| DESCRIPTION OF ENHANCEMENTS |
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
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