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1 | C:\AraxisMergeCompare\Pri_un\EPIP combined\PSJ_5.0_332-PSO_7.0_492-PSS_1.0_216 | pss_1_tm_p216.doc | Thu Feb 7 18:25:48 2019 UTC |
2 | C:\AraxisMergeCompare\Pri_re\EPIP combined\PSJ_5.0_332-PSO_7.0_492-PSS_1.0_216 | pss_1_tm_p216.doc | Tue Feb 12 19:28:26 2019 UTC |
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1 | Department of Vetera ns Affairs Pharmacy Data Manag ement Tech nical Manu al / Secur ity Guide | |
2 | PHARMACY D ATA MANAGE MENT | |
3 | TECHNICAL MANUAL/ | |
4 | SECURITY G UIDE | |
5 | Version 1. 0 | |
6 | June 2012 | |
7 | (Revised M arch 2019) | |
8 | Department of Vetera ns Affairs | |
9 | Product De velopment | |
10 | Revision H istory | |
11 | Each time this manua l is updat ed, the Ti tle Page l ists the n ew revised date and this page describes the change s. If the Revised Pa ges column lists “Al l,” replac e the exis ting manua l with the reissued manual. If the Revis ed Pages c olumn list s individu al entries (e.g., 25 , 32), eit her update the exist ing manual with the Change Pag es Documen t or print the entir e new manu al. | |
12 | DateRevise d PagesPat ch NumberD escription 03/198, 9, 12PSS*1*2 16Added DE A SPECIAL HDLG CODE Report to Menu/Optio ns and Opt ion Descri ptions sec tions. Rem oved the o bsolete XP AR Paramet ers sectio n added fo r PSS*1.0* 227. | |
13 | (G. Miller PM; E. We aver, Tech Writer)11 /183PSS*1. 0*215Added Section 2 .1.1 Data Dictionary Changes t o include informatio n about th e RX# UPPE R BOUND WA RNING LIMI T field (# 48) added to the PHA RMACY SYST EM file (# 59.7), and the CLINI CAL ALERT multiple f ield (#109 ) added to the PHARM ACY PATIEN T file (#5 5). | |
14 | (G. Miller , PM; N. M uller, Tec h Writer)0 8/1812-13, 30PSS*1.0 *227Added XPAR Param eters sect ion. | |
15 | Added new routines P SSDEEA, PS SP227, and PSSPRICE to Routine s List. | |
16 | Added entr y for PSS DEE AUDIT mail group . | |
17 | (R. Beltra n-West, PM ; E. Weave r, Tech Wr iter)8/184 , 9PSS*1*2 19Added ne w menu opt ion under the ‘Dosag es’ menu [ PSS DOSAGE S MANAGEME NT[ | |
18 | Added new option ‘Ma nage Bupre norphine T x of Pain Dosage For ms’ [PSS B UPRENORHIN E DOSAGE F ORMS]. | |
19 | Added miss ing option s to item multiple u nder the ‘ Dosages’ m enu option [PSS DOSA GES MANAGE MENT]. | |
20 | (B. Fische r, Dev; E. Cook, TW) 06/1812-13 PSS*1*224U pdated Rou tine List - adding n ew routine s PSSDSEXF and PSS22 4PI | |
21 | (S. Soldan , PM; L. B ertuzis, B A; B. Hyde , Tech Wri ter)03/182 , 11PSS*1. 0*211Updat ed File Li st to incl ude file # 50.60699 | |
22 | Updated Ro utine List with PSSN DSU and PS S211PO | |
23 | (J. Asel, N. Boston CTT&DM NDS Medicatio ns Dosage Form proje ct)02/1812 -13PSS*1*1 78Updated Routine Li st | |
24 | (S. Soldan , PM; L. B ertuzis, B A; B. Hyde , Tech Wri ter)05/172 , 12, 34PS S*1*201Upd ated File List | |
25 | Updated Ro utine List | |
26 | Added new routine PS SOAS | |
27 | Updated Fi le Securit y | |
28 | (H.Cross, PM; D. Ska hn, Tech W riter; L. Bertuzis, Developer) 10/1612 | |
29 | 34-37 | |
30 | PSS*1*193A dded new r outine PSS HLDFS to t he Routine s section. | |
31 | Added Appe ndix A for Pharmacy Interface Automation . | |
32 | (S. Soldan PM; R.Wal ters, Tech Writer)4/ 16i-ii, | |
33 | 11-12, 22- 23PSS*1*17 5Add 2 new Routines: PSSCKOS & PSSDIUTX, Updated A dditional Informatio n section | |
34 | (H. Cross, PM; S. He iress, Tec h Writer; R. Ruzback i, Develop er)3/16i-i i, | |
35 | REF p11_R outineTabl e \h \* M ERGEFORMAT | |
36 | 11-12PSS*1 *191Update d Revision History | |
37 | Added new routines t o routine list: | |
38 | PSS1P191, PSSHRHAI, PSSMRRDG, PSSMRRI | |
39 | (D. Connol ly, PM; E. Phelps, T ech Writer )3/14All | |
40 | i - iii, 2 , 7-13, 33 , 37PSS*1* 172Renumbe red all pa ges. | |
41 | Updated Re vision His tory and T able of Co ntents. | |
42 | Updated th e Glossary section b y putting definition s in a tab le format. | |
43 | New menu, options, f ile and ro utines add ed. | |
44 | (C. Powell , PM; K. K apple, Tec h Writer)9 /13i - iii , 3, 7 – 1 3a, 30, 34 - 35PSS*1 *160Update d Revision History | |
45 | Updated Ta ble of Con tents with Exported Options an d Routines sections | |
46 | Added Look up Dosing Check Info for Drug [PSS DRUG DOSING LOO KUP] OPTIO N to the D osages [PS S DOSAGES MANAGEMENT ] MENU OPT ION and Dr ug Names w ith Traili ng Spaces Report | |
47 | [PSS TRAIL ING SPACES REPORT]. | |
48 | Added PSS DOSING ORD ER CHECKS option | |
49 | Also added the follo wing routi nes to the routine l ist: | |
50 | PSS160EN | |
51 | PSS160PO | |
52 | PSSDRDOS | |
53 | PSSFDBDI | |
54 | PSSDSONF | |
55 | Added Web Servers, W eb Service s, and Cac he Class s ection | |
56 | Added text to the Se curity Key s section | |
57 | (D. McCanc e, PM; K. Kapple, Te ch Writer) 01/13i-iv, 3, 6-6b, 7, 10 - 13 PSS*1*164 | |
58 | PSS*1*169R emoved ref erence to patch PSS* 1*146 in t he menu op tions sect ion | |
59 | Added Prin t Interfac e Data Fil e option t o the Phar macy Data Management [PSS MGR] menu | |
60 | Added Chec k Drug Int eraction o ption to t he Pharmac y Data Man agement [P SS MGR] me nu | |
61 | Moved Menu /Option it ems from p age 7 to p age 6a | |
62 | Added Prin t Interfac e Data Fil e option t o the PEPS Services menu under the Optio n Descript ions secti on | |
63 | Added Chec k Drug Int eraction o ption to t he Option Descriptio ns section | |
64 | Added rout ine PSSDIU TL | |
65 | Added Find Unmapped Local Poss ible Dosag es option to the Sta nd Alone O ptions sec tion | |
66 | (G. Tucker , PM; G. S corca, Tec h Writer)0 6/12AllPSS *1*146Reis sued docum ent. Remov ed redunda ncies due to MOCHA V .1.0 incre mental rel ease; upda ted format ting and p age numera tion. | |
67 | (N. Goyal, PM; J. Ow czarzak, T ech Writer )Table of Contentsxe "Table of Contents" | |
68 | Contents | |
69 | 11 | |
70 | Introducti on | |
71 | ||
72 | ||
73 | 22 | |
74 | File List | |
75 | ||
76 | ||
77 | 32.1 | |
78 | File Descr iptions | |
79 | ||
80 | ||
81 | 32.1.1 | |
82 | Data Dicti onary Chan ges | |
83 | ||
84 | ||
85 | 32.2 | |
86 | Menu/Optio ns | |
87 | ||
88 | ||
89 | 83 | |
90 | Option Des criptions | |
91 | ||
92 | ||
93 | 133.1 | |
94 | Routines | |
95 | ||
96 | ||
97 | 143.2 | |
98 | Exported O ptions | |
99 | ||
100 | ||
101 | 143.2.1 | |
102 | Stand-Alon e Options | |
103 | ||
104 | ||
105 | 153.3 | |
106 | Protocols | |
107 | ||
108 | ||
109 | 153.4 | |
110 | Bulletins | |
111 | ||
112 | ||
113 | 153.5 | |
114 | Web Server s | |
115 | ||
116 | ||
117 | 153.6 | |
118 | Web Servic es | |
119 | ||
120 | ||
121 | 153.7 | |
122 | Cache Clas s | |
123 | ||
124 | ||
125 | 163.8 | |
126 | HL7 Messag ing with a n External System | |
127 | ||
128 | ||
129 | 163.8.1 | |
130 | HL7 Drug M essage Seg ment Defin ition Tabl e | |
131 | ||
132 | ||
133 | 193.8.2 | |
134 | HL7 Drug M essage Seg ment Defin ition Tabl e | |
135 | ||
136 | ||
137 | 223.9 | |
138 | Data Archi ving and P urging | |
139 | ||
140 | ||
141 | 223.10 | |
142 | Callable R outines/En try Points /Applicati on Program Interface s (APIs) | |
143 | ||
144 | ||
145 | 223.11 | |
146 | Medication Routes | |
147 | ||
148 | ||
149 | 233.12 | |
150 | Administra tion Sched uling | |
151 | ||
152 | ||
153 | 233.13 | |
154 | External R elations | |
155 | ||
156 | ||
157 | 233.14 | |
158 | Internal R elations | |
159 | ||
160 | ||
161 | 233.15 | |
162 | Package-Wi de Variabl es | |
163 | ||
164 | ||
165 | 234 | |
166 | Package Re quirements | |
167 | ||
168 | ||
169 | 244.1 | |
170 | Additional Informati on | |
171 | ||
172 | ||
173 | 305 | |
174 | Security M anagement | |
175 | ||
176 | ||
177 | 305.1 | |
178 | Mail Group s | |
179 | ||
180 | ||
181 | 305.2 | |
182 | Alerts | |
183 | ||
184 | ||
185 | 305.3 | |
186 | Bulletins | |
187 | ||
188 | ||
189 | 315.4 | |
190 | Remote Sys tems | |
191 | ||
192 | ||
193 | 315.5 | |
194 | Archiving/ Purging | |
195 | ||
196 | ||
197 | 315.6 | |
198 | Contingenc y Planning | |
199 | ||
200 | ||
201 | 315.7 | |
202 | Interfacin g | |
203 | ||
204 | ||
205 | 315.8 | |
206 | Electronic Signature s | |
207 | ||
208 | ||
209 | 315.9 | |
210 | Locked Men u Options | |
211 | ||
212 | ||
213 | 315.10 | |
214 | Security K eys | |
215 | ||
216 | ||
217 | 335.11 | |
218 | File Secur ity | |
219 | ||
220 | ||
221 | 335.11.1 | |
222 | PDM Files | |
223 | ||
224 | ||
225 | 345.11.2 | |
226 | Non-PDM Fi les | |
227 | ||
228 | ||
229 | 345.12 | |
230 | References | |
231 | ||
232 | ||
233 | 356 | |
234 | Appendix A : Pharmacy Interface Automatio n | |
235 | ||
236 | ||
237 | 366.1 | |
238 | New Functi onality | |
239 | ||
240 | ||
241 | 366.2 | |
242 | Options an d Build Co mponents | |
243 | ||
244 | ||
245 | 376.3 | |
246 | Modified a nd New Rou tines | |
247 | ||
248 | ||
249 | 397 | |
250 | Glossary | |
251 | ||
252 | ||
253 | ||
254 | ||
255 | (This page included for two-si ded copyin g.) | |
256 | Introducti on XE "Int roduction" | |
257 | Pharmacy D ata Manage ment (PDM) provides tools for managing P harmacy da ta. It inc ludes tool s for crea ting Pharm acy Ordera ble Items and mainta ining file s necessar y for the Computer P atient Rec ord System (CPRS). P DM consoli dates tool s for mana ging the v arious Pha rmacy soft ware produ cts. It pr ovides Pha rmacy Supe rvisors, i n one loca tion, the capability to enter and edit d ata from t he local D RUG file ( #50) for a ll Pharmac y related packages. | |
258 | The PDM Te chnical Ma nual is de signed to acquaint t he user wi th the var ious PDM o ptions and offer spe cific guid ance on th e maintena nce and us e of the P DM package . Document ation conc erning the PDM packa ge, includ ing any su bsequent c hange page s affectin g this doc umentation , can be f ound at th e VistA Do cumentatio n Library (VDL) on t he Veteran s Administ ration Int ranet. | |
259 | Notationsx e "Notatio ns" that w ill be use d consiste ntly throu ghout this PDM Techn ical Manua l are outl ined below . | |
260 | Menu optio ns will be italicize d. | |
261 | Example: T he Drug En ter/Edit o ption perm its you to enter or edit a dru g. | |
262 | Screen pro mpts will be denoted with quot ation mark s around t hem. | |
263 | Example: t he "SELECT DRUG" pro mpt will d isplay nex t. | |
264 | Responses in bold fa ce indicat e user inp ut. | |
265 | Example: D RUG GENERI C NAME: AC ETA | |
266 | Text cente red betwee n bent par entheses r epresents a keyboard key that needs to b e pressed in order f or the sys tem to cap ture a use r response or move t he cursor to another field. | |
267 | <Enter> in dicates th at the Ent er key (or Return ke y on some keyboards) must be p ressed. | |
268 | Example: T ype Y for Yes or N f or No and press <Ent er> | |
269 | <Tab> indi cates that the Tab k ey must be pressed. | |
270 | Example: Press <Tab > to move the cursor to the ne xt field. | |
271 | Indicates especiall y importan t or helpf ul informa tion. | |
272 | Options a re locked with a par ticular se curity key . The use r must hol d the part icular sec urity key to be able to perfor m the menu option. | |
273 | Example: Without the PSXCO MPMGR key, the Conso lidated Ma il Outpati ent Pharma cy options cannot be accessed. | |
274 | ( The page symbol in dicates a referral t o a diagra m. | |
275 | ?, ??, ??? One, two or three question m arks can b e entered at any of the prompt s for onli ne help. O ne questio n mark eli cits a bri ef stateme nt of what informati on is appr opriate fo r the prom pt. Two qu estion mar ks provide more help , plus the hidden ac tions, and three que stion mark s will pro vide more detailed h elp, inclu ding a lis t of possi ble answer s, if appr opriate. | |
276 | ^ Up arro w (caret o r a circum flex) and pressing < Enter> can be used t o exit the present o ption. | |
277 | File List | |
278 | The follow ing PDM fi les are ex ported wit h the PDM package. | |
279 | File# NAME | |
280 | UPDATE | |
281 | DATA COMES USER | |
282 | ||
283 | DD | |
284 | WITH FILE OVERRIDE | |
285 | 50 DRUG | |
286 | FULL | |
287 | NO | |
288 | ||
289 | 50.4 DRUG ELE CTROLYTES | |
290 | FULL | |
291 | NO | |
292 | 50.606 DOSAGE F ORM | |
293 | FULL | |
294 | YES (MERGE ) | |
295 | NO | |
296 | 50.60699 MASTER D OSAGE FORM | |
297 | FULL | |
298 | NO | |
299 | 50.7 PHARMACY ORDERABLE ITEM | |
300 | FULL | |
301 | NO | |
302 | 51 MEDICATI ON INSTRUC TION | |
303 | FULL | |
304 | NO | |
305 | 51.1 ADMINIST RATION SCH EDULE | |
306 | FULL | |
307 | YES (MERGE ) | |
308 | YES | |
309 | 51.2 MEDICATI ON ROUTES | |
310 | FULL | |
311 | YES (MERGE ) | |
312 | YES | |
313 | 51.23 STANDARD MEDICATIO N ROUTES FU LL | |
314 | YES | |
315 | NO | |
316 | (OVERWR ITE) | |
317 | 51.24 DOSE UNI TS | |
318 | FULL | |
319 | YES | |
320 | NO | |
321 | ||
322 | (OVER WRITE) | |
323 | 51.25 DOSE UNI T CONVERSI ON | |
324 | FULL | |
325 | YES | |
326 | NO | |
327 | (OVERW RITE) | |
328 | 51.5 ORDER UN IT | |
329 | FULL | |
330 | NO | |
331 | 51.7 DRUG TEX T | |
332 | FULL | |
333 | YES | |
334 | YES | |
335 | ||
336 | ||
337 | (OVER WRITE) | |
338 | 52.6 IV ADDIT IVES | |
339 | FULL | |
340 | NO | |
341 | 52.7 IV SOLUT IONS | |
342 | FULL | |
343 | NO | |
344 | 53.47 INFUSION INSTRUCTI ONS | |
345 | FULL | |
346 | NO | |
347 | 54 RX CONSU LT | |
348 | FULL (SCRE EN) | |
349 | NO | |
350 | 55 PHARMACY PATIENT ( Partial DD ) | |
351 | PARTIAL | |
352 | NO | |
353 | 59.7 PHARMACY SYSTEM | |
354 | FULL | |
355 | NO | |
356 | 59.73 VENDOR DISABLE/EN ABLE | |
357 | FULL | |
358 | NO | |
359 | 59.74 VENDOR INTERFACE DATA | |
360 | FULL | |
361 | NO | |
362 | The follow ing non-PD M files ar e exported with the PDM packag e. | |
363 | File# NAME | |
364 | UPDATE | |
365 | DATA COMES USER | |
366 | ||
367 | DD | |
368 | WITH FILE OVERRIDE | |
369 | 200 NEW PERS ON (Partia l DD) | |
370 | PARTIAL | |
371 | NO | |
372 | 9009032.3 APSP INT ERVENTION TYPE | |
373 | FULL | |
374 | YES | |
375 | ||
376 | NO | |
377 | ||
378 | ||
379 | (OVERWRITE ) | |
380 | 9009032.4 APSP INT ERVENTION | |
381 | FULL | |
382 | NO | |
383 | 9009032.5 APSP INT ERVENTION RECOMMENDA TION | |
384 | FULL | |
385 | YES | |
386 | NO | |
387 | ||
388 | ||
389 | (OVERWRITE ) | |
390 | File Descr iptions | |
391 | This packa ge require s the file s listed b elow. Info rmation ab out the fi les can be obtained by using t he VA File Man to gen erate a li st of file attribute s. | |
392 | The Data D ictionarie s (DDs) ar e consider ed part of the onlin e document ation for this softw are applic ation. Use the VA Fi leMan List File Attr ibutes [DI LIST] opti on, under the Data D ictionary Utilities [DI DDU] o ption, to view/print the DDs. | |
393 | Data Dicti onary Chan ges | |
394 | Patch PSS* 1.0*215 ad ds the RX# UPPER BOU ND WARNING LIMIT fie ld (#48) t o the PHAR MACY SYSTE M file (#5 9.7). The value stor ed in this field det ermines wh en an earl y warning message is sent to m embers of a new PHAR MACY SUPER VISORS Mai lMan group . | |
395 | This patch is a comp anion patc h to PSO*7 .0*452, wh ich implem ents an ea rly warnin g message to notify mail group recipient s that one or more O utpatient Pharmacy s ites are a pproaching the upper limit of the define d prescrip tion numbe ring serie s. If no custom val ue is ente red in thi s field, t hen the me ssage will be sent w hen 1000 n umbers rem ain in the series, a nd again e ach time t he associa ted backgr ound job r uns and le ss than 10 00 numbers remain in the serie s. Refer t o the Outp atient Pha rmacy (PSO ) Manager’ s User Gui de for mor e informat ion about the early warning fu nctionalit y that use s this new field. | |
396 | Patch PSS* 1.0*215 al so adds a CLINICAL A LERT multi ple field (#109) to the PHARMA CY PATIENT file (#55 ). This fi eld stores the date and time o f the Clin ical Alert and provi des a free -text fiel d for the alert text , which is displayed when usin g certain Outpatient Pharmacy [PSO] opti ons. Pharm acy Superv isors can use Clinic al Alerts to make Ph armacy sta ff aware o f informat ion such a s drug int eractions or the pat ient’s par ticipation in clinic al trials. Refer to the Outpat ient Pharm acy (PSO) Manager’s User Guide for more informatio n about th e Clinical Alert fun ctionality that uses this new field. | |
397 | Note: Th e Clinical Alert Ent er/Edit [P SO CLINICA L ALERT EN TER/EDIT] option in the Outpat ient Pharm acy packag e is used to add, mo dify, or d elete Clin ical Alert s. | |
398 | Menu/Optio ns | |
399 | The PDM op tions list ed below s how the PS S MGR Menu structure . | |
400 | Pharmacy D ata Manage ment [PSS MGR] menu: | |
401 | CMOP Mark/ Unmark (Si ngle drug) | |
402 | [PSSXX MAR K] | |
403 | Dosages… | |
404 | [PSS DOSAG ES MANAGEM ENT] | |
405 | Dosage For m File Ent er/Edit | |
406 | [PSS DOSAG E FORM EDI T] | |
407 | Enter/Edit Dosages | |
408 | [PSS EDIT DOSAGES] | |
409 | Most Commo n Dosages Report | |
410 | [PSS COMMO N DOSAGES] | |
411 | Noun/Dosag e Form Rep ort | |
412 | [PSS DOSE FORM/ NOUN REPORT] | |
413 | Review Dos ages Repor t | |
414 | [PSS DOSAG E REVIEW R EPORT] | |
415 | Local Poss ible Dosag es Report | |
416 | [PSS LOCAL POSSIBLE DOSAGES] | |
417 | Request Ch ange to Do se Unit | |
418 | [PSS DOSE UNIT REQUE ST] | |
419 | Lookup Dos ing Check Info for D rug | |
420 | [PSS DRUG DOSING LOO KUP] | |
421 | Drug Names with Trai ling Space s Report | |
422 | [PSS TRAIL ING SPACES REPORT] | |
423 | Manage Bup renorphine Tx of Pai n Dosage F orms | |
424 | [PSS BUPRE NORPHINE D OSAGE FORM S] | |
425 | Drug Enter /Edit | |
426 | [PSS DRUG ENTER/ EDI T] | |
427 | Order Chec k Manageme nt… | |
428 | [PSS ORDER CHECK MAN AGEMENT] | |
429 | Request Ch anges to E nhanced Or der Check Database | |
430 | [PSS ORDER CHECK CHA NGES] | |
431 | Report of Locally En tered Inte ractions | |
432 | [PSS REPOR T LOCAL IN TERACTIONS ] | |
433 | Elec trolyte Fi le (IV) | |
434 | [PSSJI ELE CTROLYTE F ILE] | |
435 | Lookup int o Dispense Drug File | |
436 | [PSS LOOK] | |
437 | Medication Instructi on Managem ent... | |
438 | [PSS MED I NSTRUCTION MANAGEMEN T] | |
439 | Medication Instructi on File Ad d/Edit | |
440 | [PSSJU MI] | |
441 | Medication Instructi on File Re port | |
442 | [PSS MED I NSTRUCTION REPORT] | |
443 | Medication Routes Ma nagement.. . | |
444 | [PSS MEDIC ATION ROUT ES MGMT] | |
445 | Medication Route Fil e Enter/Ed it | |
446 | [PSS MEDIC ATION ROUT ES EDIT] | |
447 | Medication Route Map ping Repor t | |
448 | [PSS MED R OUTE MAPPI NG REPORT] | |
449 | Medication Route Map ping Histo ry Report | |
450 | [PSS MED R OUTE MAPPI NG CHANGES ] | |
451 | Request Ch ange to St andard Med ication Ro ute | |
452 | [PSS MEDIC ATION ROUT E REQUEST] | |
453 | Default Me d Route fo r OI Repor t | |
454 | [PSS DEF M ED ROUTE O I RPT] | |
455 | Orderable Item Manag ement… | |
456 | [PSS ORDER ABLE ITEM MANAGEMENT ] | |
457 | Edit Order able Items | |
458 | [PSS EDIT ORDERABLE ITEMS] | |
459 | Dispense D rug/Ordera ble Item M aintenance | |
460 | [PSS MAINT AIN ORDERA BLE ITEMS] | |
461 | Orderable Item/Dosag es Report | |
462 | [PSS ORDER ABLE ITEM DOSAGES] | |
463 | Patient In structions Report | |
464 | [PSS INSTR UCTIONS/ I TEMS REPOR T] | |
465 | Orderable Item Repor t | |
466 | [PSS ORDER ABLE ITEM REPORT] | |
467 | Orderable Items that Require R emoval Rep ort | |
468 | [ PSS MRR OR DERABLE IT EMS RPT] | |
469 | Orderable Items for High Risk\ High Alert | |
470 | [ PSS HR/HA ORDERABLE ITEMS RPT] | |
471 | Formulary Informatio n Report | |
472 | [PSSNFI] | |
473 | Drug Text Management ... | |
474 | [PSS DRUG TEXT MANAG EMENT] | |
475 | Drug Text Enter/Edit | |
476 | [PSS EDIT TEXT] | |
477 | Drug Text File Repor t | |
478 | [PSS DRUG TEXT FILE REPORT] | |
479 | Pharmacy S ystem Para meters Edi t | |
480 | [PSS SYS E DIT] | |
481 | Standard S chedule Ma nagement.. . | |
482 | [PSS SCHED ULE MANAGE MENT] | |
483 | Standard S chedule Ed it | |
484 | [PSS SCHED ULE EDIT] | |
485 | Administra tion Sched ule File R eport | |
486 | [PSS SCHED ULE REPORT ] | |
487 | Synonym En ter/Edit | |
488 | [PSS SYNON YM EDIT] | |
489 | Controlled Substance s/PKI Repo rts… | |
490 | [PSS CS/PK I REPORTS] | |
491 | DEA Spec H dlg & CS F ed Sch Dis crepancy | |
492 | [PSS DEA V S CS FED. SCH. DISCR .] | |
493 | Controlled Substance s Not Matc hed to NDF | |
494 | [PSS CS NO T MATCHED TO NDF] | |
495 | CS (DRUGS) Inconsist ent with D EA Spec Hd lg | |
496 | [PSS CS DR UGS INCON WITH DEA] | |
497 | CS (Ord. I tem) Incon sistent wi th DEA Spe c Hdlg | |
498 | [PSS CS (O I) INCON W ITH DEA] | |
499 | Send Entir e Drug Fil e to Exter nal Interf ace | |
500 | [PSS MASTE R FILE ALL ] | |
501 | IV Additiv e/Solution … | |
502 | [PSS ADDIT IVE/SOLUTI ON] | |
503 | IV Ad ditive Rep ort | |
504 | [PSS IV ADDITIV E REPORT] | |
505 | IV Solutio n Report | |
506 | [PSS IV SOLUTIO N REPORT] | |
507 | Mark PreM ix Solutio ns | |
508 | [PSS MARK PREMI X SOLUTION S] | |
509 | Warning Bu ilder | |
510 | [PSS WARNI NG BUILDER ] | |
511 | Warning Ma pping | |
512 | [PSS WARNI NG MAPPING ] | |
513 | PEPS Servi ces… | |
514 | [PSS PEPS SERVICES] | |
515 | Check Ven dor Databa se Link | |
516 | ||
517 | ||
518 | [PSS CHECK VENDOR DA TABASE LIN K] | |
519 | Check PEP S Services Setup | |
520 | ||
521 | [PSS CH ECK PEPS S ERVICES SE TUP] | |
522 | Schedule/R eschedule Check PEPS Interface | |
523 | ||
524 | ||
525 | [PSS SCHED ULE PEPS I NTERFACE C K] | |
526 | Print Inte rface Data File | |
527 | ||
528 | ||
529 | [PSS VENDO R INTERFAC E REPORT] | |
530 | Inpatient Drug Manag ement… | |
531 | [PSS INP M GR] | |
532 | ADditiv es File | |
533 | [PSSJI DRUG] | |
534 | Dispense Drug Fiel ds | |
535 | [PSSJU D RG] | |
536 | Dispense Drug/ATC Set Up | |
537 | [PSSJU D RUG/ATC SE T UP] | |
538 | Edit Cos t Data | |
539 | [PSSJU D CC] | |
540 | EDit Dru g Cost (IV ) | |
541 | [PSSJI E DIT DRUG C OST] | |
542 | MARk/Unm ark Dispen se Drugs F or Unit Do se | |
543 | [PSSJU M ARK UD ITE MS] | |
544 | PRimary Solution F ile (IV) | |
545 | [PSSJI S OLN] | |
546 | DEA SPECIA L HDLG COD E Report | |
547 | [PSS DEA S PECIAL HDL G CODE RPT ] | |
548 | Check Drug Interacti on | |
549 | [PSS CHECK DRUG INTE RACTION] | |
550 | Infusion I nstruction Managemen t … | |
551 | [PSS INFIN S MGR] | |
552 | Infusion I nstruction s Add/Edit | |
553 | [PSS INFIN S ADED] | |
554 | Infusion I nstruction Report | |
555 | [PSS INFIN S RPT] | |
556 | Orders for MRRs With Removal P roperties | |
557 | [PSS MRR O RDERS DIAG NOSTIC RPT ] | |
558 | Locke d: PSXCMOP MGR | |
559 | Without th e PSXCMOPM GR key, X E "PSXCMOP MGR key" \ b the CMOP Mark/Unma rk (Single drug) XE "CMOP Mark /Unmark (S ingle drug ) option" \b option will not appear on your menu. | |
560 | Option Des criptions | |
561 | The option descripti ons below were retri eved from VA FileMan and provi de the PDM options f ollowing t he initial installat ion of the PDM packa ge. | |
562 | PSS MGR Ph armacy Dat a Manageme nt | |
563 | This menu contains t he options necessary to build and mainta in the PHA RMACY ORDE RABLE ITEM file (#50 .7), and t o also bui ld and mai ntain the Med. Route /Instructi ons table. | |
564 | ITEM: PSS DRUG ENTER /EDIT | |
565 | ITEM: PSS LOOK | |
566 | ITEM: PSSJ I ELECTROL YTE FILE | |
567 | ITEM: PSSX X MARK | |
568 | ITEM: PSS SYS EDIT | |
569 | ITEM: PSS ORDERABLE ITEM MANAG EMENT | |
570 | ITEM: PSSN FI | |
571 | ITEM: PSS SYNONYM ED IT | |
572 | ITEM: PSS DOSAGES MA NAGEMENT | |
573 | ITEM: PSS CS/PKI REP ORTS | |
574 | ITEM: PSS MASTER FIL E ALL | |
575 | ITEM: PSS MEDICATION ROUTES MG MT | |
576 | ITEM: PSS SCHEDULE M ANAGEMENT | |
577 | ITEM: PSS DRUG TEXT MANAGEMENT | |
578 | ITEM: PSS MED INSTRU CTION MANA GEMENT | |
579 | ITEM: PSS ORDER CHEC K MANAGEME NT | |
580 | ITEM: PSS ADDITIVE/S OLUTION | |
581 | ITEM: PSS WARNING BU ILDER | |
582 | ITEM: PSS WARNING MA PPING | |
583 | ITEM: PSS PEPS SERVI CES | |
584 | ITEM: PSS INP MGR | |
585 | ITEM: PSS Check Drug Interacti on | |
586 | ITEM: PSS INFINS MGR | |
587 | ITEM: PSS MRR ORDERS DIAGNOSTI C RPT | |
588 | ITEM: PSS DEA SPECIA L HDLG COD E RPT | |
589 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
590 | PSS DRUG E NTER/EDIT | |
591 | Drug Enter /Edit | |
592 | This optio n allows t he user to edit fiel ds for ALL pharmacy packages i f they pos sess the p roper pack age key. I t also wil l allow th e user to match to N DF and Ord erable Ite m. | |
593 | TYPE: run routine ROUTINE: P SSDEE | |
594 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
595 | PSS LOOK | |
596 | Lookup int o Dispense Drug File | |
597 | This optio n provides a report of all inf ormation r egarding t he dispens e drug. | |
598 | TYPE: run routine ROUTINE: P SSLOOK | |
599 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
600 | PSSJI ELEC TROYLYTE F ILE | |
601 | Electrolyt e File (IV ) | |
602 | This optio n will all ow you to alter the contents o f the DRUG ELECTORYL YTES file (#50.4). T his is the file that is pointe d to by th e ELECTROL YTE field in both th e IV ADDIT IVES (#52. 6) and IV SOLUTIONS (#52.7) fi les. | |
603 | TYPE: run routine ROUTINE: E LECTRO^PSS IVDRG | |
604 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
605 | PSSXX MARK | |
606 | CMOP Mark/ Unmark (Si ngle drug) | |
607 | This optio n allows t he user to mark/unma rk a singl e drug for transmiss ion to the CMOP. | |
608 | TYPE: run routine ROUTINE: P SSMARK | |
609 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
610 | PSS SYS ED IT | |
611 | Pharmacy S ystem Para meters Edi t | |
612 | This optio n allows t he user to edit the Pharmacy S ystem para meters use d in Pharm acy Data M anagement. | |
613 | TYPE: run routine ROUTINE: P SSYSP | |
614 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
615 | PSS ORDERA BLE ITEM M ANAGEMENT | |
616 | Orderable Item Manag ement | |
617 | This is th e sub-menu driver fo r Orderabl e Item mai ntenance. | |
618 | ITEM: PSS MAINTAIN O RDERABLE I TEMS | |
619 | ITEM: PSS EDIT ORDER ABLE ITEMS | |
620 | ITEM: PSS ORDERABLE ITEM DOSAG ES | |
621 | ITEM: PSS INSTRUCTIO NS/ITEMS R EPORT | |
622 | ITEM: PSS ORDERABLE ITEM REPOR T | |
623 | TYPE: menu | |
624 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
625 | PSSNFI | |
626 | Formulary Informatio n Report | |
627 | This optio n provides a listing of pertin ent pharma cy formula ry informa tion. | |
628 | TYPE: run routine ROUTINE: P SSNFI | |
629 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
630 | PSS SYNONY M EDIT | |
631 | Synonym En ter/Edit | |
632 | The option provides easy acces s to updat e the syno nym inform ation for an entry i n the loca l DRUG fil e. | |
633 | TYPE: run routine ROUTINE: P SSSEE | |
634 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
635 | PSS DOSAGE S MANAGEME NT | |
636 | Dosages | |
637 | This menu option con tains opti ons that c ontrol the editing o f dosages. | |
638 | ITEM: PSS DOSAGE FOR M EDIT | |
639 | ITEM: PSS EDIT DOSAG ES | |
640 | ITEM: PSS COMMON DOS AGES | |
641 | ITEM: PSS DOSE FORM/ NOUN REPOR T | |
642 | ITEM: PSS DOSAGE REV IEW REPORT | |
643 | ITEM: PSS LOCAL POSS IBLE DOSAG ES | |
644 | ITEM: PSS DOSE UNIT REQUEST | |
645 | ITEM: PSS DRUG DOSIN G LOOKUP | |
646 | ITEM: PSS TRAILING S PACES REPO RT | |
647 | ITEM: PSS BUPRENORPH INE DOSAGE FORMS | |
648 | TYPE: menu | |
649 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
650 | PSS CS/PKI REPORTS | |
651 | Controlled Substance s/PKI Repo rts | |
652 | PKI POST-I NSTALL REP ORTS PROVI DED AS OPT IONS. | |
653 | ITEM: PSS DEA VS CS FED. SCH. DISCR. | |
654 | ITEM: PSS CS NOT MAT CHED TO ND F | |
655 | ITEM: PSS CS DRUGS I NCON WITH DEA | |
656 | ITEM: PSS CS (OI) IN CON WITH D EA | |
657 | TYPE: menu | |
658 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
659 | PSS MASTER FILE ALL | |
660 | Send Entir e Drug Fil e to Exter nal Interf ace | |
661 | TYPE: run routine ROUTINE: P SSMSTR | |
662 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
663 | PSS MEDICA TION ROUTE S MGMT | |
664 | Medication Routes Ma nagement | |
665 | This Sub-M enu contai ns options related t o Medicati on Routes in both th e MEDICATI ON ROUTES (#51.2) Fi le and the STANDARD MEDICATION ROUTES (# 51.23) Fil e. | |
666 | ITEM: PSS MEDICATION ROUTES ED IT | |
667 | ITEM: PSS MED ROUTE MAPPING RE PORT | |
668 | ITEM: PSS MED ROUTE MAPPING CH ANGES | |
669 | ITEM: PSS MEDICATION ROUTE REQ UEST | |
670 | ITEM: PSS DEF MED RO UTE OI RPT | |
671 | TYPE: menu | |
672 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
673 | PSS SCHEDU LE MANAGEM ENT | |
674 | Standard S chedule Ma nagement | |
675 | This Sub-M enu contai ns options needed fo r Schedule maintenan ce. | |
676 | ITEM: PSS SCHEDULE E DIT | |
677 | ITEM: PSS SCHEDULE R EPORT | |
678 | TYPE: menu | |
679 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
680 | PSS DRUG T EXT MANAGE MENT | |
681 | Drug Text Management | |
682 | This Sub-M enu contai ns options concernin g Drug Tex t. | |
683 | ITEM: PSS EDIT TEXT | |
684 | ITEM: PSS DRUG TEXT FILE REPOR T | |
685 | TYPE: menu | |
686 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
687 | PSS MED IN STRUCTION MANAGEMENT | |
688 | Medication Instructi on Managem ent | |
689 | The Sub-Me nu contain s options related to the MEDIC ATION INST RUCTION (# 51) File. | |
690 | ITEM: PSSJ U MI | |
691 | ITEM: PSS MED INSTRU CTION REPO RT | |
692 | TYPE: menu | |
693 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
694 | PSS ORDER CHECK MANA GEMENT | |
695 | Order Chec k Manageme nt | |
696 | This is th e sub-menu for funct ionality r elated to managing m edication order chec ks. | |
697 | ITEM: PSS ORDER CHEC K CHANGES | |
698 | ITEM: PSS REPORT LOC AL INTERAC TIONS | |
699 | TYPE: menu | |
700 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
701 | PSS ADDITI VE/SOLUTIO N | |
702 | IV Additiv e/Solution | |
703 | This Sub-M enu contai ns options that can be used to run repor ts from th e IV ADDIT IVES (#52. 6) File an d the IV S OLUTIONS ( #52.7) Fil e. It also provides an option to edit th e PREMIX ( #18) Field in the IV SOLUTIONS (#52.7) F ile. | |
704 | ITEM: PSS IV ADDITIV E REPORT | |
705 | ITEM: PSS IV SOLUTIO N REPORT | |
706 | ITEM: PSS MARK PREMI X SOLUTION S | |
707 | TYPE: menu | |
708 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
709 | PSS WARNIN G BUILDER | |
710 | Warning Bu ilder | |
711 | This optio n will all ow you to define a c ustom warn ing label list conta ining entr ies from b oth the ne w warning label sour ce and the old Rx Co nsult file entries. | |
712 | TYPE: run routine ROUTINE: P SSWRNB | |
713 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
714 | PSS WARNIN G MAPPING | |
715 | Warning Ma pping | |
716 | This optio n is used to match a n entry fr om the old Rx Consul t file to the new co mmercial d ata source warning f ile to aid in using the Warnin g Builder (to identi fy local w arnings th at do not have an eq uivalent e ntry in th e new comm ercial dat a source). The user can also e nter a Spa nish trans lation for an Rx Con sult file entry, if desired, b ut wheneve r possible , the new commercial data sour ce's warni ngs (Engli sh or Span ish depend ing on the patient s etting) sh ould be us ed. | |
717 | TYPE: run routine ROUTINE: E DIT^PSSWMA P | |
718 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
719 | PSS PEPS S ERVICES | |
720 | PEPS | |
721 | ITEM: PSS CHECK VEND OR DATABAS E LINK | |
722 | ITEM: PSS CHECK PEPS SERVICES SETUP | |
723 | ITEM: PSS SCHEDULE P EPS INTERF ACE CK | |
724 | ITEM: PSS VENDOR INT ERFACE REP ORT | |
725 | TYPE: menu | |
726 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
727 | PSS INP MG R | |
728 | Inpatient Drug Manag ement | |
729 | This Sub-M enu contai ns options related t o INPATIEN T DRUG MAN AGEMENT. | |
730 | ITEM: PSSJ I DRUG | |
731 | ITEM: PSSJ U DRG | |
732 | ITEM: PSSJ U DRUG/ATC SET UP | |
733 | ITEM: PSSJ U DCC | |
734 | ITEM: PSSJ I EDIT DRU G COST | |
735 | ITEM: PSSJ U MARK UD ITEMS | |
736 | ITEM: PSSJ I SOLN | |
737 | TYPE: Menu | |
738 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
739 | PSS CHECK DRUG INTER ACTION | |
740 | Check Drug Interacti on | |
741 | This menu contains o ptions per taining to maintaini ng pharmac y | |
742 | data files , creating Pharmacy Orderable Items, and the Medic ation Rout e/ | |
743 | Instructio ns table a mong other assorted functions. | |
744 | TYPE: run routine RO UTINE: PSS DIUTL | |
745 | PSS INFINS MGR | |
746 | Infusion I nstruction Managemen t | |
747 | Menu conta ining opti ons relate d to the I NFUSION IN STRUCTIONS (#53.47) file. | |
748 | TYPE: menu | |
749 | PSS INFINS ADED | |
750 | Infusion I nstruction s Add/Edit | |
751 | Allows use rs to ente r and edit abbreviat ions and e xpansions in the INF USION INST RUCTIONS ( #53.47) fi le. | |
752 | TYPE: run routine R OUTINE: EN II^PSSFILE D | |
753 | ||
754 | PSS INFINS RPT | |
755 | Infusion I nstruction s Report | |
756 | Provides a report of entries f rom the IN FUSION INS TRUCTIONS( #53.47) fi le | |
757 | TYPE: run routine RO UTINE: EN^ PSSIIRPT | |
758 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
759 | PSS MRR OR DERS DIAGN OSTIC RPT | |
760 | Orders for MRRs With Removal P roperties | |
761 | This optio n enables you to det ermine whi ch active orders con tain Order able Items that have the new " Prompt for Removal i n BCMA" fl ag value s et to 1, 2 or 3 that need to b e disconti nued and e ntered as New (not c opied, edi ted or ren ewed) AFTE R the inst allation o f Pharmacy Inpatient | |
762 | Medication s PSJ*5.0* 315. Failu re to re-c reate thes e orders c ould resul t in confu sing infor mation to display on the BCMA VDL if dis played alo ngside new er MRR ord ers that d o have the updated r emoval inf ormation. | |
763 | TYPE: run routine R OUTINE: EN ^PSSMRRDG | |
764 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
765 | PSS DEA SP ECIAL HDLG CODE RPT | |
766 | DEA SPECIA L HDLG COD E Report | |
767 | This optio n allows t he user to repetitiv ely run a report to determine the values of the DE A, SPECIAL HDLG fiel d (#3) and RESTRICTI ON field ( #120) in t he local D RUG file ( #50) for R estricted (Prior Aut horization ) drugs. | |
768 | TYPE: run routine RO UTINE: EN^ PSSDEAR | |
769 | Routines | |
770 | The follow ing routin es are use d by the P harmacy Da ta Managem ent packag e. | |
771 | PSS0052PSS 0093PSS011 4PSS102RPP SS117EN PS S117PO PSS 127PI PSS1 27PTPSS129 EN PSS147E N PSS147PO PSS160EN PSS160POPS S172POPSS1 P135 PSS1P 154 PSS1P1 78PSS1P201 PSS1P23 P SS1P43 PS S211POPSS2 24PIPSS32P 3PSS32P5 PSS50 P SS50A PS S50A1 PSS 50AQM PSS5 0ATC PSS50 B PSS50B 1PSS50B2 PSS50C P SS50C1 PSS 50CMP PSS5 0D PSS50 DAT PSS50D OS PSS50EP SS50F PS S50F1 PSS 50LAB PSS5 0NDF PSS50 P4 PSS50P 66 PSS50P7 PSS50P7A PSS50TMP P SS50WS PS S51 PSS 51P1 PSS5 1P15 PSS51 P1A PSS51P 1B PSS51P1 CPSS51P2 PSS51P5 P SS51P5 PS S52P6PSS52 P6A PSS52P 6B PSS52P7 PSS52P7A PSS54PSS5 5PSS551 PSS55MIS P SS59P7 PS S70UTL PSS 781 PSSA DDITPSSADR PTPSSAUTL PSSBPSUT PSSCHENV P SSCHPRE PS SCHPSTPSSC LDRG PSSCL INR PSSCLO ZPSSCMOPE PSSCOMMN P SSCPRS PS SCPRS1 PSS CREAT PSSC SPD PSSCU SRQ PSSDAC SPSSDAWUT PSSDDUT P SSDDUT2 PS SDDUT3 PSS DEE PSSD EE1 PSSDEE 2 PSSDEEAP SSDELOIPSS DENT PSSD FEE PSSDG UPD PSSDI PSSDIN PSSDINT PSSDFEE P SSDIUTLPSS DOS PSSDOS EDPSSDOSER PSSDOSLZ P SSDOSRP PS SDRINT PSS DRDOS PSSD SAPA PSSDS APD PSSDSA PI PSSDSAP KPSSDSAPL PSSDSAPM PSSDSBBP PSSDSBDAPS SDSBDBPSSD SBPA PSSDS BPB PSSDSB PCPSSDSBPD PSSDSDAT PSSDSEXC P SSDSEXDPSS DSEXEPSSDS FDB PSSDSO NF PSSDSPO N PSSDSPOP PSSDSUTAP SSDSUTLPSS DTR PSSEC1 23PSSENV PSSDSEXFP SSENVN PS SFDBDI PSS FDBRT PSSF IL PSSF ILED PSSFI LES PSSGE NM PSSGIU PSSGMI P SSGS0 PS SGSGUI PSS GSH PSS HELP PSSH FREQ PSSHL 1 PSSHLD FSPSSHLSCH PSSHLU PSS HRCOM PSS HRENV PSSH REQ PSSHR IT PSSHRP ST PSSHRQ2 PSSHRQ22 PSSHRQ23 PSSHRQ24P SSHRQ25PSS HRQ2DPSSHR Q2O PSSHR VAL PSS HRVL1 PSSH TTP PSSHU IDGPSSIIRP T PSSJEEUP SSJORDF P SSJSPU PS SJSPU0 PS SJSV PS SJSV0 PS SJXR PS SJXR1 PS SJXR10PSSJ XR11 PSSJ XR12PSSJXR 13 PSSJXR 14 PSSJXR 15 PSSJXR 16 PSSJXR1 7 PSSJXR1 8PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25PS SJXR26 PS SJXR27 PSS JXR28 PSS JXR29 PSS JXR3 PSS JXR30 PSS JXR31 PSS JXR32PSSJX R33 PSSJX R34 PSSJX R4 PSSJX R5 PSSJX R6 PSSJX R7 PSSJXR8 PSSJXR9 PSSLAB PSSLDALL PSSLDEDT PSSLDOSEPS SLOCK PS SLOOK PS SMARK PS SMATCHPSSM EDCH PSSM EDRQ PSSME DRT PSSME DX PSSMI RPT PSSMO NT PSSMR TUP PSSMR TUXPSSMSTR PSSNCPD P PSSNDCUT PSSNDSUP SSNFI P SSNFIP P SSNOD2 PS SNOUNR PS SNTEG PSSO AS PSSOIC TPSSOICT1 PSSOIDOS PSSOPKI PSSOPKI1 PSSORPH PSSORPH1PS SORPHZPSSO RUTEPSSORU TLPSSORUTZ PSSOUTSCPS SP110PSSP1 30 PSSP1 34 PSSP2 27PSSPCH13 PSSPI89 PSSPKIPIPS SPKIPR PSS PNSRP PSS PO129 PSS POI PSSPOI C PSSPOI D1PSSPOID2 PSSPOID3 PSSPOIDT PSSPOIKA PSSPOIM PSSPOIM1 PSSPOIM2 P SSPOIM3PSS POIMN PSS POIMO PSSP OIMP PSSP OST PSSP OST2PSSPOS T5 PSSPOS T6 PSSPRE PSSPRE38 PSSPRETR PSSPRICEPS SPRMIXPSSP RUTL PSSQ OC PSSQ ORD PSSRE F PSSRE MCH PSSRXA CT PSSSCH ED PSSSCH MSPSSSCHRP PSSSEE PSSSUTILP SSSXRDPSSS YNPSSTRENG PSSTXT PSSUNMSI PSSUTIL PSSUTIL1 PSSUTIL3P SSUTLA1 P SSUTLA2 P SSUTLAZ PS SUTLPR PS SUTLPZ PS SVIDRGPSSV X6 PSSV X61PSSVX62 PSSVX63 PSSVX64 PSSVX65P SSVX66 P SSWMAP P SSWRNA PSS WRNBPSSWRN C PSSWRN EPSSXDIC PSSXREF PSSXRF1 PSSYSPExp orted Opti ons | |
772 | Stand-Alon e Options | |
773 | The follow ing is a l ist of all stand-alo ne options that are NOT export ed as part of the ma in PDM men u [PSS MGR ]: | |
774 | Other Lang uage Trans lation Set up | |
775 | [PSS OTHER LANGUAGE SETUP] | |
776 | Drug Inqui ry (IV) | |
777 | [PSSJI DRU G INQUIRY] | |
778 | Electrolyt e File (IV ) | |
779 | [PSSJI ELE CTROLYTE F ILE] | |
780 | Enable/Dis able Vendo r Database Link | |
781 | [PSS ENABL E/DISABLE DB LINK] | |
782 | Add Defaul t Med Rout e | |
783 | [PSS ADD D EFAULT MED ROUTE] | |
784 | Find Unmap ped Local Possible D osages | |
785 | [PSS LOCAL DOSAGES E DIT ALL] | |
786 | The Enable /Disable V endor Data base Link option exi sts ONLY a s a way fo r technica l personne l to turn on/off the database connection if requir ed for deb ugging. No rmally, it is enable d and the Vendor Dat abase upda tes are pe rformed ce ntrally on the MOCHA Servers, not at the individua l sites. I t is NOT e xported as part of t he main PD M menu [PS S MGR]. | |
787 | In the rar e case whe re this op tion is us ed and the database link is di sabled, NO drug-drug interacti on, duplic ate therap y, or dosi ng order c hecks will be perfor med in Pha rmacy or i n the Comp uterized P atient Rec ord System (CPRS). | |
788 | Protocols | |
789 | NAME: PSS EXT MFU CL IENT | |
790 | DESCRIPTI ON: This protocol will be us ed as the ACK from t he externa l | |
791 | interface for a MFN _M01 messa ge. | |
792 | NAME: PSS EXT MFU SE RVER | |
793 | DESCRIPTI ON: This protocol will be us ed to send event not ification and data | |
794 | when new drugs are added to t he DRUG fi le (#50) a nd when ce rtain fiel ds are | |
795 | updated i n the same file. Thi s informat ion will b e sent to the automa ted | |
796 | dispensin g machines through H L7 V.2.4 f ormatted m essages. | |
797 | ||
798 | NAME: PSS HUI DRUG U PDATE | |
799 | DESCRIPTI ON: This protocol will be us ed to send event not ification and data | |
800 | when new drugs are added to t he Drug fi le (#50) a nd when ce rtain fiel ds are | |
801 | updated i n same fil e. | |
802 | NAME: PSS MED ROUTE RECEIVE | |
803 | DESCRIPTI ON: This protocol processes updates to the Stand ard Medica tion | |
804 | Routes (# 51.23) Fil e. | |
805 | Bulletins | |
806 | NAME: PSS FDB INTERF ACE | |
807 | SUBJECT: O RDER CHECK DATABASE DOWN | |
808 | RETENTION DAYS: 3 | |
809 | PRIORITY?: YES | |
810 | NAME: PSS FDB INTERF ACE RESTOR ED | |
811 | SUBJECT: O RDER CHECK DATABASE IS BACK UP | |
812 | RETENTION DAYS: 3 | |
813 | PRIORITY?: YES | |
814 | Web Server s | |
815 | PEPS | |
816 | Web Servic es | |
817 | DOSING_INF O | |
818 | DRUG_INFO | |
819 | ORDER_CHEC KS | |
820 | Cache Clas s | |
821 | XMLHandler | |
822 | HL7 Messag ing with a n External System | |
823 | A protocol , PSS HUI DRUG UPDAT E, is expo rted and h as been cr eated to g enerate HL 7 messages when new drugs are added to t he DRUG fi le (#50) a nd existin g entries are update d. This pr otocol is exported w ith the te xt “DELETE ONLY TO S END DRUG U PDATE MESS AGES” in t he DISABLE field (#2 ) of the P ROTOCOL fi le (#101). To activa te the sen ding of th ese HL7 me ssages, th e text fro m the DISA BLE field (#2) of th e PROTOCOL file (#10 1) must be deleted a nd at leas t one rece iving prot ocol added as a subs criber. Th e drug dat a elements included in the HL7 message a re defined in the fo llowing HL 7 Drug Mes sage Segme nt Definit ion table. | |
824 | HL7 Drug M essage Seg ment Defin ition Tabl e | |
825 | When the P SS HUI DRU G UPDATE p rotocol is enabled, the follow ing table defines th e data ele ments sent in each s egment of the HL7 dr ug message . | |
826 | SegmentPie ceField Na meHL7 TBL # or Data TypeDescri ptionMSH1| STField Se parator2^~ \&STEncodi ng Charact ers3Pharma cyNo sugge sted value Sending Ap plication9 MFN0076Mes sage TypeM FI150^DRUG ^99PSD0175 Master Fil e ID3UPD01 78File-Lev el Event C ode6NE0179 Response L evel CodeM FA1MUP/MAD 0180UPDATE /ADDMFE1MU P/MAD0180U PDATE/ADD4 IEN^DRUG N AME^99PSDF ile 50 Ent ryZPA1NDCS TNational Drug Code2 LOCAL NON- FORMULARYC EIf “1” tr ue3INACTIV E DATEDTHL 7 Format ( YYYYMMDD)4 APPLICATIO N PACKAGE USESTUsed by what pa ckages5MES SAGESTInfo on drug6V A CLASSIFI CATIONSTVA Class7DEA SPECIAL H DLGSTHow d rug is dis pense base d on DEA c odes8FSNST Federal S tock #9WAR NING LABEL STDrug War nings for patient10V ISN NON-FO RMULARCEIf ‘1’ trueZ PB1PHARMAC Y ORDERABL E ITEMCEIE N^OI tied to dispens e drug^PSD 50.72DOSAG E FORMSTIE N^Dosage F orm associ ated with OI^PSD50.6 063MEDICAT ION ROUTES TIEN^Med R oute assoc iated with OI^PSD51. 24PSNDF VA PRODUCT N AME ENTRYC EIEN^VA PR ODUCT NAME S^PSD50.68 5DISPENSE UNITSTDisp ense Unit for a drug 6CMOP DISP ENSECE1 or 07OP EXTE RNAL DISPE NSECE1 or 08EXPIRATI ON DATEDTH L7 Format (YYYYMMDD) 9LAB TEST MONITORCEI EN^Lab Tes t^LAB60ZPC 1SPECIMEN TYPECEIEN^ SPECIMEN TYPE^LAB61 2MONITOR R OUTINESTPr ogram that runs to f ind lab te st and res ults3LAB M ONITOR MAR KCEIf ‘1’ true4STREN GTHNMDose of drug5UN ITCEIEN^Un it of meas ure^PSD50. 6076PRICE PER ORDER UNITNM7PRI CE PER DIS PENSE UNIT NM[{ZPD}] 1SYNONYMST Trade Name 2NDC CODES TNational Drug Code3 INTENDED U SECE CE^IN TENTED USE 4VSNSTVend or Stock N umber5ORDE R UNITCEIE N^ABBREVIA TION^EXPAN SION | |
827 | ^PSD51.56P RICE PER O RDER UNITN M7DISPENSE UNITS PER ORDER UNI TNM8PRICE PER DISPEN SE UNITNM9 VENDORSTVe ndor[{ZPE} ]1ACTIVITY LOGDTHL7 Format YYY YMMDDHHMM[ SS]-ZZZZ2R EASONCEE^E DIT3INITIA TOR OF ACT IVITYCEIEN ^NEW PERSO N^VA2004FI ELD EDITED ST5NEW VAL UEST6NDF U PDATEST[{Z PF}]1DISPE NSE UNITS PER DOSENM 2DOSENM3PA CKAGECECE^ PACKAGE(S) 4BCMA UNIT S PER DOSE NM[{ZPG}]1 CLOZAPINE LAB TESTCE IEN^LAB TE ST^LAB602M ONITOR MAX DAYSNM3SP ECIMEN TYP ECEIEN^ SP ECIMEN TYP E^LAB614TY PE OF TEST CE1^WBC or 2^ANC[{ZP H}]1LOCAL POSSIBLE D OSAGESTFRE E TEXT2PAC KAGECECE^P ACKAGE(S)3 BCMA UNITS PER DOSEN MTwo proto cols, PSS EXT MFU CL IENT and P SS EXT MFU SERVER, a re exporte d and have been crea ted to gen erate HL7 messages w hen new dr ugs are ad ded to the DRUG file (#50) and existing entries ar e updated. These pro tocols can only be a ctivated b y setting the follow ing parame ters in th e OUTPATIE NT SITE fi le (#59): | |
828 | AUTOMATED DISPENSE f ield (#105 ) needs to be set to 2.4. | |
829 | ENABLE MAS TER FILE U PDATE fiel d (#105.2) needs to be set to YES. | |
830 | LOGICAL LI NK field ( #2005) nee ds to be s et to PSO DISP. | |
831 | DISPENSE D NS NAME fi eld (#2006 ) needs to be set to the dispe nsing syst em DNS nam e (for exa mple, disp ensemachin e1. DNS ). | |
832 | DISPENSE D NS PORT fi eld (#2007 ) needs to be set to the dispe nsing syst em port nu mber. | |
833 | Specific T ransaction xe "Specif ic Transac tion" | |
834 | The Pharma cy/Treatme nt Encoded Order Mes sage is as follows: | |
835 | MFN | |
836 | Master Fil e Notifica tion Messa ge | |
837 | MSH | |
838 | Message He ader | |
839 | MFI | |
840 | Master Fil e Identifi er | |
841 | {MFE | |
842 | Master Fil e Entry | |
843 | {{ZPA} | |
844 | Drug File Informatio n | |
845 | {RXD} | |
846 | Pharmacy/T reatment D ispense | |
847 | {OBR}} | |
848 | ||
849 | Observatio n Request | |
850 | } | |
851 | Example: | |
852 | MSH|~^\&|P SS VISTA|5 21~FO-BIRM .
|
|
853 | MFI|50~DRU G~99PSD||U PD|||NE | |
854 | MFE|MUP||| PROPANTHEL INE 15MG T AB | |
855 | ZPA|PROPAN THELINE 15 MG TAB|N|L FN~Local N on-Formula ry~Pharm F ormulary L isting|200 31226|Take with food |DE200|6|P |50~6505-0 0-960-8383 ~LPS50|8~N O ALCOHOL~ LPS54|229~ Bacitracin ~LPSD50.7| 3~CAP,ORAL ~LPSD50.60 6|15~IV PU SH~LPSD51. 2|3643~ATR OPINE SO4 0.4MG TAB~ LPSD50.68| OP~OP Disp ense~99OP| 20030830|9 ~Rubella~L LAB60|72~H air of Sca lp~LLAB61| PSOCLO1|N| 100|20~MG~ LPSD50.607 |4.28&USD~ UP|15.64&U SD~UP|TAB| 2|BLUE HOU SE VENDOR| 0010-0501- 33|TRADENA ME | |
856 | RXD||||1|| |||1|||~P& 200&LPSD50 .0903||||| |||||||O | |
857 | OBR||||110 2~ACETAZOL AMIDE~LLAB 60|||||||| |||70&NECK &LLAB61||| ||||||WBC| ||7 | |
858 | HL7 Drug M essage Seg ment Defin ition Tabl e | |
859 | When the P SS EXT MFU SERVER pr otocol is enabled, t he followi ng table d efines the data elem ents sent in each se gment of t he HL7 dru g message. | |
860 | Segments U sed in the Master Fi le Update Message | |
861 | SEGMENTSEQ #LENDTR/OR P/#TBL#ELE MENT NAMEE XAMPLEMSH1 1STRField Separator| 24STREncod ing Charac ters~^\&31 80HDR0361S ending App licationPS S VISTA418 0HDR0362Se nding Faci lity – sta tion ID an d station DNS name52 1~FO-BIRM
|
|
862 | [MSH-3] Se nding Appl ication is the stati on ID alon g with the DNS name of the sen ding facil ity. | |
863 | [MSH-5] Re ceiving Ap plication is the DNS name and DNS port n umber of t he dispens ing applic ation. | |
864 | [MSH-10] M essage Con trol ID is the numbe r that uni quely iden tifies the message. It is retu rned in MS A-2 of the dispense completion message. | |
865 | [MFI-1] Ma ster File Identifier is hard-c oded to 50 ~DRUG~99PS D. | |
866 | [MFE-1] Re cord-Level Event Cod e can be e ither MUP for Update or MAD fo r Add. | |
867 | [MFE-4] Pr imary Key Value – MF E is the G ENERIC NAM E field (# .01) from the DRUG f ile (#50). | |
868 | [ZPA-1] Pr imary Key Value – ZP A will be the generi c name of the drug f irst and t hen all sy nonyms wil l follow i n consecut ive ZPA se gments. | |
869 | [ZPA-2] Is Synonym i s set to Y or N depe nding on w hether the primary k ey is a sy nonym. | |
870 | [ZPA-3] Fo rmulary Li sting will contain L FN and/or VISN is th e formular y is not t o appear o n the Loca l or VISN formulary. | |
871 | [ZPA-9] St ock Number is the FS N field (# 6) from th e DRUG fil e (#50) or the VSN f ield (#400 ) from the SYNONYM s ubfile (#5 0.1) of th e PRESCRIP TION file (#50). | |
872 | [ZPA-15] D ispense Fl ags will i ndicate if this drug may be di spensed to an extern al interfa ce and if it is mark ed to be d ispensed a t a Consol idated Out patient Ph armacy (CM OP). If bo th are yes , the answ er would b e OP~OP Di spense~Pha rm dispens e^CMOP~CMO P dispense ~Pharm dis pense flag . | |
873 | [ZPA-29] I ntended Us er will be TRADE NAM E, QUICK C ODE, DRUG ACCOUNTABI LITY or CO NTROLLED S UBSTANCES. | |
874 | [RXD-4] Ac tual Dispe nse Amount is the BC MA UNITS P ER DOSE fi eld (#3) f rom the PO SSIBLE DOS AGES file (#50.0903) . | |
875 | [RXD-9] Di spense Not es is the DISPENSE U NITS PER D OSE field (#.01) fro m the POSS IBLE DOSAG ES file (# 50.0903). | |
876 | [RXD-12] T otal Daily Dose will be either P for Pos sible Dosa ges or LP for Local Possible D osages. | |
877 | [OBR-4] Un iversal Se rvice Iden tifier is used for C lozapine L ab Test. | |
878 | [OBR-15] S pecimen So urce is us ed for Clo zapine Spe cimen Type . | |
879 | [OBR-24] D iagnostic Serv Sect ID is used for Cloza pine Type of Test. | |
880 | [OBR-27] Q uantity/Ti ming is us ed to enco de Monitor Max days from the C LOZAPINE L AB TEST fi le (#50.02 ). | |
881 | Data Archi ving and P urging | |
882 | There are no archivi ng and pur ging funct ions neces sary with this relea se of the PDM packag e. | |
883 | Callable R outines/En try Points /Applicati on Program Interface s (APIs) | |
884 | APIs, call able routi nes, and e ntry point s can be v iewed by f irst choos ing the DB A menu opt ion on FOR UM and the n choosing the Integ ration Agr eements Me nu option: | |
885 | IAs INT EGRATION C ONTROL REG ISTRATIONS ... | |
886 | For detail ed informa tion on al l supporte d Pharmacy Data Mana gement API s, see the Pharmacy Re-Enginee ring (PRE) Applicati on Program Interface (API) Man ual posted on the Vi stA Docume ntation Li brary (VDL )Error! Hy perlink re ference no t valid.. | |
887 | Medication Routes | |
888 | The follow ing paragr aphs provi de an expl anation of medicatio n route in formation. | |
889 | For Outpat ient Pharm acy & Inpa tient Medi cation Uni t Dose Ord ers: | |
890 | The Defaul t med rout e will be returned f rom the DE FAULT MED ROUTE fiel d (#.06) o f the PHAR MACY ORDER ABLE ITEM file (#50. 7) if it i s populate d, or from the POSSI BLE MED RO UTES multi ple (#50.7 11) of the PHARMACY ORDERABLE ITEM file (#50.7) if it is pop ulated wit h a single entry and the USE D OSAGE FORM MED ROUTE LIST fiel d (#10) is set to "N O." The me d route se lection li st will be returned with entri es from th e POSSIBLE MED ROUTE S multiple (#50.711) if the US E DOSAGE F ORM MED RO UTE LIST f ield (#10) is set to "NO." Oth erwise, th e med rout es associa ted with t he orderab le item's dosage for m, MED ROU TE FOR DOS AGE FORM m ultiple (# 50.6061) o f the DOSA GE FORM fi le (#50.60 6), will b e returned . | |
891 | For IV Flu ids Orders : | |
892 | If there i s only one orderable item in t he IV orde r request, the same logic as d efined abo ve under ‘ For Outpat ient Pharm acy & Inpa tient Medi cation Uni t Dose Ord ers’ will be used to return th e default med route from the D EFAULT MED ROUTE fie ld (#.06) and the me d route se lection li st from th e PHARMACY ORDERABLE ITEM file (#50.7). | |
893 | If there i s more tha n one orde rable item on the IV order req uest, the PHARMACY O RDERABLE I TEM file ( #50.7) wil l be check ed for eac h orderabl e item for the defau lt med rou te and med route sel ection lis t as defin ed above u nder ‘For Outpatient Pharmacy & Inpatien t Medicati on Unit Do se Orders. ’ If there is a defa ult med ro ute common with ever y orderabl e item, th at default med route will be r eturned. S imilarly, the list o f possible med route s that are common wi th every o rderable i tem will b e returned . | |
894 | Administra tion Sched uling | |
895 | The follow ing rules apply to a dministrat ion schedu ling. | |
896 | If there i s a duplic ate schedu le, and if one of th em contain s ward-spe cific admi nistration times for the ward location o f the pati ent, the s chedule re turned for inclusion in the ar ray of sel ectable sc hedules in CPRS will be the on e with the ward-spec ific admin istration times. | |
897 | If no dupl icate has ward-speci fic admini stration t imes for t he ward lo cation of the patien t, the sch edule with the lowes t IEN numb er will be returned. If both ( or more th an one) du plicate sc hedules ha ve ward-sp ecific adm inistratio n times fo r the ward location of the pat ient, the schedule w ith the lo west IEN n umber in t he ADMINIS TRATION SC HEDULE fil e #51.1 wi ll be the schedule i n the arra y returned to CPRS. | |
898 | External R elations | |
899 | Integratio n Agreemen ts | |
900 | IAs can be viewed by first cho osing the DBA option on FORUM and then t he Integra tion Agree ments Menu option. | |
901 | Example: D BA Option | |
902 | ||
903 | Select Pri mary Menu Option: DB A | |
904 | Select DBA Option: I NTEGration Agreement s Menu | |
905 | Select Int egration A greements Menu Optio n: Custod ial Packag e Menu | |
906 | Select Cus todial Pac kage Menu Option: A CTIVE by C ustodial P ackage | |
907 | Select PAC KAGE NAME: PHARMACY DATA MANAG EMENT PSS | |
908 | DEVICE: HO ME// | |
909 | Internal R elations | |
910 | All PDM op tions can function i ndependent ly. | |
911 | Package-Wi de Variabl es | |
912 | There are no package -wide vari ables for this versi on. | |
913 | Package Re quirements | |
914 | The PDM mo dule relie s on, at l east, the following external p ackages to run effec tively. | |
915 | ||
916 | Package | |
917 | Minimum ve rsion need ed | |
918 | ||
919 | National D rug File | |
920 | V. 4.0 | |
921 | ||
922 | ||
923 | Outpatient Pharmacy | |
924 | V. 7.0 | |
925 | ||
926 | ||
927 | Inpatient Medication s | |
928 | V. 5.0 | |
929 | ||
930 | ||
931 | Kernel | |
932 | V. 8.0 | |
933 | ||
934 | ||
935 | VA FileMan | |
936 | ||
937 | V. 22.0 | |
938 | ||
939 | Package | |
940 | Minimum ve rsion need ed | |
941 | ||
942 | HealtheVet Web Servi ces Client (HWSC) | |
943 | V. 1.0 | |
944 | ||
945 | VistALink | |
946 | ||
947 | V. 1.6 | |
948 | Additional Informati on | |
949 | Standards and Conven tions Comm ittee (SAC C) Exempti ons | |
950 | The follow ing PSS ro utines wil l generate errors re ported in the XINDEX utility f rom using non-standa rd M synta x, due to the need t o consume external w eb service s. | |
951 | PSSFDBDI | |
952 | PSSFDBRT | |
953 | PSSHRPST | |
954 | PSSHTTP | |
955 | The follow ing waiver permits t he use of this non-s tandard M syntax to allow the use of Cac he feature s to consu me externa l web serv ices. This waiver is located i n the Heal theVet Web Services Client (HW SC) Develo per Guide. | |
956 | OITIMB3355 4520 - Mig ration fro m M2J to V istA Web S ervices Cl ient (VWSC ) | |
957 | Keywords | |
958 | M2J,VWSC,J 2EE | |
959 | Decision D ate | |
960 | 12/1/2006 | |
961 | Decision T ype | |
962 | Architectu re | |
963 | Decision M aking Body | |
964 | HPMO CCB | |
965 | Descriptio n | |
966 | On Decembe r 1, 2006, the HPMO Change Con trol Board voted to accept the migration of VistA from the c urrent M2J solution to the Vis tA Web Ser vices Clie nt (VWSC). This deci sion was m ade for a number of reasons, i n particul ar the fac t that the existing 12-year-ol d M standa rd has bee n surpasse d by evolv ing techno logies and can no lo nger addre ss today’s requireme nts. Addit ionally, w e are no l onger requ ired to su pport DSM, previousl y the prim ary VistA/ M hosting environmen t. Today, all sites are standa rdized on Caché 5.0 systems. A s such, ap provals we re granted as follow s: Waiver of the req uirement t o adhere t o the exis ting 1995 M standard (that doe s not addr ess the im plementati on of web services); Implement ation of a n industry standard such as we b services for VistA /M to J2EE calls usi ng Caché’s built in HTTP and w eb service client fe ature; Use of VWSC a s an inter im solutio n that ens ures conti nuity of i ntegration between V istA/M app lications and migrat ed J2EE ap plications as Health eVet evolv es by enab ling the c onsumption of extern al web ser vices by l egacy Vist A applicat ions; and Deprecatio n of the o riginal M2 J approach . | |
967 | Rationale | |
968 | This archi tectural c hange allo ws for a n umber of i mprovement s, includi ng better scalabilit y, resilie nce, and p erformance . Deployme nt and con figuration is far le ss complic ated for a dministrat ors, and t he APIs ca n be used by a varie ty of clie nts rather than sole ly M-based . It also places res ponsibilit y for supp ort, maint enance, et c. with th e vendor r ather than OI&T. | |
969 | Record Typ e | |
970 | TDR | |
971 | State | |
972 | Approved | |
973 | Date Submi tted | |
974 | 2/14/2007 8:37:24 AM | |
975 | Supporting Documenta tion | |
976 | Link | |
977 | Document T itle | |
978 | Descriptio n | |
979 | Date | |
980 | Download | |
981 | Migration from M2J t o VistA We b Services Client (V WSC) Email Notificat ion | |
982 | Email noti fication a lerting of the decis ion | |
983 | 2/13/2007 | |
984 | Download | |
985 | VWSC Archi tecture | |
986 | Proposed a rchitectur e view of VWSC | |
987 | 12/1/2006 | |
988 | Download | |
989 | VWSC Propo sed View | |
990 | Proposed l ogical vie w of VistA Web Servi ces Client (VWSC) | |
991 | 12/1/2006 | |
992 | Cross-Refe rence Logi c to Keep Orderable Items Up T o Date | |
993 | With the i ntroductio n of PSS*1 *38, a new process f or keeping Orderable Items upd ated was i mplemented . The proc ess is exp lained in detail in the sectio n below. | |
994 | Anytime sp ecific fie lds are ed ited, or a pointer t o the PHAR MACY ORDER ABLE ITEM file (#50. 7) changes , the Orde rable Item (OI) must be update d and sent to CPRS. Two differ ent situat ions can p recipitate these cha nges. Both situation s are expl ained in d etail here . | |
995 | The first situation occurs whe n a field is edited that can p ossibly af fect the s tatus of t he Orderab le Item, b ut no Orde rable Item pointers change. In this situ ation, the old Order able Item is the sam e as the n ew Orderab le Item. I n these ca ses, the k ill logic will be th e same as the set lo gic. The k ill and se t logic wi ll simply pass in th e Orderabl e Item to the routin e that che cks all IV Additives /IV Soluti ons/Dispen se Drugs m atched to the Ordera ble Item, does all t he necessa ry updates (Inactiva tion date, Supply fl ag, Non-fo rmulary, B ase, Addit ive), and then sends the Maste r File Upd ate to CPR S on that Orderable Item. This type of u pdate occu rs when th e fields l isted belo w are edit ed. | |
996 | File 50: DEA Spec ial Hdlg | |
997 | File 50: Inactiva tion Date | |
998 | File 50: Applicat ion Packag es’ Use | |
999 | File 50: Local No n-Formular y | |
1000 | File 50.7: Inactivat ion Date | |
1001 | File 52.6: Inactivat ion Date | |
1002 | File 52.6: Used in I V Fluid Or der Entry | |
1003 | File 52.7: Inactivat ion Date | |
1004 | File 52.7: Used in I V Fluid Or der Entry | |
1005 | The second situation occurs wh en pointer s to the P HARMACY OR DERABLE IT EM file (# 50.7) are changed. I V Additive s, IV Solu tions and the Dispen se Drug al ways point to the sa me Orderab le Item. T hat Ordera ble Item i s, in turn , pointed to by the IV Additiv e or IV So lution. So , the fiel ds that ma y be affec ted includ e the Orde rable Item pointer i n the DRUG file (#50 ) and the Generic Dr ug pointer in the IV ADDITIVES file (#52 .6) and th e IV SOLUT IONS file (#52.7). | |
1006 | File 50: Orderab le Item Po inter | |
1007 | File 52.6: Generic Drug Point er | |
1008 | File 52.7: Generic Drug Point er | |
1009 | The initia l change i s to make the Ordera ble Item p ointers in the IV AD DITIVES fi le (#52.6) and the I V SOLUTION S file (#5 2.7) unedi table. The software will now c ontrol tho se pointer s. | |
1010 | Scenario 1 : The Orde rable Item Pointer I s Changed For A Disp ense Drug | |
1011 | In Example 1, the Or derable It em pointer is change d for a Di spense Dru g. In this case, any Orderable Item poin ters must be updated for entri es in the IV ADDITIV ES file (# 52.6) and the IV SOL UTIONS fil e (#52.7) that point to that D ispense Dr ug. After these poin ters have been updat ed, the Or derable It em must be updated f or the old Orderable Item with what will point to it after t he matchin g. The Ord erable Ite m must als o be updat ed for the new Order able Item after the matching. And these pharmacy O rderable I tem update s must be sent to CP RS as part of the Ma ster File Update. To accomplis h this, th e followin g steps mu st be comp leted: | |
1012 | Add a Cros s-Referenc e on the O rderable I tem pointe r in the D RUG file ( #50) that will hard set one Cr oss-Refere nce in the ORDERABLE ITEM file (#50.7) a nd two Cro ss-Referen ces in the DRUG file (#50) as follows. | |
1013 | Orderable Item: ^ PS(50.7,"A 50",Ordera ble Item I EN, Dispen se Drug IE N)="" | |
1014 | Drug file: ^PSDRUG ("A526", D ispense Dr ug IEN, Ad ditive IEN ,)="" | |
1015 | Drug file: ^PSDRUG ("A527", D ispense Dr ug IEN, So lution IEN ,)="" | |
1016 | The Ordera ble Item C ross-Refer ence allow s access t o Dispense Drugs mat ched to an Orderable Item. Th e two DRUG file (#50 ) Cross-Re ferences a llow acces s to Solut ions and A dditives l inked to D ispense Dr ugs. An "A 50" Cross- Reference will also be added o n the NAME field (# .01) of th e PHARMACY ORDERABLE ITEM file (#50.7) c ontaining a "Quit" c ommand for the set a nd kill lo gic for do cumentatio n purposes only. | |
1017 | When the O rderable I tem pointe r of a Dis pense Drug changes, only one C ross-Refer ence is ne eded on th at field t o perform the follow ing action s: | |
1018 | Kill Logic : This com mand perfo rms a hard kill of t he "A50" C ross-Refer ence in th e PHARMACY ORDERABLE ITEM file (#50.7) f or that Di spense Dru g using ol d value (X ) and DA, where X eq uals the O I IEN and DA equals the Dispen se Drug IE N. The two DRUG file (#50) Cro ss-Referen ces will n ot change. | |
1019 | After the hard kill is complet ed, a Mast er File Up date is pe rformed fo r the old Orderable Item. The logic for all Dispen se Drugs/I V Additive s/IV Solut ions match ed to the Orderable item is ex ecuted by looping th e three Cr oss-Refere nces to fi nd all ent ries in al l three fi les matche d to the O rderable I tem. Also in the Kil l logic, t he Orderab le Item po inter is s et to null and the O rderable I tem pointe r Cross-Re ference is killed fo r any IV A dditives o r IV Solut ions match ed to the Dispense D rug. | |
1020 | Set Logic: Using the New Value (X), wher e X equals the OI IE N, the "A5 0" Cross-R eference i s hard set in the PH ARMACY ORD ERABLE ITE M file (#5 0.7). The Master Fil e Update i s then per formed for the new O rderable I tem. The l ogic for a ll Dispens e Drugs/IV Additives /IV Soluti ons matche d to the O rderable I tem is exe cuted by l ooping on the three Cross-Refe rences to find all e ntries in all three files matc hed to the Orderable Item. The Orderable Item poin ter and th e Orderabl e Item poi nter Cross -Reference s are then hard set for all IV Additives and IV So lutions th at have be en matched to the Di spense Dru g with new value (X) . | |
1021 | Example 1: | |
1022 | Additives/ Solution | |
1023 | ||
1024 | Dispense D rugs: | |
1025 | ||
1026 | Orderable Item: | |
1027 | IEN 3 p oints to = > | |
1028 | IEN 100 points to => | |
1029 | ||
1030 | 500 | |
1031 | IEN 4 p oints to = > | |
1032 | IEN 100 points to => | |
1033 | ||
1034 | 500 | |
1035 | IEN 5 p oints to = > | |
1036 | IEN 100 points to => | |
1037 | ||
1038 | 500 | |
1039 | IEN 10 po ints to => | |
1040 | ||
1041 | IEN 200 points t o => | |
1042 | ||
1043 | 500 | |
1044 | Cross-Refe rences are : | |
1045 | ||
1046 | ^PS(50.7," A50",500,1 00)="" | |
1047 | ^PS(50.7," A50",500,2 00)="" | |
1048 | ^PSDRUG("A 526",100,3 )="" | |
1049 | ||
1050 | ^PSDRUG("A 526",100,4 )="" | |
1051 | ||
1052 | ^PSDRUG("A 526",100,5 )="" | |
1053 | ^PSDRUG("A 527",200,1 0)="" | |
1054 | Orderable Item 500 i s pointed to by Disp ense Drugs 100 and 2 00, and by IV Additi ves 3, 4, and 5, and IV Soluti on 10. | |
1055 | (If the LO CAL NON-FO RMULARY fi eld (#51) in the DRU G file (#5 0) is edit ed, the so ftware wil l obtain t he OI poin ter 500 an d execute the OI log ic by loop ing on 500 in the "A 50" Cross- Reference of the PHA RMACY ORDE RABLE ITEM file (#50 .7). As it reference s each ent ry, the OI logic is executed b y looping on the “A5 26” and “A 527” Cross -reference s on the D RUG file ( #50) befor e going to the next Orderable Item point er in the "A50" Cros s-referenc e in the P HARMACY OR DERABLE IT EM file (# 50.7). For Example 1 above, th e software will find in the fi rst "A50" Cross-Refe rence for OI 500, Di spense Dru g 100. The software will then loop throu gh all the “A526” an d “A527” C ross-Refer ences in t he DRUG fi le (#50) t o find the IV Additi ves 3, 4 a nd 5. In t he second “A50” Cros s-Referenc e for OI 5 00, Dispen se Drug 20 0 is ident ified. Th e software will agai n loop thr ough any e xisting “A 526” and “ A527” Cros s-referenc es in the DRUG file (#50) to f ind IV Sol ution 10. | |
1056 | If the Ord erable Ite m pointer for Dispen se Drug 10 0 is edite d from 500 to 600, t he Cross-R eference i n the DRUG file (#50 ) the foll owing logi c will be performed. | |
1057 | Kill Logic | |
1058 | Kill the C ross-Refer ence ^PS(5 0.7,"A50", 500,100) u sing DA an d old valu e (X=500), where DA equals the IEN of th e Dispense Drug and X equals t he IEN of the Ordera ble Item | |
1059 | The Cross- References would now be as fol lows. | |
1060 | ^PS(50.7," A50",500,2 00)="" | |
1061 | ^PSDRUG("A 526",100,3 )="" | |
1062 | ^PSDRUG("A 526",100,4 )="" | |
1063 | ^PSDRUG("A 526",100,5 )="" | |
1064 | ^PSDRUG("A 527",200,1 0)="" | |
1065 | The ‘A50” and “A527” Cross-ref erences no w identify Orderable Item 500 to be poin ted to by Dispense D rug 200 an d IV Solut ion 10. Th e Orderabl e Item upd ate for OI 500 is th en perform ed for Dis pense Drug 200 and I V solution 10. | |
1066 | While stil l in the K ill logic, the PHARM ACY ORDERA BLE ITEM f ield (#15) in the IV ADDITIVES file (#52 .6) is set to null f or IV Addi tives 3, 4 , and 5. T his action results i n the dele tion of Cr oss-Refere nces on th e PHARMACY ORDERABLE ITEM fiel d (#15) of the IV AD DITIVES fi le (#52.6) . | |
1067 | Set Logic | |
1068 | The “A50” Cross-Refe rence in t he PHARMAC Y ORDERABL E ITEM fil e (#50.7) for the ne w Orderabl e Item 600 is set as follows. | |
1069 | ^PS(50.7," A50",500,2 00)="" | |
1070 | ^PS(50.7," A50",600,1 00)="" | |
1071 | ^PSDRUG("A 526",100,3 )="" | |
1072 | ^PSDRUG("A 526",100,4 )="" | |
1073 | ^PSDRUG("A 526",100,5 )="" | |
1074 | ^PSDRUG("A 527",200,1 0)="" | |
1075 | The Ordera ble Item l ogic is ex ecuted on the new OI 600 by lo oping on t he "A50" C ross-Refer ence, to g et the Dis pense Drug pointer o f 100. The software then loops through a ny existin g “A526” a nd “A527” Cross-Refe rences to get IV Add itives 3, 4 and 5. | |
1076 | The value of the PHA RMACY ORDE RABLE ITEM (#15) fie ld in the IV ADDITIV ES file (# 52.6) for IV Additiv es 3, 4, a nd 5 is se t to 600. Existing C ross-Refer ences are also set t o reflect this chang e. | |
1077 | Scenario 2 : The Disp ense Drug Pointer Is Edited Fo r An IV Ad ditive Or IV Solutio n | |
1078 | If the Dis pense Drug is change d for an I V Additive or IV Sol ution, the Cross-Ref erences on the PHARM ACY ORDERA BLE ITEM f ield in th e IV ADDIT IVES file (#52.6) an d IV SOLUT ION file ( #52.7) wil l perform the follow ing set an d kill log ic. | |
1079 | Kill Logic | |
1080 | First, the "A526" or "A527" Cr oss-Refere nces in th e DRUG fil e (#50) wi ll be kill ed. Then, using DA, which is e qual to th e Orderabl e Item IEN , the soft ware will get the ol d Orderabl e Item poi nter value and perfo rm the Ord erable Ite m logic on the old O rderable I tem. Subse quently, t he value i n the PHAR MACY ORDER ABLE ITEM field for the IV Add itive and/ or IV Solu tion will be set to null and t he existin g Cross-Re ferences o n this fie ld will be killed. | |
1081 | Set Logic | |
1082 | First, the "A526" or "A527" Cr oss-Refere nces in th e DRUG fil e (#50) wi ll be set. Then Usin g X, which is equal to the Dis pense Drug IEN, the software w ill identi fy the new Orderable Item in t he DRUG fi le (#50) a nd perform the OI lo gic on tha t Orderabl e Item. Th e PHARMACY ORDERABLE ITEM fiel d in the I V ADDITIVE S file (#5 2.6) and I V SOLUTION file (#52 .7) will b e set to t he new val ue and exi sting Cros s-Referenc es will be also set. | |
1083 | Users can first chec k the new Dispense D rug, and i f the Orde rable Item does not change by rematching the Addit ive/Soluti on to the new Dispen se Drug, t hey can ch oose the Q UIT comman d. | |
1084 | Example 2: | |
1085 | IV Additiv es/IV Solu tion | |
1086 | Dispense D rugs | |
1087 | ||
1088 | Orderable Item | |
1089 | IEN 3 p oints to = > | |
1090 | IEN 100 points to => | |
1091 | ||
1092 | 500 | |
1093 | IEN 4 p oints to = > | |
1094 | IEN 100 points to => | |
1095 | ||
1096 | 500 | |
1097 | IEN 5 p oints to = > | |
1098 | IEN 100 points to => | |
1099 | ||
1100 | 500 | |
1101 | IEN 10 po ints to => | |
1102 | ||
1103 | IEN 200 points t o => | |
1104 | 500 | |
1105 | Cross-Refe rences | |
1106 | ^PS(50.7," A50",500,1 00)="" | |
1107 | ^PS(50.7," A50",500,2 00)="" | |
1108 | ||
1109 | ||
1110 | ||
1111 | ^PSDRUG("A 526",100,3 )="" | |
1112 | ||
1113 | ||
1114 | ||
1115 | ^PSDRUG("A 526",100,4 )="" | |
1116 | ||
1117 | ||
1118 | ||
1119 | ^PSDRUG("A 526",100,5 )="" | |
1120 | ^PSDRUG("A 527",200,1 0)="" | |
1121 | For exampl e, the USE D IN IV FL UID ORDER ENTRY fiel d (#17) in the IV AD DITIVES fi le (#52.6) for IV Ad ditive 3 c ould be ed ited. The Orderable Item that the IV Add itive poin ts to in t his case, is 500. Bo th the Kil l and Set logic (sam e logic) f or the OI 500 is upd ated by lo oping thro ugh the "A 50" Cross- Reference in the PHA RMACY ORDE RABLE ITEM file (#50 .7), findi ng each Di spense Dru g IEN, and going thr ough the " A526" and "A527" Cr oss-Refere nces in th e DRUG fil e (#50) fo r that Dis pense Drug . This pro cess is th en repeate d for the next Dispe nse drug i dentified in the “A5 0” Cross-R eference | |
1122 | If the DRU G file (#5 0) pointer for IV Ad ditive 3 w ere change d from Dis pense Drug 100 to Di spense Dru g 900, the Cross-Ref erence on the Dispen se Drug Po inter woul d be kille d. | |
1123 | Kill Logic | |
1124 | Using old value of X , which eq uals the D ispense Dr ug 100 and DA, which equals th e IV ADDIT IVE 3, the software would kill Cross-Ref erence ^P SDRUG("A52 6",100,3) with the f ollowing C ross-Refer ences rema ining. | |
1125 | ||
1126 | ||
1127 | ||
1128 | ^PS(50.7," A50",500,1 00)="" | |
1129 | ^PS(50.7," A50",500,2 00)="" | |
1130 | ||
1131 | ||
1132 | ||
1133 | ^PSDRUG("A 526",100,4 )="" | |
1134 | ||
1135 | ||
1136 | ||
1137 | ^PSDRUG("A 526",100,5 )="" | |
1138 | ||
1139 | ||
1140 | ||
1141 | ^PSDRUG("A 527",200,1 0)="" | |
1142 | Using DA, the softwa re would g et the old Orderable Item poin ter of 500 and execu te the Ord erable Ite m logic fo r Dispense Drugs 100 , IV Addit ives 4 and 5, Dispen se Drug 20 0, and IV Solution 1 0. | |
1143 | The value for the PH ARMACY ORD ERABLE ITE M field (# 15) in the IV ADDITI VES file ( #52.6) wou ld be set to null an d Cross-Re ferences o n this fie ld would b e deleted. | |
1144 | Set Logic | |
1145 | Using new value X, w here X equ als the Di spense Dru g 900, the software would set the new "A 526" Cross Reference as ^PSDRU G("A526",9 00,3)="", The update d Cross-Re ferences a re as foll ows | |
1146 | ||
1147 | ||
1148 | ||
1149 | ^PS(50.7," A50",500,1 00)="" | |
1150 | ^PS(50.7," A50",500,2 00)="" | |
1151 | ||
1152 | ||
1153 | ||
1154 | ^PSDRUG("A 526",100,4 )="" | |
1155 | ||
1156 | ||
1157 | ||
1158 | ^PSDRUG("A 526",100,5 )="" | |
1159 | ^PSDRUG("A 526",900,3 )="" | |
1160 | ||
1161 | ||
1162 | ||
1163 | ^PSDRUG("A 527",200,1 0)="" | |
1164 | Using new value of X , where X equals the Dispense Drug 900, the softwa re gets th e Orderabl e Item poi nter for D ispense Dr ug 900, in this exam ple, Order able Item 2000. The applicable Cross-Ref erences wo uld be the following . | |
1165 | ||
1166 | ||
1167 | ||
1168 | ^PS(50.7," A50",500,1 00)="" | |
1169 | ^PS(50.7," A50",500,2 00)="" | |
1170 | ^PS(50.7," A50",2000, 900)="" | |
1171 | ||
1172 | ||
1173 | ||
1174 | ^PSDRUG("A 526",100,4 )="" | |
1175 | ||
1176 | ||
1177 | ||
1178 | ^PSDRUG("A 526",100,5 )="" | |
1179 | ^PSDRUG("A 526",900,3 )="" | |
1180 | ||
1181 | ||
1182 | ||
1183 | ^PSDRUG("A 527",200,1 0)="" | |
1184 | The softwa re perform s the OI u pdate for Orderable Item 2000, with Disp ense Drug 900 and IV Additive 3. The PHA RMACY ORDE RABLE ITEM field (#1 5) value i n the IV A DDITIVES f ile (#52.6 ) is set t o 2000. Th e correspo nding Cros s-Referenc es on this field are also set. | |
1185 | Security M anagement | |
1186 | The PDM pa ckage does not conta in any VA FileMan se curity cod es except for progra mmer secur ity (@) on the data dictionari es for the PDM files . Security with resp ect to sta ndard opti ons in the module is implement ed by care fully assi gning opti ons to use rs and by the use of security keys. | |
1187 | Mail Group s | |
1188 | Patch PSS* 1*147 crea tes a new mail group called PS S ORDER CH ECKS. The mail group descripti on below w as retriev ed from VA FileMan. The IRM Ph armacy sup port and P harmacy AD PACs (and backups) s hould at a minimum b e added to this mail group. | |
1189 | NAME: PSS ORDER CHEC KS | |
1190 | TYPE: publ ic | |
1191 | DESCRIPTIO N: Membe rs of this mail grou p will rec eive vario us notific ations | |
1192 | that impac t Enhanced Order Che cks (drug- drug inter actions, d uplicate t herapy | |
1193 | and dosing checks) i ntroduced with PRE V . 0.5 util izing a CO TS databas e. | |
1194 | Patch PSS* 1*227 crea tes a new mail group called PS S DEE AUDI T. The mai l group de scription below was retrieved from VA Fi leMan. Thi s mail gro up should include an yone who s hould be n otified wh en changes are made to the DRU G file (#5 0). For mo re informa tion on th is mail gr oup, refer to the Ph armacy Dat a Manageme nt Manager ’s User Ma nual. | |
1195 | NAME: PSS DEE AUDIT | |
1196 | TYPE: publ ic | |
1197 | DESCRIPTIO N: Membe rs of this mail grou p will rec eive audit notificat ions | |
1198 | when certa in fields are viewed or change d in the D RUG file ( #50). | |
1199 | Alerts | |
1200 | There are no alerts in the PDM package. | |
1201 | Bulletins | |
1202 | Bulletins are 'Super ' messages . Each Bul letin has a text and a subject just like a normal message. B ut embedde d within e ither the subject or the text can be var iable fiel ds that ca n be fille d in with parameters . There is also a st andard set of recipi ents in th e form of a Mail Gro up that is associate d with the bulletin. | |
1203 | Bulletins are proces sed by Mai lMan eithe r because of either a special type of cr oss refere nce or a d irect call in a rout ine. The i nterface f or the dir ect call i s describe d in the d ocumentati on on prog rammer ent ry points. FileMan s ets up cod e that wil l issue a bulletin a utomatical ly when th e special cross refe rence type is create d. In eit her case t he paramet ers that g o into the text and/ or the sub ject make each bulle tin unique . | |
1204 | NAME: PSS FDB INTERF ACE | |
1205 | SUBJECT: O RDER CHECK DATABASE DOWN | |
1206 | RETENTION DAYS: 3 | |
1207 | PRIORITY?: YES | |
1208 | NAME: PSS FDB INTERF ACE RESTOR ED | |
1209 | SUBJECT: O RDER CHECK DATABASE IS BACK UP | |
1210 | RETENTION DAYS: 3 | |
1211 | PRIORITY?: YES | |
1212 | Remote Sys tems | |
1213 | PDM does n ot transmi t data to any remote system or facility. | |
1214 | Archiving/ Purging | |
1215 | There are no archivi ng and pur ging funct ions neces sary with the PDM pa ckage. | |
1216 | Contingenc y Planning | |
1217 | Sites util izing the PDM packag e should d evelop a l ocal conti ngency pla n to be us ed in the event of p roduct pro blems in a live envi ronment. T he facilit y continge ncy plan m ust identi fy the pro cedure for maintaini ng functio nality pro vided by t his packag e in the e vent of sy stem outag e. Field s tation Inf ormation S ecurity Of ficers (IS Os) may ob tain assis tance from their Reg ional Info rmation Se curity Off icer (RISO ). | |
1218 | Interfacin g | |
1219 | There are no special ized produ cts embedd ed within or require d by the P DM package . | |
1220 | Electronic Signature s | |
1221 | No electro nic signat ures are u tilized in the PDM p ackage. | |
1222 | Locked Men u Options | |
1223 | This secti on relates only to o ptions tha t are lock ed. For a complete l isting of The PDM op tions list ed in the PSS MGR Me nu structu re, refer to the Men u/Options section of this docu ment. | |
1224 | Locke d: PSXCMOP MGR | |
1225 | Without th e PSXCMOPM GR keyxe " PSXCMOPMGR key", the CMOP Mark /Unmark (S ingle drug ) option w ill not ap pear on yo ur menu. | |
1226 | Security K eys | |
1227 | The PSS OR DER CHECKS security key is use d to contr ol access to the Ena ble/Disabl e Dosing O rder Check s [PSS DOS ING ORDER CHECKS] op tion. | |
1228 | In order t o mark or edit packa ge specifi c fields i n a DRUG f ile (#50) entry, the user must hold the correspond ing packag e key. The keys are assigned f or the ind ividual pa ckages. PD M does not export an y of these keys. | |
1229 | ||
1230 | Packa ge | |
1231 | Keys | |
1232 | Outpatient Pharmacy | |
1233 | PSORPH | |
1234 | Inpatient Medication s | |
1235 | PSJU MGR | |
1236 | Inpatient Medication s | |
1237 | PSJI MGR | |
1238 | Automatic Replenishm ent/Ward S tock | |
1239 | PSGWMGR | |
1240 | Drug Accou ntability/ Inventory Interface | |
1241 | PSAMGR | |
1242 | Drug Accou ntability/ Inventory Interface | |
1243 | PSA ORDERS | |
1244 | Controlled Substance s | |
1245 | PSDMGR | |
1246 | National D rug File | |
1247 | PSNMGR | |
1248 | Consolidat ed Mail Ou tpatient P harmacy | |
1249 | PSXCMOPMGR | |
1250 | Patch PSS* 1*147 expo rts the fo llowing fo ur securit y keys, th at will be used by t he Pharmac y Enterpri se Customi zation Sys tem (PECS) applicati on. Only a few users who will be granted access to the PECS applicatio n will nee d one or m ore keys a ssigned ba sed on the ir role. A ssignment of these k eys should be by req uest only. The secur ity key de scriptions were retr ieved from VA FileMa n. | |
1251 | NAME: PSS_ CUSTOM_TAB LES_ADMIN | |
1252 | DESCRIPTIV E NAME: AD MINISTRATO R | |
1253 | DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holder s of this key will h ave the ab ility to p erform con figuration and admin istrative tasks for the applic ation. The y will als o have que rying capa bilities. | |
1254 | NAME: PSS_ CUSTOM_TAB LES_APPROV ER | |
1255 | DESCRIPTIV E NAME: AP PROVER | |
1256 | DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holde rs of this key will have the s ame privil eges as th ose with t he PSS CUS TOM TABLES REQUESTOR key. Addi tional cap abilities will be to review, a pprove, de lete or re ject custo mization r equests an d to view and genera te reports . | |
1257 | NAME: PSS_ CUSTOM_TAB LES_REL_MA N | |
1258 | DESCRIPTIV E NAME: RE LEASE MANA GER | |
1259 | DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holder s of this key will h ave the ab ility to c reate file updates f or FDB dat abase tabl es to be a pplied at local faci lities. Th ey will al so have qu erying cap abilities. | |
1260 | NAME: PSS_ CUSTOM_TAB LES_REQUES TOR | |
1261 | DESCRIPTIV E NAME: RE QUESTOR | |
1262 | DESCRIPTIO N: This key is use d by the P harmacy En terprise C ustomizati on System (PECS) web applicati on. Holde rs of this key will be allowed to enter customizat ion reques ts, displa y and view the statu s of their own reque sts. They will also have limit ed queryin g capabili ties | |
1263 | Five secur ity keys w ere introd uced with Patch PSS* 1*167 that will be u sed to aut henticate users acce ssing the Pharmacy P roduct Sys tem-Nation al (PPS-N) using Ker nel Authen tication a nd Authori zation for J2EE (KAA JEE). Use rs requiri ng access to the Pha rmacy Prod uct System -National should be assigned t hese keys as appropr iate to th eir level of approve d access. PPS-N is a reengine ered produ ct that wi ll replace the Natio nal Drug F ile Manage ment Syste m (NDFMS). Site use rs may be assigned t he PSS_PPS N_VIEWER k ey only. The other four secur ity keys a re only to be assign ed to memb ers of the National NDF Manage ment Group . | |
1264 | NAME: PSS_ PPSN_MANAG ER | |
1265 | DESCRIPTIV E NAME: PP S-National Manager | |
1266 | DESCRIPTIO N: This role can p erform the operation al functio ns in PPS- N but does n't have t he adminis trative ri ghts of th e PPS-N Na tional Sup ervisor. | |
1267 | NAME: PSS_ PPSN_MIGRA TOR | |
1268 | DESCRIPTIV E NAME: PP S-National Migration User | |
1269 | DESCRIPTIO N: This role has t he ability to run th e PPS-N Mi gration. | |
1270 | NAME: PSS_ PPSN_SECON D_APPROVER | |
1271 | DESCRIPTIV E NAME: PP S-National Second Ap prover | |
1272 | DESCRIPTIO N: This role has t he ability to do a s econd appr oval on it ems that a re in the pending se cond appro val state. | |
1273 | NAME: PSS_ PPSN_SUPER VISOR | |
1274 | DESCRIPTIV E NAME: PP S-National Superviso r | |
1275 | DESCRIPTIO N: This role has t he ability to perfor m all acti ons in the PPS-N app lication, including Administra tion and C onfigurati on. | |
1276 | NAME: PSS_ PPSN_VIEWE R | |
1277 | DESCRIPTIV E NAME: PP S-National Viewer | |
1278 | DESCRIPTIO N: This role has t he ability to log in and view items in t he PPS-N A pplication but canno t modify a ny of the items. | |
1279 | File Secur ity | |
1280 | Informatio n about al l files, i ncluding t hese, can be obtaine d by using the VA Fi leMan to g enerate a list of fi le attribu tes. | |
1281 | PDM Files | |
1282 | File | |
1283 | NumbersFil e NamesDDR DWRDELLAYG O50 | |
1284 | DRUG | |
1285 | @50.4 | |
1286 | DRUG ELECT ROLYTES | |
1287 | @50.606 | |
1288 | DOSAGE FOR M | |
1289 | @ | |
1290 | ||
1291 | @ | |
1292 | @ | |
1293 | @50.7 | |
1294 | PHARMACY O RDERABLE I TEM | |
1295 | @51 | |
1296 | MEDICATION INSTRUCTI ON | |
1297 | @51.1 | |
1298 | ADMINISTRA TION SCHED ULE | |
1299 | @51.2 | |
1300 | MEDICATION ROUTES | |
1301 | @51.23 | |
1302 | STANDARD M EDICATION ROUTES | |
1303 | @ | |
1304 | Pp | |
1305 | @ | |
1306 | @ | |
1307 | @51.24 | |
1308 | DOSE UNITS | |
1309 | @ | |
1310 | Pp | |
1311 | @ | |
1312 | @ | |
1313 | @ | |
1314 | 51.25 DOSE UNI T CONVERSI ON @ Pp @ @ @51.5 | |
1315 | ORDER UNIT | |
1316 | 51.7 | |
1317 | DRUG TEXT | |
1318 | @52.6 | |
1319 | IV ADDITIV ES | |
1320 | @52.7 | |
1321 | IV SOLUTIO NS | |
1322 | @53.47 | |
1323 | INFUSION I NSTRUCTION S | |
1324 | 54 | |
1325 | RX CONSULT | |
1326 | 55 | |
1327 | PHARMACY P ATIENT (Pa rtial DD) | |
1328 | @ | |
1329 | P59.7 | |
1330 | PHARMACY S YSTEM | |
1331 | ^ | |
1332 | ||
1333 | ^ | |
1334 | ^ | |
1335 | ^59.73 | |
1336 | VENDOR DIS ABLE/ENABL E | |
1337 | @ | |
1338 | @ | |
1339 | @ | |
1340 | @ | |
1341 | @ | |
1342 | 59.74 | |
1343 | VENDOR INT ERFACE DAT A | |
1344 | @ | |
1345 | @ | |
1346 | @ | |
1347 | @ | |
1348 | @ | |
1349 | Non-PDM Fi les | |
1350 | File | |
1351 | NumbersFil e NamesDDR DWRDELLAYG O200 NEW PER SON (Parti al DD) # # # # #9009032. 3 APSP I NTERVENTIO N TYPE 9009032.4 APSP INT ERVENTION 90 09032.5 APSP INTER VENTION RE COMMENDATI ON | |
1352 | Please ref er to the "Sending S ecurity Co des." sect ion of the Kernel V. 8.0 Syste ms Manual for more i nformation concernin g installa tion of se curity cod es. | |
1353 | References | |
1354 | There are no regulat ions or di rectives r elated to the Pharma cy Data Ma nagement p ackage. Ad ditional m anuals rel ated to th e Pharmacy Data Mana gement pac kage can b e found at the VistA Documenta tion Libra ry (VDL) o n the Inte rnet. | |
1355 | Appendix A : Pharmacy Interface Automatio n | |
1356 | REF Bulle tins_p32a \h \* MER GEFORMAT | |
1357 | ||
1358 | ||
1359 | REF Bulle tins_p32a \h \* MER GEFORMAT | |
1360 | ||
1361 | ||
1362 | REF Bulle tins_p32a \h \* MER GEFORMAT | |
1363 | Introducti on appendi x provides a brief d escription of the ne w features and funct ions of th e Pharmacy Interface Automatio n project. This proj ects consi st of mult iple patch es, which must be in stalled fo r the func tionality to perform . | |
1364 | The Clinic al Ancilla ry Service s (CAS) De velopment Delivery o f Pharmacy enhanceme nts (DDPE) Pharmacy Interface Automation project s upports th e initiati ve to crea te an auto mated inte rface betw een the Ph armacy Aut omated Dis pensing Eq uipment (P ADE) used in the inp atient and outpatien t care set tings and VistA Phar macy and A dmission D ischarge T ransfer (A DT) applic ations. Th is will al low VA hea lth care u sers the a bility to access, tr ansmit, re ceive aler ts, and ge nerate rep orts on me dication t ransaction s. | |
1365 | Pharmacy I nterface A utomation is a vital enhanceme nt to the medication transacti on functio ns of the PADE. It allows pha rmacists t o access d ispensing equipment remotely; keep a per petual inv entory of all medica tion recei ved, dispe nsed, and wasted; al ert the ph armacy of medication removed f rom the de vices with out orders ; and esta blishes mo nitors for potential ly inappro priate ele ctronic ph armacy tra nsactions. | |
1366 | This produ ct shall r un on stan dard hardw are platfo rms used b y the Depa rtment of Veterans A ffairs (VA ) Healthca re facilit ies. | |
1367 | The minimu m required VistA sof tware is: | |
1368 | PackageMin imum Versi on NeededA dverse Rea ction Trac king (ART) 4.0BCMA3.0 Computeriz ed Patient Record Sy stem (CPRS )3.0Contro lled Subst ance3.0Dru g Accounta bility3.0V A FileMan2 2.0HL72.4I npatient M edications (IP)5.0Ke rnel8.0Mai lMan7.1Mas ter Patien t Index/Pa tient Demo graphics ( MPI/PD)1.0 National D rug File ( NDF)4.0Nur sing Servi ce4.0Order Entry/Res ults Repor ting (OERR )3.0Regist ration5.3P harmacy Da ta Managem ent (PDM)1 .0Remote P rocedure C all (RPC) Broker1.1S cheduling5 .3New Func tionality | |
1369 | A new auto mated bidi rectional interface between Vi stA and PA DE has bee n designed and devel oped utili zing VIE a s the midd leware com ponent for communica tion of HL 7 messages and error handling. The adde d function al compone nts are: | |
1370 | Provide ph armacists the capabi lity to re motely acc ess dispen sing equip ment to pr ovide the pharmacist the statu s of drugs : whether they have been disp ensed, or in the que ue or some error con dition tha t may have been enco untered by the dispe nsing equi pment. | |
1371 | Provide PA DE the cap ability to transmit dispensing informati on to Vist A Pharmacy to keep a perpetual inventory of all dr ugs/medica tions rece ived, disp ensed, and wasted. | |
1372 | Provide PA DE the cap ability to alert Vis tA Pharmac y of medic ation remo val from P ADE withou t orders. | |
1373 | Establish monitors o f all pote ntially in appropriat e electron ic pharmac y transact ions. Imp lement tre nding repo rts in ord er to addr ess and de tect poten tially ina ppropriate pharmacy transactio ns, such a s drug div ersion. F or example , reports include th e ability to sort tr ansactions by nursin g, user, d rug, etc., and from the VA-sid e of the i nterface. | |
1374 | Refer to t he followi ng Pharmac y Interfac e Automati on documen ts for add itional in formation: | |
1375 | (will add hyperlinks once thes e are in f inal folde r or on TS PR) | |
1376 | Pharmacy I nterface A utomation Installati on Guide | |
1377 | Pharmcy In terface Au tomation U ser Guide | |
1378 | Pharmacy I nterface A utomation System Des ign Docume nt | |
1379 | Pharmacy I nterface A utomation Data Dicti onary | |
1380 | Options an d Build Co mponents | |
1381 | The follow ing are th e options and build components for Pharm acy Interf ace Automa tion for P SS*1.0*193 : | |
1382 | Select OPT ION NAME: XPD PRI NT BUILD Build F ile Print | |
1383 | Build File Print | |
1384 | Select BUI LD NAME: P SS*1.0*193 PHA RMACY DATA MANAGEMEN T | |
1385 | DEVICE: HO ME// ;;999 99 SSH VI RTUAL TERM INAL | |
1386 | PACKAGE: P SS*1.0*193 Nov 2 5, 2015 10 :27 am PAGE 1 | |
1387 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------S INGLE PACK AGE TRACK NATIONALLY : YES | |
1388 | NATIONAL P ACKAGE: PH ARMACY DAT A MANAGEME NT A LPHA/BETA TESTING: N O | |
1389 | As part of this patc h PSS*1*19 3, the fol lowing enh ancements were made: | |
1390 | Two new pr otocols PS S MFNM01 C LIENT and PSS MFNM01 SERVER we re added t o facilita te sending MFN HL7 d rug messag es to PADE . | |
1391 | The Send E ntire Drug File to E xternal In terface [P SS MASTER FILE ALL] option wa s modified to allow transmissi on of the drug file to an Inpa tient Inte rface (PAD E) dependi ng on the PADE setup . It also provides t he flexibi lity of se nding all drugs mark ed for Uni t Dose, IV or Ward S tock or se nd selecte d drugs to PADE. | |
1392 | Since this option no w allows t o send all or select ed drugs t o PADE, th e option n ame "Send Entire Dru g File to External I nterface" was change d to "Se nd Drug Fi le Entries to Extern al Interfa ce" | |
1393 | A new PSS PADE INIT security k ey was add ed so that holders o f this key can only send "all" drugs to PADE noted in item 2 . | |
1394 | Option Dru g Enter/Ed it [PSS DR UG ENTER/E DIT] was m odified to send an a ddition/up date/both or none to PADE prov ided it is setup to receive su ch updates . | |
1395 | ENVIRONMEN T CHECK: D ELETE ENV ROUTINE: | |
1396 | PRE-INIT ROUTINE: DELETE PRE-INIT ROUTINE: | |
1397 | POST-INIT ROUTINE: DELETE POST-INIT ROUTINE: | |
1398 | PRE-TRANSP ORT RTN: | |
1399 | ROUTINE: ACT ION: | |
1400 | PSSDEE SEND TO SI TE | |
1401 | PSSHLDF S SEND TO SI TE | |
1402 | PSSMSTR SEND TO SI TE | |
1403 | OPTION: ACT ION: | |
1404 | PSS MAS TER FILE A LL SEND TO SI TE | |
1405 | SECURITY K EY: ACT ION: | |
1406 | PSS PAD E INIT SEND TO SI TE | |
1407 | PROTOCOL: ACT ION: | |
1408 | PSS MFN M01 CLIENT SEND TO SI TE | |
1409 | PSS MFN M01 SERVER SEND TO SI TE | |
1410 | REQUIRED B UILDS: ACT ION: | |
1411 | PSS*1.0 *180 Don't inst all, leave global | |
1412 | CDEVISC1A2 :DVA> | |
1413 | Modified a nd New Rou tines | |
1414 | The follow ing routin es are for PSS*1*193 : | |
1415 | PSSDEE | |
1416 | PSSHLDFS | |
1417 | PSSMSTR | |
1418 | (This page included for two-si ded copyin g.) | |
1419 | Glossary | |
1420 | Administra tion Sched ule FileTh e ADMINIST RATION SCH EDULE file (#51.1) c ontains ad ministrati on schedul e names an d standard dosage ad ministrati on times. The name i s a common abbreviat ion for an administr ation sche dule (e.g. , QID, Q4H , PRN). Th e administ ration tim e is enter ed in mili tary time. CPRS A Vis tA compute r software package c alled Comp uterized P atient Rec ord System . CPRS is an applica tion in Vi stA that a llows the user to en ter all ne cessary or ders for a patient i n differen t packages from a si ngle appli cation. DA TUPFunctio nality tha t allows t he Pharmac y Enterpri se Customi zation Sys tem (PECS) to send o ut custom and standa rd commerc ial-off-th e-shelf (C OTS) vendo r database changes t o update t he two cen tralized d atabases a t Austin a nd Martins burg.Dispe nse DrugTh e Dispense Drug is p ulled from DRUG file (#50) and usually h as the str ength atta ched to it (e.g., Ac etaminophe n 325 mg). Usually, the name a lone witho ut a stren gth attach ed is the Pharmacy O rderable I tem name.D osage Form File | |
1421 | Dose Unit Conversion File | |
1422 | The DOSAGE FORM file (#50.606) contains all dosage forms and associate d data tha t are used by Pharma cy package s and CPRS . The dosa ge form is used in S IG constru ction, def ault value s and in t he determi nation of the type o f each dos age create d for each applicati on. | |
1423 | The DOSE U NIT CONVER SION file (#51.25) w as created to conver t one dose unit to a nother usi ng a conve rsion fact or so that a compari son can be made betw een two do se units w hen they a re not equ ivalent. The dose u nit used f or the Dos ing Order Check may not be the same dose unit Firs t Databank (FDB) ret urns with the Dosing Order Che ck results .Dose Unit FileThe D OSE UNIT f ile (#51.2 4) was cre ated to ac complish t he mapping to First DataBank ( FDB). All entries in this file have been mapped to an FDB Do se Unit. A lthough th is file ha s not yet been stand ardized by Standards and Termi nology Ser vices (STS ), no loca l editing will be al lowed. Whe n populati ng the Dos e Unit fie ld for a L ocal Possi ble Dosage in the DR UG file (# 50), selec tion will be from th is new fil e.Drug Ele ctrolytes FileThe DR UG ELECTRO LYTES file (#50.4) c ontains th e names of anions/ca tions, and their cat ions and c oncentrati on units.D rug FileTh e DRUG fil e (#50) ho lds the in formation related to each drug that can be used to fill a pr escription or medica tion order . It is po inted to f rom severa l other fi les and sh ould be ha ndled care fully, usu ally only by special individua ls in the Pharmacy S ervice. En tries are not typica lly delete d, but rat her made i nactive by entering an inactiv e date.Dru g Text Fil eThe DRUG TEXT file (#51.7) st ores rapid ly changin g drug res trictions, guideline s, and pro tocols to help assur e medicati ons are be ing used a ccording t o defined specificat ions.Infus ion Instru ctions Fil eThe INFUS ION INSTRU CTIONS fil e (#53.47) holds abb reviations used when entering the Infust ion Rate ( #.08) fiel d in the I V (#100) m ultiple of the PHARM ACY PATIEN T (#55) FI LE, AND TH E infusion rate (#59 ) FIELD IN THE non-v erified or ders (#53. 1) file. E ach record holds an expansion of the abb reviation which repl aces the a bbreviatio n in the I nfusion Ra te at the time the I V order is created.I V Additive s FileThe IV ADDITIV ES file (# 52.6) cont ains drugs that are used as Ad ditives in the IV ro om. Data e ntered inc ludes drug generic n ame, print name, dru g informat ion, synon ym(s), dis pensing un its, cost per unit, days for I V order, u sual IV sc hedule, ad ministrati on times, electrolyt es, and qu ick code i nformation .IV Soluti ons FileTh e IV SOLUT IONS file (#52.7) co ntains dru gs that ar e used as primary so lutions in the IV ro om. The so lution mus t already exist in t he Drug fi le (#50) t o be selec ted. Data in this fi le include s: drug ge neric name , print na me, status , drug inf ormation, synonym(s) , volume, and electr olytes.Loc al Possibl e DosagesL ocal Possi ble Dosage s are free text dosa ges that a re associa ted with d rugs that do not mee t all of t he criteri a for Poss ible Dosag es.Medicat ion Instru ction File The MEDICA TION INSTR UCTION fil e (#51) is used by U nit Dose a nd Outpati ent Pharma cy. It con tains the medication instructi on name, e xpansion a nd intende d use.Medi cation Rou tes FileTh e MEDICATI ON ROUTES file (#51. 2) contain s medicati on route n ames. The user can e nter an ab breviation for each route to b e used at their site . The abbr eviation w ill most l ikely be t he Latin a bbreviatio n for the term.Medic ation Rout es/Abbrevi ationsThe Medication RouteS fi le (#51.2) contains the medica tion route s and abbr eviations, which are selected by each De partment o f Veterans Affairs M edical Cen ters (VAMC ). The abb reviation cannot be longer tha n five cha racters to fit on la bels and t he Medical Administr ation Reco rd (MAR). The user c an add new routes an d abbrevia tions as a ppropriate .MOCHAMedi cation Ord er Check H ealthcare Applicatio n. Nationa l Drug Fil eThe Natio nal Drug F ile provid es standar dization o f the loca l drug fil es in all VA medical facilitie s. Standar dization i ncludes th e adoption of new dr ug nomencl ature and drug class ification and links the local drug file entries to data in t he Nationa l Drug Fil e. For dru gs approve d by the F ood and Dr ug Adminis tration (F DA), VA me dical faci lities hav e access t o informat ion concer ning dosag e form, st rength and unit; pac kage size and type; manufactur er’s trade name; and National Drug Code (NDC). The NDF softw are lays t he foundat ion for sh aring pres cription i nformation among med ical facil ities.Non- Formulary DrugsDrugs that are not availa ble for us e by all p roviders.O rderable I temAn Orde rable Item is pulled from the PHARMACY O RDERABLE I TEM file ( #50.7) and usually h as no stre ngth attac hed to it (e.g., Ace taminophen ). The nam e, with a strength a ttached, i s the Disp ense Drug name (e.g. , Acetamin ophen 325m g).Orderab le Item Fi leThe ORDE RABLE ITEM file (#10 1.43) is a CPRS file that prov ides the O rderable I tems for s election w ithin CPRS . Pharmacy Orderable Items are a subset of this fi le.PECSPha rmacy Ente rprise Cus tomization System. A Graphical User Inte rface (GUI ) web-base d applicat ion used t o research , update v ia DATUP, maintain, and report VA custom izations o f the comm ercial-off -the-shelf (COTS) ve ndor datab ase used t o perform Pharmacy o rder check s such as drug-drug interactio ns, duplic ate therap y, and dos ing. PEPSP harmacy En terprise P roduct Ser vices. A s uite of se rvices tha t includes Outpatien t and Inpa tient serv ices.Pendi ng OrderA pending or der is one that has been enter ed by a pr ovider thr ough CPRS without Ph armacy fin ishing the order. On ce Pharmac y has fini shed (and verified f or Unit Do se only) t he order, it will be come activ e.Pharmacy Orderable ItemThe P harmacy Or derable It em is used through C PRS to ord er Inpatie nt Medicat ions and O utpatient Pharmacy p rescriptio ns.Pharmac y Orderabl e Item Fil eThe PHARM ACY ORDERA BLE ITEM f ile (#50.7 ) contains the Order Entry nam e for item s that can be ordere d in the I npatient M edications and Outpa tient Phar macy packa ges.Possib le Dosages Dosages th at have a numeric do sage and n umeric Dis pense Unit s Per Dose appropria te for adm inistratio n. For a drug to ha ve possibl e dosages, it must b e a single ingredien t product that is ma tched to V A PRODUCT file (#50. 68). The VA PRODUCT file (#50 .68) entry must have a numeric strength and the do sage form/ unit combi nation mus t be such that a num eric stren gth combin ed with th e unit can be an app ropriate d osage sele ction.Prom ptA point at which t he system questions the user a nd waits f or a respo nse.Standa rd Medicat ion Route FileThe ST ANDARD MED ICATION RO UTE file ( #51.23) wa s created to map Loc al Medicat ion Routes in VistA to an FDB Route in o rder to pe rform dosa ge checks in PRE V.0 .5. This file has b een standa rdized by Standards and Termin ology Serv ice (STS) and is map ped to an FDB Route. It cannot be edited locally. Standard S cheduleSta ndard medi cation adm inistratio n schedule s are stor ed in the Administra tion Sched ule file ( #51.1). Un its Per Do seThe Unit s Per Dose is the nu mber of Un its (table ts, capsul es, etc.) to be disp ensed as a dose for an order. Fractional numbers w ill be acc epted.VA D rug Class CodeA drug classific ation syst em used by VA that s eparates d rugs into different categories based upo n their ch aracterist ics. Some cost repor ts can be run for VA Drug Clas s Codes.VA Product F ileThe VA PRODUCT fi le (#50.68 ) contains a list of available drug prod ucts. |
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