$TXT Created by BUECHLER,MELANIE at DEVCUR.FO-SLC.MED.VA.GOV  (KIDS) on Monday, 11/25/02 at 10:04
=============================================================================
Run Date: DEC 02, 2002                     Designation: OR*3*158
Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: EMERGENCY
Version : 3       SEQ #149                       Status: Released
=============================================================================

Associated patches: (v)OR*3*132    <<= must be installed BEFORE `OR*3*158'
                    (v)OR*3*152    <<= must be installed BEFORE `OR*3*158'

Subject: LOCKING FIX FOR MED CHANGES

Category: 
  - Routine

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

 This patch fixes two potential patient safety issues with changing 
 medication orders and IV Fluid quick orders, as well as two other problems
 with Inpatient Medication orders.
  
 PROBLEMS and Related NOIS/Remedy#:
 =================================
 1. HD #11167 / CHG #4070  Locking issues between CPRS and Pharmacy
    HD #12188 / CHG #4385
 When orders are being acted on in either CPRS or Pharmacy, the order is 
 to remain locked to prevent another user from taking action on the order 
 at the same time; a loophole was reported in CPRS allowing a pharmacist 
 to finish an order at the same time that a user was changing it in CPRS, 
 which resulted in 2 orders in Pharmacy for the same single order in 
 CPRS.  This has now been fixed, so that once an order has begun to be 
 changed in CPRS no one else may act on the original order until the 
 change order has been signed and released or discontinued.
  
 2. MAR-1201-20370   INPT MED ORDERS DISPLAY IN THE WRONG GROUP
 Prior to this patch, quick orders did not perform all of the usage checks 
 on medications as the regular order dialogs; this allowed IV additives 
 that were unmarked for fluid use, for example, to still be ordered as 
 part of an IV Fluid order via a pre-defined quick order.  This has now 
 been fixed; a future patch will provide a way for orderable items to be 
 specifically flagged in CPRS for quick order use only, so sites may 
 restrict ordering of some items to pre-defined quick orders.
  
 3. BHS-0902-11301   Version 2 Install
    CHG #161
 Prior to this patch, the List Manager interface to CPRS was calling an 
 Inpatient Medications api $$STARTSTP^PSJORPOE inappropriately, for 
 outpatient orders as well as inpatient, which resulted in an undefined 
 error; this is now fixed, so the api will only be called when placing 
 inpatient orders.
  
 4. CLL-0902-42011   UNIT DOSE ORDERS WITH NO PROVIDER
    CHG #4093
 Complex inpatient medication orders are broken into separate orders, one 
 per dose, when signed and released to the Inpatient Medications package; 
 prior to this patch, the ordering provider was only saved with the 
 original 'parent' order containing all the doses, causing the message to 
 Pharmacy to also be missing the provider.  This has now been fixed, and a 
 clean-up routine will be tasked during the post-init to fill in the 
 missing provider information from the parent order.
  
  
 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>;;3.0;ORDER ENTRY/RESULTS REPORTING;**[patch list]**;Dec 17, 1997
  
                            CHECK^XTSUMBLD results
 Routine name       Before Patch       After Patch       Patch List
 ============       ============       ===========       ==========
 ORCDPS3                11569462          11604082     94,116,134,158
 ORCDPSIV                5573407           7180488       4,38,48,158
 ORCSEND1               18239345          18325578  4,29,45,61,79,94,116,
                                                          138,158
 ORMPS1                 17499602          17505514  86,92,94,116,134,152,
                                                            158
 ORWDXM2                13592419          15200532   10,85,109,116,132,158
 ORX2                    4220057           4673350        16,48,158
 ORY158                      N/A           8167712           158
  
  
 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.
  
 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*158):
         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*158.
  
 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.  The
     routine ORY158 may be deleted once the background task has completed.

Routine Information:
====================

Routine Name:
  - ORCDPS3


Routine Checksum:

Routine Name:
  - ORCSEND1


Routine Checksum:

Routine Name:
  - ORMPS1


Routine Checksum:

Routine Name:
  - ORX2


Routine Checksum:

Routine Name:
  - ORCDPSIV


Routine Checksum:

Routine Name:
  - ORWDXM2


Routine Checksum:

Routine Name:
  - ORY158


Routine Checksum:

=============================================================================
User Information:                               
Entered By  : BUECHLER,MELANIE K            Date Entered : OCT 17, 2002
Completed By: MERRILL,DAVID P              Date Completed: NOV 26, 2002
Released By : TASTROM,JOSEPH E             Date Released : DEC 02, 2002
=============================================================================


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

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