VistA Patch Display                                                   Page: 1
=============================================================================
Run Date: JUN 15, 2016                      Designation: PSO*7*457  TEST v
Package : OUTPATIENT PHARMACY               Priority   : MANDATORY
Version : 7                                 Status     : UNDER DEVELOPMENT
=============================================================================

Associated patches: (v)PSO*7*408   <<= must be installed BEFORE `PSO*7*457'
                    (v)PSO*7*411   <<= must be installed BEFORE `PSO*7*457'
                    

Subject:  MENTAL HEALTH NCC PROJECT 5.01

Category:  ROUTINE
           ENHANCEMENT
           DATA DICTIONARY

Description:
===========
 
This patch will add enhancements to the Inpatient Order Entry routines for
the National Clozapine T4 project.  Below is a list of all the applications
involved in this project along with their patch number:
 
   APPLICATION/VERSION                                   PATCH
   ---------------------------------------------------------------
   MENTAL HEALTH (MH) V. 5.01                          YS*5.01*122
   OUTPATIENT PHARMACY (OP) V. 7.0                     PSO*7*457 
   INPATIENT MEDICATIONS (IP) V. 5.0                   PSJ*5*327
   ORDER ENTRY/RESULTS REPORTING (OR) V. 3.0           OR*3*427
 
The patches (YS*5.01*122, PSO*7*457, PSJ*5*327, and OR*3*427) are
being released  in the Kernel Installation and Distribution System
(KIDS) multi-build distribution MENTAL HEALTH NCC PROJECT 5.01.
 
The purpose of this software package is to maintain compliance with
legislative and federal mandates and to add Clozapine Order Checking
to the Inpatient Pharmacy application.  It also adds real-time updating
functionality of the data sent to the National Clozapine Server.
 
This specific patch contains the following functionality:
---------------------------------------------------------
Modifications to ^PSOCLO1 routine.
 
1. Added new Override reasons, 8 ;;NO VERIFIED ANC 9 ;;SUPPLY SPECIAL
   CONDITIONS 10 ;;LAST ANC < 1500 11 ;;NEW PAT. WEEKENDS/OVERNIGHT
 
2. Modified the CHECK module to look at the ANC values instead of WBC
   and added more selections for the values of the PSOYS variable that
   displays the override reasons.
 
3. Added new Warning for critically low ANC readings "ANC levels are
   Critically low. Do you want to Cancel the order"
 
4. Added ability to produce a list of only active pharmacist with the
   "PSOLOCKCLOZ" security key to choose from for the second pharmacist
   and approving member for the Clozapine Override process.
 
5. Added the creation of a view alert to be sent to the selected
   pharmacist.
 
6. Added a mailman message to notify the Pharmacist completing the
   order, the Patients provider and the secondary pharmicist of the
   completed Override for the Perscription for outpatient or the Order
   for the Inpatient.
 
7. Inpatient Medications PSJOE was modified to detect the drug chosen.
   WHen a clozapine drug is chosen the code calls our new PSJCLOZ
   routine then uses the existing but modiified outpatient medication
   routine PSOCLO1. This means both outpatient and inpatient clozapine
   orders go through the same order checks and override procedure. The
   divergence occurs when recording the override. When an outpatient is
   detected "CLOZAPINE PRESCRIPTION OVERRIDES" file (#52.52) is updated.
   And when an inpatient is detected "CLOZAPINE MEDICATION OVERRIDES"
   file (#53.8) is updated.
 
New Menu.
 
This patch adds a new menu, PSOL MANAGER, Clozapine Pharmacy Manager.  This
new menu contains the options used to control the dispensing of
Clozapine. The new menu contains the following options:
 
1. PSOL REGISTER PATIENT (Register Clozapine Patient).
   This option is used to enter data required by Sandoz for Colizapine
   patients into the Pharmacy Patient file (#55).
 
2. PSOLAB LIST (Display Lab Tests and Results).
   This option displays results of lab tests for patients receiving
   clozapine as required by the circular regarding patient management 
   protocol for the use of clozapine.
 
3. PSOLIST OVERRIDES (List of Override Prescriptions).
   This option generates a list of clozapine prescriptions which were
   entered by overriding the lockout.
 
4. PSOL EDIT (Edit Data for a Patient in the Clozapine Program).
   This option allows you to edit data for a patient who has already
   been enrolled in the Clozapine treatment program.  It will typically
   be used to reregister a patient whose treatment has been suspended
   and who has rejoined the program.
 
Patch Components
================
Files & Fields Associated:
 
File Name (Number)      Field Name (Number)              New/Modified/Deleted
------------------      -------------------              --------------------
CLOZAPINE PRESCRIPTION OVERRIDES file (#52.53)           MODIFIED
   REASON FOR OVERRIDE           feild (4)               MODIFIED
   SECOND PHARMACIST             feild (6)               NEW
 
CLOZAPINE OVERRIDE REASONS       file (#52.54)           NEW
 
Forms Associated:
 
Form Name             File #       New/Modified/Deleted
---------             ------       --------------------
N/A
 
Mail Groups Associated:
 
Mail Group Name          New/Modified/Deleted
---------------          --------------------
N/A
 
Options Associated:
 
Option Name                   Type           New/Modified/Deleted
-----------                   ----           --------------------
PSOL MANAGER                  Menu|TAB||TAB|     New
 
Protocols Associated:
 
Protocol Name                     New/Modified/Deleted
-------------                     --------------------
N/A
 
Security Keys Associated:
 
Security Key Name                 New/Modified/Deleted
----------------------            --------------------
N/A
 
Templates Associated:
 
Template Name      Type      File Name (Number)  New/Modified/Deleted
-------------      ----      ------------------  --------------------
N/A
 
Additional Information:
 
New Service Requests (NSRs)
----------------------------
Request Name: National Clozapine Coordination Project
  Request ID: 20100703
 
Patient Safety Issues (PSIs)
-----------------------------
N/A
 
Remedy Ticket(s) & Overview
---------------------------
N/A
 
Test Sites:
----------
TBD
 
Documentation Retrieval Instructions
------------------------------------
Updated documentation describing the new functionality introduced by this
patch is available.
 
The preferred method is to SFTP the files from
ftp://download.DNS   med.DNS   . This transmits the files from the first
available SFTP server. Sites may also elect to retrieve software directly
from a specific server as follows:
 
 Albany         ftp.DNS      .med.DNS     <ftp://ftp.DNS      .med.DNS   >
 Hines          ftp.DNS     .med.DNS      <ftp://ftp.DNS     .med.DNS   >
 Salt Lake City ftp.DNS   .med.DNS        <ftp://ftp.DNS   .med.DNS   >
 
Documentation can also be found on the VA Software Documentation Library at:
http://www.DNS   /vdl/
 
Title                                 File Name                   FTP Mode
-------------------------------------------------------------------------
TBD
 
Patch Installation:
 
Pre/Post Installation Overview
------------------------------
N/A
 
Installation Instructions
-------------------------
This patch should take up to 20 minutes to install.
DO NOT QUEUE the installation of this patch.
 
To avoid disruptions, these patches should be installed during non-peak
hours when there is minimal activity on the system.  Avoid times when
 
Pre-Installation Instructions
-----------------------------
 
1.  OBTAIN PATCHES
    --------------
    Obtain the host file MH_NCC_PROJECT_5_01.KID, which contains the
    following patches:
 
        YS*5.01*122
        PSO*7*457
        PSJ*5*327
        OR*3*427
 
     Sites can retrieve VistA software from the following SFTP addresses.
     The preferred method is to SFTP the files from:
 
                    download.DNS   med.DNS   
 
     This will transmit the files from the first available SFTP server.
     Sites may also elect to retrieve software directly from a specific
     server as follows:
 
       Albany                  ftp.DNS      .med.DNS   
       Hines                   ftp.DNS     .med.DNS   
       Salt Lake City          ftp.DNS   .med.DNS   
 
     The MH_NCC_PROJECT_5_01.KID host file is located in the
     anonymous.software directory. Use ASCII Mode when downloading the
     file.
 
2.  START UP KIDS
    -------------
    Start up the Kernel Installation and Distribution System Menu option
    [XPD MAIN]:
 
         Edits and Distribution ...
         Utilities ...
         Installation ...
 
    Select Kernel Installation & Distribution System Option: INStallation
                                                             ---
         Load a Distribution
         Print Transport Global
         Compare Transport Global to Current System
         Verify Checksums in Transport Global
         Install Package(s)
         Restart Install of Package(s)
         Unload a Distribution
         Backup a Transport Global
 
    Select Installation Option:
 
3.  LOAD TRANSPORT GLOBAL FOR MULTI-BUILD
    -------------------------------------
    From the Installation menu, select the Load a Distribution option.
 
    When prompted for "Enter a Host File:", enter the full directory path
    where you saved the host file MH_NCC_PROJECT_5_01.KID (e.g.,
    SYS$SYSDEVICE:[ANONYMOUS] MH_NCC_PROJECT_5_01.KID)
 
    When prompted for "OK to continue with Load? NO//", enter "YES."
 
    The following will display:
 
      Loading Distribution...
 
        MENTAL HEALTH NCC PROJECT 5.01
        YS*5.01*122
        PSO*7*457
        PSJ*5*327
        OR*3*427
      Use INSTALL NAME: MENTAL HEALTH NCC PROJECT 5.01 to install this
      Distribution.
 
4.  RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD
    -------------------------------------------------
    From the Installation menu, you may select to use the following
    options (when prompted for the INSTALL NAME, enter
    YS*5.01*122):
 
    a.  Backup a Transport Global - This option will create a backup
        message of any routines exported with this patch.  It will not
        backup any other changes such as DD's or templates.
    b.  Compare Transport Global to Current System - This option will
        allow you to view all changes that will be made when this patch
        is installed.  It compares all components of this patch
        (routines, DD's, templates, etc.).
    c.  Verify Checksums in Transport Global - This option will allow
        you to ensure the integrity of the routines that are in the
        transport global.
 
5.  INSTALL MULTI-BUILD
    -------------------
    This is the step to start the installation of this KIDS patch.  This
    will need to be run for the MENTAL HEALTH NCC PROJECT 5.01.
 
    a. Choose the Install Package(s) option to start the patch install.
    b. When prompted for the "Select INSTALL NAME:", enter YS*5.01*122
 
    This Distribution was loaded on Mar 10, 2016@13:46:45 with header of
    MENTAL HEALTH NCC PROJECT 5.01  ;Created on Mar 09, 2016@08:27:27
    It consisted of the following Install(s):
    YS*5.01*122    PSO*7.0*457    PSJ*5.0*327     OR*3.0*427
    Checking Install for Package YS*5.01*122
 
    Install Questions for YS*5.01*122
 
    Checking Install for Package PSO*7.0*457
 
    Install Questions for PSO*7.0*457
 
    Incoming Files:
 
    52.52     CLOZAPINE PRESCRIPTION OVERRIDES  (Partial Definition)
    Note:  You already have the 'CLOZAPINE PRESCRIPTION OVERRIDES' File.
 
    52.54     CLOZAPINE OVERRIDE REASONS  (including data)
 
    Checking Install for Package PSJ*5.0*327
 
    Install Questions for PSJ*5.0*327
 
    Incoming Files:
 
    53.8      CLOZAPINE MEDICATION OVERRIDES
 
    Checking Install for Package OR*3.0*427
 
    Install Questions for OR*3.0*427
 
    c. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of
    d. Install? YES//", enter YES unless your system does this in a nightly
       TaskMan process.
    e. When prompted "Want KIDS to INHIBIT LOGONs during the install?
       YES//", enter NO.
    f. When prompted " Want to DISABLE Scheduled Options, Menu Options,
       and Protocols? NO//", enter NO.
    g. When prompted "Device: HOME//", respond with the correct device
       but do not queue this install.
 
     DEVICE: HOME//   HOME  (CRT)
     ----------------------------------------------------------------------
 
     YS*5.01*122 Already Installed
 
     PSO*7.0*457 Already Installed
 
     PSJ*5.0*327 Already Installed
 
     Install Restarted for OR*3.0*427 at Mar 10, 2016@16:28:45
 
     Build Distribution Date: Mar 09, 2016
 
     Routines already installed.
 
     Pre-Install already finished.
 
     Running Post-Install Routine: ^ORY427ES .
 
     Order Check Expert System Rule Transporter
     Created: FEB 23,2016 at 15:22  at  NCCLAB1.AAC.DNS   
     Current Date: MAR 10,2016 at 16:28  at  NCCLAB3.AAC.DNS   
 
     Loading Data  . . . . . . . .
     Installing '863.8  OCX MDD PARAMETER' records...............
     . . . . . . .. . . . . . .. . .
     Installing '864.1  OCX MDD DATATYPE' records...  . . .. .
     Installing '863.7  OCX MDD PUBLIC FUNCTION' records...........
     Installing '863.9  OCX MDD CONDITION/FUNCTION' records..........
     .
     Installing '863.4  OCX MDD ATTRIBUTE' records...............
     Installing '863.2  OCX MDD SUBJECT' records....
     Installing '863.3  OCX MDD LINK' records..................
     Installing '860.9  ORDER CHECK NATIONAL TERM' records..........
     . . . . .. . . . .
     Installing '860.8  ORDER CHECK COMPILER FUNCTIONS' records......
     . .. .. . .. . .. .... . ..
     Installing '860.6  ORDER CHECK DATA CONTEXT' records.......
     Installing '860.5  ORDER CHECK DATA SOURCE' records.........
     Installing '860.4  ORDER CHECK DATA FIELD' records............
     ..
     Installing '860.3  ORDER CHECK ELEMENT' records..........
     Installing '860.2  ORDER CHECK RULE' records.....
 
      No data filing errors.
 
     Transport Finished...
 
    ---Creating Order Check Routines-----------------------------------.
 
    Build list of Active Rules, Elements and Datafields....
 
     94 DATA FIELDS
 
     77 ELEMENTS
 
     39 RULES.
 
    Compile DataField Navigation code....
 
     99 DataField Navigation Code Arrays.
 
    Compile Element Evaluation code....
 
     71 Event Evaluation Code Arrays.
 
    Compile Element MetaCode....
 
     77 Element Metacode Arrays.
 
    Get Compiler Function Code....
 
     51 Compiler Include Functions.
 
    Compile Rule Element Relation code....
 
     56 Rule Element Relation Code Arrays.
 
    Construct Decision Tree....
 
    692 Sub-Routines.
 
    Optimize Sub-Routines....
 
    278 Sub-Routines
 
    59.9% Optimization.
 
    Assemble Routines....
 
     39 OCXOZ* Routines.
 
Post-Installation Instructions
------------------------------
N/A


Routine Information:
====================


Routine Name: PSOCLO1
    Checksum:
  Before: 28077371   After: 173237934  **1,23,37,222,457**
Routine Name: PSOCLUTL
    Checksum:
  Before: 30326336   After: 30238354 **28,56,122,222,268,457**
Routine Name: PSODRG
    Checksum:
  Before: 93593274  After: 94164891 **20,23,36,53,54,46,112,139,207,148,243,
                                    268,324,251,375,387,398,390,,427,411,457**
Routine Name: PSON52
    Checksum:
  Before: 91872301  After: 98393107 **1,16,23,27,32,46,71,111,124,117,131,139,
                                    157,143,219,148,239,201,268,260,225,303,
                                    358,251,387,379,390,391,313,408,427**
Routine Name: PSONEW1
    Checksum:
  Before: 14209647   After: 17324644  **46,104,117,143,457**
Routine Name: PSORENW0
    Checksum:
  Before: 84910963   After: 95873657 **11,27,32,59,64,46,71,96,100,130,237,
                            206,251,375,379,372,411,457**


=============================================================================
User Information:  
  Entered By  :   WIPERT,RANDY T       Date Entered  :   JAN  6,2016
  Completed By:                        Date Completed:   
  Released By :                        Date Released :   
=============================================================================
