$TXT Created by ANWER,MOHAMED at TBDCACHE.FO-BIRM.MED.VA.GOV (KIDS) on Monday, 07/14/03 at 16:43 ============================================================================= Run Date: JUL 31, 2003 Designation: PSS*1*61 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #67 Status: Released Compliance Date: AUG 31, 2003 ============================================================================= Associated patches: (v)PSS*1*21 <<= must be installed BEFORE `PSS*1*61' (v)PSN*4*65 <<= must be installed BEFORE `PSS*1*61' (v)XU*8*283 <<= must be installed BEFORE `PSS*1*61' (v)PSS*1*68 <<= must be installed BEFORE `PSS*1*61' Subject: DEA/VA PKI PROJECT Category: - Routine - Input Template - Enhancement (Mandatory) Description: ============ Pharmacy Benefits Management (PBM) Strategic Healthcare Group in collaboration with the Drug Enforcement Administration (DEA), requested the development of the first Public Key Infrastructure (PKI) VistA pilot project, named Electronic Prescription Order Entry for Schedule II Controlled Substances. The objective is to develop an electronic order entry system for Schedule II controlled substances using digital signatures. To make this project viable, modifications to the following packages were identified: National Drug File (NDF) V. 4.0 Kernel V. 8.0 Computerized Patient Record System (CPRS) V. 1.0 Pharmacy Data Management (PDM) V. 1.0 Outpatient Pharmacy (OP) V. 7.0 Controlled Substances (CS) V. 3.0 This is the PDM patch that provides the following new functionalities: 1. It provides CPRS with new API's 3737 and 3739 (these are modifications of existing API's 3373 and 3233 which shall remain unchanged). The logic of deriving at the DEA, SPECIAL HDLG code for drugs associated with an orderable item has changed. The National Drug File data update patches PSN*4*64 and PSN*4*66 assign a CS Federal Schedule to controlled substances and identify controlled substances as narcotics or non-narcotics by populating the CS FEDERAL SCHEDULE field (#19) of the VA PRODUCT file (#50.68). If any of the active dispense drugs associated with the Pharmacy orderable item for the specified package are matched to an entry in NDF, then the most restrictive CS FEDERAL SCHEDULE code will be returned. If there is no match or the CS FEDERAL SCHEDULE code is undefined, then the most restrictive DEA, SPECIAL HDLG code mapped to the corresponding CS FEDERAL SCHEDULE code will be returned using the following table: CS FEDERAL SCHEDULE DEA, SPECIAL HDLG Code Schedule I narcotics 1 1 Schedule II narcotics 2 2A Schedule II non-narcotics 2n 2C Schedule III narcotics 3 3A Schedule III non-narcotics 3n 3C Schedule IV narcotics 4 4 Schedule V narcotics 5 5 2. It includes a Post-Install routine to identify those drugs that show discrepancies between the CS FEDERAL SCHEDULE field (#19) of the VA PRODUCT file (#50.68) and DEA, SPECIAL HDLG field (#3) of the DRUG file (#50), and generates the following 4 mail messages to the installer and the holders of the PSNMGR keys: CS FEDERAL SCHEDULE AND DEA, SPECIAL HDLG DISCREPANCIES CONTROLLED SUBSTANCES NOT MATCHED CONTROLLED SUBSTANCES NOT SET CORRECTLY DISCREPANCY IN DEA WITHIN DRUGS TIED TO AN OI These mail messages can be used to clean up the DEA, SPECIAL HDLG code in the DRUG file (#50) where appropriate. The post-install also checks to see if the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50) is null and if the drug is matched to an entry in the VA PRODUCT file (#50.68), and the CS FEDERAL SCHEDULE field (#19) of the VA PRODUCT file (#50.68) has data, then it updates the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50) with the DEA, SPECIAL HDLG code mapped to corresponding CS FEDERAL SCHEDULE code as defined in the above table. 3. It also provides the following new menu options to generate reports of the above mail messages: Controlled Substances/PKI Reports [PSS CS/PKI REPORTS] menu has the following 4 new options: 1 DEA Spec Hdlg & CS Fed Sch Discrepancy [PSS DEA VS CS FED. SCH. DISCR.] 2 Controlled Substances Not Matched to NDF [PSS CS NOT MATCHED TO NDF] 3 CS (DRUGS) Inconsistent with DEA Spec Hdlg [PSS CS DRUGS INCON WITH DEA] 4 CS (Ord. Item) Inconsistent with DEA Spec Hdlg [PSS CS (OI) INCON WITH DEA] This new menu Controlled Substances/PKI Reports [PSS CS/PKI REPORTS], will be added to the Pharmacy Data Management [PSS MGR] menu. 4. When using the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, if the CS FEDERAL SCHEDULE field (#19) of the VA PRODUCT file (#50.68) and the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50) have a discrepancy, then this patch displays a warning message, "The CS Federal Schedule associated with this drug in the VA Product file represents a DEA, Special Handling code of XX", where XX is the DEA, SPECIAL HDLG code mapped to corresponding CS FEDERAL SCHEDULE code as defined in the above table. 5. This patch ensures that the newly populated CS FEDERAL SCHEDULE field (#19) of the VA PRODUCT file (#50.68) is also included as part of the drug details in the Lookup into Dispense Drug File [PSS LOOK] option. 6. This patch introduces a new code "F" for NON REFILLABLE for the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50). This will allow sites to mark drugs other than controlled substances or clozapine drugs as NON REFILLABLE. This functionality will be effective in the Outpatient Pharmacy V. 7.0 package only if the patch PSO*7.0*131 is installed. 7. The designation "A" which stands for "NARCOTICS AND ALCOHOLICS" used in the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50), is changed in this patch to read as "NARCOTICS AND ALCOHOLS". Associated NOISs: ================= N/A Test Sites: =========== HINES, IL OKLAHOMA CITY, OK WEST PALM BEACH, FL PALO ALTO HCS, CA 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 ---------------------------------------------------- PSSDDUT2 11283852 16160245 3,21,61 PSSDEE 35712342 35732890 3,5,15,16,20,22,28,32,34, 33,38,57,47,68,61 PSSLOOK 32048312 32314648 3,7,15,16,20,24,29,38,68,61 PSSOPKI N/A 3868173 61 PSSOPKI1 N/A 26540709 61 PSSPKIPI N/A 12865277 61 PSSPKIPR N/A 13068119 61 Installation Instructions: ========================== Do not install this patch when Outpatient orders are being entered and signed through CPRS. Installation will take no longer than 5 minutes. Suggested time to install: non-peak requirement hours for CPRS. 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*61): 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*61. 6. When Prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//" respond NO. 7. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 8. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. 9. 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. 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 The documentation distribution includes: FILE NAMES DESCRIPTION ============================================================== PSS_1_0_UM_R0703.PDF Pharmacy Data Management V. 1.0 User Manual PSS_1_0_P61_UM_CP.PDF Pharmacy Data Management V. 1.0 User Manual Change Pages PSS_1_0_TM_R0703.PDF Pharmacy Data Management V. 1.0 Technical Manual / Security Guide PSS_1_0_P61_TM_CP.PDF Pharmacy Data Management V. 1.0 Technical Manual / Security Guide 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 Web sites and files available on the ANONYMOUS.SOFTWARE directory for additional information: VA PKI Pilot Project: https://vaww.webdev.med.va.gov/techsvc/projects/vapki.asp VA PKI DEA Pilot Project: http://vaww.va.gov/techsvc/projects/vapkidea/vapkidea.asp "HinesPKIUserGuide.doc" - This is a word document to help in the installation and implementation of PKI for DEA/VA Schedule II drugs. "cert_how_to_updated11-5-02.pdf" - This is from a DEA contractor and shows how to view a DEA Cert. "Krn8_0p283sp.pdf" - This documents the digital signature from the Kernel point of view during the development phase. Routine Information: ==================== Routine Name: - PSSOPKI Routine Checksum: Routine Name: - PSSOPKI1 Routine Checksum: Routine Name: - PSSPKIPI Routine Checksum: Routine Name: - PSSDDUT2 Routine Checksum: Routine Name: - PSSLOOK Routine Checksum: Routine Name: - PSSPKIPR Routine Checksum: Routine Name: - PSSDEE Routine Checksum: ============================================================================= User Information: Entered By : ANWER,MOHAMED Date Entered : AUG 22, 2002 Completed By: SHAMA,USHA Date Completed: JUL 30, 2003 Released By : BARRON,LUANNE Date Released : JUL 31, 2003 ============================================================================= Packman Mail Message: ===================== $END TXT