| DESCRIPTION OF ENHANCEMENTS |
The Enrollment VistA Changes (EVC) project is being undertaken to support
This patch provides the functionality changes to determine, process and
VIEW 2 - This provides the medication list sorted by prescription
Status Group, Status, and Drug Name.
Active group:
Active
Hold
Pending group
Non-Verified
Pending
Discontinued
Discontinued by Provider
disseminate the newly added Environmental Indicator (EI) called Project
Discontinued (Edit)
VIEW 3 - This provides the medication list sorted by Drug Name,
active/suspended and Stop Date/Expiration Date.
c. Flag/Un-Flag functionality (PSI-06-041)
It was requested in the Remedy ticket #133716 that the flagging
capability that is available in CPRS be made available for
Outpatient Pharmacy use. This patch provides the flagging
functionality for Pending orders only.
112/SHAD Exposure (a.k.a SHAD), where applicable.
d. As per the E3R numbers 19973 and 19876, to improve communication
between the provider and the pharmacist, Outpatient Pharmacy will now
send the actual comments made by the pharmacist to CPRS when a
prescription is put on Hold, Discontinued, and Returned to Stock
replacing the generic "per pharmacy request" text.
e. When the DC-Discontinue ListMan option is used to discontinue a
pending "renewal" order, the software will now check for an active
prescription for the same drug. If found it will prompt the following:
"There is an active Rx for this pending order, Discontinue both
(Y/N)".
This will provide the user with the option to discontinue both pending
and the active order.
f. A problem was reported in one of the error messages displayed on CPRS
side when a provider tries to discontinue an Outpatient Pharmacy
order from the Orders Tab and that order for some reason is
not found in the PRESCRIPTION file (#52). The solution provided is to
replace the error message "Unable to locate order" with "Invalid
This patch also changed the EI, "Environmental Contaminant" to read
Pharmacy order number" to be in consistent with the Inpatient
Medications V. 5.0 error messages.
g. At the request of CPRS active calls to obsolete routine OR3CONV have
been removed from Outpatient Pharmacy V. 7.0.
h. When finishing a pending order placed in CPRS, it was reported that
the patient instructions sent across to CPRS was getting truncated.
This patch fixes the problem.
as "Southwest Asia Conditions".
i. PSI-07-057 - Potential of inappropriate or misleading provider
comments to be automatically included on new medication orders.
To fix this problem CPRS is dropping (will not carry over) the
original provider comments during renewals of Outpatient Pharmacy
medications.
To follow suit with CPRS, Outpatient Pharmacy is also dropping the
original provider comments from all backdoor renewals.
1. For the following options, when creating a new order, renewing an
existing order, copying an existing order to a new order, or editing
an existing order that results in a new order, the copay status of the
technology and business changes that are occurring with the implementation
prescription needs to be determined for billing purposes.
a. Patient Prescription Processing [PSO LM BACKDOOR ORDERS]
b. Barcode Batch Prescription Entry [PSO BATCH BARCODE]
c. Complete Orders from OERR [PSO LMOE FINISH]
If a patient is found eligible for SHAD then the prompt
"Was treatment related to PROJ 112/SHAD?" will be presented to the
pharmacist.
of the Health Eligibility Center (HEC) Enrollment System Redesign (ESR)
A "YES" or "NO" response will be stored in the new fields, PROJ
112/SHAD field (#122.01) of the PRESCRIPTION file (#52) and in the PROJ
112/SHAD field (#8) of the ICD DIAGNOSIS sub-file (#52.052311) of the
PRESCRIPTION file (#52).
2. The Integration Control Registration (ICR) #2534, provides
Computerized Patient Record System V. 3.0 (CPRS) with all the eligible
EI questions that will be prompted during the pharmacy order entry
process. This ICR is modified to include the SHAD prompt.
project. Some modified and new business functionality is being included in
3. When a verbal or telephone order is placed in backdoor pharmacy, it
requires an electronic signature from the provider. During the
signature entry process in CPRS, the provider may update the SC, EI,
or the ICD diagnosis information. This updated information is passed
back to pharmacy via the ICR #4666, which is modified to include the
SHAD changes.
4. The PENDING OUTPATIENT ORDERS file (#52.41) that stores the pharmacy
orders entered via CPRS is modified to include the provider's response
to the SHAD question. The provider's response will be stored in the
the new system and corresponding changes are necessary in VistA for
new fields, PROJ 112/SHAD field (#110.2) of the PENDING OUTPATIENT
ORDERS file (#52.41) and the PROJ 112/SHAD field (#8) of the DIAGNOSIS
sub-file (#52.41311) of the PENDING OUTPATIENT ORDERS file (#52.41).
5. During the release of a prescription, if the SHAD question applies and
is unanswered, the MailMan message that is sent to the finishing
pharmacist, ordering provider, and holders of the PSO COPAY key, to
get answers to the EI questions will have the SHAD question if
applicable.
preliminary determination of veterans Enrollment and Eligibility status.
6. The Reset Copay Status/Cancel Charges [PSOCP RESET COPAY STATUS]
option is modified to include the SHAD question wherever applicable.
7. During label printing, if the prescription is flagged as SHAD then the
text "NO COPAY" will be printed in the label.
Unrelated to the Enrollment VistA Changes (EVC) features, this patch also
provides the following changes to support CPRS v27.
a. To add the proper escape sequences to the standard HEALTH LEVEL
The EVC project has been rolled out in three phases. This release
SEVEN (HL7) encoding characters to messages sent to CPRS / remove
escape sequences received from CPRS and replace them with standard HL7
encoding characters. This will help avoid errors that can occur if
special delimiting characters are encountered during parsing of the
HL7 messages.
b. Integration Control Registration (ICR) #2400, will be modified to
provide new sorting sequences of the patient medication profile that
is viewed under the CPRS-Meds Tab including the Non-VA medications.
represents the third and last phase called EVC Release 2.
VIEW 0 or null - This provides the medication list as it was prior to
GUI 27 so that other applications calling this API will not
see any changes.
VIEW 1 - This provides the medication list sorted by prescription
Status Group and Stop Date/Expiration Date. Following is the
order:
Pending group
Non-Verified
Pending
Active group:
Active
Hold
Suspended (Active/Susp)
Provider Hold
Expired group
Expired
Discontinued/Deleted group
Discontinued by Provider
Discontinued (Edit)
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