============================================================================= Run Date: FEB 26, 2018 Designation: PSS*1*206 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #187 Status: Released Compliance Date: MAR 29, 2018 ============================================================================= Associated patches: (v)PSS*1*178 <<= must be installed BEFORE `PSS*1*206' (v)PSS*1*195 <<= must be installed BEFORE `PSS*1*206' Subject: MOCHA 2.1B FOLLOW UP Category: - Routine Description: ============ The Medication Order Check HealthCare Application (MOCHA) 2.1B patches implement Max Daily Dose Order Checks for simple medication orders entered through Computerized Patient Record System (CPRS), Inpatient Medications and Outpatient Pharmacy. If the Daily Dose exceeds the First Databank (FDB) recommended Max Daily Dose, a warning shall be displayed to the user. If the Max Daily Dose Order Check cannot be performed, an error message will be displayed to the user, along with general dosing information for the drug in most cases. This patch is part of the MOCHA Enhancements 2.1B group of builds and must be the third of the group installed. Multiple package host files were created where possible to simplify installation at Veterans Health Administration (VHA) facilities for the other portions. The combined host file MOCHA_2_1_PSO_OR_PSJ.KID contains OR*3.0*382, PSJ*5.0*256 and PSO*7.0*402. The combined follow up host file MOCHA_2_1_FOLLOW_UP_PSO_OR_PSJ.KID contains PSO*7.0*500, PSJ*5.0*347 and OR*3.0*469. In addition, there is another standalone Pharmacy Data Management patch, PSS*1.0*178, which must be installed in conjunction with the other builds. * * * Notice * * * This group of patches should not be installed until the follow on patch PSO*7.0*515 has been released and is ready to be immediately installed. PSO*7.0*515 must be installed immediately after the successful installation of this group of builds. See the PSO*7.0*515 patch description for details. * * * Notice * * * MOCHA v2.1B will provide the following enhancements: =================================================== Implement Dose Range Checking with a Max Daily Dose limit for simple medication orders entered through Outpatient Pharmacy, Inpatient Medications and CPRS applications. Display a generic error message when the Max Daily Dose Order Check cannot be performed in CPRS. Display an error message when the Max Daily Dose Order Check cannot be performed in CPRS with a detailed reason when height and/or weight is required, but does not exist in the Vitals application for the patient. Display an error message when the Max Daily Dose Order Check cannot be performed in Pharmacy with a detailed reason. Correct all daily dose errors due to frequency failure. Resolve miscellaneous frequency issues with incorporation of new dosing check frequency fields. Apply Daily Dose Check exclusion for schedule to medication orders entered through Outpatient Pharmacy, Inpatient Medications and CPRS. Apply advisory note to high dose warnings and General Dosing Guidelines for medication administered through eye, ear or nose. Create a customized frequency message. Create a general dosing information message. Create a Max Daily Dose Warning message for the calculated Daily Dose. Add FDB data elements from Dosing Order Check call to VistA side of interface. Display one warning if Maximum Single Dose and Max Daily Dose Order Check warning texts are identical. Adjustment to the Daily Dose if a Single Dose Adjustment is made for an IV order when performing Dosing Order Checks. Modify entries to the DOSE UNITS file (#51.24). Modify entries to the DOSE UNIT CONVERSION file (#51.25). Update Check PEPS Services Setup [PSS CHECK PEPS SERVICES SETUP] option to perform the Max Daily Dose Order Check instead of the Daily Dose Range Order Check. Calculate the frequency with the consideration for the admin times if an incorrect frequency is used for dosing check when a unit dose order is entered in CPRS with duration less than 24 hours. Correct the subscript error at MULTSCH+18^PSSSCHMS Fix the frequency calculation for the schedule with "PRN" that resulted in invalid/undefined frequency error. Patch Components: ================ Files & Fields Associated: ------------------------- N/A Forms Associated: ---------------- N/A Mail Groups Associated: ---------------------- N/A Options Associated: ------------------ N/A 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: ========== CHARLESTON, SC EASTERN COLORADO HCS HEARTLAND WEST HCS TENNESSEE VALLEY HCS WEST PALM BEACH, FL Documentation Retrieval Instructions ==================================== Updated documentation describing the new functionality introduced by this patch is available. Sites may retrieve the documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext 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. Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Title File Name SFTP Mode ----------------------------------------------------------------------- MOCHA Enhancements 2.1B PSS_1_PSO_7_PSJ_5_ binary Release Notes RN_R0218.PDF Pharmacy Data Management PSS_1_UM_R0218.PDF binary User Manual v1.0 Pharmacy Data Management PSS_1_TM_R0218.PDF binary Technical Manual v 1.0 MOCHA 2.1B Combined Builds MOCHA_21B_PSO_OR_PSJ_ binary Deployment, Installation, PSS_CB_IG.PDF Back-Out and Rollback Guide Pharmacy Data Management Dosing PSS_1_DOSING_ORD_CK_ binary Order Check User Manual UM_R0218.PDF Vista to MOCHA v2.0 PSS_1_VistA_to_ binary Interface Document MOCHA_ID.PDF Patch Installation: Pre/Post Installation Overview ------------------------------ This patch must be installed after PSS*1.0*178 and the combined build. The combined follow up build must be installed after this patch. Pre-Installation Instructions ============================= This patch must be obtained from the ANONYMOUS.SOFTWARE directory at one of the OI Field Offices. The preferred method is to SFTP the file from DOWNLOAD.VISTA.DOMAIN.EXT, which will transmit the file from the first available server. Alternatively, sites may elect to retrieve the file from a specific OI Field Office. Hines FTP.DOMAIN.EXT Salt Lake City FTP.DOMAIN.EXT The MOCHA 2.1b ENHANCEMENTS software distribution includes: File Name Contents Retrieval Format --------------------- ---------------- ---------------- PSS_1_178.KID PSS*1.0*178 ASCII MOCHA_2_1_PSO_OR_ PSJ*5.0*256 ASCII PSJ_BUILD.KID PSO*7.0*402 OR*3.0*382 PSS_1_206.KID PSS*1.0*206 ASCII MOCHA_2_1_FOLLOW_ PSO*7.0*500 ASCII UP_PSO_OR_PSJ.KID OR*3.0*469 PSJ*5.0*347 Installation Instructions ========================= Please refer to the MOCHA 2.1B Combined Builds Deployment, Installation, Back-Out and Rollback Guide for installation instructions. Post Installation Instructions ============================== N/A ****************************** NOTE ************************************ The 'Before' checksum values for ALL routines in this patch will appear incorrect. This is because they are components of the preceding patch PSS*1.0*178 which is also part of the MOCHA 2.1B group of builds. The FORUM Patch Module uses released checksum values to populate the 'Before' fields below. Since PSS*1.0*178 will be released at the same time as this patch the FORUM Patch Module does not have access to the actual 'Before' checksum values. ****************************** NOTE ************************************* Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 10 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSSDRDOS Before:B158735197 After:B159075348 **160,173,195,178,206** Routine Name: PSSDSAPD Before:B185681379 After:B154210974 **117,160,173,201,178,206** Routine Name: PSSDSAPI Before:B201957555 After:B210956246 **117,160,173,178,206** Routine Name: PSSDSEXC Before:B205518936 After:B205557716 **117,160,178,206** Routine Name: PSSDSEXD Before:B194531746 After:B178609917 **178,206** Routine Name: PSSDSEXE Before: B89355466 After:B173941412 **178,206** Routine Name: PSSDSUTL Before:B122545264 After:B123713572 **201,178,206** Routine Name: PSSHRQ23 Before:B265225897 After:B265224277 **136,178,206** Routine Name: PSSHRQ24 Before: B63136929 After: B64768164 **178,206** Routine Name: PSSSCHMS Before: B72248048 After:B127350691 **178,206** Routine list of preceding patches: 178 ============================================================================= User Information: Entered By : Date Entered : DEC 08, 2016 Completed By: Date Completed: FEB 23, 2018 Released By : Date Released : FEB 26, 2018 ============================================================================= Packman Mail Message: ===================== No routines included