| DESCRIPTION OF ENHANCEMENTS |
Pharmacy Benefits Management (PBM) Strategic Healthcare Group in
Kernel V. 8.0
Computerized Patient Record System (CPRS) V. 1.0
Pharmacy Data Management (PDM) V. 1.0
Outpatient Pharmacy (OP) V. 7.0
Controlled Substances (CS) V. 3.0
This is the PDM patch that provides the following new functionalities:
1. It provides CPRS with new API's 3737 and 3739 (these are modifications
of existing API's 3373 and 3233 which shall remain unchanged). The logic
collaboration with the Drug Enforcement Administration (DEA), requested
of deriving at the DEA SPECIAL HDLG code for drugs associated with an
orderable item has changed. The National Drug File data update patches
PSN*4*64 and PSN*4*66 assign a CS Federal Schedule to controlled
substances and identify controlled substances as narcotics or
non-narcotics by populating the CS FEDERAL SCHEDULE field (#19) of the VA
PRODUCT file (#50.68). If any of the active dispense drugs associated with
the Pharmacy orderable item for the specified package are matched to an
entry in NDF, then the most restrictive CS FEDERAL SCHEDULE code will be
returned. If there is no match or the CS FEDERAL SCHEDULE code is
undefined, then the most restrictive DEA SPECIAL HDLG code mapped to the
the development of the first Public Key Infrastructure (PKI) VistA
corresponding CS FEDERAL SCHEDULE code will be returned using the
following table:
CS FEDERAL SCHEDULE DEA, SPECIAL HDLG
Code
Schedule I narcotics 1 1
Schedule II narcotics 2 2A
Schedule II non-narcotics 2n 2C
Schedule III narcotics 3 3A
Schedule III non-narcotics 3n 3C
pilot project, named Electronic Prescription Order Entry for Schedule II
Schedule IV narcotics 4 4
Schedule V narcotics 5 5
2. It includes a Post-Install routine to identify those drugs that show
discrepancies between the CS FEDERAL SCHEDULE field (#19) of the VA
PRODUCT file (#50.68) and DEA SPECIAL HDLG field (#3) of the DRUG file
(#50), and generates the following 4 mail messages to the installer and
the holders of the PSNMGR keys:
CS FEDERAL SCHEDULE AND DEA, SPECIAL HDLG DISCREPANCIES
CONTROLLED SUBSTANCES NOT MATCHED
Controlled Substances. The objective is to develop an electronic order
CONTROLLED SUBSTANCES NOT SET CORRECTLY
DISCREPANCY IN DEA WITHIN DRUGS TIED TO AN OI
These mail messages can be used to clean up the DEA SPECIAL HDLG code in
the DRUG file where appropriate.
3. It also provides the following new menu options to generate reports of
the above mail messages:
Controlled Substances/PKI Reports [PSS CS/PKI REPORTS] menu has the
following 4 new options:
entry system for Schedule II controlled substances using digital
1 DEA Spec Hdlg & CS Fed Sch Discrepancy [PSS DEA VS CS FED. SCH.
DISCR.]
2 Controlled Substances Not Matched to NDF [PSS CS NOT MATCHED TO NDF]
3 CS (DRUGS) Inconsistent with DEA Spec Hdlg [PSS CS DRUGS INCON WITH
DEA]
4 CS (Ord. Item) Inconsistent with DEA Spec Hdlg [PSS CS (OI) INCON WITH
DEA]
This new menu Controlled Substances/PKI Reports [PSS CS/PKI REPORTS],
will be added to the Pharmacy Data Management [PSS MGR] menu.
signatures. To make this project viable, modifications to the following
4. When using the Drug Enter/Edit [PSS DRUG ENTER/EDIT] option, if the CS
FEDERAL SCHEDULE field (#19) of the VA PRODUCT file (#50.68) and the DEA
SPECIAL HDLG field (#3) of the DRUG file (#50) have a discrepancy, then
this patch displays a warning message, "The CS Federal Schedule associated
with this drug in the VA Product file represents a DEA, Special Handling
code of XX", where XX is the CS FEDERAL SCHEDULE code mapped to
corresponding DEA SPECIAL HDLG code as defined in the above table.
5. This patch ensures that the newly populated CS FEDERAL SCHEDULE field
(#19) of the VA PRODUCT file (#50.68) is also included as part of the
packages were identified:
drug details in the Lookup into Dispense Drug File [PSS LOOK] option.
6. This patch introduces a new code "F" for NON REFILLABLE for the DEA
SPECIAL HDLG field (#3) of the DRUG file (#50). This will allow sites to
mark drugs other than controlled substances or clozapine drugs as NON
REFILLABLE. This functionality will be effective in the Outpatient
Pharmacy V. 7.0 package only if the patch PSO*7.0*131 is installed.
7. The designation "A" which stands for "NARCOTICS AND ALCOHOLICS" used in
the DEA, SPECIAL HDLG field (#3) of the DRUG file (#50), is changed in
National Drug File (NDF) V. 4.0
this patch to read as "NARCOTICS AND ALCOHOLS".
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