| DESCRIPTION OF ENHANCEMENTS |
This patch will resolve the following issues.
4. When editing day supply for controlled orders calculating (PSPO
the prescriber would be carried over to the next pending orders for that
same patient.
Resolution:
-----------
The array variable PSORX("PROVIDER NAME") that stores information about
the provider was not being properly initialized between the processing
each of the patient's pending orders. The code was modified to kill the
array variable PSORX before processing each of the patient's pending
order.
#2580) supply incorrect.
Technical Resolution:
---------------------
Modified the routine PSOORFIN at tags SUCC+4 and PSOORFIN+19 to kill
array variable PSORX("PROVIDER NAME")
3. I9898461FY16 - Comment placed in "REMARKS" prompt is not visible if Rx
is on HOLD
Problem:
--------
Comments entered into the REMARKS field (#15) were not being displayed
when a prescription was put on hold. Once the prescription was removed
from hold, the remarks would become visible again.
Resolution:
-----------
Modified routine PSOORNE2 so the comments entered into the REMARKS field
(#15) display when the prescription is put on hold.
5. When editing the field QTY (#9) of a Pending Order the system will auto
Technical Resolution:
---------------------
Modified the routine ACT+2^PSOORNE2 to set just $P(RX3,"^") instead of
the entire RX3 variable, as shown below:
I 'RX3 S RX3=$P(RX2,"^",2),$P(^PSRX(RXN,3),"^")=$P(RX2,"^",2)
4. I10167818FY16 - Editing day's supply incorrect
calculate if Schedule not marked PRN
PSPO #2580
Problem:
--------
For pending orders with a dispense drug where the quantity can be
automatically calculated based on the dosage and days supply there was a
problem for certain situations where the automatic calculation was not
desirable. For example, the prescriber would order 10 tablets of a
controlled substance medication with a 30 days supply PRN (As Needed) to
be taken no more than twice a day. When the Outpatient Pharmacy user
edited the DAYS SUPPLY field (#8) for such order and changed it from 30 to
28, as an example, the software would automatically update the quantity
from 10 to 56, which is clearly inconsistent with the prescriber's initial
intention.
Resolution:
-----------
A new logic has been introduced related to the editing the DAYS SUPPLY
field (#8) of a pending order:
1. For single dose order the software will not automatically recalculate
the Quantity field if the current Quantity value on the order is not
the result of a calculation based on the current Day Supply value
(before the edit), which suggests the Quantity was previously manually
entered (not calculated).
2. The software will not take into account whether the Schedule is marked
PRN (As Needed) or not when deciding to automatically recalculate the
QTY field (#9).
3. For a Controlled Substance pending order the system will not
Associated NSR(s):
automatically recalculate the Quantity field (#9) if it will cause the
current Quantity value to be increased.
4. For a Complex Controlled Substance pending order the system will not
automatically recalculate the Quantity field (#9).
5. For a pending order that qualify for a Quantity recalculation that did
not happen because of one of the rules above (1, 3 and 4), the system
will display the following message to the user editing the DAYS SUPPLY
field (#8):
The QTY (99) has not been changed.
==================
Please, review and update it if necessary.
Additionally, a modification was introduced to prevent any automatic
calculation/update of the QTY field (#9) for a new, pending or existing
order when the user selects to specifically edit the QTY field (#9)
itself.
Technical Resolution:
---------------------
Modified routines PSODIR1, PSOSIG, PSOSIGCX and PSOSIGTX to implement the
N/A
new rules above.
5. I14933412FY17 - When editing the QTY field (#9) of a Pending Order the
system will auto calculate if Schedule not marked PRN
Problem:
--------
When using the options Patient Prescription Processing [PSO LM BACKDOOR
ORDERS] or Complete Orders from OERR [PSO LMOE FINISH] if the user tries
to edit the QTY field (#9) of the pending order and if the quantity can be
automatically calculated and the current value does not match the
calculated value the software will automatically replace the current value
with the calculated value before prompting the user for the QTY field (#9)
for the order.
As seen on the example below:
Pending OP Orders (ROUTINE) Jun 06, 2017@15:13:57 Page: 2 of 3
TESPATNM,ROB <A>
PID: 666-00-0258 Ht(cm): _______ (______)
Patient Safety Issues (PSIs):
DOB: JUL 21,1963 (53) Wt(kg): _______ (______)
+---------------------------------------------------------------------
(4) Pat Instruct:
Provider Comments:
Instructions: TAKE ONE TABLET PO QDAY
SIG: TAKE ONE TABLET BY BY MOUTH EVERY DAY
(5) Patient Status: SC
(6) Issue Date: JUN 6,2017 (7) Fill Date: JUN 6,2017
(8) Days Supply: 30 (9) QTY (TAB): 10
Provider ordered: days supply 30, quantity 10 & refills 0
=============================
(10) # of Refills: 0 (11) Routing: MAIL
(12) Clinic: NHCU
(13) Provider: ROCHA,MARCELO
(14) Copies: 1
(15) Remarks:
Entry By: ROCHA,MARCELO Entry Date: 06/06/17 12:07:24
-------Digitally Signed Order----------------------------------------
BY Bypass DC Discontinue FL Flag/Unflag
ED Edit FN Finish
Select Item(s): Quit// 9
PSPO #2696 - When finishing pending orders from CPRS using the Complete
Quantity has been changed from 10 to 30
Press Return to Continue:
QTY ( TAB ) : 30//
Resolution:
-----------
A change was introduced to the code responsible for handling the editing
Orders from OERR[PSO LMOE FINISH] option, if the user selects not to
of the QTY field (#9) of a pending order to prevent any automatic
recalculation and update of the quantity value from happening before the
user is prompted for the QTY prompt. Also, when entering a new order the
software will not try to auto update the QTY value if a value already is
defined and the user is chooses to edit the QTY field (#9).
Technical Resolution:
---------------------
Modified the routine PSODIR1 at the QTY line tag that handles the QTY
editing logic to not call QTY^PSOSIG (responsible for recalculating the
display the patient profile and start processing pending orders a problem
quantity) when a quantity already exists for the order.
would occur for patients with orders issued by more than one single
provider.
PSPO #2580 - For pending orders with a dispense drug where the quantity
1. Messages from PSO EXTERNAL DISPENSE do not specify site location
can be automatically calculated based on the dosage and day's supply
there was a problem for certain situations where the automatic calculation
was not desirable.
Test Sites:
===========
Orlando VAMC
Erie VAMC
Associated CA SDM Ticket(s):
============================
1.I9896500FY16 - Request for site ID in subject line/PSO EXTERNAL
DISPENSE Message
2.I9897580FY16 - Wrong authorization provider is listed on prescription
in CPRS and Outpatient Pharmacy
3.I9898461FY16 - Comment placed in "REMARKS" prompt is not visible if Rx
is on hold
2. Wrong authorization provider is listed on prescription in (PSPO
4.I10167818FY16 - Editing day's supply incorrect
5 I14933412FY17 - When editing the QTY field (#9) of a Pending Order the
system will auto calculate if Schedule not marked PRN
Defect Tracking System Ticket(s) Overview:
==========================================
1. I9896500FY16 - Request for site ID in subject line/PSO EXTERNAL
DISPENSE Message
#2696) CPRS and Outpatient Pharmacy
Problem:
--------
When OPAI (Outpatient Pharmacy Automated Interface) tries to release a
prescription and it is unable to match the release information with a
prescription fill on file it will create a Mailman message alerting users
about the issue. The problem for integrated sites with multiple sites
using OPAI is that the Mailman message does not identify which site the
release information was for, prompting all the sites to lookup the Rx
record to find out whether it belongs to them or not.
Current message subject: "External Dispense - Rx Release Attempted"
Resolution:
-----------
The Mailman message subject was modified to include the Site Number at the
beginning. This will be consistent with other mailman messages that
already identify the Rx site in the message subject.
New message subject: "500 External Dispense - Rx Release Attempted"
3. Remarks entered do not display when prescription is placed on Hold
Technical Resolution:
---------------------
Modify routine PSOHLDI1 at tag MAIL+13: add the following code:
S XMSUB=$S($G(PSOSITE):$$GET1^DIQ(59,PSOSITE,.06)_" ",1:"")_"External
Dispense - Rx Release Attempted"
2. I9897580FY16 - The Wrong authorization provider is listed on
prescription in CPRS and Outpatient Pharmacy
PSPO #2696
Problem:
--------
When finishing pending orders from CPRS using the Complete Orders from
OERR [PSO LMOE FINISH] option, if the user selects not to display the
patient profile and start processing pending orders a problem would occur
for patients with orders issued by more than one single provider. If the
user selected the Provider field (#13) and merely confirmed it,
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