VistA Patch Display                                                   Page: 1
=============================================================================
Run Date: AUG 15, 2017                      Designation: PSJ*5*327  TEST v
Package : INPATIENT MEDICATIONS             Priority   : MANDATORY
Version : 5                                 Status     : UNDER DEVELOPMENT
=============================================================================

Associated patches: (v)PSJ*5*275   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*281   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*287   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*315   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*316   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*317   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*323   <<= must be installed BEFORE `PSJ*5*327'
                    (v)PSJ*5*334   <<= must be installed BEFORE `PSJ*5*327'

                    

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 numbers:
 
   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 as well as to add Clozapine Order 
Checking to the Inpatient Pharmacy application.  In addition, this
package adds real-time updating functionality of the data sent to
the National Clozapine Server.
 
This specific patch contains the following functionality:
---------------------------------------------------------
The routines for the VistA Inpatient Order Entry [PSJ OE] option
will be modified to
 
1. Add logic to verify that the ordering provider holds the
   YSCL AUTHORIZED key when the pharmacist enters a new 
   Clozapine order in back door pharmacy. If the ordering provider
   does NOT hold the YSCL AUTHORIZED key a message will be
   displayed and will prevent the order from being entered.
 
2. Add logic to verify that the pharmacist holds the PSOLOCKCLOZ
   key. A local override is needed when the ANC lab values are
   >= 1000 and < 1500. This key will allow the pharmacist to
   perform the override action, if needed.
 
3. A new routine ^PSJCLOZ will be created to perform various 
   order checks and override functions.
 
4. A new file CLOZAPINE MEDICATION OVERRIDES (#53.8) will be a
   cloned from the CLOZAPINE PRESCRIPTION OVERRIDE file (#52.52) and
   will hold the override data for Inpatient Medication orders.
 
5. A new menu PSJL MANAGER (Clozapine Inpatient Medications Manager)
   contains options used to control inpatient Clozapine dispensing.
 
6. A new option PSJLAB LIST (Display Inpatient Lab Tests and Results)
   displays results of lab tests for patients receiving clozapine as
   required by the circular regarding patient management protocol for
   the use of clozapine. This is for inpatient pharmacy.
 
7. A new option PSJLIST OVERRIDES (List Inpatient Clozapine Overrides)
   is used to generate a list of inpatient ordered clozapine
   prescriptions entered by overriding the lockout.
 
8. The new menu PSJU MGR (Unit Dose Medications) is the main menu for
   the Unit Dose Medications software. This menu must be given to all
   Unit Dose Medications users.
 
9. Add new field CLOZAPINE DOSAGE (MG/DAY) (#301) to the sub-file
   UNIT DOSE (#55.06) of the PHARMACY PATIENT file (#55) to hold
   the Clozapine Total Daily Dose verified/entered by the Pharmacist.
 
Patch Components
================
Files & Fields Associated:
 
File Name (Number)      Field Name (Number)              New/Modified/Deleted
------------------      -------------------              --------------------
CLOZAPINE MEDICATION OVERRIDES (#53.8)                       NEW
PHARMACY PATIENT file (#55) sub-file UNIT DOSE (#55.06)
                        CLOZAPINE DOSAGE (MG/DAY) (#301)     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
-----------                   ----           --------------------
PSJL MANAGER                  Menu                 New
PSJLAB LIST                Run Routine             New
PSJLIST OVERRIDES          Run Routine             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:
----------
BATTLE CREEK
BOSTON
 
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      .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:
 
 Hines          DNS.DNS     .URL          <DNS.DNS     .URL       >
 Salt Lake City DNS.URL            <DNS.URL       >
 
The documentation will be in the form of Adobe Acrobat files.
  
Documentation can also be found on the VA Software Documentation Library 
at: http://URL.DNS/
--------------------------------------------------------------------------
Title                                  File Name               FTP Mode
--------------------------------------------------------------------------
MENTAL HEALTH NCC PROJECT 5.01       MH_NCC_PROJECT_5_01.KID   (ASCII)
 
MENTAL HEALTH NCC PROJECT 5.01     MH NCC USER GUIDE_r0717.PDF (binary) 
Technical Manual / Security Guide
   Inpatient Medications           psj_5_tm_r0717.PDF          (binary)
Nurse's User Manual                psj_5_nurse_um_ r0717.PDF   (binary)
Pharmacist's User Manual           psj_5_pharm_um_r0717.PDF    (binary)
Deploy Install BO RB Guide
                  MH_NCC_Proj_5_01_OR_PSJ_PSO_YS_ig_r0717.PDF  (binary)
 
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.
 
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:
 
                    DNS.DNS      .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:

       Hines                   DNS.DNS     .URL       
       Salt Lake City          DNS.URL       
 
     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

Incoming Files:


603.03    CLOZAPINE PARAMETERS  (Partial Definition)
Note:  You already have the 'CLOZAPINE PARAMETERS' File.
 
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// 
 
Checking Install for Package PSO*7.0*457
 
Install Questions for PSO*7.0*457
 
  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.
 
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)
Note:  You already have the 'CLOZAPINE OVERRIDE REASONS' File.
Data will NOT be added.
 
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// 
 
Checking Install for Package PSJ*5.0*327
  
Install Questions for PSJ*5.0*327
 
  h. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of
  i. Install? YES//", enter YES unless your system does this in a nightly
     TaskMan process.
  j. When prompted "Want KIDS to INHIBIT LOGONs during the install?
     YES//", enter NO.
  k. When prompted " Want to DISABLE Scheduled Options, Menu Options,
     and Protocols? NO//", enter NO.
  l. When prompted "Device: HOME//", respond with the correct device 
     but do not queue this install.
 
Incoming Files:
 
53.8      CLOZAPINE MEDICATION OVERRIDES
Note:  You already have the 'CLOZAPINE MEDICATION OVERRIDES' File.
 
55        PHARMACY PATIENT  (Partial Definition)
Note:  You already have the 'PHARMACY PATIENT' File.
 
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// 
 
Checking Install for Package OR*3.0*427
 
Install Questions for OR*3.0*427
 
Want KIDS to INHIBIT LOGONs during the install? NO// 
Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// 
 
Enter the Device you want to print the Install messages.
You can queue the install by enter a 'Q' at the device prompt.
Enter a '^' to abort the install.
 
DEVICE: HOME//   HOME  (CRT)
--------------------------------------------------------------------------------
 

 
Post-Installation Instructions
------------------------------
N/A


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


Routine Name: PSGNE3
    Checksum:
  Before: 86381204   After: 96747624 **4,26,47,50,63,69,105,80,111,
                                       183,193,179,275,327**
Routine Name: PSGOD
    Checksum:
  Before: 25616562   After: 37725457 **67,58,111,133,181,286,281,315,327**
Routine Name: PSGOE41
    Checksum:
  Before: 97532648 After: 116322925 **50,63,64,69,58,111,136,113,267,
                                      315,334,327**
Routine Name: PSGOE42
    Checksum:
  Before: 10177522   After: 14392718  **327*
Routine Name: PSGOE7
    Checksum:
  Before: 40214304   After: 46313440  **9,26,34,52,55,50,87,111,181,
                                        254,267,260,288,317,327**
Routine Name: PSGOE8
    Checksum:
  Before: 52703048 After: 58943110 **47,50,65,72,110,111,188,192,113,223
                                   ,269,287,315,327**
Routine Name: PSGOE81
    Checksum:
  Before: 107958906 After: 152656577 **26,50,64,58,82,110,111,136,113,267
                                      ,315,334,327**
Routine Name: PSGOE82
    Checksum:
  Before: 33061347   After: 40327002  **2,35,50,67,58,81,127,168,181,276,317,327
**
Routine Name: PSGOE91
    Checksum:
  Before: 114633409 After: 161284303 **26,50,64,58,82,110,111,136,113,267
                                      ,315,334,327**
Routine Name: PSGOE92
    Checksum:
  Before: 43137679   After: 47389177 **2,35,50,58,81,110,215,237,276,316,317,327
**
Routine Name: PSGOEE
    Checksum:
  Before: 101870372 After: 132209675 **4,7,29,47,64,58,82,91,110,111,112,142,
                                      179,181,254,267,268,281,315,327**
Routine Name: PSGOEF
    Checksum:
  Before: 119034802   After: 149403477 **7,11,29,35,127,133,221,181,260,
                                        199,281,315,327**
Routine Name: PSGOER
    Checksum:
  Before: 85734604   After: 90418784 **11,30,29,35,70,58,95,110,111,133,141
                                     ,198,181,246,278,281,315,327**
Routine Name: PSGOER0
    Checksum:
  Before: 23514547   After: 25398399 **11,45,47,50,63,64,70,69,58,80,110,127
                                       ,136,181,281,327**
Routine Name: PSGOETO
    Checksum:
  Before: 38155409  After: 45746599  **3,13,25,31,33,50,68,58,85,105,90,117,
                                      110,111,112,161,254,267,268.315,327**
Routine Name: PSGOEV
    Checksum:
  Before: 91287532 After: 96139745 **5,7,15,28,33,50,64,58,77,78,80,110,
                                   111,133,171,207,241,267,268,260,288,
                                   199,281,327**
Routine Name: PSGON
    Checksum:
  Before: 39542310    After:  41441741  **2,22,54,327**
Routine Name: PSGOT
    Checksum:
  Before: 23271906 After: 27687479 **13,68,90,110,173,134,161,254,267,257,
                                     315,327**
Routine Name: PSGPEN
    Checksum:
  Before: 57822787 After: 58973143 **30,37,50,58,115,110,127,129,323,317,327**
Routine Name: PSJ327P
    Checksum:
  Before: N/A        After:   688619  **327 **
Routine Name: PSJCLOLS
    Checksum:
  Before: N/A        After: 10140585 **327**
Routine Name: PSJCLOZ
    Checksum:
  Before: N/A        After:    174512975 **327**
Routine Name: PSJCOM
    Checksum:
  Before: 42503350   After: 47680485  **110,186,267,281,327**
Routine Name: PSJCOM1
    Checksum:
  Before: 49883276   After: 54587887  **110,127,281,315,327**
Routine Name: PSJLMPRU
    Checksum:
  Before: 19004803 After: 20024383 **16,58,85,110,185,181,267,323,317,327**
Routine Name: PSJLMUDE
    Checksum:
  Before: 86619867   After: 87704533  **7,47,50,63,64,58,80,116,110,111,164, 
                                       175,201,181,254,267,228,317,327**
Routine Name: PSJOE
    Checksum:
  Before: 105816972   After: 119581461  **7,26,29,33,42,50,56,72,58,
                                         85,95,80,110,111,133,140,151,
                                         149,181,252,281,315,327**
Routine Name: PSJOE1
    Checksum:
  Before: 31281544   After: 40247164  **2,7,25,30,47,56,64,179,181,252
                                        ,281,315,327**
Routine Name: PSJOEA
    Checksum:
  Before: 31606537 After: 32154460 **110,127,133,167,171,254,315,327**
Routine Name: PSJOEA1
    Checksum:
  Before: 29816523   After: 29905654  **110,127,133,171,254,327**
Routine Name: PSJRXLAB
    Checksum:
  Before: N/A        After: 37740898 **327**


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