

=============================================================================
Run Date: OCT 16, 2014                     Designation: GMRA*4*46
Package : GMRA - ADVERSE REACTION TRACKING    Priority: Mandatory
Version : 4                                     Status: Under Development
=============================================================================

Associated patches: (u)OR*3*269        install with patch       `GMRA*4*46'
                    (v)GMRA*4*10   <<= must be installed BEFORE `GMRA*4*46'
                    (v)GMRA*4*44   <<= must be installed BEFORE `GMRA*4*46'

Subject: ALLERGY ORDER CHECK SIGNS/SYMPTOMS

Category: 
  - Routine

Description:
============


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=============================================================================
Run Date: OCT 16, 2014                     Designation: GMRA*4*46
Package : GMRA - ADVERSE REACTION TRACKING    Priority: Mandatory
Version : 4                                     Status: Under Development
=============================================================================

Associated patches: (u)OR*3*269        install with patch       `GMRA*4*46'
                    (v)GMRA*4*10   <<= must be installed BEFORE `GMRA*4*46'
                    (v)GMRA*4*44   <<= must be installed BEFORE `GMRA*4*46'

Subject: ALLERGY ORDER CHECK SIGNS/SYMPTOMS

Category: 
  - Routine

Description:
============

 This patch will enable the Adverse Reaction Tracking package version 4 to 
 return sign/symptom data with the medication order check message to the 
 Computerized Patient Record System (CPRS) version 1.0.29. It will also 
 update the EN1^GMRADPT Application Programming Interface (API) to return 
 adverse reaction data from the Health Data Repository (HDR) along with 
 data stored locally.
  
 This patch is released in conjunction with the Order Entry/Results 
 Reporting (OE/RR) package version 3 patch 269 (OR*3*269) as a multiple 
 build KIDS file.
  
 Patch Components
 ================
  
 Files & Fields Associated:
  
 File Name (Number)         Field Name (Number)  New/Modified/Deleted
 ------------------         -------------------  --------------------
 N/A
  
  
 Forms Associated:
  
 Form Name             File #       New/Modified/Deleted
 ---------             ------       --------------------
 N/A
  
  
 Mail Groups Associated:
  
 Mail Group Name          New/Modified/Deleted
 ---------------          --------------------
 N/A
  
  
 Options Associated:
  
 Option Name            Type               New/Modified/Deleted
 -----------            ----               -------------------- 
 N/A
  
  
 Protocols Associated:
  
 Protocol Name       New/Modified/Deleted
 -------------       -------------------- 
 N/A
  
  
 Security Keys Associated:
  
 Security Key Name
 -----------------
 N/A
  
  
 Templates Associated:
  
 Template Name      Type      File Name (Number)  New/Modified/Deleted 
 -------------      ----      ------------------  --------------------
 N/A
  
  
 New Service Requests (NSRs)
 ----------------------------  
 N/A
  
  
 Patient Safety Issues (PSIs)
 -----------------------------
 PSPO 2383
 During the drug-allergy order check process, the ordered drug's VA 
 CLASSIFICATION value is examined to determine if a patient will have a 
 reaction to the drug.  This examination looks at the first four 
 characters for non-analgesics and all five characters for analgesics.  
 For non-analgesics, if a patient's profile lists multiple drug classes 
 with the same first four characters as the ordered drug, only the last 
 drug class listed is returned.  Many times, the returned class is less 
 clinically important than the other classes on the list.  See associated 
 Remedy tickets 823464 and 453615 for resolution.
  
  
 Remedy Ticket(s) & Overview
 ---------------------------
 1. HD823464 Adverse Reaction Tracking - Alerts Issue:
    HD453615 4 Alert not being displayed with third drug added
  
 Problem:
 -------
 During the drug-allergy order check process for a non-analgesic, when the 
 VA CLASSIFICATION value is examined, only one drug class is returned.  
 Many times, the returned class is less clinically important than the 
 other classes on the list.
  
 Resolution:
 ----------
 The code is modified to return all drug classes that are matched.
 