INPATIENT MEDICATIONS (77)    PACKAGE (9.4)

Name Value
NAME INPATIENT MEDICATIONS
PREFIX PSJ
DEVELOPER (PERSON/SITE) MIMS,WELDON,VO,ALLEN/B'HAM ISC
*LOWEST FILE NUMBER 50
*HIGHEST FILE NUMBER 60
DEVELOPMENT ISC BIRMINGHAM (3)
CURRENT VERSION 5.0
ADDITIONAL PREFIXES
  • PSIV
  • PSG
SHORT DESCRIPTION UNIT DOSE AND IVS
VERSION
  • 4.5
    DATE DISTRIBUTED:   1994-10-06 00:00:00
    PATCH APPLICATION HISTORY:
    • 30
      DATE APPLIED:   1997-02-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This build includes changes to address problems where Provider
the Provider Comments from a recently edited order from being added to an
order currently being edited. This would occur only if the user edited an
order containing Provider Comments, queued an MAR that included that
order, and then edited another order at the exact moment when the 1st
order is printed on the MAR.
Comments were being inappropriately copied from one order to another.
 
Changes are included in PSIVORA1 to prevent the variable ON55 from
remaining in the partition after taking action on an IV Fluid order
through OE/RR 2.5. This allowed the Provider Comments from the order
defined by ON55 to be copied into new orders under certain conditions.
 
Changes are included in PSGMIV, PSGMMIV, PSGMMIVC, and PSJMIV to prevent
    • 36 SEQ #39
      DATE APPLIED:   1997-10-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem has been reported where an Inpatient IV order was d/c'd and then
a new IV Fluid order was placed and the provider comments from the
d/c'd order were showing up in the order text of the new order.
 
This patch will correct this problem.
    • 44 SEQ #40
      DATE APPLIED:   1997-10-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      In order for Drug Accountability/Inventory Interface (DA) to collect Unit
Dose dispensing, returns, extras, and pre-exchange needs data from
Inpatient Medications the routines included in this patch had to be
modified to call the DA routine EN^PSAPSI5. This functionality did not
exist in v2.0 of DA.  This patch should be installed prior to installation
of v3.0 of DA.
 
All sites should install this patch.  Drug Accountability/Inventory
Interface v3.0 is not required to install this patch.
    • 37 SEQ #41
      DATE APPLIED:   1997-11-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       NOIS: REN-0397-60175 reported the following problems: 
   orders with a day of week schedule (MO-FR).  
 
This patch will correct these problems.  
 
1. If an IV order has only one solution and no additive, the admin time 
   does not print on the 24 Hour MAR.  
 
2. The 24 Hour MAR printed an admin time on the wrong date for orders with
   day of week schedule (MO-FR).  
 
3. The 7 Day MAR did not print the **** on the date not to be given for
    • 43 SEQ #42
      DATE APPLIED:   1997-12-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The "APSJD" cross-reference on DATE OF DEATH field (#.351) of the PATIENT
surfaced with the Merge testing.
 
Merge is tentatively scheduled for national release in August, 1997.
file (#2) calls routine PSJADT, which leaves the local variable D0
undefined.  The San Francisco Office of the Chief Information Officer
(OCIO) Field Office requested that D0, D1, and D2 be added to the list of
variables NEWed at line END+1.
 
The FileMan compatibility issue centers around the variable D0 being
defined.  Cross-references may set D0 equal to DA but should not otherwise
alter ordelete D0.  This issue has not been documented in the past but
    • 45 SEQ #43
      DATE APPLIED:   1997-12-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Inpatient Medications is updating the use of it's call to ^GMRADPT to look
at piece G instead of piece C for type of reaction, to be in compliance
with the supported call. Piece C is no longer supported after 9/1/97.
    • 48 SEQ #44
      DATE APPLIED:   1997-12-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported where a site was getting an undefined error at
DCOR+2^PSGOECS.  The problem occurs because the code is not checking for
the variable PSGORD to contain an "O" and being routed to the wrong file
to check for the order.
 
This patch corrects this problem
    • 41 SEQ #45
      DATE APPLIED:   1998-01-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A problem was discovered during the installation of Inpatient
 2. An additional problem was discovered at one of our V. 5.0 test sites.
When a patient had only IV orders and these orders were auto discontinued
due to a patient movement and the movement was later deleted, the IV
orders were not auto reinstated.
 
 This patch will correct these problems.
Medications V. 5.0 at a test site where IV orders had a status of DC'ed in
Pharmacy, but had a future stop date and a status of active in Order
Entry/Results Reporting (OE/RR). This was found to be the result of a call
made to DCOR^PSIVACT by the Surgery package.  There is an existing
integration agreement with Surgery to allow them to call this entry point.
However, the entry point was never updated to call OE/RR to change the
order's stop date and status.
    • 46
      DATE APPLIED:   1998-01-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported with the default Start/Stop date/time on IV
Date was Jan 14, 1841  24:00. This error occurs when log in time is the
same as the admin time. 
 
This patch corrects these problems.
orders logged in between midnight and 12:30AM.  On an order with a
schedule of NOW that was logged in at 00:09 the Start Date and the Stop
Date showed 1699 for the default.  On an order with a schedule of Q6HR
that was logged in at 00:10 the Start Date showed a default of 1699 and
the Stop Date showed a default of JAN 7,1841 24:00.
 
When an order entered thru Order Entry by a Provider was finished by
pharmacy, the default Start Date came up as "1699" and the default Stop
    • 42 SEQ #47
      DATE APPLIED:   1998-01-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch supports OR*2.5*49, which is the pre-release patch for
Computerized Patient Record System (CPRS) V. 1.0.  This patch provides
several entry points which are used by CPRS in their pre-release
patch.
    • 51 SEQ #48
      DATE APPLIED:   1998-02-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A problem was discovered during the installation of Inpatient
 2. An additional problem was discovered at one of our V. 5.0 test sites.
When a patient had only IV orders and these orders were auto discontinued
due to a patient movement and the movement was later deleted, the IV
orders were not auto reinstated.
 
 This patch will correct these problems.
Medications V. 5.0 at a test site where IV orders had a status of DC'ed in
Pharmacy, but had a future stop date and a status of active in Order
Entry/Results Reporting (OE/RR). This was found to be the result of a call
made to DCOR^PSIVACT by the Surgery package.  There is an existing
integration agreement with Surgery to allow them to call this entry point.
However, the entry point was never updated to call OE/RR to change the
order's stop date and status.
    • 31
      DATE APPLIED:   1997-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Partial DD's for ATC CANISTER field 212 of Drug file (#50) and sub-fields
 
The changes to IV Solutions file (#52.7) are for NOIS CLE-0696-41676.
.01 (WARD GROUP FOR ATC CANISTER) and 1 (ATC CANISTER), QUICK CODE field 6
of IV Additives file (#52.6) sub field 6 USUAL IV SOLUTION, and AVERAGE
DRUG COST field 7 of IV Solutions file (#52.7).
 
The changes to Drug file (#50) are for NOIS BRK-0197-10549 and
NAS-0197-30947.
 
The changes to IV Additives file (#52.6) are for NOIS NCH-0496-40049.
    • 47 SEQ #49
      DATE APPLIED:   1998-02-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported where when finishing an IV order the site was not
being prompted with all the fields that should have been available for
edit.  The problem was reported after the site installed Pharmacy Data
Management.  The problem was due to the routine PSIVORC2 looking at piece
11 of the zero node of the additive or solution to identify if the
additive or solution was marked for use with IV Fluid orders.  The routine
has been updated to look at piece 13.
 
This patch corrects this problem
    • 52 SEQ #50
      DATE APPLIED:   1998-02-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported at a site where when the physician used the
non-standard schedule of QH during order entry the system would hang
and IRM would have to go in and kill off the job.
 
This patch will correct this problem.
    • 49 SEQ #51
      DATE APPLIED:   1998-03-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported where a site was seeing:
This resulted from a pharmacy user choosing the dc'd order through
pharmacy options and at the ACTION (L N)? prompt choosing N.  Then the
user was prompted:
 DO YOU WANT TO MARK THIS ORDER AS 'NOT TO BE GIVEN'? No//.
The user took the default of no, but the call to RETURN^ORX was still
made.
 
This patch corrects this problem.
     
                     R X   A L L   O R D E R S                 12 orders
     
HUFF,PUFF   321-11-3322        1S/328-D     MAY 25,1945 (52)   Wt      
   Item Ordered                                               Start date
--------------------------------------------------------------------------
1 dc    NOT TO BE GIVEN                                       |12/19/97
    • 53 SEQ #52
      DATE APPLIED:   1998-03-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported at a site where the initials of the person entering
an IV order would sometimes appear on the MAR and sometimes they would
not.  The IV orders were being entered by Technicians who did not hold the
PSJ RPHARM security key.
 
This patch will correct this problem.
    • 54 SEQ #53
      DATE APPLIED:   1998-03-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      An Illegal or invalid argument error at EDIT+2^PSIVEDT was received by a
site.
 
This patch will correct this problem.
    • 50 SEQ #54
      DATE APPLIED:   1998-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch makes changes to address Y2K issues.
    • 55
      DATE APPLIED:   1998-04-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      When testing Y2K patch, noticed the following problem on Action profiles 1
 
- - - - - - - - - - - - - - - -A C T I V E - - - - - - - - - - - - - - - -
  1  R D N in 0.9% SODIUM CHLORIDE INJ  1000 ML 100 ml/hrC03/2503/28A
 
     
  2  R D N ACETAMINOPHEN TABLET                     C  03/25 04/08 A
             Give: 650MG PO Q6HR 
 
Solution, schedule type, start and stop dates jams together.
and 2 (problem occurs on both Action profiles).
 
                            UNIT DOSE ACTION PROFILE #1            Page: 2
 
DOE,JOHN                                NNN-NN-NNNN     01/01/1965
 
 
No. Action     Drug                            ST Start Stop   Status/Info
    • 56
      DATE APPLIED:   1998-06-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will add the option PSJI IVCATEGORY back to the PSJI
SUPERVISOR's menu.  This option was inadvertently deleted with the
install of PHARMACY DATA MANAGEMENT (PDM) V. 1.0.
    • 57
      DATE APPLIED:   1998-06-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported with the Action Profile #1 where if the patient had
5-6 active orders no lines for Additional Medication Orders were printed.
This patch corrects this problem.
    • 58
      DATE APPLIED:   1998-07-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported with the report generated by the option [PSJ PDV]
Patients on Specific Drug(s).  If the name of the first drug in the order
was longer than 34 characters it would cause the name, start date, and
stop date columns of data to jam together.
    • 32
      DATE APPLIED:   1997-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This build will fix the problems reported below:
3) Divide by Zero error at MN+1^PSGPL0. This error occurs
when field #42 (FREQUENCY) of the sub file Unit Dose (#55.06) of
the Pharmacy Patient File (#55) is a zero. (CON-0796-10063,
WHC-0795-10480)
 
4) Pick List hangs when sent to ATC.  The site has the parameter ATC SORT
PARAMETER=ADMIN TIME, the orders causing the pick list to hang are orders
with a schedule type of On Call which have no admin times.
(WNY-0197-12396)
 
 
5) Pick List not calculating correct units needed when orders have a
non-standard schedule (e.g. QAM&NOON). (CTX-0996-70760, NCH-0197-42095)
Another problem reported was when the schedule q.0.d was entered, where
zero is entered instead of the letter o, the software would get stuck in a
loop. (MAT-1294-70289)
1) Extra Units Dispensed Report [PSJU EUDD] including information outside
of the date range. (MGY-0996-31463)
 
2) Unable to enter units dispensed using Enter Units Dispensed [PSJU PLDP]
for pick lists with a future start date/time when all pick list except
ones with a future start date/time have been filed away. (LAK-0696-30468)
    • 59
      DATE APPLIED:   1998-09-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is designed to make use of the Application Programmer
Interfaces (APIs) provided by the National Drug file (NDF) application.
    • 61 SEQ #60
      DATE APPLIED:   1998-10-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Pharmacy Data Management (PDM) creates the "AUDS" cross-reference on the
START DATE/TIME field (#10) of the UNIT DOSE subfile (#55.06) of the
PHARMACY PATIENT file (#55).  This patch will ensure that cross-reference
is set when new Unit Dose orders are created and re-index the "AUDS"
cross-reference for existing orders.
    • 60 SEQ #61
      DATE APPLIED:   1998-10-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      In the routine PSGBRJ, in the section which kills off old labels,
the variable which checks for the type of order was only being set to a 1
or a 2 so IV orders were not being checked to see if old labels should
be killed. This patch corrects this problem.
    • 64 SEQ #62
      DATE APPLIED:   1998-12-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds functionality requested in E3R #9551.    
* A mail group named PSJ-ORDERS REINSTATED is created by the patch KIDS
build.  The members of this mail group should be providers, nurses,
pharmacist, etc. who need  patient's medication orders have been
automatically reinstated. 
 
*  When the medication orders are automatically reinstated due to deletion
of a patient movement, a mail message will be sent to the PSJ-ORDERS
REINSTATED mail group.
 
*  The mail message will contain the patient's name, last four digits of
 
the patient's social security number, current ward location, reason the
orders were reinstated, and a list of orders that were reinstated. The
orders will be listed in the mail message in exact format as a patient
profile.
 When the Patient Information Management System (PIMS) deletes a
patient movement, the medication orders that were discontinued due to the
deletion are automatically reinstated.  A mail message will be sent to
notify affected parties that a patient's medications have been
reinstated. Inpatient Medications V. 4.5 has been modified to include
this functionality.
    • 65 SEQ #63
      DATE APPLIED:   1998-12-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Decision Support System (DSS) software has made provisions for inclusion
is returned after the label is printed.
 
DSS loads this data into a DSS file for later extraction by the vendor.
With the installation of this patch, Inpatient Medications V. 4.5 will
begin prompting for the CLINIC LOCATION for Outpatient IV orders entered
from the Inpatient Medications package, storing the clinic location with
the order as it is entered through either Order Entry/Results Reporting
(OE/RR) or Inpatient Medications, and passing this data, when available,
to DSS.
of the stop code field from outpatient clinic's intravenous dispensing
when it is available.  The stop code is derived by DSS from the clinic
location field.  Inpatient Medications V. 4.5 is being modified to pass
the clinic location field to DSS.
 
The Inpatient Medications software currently passes intravenous dispensing
data to DSS for DSS extraction, but does not include the clinic location
field.  The passing of this data occurs when an IV label is printed or it
    • 62 SEQ #64
      DATE APPLIED:   1999-01-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Currently the 7 and 14 day MARs assume a year in the future when the
Enter START DATE/TIME for 7 day MAR: 1 1 97  (JAN 01, 2097)
 
Select Reports Menu Option: 14  14 Day MAR
 
Print BLANK MARs? No//   (No)
 
Select TYPE OF SHEETS TO PRINT: BOTH// 
 
Enter START DATE/TIME for 14 day MAR: 1 1 97  (JAN 01, 2097)
 
date is entered as shown below:
After this patch is installed the date will be returned as a date in the
current century:
 
Select Reports Menu Option: 7  7 Day MAR
 
Print BLANK MARs? No//   (No)
 
Select TYPE OF SHEETS TO PRINT: BOTH// 
 
Enter START DATE/TIME for 7 day MAR: 1 1 97  (JAN 01, 1997)
 
 
Select Reports Menu Option: 14  14 Day MAR
 
Print BLANK MARs? No//   (No)
 
Select TYPE OF SHEETS TO PRINT: BOTH// 
 
Enter START DATE/TIME for 14 day MAR: 1 1 97  (JAN 01, 1997)
Select Reports Menu Option:  7 Day MAR
 
Print BLANK MARs? No//   (No)
 
Select TYPE OF SHEETS TO PRINT: BOTH//
    • 63 SEQ #65
      DATE APPLIED:   1999-02-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported where orders entered, verified, and placed on hold
by the nurse that were then taken off hold by the pharmacist were being
automatically verified at that time even though the pharmacist didn't have
auto verify on.  This patch corrects this problem.
    • 66
      DATE APPLIED:   1999-02-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds functionality requested in E3R 11366.    
 
The institution name has been added to the following reports:
       7 Day MAR
       14 Day MAR
       24 Hour MAR
       Action Profile #1
       Action Profile #2
       Patient Profile (Extended)
    • 67
      DATE APPLIED:   1999-02-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects an undefined error that could occur when orders were
auto-reinstated due to a movement being deleted.
    • 68 SEQ #68
      DATE APPLIED:   1999-03-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The original IV Solution's volume has an upper limit of 4000ml.  This
patch will increase the volume to 9999ml to meet the needs of the sites to
enter solutions with a volume of greater than 4000ml.
    • 34 SEQ #33
      DATE APPLIED:   1997-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct the problems reported below:
    BAY-0596-31907)
 
1)  Use @0, but scheduled labels still print on renewed orders.
    (SFC-0296-61455)
2)  Additive in wrong bottle on labels. (BAY-1095-32359, GAI-0196-31585,
    ANN-0895-40322)
3)  Q36 IVPB gives labels 12-36-12-36 schedule. (FAR-0596-40861,
    ATG-0796-32093)
4)  Incorrect information printing on label. (FRE-0896-60620,
    • 69 SEQ #69
      DATE APPLIED:   1999-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Patch PSJ*4.5*66 added the institution name to several reports as
requested in E3R #11366.  For integrated sites the institution name
appearing on the reports was the primary institution's name.  After
installation of this patch integrated sites will see the name which was
entered in field INTEGRATED SITE NAME (#17000) from the STATION NUMBER
(TIME SENSITIVE) file (#389.9) on these reports. There will be no change
for non-integrated sites.
    • 35 SEQ #34
      DATE APPLIED:   1997-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct the problem where Inpatient Medication orders
for a patient were not D/C'd when the patient was admitted to the
hospital, if the patient had never been admitted before.  (HUN-0197-21624,
SFC-0297-61806)
    • 38 SEQ #35
      DATE APPLIED:   1997-06-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will remove the references to the following files:
listing their inactivation date from file 6, inactivation date from file
200, and if the provider was authorized to write med. orders in file 200.
 
ROUTINE SUMMARY:
================
 
The following routines are included in this patch.  The second line
of these routines will look like:
 
  ;;4.5; Inpatient Medications ;**[patch list]**;7 OCT 94
PROVIDER (#16)
 
Routine Name       Before Patch        After Patch     Patch List
 PSGDCCM            3084929             2683467           38
 PSJPRE49           6565728             1604873           38
PERSON (#6)
USER (#3)
 
Once this patch is installed the option [PSJV PROVIDER PRINT] Active
Provider Report will no longer be available.  This option was provided to
assist sites in making the transition from using the PROVIDER file (#6) to
using the NEW PERSON file (#200) by identifying providers from file 6 and
    • 39 SEQ #36
      DATE APPLIED:   1997-07-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This build will fix the problems reported below:
 
 1) A problem was reported after the installation of patch PSJ*4.5*34
    where the OE/RR pointer was not updated when an active IV order was
    edited so that a new IV order was created.  The new IV order retained
    the OE/RR pointer from the edited order.
    • 40 SEQ #37
      DATE APPLIED:   1997-10-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Associated Patches: (v)OR*2.5*52.  Needs to be installed prior to
installation of PSJ*4.5*40.
 
This build will fix the problem reported below:
 
1) The site reported changing the Requesting Clinician on a Pharmacy IV
order, however the order retained the original requesting clinician's name
as the requestor.  (NOIS: WPB-0597-32252)
    • 33 SEQ #38
      DATE APPLIED:   1997-10-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This build will fix the problem reported below:
 
 Start and stop dates not calculating correctly when user goes to finish
pending orders. Orders were placed through OE/RR between 23:00 and 01:00
and default start date/time for the wards was set to closest admin time or
next admin time.
    DATE INSTALLED AT THIS SITE:   1996-07-18 00:00:00
  • 5.0
    DATE DISTRIBUTED:   2005-11-19 00:00:00
    PATCH APPLICATION HISTORY:
    • 4
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
was assigned to a room-bed named numberEnumber-number. This problem also
existed in previous versions of Inpatient Medications. Changes are
included to correct this error.
 
3. An undefined error at NEWIV+4^PSJORUT2 can occur when multiple
solutions are entered for a Hyperal type IV order. This patch will correct
this error.
 
4. When there are multiple duplicate drugs found while entering a new
order, the duplicate drugs scroll off the screen.  A pause was added so
1. A problem was reported at a site when the physician used the
the user will have a chance to see the warning.
 
5. When an IV order had been renewed through Computerized Patient Record
System , the admin time from the original order should be copied over to
the new order. This will now function the same as Unit Dose.
 
6. When the IV order's login time is the same as the admin time, the start
date of the order was not calculated in the correct format (West Palm
Beach reported this). When the login time is between midnight and 12:30
and the schedule is now, the start time was not calculated in the correct
non-standard schedule of QH during order entry. The system would hang and
format. This patch will correct this problem.
 
7. The MAR sometimes printed the pharmacy tech's initials for IV orders.
The MAR will now print the initials of the person who completed the IV
order.
 
8. A change was made to print the <A> on the right of the patient name and
ward to indicate the patient has verified or non-verified allergy/adverse
reactions.
 
IRM would have to go in and off the job. A routine change corrects this
9. When a field is edited in a non-verified Unit Dose order that does not
cause a new order to be created, the order was not redisplayed for
verification. This patch will cause the non-verified orders to be
redisplayed after editing a field that does not cause a new order to be
created.
 
10. When a pending Unit Dose order with a priority of STAT was displayed
on the Unit Dose profile the "->" was not shown next to the order number
identifying the order as not verified. This patch will cause the "->" to
be displayed for pending stat orders.
problem.
 
11. San Francisco reported an illegal or invalid argument at
EDIT+2^PSIVEDT. This error occurred when the Med route field was edited.
Routine PSIVEDT was changed to correct this error.
 
2. A problem was found where an Illegal Number error could occur in PSGDS0
when an Authorized Absence/Discharge Summary was generated. The error
would occur only if the patient for which the report was being generated
    • 11
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch corrects a problem where the current date/time was used to
 
3. A problem was found where a expired renewed order could be listed on
the pick list and then again if an update was run for that pick list. If a
Unit Dose order was renewed with a future start date the original order
would be shown on the pick list as expired and then again as expired if an
update was run for that pick list. This patch will cause the order to only
be listed on the original pick list.
 
4. A problem was found where the previous order number was not returned to
Computerized Patient Record System (CPRS) when a pending Inpatient Med
calculate the default start date/time when the order was speed finished by
order was edited by pharmacy during the finish process. This change will
cause the previous order number to be returned in all situations where a
new order is created due to edit by pharmacy.
 
5. This patch corrects an error which would occur when a pharmacy
supported reference call was invoked by the CPRS Graphic User Interface
(GUI). After installation of this patch the call to TERM^VALM0 will not be
performed if the call was issued by the Broker.
 
6. If the Dosage Ordered field is edited on an active order and the user
pharmacy. These changes will cause the login date/time of the first order 
just hits <RET> and didn't change the value, the order would incorrectly
be flagged as having a change and a new order would be created.  This
patch will correct this problem.
 
7. CPRS requested that the order control code be changed from OC to UR
when an order cannot be removed from hold through CPRS. This change will
allow CPRS to display the reason the action could not be taken to the
user.
selected in the group to be finished to be used instead.  
 
2. An error would sometimes occur when renewing a Unit Dose order if the
Orderable Item for the order contained a day or dose limit. These changes
will prevent the error and allow the day/dose limit entered to be used in
calculating the stop date for the new renewal order.
    • 106 SEQ #100
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
    • 108 SEQ #101
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was reported with the Automatic Pharmacy Statistics [PSU 
re-admission to the hospital via an application programmer interface (API)
to Inpatient Medications.  This patch corrects this API to only allow a
numeric value for the LAST WARD field to be passed in this API.
PBM AUTO] option receiving an undefined variable error.  The problem was
that the LAST WARD field (#68) of the UNIT DOSE multiple (#62) of the
PHARMACY PATIENT file (#55) had a text value instead of a numeric value.
The patients where the problem occurred all had been admitted to
observation and then discharged and re-admitted to the hospital.  New
functionality was added to the Computerized Patient Record System (CPRS)
to allow the orders that had been discontinued by the patient's discharge
from observation to be automatically re-instated upon the patient's later
    • 80 SEQ #102
      DATE APPLIED:   2003-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Several sites reported that the default start/stop dates for complex
informational purposes. NOIS: ATG-0202-32014, SPO-0302-51163, and
BHS-0103-10826.
 
2. The EXPIRE ALL ORDERS ON SAME DAY field (#.105) in the IV ROOM file
(#59.5) is currently not evaluated in determining stop dates for IV
orders. This patch corrects this problem by evaluating the field and
calculating the appropriate stop date.  NOIS: ISB-0502-32152.
 
3. For schedules with long intervals, such as 48 hours, there was a
problem with the calculation of the first dose when orders were entered in
orders were causing confusion. The confusion is caused by the fact that
CPRS. This caused an inconsistency between the expected first dose
displayed to the provider and the actual time the order became available
for administration. This patch corrects this problem.
NOIS: ATG-0402-31444, LOM-1201-62023, REN-1101-61894.
 
4. A site reported a problem when entering orders with an admin time of
23 and a schedule interval greater than 23 hours. The start time/expected
first dose was being changed to 24. This patch corrects this problem.
NOIS: BAY-0102-32400
 
the current stop/start dates don't reflect the duration for the order
5. A site reported a problem with the calculation of the stop date on a
renewal order. If the start date of the order was greater than the current
date, the SAME STOP DATE ON ALL ORDERS field (#.04) in the INPATIENT WARD
PARAMETERS file (#59.6) was ignored and the patient's default stop date
was calculated too far in the future. This patch corrects this problem by
changing the default stop date calculation to be based on the current
date, rather than the start date of the order. The patient's default stop
date will now be updated when an order is finished/accepted rather than
waiting until after it is verified. NOIS: CTX-0502-70557
 
entered in Computerized Patient Record System (CPRS) V. 1.0. The dates
6. E3R 12716 requested a change to the way an IV order's Stop Date is
calculated. The DAY (nD) or DOSE (nL) LIMIT field (#.05) in the PHARMACY
ORDERABLE ITEM file (#50.7) was not previously evaluated during the
calculation of an IV order's Stop Date. This patch will include this field
when calculating an IV order's Stop Date. The Stop Date will continue to
be calculated by finding the shortest duration between the appropriate
parameters contained in PHARMACY ORDERABLE ITEM file (#50.7), IV ADDITIVES
file (#52.6), and the IV ROOM file (#59.5). E3R: 12716
 
7. A site reported an intermittent problem in which Provider Comments
that reflect the duration are currently displayed on the screen as the
would incorrectly copy from one order to another during the finishing
process. This patch corrects the problem by ensuring that the order
from which Provider Comments are retrieved is the same as the order being
finished. IND-0502-41166
 
8. A site reported a problem that occurred during the finishing process.
Finishing an order with an IV Quick Code that did not contain a schedule
could cause an error, which would abruptly halt the user's process. This
patch corrects this problem.  MAD-0402-42408
 
requested dates, but they are not the defaults. This patch corrects this
9. In the past, a user was allowed to renew a Unit Dose order from the
Inpatient Medications V. 5.0 without an active Orderable Item tied to the
order. This patch will inform the user that the order could not be
renewed.
 
10. A site reported a problem with a report that displays orders verified
during a given time period. Some orders did not appear on the report due
to trailing zeroes on the DATE VERIFIED BY PHARMACIST sub-field (#141) in
the IV multiple (#100) of the PHARMACY PATIENT file (#55). This patch
corrects the problem by removing the trailing zeroes from the internal
problem by using the requested start/stop dates as the defaults for
date. NOIS: CLL-0103-40447
 
11. A site reported they were unable to discontinue IV orders from the
Computerized Patient Record System (CPRS) V. 1.0. The problem was caused
by an interaction with test patch DI*22*121. This patch will prevent the
problem from occurring. NOIS: TAM-0303-30859
 
12. During internal testing a problem was discovered with the way Nurse
Verification was recorded in the Activity Log when the verification was
done from the Computerized Patient Record System (CPRS) V. 1.0. This
complex orders, and adding the duration to the patient profile display.
patch corrects the problem by accurately recording the event in the
Activity Log.
 
13. A site reported an undefined error in the Inpatient Order Entry [PSJ
OE] option that was the result of an interaction with Class III McKesson
software. This patch corrects the problem. NOIS: MIW-0503-40707.
The system calculated dates are still displayed on the screen for
    • 104 SEQ #103
      DATE APPLIED:   2003-08-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A site reported a problem with the manual reinstatement of
 PARAMETERS] option. The default label device is not loaded from the
 IV Room that is selected for edit, it is loaded from the IV Room that the
 user enters when initially logging in. If the user does not change the
 label device, this incorrect default label device value will be stored
 with the edited IV Room. This patch corrects the problem by ensuring the
 label device and report device are loaded from the IV Room that was
 selected for edit. NOIS: CLE-0203-40814.
 
3. When a patient movement is deleted and orders are reinstated, a mail
 message is sent to a user group to inform the users of reinstated orders
 auto-discontinued inpatient IV orders. A pharmacist was not able to
 and those that were not reinstated. This patch changes the type of
 message that is sent when order reinstatement is attempted in Bar Code
 Medication Administration (BCMA) V. 2.0 from regular to priority.
 NOIS: WPB-0902-30314.
 
 4. A site reported a problem with the Inpatient Profile [PSJ PR] option.
 The Special Instructions incorrectly displayed as an internal numeric
 date. Example: Special Instructions: 3030219.204644. This patch
 corrects the problem by properly displaying the Special Instructions.
 NOIS: BAY-0203-31638.
 manually reinstate an order if the patient had an active order with the
 
 5. A site has identified a potential problem with the Barcode ID - Return
 and Destroy (IV) [PSJI RETURN BY BARCODE ID] option. It appears that this
 option is adding to the dispensed total, rather than the appropriate
 returned, recycled and destroyed totals. This patch corrects the problem
 by correctly recording the action, enabling the action to be accurately
 reported in the Drug Cost Report (132 COLUMNS) (IV)
 [PSJI DRUG COST REPORT] option. NOIS: CLL-0403-40228.
 
 6. A site reported a problem with the Scheduled Labels (IV) [PSJI LBLS]
 same IV additive. This patch corrects the problem by allowing orders
 option. The background job that prints the labels occasionally becomes
 stuck in a loop when the print process encounters a patient with active
 IV orders but no labels to print. The background job processes data and
 writes NO PIGGYBACK DATA or NO ADMIXTURE DATA to a spool file, but no
 labels print. The print process eventually must be killed. This patch
 corrects the problem by allowing the print process to generate the NO
 PIGGYBACK DATA and NO ADMIXTURE DATA messages without entering an
 infinite loop. NOIS: MEM-0403-71631.
 
 7. A site reported an error that occurred when an additive with an IV
 with duplicate additives to be reinstated manually. The software will
 Quick Code was added to an IV order that already contained multiple
 additives. This patch corrects the problem by properly processing IV
 Quick Codes when multiple additives are present. NOIS: BRX-0503-10289.
 
 8. Several sites reported the screen would hang indefinitely when trying
 to open a patient's record in BCMA V. 2.0. This patch corrects the
 problem. NOIS: PAL-1102-61818.
 
 9. A site reported a problem with additives printing on IV Admixture
 labels. Additives that were flagged to print on only one label per day
 continue to prevent orders with duplicate IV additives from being
 were printing on multiple labels each day. This patch corrects the
 problem. NOIS: NCH-0103-41471.
 
 10. A site reported that the exclamation point, which is used to flag
 Special Instructions, is not removed from BCMA V. 2.0 when a patient's
 Special Instructions are changed from flagged to not flagged.
 NOIS: CLL-0503-41858.
 automatically reinstated. NOIS: TNV-0103-31207.
 
 2. A site reported a problem with the SIte Parameters (IV) [PSJI SITE
    • 115 SEQ #104
      DATE APPLIED:   2003-09-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. Several sites have reported Unit Dose labels do not always print. The
 units. This patch will round up the units needed on the Pre-Exchange
 Report to match the format of the pick list. BRX-0503-11875.
 problem occurs during verification of Unit Dose orders from the
 Non-Verified/Pending Orders [PSJU VBW] option when pre-exchange units are
 needed. In some instances, an error was logged indicating some ward
 parameters were not defined. This patch corrects the problem by ensuring
 the labels print, and the ward parameters are defined, regardless of the
 pre-exchange needs. CLL-0703-42086 and MIW-0503-40707.
 
 2. A site reported that the Pre-Exchange Report was displaying fractional
    • 96 SEQ #105
      DATE APPLIED:   2003-09-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Reprinted IV TPN labels did not display the correct additives and 
solutions on the labels. Sometime the electrolytes tied to the 
additives/solutions were not appeared on the reprinted labels at all. 
This patch will correct this problem. NOIS: #ROS-1102-50810.
    • 109 SEQ #106
      DATE APPLIED:   2003-09-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site using the CPRS Med Order Button in Bar Code Medication 
 option. The error occurred when an update of the order was sent to the 
 Computerized Patient Record System (CPRS) V. 2.0. This patch corrects the
 problem by adding data validation prior to attempting the update. 
 NOIS: BRX-0403-11828
 
 3. A site reported an error that occurred while using the Inpatient Order
 Entry [PSJ OE] option. The error occurred when the patient profile
 attempted to access an IV order with a status of renewed and a stop date
 that had passed since the last time the order was viewed. This patch
 corrects the problem by changing the variable names to remove conflicts.
 Administration (BCMA) V. 2.0 reported a problem where the dosage ordered
 NOIS: SFC-0403-61950.
 
 4. A site reported an error that occurred while attempting to print a
 pick list. The error occurred during a cleanup of old pick list data,
 and the error message indicated the process had been locking the data as
 it cleaned it, but it did not unlock the data. This patch corrects the
 problem by ensuring the data lock is removed when it is no longer needed.
 was not displaying correctly on the order in Inpatient Medications V 5.0.
The problem occurred for orders with local possible dosages, where the
 strength and unit were defined. This patch corrects this problem by 
 sending the local possible dosage information, if available.
 
 2. A site reported receiving an error while attempting to discontinue 
 a renewal IV order from the Non-Verified/Pending Orders [PSJU VBW]
    • 116 SEQ #107
      DATE APPLIED:   2003-11-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Sites have reported problems with the way Inpatient Medications V. 5.0  
 that is associated with a non-standard schedule by displaying a warning 
 message along with the calculated frequency at the time an order is 
 finished, and when the schedule edited. NOIS PTH-0703-20552.
 interprets non-standard schedules. These schedules, which are not defined
 in the ADMINISTRATION SCHEDULE file (#51.1), may contain a pattern of 
 characters that are not always translating into the expected
 administration frequency. For example, Q9AM is translated to a schedule
 of every nine days, and a schedule of EVERY NIGHT is translated to a
 schedule of every hour. 
 
 This patch will help to clarify the actual calculated schedule frequency
    • 119 SEQ #108
      DATE APPLIED:   2003-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A site reported a problem that occurs when the pick list is sent to the 
ATC. It does not round up and the ATC will not accept fractional units so
the drug does not go to the ATC.  This patch corrects this situation by
providing an optional system parameter to allow rounding of fractional
doses before sending to the ATC.  NOIS ALT-0403-20970
    • 90 SEQ #109
      DATE APPLIED:   2004-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This project consists of 12 patches that work together to create a new
 GMPL*2*27
 GMRV*4*15
 LR*5.2*295
 OR*3*157
 PSS*1*62
 PSJ*5*90
 PSO*7*118
 PX*1*119
 RA*5*33
 YS*5.01*77
Clinical Reminders index global. The purpose of this index is to provide
 
 The purpose of this patch (PSJ*5*90) is to lay the groundwork for these 
 changes by modifying the Inpatient Medications V. 5.0 routines to set the
 cross-references to create the new indices if PXRM*1.5*12 has been
 installed. If patch PXRM*1.5*12 has not been installed the index will not
 be built.
 
 This patch can be installed independently of the other patches. The 
 documentation describing the new functionality will be available when all
 associated patches are released.
rapid access to clinical data. All of the standard Clinical Reminders
finding types are included in the index.
 
The 12 patches that comprise this project are:
 
 PXRM*1.5*12
 DG*5.3*478
    • 14
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is designed to make use of the Application Programmer
Interfaces (APIs) provided by the National Drug file (NDF) application.
    • 117 SEQ #110
      DATE APPLIED:   2004-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A site reported a problem with the DOSAGE field (#120) in the UNIT DOSE
multiple (#62) of the PHARMACY PATIENT file (#55) not being deleted when
an orderable item is changed. This patch corrects this problem by 
removing the data when the orderable item is changed.  NOIS UNY-0603-10652
    • 118 SEQ #111
      DATE APPLIED:   2004-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Site reported a problem with the display of flagged pending IV order with
no additive in the profile view. This patch corrects this problem by
appropriately displaying the flag for pending IV orders with no additive.
(NOIS: MAR-0703-21163)
    • 107 SEQ #112
      DATE APPLIED:   2004-05-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Joint Commission for Accreditation of Healthcare Organizations (JCAHO)
2. To accommodate Billing Awareness, it was necessary to modify the 
communication between CPRS and Outpatient Pharmacy V. 7.0 to include 
new diagnosis codes. Inpatient Medications V. 5.0 routes all pharmacy
orders to the appropriate package. This patch makes the changes necessary 
to pass the new diagnosis codes to the appropriate package.
requires that patients' use of Over-The-Counter (OTC) medications, Herbal
supplements, medications prescribed by Veterans Health Administration 
(VHA) but purchased by the patient at an outside pharmacy, and medications
prescribed by providers outside VHA be documented in patients' medical
records. These four categories of medications will hereafter be referred
to as Non-VA Meds. This patch makes the changes necessary to Inpatient 
Medications V. 5.0 to support Non-VA Meds.
    • 123 SEQ #113
      DATE APPLIED:   2004-07-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
         The inclusion of a non-standard variable (&) in the Medication Schedule
   resulted in errors when the Bar Code Medication Administration 
   Contingency program decoded the Inpatient Medications HL7 messages.
   This patch modifies these messages utilized by the BCMA Contingency to
   send administration time in another message segment.
   NOIS NJH-1203-21889
    • 103 SEQ #114
      DATE APPLIED:   2004-09-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Modifications are being made to Inpatient Medications V. 5.0 to no 
NON-STANDARD SCHEDULES IN QUICK CODES, NON-STANDARD SCHEDULES IN ORDER
SETS and NON-STANDARD SCHEDULE IN ORDERABLE ITEMS. The search routine can
be run multiple times. This can be used to help show the progress being
made in correcting issues. In addition, the report will show active orders
in the search period. Please note: the default schedules in the PHARMACY 
ORDERABLE ITEM file (#50.7) are for both inpatient and outpatient orders.
 
2. Based on the upcoming requirement from the Joint Commission on 
Accreditation of Hospital Organizations, schedule names that are
considered dangerous will no longer be allowed. This patch provides a 
longer allow non-standard schedules to be used. This patch provides a 
menu option to allow users to identify schedules that are considered 
dangerous. This option will search through Order Sets, Quick Codes, the 
ADMINISTRATION SCHEDULE file (#51.1), the PHARMACY ORDERABLE ITEM file 
(#50.7) and all orders for the timeframe specified by the user. The person
running the option will receive a series of email messages identifying the
dangerous schedules. The email message subjects will be: DANGEROUS
SCHEDULES IN 51.1, DANGEROUS SCHEDULES IN ORDERS, DANGEROUS SCHEDULES IN
QUICK CODES, DANGEROUS SCHEDULES IN ORDER SETS and DANGEROUS SCHEDULES IN 
ORDERABLE ITEMS.
 
menu option to allow users to identify non-standard schedules
3. To facilitate the iterative process of running the search and report 
multiple times, two new options are being added to the system. They are 
the Non-Standard Schedule Search [PSJU NSS SEARCH] option and the
Non-Standard Schedule Report [PSJU NSS REPORT] option. 
that are currently in use. This option will search through Order Sets,
Quick Codes, the ADMINISTRATION SCHEDULE file (#51.1), the PHARMACY 
ORDERABLE ITEM file (#50.7) and all orders for the timeframe specified by
the user. The person running the option will receive a series of email
messages identifying the non-standard schedules. The email message
subjects will be: ADMIN SCHEDULES, ADMIN SCHEDULES NOT IN 51.1,
    • 110
      DATE APPLIED:   2004-10-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Phase I of the Inpatient Medications Requirements for the Special Focus
      OR*3*213   ORDER ENTRY/RESULTS REPORTING V. 1.0
      PSU*3*34   PHARMACY BENEFITS MANAGEMENT V. 3.0
 
 Patches PSS*1*79, OR*3*213, and PSU*3*34 contain changes to support the
 following enhancements in PSJ*5*110:
 
 1. The Extend Stop Date on Renewal enhancements will allow an order to be
 renewed without creating a new order. Editing of the start date will no
 longer be allowed during the renewal process. In addition, limits have
 been set on the length of time after an order expires that it may be
 Group IRA project consists of four patches. The patches are combined in
 renewed. This is outlined in the BCMA 2001 Special Focus Report,
 Requirement #11.
  
 2. The Complex Order enhancements will change the way complex orders are
 handled by linking complex components (child orders) together. If the
 actions Finish, Verify, Discontinue, or Renew are taken on one child
 order, the user will be alerted that the action must be taken on all of
 the complex component orders in the set. The user will then be prompted
 to take the appropriate action on each child order in the complex order
 set. This is outlined in BCMA 2001 Special Focus Report, Requirement #8.
 host file PSJ_PSS_OR_PSU_110.KID in order to simplify installation at VHA
 
 3. The STAT and NOW Order Notification enhancements will alert users
 subscribing to new mail group PSJ STAT NOW PENDING ORDER when a pending
 STAT or NOW order has been received from Computerized Patient Record
 System (CPRS) V. 1.0. Users subscribing to the new mail group PSJ STAT
 NOW ACTIVE ORDER will receive an alert when a STAT or NOW order is made
 active. This is outlined in BCMA 2001 Special Focus Report, Requirement
 #12.
 
 PSJ*5*110 contains repairs for the following defects:
 facilities. Installation of this host file should be coordinated among
 
 1. A site reported a problem with the non-standard schedule messages that
 display in the order view and during finishing. IV orders with Pro Re
 Nata (PRN) schedules displayed the messages but Unit Dose orders with PRN
 schedules did not. This patch corrects the problem by including the base
 PRN schedule in the non-standard check and making Unit Dose and IV orders
 consistent. NOIS: MIN-1203-40699.
 
 2. A scheduled IV order could be created without a schedule interval when
 created using an IV quick code with a schedule and admin times, but no
 the four packages affected since only one installation is necessary. The
 infusion rate. In this scenario, if an infusion rate is then entered
 during the finish process, the order is filed with no schedule interval,
 which is necessary to calculate when doses are due.
 NOIS: SFC-0603-61122.
 patches, in order of install, are:
 
      PSS*1*79   PHARMACY DATA MANAGEMENT V. 1.0
      PSJ*5*110  INPATIENT MEDICATIONS V. 5.0
    • 111
      DATE APPLIED:   2005-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Inpatient Medication Orders for Outpatients project will allow a
 
3. Drug selection lookup was using an old cross reference.  This patch
corrects the program to use the correct one. NOIS: ISB-0803-30450
 
4. To accommodate Billing Awareness, it was necessary to modify the
communication between CPRS and Outpatient Pharmacy V. 7.0 to include
new diagnosis codes. Inpatient Medications V. 5.0 routes all pharmacy
orders to the appropriate package. This patch makes the changes necessary
to pass the new diagnosis codes to the appropriate package.
 
user the ability to order unit dose medications for outpatients. This is
5. A provider entering an order into Computerized Patient Record System
(CPRS) V. 1.0 must be permitted to place a limitation on the duration of
an inpatient medication order. This capability exists for Unit Dose orders
and Inpatient IV orders, but not for IV Fluid orders. This patch makes
the change necessary to receive a duration or dosage limit on an IV Fluid
order placed in CPRS. The limitation will be in hours, days, milliliters,
or liters.
 
6. A site reported a problem with the default start date and time for
orders created between 11pm and midnight. The default start date for these
accomplished through modifications to Inpatient Medications V. 5.0,
orders may default to 11pm the following day. This patch corrects the
problem by calculating and displaying the correct default start date and
time. NOIS: BRX-0803-12080.
 
7. Two sites reported a problem with IV labels not printing correctly with
Day-of-Week schedules that had Sunday in the list. This patch corrects
this problem. NOIS: PHO-0903-60884, MIN-1003-41071 and MIN-0204-41197.
 
8. A request was made to modify the Non-Verified/Pending Orders option 
[PSJU VBW] to show the clinic for Outpatient IV orders. This patch makes 
Computerized Patient Record System (CPRS) V.1.0 and Scheduling V. 5.3.
this modification. E3R: 17357
 
9. A description has been added to the ACX cross-reference in the ORDERS
FILE PARENT ORDER field (#125), in the NON-VERIFIED ORDERS file (#53.1) 
at the request of the database administrator.
 
10. A site reported a problem with the display of dosage information 
under certain circumstances. Specifically, there was no  spacing between 
the number and the dosage form. This patch works with changes in Pharmacy 
Data Management V. 1.0 to correct this problem. NOIS: BRX-1004-10173 and 
This patch provides the changes for Inpatient Medications.
SFC-1003-62552
 
11. To accomodate the Scheduling Encapsulation project, a change has been
made to the retrieval of appointment information. When a specific error
code is returned, the following message will display in place of the
appointment: "Scheduling database is unavailable". NOIS: ISB-0903-31960
 
12. A site reported that the finishing pharmacist is incorrectly saved as
the provider when the SF - Speed Finish action is used to finish a pending
renewal order. This patch corrects the problem by saving the provider 
 
that renewed the order with the finished and verified order. 
NOIS: AMA-1004-71742 and CPH-1004-41922
 
13. Orders with Day of Week (DOW) schedules may be created with an 
inappropriate dose frequency which prevents the scheduled doses from 
appearing on the Virtual Due List (VDL) in Bar Code Medication 
Administration (BCMA) V. 3.0. A frequency value appropriate for DOW 
schedules will be stored for orders containing this type of schedule to 
ensure they display correctly in BCMA. NOIS: HIN-0503-41736
 
2. Provider Comments are not being saved with active IV orders. This patch
14. Orders created in CPRS V. 1.0 between 2300 and 2400 may, during the 
finishing process, incorrectly default to a start date and time that is 24
hours later than the correct default start date and time. Orders created 
between 2300 and 2400 will now default to the correct start date and time.
NOIS: PAL-1203-62062.
corrects this by saving Provider Comments when IV orders become active.
NOIS: ASH-0803-31967, ERI-0303-20187 and ISB-0702-30889.
    • 127 SEQ #117
      DATE APPLIED:   2005-02-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A site reports that when a nurse verifies a renewed order, the nurse's
 by removing the original order's verifying pharmacist from the copied
                               This cross reference is created each time a
                               component of a complex order, or child
                               order, is received from CPRS.  This cross
                                reference will not be created for orders
                               with a schedule of NOW, effectively
                               disassociating the NOW order from the other
                               child orders in the complex order.
 order. NOIS# CLA-1004-22199
 
 3. A site reports that after discontinuing a complex IV order, a user 
 may be prevented from creating a new IV order until first exiting and 
 then returning to the option. The software treats the new IV order like 
 a complex order and prevents entry of some required fields. This patch 
 corrects the problem by improving the check that determines whether or 
 not the current order is a complex order. NOIS# SAG-1004-41795.
 
 initials do not consistently appear in BCMA. This patch corrects the
 4. When using the SF (Speed Finish) action to finish pending renewal
 orders in the Unit Dose Order Entry [PSJU NE] option, the name of the 
 finishing pharmacist is incorrectly saved as the provider for the order.
 This patch corrects this problem by properly saving the ordering provider
 with the order when SF (Speed Finish) is used. NOIS# AMA-1004-71742.
 
 5. When a component, or child order, of a complex order is created from  
 Computerized Patient Record System (CPRS) V. 1.0 with a schedule of NOW 
 and NOW does not exist in the ADMINISTRATION SCHEDULE (#51.1) file, the 
 order does not appear in the patient's profile in Inpatient Medications 
 problem by saving the verifying nurse information if the nurse 
 V. 5.0. This patch corrects the problem by ensuring child orders with a 
 schedule of NOW appear in Inpatient Medications V. 5.0.
 
 6. Renewed Unit Dose orders do not appear on the updated pick list
 printed using the Update Pick List [PSJU PLUP] option. With this patch
 renewed orders will appear on the updated pick list when appropriate.
 NOIS: NCH-1104-40147
 
 7. When finishing a complex order that was renewed from CPRS, there is a
 prompt for Pre-Exchange Doses, but there is no prompt to print the
 verification occurred after the renewal action. NOIS# NCH-1004-40487.
 Pre-Exchange Report. A prompt has been added to allow the Pre-Exchange
 report to be printed for renewed complex orders. NOIS: MAR-1004-21942.
 
 8. The SF Speed Finish action in the Unit Dose Order Entry [PSJU NE]
 option prompts for Pre-Exchange Doses, but there is no prompt to print
 the Pre-Exchange Report when finishing a pending renewal order. A prompt
 has been added to allow the Pre-Exchange Report to be printed for orders
 that are finished using the SF Speed Finish action. NOIS: CLE-1004-42151.
 
 9. The initial label printed for renewed continuous IV orders indicates
 
 it is due at the date and time that the order was renewed, rather than
 at the next scheduled infusion date and time. With this patch, the first
 label printed for this type of order will be due at the next scheduled
 infusion date and time. IND-1104-40485.
 
 10. After finishing IV scripts, the user is prompted for the number of
 labels to print.  The label print code does not limit the user input, so
 if the user enters an excessive number of labels, then this can lead to
 system performance problems.  This patch will apply the limit of 99
 labels at the number of labels prompt. SFC-0603-61734.
 2. A site reports that IV orders copied using the CO (Copy) action in
 
 11. Complex Orders are not showing on the VDL in BCMA when the order
 initially contains a schedule without a frequency, regardless of edits
 made during finishing. With this patch, the schedule changes made during
 finish will update the complex orders schedule frequency, enabling the
 orders to display in BCMA at the appropriate times. SBY-1104-31772
 
 12. The stop date of a pending renewal order containing a non-standard
 schedule and an orderable item with a day/dose limit cannot be edited
 until after the order is made active. Also, Schedule Type and Unit
 Inpatient Medications V. 5.0 retain the original order's verifying 
 Per Dose edits made during finish of a pending renewal are not applied
 when the order is made active. With this patch, changes made to these
 fields during the finish proces will be applied to the active order.
 ERI-1204-20679
 
 13. One-time orders that are not part of a complex order may be renewed
 from CPRS V.1.0, even after they are given. This patch will prevent this
 problem by preventing all non-complex one-time orders from being renewed.
 Restriction of the renewal of complex one-time orders will be addressed
 in a future CPRS V.1.0 patch. PSI-04-056.
 pharmacist, so that an unverified copied IV order may incorrectly appear
 
 14. This patch modifies the Data Dictionary of the NON-VERIFIED ORDERS
 FILE (#53.1) for the ORDERS FILE PARENT ORDER field (#125). The change
 removes Inpatient Medications from the process of stripping NOW orders
 from Complex Orders. This process is handled exclusively by CPRS.
 
 53.1,125     ORDERS FILE PARENT ORDER .2;8 POINTER TO ORDER FILE (#100)
 
 
 
 to have been verified by a pharmacist. This patch corrects the problem 
              LAST EDITED:     DEC 13, 2004
              HELP-PROMPT:     Enter the parent order, if this order is
                               its child order.
              DESCRIPTION:     This is the parent of a CPRS order that
                               may have a parent/child relationship in
                               CPRS.
 
             CROSS-REFERENCE:  53.1^ACX
                               1)= S ^PS(53.1,"ACX",$E(X,1,30),DA)=""
                               2)= K ^PS(53.1,"ACX",$E(X,1,30),DA)
    • 128 SEQ #118
      DATE APPLIED:   2005-04-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. PHO-0803-61519  If finishing an order as a syringe and the volume is
    strength calculation if the value is less than zero(0).  A change
    has also been made during the entry process of strength to add a
    leading zero(0) if the user does not.
    less than 1ml, when entering the decimal it will not allow a leading
    zero(0).  The correction for this problem will allow the input of a
    leading zero(0).  If the user does not enter a leading zero(0), the
    software will add it.
  
 2. HEH-1004-40163  When pharmacy prints a label for a TPN order mix, the
    leading zero(0) in 0.5 GM of magnesium sulfate does not print.  The 
    correction for this problem will add the leading zero(0) to the
    • 132 SEQ #119
      DATE APPLIED:   2005-04-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch fixes the 5 missing Pharmacy Intervention menu selections and 
allows output to P-MESSAGE from routine PSGDCTP.
    • 10
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported with the LABEL PRINTER field (#.07) in the
Lists will not be sent correctly to the ATC device.  
 
This patch will create and populate new fields that are Pointer data types
by converting the old device names stored in the old fields to their
internal entry values in the DEVICE file (#3.5).  This will permit the
device names to be changed without any disruption to the printing of
pharmacy labels.  
 
2. A change to address NOIS WNY-0197-12396 was not included in version
5.0.  The ATC-212 device will hang if an 'ON CALL' order is sent to it.
INPATIENT USER PARAMETERS file (#53.45), WARD LABEL PRINTER field (#.13)
This was reported in NOIS WNY-0598-10164.  This patch will make the
correct change to routine PSGTAP1 and PSGPLR.
and PHARMACY LABEL PRINTER field (#.14) in the INPATIENT WARD PARAMETERS
file (#59.6), and the BAXTER ATC DEVICE field (#30) in the WARD GROUP file
(#57.5).  These fields store the name of entries in the DEVICE file
(#3.5).  The fields currently have the data type of Free Text.  This
causes problems if the device name is ever changed in the DEVICE file
(#3.5).  Until the new name is entered into these fields in the Inpatient
Medications package, the pharmacy order labels will not print or Pick
    • 125 SEQ #120
      DATE APPLIED:   2005-04-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. CON-0404-10937  Site reported dispensing a ONE TIME unit dose
    maintain the schedule from the start date.
    medication as a Pre-Exchange dose, the medication also showed up on
    the following PICK LIST requesting a dose-to-dispense of one (1)
    instead of zero (0).  This patch will determine if the SCHEDULE TYPE
    is ONE-TIME and if a dosage was dispensed as PRE-EXCHANGE and not
    request a dosage on the PICK LIST.
 2. PHO-1204-60861  Renewal of QOD (every other day) schedules causes the
    Pick List to restart the QOD schedule from the renewal date instead 
    of the start date.  This routine change will cause the Pick List to
    • 131 SEQ #121
      DATE APPLIED:   2005-05-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Currently the printed MAR does not show that an Inpatient Medication is
 on hold.  This patch will update the 14 day, 7 day, and 24 hour MAR
 reports to display "hold" on the report in place of the admin time.
 This change will affect the following options:
 PSJU 14D MAR - 14 Day MAR
 PSJU 7D MAR - 7 Day MAR
 PSJU 24H MAR - 24 Hour MAR
    • 112 SEQ #122
      DATE APPLIED:   2005-05-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A request has been made to allow sites to define inpatient orders for 
   to the CLINIC DEFINITION file (#53.46).
c. Remove the Clinic Stop Dates option [PSJ CSD].
d. Add the Clinic Definition option [PSJ CD].
 
2. A problem was reported with inpatient orders for outpatients 
displaying in the incorrect display group on the Orders tab in the 
Computerized Patient Record System (CPRS) V. 1.0. This patch corrects this
problem by modifying the HL7 messaging as well as the order editing 
process to correctly define the appointment date and time for the
inpatient order.
outpatients' behavior on a clinic-by-clinic basis. The two changes would 
 
3. It was discovered during internal review that the STAT NOW MAIL GROUP 
field (#5) of the INPATIENT WARD PARAMETERS file (#59.6) had been omitted 
from the appropriate distribution. This patch corrects this problem by 
exporting the field.
 
4. A problem was identified with the display order on the meds tab in 
CPRS. The problem was related to information being passed from Inpatient 
Medications V. 5.0 to identify inpatient orders for outpatients. This 
patch corrects this problem by modifying the data pass to CPRS.
add the ability to control auto-dc of orders and whether or not they
NOIS: WAS-0205-20562
appear in the Bar Code Medication Administration V. 3.0 package. This
patch helps to accomplish this goal by doing the following:
 
a. Rename the CLINIC STOP DATES file (#53.46) to be the CLINIC DEFINITION 
   file (#53.46).
b. Add the AUTO-DC IMO ORDERS field (#2) and the SEND TO BCMA? field (#3)
    • 124 SEQ #123
      DATE APPLIED:   2005-06-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. TNV-1104-30671  Pharmacy is reporting that they do not see the
    "Patient Record Flags" when using the Inpatient Pharmacy option
    "Inpatient Order Entry [PSJ OE]".  This patch will add a 
    reference to DISPPRF^DGPFAPI that is designed to display the
    "Patient Record Flags".
    • 136 SEQ #124
      DATE APPLIED:   2005-06-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       PSI-04-061: Expected First Dose
 Start Date, Stop Date and/or Admin Times fields are edited.  During the 
 edit process it is possible to edit one or all of these fields in any 
 order.  This could cause the "Expected First Dose" to be displayed 
 multiple times.  This will be handled by determining the last field
 that was edited and displaying the "Expected first dose" only after that
 field.
 
 
 PSI-04-071: Provider Comments Display
 -------------------------------------
 -------------------------------
 When the pharmacist is presented with the question to "Copy provider 
 comments", the provider comments do not appear on the screen.  A change
 will be made to display the provider comments prior to asking the  
 question "Copy the Provider Comments into Special Instructions?".
 
 
 PSI-05-005: Administration Time being over written on child orders
 ------------------------------------------------------------------
 When finishing a renewed complex order from Inpatient Order Entry [PSJ 
 OE] option, the administration times for the second and subsequent child 
 During order entry in CPRS the provider is presented with the "Expected 
 orders in the series are changed to the administration time of the first 
 order in the series. A change will be made to preserve the 
 administration time for all orders within a complex order.
 First Dose" for the order.  The Pharmacist's have requested that the 
 "Expected First Dose" be displayed in Backdoor pharmacy when Start Date, 
 Stop Date and Admin Times are entered or edited.
 
 This change will require the "Expected First Dose" to be displayed after 
 the Stop Date is entered in New or Renewed orders as well as when the
    • 126 SEQ #125
      DATE APPLIED:   2005-06-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Upon installation of this patch, the following Inpatient 
Medications corrections will occur:
 
 
 
1. A null subscript error (due to undefined variable) will
   not occur when pick list cross references are killed.
2. The word 'domiciliary' will be spelled correctly in the
   PSJI Site Parameters option.
    • 133 SEQ #126
      DATE APPLIED:   2005-07-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A site reported an error that occurred during Speed Finish of pending 
 day-of-week schedules.
 
 3. An undefined error may occur when viewing a pending IV renewal order
 from the Medications Tab in Computerized Patient Record System (CPRS) V.
 1.0. This patch will correct the problem by preventing the error from
 occurring. MIN-1204-41611.
 
 4. When renewing an Inpatient IV order from the Inpatient Order Entry
 [PSJ OE] option, an edit to the Provider is not reflected in the order
 when viewed from CPRS V.1.0. This patch will correct the problem by
 renewals orders. The error occurred after an unsuccessful lock of the
 ensuring the updated provider information is transmitted to CPRS V.1.0.
 IND-0105-40153.
 
 5. There is no prompt for output device for the PRE-EXCHANGE UNITS REPORT
 after copying a Unit Dose order using the CO Copy action in Inpatient
 Order Entry [PSJ OE] option. This patch will add a device prompt for the
 Pre-Exchange Units Report to the Unit Dose copy action. HWH-1204-41654.
 
 6. When finishing a pending unit dose renewal order, the default 
 administration times associated with the administration schedule will 
 original renewed order. This patch will prevent this error by ensuring a 
 always default into the order, overwriting the order's existing
 administration time. With this patch, renewal orders will retain the
 original order's administration times. BHS-0105-10562.
 
 7. When the schedule type is edited during the finish of a unit dose
 order that was renewed from CPRS V.1.0, the order appears twice in the
 Patient Profile (Unit Dose) [PSJU PR] option. This patch corrects the
 problem by removing the display associated with the previous schedule
 type before adding the display associated with the new schedule type.
 FRE-0105-60387, MAC-0205-61020.
 graceful exit when a lock is not successful. CLE-1204-41459
 
 8. Multiple identically named schedules in the ADMINISTRATION SCHEDULE
 file (#51.1) may cause an invalid schedule warning message to appear
 inappropriately. This patch corrects the problem by preventing the
 invalid warning message from appearing if the schedule name is defined in
 the file, even if duplicates are present. HD0000000085881.
 
 9. A non-standard Day of Week schedule entered without administration
 times using the schedule builder in CPRS V. 3.0 may default to a
 different schedule in Inpatient Medications V. 5.0 if the non-standard
 
 schedule is a partial match to a unique Day of Week schedule in the
 ADMINISTRATION SCHEDULE file (#51.1). For example, if the non-standard
 schedule SU-MO-TU-WE is entered without admin times using the CPRS V.
 3.0 schedule builder, and the schedule SU-MO-TU-WE-TH@09 exists in the
 ADMINISTRATION SCHEDULE file (#51.1), and there are no other schedules in
 the ADMINISTRATION SCHEDULE file (#51.1) that begin with SU-MO-TU-WE, the
 order's schedule will default to SU-MO-TU-WE-TH@09 when the order is
 selected for finishing.  HD0000000087120, PSI-05-025.
 
 10. A non-standard Day of Week schedule entered using the schedule
 2. The administration schedule validation process causes an error if a 
 builder in CPRS V. 3.0 defaults to the wrong Expected First Dose if the
 schedule is a partial match to exactly one schedule in the ADMINISTRATION
 SCHEDULE file (#51.1), and that schedule that was found contains an
 administration time. HD0000000087028 PSI-05-026.
 day-of-week PRN schedule is used that contains days that are out of 
 order, for example, "WE-MO PRN". This patch will prevent this error and 
 make the validation of this type of schedule consistent with non-PRN
    • 144 SEQ #127
      DATE APPLIED:   2005-08-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       HD0000000086717 - Multiple active Orders Appearing in BCBU
 records as "Pending" until all child orders are verified.  Then a final 
 HL7 transaction will be sent telling the BCBU that the entire order has 
 been verified.
 ----------------------------------------------------------
 A problem has been identified that will cause the BCBU to contain
 multiple active orders for the same order.  This issue happens in the
 PSJ OE (Inpatient Medications) option.  After a pharmacist finishes and
 accepts a complex order, then edits and verifies each order in sequence,
 multiple HL7 records are sent to the BCBU signifying the order has been
 verified.  The BCBU should only receive 1 record signifying the order is
 verified.  This patch will modify this behavior by sending the HL7
    • 135 SEQ #128
      DATE APPLIED:   2005-09-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The "undefined variable DIFLD(1)" error is being caused by the
    
This patch changes the routines so that they use the
DBS FILE^DIE function that is designed to be used recursively
and within FileMan cross references.
recursive use of the ^DIE call in a FileMan cross reference.
The "DATE OF DEATH" field of the "PATIENT" file triggers many
cross reference procedures and routines.
    
The purpose of this patch is to make changes to the Inpatient
Medications routines associated with the "DATE OF DEATH" APSJD
cross reference.  There are six tag/program locations that
use the ^DIE call when this cross reference is triggered.
    • 139 SEQ #129
      DATE APPLIED:   2005-09-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       HUN-1003-22262 - Med Order Button
 ---------------------------------
 While testing CPRS V25, it was discovered that not all Allergy checks
 were being displayed.  This could occur if there were multiple VA DRUG
 CLASS entries entered for a patient.  A change will be made to loop all
 VA DRUG CLASS entries for the patient to correctly identify potential
 drug allergies.
 
 
 PUG-0205-50079 - Report printer length
 --------------------------------------
 ---------------------------------
 There is an inconsistency between the length of the IV ROOM (59.5) file
 fields LABEL DEVICE (13) and REPORT DEVICE (14) and the corresponding
 entry in the DEVICE (3.5) file.  The IV ROOM fields only allows 20
 characters and the DEVICE file allows 30 characters.  The IV ROOM file
 fields LABEL DEVICE and REPORT DEVICE will be changed to allow 30
 characters.
 If a nurse enters an order via the Med Order Button on the BCMA
 application, and this is the only order for that patient, the order
 will not show up on the Non-Verified/Pending Order (PSJU VBW) option if
 selected by Group, Ward or Clinic. This patch will resolve this issue.
 
 
 ERI-0205-20902 - Allergy Checking
    • 17
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds functionality requested in E3R #9551.    
* A mail group named PSJ-ORDERS REINSTATED is created by the patch KIDS
build.  The members of this mail group should be providers, nurses,
pharmacist, etc. who need to know that the patient's medication orders
have been automatically reinstated.  
 
*  When the medication orders are automatically reinstated due to deletion
of a patient movement, a mail message will be sent to the PSJ-ORDERS
REINSTATED mail group.  
 
*  The mail message will contain the patient's name, last four digits of
 
the patient's social security number, current ward location, reason the
orders were reinstated, and a list of orders that were reinstated. The
orders will be listed in the mail message in exact format as a patient
profile.
When the Patient Information Management System (PIMS) deletes a patient
movement, the medication orders that were discontinued due to the deletion
are automatically reinstated.  A mail message will be sent to notify
affected parties that a patient's medications have been reinstated.
Inpatient Medications V. 5.0 has been modified to include this
functionality.
    • 137 SEQ #130
      DATE APPLIED:   2005-09-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. From NOIS call BED-1004-10719, Regarding the reinstated 
    medications notification email message, "It doesn't look
    like the ordering clinician gets any notification."  This
    patch will add the ordering physician to the list of
    email recipients.
    
 2. BAY-0205-30845, Syntax Error at WRD+1^PSIVRNL.
    This patch will correct the syntax error included in this
    routine.
    • 140 SEQ #131
      DATE APPLIED:   2005-11-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       HD0000000086021 - IV Renewal Issue
 HD0000000068894 - PSJOE Error
 -----------------------------------
 The following error has appeared in the error trap at various sites:
 
 <UNDEFINED>DISACTIO+36^PSJOE
 
 This patch will resolve this issue by re-initializing the variable in
 question.
 -----------------------------------
 When finishing a renewed IV order via Inpatient Order Entry [PSJ OE]
 it is possible to enter the same stop date as the original for
 the renewed order.  This will cause the database to improperly
 index the renewal.  This causes the wrong number of labels to print as
 well as not printing this order on the Ward List report. This patch
 will resolve this issue by correcting indexing the renewal.
    • 151 SEQ #132
      DATE APPLIED:   2005-11-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
        * WARNING - Prior to installing this patch, please check for local Class
    correction locks the newly created order until the pharmacist has
    completed editing.
    III modifications that may be overwritten upon installation. Failure
    to reinstall Class III modifications after installation of this patch
    may prevent the Class III changes from functioning properly.
 
 1. When finishing a CPRS-entered IV Medication order, if the user
    makes a change to the order that causes a new order to be created,
    the new order is not locked and allows the provider to change the
    order while the pharmacist is still working on the order. The
    • 147 SEQ #133
      DATE APPLIED:   2005-11-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. When a provider enters an IV order and the Pharmacist finishes the
    screen captures that the pharmacist was using lower case.  The system
    responded differently because of the lower case letters.  The changes
    included in this patch will cause the system to function equally for
    upper and lower case letters in the standard VISTA operation.
    order and tries to delete an additive and make changes in the solution
    field the additive shows as deleted. When the order is accepted, the
    order re-displays shows with the same additive that was deleted.  This
    correction makes the needed code changes so that the deleted additive
    will actually be deleted as requested.
 
 2. The pharmacist is unable to edit the solution field of a newly entered
    TPN order.  It was noted in the original NOIS report and supporting
    • 142 SEQ #134
      DATE APPLIED:   2005-11-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. When finishing a CPRS-entered order for a syringe, if the user
    trigger to the picklist.
    indicates "NO" at the intermittent syringe prompt, the syringe 
    size field is required and causes a loop back to the patient's
    profile if it is not filled in.  This patch will allow the user
    to "carriage return" past the SYRINGE SIZE prompt and continue
    finishing the order.
 
 2. Currently when field "(12) Dispense Drug" of an order is edited an
    updated picklist is not triggered.  This change will cause an update
    • 153 SEQ #135
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. PSI-05-062:  When the site has the Inpatient Medication site parameter
    DATE/TIME" and correctly calculate the default stop date for the 
    first order.
    "SAME STOP DATE ON ALL ORDERS:" set to "YES", and the patient's 
    "DEFAULT STOP DATE/TIME" is set to TODAY.  When a physician "RENEWS" 
    orders, the default stop date gets calculated as TODAY for the first
    order.  The patient's "DEFAULT STOP DATE/TIME" is extended when the
    first order is accepted and the default stop date for following orders
    is calculated correctly.
 
    This patch is designed to extend the patient's "DEFAULT STOP
    • 130 SEQ #136
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      In support of the Decision Support System (DSS) FY2006 Extract
verified by a nurse or if that is not present, the login date of the 
order.
Enhancement project two changes have been requested in Inpatient
Medications V. 5.0.
 
First, add the order number to the list of data being sent to DSS Extracts
V. 3.0.
 
Second, add the IV room and order date to the list of data being sent to 
DSS Extracts V. 3.0. The order date will be the date the order was
    • 163 SEQ #137
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
    • 149 SEQ #138
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
           This patch addresses two separate issues.  In the first issue,
     the original order to be discontinued, backdoor currently will.
     if the ward group or ward location is not properly defined, or
     if the administration team is not properly defined, patients and
      or medications can be left off of the Action Profile-2 Report
     [PSJU AP-2].
  
     The second issue addressed by this patch will make CPRS and backdoor
     pharmacy function consistently with respect to discontinuing an
     original order while it has a pending renewal.  CPRS will not allow
    • 129 SEQ #139
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. When finishing a pending renewal order, if the order is edited
 
 2. Updated pick lists display doses for renewed orders that may already
 have been dispensed prior to the renewal. With this patch, doses for a
 renewed order will appear on the pick list update beginning with doses
 due after the latter of the renew date and the order's stop date prior
 to renewal. TNV-0205-31276.
 such that the number of dispense drugs associated with the order after
 verification is less than the number of dispense drugs associated with
 the order prior to renew, an index used by the pick list incorrectly
 retains entries associated with the old dispense drugs. This may cause
 problems with pick lists and extracts. With this patch, the correct
 number of dispense drugs will be stored with renewal orders for which the
 number of dispense drugs was reduced during the finish of the order.
 AMA-1204-71370.
    • 18
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Inpatient Medications has been requested to send the clinic location's
Internal Entry Number (IEN) to Decision Support System (DSS) along with
the IV data currently sent.  DSS loads this data into a DSS file for later
extract to the vendor.  With this change, Inpatient Medications V.5.0 will
prompt for the CLINIC LOCATION for Outpatient IV orders enter from the
Inpatient Medications package.  The clinic location will be stored in
Inpatient Medications and Order Entry/Results Reporting (OE/RR) packages.
    • 146 SEQ #140
      DATE APPLIED:   2006-01-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds the capability of doing order checking between local VA 
facilities and remote VA or Department of Defense (DoD) facilities where 
veterans have received prescriptions.
 
The order checking includes checking for duplicate drugs, duplicate drug 
classes, drug interactions, and drug allergies.
    • 150 SEQ #141
      DATE APPLIED:   2006-02-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      It has been discovered that the Extra Units Dispensed [PSJU EUD] option
was not communicating properly with the ATC machine after the 
installation of CPRS version 25.  This patch will resolve this 
communication issue.
    • 138 SEQ #142
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. An undefined variable error occurs when an attempt is made to print a
 is edited, administration times and schedule frequency from the new
 schedule do not default into the copied order. This patch corrects this  
 issue by using the administration times and schedule frequency from the 
 newly entered schedule. 
 HD0000000102178 
 
 3. When changing an IV order's schedule from a continuous schedule to a 
 one-time schedule with no frequency defined in the ADMINISTRATION 
 SCHEDULE file (#51.1), the order's schedule interval is not updated, 
 resulting in the order's IV labels printing based on the frequency of
 MAR label for a non-verified order. The error occurs when the software
 the original schedule. For example, if an IV order's schedule is changed 
 from Q6H to ONCE, IV labels will continue to print based on the Q6H 
 schedule, or 4 labels per day. This patch will require an order's 
 schedule interval to be updated with the frequency from the new schedule.
 HD0000000092412
 attempts to retrieve clinic appointment information from the non-verified
 order. Once the order is verified the MAR label prints without producing
 the error. This patch corrects this issue by correctly processing
 non-verified orders without appointment information.
 HD0000000068851
 
 2. Immediately after copying a unit dose order, if the order's schedule
    • 152
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The addition of two new DRUG UNITS to the Inpatient Medication IV
    package has been requested.  The two requested units are MG-PE and 
    NANOGRAM.
    • 155 SEQ #144
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       HD0000000106439 - Non-Verified Pending Report showing patients at the
 ------------------------------------------------------------------------
If an order is placed "on hold" and then expires before being "taken 
Off hold" the order will appear on the medication profile's "Active"
List of medications.  If the Rph attempts to "unhold" this order the
message "this order has expired" will be displayed and the order will
remain on the list of Active medications.  This patch will resolve this
issue by allowing the Rph to remove the order from hold.  After the
order is removed from hold, it will immediately be removed from the
active medications list.
 
                   Wrong location.
 HD0000000108826 - Undefined error when exiting Pick list
 ------------------------------------------------------------------------
If you attempt to exit the "Requested Start Time:" prompt in the Pick
List option (PSJU PLUP) you may receive the following error:
<UNDEFINED>UP+6^PSGPLUP
This patch will resolve this issue.
 ------------------------------------------------------------------------
It has been discovered that the Non-Verified Pending report (PSJU VBW)
is showing patients still under the clinic after being admitted to a
ward.  This issue will be resolved by correctly searching the proper
indexes used to determine the patient's current location. 
 
 HD0000000108102 - Expired on hold order cannot be removed
    • 168 SEQ #145
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. When a pick list contains one or more orders for which there is 
     The following items from your DRUG file were found to have NO DATA in
     their PRICE PER DISPENSE UNIT field:
          1234567,123,1
 
       Any PICK LIST with any of these items will NOT be completely FILED
     AWAY until the PRICE PER DISPENSE UNIT field has been entered into 
     for these items.
       Even if there is no cost for these items, a zero (0) must be 
     entered into the PRICE PER DISPENSE UNIT field so the package knows
     it is not an error or an omission.  UNTIL THIS IS DONE, NO COST
 an inconsistency between the number of dispense drugs associated with 
     REPORT WILL BE ACCURATE, AND ANY PICK LIST WITH THESE ITEMS CANNOT BE
     PURGED.
 
 With this patch, this MailMan message will not be generated due to an
 extraneous or 'orphan' dispense drug index entry associated with an
 order. HD0000000068561. 
 
 2. To assist in preventing problems with dispense drugs of active 
 orders, the ability to delete dispense drugs from a pending renewal will 
 be removed. Functionality will be added to allow dispense drugs to be 
 the order and the number of dispense drug index entries associated with 
 inactivated for pending renewal orders. HD0000000068561. 
 the order, a MailMan message is generated incorrectly stating that a 
 problem exists with a DRUG file (#50) entry. A message generated in 
 this way may be identified by the display of numbers separated by
 commas, rather than the name of the drug.
 
 Example:
    • 164 SEQ #146
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses two issues contained in two Remedy tickets, 
The second issue addressed involves an incorrect display of the dispense 
drug units in backdoor pharmacy.  If the dispense drug units per dose are 
changed (editing field 12 backdoor), and one of the drugs' units 
dispensed becomes 0, backdoor pharmacy will still display a value of 1 
for that drug.  BCMA and CPRS show the correct dispense drug units, and 
the correct units are stored in the ^PS(55) file.
HD118307 and HD108011.
 
The first issue addressed by this patch is an undefined variable error 
when the user attempts to run the menu option [PSJU EUD].  If the user 
selects a patient who has never been admitted, then presses the carriage 
return again at the Select Patient prompt, an undefined variable error 
occurs.
    • 167 SEQ #147
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Pending complex orders cannot be verified when the complex order is also
 the clinic associated with the order is not a valid IMO clinic, the order
 may not be finished in Inpatient Medications.
 HD115420
 an Inpatient Orders for Outpatients (IMO) order. This patch corrects this
 issue by allowing the verification of complex IMO orders if the IMO
 functionality is active and the clinic is a valid IMO clinic.
 
 Complex Inpatient orders may only be created if the Inpatient Orders for
 Outpatients (IMO) functionality has been activated.  The same criteria
 used to determine if a simple IMO order may be selected for finishing in
 Inpatient Medications will be used for Complex Orders; for instance, if
    • 141 SEQ #148
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses two issues in two Remedy tickets. 
renewing provider to be displayed.
The first issue addressed by this patch arose when the site
used the ATZERO (@0) flag on IV Piggybacks to prevent labels
from printing.  Labels printed despite the flag being set.
 
The second issue involves the wrong provider being displayed
by CPRS and backdoor pharmacy when an order is renewed.  
Currently, CPRS and backdoor pharmacy are still displaying the
original provider.  The sites are expecting to see the
    • 166 SEQ #149
      DATE APPLIED:   2006-05-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. The Inpatient Medication Package patient name lookup routine is not
    correctly looking up patient's using the partial match functionality
    that is standard with other packages.  This patch will correct this by
    replacing the lookup call to ^DIC with the DPTLK API designed for
    patient lookup.
    • 12
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  An error was reported that occurred when a unit dose order set was
Record System (CPRS) and pharmacy. These changes prevent the entry of
these in the schedule field through pharmacy and will reject any orders
sent from CPRS with these type of schedules.
 
3.  The ONE-TIME/PRN MAR prints 10 blank lines for initials and notes at
bottom half of the MAR sheet.  At the sites request, this patch will print
20 blank lines as in previous version of Inpatient Medications.
 
4. A problem was reported with Service (Total Cost per) [PSJU SCT]
report.  Patch 3 introduced a problem that caused the report to not total
being entered.  A variable was not being cleaned up between the processing
information correctly by service.  This patch corrects this problem.  
 
5. A problem was reported with IV labels not getting cleaned up
appropriately in the MAR LABELS file (#53.41).  The MAR labels for these
discontinued or expired orders were sometimes incorrectly printing on the
wards.  This patch corrects this problem.  
 
6. A problem was reported with the Patients on Specific Drug(s) [PSJ PDV]
option.  If the user chooses to print the report by VA Drug Class, IV
orders were not printing correctly. This patch corrects this problem. .
of one order to the next in the order set.  If the user edited a field but
didn't change the value, this variable would cause an error when the
following order in the set was being processed.  This patch makes a change
to routine PSGOES to correct this error.  
 
2.  A problem was found where a single or leading space was being entered
in the schedule field of a Unit Dose order through Computerized Patient
    • 122 SEQ #151
      DATE APPLIED:   2006-05-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Several sites reported a problem with the sort for the Inpatient Profile 
option [PSJ PR]. The sort by patient and room-bed was no longer 
functioning. This patch corrects this problem. HD68431, HD68690, HD68981, 
HD89922, HD94618, HD94785, HD95473, HD96140, HD96553, HD97042, HD98398, 
HD106136, HD131842
    • 154 SEQ #152
      DATE APPLIED:   2006-06-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. PSI-05-051:  A priority status of ASAP is not easily seen by the 
    the three for notification via the STAT NOW MAIL GROUP functionality.
 
 2. Remedy Ticket #106018:  Stat IV orders are not highlighted and 
    flashing like Stat Unit Dose orders.  This patch adds the code
    required to make Stat IV orders highlighted and flash like Stat Unit
    Dose orders.
    finishing pharmacist.  A STAT order is displayed as blinking and 
    highlighted, but a ASAP order does not have any special visual
    effects.  
 
    In order to avoid adding more special visual effects to the screen 
    this patch is designed to offer a Site Ward Parameter that will allow
    the site a choice of what orders are sent to the STAT NOW MAIL GROUP.
    The site can select STAT, ASAP, or NOW orders, or any combination of
    • 156 SEQ #153
      DATE APPLIED:   2006-07-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A provider entered a medication through CPRS with the intent of the order 
schedule type to override the incoming CPRS schedule type if the backdoor
default is "Fill on Request".
being administered on a QD0600 continuous schedule.  The medication 
ordered, however, had a default schedule type of PRN.  Therefore, when 
the pharmacist finished the order backdoor, the default schedule type of 
PRN overrode the Provider's intent of a continuous schedule.  Because the 
medication was finished as PRN, the patient missed a dose of the 
medication.
 
This patch addresses this issue by only allowing the backdoor default
    • 170 SEQ #154
      DATE APPLIED:   2006-08-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  CPRS IV Orders currently select the first of multiple IV Additives by
 
*** The software included in this patch is designed to exclude an IV
    Additive from the selection process only if the "USED IN IV FLUID 
    ORDER ENTRY" field is set to "NO".
  
*** If the "USED IN IV FLUID ORDER ENTRY" field is set to "YES" or 
    blank, then the IV Additive will be selected in IEN order.
 
2.  This patch is also designed to correct a programming error in routine
    PSJPXRM1 that is to be used by CPRS to return Inpatient Medications
    IEN associated with the Pharmacy Orderable Item selected in CPRS by
    order information.  This is a routine that is not currently in use,
    and will be tested at the programmer prompt.
 
3.  If the user enters a start date/time in the future and then enters 
    the number of doses at the stop date/time prompt, the software
    calculates the stop date/time from the current date/time instead of
    the entered start date/time.
    the Provider.  The software checks to determine if the IV Additive 
    is Inactive, but does not check the "USED IN IV FLUID ORDER ENTRY" 
    field to determine if the additive should be used.
 
    This patch will change the software to add a check of the "USED 
    IN IV FLUID ORDER ENTRY" field and exclude the additive from selection
    based on that field.
    • 172 SEQ #155
      DATE APPLIED:   2006-09-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains Application Program Interfaces (APIs) that will be 
when the time comes.
 
This API replaces the following integration agreements:
 
DBIA #  Affected Package(s)
------  -------------------
1884    DSS EXTRACTS,DRUG ACCOUNTABILITY
2907    TEXT INTEGRATION UTILITIES
534     HEALTH SUMMARY
 
used by calling applications that currently do direct global reads or 
This patch enhances an original INPATIENT MEDICATIONS API call 
ALL^PSJ59P5. This enhancement allows a double question mark ("??") to be
passed in to the second parameter PSJFT. PSJFT represents the free-text
name a user wishes to retrieve from this file. Passing "??" to the PSJFT
parameter will cause the API to return all entries from the IV ROOM FILE 
(#59.5). Specifications for this API can be found in the Pharmacy
Re-Engineering (PRE) API Manual. Reference to MEDICAL CENTER 
DIVISION FILE (#40.8) is supported by DBIA 2269.
writes to the Inpatient Medications files. Since the IV ROOM file 
(#59.5) and the NON-VERIFIED ORDERS file (#53.1) are being replaced as part
of the Pharmacy Re-engineering project, any direct M-based global reads
or writes to this file must be replaced by calling the APIs provided in 
this patch. When the new data source is in place, the calling applications 
will not be required to make any changes, because these APIs will be 
flexible enough to retrieve the requested data from the new data source,
    • 171 SEQ #156
      DATE APPLIED:   2006-11-22 20:06:51
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  This problem happens when multiple complex orders are selected
 
2.  Currently in file #55, PHARMACY PATIENT, the UNIT DOSE multiple 
    field, the ACTIVITY LOG multiple field, the file number of node #14 is
    sometimes being written incorrectly as 55,09.
 
    This patch includes the correction to the routines that are writing 
    this information and a post init routine to correct the existing
    information.
    together to be finished or verified.  If the first order is partially 
    finished or verified.  The system notifies the user that if all orders
    are not finished or verified, then none of the orders will be finished
    or verified, but leaves the order in a "corrupted" state.
 
    This patch makes changes to the routine to clean up the temporary
    variables so the process can loop through multiple complex orders 
    without causing the "corrupted" state.
    • 186 SEQ #157
      DATE APPLIED:   2006-11-22 22:28:42
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses Remedy ticket HD158508 (PSI 06 125) and its 
but no pop-up box appeared, and the medication was not marked as given on 
the VDL.  The underlying issue was that while the order had the Special 
Instructions deleted, the flag to display/not display the message box in 
BCMA was not cleared.
duplicate tickets.  An order with Special Instructions was entered, and 
when prompted, the order was finished so that the BCMA Message Box flag 
was set.  Therefore, when the medication was to be administered in BCMA, 
a pop-up box was to display to show the nurse the Special Instructions.  
The order was renewed via CPRS, and the order was FINISHED backdoor and 
then had the Special Instructions were deleted before accepting the order 
and verifying.  When the nurse entered BCMA to administer the medication 
on the renewed order, BCMA behaved as though the medication was given,
    • 157 SEQ #158
      DATE APPLIED:   2006-11-22 23:46:35
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses Remedy ticket HD101591.
 
HD101591, will show the pharmacist an expected first 
dose date/time for IV orders during the finishing process.  Currently, 
for IV's ordered either backdoor or through the CPRS IV Meds Dialog, no 
"Expected First Dose" is displayed.  Unit dose orders, and IV's ordered 
through the Inpatient Meds dialog on CPRS do display an expected first 
dose.  An Expected First dose will not display if the schedule type for
the order is ON CALL or PRN.
    • 177 SEQ #159
      DATE APPLIED:   2006-12-27 14:41:43
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      HD000000104291 - Stop Date calculation can be in the Past
makes the Stop Date/Time calculation that occurs during edits to the 
Additives and Solutions fields consistent with edits to other fields).
 
During the Testing of the solution above a new issue has been found.
 
New Issue 1: Editing the Additive or Solution for non-renewed orders
------------------------------------------------------------------------
This is the same issue as the Original issue but it can also apply to a 
Non-renewed Active order.
 
------------------------------------------------------------------------
The solution for the New issue is to Modify the Inpatient Meds IV Order 
Check logic to Display the warning message "The Stop Date/Time is in the 
Past.  This order will automatically expire upon verification", anytime 
the stop date calculation returns a Stop Date/Time in the past.  The 
Pharmacist will then be asked if they still wish to continue.  If they 
continue, the order will automatically expire immediately upon 
verification  If they select to not continue, they may go back to the 
profile and edit the Stop Date/Time.
When editing the Additive or Solution of an active order that was 
previously renewed, the stop date/time can be re-calculated in the Past. 
This will cause the order to be expired immediately upon verification.  
The solution to this issue is to modify the Stop Date/Time calculation to 
use the "Last Renewed" date as a starting point, instead of the 
"Original" Start Date/Time of the order, when editing the Additive or 
Solution of an active IV order that has been previously renewed. (this
    • 162 SEQ #160
      DATE APPLIED:   2006-12-29 09:20:30
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  After Finishing and Verifying a complex Outpatient IV order, the
    system was treating the New Order entered afterwards as a complex
    order.
 
    This patch makes a correction to the software that cleans up 
    information from a previous order before moving on to a New Order.
    • 15
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. If the user chose a printer device and did not wish to queue the
orders was selected, the order view did not display on the screen.  This
patch will display the order view before prompting for the number labels
needed.
 
4. When a pick list update was ran and an order had been discontinued, the
dosage ordered was not printing on the discontinued order. This patch
corrects this problem.
 
5. An undefined variable XRT0 error was sometimes occurring when using the
hidden actions and trying to print an individual label.  This patch
output, the MAR was printed to the screen.  This patch will send the
corrects this problem.
 
6. The hidden action to print the MAR from the Inpatient Order Entry [PSJ
OE] option did not use the default set in the INPATIENT WARD PARAMETERS
file (#59.6) when promping for the MAR's medication types. After
installation of this patch the default set in the INPATIENT WARD
PARAMETERS file (#59.6) will be used.
report to the correct device.
 
2. When renewing IVs, the default stop date and time is the same as the
renewed order. This patch will calculate the default stop date according
to the IV Site Parameter.
 
3. When the Update Daily Ward List (IV) [PSJI UP] option for Hyperal
    • 174 SEQ #161
      DATE APPLIED:   2007-06-27 21:37:12
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  The function [Patient Profile (Extended)] isn't displaying complex
 
2.  Remedy Ticket HD127723 reported the problem that the system did not
    correctly handle the Q5MINUTES schedule during the finish process.  It
    would not accept the users input when prompted for a schedule after
    selecting to FN(Finish) the order.  According to the Inpatient 
    Medication developers the system should not be prompting for a 
    schedule with an exact match at this point in the FN(Finish)
    process.  This patch makes the correction to prevent the schedule
    prompts for an exact match.
    orders correctly.
    
    Before the patch this function displays each individual pending
    complex order with a selection number for viewing.
 
    This patch is designed to display the entire complex order with a 
    single selection number and display the full complex order when that
    number is selected for view.
    • 183 SEQ #162
      DATE APPLIED:   2007-06-27 23:18:37
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ** WARNING - After installing this patch, a location AND ad appointment 
hours.  When the pharmacist finished the order, it was not noticed that 
the stop date was 24 hours, not the normal default stop date for an 
inpatient's medication orders.  As a result, the patient did not receive 
his/her medication as prescribed.  The inpatient meds code in VistA 
assumed the order was an IMO (Inpatient Medications for Outpatients) 
order because it had a clinic location.  The code will be updated to 
recognize a unit dose.
date & time will be required before IMO logic is executed!
 
This patch addresses the issue of an inpatient's medication's stop time 
being inadvertently set to 24 hours.
 
A medical student at a site erroneously changed the location of an 
inpatient while ordering a unit dose medication in CPRS.  The clinic 
location the student chose had a default stop time on orders of 24
    • 178 SEQ #163
      DATE APPLIED:   2007-06-29 19:07:05
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A site reported a problem with the fact that medication route did not
up. They are:
 
SM          Start Med Route
EM          End Med Route
SMF         Start Med Route field
EMF         End Med Route field
 
These control codes are defined by using FileMan V. 22.0 and editing the
CONTROL CODES multiple (#3.2055) of the TERMINAL TYPE file (#3.2).
 
appear on the IV label. This patch corrects this problem by adding the
Each printer can have different values required in order to properly
print the route. Please note that it may be necessary to adjust the 
label length through the SITE PARAMETERS (IV) option in order for the 
label to print correctly.
 
The following is one example of the setup for a Zebra 105SL printer.
 
 
NUMBER: 12                              CTRL CODE ABBREVIATION: SM
  FULL NAME: START MED ROUTE
medication route to the IV label. PSI-05-107, HD115653
  CONTROL CODE: W "^FO",PSJBARX,",",PSJBARY,"^A0N,36,30",!!
NUMBER: 13                              CTRL CODE ABBREVIATION: EM
  FULL NAME: END MED ROUTE              CONTROL CODE: S PSJBARY=PSJBARY+40
NUMBER: 14                              CTRL CODE ABBREVIATION: SMF
  FULL NAME: START MED ROUTE FIELD      CONTROL CODE: W "^FD"
NUMBER: 15                              CTRL CODE ABBREVIATION: EMF
  FULL NAME: END MED ROUTE FIELD        CONTROL CODE: W "^FS",!
 
The resulting Bar Code IV Label Example, which includes Medication Route
is shown:
 
 
       *520V452*
[65] 9111  ONE EAST 03/19/02
PSJPATIENT1,ONE  B-12
 
ACETAMINOPHEN 100 MEQ
0.9% SODIUM CHLORIDE 100 ML
 
Dose due at: ________
ROUTE: INTRAVENOUS
****Important Note****
100 ml/hr
Fld by: ____  Chkd by: ____
1[1]
The decision of the workgroup was that the medication route should appear
in a larger font than the remaining text. If you do not define the
following correctly, the medication route will not be in a larger font.
In order to allow this functionality, four new control codes must be set
    • 160 SEQ #164
      DATE APPLIED:   2007-09-04 22:57:23
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. During testing of Remote Data Interoperability (RDI), a problem was 
problem by ensuring that Analgesic order checks only match against the 
specific class: CN101 to CN101. HD0000000161499
 
3. One feature of RDI is the notification to the user when processing 
orders that only local data is being used - if the remote data is 
unavailable. Several sites reported issues with this mechanism. This 
patch corrects this problem by performing the check for remote data 
availability upon entering the patient's chart, rather than on each order.
 
4. The list of remote allergies has been added to Patient Information 
discovered with the order checks involving remote allergies. Not all of 
screen. If a patient has the same allergy information from several remote
sites, it will only be listed once.
the remote allergies were being included when doing order checks using VA 
Drug Class. This patch corrects this problem.
 
2. An issue with too many false positive order checks was discovered when 
doing order checks on certain drug classes. Analgesics, as a class, were 
performing order checks across all members. For example: class CN101 was 
generating an order check for class CN102. This patch corrects this
    • 169 SEQ #165
      DATE APPLIED:   2007-09-04 23:03:36
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will correct three problems with the Action Profile reports 
[PSJU AP-1] and [PSJU AP-2] would vary from patient to patient.  It was 
decided by the Inpatient Medications Workgroup that the number of lines 
printed for this section should be standardized to 10 lines.
 
The second problem occurs only with the Action Profile 2 report, [PSJU 
AP-2].  The problem only occurs if the report is printed to the screen.  
The report prints properly if printed to a printer.  If the patient has a 
verified allergy, a verified adverse reaction, or one of each, the 
Allergy and Adverse Reaction section of the report is printing "No 
Allergy Assessment".  This patch will correct this problem so the AP-2 
from three Remedy tickets, HD118347 HD120274, and HD68707, as well as one 
report is consistent with the AP-1 report, and shows the correct allergy 
and adverse reaction information for the patient.
 
The third Action Profile Report issue was logged because one-time orders 
are appearing on the Action Profile-1 [PSJU AP-1]  and Action Profile-2 
[PSJU AP-2] reports with the option available to the provider to RENEW 
the orders.  The ability to renew one-time orders was removed due to a 
patient safety issue.  Having the renew option available to the provider 
could lead to a reoccurrence of the patient safety issue.
 
undefined variable error with the Patient Profile, [PSJU PR], in ticket 
The Undefined Variable Error occurs with the Patient Profile, [PSJU PR].  
When attempting to filter the profile at any WARD prompt, if the user 
presses ENTER or the up-carat (^), instead of being taken to the previous 
filter choices or the main menu, the user is taken to a prompt to filter 
by Room/Bed or Patient.  If the user again presses ENTER or ^, an 
undefined variable error occurs.
HD120176.
 
The first Action Profile Report problem was a result of internal testing 
with patch PSJ*5*157, wherein it was noted that if a device used for 
printing did not have a standard page length, the number of lines printed 
in the Additional Medication Orders section of the Action Profile reports
    • 188 SEQ #166
      DATE APPLIED:   2007-09-04 23:59:11
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      User reported that when they edited the Schedule from a "continuous Type" 
to a one-time type, the Schedule type remained "continuous".  This caused
BCMA to not display the order on the Missed Medications Report.
 
It was also found during the internal testing of this patch, it was 
noticed that the "administration times" could be automatically updated
based on the Schedule being entered. While this logic is correct, it did
not display the "highlighting" of the administration times as is the
standard when a field is changed.
    • 180 SEQ #167
      DATE APPLIED:   2007-09-05 00:02:08
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses one Patient Safety Issue contained in one Remedy 
this on their end with patch OR*3*254.  Because of the CPRS fix, 
Inpatient Meds should never receive an invalid duration/limit from CPRS.  
However, it was discussed with the Inpatient Meds workgroup, and they 
agreed that Inpatient Meds should make a contingency plan fix just in 
case some future CPRS project removes the fixes in place from OR*3*254.  
As a result, Inpatient Meds will now be able to handle an invalid 
duration/limit should one ever be received from CPRS.
 
The fix agreed upon by the Inpatient Meds workgroup will do three 
things.  First, it will NOT allow the pharmacist to FINISH the order.  
ticket.
Second, the duration/limit field displayed to the pharmacist will read 
*INVALID DURATION/LIMIT*.  Third, the Stop Date for the order will read 
"CANNOT CALCULATE".
 
OR*3*254 is an independent CPRS patch, and is not required for this 
Inpatient Meds patch.
 
PSI 06 066
This addresses Remedy ticket HD146661.
 
The site reported an issue that if they used a leading zero for the 
limit/duration of an IV, in this case 0.5L, the stop date calculated for 
the order was 6 minutes after the start date/time.  CPRS has addressed
    • 120 SEQ #168
      DATE APPLIED:   2007-09-05 00:18:01
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with the new duration field that was added to
 
In order to assist in communications with the provider, an alert will be 
sent to the ordering provider whenever the duration they entered is not 
used to calculate the stop date of the order. HD0000000111592
 
2. Several sites reported an error occuring when entering an IV order 
that contained an allergy order-check. This patch corrects this problem. 
HD0000000186397, HD0000000187239, HD0000000187452, HD0000000187507.
CPRS GUI v25. In response to a patient safety issue, this field was added 
to the IV Fluid order dialog. In addition, Inpatient Medications V. 5.0 
was modified to always have the duration field be used for the stop date 
calculation. This has caused problems in sites where they have policies 
that say certain medications can only be written for a certain period of 
time. This patch corrects this problem by modifying Inpatient Medications 
V. 5.0 to consider the duration the same way as all other stop date 
parameters, rather than as an override.
    • 145 SEQ #169
      DATE APPLIED:   2007-09-05 01:20:58
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
all orders for a patient are grouped together by the patient's name
regardless of location. HD84581, HD94525, HD94701, HD94753,HD94951, 
HD9500, HD95644, HD96287, HD97627, HD99007, HD101172, HD121955,
HD127037, HD130450, HD133140, HD133726, HD151842, HD152395, HD152987,
HD153754, HD154263, HD155098, HD155822, HD157154, HD166444, HD176045, 
HD181032, HD181254, HD184077  
 
The following prompts are included when printing by Ward, Ward Group, 
Clinic, or Clinic Group.
 
1. Sites reported that location designation for inpatients who received 
Select by GROUP (G), WARD (W), CLINIC (C), or PATIENT (P): WARD
Include Clinic Orders? Y/N
If Yes is selected, both ward and clinic orders are printed for
patients on a ward.
If No is selected, only the ward orders are printed.
 
Select by GROUP (G), WARD (W), CLINIC (C), or PATIENT (P): GROUP
Select by WARD GROUP (W) or CLINIC GROUP (C): WARD
Include Clinic Orders? Y/N
If Yes is selected, both ward and clinic orders are printed for
orders in a clinic was incorrect. In some cases the clinic location was 
patients in a Ward Group.
If No is selected, only the ward orders are printed for patients in a
Ward Group.
 
Select by GROUP (G), WARD (W), CLINIC (C), or PATIENT (P): CLINIC
Include Ward Orders? Y/N
If Yes is selected, both clinic and ward orders are printed for
patients in a clinic.
If No is selected, only the clinic orders are printed.
 
overwriting the ward location designation. In many instances an error 
Select by GROUP (G), WARD (W), CLINIC (C), or PATIENT (P): GROUP
Select by WARD GROUP (W) or CLINIC GROUP (C): CLINIC
Include Ward Orders? Y/N
If Yes is selected, both clinic and ward orders are printed for
patients in a Clinic Group.
If No is selected, only the clinic orders are printed for patients in a
Clinic Group.
 
 
2. After the installation of PSJ*5.0*111 and PSJ*5.0*131, the formatting 
appeared in the routine PSGMAR1 for printing the 24 hr MAR.
on the MAR reports was adversely affected. Sites reported pagination was 
off, pages displayed too much empty space, and the signature block no 
longer appeared at the bottom of each page.
 
Code modifications have been made in the MAR routines to correct the 
formatting problems. Page numbering has been corrected.  The signature 
block prints at the end of each page. Pending orders, non-clinic and 
clinic orders will display in the correct location on
the MAR report. Orders with a stop date/time greater than or equal to the 
selected 24 Hour MAR start date/time will print out correctly. HD94303, 
 
HD94836, HD95397, HD97108, HD107645, HD114937, PSI-06-002
This patch corrects this issue by adding new prompts to aid in printing 
out orders for both ward locations and clinics. No location designations 
are overwritten. When printing by Ward Group/Patient, or by Ward/Patient,
    • 189 SEQ #170
      DATE APPLIED:   2007-09-05 01:22:49
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
This patch will correct an error which can occur for any IV Drug order
type which uses an Administration Schedule but the Administration Schedule
used does not have a Package Prefix = 'PSJ'.  The error occurs when a user
attempts to view the Long profile of the order in PSJ OE [Inpatient Order
Entry].
    • 19
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When non-pharmacist users enter unit dose drug orders they cannot
   complete the order without entering a dispense drug.  This patch will
   allow non-pharmacist users to accept unit dose orders without a
   dispense drug.
    • 159 SEQ #171
      DATE APPLIED:   2007-09-05 01:24:44
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with the medication route being blank on the
BCMA field (#8) from the MEDICATION ROUTE file (#51.2) will now be sent in
the API. HD0000000166204, HD0000000164890, PSI-06-152, PSI-06-158
 
2. In support of the BCMA V. 3.0 project BCMA HSC-III, two changes are 
required to the APIs that supply information to BCMA. First, the flag 
information for both Unit Dose and IV orders has been added to both the 
summary and detail APIs. Second, an indicator has been added that will 
tell BCMA that this order would have triggered a notification to the 
STAT/NOW mail group.
 
Bar Code Medication Administration (BCMA) V. 3.0 Virtual Due List. During
3. During testing of the BCMA V. 3.0 project BCMA HSC-III, a problem was 
discovered with the API that determines if an order should trigger a 
notification to the STAT/NOW mail group. If the parameter which controls 
the trigger was not defined, all orders would be flagged. This patch 
corrects this problem. However, it is important to note that if the 
parameter PRIORITIES FOR ACTIVE NOTIFY is not defined, no order will be 
flagged as stat for the purposes of BCMA.
investigation of possible corrections for this, it was determined that
another issue needed to be addressed with how to determine when to prompt
for an injection site.
 
This patch assists to correct these problems by adding two new items to 
the Application Programming Interface (API) from Inpatient Medications V. 
5.0 to BCMA. The NAME field (.01) as well as the PROMPT FOR INJ. SITE IN
    • 192 SEQ #172
      DATE APPLIED:   2007-12-12 21:22:26
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Site reported that the incorrect Orderable Item was selected when the
entry was entered in "lowercase".  This caused the incorrect medication
to be given.
    • 195 SEQ #173
      DATE APPLIED:   2007-12-12 21:22:56
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will provide a temporary fix as detailed in Patient safety 
duplication when the order does not file.
 
This patch will modify the error message to make it more noticeable and 
robust.
issue PSI-07-075 for BCMA.  
 
When using the CPRS Med Order Button (MOB), it was discovered that certain
hardware configurations allow a "virtual" IP address.  This causes a
single user to be logged into two physical nodes simultaneously.  When
this happens, the order placed in CPRS MOB cannot be filed.  The user
receives an error box which states "Missing data, unable to file."  The
order does not show up on the VDL. It was determined that there is risk of
    • 175 SEQ #174
      DATE APPLIED:   2007-12-12 21:53:33
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Current functionality concerning the duplicate order checks displays all
addition, all duplicate Outpatient orders found, are grouped together and
displayed prior to all other order check results and will be used for
information purposes only. The current process will be modified so that
when a duplicate order check is performed, the duplicate Inpatient orders
are displayed in a numbered list. The user will then be prompted to select
which, if any, of the listed duplicate orders should be discontinued. The
user may choose to select none, thus leaving all orders intact. The 
results from both duplicate order checks, Duplicate Drug and Duplicate
Drug Class, will be presented together. Duplicate order checks occur at
several points in the ordering process, including, when entering a new
duplicate drug and duplicate drug class orders found, but does not allow
medication order, when renewing an existing medication order, when
finishing an order, and when editing an order's drug.
the user to select these for discontinuation. If the user wishes to
discontinue any of the presented duplicates, they must wait until after
they are done with the current order process in which the duplicate order
checks presented their results. The major functionality change to the
Inpatient Medications software will consist of allowing users to select
for discontinuation any duplicate Inpatient orders found, at the time
these duplicates are presented by the duplicate order checks.  In
    • 148 SEQ #175
      DATE APPLIED:   2007-12-12 22:04:32
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A site reported a problem with renewed pending orders.  The
dose limit exists for the selected Orderable Item, and the limit is less
than the default stop date, the earlier stop date and time will be
displayed."
 
The way the screen defaults in pharmacy for finishing would lead the
pharmacist to finish the new order prior to finishing the renewals.
This creates the potential for medication orders to default to an
"incorrect" stop date/time. This problem caused a patient to completely
miss receiving a newly ordered medication, as the new order expired prior
to the first scheduled dose time.
Pharmacist's User Manual states:
 
The following example shows the way the screen displays the orders from
the PENDING/NON-VERIFIED option:
 
- - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - -
   1    MULTIVITAMINS TAB                   C  04/01  04/08  R
          Give: 1 TABLET PO QAM (07)
 - - - - - - - - - - - - - - - -  P E N D I N G  - - - - - - - - - - - -
   2    CAPTOPRIL TAB                         ?  *****  *****
        Give: 25MG PO QAM (07)
"When the SAME STOP DATE ON ALL ORDERS parameter is set to
 - - - - - - - - - - - - P E N D I N G   R E N E W A L S - - - - - - - -
   3    MULTIVITAMINS TAB                   ?  *****  *****  P 04/06
          Give: 1 TABLET PO QAM (07)
 
 
 
This patch corrects the problem by reversing the order in which the
PENDING and PENDING RENEWALS are displayed.  With the entries reversed
the user will finish the PENDING RENEWAL order first, followed by the
PENDING order, and the correct stop date/time will be displayed.
yes, the module will assign a default stop date for each patient. This
HD0000000138249, PSI-06-043
date is initially set when the first order is entered for the patient. A
new default stop date is assigned for the patient when an order is
renewed and the order's stop date plus three days is greater than the
current default stop date. This date is shown as the default value for
the stop date of each order entered for the patient. However, if a day or
    • 173 SEQ #176
      DATE APPLIED:   2007-12-12 22:19:11
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      During testing of the Bar Code Medication Administration (BCMA) project 
DOSE sub-file (#55.06) of the PHARMACY PATIENT file (#55) which will be 
exported in a Pharmacy Data Management V1.0 patch.
BCMA-HSC Phase III, an issue was discovered with the order flag comments 
for unit dose orders. There is not enough space to store the entire 
comment, so the text is truncated. This patch corrects this problem for 
BCMA by storing the most recent text in an additional location. The 
comment will still be stored in the current location. It will also be in 
the MOST RECEMT FLAG COMMENT field (#129) of the NON-VERIFIED/PENDING file
(#53.1) which is exported in this patch. For active unit dose orders, it
will be stored in the MOST RECENT FLAG COMMENT field (#128) of the UNIT
    • 201 SEQ #177
      DATE APPLIED:   2008-02-03 21:11:13
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Remove all PSJ*5*175 changes.
    • 191 SEQ #178
      DATE APPLIED:   2008-02-03 21:33:28
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
This patch will correct 2 problems and remove 1 obsolete menu option 
within the Inpatient Medications package.
    • 185 SEQ #179
      DATE APPLIED:   2008-07-22 07:54:36
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      When an order from CPRS is processed in the Inpatient Medications
application the Comments field is automatically checked to verify that it
does not contain multiple spaces.  If it does, the software will remove
these spaces.  When this happens, a Change Action is generated in CPRS.
This Change Action will cause CPRS to recalculate the Instructions. In
some cases, the recalculation of the Instructions will result in the
strength being added to the instuctions. This may result in the patient
receiving an incorrect dose.
    • 134
      DATE APPLIED:   2009-04-21 15:51:13
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch contains changes in support of Computerized Patient
  medication route, that route will be used as the default. If there are
  any differences, there will be no default medication route.
 
- Inpatient Medications V. 5.0 will send to BCMA V. 3.0 the full
  medication route name for display on the Virtual Due List (VDL).
 
2.  INFUSION RATE CHANGES
-------------------------
- Inpatient Medications V. 5.0 now accepts infusion rate from CPRS in both
  ml/hour and as 'infuse over time'.
Record System (CPRS) V. 1.0 GUI v27 release.
 
- In the order view screen for an order with an intermittent IV type, the
  infusion rate now displays as "Infuse Over" followed by the time. For
  example, "Infuse Over 30 minutes".
 
  The infusion rate for an intermittent IV order can be null.
 
3.  IV TYPE CHANGES
-------------------
- Inpatient Medications V. 5.0 shall accept an IV type of "I"
 
  (Intermittent) or "C" (Continuous) from CPRS V. 1.0.  When an IV type of
  CONTINUOUS is received, Inpatient Medications V. 5.0 defaults to an IV
  type of Admixture.  When IV type of INTERMITTENT is received, 
  Inpatient Medications V. 5.0 defaults to an IV type of Piggyback.
  Inpatient Medications V. 5.0 sends to CPRS V. 1.0 updates to an order's
  IV type.
 
- Inpatient Medications V. 5.0 now accepts schedule information from
  CPRS V. 1.0 for intermittent IV orders entered via the IV Fluid
  Ordering Dialog.  Inpatient Medications V. 5.0 also sends to
1.  MEDICATION ROUTE CHANGES
  CPRS V. 1.0 any schedule changes for intermittent IV orders.
 
- A new field, IV TYPE CATEGORY (#128) is being added to the NON-
  VERIFIED ORDERS file (#53.1).  The IV TYPE CATEGORY will be "C"
  (Continuous) for orders with an IV TYPE of Admixture, Hyperal,
  Non-Intermittent Syringe, or Chemotherapy with a CHEMOTHERAPY TYPE
  of Admixture, Hyperal, or Non-Intermittent Syringe.  The IV TYPE
  CATEGORY will be "I" (Intermittent) for orders with an IV TYPE of
  Piggyback, Intermittent Syringe, or Chemotherapy with a CHEMOTHERAPY
  TYPE of Piggyback or Intermittent Syringe.
----------------------------
 
4.  RENEWED ORDER CHANGES
-------------------------
- When discontinuing pending renewal orders, Inpatient Medications V. 5.0
  will provide the user an option to discontinue the pending renewal
  order and/or the original orders.  The pharmacist shall be given the
  option to discontinue the pending order, both orders, or exit the
  discontinue function.
 
5.  REMOVE CALLS TO OBSOLETE ROUTINE
- Inpatient Medications V. 5.0 will use the medication route received from
------------------------------------
- At the request of CPRS V. 1.0, active calls to obsolete routine OR3CONV
  have been removed from Inpatient Medications V. 5.0. 
 
6.  EXPECTED FIRST DOSE FOR ONE-TIME ORDERS (HD 98365)
------------------------------------------------------
Problem:
   During testing of the CPRS V. 1.0 GUI v26 release, sites reported a
   problem with an incorrect display of expected first dose for orders
   with a schedule type of "ONE TIME".
  CPRS V. 1.0 as the default when finishing an IV order entered via CPRS
Resolution:
   If the schedule type is "ONE TIME", do not display an Expected
   First Dose for the order.
 
7.  CORRECT ABBREVIATION OF MILLIMOLE (HD 145562)
-------------------------------------------
Problem:
   The correct abbreviation for the word MILLIMOLE, which is MMOL
   is not available in the system.
Resolution:
  V. 1.0. For new orders entered via Inpatient Medications V. 5.0, if all
   The abbreviation for Millimole, "MMOL", will be included in
   this patch.
  of the orderable items associated with an order contain the same default
    • 16
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. If the order's START DATE/TIME was the same as the ADMIN TIME, an
 
3. Orders were being rejected with a message Invalid patient class. This
patch corrects this problem.
 
4. An undefined variable P(17) was sometimes occurring when returning from
hidden menu options when finishing an order. This patch corrects this
problem.
 
5. When using the Individual Labels (IV) [PSJI LBLI] option, the first
patient's Allergies/Reactions and Narratives were displayed for all
extra dose was calculated when the user entered the number of doses in the
patients selected while still in this option. This patch will correct this
problem.
 
6. The variable PSIVSITE was undefined when IV orders were edited by the
nursing staff in the Non-Verified/Pending Orders [PSJU VBW] option.
Showing IV orders in this option is new functionality added to Inpatient
Medications V. 5.0. Actions taken on IV orders have always been controlled
by the Menu option and not from any pharmacy keys. After installation of
this patch users without the Pharmacist key will not be allowed to take
action on IV orders from the Non-Verified/Pending Orders [PSJU VBW]
STOP DATE/TIME field. After installation of this patch the dosage will
option.
 
7. A problem was reported with the Non-Verified/Pending Orders [PSJU VBW]
option where when the user selected pending orders, Unit Dose orders, and
then Ward or Ward group patients with only pending IV orders were being
included in the list of patients. This patch will correct this problem.
calculate correctly for this situation.
 
2. If an order was placed on hold and then taken off of hold the Inpatient
profile printed by the pharmacist showed the order as active while the
same profile printed by the nurse showed the order as marked to be placed
on hold. This patch corrects this problem.
    • 204 SEQ #181
      DATE APPLIED:   2009-04-21 16:01:40
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses one Patient Safety Issue, PSI-08-008 for remedy 
ticket HD228442.
    • 203 SEQ #182
      DATE APPLIED:   2009-04-21 16:20:39
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch corrects the typographical error in 2 routines within 
 
Overview of Remedy ticket(s):
------------------------------------------------------------------
HD219677:
There is typographical error in line tag ENHEAD+21^PSJHEAD and 
H1+15^PSGCAPP0  that should be a plus sign instead of underscore.
 
HD234014:
When an IV Admixture has a rate of less than 10ml/hr the calculation of 
bags needed till the next scheduled IV batch run is inaccurate.
Inpatient Medication package, and the calculation of IV labels when
 
Problem (219677)
------------------------------------------------------------------
There is typographical error in line tag ENHEAD+21^PSJHEAD and 
H1+15^PSGCAPP0.  It should be a plus sign instead of underscore
 
Resolution (219677)
This does appear to be a typographical error, it would never result in a 
functional defect. EN+3^PSJHEAD and H1+15^PSGCAPP0 is modified to replace 
the underscore ("_") with a plus sign ("+").  
infusion rate is less than 10ml/hr
 
Problem (234014)
------------------------------------------------------------------
If the infusion rate is less than 10ml/hr the number of IV bags needed is 
calculated incorrectly.
 
 
Resolution (234014)
The pattern match for infusion rate in line tag EN+3^PSIVORE is looking 
for at least 1 digit, with a period as optional and at least 1 digit 
 
after the period. This only works if the infusion rate is 2 digit or 
more.  The pattern match in EN+3^PSIVORE is modified to make the digit 
after the period as optional so the pattern match can also be used when 
the infusion rate is a single digit.
This patch addresses the following Remedy ticket(s):
------------------------------------------------------------------
HD219677        (Original)      Potential typographical error.
HD234014        (Original)      IV ADMIX rate under 10ml/hr calculates 
                        bags wrong
    • 209 SEQ #183
      DATE APPLIED:   2009-04-22 12:09:06
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch Will correct the following Remedy tickets.
HD245298 - PSI-08-060 - 1 IV order retaining original Duration/Total 
Volume
    • 197 SEQ #184
      DATE APPLIED:   2009-04-22 13:02:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch resolves two issues in the Inpatient Medications package.
if the location is a clinic, and then set using the same variable as ward.
 
2. After the release of Patch PSJ*5*110, MAR labels do include the
order/renewal date on the left side of the label, which is attached
to the MAR. It only appears on the right side, which is discarded.
The date has been placed on left side as well as the right side.

Routine PSGLOI was modified to correct this problem. If the order is not
pending, the order/renewal date is set at the left hand side of the label.



1. When stat medications are ordered using Inpatient Medications for
Outpatients (IMO), the resulting notification email lacked the
name of the clinic. Ward names were included correctly. Clinic names
were added. The mail group receiving the notification is PSJ STAT NOW
ACTIVE or PSJ STAT NOW PENDING.
 
The routines PSJHL4 and PSJHL4A were modified to establish a value for CLINIC
    • 210
      DATE APPLIED:   2009-04-22 15:23:06
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch allows the DSS IV extract to be recreated.
    • 198 SEQ #186
      DATE APPLIED:   2009-04-23 11:28:30
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      DESCRIPTION
           PSGRFOUR variable
HD210106 - Meds on extended profile do not match CPRS orders tab.
============
 
This patch addresses the following Remedy Ticket(s):
----------------------------------------------------
HD200323 - <UNDEFINED>COPY+10^PSIVOD
HD193154 - Inappropriate Remote Order Check message
HD211655 - Nurse finishes order and its active 
HD216471 - Renew single order routine setting the wrong node for the
    • 220 SEQ #187
      DATE APPLIED:   2009-04-23 11:46:45
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch will disable the SPEED FINISH and SPEED VERIFY protocols.
    • 196 SEQ #188
      DATE APPLIED:   2009-04-23 12:36:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following tickets:
HD0000000193031 - Incorrect diet information on MAR header
HD0000000169943 - Clinic Group not showing up on Non Verified/Pending 
                  report
HD0000000258201 - 6 IV REPORT DIFFERENT FOR LOWER CASE
HD0000000225877 - IV duration on CPRS order not calculated correctly as 
                  stop date
    • 213 SEQ #189
      DATE APPLIED:   2009-04-23 13:46:29
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Description:
schedules entered for IV Piggyback orders via the CPRS IV Fluids Dialog.
presents the user with the error message, "Your infusion rate is in an
invalid format", and the order cannot be completed.
 
Resolution:
-----------
If the order has a fractional infusion rate < 1 ml/hr, the order must
contain a leading zero, and the system will view the infusion rate as
valid.  (example - infusion rate must be 0.9 ml/hr to be valid)
The coding will affect routines PSIVSP, PSIVCHK, and PSIVORE.
If the user creates a schedule using the schedule builder, and uses the
new format of Day of Week@Schedule (example: MO-WE-FR@BID), and if the
root schedule (MO-WE-FR) exists in the ADMINISTRATION SCHEDULE File 
(#51.1), when the order is viewed in backdoor pharmacy, the
administration time(s) for the order will be null.
 
Problem:
--------
Admin times are null if a Day of Week schedule created via the schedule
===========
builder in CPRS exists in the ADMINISTRATION SCHEDULE File (#51.1).
 
Resolution:
-----------
In PSGS0, do not QUIT before the admin times are set if the schedule
is a Day of Week schedule, even if it exists in the schedule file.
 
 
2. The second issue, Remedy Ticket HD246438 and its duplicates, is also 
logged as Patient Safety Issue PSI-08-068,PSPO #782.  This is an issue
 
with an invalid frequency for IV Piggyback orders.  This issue has existed
prior to the release of CPRS GUI v27, but the sites are reporting an
increase in the occurrence of the problem after the install of CPRS GUI 
v27. For unknown reasons, the frequency of some IV Piggyback orders is 
null when it should contain a value.
 
No site or developer has been able to 
reproduce this issue at-will, and there does not appear to be any
pattern to the processes or procedures that precede the occurrence of this
problem. With this patch, if the frequency for an IV Piggyback order is
This patch contains four Inpatient Medications V. 5.0 fixes that sites
null, and it should contain a value, the code will attempt to directly
set an appropriate frequency into the PHARMACY PATIENT File (#55) upon
verification of the order, and upon the order becoming active.
 
Problem:
--------
The frequency is being set to null very sporadically for IV Piggyback
orders.  No root cause is known.
 
Resolution:
logged during the compliance date period for the CPRS (Computerized 
-----------
During the verification process, if the IV is intermittent, and the
frequency is null, attempt to re-set the frequency based on the name
of the schedule as well as other variables that should
contain the value of the frequency.  These changes are in routine 
PSIVORFB.
 
3. The third issue, Remedy Ticket HD274682 and its duplicates, is an
undefined variable error in the new Meds Tab sort for CPRS.  The root
cause of the problem is that a pointer to the PHARMACY ORDERABLE ITEM File
Patient Record System) GUI v27 release.
(#50.7) is missing in either the NON-VERIFIED ORDERS File (#53.1) or the
PHARMACY PATIENT File (#55).  Because the pointer does not exist, when
a temporary global is being built to display the orders for the patient, 
an undefined variable error occurs.
 
 
Problem:
--------
Very old orders exist in the system that do not contain a pointer to
the orderable item.  When the new Meds Tab sort routines attempt to
 
use the pointer value as a subscript in a ^TMP global setting, and the
pointer's value is null, a null subscript error occurs.  This causes
a hard error in CPRS and shuts CPRS down.
 
Resolution:
-----------
If the pointer to the orderable item does not exist, the routines will
use the phrase "Orderable Item Not Found" as the subscript value in place
of what should be the name of the orderable item.  This allows the Meds
Tab sort routines to process without error, and the patient's medications
 
appear without problems on the CPRS Meds tab.  The updated routines are
PSJORRO, PSJORRN, and PSJORRN1.
 
4. The fourth issue addressed by this patch is Remedy Ticket HD280040, 
which deals with an inconsistency between CPRS and backdoor pharmacy
with respect to continuous IV orders. 
 
If the IV order originates from CPRS, a
fractional infusion rate of < 1 ml/hr (0.9 ml/hr for example), backdoor
pharmacy allows the infusion rate, and the order can be finished and
1. The first issue, Remedy Ticket HD280022, pertains to Day of Week
verified without issue.  However, if the order originates from backdoor
pharmacy, a fractional infusion rate < 1 ml/hr is not accepted, and the
user is presented a message "Invalid Infusion Rate", and they cannot
finish and verify the order.  This patch will make backdoor pharmacy
behave consistently with CPRS.
 
Problem:
--------
If an order is entered via backdoor pharmacy for a continuous IV, and the
order is created with a fractional infusion rate of < 1 ml/hr, the system
    • 208 SEQ #190
      DATE APPLIED:   2009-06-23 10:37:00
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This PSI patch addresses the following problem(s):
 
When a lab order is entered in CPRS with only a date in the Collection 
Date/Time, the midnight draw times do not display.
    • 20
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. IVPB orders had asterisks across all the dated boxes on the MAR even
       Action Profile #2
       Patient Profile (Extended)
 
3. The MAR will be able to be sorted by the orders schedule type or
   alphabetically by the medication names.  The following are steps to use
   to set the sorting of the MAR:
 
Select OPTION NAME: PSJU MGR          Unit Dose Medications
 
(Inpatient Medications - Version 5.0  //)
   though the orders were still acitve.  After the installation of this
 
WELCOME, PHARMACIST,ABC!  (PHARMACIST)
 
 
          Align Labels (Unit Dose)
          Discontinue All of a Patient's Orders
   EUP    Edit Inpatient User Parameters
          Hold All of a Patient's Orders
   IOE    Inpatient Order Entry
   IPF    Inpatient Profile
   patch the asterisks will print on the correct dates.
          INQuiries Menu ...
          Label Print/Reprint
          Non-Verified/Pending Orders
          Order Entry
          PAtient Profile (Unit Dose)
          Reports Menu ...
          Supervisor's Menu ...
 
 
Select Unit Dose Medications Option: SUPervisor's Menu
 
 
 
          Administering Teams
          MANagement Reports Menu ...
          Order Set Enter/Edit
          PARameters Edit Menu ...
          PATient Order Purge
          PIck List Menu ...
          Ward Groups
 
2. Add the institution name to the following reports (E3R#11366):
 
Select Supervisor's Menu Option: PARameters Edit Menu
 
 
          AUto-Discontinue Set-Up
   IUP    Inpatient User Parameters Edit
   IWP    Inpatient Ward Parameters Edit
          Systems Parameters Edit
 
 
       7 Day MAR
Select PARameters Edit Menu Option: SYStems Parameters Edit
 
NON-FORMULARY MESSAGE:
  1>This is the Non formulary message!!!
EDIT Option: 
PRINT 6 BLOCKS FOR THE PRN MAR: 
PRINT DIET ABBR LABEL ON MAR: 
MAR SORT: ?
     Choose from: 
       0        Sort by order's Schedule Type and then Medication Names.
       14 Day MAR
       1        Sort by order's Medication Names.
MAR SORT: 1  Sort by order's Medication Names.
       24 Hour MAR
       Action Profile #1
    • 221 SEQ #191
      DATE APPLIED:   2009-07-08 14:55:53
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This is part 2 of the Frequency correction. This patch will re-enable 
PSJU LM SPEED FINISH and PSJU LM SPEED VERIFY.
and correct the following tickets.
 PSPO# 1221 HD297810 - 1 Orders did not show in BCMA.
 d - HD289777 - 4    Q14 coming up to be given every 2 days for one order
 d - HD289086 - 6 BCMA -Order Problem  Schedule Frequency Issue
 PSPO# 1274 HD302185 - 1 Possible patient safety issue with med order
 PSPO# 1278 HD302727 - 1 Bar Code Med Admin issue - Admin Times
    • 161
      DATE APPLIED:   2009-07-14 15:21:30
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
                                   I M P O R T A N T
 This patch description includes only the informational portion of
 PSJ*5*161. Please refer to the "Software Retrieval Instructions" and
 "Installation Instructions" sections of the PSU*4*5 patch description
for instructions on how to  acquire and install the patch software.
 
*************************************************************************
 
  
       ********************* WARNING *********************
       *****************************************************
 
     If your facility has the Pyxis/Omnicell/McKesson interface 
     from ILC this patch will overwrite any "local" modifications 
     in routine PSGOETO. This could affect certain orders being 
     sent across this interface.  The modifications will have to 
     be reintroduced following installation of this patch.
       *****************************************************
       *****************************************************
 
 
This patch addresses a request which supports the Pharmacy Benefits
*************************************************************************
Management (PBM) Extracts Enhancement #3 project. In order to allow the
retransmission of only those patients who have had demographic updates,
Outpatient Pharmacy V. 7.0, Inpatient Medications V. 5.0, Registration
v. 5.3 and Pharmacy Data Management V. 1.0 were modified to build an
entry for re-transmission in PBM PATIENT DEMOGRAPHICS File #59.9.
 
Whenever the FIRST SERVICE DATE field (#.07) in the PHARMACY PATIENT 
file #55 is updated for a patient, an entry is queued for retransmission.
 This Inpatient Medications patch PSJ*5*161 along with PSU*4*5, PSO*7*170
 and DG*5.3*671 is being released in a single KIDS software distribution 
 host file, PSU_4_P5.KID as part of the Pharmacy Benefits Management (PBM)
 Extracts Enhancement #3 project. PSS*1*99 which is also part of this
 enhancement is being released separately.
    • 193 SEQ #193
      DATE APPLIED:   2009-09-28 15:28:26
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch wil  resolve the following issues:
 
1) CPRS displayed -1 in the Start and Stop times of the order
2) Subscript error in the missed mediciton report
    • 207 SEQ #194
      DATE APPLIED:   2009-10-06 14:35:38
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Order Checks During Order Edits
    • 215 SEQ #195
      DATE APPLIED:   2009-10-26 12:07:31
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch contains a partial resolution for Patient Safety Issue
Activity Log for the order that reflects this change.  Medication
errors have happened due to edited dispense drugs, and there is
currently no audit trail to help track the information.
 
Resolution:
-----------
This enhancement will compare the original dispense drug(s) for
the order with the edited value for the dispense drug(s).  If
there is a difference between the values, the modified code in
routine PSGOE92 will call the routine that logs entries into the
PSI 07-073, PSPO #526, and is outlined in Remedy Ticket HD67749.
Activity Log for the order.
 
The structure for the activity log entry will be:
DATE^DUZ^6000^FIELD^OLD
 
DATE  =  Timestamp date/time of the edit.
DUZ   =  The system DUZ of the person making the edit.
6000  =  A code denoting that a field was edited.
FIELD =  The name of the field that was edited.
OLD   =  Old data before the field was edited.  This contains the
Another portion of this PSI is being addressed by the Vista
         dispense drug IEN, dispense drug name, and units per dose.
Maintenance Team in a separate patch, PSJ*5.0*216.
 
Problem:
--------
If the pharmacist must edit the dispense drug(s) for an active
Unit Dose order, there is currently no entry made in the
    • 184 SEQ #196
      DATE APPLIED:   2009-11-09 11:25:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       HD0000000139263 involves multiple additives with values in the MESSAGE 
 Dose report's status field.  The problem is due to Inpatient Meds not 
 sending CPRS the complete information for the status if the order was 
 discontinued due to edit.
  
 HD0000000159948 Within Parameters Edit Menu [PSJ PARAM EDIT MENU], the 
 option Clinic Definition [PSJ CD] asks the user for a CLINIC GROUP 
 NAME.  This prompt is in error and the option should end if no new 
 clinic is chosen for edit.   This issue has no negative impact on the 
 patient but is an inconvenience to the user of the option.
  
 field (#14) of the IV ADDITIVES file (#52.6).  When an IV label 
 HD0000000168525 When exiting the option by typing an "^" up-arrow at the 
 Report/Label device prompt in Site Parameters (IV) [PSJI SITE PARAMETERS]
 option, the system will default "TELNET" into the field even though a 
 value already exists. The software should retain the existing 
 report/label device at this prompt and not change the default device.  
 This issue has caused the user to print reports and labels to 
 unintended devices.
  
 HD0000000175185 concerns the Pick List Warning Message.  A user created 
 a pick list with a stop date which was far into the future.  This made 
 prints, and the IV order contains multiple additives, if more than one 
 the pick list inaccessible, and the list could not be deleted.  A 
 warning message will be displayed to the pharmacist if the pick list 
 stop date is more than 7 days into the future.
 additive has a MESSAGE field value, only the message of the first 
 additive in the IV order will display on the label.  
  
 HD0000000139800 The CPRS Unit Dose report shows the status of the unit 
 dose orders for a given patient.  If an order has the status 
 "Discontinued due to Edit", nothing is displaying in the CPRS Unit
    • 190 SEQ #197
      DATE APPLIED:   2009-11-09 11:25:21
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses one Patient Safety Issue, PSI 06 101, contained
given in Bar Code Medication Administration (BCMA) Version 3.0. As a
result, the medication was given multiple times, despite the ordering
provider's intent to allow only one optional dose. In this scenario, ONE
TIME is the name of a schedule defined in the Administration Schedule
file with a type of One Time.
 
Based on workgroup feedback, the issue will be addressed by treating any
order containing a One Time schedule (i.e., a schedule defined in the
Administration Schedule File with a type of One Time) as a order that is
to be given only once, regardless of the order's Schedule Type, or the
in two Remedy tickets: HD153724 and HD166076.
presence of the PRN modifier appended to the order's schedule. The
letters PRN are appended to the schedule name when the PRN check box is
checked during order entry, from the ordering dialog in CPRS. The PRN may
also be appended to the schedule name manually from Inpatient Medications
Version 5.0 order entry options.
 
This patch constitutes the Inpatient Pharmacy portion of a multi-package
build. It addresses Remedy ticket HD153724. The BCMA patch PSB*3*33
addresses the BCMA portion, Remedy ticket HD166076.
 
The site reported Unit Dose medication orders entered with a schedule
of ONE TIME PRN were not automatically discontinued after being
    • 222 SEQ #198
      DATE APPLIED:   2010-02-03 12:40:51
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will be released as the Inpatient Medications portion of
Currently, for complex unit dose orders that contain an "AND" conjunction,
there is a possibility of the child orders containing overlapping
administration (admin) times. If the admin times overlap, it is possible
for a patient to receive too much of the medication at the overlapping
admin time.
 
Resolution
----------
This enhanced functionality will compare the admin time string of the
child orders on either side of the "AND" conjunction and will capture
the Pharmacy Legacy Quarterly Enhancements team's FY09 Q4 effort.
any overlapping admin times. If any overlapping admin times are
found, a warning message will be displayed to the pharmacist who is
finishing the order. The warning message will read:
 
**WARNING**
 
The highlighted admin times for these portions of this complex order 
overlap.
 
Part 1 has a schedule of BID and admin time(s) of 10-22.
 
Part 2 has a schedule of QDAY and admin time(s) of 10.
 
Please ensure the schedules and administration times are appropriate.
This enhancement will address Patient Safety Issue PSI-07-055,
PSPO #508, Remedy Ticket #180596, and was approved by the Inpatient
Medications Workgroup.
 
Problem
-------
    • 214 SEQ #199
      DATE APPLIED:   2010-02-22 11:34:30
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Patches PSJ*5*214 and PSN*4*193 are being released as part of the Class
 
1. The option would quit prematurely after the user entered an up-arrow to
exit a previous attempt to generate the report.
 
Problem:
--------
The variable QFLG used to denote the user's attempt to quit the option was
left defined following the aborted report attempt.
 
Resolution:
III to Class I conversion process.  In combination, the two 
-----------
Routine PSJPDV updated to NEW variable QFLG.
 
2. To generate a report for all drugs within a parent drug class required 
entry of each child class when specifying the report parameters.
 
Problem:
--------
There was no cross-reference in the VA DRUG CLASS file (#50.605) to
determine the relationship between parent drug classes and 
patches address the need to provide multidivisional functionality within
child drug classes.
 
Resolution:
-----------
Patch PSN*4*193 introduces the necessary cross-reference, which is 
utilized by this patch to allow a user to enter a parent drug class.  The 
system will then select all of the drugs in the hierarchy of that parent 
class.
 
3.  The default response for the Number of Matches prompt did not 
the Inpatient Medications package's Patients on Specific Drug(s) [PSJ
reflect the most common answer to that question.
 
Problem:
--------
Current functionality would count the number of unique entries selected 
by the user and present that number as a default response to the Number 
of Matches prompt.  This assumed that a patient had to have all of the 
selected drugs in their profile in order to be listed in the final report.
 
Resolution:
PDV] option. PSN*4*193 provides support within the National Drug File
-----------
The default is changed to 1, reflecting a report in which the patient can 
be on any of the selected drugs in order to be listed on the report.  The 
user can still enter a higher number to employ the previously defaulted 
functionality.
 
4.  The existing program did not include functionality to support the 
reporting needs of integrated or multidivisional facilities.
 
Problem:
package and PSJ*5*214 delivers the enhanced functionality of the Patients
--------
The report parameters do not ask for limitation of the output to 
specified divisions, wards, or ward groups.  The resulting list always 
included all patients meeting the criteria across an entire VistA 
database.
 
Resolution:
-----------
A prompt is added to allow the user to select the DIVISION(s)
from which patients will be reported.  Sites that have only 1 division
on Specific Drug(s) [PSJ PDV] option.
associated with all of their inpatient wards will not see this new prompt.
 
A prompt is added to allow the user to select the WARDS(s) from which
patients will be reported.
 
If no selection is made for the division or ward prompt, the user will 
be allowed to select one WARD GROUP from which patients will be reported.
  
This patch contains the following items:
    • 113 SEQ #200
      DATE APPLIED:   2010-06-23 16:48:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software enhancements for Order
to improve the data that is displayed on the VDL. These order
validation requirements will apply to Unit Dose Medications and applied
to intermittent IV orders schedules (IV orders do not have Schedule
Type).
 
These enhancements are:
 
1.  Order Validation Check One
For Intermittent IV orders, references to an order's Schedule Type will
refer to either the TYPE OF SCHEDULE from the Administration Schedule
Validation defined by the BCMA-Inpatient Medications Request for
file (#51.1), or PRN for schedule names in PRN format, or CONTINUOUS
for schedule names in Day of Week format.
 
2.  Order Validation Check Two
If an order has the Schedule Type of Continuous and the Schedule
entered is NOT in Day of Week (Ex. MO-FR) or PRN (Ex. TID PC PRN)
format, then the system shall prevent the number of administration
times associated with the order from being greater than the number of
administration times for that frequency, if the orders frequency is
numeric (minutes).  The number of administration times can be less than
Special Focus Group (SFG) Initial Request Analysis (IRA)
but not equal to zero administration times.
 
3.  Order Validation Check Three
If an order has a Schedule Type of Continuous and is an Odd Schedule, a
schedule whose frequency is not evenly divisible by or into 1440
minutes (1 day), then the system shall prevent the entry of
administration times.
 
4.  Order Validation Check Four
If an order has a Schedule Type of Continuous with a non-odd frequency
 
of greater than of 1 day (1440 minutes) then the system shall prevent
more than one administration time.
 
5.  Order Validation Check Five
If an order has a Schedule Type of One Time or if an order is entered
with a schedule that is defined in the schedule file as One Time then
the system shall prevent the user from entering more than one
administration time.
 
6.  Order Validation Check Six
Currently, Inpatient Medications allows orders to be created with
For an order with a Schedule Type of Continuous where no
doses/administration times are scheduled between the order's Start
Date/Time and the Stop Date/Time, then the system shall present a
warning message to the user and not allow the order to be accepted or
verified until the Start/Stop Date Times, schedule, and/or
administration times are adjusted so that at least one dose is
scheduled to be given.
 
7.  Change the Sequence of the Schedule Type and Schedule Prompts
Currently the order of the prompts in inpatient meds order entry is
conflicting administration times, frequencies, schedules, and schedule
Schedule Type followed by Schedule.  The sequence of the prompts will
be changed so that the Schedule prompt falls before the Schedule Type
prompt.
 
8.  Schedule Validation Requirement One
When a schedule is selected at the Schedule Field the system shall
default the Schedule Type for the schedule entered from the Schedule
File into the order.
 
9.  Schedule Validation Requirement Two
types such that orders may not always display correctly on the Virtual
If the user changes the schedule, they will be given a warning message
that the administration times and the schedule type for the schedule
selected will be defaulted to this order.
 
10.  Schedule Validation Check Three
If the schedule type is changed from Continuous to PRN the system shall
automatically remove any administration times that were associated with
the schedule so that the order will not include administration times.
 
11.  Modify VistA Help Text
Due List (VDL) in the Barcode Medication Administration (BCMA)
The Help Text in Inpatient Order Entry was modified to add additional
text so the user is able to see the added constraints when entering
Administration Times.
application. This enhancement adds several new order validation checks
    • 2
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
 
3. When using Inpatient Order Entry, the user should not be allowed to
finish an order entered as an IV Fluid in Unit Dose.  This patch will
prevent Fluid orders from being transferred to Unit Dose during the finish
process.  
 
4. A change was made to prevent the deletion of a dispense drug from an
active unit dose order.  The user may enter an inactive date for the
dispense drug that is no longer to be used.
 
1. An error would occur when printing a MAR label through CPRS if the
5. When editing the SELF MED prompt for an order, an undefined error would
occur if the user entered "1" instead of "Y" for yes.  The software will
now recognize "1" for YES and "0" for NO at this prompt.
 
6. An error was occurring when the user entered a leading zero when
choosing fields 1-9 in a Unit Dose order. This patch will prevent this
occurence. (NOIS SFC-0198-61889, SFC-0198-61890)
 
7. In the Inpatient Medications 5.0 KIDS build, three routines were
mistakenly left out of this build.  PSJORMA1,PSJORMA2, and PSJORMAR are
order contained missing data. This patch will prevent this error. (NOIS
correctly reinstalled by this patch. (NOIS CTX-0398-70640)
CTX-0198-71417) 
 
2. If a Unit Dose order had a Schedule that contained "PRN", the Schedule
type would automatically default to CONTINUOUS if the user was using the
Abbreviated Order Entry process.  This patch will change the default
Schedule Type to PRN if the order's schedule contains "PRN".
    • 21
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  The original IV Solution's volume has an upper limit of 4000ml.
              NAME {2} field (#.02) defined in the IV SOLUTIONS file
              (#52.7) and print the MAR label, and the MAR.
 
3.  When entering a new IV order the user edits the Stop date, the
    default Stop date for the next IV order will be blank.  This patch
    will make sure the default Stop date is displayed correctly.
    TO TEST: Enter a nw IV order, change the Stop date to a different
             value than the default date, accept the order.  Enter another
             new IV order, the Stop date should have a default value
             instead of being blank.
    This patch will increase the volume to 9999ml to meet the needs of the
 
4.  When entering a new IV order using a Quick Code with a usual IV
    solution defined, the user is then prompted for additional additives.
    When trying to enter additional additives the user may  choose
    from solutions.
    TO TEST:  Enter a new IV order using a Quick Code with a usual IV
              solution defined, then try entering additional additives
              at the ADDITIVE: prompt or ?? the listing will display
              additives correctly now.
    sites to enter solutions with a volume greater than 40.
    TO TEST:  Edit the Solution's volume to 9999.
 
2.  This patch will add the IV Solution's PRINT NAME {2} field (#.02),
    from the IV SOLUTIONS file (#52.7), to the MAR label, 24 Hour and 7/14
    Day MARs.
    TO TEST: Enter a new IV order with a solution that has the PRINT
    • 239 SEQ #201
      DATE APPLIED:   2010-07-08 11:49:44
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Patch PSJ*5*214 introduced an enhancement to the Patients on Specific 
This patch PSJ*5*239 will restore the ability for the report to identify 
the drugs that are directly assigned to a parent VA class.
 
1. Selection of VA Drug Class IN000 (Investigational Agents) in the 
Patients on Specific Drug(s) option no longer returns any data.
 
Problem:
--------
The enhancements written to allow user selection of a parent drug class, 
and the intended system response to return all items associated with its
Drug(s) [PSJ PDV] option in which a user could select a parent (or major) 
child drug classes, did not correctly search for drug items directly 
assigned to the parent class itself.
 
Resolution:
-----------
Revise search algorithm to select drugs assigned to the parent class 
first, then resume the process to traverse the drug class hierarchy of 
child classes.
VA DRUG CLASS and the system would respond as if the user had entered 
each of the corresponding child (or minor) drug class.
 
The enhancement broke the ability for the option to display data for 
parent classes that have drugs directly assigned to them, such as IN000 
(Investigational Agents) or HA000 (Herbs/Alternative Therapy).
    • 218 SEQ #202
      DATE APPLIED:   2010-09-29 12:57:14
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct
HD277692 - 5 Receiving error <DIVIDE>GETMIN+12^PSIVUTL1
HD347749 - 6 NATURE OF ORDER 'SERVICE REJECTION'  FOR INP MEDS
    • 232 SEQ #203
      DATE APPLIED:   2010-10-14 17:34:48
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues:
 
IVP syringe not appearing on Action Profile #2 [PSJU AP-2] with the rest 
of expring orders.
 
Lab QO stuck in a loop.
 
Documentation changes needed for menu option for the option Action 
Profile #1 [PSJU AP-1].
    • 200 SEQ #204
      DATE APPLIED:   2010-11-18 11:38:16
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will fix the following issues:
1.  Return and Destroy (IV) (PSJI RETURN BY BARCODE ID) does not update
    cumulative doses after destroying a label.
 
 
2. Complex order was not verified by a pharmacist and appeared on the 
   picklist with the unit needed displayed on the picklist.
    • 241 SEQ #205
      DATE APPLIED:   2011-01-11 11:48:40
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient
-Error in Order Summary of Non-Verified/Pending Orders Report
Medications to correct the display of various warning messages, and for
the Non-Verified/Pending Orders Report to correct the order count and 
patient list displays and to prevent a crash. This patch corrects the
following issues:
 
-Category "^Other" can't be retrieved
-Warning for Complex Orders
-Dosage Ordered and Dispense Units do not match warning
    • 245 SEQ #206
      DATE APPLIED:   2011-02-10 14:46:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch corrects the following issues that were introduced by patch
1. HD0000000413812
 
 Problem:
 --------
 For users defined with an order entry process of ABBREVIATED in the
 Inpatient User Parameters Edit [PSJ SEUP] option, the "Schedule:"
 prompt appears twice when creating a new order via the Inpatient Order
 Entry [PSJ OE] option.
 
 Solution:
PSJ*5*113:
 ---------
 For users defined with an order entry process of ABBREVIATED in the
 Inpatient User Parameters Edit [PSJ SEUP] option, prompt for
 "Schedule:" only once when creating a new order via the Inpatient Order
 Entry [PSJ OE] option.
 
 
2. HD0000000414155
   HD0000000415173
 
 
 Problem:
 --------
 Pending Continuous Unit Dose renewal orders with valid schedule/admin
 time combinations fail schedule validation when the SF - Speed Finish
 action is used within the Order Entry [PSJU NE] option, but they pass
 schedule validation, without edits, when the manual FN - Finish action
 is used. These orders can't be finished using Speed Finish, and must be
 finished using the manual FN - Finish action.
 
 Solution:
 - In Abbreviated Order Entry, the "Schedule:" prompt appears twice.
 ---------
 Within the Order Entry [PSJU NE] option, allow Continuous Unit Dose
 orders with schedule/admin time combinations that pass the manual FN -
 Finish action's schedule validation to also pass the SF - Speed Finish
 action's schedule validation.
 - Pending renewal orders incorrectly fail schedule validation in Speed
   Finish.
 
Remedy Overview
------------------
    • 179 SEQ #207
      DATE APPLIED:   2011-03-02 17:09:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Patch PSJ*5*179 Will correct the following issues.
2. HD0000000195783 - IMO Location not getting default stop date.
When using inpatient medications for Outpatient Orders, the 
correct stop date is not displayed on the patient profile of the
Backdoor Pharmacy Order Entry screen.  If there is a value defined in
Clinic Definition File for the "NUMBER OF DAYS UNTIL STOP field, the
order should use the default stop date. Currently this default stop date
is not used when the order is finished as a unit dose.
 
3. HD0000000210901 - PSI-07-172 Reads of File 51.1 not checking Package
                     Prefix.
 
When calculating the default Stop Date/Time for a Unit Dose order, 
Inpatient Medications uses the schedule type field from the Administration
Schedule File (#51.1) to determine which Inpatient Ward Parameter
should be used.  The Days Until Stop Date/Time or Days Until Stop for 
One-time will be used.  
However, the package prefix is not used when retrieving the schedule
type from the Schedule File and as result, the wrong schedule and
schedule type could be used.  This will result in an incorrect default
Stop Date/Time being calculated. 
be calculated.
1.  HD0000000099382 - PSI-05-053 Drug dose can be administered twice.
 
4.  HD0000000237637 - Editing Admit time, then comments renders no change.
Updates to the admin time field are not accepted when editing the admin
time on an existing Unit Dose order, then editing the comment field. 
The original admin time will remain.  
This also happens when the user edits the comment field first.
When a dose is given in Bar Code Medication Administration for an
Inpatient Order, the order is marked in BCMA as GIVEN.  If a Pharmacist
edit's a field with a star (*), the new order may overwrite the
administration that was given in BCMA.  The possibility of giving the
patient a "double" dose exists.
    • 226
      DATE APPLIED:   2011-03-08 13:52:57
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Provide dosing checks for Unit Dose and IV orders.
    • 181
      DATE APPLIED:   2011-04-28 16:07:00
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
1. Data Dictionary changes:
   Added the "HOURS OF RECENTLY DC/EXPIRED" field (#7) to the INPATIENT
   WARD PARAMETERS file (#59.6).
    • 261
      DATE APPLIED:   2011-06-15 14:52:48
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Incorrect stop dates are being populated when an IV medication order is 
entered in CPRS as an inpatient medication and when the pharmacist 
finishes the order as an IV piggyback and additives do not exist (are not 
populated) at the time the pharmacist goes to finish the order.  The 
software no longer recognizes the stop date information entered in the IV 
additive file or in the Orderable Item file.  Instead it is looking at 
only the IV Site parameter date for IV piggybacks.
    • 24
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      E3R 11894 brought up the problem of orders containing drugs with a 2 in
 
In Inpatient Medications Version 4.5 there was a field in the PRIMARY DRUG
file (#50.3), DEA SPECIAL HANDLING (#.02), which Inpatient Medications
used to check.  If the field contained a 2 the AUTHORIZED
ABSENCE/DISCHARGE ORDERS report would contain the warning.
 
In version 5.0 there is no DEA SPECIAL HANDLING field in the ORDERABLE
ITEM file (#50.7). After installation of this patch the Dispense Drugs in
the order will be checked and if any of those contain a 2 in the DEA
SPECIAL HANDLING field (#3) in the DRUG file (#50) then the warning will
the DEA SPECIAL HANDLING field (#3) in the DRUG file (#50) printing on the
print.
AUTHORIZED ABSENCE/DISCHARGE ORDERS report instead of the following
warning:
 
*********************************************************
*  THIS IS A SCHEDULE II DRUG.  A PRESCRIPTION BLANK    * 
*  (VA FORM 10-2277d) MUST BE USED TO ORDER THIS DRUG.  *
*********************************************************
    • 243 SEQ #211
      DATE APPLIED:   2011-06-29 09:30:09
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      FY11 Pharmacy Legacy Enhancements (PSPO 738/PSI-07-122)
Non-Verified orders, and then all other patients that have only ROUTINE
Pending or Non-Verified orders. Within a given priority, patients will
continue to be sub-sorted alphabetically by TEAM name and PATIENT name.
 
Examples shown here.  Note the addition of PRIORITY column.
 
 
Search for Patients by WARD:
----------------------------
 
 
ORDERS NOT VERIFIED BY A PHARMACIST - GEN MED
 
 No.   TEAM              PRIORITY     PATIENT
--------------------------------------------------------------------------
   1  Not Found          STAT         DIXPATNM,FORT (0294)
   2  Not Found          STAT         JACPATNM,OOH YEAH (0407)
   3  Not Found          ASAP         TESPATNM,COLLATERAL (0177)
   4  GENERAL MED ONE    ROUTINE      VOLPATNM,JOHNNY (0258)
   5  GENERAL MED TWO    ROUTINE      NOYPATNM,FORMT (0017)
   6  Not Found          ROUTINE      JONPATNM,AAAAA (0513)
The enhancement contained in this patch revises the existing display in
   7  Not Found          ROUTINE      NAGPATNM,STEVEN G (0139)
   8  Not Found          ROUTINE      TESPATNMTHREE,COLLATERAL (0181)
   9  Not Found          ROUTINE      TESPATNMTWO,COLLATERAL (0180)
Select 1 - 9:
 
 
 
Search for Patient by PRIORITY:
 
 
the Non-Verified/Pending Orders [PSJU VBW] option from a patient list
ORDERS NOT VERIFIED BY A PHARMACIST - STAT
 
 No.   TEAM              PRIORITY     PATIENT
--------------------------------------------------------------------------
   1  GENERAL MED ONE    STAT         BANPATNM,JAMES E (0091)
   2  GENERAL MED ONE    STAT         DIXPATNM,FORT (0294)
   3  GENERAL MED TWO    STAT         JACPATNM,OOH YEAH (0407)
   4  Not Found          STAT         MARPATNM,TEST (0734)
Select 1 - 4:
sorted alphabetically by TEAM and PATIENT NAME to a categorized listing
sorted by a patient's highest priority order.
 
Patients that have one or more STAT Pending or Non-Verified orders will
be listed first, followed by patients with one or more ASAP Pending or
    • 216 SEQ #212
      DATE APPLIED:   2011-06-29 16:15:04
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient 
 
 WARNING: Dosage Ordered and Dispense Units do not match.
        Please verify Dosage
 
The fix in this patch will display the warning message only when the 
dosage ordered is NOT equal to the dispense drug times (X) the units 
per dose.  Also, when the warning message displays, the Dosage Ordered 
and Dispense Drug items will display in reverse video.
Medications package:
 
- When a user is prompted for dosage in Inpatient Order Entry [PSJ OE], a 
response of null will no longer be allowed.
 
-When a user edits the dispense drug or units per dose on a unit dose 
order, the following message will not be displayed if the dispense drug 
times the unit per dose matches with the dosage ordered.
    • 263 SEQ #213
      DATE APPLIED:   2011-08-12 13:56:42
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      ****************************** Note **************************************
phased release for MOCHA 1.0, and this patch PSJ*5*263 should be installed
after MOCHA 1.0 installation.
 
**************************************************************************
 
1. When the provider placed an IV order on hold, the code "HP" was
displayed for the order on the Inpatient Meds profile.  "HP" was still
displayed on the patient profile on the pharmacy side when the provider
released hold.  The order status was correctly changed back to active.  
Bar Code Medication Administration (BCMA) was working with an active order
This patch is a follow-up defect patch for Medication Order Check
even though the display code was indicating hold by provider.  This patch
is removing the "HP" so the appropriate status is displaying on the
profile. HD0000000503309 (Code Change Request(CCR) #4466)
 
2. When no active dispense drug was found for an active unit dose order, 
the order was not included in the Drug Interaction and Duplicate 
Therapeutic checks for Computerized Patient Record System (CPRS).  This 
patch will ensure a dispense drug is included for the order checks.  (CCR 
#4465)
 
Healthcare Application v1.0 (MOCHA).  The MOCHA v1.0 patches are being 
3. An undefined error occurred when using the order set with more than 
one order.  This happened when one of the orders was edited and the 
variable PSJNOO was killed.  This lead to an undefined when continued 
entering a subsequence order from the order set. HD0000000505659 (CCR 
#4503)
 
4. The Computerized Patient Record System (CPRS) Workgroup and Patient
Safety requested Inpatient Medications shows the bottle/bag number in
parenthesis on the finishing screen for an IV order.  This change will
display the bottle number within the parenthesis for IV orders on the
released as a phased implementation release.  To see current status and
profiles and the order view. Change Request(CR) #3815, CCR #3815
 
5. The Computerized Patient Record System (CPRS) Workgroup and Patient 
Safety requested Inpatient Medications shows the 'See Comments' next to IV
additive name if applicable on the finishing screen for an IV order.  This
change will display 'See Comment' within the parenthesis for IV orders on
the profiles and the order view.  The user must enter the appropriate
bottle/bag number before completing the order. CR #2534, CCR #2990
 
6. This patch also fixes an issue in the IV Profile where additive data is
target dates for Sites/VISN/Region please refer to the following site:
not wrapped appropriately.
 
http://vaww.itfo.portal.domain.ext/svcs/itfopmo/pre05/default.aspx
 
Sites will be provided instructions and guidance on installation and of a
    • 235
      DATE APPLIED:   2011-09-08 14:09:05
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       HD0000000349678 - PSPO#1521 QOD (every other day) schedule not working
 (d)HD000000350458 - 1 Problem with start time of order
 
 This patch will correct an issue in which the Expected First Dose line 
 in CPRS, as well as the REQUESTED START DATE line in inpatient order 
 entry were not displaying the correct date.
    • 225 SEQ #215
      DATE APPLIED:   2011-09-30 13:20:22
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issues:
   (#55.01) are being incorrectly set to 1440 (1 day).
 
3. Intravenous push (IVP) orders are not showing up on the medicatinos 
   due worksheet.
 
4. The Meds tab in CPRS is not showing active orders that have been 
   placed on HOLD when the sort type is by Drug (Alphabetical).
 
5. In CPRS, when the ORCH CONTEXT MEDS parameter is not set, some 
   non-active orders visible even though none should be.
 
1. If the Units per Dose of an order are entered as "0" or a non-numeric 
   value, the Units per Dose is recorded as 0. This is contrary to the 
   documentation, which states that under these circumstances, the units 
   per dose should be 1.
 
2. Intermittent as needed (PRN) IV Orders created by CPRS which should 
   have no value in the SCHEDULE INTERVAL field (#.17) of the IV SUB-FILE
    • 250 SEQ #216
      DATE APPLIED:   2011-10-12 12:55:46
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide a software bug fix for Inpatient
Medications, and to correct the method of reprinting IV labels.  This 
patch corrects the following issue:
 
-Invalid barcode when IVPB order changed
    • 237 SEQ #217
      DATE APPLIED:   2011-11-02 12:02:01
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issues:
 
-Print label missing data
-Option PSJU SFEA Doesn't exist
-Inpatient unit dose issue
-Incorrect First Dose
    • 223 SEQ #218
      DATE APPLIED:   2011-11-15 17:34:40
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       This patch will correct an issue with editing the SCEDULE TYPE of an 
 HD0000000305526 - 1 Undo Given action returned a One time order back
 order in Inpatient Backdoor processing. The problem arises when a user 
 is able to enter a SCHEDULE TYPE of ONE TIME when the schedule is not 
 ONE TIME.
 
 
 ASSOCIATED REMEDY:
 ==================
 PSPO#1317
    • 258 SEQ #219
      DATE APPLIED:   2011-12-02 12:16:57
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient 
Medications.  This patch corrects the following issues:
 
-Undefined Error when Copying an IV Order 
-Pre-Exchange Report Not Printing When Orders Are Renewed
-Can't Copy an IV Order
-Syntax Error When Renewing Multiple Unit Dose Orders
    • 253 SEQ #220
      DATE APPLIED:   2012-01-30 10:41:48
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch contains the following enhancement:
 
This patch contains the following two defect fixes:
 
1. This patch corrects an issue in Bar Code Medication Administration
   V. 3.0 in which orders do not display on the Virtual Due List (VDL) 
   if the order's Schedule Type is Continuous or Fill on Request, and 
   the order contains a Schedule defined in the Administration Schedule 
   File (#51.1) with a Schedule Type of On Call.
 
2. This patch corrects an issue in Inpatient Medications V. 5.0 in which
 
   changing a Non-Verified order's Schedule Type to On Call automatically
   changes the name of the order's Schedule to On Call without alerting 
   the user.
1. This patch implements functionality that retrieves Computerized
   Patient Record System (CPRS) V. 1.0 order checks and corresponding
   provider override reason from the Order Check Instances (#100.05)
   file, and provides the order checks and provider override reason
   to Bar Code Medication Administration (BCMA) V. 3.0 for display
   in the BCMA Display Order report.
    • 22 SEQ #22
      DATE APPLIED:   1999-04-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
a unit dose order set.  If the pharmacist entering the orders had the
automatic verification user parameter set to "Yes", the labels weren't
printing correctly for the orders.  This patch will correct this problem. 
 
3. A problem was reported with the Patients on Specific Drug(s) [PSJ PDV]
option.  If the user searched on an entry in the PHARMACY ORDERABLE ITEM
file (#50.7), the report could erroneously print orders for the DRUG file
(#50) entry with the same internal entry number.  This patch will correct
this problem.
 
1. An inconsistency was noted when entering orders for patients where no
4. A problem was reported where a user accessed the option Order Entry    
[PSJU NE], then the user accessed the option Label Print/Reprint [PSJU
LABEL] either from the hidden menu or the regular menu and was unable to
select orders greater than 13.  The help text for this option displayed
when the user entered '??' was not appropriate either.  This patch will
correct this problem.
 
5. An error could possibly occur in routine PSGAL5 when running the
Duplicate Patient Merge software.  This patch will correct this problem.
 
orders were found for the profile selected.  When using the option Order
6. An undefined variable DA error was reported when discontinuing an order
within a unit dose order set.  If the pharmacist has Auto Verify turned
on, an undefined error can occur when an order set is entered and one of
the orders is discontinued before finishing the order set.  This patch
will correct this error.
Entry [PSJU NE] the user was returned to the Select PATIENT: prompt. When
using the option Inpatient Order Entry [PSJ OE] the user was prompted
Select DRUG:.  After installation of this patch both options will prompt
Select DRUG:.
 
2. A problem was reported in the generation of labels during the entry of
    • 254 SEQ #221
      DATE APPLIED:   2012-01-30 10:42:06
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Computerized Patient Record System (CPRS) V. 1.0 provider override
 
 
Patient Safety Issues (PSIs)
-----------------------------
None.
 
Remedy Ticket(s) & Overview
---------------------------
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
patch will overwrite any local modifications in routines PSGOEE and
PSGOETO. This could affect certain orders being sent across this
interface. The modifications will have to be reintroduced following
installation of this patch.
 
**************************************************************************
 
1. This patch will implement functionality to utilize the Order Check
reasons and the order checks that were overridden, as well as pharmacist
   Instances (#100.05) file to retrieve and display CPRS provider override
   reasons and the order checks that were overridden, when at least one
   critical drug-drug interaction and/or allergy/ADR interaction is
   associated with an Inpatient order.
 
2. An Order Checks/Interventions (OCI) indicator has been added to
   indicate a CPRS provider override or pharmacy intervention of at least
   one critical drug-drug interaction and/or allergy/ADR interaction
   exists for the current order. An "OCI" hidden action has also been
   added to display the same CPRS overrides and/or pharmacist
intervention information from Inpatient Medications V. 5.0, when at
   interventions.
 
   The OCI indicator and hidden action have been added to the Detailed
   Order List Manager screens when utilizing the following options:
    - Inpatient Order Entry [PSJ OE]
    - Non-Verified/Pending Orders [PSJU VBW]
    - Order Entry [PSJU NE]
    - Order Entry (IV) [PSJI ORDER]
 
 
least one overridden critical drug-drug interaction and/or allergy/ADR
Patch Components
================
 
Files & Fields Associated:
 
File Name (Number)           Field Name (Number)    New/Modified/Deleted
------------------           -------------------    --------------------
Non-Verified Orders (#53.1)  Schedule Type (#7)     Modified
 
Pharmacy Patient (#55)       Unit Dose (#62)(Multiple)
interaction is associated with an Inpatient order. An API has also
                              Intervention (#132)   Modified
 
Pharmacy Patient (#55)       IV (#100)(Multiple)
                              Intervention (#153)   Modified
 
 
Forms Associated:
-----------------
None.
 
been added to supply this information to Bar Code Medication
Mail Groups Associated:
-----------------------
None.
 
Options Associated:
-------------------
None.
 
Protocols Associated:
---------------------
Administration (BCMA) V. 3.0.
PSJ LM FINISH
PSJ LM IV SELECT ORDER
PSJ LM IV NEW SELECT ORDER
PSJ LM NEW SELECT ORDER
PSJ LM ORDER VIEW HIDDEN ACTIONS
PSJ LM OVERRIDES
PSJ LM SELECT ORDER
PSJ PC IV ACCEPT
PSJI LM EDIT
PSJI LM FINISH
 
PSJI LM VERIFY
PSJI PC RENEWAL
PSJU LM ACCEPT
PSJU LM RENEW
PSJU LM VERIFY
 
 
Security Keys Associated:
------------------------
None.
******************************* WARNING **********************************
 
Templates Associated:
---------------------
None.
 
Additional Information:
 
New Service Requests (NSRs)
----------------------------
None.
    • 227 SEQ #222
      DATE APPLIED:   2012-02-28 10:29:14
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses the following 3 issues:
 
1. When entering a new UNIT DOSE order in VistA, using <space bar> <enter>
   at the SCHEDULE prompt causes an error.
 
2. Undefined error when editing IV Quick Code schedule
 
3. Incorrect DIN drug information for Unit Dose orders
    • 270 SEQ #223
      DATE APPLIED:   2012-04-05 11:48:00
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Prevent IV orders with bottle from being finished as Piggyback
-Undefined error with invalid drug class
    • 264 SEQ #224
      DATE APPLIED:   2012-04-05 11:48:12
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
                                
-Units per Dose calculated incorrectly
-Erroneous warnings about overlapping complex schedules
    • 247 SEQ #225
      DATE APPLIED:   2012-04-18 11:50:33
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will make the following corrections to the Inpatient 
Medications package:
 
- Do not allow user to delete Dispense Drug of active order
- Undefined Error when discontinuing a copied IV order
    • 273 SEQ #226
      DATE APPLIED:   2012-04-23 14:27:53
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Additive does not print on chemotherapy label
-Patient deceased message not displaying properly
-UNDEFINED error when nurse verifies order
    • 271 SEQ #227
      DATE APPLIED:   2012-04-23 16:47:59
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issue:
 
   When using the Order Entry (IV) [PSJI ORDER] menu option. A 
   variable containing schedule frequency was being left behind. 
   Causing order to be created with a frequency that would not 
   match the schedule.
    • 244 SEQ #228
      DATE APPLIED:   2012-04-30 11:41:20
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient 
Medications to correct several errors and to provide a method to clean 
up discontinued non-verified orders in cross-references in order to 
increase system speed.  This patch corrects the following issues:
 
-Slow response when searching for orders
-Incorrect error message displaying
-Undefined Error when verifying orders
    • 265 SEQ #229
      DATE APPLIED:   2012-08-29 10:34:17
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Pending Clinic orders not accessible in Non-Verified/Pending Orders
 Report
-Non-Verified Clinic orders not accessible in Non-Verified/Pending Orders
 Report
-Loop when editing Stop Date
    • 246 SEQ #230
      DATE APPLIED:   2012-08-29 10:49:38
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the issue were the user is getting an UNDEFINED 
error when coping an existing inpatient medication order.
    • 25 SEQ #23
      DATE APPLIED:   1999-06-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A subscript error was occurring at WS+4^PSGPL1 for some Ward Stock
3. A problem was reported where orders entered thru Computerized Patient
Record Systems (CPRS) with a schedule of PO QD or QD NOON and then
finished in Inpatient Medications were printing on the Medication
Administration Record (MAR) with every other day starred out. This patch
will correct this problem.
 
4. An erroneous "Pre-Exchange DOSES:" prompt could occur when entering a
Unit Dose Order Set.  If one of the orders is discontinued while entering
the order set, the user may be prompted for Pre-Exchange DOSES
incorrectly.  This patch will correct this problem.
items that had a "D" x-ref and no "B" x-ref.  This patch will correct this
problem.
 
2. A problem was reported where a site was finishing orders.  The first
order they finished was an IV order; the next order to be finished was a
Unit Dose order.  The user selected edit and entered "??" and received a
list of IV fields for selection.  This patch will correct this problem.
    • 277 SEQ #231
      DATE APPLIED:   2012-08-29 12:19:33
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       This patch will correct an issue in which the Expected First Dose line 
 in CPRS, as well as the REQUESTED START DATE line in inpatient order 
 entry were not displaying the correct date.
    • 267 SEQ #232
      DATE APPLIED:   2012-09-12 16:26:11
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      ******************************* WARNING **********************************
******************************* ATTENTION ********************************
                    (v)PSJ*5*253   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*254   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*263   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*265   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*273   <<= must be installed BEFORE 
`PSJ*5*267'
 
                    
 
Subject:  IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH SI/OPI
 
Category:  ROUTINE
           ENHANCEMENT
           OTHER
 
 
Press RETURN to continue or '^' to stop 
                          PSB*3*68 and PSS*1*171
 
 
 
 
 
 
 
VistA Patch Display                                                   
Page: 2
==========================================================================
 
===
Run Date: JUL 06, 2012                      Designation: PSJ*5*267  TEST 
v23
Package : INPATIENT MEDICATIONS             Priority   : MANDATORY
Version : 5                                 Status     : UNDER DEVELOPMENT
==========================================================================
===
 
Description:
===========
This patch (PSJ*5*267) should be installed before PSS*1*171 in order to
 
******************************* WARNING **********************************
 
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
patch will overwrite any local modifications in routines PSJOEA2, PSGOEE, 
PSGOETO, and PSGOEV. This could affect certain orders being sent across
this interface. The modifications will have to be reintroduced following
installation of this patch.
 
**************************************************************************
activate the NO ALLERGY ASSESSMENT enhancement. The NO ALLERGY ASSESSMENT
 
 
 
Press RETURN to continue or '^' to stop ^
 
 
 
Select PATCH: PSJ*5*267    IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH 
UND JCH
 
enhancement will not be fully activated until patch PSS*1*171 and 
DEVICE: HOME// ;;99999  SSH VIRTUAL TERMINAL
 
 
 
 
 
 
 
 
VistA Patch Display                                                   
PSJ*5*267 are both installed.
Page: 1
==========================================================================
===
Run Date: JUL 06, 2012                      Designation: PSJ*5*267  TEST 
v23
Package : INPATIENT MEDICATIONS             Priority   : MANDATORY
Version : 5                                 Status     : UNDER DEVELOPMENT
==========================================================================
===
 
 
Associated patches: (v)PSJ*5*200   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*253   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*254   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*263   <<= must be installed BEFORE 
`PSJ*5*267'
                    (v)PSJ*5*265   <<= must be installed BEFORE 
`PSJ*5*267'
This patch (PSJ*5*267) should be installed with PSB*3*68 in order to
                    (v)PSJ*5*273   <<= must be installed BEFORE 
`PSJ*5*267'
                    
 
Subject:  IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH SI/OPI
 
Category:  ROUTINE
           ENHANCEMENT
           OTHER
 
 
activate the UNLIMITED SI/OPI enhancement in BCMA. This patch (PSJ*5*267)
Description:
===========
 
******************************* WARNING **********************************
 
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
patch will overwrite any local modifications in routines PSJOEA2, PSGOEE, 
PSGOETO, and PSGOEV. This could affect certain orders being sent across
this interface. The modifications will have to be reintroduced following
installation of this patch.
is required by PSB*3*68 and must be installed after PSB*3*68.
 
**************************************************************************
 
Enhancements
=====================
 
1. Special Instructions/Other Print Info
 ________________________________________
 With this enhancement, Special Instructions and Other Print Info have
 been modified to support an unlimited amount of text. The existing
 
 functionality that copies the provider comments from the Computerized
 Patient Record System (CPRS) to be copied into each field has been
 retained, and an additional action has been added to optionally open a
 word processing edit dialog after copying the provider comments into the
 appropriate field (Special Instructions for Unit Dose, Other Print Info 
 for IV).
 
 Special Instructions and Other Print Info may also be entered
 and/or edited from within Inpatient Medications V. 5.0 order entry 
 options.
************************************************************************* 
 
 Prior to this enhancement, Inpatient Medications maximum character
 length for Special Instructions was 180 characters and for Other Print
 Info the maximum length was 60 characters. This enhancement resolves
 Patient Safety Issues PSPO 42, 1466 / Remedy Ticket HD336419
 - Comment lengths between CPRS and Pharmacy.
 
2. No Allergy Assessment
 ________________________ 
 The No Allergy Assessment enhancement provides an interactive alert to
 
 the pharmacist in Inpatient Medications V. 5.0 when no allergy assessment
 is on file for the patient, and a method for the pharmacist to enter an
 allergy assessment after receiving the alert.  A pharmacy intervention 
 is automatically created if the pharmacist chooses to not enter an
 assessment. 
 
 The No Allergy Assessment functionality will be available at the 
 following options:
 
   Inpatient Order Entry [PSJ OE]
Enhancements
   Non-Verified/Pending Orders [PSJU VBW]
   Order Entry [PSJU NE]
   Order Entry (IV) [PSJI ORDER]
   Profile (IV) [PSJI PROFILE]
 
When a patient with no allergy assessment is selected from one of the
affected options, the following message will be displayed to the
pharmacist: 
 
"NO ALLERGY ASSESSMENT exists for this patient! Would you like to enter
=====================
one now?" 
 
 - If the pharmacist enters 'YES' at this prompt, they are prompted
   for allergy information. 
 - If the pharmacist enters 'NO' at this prompt, a pharmacist intervention
   is created, with a type of 'NO ALLERGY ASSESSMENT'. The pharmacist is
   then prompted for Provider and Recommendation. A new Recommendation,
   'UNABLE TO ASSESS', has been created specifically  for this type of 
   intervention.
 
 
 This enhancement will address Patient Safety Issue PSPO 445.
 
 
Defects Addressed
=========================
 
1. HD 187184 - IV Med Stop Date
 
   Problem
   -------
1. Special Instructions/Other Print Info
   When an IV order is renewed the status automatically changes to
   expired, but the stop date does not change to the time the order
   actually stops.
 
   Resolution
   ----------
   Routine PSJHL3 has been modified to correctly set the stop date of the
   order that has been renewed to the time of renewal. 
 
 
 ________________________________________
 2. HD 176676/PSPO 480 - Inpatient doesn't change order status to Expired.
    
    Problem
    -------
    The Inpatient Medications V. 5.0 package does not change order status
    to Expired when sending orders to CPRS with Stop Date/Time in the 
    past.
 
    Solution:
    ---------
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
 With this enhancement, Special Instructions and Other Print Info have
    Routine PSJHL3 has been modified to change the order status to 
    Expired, if the order's Stop Date/Time is in the past, when sending 
    orders to CPRS. 
    **This is a partial solution addressing Inpatient Medications V.5.0
      functionality only. Patch OR*3*350 addresses CPRS GUI functionality.
 
 3. HD 377288 (original) - Default response should be "No"
    
    Problem
    -------
 been modified to support an unlimited amount of text. The existing
    When an Inpatient Unit Dose order's Dosage Ordered field does not 
    match the dosage indicated by the Dispense Drug and Units per 
    Dose fields, the warning prompt "Would you like to continue
    verifying the order?" is displayed after accepting the order via the 
    AC-Accept action. The prompt's default response is "Yes", even though 
    the order is flawed.
                         
    The Inpatient Medications Workgroup has requested 
    this be changed to "No".
 
 functionality that copies the provider comments from the Computerized
    Solution
    -------- 
    When an Inpatient Unit Dose order's Dosage Ordered fi eld does not 
    match the dosage indicated by the Dispense Drug and Units per 
    Dose fields, the default response for the prompt "Would you like to
    continue verifying the order?" will be changed to "No", as requested 
    by the Inpatient Medications Workgroup.
 
 
 4. HD 273000 (original) - Field Validation Not Correct
 Patient Record System (CPRS) to be copied into each field has been
 
    Problem
    -------
    When a second Dispense drug is added to a Unit Dose medication order,
    and no Dosage Ordered is selected, the following message display:
 
        THE FOLLOWING IS EITHER INVALID OR MISSING FROM THIS ORDER:
 
        THIS FIELD IS NECESSARY FOR VERIFICATION.
        Enter RETURN to continue or '^' to exit: 
<=======T=======T=======T=======T=======T=======T=======T=======T=======T>
 
    Note that there is no actual field name displayed as an invalid field.
    This is incorrect. 
 
    Solution
    --------
    In CHK^PSGOEV the variable CHK gets set to 8 and there is no handling
    for a value of 8. The message is correct when CHK is set to 7.
 
 
======
 5. HD 517634/PSPO 2137 - Provider Comments not displayed.
 
    Problem
    -------
    Provider Comments for continuous IV orders are not displaying in CPRS
    after the order is verified in Inpatient Medications.
 
    Resolution
    ----------
    When IV orders are verified in Inpatient Medications, if the order
 
    contains Provider Comments, include the Provider Comments in the
    update sent to CPRS in order to keep the order synchronized.
 
 6. HD 586428/PSPO 2137 - Provider Comments not displayed after Verify.
 
    Problem
    -------
    When an IV order is created with Provider Comments, and then edited
    prior to verification so as to trigger the creation of a new order,
    Provider Comments do not carry over to the new order if auto-verify 
 
    is not used. As a result, the verifying pharmacist may not see the
    original Provider Comments.
 
    Solution
    --------
    Prior to the initial verification of an order, the original Provider 
    Comments should carry over to new a order created due to edit, so that
    the pharmacist verifying the order has an opportunity to see the 
    Provider Comments.
 
 
patch will overwrite any local modifications in routines PSJOEA2, PSGOEE, 
 
 
 
 
 
                    editing MESSAGE TEXT
 
Do you want to copy a packman message into the Message Text? No// 
 
  MESSAGE TEXT:. . .
PSGOETO, and PSGOEV. This could affect certain orders being sent across
       . . .
"^DD",53.45,53.456,0,"NM","OTHER PRINT INFO")
 
"^DD",53.45,53.456,0,"UP")
"^DD",53.45,53.456,.01,0)
OTHER PRINT INFO (LONG)^WLx^^0;1^Q
"^DD",53.45,53.456,.01,"DT")
$END KID PSJ*5.0*267
this interface. The modifications will have to be reintroduced following
 
    Edit? NO// 
Select ROUTINE NAME: PSGOTR// ^
 
Select PATCH: 
 
You have 402 new messages.  (Last arrival: 07/06/12@08:11)
 
You've got PRIORITY mail!
 
installation of this patch.
 
Select Developer's Menu Option: ^DISPLAY A PATch
 
Select PATCH: PSJ*%*267 ??
 
Select PATCH: PSj*5*267    IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH 
UND JCH
 
DEVICE: HOME//   SSH VIRTUAL TERMINAL
 
 
 
 
 
 
 
 
 
VistA Patch Display                                                   
Page: 1
==========================================================================
**************************************************************************
===
Run Date: JUL 06, 2012                      Designation: PSJ*5*267  TEST 
v23
Package : INPATIENT MEDICATIONS             Priority   : MANDATORY
Version : 5                                 Status     : UNDER DEVELOPMENT
==========================================================================
===
 
Associated patches: (v)PSJ*5*200   <<= must be installed BEFORE 
`PSJ*5*267'
    • 274 SEQ #233
      DATE APPLIED:   2012-09-17 13:48:04
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issue in the Inpatient Medications 
package:
 
-Undefined error from surgery package auto-discontinue
    • 269 SEQ #234
      DATE APPLIED:   2012-09-24 15:48:00
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Schedule Type change causes problems
-Start Time not re-calculated when editing Schedule
-Leaving Orderable Item unchanged creates new order
    • 276 SEQ #235
      DATE APPLIED:   2012-09-25 09:26:32
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient 
Medications.  This patch corrects the following issues:
 
-Nurse not authorized to edit Dispense Drugs
-Display Status of reinstated orders incorrect
    • 248 SEQ #236
      DATE APPLIED:   2012-10-04 17:05:58
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient 
Medications and the IV Site Parameters option to correct several errors.  
This patch corrects the following issues:
 
-Edit IVPB Stop Date Warning Message
-7-Day MAR Undefined Error
-IV Site Parameters Undefined Error
    • 278 SEQ #237
      DATE APPLIED:   2012-10-24 14:23:18
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Orderable item not updating on renewal
-<SUBSCRIPT> error when viewing patient profiles
    • 284 SEQ #238
      DATE APPLIED:   2012-12-12 09:12:47
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issue in the Inpatient Medications 
package:
 
-Cannot send data to ATC
    • 283 SEQ #239
      DATE APPLIED:   2013-01-03 11:46:37
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Invalid start time for lab orders
-<NOLINE> error when running Total Cost to Date report
    • 285 SEQ #240
      DATE APPLIED:   2013-02-11 11:49:46
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Invalid infusion rate error
-<UNDEFINED> error when editing day-of-week schedule admin times
-Invalid frequency for IV orders
    • 23 SEQ #24
      DATE APPLIED:   1999-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch adds a "Requesting PROVIDER" prompt to the discontinue and
speed discontinue dialogue.  When an order is now discontinued, this new
prompt will be asked after the "Nature of Order" prompt.  The requesting
provider information will be used to update the Computerized Patient
Record System (CPRS) order.  The CPRS order will now reflect the correct
provider that requested the discontinue of the order.  This patch adds
this functionality.
    • 268 SEQ #241
      DATE APPLIED:   2013-02-12 10:38:55
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is designed and intended to "decouple" the automated dispensing
backed up and saved before patching could occur. The local mods would be
lost otherwise. After patching, the patched routines would
have to be incorporated into the locally modified routines in order for the
automated dispensing machines to operate properly and appropriately.
machine interface calls from the current Inpatient Medication (IP) package
routines. The interfaces calls are currently imbedded in regular "patched
routines" at the sites using a Pyxis, Omnicell, or McKesson automated
dispensing machine. This patch creates a new "shell" routine  (PSJADM) which
 interface calls can be added. The routines being affected by
"decoupling" are PSGOEE, PSGOETO, PSGOEV, PSJHLV, PSJCOMR, and PSJOEA2. In
the past, anytime these routines were patched at the sites using one of the
machines listed above, the local modified routine(s) would have to be
    • 260 SEQ #242
      DATE APPLIED:   2013-02-12 10:39:04
      APPLIED BY:   USER,SEVENTEEN
    • 288 SEQ #243
      DATE APPLIED:   2013-02-12 10:39:10
      APPLIED BY:   USER,SEVENTEEN
    • 287 SEQ #244
      DATE APPLIED:   2013-04-16 10:25:51
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Infinite loop for admin time edit                             
-IV order renewal with invalid schedule
    • 228 SEQ #245
      DATE APPLIED:   2013-04-22 10:44:56
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient 
Medications.  This patch corrects the following issues:
 
1. Dispense Drug with multiple lines is not being highlighted.
 
2. Print alignment problem for IV orders in Inpatient Order Entry 
   [PSJ OE].
    • 275 SEQ #246
      DATE APPLIED:   2013-05-29 12:05:25
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
the user to search for clinic orders by clinic group, clinic, or by
List Templates
--------------
PSJ LM CLINIC ORDER 
 
 
Additional Information:
  
 Patient Safety Issues (PSIs)
 -----------------------------
  2359 - Provider comments intended for a specific order are copied on
patient. After entering a clinic group, clinic, or patient, a beginning
         another order upon renewal.
  
  
 Remedy Ticket(s) & Overview
 ---------------------------
  HD 764596/781899 - Other Print Info display incorrectly.
  
   Problem
   --------
   When two or more Pending IV renews or Non-Verified edited IV orders
and ending date range must be entered to find orders with a start
   containing Other Print Info are selected in Inpatient Order Entry using
   a dash, 1-3 to view orders 1, 2, and 3, the orders following the first
   order mistakenly display the first order's Other Print Info. 
  
   Solution
   --------
   When selecting multiple Pending Renewed IV orders or multiple
   Non-Verified edited IV orders by using a dash in Inpatient Order Entry,
   initialize contents of Other Print Info between orders so the Other
   Print Info is displayed with the proper order.
date/time within the specified range.
 
 
  HD 760186 - Other Print Info from IV Quick Code not used.
  
   Problem
   --------
   Other Print Info copied in from Provider Comments not being overwritten
   by Other Print info in a selected IV Quick Code.
 
   Solution
 
   --------
   Restore previous functionality. When an order that can be finished as 
   Unit Dose or IV is finished as an IV, and the user is prompted for  
   Additive, if the finishing pharmacist enters an IV Quick Code that 
   contains Other Print Info text, that text should overwrite the contents
   of the order's Other Print Info.
 
  
  HD 763244 - Undefined error in 7 Day Mar.
  
When searching by clinic, all patients with at least one clinic order
   Problem
   --------
   Undefined error occurs when printing a PRN IV order in the 7Day MAR
   [PSJU 7D MAR] option.
  
   Solution
   ---------
   Prevent undefined error from occurring.
  
  
for the specified clinic and date range are displayed in a list, and
  HD 756354 - Undefined error in CPRS IV label print.
  
   Problem
   --------
   Undefined error occurs when printing an IV Label from the Chart Copy
   dialog after signing an order in CPRS.
          
   Solution: Prevent undefined error from occurring.
  
  
one or more patients may be selected from the list. After a patient is
  HD 763555 - Wrong intervention recommendation is filed.
  
   Problem
   --------
   NO ALLERGY ASSESSMENT type of intervention does not file correct
   recommendation when custom entries are present in the APSP INTERVENTION
   RECOMMENDATION (#9009032.5) file.
  
   Solution
   ---------
selected, only clinic orders matching the specified clinic and date range 
   Enable the NO ALLERGY ASSESSMENT type of interventions to handle custom
   entries in the APSP INTERVENTION RECOMMENDATION (#9009032.5) file.
          
  
  HD 770025 - Long Special Instructions not retained after CPRS Renew
  
   Problem
   --------
   Long Special Instructions (greater than 180 characters) and Other Print
   Info (greater than 60 characters) are not carried over to the Pending 
are displayed.
   renewal order after the order is renewed in CPRS.
  
   Solution
   --------
   Retain long Special Instructions (greater than 180 characters) and
   Other Print Info (greater than 60 characters) in the Pending renewal
   order when the order is renewed from CPRS.
Edit Clinic Med Orders Start Date/Time
 
When searching by clinic group, all patients with at least one clinic 
order in the specified clinic group are displayed in a list, and one or
more patients may be selected from the list. After a patient is selected,
only the clinic orders matching the specified clinic group and date range 
are displayed.
 
When searching by patient, clinic location is not specified, therefore, 
all clinic orders within the selected date range are displayed, for 
all clinic locations.
======================================
 
For searches by clinic and by patient, from the clinic profile view, 
one or more clinic orders may be selected for start date/time editing.
The new start date/time is entered once, and applied to all selected
clinic orders. 
 
Two new actions are available from the clinic profile view: VP (View
Profile), and VD (View Details). The VP (View Profile) action displays 
the full Inpatient medication profile, and the VD (View Details) action
prompts for a specific clinic order from the numbered list, and
This patch implements a new Vista option that allows users to
displays the detailed view of the order.
 
 
Patient Profile Clinic Orders
=============================
Clinic Orders will display in the patient profile grouped by Clinic, 
separate from non-Clinic Orders. Clinic Orders will display after all 
active, pending, and non-verified non-Clinic Orders. Non-Active 
non-Clinic orders will display after Clinic Orders.
 
quickly find clinic orders that are associated with a specific
The following menu options, and any actions that execute these options,
will be enhanced to separate clinic orders from non-clinic orders:
 
      Inpatient Order Entry [PSJ OE] 
      Order Entry [PSJU NE] 
      Non-Verified/Pending Orders [PSJU VBW] 
      Order Entry (IV) [PSJI ORDER] 
      Patient Profile (IV) [PSJI PROFILE]
      Action Profile  #1 [PSJU AP-1] 
      Action Profile #2  [PSJU AP-2]
clinic location (or specific patient), and date range, and quickly 
      Patient Profile (Unit Dose) [PSJU PR]
 
 
Patch Components
================
 
Files & Fields Associated:
None.
 
Forms Associated:
change the Start Date/Time of one or more selected clinic orders.
None. 
 
Mail Groups Associated:
None. 
 
Options Associated:
-------------------
Clinic Orders Menu                      [PSJ CLINIC ORDERS MENU]
Edit Clinic Med Orders Start Date/Time  [PSJ ECO]
Pharmacy Master Menu                    [PHARMACY MASTER MENU]
 
Unit Dose Medications                   [PSJU MGR]
IV Menu                                 [PSJI MGR]
 
 
Protocols Associated:
---------------------
PSJ LM ECO HIDDEN ACTIONS
PSJ LM ECO IM PR
PSJ LM ECO MENU
PSJ LM ECO RANGE
The new option EDIT CLINIC MED ORDERS START DATE/TIME [PSJ ECO] allows
PSJ LM ECO SELECT
PSJ LM ECO START
PSJ LM VIEW ORDER DETAIL
 
 
Security Keys Associated:
None. 
 
Templates Associated:
    • 295 SEQ #247
      DATE APPLIED:   2013-06-18 11:29:59
      APPLIED BY:   USER,SEVENTEEN
    • 286 SEQ #248
      DATE APPLIED:   2013-07-10 16:15:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-Order Check performed on incorrect drug
-Auto-discontinued Unit Dose orders in Inpatient Order Entry [PSJ OE] 
 can be copied for outpatients.
    • 272 SEQ #249
      DATE APPLIED:   2013-07-31 12:09:09
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The purpose of this patch is to provide software bug fixes for Inpatient 
Medications.  This patch corrects the following issues:
 
-Dose Limit problem for Day-of-the-Week schedules
-Undefined error in IV order entry
-Incorrect Dose Due time printing on IV label
    • 292 SEQ #250
      DATE APPLIED:   2013-08-27 16:59:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Patch PSJ*5*275 introduced an issue with the Inpatient Profile that 
Orders with stop dates earlier than the last admission date were ignored 
by the profile; their statuses were not updated, and they were not 
displayed.
 
Patch PSJ*5*275 attempted to make the inpatient profile consistent by
honoringing the HOURS OF RECENTLY DC/EXPIRED (#7) field in the INPATIENT
WARD PARAMETERS (#59.6) file so that no order would display if its stop
date was older than the value defined by this parameter. However, the 
patch incorrectly retrieved the parameter's nominal 'hours' value 
instead of its calculated 'date' value (derived by subtracting the hours 
caused very old, corrupted Unit Dose orders display on the Inpatient
from the current date/time), so that regardless of the value of the
parameter, virtually no orders were ignored when displaying the profile.
 
Finally, while patch PSJ*5*275 changed how far into the past the profile 
began searching for orders' stop date, the process that auto-expired 
orders from the inpatient profile did not change, allowing corrupted 
orders with stop dates in the past, and statuses of active or renewed, 
to display in the patient's Inpatient medication profile without 
performing a corresponding auto-expire on these orders.
 
Profile. This patch corrects the problem.
This patch corrects the issue by changing how the inpatient profile 
begins to look for orders with stop dates in the past to the calculated 
value of the HOURS OF RECENTLY DC/EXPIRED (#7) field in the INPATIENT 
WARD PARAMETERS (#59.6) file subtracted from the current date/time.
 
For Example, given two active orders with stop dates in the past, and an
             admission date, and a HOURS RECENTLY DC/EXPIRED value, the 
             following functionality would be observed prior to PSJ*5*275,
             with PSJ*5*275, and after PSJ*5*275:
 
 
           Current Date/Time : 06/06/2013@1300 
         Last Admission Date : 06/04/2013@1300
HOURS OF RECENTLY DC/EXPIRED : 120
                     Order 1 : Stop Date 01/01/2001@2400, Status=ACTIVE
                     Order 2 : Stop Date 06/03/2013@2400, Status=EXPIRED
                     Order 3 : Stop Date 06/05/2013@1200, Status=ACTIVE
           
                     
Prior to PSJ*5*275 :  (Order 1 is ignored and remains active)
                      (Order 2 is ignored and remains expired)
Prior to PSJ*5*275, the Inpatient Profile attempted to display only Unit 
--------------------------------------------------------------------------
Inpatient Order Entry    Jun 06, 2013@13:00:00     Page:  1 of  1
- - - - - - - RECENTLY DISCONTINUED/EXPIRED (LAST 120 HOURS) - - - - - -
- 
   1    Order 3                        C  06/04  06/05 E
          Give:  PO Q4H       
 
 
With PSJ*5*275  (Orders 1 and 2 are displayed and remain active)
--------------------------------------------------------------------------
Dose orders with a stop date later than the patient's last admission 
Inpatient Order Entry    Jun 06, 2013@13:00:00     Page:  1 of  1
- - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - 
   1    Order 1                        C  12/30  01/01 A
          Give: 10MG PO TID   
   2    Order 2                        C  06/02  06/03 A
          Give: 10MG PO TID 
 - - - - - - - - - RECENTLY DISCONTINUED/EXPIRED (LAST 24 HOURS) - - - - 
- - - - 
   3    Order 3                        C  06/04  06/05 E
          Give:  PO Q4H      
date. Orders within this same period were checked for auto-expiration; if 
 
 
                
With PSJ*5*292  (Order 1 is ignored and remains active)
                (Order 2 is displayed and remains expired)
-------------------------------------------------------------------
Inpatient Order Entry    Jun 06, 2013@13:00:00     Page:  1 of  1
- - - - - - RECENTLY DISCONTINUED/EXPIRED (LAST 24 HOURS) - - - - - - - -
   1    Order 2                        C  06/02  06/03 E
          Give: 10MG PO TID 
the order's stop date was in the past, the status was changed to expired. 
   2    Order 3                        C  06/04  06/05 E
          Give:  PO Q4H
    • 26 SEQ #25
      DATE APPLIED:   1999-07-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported with the default start date/time on IV orders.
If these fields were edited before accepting the order, the changes were
sometimes lost.  This patch will correct this problem.
 
3. This patch will run a post install routine, PSJ0026, to clean up
erroneous "AC" cross-reference nodes in the PICK LIST file (#53.5).  The
post install routine identifies "AC" cross-reference nodes that do not
have a corresponding zero node entry.  These erroneous cross-reference
nodes will be deleted.
 
4. A problem was reported where a one-time order was incorrectly entered
An IV order was placed on 2/9 @ 10:00am with a schedule of QD.  The
by a ward clerk via pharmacy options.  The order was then verified by
nursing through pharmacy options, when the pharmacist viewed the expired
order he/she was not able to dc this order.  The order was non-verified by
the pharmacist and remained on the active profile.  This patch will
correct this problem.  The pharmacist will be allowed to dc or verify
non-verified expired orders just as he/she could in version 4.5.
 
5. A problem was reported with the labels printed through Computerized
Patient Record Systems (CPRS).  The labels did not reflect the status of
the order.  After installation of this patch the label node of each order
schedule had an admin time of 09.  The order was finished on 2/10 before
will be updated if the parameters are set to auto-print labels through
CPRS the same way this functionality works for Inpatient Medications.
 
6. On Unit Dose order entry, the duplicate drug order check is not
alerting nursing or ward clerks of duplicate drugs. This patch will
correct that problem.
 
7. A problem was found in the Stop Date calculation when finishing pending
orders from Computerized Patient Record System (CPRS).  If an Orderable
Item had a default schedule type of Fill on Request and a One Time
09:00am and the default start date/time showed 2/11 @ 09:00am.  The ward
schedule was entered for the order, the stop date was not being calculated
correctly.  This patch will correct this problem.
 
8. A problem would sometimes occur on the DA DETAILED ALLERGY/ADR LIST
ListMan screen.  The ListMan screen header would sometimes print "Page 1
of 0".  This patch will correct this problem.
parameter was set to use next admin time. This patch will correct this
problem.
 
2. When creating a new Unit Dose order in Inpatient Medications, it was
sometimes possible to lose edits on the Start Date and Stop Date fields.
    • 301 SEQ #251
      DATE APPLIED:   2013-10-22 14:44:37
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses an issue with the ACTION PROFILE #2 [PSJU AP-2] 
patients and their orders print on the report when the report is run by 
Ward or Ward Group.
report introduced by PSJ*5*275.
 
The change to the ACTION PROFILE #2 [PSJU AP-2] report in patch PSJ*5*275 
caused the report to only print the first patient found, regardless of 
how many patients should have printed, when the report was run by Ward or 
Ward Group. 
 
This patch corrects the report by ensuring all appropriate
    • 229 SEQ #252
      DATE APPLIED:   2013-12-03 15:23:37
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       Patch PSJ*5.0*229 will correct the following issues.
 schedules and schedules with a frequency greater than 1440 (dose to be 
 given more than once a day) calculate based on days instead of doses.
 
 HD0000000282450 - 4 stop date calculated incorrectly?
 Problem:
 --------
 When finishing a dose limit IV Piggyback order created in CPRS, the stop
 date would not adhere to the dose limit. If there was a stop time defined
 for a particular IV ROOM, the stop time would be tacked on, usually 
 setting the stop date past the last dose of the order. If there was no
 
 stop time defined, the system would tack on .2359 to the stop date, which
 would also usually set the stop date past the dose limit. Both of these
 scenarios would cause additional doses to be given.
 
 HD0000000347116 - 6 Edited infusion rate to remove 250 ml/hr@0 and 
                   scheduled labels still not printing
 Problem:
 --------
 When editing an IV order from an infusion rate with the ATZERO flag set
 to an infusion rate without the ATZERO flag, the labels still don't 
 HD0000000339101 - PSPO# 00001478 - 1 IV order 3x/wk for 8 doses- when 
 print. The ATZERO flag is not being removed by an opposite edit.
 
 HD0000000217087 - IV Time frames in question
 Problem:
 --------
 The duration on IV orders is not calculating correctly. A duration of 23
 hours stops the order after 23 hours, and a duration of 25 hours stops 
 the order after 25 hours; however, a duration of 24 hours stops the 
 order at t+1 day @ 23:59 (23:59 is set by the inpatient ward parameter as
 a default time).
                   stop time is entered as 8, the computer calculates 
                   for 8 days not 8 doses
 Problem:
 --------
 Dose limit calculations are not correct when entered from the 
 infusion dialog in CPRS. There is no logic to calculculate day of week
    • 289 SEQ #253
      DATE APPLIED:   2013-12-03 15:23:50
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will address the Inpatient Medications portion of
 
When viewing an order in Inpatient Medications, there is a
hidden action called "DIN", or "Drug Restrictions/Guidelines".
With this patch, when DIN is called on an IV order, the
IV Additive strength will be displayed along with the Drug Unit.
If the IV Additive Strength is not populated, the text "N/A"
will appear instead.
 
For example (STRENGTH populated):
 
the solution to Patient Safety Issue PSPO00001088 and New
Drug restriction/guideline info:
 
IV Additive: CEFAZOLIN   Additive Strength: 1 GM
 
 
   Orderable Item: CEFAZOLIN INJ
 
          No information available
 
   Dispense drug: CEFAZOLIN SOD 10GM M/D INJ
Service Request (NSR) 20110308.  This patch must be installed
 
          No information available
 
 
For example (STRENGTH not populated):
 
IV Additive: CEFAZOLIN PREMIX   Additive Strength: N/A
 
 
   Orderable Item: CEFAZOLIN INJ
after patch PSS*1.0*174.
 
          No information available
 
   Dispense drug: CEFAZOLIN SOD 1GM INJ *N/F*
 
          No information available
 
Patch PSS*1.0*174 introduced a new field into the
IV ADDITIVES File (#52.6).  The new field, STRENGTH (#19)
represents the numeric value of one unit-of-use for the
medication.
    • 279 SEQ #254
      DATE APPLIED:   2013-12-12 14:12:05
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      IMR6 - CLINIC ORDER & DRUG HIGH RISK/ALERT
replacement labels, including when no new order is created as a result of 
the edit.
 
IV Bag Logic
------------
This patch modifies Inpatient Order Entry so that when Inpatient orders
are edited, BCMA IV parameters are now checked to determine if IV labels
were invalidated as a results of the edit. If labels were invalidated, the
clinician making the edit is informed and a list of the invalidated IV
labels are displayed. The clinician is given an opportunity to print
    • 252
      DATE APPLIED:   2014-04-07 17:23:33
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is part of a combined build that makes up the release of 
functionality, the Single Dose information will be displayed to
the user.  The following scenarios describe the types of messaging added: 
 
  1. If the dosage entered passes the dosing checks, no message will be
     displayed.
  2. If the dosage entered is too high or too low, the Single Dose warning
     message will be displayed.
  3. If the dose checks were not able to be performed, a generic message
     will be displayed notifying the user that a manual check needs to be
     completed to verify appropriate dosing.
MEDICATION ORDER CHECK HEALTHCARE APPLICATION (MOCHA) 2.0.
 
MOCHA 2.0 encompasses Pharmacy Data Management (PDM) patch PSS*1*160
and a combined build for Outpatient Pharmacy patch PSO*7*372 and 
Inpatient Medications patch PSJ*5*252.
 
This patch group adds dosing checks that implements a new system that uses
data from First DataBank (FDB).  In this initial phase of dosing
    • 257
      DATE APPLIED:   2014-04-07 17:24:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is the follow up build for MEDICATION ORDER CHECK HEALTHCARE
APPLICATION (MOCHA) 2.0.
    • 299
      DATE APPLIED:   2014-04-07 17:24:41
      APPLIED BY:   USER,SEVENTEEN
    • 199 SEQ #258
      DATE APPLIED:   2014-05-13 15:38:57
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following 2 issues in the Inpatient 
Medications package:
 
1. On the Pharmacy Unusual Volume Report, when multiple labels are 
   printed, cancelled, returned, or destroyed, the correct data is not
   sent or stored.
 
2. When finishing two unit dose orders together, the frequency of the
   first order is copied to the second order's frequency.
    • 309 SEQ #259
      DATE APPLIED:   2014-08-26 15:26:08
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will address the following 2 issues with the Inpatient
Medications package:
 
-Warning message displayed twice for order sets
-Change to medication order renewal error
    • 308 SEQ #260
      DATE APPLIED:   2014-09-29 14:06:38
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 4 issues:
which is tied to a clinic without an appointment. 
 
1. Orders on the Medication Administrative History (MAH) report are 
missing or not showing in BCMA or CPRS. 
2. An undefined error occurs when trying to access the "Edit Med Log" 
option in BCMA.
3. An undefined error occurs when trying to view the Medication Admin 
History (MAH) in BCMA.
4. An undefined error occurs when accessing a patient who has a PRN order
    • 27 SEQ #26
      DATE APPLIED:   1999-07-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch will update the activity log for orders that are
**************************************************************************
 
2.  When queuing an Extra Units Dispensed Report to a printer the last
line was not being printed.  This patch will correct this problem.
 
3. The Cost at Discharge [PSJU DCR] option was mistakenly left out of the
Inpatient Medications version 5.0 distribution.  This option is no longer
used. This patch will distribute the option as Delete at Site.
 
4. A problem was identified with the auto-reinstate feature.  A patient
discontinued by Computerized Patient Record Systems (CPRS) due to a change
had an active order that was auto-discontinued upon ward transfer.  He was
then issued a new order for the same drug. The transfer was later deleted
and his previous meds were reinstated.  As a result, the patient ended up
with 2 duplicate orders.
 
Checks have now been included to prevent the reinstatement of an order if
a new duplicate order has been added.  For IVs, if the order to be
reinstated has any additive the same as the new order it will not be
reinstated.
 
in Treating Specialty.  It adds a new entry to the ACTIVITY LOG REASON
The notification e-mail, advising of medication orders automatically
reinstated, has also been amended to include any orders that could not be
re-instated due to duplicates existing on the system. The recipient list
for the e-mail also now includes the verifying nurse, verifying
pharmacist, the physician, the provider and who entered the record (where
applicable).
 
5.  When using the "edit intervention" after a critical interaction comes
up on UD order entry, the prompt "Intervention" came up with the default
of ALLERGY instead of CRITICAL INTERACTION.  This has now been amended so
file (#53.3).  The new entry is 1040 AUTO DISCONTINUED (TREATING SPECIALTY
that if a Critical or a Significant drug interaction is detected, the
appropriate default is used. 
TRANSFER).
 
***************************PLEASE NOTE************************************
While this patch doesn't require OR*3*45, the functionality will not work
as intended without patch OR*3*45.
    • 305 SEQ #261
      DATE APPLIED:   2014-10-21 11:40:52
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Patch PSJ*5*279 inadvertently introduced the following issues and this 
2)  The Infusion instruction names with defined expansions will duplicate
    the expansion if the name is the leading text in the expansion
    itself. For example, if the abbreviation or term is "SEE" and the
    expanded form is "SEE PROVIDER COMMENTS" it would erroneously expand
    to "SEE PROVIDER COMMENTS PROVIDER COMMENTS". The potential for harm
    exists if confusion results from the odd rate instructions on an
    order/label. This patch corrects this issue.
 
3)  When the Infusion Rate field is populated with "text@0" (or defined
    label limit of 0), the software is defaulting to (P)RINT at the label
patch, PSJ*5*305 will address these issues.
    print option. The software previously defaulted to (B)YPASS when the
    user entered "@0" (for zero (0) scheduled labels) in the Infusion Rate
    field. This patch fixes this problem.
 
1)  The "Infusion Rate" and "Number of Labels per Day" fields for the
    IV Type CHEMOTHERAPY; ADMIXTURE and CHEMOTHERAPY; SYRINGE (Continuous)
    are not allowing the use of the "@" functionality nor prompting the
    user for the "Number of Labels per Day". This patch fixes this 
    problem.
    • 302 SEQ #262
      DATE APPLIED:   2014-10-23 11:09:52
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues in the Inpatient Medications 
package:
 
-IV orders can be placed for deceased patient
-Dose Limit problem for Day-of-the-Week schedules
    • 311
      DATE APPLIED:   2014-10-31 15:56:10
      APPLIED BY:   USER,SEVENTEEN
    • 310 SEQ #264
      DATE APPLIED:   2014-12-08 16:57:47
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issue:
 
1)      The Patient Information Screen for Inpatient Medications does not 
display the CrCL and BSA when no orders are present.
    • 290 SEQ #265
      DATE APPLIED:   2015-02-09 12:41:26
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issues:
  
'...Order deleted' was display in the ListMan order view for a 
non-verified IV when entering a new order, but no order was or should be 
deleted.
 
Last Transferred field not updating when last movement is deleted.
    • 312 SEQ #266
      DATE APPLIED:   2015-02-09 15:33:02
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues:
 
1)      Clinic orders, when finished with start date greater than 72 
hours in the past, disappear from the Inpatient Profile.
2)      Active inpatient orders have been expired by the system at 
midnight.
    • 304 SEQ #267
      DATE APPLIED:   2015-03-09 11:23:58
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues:
1)      An UNDEFINED error when editing the Infusion Rate for a 
           non-verified IV order.
2)      Automated Tablet Counter (ATC) interface issue with Extra Units 
           Dispensed option.
3)      Pharmacists are getting locked out of the system.
4)      Message display issues with Non-Verified/Pending order screen
    • 259 SEQ #268
      DATE APPLIED:   2015-06-02 10:54:34
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      1)  When placing an IV order, under some circumstances the 
    "Instructions" field will show the wrong dosage for additive, 
    even though the "Additive" field shows the correct dosage.
2)  A Pharmacist non-verified order was verified in CPRS by a Nurse
    which caused the order to become active.
    • 255 SEQ #269
      DATE APPLIED:   2015-07-23 14:38:38
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch makes 3 corrections to the Inpatient Medications package:
   provider who originally placed the order, rather than the provider 
   who renewed it.
 
1. In the CPRS Meds tab, the alphabetical sorting is not working 
   correctly.
 
2. After renewing and editing a complex order, the original order still
   shows as active.
 
3. A complex order renewed in CPRS will record the provider as the
    • 194
      DATE APPLIED:   2015-09-16 14:22:24
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch is part of a multi-package build which will remove the number 
becomes EVERY OTHER DAY PRN.  The Inpatient Order Entry option [PSJ OE]
will not allow this schedule to process because it now contains four
words.  The patch will remove the number of words restriction for the
schedule, but will keep the validation on the overall number of 
characters allowed for a schedule by Inpatient Order Entry.
 
 
The patch also includes a modification for an issue where an incorrect
test frequency can be calculated for a Laboratory order.  JCAHO added 
QOD and QD administration schedule abbreviations to their 
of words restriction in a medication administration schedule when a 
DO NOT USE list.  Alternate schedules were suggested to replace those
on the DO NOT USE list.  For example, EVERY OTHER DAY has replaced QOD.  
The software which interprets Lab order schedules is not calculating a 
correct schedule when these new alternate schedules are used when 
ordering a test.  As a result, sites have reported that some tests have 
been ordered at a different frequency than intended by the provider.
This has resulted in patients receiving more tests than actually needed. 
medication is ordered.  Currently, the Inpatient Pharmacy software 
allows a maximum of three words when creating a schedule, and Inpatient
Order Entry is currently designed to accept a maximum of three words.
This can prevent a medication from being ordered with the intended 
schedule. If the administration schedule in the ADMINISTRATION SCHEDULE 
file (#51.1) has a name such as EVERY OTHER DAY and the provider 
subsequently checks the PRN box in CPRS, the schedule's full name now
    • 28 SEQ #27
      DATE APPLIED:   1999-07-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      When a nurse verifies a pending Inpatient Medications order through CPRS
(Computerized Patient Record System), his/her initials are printed on the
MAR and MAR label.  If the nurse verifies the order after it becomes
active, the initials are not printed on the MAR and MAR label.  This patch
will allow the nurse's initials to be printed regardless of the order's
status when it was verified.  This patch will also ensure the order only
needs to be verified once through either the CPRS or Inpatient Medications
package.
    • 316 SEQ #271
      DATE APPLIED:   2015-09-22 12:10:05
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues:
 
1)      Activity Log not showing Dispense Drug changes
2)      Expired Unit Dose orders showing on patient profile as Active
3)      Parameters carrying over from IV to Unit Dose orders.
4)      When verifying a Unit Dose order with a PRN schedule w/o a 
        frequency, user is getting Pre-Exchange DOSES: OI// indicating it
        is invalid.
    • 217 SEQ #272
      DATE APPLIED:   2015-10-14 12:14:34
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issues:
   <UNDEFINED> error to occur.
 
 1. The check to determine whether a patient is on an active pick list is 
   not taking into consideration the pick list being flagged to be filed
   away. This will incorrectly prevent a patient record merge from 
   occurring.
 
2. Various workflows in Inpatient Order Entry [PSJ OE] can result in an
   order having a Nature of Order of -1.  This corrupt data can cause an
    • 320 SEQ #273
      DATE APPLIED:   2016-01-20 12:17:10
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1)      Undefined error on reprint of IV Labels.
2)      Remote allergy entries are not being displayed when there are no 
        local allergies.
3)      BCBU patient shows duplicate orders
    • 307
      DATE APPLIED:   2016-03-10 15:47:14
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Inpatient Medications support for CPRS v30.
    • 318 SEQ #275
      DATE APPLIED:   2016-03-17 12:08:52
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
 
1)  CPRS order Details not showing med history
2)  Order set displays wrong drug when you enter "?" at the Dispense Drug
    prompt
3)  Pending and Non-Verified orders not participating in Drug Interaction
    and Dup Therapy order checks.
    • 326 SEQ #276
      DATE APPLIED:   2016-05-23 13:07:15
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1)       UNDEFINED EN2+4^PSJIBAG - Invalidated Labels Report
2)       7 Day MAR not pulling all orders
    • 281
      DATE APPLIED:   2016-05-26 15:49:16
      APPLIED BY:   USER,FIFTYFOUR
    • 323 SEQ #278
      DATE APPLIED:   2016-07-06 15:56:24
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
1)  Erroneous data on Patient on Specific Drug Report
2)  Ward Stock issue with Clinic Orders
3)  IV order of PRN is printing multiple labels
    • 313 SEQ #279
      DATE APPLIED:   2016-07-13 12:55:59
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch is part of the Pharmacy Safety Updates project which was 
   APPLICATION/VERSION                                  PATCH
   -----------------------------------------------------------------
   OUTPATIENT PHARMACY (OP) V. 7.0                      PSO*7*444
   INTEGRATED BILLING (IB) V. 2.0                       IB*2*545
   PHARMACY DATA MANAGEMENT (PDM) V. 1.0                PSS*1*189
   NATIONAL DRUG FILE (NDF) V. 4.0                      PSN*4*429
   INPATIENT MEDICATIONS (IM) V.5.0                     PSJ*5*313
 
 
The following New service Request (NSR) is being addressed by this patch:
established to address specific New Service Requests (NSRs) as well as a
  
 NSR 20110308 Addition of a STRENGTH Property to IV ADDITIVES and Premixed 
              IV SOLUTIONS
 ----------------------------------------------------------------------------
 Although patches PSJ*5*289 and PSS*1*174 introduced quite a few enhancements
 to the IV Additives and IV Solutions ordering functionality they did not go
 far enough in addressing all the issues originally in the NSR. Patches 
 PSJ*5*313 and PSS*1*189 will extend the display of the IV Additive strength
 to other parts of the Inpatient Medications and Pharmacy Data Management 
 applications. In addition, it will also impose a new rule where an Orderable
Remedy Ticket and a Patient Safety Issue (PSI) related to the VistA Pharmacy
 Item can only have one IV Solution for a specific volume when it is marked
 to be used in the CPRS IV Fluid Order Entry. 
 
 
The following Inpatient Medications functionality was modified:
   
1. Inpatient Order Entry [PSJ OE] option
   This option was updated to display the IV Additive strength when more
   than one is available for the Orderable Item. There are two different
   points where the IV Additive strength is displayed when finishing an
applications as approved by the Health Systems Enterprise Systems Manager
   order:
 
   a) Finishing an Unit Dose order
   ...
   DC   Discontinue          FL   (Flag)
   ED   Edit                 FN   Finish
   Select Item(s): Next Screen// FN   Finish  
   IV TYPE: PIGGYBACK// 
   Select ADDITIVE: 
     1  PIPERACILLIN/TAZOBACTAM          Additive Strength: 3.375 GM
(ESM).
     2  PIPERACILLIN/TAZOBACTAM          Additive Strength: 2.25 GM
     3  PIPERACILLIN/TAZOBACTAM          Additive Strength: 4.5 GM
   Select (1 - 3): 
   
  b) Finishing an IV order
  
   ...      
   DC   Discontinue          FL   (Flag)
   ED   Edit                 FN   Finish
   Select Item(s): Next Screen// FN   Finish  
 
   IV TYPE: PIGGYBACK// 
 
   More than one dispense IV Additives are available for:
    Orderable Item: PIPERACILLIN/TAZOBACTAM INJ
      Ordered Dose: 5 GM
   
   Please, select the correct dispense IV Additive below for this order:
 
     1  PIPERACILLIN/TAZOBACTAM          Additive Strength: 3.375 GM
     2  PIPERACILLIN/TAZOBACTAM          Additive Strength: 2.25 GM
This project is comprised of patches from five different applications, as
     3  PIPERACILLIN/TAZOBACTAM          Additive Strength: 4.5 GM
 
  Select (1 - 3): 3  PIPERACILLIN/TAZOBACTAM   Additive Strength: 4.5 GM
  ...
shown below:
    • 330 SEQ #280
      DATE APPLIED:   2016-08-19 16:19:00
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue:
1)     Admin time reverts back after finishing when copying a Unit Dose 
       order
    • 30 SEQ #28
      DATE APPLIED:   1999-09-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Patients on Specific Drug(s) [PSJ PDV] report was mistakenly using
 
 
3. After admitting a patient, if an Inpatient Medications order was placed
in the Computerized Patient Record System (CPRS) and the admission was
subsequently cancelled, it was still possible to Finish the order in
Pharmacy resulting in an Active order for an outpatient.
 
The deletion of an admission has been amended so that any orders placed
for the patient, Active, Non-Verified or Pending, are removed. NOIS
BIR-0499-31870
the wrong cross-reference when printing the report and searching by VA
 
 
4. An undefined variable PSGEFN error could sometimes occur after
exercising the hidden menu options under the Inpatient Order Entry
option [PSJ OE].  This patch will correct this error.  NOIS HUN-0599-20774
 
 
5. The generation of order labels was not functioning correctly for
non-pharmacist staff when entering unit dose order sets.  This patch will
correct this problem. NOIS BOI-0499-52931
Drug Class. This patch will correct this problem. NOIS WPB-0499-33064
 
6. If the Default Start Date Calculation is set to "Use Closest Admin Time
As Default" and the order was edited through CPRS, the original Start
Date/time was used as a default for the order when finished in the
pharmacy. This was a Unit Dose order and it did not have an administration
time. This patch will correct this problem.  NOIS: CON-0499-11371
 
7. This patch will remove two erroneous identifier nodes from the data
dictionary of the WARD GROUP file (#57.5).  After the installation of
PSJ*5.0*10 these erroneous nodes will display the incorrect printer as an
 
identifier when doing a look up on the WARD GROUP file (#57.5).  This
patch will correct this problem. This patch will also install a new ID
node for the BAXTER ATC DEVICE POINTER field (#32). NOIS BRK-0599-11977
 
8. When renewing a Unit Dose order that had already expired, the software
would calculate, in version 4.5, the pre-exchange quantity to send.  This
was facilitated by the presentation of the "Pre-Exchange DOSES:" prompt.
In version 5.0 this prompt was being bypassed, continuing on to the next
order prompt.  This patch will correct this problem.  NOIS MAR-0599-21852.
 
 
9. When a pharmacist was verifying a renewed drug order and first called
up an activity log, the dispense drug was being eliminated from the order.
The pharmacist could not then verify the order because a field was blank.
This occurred only when an activity log was called up. When the pharmacist
entered an up-arrow to get out, the order was verified at that point. This
patch will correct this problem. NOIS NTH-0699-70263.
 
10. When entering a Unit Dose order set and editing fields, it was
possible for some edits to not be reflected in the verified order.  This
patch will correct this problem.  NOIS MIW-0699-40031.
2. Version 4.5 of Inpatient Medications allowed '@N' after schedule for
 
PLEASE NOTE:
Please ignore this message if it is seen on installation of this patch:
 
** ERROR IN DATA DICTIONARY FOR FILE # 53.3 ** Data Dictionary not
installed; FIA node is set to "no DD Update"
 
This file is included with data but doesn't update the data dictionary.
There is not a problem with the installation of this file.
piggybacks as it did with admixtures with infusion rate.  In this version,
this was lost for piggybacks and syringes since their formatting is the
same. This patch will return this functionality. NOIS REN-0399-63066
    • 315 SEQ #281
      DATE APPLIED:   2016-09-02 13:51:13
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      ******************************* ATTENTION ********************************
3.      PSB*3*83
Inpatient Order Entry [PSJ OE] option. 
     
     In order to maintain adequate flexibility for Times per Day (TPD)
     schedules such as BID, TID and QID for MRR medication orders; these 
     schedules are not validated to the extent that other continuous
     schedule types are validated.  The intent was to allow a variety of
     administrations and removals that may be asynchronous in order to
     process correctly; for instance this will allow having two
     administrations 6 hours apart followed by a 12 hour medication-free
     period.  
4.      PSB*3*87
 
        Normally the frequency used by the existing ADMINISTRATION 
SCHEDULE file (#51.1) setup would expect a 12 hour frequency for 
continuous schedule types ( 24 hours divided by 2 administrations equals
12 ) and this is what is standard practice.
        
        Existing MRRs set to have the medication removed at the next 
Duration of Administration would need to have a Duration of Administration
value entered for TPD schedules, otherwise the stored frequency in the
ADMINISTRATION SCHEDULE file (#51.1) would be used and this could result 
5.      OR*3*417
in an incorrect removal period.  Therefore we recommend setting the MRR
value to a 3 (Duration of Administration Required). If the MRR is set to a
value of 1 in the PROMPT FOR REMOVAL IN BCMA field (#12), the Pharmacist
would not receive the verification screen that appears for  Duration of
Administration entries and may not be aware of this issue.
        
The following is an example of using a type 1 Prompt for Removal in BCMA
for TPD's (Not recommended Condition):
 
     The MRR medication needs to be administered at 0900 and removed 
 
at 1500, with a new administration added at 1500 then removed at 2100.  
       
     The BID  schedule is used with the PROMPT FOR REMOVAL IN BCMAPrompt 
for Removal in BCMA 
field (#12)  value set to a 1 and the Frequency for BID schedule set to 
12 hours.
     
     The Pharmacist would only see the administration times of 0900 
and 1500.
       
ATTENTION: This enhancement also includes a new Graphical User Interface
     The system would then use the frequency stored in the 
ADMINISTRATION SCHEDULE file (#51.1) Administration schedule file of 12 
hours, so that Removal Times on the
enhanced BCMA would then calculate as removal at 2100 and 0300, which 
would be in conflict with the administration times.
 
The following is an example of using a type 3 Prompt for Removal in BCMA
for TPD's (Recommended condition):
 
     The MRR medication needs to be administered at 0900 and removed 
(GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is
at 1500, with a new administration added at 1500 then removed at 2100.  
       
     The BID  schedule is used with the PROMPT FOR REMOVAL IN BCMA 
field (#12)  value set to a 3.  In this case the Frequency is no longer 
used. 
       
     The Pharmacist would see the administration times of 0900 and 
1500 and enter the appropriate Duration of Administration  which would be 
6 hours.
       
required immediately after the KIDS install for the Patch to function.
     The system would create a verification display showing 
administration at 0900 followed by and Administration and Removal at 1500 
then a Removal at 2100 as ordered by the Physician.
 
For retrieval and installation instructions, please see the Client 
Installation Instructions section.
  
**************************************************************************
 
Patch PSJ*5.0*315 provides enhancements to the Inpatient Medications 
application and to support enhancements for the Bar Code Medications 
Administrations (BCMA) application for Transdermal Administrations. These 
enhancements include:
 
     1. Currently Sites have to create fake removal orders to allow for 
appropriate removal of medications in BCMA.  This patch will alleviate 
that issue by prompting the user for DURATION OF ADMINISTRATION based on
Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy 
the value stored in the PROMPT FOR REMOVAL IN BCMA field (#12) contained
in the ORDERABLE ITEM file (#50.7).  This field implements changes that
will support enhancements to the BCMA and Inpatient Medication
applications to display the removal times in Inpatient Medication orders
using rules determined by the value of this field. The PROMPT FOR REMOVAL
IN BCMA field (#12) can be set for Orderable Items that require removal to
the following values:
 
     NULL/0=No Removal Required 
     1 = Removal at Next Administration 
Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal
     2 = Removal Period Optional Prior to Next Administration  
     3 = Removal Period Required Prior to Next Administration
 
 
     2. Routines added for this patch will add the new DURATION OF 
ADMINISTRATION prompt to the option Inpatient Order Entry [PSJ OE] then 
calculate the appropriate removal times and display them for verification.
The NON-VERIFIED ORDERS file (#53.1) and UNIT DOSE sub-file(#62) of the 
PHARMACY PATIENT file (#55) will be updated to include new fields that 
will control the removal process.  These two files will have these 4
enhancement includes 5 patches that must be installed in the following
fields added: DURATION OF ADMINISTRATION field (#137), REMOVE TIMES
field(#138), REMOVE PERIOD field(#139) and BCMA PROMPT FOR REMOVAL FLAG
field(#140).  A new field called PROMPT FOR REMOVAL IN BCMA field(#12)
created in the ORDERABLE ITEMS file (#50.7) by patch PSS*1.0*191 will be
used for information to be stored in the BCMA PROMPT FOR REMOVAL FLAG
field(#140) in the NON-VERIFIED ORDERS file(#53.1) and the UNIT DOSE
sub-file(#62) of the PHARMACY PATIENT file (#55).
 
     3. The Edit Clinic Med Orders Start Date/Time [PSJ ECO] option will 
have changes to anticipate these new fields and request additional user 
order:
activity when the orders require specific information that can 
only be entered via the Inpatient Order Entry [PSJ OE] option.
 
     4. This patch contains a post-install routine PSJ5P315 that sends a 
report listing all legacy orders for Medications that require removal.  
In order to prevent confusion by users of the BCMA GUI application these 
orders will need to be discontinued and reordered to include the
removal information.  This same report can be recalled from the Pharmacy
Data Management [PSS MGR] menu using the Orders for MRRs With Removal
Properties [PSS MRR ORDERS DIAGNOSTIC RPT] option.
 
 
     5. The Order View Hidden Actions Menu [PSJ LM ORDER VIEW HIDDEN
ACTIONS] protocol has been modified to include a hidden action for calling
the Administration History report. A new protocol, Admin History for OI
[PSJ LM ADM HIST], was added for the new hidden action.  This report 
allows viewing of other orders for the Orderable Item listed in the Order
Detail for the selected Order. The menu item Other Pharmacy Options [PSJ
LM OTHER PHARMACY OPTIONS] has been shortened to read Other Pharm Options
in order to allow the columns to align correctly.  The AH menu option 
will not be available during the period in which PSJ*5.0*315 is installed,
1.      PSS*1*191
but PSB*3.0*83 is not.  If the user attempts to run this option during 
this time they will get the following message: Report not available until
install of patch PSB*3.0*83.
 
       This patch requires patch PSS*1.0*191.
       
       The full functionality introduced in this patch will not be
       available until patches PSB*3.0*83 and possibly PSB*3.0*87 
       for Bar Code Back Up (BCBU) are installed.
 
2.      PSJ*5*315
       Pre-existing orders will remain unaffected with installation.
 
 
********** SPECIAL NOTE on Times Per Day (TPD) orders**********:
 
     To avoid confusion it is strongly recommended that  MRR medications
needing to use a TPD schedule with asynchronous administrations and
removals, be set to have the PROMPT FOR REMOVAL IN BCMA (#12) set to a
value of 3.  The Pharmacist will then always be prompted for the Duration
of Administration and a proper removal time can be entered in the
    • 333 SEQ #282
      DATE APPLIED:   2016-09-23 15:21:43
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
       This patch is part of the Pharmacy Safety Updates project and will 
 
 PSI PSPO00003281 is CA Service Desk Ticket I9935231FY16-IP MEDS HARD 
 ERRORING IN FINISHING ORDERS.
 address the Patient Safety Issue (PSI) #PSPO00003281. 
 
 The issue is that an <UNDEFINED> error is occurring while finishing a 
 pending order in the Inpatient Medications application causing a forced 
 exit from the Inpatient Order Entry [PSJ OE] option when attempting to 
 finish UNIT DOSE orders. The order being finished presents as an IV order
 and prompts the user to finish as either UD or IV. The user is choosing
 to finish as UD.
    • 317 SEQ #283
      DATE APPLIED:   2016-10-06 13:01:39
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The Pharmacy Interface Automation Project (PIA) will provide a new
 
 
    During patient check-in in the Scheduling V. 5.3 package, the 
    protocol, VAFC ADT-A08-SDAM SERVER builds a standard HL7 message.
    The routine tied to protocol PSJ SIU-SDAM ROUTER that subscribes
    to the VAFC ADT-A08-SDAM SERVER, will scan the HL7 message and will
    build and modify a copy of the HL7 message including the Allergy (AL1)
    and the Observation/Result (OBX) segments. The generated HL7 message
    will be sent to the respective PADE via the Vitria Interface Engine
    (VIE).
 
Note: The patches should be installed in the order listed above as the 
12. The following protocols were created to send outbound order messages
    in the form of RDE-O11 HL7 messages to the appropriate PADE system.
    PSJ RDEO11 SERVER
    PSJ RDEO11 CLIENT
 
    In Inpatient Medications, when orders are verified, edited, renewed, 
    discontinued, reinstated, put on hold/removed from hold, and when 
    orders are discontinued in Computerized Patient Record System (CPRS)
    V. 3.0, an outbound HL7 message will be sent to the respective PADE
    via the Vitria Interface Engine (VIE).
logical link, PSJ PADE used in the PSS patch is transported in the PSJ
 
13. The following protocols were created to receive and process inbound 
    PADE Activity (e.g., Dispense, Load, etc.) in the form of
    OMS-O05 HL7 messages:
    PSJ PADE OMS-O05 EVENT
    PSJ PADE OMS-O05 SUB
    PSJ PADE OMS-O05 EVENT 2.3
    PSJ PADE OMS-O05 SUB 2.3
 
    Backward compatible HL7 v2.3 protocols accept and parse current 
patch.
    industry standard Pocket Maintenance (ZPM) segments to facilitate
    transition to the new PADE standard.
  
    Inbound HL7 messages from the PADE vendor are validated and filed into
    the PADE INBOUND TRANSACTION file (#58.6), which triggers an 
    automatic update of the inventory information in the PADE INVENTORY
    SYSTEM file (#58.601).
 
 14. A new multiple, DWO MESSAGE ENTITY, has been added to the PADE
     INVENTORY SYSTEM file (#58.601) to contain mail groups that will
 
     receive Mailman messages when PADE drugs are Dispensed Without an
     Order (DWO). 
 
 15. A new multiple, CONFIG ERRORS MAIL GROUPS, has been added to the PADE
     INVENTORY SYSTEM file (#58.601) to receive error messages when 
     configuration problems are encountered with Inbound PADE HL7
     messages.
 
 16. A new multiple, DATA ERRORS MAIL GROUPS, has been added to the PADE 
     INVENTORY SYSTEM file (#58.601) to receive error messages when data 
1.  The following new files were created:
     validation problems are encountered with Inbound PADE HL7 messages.
 
 17. Inpatient Pharmacy Order Entry screens have been modified to 
     display PADE inventory information, specifically:
 
     a. The Inpatient Pharmacy Order Entry order detail screens
        will contain a new "PADE" column when displaying Dispense Drugs,
        containing the PADE inventory availability for the displayed
        dispense drug. To make room for the PADE inventory information,
        the message field will continue displaying, but drug classes will
    PADE SYSTEM SETUP file (#58.7)
        no longer display as a FileMan identifier when a list of dispense
        drug choices are displayed.
 
     b. The Inpatient Pharmacy Order Entry Patient Profile screen
        includes a flag, (PD), indicating whether or not the order
        contains a drug that is a PADE stock item. If a drug is both a
        PADE item and a Ward Stock item, the ward stock flag (WS) is
        combined with the PADE flag (WP).
 
 18. A Kernel parameter, PSJ PADE OE BALANCES, has been created to allow
    PADE SEND AREA file (#58.71)
     each site to control whether or not PADE inventory information
     displays in the Inpatient Order Entry profile screens and drug
     lookups. A prompt to set the parameter has been added to the new PSJ
     PADE INVENTORY Input Template, accessible via the Inventory System
     Setup [PSJ PADE INVENTORY SYSTEM] option.
 
 19. The option, Pick List [PSJU PL], has been modified to include the 
     drug Internal Entry Number (IEN) field after the drug name and to
     include the word "PADE" if the medication listed is a PADE stock
     item.
    PADE OUTBOUND MESSAGES file (#58.72)
 
 20. A new Protocol, PSJ LM PADE ACTIVITY, has been added to the PSJ LM 
     PROFILE HIDDEN ACTIONS Protocol to display a new hidden action (PD) 
     in the Inpatient Pharmacy patient profile screen. The new PD hidden
     action displays all of the PADE transactions for the patient being
     displayed.
 
 21. The Pre-Exchange DOSES prompt that displays after verifying an 
     Inpatient Unit Dose order has been modified to default the number of 
     doses to zero when the drug may be dispensed from PADE, and a message
    PADE INVENTORY SYSTEM file (#58.601) 
     is displayed explaining the drug is a PADE item.
 
 22. This patch also provides a log file, PADE OUTBOUND MESSAGES 
     file (#58.72) of the outbound ADT, SIU and RDE HL7 messages to use 
     with FileMan for trouble shooting purposes only.
     Note: The nightly background job (PSGBRJ) has been modified to purge 
     records older than 30 days.
 
Note: This patch also exports a post-install routine PSJ317P that will 
setup PSJ ADT-A01 ROUTER as a subscribing protocol to VAFC ADT-A01 
standard bi-directional Health Level Seven (HL7) to the Pharmacy
    PADE INBOUND TRANSACTIONS file (#58.6)
SERVER, VAFC ADT-A02 SERVER, VAFC ADT-A03 SERVER, VAFC ADT-A08 SERVER,
VAFC ADT-A08-TSP SERVER, VAFC ADT-A11 SERVER, VAFC ADT-A12 SERVER and VAFC
ADT-A13 SERVER protocols. It will also setup protocol PSJ SIU-SDAM ROUTER
as a subscribing protocol to VAFC ADT-A08-SDAM SERVER protocol. 
The post-install also sets the following field to the PSJ PADE entry in 
the HL LOGICAL LINK file (#870):
   a. AUTOSTART field (#4.5) is set to 1 (Enabled) so that the PSJ PADE 
      logical link will be started automatically when Cache or TaskMan is 
      restarted.
   b. DO NOT PING field (#24) is set to 1 (Yes) due to the unique aspects
    PADE DISPENSING DEVICE file (#58.63)
      of the PADE interface. If PSJ PADE is sent an HLO PING CLIENT 
      message, an infinite loop will be created consisting of VIE sending
      VistA additional CR messages and VistA not responding. This 
      situation requires manual intervention by a member of the VIE
      National Admins team and therefore needs to be avoided.
 
This post-install routine will be deleted from your system upon completion
of the patch installation.
    PADE USER file (#58.64)
    
2.  A new menu, PADE Main Menu [PSJ PADE MAIN MENU], with the following
    options was created:
    PADE Send Area Setup [PSJ PADE SEND AREA SETUP] option
    PADE System Setup [PSJ PADE SETUP] option
    PADE Send Surgery Cases [PSJ PADE SEND SURGERY CASES] option
    PADE Send Patient Orders [PSJ PADE SEND ORDERS] option
Automated Dispensing Equipment (PADE) server. The PADE will route the
    PADE Inventory Setup [PSJ PADE INVENTORY MENU] option
       ...Inventory System Setup [PSJ PADE INVENTORY SYSTEM] option
       ...Dispensing Device Setup [PSJ PADE DEVICE SETUP] option
    PADE Reports [PSJ PADE REPORTS MENU] option
       ...PADE On-Hand Amounts [PSJ PADE INVENTORY REPORT] option
       ...PADE Transaction Report [PSJ PADE TRANSACTION REPORT] option
 
3.  A new security key, PSJ PADE MGR, was created to allow access to the 
    above menus noted in item 2.
 
message to a cabinet located at the point of care areas such as Inpatient
4.  The option, PADE System Division Setup [PSJ PADE DIVISION SETUP],
    was exported as a separate option so that it can be given to an
    assigned user to set up a division under a PADE.
 
5.  A new security key, PSJ PADE ADV, was created to allow access to the 
    above option noted in item 4.
 
6.  The option, PADE Surgery Task [PSJ PADE SURGERY TASK], was exported as
    a standalone option so that sites can schedule it as a recurring task.
 
wards, Outpatient Clinics etc.
7.  The option, PADE Appointment Task [PSJ PADE APPOINTMENT TASK], was
    exported as a standalone option so that sites can schedule it as a
    recurring task.
 
8.  Two HL7 application parameters, PSJ VISTA and PSJ PADE SERVER, were
    created for site specific information.
 
9.  One Logical Link, PSJ PADE, was created to support the Outbound HL7
    messages.
 
 
10. The following protocols were created to receive and send outbound
    Admission, Discharge and Transfer (ADT) events:
    PSJ ADT-A01 ROUTER
    PSJ ADT-A01 SERVER - Admission event
    PSJ ADT-A01 CLIENT
    PSJ ADT-A02 SERVER - Transfer event
    PSJ ADT-A02 CLIENT
    PSJ ADT-A03 SERVER - Discharge event 
    PSJ ADT-A03 CLIENT
    PSJ ADT-A08 SERVER - Demographic changes
The following two patches are provided for this project:
    PSJ ADT-A08 CLIENT
    PSJ ADT-A11 SERVER - Cancel Admission event
    PSJ ADT-A11 CLIENT
    PSJ ADT-A12 SERVER - Cancel Transfer event
    PSJ ADT-A12 CLIENT
    PSJ ADT-A13 SERVER - Cancel Discharge event
    PSJ ADT-A13 CLIENT
 
    PSJ ADT-A01 ROUTER is setup as a subscribing protocol to VAFC ADT-A01 
    SERVER, VAFC ADT-A02 SERVER, VAFC ADT-A03 SERVER, VAFC ADT-A08 SERVER,
  PSJ*5*317 - Inpatient Medications V. 5.0.
    VAFC ADT-A08-TSP SERVER (bed switch), VAFC ADT-A11 SERVER, VAFC
    ADT-A12 SERVER, VAFC ADT-A13 SERVER.
 
    In the REGISTRATION V. 5.3 package, options like Admit a Patient [DG
    ADMIT PATIENT], Transfer a Patient [DG TRANSFER PATIENT], Discharge a
    Patient [DG DISCHARGE PATIENT], Switch Bed [DG BED SWITCH] etc., will
    trigger appropriate outbound HL7 messages.
    The routine tied to protocol PSJ ADT-A01 ROUTER that subscribes to 
    these events (VAFC ADT related protocol) will scan the HL7 message and
    will build a modified copy of the HL7  message including the Allergy
  PSS*1*193 - Pharmacy Data Management V. 1.0.
    (AL1) and the Observation/Result (OBX) segments. The generated HL7
    message will be sent to the respective PADE via the Vitria Interface
    Engine (VIE).
 
11. The following protocols were created to receive and send outbound
    Clinic check-ins and appointments.
     PSJ SIU-SDAM ROUTER - subscribing protocol to VAFC ADT-A08-SDAM
     SERVER 
     PSJ SIU-S12 SERVER - event driver for clinic check-in 
     PSJ SIU-S12 CLIENT - subscriber
    • 334 SEQ #284
      DATE APPLIED:   2016-11-18 17:01:15
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch PSJ*5.0*334 will correct the exception handling for Duration of
NOTE: This patch is a follow-up for patch PSJ*5.0*315 to fix the noted
issue.  However, there is an issue for BCMA which is part of this 
enhancement that needs to be noted.  
 
Non-standard schedules such as DAY@HH:MM, HHMM, or other Odd 
schedules, are not capable of calculating removal times due to a lack of
Frequency. Regardless of the Prompt for Removal in BCMA code value, they
will not prompt for removal in BCMA and should be avoided.
Administration to enforce integer only values. Patch PSJ*5.0*315
introduced code into three routines that prompt for Duration of
Administration.  The code originally blocked the use of non-integer
entries, but other changes to code caused this to stop working, so that
Decimal values can be entered (such as 23.5).  This will not compute
correctly.  Patch PSJ*5.0*334 corrects this by making changes to allow the
code to enforce the integer only requirement.
    • 328 SEQ #285
      DATE APPLIED:   2016-12-20 15:27:27
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
1)      One time order appears as active after discharge
2)      Option PSJ EXP gets an error with clinic orders
3)      Mismatch Dosage Warning inconsistent
    • 329 SEQ #286
      DATE APPLIED:   2017-01-06 12:57:24
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
1)  Invalid IV type allowed
2)  Incorrect orderable item displayed after edit
3)  Vista mail shows "D" and should be "DA" for Auto Discontinue
    • 337 SEQ #287
      DATE APPLIED:   2017-01-23 14:46:26
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch PSJ*5.0*337 will correct the following issues discovered with 
    to be incorrect. When the strength is a concentration or percentage
    the dosage may be calculated incorrectly; therefore the dosage for
    these components will not be sent in the HL7 interface. For this type
    of order, the nurse dispensing the medication from the cabinet must
    manually verify the dosage for each component.
 
 2) Absent Sick In Hospital (ASIH) transfers were not tested prior to 
    the release of patch PSJ*5*317. After the patch was released, Long
    Beach reported that the "To ASIH" transfers are showing orders as
    active on the Omnicell server even though they are discontinued in
Pharmacy Interface Automation (PIA) immediately after the release of patch
    VistA. Vendors like Omnicell use the admission pivot number as a
    unique identifier to track orders during their stay in the hospital.
    The HL7 message that was generated to discontinue the order was found
    to have a null value or an incorrect pivot number. Hence, Omnicell was
    unable to flag the order as discontinued.
    We also tested the "From ASIH" transfers, and we found similar issues.
    This patch will send the correct pivot number in the HL7 message for
    both (To/From) ASIH transfers so that the vendors can flag the orders
    accordingly.
 
PSJ*5*317:
 3) This patch addresses an issue with information missing from the 
    PADE OUTBOUND MESSAGES file (#58.72) when the site has multiple vendor
    setups. The first file entry has all the relevant HL7 data, but the 
    subsequent file entries are missing Order Number, Order Action, 
    appointment and Drug. With this patch, the subsequent file entries
    will have these missing data.
 
 4) This patch addresses an issue with Inpatient Order Entry that results
    in an undefined PSGORD variable error in routine ENDRG+17^PSGOEF1
    when a new (backdoor) order's orderable item is changed prior to
 
    accepting the order. After the New Order process is initiated in
    Inpatient Order Entry, and all of the order prompts are populated, the
    user is given the option edit the order details prior to accepting the
    order. If the user changes the new unaccepted order's Orderable Item
    to a PADE drug with more than one dispense drug associated with it,
    the following error occurs:
       <UNDEFINED>ENDRG+17^PSGOEF1 *PSGORD 
    With this patch, the dispense drug lookup will execute successfully
    when no order number is defined in the PSGORD variable.
 
 1) This patch addresses an issue with incorrect dosage for orders 
 5) This patch addresses an issue with the Inpatient Pick List that 
    results in an undefined error when no unit dose order is found for the
    drug being processed, the following error occurs:
       <UNDEFINED>DRGSTOCK+10^PSJPADSI *PSJDFLOC 
    With this patch, the PADE drug balance lookup will not cause an error
    when no order number is defined.
    containing more than one dispense drug when one of the dispense drug
    has a concentration or percentage strength. The HL7 interface sends
    one RXC component segment for each dispense drug, and the dosage sent
    on drugs where the strength is a concentration or percentage was found
    • 331 SEQ #288
      DATE APPLIED:   2017-02-03 15:48:24
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
1) Label for Clinic infusion for Inpatient is printing the ward and 
     not the clinic
2) Metric Conversion for Patients Weight consistency
3) Leading zero dropped between CPRS and VistA for IV solution
4) Appending to infusion rate incorrectly
    • 325 SEQ #289
      DATE APPLIED:   2017-03-01 13:32:54
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The PSJ*5.0*325 patch - Display Recently Discontinued IV Orders 
medications can still cause a drug interaction. The pharmacist can delete 
 
 
Patient Safety Issues (PSIs)
-----------------------------
N/A
 
 
Remedy Ticket(s) & Overview
---------------------------
N/A
the discontinued IV orders from the patient's file when deemed 
 
Problem:
--------
 
Resolution:
-----------
 
 
Test Sites:
----------
appropriate.
 
 
Documentation Retrieval Instructions
------------------------------------ 
The functionality introduced by this patch is described herein.
 
 
Pre/Post Installation Overview
------------------------------
There are no Pre/Post installation routines associated with this patch.
 
 
 
Pre-Installation Instructions
-------------------------
This patch may be installed with users on the system although it is
recommended that it be installed during non-peak hours to minimize 
potential disruption to users.  This patch should take less than 5 
minutes to install.
 
 
Aside from helping to prevent medication errors, this modification also 
Installation Instructions
-----------------------------
1.      Choose the PackMan message containing this patch.
 
2.      Choose the INSTALL/CHECK MESSAGE PackMan option.  
 
3.      From the Kernel Installation and Distribution System Menu, select 
        the Installation Menu.  From this menu, you may elect to use the 
        following options. When prompted for the INSTALL NAME enter
        PSJ*5.0*325.
allows labels to be pulled for IVs that are not yet prepared. This saves 
 
        a.  Verify Checksums in Transport Global - This option will 
            allow you to ensure the integrity of the routines that are in
            the transport global.
        b.  Print Transport Global - This option will allow you to view
            the components of the KIDS build.
        c.  Compare Transport Global to Current System - This option will
            allow you to view all changes that will be made when this 
            patch is installed.  It compares all components of this patch
            (routines, DD's, templates, etc.).
resources; including the drug (especially helpful when drug shortages 
        d.  Backup a Transport Global - This option will create a backup
            message of any routines exported with this patch. It will not
            backup any other changes such as DD's or templates.
 
4.      From the Installation Menu, select the Install Package(s) option 
        and choose the patch to install.
 
5.      When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
        Install? NO// Press <Enter>
 
occur), and time spent managing pharmacy orders. For IVs that are already 
6.      When prompted 'Want KIDS to INHIBIT LOGONs during the install? 
        NO// Press <Enter>
 
7.      When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
        and Protocols? NO// Press <Enter>
 
8.      If prompted "Delay Install (Minutes):  (0 - 60): 0// respond 0.
 
 
Post-Installation Instructions
prepared, the modification allows reuse of the prepared bag on another 
------------------------------
N/A
patient while it is still within the expiration date.
modification, will display discontinued IV orders from the Computerized 
 
The NSR for this intake addresses the following requirement:
 
        VHBAO: NEED 497817: View Discontinued Intravenous (IV) Orders:
                            As a pharmacist, I want to view recently
                            discontinued intravenous (IV) orders when I am
                            processing pending orders, so that I save time
                            and medication by not preparing an IV
                            unnecessarily; and can perform drug-drug cross
                            checks against discontinued medication.
Patient Record System (CPRS) to a pharmacist when processing an e-signed 
 
Patch Components
================
 
Files & Fields Associated:
 
File Name (Number)       Field Name (Number)       New/Modified/Deleted
-----------------------  ------------------------  --------------------
IV MEDICATION                                      NEW
ORDERS DC'ED (#52.75) 
CPRS IV order using the VistA option "Non-Verified/Pending Orders" [PSJU 
 
                         DATE/TIME D/C (#.01)      NEW
                         PATIENT (#2)              NEW
                         DRUG (#3)                 NEW
                         ROOM-BED (#4)             NEW
                         WARD (#5)                 NEW
                         READ? (#6)                NEW
                         WARD IEN (#7)             NEW
                         PS ORDER IEN (#8)         NEW
                         WARD GROUP (#9)           NEW
VBW]. The discontinued IV orders will display prior to taking action to 
 
Forms Associated:
 
Form Name                File #       New/Modified/Deleted
---------                ------       --------------------
N/A
 
 
Mail Groups Associated:
 
finish or edit the pending order. This will allow the pharmacist to pull 
Mail Group Name          New/Modified/Deleted
---------------          --------------------
N/A
 
 
Options Associated:
 
Option Name            Type               New/Modified/Deleted
-----------            ----               --------------------
N/A
IVs that are discontinued and prevent them from being sent to the patient 
 
 
Protocols Associated:
 
Protocol Name       New/Modified/Deleted
-------------       --------------------
N/A
 
 
Security Keys Associated:
ward and potentially be given in error. It also allows the pharmacist to 
 
Security Key Name
-----------------
N/A
 
 
Templates Associated:
 
Template Name      Type      File Name (Number)  New/Modified/Deleted 
-------------      ----      ------------------  --------------------
perform a drug-drug interaction check, since recently discontinued 
N/A
 
 
Additional Information:
N/A
 
 
New Service Requests (NSRs)
----------------------------
20131203   DISPLAY RECENTLY DISCONTINUED IV ORDERS
    • 339 SEQ #290
      DATE APPLIED:   2017-06-29 15:12:54
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue:
 
1.  Orders in the Inpatient Pharmacy package may not get their status 
updated to expired if the order's STOP DATE/TIME value matches the start
time of the ORMTIME RUN background job.  This is happening because ORMTIME
RUN and the pharmacy code compare the expiration time differently.  This
is happening for all inpatient pharmacy package orders, but is
particularly prevalent with clinic medication and clinic infusion orders.
    • 32 SEQ #29
      DATE APPLIED:   1999-09-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch distributes routines that support the Application Package
 
2829  The entry point EN^PSJBCMA1 is provided by Inpatient Medications
      to return detailed information on a patient's order for BCMA.
 
2830  The entry point EN^PSJBCMA2 is provided by Inpatient Medications
      to return a patient order's activity logs for BCMA.
Interfaces (APIs) between Inpatient Medications and Bar Code Medication
Administration (BCMA).
 
The following Database Integration Agreements (DBIA) describe these APIs:
 
2828  The entry point EN^PSJBCMA is provided by Inpatient Medications
      to return a patient's active orders to BCMA to be used in
      administering medications at a patient's bedside.
    • 343 SEQ #291
      DATE APPLIED:   2017-07-28 14:32:32
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue:
 
1)  Pre-Exchange doses are incorrect when using Speed Finish
    • 341 SEQ #292
      DATE APPLIED:   2017-09-29 16:29:16
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
 
1)     Admin History report has wrong data (New opton AH)
2)     DOW VI order is printing one label too many
3)     Hard error when deleting AUTH ABS transfer
4)     Scheduled IV labels sometimes do not print
    • 338 SEQ #293
      DATE APPLIED:   2017-10-05 14:02:30
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
 Associated Ticket(s):
 
Issue 4:
--------
I12228956FY17     "^" at Duration of Admin still allows order to 
                    continue
 
Problem:
========
A user went to edit an active Transdermal Inpatient order, and the 
Pharmacy Orderable Item is marked for PROMPT FOR REMOVAL IN BCMA (value 
============================
2 or 3) and the Dosage form is Patch.  During the edit of the verified 
order the user aborts ("^") at the Duration of Administration prompt 
after entering the admin times. The system will allow the creation of 
the new order without the Duration of Administration being entered.
 
Resolution:
===========
A modification to PSGOEE to prevent the user from continuing to create
a new order without the required Duration of Administration value.
 
I9190964FY16        UNDEFINED error when renew is changed to copy an order
 
Issue 5:
---------
I15018816FY17     UNDEFINED error in PSJDOSE when modifying Dosage.
 
Problem:
========
An active unit dose order in VistA was modified by changing the Dosage
Ordered field.  When the dosage options/selections appeared, the user
opted to enter a free text dosage that exceeded 15 characters.  This
R11878202FY17       Unit dose order has zero for dosage.
resulted in the UNDEFINED error.
 
Resolution:
===========
A modification was made to routine PSJDOSE to ensure that the user will
no longer receive the UNDEFINED error.  
 
This modification will send the user back to the dosage prompt if the value
exceeds 15 characters.
 
I8405721FY16        Copied UD order with >1 dispense drug, one inactive,
Issue 6:
---------
I13103401FY17     Dispense drug not deleting correctly while finishing
                   complex orders
 
Problem: 
========
An Inpatient Med complex order was created in CPRS.  While fiishing the order
in Vista, the Pharmacist adds a new Dispense Drug (12) to the order then
deletes the original Dispense Drug.  Once the order is completed and you 
                     copies incorrectly
go back into the order, both the new and deleted Dispense Drugs are displayed.
 
Resolution:
===========
A modification is needed in routine PSJCOM to update the NON-VERIFIED ORDERS
FILE (53.1) with the new Dispense Drug information.
I12228956FY17       "^" at Duration of Administration still allows
                     order to continue.
I15018816FY17       UNDEFINED error in PSJDOSE when modifying Dosage.
I13103401FY17       Dispense drug not deleting correctly while finishing
1)     UNDEFINED error when renew is changed to copy of an order
                     complex orders.
                    
Associated NSR(s):
==================
N/A
 
PSPO(s):
========
PSPO3491 - I13103401FY17
Test Sites:
2)     Unit Dose order has zero for dosage
===========
TBD
 
Overview:
================
Issue 1
--------
I9190964FY16       UNDEFINED error when renew is changed to copy an order
  
Problem: 
3)     Copied UD order with >1 dispense drug, one inactive, 
========
A unit dose inpatient order in Vista was selected to be renewed (RN).  At the
STOP DATE/TIME display the user realized they didn't want to renew the order
but to copy it.  Entering an up-carat (^) at this point will take the user back
to the originally selected order with no changes made.  The user then enters CO
(copy) and attempts to copy the order.  During the copying process the user
receives the <UNDEFINED>INIT+58^PSJLMUDE error and is taken out of Vista. 
 
During the RENEW process some of the values in the INPATIENT USER PARAMETERS
FILE (#53.45), which contain information about the displayed order, are killed
       copies incorrectly
off.  When the user decided/realized they wanted the order copied and not
renewed, some of the pertinent information that was removed was not getting set
back into this file.  This is the reason the user received the UNDEFINED error.
 
Resolution:
===========
A modification was made to MOVE^PSGOER to ensure that the INPATIENT USER
PARAMETERS FILE (#53.45) is populated with all the correct information for
processing.
 
4)     "^" at Duration of Admin still allows order to continue
Issue 2
--------
R11878202FY17       Unit dose order has zero for dosage.
  
Problem: 
========
An active unit dose order in Vista was modified by changing the Orderable
Item. When this is done, both the Orderable Item and Dosage Ordered are 
deleted. When entering the new Orderable Item, the user is not prompted 
for the Dosage Ordered and is able to accept the order.  This results in
5)     UNDEFINED AGAIN+26^PSJDOSE *PSJCONT
the new order being created without a Dosage Ordered.
 
Resolution:
===========
Modifications were made to 4 routines, PSGOE8, PSGOE9, PSJDOSE & PSGOEE.
These modifications will prompt the user to enter a Dosage Ordered when
they change the Orderable Item.
 
 
Issue 3
6)     Dispense drug not deleting correctly while finishing complex orders
--------
I8405721FY16        Copied UD order with >1 dispense drug, one
                    inactive, copies incorrectly.
 
Problem:
========
A Unit Dose order that has more than one Dispense Drug associated
with it, one being inactive, will not copy correctly.  
 
When the order is copies, the inactive Dispense Drug(s) are not
 
supposed to be copied to the new order.  If the inactive Dispense
Drug is the first one then the second Dispense Drug will show
on the new copied order twice.  If the inactive Dispense Drug is
last it will show on the copied order.
 
Resolution:
===========
A modification was made to routine PSGOD to remove the inactive
Dispense Drug from the INPATIENT USER PARAMETERS FILE (#53.45).
    • 335 SEQ #294
      DATE APPLIED:   2017-12-27 16:33:05
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
 
1.  Pending renewal shows dose of original order
2.  Clinic Order cross-references not being set correctly
3.  Major latency when running PSJ EXP on Clinics
4.  PADE TRANSACTION REPORTS WONT FIND CS DRUG TRANSACTIONS THAT ARE
    UNMATCHED TO THE NDF
    • 345 SEQ #295
      DATE APPLIED:   2017-12-27 16:35:58
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following ISSUE:
 
   When the PSJI BACKGROUND JOB runs, no report is produced.
    • 350 SEQ #296
      DATE APPLIED:   2017-12-28 12:01:08
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1)     Admin History report has wrong data (New opton AH)
2)     Hard error when deleting AUTH ABS transfer
3)     Scheduled IV labels sometimes do not print
4)     Scheduled IV labels are printing past the WL Stop date/time
    • 340 SEQ #297
      DATE APPLIED:   2017-12-28 12:19:20
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses one (1) issue:
    be undertaken to place the old/stopped orders into expired status.
 
1.  Orders in the Inpatient Pharmacy package may not have had their 
    status updated to "EXPIRED", in the past, if the order STOP DATE/
    TIME value matched the start time of the ORMTIME RUN background
    job.  This happened because ORMTIME RUN and the pharmacy code 
    compared the expiration time differently.
 
    This was corrected with patch PSJ*5*339, but a clean-up effort must
    • 346 SEQ #298
      DATE APPLIED:   2017-12-28 12:20:01
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following Issues:
 
1)  I9190253FY16   Order displayed twice after edit if you press return at
                     QUIT.
2)  I11117041FY17  Accept order prompt duplicated on IV orders
    • 349 SEQ #299
      DATE APPLIED:   2018-01-29 16:55:06
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1) There is an issue where the drug name is being stored for an 
   intervention for Clinical Reminder and not the drug IEN.
2) "Next Dose Due:" is displaying incorrectly when changing START 
   DATE/TIME to NOW on an active order.
    • 352 SEQ #300
      DATE APPLIED:   2018-02-27 13:58:05
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      <UNDEFINED>109+1^PSGOE9
    • 1
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
WPB-0398-3258
1. This patch includes routines to reduce the number of variables in the
user's partition at the time order changes are communicated between
pharmacy and Computerized Patient Record System. These changes should
reduce the likelihood of the user encountering an Allocation error during
the order processing functions.
 
2. A change was made to correct an undefined variable error that occurred
when finishing an order that was entered through the CPRS GUI.  NOIS
    • 29 SEQ #30
      DATE APPLIED:   1999-09-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch introduces changes to the patient and single order locking
 
The software will be modified to lock all external applications at the
order level when an order is selected through Inpatient Medications for
any action (Renew, Discontinue, Edit, Finish, Verify, Hold, Unhold, On
Call, Mark Not to be Given, Mark Incomplete, New Order Entry, Copy, Speed
Finish, Speed Renew, Speed Verify or Speed Discontinue).
 
The software will be modified to provide identification of any external
application users who are entering orders into the same patient record
accessed by an Inpatient Medications application user processing orders
between Inpatient Medications V. 5.0, Outpatient Pharmacy V. 7.0, and
through Inpatient Medications V. 5.0 for actions generating a new order.
 
 
2. Currently, Inpatient Medications V. 5.0 software performs order checks
when a new medication order is placed through either the Inpatient
Medications or Computerized Patient Record System (CPRS) applications.
The Pharmacy Benefits Management group requested that the Inpatient
Medications application provide order checking for orders renewed through
Inpatient Medications or CPRS packages. This functionality will ensure the
user is alerted to possible adverse reactions and will reduce the
Computerized Patient Record System (CPRS) V. 1.0.
possibility of a medication error due to the omission of an order check
when a non-active medication order is renewed. This patch will add this
functionality.
 
The software will be modified to lock Pharmacy application users at the
patient level when a medication order is selected through the Inpatient
Medication V. 5.0 Unit Dose or IV menu options.  This will prevent
multiple Pharmacy application users from processing medication orders for
the same patient at the same time.
    • 256
      DATE APPLIED:   2018-03-02 14:08:20
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MOCHA 2.1 Dosing Enhancements.
    • 347
      DATE APPLIED:   2018-03-02 14:10:35
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Follow up build to MOCHA 2.1b
    • 355 SEQ #303
      DATE APPLIED:   2018-04-03 15:32:39
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses two (2) issues:
    Strength:400 MG"
 
2.  The "Expected First Dose" prompt in the Inpatient Pharmacy package 
    New Order Entry option will display the incorrect calculated value if
    it is the second or subsequent order processed in a session when the 
    second or subsequent order has a schedule greater than daily and the
    Start Date is in the future.
 
1.  The IV Additive Quick Code is not display the dosage and is showing 
    up during process as Additive Strength: QC when it should be 
    displaying as a Quick Code strength:nnn MG (where nnn is the strength
    of the quick code)
 
    Currently a quick code is showing up, for example, "Additive Strength:
    QC 1" The Quick Code, for example, should be displayed as "Quick Code
    • 356 SEQ #304
      DATE APPLIED:   2018-04-24 16:14:46
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
 
I17870223FY18 - FRAMESTACK error
    • 361 SEQ #305
      DATE APPLIED:   2018-06-01 15:09:30
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1) Special Instructions on edit not copying correctly
2) Next Dose Due not displaying correctly
    • 357 SEQ #307
      DATE APPLIED:   2018-07-06 12:19:41
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Ward Stock display issues when there are multiple dispense drugs,
not all ward stock items.
    • 336 SEQ #308
      DATE APPLIED:   2018-07-06 14:45:20
      APPLIED BY:   USER,FIFTYFOUR
    • 359 SEQ #309
      DATE APPLIED:   2018-07-06 14:46:05
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will address 2 Inpatient Medications issues:
1) <UNDEFINED> error when purging PRE-EXCHANGE NEEDS file.
2) Ward field set to zero in Patient Pharmacy file for IV orders.
    • 365 SEQ #310
      DATE APPLIED:   2018-07-06 15:27:45
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      UNDEFINED error when running the PADE On-Hand Amounts or the PADE 
Transaction Reports
    • 371 SEQ #311
      DATE APPLIED:   2018-07-06 15:28:20
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Emergency Patch to back out and replace VistA routine that
 
1)   INC1037196       
 
Editing of verified inpatient medication orders with LONG special 
instructions results in new order with missing special instructions.
 
Problem: 
========
Editing of verified inpatient medication orders that create new 
medication order will replace any existing, long special instructions 
caused an issue with long special instructions.
with text, "Instructions too long. See Order View or BCMA for full 
text."  Had patch installed this week that may be causing this new 
problem, PSJ*5*361.
 
 
Resolution:
===========
CA-SDM I18645262FY18 fixed an issue whereby Special Instructions on
edited orders were not copying correctly. It introduced this issue,
however. The purpose of this patch is to return routine ^PSJBCMA5 to
 
pre-361 code.
Patient Safety Issues (PSIs):
-----------------------------
 
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
    • 31 SEQ #31
      DATE APPLIED:   1999-10-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  The routine PSGOETO was issuing a lock command with a 0-second wait
issued.  This patch corrects this problem.  NOIS MWV-0699-22220.
 
3. Unit Dose orders were entered through Computerized Patient Record
System (CPRS), but not signed or released.  The patient was discharged,
then these Unit Dose orders were signed and released to the Inpatient
Medications package.  These orders were showing in the
Non-Verified/Pending Orders [PSJU VBW] option when an order summary was
done under the ward group ^OTHER.  The site could take no action on these
orders through the Inpatient Medications options.  This patch will prevent
these orders from being accepted by the Inpatient Medications package and
period.  This resulted in a 100% CPU usage by the command because it was
prevent this problem from taking place.  NOIS MON-0699-52149.
 
4. Medication orders were Dc'd on transfer, the transfer was deleted.
The orders were reinstated with the MailMan message going to the group
and the pharmacist.  Some duplicate orders were not reinstated.  The
pharmacist tried to reinstate using the RN function in the long profile.
The user got the message that the order was reinstated, but it wasn't.
This patch corrects this problem. NOIS CON-0799-10709.
 
5. A problem was reported with some reports when they were queued to the
unable to attain the lock required.  The CPU usage meant that other
spooler.  The following IV reports: 
 
ACtive Order Report by Ward/Drug (IV) [PSJI AOR]
AMIS (IV) [PSJI AMIS]
Drug Cost Report (132 COLUMNS) (IV) [PSJI DRUG COST REPORT]
Patient Cost Report (132 COLUMNS) (IV) [PSJI PATIENT COST]
PRovider Drug Cost Report (132 COLUMNS) (IV) [PSJI PROVIDER REPORT]
Ward/Drug Usage Report (132 COLUMNS) (IV)[ PSJI WARD/DRUG USAGE REPORT]
 
and the following Unit Dose reports
routines were prevented from processing.  The timeout period for the lock
 
Extra Units Dispensed Report [PSJU EUDD]
Medications Due Worksheet [PSJ MDWS]
 
were not being processed to completion, resulting in the files never
becoming available to print. This patch corrects this problem.  NOIS
BRX-0398-12645, POR-0699-52667 and OKL-0899-70364.
 
6.  When printing the 7 Day MAR [PSJU 7D MAR] and the 14 Day MAR [PSJU 14D
MAR] reports, the text for the Other Print Info was sometimes appearing in
has been amended to 1 second, this will allow other procedures to share
the Notes column.  There was also a problem whereby the text of the Other
Print Info was not wrapping correctly if the text length was greater than
47 characters.  Also, if the order did not have a solution defined the
lines were not wrapping correctly.  This patch corrects these problems.
NOIS IOW-0599-41089, MWV-0799-20528 and PUG-0899-52623.
 
7.  A problem was reported where a user accessed the option Extra Units
Dispensed [PSJU EUD] or Report Returns [PSJU RET] from the hidden menu
and was unable to select orders greater then 13.  The Help text for this
option displayed when the user entered '??' was not appropriate either.
the system resources.  NOIS SUX-0699-40661.
This patch will correct this problem. NOIS NHM-0699-10837.
 
8. A problem was reported by a site where when running the option Extra
Units Dispensed [PSJU EUD] they were getting a message THIS DRUG IS AN ATC
ITEM. BUT THE ATC DEVICE CANNOT BE FOUND! This was happening on a ward
they had recently set up. This patch will correct this problem. NOIS
CLE-0899-40919.
 
9. A problem was identified whereby the option Patient Profile (Extended)
[PSJ EXTP] was not displaying the full activity logs for orders.  This
 
patch will now correct this problem.  NOIS SDC-0899-60673.
2. When using the option Label Print/Reprint [PSJU LABEL] a line of text
would sometimes scroll off the screen when the prompt '^' TO QUIT was
    • 358
      DATE APPLIED:   2018-07-06 15:43:55
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Follow up build to MOCHA 2.1b
    • 374 SEQ #313
      DATE APPLIED:   2018-09-07 12:15:28
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch reference and additional information may be found on Forum for 
PSJ*5*374.
    • 344 SEQ #314
      DATE APPLIED:   2018-09-25 15:32:17
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses four (4) issues:
    
3.  A Non-Verified IV order was modified, a non-starred field, then 
    another non-starred field was selected but the user cancelled the
    action (^). After the user Accepted the change the screen displayed
    the patient profile and not the accepted order to be verified.
 
4.  The verify action is not enabled immediately when a user accepts a 
    unit dose order after verifying an iv fluid order for a different 
    patient. Instead, the profile screen is displayed without the verify
    action.
 
1.  An UNDEFINED error is happening when copying a UD order, the user
    changes the Orderable Item but "^" out at the dispense drug selection
    all the way back to the profile, then picks another order to copy.
 
2.  A Clinic IMO order could not be processed.  The site was turned off
    for Inpatient Meds between the time the order was placed and when it
    was processed by pharmacy.
    • 373 SEQ #315
      DATE APPLIED:   2018-10-04 16:25:36
      APPLIED BY:   USER,FIFTYFOUR
    • 368 SEQ #316
      DATE APPLIED:   2018-11-02 14:48:03
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
INC1065553 - BCBU MAR display NON transdermal patch orders with Removal
             times discharged/deceased
INC0608952 - *TEST ACCOUNT-BCMA listing all admins as a patch-TEST ACCOUNT*
(Duplicate)
        
Problem: 
--------
When Inpatient Pharmacy users use the option Inpatient Order Entry [PSJ OE]
and instead of ordering a single medication choose an order set, there is a
potential mix up between patch medications with other medications with a 
 
different form of administration. Orders sets are created via the Order Set
Enter/Edit [PSJU OSE] option. In some circumstances patch medications will
not have a field for entering removal times and other times medication with
other forms of administration will prompt BMCA users for an application
site, which is required only for patch medications.
      
Resolution:
-----------
Reset variables that identify patch medication versus non patch medication
before processing each order within the order set. This will prevent orders
INC1065553 - BCBU MAR display NON transdermal patch orders with Removal
following a patch medication order from being flagged as patch as well.
 
Technical Resolution:
---------------------
NEWed the variable PSGRF and ND2P1 variables at GND+1^PSGOES and set the 
variable PSGRF with the content of the PROMPT FOR REMOVAL IN BCMA field (#12)
in the PHARMACY ORDERABLE ITEM (#50.7) file, which is used to identify 
whether form of application for the medication being entered is a patch.
             times discharged/deceased
INC0608952 - *TEST ACCOUNT-BCMA listing all admins as a patch-TEST ACCOUNT*
(Duplicate)
    
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
    • 370 SEQ #317
      DATE APPLIED:   2018-11-02 15:11:48
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      1)  Incomplete Medication Order Information
2)  Special Instructions lost when new order is created due to edit
    • 367 SEQ #318
      DATE APPLIED:   2018-11-02 15:20:51
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will address three (3) INPATIENT MEDICATIONS issues:
 
1)Users are encountering an UNDEFINED error when an active order is 
copied and one of the order's fields is modified and the new order 
is made active.
2)Complex orders are still locked after verification of all the child 
orders.
3)Complex orders are still locked when user is at SELECT ACTION QUIT 
prompt.
    • 353 SEQ #319
      DATE APPLIED:   2018-11-02 15:28:16
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch has the following enhancements for Clinical Ancillary Services
 
2. Manage Hidden Icons (Actions)  Inpatient 
 
   Two new hidden actions are provided for Inptient Pharmacy's menu option
   Inpatient Order Entry [PSJ OE].
 
   a. New hidden action "DM" for displaying dispense drug information 
      during data entry.  This hidden action will display key information
      about the order to help aid in the verification process of an order
      and also allow user to Enter another drug if desired.  Key
(CAS) Enhancements (RXSU2).
      information includes:
 
      Example:
 
           DRUG NAME: xxxxxxxxxxxxxxxxxxx   (IEN: 3)
            ORDERABLE ITEM TEXT:
             xxx xx xxxxx xxxxx xx xxxxx
             x xxxxxxxx xx xxxxxxxxxxxx
 
            MESSAGE:   xxxx xxx xx xxxxx x xxxxxxxx
 
            QTY DISP MESSAGE:   x xxxxxxxx xx xxxxxxxxx xxxx
 
          Return to continue or
          Select DRUG GENERIC NAME:
 
   b. New hidden action "VP" for displaying Provider information during 
      data entry.  This hidden action will display key information about
      the PROVIDER to help aid in the verification process of an order and
      also allow user to enter another provider if desired.  Key 
      information includes:
1. Manage Lookup List Inactive Entries 
 
      Example:
 
           PROVIDER TITLE:    xxxxxx
  
           PROVIDER REMARKS:  xxx xx xxxxxxx xxxx
 
           PROVIDER SPECIALTY:  xxxxxx
 
           Return to continue or
 
           Select NEW PERSON NAME: 
 
 
3. View Provider Information
 
   Inpatient Pharmacy menu option Inpatient Order Entry [PSJ OE] header 
   Listman areas were changed to add two new fields, 1) ATTENDING
   PHYSICIAN field (#.1041) and 2) TREATING SPECIALTY field (#.103) for
   both the Patient Information and Inpatient Order Entry Listman screens.
 
   Added the text "** INACTIVE **" to the end the display of
   Example Listman header screens:
 
 Inpatient Order Entry      Jan 22, 2018@15:16:14          Page:  1 of   1
 INPATIENT,FIRSTNAME           Ward: xxx xxxx
   PID: xxx-xx-xxxx        Room-Bed: x-xxx           Ht(cm): _____ (_____)
   DOB: xx/xx/xx (xx)   Att:  Physician,Attend S     Wt(kg): _____ (_____)
   Sex: MALE            TrSp: NEUROLOGY             Admitted: xx/xx/xx
    Dx: TEST ICD CODE                    Last transferred: ********
  CrCL: <Not Found>                              BSA (m2): __________   
 -------------------------------------------------------------------------
   ADMINISTRATION SCHEDULE file (#51.1) entires while editting the Listman
 
 
 Patient Information        Jan 25, 2018@15:09:18          Page:  1 of   1
 INPATIENT,FIRSTNAME           Ward: xxx xxxx
   PID: xxx-xx-xxxx        Room-Bed: x-xxx           Ht(cm): _____ (_____)
   DOB: xx/xx/xx (xx)   Att:  Physician,Attend S     Wt(kg): _____ (_____)
   Sex: MALE            TrSp: NEUROLOGY             Admitted: xx/xx/xx
    Dx: TEST ICD CODE                    Last transferred: ********
  CrCL: <Not Found>                              BSA (m2): __________   
 -------------------------------------------------------------------------
   screen field "8)  Schedule:" during Finishing an order or adding a New
   Order in Pharmacy backdoor operations.
    • 376 SEQ #320
      DATE APPLIED:   2018-12-06 15:54:04
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses one issue:
 
PADE Dispense Without Order VistA Mailman messages not being received
    • 362 SEQ #321
      DATE APPLIED:   2018-12-06 16:12:44
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      MPDU - MEDICATION PERMISSIONS/DISPENSING UPDATES - Build 3
 3. Prohibit Unintentional Reactivation/Inactivation of PADE Devices.
 
 
Item 1
------ 
Problem:
-------
I want the VistA system to use the exact time sent from the vendor system
as long as it is no longer than 2 hours off of the time in VistA.
 
 
Resolution:
----------
Line tag FILETRAN^PSJPAD7I has been modified to allow a time gap of up to
2 hours in the future, and if it is >2 hours then the transaction
date/time will be set to NOW Date/Time.
 
Item 2
------ 
Problem:
-------
This patch will address the following issues.
As a PADE user, I want the value of the SEND CHECKIN/SURG HL7 FOR INPT to 
be honored for admitted inpatients only so that check-in messages will 
always be sent for non-admitted patients regardless of the parameter's 
value.
 
 
Resolution:
----------
Line tag CLCI^PSJPDCLA has been modified to block check-in/Surg HL7 
messages only if the patient is an inpatient and the flag SEND 
 
CHECKIN/SURG HL7 FOR INPT is not set to "Y".
 
 
Item 3
------ 
Problem:
-------
As a user of the VistA PADE interface, I need the DISPLAY PADE INDICATORS 
IN IOE? prompt edit, through option 'PADE Inventory System Setup '(PSJ 
PADE INVENTORY SYSTEM), to not automatically reactivate devices that are 
 1. Timestamp Differential in VistA.
currently inactive, or to inactivate devices that are currently active.
 
 
Resolution:
----------
Line tag PSJOE^PSJPADSI has been modified to not to execute the code (D
DEVONOFF^PSJPDRU1) to reactivate/activate the devices automatically when
stepping over the prompt DISPLAY PADE INDICATORS IN IOE? 
The user will have the control to reactivate/inactivate a device.
 
 2. Honor Value of SEND CHECKIN/SURG HL7 FOR INPT for Admitted patients 
    only.
    • 33 SEQ #32
      DATE APPLIED:   2000-01-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported with the Patients on Specific Drugs report where
of the other information from the quick code was entered into the order.
This patch corrects this problem.  NOIS SDC-0699-61236
 
3.  A problem was reported when editing orders that are entered via unit
dose order sets.  During the order set entry, edits made after the order
becomes non-verified status are not being reflected in the CPRS order.
This patch will make changes to allow the edits of a non-verified order to
be reflected in the CPRS order if the edits are made before the
non-verified order is accepted.  NOIS MIW-0899-40617
if the patient received an outpatient IV order it would print the order
with the ward location and room-bed of their last admission.  This patch
corrects this problem.  NOIS MIW-0899-41313
 
2. A problem was reported with the pharmacist finishing an order entered
through Computerized Patient Record System (CPRS) Inpatient Medications
dialogue.  The pharmacist elected to finish the order as an IV and entered
a quick code at the additive prompt. The additive name was set, but none
    • 377 SEQ #322
      DATE APPLIED:   2019-01-02 17:42:43
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses one issue:
 
VistA IV Quick Code schedule issue
    • 366 SEQ #323
      DATE APPLIED:   2019-01-03 17:28:53
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      As part of the Clinical Ancillary Services project (CAS) - Medication 
3. Check dosage form to determine appropriate default route
4. Validate Termination of a Provider 
5. Addresses the defect reported in INC2806789 
Permission/Dispensing Updates (MPDU), the Inpatient Medications package
has been modified to address the following:
 
This patch will address the following issues.
 
1. Limit the Display of Medication Routes for Infusion Order Dialogs
2. Limit the Display of Medication Routes for Inpatient Unit Dose Order
   Dialogs
    • 379 SEQ #324
      DATE APPLIED:   2019-02-01 12:50:53
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses a PADE ROOM-BED/WARD issue.
    • 378 SEQ #325
      DATE APPLIED:   2019-02-01 15:19:25
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
         
Problem: 
--------
The Robley Rex VA Medical Center reported that medication orders are showing
start date/times BEFORE the signature date/time of the order. This causes
meds to be due for administration in BCMA for a past time when the order did
not even exist. It appears as though patients are missing meds. Thus far
orders have been isolated to our 4S MED hospital ward and all identified
orders have been in the Unit Dose package.
      
 
Resolution:
-----------
The primary reason the Robley Rex VAMC experienced this problem is because
the 4S MED was not configured in the Inpatient Ward Parameters Edit [PSJ IWP
EDIT] option where the parameter DEFAULT START DATE CALCULATION used to
calculate the default start date/time for an order is set. The other reason
is that once they processed two orders at the same time for the same ward
the default value for the parameter was getting overwritten when they tried
to finish the second order. This patch corrects this issue. 
  
INC2264488 - Medication order start times and BCMA admin times are before the
Technical Resolution:
---------------------
Changed the line ENSD+99^PSGNE3 to check only the 5th piece of the PSJSYSW0
variable since it contains all ward parameters and after the user finished
the first order it was getting set with multiple up-carets ("^^^^^^^^^^"). 
             date/time the order was signed
     
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
INC2264488 - Medication order start times and BCMA admin times are before the
             date/time the order was signed
    • 381 SEQ #326
      DATE APPLIED:   2019-03-01 15:56:52
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses the following.
 
Results from LA7POC1 and LA7POC2 for iSTAT and 
  Glucose testing are not going over to VISTA
    • 383 SEQ #327
      DATE APPLIED:   2019-04-01 15:11:59
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Copied provider comments no longer display on the orders tab in CPRS when 
pharmacist edits starred (*) field with Auto-Verify ON
    • 382 SEQ #328
      DATE APPLIED:   2019-04-02 17:15:49
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      When a user enters a complex order as a clinic order for an outpatient 
and edits a part (child) of the order after finishing that part of the 
order, the order displays as an inpatient medication instead of 
displaying as a clinic order.
    • 386 SEQ #329
      DATE APPLIED:   2019-06-04 17:57:34
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses an issue where next cart exchange may be displayed 
along with a value for Pre-Exchange DOSES erroneously with Clinic orders.
    • 387 SEQ #330
      DATE APPLIED:   2019-07-08 09:47:42
      APPLIED BY:   USER,SIXTYFIVE
    • 391 SEQ #332
      DATE APPLIED:   2019-08-27 08:59:24
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch will put option PSJI DELETE ORDER out of order and correct an 
issue with NATURE OF ORDER for IV orders.
    • 38 SEQ #33
      DATE APPLIED:   2000-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported with a site that had pending order numbers
greater the 999999. This was causing a problem with the display and
selection of the orders through Order Entry (IV) [PSJI ORDER]. This patch
corrects this problem. NOIS DEN-1299-50190.
 
2. An undefined error occurred when reprinting IV labels.  This error is
due to the change in FileMan patch DI*22.0*17 which returns a 0 to $T
when using the ^DIC call.  This patch will correct this problem. NOIS:
IOW-1299-41969.
    • 389 SEQ #333
      DATE APPLIED:   2019-09-26 11:09:19
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module
under PSJ*5*389.
    • 327
      DATE APPLIED:   2019-09-30 10:36:48
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      MENTAL HEALTH NCC PROJECT 5.01
    • 390 SEQ #334
      DATE APPLIED:   2019-09-30 10:37:53
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch addresses 2 issues. 1) An issue with the Pre-Exchange
DOSES for a clinic order when the clinic and the medication are tied to a
PADE device. 2) Upon the entry of a date of death for a patient 
the patient's active clinical orders (IMO) are not discontinued.
    • 380 SEQ #335
      DATE APPLIED:   2019-10-16 16:29:39
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
under PSJ*5*380.
    • 392 SEQ #336
      DATE APPLIED:   2019-12-06 14:52:10
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
under PSJ*5*392.
    • 393 SEQ #337
      DATE APPLIED:   2019-12-06 14:56:11
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch will fix the following issues:
1) Correct an issue that occurs when the MED ROUTE is 
   modified. It causes the ADMIN TIMES to disappear.
2) Correct an issue that occurs when a starred field is
   edited in a complex order.  User is getting knocked
   out of the system with a hard error.
    • 396 SEQ #338
      DATE APPLIED:   2020-01-15 12:22:32
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch will resolve the following issue.
INC8364590 - VISTA option [PSJ PDV] "Patients on Specific Drug(s)" generates
(Duplicate)  hard error <SUBSCRIPT>IVSET+7^PSJPDV0 ^SC("")
               
Problem: 
--------
The Syracuse VAMC Inpatient Pharmacy reported getting a hard error when
running the Patients on Specific Drug(s) [PSJ PDV] report option for a 
specific Division. It was reported as well that the error started happening
after the installation of patch PSJ*5*380. The HPS Sustainment Team confirmed
the problem to be caused by the code introduced by PSJ*5*380 to resolve a
  
different problem in the same report. The code did not take into account that
not all inpatient orders have a clinic associated with it and that is why the
software was throwing a <SUBSCRIPT> error.
  
Resolution:
-----------
This patch fixes the code by skipping orders without a clinic when the user
runs the report for a specific Division.
 
Technical Resolution:
INC8260675 - New Patch PSJ*5*380 causing M error when running PSD report
---------------------
Changed the lines IVSET+7 and UDSET+7 in the PSJPDV0 routine to skip the order
if the value of the field CLINIC (#130) in the UNIT DOSE sub-file (#55.06) or
the value of the field CLINIC (#136) in the IV sub-file (#55.01), both in the
PHARMACY PATIENT file (#55), are blank and the report is being run for a
specific Division. 
INC8364590 - VISTA option [PSJ PDV] "Patients on Specific Drug(s)" generates
(Duplicate)  hard error <SUBSCRIPT>IVSET+7^PSJPDV0 ^SC("")
   
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
INC8260675 - New Patch PSJ*5*380 causing M error when running PSD report
    • 400 SEQ #340
      DATE APPLIED:   2020-07-07 16:30:39
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      Inpatient Med One-time Order not Discontinuing after Administering of 
Medication
    • 397 SEQ #342
      DATE APPLIED:   2020-07-09 16:27:46
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch will resolve the following issues:
1) INC6081255 - BCMA scanning IV medication as invalid lookup
 
Problem: 
-------
The VA Sierra Nevada Health Care System reported that BCMA IV piggyback label
scanned as invalid look up when they should be valid. This happened when, for
example, an edit on the Volume of the solution on the order should have caused
the previously printed label(s) to be invalidated and new label(s) generated 
according to the BCMA Parameters. New label(s) were generated for the edited
order, however all labels (old and new) were being erroneously invalidated.
  
    
Resolution:
----------
This problem happened because the software performs a date/time comparison
between the Volume edit and the label creation to determine whether a label
is valid or not. If the label was printed before the Volume edit the label is
considered invalid. The problem is that it was using the format YYYMMDD.HHMMSS
for the Volume edit date/time and the format YYYMMDD.HHMM for the Label
creation date/time. So, if the new label(s) where printed within the same
minute of the Volume edit the software mistakenly assumed the new labels were
INC6081255 - BCMA scanning IV medication as invalid lookup
printed before the Volume edit.
  
Technical Resolution:
--------------------
Changed the code at EN+61 in the routine PSIVBCID to truncate the order edit
date/time to YYYMMDD.HHMM format when doing the comparison with the label
print date/time. This way labels printed after the order edit should never be
considered invalid.
  
   
INC6231181 - Over the last several months, there has been at least 5 times
INC6231181 - Over the last several months, there has been at least 5 times
             that I am aware of where CPRS and BCMA aren't communicating on
             verification of order.
 
Problem: 
-------
The Madison VA Hospital reported that the BCMA nurse verification information
was not being properly reset (removed) after the field SPECIAL INSTRUCTIONS
was edited by Inpatient Pharmacy users through the Inpatient Order Entry [PSJ
OE] option. In CPRS the nurse verification is correctly being reset (removed)
HITPS-6742   that I am aware of where CPRS and BCMA aren't communicating on
after this field is edited in Inpatient Pharmacy. According to the site this
poses the risk of medication being administered through BCMA without the
proper re-review and re-verification. This issue is also being considered a
Patient Safety Issue (PSI) and the number assigned by the Patient Safety team
is HITPS-6742.
     
Resolution:
----------
Every time the SPECIAL INSTRUCTIONS field is edited for an inpatient unit dose
order the nurse verification information (if any) will be invalidated/removed,
             verification of order.
which will be reflected in the BCMA application. Depending on how the site 
BCMA parameters is set it will require a re-verification of the order in CPRS
before it can be administered through the BCMA application.
  
Technical Resolution:
--------------------
Created a new line tag in the routine PSJBCMA2 called RESETNV responsible for
removing the nurse verification information in the PHARMACY PATIENT file (#55),
UNIT DOSE sub-file (#55.06), fields VERIFYING NURSE (#16) DATE VERIFIED BY
NURSE (#17) and setting the NV FLAG field (#51) to 0 (NO). These fields are
    
used by BCMA to determine whether an order have been verified or not by a
nurse.
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
    • 395 SEQ #343
      DATE APPLIED:   2020-07-21 13:49:42
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch will fix an issue where a subcomponent separator is not being
converted, by HL7 Standards, from & to \T\ when sending HL7 messages to 
outgoing PADE HL7 messages.
 
Patch will also fix, when finishing a pending order from CPRS, as an IV 
medication with no additive and a single solution that has Dose Limits
applied to the Orderable Item file, that it honor that Dose limit and
calculate the correct Stop date/time for the order.
    • 34 SEQ #34
      DATE APPLIED:   2000-02-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When entering unit dose orders through the pharmacy back door with an
3. When printing a Medications Due Worksheet through the Medications Due
Worksheet [PSJ MDWS] option, the user was receiving a divide by zero
error.  This patch will correct this problem. NOIS NJH-0999-20805.
 
4. An inconsistency was identified with the way in which Inpatient
Medications was handling orders placed on hold through pharmacy options.
Outpatient Pharmacy does not allow orders placed on hold through pharmacy
options to be released from hold using Computerized Patient Record System
(CPRS) options.  With the installation of this patch the same will be true
for Inpatient Medications.
order set, 2 sets of labels were printed after the order is verified.
 
5. The possibility exists for orders placed on hold to not have their
status updated to expired and still show on the Inpatient Medications
profile and on the Active Orders tab through Computerized Patient Record
System (CPRS) after the patient has been discharged from the hospital.
This patch will correct this problem.  NOIS HUN-0999-22147.
 
6. When entering a new Unit Dose order that contained a drug that is
marked for Unit Dose and Outpatient, an error was occurring when checking
the medical center's formulary.  The drug was being checked to determine
This was incorrect, only one set of labels should be produced.  This patch
if the dispense drug was valid for the order but was using an invalid date
comparison.  This patch will correct this problem.  NOIS PUG-0999-51369.
 
7. A site was assigning long room-bed names to their beds, the names were
reaching 11 characters, the room-bed names were running into the patient
names when the site printed their pick list using the Pick List [PSJU PL]
option.  This patch corrects this problem.  NOIS WNY-1099-10002.
 
8. When finishing an IV order for the first time, the default for the
additive was display and the Stop date was calculated from the NUMBER OF
corrects that problem.  NOIS MIW-0999-41081.
DAYS FOR IV ORDER field (#3) in the IV ADDITIVES file (#52.6).  If the
user did not accept the order and exited all the way to the patient prompt
and selected the same order to finish again, the default additive will not
display and the Stop date was calculated from the IV ROOM file (#59.5).
This patch corrects this problem.   NOIS: HUN-1099-20146.  
 
9. When finishing a Unit Dose order as an IV, the additive linked to the
corresponding IV Orderable did not display as a defaulted.  This patch
will place a correct additive in the order.  NOIS: RIC-1099-20942.
 
2. Providers were unable to discontinue orders placed on-call through
pharmacy back door options using Computerized Patient Record System
(CPRS) options.  This patch corrects this problem.  E3R 12975 and 12832.
    • 385 SEQ #344
      DATE APPLIED:   2020-07-22 13:16:49
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      Patch PSJ*5*366 introduced checks to verify that a user had sufficient 
privileges to perform certain tasks. After the release of PSJ*5*366 
an exception was discovered that prevented qualified users from 
performing those tasks.
    • 398 SEQ #345
      DATE APPLIED:   2020-08-10 12:49:29
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      Dosage changed on warfarin from 5mg to 3mg didn't fire a warning
to the pharmacist finishing the order.
 
Clozapine complex order issue with stop date/time.
 
BCMA Missed Med Report by CLINIC Gives Error Message "Unable to Reach 
Vista"
 
Vista hard error with Unit Dose hidden option "OCI"
    • 388
      DATE APPLIED:   2020-08-24 16:09:10
      APPLIED BY:   USER,SIXTYFIVE
    • 319
      DATE APPLIED:   2020-09-23 15:43:41
      APPLIED BY:   USER,SIXTYFIVE
    • 401 SEQ #349
      DATE APPLIED:   2020-11-23 10:10:11
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Correct two routines so PADE HL7 messsages will be sent when complex 
multi-line orders with "and" conjunctions are renewed by CPRS and 
finished by VistA PSJ OE backdoor option.
    • 410 SEQ #350
      DATE APPLIED:   2020-12-08 08:25:55
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      It was discovered that, in certain instances, when executing the option 
that sends a clinic's patient orders to PADE (PADE Send Patient Orders), 
a user receives the message 'Clinic is not setup for this PADE' for an
active client that is qualified to be selected.
    • 406 SEQ #351
      DATE APPLIED:   2020-12-08 09:09:32
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch, in conjunction with PSB*3*127, 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 building of the outbound order HL7 message from VistA to the BCBU
workstation to escape the schedule field value before including it in the HL7
message and also changed the processing of the incoming message to un-scape
the schedule field value before parsing it at the BCBU workstation. 
 
Technical Resolution:
1) INC11397447 - BCMA Backup workstation patient print out and order display
---------------------
This patch changes the routine PSJHL3 at line tag RXE+39 and IVRXE+7 to escape
the schedule field value before including it in the outbound HL7 message sent
to 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
    • 413 SEQ #352
      DATE APPLIED:   2021-01-27 12:13:00
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
 
              'Out Of Order':', press the Enter key.
 
           b. When prompted 'Enter protocols you wish to mark as 
              'Out Of Order':', press the Enter key.
 
           c. When prompted 'Delay Install (Minutes):  (0 - 60): 0//',
              answer 0.
 
 
 
 
Back-Out/Roll Back Plan:
------------------------
 
Post Installation Instructions:
-------------------------------
None.
 
Installation Verification:
--------------------------
Successful installation can be verified by reviewing the first 2 lines 
 
of the routines contained in the patch. The second line will contain the 
patch number (413) in the [PATCH LIST] section.
  
 ;;5.0;INPATIENT MEDICATIONS;**[PATCH LIST]**;16 DEC 97;[BUILD #]
   
The option Calculate and Show Checksum Values [XTSUMBLD-CHECK] can be run 
to compare the routine checksums to what is documented in the patch
description.
 
Back-out/Rollback Strategy:
 
---------------------------
Back-out will be done only with the concurrence and participation
of development team and appropriate VA site/region personnel. The
decision to back-out or rollback software will be a joint decision
between development team, VA site/region personnel and other
appropriate VA personnel.
 
Prior to installing an updated KIDS package, the site/region should
have saved a backup of the routines in a mail message using the
Backup a Transport Global [XPD BACKUP] menu option (this is done at
 
time of install). The message containing the backed-up routines can
be loaded with the "Xtract PackMan" function at the Message Action
prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used
to install the backed-up routines onto the VistA System. 
No data was modified by this patch installation and, therefore, no 
rollback strategy is required.
 
Validation of Back-out Procedure
---------------------------------
The Back-out Procedure can be verified by printing the first 2
 
lines of the PSJ Routines contained in this patch using the option
First Line Routine Print [XU FIRST LINE PRINT]. Once the routines
contained in the PSJ*5.0*413 patch have been rolled back, the first
two lines of the Routines will no longer contain the designation
of patch PSJ*5.0*413 in the patch list section on line 2
 
 
When changing the clinic location in CPRS and then renewing a clinic 
order, PRS and backdoor Inpatient Pharmacy is still displaying the old
This patch will resolve the following issue:
clinic order. This is incorrect. The clinic is updated in File #53.1 
but not in File #55
 
Resolution:
-----------
 
A modification was made in routine PSGOTR to update FILE 55 from FILE 
53.1 during the verification process, this will display the correct 
Clinic location in CPRS and backdoor Inpatient Pharmacy. 
 
 
File Name (Number)          Field Name (Number)       New/Modified/Deleted
------------------          -------------------       --------------------
PHARMACY PATIENT (55)                 CLINIC(130)                 Modified
 
Test Sites:
-----------
TBD
 
Software and Documentation Retrieval Instructions:
--------------------------------------------------
INC12424796 - Renewing a clinic order still showing the old clinic 
The software for this patch is being released in a PackMan message.
 
  
Patch Installation:
-------------------
 
Pre-Installation Instructions:
This patch may be installed with users on the system although it is
recommended that it be installed during non-peak hours to minimize
potential disruption to users.  This patch should take less than 5 
location
minutes to install.
 
 
Installation Instructions:
 
1.  Choose the PackMan message containing this build. Then select 
    the INSTALL/CHECK MESSAGE PackMan option to load the build.
 
 
2.  From the Kernel Installation and Distribution System Menu, 
              in CPRS and backdoor Inpatient Pharmacy 
    select the Installation Menu.  From this menu, 
 
    A.  Select the Verify Checksums in Transport Global 
        option to confirm the integrity of the routines that 
        are in the transport global. When prompted for the 
        INSTALL NAME enter the patch or build name. 
        (ex. <PSJ*5.0*413)
 
        NOTE: Using <spacebar><enter> will not bring up a 
              Multi-Package build even if it was loaded 
 
              immediately before this step. It will only 
              bring up the last patch in the build.
 
    B. Select the Backup a Transport Global option to create a 
       backup message of any routines exported with this patch. 
       It will not backup any other changes such as DDs or 
       templates. 
 
    C. You may also elect to use the following options: 
         i.  Print Transport Global - This option will allow 
 
             you to view the components of the KIDS build.
         ii. Compare Transport Global to Current System - This 
             option will allow you to view all changes that will 
             be made when this patch is installed.  It compares 
             all of the components of this patch, such as 
             routines, DDs, templates, etc.
 
    D. Select the Install Package(s) option and choose the 
       patch to install. 
  
 
         i.  If prompted 'Want KIDS to Rebuild Menu Trees Upon 
             Completion of Install? NO//', answer NO.
    
      ii. When prompted 'Want KIDS to INHIBIT LOGONs during the 
          install? NO//', answer NO.
 
      iii. When prompted 'Want to DISABLE Scheduled Options, Menu 
           Options, and Protocols? NO//', answer NO      
            
           a. When prompted 'Enter options you wish to mark as
    • 411 SEQ #353
      DATE APPLIED:   2021-02-24 10:01:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      See patch description for PSJ*5.0*411.
    • 405 SEQ #354
      DATE APPLIED:   2021-03-12 12:26:02
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      When a provider chooses a schedule of WEEKLY or MONTHLY in VistA the 
HL7 data sent to the Omnicell reflects that this drug should be given on 
Wednesday or Monday instead of the actual day the order was entered. See
the patch description on FORUM for more details.
    • 35 SEQ #35
      DATE APPLIED:   2000-02-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  When printing MARs on a DSM system, a problem was encountered with the
 
3. Currently, if a unit dose order has multiple dispense drugs, the order
check is performed for the first dispense drug only.  With this patch, any
additional dispense drugs entered for the order will be checked for
allergies and drug-drug interactions.  This will apply to new orders
entered using the Inpatient Order Entry [PSJ OE] or Order Entry [PSJU NE]
options and when finishing pending unit dose orders or renewing unit dose
orders.
 
4.  A problem was reported with trying to enter a new intervention from
use of the positioning command (?) and the subsequent layout of the MAR
the Pharmacy Intervention Menu [PSO INTERVENTION MENU] through List
Manager.  The user selected the Enter Pharmacy Intervention [PSO
INTERVENTION NEW ENTRY] option, tried to enter a new intervention,
received two question marks and was unable to do so. On the protocol [PSJ
LM INTERVENTION NEW ENTRY],in the entry action, DLAYGO was being set to
the wrong file number.  This patch corrects this problem.  
NOIS BHH-1099-42026.
 
5.  The user was required to enter an IV room when using the IV options
even though there is only one active IV room defined.  This patch will
data.  This patch resolves that problem.  NOIS MOU-1099-31155.
automatically select the active IV room.  NOIS HUN-1099-22843.
 
6.  If the field DAYS TO RETAIN IV STATISTICS (#31)is not set in the 
PHARMACY SYSTEM file (#59.7), the stop date is not calculated correctly
when finishing the order as a Chemotherapy IV TYPE.  This patch will fix
this problem.
 
2. A problem was reported with the display of a pending order when using
the option Patient Profile (Extended) [PSJ EXTP].  The order would display
with the patient's name and the status of Not Verified, the rest of the
order information would display as NOT FOUND or *s.  This patch corrects
this problem.  NOIS ISH-1099-41686.
    • 404 SEQ #355
      DATE APPLIED:   2021-03-15 11:53:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issue:
-------
The Dallas Field Office reported that BCMA MEDICATION LOG file (#53.79) does
not get updated properly when 2 patients are merged. More specifically, the
ORDER REFERENCE NUMBER field (#.11), which contains a pointer to UNIT DOSE
(#55.06) and IV (#55.01) sub-files in the PHARMACY PATIENT file (#55) does 
not get updated with the new pointers when the entries in these two sub-files
are moved to a different IEN (Internal Entry Number). In some rare cases, this
will cause the BCMA Medication History Reports to hide one of the orders for 
the newly merged patients if both patients had the orders of the same type
(UD/IV) with the same pointer and were administered on the same day.
  
     
Resolution:
----------
It was confirmed that the patient merge updates did not update the BCMA
MEDICATION LOG file (#53.79) entries when the IENs for UD/IV orders in the
PHARMACY PATIENT file (#55) were changed. The code was correct to correctly
update the BCMA MEDICATION LOG file (#53.79), ORDER REFERENCE NUMBER (#.11)
when two patients are merged.
   
Technical Resolution:
INC9104304 - Patient Merge is incorrectly merging BCMA MED LOGS
--------------------
Added a new line tag at the end of the routine PAJPATMR called UPDBML to
updated the ORDER REFERENCE NUMBER field (#.11) on the BCMA MEDICATION LOG
file (#53.79) file for all administrations right after the new IEN is assigned
to UD/IV orders. In addition, the code in UPDBML will kill the old (From) and
set the new (To) cross-references "AADT", "AEDT" and "AOIP" because it was
determined that the Patient Merge routines did not update them either.
     
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC9104304 - Patient Merge is incorrectly merging BCMA MED LOGS
 
Problem:
    • 415b
      DATE APPLIED:   2021-06-17 00:00:00
      DESCRIPTION:   
      Backup of PSJ*5.0*415 on Jun 17, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.
    • 415 SEQ #357
      DATE APPLIED:   2021-06-17 09:15:36
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will address the following INPATIENT MEDICATIONS issues:
 
 1) INC16500339 - PADE WILDCARD CLINIC NAME SEARCH ISSUE
 2) INC16774550 - PADE ON HAND QTY NOT DISPLAYING
    • 414b
      DATE APPLIED:   2021-06-23 00:00:00
      DESCRIPTION:   
      Backup of PSJ*5.0*414 on Jun 23, 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.
    • 414 SEQ #358
      DATE APPLIED:   2021-06-23 11:33:22
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses the following issue:
 
Order status mismatch between CPRS and Inpatient Order Entry (PSJ OE)
after order verified
    • 364b
      DATE APPLIED:   2021-07-13 00:00:00
      DESCRIPTION:   
      Backup of PSJ*5.0*364 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.
    • 364 SEQ #359
      DATE APPLIED:   2021-07-13 09:23:41
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
under PSJ*5.0*364.
    • 418b
      DATE APPLIED:   2021-07-16 00:00:00
      DESCRIPTION:   
      Backup of PSJ*5.0*418 on Jul 16, 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.
    • 418 SEQ #360
      DATE APPLIED:   2021-07-16 08:55:43
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issue:
  
Problem: 
-------
The Togus VA Medical Center reported a problem with the Activity Log after
editing the Stop Date/Time on an IV order using the Inpatient Order Entry [PSJ
OE] option. After they edited the Stop Date/Time field if correctly created a
new order, however the Activity log for the original/discontinued order showed
a 'Changed From' value equal to the new Stop Date/Time entered by the user
instead of the original Stop Date/Time before the order was edited. Below is a
capture of the Activity Log display showing the problem:
  
 
  ...
  #  MMM DD,YYYY HH:MM:SS EDIT                      USER,NAME
     Comment: Order discontinued due to edit
 
            Field: 'STOP DATE/TIME'
     Changed from: 'MMM DD,YYYY HH:MM'     <<< New Stop Date/Time (wrong)
               To: 'MMM DD,YYYY HH:MM'     <<< Current Date/Time (correct)
  ...
 
1) INC16771491 - Activity Log shows wrong 'Changed from' value when Stop
Resolution:
----------
After a few tests it was identified that the software was indeed using the
wrong value for the Stop Date/Time when recording the 'Changed From' value in
the Activity log of the original/discontinued order when the Stop Date/Time
was edited by the user. A change was made to use the original Stop Date/Time
value from the orignial order instead of using the new Stop Date/Time entered
by the user for the new order.
  
Technical Resolution:
                 Date/Time field is edited and Order is DC'd
--------------------
The Activity Log entry is recorded by the code in STOP^PSIVORAL. It used the
value in the P(3) array variable to compare against the value in the order to
identify whether the field had been changed or not and also used this value to
record the 'Changed from' value in case it determines it was changed. The
problem happened because the value in the P(3) array variable contained the
Stop Date/Time value for the new order and not the original value (before the
user edited). The code was changed to use the value from the ORIGINAL STOP
DATE field (#116) in the IV sub-file (#55.01) in the PHARMACY PATIENT file
(#55) for DC'd orders as the 'Changed From' value instead of the value in the
  
P(3) array variable.
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC16771491 - Activity Log shows wrong 'Changed From' value when Stop
                 Date/Time field is edited and Order is DC'd
    • 417b
      DATE APPLIED:   2021-08-12 00:00:00
      DESCRIPTION:   
      Backup of PSJ*5.0*417 on Aug 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.
    • 36 SEQ #36
      DATE APPLIED:   2000-03-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Y2K Waiver Exemption ID#:  Y2KWE0026
and IV multiples.  In order for this patch to function as intended the
site will need to load the Kernel Toolkit patch XT*7.3*45.
     
 
 
 
********************************NOTE**************************************
Without the Kernel Toolkit patch XT*7.3*45 nothing will be done to clear
up these data exceptions in the PHARMACY PATIENT file (#55) specifically
the Unit Dose and IV multiples.
==>  This patch may be installed during the Y2K Moratorium.
**************************************************************************
 
 This patch addresses unique issues involved in the patient merge
process.  Some sites were unable to merge duplicate patients due to data
exceptions.  This patch provides the patient merge software with an API to
call before the package begins it data validation of the FROM and TO
records of the duplicate patients to clear up some of these data
exceptions in the PHARMACY PATIENT file (#55) specifically the Unit Dose
    • 417 SEQ #361
      DATE APPLIED:   2021-08-12 14:25:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Defect Tracking System Ticket(s) & Overview:
   The function to specify number of doses in the stop date field is   
   Calculating incorrect; it is one dose short. 
 
   When entering a dose limit for an outpatient unit dose clinic 
   medication,  the stop date calculated is at the date/time of the last
   dose to be administered.  That last dose cannot be administered at the
   time the order is defined to stop.  The stop date/time should be
   calculated to be after the last dose to be administered.
   
   Resolution:
===========================================
   ----------
   Modify routines PSGDL & PSJORP2 so that the date/time of the first 
   dose is used to determine the stop date/time using the dose limit 
   entered.  Prior to this patch the outpatient clinic order was using 
   the current time to calculate the dose limit entered to get the stop 
   date/time which would come up with one dose less than the dose limit 
   entered.  This patch makes the outpatient dose limit function the 
   same as for an inpatient clinic med is entered when the INPATIENT 
   WARD PARAMETERS (File #59.6) field DEFAULT START DATE CALCULATION 
   is set to 2.  With this patch inpatient clinic meds will calculate 
 
   out the to the correct dose limit entered regardless of the DEFAULT 
   START DATE CALCULATION parameter value.
1.      INC17067067 VISTA Inpatient Pharmacy error with clinic orders and 
stop dates
 
   Problem:
   -------
   The issue is seen with "outpatients" and unit dose clinic medications.
    • 419b
      DATE APPLIED:   2021-08-23 00:00:00
      DESCRIPTION:   
      Backup of PSJ*5.0*419 on Aug 23, 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.
    • 419 SEQ #362
      DATE APPLIED:   2021-08-23 13:21:53
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues:
                 Medication Administration (PSB)
   Duplicate:
   -----------
   INC17559434 - IV bolus orders showing verified in CPRS but not BCMA
 
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC11926924 - MAD: PSJ*#*### not resolve: order appeared verified by nurse
                 in BCMA but CPRS it was found not to be.     
Problem: 
  
-------
The William S. Middleton Memorial Veterans Medical Center  Affairs Hospital 
reported that the BCMA nurse verification information was not being properly
reset (removed) after the field DISPENSE DRUG was edited by Inpatient Pharmacy
users through the Inpatient Order Entry [PSJ OE] option. In CPRS the nurse
verification is correctly being reset (removed) after any of the Dispense Drug
field is modified. There was an expectation from the site that PSJ*5*397 would
address this problem, however that patch addressed only edits to the SPECIAL
INSTRUCTIONS field, not the DISPENSE DRUG field. This issue is also being
considered a Patient Safety Issue (PSI) and the number assigned by the Patient
1) INC11926924 - MAD: PSJ*#*### not resolve: order appeared verified by nurse
Safety team is HITPS-7361.
     
Resolution:
----------
Every time an order update is received from CPRS by Inpatient Pharmacy the
Nurse Verification information (if any) will be invalidated/removed before
updating the incoming data from CPRS. In case CPRS sends new Nurse Verification
information with the order the information will be updated in Pharmacy order 
files, which will be reflected in the BCMA application. Depending on how the 
site BCMA parameters is set it will require a re-verification of the order in
   HITPS-7361    in BCMA but CPRS it was found not to be.
CPRS before it can be administered through the BCMA application.
  
Technical Resolution:
--------------------
Changed the routine PSJHL4 at line tag ORC+6 and included code to delete/remove
the nurse verification information from the PHARMACY PATIENT file (#55) every
time an update is received from CPRS. Also, the changes introduced in the
routine PSJBCMA2 by PSJ*5*397 to address the incident INC6231181 (HITPS-6742)
have been removed because this new change will better address that issue as
well. A global hard-setting approach was used to avoid some updates from
  
occurring through Mumps trigger cross-references.
  
2) INC12777528 - BCMA shows medication as not nurse verified, CPRS shows it as
                 verified   
Problem: 
-------
The Minneapolis VA Health Care System reported that a medication order shows
as requiring nurse verification in BCMA while CPRS shows the order have been
nurse verified. After some research it was determined that the BCMA and CPRS
were out of sync regarding the nurse verification due to a hard error <SYNTAX>
2) INC12777528 - BCMA shows medication as not nurse verified, CPRS shows it as
that happened when the Special Instructions field is edited for a complex
order and a semi-colon character (;) was included in the instructions.
 
Resolution:
----------
The code was changed to prevent the hard error <SYNTAX> whenever the user
includes a semi-colon (;) in the Special Instructions field for complex 
orders.
  
Technical Resolution:
                 verified   
--------------------
Changed the routine PSGOEE at line tag UPD+23 to perform a direct global set
for the content of the SPECIAL INSTRUCTIONS file (#8) in the UNIT DOSE sub-
file (#55.06) in the PHARMACY PATIENT file (#55) instead of using the Fileman
DIE API. This code is used to copy the Special Instructions field content
from one order to the other orders after edits in the case of complex orders.
  
3) INC17553085 - Error in MIN VistA: RPC+##^PSBCHKIV *PSBIVCHG BarCode
                 Medication Administration (PSB)
Problem: 
 
-------
Both test sites for PSJ*5*409 (Minneapolis and Madison) reported a hard error
after the patch was released. It was confirmed the error was a direct side
effect of the changes in PSJ*5*409 and that's the reason that patch was
recalled (marked ENTERED IN ERROR on FORUM). It created some incomplete 
Activity Log records in the IV ORDER multiple (#55.01) of the PHARMACY 
PATINT file (#55) and that's what caused the error. 
 
Resolution:
----------
3) INC17553085 - Error in MIN VistA: RPC+##^PSBCHKIV *PSBIVCHG BarCode
The code in the routine PSJHL4 added by PSJ*4*409 was changed from using
Fileman ^DIE API call to doing a direct (hard-setting) global setting which
prevents some Mumps cross-references from setting the corrupt entries in the
IV Activity Log.
   
Technical Resolution:
--------------------
The code in the line tag ORC+6 was changed from using a ^DIE call to 
performing direct sets to remove the nurse verification for the order.
    • 421 SEQ #363
      DATE APPLIED:   2021-10-06 17:33:38
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issue:
 
Problem: 
--------
The West Haven VA Medical Center reported that whenever they tried to finish
an Intravenous (IV) clinic order for an patient not admitted (outpatient)
using the Inpatient Order Entry [PSJ OE] option it did not warn the user that
the clinic for the order is not setup for BCMA (shown below). For a Unit Dose
(UD) clinic order the option properly displayed the warning below:
 
   Clinic CHY AQUATIC EXERCISE is not defined in the CLINIC DEFINITION
  
   (#53.46) file.
 
   This order will NOT display in BCMA, unless the clinic is defined in the
   CLINIC DEFINITION (#53.46) file, and the SEND TO BCMA (#3) field is set
   to YES.
 
   Please contact your Pharmacy ADPAC.
   
   Note: This issue is also being considered a Patient Safety Issue (PSI) and
         the number assigned by the Patient Safety team is HITPS-8005.
1) INC18070852 - Clinic Not Setup for BCMA Issue not firing for IV orders
 
Resolution:
----------
It was confirmed that the warning only displayed for UD clinic orders and not
for IV clinic orders. The code was changed to also perform the check for IV
clinic orders during finish and it will now display the message above when
necessary.
   
Technical Resolution:
--------------------
   HITPS-8005                    
The ENTRY ACTION field for the protocol PSJI LM FINISH did not contain a call
to the API CWARN^PSJBCMA6 responsible for performing the check mentioned
above. The ENTRY ACTION field was modified the following way:
 
 Before:
 -------
 S PSJINFIN=1 K ^TMP("PSJINTER",$J) D OVRDISF^PSGSICH2($G(DFN),$G(PSJORD),2)
 D FINISH^PSJLIFN D SETIVINT^PSGSICH1
 
 After:
 
 ------
 S PSJINFIN=1 K ^TMP("PSJINTER",$J) D CWARN^PSJBCMA6($G(DFN),$G(PSJORD)),
 OVRDISF^PSGSICH2($G(DFN),$G(PSJORD),2) D FINISH^PSJLIFN D SETIVINT^PSGSICH1
 
Patient Safety Issues (PSIs):
-----------------------------
HITPS-8005
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC18070852 - Clinic Not Setup for BCMA Issue not firing for IV orders
    HITPS-8005
    • 425 SEQ #364
      DATE APPLIED:   2021-10-28 09:10:44
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
under PSJ*5.0*425.
    • 416 SEQ #365
      DATE APPLIED:   2021-11-01 10:03:07
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
INC1167333 Issue with Editing/Coping Other Print Info (field 11) of the 
Complex Order in PSJ OE
    • 420 SEQ #366
      DATE APPLIED:   2021-12-01 15:55:09
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will resolve the following issues:
1) INC17689657 - Schedule of SUPPER looks correct in Vista, but the HL7
  ===========================================================================
  This patient is already receiving the following INPATIENT and/or OUTPATIENT
  order(s) for a drug in the same therapeutic class(es) as WARFARIN 2MG TAB
  U/D: 
 
           Clinic Order: WARFARIN TAB (PENDING)
               Schedule: BID
                 Dosage: 7MG
   Requested Start Date: JUN 05, 2021@09:00
              Stop Date: ********
   HITPS-7946    message for medication order is for Sundays only instead
 
  Class(es) Involved in Therapeutic Duplication(s): Oral Anticoagulants,
     Antiplatelet Drugs-excluding ASA 325 mg and below, Antiplatelet
     and Antithrombotic Drugs (Selected Group 2) 
  ===========================================================================
  ...
   
Technical Resolution:
--------------------
Created a local API called $$CLNORDDN in the routine PSJCLNOC to return the
                 of daily
drug name for a pending clinic order. If the clinic order has a selected 
dispense drug selected the name for the dispense drug will be returned by the
API, if not, the API will retrieve the orderable item name and dosage form
and will concatenate them and return as the name to be used for drug-drug or
duplicate order check messages. Then changed code in DISP2+13 to use this API
for displaying the clinic order drug name.
 
Patient Safety Issues (PSIs):
-----------------------------
HITPS-7946 (INC17689657)
Problem: 
--------
The WM Jennings Bryan Dorn VA Medical Center reported that whenever they 
entered an inpatient order with the schedule SUPPER it looked and behaved
correctly in VistA, however the HL7 message sent to PADE contained the wrong
value for the 8th (~) field in the RXE segment which is used for 'Day-of-Week'
schedules. Each digit represents one day of the week starting with Sunday thru
  
Saturday. The code wrongly interpreted SUPPER as SU (short for Sunday) and
set the first digit to 1 which was interpreted by the automated dispensing
cabinets as once every Sunday. This issue is also being considered a Patient
Safety Issue (PSI) and the number assigned by the Patient Safety team is
HITPS-7946.
 
  ...
  ORC|NW|100034|27U||CM||||202105280839|520824666~TEST~OUTPAT~F|520824666~TESO
  RXE|240~SUPPER&1900~~2021052808~20210627180~~0~10000000|841~DOCUSATE CA 240M
  RXR|PO~ORAL~99PSR
1) INC17689657 - Schedule of SUPPER looks correct in Vista, but the HL7
  ...
  
Resolution:
----------
Patch PSO*7*405 addressed a similar issues for schedules WEEKLY and MONTHLY,
which were both interpreted as WE (Wed) and MO (Monday). Instead of fixing
just specific instances of samples that can create the problem the solution
will not try to translate any other schedule that does not match one of the
following: SU, MO, TU, WE, TH, FR and SA. In addition, it will require for
all schedules separated by dashes (e.g., MO-WE-FR) that all pieces match one
   HITPS-7946    message for medication order is for Sundays only instead
of the week days abbreviation. If this condition is not met, the software will
send all zeros (00000000) to PADE for the order.
  
Technical Resolution:
--------------------
The logic for the $$DOWSTR API in the routine PSJPDCLV was completely
re-written to exclude any schedule as day-of-week schedule unless all the
dash (-) pieces in the schedule match one of the seven days abbreviation: SU,
MO, TU, WE, TH, FR and SA. If any value is different than one of these 
abbreviations the processing stops and 00000000 is returned.
                 of daily
   
2) INC17223279 - clinic order allergy alert choosing dispense drug
 
Problem: 
-------
The Martinez VA Medical Center reported that When finishing a clinic order
without a chosen dispense drug the duplicate drug alert is randomly selecting
a dispense drug associated with the Orderable Item and displaying it as the
dispensed drug associated with the pending order, which is incorrect. In other 
words, when you have a pending clinic order without a dispense drug selected
2) INC17223279 - clinic order allergy alert choosing dispense drug
and you try to finish or enter a new order through the Inpatient Order Entry
[PSJ OE] option or that will cause a duplicate order check or a drug-drug
order check the drug name displayed for the pending clinic order is misleading
because it arbitrarily selects one of the drugs associated with the Orderable
Item on the order (apparently the last one) and displays it as the actual drug
for the clinic order. In the example below, when the user tried to enter or
finish an order for WARFARIN 2MG TAB the pending clinic order in the duplicate
drug check below shows the dispense drug WARFARIN 7.5MG TAB U/D, however the
pending clinic order does not have any dispense drug selected.
  ...
  
  Now Processing Enhanced Order Checks! Please wait...
 
  Press Return to continue...
  ===========================================================================
  This patient is already receiving the following INPATIENT and/or OUTPATIENT
  order(s) for a drug in the same therapeutic class(es) as WARFARIN 2MG TAB
  U/D: 
 
           Clinic Order: WARFARIN 7.5MG TAB U/D (PENDING)
               Schedule: BID
Defect Tracking System Ticket(s) & Overview:
                 Dosage: 7MG
   Requested Start Date: JUN 05, 2021@09:00
              Stop Date: ********
 
  Class(es) Involved in Therapeutic Duplication(s): Oral Anticoagulants,
     Antiplatelet Drugs-excluding ASA 325 mg and below, Antiplatelet
     and Antithrombotic Drugs (Selected Group 2) 
  ===========================================================================
  ...
 
--------------------------------------------
Resolution:
----------
The displaying of a pending clinic order was changed to display only the 
Orderable Item name and its dosage form when the order does not have a
dispense drug selected. Below is how the same duplicate order check above
will display after the patch is installed:
  ...
  Now Processing Enhanced Order Checks! Please wait...
 
  Press Return to continue...
    • 422 SEQ #367
      DATE APPLIED:   2022-01-05 12:12:06
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Description:
                 inpatient medication order queue
                 (Non-Verified/Pending Orders)
         INC17772912 (Duplicate) - delays with Pending Inpatient Orders 
2. INC17835358 - Non-verified/pending orders summary not accurate
3. INC17835358 - Clinic Meds are not being counted under Clinic 
                      location
============
 
This patch addresses the following issues:
 
Associated ticket(s):
=====================
 
1. INC15531625 - Pharmacy Package Delay in pulling up the pending
    • 427 SEQ #368
      DATE APPLIED:   2022-06-01 14:10:42
      APPLIED BY:   USER,EIGHTYSIX
      DESCRIPTION:   
      This patch addresses the following issue:
 
Associated NSR(s):
==================
N/A
 
Participating Test Sites:
=========================
TBD
 
Patient Safety Issues (PSIs):
 
=============================
HITPS-8027
 
 
Defect Tracking System Ticket(s) & Overview:
===========================================
 
1.      Patch Medication Renewal Issue
 
   Problem:
1. Patch Medication Renewal Issue
   -------
Inpatient patch medication renewals display an incorrect administration 
time. When renewing an order in CPRS that has a schedule to give every x 
number of days, the expected first dose may display the incorrect date.  
The issue is seen when renewing in CPRS and when processing the order in 
Inpatient Order Entry, the user selects to edit the Admin Time before 
accepting it. 
 
 
   Resolution:
 
   ----------
The problem is that the start date of the original order doesn't exist 
during pharmacy processing.  This is due to the original start in the 
NON-VERIFIED ORDERS file #53.1 not being filed correctly when renewing in 
CPRS.  The order is finished correctly with appropriate start and stop 
dates and the only issue appears to be that the expected first dose 
displays with a wrong date.  The issue is also only seen when renewing 
the order at a time of day prior to the admin time.  The correction is to 
modify routine PSJHL7 so that the original start date and stop time is 
filed to the NON-VERIFIED ORDERS file #53.1.  Previous to this patch the 
Associated ticket(s):
START DATE/TIME & STOP DATE/TIME were set to null by RENEW^PSJHL7.
 
 
   Technical Resolution:
   ---------------------
Code changes to PSJHL7:
   - Added newing of PSGNESD & PSGNEFD at RENEW+1
   - Set PSGNESD to $P(ND2,U,2) and PSGNEFD=$P(ND2,U,4) at RENEW+6
   - Removed setting PSGNESD & PSGNEFD to null at RENEW+12
=====================
 
1.      INC18413351 - Patch Medication Renewal Issue
    • 432 SEQ #369
      DATE APPLIED:   2022-06-27 14:32:37
      APPLIED BY:   USER,EIGHTYSIX
    • 37 SEQ #37
      DATE APPLIED:   2000-03-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
fluid order.   "ADMIXTURE" will be the default IV TYPE.  E3R #11576.
 
3. The "*" sometime displayed next to the Start and Stop dates even
though no new order is created.  This patch will correct this problem.
 
4. For IV orders entered with schedules like QOD, Q48H and Q72H, labels
were being printing daily when scheduled labels were run.  The frequency
of the printing of the labels should reflect the schedule entered.  This
patch corrects this problem.  NOIS REN-1199-61217.
 
1. A problem was reported where a site admitted a patient and the patient
5. A problem was reported where a pharmacist edited the rate on an IV
order and when the changed order was viewed in Computerized Patient Record
System (CPRS) the rate would show without the ml/hr.  CPRS will issue a
patch to begin picking up the ml/hr from the messages sent by
pharmacy.  This patch makes changes to the rate validation entry point
ORINF^PSIVSP Inpatient Medications provides to CPRS to help resolve this
issue and to allow the infusion rate with the ml/hr to pass the validation
checks in this entry point for orders that may be renewed or changed
through CPRS.  NOIS WIC-0199-40011.
 
didn't show up and was discharged.  The patient later showed up and was
6. A problem was reported where a site needed to enter a number greater
than 99 at the "Pre-Exchange DOSES:" prompt.  This patch will increase the
allowable number to 9999.  NOIS REN-1299-62274.
admitted to the hospital.  When Medical Administration Service (MAS) later
reviewed the record and deleted the first admission Inpatient Medication
orders placed for the second admission were auto dc'd.  This patch will
correct this problem. NOIS SLC-1199-51222.
 
2. With this patch, the IV TYPE will be prompted when finishing an IV
    • 434 SEQ #370
      DATE APPLIED:   2022-07-28 11:59:52
      APPLIED BY:   USER,EIGHTYSIX
      DESCRIPTION:   
      Description:
 
Patient Safety Issues (PSIs):
-----------------------------
N/A
 
 
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC21365566 - Issue with the quit command (i.e. up carat "^")
                 not working as expected in Backdoor Pharmacy
===========
                 PSJ OE for IV order.
 
Problem 1: 
---------
It was discovered when entering an IV order in Backdoor Pharmacy in
PSJ OE, some of the prompts are not working as expected when the user
tries to quit using the up carat "^". There are 3 prompts that have been
identified as not working as expected when the user tries to quit. All
other prompts are working as expected when the user quits, which is to
return the user to the "Select IV TYPE:" prompt. The 3 prompts that are
 
not working as expected when the user tries to quit using the up carat
"^", occur immediately after the "REMARKS:" prompt. 
See below:
 
 
    ***************************** WARNING *******************************
    **            If OTHER PRINT INFO exceeds 60 characters,           **
    **  'Instructions too long. See Order View or BCMA for full text.' **
    **      will print on the IV label instead of the full text.       **
    *********************************************************************
 
 
 
 
Type <Enter> to continue or '^' to exit:   ("^" does not work)
 
OTHER PRINT INFO:
  Edit? NO//   ("^" does not work)
 
 
 
This patch will resolve the following issue:
     Select one of the following:
 
          Y         Yes
          N         No
 
Flag the Other Print Info (Yes/No):   ("^" does not work)
 
 
Resolution 1:
------------
  
It was discovered that the logic for these prompts did not contain the
check to see if the user entered the up carat "^" to quit. Two routines
required modifications; PSJBCMA5 and PSJUTL:
 
PSJBCMA5 in the EDITOPI+5 and EDITOPI+7 tag was modified to check for the 
quit. PSJUTL in the ENBCMA+5 tag was modified to check for the quit.
1) INC21365566 - Issue with the quit command (i.e. up carat "^")
                 not working as expected in Backdoor Pharmacy
                 PSJ OE for IV order.
    • 431 SEQ #371
      DATE APPLIED:   2022-09-19 15:57:49
      APPLIED BY:   USER,NINETY
      DESCRIPTION:   
      This patch addresses the following issue:
 
During patient merge, if the "TO" entry in the PHARMACY PATIENT (#55) 
file has no prior intravenous (IV) or unit dose (UD) orders, the "zero" 
node for each will be built without the sub-file number.
    • 399
      DATE APPLIED:   2022-10-05 14:55:08
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      The Computerized Patient Record System (CPRS) Graphical User Interface 
For a complete listing of patches included in this release, please refer 
to the CPRS GUI v32 Release Notes.
(GUI) v32 is an enhancement release. This patch (PSJ*5*399) is a part of
that enhancement release.
 
This patch provides the needed functionalities to support the following 
NSR:
 
20100101: Indication on all Prescriptions and Medication Orders
    • 435 SEQ #373
      DATE APPLIED:   2022-10-25 13:58:58
      APPLIED BY:   USER,NINETY
      DESCRIPTION:   
      This patch addresses the following issue:
 
Comments do not display in the delimited format of the PADE
Transaction Report.
    • 430 SEQ #374
      DATE APPLIED:   2023-01-18 16:12:24
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      1. INC20912180 - COPYING IV ORDER AND ADJUSTING START/STOP DELETES 
 
 
   Resolution:
   ----------
Editing the start or stop date drops processing logic into DEL55^PSIVORE2
and deletes the order stub from the Pharmacy Patient file (#55).  The
'order deleted' message is conditionally filtered out from displaying if
this is a stubbed record so the first time the start or stop date is
edited no message is displayed.  Editing the start or stop date again
fails to determine that the message should not be displayed.  
                 THE ORDER
 
The delete message should not be displayed during this copy process.  
 
The logic in DEL55^PSIVORE2 is modified to quit out when there is no 
stub, this occurs after the stub has already been deleted by a previous 
edit to the start or stop date.  This prevents any delete messages from 
displaying while copying an order.  Without this conditional quit the 
only thing that occurred was the delete message, no other process took 
place.
 
 
 
   Technical Resolution:
   ---------------------
The following line of code is added at DEL55+2^PSIVORE2 
I $D(^PS(55,DFN,"IV",+ON55,0))=0 Q 
   Problem:
   -------
When copying an IV order and editing the stop date, the message 'Order 
deleted.' can be displayed and once the stop date is edited, the message 
...copying......Order deleted. is displayed at the end of Accepting the 
order.  It makes it seem like the order has been deleted but it is not.
    • 426 SEQ #375
      DATE APPLIED:   2023-02-01 16:04:06
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      This patch will resolve the following issues:
                 pharmacy.
The lines DRUGERR+8 and DRUGERR+18 were modified to remove the condition that
the position had to be at the bottom of the screen for the [Press Return to
continue...] prompt to be displayed. The command to wipe off the screen was 
also removed at both lines. Furthermore, the line tag PAUSE^PSJLMUT1 was 
modified to remove the setting of the DIR("?") because it was causing the
"Press Return to continue..." to display 3 times after the user typed
anything different than <RET> or "^".
  
3) INC23152064 - MOCHA alert scrolled off the screen when a med with no
                 GCNSEQNO
 
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC20355923-HITP-8866 - Medication order activated by pharmacy and
   verified by nursing, but not able to give in BCMA as it is acting like
   it isn't after Renewal Complex Order
  
   
   INC22900561(d)-HITPS-8861
 
Problem:
--------
The Togus VA Medical Center reported that nurse verification was reset in BCMA
after the order expired. It was confirmed that once an inpatient order expired
the software was removing the BCMA verification information while in CPRS the
order remained verified.
 
1) INC20355923-HITP-8866 - Medication order activated by pharmacy and
Resolution:
----------
The software was changed to not remove the nurse verification in BCMA when the
order is expired.
 
Technical Resolution:
--------------------
The line of code at ORC+8^PSJHL4 was modified to avoid resetting the Nurse
Verification information when a expiration messages (PSOC="SS") is received
from CPRS. In addition, a new API was created in PSJUTL3 called DELNV to 
   verified by nursing, but not able to give in BCMA as it is acting like
remove the BCMA Nurse verification because it was used to address the issue
below.
   
2) INC20555433 - Pharmacy Hold not setting Nurse Verify when ON/OFF action in
                 pharmacy.
 
Problem:
--------
It was reported that nurse verification was reset in CPRS when an order is
placed or removed from hold through the Inpatient Pharmacy application
   it isn't after Renewal Complex Order
while in BCMA the order remains nurse verified.
 
Resolution:
----------
The software was changed to remove the nurse verification in BCMA when the
order is placed or removed from Hold.
 
Technical Resolution:
--------------------
Included code at HOK+7^PSGOEH1 and HOK+11^PSGOEH0 (for Unit Dose orders), and
 
HOLD+4^PSIVOE (for IV orders) to remove the BCMA Nurse verification (call to
DELNV^PSJUTL3) when an order is placed or removed from hold.
  
3) INC23152064 - MOCHA alert scrolled off the screen when a med with no
                 GCNSEQNO
 
Problem:
--------
Rocky Mountain Regional VA Medical Center reported that sometimes the Order
Checks alerts (example below) displayed on the screen does not present a
   INC22900561(d)-HITPS-8861
prompt for the user to hit <RET> continue, for example, after reading the
alert. Instead, it hangs for 2 seconds and disappears from the screen, which
requires the user to scroll up on the terminal emulator in order to view
the error message. It was observed by the reporting user that this happened
when the dispense drug was matched to an NDF VA Product without and GCNSEQNO
field with no value.
 
  Order Check Message Example:
  ---------------------------
  Order Checks could not be done for Drug: FERROUS BISGLYCINATE 90MG CAP,ORAL,
 
  please complete a manual check for Drug Interactions, Duplicate Therapy and
  appropriate Dosing.  
 
Resolution:
----------
The software was written to only pause when the display of the alert message
above would display at the bottom of the screen. A change was made to always
pause (as shown below) after the message above is displayed independently
where in the screen the message is displayed. T
 
2) INC20555433 - Pharmacy Hold not setting Nurse Verify when ON/OFF action in
  Order Check Message Example:
  ---------------------------
  Order Checks could not be done for Drug: FERROUS BISGLYCINATE 90MG CAP,ORAL,
  please complete a manual check for Drug Interactions, Duplicate Therapy and
  appropriate Dosing.  
 
  Press Return to continue...
 
Technical Resolution:
--------------------
    • 437 SEQ #376
      DATE APPLIED:   2023-02-28 12:07:02
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      1. CLINIC MEDICATIONS ORDER SENT TO IV PACKAGE
Associated NSR(s):
==================
N/A
 
Participating Test Sites:
=========================
TBD
 
Patient Safety Issues (PSIs):
=============================
 
 
 
Defect Tracking System Ticket(s) & Overview:
===========================================
 
1. INC22909170 - Order placed in an outpatient clinic location sent 
                 erroneously to IV medications package 
 
   Problem:
   -------
Associated ticket(s):
   A complex Clinic Medications order using an IV medication is entered in
   CPRS and finished and accepted in Inpatient Order Entry.  The orders
   are now flagged as inpatient Infusion orders instead of Clinic Infusion
   orders. After accepting the second part of the complex order the Visit
   Location is missing in Vista, the finished orders are now in the IV 
   Package, the orders no longer appear under the Clinic location on the 
   profile and Visit File #100 now shows the Orders with DIALOG PSJI OR
   PAT FLUID OE.  The issue was found to be due to the APPOINTMENT
   DATE/TIME field (#139) of the IV multiple (#55.01) in the PHARMACY
   PATIENT file  (#55).  This appears to only be an issue with complex
=====================
   clinic medication orders for an IV medication.  Noncomplex clinic
   medication orders for an IV medication does have the field populated
   and correctly displays as a Clinic Infusion in CPRS and on the
   Inpatient Medication profile under the Clinic.
 
 
   Resolution:
   ----------
   Routine PSJCOMV is modified to populate the APPOINTMENT DATE/TIME field
   (#139) of the IV multiple (#55.01) in the PHARMACY PATIENT file (#55). 
 
 
 
 
 
   Technical Resolution:
   ---------------------
   The following code is added at line IV+8^PSJCOMV:
 
   S:+$G(P("APPT")) $P(^TMP("PSJCOM",$J,+ON,"DSS"),U,2)=P("APPT")
 
1. INC22909170 - Order placed in an outpatient clinic location sent 
   This will populate the DSS node piece 2 of the ^TMP "PSJCOM" global 
   that will end up in the APPOINTMENT DATE/TIME field (#139) of the IV
   multiple (#55.01) in the PHARMACY PATIENT file (#55) and in variable
   ORAPPT where it is used (in routine IV^ORMPS1) to determine the DIALOG
   for the order.
   erroneously to IV medications package
    • 429 SEQ #377
      DATE APPLIED:   2023-02-28 12:40:52
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      INC21176679: Error in complex orders related to Self-Med edit field (7)
    • 407 SEQ #378
      DATE APPLIED:   2023-03-23 12:20:19
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      INC11595511 - Unauthorized Access to IV Room File (#59.5)
---------------------------------------------------------
If the Coverage Timing for any IV Type (Admixtures, Chemotherapy, 
Hyperal, Piggyback or Syringe) in the IV Room file (#59.5) and a user is 
using that IV Room in backdoor pharmacy-related functionality, they may 
be warned "Manufacturing Time(s) missing for 'IV type'" and then asked 
"Would you like to edit this IV room?". If user answers "yes", they are 
allowed to edit/update that IV Room without the requirement for the PSJI 
MGR security key. See the Patch Description on FORUM for more details.
    • 433 SEQ #379
      DATE APPLIED:   2023-04-14 11:34:01
      APPLIED BY:   USER,NINETY
      DESCRIPTION:   
      Defect Tracking System Ticket(s) & Overview:
processing it in Inpatient Pharmacy and editing the STOP DATE before 
accepting any order in the complex set of orders, the STOP DATE does not 
get updated in CPRS.  The problem is that an HL7 message is not sent to 
CPRS after the STOP DATE is filed into PHARMACY PATIENT file #55.  
Several lines after an HL7 message is sent to CPRS from routine PSJOEA1, 
there is a call to UPDREN^PSGOER made where the following fields can be 
updated in file #55; VERIFYING NURSE (#16), DATE VERIFIED BY NURSE (#17), 
STATUS (#28), STOP DATE/TIME (#34), ADMIN TIMES (#41), FOLLOWING ORDER 
(#105), REASON FOR FOLLOWING ORDER (#107), ORDERABLE ITEM (#108), and sub 
record LAST RENEW [55.6114DA].  After UPDREN^PSGOER completes, another 
===========================================
call to send updates via HL7 message to CPRS does not occur.  Any of 
these fields that are needed in CPRS may not be up to date in the ORDER 
file (#100), most notably fields STATUS (#5) and STOP DATE (#22)
 
 
   Resolution:
   ----------
A new call to send an HL7 message to CPRS is added after UPDREN^PSGOER 
completes.  This allows all the data in PHARMACY PATIENT file (#55) to be 
updated when this HL7 message is sent for the current order.
 
 
 
   Technical Resolution:
   ---------------------
In routine PSJOEA1, the call to routine UNL^PSSLOCK that unlocks the 
ORDER file (#100) is moved from after the HL7 message is sent at line 
CHK+30
 ....D EN1^PSJHL2(DFN,"SC",PSGORDR) ;,UNL^PSSLOCK(DFN,PSGORDR) move below 
p433
This is necessary so that the call to EN1^PSJHL2 at line CHK+38^PSJOEA1 
1. INC21776729 - Complex order renewal Stop Date not matching 
will have the ORDER file (#100) locked after UPDREN^PSGOER is called at 
line CHK+37^PSJOEA1
 ...D 
UPDREN^PSGOER(DA,$P(ND14,U),$P(ND14,U,3),$P(ND14,U,4),$P($G(^PS(53.1,+PSJO
,.2)),U,3),$P(ND14,U,2))
 ...D EN1^PSJHL2(DFN,"SC",PSGORDR) ;p433
The unlock of the ORDER file (#100) is now at line CHK+42^PSJOEA1
 .. D UNL^PSSLOCK(DFN,PSGORDR) ;Move unlock to here p433
                 between CPRS and Inpatient Pharmacy
 
   Problem:
   -------
When renewing a complex order with the AND conjunction in CPRS and
    • 39 SEQ #38
      DATE APPLIED:   2000-04-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  A site without 24-hour pharmacy coverage entered an E3R requesting
TUA-0999-32647.
 
2.  In the Non-Verified/Pending Orders [PSJU VBW] option, the order was
not locked correctly if the user chose "NO Profile" at the "SHORT, LONG,
or NO Profile?  SHORT//" prompt.  This patch will correct this problem.
 
3.  Within the LBL Label Print/Reprint hidden action, if the user selected
the ILIV Individual Labels (IV) option, a new order may be entered.  This
patch will prevent any new orders from being entered from the hidden menu.
 
that Inpatient Medications allow users holding the PSJ RNURSE key be
4.  When a pending order had a schedule of "ONE TIME", "ONE-TIME", "ONCE"
or "STAT", the Schedule Type is not defaulted to "ONE TIME".  This patch
will set the Schedule Type to "ONE TIME" for these types of schedule. NOIS
HUN-1199-20125. 
 
5.  A site reported receiving an undefined error when the pharmacist
finishing a Unit Dose order had the PSJ RNURSE, PSJ RNFINSH keys as well
as the regular pharmacist keys and auto verify turned on. This patch
corrects this problem.  NOIS AMA-0200-72006.
allowed to finish and verify orders placed through Computerized Patient
Record System (CPRS).  This would put the orders in an active status, so
they would be available to the Bar Code Med Admin (BCMA) software.  The
E3R# is 11620. With the installation of this patch, users who hold the PSJ
RNFINSH key will have the option to finish and verify orders placed
through CPRS. It was decided by the workgroup that a new key should be
created to control this additional functionality.  E3R# 11620, and NOIS
    • 439 SEQ #380
      DATE APPLIED:   2023-05-09 17:33:06
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      INC25661636 - Certain IV orders not displaying correctly in CPRS and VistA
--------------------------------------------------------------------------
When a continuous IV order is entered in CPRS with a free text infusion
rate that has a decimal with or without a preceding 0, the system thinks
that this is a numeric infusion rate for some reason and adds the "ml/hr"
suffix. This causes issues when we're also trying to designate the number
of labels to print with the "@" sign because it does not recognize this in
pharmacy finishing and removes the "@" along with the number that follows.
See the Patch Description on FORUM for more details.
    • 438 SEQ #381
      DATE APPLIED:   2023-06-27 14:11:40
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      This patch will resolve the following issue:
 
The VistA PADE HL7 interface is sending a zero for the priority on all IV
orders instead of the actual priority from the pharmacy patient file.  
This, in turn, prevents differentiation of routine and stat/asap orders
via the interface feed.
    • 440 SEQ #382
      DATE APPLIED:   2023-06-27 14:17:10
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      INC26226397 - Vista inpatient orders in Renewed status are able to be 
marked as "Not to be Given" which then in turn marks the pending new 
order to also be marked as "Not to be Given". Only orders in an Expired 
or Discontinued status should be able to be marked as "Not to be Given".
    • 372
      DATE APPLIED:   2023-06-29 17:04:02
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      See FORUM for patch description.
    • 442 SEQ #384
      DATE APPLIED:   2023-08-17 11:20:30
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      This patch will resolve the following issue:
  
It was reported that when using the Day-of-the-Week (DOW) schedule builder
in CPRS when ordering an inpatient medication, CPRS properly displays the
ward administration time after entering and accepting the order. However,
after the order is signed, the ward administration time is being 
overwritten by the standard administration time.
    • 441 SEQ #385
      DATE APPLIED:   2023-10-16 15:49:59
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      This patch addresses one issue:
 
When editing a unit dose order which has a duration and attempting to 
exit with "^", the user is given an erroneous "Is this correct" prompt 
and not allowed to answer "Y" or "N".
    • 446 SEQ #386
      DATE APPLIED:   2023-10-16 15:50:20
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      INC27709580 - CPRS continuous infusion orders with a rate of less than 
one create an improperly formatted rate ending in "ml/hr ml/hr"
    • 448 SEQ #387
      DATE APPLIED:   2024-02-01 16:47:07
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
      This patch addresses one issue:
 
An incorrect units per dose value might be saved for a unit dose order if 
the dosage was edited before verifying the order.
    • 451 SEQ #388
      DATE APPLIED:   2024-05-17 10:22:34
      APPLIED BY:   USER,EIGHTYNINE
      DESCRIPTION:   
       
 
Problem(s):
-----------
1. INC30646734 - Albany VA Medical Center (NY) reported an undefined 
error that occurs in VistA backdoor pharmacy (inpatient order entry), 
when you copy an active unit dose order, that has a transdermal patch 
orderable item field "Prompt for removal in BCMA",  set to "Removal 
Period Required Prior to Next Administration", edit the start date/time, 
and then choose to edit the admin time,  say NO to the prompt "Is this 
correct", then enter in a new ADMIN time. The system hard errors and 
This patch addresses the following two incident tickets:
kicks you out of Vista. Hard error is <UNDEFINED>DONE+3^PSGOE91 
*PSGOEEF(41).
 
2. INC31233823 - Albany VA Medical Center (NY) reported an undefined 
error that occurs in VistA backdoor pharmacy (inpatient order entry) when 
editing the start date before accepting an active unit dose order 
(without a copy). Hard error is <UNDEFINED>DONE+3^PSGOE81 *PSGOEEF(39).
 
 
Resolution:
 
-----------
1. INC30646734 - Adding a check for data in the PSGOE91 routine DONE tag 
for the PSGOEEF(PSGF2) variable.  In some cases, there is no data and the 
variable is not defined therefore causing a hard error and kicking the 
user out.  Adding the check will allow the logic to continue to process 
the UD order without a hard error.  Also adding a change to the PSGOE91 
routine A10 tag, so the date/time will display appropriately. Currently 
it shows the correct date and then an up caret with the internal date.
 
2. INC31233823 - Adding a check for data in the PSGOE81 routine for the 
1. INC30646734 - VISTA PSJ UNDEFINED ERROR AFTER COPYING UD ORDER WITH 
PSGOEEF(PSGF2) variable.  In some cases, there is no data and the 
variable is not defined therefore causing a hard error and kicking the 
user out.  Adding the check will allow the logic to continue to process 
the UD order without a hard error.
 
 
Technical Resolution:
---------------------
1. INC30646734 - Routine PSGOE91 is modified at line to check for data in 
the variable causing the undefined error, and correcting the format of 
REMOVAL REQUIRED.
the date.
 
Line DONE+3
   I PSGOEE G:'PSGOEEF(PSGF2) @BACK S PSGOEE=PSGOEEF(PSGF2)
To
   I PSGOEE G:'$G(PSGOEEF(PSGF2)) @BACK S PSGOEE=PSGOEEF(PSGF2)
 
Line A10+6
   I X="",PSGSD W "  "_PSGSDN G DONE
To
 
   I X="",PSGSD W "  "_$P(PSGSDN,"^") G DONE
 
 
2. INC31233823 - Routine PSGOE81 is modified to check for data in the 
variable causing the undefined error.
 
Line DONE+3
   I PSGOEE G:'PSGOEEF(PSGF2) @BACK S PSGOEE=PSGOEEF(PSGF2)
To
   I PSGOEE G:'$G(PSGOEEF(PSGF2)) @BACK S PSGOEE=PSGOEEF(PSGF2)
2. INC31233823 - VISTA PSJ UNDEFINED ERROR AFTER EDITING START TIME 
BEFORE ACCEPTING UD ORDER REQUIRING REMOVAL.
    • 40 SEQ #39
      DATE APPLIED:   2000-04-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported by a site when trying to finish an order with a
the pending order before allowing actions on pending orders.
 
3. A problem was reported where a site was trying to renew an IV order
through CPRS and was receiving the message Invalid Infusion Rate. The
problem was that when finishing the order Pharmacy changed the infusion
rate to the format Text@# and this was not being passed back to CPRS when
the new order was created.  This patch corrects this problem. 
NOIS HIN-0100-41126.
 
4. E3R# 11771, Change Nature of Order auto prompt requested that the
Log-in date of midnight 01/04/00 and the ward parameter set to Use Closest
default for orders changed in pharmacy due to edit should be Service
Correction rather than Written.  This patch changes this functionality.
 
5. A problem was reported by a site when using the option Inpatient Order
Entry [PSJ OE] to enter new orders.  At the 'SCHEDULE: ' prompt the user
would enter a question mark and answer 'yes' to the prompt 'Do you want
the entire ADMINISTRATION SCHEDULE List?'. Part of the resulting list
would scroll off the top part of the screen; the user was using a CRT and
couldn't scroll back to see the data.  This patch will correct this
problem.  NOIS MUR-0100-31928.
Admin Time.  The start date/time was incorrectly displayed as ******** and
 
6. A problem was reported by a site on a Unit Dose order which was
originally placed through Inpatient Medication options.  The order had
dispense drugs entered when it was ordered and these were not passed to
CPRS.  When the order was copied through the CPRS option, no default
dispense drug was displayed to the user and no order checks took place.
CPRS does not allow more than one dispense drug per Unit Dose order.  This
patch will correct this problem for orders where there is one dispense
drug for the order, but not more than one.  NOIS MAC-0200-62454.
the stop date/time was incorrectly displayed as 59/00/23  0:00.  This
patch will correct this problem.  NOIS CON-0100-10187.
 
2. Additional functionality is included in this patch to change the PSJHL
routines to do an additional check to ensure that the patient IEN received
from Computerized Patient Record System (CPRS) matches the IEN stored in
    • 3
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch includes routines, options, and partial Data Dictionary
- Removal of nonstandard reference to global ^DGPM(.
- Write commands in the Data Dictionary were converted to EN^DDIOL calls.
- Removal of variable kills of % variables.
- Variable DT sets were changed to supported $$DT^XLFDT calls.
- References to ^DD were changed to FileMan supported D FIELD^DID calls.
- Many routines that are no longer used were deleted in the Version 5.0
 install.  This patch deletes the corresponding options.
- Removal of nonstandard reference to ^DIC(9.4. These were changed to
 supported $$VERSION^XPDUTL calls.
components that address Software Quality Assurance issues found for
version 5. This patch corrects these issues.
 
 
Some of the QA issues resolved:
 
- Removal of nonstandard reference to global ^DISV(.
- Removal of nonstandard reference to global ^XUTL(.
    • 41 SEQ #40
      DATE APPLIED:   2000-06-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. E3R# 12551, Dispense Extra Unit Default, requested that the default for
ICU was used as a service.  This is not one of the services defined in the
WARD LOCATION file (#42).  ICU has been replaced with Surgery. NOIS
PHO-0100-62836.
 
3.  A problem was reported where pending IV orders were being discontinued
through the Inpatient Medications options and no Nature of Order was being
passed to Computerized Patient Record System (CPRS).  This patch corrects
this problem.  NOIS PTH-0300-21183.
 
4.  A problem was reported that when using the Unit Dose/Pick List option
the prompt "Do you want to dispense these extra units through the ATC:
EXtra Units Dispensed [PSJU EUD], when saying YES to have the drug
dispensed through the ATC machine, it was not packaged.  The problem is
caused by the Extra Units Dispensed using a field that is set to be
deleted for the ATC device.  This patch corrects the problem.  NOIS
UNY-0400-12501.
 
5.  If a schedule "ONE-TIME" is not defined in the Administration Schedule
file (#51.1), it does not recognize in the IV piggyback order and the
Start and Stop date/times are not set appropriately.  With this patch
One-Time will be given the Start and Stop date/time as in the unit dose
Yes//" be changed to No.  This default is presented to the user when
functionality. NOIS SDC-0300-60125.
 
6.  The nurse's initials for verifying IV orders in CPRS are not passing
to the Bar Code Medication Administration (BCMA) package to display on the
VDL.  This patch will correct this problem.
 
7.  This patch adds the FREQUENCY field (#41) to the 11th piece in
^TMP("PSJ",$J,4).  This becomes a part of the information returned by the
API provided in the PSJBCMA1 routine to the Bar Code Medication
Administration (BCMA) package.
running the option EXtra Units Dispensed [PSJU EUD] if the drug is set up
 
8.  A problem was reported where a site was unable to enter an infusion
rate in the format FREE TEXT@NUMBER OF LABELS PER DAY through CPRS. This
patch corrects this problem by updating the entry point ORINF^PSIVSP.
NOIS DEN-0400-52116.
 
9.  A problem was reported where a site had IV Fluid orders entered via
Computerized Patient Record System (CPRS).  The orders were finished
through the backdoor pharmacy options as piggyback orders and the ward
specific administration times were not presented as the default for the
to be dispensed through the ATC. This patch will change the default for
pharmacy user finishing the orders. This patch corrects this problem.
NOIS CLL-0500-41826.
 
10. This patch also modifieds the API routines PSJBCMA1 and PSJBCMA2 to
use ^TMP("PSJ1" and ^TMP("PSJ2", respectively, to make a distinction
between the two different sets of data returned to the Bar Code Medication
Administration (BCMA) package.
this prompt to No.
 
2. A site had questions about the documentation for the option
AUto-Discontinue Set-Up [PSJ AC SET-UP].  In the on-line documentation,
    • 42 SEQ #41
      DATE APPLIED:   2000-06-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Several sites have reported a problem related to medication orders
DFN of the patient in the pending order being updated. This should keep
the problem from occurring.
 
2.  A site reported a problem with an undefined error when attempting to
process an order.  This patch is to correct the program to prevent the
undefined error.  NOIS: BRX-0200-10119.
getting mixed up.   The problem most frequently reported is that a Unit
Dose order is being changed to an IV order.  The development team has been
unable to recreate this problem, but thinks the problem may be a result of
using the variable DFN in the PSJHL messaging routines.  With the
installation of this patch the variable DFN will be changed to PSJHLDFN in
the PSJHL messaging routines. Additionally checks have been added to PSJOE
and PSJLIFN to be sure that the order number being finished is the order
number being updated and that the DFN of the patient selected matches the
    • 48
      DATE APPLIED:   2000-09-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      PSJ*5*48 provides an API for the Clinical Reminders package.  The API
provides patient and order information, based on a specified date range
and a specified list of medications, as it relates to the Hepatitis C
Initiative. This patch will not affect users of the Inpatient Medications
package. The PSJORAPI routine in patch PSJ*5*48 provides an entry point
that returns patient and order information in a ^TMP global to the
Clinical Reminders package, based on the criteria passed into the call.
    • 45 SEQ #43
      DATE APPLIED:   2000-09-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  When an Orderable Item has a Schedule Type defined as "Fill on
NOIS:  HUN-0400-22176
 
3.  A site reported a problem with an inconsistency in calculating the
stop date of a renewal order.  When finishing a renewal from the
Computerized Patient Record System (CPRS) the least of all the stop dates
was used.  However, in backdoor pharmacy, the stop date for the orderable
item was always used, if it existed.  This patch corrects this problem by
modifying the backdoor pharmacy function to behave the same as the
finishing process.  NOIS:  EKH-0600-41622
 
Request" and the pending order has a Schedule of "NOW", the Schedule Type
4.  Two sites reported a problem with an inconsistency with the handling
of the stop date for One-Time orders.  When finishing a One-Time order
entered in the Computerized Patient Record System (CPRS), if the stop date
was edited, the start date was also changed.  However, in backdoor
pharmacy, this was not the case.  This patch corrects this problem by
modifying the finishing process to work the same as backdoor pharmacy.
NOIS:  WPB-0500-32018 and HIN-0300-43237
is not converted to "ONE TIME" during the finishing process.  This patch
will correct this problem.  NOIS: EKH-0600-40188.
 
2.  A site reported a problem with an inconsistency between orders placed
from the Computerized Patient Record System (CPRS) and backdoor pharmacy.
The problem was with orders entered in CPRS as On Call and then finished
as On Call being immediately expired.  This patch corrects this problem.
    • 46 SEQ #44
      DATE APPLIED:   2000-10-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch makes the following changes to the APIs between Inpatient
(#53.1) and #66 of the PHARMACY PATIENT file (#55)) to piece 9 of
^TMP("PSJ",$J,Index,0) and ^TMP("PSJ1",$J,0)
Medications and Bar Code Medication Administration (BCMA) (Integration
Agreement #s 2828 and 2829):
  a.  put the SCHEDULE INTERVAL field (#.17) from the IV sub-file (#55.01)
of the PHARMACY PATIENT file (#55) in the 11th piece of ^TMP("PSJ1",$J,4)
  b.  add the IV TYPE field (#.04), INTERMITTENT SYRINGE field (#108) and
the CHEMOTHERAPY TYPE field (#106) from the PHARMACY PATIENT file (#55) to
pieces 6-8, respectively, of ^TMP("PSJ",$J,Index,0) and ^TMP("PSJ1",$J,0)
  c. add the ORDERS FILE ENTRY field (#49 of the NON-VERIFIED ORDERS file
    • 43 SEQ #45
      DATE APPLIED:   2000-10-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Several sites have reported a problem with the ACTIVITY LOG REASON file
dispensing of medications through the Bar Code Med Admin (BCMA)
software.  The sites have reported receiving the following error:
 
  1. Data Validation Error: 701: The value 'AC' for field DOSES ORDERED in
  DISPENSE DRUG SUB-FIELD in file BCMA MEDICATION LOG is not valid.
 
The problem was with the input transform on the UNITS PER DOSE field
(#.02) in the DISPENSE DRUG sub-file (#53.4502) of the INPATIENT USER
PARAMETERS file (#53.45) and the DISPENSE DRUG sub-file (#53.11) of the
NON-VERIFIED ORDERS file (#53.1). The problem with the input transform
(#53.3).  The sites have entry numbers 1 - 75, a "B" x-ref, and are
also exists in the PHARMACY PATIENT file (#55), UNIT DOSE sub-file
(#55.06), DISPENSE DRUG sub-file (#55.07), UNITS PER DOSE field (#.02).
Patch PSS*1*35 corrects this problem in the PHARMACY PATIENT file (#55)
and this patch corrects the problem in the INPATIENT USER PARAMETERS file
(#53.45) and the NON-VERIFIED ORDERS file (#53.1).  NOIS#s NOL-0300-71473,
HOU-0300-71626, and CMO-0300-43187.
 
3. Site reported a problem where they entered an infusion rate of @x and
x labels didn't print.  Only 1 label printed.  The issue is that only one
administration time was specified.  The administration time overrides
missing entry numbers 1035 and 1040.  This patch will delete the current
the entry of @x when determining how many labels will print.  This patch
modifies the field description and documentation for INFUSION RATE in
order to clarify which field determines the number of labels.  Modified
the INFUSION RATE field (#59) in the NON-VERIFIED ORDERS file (#53.1).
 
4. This patch modifies the following fields to remove references to the
company name of Baxter:  PICK LIST file (#53.5), DATA/TIME LIST SENT TO
THE ATC field (#.13), UNIT DOSE/ATC MEDS file (#53.55), PICK LIST field
(#.01), UNIT DOSE/ATC MEDS file (#53.55), LAST RECORD SENT field (#1),
UNIT DOSE/ATC MEDS file (#53.55), DATA RECORDS field (#10), UNIT DOSE/ATC
Data Dictionary (DD) and data for this file at the site and bring in the
MEDS file (#53.55), DATA RECORDS sub-file (#10), DATA RECORDS field
(#.01), WARD GROUP file (#57.5), BAXTER ATC DEVICE POINTER field (#32) and
the description of the UNIT DOSE/ATC MEDS file (#53.55).
 
5. This patch removes the references to the specific model 212 ATC
dispensing system from the description of the UNIT DOSE/ATC MEDS file
(#53.55).
 
6. This patch modifies the following menu options to remove references to
the company name of Baxter:  Send Pick List to ATC [PSJU PLATCS] and
correct DD and data.  The pre-init routine PSJ0043 accomplishes the
Dispense Drug/ATC Set Up [PSSJU DRUG/ATC SET UP].
deletion of the DD and the data and will be automatically deleted once
the installation is complete. NOIS# HAM-0300-21499.
 
2. Several sites have reported a problem when trying to document the
    • 44 SEQ #46
      DATE APPLIED:   2000-10-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported by a site where one time Unit Dose orders
Unit Dose orders when selecting NO PROFILE.  E3R# 11834.
 
3. A problem was reported by a site that when finishing a Unit Dose
pending renewal a change was made that caused a new order to be created.
The original order retained the renewed status and the stop date/time was
not updated so that it would expire when the new order's start date/time
was reached.  This patch corrects this problem.  NOIS# HIN-0300-41916.
 
4. An inconsistency was discovered between the Computerized Patient Record
System (CPRS) and the Inpatient Medications validation of Provider
entered through Computerized Patient Record System (CPRS) after hours,
Comments/Special Instructions.  CPRS allows entry of text with no spaces
while Inpatient Medications requires spaces.  This patch corrects this
problem.  Inpatient Medications will now allow entry of Special
Instructions with no spaces.  NOIS# ASH-0500-30650.
 
5. A problem was reported with label print if the Provider Comments
entered in Computerized Patient Record System (CPRS) contained no spaces.
This patch modifies label print to correctly print the information even if
no spaces are present.  NOIS# NAS-0400-32349.
finished by a nurse with the PSJ RNFINISH key, and verified by the nurse
on the ward, were not appearing on the summary of non-verified orders for
the Pharmacist using the Non-Verified/Pending Orders [PSJU VBW] option.
This patch corrects this problem.  NOIS# CLL-0500-41728.
 
2. An E3R was entered requesting that nurses using the
Non-Verified/Pending Orders [PSJU VBW] option see expired non-verified
    • 52 SEQ #47
      DATE APPLIED:   2000-11-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Pharmacy Benefits Management (PBM) has requested that Technical
the ordering processes by entry of the Internal Entry Number.
 
2.  Order check warning does not display in back door order entry for
users with the  "ALLOW AUTO-VERIFY FOR USER" set to yes.  This patch will
correct this problem.  NOIS# POR-0900-50194.
Services develop a software patch that would disable the Drug file (#50)
Internal Entry Number (IEN) (.001 field) lookup during order entry
processes.  The pharmacy software has always allowed IEN lookup and quick
code lookups at the request of field users.  A quick code is a
user-defined synonym for a drug (i.e. A325->Acetaminophen 325mg Tab).  PBM
provided guidance to VA Medical Centers in the past to not use low numbers
for quick codes and to inactivate the first 50 entries in the drug file to
reduce the chances of error.  This patch would eliminate drug selection in
    • 49 SEQ #48
      DATE APPLIED:   2001-01-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported where a site edited a pending IV order deleting
3. A site reported receiving an error when trying to queue the
PAtient Profile (Unit Dose) [PSJU PR] option.  This patch corrects this
problem. NOIS# ANN-0800-41860.
the additive or solution and then adding a different additive or solution
to the order, this change did not cause a new order to be created.  This
patch corrects this problem.  NOIS# REN-0500-60972.
 
2. A problem was reported where the duplicate order check scrolled off the
screen when the pharmacist was entering a new order.  This patch will
correct this problem.  NOIS# PHO-0500-61993.
    • 53 SEQ #49
      DATE APPLIED:   2001-01-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A site reported a problem with the display of sensitive information in
Inpatient Medications.  During patient lookup, social security numbers and
dates of birth for sensitive patients should display *SENSITIVE* on the
screen.  In Inpatient Medications, the actual social security number and
date of birth are displaying.  This patch corrects this problem by
combining the sensitive patient handling and the special formatting from
Inpatient Medications.
    • 5
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. In Inpatient Medications V. 4.5 and Order Entry Results Reporting
searches for Unit Dose orders that were entered for outpatients through
OERR V. 2.5. The orders would normally be discontinued if the patient is
admitted again. This task finds the patients that have never admitted
again since these orders were entered. The pending orders will have their
status changed to Discontinued.
 
3. A second job is also queued for the same time that corrects a problem
found in the Unit Dose Verification fields cross-references in the
NON-VERIFIED ORDERS file (#53.1).  Some orders that were verified by a
Pharmacist or Nurse were not having the corresponding Pharmacist or Nurse
(OERR) V. 2.5, orders for outpatient IVs could be entered for a patient in
cross-reference set correctly for the order.  This task will go through
these cross-references checking each one.  When one is found to be
erroneous it will be corrected.
 
4. This patch also includes a change to correct an error that can occur
during the Pick List Conversion.  Changes were made to prevent bad pick
list entries from causing an error when the pick list is reindexed.  When
the pick list is purged, the bad entries will be deleted.
 
NOTE: You will see the KIDS Install question only if the Computerized
OERR. These IV orders were then finished in pharmacy.  If a Unit Dose
Patient Record System (CPRS) Patient Order conversion has finished.  These
two tasks can only run after the CPRS Order conversion has completed. This
can be checked by D STATUS^OR3CONV1. If the CPRS Order conversion has not
finished, the post install routine for this patch will not run.  The
change to routine PSJIPST3 will allow these two tasks to be queued up
automatically when the CPRS conversion finishes.
 
It is recommended that this job be queued to run at a non-peak hour.
order was mistakenly entered for an Outpatient, the pharmacist would
notice this and discontinue the order. In Inpatient Medications V. 5.0,
the pharmacist can no longer Discontinue these erroneous Outpatient Unit
Dose orders.
 
2. This patch allows the installer to queue a background task that
    • 55 SEQ #50
      DATE APPLIED:   2001-01-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Several sites have reported a problem with the start date/time on Unit
 
2. When selecting from the Orderable Item file(#50.7), the SYNONYM lookup
was allowed and patch PSJ*5.0*52 removed this capability.  This patch will
restore the ability of entering a SYNONYM at the "Select Drug:" prompt.
NOIS# REN-1100-62137.
 
3. When selecting from the Drug file (#50), the user entered lowercase
letters and was returned a drug based on the VA Drug Class lookup and was
not offered a choice of drugs starting with the letters entered.  This
patch corrects this problem.  NOIS# CMS-1200-30893.
Dose orders placed through Computerized Patient Record System (CPRS)
defaulting in as "********" and the stop date/time defaulting in as
"00/00/24  :".  If the pharmacist finishing the order doesn't catch this
discrepancy in the start and stop date/time, the order can be finished
without a start and stop date/time.  Then the order is visible in CPRS on
the orders tab, but not on the meds tab, and not in Inpatient Medications.
This patch corrects this problem.  NOIS# DAN-1200-41606, UNY-1200-11451,
BEC-1200-20932.
    • 51 SEQ #51
      DATE APPLIED:   2001-02-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. E3R# 14641 requested that the UD Default Stop Date/Time be reset to
NOIS# NAS-0700-30575 and DEN-0700-50863.
 
3. A problem was reported by a site where they were doing a detailed
display of a unit dose medication order on the meds tab through CPRS and
the field Units/Dose was displayed as null and through Inpatient
Medications the UNITS PER DOSE field (#.02) of the Dispense Drug sub-file
was displayed as 1. In Inpatient Medications if the UNITS PER DOSE field
is null it is assumed that 1 unit is to be dispensed and a 1 is displayed.
This patch makes changes to the API that CPRS calls to make the
information display consistently.  NOIS# PUG-1000-51002.
null when Inpatient Medication orders are discontinued due to a Treating
         *****PLEASE NOTE THE FOLLOWING INFO*****
 If a unit dose order contains more than one dispense drug only dosage
ordered will be returned to CPRS and no units per dose. If a unit dose
order has a status of pending and the units per dose field is null, no
units per dose will be returned.
 
4. A problem was reported by a site where a medications order placed on
hold through Inpatient Medications options and then taken off hold through
these same options was not displaying correctly on the orders tab in CPRS.
The order text was not being updated appropriately.  The status showed as
Specialty Change.  This patch will accomplish this request.
active, but the word hold still showed on the left side of the order text.
This patch corrects this problem.  NOIS# ROS-0900-52226.
 
2. A problem was reported where a nurse entered an order through the
Computerized Patient Record System (CPRS) options using verbal or
telephoned as the nature of order.  When the order was finished and a
detailed view of the order was done on the meds tab in CPRS the nurse was
showing as the Pharmacist.  This patch corrects this problem.
    • 54 SEQ #52
      DATE APPLIED:   2001-03-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem in the PAtient Profile (Unit Dose) [PSJU PR]
Medication Administration (BCMA) when attempting to access the pharmacy
patient activity log.  This patch modifies the API to BCMA by adding the
internal entry number of the person who performs an action on a unit dose
order to the information passed back to BCMA.  In addition, the API has
been changed to send all activities for the IV orders, even if no data was
edited.
 
4. A site reported a problem with MAR labels not printing when a nurse
verified the order in the Computerized Patient Record System (CPRS).  This
patch corrects this problem.
option.  When entering '^^' at the 'View ORDERS' prompt, an error was
 
5. A site reported a problem with the Inpatient Profile [PSJ PR] option
when attempting to print certain patients.  If a patient had an order with
more than six activity log entries, the option would go into an infinite
loop when printing to a printer.  This patch corrects this problem.
 
6. A problem was discovered with the handling of date/time validations in
Inpatient Order Entry [PSJ OE].  There was a problem with the way the
option was verifying that a time had been entered.  This patch corrects
this problem.
received.  This patch corrects this problem.
 
2. A site reported a problem with the number of labels printing after an
infusion rate of xxx@0 was entered.  Even though they entered 0 for the
number of labels, labels still printed.  This patch corrects this problem.
 
3. A site reported a problem with receiving an error in Bar Code
    • 60 SEQ #53
      DATE APPLIED:   2001-06-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported by a site where after using the Inpatient Order
Action Profile #2 [PSJU AP-2], and AUthorized Absence/Discharge Summary
[PSJU DS] options where the signature block states Physician's Signature.
This patch changes this to Provider's Signature. NOIS# REN-0301-62349.
Entry [PSJ OE] option the user then jumped to the Patients on Specific
Drug(s) [PSJ PDV] option and after selecting the start date, stop date,
type of orders, sort by, and list by the user was returned to the top
level menu without the report running.  This patch corrects this problem.
NOIS# KAN-0401-40002.
 
2. A site reported a problem where nurse practitioners and other providers
were signing the reports generated by the Action Profile #1 [PSJU AP-1],
    • 59 SEQ #54
      DATE APPLIED:   2001-07-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem where they got a null subscript error when
Pharmacy Technician or Nurse will be prompted after selecting the
Non-Verified/Pending Orders [PSJU VBW] option for the IV ROOM NAME, if the
user returns past the prompt or enters an up-arrow the user will be
returned to the main menu.  Users will only be prompted if there is more
than one active IV ROOM in the IV ROOM file (#59.5).  This patch corrects
this problem. NOIS# BRX-0301-10962.
 
3. After the release of patch PSJ*5*51, several sites reported a problem
that occurred while using the OR GUA EVENT PROCESSOR protocol on the DGPM
MOVEMENT EVENTS protocol an error would occur.  Sites were advised to
trying to run the option Extra Units Dispensed Report [PSJU EUDD] by
switch to the OR GUA EVENT PROCESSOR NOTASK, this corrected the error, but
sites began reporting problems with the release of time delayed orders.
This patch will correct this problem and allow sites to begin using the OR
GUA EVENT PROCESSOR protocol again without an error. NOIS#s
LAH-0201-61581, ANN-0301-40951, ALT-0301-20287, and MIW-0201-42370.
patient.  This patch corrects this problem.  NOIS# HUN-0700-22263.
 
2. A site reported a problem where the user received an undefined error
when a Pharmacy Technician or Nurse was using the Non-Verified/Pending
Orders [PSJU VBW] option and viewing pending IV orders.  The user was
prompted "Select IV ROOM NAME:", the user entered a return or an up-arrow
and received the undefined error.  With the installation of this patch the
    • 61 SEQ #55
      DATE APPLIED:   2001-07-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Several sites reported errors when attempting to evaluate clinical
KILLPC^PXRMPINF(PXRMDFN) where PXRMDFN = "PXRMDFN"_DFN.  You can identify
the patients DFN from the error.
 
$ZE= LDATE+8^PXRMDRUG:1, %DSM-E-UNDEF, undefined variable
^XTMP("PXRMDFN6762","PSDRUG","INSULIN NOVOLIN N-HUMAN NPH
100U/ML",3001214.10445), -DSM-I-ECODE, MUMPS error code: M7 
 
For example, in this case you would type D KILLPC^PXRMPINF("PXRMDFN6762").
 
While the patch corrects the errors in the dates, the ^XTMP global built
reminders.  The problem was caused by dates in the PHARMACY PATIENT file
by the Clinical Reminders software only gets rebuilt if it is more than 24
hours old and may not have been rebuilt before the software evaluates the
next clinical reminder.  The above entry point will force the rebuilding
of the ^XTMP for the patient that generated the error.
(#55) that were in the wrong format.  This patch corrects the format of
those dates. NOIS# BUT-0401-21836, MON-0401-52179, EKH-0401-42360,
SDC-0401-62568.
 
If after installing and running PSJ*5*61 your site is still receiving the
<UNDEFINED>LDATE+8~PXRMDRUG error, it may be necessary to call the
following entry point within the Clinical Reminders software
    • 47 SEQ #56
      DATE APPLIED:   2001-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  There have been several requests that the information in the SPECIAL
in that field was being presented as the default provider in backdoor
pharmacy order entry even though the provider was no longer active.
This patch corrects this problem.  NOIS# BRX-0700-10937.
 
3.  A problem was reported where a cross-reference was left around which
should have been killed.  This caused it to appear as though the patient
had an order that needed processing when there was no order.  When the
order was selected the user received an undefined error.  This patch
corrects this problem.  NOIS# NJH-0800-20230.
 
INSTRUCTIONS field (#8) and the OTHER PRINT INFO field (#31) from the
4.  A problem was reported by a site where the infusion rate on an order
was not being returned to CPRS appropriately.  The problem was in the
messaging routines, which always expected there to be a space between the
numeric rate and the text of the rate.  This patch corrects this problem.
NOIS# CON-0900-11408.
 
5.  A site reported a problem when editing the orderable item in the
Inpatient Order Entry [PSJ OE] option.  The stop date is not being set
correctly. This patch corrects this problem by recalculating the stop date
for an order if the orderable item is changed.  NOIS# BOI-1299-51410.
PHARMACY PATIENT file (#55) be passed to Computerized Patient Record
 
6.  A site reported a problem where editing an order caused a new order
to be generated with a new stop date, but the user had no indication that
a new stop date was calculated.  This patch corrects this problem by
changing the display of the stop date to indicate the entry was modified
(for unit dose orders only).  NOIS# NAS-0600-31201.
 
7.  There are two cases where a prompt can be modified when editing an
active order and the display will not highlight the change before asking
the user to accept the changes.  The two prompts are "Admin Times:" and
System (CPRS) to be displayed on the Orders Tab.  With the installation of
"Stop:".  This patch corrects this problem by modifying the display
routine to highlight these fields if they are modified (for unit dose
orders only).
 
8.  When editing either the stop date or the start date for a one-time
order, under most conditions, the other entry will also be changed.  This
patch corrects this problem by modifying the entry process to only edit
the field selected, not both the stop and start date.  Note:  one of the
requirements to correct this was to delete the triggers from the
NON-VERIFIED ORDERS file (#53.1), START DATE/TIME field (#10).
this patch Inpatient Medications will begin passing this information to
NOIS# BOI-1299-51410.
 
9. Several sites have reported issues with the calculation of the start
date when an order is renewed.  Specifically, dealing with displaying
orders on the Bar Code Medication Administration (BCMA) Virtual Due List.
This patch changes the calculation of the start date for a renewed order
to use the following logic: If BCMA has marked the drug as given against
a scheduled administration time, take the administration time and add the
frequency.  If the time is in the future, use this as the start date for
the order.  This will be true even for a non-standard schedule if the
CPRS. NOIS# BHH-0700-42241.
user enters administration times.  If the drug is marked as given, but
there is no associated scheduled administration time, take the time the
drug was given, add the frequency and round up to the next hour.  If the
time is in the future, use this as the start date for the order.  If the
time calculated in either case, is in the past, if the drug was never
given or the drug was marked as held, the current calculation logic will
be used and the start date will be determined by the ward parameters.
Please note: this logic will apply to regular renew and regular finish.
Speed renew and speed finish will not be effected.  NOIS# NCH-0700-41081.
 
 
10. A site reported a problem with editing multiple one-time orders for a
patient.  The problem was that the edit of the stop date on the first
order was stored correctly, but not on the following orders.  This patch
corrects this problem.  NOIS# BOI-0700-51308.
 
11. A problem was reported where a pharmacist was finishing an order for a
patient and specifying that the order was a self-med.  When the pharmacist
reviewed the order afterwards the self-med designation was not showing.
The pharmacist then had to go back and edit the order again and designate
it as self-med.  This patch corrects this problem.
2.  A problem was reported by a site where the UD PROVIDER field (#62.02)
NOIS# LEB-0700-21514.
 
12. A problem was reported where a site was unable to renew IV Fluid
orders thru CPRS.  These orders originated from backdoor Inpatient
Medications options.  The provider would receive a message that the
infusion rate was invalid.  This patch corrects this problem.
NOIS# ANN-0900-40829.
 
13. A site reported a problem with the calculation of the start date for
an order with a schedule such as QOD.  If the order was placed after the
of the PHARMACY PATIENT file (#55) was not being updated or the provider
administration time for the day had passed, and the start date was set to
begin at the next administration time, the order was scheduled to start in
two days.  This patch corrects this problem by making the start date be
the next day at the scheduled administration time.  NOIS# MAR-1000-20645.
 
14. A site reported a problem with the MAR labels printing when a pharmacy
technician edited an order even though labels were only supposed to print
on pharmacist verification.  This patch corrects this problem.
NOIS# CTX-1199-72489.
    • 57 SEQ #57
      DATE APPLIED:   2001-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported by a site where the Medication Administration
schedule type and IM was determining a pseudo schedule type for IV orders,
if the start and stop date/times were the same it was a one time order, if
the schedule contained "PRN" it was a PRN order, otherwise it was
continuous.  Now IM will also set IV orders with a schedule of TODAY,
ONCE, NOW, ONE TIME, ONE-TIME, 1 TIME, 1TIME, 1-TIME, and STAT as one time
orders.  NOIS# WPB-0101-30986.
 
3. On the BCMA Workgroup call, it was requested that IM start returning an
additional pseudo schedule type for IV orders.  The new pseudo schedule
type will be ON CALL.  IV orders with ON CALL, ON-CALL, or ONCALL in the
History (MAH) in Bar Code Medication Administration (BCMA) was showing the
schedule field will be returned to BCMA in the API with a pseudo schedule
type of 'OC'.
 
4. An obsolete reference to a variable pointer definition was found in the
MARS LABELS file (#53.41).  This patch corrects this problem by removing
the obsolete reference from the data dictionary.
wrong initials for the pharmacist. This patch will correct this problem.
NOIS# HUN-0900-21331.
 
2. A problem was reported by a site where they were receiving emails from
the BCMA software regarding IV orders which were not being displayed on
the Virtual Due List (VDL). The problem was with the API routines that
Inpatient Medications (IM) supplies to BCMA.  IV orders don't have a
    • 62 SEQ #58
      DATE APPLIED:   2001-09-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported by sites where, under certain circumstances,
undefined errors. This patch corrects this problem by defining the
variable if it has not already been defined.
NOIS# LAH-0401-61509, BRX-0600-12114, and LIT-0600-71001.
IV orders which are finished using the Non-Verified/Pending Orders [PSJU
VBW] option cause an undefined P(17) error to occur. Since the problem
cannot be reproduced on demand, this patch will address this problem by
informing the user an error occurred and that their changes will not be
saved, and then allowing the user to exit the option gracefully.
NOIS #LAH-0401-61827, PAL-0701-60050.
 
2. Three sites reported a problem with the date variable PSGDT causing
    • 50
      DATE APPLIED:   2001-09-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Pharmacy Ordering Enhancements (POE) project provides enhancements
Inpatient Medications and Outpatient Pharmacy applications.  This project
directly supports Computerized Patient Record System (CPRS), which is a
key component of Veterans Health Administration's (VHA) plan to expand
support for clinical operations. Additionally, order checks will be
provided for medication orders for which a dispense drug has not been
selected during the CPRS order entry process. It is also intended as a way
to help meet the goal outlined in Objective 8, Action 1 in the
Prescription for Change, which outlines the need to coordinate
national/Veterans Integrated Service Network (VISN) formularies and share
drug treatment guideline information. This project will promote system-
to Pharmacy Data Management (PDM) V. 1.0, Inpatient Medications V. 5.0,
wide sharing of drug reviews and treatment guidelines thereby enhancing
patient safety.
 
This project consists of four patches that work together to accomplish
these goals listed in order of install:
 
     PSO*7*46
     OR*3*94
     PSS*1*38
     PSJ*5*50
Outpatient Pharmacy V. 7.0, and Order Entry/Results Reporting (OE/RR) V.
 
2. A problem was reported by a site when an order was placed through the
Inpatient Medications dialogue. When pharmacy finished the order, they
were prompted to finish as either IV or Unit Dose. If the user chose to
finish this as an IV, a new order was created.  With the installation of
the POE project a new order will no longer be created. This patch corrects
this problem.  NOIS# WNY-0498-10040.
 
3. A problem was found when entering a "P" at the Start Date/Time prompt
for a Unit Dose order.  The user always received the message "No other
3.0 medication ordering dialogues to eliminate redundant entry of drug
order found with this drug.", even if there was another order with the
same orderable item.  This patch corrects this problem.
 
4. Inpatient Medications will be adding a new parameter to the PHARMACY
SYSTEM file (#59.7). The parameter will be 'CALC UNITS NEEDED PRN ORDERS'.
The parameter will allow for the calculation of UNITS NEEDED on the Pick
List for orders with PRN in the schedule.  Currently orders with PRN in
the schedule are shown on the Pick List with a UNITS NEEDED of 0.  This
functionality was requested in E3R #12078, which had been reviewed and
approved by the Inpatient Medications E3R Workgroup and assigned a
information during medication order entry, provide a more consistent
priority of low.  With the changes in CPRS for the POE project to include
the PRN button, it was felt that this should be addressed now since the
potential exists for Inpatient Medications to receive more orders with PRN
in the schedule.
 
5.  A problem was reported by a site where they had a schedule of
APPLY@09/REMOVE@21 in their ADMINISTRATION SCHEDULE file (#51.1) and the
admin times were not defaulting into the order when it was finished.  This
patch corrects this problem.  NOIS# SPO-0101-50812.
 
medication order entry process, provide expanded order checking, display
6. A problem was reported by a site where they had a schedule of Q3MONTHS
in the ADMINISTRATION SCHEDULE file (#51.1) and the frequency was
calculated as 1440, which would be a daily schedule.  Changes were made in
Pharmacy Data Management (PDM), Bar Code Medication Administration (BCMA),
and Inpatient Medications to tighten up the code, which calculates the
frequency of the orders.  This patch corrects the Inpatient Medications
portion of the problem.  PSS*1*38 addresses the same issue in PDM. NOIS#
SHE-1200-51826.
 
7. E3R# 15571 asks that the Pick List round up the units per dose to the
documented drug formulary statuses and corresponding
next whole number if it is not a whole number and use this to calculate
the number of doses needed for an order.
restriction/guidelines to the provider and pharmacist at the time of order
entry, and improve the process of medication order transfer between
    • 8
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch makes changes to print a four digit year on all MARS, Action
 
3. An undefined variable error was occurring on the Action Profile #1
report if the patient didn't have a room/bed assignment.  This patch makes
a change to routine PSGAP0 to correct this.
 
4. A problem was reported on the 14 Day MAR report.  If MARs for multiple
patients were being printed, the patient's initials in the order label
were sometimes printing incorrectly.  This patch makes a change to routine
PSGMAR1 and PSGMMAR1 to correct this.
 
profile 1 and 2, and Authorized Absense/Discharge Summary report.  This
5. A problem was reported that after installation of Adverse Reaction
Tracking patch GMRA*4*10, the No Known Allergies (NKA) message was not
printing correctly on the MAR sheets.  This patch makes a change so that
the NKA message will print appropriately with or without GMRA*4*10 being
installed.
action is taken to prepare for the year 2000.
 
2. A problem was reported in Inpatient Medications version 4.5 for the
Action Profile #1 report. If only five or six orders printed for a
patient, extra lines didn't print in the "Additional Medication Orders"
section for the physician to enter notes or additional orders.  This patch
will correct this for Inpatient Medications version 5.0.
    • 63
      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. Inpatient Medications has been asked to add the BCMA Last Action to the
order view screen.  Users will begin to see BCMA ORDER LAST ACTION
MM/DD/YY HH:MM BCMA ACTION upon installation of this patch on the line
following the Med Route information.  If the line ends with an * that
means that the BCMA Last Action was not made against this order, but
discontinued by the provider because it was expired due to the start and
against the previous order this order was created from due to a change or
renewal.
 
3. A problem was found with the date calculation for the start date for
renewal orders in PSJ*5*47. Please note:  PSJ*5*47 should not be removed.
If the frequency for the order was a time other than an even number of
hours and the expected time for the new order to start was either 10am or
8pm, the date/time format stored internally contained a trailing 0.  This
is an invalid date format. This patch corrects this problem.  In addition
to correcting the date calculation, there is a cleanup routine to correct
stop date being the same. However, the medication still displayed in Bar
any problems in the current data. The cleanup has two phases.  First, the
data is analyzed to determine if there are any problems.  When the
analysis is complete, the person who installed the patch will receive a
mail message, "INPATIENT MEDS ORDER CHECK COMPLETED", indicating the check
has completed.  If errors are found, the cleanup is performed and a second
message, "INPATIENT MEDS ORDER CLEANUP COMPLETED", is sent to the
installer indicating that cleanup is complete.  The messages are
informational only.  No action is required.  NOIS# DAY-0701-41935
 
4. With the release of the Pharmacy Ordering Enhancements patches, two
Code Medication Administration (BCMA) V. 1.0 because of the 12-hour rule
spaces were allowed in the schedule field.  In testing, it was discovered
that a user could enter the two spaces at the end of the schedule and it
was accepted by the software.  The software was not intended to work this
way.  Upon installation of this patch, the trailing spaces will be
stripped off the text the user enters at the schedule prompt.
for displaying one-time orders on the Virtual Due List.  This patch
corrects this problem by changing the way the stop date for one-time
orders is calculated. There will be a ward parameter, system parameter and
the standard calculation. The hierarchy will be to check the one-time ward
parameter first, if not defined, check the system parameter.  If the
    • 66 SEQ #61
      DATE APPLIED:   2002-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  A site reported a problem with the calculation of the start date for
problems.  When the analysis is complete, the person who installed the
patch will receive a MailMan message, "INPATIENT MEDS ORDER CHECK
COMPLETED", indicating the check has completed.  If errors are found, the
cleanup is performed and a second message, "INPATIENT MEDS ORDER CLEANUP
COMPLETED", is sent to the installer indicating that cleanup is complete
with a listing of the effected patients and the orders. The list is
provided so that personnel can ensure the patients received their
medications.
 
2.  During testing of the changes for one-time orders it was discovered
renewal orders.  If the start date/time calculated fell between midnight
that the schedule was overriding the schedule type on Unit Dose orders.
For Unit Dose orders, the schedule type should take precedence.  This
patch corrects this problem.
and 1:00am, the time was truncated from the VA FileMan date and time.  The
problem with these orders is that they will not appear on the Bar Code
Medication Administration (BCMA) V. 1.0 Virtual Due List (VDL) nor will
they appear on the Missed Medications Report.  In addition to correcting
the date calculation, there is a cleanup routine to correct any problems
in the current data. The cleanup has two phases.  First, the orders with a
stop date no older than 30 days are analyzed to determine if there are any
    • 56 SEQ #62
      DATE APPLIED:   2002-02-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ****************************************************************
order to select a new patient. Justification is that it works this way in
Outpatient Pharmacy V. 7.0 and should work similarly in Inpatient
Medications V. 5.0. This patch will implement the requested functionality.
NOIS# ISL-0800-50420.
 
2. E3R #12370 - FORCE SECOND SCREEN TO DISPLAY WHEN FINISHING ORDERS WITH
ORDER CHECKS. The E3R describes forcing the view of Computerized Patient
Record System (CPRS) V. 1.0 order checks, when present, on screen two of
order finishing regardless of backdoor pharmacy order checks. This patch
will implement the requested functionality.
****           Pharmacy Ordering Enhancements (POE)         ****
 
3. The Inpatient Order Entry [PSJ OE] option, following the completion of 
an order, does not perform patient locking at the "Select DRUG:" prompt.
The option continues processing orders for the patient previously selected
but does not maintain a lock on the patient, allowing a pharmacist and
clinician to order meds on the same patient at the same time. This
patch resolves this problem by removing the "Select Drug:" prompt and
forcing users to use the New Order Entry action. NOIS# ISL-0800-50420.
 
4. Several sites have reported problems with the entry of the infusion
****                    MUST BE INSTALLED                   ****
rate through CPRS V. 1.0 and the infusion rate returned to CPRS V. 1.0 by
Inpatient Medications V. 5.0. This patch will correct these problems.
NOIS# LOU-0501-42191 and DAY-1298-40645.
 
5. An undefined error, <UNDEFINED>EN+2^PSJO1 occurs during the Order Entry
[PSJU NE] option when a patient name is entered, then New Order Entry
action is selected at the "Select Action:" prompt, then a drug is entered,
then "^" is entered at the "DOSAGE ORDERED:" prompt, and either "^" or ""
are entered at the "Select DRUG:" prompt. This patch fixes this problem by
ensuring required variables are set up regardless of whether the New Order
****              prior to installing this patch.           ****
Entry action is selected before or after the View Profile action.
 
6. A problem was reported with the API that returns the activity log
information to BCMA for Unit Dose orders. The first entry in the activity
log was not being returned. This patch corrects this problem.
 
7. A site reported a problem with the display of Restriction Guidelines
during Order Entry in Inpatient Medications V. 5.0. The change will allow
the user to abort the display with '^' when the display is more than one
page. Platinum project 3R211M-04-180. (PSJDIN)
****************************************************************
 
8.  A site reported a problem with the display in the DOSAGE ORDERED
column on the BCMA Virtual Due List.  For certain IV orders, it was
displaying an incorrect amount.  DOSAGE ORDERED is not used for IV
orders; in fact, the field cannot be accessed from the IV view of the
patient's orders. However, when a provider enters an order in CPRS V. 1.0
as a unit dose order, there is a DOSAGE field.  If that order is then
finished in pharmacy as an IV, the data remains in the global but is no
longer accessible.  However, it was still being sent to BCMA in the API.
This patch resolves this problem by no longer sending this in the API.
 
NOIS# SLC-0801-50680
 
9. A request was made by the Computerized Patient Record System (CPRS) to
modify an Inpatient Medications V. 5.0 procedure call that returns order
checking information. The modification contained in this patch will help
CPRS accurately associate the CPRS order with its corresponding order
checks and identify the order as having originated from either Inpatient
Medications V. 5.0 or Outpatient Pharmacy V. 7.0. Patches OR*3*123 and
PSO*7.0*81 must also be installed for this change to go into effect.
The original NOIS submitted to CPRS is DUR-0801-32713. 
1. E3R #11794 - RETURN TO MED PROFILE AFTER ORDER ENTRY- The E3R suggests
 
10. During the testing of the Pharmacy Order Enhancement patches a site 
reported a problem on their IV Fluid orders that were placed through CPRS.
There were times when the additive or solution defaulted in the order 
were inactive.  An additional check was added to PSJHL4 to screen out 
inactive additives and solutions from the ones defaulted into the order.
 
11. A site reported a problem with the validation of day of week
schedules for IV orders.  This patch corrects this problem.
NOIS# MIN-1001-41563 
the following: after order entry, return the user to the profile view of
the patient's orders and require that they quit out of the profile in
    • 67 SEQ #63
      DATE APPLIED:   2002-02-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported receiving an error when attempting to print a
editing the original order, not the newly copied order.  This patch
corrects the problem by preserving the original order's dispense drug.
NOIS# ANN-1201-40453
 
3. A site reported a problem when running the Patients on Specific
Drug(s) [PSJ PDV] option and selecting List by (O)rderable Item.  The
Inactive Date for the Orderable Item was no longer being displayed as an
identifier.  This patch corrects this problem.  NOIS# PAL-1101-62555.
 
4. A site reported a problem with the Pick List [PSJU PL] option.  After
Medication Administration Record (MAR) for an IV order that contained
installing the Pharmacy Ordering Enhancements, each order's Special
Instructions no longer appear on the Pick List.  This patch corrects the
problem by displaying the Special Instructions on the Pick List.
NOIS# WRJ-1201-11762.
 
5. A site reported a problem with the stop date calculation when
finishing IV orders.  The stop date for the one-time orders was being
used for all following orders.  This patch corrects this problem by
excluding one-time orders from the stop date calculation when the IV site
parameter specifies that all orders should have the same stop date.
administration times.  This patch corrects this problem by modifying MAR
NOIS# SAG-1201-40283.
 
6. A site reported a problem with the editing of an order's dispense drug.
Multiple dispense drugs can be added to the order, but the ability to edit
or delete incorrect dispense drugs no longer exists.  This patch corrects
this problem by allowing dispense drugs to be edited and deleted.
NOIS# UNY-1001-12315.
 
7. If a pending order can be finished as either Unit Dose or IV, user
with the PSJ RNFINISH key can't finish the order as Unit Dose.  This
print to ignore administration times for IV orders, unless they are
patch will allow the nurses to finish Inpatient Med orders as Unit Dose
orders.  NOIS: BHH-0102-40058.
Piggyback, Chemotherapy Piggyback or Intermittent Syringe orders.
NOIS# CLE-0901-41216
 
2. A site reported receiving an error when attempting to edit an order
immediately after copying it to a new order.  The error only occurs when
    • 64 SEQ #64
      DATE APPLIED:   2002-02-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem when editing the orderable item in the
print history to a printer.  NOIS# ALB-0501-50053.
 
3. A site reported a problem where inactive dispense drugs were displayed
during a '?' lookup at the Inpatient Order Entry [PSJ OE] option.  This
patch will correct the problem by removing drugs from the display that
have an inactive date prior to the current date.
NOIS# WPB-0901-32173.
 
4. A site reported a problem with the SPECIAL INSTRUCTIONS sub-field (#8)
within the UNIT DOSE multiple (#62) in the PHARMACY PATIENT file (#55).
Inpatient Order Entry [PSJ OE] option. The stop date is not being set
Edits to this field are not sent properly to the Computerized Patient
Record System (CPRS) V. 1.0 under the following circumstances:
  1) user holds the PSJ RNURSE key and no other pharmacy keys
  2) place a new order with special instructions and accept and verify it
  3) go back in and edit the special instructions (verify option inactive)
The resulting order's special instructions display differently on the Meds
tab and Orders tab in CPRS. This patch corrects the problem.
NOIS# BOI-0901-51460.
 
5. The Inpatient Medications E3R Workgroup approved a change to the
correctly. This patch corrects this problem by recalculating the stop date
Inpatient Order Entry [PSJ OE] option View Profile activity that would
continue to support placing the DISPENSE DRUG multiple (#2) within the
UNIT DOSE multiple (#62) in the PHARMACY PATIENT file (#55) on screen 1 of
the order view if it is a single entry. If multiple dispense drugs
are entered, all the dispense drugs will be displayed on the second
screen. This patch will implement the requested change.
E3R# 16130.
 
6. During internal testing, it was discovered that there was a problem
with the entry of MED ROUTE in Abbreviated Order Entry.  Even if the
for an order if the orderable item is changed.
default is accepted for MED ROUTE, a lookup is still shown and a
selection is required. This has been corrected in this patch.
 
7. A site reported a problem with being allowed to edit an order and make
the start date after the stop date.  This patch corrects this problem.
NOIS# WIM-0801-20934
 
8. A site reported a problem with a variable name in the routine
PSJLIVFD being misspelled. This patch corrects this problem.
NOIS# PUG-1101-50620
NOIS# BOI-1299-51410.
 
9. During internal testing, it was discovered that in backdoor order
entry, if a one-time schedule was entered, the schedule type was changed
to one-time, but the display didn't reflect the change until after the
user accepted the order.  This patch corrects this problem.
 
2. A site reported receiving an error when attempting to print history to
a printer from the Activity Logs (AL) action of the Inpatient Order Entry
[PSJ OE] option.  This patch corrects this problem and allows the user to
    • 65 SEQ #65
      DATE APPLIED:   2002-03-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported inappropriately receiving the error message, "Dosage
criteria will be a range of dates. Included in the report is the total
number of times the particular free text dosage occurred during the
selected time period, the name of the provider or providers responsible
for entering the free text dosage, and the number of occurrences for each
provider. The Free Text Dosage Report [PSJU DOSAGE REPORT] option has been
added to the Reports Menu [PSJU REPORTS] option.
 
3. A site reported a problem with the Inpatient Medications V. 5.0 labels
printed through Computerized Patient Record System (CPRS) V. 1.0. If the
Unit Dose order had a schedule type of Fill On Request, the admin times
Ordered and Dispense Drug are not compatible" while attempting to finish
were not printing on the label printed by CPRS.  This patch corrects this
problem. NOIS# MAN-0200-11846.
 
4. A site reported a problem with the schedule type when finishing
orders.  The problem was that there was an inconsistency between
finishing orders and backdoor order entry.  This patch corrects this
problem.  NOIS# BIG-0901-71799
 
5. Several sites have reported, after the installation of Pharmacy
Ordering Enhancements, that they are unable to use their Quick Codes to
an order. This message displayed when the order's dosage contained a
finish IV orders placed through CPRS. This patch corrects this problem.
NOIS# MIW-1101-41809 and POR-1101-52536.
 
6. A technician gets the following message: "...Order deleted....Order
deleted." when trying to enter IV orders at the Inpatient Order Entry [PSJ
OE] option. The problem occurs if "^" is entered to stop the VA FileMan
listing of solutions at the "Select SOLUTION:" prompt. Upon receiving "^"
as input, the option behaves as if the "^" was entered at the "SOLUTION:"
prompt and deletes the order. This patch will correct this problem by only
allowing deletion of the order if "^" is entered at the "SOLUTION:"
numeric value that appeared in the dose more than once. For example:
prompt. Entering "^" at the "'^' TO STOP:" prompt will only abort the VA
FileMan listing. NOIS# AMA-0801-70377.
 
7. In finishing a unit dose order, if the pharmacist edited Dispense
Drug and Dosage Ordered at the same time, a warning message was displayed
stating the dosage did not match, the available dosages list displayed,
and the user became stuck in a loop. This patch will correct this problem.
NOIS# PTH-0102-21320.
 
8. A site reported a problem with administration times when Quick Codes
1MG/1ML, 2ML/2VIAL, and 3MG/33ML. This patch corrects the problem. NOIS#
were used for IV Piggyback orders in the Inpatient Order Entry [PSJ OE]
option. If a schedule is defined for the Quick Code, but no administration
times are defined, and appropriate administration times cannot be derived
from the IV additive, administration times should default from the ward
parameters. The administration times were not defaulting properly from the
ward parameters. This patch corrects the problem. 
NOIS# HWH-0102-41454 and NOIS# HWH-0102-41770
MAC-1101-60243.
 
2. A site has requested a report that lists orders containing free
text dosages. The report will be sorted by drug, and the selection
    • 71 SEQ #66
      DATE APPLIED:   2002-03-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A site reported a problem with IV orders that were using non-standard
message, "INPATIENT MEDS ORDER CHECK COMPLETED", indicating the check has
completed.  If errors are found, the cleanup is performed and a second
message, "INPATIENT MEDS ORDER CLEANUP COMPLETED", is sent to the
installer indicating that cleanup is complete with a listing of the
effected patients and the orders. The list is provided so that personnel
can ensure the patients received their medications appropriately.
NOIS: IND-0202-40345 
schedules.  If a schedule was Q18H or Q36H, it would appear as due every
24 hours, rather than 18 or 36, respectively.  This would only happen on
IV orders placed through the Computerized Patient Record System V. 1.0
(CPRS).  This patch corrects this problem.  In addition to correcting the
frequency calculation, there is a cleanup routine to correct any problems
in the current data. The cleanup has two phases.  First, the orders with a
start date after the installation of PSJ*5*50. When the analysis is
complete, the person who installed the patch will receive a MailMan
    • 70 SEQ #67
      DATE APPLIED:   2002-03-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. If the Orderable Item within a unit dose order is re-matched to a new 
changed for IV orders to return a 0 for a non-renewable order and a 1 for
a renewable order. The Unit Dose functionality will not be affected.
 
3. A problem was reported where a site was discontinuing IV and Unit Dose 
orders with a Nature of Order of Duplicate.  When the user viewed the 
orders on the CPRS Orders Tab, the Reason for DC was showing on some 
orders as ORDER CANCELED, ORDER DISCONTINUED, or DUPLICATE.  With the
installation of this patch, the Reason for DC should show as DUPLICATE for
all orders discontinued where the Nature of Order selected is Duplicate.
NOIS# BHH-0202-40835.
Orderable Item due to dosage form change or any other reason, the new 
Orderable Item will replace the existing Orderable Item in the order when
the current order is renewed. NOIS# ISB-0202-30541.
 
2. Currently, Inpatient Medications V. 5.0 supplies an API #3243,
supporting the call $$ACTIVE^PSJORREN, to Computerized Patient Record
System (CPRS) V. 1.0, which enables them to determine whether an 
Inpatient Medications order is renewable. This functionality will be
    • 72 SEQ #68
      DATE APPLIED:   2002-03-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported where orders entered via Computerized Patient 
display, the user is prompted to enter a new patient without being given
the opportunity to continue to edit the current patient. This patch
corrects this problem by returning the user to the Patient Information
screen after displaying the 'NO ORDERS FOUND' message.
NOIS # REN-0202-61475.
 
3. A site reported a problem with the Inpatient Order Entry [PSJ OE]
option. If the Orderable Item was edited, a message was displayed
informing the user that the Dispense Drug and Dosage would be deleted if
the user continued to edit the order, while nothing would change if the
Record System (CPRS) were not always being filed in the appropriate 
user cancelled the edit. This message was in error as the Dispense Drug
and Dosage were deleted regardless of the user's actions. This patch
corrects this problem by displaying the warning message earlier in the
edit to allow the user to cancel the edit before the order is changed.
NOIS # OKL-0202-72069. 
 
4. A site reported a problem with the Inpatient Order Entry [PSJ OE]
option. Under certain circumstances, the patient's order profile could not
be viewed because the VP View Profile action was not selectable. This
patch corrects this problem by allowing the profile view of the patient's
manner in the NON-VERIFIED ORDERS file (#53.1).  The orders were being 
orders to be viewed when appropriate.
NOIS # STX-0202-72021.
 
5. A site reported a problem with the strength of the drug displaying on 
the Orders Tab in CPRS for orders that had been renewed.  The problem 
resulted from message segments longer than 245 characters not being split 
appropriately.  This patch will correct this problem.
NOIS LOU-0202-42178.
 
6. If the user answers "NO" at the "Do you want to copy this order? No//"
filed in such a way that the pharmacist couldn't finish them to be 
prompt when using the hidden action COPY, the variable PSGPDRG became 
undefined when the user accepting the original order after it was edited.
NOIS OKL-0202-72417.
dispensed from the IV or Unit Dose package. This patch will correct this
problem.  NOIS # BEC-0202-20544 & PAL-0202-61440.
 
2. A site reported a problem with the Inpatient Order Entry [PSJ OE]
option. When viewing a patient's profile, if the patient has no orders to
    • 73 SEQ #69
      DATE APPLIED:   2002-04-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When using the Standard Schedule Edit [PSS SCHEDULE EDIT] option, the 
NOIS# REN-0302-60743.
 
3. A site reported a problem that occurred during the finishing process
in the Inpatient Order Entry [PSJ OE] option. When an IV Quick Code was
used to finish an IV Piggyback order, an error occurred that prevented
the user from finishing the order. This patch corrects the problem.
NOIS# MAR-0302-20770.
software is not allowing the users to set the "TYPE OF SCHEDULE" to "Day
Of Week" for entries such as "MO-WE-FR@09". The time on the end of the
schedule name was causing the problem. This patch fixes this problem. 
NOIS# BUT-0202-21128, CLE-0202-40858, and ASH-0202-30433.
 
2. A site reported a problem with the Free Text Dosage Report [PSJU
DOSAGE REPORT] option. An error caused the report to halt prior to
completion. This patch corrects the problem.
    • 7
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. If an order contained a dispense drug marked as inactive in the DRUG
order, it was still checked for validity. After installing this patch
drugs marked as inactive within an order are not checked.
 
 
3. If a pharmacist or nurse who had AUTO-VERIFY disabled renewed a Unit
Dose order, the order was created as non-verified. This patch will cause
orders created due to renew by a pharmacist or nurse in pharmacy to be
created as active. 
 
4. An error would occur if an order containing an inactive dispense drug
file (#50), a message stating "(ONE OR ALL DISPENSE DRUGS ARE CURRENTLY
was completed using the Speed Finish action in pharmacy. This patch
eliminates the error. 
 
 
5. A ListMan variable (VALMCNT) was getting killed during the Patient
Record Update action on a patient's profile screen.  If the profile had
more that one screen, upon exiting the Patient Record Update edit the
profile screen length would be incorrectly reduced.
 
 
LISTED AS INACTIVE OR DO NOT MATCH THE ORDERABLE ITEM FOR THIS ORDER.)"
6. When the user chose a range of orders to finish from any profile
screen a "^" or "^^" entered at any order would not let the user exit from
this list.  A change was made to ensure that the user can exit at any time
from their chosen list of orders by entering "^^" or "^".
 
 
7. If an order entered through Computerized Patient Record System (CPRS)
met the criteria:
a) The Orderable Item has a default Schedule Type entered. 
b) An order entered through CPRS contains "PRN" in the SCHEDULE field.
was displayed twice. This patch eliminates this message and instead
When this order was finished the SCHEDULE field containing "PRN" was
causing the default Schedule Type from the PHARMACY ORDERABLE ITEM file
(#50.7) to be overwritten with a Schedule Type of "PRN".  This patch will
correct this.
 
 
8. An error occurred when a "-" character was entered at the
Administration time prompt when finishing an order.  
 
 
displays "INVALID DISPENSE DRUG" or "INVALID ORDERABLE ITEM" in the
9. A problem occurred when a user's INPATIENT PROFILE ORDER SORT parameter
was set to START DATE OF ORDER.  Orders that were pending renewals could
not be chosen correctly from the profile for Speed Finish.
 
 
10. A change was made that displays all order check descriptions from CPRS
on the screen when finishing an IV order.
 
 
11. When finishing a Unit Dose pending order, the Comments field is not
message field of the order display. 
displayed on the screen.  This patch will display the Comments field and
allow user to edit this field while finishing order.
 
 
12. If a non-verified Unit Dose order was edited by a pharmacist and MAR
labels were to be generated, an incorrect ^(7) node would be created in
the NON-VERIFIED ORDERS file (#53.1). Also, the label generated for the
new order would show a reason of "ORDER" instead of "NEW ORDER (EDIT)".
This patch corrects these problems and deletes the erroneous ^(7) nodes.
 
 
13. When finishing a Unit Dose pending order without a dispense drug, the
user can only enter one dispense drug and must edit the order to enter
extra dispense drug.  This patch will allow user to enter multiple
dispense drugs without having to edit the order.
 
14. Variable XT was undefined when finishing an IV pending order.  This
patch will correct this problem.
 
2. If a dispense drug was assigned a past inactive date in a Unit Dose
    • 69 SEQ #70
      DATE APPLIED:   2002-04-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  A site reported a problem with an inconsistency in the the calculation
3.  A site reported a problem with renewing IV orders.  If the original 
order was expired and the Start Date on the new order was edited, the 
Stop Date on the original order was also changed.  This patch corrects 
this problem.  NOIS#  HUN-0102-20878
 
4.  A site reported a problem with one-time IV labels printing in the
scheduled label job every day, rather than only one time.  This patch
corrects this problem by only allowing reprints once the label has been
printed for a one-time IV order.  NOIS#  ALB-0102-51931, PHO-0202-60736
 
of stop dates for one-time Outpatient IV orders.  This patch corrects 
5.  A site reported a problem with finishing IV orders using the Order
Entry (IV) [PSJI ORDER] option. If a new order was created as a result of
edits made during finishing, the "Instructions:" prompt continued to
display the instructions from the old order. The new order is unique, and
instructions from the old order may not apply to the new order. This
patch corrects the problem by removing the old instructions.
NOIS#  SFC-0102-62594.
 
6.  A site reported a problem with finishing Inpatient IV
Piggyback orders using the Order Entry (IV) [PSJI ORDER] option. The
this problem.  NOIS#  SPO-0102-50221
Orderable Item was selectable, but not editable. This patch fixes the
problem by allowing the Orderable Item to be edited.
NOIS#  SFC-0102-62594.
 
7. A site reported a problem with the way IV orders were displayed in the
profile view of a patient's orders within the Inpatient Order Entry [PSJ
OE] option. When an IV order with more than one solution was displayed,
each solution showed the infusion rate for the order, incorrectly making
it appear each solution would be infused at that rate. This patch
corrects this problem by only displaying the infusion rate next to the
 
first solution.
NOIS# MIW-0202-41045
2.  During internal testing it was discovered that an IV schedule of 
ONETIME was not being marked as a one-time order when sent to Bar Code 
Medication Administration V. 1.0 (BCMA).  This patch corrects this 
problem.
    • 68
      DATE APPLIED:   2002-04-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As a part of the Pharmacy Benefits Management (PBM) Extract enhancement
packages affected since only one installation is necessary.  The patches,
in order of install, are:
 
      PSS*1*52  PHARMACY DATA MANAGEMENT V. 1.0
      PSJ*5*68  INPATIENT MEDICATIONS V. 5.0
      PSO*7*95  OUTPATIENT PHARMACY V. 7.0
 
Upon completion of the installation of these three patches, the master
build will start a routine that will build the two new fields from
historical data in the PHARMACY PATIENT file (#55).  When the build is
project, two new fields were added to the PHARMACY PATIENT file (#55).
complete, the user who initiated the install and the members of the
PSU PBM mail group will receive a message with a subject of BUILD OF FIRST
PHARMACY SERVICE INFO COMPLETE.
They are FIRST SERVICE DATE (#.07) and ACTUAL/HISTORICAL FLAG (#.08).
With the addition of these two fields, Inpatient Medications V. 5.0 and
Outpatient Pharmacy V. 7.0 have been modified to set this information
when the first order for a patient becomes active.
 
This project consists of three patches combined in a master build.
Installation of this master build should be coordinated among the three
    • 75 SEQ #72
      DATE APPLIED:   2002-05-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A problem was reported by a site where the free text dosage ordered
entered into an order in Computerized Patient Record System (CPRS) was not
showing in the dosage ordered field in Inpatient Medications.  The problem
was that Inpatient was checking for the free text dosage ordered to be 20
characters or less, this was not compatible with what is allowed in CPRS.
The Inpatient Medications check was changed to accept 60 characters or
less, which is compatible with CPRS. NOIS # DDC-0402-50270.
    • 58
      DATE APPLIED:   2002-05-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. The Bar Code Medication Administration (BCMA) V. 2.0 release provides 
 Med Order button in BCMA V. 2.0.
 names. The subject of this message will be: PSJ*5*58 IV Verification.
  
 Once all of the unresolved names are resolved, another MailMan message 
 is generated. This message will instruct the user who ran the Correct
 Change User Names in IV activity log [PSJI ACTIVITY LOG VA200] option to
 contact IRM to remove the option. The subject of this message is Changed
 names in IV orders.
  
 An entry is made in the ACTIVITY LOG multiple (#40) of the IV
 multiple (#100) of the PHARMACY PATIENT file (#55) to indicate the
  
 verification action was performed during the installation of this patch. 
 The user in the log entry is the verifying pharmacist determined during
 the conversion.
 This project consists of two patches and a new version of BCMA that work
 together to accomplish these goals listed in order of install:
  
      PSS*1*46  PHARMACY DATA MANAGEMENT V. 1.0
      PSJ*5*58  INPATIENT MEDICATIONS V. 5.0
      BAR CODE MED ADMIN 2.0  BAR CODE MEDICATION ADMINISTRATION V. 2.0
  
 2. Two sites reported a problem with comments from one IV order
 enhancements to Pharmacy Data Management (PDM) V. 1.0, and Inpatient 
 showing up on a different IV order. Since edits to provider comments are
 no longer allowed interactively from within Inpatient Order Entry [PSJ
 OE] option, this patch corrects the problem by removing the code that
 performs updates to provider comments. NOIS# MOU-0100-30945 and
 MAC-1100-61760.
  
 3. A site reported a problem with an IV order appearing on the profile 
 view as a Continuous order when it was a One-time order. This patch 
 corrects this problem. NOIS# DUB-0102-32272.
  
 Medications V. 5.0. The BCMA V. 2.0 release expands and improves the
 4. A correction was made to only allow nurse and pharmacist users to 
 Speed Discontinue IV orders.  
  
 5. A correction was made to allow Speed Discontinue Unit Dose orders if 
 the status was not "Discontinued", "Discontinued (Edit)" or "Expired".
  
 6. If a technician or a ward clerk edited a Unit Dose order and caused a
 Non-Verified order to be created, the user was able to discontinue the 
 Non-Verified order even if the user parameter "ALLOW USER TO D/C ORDERS:"
 was set to NO, which means the user should only be allowed to mark orders
 process of medication administration, especially in the area of IV
 to be discontinued. This patch corrects this problem.
  
 7. A site reported an error occurred when copying a Unit Dose order.
 If the user parameter "ORDER ENTRY PROCESS:" was set to WARD and an edit
 was made during copy, the user would error out while accepting the 
 change. This patch corrects this problem.
  
 8. The Test Control Codes (IV) [PSJI CONTROL CODES] option has been added
 to the Label Menu (IV) [PSJI LBLMENU] option. This option allows the user
 to print an IV label for the purpose of verifying their control code
 medications.
 definition. An entire label is not printed, simply a bar code and one
 line of underscores.
  
 9. A couple of sites reported that the schedule did not display on the
 profile for IV orders when using the Inpatient Profile [PSJ PR] option.
 This patch corrects this problem. NOIS# CON-0302-12151 and 
 MAR-0402-21639.
  
 10. A site reported receiving a null subscript error when an IV order 
 came from Computerized Patient Record System (CPRS) V. 1.0 and Inpatient
  
 Medications V. 5.0 was unable to determine the correct solution to place
 in the pending order. The order created had a volume but no solution.
 NOIS# WAS-0402-21482.
  
 11. While trying to reproduce a problem reported by a site with the 
 display of Special Instructions we discovered a problem that could occur
 on orders placed through CPRS when copying Provider Comments into the
 Special Instructions field. If the Provider Comments contained a
 character string that exceeded 70 characters without having a space in 
 it the user couldn't see the last several characters on the screen. This
 In support of this, Inpatient Medications V. 5.0 and PDM V. 1.0 have 
 patch corrects this problem.
  
 12. Post-Install will do the following:
 IV verification is now required with the PSJ*5*58 patch. For orders that 
 were entered prior to the installation of this patch, an algorithm was 
 designed to determine the verifying pharmacist. The verifying user IEN 
 is stored in the VERIFYING PHARMACIST sub-field (#140) of the IV multiple
 (#100) of the PHARMACY PATIENT file (#55), which was added with patch 
 PSS*1*46. The DATE VERIFIED BY PHARMACIST sub-field (#141)
 of the IV multiple (#100) of the PHARMACY PATIENT file (#55), which has
 added the ability to print barcode identifiers on IV labels, IV order
 also been added with patch PSS*1*46, will reflect the installation date
 and time.
  
 The Activity Log for the IV Order stored the user name in free text.
 During this conversion, the free text user name is compared to the NEW
 PERSON file (#200). If there is an exact and unique match, then the IEN
 for this person is stored in the USER sub-field (#.06) of the ACTIVITY 
 LOG multiple (#40) of the IV multiple (#100) of the PHARMACY PATIENT file
 (#55) that was added with patch PSS*1*46.
  
 verification and the ability to receive done priority orders via the CPRS
 If the software is able to determine the user's IEN, for all affected IV 
 orders, and no intervention is required, the MailMan message generated 
 by the conversion will contain only the conversion information. The
 subject of this message will be: PSJ*5*58 IV Verification.
  
 When the software is unable to determine the user's IEN, the MailMan
 message generated by this conversion will instruct the installer
 to assign the Correct Change User Names in IV activity log [PSJI ACTIVITY
 LOG VA200] option to a holder of the PSJI MGR security key who is 
 familiar with the Pharmacy users to allow them to correct the unresolved
    • 74 SEQ #74
      DATE APPLIED:   2002-06-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with the finish of IV Piggyback orders in the
the Inpatient Order Entry [PSJ OE] option. In the past, entry of a two
digit or four digit number between 0 and 24 was permitted, but this format
is currently invalid. This patch corrects the problem by restoring the
previously allowed format.
NOIS # BIG-0302-72850.
 
3. A site reported a problem with the Patients on Specific Drugs [PSJ
PDV] report. Orders appeared on the report that were outside the selected
date range. This patch corrects the problem by correcting invalid start
and stop dates if possible. Orders with dates that cannot be corrected
Inpatient Order Entry [PSJ OE] option. The calculation of the default stop
will be reported via mail message to the person installing the patch.
NOIS # MON-0202-52165.
date did not recognize the additive's number of days for an IV order. This
caused incorrect stop dates to be calculated and displayed. This patch
corrects the problem by using the correct parameter to calculate the
default stop date.
NOIS # CHA-0302-31253.
 
2. A site reported a problem entering time-based administration times in
    • 79 SEQ #75
      DATE APPLIED:   2002-06-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      During testing of Bar Code Medication Administration V. 2.0, it was
discovered that the SIte Parameters (IV) [PSJI SITE PARAMETERS] option did
not allow device lookup at the Label Device and Report Device prompts.
This patch corrects this problem by using the standard device
handling routines to perform device lookup.  One side effect is that
you can no longer jump to these questions.  NOIS# ISB-0302-32189
    • 76 SEQ #76
      DATE APPLIED:   2002-07-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. During internal testing, a problem was discovered with the way
Inpatient Order Entry [PSJ OE] option. When an IV Quick Code was used to
finish an order, the Provider Comments did not appear in the Other Print
Info when the prompt "Copy the Provider Comments into Other Print Info
(Yes/No/!):" was answered in an affirmative manner. This patch corrects
the problem by retaining copied Provider Comments in the Other Print Info
if the IV Quick Code has no Other Print Info. If the IV Quick Code does
contain Other Print Info, it will appear in the order's Other Print Info.
NOIS # MIN-1101-42563
 
3. A site reported a problem with IV Quick Codes in IV Piggyback orders.
Restriction/Guideline(s) were displayed in the Inpatient Order Entry [PSJ
If there are no administration times present in the Quick Code, Additive,
or Ward Parameters, the user is prompted for a schedule with associated
administration times. In this instance, the user selected a schedule, but
the selected schedule's administration times were not saved with the
order. This patch corrects the problem by using the administration times
associated with the selected schedule when appropriate.
NOIS # HWH-0102-41454
 
4. A site reported a problem with the Free Text Dosage Report [PSJU
DOSAGE REPORT] option. When a free text dosage was encountered that had
OE] option. The screen was not refreshed after displaying the Restriction/
been ordered by over thirty different physicians, the report did  not run
to completion. This patch corrects the problem by allowing an unlimited
number of physicians to appear for each on dosage the report.
NOIS # BAY-0402-30987
Guideline(s), and as a result, drug interactions appeared to scroll under
the Restriction/Guideline(s). This patch corrects the problem by clearing
the screen before the drug interactions are displayed.
NOIS # BIR-0302-32554
 
2. A site reported a problem with finishing IV Quick Code orders in the
    • 77 SEQ #77
      DATE APPLIED:   2002-09-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch will make sure active Unit Dose orders are created with a
INPATIENT MEDS ORDER CLEANUP COMPLETED will inform sites of any unresolved
orders.  The user will get the second message if there are any orders with
no Dispense Drugs.  If the first message says there are 0 orders with no
Dispense Drugs, the second message will not be generated.
Dispense Drug in the orders. NOIS: MOU-0102-32301, ANN-0202-42365,
SPO-0302-51657, MWV-0302-20778, OKL-0402-72901, MIN-0502-40440.
 
2. A clean-up routine will identify orders without a Dispense Drug and 
make corrections, if appropriate. The person installing this patch will 
receive two MailMan messages, the first with the subject: PSJ*5*77
INPATIENT MEDS ORDER CHECK COMPLETED will tell the user how many orders
exist with no Dispense Drug, the second with the subject: PSJ*5*77
    • 78 SEQ #78
      DATE APPLIED:   2002-09-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch will make sure active Unit Dose orders are created with a
[PSJI MGR] option. When the user selected the PATIENT: and then tried to
view the SHORT PROFILE, they would get caught in a loop. NOIS
MIN-0802-40347.
 
3. A clean-up routine will identify orders without a Dispense Drug and 
make corrections, if appropriate. The person installing this patch will 
receive two MailMan messages, the first with the subject: 
PSJ*5*78 INPATIENT MEDS DISPENSE DRUG ORDER CHECK COMPLETED will tell the 
user how many orders exist with no Dispense Drug, the second with the 
subject: PSJ*5*78 INPATIENT MEDS DISPENSE DRUG ORDER CLEANUP COMPLETED 
Dispense Drug in the orders. 
will inform sites of any unresolved orders. The user will get the second 
message if there are any orders with no Dispense Drugs. If the first 
message says there are 0 orders with no Dispense Drugs, the second 
message will not be generated. An additional MailMan message is generated 
when Inpatient Medications orders are checked for start, stop, or nurse 
verification dates with trailing zeros. The subject is PSJ*5*78 INPATIENT 
MEDS STOP DATE ORDER CHECK COMPLETED. This message will tell the user how 
many orders exist with invalid stop dates. The user will get a second 
message with the subject PSJ*5*78 INPATIENT MEDS STOP DATE ORDER CLEANUP 
COMPLETED if there are any orders with invalid stop dates. If the first 
 
message says there are 0 orders with invalid stop dates, the second 
message will not be generated.
 
4. When a nurse verified a pending IV order in Computerized Patient 
Record System (CPRS) V. 1.0, the order was not filed as an IV order in 
Inpatient Medications V. 5.0. This patch will update the order 
appropriately in the IV multiple (#100) of the PHARMACY PATIENT file 
(#55).
2. This patch will ensure that Inpatient Medications orders entered via
the Computerized Patient Record System (CPRS) Med Order Button in Bar Code
Medication Administration (BCMA) V. 2.0 have start, stop, and nurse
verification dates without trailing zeros. The trailing zeros in the stop
date caused users problems when using the Individual Label (IV) [PSJI
LBLI] option on the Label Menu (IV) [PSJI LBLMENU] option on the IV Menu
    • 84 SEQ #79
      DATE APPLIED:   2002-09-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with IVPB labels for orders with Day-of-Week 
3. A site reported a problem with IVPB labels for one-time orders. If the 
label had already printed, it wouldn't print, but it would still appear 
on the manufacturing list. This patch corrects the problem. 
NOIS: UNY-0602-12797 
 
4. Inpatient Medications was requested by Decision Support System (DSS) to
include a new data element in the array of data that is currently sent to 
DSS.  The new data element is the order start date/time. This should be 
transparent to Inpatient Medications users.
 
schedules. The problem was that labels were printing even on days when 
5. A potential problem was discovered by developers, where data nodes 
could be set inappropriately in the Unit Dose multiple of the PHARMACY 
PATIENT file (# 55).  This patch corrects this problem.
the medication wasn't due. This patch corrects this problem. 
NOIS# MIN-0402-42144
 
2. A site reported a problem that occurred periodically when an IV order
was edited during the finish process. This patch corrects the problem.
NOIS: MWV-0502-22511
    • 9
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A request was made to change the default to "No" for the prompt "Is 
 
 
3. A change was made to correct an undefined variable error that 
could occur when the protocol PSJ OR PAT PR (Inpatient Medications 
Profile) was accessed from the Computerized Patient Record System (CPRS)
options.
 
 
4. A change was made to display the possible IV Identifier when 
choosing Orderable Items on the Patients on Specific Drug(s) and the 
the Formulary Alternative acceptable".  This will prevent the order 
Drug (Cost and/or Amount) reports.
 
 
5. The option CAtegory File (IV) [PSJI IVCATEGORY] was mistakenly 
removed from the SUPervisor's Menu (IV) [PSJI SUPERVISOR] menu 
for Inpatient Medications 5.0.  This option will be reinstalled in this 
patch.
 
 
6. A change was made on the Action Profile reports.  If the IV order 
from being finished if an accidental return is hit for this prompt.
contains no additives, a blank line will print for the additive and the 
solutions will print on the following line.
 
 
2. A change was made to incorporate the expansion text of a schedule 
in the Special Instructions for an order.  If the schedule has an 
expansion text and is used in the Special Instructions, it will now be
displayed in the Special Instructions.
    • 83 SEQ #80
      DATE APPLIED:   2002-10-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  During the process of finishing an order, re-entering the same
update. NOIS: ANN-0502-40709
 
3.  A patient that has been transferred to Absent Sick In Hospital (ASIH)
may have active orders with start dates prior to the transfer date. If the
date and time of the transfer is edited, inpatient orders are
automatically discontinued. This causes valid, active orders to be
improperly discontinued. This patch corrects the problem. NOIS:
PAL-0402-61286
 
4.  During internal testing, it was discovered that there were differences
schedule causes the frequency of the order to be removed. This causes the
in schedule validation between Unit Dose and IV orders. This patch
corrects this problem.
 
5.  It was discovered that there were some inconsistencies with schedule
validation between Inpatient Medications V. 5.0 and Pharmacy Data
Management V. 1.0. This patch corrects this problem.
 
6.  A problem occurs if a patient is transferred and new orders are added
(and orders are not set up to auto-discontinue upon transfer). When the
update is run, the patient appears both on Ward A and Ward B, with old
order to not display correctly on the Bar Code Medication Administration
orders on the Ward A update and new orders on Ward B update. This patch 
corrects the problem. E3R: 15221
Virtual Due List. This patch corrects this problem. NOIS: CMS-0502-32446
 
2.  After an interward transfer, a patient's orders are not displayed in
the Update Pick List [PSJU PLUP] option. These transferred orders are
displayed in the regular Pick List [PSJU PL] option. This patch corrects
this problem by allowing previously existing orders to display on the
    • 86 SEQ #81
      DATE APPLIED:   2002-11-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains the API to allow Computerized Patient Record System 
(CPRS) to automatically reinstate Inpatient Medication orders that were 
auto discontinued.
    • 81 SEQ #82
      DATE APPLIED:   2002-11-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When a one-time IV order is entered in advance, the scheduled label 
 
4. The Non-Verified/Pending Orders [PSJU VBW] option includes patients 
with inactive non-verified/pending IV orders.  This patch will display 
patients with non-verified/pending IV orders that have future stop dates.
 
5. When using the Order Entry (IV) [PSJI ORDER] option on an outpatient 
and the second screen was displayed, the user was forced to enter an '^' 
to continue with the order.  This patch corrects this problem.  NOIS: 
SPO-0302-52679.
 
due on the start date is not being printed.  This patch will correct this 
6. When a user enters an order through Pharmacy backdoor and answers the
following question "Is this O.K.: NO//" with a NO, the user will receive a
null subscript error.  This patch will correct this problem.  NOIS: 
AAA-0502-N2276.
 
7. The PRINT NAME {2} (#.02) field of the IV SOLUTIONS file (#52.7) is not
being sent to Computerized Patient Record System (CPRS) and Bar Code 
Medication Administration (BCMA).  This patch will correct this issue. 
NOIS: LEX-0502-41218.
 
problem.  NOIS: ASH-0402-32138.
8. A site reported a problem with a one-time order that didn't expire 
after it had been administered.  The problem occurred because the schedule
type was Fill on Request.  This patch corrects this problem.  NOIS: 
NCH-0602-41182.
 
9. During internal testing, it was discovered that the BCMA API that 
returns Activity Log information was not sending the user's internal 
entry number for IV orders.  This patch corrects this problem.
 
10. When the ADMINISTRATION SCHEDULE file (#51.1) has a schedule 
 
contained "PRN", the Unit Dose and IV orders will not display on the Bar 
Code Medication Administration (BCMA) V. 2.0 if the Virtual Due List 
(VDL) had only the PRN box checked.  This patch will send the correct 
information to BCMA to display the order in the PRN session.  NOIS: 
SAM-0702-22338.
 
11. A site reported a problem with being able to see BCMA ORDER LAST 
ACTION on active renewed orders.  The BCMA ORDER LAST ACTION was 
available on the old order, but not on the newly created order.  This 
patch will correct this problem.  NOIS: MWV-0902-21008.
2. Code changes were made due to the expiration of IA 903.
 
3. The Non-Verified/Pending Orders [PSJU VBW] option errors out when 
accessed by users without any pharmacy keys.  This patch will correct 
this problem.  NOIS: LOM-0502-62027.
    • 82 SEQ #83
      DATE APPLIED:   2002-11-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  A site reported a problem with the Order Entry [PSJ NE] option. A new
E3R 17161.
 
3.  A site reported a problem with not being able to view a renewed 
Total Parenteral Nutrition (TPN) IV order using the Non-Verified/Pending
Orders [PSJU VBW] option. This patch will correct this problem.
NOIS BIR-0602-31411.
 
4. Labels incorrectly defaulted as Bypass instead of Print when entering a
One-Time IVPB without an administration time.  It defaulted correctly if 
there was an administration time. This patch corrects the problem by 
order's default administration time was taken, then edited before
using the correct default regardless of the existence of administration 
times.  NOIS NCH-0602-41567.
 
5. A site reported a problem with the control code definition. If a
control code definition was not complete, there was a problem when 
attempting to print IV labels in any option. This patch corrects this
problem. NOIS: ISB-0602-32106.
 
6. A site reported a problem that occurred sporadically when an active 
or non-verified Inpatient order was edited. Under certain circumstances,
saving the order. After the order was saved, the administration time
an error occurred that prevented the user from continuing with the edit.
This patch corrects the problem. ANN-0202-41257.
reverted to its original value. This patch corrects the problem by
correctly preserving the administration time each time it is edited.
NOIS TUA-0502-32722.
 
2.  A request was made to modify the Pre-Exchange Report to put each 
patient on a separate page. This patch implements this modification.
    • 88 SEQ #84
      DATE APPLIED:   2002-11-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Reprinting of the IV hyperal labels do not have the first line of data
 
3. The Returns and Destroyed Entry (IV) [PSJI RETURNS] option did not
properly update an order's Cumulative Doses. This patch corrects the
problem by updating an IV order's Cumulative Doses when a dose is
Recycled, Destroyed, or Cancelled.
after the barcode that prints the order number, last 4 social security 
number, ward and date. This patch will correct this issue.  NOIS: 
OKL-0802-71191.
 
2. Inpatient Medications orders which were on hold at the time a patient 
movement occurred which caused them to be auto-discontinued were not 
returned to on hold if the movement was deleted and the orders were 
auto-reinstated.  This patch corrects this problem.  NOIS: AAA-0802-N1994.
    • 87 SEQ #86
      DATE APPLIED:   2002-12-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      When performing drug lookups, two issues were identified. First, the user 
search will continue through all other items. A sample screen display 
follows.
 
Select DRUG: hep
      Lookup: VA DRUG CLASS  CLASSIFICATION
HEPARIN ANTAGONISTS  BL200  
   HEPARIN ANTAGONISTS
    Lookup: DRUG  NATIONAL DRUG CLASS
  PROTAMINE SULFATE 5ML INJ         BL200           
         ...OK? Yes// N  (No)
was not aware of which item was being matched. For example, was the match 
 
    Lookup: DRUG  GENERIC NAME
     1   HEPARIN 1,000 UNIT/ML 10ML INJ           BL100           
     2   HEPARIN 1,000 UNITS/ML 30ML            BL100           
     3   HEPARIN 10,000 UNITS 4ML           BL100           
     4   HEPARIN BEEF 1,000 UNITS/ML 30ML           BL100           
     5   HEPARIN, LOCK  100 UNIT/ML 1ML           BL100           
Press <RETURN> to see more, '^' to exit this list, OR
CHOOSE 1-5: 
     6   HEPATITIS-B IMMUNE GLOBULIN           IM500
for the GENERIC NAME of the drug or was it the SYNONYM. The second issue 
CHOOSE 1-6:  
had to do with the search matching to the NATIONAL DRUG CLASS NAME first, 
before checking for a GENERIC NAME. 
 
This patch makes two changes to the drug lookup. First, the search will 
display the item being searched on. Second, if a match is found on an 
item, but the user doesn't select one of the matches displayed, the
    • 89 SEQ #87
      DATE APPLIED:   2002-12-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. It was possible to renew a unit dose order when the dispense drug was
receive a MailMan message with the subject: PSJ*5*89 INPATIENT MEDS 
ORDERABLE ITEMS ORDER CHECK COMPLETED to tell the user of unresolved 
orders or of the corrections action.
 
The user will receive a message with the content similar to one of the 
examples below after installing the patch:
 
Ex1:
Subj: PSJ*5*89 INPATIENT MEDS ORDERABLE ITEMS ORDER CHECK COMPLETED  
[#84808]
not matched to an Orderable Item.  This caused the order to store a 0 in
04 Sep 02 10:31  10 lines
From: MEDICATIONS,INPATIENT  In 'IN' basket.   Page 1
--------------------------------------------------------------------------
The check of existing Pharmacy orders for use with Inpatient
Medications 5.0 completed as of SEP 4,2002@10:31:55.
 
This process checked orders for patients in 0 hours
and 1 minute.
 
The following order(s) are without the Orderable Item.  Please contact the
the ORDERABLE ITEM field (#108) of the UNIT DOSE subfile (#55.06) of 
NATIONAL HELP DESK for assistance:
 
DFN: 739  ORDER #: 746U
 
 
Ex2:
Subj: PSJ*5*89 INPATIENT MEDS ORDERABLE ITEMS ORDER CHECK COMPLETED  
[#84809]
04 Sep 02 14:06  7 lines
From: MEDICATIONS,INPATIENT  In 'IN' basket.   Page 1
the PHARMACY PATIENT file (#55) and null in the ORDERS FILE ENTRY field
--------------------------------------------------------------------------
The check of existing Pharmacy orders for use with Inpatient
Medications 5.0 completed as of SEP 4,2002@14:06:54.
 
This process checked orders for patients in 0 hours
and 0 minutes.
 
There are no Orderable Items missing from the orders.
 
Enter message action (in IN basket): Ignore// 
(#66) of the UNIT DOSE subfile (#55.06) of the PHARMACY PATIENT file
 
 
Ex3:
Subj: PSJ*5*89 INPATIENT MEDS ORDERABLE ITEMS ORDER CHECK COMPLETED  
[#84824]
05 Sep 02 11:06  7 lines
From: MEDICATIONS,INPATIENT  In 'IN' basket.   Page 1  *New*
--------------------------------------------------------------------------
The check of existing Pharmacy orders for use with Inpatient
Medications 5.0 completed as of SEP 5,2002@11:06:33.
(#55).  This patch will correct this problem.  NOIS: NCH-0802-42568.
 
This process checked orders for patients in 0 hours
and 0 minutes.
 
Updated the orders with the appropriate Orderable Items.
 
Enter message action (in IN basket): Ignore// 
 
2. A clean-up routine will identify orders without an Orderable Item and 
make corrections, if appropriate. The person installing this patch will
    • 94 SEQ #85
      DATE APPLIED:   2002-12-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch requires the installation of Bar Code Medication
 order may also expire at any time before the new order's start date and
 time, giving the appearance on the VDL that no medications are being
 actively administered, when actually there is a bag infusing and another
 bag scheduled to start.
 This patch will correct the problem by changing the way the start date
 and time are calculated for continuous IV renewals. If the order being
 renewed is a continuous IV, and the order does not contain a schedule,
 the default start date and time for the order will be set to NOW.
 NOIS #UNY-0802-10109. 
 
 Administration (BCMA) V. 2.0.
 2. If the pharmacist made an edit during the finishing of an IV piggyback
 order that result in a new order, the original order was not 
 discontinued. This was cause by a leftover variable. To recreate this 
 problem, enter a new backdoor order and answer the following question 
 "Is this O.K.: NO//" with a "^". Then select a pending IV order and
 finish it. This patch will correct the problem. NOIS #LIT-0902-72062.
 
 1. A site reported that continuous IV orders such as admixtures and
 hyperals do not display on the Virtual Due List (VDL) in BCMA V. 2.0 when
 they are renewed. If the DEFAULT START DATE CALCULATION field (#.05)
 in the INPATIENT WARD PARAMETERS file (#59.6) is not set to '2  USE NOW
 AS DEFAULT', the renewal order's default start date may be set far enough
 into the future to allow the order to fall off the VDL. The original
    • 98 SEQ #88
      DATE APPLIED:   2003-01-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      When a group of orders were Auto Discontinued due to a Treating Specialty 
transfer, instead of assigning the Auto DC Date/Time as the orders' Stop 
Date/Time, each order may have different Stop Date/Times. This is the 
cause for only a sub-set of orders to be re-instated.  A Computerized 
Patient Record System (CPRS) patch, OR*3*168, along with this patch will 
correct this problem. NOIS: LAH-1102-61807.
    • 92 SEQ #89
      DATE APPLIED:   2003-01-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem with the option 14 Day MAR [PSJU 14D MAR]
MEDS dialog.  A site reported a problem with an order received from CPRS 
where a schedule should have required and wasn't.  This patch corrects 
this problem.  NOIS# BIR-0902-31838.
 
3. A site reported a problem with an IV order being created without all 
the appropriate information.  The problem was the result of a nurse 
verifying a non-verified unit dose order through CPRS.  The unit dose 
order would become active, the routine, which allowed this, was missing a 
quit and the code to create an IV order would be executed without 
appropriate information, resulting in the bad IV order.  This patch 
where nursing staff print blank mar's for prn's, but they are now having
corrects this problem.  NOIS# MOU-0902-30038.
 
4. A site reported a problem with the Activity Log from a non-verified 
unit dose order was not copied over to the active unit dose order when 
nurse verification took place through the CPRS verification option.  This 
patch corrects this problem.  NOIS# NOL-0902-70884.
 
5. A site reported a problem with the display of pending hyperal orders.  
The orders were only displaying a single line on the CPRS orders tab 
instead of all the additives and solution contained in the order.  This 
to do it patient by patient instead of by ward.  It works fine by patient,
patch corrects this problem.  NOIS# BHS-1002-10031.
but will print nothing for prn's (blank) by ward.  This patch corrects
this problem.  NOIS# DUB-0902-31426.
 
2. Inpatient Medications provides an application programmer interface 
(API) to Computerized Patient Record System (CPRS) that determines 
whether a schedule is required for an order placed using the INPATIENT
    • 13
      DATE APPLIED:   1999-04-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Pharmacy Data Management (PDM) creates the "AUDS" cross-reference on the
START DATE/TIME field (#10) of the UNIT DOSE subfile (#55.06) of the
PHARMACY PATIENT file (#55).  This patch will ensure that cross-reference
is set when new Unit Dose orders are created and re-index the "AUDS"
cross-reference for existing orders.
    • 85 SEQ #90
      DATE APPLIED:   2003-01-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The allergy/adverse reaction is currently displayed as <A> on the
accomplishes the addition of this functionality.  In order to use this
functionality, patch OR*3*141 must be installed as well.
 
3. The order view was not displaying on the Patient Profiles for Unit Dose
orders.  Steps for testing: From the Unit Dose Order Entry [PSJU NE]
option, select a patient and then select an order from that patient's
profile. After the order view appears, exit to the Main Menu. Next, choose
the PAtient Profile (Unit Dose) [PSJU PR] option and include the expanded
view on the report.  The expanded view of the order should display on the
profile.
patient profile and order view.  This patch will display the Crises,
 
4. Beginning with Inpatient Medications V. 5.0 patch PSJ*5*58, the
barcodes are printed on the IV labels.  Barcode ID - Return and Destroy
(IV) [PSJI RETURN BY BARCODE ID] option was added to help pharmacy with
the return and destroy of specific IV labels.  This new functionality was
requested by E3R #17117.
 
5. The BCMA ORDER LAST ACTION information was not available on patient 
profiles of Unit Dose orders.  This patch will display it on these 
options: Inpatient Profile [PSJ PR], PAtient Profile (Unit Dose) [PSJU 
Warnings, Allergy and Directive as <CWAD>.  A new hidden action CWAD is
PR] and Patient Profile (Extended) [PSJ EXTP].
 
6. It was requested in E3Rs # 12841 and # 10796 that Inpatient
Medications orders display the signature status of the order next to
the provider's name.  This patch in conjunction with OR*3*141 accomplishes
this functionality.  If the order has been electronically signed via the
CPRS V. 1.0 package, [es] will appear after the provider's name.  If the
order has not been electronically signed or if OR*3*141 has not been
installed the user will see the lowercase abbreviation for the Nature of
Order enclosed in the brackets after the provider's name (i.e. Written -
added to display any patient's Crises, Warnings, Alerts, or advanced
[w], Telephoned - [p], Verbal - [v], Policy - [i], Electronically Entered
- [e], or Service Correction [s]).
 
7. CPRS GUI version displays "No Allergy Assessment" when no allergy is
found on file.  It was requested in E3R #13013 that Inpatient Medications
V. 5.0 use the same wording when patient allergies are displayed. This
patch accomplishes this requested functionality.
 
8. A problem was discovered with the way certain Day of the Week schedules
were handled during order entry. System derived administration times may
Directives on file.
have defaulted into orders in an improper format if the order was created
using a Day of the Week administration schedule with no administration
times defined. The incorrect administration time stored with the order may
have been in the form of a single digit number or a three digit number.
This patch corrects this problem. NOIS ISB-0902-30741.
 
9. A site reported a problem with IV Fluid orders entered via CPRS where 
additives that were not marked for IV Fluid Order Entry in the IV 
ADDITIVES file (#52.6) were not being displayed in the pending order.  
This patch corrects this problem. NOIS MAR-0902-21076.
 
 
10. When a pharmacist finished and verified an IV Fluid order as an IV 
Piggyback order, it did not show up in CPRS's Active View.  This occurred 
only when the  "ALLOW AUTO-VERIFY FOR USER:" prompt in the Inpatient User
Parameters Edit [PSJ SEUP] option is set to "No".  This patch will correct
this problem. NOIS LIT-1002-70444.
2. It was requested in the E3Rs #11177 and #12382 that the flagging
capability that is available in Computerized Patient Record System (CPRS)
be available through the Inpatient Medications options.  This patch
    • 99 SEQ #91
      DATE APPLIED:   2003-03-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      There was a problem reported with the post install routine from 
PSO*7.0*115. This patch processes through the XTMP global created by that 
post install routine and corrects the status field for the IV orders that 
were effected.
 
If the cleanup routine encounters orders that have problems, the person 
who installed the patch will receive a message indicating this and where 
the list of problem orders is kept. These should be reviewed to be sure 
there are no problems with the patient's medication profile.
    • 101 SEQ #92
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. IV orders were originally entered through Computerized Patient Record 
       non-verified order.
    3. Pharmacist changes the strength in the additive but doesn't verify 
       it. This leaves it in a Non-Verified status.
    4. The new strength does not appear on CPRS side.
 
2. When the OTHER PRINT INFO field (#21) was entered or modified for a 
Non-Verified IV order, this data was not being sent to CPRS. This patch 
will correct it.
 
3. An Inpatient Meds order is finished as an admixture with auto-verify 
System (CPRS) and finished in Pharmacy, the completed orders were then 
turned off, this creates a non-verified order. When the non-verified 
order displays, a starred field is edited, and the order is accepted; 
this causes a new order to be created, but the original non-verified 
order is not discontinued. The profile displays two non-verified orders, 
because a variable was not being updated correctly. This patch corrects 
this problem.
edited through backdoor pharmacy options, the changes made were not 
reflected in CPRS. NOIS: HUN-1202-21612.
 
Steps to recreate:
 
    1. Provider creates an IV order in CPRS.
    2. Pharmacist (auto-verify off) finishes the order, the order is a
    • 97 SEQ #93
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A site reported a problem with an IV renewal order. The order had been
 scheduled IV labels. The extra labels contained the message 'NO PIGGYBACK
 DATA'. This patch corrects the problem by printing this label only once 
 per label run, rather than for each patient. NOIS PAL-0902-61209.
 
 3. A problem with the RETurns and Destroyed Entry (IV) [PSJI RETURNS]
 option was discovered by a member of development. The manual entry of a
 BCMA ID is allowed, but the option does not recognize lower case alpha
 characters within the BCMA ID. This patch changes this functionality to
 allow the input of upper or lower case alpha characters when a BCMA ID is
 entered in this option.
 renewed from the Computerized Patient Record System (CPRS) V. 2.0, and
 after the pending renewal order was verified, an error occurred. The
 error was due to an incorrect pointer to the pending order number that
 remained after the verification was complete. This patch corrects the
 problem by initialzing and reloading the new verified order after the
 order has been verified. NOIS BRX-1102-12101.
 
 2. A site reported a problem with extra labels printing with their
    • 91 SEQ #94
      DATE APPLIED:   2003-04-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The routine ^PSJORREN was included with patch PSJ*5*89 to correct the
2. The routine ^PSJORRE1 is included in this patch to address SQA issue
with the incorrect DBIA number documented in the reference. The checksum
will not change.
 
3. Routine ^PSJDCHK is included to comment out references to the
PATIENT file (#55) that are no longer used.
 
4. The SCHEDULE INTERVAL field (#.17) from the IV sub-file (#55.01) of the
PHARMACY PATIENT file (#55) is not stored consistently for Day of Week
schedules if the user did not have Auto Verify turned on. This patch will
problem of renewing a Unit Dose order with a 0 (zero) value stored in the
schedules if the user did not have Auto Verify turned on. This patch will
store a "D" in this field for the Day of Week schedule. This patch
includes a modification to an Application Programmer Interface (API) to
BCMA V. 2.0 to send the correct schedule type for IV orders.
NOIS# NYH-1002-10449.
 
5. Unit Dose orders created in Bar Code Medication Administration (BCMA)
V. 2.0 using the Med Order Button do not appear on the Due List. These
orders are being created with a frequency of zero, which is not a valid
frequency. This patch will correct the problem so that these orders will
ORDERABLE ITEM field (#108) of the UNIT DOSE multiple (#62) of the
be created with the proper frequency for One Time orders.
NOIS# MIN-1202-40902.
 
6. A clean-up routine will identify orders with a frequency of zero and
make corrections, if appropriate. The person installing this patch will
receive a MailMan message with the subject PSJ*5*91 INPATIENT MEDS
FREQUENCY ORDER CLEANUP COMPLETED. This message will inform the user how
many orders with a zero frequency were found and corrected. An order's
frequency will only be corrected if it meets all the following criteria:
the Frequency is zero, the Stop Date is equal to the Start Date, the
PHARMACY PATIENT file (#55). This routine is included in this patch
Schedule is STAT or NOW, and the Priority is Done.
 
7. A site reported receiving an error while editing a Unit Dose order in
the Non-Verified/Pending Orders [PSJU VBW] option. Edits were made to the
order that caused a new order to be created, and this cycle was repeated
several times until an error occurred which interrupted the process. This
patch will prevent this error from occurring.
NOIS# BRX-1202-11956.
 
8. A site reported receiving an undefined error when attempting to place
(PSJ*5*91) to make sure that when Bar Code Medication Administration
an order using the Med Order Button in Bar Code Medication Administration
(BCMA) V. 2.0. This patch will correct the problem.
 
9. A site reported a problem with the Drug (Cost and/or Amount) [PSJU
DCT] option.  When selecting by Orderable Item, the inactive date was not
being displayed beside the name.  This patch corrects this problem.
NOIS# CLL-0103-40519.
 
10. Sites reported a problem where active IV orders were being created
with an IV Room of zero (0).  This created a problem of no IV labels
(BCMA) V. 2.0 is installed after patch PSJ*5*89 sites will have the
being printed for these orders.  This patch corrects this problem.
NOIS# HAM-0103-22051 & CPH-0103-41307.
 
11. A site reported an error that occurred when two users simultaneously
attempted to print to a non-spooled printer. The output should have been
directed to the terminal screen, but instead was queued to an output
device of 'HOME'. This queued job will cause an inappropriate device
error, or it will create duplicate label log entries until the job is
killed. This patch will correct the problem by converting the name of the
output device from the word HOME to the user's home device.
correct version. The second line will be updated with this patch number
NOIS# DAY-0103-42177 & CLE-0203-40500.
 
12. A site reported a problem with an order having the nurse verification
indicated in Computerized Patient Record System (CPRS) V. 1.0, but no in
Inpatient Medications V. 5.0. This patch corrects this problem.
NOIS# HUN-0902-22266.
 
13. A site reported a problem with the status of an IV bag in Inpatient
Medications V. 5.0 not matching the status of the bag in BCMA. This patch
corrects this problem.
but the routine checksum will be the same as listed in PSJ*5*89.
NOIS# CLL-0203-40056.
    • 93 SEQ #95
      DATE APPLIED:   2003-04-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch is compatible with Bar Code Medication Administration (BCMA)
 schedule with Chemotherapy IV orders. NOIS MIN-1002-40243.
 
 2. When a patient movement is deleted and orders are reinstated, a mail
 message is sent to a user group to inform the users of reinstated orders
 and those that are not reinstated.  This patch changed the mail message
 from regular to Priority mail to ensure the users see it.
 NOIS WPB-0902-30314.
 
 3. A site reported a problem with scheduled IV labels for orders with
 Day of the Week schedules such as MO-WE-FR@0900. Labels were printing
 V. 1.0 as well as BCMA V. 2.0, and may be installed in environments
 for the scheduled administrations every day, instead of printing labels
 exclusively for the days defined in the schedule. This patch corrects
 the problem by printing labels only for scheduled doses.
 NOIS HIN-0902-41529.
 
4. A site reported receiving the message "Nonstandard schedule" when they 
 attempted to enter an order for a continuous IV Admixture using an IV 
 Quick Code that did not contain a schedule. This message should not 
 display when the schedule field does not contain a value, regardless of 
 whether or not an IV Quick Code is used. This patch corrects the problem 
 containing either version.
 by preventing this message from displaying when the schedule field is 
 empty or null. NOIS BIG-1102-70679.
 
 1. A site reported a problem with the way an IV Quick Order's schedule
 was handled when ordered as a Chemotherapy IV with a Chemotherapy Type
 of Piggyback. The schedule defined in the IV Quick Code did not default
 into the order when the IV Quick Code was used with an IV Type of
 Chemotherapy. This patch corrects the problem by properly defaulting the
    • 95 SEQ #96
      DATE APPLIED:   2003-04-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. A site reported receiving an error message, 'string too long', while
 
 2. A request was made to modify the Pre-Exchange Report to put each
 patient on a separate page. This patch implements this modification by
 printing the report by patient immediately after order entry processing
 is completed for each patient. Included in this change is a new field,
 the PRE-EXCHANGE REPORT DEVICE field (#4) in the INPATIENT WARD
 PARAMETERS file (#59.6). This parameter is a pointer to the DEVICE file
 (#3.5), and will contain the default print device for the report. A
 post-install routine has also been included to populate the new parameter
 for each ward with a value that will print the report to the screen. This
 attempting to finish a pending Unit Dose order. The error occurred after
 value may then be changed to a print device, or deleted to disable the
 report for that ward. E3R 17161.
 
 3. A site reported a problem with the Start Date/Time of a Unit Dose
 renewal order. The problem occurred under the following conditions:
 An order's medication was administered at 0949, prior to its next 
 scheduled administration of 1000. That same order's Stop Date/Time
 was 1200, which was after the 1000 administration time that was given
 early, but before the next scheduled administration time of 1800.
 The order is then renewed at 0956. The calculated Start Date/Time is
 a number of edits to the Special Instructions were made and accepted.
 after the order expires, so the ward parameters are used, making the
 Start Date/Time equal to NOW. The renewal order's Start Date/Time
 became 0956, which caused the order to hit the 1000 administration time
 again, seven minutes after the last administration. This patch corrects
 this particular problem by making the default Start Date/Time of the
 renewal order equal to the Stop Date/Time of the original renewed order
 if the calculated start time is after the Stop Date/Time of the original
 order. NOIS: MAR-1002-20455.
 
 4. A site reported a pharmacist could not finish a pending order as Unit 
 After each edit, 'Yes' was entered in response to the 'Flag the Special
 Dose when the prompt 'COMPLETE THIS ORDER AS IV OR UNIT DOSE?' was
 answered with 'U'. The pharmacist held the Pharmacy Technician Key, and 
 as a result the software considered the Pharmacist a Pharmacy Technician.
 This patch corrects this problem by allowing pharmacists possessing the
 Pharmacy Technician Key to complete these orders as Unit Dose orders.
 NOIS: CHA-1101-31456.
 
 5. The activity log was not updated to record the nurse verification 
 action taken from CPRS on an active IV order. This patch will correct 
 this issue. NOIS: NCH-1202-40194.
 Instructions (Yes/No):' prompt. As the Special Instructions were
 
 6. The patient profile displayed "No Allergy Assessment" when the 
 patient did not have any allergies but have adverse reaction identified. 
 This patch will correct this problem. NOIS: BRX-0103-12347.
 flagged, a new flag was created and added to all the previous flags. This
 patch corrects the problem by taking previously flagged Special
 Instructions into account and ensuring only one flag exists for each
 order. NOIS: MIW-1002-40270.
    • 100 SEQ #97
      DATE APPLIED:   2003-05-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      IV orders entered through Inpatient Medications options by a user 
without auto-verify turned on, with a nature of order of verbal were not
showing in Computerized Patient Record System (CPRS) as requiring a
signature.  This patch corrects this problem.  NOIS# LAH-1202-60493.
    • 102 SEQ #98
      DATE APPLIED:   2003-06-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains the routines to support the Bar Code Med Admin (BCMA) 
National Contingency Plan.
    • 105 SEQ #99
      DATE APPLIED:   2003-06-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem where an order was showing on the pick list 
with the order.  This patch corrects this problem.  NOIS# SPO-0103-51804.
 
2. A site reported an error when flagging a pending IV order from the 
patient's profile. If the patient had not been admitted to a ward, the 
software incorrectly processed the order as an outpatient order. This
patch corrects the problem by correctly processing the flagging
information. NOIS# HUN-0303-21424.
with OI under the Units Needed heading.  Upon investigation of the order 
it was found that the order was logged in between midnight and one minute 
after midnight, this caused a problem because the Inpatient Medications 
software was only using the first 12 characters of the date time, so the 
login date had no time.  The ward parameter for the ward was set to now 
which set the start date/time for the order to a date and no time.  This 
caused the problem with the pick list, the software was unable to 
calculate the units needed and used OI to indicate there was a problem
    DATE INSTALLED AT THIS SITE:   1999-04-16 00:00:00
    INSTALLED BY:   USER,ONE
DESCRIPTION 
  Combination of Unit Dose Medications and IV Medications and their
associated utilities.
FILE
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • FIELD:
    • EXPANSION
    • INTENDED USE
    UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • FIELD:
    • APPLICATION PACKAGES' USE
    • FORMULARY ALTERNATIVE
    • *ATC CANISTER
    • ATC CANISTER
    • DAY (nD) or DOSE (nL) LIMIT
    • CORRESPONDING OUTPATIENT DRUG
    • PRIMARY DRUG
    • UNIT DOSE MED ROUTE
    • UNIT DOSE SCHEDULE
    • PRICE PER DISPENSE UNIT
    • UNIT DOSE SCHEDULE TYPE
    • NON-FORMULARY
    • ATC MNEMONIC
    UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
ENVIRONMENT CHECK ROUTINE PSJIPRE
ENVIRONMENT CHECK DONE DATE 1996-07-18 13:00:52
POST-INITIALIZATION ROUTINE PSJIPST
POST-INIT COMPLETION DATE 1996-07-18 13:09:03
PRE-INIT AFTER USER COMMIT PSJIINT
PRE-INIT COMPLETION DATE 1996-07-18 13:01:26
EXCLUDED NAME SPACE
  • PSJZ
  • PSJ4
  • PSJV