| DESCRIPTION OF ENHANCEMENTS |
Patch PSS*1.0*191 provides enhancements to Pharmacy Data Management
order:
1. PSS*1*191
2. PSJ*5*315
3. PSB*3*83
4. OR*3*417
5. PSB*3*87
ATTENTION: This enhancement also includes a new Graphical User Interface
(GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is
to support changes to the BCMA and Inpatient Medications
required immediately after the KIDS install for the Patch to function.
For retrieval and installation instructions, please see the Client
Installation Instructions section.
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These enhancements are made to address NSR 20141012.
They include:
1. Currently Sites have to create fake removal orders to allow for
applications for Transdermal Administrations.
appropriate removal of medications in BCMA. This patch will alleviate
that issue by adding a field to the ORDERABLE ITEM (#50.7) file titled
PROMPT FOR REMOVAL IN BCMA (#12). This field implements changes that will
support enhancements to the BCMA and Inpatient Medication applications to
display the removal times in Inpatient Medication orders using rules
determined by the value of this field. The PROMPT FOR REMOVAL IN BCMA
(#12) field can be set for Orderable Items that require removal to the
following values:
NULL/0=No Removal Required
1 = Removal at Next Administration
2 = Removal Period Optional Prior to Next Administration
3 = Removal Period Required Prior to Next Administration
2. A post installation routine, PSS1P191, will update the new PROMPT
FOR REMOVAL IN BCMA (#12) field to a value of 1 for all Orderable Items
with a Dosage Form that contain the word "PATCH". A message will be sent
to the installer as well as all users holding the PSJU and PSJI MGR keys
providing a list of Orderable items that were updated during this process.
The PROMPT FOR REMOVAL IN BCMA (#12) field is only updated if it is
******************************* ATTENTION ********************************
currently set to a value of NULL so subsequent installations will not
update the PROMPT FOR REMOVAL IN BCMA (#12) field again.
3. Routines edited for this patch will add the prompt "PROMPT FOR
REMOVAL IN BCMA:" to the following three options:
- Edit Orderable Items [PSS EDIT ORDERABLE ITEMS]
- Drug Enter/Edit [PSS DRUG ENTER/EDIT]
- Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE
ITEMS]
4. Patch PSS*1.0*172 inadvertently missed adding the prompt, HIGH
RISK/HIGH ALERT, to the following options, which is being added in
this patch:
- Drug Enter/Edit [PSS DRUG ENTER/EDIT]
- Dispense Drug/Orderable Item Maintenance [PSS MAINTAIN ORDERABLE
ITEMS]
5. A second post install routine PSSP191A will create another
Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy
email report. This report will display orders for Medications Requiring
Removal that do not contain the necessary file structures to allow for
the new removal functionality to execute. The primary purpose for this
information is to allow the site to determine the approximate amount of
resources needed to discontinue these orders and re-create them after
patch PSJ*5*315 is installed. Until the PSJ*5*315 patch is installed the
capability for processing these orders will not be available. More
detailed procedures and recommendations for this process are in the
installation section of this Patch Description. A copy of this report
will be added to the Pharmacy Data Management [PSS MGR] menu as the Orders
Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal
for MRRs With Removal Properties [PSS MRR ORDERS DIAGNOSTIC RPT] option.
6. Two more reports will be added to the Orderable Item Management
[PSS ORDERABLE ITEM MANAGEMENT] sub menu as options. The new report
options, Orderable Items that Require Removal Report [PSS MRR ORDERABLE
ITEMS RPT] option and Orderable Items Report for High Risk\High Alert [PSS
HR/HA ORDERABLE ITEMS RPT] option, will allow review of the settings in
the Orderable Items file (#50.7) for the values of the respective fields
indicated in the report titles.
enhancement includes 5 patches which must be installed in the following
PSS*1.0*191 does not have any dependencies for installation.
The full functionality introduced in this patch will not be
available until patches PSJ*5.0*315, PSB*3.0*83 and PSB*3.0*87
are installed.
Pre-existing orders will remain unaffected with installation.
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