$TXT Created by ROCHA,MARCELO F at SUPVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 08/16/07 at 15:59 ============================================================================= Run Date: OCT 23, 2007 Designation: PSS*1*127 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #114 Status: Released Compliance Date: NOV 23, 2007 ============================================================================= Associated patches: (v)PSS*1*90 <<= must be installed BEFORE `PSS*1*127' (v)PSS*1*95 <<= must be installed BEFORE `PSS*1*127' Subject: ePHARMACY/ECME ENHANCEMENTS Category: - Enhancement (Mandatory) - Data Dictionary - Input Template - Routine Description: ============ This patch has enhancements which extend the capabilities of the Veterans Health Information Systems and Technology Architecture (VistA) electronic pharmacy (ePharmacy) system. Below is a list of all the applications involved in this project along with their patch number: APPLICATION/VERSION PATCH -------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*260 INTEGRATED BILLING (IB) V. 2.0 IB*2*363 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*5 PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*127 CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0 PSX*2*63 The first three patches (BPS*1*5, IB*2*363, and PSO*7*260) will be released in the Kernel Installation and Distribution System (KIDS) multi-build distribution BPS PSO IB BUNDLE 2.0. Patches PSX*2*63 and PSS*1*127 will be released as stand-alone patches. Since there is an implementation dependency between the multi-build distribution and the stand-alone patches, PSX*2*63 and PSS*1*127 must be installed prior to the installation of the multi-build. For more specific instructions please refer to the installation steps provided in each of the patches. All sites should install these patches regardless of whether or not they have been activated for ePharmacy by the Central Business Office (CBO). After the installation of these patches, the activation status of the site will not be impacted. As before, activation of the ePharmacy product will require instructions provided by the CBO. Sites are not to activate unless instructed specifically by the CBO. This patch modifies the Pharmacy Data Management V. 1.0 application as described below: 1. The following fields were added to DRUG file (#50) for determining metric quantity for electronic 3rd Party billing: a. NCPDP DISPENSE UNIT field (#82) - Allows entry of EA for EACH, GM for GRAMS or ML for MILLILITERS. b. NCPDP QUANTITY MULTIPLIER field (#83) - This field contains the number that will be multiplied by the quantity in the prescription in order to determine the correct quantity to bill electronic 3rd party insurance companies. Only products with an NCPDP DISPENSE UNIT of GM or ML should have a value different than 1 (one) in this field. Numbers between 0.001 and 99999.999 are allowed to be entered into this field. 2. The two fields above will be auto-populated by a post-install routine, which will be executed when this patch is installed. Although the majority of drugs will be updated with EA (EACH) for the NCPDP DISPENSE UNIT and 1 (one) for the NCPDP QUANTITY MULTIPLIER fields, a large number of drugs will be updated with GM (GRAMS) or ML (MILILLITERS). Furthermore, some drugs will also have a number different for the NCPDP QUANTITY MULTIPLIER field. The post-install routine relies on a built-in list provided by the National Drug File (NDF) group that contains the necessary information for the update being performed. For a listing of drugs that have been populated with GM or ML, along with the individual changes for each, see the Pharmacy Data Management Drug Exception List located on the VistA Documentation Library (VDL). Once this patch is installed, the user will be able to verify the auto-population results by running the following Fileman Print option: OUTPUT FROM WHAT FILE: DRUG// SORT BY: GENERIC NAME// NCPDP DISPENSE UNIT START WITH NCPDP DISPENSE UNIT: FIRST// WITHIN NCPDP DISPENSE UNIT, SORT BY: GENERIC NAME START WITH GENERIC NAME: FIRST// WITHIN GENERIC NAME, SORT BY: FIRST PRINT FIELD: GENERIC NAME;@ THEN PRINT FIELD: NCPDP DISPENSE UNIT THEN PRINT FIELD: NCPDP QUANTITY MULTIPLIER THEN PRINT FIELD: Heading (S/C): DRUG LIST// DEVICE: ;;999 UCX/TELNET Right Margin: 80// 3. For the DRUG ENTER/EDIT [PSS DRUG ENTER/EDIT] option, the PSSCOMMON input template for DRUG file (#50) was modified to allow entry/edit of the NCPDP DISPENSE UNIT field (#82) and the NCPDP QUANTITY MULTIPLIER field (#83). The following give additional information on definition and validation of these fields: a. When new drugs are defined, the default values for these new fields will be EA (EACH) and 1 (one). b. When the NCPDP DISPENSE UNIT is changed from one value to another, the NCPDP QUANTITY MULTIPLIER will be defaulted to 1 (one) and a message stating such will be displayed. If the NCPDP QUANTITY MULTIPLIER field already contains 1 (one), no change will be made nor will a message be displayed. c. When a valid value greater than or less than 1 (one) is entered for the NCPDP QUANTITY MULTIPLIER, a warning message will be displayed stating that typically a value of 1 (one) should be defined for this field. Then the user will be prompted to continue processing thereby accepting the new value or to edit and view extended help text for the type of NCPDP DISPENSE UNIT selected. If the user elects to ^ (shift six) to exit the "Ok to continue (Y/N)" prompt, the system will default the NCPCP QUANTITY MULTIPLIER to 1 (one) and give a warning message stating such. 4. The LOOKUP INTO DISPENSE DRUG FILE [PSS LOOK] option was modified to list the new NCPDP DISPENSE UNIT and NCPDP QUANTITY MULTIPLIER fields after the PRICE/DISPENSE UNIT field. Associated New Service Request (NSR): ===================================== N/A Associated Remedy Tickets: ========================== N/A Associated E3R: =============== N/A Test Sites: =========== CENTRAL ARKANSAS HEARTLAND WEST, KS SAGINAW, MI Documentation Retrieval: ======================== Sites may retrieve documentation in one of the following ways: 1. The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. 2. Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov 3. Documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. The documentation distribution includes: FILE NAME DESCRIPTION -------------------------------------------------------------------- PSS_1_UM_R0907.PDF PDM V. 1.0 User Manual PSS_1_TM_R0907.PDF PDM V. 1.0 Technical Manual/ Security Guide PSS_1_P127_UM_CP.PDF PDM V. 1.0 User Manual Change Pages PSS_1_P127_TM_CP.PDF PDM V. 1.0 Technical Manual/ Security Guide Change Pages PSS_1_P127_DRUG_ EXCEPTIONS_LIST.PDF PDM Drug Exception List Installation Instructions: ========================== This patch should be installed prior to ECME/ePharmacy Enhancements multi-build distribution BPS PSO IB BUNDLE 2.0. Install instructions for the multi-build distribution can be found under patch PSO*7*260 install instructions section. National Drug File (NDF) and Pharmacy Data Management (PDM) users should be off the system when this patch is installed. Installation takes less than ten minutes. This patch should be installed during non-peak requirement hours. Suggested time to install: non-peak requirement hours. 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 PSS*1.0*127): 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. 4. From the Installation menu, select the Install Package(s) option follow the instructions below: a. When prompted for the "Select INSTALL NAME:", enter PSS*1.0*127. b. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO." c. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", respond "NO." d. When prompted, "Device: Home//" respond with the correct device and DO NOT queue to P-Message. 5. The patch will begin installation. Please verify that installation completes. ************** POST-INSTALLATION INSTRUCTIONS ************** The post install routines PSS127PI and PSS127PT are being left on the system after the install. It will be deleted with a future patch. Routine Summary: ================ The second line now reads as follows: ;;1.0;PHARMACY DATA MANAGEMENT;**[patch list]**;9/30/97 CHECK^XTSUMBLD results: Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------------- PSS127PI NEW 994261 127 PSS127PT NEW 96109 127 PSSBPSUT NEW 499779 127 PSSDDUT2 16541628 20048853 3,21,61,81,95,127 PSSLOOK 33091627 33664241 3,7,15,16,20,24,29,38,68,61, 87,90,127 PSSNCPDP NEW 12529894 127 Total number of new routines: 4 Total number of modified routines: 2 Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 41 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSS127PI Before: n/a After: B1629535 **127** Routine Name: PSS127PT Before: n/a After: B111179 **127** Routine Name: PSSBPSUT Before: n/a After: B791476 **127** Routine Name: PSSDDUT2 Before: B48286608 After: B68142522 **3,21,61,81,95,127** Routine Name: PSSLOOK Before: B77383619 After: B78953701 **3,7,15,16,20,24,29,38,68,61, 87,90,127** Routine Name: PSSNCPDP Before: n/a After: B27408503 **127** Routine list of preceding patches: 90, 95 ============================================================================= User Information: Entered By : ELLZEY,LINDA Date Entered : APR 25, 2007 Completed By: LEONARD,KEN Date Completed: OCT 15, 2007 Released By : VECE,VIRGINIA Date Released : OCT 23, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT