============================================================================= Run Date: FEB 10, 2014 Designation: PXRM*2*34 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 2 SEQ #24 Status: Released Compliance Date: MAR 13, 2014 ============================================================================= Associated patches: (v)PXRM*2*24 <<= must be installed BEFORE `PXRM*2*34' Subject: VA-TERATOGENIC MEDICATION ORDER CHECK Category: - Routine Description: ============ The Teratogenic Medications Order Check Interim Solution was originally released as VistA patch PXRM*2*22 in July 2012. The interim solution is intended to have regular updates for clinical content, primarily to add newly approved medications with FDA Pregnancy Categories that warrant an order check. This patch, PXRM*2*34, represents the first such update. Included in this update are new medications, order check text changes consistent with the Notification of Teratogenic Medications project, support for reversal of tubal ligations, and updates to the taxonomies that define a women's medical inability to conceive a pregnancy. This patch also includes an update to a single dialog element for the Epilepsy Initial note that was released with PXRM*2.0*30. That element had a mapped Health Factor Category, instead of a mapped Health Factor. This element updates that mapped item. Associated Remedy Ticket(s): =========================== 1. INC000000881972 - VA-Teratogenic Medication Order Check Update Associated NSR(s): ================= N/A Participating Test Site(s) ========================== Central Plains Health Care System Cincinnati VA Medical Center North Chicago VA Medical Center REMEDY OVERVIEW: =============== 1. INC000000881972 - VA-Teratogenic Medication Order Check Update Problem: -------- The Teratogenic Medications Order Check Interim Solution was originally released as VistA patch PXRM*2*22 in July 2012. The interim solution is intended to have regular updates for clinical content, primarily to add newly approved medication with FDA Pregnancy Categories that warrant an order check. Resolution: ----------- This patch, PXRM*2*34, represents the first such update. Two routines are included with this patch, PXRMP34E and PXRMP34I. They are init tasks that add new entries to the REMINDER EXCHANGE (#811.8) file and the contents of these entries are installed during the post-init. These routines can be deleted after the install. Included in this update are new medication, order check text changes consistent with the Notification of Teratogenic Medication project, support for reversal of tubal ligations, and updates to the taxonomies that define a women's medical inability to conceive a pregnancy. Please refer to PXRM_2_0_34_IG.pdf for more detail concerning these clinical reminders. Build Components: ================= N/A Data Dictionary: ================ N/A Software & Documentation Retrieval Instructions: ================================================ This patch is being distributed as a host file. The name of the host file is PXRM_2_0_34.KID. This file should be downloaded in ASCII format. The preferred method for obtaining these files is to use File Transfer Protocol (FTP) to download them from: ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve the files directly from a specific server as follows: Albany ftp.fo-albany.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext The Install and Setup Guide is also available on the above servers. It is available as .pdf format. This file should be downloaded in BINARY format. File Name: Description: Protocol: ========== ============ ========= PXRM_2_0_34_IG.PDF PXRM*2.0*34 Install BINARY and Setup Guide PXRM_2_0_34.KID PXRM*2.0*34 Host File ASCII Documentation can also be found on the VistA Documentation Library (VDL) at: http://www.domain.ext/vdl/ Installation: ============= This patch can be loaded with users on the system. Installation will take ten to fifteen minutes. Refer to the Install and Setup Guide, PXRM_2_0_34_IG.PDF, for complete details. NOTE: DO NOT QUEUE THE INSTALLATION, because this installation asks questions requiring responses and queuing will stop the installation. 1. Use the "Load a Distribution" option on the KIDS installation menu. When prompted to enter a host file type in PXRM_2_0_34.KID 2. On the KIDS menu under the 'INSTALLATION' menu, use the following options, as desired: Print Transport Global Compare Transport Global to Current System Verify checksums in Transport Global Backup a Transport Global 3. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) When prompted for INSTALL NAME, use PXRM*2.0*34 4. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//," respond 'NO'. 5. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond 'NO'. 6. After successful installation, the following init routines may be deleted PXRMP34E PXRMP34I Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;CLINICAL REMINDERS;**[Patch List]**;Feb 04, 2005;Build 195 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRMP34E Before: n/a After: B1140476 **34** Routine Name: PXRMP34I Before: n/a After: B10454311 **34** ============================================================================= User Information: Entered By : TRAN,BA D Date Entered : AUG 21, 2013 Completed By: SHERMAN,BILL Date Completed: FEB 07, 2014 Released By : VANCAMP,E PHILIP Date Released : FEB 10, 2014 ============================================================================= Packman Mail Message: ===================== No routines included