$TXT Created by NABER,DAVID A at DEVCUR.FO-SLC.MED.VA.GOV (KIDS) on Tuesday, 05/18/04 at 10:14 ============================================================================= Run Date: JUN 18, 2004 Designation: GMRA*4*19 Package : GMRA - ADVERSE REACTION TRACKING Priority: Mandatory Version : 4 SEQ #17 Status: Released Compliance Date: JUL 19, 2004 ============================================================================= Associated patches: (v)GMRA*4*17 <<= must be installed BEFORE `GMRA*4*19' Subject: Notifications from CPRS when allergies are added Category: - Routine Description: ============ With this patch, a couple of issues related to the utility that was released in patch GMRA*4*17 will be addressed. In addition, the sending of bulletins related to new allergy entry, need for verification, and need for marking chart/ID bands will now be done when entering an allergy from CPRS GUI. Due to the change that will cause bulletins to be sent, sites should review all GMRA related mail groups to be sure they are correctly populated. This patch also changes the order in which files that contain matching reactants appear to the user. With patch GMRA*4*17, the names of the files that contained matching selections were displayed before the list of matches. Although this helps identify the file from which you're choosing, users will still often pick the first match that they see. Selections from the ingredient and drug class file, while legitimate, only supply partial information that is required for order checking to work. As a result, the ingredient and drug class files were moved to the bottom of the selection list to encourage selection from one of the drug related files or the GMR ALELRGIES file (#120.82), which will provide complete information. Changes in the order in which files appear in the tree view and the prohibition of free text entries for CPRS GUI will be released in v24 (patch OR*3.0*190). Once v24 is installed, the entry of allergies will be consistent between the ART package and CPRS GUI. This patch also includes a post-install that will review the VERIFIED field (#19) of the PATIENT ALLERGIES file (#120.8) for null entries. A previous patch fixed a problem with the VERIFIED field being incorrectly set to null but did not update entries affected by this problem. The post-install will compare the allergy against the site's auto-verification settings and either mark the allergy as verified or mark it as not verified. For those entries marked as not verified, the sites can use standard allergy options to verify the remaining allergy entries. Each entry that is updated by this process will have a comment indicating that the entry was auto-updated by the patch 19 post-install. In addition, a mail message will be sent to the installer when the post-install finishes to let them know how many entries were reviewed and how many were updated. NOIS ==== CHY-0204-50521 Mailgroup does not get bulletin HWH-1203-40144 Bulletin not being generated for drug allergies. SHE-0703-51726 Observed Reaction entry in CPRS does not generate bulletin TNV-0703-31715 Bulletin/alerts not generating from CPRS SFC-0602-61054 Non-verified Allergies in CPRS TOM-0301-40674 Food allergy not appearing in diet activity rpt DEN-0800-51684 ALLERGY BULLETINS NOT BEING SENT PRO-0400-11345 View Alerts Missing PHI-0100-20715 User not getting alerts SLC-1199-50431 Not receiving mailgroup message to verify allergy BRX-0899-11086 NOT GETTING ALERTS FOR NON-VERIFIED ADR'S NHM-0699-10918 E-MAIL NOT RECEIVED FOR ALLERGIES TO BE VERIFIED. PAL-0299-62732 ALLERY DOESN'T SHOW ON DA LIST MON-0299-51120 CPRS entry - no alert SDC-1298-60864 ALLERGY WON'T LINK TO DIETETICS When an allergy is entered via GUI CPRS, no bulletins are being sent to the appropriate users/mail groups. In addition, food related entries are not sent to the DIETETIC EVENTS file (#119.8). Allergy entries will now correctly fire alerts/bulletins when they are entered via CPRS GUI. For food based allergies, the DIETETIC EVENTS file will only be updated if the food allergy appears in the GMR ALLERGIES file as free text entries are no longer allowed (as of patch GMRA*4*17). LIT-0104-71425 Alloc error in GMRA FREE TEXT UTILITY BRX-1203-11254 ALLOC ERROR RIC-0204-21063 error DUPLAB+11 in ORKCHK5 While using the utility to update free text entries, distributed in patch GMRA*4*17, it's possible to get an allocation error if the patient being updated has a high number of active orders or if you attempt to do a detailed display on a large group of free text entries. This has now been fixed to better handle large amounts of data. NIN-0204-41832 SYNTAX ERROR IN ALLERGY UTILITY If the free text reaction includes a quote mark the utility will error during processing of this reactant. A change has been made to strip the reactant of quote marks before adding it to the list of free text entries. TUA-0898-31232 UNABLE TO VERIFY SOME ADVERSE REACTIONS/ALLERGIES Patch GMRA*4*12 fixed a problem related to CPRS entered allergies not being correctly auto-verified. However, reactants entered before the patch could have been left with the VERIFIED field left blank, which put it in a state where it couldn't be verified by using the standard allergy options. A post-install has been included in this patch that will review all active allergies for living, non-test, patients and attempt to auto-verify any entries that have a null value in the VERIFIED field. A report will be generated when the post-install finishes. ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;4.0;Adverse Reaction Tracking;**[patch list]**;Mar 29, 1996 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== GMRAFX 29943036 30182435 17,19 GMRAFX1 13606085 14035522 17,19 GMRAFX2 13058727 13058727 17,19 GMRAFX3 14437876 14449305 17,19 GMRAOR5 7640269 8972865 4,12,13,19 GMRAPES0 27112804 27203878 13,17,19 GMRASEN2 4662582 4347053 14,19 GMRASEND 5332572 5102198 14,19 GMRASIGN 14414875 14487255 17,19 GMRAY19 N/A 5081699 19 INSTALLATION ============ Users may be on the system during installation of this patch, though this patch should be loaded during non-peak hours to minimize disruption to users. Installation will take less than 5 minutes. *NOTE: A routine will be queued to run in the background that will fix the VERIFIED field set to null problem. A mail message will be sent upon completion of the review. The message will identify how many entries had a null value in the VERIFIED field and of those, how many were auto-verified. The entries that are not auto-verified may be reviewed by using standard allergy verification options. *NOTE: Due to the change that will cause bulletins to now be sent upon allergy entry within GUI, sites should review their GMRA related mail groups to be sure they are populated. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. Review your mapped set. If any of the routines listed in the ROUTINE SUMMARY section are mapped, they should be removed from the mapped set at this time. 3. From the Kernel Installation and Distribution System Menu, select the Installation menu. 4. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter GMRA*4.0*19): a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 5. Use the Install Package(s) option and select the package GMRA*4.0*19. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', you may respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond NO. 8. If routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. 9. Upon receipt of the post-installation message you may delete routine GMRAY19 Routine Information: ==================== Routine Name: - GMRAFX1 Routine Checksum: Routine Name: - GMRAFX2 Routine Checksum: Routine Name: - GMRAFX3 Routine Checksum: Routine Name: - GMRAPES0 Routine Checksum: Routine Name: - GMRAOR5 Routine Checksum: Routine Name: - GMRAY19 Routine Checksum: Routine Name: - GMRAFX Routine Checksum: Routine Name: - GMRASIGN Routine Checksum: Routine Name: - GMRASEN2 Routine Checksum: Routine Name: - GMRASEND Routine Checksum: ============================================================================= User Information: Entered By : NABER,DAVID A Date Entered : FEB 09, 2004 Completed By: HULET,LEE ANN Date Completed: JUN 17, 2004 Released By : HEMBREE,SUSAN Date Released : JUN 18, 2004 ============================================================================= Packman Mail Message: ===================== $END TXT