$TXT Created by             at MNTVBB.DOMAIN.EXT  (KIDS) on Saturday, 12/13/25 at 15:59
=============================================================================
Run Date: JUL 21, 2026                     Designation: PSO*7*695
Package : PSO - OUTPATIENT PHARMACY           Priority: Mandatory
Version : 7       SEQ #683                      Status: Released
                  Compliance Date: AUG 21, 2026
=============================================================================

Associated patches: (c)PSJ*5*436       install with patch       `PSO*7*695'
                    (v)OR*3*582    <<= must be installed BEFORE `PSO*7*695'
                    (v)PSO*7*753   <<= must be installed BEFORE `PSO*7*695'
                    (v)PSO*7*770   <<= must be installed BEFORE `PSO*7*695'

Subject: CREATININE NON-NUMERIC LAB RESULT ISSUE

Category: 
  - Routine

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

 This patch addresses the following issue:
  
 VistA displays of Creatinine lab test results can be inaccurate if the
 previous result was alphanumeric. 
  
 EHRM Impact Statement:
 ----------------------
 This patch should have no EHRM impact, and can be installed at all
 sites, including EHRM converted sites.  
  
 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
  
 Option Name                          Type           New/Modified/Deleted
 -----------------------------------  -----------    --------------------
 N/A
  
 Protocols Associated:
  
 Protocol Name               New/Modified/Deleted
 -------------               --------------------
 N/A
  
 Security Keys Associated: 
  
 Security Key Name
 -----------------
 N/A
  
 Templates Associated:
  
 Template Name         Type    File Name (Number)      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
  
 Additional Information:
 -----------------------
 N/A
  
 New Service Requests (NSRs):
 ----------------------------
 HITPS-9873
  
 Patient Safety Issues (PSIs):
 N/A
  
 Defect Tracking System Ticket(s) & Overview:
 ===========================================
  
 INC23258282: Creatinine Non-Numeric Lab Result Issue
                                                                        
 Problem:
 --------
  
 The "CrCL" (creatinine clearance) and "CREAT" (creatinine) Lab test result
 information in VistA Inpatient Medication displays might not be accurate
 if the most recent creatinine result was alphanumeric (such as <0.7). 
 These displays include screen headers, Metformin order checking messages, 
 and Aminoglycoside order checking messages.
  
 Resolution:
 -----------
  
 Modify routines PSODEM, PSOLMUTL, PSOORUT2 and PSORXEDT to display
 accurate information for "CrCL" and "CREAT". If the creatinine clearance
 cannot be determined because the last creatinine result is alphanumeric,
 display "Unable to calculate" instead of "Not found".
  
 Example: CrCL: <Unable to calculate> (CREAT: <0.7 mg/dL 6/11/22)
  
 Test Sites:
 -----------
 Jack C. Montgomery VAMC (Muskogee, OK)
 Coatesville VAMC (Coatesville, PA)
  
 Test Sites - SNOW Change Order #:
 --------------------------------
 Jack C. Montgomery VAMC: CHG0746956
 Coatesville VAMC: CHG0747104
  
  
 Software and Documentation Retrieval Instructions:
 --------------------------------------------------
 The software for this patch is being released in a PackMan message.
  
 Patch Installation:
 -------------------
  
 ************************************************************************
 *          OR*3.0*582, PSJ*5.0*436, and PSO*7.0*695 are being          *
 *          released concurrently.                                      *
 *                                                                      *
 *          OR*3.0*582 must be installed first.                         *
 *          PSJ*5.0*436 and PSO*7.0*695 may be installed in any         *
 *          order after OR*3.0*582 is installed.                        *
 ************************************************************************
  
 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  name. 
         (ex. PSO*7.0*695).
  
         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. 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*695.
          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 <enter> and take the default response 
               of "NO".
          v.   When prompted with, "Send mail to: Last name, First 
               Name", press <enter> to take default recipient. Add 
               any additional recipients.
          vi.  When prompted with "Select basket to send to: IN//", 
               press <enter> 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/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.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 21

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

Routine Name: PSODEM
    Before: B23547289   After: B25874238  **5,19,233,258,326,390,411,402,
                                           500,452,556,622,695**
Routine Name: PSOLMUTL
    Before: B16374233   After: B17330739  **19,46,84,99,131,132,148,268,
                                           225,305,386,390,622,441,746,
                                           765,770,695**
Routine Name: PSOORUT2
    Before:B125164212   After:B131385525  **11,146,132,182,233,243,261,
                                           268,264,305,390,411,402,500,
                                           556,622,746,753,695**
Routine Name: PSORXEDT
    Before: B57768627   After: B62308147  **21,23,44,71,146,185,148,253,
                                           390,372,416,313,427,422,402,
                                           500,482,556,622,753,695**
 
Routine list of preceding patches: 753, 770

=============================================================================
User Information:
Entered By  :                               Date Entered  : JUL 12, 2022
Completed By:                               Date Completed: JUL 14, 2026
Released By :                               Date Released : JUL 21, 2026
=============================================================================


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

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