$TXT Created by WHITE,ELAINE at MNTVAA.FO-BIRM.MED.VA.GOV (KIDS) on Wednesday, 02/09/05 at 23:13 ============================================================================= Run Date: APR 11, 2005 Designation: PSO*7*161 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #176 Status: Released Compliance Date: MAY 12, 2005 ============================================================================= Associated patches: (v)PSO*7*162 <<= must be installed BEFORE `PSO*7*161' (v)PSS*1*87 <<= must be installed BEFORE `PSO*7*161' (v)PSN*4*84 <<= must be installed BEFORE `PSO*7*161' (v)PSO*7*189 <<= must be installed BEFORE `PSO*7*161' Subject: LASER LABELS PHASE II Category: - Routine - Input Template - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch is part of the Outpatient Pharmacy V. 7.0 Laser Labels Phase II project for printing prescription labels. ***** NOTE TO SITES USING AUTOMATED FILLING EQUIPMENT ***** This patch changes the format and content of the laser labels print stream. If you are using automated dispensing equipment that relies on the data stream sent to the laser labels port, you have 2 options: 1. Implement the Outpatient Automation Interface (OPAI) (available with released patch PSO*7*156) or 2. Contact your vendor to make adjustments based on the new data stream. Although implementing OPAI is not mandated at this time, it is expected to be in the future, so option 1 is the preferred solution. By implementing OPAI, future changes to the label format will not affect the dispensing equipment interface. ************************************************************************* To fully implement all portions of the new functionality, the following are needed: 1. Patch PSS*1*87 from Pharmacy Data Management V. 1.0 (PDM),to provide an API for retrieving warning labels from the new data source. 2. Patches PSN*4*86 and PSN*4*88 from the National Drug File V. 4.0 (NDF) to create and populate a new gender field in the WARNING LABEL-ENGLISH file (#50.625) and the WARNING LABEL-SPANISH file (#50.626). 3. Patch PSX*2*54 from the Consolidated Mail Outpatient Pharmacy V. 2.0 (CMOP) to modify the way warnings are sent to CMOP. This patch includes: 1. Referencing a new commercial data source for printing prescription warning labels. 2. Printing warning labels and Patient Information Sheets (PMI) by the patient's PMI language preference setting. 3. A new MAILING COMMENTS field (#.081) is added to the OUTPATIENT SITE file (#59) to be used for a site to enter anything they would like to show on the Mail Address label. (i.e. whether mailing is "Forwarding service requested" or "Address service requested"). The PSO SITE INPUT TEMPLATE for the OUTPATIENT SITE file (#59) is changed to allow the input of data into the new mailing comments. 4. A new Manual Print of Multi-Rx Forms [PSO LM MULTI-RX PRINT] option is added under the Rx (Prescriptions) [PSO RX] option as well as under the OTH hidden action while in the patient's profile to reprint the Multi-Rx Refill Request form on laser label stock without having to reprint the entire prescription's labels. The functionality is also changed to stop printing the Multi-Rx refill form on reprints. 5. Various changes to the content/format of the labels - detailed below under each label section. 6. Correction to only print one ScripTalk label when SIG is continued. (NOIS CLE-0304-40723. (The other part of this NOIS is addressed in patch PSO*7*182, so this NOIS is not included in the associated patch list below)). 7. A new Signature Log Reprint [PSO SIGLOG REPRINT] option is added under the Rx (Prescriptions) [PSO RX] option. (Added for HIPAA/NCPDP). 8. A change was made to not keep exact duplicates of the control code settings (e.g. when running the set-up routine as a test site and again when the patch is installed in production). NOIS PUG-1103-52110 9. The other NOIS's listed below were for items already included in the Laser Labels Phase II specifications. Bottle label section changes: ============================ 1. Currently long SIG's that do not fit on one bottle label print only 4 lines of SIG on the first bottle label and up to 4 lines on each continuation label. This patch increases the number of lines of the SIG that print on each bottle label to reduce the total number of labels needed. This also will allow the overlapping of the multiple labels on the bottle to eliminate the need for cutting the labels to make them fit. 2. The text "Mfr_________" will print for all prescriptions on the same line as the "Discard after" information. 3. The text "May refill nX by MMM DD,YYYY" or "NO REFILLS LEFT" or "NO REFILL" was added between the "Discard after..." line and the Qty: line. 4. On the trailing documents, a signature log will print in the bottle label section for the patient to sign for the medications received. (Added for HIPAA/NCPDP). Warning label section changes: ============================= 1. A new API will be called to determine which warnings to print. 2. Warnings will print in English or Spanish depending on the patient's PMI preference. 3. If there are fewer than five warning labels, the warning labels will be bottom-justified. 4. If the DEA, SPECIAL HDLG field (#3) in the DRUG file (#50) begins with numbers 1,2,3,4 or 5. The NO TRANSFER warning label from the RX CONSULT file (#54) entry number 20 will print in the appropriate language. 5. The new data source contains some lengthy warnings, especially the Spanish translation. For the smallest font, this patch allows a 4th line of text to print, if needed. 6. The top warning label was sometimes printing on or over the perforated line. For some fonts, this patch reduces the white space between the lines of the first warning to make it fit. Mail address section changes: ============================ 1. The current date will print in the upper right corner. 2. If there are any mailing comments defined, they will print after the MAIL field (#.03) of the PHARMACY PATIENT file (#55). 3. Patient name will print first name first instead of lastname,firstname. 4. When the routing is "Window", the word "Window" will be bolded. Pharmacy fill card section changes: ================================== 1. Seconds will be removed from the label date/time. 2. A new API will return the text for the DRUG WARNING list. The DRUG WARNING entries will be separated by commas. If an entry in the list does not have an "N" (for "New"), it is from the RX CONSULT file (#54). Otherwise it is from the WARNING LABEL-ENGLISH (#50.625) or the WARNING LABEL-SPANISH (#50.626) file. 3. A new line containing the patient location and status is being added beneath the DRUG WARNING list, so the list is being moved up slightly on the label. 4. Patient name and last portion of the social security number are bolded. 5. If the bottle cap is "non-safety", it will be bolded. 6. Currently long SIG's that do not fit on one pharmacy fill card label print only 4 lines of SIG on the first label and up to 4 lines on each continuation label. This patch increases the number of lines of the SIG that print on each pharmacy fill card label to reduce the total number of labels needed. 7. The words "3rd Party Rx" and the NDC number are added when that information is available. (Added for HIPAA/NCPDP). Patient fill section changes: ============================ 1. The barcode will print every time even if there are no refills. 2. The site telephone number will print when the "PHONE IN OR MAIL THIS REFILL REQUEST" prints. 3. The text "n refills left until MMM DD,YYYY is changed to "May refill nX by MMM DD,YYYY". Prescription Document PMI section changes: ========================================= 1. The PMI will print in the patient's language preference. 2. The white spaces between sections of the PMI document will be reduced to result in a few more lines fitting on the page. 3. If there are more than 5 warning labels, the additional warnings will print at the top of the PMI section. Trailing document changes: ========================= 1. The patient's phone number followed by an underline will print on the address change form. 2. In the Allergies/ADR section, the name and last six digits of the social security number will be made larger and will be bolded. 3. In the Allergies/ADR section, if the HOSPITAL LOCATION file (#44), TYPE field (#2) type equals "W" for any prescription printed for this patient in the current print job, then the word "INPATIENT" will print on the line following the patient name. 4. In the Allergies/ADR section, if some sections do not have data, the header will not print. If no information exists, "No Assessment Made" will print after the Verified Allergies heading. 5. In the refill narrative or copay narrative sections, if there are more than seven lines from the original text, only the first seven lines will print. (They could appear as more than seven lines if there is some wrapping of the text). 6. If the Multi-Rx refill section is blank, the SITE NUMBER field (#.06) from the OUTPATIENT SITE file (#59) will print bottom right justified. A utility routine is included in this patch to change some of the control codes in the TERMINAL TYPE file (#3.2). Once the patch is installed, running the routine PSOLLU4 in programmer mode will make slight adjustments to PATIENT FILL INITIALIZATION, PHARMACY FILL DOCUMENT WARNING, MAILING LABEL INITIALIZATION, and RETURN MAIL INITIALIZATION settings. Note: you must have your FileMan access set to '@' to run the routine. Note: For sites implementing laser labels for the first time, before running PSOLLU4, run PSOLLU2 and PSOLLU3 in that order to adjust other control codes. The instructions for running PSOLLU2 and PSOLLU3 are the same as for PSOLLU4. Associated NOISs: ================= CHS-0205-40155 COA-1203-20158 SAJ-0304-72646 HUN-0104-22258 HAM-0703-20199 PUG-1103-52110 WPB-0703-30633 WPB-0703-30788 Test Sites: =========== HEARTLAND-WEST HCS HUNTINGTON, WV LOUISVILLE, KY OKLAHOMA CITY, OK TENNESSEE VALLEY HCS Routine Summary: ================ The second line now reads as follows: ;;7.0;OUTPATIENT PHARMACY;**[patch list]**;DEC 1997 CHECK^XTSUMBLD results: Routine Before Patch After Patch Patch List ---------------------------------------------------------------------- PSOLLL1 20921187 20776652 120,141,135,162,161 PSOLLL2 8030804 7417442 120,138,141,161 PSOLLL3 3751667 4340909 120,161 PSOLLL4 4262766 5294477 120,135,161 PSOLLL5 16387617 17458429 120,161 PSOLLL6 5366294 6770007 120,141,135,162,161 PSOLLL7 8149943 13021476 120,161 PSOLLL9 4770819 4808598 120,161 PSOLLLH N/A 8740391 161 PSOLLLI 25341094 26575461 120,157,189,161 PSOLLLW N/A 7541717 161 PSOLLU1 6629054 6638330 120,141,161 PSOLLU4 N/A 5214911 161 Documentation Retrieval: ======================== Sites will retrieve VISTA documentation from the following FTP addresses. 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 documentation 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 FILE NAME DESCRIPTION PSO_7_TM_R0305.pdf Outpatient Pharmacy V. 7.0 Technical Manual / Security Guide PSO_7_UM_R0305.pdf Outpatient Pharmacy V. 7.0 User Manual PSO_7_P161_TM_CP.pdf Outpatient Pharmacy V. 7.0 Technical Manual Change Pages PSO_7_P161_UM_CP.pdf Outpatient Pharmacy V. 7.0 User Manual Change Pages PSO_7_P161_RN.pdf Laser Printed Prescription Labels Phase II Release Notes Once released, documentation can also be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl Installation Instructions: ========================== Before installing this patch, use List Tasks [XUTM INQ] option on the Taskman Management [XUTM MGR] menu to list currently running tasks. Do not install this patch while Outpatient Pharmacy users are using the software. Installation will take no longer than 5 minutes. Suggested time to install: non-peak requirement hours. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. Review your mapped set. If the routines are mapped, they should be removed from the mapped set at this time. 3. From the Kernel Installation & Distribution System menu, select the Installation menu. 4. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSO*7.0*161): a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 5. Use the Install Package(s) option and select the package PSO*7.0*161. 6. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 7. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. 8. If any routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. 9. A utility routine is included in this patch to change some of the control codes in the TERMINAL TYPE file (#3.2) for the laser labels printers. Once the patch is installed, running the routine PSOLLU4 in programmer mode will make slight adjustments to PATIENT FILL INITIALIZATION, PHARMACY FILL DOCUMENT WARNING, MAILING LABEL INITIALIZATION, and RETURN MAIL INITIALIZATION settings. Note: your FileMan access must be set to '@' to run the routine. Note: For sites implementing laser labels for the first time, before running PSOLLU4, run PSOLLU2 and PSOLLU3 in that order to adjust other control codes. The instructions for running PSOLLU2 and PSOLLU3 are the same as for PSOLLU4. Routine Information: ==================== Routine Name: - PSOLLL1 Routine Checksum: Routine Name: - PSOLLL2 Routine Checksum: Routine Name: - PSOLLL3 Routine Checksum: Routine Name: - PSOLLL4 Routine Checksum: Routine Name: - PSOLLL5 Routine Checksum: Routine Name: - PSOLLL6 Routine Checksum: Routine Name: - PSOLLL7 Routine Checksum: Routine Name: - PSOLLLI Routine Checksum: Routine Name: - PSOLLLW Routine Checksum: Routine Name: - PSOLLU1 Routine Checksum: Routine Name: - PSOLLU4 Routine Checksum: Routine Name: - PSOLLL9 Routine Checksum: Routine Name: - PSOLLLH Routine Checksum: ============================================================================= User Information: Entered By : WHITE,ELAINE Date Entered : NOV 24, 2003 Completed By: DAVIS,DOUG Date Completed: APR 08, 2005 Released By : PARRIS,CHRIS Date Released : APR 11, 2005 ============================================================================= Packman Mail Message: ===================== $END TXT