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File Content
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: VistA Patch Display Page: 1
=============================================================================
Run Date: MAR 29, 2018 Designation: PSJ*5*366 TEST v1
Package : INPATIENT MEDICATIONS Priority : MANDATORY
Version : 5 Status : UNDER DEVELOPMENT
=============================================================================
Associated patches: (v)PSJ*5*253 <<= must be installed BEFORE `PSJ*5*366'
(v)PSJ*5*281 <<= must be installed BEFORE `PSJ*5*366'
(v)PSJ*5*352 <<= must be installed BEFORE `PSJ*5*366'
Subject: CAS MPDU - BUILD 4
Category: ROUTINE
Description:
===========
As part of the Clinical Ancillary Services project (CAS) - Medication
Permission/Dispensing Updates (MPDU), the Inpatient Medications package
has been modified to address the following:
This patch will address the following issues.
1. Limit the Display of Medication Routes for Infusion Order Dialogs (TC 47)
2. Limit the Display of Medication Routes for Inpatient Unit Dose Order
Dialogs (Tc 45)
Patch Components:
-----------------
Files & Fields Associated:
File Name (Number) Field Name (Number) New/Modified/Deleted
------------------ ------------------- --------------------
N/A
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
----------- ---- --------------------
N/A
Protocols Associated:
Protocol Name New/Modified/Deleted
------------- --------------------
N/A
Security Keys Associated:
Security Key Name
-----------------
N/A
Templates Associated:
Template Name Type File Name (Number) New/Modified/Deleted
------------- ---- ------------------ --------------------
N/A
Additional Information:
New Service Requests (NSRs):
----------------------------
N/A
Patient Safety Issues (PSIs):
-----------------------------
N/A
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
Item 1
------
Problem:
-------
As a pharmacist entering an infusion order in VistA, I want only want
medication routes that are appropriate for use with the medication I
select displayed to prevent me from selecting the incorrect route
subsequently increasing patient safety.
1. When entering an inpatient or outpatient infusion order into VistA, I
only want medication routes associated with the medication dosage form
for the medication selected displayed as available for selection.
2. If I enter medication route, I want the route entered matched to the
available routes as an exact match.
a. If I enter a partial route, I want to the standard FileMan response
of "??" to alert me that an exact match cannot be found.
b. If I enter a complete route, I want that route selected for use with
that medication.
Resolution:
----------
Routine PSIVEDT was modified to allow med routes that are exact matches
only.
Item 2
------
Problem:
-------
As a pharmacist entering an inpatient medication order, I only want
medication routes that are appropriate for use with the medication I
selected, prevent me from selecting the incorrect route subsequently
increasing patient safety.
1. When entering an inpatient medication order in VistA, I only want
medication routes associated with the medication dosage form for the
medication selected displayed as available for selection.
2. If I enter medication route, I want the route entered matched to
the available routes as an exact match.
a. If I enter a partial route, I want to the standard FileMan response
of "??" to alert me that an exact match cannot be found.
b. If I enter a complete route, I want that route selected for use
with that medication.
Resolution:
----------
Routines PSGOE4, PSGOE8 and PSGOE9 were modified to not allow partial med
route and to allow exact matches only.
Test Sites:
----------
Software and Documentation Retrieval Instructions:
----------------------------------------------------
N/A
Patch Installation:
Pre/Post Installation Overview:
-------------------------------
N/A
Pre-Installation Instructions:
------------------------------
N/A
Installation Instructions
-------------------------
This patch may be installed with users on the system although it is
recommended that it be installed during non-peak hours to minimize
potential disruption to users. This patch should take less than 3 minutes
to install.
1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu.
2. From the Kernel Installation & Distribution System (KIDS) menu,
select the Installation menu.
3. From this menu, you may select to use the following options
(when prompted for INSTALL NAME, enter PSJ*5.0*366).
a. Backup a Transport Global - This option will create a backup
message of any routines exported with the patch. It will NOT
back up 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 the patch
is installed. It compares all components of the patch (routines,
DDs, templates, etc.).
c. Verify Checksums in Transport Global - This option will ensure
the integrity of the routines that are in the transport global.
d. Print Transport Global - This option will allow you to view the
components of the KIDS build.
4. Use the Install Package(s) option and select the package PSJ*5.0*366.
5. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//"
respond NO.
6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and
Protocols? NO//" respond NO.
Post-Installation Instructions:
-------------------------------
Successful installation can be verified by reviewing the first 2 lines of
the routines contained in the patch. The second line will contain the
patch number in the [PATCH LIST] section.
;;5.0;INPATIENT MEDICATIONS;**[PATCH LIST]**;16 DEC 97;[BUILD #]
The option Calculate and Show Checksum Values [XTSUMBLD-CHECK] can be run
to compare the routine checksums to what is documented in the patch
description.
Back-out Procedures:
--------------------
Back-out will be done only with the concurrence and participation of
development team and appropriate VA site/region personnel. The decision to
back-out or rollback software will be a joint decision between development
team, VA site/region personnel and other appropriate VA personnel.
Prior to installing an updated KIDS package, the site/region should have
saved a backup of the routines in a mail message using the Backup a
Transport Global [XPD BACKUP] menu option (this is done at time of
install). The message containing the backed up routines can be loaded with
the "Xtract PackMan" function at the Message Action prompt. The Packman
function "INSTALL/CHECK MESSAGE" is then used to install the backed up
routines onto the VistA System.
Validation of Roll Back Procedure:
---------------------------------
The Roll Back Procedure can be verified by printing the first 2 lines of
the PSJ Routines contained in this patch using the option First Line
Routine Print [XU FIRST LINE PRINT]. Once the routines contained in the
PSJ*5.0*366 patch have been rolled back, the first two lines of the
Routines will no longer contain the designation of patch PSJ*5.0*366 in
the patch list section on line 2.
Routine Information:
====================
The second line of each of these routines now looks like:
;;5.0;INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC, 1997;Build 1
The checksums below are new checksums, and
can be checked with CHECK1^XTSUMBLD.
Routine Name: PSGOE4
Before: B31371280 After: B31422935 **2,50,64,58,111,113,245,253,366**
Routine Name: PSGOE8
Before: B53298336 After: B53361203 **47,50,65,72,110,111,188,192,
113,223,269,287,315,338,366**
Routine Name: PSGOE9
Before: B46578663 After: B46590236 **11,47,50,72,110,111,188,192,
207,113,223,269,315,338,352.366**
Routine Name: PSIVEDT
Before: B52868787 After: B52942616 **4,110,127,133,134,181,252,281,366**
Routine list of preceding patches: 253, 281, 352.366
=============================================================================
User Information:
Entered By : ANWER,MOHAMED Date Entered : MAR 27,2018
Completed By: Date Completed:
Released By : Date Released :
=============================================================================
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