| DESCRIPTION OF ENHANCEMENTS |
This patch is part of the Pharmacy Safety Updates project which was
APPLICATION/VERSION PATCH
SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY field (#66)
in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32) in the VA
PRODUCT (#50.68) file. If alternate maximum values exist, the current
limits will remain the same.
3. Edit Prescriptions [PSO RXEDIT] option
This option was also modified to accept the new maximum value for the DAYS
SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY field (#66)
in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32) in the VA
PRODUCT (#50.68) file. If alternate maximum values exist, the current
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limits will remain the same.
4. Barcode Batch Prescription Entry [PSO BATCH BARCODE] option
The renewal functionality within this option was also modified to accept
the new maximum value for the DAYS SUPPLY field based on the limit set by
the MAXIMUM DAYS SUPPLY field (#66) in the DRUG file (#50) or the MAXIMUM
DAYS SUPPLY field (#32) in the VA PRODUCT (#50.68) file. If alternate
maximum values exist, the current limits will remain the same.
5. Prescription Management Data Compilation
OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*444
The algorithm used to compile prescription management data was modified to
account for prescriptions with greater than 90 days supply. The OVER 90
DAYS (#8) field in the OUTPATIENT PHARMACY MANAGEMENT DATA file (#59.12),
which is used as a counter for the number of prescription fills with DAYS
SUPPLY value greater than 90, will now be populated.
6. Count of Prescriptions [PSO MGMT REPORT RX COUNTS] option &
Count of Prescriptions [PSO MGMT MONTHLY RX COUNTS] option
These daily and monthly reports have been modified to include a new column
called ">90 DAY", as seen below. This column will display the total number
INTEGRATED BILLING (IB) V. 2.0 IB*2*545
of prescription fills with a DAYS SUPPLY value greater than 90, as shown
below.
30 60 90 >90 EQ TOT TOT
DAY DAY DAY DAY FLS METH RX EQ FL
...===========================================================...
1 3 0 1 11 0 5 11
0 0 1 2 14 0 3 14
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*189
...=== ======= ======= ======= ======= ======= ======= =======...
1 3 1 3 25 3 8 25
NATIONAL DRUG FILE (NDF) V. 4.0 PSN*4*429
INPATIENT MEDICATIONS (IM) V.5.0 PSJ*5*313
The following New service Requests (NSRs), Remedy Ticket and Patient Safety
established to address specific New Service Requests (NSRs) as well as a
Issue (PSI) are being addressed by this patch:
NSRs 20060601/20111206 Allow Dispensing of Greater Than 90 Day Supply
---------------------------------------------------------------------------
The Outpatient Pharmacy and supporting VistA applications are being modified
to allow dispensing of more than 90 day supply fill for outpatient
prescriptions. The new limit will be 365 days and will be set for each drug
individually. See below for more information on specific menu
options related to this enhancement.
Remedy Ticket and a Patient Safety Issue (PSI) related to the VistA Pharmacy
PSI PSPO00002793 Patient Prescription Processing error, truncating the
second character of the Days Supply
Remedy 387051 Patient Medication Profile Bad Address Indicator display
----------------------------------------------------------------------------
The Outpatient Pharmacy Medication Profile has a display problem for a
prescription with the following characteristics: 2-letter status (e.g., DC),
drug marked for Consolidated Mailout Outpatient Pharmacy (CMOP) and Bad
Address Indicator. When a prescription with all three features is displayed
the DAY SUP column value is being truncated as illustrated below where the
Day Supply value is actually 90 and it displays as 9.
applications as approved by the Health Systems Enterprise Systems Manager
ISSUE LAST REF DAY
# RX # DRUG QTY ST DATE FILL REM SUP
--------------------------------DISCONTINUED--------------------------------
1 100005604$ TOBRAMYCIN 80MG/2ML INJ 100 DC>B01-21 01-21 0 9
This patch modifies the Outpatient Pharmacy application regarding the
enhancements and issues listed above:
(ESM).
1. Patient Prescription Processing [PSO LM BACKDOOR ORDERS] option
a) The backdoor pharmacy was modified to accept the new maximum value for
the DAYS SUPPLY field based on the limit set by the MAXIMUM DAYS SUPPLY
field (#66) in the DRUG file (#50) or the MAXIMUM DAYS SUPPLY field (#32)
in the VA PRODUCT (#50.68) file. If alternate maximum values do not
exist, the current limits will remain the same.
Note: The MAXIMUM DAYS SUPPLY field (#32) added to the VA PRODUCT file
(#50.68) is being introduced by patch PSN*4*429, however it will
not be populated initially by the Pharmacy Product System -
National (PPS-N) as changes will be required to that application to
edit and export this new field.
b) The medication profile was modified to display the Bad Address Indicator
in a different line in order to address the Remedy Ticket 387051 and
Patient Safety Issue PSPO00002793 mentioned above. The indicator will be
placed in the next line, as seen below.
----------------------------------ACTIVE---------------------------------
1 100005598 ALSEROXYLON 2MG TAB 400 A> 12-11 03-01 2 90
This project is comprised of patches from five different applications, as
**Bad Address**
2 100005596 DESIPRAMINE 25MG TAB 90 DC 11-01 11-01 11 30
**Bad Address**
3 100005601A NAPROXEN 250MG S.T. 170 HP>12-17 12-17 5 30
**Bad Address**
4 100005595 TIMOLOL 0.25% OPTH SOL 10ML 90 S> 11-01 11-21 10 30
c) The calculation of the number of refills for a prescription was modified
to take into account the new maximum value allowed for the DAYS SUPPLY
shown below:
field. The current calculation (up to 90 days supply) will remain the
same and a new formula will be introduced to calculate the number of
refills for days supply values of 91 up to 365. The table below shows
the number of refills allowed based on the days supply value:
---------------------------------+------------------------------------
NON-CONTROLLED SUBSTANCES | CONTROLLED SUBSTANCES (NO CHANGE)
---------------+-----------------+------------------+-----------------
DAYS SUPPLY | # OF REFILLS | DAYS SUPPLY | # OF REFILLS
---------------+-----------------+------------------+-----------------
1 - 59 | 11 | 1 - 59 | 5
60 - 89 | 5 | 60 - 89 | 2
90 - 91 | 3 | 90 | 1
92 - 121 | 2 | |
122 - 182 | 1 | |
183 - 365 | 0 | |
---------------+-----------------+------------------+----------------
2. Complete Orders From OERR [PSO LMOE FINISH] option
This option was modified to accept the new maximum value for the DAYS
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