$TXT Created by ROCHA,MARCELO at LAWVAA.FO-BIRM.MED.VA.GOV (KIDS) on Tuesday, 05/20/03 at 14:06 ============================================================================= Run Date: JUN 05, 2003 Designation: PSS*1*68 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #63 Status: Released Compliance Date: JUL 06, 2003 ============================================================================= Associated patches: (v)PSS*1*38 <<= must be installed BEFORE `PSS*1*68' (v)PSS*1*47 <<= must be installed BEFORE `PSS*1*68' (v)PSS*1*57 <<= must be installed BEFORE `PSS*1*68' Subject: NON-VA MEDS (HERBAL/OTC) PROJECT Category: - Routine - Data Dictionary Description: ============ PSS*1*68 and OR*3*176 are the first of a total of 6 patches that will comprise the Non-VA Meds (Herbals/OTC) project. These two patches are being released together to deliver Phase 1 of this project, which is explained in more detail below. Phase 2 will contain the following 4 patches: PSS*1*69, PSO*7*132, PSJ*5*107 and OR*3*187, which will be released at a later time. Once all six patches have been installed, they will provide the sites the ability to document herbal supplements, over-the-counter (OTC) (non-prescription) medications and other medications, taken by patients but not dispensed by the Department of Veterans Affairs (VA). These types of medications are commonly referred to as "Non-VA Meds." Below is a list of functionalities that will be available at your site once all 6 patches are installed: 1. Add common herbal and OTC products to the DRUG file (#50) and mark them as Non-VA Meds. 2. Enhance current Outpatient Pharmacy V. 7.0 software to display a patient's use of Non-VA Meds. 3. Screen for drug-herbal, herbal-herbal and drug-drug interactions and display the results in both Inpatient Medications V. 5.0 and Outpatient Pharmacy V. 7.0 applications. 4. Display Non-VA Med drugs on the Orders and Meds tabs in CPRS (Computerized Patient Record System) GUI v23. 5. Display of drug interaction information involving Non-VA Med through CPRS. Phase 1 of this project only comprises functionality 1 in the list above and is delivered by patches PSS*1*68 and OR*3*176. These two patches give the sites the ability to add common herbal and OTC products to the DRUG file (#50) and mark them as Non-VA Meds through the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option. Furthermore, they also allow the user to mark an existing dispense drug as Non-VA Med. Once a drug is marked as Non-VA Med, a physician using the CPRS GUI v23 application will be able to document the patient's use of the drug by entering a Non-VA Med order for the patient. It is critical that the mark/unmarking of drugs for Non-VA Meds be performed through the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option. Attempts to use Fileman or other more direct methods of edit could introduce inconsistencies to the DRUG file (#50) and the software would not work as designed. Functionalities 2 through 5 in the list above are part of Phase 2 of this project and will be delivered at a later time, when patches PSS*1*69, PSO*7*132, PSJ*5*107, and OR*3*187 have been released. An important part of this patch is the update of the DRUG file (#50). As mentioned before, in addition to herbal supplements and Over-the-Counter drugs (usually non-prescription drugs), any prescribed medication currently dispensed by the VA could be acquired by the patient from a source other than the VA, and therefore, these drugs must also be marked as Non-VA Med. In order to reduce the amount of work necessary to mark the existing dispense drugs for Non-VA Med use, the following update will occur automatically with the installation of this patch: EVERY ACTIVE DISPENSE DRUG MARKED FOR OUTPATIENT USE WILL BE MARKED FOR NON-VA MED USE. The following menu options have also been modified: 1. Lookup into Dispense Drug File [PSS LOOK] If the dispense drug is marked as Non-VA, it will now print "Non-VA Med" in the "APPL PKG USE:" field. 2. Enter/Edit Dosages [PSS EDIT DOSAGES] If the dispense drug is marked as Non-VA, it will now print "Non-VA Med" under "This entry is marked for the following PHARMACY packages:." 3. Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] When editing an orderable item that is marked as Non-VA Med, it will now display "This Orderable Item is marked as a Non-VA Med." right after the prompt "Orderable Item Name:" is answered. A new field, NON-VA MED (#8), has been added to the PHARMACY ORDERABLE ITEM file (#50.7). Associated NOISs: ================= N/A Test Sites: =========== PORTLAND, OR TUSCALOOSA, AL SPOKANE, WA CONNECTICUT HCS CHILLICOTHE, OH Routine Summary: ================ The second line now reads as follows: CHECK^XTSUMBLD results: Routine Before Patch After Patch Patch List ======================================================================= PSSDEE 36871220 35712342 3,5,15,16,20,22,28,32,34, 33,38,57,47,68 PSSDEE1 17246138 17318074 15,20,34,38,68 PSSDOSER 25731803 24709829 34,38,50,57,47,68 PSSHL1 0629806 10736050 38,68 PSSLOOK 32908830 32048312 3,7,15,16,20,24,29,38,68 PSSPOIDT 29707246 31290570 19,29,38,57,68 PSSPOIMO 39468230 39785862 29,32,38,47,68 PSSPOST6 N/A 2363222 68 Installation Instructions: ========================== Users can be on the system at the time of installation. The only recommendation for installing this is patch is that none of the following options are being used at the time of installation: - Enter/Edit Dosages [PSS EDIT DOSAGES] - Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE ITEMS] - Orderable Item Management [PSS ORDERABLE ITEM MANAGEMENT] - Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] Installation will take about 15 minutes. 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 PSS*1.0*68) 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 PSS*1.0*68. 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 Routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. Documentation Retrieval: ======================== The revised User and Technical Manuals are available on the ANONYMOUS.SOFTWARE directory at one of the following Office of Information (OI) Field Offices. 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 The documentation distribution includes: FILE NAMES DESCRIPTION ==================================================================== PSS_1_0_TM_R0503.PDF Pharmacy Data Management V. 1.0 Technical Manual/Security Guide PSS_1_0_UM_R0503.PDF Pharmacy Data Management V. 1.0 User Manual PSS_ 1_0_P68_TM_CP.PDF Pharmacy Data Management V. 1.0 Technical Manual Change Pages PSS_1_0_P68_UM_CP.PDF Pharmacy Data Management V. 1.0 User Manual Change Pages (3) Documentation can also be retrieved from VistA Documentation Library (VDL), which is now on the Internet at the following address, . Routine Information: ==================== Routine Name: - PSSDEE Routine Checksum: Routine Name: - PSSDEE1 Routine Checksum: Routine Name: - PSSPOIDT Routine Checksum: Routine Name: - PSSPOIMO Routine Checksum: Routine Name: - PSSDOSER Routine Checksum: Routine Name: - PSSLOOK Routine Checksum: Routine Name: - PSSHL1 Routine Checksum: Routine Name: - PSSPOST6 Routine Checksum: ============================================================================= User Information: Entered By : ROCHA,MARCELO Date Entered : JAN 30, 2003 Completed By: COSTELLO,KELLY ANNE Date Completed: JUN 05, 2003 Released By : LESIEUR,SHIRLEY Date Released : JUN 05, 2003 ============================================================================= Packman Mail Message: ===================== $END TXT