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| # | Location | File | Last Modified |
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| 1 | EPIP_submissions.zip\EPIP_submissions\patches | OR_3_441_TEST_V6.TXT | Fri Mar 31 16:39:52 2017 UTC |
| 2 | EPIP_submissions.zip\EPIP_submissions\patches | OR_3_441_TEST_V6.TXT | Fri Mar 31 17:26:10 2017 UTC |
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| 1 | $TXT Creat ed by WIPE RT,RANDY a t
|
|
| 2 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 3 | Run Date: MAR 23, 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*43 1 <<= m ust be ins talled BEF ORE `OR*3* 441' | |
| 11 | ||
| 12 | Subject: E PIP OR REM EDIATION 2 .0 | |
| 13 | ||
| 14 | Category: | |
| 15 | - Routin e | |
| 16 | - Data D ictionary | |
| 17 | - Print Template | |
| 18 | - Other | |
| 19 | ||
| 20 | Descriptio n: | |
| 21 | ========== == | |
| 22 | ||
| 23 | OR*3.0*44 1 provides the follo wing enhan cements to VistA: | |
| 24 | ||
| 25 | - Modifie s the disp lay of fla gged Order comments and Ward c omments to | |
| 26 | make them readily a vailable o n the Comp uterized P atient Rec ord System | |
| 27 | (CPRS) Or ders tab w here Clini cal staff can plainl y see them . | |
| 28 | ||
| 29 | Currently , the clin ician must double-cl ick the or der and se arch throu gh | |
| 30 | activity details to find the flagged Or der commen t or Ward comment. N ot | |
| 31 | only is t his search time-cons uming, but it requir es that th e clinicia n | |
| 32 | recognize the need to activel y search. This can r esult in c omments be ing | |
| 33 | overlooke d and not addressed in a timel y manner, thus impac ting patie nt | |
| 34 | safety an d care. | |
| 35 | ||
| 36 | The Flagg ed and War d comments modificat ion comes with an On /Off switc h. | |
| 37 | The defau lt positio n is OFF. To enable the modifi cation, us e the XPAR | |
| 38 | MENU TOOL S option t o set the OR FLAGGED & WARD CO MMENTS par ameter to ON. | |
| 39 | This para meter is s tored in t he PARAMET ER DEFINIT ION file ( #8989.51). | |
| 40 | ||
| 41 | - Enables support f or trackin g antimicr obial medi cation qui ck orders by | |
| 42 | adding a tracking h ook to enh ance audit ing of tho se orders. The | |
| 43 | Antimicro bial Decis ion Tree H ook functi onality is enabled b y two new TIU | |
| 44 | Objects ( hooks) add ed to the TIU DOCUME NT DEFINIT ION file ( #8925.1). The | |
| 45 | |OR QUICK ORDER AUD IT| hook t racks clin ically pre ferred ant imicrobial drug | |
| 46 | quick ord ers; the | OR QUICK O RDER AUDIT (ALT)| hoo k tracks q uick order s | |
| 47 | that pres cribe an a lternative to a clin ically pre ferred ant imicrobial | |
| 48 | drug. | |
| 49 | ||
| 50 | This enha ncement do es not pro vide any p reconfigur ed quick o rders; the | |
| 51 | quick ord ers must b e set up a nd added t o CPRS by a Clinical Applicati on | |
| 52 | Coordinat or (CAC) o r an Offic e of Infor mation and Technolog y (OI&T) | |
| 53 | member. W hen creati ng an anti microbial drug quick order, ei ther the | OR | |
| 54 | QUICK ORD ER AUDIT| or the |OR QUICK ORD ER AUDIT(A LT)| hook must be ad ded | |
| 55 | to the or der Commen ts field t o enable q uick order audit cap abilities. | |
| 56 | ||
| 57 | When an a ntimicrobi al drug qu ick order containing the hook is created from | |
| 58 | the CPRS Orders tab , a pharma cy confirm ation numb er is disp layed with | |
| 59 | other ord er informa tion such as the med ication, d ose, sched ule, and | |
| 60 | special i nstruction s. When th e medicati on is disp ensed, an order numb er is | |
| 61 | assigned; this numb er serves as confirm ation that the order was compl eted. | |
| 62 | The pharm acy confir mation num ber can be used to l ook up ord er details in | |
| 63 | VistA, in cluding th e Order nu mber if me dication w as dispens ed. The | |
| 64 | scheduled option OR QOA QUICK ORDER NIGH TLY BG add s the orde r number t o the | |
| 65 | QUICK ORD ER AUDIT f ile (#100. 95). The b ackground job schedu ling is se t to | |
| 66 | YES and i s preset t o run at 2 3:01 and t hen rerun at 24-hour intervals . The | |
| 67 | default s ettings ca n be modif ied by the OI&T staf f. | |
| 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. Du ring the p atch insta llation, Q uick | |
| 100 | Orders pr econfigure d with a | ZZ QUICK O RDER AUDIT | or |ZZ Q UICK ORDER | |
| 101 | AUDIT(ALT )| hook wi ll be auto matically converted to the new |OR QUICK | |
| 102 | ORDER AUD IT| or |OR QUICK ORD ER AUDIT(A LT)| hook. Refer to the | |
| 103 | Post-Inst allation I nstruction s for addi tional inf ormation o n this | |
| 104 | conversio n process. | |
| 105 | ||
| 106 | BLOOD BAN K Clearanc e: | |
| 107 | --------- ---------- - | |
| 108 | ||
| 109 | EFFECT ON BLOOD BAN K FUNCTION AL REQUIRE MENTS: Pat ch OR*3.0* 441 contai ns | |
| 110 | changes t o a packag e referenc ed in ProP ath standa rd titled: BBM Team | |
| 111 | Review of VistA Pat ches. This patch doe s not alte r or modif y any Vist A | |
| 112 | Blood Ban k software design sa feguards o r safety c ritical el ements | |
| 113 | functions . | |
| 114 | ||
| 115 | RISK ANAL YSIS: Chan ges made b y patch OR *3.0*441 h ave no eff ect on Blo od | |
| 116 | Bank soft ware funct ionality, therefore RISK is no ne. | |
| 117 | ||
| 118 | Patch Com ponents: | |
| 119 | --------- -------- | |
| 120 | ||
| 121 | Files & F ields Asso ciated: | |
| 122 | ||
| 123 | File Name (Number) Field Name (Num ber) N ew/Modifie d/Deleted | |
| 124 | --------- --------- ----- ---------- ---- - ---------- --------- | |
| 125 | QUICK ORD ER AUDIT #100. 95 N EW | |
| 126 | QUICK ORD ER DIVISIO N #100. 953 N EW | |
| 127 | GROUPS | |
| 128 | TIU DOCUM ENT DEFINI TION #8925 .1 M ERGE/ ADDE D TWO OBJE CTS | |
| 129 | PARAMETER DEFINITIO N #8989 .51 M ERGE/ ADDE D A PARAME TER | |
| 130 | ||
| 131 | ||
| 132 | Forms Ass ociated: | |
| 133 | ||
| 134 | Form Name Fil e # New/M odified/De leted | |
| 135 | --------- --- --- ----- ---------- ----- | |
| 136 | N/A | |
| 137 | ||
| 138 | ||
| 139 | Mail Grou ps Associa ted: | |
| 140 | ||
| 141 | Mail Grou p Name New /Modified/ Deleted | |
| 142 | --------- ------ --- ---------- ------- | |
| 143 | N/A | |
| 144 | ||
| 145 | ||
| 146 | Options A ssociated: | |
| 147 | ||
| 148 | Option Na me Type N ew/Modifie d/Deleted | |
| 149 | --------- ---------- ---------- - ---- - ---------- --------- | |
| 150 | ORQA QUIC K ORDER AU DIT MONTHL Y RUN ROU TINE N EW | |
| 151 | ORQOA QUI CK ORDER A UDIT INQUIRE N EW | |
| 152 | ORQOA QUI CK ORDER A UDIT MENU MENU N EW | |
| 153 | ORQOA QUI CK ORDER A UDIT PRINT PRINT N EW | |
| 154 | ORQOA QUI CK ORDER N IGHTLY BG RUN ROU TINE N EW | |
| 155 | ||
| 156 | ||
| 157 | Protocols Associate d: | |
| 158 | ||
| 159 | Protocol Name New /Modified/ Deleted | |
| 160 | --------- ---- --- ---------- ------- | |
| 161 | N/A | |
| 162 | ||
| 163 | Parameter s Associat ed: | |
| 164 | ||
| 165 | Parameter Name N ew/Modifie d/Deleted | |
| 166 | --------- ----- ---------- ---------- | |
| 167 | OR FLAGGE D & WARD C OMMENTS N ew | |
| 168 | ||
| 169 | ||
| 170 | Security Keys Assoc iated: | |
| 171 | ||
| 172 | Security Key Name | |
| 173 | --------- -------- | |
| 174 | N/A | |
| 175 | ||
| 176 | ||
| 177 | Templates Associate d: | |
| 178 | ||
| 179 | Template Name Type Fi le Name (N umber) Ne w/Modified /Deleted | |
| 180 | --------- ------ ---- -- ---------- ----- -- ---------- -------- | |
| 181 | ORQOA AUD IT PRINT PRINT (Q UICK ORDER AUDIT NE W | |
| 182 | REPORT (# 100.95)) | |
| 183 | ||
| 184 | ||
| 185 | Additiona l Informat ion: | |
| 186 | N/A | |
| 187 | ||
| 188 | ||
| 189 | New Servi ce Request s (NSRs): | |
| 190 | --------- ---------- --------- | |
| 191 | NSR201501 03 Display Flagged a nd Ward Co mments | |
| 192 | NSR201606 13 Anti-Mi crobial De cision Tre e Interfac e Hook | |
| 193 | ||
| 194 | ||
| 195 | Patient S afety Issu es (PSIs): | |
| 196 | --------- ---------- ---------- | |
| 197 | N/A | |
| 198 | ||
| 199 | ||
| 200 | Defect Tr acking Sys tem Ticket (s) & Over view: | |
| 201 | --------- ---------- ---------- ---------- ----- | |
| 202 | N/A | |
| 203 | ||
| 204 | Problem: | |
| 205 | ------- | |
| 206 | N/A | |
| 207 | ||
| 208 | Resolutio n: | |
| 209 | --------- - | |
| 210 | N/A | |
| 211 | ||
| 212 | ||
| 213 | Test Site s: | |
| 214 | --------- | |
| 215 | TBD | |
| 216 | ||
| 217 | ||
| 218 | Software and Docume ntation Re trieval In structions : | |
| 219 | --------- ---------- ---------- ---------- ---------- --- | |
| 220 | Software being rele ased as a host file and/or doc umentation describin g | |
| 221 | the new f unctionali ty introdu ced by thi s patch ar e availabl e. | |
| 222 | ||
| 223 | The prefe rred metho d is to re trieve fil es from do wnload. DNS . DNS . | |
| 224 | This tran smits the files from the first available server. S ites may | |
| 225 | also elec t to retri eve files directly f rom a spec ific serve r. | |
| 226 | ||
| 227 | Sites may retrieve the softwa re and/or documentat ion direct ly using | |
| 228 | Secure Fi le Transfe r Protocol (SFTP) fr om the ANO NYMOUS.SOF TWARE | |
| 229 | directory at the fo llowing OI Field Off ices: | |
| 230 | ||
| 231 | Albany: f o-albany. URL | |
| 232 | Hines: D NS .UR L | |
| 233 | Salt Lake City: fo- slc. URL | |
| 234 | ||
| 235 | Documenta tion can a lso be fou nd in the VA Softwar e Document ation Libr ary | |
| 236 | http:// URL /. | |
| 237 | ||
| 238 | ||
| 239 | Title Fi le Name FTP Mo de | |
| 240 | --------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 241 | CPRS User Guide: GU I Version cp rsguium.do c Binary | |
| 242 | CPRS User Guide: GU I Version cp rsguium.pd f Binary | |
| 243 | CPRS Tech nical Manu al: GUI Ve rsion cp rsguitm.do c Binary | |
| 244 | CPRS Tech nical Manu al GUI Ve rsion cp rsguitm.pd f Binary | |
| 245 | ||
| 246 | Patch Ins tallation: | |
| 247 | ||
| 248 | ||
| 249 | Pre/Post Installati on Overvie w : | |
| 250 | --------- ---------- ---------- -- | |
| 251 | Review th e Pre-Inst allation I nstruction s provided before be ginning | |
| 252 | installat ion of the patch. | |
| 253 | ||
| 254 | Pre-Insta llation In structions : | |
| 255 | --------- ---------- ---------- - | |
| 256 | This patc h may be i nstalled w ith users on the sys tem althou gh it is | |
| 257 | recommend ed that it be instal led during non-peak hours to m inimize | |
| 258 | potential disruptio n to users . This pa tch should take less than 5 mi nutes | |
| 259 | to instal l. | |
| 260 | ||
| 261 | Installat ion Instru ctions: | |
| 262 | --------- ---------- ---------- - | |
| 263 | To instal l the patc h: | |
| 264 | ||
| 265 | 1. C hoose the PackMan me ssage cont aining thi s patch. | |
| 266 | ||
| 267 | 2. C hoose the INSTALL/CH ECK MESSAG E PackMan option. | |
| 268 | ||
| 269 | 3. F rom the Ke rnel Insta llation an d Distribu tion Syste m (KIDS) m enu, | |
| 270 | s elect the Installati on Menu. F rom this m enu, you m ay elect t o use | |
| 271 | t he followi ng options . When pro mpted for the INSTAL L NAME, en ter | |
| 272 | t he patch n umber OR*3 ,0*441. | |
| 273 | ||
| 274 | a. V erify Chec ksums in T ransport G lobal - Th is option will help | |
| 275 | e nsure the integrity of the rou tines that are in th e transpor t | |
| 276 | g lobal. | |
| 277 | ||
| 278 | b. P rint Trans port Globa l - This o ption will enable vi ewing the | |
| 279 | c omponents of the KID S build. | |
| 280 | ||
| 281 | c. C ompare Tra nsport Glo bal to Cur rent Syste m - This o ption will | |
| 282 | e nable view ing all ch anges that will be m ade when t his patch is | |
| 283 | i nstalled. It compare s all comp onents of this patch (routines , | |
| 284 | d ata dictio naries, te mplates, e tc.). | |
| 285 | ||
| 286 | d. B ack up a T ransport G lobal - Th is option will creat e a backup | |
| 287 | m essage of any routin es exporte d with thi s patch. I t will not back | |
| 288 | u p any othe r changes such as da ta diction aries or t emplates. | |
| 289 | ||
| 290 | 4. F rom the In stallation Menu, sel ect the In stall Pack age(s) opt ion | |
| 291 | a nd choose the patch to install . | |
| 292 | ||
| 293 | 5. I f prompted 'Want KID S to Rebui ld Menu Tr ees Upon C ompletion of | |
| 294 | I nstall? NO //', press <Enter>. | |
| 295 | ||
| 296 | 6. W hen prompt ed 'Want K IDS to INH IBIT LOGON s during t he install ? | |
| 297 | N O//', pres s <Enter>. | |
| 298 | ||
| 299 | 7. W hen prompt ed 'Want t o DISABLE Scheduled Options, M enu Option s, | |
| 300 | a nd Protoco ls? NO//', press <En ter>. | |
| 301 | ||
| 302 | 8. I f prompted 'Delay in stall (Min utes): (0- 60): 0//', press <En ter>. | |
| 303 | ||
| 304 | 9. I f prompted 'Enter th e Device y ou want to print the Install | |
| 305 | m essages. Y ou can que ue the ins tall by en ter a 'Q' at the dev ice | |
| 306 | p rompt. Ent er a '^' t o abort th e install. DEVICE: H OME// HO ME | |
| 307 | ( CRT)', pre ss <Enter> . | |
| 308 | ||
| 309 | Post-Inst allation I nstruction s: | |
| 310 | --------- ---------- ---------- - | |
| 311 | ||
| 312 | The Post- Installati on routine ORQO441P will sched ule the QU ICK ORDER | |
| 313 | NIGHTLY B G option t o run ever y 24 hours at 23:01 on the nex t calendar day. | |
| 314 | If this i s not an o ptimal tim e to run t he option, then a me mber of th e | |
| 315 | OI&T staf f must man ually resc hedule thi s option. This routi ne also cr eates | |
| 316 | two new o bjects in the TIU DO CUMENT DEF INITION (f ile #8925. 1) - OR QU ICK | |
| 317 | ORDER AUD IT and OR QUICK ORDE R AUDIT(AL T). | |
| 318 | ||
| 319 | Sites wit h Quick or ders that contain th e |ZZ QUIC K ORDER AU DIT| or |Z Z | |
| 320 | QUICK ORD ER AUDIT(A LT)| hook in the ord er comment s field mu st convert | |
| 321 | those ord ers to use |OR QUICK ORDER AUD IT| or |OR QUICK ORD ER | |
| 322 | AUDIT(ALT )| hook. A utility i n the post -installat ion routin e | |
| 323 | automatic ally perfo rms this c onversion. Each quic k order th e utility | |
| 324 | converts is display ed on the screen as the routin e executes . | |
| 325 | ||
| 326 | No conver sion is ne eded at si tes that d o not have previousl y configur ed | |
| 327 | antimicro bial quick orders us ing the "Z Z" prefixe d hook. | |
| 328 | ||
| 329 | Routine O RQO441P is set to be automatic ally delet ed at the end of the | |
| 330 | installat ion. | |
| 331 | ||
| 332 | Routine In formation: | |
| 333 | ========== ========== | |
| 334 | The second line of e ach of the se routine s now look s like: | |
| 335 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**[ Patch List ]**;Dec 17 , 1997;Bui ld 14 | |
| 336 | ||
| 337 | The checks ums below are new ch ecksums, a nd | |
| 338 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 339 | ||
| 340 | Routine Na me: ORQ12 | |
| 341 | Before : B3755818 5 After: B41144852 **12,27, 78,92,116, 190,220,21 5, | |
| 342 | 243,356 ,441** | |
| 343 | Routine Na me: ORQO44 1P | |
| 344 | Before : n/ a After: B17377534 **441** | |
| 345 | Routine Na me: ORQOAU IA | |
| 346 | Before : n/ a After: B6753469 **441** | |
| 347 | Routine Na me: ORQOAU IB | |
| 348 | Before : n/ a After: B31131811 **441** | |
| 349 | Routine Na me: ORQOAU IC | |
| 350 | Before : n/ a After: B6873283 **441** | |
| 351 | Routine Na me: ORWDXM 3 | |
| 352 | Before :B11144923 9 After: B112317519 **10,85, 131,132,14 1,185,187, | |
| 353 | 190,195 ,215,243,3 03,296,280 , | |
| 354 | 350,441 ** | |
| 355 | Routine Na me: ORWPT | |
| 356 | Before : B6414802 2 After: B64133438 **10,85, 132,149,20 6,187,190, | |
| 357 | 215,243 ,280,306,3 11,431,441 ** | |
| 358 | ||
| 359 | Routine li st of prec eding patc hes: 350, 356, 431 | |
| 360 | ||
| 361 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 362 | User Infor mation: | |
| 363 | Entered By : WERTH, WARREN Date E ntered : OCT 17, 20 16 | |
| 364 | Completed By: Date C ompleted: | |
| 365 | Released B y : Date R eleased : | |
| 366 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 367 | ||
| 368 | ||
| 369 | Packman Ma il Message : | |
| 370 | ========== ========== = | |
| 371 | ||
| 372 | $END TXT |
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