<?xml version="1.0" standalone="yes"?>
<REMINDER_EXCHANGE_FILE_ENTRY>
<PACKAGE_VERSION>2.0P65</PACKAGE_VERSION>
<INDEX_AT>761</INDEX_AT>
<SOURCE>
<NAME>UPDATE_2_0_446B VA-BENZODIAZEPINE/OPIOID ORDER CHECKS UPDATE</NAME>
<USER>PACKER,REMINDER</USER>
<SITE>FOIA</SITE>
<ENV>NATREM^NATREM^oitausdhctlexb.r02.domain.ext^NATREM:LEXR0TSVR</ENV>
<DATE_PACKED>07/21/2026@13:29:45</DATE_PACKED>
</SOURCE>
<DESCRIPTION><![CDATA[
The following Clinical Reminder items were selected for packing:
REMINDER ORDER CHECK RULES
  VA-OPIOID DRUG CLASS (CN101) (RULE)
  VA-BENZODIAZEPINE DRUG CLASS (CN302) (RULE)
 
REMINDER DIALOG
  VA-DIALOG ELEMENT FOR ORDER CHECK OBJECTS
 
REMINDER TERM
  VA-REMINDER UPDATE_2_0_446B
]]></DESCRIPTION>
<KEYWORDS>
</KEYWORDS>
<PACKING ATTRIBUTES><![CDATA[
<ATTRIBUTE>GROUPING DIALOG COMPONENTS</ATTRIBUTE>
]]></PACKING ATTRIBUTES>
<FILEMAN_FILE>
<FILE_NAME>VA DRUG CLASS</FILE_NAME>
<FILE_NUMBER>50.605</FILE_NUMBER>
<POINT_01>CN302</POINT_01>
<INTERNAL_ENTRY_NUMBER>83</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1229149839</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
50.605;+83,;.01~CN302
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>VA DRUG CLASS</FILE_NAME>
<FILE_NUMBER>50.605</FILE_NUMBER>
<POINT_01>CN101</POINT_01>
<INTERNAL_ENTRY_NUMBER>73</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3553547099</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
50.605;+73,;.01~CN101
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-REMINDER UPDATES [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>8722</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>981639263</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8722,;.01~VA-REMINDER UPDATES [C]
9999999.64;+8722,;.1~CATEGORY
9999999.64;+8722,;100~LOCAL
9999999.64;+8722,;200~Reminder Updates
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-UPDATE_2_0_446B</POINT_01>
<INTERNAL_ENTRY_NUMBER>47356</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3864800459</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+47356,;.01~VA-UPDATE_2_0_446B
9999999.64;+47356,;.03~VA-REMINDER UPDATES [C]
9999999.64;+47356,;.08~YES
9999999.64;+47356,;.1~FACTOR
9999999.64;+47356,;100~NATIONAL
9999999.64;+47356,;200~Update_2_0_446B
9999999.64;+47356,;201~WP-start~1
VA-UPDATE_2_0_446B
9999999.65;+47357,+47356,;.01~JUL 15, 2026@05:11:28
9999999.65;+47357,+47356,;2~WP-start~1
Copied from VA-UPDATE_2_0_446A
9999999.65;+47358,+47356,;.01~JUL 15, 2026@05:11:40
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
47357^1
47358^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-BENZODIAZEPINE DRUG CLASS - CN302</POINT_01>
<INTERNAL_ENTRY_NUMBER>3553</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2046022857</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+3553,;.01~VA-BENZODIAZEPINE DRUG CLASS - CN302
811.5;+3553,;100~NATIONAL
811.52;+3554,+3553,;.01~DC.CN302
811.52;+3554,+3553,;15~NO
811.52;+3554,+3553,;18~YES
811.53;+3555,+3553,;.01~07/21/2026@13:29:50
811.53;+3555,+3553,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3554^1
3555^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-BENZODIAZEPINE DRUG CLASS (CN302) (TERM) NON-VA</POINT_01>
<INTERNAL_ENTRY_NUMBER>2919</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3416465854</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+2919,;.01~VA-BENZODIAZEPINE DRUG CLASS (CN302) (TERM) NON-VA
811.5;+2919,;100~NATIONAL
811.52;+2920,+2919,;.01~DC.CN302
811.52;+2920,+2919,;15~NO
811.52;+2920,+2919,;16~N
811.52;+2920,+2919,;18~YES
811.53;+2921,+2919,;.01~07/21/2026@13:29:50
811.53;+2921,+2919,;2~WP-start~1
Exchange Stub
811.54;+2922,+2920,+2919,;.01~ACTIVE
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
2920^1
2921^1
2922^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-OPIOID DRUG CLASS (CN101) (TERM) NON-VA</POINT_01>
<INTERNAL_ENTRY_NUMBER>2920</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2694809578</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+2920,;.01~VA-OPIOID DRUG CLASS (CN101) (TERM) NON-VA
811.5;+2920,;100~NATIONAL
811.52;+2921,+2920,;.01~DC.CN101
811.52;+2921,+2920,;15~NO
811.52;+2921,+2920,;16~N
811.52;+2921,+2920,;18~YES
811.53;+2922,+2920,;.01~07/21/2026@13:29:50
811.53;+2922,+2920,;2~WP-start~1
Exchange Stub
811.54;+2923,+2921,+2920,;.01~ACTIVE
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
2921^1
2922^1
2923^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-OPIOID DRUG CLASS - CN101</POINT_01>
<INTERNAL_ENTRY_NUMBER>3552</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1719944644</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+3552,;.01~VA-OPIOID DRUG CLASS - CN101
811.5;+3552,;100~NATIONAL
811.52;+3553,+3552,;.01~DC.CN101
811.52;+3553,+3552,;15~NO
811.52;+3553,+3552,;18~YES
811.53;+3554,+3552,;.01~07/21/2026@13:29:50
811.53;+3554,+3552,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3553^1
3554^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-REMINDER UPDATE_2_0_446B</POINT_01>
<INTERNAL_ENTRY_NUMBER>3556</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2266023170</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+3556,;.01~VA-REMINDER UPDATE_2_0_446B
811.5;+3556,;100~NATIONAL
811.52;+3557,+3556,;.01~HF.VA-UPDATE_2_0_446B
811.52;+3557,+3556,;11~0
811.52;+3557,+3556,;15~NO
811.53;+3558,+3556,;.01~07/21/2026@13:29:50
811.53;+3558,+3556,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3557^1
3558^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DEFINITION</FILE_NAME>
<FILE_NUMBER>811.9</FILE_NUMBER>
<POINT_01>VA-BENZODIAZEPINE (CN302)</POINT_01>
<INTERNAL_ENTRY_NUMBER>704</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1072054096</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.9;+704,;.01~VA-BENZODIAZEPINE (CN302)
811.9;+704,;1.2~---Benzodiazepine Prescription in this Patient's record---
811.9;+704,;2~WP-start~2
This reminder will show due now if the patient has a current or recent
benzodiazepine prescription.
811.9;+704,;30~FI(1)!FI(2)!FI(3)!FI(4)
811.9;+704,;31~FI(1)!FI(2)!FI(3)!FI(4)
811.9;+704,;32~4
811.9;+704,;33~1;2;3;4
811.9;+704,;36~0
811.9;+704,;40~0
811.9;+704,;42~0
811.9;+704,;62~0
811.9;+704,;63~0
811.9;+704,;67~0
811.9;+704,;68~0
811.9;+704,;72~0
811.9;+704,;73~0
811.9;+704,;77~0
811.9;+704,;78~0
811.9;+704,;85~0
811.9;+704,;86~0
811.9;+704,;95~0
811.9;+704,;96~0
811.9;+704,;100~NATIONAL
811.9;+704,;103~RO
811.9001;+705,+704,;.01~07/21/2026@13:29:50
811.9001;+705,+704,;2~WP-start~1
Exchange Stub
811.902;+706,+704,;.01~RT.VA-BENZODIAZEPINE DRUG CLASS (CN302) (TERM) NON-VA
811.902;+706,+704,;15~NO
811.902;+706,+704,;16~N
811.902;+706,+704,;24~0
811.902;+706,+704,;25~0
811.902;+707,+704,;.01~RT.VA-BENZODIAZEPINE DRUG CLASS - CN302
811.902;+707,+704,;9~T-30D
811.902;+707,+704,;15~NO
811.902;+707,+704,;16~I
811.902;+707,+704,;24~0
811.902;+707,+704,;25~0
811.902;+708,+704,;.01~RT.VA-BENZODIAZEPINE DRUG CLASS - CN302
811.902;+708,+704,;9~T-180D
811.902;+708,+704,;15~NO
811.902;+708,+704,;16~O
811.902;+708,+704,;24~0
811.902;+708,+704,;25~0
811.902;+709,+704,;.01~RT.VA-BENZODIAZEPINE DRUG CLASS - CN302
811.902;+709,+704,;9~T-30D
811.902;+709,+704,;15~NO
811.902;+709,+704,;16~O
811.902;+709,+704,;24~0
811.902;+709,+704,;25~0
811.90221;+710,+706,+704,;.01~ACTIVE
811.90221;+711,+707,+704,;.01~ACTIVE
811.90221;+712,+708,+704,;.01~ACTIVE
811.90221;+713,+709,+704,;.01~EXPIRED
811.90221;+714,+707,+704,;.01~DISCONTINUED
811.90221;+715,+708,+704,;.01~DISCONTINUED
811.90221;+716,+707,+704,;.01~DISCONTINUED (EDIT)
811.90221;+717,+708,+704,;.01~DISCONTINUED (EDIT)
811.90221;+718,+707,+704,;.01~DISCONTINUED (RENEWAL)
811.90221;+719,+708,+704,;.01~HOLD
811.90221;+720,+707,+704,;.01~NON VERIFIED
811.90221;+721,+708,+704,;.01~PROVIDER HOLD
811.90221;+722,+707,+704,;.01~ON CALL
811.90221;+723,+708,+704,;.01~REFILL
811.90221;+724,+707,+704,;.01~REINSTATED
811.90221;+725,+708,+704,;.01~SUSPENDED
811.90221;+726,+707,+704,;.01~RENEWED
811.90221;+727,+707,+704,;.01~SUSPENDED
811.97;+728,+704,;.01~99Y
811.97;+728,+704,;5~0
811.97;+728,+704,;6~0
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
705^1
706^1
707^2
708^3
709^4
710^1
711^1
712^1
713^1
714^2
715^2
716^3
717^3
718^4
719^4
720^5
721^5
722^6
723^6
724^7
725^7
726^8
727^9
728^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DEFINITION</FILE_NAME>
<FILE_NUMBER>811.9</FILE_NUMBER>
<POINT_01>VA-OPIOID (CN101)</POINT_01>
<INTERNAL_ENTRY_NUMBER>703</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1054416540</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.9;+703,;.01~VA-OPIOID (CN101)
811.9;+703,;1.2~---Opioid Prescription in this Patient's record---
811.9;+703,;2~WP-start~2
This reminder will show due now if the patient has a current or recent
Opioid prescription.
811.9;+703,;30~FI(1)!FI(2)!FI(3)!FI(4)
811.9;+703,;31~FI(1)!FI(2)!FI(3)!FI(4)
811.9;+703,;32~4
811.9;+703,;33~1;2;3;4
811.9;+703,;36~0
811.9;+703,;40~0
811.9;+703,;42~0
811.9;+703,;62~0
811.9;+703,;63~0
811.9;+703,;67~0
811.9;+703,;68~0
811.9;+703,;72~0
811.9;+703,;73~0
811.9;+703,;77~0
811.9;+703,;78~0
811.9;+703,;85~0
811.9;+703,;86~0
811.9;+703,;95~0
811.9;+703,;96~0
811.9;+703,;100~NATIONAL
811.9;+703,;103~RO
811.9001;+704,+703,;.01~07/21/2026@13:29:50
811.9001;+704,+703,;2~WP-start~1
Exchange Stub
811.902;+705,+703,;.01~RT.VA-OPIOID DRUG CLASS - CN101
811.902;+705,+703,;8~AND
811.902;+705,+703,;9~T-30D
811.902;+705,+703,;15~NO
811.902;+705,+703,;16~I
811.902;+705,+703,;24~0
811.902;+705,+703,;25~0
811.902;+706,+703,;.01~RT.VA-OPIOID DRUG CLASS - CN101
811.902;+706,+703,;9~T-180D
811.902;+706,+703,;15~NO
811.902;+706,+703,;16~O
811.902;+706,+703,;24~0
811.902;+706,+703,;25~0
811.902;+707,+703,;.01~RT.VA-OPIOID DRUG CLASS - CN101
811.902;+707,+703,;9~T-30D
811.902;+707,+703,;15~NO
811.902;+707,+703,;16~O
811.902;+707,+703,;24~0
811.902;+707,+703,;25~0
811.902;+708,+703,;.01~RT.VA-OPIOID DRUG CLASS (CN101) (TERM) NON-VA
811.902;+708,+703,;15~NO
811.902;+708,+703,;16~N
811.902;+708,+703,;24~0
811.902;+708,+703,;25~0
811.90221;+709,+705,+703,;.01~ACTIVE
811.90221;+710,+706,+703,;.01~ACTIVE
811.90221;+711,+707,+703,;.01~EXPIRED
811.90221;+712,+708,+703,;.01~ACTIVE
811.90221;+713,+705,+703,;.01~DISCONTINUED
811.90221;+714,+706,+703,;.01~DISCONTINUED
811.90221;+715,+705,+703,;.01~DISCONTINUED (EDIT)
811.90221;+716,+706,+703,;.01~DISCONTINUED (EDIT)
811.90221;+717,+705,+703,;.01~DISCONTINUED (RENEWAL)
811.90221;+718,+706,+703,;.01~HOLD
811.90221;+719,+705,+703,;.01~NON VERIFIED
811.90221;+720,+706,+703,;.01~PROVIDER HOLD
811.90221;+721,+705,+703,;.01~ON CALL
811.90221;+722,+706,+703,;.01~REFILL
811.90221;+723,+705,+703,;.01~REINSTATED
811.90221;+724,+706,+703,;.01~SUSPENDED
811.90221;+725,+705,+703,;.01~RENEWED
811.90221;+726,+705,+703,;.01~SUSPENDED
811.97;+727,+703,;.01~99Y
811.97;+727,+703,;5~0
811.97;+727,+703,;6~0
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
704^1
705^1
706^2
707^3
708^4
709^1
710^1
711^1
712^1
713^2
714^2
715^3
716^3
717^4
718^4
719^5
720^5
721^6
722^6
723^7
724^7
725^8
726^9
727^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY COMPONENT</FILE_NAME>
<FILE_NUMBER>142.1</FILE_NUMBER>
<POINT_01>CLINICAL REMINDERS FINDINGS</POINT_01>
<INTERNAL_ENTRY_NUMBER>250</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2778984169</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142.1;+250,;.01~CLINICAL REMINDERS FINDINGS
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY TYPE</FILE_NAME>
<FILE_NUMBER>142</FILE_NUMBER>
<POINT_01>VA-BENZO</POINT_01>
<INTERNAL_ENTRY_NUMBER>3454</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2492196979</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142;+3454,;.01~VA-BENZO
142;+3454,;99~67772,43407
142.01;+3455,+3454,;.01~5
142.01;+3455,+3454,;1~CLINICAL REMINDERS FINDINGS
142.01;+3455,+3454,;5~Reminders Findings
142.14;+3456,+3455,+3454,;.01~C.VA-BENZODIAZEPINE (CN302)
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3455^5
3456^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY TYPE</FILE_NAME>
<FILE_NUMBER>142</FILE_NUMBER>
<POINT_01>VA-OPIOID</POINT_01>
<INTERNAL_ENTRY_NUMBER>3453</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>899749296</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142;+3453,;.01~VA-OPIOID
142;+3453,;99~67772,40567
142.01;+3454,+3453,;.01~5
142.01;+3454,+3453,;1~CLINICAL REMINDERS FINDINGS
142.01;+3454,+3453,;5~Reminders Findings
142.14;+3455,+3454,+3453,;.01~C.VA-OPIOID (CN101)
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3454^5
3455^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY OBJECTS</FILE_NAME>
<FILE_NUMBER>142.5</FILE_NUMBER>
<POINT_01>VA-BENZO (TIU)</POINT_01>
<INTERNAL_ENTRY_NUMBER>6601012</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>167368188</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142.5;+6601012,;.01~VA-BENZO (TIU)
142.5;+6601012,;.03~VA-BENZO
142.5;+6601012,;.05~NO
142.5;+6601012,;.06~YES
142.5;+6601012,;.07~NO
142.5;+6601012,;.08~NO
142.5;+6601012,;.09~NO
142.5;+6601012,;.1~NO
142.5;+6601012,;.11~NO
142.5;+6601012,;.12~NO
142.5;+6601012,;.13~NO
142.5;+6601012,;.14~NO
142.5;+6601012,;.15~NO
142.5;+6601012,;.16~NO
142.5;+6601012,;.18~JUL 21, 2026@12:03:35
142.5;+6601012,;.19~JUL 21, 2026@12:03:45
142.5;+6601012,;.2~NO
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY OBJECTS</FILE_NAME>
<FILE_NUMBER>142.5</FILE_NUMBER>
<POINT_01>VA-OPIOID (TIU)</POINT_01>
<INTERNAL_ENTRY_NUMBER>6601011</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>910706587</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142.5;+6601011,;.01~VA-OPIOID (TIU)
142.5;+6601011,;.03~VA-OPIOID
142.5;+6601011,;.05~NO
142.5;+6601011,;.06~YES
142.5;+6601011,;.07~NO
142.5;+6601011,;.08~NO
142.5;+6601011,;.09~NO
142.5;+6601011,;.1~NO
142.5;+6601011,;.11~NO
142.5;+6601011,;.12~NO
142.5;+6601011,;.13~NO
142.5;+6601011,;.14~NO
142.5;+6601011,;.15~NO
142.5;+6601011,;.16~NO
142.5;+6601011,;.18~JUL 21, 2026@11:09:03
142.5;+6601011,;.19~JUL 21, 2026@11:09:14
142.5;+6601011,;.2~NO
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>TIU DOCUMENT DEFINITION</FILE_NAME>
<FILE_NUMBER>8925.1</FILE_NUMBER>
<POINT_01>VA-BENZO</POINT_01>
<INTERNAL_ENTRY_NUMBER>3580</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1945971322</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
8925.1;+3580,;.01~VA-BENZO
8925.1;+3580,;.03~VA-BENZO
8925.1;+3580,;.04~OBJECT
8925.1;+3580,;.07~ACTIVE
8925.1;+3580,;9~S X=$$TIU^GMTSOBJ(DFN,VA-BENZO (TIU))
8925.1;+3580,;99~
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>TIU DOCUMENT DEFINITION</FILE_NAME>
<FILE_NUMBER>8925.1</FILE_NUMBER>
<POINT_01>VA-OPIOID</POINT_01>
<INTERNAL_ENTRY_NUMBER>3579</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>79873517</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
8925.1;+3579,;.01~VA-OPIOID
8925.1;+3579,;.03~VA-OPIOID
8925.1;+3579,;.04~OBJECT
8925.1;+3579,;.07~ACTIVE
8925.1;+3579,;9~S X=$$TIU^GMTSOBJ(DFN,VA-OPIOID (TIU))
8925.1;+3579,;99~
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER ORDER CHECK RULES</FILE_NAME>
<FILE_NUMBER>801.1</FILE_NUMBER>
<POINT_01>VA-BENZODIAZEPINE DRUG CLASS (CN302) (RULE)</POINT_01>
<INTERNAL_ENTRY_NUMBER>2</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3000260168</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.1;+2,;.01~VA-BENZODIAZEPINE DRUG CLASS (CN302) (RULE)
801.1;+2,;1~Potential dangerous drug combination with a BENZODIAZEPINE
801.1;+2,;2~PRODUCTION
801.1;+2,;4~HIGH
801.1;+2,;10~WP-start~3
Order check to inform providers of the potential dangerous interaction of 
prescribing an Opioid in combination with a Benzodiazepine. Tramadol 
added to CN101 and Clonazepam added to CN302.
801.1;+2,;30~VA-BENZODIAZEPINE (CN302)
801.1;+2,;31~APPLICABLE
801.1;+2,;32~ORDER CHECK TEXT ONLY
801.1;+2,;40~WP-start~24
|VA-BENZO|\\
\\- - - - - - - - - - - - - - - - - - - - - - - - -\\ 
\\
ACTION: \\
1. Avoid initiating/consider alternatives to this combination.\\
For established patients on this combination, consider tapering (if\\
long-term, consider tapering one medication slowly). If proceeding 
with\\
combination, clinical justification is required.\\
 
2. Overdose Education and Naloxone Distribution (OEND): offering is\\ 
required. 
 
RATIONALE: Prescribing Opioids and Benzodiazepines concurrently has 
been\\ 
shown to have a 4-fold increased risk of overdose in the Veteran\\
population.  Review the Stratification Tool for Opioid Risk Mitigation\\
(STORM) for additional details:\\
https://cds.domain.ext/smart-container/storm?utm_source=crocs
 
The OVERDOSE EDUCATION AND NALOXONE progress note -OR- the OFFER OVERDOSE 
EDUCATION AND NALOXONE reminder may be used for documentation. OEND 
patient handouts are available at: \\
https://dvagov.sharepoint.com/sites/vhaacademicdetailing/SitePages/OEND.aspx#bh
801.1;+2,;45~24
801.1;+2,;46~0
801.1;+2,;100~NATIONAL
801.13;+3,+2,;.01~07/21/2026@13:29:50
801.13;+3,+2,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER ORDER CHECK RULES</FILE_NAME>
<FILE_NUMBER>801.1</FILE_NUMBER>
<POINT_01>VA-OPIOID DRUG CLASS (CN101) (RULE)</POINT_01>
<INTERNAL_ENTRY_NUMBER>1</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1250810635</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.1;+1,;.01~VA-OPIOID DRUG CLASS (CN101) (RULE)
801.1;+1,;1~Potential dangerous drug combination with an OPIOID
801.1;+1,;2~PRODUCTION
801.1;+1,;4~HIGH
801.1;+1,;10~WP-start~3
Order check to inform providers of the potential dangerous interaction of 
prescribing an Opioid in combination with a Benzodiazepine. Tramadol 
added to CN101 and Clonazepam added to CN302.
801.1;+1,;30~VA-OPIOID (CN101)
801.1;+1,;31~APPLICABLE
801.1;+1,;32~ORDER CHECK TEXT ONLY
801.1;+1,;40~WP-start~22
|VA-OPIOID|\\
\\- - - - - - - - - - - - - - - - - - - - - - - - -\\ 
\\
ACTION: \\
1. Avoid initiating/consider alternatives to this combination.\\
For established patients on this combination, consider tapering (if\\
long-term, consider tapering one medication slowly). If proceeding with\\
combination, clinical justification is required.\\
 
2. Overdose Education and Naloxone Distribution (OEND): offering is \\
required. 
 
RATIONALE: Prescribing Opioids and Benzodiazepines concurrently has been\\
shown to have a 4-fold increased risk of overdose in the Veteran\\
population.  Review the Stratification Tool for Opioid Risk Mitigation\\
(STORM) for additional details:\\
https://cds.domain.ext/smart-container/storm?utm_source=crocs
 
The OVERDOSE EDUCATION AND NALOXONE progress note -OR- the OFFER OVERDOSE 
EDUCATION AND NALOXONE reminder may be used for documentation. OEND 
patient handouts are available at:\\
https://dvagov.sharepoint.com/sites/vhaacademicdetailing/SitePages/OEND.aspx#bh
801.1;+1,;45~22
801.1;+1,;46~0
801.1;+1,;100~NATIONAL
801.13;+2,+1,;.01~07/21/2026@13:29:50
801.13;+2,+1,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
2^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-DIALOG ELEMENT FOR ORDER CHECK OBJECTS</POINT_01>
<INTERNAL_ENTRY_NUMBER>111694</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3235533065</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+111694,;.01~VA-DIALOG ELEMENT FOR ORDER CHECK OBJECTS
801.41;+111694,;4~dialog element
801.41;+111694,;25~WP-start~2
|VA-OPIOID|\\
|VA-BENZO|
801.41;+111694,;100~NATIONAL
801.44;+111695,+111694,;.01~07/21/2026@13:29:50
801.44;+111695,+111694,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
111695^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<INDEX>
<NUMBER_OF_COMPONENTS>21</NUMBER_OF_COMPONENTS>
<COMPONENT>
<FDA_END>38</FDA_END>
<FDA_START>38</FDA_START>
<FILE_START>29</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>51</FDA_END>
<FDA_START>51</FDA_START>
<FILE_START>42</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>67</FDA_END>
<FDA_START>64</FDA_START>
<FILE_START>55</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>91</FDA_END>
<FDA_START>80</FDA_START>
<FILE_START>71</FILE_START>
<IEN_ROOT_END>97</IEN_ROOT_END>
<IEN_ROOT_START>96</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>117</FDA_END>
<FDA_START>110</FDA_START>
<FILE_START>101</FILE_START>
<IEN_ROOT_END>123</IEN_ROOT_END>
<IEN_ROOT_START>122</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>145</FDA_END>
<FDA_START>136</FDA_START>
<FILE_START>127</FILE_START>
<IEN_ROOT_END>152</IEN_ROOT_END>
<IEN_ROOT_START>150</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>174</FDA_END>
<FDA_START>165</FDA_START>
<FILE_START>156</FILE_START>
<IEN_ROOT_END>181</IEN_ROOT_END>
<IEN_ROOT_START>179</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>201</FDA_END>
<FDA_START>194</FDA_START>
<FILE_START>185</FILE_START>
<IEN_ROOT_END>207</IEN_ROOT_END>
<IEN_ROOT_START>206</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
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<FDA_START>220</FDA_START>
<FILE_START>211</FILE_START>
<IEN_ROOT_END>233</IEN_ROOT_END>
<IEN_ROOT_START>232</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>318</FDA_END>
<FDA_START>246</FDA_START>
<FILE_START>237</FILE_START>
<IEN_ROOT_END>346</IEN_ROOT_END>
<IEN_ROOT_START>323</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>432</FDA_END>
<FDA_START>359</FDA_START>
<FILE_START>350</FILE_START>
<IEN_ROOT_END>460</IEN_ROOT_END>
<IEN_ROOT_START>437</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>473</FDA_END>
<FDA_START>473</FDA_START>
<FILE_START>464</FILE_START>
</COMPONENT>
<COMPONENT>
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<FDA_START>486</FDA_START>
<FILE_START>477</FILE_START>
<IEN_ROOT_END>497</IEN_ROOT_END>
<IEN_ROOT_START>496</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>515</FDA_END>
<FDA_START>510</FDA_START>
<FILE_START>501</FILE_START>
<IEN_ROOT_END>521</IEN_ROOT_END>
<IEN_ROOT_START>520</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>550</FDA_END>
<FDA_START>534</FDA_START>
<FILE_START>525</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>579</FDA_END>
<FDA_START>563</FDA_START>
<FILE_START>554</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>597</FDA_END>
<FDA_START>592</FDA_START>
<FILE_START>583</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>615</FDA_END>
<FDA_START>610</FDA_START>
<FILE_START>601</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>669</FDA_END>
<FDA_START>628</FDA_START>
<FILE_START>619</FILE_START>
<IEN_ROOT_END>674</IEN_ROOT_END>
<IEN_ROOT_START>674</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>726</FDA_END>
<FDA_START>687</FDA_START>
<FILE_START>678</FILE_START>
<IEN_ROOT_END>731</IEN_ROOT_END>
<IEN_ROOT_START>731</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>752</FDA_END>
<FDA_START>744</FDA_START>
<FILE_START>735</FILE_START>
<IEN_ROOT_END>757</IEN_ROOT_END>
<IEN_ROOT_START>757</IEN_ROOT_START>
</COMPONENT>
</INDEX>
</REMINDER_EXCHANGE_FILE_ENTRY>
