$TXT Created by NABER,DAVID A at DEVCUR.FO-SLC.MED.VA.GOV (KIDS) on THURSDAY, 03/28/02 at 12:36 ============================================================================= Run Date: APR 24, 2002 Designation: OR*3*134 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: EMERGENCY Version : 3 SEQ #130 Status: Released ============================================================================= Associated patches: (v)OR*3*110 <<= must be installed BEFORE `OR*3*134' (v)OR*3*129 <<= must be installed BEFORE `OR*3*134' (v)PSJ*5*70 <<= must be installed BEFORE `OR*3*134' (v)PSO*7*100 <<= must be installed BEFORE `OR*3*134' Subject: OUTPT MED, IV FIXES Category: - Routine Description: ============ This patch corrects three problems in the CPRS/Pharmacy interface, with outpatient medication and IV orders. PROBLEMS and Related NOIS: ========================== 1. V02-1201-N1957 OP RX NOT CONVERTING CORRECTLY ON RENEWAL Prior to the Pharmacy Ordering Enhancements (POE) project, any changes made to an outpatient medication order by the pharmacist that did not trigger a new order were not saved with the order in the Orders file #100 or reflected on the Orders tab in CPRS; one of the values that could be changed without a new order was the dispense drug. When one of these orders is now renewed, the original (now incorrect) dispense drug is being carried over into the new order by CPRS, confusing pharmacists and providers and creating the potential for errors. This patch adds a check to the renewal of a prescription, and will prevent it if the dispense drugs in CPRS and Outpatient Pharmacy do not match. NOTE: Patch PSO*7*96 is also required for this functionality to be implemented; it is not, however, required for installation of this patch. 2. POR-0102-50827 Where is rate information stored for IV orders? A recent Kernel patch added the ADDITIONAL PREFIXES multiple to the Package file #9.4; entries in this multiple are also included in the "C" cross reference on package namespace, which CPRS uses to find specific entries in this file. This multiple has now been populated with entries PSG and PSIV for the Inpatient Medications package, but that can cause CPRS to come up with the wrong value when trying to find the pointer for the IV Medications (PSIV) package. This patch fixes the lookup on the "C" cross reference to make sure it is finding the correct entry and not the Additional Prefix entry. 3. TOG-0102-12405 SERVICE CONNECTED CONDITION CHECK BOX NOT SHOW IN GUI The Medication Copay changes released in OR*3*116 inadvertently omitted the display of the patient's current service connection data with the prompt "Is this order for treatment related to a service connected condition". Also, the copay questions were not being asked at all in the List Manager interface if the order was being delayed for discharge. Both of these issues are now resolved with this patch. 4. ISB-0202-30541 Renewing an order after a NDF update Prior to this patch, inpatient medication orders with a now inactive orderable item could not be renewed; patch PSJ*5*70 will now return a replacement item to CPRS when available, and this patch will use the new item and allow the renewal order to be placed. 5. BIR-0202-30805 0..5 IN ORDER This patch contains a fix that will stop the incorrect "on the fly" conversion of fractional doses for pre-POE orders. In addition, a post-init will identify all currently active orders that have a SIG that contains 0.. The post-init will go through the AC xref, which is all active orders along with orders that are still on the list due to the active orders context hours parameter. A list of all problematic orders will be sent to the initiator along with all holders of the PSNMGR key. A pharmacist will have to take the appropriate action on the order. A guideline is included in the post-init message which suggests how the problems may be fixed. 6. Renewal of complex outpatient order produces incorrect SIG Currently, if you renew a complex outpatient medication order in the GUI, the SIG for the renewal will build incorrectly. Patch PSO*7*101 will clean up any currently existing incorrect SIGs created as a result of this problem. 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: ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[patch list]**;Dec 17, 1997 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== ORCACT01 24300331 24522351 94,116,134 ORCDPS3 11393634 11569462 94,116,134 ORCSIGN 24577650 24838735 7,56,48,79,108,110,134 ORMPS1 16425464 16641737 86,92,94,116,134 ORMPS2 10171264 10179181 94,116,129,134 ORWDXR 8709944 7225925 10,85,125,131,134 ORY134 N/A 10021450 134 INSTALLATION INSTRUCTIONS: ========================== 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 1 minute. NOTE: This patch contains a post-init. The post-init will go through the AC xref, which is all active orders along with orders that are still on the list due to the active orders context hours parameter. A list of all problematic orders will be sent to the initiator along with all holders of the PSNMGR key. A pharmacist will have to take the appropriate action on the order. A guideline is included in the post-init message which suggests how the problems may be fixed. 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 OR*3.0*134): 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 OR*3.0*134. 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 YES. When prompted to select the options you would like to place out of order, enter the following: OR OE/RR MENU CLINICIAN CPRS Clinician Menu OR OE/RR MENU NURSE CPRS Nurse Menu OR OE/RR MENU WARD CLERK CPRS Ward Clerk Menu 8. When prompted 'Delay Install (Minutes): (0-60): 0//; respond '0'. 9. If routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. Routine Information: ==================== Routine Name: - ORCACT01 Routine Checksum: Routine Name: - ORMPS1 Routine Checksum: Routine Name: - ORMPS2 Routine Checksum: Routine Name: - ORCDPS3 Routine Checksum: Routine Name: - ORCSIGN Routine Checksum: Routine Name: - ORWDXR Routine Checksum: Routine Name: - ORY134 Routine Checksum: ============================================================================= User Information: Entered By : BUECHLER,MELANIE K Date Entered : JAN 31, 2002 Completed By: EBERT,AL Date Completed: APR 24, 2002 Released By : SCOTT,JEAN M Date Released : APR 24, 2002 ============================================================================= Packman Mail Message: ===================== $END TXT