$TXT Created by WHITE,ELAINE at CMNT.FO-BIRM.MED.VA.GOV (KIDS) on Wednesday, 02/07/07 at 09:35 ============================================================================= Run Date: MAR 29, 2007 Designation: PSO*7*243 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #230 Status: Released Compliance Date: APR 29, 2007 ============================================================================= Associated patches: (v)PSO*7*25 <<= must be installed BEFORE `PSO*7*243' (v)PSO*7*222 <<= must be installed BEFORE `PSO*7*243' (v)PSO*7*233 <<= must be installed BEFORE `PSO*7*243' Subject: RDI - REMOTE DATA INTEROPERABILITY DELETED AND EXPIRED Category: - Routine - Enhancement (Mandatory) Description: ============ Remote Data Interoperability (RDI) functionality includes receiving data from the Health Data Repository (HDR) in order to perform order checking against outpatient prescription and allergy data from remote VA or Department of Defense (DoD) facilities. When RDI is turned on (by the Computerized Patient Record System (CPRS) patch OR*3*238), the RDI order checking checks the current drug being ordered for duplicate drugs, duplicate drug classes, drug-drug interactions, and drug allergies. This patch contains the following changes for RDI order checking: 1. Prescriptions with a status of "DELETED" in the STATUS field (#100) in the PRESCRIPTION file (#52) from a remote facility should not be included in order checks. This patch filters out DELETED remote prescriptions. 2. Some older prescriptions do not have an expiration date in the EXPIRATION DATE field (#26) of the PRESCRIPTION file (#52). This patch restricts prescriptions with a missing expiration date from being used in remote order checks unless the ISSUE DATE (#1) field of the PRESCRIPTION file (#52) is within the past year. 3. Drugs not matched to the National Drug file were not performing remote order checks. These drugs could have a drug class defined. This patch adds the remote order check for drug class when orders are placed for locally defined drugs. Note: For remote order checking, if the remote order does not have a VA PRODUCT file VUID, then it will not be included in drug-drug order checks. However, future patches are planned to send/receive the drug class to the HDR, and then it will be possible to use non-standardized remote orders for duplicate drug class checks. 4. When Adverse Reaction Tracking (ART) patch GMRA*4*26 is installed at a site, this patch adds the display of LOCAL, REMOTE SITE(S), or LOCAL AND REMOTE SITE(S) to allergy order checks to indicate whether the allergy entry originated at the local site or it came from a remote site. For backdoor outpatient pharmacy, currently only the drug class code and not the drug class name is displayed for an allergy drug class order check. This patch adds the display of the class name. Example: A Drug-Allergy Reaction exists for this medication and/or class! Drug: AMOXICILLIN 250MG CAP Drug Class: AM110 PENICILLIN-G RELATED PENICILLINS (LOCAL) 5. When the VUID field (#99.99) of the VA PRODUCT file (#50.68) of a remote prescription is inactive, every order being placed incorrectly displayed a duplicate drug order check. This patch corrects that problem. 6. Remote order checking against remote discontinued or expired outpatient prescriptions is changed to perform the order check if the remote prescription was expired or discontinued in the last 30 days instead of within the last 120 days. 7. During testing of RDI, a problem was discovered with the order checks involving remote allergy classes. Not all of the remote allergies were being retrieved from the HDR. A change was made to use a different Application Program Interface (API) to the allergy package that does retrieve the remote data. 8. An issue with too many false positive order checks was discovered when doing allergy order checks on certain drug classes. Analgesics, as a class, were performing order checks across all members. For example: class CN101 was generating an order check for class CN102. This patch corrects this problem by ensuring that allergy Analgesic class order checks only match against the specific 5-character class if the class begins with "CN10". 9. One feature of RDI is the notification to the user when processing orders that only local data is being used if the remote data is unavailable. Several sites reported issues with this mechanism. This patch corrects this problem by performing the check for remote data availability upon entering the patient's profile, rather than on each order. 10. The list of remote allergies is added to allergy/adverse reaction portion of the Medication Profile. If a patient has the same allergy information from several remote sites, it will only be listed once. Associated Remedy Tickets: ========================== 147573 161499 Associated E3Rs: ================ N/A Test Sites: =========== AUGUSTA, GA BILOXI, MS CHARLESTON, SC EL PASO, TX LAS VEGAS, NV LOMA LINDA, CA NORTH CHICAGO, IL OKLAHOMA CITY, OK PUGET SOUND HCS, WA SAN DIEGO, CA TUSCALOOSA, AL 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_UM_R0307.PDF Outpatient Pharmacy V. 7.0 User Manual PSO_7_P243_UM_CP.PDF Outpatient Pharmacy V. 7.0 User Manual Change Pages 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 the 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 3 minutes. There are no scheduling restrictions or recommendations. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter PSO*7.0*243) 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. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 4. Use the Install Package(s) option and select the package PSO*7.0*243. 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. 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 ============================================================== PSOCPDUP 20490621 20624058 11,27,32,130,132,192,207,222,243 PSODGAL 5434933 7042851 26,243 PSODGDGI 26178294 26556775 10,27,48,130,144,132,188,207,243 PSODRDUP 26447273 26060865 11,23,27,32,39,56,130,132,192, 207,222,243 PSODRG 11176015 11243785 20,23,36,53,54,46,112,139,207, 148,243 PSOORDRG 16892093 16864699 3,29,49,46,81,105,134,144,132, 188,207,148,243 PSOORRDI 16705317 19480363 207,243 PSOORUT2 15342826 17946239 11,146,132,182,233,243 PSOORUT3 6979035 6992147 5,25,243 PSOVER1 26251869 26675786 32,46,90,131,202,207,148,243 Total number of routines modified: 10 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSOCPDUP Before: B33098913 After: B32544518 **11,27,32,130,132,192,207,222,243** Routine Name: PSODGAL Before: B9980681 After: B16555138 **26,243** Routine Name: PSODGDGI Before: B54723266 After: B56649321 **10,27,48,130,144,132,188,207,243** Routine Name: PSODRDUP Before: B44003984 After: B40100457 **11,23,27,32,39,56,130,132,192, 207,222,243** Routine Name: PSODRG Before: B30303688 After: B30705564 **20,23,36,53,54,46,112,139,207, 148,243** Routine Name: PSOORDRG Before: B42987232 After: B43080029 **3,29,49,46,81,105,134,144,132, 188,207,148,243** Routine Name: PSOORRDI Before: B48531879 After: B63177422 **207,243** Routine Name: PSOORUT2 Before: B24070552 After: B32770288 **11,146,132,182,233,243** Description of Changes: Routine Name: PSOORUT3 Before: B9624283 After: B9741935 **5,25,243** Description of Changes: Routine Name: PSOVER1 Before: B52134870 After: B53965789 **32,46,90,131,202,207,148,243** ============================================================================= User Information: Entered By : WHITE,ELAINE Date Entered : MAR 27, 2006 Completed By: LEONARD,KEN Date Completed: MAR 27, 2007 Released By : BARRON,LUANNE Date Released : MAR 29, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT