$TXT Created by MDEVA.FO-BIRM.DOMAIN.EXT (KIDS) on Friday, 03/10/17 at 09:33 ============================================================================= Run Date: MAY 15, 2017 Designation: PSS*1*201 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #180 Status: Released Compliance Date: JUN 14, 2017 ============================================================================= Associated patches: (v)PSS*1*119 <<= must be installed BEFORE `PSS*1*201' (v)PSS*1*173 <<= must be installed BEFORE `PSS*1*201' (v)PSS*1*175 <<= must be installed BEFORE `PSS*1*201' (v)PSS*1*184 <<= must be installed BEFORE `PSS*1*201' (v)PSS*1*189 <<= must be installed BEFORE `PSS*1*201' Subject: MOCHA 2.1 DOSING INFRASTRUCTURE Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Input Template Description: ============ Pharmacy Data Management infrastructure to prepare for Daily Dose Check implementation. MOCHA v2.1a will provide the following enhancements: =================================================== Add new fields to both the ADMINISTRATION SCHEDULE file (#51.1) and the MEDICATION INSTRUCTION file (#51) to define a frequency for a schedule or medication instruction used within a medication order for specific dispense drug(s) or for all drugs in order to perform a Max Daily Dose Order Check. Add new fields to both the ADMINISTRATION SCHEDULE file (#51.1) and the MEDICATION INSTRUCTION file (#51) to be able to derive a frequency value to perform a Max Daily Dose Order Check when the name of a schedule or medication instruction has been changed. Modify the Input Transforms and Executable Help of the NAME field (#.01) and SYNONYM field (.5) of the MEDICATION INSTRUCTION file (#51) to provide more informative information to the user when entering/editing data. Modify Standard Schedule Edit [PSS SCHEDULE EDIT] option to allow editing of the new frequency fields. Modify Administration Schedule File Report [PSS SCHEDULE REPORT] option to display data entered in the frequency fields. Modify Medication Instruction File Add/Edit [PSSJU MI] option to allow editing of the new frequency fields. Modify Medication Instruction File Report [PSS MED INSTRUCTION REPORT] option to display data entered in the new frequency fields. Modify entries to the DOSE UNITS file (#51.24). Create a new file called DOSE UNIT CONVERSION (#51.25). Add new entries to the APSP INTERVENTION TYPE file (#9009032.3). Enhance the interpretation of free text dosages when deriving a numeric dose and dose unit for the Dosing Check when the free text dosage contains a dosing range. Enhance the interpretation of free text dosages when deriving a numeric dose and dose unit for the Dosing Check when the free text dosage contains data within parenthesis. An enhancement has been made when a medication order is placed in Computerized Patient Record System (CPRS), when a free text dosage is entered, and there is a many to one match from Drug to Pharmacy Orderable Item. If the DRUG File (#50) entry selected to be used for the Dosing check is a multi-ingredient, and every ingredient has a Drug Unit, and that Drug Unit resolves to a non Dose-Form type of Unit in the DOSE UNITS File (#51.24), and a numeric dose and dose unit was derived from the free text dosage, and that derived dose unit resolves to the same unit as the ingredient drug units, then the Dosing check will be performed using that numeric dose and dose unit. Changes have been made to the VistA XML parsing code for the DOSING_INFO and DRUG_INFO Web Services to properly interpret all attributes returned with Mocha Server 3.0 and future server versions. These changes are transparent to the end user. The following options have been changed: ======================================= The Standard Schedule Edit [PSS SCHEDULE EDIT] option has been modified to allow editing of the DOSING CHECK FREQUENCY field (#11), DRUG(S) FOR DOSING CHK FREQ (#11.1), and OLD SCHEDULE NAME(S) field (#13) for a schedule. The Administration Schedule File Report [PSS SCHEDULE REPORT] option has been modified to allow display of the DOSING CHECK FREQUENCY field (#11), DRUG(S) FOR DOSING CHK FREQ (#11.1), and OLD SCHEDULE NAME(S) field (#13) from the ADMINISTRATION SCHEDULE file (#51.1) for a schedule. The Medication Instruction File Add/Edit [PSSJU MI] option has been modified to allow editing of the DOSING CHECK FREQUENCY field (#32), DRUG(S) FOR DOSING CHK FREQ field (#32.1), and OLD MED INSTRUCTION NAME(S) field (#33) for a medication instruction. The Medication Instruction File Report [PSS MED INSTRUCTION REPORT] option has been modified to allow display of the DOSING CHECK FREQUENCY field (#32), DRUG(S) FOR DOSING CHK FREQ (#32.1), and OLD MED INSTRUCTION NAME(S) field (#33) from the MEDICATION INSTRUCTION file (#51) for a medication instruction. The following file has been added: ================================= A new DOSE UNIT CONVERSION file (#51.25) was created. Although this file has not yet been standardized by STS, no local editing will be allowed. The Read Access of the DOSE UNIT CONVERSION file (#51.25) has been set to "Pp." The DOSE UNIT CONVERSION file will be used to convert one dose unit to another using a conversion factor so that a comparison can be made between two dose units when they are not equivalent. The dose unit used for the Dosing Order Check may not be the same dose unit First Data Bank (FDB) returns with the Dosing Order Check results. The initial list of Dose Unit Conversion entries is provided in Appendix D of the Dosing Order Check User Manual. The following fields have been modified: ======================================= The NAME field (.01) of the MEDICATION INSTRUCTION file (#51) is being modified, specifically the Input Transform and Executable Help. The SYNONYM field (.5) of the MEDICATION INSTRUCTION file (#51) is being modified, specifically the Input Transform and Executable Help. The following fields have been added to existing files: ====================================================== The DOSING CHECK FREQUENCY field (#11) has been created in the ADMINISTRATION SCHEDULE file (#51.1). This field allows a user to enter a specific format pattern to represent the frequency such as 'X#D', where '#' represents a 1-2 character numeric value. The DOSING CHECK FREQUENCY field takes priority over all other fields/values when determining frequency for the Max Daily Dose Order Check. The DRUG(S) FOR DOSING CHK FREQ field (#11.1) has been created in the ADMNISTRATION SCHEDULE file (#51.1). This multiple field allows for dispense drugs from the DRUG file (#50) to be associated with the DOSING CHECK FREQUENCY field (#11) value within the ADMINISTRATION SCHEDULE file (#51.1). The OLD SCHEDULE NAME(S) field (#13) has been created in the ADMINISTRATION SCHEDULE file (#51.1). This multiple field stores the old values of the schedule when the NAME field (#.01) is edited. Values can also be added to this field directly. The DOSING CHECK FREQUENCY field (#32) has been created in the MEDICATION INSTRUCTION file (#51). This field allows a user to enter a specific format pattern to represent the frequency such as 'X#D', where '#' represents a 1-2 character numeric value. The DOSING CHECK FREQUENCY field takes priority over all other fields/values in this file when determining frequency for the Max Daily Dose Order Check. The DRUG(S) FOR DOSING CHK FREQ field (#32.1) has been created in the MEDICATION INSTRUCTION file (#51). This multiple field allows for dispense drugs from the DRUG file (#50) to be associated with the DOSING CHECK FREQUENCY field (#32) value within the MEDICATION INSTRUCTION file (#51). The OLD MED INSTRUCTION NAME(S) field (#33) has been created in the MEDICATION INSTRUCTION file (#51). This multiple field stores the old values of the medication instruction when the NAME field (#.01) is edited. Values can also be added to this field directly. The following input templates have been modified: ================================================ The PSSJ SCHEDULE EDIT Input template has been modified to allow editing of DOSING CHECK FREQUENCY field (#11), DRUG(S) FOR DOSING CHK FREQ (#11.1), and OLD SCHEDULE NAME(S) field (#13) in the ADMINISTRATION SCHEDULE file (#51.1). Patch Components: ================ Files & Fields Associated: ------------------------- See descriptions above. Forms Associated: ---------------- N/A Mail Groups Associated: ---------------------- N/A Options Associated: ------------------ See descriptions above. Protocols Associated: -------------------- N/A Security Keys Associated: ------------------------ N/A Associated New Service Request(s): ================================= N/A Patient Safety Issues (PSI)s: ============================ N/A Remedy Ticket(s) & Overview: =========================== N/A Blood Bank Clearance: ==================== N/A Test Sites: ========================= Heartland West VAMC West Palm VAMC Louisville VAMC Documentation Retrieval Instructions ==================================== Updated documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Title File Name SFTP Mode ----------------------------------------------------------------------- MOCHA Enhancements 2.1a PSS_1_RN_R0517.PDF binary Release Notes Pharmacy Data Management PSS_1_UM_R0517.PDF binary User Manual v1.0 Pharmacy Data Management PSS_1_TM_R0517.PDF binary Technical Manual v 1.0 Installation Guide - MOCHA PSS_1_P201_IG.PDF binary Phase 2 v2.1a Pharmacy Data Management Dosing PSS_1_DOSING_ORD_CK_ binary Order Check User Manual USER_MANUAL_R0517.PDF Installation Instructions ========================= Please refer to the MOCHA 2.1 Dosing Infrastructure Installation Guide (Rollback/Backup Plan) for installation instructions. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 25 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSS1P201 Before: n/a After: B9678651 **201** Routine Name: PSSDDUT Before: B42845395 After:B106731878 **13,18,19,38,56,119,201** Routine Name: PSSDSAPD Before:B181014294 After:B176555473 **117,160,173,201** Routine Name: PSSDSAPL Before:B108677776 After:B108974964 **117,160,201** Routine Name: PSSDSAPM Before:B245057882 After:B233971912 **117,168,160,173,201** Routine Name: PSSDSUTL Before: n/a After:B100218791 **201** Routine Name: PSSFDBDI Before:B130530909 After:B154007468 **160,175,201** Routine Name: PSSFDBRT Before: B57759107 After: B38856842 **136,160,201** Routine Name: PSSFILED Before: B18901288 After:B128286258 **38,47,172,201** Routine Name: PSSJEEU Before: B13827744 After: B14040872 **24,47,160,184,201** Routine Name: PSSJSV Before: B76380719 After:B148569138 **20,38,56,59,110,121,143,149, 146,189,201** Routine Name: PSSMIRPT Before: B30532574 After: B35619952 **129,201** Routine Name: PSSOAS Before: n/a After: B14995833 **201** Routine Name: PSSSCHRP Before:B109340534 After:B121758049 **129,160,189,201** Routine list of preceding patches: 119, 172, 173, 175, 184, 189 ============================================================================= User Information: Entered By : Date Entered : AUG 31, 2016 Completed By: Date Completed: MAY 12, 2017 Released By : Date Released : MAY 15, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT