6. EPMO Open Source Coordination Office Redaction File Detail Report

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6.1 Files compared

#	Location	File	Last Modified
1	PSS_10_203_cif.zip\PSS_10_203_cif\docs	pss_1_tm_r0217.doc	Tue Apr 18 15:44:42 2017 UTC
2	PSS_10_203_cif.zip\PSS_10_203_cif\docs	pss_1_tm_r0217.doc	Thu Apr 27 16:12:19 2017 UTC

6.2 Comparison summary

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6.3 Comparison options

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6.5 Comparison detail

	1	Department of Vetera ns Affairs Pharmacy Data Manag ement Tech nical Manu al / Secur ity Guide
	2	PHARMACY D ATA MANAGE MENT
	3	TECHNICAL MANUAL/
	4	SECURITY G UIDE
	5	Version 1. 0
	6	June 2012
	7	(Revised F ebruary 20 17)
	8	Department of Vetera ns Affairs
	9	Product De velopment
	10	Revision H istory
	11	Each time this manua l is updat ed, the Ti tle Page l ists the n ew revised date and this page describes the change s. If the Revised Pa ges column lists “Al l,” replac e the exis ting manua l with the reissued manual. If the Revis ed Pages c olumn list s individu al entries (e.g., 25 , 32), eit her update the exist ing manual with the Change Pag es Documen t or print the entir e new manu al.
	12	DateRevise d PagesPat ch NumberD escription 2/2017
	13	11-13PSS1 203Added auditing o f DRUG fil e (#50) ch anges and updated Ro utine list .
	14	(L. Behuni ak PM; E. Weaver, Te ch Writer) 10/201612
	15
	16
	17	HYPERLINK \l "appe ndixa34"
	18
	19	34
	20	-37
	21	PSS1193A dded new r outine PSS HLDFS to t he Routine s section.
	22	Added Appe ndix A for Pharmacy Interface Automation .
	23	(S. Solda n PM; R.Wa lters, Tec h Writer)4 /16i-ii,
	24	11-12, 22- 23PSS117 5Add 2 new Routines: PSSCKOS & PSSDIUTX, Updated A dditional Informatio n section
	25	(H. Cross, PM; S. He iress, Tec h Writer; R. Ruzback i, Develop er)3/16i-i i,
	26	REF p11_R outineTabl e \h
	27	11-12PSS1 191Update d Revision History
	28	Added new routines t o routine list:
	29	PSS1P191, PSSHRHAI, PSSMRRDG, PSSMRRI
	30	(D. Connol ly, PM; E. Phelps, T ech Writer )3/14All
	31	i - iii, 2 , 7-13, 33 , 37PSS1 172Renumbe red all pa ges.
	32	Updated Re vision His tory and T able of Co ntents.
	33	Updated th e Glossary section b y putting definition s in a tab le format.
	34	New menu, options, f ile and ro utines add ed.
	35	(C. Powell , PM; K. K apple, Tec h Writer)9 /13i - iii , 3, 7 – 1 3a, 30, 34 - 35PSS1 160Update d Revision History
	36	Updated Ta ble of Con tents with Exported Options an d Routines sections
	37	Added Look up Dosing Check Info for Drug [PSS DRUG DOSING LOO KUP] OPTIO N to the D osages [PS S DOSAGES MANAGEMENT ] MENU OPT ION and Dr ug Names w ith Traili ng Spaces Report
	38	[PSS TRAIL ING SPACES REPORT].
	39	Added PSS DOSING ORD ER CHECKS option
	40	Also added the follo wing routi nes to the routine l ist:
	41	PSS160EN
	42	PSS160PO
	43	PSSDRDOS
	44	PSSFDBDI
	45	PSSDSONF
	46	Added Web Servers, W eb Service s, and Cac he Class s ection
	47	Added text to the Se curity Key s section
	48	(D. McCanc e, PM; K. Kapple, Te ch Writer) 01/13i-iv, 3, 6-6b, 7, 10 - 13 PSS1164
	49	PSS1169
	50	Removed re ference to patch PSS 1146 in the menu o ptions sec tion
	51	Added Prin t Interfac e Data Fil e option t o the Phar macy Data Management [PSS MGR] menu
	52	Added Chec k Drug Int eraction o ption to t he Pharmac y Data Man agement [P SS MGR] me nu
	53	Moved Menu /Option it ems from p age 7 to p age 6a
	54	Added Prin t Interfac e Data Fil e option t o the PEPS Services menu under the Optio n Descript ions secti on
	55	Added Chec k Drug Int eraction o ption to t he Option Descriptio ns section
	56	Added rout ine PSSDIU TL
	57	Added Find Unmapped Local Poss ible Dosag es option to the Sta nd Alone O ptions sec tion
	58	(G. Tucker , PM; G. S corca, Tec h Writer)0 6/12AllPSS 1146Reis sued docum ent. Remov ed redunda ncies due to MOCHA V .1.0 incre mental rel ease; upda ted format ting and p age numera tion.
	59	(N. Goyal, PM; J. Ow czarzak, T ech Writer )Table of Contentsxe "Table of Contents"
	60	1Introduct ion
	61
	62
	63	2File List
	64
	65
	66	3File Desc riptions
	67
	68
	69	3Menu/Opti ons
	70
	71
	72	7Option De scriptions
	73
	74
	75	12Routines
	76
	77
	78	13Exported Options
	79
	80
	81	14Protocol s
	82
	83
	84	14Bulletin s
	85
	86
	87	15Web Serv ers
	88
	89
	90	15Web Serv ices
	91
	92
	93	15Cache Cl ass
	94
	95
	96	15HL7 Mess aging with an Extern al System
	97
	98
	99	21Data Arc hiving and Purging
	100
	101
	102	21Callable Routines/ Entry Poin ts/Applica tion Progr am Interfa ces (APIs)
	103
	104
	105	21Medicati on Routes
	106
	107
	108	22Administ ration Sch eduling
	109
	110
	111	22External Relations
	112
	113
	114	22Internal Relations
	115
	116
	117	23Package- Wide Varia bles
	118
	119
	120	23Package Requiremen ts
	121
	122
	123	23Addition al Informa tion
	124
	125
	126	30Security Managemen t
	127
	128
	129	30Mail Gro ups
	130
	131
	132	30Alerts
	133
	134
	135	30Bulletin s
	136
	137
	138	30Remote S ystems
	139
	140
	141	30Archivin g/Purging
	142
	143
	144	31Continge ncy Planni ng
	145
	146
	147	31Interfac ing
	148
	149
	150	31Electron ic Signatu res
	151
	152
	153	31Locked M enu Option s
	154
	155
	156	31Security Keys
	157
	158
	159	33File Sec urity
	160
	161
	162	34Referenc es
	163
	164
	165	35Appendix A: Pharma cy Interfa ce Automat ion
	166
	167
	168	35Introduc tion
	169
	170
	171	36New Func tionality
	172
	173
	174	36Options and Build Components
	175
	176
	177	38Modified and New R outines
	178
	179
	180	40Glossary
	181
	182
	183
	184
	185	(This page included for two-si ded copyin g.)
	186	Introducti on XE "Int roduction"
	187	Pharmacy D ata Manage ment (PDM) provides tools for managing P harmacy da ta. It inc ludes tool s for crea ting Pharm acy Ordera ble Items and mainta ining file s necessar y for the Computer P atient Rec ord System (CPRS). P DM consoli dates tool s for mana ging the v arious Pha rmacy soft ware produ cts. It pr ovides Pha rmacy Supe rvisors, i n one loca tion, the capability to enter and edit d ata from t he local D RUG file ( #50) for a ll Pharmac y related packages.
	188	The PDM Te chnical Ma nual is de signed to acquaint t he user wi th the var ious PDM o ptions and offer spe cific guid ance on th e maintena nce and us e of the P DM package . Document ation conc erning the PDM packa ge, includ ing any su bsequent c hange page s affectin g this doc umentation , can be f ound at th e VistA Do cumentatio n Library (VDL) on t he Veteran s Administ ration Int ranet.
	189	Notationsx e "Notatio ns" that w ill be use d consiste ntly throu ghout this PDM Techn ical Manua l are outl ined below .
	190	Menu optio ns will be italicize d.
	191	Example: T he Drug En ter/Edit o ption perm its you to enter or edit a dru g.
	192	Screen pro mpts will be denoted with quot ation mark s around t hem.
	193	Example: t he "SELECT DRUG" pro mpt will d isplay nex t.
	194	Responses in bold fa ce indicat e user inp ut.
	195	Example: D RUG GENERI C NAME: AC ETA
	196	Text cente red betwee n bent par entheses r epresents a keyboard key that needs to b e pressed in order f or the sys tem to cap ture a use r response or move t he cursor to another field.
	197	<Enter> in dicates th at the Ent er key (or Return ke y on some keyboards) must be p ressed.
	198	Example: T ype Y for Yes or N f or No and press <Ent er>
	199	<Tab> indi cates that the Tab k ey must be pressed.
	200	Example: Press <Tab > to move the cursor to the ne xt field.
	201	Indicates especiall y importan t or helpf ul informa tion.
	202	Options a re locked with a par ticular se curity key . The use r must hol d the part icular sec urity key to be able to perfor m the menu option.
	203	Example: Without the PSXCO MPMGR key, the Conso lidated Ma il Outpati ent Pharma cy options cannot be accessed.
	204	( The page symbol in dicates a referral t o a diagra m.
	205	?, ??, ??? One, two or three question m arks can b e entered at any of the prompt s for onli ne help. O ne questio n mark eli cits a bri ef stateme nt of what informati on is appr opriate fo r the prom pt. Two qu estion mar ks provide more help , plus the hidden ac tions, and three que stion mark s will pro vide more detailed h elp, inclu ding a lis t of possi ble answer s, if appr opriate.
	206	^ Up arro w (caret o r a circum flex) and pressing < Enter> can be used t o exit the present o ption.
	207	File List
	208	The follow ing PDM fi les are ex ported wit h the PDM package.
	209	File# NAME
	210	UPDATE
	211	DATA COMES USER
	212
	213	DD
	214	WITH FILE OVERRIDE
	215	50 DRUG
	216	FULL
	217	NO
	218
	219	50.4 DRUG ELE CTROLYTES
	220	FULL
	221	NO
	222	50.606 DOSAGE F ORM
	223	FULL
	224	YES (MERGE )
	225	NO
	226	50.7 PHARMACY ORDERABLE ITEM
	227	FULL
	228	NO
	229	51 MEDICATI ON INSTRUC TION
	230	FULL
	231	NO
	232	51.1 ADMINIST RATION SCH EDULE
	233	FULL
	234	YES (MERGE )
	235	YES
	236	51.2 MEDICATI ON ROUTES
	237	FULL
	238	YES (MERGE )
	239	YES
	240	51.5 ORDER UN IT
	241	FULL
	242	NO
	243	51.7 DRUG TEX T
	244	FULL
	245	YES
	246	YES
	247
	248
	249	(OVER WRITE)
	250	52.6 IV ADDIT IVES
	251	FULL
	252	NO
	253	52.7 IV SOLUT IONS
	254	FULL
	255	NO
	256	53.47 INFUSION INSTRUCTI ONS
	257	FULL
	258	NO
	259	54 RX CONSU LT
	260	FULL (SCRE EN)
	261	NO
	262	55 PHARMACY PATIENT ( Partial DD )
	263	PARTIAL
	264	NO
	265	59.7 PHARMACY SYSTEM
	266	FULL
	267	NO
	268	59.73 VENDOR DISABLE/EN ABLE
	269	FULL
	270	NO
	271	59.74 VENDOR INTERFACE DATA
	272	FULL
	273	NO
	274	The follow ing non-PD M files ar e exported with the PDM packag e.
	275	File# NAME
	276	UPDATE
	277	DATA COMES USER
	278
	279	DD
	280	WITH FILE OVERRIDE
	281	200 NEW PERS ON (Partia l DD)
	282	PARTIAL
	283	NO
	284	9009032.3 APSP INT ERVENTION TYPE
	285	FULL
	286	YES
	287
	288	NO
	289
	290
	291	(OVERWRITE )
	292	9009032.4 APSP INT ERVENTION
	293	FULL
	294	NO
	295	9009032.5 APSP INT ERVENTION RECOMMENDA TION
	296	FULL
	297	YES
	298	NO
	299
	300
	301	(OVERWRITE )
	302	File Descr iptions
	303	This packa ge require s the file s listed b elow. Info rmation ab out the fi les can be obtained by using t he VA File Man to gen erate a li st of file attribute s.
	304	The Data D ictionarie s (DDs) ar e consider ed part of the onlin e document ation for this softw are applic ation. Use the VA Fi leMan List File Attr ibutes [DI LIST] opti on, under the Data D ictionary Utilities [DI DDU] o ption, to view/print the DDs.
	305	Menu/Optio ns
	306	The PDM op tions list ed below s how the PS S MGR Menu structure .
	307	Pharmacy D ata Manage ment [PSS MGR] menu:
	308	CMOP Mark/ Unmark (Si ngle drug)
	309	[PSSXX MAR K]
	310	Dosages…
	311	[PSS DOSAG ES MANAGEM ENT]
	312	Dosage For m File Ent er/Edit
	313	[PSS DOSAG E FORM EDI T]
	314	Enter/Edit Dosages
	315	[PSS EDIT DOSAGES]
	316	Most Commo n Dosages Report
	317	[PSS COMMO N DOSAGES]
	318	Noun/Dosag e Form Rep ort
	319	[PSS DOSE FORM/ NOUN REPORT]
	320	Review Dos ages Repor t
	321	[PSS DOSAG E REVIEW R EPORT]
	322	Local Poss ible Dosag es Report
	323	[PSS LOCAL POSSIBLE DOSAGES]
	324	Request Ch ange to Do se Unit
	325	[PSS DOSE UNIT REQUE ST]
	326	Lookup Dos ing Check Info for D rug
	327	[PSS DRUG DOSING LOO KUP]
	328	Drug Names with Trai ling Space s Report
	329	[PSS TRAIL ING SPACES REPORT]
	330	Drug Enter /Edit
	331	[PSS DRUG ENTER/ EDI T]
	332	Order Chec k Manageme nt…
	333	[PSS ORDER CHECK MAN AGEMENT]
	334	Request Ch anges to E nhanced Or der Check Database
	335	[PSS ORDER CHECK CHA NGES]
	336	Report of Locally En tered Inte ractions
	337	[PSS REPOR T LOCAL IN TERACTIONS ]
	338	Elec trolyte Fi le (IV)
	339	[PSSJI ELE CTROLYTE F ILE]
	340	Lookup int o Dispense Drug File
	341	[PSS LOOK]
	342	Medication Instructi on Managem ent...
	343	[PSS MED I NSTRUCTION MANAGEMEN T]
	344	Medication Instructi on File Ad d/Edit
	345	[PSSJU MI]
	346	Medication Instructi on File Re port
	347	[PSS MED I NSTRUCTION REPORT]
	348	Medication Routes Ma nagement.. .
	349	[PSS MEDIC ATION ROUT ES MGMT]
	350	Medication Route Fil e Enter/Ed it
	351	[PSS MEDIC ATION ROUT ES EDIT]
	352	Medication Route Map ping Repor t
	353	[PSS MED R OUTE MAPPI NG REPORT]
	354	Medication Route Map ping Histo ry Report
	355	[PSS MED R OUTE MAPPI NG CHANGES ]
	356	Request Ch ange to St andard Med ication Ro ute
	357	[PSS MEDIC ATION ROUT E REQUEST]
	358	Default Me d Route fo r OI Repor t
	359	[PSS DEF M ED ROUTE O I RPT]
	360	Orderable Item Manag ement…
	361	[PSS ORDER ABLE ITEM MANAGEMENT ]
	362	Edit Order able Items
	363	[PSS EDIT ORDERABLE ITEMS]
	364	Dispense D rug/Ordera ble Item M aintenance
	365	[PSS MAINT AIN ORDERA BLE ITEMS]
	366	Orderable Item/Dosag es Report
	367	[PSS ORDER ABLE ITEM DOSAGES]
	368	Patient In structions Report
	369	[PSS INSTR UCTIONS/ I TEMS REPOR T]
	370	Orderable Item Repor t
	371	[PSS ORDER ABLE ITEM REPORT]
	372	Formulary Informatio n Report
	373	[PSSNFI]
	374	Drug Text Management ...
	375	[PSS DRUG TEXT MANAG EMENT]
	376	Drug Text Enter/Edit
	377	[PSS EDIT TEXT]
	378	Drug Text File Repor t
	379	[PSS DRUG TEXT FILE REPORT]
	380	Pharmacy S ystem Para meters Edi t
	381	[PSS SYS E DIT]
	382	Standard S chedule Ma nagement.. .
	383	[PSS SCHED ULE MANAGE MENT]
	384	Standard S chedule Ed it
	385	[PSS SCHED ULE EDIT]
	386	Administra tion Sched ule File R eport
	387	[PSS SCHED ULE REPORT ]
	388	Synonym En ter/Edit
	389	[PSS SYNON YM EDIT]
	390	Controlled Substance s/PKI Repo rts…
	391	[PSS CS/PK I REPORTS]
	392	DEA Spec H dlg & CS F ed Sch Dis crepancy
	393	[PSS DEA V S CS FED. SCH. DISCR .]
	394	Controlled Substance s Not Matc hed to NDF
	395	[PSS CS NO T MATCHED TO NDF]
	396	CS (DRUGS) Inconsist ent with D EA Spec Hd lg
	397	[PSS CS DR UGS INCON WITH DEA]
	398	CS (Ord. I tem) Incon sistent wi th DEA Spe c Hdlg
	399	[PSS CS (O I) INCON W ITH DEA]
	400	Send Entir e Drug Fil e to Exter nal Interf ace
	401	[PSS MASTE R FILE ALL ]
	402	IV Additiv e/Solution …
	403	[PSS ADDIT IVE/SOLUTI ON]
	404	IV Ad ditive Rep ort
	405	[PSS IV ADDITIV E REPORT]
	406	IV So lution Rep ort
	407
	408	[PSS IV SOLUTION REPORT]
	409	Mark PreMix Sol utions
	410
	411	[PSS MA RK PREMIX SOLUTIONS]
	412	Warning Bu ilder
	413	[PSS WARNI NG BUILDER ]
	414	Warning Ma pping
	415	[PSS WARNI NG MAPPING ]
	416	PEPS Servi ces…
	417	[PSS PEPS SERVICES]
	418	Check Ven dor Databa se Link
	419
	420
	421	[PSS CHECK VENDOR DA TABASE LIN K]
	422	Check PEP S Services Setup
	423
	424	[PSS CH ECK PEPS S ERVICES SE TUP]
	425	Schedule/R eschedule Check PEPS Interface
	426
	427
	428	[PSS SCHED ULE PEPS I NTERFACE C K]
	429	Print Inte rface Data File
	430
	431
	432	[PSS VENDO R INTERFAC E REPORT]
	433	Inpatient Drug Manag ement…
	434	[PSS INP M GR]
	435	ADditiv es File
	436	[PSSJI DRUG]
	437	Dispense Drug Fiel ds
	438	[PSSJU D RG]
	439	Dispense Drug/ATC Set Up
	440	[PSSJU D RUG/ATC SE T UP]
	441	Edit Cos t Data
	442	[PSSJU D CC]
	443	EDit Dru g Cost (IV )
	444	[PSSJI E DIT DRUG C OST]
	445	MARk/Unm ark Dispen se Drugs F or Unit Do se
	446	[PSSJU M ARK UD ITE MS]
	447	PRimary Solution F ile (IV)
	448	[PSSJI S OLN]
	449	Check Drug Interacti on
	450	[PSS CHECK DRUG INTE RACTION]
	451	Infusion I nstruction Managemen t …
	452	[PSS INFIN S MGR]
	453	Infusion I nstruction s Add/Edit
	454	[PSS INFIN S ADED]
	455	Infusion I nstruction Report
	456	[PSS INFIN S RPT]
	457	Locke d: PSXCMOP MGR
	458	Without th e PSXCMOPM GR key, X E "PSXCMOP MGR key" \ b the CMOP Mark/Unma rk (Single drug) XE "CMOP Mark /Unmark (S ingle drug ) option" \b option will not appear on your menu.
	459	Option Des criptions
	460	The option descripti ons below were retri eved from VA FileMan and provi de the PDM options f ollowing t he initial installat ion of the PDM packa ge.
	461	PSS MGR Ph armacy Dat a Manageme nt
	462	This menu contains t he options necessary to build and mainta in the PHA RMACY ORDE RABLE ITEM file (#50 .7), and t o also bui ld and mai ntain the Med. Route /Instructi ons table.
	463	ITEM: PSS DRUG ENTER /EDIT
	464	ITEM: PSS LOOK
	465	ITEM: PSSJ I ELECTROL YTE FILE
	466	ITEM: PSSX X MARK
	467	ITEM: PSS SYS EDIT
	468	ITEM: PSS ORDERABLE ITEM MANAG EMENT
	469	ITEM: PSSN FI
	470	ITEM: PSS SYNONYM ED IT
	471	ITEM: PSS DOSAGES MA NAGEMENT
	472	ITEM: PSS CS/PKI REP ORTS
	473	ITEM: PSS MASTER FIL E ALL
	474	ITEM: PSS MEDICATION ROUTES MG MT
	475	ITEM: PSS SCHEDULE M ANAGEMENT
	476	ITEM: PSS DRUG TEXT MANAGEMENT
	477	ITEM: PSS MED INSTRU CTION MANA GEMENT
	478	ITEM: PSS ORDER CHEC K MANAGEME NT
	479	ITEM: PSS ADDITIVE/S OLUTION
	480	ITEM: PSS WARNING BU ILDER
	481	ITEM: PSS WARNING MA PPING
	482	ITEM: PSS PEPS SERVI CES
	483	ITEM: PSS INP MGR
	484	ITEM: PSS Check Drug Interacti on
	485	ITEM: PSS INFINS MGR
	486	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	487	PSS DRUG E NTER/EDIT
	488	Drug Enter /Edit
	489	This optio n allows t he user to edit fiel ds for ALL pharmacy packages i f they pos sess the p roper pack age key. I t also wil l allow th e user to match to N DF and Ord erable Ite m.
	490	TYPE: run routine ROUTINE: P SSDEE
	491	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	492	PSS LOOK
	493	Lookup int o Dispense Drug File
	494	This optio n provides a report of all inf ormation r egarding t he dispens e drug.
	495	TYPE: run routine ROUTINE: P SSLOOK
	496	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	497	PSSJI ELEC TROYLYTE F ILE
	498	Electrolyt e File (IV )
	499	This optio n will all ow you to alter the contents o f the DRUG ELECTORYL YTES file (#50.4). T his is the file that is pointe d to by th e ELECTROL YTE field in both th e IV ADDIT IVES (#52. 6) and IV SOLUTIONS (#52.7) fi les.
	500	TYPE: run routine ROUTINE: E LECTRO^PSS IVDRG
	501	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	502	PSSXX MARK
	503	CMOP Mark/ Unmark (Si ngle drug)
	504	This optio n allows t he user to mark/unma rk a singl e drug for transmiss ion to the CMOP.
	505	TYPE: run routine ROUTINE: P SSMARK
	506	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	507	PSS SYS ED IT
	508	Pharmacy S ystem Para meters Edi t
	509	This optio n allows t he user to edit the Pharmacy S ystem para meters use d in Pharm acy Data M anagement.
	510	TYPE: run routine ROUTINE: P SSYSP
	511	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	512	PSS ORDERA BLE ITEM M ANAGEMENT
	513	Orderable Item Manag ement
	514	This is th e sub-menu driver fo r Orderabl e Item mai ntenance.
	515	ITEM: PSS MAINTAIN O RDERABLE I TEMS
	516	ITEM: PSS EDIT ORDER ABLE ITEMS
	517	ITEM: PSS ORDERABLE ITEM DOSAG ES
	518	ITEM: PSS INSTRUCTIO NS/ITEMS R EPORT
	519	ITEM: PSS ORDERABLE ITEM REPOR T
	520	TYPE: menu
	521	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	522	PSSNFI
	523	Formulary Informatio n Report
	524	This optio n provides a listing of pertin ent pharma cy formula ry informa tion.
	525	TYPE: run routine ROUTINE: P SSNFI
	526	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	527	PSS SYNONY M EDIT
	528	Synonym En ter/Edit
	529	The option provides easy acces s to updat e the syno nym inform ation for an entry i n the loca l DRUG fil e.
	530	TYPE: run routine ROUTINE: P SSSEE
	531	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	532	PSS DOSAGE S MANAGEME NT
	533	Dosages
	534	This menu option con tains opti ons that c ontrol the editing o f dosages.
	535	ITEM: PSS DOSAGE FOR M EDIT
	536	ITEM: PSS EDIT DOSAG ES
	537	ITEM: PSS COMMON DOS AGES
	538	ITEM: PSS DOSE FORM/ NOUN REPOR T
	539	ITEM: PSS DOSAGE REV IEW REPORT
	540	ITEM: PSS LOCAL POSS IBLE DOSAG ES
	541	ITEM: PSS DOSE UNIT REQUEST
	542	TYPE: menu
	543	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	544	PSS CS/PKI REPORTS
	545	Controlled Substance s/PKI Repo rts
	546	PKI POST-I NSTALL REP ORTS PROVI DED AS OPT IONS.
	547	ITEM: PSS DEA VS CS FED. SCH. DISCR.
	548	ITEM: PSS CS NOT MAT CHED TO ND F
	549	ITEM: PSS CS DRUGS I NCON WITH DEA
	550	ITEM: PSS CS (OI) IN CON WITH D EA
	551	TYPE: menu
	552	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	553	PSS MASTER FILE ALL
	554	Send Entir e Drug Fil e to Exter nal Interf ace
	555	TYPE: run routine ROUTINE: P SSMSTR
	556	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	557	PSS MEDICA TION ROUTE S MGMT
	558	Medication Routes Ma nagement
	559	This Sub-M enu contai ns options related t o Medicati on Routes in both th e MEDICATI ON ROUTES (#51.2) Fi le and the STANDARD MEDICATION ROUTES (# 51.23) Fil e.
	560	ITEM: PSS MEDICATION ROUTES ED IT
	561	ITEM: PSS MED ROUTE MAPPING RE PORT
	562	ITEM: PSS MED ROUTE MAPPING CH ANGES
	563	ITEM: PSS MEDICATION ROUTE REQ UEST
	564	ITEM: PSS DEF MED RO UTE OI RPT
	565	TYPE: menu
	566	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	567	PSS SCHEDU LE MANAGEM ENT
	568	Standard S chedule Ma nagement
	569	This Sub-M enu contai ns options needed fo r Schedule maintenan ce.
	570	ITEM: PSS SCHEDULE E DIT
	571	ITEM: PSS SCHEDULE R EPORT
	572	TYPE: menu
	573	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	574	PSS DRUG T EXT MANAGE MENT
	575	Drug Text Management
	576	This Sub-M enu contai ns options concernin g Drug Tex t.
	577	ITEM: PSS EDIT TEXT
	578	ITEM: PSS DRUG TEXT FILE REPOR T
	579	TYPE: menu
	580	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	581	PSS MED IN STRUCTION MANAGEMENT
	582	Medication Instructi on Managem ent
	583	The Sub-Me nu contain s options related to the MEDIC ATION INST RUCTION (# 51) File.
	584	ITEM: PSSJ U MI
	585	ITEM: PSS MED INSTRU CTION REPO RT
	586	TYPE: menu
	587	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	588	PSS ORDER CHECK MANA GEMENT
	589	Order Chec k Manageme nt
	590	This is th e sub-menu for funct ionality r elated to managing m edication order chec ks.
	591	ITEM: PSS ORDER CHEC K CHANGES
	592	ITEM: PSS REPORT LOC AL INTERAC TIONS
	593	TYPE: menu
	594	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	595	PSS ADDITI VE/SOLUTIO N
	596	IV Additiv e/Solution
	597	This Sub-M enu contai ns options that can be used to run repor ts from th e IV ADDIT IVES (#52. 6) File an d the IV S OLUTIONS ( #52.7) Fil e. It also provides an option to edit th e PREMIX ( #18) Field in the IV SOLUTIONS (#52.7) F ile.
	598	ITEM: PSS IV ADDITIV E REPORT
	599	ITEM: PSS IV SOLUTIO N REPORT
	600	ITEM: PSS MARK PREMI X SOLUTION S
	601	TYPE: menu
	602	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	603	PSS WARNIN G BUILDER
	604	Warning Bu ilder
	605	This optio n will all ow you to define a c ustom warn ing label list conta ining entr ies from b oth the ne w warning label sour ce and the old Rx Co nsult file entries.
	606	TYPE: run routine ROUTINE: P SSWRNB
	607	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	608	PSS WARNIN G MAPPING
	609	Warning Ma pping
	610	This optio n is used to match a n entry fr om the old Rx Consul t file to the new co mmercial d ata source warning f ile to aid in using the Warnin g Builder (to identi fy local w arnings th at do not have an eq uivalent e ntry in th e new comm ercial dat a source). The user can also e nter a Spa nish trans lation for an Rx Con sult file entry, if desired, b ut wheneve r possible , the new commercial data sour ce's warni ngs (Engli sh or Span ish depend ing on the patient s etting) sh ould be us ed.
	611	TYPE: run routine ROUTINE: E DIT^PSSWMA P
	612	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	613	PSS PEPS S ERVICES
	614	PEPS
	615	ITEM: PSS CHECK VEND OR DATABAS E LINK
	616	ITEM: PSS CHECK PEPS SERVICES SETUP
	617	ITEM: PSS SCHEDULE P EPS INTERF ACE CK
	618	ITEM: PSS VENDOR INT ERFACE REP ORT
	619	TYPE: menu
	620	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	621	PSS INP MG R
	622	Inpatient Drug Manag ement
	623	This Sub-M enu contai ns options related t o INPATIEN T DRUG MAN AGEMENT.
	624	ITEM: PSSJ I DRUG
	625	ITEM: PSSJ U DRG
	626	ITEM: PSSJ U DRUG/ATC SET UP
	627	ITEM: PSSJ U DCC
	628	ITEM: PSSJ I EDIT DRU G COST
	629	ITEM: PSSJ U MARK UD ITEMS
	630	ITEM: PSSJ I SOLN
	631	TYPE: Menu
	632	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	633	PSS CHECK DRUG INTER ACTION
	634	Check Drug Interacti on
	635	This menu contains o ptions per taining to maintaini ng pharmac y
	636	data files , creating Pharmacy Orderable Items, and the Medic ation Rout e/
	637	Instructio ns table a mong other assorted functions.
	638	TYPE: run routine RO UTINE: PSS DIUTL
	639	PSS INFINS MGR
	640	Infusion I nstruction Managemen t
	641	Menu conta ining opti ons relate d to the I NFUSION IN STRUCTIONS (#53.47) file.
	642	TYPE: menu
	643	PSS INFINS ADED
	644	Infusion I nstruction s Add/Edit
	645	Allows use rs to ente r and edit abbreviat ions and e xpansions in the INF USION INST RUCTIONS ( #53.47) fi le.
	646	TYPE: run routine R OUTINE: EN II^PSSFILE D
	647
	648	PSS INFINS RPT
	649	Infusion I nstruction s Report
	650	Provides a report of entries f rom the IN FUSION INS TRUCTIONS( #53.47) fi le
	651	TYPE: run routine RO UTINE: EN^ PSSIIRPT
	652	Patch PSS* 1*203 enab les auditi ng of DRUG file (#50 ) changes made throu gh option PSS DRUG E NTER/EDIT. This is d one by gen erating a message to a new Mai lMan Group called PS S DEE AUDI T when cha nges are m ade to DRU G file fie lds. The f ollowing l ist of aud itable fie lds is sto red intern ally in th e PSSDEEA routine.
	653	GENERIC NA ME (#.01)
	654	D A N C S A S FICATION ( #2)
	655	DEA, SPECI AL HDLG (# 3)
	656	MAXIMUM DO SE PER DAY (#4)
	657	STANDARD S IG (#5)
	658	FSN (#6)
	659	WARNING LA BEL (#8)
	660	MESSAGE (# 101)
	661	PHARMACY O RDERABLE I TEM (#2.1 )
	662	RESTRICTIO N (#102)
	663	APPLICATIO N PACKAGES ’ USE (#63 )
	664	NDC (#31)
	665	CMOP DISPE NSE (#213)
	666	ATC MNEMON IC (#212.2 )
	667	REORDER LE VEL (#11)
	668	ORDER UNIT (#12)
	669	PRICE PER ORDER UNIT (#13)
	670	PRICE PER DISPENSE U NIT (#16)
	671	SOURCE OF SUPPLY (#1 7)
	672	DISPENSE U NIT (#14.5 )
	673	CURRENT IN VENTORY (# 50)
	674	DAW CODE ( #81)
	675	NCPDP DISP ENSE UNIT (#82)
	676	NCPDP QUAN TITY MULTI PLIER (#83 )
	677	INACTIVE D ATE (#100)
	678	NATIONAL D RUG FILE E NTRY (#20)
	679	D A N P S O U T NAME (#2 1)
	680	PSNDF D A N P S O U T NAME ENT RY (#22)
	681	PACKAGE SI ZE (#23)
	682	PACKAGE TY PE (#24)
	683	NATIONAL D RUG CLASS (#25)
	684	CMOP ID (# 27)
	685	NATIONAL F ORMULARY I NDICATOR ( #29)
	686	If a user makes chan ges to a n on-auditab le field, or views a n auditabl e field bu t does not make any changes, t hen the ma il message Subject i s DRUG ENT ER/EDIT AC CESS, and the messag e body ind icates “No Audited C hanges Mad e.”
	687	Routines
	688	The follow ing routin es are use d by the P harmacy Da ta Managem ent packag e.
	689	PSS0052PSS 0093 PSS0 114 PSS10 2RP PSS117 EN PSS117P O PSS127PI PSS127PTP SS129EN PS S147EN PSS 147PO PSS1 60EN PSS16 0POPSS172P OPSS1P135 PSS1P154 P SS1P23 PS S1P43 PSS 32P3PSS32P 5 PSS50 PSS50A PSS50A1 PSS50AQM P SS50ATC PS S50B PSS 50B1PSS50B 2 PSS50C PSS50C1 PSS50CMP PSS50D P SS50DAT PS S50DOS PSS 50EPSS50F PSS50F1 PSS50LAB PSS50NDF P SS50P4 PS S50P66 PSS 50P7 PSS5 0P7APSS50T MP PSS50WS PSS51 PSS51P1 PSS51P15 P SS51P1A PS S51P1B PSS 51P1CPSS51 P2 PSS51P 5 PSS51P5 PSS52P6A PSS52P6B PSS52P7 P SS52P7A PS S54PSS55 PSS551 PSS55MIS PSS59P7 PSS70UTL P SS781 PS SADDIT PSS ADRPTPSSAU TL PSSBPS UT PSSCHEN V PSSCHPRE PSSCHPST PSSCLDRG P SSCLINR PS SCLOZPSSCM OPE PSSCOM MN PSSCPRS PSSCPRS1 PSSCREAT PSSCSPD P SSCUSRQ PS SDACSPSSDA WUT PSSDDU T PSSDDUT 2 PSSDDUT3 PSSDEE PSSDEE1 P SSDEE2 PS SDEEAPSSDE LOIPSSDENT PSSDFEE PSSDGUPD PSSDI P SSDIN PS SDINT PSS DIUTLPSSDO S PSSDOSED PSSDOSER P SSDOSLZ PS SDOSRP PSS DRINT PSSD RDOS PSSDS APA PSSDSA PD PSSDSA PI PSSDSAP KPSSDSAPL PSSDSAPM PSSDSBBP PSSDSBDA P SSDSBDB PS SDSBPA PSS DSBPB PSSD SBPCPSSDSB PD PSSDSD AT PSSDSEX C PSSDSFDB PSSDSONF PSSDSPON P SSDSPOP PS SDTR PSS EC123PSSEN V PSSENV N PSSFDBD I PSSFDBRT PSSFIL PSSFILED PSSFILES PSSGENM PSSGIUPSSG MI PSSGS 0 PSSGSG UI PSSGSH PSSHELP PSSHFREQ PSSHL1 PSSHLDFSPS SHLSCHPSSH LU PSSHRCO M PSSHREN V PSSHREQ PSSHRIT PSSHRPST P SSHRQ2PSSH RQ22 PSSH RQ23 PSS HRQ2O PS SHRVAL PSSHRVL1 PSSHTTP P SSHUIDGPSS IIRPT PSSJ EEUPSSJORD F PSSJSPU PSSJSPU 0 PSSJSV PSSJSV0 PSSJXR PSSJXR1 PSSJXR1 0PSSJXR11 PSSJXR12P SSJXR13 P SSJXR14 P SSJXR15 P SSJXR16 P SSJXR17 P SSJXR18PSS JXR19 PSS JXR2 PSS JXR20 PSS JXR21 PSS JXR22 PSS JXR23 PSS JXR24 PSS JXR25PSSJX R26 PSSJX R27 PSSJX R28 PSSJX R29 PSSJX R3 PSSJX R30 PSSJX R31 PSSJX R32PSSJXR3 3 PSSJXR3 4 PSSJXR4 PSSJXR5 PSSJXR6 PSSJXR7 PSSJXR8 PSSJXR9 PSSLAB SSLDALL P SSLDEDT P SSLDOSE P SSLOCK P SSLOOK P SSMARK P SSMATCHPSS MEDCH PSS MEDRQ PSS MEDRT PSS MEDX PSS MIRPT PSS MONT PSS MRTUP PSS MRTUXPSSMS TR PSSNC PDP PSSNDC UT PSSNFI PSSNFI P PSSNOD 2 PSSNOU NR PSSNTE G PSSOICT PSSOICT1 PSSOIDOS PSSOPKI PSSOPKI1 PSSORPH PSSORPH1 PSSORPHZ PSSORUTE PSSORUTL PSSORUTZ PSSOUTSC PSSP110 PSSP130 PSSP134 PSSPI89 PSSP203PSS PCH13PSSPK IPI PSSPKI PR PSSPNS RP PSSPO1 29 PSSPOI PSSPOI C PSSPOI D1PSSPOID2 PSSPOID3 PSSPOIDT PSSPOIKA PSSPOIM PSSPOIM1 PSSPOIM2 PSSPOIM3 PSSPOIMN PSSPOIMO PSSPOIMP PSSPOST PSSPOST2 PSSPOST5 PSSPOST6 PSSPREPSSP RE38 PSSP RETR PSSP RMIX PSSP RUTL PSSQ OC PSSQ ORD PSSR EF PSSR EMCH PSSRX ACT PSSSC HED PSSSC HRP PSSSE E PSSTR ENG PSSTX T PSSUN MSI PSSUT IL PSSUT IL1 PSSUT IL3PSSUTLA 1 PSSUTLA 2 PSSUTLA Z PSSUTLP R PSSUTLP Z PSSVIDR G PSSVX6 PSSVX61 PSSVX62 PSSVX63 PSSVX64 PSSVX65 PSSVX66 PSSWMAP PSSWRNA PSSWRNBPSS WRNC PSS WRNE PSSXD IC PSSXR EF PSSX RF1 PSSY SPExported Options
	690	Stand-Alon e Options
	691	The follow ing is a l ist of all stand-alo ne options that are NOT export ed as part of the ma in PDM men u [PSS MGR ]:
	692	Other Lang uage Trans lation Set up
	693	[PSS OTHER LANGUAGE SETUP]
	694	Drug Inqui ry (IV)
	695	[PSSJI DRU G INQUIRY]
	696	Electrolyt e File (IV )
	697	[PSSJI ELE CTROLYTE F ILE]
	698	Enable/Dis able Vendo r Database Link
	699	[PSS ENABL E/DISABLE DB LINK]
	700	Add Defaul t Med Rout e
	701	[PSS ADD D EFAULT MED ROUTE]
	702	Find Unmap ped Local Possible D osages
	703	[PSS LOCAL DOSAGES E DIT ALL]
	704	The Enable /Disable V endor Data base Link option exi sts ONLY a s a way fo r technica l personne l to turn on/off the database connection if requir ed for deb ugging. No rmally, it is enable d and the Vendor Dat abase upda tes are pe rformed ce ntrally on the MOCHA Servers, not at the individua l sites. I t is NOT e xported as part of t he main PD M menu [PS S MGR].
	705	In the rar e case whe re this op tion is us ed and the database link is di sabled, NO drug-drug interacti on, duplic ate therap y, or dosi ng order c hecks will be perfor med in Pha rmacy or i n the Comp uterized P atient Rec ord System (CPRS).
	706	Protocols
	707	NAME: PSS EXT MFU CL IENT
	708	DESCRIPTI ON: This protocol will be us ed as the ACK from t he externa l
	709	interface for a MFN _M01 messa ge.
	710	NAME: PSS EXT MFU SE RVER
	711	DESCRIPTI ON: This protocol will be us ed to send event not ification and data
	712	when new drugs are added to t he DRUG fi le (#50) a nd when ce rtain fiel ds are
	713	updated i n the same file. Thi s informat ion will b e sent to the automa ted
	714	dispensin g machines through H L7 V.2.4 f ormatted m essages.
	715
	716	NAME: PSS HUI DRUG U PDATE
	717	DESCRIPTI ON: This protocol will be us ed to send event not ification and data
	718	when new drugs are added to t he Drug fi le (#50) a nd when ce rtain fiel ds are
	719	updated i n same fil e.
	720	NAME: PSS MED ROUTE RECEIVE
	721	DESCRIPTI ON: This protocol processes updates to the Stand ard Medica tion
	722	Routes (# 51.23) Fil e.
	723	Bulletins
	724	NAME: PSS FDB INTERF ACE
	725	SUBJECT: O RDER CHECK DATABASE DOWN
	726	RETENTION DAYS: 3
	727	PRIORITY?: YES
	728	NAME: PSS FDB INTERF ACE RESTOR ED
	729	SUBJECT: O RDER CHECK DATABASE IS BACK UP
	730	RETENTION DAYS: 3
	731	PRIORITY?: YES
	732	Web Server s
	733	PEPS
	734	Web Servic es
	735	DOSING_INF O
	736	DRUG_INFO
	737	ORDER_CHEC KS
	738	Cache Clas s
	739	XMLHandler
	740	HL7 Messag ing with a n External System
	741	A protocol , PSS HUI DRUG UPDAT E, is expo rted and h as been cr eated to g enerate HL 7 messages when new drugs are added to t he DRUG fi le (#50) a nd existin g entries are update d. This pr otocol is exported w ith the te xt “DELETE ONLY TO S END DRUG U PDATE MESS AGES” in t he DISABLE field (#2 ) of the P ROTOCOL fi le (#101). To activa te the sen ding of th ese HL7 me ssages, th e text fro m the DISA BLE field (#2) of th e PROTOCOL file (#10 1) must be deleted a nd at leas t one rece iving prot ocol added as a subs criber. Th e drug dat a elements included in the HL7 message a re defined in the fo llowing HL 7 Drug Mes sage Segme nt Definit ion table.
	742	HL7 Drug M essage Seg ment Defin ition Tabl e
	743	When the P SS HUI DRU G UPDATE p rotocol is enabled, the follow ing table defines th e data ele ments sent in each s egment of the HL7 dr ug message .
	744	SegmentPie ceField Na meHL7 TBL # or Data TypeDescri ptionMSH1\| STField Se parator2^~ \&STEncodi ng Charact ers3Pharma cyNo sugge sted value Sending Ap plication9 MFN0076Mes sage TypeM FI150^DRUG ^99PSD0175 Master Fil e ID3UPD01 78File-Lev el Event C ode6NE0179 Response L evel CodeM FA1MUP/MAD 0180UPDATE /ADDMFE1MU P/MAD0180U PDATE/ADD4 IEN^DRUG N AME^99PSDF ile 50 Ent ryZPA1NDCS TNational Drug Code2 LOCAL NON- FORMULARYC EIf “1” tr ue3INACTIV E DATEDTHL 7 Format ( YYYYMMDD)4 APPLICATIO N PACKAGE USESTUsed by what pa ckages5MES SAGESTInfo on drug6 D A N C S A S FICATIONST VA Class7D EA SPECIAL HDLGSTHow drug is d ispense ba sed on DEA codes8FSN ST Federal Stock #9W ARNING LAB ELSTDrug W arnings fo r patient1 0VISN NON- FORMULARCE If ‘1’ tru eZPB1PHARM ACY ORDERA BLE ITEMCE IEN^OI tie d to dispe nse drug^P SD50.72DOS AGE FORMST IEN^Dosage Form asso ciated wit h OI^PSD50 .6063MEDIC ATION ROUT ESTIEN^Med Route ass ociated wi th OI^PSD5 1.24PSNDF D A N P S O U T NAME ENT RYCEIEN^ D A N P S O U T NAMES^PS D50.685DIS PENSE UNIT STDispense Unit for a drug6CMO P DISPENSE CE1 or 07O P EXTERNAL DISPENSEC E1 or 08EX PIRATION D ATEDTHL7 F ormat (YYY YMMDD)9LAB TEST MONI TORCEIEN^L ab Test^LA B60ZPC1SPE CIMEN TYPE CEIEN^ SPE CIMEN TYPE ^LAB612MON ITOR ROUTI NESTProgra m that run s to find lab test a nd results 3LAB MONIT OR MARKCEI f ‘1’ true 4STRENGTHN MDose of d rug5UNITCE IEN^Unit o f measure^ PSD50.6076 PRICE PER ORDER UNIT NM7PRICE P ER DISPENS E UNITNM[{ ZPD}] 1SYN ONYMSTTrad e Name2NDC CODESTNat ional Drug Code3INTE NDED USECE CE^INTENT ED USE4VSN STVendor S tock Numbe r5ORDER UN ITCEIEN^AB BREVIATION ^EXPANSION
	745	^PSD51.56P RICE PER O RDER UNITN M7DISPENSE UNITS PER ORDER UNI TNM8PRICE PER DISPEN SE UNITNM9 VENDORSTVe ndor[{ZPE} ]1ACTIVITY LOGDTHL7 Format YYY YMMDDHHMM[ SS]-ZZZZ2R EASONCEE^E DIT3INITIA TOR OF ACT IVITYCEIEN ^NEW PERSO N^VA2004FI ELD EDITED ST5NEW VAL UEST6NDF U PDATEST[{Z PF}]1DISPE NSE UNITS PER DOSENM 2DOSENM3PA CKAGECECE^ PACKAGE(S) 4BCMA UNIT S PER DOSE NM[{ZPG}]1 CLOZAPINE LAB TESTCE IEN^LAB TE ST^LAB602M ONITOR MAX DAYSNM3SP ECIMEN TYP ECEIEN^ SP ECIMEN TYP E^LAB614TY PE OF TEST CE1^WBC or 2^ANC[{ZP H}]1LOCAL POSSIBLE D OSAGESTFRE E TEXT2PAC KAGECECE^P ACKAGE(S)3 BCMA UNITS PER DOSEN MTwo proto cols, PSS EXT MFU CL IENT and P SS EXT MFU SERVER, a re exporte d and have been crea ted to gen erate HL7 messages w hen new dr ugs are ad ded to the DRUG file (#50) and existing entries ar e updated. These pro tocols can only be a ctivated b y setting the follow ing parame ters in th e OUTPATIE NT SITE fi le (#59):
	746	AUTOMATED DISPENSE f ield (#105 ) needs to be set to 2.4.
	747	ENABLE MAS TER FILE U PDATE fiel d (#105.2) needs to be set to YES.
	748	LOGICAL LI NK field ( #2005) nee ds to be s et to PSO DISP.
	749	DISPENSE D NS NAME fi eld (#2006 ) needs to be set to the dispe nsing syst em DNS nam e (for exa mple, disp ensemachin e1. DNS ).
	750	DISPENSE D NS PORT fi eld (#2007 ) needs to be set to the dispe nsing syst em port nu mber.
	751	Specific T ransaction xe "Specif ic Transac tion"
	752	The Pharma cy/Treatme nt Encoded Order Mes sage is as follows:
	753	MFN
	754	Master Fil e Notifica tion Messa ge
	755	MSH
	756	Message He ader
	757	MFI
	758	Master Fil e Identifi er
	759	{MFE
	760	Master Fil e Entry
	761	{{ZPA}
	762	Drug File Informatio n
	763	{RXD}
	764	Pharmacy/T reatment D ispense
	765	{OBR}}
	766
	767	Observatio n Request
	768	}
	769	Example:
	770	MSH\|~^\&\|P SS VISTA\|5 21~FO-BIRM .VHA URL ~DNS\|PSS D ISPENSE\|~D ISPENSE1.V HA URL :9300~DNS\| 20030701\|\| MFN~M01~MF N_M01\|1000 1\|P\|2.4\|\|\| AL\|AL
	771	MFI\|50~DRU G~99PSD\|\|U PD\|\|\|NE
	772	MFE\|MUP\|\|\| PROPANTHEL INE 15MG T AB
	773	ZPA\|PROPAN THELINE 15 MG TAB\|N\|L FN~Local N on-Formula ry~Pharm F ormulary L isting\|200 31226\|Take with food \|DE200\|6\|P \|50~6505-0 0-960-8383 ~LPS50\|8~N O ALCOHOL~ LPS54\|229~ Bacitracin ~LPSD50.7\| 3~CAP,ORAL ~LPSD50.60 6\|15~IV PU SH~LPSD51. 2\|3643~ATR OPINE SO4 0.4MG TAB~ LPSD50.68\| OP~OP Disp ense~99OP\| 20030830\|9 ~Rubella~L LAB60\|72~H air of Sca lp~LLAB61\| PSOCLO1\|N\| 100\|20~MG~ LPSD50.607 \|4.28&USD~ UP\|15.64&U SD~UP\|TAB\| 2\|BLUE HOU SE VENDOR\| 0010-0501- 33\|TRADENA ME
	774	RXD\|\|\|\|1\|\| \|\|\|1\|\|\|~P& 200&LPSD50 .0903\|\|\|\|\| \|\|\|\|\|\|\|O
	775	OBR\|\|\|\|110 2~ACETAZOL AMIDE~LLAB 60\|\|\|\|\|\|\|\| \|\|\|70&NECK &LLAB61\|\|\| \|\|\|\|\|\|WBC\| \|\|7
	776	HL7 Drug M essage Seg ment Defin ition Tabl e
	777	When the P SS EXT MFU SERVER pr otocol is enabled, t he followi ng table d efines the data elem ents sent in each se gment of t he HL7 dru g message.
	778	Segments U sed in the Master Fi le Update Message
	779	SEGMENTSEQ #LENDTR/OR P/#TBL#ELE MENT NAMEE XAMPLEMSH1 1STRField Separator\| 24STREncod ing Charac ters~^\&31 80HDR0361S ending App licationPS S VISTA418 0HDR0362Se nding Faci lity – sta tion ID an d station DNS name52 1~FO-BIRM URL ~DNS5180HD R0361Recei ving Appli cationPSS DISPENSE61 80HDR0362R eceiving F acility – DNS name a nd port of dispensin g machine~ DISPENSE.V HA URL :9300~DNS7 26TSDate/T ime of Mes sage200404 0515241691 5CMR0076Me ssage Type MFN_M01102 0STRMessag e Control ID10001113 PTR0103Pro cessing ID P123VIDR01 04Version ID2.4152ID 0155Accept Ack. Type AL162ID015 5Applicati on Ack Typ eALMFI1250 CER0175Mas ter File I dentifier5 0^DRUG^99P SD33IDR017 8File-Leve l Event Co deUPD62IDR 0179Respon se Level C odeNEMFE13 IDR0180Rec ord-Level Event Code MUP4200Var iesRPrimar y Key Valu e – MFEPRO PANTHELINE 15MG TABZ PA1200Vari esRPrimary Key Value – ZPAPROP ANTHELINE 15MG TAB21 IDR0136Is SynonymN32 00CERFormu lary Listi ngLFN~Loca l Non-Form ulary~Phar m Formular y Listing4 10DTOInact ive Date20 0312265200 STODrug Me ssageTake with Food6 30STODrug Classifica tionDE2007 10STODEA-S chedule Co de681STODE A-Drug Typ eP9100CERS tock Numbe r50~6505-0 0-960-8383 ~LPS501010 0CEOWarnin g Label8~N O ALCOHOL~ LPS5411100 CEOPharmac y Orderabl e Item229~ Bacitracin ~LPSD50.71 2100CEODos age Form3~ CAP,ORAL~L PSD50.6061 3100CEOMed ication Ro ute15~IV P USH~LPSD51 .214100CEO Drug Name Identifier s3643~ATRO PINE SO4 0 .4MG TAB~L PSD50.6815 100CEODisp ense Flags OP~OP Disp ense~99OP1 615DTODrug Expiratio n Date2003 083017100C EOLab Test Monitor9~ Rubella~LL AB6018100C EOSpecimen Type72~Ha ir of Scal p~LLAB6119 10CEOMonit or Routine PSOCLO1201 IDOLab Mon itor MarkN 2150NMOStr ength10022 250CERUnit 20~MG~LPSD 50.6072350 CPRPrice P er Order U nit4.28&US D~UP2450CP RPrice Per Dispense Unit15.64& USD~UP2525 STODispens e UnitTAB2 650NMODisp ense Units Per Order Unit22750 STOVendorB LUE HOUSE VENDOR2812 STONDC Cod e0010-0501 -332925STO Intended U seTRADE NA MERXD420NM RActual Di spense Amo unt1820NMR Dispense N otes11210C QOTotal Da ily Dose~P &200&LPSD5 0.0903242I DRDispense Package M ethodOOBR4 250CEOUniv ersal Serv ice Identi fier1102~A CETAZOLAMI DE~LLAB601 5300CMOSpe cimen Sour ce70&NECK& LLAB61243I DRDiagnost ic Serv Se ct IDWBC27 200TQOQuan tity/Timin g7Notes Pe rtaining t o Some of the Data E lements:
	780	[MSH-3] Se nding Appl ication is the stati on ID alon g with the DNS name of the sen ding facil ity.
	781	[MSH-5] Re ceiving Ap plication is the DNS name and DNS port n umber of t he dispens ing applic ation.
	782	[MSH-10] M essage Con trol ID is the numbe r that uni quely iden tifies the message. It is retu rned in MS A-2 of the dispense completion message.
	783	[MFI-1] Ma ster File Identifier is hard-c oded to 50 ~DRUG~99PS D.
	784	[MFE-1] Re cord-Level Event Cod e can be e ither MUP for Update or MAD fo r Add.
	785	[MFE-4] Pr imary Key Value – MF E is the G ENERIC NAM E field (# .01) from the DRUG f ile (#50).
	786	[ZPA-1] Pr imary Key Value – ZP A will be the generi c name of the drug f irst and t hen all sy nonyms wil l follow i n consecut ive ZPA se gments.
	787	[ZPA-2] Is Synonym i s set to Y or N depe nding on w hether the primary k ey is a sy nonym.
	788	[ZPA-3] Fo rmulary Li sting will contain L FN and/or VISN is th e formular y is not t o appear o n the Loca l or VISN formulary.
	789	[ZPA-9] St ock Number is the FS N field (# 6) from th e DRUG fil e (#50) or the VSN f ield (#400 ) from the SYNONYM s ubfile (#5 0.1) of th e PRESCRIP TION file (#50).
	790	[ZPA-15] D ispense Fl ags will i ndicate if this drug may be di spensed to an extern al interfa ce and if it is mark ed to be d ispensed a t a Consol idated Out patient Ph armacy (CM OP). If bo th are yes , the answ er would b e OP~OP Di spense~Pha rm dispens e^CMOP~CMO P dispense ~Pharm dis pense flag .
	791	[ZPA-29] I ntended Us er will be TRADE NAM E, QUICK C ODE, DRUG ACCOUNTABI LITY or CO NTROLLED S UBSTANCES.
	792	[RXD-4] Ac tual Dispe nse Amount is the BC MA UNITS P ER DOSE fi eld (#3) f rom the PO SSIBLE DOS AGES file (#50.0903) .
	793	[RXD-9] Di spense Not es is the DISPENSE U NITS PER D OSE field (#.01) fro m the POSS IBLE DOSAG ES file (# 50.0903).
	794	[RXD-12] T otal Daily Dose will be either P for Pos sible Dosa ges or LP for Local Possible D osages.
	795	[OBR-4] Un iversal Se rvice Iden tifier is used for C lozapine L ab Test.
	796	[OBR-15] S pecimen So urce is us ed for Clo zapine Spe cimen Type .
	797	[OBR-24] D iagnostic Serv Sect ID is used for Cloza pine Type of Test.
	798	[OBR-27] Q uantity/Ti ming is us ed to enco de Monitor Max days from the C LOZAPINE L AB TEST fi le (#50.02 ).
	799	Data Archi ving and P urging
	800	There are no archivi ng and pur ging funct ions neces sary with this relea se of the PDM packag e.
	801	Callable R outines/En try Points /Applicati on Program Interface s (APIs)
	802	APIs, call able routi nes, and e ntry point s can be v iewed by f irst choos ing the DB A menu opt ion on FOR UM and the n choosing the Integ ration Agr eements Me nu option:
	803	IAs INT EGRATION C ONTROL REG ISTRATIONS ...
	804	For detail ed informa tion on al l supporte d Pharmacy Data Mana gement API s, see the Pharmacy Re-Enginee ring (PRE) Applicati on Program Interface (API) Man ual posted on the Vi stA Docume ntation Li brary (VDL ) HYPERLIN K "" .
	805	Medication Routes
	806	The follow ing paragr aphs provi de an expl anation of medicatio n route in formation.
	807	For Outpat ient Pharm acy & Inpa tient Medi cation Uni t Dose Ord ers:
	808	The Defaul t med rout e will be returned f rom the DE FAULT MED ROUTE fiel d (#.06) o f the PHAR MACY ORDER ABLE ITEM file (#50. 7) if it i s populate d, or from the POSSI BLE MED RO UTES multi ple (#50.7 11) of the PHARMACY ORDERABLE ITEM file (#50.7) if it is pop ulated wit h a single entry and the USE D OSAGE FORM MED ROUTE LIST fiel d (#10) is set to "N O." The me d route se lection li st will be returned with entri es from th e POSSIBLE MED ROUTE S multiple (#50.711) if the US E DOSAGE F ORM MED RO UTE LIST f ield (#10) is set to "NO." Oth erwise, th e med rout es associa ted with t he orderab le item's dosage for m, MED ROU TE FOR DOS AGE FORM m ultiple (# 50.6061) o f the DOSA GE FORM fi le (#50.60 6), will b e returned .
	809	For IV Flu ids Orders :
	810	If there i s only one orderable item in t he IV orde r request, the same logic as d efined abo ve under ‘ For Outpat ient Pharm acy & Inpa tient Medi cation Uni t Dose Ord ers’ will be used to return th e default med route from the D EFAULT MED ROUTE fie ld (#.06) and the me d route se lection li st from th e PHARMACY ORDERABLE ITEM file (#50.7).
	811	If there i s more tha n one orde rable item on the IV order req uest, the PHARMACY O RDERABLE I TEM file ( #50.7) wil l be check ed for eac h orderabl e item for the defau lt med rou te and med route sel ection lis t as defin ed above u nder ‘For Outpatient Pharmacy & Inpatien t Medicati on Unit Do se Orders. ’ If there is a defa ult med ro ute common with ever y orderabl e item, th at default med route will be r eturned. S imilarly, the list o f possible med route s that are common wi th every o rderable i tem will b e returned .
	812	Administra tion Sched uling
	813	The follow ing rules apply to a dministrat ion schedu ling.
	814	If there i s a duplic ate schedu le, and if one of th em contain s ward-spe cific admi nistration times for the ward location o f the pati ent, the s chedule re turned for inclusion in the ar ray of sel ectable sc hedules in CPRS will be the on e with the ward-spec ific admin istration times.
	815	If no dupl icate has ward-speci fic admini stration t imes for t he ward lo cation of the patien t, the sch edule with the lowes t IEN numb er will be returned. If both ( or more th an one) du plicate sc hedules ha ve ward-sp ecific adm inistratio n times fo r the ward location of the pat ient, the schedule w ith the lo west IEN n umber in t he ADMINIS TRATION SC HEDULE fil e #51.1 wi ll be the schedule i n the arra y returned to CPRS.
	816	External R elations
	817	Integratio n Agreemen ts
	818	IAs can be viewed by first cho osing the DBA option on FORUM and then t he Integra tion Agree ments Menu option.
	819	Example: D BA Option
	820
	821	Select Pri mary Menu Option: DB A
	822	Select DBA Option: I NTEGration Agreement s Menu
	823	Select Int egration A greements Menu Optio n: Custod ial Packag e Menu
	824	Select Cus todial Pac kage Menu Option: A CTIVE by C ustodial P ackage
	825	Select PAC KAGE NAME: PHARMACY DATA MANAG EMENT PSS
	826	DEVICE: HO ME//
	827	Internal R elations
	828	All PDM op tions can function i ndependent ly.
	829	Package-Wi de Variabl es
	830	There are no package -wide vari ables for this versi on.
	831	Package Re quirements
	832	The PDM mo dule relie s on, at l east, the following external p ackages to run effec tively.
	833
	834	Package
	835	Minimum ve rsion need ed
	836
	837	National D rug File
	838	V. 4.0
	839
	840
	841	Outpatient Pharmacy
	842	V. 7.0
	843
	844
	845	Inpatient Medication s
	846	V. 5.0
	847
	848
	849	Kernel
	850	V. 8.0
	851
	852
	853	VA FileMan
	854
	855	V. 22.0
	856
	857	Package
	858	Minimum ve rsion need ed
	859
	860	HealtheVet Web Servi ces Client (HWSC)
	861	V. 1.0
	862
	863	VistALink
	864
	865	V. 1.6
	866	Additional Informati on
	867	Standards and Conven tions Comm ittee (SAC C) Exempti ons
	868	The follow ing PSS ro utines wil l generate errors re ported in the XINDEX utility f rom using non-standa rd M synta x, due to the need t o consume external w eb service s.
	869	PSSFDBDI
	870	PSSFDBRT
	871	PSSHRPST
	872	PSSHTTP
	873	The follow ing waiver permits t he use of this non-s tandard M syntax to allow the use of Cac he feature s to consu me externa l web serv ices. This waiver is located i n the Heal theVet Web Services Client (HW SC) Develo per Guide.
	874	OITIMB3355 4520 - Mig ration fro m M2J to V istA Web S ervices Cl ient (VWSC )
	875	Keywords
	876	M2J,VWSC,J 2EE
	877	Decision D ate
	878	12/1/2006
	879	Decision T ype
	880	Architectu re
	881	Decision M aking Body
	882	HPMO CCB
	883	Descriptio n
	884	On Decembe r 1, 2006, the HPMO Change Con trol Board voted to accept the migration of VistA from the c urrent M2J solution to the Vis tA Web Ser vices Clie nt (VWSC). This deci sion was m ade for a number of reasons, i n particul ar the fac t that the existing 12-year-ol d M standa rd has bee n surpasse d by evolv ing techno logies and can no lo nger addre ss today’s requireme nts. Addit ionally, w e are no l onger requ ired to su pport DSM, previousl y the prim ary VistA/ M hosting environmen t. Today, all sites are standa rdized on Caché 5.0 systems. A s such, ap provals we re granted as follow s: Waiver of the req uirement t o adhere t o the exis ting 1995 M standard (that doe s not addr ess the im plementati on of web services); Implement ation of a n industry standard such as we b services for VistA /M to J2EE calls usi ng Caché’s built in HTTP and w eb service client fe ature; Use of VWSC a s an inter im solutio n that ens ures conti nuity of i ntegration between V istA/M app lications and migrat ed J2EE ap plications as Health eVet evolv es by enab ling the c onsumption of extern al web ser vices by l egacy Vist A applicat ions; and Deprecatio n of the o riginal M2 J approach .
	885	Rationale
	886	This archi tectural c hange allo ws for a n umber of i mprovement s, includi ng better scalabilit y, resilie nce, and p erformance . Deployme nt and con figuration is far le ss complic ated for a dministrat ors, and t he APIs ca n be used by a varie ty of clie nts rather than sole ly M-based . It also places res ponsibilit y for supp ort, maint enance, et c. with th e vendor r ather than OI&T.
	887	Record Typ e
	888	TDR
	889	State
	890	Approved
	891	Date Submi tted
	892	2/14/2007 8:37:24 AM
	893	Supporting Documenta tion
	894	Link
	895	Document T itle
	896	Descriptio n
	897	Date
	898	Download
	899	Migration from M2J t o VistA We b Services Client (V WSC) Email Notificat ion
	900	Email noti fication a lerting of the decis ion
	901	2/13/2007
	902	Download
	903	VWSC Archi tecture
	904	Proposed a rchitectur e view of VWSC
	905	12/1/2006
	906	Download
	907	VWSC Propo sed View
	908	Proposed l ogical vie w of VistA Web Servi ces Client (VWSC)
	909	12/1/2006
	910	Cross-Refe rence Logi c to Keep Orderable Items Up T o Date
	911	With the i ntroductio n of PSS1 38, a new process f or keeping Orderable Items upd ated was i mplemented . The proc ess is exp lained in detail in the sectio n below.
	912	Anytime sp ecific fie lds are ed ited, or a pointer t o the PHAR MACY ORDER ABLE ITEM file (#50. 7) changes , the Orde rable Item (OI) must be update d and sent to CPRS. Two differ ent situat ions can p recipitate these cha nges. Both situation s are expl ained in d etail here .
	913	The first situation occurs whe n a field is edited that can p ossibly af fect the s tatus of t he Orderab le Item, b ut no Orde rable Item pointers change. In this situ ation, the old Order able Item is the sam e as the n ew Orderab le Item. I n these ca ses, the k ill logic will be th e same as the set lo gic. The k ill and se t logic wi ll simply pass in th e Orderabl e Item to the routin e that che cks all IV Additives /IV Soluti ons/Dispen se Drugs m atched to the Ordera ble Item, does all t he necessa ry updates (Inactiva tion date, Supply fl ag, Non-fo rmulary, B ase, Addit ive), and then sends the Maste r File Upd ate to CPR S on that Orderable Item. This type of u pdate occu rs when th e fields l isted belo w are edit ed.
	914	File 50: DEA Spec ial Hdlg
	915	File 50: Inactiva tion Date
	916	File 50: Applicat ion Packag es’ Use
	917	File 50: Local No n-Formular y
	918	File 50.7: Inactivat ion Date
	919	File 52.6: Inactivat ion Date
	920	File 52.6: Used in I V Fluid Or der Entry
	921	File 52.7: Inactivat ion Date
	922	File 52.7: Used in I V Fluid Or der Entry
	923	The second situation occurs wh en pointer s to the P HARMACY OR DERABLE IT EM file (# 50.7) are changed. I V Additive s, IV Solu tions and the Dispen se Drug al ways point to the sa me Orderab le Item. T hat Ordera ble Item i s, in turn , pointed to by the IV Additiv e or IV So lution. So , the fiel ds that ma y be affec ted includ e the Orde rable Item pointer i n the DRUG file (#50 ) and the Generic Dr ug pointer in the IV ADDITIVES file (#52 .6) and th e IV SOLUT IONS file (#52.7).
	924	File 50: Orderab le Item Po inter
	925	File 52.6: Generic Drug Point er
	926	File 52.7: Generic Drug Point er
	927	The initia l change i s to make the Ordera ble Item p ointers in the IV AD DITIVES fi le (#52.6) and the I V SOLUTION S file (#5 2.7) unedi table. The software will now c ontrol tho se pointer s.
	928	Scenario 1 : The Orde rable Item Pointer I s Changed For A Disp ense Drug
	929	In Example 1, the Or derable It em pointer is change d for a Di spense Dru g. In this case, any Orderable Item poin ters must be updated for entri es in the IV ADDITIV ES file (# 52.6) and the IV SOL UTIONS fil e (#52.7) that point to that D ispense Dr ug. After these poin ters have been updat ed, the Or derable It em must be updated f or the old Orderable Item with what will point to it after t he matchin g. The Ord erable Ite m must als o be updat ed for the new Order able Item after the matching. And these pharmacy O rderable I tem update s must be sent to CP RS as part of the Ma ster File Update. To accomplis h this, th e followin g steps mu st be comp leted:
	930	Add a Cros s-Referenc e on the O rderable I tem pointe r in the D RUG file ( #50) that will hard set one Cr oss-Refere nce in the ORDERABLE ITEM file (#50.7) a nd two Cro ss-Referen ces in the DRUG file (#50) as follows.
	931	Orderable Item: ^ PS(50.7,"A 50",Ordera ble Item I EN, Dispen se Drug IE N)=""
	932	Drug file: ^PSDRUG ("A526", D ispense Dr ug IEN, Ad ditive IEN ,)=""
	933	Drug file: ^PSDRUG ("A527", D ispense Dr ug IEN, So lution IEN ,)=""
	934	The Ordera ble Item C ross-Refer ence allow s access t o Dispense Drugs mat ched to an Orderable Item. Th e two DRUG file (#50 ) Cross-Re ferences a llow acces s to Solut ions and A dditives l inked to D ispense Dr ugs. An "A 50" Cross- Reference will also be added o n the NAME field (# .01) of th e PHARMACY ORDERABLE ITEM file (#50.7) c ontaining a "Quit" c ommand for the set a nd kill lo gic for do cumentatio n purposes only.
	935	When the O rderable I tem pointe r of a Dis pense Drug changes, only one C ross-Refer ence is ne eded on th at field t o perform the follow ing action s:
	936	Kill Logic : This com mand perfo rms a hard kill of t he "A50" C ross-Refer ence in th e PHARMACY ORDERABLE ITEM file (#50.7) f or that Di spense Dru g using ol d value (X ) and DA, where X eq uals the O I IEN and DA equals the Dispen se Drug IE N. The two DRUG file (#50) Cro ss-Referen ces will n ot change.
	937	After the hard kill is complet ed, a Mast er File Up date is pe rformed fo r the old Orderable Item. The logic for all Dispen se Drugs/I V Additive s/IV Solut ions match ed to the Orderable item is ex ecuted by looping th e three Cr oss-Refere nces to fi nd all ent ries in al l three fi les matche d to the O rderable I tem. Also in the Kil l logic, t he Orderab le Item po inter is s et to null and the O rderable I tem pointe r Cross-Re ference is killed fo r any IV A dditives o r IV Solut ions match ed to the Dispense D rug.
	938	Set Logic: Using the New Value (X), wher e X equals the OI IE N, the "A5 0" Cross-R eference i s hard set in the PH ARMACY ORD ERABLE ITE M file (#5 0.7). The Master Fil e Update i s then per formed for the new O rderable I tem. The l ogic for a ll Dispens e Drugs/IV Additives /IV Soluti ons matche d to the O rderable I tem is exe cuted by l ooping on the three Cross-Refe rences to find all e ntries in all three files matc hed to the Orderable Item. The Orderable Item poin ter and th e Orderabl e Item poi nter Cross -Reference s are then hard set for all IV Additives and IV So lutions th at have be en matched to the Di spense Dru g with new value (X) .
	939	Example 1:
	940	Additives/ Solution
	941
	942	Dispense D rugs:
	943
	944	Orderable Item:
	945	IEN 3 p oints to = >
	946	IEN 100 points to =>
	947
	948	500
	949	IEN 4 p oints to = >
	950	IEN 100 points to =>
	951
	952	500
	953	IEN 5 p oints to = >
	954	IEN 100 points to =>
	955
	956	500
	957	IEN 10 po ints to =>
	958
	959	IEN 200 points t o =>
	960
	961	500
	962	Cross-Refe rences are :
	963
	964	^PS(50.7," A50",500,1 00)=""
	965	^PS(50.7," A50",500,2 00)=""
	966	^PSDRUG("A 526",100,3 )=""
	967
	968	^PSDRUG("A 526",100,4 )=""
	969
	970	^PSDRUG("A 526",100,5 )=""
	971	^PSDRUG("A 527",200,1 0)=""
	972	Orderable Item 500 i s pointed to by Disp ense Drugs 100 and 2 00, and by IV Additi ves 3, 4, and 5, and IV Soluti on 10.
	973	(If the LO CAL NON-FO RMULARY fi eld (#51) in the DRU G file (#5 0) is edit ed, the so ftware wil l obtain t he OI poin ter 500 an d execute the OI log ic by loop ing on 500 in the "A 50" Cross- Reference of the PHA RMACY ORDE RABLE ITEM file (#50 .7). As it reference s each ent ry, the OI logic is executed b y looping on the “A5 26” and “A 527” Cross -reference s on the D RUG file ( #50) befor e going to the next Orderable Item point er in the "A50" Cros s-referenc e in the P HARMACY OR DERABLE IT EM file (# 50.7). For Example 1 above, th e software will find in the fi rst "A50" Cross-Refe rence for OI 500, Di spense Dru g 100. The software will then loop throu gh all the “A526” an d “A527” C ross-Refer ences in t he DRUG fi le (#50) t o find the IV Additi ves 3, 4 a nd 5. In t he second “A50” Cros s-Referenc e for OI 5 00, Dispen se Drug 20 0 is ident ified. Th e software will agai n loop thr ough any e xisting “A 526” and “ A527” Cros s-referenc es in the DRUG file (#50) to f ind IV Sol ution 10.
	974	If the Ord erable Ite m pointer for Dispen se Drug 10 0 is edite d from 500 to 600, t he Cross-R eference i n the DRUG file (#50 ) the foll owing logi c will be performed.
	975	Kill Logic
	976	Kill the C ross-Refer ence ^PS(5 0.7,"A50", 500,100) u sing DA an d old valu e (X=500), where DA equals the IEN of th e Dispense Drug and X equals t he IEN of the Ordera ble Item
	977	The Cross- References would now be as fol lows.
	978	^PS(50.7," A50",500,2 00)=""
	979	^PSDRUG("A 526",100,3 )=""
	980	^PSDRUG("A 526",100,4 )=""
	981	^PSDRUG("A 526",100,5 )=""
	982	^PSDRUG("A 527",200,1 0)=""
	983	The ‘A50” and “A527” Cross-ref erences no w identify Orderable Item 500 to be poin ted to by Dispense D rug 200 an d IV Solut ion 10. Th e Orderabl e Item upd ate for OI 500 is th en perform ed for Dis pense Drug 200 and I V solution 10.
	984	While stil l in the K ill logic, the PHARM ACY ORDERA BLE ITEM f ield (#15) in the IV ADDITIVES file (#52 .6) is set to null f or IV Addi tives 3, 4 , and 5. T his action results i n the dele tion of Cr oss-Refere nces on th e PHARMACY ORDERABLE ITEM fiel d (#15) of the IV AD DITIVES fi le (#52.6) .
	985	Set Logic
	986	The “A50” Cross-Refe rence in t he PHARMAC Y ORDERABL E ITEM fil e (#50.7) for the ne w Orderabl e Item 600 is set as follows.
	987	^PS(50.7," A50",500,2 00)=""
	988	^PS(50.7," A50",600,1 00)=""
	989	^PSDRUG("A 526",100,3 )=""
	990	^PSDRUG("A 526",100,4 )=""
	991	^PSDRUG("A 526",100,5 )=""
	992	^PSDRUG("A 527",200,1 0)=""
	993	The Ordera ble Item l ogic is ex ecuted on the new OI 600 by lo oping on t he "A50" C ross-Refer ence, to g et the Dis pense Drug pointer o f 100. The software then loops through a ny existin g “A526” a nd “A527” Cross-Refe rences to get IV Add itives 3, 4 and 5.
	994	The value of the PHA RMACY ORDE RABLE ITEM (#15) fie ld in the IV ADDITIV ES file (# 52.6) for IV Additiv es 3, 4, a nd 5 is se t to 600. Existing C ross-Refer ences are also set t o reflect this chang e.
	995	Scenario 2 : The Disp ense Drug Pointer Is Edited Fo r An IV Ad ditive Or IV Solutio n
	996	If the Dis pense Drug is change d for an I V Additive or IV Sol ution, the Cross-Ref erences on the PHARM ACY ORDERA BLE ITEM f ield in th e IV ADDIT IVES file (#52.6) an d IV SOLUT ION file ( #52.7) wil l perform the follow ing set an d kill log ic.
	997	Kill Logic
	998	First, the "A526" or "A527" Cr oss-Refere nces in th e DRUG fil e (#50) wi ll be kill ed. Then, using DA, which is e qual to th e Orderabl e Item IEN , the soft ware will get the ol d Orderabl e Item poi nter value and perfo rm the Ord erable Ite m logic on the old O rderable I tem. Subse quently, t he value i n the PHAR MACY ORDER ABLE ITEM field for the IV Add itive and/ or IV Solu tion will be set to null and t he existin g Cross-Re ferences o n this fie ld will be killed.
	999	Set Logic
	1000	First, the "A526" or "A527" Cr oss-Refere nces in th e DRUG fil e (#50) wi ll be set. Then Usin g X, which is equal to the Dis pense Drug IEN, the software w ill identi fy the new Orderable Item in t he DRUG fi le (#50) a nd perform the OI lo gic on tha t Orderabl e Item. Th e PHARMACY ORDERABLE ITEM fiel d in the I V ADDITIVE S file (#5 2.6) and I V SOLUTION file (#52 .7) will b e set to t he new val ue and exi sting Cros s-Referenc es will be also set.
	1001	Users can first chec k the new Dispense D rug, and i f the Orde rable Item does not change by rematching the Addit ive/Soluti on to the new Dispen se Drug, t hey can ch oose the Q UIT comman d.
	1002	Example 2:
	1003	IV Additiv es/IV Solu tion
	1004	Dispense D rugs
	1005
	1006	Orderable Item
	1007	IEN 3 p oints to = >
	1008	IEN 100 points to =>
	1009
	1010	500
	1011	IEN 4 p oints to = >
	1012	IEN 100 points to =>
	1013
	1014	500
	1015	IEN 5 p oints to = >
	1016	IEN 100 points to =>
	1017
	1018	500
	1019	IEN 10 po ints to =>
	1020
	1021	IEN 200 points t o =>
	1022	500
	1023	Cross-Refe rences
	1024	^PS(50.7," A50",500,1 00)=""
	1025	^PS(50.7," A50",500,2 00)=""
	1026
	1027
	1028
	1029	^PSDRUG("A 526",100,3 )=""
	1030
	1031
	1032
	1033	^PSDRUG("A 526",100,4 )=""
	1034
	1035
	1036
	1037	^PSDRUG("A 526",100,5 )=""
	1038	^PSDRUG("A 527",200,1 0)=""
	1039	For exampl e, the USE D IN IV FL UID ORDER ENTRY fiel d (#17) in the IV AD DITIVES fi le (#52.6) for IV Ad ditive 3 c ould be ed ited. The Orderable Item that the IV Add itive poin ts to in t his case, is 500. Bo th the Kil l and Set logic (sam e logic) f or the OI 500 is upd ated by lo oping thro ugh the "A 50" Cross- Reference in the PHA RMACY ORDE RABLE ITEM file (#50 .7), findi ng each Di spense Dru g IEN, and going thr ough the " A526" and "A527" Cr oss-Refere nces in th e DRUG fil e (#50) fo r that Dis pense Drug . This pro cess is th en repeate d for the next Dispe nse drug i dentified in the “A5 0” Cross-R eference
	1040	If the DRU G file (#5 0) pointer for IV Ad ditive 3 w ere change d from Dis pense Drug 100 to Di spense Dru g 900, the Cross-Ref erence on the Dispen se Drug Po inter woul d be kille d.
	1041	Kill Logic
	1042	Using old value of X , which eq uals the D ispense Dr ug 100 and DA, which equals th e IV ADDIT IVE 3, the software would kill Cross-Ref erence ^P SDRUG("A52 6",100,3) with the f ollowing C ross-Refer ences rema ining.
	1043
	1044
	1045
	1046	^PS(50.7," A50",500,1 00)=""
	1047	^PS(50.7," A50",500,2 00)=""
	1048
	1049
	1050
	1051	^PSDRUG("A 526",100,4 )=""
	1052
	1053
	1054
	1055	^PSDRUG("A 526",100,5 )=""
	1056
	1057
	1058
	1059	^PSDRUG("A 527",200,1 0)=""
	1060	Using DA, the softwa re would g et the old Orderable Item poin ter of 500 and execu te the Ord erable Ite m logic fo r Dispense Drugs 100 , IV Addit ives 4 and 5, Dispen se Drug 20 0, and IV Solution 1 0.
	1061	The value for the PH ARMACY ORD ERABLE ITE M field (# 15) in the IV ADDITI VES file ( #52.6) wou ld be set to null an d Cross-Re ferences o n this fie ld would b e deleted.
	1062	Set Logic
	1063	Using new value X, w here X equ als the Di spense Dru g 900, the software would set the new "A 526" Cross Reference as ^PSDRU G("A526",9 00,3)="", The update d Cross-Re ferences a re as foll ows
	1064
	1065
	1066
	1067	^PS(50.7," A50",500,1 00)=""
	1068	^PS(50.7," A50",500,2 00)=""
	1069
	1070
	1071
	1072	^PSDRUG("A 526",100,4 )=""
	1073
	1074
	1075
	1076	^PSDRUG("A 526",100,5 )=""
	1077	^PSDRUG("A 526",900,3 )=""
	1078
	1079
	1080
	1081	^PSDRUG("A 527",200,1 0)=""
	1082	Using new value of X , where X equals the Dispense Drug 900, the softwa re gets th e Orderabl e Item poi nter for D ispense Dr ug 900, in this exam ple, Order able Item 2000. The applicable Cross-Ref erences wo uld be the following .
	1083
	1084
	1085
	1086	^PS(50.7," A50",500,1 00)=""
	1087	^PS(50.7," A50",500,2 00)=""
	1088	^PS(50.7," A50",2000, 900)=""
	1089
	1090
	1091
	1092	^PSDRUG("A 526",100,4 )=""
	1093
	1094
	1095
	1096	^PSDRUG("A 526",100,5 )=""
	1097	^PSDRUG("A 526",900,3 )=""
	1098
	1099
	1100
	1101	^PSDRUG("A 527",200,1 0)=""
	1102	The softwa re perform s the OI u pdate for Orderable Item 2000, with Disp ense Drug 900 and IV Additive 3. The PHA RMACY ORDE RABLE ITEM field (#1 5) value i n the IV A DDITIVES f ile (#52.6 ) is set t o 2000. Th e correspo nding Cros s-Referenc es on this field are also set.
	1103	Security M anagement
	1104	The PDM pa ckage does not conta in any VA FileMan se curity cod es except for progra mmer secur ity (@) on the data dictionari es for the PDM files . Security with resp ect to sta ndard opti ons in the module is implement ed by care fully assi gning opti ons to use rs and by the use of security keys.
	1105	Mail Group s
	1106	Patch PSS* 1*147 crea tes a new mail group called PS S ORDER CH ECKS. The mail group descripti on below w as retriev ed from VA FileMan. The IRM Ph armacy sup port and P harmacy AD PACs (and backups) s hould at a minimum b e added to this mail group.
	1107	NAME: PSS ORDER CHEC KS
	1108	TYPE: publ ic
	1109	DESCRIPTIO N: Membe rs of this mail grou p will rec eive vario us notific ations
	1110	that impac t Enhanced Order Che cks (drug- drug inter actions, d uplicate t herapy
	1111	and dosing checks) i ntroduced with PRE V . 0.5 util izing a CO TS databas e.
	1112	Alerts
	1113	There are no alerts in the PDM package.
	1114	Bulletins
	1115	Bulletins are 'Super ' messages . Each Bul letin has a text and a subject just like a normal message. B ut embedde d within e ither the subject or the text can be var iable fiel ds that ca n be fille d in with parameters . There is also a st andard set of recipi ents in th e form of a Mail Gro up that is associate d with the bulletin.
	1116	Bulletins are proces sed by Mai lMan eithe r because of either a special type of cr oss refere nce or a d irect call in a rout ine. The i nterface f or the dir ect call i s describe d in the d ocumentati on on prog rammer ent ry points. FileMan s ets up cod e that wil l issue a bulletin a utomatical ly when th e special cross refe rence type is create d. In eit her case t he paramet ers that g o into the text and/ or the sub ject make each bulle tin unique .
	1117	NAME: PSS FDB INTERF ACE
	1118	SUBJECT: O RDER CHECK DATABASE DOWN
	1119	RETENTION DAYS: 3
	1120	PRIORITY?: YES
	1121	NAME: PSS FDB INTERF ACE RESTOR ED
	1122	SUBJECT: O RDER CHECK DATABASE IS BACK UP
	1123	RETENTION DAYS: 3
	1124	PRIORITY?: YES
	1125	Remote Sys tems
	1126	PDM does n ot transmi t data to any remote system or facility.
	1127	Archiving/ Purging
	1128	There are no archivi ng and pur ging funct ions neces sary with the PDM pa ckage.
	1129	Contingenc y Planning
	1130	Sites util izing the PDM packag e should d evelop a l ocal conti ngency pla n to be us ed in the event of p roduct pro blems in a live envi ronment. T he facilit y continge ncy plan m ust identi fy the pro cedure for maintaini ng functio nality pro vided by t his packag e in the e vent of sy stem outag e. Field s tation Inf ormation S ecurity Of ficers (IS Os) may ob tain assis tance from their Reg ional Info rmation Se curity Off icer (RISO ).
	1131	Interfacin g
	1132	There are no special ized produ cts embedd ed within or require d by the P DM package .
	1133	Electronic Signature s
	1134	No electro nic signat ures are u tilized in the PDM p ackage.
	1135	Locked Men u Options
	1136	This secti on relates only to o ptions tha t are lock ed. For a complete l isting of The PDM op tions list ed in the PSS MGR Me nu structu re, refer to the Men u/Options section of this docu ment.
	1137	Locke d: PSXCMOP MGR
	1138	Without th e PSXCMOPM GR keyxe " PSXCMOPMGR key", the CMOP Mark /Unmark (S ingle drug ) option w ill not ap pear on yo ur menu.
	1139	Security K eys
	1140	The PSS OR DER CHECKS security key is use d to contr ol access to the Ena ble/Disabl e Dosing O rder Check s [PSS DOS ING ORDER CHECKS] op tion.
	1141	In order t o mark or edit packa ge specifi c fields i n a DRUG f ile (#50) entry, the user must hold the correspond ing packag e key. The keys are assigned f or the ind ividual pa ckages. PD M does not export an y of these keys.
	1142
	1143	Packa ge
	1144	Keys
	1145	Outpatient Pharmacy
	1146	PSORPH
	1147	Inpatient Medication s
	1148	PSJU MGR
	1149	Inpatient Medication s
	1150	PSJI MGR
	1151	Automatic Replenishm ent/Ward S tock
	1152	PSGWMGR
	1153	Drug Accou ntability/ Inventory Interface
	1154	PSAMGR
	1155	Drug Accou ntability/ Inventory Interface
	1156	PSA ORDERS
	1157	Controlled Substance s
	1158	PSDMGR
	1159	National D rug File
	1160	PSNMGR
	1161	Consolidat ed Mail Ou tpatient P harmacy
	1162	PSXCMOPMGR
	1163	Patch PSS* 1*147 expo rts the fo llowing fo ur securit y keys, th at will be used by t he Pharmac y Enterpri se Customi zation Sys tem (PECS) applicati on. Only a few users who will be granted access to the PECS applicatio n will nee d one or m ore keys a ssigned ba sed on the ir role. A ssignment of these k eys should be by req uest only. The secur ity key de scriptions were retr ieved from VA FileMa n.
	1164	NAME: PSS_ CUSTOM_TAB LES_ADMIN
	1165	DESCRIPTIV E NAME: AD MINISTRATO R
	1166	DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holder s of this key will h ave the ab ility to p erform con figuration and admin istrative tasks for the applic ation. The y will als o have que rying capa bilities.
	1167	NAME: PSS_ CUSTOM_TAB LES_APPROV ER
	1168	DESCRIPTIV E NAME: AP PROVER
	1169	DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holde rs of this key will have the s ame privil eges as th ose with t he PSS CUS TOM TABLES REQUESTOR key. Addi tional cap abilities will be to review, a pprove, de lete or re ject custo mization r equests an d to view and genera te reports .
	1170	NAME: PSS_ CUSTOM_TAB LES_REL_MA N
	1171	DESCRIPTIV E NAME: RE LEASE MANA GER
	1172	DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holder s of this key will h ave the ab ility to c reate file updates f or FDB dat abase tabl es to be a pplied at local faci lities. Th ey will al so have qu erying cap abilities.
	1173	NAME: PSS_ CUSTOM_TAB LES_REQUES TOR
	1174	DESCRIPTIV E NAME: RE QUESTOR
	1175	DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holde rs of this key will be allowed to enter customizat ion reques ts, displa y and view the statu s of their own reque sts. They will also have limit ed queryin g capabili ties
	1176	Five secur ity keys w ere introd uced with Patch PSS* 1*167 that will be u sed to aut henticate users acce ssing the Pharmacy P roduct Sys tem-Nation al (PPS-N) using Ker nel Authen tication a nd Authori zation for J2EE (KAA JEE). Use rs requiri ng access to the Pha rmacy Prod uct System -National should be assigned t hese keys as appropr iate to th eir level of approve d access. PPS-N is a reengine ered produ ct that wi ll replace the Natio nal Drug F ile Manage ment Syste m (NDFMS). Site use rs may be assigned t he PSS_PPS N_VIEWER k ey only. The other four secur ity keys a re only to be assign ed to memb ers of the National NDF Manage ment Group .
	1177	NAME: PSS_ PPSN_MANAG ER
	1178	DESCRIPTIV E NAME: PP S-National Manager
	1179	DESCRIPTIO N: This role can p erform the operation al functio ns in PPS- N but does n't have t he adminis trative ri ghts of th e PPS-N Na tional Sup ervisor.
	1180	NAME: PSS_ PPSN_MIGRA TOR
	1181	DESCRIPTIV E NAME: PP S-National Migration User
	1182	DESCRIPTIO N: This role has t he ability to run th e PPS-N Mi gration.
	1183	NAME: PSS_ PPSN_SECON D_APPROVER
	1184	DESCRIPTIV E NAME: PP S-National Second Ap prover
	1185	DESCRIPTIO N: This role has t he ability to do a s econd appr oval on it ems that a re in the pending se cond appro val state.
	1186	NAME: PSS_ PPSN_SUPER VISOR
	1187	DESCRIPTIV E NAME: PP S-National Superviso r
	1188	DESCRIPTIO N: This role has t he ability to perfor m all acti ons in the PPS-N app lication, including Administra tion and C onfigurati on.
	1189	NAME: PSS_ PPSN_VIEWE R
	1190	DESCRIPTIV E NAME: PP S-National Viewer
	1191	DESCRIPTIO N: This role has t he ability to log in and view items in t he PPS-N A pplication but canno t modify a ny of the items.
	1192	File Secur ity
	1193	Informatio n about al l files, i ncluding t hese, can be obtaine d by using the VA Fi leMan to g enerate a list of fi le attribu tes.
	1194	PDM Files
	1195	File
	1196	NumbersFil e NamesDDR DWRDELLAYG O50
	1197	DRUG
	1198	@50.4
	1199	DRUG ELECT ROLYTES
	1200	@50.606
	1201	DOSAGE FOR M
	1202	@
	1203
	1204	@
	1205	@
	1206	@50.7
	1207	PHARMACY O RDERABLE I TEM
	1208	@51
	1209	MEDICATION INSTRUCTI ON
	1210	@51.1
	1211	ADMINISTRA TION SCHED ULE
	1212	@51.2
	1213	MEDICATION ROUTES
	1214	@51.23
	1215	STANDARD M EDICATION ROUTES
	1216	@
	1217	Pp
	1218	@
	1219	@
	1220	@51.24
	1221	DOSE UNIT
	1222	@
	1223	Pp
	1224	@
	1225	@
	1226	@51.5
	1227	ORDER UNIT
	1228	51.7
	1229	DRUG TEXT
	1230	@52.6
	1231	IV ADDITIV ES
	1232	@52.7
	1233	IV SOLUTIO NS
	1234	@53.47
	1235	INFUSION I NSTRUCTION S
	1236	54
	1237	RX CONSULT
	1238	55
	1239	PHARMACY P ATIENT (Pa rtial DD)
	1240	@
	1241	P59.7
	1242	PHARMACY S YSTEM
	1243	^
	1244
	1245	^
	1246	^
	1247	^59.73
	1248	VENDOR DIS ABLE/ENABL E
	1249	@
	1250	@
	1251	@
	1252	@
	1253	@
	1254	59.74
	1255	VENDOR INT ERFACE DAT A
	1256	@
	1257	@
	1258	@
	1259	@
	1260	@
	1261	Non-PDM Fi les
	1262	File
	1263	NumbersFil e NamesDDR DWRDELLAYG O200 NEW PER SON (Parti al DD) # # # # #9009032. 3 APSP I NTERVENTIO N TYPE 9009032.4 APSP INT ERVENTION 90 09032.5 APSP INTER VENTION RE COMMENDATI ON
	1264	Please ref er to the "Sending S ecurity Co des." sect ion of the Kernel V. 8.0 Syste ms Manual for more i nformation concernin g installa tion of se curity cod es.
	1265	References
	1266	There are no regulat ions or di rectives r elated to the Pharma cy Data Ma nagement p ackage. Ad ditional m anuals rel ated to th e Pharmacy Data Mana gement pac kage can b e found at the VistA Documenta tion Libra ry (VDL) o n the Inte rnet.
	1267	Appendix A : Pharmacy Interface Automatio n
	1268	REF Bulle tins_p32a \h
	1269
	1270
	1271	REF Bulle tins_p32a \h
	1272
	1273
	1274	REF Bulle tins_p32a \h
	1275	Introducti on
	1276	This appen dix provid es a brief descripti on of the new featur es and fun ctions of the Pharma cy Interfa ce Automat ion projec t. This pr ojects con sist of mu ltiple pat ches, whic h must be installed for the fu nctionalit y to perfo rm.
	1277	The Clinic al Ancilla ry Service s (CAS) De velopment Delivery o f Pharmacy enhanceme nts (DDPE) Pharmacy Interface Automation project s upports th e initiati ve to crea te an auto mated inte rface betw een the Ph armacy Aut omated Dis pensing Eq uipment (P ADE) used in the inp atient and outpatien t care set tings and VistA Phar macy and A dmission D ischarge T ransfer (A DT) applic ations. Th is will al low VA hea lth care u sers the a bility to access, tr ansmit, re ceive aler ts, and ge nerate rep orts on me dication t ransaction s.
	1278	Pharmacy I nterface A utomation is a vital enhanceme nt to the medication transacti on functio ns of the PADE. It allows pha rmacists t o access d ispensing equipment remotely; keep a per petual inv entory of all medica tion recei ved, dispe nsed, and wasted; al ert the ph armacy of medication removed f rom the de vices with out orders ; and esta blishes mo nitors for potential ly inappro priate ele ctronic ph armacy tra nsactions.
	1279	This produ ct shall r un on stan dard hardw are platfo rms used b y the Depa rtment of Veterans A ffairs (VA ) Healthca re facilit ies.
	1280	The minimu m required VistA sof tware is:
	1281	PackageMin imum Versi on NeededA dverse Rea ction Trac king (ART) 4.0BCMA3.0 Computeriz ed Patient Record Sy stem (CPRS )3.0Contro lled Subst ance3.0Dru g Accounta bility3.0V A FileMan2 2.0HL72.4I npatient M edications (IP)5.0Ke rnel8.0Mai lMan7.1Mas ter Patien t Index/Pa tient Demo graphics ( MPI/PD)1.0 National D rug File ( NDF)4.0Nur sing Servi ce4.0Order Entry/Res ults Repor ting (OERR )3.0Regist ration5.3P harmacy Da ta Managem ent (PDM)1 .0Remote P rocedure C all (RPC) Broker1.1S cheduling5 .3New Func tionality
	1282	A new auto mated bidi rectional interface between Vi stA and PA DE has bee n designed and devel oped utili zing VIE a s the midd leware com ponent for communica tion of HL 7 messages and error handling. The adde d function al compone nts are:
	1283	Provide ph armacists the capabi lity to re motely acc ess dispen sing equip ment to pr ovide the pharmacist the statu s of drugs : whether they have been disp ensed, or in the que ue or some error con dition tha t may have been enco untered by the dispe nsing equi pment.
	1284	Provide PA DE the cap ability to transmit dispensing informati on to Vist A Pharmacy to keep a perpetual inventory of all dr ugs/medica tions rece ived, disp ensed, and wasted.
	1285	Provide PA DE the cap ability to alert Vis tA Pharmac y of medic ation remo val from P ADE withou t orders.
	1286	Establish monitors o f all pote ntially in appropriat e electron ic pharmac y transact ions. Imp lement tre nding repo rts in ord er to addr ess and de tect poten tially ina ppropriate pharmacy transactio ns, such a s drug div ersion. F or example , reports include th e ability to sort tr ansactions by nursin g, user, d rug, etc., and from the VA-sid e of the i nterface.
	1287	Refer to t he followi ng Pharmac y Interfac e Automati on documen ts for add itional in formation:
	1288	(will add hyperlinks once thes e are in f inal folde r or on TS PR)
	1289	Pharmacy I nterface A utomation Installati on Guide
	1290	Pharmcy In terface Au tomation U ser Guide
	1291	Pharmacy I nterface A utomation System Des ign Docume nt
	1292	Pharmacy I nterface A utomation Data Dicti onary
	1293	Options an d Build Co mponents
	1294	The follow ing are th e options and build components for Pharm acy Interf ace Automa tion for P SS1.0193 :
	1295	Select OPT ION NAME: XPD PRI NT BUILD Build F ile Print
	1296	Build File Print
	1297	Select BUI LD NAME: P SS1.0193 PHA RMACY DATA MANAGEMEN T
	1298	DEVICE: HO ME// ;;999 99 SSH VI RTUAL TERM INAL
	1299	PACKAGE: P SS1.0193 Nov 2 5, 2015 10 :27 am PAGE 1
	1300	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	1301	TYPE: SING LE PACKAGE TRACK NAT IONALLY: Y ES
	1302	NATIONAL P ACKAGE: PH ARMACY DAT A MANAGEME NT A LPHA/BETA TESTING: N O
	1303	As part of this patc h PSS119 3, the fol lowing enh ancements were made:
	1304	Two new pr otocols PS S MFNM01 C LIENT and PSS MFNM01 SERVER we re added t o facilita te sending MFN HL7 d rug messag es to PADE .
	1305	The Send E ntire Drug File to E xternal In terface [P SS MASTER FILE ALL] option wa s modified to allow transmissi on of the drug file to an Inpa tient Inte rface (PAD E) dependi ng on the PADE setup . It also provides t he flexibi lity of se nding all drugs mark ed for Uni t Dose, IV or Ward S tock or se nd selecte d drugs to PADE.
	1306	Since this option no w allows t o send all or select ed drugs t o PADE, th e option n ame "Send Entire Dru g File to External I nterface" was change d to "Se nd Drug Fi le Entries to Extern al Interfa ce"
	1307	A new PSS PADE INIT security k ey was add ed so that holders o f this key can only send "all" drugs to PADE noted in item 2 .
	1308	Option Dru g Enter/Ed it [PSS DR UG ENTER/E DIT] was m odified to send an a ddition/up date/both or none to PADE prov ided it is setup to receive su ch updates .
	1309	ENVIRONMEN T CHECK: D ELETE ENV ROUTINE:
	1310	PRE-INIT ROUTINE: DELETE PRE-INIT ROUTINE:
	1311	POST-INIT ROUTINE: DELETE POST-INIT ROUTINE:
	1312	PRE-TRANSP ORT RTN:
	1313	ROUTINE: ACT ION:
	1314	PSSDEE SEND TO SI TE
	1315	PSSHLDF S SEND TO SI TE
	1316	PSSMSTR SEND TO SI TE
	1317	OPTION: ACT ION:
	1318	PSS MAS TER FILE A LL SEND TO SI TE
	1319	SECURITY K EY: ACT ION:
	1320	PSS PAD E INIT SEND TO SI TE
	1321	PROTOCOL: ACT ION:
	1322	PSS MFN M01 CLIENT SEND TO SI TE
	1323	PSS MFN M01 SERVER SEND TO SI TE
	1324	REQUIRED B UILDS: ACT ION:
	1325	PSS1.0 180 Don't inst all, leave global
	1326	CDEVISC1A2 :DVA>
	1327	Modified a nd New Rou tines
	1328	The follow ing routin es are for PSS1193 :
	1329	PSSDEE
	1330	PSSHLDFS
	1331	PSSMSTR
	1332	(This page included for two-si ded copyin g.)
	1333	Glossary
	1334	Administra tion Sched ule FileTh e ADMINIST RATION SCH EDULE file (#51.1) c ontains ad ministrati on schedul e names an d standard dosage ad ministrati on times. The name i s a common abbreviat ion for an administr ation sche dule (e.g. , QID, Q4H , PRN). Th e administ ration tim e is enter ed in mili tary time. CPRS A Vis tA compute r software package c alled Comp uterized P atient Rec ord System . CPRS is an applica tion in Vi stA that a llows the user to en ter all ne cessary or ders for a patient i n differen t packages from a si ngle appli cation. DA TUPFunctio nality tha t allows t he Pharmac y Enterpri se Customi zation Sys tem (PECS) to send o ut custom and standa rd commerc ial-off-th e-shelf (C OTS) vendo r database changes t o update t he two cen tralized d atabases a t Austin a nd Martins burg.Dispe nse DrugTh e Dispense Drug is p ulled from DRUG file (#50) and usually h as the str ength atta ched to it (e.g., Ac etaminophe n 325 mg). Usually, the name a lone witho ut a stren gth attach ed is the Pharmacy O rderable I tem name.D osage Form FileThe D OSAGE FORM file (#50 .606) cont ains all d osage form s and asso ciated dat a that are used by P harmacy pa ckages and CPRS. The dosage fo rm is used in SIG co nstruction , default values and in the de terminatio n of the t ype of eac h dosage c reated for each appl ication.Do se Unit Fi leThe DOSE UNIT file (#51.24) was create d to accom plish the mapping to First Dat aBank (FDB ). All ent ries in th is file ha ve been ma pped to an FDB Dose Unit. Alth ough this file has n ot yet bee n standard ized by St andards an d Terminol ogy Servic es (SRS), no local e diting wil l be allow ed. When p opulating the Dose U nit field for a Loca l Possible Dosage, s election w ill be fro m this new file.Drug Electroly tes FileTh e DRUG ELE CTROLYTES file (#50. 4) contain s the name s of anion s/cations, and their cations a nd concent ration uni ts.Drug Fi leThe DRUG file (#50 ) holds th e informat ion relate d to each drug that can be use d to fill a prescrip tion or me dication o rder. It i s pointed to from se veral othe r files an d should b e handled carefully, usually o nly by spe cial indiv iduals in the Pharma cy Service . Entries are not ty pically de leted, but rather ma de inactiv e by enter ing an ina ctive date .Drug Text FileThe D RUG TEXT f ile (#51.7 ) stores r apidly cha nging drug restricti ons, guide lines, and protocols to help a ssure medi cations ar e being us ed accordi ng to defi ned specif ications.I nfusion In structions FileThe I NFUSION IN STRUCTIONS file (#53 .47) holds abbreviat ions used when enter ing the In fustion Ra te (#.08) field in t he IV (#10 0) multipl e of the P HARMACY PA TIENT (#55 ) FILE, AN D THE infu sion rate (#59) FIEL D IN THE n on-verifie d orders ( #53.1) fil e. Each re cord holds an expans ion of the abbreviat ion which replaces t he abbrevi ation in t he Infusio n Rate at the time t he IV orde r is creat ed.IV Addi tives File The IV ADD ITIVES fil e (#52.6) contains d rugs that are used a s Additive s in the I V room. Da ta entered includes drug gener ic name, p rint name, drug info rmation, s ynonym(s), dispensin g units, c ost per un it, days f or IV orde r, usual I V schedule , administ ration tim es, electr olytes, an d quick co de informa tion.IV So lutions Fi leThe IV S OLUTIONS f ile (#52.7 ) contains drugs tha t are used as primar y solution s in the I V room. Th e solution must alre ady exist in the Dru g file (#5 0) to be s elected. D ata in thi s file inc ludes: dru g generic name, prin t name, st atus, drug informati on, synony m(s), volu me, and el ectrolytes .Local Pos sible Dosa gesLocal P ossible Do sages are free text dosages th at are ass ociated wi th drugs t hat do not meet all of the cri teria for Possible D osages.Med ication In struction FileThe ME DICATION I NSTRUCTION file (#51 ) is used by Unit Do se and Out patient Ph armacy. It contains the medica tion instr uction nam e, expansi on and int ended use. Medication Routes Fi leThe MEDI CATION ROU TES file ( #51.2) con tains medi cation rou te names. The user c an enter a n abbrevia tion for e ach route to be used at their site. The abbreviati on will mo st likely be the Lat in abbrevi ation for the term.M edication Routes/Abb reviations The Medica tion Route S file (#5 1.2) conta ins the me dication r outes and abbreviati ons, which are selec ted by eac h Departme nt of Vete rans Affai rs Medical Centers ( VAMC). The abbreviat ion cannot be longer than five character s to fit o n labels a nd the Med ical Admin istration Record (MA R). The us er can add new route s and abbr eviations as appropr iate.MOCHA Medication Order Che ck Healthc are Applic ation. Nat ional Drug FileThe N ational Dr ug File pr ovides sta ndardizati on of the local drug files in all VA med ical facil ities. Sta ndardizati on include s the adop tion of ne w drug nom enclature and drug c lassificat ion and li nks the lo cal drug f ile entrie s to data in the Nat ional Drug File. For drugs app roved by t he Food an d Drug Adm inistratio n (FDA), V A medical facilities have acce ss to info rmation co ncerning d osage form , strength and unit; package s ize and ty pe; manufa cturer’s t rade name; and Natio nal Drug C ode (NDC). The NDF s oftware la ys the fou ndation fo r sharing prescripti on informa tion among medical f acilities. Non-Formul ary DrugsD rugs that are not av ailable fo r use by a ll provide rs.Orderab le ItemAn Orderable Item is pu lled from the PHARMA CY ORDERAB LE ITEM fi le (#50.7) and usual ly has no strength a ttached to it (e.g., Acetamino phen). The name, wit h a streng th attache d, is the Dispense D rug name ( e.g., Acet aminophen 325mg).Ord erable Ite m FileThe ORDERABLE ITEM file (#101.43) is a CPRS file that provides t he Orderab le Items f or selecti on within CPRS. Phar macy Order able Items are a sub set of thi s file.PEC SPharmacy Enterprise Customiza tion Syste m. A Graph ical User Interface (GUI) web- based appl ication us ed to rese arch, upda te via DAT UP, mainta in, and re port VA cu stomizatio ns of the commercial -off-the-s helf (COTS ) vendor d atabase us ed to perf orm Pharma cy order c hecks such as drug-d rug intera ctions, du plicate th erapy, and dosing. P EPSPharmac y Enterpri se Product Services. A suite o f services that incl udes Outpa tient and Inpatient services.P ending Ord erA pendin g order is one that has been e ntered by a provider through C PRS withou t Pharmacy finishing the order . Once Pha rmacy has finished ( and verifi ed for Uni t Dose onl y) the ord er, it wil l become a ctive.Phar macy Order able ItemT he Pharmac y Orderabl e Item is used throu gh CPRS to order Inp atient Med ications a nd Outpati ent Pharma cy prescri ptions.Pha rmacy Orde rable Item FileThe P HARMACY OR DERABLE IT EM file (# 50.7) cont ains the O rder Entry name for items that can be or dered in t he Inpatie nt Medicat ions and O utpatient Pharmacy p ackages.Po ssible Dos agesDosage s that hav e a numeri c dosage a nd numeric Dispense Units Per Dose appro priate for administr ation. For a drug to have p ossible do sages, it must be a single ing redient pr oduct that is matche d to D A N P S O U T file (#5 0.68). The D A N P S O U T file (#5 0.68) entr y must hav e a numeri c strength and the d osage form /unit comb ination mu st be such that a nu meric stre ngth combi ned with t he unit ca n be an ap propriate dosage sel ection.Pro mptA point at which the system questions the user and waits for a resp onse.Stand ard Medica tion Route FileThe S TANDARD ME DICATION R OUTE file (#51.23) w as created to map Lo cal Medica tion Route s in VistA to an FDB Route in order to p erform dos age checks in PRE V. 0.5. This file has been s tandardize d by Stand ards and T erminology Service ( STS) and i s mapped t o an FDB R oute. It c annot be e dited loca lly. Stand ard Schedu leStandard medicatio n administ ration sch edules are stored in the Admin istration Schedule f ile (#51.1 ). Units P er DoseThe Units Per Dose is t he number of Units ( tablets, c apsules, e tc.) to be dispensed as a dose for an or der. Fract ional numb ers will b e accepted .VA Drug C lass CodeA drug clas sification system us ed by VA t hat separa tes drugs into diffe rent categ ories base d upon the ir charact eristics. Some cost reports ca n be run f or VA Drug Class Cod es.VA Prod uct FileTh e D A N P S O U T file (#5 0.68) cont ains a lis t of avail able drug products.