$TXT Created by WIPERT,RANDY at PW             .GOV  (KIDS) on Thursday, 02/16/17 at 13:47
=============================================================================
Run Date: MAR 03, 2017                     Designation: OR*3*441
Package : OR - ORDER ENTRY/RESULTS REPORTING  Priority: Mandatory
Version : 3                                     Status: Under Development
=============================================================================

Associated patches: (v)OR*3*350    <<= must be installed BEFORE `OR*3*441'
                    (v)OR*3*356    <<= must be installed BEFORE `OR*3*441'
                    (u)OR*3*377    <<= must be installed BEFORE `OR*3*441'
                    (u)OR*3*431    <<= must be installed BEFORE `OR*3*441'

Subject: EPIP OR REMEDIATION 2.0

Category: 
  - Routine
  - Data Dictionary
  - Print Template
  - Other

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

 OR*3.0*441 provides the following enhancements to VistA:
  
 - Modifies the display of flagged Order comments and Ward comments to
 make them readily available on the Computerized Patient Record System 
 (CPRS) Orders tab where Clinical staff can plainly see them.
  
 Currently, the clinician must double-click the order and search through 
 activity details to find the flagged Order comment or Ward comment. Not 
 only is this search time-consuming, but it requires that the clinician 
 recognize the need to actively search. This can result in comments being 
 overlooked and not addressed in a timely manner, thus impacting patient 
 safety and care.
  
 The Flagged and Ward comments modification comes with an On/Off switch. 
 The default position is OFF. To enable the modification, use the XPAR 
 MENU TOOLS option to set the OR FLAGGED & WARD COMMENTS parameter to ON. 
 This parameter is stored in the PARAMETER DEFINITION file (#8989.51).
  
 - Enables support for tracking antimicrobial medication quick orders by 
 adding a tracking hook to enhance auditing of those orders. The 
 Antimicrobial Decision Tree Hook functionality is enabled by two new TIU 
 Objects (hooks) added to the TIU DOCUMENT DEFINITION file (#8925.1). The 
 |ZZ QUICK ORDER AUDIT| hook tracks clinically preferred antimicrobial drug
 quick orders; the |ZZ QUICK ORDER AUDIT(ALT)| hook tracks quick orders
 that prescribe an alternative to a clinically preferred antimicrobial
 drug.
  
 This enhancement does not provide any preconfigured quick orders; the 
 quick orders must be set up and added to CPRS by a Clinical Application 
 Coordinator (CAC) or an Office of Information and Technology (OI&T) 
 member. When creating an antimicrobial drug quick order, either the |ZZ 
 QUICK ORDER AUDIT| or the |ZZ QUICK ORDER AUDIT(ALT)| hook must be added 
 to the order Comments field to enable quick order audit capabilities.
  
 When an antimicrobial drug quick order containing the hook is created from
 the CPRS Orders tab, a pharmacy confirmation number is displayed with
 other order information such as the medication, dose, schedule, and 
 special instructions. When the medication is dispensed, an order number is
 assigned; this number serves as confirmation that the order was completed.
 The pharmacy confirmation number can be used to look up order details in
 VistA, including the Order number if medication was dispensed. The ORQOA
 QUICK ORDER NIGHTLY BG option is a background task adds the order number
 to the QUICK ORDER AUDIT file (#100.95) when an order is dispensed. This
 job runs every 24 hours by default.
  
 Five VistA quick order auditing options are provided with this 
 enhancement, including the ORQOA QUICK ORDER NIGHTLY BG job. The ORQOA 
 QUICK ORDER AUDIT MENU option provides access to the remaining quick order
 auditing options: The ORQOA QUICK ORDER AUDIT Inquiry option retrieves
 order details from VistA for individual orders; the ORQOA QUICK ORDER
 AUDIT PRINT option enables printing of usage reports and the export of
 statistics to a spreadsheet application; the ORQOA QUICK ORDER AUDIT 
 MONTHLY prints a monthly report of antimicrobial medication orders for a 
 specified group of Medical Center divisions.
  
 The Quick Order Audit Monthly Report (ORQOA QUICK ORDER AUDIT MONTHLY) 
 includes antimicrobial drug orders that were placed using a quick order 
 and orders that were placed using another ordering method. To utilize this
 report, it must be configured by a CAC or an OI&T member editing the QUICK
 ORDER DIVISION GROUPS file (#100.953). Each site must create one or more
 group names in this file and place all the subordinate divisions that may
 order antimicrobial medications in the group by selecting them from the
 MEDICAL CENTER DIVISION file (#40.8).
  
 This functionality is turned ON by adding one of the two new hooks to 
 antimicrobial quick orders defined for the site. The functionality is 
 turned OFF by removing the hook from the Comments section of any quick 
 orders previously configured with either hook. To completely turn off the 
 Antimicrobial Decision Tree Hook function, the scheduled Quick Order 
 Nightly Background Task (ORQOA QUICK ORDER NIGHTLY BG) must also be turned
 off.
  
 Note: Sites that are utilizing the Computer Decision Support System (CDSS)
 software to select quick orders associated with antimicrobial drugs can
 continue using the CDSS system without interruption following 
 implementation of this enhancement.
  
 BLOOD BANK Clearance:
  
 --------------------
 EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch OR*3.0*441 contains 
 changes to a package referenced in ProPath standard titled: BBM Team 
 Review of VistA Patches. This patch does not alter or modify any VistA 
 Blood Bank software design safeguards or safety critical elements 
 functions.
  
 RISK ANALYSIS: Changes made by patch OR*3.0*441 have no effect on Blood 
 Bank software functionality, therefore RISK is none.
  
 Patch Components: 
  
 -----------------
  
 Files & Fields Associated:
  
 File Name (Number)      Field Name (Number)     New/Modified/Deleted
 ------------------      -------------------     --------------------
 QUICK ORDER AUDIT       #100.95                 NEW
 QUICK ORDER DIVISION    #100.953                NEW
 GROUP
 TIU DOCUMENT DEFINITION #8925.1                 MERGE/ ADDED TWO OBJECTS
 PARAMETER DEFINITION    #8989.51                MERGE/ ADDED A PARAMETER
  
  
 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
 ------------------------------  ----            --------------------
 ORQA QUICK ORDER AUDIT MONTHLY  RUN ROUTINE     NEW
 ORQOA QUICK ORDER AUDIT         INQUIRE         NEW 
 ORQOA QUICK ORDER AUDIT MENU    MENU            NEW
 ORQOA QUICK ORDER AUDIT PRINT   PRINT           NEW
 ORQOA QUICK ORDER NIGHTLY BG    RUN ROUTINE     NEW
  
  
 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 
 ---------------   ----    -----------------   --------------------
 ORQOA AUDIT PRINT  PRINT  (QUICK ORDER AUDIT  NEW
 REPORT                     (#100.95))
  
  
 Additional Information:
 N/A 
  
  
 New Service Requests (NSRs):
 ----------------------------  
 NSR20150103 Display Flagged and Ward Comments
 NSR20160613 Anti-Microbial Decision Tree Interface Hook
  
  
 Patient Safety Issues (PSIs):
 -----------------------------
 N/A
  
  
  
 Defect Tracking System Ticket(s) & Overview:
 --------------------------------------------
  
 N/A.
  
 Problem:
 -------
 <Enter a brief description of problem reported.>
  
 Resolution:
 ----------
 <Enter a brief description of the resolution.>
  
  
 Test Sites:
 ----------
 <List test sites that actually participated in testing and signed off on 
 the patch. A copy and paste from NOIS displaying the test sites in
 production can be used.> Will often be TBD.
  
 Software and Documentation Retrieval Instructions:
 ---------------------------------------------------- 
 Software being released as a host file and/or documentation describing 
 the new functionality introduced by this patch are available.
  
 The preferred method is to retrieve files from download.DNS      .DNS   .
 This transmits the files from the first available server. Sites may 
 also elect to retrieve files directly from a specific server. 
  
 Sites may retrieve the software and/or documentation directly using 
 Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE 
 directory at the following 
 OI Field Offices:
  
 Albany: fo-albany.URL       
 Hines:  DNS     .URL         
 Salt Lake City: fo-slc.URL       
  
 Documentation can also be found in the VA Software Documentation Library 
 (VDL) at:
 http://URL            /.
  
  
 Title   File Name       FTP Mode
 -----------------------------------------------------------------------
 CPRS User Guide: GUI Version    cprsguium.doc   Binary
 CPRS User Guide: GUI Version    cprsguium.pdf   Binary
 CPRS Technical Manual           cprslmtm.doc    Binary
 CPRS Technical Manual           cprslmtm.pdf    Binary 
  
 Installation Instructions:
 ------------------------------
 To install the patch:
  
 1.      Choose the PackMan message containing this patch.
  
 2.      Choose the INSTALL/CHECK MESSAGE PackMan option.
  
 3.      From the Kernel Installation and Distribution System (KIDS) menu, 
 select the Installation Menu. From this menu, you may elect to use the 
 following options. When prompted for the INSTALL NAME, enter the patch 
 number OR*3,0*441.
  
 a.      Verify Checksums in Transport Global - This option will help 
 ensure the integrity of the routines that are in the transport global.
  
 b.      Print Transport Global - This option will enable viewing the 
 components of the KIDS build.
  
 c.      Compare Transport Global to Current System - This option will 
 enable viewing all changes that will be made when this patch is 
 installed. It compares all components of this patch (routines, data 
 dictionaries, templates, etc.).
  
 d.      Back up a Transport Global - This option will create a backup 
 message of any routines exported with this patch. It will not back up any 
 other changes such as data dictionaries or templates.
  
 4.      From the Installation Menu, select the Install Package(s) option 
 and choose the patch to install.
  
 5.      If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of 
 Install? NO//', press <Enter>.
  
 6.      When prompted 'Want KIDS to INHIBIT LOGONs during the install? 
 NO//', press <Enter>.
  
 7.      When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
 and Protocols? NO//', press <Enter>.
  
 8.      If prompted 'Delay install (Minutes): (0-60): 0//', press <Enter>.
  
 9.      If prompted 'Enter the Device you want to print the Install 
 messages. You can queue the install by enter a 'Q' at the device prompt. 
 Enter a '^' to abort the install. DEVICE: HOME//   HOME  (CRT)', press 
 <Enter>.
  
 Post-Installation Instructions:
 ------------------------------
  
 The post installation routine ORQO441P will schedule the ORQOA NIGHTLY 
 BACKGROUND option to run every 24 hours at 23:31 hrs. It will set the user
 to postmaster to avoid interuption when personnel change. 
  
 The post installtion routine will also add the two objects "ZZ QUICK ORDER
 AUDIT", and "ZZ QUICK ORDER AUDIT(ALT)" to the TIU DOCUMENT DEFINITION
 file (#8925.1).
  
  
 Routine Information:
 -----------------
  
  
 ORQ12
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**12,27,78,92,116,190,220,215,243,3
 56,441**;Dec 17, 1997;Build 6
  
 ORQOAUIA
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**441**;Dec 17, 1997;Build 2
  
 ORQOAUIB
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**441**;Dec 17, 1997;Build 2
  
 ORQOAUIC
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**441**;Dec 17, 1997;Build 2
  
 ORWDXM3
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**10,85,131,132,141,185,187,190,195
 ,215,243,303,296,280,350,377,441**;Dec 17, 1997;Build 2
  
 ORQO441P
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**441**;Dec 17, 1997;Build 2
  
 ORWPT
  ;;3.0;ORDER ENTRY/RESULTS
 REPORTING;**10,85,132,149,206,187,190,215,243,280,306,311,431,441**;Dec 
 17, 1997;Build 2

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[Patch List]**;Dec 17, 1997;Build 13

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: ORQ12
    Before: B37558185   After: B41144852  **12,27,78,92,116,190,220,215,
                                           243,356,441**
Routine Name: ORQO441P
    Before:       n/a   After:  B5211099  **441**
Routine Name: ORQOAUIA
    Before:       n/a   After:  B6258646  **441**
Routine Name: ORQOAUIB
    Before:       n/a   After: B31131811  **441**
Routine Name: ORQOAUIC
    Before:       n/a   After:  B6537565  **441**
Routine Name: ORWDXM3
    Before:B111449239   After:B112323892  **10,85,131,132,141,185,187,
                                           190,195,215,243,303,296,280,
                                           350,377,441**
Routine Name: ORWPT
    Before: B64148022   After: B64242677  **10,85,132,149,206,187,190,
                                           215,243,280,306,311,431,441**
 
Routine list of preceding patches: 356, 377, 431

=============================================================================
User Information:
Entered By  : WERTH,WARREN                  Date Entered  : OCT 17, 2016
Completed By:                               Date Completed: 
Released By :                               Date Released : 
=============================================================================


Packman Mail Message:
=====================

$END TXT
