Name: PSOERX1C Before:B132147588 After:B135100439 **467,520,527,508,551,581,617, 646,700,746,769** Routine Name: PSOERX1D Before:B158127227 After:B163858823 **581,617,746,769** Routine Name: PSOERXA0 Before: B49117769 After: B49036491 **467,586,617,651,545,743,769** Routine Name: PSOERXD1 Before: B61765873 After: B61782724 **467,520,551,582,581,635,617, 651,689,700,746,769** Routine Name: PSOERXH1 Before: B45457451 After: B45587698 **467,527,508,581,617,700,746,769** Routine Name: PSOERXU5 Before:B133553344 After:B133794438 **508,581,651,746,769** Routine Name: PSOERXU7 Before:B126064909 After:B126290133 **581,617,700,746,769** Routine Name: PSON52 Before:B138820595 After:B138798366 **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, 473,504,505,517,457,617,562, 441,746,753,769** Routine Name: PSOORNE4 Before:B106359559 After:B107080840 **11,27,32,36,46,75,96,103,99, 117,131,225,386,390,391,313, 411,661,441,700,743,746,769** Routine Name: PSOORNE6 Before: B57081390 After: B57151401 **46,103,117,156,210,488,505, 508,617,769** Routine Name: PSOORNEW Before:B141425381 After:B141817738 **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, 617,441,651,700,746,769** Routine list of preceding patches: 753 ============================================================================= User Information: Entered By : Date Entered : JUL 10, 2024 Completed By: Date Completed: OCT 15, 2024 Released By : Date Released : OCT 15, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT