| DESCRIPTION OF ENHANCEMENTS |
This patch will address the following issue:
Patient Safety Issues (PSIs):
-----------------------------
N/A
Defect Tracking System Ticket(s) & Overview:
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1. INC18871441 - Patient has duplicate Rx in Vista Outpatient package
HITPS-8075
Duplicates:
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INC18557780 - VISTA Pharmacy Display Issue - route to Clinical
Ancillary Product Line, EPMO Health per their request
Problem:
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The WM. Jennings Bryan Dorn VA Medical Center reported the patient had the
same Rx with identical Rx number showing twice Patient Medication Profile when
viewing the patient in the Patient Prescription Processing [PSO LM BACKDOOR
ORDERS] option. This issue is also being considered a Patient Safety Issue
(PSI) and the number assigned by the Patient Safety team is HITPS-8075.
1. INC18871441 - Patient has duplicate Rx in Vista Outpatient package
While researching the problem 2 different issues were also identified that
actually led to the issue described by the site:
1) When the user use the option TR (Convert Titration Rx) to create a
Maintenance Rx from the Titration Rx the Issue Date assigned to the
new Maintenance Rx was the current date. The correct Issue Date for
the Maintenance Rx should be the same as the original Titration Rx. The
Expiration Date was correctly copied from the Titration Rx to the
Maintenance Rx.
2) When the user select the new Maintenance Rx and chose ED (Edit) and
HITPS-8075
entered 6 (Issue Date) and just <RET> trough the field without changing
the date the software was re-calculating the Expiration Date based on the
Issue Date which was originally set with the wrong value (issue #1).
3) The edit performed on issue #2 failed to correctly update the cross-
reference "P"/"A" in the PHARMACY PATIENT file (#55). Instead of killing
off the existing cross-reference for the previous Expiration Date and
setting a new entry for the recalculated Expiration Date it was only
setting the additional entry causing the prescription to have two entries
in the "P"/"A" cross-reference and that is what caused the duplicate
listing of the prescription in the Patient Medication Profile.
Duplicates:
Resolution:
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Two changes had to be done to address the problem which will fully address the
three issues listed above:
1) The Issue Date from the Titration Rx will be copied to the Maintenance Rx
when the user select the option TR (Convert Titration Rx).
2) The software was changed to correctly kill off re-set he "P"/"A" cross-
reference for when the Expiration Date is changed.
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Technical Resolution:
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Two changes were made to address the problems:
1) Added code at DT+11 in the routine PSOEXDT to reset the "P"/"A" cross-
reference in the PHARMACY PATIENT file (#55) every time the expiration
date is changed.
2) Added code at RFN+5 in the routine PSOORED1 to copy the Issue Date value
from the Titration Rx to the newly created Maintenance Rx.
INC18557780 - VISTA Pharmacy Display Issue - route to Clinical
Patient Safety Issues (PSIs):
-----------------------------
HITPS-8075
Ancillary Product Line, EPMO Health per their request
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