| DESCRIPTION OF ENHANCEMENTS |
******************************* WARNING **********************************
******************************* ATTENTION ********************************
(v)PSJ*5*253 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*254 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*263 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*265 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*273 <<= must be installed BEFORE
`PSJ*5*267'
Subject: IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH SI/OPI
Category: ROUTINE
ENHANCEMENT
OTHER
Press RETURN to continue or '^' to stop
PSB*3*68 and PSS*1*171
VistA Patch Display
Page: 2
==========================================================================
===
Run Date: JUL 06, 2012 Designation: PSJ*5*267 TEST
v23
Package : INPATIENT MEDICATIONS Priority : MANDATORY
Version : 5 Status : UNDER DEVELOPMENT
==========================================================================
===
Description:
===========
This patch (PSJ*5*267) should be installed before PSS*1*171 in order to
******************************* WARNING **********************************
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
patch will overwrite any local modifications in routines PSJOEA2, PSGOEE,
PSGOETO, and PSGOEV. This could affect certain orders being sent across
this interface. The modifications will have to be reintroduced following
installation of this patch.
**************************************************************************
activate the NO ALLERGY ASSESSMENT enhancement. The NO ALLERGY ASSESSMENT
Press RETURN to continue or '^' to stop ^
Select PATCH: PSJ*5*267 IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH
UND JCH
enhancement will not be fully activated until patch PSS*1*171 and
DEVICE: HOME// ;;99999 SSH VIRTUAL TERMINAL
VistA Patch Display
PSJ*5*267 are both installed.
Page: 1
==========================================================================
===
Run Date: JUL 06, 2012 Designation: PSJ*5*267 TEST
v23
Package : INPATIENT MEDICATIONS Priority : MANDATORY
Version : 5 Status : UNDER DEVELOPMENT
==========================================================================
===
Associated patches: (v)PSJ*5*200 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*253 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*254 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*263 <<= must be installed BEFORE
`PSJ*5*267'
(v)PSJ*5*265 <<= must be installed BEFORE
`PSJ*5*267'
This patch (PSJ*5*267) should be installed with PSB*3*68 in order to
(v)PSJ*5*273 <<= must be installed BEFORE
`PSJ*5*267'
Subject: IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH SI/OPI
Category: ROUTINE
ENHANCEMENT
OTHER
activate the UNLIMITED SI/OPI enhancement in BCMA. This patch (PSJ*5*267)
Description:
===========
******************************* WARNING **********************************
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
patch will overwrite any local modifications in routines PSJOEA2, PSGOEE,
PSGOETO, and PSGOEV. This could affect certain orders being sent across
this interface. The modifications will have to be reintroduced following
installation of this patch.
is required by PSB*3*68 and must be installed after PSB*3*68.
**************************************************************************
Enhancements
=====================
1. Special Instructions/Other Print Info
________________________________________
With this enhancement, Special Instructions and Other Print Info have
been modified to support an unlimited amount of text. The existing
functionality that copies the provider comments from the Computerized
Patient Record System (CPRS) to be copied into each field has been
retained, and an additional action has been added to optionally open a
word processing edit dialog after copying the provider comments into the
appropriate field (Special Instructions for Unit Dose, Other Print Info
for IV).
Special Instructions and Other Print Info may also be entered
and/or edited from within Inpatient Medications V. 5.0 order entry
options.
*************************************************************************
Prior to this enhancement, Inpatient Medications maximum character
length for Special Instructions was 180 characters and for Other Print
Info the maximum length was 60 characters. This enhancement resolves
Patient Safety Issues PSPO 42, 1466 / Remedy Ticket HD336419
- Comment lengths between CPRS and Pharmacy.
2. No Allergy Assessment
________________________
The No Allergy Assessment enhancement provides an interactive alert to
the pharmacist in Inpatient Medications V. 5.0 when no allergy assessment
is on file for the patient, and a method for the pharmacist to enter an
allergy assessment after receiving the alert. A pharmacy intervention
is automatically created if the pharmacist chooses to not enter an
assessment.
The No Allergy Assessment functionality will be available at the
following options:
Inpatient Order Entry [PSJ OE]
Enhancements
Non-Verified/Pending Orders [PSJU VBW]
Order Entry [PSJU NE]
Order Entry (IV) [PSJI ORDER]
Profile (IV) [PSJI PROFILE]
When a patient with no allergy assessment is selected from one of the
affected options, the following message will be displayed to the
pharmacist:
"NO ALLERGY ASSESSMENT exists for this patient! Would you like to enter
=====================
one now?"
- If the pharmacist enters 'YES' at this prompt, they are prompted
for allergy information.
- If the pharmacist enters 'NO' at this prompt, a pharmacist intervention
is created, with a type of 'NO ALLERGY ASSESSMENT'. The pharmacist is
then prompted for Provider and Recommendation. A new Recommendation,
'UNABLE TO ASSESS', has been created specifically for this type of
intervention.
This enhancement will address Patient Safety Issue PSPO 445.
Defects Addressed
=========================
1. HD 187184 - IV Med Stop Date
Problem
-------
1. Special Instructions/Other Print Info
When an IV order is renewed the status automatically changes to
expired, but the stop date does not change to the time the order
actually stops.
Resolution
----------
Routine PSJHL3 has been modified to correctly set the stop date of the
order that has been renewed to the time of renewal.
________________________________________
2. HD 176676/PSPO 480 - Inpatient doesn't change order status to Expired.
Problem
-------
The Inpatient Medications V. 5.0 package does not change order status
to Expired when sending orders to CPRS with Stop Date/Time in the
past.
Solution:
---------
If your facility has the Pyxis/Omnicell/McKesson interface from ILC this
With this enhancement, Special Instructions and Other Print Info have
Routine PSJHL3 has been modified to change the order status to
Expired, if the order's Stop Date/Time is in the past, when sending
orders to CPRS.
**This is a partial solution addressing Inpatient Medications V.5.0
functionality only. Patch OR*3*350 addresses CPRS GUI functionality.
3. HD 377288 (original) - Default response should be "No"
Problem
-------
been modified to support an unlimited amount of text. The existing
When an Inpatient Unit Dose order's Dosage Ordered field does not
match the dosage indicated by the Dispense Drug and Units per
Dose fields, the warning prompt "Would you like to continue
verifying the order?" is displayed after accepting the order via the
AC-Accept action. The prompt's default response is "Yes", even though
the order is flawed.
The Inpatient Medications Workgroup has requested
this be changed to "No".
functionality that copies the provider comments from the Computerized
Solution
--------
When an Inpatient Unit Dose order's Dosage Ordered fi eld does not
match the dosage indicated by the Dispense Drug and Units per
Dose fields, the default response for the prompt "Would you like to
continue verifying the order?" will be changed to "No", as requested
by the Inpatient Medications Workgroup.
4. HD 273000 (original) - Field Validation Not Correct
Patient Record System (CPRS) to be copied into each field has been
Problem
-------
When a second Dispense drug is added to a Unit Dose medication order,
and no Dosage Ordered is selected, the following message display:
THE FOLLOWING IS EITHER INVALID OR MISSING FROM THIS ORDER:
THIS FIELD IS NECESSARY FOR VERIFICATION.
Enter RETURN to continue or '^' to exit:
<=======T=======T=======T=======T=======T=======T=======T=======T=======T>
Note that there is no actual field name displayed as an invalid field.
This is incorrect.
Solution
--------
In CHK^PSGOEV the variable CHK gets set to 8 and there is no handling
for a value of 8. The message is correct when CHK is set to 7.
======
5. HD 517634/PSPO 2137 - Provider Comments not displayed.
Problem
-------
Provider Comments for continuous IV orders are not displaying in CPRS
after the order is verified in Inpatient Medications.
Resolution
----------
When IV orders are verified in Inpatient Medications, if the order
contains Provider Comments, include the Provider Comments in the
update sent to CPRS in order to keep the order synchronized.
6. HD 586428/PSPO 2137 - Provider Comments not displayed after Verify.
Problem
-------
When an IV order is created with Provider Comments, and then edited
prior to verification so as to trigger the creation of a new order,
Provider Comments do not carry over to the new order if auto-verify
is not used. As a result, the verifying pharmacist may not see the
original Provider Comments.
Solution
--------
Prior to the initial verification of an order, the original Provider
Comments should carry over to new a order created due to edit, so that
the pharmacist verifying the order has an opportunity to see the
Provider Comments.
patch will overwrite any local modifications in routines PSJOEA2, PSGOEE,
editing MESSAGE TEXT
Do you want to copy a packman message into the Message Text? No//
MESSAGE TEXT:. . .
PSGOETO, and PSGOEV. This could affect certain orders being sent across
. . .
"^DD",53.45,53.456,0,"NM","OTHER PRINT INFO")
"^DD",53.45,53.456,0,"UP")
"^DD",53.45,53.456,.01,0)
OTHER PRINT INFO (LONG)^WLx^^0;1^Q
"^DD",53.45,53.456,.01,"DT")
$END KID PSJ*5.0*267
this interface. The modifications will have to be reintroduced following
Edit? NO//
Select ROUTINE NAME: PSGOTR// ^
Select PATCH:
You have 402 new messages. (Last arrival: 07/06/12@08:11)
You've got PRIORITY mail!
installation of this patch.
Select Developer's Menu Option: ^DISPLAY A PATch
Select PATCH: PSJ*%*267 ??
Select PATCH: PSj*5*267 IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH
UND JCH
DEVICE: HOME// SSH VIRTUAL TERMINAL
VistA Patch Display
Page: 1
==========================================================================
**************************************************************************
===
Run Date: JUL 06, 2012 Designation: PSJ*5*267 TEST
v23
Package : INPATIENT MEDICATIONS Priority : MANDATORY
Version : 5 Status : UNDER DEVELOPMENT
==========================================================================
===
Associated patches: (v)PSJ*5*200 <<= must be installed BEFORE
`PSJ*5*267'
|
