$TXT Created by ALVIN JR at DOSO.FO-BIRM.DOMAIN.EXT (KIDS) on Friday, 02/23/24 at 15:10 ============================================================================= Run Date: JUL 16, 2024 Designation: PSS*1*239 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #228 Status: Released Compliance Date: AUG 16, 2024 ============================================================================= Associated patches: (v)PSS*1*252 <<= must be installed BEFORE `PSS*1*239' Subject: ONEVA DRUG RESTRICTION Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ ********************************************************************** This patch is part of a release that includes the following patches that should be installed in the following order: PSS*1.0*239 PSO*7.0*740 *********************************************************************** The OneVA Pharmacy application provides the Veterans Health Administration (VHA) with the capability to allow Veterans travelling across the United States to refill/partial fill their active VA prescription at any VA Pharmacy regardless of where the prescription originated. The OneVA Pharmacy application design consists of 3 main components: VistA Medication Profile screen, Health Data Record Clinical Data Service (HDR/CDS), and OneVA Pharmacy message flow. The VistA Medication Profile screen expands available pharmacy information in VistA to provide pharmacists direct access to query, and refill/partial fill patient's active and refillable prescriptions. The HDR/CDS provides a patient's active and refillable prescriptions. The OneVA Pharmacy message flow enables the secure, bi-directional exchange of electronic health records between local/remote VistA Servers, and between VistA servers and HDR. Currently, drugs classified as controlled substances are not permitted to be processed using OneVA Pharmacy functionality. Additional flexibility is required to prevent drugs from being processed that are not classified as controlled substances. This patch introduces two new 'filters' that prevent specific drugs from being processed. Restrict for OneVA Field in Drug File -------------------------------------- A new field is required to restrict certain drug file items (e.g. REMS drugs, restricted medications, infusions, etc.) from OneVA processing so that they do not get filled inadvertently. When new RESTRICT FOR ONEVA PHARMACY field (#907) in the DRUG file (#50) is set to YES via the Drug Enter/Edit option [PSS DRUG ENTER/EDIT], prescriptions for the drug will not be permitted to be filled or refilled using OneVA Pharmacy functionality. A 'Yes' in the 'Restrict for OneVA Pharmacy' field indicates that the drug item is restricted from OneVA processing. No data (blank) in the 'Restrict for OneVA Pharmacy' Field indicates that the drug is NOT restricted from OneVA processing. Block Clozapine Prescriptions from OneVA processing ---------------------------------------------------- Clozapine prescriptions are blocked from OneVA Pharmacy processing of a refill/partial. A Clozapine prescription is identified by having the MONITOR ROUTINE Field (#17.5) in the DRUG File (#50) set to 'PSOCLO1'. If a drug is identified for 'Clozapine' monitoring at either the host site or dispensing site for a refill, the following message will be displayed at the dispensing site: 'This is a clozapine prescription. Cannot refill Rx #XXXX.' If a drug is identified for 'Clozapine' monitoring at either the host site or dispensing site for a partial, the following message will be displayed at the dispensing site: 'This is a clozapine prescription. Cannot process a partial fill for Rx #XXXX.' Patch Components: ----------------- Files & Fields Associated: New/Modified File Name (Number) Field Name (Number) /Deleted ------------------ --------------------------------- ------------- DRUG (50) RESTRICT FOR ONEVA PHARMACY (907) New Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: 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 ------------- ---- ------------------ -------------------- PSSCOMMON Input DRUG (50) Modified Remote Procedure Calls: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- Blood Bank Team Coordination: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: N/A Test Sites: ------------ VA Miami HCS, Miami, FL VA Minneapolis HCS, Minneapolis, MN VA New Jersey HCS, East Orange, NJ Test Sites - SNOW Change Order #: ------------------------------------ VA Miami HCS: Change Order # vA Minneapolis HCS: Change Order # VA New Jersey HCS: Change Order # Documentation Retrieval Instructions: ------------------------------------- The software for this patch is being released in a PackMan message. 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. Title File Name ------------------------------------------------------------------ Deployment, Installation Back-Out PSS_1_0_P239_DIBRG.DOCX and Rollback Guide PSS_1_0_P239_DIBRG.PDF Pharmacy Data Management User Manual PSS_1_0_P239_UM.DOCX PSS_1_0_P239_UM.PDF Patch Installation: ------------------- Pre/Post Installation Overview: Pre-Installation Instructions: The installation of this patch can be queued. 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 PSS*1.0*239. 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 build PSS*1.0*239. 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 this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press 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. When 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. Post-Installation Instructions: There are no post-installation instructions for this patch. 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. A backout routine has been added to the PSS*1.0*239 build that will remove the RESTRICT FOR ONEVA PHARMACY field (#907) in the DRUG file (#50) and any associated data. When the backup that was created prior to installation is installed, all patch components will be removed or restored to their pre-patch state. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSSLOOK Before:B140116759 After:B141916830 **3,7,15,16,20,24,29,38,68,61, 87,90,127,147,170,189,192,200, 195,213,227,220,214,233,239** Routine list of preceding patches: 233 ============================================================================= User Information: Entered By : Date Entered : JUL 30, 2019 Completed By: Date Completed: JUL 15, 2024 Released By : Date Released : JUL 16, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT