PHARMACY DATA MANAGEMENT (164)    PACKAGE (9.4)

Name Value
NAME PHARMACY DATA MANAGEMENT
PREFIX PSS
DEVELOPER (PERSON/SITE) TATUM/BIRM
DEVELOPMENT ISC BIR
CURRENT VERSION 1.0
SHORT DESCRIPTION Maintenance of Pharmacy files.
VERSION
  • 1.0
    DATE DISTRIBUTED:   2005-11-19 00:00:00
    PATCH APPLICATION HISTORY:
    • 2 SEQ #1
      DATE APPLIED:   1997-11-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Pharmacy Data Management PATCH PSS*1*2. This fixes a no-compiled routine
      and null subscript error.
      
    • 15 SEQ #12
      DATE APPLIED:   1998-09-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch utilizes the new NDF APIs.
      
    • 113 SEQ #101
      DATE APPLIED:   2006-07-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The Computerized Patient Record System (CPRS) V. 1.0 has requested a 
      modification to an Application Programming Interface (API) from Pharmacy
      Data Management V. 1.0. The modified API will provide CPRS with a flag to
      indicate a default Medication Route is being supplied from the PHARMACY
      ORDERABLE ITEM (#50.7) file.
      
    • 92 SEQ #102
      DATE APPLIED:   2006-07-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This Pharmacy Data Management (PDM) patch is part of the Patient Financial
      replacement system. The project consists of the implementation of the
      billing replacement system, business process improvements, and
      enhancements to VistA to support integration with the COTS billing
      replacement system. Significant changes to VistA legacy systems and
      ancillary packages are necessary.
       
      Some of the PFSS software components are not operational until the PFSS
      On/Off Switch, distributed with patch IB*2*260, is set to "ON". The
      ability for the local site to set the switch to "ON  will be provided at
      the appropriate time with the release of a subsequent Integrated Billing
      Services System (PFSS) project. PFSS patches are being released on various
      patch.
       
      For more information about the PFSS project, review the documentation
      accompanying this patch and refer to the following website:
      http://vista.domain.ext/billreplace/.
       
       
      Functional Description:
      =======================
      The Charge Description Master (CDM) is an industry standard financial tool
      schedules. Some patch functionality will not be active until a new PFSS
      common to all commercial billing systems and used in virtually every
      private hospital. The CDM is a comprehensive listing of all services
      performed, drugs supplied, or supplies provided in a particular hospital
      along with the value of those services/drugs/items, or charge amounts.
      Each of these entries are represented by a Charge Code, and the Charge
      Code is made up of a Department Code and Service Code. The Charge Code for
      Pharmacy will be the department code 160 concatenated with the assigned
      Service Code for the drug. The Department Code 160 will not be stored in
      any files and the Service Code will be established/approved by a central
      CDM Change Control Board (CCB). The implementation of the COTS billing
      switch is activated during final implementation. PFSS will initially be
      system requires the VA PRODUCT file (#50.68)/DRUG file (#50) to link the
      service master Service Code to every Pharmacy prescription fill or refill.
      For drugs that are not associated with an entry in the VA PRODUCT file
      (#50.68), the approved Service Code must be populated by the user.
       
       
      Technical Description:
      ======================
      This PDM patch PSS*1*92 provides the following functionality needed to
      support the PFSS project:
      implemented at select pilot sites ONLY.
       
      1. A new SERVICE CODE field (#400) was added to the DRUG file (#50).
      2. The PSSCOMMON Input template was modified to accommodate the new
         SERVICE CODE field (#400) to be used with the DRUG ENTER/EDIT [PSS DRUG
         ENTER/EDIT] option for drugs that are not associated with an entry in
         the VA PRODUCT file (#50.68).
      3. The Integration Agreement (IA) #4483 was modified to include the new
         SERVICE CODE field (#400).
       
      The purpose of the PFSS project is to prepare the Veterans Health
      Information Systems and Technology Architecture (VistA) environment for
      the implementation of a commercial off-the-shelf (COTS) billing
      
    • 110 SEQ #103
      DATE APPLIED:   2006-08-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1) Only allow uppercase alphabet for the NAME field in files #51.1
      and #51.
      2) Allow elligible drugs to be marked for 'OP External Dispense'.
      
    • 115 SEQ #104
      DATE APPLIED:   2006-09-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch supports the National Council for Prescription Drug Programs (NCPDP) 
      claim; updates to the Rx Activity Log; and permanent storage of Claims activity 
      information as reported by the ECME Billing Events Report.  
       
      This patch restores the ability to edit the DAW CODE field through the Drug 
      Enter/Edit [PSS DRUG ENTER/EDIT] option in the Pharmacy Data Management (PDM)
      application. This field was originally created by the patch PSS*1*90 (see item
      #3) but was unintentionally removed by patch PSS*1*92.
           
      The following input template is included in this patch:
       
      standard which was adopted under the Healthcare Insurance Portability and 
        Template Name                   File Name (Number)
        -------------                   ------------------
        PSSCOMMON                       DRUG        (50)
      Accountability Act (HIPAA) for pharmacy claims. This patch is one of six to be
      released.  Three patches will be released in a KIDS multi-build distribution 
      containing: BPS*1*3, PSO*7*247, and IB*2*342.  Three patches will be released
      individually and they are: PRCA*4.5*247, PSX*2.0*62, and PSS*1.0*115.
       
      Enhancements included in the release of the six patches are a new option that 
      will enable the user to reopen a closed Electron Claims Management Engine (ECME)
      
    • 108 SEQ #105
      DATE APPLIED:   2006-09-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains updated Application Program Interfaces (APIs) that will 
      Patient file (#55).  
       
      The DIC^PSSDI API has been modified to allow drug selection with matches
      to certain VA Classes that are passed to the call.
       
      Classes to be included or excluded are to be set up in the PSSVACL array
      within the DIC component.
       
      For example, if only drugs with a VA Class of DX201 & DX202 were to be
      available for selection, the local variable array would look like this:
      be used by calling applications that currently do direct global reads or 
       
      PSSVACL("DX201")=""
      PSSVACL("DX202")=""
      PSSVACL("R")="" - The "R" means only drugs with these classes will be
                        available for selection. If these classes were to be
                        excluded, the letter "P" would be used instead.
       
       
      A new API was added to routine PSS51P1. The PSSDQ component displays all 
      the entries in the Administrative Schedules file (#51.1). 
      writes to the Pharmacy Data Management files.
       
       
      The ORDERABLE ITEM STATUS TRACKER (#81) field has been added as a returned
      data element for the PSS^PSS59P7 API on the Pharmacy System file (#59.7).
       
      The ORIGINAL WARD (#9), OTHER PRINT INFO (#31) & MED ROUTE (#132) fields 
      were added to the PSS436 component of the PSS55 API on the Pharmacy 
      
    • 112 SEQ #106
      DATE APPLIED:   2006-11-22 23:43:59
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch enhances an original Pharmacy Data Management API call 
      Re-Engineering (PRE) API Manual.
       
      Additionally, this patch introduces an API STATUS^PSS55MIS which requires
      three parameters.  The set of codes for STATUS field in the PHARMACY
      PATIENT file (#55) subfiles is returned. This API will invoke the
      FIELD^DID Fileman call and data will be returned to the calling
      application as specified in the FIELD^DID FileMan documentation. 
      Specifications for this API can be found in the Pharmacy Re-Engineering
      (PRE) API Manual.
       
      DATA^PSS50.  By replacing FileMan calls with direct reads, data retrieval 
      Finally, this patch introduces CLINIC^PSS55MIS which requires three 
      parameters. This API returns a clinic from the HOSPITAL LOCATION file 
      (#44) based on a provided order number and patient DFN.  This API invokes 
      the GETS^DIQ data retrieval call.  Specifications for this API can be 
      found in the Pharmacy Re-Engineering (PRE) API Manual.
      from the DRUG file (#50) speed has been greatly improved. Specifications 
      for this API can be found in the Pharmacy Re-Engineering (PRE) API Manual.
       
      This patch also enhances an original Pharmacy Data Management API call 
      ALL^PSS51P2.  By replacing FileMan calls with direct reads, data 
      retrieval from the MEDICATION ROUTES file (#51.2) speed has been greatly 
      improved. Specifications for this API can be found in the Pharmacy 
      
    • 114 SEQ #107
      DATE APPLIED:   2007-06-27 21:33:29
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. In response to a patient safety issue, the Computerized Patient Record 
      a utility is provided to allow assignment of a route to multiple 
      orderable items, based on the dosage form. A new menu option has been set 
      up for this feature. The new menu option is [PSS ADD DEFAULT MED ROUTE] 
      and will be removed in a future patch.
      System V. 1.0 was modified to no longer always use a default in the 
      medication ordering dialog. Therefore, sites are required to enter a 
      default in the PHARMACY ORDERABLE ITEM file (#50.7). However, in support 
      of the previous business logic, a default of ORAL was not allowed. This 
      patch changes this requirement and allows ORAL as a default medication 
      route. HD 144208, PSI-06-063
       
      2. In order to assist sites in assigning a new default medication route, 
      
    • 120 SEQ #108
      DATE APPLIED:   2007-06-27 22:13:07
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As part of the Outpatient Pharmacy V. 7.0 Laser Labels Phase II project, 
      another parameter is being added to turn on sending the new warnings to
      the Outpatient Pharmacy Automation Interface (OPAI). This is to 
      accommodate vendors who may need to make changes to receive the new 
      warnings.
       
      Currently the Bedford CMOP is the only CMOP not ready to receive the new
      format.
       
      Until the parameters are turned on, warning labels from the old RX CONSULT
      file (#54) are used. When they are turned on, warnings from the WARNING
      a new commercial data source is utilized to provide warning label 
      LABEL-ENGLISH (#50.625) or the WARNING LABEL-SPANISH (#50.626) file will
      be used. When the parameters are turned on, the "Do not transfer" warning
      label 20 from the old RX CONSULT file (#54) is automatically added, when
      applicable, during label printing, transmitting to CMOP, or sending to
      OPAI.
       
      Example warning labels for a drug when the warning source is set to "New":
       
        Take medication on an empty stomach one hour before or two to the three 
        hours after a meal unless otherwise directed by your doctor.
      information. 
       
        This drug may impair the ability to drive or operate machinery. Use care
        until you become familiar with its effects.
       
        CAUTION: Federal law prohibits the transfer of this drug to any person
        other than the patient for whom it was prescribed.
       
       
      This patch is required by PSO*7*200 which will send the new warning label 
      text to OPAI and by PSX*2*54 which will send the new warning label text to
       
      CMOP.
       
       
      The following changes are included in this patch:
       
      Data Dictionary Changes:
      =======================
      New fields:
      1. CMOP WARNING LABEL SOURCE field (#16.1) in the PHARMACY SYSTEM file
      (#59.7).
      A parameter was provided by patch PSS*1*87 to turn on the new warning
       
      The new warning label processing is not fully functional for CMOP until
      this field is set to "N" for "New" in the Pharmacy System Parameters Edit
      [PSS SYS EDIT] option. 
       
      2. OPAI WARNING LABEL SOURCE field (#16.2) in the PHARMACY SYSTEM file
      (#59.7).
       
      The new warning label processing is not fully functional for the 
      Outpatient Pharmacy Automation Interface (OPAI) until this field is set to
      label format. This is currently being used in association with printing
      "N" for "New" in the Pharmacy System Parameters Edit [PSS SYS EDIT]
      option.
       
       
      Routine Changes:
      ================
      Routine PSSYSP was modified to prompt for the above new fields.
      Example:
       
      Select OPTION NAME: PSS SYS EDIT       Pharmacy System Parameters Edit
      laser labels. However, since not all Consolidated Mail Outpatient
      Pharmacy System Parameters Edit
       
      PMIS PRINTER: L8150$PRT// 
      PMIS LANGUAGE: English// 
      WARNING LABEL SOURCE: NEW// 
      CMOP WARNING LABEL SOURCE: ?
           Enter "N" for NEW to use commercial data source for CMOP warning 
      labels.
           Choose from: 
             N        NEW
      Pharmacy (CMOP) facilities are reprogrammed to receive the new format, a
      CMOP WARNING LABEL SOURCE: N  NEW
      OPAI WARNING LABEL SOURCE: N  NEW
      new parameter is being added for turning on the new warnings for CMOP. And
      
    • 118 SEQ #109
      DATE APPLIED:   2007-06-29 21:07:18
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds ORDERABLE ITEM field (#108) from the PHARMACY PATIENT 
      * PSS435^PSS55
      * PSS436^PSS55
       
      Additionally, this patch clears up an issue in DIC^PSSDI, DATA^PSS50, 
      ALL^PSS51P2, and MIX^PSSDI where in rare circumstances, an error could
      occur due to incorrect API initialization.
       
      Finally, this patch introduces the parameter PSSFREQ to AP^PSS51P1.  
      PSSFREQ is compared to the FREQUENCY field (#2) in the ADMINISTRATION 
      SCHEDULE file (#51.1) to filter records based on the frequency of 
      file (#55), NAME field (#.01) from the PHARMACY ORDERABLE ITEM file 
      delivery.
      (#50.7), DOSAGE FORM field (#.02) from the PHARMACY ODERABLE ITEM file 
      (#50.07), and NAME field (#.01) from the DOSAGE FORM file (#50.606) to 
      the following APIs.
       
      * PSS431^PSS55
      * PSS432^PSS55
      * PSS433^PSS55
      
    • 121 SEQ #110
      DATE APPLIED:   2007-09-04 22:23:13
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Fixes the one time PRN orders problem.
      
    • 13
      DATE APPLIED:   1998-10-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch fixes data dictionaries for Pharmacy Patient (#55), Pharmacy
      System (#59.7), and Drug (#50) files, as well as a couple of enhancement
      routines.
      
    • 122 SEQ #111
      DATE APPLIED:   2007-09-04 23:09:12
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains the second quarter enhancements for the Pharmacy Data 
      defined must have a subtype prefixed with "P-".  This prefix in the 
      subtype indicates that the device is a printer.  If no data is defined in
      this multiple, the ScripTalk printer tied to the division will be used.  
      The use of this multiple builds upon existing ScripTalk functionality, so
      a divisional ScripTalk device must be defined for the mapped device
      functionality to work properly and to have a default device defined.
       
          a.  LABEL PRINTER TO BE MAPPED field (#.01) -  This field contains 
      the Pharmacy label printer(s) that the ScripTalk device is mapped.  When 
      the printer device defined in this field is selected as the Pharmacy 
      Management V 1.0 package.  The following data dictionary additions are
      print device by the user, ScripTalk labels will print on the 
      corresponding mapped ScripTalk device.
       
          b.  SCRIPTALK DEVICE field (#.02) - This field contains the ScripTalk 
      print device that will be tied to regular Pharmacy label device(s) 
      defined in the "LABEL PRINTER TO BE MAPPED" field.
      included for PHARMACY SYSTEM file (#59.7) and supports modifications made 
      in Outpatient Pharmacy patch PSO*7*200.
       
      1.  SCRIPTALK PRINT DEVICE MAPPING multiple (#47) - adds the capability 
      to tie a ScripTalk printer to regular Pharmacy label printer(s) to 
      control where the ScripTalk labels print for multi-divisions.  Multiple 
      print devices may be mapped to a ScripTalk printer, and any device 
      
    • 125 SEQ #112
      DATE APPLIED:   2007-09-05 01:11:52
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      With the deployment of Cache version 5, it was discovered that the short
      modifies all routines that currently use a lock timeout value of less than
      3 seconds to check for the node ^DD("DILOCKTM") and to use the value
      defined there, otherwise the lock timeout value is set to a default value
      of 3 seconds.
      lock timeout values could generate a lock failure. Patch DI*22*147, which
      has already been released, provided a solution to resolve this issue and
      future lock issues.
       
      This patch instituted a new default lock timeout of three seconds based on
      a global node setting of ^DD("DILOCKTM")=3.
       
      In order to avoid the lock issue in Pharmacy Data Management, this patch
      
    • 88 SEQ #113
      DATE APPLIED:   2007-09-05 01:21:27
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with the medication route being blank on the
       
      2. During internal testing, it was discovered that there was a problem 
      with the Application Programming Interface (API) handled by routine 
      PSS55. This patch corrects this problem.
       
      3. To assist Pharmacy in appropriately setting the new PROMPT FOR INJ. 
      SITE IN BCMA field (#8), a search routine will execute when this patch is 
      installed. The purpose of this routine is to look for all Medication 
      Route abbreviations that contain ID, IV, IM, SC or SQ. A message with the 
      subject of "PDM - Check Med Route Abbreviations" will be sent to the 
      Bar Code Medication Administration (BCMA) V. 3.0 Virtual Due List. During
      person who installs the patch.
      investigation of possible corrections for this, it was determined that
      another issue needed to be addressed with how to determine when to prompt
      for an injection site. This patch assists to correct these problems by
      adding the PROMPT FOR INJ. SITE IN BCMA field (#8) to the MEDICATION
      ROUTES file (#51.2). In addition, the new field has been added to the
      input template PSS MEDICATION ROUTES. HD0000000166204, HD0000000164890,
      PSI-06-152, PSI-06-158
      
    • 127 SEQ #114
      DATE APPLIED:   2007-12-12 21:48:26
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The general purpose of this patch is to meet the requirements in support
      the patches.
       
      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, GR
             for GRAMS or ML for MILLILITERS.
      of ePharmacy enhancements. This patch is one of five to be released. Three
       
         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 entry 
             into this field.
       
      2. The two fields above will be auto-populated by a post-install routine,
      patches will be released in the KIDS multi-build distribution BPS PSO IB
         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. 
          
         Once this patch is installed, the user should be able to verify the
      BUNDLE 2.0, which contains BPS*1*5, IB*2*363, and PSO*7*260. Patches
         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;@  
      PSX*2*63 and PSS*1*127 will be released as stand-alone patches. Since
             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 
      there is an implementation dependency between the multi-build distribution
         field (#83). The following give additional information on definition 
         and validation of these fields:
       
         a.  When new drugs are defined, the values of EA for EACH and 1 (one)
             will be the default values for these new fields.
       
         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
      and the stand-alone patches, PSX*2*63 and PSS*1*127 must be installed
             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)
      prior to the installation of the multi-build. For more specific
             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.
      instructions please refer to the installation steps provided in each of
      
    • 109 SEQ #115
      DATE APPLIED:   2007-12-12 22:18:45
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      During testing of the Bar Code Medication Administration (BCMA) project 
      field (#128) of the UNIT DOSE sub-file (#55.06) of the PHARMACY PATIENT
      file (#55) which is exported in this patch.
      BCMA-HSC Phase III, an issue was discovered with the order flag comments 
      for unit dose orders. There is not enough space to store the entire 
      comment, so the text is truncated. This patch corrects this problem for 
      BCMA by storing the most recent text in an additional location. The 
      comment will still be stored in the current location. It will also be in 
      the MOST RECEMT FLAG COMMENT field (#129) of the NON-VERIFIED/PENDING file
      (#53.1) which is exported in an Inpatient Medications V5.0 patch. For
      active unit dose orders, it will be stored in the MOST RECENT FLAG COMMENT
      
    • 124 SEQ #116
      DATE APPLIED:   2008-02-03 21:34:13
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct the issues reported in:
        
      1) HD68616  - PSSMARK   DRUG INACTIVE DATE IN FUTURE BLOCKS CMOP MARK
      TODAY
      2) HD70218  - PSSHLU    Drug file edits change value in orderable item
      file
      
    • 126 SEQ #117
      DATE APPLIED:   2008-05-26 15:06:16
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will update the heptext for the DEA field in the DRUG file. As 
      well as send a mailman message concerning the changing DEA codes.
      
    • 132 SEQ #118
      DATE APPLIED:   2008-05-26 15:47:19
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct the issues reported in:
        
      HD229420 - PSSHLU    Orderable item is active but not appearing in CPRS
      
    • 128 SEQ #119
      DATE APPLIED:   2008-05-26 15:52:50
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The following data dictionary addition is included for PHARMACY SYSTEM
       
                  Last Date Auto-Expire Processed
                  INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:X<1 X
                  LAST EDITED:      MAY 18, 2007
                  HELP-PROMPT:      Last Date Auto-Expire Processed
                  DESCRIPTION:      This is the last date that the nightly
                                    auto-expire processed. Processing will 
                                    continue from this date the next time the
                                    job runs.
       
      file (#59.7) and supports modifications made in Outpatient Pharmacy patch
                  TECHNICAL DESCR:  This is the last date that the nightly
                                    auto-expire processed. Processing will 
                                    continue from this date the next time the
                                    job runs and will expire prescriptions with
                                    expiration dates up to and including DT-1.
      PSO*7*257.
       
       
      Field Description:
      ==================
       
      59.7,49.95  DATE AUTO-EXPIRE COMPLETED 49.99;8 DATE
      
    • 130 SEQ #120
      DATE APPLIED:   2008-07-22 07:36:49
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct the issues reported in:
        CLASS field (#25) index (^PSDRUG("VAC") and identify drugs with
        multiple VAC indexs.  If a drug has multiple indexs, re-index the
        VAC index.  After the ^DRUG("VAC" has been re-indexed, send a MailMan 
        message with the names, old VA DRUG CLASS indexs and the new VA
        DRUG CLASS index.
       
      1) HD0000000194979 - Orderable Item dialog box issue
        Modify the INPUT TRANSFORM for the PHARMACY ORDERABLE ITEM file 
        (#50.7) SYNONYM subfile (#50.72) SYNONYM field #2 to use 
        S X=$$TRIM^XLFSTR(X,"R"," ") to strip trailing spaces. 
       
      2) HD0000000177768 - Lookup by VA Class brings up incorrect meds
        Create PSSP130 routine to step through the DRUG file (#50) VA DRUG
      
    • 12 SEQ #14
      DATE APPLIED:   1998-11-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch fixes an error which occurs when an IV order is entered
      with a non-standard schedule which contains a leading space. It also
      corrects an error that occurs when an IV or Unit Dose order is entered in
      the Computerized Patient Record System (CPRS) that contains an invalid
      schedule. This patch makes changes to the Pharmacy Data Management
      routines that are used to control the validation of schedules when orders
      are entered in CPRS and Inpatient Medications.
      
    • 134 SEQ #121
      DATE APPLIED:   2009-04-20 16:08:04
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will create a post install routine that will loop 
      through the Drug file (#50) and get all the Local Possible Doses
      for each drug and call the API to reformat it.  A report will 
      then be generated that will display the drug ien, drug name, 
      original Local Possible Dose and the reformatted Local Possible 
      Dose.  The report will be sent to the holders of the PSNMGR key
      and Venessa France, developer of the patch.
                                          .
       Venessa France, developer of the patch.
      
    • 94 SEQ #122
      DATE APPLIED:   2009-04-21 15:47:26
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      1. In support of the project Inpatient Medications Requirements for 
       
      3. In support of the Computerized Patient Record System (CPRS) GUI v27 
      release, the validation of schedules from the GUI has been modified. 
      The change was to allow day-of-week schedules to be entered in the 
      format: day@schedule. Schedule, in this case, is an already defined 
      schedule such as BID. So, now a day-of-week schedule may be entered as
      MO-WE-FR@BID to signify you want to use the BID administration times 
      on Monday, Wednesday and Friday.
       
      4. In support of CPRS GUI v27, a modification has been made to the 
      the Special Focus Group Initial Request Analysis (IMR) Phase III, 
      list of available Medication Routes sent back to CPRS from Inpatient
      Pharmacy when using the IV Dialog.  If there is one orderable item
      in the order, Inpatient Pharmacy will return any default med route
      that may be defined in the Pharmacy Orderable Item File #50.7 along
      with any other med routes defined for the dosage form #50.606.  
      Duplicate entries will be removed.  If there is more than one orderable 
      item in the order, Inpatient Pharmacy will return a list of the common
      med routes that match all orderable items.
       
      5. In support of CPRS GUI v27, remedy ticket, HD0000000220080 - "^ in 
      two changes have been made in the input template PSSJ SCHEDULE EDIT. 
      the Schedule field" was addressed.
        
      Problem:
      --------
      Users are allowed to include an "^" in the schedule when placing an 
      order in CPRS GUI.
        
      Resolution:
      -----------
      Routine PSSGSGUI will be modified to disallow an "^" in the text of a
      First, if the schedule type is continuous and it is an odd schedule, 
      schedule.
       
      6. The routine PSS0088 is being deleted with this patch.  The routine
      was part of patch PSS*1.0*88, and was used simply as a tally routine
      to identify medication routes that needed to be reviewed when the
      functionality of PSS*1.0*88 was installed.  The tally routine's
      functionality is no longer necessary, so the routine will be deleted.
       
      7. In support of CPRS GUI v27, the array of schedules from the 
      ADMINISTRATION SCHEDULE file #51.1 that is returned to CPRS for schedule
      the system will no longer allow the entry of administration times. 
      selection on an order is being modified.  Currently, a site can have
      multiple schedules with the same name for the same package.  The array
      of schedules presented for selection in CPRS GUI v26 only takes the
      schedule with the lowest IEN number in the ADMINISTRATION SCHEDULE file
      #51.1 if a duplicate exists.
       
      With the changes in CPRS GUI v27, if there is a duplicate schedule,
      and if one of them contains ward-specific admin times for the ward
      location of the patient, the schedule returned for inclusion in the
      array of selectable schedules in CPRS will be the one with the ward-
      Continuous, non-odd schedules will still require administration times.
      specific admin times.  If no duplicate has ward-specific admin times
      for the ward location of the patient, the schedule with the lowest
      IEN number will be returned.  If both (or more than one)
      duplicate schedules have ward-specific admin times for the ward
      location of the patient, the schedule with the lowest IEN number in the
      ADMINISTRATION SCHEDULE file #51.1 will be the schedule in the array
      returned to CPRS.
       
      2. The second IMR change for the input template is if the schedule type
      is on-call, the system will no longer require a frequency.
      
    • 123 SEQ #123
      DATE APPLIED:   2009-04-21 15:52:23
      APPLIED BY:   USER,SEVENTEEN
    • 138 SEQ #124
      DATE APPLIED:   2009-04-22 12:04:22
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will address the issues in Remedy tickets:
       
      1)HD0000000206450 - & in the NOUN field of the Dosage Form file
        When the NOUN in the DOSAGE FORM contains a "&", it causes
        CPRS to error when ordering medications.
       
      2)HD0000000249646 - 6 VA CLASSIFICATION Field
        The VA CLASSIFICATION field (#2) of the DRUG file (#50) allows user to 
        delete the data in this field which is matched to National Drug File.
      
    • 133 SEQ #125
      DATE APPLIED:   2009-04-22 12:21:35
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch contains a set of APIs to be used by Clinical Reminders. 
      The calls are all to routine PSSCLINR. The APIs are:
       
      IX(PSSCRIX,PSSCRIV) Returns AND or VAC index of File 50
      DRUG(PSSCLID) Returns the Drug name from file 50 
      ITEM(PSSCLII) Returns the Pharmacy Orderable Item pointer from file 50.
      ING(PSSING)   Return Drug Ingredient IEN from file 50.416 
      NEPS() Return Number of entries in file 55 
      
    • 139 SEQ #126
      DATE APPLIED:   2009-04-22 15:52:36
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch has enhancements which extend the capabilities of the Veterans 
      activate unless instructed specifically by the CBO.
       
      This patch is being released along with PSO*7*303 and IB*2*405.  These 
      patches can be installed in any order but the full functionality contained
      within these patches will not be available until all 3 patches are
      installed.
       
      This patch modifies the Pharmacy Data Management v1.0 application as 
      described below:
       
      Health Information Systems and Technology Architecture (VistA) electronic 
      1. A new Drug Enforcement Administration (DEA) Special Handling code, N
      for Nutritional Supplement, was added as a selection to the DEA SPECIAL
      HDLG prompt for DRUG ENTER/EDIT [PSS DRUG ENTER/EDIT] option.  Once 
      Outpatient Pharmacy patch PSO*7*303 and Integrated Billing patch IB*2*405
      is installed, any drug defined with this new code will be treated in the
      same manner as supply items and investigational drugs.  The N DEA Special 
      Handling code must be defined manually.
      pharmacy (ePharmacy) billing system.
       
      All sites should install this 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 
      
    • 129 SEQ #127
      DATE APPLIED:   2009-04-23 10:50:33
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch provides the functionality needed to prepare for the release of
      Pharmacy Re-Engineering V. 0.5, which will change the current Pharmacy
      Order Checking system from using the data stored in Vista to using data
      from the First DataBank commercial database system. There is set-up work 
      that is requred to be completed prior to the installation of Pharmacy 
      Re-Engneering V. 0.5, and this patch provides the tools needed to complete
      that set-up work.
      
    • 137 SEQ #128
      DATE APPLIED:   2009-06-03 11:36:43
      APPLIED BY:   USER,SEVENTEEN
    • 131 SEQ #129
      DATE APPLIED:   2009-07-14 09:09:50
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch has enhancements which extend the capabilities of the Veterans 
         OUTPATIENT PHARMACY (OP) V. 7.0                      PSO*7*289
         INTEGRATED BILLING (IB) V. 2.0                       IB*2*384
         ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0    BPS*1*7
       
      The last three patches (PSO*7*289, IB*2*384 and BPS*1*7) will be released 
      in the Kernel Installation and Distribution System (KIDS) multi-build 
      distribution BPS PSO IB BUNDLE 3.0.  Patches PSX*2*65 and PSS*1*131 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*65 and PSS*1*131 must be installed prior to the 
      Health Information Systems and Technology Architecture (VistA) electronic 
      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.
       
      pharmacy (ePharmacy) billing system.  Below is a list of all the 
      This patch modifies the Pharmacy Data Management v1.0 application as 
      described below:
       
      1. A new Drug Enforcement Administration (DEA) Special Handling code, U
      for Sensitive Diagnosis, was added as a selection to the DEA SPECIAL HDLG
      prompt for DRUG ENTER/EDIT [PSS DRUG ENTER/EDIT] option. When a signed
      Release of Information (ROI) is on file and the drug is marked with this
      new code, the drug may be third party billable.  Drugs must be manually
      marked with this new code, and this functionality works in conjunction
      with ROI modifications made in IB*2*384.
      applications involved in this project along with their patch number:
       
         APPLICATION/VERSION                                  PATCH
         --------------------------------------------------------------
         CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0  PSX*2*65
         PHARMACY DATA MANAGEMENT (PDM) V. 1.0                PSS*1*131
      
    • 99 SEQ #130
      DATE APPLIED:   2009-07-14 15:21:44
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      
      
      This patch adds a MUMPS style cross-reference to the FIRST 
      SERVICE DATE field (#.07) in the PHARMACY PATIENT file (#55). 
      When the FIRST SERVICE DATE field (#.07) is updated for a 
      patient then the cross-reference is triggered and the patient 
      is queued for transmission.
      
      The following applications were also updated as part of the 
      PBM Extracts Enhancement #3 project:
       
      This patch addresses a request which support the Pharmacy 
         Application/Version                             Patch
         -------------------------------------------------------------
         Pharmacy Benefits Management V. 4.0             PSU*4.0*5
         Inpatient Medications V. 5.0                    PSJ*5.0*161
         Outpatient Pharmacy V. 7.0                      PSO*7.0*170
         Registration V. 5.3                             DG*5.3*671
       
      
      
      Benefits Management (PBM) Extracts Enhancement #3 
      project. In order to allow the retransmission of only those 
      patients who have had demographic updates, Pharmacy 
      Data Management V. 1.0 was modified to build an entry 
      for re-transmission in PBM PATIENT DEMOGRAPHICS 
      file (#59.9) whenever the FIRST SERVICE DATE field (#.07) 
      in the PHARMACY PATIENT file (#55) is updated.
      
    • 17
      DATE APPLIED:   1998-11-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This build is a patch to DRUG file (#50) which changes the data
      dictionary for fields NATIONAL DRUG FILE ENTRY (#20) and PSNDF
      VA PRODUCT NAME ENTRY (#22) to pointers. This patch requires
      National Drug File V. 4.0 to be installed.
      
    • 140 SEQ #131
      DATE APPLIED:   2009-10-14 12:46:55
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Description:
       
      NO                YES               All med routes from dosage form 
                                          display. Default med route 
                                          pre-populates the selection box.
       
      NO                NO                All med routes from dosage form 
                                          display. Nothing pre-populates the
                                          selection box.
       
      Additionally, this patch will provide a new option called Default Med
      Route For OI Report [PSS DEF MED ROUTE OI RPT] that will be added to the
      Problem:
      Medication Routes Management [PSS MEDICATION ROUTES MGMT] menu. The site
      can use this report to identify the current default medication route for
      the orderable item. Here is an example of the report:
       
       
      DEFAULT MED ROUTE FOR ORDERABLE ITEM REPORT      JUN 17,2009     PAGE 1
       
      OI NAME     DOSAGE FORM ASSOCIATED ROUTES  DEFAULT ROUTE DRUG
      --------------------------------------------------------------------------
       
      --------
      IBERET      LIQUID      ORAL (BY MOUTH)                 IBERET-500 ORAL
      IBUPROFEN   TAB         ORAL (BY MOUTH)                 IBUPROFEN 600MG
      IDOXURIDINE OINT,OPH    RIGHT EYE
                              LEFT EYE
                              BOTH EYES                       IDOXURIDINE 0.5%
      IMIPRAMINE  TAB         ORAL (BY MOUTH)                 IMIPRAMINE 25MG
                                                              IMIPRAMINE 50MG
      INDOCYANINE INJ,SOLN    INTRAMUSCULAR
                              INTRAVENOUS       INTRAVENOUS   INDOCYANINE 25MG
      INSULIN     INJ         INTRAMUSCULAR
      Currently, for unit dose orders and Outpatient Pharmacy orders, all
                              INTRAVENOUS
                              ORAL
                              SUBCUTANEOUS      INTRAVENOUS   INSULIN LENTE
                                                              INSULIN NPH
      medication routes for the dosage form of the orderable item are being
      displayed in CPRS as possible medication routes to be selected. Even if
      an orderable item is to be given only Intramuscular (IM), the provider
      sees a dropdown list to select a potentially inappropriate medication
      route of Subcutaneous (SC) or Intravenous (IV).
       
      ===========
      Resolution:
      -----------
      This enhancement affects both Inpatient Medications unit dose orders
      entered via the Inpatient Medications order dialog in CPRS as well as
      Outpatient Pharmacy orders entered via CPRS. A new parameter will be added
      to the PHARMACY SYSTEM file (#59.7) to support this functionality (see
      below). With this parameter set to YES, CPRS order dialogs will display
      only the default medication route for the orderable item in the medication
      route selection list in CPRS if a default medication route is defined in
      the PHARMACY ORDERABLE ITEM file (#50.7). If there is no default
       
      medication route defined for the orderable item, then the current
      functionality will be retained and all possible medication routes for the
      dosage form will be displayed to the provider for selection in CPRS.
      Routine PSSJORDF will be modified for this enhancement.
       
      This enhancement adds the DEFAULT MED ROUTE FOR CPRS field (#80.7) to the
      PHARMACY SYSTEM file (#59.7) to support the functionality of this patch.
      The field will serve as a toggle, allowing the site to choose whether they
      want to implement the features of this patch in their system. This field
      is maintained by the Pharmacy System Parameters Edit [PSS SYS EDIT]
      This enhancement is an interim resolution approved by the Inpatient
      option. The default for this field is YES when first accessing this field
      from this option. This field may be set to YES or NO. An example of
      setting this to YES appears below.
       
      Example screen:
       
        Select Pharmacy Data Management Option:  Pharmacy System Parameters Edit
        PMIS PRINTER: NULL DEVICE//
        PMIS LANGUAGE: English//
        WARNING LABEL SOURCE:
      Medications Workgroup and Pharmacy Legacy Quarterly Enhancement (PLQE)
        CMOP WARNING LABEL SOURCE:
        OPAI WARNING LABEL SOURCE:
        AUTOMATE CPRS REFILL:
        DEFAULT MED ROUTE FOR CPRS:  Y  YES
       
      DATA          NAME                  GLOBAL        DATA
      ELEMENT       TITLE                 LOCATION      TYPE
      --------------------------------------------------------------------------
       
      59.7,80.7     DEFAULT MED ROUTE FOR CPRS 80;7 SET
      User Group for Patient Safety Issue PSI 08-026, PSPO #852 as described in
       
                                      '0' FOR NO;
                                      '1' FOR YES;
                  LAST EDITED:     MAY 28, 2009
                  HELP-PROMPT:     Enter Y to display only the default med route
                                   in CPRS or N to continue with the current
                                   functionality.
                  DESCRIPTION:     This field should be marked "YES" if the site
                                   prefers the MED ROUTE field (#.06) in the
                                   PHARMACY ORDERABLE ITEM file (#50.7) to
      Remedy Ticket HD233682. This patch will help mitigate incorrect medication
                                   appear as the default/only entry during CPRS
                                   order entry. If no default medication route
                                   is defined in the PHARMACY ORDERABLE ITEM
                                   file (#50.7), then the routes from the DOSAGE
                                   FORM file (#50.606) will display.
       
                                   This field will affect only orders entered
                                   via the Inpatient Medications dialog or the
                                   Outpatient Medications dialog in CPRS. It 
                                   will not impact IV Fluids entered via CPRS or
      routes being displayed for selection in the Computerized Patient Record
                                   orders entered via backdoor Pharmacy.
       
                 TECHNICAL DESCR:  Set of codes. "YES" to display only the
                                   default med route in CPRS and "NO" to 
                                   continue with the current functionality.
       
      The following table summarizes the functionality of this patch.
      **NOTE** This patch will be exported with the new parameter set to YES.
       
                        Default OI Med
      System V. 3.0 (CPRS).
      Site Parameter    Route Defined     CPRS Med Route Selection List
      --------------    --------------    -----------------------------
      YES               YES               Default med route is the only route in
                                          selection list. Default med route
                                          pre-populates the selection box.
       
      YES               NO                All med routes from dosage form 
                                          display. Nothing pre-populates the
                                          selection box.
       
      
    • 141 SEQ #132
      DATE APPLIED:   2009-12-01 14:25:50
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch provides the Pharmacy Data Management support for the Class
      III to Class I conversion project Immunizations Documentation by BCMA.
       
      Included in the patch is the addition of the ASSOCIATED IMMUNIZATION field
      (#9) in the PHARMACY ORDERABLE ITEM file (#50.7) and revisions to the
      options Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] and Dispense 
      Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE ITEMS].
       
      Patch PSB*3*47 provides the BCMA portion of the project.
      
    • 147 SEQ #133
      DATE APPLIED:   2010-03-02 10:11:32
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will make some additional enhancements to the Pharmacy
      this patch. This mail group will be used for various purposes, all
      The following is a list of security keys included in this patch:
       
      Security Key
      ------------                                   
      PSS_CUSTOM_TABLES_ADMIN                      SEND TO SITE
      PSS_CUSTOM_TABLES_APPROVER                   SEND TO SITE
      PSS_CUSTOM_TABLES_REL_MAN                    SEND TO SITE
      PSS_CUSTOM_TABLES_REQUESTOR                  SEND TO SITE
                                                                
       
      relating to the Pharmacy Re-Engineering (PRE) V. 0.5 project.
      The following is a list of protocols included in this patch:
       
      Protocol
      -------- 
      PSS MED ROUTE RECEIVE                        SEND TO SITE
       
      2) Data from the DOSE UNIT (#4) Field and the NUMERIC DOSE (#5) Field of
      the LOCAL POSSIBLE DOSAGE (#50.0904) Subfile of the DRUG (#50) File will
      be added as display elements to the Lookup into Dispense Drug File
      [PSS LOOK] option and the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option.
       
      3) A Vista Mail message will be sent to the PSS ORDER CHECKS Mail Group
      when an update is made to the STANDARD MEDICATION ROUTES (#51.23) File by
      Re-Engineering (PRE) V. 0.5 Pre-Release functionality that was released in
      the New Term Rapid Turnaround (NTRT) process. This mail message will
      include what was updated, and will also include any automatic mapping
      activities that occurred from the MEDICATION ROUTES (#51.2) File to the
      STANDARD MEDICATION ROUTES (#51.23) File.
       
      4) The Request Change to Standard Medication Route [PSS MEDICATION ROUTE 
      REQUEST] option has been changed to now refer the requestor to a web site
      to make the request.
       
      5) A new ADDITIVE FREQUENCY (#18) Field has been added to the IV ADDITIVES
      patch PSS*1.0*129. This patch also sends out four Vista Security Keys to
      (#52.6) File. This field will be used to provide a default value for the
      Additive Frequency field in Computerized Patient Record System (CPRS) when
      continuous IV orders with additives are entered. Data will be
      auto-populated by a Post-Install routine for this patch, and this data
      should be reviewed and edited as necessary. This new field can be edited
      using the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option or the ADditives
      File [PSSJI DRUG] option. These defaults will not start to appear in CPRS
      until Pharmacy Re-Engineering (PRE) V. 0.5. A new IV Additive Report [PSS
      IV ADDITIVE REPORT] option has also been added, and this report, in
      addition to the current IV Solution Report [PSS IV SOLUTION REPORT] 
      be used in the Pharmacy Enterprise Customization System (PECS)
      option, will now be located under the new IV Additive/Solution Reports
      [PSS ADDITIVE/SOLUTION REPORTS] Menu option, which will be located under
      the Pharmacy Data Management [PSS MGR] Menu option.
       
      A Mail Message will be sent to the PSS ORDER CHECKS Mail Group and the
      patch installer upon completion of patch installation.
                                       
       
      This patch addresses the following New Service Request (NSR):
      -------------------------------------------------------------
      Application, which will be released at a later date.
      There is no NSR associated with this patch. 
       
       
      This patch addresses the following Remedy Ticket(s):
      ----------------------------------------------------
      There are no Remedy tickets associated with this patch.
       
       
      Overview of Remedy Ticket(s):
      -----------------------------
       
      There are no Remedy tickets associated with this patch. 
       
       
      Components Exported With Patch: 
      -------------------------------
       
       
      The following is a list of fields included in this patch:
       
      Field Name                 (Number)     File Name             (Number)
      The enhancements to the Pre-Release functionality include:
      -----------------------------------     ------------------------------
      ADDITIVE FREQUENCY               18     IV ADDITIVES              52.6
                                                                   
       
      The following is a list of templates included in this patch:
       
      Template Name               Type           File Name (Number)
      -------------               ----           ------------------
      PSSIV ADD                   Input          IV ADDITIVES (#52.6)
       
                                        
       
      The following is a list of options included in this patch:
       
      Option Name                      Type      Action
      -----------                      ----      ----------------------
      PSS IV ADDITIVE REPORT           RUN       SEND TO SITE
      PSS ADDITIVE/SOLUTION REPORT     MENU      SEND TO SITE
                                                                       
       
      The following is a list of mail groups included in this patch:
      1) A new PSS ORDER CHECKS Mail Group will be created upon installation of
       
      Mail Group
      ---------- 
      PSS ORDER CHECKS 
       
      Please note that the PSS ORDER CHECKS Mail Group is not an actual 
      component of the KIDS Build, but it is created during the Environment 
      Check routine.
       
       
      
    • 143 SEQ #134
      DATE APPLIED:   2010-06-23 16:48:17
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      PSS*1.0*143 adds validation checks to the PSS SCHEDULE EDIT option
      frequency.
       
      2.  Schedule Edit Validation Two
      The system shall validate for frequencies greater than one day (1440
      minutes), that only one administration time is permitted.
      The system shall present a warning message to the user if more than one
      administration time is entered.
       
      3.  Schedule Edit Validation Three
      In Ward Administration Times field in the PSS SCHEDULE EDIT option, for
      to prevent the Standard Administration Times and Ward Administration
      a schedule that has a Schedule Type of Continuous, the system shall
      prevent a user from entering administration times to Odd Schedules, a
      schedule whose frequency is not evenly divisible by or into 1440
      minutes (1 day).
       
      4.  Schedule Edit Validation Four
      Add validation to TYPE OF SCHEDULE field in PSS SCHEDULE EDIT to remove
      frequency from the schedule file entry if the TYPE OF SCHEDULE is
      changed from CONTINUOUS to ONE TIME, PRN, ON CALL, or DAY OF WEEK.
       
      times fields of a schedule from conflicting with the schedule's
      5.  Schedule Edit Validation Five
      In the PSS SCHEDULE EDIT option, the system shall prevent a user from
      creating Day of Week (DOW) schedules that are not in the correct day of
      week order.  The correct order is: SU-MO-TU-WE-TH-FR-SA.
       
      6.  Modify VistA Help Text
      The Help Text in Standard Schedule Edit was modified to add additional
      text so the user is able to see the added constraints when entering
      Administration Times.
      frequency if the frequency is numeric and the schedule type is
      Continuous.
       
      1.  Schedule Edit Validation One
      The system shall validate for frequencies of 1 day (1440 minutes) or
      less that the number of administration times equals 1440 divided by the
      
    • 144 SEQ #135
      DATE APPLIED:   2011-01-27 09:11:35
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the issues reported in:
       
      3) HD0000000324175 - 6 Enter/Edit Dosages
         In the "Enter/Edit Dosages" option in Pharmacy Data Management, there
         is a problem with the BCMA UNITS PER DOSE prompt when editing a
         Possible Dosage. The BCMA UNITS PER DOSE prompt should only be given
         if the Possible Dosage Package field  is marked for Inpatient ("I"),
         and the Application Packages Use field for the drug contains a "I" or
         "U".  Currently the prompt appears twice if the Possible Dosage Package
         and Drug is marked for Inpatient, (and it should only appear once).
         When the drug is not marked Inpatient, The prompt appears only once
       
         when it should not appear at all.
       
      4) HD0000000157266 - Synonym DUOU field does not allow for input of 
                           decimal
        The input template for DISPENSE UNITS PER ORDER UNIT (^DD(50,15)) 
        allows for the input of decimal values (e.g. 2.5).
      1) HD0000000111095 - PSS WARNING BUILDER option fails to respond properly
         When using the VistA "Warning Builder" [PSS WARNING BUILDER] option
         and the user enters a ? or ?? for additional help information,
         the program returns very little help information.
       
      2) HD0000000133036 - Drug Synonym triggers are inconsistent
         Drug Synonym triggers are inconsistent with those on the drug level.
      
    • 157 SEQ #136
      DATE APPLIED:   2011-02-10 14:46:16
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch corrects a defect introduced by patch PSS*1*143 in the
      HD0000000419996
       
      Problem:
      ---------
      Patch PSS*1*143 changed the Standard Schedule Edit [PSS SCHEDULE EDIT]
      option to prevent the prompt for Admin Time from displaying when the
      schedule's Type is PRN, making it difficult to remove the admin times
      from existing PRN schedules. When the schedule type of an existing
      schedule is changed from Continuous to PRN, the admin times are removed,
      however, when an existing schedule with a schedule type of PRN is edited,
      Standard Schedule Edit [PSS SCHEDULE EDIT] option.
      the admin times are not removed.
       
      In addition, an inconsistency exists within the same option: at the
      initial prompt for Schedule Type, entering or accepting a default of
      "PRN", has no affect on the value of admin times.
      However, after pressing Enter or Return to exit the Schedule Type
      prompt, if an up-arrow, or caret "^", is used to return to the Schedule
      Type field, then entering "PRN" or accepting the default of "PRN" the
      second time the prompt is displayed does delete the admin times from the
      schedule.
       
       
      Solution:
      ----------
      Change the Standard Schedule Edit [PSS SCHEDULE EDIT] option to delete
      admin times from the schedule anytime "PRN" is entered, or accepted as a
      default, at the Schedule Type field. For existing PRN schedules, admin
      times may be deleted by re-entering "PRN", or accepting the default value
      "PRN", at the prompt for Schedule Type.
       
      Change the same option to make the Schedule Type prompt to have the same
       
      effect on the schedule's admin times for the initial and all subsequent
      prompts.
      HD0000000419996 -  Admin times cannot be deleted from PRN schedules
      via the Schedule Enter/Edit [PSS SCHEDULE EDIT] option.
       
      Remedy Overview
      ---------------
      
    • 151
      DATE APPLIED:   2011-03-08 13:51:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is part of a set of patches that make up Pharmacy
       
      This patch addresses the following New Service Request (NSR):
      -------------------------------------------------------------
      There is no NSR associated with this patch. 
       
       
      This patch addresses the following Remedy Ticket(s):
      ----------------------------------------------------
      There are no Remedy tickets associated with this patch.
       
      Re-engineering version 0.5. Version 0.5 will replace the current
       
      Overview of Remedy Ticket(s):
      -----------------------------
      There are no Remedy tickets associated with this patch. 
       
       
      Components Exported With Patch: 
      -------------------------------
       
      See the National Patch Module for specifics relating to this patch.
      medication order checking system with a new system that uses data from
      First DataBank (FDB). In addition to replacing the current Drug
      Interaction and Duplicate Class checks with the FDB equivalent of these
      checks, Maximum Single Dose and Daily Dose Range Checks will now also
      occur in Outpatient Pharmacy, Inpatient Medications, and Computerized
      Patient Record System (CPRS).
       
      
    • 142
      DATE APPLIED:   2011-03-08 13:51:32
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
      Currently, for IV orders, if there is more than one orderable item on the
      order, no default medication route is being denoted as a default in the
      CPRS selection list even if all the orderable items on the order share
      the same default med route.
       
       
      Resolution:
      -----------
      This enhancement for IV orders will denote the default med route in the
      selection list in CPRS if all of the orderable items on the order have
      This enhancement is an interim resolution approved by the Inpatient
      the same default med route defined.  If one or more orderable items on
      the order have different default med routes, the current functionality
      will be retained, and no med route in the selection list for CPRS will be
      denoted as a default.  Routine PSSJORDF will be modified for this
      enhancement.
      Medications Workgroup for Patient Safety Issue PSI 08-025, PSPO #852
      as described in Remedy Ticket HD233682.  This patch will help resolve
      incorrect medication routes being displayed for selection in the
      Computerized Patient Record System (CPRS).
       
      Problem:
      --------
      
    • 153 SEQ #139
      DATE APPLIED:   2011-03-31 16:51:14
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is being released in preparation for the medication routes
       
       - The USE DOSAGE FORM MED ROUTE LIST field (#10) is added to the PHARMACY
         ORDERABLE ITEM file (#50.7) with YES/NO values.
       
      The above fields will be available when editing an existing or adding a 
      new orderable item using the following options:
        - Edit Orderable Items [PSS EDIT ORDERABLE ITEMS]
        - Drug Enter/Edit [PSS DRUG ENTER/EDIT
        - Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE
          ITEMS]
      enhancement patch PSS*1*159. This patch contains the following:
       
      The Default Med Route For OI Report [PSS DEF MED ROUTE OI RPT] option
      is modified to include printing of the POSSIBLE MED ROUTES multiple.
       
      In addition, a post install routine will run to update the USE DOSAGE
      FORM MED ROUTE LIST field (#10) based on the value of the DEFAULT MED
      ROUTE FOR CPRS field (#80.7) of the PHARMACY SYSTEM file (#59.7). The
      USE DOSAGE FORM MED ROUTE LIST field (#10) will be exported with "YES"
      for sites that have the DEFAULT MED ROUTE FOR CPRS field (#80.7) set to
      NO. Otherwise, the USE DOSAGE FORM MED ROUTE LIST field (#10) will be 
       
      set to NO.
       - The MED ROUTE field (#.06) of the PHARMACY ORDERABLE ITEM file (#50.7)
         is renamed DEFAULT MED ROUTE.
       
       - The POSSIBLE MED ROUTES multiple (#50.711) is added to the PHARMACY
         ORDERABLE ITEM file (#50.7). This multiple is pointing to the
         MEDICATION ROUTES file (#51.2).
      
    • 136
      DATE APPLIED:   2011-04-28 15:59:28
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
      This is the package that holds the routines responsible for the pharmacy 
      XML interface for drug order checks from First DataBank.
      
    • 18 SEQ #16
      DATE APPLIED:   1998-11-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch PSS*1*18 has three purposes.
       
       3. This patch contains a minor change to the DDs in the PHARMACY PATIENT
          file (#55).  In reference to the Volume field (#1) under the IV
          sub-file, we changed the input transformer by increasing the range
          from 3000 to 9999.
       
       1. This patch corrects a problem with patch PSS*1*13. A routine entry
          call was changed to access three entry points in routine PSSGS0.
       
       2. This patch contains a new field called MAR SORT (#26.4).  It is
          located in the PHARMACY SYSTEM file (#59.7). This field is a set of
          codes that allows the user to (0) sort by order's Schedule Type and
          then Medication Names and (1) sort by order's Medication Names.
      
    • 117 SEQ #141
      DATE APPLIED:   2011-04-28 16:05:56
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is part of a set of patches that make up Pharmacy
       
      This patch addresses the following New Service Request (NSR):
      -------------------------------------------------------------
      There is no NSR associated with this patch. 
       
       
      This patch addresses the following Remedy Ticket(s):
      ----------------------------------------------------
      There are no Remedy tickets associated with this patch.
       
      Re-engineering version 0.5. Version 0.5 will replace the current
       
      Overview of Remedy Ticket(s):
      -----------------------------
      There are no Remedy tickets associated with this patch. 
       
       
      Components Exported With Patch: 
      -------------------------------
       
       
      medication order checking system with a new system that uses data from
      The following is a list of fields included in this patch:
       
      Field Name                 (Number)     File Name             (Number)
      -----------------------------------     ------------------------------
      DISPLAY STATUS                  157     IV Subfile               55.01
                                              of PHARMACY PATIENT         55
      DISPLAY STATUS                  136     UNIT DOSE Subfile        55.06
                                              of PHARMACY PATIENT         55
      HOURS OF RECENTLY DC/EXPIRED   26.8     PHARMACY SYSTEM           59.7
       
      First DataBank (FDB). In addition to replacing the current Drug
       
      The following is a list of options exported in this patch:
       
      Option Name                      Type      Action
      -----------                      ----      ----------------------
      PSS ADDITIVE/SOLUTIONS           Menu      Send to Site
      PSS ADDITIVE/SOLUTION REPORTS    Menu      Delete at Site
      PSS DRG INTER MANAGEMENT         Menu      Delete at Site
      PSS ENHANCED ORDER CHECKS        Menu      Delete at Site 
      PSS INTERACTION LOCAL ADD        Run       Delete at Site
      Interaction and Duplicate Class checks with the FDB equivalent of these
      PSS INTERACTION SEVERITY         Action    Delete at Site
      PSS INTERFACE SCHEDULER          Run       Send to Site
      PSS LOCAL DOSAGES EDIT           Run       Delete at Site
      PSS LOCAL DOSAGES EDIT ALL       Run       Delete at Site
      PSS MAP ONE MED ROUTE            Run       Delete at Site
      PSS MARK PREMIX SOLUTIONS        Run       Send to Site
      PSS MED ROUTES INITIAL MAPPING   Run       Delete at Site
      PSS ORDER CHECK CHANGES          Run       Send to Site
      PSS ORDER CHECK MANAGEMENT       Menu      Send to site
      PSS SCHEDULE PEPS INTERFACE CK   Run       Send to Site
      checks, Maximum Single Dose and Daily Dose Range Checks will now also
      PSS STRENGTH MISMATCH            Run       Delete at Site
      occur in Outpatient Pharmacy, Inpatient Medications, and Computerized
      Patient Record System (CPRS).
       
      
    • 158 SEQ #142
      DATE APPLIED:   2011-04-28 16:14:24
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch contains software modifications to the Pharmacy Data Management 
       . Patient decision-making should be advised by information about a known
         serious side effect with a product, or 
       . Patient adherence to directions for the use of a product is essential
         to its effectiveness. 
       
      The features in the FDA Medication Guides project are being delivered in
      incremental releases. This patch is part of the Increment 2 release. The 
      features included in this release are:
       
       . Establishment of a Server Repository for FDA Medication Guides within 
      (PDM) V. 1.0 application to support the FDA Medication Guides project. The 
         the VA network.
       
       . Updates to 900+ entries in the VA PRODUCT file (#50.68) to store the 
         corresponding FDA Medication Guide document name will be provided via
         the NDF Monthly Data Update patches.
       
       . Introduction of a PC based Java software component to enable the
         automatic retrieval of an FDA Medication Guide from within VistA. The
         software does not require any direct user interaction. It works as a 
         bridge between VistA and the PC where it is installed. The software 
      project objective is to allow pharmacy staff to retrieve the FDA Medication 
         identifies a request from VistA for a specific FDA Medication Guide and
         automatically retrieves it from the Server Repository and displays to the
         user via the Internet Explorer browser. 
        
       . Introduction of a new option called Display FDA Medication Guide [PSN MED
         GUIDE] to the National Drug File V. 4.0 application for retrieving and 
         displaying the FDA Medication Guide for a specific VA Product.
       
       . Introduction of new functionality to the Patient Prescription Processing
         [PSO LM BACKDOOR] option in the Outpatient Pharmacy V. 7.0 application
      Guide for prescriptions that contain FDA approved information that can help
         for retrieving and displaying the FDA Medication Guide for a specific 
         prescription.
        
      Below is a list of all the applications involved in this release along
      with their patch number:
        
         APPLICATION/VERSION                                  PATCH
         -----------------------------------------------------------------
         OUTPATIENT PHARMACY (OP) V. 7.0                      PSO*7*343
         NATIONAL DRUG FILE (NDF) V. 4.0                      PSN*4*263
      patients avoid serious adverse events. The FDA requires that Medication
         PHARMACY DATA MANAGEMENT (PDM) V. 1.0                PSS*1*158
         
      The FDA Medication Guides project is expected to complete in three 
      increments. Among other features, the next Increment will automate the 
      printing of FDA Medication Guides for prescriptions dispensed by the VA
      via Outpatient Pharmacy application when the prescription label is printed.
         
      The following modifications are included in this patch (PSS*1*158):
         
        1. New Data Dictionary field added to PHARMACY SYSTEM (#59.7) file
      Guides be included with certain prescribed drugs and biological products 
       
        A new field called FDA MED GUIDE SERVER URL (#100) is being added to the
        PHARMACY SYSTEM (#59.7) file. This field will be used to store the FDA
        Medication Guide Web server URL which will be used in conjunction with
        the FDA MED GUIDE (#100) field in the VA PRODUCT (#50.68) file to compose
        the complete FDA Medication Guide URL for a specific VA Product entry.
        
        2. A post-install routine will run to set this new field with the value
        shown below, which is the current FDA Medication Guides web Server URL:
        
      when the Agency determines that: 
           http://vaww.national.cmop.domain.ext/FDAMedGuides/
        
        Note: Integration Control Registration (ICR) #2613 is being modified to
              include this new field in the list of fields that can be read by
              the National Drug File (NDF) application.
       
       . Certain information is necessary to prevent serious adverse effects 
      
    • 155 SEQ #143
      DATE APPLIED:   2011-04-28 16:16:28
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses the New Service Request (NSR) #20070434 to prevent
      1. This enhancement utilizes three new fields that were added to the
         VA PRODUCT file (#50.68) as part of patch PSN*4*261. These fields will
         be used during the Match/Rematch process of the Drug Enter/Edit [PSS
         DRUG ENTER/EDIT] and the Enter/Edit Dosages [PSS EDIT DOSAGES] options
         to determine if possible dosages should be auto- created or not. The
         three fields are:
               - CREATE DEFAULT POSSIBLE DOSAGE field (#40)
               - POSSIBLE DOSAGES TO CREATE field (#41)
               - PACKAGE field (#42)
       
      the inadvertent creation of supra-therapeutic possible dosages for high
      When CREATE DEFAULT POSSIBLE DOSAGE field (#40) is "YES", then the
      existing functionality of auto-creating possible dosages will be retained.
      When this field is "NO", it will be used in combination with the value in
      POSSIBLE DOSAGES TO CREATE field (#41) to determine the auto-creation of
      possible dosages.
       
      The following conditions will apply when CREATE DEFAULT POSSIBLE DOSAGE
      field (#40) is "NO":
       
         a. If POSSIBLE DOSAGES TO CREATE field (#41) is "NO", no possible
      risk medications during the dosage creation segment of Pharmacy Data
            dosages will be auto-created and the following message will be
            displayed:
       
           "Due to National Drug File settings no possible dosages were
            auto-created."
         b. If POSSIBLE DOSAGES TO CREATE field (#41) is "O", 1x possible dosage
            will be auto-created for the package specified by the new PACKAGE
            field (#42) and the following message will be displayed:
       
            "Due to National Drug File settings only one possible dosage will be
      Management and National Drug File (NDF) updates.  The Pharmacy Data
             auto-created.
             If other dosages are needed, create POSSIBLE DOSAGES or LOCAL
             POSSIBLE DOSAGES as appropriate."
       
         c. If POSSIBLE DOSAGES TO CREATE field (#41) is "B", 1x and 2x possible
            dosages will be auto-created for the package specified by the new
            PACKAGE field (#42).
       
      2. This patch retires the Auto Create Dosages [PSS DOSAGE CONVERSION]
         option. This option is retired because, if it is run inadvertently, it
      Management V. 1.0 and the National Drug File V. 4.0 were modified
         will delete all existing "Possible Dosages" and "Local Possible
         Dosages" and will re-set the Possible Dosages back to NDF settings. The
         changes that were entered locally by the site for "Possible Dosages"
         and "Local Possible Dosages" will be lost. Upon patch installation,
         this option will be removed from the Dosages [PSS DOSAGES MANAGEMENT]
         menu.
      to satisfy the request. The NDF portion is addressed in patch PSN*4*262.
       
      This patch has the following enhancements:
       
      
    • 163
      DATE APPLIED:   2011-08-12 13:58:31
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch makes a change to the interface when order checks are sent from
      application that the message indicating order checks were not performed be
      displayed to the user.
       
      Additionally, any time order checks are sent through the interface for 
      the PSS INTERFACE SCHEDULER job or as an individual user, certain fields 
      are required numeric values. Is these fields are not numeric, the 
      interface request will fail. This patch will check those fields and 
      substitute a value if necessary. These fields are as follows:
       
      DUZ (User's internal entry number) - the software will replace with 0.
      VistA to the Medication Order Check HealthCare Application (MOCHA). When
      Job Number - the software will replace with 0.
      Station Number - the software will use the leading numerics, but if
      there are no leading numerics, the software will replace with 0.
      Order Checks cannot be performed for any reason, a warning message is 
      displayed to the user that order checks did not occur. There was an 
      occurrence reported in a test account where Order Checks did not occur, 
      but no message was displayed to the user. At the end of all the order
      check processing, this patch will add an additional check to see if the
      flag that indicates the success or failure of the order checks is set. If
      it is not set, it will set the flag that will indicate to the calling
      
    • 149 SEQ #145
      DATE APPLIED:   2011-08-29 15:55:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the issues reported in Remedy Tickets:
      the user enters a schedule with "QD","QOD","HS","TIW" the user is kicked
      out of Vista with this error <UNDEFINED>ENPSJ+6^PSSJSV *X.
       
      1) HD0000000222760 - Pharmacy standard schedule problem
      The use of the @ in the ADMINISTRATION SCHEDULE file #51.1 Name field 
      .01 with the exception of day-of-week schedules, causes the user to be
      locked into a prescription for a 1 time order (reorder)
       
      2) HD0000000422160 - <UNDEFINED>ENPSJ+6^PSSJSV *X
      When using the VistA Standard Schedule Edit[ PSS SCHEDULE EDIT] option and
      
    • 159 SEQ #146
      DATE APPLIED:   2011-12-07 15:19:05
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This enhancement, approved by the Pharmacy Legacy Enhancement (PLE) User
      The pharmacy Integration Control Registration (ICR) #2418 is modified
      to return appropriate medication routes for the orderable item (OI) in
      CPRS ordering dialog with the following conditions.
       
      Note: The fields referenced below are from the PHARMACY ORDERABLE ITEM
            file (#50.7):
       
        1. ICR Modifications
         - Default Med Route
           It will be derived from the DEFAULT MED ROUTE field (#.06) if it's
      Group, will resolve Patient Safety Issue PSI-08-026/PSPO #852 reported in
           populated or from the POSSIBLE MED ROUTES multiple (#50.711) if it's
           populated with single entry and the USE DOSAGE FORM MED ROUTE LIST
           field (#10) is set to "NO."
       
         - Optional Med Routes
           The medication route selection list in CPRS will be populated with
           entries from the POSSIBLE MED ROUTES multiple (#50.711) if the USE
           DOSAGE FORM MED ROUTE LIST field (#10) is set to "NO." Otherwise, it
           will be populated from the medication routes associated with the
           orderable item's dosage form, which is the current logic.
      Remedy Ticket HD233682.
       
        2. The logic for editing the medication route has been modified in the 
           following options:
           - Edit Orderable Items [PSS EDIT ORDERABLE ITEMS]
           - Drug Enter/Edit [PSS DRUG ENTER/EDIT]
           - Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE
             ITEMS]
       
           The software will now ensure that the DEFAULT MED ROUTE field (#.06)
           of the PHARMACY ORDERABLE ITEM file (#50.7) is either defined and/or
       
           at least one entry is defined in the POSSIBLE MED ROUTES multiple
           (#50.711) or the USE DOSAGE FORM MED ROUTE LIST field (#10) is set to
           YES so that the medication route selection during order entry is
           listed appropriately.
       
           Note: This patch will change USE DOSAGE FORM MED ROUTE LIST field
                 (#10) of the PHARMACY ORDERABLE ITEM file (#50.7) from not
                 required to a required field. In order to use the new
                 functionality introduced in this patch, it is imperative that
                 the user marks this field YES or NO. This field will be used to
      This patch will help mitigate incorrect medication routes being displayed
                 determine the medication route selection during order entry.
       
        3. The Pharmacy System Parameters Edit [PSS SYS EDIT] option is modified
           to remove the DEFAULT MED ROUTE FOR CPRS field (#80.7) of the 
           PHARMACY SYSTEM file (#59.7) from the list of fields that can be
           edited.
      for selection in the Computerized Patient Record System (CPRS) V. 3.0.
      This enhancement affects Inpatient Medications unit dose orders, IV Fluids
      orders, and Outpatient Pharmacy orders entered via CPRS orders dialog.
       
      
    • 168 SEQ #147
      DATE APPLIED:   2012-02-06 14:49:14
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      When calls are made to the Medication Order Check Healthcare Application 
      will be aborted with the message indicating that order checks cannot be
      performed.
       
      This patch also addresses an issue (in conjunction with patch PSO*7.0*379)
      concerning Orderable Items that are flaggeed as Supplies. If an order 
      check is to be performed on an order that only has an Orderable Item with 
      no Dispense Drug, an attempt is made to find the best drug available that 
      is matched to the Orderable Item for the order check. Currently, if the 
      Orderable Item is marked as a supply, no order checks are performed. But 
      if the Orderable Item has both Supply and non-Supply Items matched to it, 
      (MOCHA), a "Ping" type of call is made first to test the communication, 
      order checks can possibly be performed on one of the non-supply items. 
      This patch makes the change to look for non-Supply Items matched to the 
      supply Orderable Item to perform the order checks on.
      and if that is successful, the subsequent order check call is made. If 
      either call fails, the process is aborted, and a message is displayed 
      indicating that order checks cannot be performed.
       
      What this patch introduces is a "re-try" if either of these calls fail. 
      After a three second hang, the call (Ping or order check) will be
      attempted again, then if the same call fails a second time, the process
      
    • 156 SEQ #148
      DATE APPLIED:   2012-03-07 10:50:12
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is being released as part of Pharmacy Legacy Enhancements Fiscal
      than one Automated Dispensing Device (ADD) communicating with Veterans Health 
      Information Systems and Technology Architecture (VistA) through OPAI.
       
      1.A new OPAI sub-file (#50.0906) was added to the DRUG file (#50). It gives
        sites the flexibility to define ADDs at the drug level. The sub-file 
        (#50.0906) contains the following new fields:  
           DIVISION  - This is the division associated with the ADD for the drug.
                       This field is a pointer to the OUTPATIENT SITE file (#59).
           WINDOW    - This field is a pointer to the PHARMACY AUTOMATED DISPENSING
            DNS NAME   DEVICES file (#52.53). Orders with a route of WINDOW will be
      Year 2011 to address the Outpatient Pharmacy Automation Interface (OPAI) 
                       sent to this ADD.
           MAIL      - This field is a pointer to the PHARMACY AUTOMATED DISPENSING
            DNS NAME   DEVICES file (#52.53). Orders with a route of MAIL will be
                       sent to this ADD.
       
       
      2.  The Drug Enter/Edit [PSS DRUG ENTER/EDIT] option was modified to include
          the new fields as part of data entry.
      Enhancements. The Outpatient Pharmacy patch PSO*7*354 is also being released 
      as part of this enhancement.
       
      Veterans Affairs Medical Center (VAMC) facilities have moved to using multiple
      vendors for automated medication dispensing systems to improve the efficiency
      of outpatient pharmacy operations. The following enhancements were made to 
      the Pharmacy Data Management software to allow any one division to have more 
      
    • 167 SEQ #149
      DATE APPLIED:   2012-04-30 11:41:29
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       This patch is an enhancement patch. It will create five (5) new security
      This patch addresses the following Remedy Ticket(s):
      ----------------------------------------------------
      There are no Remedy tickets associated with this patch.
       
      Associated PSIs: 
      ----------------
      N/A 
       
      Overview of Remedy Ticket(s):
      -----------------------------
       keys. They will be used to authenticate users using Kernel Authentication
      N/A
       
      Components Exported With Patch: 
      -------------------------------
       
       
      The following is a list of Security Keys included in this patch:
       
      Security Key Name               Action
      -------------------             -------
       & Authorization for J2EE (KAAJEE). Users using the Pharmacy Product System-
      PSS_PPSN_MANAGER                SEND TO SITE
      PSS_PPSN_MIGRATOR               SEND TO SITE
      PSS_PPSN_SECOND-APPROVER        SEND TO SITE
      PSS_PPSN_SUPERVISOR             SEND TO SITE
      PSS_PPSN_VIEWER                 SEND TO SITE
       National (PPS-N) should be assigned these keys after installing this patch.
       PPS-N is a new development effort underway, which is a re-engineered
       product to eventually replace the National Drug File Management System
       (NDFMS). No routines are included in this patch.
       
       
      
    • 146 SEQ #150
      DATE APPLIED:   2012-08-29 11:13:23
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch corrects a patient safety issue in which editing the IV 
      This process has been enhanced by displaying the previously entered Print
      Name as the default if only one is entered.
        Example:
          +------------------------------------------------------------+
          |    Select IV ADDITIVES PRINT NAME: ADDITIVE1//             |
          +------------------------------------------------------------+
       
      If more than one Print Name were previously entered, the software will
      display the list of all linked Additives and/or Solutions to select from
      so an edit may be made. Example:
      ADDITIVES file (#52.6) and/or IV SOLUTIONS file (#52.7) using the Drug
       
        Example:
          +------------------------------------------------------------+     
          | <DRUG NAME> currently linked to the following IV Additives:|
          |                                                            |
          |       1. ADDITIVE1                                         |
          |       2. ADDITIVE2                                         |
          |                                                            |
          |    Select 1-2 from list above or type 'NEW' to link        |
          |    to a new IV Additive:                                   |
      Enter/Edit [PSS DRUG ENTER/EDIT] option is problematic. The current
          +------------------------------------------------------------+
       
      The new enhancement will also allow the user to enter a new Additive or
      Solution and link it to the dispense drug. The software will give the user
      the choice to enter and link the dispense drug to a new Additive or
      Solution as well as require a confirmation of the selected dispense drug
      that will be linked to the selected Additive/Solution. 
       
        Example (Create new IV Additive and link to drug):
        +--------------------------------------------------------------------+
      functionality needs to be changed to prevent erroneous matching with
        | <DRUG NAME> currently linked to the following IV Additives:        |
        |                                                                    |
        |    1. ADDITIVE1                                                    |
        |    2. ADDITIVE2                                                    |
        |                                                                    |
        |    Select 1-2 from list above or type 'NEW' to link                |
        |    to a new IV Additive: NEW                                       |
        |                                                                    |
        | Select IV ADDITIVES PRINT NAME: TEST                               |
        |   Are you adding 'TEST' as a new IV ADDITIVES (the 33RD)? No// Yes |
      Dispense Drugs. It is very easy to select the wrong item and incorrectly
        | IV ADDITIVES DRUG UNIT: GM  GM                                     |
        | PRINT NAME: TEST//                                                 |
        | Select DRUG GENERIC NAME: CEFAMANDOLE 1GM INJ//  AM116             |
        | ARE YOU SURE YOU WANT TO SELECT CEFAMANDOLE 1GM INJ? No// Y  (Yes) |
        | ...                                                                |
        |                                                                    |
        | <DRUG NAME> currently linked to the following IV Additives:        |
        |                                                                    |
        |    1. ADDITIVE1                                                    |
        |    2. ADDITIVE2                                                    |
      change the PRINT NAME field (#.01) of the additives or solutions files.
        |    3. TEST                                                         |
        |                                                                    |
        |    Select 1-3 from list above or type 'NEW' to link                |
        |    to a new IV Additive: NEW                                       |
        +--------------------------------------------------------------------+
       
      The new enhancement will also create the new sub-menu Inpatient Drug 
      Management [PSS INP MGR]. This sub-menu will be located under the 
      Pharmacy Data Management [PSS MGR] menu and will include the following 
      options:
      Also, once an additive or solution is selected, it is unclear as to
       - ADditives File [PSSJI DRUG]
       - Dispense Drug Fields [PSSJU DRG]
       - Dispense Drug/ATC Set Up [PSSJU DRUG/ATC SET UP]
       - Edit Cost Data [PSSJU DCC]
       - EDit Drug Cost (IV) [PSSJI EDIT DRUG COST]
       - MARk/Unmark Dispense Drugs For Unit Dose [PSSJU MARK UD ITEMS]
       - PRimary Solution File (IV) [PSSJI SOLN]
       
       
      In addition to these enhancements, an unrelated defect that was discovered
      whether or not the user is still selecting or editing.
      with the PSSIV ADD Input Template during testing was corrected in this 
      patch. The error prevented valid ADMINISTRATION TIMES from being 
      associated with the IV ADDITIVE as well as QUICK CODES associated with 
      the IV ADDITIVE. The error was addressed by correctly validating the 
      ADMINISTRATION TIMES fields using the same validation as is used in the 
      ADMINISTRATION SCHEDULE file (#51.1).
       
      
    • 14 SEQ #17
      DATE APPLIED:   1998-12-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch creates a new Pharmacy Data Management option, Pharmacy quick
      order correction for CPRS [PSS QUICK1].  This option will allow the
      pharmacy quick orders that weren't converted in the OR*2.5*49 patch
      conversion to be manually corrected and converted to the quick order in
      Computerized Patient Record System.  The invalid data in each quick order
      will be shown and the user will be prompted to correct the item.  This
      option is not distributed on any menu. It should be assigned to the
      appropriate person in pharmacy that would make decisions about editing
      these quick orders.
      
    • 171 SEQ #151
      DATE APPLIED:   2012-09-12 16:25:59
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Special Instructions/Other Print Info
      for IV).
       
      Special Instructions and Other Print Info may also be entered
      and/or edited from within Inpatient Medications V. 5.0 order entry
      options.
       
      Prior to this enhancement, Inpatient Medications maximum character
      length for Special Instructions was 180 characters and for Other Print
      Info the maximum length was 60 characters. This enhancement resolves
      Patient Safety Issues PSPO 42, 1466 / Remedy Ticket HD336419
      ________________________________________
      - Comment lengths between CPRS and Pharmacy.
       
      No Allergy Assessment
      ________________________
      The No Allergy Assessment enhancement provides an interactive alert to the
      pharmacist in Inpatient Medications V. 5.0 when no allergy assessment is
      on file for the patient, and a method for the pharmacist to enter an
      allergy assessment after receiving the alert.  A pharmacy intervention
      is automatically created if the pharmacist chooses to not enter an
      assessment.
      With this enhancement, Special Instructions and Other Print Info have been
       
      The No Allergy Assessment functionality will be available at the
      following options:
       
      Delete Orders [PSJI DELETE ORDER]
      Inpatient Order Entry [PSJ OE]
      Non-Verified/Pending Orders [PSJU VBW]
      Order Entry [PSJU NE]
      Order Entry (IV) [PSJI ORDER]
      Profile (IV) [PSJI PROFILE]
      modified to support an unlimited amount of text. The existing
       
      When a patient with no allergy assessment is selected from one of the
      affected options, the following message will be displayed to the
      pharmacist:
       
      "NO ALLERGY ASSESSMENT exists for this patient! Would you like to enter
      one now?"
       
       - If the pharmacist enters 'YES' at this prompt, they are prompted
         for allergy information.
      functionality that copies the provider comments from the Computerized
       - If the pharmacist enters 'NO' at this prompt, a pharmacist intervention
         is created, with a type of 'NO ALLERGY ASSESSMENT'. The pharmacist is
         then prompted for Provider and Recommendation. A new Recommendation,
         'UNABLE TO ASSESS', has been created specifically  for this type of
         intervention.
       
      This enhancement will address Patient Safety Issue PSPO 445.
      Patient Record System (CPRS) to be copied into each field has been
      retained, and an additional action has been added to optionally open a
      word processing edit dialog after copying the provider comments into the
      appropriate field (Special Instructions for Unit Dose, Other Print Info
      
    • 164 SEQ #152
      DATE APPLIED:   2013-02-12 10:38:22
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       This patch makes three enhancements to Pharmacy Data Management (PDM)
       
       The second enhancement is a change to the menu option entitled
       "Print PEPS Services Setup" {PSS CHECK PEPS SERVICES SETUP]. Additional
       functionality is provided to the user with a device prompt to send the
       output to a printer device or they may choose to print to the screen.
       
       The third enhancement deals with the way entries in the DOSE UNITS file
       (#51.24) are displayed. Some of the entries in this file are composed
       of TallMan lettering (mixed case). Under the menu option entitled
       "Request Change to Dose Unit" [PSS DOSE UNIT REQUEST], if a user
       and re-introduces an option from PSS*1*129 as a "stand alone" option:
       requests a change to an entry that is composed of Tallman lettering,
       previously, these entries did not collate as desired. Any entry
       composed of TallMan lettering is converted to uppercase when doing the
       lookup so that alphabetic sorting is maintained while still preserving
       Ta1lMan lettering. A Post-Install routine PSS164P is included to re-index
       the DOSE UNITS file (#51.24).
       
       The option "Find Unmapped Local Possible Dosages" [PSS LOCAL DOSAGES
       EDIT ALL] is exported and re-introduced as a "stand alone" option. The
       option loops through all Local Possible Dosages, identifies entries
       
       eligible for dosage checks that do not have data in the new Dose Unit
       and Numeric Dose fields, and prompts for data entry into these fields.
       It was purposely deleted with the install of MOCHA V1.0. It was thought
       that it was no longer needed. It is being exported at the request of
       the sites. It was found that some had not fully mapped their dosages
       completely and have since added new drugs to DRUG file (#50) as well
       as have unmatched some drugs to National Drug File (NDF).
       The first enhancement adds a new menu option under the menu option
       entitled "PEPS Services" [PSS PEPS SERVICES]. This new option is entitled
       "Print Interface Data File" [PSS VENDOR INTERFACE REPORT]. This report
       prints entries from the VENDOR INTERFACE DATA file (#59.74). The user is
       asked for a date/time range and the report is sorted by the most recent
       downtime first.
      
    • 169 SEQ #153
      DATE APPLIED:   2013-02-12 10:38:29
      APPLIED BY:   USER,SEVENTEEN
    • 150 SEQ #154
      DATE APPLIED:   2013-03-27 15:04:24
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issues:
       
       Update the calculation for slashed dosages in outpatient pharmacy by 
       correctly calculating duration in reation to dosage.
       
       Prevent display of non-editable field IV FLAG (#.03) in the PHARMACY 
       ORDERABLE ITEM FILE (#50.7) from displaying when attempting to edit 
       via fileman.
      
    • 166
      DATE APPLIED:   2013-06-14 09:01:29
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is being released as part of the DEA e-Prescribing of 
         -----------------------------------------------------------------
         KERNEL V. 8.0                                          XU*8*580
         PHARMACY DATA MANAGEMENT (PDM) V. 1.0                  PSS*1*166
         COMPUTERIZED PATIENT RECORD SYSTEM (CPRS) V. 3.0       OR*3*306
         CONTROLLED SUBSTANCES (CS) V. 3.0                      PSD*3*73
         OUTPATIENT PHARMACY (OP) V. 7.0                        PSO*7*391
       
      Note: Patches PSO*7*391 and PSD*3*73 will be released in the Kernel 
            Installation and Distribution System (KIDS) multi-build distribution
            CPRSV29_PSO_PSD.
      Controlled Substances (CS) project using Public Key Infrastructure (PKI)
       
      This is the Pharmacy Data Management patch (PSS*1*166) that provides
      the following enhancements and will be in the KIDS distribution PSS_1_166.
       
      1. This patch modifies Integration Control Registration (ICR) #3737 by
         adding the following two new Application Programming Interface (API):
         a. The API $$DETOX^PSSOPKI will return a "1" (one) if the drug name 
            contains "BUPREN", a detoxification drug or a "0" (zero) otherwise.
       
         b. The API $$OIDETOX^PSSOPKI is provided to CPRS to determine
      to satisfy requirements requested by the Drug Enforcement Administration
         whether an orderable item has an associated detoxification drug.
       
      2. This patch modifies ICR #3784 - API $$IVDEA^PSSUTIL1 to return the 
         specific CS FEDERAL SCHEDULE field (#19) code of the VA PRODUCT file
         (#50.68) or the specific DEA, SPECIAL HDLG field (#3) code of the DRUG
         file (#50) of the drugs tied to the Orderable Item.
       
      3. Patch PSS*1*159 introduced an issue where the user was prevented from
         up-arrowing (^) to quit out of the template in the Edit Orderable Items
         [PSS EDIT ORDERABLE ITEMS] option. This patch resolves that issue by
      (DEA).
         allowing the user to up-arrow out of the template.
      The applications involved in this project along with their patch numbers 
      are listed below and the same order should be followed when installing 
      the patches.
       
         APPLICATION                                            PATCH
      
    • 176 SEQ #156
      DATE APPLIED:   2013-09-11 11:50:15
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the issues reported in:
      INC000000720652 - Audit File/Drug File Issue
      The DRUG file (#50) uses a cross-reference trigger to update the PRICE PER
      DISPENSE UNIT field (#16) whenever the PRICE PER ORDER UNIT field (#13)
      and/or the DISPENSE UNITS PER ORDER UNIT field (#15) are changed.  These
      cross-reference triggers are currently configured incorrectly and when 
      sites turn auditing on for these fields no data is collected.
      INC000000607659 - Incorrect Drug Cost in Outpt Rx Clean up need
      Incorrect drug costs in Outpatient Pharmacy associated with the National
      Drug Class (NDC)
       
      When a prescription is released, the multiple, NDC BY OUTPATIENT SITE 
      (#50.032) in the DRUG file (#50) is getting stored.  Only the drugs that
      are E-PAYABLE should have this multiple stored in the DRUG file. 
       
      
    • 174 SEQ #157
      DATE APPLIED:   2013-12-03 15:23:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will address Patient Safety Issue PSPO00001088 and
      at the GENERIC DRUG prompt and introduced this issue.  Patch
      5) This patch will also enhance the capabilities of the IV ADDITIVES
      File (#52.6) and IV SOLUTIONS File (#52.7) so that a user can enter
      a new additive or solution that has the same name as an existing entry.
      Previously, a Fileman workaround had to be used to enter an identically
      named entry.  With this patch, if the user types in a name that already
      exists in the file, they will first be presented with a list of available
      selections.  If the user scrolls through the list without selecting an
      entry, they will be presented with the prompt to add a new entry.
       
      For example - IV ADDITIVES File (#52.6)
      PSS*1.0*174 will fix this problem by properly allowing the
       
      CHOOSE 1-2: 1  PSSJI DRUG     ADditives File
      ADditives File
      Select IV ADDITIVES PRINT NAME: TESTDRUG
        Lookup: PRINT NAME
           1   TESTDRUG         Additive Strength: 10 MG  
                     
           2   TESTDRUG         Additive Strength: N/A  
           3   TESTDRUG         Additive Strength: 5 GM  
                     
      user to exit the GENERIC DRUG prompt by using the caret (^).
           4   TESTDRUG         Additive Strength: 12 GM  
                     
      CHOOSE 1-4: 
        Are you adding 'TESTDRUG' as a new IV ADDITIVES (the 77TH)? No// Y  
      (Yes)
       
       
      For example - IV SOLUTIONS File (#52.7)
       
      Select OPTION NAME: PSSJI SOLN       PRimary Solution File (IV)
       
      PRimary Solution File (IV)
      Select IV SOLUTIONS PRINT NAME: 0.9% SODIUM CHLORIDE
        Lookup: PRINT NAME
           1   0.9% SODIUM CHLORIDE            250 ML                 
           2   0.9% SODIUM CHLORIDE            50 ML  
                     
           3   0.9% SODIUM CHLORIDE            25 ML  
       
      CHOOSE 1-3: 
       
      2) Another issue addressed with this patch is the wording when the
        Are you adding '0.9% SODIUM CHLORIDE' as 
          a new IV SOLUTIONS (the 32ND)? No// Y  (Yes)
       
      6) This patch will also allow the addition of identically named
      IV ADDITIVES and IV SOLUTIONS from the DRUG ENTER/EDIT 
      [PSS DRUG ENTER/EDIT] option when linking an additive or solution
      to the drug.
       
      For example - new additive:
       
      User is linking an IV Additive to a Generic Drug at the 
      AN IV ITEM? Yes// Y  (Yes)
      Edit Additives or Solutions: 
       
           Select one of the following:
       
                A         ADDITIVES
                S         SOLUTIONS
       
      Enter response: ADDITIVES
       
      GENERIC DRUG prompt in menu option ADditives File [PSSJI DRUG].  It was
       CEFAZOLIN SOD 1GM INJ currently linked to the following IV Additives:
       
       
                     
         1. TESTDRUG                 Additive Strength: 10 MG
                     
         2. TESTDRUG                 Additive Strength: 5 GM
                     
         3. TESTDRUG                 Additive Strength: 12 GM
                     
      unclear which drug name was the Additive and which was the
         4. TESTDRUG                 Additive Strength: 12.5 GM
                     
       
      Select 1-4 from list above or type 'NEW' to link to a new IV Additive: NEW
       
      Select IV ADDITIVES PRINT NAME: TESTDRUG
        Lookup: PRINT NAME
           1   TESTDRUG         Additive Strength: 10 MG  
                     
           2   TESTDRUG         Additive Strength: 5 GM  
      Generic Drug when selecting.  This patch will remove the 
                     
           3   TESTDRUG         Additive Strength: 12 GM  
                     
           4   TESTDRUG         Additive Strength: 12.5 GM  
                     
      CHOOSE 1-4: 
        Are you adding 'TESTDRUG' as a new IV ADDITIVES (the 78TH)? No// Y  
      (Yes)
       
       
      uncertainty by clearly stating to the user which is the
      For example - new solution:
       
      AN IV ITEM? Yes//   (Yes)
      Edit Additives or Solutions: 
       
           Select one of the following:
       
                A         ADDITIVES
                S         SOLUTIONS
       
      New Service Request (NSR) 20110308 as well as defects introduced
      IV Additive and which is the Generic Drug.  For example:
      Enter response: SOLUTIONS
       
       CEFAZOLIN SOD 1GM INJ currently linked to IV Solutions:
       
         1. 0.9% SODIUM CHLORIDE   300 ML
         2. 0.9% SODIUM CHLORIDE   300 ML
         3. 0.9% SODIUM CHLORIDE   450 ML
         4. 0.9% SODIUM CHLORIDE   254 ML
       
      Select 1-4 from list above or type 'NEW' to link to a new IV Solution: NEW
       
       
      Select IV SOLUTIONS PRINT NAME: 0.9% SODIUM CHLORIDE
        Lookup: PRINT NAME
           1   0.9% SODIUM CHLORIDE            250 ML  
                     
           2   0.9% SODIUM CHLORIDE            50 ML  
                     
           3   0.9% SODIUM CHLORIDE            25 ML  
           4   0.9% SODIUM CHLORIDE            10 ML  
           5   0.9% SODIUM CHLORIDE            1000 ML  
      PRINT NAME: CEFAZOLIN// 
                     
      Press <RETURN> to see more, '^' to exit this list, '^^' to exit all 
      lists, OR
      CHOOSE 1-5: 
       
        Are you adding '0.9% SODIUM CHLORIDE' as 
          a new IV SOLUTIONS (the 33RD)? No// Y  (Yes)
       
       
       
      GENERIC DRUG: CEFAZOLIN SOD 10GM M/D INJ// CEFAZ
      ** NOTE **
      This patch must be installed in conjunction with the Inpatient
      Medications v. 5.0 patch PSJ*5.0*289 for the full functionality
      to be realized.
           1   CEFAZOLIN OPTH SOLN 50MG/CC  (15CC) 
           2   CEFAZOLIN SOD 10GM M/D INJ           AM115     
           3   CEFAZOLIN SOD 1GM INJ           AM115     N/F   
      CHOOSE 1-3: 3  CEFAZOLIN SOD 1GM INJ         AM115     N/
       
      You are about to change the GENERIC DRUG linked to this ADDITIVE.
      by patch PSS*1.0*146.
      ADDITIVE CEFAZOLIN is currently linked to 
      GENERIC DRUG CEFAZOLIN SOD 10GM M/D INJ.
       
      Are you sure you want to link ADDITIVE CEFAZOLIN
      to GENERIC DRUG CEFAZOLIN SOD 1GM INJ? No//
       
      3) This patch will also serve as the overall resolution to the
      issue of ambiguous IV Additive strength when a pharmacist is
      finishing an IV by adding a STRENGTH (#19) field to the 
      IV ADDITIVES File (#52.6).  The new STRENGTH (#19) field
       
      can be populated when adding a new IV Additive or when editing
      an existing IV Additive via menu option ADditives File [PSSJI DRUG].
       
      For example:
       
      PRINT NAME: CEFAZOLIN// 
      GENERIC DRUG: CEFAZOLIN SOD 10GM M/D INJ//       AM115
      USED IN IV FLUID ORDER ENTRY: YES// 
      DRUG UNIT: GM// 
      STRENGTH: 1// ??
      1) When adding a new IV Additive to the IV ADDITIVES File (#52.6),
       
      This field identifies the numeric amount of medication that is
      provided by one unit-of-use for the identified product.
       
      For example, if one vial contains 50 MG of medication, the
      STRENGTH will be entered as '50'.  The DRUG UNIT of 'MG'
      is populated by the DRUG UNIT (#2) field.
       
       
      Whenever a lookup is performed on the IV ADDITIVES File (#52.6), the 
      and the user is at the GENERIC DRUG prompt, there is no way
      STRENGTH (#19) field will display next to the NAME (#.01) field
      with the words "Additive Strength:" and then its value.
      Additionally, the DRUG UNIT (#2) field will be appended to the
      STRENGTH (#19) field.  If the STRENGTH (#19) field is not
      populated for the IV Additive, the text "N/A" will display, and
      the DRUG UNIT (#2) field will not display.
       
      For example:
       
      Select IV TYPE: PIGGYBACK.
      to exit from the prompt. The input does not allow the user
      Select ADDITIVE: CEFAZOL
           1   CEFAZOLIN         Additive Strength: 1 GM  
                     IV ROOM ONLY
           2   CEFAZOLIN         Additive Strength: 2 GM  
                     
           3   CEFAZOLIN PREMIX         Additive Strength: N/A  
                     
      CHOOSE 1-3:
       
      4) Additionally, this patch makes a small enhancement to the display
      to use the caret (^) to exit. The code that was modified
      of Quick Codes during the selection of an IV ADDITIVE during
      order entry.  When a lookup is performed on an IV ADDITIVE, if there
      are QUICK CODES defined for the IV ADDITIVE, the QUICK CODE
      STRENGTH (#1) field and the USUAL IV SCHEDULE (#4) field from the
      QUICK CODE Subfile (#52.61) will display next to the QUICK CODE.
      If the QUICK CODE STRENGTH (#1) field is null, "N/A" will be displayed.
      If the USUAL IV SCHEDULE (#4) field is null, "N/A" will be displayed.
       
      For example:
      Select ADDITIVE: CEFAZ
      in routine PSSVIDRG for patch PSS*1.0*146 changed the code
           1   CEFAZOLIN         Additive Strength: 1 GM  
                     
             - CEFAZ1GM -        Quick Code Strength: 1 GM     Schedule: N/A
             - CEFAZ2GM -        Quick Code Strength: N/A     Schedule: BID
           2   CEFAZOLIN         Additive Strength: 2 GM  
                     IV ROOM ONLY
           3   CEFAZOLIN PREMIX         Additive Strength: N/A  
                     
      CHOOSE 1-3: 
       
      
    • 172 SEQ #158
      DATE APPLIED:   2013-12-12 14:11:31
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      IMR6 - HIGH RISK/ALERT MEDICATION FIELD ADDED TO PHARMACY ORDERABLE ITEM 
      FILE #50.7
      
    • 160
      DATE APPLIED:   2014-04-07 17:22:55
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will activate the new Dosing Order Check functionality for
       
      This patch addresses the following New Service Request (NSR):
      -------------------------------------------------------------
      There is no NSR associated with this patch. 
       
       
      This patch addresses the following Remedy Ticket(s):
      ----------------------------------------------------
      There are no Remedy tickets associated with this patch.
       
      Single Dose checking only for Inpatient Medications, Outpatient Pharmacy,
       
      Overview of Remedy Ticket(s):
      -----------------------------
      There are no Remedy tickets associated with this patch. 
       
       
      Components Exported With Patch: 
      -------------------------------
       
       
      and Computerized Patient Record System (CPRS). A message will be displayed
      The following is a list of fields included in this patch:
       
      Field Name                      (Number)   File Name             (Number)
      ----------------------------------------   ------------------------------
      EXCLUDE FROM ALL DOSE CHECKS           9   ADMINISTRATION SCHEDULE   51.1
      EXCLUDE FROM DAILY DOSE CHECK         10   ADMINISTRATION SCHEDULE   51.1
      DOSING ON/OFF                         95   PHARMACY SYSTEM           59.7
      DOSING ACTIVITY DATE AND TIME subfile 82 of PHARMACY SYSTEM          59.7:
        DOSING ACTIVITY DATE AND TIME      .01
        PERSON MAKING CHANGE                 1
      to the user if the Single Dose entered for the medication order and all
        ENABLE/DISABLE                       2                   
                              
      The following is a list of data included in this patch:
       
      File                      Entry
      -------------------       -------------
      DOSE UNITS (#51.24)       FILM(S)
      DOSE UNITS (#51.24)       ELISA UNIT(S) 
      DOSE UNITS (#51.24)       MILLIONUNIT(S)  new synonyms only:
                                MILLION UNIT
      the other pertinent data is able to be properly converted for a valid
                                MILLION UNITS
                                            
       
      The following is a list of templates included in this patch:
       
      Template Name                Type         File Name (Number)
      ------------------           -----        -------------------------------
      PSSJ SCHEDULE EDIT           Input        ADMINISTRATION SCHEDULE (#51.1)
       
       
      Dosing Check, and the result is an out-of-range warning. An error message
      The following is a list of options included in the patch:
       
      Option Name                       Type
      --------------------------        ----
      PSS DRUG DOSING LOOKUP            Run
      PSS DOSING ORDER CHECKS           Run
      PSS TRAILING SPACES REPORT        Run
                                            
       
      The following is a list of security keys included in this patch:
      will be displayed if for any reason the Single Dose check cannot be 
       
      Security Key Name
      -----------------
      PSS ORDER CHECKS
      performed.
       
      
    • 173
      DATE APPLIED:   2014-04-07 17:23:12
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is part of a group of patches that make up the new Medication 
       
      This patch also makes a second line patch list correction to the routine 
      PSS551. In patch PSS*1*169, the second line of the routine mistakenly 
      listed patch 260. This patch removes the 260 designation.
       
      MOCHA v2.0 consists of the following patches:
      1.      PSS*1*160
      2.      MOCHA_2_0.KID host file which contains PSJ*5*252, PSO*7*372 and
      OR*3*345
      3.      PSS*1*173
      This patch is part of a group of patches that make up the new Medication 
      4.      MOCHA_2_FOLLOW UP COMBINED BUILD.KID host file which contains 
      PSJ*5*257, PSO*7*416, OR*3*311 and GMRA*4*47
       
      These files and patches contain software that supports MOCHA v2.0 
      functionality.  The host files were created to simplify installation at 
      Veterans Health Administration (VHA) facilities.
       
      Please refer to the Installation Guide for installation instructions.
      Order Check Healthcare Application v2.0 (MOCHA). These patches will add a
      maximum single dose order check to the current Veterans Health Information
      Systems and Technology Architecture medication order checking system that
      uses the First DataBank (FDB) business logic and database.  FDB custom
      dosing tables will be used to store custom dosing changes to FDB standard
      reference drug tables. Pharmacy Enterprise Customization System v.2.2
      (PECS) application was developed to meet the customization requirements.
      
    • 16 SEQ #18
      DATE APPLIED:   1998-12-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Patch PSS*1*16 contains resolutions to the following issues:
           DA variable from the Kill logic and placed it in a clean up routine 
           PSSDEE2.  
       
       2.  In routine PSSDEE at APP+0, we changed the statement, "MARK 
           THIS DRUG FOR AND EDIT" to "MARK THIS DRUG AND EDIT IT FOR:".  
       
       3.  It corrects a problem indicated in NOIS BIR-1098-32686. The site 
           indicated that the CMOP ID is no longer appearing in the Lookup into 
           Dispense Drug File [PSS LOOK] option.  This patch will correct 
           this problem.  
       
       1.  It corrects a problem indicated in NOIS LOU-0698-40167.  In the 
           Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, the system encountered 
           an undefined variable (DA) when a user tried to mark a drug as 
           Clozapine.  The error was detected at UD^PSSDEE; however after 
           further analysis, the culprit was really discovered in routine 
           PSSCLDRG. In routine PSSCLDRG, ASK+3,END+0, and UNMARK+1, the DA 
           variable is a part of the Kill logic.  In this patch, we removed the 
      
    • 170 SEQ #161
      DATE APPLIED:   2014-06-12 09:12:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the issues reported.
      performed automatically. This happens before the user gets asked the
      question 'Do you want to merge new Local Possible Dosages?'
       
      3) HD0000000347730 - Errors in reminder index for non-VA meds
      The VistA 'Clinical Reminders Index Build' [PXRM INDEX BUILD] option runs
      the ^PSSSXRD routine used to create and rebuild the Clinical Reminders
      Index and the ^PSOPXRMU routine used by the cross-reference to keep the
      index current differ in how they set the discontinued date when that it is
      missing. The differences in the discontinued date cause the Clinical
      Reminders to be inaccurate.
       
       
      4) HD0000000500625 - Medication Reconciliation national component 
                           displaying on scalp instead of subcutaneous
      When users change the name of a Medication Instruction using the VistA
      Medication Instruction File Add/Edit [PSSJU MI] option, the system does
      perform the duplicate entry check.  This allows users to create duplicate
      entries which in turn cause the Medication Reconciliation to display the
      incorrect data.
       
      5) HD0000000507504 - User unable to mark/unmark drugs for CMOP
      1) HD0000000174282 - Problem with PSS LOOK option
      When using the VistA 'CMOP Mark/Unmark (Single drug)' [PSSXX MARK] option
      and the users tries to mark or unmark drugs for CMOP the system displays
      "Do you wish to mark this drug to transmit to CMOP?"
      "Enter Yes or No: "
      If the user enters a "Yes" or "No" response, the system repeats the 
      prompt.
      If the user enters a "Y", "y", "N" or "n" the system accepts the entry.
      The VistA option 'Lookup into Dispense Drug File' [PSS LOOK] does not work
      the same as the 'Drug File Inquiry' [PSB DRUG INQUIRY] option.
       
      2) HD0000000230104 - Using Drug Enter/Edit Option in PDM, local possible
                           dosage merge performed automatically.
      When Using Drug Enter/Edit Option in PDM, local possible dosage merge
      
    • 183 SEQ #162
      DATE APPLIED:   2014-08-14 14:37:29
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch modifies the Application Programming Interfaces (API), 
      $$DETOX^PSSOPKI to return a "1" (one) only if the drug name contains 
      "BUPREN" and the dosage form does not contain "PATCH", otherwise a 0 
      ("zero").
      
    • 180 SEQ #163
      DATE APPLIED:   2014-11-04 10:42:28
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following reported issues:
      Drug Enter/Edit options, the prompt for Additive Frequency is missing.
      Currently the only way to edit the ADDITIVE FREQUENCY field (#18) is
      through FileMan.
       
      3) INC000000942809 - Message Sent field (#3) in the Vendor Interface
                           Data file (#59.74) not populating.
      A defect was discovered with the population of the Message Sent field 
      (#3) in the Vendor Interface Data file (#59.74).  When the Interface
      Scheduler [PSS INTERFACE SCHEDULER] job receives an error indicating
      that the Vendor Database is down, it makes an entry in the Vendor
       
      Interface Data  file (#59.74) and sends a VistA MailMan message to the
      mail group PSS ORDER CHECKS. When the message is sent, the message
      sent field(#3) is not being updated with the message sent flag.
      1) INC000000324382 - Drug Enter/Edit option
      The Drug Enter/Edit [PSS DRUG ENTER/EDIT] VistA option deletes a drugs
      Possible Dosage of an inactive drug if the user answers YES to the "Do you
      wish to match/rematch to NATIONAL DRUG file?" prompt.
       
      2) INC000000861438 - PSSIV ADD Input Template 
      When editing an IV Additive, using both the Additives File and the 
      
    • 177 SEQ #164
      DATE APPLIED:   2015-01-21 13:39:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the issue reported in:
      INC000000824872 - UPDATE FDA MED GUIDES URL
      The automatic printing functionality does not connect to the secure 
      Sharepoint  to retrieve the requested guide and a sheet of paper prints 
      on my printer "ERROR: UNABLE TO AUTOMATICALLY PRINT MEDICATION GUIDE".
      
    • 190 SEQ #165
      DATE APPLIED:   2015-06-16 12:22:09
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Patch PSS*1.0*190 addresses the following issue:
       
      Unable to enter new national drug interactions into Drug Interactions 
      file (#56).
      
    • 119 SEQ #166
      DATE APPLIED:   2015-09-16 14:21:39
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the issue reported:
      *  This patch contains an environment check and will only install   *
      *           if one of the following conditions is met.              *
      *                                                                   *
      *  1)  If the site is a CMOP site this patch will be installed.     *
      *                                                                   *
      *  2)  If you are NOT a CMOP site and patches PSJ*5.0*194 and       *
      *      PSO*7.0*282 are installed.                                   *
      *                                                                   *
      *                                                                   *
      *********************************************************************
       
       
      1) INC0000149525 - Problems placing PRN orders with multiple spaces/words
       
       
      *********************************************************************
      *                              WARNING                              *
      *                                                                   *
      
    • 188 SEQ #167
      DATE APPLIED:   2016-02-11 17:15:15
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      HAPE EDI Revenue project - NCPDP Continuous Maintenance Standards
      
    • 191 SEQ #168
      DATE APPLIED:   2016-03-28 12:34:51
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch PSS*1.0*191 provides enhancements to Pharmacy Data Management 
      order:
       
      1.      PSS*1*191
      2.      PSJ*5*315
      3.      PSB*3*83
      4.      OR*3*417
      5.      PSB*3*87
       
      ATTENTION: This enhancement also includes a new Graphical User Interface
      (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is
      to support changes to the BCMA and Inpatient Medications
      required immediately after the KIDS install for the Patch to function.
       
      For retrieval and installation instructions, please see the Client 
      Installation Instructions section.
      **************************************************************************
       
      These enhancements are made to address NSR 20141012. 
           They include: 
       
           1. Currently Sites have to create fake removal orders to allow for 
      applications for Transdermal Administrations.
      appropriate removal of medications in BCMA.  This patch will alleviate 
      that issue by adding a field to the ORDERABLE ITEM (#50.7) file titled 
      PROMPT FOR REMOVAL IN BCMA (#12).  This field implements changes that will
      support enhancements to the BCMA and Inpatient Medication applications to 
      display the removal times in Inpatient Medication orders using rules 
      determined by the value of this field. The PROMPT FOR REMOVAL IN BCMA 
      (#12) field can be set for Orderable Items that require removal to the 
      following values:
       
           NULL/0=No Removal Required 
       
           1 = Removal at Next Administration 
           2 = Removal Period Optional Prior to Next Administration  
           3 = Removal Period Required Prior to Next Administration
       
           2. A post installation routine, PSS1P191, will update the new PROMPT
      FOR REMOVAL IN BCMA (#12) field to a value of 1 for all Orderable Items
      with a Dosage Form that contain the word "PATCH".  A message will be sent
      to the installer as well as all users holding the PSJU and PSJI MGR keys
      providing a list of Orderable items that were updated during this process.
      The PROMPT FOR REMOVAL IN BCMA (#12) field is only updated if it is
      ******************************* ATTENTION ********************************
      currently set to a value of NULL so subsequent installations will not 
      update the PROMPT FOR REMOVAL IN BCMA (#12) field again.
       
           3. Routines edited for this patch will add the prompt "PROMPT FOR 
      REMOVAL IN BCMA:" to the following three options:
       
           - Edit Orderable Items [PSS EDIT ORDERABLE ITEMS]
           - Drug Enter/Edit [PSS DRUG ENTER/EDIT]
           - Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE  
             ITEMS]
        
       
           4. Patch PSS*1.0*172 inadvertently missed adding the prompt, HIGH 
      RISK/HIGH ALERT, to the following options, which is being added in 
      this patch:
       
            - Drug Enter/Edit [PSS DRUG ENTER/EDIT]
            - Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE
              ITEMS]
       
      5. A second post install routine PSSP191A will create another
      Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy 
      email report.  This report will display orders for Medications Requiring 
      Removal that do not contain the necessary file structures to allow for 
      the new removal functionality to execute.  The primary purpose for this 
      information is to allow the site to determine the approximate amount of 
      resources needed to discontinue these orders and re-create them after 
      patch PSJ*5*315 is installed.  Until the PSJ*5*315 patch is installed the 
      capability for processing these orders will not be available.  More 
      detailed procedures and recommendations for this process are in the 
      installation section of this Patch Description. A copy of this report 
      will be added to the Pharmacy Data Management [PSS MGR] menu as the Orders
      Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal
      for MRRs With Removal Properties [PSS MRR ORDERS DIAGNOSTIC RPT] option.
       
             6. Two more reports will be added to the Orderable Item Management 
      [PSS ORDERABLE ITEM MANAGEMENT] sub menu as options. The new report
      options, Orderable Items that Require Removal Report [PSS MRR ORDERABLE
      ITEMS RPT] option and Orderable Items Report for High Risk\High Alert [PSS
      HR/HA ORDERABLE ITEMS RPT] option, will allow review of the settings in
      the Orderable Items file (#50.7) for the values of the respective fields
      indicated in the report titles.
       
      enhancement includes 5 patches which must be installed in the following
            PSS*1.0*191 does not have any dependencies for installation.
             The full functionality introduced in this patch will not be
             available until patches PSJ*5.0*315, PSB*3.0*83 and PSB*3.0*87 
             are installed.
       
             Pre-existing orders will remain unaffected with installation.
      
    • 175
      DATE APPLIED:   2016-05-26 15:48:05
      APPLIED BY:   USER,FIFTYFOUR
    • 189 SEQ #170
      DATE APPLIED:   2016-07-13 12:43:30
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch is part of the Pharmacy Safety Updates project which was 
         APPLICATION/VERSION                                  PATCH
         New INPUT TRANSFORMS have been added to the VOLUME (#2) and USED IN IV
         FLUID ORDER ENTRY (#17) to enforce the following new rule introduced 
         relating to this file: 
        
         Rule: An Orderable Item can have only ONE IV solution with a specific
               volume when it is marked to be used in the IV Order Dialog.
       
      5. PSSCOMMON input template
         The PSSCOMMON input template used by the Drug File Enter/Edit [PSS DRUG
         ENTER/EDIT] option was modified to include the new MAXIMUM
         -----------------------------------------------------------------
         DAYS SUPPLY field (#66) in the DRUG file (#50) so that it can be edited
         along with the other fields in this option.
       
      6. PSSJ SCHEDULE EDIT Input template
         The PSSJ SCHEDULE EDIT input template used by the Standard Schedule 
         Edit [PSS SCHEDULE EDIT] option was modified to include the new INACTIVE
         field (#12) in the ADMINISTRATION SCHEDULE file (#51.1) so that it can
         be edited along with the other fields in this option.
       
      7. Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] option 
         OUTPATIENT PHARMACY (OP) V. 7.0                      PSO*7*444
         This option was modified to display the IV Additive Strength value as
         seen below:
       
         ... 
            Orderable Item ->  PIPERACILLIN/TAZOBACTAM
            Dosage Form    ->  INJ
       
         Dispense Drugs:
         ---------------
         PIPERACILLIN 3/TAZOBACTAM 0.375GM/VI INJ
         INTEGRATED BILLING (IB) V. 2.0                       IB*2*545
         PIPERACILLIN 2/TAZOBACTAM 0.25GM/VI INJ
         PIPERACILLIN 4/TAZOBACTAM 0.5GM/VI INJ
         PIPERACILLIN/TAZOBACTAM         (A)     Additive Strength: 3.375 GM 
         PIPERACILLIN/TAZOBACTAM         (A)     Additive Strength: 2.25 GM 
         PIPERACILLIN/TAZOBACTAM         (A)     Additive Strength: 4.5 GM 
        ...
       
      8. PRimary Solution File (IV) [PSSJI SOLN] option
         This option was modified to enforce a new rule introduced to ensure that
         an Orderable Item can only have 1 active IV SOLUTION linked to it with a
         PHARMACY DATA MANAGEMENT (PDM) V. 1.0                PSS*1*189
         specific VOLUME when the IV SOLUTION is marked YES for the USED IN IV
         FLUID ORDER ENTRY field (#17). When they user tries to perform an edit
         that breaks this rule by editing the screen fields VOLUME, USED IN IV
         FLUID ORDER ENTRY or INACTIVATION DATE, the error message below will be
         displayed and the editing won't be permitted.
        
               Only one Active IV Solution with a specific volume can be linked to
               an Orderable Item or Dispense Drug when the IV Solution is marked to
               be used in the CPRS IV Fluid Order Entry.
       
         NATIONAL DRUG FILE (NDF) V. 4.0                      PSN*4*429
      9. Drug Enter/Edit [PSS DRUG ENTER/EDIT] option 
         a) This option was modified to allow entry of the new MAXIMUM DAY SUPPLY
          
         ...
         NCPDP DISPENSE UNIT: EACH// 
         NCPDP QUANTITY MULTIPLIER: 1// 
         MAXIMUM DAYS SUPPLY: ??
           This field is used to determine the maximum number for days supply that
           may be assigned to this drug. The maximum value allowed for this field
           is 365 (days) for most drugs, however: 
         INPATIENT MEDICATIONS (IM) V.5.0                     PSJ*5*313
             
             - Schedule 2 controlled substances have a 30-day maximum days supply 
               limit 
             - Schedules 3 thru 5 controlled substances have a 90-day maximum days
               supply limit 
             - The maximum number of days supply for this drug cannot exceed the
               National Drug File (NDF) maximum value if it exists
             - No value can be entered for Clozapine drugs as the maximum days
               supply is controlled by the Clozapine functionality
         
       
         MAXIMUM DAYS SUPPLY: 
         PRICE PER DISPENSE UNIT: 0.8280
         ...
       
         b) The exact same change described above in #8 was applied to this option
            where the user can create, edit and link IV Solution entries to a 
            dispense drug.
             
      10. Lookup into Dispense Drug File [PSS LOOK] option
         This option was modified to display the new MAXIMUM DAYS SUPPLY (#66)
       
         field in the DRUG file (#50) along with the other dispense drug fields for
         the dispense drug selected, as shown below:
       
          ...
          DISPENSE UNIT:                       VA DISPENSE UNIT:          CAP
          DISPENSE UNITS/ORDER UNIT: 20        PRICE/DISPENSE UNIT:    0.8280
          NCPDP DISPENSE UNIT: EACH            NCPDP QUANTITY MULTIPLIER:  1.000
          MAXIMUM DAYS SUPPLY: 100
          APPL PKG USE:  Outpatient  Unit Dose  Non-VA Med
          STRENGTH: 10                       UNIT: MG
      The following New service Requests (NSRs) are being addressed by this patch:
          POSSIBLE DOSAGES:
          ... 
       
      11. Standard Schedule Edit [PSS SCHEDULE EDIT] option
         This option was modified to add the new INACTIVE field (#12) in the 
         ADMINISTRATION SCHEDULE file (#51.1) to be updated for a schedule.
          
         ...
         OTHER LANGUAGE EXPANSION: 
         INACTIVE: ??
      established to address specific New Service Requests (NSRs) as well as a
       
           This field is used to indicate that a Standard Schedule is inactive.
           Inactive schedules are filtered from the list of schedules sent to CPRS
           for selection when users are placing a medication order.
            
              Choose from: 
                1        YES
         INACTIVE: 
         ...
       
      12. Administration Schedule File Report [PSS SCHEDULE REPORT] option
       NSRs 20060601/20111206 Allow Dispensing of Greater Than 90 Day Supply
          This option was modified to display the new INACTIVE field (#12)
          created in the ADMINISTRATION SCHEDULE file (#51.1) as seen below:
       
            ADMINISTRATION SCHEDULE FILE REPORT (All)                     PAGE: NN
            ----------------------------------------------------------------------
            ...  
            *Q4H
                 STANDARD ADMINISTRATION TIMES: 01-05-09-13-17-21
                          OUTPATIENT EXPANSION: EVERY 4 HOURS
                      OTHER LANGUAGE EXPANSION: 
       ---------------------------------------------------------------------------
                                 SCHEDULE TYPE: CONTINUOUS
                        FREQUENCY (IN MINUTES): 240
                  EXCLUDE FROM ALL DOSE CHECKS: 
                 EXCLUDE FROM DAILY DOSE CHECK: 
                                      INACTIVE: YES
           ...
        
      13. Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE ITEMS] &
          Drug Enter/Edit [PSS DRUG ENTER/EDIT] options
          A new rule described below is being introduced which is related to the
       The Outpatient Pharmacy and supporting VistA applications are being modified
          relationship between IV Solutions and Orderable Items.
        
          Rule: An Orderable Item can only have ONE IV solution with a specific
                volume when it is marked to be used in the CPRS IV Order Dialog.
       
          This option was modified to check every time the user tries to link a 
          dispense drug to an orderable item whether the new rule is being broken
          or not. If the new rule is being broken the message below will be
          displayed and the user will not be able to proceed with linking the drug
          to the orderable item.
       to allow dispensing of more than 90 day supply fill for outpatient 
        
             Matching [Dispense Drug Name]  to [Orderable Item Name] would cause
             the orderable item to have more than one Active IV Solution with the
             same volume marked to be used in the IV FLUID ORDER ENTRY, which is
             not allowed.
        
             Please, review the IV Solutions associated with this drug before
             matching it to this orderable item or match it to a different 
             orderable item.
        
       prescriptions. The new limit will be 365 days and will be set for each drug
      14. IV Solution Pre-Install Manual Clean-up (Environment Check routine)
          An environment check routine will run before the patch is installed to
          ensure that an orderable item does not have more than one IV Solution
          with the same volume when they are marked YES to be used in the CPRS IV
          Fluid Order Entry. If at least one orderable item entry is found, the
          patch installation will be aborted and a Mailman message will be sent to
          all users holding the following security keys: PSIVMGR, PSIJ MGR, PSNMGR.
          The message will contain a list of all orderable items that need to be 
          cleaned up, as seen in the sample message below:
         
       individually. See below for more information on specific menu 
          Subj: Duplicate IV Solution Volume under same Orderable Item  [#215733]
          From: PATCH PSS*1*189  In 'IN' basket.   Page 1
          -------------------------------------------------------------------------
          The list below shows IV Solutions in your database that need to be
          cleaned up before patch PSS*1*189 can be installed.
       
          Rule: An Orderable Item can only have ONE IV solution with a specific
                volume when it is marked to be used in the IV Order Dialog.
       
          Run Date/Time: Jun 12, 2015@09:49:16
       options related to this enhancement.  
          -------------------------------------------------------------------------
          ORDERABLE ITEM (IEN)
                IV DISPENSE DRUG (IEN)
                   IV SOLUTION (IEN)
          -------------------------------------------------------------------------
          DEXTROSE (196)
             Solution Volume: 1000 ML
                DEXTROSE 10% IN WATER (620)
                   DEXTROSE 10%  (7)
                DEXTROSE 5% IN 0.45% NS (623)
       
                   DEXTROSE 5% 1/2 NS (10)
                DEXTROSE 5% 1000ML INJ (627)
               5% DEXTROSE (1)
       
      15. IV Solution Post-Install Automatic Clean-up (Post-install routine)
          IV Solutions that are no longer used, meaning that either the IV
          Solution and/or the Dispense Drug and/or the Orderable Item are marked
          INACTIVE will have the field USED IN IV FLUID ORDER ENTRY set to 'NO'.
          A list of such IV Solutions will be sent to all users holding the
          following security keys: PSIVMGR, PSIJ MGR, PSNMGR. The message will
       NSR 20110308 Addition of a STRENGTH Property to IV ADDITIVES and Premixed 
          contain a list of all IV Solutions that have been automatically updated
          as seen in the sample message below:
       
          Subj: Auto-update of the IV Solution file  [#216328] 08/18/15@09:58 
          From: PATCH PSS*1*189  In 'IN' basket.   Page 1  *New*
          -------------------------------------------------------------------------
          The list below shows IV Solutions in your database that had the field
          USED IN IV FLUID ORDER ENTRY set to 'NO' because either the Orderable
          Item, the Dispense Drug or the IV Solution itself was marked INACTIVE.
          
      Remedy Ticket and a Patient Safety Issue (PSI) related to the VistA Pharmacy
                    IV SOLUTIONS
          Run Date/Time: Aug 18, 2015@09:58:38
          -------------------------------------------------------------------------
          ORDERABLE ITEM (IEN)
             IV DISPENSE DRUG (IEN)
                IV SOLUTION (IEN/VOLUME)
          -------------------------------------------------------------------------
          CEFAZOLIN (106)
             CEFAZOLIN SOD 1GM INJ (1498)
                20% DEXTROSE (2/500 ML)   *** INACTIVE DATE: JAN 11, 1994 ***
                20% DEXTROSE (11/500 ML)   *** INACTIVE DATE: JAN 11, 1994 ***
       ----------------------------------------------------------------------------
       
      16. New API for CPRS: $$MAXDS^PSSUTIL1
          This new API was created for CPRS to retrieve the Maximum Days Supply
          value for a specific medication. This API is available to CPRS through
          the Integration Control Registration (ICR) #3239. Below is a detailed 
          description of the API.
       
             $$MAXDS^PSSUTIL1(INPUT)
             This API accepts an array containing the Pharmacy Orderable Item
             (required) and Dispense Drug (optional) and returns the maximum number
       Although patches PSJ*5*289 and PSS*1*174 introduced quite a few enhancements
             of Days Supply allowed to be dispensed for the specific medication.
        
             Parameters:
             Input:  INPUT("PSOI") (Required)
                     Pointer to the PHARMACY ORDERABLE ITEM file (#50.7). 
       
                     INPUT("DRUG") (Optional)
                     Pointer to the DRUG file (#50). This parameter is optional.
                     If not passed, the API will return the highest value from all
                     the dispense drugs linked to the Pharmacy Orderable Item.      
       to the IV Additives and IV Solutions ordering functionality they did not go
          
             Output $$MAXDS
                    Maximum number of days supply that can be dispensed for the
                    orderable item and/or dispense drug.
       
      17. IV Additives and Solutions - Display "INACTIVATION DATE"
        
           The INACTIVATION DATE will display whenever a VistA lookup is done on
           IV Additives and Solutions.
        
       far enough in addressing all the issues originally in the NSR. Patches 
           This was accomplished by making the following two fields identifiers:
        
           FIELD NAME           FIELD NUMBER     FILE NAME/NUMBER
           ----------------------------------------------------------
           INACTIVATION DATE         12          IV ADDITIVES (#52.6)
           INACTIVATION DATE          8          IV SOLUTIONS (#52.7)
       
       
           Note: The following 'HELP'-PROMPT text will display for fields 8 & 12
                 "Enter the date this drug was inactivated.
       PSJ*5*313 and PSS*1*189 will extend the display of the IV Additive strength
       
       
       
             ********************* EXAMPLE(1) ADDITIVES *********************
        
       Inpatient Drug Management - Additives File [PSSJI DRUG] 
        
       Select Inpatient Drug Management Option: Additives File
       Select IV ADDITIVES PRINT NAME: PIPERACILLIN
        
       to other parts of the Inpatient Medications and Pharmacy Data Management 
       Lookup: IV ADDITIVES  PRINT NAME
        1   PIPERACILLIN/TAZOBACTAM              Additive Strength: 3.375 GM
        2   PIPERACILLIN/TAZOBACTAM              Additive Strength: 2.25 GM 
        3   PIPERACILLIN/TAZOBACTAM   03-5-2015  Additive Strength: 4.5 GM 
        
        
            ********************* EXAMPLE(2) SOLUTIONS *********************
        
       Inpatient Drug Management - Primary Solution File (IV)
        
       applications. In addition, it will also impose a new rule where an Orderable
       Select Inpatient Drug Management Option: PRImary Solution File(IV) 
       Select IV SOLUTIONS PRINT NAME: DEXTROSE 5% / NACL
         Lookup: PRINT NAME
            1   DEXTROSE 5% / NACL 0.2%       1000 ML                
            2   DEXTROSE 5% / NACL 0.33%      1000 ML                
            3   DEXTROSE 5% / NACL 0.45%      1000 ML   12-03-15     
            4   DEXTROSE 5% / NACL 0.9%       1000 ML    
                      
             ********************* END EXAMPLES ********************* 
       Item can only have one IV Solution for a specific volume when it is marked
       to be used in the CPRS IV Fluid Order Entry. 
      applications as approved by the Health Systems Enterprise Systems Manager
        
       NSR 20080907 Inactivate Pharmacy Standard Schedule
       ----------------------------------------------------------------------------
       This enhancement is a conversion of an existing Class III software solution
       that permits an entry in the ADMINISTRATION SCHEDULE file (#51.1) to be 
       marked as INACTIVE via the Standard Schedule Edit [PSS SCHEDULE EDIT] option.
       Once marked INACTIVE the schedule is no longer shown on the CPRS 
       ADMINISTRATION SCHEDULE list.
       
        
      (ESM).
        
      The following Pharmacy Data Management functionality was modified:
         
      1. New MAXIMUM DAYS SUPPLY field (#66) in the DRUG file (#50)
         This new field shown below was added to the DRUG file (#50) for storing
         the local maximum day supply value for a medication in an outpatient 
         prescription.
       
         Field Name: MAXIMUM DAYS SUPPLY   Format: Numeric
       
       
         INPUT TRANSFORM: D MXDAYSUP^PSSDDUT2
         HELP-PROMPT:     This is the maximum number of days supply for this drug. 
         DESCRIPTION:     This field is used to determine the maximum number for
                          days supply that may be assigned to this drug. The
                          maximum value allowed for this field is 365 (days) for
                          most drugs, however: 
                                    
                          - Schedule 2 controlled substances have a 30-day maximum
                            days supply limit
                          - Schedules 3 thru 5 controlled substances have a 90-day
      This project is comprised of patches from five different applications, as
                            maximum days supply limit 
                          - The maximum number of days supply for this drug cannot
                            exceed the National Drug File (NDF) maximum value if it
                            exists 
                          - No value can be entered for Clozapine drugs as the
                            maximum days supply is controlled by the Clozapine
                            functionality
       
      2. ADMINISTRATION SCHEDULE file (#51.1)
         a) A new field named INACTIVE (#12) shown below was added to the 
      shown below:
            ADMINISTRATION SCHEDULE file (#51.1) to allow the filtering inactive
            schedules when providing a list to the CPRS application.
       
            Field Name: INACTIVE      Format: Set of Codes ('1' FOR YES)
       
            HELP-PROMPT:    Answer YES to mark this administration schedule entry
                            as inactive. 
            DESCRIPTION:    This field is used to indicate that a Standard Schedule
                            is inactive. Inactive schedules are filtered from the
                            list of schedules sent to CPRS for selection when users
        
                            are placing a medication order.  
       
         b) The upper limit for the FREQUENCY (IN MINUTES) field (#2) was increased
            from 129,600 (90 days) to 525,600 (365 days).
        
      3. MEDICATION INSTRUCTION file (#51)
         The upper limit for the FREQUENCY (IN MINUTES) field (#31) was increased
         from 129,600 (90 days) to 525,600 (365 days).
        
      4. IV SOLUTIONS file (#52.7)
      
    • 20 SEQ #19
      DATE APPLIED:   1999-02-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This KIDS Build contains the Pharmacy Data Management Enhancement patch.
       2. The Enter/Edit Drug Interaction [PSS INTERACTION LOCAL ADD] option
          will be modified to generate a MailMan message whenever a local drug
          interaction are added or a change is made to the severity of a
          nationally entered drug interaction.
       
       3. Two new fields were added to the PHARMACY SYSTEM file (#59.7). The
          fields are PMIS PRINTER (#13) and PMIS LANGUAGE (#14). The Parameters
          Edit [PSS SYS EDIT] option will allow the user to access the fields.
       
       4. In reference to the Lookup into Dispense Drug File [PSS LOOK] option,
       It contains DDs for specific files and routines.
          code was added to routine PSSLOOK to display the National Formulary
          and National Restriction fields.
       
       5. In reference to the CMOP Mark/Unmark [PSXX MARK] option, code was
          added to routine PSSDINT to display the reasons why a drug cannot be
          marked for CMOP use.
       
       6. This patch also corrects a potential problem found when generating
          the default frequency using the option Standard Schedule Edit [PSS
          SCHEDULE EDIT].
       
       The following issues are included in the KIDS Build:
       
       1. A new INACTIVATION DATE field (#7) was added to the DOSAGE FORUM
          file #50.606. Also, a new INACTIVATION DATE field (#5) was added to
          the MEDICATION ROUTES file (#51.2).
       
      
    • 194 SEQ #171
      DATE APPLIED:   2016-07-13 12:58:11
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses three (3) issues:
      3. Incorrect cross references may remain, and errors may occur during
         execution of the PSS EDIT TEXT option.
       
      1. Users may not be aware that changing a drug's strength does not change
         the concentration.
       
      2. The FileMan Description on the SYNONYM (#.01) field of the SYNONYM 
         SUB-FIELD (#50.1) file for the DRUG (#50) file does not match the
         Input Transform.
       
      
    • 192
      DATE APPLIED:   2016-08-29 12:56:29
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MCCF ePharmacy Compliance Phase 3
      
    • 184 SEQ #173
      DATE APPLIED:   2016-09-16 13:41:56
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will correct the following reported issues:
         in option PSS SCHEDULE PEPS INTERFACE CK is set to a low value,
         resulting in system issues.
       
      4) Drug-Drug Interaction Order Check cannot be validated when performing 
         option PSS CHECK PEPS SERVICES SETUP.
       
      1) An error occurs during the drug renewal process if the drug has a 
         lengthy drug-drug interaction check.
       
      2) An error may occur in the option PSS SCHEDULE EDIT if the user jumps 
         ahead to various fields.
       
      3) Numerous background tasks might be tasked if the scheduling frequency 
      
    • 193 SEQ #174
      DATE APPLIED:   2016-10-06 13:02:07
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The Pharmacy Interface Automation Project will provide a new standard
       
      Note: The patches should be installed in the order listed above as the 
      logical link, PSJ PADE used in the PSS patch is transported in the PSJ
      patch.
       
      As part of this patch PSS*1*193, the following enhancements were made:
       
      1. Two new protocols PSS MFNM01 CLIENT and PSS MFNM01 SERVER were added to
      facilitate sending MFN HL7 drug messages to PADE.
       
      bi-directional HL7 interface to the Pharmacy Automated Dispensing
      2. The Send Entire Drug File to External Interface [PSS MASTER FILE 
      ALL]  option was modified to allow transmission of the drug file to an 
      Inpatient Interface (PADE) depending on the PADE setup. It also 
      provides the flexibility of sending all drugs marked for Unit Dose, 
      Intravenous (IV) or Ward Stock or send selected drugs to PADE.
       
      Since this option now allows to send all or selected drugs to PADE, the
      option name "Send Entire Drug File to External Interface" was changed  
      to "Send Drug File Entries to External Interface"
       
      Equipment (PADE) located at the point of care areas such as Inpatient
      3. A new PSS PADE INIT security key was added so that holders of this key 
      can only send "all" drugs to PADE noted in item 2.
       
      4. Option Drug Enter/Edit [PSS DRUG ENTER/EDIT] was modified to send an 
      addition/update/both or none to PADE provided it is setup to receive such
      updates.
      wards, Outpatient Clinics etc. The outbound HL7 messages will be triggered
      when drugs are added or modified depending on the site parameter setup.
       
      The following two patches are provided for this project:
        PSJ*5*317 - Inpatient Medications V. 5.0.
        PSS*1*193 - Pharmacy Data Management V. 1.0.
      
    • 199 SEQ #175
      DATE APPLIED:   2016-12-12 12:10:49
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will correct the following issues:
         user may not be aware that not all lines are displaying on the screen.
       
      3) Outpatient Pharmacy CK Action not working after Check Drug 
         Interactions option is invoked if user enters "^" to exit out.
       
      1) The API DRGIEN^PSS50P7 that returns the Dispense Drugs in the DRUG 
         file (#50) matched to a PHARMACY ORDERABLE ITEM file (#50.7) is not 
         returning all matches if a Dispense Drug happens to have the same 
         internal entry number in the DRUG (#50) file as the PHARMACY ORDERABLE 
         ITEM (#50.7) file entry it points to.  
       
      2) Lines may scroll off the screen when checking drug interactions.  The 
      
    • 200
      DATE APPLIED:   2016-12-20 15:21:35
      APPLIED BY:   USER,FIFTYFOUR
    • 207 SEQ #177
      DATE APPLIED:   2017-01-23 14:16:52
      APPLIED BY:   USER,FIFTYFOUR
    • 197
      DATE APPLIED:   2017-01-23 14:26:30
      APPLIED BY:   USER,FIFTYFOUR
    • 198 SEQ #179
      DATE APPLIED:   2017-05-04 17:35:52
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses the following three (3) issues:
       
      (3) The FIRST DATABANK UNIT (#1) field of the DOSE UNITS (#51.24) file 
          for "APPLICATORFUL(S)" should be "APPLICATORFUL" instead of 
          "APPLICATORFUL/S", and for "SUPPOSITOR(IES)", it should be
          "SUPPOSITORY" instead of "SUPPOSITORY/IES".
       
      (1) Patch PSS*1*127 incorrectly populated the NCPDP DISPENSE UNIT (#82) 
          field of the DRUG (#50) file entry matched to VA PRODUCT (#50.68) 
          file entry "MEMANTINE HCL 5MG/10MG TAB TITRATION PAK,49" (internal
          entry number 16512) as "RA" instead of "EA".
       
      (2) When invoking the PSS MAINTAIN ORDERABLE ITEMS option, several 
          issues may occur involving the "INACTIVE DATE" prompt.
      
    • 201 SEQ #180
      DATE APPLIED:   2017-06-01 16:26:21
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MOCHA 2.1 Dosing Enhancements.
      
    • 1
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is only installed by the CPRS group of package builds.
              PSS PRIMARY DRUG EDIT
              PSS PRIMARY/VA GENERIC REPORT
              PSS VA GENERIC DRUG REPORT
      These options are deleted at the site.
      This patch SHOULD NOT be installed outside of the CPRS build.
       
       
      Re-Install File 55 (Pharmacy Patient) for Inpatient Medications V. 5.0.
       
      Options PSS CREATE ORDERABLE ITEMS
              PSS ORDERABLE ITEM STATUS
              PSS PRE-RELEASE MANUAL MATCH
      
    • 195 SEQ #181
      DATE APPLIED:   2017-08-30 15:01:49
      APPLIED BY:   USER,FIFTYFOUR
    • 208 SEQ #182
      DATE APPLIED:   2017-11-28 12:44:45
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses three (3) issues:
         between 0 and 222, 4 decimal digits".  This does not accurately   
         reflect the data stored in this field.  There are many drug items
         on the market with a Price Per Dispense Unit greater than $222.
         
         The Data Dictionary needs to be updated to more accurately reflect
         the content of the field. 
        
      3. There is an issue with the PRINT NAME Field (#.01) in the IV ADDITIVE 
         File (#52.6) when it contains a tilde (~).  When an IV label is 
         printed for an additive that has a print name that contains a tilde, 
       
         it may not display the amount of the IV additive.  When the tilde is
         removed, the IV additive amount will print.
      1. When using Drug Enter/Edit [PSS DRUG ENTER/EDIT] Option for a drug
         that has been unmatched from the NDF, the NATIONAL FORUMULARY
         INDICATOR field on the screen displays 'YES" instead of 'NOT
         Matched to NDF'.
       
      2. The Data Dictionary for the DRUG File (#50) PRICE PER DISPENSE UNIT 
         Field (#16) is incorrect.  The Prompt Message displays "Type a Number 
      
    • 213 SEQ #183
      DATE APPLIED:   2017-12-01 12:43:45
      APPLIED BY:   USER,FIFTYFOUR
    • 212 SEQ #184
      DATE APPLIED:   2018-01-30 15:35:41
      APPLIED BY:   USER,FIFTYFOUR
    • 209 SEQ #185
      DATE APPLIED:   2018-02-28 17:16:45
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
       
      This patch addresses one issue:
       
      1.  New BUPRENORPHINE Dosage Form (FILM,BUCCAL) has been approved
          for the treatment of chronic pain and necessitates an update
          in the Detox API
      
    • 178
      DATE APPLIED:   2018-03-02 14:04:29
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MOCHA 2.1 Dosing Enhancements.
      
    • 206
      DATE APPLIED:   2018-03-02 14:09:21
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MOCHA 2.1b Follow Up patch.
      
    • 204 SEQ #188
      DATE APPLIED:   2018-04-03 15:49:05
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This build has been created to provide a Packman message-type patch for 
      Indications for Use for Prescriptions and Medication Orders. This will 
      give the user the ability to enter most common indications and/or
      additional indications for the medications in the Pharmacy Orderable Items
      file (#50.7).
      
    • 211 SEQ #189
      DATE APPLIED:   2018-04-03 17:25:36
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch implements Medications Dosage Form domain changes required by 
      the Collaborative Terminology Tooling & Data Management (CTT & DM) Native
      Standardization (NDS) project.
       
      Please see FORUM for full patch description and installation instructions.
      
    • 217 SEQ #190
      DATE APPLIED:   2018-04-24 16:15:29
      APPLIED BY:   USER,FIFTYFOUR
    • 21 SEQ #20
      DATE APPLIED:   1999-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch addresses three issues.
       processes.
       
       3. It corrects a typo in the data dictionary for the DISPENSE DRUG field
       (#.02) of the DISPENSE LOG sub-file (#55.0611) in the PHARMACY PATIENT
       file (#55).  The sub-file number was changed from 5506.11 to 55.0611.
       
       1. The IV SOLUTIONS file (#52.7) VOLUME field (#2) has an upper limit
       of 4000ml.  This patch will increase the volume field to 9999ml to meet
       the needs of the sites to enter solutions with a volume of greater than
       4000ml.
       
       2. It corrects a problem when displaying non-formulary drugs
       associated with the formulary alternative during the drug enter and edit
      
    • 210 SEQ #191
      DATE APPLIED:   2018-05-01 14:21:26
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1.  Free text is accepted in the NAME field (#.01) of the 
          ADMINISTRATION SCHEDULE file (#51.1) when the TYPE OF
          SCHEDULE field (#5) is set to D (Day of the Week).
                     
      2.  Changes made to the NAME field (#.01) of the 
          PHARMACY ORDERABLE ITEMS file (#50.7) via the Drug 
          Enter/Edit [PSS DRUG ENTER/EDIT] option are not  
          always reflected in the ORDERABLE ITEMS file (#101.43).
      
    • 203 SEQ #192
      DATE APPLIED:   2018-06-01 15:08:38
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      EPIP PSS REMEDIATION 1.0
      
    • 224
      DATE APPLIED:   2018-07-06 15:42:47
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Warranty issue repairs for MOCHA 2.1B.
      
    • 219 SEQ #194
      DATE APPLIED:   2018-09-04 15:33:29
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Updates to dosage forms for Buprenorphine containing products.
      
    • 227 SEQ #195
      DATE APPLIED:   2018-09-07 13:13:03
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      PSS*1.0*227
      
    • 229 SEQ #196
      DATE APPLIED:   2018-10-04 14:51:08
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Issues:
       
      2. When invoking option PSSJI SOLN:
       
         a) An error occurs if a solution is defined to have 'UNIT DOSE 
            MEDICATIONS" usage defined as "quick order only".
       
         b) Quick order restrictions are removed if "IV MEDICATIONS" and/or 
            "IV SOLUTIONS" usages are defined as "quick order only".
       
      Resolution:
       
      ----------
       
      Modified routines PSSVIDRG and ORMFN to preserve quick order settings on 
      additives and solutions.  These changes also prevented the error which 
      occurred when a solution or additive was defined to have unit doses as 
      "quick order only".
       
      Routine ORMFN is included in patch OR*3.0*487U which will be installed 
      along with routine PSSVIDRG in this patch.
      1. When invoking option PSSJI DRUG:
       
         a) An error occurs if an additive is defined to have "UNIT DOSE 
            MEDICATIONS" usage defined as "quick order only".
       
         b) Quick order restrictions are removed if "IV MEDICATIONS" and/or 
            "IV ADDITIVES" usages are defined as "quick order only.
      
    • 218 SEQ #197
      DATE APPLIED:   2018-11-02 15:29:01
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch has the following enhancements for Clinical Ancillary Services
           
         Help text added for this field during PSS DRUG ENTER/EDIT option:
         
               "K      Not Renewable (by telephone)
       
      2. Manage Lookup List Inactive Entries
       
         The following files have added a new field identifier to their data 
         dictionaries to indicate if they are marked as Inactive entries.
       
      (CAS) Enhancements (RXSU2).
          a. ADMINISTRATION SCHEDULE file (#51.1) the INACTIVE field (#12).
          b. DRUG TEXT file (#51.7) the INACTIVATION DATE field (#2).
       
      1. Update DEA SPECIAL HANDLING Field Documentation
         
         A new code letter "K" was added to for the DEA, SPECIAL HDLG (#3) in 
         the DRUG file (#50) to document in VistA when providers renew
         medications for patients that cannot be automatically renewed by the
         patient via Audiocare.
      
    • 220 SEQ #198
      DATE APPLIED:   2018-12-06 16:04:09
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1) Errors when using the PSS LOOK option in VistA
      2) Hard error within PSS DRUG ENTER/EDIT option for Lab Monitoring
      3) Duplicate prompt to create a new Orderable Item when entering a new 
         Drug File entry
      
    • 215
      DATE APPLIED:   2018-12-06 16:17:04
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch PSS*1.0*215 is part of a Multi Build with patch PS0*7.0*452.
      This build contains the Data Dictionary changes in support of PSO*7.0*452 
      and is a required build for PSO*7.0*452
      PSO*7.0*452 contains the routine changes.
      PSS*1.0*215 contains the DD changes.
       
      The NSRs involved in this build are:
      NSR20150311 High Cost Rx Report;  NSR20151109 Pharmacy Print from Suspense
      by Category; NSR20150512 Early Warning Advisory for Approaching the 
      end of Rx Number Ranges; and NSR20151001 Pharmacy Patient Demographics.
       
      
    • 214
      DATE APPLIED:   2019-02-01 14:38:00
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MCCF EDI TAS EPHARMACY BUILDS 5 & 6
      
    • 3 SEQ #2
      DATE APPLIED:   1997-11-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Pharmacy Data Management PATCH PSS*1*3. This patch fixes the
      Mark/Unmarking of a drug for Controlled Substances vs. Drug
      Accountability/Inventory Interface.
      
    • 23 SEQ #21
      DATE APPLIED:   1999-05-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch resolves two issues.
      Neither the field nor template is used by current software. References to
      the USER file (#3) are contained in the field and template. The
      PHARMACISTS field was flagged for deletion.  
       
      1. It creates a new sub-file EXEMPT WARD FROM AUTOCANCEL (#59.701) in the
      PHARMACY SYSTEM file (#59.7).  This new sub-file will be used by
      Outpatient Pharmacy to exempt ward locations when prescriptions are
      auto-canceled.
       
      2. It deletes the PHARMACISTS field (#6) from the INPATIENT SITE file
      (#59.4) and PSJIORE input template from the PHARMACY PATIENT file (#55).
      
    • 225 SEQ #201
      DATE APPLIED:   2019-02-01 15:21:07
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses the request from NSR #20170515 - Adds Respiratory 
      Therapy Report.
      This patch distributes one new field, #15, added to file #50.7. The option
      Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] is updated by this patch
      via its driver routine PSSPOIMO, and is used to mark a drug for use in
      respiratory therapy treatment of patients. The drugs prescribed to
      patients for respiratory therapy treatment will be displayed in the Report
      for Respiratory Therapy Medications.
      
    • 231 SEQ #202
      DATE APPLIED:   2019-03-01 15:41:15
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Subject:  FIX ERRORS CALLING DOSAGE CHECK
       
      1)  Dosing check fails when values are added and then deleted from field
      DRUG(S) FOR DOSING CHK FREQ (#11.1) in the ADMINISTRATION SCHEDULE FILE
      (#51.1)
       
      2)  Dosing check fails when an OLD SCHEDULE NAME(S) is used with a PRN
      designation.
      
    • 232 SEQ #203
      DATE APPLIED:   2019-04-01 17:08:34
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
      INC2574335 - Our drug file entry will not let me add the labs associated with
                   the drug Clozapine that needs labs attached so that drug checks
                   can be performed
                
      Problem: 
      --------
      Noth Texas VAMC reported a problem when trying to use the Drug Enter/Edit 
      [PSS DRUG ENTER/EDIT] option to mark a dispense drug a 'Clozapine' drug.
      After entering the lab test (WBC) and Specimen Type (BLOOD) they would get
      a double question mark (??) after answering 'YES' at the 'Is this Correct?'
       
      prompt. 
             
      Resolution:
      -----------
      The problem was a result of an internal call to Fileman to save the lab test
      data. Fileman was getting lost because it found more than one match to the
      IEN for 'BLOOD' in the TOPOGRAPHY FIELD file (#61) because it did not 
      restrict the lookup to IEN only and other entries in that file had the 
      ABBREVIATION field (#6) set with a value that matched the IEN for 'BLOOD'.
        
      INC2574335 - Our drug file entry will not let me add the labs associated with
      Technical Resolution:
      ---------------------
      Changed the routine PSSCLOZ at CLOZAD2+2 to use 4 slashes (////) instead of
      3 slashes (///) when saving SPECIMEN TYPE FIELD (#2), as shown below:
       
       S DIC("DR")="2////"_PSSPTYN_";3///"_PSSTUFF
                   the drug Clozapine that needs labs attached so that drug checks
                   can be performed
        
            
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      
    • 233 SEQ #204
      DATE APPLIED:   2019-04-02 16:47:43
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses some display issues in the Lookup into Dispense 
      Drug File Option [PSS LOOK]
      
    • 235 SEQ #205
      DATE APPLIED:   2019-05-01 15:55:12
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under PSS*1*235.
      
    • 234 SEQ #206
      DATE APPLIED:   2019-07-08 16:39:50
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The purpose of this build is to export the data dictionary for the 
      PHARMACY ORDERABLE ITEM file (#50.7) in order to update the APPLICATION 
      GROUP field to add GMTS. In addition, it exports the routine to return 
      the pharmacy orderable item information in order to support the Ad Hoc 
      report summary.
      
    • 236 SEQ #207
      DATE APPLIED:   2019-10-24 12:14:11
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under PSS*1*236.
      
    • 240 SEQ #208
      DATE APPLIED:   2020-02-11 09:56:13
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      CORRECT THE URL FOR MEDICATION ROUTE REQUEST
      
    • 238 SEQ #209
      DATE APPLIED:   2020-03-25 10:24:31
      APPLIED BY:   USER,SEVENTY
    • 243 SEQ #210
      DATE APPLIED:   2020-06-24 14:04:52
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch, along with patch PSN*4*569 will address the following ePrescribing
      --------------------------------------------
      1. INC9317643 - We have noticed a number of drugs that do not auto match for
         inbound eRx orders
       
         DUPLICATE - INC9105989 - erx software auto-matched wrong drug product
        
      Problem: 
      --------
      The VA Health Administration Center Denver reported and issue with incoming
      ePrescribing orders (eRx) not automatically matching the ordered drug with a
      (eRx) issue: 
      VistA corresponding Dispense Drug, even when the NDC received matches 1 to 1
      with a specific VA Product entry. They also noticed the issue to be more
      prevalent with dispense drugs that have been recently re-matched to a 
      different VA Product entry due to changes from MG to MGC in the strength. 
      After researching this issue it was determined that the root cause of the
      problem was a 'corruption' of the "APR" cross-reference in the DRUG file (#50)
      which was not properly set or killed after Dispense Drugs were matched,
      un-matched or re-matched to VA Product entries. Such cross-reference is used
      by the eRx drug auto-matching processing and that's the reason it failed
      for some drugs. It turned out that two other cross-references "AND" and "APN"
        
      also had the same issue. No user functionality side-effects have been
      reported related to these other two cross-references though.
       
       
      Resolution: 
      -----------
      The setting and killing of the "APR", "AND" and "APN" cross-reference have
      been completely reviewed at every point where a Dispense Drug is matched,
      un-matched or re-matched to a VA Product and after this patch is installed
      they should be properly maintained. Furthermore, a post-install routine
      1. INC9317643 - We have noticed a number of drugs that do not auto match for
      will completely kill off the 3 cross-references and re-build them completely.
      The NDF (National Drug File) patch PSS*1*243 is also being released along with
      this patch because the matching functionality is available in both
      applications, NDF and PDM (Pharmacy Data Management). 
       
              
      Technical Resolution: 
      ---------------------
      Changed the routines PSSDEE1 and PSSUTIL to kill and set the cross-references
      "AND", "APN" and "APR" properly.
         inbound eRx orders
         
         DUPLICATE - INC9105989 - erx software auto-matched wrong drug product
        
      Defect Tracking System Ticket(s) & Overview: 
      
    • 19 SEQ #22
      DATE APPLIED:   1999-06-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains the following enhancements:
       2.  Within the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, a
           significant enhancement to the Mark/Unmark for Lab Monitor or
           Clozapine procedure was made.
       
           A. When updating Clozapine information, the user will have a choice
              to add, edit, or delete Clozapine Lab Test(s) for the selected
              drug.
           B. When updating Clozapine information, the user will have to add
              identification of two laboratory tests, WBC and Absolute
               Neutrophil Count (ANC).
       
           C. In the post-installation process, we added code to move data from
              the CLOZ node to the CLOZ2 node in the DRUG file (#50).  (This is
       
       3.  In the DRUG file (#50), we expanded the field length of the WARNING
           LABEL field (#8) to 25 characters to allow longer names.
       
       4.  The routine PSSPOIDT was updated to properly delete data from the
           INACTIVE DATE field (#100) in the DRUG file (#50) when a drug is
           reactivated.
       1.  In the pre-installation process, we added code to:
       
           A. Delete the DRUG GROUP/INTERACTION field (#7) from the DRUG file
              (#50). This field has been marked for deletion.
           B. Delete the "I" node in the DRUG file (#50) if it does not contain
              data.
       
      
    • 241 SEQ #211
      DATE APPLIED:   2020-07-21 13:46:41
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      Remove HANG command from ST in PSSPRICE.
      
    • 242 SEQ #212
      DATE APPLIED:   2020-08-10 12:52:53
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch provides the functionality to add the other language 
      Indications for Use in the PHARMACY ORDERABLE ITEMS file (#50.7).
       
      The menu options Edit Orderable Items [PSS EDIT ORDERABLE ITEMS], 
      Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE ITEMS] 
      and Drug Enter/Edit [PSS DRUG ENTER/EDIT] have been modified to prompt for
      other indications for use.
      
    • 245 SEQ #213
      DATE APPLIED:   2020-08-19 11:27:22
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      1. INC9511598 Med Instructions Display incorrectly with Clinic Medications
         Resolution:
         ----------
         This patch adds a new report which displays matches between the 
         Medication Instruction file (#51) and the Medication Routes file 
         (#51.2). 
       
         The MEDICATION INSTRUCTION Name field (File #51) and MEDICATION ROUTE
         Abbreviation field (File #51.2) may have entries that use similar
         terminology and abbreviations but with different clinical meanings.
         The MED INSTRUCTION MED ROUTE TERM REPORT option identifies instances
       
         where the MEDICATION INSTRUCTION Name field and the MEDICATION ROUTE
         Abbreviation field are identical to facilitate review and correction
         of clinically inconsistent terminology between the two files. Local
         Pharmacy Informaticists should review and evaluate this report for
         possible corrective action to ensure that reports which use the
         expansion from the MEDICATION INSTRUCTION file are clinically valid
         when the data originates in the MEDICATION ROUTE file.  
       
         This patch adds the Med Instruction Med Term Route Report to the
         Medication Instruction Management menu (PSS MED INSTRUCTION 
         Problem:
         MANAGEMENT) and the Medication Routes Management menu (PSS MEDICATION
         ROUTES MGMT).
       
         Upon running the report, sites should refer to the Pharmacy Data
         Management User Manual located on the VistA Software Document Library
         for the dedicated Pharmacy website to discuss the potential options 
         for file management or to see previous site's decisions on how similar
         entries were handled.
       
         Documentation updates are applied to the Pharmacy Data Management User
         -------
         Manual as well as the Pharmacy Data Management Technical 
         Manual/Security Guide.
         The Med Route abbreviation for Clinic Meds and Inpatient Meds expands 
         in the EMLR using the Med Instruction Name if the abbreviation is
         identical, which may result in a mismatch of clinical terminology if
         the fields were not defined properly.
       
      
    • 246 SEQ #214
      DATE APPLIED:   2020-11-06 16:15:15
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The released patch PSS*1*219 provided functionality to exclude 
      buccal film.  
      buprenorphine-containing products from requiring an X-number (Detox 
      Number) when they are specifically FDA approved with indication for the
      treatment of pain. This was done by dosage form so that Butrans (patch)
      and Belbuca (film, buccal), the products available at the time, could be
      excluded.  However, a new product, Bunavail has been released to market.  
      This is also a buccal film but is primarily indicated for treatment of
      opioid substance use disorder. Therefore, changes are needed that will
      require an X-number when a Bunavail order is placed with a dosage form of
      
    • 248b
      DATE APPLIED:   2021-05-13 00:00:00
      DESCRIPTION:   
      Backup of PSS*1.0*248 on May 13, 2021
       
      Warning:  Installing this backup patch message will install older versions
      of routines and Build Components (options, protocols, templates, etc.).
      Please verify with the Development Team that it is safe to install.
      
    • 248 SEQ #215
      DATE APPLIED:   2021-05-13 17:15:14
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The current CMOP Share site is being decommissioned and will be
       
      https://vaww.cmopnational.domain.ext/CR/FDAMedGuides/ 
       
      To:
       
      https://vaww.vashare.domain.ext/sites/PBMNat/FDAMedGuides/ 
      inaccessible for Med Guide retrieval. The application requires a 
      configuration upgrade and installation to access the new URL. 
       
      This patch will update the Pharmacy System File (File #59.7) FDA MED GUIDE
      SERVER URL field (Field #100) with the new secure URL.
       
      Post-init routine PSS248P will change the FDA MED GUIDE SERVER URL field
      from this: 
      
    • 249b
      DATE APPLIED:   2021-06-17 00:00:00
      DESCRIPTION:   
      Backup of PSS*1.0*249 on Jun 17, 2021
       
      Warning:  Installing this backup patch message will install older versions
      of routines and Build Components (options, protocols, templates, etc.).
      Please verify with the Development Team that it is safe to install.
      
    • 249 SEQ #216
      DATE APPLIED:   2021-06-17 13:03:28
      APPLIED BY:   USER,SEVENTEEN
    • 226b
      DATE APPLIED:   2021-07-13 00:00:00
      DESCRIPTION:   
      Backup of PSS*1.0*226 on Jul 13, 2021
       
      Warning:  Installing this backup patch message will install older versions
      of routines and Build Components (options, protocols, templates, etc.).
      Please verify with the Development Team that it is safe to install.
      
    • 226 SEQ #217
      DATE APPLIED:   2021-07-13 09:22:38
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under PSS*1.0*226.
      
    • 22 SEQ #23
      DATE APPLIED:   1999-06-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains two enhancements:
          Interaction Management [PSS DRG INTER MANAGEMENT] menu.
       
       1. In the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, we made
          modifications to routine PSSDEE to identify an entry when it is marked
          for Ward Stock. 
       
       2. A new option, Report of Locally Entered Interactions [PSS REPORT LOCAL
          INTERACTIONS] has been added. This report displays locally entered
          drug interactions and their severity. It is included on the Drug
      
    • 247b
      DATE APPLIED:   2021-08-09 00:00:00
      DESCRIPTION:   
      Backup of PSS*1.0*247 on Aug 09, 2021
       
      Warning:  Installing this backup patch message will install older versions
      of routines and Build Components (options, protocols, templates, etc.).
      Please verify with the Development Team that it is safe to install.
      
    • 247 SEQ #218
      DATE APPLIED:   2021-08-09 10:50:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under PSS*1.0*247.
      
    • 24 SEQ #24
      DATE APPLIED:   1999-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains two enhancements:
       
       1. In the Lookup into Dispense Drug File [PSS LOOK] option, we made
       modifications to routine PSSLOOK to correct a typo.  Indicatior changed
       to Indicator.
       
       2. In the Standard Schedule Edit [PSS SCHEDULE EDIT] option, we made
       modifications to routine PSSJEEU to set DLAYGO to the file number.  This
       correction should allow users to look up and add new entries to the file.
      
    • 25 SEQ #25
      DATE APPLIED:   1999-08-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
       1. It adds a new AOC cross-reference to the VA CLASSIFICATION field (#2)
          in the DRUG file (#50).
       
       2. In the PHARMACY PATIENT file (#55), it corrects a typo in a screen
          placed on the DISPENSE DRUG field (#.01) from the DISPENSE DRUG
          multiple (#55.07). The code was modified to reference the PHARMACY
          ORDERABLE ITEM field (#2.1) instead of the PRIMARY DRUG field (#64).
       **NOTE** This patch requires the installation of Inpatient Medications
                V. 5.0. Facilities using Inpatient Medications V. 4.5 do
                not need to install this patch.  Inpatient Medications V. 5.0
                patch PSJ*5.0*30 contains enhancements that utilize changes
                introduced in this patch.
       
       This patch addresses two issues. 
       
      
    • 26 SEQ #26
      DATE APPLIED:   1999-09-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch distributes a common pharmacy locking routine (PSSLOCK). This
      patch supports the patient and single order locking changes in Inpatient
      Medications V. 5.0 and Outpatient Pharmacy V. 7.0. This patch will NOT
      change locking functionality until patches OR*3.0*48, PSJ*5.0*29 and
      PSO*7.0*27 are installed.
      
    • 30 SEQ #27
      DATE APPLIED:   2000-02-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch deletes the VENDOR sub-file (#50.535001) from the DRUG file
             ^PSDRUG(D0,535000,D1,0)
             ==>(#.01) VENDOR [1P] ^ (#1) PRIMARY VENDOR [2S] ^ (#2)
             ==>VENDOR'S PRICE PER ORDER UNIT [3N] ^ (#3) VENDOR'S
             ==>ORDER UNIT [4P] ^ (#4) DISPENSE UNITS PER ORDER UNIT
             ==> [5N] ^ (#5) COMPANY STOCK NUMBER [6F] ^ (#6) START
             ==>DATE [7D] ^ (#7) STOP DATE [8D] ^ (#8) DUMMY [9F] ^
             ==>(#9) PRICE PER DISPENSE UNIT [10N] ^ 
       (#50) and the associated data. The VENDOR sub-file (#50.535001) does not
           
       provide national support of current activities related to the Pharmacy
       Data Management (PDM) application.
       
       
       The following multiple and associated data will be deleted with this
       patch:
      
    • 29 SEQ #28
      DATE APPLIED:   2000-02-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This build contains routines, options, files, fields, and templates
      for the National Formulary Indicator enhancement patch.
      
    • 27 SEQ #29
      DATE APPLIED:   2000-04-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains the following enhancements.
           DISPENSE UNITS PER ORDER UNIT field (#15) in the DRUG file (#50).
       
       3.  In reference to the MEDICATION INSTRUCTION file (#51), this patch:
           a.  Replaces erroneous %D subscripts in the ^PS(51 data globals by
               restoring the MEDICATION INSTRUCTION file (#51) data dictionary.
               (ex. ^PS(51,%D,...).
           b.  Re-indexes the "A" cross-references on the NAME field (#.01).
           c.  Reinstalls full set of DDs related to the MEDICATION INSTRUCTION
              file (#51).
       
       
       4.  During the Computerize Patient Record System (CPRS) Order Entry
           process, the schedule input transform routine PSSGSO was not allowing
           schedules 5TIMES/DAY and 5X/DAY to pass as valid non-standard
           schedules. This patch contains modifications to routine PSSGS0
           to allow these schedules to be entered. 
       1.  In the Standard Schedule Edit [PSS SCHEDULE EDIT] option, it
           increases the maximum value of the Frequency (IN MINUTES) field (#2)
           from 50000 to 129600 minutes in the ADMINISTRATION SCHEDULE file
           (#51.1).
       
       2.  In the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, it increases
           the decimal length from three to four digits when displaying the
      
    • 28 SEQ #30
      DATE APPLIED:   2000-05-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Modifications were made to two options, CMOP Mark/Unmark (Single drug) 
       2. The program currently checks for a "C" - CONTROLLED SUBSTANCES - NON 
          NARCOTIC in the DEA, SPECIAL HDLG field (#3) of the drug to be marked 
          for transmission.  Routine PSSMARK was modified to check for a "1" - 
          SCHEDULE 1, or a "2" - SCHEDULE 2 in the DEA, SPECIAL HDLG field (#3).
          If these values are assigned to the selected drug, the option will
          not allow the user to mark the drug for CMOP transmission.
       
       3. Routines PSSMARK and PSSDEE were modified to change the current 
          message display, "It is a controlled substance" to "It is a schedule 
          I or schedule II controlled substance" when a user attempts to mark
       [PSSXX MARK] and Drug Enter/Edit [PSS DRUG ENTER/EDIT]. These 
          a controlled substance drug that does contains a "1" or "2" in the
          DEA SPECIAL HDLG field (#3).  
       
       4. The Drug Enter/Edit [PSS DRUG ENTER/EDIT] option was modified to 
          display a new message to reflect changes to the option. Routine 
          PSSMARK was modified to check for a "1" or a "2" in the DEA,
          SPECIAL HDLG field (#3). If either of these values exist and the drug
          is already marked for CMOP transmission, the option shall display a
          message to the user indicating that the drug has been unmarked for 
          CMOP transmission.  
       modifications were required to enable drugs identified as a Schedule 
       
       5. The Drug Enter/Edit [PSS DRUG ENTER/EDIT] option has been enhanced to 
          provide a list of reasons why a drug can not be marked for CMOP 
          transmission.  
       III-V controlled substance to be marked for CMOP transmission.  
       
       1. Both options were modified to remove the screen that disallows a drug 
          identified as a Schedule III-V controlled substance to be marked for 
          CMOP transmission. 
       
      
    • 4 SEQ #3
      DATE APPLIED:   1998-02-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch removes the INPATIENT PRESCRIPTION PROFILE (#70) and the
       INPATIENT NARRATIVE (#21) fields from the PHARMACY PATIENT file (#55).
       Field #21 was added with the release of Pharmacy Data Management (PDM)
       and it is conflicting with reserved fields designated for Outpatient
       Pharmacy. This patch will delete all data and DDs related to these
       fields. 
      
    • 37 SEQ #32
      DATE APPLIED:   2000-07-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The option, Synonym Enter/Edit [PSS SYNONYM], has been created to provide
      easy access to the update the synonym information for an entry in the local
      DRUG file (#50).
      
    • 31 SEQ #31
      DATE APPLIED:   2000-07-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contain two enhanancements:
       
       1. It restores the DDs related to the "AND" cross-reference placed on the
          NATIONAL DRUG FILE ENTRY field (#20) in the DRUG file (#50).
       
       2. It removes the CHEMOTHERAPY DRUG field (#202) and data from the DRUG
          File (#50).
      
    • 36 SEQ #33
      DATE APPLIED:   2000-07-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains one resolution.
       Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, entries in the "AOC" MUMPS
       cross-reference only exist if the VA CLASSIFICATION field (#2) was
       entered after the PHARMACY ORDERABLE ITEM field (#2.1) in the DRUG file
       (#50).
       
       Solution: To make sure entries are properly set, this patch replaces the
       "AOC" MUMPS cross-reference with a new "AOC" compound index associated
       with the VA CLASSIFICATION field (#2) and PHARMACY ORDERABLE ITEM field
       (#2.1) in the DRUG file (#50). This solution will create an entry in the
       "AOC" compound index anytime both fields are modified regardless of the
       
       order.
       Problem: This patch resolves a problem related to a report created by the
       Patients on Specific Drug(s) [PSJ PDV] option associated with the
       Inpatient Medications V. 5.0 application.  The Pharmacy Data Management
       (PDM) V. 1.0 application allows the Patients on Specific Drug(s) [PSJ
       PDV] option to access data stored in the "AOC" MUMPS cross-reference to
       produce a report on specific VA Classification.  A facility reported that
       they noticed missing entries after generating the report.  When using the
      
    • 32 SEQ #34
      DATE APPLIED:   2000-08-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains several problems and resolutions related Pharmacy 
       Resolution:  The characteristics of the INACTIVE DATE field (#.04) in the
       PHARMACY ORDERABLE ITEM file (#50.7) was enhanced by classifying the
       field as an identifier.  When the user performs a lookup on selectable
       orderable items, the option will display the inactive date associated
       with the orderable item.
       
       2.  Problem:  In the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, the 
       user noticed excessive looping after matching or tying an IV Additive or 
       Solution to an orderable item.  The user is asked repeatedly to enter 
       another IV Additive or Solution.  The user has to press return several 
       Data Management V. 1.0. 
       times to move to the next section in the option.  
       
       Resolution:  The Drug Enter/Edit [PSS DRUG ENTER/EDIT] option was 
       enhanced to allow the user to decide whether to enter another IV 
       Additive or Solution before moving to the next section.  
       
       3.  Problem: In the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, the 
       user encountered an <UNDEFINED> UD^PSSDEE error when editing a drug that 
       has been previously marked for CMOP. After the "Do you wish to UNmark 
       this drug to transmit to CMOP? " prompt, the problem occurred as a result
       
       of killing the DA variable found at line tag UNMARK+1 in the PSSMARK 
       routine. When the coding logic returned to the PSSDEE routine, the DA 
       variable was detected as undefined since it was not reset to its 
       original value. 
       
       Resolution:  In reference to the Drug Enter/Edit [PSS DRUG ENTER/EDIT] 
       option, the PSSDEE routine was modified to store the value of the DA 
       variable into an alternate variable so that the value of the DA variable 
       can be retained for further use.  
       
       1.  Problem:  In the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, a 
       4.  Problem:  A minor enhancement was added to the Edit Orderable Items 
       [PSS EDIT ORDERABLE ITEMS] option.  When editing the CORRESPONDING IV 
       ITEM field (#4) or CORRESPONDING UD ITEM field (#3) in the PHARMACY 
       ORDERABLE ITEM file (#50.7), the default prompt only showed the orderable
       item name and did not include any reference to the DOSAGE FORM field 
       (#.02) in the PHARMACY ORDERABLE ITEM file (#50.7).  The selection 
       process was confusing if there were multiple orderable items with the 
       same name with different dosage forms.  
       
       Resolution: To alleviate confusion, the Edit Orderable Items [PSS EDIT 
       problem was discovered with identifying an inactive orderable item 
       ORDERABLE ITEMS] option was enhanced to display a message to the user 
       prior to the prompt. The message will indicate both the orderable item 
       name and dosage form information.  
       
       5.  Problem: In the Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] 
       option, the user noticed a problem with modifying and storing information
       related to the orderable item. The problem was related to an outdated 
       global reference to a reconstructed National Drug File (NDF) file within 
       the input transform placed on the PHARMACY ORDERABLE ITEM field (#2.1) in
       the DRUG file (#50).  
       before it is matched or tied to a dispense drug. Users find it difficult
       
       Resolution: To resolve this problem, the input transform associated with 
       the PHARMACY ORDERABLE ITEM field (#2.1) was modified by replacing the 
       old NDF global reference with a NDF Application Programming Interfaces 
       (API) call to retrieve the dosage form information from the proper file.
       
       
       6.  Problem: The Drug Enter/Edit [PSS DRUG ENTER/EDIT] option failed to 
       notify the user when a dispense drug is matched or tied to an inactive 
       orderable item. The user would like to see a warning message before s/he 
       to select an active orderable item since the inactive date is not 
       is asked, "Do you want to match to a different Orderable Item? NO//." 
       
       Resolution:  To resolve this problem, the Drug Enter/Edit [PSS DRUG 
       ENTER/EDIT] option was enhanced to warn the user when a dispense drug is 
       matched or tied to an inactive orderable item and provide the name of the
       option where the user can make the proper changes.  
       displayed.  
       
      
    • 34 SEQ #35
      DATE APPLIED:   2000-10-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch provides the functionality needed to prepare for the Pharmacy
      The Implementation Guide and Installation Guide for this patch can be
      obtained on the VISTA Pharmacy Data Management web page. The address is
      http://vista.domain.ext/pdm.
       
        
      The Implementation Guide and Installation Guide are also available on
      the ANONYMOUS.SOFTWARE directory at one of the following Office of
      Information (OI) Field Offices. The file names are PDM1P34_IG.PDF for
      the Installation Guide, and PDM1P34_IMPG.PDF for the Implementation Guide.
       
      Ordering Enhancements project. This project will involve patches by four
        OI FIELD OFFICE                FTP ADDRESS          DIRECTORY
        ===============                ===========          =========
        Albany                         152.127.1.5          anonymous.software
        Hines                          152.129.1.110        anonymous.software
        Salt Lake City                 152.131.2.1          anonymous.software 
      packages; Computerized Patient Record System (CPRS), Inpatient
      Medications, Outpatient Pharmacy, and Pharmacy Data Management. This
      Pharmacy Data Management patch, PSS*1*34, provides the tools necessary to
      set up the Pharmacy files in advance of the Pharmacy Ordering Enhancements
      project.
       
       
      
    • 35 SEQ #36
      DATE APPLIED:   2000-10-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Several sites have reported a problem when trying to document the
      PARAMETERS file (#53.45) and the DISPENSE DRUG sub-file (#53.11) of the
      NON-VERIFIED ORDERS file (#53.1). The problem with the input transform
      also exists in the PHARMACY PATIENT file (#55), UNIT DOSE sub-file
      (#55.06), DISPENSE DRUG sub-file (#55.07), UNITS PER DOSE field (#.02).
      Patch PSJ*5*43 corrects the problem in the INPATIENT USER PARAMETERS file
      (#53.45) and the NON-VERIFIED ORDERS file (#53.1). This patch corrects
      this problem in the PHARMACY PATIENT file (#55). NOIS#s NOL-0300-71473,
      HOU-0300-71626, and CMO-0300-43187.
       
      2.  Site reported a problem where they entered an infusion rate of @x and
      dispensing of medications through the Bar Code Med Admin (BCMA)
      x labels didn't print.  Only 1 label printed.  The issue is that only one
      administration time was specified.  The administration time overrides the
      entry of @x when determining how many labels will print.  This patch
      modifies the field descriptions and the documentation for INFUSION RATE in
      order to clarify which field determines the number of labels.  Modified
      USUAL INFUSION RATE field (#2) in the IV ADDITIVES file (#52.6), QUICK
      CODE sub-file (#52.61) and the INFUSION RATE field (#.08) in the PHARMACY
      PATIENT file (#55), IV sub-file (#55.01).
       
      3.  The vendor for the ATC systems called to say they now have two
      software.  The sites have reported receiving the following error:
      machines with canister numbers higher than currently allowed.  This patch
      modifies the ATC CANISTER field (#1) of the DRUG file (#50), ATC CANISTER
      sub-file (#50.0212) to increase the canister limit from 500 to 800 and
      remove the references to Baxter since the company name has changed.  This
      patch also modified the following entries to remove the references to the
      company name of Baxter:  DRUG file (#50), ATC CANISTER sub-file (#212),
      field description, DRUG file (#50), ATC MNEMONIC field (#212.2), DRUG file
      (#50), ATC CANISTER sub-file (#212), WARD GROUP FOR ATC CANISTER field
      (.01).
       
       
      4.  An inconsistency was discovered between the Computerized 
      Patient Record System (CPRS) and the Inpatient Medications validation of
      Provider Comments/Special Instructions.  CPRS allows entry of text with no
      spaces while Inpatient Medications requires spaces.  This patch corrects
      this problem by modifying the validation of Special Instructions to allow
      an entry with no spaces.
       
      5.  The INPATIENT PRESCRIPTION PROFILE field (#70) in the PHARMACY PATIENT
      file (#55) is no longer used.  This patch deletes this field.
      1. Data Validation Error: 701: The value 'AC' for field DOSES ORDERED in
      DISPENSE DRUG SUB-FIELD in file BCMA MEDICATION LOG is not valid.
       
      The problem was with the input transform on the UNITS PER DOSE field
      (#.02) in the DISPENSE DRUG sub-file (#53.4502) of the INPATIENT USER
      
    • 33 SEQ #37
      DATE APPLIED:   2001-02-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      See Patch PSS*1*33 in the National Patch Module for description of the
      Build.
      
    • 39 SEQ #38
      DATE APPLIED:   2001-02-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      See patch PSS*1*39 in the National Patch Module for description of the
      build.
      
    • 42 SEQ #39
      DATE APPLIED:   2001-03-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds a new field, NDF UPDATE (#5) to the ACTIVITY LOG
      multiple (#214) in the DRUG file (#50).
      
    • 40 SEQ #40
      DATE APPLIED:   2001-03-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch exports two new options that can be used to assist sites in the
       
      Orderable Item/Dosages Report [PSS ORDERABLE ITEM DOSAGES] option:
      This option prints a report that displays Inpatient and Outpatient
      Dosages for Pharmacy Orderable Items. These are the dosages that will
      display for selection through Computerized Patient Record System (CPRS)
      when an Orderable Item is selected for a medication order. The report is
      sorted by Pharmacy Orderable Item. Along with each dosage that is
      displayed on the report, the name of the Drug entry from the DRUG file
      (#50) that provides the dosage will also display. Not every dosage from
      the DRUG file (#50) will display on this report. For example, if there are
      pharmacy set-up work for the Pharmacy Ordering Enhancements (POE) project.
      duplicate Possible Dosages for a Pharmacy Orderable Item, and there are
      different Dispense Units per Dose, then only the Possible Dosage with the
      lowest Dispense Units per Dose will display on the report. If there are
      Possible Dosages and Local Possible Dosages for drugs tied to the Pharmacy
      Orderable Item, then only the Possible Dosages will display on the report.
      In summary, this report will screen out Possible Dosages and Local
      Possible Dosage when appropriate, so only the dosages selectable through
      CPRS will display on this report.
       
       
      The two options are named:
      Patient Instructions Report [PSS INSTRUCTIONS/ITEMS REPORT] option:
      Due to numerous requests, a change has been made to the PATIENT
      INSTRUCTIONS field (#7) of the PHARMACY ORDERABLE ITEM file (#50.7). Data
      in this field will now be checked for possible expansions, by running each
      word through the MEDICATION INSTRUCTION file (#51), similar to how the
      SIG has been traditionally expanded in the Outpatient Pharmacy
      application. The data will still be stored in condensed form, but will
      print in expanded form when used by the various applications in POE. This
      includes all reports, displays in CPRS, displays in Outpatient Pharmacy,
      and when the SIG prints on the Outpatient Pharmacy labels. It is important
       
      that any Patient Instructions entered prior the installation of this patch
      be reviewed, to ensure that if a word didn't expand when originally
      entered and now does expand, that the expansion is appropriate. The
      Patient Instructions Report option can be used to review any Patient
      Instructions that are entered in the PHARMACY ORDERABLE ITEM file (#50.7).
       
      In addition to the new Patient Instructions Report, this patch makes a
      change to the PATIENT INSTRUCTIONS field (#7) of the PHARMACY ORDERABLE
      ITEM file (#50.7). When data is entered into this field, the expanded
      version of the data will now echo back to the user.
                Orderable Item/Dosages Report [PSS ORDERABLE ITEM DOSAGES]
       
       
       
      Change pages have been issued for the Pharmacy Ordering Enhancements
      Pharmacy Data Management Pre-Release Implementation Guide, initially
      distributed with patch PSS*1*34. These change pages can be obtained on the
      VISTA Pharmacy Data Management web page at
      http://vista.domain.ext/PDM/pdm_documentation.htm .
       
      The Pharmacy Ordering Enhancements Pharmacy Data Management Pre-Release
                Patient Instructions Report [PSS INSTRUCTIONS/ITEMS REPORT]
      Implementation Guide is also available on the ANONYMOUS.SOFTWARE directory
      at one of the following Office of Information (OI) Field Offices. The
      Implementation Guide's file name is PDM1P34_IMPG.PDF.
       
        OI FIELD OFFICE                FTP ADDRESS          DIRECTORY
        ===============                ===========          =========
        Albany                         152.127.1.5          anonymous.software
        Hines                          152.129.1.110        anonymous.software
        Salt Lake City                 152.131.2.1          anonymous.software 
       
      These options will be accessible under the Orderable Item Management [PSS
      ORDERABLE ITEM MANAGEMENT] menu option.
      
    • 6 SEQ #4
      DATE APPLIED:   1998-03-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains an update to the ^DD global for the field TO
      SERVICE (1) of the D/C ON SERVICE TRANSFER (#23) multiple in the
      PHARMACY SYSTEM file (#59.7). This field had a typographical error in the
      executable help, resulting in an error.
      
    • 43 SEQ #41
      DATE APPLIED:   2001-04-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch provides the functionality needed to fix NOIS PTH-0301-21164.
      This will fix the problem of bad interactions presently on your system
      as well.
      
    • 41 SEQ #42
      DATE APPLIED:   2001-06-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      When using the PRimary Solution File (IV) [PSSJI SOLN] option, and
      the ADditives File [PSSJI DRUG] option, it was reported that at the end
      of the dialogue, the system is not responding correctly to the
      "YES" answer when prompted "Would you like to enter another IV Additive
      or Solution? NO//". This patch fixes this problem.
      
    • 45 SEQ #43
      DATE APPLIED:   2001-06-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Phase 1 of the Pharmacy Ordering Enhancements (POE) project introduced
      that entry to have Possible Dosages is that the combination of Dosage Form
      and Unit from the National Drug File match must be marked as convertible
      in the DOSAGE FORM (#50.606) file. This data in the DOSAGE FORM (#50.606)
      file was populated at the Field Office and exported with patch PSS*1*34.
      This data should only be edited and exported from the Field Office,
      so this patch is exporting the data again, and will put restrictions on
      those particular fields. This patch will also put restrictions on fields
      in the DRUG (#50) file, to prevent invalid Possible Dosages from being
      created. In addition, this patch will look for any invalid Possible
      Dosages in the DRUG (#50) file, and either delete that Possible Dosage, or
      functionality to create Possible Dosages and Local Possible Dosages in the
      remove the invalid package reference from that Possible Dosage. A mail
      message will also be generated that lists any drugs that were affected by
      this install. This message will be sent to the person installing the
      patch, and all PSNMGR key holders. Reasons that a Possible Dosage would
      have to be deleted are:
       
      1) The drug is not matched to the National Drug File.
      2) The match to the National Drug File does not produce a valid Unit or
         Dosage Form.
      3) The Unit from the National Drug File match does not match the Unit in
      DRUG (#50) file. This work is being done in preparation of phase 2 of the
         the DRUG (#50) file.
      4) The combination of Dosage Form/Unit from the National Drug File match
         is not marked as convertible in the DOSAGE FORM (#50.606) file.
      POE project, when these Possible Dosages and Local Possible Dosages will
      be selectable during the Medication Ordering process in Outpatient
      Pharmacy, Inpatient Medications, and Computerized Patient Record System
      (CPRS).
       
      One of the criteria that an entry in the DRUG (#50) file must meet for
      
    • 38
      DATE APPLIED:   2001-09-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The Pharmacy Ordering Enhancements (POE) project provides enhancements
      Inpatient Medications and Outpatient Pharmacy applications.  This project
      directly supports Computerized Patient Record System (CPRS), which is a
      key component of Veterans Health Administration's (VHA) plan to expand
      support for clinical operations. Additionally, order checks will be
      provided for medication orders for which a dispense drug has not been
      selected during the CPRS order entry process. It is also intended as a way
      to help meet the goal outlined in Objective 8, Action 1 in the
      Prescription for Change, which outlines the need to coordinate
      national/Veterans Integrated Service Network (VISN) formularies and share
      drug treatment guideline information. This project will promote system-
      to Pharmacy Data Management (PDM) V. 1.0, Inpatient Medications
      wide sharing of drug reviews and treatment guidelines thereby enhancing
      patient safety.
       
      This project consists of four patches that work together to accomplish
      these goals listed in order of install:
       
           PSO*7*46
           OR*3*94
           PSS*1*38
           PSJ*5*50
      V. 5.0, Outpatient Pharmacy V. 7.0, and Order Entry/Results Reporting
       
       
      Installation Instructions and Documentation Retrieval:
      ======================================================
       
      The Installation Guide, Release Notes, revised Pharmacy Data Management
      (PDM) Technical Manual, and Pharmacy Data Management (PDM) User Manual are
      on the ANONYMOUS.SOFTWARE directory at one of the following Office of
      Information (OI) Field Offices.
        
      (OE/RR) V. 3.0 medication ordering dialogues to eliminate redundant entry
      Sites may retrieve documentation in one of the following ways:
       
      (1) The preferred method is to FTP the files from
      download.vista.domain.ext, 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.domain.ext
      of drug information during medication order entry, provide a more
      Hines           ftp.fo-hines.domain.ext
      Salt Lake City  ftp.fo-slc.domain.ext
       
        The software distribution includes:
       
       FILE NAMES          DESCRIPTION
       
       CPRS_POE_10.KID     CPRS/Pharmacy Ordering Enhancements 1.0 Master Build
       CPRS_POE_1_1_IG.PDF Installation Guide
       CPRS_POE_1_0_RN.PDF Release Notes
      consistent medication order entry process, provide expanded order
       PDM_1_0_TM.PDF      Technical Manual/Security Guide
       PDM_1_0_UM.PDF      User Manual 
       
      (3) Documentation can also be retrieved from VISTA Document Library (VDL)
      on the VA Intranet at the following address, http:/vista.domain.ext/vdl.
      checking, display documented drug formulary statuses and corresponding
      restriction/guidelines to the provider and pharmacist at the time of order
      entry, and improve the process of medication order transfer between
      
    • 49 SEQ #45
      DATE APPLIED:   2001-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1) A problem has been reported concerning certain dosage selections in
        - The Review Dosages Report [PSS DOSAGE REVIEW REPORT] option.
        - The Orderable Item/Dosages Report [PSS ORDERABLE ITEM DOSAGES] option.
        - Display the leading zero when editing Dosages through either the Drug
          Enter/Edit [PSS DRUG ENTER/EDIT] option or the Enter/Edit Dosages [PSS
          EDIT DOSAGES] option.
        - The display of Dispense Units per Dose has also been changed in the
          Pharmacy Data Management options to display a leading zero when the
          number begins with a decimal point.
       
      2) This patch also contains a change that will affect Computerized Patient
         Inpatient Medications V. 5.0 and Computerized Patient Record System
         Record System (CPRS). The Pharmacy Data Management package returns
         information to CPRS regarding the DEA Special Handling indication of a
         Pharmacy Orderable item, which is based on the DEA Special Handling
         information from the Dispense Drugs tied to the Pharmacy Orderable
         Item. Currently, if the DEA Special Handling code contains a "1", or
         contains a "2", or contains both the "3" and the "A", this indicates to
         CPRS that a wet signature is required. If this first condition is not
         met, but the DEA Special Handling code contains a "4", or contains a
         "5", or contains a "3" and not the "A", then a wet signature is not
         required, but it does indicate that it is a controlled substance. This
         (CPRS) V. 3.0. The problem is in the Dosages that contain a "/", and
         patch changes that logic. With the installation of this patch, if the
         DEA Special Handling code contains a "1", or contains a "2", this
         indicates to CPRS that a wet signature is required. If this first
         condition is not met, but the DEA Special Handling code contains a "3",
         or contains a "4", or contains a "5", then a wet signature is not
         required, but it does indicate that it is a controlled substance.
         when the second part of that Dosage begins with a decimal point. A
         leading zero was not being added to that second part of the Dosage. For
         example, a Dosage that is currently being displayed as 0.25MG/.5ML will
         be displayed as 0.25MG/0.5ML.
       
        This change will affect the following:
      
    • 44
      DATE APPLIED:   2001-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem where a one-time order could not be
      system parameter is not defined, the system will use the continuous order
      parameters to determine the stop date, rather than the start and stop date
      being equal.  Then, when BCMA marks the medication as 'Given', Inpatient
      Medications will expire the order. NOIS# BUT-0501-20609
       
      2. With the release of the Pharmacy Ordering Enhancements patches two
      spaces were allowed in the schedule field.  In testing, it was discovered
      that a user could enter the two spaces at the end of the schedule and it
      was accepted by the software.  The software was not intended to work this
      way.  Upon installation of this patch, the trailing spaces will be
      discontinued by the provider because it was expired due to the start and
      stripped off the text the user enters at the schedule prompt.
      stop date being the same. However, the medication still displayed in Bar
      Code Medication Administration (BCMA) V. 1.0 because of the 12-hour rule
      for displaying one-time orders on the Virtual Due List.  This patch
      corrects this problem by changing the way the stop date for one-time
      orders is calculated. There will be a ward parameter, system parameter and
      the standard calculation. The hierarchy will be to check the one-time ward
      parameter first, if not defined, check the system parameter.  If the
      
    • 51 SEQ #47
      DATE APPLIED:   2002-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem has been reported in the Drug Enter/Edit [PSS DRUG
      2. A problem was reported in the Dispense Drug/Orderable Item Maintenance
         [PSS MAINTAIN ORDERABLE ITEMS] option. If a drug is not marked for
         Outpatient (O), Unit Dose (U), or IV (I) in the APPLICATION PACKAGES'
         USE (#63) field of the DRUG (#50) file, then it is not selectable in
         this option. These drugs will now be selectable. They will still not be
         selectable for ordering, but now they can be matched to a Pharmacy
         Orderable Item.
         ENTER/EDIT] option. If a drug is edited that is not matched to Pharmacy
         Orderable Item, and the drug is matched to a Pharmacy Orderable Item in
         this option, then the Possible Dosages are reset after completion of
         the match. Possible Dosages should only be reset if the drug is matched
         to a Pharmacy Orderable Item when the option is first accessed, and the
         drug is rematched to a different Pharmacy Orderable Item with a
         different Dosage Form.
       
      
    • 53 SEQ #48
      DATE APPLIED:   2002-02-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem can occur in Computerized Patient Record System (CPRS) when 
       
      In this example, the first and third Dosages come from different Dispense 
      Drugs, but since each of these drugs has a top level Strength and Unit 
      from the National Drug File match, the Strength and Unit are displayed 
      instead of the Dispense Drug name, which makes the selection ambiguous. 
      In addition, no matter which of these Local Possible Dosages is selected, 
      the first or the third, the same Dispense Drug is assigned to the order.
       
      To fix this problem, this patch will make a change to the way Local 
      Possible Dosages are returned to CPRS for display and selection. As in 
      duplicate Local Possible Dosages are displayed for selection in the 
      this case, if there are duplicate Local Possible Dosages in the list, and 
      one of the duplicate sets also has a duplicate Strength and Unit for
      different Dispense Drugs, then the Strength will not be returned to CPRS
      along with the Local Possible Dosages. Then instead of CPRS displaying the
      Strength and Unit, CPRS will display the Dispense Drug name, which should
      differentiate the selection display, as long as the Dispense Drug names
      are different. This will also resolve the selection problem of the same
      Dispense Drug being assigned to the order, regardless of the selection.
      medication order entry process, and these duplicate Local Possible 
      Dosages have a duplicate Strength and Unit as part of the display. For 
      example, a dosage selection display such as:
       
      SMALL AMOUNT OF 0.1%
      SMALL AMOUNT OF 0.025%
      SMALL AMOUNT OF 0.1%
      
    • 48 SEQ #49
      DATE APPLIED:   2002-03-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. It was reported that although some Dosage Form entries are inactivated,
         times it picks a wrong drug. This problem is due to the existence of
         an old cross-references ("IV", "IV1", and "IV2") in the DRUG file
         (#50). This patch fixes this problem.
         they are still showing up in the following options:
            -Dosage Form File Enter/Edit [PSS DOSAGE FORM EDIT].
            -Noun/Dosage Form Report [PSS DOSE FORM/NOUN REPORT].
         This patch insures that the inactivated entries will not be displayed
         in those options.
       
      2. When using the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, it was
         reported that if the drug is selected using the synonym entry, some-
      
    • 50 SEQ #50
      DATE APPLIED:   2002-04-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When using the Drug Enter/edit [PSS DRUG ENTER/EDIT] option and the
         populate from the STRENGTH field (#2) of the VA PRODUCT file (#50.68).
       
       - The software will populate the Unit of the drug from the UNIT field
         (#902) of the DRUG file (#50) if it is defined, otherwise it will
         populate from the UNIT field (#3) of the VA PRODUCT file (#50.68).
       
       - If both the Strength and the Unit fields are not populated then the
         software will display null values.
       
      2. When creating new dosages for a drug, the PACKAGE field (#3) in
         Enter/Edit dosages [PSS EDIT DOSAGES] option, currently the software
         the DOSAGES multiple (#903) of the DRUG file (#50) is case-
         sensitive (allows only capital letters). This patch modifies the Input
         Transform of the PACKAGE field to accept lowercase letters as well.
       
      3. When using the Dosage Form File Enter/Edit [PSS DOSAGE FORM EDIT]
         option, it was reported that the MED ROUTE FOR DOSAGE FORM field (#.01)
         in the MED ROUTE FOR DOSAGE FORM multiple (#50.6061) of the DOSAGE FORM
         file (#50.606) can be assigned a Medication Route entry with a PACKAGE
         USE field (#3) of "FOR NATIONAL DRUG FILE ONLY" from the MEDICATION
         ROUTES file (#51.2). This patch prevents such Medication Route entries
         displays the Strength and the Unit of a drug only if it finds Possible
         from being assigned to the MED ROUTE FOR DOSAGE FORM multiple.
         Dosages assigned to that drug. This patch modifies routines PSSDOS and
         PSSDOSER to display the Strength, and the Unit of a drug that also has
         Local Possible Dosages assigned for the following conditions:
       
       - The software will populate the Strength of the drug from the STRENGTH
         field (#901) of the DRUG file (#50) if it is defined, otherwise it will
      
    • 7 SEQ #5
      DATE APPLIED:   1998-03-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects a problem when using the option Lookup into Dispense
      Drug File [PSS LOOK].  Drugs with an application defined for use were
      inadvertently displayed as "none" under some circumstances.
       
      This patch also corrects a problem with the display of synonyms under
      certain circumstances.
      
    • 52
      DATE APPLIED:   2002-04-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As a part of the Pharmacy Benefits Management (PBM) Extract enhancement
      packages affected since only one installation is necessary.  The patches,
      in order of install, are:
       
            PSS*1*52  PHARMACY DATA MANAGEMENT V. 1.0
            PSJ*5*68  INPATIENT MEDICATIONS V. 5.0
            PSO*7*95  OUTPATIENT PHARMACY V. 7.0
       
      Upon completion of the installation of these three patches, the master
      build will start a routine that will build the two new fields from
      historical data in the PHARMACY PATIENT file (#55).  When the build is
      project, two new fields were added to the PHARMACY PATIENT file (#55).
      complete, the user who initiated the install and the members of the
      PSU PBM mail group will receive a message with a subject of BUILD OF FIRST
      PHARMACY SERVICE INFO COMPLETE.
      They are FIRST SERVICE DATE (#.07) and ACTUAL/HISTORICAL FLAG (#.08).
      With the addition of these two fields, Inpatient Medications V. 5.0 and
      Outpatient Pharmacy V. 7.0 have been modified to set this information
      when the first order for a patient becomes active.
       
      This project consists of three patches combined in a master build.
      Installation of this master build should be coordinated among the three
      
    • 46
      DATE APPLIED:   2002-05-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Bar Code Medication Administration (BCMA) V. 2.0 release provides 
      Med Order button in BCMA V. 2.0.
       
      This project consists of two patches and a new version of BCMA that work
      together to accomplish these goals listed in order of install:
       
           PSS*1*46  PHARMACY DATA MANAGEMENT V. 1.0
           PSJ*5*58  INPATIENT MEDICATIONS V. 5.0
           BAR CODE MED ADMIN 2.0
      enhancements to Pharmacy Data Management (PDM) V. 1.0, and Inpatient 
      Medications V. 5.0. The BCMA V. 2.0 release expands and improves the
      process of medication administration, especially in the area of IV
      medications.
       
      In support of this, Inpatient Medications V. 5.0 and PDM V. 1.0 have added
      the ability to print barcode identifiers on IV labels, IV order 
      verification and the ability to receive done priority orders via the CPRS 
      
    • 54 SEQ #53
      DATE APPLIED:   2002-09-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with quitting the Drug Enter/Edit [PSS DRUG
      ENTER/EDIT] option using the "^". When the user quits with an "^" at 
      the prompt "Match to another Orderable Item with same Dosage Form?" this
      will not properly clean up. This has resulted in improper prompting when
      using the Edit Data for a Patient in the Clozapine Program [PSO EDIT]
      option. This patch fixes this problem. NOIS PUG-0202-52260
       
      2. A site reported a problem with the display of the cost information for 
      a drug. This patch corrects this problem. NOIS NYH-1001-12352
      
    • 60 SEQ #54
      DATE APPLIED:   2002-10-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       A new field is being added to the IV multiple of the Pharmacy Patient 
      file (#55) to support a change in functionality for auto-reinstating
      Inpatient Medications orders.
       Inpatient Medications orders which were on hold at the time a patient
      movement occurred which caused them to be auto-discontinued were not
      returned to on hold if the movement was deleted and the orders were
      auto-reinstated.  This patch corrects this problem.  NOIS: AAA-0802-N1994.
      
    • 56 SEQ #55
      DATE APPLIED:   2002-10-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Currently Inpatient Medications V. 5.0 recognizes the following
      Medication Administration (BCMA) V. 1.0 correctly. The problem was that 
      the frequency for the medication administration was being calculated 
      inappropriately. This patch corrects this problem. NOIS: HUN-0502-22756
       
      3. A site reported a problem quick orders not displaying entries from the
      SCHEDULE ADMINISTRATION file (#51.1) correctly when attempting to define 
      outpatient quick orders. This patch corrects this problem. 
      NOIS: DUB-1201-30587
      schedules as One Time schedules: NOW, ONCE, STAT, ONE TIME, 1 TIME, 1TIME,
      1-TIME , ONE-TIME, ONETIME
       
      This patch will update the routines that Pharmacy Data Management (PDM)
      V. 1.0 uses to validate schedules for Computerized Patient Record System
      (CPRS) V. 1.0 to be consistent with Inpatient Medications V. 5.0.
       
      2. A site reported a problem with an order not appearing in Bar Code 
      
    • 57 SEQ #56
      DATE APPLIED:   2002-10-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      HUI/VHA CIO SD&D PHARMACY DATA INTERCHANGE
      protocol SEND DRUG UPDATE MESSAGE [PSS HUI DRUG UPDATE] as a subscriber.
      To activate the sending of these HL7 messages the text from DISABLE field
      must be deleted and at least one receiving protocol added as a subscriber.  
       
      For those sites who ARE NOT part of the Hui/VHA CIO SD&D Pharmacy Data 
      Interchange project, NO FURTHER ACTION is necessary after installation of
      the patch.  
       
       
      2. When performing drug lookups, two issues were identified. First, the was
       
      not aware of which item was being matched. For example, was the match for
      the GENERIC NAME of the drug or was it the SYNONYM. The second issue had to
      do with the search matching to the NATIONAL DRUG CLASS NAME first, before
      checking for a GENERIC NAME. 
       
      This patch makes two changes to the drug lookup. First, the search will
      display the item being searched on. Second, if a match is found on an item,
      but the user doesn't select one of the matches displayed, the search will
      continue through all other items.
      1. This patch is in support of the Hui/VHA CIO SD&D Pharmacy Data
      Interchange project. The project provides a method for the one-way
      electronic transfer of prescription orders from an external system to VistA
       
      The purpose of this patch is to provide an HL7 notification of the addition
      of new drugs and drug updates to the DRUG file (#50). To receive this 
      notification, the receiving protocol must be attached to the sending
      
    • 55 SEQ #57
      DATE APPLIED:   2002-11-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
      one or all entries.
       
      The Drug Text Enter/Edit [PSS DRUG TEXT ENTER/EDIT] option was changed to
      enhance the text displayed when editing or inactivating an entry. The new
      text identifies the specific option that can be used to display linked
      items.
       
      The following cross-references were created for use in generating a list
      of DRUG file (#50) entries and PHARMACY ORDERABLE ITEM file (#50.7)
      entries associated with a DRUG TEXT file (#51.7) entry and for generating
      The Pharmacy Data Management Drug Text Enter/Edit [PSS DRUG TEXT
      the report in the Drug Text File Report [PSS DRUG TEXT FILE REPORT]
      option:
        1. A full file cross-reference on the DRUG TEXT ENTRY field
      (#50.037) in the DRUG file (#50).
        2. A full file cross-reference on the OI-DRUG TEXT ENTRY field (#50.76)
      of the PHARMACY ORDERABLE ITEM file (#50.7).
       
      Note: The population of the new 'DTXT' cross reference is done in a
      post-install background job. When this job completes, it will send a
      MailMan message to the installer of the patch and holders of the
      ENTER/EDIT] option is being enhanced and a new Drug Text File Report [PSS
      PSNMGR key. The new Drug Text File Report [PSS DRUG TEXT FILE REPORT]
      option should then be run for all drug text entries in the DRUG TEXT
      file (#51.7) to verify that the correct drug text is associated with the
      correct entries in the PHARMACY ORDERABLE ITEM file (#50.7) and the DRUG
      file (#50). A listing of the original drug text file entries distributed
      with Patch PSS*1*29 is provided in the Pharmacy Data Management user
      manual.
       
      There will be updates to the Pharmacy Data Management V.1.0 User and
      Technical manuals for this patch.
      DRUG TEXT FILE REPORT] option is being added.
       
       
      The Drug Text File Report [PSS DRUG TEXT FILE REPORT] option displays the
      drug text name, synonyms, drug text, inactive date if inactive, and lists
      all drug and orderable items linked to it. This report can be printed for
      
    • 58 SEQ #58
      DATE APPLIED:   2002-12-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When a user cannot access a patient order due to the order being locked
      Add field# 148 FLAGGED to the IV multiple of the PHARMACY PATIENT file 
      (#55).
      Add field# 124 FLAGGED to the UNIT DOSE multiple of the PHARMACY PATIENT
      file (#55).
       
      Changed field# .02 TYPE OF ACTIVITY, added two new codes to the existing 
      set of codes. 'G' FOR FLAGGED; 'UG' FOR UNFLAGGED. This is in the 
      ACTIVITY LOG multiple (#55.04).
      Changed field# .04 REASON FOR ACTIVITY, increased the field size from 75 
      to 102.  This is also in the ACTIVITY LOG multiple (#55.04).
      by another user, a warning message is displayed and hung for a couple 
      second before scrolling off the screen.  This patch will pause and 
      require a return from the user before continuing with the process.
       
      2. The following DD changes are being made in order to support requested 
      changes to Inpatient Medications to allow flagging functionality. E3R
      #11177 and #12382
       
      
    • 66 SEQ #59
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch, in conjunction with CPRS patches OR*3.0*149 and OR*3.0*158,
         problem for orders entered through CPRS GUI, and patch OR*3.0*158 will
         fix this problem for orders entered through CPRS ListMan. No problems
         will occur if the PSS*1.0*66 patch is installed without either one or
         both of the CPRS patches, but the functionality will not work properly
         until all patches are installed. NOIS JAC-0602-72390
       
      2. A site reported a problem with entering the cost information for drugs
         with cost like NNNNN.NNN per order unit. Currently, the PRICE PER ORDER
         UNIT field (#13) in the DRUG file (#50) only allows 4 digits before the
         decimal point. This patch modifies the Data Dictionary of this field to
         fixes a problem that can occur when entering an order for an outpatient
         accommodate 5 digits. NOIS POR-0902-50198
       
      3. A minor change has been made to the Pharmacy Data Management (PDM) 
         Application Program Interface (API) to allow other pharmacy packages to
         make use of it, whenever they update the DRUG file (#50) so that PDM 
         possibly generates an HL7 outgoing drug message.
       
      4. A site reported a problem with the display of the cost information
         for drugs with local possible dosages. This patch corrects this
         problem. NOIS REN-0902-60126
         in Computerized Patient Record System (CPRS) using the IV Fluids order
         dialogue. The DEA Special Handling check does not always function when
         entering those orders. So it is possible for a Provider without a DEA#
         or a VA# to enter an order through this dialogue for an Orderable Item,
         when that order should not be allowed to be placed. When this patch and
         both CPRS patches OR*3.0*149 and OR*3.0*158 are installed, this
         functionality will work properly. Patch OR*3.0*149 will fix this
      
    • 67 SEQ #60
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As part of the Outpatient Pharmacy V. 7.0 project to add Patient 
      Medication Information (PMI) print to labels, a new field must be added to
      the PHARMACY SYSTEM file (#59.7). The new field, PMIS SECTION DELETE (#15)
      will allow the Pharmacy Benefits Manager to mark certain PMI sections to
      delete them from printing on labels. This patch adds this new field and
      populates it appropriately.
      
    • 5 SEQ #6
      DATE APPLIED:   1998-04-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       **NOTE** THIS PATCH SHOULD BE LOADED BEFORE PATCH OR*2.5*49.
       
       This procedure call has been changed to return an additional data
       element.  The Default Schedule name for the Orderable Item is now
       returned in ^TMP("PSJSCH",$J). ^TMP("PSJSCH",$J)= DEFAULT SCHEDULE
       NAME.
       
       Problem #2:  This patch resolves a problem related to the Drug
       Enter/Edit [PSS DRUG ENTER/EDIT] option.  In routine PSSDEE,
       modifications were made to allow the user to enter a new drug.
       
       The PSS*1*5 patch resolves two problems with the Pharmacy Data
       Management package.  They are listed below.
       
       Problem #1:  This patch contains modifications to routine PSSJORDF.
       The procedure call START^PSSJORDF(PSJORD) is called by Consolidated
       Patient Record System (CPRS) and passes the Orderable Item internal
       entry number.
      
    • 47 SEQ #61
      DATE APPLIED:   2003-04-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch provides new functionality that allows the Veteran Affairs
      The other language translations are entered by using the new option OTHER
      LANGUAGE TRANSLATION SETUP [PSS OTHER LANGUAGE SETUP]. This new option is
      not linked to any menu, but must be assigned to the person(s) responsible
      for maintaining this functionality.  
       
      The following options must be used to enter the remaining language
      translations data: 
       DRUG ENTER/EDIT [PSS DRUG ENTER/EDIT] 
       DOSAGES ...[PSS DOSAGES MANAGEMENT] 
           DOSAGE FORM FILE ENTER/EDIT [PSS DOSAGE FORM EDIT] 
      Medical Centers to print a patient's prescription bottle label in another
       MEDICATION INSTRUCTION FILE ADD/EDIT [PSSJU MI] 
       MEDICATION ROUTE FILE ENTER/EDIT [PSS MEDICATION ROUTES EDIT] 
       ORDERABLE ITEM MANAGEMENT ... [PSS ORDERABLE ITEM MANAGEMENT] 
           EDIT ORDERABLE ITEMS [PSS EDIT ORDERABLE ITEMS] 
       STANDARD SCHEDULE EDIT [PSS SCHEDULE EDIT]
      language.  This functionality is accomplished by identifying which patients
      has another language preference. To identify patients as having another
      language preference use the option UPDATE PATIENT RECORD [PSO PAT]
      and the protocol action PATIENT RECORD UPDATE [PSO PATIENT RECORD
      UPDATE] and enter Yes in the new field OTHER LANGUAGE PREFERENCE field
      (#106) in the PHARMACY PATIENT file (#55).  
       
      
    • 64 SEQ #62
      DATE APPLIED:   2003-05-20 00:00:00
      APPLIED BY:   USER,ONE
    • 68 SEQ #63
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      PSS*1*68 and OR*3*176 are the first of a total of 6 patches that will 
      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 and mark them 
           as Non-VA Med.  
        2. Enhance current Outpatient Pharmacy software to display patients 
           use of Non-VA Med.  
      comprise the Non-VA Meds (Herbals/OTC) project. These two patches are
        3. Screen for drug-herbal and drug-drug interactions and display the 
           results in both Inpatient and Outpatient Pharmacy.  
        4. Display Non-VA Med drugs on the Orders and Meds tab in CPRS.  
        5. Display of drug interaction information involving Non-VA Med 
           through CPRS.  
       
      The Phase 1 of this project comprises functionality 1 only. It gives the
      sites the ability to add common herbal and OTC products to the DRUG File
      and mark them as Non-VA Med through the Drug Enter/Edit [PSS DRUG
      ENTER/EDIT] option. Furthermore, it also allows the user to mark existing
      being released together to deliver Phase 1 of this project, which is
      dispense drugs as Non-VA Med. Once a drug is marked as Non-VA Med, a
      physician using the CPRS GUI Version 23 application will be able to
      document the patient's use of such drug. Which is done by entering a
      Non-VA Med order for the patient. Functionalities 2 through 5 are part of
      the Phase 2 of this project and will be delivered in a later time.
       
      An important part of this patch is the update of the Drug file. As
      mentioned before, besides 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 another source
      explained in more details below. Phase 2 will contain the following 4
      other than the VA. 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 drug 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: 
       
      patches: PSS*1*69, PSO*7*132, PSJ*5*107 and OR*3*187. They will be
        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:." 
      released in a later time. Once all patches are installed, they will
       
        3. Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] 
       
           If the orderable item is marked as Non-VA, it will now print "This 
           Orderable Item is marked as a Non-VA Med." right after the indication
           of Formulary/Non-Formulary is printed.  
       
      A new field NON-VA MED (#8) has been added to the PHARMACY ORDERABLE ITEM
      File (#50.7).
      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
      
    • 71 SEQ #64
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Data Dictionary (DD) changes are being made in order to support requested
       The ORDERS FILE PARENT ORDER sub-field (#150) was added to the IV
       multiple (#100) of the PHARMACY PATIENT file (#55).
       
       The ORDERS FILE PARENT ORDER  sub-field (#125) was added to the UNIT DOSE
       multiple (#62) of the PHARMACY PATIENT file (#55).
       changes to Inpatient Medications V. 5.0 included in patch PSJ*5*80.
       
       The REQUESTED DURATION sub-field (#151) was added to the IV multiple
       (#100) of the PHARMACY PATIENT file (#55).
       
       The REQUESTED DURATION sub-field (#126) was added to the UNIT DOSE
       multiple (#62) of the PHARMACY PATIENT file (#55).
       
      
    • 73 SEQ #65
      DATE APPLIED:   2003-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Several sites have noted that the common brand names printed on a
       Patient Medication Instruction Sheet are not always appropriate.
       This patch stops the printing of common brand names on PMIs printed
       in conjunction with the laser label.
       
       ****NOTE**** The stand alone option Print a PMI Sheet [PSNPMIS PRINT]
       is not modified by this patch.
      
    • 70 SEQ #66
      DATE APPLIED:   2003-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch fixes the problem reported in NOIS HON-0403-60272 to
         codes contains the National Drug Code (NDC) number in a new format
         called "Global Trade Item Number (GTIN)". The GTIN has a 14-digit data
         structure, which is used within the EAN.UCC system for unique 
         identification of trade items worldwide. This will allow BCMA GUI will 
         correctly read the GTIN and search the synonym field for a matching NDC
         number.
         prevent the undefined variable error that occurs whenever DRUG file
         (#50) get updates and HL7 outgining drug message is sent out.
       
      2. This patch deletes the Pharmacy quick order correction for CPRS
         [PSS QUICK1] option, as it is an obsolete option. NOIS SBY-0403-30493
       
      3. This patch modifies the SYNONYM field (#.01) in the DRUG file (#50) to 
         allow data entry using the new Reduced Space Symbology (RSS) bar 
      
    • 61 SEQ #67
      DATE APPLIED:   2003-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Pharmacy Benefits Management (PBM) Strategic Healthcare Group in
      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
      collaboration with the Drug Enforcement Administration (DEA), requested
      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
      the development of the first Public Key Infrastructure (PKI) VistA
      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
      pilot project, named Electronic Prescription Order Entry for Schedule II
      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. The objective is to develop an electronic order
      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 where appropriate.
       
      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:
      entry system for Schedule II controlled substances using digital
        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.
       
      signatures. To make this project viable, modifications to the following
      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 CS FEDERAL SCHEDULE code mapped to
      corresponding DEA SPECIAL HDLG 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
      packages were identified:
      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
      National Drug File (NDF) V. 4.0
      this patch to read as "NARCOTICS AND ALCOHOLS".
      
    • 69 SEQ #68
      DATE APPLIED:   2003-10-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. PSS*1*69 provides additional internal preparation at your site for 
         used as a supply if the entry in the PHARMACY ORDERABLE ITEM file 
         (#50.7) it is associated with has the SUPPLY field (#.09) set to 1 
         (one). Many sites have expressed their concern about having supply 
         items automatically marked for Non-VA Med use. Therefore, sites can 
         automatically unmark such items through this patch. The unmarking of 
         supply items as Non-VA Meds will be optional. During the patch 
         installation the installer will be prompted "Unmark supply items as 
         Non-VA Meds? Y //". If 'YES' is selected, every supply item in the 
         DRUG file (#50) marked for Non-VA Med use will be unmarked. If for any 
         reason the installer chooses NOT to un-mark supply items for Non-VA 
         the eventual release of the Herbal/OTC/Non-VA Meds Documentation 
         Med use and later wishes to do so, run the Mumps routine PSSUNMSI 
         distributed with this patch.  
       
      2. A new multiple field NON-VA MEDS (#52.2), has been added to the 
         PHARMACY PATIENT file (#55). This field will be used in the future 
         to store Non-VA Med orders.
       
      3. The NON-VA MED field (#8) in the PHARMACY ORDERABLE ITEM file (#50.7)
         is being modified to be "Uneditable".
         project.  
       
         An important part of this patch is the update of the DRUG file (#50).  
         The Post-install routine for patch PSS*1*68 automatically marked for 
         Non-VA Med use every active dispense drug that was marked for 
         outpatient use. Some of these dispense drugs marked for Non-VA Med use 
         were actually being used as supply items. A dispense drug is being 
      
    • 75 SEQ #69
      DATE APPLIED:   2003-10-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch provides functionality to allow an indicator to determine if a 
       patient has at least one active prescription.  This new routine PSSRXACT 
       is to be used as a function call.  The patient's internal dfn is required.  
       the number 1 is returned to indicate that the patient has at least one 
       active prescription, otherwise 0 (zero) is returned.  
       
       S X=$$EN^PSSRXACT(DFN)
      
    • 76 SEQ #70
      DATE APPLIED:   2003-10-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will fix an undefined error encountered when using the DEA Spec
      Hdlg & CS Fed Sch Discrepancy [PSS DEA VS CS FED. SCH. DISCR.] option
      which is under the Controlled Substances/PKI Reports [PSS CS/PKI REPORTS]
      menu. PSSPKIPR is the only routine contained in this patch.
      
    • 8 SEQ #7
      DATE APPLIED:   1998-04-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch makes the following changes to address Year 2000 compliance
       Routine   : PSSCREAT
       Line Tag  : PSSCREAT+12
       Exception : Failure to include "F" in %DT parameter string
       Resolution: Replaces call to %DT with call that includes "F" in %DT
                   parameter string.
       
       Routine   : PSSPOIM1
       Line Tag  : CHECK+1
       Exception : The call C^%DTC makes a comparison to an FileMan internal 
                   date format. FileMan dates are within compliances.
       issues in the Pharmacy Data Management package.
       Resolution: Later determined no action necessary
       
       Routine   : PSSGMI
       Line Tag  : ENDTC+2
                   ENDTC1+2
       Exception : Not a legal document; two digit year is allowed.
       Resolution: Later determined no action necessary
       
       Routine   : PSSLAB
       Line Tag  : BEG+4
                   BEG+5
       Exception : Not a legal document; two digit year is allowed.
       Resolution: Later determined no action necessary.
       
      
    • 77 SEQ #71
      DATE APPLIED:   2003-11-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch modifies the SYNONYM field (#.01) in the DRUG file (#50).
      Barcode Medication Administration (BCMA) uses the Global Trade Item
      Number (GTIN) format for barcodes. The GTIN has a 14-digit data
      structure, which is used within the Uniform Code Council/European Article
      Numbering (UCC/EAN) system for unique identification of trade items
      worldwide. This patch corrects the problem in which scanned GTIN entries
      stored in the SYNONYM field were not recognized when doing a lookup on
      entries withing the DRUG file (#50).
      
    • 72 SEQ #72
      DATE APPLIED:   2003-11-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Data Dictionary (DD) changes are being made to support requested changes
      for Outpatient Pharmacy V. 7.0 patch PSO*7*135. Patch PSO*7*135 implements
      the ScripTalk(R) 'talking' prescription labels functionality. The DD
      changes in this patch are to provide new fields to store the history of
      patients' ScripTalk(R) enrollment activity.
       
      The SCRIPTALK ENROLLMENT ACTIVITY multiple (#55.0108) was added to the
      PHARMACY PATIENT file (#55).
      
    • 74 SEQ #73
      DATE APPLIED:   2003-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This change will add the new ROUND ATC PICK LIST UNITS field (#26.7)
       in the PHARMACY SYSTEM file (#59.7) for Inpatient Medications V 5.0 patch
       PSJ*5*119.  NOIS ALT-0403-20970
      
    • 62 SEQ #74
      DATE APPLIED:   2004-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This project consists of 12 patches that work together to create a new
       GMPL*2*27
       GMRV*4*15
       LR*5.2*295
       OR*3*157
       PSS*1*62
       PSJ*5*90
       PSO*7*118
       PX*1*119
       RA*5*33
       YS*5.01*77
      Clinical Reminders index global. The purpose of this index is to provide
       
      The purpose of this patch (PSS*1*62) is to lay the groundwork for these
      changes by creating a new cross-reference in the PHARMACY PATIENT file
      (#55) at both the UNIT DOSE multiple (#62) and the IV multiple (#100).
       
      This patch can be installed independently of the other patches. The 
      documentation describing the new functionality will be available when all 
      associated patches are released.
      rapid access to clinical data. All of the standard Clinical Reminders
      finding types are included in the index.
       
      The 12 patches that comprise this project are:
       
       PXRM*1.5*12
       DG*5.3*478
      
    • 80 SEQ #75
      DATE APPLIED:   2004-04-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The VAPN index for the Drug File (#50) was incorrectly set to the length 
      of the VA Product Name All the routines that use the index use a 
      maximum of 30 characters to do the lookup.  This patch deletes the 
      existing VAPN index and creates a new one using the DD definition for the 
      VA Product Name field.
      
    • 84 SEQ #76
      DATE APPLIED:   2004-05-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Correct typo in file 54 (RX CONSULT), entry NO TRANSFER.
      
    • 79
      DATE APPLIED:   2004-10-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Phase I of the Inpatient Medications Requirements for the Special Focus
            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
       Group IRA project consists of four patches. The patches are combined in
       renewed. This is outlined in the 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.
       host file PSJ_PSS_OR_PSU_110.KID in order to simplify installation at VHA
       
       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
       facilities. Installation of this host file should be coordinated among
       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).
       the four packages affected since only one installation is necessary. The
       
       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),
       patches, in order of install, are:
       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)
            PSS*1*79   PHARMACY DATA MANAGEMENT V. 1.0
            PSJ*5*110  INPATIENT MEDICATIONS V. 5.0
      
    • 82 SEQ #78
      DATE APPLIED:   2004-10-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       **********************************************************************
        
       There are three patches to support the Outpatient Pharmacy Automation
       Interface project. These patches should be installed separately in the
       following order:
                         PSO*7*156      Outpatient Pharmacy
                         PSS*1*82       Pharmacy Data Management
                         PSN*4*84       National Drug File
       
       They contain routines, templates, options, and data dictionary changes to
       implement the Outpatient Pharmacy Automation Interface features. Please
       * This patch is part of the Outpatient Pharmacy Automation Interface *
       refer to the individual patch description of the other patches to get the
       names of the documentation files.
       
       Each patch will share the same starting description with more detail
       for each patch in the corresponding namespace patch number.  There is
       only one installation guide.  It can be found on the anonymous 
       directory.  The name of the installation guide 
       PS_OUTPATIENT_AUTOMATION_INTERFACE_IG.doc.
       
                         
       *           Project and must be installed at all sites by            *
       The patch enhances the current Health Level Seven (HL7) interface to
       ensure that the interface is compatible with all current Outpatient
       Pharmacy package V. 7.0 automation systems used by the Veterans Affairs
       Medical Centers (VAMCs).  The current national VISTA HL7 interface is
       written to HL7 standard V. 2.2.  Automated dispensing systems, such as
       the Baker APS Pharmacy 2000, are currently using an interface written to
       HL7 V. 2.3.1 standard using locally developed software.  The automated
       dispensing systems have committed to be HL7 V. 2.4 compliant.
       
       This patch includes the following new features:
       *                          December 31, 2004                         *
       1.  Creates an HL7 interface to the current HL7 V. 2.4 standard.
       2.  The interface transmits drug data to multiple vendor systems
           utilized by VAMCs whenever the following options are selected:
           A. Drug Enter/Edit [PSS DRUG ENTER/EDIT] option.
           B. Edit Orderable Items [PSS EDIT ORDERABLE ITEMS] option.
           C. Enter/Edit Dosages [PSS EDIT DOSAGES] option.
           D. Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE 
              ITEMS] option.
           E. CMOP Mark/Unmark (Single drug) [PSSXX MARK] option.
           F. Synonym Enter/Edit [PSS SYNONYM EDIT] option.
       *                                                                    *
       
       
       HL7 Interface:
       ==============
       This patch installs the following new HL7 Protocols:
       1. PDM Master File Update [PSS EXT MFU SERVER] protocol.
       2. PDM Master File Update Client [PSS EXT MFU CLIENT] protocol.
       
       This patch installs the following new HL7 Application Parameters:
       1. PSS VISTA
       *      Please review the Installation heading of this patch for      *
       2. PSS DISPENSE
       
       New Option:
       ===========
       A new option has been added to the PSS MGR menu called Send Entire 
       Drug File to External Interface [PSS MASTER FILE ALL]. This is used to
       send the entire drug file to a dispensing system at first start-up to 
       bring the dispensing system in synch with the National Drug file (#50).
       Each dispensing system will decide if they can receive these messages and
       a parameter setting ENABLE MASTER FILE UPDATE will need to be turned on
       *              Installation Guide retrieval information              *
       in the OUTPATIENT SITE file (#59) in order for these messages to be sent
       across.
       *                                                                    *
       **********************************************************************
      
    • 85 SEQ #79
      DATE APPLIED:   2004-10-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains Application Programmer Interface's (API's) that will 
       
      These are the files that are affected. If any application is making 
      direct global reads or writes to any of these files, they must be 
      replaced by using the API's exported with this patch.
       
      File Name:                        File Number:
      DRUG                              50
      DRUG ELECTROLYTES                 50.4
      DOSAGE FORM                       50.606
      PHARMACY ORDERABLE ITEM           50.7
      be used by calling applications that currently do direct global reads or 
      MEDICATION INSTRUCTION            51
      ADMINISTRATION SCHEDULE           51.1
      MEDICATION ROUTES                 51.2
      ORDER UNIT                        51.5
      IV ADDITIVES                      52.6
      IV SOLUTIONS                      52.7
      RX CONSULT                        54
      APSP INTERVENTION TYPE            9009032.3
      APSP INTERVENTION RECOMMENDATION  9009032.5
      writes to the Pharmacy Data Management files.  Since the DRUG file (#50), 
      and other drug-related files are being replaced by a vendor product, any 
      direct M-based global reads or writes to these files must be replaced by 
      calling the API's provided in this patch. When the new data source is in 
      place, the calling applications will not be required to make any changes, 
      because these API's will be flexible enough to retrieve the requested 
      data from the vendor product, when the time comes.
      
    • 81
      DATE APPLIED:   2004-10-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Description:
      of claim responses (including drug utilization review responses and 
      Documentation Retrieval:
      ========================
       
      The ECME 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.domain.ext, which will transmit the files from the
      warnings) on a real-time basis, is being developed and introduced in a 
          first available FTP server.
       
      (2) Sites may also elect to retrieve documentation directly from a
          specific server as follows:
       
          Albany          ftp.fo-albany.domain.ext
          Hines           ftp.fo-hines.domain.ext
          Salt Lake City  ftp.fo-slc.domain.ext 
       
      The documentation distribution includes:
      phased implementation strategy. This deployment strategy was utilized due 
       
         FILE NAME                        DESCRIPTION
         BPS_1_0_IG.PDF                   HIPAA NCPDP CONNECTION FOR EDI 
                                          PHARMACY 
                                          (DORMANT RELEASE) INSTALLATION GUIDE
         BPS_1_0_RN.PDF                   HIPAA NCPDP CONNECTION FOR EDI 
                                          PHARMACY
                                          (DORMANT RELEASE) RELEASE NOTES
       
      (3) Documentation can also be retrieved from VISTA Documentation Library
      to the complexity of the functionality and the number of product line 
      (VDL) on the Internet at the following address, http://www.domain.ext/vdl.
         
      Installation Instructions:
      ==========================  
       
      The software for this patch is being distributed via a host file.  The 
      host file will contain the following package and builds:
       
             Host file name BPS_1_0.KID
       
      dependencies.
                     Package:
                             BPS_1
       
                     Builds:
                             PSS*1.0*81 
                             IB*2.0*223
                             IB*2.0*251
                             PRCA*4.5*202
       
      Sites may retrieve the software directly by using FTP from the 
       
      ANONYMOUS.SOFTWARE directory at the following OI Field Offices:
       
             Albany:         ftp.fo-albany.domain.ext
             Hines:          ftp.fo-hines.domain.ext
             Salt Lake City: ftp.fo-slc.domain.ext
       
      Do not install this patch while Pharmacy Data Management users are using 
      the software. Installation will take no longer than 15 minutes. There are
      no scheduling restrictions or recommendations.
        
      The first release of this two part implementation is BPS*1*0, comprised of
      Installation Steps
       
       1. Use VA FileMan to add the new domain, EPHARMACY.VITRIA-EDI.AAC.DOMAIN.EXT,
          to the DOMAIN file (#4.2). The installation instructions are included
          in the patch description for the XM*DBA*160 patch. This domain must be
          in place before the installation of the IB*2*251 patch that is
          included in the BPS 1.0 Master Build.
       
       2. Download the KIDS file BPS_1_0.KID via FTP. This file needs to be 
          retrieved in ASCII format.
      the new Electronic Claims Management Engine (ECME) package (in the BPS 
       
       3. Review mapped sets for the PSS*, IB*, and PRCA*namespaces.  If the 
          routines are mapped, they should be removed from the mapped set at
          this time.
        
       4. From the Kernel Installation & Distribution System menu, select the 
          Installation menu.
       
       5. From this menu, select the Load a Distribution option. When prompted 
          for a file name, enter the directory name where you FTPd the build, 
      namespace), plus the patches PSS*1*81, IB*2.0*223, IB*2.0*251, and 
          followed by BPS_1_0. In our example, the file name is
          USER$:[ANONYMOUS]BPS_1_0.KID. Determine the location where you stored
          your build to decide the correct file name entry.
       
       6. At the "Want to Continue with Load? YES//" prompt, enter YES.
       
       7. At the "Want to RUN the Environment Check Routine: YES//" prompt, 
          answer YES.
       
       8. From this menu, the installer may select to use the following options:
      PRCA*4.5*202, which are listed here in order of installation. BPS*1*0 is a
       
      (When prompted for INSTALL NAME, enter BPS 1.0)
       
          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,
      ===========
      dormant release that only allows each site to perform preliminary setup 
          etc.).
       
          c. Verify Checksums in Transport Global - This option will ensure the 
          integrity of the routines that are in the transport global.
       
       9. At the "Select Installation Option:" prompt, enter 6 Install 
          Package(s)
       
      10. At the "Select INSTALL NAME:" prompt, enter BPS 1.0.
       
      work and to confirm that the software does not adversely affect other 
      11. When prompted, "Want KIDS to Rebuild Menu Trees Upon Completion of 
          Install? YES//" respond NO.
       
      12. When prompted, "Want KIDS to INHIBIT LOGONs during the install? YES//"
          respond NO.
       
      13. When prompted, "Want to DISABLE Scheduled Options, Menu Options, and 
          Protocols? YES//" respond NO.
       
      14. When prompted, "Device:Home//" respond with the correct device and DO 
      packages.
          NOT queue this to P-Message.
       
      15. If routines were unmapped as part of step 3, they should be returned 
          to the mapped set once the installation has run to completion.
       
      There are two main areas addressed by BPS*1*0:
       
      a. Registration of the Pharmacy with the Vitria BusinessWare IE.
      b. The Insurance Matching of Group Plans with Pharmacy Plans
       
      Following the installation of BPS*1*0, each site must register their 
       
      pharmacy with Vitria and match applicable insurance group plans using the 
      insurance matching screens. These processes are detailed in the HIPAA 
      NCPDP CONNECTION FOR EDI PHARMACY INSTALLATION GUIDE and the E-PHARMACY
      CLAIMS INSURANCE PROCESS document. Both of these documents are located on
      the anonymous directory. It is very important that the IRM or person
      installing the patch at each facility provide a copy of these documents to
      its ADPAC(s) and any other relevant staff who will be responsible for
      registering their pharmacy with Vitria and completing the insurance 
      matching process.
       
      PATCH OVERVIEW
      At a later date, additional HIPAA NCPDP patches will be released to 
      activate all of the HIPAA NCPDP functionality. Until that time, sites will
      not be able to electronically submit claims utilizing this new 
      functionality.
       
      The HIPAA NCPDP project was created in response to a Chief Business Office
      (CBO) request for modifications to several Veterans Health Information 
      Systems and Technology Architecture (VistA) software applications in 
      accordance with HIPAA Electronic Data Interchange (EDI) transactions and 
      NCPDP mandated format standards, specifically the NCPDP Telecommunication 
       
      Standard v.5.1.
       
      The specific functionality for this patch is listed below.
       
      Overview of the Process:
       
      The changes to Pharmacy Data Management are as follows:
       
      1. DEA, SPECIAL HDLG field (#3) in the DRUG (#50) file.
       
      The Healthcare Insurance Portability and Accountability Act National 
      Routine PSSDDUT2 was modified to accommodate the use of the letter 'E' 
      within the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50).
       
       
      Data Dictionary Changes in Outpatient Pharmacy:
       
      1. For the DRUG file (#50), the DEA, SPECIAL HDLG (#3) field for the drug
      will need to accommodate the use of the letter 'E' to indicate that a drug
      is billable for ECME purposes.  The routine dealing with the Help Text of
      this field was modified to accommodate the inclusion of an 'E' within the
      Council for Prescription Drug Programs (HIPAA NCPDP) initiative, whose 
      list of possible entries.
       
       
      Associated NOISs:
      =================
      N/A
       
       
      Test Sites:
      ===========
      ultimate goal is to provide functionality allowing electronic transmission
      NEW YORK HARBOR HCS
      NORTH TEXAS HCS
      ANN ARBOR, MI       
      BATTLE CREEK, MI     
      DETROIT, MI
      IRON MOUNTAIN, MI
       
      Routine Summary: 
      ================
      The second line now reads as follows: 
      of Outpatient Pharmacy (OP) prescription claims to payers and the receipt 
       
          <TAB>;;7.0;PHARMACY DATA MANAGEMENT;**[patch list]**; 9/30/97
       
       CHECK^XTSUMBLD results: 
       
      Routine    Before Patch  After Patch  Patch List 
      =======    ============  ===========  ==========
      PSSDDUT2       16160245     16615950  3,21,61,81
       
       
      
    • 9 SEQ #8
      DATE APPLIED:   1998-04-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Install new Dose Forms in DOSAGE FORM file (#50.606).
      
    • 89
      DATE APPLIED:   2004-12-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Add the non-VA med multiple from file #55 to the Clinical Reminders index.
      
    • 91 SEQ #82
      DATE APPLIED:   2004-12-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains updated Application Program Interfaces (APIs) that 
      Active status. The API manual has been modified since the original version
      to indicate Active and Inactive APIs. If the API(s) you need have an
      Inactive status, please contact the Pharmacy Re-Engineering team at the
      Birmingham Field Office.
      will be used by calling applications that currently do direct global 
      reads or writes to the Pharmacy Data Management files.  A review of the 
      previously released APIs showed several entry points where additional 
      pieces of data were required to be returned.
       
      If you have already made code modifications, or have made plans to make
      code modifications to use any of the new APIs, please check the latest
      version of the API manual to verify that the API(s) in question have an
      
    • 59
      DATE APPLIED:   2005-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Inpatient Medications Orders for Outpatients project will allow a
      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 Medications Orders for 
      Outpatients are automatically discontinued during patient movements. This 
      parameter will only be effective if sites are using Inpatient Medications 
      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
      user the ability to order unit dose medications for outpatients. This is 
      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 
      accomplished through modifications to Inpatient Medications V. 5.0,
      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
      Computerized Patient Record System (CPRS) V. 1.0, and Scheduling V. 5.3.
      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).
      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.
       
      
    • 83 SEQ #84
      DATE APPLIED:   2005-03-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      In some cases when ordering a drug the incorrect dispense unit shows.
      
    • 87 SEQ #85
      DATE APPLIED:   2005-04-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As part of the Outpatient Pharmacy V. 7.0 Laser Labels Phase II project, 
      Data dictionary changes:
      ===========================
      New fields:
      1. PHARMACY SYSTEM file (#59.7), WARNING LABEL SOURCE field (#16)
      The new warning label processing is not fully functional until this field
      is set to "N" for "New" in the Pharmacy System Parameters Edit [PSS SYS 
      EDIT] option.
      2. DRUG file (#50), NEW WARNING LABEL LIST field (#8.1)
      If the default warnings for a drug are not sufficient, a custom list of 
      warning numbers can be created and stored in this field.
      a new commercial data source will be utilized to provide warning label
      3. DRUG file (#50), GENDER SPECIFIC LBLS ON ALL RX field (#8.2)
      If the commercial data source has indicated that a particular warning 
      only applies to one gender, then if this flag is null or "Y", the warning 
      will print for all patients. If this field is "N", the warning will only
      print for this drug when the patient is that specific gender.
      4. RX CONSULT file (#54), WARNING MAPPING field (#2)
      5. RX CONSULT file (#54), SPANISH TRANSLATION field (#3)
       
      The last 2 fields in the above list will have some entries populated
      automatically in a post-install routine with this patch. The mapping is
      information. 
      used for matching entries in the old RX CONSULT file (#54) with the
      equivalent entry in the new WARNING LABEL-ENGLISH file (#50.625).
       
      New options under the PSS Manager [PSS MGR] option:
      ==================================================
      1. Warning Builder [PSS WARNING BUILDER] option allows the user to print a
      copy of the old and new warning file entries and to choose various ways to
      select drugs to review which warnings will print when the flag is turned
      to use the new warning label source. It also allows the user to override
      the default warning labels to create a custom warning label list for the
       
      selected drug. This is done by specifying a list of warning numbers from
      the old RX CONSULT file (#54) and/or the new commercial data source
      warning file.
      2. Warning Mapping [PSS WARNING MAPPING] option can be used to match an
      entry from the old RX CONSULT file (#54) to the WARNING LABEL-ENGLISH 
      file (#50.625) to aid in using the Warning Builder (to identify local
      warnings that do not have an equivalent entry in the new commercial data
      source). The user can also enter a Spanish translation for an RX CONSULT
      file (#54) entry, if desired, but whenever possible, the new commercial
      data source's warnings should be used.
      This patch is required by PSO*7*161 which does the printing of the 
       
      Template changes:
      =================
      This patch modifies the DRUG file (#50) INPUT template [PSSCOMMON] to 
      allow the user to view the new warning labels for a drug and edit the NEW 
      WARNING LABEL LIST field (#8.1), if desired. For drugs that have a 
      gender-specific warning associated with them, the new GENDER SPECIFIC 
      LBLS ON ALL RX field (#8.2) will also be prompted.
      warning labels on the laser labels form.
       
      The following changes are included in this patch:
       
      
    • 86 SEQ #86
      DATE APPLIED:   2005-05-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A request has been made to allow sites to define inpatient orders for 
      outpatients auto-dc capabilities on a clinic-by-clinic basis. This patch 
      helps to accomplish this goal by removing the AUTO-DC IMO ORDERS field
      (#26.8) and associated data from the PHARMACY SYSTEM file (#59.7).
      
    • 95 SEQ #87
      DATE APPLIED:   2005-06-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct an undefined variable error that occurred during 
      SQA testing of the Inpatient Medications patch PSJ*5.0*126.  When the 
      analyst tried to use the ? or ?? lookup/help functionality for the TO 
      SERVICE field in option [PSJ AC SETUP], the error occurred and prevented 
      the analyst from further testing CLE-0604-40092 (NOIS)/HD0000000068038.
      This patch will be installed with patch PSJ*5.0*126.
      
    • 96 SEQ #88
      DATE APPLIED:   2005-08-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      CHANGE DATA DESCRIPTION FOR MEDICATION ROUTE FIELD #3 IN NON-VA MEDS 
      SUB-FILE #55.05 IN PHARMACY PATIENT FILE #55.  CHANGE FIELD LENGTH FROM 
      20 TO 40.
      
    • 97 SEQ #89
      DATE APPLIED:   2005-08-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch makes a change to one of the Pharmacy Data Management 
      encapsulation routines. A new component has been added that will allow 
      other packages to perform VA FileMan data retrieval through a Pharmacy 
      Application Program Interface (API).
      
    • 101 SEQ #90
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains Application Program Interfaces (APIs) that will be 
      source, when the time comes.
       
      These are the files that are affected. If any application is making 
      direct global reads or writes to any of these files, they must be 
      replaced by using the APIs exported with this patch.
       
      File Name:                        File Number:
      RX PATIENT STATUS                    53
      PHARMACY PATIENT                     55
      PHARMACY SYSTEM                      59.7
      used by calling applications that currently do direct global reads or 
      writes to the Pharmacy Data Management files.  Since the PHARMACY PATIENT 
      file (#55) and PHARMACY SYSTEM file (#59.7) are being replaced as part of 
      the Pharmacy Re-engineering project, any direct M-based global reads or 
      writes to these files must be replaced by calling the APIs provided in 
      this patch. When the new data source is in place, the calling 
      applications will not be required to make any changes, because these APIs 
      will be flexible enough to retrieve the requested data from the new data 
      
    • 10 SEQ #11
      DATE APPLIED:   1998-06-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch fixes three problems and provides one enhancement. It will allow
      you to edit the IV Additives and IV Solutions Print Names. The patch
      expands the help text on the GENERIC NAME field and updates a typo in
      the data dictionary in the VA Classification field in DRUG file (#50).
      The post-install routine re-indexes the NATIONAL DRUG CLASS field, also
      in DRUG file (#50).
      
    • 102 SEQ #91
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will fix the problem with lookups in the Pharmacy Orderable 
      Item file (#50.7) when entering in lowercase drug names.
      
    • 103 SEQ #92
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. PSI-05-051:  A priority status of ASAP is not easily seen by the 
          The site can select STAT, ASAP, or NOW orders, or any combination of 
          the three for notification via the mail group functionality.
       
          This patch is adding two additional fields (parameters) to file 59.7, 
          PHARMACY SYSTEM FILE to enable the sites to select the priorities that
          will be used in the Inpatient Medications PENDING and ACTIVE order 
          notification software.  This will solve the reported problem in 
          HD98412 / PSI-05-051 by enabling the site to be notified when ASAP 
          orders are submitted by the physician.
          finishing pharmacist.  A STAT order is displayed as blinking and 
          highlighted, but a ASAP order does not have any special visual
          effects.  
       
          In order to avoid adding more special visual effects to the screen 
          this patch is designed to provide two System Parameters that will
          allow the site a choice of what orders are sent to the PSJ STAT
          NOW ACTIVE ORDER and PSJ STAT NOW PENDING ORDER mail groups.
      
    • 105 SEQ #93
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch fixes an error that could occur when invoking the VAC^PSS50 or
      ASP^PSS50 Application Program Interface, which are both supported by
      Integration Agreement 4533.
      
    • 100
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will add MG-PE & NANOGRAM to the DRUG UNIT field #2 of
      IV ADDITIVES file #52.6
      
    • 104 SEQ #95
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A change has been made to the DIC^PSSDI and MIX^PSSDI components of DBIA 
       
      A new component, FNAME^PSSDI has been added to DBIA 4551. This component 
      will return the LABEL attribute of the Field passed into the call.
       
      Patch PSS*1*92 adds the SERVICE CODE field to the output of the 
      DATA^PSS50 component of DBIA 4533. This patch cirrect the problem where 
      this field is not being returned if a "??" value is passed into the call.
      4551. DIC("S") will be killed within these components. Two new input 
      parameters have been added to address screening issues. If the file you
      are passing in has an Inactivation Date field, and you want to screen on 
      that field, a new date input parameter is being added to the components, 
      and if a date is passed in, a screen will be set for the calling
      application. If the file you are passing in is the DRUG file (#50), and 
      you want to screen on the APPLICATION PACKAGES' USE field (#63), and new 
      input paramter has been added for that also.
      
    • 98 SEQ #96
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct the reported problems with in the 
      WARNING BUILDER option [PSS WARNING BUILDER].  It will also
      modify the input transform for the VOLUME field of IV SOLUTIONS
      file #52.7 to allow a leading zero.
      
    • 93 SEQ #97
      DATE APPLIED:   2006-05-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Computerized Patient Record System (CPRS) V. 1.0 has requested a 
      schedule selected had PRN in the name, an Expected First Dose is 
      displayed which is not correct. This patch assists in correcting this
      problem by modifying the TYPE OF SCHEDULE field (#5) in the ADMINISTRATION
      SCHEDULE file (#51.1) to allow PRN. This information will then be provided
      in an API to CPRS. PSI-05-026.
      new Application Programming Interface (API) from Pharmacy Data Management 
      V. 1.0. The new API will allow CPRS to request the current status of any 
      order for both Inpatient Medications V. 5.0 and Outpatient Pharmacy V. 
      7.0. 
       
      2. During internal testing, it was discovered that the Expected First 
      Dose display in CPRS was inconsistent for PRN orders. If a provider 
      checked the PRN box, no Expected First Dose is displayed. However, if the 
      
    • 90 SEQ #98
      DATE APPLIED:   2006-05-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This project involves six different applications that have been significantly
         OUTPATIENT PHARMACY (OP) V. 7.0                      PSO*7*148
         field (#81). When a new prescription is entered for a specific drug, the DAW
         CODE from the drug is stored in the PRESCRIPTION file (#52) for each fill.
         This field is solely being used for electronic billing purposes. It 
         communicates to the third party payer that a drug has a special 
         characteristic, which will hopefully prevent the payer from rejecting the
         claim. Below are all 10 existing DAW CODES:
       
           0 - NO PRODUCT SELECTION INDICATED
           1 - SUBSTITUTION NOT ALLOWED BY PRESCRIBER
           2 - SUBSTITUTION ALLOWED-PATIENT REQUESTED PRODUCT DISPENSED
         INTEGRATED BILLING (IB) V. 2.0                       IB*2*276
           3 - SUBSTITUTION ALLOWED-PHARMACIST SELECTED PRODUCT DISPENSED
           4 - SUBSTITUTION ALLOWED-GENERIC DRUG NOT IN STOCK
           5 - SUBSTITUTION ALLOWED-BRAND DRUG DISPENSED AS A GENERIC
           6 - OVERRIDE
           7 - SUBSTITUTION NOT ALLOWED-BRAND DRUG MANDATED BY LAW
           8 - SUBSTITUTION ALLOWED-GENERIC DRUG NOT AVAILABLE IN MARKETPLACE
           9 - OTHER
       
         Note: The existing entries in the DRUG file (#50) will NOT be automatically
               populated with a DAW CODE value upon installation of this patch.
         PHARMACY DATA MANAGEMENT (PDM) V. 1.0                PSS*1*90
               However, the null value is automatically save as 0 (zero) - NO PRODUCT
               SELECTION INDICATED in a prescription entered for a drug with a null
               DAW CODE.
         
      3. The Drug Enter/Edit [PSS DRUG ENTER/EDIT] option has been modified to allow
         the user to associate a DAW CODE to a drug in the DRUG file (#50). 
       
      4. The Lookup into Dispense Drug File [PSS LOOK] option has been modified to
         display the DAW CODE field (#81) content for the drug being displayed.
         Below is the exact point where the DAW CODE is displayed:
         CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0  PSX*2*48
         
         ...
         DEA, SPECIAL HDLG: 6                             NDC:     00172-4390-18
         DAW CODE:  5 - SUBSTITUTION ALLOWED-BRAND DRUG DISPENSED AS A GENERIC
         CS FEDERAL SCHEDULE:
         ...
         ACCOUNTS RECEIVABLE (AR) V. 4.5                      PRCA*4.5*230
         ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0    BPS*1*1
       
      Veterans Health Information Systems and Technology Architecture (VistA) 
      software applications and infrastructure were enhanced, in order to allow the
      electronic transmission of outpatient pharmacy prescription claims (WINDOW and
      changed to enable VA Medical Centers to perform third party electronic billing
      MAIL fills) to third party payers via the network connections available
      through the Austin Automation Center (AAC). VistA will be enhanced to receive
      electronic adjudicated responses from the third party payers, which include
      real-time processing for Drug Review Utilization and Refill Too Soon rejects.
      Reject information will be displayed to the pharmacist as the prescription is
      being processed. The pharmacist will have the capability to take the
      appropriate action to ensure patient safety or to override the reject and
      resubmit the claim to the payer for payment. When a status of "PAYABLE" is
      returned by the payer for a released prescription, VistA will automatically 
      create the bill in IB, authorize it and immediately create the receivable in
      for prescriptions. 
      the AR application. Since the exact amount being paid by the payer is known,
      a decrease adjustment will be automatically generated and applied so that the
      receivable is equal to the net amount due from the payer.
       
      The system also provides electronic payment matching capability (for
      electronically billable outpatient pharmacy prescriptions) using the existing
      Electronic Data Interchange (EDI) Lockbox functionality which processes other
      electronic payments from third party payers. This real-time electronic claims
      processing capability will be provided in accordance with the Healthcare
      Insurance Portability and Accountability Act (HIPAA), EDI transactions and 
       
      the National Council for Prescription Drug Programs (NCPDP) mandated format 
      standards, specifically NCPDP Telecommunication Standard V. 5.1. Additional 
      functionality delivered with this project includes: 
       
         . Auto-Release/Outpatient Pharmacy Automation Interface (OPAI) Integration.
         . Back-billing capability to allow electronic billing of claims from within 
           the IB application.
         . Capability to MOVE a group of subscribers from one insurance plan to 
           another while automatically "expiring" the old plan, which is a major
           time saver.
      Below is a list of all the applications involved in this project along with
         . Pharmacy Dispensed As Written (DAW) prescription processing.
        
      Overview of the Process:
        
      When a prescription is about to be filled and dispensed by the pharmacy, the 
      OP application submits the prescription to the new ECME application. ECME then
      contacts IB to verify whether or not the prescription is electronically
      billable. If so, ECME gathers the information necessary to generate a NCPDP
      claim. The claim information is passed to the VistA Health Level Seven (HL7)
      package. The HL7 package then sends the billing information to the AAC, where
      their patch number:
      it is routed to the corresponding third party insurance via Emdeon (formerly
      WebMD).
        
      Once the payer processes the information, the response coming back from the
      payer is passed back to the site that made the request, and the information
      is stored in the ECME package. If the third party payer accepted the claim,
      the adjudicated information is passed along to IB. If the claim was rejected
      the problem can be worked on and a new claim can be submitted to the payer.
        
      For electronically billable CMOP prescription processing, the third party
        
      claim is sent before the prescription information is transmitted to the
      CMOP facility to be filled. Once the adjudicating response is electronically 
      received from the third party payer, if there are no Drug Utilization Review
      or Refill Too Soon rejects, the prescription is then transmitted to the CMOP 
      facility. When the CMOP center sends the dispensing information back to VistA,
      the National Drug Code (NDC) information is checked against the NDC sent to 
      the third party payer and, if different, a new claim is generated in the 
      background and is sent to the third party payer. In case the CMOP facility 
      indicates that it is unable to fill a "PAYABLE  prescription fill, a reversal
      is automatically submitted to the third party payer for the corresponding 
         APPLICATION/VERSION                                  PATCH
      fill.
         
      This patch modifies PDM V. 1.0 to support the other applications in the
      electronic claims generation process. It does not interface with the ECME
      application at all. The changes to this application are the following:
       
      1. A new multiple field has been added to the DRUG file (#50) to store the
         latest NDC numbers that have been dispensed at window as well as by CMOP
         for a specific division. This way, when the next prescription is entered by
         the division for the same drug, the last used NDC is automatically
         -----------------------------------------------------------------
         retrieved from this new multiple, stored in the PRESCRIPTION file (#52) and
         sent to the third party payer through ECME. Below is the multiple field and
         the fields under it:
        
           32  NDC BY OUTPATIENT SITE
               .01   OUTPATIENT SITE  
                 1   LAST LOCAL NDC        
                 2   LAST CMOP NDC   
           
      2. A new field has been added to the DRUG file (#50) to store the DAW CODE
      
    • 107 SEQ #99
      DATE APPLIED:   2006-05-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will fix the UNDEFINED error that occurs when Using 
      'Drug Enter/Edit' [PSS DRUG ENTER/EDIT] option. It will also
      modify the trigger for PRICE PER ORDER UNIT field #13 of the
      DRUG file (#50) to use 4 decimal places instead of 3.
      
    • 106 SEQ #100
      DATE APPLIED:   2006-07-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains Application Program Interfaces (APIs) that will be 
       enough to retrieve the requested data from the new data source when
       the time comes.
        
       If any application is making direct global reads or writes to this file
       they must be replaced by using the APIs exported with this patch.
       used by calling applications that currently do direct global reads or 
       writes to the Pharmacy Data Management file. Since the PHARMACY PATIENT
       file (#55) is being replaced as part of the Pharmacy Re-engineering
       project, any direct M-based global reads or writes to this file must be
       replaced by calling the APIs provided in this patch.
       
       When the new data source is in place, the calling applications will not
       be required to make any changes, because these APIs will be flexible
      
    DATE INSTALLED AT THIS SITE:   1997-10-28 00:00:00
    INSTALLED BY:   USER,ONE
    DESCRIPTION OF ENHANCEMENTS:   
    MANAGEMENT OF PHARMACY DATA FILES.
    
DESCRIPTION
For maintenance of Pharmacy files and fields.