7. EPMO Open Source Coordination Office Redaction File Detail Report

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7.1 Files compared

#	Location	File	Last Modified
1	PSS_10_203_cif.zip\PSS_10_203_cif\docs	pss_1_tm_r0417.doc	Tue Apr 18 15:44:42 2017 UTC
2	PSS_10_203_cif.zip\PSS_10_203_cif\docs	pss_1_tm_r0417.doc	Thu Apr 27 16:12:31 2017 UTC

7.2 Comparison summary

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Changed	5	10
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7.3 Comparison options

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7.5 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 A pril 2017)
	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 4/2017
	13	11
	14	PSS1203A dded new r outines PS SDEEA, PSS P203, and PSSPRICE t o Routines section.
	15	(L. Behuni ak PM; E. Weaver, Te ch Writer) 10/201612
	16
	17
	18	HYPERLINK \l "appe ndixa34"
	19
	20	34
	21	-37
	22	PSS1193A dded new r outine PSS HLDFS to t he Routine s section.
	23	Added Appe ndix A for Pharmacy Interface Automation .
	24	(S. Solda n PM; R.Wa lters, Tec h Writer)4 /16i-ii,
	25	11-12, 22- 23PSS117 5Add 2 new Routines: PSSCKOS & PSSDIUTX, Updated A dditional Informatio n section
	26	(H. Cross, PM; S. He iress, Tec h Writer; R. Ruzback i, Develop er)3/16i-i i,
	27	REF p11_R outineTabl e \h
	28	11-12PSS1 191Update d Revision History
	29	Added new routines t o routine list:
	30	PSS1P191, PSSHRHAI, PSSMRRDG, PSSMRRI
	31	(D. Connol ly, PM; E. Phelps, T ech Writer )3/14All
	32	i - iii, 2 , 7-13, 33 , 37PSS1 172Renumbe red all pa ges.
	33	Updated Re vision His tory and T able of Co ntents.
	34	Updated th e Glossary section b y putting definition s in a tab le format.
	35	New menu, options, f ile and ro utines add ed.
	36	(C. Powell , PM; K. K apple, Tec h Writer)9 /13i - iii , 3, 7 – 1 3a, 30, 34 - 35PSS1 160Update d Revision History
	37	Updated Ta ble of Con tents with Exported Options an d Routines sections
	38	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
	39	[PSS TRAIL ING SPACES REPORT].
	40	Added PSS DOSING ORD ER CHECKS option
	41	Also added the follo wing routi nes to the routine l ist:
	42	PSS160EN
	43	PSS160PO
	44	PSSDRDOS
	45	PSSFDBDI
	46	PSSDSONF
	47	Added Web Servers, W eb Service s, and Cac he Class s ection
	48	Added text to the Se curity Key s section
	49	(D. McCanc e, PM; K. Kapple, Te ch Writer) 01/13i-iv, 3, 6-6b, 7, 10 - 13 PSS1164
	50	PSS1169
	51	Removed re ference to patch PSS 1146 in the menu o ptions sec tion
	52	Added Prin t Interfac e Data Fil e option t o the Phar macy Data Management [PSS MGR] menu
	53	Added Chec k Drug Int eraction o ption to t he Pharmac y Data Man agement [P SS MGR] me nu
	54	Moved Menu /Option it ems from p age 7 to p age 6a
	55	Added Prin t Interfac e Data Fil e option t o the PEPS Services menu under the Optio n Descript ions secti on
	56	Added Chec k Drug Int eraction o ption to t he Option Descriptio ns section
	57	Added rout ine PSSDIU TL
	58	Added Find Unmapped Local Poss ible Dosag es option to the Sta nd Alone O ptions sec tion
	59	(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.
	60	(N. Goyal, PM; J. Ow czarzak, T ech Writer )Table of Contentsxe "Table of Contents"
	61	1Introduct ion
	62
	63
	64	2File List
	65
	66
	67	3File Desc riptions
	68
	69
	70	3Menu/Opti ons
	71
	72
	73	7Option De scriptions
	74
	75
	76	11Routines
	77
	78
	79	12Exported Options
	80
	81
	82	13Protocol s
	83
	84
	85	13Bulletin s
	86
	87
	88	14Web Serv ers
	89
	90
	91	14Web Serv ices
	92
	93
	94	14Cache Cl ass
	95
	96
	97	14HL7 Mess aging with an Extern al System
	98
	99
	100	20Data Arc hiving and Purging
	101
	102
	103	20Callable Routines/ Entry Poin ts/Applica tion Progr am Interfa ces (APIs)
	104
	105
	106	20Medicati on Routes
	107
	108
	109	21Administ ration Sch eduling
	110
	111
	112	21External Relations
	113
	114
	115	21Internal Relations
	116
	117
	118	22Package- Wide Varia bles
	119
	120
	121	22Package Requiremen ts
	122
	123
	124	22Addition al Informa tion
	125
	126
	127	29Security Managemen t
	128
	129
	130	29Mail Gro ups
	131
	132
	133	29Alerts
	134
	135
	136	29Bulletin s
	137
	138
	139	29Remote S ystems
	140
	141
	142	29Archivin g/Purging
	143
	144
	145	30Continge ncy Planni ng
	146
	147
	148	30Interfac ing
	149
	150
	151	30Electron ic Signatu res
	152
	153
	154	30Locked M enu Option s
	155
	156
	157	30Security Keys
	158
	159
	160	32File Sec urity
	161
	162
	163	33Referenc es
	164
	165
	166	34Appendix A: Pharma cy Interfa ce Automat ion
	167
	168
	169	34Introduc tion
	170
	171
	172	35New Func tionality
	173
	174
	175	35Options and Build Components
	176
	177
	178	37Modified and New R outines
	179
	180
	181	39Glossary
	182
	183
	184
	185
	186	(This page included for two-si ded copyin g.)
	187	Introducti on XE "Int roduction"
	188	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.
	189	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.
	190	Notationsx e "Notatio ns" that w ill be use d consiste ntly throu ghout this PDM Techn ical Manua l are outl ined below .
	191	Menu optio ns will be italicize d.
	192	Example: T he Drug En ter/Edit o ption perm its you to enter or edit a dru g.
	193	Screen pro mpts will be denoted with quot ation mark s around t hem.
	194	Example: t he "SELECT DRUG" pro mpt will d isplay nex t.
	195	Responses in bold fa ce indicat e user inp ut.
	196	Example: D RUG GENERI C NAME: AC ETA
	197	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.
	198	<Enter> in dicates th at the Ent er key (or Return ke y on some keyboards) must be p ressed.
	199	Example: T ype Y for Yes or N f or No and press <Ent er>
	200	<Tab> indi cates that the Tab k ey must be pressed.
	201	Example: Press <Tab > to move the cursor to the ne xt field.
	202	Indicates especiall y importan t or helpf ul informa tion.
	203	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.
	204	Example: Without the PSXCO MPMGR key, the Conso lidated Ma il Outpati ent Pharma cy options cannot be accessed.
	205	( The page symbol in dicates a referral t o a diagra m.
	206	?, ??, ??? 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.
	207	^ Up arro w (caret o r a circum flex) and pressing < Enter> can be used t o exit the present o ption.
	208	File List
	209	The follow ing PDM fi les are ex ported wit h the PDM package.
	210	File# NAME
	211	UPDATE
	212	DATA COMES USER
	213
	214	DD
	215	WITH FILE OVERRIDE
	216	50 DRUG
	217	FULL
	218	NO
	219
	220	50.4 DRUG ELE CTROLYTES
	221	FULL
	222	NO
	223	50.606 DOSAGE F ORM
	224	FULL
	225	YES (MERGE )
	226	NO
	227	50.7 PHARMACY ORDERABLE ITEM
	228	FULL
	229	NO
	230	51 MEDICATI ON INSTRUC TION
	231	FULL
	232	NO
	233	51.1 ADMINIST RATION SCH EDULE
	234	FULL
	235	YES (MERGE )
	236	YES
	237	51.2 MEDICATI ON ROUTES
	238	FULL
	239	YES (MERGE )
	240	YES
	241	51.5 ORDER UN IT
	242	FULL
	243	NO
	244	51.7 DRUG TEX T
	245	FULL
	246	YES
	247	YES
	248
	249
	250	(OVER WRITE)
	251	52.6 IV ADDIT IVES
	252	FULL
	253	NO
	254	52.7 IV SOLUT IONS
	255	FULL
	256	NO
	257	53.47 INFUSION INSTRUCTI ONS
	258	FULL
	259	NO
	260	54 RX CONSU LT
	261	FULL (SCRE EN)
	262	NO
	263	55 PHARMACY PATIENT ( Partial DD )
	264	PARTIAL
	265	NO
	266	59.7 PHARMACY SYSTEM
	267	FULL
	268	NO
	269	59.73 VENDOR DISABLE/EN ABLE
	270	FULL
	271	NO
	272	59.74 VENDOR INTERFACE DATA
	273	FULL
	274	NO
	275	The follow ing non-PD M files ar e exported with the PDM packag e.
	276	File# NAME
	277	UPDATE
	278	DATA COMES USER
	279
	280	DD
	281	WITH FILE OVERRIDE
	282	200 NEW PERS ON (Partia l DD)
	283	PARTIAL
	284	NO
	285	9009032.3 APSP INT ERVENTION TYPE
	286	FULL
	287	YES
	288
	289	NO
	290
	291
	292	(OVERWRITE )
	293	9009032.4 APSP INT ERVENTION
	294	FULL
	295	NO
	296	9009032.5 APSP INT ERVENTION RECOMMENDA TION
	297	FULL
	298	YES
	299	NO
	300
	301
	302	(OVERWRITE )
	303	File Descr iptions
	304	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.
	305	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.
	306	Menu/Optio ns
	307	The PDM op tions list ed below s how the PS S MGR Menu structure .
	308	Pharmacy D ata Manage ment [PSS MGR] menu:
	309	CMOP Mark/ Unmark (Si ngle drug)
	310	[PSSXX MAR K]
	311	Dosages…
	312	[PSS DOSAG ES MANAGEM ENT]
	313	Dosage For m File Ent er/Edit
	314	[PSS DOSAG E FORM EDI T]
	315	Enter/Edit Dosages
	316	[PSS EDIT DOSAGES]
	317	Most Commo n Dosages Report
	318	[PSS COMMO N DOSAGES]
	319	Noun/Dosag e Form Rep ort
	320	[PSS DOSE FORM/ NOUN REPORT]
	321	Review Dos ages Repor t
	322	[PSS DOSAG E REVIEW R EPORT]
	323	Local Poss ible Dosag es Report
	324	[PSS LOCAL POSSIBLE DOSAGES]
	325	Request Ch ange to Do se Unit
	326	[PSS DOSE UNIT REQUE ST]
	327	Lookup Dos ing Check Info for D rug
	328	[PSS DRUG DOSING LOO KUP]
	329	Drug Names with Trai ling Space s Report
	330	[PSS TRAIL ING SPACES REPORT]
	331	Drug Enter /Edit
	332	[PSS DRUG ENTER/ EDI T]
	333	Order Chec k Manageme nt…
	334	[PSS ORDER CHECK MAN AGEMENT]
	335	Request Ch anges to E nhanced Or der Check Database
	336	[PSS ORDER CHECK CHA NGES]
	337	Report of Locally En tered Inte ractions
	338	[PSS REPOR T LOCAL IN TERACTIONS ]
	339	Elec trolyte Fi le (IV)
	340	[PSSJI ELE CTROLYTE F ILE]
	341	Lookup int o Dispense Drug File
	342	[PSS LOOK]
	343	Medication Instructi on Managem ent...
	344	[PSS MED I NSTRUCTION MANAGEMEN T]
	345	Medication Instructi on File Ad d/Edit
	346	[PSSJU MI]
	347	Medication Instructi on File Re port
	348	[PSS MED I NSTRUCTION REPORT]
	349	Medication Routes Ma nagement.. .
	350	[PSS MEDIC ATION ROUT ES MGMT]
	351	Medication Route Fil e Enter/Ed it
	352	[PSS MEDIC ATION ROUT ES EDIT]
	353	Medication Route Map ping Repor t
	354	[PSS MED R OUTE MAPPI NG REPORT]
	355	Medication Route Map ping Histo ry Report
	356	[PSS MED R OUTE MAPPI NG CHANGES ]
	357	Request Ch ange to St andard Med ication Ro ute
	358	[PSS MEDIC ATION ROUT E REQUEST]
	359	Default Me d Route fo r OI Repor t
	360	[PSS DEF M ED ROUTE O I RPT]
	361	Orderable Item Manag ement…
	362	[PSS ORDER ABLE ITEM MANAGEMENT ]
	363	Edit Order able Items
	364	[PSS EDIT ORDERABLE ITEMS]
	365	Dispense D rug/Ordera ble Item M aintenance
	366	[PSS MAINT AIN ORDERA BLE ITEMS]
	367	Orderable Item/Dosag es Report
	368	[PSS ORDER ABLE ITEM DOSAGES]
	369	Patient In structions Report
	370	[PSS INSTR UCTIONS/ I TEMS REPOR T]
	371	Orderable Item Repor t
	372	[PSS ORDER ABLE ITEM REPORT]
	373	Formulary Informatio n Report
	374	[PSSNFI]
	375	Drug Text Management ...
	376	[PSS DRUG TEXT MANAG EMENT]
	377	Drug Text Enter/Edit
	378	[PSS EDIT TEXT]
	379	Drug Text File Repor t
	380	[PSS DRUG TEXT FILE REPORT]
	381	Pharmacy S ystem Para meters Edi t
	382	[PSS SYS E DIT]
	383	Standard S chedule Ma nagement.. .
	384	[PSS SCHED ULE MANAGE MENT]
	385	Standard S chedule Ed it
	386	[PSS SCHED ULE EDIT]
	387	Administra tion Sched ule File R eport
	388	[PSS SCHED ULE REPORT ]
	389	Synonym En ter/Edit
	390	[PSS SYNON YM EDIT]
	391	Controlled Substance s/PKI Repo rts…
	392	[PSS CS/PK I REPORTS]
	393	DEA Spec H dlg & CS F ed Sch Dis crepancy
	394	[PSS DEA V S CS FED. SCH. DISCR .]
	395	Controlled Substance s Not Matc hed to NDF
	396	[PSS CS NO T MATCHED TO NDF]
	397	CS (DRUGS) Inconsist ent with D EA Spec Hd lg
	398	[PSS CS DR UGS INCON WITH DEA]
	399	CS (Ord. I tem) Incon sistent wi th DEA Spe c Hdlg
	400	[PSS CS (O I) INCON W ITH DEA]
	401	Send Entir e Drug Fil e to Exter nal Interf ace
	402	[PSS MASTE R FILE ALL ]
	403	IV Additiv e/Solution …
	404	[PSS ADDIT IVE/SOLUTI ON]
	405	IV Ad ditive Rep ort
	406	[PSS IV ADDITIV E REPORT]
	407	IV So lution Rep ort
	408
	409	[PSS IV SOLUTION REPORT]
	410	Mark PreMix Sol utions
	411
	412	[PSS MA RK PREMIX SOLUTIONS]
	413	Warning Bu ilder
	414	[PSS WARNI NG BUILDER ]
	415	Warning Ma pping
	416	[PSS WARNI NG MAPPING ]
	417	PEPS Servi ces…
	418	[PSS PEPS SERVICES]
	419	Check Ven dor Databa se Link
	420
	421
	422	[PSS CHECK VENDOR DA TABASE LIN K]
	423	Check PEP S Services Setup
	424
	425	[PSS CH ECK PEPS S ERVICES SE TUP]
	426	Schedule/R eschedule Check PEPS Interface
	427
	428
	429	[PSS SCHED ULE PEPS I NTERFACE C K]
	430	Print Inte rface Data File
	431
	432
	433	[PSS VENDO R INTERFAC E REPORT]
	434	Inpatient Drug Manag ement…
	435	[PSS INP M GR]
	436	ADditiv es File
	437	[PSSJI DRUG]
	438	Dispense Drug Fiel ds
	439	[PSSJU D RG]
	440	Dispense Drug/ATC Set Up
	441	[PSSJU D RUG/ATC SE T UP]
	442	Edit Cos t Data
	443	[PSSJU D CC]
	444	EDit Dru g Cost (IV )
	445	[PSSJI E DIT DRUG C OST]
	446	MARk/Unm ark Dispen se Drugs F or Unit Do se
	447	[PSSJU M ARK UD ITE MS]
	448	PRimary Solution F ile (IV)
	449	[PSSJI S OLN]
	450	Check Drug Interacti on
	451	[PSS CHECK DRUG INTE RACTION]
	452	Infusion I nstruction Managemen t …
	453	[PSS INFIN S MGR]
	454	Infusion I nstruction s Add/Edit
	455	[PSS INFIN S ADED]
	456	Infusion I nstruction Report
	457	[PSS INFIN S RPT]
	458	Locke d: PSXCMOP MGR
	459	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.
	460	Option Des criptions
	461	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.
	462	PSS MGR Ph armacy Dat a Manageme nt
	463	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.
	464	ITEM: PSS DRUG ENTER /EDIT
	465	ITEM: PSS LOOK
	466	ITEM: PSSJ I ELECTROL YTE FILE
	467	ITEM: PSSX X MARK
	468	ITEM: PSS SYS EDIT
	469	ITEM: PSS ORDERABLE ITEM MANAG EMENT
	470	ITEM: PSSN FI
	471	ITEM: PSS SYNONYM ED IT
	472	ITEM: PSS DOSAGES MA NAGEMENT
	473	ITEM: PSS CS/PKI REP ORTS
	474	ITEM: PSS MASTER FIL E ALL
	475	ITEM: PSS MEDICATION ROUTES MG MT
	476	ITEM: PSS SCHEDULE M ANAGEMENT
	477	ITEM: PSS DRUG TEXT MANAGEMENT
	478	ITEM: PSS MED INSTRU CTION MANA GEMENT
	479	ITEM: PSS ORDER CHEC K MANAGEME NT
	480	ITEM: PSS ADDITIVE/S OLUTION
	481	ITEM: PSS WARNING BU ILDER
	482	ITEM: PSS WARNING MA PPING
	483	ITEM: PSS PEPS SERVI CES
	484	ITEM: PSS INP MGR
	485	ITEM: PSS Check Drug Interacti on
	486	ITEM: PSS INFINS MGR
	487	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	488	PSS DRUG E NTER/EDIT
	489	Drug Enter /Edit
	490	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.
	491	TYPE: run routine ROUTINE: P SSDEE
	492	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	493	PSS LOOK
	494	Lookup int o Dispense Drug File
	495	This optio n provides a report of all inf ormation r egarding t he dispens e drug.
	496	TYPE: run routine ROUTINE: P SSLOOK
	497	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	498	PSSJI ELEC TROYLYTE F ILE
	499	Electrolyt e File (IV )
	500	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.
	501	TYPE: run routine ROUTINE: E LECTRO^PSS IVDRG
	502	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	503	PSSXX MARK
	504	CMOP Mark/ Unmark (Si ngle drug)
	505	This optio n allows t he user to mark/unma rk a singl e drug for transmiss ion to the CMOP.
	506	TYPE: run routine ROUTINE: P SSMARK
	507	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	508	PSS SYS ED IT
	509	Pharmacy S ystem Para meters Edi t
	510	This optio n allows t he user to edit the Pharmacy S ystem para meters use d in Pharm acy Data M anagement.
	511	TYPE: run routine ROUTINE: P SSYSP
	512	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	513	PSS ORDERA BLE ITEM M ANAGEMENT
	514	Orderable Item Manag ement
	515	This is th e sub-menu driver fo r Orderabl e Item mai ntenance.
	516	ITEM: PSS MAINTAIN O RDERABLE I TEMS
	517	ITEM: PSS EDIT ORDER ABLE ITEMS
	518	ITEM: PSS ORDERABLE ITEM DOSAG ES
	519	ITEM: PSS INSTRUCTIO NS/ITEMS R EPORT
	520	ITEM: PSS ORDERABLE ITEM REPOR T
	521	TYPE: menu
	522	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	523	PSSNFI
	524	Formulary Informatio n Report
	525	This optio n provides a listing of pertin ent pharma cy formula ry informa tion.
	526	TYPE: run routine ROUTINE: P SSNFI
	527	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	528	PSS SYNONY M EDIT
	529	Synonym En ter/Edit
	530	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.
	531	TYPE: run routine ROUTINE: P SSSEE
	532	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	533	PSS DOSAGE S MANAGEME NT
	534	Dosages
	535	This menu option con tains opti ons that c ontrol the editing o f dosages.
	536	ITEM: PSS DOSAGE FOR M EDIT
	537	ITEM: PSS EDIT DOSAG ES
	538	ITEM: PSS COMMON DOS AGES
	539	ITEM: PSS DOSE FORM/ NOUN REPOR T
	540	ITEM: PSS DOSAGE REV IEW REPORT
	541	ITEM: PSS LOCAL POSS IBLE DOSAG ES
	542	ITEM: PSS DOSE UNIT REQUEST
	543	TYPE: menu
	544	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	545	PSS CS/PKI REPORTS
	546	Controlled Substance s/PKI Repo rts
	547	PKI POST-I NSTALL REP ORTS PROVI DED AS OPT IONS.
	548	ITEM: PSS DEA VS CS FED. SCH. DISCR.
	549	ITEM: PSS CS NOT MAT CHED TO ND F
	550	ITEM: PSS CS DRUGS I NCON WITH DEA
	551	ITEM: PSS CS (OI) IN CON WITH D EA
	552	TYPE: menu
	553	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	554	PSS MASTER FILE ALL
	555	Send Entir e Drug Fil e to Exter nal Interf ace
	556	TYPE: run routine ROUTINE: P SSMSTR
	557	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	558	PSS MEDICA TION ROUTE S MGMT
	559	Medication Routes Ma nagement
	560	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.
	561	ITEM: PSS MEDICATION ROUTES ED IT
	562	ITEM: PSS MED ROUTE MAPPING RE PORT
	563	ITEM: PSS MED ROUTE MAPPING CH ANGES
	564	ITEM: PSS MEDICATION ROUTE REQ UEST
	565	ITEM: PSS DEF MED RO UTE OI RPT
	566	TYPE: menu
	567	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	568	PSS SCHEDU LE MANAGEM ENT
	569	Standard S chedule Ma nagement
	570	This Sub-M enu contai ns options needed fo r Schedule maintenan ce.
	571	ITEM: PSS SCHEDULE E DIT
	572	ITEM: PSS SCHEDULE R EPORT
	573	TYPE: menu
	574	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	575	PSS DRUG T EXT MANAGE MENT
	576	Drug Text Management
	577	This Sub-M enu contai ns options concernin g Drug Tex t.
	578	ITEM: PSS EDIT TEXT
	579	ITEM: PSS DRUG TEXT FILE REPOR T
	580	TYPE: menu
	581	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	582	PSS MED IN STRUCTION MANAGEMENT
	583	Medication Instructi on Managem ent
	584	The Sub-Me nu contain s options related to the MEDIC ATION INST RUCTION (# 51) File.
	585	ITEM: PSSJ U MI
	586	ITEM: PSS MED INSTRU CTION REPO RT
	587	TYPE: menu
	588	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	589	PSS ORDER CHECK MANA GEMENT
	590	Order Chec k Manageme nt
	591	This is th e sub-menu for funct ionality r elated to managing m edication order chec ks.
	592	ITEM: PSS ORDER CHEC K CHANGES
	593	ITEM: PSS REPORT LOC AL INTERAC TIONS
	594	TYPE: menu
	595	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	596	PSS ADDITI VE/SOLUTIO N
	597	IV Additiv e/Solution
	598	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.
	599	ITEM: PSS IV ADDITIV E REPORT
	600	ITEM: PSS IV SOLUTIO N REPORT
	601	ITEM: PSS MARK PREMI X SOLUTION S
	602	TYPE: menu
	603	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	604	PSS WARNIN G BUILDER
	605	Warning Bu ilder
	606	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.
	607	TYPE: run routine ROUTINE: P SSWRNB
	608	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	609	PSS WARNIN G MAPPING
	610	Warning Ma pping
	611	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.
	612	TYPE: run routine ROUTINE: E DIT^PSSWMA P
	613	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	614	PSS PEPS S ERVICES
	615	PEPS
	616	ITEM: PSS CHECK VEND OR DATABAS E LINK
	617	ITEM: PSS CHECK PEPS SERVICES SETUP
	618	ITEM: PSS SCHEDULE P EPS INTERF ACE CK
	619	ITEM: PSS VENDOR INT ERFACE REP ORT
	620	TYPE: menu
	621	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	622	PSS INP MG R
	623	Inpatient Drug Manag ement
	624	This Sub-M enu contai ns options related t o INPATIEN T DRUG MAN AGEMENT.
	625	ITEM: PSSJ I DRUG
	626	ITEM: PSSJ U DRG
	627	ITEM: PSSJ U DRUG/ATC SET UP
	628	ITEM: PSSJ U DCC
	629	ITEM: PSSJ I EDIT DRU G COST
	630	ITEM: PSSJ U MARK UD ITEMS
	631	ITEM: PSSJ I SOLN
	632	TYPE: Menu
	633	---------- ---------- ---------- ---------- ---------- ---------- ---------- -------
	634	PSS CHECK DRUG INTER ACTION
	635	Check Drug Interacti on
	636	This menu contains o ptions per taining to maintaini ng pharmac y
	637	data files , creating Pharmacy Orderable Items, and the Medic ation Rout e/
	638	Instructio ns table a mong other assorted functions.
	639	TYPE: run routine RO UTINE: PSS DIUTL
	640	PSS INFINS MGR
	641	Infusion I nstruction Managemen t
	642	Menu conta ining opti ons relate d to the I NFUSION IN STRUCTIONS (#53.47) file.
	643	TYPE: menu
	644	PSS INFINS ADED
	645	Infusion I nstruction s Add/Edit
	646	Allows use rs to ente r and edit abbreviat ions and e xpansions in the INF USION INST RUCTIONS ( #53.47) fi le.
	647	TYPE: run routine R OUTINE: EN II^PSSFILE D
	648
	649	PSS INFINS RPT
	650	Infusion I nstruction s Report
	651	Provides a report of entries f rom the IN FUSION INS TRUCTIONS( #53.47) fi le
	652	TYPE: run routine RO UTINE: EN^ PSSIIRPT
	653	Routines
	654	The follow ing routin es are use d by the P harmacy Da ta Managem ent packag e.
	655	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 RICEPSSPRM IX PSSPRU TL PSSQOC PSSQOR D PSSREF PSSREM CH PSSRXAC T PSSSCHE D PSSSCHR P PSSSEE PSSTREN G PSSTXT PSSUNMS I PSSUTIL PSSUTIL 1 PSSUTIL 3PSSUTLA1 PSSUTLA2 PSSUTLAZ PSSUTLPR PSSUTLPZ PSSVIDRG PSSVX6 PSSVX61PS SVX62 PS SVX63 PS SVX64 PS SVX65 PS SVX66 PS SWMAP PS SWRNA PS SWRNBPSSWR NC PSSWR NE PSSXDIC PSSXREF PSSXRF 1 PSSYSP Exported O ptions
	656	Stand-Alon e Options
	657	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 ]:
	658	Other Lang uage Trans lation Set up
	659	[PSS OTHER LANGUAGE SETUP]
	660	Drug Inqui ry (IV)
	661	[PSSJI DRU G INQUIRY]
	662	Electrolyt e File (IV )
	663	[PSSJI ELE CTROLYTE F ILE]
	664	Enable/Dis able Vendo r Database Link
	665	[PSS ENABL E/DISABLE DB LINK]
	666	Add Defaul t Med Rout e
	667	[PSS ADD D EFAULT MED ROUTE]
	668	Find Unmap ped Local Possible D osages
	669	[PSS LOCAL DOSAGES E DIT ALL]
	670	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].
	671	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).
	672	Protocols
	673	NAME: PSS EXT MFU CL IENT
	674	DESCRIPTI ON: This protocol will be us ed as the ACK from t he externa l
	675	interface for a MFN _M01 messa ge.
	676	NAME: PSS EXT MFU SE RVER
	677	DESCRIPTI ON: This protocol will be us ed to send event not ification and data
	678	when new drugs are added to t he DRUG fi le (#50) a nd when ce rtain fiel ds are
	679	updated i n the same file. Thi s informat ion will b e sent to the automa ted
	680	dispensin g machines through H L7 V.2.4 f ormatted m essages.
	681
	682	NAME: PSS HUI DRUG U PDATE
	683	DESCRIPTI ON: This protocol will be us ed to send event not ification and data
	684	when new drugs are added to t he Drug fi le (#50) a nd when ce rtain fiel ds are
	685	updated i n same fil e.
	686	NAME: PSS MED ROUTE RECEIVE
	687	DESCRIPTI ON: This protocol processes updates to the Stand ard Medica tion
	688	Routes (# 51.23) Fil e.
	689	Bulletins
	690	NAME: PSS FDB INTERF ACE
	691	SUBJECT: O RDER CHECK DATABASE DOWN
	692	RETENTION DAYS: 3
	693	PRIORITY?: YES
	694	NAME: PSS FDB INTERF ACE RESTOR ED
	695	SUBJECT: O RDER CHECK DATABASE IS BACK UP
	696	RETENTION DAYS: 3
	697	PRIORITY?: YES
	698	Web Server s
	699	PEPS
	700	Web Servic es
	701	DOSING_INF O
	702	DRUG_INFO
	703	ORDER_CHEC KS
	704	Cache Clas s
	705	XMLHandler
	706	HL7 Messag ing with a n External System
	707	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.
	708	HL7 Drug M essage Seg ment Defin ition Tabl e
	709	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 .
	710	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
	711	^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):
	712	AUTOMATED DISPENSE f ield (#105 ) needs to be set to 2.4.
	713	ENABLE MAS TER FILE U PDATE fiel d (#105.2) needs to be set to YES.
	714	LOGICAL LI NK field ( #2005) nee ds to be s et to PSO DISP.
	715	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 ).
	716	DISPENSE D NS PORT fi eld (#2007 ) needs to be set to the dispe nsing syst em port nu mber.
	717	Specific T ransaction xe "Specif ic Transac tion"
	718	The Pharma cy/Treatme nt Encoded Order Mes sage is as follows:
	719	MFN
	720	Master Fil e Notifica tion Messa ge
	721	MSH
	722	Message He ader
	723	MFI
	724	Master Fil e Identifi er
	725	{MFE
	726	Master Fil e Entry
	727	{{ZPA}
	728	Drug File Informatio n
	729	{RXD}
	730	Pharmacy/T reatment D ispense
	731	{OBR}}
	732
	733	Observatio n Request
	734	}
	735	Example:
	736	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
	737	MFI\|50~DRU G~99PSD\|\|U PD\|\|\|NE
	738	MFE\|MUP\|\|\| PROPANTHEL INE 15MG T AB
	739	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
	740	RXD\|\|\|\|1\|\| \|\|\|1\|\|\|~P& 200&LPSD50 .0903\|\|\|\|\| \|\|\|\|\|\|\|O
	741	OBR\|\|\|\|110 2~ACETAZOL AMIDE~LLAB 60\|\|\|\|\|\|\|\| \|\|\|70&NECK &LLAB61\|\|\| \|\|\|\|\|\|WBC\| \|\|7
	742	HL7 Drug M essage Seg ment Defin ition Tabl e
	743	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.
	744	Segments U sed in the Master Fi le Update Message
	745	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:
	746	[MSH-3] Se nding Appl ication is the stati on ID alon g with the DNS name of the sen ding facil ity.
	747	[MSH-5] Re ceiving Ap plication is the DNS name and DNS port n umber of t he dispens ing applic ation.
	748	[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.
	749	[MFI-1] Ma ster File Identifier is hard-c oded to 50 ~DRUG~99PS D.
	750	[MFE-1] Re cord-Level Event Cod e can be e ither MUP for Update or MAD fo r Add.
	751	[MFE-4] Pr imary Key Value – MF E is the G ENERIC NAM E field (# .01) from the DRUG f ile (#50).
	752	[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.
	753	[ZPA-2] Is Synonym i s set to Y or N depe nding on w hether the primary k ey is a sy nonym.
	754	[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.
	755	[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).
	756	[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 .
	757	[ZPA-29] I ntended Us er will be TRADE NAM E, QUICK C ODE, DRUG ACCOUNTABI LITY or CO NTROLLED S UBSTANCES.
	758	[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) .
	759	[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).
	760	[RXD-12] T otal Daily Dose will be either P for Pos sible Dosa ges or LP for Local Possible D osages.
	761	[OBR-4] Un iversal Se rvice Iden tifier is used for C lozapine L ab Test.
	762	[OBR-15] S pecimen So urce is us ed for Clo zapine Spe cimen Type .
	763	[OBR-24] D iagnostic Serv Sect ID is used for Cloza pine Type of Test.
	764	[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 ).
	765	Data Archi ving and P urging
	766	There are no archivi ng and pur ging funct ions neces sary with this relea se of the PDM packag e.
	767	Callable R outines/En try Points /Applicati on Program Interface s (APIs)
	768	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:
	769	IAs INT EGRATION C ONTROL REG ISTRATIONS ...
	770	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 "" .
	771	Medication Routes
	772	The follow ing paragr aphs provi de an expl anation of medicatio n route in formation.
	773	For Outpat ient Pharm acy & Inpa tient Medi cation Uni t Dose Ord ers:
	774	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 .
	775	For IV Flu ids Orders :
	776	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).
	777	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 .
	778	Administra tion Sched uling
	779	The follow ing rules apply to a dministrat ion schedu ling.
	780	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.
	781	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.
	782	External R elations
	783	Integratio n Agreemen ts
	784	IAs can be viewed by first cho osing the DBA option on FORUM and then t he Integra tion Agree ments Menu option.
	785	Example: D BA Option
	786
	787	Select Pri mary Menu Option: DB A
	788	Select DBA Option: I NTEGration Agreement s Menu
	789	Select Int egration A greements Menu Optio n: Custod ial Packag e Menu
	790	Select Cus todial Pac kage Menu Option: A CTIVE by C ustodial P ackage
	791	Select PAC KAGE NAME: PHARMACY DATA MANAG EMENT PSS
	792	DEVICE: HO ME//
	793	Internal R elations
	794	All PDM op tions can function i ndependent ly.
	795	Package-Wi de Variabl es
	796	There are no package -wide vari ables for this versi on.
	797	Package Re quirements
	798	The PDM mo dule relie s on, at l east, the following external p ackages to run effec tively.
	799
	800	Package
	801	Minimum ve rsion need ed
	802
	803	National D rug File
	804	V. 4.0
	805
	806
	807	Outpatient Pharmacy
	808	V. 7.0
	809
	810
	811	Inpatient Medication s
	812	V. 5.0
	813
	814
	815	Kernel
	816	V. 8.0
	817
	818
	819	VA FileMan
	820
	821	V. 22.0
	822
	823	Package
	824	Minimum ve rsion need ed
	825
	826	HealtheVet Web Servi ces Client (HWSC)
	827	V. 1.0
	828
	829	VistALink
	830
	831	V. 1.6
	832	Additional Informati on
	833	Standards and Conven tions Comm ittee (SAC C) Exempti ons
	834	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.
	835	PSSFDBDI
	836	PSSFDBRT
	837	PSSHRPST
	838	PSSHTTP
	839	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.
	840	OITIMB3355 4520 - Mig ration fro m M2J to V istA Web S ervices Cl ient (VWSC )
	841	Keywords
	842	M2J,VWSC,J 2EE
	843	Decision D ate
	844	12/1/2006
	845	Decision T ype
	846	Architectu re
	847	Decision M aking Body
	848	HPMO CCB
	849	Descriptio n
	850	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 .
	851	Rationale
	852	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.
	853	Record Typ e
	854	TDR
	855	State
	856	Approved
	857	Date Submi tted
	858	2/14/2007 8:37:24 AM
	859	Supporting Documenta tion
	860	Link
	861	Document T itle
	862	Descriptio n
	863	Date
	864	Download
	865	Migration from M2J t o VistA We b Services Client (V WSC) Email Notificat ion
	866	Email noti fication a lerting of the decis ion
	867	2/13/2007
	868	Download
	869	VWSC Archi tecture
	870	Proposed a rchitectur e view of VWSC
	871	12/1/2006
	872	Download
	873	VWSC Propo sed View
	874	Proposed l ogical vie w of VistA Web Servi ces Client (VWSC)
	875	12/1/2006
	876	Cross-Refe rence Logi c to Keep Orderable Items Up T o Date
	877	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.
	878	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 .
	879	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.
	880	File 50: DEA Spec ial Hdlg
	881	File 50: Inactiva tion Date
	882	File 50: Applicat ion Packag es’ Use
	883	File 50: Local No n-Formular y
	884	File 50.7: Inactivat ion Date
	885	File 52.6: Inactivat ion Date
	886	File 52.6: Used in I V Fluid Or der Entry
	887	File 52.7: Inactivat ion Date
	888	File 52.7: Used in I V Fluid Or der Entry
	889	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).
	890	File 50: Orderab le Item Po inter
	891	File 52.6: Generic Drug Point er
	892	File 52.7: Generic Drug Point er
	893	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.
	894	Scenario 1 : The Orde rable Item Pointer I s Changed For A Disp ense Drug
	895	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:
	896	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.
	897	Orderable Item: ^ PS(50.7,"A 50",Ordera ble Item I EN, Dispen se Drug IE N)=""
	898	Drug file: ^PSDRUG ("A526", D ispense Dr ug IEN, Ad ditive IEN ,)=""
	899	Drug file: ^PSDRUG ("A527", D ispense Dr ug IEN, So lution IEN ,)=""
	900	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.
	901	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:
	902	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.
	903	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.
	904	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) .
	905	Example 1:
	906	Additives/ Solution
	907
	908	Dispense D rugs:
	909
	910	Orderable Item:
	911	IEN 3 p oints to = >
	912	IEN 100 points to =>
	913
	914	500
	915	IEN 4 p oints to = >
	916	IEN 100 points to =>
	917
	918	500
	919	IEN 5 p oints to = >
	920	IEN 100 points to =>
	921
	922	500
	923	IEN 10 po ints to =>
	924
	925	IEN 200 points t o =>
	926
	927	500
	928	Cross-Refe rences are :
	929
	930	^PS(50.7," A50",500,1 00)=""
	931	^PS(50.7," A50",500,2 00)=""
	932	^PSDRUG("A 526",100,3 )=""
	933
	934	^PSDRUG("A 526",100,4 )=""
	935
	936	^PSDRUG("A 526",100,5 )=""
	937	^PSDRUG("A 527",200,1 0)=""
	938	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.
	939	(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.
	940	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.
	941	Kill Logic
	942	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
	943	The Cross- References would now be as fol lows.
	944	^PS(50.7," A50",500,2 00)=""
	945	^PSDRUG("A 526",100,3 )=""
	946	^PSDRUG("A 526",100,4 )=""
	947	^PSDRUG("A 526",100,5 )=""
	948	^PSDRUG("A 527",200,1 0)=""
	949	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.
	950	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) .
	951	Set Logic
	952	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.
	953	^PS(50.7," A50",500,2 00)=""
	954	^PS(50.7," A50",600,1 00)=""
	955	^PSDRUG("A 526",100,3 )=""
	956	^PSDRUG("A 526",100,4 )=""
	957	^PSDRUG("A 526",100,5 )=""
	958	^PSDRUG("A 527",200,1 0)=""
	959	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.
	960	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.
	961	Scenario 2 : The Disp ense Drug Pointer Is Edited Fo r An IV Ad ditive Or IV Solutio n
	962	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.
	963	Kill Logic
	964	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.
	965	Set Logic
	966	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.
	967	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.
	968	Example 2:
	969	IV Additiv es/IV Solu tion
	970	Dispense D rugs
	971
	972	Orderable Item
	973	IEN 3 p oints to = >
	974	IEN 100 points to =>
	975
	976	500
	977	IEN 4 p oints to = >
	978	IEN 100 points to =>
	979
	980	500
	981	IEN 5 p oints to = >
	982	IEN 100 points to =>
	983
	984	500
	985	IEN 10 po ints to =>
	986
	987	IEN 200 points t o =>
	988	500
	989	Cross-Refe rences
	990	^PS(50.7," A50",500,1 00)=""
	991	^PS(50.7," A50",500,2 00)=""
	992
	993
	994
	995	^PSDRUG("A 526",100,3 )=""
	996
	997
	998
	999	^PSDRUG("A 526",100,4 )=""
	1000
	1001
	1002
	1003	^PSDRUG("A 526",100,5 )=""
	1004	^PSDRUG("A 527",200,1 0)=""
	1005	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
	1006	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.
	1007	Kill Logic
	1008	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.
	1009
	1010
	1011
	1012	^PS(50.7," A50",500,1 00)=""
	1013	^PS(50.7," A50",500,2 00)=""
	1014
	1015
	1016
	1017	^PSDRUG("A 526",100,4 )=""
	1018
	1019
	1020
	1021	^PSDRUG("A 526",100,5 )=""
	1022
	1023
	1024
	1025	^PSDRUG("A 527",200,1 0)=""
	1026	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.
	1027	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.
	1028	Set Logic
	1029	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
	1030
	1031
	1032
	1033	^PS(50.7," A50",500,1 00)=""
	1034	^PS(50.7," A50",500,2 00)=""
	1035
	1036
	1037
	1038	^PSDRUG("A 526",100,4 )=""
	1039
	1040
	1041
	1042	^PSDRUG("A 526",100,5 )=""
	1043	^PSDRUG("A 526",900,3 )=""
	1044
	1045
	1046
	1047	^PSDRUG("A 527",200,1 0)=""
	1048	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 .
	1049
	1050
	1051
	1052	^PS(50.7," A50",500,1 00)=""
	1053	^PS(50.7," A50",500,2 00)=""
	1054	^PS(50.7," A50",2000, 900)=""
	1055
	1056
	1057
	1058	^PSDRUG("A 526",100,4 )=""
	1059
	1060
	1061
	1062	^PSDRUG("A 526",100,5 )=""
	1063	^PSDRUG("A 526",900,3 )=""
	1064
	1065
	1066
	1067	^PSDRUG("A 527",200,1 0)=""
	1068	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.
	1069	Security M anagement
	1070	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.
	1071	Mail Group s
	1072	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.
	1073	NAME: PSS ORDER CHEC KS
	1074	TYPE: publ ic
	1075	DESCRIPTIO N: Membe rs of this mail grou p will rec eive vario us notific ations
	1076	that impac t Enhanced Order Che cks (drug- drug inter actions, d uplicate t herapy
	1077	and dosing checks) i ntroduced with PRE V . 0.5 util izing a CO TS databas e.
	1078	Alerts
	1079	There are no alerts in the PDM package.
	1080	Bulletins
	1081	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.
	1082	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 .
	1083	NAME: PSS FDB INTERF ACE
	1084	SUBJECT: O RDER CHECK DATABASE DOWN
	1085	RETENTION DAYS: 3
	1086	PRIORITY?: YES
	1087	NAME: PSS FDB INTERF ACE RESTOR ED
	1088	SUBJECT: O RDER CHECK DATABASE IS BACK UP
	1089	RETENTION DAYS: 3
	1090	PRIORITY?: YES
	1091	Remote Sys tems
	1092	PDM does n ot transmi t data to any remote system or facility.
	1093	Archiving/ Purging
	1094	There are no archivi ng and pur ging funct ions neces sary with the PDM pa ckage.
	1095	Contingenc y Planning
	1096	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 ).
	1097	Interfacin g
	1098	There are no special ized produ cts embedd ed within or require d by the P DM package .
	1099	Electronic Signature s
	1100	No electro nic signat ures are u tilized in the PDM p ackage.
	1101	Locked Men u Options
	1102	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.
	1103	Locke d: PSXCMOP MGR
	1104	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.
	1105	Security K eys
	1106	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.
	1107	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.
	1108
	1109	Packa ge
	1110	Keys
	1111	Outpatient Pharmacy
	1112	PSORPH
	1113	Inpatient Medication s
	1114	PSJU MGR
	1115	Inpatient Medication s
	1116	PSJI MGR
	1117	Automatic Replenishm ent/Ward S tock
	1118	PSGWMGR
	1119	Drug Accou ntability/ Inventory Interface
	1120	PSAMGR
	1121	Drug Accou ntability/ Inventory Interface
	1122	PSA ORDERS
	1123	Controlled Substance s
	1124	PSDMGR
	1125	National D rug File
	1126	PSNMGR
	1127	Consolidat ed Mail Ou tpatient P harmacy
	1128	PSXCMOPMGR
	1129	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.
	1130	NAME: PSS_ CUSTOM_TAB LES_ADMIN
	1131	DESCRIPTIV E NAME: AD MINISTRATO R
	1132	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.
	1133	NAME: PSS_ CUSTOM_TAB LES_APPROV ER
	1134	DESCRIPTIV E NAME: AP PROVER
	1135	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 .
	1136	NAME: PSS_ CUSTOM_TAB LES_REL_MA N
	1137	DESCRIPTIV E NAME: RE LEASE MANA GER
	1138	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.
	1139	NAME: PSS_ CUSTOM_TAB LES_REQUES TOR
	1140	DESCRIPTIV E NAME: RE QUESTOR
	1141	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
	1142	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 .
	1143	NAME: PSS_ PPSN_MANAG ER
	1144	DESCRIPTIV E NAME: PP S-National Manager
	1145	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.
	1146	NAME: PSS_ PPSN_MIGRA TOR
	1147	DESCRIPTIV E NAME: PP S-National Migration User
	1148	DESCRIPTIO N: This role has t he ability to run th e PPS-N Mi gration.
	1149	NAME: PSS_ PPSN_SECON D_APPROVER
	1150	DESCRIPTIV E NAME: PP S-National Second Ap prover
	1151	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.
	1152	NAME: PSS_ PPSN_SUPER VISOR
	1153	DESCRIPTIV E NAME: PP S-National Superviso r
	1154	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.
	1155	NAME: PSS_ PPSN_VIEWE R
	1156	DESCRIPTIV E NAME: PP S-National Viewer
	1157	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.
	1158	File Secur ity
	1159	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.
	1160	PDM Files
	1161	File
	1162	NumbersFil e NamesDDR DWRDELLAYG O50
	1163	DRUG
	1164	@50.4
	1165	DRUG ELECT ROLYTES
	1166	@50.606
	1167	DOSAGE FOR M
	1168	@
	1169
	1170	@
	1171	@
	1172	@50.7
	1173	PHARMACY O RDERABLE I TEM
	1174	@51
	1175	MEDICATION INSTRUCTI ON
	1176	@51.1
	1177	ADMINISTRA TION SCHED ULE
	1178	@51.2
	1179	MEDICATION ROUTES
	1180	@51.23
	1181	STANDARD M EDICATION ROUTES
	1182	@
	1183	Pp
	1184	@
	1185	@
	1186	@51.24
	1187	DOSE UNIT
	1188	@
	1189	Pp
	1190	@
	1191	@
	1192	@51.5
	1193	ORDER UNIT
	1194	51.7
	1195	DRUG TEXT
	1196	@52.6
	1197	IV ADDITIV ES
	1198	@52.7
	1199	IV SOLUTIO NS
	1200	@53.47
	1201	INFUSION I NSTRUCTION S
	1202	54
	1203	RX CONSULT
	1204	55
	1205	PHARMACY P ATIENT (Pa rtial DD)
	1206	@
	1207	P59.7
	1208	PHARMACY S YSTEM
	1209	^
	1210
	1211	^
	1212	^
	1213	^59.73
	1214	VENDOR DIS ABLE/ENABL E
	1215	@
	1216	@
	1217	@
	1218	@
	1219	@
	1220	59.74
	1221	VENDOR INT ERFACE DAT A
	1222	@
	1223	@
	1224	@
	1225	@
	1226	@
	1227	Non-PDM Fi les
	1228	File
	1229	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
	1230	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.
	1231	References
	1232	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.
	1233	Appendix A : Pharmacy Interface Automatio n
	1234	REF Bulle tins_p32a \h
	1235
	1236
	1237	REF Bulle tins_p32a \h
	1238
	1239
	1240	REF Bulle tins_p32a \h
	1241	Introducti on
	1242	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.
	1243	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.
	1244	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.
	1245	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.
	1246	The minimu m required VistA sof tware is:
	1247	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
	1248	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:
	1249	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.
	1250	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.
	1251	Provide PA DE the cap ability to alert Vis tA Pharmac y of medic ation remo val from P ADE withou t orders.
	1252	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.
	1253	Refer to t he followi ng Pharmac y Interfac e Automati on documen ts for add itional in formation:
	1254	(will add hyperlinks once thes e are in f inal folde r or on TS PR)
	1255	Pharmacy I nterface A utomation Installati on Guide
	1256	Pharmcy In terface Au tomation U ser Guide
	1257	Pharmacy I nterface A utomation System Des ign Docume nt
	1258	Pharmacy I nterface A utomation Data Dicti onary
	1259	Options an d Build Co mponents
	1260	The follow ing are th e options and build components for Pharm acy Interf ace Automa tion for P SS1.0193 :
	1261	Select OPT ION NAME: XPD PRI NT BUILD Build F ile Print
	1262	Build File Print
	1263	Select BUI LD NAME: P SS1.0193 PHA RMACY DATA MANAGEMEN T
	1264	DEVICE: HO ME// ;;999 99 SSH VI RTUAL TERM INAL
	1265	PACKAGE: P SS1.0193 Nov 2 5, 2015 10 :27 am PAGE 1
	1266	---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------
	1267	TYPE: SING LE PACKAGE TRACK NAT IONALLY: Y ES
	1268	NATIONAL P ACKAGE: PH ARMACY DAT A MANAGEME NT A LPHA/BETA TESTING: N O
	1269	As part of this patc h PSS119 3, the fol lowing enh ancements were made:
	1270	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 .
	1271	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.
	1272	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"
	1273	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 .
	1274	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 .
	1275	ENVIRONMEN T CHECK: D ELETE ENV ROUTINE:
	1276	PRE-INIT ROUTINE: DELETE PRE-INIT ROUTINE:
	1277	POST-INIT ROUTINE: DELETE POST-INIT ROUTINE:
	1278	PRE-TRANSP ORT RTN:
	1279	ROUTINE: ACT ION:
	1280	PSSDEE SEND TO SI TE
	1281	PSSHLDF S SEND TO SI TE
	1282	PSSMSTR SEND TO SI TE
	1283	OPTION: ACT ION:
	1284	PSS MAS TER FILE A LL SEND TO SI TE
	1285	SECURITY K EY: ACT ION:
	1286	PSS PAD E INIT SEND TO SI TE
	1287	PROTOCOL: ACT ION:
	1288	PSS MFN M01 CLIENT SEND TO SI TE
	1289	PSS MFN M01 SERVER SEND TO SI TE
	1290	REQUIRED B UILDS: ACT ION:
	1291	PSS1.0 180 Don't inst all, leave global
	1292	CDEVISC1A2 :DVA>
	1293	Modified a nd New Rou tines
	1294	The follow ing routin es are for PSS1193 :
	1295	PSSDEE
	1296	PSSHLDFS
	1297	PSSMSTR
	1298	(This page included for two-si ded copyin g.)
	1299	Glossary
	1300	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.