


=============================================================================
Run Date: NOV 05, 2014                      Designation: PSO*7*411  TEST v16
Package : OUTPATIENT PHARMACY               Priority   : MANDATORY
Version : 7                                 Status     : UNDER DEVELOPMENT
=============================================================================

Associated patches: (v)PSO*7*313   <<= must be installed BEFORE `PSO*7*411'
                    (v)PSO*7*390   <<= must be installed BEFORE `PSO*7*411'
                    (v)PSO*7*416   <<= must be installed BEFORE `PSO*7*411'
                    

Subject:  MOCHA UFT ENHANCEMENTS 2 PSO

Category:  ROUTINE

Description:
===========
 
This patch is part of the Medication Order Check Healthcare Application
(MOCHA) v1 Enhancements 2 group of patches. A host file was created to
simplify installation at Veterans Health Administration (VHA) facilities.
The host file MOCHA_ENH_2_COMBINED_BUILD.KID contains: PSO*7*411,
PSJ*5*281, OR*3*269 and GMRA*4*46. In addition, there is the stand alone
patch PSS*1*175.
 
 
This patch PSO*7*411 contains the following functionality:
 
1. This patch adds BSA (m2) to the Medication Profile report [PSO P]
option header display. (CR6161/CCR6166)
 
2. This patch corrects Outpatient hidden CK Option when a supply item 
lists first on med profile the CK option displays supply item error
message and will not complete order checks. (CR1007/CCR6203)
 
3. Add to the backdoor pharmacy order entry process functionality to
evaluate the orderable item for a specific patient using the Clinical
Reminder Order Check (CROC) API. (CR3286/CCR5692)
 
4. Corrects the hidden DA option to display all allergy order checks when 
multiple allergy checks exist for an order. (CCR6617)
 
5. Corrects a problem where multiple reactions with the same drug class 
or drug ingredient happen. (CCR6747)
 
6. Corrects a problem where the patient information screen does not 
display remote allergies (CCR6978)
 
7. Corrects remedy tickets 933381, 960690 and 960714 (CCR6962 and 
CCR6963)
 
8. Corrects problem with speed renewal only giving allergy check for 
first drug. (CCR6974)
 
9. Corrects hidden CK option not displaying allergy information 
correctly. (CCR6992)
 
10. Corrects problem when finishing an order the AC(accept) does not 
show allergy checks or require an intervention. (CCR7011)
 
11. Adds functionality for requiring an intervention if the allergy is 
severe. (CCR5740)
 
12. Corrects problem in hidden CK option when a supply item is first on 
the medication profile, the CK option display supply item message. 
(CCR6203)
 
13. Adds sign/symptoms to allergy order check display for remote orders. 
(CCR6378)
 
14. Corrects problem with inpatient order not displaying on BCMA 
Coversheet in highlighted format. PSPO2545 (CCR6998)
 
15. Adds functionality to use Clinical Reminder based order checks in 
pharmacy order entry. (CCR5692)
 
 
Patch Components
================
 
Files & Fields Associated:
--------------------------
N/A
 
 
Forms Associated:
 
 File Name (Number)         Field Name (Number)  New/Modified/Deleted
 ------------------         -------------------  --------------------
 N/A
 
 
Mail Groups Associated:
 
 Mail Group Name          New/Modified/Deleted
 ---------------          -------------------- 
 N/A
 
 
Options Associated:
 
 Option Name                 Type       Action
 -----------                 ----       ------
 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
 
 
Additional Information:
 
 
New Service Requests (NSRs)
---------------------------
N/A
 
 
Associated Change Requests: 
---------------------------
CR6161/CCR6166
CR1007/CCR6203
CR3286/CCR5692
CCR'S 6617, 6629, 6747, 6770, 6779, 6877, 6890, 6940, 6956, 6978, 6992, 
6963, 6970, 6974, 6992, 7011, 6990, 5692, 5740, 6657, 6128, 6129, 6203, 
6378, 5473, 5474, 6504, 6502, 6506, 6576, 6577, 6594, 6778, 6808, 6941,
6960, 6998, 7002, 7013
 
 
Patient Safety Issues (PSIs)
----------------------------
2530 - Remedy ticket # 960690/960714 - "Under certain circumstances, 
ordering a drug for which a patient has a remote allergy but no local 
allergy, an allergy warning is not displayed in Outpatient Pharmacy"
 
2561 - For outpatient pharmacy if there is a drug on remote profile, not 
on local profile and you enter a drug that will cause a drug-drug 
interaction order check, the order check is occurring in CPRS but not 
backdoor pharmacy.
 
2585 - Remedy ticket # 1004240 - Erroneous Allergy/Interaction display
 
 
Remedy Ticket(s) & Overview:
----------------------------
1. 960690 - A report of remote allergy order checks in Pharmacy not
working.
    Duplicate 975660
    Duplicate 1004240 
 
Problem:
--------
If a patient has no local allergies, no known allergies (NKA) or non-drug
allergies and a remote drug allergy, a warning will not trigger when an
order is entered for the remote allergy drug (CCR 6962)
 
Resolution:
-----------
This patch will correct the code to trigger an allergy alert if a remote 
allergy exists.
 
2. 960714 - AEU reports the site is not getting allergy checks done for 
remote allergies when processing medication orders.
 
Problem:
-------
If the remote reaction was an Adverse Drug Reaction (ADR) rather than an
Allergy, the remote reaction is not firing allergy order checks in CPRS or
in VistA Pharmacy.  It is also not displaying as a remote reaction on the
patient information screen in VistA Pharmacy.  You can see the remote ADR
in CPRS via Remote Data or VistaWeb. (CCR 6962)
 
Resolution:
-----------
This patch will correct the code to trigger an allergy alert if the 
remote action was an ADR rather than an Allergy.
 
3. 933381 - Incorrect allergy/drug order checks reported by the site
 
Problem:
--------
Incorrect allergy/drug order checks reported by the site (CCR 
6963)
 
Resolution:
-----------
This patch will correct the code to report correct allergy/drug order 
checks.
 
4. 589406 - 5 Pharmacist kicked out when verifying IV orders
      Duplicate  174568
 
Problem:
--------
When entering an IV order for an IMO patient at a clinic, if 
that patient has an appointment scheduled at an IMO clinic, then exiting
out of the order and viewing the Patient Information can cause an
UNDEFINED error. 
 
Solution:
---------
Modified routine PSJMUTL at ENC to check for date/time.
 
