$TXT Created by NABER,DAVID A at DEVCUR.FO-SLC.MED.VA.GOV  (KIDS) on Tuesday, 07/10/07 at 14:51
=============================================================================
Run Date: OCT 29, 2007                     Designation: GMRA*4*40
Package : GMRA - ADVERSE REACTION TRACKING    Priority: Mandatory
Version : 4        SEQ #36                      Status: Released
                  Compliance Date: NOV 29, 2007
=============================================================================

Associated patches: (v)GMRA*4*29   <<= must be installed BEFORE `GMRA*4*40'

Subject: Updating ANGIOTEN related allergies

Category: 
  - Routine

Description:
============

 In patch GMRA*4*29, existing free text entries were updated in one of 
 three ways.  The entry was either updated to a standardized term, marked 
 as entered in error, or left as free text with the phrase ( FREE TEXT ) 
 appended to the term.
  
 A group of terms that were included in the updated matrix that had the 
 text ANGIOTEN in common were identified as needing to be updated to ACE 
 INHIBITORS.  Of the 19 terms that fell into this group, 6 were correctly 
 identified as needing to be updated to ACE INHIBITORS.  The other 13 
 terms should have been updated to either ANGIOTENSIN II INHIBITORS or 
 should have been updated to free text if the existing term didn't provide 
 enough information to accurately update it to a standardized term.
  
 Prior to standardization, we were aware that there were about 50 
 allergies on file at all sites for the 19 "ANGIOTEN" based terms. In
 addition, the ACE INHIBITORS and ANGIOTENSIN II INHIBITORS are in related
 classes (CV800 and CV805 respectively) which will cause drug class related
 order checks to fire when an allergy to either class is on file and an
 item from either class is ordered.
  
 This patch will find any ANGIOTEN based allergies that were updated by 
 patch 29 and update them to the correct term if need be.
  
 In addition, the post-install will delete and rebuild the "B" 
 cross-reference of the PATIENT ALLERGIES file (#120.8).  During 
 installation of patch 29, a few sites reported problems with the 
 post-install not completing.  It was discovered that a "B" 
 cross-reference existed for an entry that was no longer in the file.  The 
 "B" cross-reference will be deleted and rebuilt to ensure accuracy.
  
 REMEDY TICKETS
 ==============
 189939 
 190862
  
 TEST SITES
 ==========
 Tomah
 Palo Alto
 Togus
  
 INSTALLATION
 ============
 This patch may be installed with users on the system although it is 
 recommended that users not be using the allergy free text clean up utility
 while this is running.  The time to install this patch will vary depending
 on the number of allergy entries.
  
 1.  Use the INSTALL/CHECK MESSAGE option on the PackMan menu.
  
 2.  From the Kernel Installation and Distribution System Menu, select
     the Installation menu.
  
 3.  From this menu, you may elect to use the following options
     (when prompted for INSTALL NAME, enter GMRA*4.0*40):
         a.  Backup a Transport Global
         b.  Compare Transport Global to Current System
         c.  Verify Checksums in Transport Global
  
 4.  Use the Install Package(s) option and select the package GMRA*4.0*40.
  
 5.  When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//',
     you may respond NO.
  
 6.  When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
     Protocols? YES//', respond NO.
  
 7.  If prompted 'Delay Install (Minutes):  (0-60): 0//; respond '0'.
  
 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:
  
     <tab>;;4.0;Adverse Reaction Tracking;**[patch list]**;Mar 29, 1996
  
                            CHECK^XTSUMBLD results 
 Routine name         Before Patch          After Patch         Patch List
 ============         ============          ===========         ==========
 GMRAY40                  N/A               24079097                40

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;4.0;Adverse Reaction Tracking;**[Patch List]**;Mar 29, 1996;Build 2

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: GMRAY40
    Before:       n/a   After: B80268399  **40**

=============================================================================
User Information:
Entered By  : NABER,DAVID A                 Date Entered  : MAY 17, 2007
Completed By: SCHLEHUBER,PAM                Date Completed: OCT 26, 2007
Released By : CAMPBELL,THOMAS               Date Released : OCT 29, 2007
=============================================================================


Packman Mail Message:
=====================

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