============================================================================= Run Date: SEP 29, 2022 Designation: PSS*1*187 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #223 Status: Released Compliance Date: DEC 16, 2022 ============================================================================= Associated patches: (c)OR*3*405 install with patch `PSS*1*187' (v)PSS*1*93 <<= must be installed BEFORE `PSS*1*187' (v)PSS*1*218 <<= must be installed BEFORE `PSS*1*187' (v)PSS*1*234 <<= must be installed BEFORE `PSS*1*187' (v)PSS*1*247 <<= must be installed BEFORE `PSS*1*187' Subject: CPRS V32B PARK-A-RX, INDICATION & NON-VA COMPLEX ORDERS Category: - Routine - Data Dictionary - Other Description: ============ This patch is part of the Computerized Patient Record System (CPRS) v32B updates. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- TEXT INTEGRATION UTILITIES v1.0 TIU*1.0*289 OUTPATIENT PHARMACY v7.0 PSO*7.0*441 CLINICAL REMINDERS v2.0 PXRM*2.0*65 ADVERSE REACTION TRACKING GMRA*4.0*51 HEALTH SUMMARY v2.7 GMTS*2.7*115 PCE PATIENT CARE ENCOUNTER v1.0 PX*1.0*217 BAR CODE MEDICATION ADMINISTRATION v3.0 PSB*3.0*93 ORDER ENTRY/RESULTS REPORTING v3.0 OR*3.0*405 INPATIENT MEDICATIONS v5.0 PSJ*5.0*399 MENTAL HEALTH v5.01 YS*5.01*211 PHARMACY DATA MANAGEMENT v1.0 PSS*1.0*187 KERNEL v8.0 XU*8.0*662 PSS*1.0*187 and XU*8.0*662 are being released as host files, but they will not be included in the multi-package build. The remaining patches are being released in the KIDS multi-package build CPRS V32B COMBINED BUILD 1.0. This patch provides the needed functionalities to support the following NSRs: 20090509: Park a Prescription 20100101: Indication on all Prescriptions and Medication Orders 20170512: Complex Non-VA Med Orders This patch also updates the DEA SPECIAL HANDLING field Documentation. A new code, letter "D", was added to the DEA, SPECIAL HDLG field (#3) in the DRUG file (#50) to mark drugs as "NOT PARKABLE". Help text for this field will now list "D NOT PARKABLE" when using the option PSS DRUG ENTER/EDIT. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PHARMACY SYSTEM COPY INDICATION TO SIG New (#59.7) (#96) UNIT DOSE SUB-FILE INDICATION FOR USE New (#55.06) (#141) IV SUB-FILE INDICATION FOR USE New (#55.01) (#156) NON-VA MEDS SUB-FILE INDICATION FOR USE New (#55.05) (#15) NON-VA MEDS SUB-FILE SIG (#16) SUB-FILE(#55.516) New (#55.05) SIG SUB-FILE (#55.516) SIG (#.01) New SCHEDULE(#1) New DURATION(#2) New CONJUNCTION (#3) New DOSAGE(#4) New PHARMACY ORDERABLE INDICATIONS FOR USE Modified ITEMS (#50.7) (sub-file #50.713) INDICATIONS FOR USE (#.01) OTHER LANGUAGE INDICATIONS Modified (sub-file #50.714) OTHER LANGUAGE INDICATIONS (#.01) Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- Pharmacy System Parameter Option Modified [PSS SYS EDIT] Indication Usage Report Option New [PSS INDICATION USAGE REPORT] Orderable Item Management Menu Modified [PSS ORDERABLE ITEM MANAGEMENT] 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 Additional Information: New Service Requests (NSRs): ---------------------------- NSR #20090509 Park-A-Prescription-Active Prescriptions Awaiting Patient Request To Be Dispensed This request is for the creation of a process that allows Pharmacy Service to process a prescription request without an immediate accompanying requirement to dispense the prescription or be required to set a prescription fill date. This is intended to allow the patient to request the original fill for a prescription much like a refill. The scope of this request includes any necessary updates to VistA or CPRS displays of prescriptions to indicate a verified-but-never-dispensed prescription. The status of a prescription processed in this manner is ACTIVE, and does not need a new status designation, although it may warrant other indicators and/or methods to inform the patient about the new Rx number allocated to the prescription. NSR #20100101 Indication on all Prescriptions and Medication Orders The purpose of this NSR is to modify medication order dialogs to have a specific and unique method for recording the medication's indication. The justification for this request is the Joint Commission standard relating to medication management. NSR #20170512 Complex Non-VA Med Orders The Non-VA Medication Order dialog does not give a provider the opportunity to enter a complex medication order. For example when patient is taking the same medication but different doses on different days or different doses at different times in one day. If the patient has an outside medication that fits this criterion, it can't be clearly documented. This is a patient safety issue because currently it requires 2 separate entries for the same drug. Patient Safety Issues (PSIs): ----------------------------- HITPS 1284 Outpatient Medications HOLD status confusing to patients and providers. Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Test Sites: ---------- FRESNO VAMC, CA NORTHERN CALIFORNIA HCS NORTH FLORIDA / SOUTH GEORGIA HCS Software and Documentation Retrieval Instructions: -------------------------------------------------- This version of CPRS GUI is being released in three waves. During this wave deployment process, the sites will be contacted by the CPRS Implementation Team with information about downloading the software and updated documentation. Access to the software and documentation is restricted until deployment is complete. After the wave deployment has been completed, documentation can be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ The software for this patch is being released using a host file. After the wave deployment has been completed, the host file will be available at the following location: /srv/vista/patches/SOFTWARE/CPRS_V32B_COMBINED_BUILD.KID after the deployment has been completed. Other Software Files: This release also includes other software files. Other software files can be obtained by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE File Name Contents Retrieval Format --------- -------- ---------------- OR_30_405.ZIP CPRSChart.exe BINARY RoboEx32.dll borlndmm.dll CPRSChart.map CRC.TXT YS_MHA_A_XE10.dll HELP Directory OR_30_405_SRC.ZIP CPRS v32B Source BINARY CPRS_V32B_COMBINED_BUILD.KID CPRS V32B COMBINED ASCII XU_8_662.KID Kernel Changes ASCII PSS_1_187.KID PDM Changes ASCII Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. Both the VDL and the SOFTWARE folder will be updated after deployment has been completed. Documentation Title File Name --------------------------------------------------------------------- Pharmacy Data Management User Manual PSS_1_0_P187_UM.PDF PSS_1_0_P187_UM.DOCX Pharmacy Data Management Technical Manual/Security Guide PSS_1_0_P187_TM.PDF PSS_1_0_P187_TM.DOCX Pharmacy Reengineering (PRE) Application Program Interface (API) Manual PHAR_1_0_P187_API.PDF PHAR_1_0_P187_API.DOCX Patch Installation: Installation Instructions: -------------------------- ***Installation of this build must NOT be queued.*** Please refer to the "CPRS v32b (OR*3.0*405) Deployment, Installation, Back Out, and Rollback Guide" for installation and set-up information. This document is exported as OR_3_0_405_DIBR.PDF and OR_3_0_405_DIBR.DOCX. Post-Installation Instructions: ------------------------------- Please refer to the "CPRS v32b (OR*3.0*405) Deployment, Installation, Back Out, and Rollback Guide" for installation and partial set-up information. For the remaining setup instructions, please refer to the "Computerized Patient Record System (CPRS) Version 32b Build (OR*3.0*405) Setup and Configuration Guide". This document is exported as OR_3_0_405_SETUP.PDF and OR_3_0_405_SETUP.DOCX. Back-Out/Roll Back Plan: ------------------------ Please refer to the "CPRS v32b (OR*3.0*405) Deployment, Installation, Back Out, and Rollback Guide" for back-out and rollback information, along with risks and criteria for back-out. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 27 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSS187PO Before: n/a After: B2222634 **187** Routine Name: PSS50P7 Before: B48392474 After: B64372089 **85,91,199,234,187** Routine Name: PSSDDUT2 Before:B174697061 After:B175541190 **3,21,61,81,95,127,126,139, 131,143,188,189,192,218,187** Routine Name: PSSINDRP Before: n/a After: B19594 **187** Routine Name: PSSJORDF Before: B55766382 After: B60832173 **5,13,34,38,69,113,94,140,142, 159,187** Routine Name: PSSORUTE Before: B5502337 After: B5868537 **83,93,187** Routine Name: PSSYSP Before: B174387 After: B187703 **20,38,87,120,137,140,159,212, 247,187** Routine list of preceding patches: 93, 218, 234, 247 ============================================================================= User Information: Entered By : Date Entered : OCT 20, 2014 Completed By: Date Completed: SEP 29, 2022 Released By : Date Released : SEP 29, 2022 ============================================================================= Packman Mail Message: ===================== No routines included