============================================================================= Run Date: JUN 27, 2005 Designation: OR*3*235 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: EMERGENCY Version : 3 SEQ #216 Status: Released Compliance Date: JUL 05, 2005 ============================================================================= Associated patches: (v)OR*3*195 <<= must be installed BEFORE `OR*3*235' Subject: CPRS GUI Fixes for PSI-05-045 and two Medication Ordering Issues Category: - PATCH FOR A PATCH - Routine - Other Description: ============ Description: =========== ************************************************************************** *** This patch addresses one patient safety issue and must be *** *** installed by the compliance date, which is 5 days from release *** *** date. It may be installed with users on the system. *** ************************************************************************** Patch OR*3.0*235, CPRS GUI version 25.42, resolves one patient safety issue and the defects listed below. -- MEDICATION ORDERING HD 93966: Days Supply Defaults to 0 Instead of the Value Associated with the Pharmacy Patient Status PROBLEM: OR*3.0*195 inadvertently changed the days supply value for the outpatient medication order dialog to default to zero instead of the value associated with the Pharmacy Patient Status. RESOLUTION: OR*3.0*235 reinstates the functionality where the days supply value for the outpatient medication order dialog defaults to the value associated with the Pharmacy Patient Status. -The software will no longer default to zero. -When the dosage for medication is entered, the Days Supply is populated. -When the schedule is entered, the Quantity box is populated in relationship to the value in Days Supply Box. -As user toggles schedule (i.e. between QD, BID, TID, QID & QOD) the quantity box value adjusts accordingly. HD94529: Auto-calculate for Quantity Not Functioning for Outpatient Medications for certain free-text schedules. Reported PROBLEM: The system is functioning correctly. In this case, the issue was that the MEDICATION INSTRUCTION file (#51) had an invalid frequency. HOWEVER, during the research on this issue, a more serious problem was discovered. That problem is explained below. RESOLUTION: If Outpatient Pharmacy V. 7.0 is unable to calculate a quantity for an order, the Quantity box in CPRS will default to 0. If the Quantity is not correct, the site should verify the setup of the ADMINISTRATION SCHEDULE file (#51.1) and the MEDICATION INSTRUCTION file (#51). For a full description on how quantity is calculated, please refer to Appendix B of the Outpatient Pharmacy V. 7.0 User Manual. Discovered PROBLEM: CPRS retains an old value for the Quantity box on Outpatient Medication orders. If a provider switches the schedule on an Outpatient order and the new schedule is not valid for calculating quantity, the previous value is displayed in the Quantity box. For example: Days Supply is 30, the schedule is Q8H and the calculated quantity is 90. The provider switches the schedule to OIUY, an invalid schedule. The Quantity box would still display 90. RESOLUTION: OR*3.0*235 modifies population of the Quantity box, such that when a provider changes the schedule of the order, the Quantity box display changes to match the new schedule. PATIENT SAFETY ISSUES RESOLVED BY THIS PATCH: ============================================= HD 94904 PSI-05-045 When transferring a medication from inpatient to outpatient or vice versa, the dosage field may be blank PROBLEM: An information window appears in the dialog which appears to show the original sig for medication being transferred. The information displays in such a fashion that the Name and Strength of the original sig shows but not the actual dosage that the patient may be taken. The next line in this information window is a blank line, then the actual sig appears on the third line. RESOLUTION: Increase the size of the box 3 pixels larger. Then 2 lines of text will be seen as in CPRS GUI v24. The KIDS portion of the installation will simply update the version number of the OR CPRS GUI CHART option to be 1.0.25.42. The .ZIP file contains an updated CPRS executable. REQUIRED BUILDS: ================ OR*3.0*195 NOTE: Internet Explorer 4.0 (IE4) or later is REQUIRED in order for GUI version 25.42 to run. However IE 5.5 or later with 128-bit encryption is required for PKI functionality. 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 ============ ============ =========== ========== ORY235 N/A 2138698 235 INSTALLATION FILES: ================== The following software files are exported as part of this patch: File Name Contents Retrieval Format --------- -------- ---------------- OR_30_235.ZIP File(s) indented below BINARY - CPRSChart.exe CPRS Executable - OR_30_235RN.pdf Release Notes (Adobe Acrobat version) - OR_30_235RN.doc Release Notes (Word version) OR_30_235_SRC.ZIP CPRSChart Source BINARY OR_30_235.KID KIDS build ASCII The files listed above may be obtained via FTP. The preferred method is to FTP the files from: download.vista.med.va.gov This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: OI FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.med.va.gov [anonymous.software] Hines ftp.fo-hines.med.va.gov [anonymous.software] Salt Lake City ftp.fo-slc.med.va.gov [anonymous.software] INSTALLATION INSTRUCTIONS: ========================= This patch should be installed during non-peak hours to minimize disruption. Users may be on the system during installation. Installation should take approximately 1 minute. This patch should be installed by the compliance date to comply with VHA Directive 2001-023. 1. Obtain the file OR_30_235.KID. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. Use Load a Distribution using OR_30_235.KID when prompted to Enter a Host File name. You may need to prepend a directory name. 4. From this menu, you may then elect to use the following options (when prompted for the INSTALL NAME, enter OR*3.0*235): a. Compare Transport Global to Current System b. Verify Checksums in Transport Global 5. When ready, select the Install Packages option (when prompted for the INSTALL NAME, enter OR*3.0*235). 6. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? Yes//", respond "NO" 7. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', you may respond NO. 8. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond NO. 9. Following successful installation, the post-install routine ORY235 may be deleted. 10. Retrieve and open the file OR_30_235.ZIP. 11. Move the CPRSChart.exe file to the appropriate directory where it can be accessed by all CPRS workstations. (There are no changes in the HLP files from Patch OR*3.0*235.) Routine Information: ==================== Routine Name: - ORY235 Routine Checksum: ============================================================================= User Information: Entered By : MASSEY,RONNY Date Entered : MAY 18, 2005 Completed By: CONDIE,KENNY Date Completed: JUN 23, 2005 Released By : SCOTT,JEAN M Date Released : JUN 27, 2005 ============================================================================= Packman Mail Message: ===================== No routines included