============================================================================= Run Date: JAN 31, 2005 Designation: PSS*1*59 Package : PSS - PHARMACY DATA MANAGEMENT Priority: Mandatory Version : 1 SEQ #83 Status: Released Compliance Date: MAR 03, 2005 ============================================================================= Associated patches: (v)PSS*1*69 <<= must be installed BEFORE `PSS*1*59' Subject: INPATIENT MEDICATION ORDERS FOR OUTPATIENTS AND NON-STANDARD SCHEDULES Category: - Data Dictionary - Routine - Input Template - Informational - Enhancement (Mandatory) Description: ============ 1. The Inpatient Medication Orders for Outpatients project will allow a user the ability to order unit dose medications for outpatients. This is accomplished through modifications to Inpatient Medications V. 5.0, Computerized Patient Record System (CPRS) V. 1.0, and Scheduling V. 5.3. The purpose of this patch is to create three new fields in the PHARMACY PATIENT file (#55). In the UNIT DOSE multiple (#62), the CLINIC field (#130) and the APPOINTMENT DATE/TIME field (#131) have been added. In the IV multiple (#100), the APPOINTMENT DATE/TIME field (#139) has been added. 2. A new parameter has been added to the PHARMACY SYSTEM file (#59.7). It is the AUTO-DC IMO ORDERS field (#26.8). This new parameter will allow sites to control whether or not Inpatient Medication Orders for Outpatients are automatically discontinued during patient movements. This parameter will only be effective if sites are using Inpatient Medications V. 5.0 to control discontinues on patient movements. If the site is using the CPRS auto-dc rules, this parameter will have no effect. 3. As a part of the Inpatient Medications Requirements for the Special Focus Group IRA project, this patch modifies the definition of schedules in the ADMINISTRATION SCHEDULE file (#51.1). To accomplish this, the following changes are being made to the PSSJ SCHEDULE EDIT input template: a. Do not allow entry of a schedule with the name of OTHER. b. Do not allow entry of administration times for odd schedules. c. Display the calculated frequency to the user. 4. Based on the upcoming requirement from the Joint Commission on Accreditation of Hospital Organizations, schedule names that are considered dangerous will no longer be allowed. The four schedules that will no longer be allowed are: QD, HS, TIW and QOD. These schedules cannot be used either alone or as part of a schedule name. For example: QD is not allowed. Neither is QD ONCE. 5. The Inpatient Medications Requirements for the Special Focus Group IRA project will prevent users from entering free text schedules for inpatient medication orders. This patch helps accomplish this by changing the validation of schedules entered through Computerized Patient Record System (CPRS) V. 1.0. This validation requires that schedules be defined in the ADMINISTRATION SCHEDULE file (#51.1) or be a valid day-of-week, PRN or administration time schedule before allowing the schedule to be added to an inpatient order. 6. A provider entering an order into Computerized Patient Record System (CPRS) V. 1.0 must be permitted to place a limitation on the duration of an inpatient medication order. This capability exists for Unit Dose orders and Inpatient IV orders, but not for IV Fluid orders. This patch helps accomplish this by adding a new field to the PHARMACY PATIENT file (#55), IV multiple (#100) called REQUESTED IV LIMITATION (#152). Associated NOISs: ================= N/A Test Sites: =========== Charleston, SC Cleveland, OH Loma Linda, CA Puget Sound HCS, WA 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 ---------------------------------------------------------- PSSGS0 9054547 6877391 12,27,38,44,56,69,59 PSSGSGUI 8727630 8382173 12,27,38,44,56,59 PSSJSV 14530445 14741916 20,38,56,59 Documentation Retrieval: ======================== The revised documentation is 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_UM_R0105.PDF Pharmacy Data Management User Manual PSS_1_P59_UM_CP.PDF Pharmacy Data Management User Manual - Change Pages (3) Documentation can also be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. Installation Instructions: ========================== CPRS GUI version 25 consists of three patches. The patches are combined in host file OR_3_195_PSJ_PSS.KID in order to simplify installation at Veterans Health Administration (VHA) facilities. Installation of this host file should be coordinated among the packages affected since only one installation is necessary. The patches are: PSS*1*59 PHARMACY DATA MANAGEMENT PSJ*5*111 INPATIENT MEDICATIONS OR*3*195 ORDER ENTRY/RESULTS REPORTING Please see patch OR*3*195 for detailed instructions on the installation steps necessary to retrieve and install this software. Routine Information: ==================== Routine Name: - PSSGSGUI Routine Checksum: Routine Name: - PSSJSV Routine Checksum: Routine Name: - PSSGS0 Routine Checksum: ============================================================================= User Information: Entered By : CRUMLEY,JAMIE Date Entered : AUG 08, 2002 Completed By: GREER,MIKE Date Completed: JAN 07, 2005 Released By : LESIEUR,SHIRLEY Date Released : JAN 31, 2005 ============================================================================= Packman Mail Message: ===================== No routines included