| DESCRIPTION OF ENHANCEMENTS |
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...
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