| DESCRIPTION OF ENHANCEMENTS |
The following describes all of the changes included in this patch:
activity log entry was created with a reason of "RETURNED". For those
C. For a patient defined as SC<50 but had a null SC percentage value
defined, backdoor Outpatient Pharmacy was asking the SC prompt but not
storing the answers. The SC prompt is only displayed for those
prescriptions that the Scheduling DBIA #1579 and/or the Integrated
Billing (IB) DBIA #125 determines that it should be asked. Upon release
of the fill, a "PRESCRIPTION QUESTIONS REVIEW NEEDED" mailman message
requesting entry of the SC field was sent to holders of the PSO COPAY
key. Because this functionality uses the same checking mechanism as
non-exempt new orders, the following functions were affected by this
prescriptions where copay was cancelled, a copay activity log was
change: copies, renews and edits that create a new order. This patch will
store the SC answer for null SC percentage values.
D. The SC prompt was not asked in Computerized Patient Record System
(CPRS), but was asked in backdoor Outpatient Pharmacy. No default answer
was shown in backdoor due to the question not being asked in CRPS. This
occurred for any SC percentage that the SDCO22 API (#1579) returned a
value that indicated to not ask the SC question but IB returned a flag
that indicated that the SC question should be asked. This problem occurs
for a variety of SC percentages based on how the patient's eligibility is
generated. The following are examples of those types of entries made by
defined in enrollment. This patch will tell CPRS to ask SC for this
scenario.
E. It was found that edits made to SC and/or EI's during COMPLETE ORDERS
FROM OERR [PSO LMOE FINISH] option and the finish function in the PATIENT
PRESCRIPTION PROCESSING [PSO LM BACKDOOR ORDERS] option were not reflected
in CPRS. With the CIDC patches, a new standardized segment was created to
pass SC, EI's and ICD-9 diagnosis codes and use of the old segment was
discontinued. When the CPRS CIDC switch is off, CPRS is looking at the old
segment for updated orders. This patch adds the functionality to send both
PSO*7*226.
ZSC and ZCL segments.
F. When using the edit function in the PATIENT PRESCRIPTION PROCESSING
option [PSO LM BACKDOOR ORDERS], the total number of entries in the ICD
DIAGNOSIS multiple (#52311) was being defined as one number less than it
should have been. For example, eight diagnosis codes entered but the
multiple shows seven as the total number of entries for the multiple. The
diagnosis codes were displayed correctly to the user. This patch will
store the correct number of entries when edits are performed.
G. The PSOHLNE3 API IA (#4666) was defining an activity log entry that
stated "Clinical Indicators and SC/EI's were updated from a CPRS e-sig
edit..." for all prescriptions passed through the API. Also, it was
needlessly defining a copay activity log entry for supply items and
investigational drugs. Last, it was storing a copay activity log entry
(copay to no copay) that was set erroneously when the provider edits
SC/EI's during sign of a verbal/telephone order leaving the prescription
as no copay. This API is used to pass data from CPRS to OP when a verbal
or telephone order is signed in CPRS when the CPRS CIDC Switch is on.
This patch limits the setting of the activity log to only those
Activity Log Example:
prescriptions where SC, EI's and/or ICD's were changed during sign order.
And, it eliminates setting the copay activity log for supply items and
investigational drugs as well as eliminating the erroneous "copay to no
copay" activity log entry.
H. The RESET COPAY STATUS/CANCEL CHARGES option [PSOCP RESET COPAY
STATUS] was overlaying the previously stored diagnosis code when storing
updated information. Also, the default answer for SC was not being
displayed for SC<50% patients. This patch corrects these issues.
I. When the CPRS CIDC switch is turned on, the B cross reference was
not being defined in the ICD DIAGNOSIS field (#311) in PENDING OUTPATIENT
ORDERS file (#52.41). For telephone/verbal orders signed in CPRS and
CPRS renewals, the B cross reference was not being defined in the ICD
DIAGNOSIS field (#52311) in PRESCRIPTION file (#52). This was not
reported as an issue, but the correction is being made in this patch.
Technical Descriptions:
=======================
1 11/28/05 X-INTERFACE ORIGINAL PHARMACIST,ONE
1. For Remedy Ticket 130112:
A. A snapshot of the ACTIVITY LOG sub-file (#40) and the COPAY
ACTIVITY LOG sub-file (#107) will be stored in ^XTMP("PSOCIDC7") node,
and will be available for 90 days.
B. The "BKGD CIDC UPDATE" activity log entry will be removed and the
ACTIVITY LOG sub-file (#40) will be re-subscripted to eliminate the
missing node. The removed entry will be inserted in the COPAY ACTIVITY LOG
sub-file (#107). The date given in the old activity log entry will be
Comments: Prescription sent to external interface.
used as the COPAY ACTIVITY LOG field (#.01) for the new entry. The copay
activity log will be sorted by dates within the existing entries and
including the new entry, then they will be stored back into the COPAY
ACTIVITY LOG sub-file (#107). The comment for the new copay activity log
entry as well as any existing copay activity log entries will be changed
to state "CIDC CLEANUP" instead of "BKGD CIDC UPDATE".
C. Because the copay to no copay or vice versa information was not
recorded in the old Activity log entry, those values can only reflect the
current state of the prescription, and it's thought that they should not
2 11/28/05 RETURNED ORIGINAL POSTMASTER
be stored on the new entry.
D. To print the report of all prescriptions updated by the Clean-up
routine, type the following from the programmer's prompt using the print
device that you prefer.
>D RPT^PSOCIDC9
DEVICE: HOME// UCX/TELNET RIGHT MARGIN:80//
Patch PSO*7*239 - Corrected Activity and Copay Activity logs
Comments: BKGD CIDC UPDATE
Note that this report reflects all prescriptions where the activity
and/or copay activity logs were corrected. For detailed information,
please view the activity and copay activity log on the prescription.
Date printed: MAR 6,2006@14:09:25 Page: 1
===============================================================
PATIENT NAME (SSN) DIV RX#
--------------- ------- -------------- ------------
PATIENT,ONE (B3453) TROY, NY 200037
3 11/29/05 X-INTERFACE REFILL 1 PHARMACIST,TWO
BPATIENT,TWO (B0033) TROY, NY 200049
BPATIENT,TWO (B0033) TROY, NY 200050
E. The following is an example of a status query for the Clean-up
routine, and it must be run from programmer's mode:
>D STATUS^PSOCIDC7
Currently processing:
Date being processed > Nov 3, 2005
Comments: Prescription sent to external interface.
RX # > 1375666
F. A stop function has been provided in case the system needs to be
shut down for an emergency or other reason. Then when the system is back
up and you are ready you may restart the job, it will resume where it
left off. You may restart by entering D ^PSOCIDC7 at the programmer's
prompt. The following is an example:
>D STOP^PSOCIDC7
Outpatient Activity Logs Correction Job - set to STOP Soon
Check Status to be sure it has stopped and is not running...
(D STATUS^PSOCIDC7)
G. The Clean-up routine can be executed from the programmer's
prompt instead of through the patch installation. Also, restarting the
Clean-up routine after using the stop function described above is
performed in the same manner. Below is an example how to perform this
Copay Activity Log Example:
function:
>D ^PSOCIDC7
****************** SELECT RUN OPTION ******************
Do you want to run the activity logs correction process? Y or N// YES
Enter when to Queue the CIDC ACTIVITY LOGS CORRECTION job to run in
date@time format: NOW//
===================================================
Queuing background job for CIDC ACTIVITY LOGS CORRECTION...
Start time: Month day, year@time
===================================================
*** Task #NNNNN Queued! ***
2. The following correlates to the items described in number two in the
Functional Description section:
A. The renew process has been modified to store the changed value
1 02/01/06 COPAY RESET ORIGINAL PHARMACIST,ONE
for SC in the PRESCRIPTION file (#52).
B. This patch will remove all of the functionality that stored the
unnecessary IBQ node.
C. Outpatient was modified to store the SC value for patients with a null
SC percentage which eliminates the sending of a "PRESCRIPTION QUESTIONS
REVIEW NEEDED" Mailman message.
D. The check for the PSOSCMX variable was restored to the PSOCP
Comment:-BKGD CIDC COPAY CANCEL Old value=Copay New value=No Copay
routine.
E. This patch adds the functionality to send both ZSC and ZCL segments to
CPRS. The ZSC passes SC/EI's only. The ZCL node passes SC, EI's, and
ICD-9 Diagnosis codes.
F. This patch will correctly store the third and fourth piece of the zero
node of the ICD DIAGNOSIS multiple (#52311) of PRESCRIPTION file (#52).
G. The PSOHLNE3 API IA (#4666) was changed to only store entries in the
2 02/01/06 REMOVE COPAY CHARGE ORIGINAL PHARMACIST,ONE
ACTIVITY LOG multiple (#40) when SC, EI's, and/or ICD's were edited.
For supply items and investigational drugs, no copay activity log entries
will be stored. Also, it was modified to prevent storage of a copay
activity log entry (copay to no copay) that was set erroneously when the
provider edits SC/EI's during sign of a verbal/telephone order leaving the
prescription as no copay.
H. The RESET COPAY STATUS/CANCEL CHARGES [PSOCP RESET COPAY STATUS]
option has been modified to not overlay the previously stored
ICD-9 Diagnosis code with a null value and to display previously entered
Comment: RX EDITED -BKGD CIDC COPAY CANCEL
SC values as a default answer.
I. The B cross reference will be set for the ICD DIAGNOSIS field (#311)
in PENDING OUTPATIENT ORDERS file (#52.41) and in the ICD DIAGNOSIS field
(#52311) in PRESCRIPTION file (#52) for CPRS renewals/verbal/telephone
orders.
1. For Remedy Ticket 130112:
To eliminate any confusion, patch PSO*7*239 provides an Activity Log
Correction process/Clean-up routine. This routine will take the activity
log entries created by patch PSO*7*226, move them to the copay activity
log, and then subsequently will delete the activity log entries. Also,
the comment on the copay activity log entries where copay was cancelled as
well as those entries moved to the copay activity log will be changed to
"CIDC CLEANUP". The activity log will be resequenced to eliminate any
missing nodes, and the copay activity log will be resequenced to insert
the new entries by date and time. The following are examples of the
updated entries:
-Note that sequence two from the above example was removed and the
third sequence was moved up.
1 11/28/05 X-INTERFACE ORIGINAL PHARMACIST,ONE
Comments: Prescription sent to external interface.
2 11/28/05 X-INTERFACE REFILL 1 PHARMACIST,TWO
Comments: Prescription sent to external interface.
After installation of patch PSO*7*226, it was reported that the activity
-The next entry shows an Activity log entry moved to Copay Activity log:
1 11/28/05 COPAY RESET ORIGINAL POSTMASTER
Comment: CIDC CLEANUP
-The following shows a cancelled Copay Activity Log entry comment
updated to "CIDC CLEANUP:
1 02/01/06 COPAY RESET ORIGINAL POSTMASTER
Comment: CIDC CLEANUP Old value=Copay New value=No Copay
log entries generated by the patch were confusing. A large part of patch
2 02/01/06 REMOVE COPAY CHARGE ORIGINAL POSTMASTER
Comment: CIDC CLEANUP
This patch provides a listing of all prescriptions where the activity log
was updated by the Clean-up routine, a means of checking the status of the
Clean-up routine, and a means of stopping the Clean-up job if needed. A
detailed description of these functions is located in the Technical
description.
When installing this patch, the activity log Clean-up portion of this
PSO*7*226 was to cancel any erroneously billed copays and to define any
patch is optional. However, it is highly recommended that it be run for
consistency and maintainability.
Once the Clean-up routine has completed a mailman message will be sent to
the user who installed the patch. The following is an example:
Subj: Outpatient Pharmacy PSO*7*239 CIDC ACTIVITY LOGS CORRECTION
[#200121] 03/06/06@13:56 4 lines
From: PSO*7*239 CIDC ACTIVITY LOGS CORRECTION In 'IN' basket. Page
1 *New*
missing IBQ nodes on the prescription using the SC/EI answers stored on
-------------------------------------------------------------------------
The CIDC ACTIVITY LOGS CORRECTION job for the Outpatient Pharmacy
patch (PSO*7*239) started MAR 06, 2006@13:56:04
and completed MAR 06, 2006@13:56:04.
Enter message action (in IN basket): Ignore//
2. The following issues were found during unit testing for backdoor
Outpatient Pharmacy orders, and the corrections are included in this
the ICD node. For those prescriptions where the IBQ node was defined, an
patch.
A. When a prescriptions with an exempt patient status is renewed and the
user changes the value of service connected (SC), the default value was
stored instead of the changed value. This only occurred for the SC
prompt. The renew process has been modified to store the changed value.
B. When prescription information was stored when the RX Patient Status
was exempt from copay, the IBQ node was being stored needlessly. This
patch will remove the functionality that stored this node.
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