$TXT Created by MNTVBB.DOMAIN.EXT (KIDS) on Monday, 07/20/20 at 08:41 ============================================================================= Run Date: NOV 05, 2020 Designation: PSS*1*246 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #214 Status: Released Compliance Date: DEC 07, 2020 ============================================================================= Associated patches: (v)PSS*1*219 <<= must be installed BEFORE `PSS*1*246' Subject: EXCLUDE BUNAVAIL FROM DOSAGE FORM EXCLUSION CHECK Category: - Routine Description: ============ The released patch PSS*1*219 provided functionality to exclude buprenorphine-containing products from requiring an X-number (Detox Number) when they are specifically FDA approved with indication for the treatment of pain. This was done by dosage form so that Butrans (patch) and Belbuca (film, buccal), the products available at the time, could be excluded. However, a new product, Bunavail has been released to market. This is also a buccal film but is primarily indicated for treatment of opioid substance use disorder. Therefore, changes are needed that will require an X-number when a Bunavail order is placed with a dosage form of buccal film. Additional Information: ----------------------- Defect Tracking System Ticket(s) & Overview: 1. INC9406303 - New Product Makes Buprenorphine Exclusion by Dosage Form No Longer Correct Problem: -------- The released patch PSS*1*219 provided functionality to exclude buprenorphine-containing products from requiring an X-number (Detox Number) when they are specifically FDA approved with indication for the treatment of pain. This was done by dosage form so that Butrans (patch) and Belbuca (film, buccal), the products available at the time, could be excluded. However, a new product, Bunavail has been released to market. This is also a buccal film but is primarily indicated for treatment of opioid substance use disorder. Therefore, changes are needed that will require an X-number when a Bunavail order is placed with a dosage form of buccal film. Resolution: ----------- The process that excludes buprenorphine-containing products from requiring a detox number for the ordering provider was modified to specifically check if the orderable item is Bunavail. If it is Bunavail then a valid detox number will be required before the order can be placed. Test Sites: ----------- Orlando VAMC Hines VAMC Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Documentation Title File Name -------------------------------------------------------------------------- User Manual Pharmacy Data Management v1.0 pss_1_p246_um.pdf Patch Installation: ------------------- Pre/Post Installation Overview: N/A 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 or build name. (ex. PSS*1.0*246) 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 of any routines exported with this patch. It will not backup any other changes such as DDs or templates. 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 . ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer . iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer . a. When prompted 'Enter options you wish to mark as 'Out Of Order':', press the Enter key. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. When prompted 'Delay Install (Minutes): (0 - 60): 0//', answer 0. Post Installation Instructions: ------------------------------- None. Installation Verification: -------------------------- Successful installation can be verified by reviewing the first 2 lines of the routines contained in the patch. The second line will contain the patch number (246) in the [PATCH LIST] section. ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 2 The option Calculate and Show Checksum Values [XTSUMBLD-CHECK] can be run to compare the routine checksums to what is documented in the patch description. 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. 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 printing the first 2 lines of the PSS Routines contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the routines contained in the PSS*1.0*246 patch have been rolled back, the first two lines of the Routines will no longer contain the designation of patch PSS*1.0*246 in the patch list section on line 2 Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSSOPKI Before: B17312785 After: B21428163 **61,69,166,183,209,219,246** Routine list of preceding patches: 219 ============================================================================= User Information: Entered By : Date Entered : JUN 30, 2020 Completed By: Date Completed: NOV 05, 2020 Released By : Date Released : NOV 05, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT