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| # | Location | File | Last Modified |
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| 1 | EPIP_submissions.zip\EPIP_submissions\patches | OR_3_441_TEST_V5.TXT | Fri Mar 31 16:39:56 2017 UTC |
| 2 | EPIP_submissions.zip\EPIP_submissions\patches | OR_3_441_TEST_V5.TXT | Fri Mar 31 17:26:08 2017 UTC |
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| 1 | $TXT Creat ed by WIPE RT,RANDY a t
|
|
| 2 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 3 | Run Date: MAR 03, 20 17 Designa tion: OR*3 *441 | |
| 4 | Package : OR - ORDER ENTRY/RES ULTS REPOR TING Prio rity: Mand atory | |
| 5 | Version : 3 St atus: Unde r Developm ent | |
| 6 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 7 | ||
| 8 | Associated patches: (v)OR*3*35 0 <<= m ust be ins talled BEF ORE `OR*3* 441' | |
| 9 | (v)OR*3*35 6 <<= m ust be ins talled BEF ORE `OR*3* 441' | |
| 10 | (u)OR*3*37 7 <<= m ust be ins talled BEF ORE `OR*3* 441' | |
| 11 | (u)OR*3*43 1 <<= m ust be ins talled BEF ORE `OR*3* 441' | |
| 12 | ||
| 13 | Subject: E PIP OR REM EDIATION 2 .0 | |
| 14 | ||
| 15 | Category: | |
| 16 | - Routin e | |
| 17 | - Data D ictionary | |
| 18 | - Print Template | |
| 19 | - Other | |
| 20 | ||
| 21 | Descriptio n: | |
| 22 | ========== == | |
| 23 | ||
| 24 | OR*3.0*44 1 provides the follo wing enhan cements to VistA: | |
| 25 | ||
| 26 | - Modifie s the disp lay of fla gged Order comments and Ward c omments to | |
| 27 | make them readily a vailable o n the Comp uterized P atient Rec ord System | |
| 28 | (CPRS) Or ders tab w here Clini cal staff can plainl y see them . | |
| 29 | ||
| 30 | Currently , the clin ician must double-cl ick the or der and se arch throu gh | |
| 31 | activity details to find the flagged Or der commen t or Ward comment. N ot | |
| 32 | only is t his search time-cons uming, but it requir es that th e clinicia n | |
| 33 | recognize the need to activel y search. This can r esult in c omments be ing | |
| 34 | overlooke d and not addressed in a timel y manner, thus impac ting patie nt | |
| 35 | safety an d care. | |
| 36 | ||
| 37 | The Flagg ed and War d comments modificat ion comes with an On /Off switc h. | |
| 38 | The defau lt positio n is OFF. To enable the modifi cation, us e the XPAR | |
| 39 | MENU TOOL S option t o set the OR FLAGGED & WARD CO MMENTS par ameter to ON. | |
| 40 | This para meter is s tored in t he PARAMET ER DEFINIT ION file ( #8989.51). | |
| 41 | ||
| 42 | - Enables support f or trackin g antimicr obial medi cation qui ck orders by | |
| 43 | adding a tracking h ook to enh ance audit ing of tho se orders. The | |
| 44 | Antimicro bial Decis ion Tree H ook functi onality is enabled b y two new TIU | |
| 45 | Objects ( hooks) add ed to the TIU DOCUME NT DEFINIT ION file ( #8925.1). The | |
| 46 | |ZZ QUICK ORDER AUD IT| hook t racks clin ically pre ferred ant imicrobial drug | |
| 47 | quick ord ers; the | ZZ QUICK O RDER AUDIT (ALT)| hoo k tracks q uick order s | |
| 48 | that pres cribe an a lternative to a clin ically pre ferred ant imicrobial | |
| 49 | drug. | |
| 50 | ||
| 51 | This enha ncement do es not pro vide any p reconfigur ed quick o rders; the | |
| 52 | quick ord ers must b e set up a nd added t o CPRS by a Clinical Applicati on | |
| 53 | Coordinat or (CAC) o r an Offic e of Infor mation and Technolog y (OI&T) | |
| 54 | member. W hen creati ng an anti microbial drug quick order, ei ther the | ZZ | |
| 55 | QUICK ORD ER AUDIT| or the |ZZ QUICK ORD ER AUDIT(A LT)| hook must be ad ded | |
| 56 | to the or der Commen ts field t o enable q uick order audit cap abilities. | |
| 57 | ||
| 58 | When an a ntimicrobi al drug qu ick order containing the hook is created from | |
| 59 | the CPRS Orders tab , a pharma cy confirm ation numb er is disp layed with | |
| 60 | other ord er informa tion such as the med ication, d ose, sched ule, and | |
| 61 | special i nstruction s. When th e medicati on is disp ensed, an order numb er is | |
| 62 | assigned; this numb er serves as confirm ation that the order was compl eted. | |
| 63 | The pharm acy confir mation num ber can be used to l ook up ord er details in | |
| 64 | VistA, in cluding th e Order nu mber if me dication w as dispens ed. The OR QOA | |
| 65 | QUICK ORD ER NIGHTLY BG option is a back ground tas k adds the order num ber | |
| 66 | to the QU ICK ORDER AUDIT file (#100.95) when an o rder is di spensed. T his | |
| 67 | job runs every 24 h ours by de fault. | |
| 68 | ||
| 69 | Five Vist A quick or der auditi ng options are provi ded with t his | |
| 70 | enhanceme nt, includ ing the OR QOA QUICK ORDER NIGH TLY BG job . The ORQO A | |
| 71 | QUICK ORD ER AUDIT M ENU option provides access to the remain ing quick order | |
| 72 | auditing options: T he ORQOA Q UICK ORDER AUDIT Inq uiry optio n retrieve s | |
| 73 | order det ails from VistA for individual orders; t he ORQOA Q UICK ORDER | |
| 74 | AUDIT PRI NT option enables pr inting of usage repo rts and th e export o f | |
| 75 | statistic s to a spr eadsheet a pplication ; the ORQO A QUICK OR DER AUDIT | |
| 76 | MONTHLY p rints a mo nthly repo rt of anti microbial medication orders fo r a | |
| 77 | specified group of Medical Ce nter divis ions. | |
| 78 | ||
| 79 | The Quick Order Aud it Monthly Report (O RQOA QUICK ORDER AUD IT MONTHLY ) | |
| 80 | includes antimicrob ial drug o rders that were plac ed using a quick ord er | |
| 81 | and order s that wer e placed u sing anoth er orderin g method. To utilize this | |
| 82 | report, i t must be configured by a CAC or an OI&T member ed iting the QUICK | |
| 83 | ORDER DIV ISION GROU PS file (# 100.953). Each site must creat e one or m ore | |
| 84 | group nam es in this file and place all the subord inate divi sions that may | |
| 85 | order ant imicrobial medicatio ns in the group by s electing t hem from t he | |
| 86 | MEDICAL C ENTER DIVI SION file (#40.8). | |
| 87 | ||
| 88 | This func tionality is turned ON by addi ng one of the two ne w hooks to | |
| 89 | antimicro bial quick orders de fined for the site. The functi onality is | |
| 90 | turned OF F by remov ing the ho ok from th e Comments section o f any quic k | |
| 91 | orders pr eviously c onfigured with eithe r hook. To completel y turn off the | |
| 92 | Antimicro bial Decis ion Tree H ook functi on, the sc heduled Qu ick Order | |
| 93 | Nightly B ackground Task (ORQO A QUICK OR DER NIGHTL Y BG) must also be t urned | |
| 94 | off. | |
| 95 | ||
| 96 | Note: Sit es that ar e utilizin g the Comp uter Decis ion Suppor t System ( CDSS) | |
| 97 | software to select quick orde rs associa ted with a ntimicrobi al drugs c an | |
| 98 | continue using the CDSS syste m without interrupti on followi ng | |
| 99 | implement ation of t his enhanc ement. | |
| 100 | ||
| 101 | BLOOD BAN K Clearanc e: | |
| 102 | ||
| 103 | --------- ---------- - | |
| 104 | EFFECT ON BLOOD BAN K FUNCTION AL REQUIRE MENTS: Pat ch OR*3.0* 441 contai ns | |
| 105 | changes t o a packag e referenc ed in ProP ath standa rd titled: BBM Team | |
| 106 | Review of VistA Pat ches. This patch doe s not alte r or modif y any Vist A | |
| 107 | Blood Ban k software design sa feguards o r safety c ritical el ements | |
| 108 | functions . | |
| 109 | ||
| 110 | RISK ANAL YSIS: Chan ges made b y patch OR *3.0*441 h ave no eff ect on Blo od | |
| 111 | Bank soft ware funct ionality, therefore RISK is no ne. | |
| 112 | ||
| 113 | Patch Com ponents: | |
| 114 | ||
| 115 | --------- -------- | |
| 116 | ||
| 117 | Files & F ields Asso ciated: | |
| 118 | ||
| 119 | File Name (Number) Field Name (Num ber) N ew/Modifie d/Deleted | |
| 120 | --------- --------- ----- ---------- ---- - ---------- --------- | |
| 121 | QUICK ORD ER AUDIT #100. 95 N EW | |
| 122 | QUICK ORD ER DIVISIO N #100. 953 N EW | |
| 123 | GROUP | |
| 124 | TIU DOCUM ENT DEFINI TION #8925 .1 M ERGE/ ADDE D TWO OBJE CTS | |
| 125 | PARAMETER DEFINITIO N #8989 .51 M ERGE/ ADDE D A PARAME TER | |
| 126 | ||
| 127 | ||
| 128 | Forms Ass ociated: | |
| 129 | ||
| 130 | Form Name Fil e # New/M odified/De leted | |
| 131 | --------- --- --- ----- ---------- ----- | |
| 132 | N/A | |
| 133 | ||
| 134 | ||
| 135 | Mail Grou ps Associa ted: | |
| 136 | ||
| 137 | Mail Grou p Name New /Modified/ Deleted | |
| 138 | --------- ------ --- ---------- ------- | |
| 139 | N/A | |
| 140 | ||
| 141 | ||
| 142 | Options A ssociated: | |
| 143 | ||
| 144 | Option Na me Type N ew/Modifie d/Deleted | |
| 145 | --------- ---------- ---------- - ---- - ---------- --------- | |
| 146 | ORQA QUIC K ORDER AU DIT MONTHL Y RUN ROU TINE N EW | |
| 147 | ORQOA QUI CK ORDER A UDIT INQUIRE N EW | |
| 148 | ORQOA QUI CK ORDER A UDIT MENU MENU N EW | |
| 149 | ORQOA QUI CK ORDER A UDIT PRINT PRINT N EW | |
| 150 | ORQOA QUI CK ORDER N IGHTLY BG RUN ROU TINE N EW | |
| 151 | ||
| 152 | ||
| 153 | Protocols Associate d: | |
| 154 | ||
| 155 | Protocol Name New /Modified/ Deleted | |
| 156 | --------- ---- --- ---------- ------- | |
| 157 | N/A | |
| 158 | ||
| 159 | Security Keys Assoc iated: | |
| 160 | ||
| 161 | Security Key Name | |
| 162 | --------- -------- | |
| 163 | N/A | |
| 164 | ||
| 165 | ||
| 166 | Templates Associate d: | |
| 167 | ||
| 168 | Template Name T ype Fil e Name (Nu mber) New /Modified/ Deleted | |
| 169 | --------- ------ - --- --- ---------- ---- --- ---------- ------- | |
| 170 | ORQOA AUD IT PRINT PRINT (QU ICK ORDER AUDIT NEW | |
| 171 | REPORT (# 100.95)) | |
| 172 | ||
| 173 | ||
| 174 | Additiona l Informat ion: | |
| 175 | N/A | |
| 176 | ||
| 177 | ||
| 178 | New Servi ce Request s (NSRs): | |
| 179 | --------- ---------- --------- | |
| 180 | NSR201501 03 Display Flagged a nd Ward Co mments | |
| 181 | NSR201606 13 Anti-Mi crobial De cision Tre e Interfac e Hook | |
| 182 | ||
| 183 | ||
| 184 | Patient S afety Issu es (PSIs): | |
| 185 | --------- ---------- ---------- | |
| 186 | N/A | |
| 187 | ||
| 188 | ||
| 189 | ||
| 190 | Defect Tr acking Sys tem Ticket (s) & Over view: | |
| 191 | --------- ---------- ---------- ---------- ----- | |
| 192 | ||
| 193 | N/A. | |
| 194 | ||
| 195 | Problem: | |
| 196 | ------- | |
| 197 | <Enter a brief desc ription of problem r eported.> | |
| 198 | ||
| 199 | Resolutio n: | |
| 200 | --------- - | |
| 201 | <Enter a brief desc ription of the resol ution.> | |
| 202 | ||
| 203 | ||
| 204 | Test Site s: | |
| 205 | --------- - | |
| 206 | <List tes t sites th at actuall y particip ated in te sting and signed off on | |
| 207 | the patch . A copy a nd paste f rom NOIS d isplaying the test s ites in | |
| 208 | productio n can be u sed.> Will often be TBD. | |
| 209 | ||
| 210 | Software and Docume ntation Re trieval In structions : | |
| 211 | --------- ---------- ---------- ---------- ---------- --- | |
| 212 | Software being rele ased as a host file and/or doc umentation describin g | |
| 213 | the new f unctionali ty introdu ced by thi s patch ar e availabl e. | |
| 214 | ||
| 215 | The prefe rred metho d is to re trieve fil es from do wnload. DNS . DNS . | |
| 216 | This tran smits the files from the first available server. S ites may | |
| 217 | also elec t to retri eve files directly f rom a spec ific serve r. | |
| 218 | ||
| 219 | Sites may retrieve the softwa re and/or documentat ion direct ly using | |
| 220 | Secure Fi le Transfe r Protocol (SFTP) fr om the ANO NYMOUS.SOF TWARE | |
| 221 | directory at the fo llowing | |
| 222 | OI Field Offices: | |
| 223 | ||
| 224 | Albany: f o-albany. URL | |
| 225 | Hines: D NS .UR L | |
| 226 | Salt Lake City: fo- slc. URL | |
| 227 | ||
| 228 | Documenta tion can a lso be fou nd in the VA Softwar e Document ation Libr ary | |
| 229 | (VDL) at: | |
| 230 | http:// URL /. | |
| 231 | ||
| 232 | ||
| 233 | Title F ile Name FTP M ode | |
| 234 | --------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 235 | CPRS User Guide: GU I Version cprsgui um.doc B inary | |
| 236 | CPRS User Guide: GU I Version cprsgui um.pdf B inary | |
| 237 | CPRS Tech nical Manu al cprslmt m.doc B inary | |
| 238 | CPRS Tech nical Manu al cprslmt m.pdf B inary | |
| 239 | ||
| 240 | Installat ion Instru ctions: | |
| 241 | --------- ---------- ---------- - | |
| 242 | To instal l the patc h: | |
| 243 | ||
| 244 | 1. C hoose the PackMan me ssage cont aining thi s patch. | |
| 245 | ||
| 246 | 2. C hoose the INSTALL/CH ECK MESSAG E PackMan option. | |
| 247 | ||
| 248 | 3. F rom the Ke rnel Insta llation an d Distribu tion Syste m (KIDS) m enu, | |
| 249 | select th e Installa tion Menu. From this menu, you may elect to use th e | |
| 250 | following options. When promp ted for th e INSTALL NAME, ente r the patc h | |
| 251 | number OR *3,0*441. | |
| 252 | ||
| 253 | a. V erify Chec ksums in T ransport G lobal - Th is option will help | |
| 254 | ensure th e integrit y of the r outines th at are in the transp ort global . | |
| 255 | ||
| 256 | b. P rint Trans port Globa l - This o ption will enable vi ewing the | |
| 257 | component s of the K IDS build. | |
| 258 | ||
| 259 | c. C ompare Tra nsport Glo bal to Cur rent Syste m - This o ption will | |
| 260 | enable vi ewing all changes th at will be made when this patc h is | |
| 261 | installed . It compa res all co mponents o f this pat ch (routin es, data | |
| 262 | dictionar ies, templ ates, etc. ). | |
| 263 | ||
| 264 | d. B ack up a T ransport G lobal - Th is option will creat e a backup | |
| 265 | message o f any rout ines expor ted with t his patch. It will n ot back up any | |
| 266 | other cha nges such as data di ctionaries or templa tes. | |
| 267 | ||
| 268 | 4. F rom the In stallation Menu, sel ect the In stall Pack age(s) opt ion | |
| 269 | and choos e the patc h to insta ll. | |
| 270 | ||
| 271 | 5. I f prompted 'Want KID S to Rebui ld Menu Tr ees Upon C ompletion of | |
| 272 | Install? NO//', pre ss <Enter> . | |
| 273 | ||
| 274 | 6. W hen prompt ed 'Want K IDS to INH IBIT LOGON s during t he install ? | |
| 275 | NO//', pr ess <Enter >. | |
| 276 | ||
| 277 | 7. W hen prompt ed 'Want t o DISABLE Scheduled Options, M enu Option s, | |
| 278 | and Proto cols? NO// ', press < Enter>. | |
| 279 | ||
| 280 | 8. I f prompted 'Delay in stall (Min utes): (0- 60): 0//', press <En ter>. | |
| 281 | ||
| 282 | 9. I f prompted 'Enter th e Device y ou want to print the Install | |
| 283 | messages. You can q ueue the i nstall by enter a 'Q ' at the d evice prom pt. | |
| 284 | Enter a ' ^' to abor t the inst all. DEVIC E: HOME// HOME (C RT)', pres s | |
| 285 | <Enter>. | |
| 286 | ||
| 287 | Post-Inst allation I nstruction s: | |
| 288 | --------- ---------- ---------- - | |
| 289 | ||
| 290 | The post installati on routine ORQO441P will sched ule the OR QOA NIGHTL Y | |
| 291 | BACKGROUN D option t o run ever y 24 hours at 23:31 hrs. It wi ll set the user | |
| 292 | to postma ster to av oid interu ption when personnel change. | |
| 293 | ||
| 294 | The post installtio n routine will also add the tw o objects "ZZ QUICK ORDER | |
| 295 | AUDIT", a nd "ZZ QUI CK ORDER A UDIT(ALT)" to the TI U DOCUMENT DEFINITIO N | |
| 296 | file (#89 25.1). | |
| 297 | ||
| 298 | ||
| 299 | Routine I nformation : | |
| 300 | --------- -------- | |
| 301 | ||
| 302 | ||
| 303 | ORQ12 | |
| 304 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**1 2,27,78,92 ,116,190,2 20,215,243 ,3 | |
| 305 | 56,441**; Dec 17, 19 97;Build 6 | |
| 306 | ||
| 307 | ORQOAUIA | |
| 308 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**4 41**;Dec 1 7, 1997;Bu ild 2 | |
| 309 | ||
| 310 | ORQOAUIB | |
| 311 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**4 41**;Dec 1 7, 1997;Bu ild 2 | |
| 312 | ||
| 313 | ORQOAUIC | |
| 314 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**4 41**;Dec 1 7, 1997;Bu ild 2 | |
| 315 | ||
| 316 | ORWDXM3 | |
| 317 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**1 0,85,131,1 32,141,185 ,187,190,1 95 | |
| 318 | ,215,243, 303,296,28 0,350,377, 441**;Dec 17, 1997;B uild 2 | |
| 319 | ||
| 320 | ORQO441P | |
| 321 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**4 41**;Dec 1 7, 1997;Bu ild 2 | |
| 322 | ||
| 323 | ORWPT | |
| 324 | ;;3.0;OR DER ENTRY/ RESULTS | |
| 325 | REPORTING ;**10,85,1 32,149,206 ,187,190,2 15,243,280 ,306,311,4 31,441**;D ec | |
| 326 | 17, 1997; Build 2 | |
| 327 | ||
| 328 | Routine In formation: | |
| 329 | ========== ========== | |
| 330 | The second line of e ach of the se routine s now look s like: | |
| 331 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**[ Patch List ]**;Dec 17 , 1997;Bui ld 13 | |
| 332 | ||
| 333 | The checks ums below are new ch ecksums, a nd | |
| 334 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 335 | ||
| 336 | Routine Na me: ORQ12 | |
| 337 | Before : B3755818 5 After: B41144852 **12,27, 78,92,116, 190,220,21 5, | |
| 338 | 243,356 ,441** | |
| 339 | Routine Na me: ORQO44 1P | |
| 340 | Before : n/ a After: B5211099 **441** | |
| 341 | Routine Na me: ORQOAU IA | |
| 342 | Before : n/ a After: B6258646 **441** | |
| 343 | Routine Na me: ORQOAU IB | |
| 344 | Before : n/ a After: B31131811 **441** | |
| 345 | Routine Na me: ORQOAU IC | |
| 346 | Before : n/ a After: B6537565 **441** | |
| 347 | Routine Na me: ORWDXM 3 | |
| 348 | Before :B11144923 9 After: B112323892 **10,85, 131,132,14 1,185,187, | |
| 349 | 190,195 ,215,243,3 03,296,280 , | |
| 350 | 350,377 ,441** | |
| 351 | Routine Na me: ORWPT | |
| 352 | Before : B6414802 2 After: B64242677 **10,85, 132,149,20 6,187,190, | |
| 353 | 215,243 ,280,306,3 11,431,441 ** | |
| 354 | ||
| 355 | Routine li st of prec eding patc hes: 356, 377, 431 | |
| 356 | ||
| 357 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 358 | User Infor mation: | |
| 359 | Entered By : WERTH, WARREN Date E ntered : OCT 17, 20 16 | |
| 360 | Completed By: Date C ompleted: | |
| 361 | Released B y : Date R eleased : | |
| 362 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 363 | ||
| 364 | ||
| 365 | Packman Ma il Message : | |
| 366 | ========== ========== = | |
| 367 | ||
| 368 | $END TXT |
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