Name	Value
NAME	BAR CODE MED ADMIN
PREFIX	PSB
CURRENT VERSION	3.0
SHORT DESCRIPTION	BAR CODE MEDICATION ADMINISTRATION
VERSION	1.0 DATE DISTRIBUTED: 1999-08-06 00:00:00 PATCH APPLICATION HISTORY: 1 SEQ #1 DATE APPLIED: 1999-09-14 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses the issue of one-time meds showing up on the Virtual Due List from previous movements and even previous admission. As released the VDL will search back 30 days for one-time orders and display them on the VDL if there is no associated administration in the BCMA medication log. With this patch the VDL will now only go back as far as the current movement eliminating one-time orders from showing up from previous movements and admissions. 9 SEQ #10 DATE APPLIED: 2001-03-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch PSB19 contains the following: [PSBO WA] option is a combination of data that consists Corrective Action: The user is now able to mark a medication as NOT GIVEN at the "Admin Status:" prompt in the Edit Medication Log [PSB MED LOG EDIT] option and it appears correctly on the MAH. 12. Problem: Large volume IV's do not print on the Due List [PSBO DL] option. Corrective Action: The Due List [PSBO DL] option has been corrected to display large volume IV's. of the ward location and the Room-Bed. When this combination of 13. Modification: Added the COMMENT field (#.3) from the BCMA MEDICATION LOG file (#53.79) to the Medication Variance Log [PSBO MV] option. E3R - 13732 and 14810 14. Modification: The message text the VDL displays when a patient has no orders have been modified. When there are no orders in VISTA for a selected patient the message, "No Active Orders at this Time" will be displayed. If there are orders in VISTA, but they do not fall within the start and stop times selected on the VDL the message, "No Meds to be Administered for the Time Period Selected!" will be data exceeds 32 characters it causes the report to print skewed. displayed. If no schedule types are selected on the VDL the message, "No Schedule Type(s) Selected!" will be displayed. E3R - 14680 15. Modification: The process of Auto-update has been added to the BCMA functionality. Auto update is the process of automatically copying updated BCMA files from a server network drive to a client. The prompts "The UNC of the Auto-update Server" and "Autoupdate Notification Mail Group" have been added to Edit Divisional Parameters [PSB PARAMETERS] option. Please read the ReadMe.txt file found in your BCMA directory for a full description on the GUI update functionality. Corrective Action: The ward location and Room-Bed will now print on separate lines. 3. Problem: The "Missing Dose Printer" prompt did not display on the GUI BCMA Site Parameters. Corrective Action: The GUI BCMA Site Parameters has been corrected to display the "Missing Dose Request Printer" prompt. 4. Problem: When BCMA generates an error message to pharmacy because it cannot determine the schedule. It displays the orderable item number instead of the name. Below is an example. Order Number....: 570U Orderable Item..: 1695 <===== Patient.........: XXXXXX,SAMUEL (000 00 0000) 1. Problem: The Virtual Due List (VDL) will only display the first Reason..........: Unable to determine schedule 2X/WEEK Corrective Action: The error message has been corrected to display the orderable item name instead of the number. Order Number....: 570U Orderable Item..: DIGOXIN TAB <====== Patient.........: XXXXXX,SAMUEL (000 00 0000) Reason..........: Unable to determine schedule 2X/WEEK additive and solution for an Intravenous (IV) order. 5. Problem: The following occurs when trying to print a Due List from the Due List [PSBO DL] option with a patient who has the same last name and last four digits of the SSN as another patient. When the last initial and last four digits of the SSN are entered it displays two choices. 1 M6383 MOUSE,MICKEY 11-13-48 XXXXX6383 2 M6383 MOUSE,MINNIE 4-3-36 XXXXX6383 CHOOSE 1-2: 1 The following question is then asked: There is more than one patient whose last name is 'MOUSE' and whose social security number ends with '6383'. Are you sure you wish to continue (Y/N)? Y When this question is answered, the Due List screen shifts down one line, skewing the screen. Corrective Action: The Due List [PSBO DL] option screen has Corrective Action: The VDL will now display all additives, strengths, been corrected to not skew when there is a multiple patient match. 6. Problem: The user receives the following error message when attempting to start a PRN Piggyback. "Error(s) Filing Transaction MEDPASS. Business Logic Error: PRN Medications MUST Have a PRN Reason". The user is then unable to mark it as started. Corrective Action: The GUI VDL has been corrected to allow a user to mark a PRN Piggyback as started. solutions, and volumes for each IV order. 7. Problem: User receives an undefined error when using the Missing Dose [PSBO MD] option. Corrective Action: The error was resolved by performing a KILL on the D0 variable. 8. Problem: An IV order with a status of on call will not display on the VDL. Corrective Action: The VDL has been corrected to display IV's with a status of on call. 9. Problem: When scanning a drug with more than 6 units per dose, only 6 units display in the "MULTIPLE DOSES TO SCAN" GUI window. Corrective Action: The "MULTIPLE DOSES TO SCAN" window has been corrected to show and scan more than 6 units of a medication. 10. Problem: When a user leaves the "Print to DEVICE:" prompt blank within the Due List [PSBO DL] option the user receives a "NULL 2. Problem: The Room-Bed displaying on the Ward Administration Times SUBSCRIPT" error. Corrective Action: The "Print to DEVICE:" prompt has been changed to be a required prompt. 11. Problem: When a user deletes the date and time from an order already given within the Edit Medication Log [PSB MED LOG EDIT] option, the medication still appears as given on the Medication Administration History report (MAH). 10 SEQ #11 DATE APPLIED: 2001-08-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch PSB110 contains the following: VDL is opened on Tuesday. 12. Problem: An undefined variable error is generated in the Missing Dose Report [PSBO MD] option when searching for an MAS ward. Corrective Action: The code has been modified to properly loop through the MAS ward locations and not generate an error. 13. Problem: If a patient has an 2 orders with the same orderable item and 2 different dispense drugs, the Ward Administration Times [PSBO WA] option will only print the first order on the report. Corrective Action: The Ward Administration Times [PSBO WA] option has been corrected to display both orders. 14. Problem: If the administration time and the Virtual Due List Parameters Start Time: are equal to 2400, the dose would not display on the VDL. Corrective Action: BCMA has been modified to no longer Corrective Action: The VDL has been modified to properly display the 2400 medication. 15. Problem: An odd schedule order will only print the first two digits of the administration time on the Due List [PSBO DL] option. Corrective Action: Odd schedule administration times will now print military time on the Due List [PSBO DL] option. 16. Problem: If an odd schedule order calculates an administration generate an error messages to the due list error notification time to be 2400. The GUI VDL will display "3030@3010" in the "Admin Time" column. Corrective Action: The calculated admin time for midnight dose will now properly display 2400 in the "Admin Time" column. 17. Problem: If an order contained an odd schedule greater than 24 hours, the subsequent doses would not display on the VDL. For example, if an order has a schedule of Q36H only the first dose would display on the VDL. mail group when the VDL is opened on a non scheduled Corrective Action: BCMA has been modified to properly calculate the subsequent doses for an odd schedule greater than 24 hours. 18. Modification: The Label Print [PSBO BL] option has been modified to validate the drug requested for printing and the patient's current orders. If a drug is selected to print that the patient does not have a current order on. The following message will display administration day. "Patient not currently on medication: XYZ Med (Qty: 1)" Do you want to continue? E3R Number: 13809 19. Modification: When the user performs a right-click on the VDL, the Start IV status on the VDL has been modified to Start. 20. Modification: The GUI BCMA Site Parameters has been updated to include the following; Default Bar Code Format, Default Bar Code Prefix, Using Robot Rx, Allow Multiple Administration for On-Call, UNC of the Auto Update Server, Auto Update Notification, Default Prompt for INCL TRANSFERS, One Time Parameter. The Edit Divisional Parameters [PSB PARAMETERS] option will no longer be updated or maintained. All future enhancements and modifications will be made on the GUI BCMA Site Parameters. 21. Modification: The Missing Dose Request [PSB MISSING DOSE REQUEST] option was modified to prompt the user for the dosage schedule. In the BCMA MISSING DOSE REQUEST file (#53.68), the SCHEDULE field 2. Problem: The patient's weight displayed in the patient (#.19) has been added as a required field to store the schedule information. 22. Modification: The Missing Dose Report [PSBO MD] option was modified to display the dosage schedule. E3R Number: 13030 23. Modification: The Missing Dose Request [PSB MISSING DOSE REQUEST] option was modified to display the patient's social security number (last four digits), ward location, and room/bed information in the demographic box on the GUI VDL was incorrect. e-mail message sent to the missing dose notification mail group. E3R Number: 12780 24. Modification: Modified the right click 'Display Order' accelerator key to 'O' to match accelerator key on menu option. Modified the right click 'Drug IEN Code' accelerator key to 'D' to match accelerator key on menu option. Accelerator keys enable the user to access a menu command from the keyboard by pressing Alt+ the appropriate letter. E3R Number: 15291 25. Modification: The (MAH) [PSBO MH] option has been modified to display an asterisk with the initial if a student administered a medication. In the legend section on the MAH report, this asterisk will correspond to the student and the instructors initials, names, and date/time the medication was given. E3R Number: 14609 Corrective Action: The calculation for the patient's weight has 26. Modification: The (MAH) [PSBO MH] option has been modified to print an "*" in the date column when an order is discontinued. E3R Number: 13413/13852 been modified. 3. Problem: If a drug contains a future inactive date, the Label Print [PSBO DL] option will not print the drug. Corrective Action: The Label Print [PSBO DL] option has been modified to adhere to the future inactive date and print according to the date entered. 1. Problem: Orders with a day of the week schedule are generating 4. Problem: When a medication has been given and then the dispense drug has been changed on the order, the VDL will display the new dispense drug on the already given medication. Corrective Action: The VDL has been modified to properly display any changes in dispense drugs on an order. 5. Problem: User received an undefined error when altering a medication status in Edit Medication Log [PSB MED LOG EDIT] option. false error messages to the due list error notification mail Corrective Action: The Edit Medication Log [PSB MED LOG EDIT] option has been modified to not generate an undefined error, by using standard coding logic. 6. Problem: The Medication Administration History (MAH) [PSBO MH] option generates a null subscript error when the nurse or pharmacist initials are not present. Corrective Action: The MAH [PSBO MH] option has been modified to not generate an error when the nurse or pharmacist initials are not group. This occurs when the Virtual Due List (VDL) is opened entered. The report will print without the initials. 7. Problem: Orders which contain an odd schedule were not printing on the Missed Medications [PSBO MM], Ward Administration Times [PSBO WA] and the Ward Administration Times [PSBO WA] reports. Corrective Action: The reports have been modified to print odd schedule orders. 8. Problem: The Last Action column on the Virtual Due List is not on a day the order is not scheduled to be administered. displaying the four digit year. Corrective Action: The Virtual Due List has been modified to display the full four digit year. 9. Problem: In reference to the Medication Variance Log [PSBO VR] option, a site noticed that this report indicates only the patient current ward location when the report is generated. Although the patient may have received several administrations of medications on different wards, the report does not denote the patient specific location when the medication was administrated. The lack of this information made it difficult for providers to track down the locations that had irregularities in the administration of medications to the patients. Corrective Action: Modifications were made to the Medication Variance Log [PSBO VR] option to allow the report to display the patient location associated with each event date/time the medication was administrated to the patient. For example, an order with a schedule of MO-WE-FR 10. Problem: Intravenous (IV) orders with a schedule of one-time generate a "Data Validation Error: 701: The value '.143022' for field ORDER ADMINISTRATION TIME in file BCMA MEDICATION LOG is not valid" error when trying to mark them as started. Corrective Action: BCMA has been modified to allow one-time IV orders to be marked as started without generating an error. 11. Problem: The VDL is displaying an incorrect message when a medication will generate an error message to the mail group if the is marked as held. For example, when a medication is marked as held and the user tries to mark the next medication as given, the message "* NOTICE, Aspirin was given 2 minutes ago" is being displayed. Corrective Action: The message has been updated to properly reflect the change in status. The new message displayed in the above example is; "*** NOTICE, Aspirin was HELD 2 minutes ago" 15 SEQ #12 DATE APPLIED: 2001-09-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: A problem was found in PSB110 with how the Bar Code Medication to the BCMA MISSING DOSE REQUEST file (#53.68) storing the external room-bed value. Corrective Action: The Missing Dose Report [PSBO MD] option was corrected by properly storing the internal room-bed value in the BCMA MISSING DOSE REQUEST file (#53.68). 2. Problem: Orders that contain administration times (0900-1500) as a schedule do not display on the VDL. When a user tries to access the BCMA VDL, a MailMan message will be sent Administration (BCMA) Virtual Due List (VDL) processes orders with to the Due List Error Notification Mail Group for the pharmacist to correct the order. The message that is generated is stated below: "No Admin time required for non-standard schedules." Corrective Action: The VDL has been corrected to properly display orders that contain an administration time (0900-1500) as a schedule. 3. Problem: When printing the Missed Medications [PSBO MM] option report by ward, there would be no truncation between data. This resulted in data overlapping, making the report unreadable. certain schedules. Below are the listed problems found with PSB110. Corrective Action: To display all the data in a readable format, the Missed Medications [PSBO MM] option report has been modified by removing the ward location as a column. The ward location still displays as a header. 4. Problem: Orders that contain a standard day of the week schedule (i.e. MO-TU@0900) that are in the ADMINISTRATION SCHEDULE file (#51.1) do not display properly on the VDL. Please note: PSB110 should not be removed. PSB115 has been developed Corrective Action: The VDL has been corrected to properly display standard day of the week schedules. 5. Problem: IV Piggyback orders that contain a standard schedule (Q8H) with no frequency defined in the ADMINISTRATION SCHEDULE file #(51.1) do not display on the VDL. Corrective Action: The VDL has been corrected to properly display these these types of orders. to address these problems. 1. Problem: The Missing Dose Report [PSBO MD] option is generating an illegal number error when a user tries to run the report. This was due 13 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. Manual Medication Entry [PSB MED LOG NEW ENTRY] option was generating a false Due List Error Notification message when accessed. BCMA V. 1.0 has been corrected to no longer generate an e-mail message. NOIS# NOP-0801-11096 discontinued by the provider because it was expired due to the start and CTX-0801-72721 This project consists of a master build containing three patches that work together to accomplish these goals listed in order of install. Installation of this master build should be coordinated among the three packages affected since only one installation is necessary. The patches, in order of install, are: PSS144 PHARMACY DATA MANAGEMENT V. 1.0 PSJ563 INPATIENT MEDICATIONS V. 5.0 stop date being the same. However, the medication still displayed in Bar PSB113 BAR CODE MEDICATION ADMINISTRATION V. 1.0 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 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 14 SEQ #14 DATE APPLIED: 2002-02-04 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch PSB114 contains the following: 2. Problem: In reference to the Missing Dose Request Report [PSB MISSING DOSE REQUEST] option, the dosage schedule was added to the report in PSB110; however, each medication order was counted or displayed individually. The sites would like the report to display a sum of identical medication orders. Corrective Action: Modifications were made to display the sum of medication orders that was identical and had an identical dosage schedule. 3. Problem: When a user selects to sort or print The Medication Variance Log [PSBO MV] option by ward, the report displays the variance information for all Wards. The site would like the report to display only the variance information related to the Ward selected via ScreenMan. Corrective Action: Modifications were made to the option to display only the variance information related to the selected Ward. 1. Problem: The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option 4. Problem: If the user enters in an old date (i.e. 1/21/1931), when running the Due List [PSBO DL] option, Bar Code Medication Administration (BCMA) generates an undefined variable error. Corrective Action: The Due List [PSBO DL] option does not generate an error when an old date is entered. 5. Problem: If an order was placed with a schedule of Q3MONTHS, it would display on the Virtual Due List (VDL) everyday. did not properly refresh after entering an effectiveness past the Corrective Action: The VDL was corrected to display an order with a schedule of Q3MONTHS, once every 3 months. 6. Problem: The word missing is misspelled in the report header of the Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option. The header displays "Currently Unresolved Mising Dose Requests" Corrective Action: The misspelled word has been corrected. 7. Problem: The Missed Medications [PSBO MM] option report does not allowed time. display the first dose for an odd schedule. Corrective Action: The Missed Medications [PSBO MM] option report has been modified to properly display the first dose for an odd schedule. Corrective Action: The refresh command was added to the menu option to properly display the screen. 2 SEQ #2 DATE APPLIED: 1999-12-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Y2K Waiver Request ID#: Y2KW0001 Y2K Waiver Status: Approved printing the station number in front of the Internal Entry Number (IEN) on the ZEBRA barcode labels. As released labels would print only the IEN as a barcode for the selected medication. After this patch labels will be formatted as SiteNumber-IEN if the parameter PSB DEFAULT BARCODE SITE is set to yes. 2. Use a different server name for the monthly SAGG reporting. Sites will notice no change with the SAGG update. Old Server: KMP1-BCMA-SERVER@ISC-ALBANY.DOMAIN.EXT This patch may be installed during the Y2K Moratorium, either New Server: KMP90-BCMA-SERVER@ISC-ALBANY.DOMAIN.EXT 3. Further enhancements were done so the One-Time medications do not appear on the Virtual Due List by discontinuing the order without having to mark the order as 'Do Not Give'. *********************************************************************** NOTICE: This patch is released prior to a Y2K Waiver and can only be installed in a TEST environment until a waiver is received. Upon granting of the waiver a message will be sent to all sites informing them BEFORE 12/15/99 or AFTER 1/15/2000. that this patch may be moved to live. *********************************************************************** This patch MAY NOT be installed between 12/15/1999 and 1/15/2000 (the Y2K Lockdown Period). This patch contains 3 improvements. 1. Sites that are scheduled to integrate with a primary site can begin 3 SEQ #3 DATE APPLIED: 2000-02-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Y2K Waiver Request ID#: Y2KW0001 Y2K Waiver Status: Approved 2. Problem: User input dates in VA Fileman format not accepted by BCMA. Corrective Action: BCMA was modified to accept and store user inputted dates in a VA Fileman format. 3. Problem: The administration times report on the GUI Virtual Due List will only display a 24 hour period, even if a time range is selected. Corrective Action: The administration times report on the GUI Virtual This patch may be installed during the Y2K Moratorium, either Due List was made consistent to the administration times report on the CHUI by removing the administration time fields. 4. If BCMA has been designated to be used for QA and testing purposes only, a notification will be displayed when starting BCMA. 5. Problem: If the Client/Server clock variance was greater than the acceptable limit defined in the PSB Parameters, the Virtual Due List would display the PC time. BEFORE 12/15/99 or AFTER 1/15/2000. Corrective Action: Server/Client clock variance corrected to display server time. 6. Required functionality added: Means Test Check Alert. 7. Mandatory Security Check - The Director, Health Information Management Headquarters, and VA General Counsel have requested modifications to patient look-up functionality in VistA. This request results from a grievance filed by employees that cites non-compliance with the Employee Privacy Act System of Records. The citation states that employee Social Security Number(SSN) and Patch PSB1.03 contains the following fixes: Date of Birth (DOB) data is presented without soliciting the information from the system and without notification to appropriate site personnel that this information has been accessed. 1. Problem: Orphan jobs were left running due to a disconnect in communication between the server and client. Corrective Action: Incorporate RPC Broker patch XWB1.16 to allow orphan jobs to die. 4 SEQ #4 DATE APPLIED: 2000-04-17 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 2. Problem: The Missed Medications [PSBO MM] option does not print Corrective Action: The software has been corrected to not generate an error. 15. Problem: When running the MAH report, the initials of the nurse who administered a PRN, on-call and one-time do not print on the report. Corrective Action: The MAH report has been corrected to properly print the initials of the nurse who administered an PRN, on-call, and one-time. one-time orders. 16. Problem: When running the MAH report, one-time orders outside the date range are being printed. Corrective Action: One-time orders will display within selected date range on the MAH report. 17. Problem: If no action was taken on a one-time order, they would stay on the VDL for 30 days. Corrective Action: One-time orders with no action will now drop off the VDL after 12 hours. Corrective Action: The Missed Medications [PSBO MM] option will now print missed one-time orders on the report. 3. Problem: The stop date on the Due List is not recognized when a date is entered. Corrective Action: The Stop Date prompt has been removed from the Due Patch PSB1.04 contains the following fixes: List. 4. Problem: BCMA did not accept a dosage which contained decimals (i.e.,0.01) Corrective Action: BCMA has been corrected to accept a dosage which contains a decimal. 5. Problem: Medications marked as "Do not give" and "Discontinued" are printing on the Due List. Corrective Action: Medications marked as "Do not give" and "Discontinued" will no longer print on the Due List. 6. Problem: When on-call's are chosen to print on the Due List the report would print one-times. When one-times are chosen the report would print on-call's. Corrective Action: The Due List will now properly print one-times and on-call's. 1. Problem: An undefined error was generated when running the Medication 7. Problem: The user is unable to document the administration of a one-time order through the Manual Medication Entry [PSB MED LOG ENTRY] option. The message "Error: OKAY to give" 'press return to continue or ^ to exit', would display. No further action can be taken at this point. Corrective Action: One-time orders can now be properly documented through the Manual Medication Entry [PSB MED LOG ENTRY] option. Administration History (MAH) report. 8. Problem: Within the Edit Divisional Parameters [PSB PARAMETERS] option, "Allowed Mins Before Sched Admin" would allow the administration of a medication to be administered based on the minutes prior to an "Administration Time." Corrective Action: The functionality of the question has been changed to allow the administration of a medication based on the number of minutes prior to the "active time" of an order. 9. Problem: Within the Edit Log Medication [PSB MED LOG EDIT] option , a nurse was unable to edit his or her own administration record if another nurse made an entry to that medication. Corrective Action: The Edit Log Medication [PSB MED LOG EDIT] option has been modified to allow a nurse to edit his or her own administration entries. 10. Problem: Within the Edit Divisional Parameters [PSB PARAMETERS] option the user was not able to determine which division they had signed on Corrective Action: The BCMA Software was corrected to not pass an too. Corrective Action: The Edit Divisional Parameters [PSB PARAMETERS] option will now see the following message displayed: "You are currently logged onto Division: XXX", with XXX being the division you are logged onto. 11. Problem: On the GUI Virtual Due List (VDL) when the nurse administers a PRN medication, the previous four PRN administrations are displayed with the message "Okay to administer - Brief Administration History" undefined variable, thus not generate an error. Corrective Action: The display message has been changed to now read "Brief Administration History". 12. Problem: On-call and PRNs medications would display on the GUI VDL even if they were not active. Corrective Action: The GUI VDL will not display an on-call or PRN order until it has become active. 13. Problem: Within the Label Print [PSBO BL] and Drug File Inquiry [PSB DRUG INQUIRY] options, the Drug selection would allow the display and selection of inactive drugs and those marked for other packages. Corrective Action: The Drug Selection prompt will only display active rugs and those marked for packages "I" and "U". 14. Problem: When attempting to run the Medication Administration Log [PSBO ML] option, an error is generated due to incomplete data. 5 SEQ #5 DATE APPLIED: 2000-06-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: Sites using the Robot Rx are having difficulty with 1.1 The DRUG file #50 cannot contain a synonym that is 16 or 18 2. Problem: Sites which are attempting to integrate are concerned that the current prompt "Include Site Number" within Edit Divisional Parameters[PSB PARAMETERS] option may have duplicates numbers at other sites. Corrective Action: The prompt "Include Site Number" has been changed to "Default Barcode Prefix". This will allow each site to enter in a one to five alphanumeric prefix instead of just the site's prefix. 3. Problem: The GUI Virtual Due List (VDL) does not wrap the "Dosage", digits in length and begins with a "3". If matches to this cutting off the dosage display. Corrective Action. The GUI Virtual Due List has been corrected to properly wrap the "Dosage". 4. Problem: If a user defines a reason under Reasons a Med is given PRN, beginning with a numeric value, the GUI Virtual Due List would display the actual number of the reason, instead of the text. Please see NOIS HAM-0100-22249 for an example. pattern exist, they must be changed to a different format. Corrective Action: The GUI Virtual Due List has been corrected to properly display the PRN reason defined. 5. Problem: Non-verified medications are printing on the Missed Medications Report. Corrective Action: The Missed Medications Report has been modified to exclude non-verified medications. 6. Problem: When administering an injectable drug from the VDL, you are Once these are changed, new synonyms matching this format first prompted with the "Enter Quantity and Units" screen. Once this screen is completed, the "Injection Site Needed" screen appears. If you press cancel, the medication entry is logged as given and no injection site is filed with an entry. Corrective Action: The VDL has been modified to make injectable site a required field. 7. Problem: An error "Exception Elist error in module VCLX40.BPL AT 0001A9FS" is generated in GUI when the following scenario occurs. cannot be entered while using Robot Rx. To search for The user scans a drug that comes in 5mg doses and patient needs 10mg dose. The user scanned the medication once, then used the touch screen to make the second check mark on the second dose. Corrective Action: The dosage screen has been modified to require the second dose to be scanned in, instead of manually marked. 8. Problem: Scan a PRN that requires an amount to be entered such as an injection or a cream. The "Enter Quantity and Units" window comes up and the user enters the amount and hits enter. Next the "Medication possible matches in the DRUG file #50, please follow Log" screen is displayed and the user then realizes they incorrectly entered the amount, so the cancel button is pressed. The "Medication Log" screen is displayed and says "Order Administration Cancelled" The user hits enter then scans the med again. The "Enter Quantity and Units" screen doesn't come up again, but skips straight to the "Medication Log" and keeps the quantity and units from the first scan. Corrective Action: When cancel is chosen, BCMA will now properly cancel out. these steps. 9. Problem: There are inconsistencies when marking IV's as held or refused. Corrective Action: IV's can be marked as started, held or refused. 10. Problem: The Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option would not stop scrolling if more than 14 medications were present. This did not give the user the ability to select the appropriate dose. Corrective Action: The Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option will now properly scroll, allowing the user the ability to select a dose. 11. Problem: Within the Drug File Inquiry [PSB DRUG INQUIRY]option, if an inquiry is done on a drug that has 50 or more characters in the MESSAGE: field, the screen locks and the process needs to be stopped. Corrective Action: The Drug File Inquiry [PSB DRUG INQUIRY]option has been corrected to no longer lock up if text is greater than 50 characters. 12. Modification: Display the initials and name of the nurse on the Medication Administration History (MAH) [PSBO MH] option. 13. Modification: The MAH now displays the status of "HOLD". 14. Problem: The Missing Dose Request [PSB MISSING DOSE REQUEST], option would allow the user to select an inactive drug. a) Access VA FileMan Corrective Action: The Missing Dose Request [PSB MISSING DOSE REQUEST] option has been modified to prevent the selection of inactive drugs. 15. Problem: When the administration time and the stop time for a continuous order are the same, the system would calculate the last dose as a dose to be given. Please see example below, were the last dose of 1900 was calculated because the stop time was 1900. (1)Orderable Item: MINERALS/MULTIVITAMINS TAB Bar Code Medication Administration (BCMA) reading the barcode. Instructions: (2)Dosage Ordered: 1 TAB (3)Start: 02/10/00 11:43 (4) Med Route: ORAL (5)Stop: 02/10/00 19:00 (6) Schedule Type: CONTINUOUS (7) Self Med: NO (8) Schedule: Q2H (9) Admin Times: 01-03-05-07-09-11-13-15-17-19-21-23 (10) Provider: BUNNY,BUGS (11) Special Instructions: FOR 3 DOSES This order will display 4 doses on the VDL. b) Select OPTION: 3 SEARCH FILE ENTRIES and enter in the Corrective Action: BCMA has been corrected to calculate the appropriate doses when the stop time and administration time are the same. 16. Problem: The scanner ready status was inconsistent. Corrective Action: The scanner status is in a ready status during most functions in BCMA. 17. Problem: The "Allowed Mins to Enter PRN Effect" prompt within the Edit = Divisional Parameters [PSB PARAMETERS] option was being stored incorrectly. Corrective Action: The "Allowed Mins to Enter PRN Effect" prompt is now being stored correctly. 18. Problem: An error occurred when cancelling the GUI BCMA log on. Corrective Action: The error has been corrected. information as it appears below. 19. Modification: The full version number for BCMA GUI is now located in the About BCMA. 20. Problem: If a medication has a med route of intradermal, the injection site box will not appear on the VDL during administration. Corrective Action: The injection site box will now appear on the VDL when intradermal is the med route for a medication. 21. Problem: The following scenario would not generate the message NO SPECIFIED MEDICATIONS TO PRINT " on the Due List. If a user choose to print the Due List for a specified schedule and there are no medications for that particular schedule, but other medications exist for other schedule types. Corrective Action: The report was corrected to properly display the message NO SPECIFIED MEDICATIONS TO PRINT " when there are no medications to print for the specified schedule type. OUTPUT FROM WHAT FILE: DRUG// 22. Problem: Users are unable to identify old one-time orders on Missed Medications [PSBO MM] option. Corrective Action: The start date/date for a one-time order has been added to the Missed Medication Report. ==== -A- SEARCH FOR DRUG FIELD: 9 SYNONYM (multiple) = -A- SEARCH FOR DRUG SYNONYM SUB-FIELD: .01 SYNONYM If your site is not using the Robot Rx system, === -A- CONDITION: 3 MATCHES = -A- MATCHES: 1"3"15E ======= -B- SEARCH FOR DRUG SYNONYM SUB-FIELD: .01 SYNONYM === -B- CONDITION: 3 MATCHES = -B- MATCHES: 1"3"17E please skip section 1. ======= -C- SEARCH FOR DRUG SYNONYM SUB-FIELD:<RET> -C- SEARCH FOR DRUG FIELD:<RET> IF: A DRUG SYNONYM MATCHES 1"3"15E = DO YOU WANT THIS SEARCH SPECIFICATION TO BE CONSIDERED TRUE FOR CONDITION -A- 1) WHEN AT LEAST ONE OF THE 'SYNONYM' MULTIPLES SATISFIES IT 2) WHEN ALL OF THE 'SYNONYM' MULTIPLES SATISFY IT CHOOSE 1-2: 1// 1 = OR: B Or DRUG SYNONYM MATCHES 1"3"17E = DO YOU WANT THIS SEARCH SPECIFICATION TO BE CONSIDERED TRUE FOR CONDITION -B- 1) WHEN AT LEAST ONE OF THE 'SYNONYM' MULTIPLES SATISFIES IT Corrective Action: The BCMA software has been modified to recognize 2) WHEN ALL OF THE 'SYNONYM' MULTIPLES SATISFY IT CHOOSE 1-2: 1// 1 = OR: STORE RESULTS OF SEARCH IN TEMPLATE: SORT BY: GENERIC NAME// <RET> START WITH GENERIC NAME: FIRST//<RET> FIRST PRINT FIELD: .01 GENERIC NAME the Robot Rx barcode format. In order for BCMA to function with === THEN PRINT FIELD: SYNONYM (multiple) ======= THEN PRINT SYNONYM SUB-FIELD: .01 SYNONYM === THEN PRINT SYNONYM SUB-FIELD: <RET> THEN PRINT FIELD: <RET> Heading (S/C): DRUG SEARCH//<RET> DEVICE: 0;80;999 ** DRUG SEARCH MAR 13,2000 09:57 PAGE Robot Rx, please follow the directions in the order listed below. GENERIC NAME SYNONYM -------------------------------------------------------------------------- ACETAMINOPHEN 325MG TAB APAP TYLENOL ACET325 000677000100 051111048893 305111104882120100 1 MATCH FOUND. 1.2 A new prompt "Using Robot Rx" has been added to Edit Divisional Parameters [PSB PARAMETERS]option. The user should answer Yes to thE question when they are now ready to use Robot Rx. 6 SEQ #6 DATE APPLIED: 2000-06-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch 6 contains the following modifications: GUI would allow freetext. Corrective Action: The "reason needed" field will not accept freetext. 3. Problem: The "Last Given" column is updated each time an action occurs, including refused and held. This can be confusing to the user since a medication marked as held will also show a date and time in the last given column. Corrective Action: The "Last Given" column will be changed to "Last Action". The last status will also be displayed in the column next to the date and time. 1. Problem: The verifying nurse initials are not displayed on the Virtual Due List (VDL). Corrective Action: The VDL has been modified to display the verifying nurse initials. 2. Problem: The "reason needed" field on the missing dose screen on the 8 SEQ #7 DATE APPLIED: 2000-11-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Installing Bar Code Medication Administration (BCMA) on a network The file roboex32.dll is typically installed into the c:\windows\system directory or (for Windows NT machines) the c:\winnt\system32 directory. C. Share the BCMA directory on the file server. Optionally, the directory can be set to READ ONLY via the shared directory properties. In a Windows NT environment, NTFS file security can be set to further secure this directory. Additionally, a login script file can be created that will automatically map the network drive each time a drive. user logs in. This helps in the event that a user accidentally disconnects from the network drive. 2. Pointing the client PC/laptop to the file server. A. Map each laptop or client PC to the network drive mentioned in the previous step. B. Create an icon that points to the file bcma.exe (on the network drive). Via the icon's properties, set up the necessary command line parameters to connect to your VistA system. Using this method, no BCMA files are required on the local client's PC. When it is time to install the next BCMA GUI patch, have all users log out of BCMA, install the patch on the file server that is sharing the files and the upgrade will be complete. The above installation instructions will only work with patch PSB13 or later. Previous patches require additional files to be moved to the shared BCMA directory. A. To install BCMA on a network drive, install BCMA on the file server that will perform the file sharing. BCMA is typically installed into c:\program files\vista\bcma. B. Perform a file search on the file server to locate the file roboex32.dll. Copy this file to the file server's BCMA directory. 7 SEQ #8 DATE APPLIED: 2000-11-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch PSB17 contains the following: display the nurse's initials when a one-time has been marked as refused. 9. Problem: Within the Due List [PSBO DL] option, the "On Call:" prompt will not save the users settings upon exit. The field defaults to "No" after the user has exited the option. Corrective Action: The "On Call:" prompt has been modified to save the users settings upon exiting the option. 2. Problem: A user is unable to distinguish identical one-time 10. Problem: If a medication order has 2 or more units per dose, BCMA will display the Multiple Doses to Scan screen to allow the user to scan the second, third, etc doses. If a nurse enters an Internal Entry Number (IEN) for the second dose and did not press ENTER, but immediately pressed DONE, the IEN entered would not be marked as Given. Corrective Action: Validation is now performed on any text entered in the "Scan Medication Bar Code" prompt, regardless if the user pressed ENTER or not. orders on the Virtual Due List (VDL), when multiple identical 11. Problem: If a user double clicks on an IV order on the VDL, the "Dosage Ordered:" prompt would display data. Corrective Action: The "Dosage Ordered:" prompt has been corrected to not display any data on the VDL if an IV is order. 12. Problem: If a patient has an IEN of "1" from the PATIENT file (#2) the VDL would generate the error "RPC ERROR GETORDERLIST" and not display any orders. one-time orders exist. Corrective Action: The VDL has been corrected to not error with a patient who has an IEN of "1". 13. Problem: If a medication is marked as held or refused through the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, the MAH report displays the entered date/time, not the administered date/time. Corrective Action: The MAH has been corrected to display the administered date/time instead of the entered date/time. 14. Problem: The Ward Administration Times [PSBO WA] option was printing medications for incorrect days. For example, if the medication had a schedule of MO-WE-FR and the report was printed on Tuesday, the medications for MO-WE-FR would print on the report. Corrective Action: The Ward Administration Times [PSBO WA] option has been corrected to properly print the medications for the correct Corrective Action: The pop up box, Multiple Orders for Scanned Drugs, days. 15. Problem: If BCMA is writing to the BCMA MEDICATION LOG file (#53.79) and an MAH is run a "NULLSUBSCRIPT" error is generated. Corrective Action: The code has been corrected by using standard coding conventions. 16. Modification: The "Room/Bed:" prompt has been added to the Missing Dose Request [PSB MISSING DOSE REQUEST] option. will now display the Type, Active Medication, Special Instructions, 17. Modification: The "MED ROUTE:" prompt has been added to the Due List [PSBO DL] option. 18. Modification: The ward location and room-bed have been added to the BCMA-Order Problem e-mail message. 19. Modification: The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option has been modified to display the ADMINISTRATION MEDICATION field (#.08) from the BCMA MEDICATION LOG file (#53.79). Dosage, Schedule, Route, Admin Time, Last Action, and Start 20. Modification: BCMA GUI has been modified to allow column resizing. Any changes to the column settings will be saved, allowing the user to re-enter the GUI to the saved settings. The original column settings can be reset through the Reset User Parameters [PSB USER PARAM RESET] option. 21. Modification: The Patient Medication Log in GUI has been modified to display the INCLUDE COMMENTS field (#.28) and the INCLUDE AUDITS field (#.29). All comments and audits are now viewable through the date/time for each order. To select the correct order for GUI. 22. Modification: The Missed Medications [PSBO MM] option and the Ward Administration Times [PSBO WA] option have been modified to not display self-medications. 23. Modification: The Medication Administration Log [PSBO ML] option has been modified to display the START DATE/TIME field (#10). 24. Modification: The ORDER NUMBER field (#.01) has been added to the administration, highlight the order and then click the OK button. Missed Medications [PSBO MM] option. 25. Modification: The Missed Medications [PSBO MM] option will only print one-time medications within the last movement date. 26. Modification: The BCMA GUI screen can now be maximized to fit the entire screen. 27. Modification: The Manual Medication Entry [PSB MED LOG NEW ENTRY] option has been modified to display the history of the last four administrations for a PRN order. 28. Modification: The patient record locking functionality has been removed, allowing multiple sessions of BCMA to be opened for one patient. 29. Modification: New key functions. Shift-Tab - Takes focus off the Scan Medication Bar Code to the VDL, allowing the user to scroll up and down the 3. Problem: Users were unable to print reports to a slave device within VDL orders. Press the Enter key to display a highlighted order. Right Click - on a selected order and select Display Order to view detailed order information. ALT-D,O - Displays detailed order information. Select Due List [PSBO DL] option, then select Display Order - To view detailed order information. all Bar Code Medication Administration (BCMA) CHUI options. F4 - To view detailed order information. F5 - Refresh the VDL. CTRL,O - To open a new patient. 30. Modification: The GUI VDL has been modified to shut down when a "PSB GETORDERLIST" error is encountered. When such an error is encountered the VDL would display "No Active Orders". This information is a result of the broker returning no information. This modification prevents the user from viewing a VDL with false information when such an error is generated. 31. Modification: The GUI Broker has a timeout value called RPCTimeLimit as defined in the quoted text below: Description This property is a public integer property that is available at Corrective Action: BCMA CHUI has been modified to allow the printing run-time only. It specifies the length of time a client will wait for a response from an RPC. The default and minimum value of this property is 30 seconds. If an RPC is expected to take more than 30 seconds to complete, adjust the RPCTimeLimit property accordingly. However, it is not advisable to have a RPCTimeLimit that is too long. Otherwise, the client-end of the application will appear to "hang", if the server doesn't respond in a timely fashion. The BCMA default has been changed from 30 seconds to 60 seconds. of reports to a slave printer. This can be changed with the new command line parameter of 'T' for timeout. Your command line might look as follows: "D:\Program Files\vista\Bcma\BCMA.exe" S=BGHAM P=9307 T=30 Any value below 30 seconds will be disregarded. 4. Problem: When entering an order through the Inpatient Order Entry [PSJ OE] option, for a drug that has a units per dose of 1, it is not necessary to manually enter a 1 in the 1. Problem: An undefined variable PSBSTRT error is generated "UNITS PER DOSE:" prompt. If the user chooses to bypass the "UNITS PER DOSE:" prompt field entry, the system will default to a 1. When the user elects to view the order detail on the VDL by double clicking on the order, the" Units" prompt is left blank. Corrective Action: The VDL has been corrected to properly display a 1 in the UNITS PER DOSE field (#.02), when a user views the detail order information. within the PRN Effectiveness List [PSBO PE] option when 5. Problem: The wording for the prompts listed below within menu Edit Divisional Parameters [PSB PARAMETERS] option were incorrect. Corrective Action: The following prompts have been changed in the PARAMETER DEFINITION file (#8989.51) in the DISPLAY TEXT field (#.02). From: To: Include Blank Addendums at end Default prompt for INCL BLANKS <Y/N> Include Continuous Meds Default prompt for INCL CONT <Y/N> the user chooses a hospital location instead of a nursing Include IV Med Orders Default prompt for INCL IV MEDS <Y/N> Include On Call Meds Default prompt for INCL ON-CALL <Y/N> Include One-Time Meds Default prompt for INCL ONE-TIME<Y/N> Include PRN Meds Default prompt for INCL PRN <Y/N> Include Unit Dose Med Orders Default prompt for INCL UD MEDS<Y/N> 6. Problem: Medication orders that have an ODD Schedule do not display on the VDL. An ODD Schedule is a schedule that is not evenly divisible by 24 hours (Q18H or Q7H). location at the "Ward Location:" prompt. Corrective Action: BCMA has been modified to accept and display ODD Schedule types on the VDL. If your site plans on using ODD Schedules, please read the following NOTES. *NOTE* When ordering medications with an ODD Schedule, DO NOT enter a time into the "ADMIN TIMES:" prompt when placing an order within the Inpatient Order Entry [PSJ OE] option. BCMA will automatically calculate the administration time to the minute, based on the start date/time of the order. If you want the administration time to display to the nearest hour, edit the "START DATE/TIME:" prompt field to be on the hour. For example if the start time is at 0837 for a Q5H, the administration times will be at 0837, and at 1337. To display the order on the VDL on the hour, edit the start time to be at 0800. *NOTE* If a time is entered at the "ADMIN TIMES:" prompt when placing an order for an ODD Schedule, that administration time is Corrective Action: The PRN Effectiveness List [PSBO PE] option when the medication will be displayed on the VDL everyday. For example, if an order is placed with a schedule of Q5H with an administration time of at 0900. The order will appear on the VDL at 0900 everyday. Do not enter administration times if you want ODD Schedules to function properly. *NOTE* ODD Schedules are NOT to be entered in the ADMINISTRATION SCHEDULE file (#51.1) 7. Problem: No data is being displayed under the columns U/Ord and U/Gvn, has been corrected to not error if a hospital location is chosen. within the medication log report when an IV is ordered. Corrective Action: The medication log report has been modified to display "N/A" in the two columns for IV orders. 8. Problem: The Medication Administration History (MAH) report does not display the nurse's initials when a one-time is marked as refused. Corrective Action: The MAH report has been modified to 11 SEQ #9 DATE APPLIED: 2001-02-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch PSB111 contains the following: 2. Modification: This patch includes a new API between Inpatient Medications and Bar Code Medication Administration (BCMA) (Integration Agreement #3174). The entry point EN^PSBIPM is provided by the Bar Code Medication Administration (BCMA) package to provide information to Inpatient Medications to be used in determining the start date for a renewed order. The new API will: a. Pass the ORDER ADMINISTRATION TIME field (#.13) of the BCMA MEDICATION LOG file (#53.79). b. Pass the ADMINISTRATION DATE/TIME field (#.06) of the BCMA MEDICATION LOG file (#53.79). c. Pass the ADMINISTRATION STATUS field (#.09) of the BCMA MEDICATION LOG file (#53.79). 1. Problem: When attempting to chart a medication the user receives the 3. The PSBPOST post installation routine re-indexes the BCMA MEDICATION LOG file (#53.79). The new subscript added is "AORDX". following error. 310: The IENS> +10+1 conflicts with FDA. Corrective Action: The error was resolved by performing a NEW command on the variable PSBFDA. DATE INSTALLED AT THIS SITE: 1999-09-14 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: BAR CODE MED ADMIN - VERSION 1.0 2.0 DATE DISTRIBUTED: 2005-11-19 00:00:00 PATCH APPLICATION HISTORY: 1 SEQ #2 DATE APPLIED: 2002-09-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 2. Problem: Version 2.0 beta test sites experienced errors in routines PSBMD and PSBVDLU1. Corrective Action: The errors experienced in those routines have been corrected. 3. Problem: With the installation of BCMA version 2.0, routine PSBIPM was renamed to PSBAPIM. Corrective Action: PSBIPM is no longer being used in version 2 and 1. Problem: If a medication is marked from given to not given to will be removed with this patch. 4. Problem: With the installation of BCMA version 2.0, the Edit Divisional Parameters [PSB PARAMETERS] option is no longer functional. Corrective Action: The Edit Divisional Parameters [PSB PARAMETERS] option will be removed with this patch. Any access to site parameters needs to be made through the GUI BCMA Site Parameters application. 5. Problem: The Missed Medications [PSBO MM] option was generating given, the Medication Administration History (MAH) [PSBO MH] option the Due List Error Notification message, "No admin time required for a Non-Standard schedule," on expired orders. Corrective Action: The Missed Medications [PSBO MM] option will no longer generate the message "No admin time required for a Non-Standard schedule" on expired orders. 6. Problem: When an order has a schedule in the day of week format, and had a frequency associated with it, the order was not displaying on the Virtual Due List (VDL) on the days scheduled. would display these actions as three separate administration actions Corrective Action: An order with a schedule in the day of week format and a frequency associated with it, will display correctly on the VDL on the days scheduled. 7. Problem: The "Order Num" column was printing next to the "Medication" column on the Missed Medications [PSBO MM] option. This caused some confusion with the order number being interpreted as a dosage for some medications. of given, not given and given. Corrective Action: The "Order Num" column was moved to be the first column on the Missed Medications [PSBO MM] option. 8. Problem: The Edit Medication Log [PSB MED LOG EDIT] option allowed a medication patch to be marked not given from removed. Corrective Action: The Edit Medication Log [PSB MED LOG EDIT] option has been modified to not allow a patch to be marked as not given from removed. 9. Problem: One-time orders with a future start date/time would print on the Missed Medications [PSBO MM] option. Corrective Action: The Missed Medications [PSBO MM] option has been corrected to only print one-time order when the order start date/time is within the report start and stop date/time. 10. Problem: IV orders with a future start date and time would display on the IV tab of the VDL before due. Corrective Action: The MAH will now properly display these three Corrective Action: The IV tab of the VDL has been modified to not display IV order until the order start date and time has been reached. 11. Problem: The GUI generated an error when attempting to display unit dose orders on the VDL. Corrective Action: The VDL has been modified to properly display unit dose orders on the VDL. actions as one correct action. 18 SEQ #10 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Install this patch before installing Patch PSB26. It will perform the BCMA Order Problem Notification Started on JAN 7,2003@08:24:18. This will let the user know the date and time the process started. BCMA Order Problem Notification Finished on JAN 7,2003@08:30:47. This will let the user know the date and time the process finished. The person installing this patch will also receive a MailMan message with the subject: BCMA Pre patch 6 - Order Problem Notification. This will let the user know that PSB26 will have a problem displaying an order, same medication order validation as Patch PSB26, and allows Pharmacists which is identified in the message text. A separate MailMan message will be generated for each Order Problem. an opportunity to review "problem" medication orders before your site installs PSB26. Ensure that PSB26 is installed immediately following the correction of any problem medication orders. Failure to do so may result in medication orders not displaying on the Virtual Due List (VDL). The person installing this patch will receive two separate MailMan messages with the following subjects: 6 SEQ #11 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: *NOTE* Do NOT install this patch until you receive the message when to display a Continuous medication order on LOG NEW ENTRY] option, the medication will not display on the VDL for the nurse to mark it as "Removed." Corrective Action: Medication orders with a dosage form of "PATCH" given by a nurse using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option will now display on the VDL for the nurse to mark them as "Removed." 12. Problem: The Admin Time column on the IVP/IVPB tab of the VDL is displaying administration times of "0000" for odd schedule orders. the Virtual Due List (VDL). Corrective Action: The Admin Time column on the IVP/IVPB tab of VDL will now display the correct time for an odd schedule order. 13. Problem: The data entered in the "Enter Quantity and Units" dialogue box from the IVP/PB tab was not being stored in the medication log. Corrective Action: The data is now being properly stored in the medication log. 14. Problem: If a medication order is marked as "Not Given", the user is unable to update the medication using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option. Corrective Action: The user will now be able to update medication orders that have been marked as "Not Given" using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option. 15. Problem: If a PRN medication order with the dosage form of "PATCH" was marked as "Given", it would duplicate on the VDL. The user was At the end of this installation a post install routine will clean up the unable to mark the medication as "Removed." Corrective Action: PRN medication orders with the dosage form of "PATCH" will follow the "PATCH" business rule. 16. Problem: The Ward Administration Times report displays IV orders with admin times based on the frequency calculated by IPM. The display of large volume IV's on this report is confusing to the user. Corrective Action: IV's with a IV type of Admixture, Hyperal, Syringe BCMA Medication Log APATCH INDEX. The person installing the patch will be Not Intermittent, Chemotherapy (Admixture), Chemotherapy (Syringe Non-Intermittent) will not be displayed on this report. 17. Problem: A Schedule Type of "R" displays in the "Type" column on the VDL for medication orders that have a dosage form of "PATCH" and a previous Schedule Type of Fill on Request. Corrective Action: The correct Schedule Type will display in the "Type" column on the VDL. notified the routine has completed successfully via a MailMan email with 18. Problem: A condition exists that causes a medication order to have the same previous and following order number. Because of this scenario, the BCMA application is put into an infinite loop or may cause an error when the VDL is opened. Corrective Action: In support of several NOIS tickets regarding this issue, BCMA has implemented a temporary fix that now allows a medication order with the same previous and following order number to display on the VDL. This is not a comprehensive fix, but will allow BCMA to function properly while Inpatient Meds researches the problem. the subject line "BCMA APATCH INDEX CLEAN HAS COMPLETED". 19. Problem: A one-time medication order marked as "Missing," would not display on the Missed Medications [PSBO MM] option. Corrective Action: A one-time medication order marked as "Missing," will now display on the Missed Medications [PSBO MM] option. 20. Problem: Day of the Week schedules that include the "@" sign followed by a valid time do not display on the Virtual Due List. Corrective Action: Day of the Week schedules in this format now display correctly on the Virtual Due List. 1. Problem: The Medication Administration History [PSBO MH] option "BCMA AADT X-REF CHECK COMPLETED" from the installation of PSB2.09 and displays medication orders beyond the requested report dates. Corrective Action: The Medication Administration History [PSBO MH] option now displays medication orders within the requested report dates. 2. Problem: When a patient is discharged and reinstated, the MAH displays "*" in the date column. Corrective Action: The Medication Administration History [PSBO MH] the message "BCMA Order Problem Notification Finished" from the option has been modified to not display "" in the Date column for medication orders that have been discontinued and then reinstated. 3. Problem: PRN last actions listed as "Not Given" display on the Medication Log Information dialog box. Corrective Action: The last four actions of a PRN medication order will not display an action of "Not Given", in the Medication Log Information dialog box. installation of PSB2.018. Installing this patch before receiving these 4. Problem: A medication order for a Patch displayed multiple times on the VDL, if it was marked as "Given", then "Not Given" and then "Given" again. Corrective Action: A medication order for a Patch will display appropriately, regardless of how many times an action has been applied to the associated patch order. 5. Problem: After a patient receives a patch for the second time messages may cause the Bar Code Medication Administration (BCMA) program the "Last Action" column on the VDL displays the incorrect date and time. Corrective Action: The "Last Action" column will now display the correct date and time for patches. 6. Problem: When an active IV order that has an infusing bag is edited through Computerized Patient Record System (CPRS), via the "CHANGE" action, the "old" order disappears from the BCMA VDL IV tab. This prevents clinicians from knowing the status of the old order. to error. Corrective Action: Continue to display the status of an edited IV order on the BCMA VDL IV tab. 7. Problem: The Missed Medications [PSBO MM] option generates a "String too long" error message for medication orders that contain a schedule in a minute's format (i.e., Q2'). Corrective Action: The Missed Medications [PSBO MM] option now displays medication orders that contain a schedule using a minute's format. 8. Problem: The Medication Administration History [PSBO MH] option generates a "String too long" error message for medication orders that contains a schedule in a minute's format (i.e., Q2'). Corrective Action: The Medication Administration History [PSBO MH] option now displays medication orders that contain a schedule using a minute's format. However, schedules with a frequency of less than 45 minutes will display the message "Due Every # Minutes", where # is the This patch contains changes to how BCMA V. 2.0 processes schedule frequency. 9. Problem: Ward Administration Times [PSBO WA] option generates a "String too long" error message for medication orders that contain a schedule in a minute's format (i.e., Q2'). Corrective Action: The Ward Administration Times [PSBO WA] option now displays medication orders that contain a schedule using a minute's format. However, schedules with a frequency of less than 30 minutes will display the message "Due Every # Minutes", where # is information from Inpatient Medications V. 5.0, and how it determines the frequency. 10. Problem: Medication orders that include a Day of the Week schedule generate a false Due List Notification Error on a day not due. Corrective Action: Medication orders that include a Day of the Week schedule will no longer generate a false Due List Notification Error. 11. Problem: If a medication order with the dosage form of "PATCH" is administered by a nurse using the Manual Medication Entry [PSB MED 15 SEQ #12 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: The Medication Administration History [PSBO MH] option and Corrective Action: The code has been modified to properly display the patient's medication orders when accessing the VDL. Manual Medication Entry [PSB MED LOG NEW ENTRY] option are generating an undefined error, because of a missing orderable item name on a medication order. Corrective Action: The undefined error has been corrected. 2. Problem: Users are receiving an undefined variable error in routine PSBVDLU1 when accessing the patient's medication orders on the VDL. 8 SEQ #13 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ATTENTION: This patch includes a new GUI. orders are marked as "Refused." Request" dialog box is now a required field. 13. Problem: The Right-Click feature used to access the "Take Action on WS" command was not available for a ward stock IV bag marked as "Held" on the VDL. Corrective Action: The Right-Click feature used to access the "Take Action on WS" command is now available for a ward stock IV bag marked as "Held" on the VDL. 14. Problem: When users sign on to the BCMA GUI application, and are prompted to scan the patient's wristband, a lower portion of the screen display is grayed out. Corrective Action: The GUI screen display has been corrected. 15. Problem: Reports would not print from the GUI application when print devices had the same name. Corrective Action: The GUI printing function has been modified to Corrective Action: The GUI VDL will not apply the status of "Refused" print reports to devices that have the same name. 16. Problem: A medication order with a schedule of "AC&HS," displays on the BCMA VDL with a schedule of "ACHS." Corrective Action: The GUI has been modified to properly display the schedule. 17. Problem: The shortcut keys of "ALT+A" used to display "Allergies" would go to the "Start Time:" field of the "Virtual Due List to medication orders placed on Provider Hold when marking multiple Parameters:" section of the VDL. Corrective Action: The shortcut key for "Allergies" has been changed to ALT-G. 18. Problem: If a medication order is created or edited using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option or the Edit Medication Log [PSB MED LOG EDIT] option, the last action would display incorrectly on the "Last Action" column of the VDL by dropping off any trailing zero of the time from the date/time format. medication orders. Corrective Action: The last action for a medication order will now display correctly under the "Last Action" column on the VDL. 19. Problem: Users who mark a PRN medication order, with the dosage form of "PATCH" as "Given," cannot document a PRN effectiveness using the Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option. Corrective Action: Users can now document a PRN effectiveness for a "Given" PRN medication order with a dosage form of "PATCH." 20. Problem: Under the IV Medication Tab, if a medication order gets discontinued when a ward stock IV bag has a status of "Stopped," no data would display under the "IV Bag Chronology." Corrective Action: Data will correctly display under the "IV Bag Chronology" display area when an IV order becomes discontinued and a ward stock IV bag has status of "Stopped" status. 21. Problem: The Special Instructions pop-up box does not function on 2. Problem: Comments entered when a ward stock IV bag is completed the IV Medication Tab when the Pharmacist enters an exclamation ("!") to copy and flag the Provider comments for display in a BCMA message dialogue box. Corrective Action: The Special Instructions pop-up box will now display on the IV Medication Tab when a Pharmacist finishes an IV order and uses the "!" key to copy and flag the Provider comments for display on the BCMA VDL. 22. Problem: The "ALLERGIES:" bar on the VDL displays "No allergies on and another ward stock IV bag begins infusing, are carried from one IV file" when no assessment was completed. Corrective Action: The "ALLERGIES:" bar will now display "No Allergy Assessment" if there are no allergies assessed and "No Known Allergies" if there is an allergy assessed, but no allergies. bag to another. Installation of this GUI is required in order to see the full Corrective Action: Comments entered for an IV bag will not carry over to the next IV bag. 3. Problem: The error message "Missing Data" sporadically displays on the VDL when a user tries to administer a medication via the "CPRS Med Order" button. Corrective Action: The "Missing Data" message has been corrected. 4. Problem: The error message, "'.' Not a valid integer" sporadically functionality of this patch. * displays when a user accesses a patient record on the VDL. Corrective Action: The VDL has been corrected to not generate the error message. 5. Problem: Any report printed from the GUI VDL, displays inactive wards in the "Ward" field under the "Print by" section. Correction Action: Inactive wards will no longer be available for selection on reports printed from the GUI VDL. 6. Problem: A medication order with the dosage form of "PATCH" marked as "Given" using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, does not display on the VDL as "Given." Corrective Action: Medication orders with a dosage form of "PATCH" marked as "Given" using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, will display on the VDL as "Given. 7. Problem: The "Provider:" field on the "Order Manager" dialog For retrieval and installation instructions, please see the Client screen does not display all valid Providers when performing a partial lookup. This was a result of BCMA not validating the inactive date correctly. Corrective Action: The code has been modified to perform the validation on the inactive date. The correct Providers will display for selection under the "Provider:" field on the "Order Manager" dialog screen. 8. Problem: Drugs with a future inactive date were not available for Installation Instructions section. printing on labels using the Label Print [PSBO BL] option. Corrective Action: Drugs with future inactive dates are now available for printing on labels. 9. Problem: BCMA does not perform a version check between the GUI application and CHUI application side. Corrective Action: BCMA will validate the version of the GUI application running on the GUI against the CHUI application. The client version must match the patch number on the VistA server, and if compatible, the previous GUI version will be allowed to run. GUI version will be allowed to run. No prior version will be allowed to run on the client. 10. Problem: The current "Typical" installation process for the BCMA GUI application installs both the BCMA client and the BCMA Site Parameter application. This is not appropriate for an installation a ward P.C. 1. Problem: Any order displayed as Provider Hold on the GUI Virtual Corrective Action: The "Typical" installation process has been modified to only install the BCMA client. 11. Problem: The action of marking multiple medications, as "Held" or "Refused" does not always apply to every medication on the VDL. For example, if a medication is already marked as "Given", the action of "Held" or "Refused" will not apply to that medication order. Corrective Action: If multiple medications are highlighted on the VDL, and the action of "Held" or "Refused" does not apply to Due List (VDL) is also marked as "Refused" when multiple medication a highlighted order, an Informational dialog box will display with the message, "Held or Refused will NOT be applied to the following order(s):" with a list of orders. 12. Problem: The message "ERROR: MISSING DATA - ALL FIELDS ARE REQUIRED," Missing Field: NEEDED BY DATE/TIME," displays when a user selects the Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option, to complete and save a request. Corrective Action: The Date@Time Needed field on the "Missing Dose 20 SEQ #14 DATE APPLIED: 2003-04-17 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. BCMA will display a Notification Popup box, once per patient session, 2. BCMA will now document fractional dose medication orders, which occur when a medication order contains a units per dose that is not a whole number. When a user administers a fractional dose medication using BCMA, a Multiple or a Fractional Dose dialog box will display for documenting the actual amount and user comments. 3. Three fields have been removed from the Parameters tab of the BCMA Site Parameters application since the functionality no longer exists. They include the "General System Error:" field, the "Auto Update Notification:" for the Unit Dose and IVP/IVPB Medication Tabs. The Popup box displays if field in the Mail Groups section of the Parameters tab and the "UNC of the Auto Update Server:" field in the Misc. Options section of the Parameters tab. a patient has had a recent movement, and at least one of the last actions occurred within the specified timeframe defined in the "Patient Transfer Notification Timeframe:" field on the Parameters tab of the BCMA Site Parameters application. The Popup box will display the patient movement type and transaction type within brackets, and the Virtual Due List (VDL) will display the transaction type in the "Last Action" column for a medication displayed on the VDL. 7 SEQ #15 DATE APPLIED: 2003-05-20 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Problem: In reference to the Medication Variance Log [PSBO MV] option, a LOG file (#53.78). Problem: In reference to the Medication Variance Log [PSBO MV] option, several sites are experiencing problems with displaying variance information as a result of incompatible ward names stored in the BCMA MEDICATION VARIANCE LOG file (#53.78). If the user selects a ward name from the WARD LOCATION file (#42) that does not match the ward name store in the BCMA MEDICATION VARIANCE LOG file (#53.78), the variance log information will not display on the report. functional discrepancy was discovered in the coding logic used to Corrective Action: The Ward Name Conversion Process [PSB WARD CONV] option was add to the Bar Code Medication Administration Manager [PSB MGR] option to allow each site an opportunity to make the appropriate corrections to incompatible ward, room and bed names stored in their local BCMA MEDICATION VARIANCE LOG file (#53.78). The following functions are incorporated in the Ward Name Conversion Process [PSB WARD CONV] option: extract previous variance information stored in the BCMA VARIANCE LOG o Allow the user to select a specified date range to control the amount time needed to complete the process and the amount data that will be changed. o Automatically, convert Ward Name to Ward IEN if the Ward Name in BCMA MEDICATION VARIANCE LOG file (#53.78) is identical to the Ward Name in the WARD LOCATION file (#42). o Display a list of un-identifiable ward names to the user. file (#53.78). The report will only show variance information related o Allow the user to change the un-identifiable ward name to a ward name stored in the NURS LOCATION file (#211.4) and select the appropriate room and bed location. o Send an e-mail message to the user when the Ward Name Conversion Process is completed. to patients currently assigned to the selected ward. Resolution: Modifications were made to rebuild the data structure used to sort, store, and display the variance information related to all patients associated with the selected ward stored in the BCMA VARIANCE 12 SEQ #16 DATE APPLIED: 2003-05-20 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: NOTE: Patch PSB212 makes changes to the ward-specific IV Parameters bags on the Virtual Due List (VDL), regardless of the settings for the patient's respective ward. Corrective Action: The IV Parameters settings for the "ALL" ward affect the display of a patient's IV bags VDL only when the settings are not defined for the patient's respective ward. Please be aware that after you install this patch, all ward-specific IV Parameters defined for wards other than "ALL" will work immediately. These parameters control when an IV bag is valid, and when BCMA warns a user the status of an IV order has changed. If your site has defined ward-specific IV Parameters, functionality included in the GUI BCMA Site Parameters application. please review them BEFORE installing this patch, and notify the appropriate personnel to ensure that problems are not experienced once installed. 2. Problem: The PSB DEFAULT BARCODE PREFIX Site Parameter was set to accept 1 to 5 characters so the user had to specify a prefix in the GUI Bar Code Medication Administration (BCMA) Site Parameters application. If none was specified, the barcode number was not recognized when the user scanned a patient's medication for administration. Please be sure to read the Problem and Corrective Action statements below Corrective Action: The PSB DEFAULT BARCODE PREFIX Site Parameter has been set to accept 0 to 5 characters, so the user does not need to specify a prefix in the GUI BCMA Site Parameters application. When a barcode is printed, no prefix is added to the barcode so the label scans successfully during medication administration. 3. Problem: Changes made to the IV Parameters when using the GUI BCMA Site Parameters application were not always being saved for the selected division. and coordinate the installation of this patch appropriately before Corrective Action: Changes made to the IV Parameters when using the GUI BCMA Site Parameters application are now being saved for the selected division. 4. Problem: When the unit of administration is a patch and that patch has a "Given" status, the BCMA Virtual Due List (VDL) displayed the last action date/time of the order in the "Last Action" column. The VDL did not display the last action date/time of the orderable item. Corrective Action: When the unit of administration is a patch and installing it. (See suggestion at bottom of Corrective Action please.) the patch has a "Given" status, the BCMA VDL displays in the "Last Action" column the last action date/time of the orderable item. 5. Problem: Text in the "U/Gvn" column of the BCMA Medication Log Report did not provide word wrapping. This became apparent after free-text 'quantity and units' data was entered during the administration of a medication dose. Corrective Action: After entering free-text 'quantity and units' data during the administration of a medication dose, information in the "U/Gvn" column of the BCMA Medication Log Report will appropriately word wrap. 6. Problem: The following is an example of an error that occurred when a user attempted to administer a unit dose medication with an "IV Push" med route: "^Error(s) Filing Transaction MEDPASS Data Validation Error: 701: The value 'KCL 20MEQ/D5/NACL {2}' for field UNIT OF ADMINISTRATION in SOLUTIONS SUB-FIELD in file BCMA 1. Problem: The GUI BCMA Site Parameters application, IV Parameters MEDICATION LOG is not valid." The above error occurred under particular conditions associated with the IV solution. Corrective Action: The user is able to administer unit dose medications with an "IV push" medication route, regardless of the IV solution. settings for specific wards did function as required. The IV Parameter settings for the "ALL" ward always affected the display of a patient's IV 21 SEQ #17 DATE APPLIED: 2003-06-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: The error message "Error(s) Filing Transaction MEDPASS" file (#53.68), when the user enters a "@" in the "Patient Name:" prompt. Correction: The Missing Dose Request [PSB MISSING DOSE REQUEST] option has been modified to not create an entry in the MISSING DOSE REQUEST file (#53.68) file, when a user enters a "@" in the "Patient Name:" prompt. displays when the infusion rate for an IV Piggyback order includes more than 30 characters. Correction: The INFUSION RATE field (#.35) of the BCMA MEDICATION LOG file (#53.79) was increased from 30 to 47 characters. 2. Problem: The Missing Dose Request [PSB MISSING DOSE REQUEST] option is creating incomplete entries in the MISSING DOSE REQUEST 26 SEQ #18 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Problem: If there is a continuous order, with an admin times, and corrections. If a DUE LIST ERROR message is encountered with a Reason of "Invalid frequency received from order" please do the following. 1. Determine if the schedule listed in the mail message is in FILE# 51.1 the ADMINISTRATION SCHEDULE FILE. a. If it is not, Log a NOIS. b. If it is, determine if the TYPE OF SCHEDULE is CONTINUOUS. i. If it is not, log a NOIS. the frequency is null, the GUI Bar Code Medication Administration (BCMA) ii. If it is, determine if the frequency is a valid number greater than zero. 1. If it is, log a NOIS. 2. If it is not, correct the frequency. does not display the order on the Virtual Due List (VDL) and a Due List Error Notification message is not generated. Corrective Action: BCMA will generate a Due List Error Notification message for those continuous orders that contain a standard schedule with admin times and no frequency. This can also occur to non-standard Schedules. Pharmacy should review the problem order and make necessary 28 SEQ #19 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Problem: When a Day of the Week schedule is created with [PSS SCHEDULE EDIT] option, the order is showing as due everyday on the Virtual Due List. The Ward Administration Times [PSBO WA] option and the Medication Due List [PSBO DL] option displays the same problem. Corrective Action: Day of the Week schedules displays correctly on the Virtual Due List, Ward Administration Times [PSBO WA] option, and Medication Due List [PSBO DL] option. 5 SEQ #3 DATE APPLIED: 2002-09-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: The "BCMA ORDER LAST ACTION:", which is displayed in order more then two digits. Please see example below. The value 0.125 for field DOSES GIVEN in dispense drug subfield in file BCMA MEDICATION LOG IS NOT VALID The value 0.125 for field DOSES ORDERED in dispense drug subfield in file BCMA MEDICATION LOG IS NOT VALID Corrective Action: BCMA has been modified to accept up to four fractional digits for doses ordered and doses given. view screen under Inpatient Medications V 5.0., was displaying the last action by orderable item instead of the order number. Corrective Action: The "BCMA ORDER LAST ACTION:" has been corrected to display the last action by order number. 2. Problem: BCMA was generating the message below when a nurse tried to administer a medication that had a fractional dose ordered of 19 SEQ #20 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: The GUI Bar Code Medication Administration (BCMA) Site 2. Problem: The Medication History Report, which is available by performing a right-click on an order from the BCMA Virtual Due List (VDL), displays incorrect data for an IV medication order. This occurs when an IV order contains more than one orderable item. Corrective Action: The Medication History Report will now display the medication history for each orderable item contained in an IV medication order. Parameters application does not perform a version check between the 3. Problem: A user can administer multiple patches for an On-Call medication order, with a dosage form of "PATCH," without the previous patch being removed. Corrective Action: For an On-Call medication order with a dosage form of "PATCH," a user must first remove the previous patch administered before allowing any proceeding patches to be given. 4. Problem: The administration times for a medication order that uses a Day-of-the-Week schedule (i.e., MO-WE-FR@0900) do not print on the GUI application and the CHUI application. MAH. Corrective Action: The MAH will now display the administration times for a medication order containing a Day-of-the-Week schedule. 5. Problem: The VDL generates displays an error if the user types special characters (i.e., "^" or "?") when entering a comment for a medication order. Corrective Action: Any special characters entered with comments will be removed when BCMA files the comment. 6. Problem: The option "Take Action on WS" was removed in BCMA patch PSB220. This option allowed the user to change the status of a ward stock IV bag. Corrective Action: The option "Take Action on WS" has been added to patch PSB219. 7. Problem: The new Reduced Space Symbology (RSS) bar codes contain the Corrective Action: BCMA will validate the version of the GUI BCMA 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 the unique identification of trade items worldwide. Corrective Action: BCMA GUI will correctly read the GTIN and search the SYNONYM field (#.01) of the DRUG file (#50) for a matching NDC number. 8. Problem: The BCMA GUI Due List Report allows the user to select a Site Parameters application running on the client against the CHUI stop time that is prior to the start time. Corrective Action: The BCMA GUI Due List will not allow the user to select a stop time that is prior to the start time: 9. Problem: The MAH Report only displays the action of "Removed" for a PRN, On-Call, and One-Time medication order with a dosage form of "PATCH." Corrective Action: The MAH Report will now display actions of application. The client version must match the patch number on the "Removed" and "Given." for PRN, On-Call, and One-Time medication orders with a dosage form of "PATCH." 10. Problem: If an IV medication order has an infusing bag and becomes expired, the infusing bag continues to display on the VDL, along with the other available bags. Corrective Action: Available bags will not display when an IV medication order becomes expired. VistA server, and if compatible, the previous GUI version will be allowed to run. No prior version will be allowed to run on the client. 24 SEQ #21 DATE APPLIED: 2003-07-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Bar Code Medication Administration (BCMA) will provide a visual check box is selected in the GUI BCMA Site Parameters application. All other schedule types will remain selected on the VDL by default when the user opens a patient's record. 3. The VDL will display a BCMA Clinical Reminders marquee at the lower right hand corner. The "count" is the number of PRN medications without Effectiveness comments within the hours defined in the "PRN Documentation" field on the Parameters tab of the GUI BCMA Site Parameters application or within the current admission whichever is greater. indicator on the Virtual Due List (VDL) to identify which schedule types A mouse-over list displays the last four undocumented PRN orders. When the user double clicks anywhere on the PRN Effectiveness row of the BCMA Clinical Reminders marquee, the PRN Effectiveness Log dialog box displays all PRN orders that need PRN Effectiveness and allowing documentation of PRN Effectiveness comments for each order listed. The "count" will update/refresh when the user: a) opens a patient file. b) administers a PRN medication order. c) completes the documentation of a PRN Effectiveness. have active orders within the specified start and stop date/time for the d) refreshes the VDL. A Med History button has been added to display the Medication Administration History for the order selected. 4. When administering a PRN medication, the units given column within the Last Four Actions table and a drop down box for the users to select the PRN Reason have been added to the Medication Log dialog box. Units given will not display for orders with multiple dispensed drugs. selected Medication Tab. A green "alert light" to the left of the 5. An updated PRN Effectiveness Log dialog will ease the process of PRN Effectiveness documentation. It displays a list of undocumented PRN medications for a specific order, or across orders, including PRN medications from previous or expired orders. The dialog box includes a "units given" column, which will not display units for orders with multiple dispensed drugs. The division column has been removed. Schedule Type indicates that it has active orders for the specified timeframe, and a gray "alert light" to the left of the Schedule Type indicates that it has no active orders for the specified timeframe. 2. PRN medications will display on the VDL if the PRN Schedule Types 32 SEQ #22 DATE APPLIED: 2003-08-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: *NOTE* This patch should be discussed at each Department of menu contains the Documenting Backlog PRNs [PSB PRN DOCUMENTING] option which will allow a user to run a report for a date range that will search through the BCMA MEDICATION LOG file (#53.79) for all undocumented PRNs. The Documenting Backlog PRNs [PSB PRN DOCUMENTING] option will automatically enter in a comment of "Administrative Closure" for all undocumented PRNs identified by the report. In accordance with M1, Part 1, Chapter 5, these blank sections of the PRN documentation will reflect the term "Administrative Closure" when the software is used to close these blank portions related to the PRN Veterans Affairs Medical Centers (VAMC) before being invoked. documentation. The sites medical record review committee should document the decision to run the patch to administrative close the undocumented PRN if the site chooses to use this option. In those cases where the sites have reviewed the charts and find that the PRN documentation appears in the patient record in other than the BCMA PRN field, the site should individually enter "documented in progress note." The person installing the patch will receive a MailMan message when the process has completed. The subject line will read, "BCMA PRN DOCUMENTATION Notification." Problem: Sites are experiencing a large number of undocumented Pro Re Nata (PRN) effectiveness in the counter displaying under the "BCMA Clinical Reminders" section of the GUI Bar Code Medication Administration (BCMA) Virtual Due List (VDL). Solution: The Bar Code Medication Administration Manager [PSB MGR] 17 SEQ #23 DATE APPLIED: 2003-09-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: The VistA Bar Code Medical Administration Backup System (Patch PSB217) on a Pharmacy Medical Administration Record (MAR) and Medical Administration History (MAH). Workstation(s) are updated using the VA Health Level (HL7) package and are available for use according to local policies concerning VistA, BCMA or network outages. software being released will provide a Class I solution to the BCMA Contingency IRA #20020403. This plan reflects the intent of VHA Directive 6210, The Automated Information Systems (AIS) Security, which states that all facilities are responsible for the development, maintenance, and annual testing of individual AIS contingency. This software maintains a current copy, on the designated workstation, of all the inpatient pharmacy activities including the inpatient medical orders(Unit Dose and IV), medication administration and patient allergies, that are included 33 SEQ #24 DATE APPLIED: 2003-09-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Problem: NOIS SAJ-0803-71312 The BCMA Due List [PSBODL] option, and the VDL will generate a Due List Error Notification message for IV Piggyback medication orders with a Schedule Type of Continuous that have Admin times, and A frequency set to null. The BCMA Due List [PSBODL] option, and the VDL will generate a Due List Error Notification message for orders with Schedule Type of Continuous that are Unit Dose and IV Piggyback orders that have schedules names in the format of administration times but the Admin times do not exist on the order (i.e., schedule = 1200-1600 admin times = NULL). An IV Piggyback order with a Schedule Type of Continuous that has Admin times, (i.e., Q12H with admin times of 0800-2000), and a frequency set to null, does not display on the Bar Code Medication Administration (BCMA) Graphical User Interface (GUI) Virtual Due List (VDL) IVP/IVPB Medication Tab and the Due List [PSBODL] option. The VDL and the Due List [PSBODL] option also do not generate a Due List Error Notification message. Corrective Action: 14 SEQ #25 DATE APPLIED: 2003-10-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: NOIS ISB-1102-30304 selection process used in other provider system applications such as Inpatient Medication V 5.0 and Pharmacy Data Management V 1.0. 2. Problem: NOIS NCH-1102-40363 The Medication Variance Log [PSBO MV] option will inappropriately display variance information related to medication orders with a status of "REMOVED" on the BCMA Variance Log Report. Corrective Action: The Medication Variance Log [PSBO MV] option will not display variance information related to medication orders with a status The Drug File Inquiry [PSB DRUG INQUIRY] option does not resemble or of "REMOVED" on the BCMA Variance Log Report. 3. Problem: NOIS MAD-0902-42331 The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option will improperly allow users an opportunity to enter a comment for PRN medication orders that do not have a status of "GIVEN". Corrective Action: The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option will only allow users an opportunity to enter a comment for PRN medication orders with a status of "GIVEN". follow a similar drug selection process used in other provider system 4. Problem: NOIS CLL-0203-40445 The Label Print [PSBO BL] option will not retrieve the correct drug name if the user enters the drug name as lower case letters. Corrective Action: The Label Print [PSBO BL] option will retrieve the correct drug name if the user enters the drug name as lower case letters. 5. Problem: NOIS ISB-1102-32339 The Medication Variance Log [PSBO MV] option will only display variance applications such as Inpatient Medication V 5.0 and Pharmacy Data information related to patients currently assigned to the selected ward on the BCMA Variance Log Report. The option will not display variances information associated with previous patients assigned to the selected wards. Corrective Action: The Medication Variance Log [PSBO MV] option will rebuild the data structure used to sort, store, and display the variance information related to all patients assigned to the selected ward stored in the BCMA MEDICATION VARIANCE LOG file (#53.78). Management V 1.0. A site is requesting modifications that will add 6. Problem: NOIS MWV-0102-23190 The Medication Variance Log [PSBO MV] option will not display variance information on the BCMA Variance Log Report when the user selects to print the report by ward names. Several sites are experiencing this problem as a result of incompatible ward names between the BCMA MEDICATION VARIANCE LOG file (#53.78) and the NURS LOCATION file (#211.4). In addition, sites should populate their NURS LOCATION file (#211.4) with the proper ward name from the WARD LOCATION file (#42) to prevent this problem from reoccurring. consistency to the drug selection process. Corrective Action: The Medication Variance Log [PSBO MV] option will compare the ward's internal entry number (IEN) stored in the BCMA MEDICATION VARIANCE LOG file (#53.78) to the ward's IEN stored in the WARD LOCATION file (#42). The BCMA application will store the ward's IEN for future variances. Site must use the new Ward Name Conversion Process [PSB WARD CONVERSION] option under the Bar Code Medication Administration Manager [PSB MGR] option to convert the ward name associated with previous variance information stored in the BCMA MEDICATION VARIANCE LOG file (#53.78) in order to print a BCMA Variance Log Report based on previous variance information. The Ward Name Conversion Process [PSB WARD CONVERSION] option is temporary. However, in the future, Bar Code Medication Administration patch PSB223 will remove the temporary Ward Name Conversion Process option from your system. The Ward Name Conversion Process option will perform the following functions: a. Allow users to select a specified date range, which will control the amount of data and time needed to complete the process. b. Convert the ward's name to the ward's internal entry number (IEN) if Corrective Action: The Drug File Inquiry [PSB DRUG INQUIRY] option has a the Ward Name in BCMA MEDICATION VARIANCE LOG file (#53.78) is identical to the Ward Name in the WARD LOCATION file (#42). c. Display a list of un-identifiable ward names and allows the user to make the appropriate corrections. revised continuous search index function that resembles the drug 25 SEQ #26 DATE APPLIED: 2003-11-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: NOIS AAA-0303-N1449 2. Problem: NOIS ISB-0503-30409 After a medication patch order is "Given," if that order expires or is discontinued, and the patient has no other active orders, the patch does not display on the VDL; the message "No Active Orders" displays instead. Corrective Action: If a patch is "Given" and not "Removed," it should display on the VDL The "Last Action" column on the Bar Code Medication Administration until it is marked as "Removed." A patch with the status of "Given" will display on the VDL until it is marked as "Removed." 3. Problem: NOIS ISB-0503-30409 After a large volume IV order is "Infusing," if that order expires or is discontinued and the patient has no other active orders, the infusing IV does not always display on the VDL; the message "No Active Orders" displays instead. (BCMA) Virtual Due List (VDL) displays inaccurate information via a Corrective Action: If an IV is "Infusing" and not "Completed," it should display on the VDL up to 7 days after the order is expired/discontinued or until the order is marked as "Completed." An IV that is "Infusing" will display on the VDL for 7 days after the order is expired/discontinued or until it is marked as "Completed." sequence of administrative actions upon two distinct orders having the 4. Problem: NOIS HAM-0103-22522, HUN-0403-21086 The Edit Medication Log [PSB MED LOG EDIT] option does not allow the user to change the status of a medication patch from "Given" to "Removed." An attempt to change the status from "Given" to "Removed" using the Edit Medication Log [PSB MED LOG EDIT] option displays the message "Allowed status codes are Given, Not Given, Held, and Refused," preventing the status change of the medication patch. same orderable item. Corrective Action: The Edit Medication Log [PSB MED LOG EDIT] option will allow the status of a "Given" medication patch to be changed to "Removed." 5. Problem: NOIS ISB-0703-30098 The Manual Medication Entry [PSB MED LOG NEW ENTRY] allows the user to enter any administration status for any order type. For example, the user can create a new BCMA Medication Log entry for a medication patch order, with an administration status of "Completed." Corrective Action: The Manual Medication Entry [PSB MED LOG NEW ENTRY] will only allow the user to enter "Given," "Held," or "Refused" for orders which are not IV orders. A status for an IV order will not be allowed since IV medications cannot be entered via this menu option. 6. Problem: NOIS ISB-0703-30653 The "Schedule:" prompt in the Manual Medication Entry [PSB MED LOG NEW Corrective Action: ENTRY] option screen displays the schedule type instead of the schedule. Corrective Action: The "Schedule:" prompt in the Manual Medication Entry [PSB MED LOG NEW ENTRY] option screen will display the schedule. 7. Problem: NOIS CLL-0303-40554 The Manual Medication Entry [PSB MED LOG NEW ENTRY] option allows the The "Last Action" column on the BCMA VDL will display appropriate and user to enter a future date and time for a medication administration, which sometimes causes inaccurate information on BCMA reports. Corrective Action: The Manual Medication Entry [PSB MED LOG NEW ENTRY] option will not allow the user to enter a future date and time for a medication administration. accurate status, date and time information per orderable item. 30 SEQ #27 DATE APPLIED: 2003-11-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: *** ATTENTION: This patch includes a new Graphical User Interface (GUI) Patch PSB230 presents some changes to the 'look and feel' of the Bar Corrective Action: BCMA will allow the user to submit a Missing Dose Request for a medication patch order when another patch from that order displays a status of "GIVEN" on the VDL. 9. Problem: NOIS ISB-0703-31421 When the user submits a Missing Dose Request for a PRN medication and immediately (without refreshing the BCMA VDL) marks that PRN as "GIVEN," Code Medication Administration (BCMA) GUI. One change is the additive and BCMA files into the BCMA Medication Log a null value as the PRN Reason. Corrective Action: BCMA will file into the BCMA Medication Log the PRN Reason as selected by the user for the respective PRN administration. 10. Problem: NOIS SDC-0803-60738 When a Global Trade Identification Number (GTIN) bar code was scanned, BCMA would strip out the National Drug Code (NDC) number from the GTIN solution display automatically for an infusing bag in the IV chronology and perform a search on it. This would result in BCMA not finding a match and displaying the error message "Invalid Medication Lookup. DO NOT GIVE!!" Corrective Action: The logic that performs the lookup has been modified to not strip out the NDC number. 11. Enhancement: E3R#18328 section of the Virtual Due List (VDL). Another change is during the BCMA GUI will allow a medication patch to be marked as "HELD" or "REFUSED" while another patch from the same order displays as "GIVEN" and not marked "REMOVED." 12. Enhancement: E3R#13940 BCMA GUI will provide the user access to the BCMA Medication Variance Log Report from the Reports menu of the VDL. administration of a Pro Re Nata (PRN) the PRN reason may be selected by typing the first letter of the PRN Reason. BCMA will focus on the PRN Reasons that start with the first letter typed in the PRN Reason selection area. executable file. 1. Problem: NOIS CPH-0703-40060 When an IV medication order becomes expired while an IV bag is "INFUSING" or "STOPPED," the un-administered bags of that order are still "available" for administration. Corrective Action: When an IV medication order expires, the un-administered IV bags will not display on the BCMA VDL. Installation of this GUI is NOT required immediately after the 2. Problem: NOIS RIC-0703-20366 The "Scanner Status:" indicator on the BCMA VDL displays red when the user switches from another application back to the BCMA GUI. Corrective Action: The BCMA VDL Scanner Status indicator will display green when it is possible to scan medication using BCMA. 3. Problem: NOIS ISB-0303-31005 KIDS install for the Patch to function. * Multiple IV bags of an order may be "INFUSING" simultaneously. BCMA does not allow proper maintenance of any of these administered IV bags. For example the user cannot "COMPLETE" any of the "INFUSING" IV bags. Corrective Action: BCMA will allow the maintenance of an order with multiple "INFUSING" IV bags. 4. Problem: NOIS ISB-0703-31029 If the BCMA GUI user enters a space alone as documentation of PRN Effectiveness, an "information box" displays because the space is inappropriately treated as a special character. Corrective Action: When documenting PRN Effectiveness using the BCMA GUI via a lone space character, the lone space will not be treated as a special character; instead the user will be asked to re-enter the data. 5. Problem: NOIS ISB-0703-30373 The user must scroll the list of output devices to select the most recently used print device. Corrective Action: The print device most recently selected by the user will display first in the list of selectable print devices. 6. Problem: NOIS ISB-0703-30480 For retrieval and installation instructions, please see the Client Using the BCMA Site Parameter GUI application, the user can seemingly create an unlimited number of entries for a "Default Answer List" such as the BCMA "Injection Site" list . These entries should then be selectable from the respective list box during certain medication administration using the BCMA GUI. Without notice to the user, BCMA limits the number of entries/selections to 60. Corrective Action: Using the BCMA Site Parameter GUI application, the user will be able to create up to 100 entries for a BCMA "Default Answer List" list box. Installation Instructions section. Therefore it will be possible for the user to have up to 100 entries to select from the respective BCMA GUI list box. 7. Problem: NOIS ISB-0703-30478 Using the BCMA Site Parameter GUI application the user can seemingly create entries for a BCMA "Default Answer List" box, such as the BCMA "Injection Site" list, longer than 30 characters. Without notice to the user, BCMA limits the number of characters for a list entry to 30. Corrective Action: Using the BCMA Site Parameter GUI application the user will not be able to create entries for a BCMA "Default Answer List" more than 30 characters in length. 8. Problem: NOIS ISB-0703-30290 Using the BCMA GUI, the user cannot submit a Missing Dose Request for a medication patch order when another patch from that order displays a status of "GIVEN" on the VDL. 31 SEQ #28 DATE APPLIED: 2003-11-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. The user is allowed to view and print the Bar Code Medication within the last 7 days. 3. When the user opens a patient record from the BCMA GUI application, the Vitals Cumulative Report can be accessed from the Reports menu. 4. When enabled, BCMA will broadcast BCMA Medication Log data to applications that subscribe to BCMA Heath Level 7 (HL7) Messaging. The events or transactions tht trigger the message broadcasts are MEDPASS, UPDATE, STATUS, ADD COMMENT, and PRN EFFECTIVENESS. Upon the completion of each "trigger event," BCMA will send HL7 version 2.4 Administration (BCMA) ward specific reports via the BCMA GUI (Graphical compliant messages to COTS and other subscribing products or applications. The BCMA HL7 interface must be activated after installation for messaging to occur. 5. When the user launches the BCMA GUI application, the message box displays information regarding BCMA 508 compliance. This information can also be found in the BCMA Help, About dialog box. 6. When the user scans a currently infusing or stopped bag on the VDL IV tab and the associated order has had any changes made to it since the user interface) application without having to open a patient record. infusing or stopped bag's label was printed, the Scan IV box will display Order changes including bag status and changes made on the associated order. 7. A new column "Bag Information" has been added to the VDL IV tab. This column contains the administration status, date and time of the currently infusing or stopped bag on its associated order and one of the following messages if the order has changed since the bag label was printed. "INFUSING bag on changed order" or"STOPPED bag on changed order". This column is updated every time the patient record is opened or the VDL is refreshed. 8. Problem: NOIS MIN-0703-42067 The Bar Code Medication Administration (BCMA) Graphical User Interface (GUI) does not print the Medication History Report for large volume IV's under the GUI IV Medication Tab. Corrective Action: The BCMA GUI Medication History Report for IV Medications will print for large volume IV's under the GUI IV Medication Tab. 2. When administering a PRN medication or documenting a PRN 9. Problem: NOIS TAB-0903-40220 When users take BCMA offline by unchecking the BCMA on-line check box on the GUI BCMA Site Parameters Facility Tab, the users are unable to sign in again to the BCMA Site Parameters application and get the following error: "The BCMA Application is not active for this division", followed by an application error. Corrective Action: When users take BCMA offline by unchecking the BCMA on-line check box on the GUI BCMA Site Parameters Facility Tab, Effectiveness, the Medication Log dialog box or the PRN Effectiveness the users will be able to sign in again to the BCMA Site Parameters application without receiving the above errors. 10. Problem: NOIS ISB-0703-30291 When a user selects a report from the BCMA GUI Reports menu, the "Print by" area of the associated dialog box does not display all wards in the Ward list box. Corrective Action: The "Print by" area of the BCMA GUI report dialog boxes displays all Log respectively will display a vitals table with the vital signs: wards in the Ward list box. 11. Problem: NOIS MAD-0203-42078 When the user attempts to enter an order via the Computerized Patient Record System (CPRS) Med Order Button, the order is being cancelled due to an error, "missing data, unable to file" Corrective Action: The user will be able to successfully enter an order via CPRS Med Order Button without receiving the above error. Temperature (Temp), Pulse, Respiration (Resp), Blood Pressure (BP) and Pain. Each of the vital signs will list up to 4 vital entries made 22 SEQ #29 DATE APPLIED: 2003-11-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: The Missed Medications [PSBO MM] option does not display a Provider takes if Off Hold, no verbiage is displayed next to the medication. Corrective Action: The Missed Medications [PSBO MM] option displays "(On Hold)" date and time below a medication when the Provider places it on Hold. When the Provider takes if off Hold, it displays the "(On Hold)" date and time as well as the "(Off Hold)": date and time below the medication. One-Time order for the new ward after a patient is transferred to another ward. Corrective Action: The Missed Medications [PSBO MM] option displays a One-Time order after a patient is transferred to another ward. 2. Problem: The Missed Medications [PSBO MM] option displays "(Hold)" next to a medication when a Provider places it on Hold. When the 2 SEQ #4 DATE APPLIED: 2002-09-27 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: The Bar Code Medication Administration (BCMA) Order Manager a ward stock entry on GUI BCMA. Corrective Action: GUI BCMA has been modified to regconize the synonym number of an IV medication. 3. Problem: When using the CPRS Med Order button, the orderable item lookup was using a direct global read. Correction: The orderable item lookup has been modified to call a Computerized Patient Record System (CPRS) Application Program Interface dialogue box from the CPRS Med Order button displays the (API) instead of using a direct global read. "Invalid Medication Lookup, DO NOT GIVE!!" Corrective Action: The BCMA Order Manager dialogue box has been corrected to perform a lookup on the drug synonym number. 2. Problem: The user will receive the "Invalid Medication Lookup, DO NOT GIVE!!" error message box when scanning an IV bag to create 27 SEQ #30 DATE APPLIED: 2003-12-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: NOIS ISB-0503-30379 option display the PRN Effectiveness reasons using word wrap. 2 Problem: NOIS ISB-0503-31838 A medication order with a Day-of-the-Week schedule, will use the frequency from Inpatient Medication, and incorrectly display the data on the Graphical User Interface (GUI) Bar Code Medication Administration (BCMA) Virtual Due List (VDL) as being due everyday. Corrective Action: A medication order with a Day-of-the-Week schedule correctly displays on the GUI BCMA VDL on the day scheduled. The Medication Administration History [PSBO MH] option 3. Problem: NOIS LIT-0303-72207 The Medication Administration History [PSBO MH] option will not display medication orders with an odd schedule, which include administration times. Corrective Action: The Medication Administration History [PSBO MH] option displays odd schedules with administration times, along with the following message, "NOTE - ODD SCHEDULE NO LONGER ALLOWS ADMIN TIMES." and the Medication Administration Log [PSBO ML] option displays 4. Problem: NOIS ISB-1102-30781 The Medication Administration History [PSBO MH] option and the Medication History Report are not accessible to the user when a medication is not due. Corrective Action: The Medication Administration History [PSBO MH] Option and the Medication History report displays three asterisks ("") in the Date column when a medication is not due. the Pro Re Nata (PRN) Effectiveness reasons on one continuous 5. Problem: NOIS AMA-0403-70477 The Patient Due List Report and the Ward Administration Time Report will not display a "due" medication, on the correct day, for schedules with frequencies greater than 24 hours, (i.e.,Q36). Corrective Action: The Patient Due List Report and the Ward Administration Time Report display "due" medication, on the correct day, for schedules with a frequency greater then 24 hours. 6. Problem: NOIS MAD-0303-40194 sentence rather than wrapping the information to several lines for The Medication Administration Log [PSBO ML] option, Medication Log Report displays the medication as "GIVEN" with the incorrect dosage value, after the medication status was marked as "Not Given" on the VDL. Corrective Action: The Medication Administration Log [PSBO ML] option and the Medication Log Report display the medications administration units of zero when the medication is set to "NOT GIVEN" on the VDL. 7. Problem: NOIS ISB-0703-30482 viewing. The Medication Administration History [PSBO MH] option, Medication History Report, will display the word "HOLD" in the Date column, for all days on the report, even after the medication is taken Off Hold. Corrective Action: The Medication Administration History [PSBO MH] option, Medication History Report, displays "HOLD" in the Date column on the days that the medication was placed On Hold, through the end date of the report. When the medication is taken Off Hold, the word "HOLD" Appears on the Report from the On Hold date to the Off Hold date. 8. Problem: NOIS ISB-0703-30482 The Medication Administration History [PSBO MH] option incorrectly displays orders with a Schedule Type of Continuous, with a Schedule in the format of administration times (i.e. Schedule = 1200-1400) but where the Admin times have been deleted. Continuous schedules with valid admin times that are not Day-of-the-Week Schedules but have a NULL frequency are also incorrectly displayed. Corrective Action: The Medication Administration History [PSBO MH] Corrective Action: The Medication Administration History [PSBO MH] option will not display orders that meet the above criteria. 9. Enhancement: E3R NO.15232 The Medication Administration History [PSBO MH] option and the Medication History report displays the date as well as the time the order was started on the report. option and the Medication Administration Log [PSBO ML] 35 SEQ #31 DATE APPLIED: 2003-12-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ** DUE TO PURGED PENDING-ORDERS, BCMA MAY NOT BE ABLE TO TRACK AND Medications with a Schedule Type of Continuous and marked as "Held" may not display on the Due List [PSBO DL] option report. This issue becomes very apparent when the Bar Code Medication Administration (BCMA) system is generating Internal Entry Numbers (IEN) for the BCMA Medication Log file (#53.79) which exceed the date numerically. Corrective Action: Medications with a Schedule Type of Continuous and marked as "Held" will display on the Due List [PSBO DL] option report. DISPLAY ORDER HISTORY AND ORDER CHANGES. WITH INSTALLATION OF 2. Problem: NOIS ISB-0703-30657 When creating an administration for a Pro Re Nata (PRN) order in the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, the "Brief Administration History" displays the status of "Not Given" as one of the last four actions. Corrective Action: When creating an administration for a PRN order in the Manual Medication PSB2.035, BCMA ERRORS CAUSED BY PURGED PENDING-ORDERS ARE INTERCEPTED, Entry [PSB MED LOG NEW ENTRY] option, the "Brief Administration History" will not display the status of "Not Given" as one of the last four actions. 3. Problem: NOIS WPB-0503-31999 The latest printed label for an IV medication order may not display on the BCMA Virtual Due List (VDL) as an "available bag" when it should. BUT WILL NOT ALLOW BCMA TO TRACK AND DISPLAY COMPLETE ORDER HISTORY AND Corrective Action: All printed labels that are valid and should be available for administration will appropriately display as "available" on the VDL. 4. Problem: NOIS NCH-1003-41434 The BCMA Label Print [PSBO BL] option does not allow the use of a drugs internal entry number (IEN) alone to select a "Drug Name" for a printed label. ORDER CHANGE DATA. * Corrective Action: The BCMA Label Print [PSBO BL] option will select the appropriate drug when the user enters solely the drugs IEN to select a "Drug Name" for a printed label. 5. Problem: NOIS UNY-1003-10407 Allergy data is being displayed in the report header "Reactions:" field of reports printed via the VDL, such as the Medication Due List report. Corrective Action: Adverse Drug Reaction information will display in the report header, "Reactions:" field of reports printed via the VDL. 6. Problem: NOIS ALX-1103-70256 An error occurs when the user attempts to access a patients VDL and that patient has an active medication order with an ACTION STATUS field (#.09) of the BCMA MEDICATION LOG file (#53.79) equal to null. The error message encountered is "$ZE=<SUBSCRIPT>EN+75^PSBVDLUD." Corrective Action: A patients VDL will display without error when that patient has an active medication order with an ACTION STATUS field (#.09) of the BCMA MEDICATION LOG file (#53.79) equal to null. 1. Problem NOIS HIN-0703-41481: 23 SEQ #32 DATE APPLIED: 2003-12-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: NOTE** Patch PSB223 will remove the Ward Name Conversion time that a patch was "Removed," instead of "Given," under the "Admin Time" column. Corrective Action: The PRN Effectiveness List [PSBO PE] option will display the date and time that a patch is "Given" under the "Admin Time" column. 2. Problem: NOIS ISB-0303-30557 The PRN Effectiveness List [PSBO PE] option displays a PRN medication entry twice on the PRN Effectiveness List Report when the user enters a Process [PSB WARD CONVERSION] option from your system. Please complete Missing Dose Request and administers the medication at a later time. Corrective Action: The PRN Effectiveness List [PSBO PE] option will not display a PRN medication entry twice on the PRN Effectiveness List Report when the user enters a Missing Dose Request and administers the medication at a later time. 3. Problem: NOIS ISB-0903-31938 The Missing Dose Report [PSBO MD] option will display the header "Dosage Schedule" on the Bar Code Medication Administration (BCMA) Character the ward name conversion process before installing patch PSB223, User Interface (CHUI) Missing Dose Report. This header is not consistent with the naming scheme that describes the medication order schedule information sent to the Pharmacy via the e-mail notification message. Corrective Action: The Missing Dose Request [PSBO MD] option displays the header "Schedule" on the BCMA CHUI Missing Dose Report. This information coincides with the BCMA naming scheme that describes the medication order schedule information sent to the Pharmacy via the e-mail notification message. using the Ward Name Conversion Process [PSB WARD CONVERSION] option in 4. Problem: NOIS ISB-0703-30029 The Missing Dose Request [PSB MISSING DOSE REQUEST] option creates a variance entry in the BCMA MEDICATION VARIANCE LOG File (#53.78) when the user enters a Missing Dose Request outside the timeframe specified for the "Allowable Time Limits" parameter within the Parameters Tab of the GUI BCMA Site Parameters application. Corrective Action: The Missing Dose Request [PSB MISSING DOSE REQUEST] option will not create a variance entry in the BCMA MEDICATION VARIANCE patch PSB214. LOG File (#53.78) when the user enters a Missing Dose Request outside the timeframe specified for the "Allowable Time Limits" parameter within the Parameters Tab of the GUI BCMA Site Parameters application. 5. Enhancement: E3R #13009 The Missing Dose Request [PSB MISSING DOSE REQUEST] option will display the medication order schedule information in the e-mail notification message sent from BCMA to the Pharmacy for a Missing Dose Request. 6. Enhancement: E3R #17312 The Missing Dose Request [PSB MISSING DOSE REQUEST] option displays the medication order schedule information on the Missing Dose Report sent from BCMA to the Pharmacy-selected printing device. 1. Problem: NOIS ISB-0203-31993 Pro Ra Nata (PRN) The PRN Effectiveness List [PSBO PE] option displays the date and 36 SEQ #33 DATE APPLIED: 2004-01-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: * ATTENTION: This patch includes a new Graphical User Interface (GUI) Installation Instructions section. 1. When administering a Pro Re Nata (PRN) medication or documenting a PRN Effectiveness and the PRN Reason is one set via the Bar Code Medication Administration (BCMA) Site Parameters settings to initiate a pain score reading, BCMA will automatically initiate a pain score reading to be filed with other Vital Measurement information. 2. Problem: NOIS DUB-0803-31307 executable file. Installation of this new GUI is REQUIRED in order When all of a patient's active medication orders of an order type have no scheduled administrations within the date range of the BCMA Virtual Due List (VDL), the message "No Active Orders at this Time" displays. This message is not accurate. Corrective Action: When all a patient's active medication orders of an order type have no scheduled administrations within the date range of the BCMA Virtual Due List (VDL), the message "No Administration(s) due at this time" will display. for the patch to function. The new GUI MUST be installed IMMEDIATELY 3. Problem: NOIS NYH-0903-10598 BCMA is not showing the correct number of PRN Reminders for patients. BCMA calculates the number of PRN Reminders based on the date/time of patient's transfer and not the date/time of the patient's admission. Corrective Action: BCMA will identify and display PRN Reminders based on the date/time of the patient's admission. after the KIDS install in order for the software to function. * 4. Problem: NOIS ISB-1103-31688 The error "$ZE= NTE+16^PSBSVHL7:1, %DSM-E-UNDEF, undefined variable " may occur when comment internal entity numbers (IEN), of the BCMA Medication Log are not in sync with the BCMA Medication Log comment sub-file index. BCM Health Level 7 (HL7) messaging may attempt to transmit a comment which does not exist, causing the error. Corrective Action: BCMA HL7 messaging will transmit the appropriate comment independent of the BCMA Medication Log comment sub-file index. 5. Problem: NOIS ISB-1103-31567 The BCMA Cumulative Vitals report does not display the vital changes if only one measurement was changed for the designated date range. Corrective Action: The Cumulative Vitals report will show all changes that occur within the designated date range. For retrieval and installation instructions, please see the Client 4 SEQ #1 DATE APPLIED: 2002-10-08 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: When a user attempts to log on to the GUI BCMA, they receive 2. Problem: Sites are unable to access the GUI, due to the VISTA side needing the most current version of BCMA. Corrective Action: The code which checks the version number has been corrected to properly return the correct version. the following messages: RPC BOWDPS5 GETUDID in Option PSB GUI CONTEXT - USER NOT FOUND RPC BOWDPS5 GETIVID in Option PSB GUI CONTEXT - USER NOT FOUND Corrective Action: The RPC's ORBCMA5 GETUDID and ORBCMA5 GETIVID were added to BCMA Client Context [PSB GUI CONTEXT - USER] option. 3 SEQ #5 DATE APPLIED: 2002-10-08 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: When a medication was given and then not given the Gui did to the log file, which caused BCMA to shut down. Corrective Action: Additional error trapping was added to report the error to the user without shutting down. 3. Problem: When attempting to mark multiple patches as removed, the user receives the following error message: "Error(s) Filing Transaction MEDPASS" Business Logic Error: PRN Medications MUST Have a PRN Reason not validate. Business Logic Error: PRN Orders cannot be marked NOT Given Corrective Action: BCMA GUI has been modified to not allow the multiple marking of patches as removed. 4. Problem: User was receiving an undefined variable error in routine PSBVDLU1 when attempting to log on to the BCMA GUI application. Corrective Action: The code was modified to not error when logging on to the GUI application. 5. Problem: When using the CPRS Med Order button, the IV Fluid Order screen is not displaying the same volume as the BCMA Order Manager screen. Corrective Action: The IV Fluid Order screen is now displaying the same volume as the BCMA Order Manager screen. 6. Problem: The user would recieve an error when trying to launch multiple copies of the BCMA GUI. Corrective Action:The GUI will validate when a user marks a med from Corrective Action: The GUI has been corrected to display the Open Error message, "There is already one copy of Bar Code Medication Administration running on this machine!" 7. Problem: When launching the BCMA Site Parameters application, the focus was not on the electronic signature box. Corrective Action: The BCMA Site Parameters application has been modified to place focus on the electronic signature box. Given to Not Given that the user either has the "PSB MANAGER" key or 8. Problem: One-time orders were printing on the Due List [PSBO DL] option after the stop date of the order. Corrective Action: The printed Due List [PSBO DL] option was modified to not print one-time orders past the stop date of the order. that the user id matches the user id that made the entry in the med log. 2. Problem: An error would occur if the user did not have write access 9 SEQ #6 DATE APPLIED: 2002-10-25 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: Patient's who did not have a PRN medication administered were incorrectly displaying on the PRN Effectiveness List [PSBO PE] option. Corrective Action: There is a post install routine, which runs to clean up erroneous file entries that were causing the patient's to display on the PRN Effectiveness List [PSBO PE] option. The routine has also been corrected to not create the erroneous file entries. 11 SEQ #7 DATE APPLIED: 2002-11-16 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: An allocation error was being generated when starting the Bar Corrective Action: The GUI has been corrected to allow printing when selecting a mnemonic. 3. Problem: The data entered in the Enter Quantity and Units dialogue box from the IVP/PB tab was not being stored in the medication log. Corrective Action: The data is now being properly stored in the medicatin log. Code Medication Administration (BCMA) GUI application. The error 4. Problem: The Not Given action was not available on the Virtual Due List (VDL) unless the user performed a refresh. Corrective Action: The Not Given action is now available with out the user having to perform a refresh on the VDL. 5. Problem: The Multiple Doses to Scan dialogue box does not display to the user when a multiple unit per dose order is administered from the GUI IVP/IVPB Virtual Due List (VDL) tab. was a result of a large number of printers in the DEVICE file (#3.5). Corrective Action: The GUI IVP/IVPB VDL tab has been corrected to properly display when a unit dose order has multiple units per dose. Corrective Action: The software has been modified to allow for a large number of entries in the DEVICE file (#3.5). 2. Problem: Users could not print from the GUI application when selecting a mnemonic name from the DEVICE file (#3.5) 13 SEQ #8 DATE APPLIED: 2002-12-09 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: If a gap of time exists between the original continuous IV order stop date/time and the renewed order start date/time, the Bar Code Medication Administration (BCMA) Virtual Due List (VDL) IV tab would not display the original order until the expected stop date and time. Correction: The BCMA VDL IV tab will now display the original order until the stop date/time of the order is reached. 10 SEQ #9 DATE APPLIED: 2002-12-20 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch Description: Corrective Action: The BCMA Print Label [PSBO BL] option was modified to perform the drug validate process before the device selection process. Therefore, the drug validation process will be performed if the system device was set to BROWSER or queued to a device. Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem was discovered in the coding logic that created an entry in the BCMA Report Request file (#53.69). If the user canceled the label print process as a result of a mismatch between the selected drug and patient, an impartial or bogus entry would remain in the BCMA Report Request file ================= (#53.69) occupying vital system resources. Corrective Action: The BCMA Print Label [PSBO BL] option was modified by inserting the necessary coding logic to delete the impartial or bogus entry in the BCMA Report Request file (#53.69) when the print label procedure is cancelled as a result of a mismatch between the selected drug and patient. Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem was discovered in the ScreenMan data input functions. If the selected patient requires a Means Test, the option will abruptly display a message to the user indicating "* Patient Requires a Means Test " and the ScreenMan data input process was rearranged out of order. Corrective Action: The BCMA Print Label [PSBO BL] option was modified by inserting the necessary coding logic to refresh the ScreenMan data input screen when the Means Test notification message rearranged the data input process. By refreshing the screen, the data input flow will return to the next data input field. Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem was discovered in the coding logic used to set a variable that contained the internal entry number of the selected drug. This problem was not discovered in the initial release of BCMA V 2.0. Corrective Action: The BCMA Print Label [PSBO BL] option was modified by inserting the correct coding logic to extract and store the selected drug internal entry number in the proper variable. Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem was discovered in the drug validation process used to compare the was discovered in the drug validation process used to check the patient medication orders. The option only validated medication orders that were classified a Unit Dose and it did not validate medication orders that were classified as IV orders containing IV Additives and IV Solutions. Corrective Action: The BCMA Print Label [PSBO BL] option was modified by inserting the proper coding logic to validate IV orders that contained IV Additives and IV Solutions. selected drug with medication orders listed for the patient. The drug validate process was performed only if the system device was set to BROWSER or the user device. DATE INSTALLED AT THIS SITE: 2002-05-28 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: BAR CODE MED ADMIN - VERSION 2.0 3.0 DATE DISTRIBUTED: 2004-02-24 00:00:00 PATCH APPLICATION HISTORY: 7 DATE APPLIED: 2004-07-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Install both patches on to the Vista Server and the PSB37 on to the Contingency Workstations as close together as possible during non-peak times. Since the location of the Pharmacy Orders "Admin Times" data has been changed in the HL7 message you could see orders on the workstation missing this data on orders updated due to transitions of data during the installation of these patches. The missing data will correct itself when that order is updated. Once installed it is suggested that the sites review the Contingency System reports. Any missing "Admin Times" can be corrected by running the Single Patient Init [PSB BCBU INIT SINGLE PT] option or the Workstation can be re-initialized. **************************************************** 1. A fix for the '&' delimiter problem with the admin times. The admin times was moved to another Field of the HL7 message in the pharmacy patch PSJ5.0123. This patch compensates for the pharmacy change. *****************Important Note****************** 2. When a user was added, edited or terminated, BCMA Contingency Software would be called and the user would be evaluated, and if appropriate be transmitted to the BCMA Contingency Workstations. This evaluation was not occurring correctly. As a result, all users added, changed or terminated were being transmitted to the workstations. An additional screen was added to ensure that only the appropriate users accounts were transmitted to the workstation. 3. When a user had multiple divisions defined under their user account and the workstations were setup using the multidivisional capability the users divisions were not interpreted correctly. A bug was found in the code that looped through the user's division multiple and was corrected. 4. The user Update portion of the BCMA Contingency was not checking the status of the "PSB BKUP ONLINE" parameter. Additional code was added to check for the status of the "PSB BKUP ONLINE" Sites running the Bar Code Medication Administration (BCMA) parameter. If the parameter is set to "NO" then no updates will be transmitted to the workstation from the user portion of the package. Contingency Software must install this patch on all Contingency workstations in addition to being installed on to the Vista Server. This patch is being released in conjunction with the Inpatient Pharmacy patch PSJ5123. 11 SEQ #10 DATE APPLIED: 2005-10-20 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: BCMA will ignore all BCMA Medication Log (file #53.79)records with Action Status field (field #.09) equal to ""; and when appropriate, BCMA will send an electronic message (e-message) to members of the mail group that is specified via the BCMA Site Parameter - "Mail Groups/Due List Error", when such a record is processed. The subject line of this e-message will read "BCMA - Admin XXXX Problem". The subject line of this e-message will contain the internal entry number (IEN), identifying the errant BCMA Medication Log (file #53.79) record. That IEN is represented above by the text "XXXX". PSB3.011 will allow access to the errant records via 1. Problem: Remedy #HD0000000092269 Manual Medication Entry [PSB MED LOG NEW ENTRY] option for deletion or correction. The errant records may be accessed using Manual Medication Entry [PSB MED LOG NEW ENTRY] option by users possessing the PSB Manager Key or the user who initiated that administration. Details about the errant administration are within the e-message sent. The e-message will contain data necessary to reprocess, via the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, that incomplete and errant administration. The following is an example e-message: ************************************************************************ Bar Code Medication Administration (BCMA) software errors at line Subj: BCMA - Admin 11111 Problem [#22222222] 07/13/05@13:37 12 lines From: JACKSON,TODD ELLIS In 'IN' basket. Page 1 ----------------------------------------------------------------------- The following administration was NOT displayed on the Virtual Due List Order Number....: 21V Orderable Item..: HEPARIN SOLN Patient.........: BCMAPATIENT,ONE (000-00-9678) "EN+78^PSBVDLPB" when a BCMA Medication Log (file #53.79) record Ward/Bed........: 7A GEN MED 724-A Reason..........: JUL 13, 2005@07:00 admin's ACTION STATUS is "UNKNOWN". Schedule........: Q3H Action Dt/Tm....: JUL 13, 2005@11:32:50 BCMA Med Log IEN: 11111 User............: ( # 00000000000 ) BCMAUSER,ONE ************************************************************************ Per the above example, to correct the example, errant entry #11111, the specified "User" or a person holding the PSB Manager Key may use being processed has its Action Status (field #.09) equal to "" . the Manual Medication Entry [PSB MED LOG NEW ENTRY] option and correct the "Reason" for the "BCMA - Admin Problem"; that person can correct that "JUL 13, 2005@07:00 admin's ACTION STATUS" per the specified patient and order, via corresponding responses to Manual Medication Entry [PSB MED LOG NEW ENTRY] option prompts. The "correction" is to properly complete or delete that incomplete administration. An e-message triggered by an incomplete administration of a Pro Re Nata (PRN) [As Needed] medication must be maintained via VISTA The errant record is the result of an administration not properly File Manager (FileMan). The IEN of the entry that needs corrected is labeled "BCMA Med Log IEN:" within the e-message as well as displayed in the e-message's subject line, immediately after the text "BCMA - Admin". It is possible to correct any errant BCMA Medication Log (file #53.79) entry using FileMan and the IEN supplied by this e-message. 2. Problem: Remedy #HD0000000093022 saved/discarded via Manual Medication Entry[PSB MED LOG NEW ENTRY] The Manual Medication Entry [PSB MED LOG NEW ENTRY] option does not maintain the "Given" status per medication patch administrations on the BCMA Virtual Due List (VDL). The user is unable to determine which administered patch must be removed when the VDL does not display the patch as "Given". Corrective Action: A patch administered via the Manual Medication Entry [PSB MED LOG NEW ENTRY] option will show as "Given" on the BCMA VDL. 3. Problem: Remedy #HD0000000103739 The Manual Medication Entry [PSB MED LOG NEW ENTRY] option malfunctions when attempting to administer an "odd schedule" order on days the order is not scheduled to be administered. Corrective Action: Display appropriate data when "odd schedule" order administrations are attempted. Corrective Action: 124 SEQ #105 DATE APPLIED: 2020-07-27 10:49:25 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: INC8883572 - PRN orders during undo-given in BCMA sending invalid Mailman messages. 127 DATE APPLIED: 2020-12-08 09:09:00 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch, in conjunction with PSJ5406, will resolve the following issue: Problem: -------- The VA North Texas Health Care System reported that when displaying and printing patient order the print out includes removal times for medications that does not require removal. The source of the problem was identified in the schedule used for these orders. If it contains the ampersand character (&), e.g. AC&HS, it shifts fields within the HL7 message communicated between the main VistA system and the BCBU workstation, which causes it to populate the REMOVE TIMING field (#7.4) within the ORDER NUMBER sub-file (#53.701) in the BCMA BACKUP DATA file (#53.7). Solution: -------- Changed the routine PSJHL3 via the PSJ5406 patch to escape the schedule field value before including it in the HL7 message bound to the BCBU workstation and changed the processing of the incoming message to un-scape schedule field value before parsing when at the BCBU workstation. Technical Resolution: 1) INC11397447 - BCMA Backup workstation patient print out and order display --------------------- This patch changes the routine ALPBHL1U at line tag RXE+29 to un-escape the schedule field value before parsing when processing the incoming HL7 message at the BCBU workstation. removal times for INHALATION Medications Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1) INC11397447 - BCMA Backup workstation patient print out and order display removal times for INHALATION Medications 130b DATE APPLIED: 2021-04-29 00:00:00 DESCRIPTION: Backup of PSB3.0130 on Apr 29, 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. 130 SEQ #107 DATE APPLIED: 2021-04-29 14:23:39 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch will resolve the following issues: Problem: ------- The Audie L. Murphy Memorial Veterans' Hospital reported that when they submitted a missing dose for an inpatient order with 3 or more dispense drugs associated with it and later scanned the medication received BCMA Med Logs only had a record of the first and last dispense drug associated with the order. Some orders require a combination of dispense drugs to achieve the exact dose ordered. For example: an order of 75MG for Prednisone would require a combination of 3 20MG tablets, plus 1 10MG table plus 1 5MG tablet. Upon research it was determined that this issue was introduced by patch PSB399, issue #3 (I9892810FY16). In addressing that issue the patch accidentally introduced the issue reported above. This issue is also being considered a Patient Safety Issue (PSI) and the number assigned by the Patient Safety team is HITPS-7596. Resolution: ---------- The software was modified to prevent the deletion of some of the dispense drugs in the BCMA Medication Log when 3 or more dispense drugs are marked 1) INC14580997 - BCMA Missing Dose Routing BUG missing doses on an order and later are scanned. Technical Resolution: -------------------- Modified the line UPDATED+97 on the routine PSBML2 to not mark a dispense drug to be deleted from the BCMA Medication Log if it was previously populated with an valid dispense drug in the order. Patient Safety Issues (PSIs): HITPS-7596 ----------------------------- HITPS-7596 Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1) INC14580997 - BCMA Missing Dose Routing BUG HITPS-7596 123b DATE APPLIED: 2021-05-12 00:00:00 DESCRIPTION: Backup of PSB3.0123 on May 12, 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. 123 SEQ #108 DATE APPLIED: 2021-05-12 15:15:35 APPLIED BY: USER,SEVENTEEN 106b DATE APPLIED: 2021-07-13 00:00:00 DESCRIPTION: Backup of PSB3.0106 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. 106 SEQ #109 DATE APPLIED: 2021-07-13 09:23:14 APPLIED BY: USER,SEVENTEEN DESCRIPTION: The description of this build can be found in the National Patch Module under PSB3106. 108b DATE APPLIED: 2021-07-13 00:00:00 DESCRIPTION: Backup of PSB3.0108 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. 108 DATE APPLIED: 2021-07-13 09:23:28 APPLIED BY: USER,SEVENTEEN DESCRIPTION: The description of this build can be found in the National Patch Module under PSB3108. 22 SEQ #11 DATE APPLIED: 2005-12-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Error when filing multiple doses with comments 82b DATE APPLIED: 2021-08-09 00:00:00 DESCRIPTION: Backup of PSB3.082 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. 82 SEQ #111 DATE APPLIED: 2021-08-09 12:39:57 APPLIED BY: USER,SEVENTEEN DESCRIPTION: The following enhancements were made in this patch: 1. The Status and Schedule Type will have their own columns with their values spelled out, e.g., G will be 'Given' and P will be 'PRN'. 2. Units Ordered is being added as a new column. 3. Previous statuses will be displayed in reverse chronological order. 129 DATE APPLIED: 2021-09-29 14:50:44 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch will resolve the following issue: Backup (BCBU) is pulling information from vista incorrectly into the BCMA BACKUP DATA file (#53.7) for the field name "SUPPLEMENTAL COMMENTS". This field contains all special instructions, provider comments, or other print information pertinent to this order. The NTE notes segment in the HL7 message (i.e. "NTE^6^L" and "NTE^21^L") is not removing the data correctly when it gets an update into the BCMA BACKUP DATA file (#53.7). This is the reason why it is displaying incorrectly in BCBU workstation. 1) INC15616683 - BCMA (Bar Code Medication Administration) Backup (BCBU) workstation patient prints out and order display is incorrect for the field name "SUPPLEMENTAL COMMENTS" in BCMA BACKUP DATA file (#53.7) Problem: -------- The Honolulu VA Pacific Islands Health Care System reported the Barcode 131 SEQ #113 DATE APPLIED: 2021-10-12 11:31:46 APPLIED BY: USER,SEVENTEEN DESCRIPTION: The description of this build can be found in the National Patch Module under PSB3131. 133 SEQ #114 DATE APPLIED: 2022-01-03 12:45:52 APPLIED BY: USER,SEVENTEEN DESCRIPTION: INC1980869 - BCMA Status code is not avaiable in BCMA for the MAH report 132 SEQ #115 DATE APPLIED: 2022-01-26 11:35:17 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following issues: Problem: -------- The "B" index for fields ADDITIVES or SOLUTIONS is not created when the IEN of either is 1. The ADDITIVES field points to the IV ADDITIVES file #52.6 and the SOLUTIONS field points to the IV SOLUTIONS file #52.7. In routine PSBMD these fields are set to a value of 1 as a placeholder before the filer routine (FILE^DIE) is called. When the IEN of the field is also 1 (pointer in file #52.6 or file #52.7) the index does not get created because the filer routine doesn't detect a change and doesn't set the index. This issue was found while analyzing another ticket. Resolution: ----------- Routine PSBMD is modified to set the value of the placeholder to 0 instead of 1. This ensures that the filer routine will create the "B" index correctly. Technical Resolution: --------------------- 1. INC19372204 - Missing "B" index for solution, Addictive in File 53.68 Lines modified: RPC+37, RPC+39, RPC+42, RPC+43 Before this patch these lines set the following ^PSB(53.68,+PSBIENS,.6,I,0)=I ^PSB(53.68,+PSBIENS,.7,I,0)=I ^PSB(53.68,+PSBIENS,.6,I,0)=X ^PSB(53.68,+PSBIENS,.7,I,0)=X After the patch these lines set the following: ^PSB(53.68,+PSBIENS,.6,I,0)=0 ^PSB(53.68,+PSBIENS,.7,I,0)=0 ^PSB(53.68,+PSBIENS,.6,I,0)=0 ^PSB(53.68,+PSBIENS,.7,I,0)=0 Defect Tracking System Ticket(s) & Overview: 1. INC19372204 - Missing "B" index for solution, Addictive in File 53.68 134 SEQ #116 DATE APPLIED: 2022-03-15 13:15:00 APPLIED BY: USER,EIGHTYSIX DESCRIPTION: INC20442596 - Unable to generate Expired/DC'd/Expiring Order Report in BCMA 135 DATE APPLIED: 2022-08-11 15:16:08 APPLIED BY: USER,EIGHTYSIX DESCRIPTION: Description: Defect Tracking System Ticket(s) & Overview: 1. INC21077835 - BCBU NOT SHOWING ACCURATE PRN MEDICATION EXPIRE DATE Problem: -------- Patient with 2 PRN medications (both oral medications) set to expire 1/21/22@2359 printed contingency MAR that shows medication expires 1/20/22@2359. Further testing showed that the same issue is seen with IV =========== orders. Resolution: ----------- Modify routine ALPBFRM1 so that the column for the day of the stop will not be asterisks. Technical Resolution: --------------------- Routine ALPBFRM1 is modified as follows: Line added at ADMTIM+16: . . S ALPBNOAS=$S(ALPBPRNG:0,$$OTYP^ALPBUTL($P($G(DATA(3)),"^"))="IV":0,1:1) This line sets ALPBNOAS to 0 when the order is PRN or IV Line ADMTIM+17 is modified: &ALPBNOAS is added to the IF condition so time is not stripped from START/STOP times when the order is PRN or IV This patch addresses the following issues: Line ASTER+3 is modified: &(ALPBNOAS) is added to the IF condition so that '*****' is not populated in the column on STOP day 1. INC21077835 - BCBU NOT SHOWING ACCURATE PRN MEDICATION EXPIRE DATE 93 DATE APPLIED: 2022-10-05 14:55:07 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: This build introduces changes to allow the BCMA GUI to display additional allergy information in the Patient Allergy List, add the CPRS Order Check to the Display Order report, and add remote allergies to the VDL Allergies list. 136 SEQ #120 DATE APPLIED: 2022-12-14 13:40:50 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: INC20967576 - Data is not showing in BCMA Medication History Report 19 SEQ #12 DATE APPLIED: 2005-12-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Unable to mark a patch as removed 139 SEQ #121 DATE APPLIED: 2022-12-14 13:52:11 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: INC23089823 - Error in BCMA Medication Overview Report 142 SEQ #122 DATE APPLIED: 2023-08-17 11:16:39 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: See FORUM patch description. 140 SEQ #123 DATE APPLIED: 2024-01-02 14:39:56 APPLIED BY: USER,EIGHTYNINE 144 DATE APPLIED: 2024-01-25 11:56:52 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: This patch addresses one issue: Users with a future termination date are not allowed to access BCBU. 145 SEQ #125 DATE APPLIED: 2024-04-11 12:15:47 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Defect Tracking System Ticket(s) & Overview: Resolution: ----------- The BCMA code (routine PSBVDLU1) was trying to decide if the med should be given on Tuesday using the 2 letter code TU, the schedule name SATURDAY contains TU and determines that it should be given on Tuesday, which was incorrect. The code is modified to prevent this from occurring. Technical Resolution: --------------------- Lines OKAY+40 through OKAY+43 is changed from S PSBDOW=$P("SU^MO^TU^WE^TH^FR^SA",U,%Y+1) ;p145 I $F(PSBSCH,PSBDOW)>0 S PSBOKAY=1 Q PSBOKAY S PSBOKAY=0 Q PSBOKAY To ;PSB3145 Prevent Saturday schedule from being given on Tuesday N PSBSCH1 S PSBSCH1=PSBSCH I PSBSCH1["SATU" S PSBSCH1=$TR(PSBSCH1,"SATU","SATA") 1. INC30190209 - SATURDAY SCHEDULE PROMPT BCMA VDL TO ADMINISTER DRUG SAT S PSBDOW=$P("SU^MO^TU^WE^TH^FR^SA",U,%Y+1) ;I $F(PSBSCH,PSBDOW)>0 S PSBOKAY=1 Q PSBOKAY I $F(PSBSCH1,PSBDOW)>0 S PSBOKAY=1 Q PSBOKAY S PSBOKAY=0 Q PSBOKAY AND TUESDAY Problem: -------- SATURDAY, pharmacy standard schedule prompts BCMA Virtual Due List to also administer the drug on Tuesday. 147 SEQ #126 DATE APPLIED: 2024-06-27 13:03:17 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: INC30094266 - BCMA show ml/hl for unit dose tab. 146 SEQ #127 DATE APPLIED: 2024-07-11 09:57:05 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: This patch addresses one issue: Discharge edits cause deletion of a patient's record in the BCBU BACKUPDATA (#53.7) file even though the patient is currently an inpatient. 149 SEQ #128 DATE APPLIED: 2024-11-15 14:32:27 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Please review FORUM's Patch Module description and installation instructions before installing this patch. 150 SEQ #129 DATE APPLIED: 2025-01-16 09:59:30 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Please review FORUM's Patch Module description and installation instructions before installing this patch. 151 SEQ #130 DATE APPLIED: 2025-03-24 12:40:57 APPLIED BY: USER,NINETY DESCRIPTION: Please review FORUM's Patch Module description and installation instructions before installing this patch. 21 SEQ #13 DATE APPLIED: 2005-12-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patient information does not print on Order Details report 153 SEQ #132 DATE APPLIED: 2025-09-03 08:57:53 APPLIED BY: USER,NINETY DESCRIPTION: Please review FORUM's Patch Module description and installation instructions before installing this patch. 16 SEQ #14 DATE APPLIED: 2005-12-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: * This patch is a component of the Bar Code Medication Administration (BCMA) - Health Services Commitee (HSC) project and is the development of phase one of the BCMA-HSC Coversheet. PSB3.016 will interface between BCMA databases and the new BCMA Coversheet and its Graphical User Interface (GUI). 20 SEQ #15 DATE APPLIED: 2005-12-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Correction for two Issues: REMEDY 91869 REMEDY 99958 8 DATE APPLIED: 2006-04-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: *********************************************** HD0000000118033 Test Sites: =========== UPSTATE NEW YORK HCS SAN FRANCISCO, CA MEMPHIS, TN LITTLE ROCK, AR Routine Summary: ================ The second line now reads as follows: <TAB>;;3.0;BAR CODE MED ADMIN;[patch list];Mar 2004 CHECK^XTSUMBLD results: Routine Before Patch After Patch Patch List ------- ------------ ----------- ------------------ ALPB8 ------ 1016866 8 ALPBOP ------ 1898706 8 ALPBPWRD 7025105 9768019 8 ALPBPALL 6006540 6414482 8 ALPBPPAT 5702674 5081715 8 ALPBFRM1 9887439 11248156 8 ALPBUTL3 3052806 4245189 8 ALPBCBU 1637834 1710946 8 ALPBINP 9416944 10451599 8 ALPBUTL1 6143314 6275666 8 Enhancements and issues addressed in this patch are as follows: ALPBHL1 14736637 14979457 7,8 ALPBBK 6214167 6214134 8 ALPBELOG 6391337 6391337 8 ALPBFRM2 8886579 8886579 8 ALPBFRMU 4053521 4295514 8 ALPBGEN 10414189 10201828 7,8 ALPBGEN1 8591971 8809016 8 ALPBGEN2 2679718 2679718 8 ALPBIN 4105691 4105691 8 ALPBIND 5809117 5809117 8 ALPBPARM 8937865 9127203 8 ALPBSP1 4545482 4545482 8 ALPBSP2 845669 845669 8 ALPBSPAT 2404489 2404489 8 ALPBSWRD 5435921 5435921 8 ALPBUTL 9642997 9642997 8 ALPBUTL2 1954969 1954969 8 Patch retrieval Instructions: ==================================== To obtain the software use one the following OI Field Offices' ANONYMOUS.SOFTWARE directories: Albany ftp.fo-albany.domain.ext anonymous.software Hines ftp.fo-hines.domain.ext anonymous.software Salt Lake City ftp.fo-slc.domain.ext anonymous.software The distribution file is as follows. 1. It was reported by a site that Lodgers and Dom patients were PSB_3_8.KID PSB_3_8.ZIP (optional see note below) ************Note for optional zip file**************** The Zip file in this patch contains an updated Cache.Dat file. On new installations it is recommended that you use the new Cache.dat file released with this patch. If this is used for an existing workstation then the workstation would need to be initialized with patient data. creating alerts. Lodgers and Dom patient are now screened. ************************************************************ The documentation distribution includes: FILE NAME DESCRIPTION PSB_3_BCBU_IG_R0206.PDF BCMA Backup System (BCBU) INSTALLATION GUIDE Installation Instructions: ========================== This patch can be installed with users on the system. Installation will take less than 1 minute. Suggested time to install: non-peak requirement hours. 1. From the Kernel Installation & Distribution System menu, select 2. It was reported that when a patient was discharged the discharged the LOAD DISTRIBUTION option and load PSB_3_8.KID 2. Review your mapped set. If the routines are mapped, they should be removed from the mapped set at this time. 3. From the Kernel Installation & Distribution System menu, select the Installation menu. 4. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSB3.08): message was not always being sent to the workstations and an alert a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. was being generated. The problem was caused by how movements were 5. Use the Install Package(s) option and select the package PSB3.08. 6. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 7. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. 8. If any routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to sent to the Contingency by Patient Movements. The Contingency will completion. Post-Installation Steps (Important) A new option, PSB BCBU WRKSTN PURGE ORDERS, was released as part of PSB3.08 build. IRM staff must add it to the list of Scheduled Startup Options in TaskMan on the workstations. To do this, access menu compensates for these issues now. Schedule/Unschedule Options on the TaskMan Management menu. This option should be queued to run during non peak hours and set with a rescheduling frequency of 1D. Review the Workstation parameter settings using the PSB BCBU WRKSTN PARAMETER EDIT option to make changes on how much patient historical data is retained Example Installation: ===================== Select Installation Option: 1 Load a Distribution Enter a Host File: C:\BCMABU\PSB_3_8.KID KIDS Distribution saved on Jun 16, 2005@09:04:12 Comment: BCBU UPDATES AND CORRECTIONS This Distribution contains Transport Globals for the following Package(s): 3. When printing the Medication Administration Report (MAR) for current Build PSB3.08 Distribution OK! Want to Continue with Load? YES// PSB3.08 Use INSTALL NAME: PSB3.08 to install this Distribution. orders it would also include any non-active orders for the current Select Installation Option: 6 Install Package(s) Select INSTALL NAME: PSB3.08 Loaded from Distribution Loaded from Distribution 6/16/05@08:09:36 => BCBU UPDATES AND CORRECTIONS ;Created on Jun 16, 2005@09:04:12 day being printed. The report now goes by date and time. This Distribution was loaded on Jun 16, 2005@08:09:36 with header of BCBU UPDATES AND CORRECTIONS ;Created on Jun 16, 2005@09:04:12 It consisted of the following Install(s): PSB3.08 Checking Install for Package PSB3.08 Install Questions for PSB3.08 Incoming Files: 53.7 BCMA BACKUP DATA Note: You already have the 'BCMA BACKUP DATA' File. 53.71 BCMA BACKUP PARAMETERS 4. A new purge utility has been introduced for the workstation. It Note: You already have the 'BCMA BACKUP PARAMETERS' File. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO ******************Important Note************* allows the site to define how much historical data to maintain on the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// TCP/IP Terminal Install Started for PSB3.08 : workstation. Any unwanted data will be removed from the workstation. Jun 16, 2005@08:12:22 Build Distribution Date: Jun 16, 2005 Installing Routines: Jun 16, 2005@08:12:22 Installing Data Dictionaries: Jun 16, 2005@08:12:22 Installing PACKAGE COMPONENTS: Installing FORM Installing OPTION Jun 16, 2005@08:12:23 5. The way the Med Log information is being displayed on the MAR has Running Post-Install Routine: POST^ALPB8 Updating Routine file... Updating KIDS files... PSB3.08 Installed. Jun 16, 2005@08:12:23 changed. In the previous version the information was displayed by date Install Message sent #2318 Install Completed entered and the user had to select a starting date when running the MAR. Depending on the frequency of the MED Log this could cause the report to be long. The report now reverses the order of the Med Log information so the report displays the most recent first. The user can then opt for how many to display by numeric value such as 1, 2 or more. 6. A blank page was added between the patients on multi patient reports for easier sorting. 7. Provider comments were moved to be displayed along with the Drug and Give information. 8. The sorting of orders on the MAR reports have been grouped by the order type. Types include Pending, Unit Dose, IV and PRN. If the site is running the BCMA Contingency software then this 9. A place holder for the Last Action of drugs has been added to the reports. A future patch will complete the functionality. 10. A problem with Pending orders remaining on the workstation when replacement orders are done by pharmacy has been resolved. 11. A problem was discovered with the user access updater. When a user's name changed it did not update the Contingency workstations correctly. patch must also be installed on the workstations. Once installed 12. A <UNDEFINED>NURV+16^ALPBCBU error has been resolved. 13. A problem with updating the Contingency workstations during a patient movement activity has been addressed. 14. Added the function to sort MARS by Room/Bed or by Patient Name. 15. Patients that had no allergies reported to the contingency do not display any allergies data on a MAR. Now when no allergies are found on the contingency, the following will display on the MAR. "Allergies: it is suggested that the sites review the Contingency system No allergies reported to the Contingency" 16. Possibility of routine ALPBPWRD erroring out at line ..S ^TMP($J,"BCBU",+ALPRM,ALPRM,ALPBD,ALPBPTN)=ALPBIEN When sorting by room/bed Cache tries to convert certain room/beds like 5E155 and produces a <MAXNUM> error. The problem occurs when the variable is manipulated. Cache will take the 5E155 and convert it to "5" appended with 155 zeros. A code change was made to prevent this issue. reports. Associated Tickets ================= HD0000000093730 HD0000000068823 HD0000000068579 HD0000000068341 HD0000000068274 HD0000000068227 HD0000000068220 HD0000000068196 HD0000000068158 HD0000000068107 HD0000000068024 HD0000000068021 HD0000000067859 HD0000000067827 HD0000000067769 HD0000000067729 HD0000000067714 HD0000000096190 23 SEQ #17 DATE APPLIED: 2006-05-25 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses three Remedy tickets, HD68121, HD113034, and HD90393. the undefined error will not occur. This locking fix was created by the Minneapolis IRM staff, and has been working in their production area for months. The fix is being brought back to the VMP group so it can become part of a national patch release, and other sites can avoid this error in the future. The second issue, HD113034, happens when a medication PATCH (such as Fentanyl) is marked as REMOVED after initially being given to the patient. If you right-click the mouse on the order in BCMA and mark the patch as "REMOVED", when you subsequently check the med log, the units given remains 1. However, if you use the BCMA menu option FILE/EDIT Med Log and mark it "REMOVED", the units given becomes 0, and the audit trail shows "Doses given '1' deleted". The correct value for units given is actually 1 (as right-clicking the mouse shows), because the medication was indeed given, but the patch was subsequently removed, not deleted or refused. The third issue in this patch, HD90393, addresses a printing problem with the PRN Effectiveness report when it is printed by Ward/Room-Bed. When this printing filter is applied, the report prints in patient DFN order, not Ward/Room-Bed order. This fix corrects a problem in the BCMA code so that when the Ward/Room-bed filter is applied, the report will print properly. The first issue, HD68121, is the result of a file locking problem with the routine PSBMD. This error only appeared after the site converted to Cache' version 5. There is an undefined variable error created with Missing Dose reports in Pharmacy, even though a record is created in ^PSB(53.68). By attempting to lock the ^PSB(53.68) file before attempting to print the report, it will ensure that the file exists so 24 SEQ #18 DATE APPLIED: 2006-05-25 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Store error generated when using Display Order option in BCMA 27 SEQ #19 DATE APPLIED: 2006-05-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses Remedy Ticket HD127231, which arose after the the first six lines of the orderable item in duplicate. The fix included in this patch will still print the patient header information on subsequent MAH pages, but it will not reprint the first six lines of the orderable item information. NOTE This fix only affects the report when printed to a printer. This does not affect the GUI display or printing the report to the terminal screen. install of patch PSB320. Patch PSB320 added the patient header information to the MAH report if the report for a medication ran longer than one page. Additionally, PSB320 was designed to reprint the first six lines of the orderable item information on subsequent pages to help the nurses keep track of what medication they were viewing on the MAH report. However, when the next medication on the report was due to be printed, and a page break occurred before the orderable item information was printed, the second page of the report printed 5 SEQ #2 DATE APPLIED: 2004-09-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: NOIS MAD-0104-40858 2. Problem: NOIS BUT-0204-20463 The Medication Administration History [PSBO MH] option and the Due List [PSBO DL] option add an exclamation point (i.e., Spec Inst: !Please verify) to the prefix of a Special Instruction. Corrective Action: The Medication Administration History [PSBO MH] option and the Due List [PSBO DL] option correctly removes the exclamation point (i.e., Spec Inst: Please verify) added to a Special Instruction. The Bar Code Medication Administration (BCMA) reports, 3. Problem: NOIS BED-0204-10327 When a clinician administers a Pro Rea Nata (PRN) medication using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, and the administration date/time is set to an earlier timeframe, the PRN administration date/time displays incorrectly on BCMA PRN Effectiveness Log Report as the entered date/time of this administration occurred. Corrective Action: When a clinician administers a PRN medication with the exception of the Cumulative/Vitals Measurement Report, does using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, and the administration date/time is set to an earlier timeframe, the PRN administration date/time displays correctly on the BCMA PRN Effectiveness Log Report as the actual date/time of the administration. 4. Problem: NOIS NTH-0304-72663 A "Null subscript" error occurs at routine line "EN+4^PSBVDLPA" when there is single patient with data entered in the BCMA Medication Log File (#53.79) and indexes. This error occurs during the not display allergy information in the reports header. initial implementation of the BCMA Graphical User Interface (GUI) system. Corrective Action: The initial implementation of the BCMA GUI will not generate a "Null subscript" error at routine line "EN+4^PSBVDLPA". Corrective Action: The BCMA Reports, with the exception of the Cumulative/Vitals Measurement Report, displays allergy information in the reports header. The Reactions header has also been removed from the report and replaced with the "ADRs:" header. 29 DATE APPLIED: 2006-08-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: *************************Important Note*********************** 1. It was reported that after loading Patch PSB38, the medication log Select Installation Option: 1 Load a Distribution Enter a Host File: USER$:[COWNIEK]PSB_3_29.KID KIDS Distribution saved on Apr 13, 2006@16:09:30 Comment: patch 29 This Distribution contains Transport Globals for the following Package(s): history was no longer printing. PSB3.029 Distribution OK! Want to Continue with Load? YES// Loading Distribution... PSB3.029 Use INSTALL NAME: PSB3.029 to install this Distribution. Select Installation Option: 6 Install Package(s) Select INSTALL NAME: PSB3.029 Loaded from Distribution 4/17/06@12:31:58 => patch 29 ;Created on Apr 13, 2006@16:09:30 Example:... This Distribution was loaded on Apr 17, 2006@12:31:58 with header of patch 29 ;Created on Apr 13, 2006@16:09:30 It consisted of the following Install(s): PSB3.029 Checking Install for Package PSB3.029 Install Questions for PSB3.029 Incoming Files: 53.7 BCMA BACKUP DATA (Partial Definition) Note: You already have the 'BCMA BACKUP DATA' File. Want KIDS to INHIBIT LOGONs during the install? YES// NO BCMA MEDICATION LOG HISTORY Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// UCX TELNET SESSION Install Started for PSB3.029 : Log Date Message Log Entry Person PSB3.029 -------------------------------------------------------------------------- Apr 17, 2006@12:34 Build Distribution Date: Apr 13, 2006 Installing Routines: Apr 17, 2006@12:34 No entries since the above date are on file. Installing Data Dictionaries: Apr 17, 2006@12:34 Updating Routine file... Updating KIDS files... PSB3.029 Installed. Apr 17, 2006@12:34 Install Message sent #1504712 Install Completed Routine Summary: This was caused by a missing cross reference (IMLOG) in file 53.7. ================ The second line now reads as follows: <TAB>;;3.0;BAR CODE MED ADMIN;[patch list];Mar 2004 CHECK^XTSUMBLD results: Routine Before Patch After Patch Patch List If the site is running the BCMA Contingency software then this Cross reference has been added. ------- ------------ ----------- ---------- ALPBPALL 6414482 6407974 8,29 Routine Information: ==================== Routine Name: ALPBPALL Checksum: CHECK1^XTSUMBLD results: Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- ALPBPALL 25867705 25843033 8,29 2. It was reported that the Print all option was not working correctly. Routine ALPBPALL has been corrected. Associated Tickets ================== HD0000000139114 HD0000000138995 patch must also be installed on the workstations. Once installed HD0000000135330 Test Sites: =========== BIRMINGHAM, AL BRONX, NY MILWAUKEE, WI MOUTAIN HOME, TN it is suggested that the sites review the Contingency system Patch retrieval Instructions: ==================================== To obtain the software use one the following OI Field Offices' ANONYMOUS.SOFTWARE directories: Albany ftp.fo-albany.domain.ext anonymous.software Hines ftp.fo-hines.domain.ext anonymous.software reports. Salt Lake City ftp.fo-slc.domain.ext anonymous.software The distribution file is as follows. PSB_3_29.KID There is no documentation distribution included in this patch. ****************************************************************** Installation Instructions: ========================== This patch can be installed with users on the system. Installation will take less than 1 minute. Suggested time to install: non-peak requirement hours. 1. From the Kernel Installation & Distribution System menu, select the LOAD DISTRIBUTION option and load PSB_3_29.KID 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSB3.029): 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. Issues addressed in this patch are as follows: b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 4. Use the Install Package(s) option and select the package PSB3.029. 5. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. Example Installation: ===================== 13 SEQ #21 DATE APPLIED: 2006-08-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Issues (PSI) and Remedy Ticket resolution and BCMA Coversheet refinement. 8. Enhancement: Enhanced "UNKNOWN Action Status" support. BCMA Medication Log File (File #53.79) entries having unknown Action Status (field #.09) data can be maintained via the GUI BCMA Edit Med Log only. These entries may be maintained by persons holding the BCMA manager's key [PSB MANAGER] or that user unable to complete the original administration. PSB3.013 supports the VISTA "Unknown Action Status Report" option [PSBO XA]. The [PSBO XA] option provides persons holding the BCMA manager's key [PSB MANAGER] resource to generate a report to display BCMA Medication Log File (#53.79) entries having "unknown" Action Status (field #.09) data. *** Users holding the BCMA manager's key [PSB MANAGER] can access the PSBO XA report via the BCMA GUI as well. BCMA has been enhanced to display a "pop-up box" when a user begins an action on an order 9. Enhancement: Saved Coversheet Personal Parameters PSB3.013 will maintain personal parameters per BCMA Coversheet views to be saved and retrieved when using BCMA. 1. Problem: PSI-05-064 BCMA functionality enables a BCMA user to edit the free text BCMA MEDICATION LOG FILE-DISPENSE DRUG SUBFILE (# 53.795) "Units of Administration" (field #.04) for an administered medication, when using the Edit Medication Log. Consequently, the GUI Edit Medication Log (Edit Med Log) allows a BCMA user to modify text in the field labeled "Units" of the "BCMA - Edit Med Log" dialog box. *** The user is able to change the "Units" from "PATCH" to any other text value. Changing a "PATCH" medication to some other "Units", causes BCMA to not process the administration properly; and causes the BCMA Virtual Due List (VDL) to not present the administration properly. Corrective Action: The BCMA GUI Edit Med Log will not allow any BCMA user to edit the BCMA MEDICATION LOG FILE/DISPENSE DRUG SUBFILE (# 53.795) "Units of Administration" (field # .04) of an administered "PATCH" medication. 2. Problem: PSI-05-032 The VDL displays a GIVEN medication patch until it has been marked as "REMOVED". This is causing some confusion to users. Corrective Action: BCMA will provide a site parameter that will specify the number of days (7-14) a GIVEN patch will display on the VDL. The count of days the GIVEN patch displays on the VDL begins when the medication order expires. This parameter may be set to "" This patch is a component of the Bar Code Medication Administration (null) to allow GIVEN patches to display on the VDL until it is marked as REMOVED. 3. Problem: PSI-05-115 The Special Instructions on the VDL will display the entire Special Instructions by wrapping the text as needed using the spaces in the Special Instructions. However, ff a word or phrase (without spaces) in the Special Instructions can not be wrapped due to the word or phrase being longer then the width of the column, the text would be (BCMA) Version 3.0. The main function of PSB3.013 and the truncated when the text ran into the right side of the column. In addition, when the above happens, some of the ending words in the special instructions may be omitted as well. Correction Action: When a word or phrase (without spaces) can not be wrapped and does not fit in the column width, the text will be truncated with an ellipsis to indicate that a portion of the word or phrase was truncated. The occasional omission of ending words in the special instructions will be corrected. corresponding BCMA Graphical User Interface (GUI) software (BCMA Version 3 4. Problem: HD0000000121694 While a medication patch is being "administered" using Manual Medication Entry[PSB MED LOG NEW ENTRY], that particular scheduled administration does not display on the BCMA Virtual Due List (VDL). Corrective Action: Display the saved "action status" of an administration, while it is being administered using Manual Medication Entry [PSB MED LOG NEW Patch 13 [3.0.13]) is to support BCMA v3.0 Clinical Context Object ENTRY] 5. Problem: HD0000000127625 An error occurs when the BCMA coversheet is to display data for one order only; and that order is an expired, large volume IV. Corrective Action: The BCMA Coversheet will display without error when the only order information to display on the BCMA coversheet pertains to an expired, Workgroup (CCOW) compliance. The PSB3.013 GUI and this Character User large volume IV. 6. Problem: HD0000000132184 An error occurs when the BCMA GUI Computerized Patient Record System (CPRS)/BCMA Medication Order Button (MOB) is used and ORDER File (#100) PATIENT LOCATION (field #6) data does not link to a WARD LOCATION File (#42) entry. Corrective Action: Interface (CHUI) software (PSB3.013) also support Patient Safety BCMA will provide HOSPITAL LOCATION File (#44) data per ORDER File (#100) PATIENT LOCATION (field #6) data when the CPRS/BCMA MOB is used. CPRS will ORDER File (#100) PATIENT LOCATION (field #6) data to a HOSPITAL LOCATION File (#44) entry 7. Enhancement: CCOW compliancy This patch (PSB3.013) will enable BCMA CCOW compliancy. 26 SEQ #22 DATE APPLIED: 2006-08-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch corrects display problems with the Missed Med Rpt 17 SEQ #23 DATE APPLIED: 2006-12-11 15:58:35 APPLIED BY: USER,ONE DESCRIPTION: Problem with Medication History Report. 10 SEQ #24 DATE APPLIED: 2007-06-27 23:12:24 APPLIED BY: USER,ONE DESCRIPTION: Enhancement - Compliance with Section 508 of the Rehabilitation Act of 1973: PSB3.010 and its corresponding BCMA GUI[Version 3 Patch 10 (3.0.10.9)] will assure BCMA is compliant with Section 508 of the Rehabilitation Act of 1973, after proper installation as defined in the BCMA 508 Software Requirements Specifications. Problem #HD0000000159234 - Means Test Pop-up Does Not Display: Enhancement - Signal BCMA Idle Timeout: BCMA GUI Version 3 Patch 10 will signal to the user as BCMA Idle Timeout limit is approaching. There will be an audible "beep" thirty (30) seconds, twenty (20) seconds, and ten (10) seconds prior to the idle time limit set via the "BCMA Idle Timeout" site parameter. Enhancement - Indication When not all Drugs Have Been Scanned Per a Multiple Drug Order : Bar Code Medication Administration (BCMA) Graphical User Interface BCMA GUI Version 3 Patch 10 will display a message box when the user has not scanned all the dispensed drugs per a medication order that includes multiple dispensed drugs. The message box will display, requesting user confirmation. (GUI) Means Test Pop-Up Does Not Display after the installation of BCMA GUI Version 3 Patch 13. Corrective Action: Modify the BCMA GUI to allow the BCMA GUI Means Test Pop-up to display when appropriate. 39 SEQ #25 DATE APPLIED: 2007-09-04 23:58:55 APPLIED BY: USER,ONE DESCRIPTION: Edit Med Log creates duplicate entries 38 SEQ #26 DATE APPLIED: 2007-09-05 01:25:04 APPLIED BY: USER,ONE DESCRIPTION: Med Route display issues 41 SEQ #27 DATE APPLIED: 2007-12-12 20:48:27 APPLIED BY: USER,ONE DESCRIPTION: Unable to Edit Med Log in BCMA 32 SEQ #28 DATE APPLIED: 2007-12-12 21:24:37 APPLIED BY: USER,ONE DESCRIPTION: 1. Problem: PSI-06-029/HD0000000126326 Processing the BCMA Missed Medications Report causes the client to "time-out" when the report is to display within the BCMA GUI Application and prior to sending the report to a printer. Corrective Action: Make the Missed Medications Report process faster so the client does not "time-out". 2. Problem: PSI-06-019/HD0000000130671 There is difficulty determining the application of a medical patch that has not been marked as REMOVED when that order has expired or discontinued. Corrective Action: Allow the user to view and act on patches for expired or discontinued orders when the patient's BCMA Virtual Due List (VDL) first opens. This patch is a component of the Bar Code Medication Administration 3. Problem: PSI-06-056/HD0000000131075 Issues related to extra Pro Re Nata (PRN) doses of medication ordered as QDPRN or BIDPRN and reports of nurses missing the last administration time, have cause patient safety concerns. Corrective Action: The BCMA PRN administration dialog box will be enhanced to provide the following features for all PRN administrations: Icon, Schedule, Last (BCMA) Health Systems Committee (HSC) Phase III project. The main Given and Reminder checkbox and statement. 4. Problem: PSI-06-014/HD0000000128909 Administration problems have been caused when Med Route abbreviations on the VDL have been confused. Corrective Action: Display the expanded version of the Med Route. function of PSB332 and the corresponding BCMA Graphical User 5. Problem: PSI-06-060/HD0000000143603 Due to a limitation in the Delphi application, there is a 255-pixel limit on the row height in the BCMA GUI VDL that results in truncation of an order when there are a large number of additives/solutions on the order. Corrective Action: Adjust display area of medications on the VDL to compensate for orders with a large number of items to display. Interface (GUI) software (BCMA Version 3 Patch 32 [3.0.32.]) is to 6. Enhancement: New Coversheet Overview Reports. As a part of the BCMA HSC Phase III, patch PSB3.032 and PSB.3.0.32 GUI will provide BCMA users with reports that display Coversheet Overview data. There is a new Coversheet Report for each Coversheet Overview. 7. Enhancement: Global Report Enhancements. provide the BCMA user with additional BCMA Coversheet and reporting Various enhancements have been made to BCMA reports in general. These enhancements are presented in BCMA HSC Phase III documentation. 8. Enhancement: Coversheet and Other Miscellaneous Enhancements. A variety of new Coversheet and miscellaneous feature will be supported with the installation of this patch. The BCMA HSC Phase III documentation provides details of these new features. support. 31 SEQ #29 DATE APPLIED: 2007-12-12 22:17:46 APPLIED BY: USER,ONE DESCRIPTION: Can't enter Manual Med entry for discharged patient. 6 SEQ #3 DATE APPLIED: 2004-10-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ATTENTION: This patch includes a new Graphical User Interface use. The correct GUI must be installed to support BCMA Computerized Patient Record System (CPRS) Med Order functionality * For retrieval and installation instructions, please see the Client Installation Instructions section. 1. Problem: NOIS HWH-0204-41213 The Instructor information does not display in the legend of the Medication Administration History [PSBO MH] option, and the audit log (GUI) executable file. Installation of this new GUI is of the Medication Administration Log [PSBO ML] option. Corrective Action: The Instructor information displays in the legend of the Medication Administration History [PSBO MH] option, and the audit log of the Medication Administration Log [PSBO ML] option. 2. Corrective Action: When student and instructor information is present at login the GUI BCMA CPRS Med Order button is disabled. 3. Problem: NOIS HUN-0104-20931 REQUIRED in order for the patch to function. The new GUI Infusing IV bags are duplicated on a "following" order after the order that was active when the IV bag was infusing has become "discontinued". The Virtual Due List (VDL) attempts to display duplicate bags and associates the same IV bags with multiple orders. Corrective Action: When an order with an infusing bag is discontinued, the VDL will either continue to display the infusing bag with the discontinued order, or the VDL will display the infusing bag with an active "following" order, but not both. MUST be installed IMMEDIATELY after the KIDS install in 4. Problem: NOIS ISB-0304-30352 If an IV order with an infusing bag expires and the patient's record is not accessed using Inpatient Medications (IPM) (e.g., the Inpatient Order Entry [PSJ OE] option) the following message may appear, hindering an user's attempt to take action on the order: "Either the order status or the current scan status displayed on the VDL does not match the status recorded in VistA! This may be due to someone editing the order in VistA or another order for the software to function. This Patch includes a individual scanning the medication. Your current action will be canceled and the VDL will be refreshed to reflect the most current order information." Corrective Action: A user will be able to take action on an expired IV order having an infusing bag via the BCMA GUI VDL as appropriate. 5. Problem: NOIS MOU-0304-32821 The temporary, scratch global ^PSBORDA is automatically monitored and Post install that corrects problem number six below. The documented via journaling procedures. It is not necessary to journal this temporary global since it is used solely as a temporary data storage area. Corrective Action: The global ^PSBORDA will be renamed as an appropriate scratch "^TMP" global with the first two subscripts being "PSB" followed by "$J". 6. Problem: NOIS ISB-0404-31737 With the release of BCMA Version 2 (PSB2.0), any unit dose installation time frame for this post install will vary based order that is displayed on the "IVP/IVPB" tab and administered will have a Ward Stock number generated and placed in the IV Unique ID field (FIELD #.26) of the BCMA Medication Log (FILE #53.79) The Ward Stock number is stored in the BCMA Medication Log global and is not displayed on the VDL or any BCMA Report. Corrective Action: A unit dose order that is displayed on the "IVP/IVPB" tab and administered will not have a Ward Stock number generated and placed in the IV Unique ID field (FIELD #.26) of the BCMA Medication Log on the size of the site. This build will validate the correct (FILE #53.79). A post install will clean up all incorrect previous entries. version of Bar Code Medication Administration (BCMA) GUI is in 2 SEQ #30 DATE APPLIED: 2008-05-26 19:09:26 APPLIED BY: USER,ONE DESCRIPTION: This patch will add the new Barcode Label Print [PSBO BZ] option to the Bar Code Medication Administration application. Review the patch description for detail functionality. 37 SEQ #31 DATE APPLIED: 2008-07-22 07:50:42 APPLIED BY: USER,ONE DESCRIPTION: This patch contains miscellaneous fixes for the BCMA Contingency plan functionality. backup system. This patch addresses the following remedy tickets: HD139965 -- Patient data not available on clients after PSB3.08 HD150133 -- Problem with new Contigency set up. HD189870 -- Variable needs to be NEW'd This patch also contains an enhancement to the BCBU user init 43 SEQ #32 DATE APPLIED: 2009-04-21 16:00:47 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Med Admin History report intermittently displays 25 SEQ #33 DATE APPLIED: 2009-04-22 16:38:09 APPLIED BY: USER,SEVENTEEN DESCRIPTION: DUE LIST DISPLAYED MED NOT DUE 40 SEQ #34 DATE APPLIED: 2009-04-23 10:29:02 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch corrects the following remedy tickets for BCMA issues: HD189271 - A piece of code in PSBOPM needs to be changed. HD167891 - Medication Administration History display problem in CPRS 28 SEQ #35 DATE APPLIED: 2009-04-23 12:25:07 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Version 3.0 Managing Scanning Failures (MSF) project. The main function of PSB328 and the corresponding BCMA GUI software (BCMA Version 3 Patch 28 [3.0.28]) is to document scanning failures during BCMA patient and medication verification. Please see Release Notes document for more details on the following enhancements. 1. Enhancement: Document Unable to Scan events. This patch will enable the user to document Unable to Scan events that occur during BCMA patient and medication verification. The Computerized Patient Record System Medical Order Button and the creation of ward stock orders in ATTENTION: This patch includes a new Graphical User Interface (GUI) BCMA will not be fully supported by the Unable to Scan functionality. 2. Enhancement: Send a MailMan message for each Unable to Scan event. When a user documents an Unable to Scan event, a message will be sent to persons who are members of the mail group established via the BCMA Site Parameter's Unable to Scan mail group field setting. This message will also be sent to the user submitting the Unable to Scan event documentation. 3. Enhancement: Add two new Unable to Scan Reports. executable file. Installation of this GUI is required immediately Detailed and summary reports of BCMA Unable to Scan data may be executed by persons holding the PSB UNABLE TO SCAN security key. 4. Enhancement: Added Division Filtering to Unable to Scan Reports. The user's division is detected upon login, and used to filter Entire Facility and Nurse Unit options on the Summary Report, and All Patients/Wards option on the Detailed Report. 5. Enhancement: Added new PSB332 functionality to the MSF reports. Patch PSB332 created new report functionality requirements, such as after the KIDS install for the Patch to function. allowing a start and stop time, and report preview. For consistency, these have been included in the MSF reports. 6. Enhancement: Usability. Made changes based on feedback from the MSF usability study. 7. Enhancement: Allow Action on Infusing or Stopped IV Bags. Added Take Action on Bag option to the IV Bag Chronology Window to allow user to take action on infusing or stopped bags without having to rescan the IV bag. For retrieval and installation instructions, please see the Client Installation Instructions section. This patch is a component of the Bar Code Medication Administration (BCMA) 45 SEQ #36 DATE APPLIED: 2009-06-23 14:50:46 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch will correct the following issues. HD226037 - Initials don't show on MAH or Med log for first action on med HD190817 - Record needs to show the initials of the nurse who administered the medication not the initials of nurse who created the error. HD255639 - Missing Field Definition. Partial Correction for HD260760 - Routine's Don't meet 1995 M standard. 33 SEQ #37 DATE APPLIED: 2009-11-09 11:25:31 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ONE-TIME PRN CAN BE GIVEN MULTIPLE TIMES. 47 SEQ #38 DATE APPLIED: 2009-12-01 14:25:58 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch provides the components for the Class III to Class I conversion project Immunizations Documentation by BCMA. Included in this patch is a new option named Immunizations Documentation by BCMA Nightly Task [PSB PX BCMA2PCE TASK]. Patch PSS1141 provides the Pharmacy Data Management portion of the project. 46 SEQ #39 DATE APPLIED: 2010-01-05 17:00:23 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch will correct errors generated when BCMA is used in environments with mixed Operating Systems (OS) 3 SEQ #4 DATE APPLIED: 2004-12-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ATTENTION: This patch includes a new Graphical User Interface (GUI) 1. Problem: NOIS BUT-1203-21780 chronological order; chronologically latter order activities will display before earlier order activities. Bar Code Medication Administration (BCMA) users are not able to re- instate a medication patch if it had been unintentionally marked as 'REMOVED' via BCMA. This issue has been delegated a 'PATIENT SAFETY' keyword. Corrective Action: The removal of a medication patch may be undone if it had been unintentionally marked as 'REMOVED'; this may be accomplished by the user who marked the medication patch as 'REMOVED' or by a user executable file. Installation of this new GUI is REQUIRED in order allocated the "PSB MANAGER" key. 2. Problem: NOIS ISB-0204-30176 The prompt "Enter the DATE of Administration: Today//" of the Manual Medication Entry [PSB MED LOG NEW ENTRY] option has caused confusion. The user unintentionally accepts the default (i.e. "Today") when attempting to document a past administration. Corrective Action: for the patch to function. The new GUI MUST be installed IMMEDIATELY The prompt "Enter the DATE of Administration: Today //" will be replaced by the prompt "Enter the DATE the medication was administered: //" when using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option. Also, this new prompt will not accept the entry of a future date/time for an administration. 3. Problem: NOIS PHO-0904-61033 The BCMA Medication History report does not show large volume IV medications data when viewed via the Computerized Patient Record System after the KIDS install in order for the software to function. * (CPRS) GUI "Orders/View/Details..." option. Corrective Action: The BCMA Medication History report will display large volume IV medications data when viewed via the CPRS GUI. 4. Problem: NOIS LAH-0404-61280 The user is unable to access a patient's VDL when receiving an error message containing the text "GETPRNS+17^PSBPRN". These messages occur when a patient is no longer admitted when that patient's VDL is refreshed. Corrective Action: BCMA will continue, without error, when a patient is no longer admitted while that patient's VDL is being viewed and refreshed. 5. Problem: NOIS MWV-0704-20690 The user is able to change the status of an order's patch medication For retrieval and installation instructions, please see the Client while that order concurrently has another 'GIVEN' and not 'REMOVED' patch medication. After the initial status of a patch of that order has been set to a status other than 'GIVEN', that patch can then be administered via BCMA, without a warning to the user concerning a concurrently 'GIVEN' patch. Corrective Action: BCMA will not allow multiple patches of a patch medication order to be at the status of 'GIVEN' concurrently. Installation Instructions section. 6. Problem: NOIS SFC-0704-60956 The user is unable to edit a 'NOT GIVEN' administration using the VISTA "Edit Medication Log" [PSB MED LOG EDIT] option. Corrective Action: The user will be able to edit 'NOT GIVEN' administrations using the GUI version of the "Edit Med Log" found under the "File" menu of the BCMA VDL. 7. Problem: NOIS CLL-0704-40997 If an IV piggyback bag is marked as 'GIVEN', the VDL is not refreshed, and the VDL "start/stop time" parameters are reset making that specific administration no longer display on the VDL, then that 'GIVEN' bag can be scanned and administered again. Corrective Action: BCMA will not allow an IV piggyback bag to be scanned and 'GIVEN' multiple times. 8. Enhancement: Include Comments on the Medication History Report. PSB3.03 will provide the user the ability to include comments that were documented during an administration to appear on the Medication History Report. This new functionality is accessible via the BCMA GUI and CPRS GUI. 9. Enhancement: Report Medication History in reverse chronological order. PSB3.03 will display the Medication History Report in reverse 51 SEQ #40 DATE APPLIED: 2010-11-16 17:00:03 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses 4 issues: 1. The PRN EFFECTIVENESS field (#.22) does not show up on the "Medication Admin History" report but does on the "Medication Log" report. 2. MANUAL MEDICATION ENTRY [PSB MED LOG NEW ENTRY] Issue/Unknown Status Report. 3. "Missed Medications" report in BCMA did not display a missed medication. 4. Problems with "Missed Medication" report. 56 SEQ #41 DATE APPLIED: 2010-11-29 15:00:36 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 4 issues: 4. Patients are Duplicating on Reports for wards with similar names. 1. An invalid MUMPS date (a date prior to 12/31/1840) entered for the BCMA Administration Times report creates an infinite loop which sends out BCMA Order Problem emails. 2. An undefined error occurs at PTLKUP+16^PSBMLLKU when a Nursing Ward contains lowercase letters. 3. Orders with a Status of On Call do not print on the BCMA Missed Meds Report or the BCMA Administration Times Report 50 SEQ #42 DATE APPLIED: 2010-12-06 10:28:05 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses Patient Safety issue PSPO #1401 and three running the MANUAL MEDICATION ENTRY [PSB MED LOG NEW ENTRY] option. 3. Receiving error "<SUBSCRIPT>EN+12^PSBOMH1" when running the Medication Administration History (MAH) report when the nurse has given a medication and does not have his/her initials in the NEW PERSON file (#200). 4. The Medication Therapy report does not contain PRN Effectiveness information. additional issues in Bar Code Medication Administration (BCMA): 1. PSPO #1401 - When a pain score is entered through BCMA and then marked "entered in error" in Vitals, the errant pain score still shows on the BCMA Coversheet and other reports. 2. Receiving an error "Error - <UNDEFINED>SCANFAIL+9^PSBMLEN1" when 42 SEQ #43 DATE APPLIED: 2011-02-16 09:56:11 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ATTENTION: This patch includes a new Graphical User Interface (GUI) This enhancement will also bring the BCMA application compliant to Section 508 of the Rehabilitation Act of 1973 and Rehabilitation Act Amendments of 1998, which mandates that all software developed by federal agencies allow access to and use of information and data by individuals with disabilities. Please see the Release Notes for more details on the following enhancements. executable file. Installation of this GUI is required immediately after 1. Enhancement: This will enable a single version of BCMA to be maintained by VHA and yet be installed and operate in a "plug and play" fashion in an IHS or Tribal facility running Resource and Patient Management System (RPMS). 2. Enhancement: The BCMA Graphical User Interface (GUI) will display vital measurements from the Veterans Administration (VA) VITALS/MEASUREMENTS package for VHA sites or optionally use the IHS PCC SUITE (APC) package which supports the V MEASURMENT file, if operating at an IHS facility and that facility is configured to use the the KIDS install for the Patch to function. V MEASUREMENT file. 3. Enhancement: Section 508 Compliance including Edit Med Log Administration Selection form and a list of forms which have labels which will be converted to VA508StaticText. This Patch also Addresses 7 reported issues: 1. PSI-07-223 (PSPO-823) - If an IV order is already infusing when it is placed on provider hold, the IV can be stopped and then infused again while still on provider hold. 2. PSPO-1678 - The MULTIPLE DOSE pop up form blocks the dosage on the Virtual Due List (VDL). 3. All BCMA reports have a default date based on the Laptop Time instead of the Server Time. 4. The MedLog form in BCMA will accept a space for the required comment. 5. 3 Missing Dose request reasons are missing from the Reason drop down box on the BCMA Missing Dose form. 6. Remove the obsolete Scratch HFS Directory from the BCMA Parameters GUI. 7. The units ordered do not display on the BCMA Medication Log report when a missing dose is requested and the order is held and then given. This enhancement is intended to enable the BCMA application to recognize whether it is operating in the Indian Health Service (IHS) or Veterans Health Administration (VHA) environment, and respond by recognizing and displaying the patient identifier appropriate to the environment. 57 SEQ #45 DATE APPLIED: 2011-09-13 12:43:30 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 3 issues: Scheduled administration time of tomorrow, the BCMA MAH shows a medication as scheduled to be given today. 1. PSPO #1648 - The BCMA Medication Administration History Report (MAH) does not line up the action taken on a medication with the scheduled time of that administration. 2. The BCMA MAH displays active medications on hold when an order is placed on Provider Hold, an additional action is taken in Inpatient Meds, and then the order taken off provider hold. 3. When an order is created with a start date of today and a first 63 SEQ #46 DATE APPLIED: 2011-10-04 17:33:01 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 2 issues: 2. A schedule with a frequency of greater than 1440 minutes (24 hours) and a start date after today does not display as a Future Order on the BCMA Due List Report. 1. When a user logs into BCMA and their device time is exactly midnight, VistA will add the value of $H to the current time to get the BCMA server time. This server time will be greater than the highest allowable Fileman date, which is October 15, 2114. If the BCMA Due List Report is run with the invalid default server time, an infinite loop will be creating, eventually causing a "Disk Full" error. 60 SEQ #47 DATE APPLIED: 2011-11-22 13:03:29 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 3 issues: time. 1. The error "<SUBSCRIPT>ADM+3^PSBCSUTX" occurs when selecting the BCMA Coversheet tab if the patient only has an IV Order and no Unit Dose Orders. 2. The BCMA Medication Variance Report does not paginate correctly. 3. The BCMA Medication Variance Report displays a variance when a patch is removed, even if the patch was given on 52 SEQ #48 DATE APPLIED: 2011-12-13 15:20:53 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 3 issues: indicate what is causing the error. 1. An error occurs when running the BCMA Unable to Scan Detailed report, causing BCMA to shut down. 2. The Missed Medications Report is displaying invalid Start and Stop Date and Date/Times for One Time orders. 3. The Missed Medications Report is displaying an invalid comment and status for a given medication. 4. The BCMA "Filing Transaction MEDPASS" error message does not 58 SEQ #49 DATE APPLIED: 2012-01-30 10:43:10 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ATTENTION: This patch includes a new Graphical User Interface (GUI) Request Analysis (IMR SFG IRA) Phase III/Phase IV, as well as modifications requested by the BCMA and Inpatient Medications workgroups. The Inpatient Pharmacy patch PSJ5153 is also being released as part of these enhancements. 1. In order to allow facilities to select a timeframe that better matches their site policies, the site parameter that sets the amount of time that nurses have to document the PRN Effectiveness assessment is being expanded from 240 to 960 minutes. executable file. Installation of this GUI is required immediately after 2. A new site parameter was added to the PARAMETERS file (#8989.5) & PARAMETERS DEFINTION file (#8989.51) to allow sites to prohibit administration of non-nurse verified medication orders, or to display a warning before administering non-nurse verified medication orders. Facilities will be able to set this option by division. 3. The Missed Medications report will now include a "Verified" column that will contain the initials of the nurse who verified the order, or three asterisks, indicating that the order was not nurse verified. the KIDS install for the Patch to function. 4. A visual indicator will be displayed on the BCMA Virtual Due List (VDL) which will reflect whether an order has provider override reasons associated with the order. 5. If the override information exists for an order, it will also be displayed on the order detail report. For retrieval and installation instructions, please see the Client Installation Instructions section. The Allergy and Alerts Project addresses enhancements identified during Inpatient Medications Requirementxs for Special Focus Group Initial 61 SEQ #50 DATE APPLIED: 2012-08-29 10:38:41 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 4 issues: the BCMA Medication Log forms omit the leading zero if the Units Given field value is a decimal less than one. 4. PSPO #2015 - BCMA is accepting "Spacebar" as a valid input for scanning a Drug IEN and returning the last medication the BCMA User Scanned. 1. The PSB BAG DETAIL RPC is returning duplicate entries for a single action, causing the action to be displayed twice in the Details section of the BCMA IV Tab. 2. The message "Error @ -100" is seen in Details section on the BCMA IV Tab if a site has the optional AU05 cross reference turned on. 3. The Units Given fields on the PRN Effectiveness Log and 4 SEQ #5 DATE APPLIED: 2005-01-18 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Enhancement: Read Only Bar Code Medication Administration (BCMA). This patch deploys the BCMA-HSC project "Read Only BCMA" functionality. After the installation of this build (PSB3.04) and installation of the released Read Only BCMA GUI executable file, users allocated the "PSB READ ONLY" security key will be granted documented Read Only BCMA functionality. Also, as documented, users allocated the "PSB STUDENT" security key using BCMA while no BCMA instructor is using BCMA, will be granted Read Only BCMA functionality until a BCMA Instructor has accessed BCMA. * ATTENTION: This patch includes a new Graphical User Interface (GUI) 2. Enhancement: Patient Record Flag Reporting. This patch provides "Patient Record Flag" reporting functionality. During patient selection, information about any active Patient Record Flag(s) associated with the selected patient will be presented to the user. This patch also give the user the ability to display and print details of all active Patient Record Flags. This patch will also display a "FLAG" button via the patient's GUI Virtual Due List. This "FLAG" button gives the user access to a report of the all the active Patient Record Flags associated with executable file. Installation of this GUI is required immediately the patient. after the KIDS install for the Patch to function. * For retrieval and installation instructions, please see the Client Installation Instructions section. 48 DATE APPLIED: 2012-08-29 11:11:02 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following issues: displayed on the BCBU MAR report. PSPO# 1613 3. A prompt and help message in VistA under the BCMA Backup System [PSB BCBU WRKSTN MAIN] option is currently not displaying properly or consistently among the following three BCBU MAR print options Print MAR for All Wards, Print MAR for Selected Patient, and Print MAR for Selected Ward. 4. While using Room/Bed sort in the BCMA Backup System (Wrkstn) option Print MAR for Selected Ward, the system produces an error if a patient 1. Future medication orders display on the Bar Code Medication has no Room or Bed assigned. Administration Backup System (BCBU) Medication Administration Record (MAR) as current. An asterisk should be displaying in the administration time fields until the actual start dates have been reached. 2. Held medications are currently being displayed on the BCBU MAR option Print MAR for a Selected Patient. Held medications should not be 67 SEQ #53 DATE APPLIED: 2012-08-29 11:33:08 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 3 issues: 3. The BCMA MAH displays all meds as not due until the day after the start date. 1. PSPO 2134 - A Given dose does not display on the BCMA Medication Administration History (MAH) report when another dose is given for the same Administration time on the wrong day. 2. A given dose of an IVPB will not display on the BCMA MAH report if the time given is edited to a time prior to the original given time of the medication. 62 SEQ #54 DATE APPLIED: 2012-08-29 12:28:15 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 2 issues: 1. The BCMA Missed Medications Report may be inconsistent when run for a whole day versus incremental times if the order's Administration Times are edited. 2. The Initials of the Nurse who marked an IV Bag infusing do not display in the Legend of the BCMA IV Overview Coversheet report when a different Nurse marks the bag Stopped or Completed. 68 SEQ #55 DATE APPLIED: 2012-09-12 16:26:27 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ************************************************************************* ATTENTION: This patch includes a new Graphical User Interface (GUI) executable file. Installation of this GUI is required immediately after the KIDS install for the Patch to function. This version of BCMA was successfully tested in the field against Wireless Medication Administration version 4.8 at Pittsburgh and Loma Linda. For retrieval and installation instructions, please see the Client Installation Instructions section. IMPORTANT: PATCH PSJ5267 MUST BE INSTALLED BEFORE THE INSTALLATION The Special Instructions and Other Print Info Project addresses enhancements identified during Inpatient Medications Requirements for Special Focus Group Initial Request Analysis (IMR SFG IRA) Phase III/Phase IV, as well as modifications requested by the Bar Code Medication Administration (BCMA) and Inpatient Medications workgroups. The Inpatient Pharmacy patch PSJ5267 is also being released as part of these enhancements. The projects purpose is to Standardize the character length between CPRS Provider's Comment, Inpatient Medications Special Instructions, and the IV Pharmacy Other Print Information fields. OF THIS PATCH. The Inpatient Pharmacy patch PSJ5267 will add new fields to Inpatient Medication to support an unlimited amount of text for Special Instructions and Other Print Info (SI/OPI). 1. BCMA Remote Procedure Calls (RPC) will be modified to send over the new Inpatient Medications SI/OPI fields in an unlimited format to the BCMA GUI client. 2. For backwards compatibility, of existing Active orders on file that were using the old fixed length SI/OPI fields, then this information will be included in the new unlimited format also. 3. Modify the following reports to print the unlimited SI/OPI information: a. Medication Administration History (MAH) Report b. Display Order detail Report c. Due List Report d. IV Bag Status Report e. Cover Sheet Report - Medication Overview Report f. Cover Sheet Report - PRN Overview Report BCMA patch PSB368 contains changes that will not function until patch g. Cover Sheet Report - IV Overview Report h. Cover Sheet Report - Expired/DC'd/Expiring Report i. BCMA Backup System (BCBU) Print MAR for All Wards j. BCMA Backup System (BCBU) Print MAR for Selected Patient k. BCMA Backup System (BCBU) Print MAR for Selected Ward 4. Add new check box field to allow if the unlimited text will be printed on the following reports: a. Due List Report b. IV Bag Status Report PSJ5267 is installed. Both patches, PSJ5267 and PSB368 need to be c. Cover Sheet Report - Medication Overview Report d. Cover Sheet Report - PRN Overview Report e. Cover Sheet Report - IV Overview Report f. Cover Sheet Report - Expired/DC'd/Expiring Report 5. BCMA Client: a. Added window to display unlimited Special Instructions / Other Print Info via menu, right-click, and function key (F6). This window is also used to display Special Instructions / Other Print Info when an order is flagged in Inpatient Medications and is given installed for Inpatient Medications and BCMA to function correctly. in BCMA. b. Fields which displayed Special Instructions / Other Print Info in forms were widened to 80 characters and have vertical scroll. c. Added Last Injections Site column to the Unit Dose VDL to show the what the last site was per Orderable item. d. Enhanced the Injection Site dialog window to show two history tables. 1) To show the last 4 sites per the medication being given. 2) To show last 10 sites per the patient for any medication. The tables above will use a new Division parameter, "Injection Site *********************************************************************** History Max Hours", added with this patch that controls how many hours to look back when compiling these history tables. The default will be initialized to 72 hours, with this patch. This Patch also Addresses 3 reported Remedy ticket issues: 1. After scanning a medication that requires multiple doses or dosage strengths, the multiple dose dialog box's invalid medication pop-up functionality appears to be broken. 2. Unable to view all allergies/ADRs on BCMA GUI for patient with numerous allergies/ADRs. 3. The Patient Record Flag changes from Red to Black if you lock your computer. Please refer to the release notes for a full detailed list and examples of items included in this patch. 69 DATE APPLIED: 2012-09-12 16:26:55 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ********************************************************************* The Special Instructions and Other Print Info Project addresses enhancements identified during Inpatient Medications Requirements for Special Focus Group Initial Request Analysis (IMR SFG IRA) Phase III/Phase IV, as well as modifications requested by the Bar Code Medication Administration (BCMA) and Inpatient Medications workgroups. The Inpatient Pharmacy patch PSJ5267 is also being released as part of these enhancements. The projects purpose is to Standardize the character length between CPRS Provider's Comment, Inpatient Medications Special Instructions, and the IV Pharmacy Other Print Information fields. IMPORTANT: PATCH PSJ5267 MUST BE INSTALLED IMMEDIATELY BEFORE The Inpatient Pharmacy patch PSJ5267 will add new fields to Inpatient Medication to support an unlimited amount of text for Special Instructions and Other Print Info (SI/OPI). The enhacnement in this patch will support the new unlimited lines of text that will now be sent by Inpatient Medications to the BCMA Contingency software workstations, in the HL7 NTE\|21 segement. Please refer to the release notes for a full detailed list and examples INSTALLATION OF THIS PATCH. of items included in this patch. If the site is running the BCMA Contingency software then this patch must also be installed on the workstations. Once installed it is suggested that the sites review the Contingency system MAR reports. *********************************************************************** 66 SEQ #57 DATE APPLIED: 2013-02-25 11:55:03 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 2 issues: 1. PSPO 2012 - IV Bag Parameters are not defined for an Institution which contains active wards. 2. After Multiple edits of solutions, invalid IV bags in BCMA may be administered. 64 SEQ #58 DATE APPLIED: 2013-06-26 17:12:46 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 3 issues: day of the week schedule. 1. An order with an Unknown Action status is unavailable when using the Edit Med Log option if another user runs the BCMA Medication Administration History (MAH) report. 2. A fatal error occurs when using the Unable to Scan function in BCMA and then scanning another medication. 3. A fatal error occurs when clicking on the BCMA Coversheet if a patient's only current order is an IV Piggyback which has a 74 SEQ #59 DATE APPLIED: 2013-07-10 16:15:55 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 3 issues: 1. A broker error occurs when attempting to open BCMA (Bar Code Medication Administration) for a patient who has and Intravenous Piggyback (IVPB) medication with an unknown Action Status. 2. The header on several reports do not delineate a patient's room number with a colon. 3. The BCMA Missed Medications Report does not contain meds that are held or refused when run in VistA. 54 SEQ #60 DATE APPLIED: 2013-11-05 16:00:31 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 2 issues: the BCMA UNABLE TO SCAN LOG (#53.77) file is greater than 40 characters. 1. An Undefined error occurs at LINE+13^PSBOML when the BCMA Med Log report is run and finds a BCMA MED LOG (#53.79) entry without a corresponding PHARMACY PATIENT (#55) entry. 2. When giving an IV via the Unable to Scan feature, the user will receive a "Incomplete Data Returned from Vista" pop up box if the data attempting to be stored in the ORDERABLE ITEM (#15) field of 59 DATE APPLIED: 2013-11-25 12:10:39 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please see the National Patch Module for details of the changes included in this patch. 9 SEQ #6 DATE APPLIED: 2005-04-01 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: appropriate. 2. Problem: NOIS MIW-0504-40557 Scheduled administration times are reported and totaled on the Ward Administration Times Report per each clock hour. If an order s stop time is between clock hours, that order s final scheduled administration is neither reported nor added to the report totals. 1. Problem: NOIS CTX-0804-70321 Corrective Action: The BCMA Ward Administration Times Report will report and total all appropriate scheduled administration times. 3. Problem: NOIS LIT-0704-71393 The initial administration of an order which displays on the BCMA Graphical User Interface (GUI) Intravenous/Piggyback (IVPB) Tab may result with an administration status of "GIVEN", "HELD", or "REFUSED". When this same order is administered via the VISTA Large volume IV orders do not show on the Due List Report. The Manual Medication Entry [PSB MED LOG NEW ENTRY] option, the initial administration status can only be "GIVEN". Corrective Action: The Manual Medication Entry [PSB MED LOG NEW ENTRY] option will allow the initial administration of an IVPB order to result in an administration status of "GIVEN", "HELD", or "REFUSED". 4. Problem: NOIS UNY-0304-10606 Bar Code Medication Administration (BCMA) Due List Report does When the user prints a Medication Administration History (MAH) report with a date range exceeding seven (7) days, Pro Re Nata (PRN) order activity, which occurred that last day of the report s date range, does not display. Corrective Action: PRN activity occurring within the selected MAH report date range will display on that MAH report. not display information for large volume IV orders that have 5. Problem: When creating a MAH report, the administration times of orders that have start time between the report's date range do not display properly. Corrective Action: The MAH report will display order administration times properly. 6. Problem: NOIS ISB-0105-30190 been created on the date selected for reporting. When using the GUI Edit Med Log to add a comment for an administration having units given less than 1.0, the message - "When changing the admin status to Given, at least one dispensed drug must have a units given ..." - is displayed and the comment is not filed. This error is due to the value in the Units Given field of the GUI Edit Med Log being presented without the "leading zero" when the value is less than 1.0. Corrective Action: When the Units Given value of an administration is less than zero, it will be presented via the GUI Edit Med Log with the leading zero. 7. Problem: NOIS ISB-1104-31950 The Medication History Report does not display a leading zero in its "Units GIVEN" data field when display a numerical fraction. Corrective Action: A leading zero will display in the Medication History Report, "Units GIVEN" data field when appropriate. Corrective Action: 8. Problem: NOIS BUT-1204-21117 There are instances when the "Units Of Administration" data field of the Medication History Report does not "break" and remain legible. Corrective Action: The "Units Of Administration" data field of the Medication History Report will "break" and maintain whole words and legibility. The BCMA Due List Report will display large volume IV data when 9. Problem: NOIS UNY-0105-11034 The heading for the Due List Report, "Future Orders" section is displayed and is not followed by "Future Order" data when at least one future active order exists, and no future order has a scheduled administration within the selected report time parameters. Corrective Action: The heading for the Due List Report, "Future Orders" section will not display, unless "Future Order" data is to be displayed. 70 SEQ #62 DATE APPLIED: 2013-12-12 14:12:34 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Clinic Order and Witness for High Risk / High Alert drugs. 75 SEQ #63 DATE APPLIED: 2014-01-14 15:18:32 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 2 issues. in the PHARMACY PATIENT IV subfile (#55.01) cannot be marked as given using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option. 1. When the INFUSION RATE field (#.08) in the PHARMACY PATIENT IV subfile (#55.01) is greater than 27 characters (30 character max) for an Intravenous Piggyback (IVPB) order, the text added by the software will cause the infusion rate to exceed the 47 character maximum in BCMA. 2. An IVPB order with a SCHEDULE (#.09) and a STATUS (#100) of "On Call" 73 DATE APPLIED: 2014-01-21 15:42:58 APPLIED BY: USER,SEVENTEEN DESCRIPTION: IMR6 CLINIC ORDER ENHANCEMENT FOR BCBU 78 SEQ #65 DATE APPLIED: 2014-03-06 13:46:50 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 2 issues: printed by ward. 1. An order will not display on the Bar Code Medication Administration (BCMA) Virtual Due List (VDL) properly if the order has its first administration time not on the hour and the start date and time are not exactly on the hour. 2. The BCMA PRN Effectiveness Report and Medication Variance Report do not display the ward name when 76 SEQ #66 DATE APPLIED: 2014-12-10 11:43:49 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 6 issues: History (MAH) report. 4. The undefined error <UNDEFINED>FILEIT+10^PSBML PSBHDR occurs when logging into BCMA. 5. Immunizations given as Clinic orders in BCMA are not recorded in the V IMMUNIZATIONS (#9000010.11) file. 6. BCMA accepts a partial scan of a patient's SSN when scanning a patient's wristband. 1. The Bar Code Medication Administration (BCMA) Missed Medications report does not include orders with a status of "Renewed" 2. BCMA incorrectly rounds a patient's height down on the BCMA Virtual Due List (VDL) and on report headers, and incorrectly calculates a patient's weight on report headers. 3. Orders with a start time exactly the same as the last administration time will display as not due in the BCMA Medication Administration 81 SEQ #67 DATE APPLIED: 2015-04-13 13:21:10 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 5 issues: of Last 4 digits of a patient's Social Security Number (SSN) as the patient identifier. 4. A dangling "AADT" index causes an undefined error to occur when a site runs the BCMA Extract (ECXBCM) option. 5. The Meds on Patient section of the BCMA Virtual Due List (VDL) displays an Intravenous (IV) bag as infusing after it has been marked completed if the Action Date/Time was edited using the Edit Med Log option. 1. The Bar Code Medication Administration (BCMA) Medication History report displays data prior to the report start date when run in the Computerized Records System (CPRS) application. 2. BCMA Labels for Unit dose drugs are missing the Indian Health Services (HIS) Health Record Number (HRN) in place of Last 4 digits of a patient's Social Security Number (SSN) as the patient Identifier. 3. The BCMA Unknown Actions Report does not display IHS HRN in place 72 SEQ #69 DATE APPLIED: 2015-04-21 08:50:39 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 7 issues: 3. The BCMA Medication Log and Medication Variance report headers do not display the time frame of the report. 4. The BCMA AUDIT LOG (#53.799) sub-file does not include an entry for Pro Re Nada (PRN) Effectiveness when a PRN is "Un-Given" 5. The Legend of the Medication Therapy report does not include users who entered comments for an order. 6. The 2nd line of routine PSBOPE has an invalid format. 7. Update the unsupported $$UCASE^XUSG Application Programming Interface (API) to the supported API $$UP^XLFSTR in routine PSBMLLKU. 1. The Medication History report in Bar Code Medication Administration (BCMA) displays amounts in the Units Given field for an order that has not been given. 2. When a user makes a change to an order using the Edit Med Log option which does not change the action status, several reports display the initials of the person who edited the order instead of who created the action on the order. 80 SEQ #70 DATE APPLIED: 2015-04-23 08:46:12 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 6 issues: a different division. 4. The BCMA Administration Times report does not display historical data when run by ward. 5. The BCMA Clinical Reminders tab does not display that a PRN Effectiveness is needed when the PRN is given on the same day as the patient is admitted. 6. The Unable to Scan detailed report does not display the full Health Record Number (HRN) for Indian Health Services (IHS) sites. 1. The Bar Code Medication Administration (BCMA) MEDICATION VARIANCE LOG (#53.78) file does not save data in DRUG SCANNED (#.07) field. 2. BCMA stores the initials of the user who viewed the patient's record instead of the initials of the user who marked a Vital Entered in Error. 3. The BCMA Unable to Scan Detailed report does not display any data when run for a Nursing Ward if the user running the report is logged into 86 SEQ #71 DATE APPLIED: 2015-11-02 13:55:51 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 7 issues: Record System (CPRS) application when converting weight from pounds to kilograms. 4. BCMA report headers display the diagnosis for a patient's last admission after the patient has been discharged. 5. The BCMA Coversheet is loading slowly for long term care patients. 6. The Unit Dose tab of the BCMA VDL loads slowly for long term care patients. 7. The BCMA Medication Variance report displays the medication name twice under the medication field of the report 1. An Undefined error occurs at SCANPT+49^PSBRPC if an accent (`) mark is passed in when manually keying in a patient's wristband. 2. Bar Code Medication Administration (BCMA) report headers display the last ward and room/bed the patient was admitted to after they are discharged. 3. BCMA report headers and the BCMA Virtual Due List (VDL) round a patient's weight to less significant digits than the Computerized 79 DATE APPLIED: 2016-04-07 16:02:28 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: See patch description for details. 12 SEQ #7 DATE APPLIED: 2005-04-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: No warning for early, late or second ward stock IVPB 94 SEQ #74 DATE APPLIED: 2016-05-10 15:41:36 APPLIED BY: USER,FIFTYFOUR 83 SEQ #75 DATE APPLIED: 2016-12-20 14:44:09 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: **************************** ATTENTION ****************************** 3. PSB383 12. BCMA Due List report now includes Remove Times on the report below the admin times that are due per Medication. 13. BCMA Coversheet Medication Overview report and the Coversheet Expired/DC'd/Expiring Orders report will now include Missed-Removals and Removals on the reports. 14. BCMA Medication Log report changed the heading from "Inj Site" to "Body Site". The Medication detail body text will display the proper 4. OR3417 label of "Inj Site:" or "Derm Site:" just prior to the name of the Body site for that medication. 15. BCMA Medication History Heading line changed from "Injection Site" to "Body Site". 16. A body site diagram will be added to the BCMA Parameter GUI client application for the purpose of showing a dot on the body diagram that is associated with the Text representation of that site location on the body. 5. PSB387 17. The BCMA Parameter GUI client application has access to a new kernel parameter titled in GUI application as "Dermal Site History Max Days:". This allows the BCMA coordinator the ability to control how many days of prior dermal body site location history will appear, when a clinician is giving a new dermal medication that is prompting for a body site location. 18. The Orders for MRRs With Removal Properties [PSS MRR ORDERS DIAGNOSTIC RPT] option found on the Pharmacy Data Management [PSS MGR] menu, will also be placed on the Bar Code Medication Administration Manager [PSB MGR] menu. NOTE Non-standard schedules such as DAY@HHMM, HHMM, or other Odd schedules, are not capable of calculating removal times due to a lack of a Frequency. Regardless of the Prompt for Removal in BCMA code value they will not prompt for removal in BCMA and should be avoided. ATTENTION: This enhancement also includes a new Graphical User Interface (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is required immediately after the KIDS install for the Patch to function. For retrieval and installation instructions, please see the Client Installation Instructions section. ************************************************************************** The Clinical Ancillary Services Development-Delivery of Pharmacy Enhancements (CAS DDPE) project addresses several NSR's, which center around providing a means for properly handling Transdermal Medications Requiring Removal (MRR) beyond the current medications of dosage form Patch. These enhancements interface with Inpatient Pharmacy package, which will be storing Scheduled Removal Times, for inpatient orders that are designated as MRR type medications. See associated patches PSS1191 and PSJ5315, for details on how MRR medications are designated. Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy This BCMA enhancement also includes a new Graphical User Interface (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is required immediately after the KIDS install for the Patch to function. Features of the BCMA GUI provided by this project are listed below. 1. Change the current GUI Unit Dose tab column labeled "Admin Time" to "Next Dose Action". Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal 2. The "Next Dose Action" column will now contain both the next admin times for scheduled administrations as well as the next Removal time for MRR type medications. The initial login to BCMA, will sort the Unit Dose tab in ascending order by this column, so older actions for medications will be at the top of the VDL display. a. The Next Action of an administration will contain the word "DUE" followed by the scheduled admin time in the standard date@admin time format currently in use. b. The Next Action of a removal will contain the word "REMOVE" enhancement includes 5 patches which must be installed in the following followed by the scheduled removal time in the standard date@time format. c. The Next Action of an administration that is past due to be given will contain the word "LATE" followed by the scheduled admin time in the standard date@admin time format currently in use. d. The Next Action of a removal that is past due to be removed will contain the word "LATE-RM" followed by the scheduled removal time in the standard date@time format. order: 3. Change the current GUI column labeled "Wit" to "Alert". 4. The Alert column will still have the ability to display the Witness required icon and will also be able to display a new Remove icon. a. The icon is displayed only for MRR type meds that were Given and their next Action is for Removal. 5. Early/Late warnings will also be associated with medications being removed early or late using the same early late time range that is used for early or late medication admins. a. User comments are prompted for and stored upon continuing with the Early/Late removal action. 6. Variances will also be tracked for Early/Late Removals in the same manner as they are currently for Early/Late medication administrations and will appear on the Medication Variance Log report. 7. BCMA Medication Administration History (MAH) report will now print the associated Give, which was previously overwritten by the Remove action, chronologically after the Remove for the Print by Patient 1. PSS1191 report. The print by Ward report will now include the count of Removals scheduled for the report time period. 8. BMCA Medication Log will now show the historical Give date/time below the current status of the medication, which shows the Remove date/time. 9. BCMA Missed Medications report will also show Removals that were missed or up and coming, similar to how missed Gives are currently notated. The column Heading has been changed from "Admin Date/Time" 2. PSJ5315 to "Missed Date/Time". 10. BCMA Display Order report now includes the Removal Times for this order directly below the current Admin Times. 11. BCMA Medication History report now includes a prior Give line item directly below the current status line item of Remove (RM). The Remove last action on this administration overwrites the Give information and was no longer printing on this report. This information is now being retrieved from the Audit log and printed on this report. 87 DATE APPLIED: 2016-12-20 14:45:13 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: ***************************** ATTENTION ****************************** 5. PSB387 ATTENTION: This enhancement also includes a new Graphical User Interface (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is required immediately after the KIDS install for the Patch to function. For retrieval and installation instructions, please see the Client Installation Instructions section. ************************************************************************** PSB387 will enhance the BAR CODE MEDICATION ADMINISTRATION (BCMA) Backup System (BCBU) to support Medications Requiring Removal (MRR). The Backup System will be able to store the Removal times and duration of administration associated with each medication order. This patch will add two new fields to the ORDER NUMBER (#53.702) sub-file under the BCMA BACKUP DATA (#53.7) file. The two new fields are the REMOVE TIMING (#7.4) field and DURATION OF ADMINISTRATION (#7.5) field. These fields implement changes that will support enhancements to Medical Administration Record(s) MAR reports in the BCBU application. CASDDPE VA Inpatient Medication Administration - Transdermal enhancement The MAR reports will print each Scheduled Removal times for MRR medications in the Grid in the same manner as Admin times. The Remove times will appear below the current scheduled Administration time in the Grid and will be separated by the Label "Remove" in the times column. Asterisks will print in the body of the Grid in each Removal action box for removal times that are not valid per the Date in that column heading. The MAR reports will also no longer display the Order number of the medications being administered. includes 5 patches which must be installed in the following order: Please refer to the BCMA Backup System (BCBU) Installation Guide for PSB387 for installation details. 1. PSS1191 2. PSJ5315 3. PSB383 4. OR3417 88 SEQ #77 DATE APPLIED: 2017-01-06 12:04:42 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issues: 3. The BCMA Drug IEN Synonym Check [PSB DRUG IEN CHECK] option needs to be added to the Medication Administration Menu Pharmacy [PSB PHARMACY] menu. 4. The IV Bag Detail on the IV tab does not display for a patient when opening the patient's Virtual Due List (VDL) after having another patient's VDL open. 1. The Bar code Medication Administration (BCMA) Due List Report does not display Intravenous Piggy Back (IVPB) orders with an Inpatient Pharmacy Status of "On Call". 2. The Missed Medication Report shows missed administrations prior to an edit when an order's Administration time are edited. 95 DATE APPLIED: 2017-01-23 14:26:30 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: Fix for eHMP defect 4250. Places SEQUENCE values on ITEMs in the PROTOCOL file (#101). 97 SEQ #79 DATE APPLIED: 2017-02-24 16:56:48 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: Patch PSB397 will change the version number of the Bar Code Some reports that print Legends had some issues where the user name and initials were inaccurate for transdermal type medications. Medication Administration (BCMA) client application to version 97 from version 83 to correct an issue discovered immediately after release of version 83. A hard error can occur in the BCMA client application with a new button provided that displays a Body Site Image for selecting body location of transdermal type medications. 92 SEQ #80 DATE APPLIED: 2017-06-01 18:08:42 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issues: 3. Medications cannot be administered in BCMA after Nurse's initials deleted. 4. Medications Orders requiring removal with a schedule type of "One-Time" and Frequency greater than zero do not display the correct removal time in the "Next Dose Action" field on the BCMA VDL. 1. The Bar Code Medication Administration (BCMA) Order Mode indicator light is not displaying when the only active orders have a pharmacy status of renewed, on call, or provider hold. 2. The BCMA Active Order Indicator light is not displaying for the Unit Dose tab when the only active orders have a Pharmacy Status of Renewed or Provider Hold. 98 SEQ #81 DATE APPLIED: 2017-07-26 13:27:01 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issues: 3. The BCMA Display Order report displays dates in the data field in internal Fileman format. 4. An Undefined error occurs when the Medication Therapy report is run with no schedule types selected. 1. The Bar Code Medication Administration (BCMA) IVP/IVPB tab continues to display orders with a Schedule Type of On Call after the order is administered. 2. The BCMA Display Order report displays both BCMA EXPIRED and BCMA EXPIRE DENIED in the data field of the Pharmacy Activity section when a one time dose medication is administered. 99 SEQ #82 DATE APPLIED: 2017-10-05 13:59:22 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issues: then Resolution: ----------- Routine PSBML2 was modified to store the correct medication dosages in the DISPENSE DRUG (#53.795) sub-file when the edited order is administered. 4. R12817870FY17 - PRN requiring effective is not showing on BCMA Clinical Reminders infusing, the medication log shows each ingredient of the infusing IV Problem: -------- A PRN medication requiring a PRN Effectiveness does not display on the BCMA Clinical Reminders if the patient is discharged and re-admitted. Resolution: ----------- Routine PSBPRN was modified to display the order under the BCMA Clinical Reminders when the patient is discharged and re-admitted, as long as Order the order falls within the PRN Documentation parameter. 5. I10114492FY16 - Mark Documenting Backlog PRNs option OOO Problem: -------- The unsupported Documenting Backlog PRNs [PSB PRN DOCUMENTING] option needs to be marked out of order and removed from the Bar Code Medication to have units of zero. Administration Manager [PSB MGR] menu option. This option runs a version 2 routine in BCMA (currently on version 3), and should not be active on a nationally released menu option. Resolution: ----------- Post Install routine PSB399P will mark the Documenting Backlog PRNs option [PSB PRN DOCUMENTING] "out of order" and remove the option from the Bar Code Medication Administration Manager [PSB MGR] menu. 6. I6216135FY16 - <UNDEFINED>RESETADM+7^PSBUTL error in BCMA Problem: -------- An error occurs the first time an order is administered in BCMA. Resolution: ----------- 3. When a multiple dose medication has been edited prior to Routine PSBUTL was modified to properly record the first BCMA medication administration. 7. I10181534FY16 - Extra Data populated when pulling by Ward Problem: -------- A BCMA user was attempting to pull data by ward. When data populated it listed patients that are not associated with the ward selected. administration, The problem happened because the ward searched had a name that the first characters were similar to a date (e.g., 8-8, 10-11, etc.). The routine PSBMLLKU (line tag PTLKUP) used to perform a Fileman lookup using all cross-references in the PATIENT file (#2). This lookup approach sometimes produced wrong entries because it would match with a date from the "E" x-ref (CV DATED EDITED) because for example "8-8" would trigger it will display on the Missed Meds report after administration. a match a 08/08/17 (current year) causing such patients to be included in the lookup result. Resolution: ----------- The code at the PTLKUP^PSBMLLKU was modified to only include the cross- references that are relevant to the patient lookup popup window (last name, first name, SSN, ward, room and bed). 4. A PRN medication requiring a PRN Effectiveness does not display in the BCMA Clinical Reminders section if the patient is discharged and re-admitted. 5. The unsupported Documenting Backlog PRNs [PSB PRN DOCUMENTING] option needs to be marked out of order, and removed from the Bar Code Medication Administration Manager [PSB MGR] menu option. 6. An error occurs when a site new to BCMA attempts to create their first order. 1. The Bar Code Medication Administration (BCMA) GUI does not store the 7. The patient lookup window sometimes lists the wrong patient when users are doing a search by the ward name and the first part of the ward name matches with a valid date. ASSOCIATED NSR(S): ================== N/A initials of the 2nd user who witnesses a high risk/high alert ASSOCIATED CA TICKET(S): ============================ 1. I9892136FY16 - 2nd Witness Initials not stored 2. I9842129FY16 - TPN shows 0 units for each ingredient - Med Log 3. I9892810FY16 - False missed med when Inpatient Pharmacy edits dispense drug 4. R12817870FY17 - PRN requiring effective is not showing on BCMA Clinical Reminders 5. I10114492FY16 - Mark Documenting Backlog PRNs option OOO 6. I6216135FY16 - <UNDEFINED>RESETADM+7^PSBUTL error in BCMA continuous 7. I10181534FY16 - Extra Data populated when pulling by Ward PARTICIPATING TEST SITES: ========================= TBD CA OVERVIEW: ================ intravenous (IV) order which has been marked stopped and then marked 1. I9892136FY16 - 2nd Witness Initials not stored Problem: -------- The second witness' information is not stored in the ADMIN WITNESSED BY (#.29) field of the BCMA MEDICATION LOG (#53.79) file when an IV bag with a high risk/high alert medication is marked stopped and then infusing again. Resolution: infusing again. ----------- Routine PSBML2 was modified to remove the first witness' information and store the second's information in the ADMIN WITNESSED BY (#.29) field. The first user's information will be preserved in the AUDIT LOG sub-file (#53.799). 2. I9842129FY16 - TPN shows 0 units for each ingredient - Med Log Problem: -------- When a missing dose is requested for an IV order, then as held or refused, and then infusing, the Medication History report shows each ingredient of the infusing IV Order to display units of zero. Resolution: ----------- Routine PSBML2 was modified to store the correct units for each IV bag ingredient in the UNIT OF ADMINISTRATION (#.04) field of both the 2. If an IV order is marked as a missing dose, then as held or refused, ADDITIVES (#53.796) and SOLUTIONS (#53.797) sub-files. 3. I9892810FY16 - False missed med when Inpatient Pharmacy edits dispense drug Problem: -------- A multiple dose medication will incorrectly display on the BCMA Missed Medications report when the dosage form of the order was edited after a missing dose request is made on the order. 102 DATE APPLIED: 2018-01-31 16:31:50 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issues. Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. I9592038FY16 - Frequently, BCMA users are not able to access the BCBU database Problem: -------- Frequently, BCMA users are not able to access the BCBU database. This result in local IT support spending time to resolve what should be a minor issue. However, the fix is not always simple or straight forward. Typically, the problem is that the user has had a Verify Code change since they last accessed a contingency. Normally, doing a User Initialization does not resolve the issue and IT support has to either replace the database or manually give the user a new Verify code on the contingency computer. Resolution: ----------- Modified the routines ALPBGEN, ALPBGEN1 and ALPBGEN2 to remove some unnecessary restrictions for sending a user update over to the BCBU 1. I9592038FY16 - Frequently, BCMA users are not able to access the BCBU workstation. For example, if a user was terminated in the main VistA System it would not be sent to the BCBU workstation. This caused terminated users in the main VistA System to remain active in the BCBU workstation. 2. I8652828FY16 - Getting ALERT BCBU Contingency Error 46364090 / Missing HLL Links Array Med-Log Problem: -------- database In a multi-divisional BCBU configuration all Divisions are required to have an HL7 Logical Link associated. When a division is missing the association an alert is generated for every transaction that is supposed to go to the BCBU workstation for that division. The problem is that the Alert does not identify which division is missing the Logical Link, which makes it hard for the users to identify the source of the problem and resolve it. Furthermore, the fact that the Alert does not identify which patient was being processed when the issue happened makes it hard to troubleshoot and fix the problem as well. Resolution: 2. I8652828FY16 - Getting ALERT BCBU Contingency Error 46364090 / Missing HLL ----------- Modified the routine ALPBCBU to include the site number and the patient DFN number in the Alert subject. This way users will know exactly which division and the patient that was being processed when a BCBU Alert is generated due to an error. Here is how the Alert text will be modified: Before: BCBU Contingency Error Missing HLL Links Array Med-Log Links Array Med-Log After: BCBU Contingency Error / Site: 442 / DFN: 1930382 Missing HLL Links Array Med-Log 3. I6161931FY16 - Received the error $ZE= <UNDEFINED>ZPD+5^IVMPREC8 HLFS I16851052FY18 - Undefined: GENACK+10^RGADTP HL("MID") Problem: -------- 3. I6161931FY16 - Received the error $ZE= <UNDEFINED>ZPD+5^IVMPREC8 HLFS When an HL7 message is received from an Income Verification Match (IVM) Center containing demographics data for a patient that includes a date of death the BCBU application is automatically invoked if such patient has active inpatient orders. Many other subscribing applications are automatically invoked by the same process and they all share the same local variables from the invoking process. The routine ALPBINP was incorrectly killing HL7 local variables such as HL, HLA, HLCS, HLCTR and HLFS, which were being used by other applications and in these two specific incidents reported caused the Income Verification Match (IVM) and Registration applications to error out. I16851052FY18 - Undefined: GENACK+10^RGADTP HL("MID") Resolution: ----------- Modified the routine ALPBCBU to NEW the variables HL, HLA, HLECH and HLQ and also modified the routine ALPBINP to no longer kill the HL7 variables HLCS, HLCTR and HLFS. NOTE: This fix could not be tested in a development or an SQA environments because it requires an incoming HL7 message from an external entity. 15 SEQ #8 DATE APPLIED: 2005-06-11 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: all administration and order processing has occurred and BCMA begins to free memory per MOB activity. Because a variable needed by BCMA MOB exit activities has been cleared, BCMA generates the "<UNDEFINED>MOBR+25^PSBAPIPM" before processing has completed. Corrective Action: PSB315 will allow BCMA MOB exiting processing to complete without error. 1. Problem: HD000000088329 The Medication Order Button (MOB) within the Graphical User Interface, Bar Code Medication Administration system (BCMA) malfunctions after the Installation of patch PSB39. When the BCMA MOB is used to administer medications and create orders, all data is stored and maintained properly. The malfunction occurs when the post PSB39, BCMA system frees memory after 104 SEQ #84 DATE APPLIED: 2018-03-01 15:31:31 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. Problem: -------- Milwaukee VAMC reported getting a RPC Broker Timeout error when running the BCMA Missed Medications Report for one specific ward (9C). The reason they were getting this error is because Ward 9C has quite a few long term care patients and the report retrieves information for every single order with medication that requires removal (e.g., patches) for all patients in that ward before deciding whether the order should be in the report or not. Resolution: ----------- Modified the routine PBUTL at the REMOVES line tag and moved the screening filters up before the call to D PSJ1^PSBVT. This change will have no impact whatsoever on the output of the report and it will considerably decrease the amount of time it takes to run it. 1. R16686630FY17 - Ward 9C keeps getting this error (Timeout) intermittently when trying to run the Missed Medications Report Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. R16686630FY17 - Ward 9C keeps getting this error (Timeout) intermittently when trying to run the Missed Medications Report 105 DATE APPLIED: 2018-06-01 15:34:00 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issues. Problem: -------- It was reported that almost all of the BCBU Contingency Error Alerts that Divisional sites receive continually are for patients who are not admitted or are deceased. Furthermore, testing of BCBU data for Clinic Orders reveals that the patient records for clinics using BCMA are rarely complete causing the menu options in BCBU to be placed OUT of ORDER to prevent medication errors during contingency operations. Resolution: ----------- It was identified that updates for BCMA Medication Logs for patients that are no longer inpatient fail to identify the correct division for which the HL7 message should be sent to. A fix was made to retrieve the correct Division using the Institution in the Medication Log if the patient is no longer inpatient. In addition, the BCBU Contingeny Error Alerts will no longer be generated for patients that are deceased. 1. R18279880FY18 - BCBU not consistently updating Clinic Orders Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. R18279880FY18 - Frequently, BCMA users are not able to access the BCBU database 107 SEQ #86 DATE APPLIED: 2018-06-01 16:24:00 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. Problem: -------- An issue was discovered when loading the BCMA coversheet and the patient has an order with an administration schedule that does not have a whole number of hour(s) frequency between administrations (e.g., 7 TIMEs A DAY, ONCE EVERY 3.5 HOURS, etc.). The reason is because the program that calculates the next dose's administration date/time assumed the frequency to be a whole number of hours like 4 or 6 and not 3.1466 or 3.5. Since the program could not come up with a valid date/time it went into an infinite loop which would freeze the BCMA application when the users tried to view the patient's coversheet. Resolution: ----------- The routine PSBCSUTX was modified at line tag NEXTADM+24 to take into account that the frequency of a schedule does not necessarily produces a whole number of hours and it will calculate the next administration date/time for such frequencies. R19023599FY18 - PSB GUI Context consuming a lot of CPU on Bay Pines VistA Front ends Defect Tracking System Ticket(s) & Overview: -------------------------------------------- R19023599FY18 - PSB GUI Context consuming a lot of CPU on Bay Pines VistA Front ends 100 SEQ #87 DATE APPLIED: 2018-07-06 14:44:42 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch provides multi-division sites the ability to run the report 'Missing Dose Followup' by division. Single division sites are not affected by the changes in this patch. 109 SEQ #88 DATE APPLIED: 2018-09-06 15:49:25 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. -------- An issue was discovered with the Barcode Medication Administration (BCMA) Missed Medications Report for 'odd' (non-standard) schedule orders, e.g. Q18H - ONCE EVERY 18 HOURS. When the report is run for a date range that starts prior to the start date/time of such orders in some cases it will mistakenly include these orders in the report even if the order does not have any missing dose for the date range selected for the report. Resolution: ----------- The routine PSBOMM was modified at line tag EN1+49 to prevent it from calculating a dose date/time that is prior to the order start date/time. INC0328665 - Issue with BCMA Missed Medications Report Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC0328665 - Issue with BCMA Missed Medications Report Problem: 110 DATE APPLIED: 2018-10-04 14:46:49 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. INC0962039 - WNY - Vista Not Updating BCBU orders when patients are discharged/deceased INC1002829 - BCBU patient census not updating (Duplicate) Problem: -------- An issue was discovered with the Barcode Medication Administration (BCMA) Backup System (BCBU) after the installation of patch PSB3105. After the patient is discharged or a date of death is entered for him/her the patient data is not being properly removed from the BCBU workstation. In the case of discharged patient that are later admitted or have a clinic appointment their orders from their previous admission are still visible on the BCBU workstation and are listed on the patient's Medication Administration Reports (MAR). Resolution: ----------- Removed the filter introduced by PSB3110 to prevent alerts from being generated for patient movements if the patient is no longer inpatient. The INC0962039 - WNY - Vista Not Updating BCBU orders when patients are reason is because such filter prevented patient discharge events, which are handled as patient movements, from removing he patient's data from the BCBU workstation. The filter was re-introduced at the Alert generation point and exclude patient discharge movements. Technical Resolution: --------------------- Changed the routine ALPBCBU to remove the filter from the PMOV line tag and placed a check in the ERRLOG line tag to prevent Alerts for patient movement events after the patient had already been discharged. discharged/deceased INC1002829 - BCBU patient census not updating (Duplicate) Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 111 SEQ #90 DATE APPLIED: 2018-11-02 15:15:02 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: Patch PSB3.0111 corrects one issue in the report 'Missing Dose Followup'. The issue reported by a single site at a multidivisional setting is that after one record is selected for completion and is saved, it is not dropping off the list of available records. The expected bahavior is that after one record in the report is completed and saved, it should no be part of the list. Reference: INC1537335 - GLA - PBS3100 Patch Missing Dose Followup list is not updating after resolving the missing dose. 112 SEQ #91 DATE APPLIED: 2018-12-04 15:51:26 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. Problem: -------- Bath VA Medical Center reported a problem with the BCMA Medication Admin History report for patch medication orders. For certain situations the report omits a patch given action if the same patch removal date falls outside the date range selected to run the report. In the report example below run on 08/30/2018, for the date range 08/27/18 thru 08/29/2018 the 'G0800' under the 08/29/2018 column would not be displayed because the patch applied on 08/29/2018 was already removed on 08/30/2018 and 08/30/2018 was not included in the report date range. ============================================================================= Location \| \| \| \| \| Start Date Stop Date \| Admin \| \| \| \| and Time and Time \| Times \| 08/27/2018 \| 08/28/2018 \| 08/29/2018\| ----------------------------------------------------------------------------- INPATIENT \| \| \| \| \| 08/25/2018 09/14/2018\| 0800 \| RM0755 \| RM0755 \| RM0755 \| @07:00 @08:00 \| \| G0800 \| G0800 \| G0800 <-- \| INC1697793 - BCMA med log and medication administration history reports \| \| \| \| \| FENTANYL TRANSDERMAL PATCH \| \| \| \| \| FENTANYL TRANSDERMAL \| \| \| \| \| 50MCG/HR PATCH Give: ONE \| \| \| \| \| (50MCG/HR) PATCH TOP MISC Q24H\| \| \| \| \| \| \| \| \| \| Removal Times: 0800 \| \| \| \| \| RPH: RN: \| \| \| \| \| Special Instructions: TESTING BCMA PATCH ISSUE display ----------------------------------------------------------------------------- Resolution: ----------- Modified the VistA code responsible for generating the report content to check the 'Given' Date/Time when the 'Removal' Date/Time falls outside the date range selected for the report. If the 'Given' Date/Time is within the date range selected then the entry will be included in the report. Technical Resolution: --------------------- Changed the routine PSBOMH1 at EN+5 and EN+9 to check for the 'Given' date when the 'Removal' date falls outside the date range selected for the report. Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC1697793 - BCMA med log and medIcation administration history reports display 96 SEQ #92 DATE APPLIED: 2019-01-03 16:22:53 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: In preparation for the VA's transition to become two factor authentication (2FA) compliant the BCMA Graphical User Interface (GUI) requires an upgrade to Delphi version XE8 in order to implement the new Remote Procedure Call (RPC) Broker allowing compliance. This patch also updates the Med Order Button to utilize the same version of the Dynamically Linked Library (DLL) as the Computerized Patient Record System (CPRS). The version number is controlled by the PSB MOB DLL REQUIRED VERSION parameter. 103 SEQ #93 DATE APPLIED: 2019-02-01 15:21:45 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the request from NSR #20170515 - Adds Respiratory Therapy Report. After this patch is installed, Respiratory Therapists will have access to the new option Report for Respiratory Therapy Medications [PSB RPT RESP THERAPY MEDS] VistA to produce a report of patients on Respiratory Therapy medications. 18 SEQ #9 DATE APPLIED: 2005-08-13 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Error administering multiple doses. 115 DATE APPLIED: 2019-04-02 16:11:23 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. Problem: -------- Captain James A. Lovell Federal Health Care Center reported a problem with the BCBU Initialize options below: Default Workstation Initialize [PSB BCBU INIT WRKSTN DFT] Divisional Workstation Initialize [PSB BCBU INIT WRKSTN DIV] Whenever these options were executed and one or more Workstation Link were selected for the initialization the option still generated and sent HL7 message updates to all other existing BCBU Workstation Links. Solution: -------- The two Workstation Initialize options above were modified to screen out any Workstation Link not selected from the HL7 update if the user selects one or more specific Workstation Link(s) to update when executing these options. In other words, only the selected Workstation Link(s) will be initialized. INC2794138 - When BCBU init is ran and only one HL7 link is entered it still Technical Resolution: --------------------- The routines ALPBIN, ALPBIND and ALPBINP were modified to keep track and screen out Workstation Link(s) not selected for the HL7 initialization update. updates numerous links Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC2794138 - When BCBU init is ran and only one HL7 link is entered it still updates numerous links 114 SEQ #96 DATE APPLIED: 2019-05-01 16:44:15 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will resolve the following issue. -------- James A. Haley VA Medical Center reported a problem with the BCMA Missed Medication Report. They were getting an error whenever they tried to run it for a patient that had a PATCH medication order and the dispense drug had been edited using the BCMA GUI. An additional side effect was the fact that the order no longer showed on the patient's VDL. Resolution: ----------- The error happened because the Transdermal Project patch PSB383 assumed the IEN for the DISPENSE DRUG sub-file (#53.796) in the BCMA MEDICATION LOG file (#53.79) would always be 1 (one) for a PATCH medication order. Such assumption turned out to be incorrect because when the user edits the dispense drug for an order in BCMA the IEN 1 gets deleted and IEN 2 gets created. If a second edit is performed IEN 2 is then deleted and IEN 3 gets created and so forth. That's the reason the order would not show up on the BCMA Patient's VDL and also caused the Missed Medication Report to error out. Technical Resolution: --------------------- INC2383720 - Error at REMOVES+23^PSBULTL unable to run report in BCMA Changed the following routines: PSBMLEN, PSBMLEN1, PSBO1, PSBUTL, PSBVDLPA, PSBVDLRM and PSBVDLVL to retrieve the first dispense drug in the DISPENSE DRUG sub-file (#53.795) instead of assuming the IEN 1 to contain the order dispense drug. For PATCH medication orders there should only be one dispense drug. Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC2383720 - Error at REMOVES+23^PSBULTL unable to run report in BCMA Problem: 118 SEQ #97 DATE APPLIED: 2019-06-04 18:09:20 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: BCMA WINDOWS 10 AND DELPHI 10 UPDATE. 116 SEQ #98 DATE APPLIED: 2019-06-27 12:04:07 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: This patch will resolve the following issue. INC4109840 - CPRS shuts down repeatedly when trying to access BCMA (Duplicate) medication history record in CPRS reports tab Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC3683945 - AEU can't look at med admin history (BCMA) due to an error after inputting a date range INC3570947 - CPRS error caused by patch PSB3112, installed at our site on (Duplicate) 12/11/2018 INC3507924 - In CPRS trying to run the Med Admin History report for 11-29 (Duplicate) through 12-5 get the attached error message <UNDEFINED>EN+112^ PSBOMH1 PSBAR(64988) INC4109840 - CPRS shuts down repeatedly when trying to access BCMA (Duplicate) medication history record in CPRS reports tab Problem: -------- After the release of PSB3112 a new issue was introduced that caused the BCMA Medication Admin History Report to cause an <UNDEFINED> error and exit the BCMA GUI application. The problem is specific to a patient with a PATCH INC3683945 - AEU can't look at med admin history (BCMA) due to an error after Medication with a ONE TIME schedule (ex: Start Date of D and End Date of D+1) and after the PATCH is given on day D and marked removed on day D+1, when the user ran the report for the date Range D thru D the error happens. Resolution: ----------- This patch prevents the error from happening when the BCMA Medication Admin History Report is run following the instructions above. Technical Resolution: inputting a date range --------------------- Changed the routines PSBOMH and PSBOMH1 to prevent the PSBAR array from crashing when the subscript is undefined. INC3570947 - CPRS error caused by patch PSB3112, installed at our site on (Duplicate) 12/11/2018 INC3507924 - In CPRS trying to run the Med Admin History report for 11-29 (Duplicate) through 12-5 get the attached error message <UNDEFINED>EN+112^ PSBOMH1 PSBAR(64988) 113 DATE APPLIED: 2019-07-22 17:10:57 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: PSB3.0113 - Please refer to the patch description in Forum for installation instructions. 121 SEQ #100 DATE APPLIED: 2019-12-06 15:51:10 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: INC6279084 - Rx ONE TIME PRN orders not revert to active when undo on BCMA 101 SEQ #101 DATE APPLIED: 2019-12-11 13:38:03 APPLIED BY: USER,SIXTYFIVE 122 DATE APPLIED: 2019-12-19 14:46:01 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: This patch will resolve the following issue. -------- The South Texas Veterans Health Care Medical Center reported two problems with the the Initialize a Backup Workstation with BCMA Users [PSB BCBU USER INIT] option: 1) Users were not able to access the BCBU workstations with their ACCESS/ VERIFY codes after the option above was run. Thei ACCESS/VERIFY codes should match what they use in the main VistA account. Usually, a re-run of the option resolves the problem, which is not ideal. 2) If there are two users with similar names (e.g., 'NURSE,USER' and 'NURSE,USER A' existed, the user with the shorter name would not be able to access the BCBU workstation, even after the second initialization. Resolution: ----------- 1) The setting of cross-references for the newly created users at the initialized BCBU workstation was being executed before their ACCESS/ VERIFY codes were saved. To resolve the problem the cross-references setting was moved to run after the ACCESS/VERIFY codes are saved and it will address this problem. 2) The problem happened because the user lookup for 'NURSE,USER' would INC3062938 - BCBU/VISTA find more than one match, 'NURSE,USER' and 'NURSE,USER A' which would prevent it from being updated. To resolve this problem the lookup call to find the user record was changed to perform and EXACT match for the user name. This way a lookup for 'NURSE,USER' will not find 'NURSE,USER A' as a possible match. Technical Resolution: --------------------- 1) Moved the call to IX1^DIK from line FILE+19 to FILE+23 in the ALPBGEN1 routine, which is past the setting of the ACCESS/VERIFY codes. 2) Changed the DIC(0)="LM" to DIC(0)="LMX" at line FILE+9 in the ALPBGEN1 routine, which will force an exact match of the user name. Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC3062938 - BCBU/VISTA Problem: 120 SEQ #103 DATE APPLIED: 2020-03-24 17:02:17 APPLIED BY: USER,SEVENTY DESCRIPTION: This patch will resolve the following issue: N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. INC5649941 - Medication Patches with a continuous schedule (daily) do not show as administered when viewing the medication administration history report in CPRS with a date Problem: ------- The Canandaigua VA Medical Center reported that the Medication Administration History (MAH) Report does not display all the administration activity (given/removed) of continuous patch medication orders depending on the date range selected for the report. When the date range selected for the MAH report exceeds 7 days and there is a Given activity for a patch medication on the last day of the first week, the 1. INC5649941 - Medication Patches with a continuous schedule (daily) report will not display it if the patch was already Removed at the time the report was ran. Resolution: ---------- This patch will correct the code to include the Given activity for a patch on the last day of the first week in the report. Technical Resolution: -------------------- do not show as administered when viewing the medication The code at the EN+62 on the PSBOMH1 routine was not taking into account that the Given date for the order being processed could fall on the week before the week of the Removal in the report. The code was changed to include the Given activity in the correct week of the report. administration history report in CPRS with a date New Service Requests (NSRs): ---------------------------- 125 DATE APPLIED: 2020-06-24 14:20:05 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: This patch will resolve the following issues: -------------------------------------------- 1) INC8817299 -BCBU MAR Shows Expired Meds as Requiring Administration Problem: -------- BCBU MAR reports were showing medications on the grid as needing administration on their Stop date/time, when the time value ends in a zero, e.g. 0900 & 0930. Solution: -------- Correct BCBU routine ALPBFRM1 to put asterisks in that time cell on the MAR Grid. Technical Resolution: --------------------- In routine ALPBFRM1, "+" the variable, when it is created after it concatenates the time to the end of the date. This will trim off insignificant trailing zeros, prior to later compare operations checking if the grid cell date.time is = to the stop date.time of this order. 1) INC8817299 - BCBU MAR Shows Expired Meds as Requiring Administration 2) INC9226190 - BCMA Contingency program requires verify code be changed each time you log into the program Problem: -------- VA Western New York Healthcare System at Buffalo reported that after patch PSB3122 was installed the Initialize a Backup Workstation with BCMA Users [PSB BCBU USER INIT] option which is used to send BCMA users over from VistA to the BCBU workstation was forcing the users to change their VERIFY CODE at 2) INC9226190 - BCMA Contingency program requires verify code be changed the BCBU workstations when they tried to logon. It was confirmed that the issue was introduced by PSB3122. In order to fix the problem that required the option above to be run twice in order for the new users ACCESS/VERIFY CODEs to work the re-indexing of the new records on the NEW PERSON file (#200) was moved past the "hard setting" of ACCESS/VERIFY CODEs, which resolved the original but the re-indexing also treats the ACCESS CODE as new and therefore forces a new VERIFY CODE to be entered by the user at the BCBU workstation. Solution: -------- each time you log into the program Kept the "hard setting" of the ACCESS CODE prior to re-indexing the new record in the NEW PERSON file (#200) but moved the "hard setting" of the VERIFY CODE information after the re-indexing which addresses the issue. Technical Resolution: --------------------- Moved the call "D IX1^DIK" up to FILE+20, before setting the VERIFY CODE information. INC9209704(d) - Modify MIW BCMA BU devices to prevent users from needing to create a secondary Verify Code Defect Tracking System Ticket(s) & Overview: DATE INSTALLED AT THIS SITE: 2004-03-30 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: * Bar Code Medication Administration (BCMA) Version 3.0 * 1. Problem: NOIS ISB-0603-31561 previous order will display on the new order based on the IV Site Parameter settings in the GUI BCMA Site Parameters application. A medication order that has administration times set for today, but before the Start Time of the order, displays on the Bar Code Medication Administration (BCMA) Due List Report. Corrective Action: The Due List Report will not display medication orders until the Start Date/Time of the medication order takes affect. 2. Problem: NOIS ISB-0903-31964 When the user selects a time frame for the Medication Administration History (MAH) Report and no administrations are due, the report lists the medication order number from Inpatient Medications V. 5.0 under the "Initial-Name Legend" section. Corrective Action: The MAH Report will not display the order number from Inpatient Medications V. 5.0 under the "Initial-Name Legend" section when no administrations are due for a specific time frame. This build consists of BCMA Version 3.0 rollover code and resolution to a 3. Problem: NOIS LAH-1203-61493 The user receives the following error message, "BCMA failed to communicate with VISTA," if the Graphical User Interface (GUI) BCMA times out and is unable to connect to the server. Corrective Action: The processing time for the GUI BCMA software to display the patient s record on the BCMA Virtual Due List (VDL) has been reduced. 4. Problem: NOIS LIT-0603-71923 few outstanding BCMA defects. Users sometimes receive an "allocation failure" error message when accessing a patient s record using the GUI BCMA. Corrective Action: The "allocation failure" error message has been corrected. 5. Problem: NOIS MAD-1203-42204 The MAH Report takes an extended amount of time to run if the Start Date and the Stop Date of the report, requested by the user, are for different years. For example, if the Start Date is 12/28/03 and the Stop Date is 01/03/04. Corrective Action: The user can now request different years for the MAH Report without experiencing extended delays as BCMA accesses the data. 6. Problem: NOIS MIN-1203-41637 Users sometimes experience an "Invalid Medication Lookup" error message after scanning a medication in the "Scan Medication Bar Code:" field of the "Order Manager" dialog box when using the BCMA Med Order Button in Listed below are primary National Online Information Sharing ticket GUI BCMA. Corrective Action: The BCMA medication lookup process has been corrected to properly validate the medications scanned in the "Scan Medication Bar Code:" field of the "Order Manager" dialog box in GUI BCMA. 7. Problem: NOIS UNY-0104-10174 Multiple IV medication orders display as merged on the IV Medication Tab after an order is discontinued, but the IV bag is still infusing. (NOIS) identification information representing BCMA defects/problems Corrective Action: Multiple IV medication orders will display properly on the IV Medication Tab. 8. Problem: NOIS TNV-0104-30647 Users sometimes experience the following error message, "ERROR: 16^Server Protocol Disabled," when using the Edit Medication Log [PSB MED LOG EDIT] option. This occurs when the PSB BCMA RASO17 SRV Health Level Seven (HL7) server protocol is being disabled. and their respective corrective action. Corrective Action: The error message is only intended to notify the BCMA software that the protocol is being disabled. BCMA will now validate the message and not display it to users. 9. Problem: NOIS ISB-0104-31384 When an IV medication order with an infusing bag is "Renewed," the renewed order continues to display on the IV Medication Tab of the BCMA VDL until the infusing bag is "Completed," even if the "Renewed" order's Start Date/Time has expired. Corrective Action: When an IV medication order with an infusing bag is "Renewed," the renewed order will continue to display on the IV Medication Tab of the BCMA VDL until the infusing bag is "Completed," or until the Start Date/Time of the new order that was created during the renewal process. Once the new order is active, the infusing bag from the previous order will display on the BCMA VDL with the new order, along with any additional bags created from the new order. Any available bags from the

BAR CODE MED ADMIN (177) PACKAGE (9.4)