$TXT Created by ANDERSON,CURTIS at DEVCUR.FO-SLC.MED.VA.GOV  (KIDS) on Thursday, 12/05/02 at 11:53
=============================================================================
Run Date: JAN 30, 2003                     Designation: OR*3*162
Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory
Version : 3       SEQ #157                       Status: Released
                  Compliance Date: MAR 02, 2003
=============================================================================

Associated patches: (v)OR*3*123    <<= must be installed BEFORE `OR*3*162'

Subject: ANALGESIC ORDER CHECK FIX

Category: 
  - Routine
  - Enhancement (Mandatory)

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

 Problems and Issues:
 ====================
  
 1. [NTH-0302-72248] 
 Problem: In CPRS order checking there was a cross-reference between the
 Analgesic drug class that was pulling an allergy listing inappropriately
 from one class (Opioid Analgesics) and another (Non-opioid Analgesics).  
 For example, patients with reactions listed for Darvon (Class: CN101)
 triggered an order check when a new prescription was entered for
 Acetaminophen 500mg (Class: CN103).  The order check showed up as:
 "Previous adverse reaction to OPIOID ANALGESICS".  Acetaminophen does not 
 contain opioids and should not have triggered the order check.
  
 Solution: If the ordered drug belongs to the general Analgesics VA drug
 class ("CN10"), it now checks for adverse reactions at the more specific
 5th character.  For example, CN101 will no longer trigger order checks
 against CN103 and vice versa. 
  
 Testing: Follow example scenario outlined above in Problem section before
 and after patch installation.
  
  
 2. This patch adds additional medication order information to order check
 messages.  For example:
 Before patch: BECLOMETHASONE DIPROPIONATE AEROSOL,ORAL [PENDING]
 After patch:  BECLOMETHASONE DIPROPIONATE AEROSOL,ORAL  42MCG PO Q4H PRN 
               [PENDING]
  
 Testing: Compare the medication order information that appears in 
 order check messages before and after patch installation.
  
  
 Documentation:
 ==============
 The CPRS List Manager Technical Manual has been updated to reflect the
 changes described in this patch.  
   
 The updated CPRS List Manager Technical Manual is available as a MS Word
 (doc) or pdf file:
     cprslmtm.doc
     cprslmtm.pdf 
   
 These files can be retrieved in BINARY format via FTP. The preferred
 method is to FTP the file from
   
      download.vista.med.va.gov    
   
 which will transmit the file from the first available FTP server.
   
 The files may also be downloaded directly from any of the following FTP
 locations:
          Albany                  ftp.fo-albany.med.va.gov
          Hines                   ftp.fo-hines.med.va.gov
          Salt Lake City          ftp.fo-slc.med.va.gov
 where they are located in the ANONYMOUS.SOFTWARE directory.
   
 The documentation will also be available shortly after release of this
 patch at the following Web address:
   
     http://www.va.gov/vdl
  
  
 ROUTINE SUMMARY:
 ================
  The following is a list of the routines included in this patch.  The
  second line of each of these routines 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
  ============         ============          ===========         ==========
  ORKCHK4                   9888468              9886772   74,87,94,123,162
  ORKCHK6                  10036795             10035063   74,87,94,123,162
  ORQQAL                    6390811              6573790          9,85,162
  
  
 INSTALLATION INSTRUCTIONS:  
 =========================
 This patch should be loaded during non-peak hours to minimize disruption
 to users.  Users may be on the system during installation. Installation
 will take less than 5 minutes.
  
 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*162):
      a.  Backup a Transport Global
      b.  Compare Transport Global to Current System
      c.  Verify Checksums in Transport Global
  
 5. Use the Install Package(s) options and select the package OR*3*162.
  
 6. When prompted 'Want KIDS to INHIBIT LOGONS during install? YES//',
    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.

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

Routine Name:
  - ORKCHK4


Routine Checksum:

Routine Name:
  - ORKCHK6


Routine Checksum:

Routine Name:
  - ORQQAL


Routine Checksum:

=============================================================================
User Information:                               
Entered By  : ANDERSON,CURTIS L             Date Entered : NOV 18, 2002
Completed By: CONDIE,KENNY                  Date Completed: JAN 23, 2003
Released By : BELSCHWINDER,MICHAEL          Date Released : JAN 30, 2003
=============================================================================


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

$END TXT