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1 | CIF.zip | EPIP_National_Patch_Module_Patch_Description_(OR_3.0_444).doc | Mon Jun 25 13:26:48 2018 UTC |
2 | CIF.zip | EPIP_National_Patch_Module_Patch_Description_(OR_3.0_444).doc | Mon Jun 25 15:52:56 2018 UTC |
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1 | National P atch Modul e Patch Te mplateExis ting Produ ct Intake Program (E PIP) | |
2 | Patch OR*3 .0*444 | |
3 | National P atch Modul e Patch De scription | |
4 | ||
5 | Department of Vetera ns Affairs | |
6 | November 2 017 | |
7 | Version 1. 0 | |
8 | Revision H istory | |
9 | DateVersio nDescripti onAuthor11 /17/20171. 0Initial v ersionEPIP Project T eamNationa l Patch Mo dule Patch Descripti on | |
10 | ========== ========== ========== ========== ========== ========== ========== ======= | |
11 | Run Date: NOV 15, 20 17 Design ation: OR* 3*444 TES T v11 | |
12 | Package : ORDER ENTR Y/RESULTS REPORTING Priori ty : MAN DATORY | |
13 | Version : 3 Status : UND ER DEVELOP MENT ===== ========== ========== ========== ========== ========== ========== ========== == | |
14 | Associated patches: (v)OR*3*35 0 <<= m ust be ins talled BEF ORE `OR*3* 444' | |
15 | (u)OR*3*45 6 <<= m ust be ins talled BEF ORE `OR*3* 444' | |
16 | Subject: CPRS MODIF ICATION UN IFIED ACTI ON PROFILE | |
17 | Category: ROUTINE | |
18 | DATA DICTI ONARY | |
19 | Descriptio n: | |
20 | ---------- -- | |
21 | **Note: Th is functio nality is delivered with an On /Off switc h paramete r (OR UNIF IED ACTION PROFILE O FF). The d efault set ting is Of f. Do not switch thi s feature On until C PRS v.32 ( OR*3.0*405 ) has been released and succes sfully ins talled. | |
22 | OR*3.0*444 enables a clinician to view e xisting in patient an d outpatie nt medicat ion orders from the local site on a sing le page wh en prepari ng to disc harge a pa tient. Thi s order in formation is display ed on a ne w Unified Action Pro file (UAP) form avai lable from the View menu on th e Computer ized Patie nt Record System (CP RS) Orders tab. | |
23 | Duplicate orders can occur bec ause outpa tient orde rs remain in the sys tem after a patient is admitte d, and new inpatient orders ar e created after admi ssion. Whe n discharg ing a pati ent, a cli nician mus t review a ll orders to avoid d uplication , while en suring the correct m edication orders are continued for patie nt safety and care. The clinic ian must t ake the ap propriate action for each medi cation ord er, decidi ng whether to contin ue, change , renew, o r disconti nue the or der prior to dischar ge. | |
24 | Previously , when pre paring to discharge a patient, a clinici an had to switch bet ween forms in order to review all medica tion order s. OR*3.0* 444 enable s the clin ician to r eview all medication orders at one time from the n ew UAP for m. This ch ange both simplifies order rec onciliatio n and redu ces the ti me and eff ort requir ed from th e clinicia n when mak ing decisi ons on eac h active i npatient a nd outpati ent order. The UAP s orts order s by drug name so th at inpatie nt and out patient me dications are groupe d together . Sorting drugs by m edication name ensur es that th e clinicia n sees all existing orders for each drug when maki ng decisio ns during reconcilia tion. | |
25 | The UAP in cludes a R eviewed co lumn that displays t he decisio n made by the clinic ian during review. A new “UAP Reviewed?” (#.61) fi eld is add ed to the order reco rd in the ORDER (#10 0) file. T his field denotes wh ether an o rder was r eviewed (“ 1”) or not reviewed (“0”). Two additiona l fields s tore infor mation abo ut previou s reviews: the “UAP Last Revie wed” (#.62 ) field st ores the d ate an ord er was las t reviewed using the UAP form; the “UAP Last Revie wed By” (# .63) field stores id entificati on informa tion for t he last pe rson to pe rform a re view of th e order us ing the UA P view. | |
26 | This enhan cement als o adds a D ischarge M eds Review form, whi ch provide s a summar y of all m edications being con tinued for the patie nt upon di scharge. T his form i s accessed by select ing the Di scharge Me ds view fr om the Ord ers tab. T he Dischar ge Meds Re view form enables a clinician to see the full list of medica tions pres cribed for a dischar ged patien t after th e UAP revi ew is comp leted. | |
27 | A new para meter (OR UNIFIED AC TION PROFI LE OFF) in VistA ena bles sites to turn t he UAP fun ctionality On/Off. T his parame ter is set at the fa cility lev el and is located in the PARAM ETER DEFIN ITION (#89 89.51) fil e. Initial ly, this p arameter i s set to O FF (“0”). When the p arameter i s set to O FF, the tw o options used to ac cess the U nified Act ion Profil e function ality (Uni fied Actio n Profile (UAP) and Discharge Meds) are not displa yed on the CPRS View menu. To enable thi s function ality, set the param eter to ON (“1”) usi ng the Edi t Paramete r Values f unction ac cessible f rom the XP AR MENU TO OLS option in VistA. | |
28 | **Note: In addition to turning this new parameter ON, enabli ng UAP req uires chan ging two s ettings fo r the Disc harge Rele ase Event using the CPRS Confi guration ( Clin Coord ) menu in VistA. Bot h settings are acces sible from the Event Delayed O rders opti on. First, activate the DISCHA RGE Releas e Event by changing the Activa te/Inactiv ate [AI] s etting to ACTIVATE. Second, di sable Copy Active Or ders by ch anging the Copy Acti ve Orders setting to NO. The m edication reconcilia tion perfo rmed by UA P will not function as intende d until th e paramete r is turne d ON and t hese setti ngs are co nfigured. | |
29 | BLOOD BANK Clearance : | |
30 | EFFECT ON BLOOD BANK FUNCTIONA L REQUIREM ENTS: Patc h OR*3.0*4 44 contain s changes to a packa ge referen ced in Pro Path stand ard titled : BBM Team Review of VistA Pat ches. This patch doe s not alte r or modif y any Vist A Blood Ba nk softwar e design s afeguards or safety critical e lements fu nctions. | |
31 | RISK ANALY SIS: Chang es made by patch OR* 3.0*444 ha ve no effe ct on Bloo d Bank sof tware func tionality, therefore RISK is n one. | |
32 | Patch Comp onents: | |
33 | ---------- ------- | |
34 | Files & Fi elds Assoc iated: | |
35 | File Name (Number) Field Name (Number) | |
36 | New/Modifi ed/Deleted | |
37 | ---------- -------- ---------- --------- | |
38 | ---------- ---------- | |
39 | ORDER (#10 0) UAP Review ed? (#100, .61) NEW | |
40 | ORDER (#10 0) UAP Last R eviewed (# 100,.62) NEW | |
41 | ORDER (#10 0) UAP Last R eviewed By (#100,.63 ) NEW | |
42 | Forms Asso ciated: | |
43 | Form Name File # | |
44 | New/Modifi ed/Deleted | |
45 | --------- ------ | |
46 | ---------- ---------- | |
47 | N/A | |
48 | Mail Group s Associat ed: | |
49 | Mail Group Name | |
50 | New/M odified/De leted | |
51 | ---------- ----- | |
52 | ----- ---------- ----- | |
53 | N/A | |
54 | Options As sociated: | |
55 | Option Nam e | |
56 | Type | |
57 | N ew/Modifie d/Deleted | |
58 | ---------- - | |
59 | ---- | |
60 | - ---------- --------- | |
61 | N/A | |
62 | Protocols Associated : | |
63 | Protocol N ame | |
64 | New/M odified/De leted | |
65 | ---------- --- | |
66 | ----- ---------- ----- | |
67 | N/A | |
68 | Parameters Associate d: | |
69 | Parameter Name: | |
70 | New/M odified/De leted | |
71 | ---------- ----- | |
72 | ----- ---------- ----- | |
73 | OR UNIFIED ACTION PR OFILE OFF NEW | |
74 | Security K eys Associ ated: | |
75 | Security K ey Name | |
76 | ---------- ------- | |
77 | N/A | |
78 | Templates Associated : | |
79 | Template N ame | |
80 | Type | |
81 | File Name (Numb er) New/M odified/De leted | |
82 | ---------- --- | |
83 | ---- | |
84 | ----- ---------- --- ----- ---------- ----- | |
85 | N/A | |
86 | Remote Pro cedure Cal ls (RPCs) Associated : | |
87 | RPC Name | |
88 | ROUTINE TAG New/Mod ified/Dele ted | |
89 | ---------- --- | |
90 | ------- | |
91 | ---- ---- ----- ---------- ----- | |
92 | ORTO SET U AP FLAG O RTOULT4 SETUAPF NEW | |
93 | ORTO GETRV W O RTOULT4 GETRVW NEW | |
94 | ORTO SETRV W O RTOULT4 SETRVW NEW | |
95 | ORTO UAPOF F O RTOULT4 UAPOFF NEW | |
96 | ORTO DGROU P O RTOULT4 DGROUP NEW | |
97 | Additional Informati on: | |
98 | N/A | |
99 | New Servic e Requests (NSRs): | |
100 | ---------- ---------- -------- | |
101 | NSR2013071 4 CPRS Mod ification Unified Ac tion Profi le | |
102 | Patient Sa fety Issue s (PSIs): | |
103 | ---------- ---------- --------- | |
104 | N/A | |
105 | Defect Tra cking Syst em Ticket( s) & Overv iew: | |
106 | ---------- ---------- ---------- ---------- ---- | |
107 | N/A | |
108 | Problem: | |
109 | ------- | |
110 | N/A | |
111 | Resolution : | |
112 | ---------- | |
113 | N/A | |
114 | Test Sites : | |
115 | ---------- | |
116 | VA Portlan d Health C are System , Portland , OR | |
117 | Milwaukee VA Medical Center, M ilwaukee, WI | |
118 | VA Norther n Californ ia Health Care Syste m, Mather, CA | |
119 | Software a nd Documen tation Ret rieval Ins tructions: | |
120 | ---------- ---------- ---------- ---------- ---------- -- | |
121 | Software b eing relea sed as a h ost file a nd/or docu mentation describing | |
122 | the new fu nctionalit y introduc ed by this patch are available . | |
123 | The prefer red method is to ret rieve file s from dow nload. DNS . DNS . | |
124 | This trans mits the f iles from the first available server. Si tes may | |
125 | also elect to retrie ve files d irectly fr om a speci fic server . | |
126 | Sites may retrieve t he softwar e and/or d ocumentati on directl y using Se cure File Transfer P rotocol (S FTP) from the ANONYM OUS.SOFTWA RE directo ry at the following | |
127 | OI Field O ffices: | |
128 | Hines: | |
129 | DNS .U RL | |
130 | Salt Lake City: | |
131 | .URL | |
132 | The follow ing docume ntation ca n be found in the VA Software Documentat ion Librar y (VDL) at : http:// URL /. | |
133 | Title | |
134 | File Name | |
135 | FTP Mode | |
136 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
137 | CPRS User Guide: GUI Version cprs guium.pdf Binary | |
138 | CPRS User Guide: GUI Version cprs guium.doc Binary | |
139 | CPRS Techn ical Manua l GUI Vers ion cprs guitm.pdf Binary | |
140 | CPRS Techn ical Manua l GUI Vers ion cprs guitm.doc Binary | |
141 | Patch Inst allation: | |
142 | Pre/Post I nstallatio n Overview : | |
143 | ---------- ---------- ---------- - | |
144 | Review the Pre-Insta llation In structions provided before beg inning ins tallation of the pat ch. | |
145 | Pre-Instal lation Ins tructions: | |
146 | ---------- ---------- ---------- | |
147 | This patch may be in stalled wi th users o n the syst em althoug h it is re commended that it be installed during no n-peak hou rs to mini mize poten tial disru ption to u sers. This patch sho uld take l ess than 5 minutes t o install. | |
148 | Installati on Instruc tions: | |
149 | ---------- ---------- ------ | |
150 | To install the patch : | |
151 | Choose the PackMan m essage con taining th is patch. | |
152 | Choose the INSTALL/C HECK MESSA GE PackMan option. | |
153 | From the K ernel Inst allation a nd Distrib ution Syst em (KIDS) menu, sele ct the Ins tallation Menu. From this menu , you may elect to u se the fol lowing opt ions. When prompted for the IN STALL NAME , enter th e patch nu mber OR*3. 0*444. | |
154 | Verify Che cksums in Transport Global - T his option will help ensure th e integrit y of the r outines th at are in the transp ort global . | |
155 | Print Tran sport Glob al - This option wil l enable v iewing the component s of the K IDS build. | |
156 | Compare Tr ansport Gl obal to Cu rrent Syst em - This option wil l enable v iewing all changes t hat will b e made whe n this pat ch is inst alled. It compares a ll compone nts of thi s patch (r outines, d ata dictio naries, te mplates, e tc.). | |
157 | Back up a Transport Global - T his option will crea te a backu p message of any rou tines expo rted with this patch . It will not back u p any othe r changes such as da ta diction aries or t emplates. | |
158 | From the I nstallatio n Menu, se lect the I nstall Pac kage(s) op tion and c hoose the patch to i nstall. | |
159 | If prompte d ‘Want KI DS to Rebu ild Menu T rees Upon Completion of Instal l? NO//’, press <Ent er>. | |
160 | When promp ted ‘Want KIDS to IN HIBIT LOGO Ns during the instal l? NO//’, press <Ent er>. | |
161 | When promp ted 'Want to DISABLE Scheduled Options, Menu Optio ns, and Pr otocols? N O//’, pres s <Enter>. | |
162 | If prompte d ‘Delay i nstall (Mi nutes): (0 -60): 0//’ , press <E nter>. | |
163 | If prompte d 'Enter t he Device you want t o print th e Install messages. You can qu eue the in stall by e nter a 'Q' at the de vice promp t. Enter a '^' to ab ort the in stall. DEV ICE: HOME/ / HOME (CRT)', pr ess <Enter >. | |
164 | Post-Insta llation In structions : | |
165 | ---------- ---------- ---------- - | |
166 | The functi onality en abled by t his patch requires t hat the fe ature Copy Active Or ders is di sabled and the Disch arge Relea se Event i s Activate d. Both co nfiguratio n settings are contr olled usin g the CPRS Clinical Coordinato r’s menu i n VistA. | |
167 | From the C PRS Clinic al Coordin ator’s men u in VistA : | |
168 | At the pro mpt, type “PE” to di splay CPRS Configura tion (Clin Coord) op tions. | |
169 | At the pro mpt, type “DO” to di splay the Event Dela yed Orders Menu. | |
170 | At the pro mpt, type “DO” to di splay Dela yed Orders /Auto-DC S et-up opti ons. | |
171 | Select opt ion 2, Rel ease Event s, to disp lay a list of availa ble Releas e events. | |
172 | At the pro mpt, type “DD” from the list o f actions to open th e Detailed Display. | |
173 | Select opt ion 10, DI SCHARGE, a s the Rele ase Event. | |
174 | At the pro mpt, type “AI” to Ac tivate/Ina ctivate th e Discharg e Event. C onfirm the selection to ACTIVA TE at the “Are you s ure you wa nt to ACTI VATE this entry? NO/ /YES” prom pt by pres sing Enter . | |
175 | At the pro mpt, type “AE” to AD D/EDIT the Discharge event. | |
176 | Press Ente r to move through th e remainin g prompts until the COPY ACTIV E ORDERS p rompt disp lays. Ente r “NO” to disable Co py Active Orders. Ve rify Copy Active Ord ers is set to NO. | |
177 | The Write Orders Lis t by Event options d isplay, fo llowed by the “Enter selection :” prompt. This sele ction dete rmines whi ch users a re affecte d by the c hange. For example, to apply t his settin g to all C PRS users at a parti cular site , type “Sy stem” at t he prompt. Limit how broadly t his settin g applies by selecti ng an alte rnate choi ce of User , Location , Service, Division, or System . | |
178 | Backout Pr ocedure: | |
179 | ---------- -------- | |
180 | Backout of this patc h will be performed only with the concur rence and participat ion of the appropria te VA site /region pe rsonnel. T he decisio n to back out the pa tch will b e a joint decision b etween VA site/regio n personne l and othe r appropri ate VA per sonnel. | |
181 | Prior to i nstalling the update d KIDS pac kage, the site/regio n should h ave saved a backup o f the rout ines in a mail messa ge using t he Backup a Transpor t Global [ XPD BACKUP ] menu opt ion. The m essage con taining th e backed u p routines can be lo aded with the "Xtrac t PackMan" function at the Mes sage Actio n prompt. The PackMa n function INSTALL/C HECK MESSA GE is then used to i nstall the backed up routines onto the V istA syste m. | |
182 | Validation of Backou t Procedur e: | |
183 | ---------- ---------- ---------- -- | |
184 | The Backou t procedur e can be v erified by printing the first two lines of the OR routines c ontained i n this pat ch using t he option First Line Routine P rint [XU F IRST LINE PRINT]. On ce the OR routines h ave been b acked out, the first two lines of the ro utines wil l no longe r contain the design ation of p atch OR*3. 0*444 on l ine 2 in t he patch l ist sectio n. | |
185 | Routine In formation: | |
186 | ---------- ---------- | |
187 | The second line of e ach of the se routine s now look s like: | |
188 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**[ Patch List ]**;Dec 17 , 1997;Bui ld 22 | |
189 | The checks ums below are new ch ecksums, a nd can be checked wi th CHECK1^ XTSUMBLD. | |
190 | Routine Na me: ORQ1 | |
191 | Before : B1008083 7 After: B11916980 **27,72, 78,141,190 ,215,444** | |
192 | Routine Na me: ORQ11 | |
193 | Before : B6589928 6 After: B84271902 **7,27,4 8,72,78,99 ,94,148,14 1, | |
194 | 177,186 ,190,195,2 15,243,295 , | |
195 | 322,350 ,444** | |
196 | Routine Na me: ORTOUL T4 | |
197 | Before : n/ a After: B14801258 **444** | |
198 | Routine Na me: ORUA44 4P | |
199 | Before : n/ a After: B5655190 **444** | |
200 | Routine Na me: ORWDPS | |
201 | Before : B1150643 4 After: B12717133 **444** | |
202 | Routine Na me: ORWORR 1 | |
203 | Before : B765928 2 After: B13670638 **141,24 3,456,444* * | |
204 | Routine li st of prec eding patc hes: 350, 456 |
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