Select PATCH: PSS*1*219    BUPRENORPHINE TX OF PAIN XPAR UPDATE         UND BF

DEVICE: HOME// ;;999  SSH VIRTUAL TERMINAL

VistA Patch Display                                                   Page: 1
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Run Date: JAN 08, 2018                      Designation: PSS*1*219  TEST v
Package : PHARMACY DATA MANAGEMENT          Priority   : MANDATORY
Version : 1                                 Status     : UNDER DEVELOPMENT
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Subject:  BUPRENORPHINE TX OF PAIN XPAR UPDATE

Category:  ROUTINE

Description:
===========
 
In support of the Clinical Ancillary Services Project (CAS) - Medication 
Permissions and Dispensing Updates, new functionality is being introduces 
to control the ability to prescribe Buprenorphine medications. 
Previously, logic was introduced to check if a drug contained the term 
'BUPREN', and was of dosage form 'PATCH' to determine whether or not a 
provider needs a DEA number to prescribe the medication.
 
The new functionaliy introduces a multiple values XPAR parameter to hold 
all of the possible dosage forms for utilization of products that contain 
Buprenorphine and are being used for the treatment of pain. The new XPAR 
parameter 'Dosage Forms Buprenorphine Tx of Pain [PSS BURENORPHINE PAIN 
DFS] is being delivered and pre-populated with the dosage forms of 
'PATCH' and 'FILM,BUCCAL'.
 
A new option 'Manage Buprenorphine Tx of Pain Dosage Forms' [PSS 
BUPRENORPHINE DOSAGE FORMS] has been created that allow users to manage 
the contents of the new parameter. This option is placed on the menu 
option 'Dosages' [PSS DOSAGES MANAGEMENT] menu option.
 
 
Patch Components:
-----------------
 
Files & Fields Associated:
--------------------------
N/A
 
Forms Associated:
-----------------
N/A
 
Mail Groups Associated:
-----------------------
N/A
 
Options Associated:
-------------------
 
Option Name                     Type               New/Modified/Deleted
-----------                     ----               -------------------- 
PSS DOSAGES MANAGEMENT          Menu                    Modified
PSS BUPRENORPHINE DOSAGE FORMS Action                     New
 
Protocols Associated:
---------------------
N/A
 
Security Keys Associated:
------------------------
N/A
 
Templates Associated:
---------------------
N/A
 
Additional Information:
-----------------------
 
New Service Requests (NSRs):
----------------------------  
NSR #20130711
 
Item #1:
--------
As a prescriber of buprenorphine-containing products that are Federal 
Drug Administration (FDA) approved in the treatment of pain, I need the 
system to recognize the dosage forms that do not require me to have an 
X-number (detox/maintenance number), so that I can prescribe the 
medications without being inappropriately stopped by CPRS and Pharmacy 
Data Management.
 
Resolution:
-----------
A new XPAR parameter 'Dosage Forms Buprenorphine Tx of Pain [PSS 
BURENORPHINE PAIN DFS] has been created with a instance type of 
'sequence' and a 'value' type as a pointer to the DOSAGE FORM file 
(#50.606). DETOX^PSSOPKI has been modified to look at the values 
configured in the new XPAR parameter. The post-install will pre-populate 
the new parameter with the values 'FILM,BUCCAL' and 'PATCH' at the 
PACKAGE level for the parameter.
 
The new option 'Manage Buprenorphine Tx of Pain Dosage Forms' [PSS 
BUPRENORPHINE DOSAGE FORMS] is now accessible through the 'Dosages' [PSS 
DOSAGES MANAGEMENT] menu option.
 
 
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 retrieve files from download.DNS      URL. 
 
This transmits the files from the first available server. Sites may also 
elect to retrieve files directly from a specific server. 
 
Sites may retrieve the documentation directly using Secure File Transfer 
Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI
Field Offices:
 
Hines:                  DNS     .URL           
Salt Lake City:         DNS.URL       
 
Documentation can also be found on the VA Software Documentation Library 
at:
http://URL            /
 
Title                         File Name                       FTP Mode
-----------------------------------------------------------------------
<Documentation title>       
 
 
Patch Installation:
 
 
Pre/Post Installation Overview:
-------------------------------
N/A
 
 
Pre-Installation Instructions:
------------------------------
N/A
 
 
Installation Instructions:
--------------------------
Patch PSS*1.0*219 will install updates to routine PSSOPKI, add the new 
XPAR parameter, populate the parameter, and add the new buprenorphine 
option appropriately.
 
1.  Choose the PackMan message containing this patch.
 
2.  Choose the INSTALL/CHECK MESSAGE PackMan option.  
 
3.  From the Kernel Installation and Distribution System Menu, select
    the Installation Menu.  From this menu, you may elect to use the
    following options. When prompted for the INSTALL NAME enter the patch 
    PSS*1.0*219.
    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 DDs 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, DDs, 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.
     
4.  From the Installation Menu, select the Install Package(s) option and
    choose the patch to install.
 
5.  When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
    Install? NO//', answer 'NO'.  
 
6.  When prompted 'Want KIDS to INHIBIT LOGONs during the install?
    NO//', answer 'NO'
 
7.  When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
    and Protocols? NO//', answer 'NO'.
 
8.  If prompted 'Delay Install (Minutes):  (0 - 60): 0//' respond 0.
 
 
Post-Installation Instructions:
-------------------------------
The post init routine will pre-populate the new XPAR parameter with the 
proper dosage forms. No user interaction is required.


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


The second line of each of these routines now looks like:
 ;;1.0;PHARMACY DATA MANAGEMENT;**[Patch List]**;9/30/97;Build 11

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: PSS219PO
    Before:       n/a   After:   B486752  **219**
Routine Name: PSSOPKI
    Before: B14161499   After: B16791108  **61,69,166,183,219**


=============================================================================
User Information:  
  Entered By  :   FISHER,BRADLEY       Date Entered  :   NOV 24,2017
  Completed By:                        Date Completed:   
  Released By :                        Date Released :   
=============================================================================


