$TXT Created by HAWSEY,JASON at DEVCUR.FO-SLC.MED.VA.GOV (KIDS) on Tuesday, 08/30/05 at 11:45 ============================================================================= Run Date: OCT 04, 2005 Designation: OR*3*221 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #218 Status: Released Compliance Date: NOV 04, 2005 ============================================================================= Associated patches: (v)OR*3*141 <<= must be installed BEFORE `OR*3*221' Subject: PSI-03-055 - Order Checking Enhancements Category: - Routine Description: ============ Problems and Issues: ==================== 1. [PSI-03-055] Modifies algorithm calculating patient creatinine clearance for CPRS order checks. The old algorithm was based on a formula from p. 616 Clinician's Pocket Reference by Leonard Gomella: CrCl (male) = (140 - age) x (weight in kg) ---------------------------- (serum creatinine) x 72 CrCl (female) = 0.85 x CrCl (male) The new algorithm uses adjusted body weight if patient height is > 60 inches. Approved by the CPRS Clinical Workgroup, it is based on a modified Cockcroft-Gault formula. For more information: http://www.ascp.com/public/pubs/tcp/1999/jan/cockcroft.shtml CrCl (male) = (140 - age) x (adj body weight* in kg) -------------------------------------- (serum creatinine) x 72 * If patient height is not greater than 60 inches, actual body weight is used. CrCl (female) = 0.85 x CrCl (male) To calculate adjusted body weight, the following equations are used: Ideal body weight (IBW) = 50 kg x (for men) or 45 kg x (for women) + 2.3 x (height in inches - 60) Adjusted body weight (Adj. BW) if the ratio of actual BW/IBW > 1.3 = (0.3 x (Actual BW - IBW)) + IBW Adjusted body weight if the ratio of actual BW/IBW is not > 1.3 = IBW or Actual BW (whichever is less) 2. [CPH-1103-40914] Adds two new medications to the list of metformins that trigger order checks: AVANDAMET and METAGLIP. 3. [CQ 2417] Support triggering subsequent alerts when lab profile results are not entered in same resulting session (results trickle in.) Remedy Tickets ============== 70363 70398 71026 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 ============ ============ =========== ========== OCXOCMP4 17042316 17176604 32,221 OCXOCMP6 12066490 12241904 32,221 OCXOCMPV 13123389 14131142 32,105,221 OCXOSCR3 522453 583993 32,221 ORWDXC 5604356 5670818 10,141,221 ORY2210 NA 6040826 221 ORY22101 NA 8338352 221 ORY22102 NA 8958378 221 ORY22103 NA 6599802 221 ORY22104 NA 5784585 221 ORY22105 NA 6132582 221 ORY22106 NA 13217059 221 ORY22107 NA 11931068 221 ORY22108 NA 12440475 221 ORY22109 NA 10110807 221 ORY2210A NA 8533169 221 ORY2210B NA 8588742 221 ORY2210C NA 2701657 221 ORY2211 NA 10403371 221 ORY2212 NA 8096789 221 ORY2213 NA 5842954 221 ORY2214 NA 6282458 221 ORY221ES NA 5470680 221 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*221 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*221 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. 9. After successful patch installation you may delete the following routines: ORY2210 ORY22101 ORY22102 ORY22103 ORY22104 ORY22105 ORY22106 ORY22107 ORY22108 ORY22109 ORY2210A ORY2210B ORY2210C ORY2211 ORY2212 ORY2213 ORY2214 ORY221ES (may already be deleted by KIDS installation process) Routine Information: ==================== The checksums listed are the new checksums. and can be checked with CHECK1^XTSUMBLD Routine Name: ORWDXC Routine Name: ORY2210 Routine Name: ORY22101 Routine Name: ORY22102 Routine Name: ORY22103 Routine Name: ORY22104 Routine Name: ORY22105 Routine Name: ORY22106 Routine Name: ORY2211 Routine Name: ORY2212 Routine Name: ORY2213 Routine Name: ORY2214 Routine Name: ORY221ES Routine Name: ORY22107 Routine Name: ORY22108 Routine Name: ORY22109 Routine Name: ORY2210A Routine Name: OCXOCMP4 Routine Name: OCXOCMP6 Routine Name: OCXOCMPV Routine Name: OCXOSCR3 Routine Name: ORY2210B Routine Name: ORY2210C ============================================================================= User Information: Entered By : ANDERSON,CURTIS L. Date Entered : MAY 18, 2004 Completed By: SCHLEHUBER,PAM Date Completed: SEP 27, 2005 Released By : PIERSON,YVONNE E Date Released : OCT 04, 2005 ============================================================================= Packman Mail Message: ===================== $END TXT