============================================================================= Run Date: OCT 07, 2004 Designation: PSS*1*79 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #77 Status: Released Compliance Date: NOV 07, 2004 ============================================================================= Subject: INPATIENT MEDICATIONS REQUIREMENTS FOR THE SPECIAL FOCUS GROUP IRA, PHASE I. Category: - Data Dictionary - Enhancement (Mandatory) - Routine - Informational Description: ============ Phase I of the Inpatient Medications Requirements for the Special Focus Group Initial Requirements Analysis (IRA) project consists of four patches. The patches are combined in host file PSJ_PSS_OR_PSU_110.KID in order to simplify installation at Veterans Health Administration (VHA) facilities. Installation of this host file should be coordinated among the four packages affected since only one installation is necessary. The patches, in order of install, are: PSS*1*79 PHARMACY DATA MANAGEMENT V. 1.0 PSJ*5*110 INPATIENT MEDICATIONS V. 5.0 OR*3*213 ORDER ENTRY/RESULTS REPORTING V. 1.0 PSU*3*34 PHARMACY BENEFITS MANAGEMENT V. 3.0 Patches PSS*1*79, OR*3*213, and PSU*3*34 contain changes to support the following enhancements in PSJ*5*110: 1. The Extend Stop Date on Renewal enhancements will allow an order to be renewed without creating a new order. Editing of the start date will no longer be allowed during the renewal process. In addition, limits have been set on the length of time after an order expires that it may be renewed. This is outlined in the Bar Code Medication Administration (BCMA) 2001 Special Focus Report, Requirement #11. 2. The Complex Order enhancements will change the way complex orders are handled by linking complex components (child orders) together. If the actions Finish, Verify, Discontinue, or Renew are taken on one child order, the user will be alerted that the action must be taken on all of the complex component orders in the set. The user will then be prompted to take the appropriate action on each child order in the complex order set. This is outlined in BCMA 2001 Special Focus Report, Requirement #8. 3. The STAT and NOW Order Notification enhancements will alert users subscribing to new mail group PSJ STAT NOW PENDING ORDER when a pending STAT or NOW order has been received from Computerized Patient Record System (CPRS) V. 1.0. Users subscribing to the new mail group PSJ STAT NOW ACTIVE ORDER will receive an alert when a STAT or NOW order is made active. This is outlined in BCMA 2001 Special Focus Report, Requirement #12. In order to support the Extend Stop Date for Renewals changes, new fields will be created in the PHARMACY PATIENT file (#55) and the PHARMACY SYSTEM file (#59.7). 1. The PREVIOUS ORDERS FILE ENTRY sub-field (#4) will be added to the LAST RENEW multiple (#114) in the UNIT DOSE multiple (#62) in the PHARMACY PATIENT file (#55). 2. The PREVIOUS ORDERS FILE ENTRY sub-field (#4) will be added to the LAST RENEW multiple (#138) in the IV multiple (#100) in the PHARMACY PATIENT file (#55). 3. The EXPIRED IV TIME LIMIT field (#34) will be added to the PHARMACY SYSTEM file (#59.7). 4. In support of Complex Orders changes, a new cross-reference will be created to group complex child orders by their parent order. For Unit Dose orders, the cross-reference will be indexed by the ORDERS FILE PARENT ORDER field (#125), the ORDERS FILE ENTRY field (#66), and the Unit Dose order number appended with "U". For IV orders, the cross- reference will be indexed by the ORDERS FILE PARENT ORDER field (#150), the ORDERS FILE ENTRY field (#110), and the IV order number appended with "V". The cross-reference definition will be created by the pre-install routine PSSCMPLX. These are the new cross-references added to the PHARMACY PATIENT file (#55) and the fields used as the trigger-points. The type of these cross-references is "New", not "Traditional". X-ref File/Sub-file Trigger-point field(s) ----------------------------------------------------------------- ACX PHARMACY PATIENT (#55) ORDERS FILE PARENT ORDER (#125) /UNIT DOSE (#62) ORDERS FILE ENTRY (#66) ACX1 PHARMACY PATIENT (#55) ORDERS FILE PARENT ORDER (#150) /IV (#100) ORDERS FILE ENTRY (#110) Associated NOISs: ================= N/A Test Sites: =========== Loma Linda, CA Minneapolis, MN North Chicago, IL 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 ------------------------------------------------------- PSSCMPLX N/A 2295134 79 Note: The routine PSSCMPLX is a pre-installation routine that is automatically deleted from your system upon completion of the installation. Documentation and Software Retrieval: ===================================== Please see the patch description for PSJ*5*110 for details on documentation and software retrieval for Phase I of the Inpatient Medications Requirements for the Special Focus Group IRA project. Installation Instructions: ========================== ******************************* N O T E ******************************* There is no conflict between this patch and the CoreFLS software. Installation of this patch by the CoreFLS sites will not cause any problems. *********************************************************************** Please see the patch description for PSJ*5*110 for complete installation instructions and an example installation. Routine Information: ==================== Routine Name: - PSSCMPLX Routine Checksum: ============================================================================= User Information: Entered By : HARRIS,JAMES C Date Entered : DEC 17, 2003 Completed By: FARMER,LINDA Date Completed: OCT 05, 2004 Released By : CONNOLLY,BARBARA Date Released : OCT 07, 2004 ============================================================================= Packman Mail Message: ===================== No routines included