BAR CODE MED ADMIN (177)    PACKAGE (9.4)

Name Value
NAME BAR CODE MED ADMIN
PREFIX PSB
CURRENT VERSION 3.0
SHORT DESCRIPTION BAR CODE MEDICATION ADMINISTRATION
VERSION
  1. VERSION:   1.0
    DATE DISTRIBUTED:   1999-08-06 00:00:00
    PATCH APPLICATION HISTORY:
    1. PATCH APPLICATION HISTORY:   1 SEQ #1
      DATE APPLIED:   1999-09-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses the issue of one-time meds showing up on the Virtual
      Due List from previous movements and even previous admission.  As released
      the VDL will search back 30 days for one-time orders and display them on
      the VDL if there is no associated administration in the BCMA medication
      log.  With this patch the VDL will now only go back as far as the current
      movement eliminating one-time orders from showing up from previous
      movements and admissions.
      
    2. PATCH APPLICATION HISTORY:   9 SEQ #10
      DATE APPLIED:   2001-03-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch PSB*1*9 contains the following:
          [PSBO WA] option is a combination of data that consists
          Corrective Action: The user is now able to mark a medication as
          NOT GIVEN at the "Admin Status:" prompt in the Edit Medication
          Log [PSB MED LOG EDIT] option and it appears correctly on the MAH.
       
      12. Problem: Large volume IV's do not print on the Due List [PSBO DL]
          option.
       
          Corrective Action: The Due List [PSBO DL] option has been corrected
          to display large volume IV's.
       
          of the ward location and the Room-Bed. When this combination of
      13. Modification: Added the COMMENT field (#.3) from the BCMA MEDICATION
          LOG file (#53.79) to the Medication Variance Log [PSBO MV] option.
          E3R - 13732 and 14810
       
      14. Modification: The message text the VDL displays when a patient has no
          orders have been modified. When there are no orders in VISTA for a
          selected patient the message, "No Active Orders at this Time" will be
          displayed. If there are orders in VISTA, but they do not fall within
          the start and stop times selected on the VDL the message,
          "No Meds to be Administered for the Time Period Selected!" will be
          data exceeds 32 characters it causes the report to print skewed.
          displayed. If no schedule types are selected on the VDL the message,
          "No Schedule Type(s) Selected!" will be displayed.
          E3R - 14680
       
      15. Modification: The process of Auto-update has been added to the BCMA
          functionality. Auto update is the process of automatically copying
          updated BCMA files from a server network drive to a client.
       
          The prompts "The UNC of the Auto-update Server" and "Autoupdate
          Notification Mail Group" have been added to Edit Divisional Parameters
       
          [PSB PARAMETERS] option.
       
          Please read the ReadMe.txt file found in your BCMA directory for a
          full description on the GUI update functionality.
          Corrective Action: The ward location and Room-Bed will now print
          on separate lines.
       
      3.  Problem: The "Missing Dose Printer" prompt did not display on the GUI
          BCMA Site Parameters.
       
       
          Corrective Action: The GUI BCMA Site Parameters has been
          corrected to display the "Missing Dose Request Printer" prompt.
       
      4.  Problem: When BCMA generates an error message to pharmacy because it
          cannot determine the schedule. It displays the orderable item number
          instead of the name. Below is an example.
       
          Order Number....: 570U
          Orderable Item..: 1695  <=====
          Patient.........: XXXXXX,SAMUEL  (000 00 0000)
      1.  Problem: The Virtual Due List (VDL) will only display the first
          Reason..........: Unable to determine schedule 2X/WEEK
       
          Corrective Action: The error message has been corrected to display
          the orderable item name instead of the number.
       
          Order Number....: 570U
          Orderable Item..: DIGOXIN TAB  <======
          Patient.........: XXXXXX,SAMUEL  (000 00 0000)
          Reason..........: Unable to determine schedule 2X/WEEK
       
          additive and solution for an Intravenous (IV) order.
      5.  Problem: The following occurs when trying to print a Due List
          from the Due List [PSBO DL] option with a patient who has
          the same last name and last four digits of the SSN as another patient.
          When the last initial and last four digits of the SSN are entered
          it displays two choices.
       
          1  M6383  MOUSE,MICKEY       11-13-48    XXXXX6383
          2  M6383  MOUSE,MINNIE         4-3-36    XXXXX6383
          CHOOSE 1-2: 1
       
       
          The following question is then asked:
       
          There is more than one patient whose last name is 'MOUSE' and
          whose social security number ends with '6383'.
          Are you sure you wish to continue (Y/N)? Y
       
          When this question is answered, the Due List screen shifts down
          one line, skewing the screen.
       
          Corrective Action: The Due List [PSBO DL] option screen has
          Corrective Action: The VDL will now display all additives, strengths,
          been corrected to not skew when there is a multiple patient match.
       
      6.  Problem: The user receives the following error message when
          attempting to start a PRN Piggyback. "Error(s) Filing Transaction
          MEDPASS. Business Logic Error: PRN Medications MUST Have a PRN
          Reason". The user is then unable to mark it as started.
       
          Corrective Action: The GUI VDL has been corrected to allow
          a user to mark a PRN Piggyback as started.
       
          solutions, and volumes for each IV order.
      7.  Problem: User receives an undefined error when using the Missing Dose
          [PSBO MD] option.
       
          Corrective Action: The error was resolved by performing a KILL on the
          D0 variable.
       
      8.  Problem: An IV order with a status of on call will not
          display on the VDL.
       
          Corrective Action: The VDL has been corrected to display IV's with
       
          a status of on call.
       
      9.  Problem: When scanning a drug with more than 6 units per dose, only 6
          units display in the "MULTIPLE DOSES TO SCAN" GUI window.
       
          Corrective Action: The "MULTIPLE DOSES TO SCAN" window has been
          corrected to show and scan more than 6 units of a medication.
       
      10. Problem: When a user leaves the "Print to DEVICE:" prompt blank
          within the Due List [PSBO DL] option the user receives a "NULL
      2.  Problem: The Room-Bed displaying on the Ward Administration Times
          SUBSCRIPT"  error.
       
          Corrective Action: The "Print to DEVICE:" prompt has been changed
          to be a required prompt.
       
      11. Problem: When a user deletes the date and time from an order already
          given within the Edit Medication Log [PSB MED LOG EDIT] option, the
          medication still appears as given on the Medication Administration
          History report (MAH).
       
      
    3. PATCH APPLICATION HISTORY:   10 SEQ #11
      DATE APPLIED:   2001-08-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch PSB*1*10 contains the following:
          VDL is opened on Tuesday.
      12. Problem: An undefined variable error is generated in the
          Missing Dose Report [PSBO MD] option when searching for
          an MAS ward.
       
          Corrective Action: The code has been modified to properly
          loop through the MAS ward locations and not generate an
          error.
       
      13. Problem: If a patient has an 2 orders with the same orderable
          item and 2 different dispense drugs, the Ward Administration
       
          Times [PSBO WA] option will only print the first order on
          the report.
       
          Corrective Action: The Ward Administration Times [PSBO WA]
          option has been corrected to display both orders.
       
      14. Problem: If the administration time and the Virtual Due List
          Parameters Start Time: are equal to 2400, the dose would
          not display on the VDL.
       
          Corrective Action: BCMA has been modified to no longer
          Corrective Action: The VDL has been modified to properly display
          the 2400 medication.
       
      15. Problem: An odd schedule order will only print the first two digits
          of the administration time on the Due List [PSBO DL] option.
       
          Corrective Action: Odd schedule administration times will now print
          military time on the Due List [PSBO DL] option.
       
      16. Problem: If an odd schedule order calculates an administration
          generate an error messages to the due list error notification
          time to be 2400. The GUI VDL will display "3030@3010" in the
          "Admin Time" column.
       
          Corrective Action: The calculated admin time for midnight dose
          will now properly display 2400 in the "Admin Time" column.
       
      17. Problem: If an order contained an odd schedule greater than
          24 hours, the subsequent doses would not display on the VDL.
          For example, if an order has a schedule of Q36H only the first
          dose would display on the VDL.
          mail group when the VDL is opened on a non scheduled
       
          Corrective Action: BCMA has been modified to properly calculate
          the subsequent doses for an odd schedule greater than 24 hours.
       
      18. Modification: The Label Print [PSBO BL] option has been
          modified to validate the drug requested for printing and the
          patient's current orders. If a drug is selected to print
          that the patient does not have a current order on. The
          following message will display
       
          administration day.
          "Patient not currently on medication: XYZ Med (Qty: 1)"
          Do you want to continue?
          E3R Number: 13809
       
      19. Modification: When the user performs a right-click on the VDL,
          the Start IV status on the VDL has been modified to Start.
       
      20. Modification: The GUI BCMA Site Parameters has been updated to include
          the following; Default Bar Code Format, Default Bar Code
          Prefix, Using Robot Rx, Allow Multiple Administration for On-Call,
       
          UNC of the Auto Update Server, Auto Update Notification,
          Default Prompt for INCL TRANSFERS, One Time Parameter.
       
          The Edit Divisional Parameters [PSB PARAMETERS] option will no
          longer be updated or maintained. All future enhancements and
          modifications will be made on the GUI BCMA Site Parameters.
       
      21. Modification: The Missing Dose Request [PSB MISSING DOSE REQUEST]
          option was modified to prompt the user for the dosage schedule.
          In the BCMA MISSING DOSE REQUEST file (#53.68), the SCHEDULE field
      2.  Problem: The patient's weight displayed in the patient
          (#.19) has been added as a required field to store the schedule
          information.
       
      22. Modification: The Missing Dose Report [PSBO MD] option was
          modified to display the dosage schedule.
          E3R Number: 13030
       
      23. Modification: The Missing Dose Request [PSB MISSING DOSE REQUEST]
          option was modified to display the patient's social security number
          (last four digits), ward location, and room/bed information in the
          demographic box on the GUI VDL was incorrect.
          e-mail message sent to the missing dose notification mail group.
          E3R Number: 12780
       
      24. Modification: Modified the right click 'Display Order'
          accelerator key to 'O' to match accelerator key on menu option.
       
          Modified the right click 'Drug IEN Code' accelerator
          key to 'D' to match accelerator key on menu option.
       
          Accelerator keys enable the user to access a menu command
       
          from the keyboard by pressing Alt+ the appropriate letter.
          E3R Number: 15291
       
      25. Modification:  The (MAH) [PSBO MH] option has been modified
          to display an asterisk with the initial if a student
          administered a medication.  In the legend section on the MAH
          report, this asterisk will correspond to the student and the
          instructors initials, names, and date/time the medication
          was given.
          E3R Number: 14609
       
          Corrective Action: The calculation for the patient's weight has
       
      26. Modification: The (MAH) [PSBO MH] option has been modified
          to print an "***" in the date column when an order is discontinued.
          E3R Number: 13413/13852
          been modified.
       
      3.  Problem: If a drug contains a future inactive date, the Label
          Print [PSBO DL] option will not print the drug.
       
          Corrective Action: The Label Print [PSBO DL] option has been modified
          to adhere to the future inactive date and print according to the date
          entered.
       
      1.  Problem: Orders with a day of the week schedule are generating
      4.  Problem: When a medication has been given and then the dispense
          drug has been changed on the order, the VDL will display the
          new dispense drug on the already given medication.
       
          Corrective Action: The VDL has been modified to properly display
          any changes in dispense drugs on an order.
       
      5.  Problem: User received an undefined error when altering a medication
          status in Edit Medication Log [PSB MED LOG EDIT] option.
       
          false error messages to the due list error notification mail
          Corrective Action: The Edit Medication Log [PSB MED LOG EDIT] option
          has been modified to not generate an undefined error, by using
          standard coding logic.
       
      6.  Problem: The Medication Administration History (MAH) [PSBO MH] option
          generates a null subscript error when the nurse or pharmacist initials
          are not present.
       
          Corrective Action: The MAH [PSBO MH] option has been modified to not
          generate an error when the nurse or pharmacist initials are not
          group. This occurs when the Virtual Due List (VDL) is opened
          entered. The report will print without the initials.
       
      7.  Problem: Orders which contain an odd schedule were not printing on the
          Missed Medications [PSBO MM], Ward Administration Times [PSBO WA]
          and the Ward Administration Times [PSBO WA] reports.
       
          Corrective Action: The reports have been modified to print
          odd schedule orders.
       
      8.  Problem: The Last Action column on the Virtual Due List is not
          on a day the order is not scheduled to be administered.
          displaying the four digit year.
       
          Corrective Action: The Virtual Due List has been modified to display
          the full four digit year.
       
      9.  Problem:  In reference to the Medication Variance Log [PSBO VR]
          option, a site noticed that this report indicates only the patient
          current ward location when the report is generated.  Although the
          patient may have received several administrations of medications on
          different wards, the report does not denote the patient specific
       
          location when the medication was administrated.  The lack of this
          information made it difficult for providers to track down the
          locations that had irregularities in the administration of medications
          to the patients.
       
          Corrective Action:  Modifications were made to the Medication Variance
          Log [PSBO VR] option to allow the report to display the patient
          location associated with each event date/time the medication was
          administrated to the patient.
       
          For example, an order with a schedule of MO-WE-FR
       
      10. Problem: Intravenous (IV) orders with a schedule of one-time
          generate a "Data Validation Error: 701: The value '.143022'
          for field ORDER ADMINISTRATION TIME in file BCMA MEDICATION LOG
          is not valid" error when trying to mark them as started.
       
          Corrective Action: BCMA has been modified to allow one-time
          IV orders to be marked as started without generating an error.
       
      11. Problem: The VDL is displaying an incorrect message when a medication
          will generate an error message to the mail group if the
          is marked as held. For example, when a medication is marked as held
          and the user tries to mark the next medication as given, the message
          "*** NOTICE, Aspirin was given 2 minutes ago" is being displayed.
       
          Corrective Action: The message has been updated to properly
          reflect the change in status. The new message displayed in the
          above example is;
       
          "*** NOTICE, Aspirin was HELD 2 minutes ago"
       
      
    4. PATCH APPLICATION HISTORY:   15 SEQ #12
      DATE APPLIED:   2001-09-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      A problem was found in PSB*1*10 with how the Bar Code Medication
         to the BCMA MISSING DOSE REQUEST file (#53.68) storing the external
         room-bed value.
       
         Corrective Action: The Missing Dose Report [PSBO MD] option was
         corrected by properly storing the internal room-bed value in
         the BCMA MISSING DOSE REQUEST file (#53.68).
       
      2. Problem: Orders that contain administration times (0900-1500) as
         a schedule do not display on the VDL. When a
         user tries to access the BCMA VDL, a MailMan message will be sent
      Administration (BCMA) Virtual Due List (VDL) processes orders with
         to the Due List Error Notification Mail Group for the pharmacist
         to correct the order. The message that is generated is stated below:
         "No Admin time required for non-standard schedules."
       
         Corrective Action: The VDL has been corrected to properly display
         orders that contain an administration time (0900-1500) as a schedule.
       
      3. Problem: When printing the Missed Medications [PSBO MM] option report
         by ward, there would be no truncation between data. This resulted in
         data overlapping, making the report unreadable.
      certain schedules. Below are the listed problems found with PSB*1*10.
       
         Corrective Action: To display all the data in a readable format, the
         Missed Medications [PSBO MM] option report has been modified by
         removing the ward location as a column. The ward location still
         displays as a header.
       
      4. Problem: Orders that contain a standard day of the week schedule
         (i.e. MO-TU@0900) that are in the ADMINISTRATION SCHEDULE file (#51.1)
         do not display properly on the VDL.
       
      Please note: PSB*1*10 should not be removed. PSB*1*15 has been developed
         Corrective Action: The VDL has been corrected to properly display
         standard day of the week schedules.
       
      5. Problem: IV Piggyback orders that contain a standard schedule (Q8H)
         with no frequency defined in the ADMINISTRATION SCHEDULE file #(51.1)
         do not display on the VDL.
       
         Corrective Action: The VDL has been corrected to properly display these
         these types of orders.
      to address these problems.
       
       
      1. Problem: The Missing Dose Report [PSBO MD] option is generating an
         illegal number error when a user tries to run the report. This was due
      
    5. PATCH APPLICATION HISTORY:   13
      DATE APPLIED:   2001-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. A site reported a problem where a one-time order could not be
       system parameter is not defined, the system will use the continuous order
       parameters to determine the stop date, rather than the start and stop 
       date being equal.  Then, when BCMA marks the medication as 'Given',
       Inpatient Medications will expire the order. NOIS# BUT-0501-20609.
       
      2. Manual Medication Entry [PSB MED LOG NEW ENTRY] option was generating a
       false Due List Error Notification message when accessed.
       
       BCMA V. 1.0 has been corrected to no longer generate an e-mail message.
       NOIS# NOP-0801-11096
       discontinued by the provider because it was expired due to the start and
             CTX-0801-72721
       
       This project consists of a master build containing three patches that 
       work together to accomplish these goals listed in order of install.
       Installation of this master build should be coordinated among the three
       packages affected since only one installation is necessary. The patches,
       in order of install, are:
       
             PSS*1*44  PHARMACY DATA MANAGEMENT V. 1.0
             PSJ*5*63  INPATIENT MEDICATIONS V. 5.0
       stop date being the same. However, the medication still displayed in Bar
             PSB*1*13  BAR CODE MEDICATION ADMINISTRATION V. 1.0
       Code Medication Administration (BCMA) V. 1.0 because of the 12-hour rule 
       for displaying one-time orders on the Virtual Due List.  This patch
       corrects this problem by changing the way the one-time orders is
       calculated. There will be a ward parameter, system parameter and the
       standard calculation.  The hierarchy will be to check the one-time ward
       parameter first, if not defined, check the system parameter.  If the
      
    6. PATCH APPLICATION HISTORY:   14 SEQ #14
      DATE APPLIED:   2002-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch PSB*1*14 contains the following:
      2.  Problem: In reference to the Missing Dose Request Report [PSB MISSING
          DOSE REQUEST] option, the dosage schedule was added to the report
          in PSB*1*10; however, each medication order was counted or
          displayed individually.  The sites would like the report to
          display a sum of identical medication orders.
       
          Corrective Action: Modifications were made to display the sum of
          medication orders that was identical and had an identical dosage
          schedule.
       
       
      3.  Problem:  When a user selects to sort or print The Medication Variance
          Log [PSBO MV] option by ward, the report displays the variance
          information for all Wards.  The site would like the report to
          display only the variance information related to the Ward selected
          via ScreenMan.
       
          Corrective Action:  Modifications were made to the option to display
          only the variance information related to the selected Ward.
       
       
      1.  Problem: The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option
      4.  Problem:  If the user enters in an old date (i.e. 1/21/1931), when
          running the Due List [PSBO DL] option, Bar Code Medication
          Administration (BCMA) generates an undefined variable error.
       
          Corrective Action: The Due List [PSBO DL] option does not generate
          an error when an old date is entered.
       
      5.  Problem:  If an order was placed with a schedule of Q3MONTHS, it would
          display on the  Virtual Due List (VDL) everyday.
       
          did not properly refresh after entering an effectiveness past the
          Corrective Action: The VDL was corrected to display an order with
          a schedule of Q3MONTHS, once every 3 months.
       
      6.  Problem:  The word missing is misspelled in the report header of the
          Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option. The header
          displays "Currently Unresolved Mising Dose Requests"
       
          Corrective Action: The misspelled word has been corrected.
       
      7.  Problem:  The Missed Medications [PSBO MM] option report does not
          allowed time.
          display the first dose for an odd schedule.
       
          Corrective Action: The Missed Medications [PSBO MM] option report
          has been modified to properly display the first dose for an odd
          schedule.
       
          Corrective Action: The refresh command was added to the menu option
          to properly display the screen.
       
      
    7. PATCH APPLICATION HISTORY:   2 SEQ #2
      DATE APPLIED:   1999-12-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Y2K Waiver Request ID#:  Y2KW0001        Y2K Waiver Status: Approved
       printing the station number in front of the Internal Entry Number (IEN)
       on the ZEBRA barcode labels.  As released labels would print only the
       IEN as a barcode for the selected medication. After this patch labels
       will be formatted as SiteNumber-IEN if the parameter PSB DEFAULT BARCODE
       SITE is set to yes.
       
       2. Use a different server name for the monthly SAGG reporting. Sites will
       notice no change with the SAGG update.
       
         Old Server: KMP1-BCMA-SERVER@ISC-ALBANY.DOMAIN.EXT
              This patch may be installed during the Y2K Moratorium, either
         New Server: KMP90-BCMA-SERVER@ISC-ALBANY.DOMAIN.EXT
       
       3. Further enhancements were done so the One-Time medications do not 
       appear on the Virtual Due List by discontinuing the order without having
       to mark the order as 'Do Not Give'.
       
       *************************************************************************
       NOTICE: This patch is released prior to a Y2K Waiver and can only be
       installed in a TEST environment until a waiver is received.  Upon
       granting of the waiver a message will be sent to all sites informing them
              BEFORE 12/15/99 or AFTER 1/15/2000.
       that this patch may be moved to live.
       *************************************************************************
              This patch MAY NOT be installed between 12/15/1999 and 1/15/2000
              (the Y2K Lockdown Period).
       
       This patch contains 3 improvements.
       
       1. Sites that are scheduled to integrate with a primary site can begin
      
    8. PATCH APPLICATION HISTORY:   3 SEQ #3
      DATE APPLIED:   2000-02-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Y2K Waiver Request ID#:  Y2KW0001        Y2K Waiver Status: Approved
       
       2. Problem: User input dates in VA Fileman format not accepted by BCMA.
       
          Corrective Action: BCMA was modified to accept and store user inputted
          dates in a VA Fileman format.
       
       3. Problem: The administration times report on the GUI Virtual Due List
          will only display a 24 hour period, even if a time range is selected.
        
          Corrective Action: The administration times report on the GUI Virtual
              This patch may be installed during the Y2K Moratorium, either
          Due List was made consistent to the administration times report on the
          CHUI by removing the administration time fields.
       
       4. If BCMA has been designated to be used for QA and testing purposes
          only, a notification will be displayed when starting BCMA.
       
       5. Problem: If the Client/Server clock variance was greater than the
          acceptable limit defined in the PSB Parameters, the Virtual Due List
          would display the PC time.
       
              BEFORE 12/15/99 or AFTER 1/15/2000.
          Corrective Action: Server/Client clock variance corrected to display
          server time.
       
       6. Required functionality added: Means Test Check Alert.
         
       7. Mandatory Security Check - The Director, Health Information Management 
      Headquarters, and VA General Counsel have requested modifications to patient
      look-up functionality in VistA.  This request results from a grievance filed by
      employees that cites non-compliance with the Employee Privacy Act System of
      Records.  The citation states that employee Social Security Number(SSN) and
      Patch PSB*1.0*3 contains the following fixes:
      Date of Birth (DOB) data is presented without soliciting the information from
      the system and without notification to appropriate site personnel that this
      information has been accessed.
       1. Problem: Orphan jobs were left running due to a disconnect in
          communication between the server and client.
          
          Corrective Action: Incorporate RPC Broker patch XWB*1.1*6 to allow
          orphan jobs to die.
      
    9. PATCH APPLICATION HISTORY:   4 SEQ #4
      DATE APPLIED:   2000-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
      2. Problem: The Missed Medications [PSBO MM] option does not print
          Corrective Action: The software has been corrected to not generate an
          error.
       
      15. Problem: When running the MAH report, the initials of the nurse who
          administered a PRN, on-call and one-time do not print on the report.
       
          Corrective Action: The MAH report has been corrected to properly print
          the initials of the nurse who administered an PRN, on-call, and
          one-time.
       
         one-time orders.
      16. Problem: When running the MAH report, one-time orders outside the date
          range are being printed.
       
          Corrective Action: One-time orders will display within selected date
          range on the MAH report.
       
      17. Problem: If no action was taken on a one-time order, they would stay
          on the VDL for 30 days.
       
          Corrective Action: One-time orders with no action will now drop off
       
          the  VDL after 12 hours.
         Corrective Action: The Missed Medications [PSBO MM] option will
         now print missed one-time orders on the report.
       
      3. Problem: The stop date on the Due List is not recognized when a date is
         entered.
       
         Corrective Action: The Stop Date prompt has been removed from the Due
      Patch PSB*1.0*4 contains the following fixes:
         List.
       
      4. Problem: BCMA did not accept a dosage which contained decimals
         (i.e.,0.01)
       
         Corrective Action: BCMA has been corrected to accept a dosage which
         contains a decimal.
       
      5. Problem: Medications marked as "Do not give" and "Discontinued" are
         printing on the Due List.
       
       
         Corrective Action: Medications marked as "Do not give" and
         "Discontinued" will no longer print on the Due List.
       
      6. Problem: When on-call's are chosen to print on  the Due List the
         report would print one-times. When one-times are chosen
         the report would print on-call's.
       
         Corrective Action: The Due List will now properly print one-times
         and on-call's.
      1. Problem: An undefined error was generated when running the Medication
       
      7. Problem: The user is unable to document the administration of a
         one-time order through the Manual Medication Entry
         [PSB MED LOG ENTRY] option.
         The  message "Error: OKAY to give" 'press return to  continue or
         ^ to exit', would display. No further action can be taken
         at this point.
       
         Corrective Action: One-time orders can now be properly documented
         through the Manual Medication Entry [PSB MED LOG ENTRY] option.
         Administration History (MAH) report.
       
      8. Problem: Within the Edit Divisional Parameters [PSB PARAMETERS] option,
         "Allowed Mins Before Sched Admin" would allow the administration of a
         medication to be administered based on the minutes prior to an
         "Administration Time."
       
         Corrective Action: The functionality of the question has been changed
         to allow the administration of a medication based on the number
         of minutes prior to the "active time" of an order.
       
       
      9. Problem: Within the Edit Log Medication [PSB MED LOG EDIT] option ,
         a nurse was unable to edit his or her own administration record if
         another nurse made an entry to that medication.
       
         Corrective Action: The Edit Log Medication [PSB MED LOG EDIT] option
         has been modified to allow a nurse to edit his or her own
         administration entries.
       
      10. Problem: Within the Edit Divisional Parameters [PSB PARAMETERS] option
          the user was not able to determine which division they had signed on
         Corrective Action: The BCMA Software was corrected to not pass an
          too.
       
          Corrective Action: The Edit Divisional Parameters [PSB PARAMETERS]
          option will now see the following message displayed: "You are
          currently logged onto Division: XXX", with XXX being the division
          you are logged onto.
       
      11. Problem: On the GUI Virtual Due List (VDL) when the nurse administers
          a PRN medication, the previous four PRN administrations are displayed
          with the  message "Okay to administer - Brief Administration History"
         undefined variable, thus not generate an error.
       
          Corrective Action: The display message has been changed to now read
          "Brief Administration History".
       
      12. Problem: On-call and PRNs medications would display on the GUI VDL
          even if they were not active.
       
          Corrective Action: The GUI VDL will not display an on-call or PRN
          order until it has become active.
       
       
      13. Problem: Within the Label Print [PSBO BL] and Drug File Inquiry
          [PSB DRUG INQUIRY] options, the Drug selection would allow the display
          and selection of inactive drugs and those marked for other packages.
       
          Corrective Action: The Drug Selection prompt will only display
          active rugs and those marked for packages "I" and "U".
       
      14. Problem: When attempting to run the Medication Administration Log
          [PSBO ML] option, an error is generated due to incomplete data.
       
      
    10. PATCH APPLICATION HISTORY:   5 SEQ #5
      DATE APPLIED:   2000-06-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: Sites using the Robot Rx are having difficulty with 
          1.1 The DRUG file #50 cannot contain a synonym that is 16 or 18 
      2.  Problem: Sites which are attempting to integrate are concerned that
          the current prompt "Include Site Number" within Edit Divisional 
          Parameters[PSB PARAMETERS] option may have duplicates numbers at 
          other sites.
       
          Corrective Action: The prompt "Include Site Number" has been changed
          to "Default Barcode Prefix". This will allow each site to enter in
          a one to five alphanumeric prefix instead of just the site's prefix.
       
      3.  Problem: The GUI Virtual Due List (VDL) does not wrap the "Dosage",
              digits in length and begins with a "3". If matches to this 
          cutting off the dosage display.
       
          Corrective Action. The GUI Virtual Due List has been corrected to
          properly wrap the "Dosage".
       
      4.  Problem: If a user defines a reason under Reasons a Med is
          given PRN, beginning with a numeric value, the GUI Virtual Due List
          would display the actual number of the reason, instead of the text.
          Please see NOIS HAM-0100-22249 for an example.
       
              pattern exist, they must be changed to a different format. 
          Corrective Action: The GUI Virtual Due List has been corrected to
          properly display the PRN reason defined.
       
      5.  Problem: Non-verified medications are printing on the Missed
          Medications Report.
       
          Corrective Action: The Missed Medications Report
          has been modified to exclude non-verified medications.
       
      6.  Problem: When administering an injectable drug from the VDL, you are
              Once these are changed, new synonyms matching this format 
          first prompted with the "Enter Quantity and Units" screen.
          Once this screen is completed, the "Injection Site Needed" screen
          appears. If you press cancel, the medication entry is logged as given
          and no injection site is filed with an entry.
       
          Corrective Action: The VDL has been modified to make injectable site
          a required field.
       
      7.  Problem: An error "Exception Elist error in module VCLX40.BPL AT
          0001A9FS" is generated in GUI when the following scenario occurs.
              cannot be entered while using Robot Rx. To search for 
          The user scans a drug that comes in 5mg doses and patient needs
          10mg dose. The user scanned the medication once, then used the
          touch screen to make the second check mark on the second dose.
       
          Corrective Action: The dosage screen has been modified to require the
          second dose to be scanned in, instead of manually marked.
       
      8.  Problem: Scan a PRN that requires an amount to be entered such as an
          injection or a cream. The "Enter Quantity and Units" window comes up
          and the user enters the amount and hits enter. Next the "Medication
              possible matches in the DRUG file #50, please follow
          Log" screen is displayed and the user then realizes they incorrectly
          entered the amount, so the cancel button is pressed. The "Medication
          Log" screen is displayed and says "Order Administration Cancelled"
          The user hits enter then scans the med again. The "Enter Quantity
          and Units" screen doesn't come up again, but skips straight to the
          "Medication Log" and keeps the quantity and units from the first scan.
       
          Corrective Action: When cancel is chosen, BCMA will now properly
          cancel out.
       
              these steps.
      9.  Problem: There are inconsistencies when marking IV's
          as held or refused.
       
          Corrective Action: IV's can be marked as started, held or
          refused.
       
      10. Problem: The Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option
          would not stop scrolling if more than 14 medications were present.
          This did not give the user the ability to select the appropriate dose.
       
       
          Corrective Action: The Missing Dose Followup [PSB MISSING DOSE
          FOLLOWUP] option will now properly scroll, allowing the user the
          ability to select a dose.
       
      11. Problem: Within the Drug File Inquiry [PSB DRUG INQUIRY]option,
          if an inquiry is done on a drug that has 50 or more characters
          in the MESSAGE: field, the screen locks and the process needs to
          be stopped.
       
          Corrective Action: The Drug File Inquiry [PSB DRUG INQUIRY]option
       
          has been corrected to no longer lock up if text is greater than 50
          characters.
       
      12. Modification: Display the initials and name of the nurse on the
          Medication Administration History (MAH) [PSBO MH] option.
       
      13. Modification: The MAH now displays the status of "HOLD".
       
      14. Problem: The Missing Dose Request [PSB MISSING DOSE REQUEST], option
          would allow the user to select an inactive drug.
              a) Access VA FileMan
       
          Corrective Action: The Missing Dose Request [PSB MISSING DOSE REQUEST]
          option has been modified to prevent the selection of inactive drugs.
       
      15. Problem: When the administration time and the stop time for a
          continuous order are the same, the system would calculate the
          last dose as a dose to be given. Please see example below, were the
          last dose of 1900 was calculated because the stop time was 1900.
       
          (1)Orderable Item: MINERALS/MULTIVITAMINS TAB
          Bar Code Medication Administration (BCMA) reading the barcode.
       
               Instructions:
          (2)Dosage Ordered: 1 TAB                    (3)Start: 02/10/00  11:43
          (4)     Med Route: ORAL                     (5)Stop: 02/10/00  19:00
          (6) Schedule Type: CONTINUOUS               (7)  Self Med: NO
          (8)      Schedule: Q2H
          (9)   Admin Times: 01-03-05-07-09-11-13-15-17-19-21-23
         (10)      Provider: BUNNY,BUGS
         (11) Special Instructions: FOR 3 DOSES
          This order will display 4 doses on the VDL.
       
              b) Select OPTION: 3  SEARCH FILE ENTRIES and enter in the
          Corrective Action: BCMA has been corrected to calculate the
          appropriate doses when the stop time and administration
          time are the same.
       
      16. Problem: The scanner ready status was inconsistent.
       
          Corrective Action: The scanner status is in a ready status during
          most functions in BCMA.
       
      17. Problem: The "Allowed Mins to Enter PRN Effect" prompt within the Edit
                                =
          Divisional Parameters [PSB PARAMETERS] option was being stored
          incorrectly.
       
          Corrective Action: The "Allowed Mins to Enter PRN Effect" prompt is
          now being stored correctly.
       
      18. Problem: An error occurred when cancelling the GUI BCMA log on.
       
          Corrective Action: The error has been corrected.
       
                 information as it appears below.
      19. Modification: The full version number for BCMA GUI is now located in
          the About BCMA.
       
      20. Problem: If a medication has a med route of intradermal, the injection
          site box will not appear on the VDL during administration.
       
          Corrective Action: The injection site box will now appear on the VDL
          when intradermal is the med route for a medication.
       
      21. Problem: The following scenario would not generate the message ** NO
       
          SPECIFIED MEDICATIONS TO PRINT **" on the Due List. If a user
          choose to print the Due List for a specified schedule and there are no
          medications for that particular schedule, but other medications exist
          for other schedule types.
       
          Corrective Action: The report was corrected to properly display
       
          the message ** NO SPECIFIED MEDICATIONS TO PRINT **" when there
          are no medications to print for the specified schedule type.
       
                 OUTPUT FROM WHAT FILE: DRUG//
      22. Problem: Users are unable to identify old one-time orders on
          Missed Medications [PSBO MM] option.
       
          Corrective Action: The start date/date for a one-time order has been
          added to the Missed Medication Report.
                                        ====
                 -A- SEARCH FOR DRUG FIELD: 9  SYNONYM   (multiple)
                                            =
                 -A- SEARCH FOR DRUG SYNONYM SUB-FIELD: .01  SYNONYM
          *If your site is not using the Robot Rx system, 
                                                        ===
                 -A- CONDITION: 3  MATCHES
                                =
                 -A- MATCHES: 1"3"15E
                              =======
                 -B- SEARCH FOR DRUG SYNONYM SUB-FIELD: .01  SYNONYM
                                                        ===
                 -B- CONDITION: 3  MATCHES
                                =
                 -B- MATCHES: 1"3"17E
          please skip section 1.
                              =======
                 -C- SEARCH FOR DRUG SYNONYM SUB-FIELD:<RET>
                 -C- SEARCH FOR DRUG FIELD:<RET>
       
                 IF: A    DRUG SYNONYM MATCHES 1"3"15E
                     =
       
                 DO YOU WANT THIS SEARCH SPECIFICATION TO BE CONSIDERED 
                 TRUE FOR CONDITION
                 -A-
       
                 1) WHEN AT LEAST ONE OF THE 'SYNONYM' MULTIPLES SATISFIES IT
                 2) WHEN ALL OF THE 'SYNONYM' MULTIPLES SATISFY IT
                 CHOOSE 1-2: 1// 1
                                 =
                 OR: B     Or DRUG SYNONYM MATCHES 1"3"17E
                     =
                 DO YOU WANT THIS SEARCH SPECIFICATION TO BE CONSIDERED 
                 TRUE FOR CONDITION
                 -B-
                 1) WHEN AT LEAST ONE OF THE 'SYNONYM' MULTIPLES SATISFIES IT
          Corrective Action: The BCMA software has been modified to recognize 
                 2) WHEN ALL OF THE 'SYNONYM' MULTIPLES SATISFY IT
                 CHOOSE 1-2: 1// 1
                                 =
                 OR:
       
                 STORE RESULTS OF SEARCH IN TEMPLATE:
       
                 SORT BY: GENERIC NAME// <RET>
                 START WITH GENERIC NAME: FIRST//<RET>
                 FIRST PRINT FIELD: .01  GENERIC NAME
          the Robot Rx barcode format. In order for BCMA to function with 
                                    ===
                 THEN PRINT FIELD: SYNONYM    (multiple)
                                   =======
                 THEN PRINT SYNONYM SUB-FIELD: .01  SYNONYM
                                               ===
                 THEN PRINT SYNONYM SUB-FIELD: <RET>
                 THEN PRINT FIELD: <RET>
      Heading (S/C): DRUG SEARCH//<RET>
      DEVICE: 0;80;999  ***
      DRUG SEARCH                                    MAR 13,2000  09:57    PAGE
          Robot Rx, please follow the directions in the order listed below.
      GENERIC NAME                    SYNONYM
      --------------------------------------------------------------------------
       
       
      ACETAMINOPHEN 325MG TAB         APAP
                                      TYLENOL
                                      ACET325
                                      000677000100
                                      051111048893
       
                                      305111104882120100
       
       
                                     1 MATCH FOUND.
       
             1.2 A new prompt "Using Robot Rx" has been added to
             Edit Divisional Parameters [PSB PARAMETERS]option.
             The user should answer Yes to thE question when they
             are now ready to use Robot Rx.
       
      
    11. PATCH APPLICATION HISTORY:   6 SEQ #6
      DATE APPLIED:   2000-06-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch 6 contains the following modifications:
          GUI would allow freetext.
       
          Corrective Action: The "reason needed" field will not accept freetext.
       
      3.  Problem: The "Last Given" column is updated each time an action
          occurs, including refused and held. This can be confusing to the
          user since a medication marked as held will also show a date and 
          time in the last given column.
       
          Corrective Action: The "Last Given" column will be changed to "Last
       
          Action". The last status will also be displayed in the column next to
          the date and time.
      1.  Problem: The verifying nurse initials are not displayed on the Virtual
          Due List (VDL).
       
          Corrective Action: The VDL has been modified to display the verifying
          nurse initials.
       
      2.  Problem: The "reason needed" field on the missing dose screen on the  
      
    12. PATCH APPLICATION HISTORY:   8 SEQ #7
      DATE APPLIED:   2000-11-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Installing Bar Code Medication Administration (BCMA) on a network
            The file roboex32.dll is typically installed into the
            c:\windows\system directory or (for Windows NT machines)
            the c:\winnt\system32 directory.
       
         C. Share the BCMA directory on the file server.  Optionally, the
            directory can be set to READ ONLY via the shared directory
            properties. In a Windows NT environment, NTFS file
            security can be set to further secure this directory.
            Additionally, a login script file can be created that will
            automatically map the network drive each time a
         drive.
            user logs in. This helps in the event that a user accidentally
            disconnects from the network drive.
       
      2. Pointing the client PC/laptop to the file server.
       
         A. Map each laptop or client PC to the network drive mentioned in the
            previous step.
       
         B. Create an icon that points to the file bcma.exe (on the network
            drive). Via the icon's properties, set up the necessary command
       
            line parameters to connect to your VistA system.
       
      Using this method, no BCMA files are required on the local client's PC.
      When it is time to install the next BCMA GUI patch, have all users log out
      of BCMA, install the patch on the file server that is sharing the files
      and the upgrade will be complete.
       
      The above installation instructions will only work with patch PSB*1*3 or
      later.  Previous patches require additional files to be moved to the
      shared BCMA directory.
         A. To install BCMA on a network drive, install BCMA on the file server
            that will perform the file sharing. BCMA is typically installed into
            c:\program files\vista\bcma.
       
         B. Perform a file search on the file server to locate the file
            roboex32.dll. Copy this file to the file server's BCMA directory.
      
    13. PATCH APPLICATION HISTORY:   7 SEQ #8
      DATE APPLIED:   2000-11-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch PSB*1*7 contains the following:
       
          display the nurse's initials when a one-time has been marked
          as refused.
       
      9.  Problem: Within the Due List [PSBO DL] option, the "On Call:"
          prompt will not save the users settings upon exit.
          The field defaults to "No" after the user has exited the option.
       
          Corrective Action: The "On Call:" prompt has been modified
          to save the users settings upon exiting the option.
       
      2.  Problem: A user is unable to distinguish identical one-time
      10. Problem: If a medication order has 2 or more units per dose, BCMA will
          display the Multiple Doses to Scan screen to allow the user
          to scan the second, third, etc doses. If a nurse enters an Internal
          Entry Number (IEN) for the second dose and did not press ENTER,
          but immediately pressed DONE, the IEN entered would not be marked as  
          Given.
       
          Corrective Action: Validation is now performed on any text entered
          in the "Scan Medication Bar Code" prompt, regardless if the user
          pressed ENTER or not.
          orders on the Virtual Due List (VDL), when multiple identical
       
      11. Problem: If a user double clicks on an IV order on the VDL, the
          "Dosage Ordered:" prompt would display data.
       
          Corrective Action: The "Dosage Ordered:" prompt has been
          corrected to not display any data on the VDL if an IV is order.
       
      12. Problem: If a patient has an IEN of "1" from
          the PATIENT file (#2) the VDL would generate the error
          "RPC ERROR GETORDERLIST" and not display any orders.
          one-time orders exist.
       
          Corrective Action: The VDL has been corrected to not error
          with a patient who has an IEN of "1".
       
      13. Problem: If a medication is marked as held or refused through the
          Manual Medication Entry [PSB MED LOG NEW ENTRY] option, the
          MAH report displays the entered date/time, not the
          administered date/time.
       
          Corrective Action: The MAH has been corrected to display the
       
          administered date/time instead of the entered date/time.
       
      14. Problem: The Ward Administration Times [PSBO WA] option was
          printing medications for incorrect days. For example, if the
          medication had a schedule of MO-WE-FR and the report was
          printed on Tuesday, the medications for MO-WE-FR would print
          on the report.
       
          Corrective Action: The Ward Administration Times [PSBO WA] option
          has been corrected to properly print the medications for the correct
          Corrective Action: The pop up box, Multiple Orders for Scanned Drugs,
          days.
       
      15. Problem: If BCMA is writing to the BCMA MEDICATION LOG file (#53.79)
          and an MAH is run a "NULLSUBSCRIPT" error is generated.
       
          Corrective Action: The code has been corrected by using
          standard coding conventions.
       
      16. Modification: The "Room/Bed:" prompt has been added to the
          Missing Dose Request [PSB MISSING DOSE REQUEST] option.
          will now display the Type, Active Medication, Special Instructions,
       
      17. Modification: The "MED ROUTE:" prompt has been added to the
          Due List [PSBO DL] option.
       
      18. Modification: The ward location and room-bed have
          been added to the BCMA-Order Problem e-mail message.
       
      19. Modification: The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT]
          option has been modified to display the ADMINISTRATION MEDICATION
          field (#.08) from the BCMA MEDICATION LOG file (#53.79).
          Dosage, Schedule, Route, Admin Time, Last Action, and Start
       
      20. Modification: BCMA GUI has been modified to allow column resizing.
          Any changes to the column settings will be saved, allowing the user
          to re-enter the GUI to the saved settings. The original column
          settings can be reset through the Reset User Parameters
          [PSB USER PARAM RESET] option.
       
      21. Modification: The Patient Medication Log in GUI has been modified to
          display the INCLUDE COMMENTS field (#.28) and the INCLUDE AUDITS
          field (#.29). All comments and audits are now viewable through the
          date/time for each order. To select the correct order for
          GUI.
       
      22. Modification: The Missed Medications [PSBO MM] option and the Ward
          Administration Times [PSBO WA] option have been modified to
          not display self-medications.
       
      23. Modification: The Medication Administration Log [PSBO ML] option
          has been modified to display the START DATE/TIME field (#10).
       
      24. Modification: The ORDER NUMBER field (#.01) has been added to the
          administration, highlight the order and then click the OK button.
          Missed Medications [PSBO MM] option.
       
      25. Modification: The Missed Medications [PSBO MM] option will only
          print one-time medications within the last movement date.
       
      26. Modification: The BCMA GUI screen can now be maximized to fit the
          entire screen.
       
      27. Modification: The Manual Medication Entry [PSB MED LOG NEW ENTRY]
          option has been modified to display the history of the last four
       
       
          administrations for a PRN order.
       
      28. Modification: The patient record locking functionality has been
          removed, allowing multiple sessions of BCMA to be opened for one
          patient.
       
      29. Modification: New key functions.
       
                        Shift-Tab - Takes focus off the Scan Medication Bar Code
                        to the VDL, allowing the user to scroll up and down the
      3.  Problem: Users were unable to print reports to a slave device within
                        VDL orders. Press the Enter key to display a highlighted
                        order.
       
                        Right Click - on a selected order and select Display
                        Order to view detailed order information.
       
                        ALT-D,O - Displays detailed order information.
       
                        Select Due List [PSBO DL] option, then select
                        Display Order - To view detailed order information.
          all Bar Code Medication Administration (BCMA) CHUI options.
       
                        F4 - To view detailed order information.
       
                        F5 - Refresh the VDL.
       
                        CTRL,O - To open a new patient.
       
      30. Modification: The GUI VDL has been modified to shut down when
          a "PSB GETORDERLIST" error is encountered. When such an error is
          encountered the VDL would display "No Active Orders". This information
       
          is a result of the broker returning no information. This modification
          prevents the user from viewing a VDL with false information when
          such an error is generated.
       
      31. Modification: The GUI Broker has a timeout value called
          RPCTimeLimit as defined in the quoted text below:
       
          Description
       
          This property is a public integer property that is available at
          Corrective Action: BCMA CHUI has been modified to allow the printing
          run-time only. It specifies the length of time a client will
          wait for a response from an RPC. The default and minimum value of
          this property is 30 seconds.
          If an RPC is expected to take more than 30 seconds to complete,
          adjust the RPCTimeLimit property accordingly. However, it is not
          advisable to have a RPCTimeLimit that is too long. Otherwise,
          the client-end of the application will appear to "hang", if the
          server doesn't respond in a timely fashion.
       
          The BCMA default has been changed from 30 seconds to 60 seconds.
          of reports to a slave printer.
          This can be changed with the new command line parameter of 'T' for
          timeout.
          Your command line might look as follows:
       
          "D:\Program Files\vista\Bcma\BCMA.exe" S=BGHAM P=9307 T=30
       
          Any value below 30 seconds will be disregarded.
       
      4.  Problem: When entering an order through the Inpatient Order
          Entry [PSJ OE] option, for a drug that has a units per dose
          of 1, it is not necessary to manually enter a 1 in the
      1.  Problem: An undefined variable PSBSTRT error is generated
          "UNITS PER DOSE:" prompt. If the user chooses to bypass the
          "UNITS PER DOSE:" prompt field entry, the system will default
          to a 1. When the user elects to view the order detail on the
          VDL by double clicking on the order, the" Units" prompt
          is left blank.
       
          Corrective Action: The VDL has been corrected to properly display
          a 1 in the UNITS PER DOSE field (#.02), when a user views the
          detail order information.
       
          within the PRN Effectiveness List [PSBO PE] option when
      5.  Problem:  The wording for the prompts listed below within menu
          Edit Divisional Parameters [PSB PARAMETERS] option were incorrect.
       
          Corrective Action: The following prompts have been changed in
          the PARAMETER DEFINITION file (#8989.51) in the DISPLAY TEXT
          field (#.02).
       
          From:                            To:
          Include Blank Addendums at end   Default prompt for INCL BLANKS <Y/N>
          Include Continuous Meds          Default prompt for INCL CONT <Y/N>
          the user chooses a hospital location instead of a nursing
          Include IV Med Orders            Default prompt for INCL IV MEDS <Y/N>
          Include On Call Meds             Default prompt for INCL ON-CALL <Y/N>
          Include One-Time Meds            Default prompt for INCL ONE-TIME<Y/N>
          Include PRN Meds                 Default prompt for INCL PRN <Y/N>
          Include Unit Dose Med Orders      Default prompt for INCL UD MEDS<Y/N>
       
      6.  Problem: Medication orders that have an ODD Schedule do not
          display on the VDL. An ODD Schedule is a schedule that is not
          evenly divisible by 24 hours (Q18H or Q7H).
       
          location at the "Ward Location:" prompt.
          Corrective Action: BCMA has been modified to accept and display ODD
          Schedule types on the VDL.
       
          If your site plans on using ODD Schedules, please read the
          following NOTES.
       
          ***NOTE*** When ordering medications with an ODD Schedule,
          DO NOT enter a time into the "ADMIN TIMES:" prompt when placing an
          order within the Inpatient Order Entry [PSJ OE] option.
          BCMA will automatically calculate the administration time to the
       
          minute, based on the start date/time of the order. If you want the
          administration time to display to the nearest hour, edit the
          "START DATE/TIME:" prompt field to be on the hour.
       
          For example if the start time is at 0837 for a Q5H, the
          administration times will be at 0837, and at 1337. To display the
          order on the VDL on the hour, edit the start time to be at 0800.
       
          ***NOTE*** If a time is entered at the "ADMIN TIMES:" prompt when
          placing an order for an ODD Schedule, that administration time is
          Corrective Action: The PRN Effectiveness List [PSBO PE] option
          when the medication will be displayed on the VDL everyday.
          For example, if an order is placed with a schedule
          of Q5H with an administration time of at 0900. The order will appear
          on the VDL at 0900 everyday. Do not enter administration times
          if you want ODD Schedules to function properly.
       
          ***NOTE*** ODD Schedules are NOT to be entered in the ADMINISTRATION
          SCHEDULE file (#51.1)
       
      7.  Problem: No data is being displayed under the columns U/Ord and U/Gvn,
          has been corrected to not error if a hospital location is chosen.
          within the medication log report when an IV is ordered.
       
          Corrective Action: The medication log report has been modified to
          display "N/A" in the two columns for IV orders.
       
      8.  Problem: The Medication Administration History (MAH) report
          does not display the nurse's initials when a one-time is marked
          as refused.
       
          Corrective Action: The MAH report has been modified to
      
    14. PATCH APPLICATION HISTORY:   11 SEQ #9
      DATE APPLIED:   2001-02-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch PSB*1*11 contains the following:
       
      2.  Modification: This patch includes a new API between Inpatient
          Medications and Bar Code Medication Administration
          (BCMA) (Integration Agreement #3174).
       
          The entry point EN^PSBIPM is provided by the Bar Code Medication
          Administration (BCMA) package to provide information to Inpatient
          Medications to be used in determining the start date for a renewed
          order.
       
       
          The new API will:
       
          a. Pass the ORDER ADMINISTRATION TIME field (#.13) of the BCMA
          MEDICATION LOG file (#53.79).
       
          b. Pass the ADMINISTRATION DATE/TIME field (#.06) of the BCMA
          MEDICATION LOG file (#53.79).
       
          c. Pass the ADMINISTRATION STATUS field (#.09) of the BCMA
          MEDICATION LOG file (#53.79).
      1.  Problem: When attempting to chart a medication the user receives the
       
      3.  The PSBPOST post installation routine re-indexes the BCMA MEDICATION
          LOG file (#53.79). The new subscript added is "AORDX".
          following error.
       
          310: The IENS> +10+1 conflicts with FDA.
       
          Corrective Action: The error was resolved by performing a NEW command
          on the variable PSBFDA.
      
    DATE INSTALLED AT THIS SITE:   1999-09-14 00:00:00
    INSTALLED BY:   USER,ONE
    DESCRIPTION OF ENHANCEMENTS:   
    BAR CODE MED ADMIN - VERSION 1.0
    
  2. VERSION:   2.0
    DATE DISTRIBUTED:   2005-11-19 00:00:00
    PATCH APPLICATION HISTORY:
    1. PATCH APPLICATION HISTORY:   1 SEQ #2
      DATE APPLIED:   2002-09-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
      2.  Problem: Version 2.0 beta test sites experienced errors in
          routines PSBMD and PSBVDLU1.
       
          Corrective Action: The errors experienced in those routines have
          been corrected.
       
      3.  Problem: With the installation of BCMA version 2.0, routine PSBIPM was
          renamed to PSBAPIM.
       
          Corrective Action: PSBIPM is no longer being used in version 2 and 
      1.  Problem: If a medication is marked from given to not given to
          will be removed with this patch.
       
      4.  Problem: With the installation of BCMA version 2.0, the Edit 
          Divisional Parameters [PSB PARAMETERS] option is no longer functional.
       
          Corrective Action: The Edit Divisional Parameters [PSB PARAMETERS]
          option will be removed with this patch. Any access to site parameters
          needs to be made through the GUI BCMA Site Parameters application.
       
      5.  Problem: The Missed Medications [PSBO MM] option was generating
          given, the Medication Administration History (MAH) [PSBO MH] option
          the Due List Error Notification message, "No admin time required for a
          Non-Standard schedule," on expired orders.
       
          Corrective Action: The Missed Medications [PSBO MM] option will no
          longer generate the message "No admin time required for a Non-Standard
          schedule" on expired orders.
       
      6.  Problem: When an order has a schedule in the day of week format, and
          had a frequency associated with it, the order was not displaying on 
          the Virtual Due List (VDL) on the days scheduled.
          would display these actions as three separate administration actions
       
          Corrective Action: An order with a schedule in the day of week format
          and a frequency associated with it, will display correctly on the
          VDL on the days scheduled.
       
      7.  Problem: The "Order Num" column was printing next to the "Medication"
          column on the Missed Medications [PSBO MM] option. This caused some
          confusion with the order number being interpreted as a dosage for
          some medications.
       
          of given, not given and given.
          Corrective Action:  The "Order Num" column was moved to be the
          first column on the Missed Medications [PSBO MM] option.
       
      8.  Problem: The Edit Medication Log [PSB MED LOG EDIT] option allowed
          a medication patch to be marked not given from removed.
       
          Corrective Action: The Edit Medication Log [PSB MED LOG EDIT] option
          has been modified to not allow a patch to be marked as not given
          from removed.
       
       
      9.  Problem: One-time orders with a future start date/time would print
          on the Missed Medications [PSBO MM] option.
       
          Corrective Action: The Missed Medications [PSBO MM] option has been
          corrected to only print one-time order when the order start date/time
          is within the report start and stop date/time.
       
      10. Problem: IV orders with a future start date and time would display
          on the IV tab of the VDL before due.
       
          Corrective Action: The MAH will now properly display these three
          Corrective Action: The IV tab of the VDL has been modified to not
          display IV order until the order start date and time has been reached.
       
      11. Problem: The GUI generated an error when attempting to display
          unit dose orders on the VDL.
       
          Corrective Action: The VDL has been modified to properly display
          unit dose orders on the VDL.
          actions as one correct action.
       
      
    2. PATCH APPLICATION HISTORY:   18 SEQ #10
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Install this patch before installing Patch PSB*2*6. It will perform the
       
      BCMA Order Problem Notification Started on JAN 7,2003@08:24:18.
      This will let the user know the date and time the process started.
       
      BCMA Order Problem Notification Finished on JAN 7,2003@08:30:47.
      This will let the user know the date and time the process finished.
       
      The person installing this patch will also receive a MailMan message
      with the subject: BCMA Pre patch 6 - Order Problem Notification. This will
      let the user know that PSB*2*6 will have a problem displaying an order,
      same medication order validation as Patch PSB*2*6, and allows Pharmacists
      which is identified in the message text. A separate MailMan message
      will be generated for each Order Problem.
      an opportunity to review "problem" medication orders before your site
      installs PSB*2*6. Ensure that PSB*2*6 is installed immediately following
      the correction of any problem medication orders. Failure to do so may
      result in medication orders not displaying on the Virtual Due List (VDL).
       
      The person installing this patch will receive two separate MailMan
      messages with the following subjects:
      
    3. PATCH APPLICATION HISTORY:   6 SEQ #11
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ***NOTE*** Do NOT install this patch until you receive the message
      when to display a Continuous medication order on 
          LOG NEW ENTRY] option, the medication will not display on the VDL for 
          the nurse to mark it as "Removed."
       
          Corrective Action: Medication orders with a dosage form of "PATCH"
          given by a nurse using the Manual Medication Entry [PSB MED LOG NEW
          ENTRY] option will now display on the VDL for the nurse
          to mark them as "Removed." 
       
      12. Problem: The Admin Time column on the IVP/IVPB tab of the VDL is 
          displaying administration times of "0000" for odd schedule orders.
      the Virtual Due List (VDL).
       
          Corrective Action: The Admin Time column on the IVP/IVPB tab of
          VDL will now display the correct time for an odd schedule order. 
       
      13. Problem: The data entered in the "Enter Quantity and Units" dialogue 
          box from the IVP/PB tab was not being stored in the medication log.
       
          Corrective Action: The data is now being properly stored in the
          medication log.
       
       
      14. Problem: If a medication order is marked as "Not Given", the user is 
          unable to update the medication using the Manual Medication Entry 
          [PSB MED LOG NEW ENTRY] option.
       
          Corrective Action: The user will now be able to update medication
          orders that have been marked as "Not Given" using the Manual 
          Medication Entry [PSB MED LOG NEW ENTRY] option. 
       
      15. Problem: If a PRN medication order with the dosage form of "PATCH" 
          was marked as "Given", it would duplicate on the VDL. The user was 
      At the end of this installation a post install routine will clean up the 
          unable to mark the medication as "Removed."
       
          Corrective Action: PRN medication orders with the dosage form of
          "PATCH" will follow the "PATCH" business rule.
       
      16. Problem: The Ward Administration Times report displays IV orders with 
          admin times based on the frequency calculated by IPM. The display of 
          large volume IV's on this report is confusing to the user.
       
          Corrective Action: IV's with a IV type of Admixture, Hyperal, Syringe 
      BCMA Medication Log APATCH INDEX. The person installing the patch will be 
          Not Intermittent, Chemotherapy (Admixture), Chemotherapy (Syringe 
          Non-Intermittent) will not be displayed on this report.
       
      17. Problem: A Schedule Type of "R" displays in the "Type" column on the 
          VDL for medication orders that have a dosage form of "PATCH" and 
          a previous Schedule Type of Fill on Request. 
       
          Corrective Action:  The correct Schedule Type will display in the 
          "Type" column on the VDL.
       
      notified the routine has completed successfully via a MailMan email with 
      18. Problem:  A condition exists that causes a medication order to have
          the same previous and following order number. Because of this 
          scenario, the BCMA application is put into an infinite loop or may 
          cause an error when the VDL is opened.
       
          Corrective Action:  In support of several NOIS tickets regarding this 
          issue, BCMA has implemented a temporary fix that now allows a 
          medication order with the same previous and following order number to 
          display on the VDL. This is not a comprehensive fix, but will allow 
          BCMA to function properly while Inpatient Meds researches the problem.
      the subject line "BCMA APATCH INDEX CLEAN HAS COMPLETED".
          
      19. Problem:  A one-time medication order marked as "Missing," 
          would not display on the Missed Medications [PSBO MM] option.
       
          Corrective Action:  A one-time medication order marked as "Missing,"
          will now display on the Missed Medications [PSBO MM] option.  
       
      20. Problem: Day of the Week schedules that include the "@" sign followed 
          by a valid time do not display on the Virtual Due List.
       
       
          Corrective Action: Day of the Week schedules in this format now
          display correctly on the Virtual Due List. 
       
      1.  Problem: The Medication Administration History [PSBO MH] option 
      "BCMA AADT X-REF CHECK COMPLETED" from the installation of PSB*2.0*9 and
          displays medication orders beyond the requested report dates.
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          option now displays medication orders within the requested report 
          dates.
       
      2.  Problem: When a patient is discharged and reinstated, the MAH 
          displays "***" in the date column.
       
          Corrective Action: The Medication Administration History [PSBO MH] 
      the message "BCMA Order Problem Notification Finished" from the 
          option has been modified to not display "***" in the Date
          column for medication orders that have been discontinued and
          then reinstated.   
       
      3.  Problem: PRN last actions listed as "Not Given" display on the
          Medication Log Information dialog box.
       
          Corrective Action: The last four actions of a PRN medication order
          will not display an action of "Not Given", in the Medication Log
          Information dialog box.
      installation of PSB*2.0*18. Installing this patch before receiving these 
       
      4.  Problem: A medication order for a Patch displayed multiple 
          times on the VDL, if it was marked as "Given", then "Not Given"
          and then "Given" again.
          
          Corrective Action: A medication order for a Patch will display 
          appropriately, regardless of how many times an action has been 
          applied to the associated patch order.
       
      5.  Problem: After a patient receives a patch for the second time 
      messages may cause the Bar Code Medication Administration (BCMA) program 
          the "Last Action" column on the VDL displays the incorrect date and 
          time.
       
          Corrective Action: The "Last Action" column will now display the 
          correct date and time for patches. 
       
      6.  Problem: When an active IV order that has an infusing bag is edited
          through Computerized Patient Record System (CPRS), via the "CHANGE"
          action, the "old" order disappears from the BCMA VDL IV tab.  
          This prevents clinicians from knowing the status of the old order.
      to error.
       
          Corrective Action: Continue to display the status of an edited IV 
          order on the BCMA VDL IV tab. 
             
      7.  Problem: The Missed Medications [PSBO MM] option generates
          a "String too long" error message for medication orders that contain
          a schedule in a minute's format (i.e., Q2').
       
          Corrective Action: The Missed Medications [PSBO MM] option now 
          displays medication orders that contain a schedule using a minute's 
       
          format. 
       
      8.  Problem: The Medication Administration History [PSBO MH] option 
          generates a "String too long" error message for medication orders 
          that contains a schedule in a minute's format (i.e., Q2').
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          option now displays medication orders that contain a schedule using a 
          minute's format. However, schedules with a frequency of less than 45 
          minutes will display the message "Due Every # Minutes", where # is the
      This patch contains changes to how BCMA V. 2.0 processes schedule
          frequency.
       
      9.  Problem: Ward Administration Times [PSBO WA] option generates
          a "String too long" error message for medication orders that contain
          a schedule in a minute's format (i.e., Q2').
       
          Corrective Action: The Ward Administration Times [PSBO WA] option 
          now displays medication orders that contain a schedule using a 
          minute's format. However, schedules with a frequency of less than 30 
          minutes will display the message "Due Every # Minutes", where # is 
      information from Inpatient Medications V. 5.0, and how it determines 
          the frequency.
          
      10. Problem: Medication orders that include a Day of the Week schedule 
          generate a false Due List Notification Error on a day not due.
       
          Corrective Action: Medication orders that include a Day of the Week 
          schedule will no longer generate a false Due List Notification Error.
        
      11. Problem: If a medication order with the dosage form of "PATCH" is 
          administered by a nurse using the Manual Medication Entry [PSB MED 
      
    4. PATCH APPLICATION HISTORY:   15 SEQ #12
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem:  The Medication Administration History [PSBO MH] option and 
       
          Corrective Action:  The code has been modified to properly display 
          the patient's medication orders when accessing the VDL.
          Manual Medication Entry [PSB MED LOG NEW ENTRY] option are generating 
          an undefined error, because of a missing orderable item name on a 
          medication order.
       
          Corrective Action: The undefined error has been corrected. 
       
      2.  Problem:  Users are receiving an undefined variable error in routine 
          PSBVDLU1 when accessing the patient's medication orders on the VDL.
      
    5. PATCH APPLICATION HISTORY:   8 SEQ #13
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
          *** ATTENTION: This patch includes a new GUI.
          orders are marked as "Refused."
          Request" dialog box is now a required field.
       
      13. Problem:  The Right-Click feature used to access the "Take Action
          on WS" command was not available for a ward stock IV bag marked as
          "Held" on the VDL.
       
          Corrective Action:  The Right-Click feature used to access the "Take
          Action on WS" command is now available for a ward stock IV bag marked 
          as "Held" on the VDL.
       
       
      14. Problem:  When users sign on to the BCMA GUI application, and are
          prompted to scan the patient's wristband, a lower portion of the 
          screen display is grayed out.
       
          Corrective Action:  The GUI screen display has been corrected.
       
      15. Problem:  Reports would not print from the GUI application when
          print devices had the same name.
       
          Corrective Action:  The GUI printing function has been modified to 
          Corrective Action:  The GUI VDL will not apply the status of "Refused"
          print reports to devices that have the same name.
       
      16. Problem:  A medication order with a schedule of "AC&HS," displays
          on the BCMA VDL with a schedule of "ACHS."
       
          Corrective Action:  The GUI has been modified to properly display the
          schedule.
       
      17. Problem:  The shortcut keys of "ALT+A" used to display "Allergies"
          would go to the "Start Time:" field of the "Virtual Due List 
          to medication orders placed on Provider Hold when marking multiple
          Parameters:" section of the VDL.
       
          Corrective Action:  The shortcut key for "Allergies" has been changed
          to ALT-G.
       
      18. Problem:  If a medication order is created or edited using the
          Manual Medication Entry [PSB MED LOG NEW ENTRY] option or the Edit
          Medication Log [PSB MED LOG EDIT] option, the last action would 
          display incorrectly on the "Last Action" column of the VDL by
          dropping off any trailing zero of the time from the date/time format.
          medication orders.
       
          Corrective Action:  The last action for a medication order will now
          display correctly under the "Last Action" column on the VDL.
       
      19. Problem:  Users who mark a PRN medication order, with the dosage
          form of "PATCH" as "Given," cannot document a PRN effectiveness using
          the Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option.
       
          Corrective Action:  Users can now document a PRN effectiveness for a
          "Given" PRN medication order with a dosage form of "PATCH."
       
       
      20. Problem:  Under the IV Medication Tab, if a medication order gets
          discontinued when a ward stock IV bag has a status of "Stopped," no 
          data would display under the "IV Bag Chronology."
       
          Corrective Action:  Data will correctly display under the "IV Bag
          Chronology" display area when an IV order becomes discontinued and a 
          ward stock IV bag has status of "Stopped" status.
       
      21. Problem:  The Special Instructions pop-up box does not function on
      2.  Problem:  Comments entered when a ward stock IV bag is completed
          the IV Medication Tab when the Pharmacist enters an exclamation ("!") 
          to copy and flag the Provider comments for display in a BCMA
          message dialogue box.
       
          Corrective Action:  The Special Instructions pop-up box will now 
          display on the IV Medication Tab when a Pharmacist finishes
          an IV order and uses the "!" key to copy and flag the Provider 
          comments for display on the BCMA VDL.
       
      22. Problem:  The "ALLERGIES:" bar on the VDL displays "No allergies on
          and another ward stock IV bag begins infusing, are carried from one IV
          file" when no assessment was completed.
       
          Corrective Action:  The "ALLERGIES:" bar will now display  "No Allergy
          Assessment" if there are no allergies assessed and "No Known 
      Allergies"
          if there is an allergy assessed, but no allergies.
          bag to another.
       
              Installation of this GUI is required in order to see the full
          Corrective Action:  Comments entered for an IV bag will not carry over
          to the next IV bag.
       
      3.  Problem:  The error message "Missing Data" sporadically displays on
          the VDL when a user tries to administer a medication via the "CPRS Med
          Order" button.
       
          Corrective Action:  The "Missing Data" message has been corrected.
       
      4.  Problem:  The error message, "'.' Not a valid integer" sporadically
              functionality of this patch. ***
          displays when a user accesses a patient record on the VDL.
       
          Corrective Action:  The VDL has been corrected to not generate the
          error message.
       
      5.  Problem:  Any report printed from the GUI VDL, displays inactive
          wards in the "Ward" field under the "Print by" section.
       
          Correction Action:  Inactive wards will no longer be available for
          selection on reports printed from the GUI VDL.
       
       
      6.  Problem:  A medication order with the dosage form of "PATCH" marked
          as "Given" using the Manual Medication Entry [PSB MED LOG NEW ENTRY]
          option, does not display on the VDL as "Given."
       
          Corrective Action:  Medication orders with a dosage form of "PATCH"
          marked as "Given" using the Manual Medication Entry [PSB MED LOG NEW 
          ENTRY] option, will display on the VDL as "Given.
       
      7.  Problem:  The "Provider:" field on the "Order Manager" dialog
      For retrieval and installation instructions, please see the Client
          screen does not display all valid Providers when performing a partial
          lookup. This was a result of BCMA not validating the inactive date
          correctly.
       
          Corrective Action:  The code has been modified to perform the 
          validation on the inactive date. The correct Providers will display
          for selection under the "Provider:" field on the "Order Manager"
          dialog screen.
       
      8.  Problem:  Drugs with a future inactive date were not available for
      Installation Instructions section.
          printing on labels using the Label Print [PSBO BL] option.
       
          Corrective Action:  Drugs with future inactive dates are now available
          for printing on labels.
       
      9.  Problem:  BCMA does not perform a version check between the GUI
          application and CHUI application side.
       
          Corrective Action:  BCMA will validate the version of the GUI 
          application  running on the GUI against the CHUI application.
       
          The client version must match the patch number on the VistA server,
          and if compatible, the previous GUI version will be allowed to run. 
          GUI version will be allowed to run.  No prior version will be allowed 
          to run on the client.
       
      10. Problem:  The current "Typical" installation process for the BCMA
          GUI application installs both the BCMA client and the BCMA Site 
          Parameter application. This is not appropriate for an installation
          a ward P.C. 
       
      1.  Problem:  Any order displayed as Provider Hold on the GUI Virtual
          Corrective Action:  The "Typical" installation process has been 
          modified  to only install the BCMA client.
       
      11. Problem:  The action of marking multiple medications, as "Held" or
          "Refused" does not always apply to every medication on the VDL. For
          example, if a medication is already marked as "Given", the action of 
          "Held" or "Refused" will not apply to that medication order.
       
          Corrective Action:  If multiple medications are highlighted on the 
          VDL, and the action of "Held" or "Refused" does not apply to
          Due List (VDL) is also marked as "Refused" when multiple medication
          a highlighted order, an Informational dialog box will display with
          the message, "Held or Refused will NOT be applied to the following
          order(s):" with a list of orders.
       
      12. Problem:  The message "ERROR: MISSING DATA - ALL FIELDS ARE
          REQUIRED," Missing Field: NEEDED BY DATE/TIME," displays when a user
          selects the Missing Dose Followup [PSB MISSING DOSE FOLLOWUP] option, 
          to complete and save a request.
       
          Corrective Action:  The Date@Time Needed field on the "Missing Dose
      
    6. PATCH APPLICATION HISTORY:   20 SEQ #14
      DATE APPLIED:   2003-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. BCMA will display a Notification Popup box, once per patient session, 
       
      2. BCMA will now document fractional dose medication orders, which occur 
      when a medication order contains a units per dose that is not a whole
      number. When a user administers a fractional dose medication using BCMA, 
      a Multiple or a Fractional Dose dialog box will display for documenting
      the actual amount and user comments.
       
      3. Three fields have been removed from the Parameters tab of the BCMA Site
      Parameters application since the functionality no longer exists. They
      include the "General System Error:" field, the "Auto Update Notification:"
      for the Unit Dose and IVP/IVPB Medication Tabs. The Popup box displays if
      field in the Mail Groups section of the Parameters tab and
      the "UNC of the Auto Update Server:" field in the Misc. Options section of
      the Parameters tab.
      a patient has had a recent movement, and at least one of the last actions
      occurred within the specified timeframe defined in the "Patient Transfer 
      Notification Timeframe:" field on the Parameters tab of the BCMA Site
      Parameters application. The Popup box will display the patient movement
      type and transaction type within brackets, and the Virtual Due List (VDL)
      will display the transaction type in the "Last Action" column for a 
      medication displayed on the VDL.
      
    7. PATCH APPLICATION HISTORY:   7 SEQ #15
      DATE APPLIED:   2003-05-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Problem: In reference to the Medication Variance Log [PSBO MV] option, a 
       LOG file (#53.78).
       
       Problem: In reference to the Medication Variance Log [PSBO MV] option, 
       several sites are experiencing problems with displaying variance 
       information as a result of incompatible ward names stored in the 
       BCMA MEDICATION VARIANCE LOG file (#53.78).  If the user selects a ward 
       name from the WARD LOCATION file (#42) that does not match the ward name 
       store in the BCMA MEDICATION VARIANCE LOG file (#53.78), the variance 
       log information will not display on the report.
       
       functional discrepancy was discovered in the coding logic used to 
       
       Corrective Action:  The Ward Name Conversion Process [PSB WARD CONV] 
       option was add to the Bar Code Medication Administration Manager 
       [PSB MGR] option to allow each site an opportunity to make the 
       appropriate corrections to incompatible ward, room and bed names stored 
       in their local BCMA MEDICATION VARIANCE LOG file (#53.78).  The 
       following functions are incorporated in the Ward Name Conversion Process
       [PSB WARD CONV] option:
       
       
       extract previous variance information stored in the BCMA VARIANCE LOG
       o  Allow the user to select a specified date range to control the amount 
       time needed to complete the process and the amount data that will be 
       changed.  
       
       o  Automatically, convert Ward Name to Ward IEN if the Ward Name in BCMA 
       MEDICATION VARIANCE LOG file (#53.78) is identical to the Ward Name in 
       the WARD LOCATION file (#42).  
       
       o  Display a list of un-identifiable ward names to the user.  
       
       file (#53.78).  The report will only show variance information related 
       o  Allow the user to change the un-identifiable ward name to a ward name 
       stored in the NURS LOCATION file (#211.4) and select the appropriate 
       room and bed location.
       
       o  Send an e-mail message to the user when the Ward Name Conversion 
       Process is completed. 
       to patients currently assigned to the selected ward.
       
       Resolution: Modifications were made to rebuild the data structure used 
       to sort, store, and display the variance information related to all
       patients associated with the selected ward stored in the BCMA VARIANCE
      
    8. PATCH APPLICATION HISTORY:   12 SEQ #16
      DATE APPLIED:   2003-05-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      NOTE: Patch PSB*2*12 makes changes to the ward-specific IV Parameters 
      bags on the Virtual Due List (VDL), regardless of the settings for the 
      patient's respective ward. 
       
      Corrective Action: The IV Parameters settings for the "ALL" ward affect 
      the display of a patient's IV bags VDL only when the settings are not 
      defined for the patient's respective ward. Please be aware that after you 
      install this patch, all ward-specific IV Parameters defined for wards 
      other than "ALL" will work immediately. These parameters control when an 
      IV bag is valid, and when BCMA warns a user   the status of an IV order 
      has changed.   If your site has defined ward-specific IV Parameters, 
      functionality included in the GUI BCMA Site Parameters application. 
      please review them BEFORE installing this patch, and notify the 
      appropriate personnel to ensure that problems are not experienced once 
      installed.
       
      2.   Problem: The PSB DEFAULT BARCODE PREFIX Site Parameter was set to 
      accept 1 to 5 characters so the user had to specify a prefix in the GUI 
      Bar Code Medication Administration (BCMA) Site Parameters application. If 
      none was specified, the barcode number was not recognized when the user 
      scanned a patient's medication for administration.
       
      Please be sure to read the Problem and Corrective Action statements below 
           Corrective Action: The PSB DEFAULT BARCODE PREFIX Site Parameter has 
      been set to accept 0 to 5 characters, so the user does not need to 
      specify a prefix in the GUI BCMA Site Parameters application. When a 
      barcode is printed, no prefix is added to the barcode so the label scans 
      successfully during medication administration.
       
      3.   Problem: Changes made to the IV Parameters when using the GUI BCMA 
      Site Parameters application were not always being saved for the selected 
      division.
       
      and coordinate the installation of this patch appropriately before 
           Corrective Action: Changes made to the IV Parameters when using the 
      GUI BCMA Site Parameters application are now being saved for the selected 
      division.
       
      4.   Problem: When the unit of administration is a patch and that patch 
      has a "Given" status, the BCMA Virtual Due List (VDL) displayed the last 
      action date/time of the order in the "Last Action" column.  The VDL did 
      not display the last action date/time of the orderable item.
       
           Corrective Action: When the unit of administration is a patch and 
      installing it. (See suggestion at bottom of Corrective Action please.)
      the patch has a "Given" status, the BCMA VDL displays in the "Last 
      Action" column the last action date/time of the orderable item.
       
       5.  Problem: Text in the "U/Gvn" column of the BCMA Medication Log 
      Report did not provide word wrapping. This became apparent after 
      free-text 'quantity and units' data was entered during the administration 
      of a medication dose.
       
           Corrective Action: After entering free-text 'quantity and units' 
      data during the administration of a medication dose, information in the 
       
      "U/Gvn" column of the BCMA Medication Log Report will appropriately word 
      wrap.
       
      6.   Problem: The following is an example of an error that occurred when 
      a user attempted to administer a unit dose medication with an "IV Push" 
      med route:
       
          "^Error(s) Filing Transaction MEDPASS
           Data Validation Error: 701: The value 'KCL 20MEQ/D5/NACL {2}' 
           for field UNIT OF ADMINISTRATION in SOLUTIONS SUB-FIELD in file BCMA
      1.   Problem: The GUI BCMA Site Parameters application, IV Parameters 
           MEDICATION LOG is not valid."
       
      The above error occurred under particular conditions associated with the 
      IV solution. 
       
           Corrective Action: The user is able to administer unit dose 
      medications with an "IV push" medication route, regardless of the IV 
      solution.
      settings for specific wards did function as required.  The IV Parameter 
      settings for the "ALL" ward always affected the display of a patient's IV 
      
    9. PATCH APPLICATION HISTORY:   21 SEQ #17
      DATE APPLIED:   2003-06-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: The error message "Error(s) Filing Transaction MEDPASS" 
         file (#53.68), when the user enters a "@" in the "Patient Name:" 
         prompt.
       
         Correction: The Missing Dose Request [PSB MISSING DOSE REQUEST] option
         has been modified to not create an entry in the MISSING DOSE REQUEST
         file (#53.68) file, when a user enters a "@" in the "Patient Name:"
         prompt.
         displays when the infusion rate for an IV Piggyback order includes more
         than 30 characters.
       
         Correction: The INFUSION RATE field (#.35) of the BCMA MEDICATION LOG
         file (#53.79) was increased from 30 to 47 characters.
       
      2. Problem: The Missing Dose Request [PSB MISSING DOSE REQUEST] option
         is creating incomplete entries in the MISSING DOSE REQUEST
      
    10. PATCH APPLICATION HISTORY:   26 SEQ #18
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Problem: If there is a continuous order, with an admin times, and 
      corrections.
       
      If a DUE LIST ERROR message is encountered with a Reason of "Invalid 
      frequency received from order" please do the following.
       
      1. Determine if the schedule listed in the mail message is in FILE# 51.1 
         the ADMINISTRATION SCHEDULE FILE. 
            a. If it is not, Log a NOIS.
            b. If it is, determine if the TYPE OF SCHEDULE is CONTINUOUS.
              i.  If it is not, log a NOIS.
      the frequency is null, the GUI Bar Code Medication Administration (BCMA)
              ii. If it is, determine if the frequency is a valid number 
                  greater than zero.
                    1. If it is, log a NOIS.
                    2. If it is not, correct the frequency.
      does not display the order on the Virtual Due List (VDL) and a Due List 
      Error Notification message is not generated.
       
      Corrective Action: BCMA will generate a Due List Error Notification 
      message for those continuous orders that contain a standard schedule 
      with admin times and no frequency. This can also occur to non-standard 
      Schedules. Pharmacy should review the problem order and make necessary 
      
    11. PATCH APPLICATION HISTORY:   28 SEQ #19
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Problem: When a Day of the Week schedule is created with [PSS SCHEDULE 
      EDIT] option, the order is showing as due everyday on the Virtual Due
      List. The Ward Administration Times [PSBO WA] option and the Medication
      Due List [PSBO DL] option displays the same problem.
       
      Corrective Action: Day of the Week schedules displays correctly on the 
      Virtual Due List, Ward Administration Times [PSBO WA] option, and 
      Medication Due List [PSBO DL] option.
      
    12. PATCH APPLICATION HISTORY:   5 SEQ #3
      DATE APPLIED:   2002-09-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: The "BCMA ORDER LAST ACTION:", which is displayed in order 
         more then two digits. Please see example below.
       
         The value 0.125 for field DOSES GIVEN in dispense drug subfield in file
         BCMA MEDICATION LOG IS NOT VALID
       
         The value 0.125 for field DOSES ORDERED in dispense drug subfield in 
         file BCMA MEDICATION LOG IS NOT VALID
       
         Corrective Action: BCMA has been modified to accept up to four
         fractional digits for doses ordered and doses given.
         view screen under Inpatient Medications V 5.0., was displaying the 
         last action by orderable item instead of the order number.
       
         Corrective Action: The "BCMA ORDER LAST ACTION:" has been corrected to
         display the last action by order number.
       
      2. Problem: BCMA was generating the message below when a nurse
         tried to administer a medication that had a fractional dose ordered of
      
    13. PATCH APPLICATION HISTORY:   19 SEQ #20
      DATE APPLIED:   2003-06-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: The GUI Bar Code Medication Administration (BCMA) Site 
       
      2.  Problem: The Medication History Report, which is available by 
          performing a right-click on an order from the BCMA Virtual Due List
          (VDL), displays incorrect data for an IV medication order. This occurs
          when an IV order contains more than one orderable item.
        
          Corrective Action: The Medication History Report will now display the 
          medication history for each orderable item contained in an IV  
          medication order.
       
          Parameters application does not perform a version check between the 
      3.  Problem: A user can administer multiple patches for an On-Call 
          medication order, with a dosage form of "PATCH," without the previous
          patch being removed.
       
          Corrective Action: For an On-Call medication order with a dosage form 
          of "PATCH," a user must first remove the previous patch administered
          before allowing any proceeding patches to be given.
       
      4.  Problem: The administration times for a medication order that uses a 
          Day-of-the-Week schedule (i.e., MO-WE-FR@0900) do not print on the 
          GUI application and the CHUI application.
          MAH.
          
          Corrective Action: The MAH will now display the administration times 
          for a medication order containing a Day-of-the-Week schedule.
       
      5.  Problem: The VDL generates displays an error if the user types  
          special characters (i.e., "^" or "?") when entering a comment for a
          medication order.
       
          Corrective Action: Any special characters entered with comments    
       
          will be removed when BCMA files the comment.
       
      6.  Problem: The option "Take Action on WS" was removed in BCMA patch 
          PSB*2*20. This option allowed the user to change the status of a ward
          stock IV bag.
       
          Corrective Action: The option "Take Action on WS" has been added to  
          patch PSB*2*19.
       
      7.  Problem: The new Reduced Space Symbology (RSS) bar codes contain the 
          Corrective Action: BCMA will validate the version of the GUI BCMA 
          National Drug Code (NDC) number in a new format called  "Global Trade 
          Item Number (GTIN)." The GTIN has a 14-digit data structure, which is
          used within the EAN.UCC System for the unique identification of trade
          items worldwide.
       
          Corrective Action: BCMA GUI will correctly read the GTIN and search   
          the SYNONYM field (#.01) of the DRUG file (#50) for a matching NDC
          number.
       
      8.  Problem: The BCMA GUI Due List Report allows the user to select a 
          Site Parameters application running on the client against the CHUI
          stop time that is prior to the start time.
       
          Corrective Action: The BCMA GUI Due List will not allow the user to 
          select a stop time that is prior to the start time:
       
      9.  Problem: The MAH Report only displays the action of "Removed" for a 
          PRN, On-Call, and One-Time medication order with a dosage form of
          "PATCH."
       
          Corrective Action: The MAH Report will now display actions of 
          application. The client version must match the patch number on the
          "Removed" and "Given."  for PRN, On-Call, and One-Time medication
          orders with a dosage form of "PATCH."
       
      10. Problem: If an IV medication order has an infusing bag and becomes 
          expired, the infusing bag  continues to display on the VDL, along with
          the other available bags.
       
          Corrective Action: Available bags will not display when an IV     
          medication order becomes expired.
          VistA server, and if compatible, the previous GUI version will be
          allowed to run. No prior version will be allowed to run on the client.
      
    14. PATCH APPLICATION HISTORY:   24 SEQ #21
      DATE APPLIED:   2003-07-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Bar Code Medication Administration (BCMA) will provide a visual
      check box is selected in the GUI BCMA Site Parameters application. All
      other schedule types will remain selected on the VDL by default when the
      user opens a patient's record.
       
      3. The VDL will display a BCMA Clinical Reminders marquee at the lower
      right hand corner. The "count" is the number of PRN medications
      without Effectiveness comments within the hours defined in the
      "PRN Documentation" field on the Parameters tab of the GUI BCMA Site
      Parameters application or within the current admission whichever is 
      greater.
      indicator on the Virtual Due List (VDL) to identify which schedule types
      A mouse-over list displays the last four undocumented PRN orders.
      When the user double clicks anywhere on the PRN Effectiveness row of
      the BCMA Clinical Reminders marquee, the PRN Effectiveness Log dialog box
      displays all PRN orders that need PRN Effectiveness and allowing
      documentation of PRN Effectiveness comments for each order listed.
       
      The "count" will update/refresh when the user:
      a) opens a patient file.
      b) administers a PRN medication order.
      c) completes the documentation of a PRN Effectiveness.
      have active orders within the specified start and stop date/time for the
      d) refreshes the VDL.
       
      A Med History button has been added to display the Medication
      Administration History for the order selected.
       
      4. When administering a PRN medication, the units given column
      within the Last Four Actions table and a drop down box for the users to
      select the PRN Reason have been added to the Medication Log dialog box.
      Units given will not display for orders with multiple dispensed drugs.
       
      selected Medication Tab. A green "alert light" to the left of the
      5. An updated PRN Effectiveness Log dialog will ease the process of
      PRN Effectiveness documentation. It displays a list of undocumented PRN
      medications for a specific order, or across orders, including PRN 
      medications from previous or expired orders. The dialog box
      includes a "units given" column, which will not display units for orders
      with multiple dispensed drugs. The division column has been removed.
      Schedule Type indicates that it has active orders for the specified
      timeframe, and a gray "alert light" to the left of the Schedule Type
      indicates that it has no active orders for the specified timeframe.
       
      2. PRN medications will display on the VDL if the PRN Schedule Types
      
    15. PATCH APPLICATION HISTORY:   32 SEQ #22
      DATE APPLIED:   2003-08-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ***NOTE*** This patch should be discussed at each Department of 
      menu contains the Documenting Backlog PRNs [PSB PRN DOCUMENTING] option 
      which will allow a user to run a report for a date range that will 
      search through the BCMA MEDICATION LOG file (#53.79) for all 
      undocumented PRNs. The Documenting Backlog PRNs [PSB PRN DOCUMENTING]
      option will automatically enter in a comment of "Administrative Closure"
      for all undocumented PRNs identified by the report.
       
      In accordance with M1, Part 1, Chapter 5, these blank sections of the PRN 
      documentation will reflect the term "Administrative Closure" when the 
      software is used to close these blank portions related to the PRN 
      Veterans Affairs Medical Centers (VAMC) before being invoked. 
      documentation. The sites medical record review committee should document 
      the decision to run the patch to administrative close the undocumented 
      PRN if the site chooses to use this option. In those cases where the sites
      have reviewed the charts and find that the PRN documentation appears in
      the patient record in other than the BCMA PRN field, the site should
      individually enter "documented in progress note."
       
      The person installing the patch will receive a MailMan message when
      the process has completed. The subject line will read, "BCMA PRN
      DOCUMENTATION Notification."
       
      Problem: Sites are experiencing a large number of undocumented 
      Pro Re Nata (PRN) effectiveness in the counter displaying under the
      "BCMA Clinical Reminders" section of the GUI Bar Code Medication
      Administration (BCMA) Virtual Due List (VDL). 
       
      Solution: The Bar Code Medication Administration Manager [PSB MGR] 
      
    16. PATCH APPLICATION HISTORY:   17 SEQ #23
      DATE APPLIED:   2003-09-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The VistA Bar Code Medical Administration Backup System (Patch PSB*2*17)
      on a Pharmacy Medical Administration Record (MAR) and Medical 
      Administration History (MAH). Workstation(s) are updated using the 
      VA Health Level (HL7) package and are available for use according to 
      local policies concerning VistA, BCMA or network outages.
      software being released will provide a Class I solution to the BCMA 
      Contingency IRA #20020403.  This plan reflects the intent of VHA Directive
      6210, The Automated Information Systems (AIS) Security, which states that 
      all facilities are responsible for the development, maintenance, and
      annual testing of individual AIS contingency.  This software maintains a
      current copy, on the designated workstation, of all the inpatient pharmacy
      activities including the inpatient medical orders(Unit Dose and IV), 
      medication administration and patient allergies, that are included 
      
    17. PATCH APPLICATION HISTORY:   33 SEQ #24
      DATE APPLIED:   2003-09-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Problem: NOIS SAJ-0803-71312
      The BCMA Due List [PSBODL] option, and the VDL will generate a Due List 
      Error Notification message for IV Piggyback medication orders with a 
      Schedule Type of Continuous that have Admin times, and A frequency set to 
      null. The BCMA Due List [PSBODL] option, and the VDL will generate a Due 
      List Error Notification message for orders with Schedule Type of 
      Continuous that are Unit Dose and IV Piggyback orders that have schedules 
      names in the format of administration times but the Admin times do not 
      exist on the order (i.e., schedule = 1200-1600 admin times = NULL).
      An IV Piggyback order with a Schedule Type of Continuous that has Admin 
      times, (i.e., Q12H with admin times of 0800-2000), and a frequency set to 
      null, does not display on the Bar Code Medication Administration (BCMA) 
      Graphical User Interface (GUI) Virtual Due List (VDL) IVP/IVPB Medication 
      Tab and the Due List [PSBODL] option. The VDL and the Due List [PSBODL] 
      option also do not generate a Due List Error Notification message.
       
      Corrective Action:
      
    18. PATCH APPLICATION HISTORY:   14 SEQ #25
      DATE APPLIED:   2003-10-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       1. Problem: NOIS ISB-1102-30304
       selection process used in other provider system applications such as 
       Inpatient Medication V 5.0 and Pharmacy Data Management V 1.0.
       
       2. Problem: NOIS NCH-1102-40363
       The Medication Variance Log [PSBO MV] option will inappropriately display
       variance information related to medication orders with a status of
       "REMOVED" on the BCMA Variance Log Report.
       
       Corrective Action: The Medication Variance Log [PSBO MV] option will not 
       display variance information related to medication orders with a status 
       The Drug File Inquiry [PSB DRUG INQUIRY] option does not resemble or
       of "REMOVED" on the BCMA Variance Log Report.
       
       3. Problem: NOIS MAD-0902-42331
       The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] option will
       improperly allow users an opportunity to enter a comment for PRN 
       medication orders that do not have a status of "GIVEN".
       
       Corrective Action: The Enter PRN Effectiveness [PSB MED LOG PRN EFFECT] 
       option will only allow users an opportunity to enter a comment for PRN 
       medication orders with a status of "GIVEN".
       follow a similar drug selection process used in other provider system
       
       4. Problem: NOIS CLL-0203-40445
       The Label Print [PSBO BL] option will not retrieve the correct drug name
       if the user enters the drug name as lower case letters.
       
       Corrective Action: The Label Print [PSBO BL] option will retrieve the 
       correct drug name if the user enters the drug name as lower case letters.
        
       5. Problem: NOIS ISB-1102-32339
       The Medication Variance Log [PSBO MV] option will only display variance
       applications such as Inpatient Medication V 5.0 and Pharmacy Data
       information related to patients currently assigned to the selected ward
       on the BCMA Variance Log Report. The option will not display variances
       information associated with previous patients assigned to the selected
       wards.
       
       Corrective Action: The Medication Variance Log [PSBO MV] option will 
       rebuild the data structure used to sort, store, and display the variance 
       information related to all patients assigned to the selected ward stored 
       in the BCMA MEDICATION VARIANCE LOG file (#53.78).
       
       Management V 1.0. A site is requesting modifications that will add
       6. Problem: NOIS MWV-0102-23190 
       The Medication Variance Log [PSBO MV] option will not display variance
       information on the BCMA Variance Log Report when the user selects to
       print the report by ward names.  Several sites are experiencing this
       problem as a result of incompatible ward names between the BCMA
       MEDICATION VARIANCE LOG file (#53.78) and the NURS LOCATION file
       (#211.4).  In addition, sites should populate their NURS LOCATION file 
       (#211.4) with the proper ward name from the WARD LOCATION file (#42) to 
       prevent this problem from reoccurring.
       
       consistency to the drug selection process. 
       Corrective Action: The Medication Variance Log [PSBO MV] option will 
       compare the ward's internal entry number (IEN) stored in the BCMA 
       MEDICATION VARIANCE LOG file (#53.78) to the ward's IEN stored in the 
       WARD LOCATION file (#42).  The BCMA application will store the ward's IEN
       for future variances.  Site must use the new Ward Name Conversion Process
       [PSB WARD CONVERSION] option under the Bar Code Medication Administration
       Manager [PSB MGR] option to convert the ward name associated with 
       previous variance information stored in the BCMA MEDICATION VARIANCE LOG 
       file (#53.78) in order to print a BCMA Variance Log Report based on 
       previous variance information. 
       
       
       The Ward Name Conversion Process [PSB WARD CONVERSION] option is 
       temporary. However, in the future, Bar Code Medication Administration 
       patch PSB*2*23 will remove the temporary Ward Name Conversion Process 
       option from your system. The Ward Name Conversion Process option will 
       perform the following functions: 
       
       a. Allow users to select a specified date range, which will control the 
          amount of data and time needed to complete the process.
       b. Convert the ward's name to the ward's internal entry number (IEN) if 
       Corrective Action: The Drug File Inquiry [PSB DRUG INQUIRY] option has a 
          the Ward Name in BCMA MEDICATION VARIANCE LOG file (#53.78) is
          identical to the Ward Name in the WARD LOCATION file (#42).
       c. Display a list of un-identifiable ward names and allows the user to 
          make the appropriate corrections.
       revised continuous search index function that resembles the drug 
      
    19. PATCH APPLICATION HISTORY:   25 SEQ #26
      DATE APPLIED:   2003-11-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: NOIS AAA-0303-N1449
       
       
      2.  Problem: NOIS ISB-0503-30409
          After a medication patch order is "Given," if that order expires or is
          discontinued, and the patient has no other active orders, the patch 
          does not display on the VDL; the message "No Active Orders" displays 
          instead.
       
          Corrective Action:
          If a patch is "Given" and not "Removed," it should display on the VDL 
          The "Last Action" column on the Bar Code Medication Administration
          until it is marked as "Removed." A patch with the status of "Given" 
          will display on the VDL until it is marked as "Removed."
       
       
      3.  Problem: NOIS ISB-0503-30409
          After a large volume IV order is "Infusing," if that order expires or 
          is discontinued and the patient has no other active orders, the 
          infusing IV does not always display on the VDL; the message "No 
          Active Orders" displays instead.
       
          (BCMA) Virtual Due List (VDL) displays inaccurate information via a 
          Corrective Action:
          If an IV is "Infusing" and not "Completed," it should display on the 
          VDL up to 7 days after the order is expired/discontinued or until the 
          order is marked as "Completed."  An IV that is "Infusing" will 
          display on the VDL for 7 days after the order is expired/discontinued 
          or until it is marked as "Completed."
          
          
          
       
          sequence of administrative actions upon two distinct orders having the
       
       
      4.  Problem: NOIS HAM-0103-22522, HUN-0403-21086
          The Edit Medication Log [PSB MED LOG EDIT] option does not allow the 
          user to change the status of a medication patch from "Given" to 
          "Removed."  An attempt to change the status from "Given" to "Removed" 
          using the Edit Medication Log [PSB MED LOG EDIT] option displays the 
          message "Allowed status codes are Given, Not Given, Held, and 
          Refused," preventing the status change of the medication patch.
       
          same orderable item.
          Corrective Action:
          The Edit Medication Log [PSB MED LOG EDIT] option will allow the 
          status of a "Given" medication patch to be changed to "Removed."
       
       
      5.  Problem: NOIS ISB-0703-30098
          The Manual Medication Entry [PSB MED LOG NEW ENTRY] allows the user to
          enter any administration status for any order type. For example, the 
          user can create a new BCMA Medication Log entry for a medication 
          patch order, with an administration status of "Completed." 
       
       
          Corrective Action:
          The Manual Medication Entry [PSB MED LOG NEW ENTRY] will only allow 
          the user to enter "Given," "Held," or "Refused" for orders which are 
          not IV  orders. A status for an IV order will not be allowed since IV 
          medications cannot be entered via this menu option.
       
       
      6.  Problem: NOIS ISB-0703-30653
          The "Schedule:" prompt in the Manual Medication Entry [PSB MED LOG NEW
          Corrective Action:
          ENTRY] option screen displays the schedule type instead of the 
          schedule.
       
          Corrective Action:
          The "Schedule:" prompt in the Manual Medication Entry [PSB MED LOG NEW
          ENTRY] option screen will display the schedule.
       
       
      7.  Problem: NOIS CLL-0303-40554
          The Manual Medication Entry [PSB MED LOG NEW ENTRY] option allows the 
          The "Last Action" column on the BCMA VDL will display appropriate and
          user to enter a future date and time for a medication administration, 
          which sometimes causes inaccurate information on BCMA reports.
       
          Corrective Action:
          The Manual Medication Entry [PSB MED LOG NEW ENTRY] option will not 
          allow the user to enter a future date and time for a medication 
          administration.
          accurate status, date and time information per orderable item.
      
    20. PATCH APPLICATION HISTORY:   30 SEQ #27
      DATE APPLIED:   2003-11-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      *** ATTENTION: This patch includes a new Graphical User Interface (GUI) 
      Patch PSB*2*30 presents some changes to the 'look and feel' of the Bar  
       
            Corrective Action:
      BCMA will allow the user to submit a Missing Dose Request for a 
      medication patch order when another patch from that order displays a 
      status of "GIVEN" on the VDL.
       
       
      9.      Problem: NOIS ISB-0703-31421
      When the user submits a Missing Dose Request for a PRN medication and 
      immediately (without refreshing the BCMA VDL) marks that PRN as "GIVEN," 
      Code Medication Administration (BCMA) GUI. One change is the additive and 
      BCMA files into the BCMA Medication Log a null value as the PRN Reason.
       
            Corrective Action:
      BCMA will file into the BCMA Medication Log the PRN Reason as selected by 
      the user for the respective PRN administration.
       
       
      10.   Problem: NOIS SDC-0803-60738
      When a Global Trade Identification Number (GTIN) bar code was scanned, 
      BCMA would strip out the National Drug Code (NDC) number from the GTIN 
      solution display automatically for an infusing bag in the IV chronology 
      and perform a search on it. This would result in BCMA not finding a match 
      and displaying the error message "Invalid Medication Lookup. DO NOT 
      GIVE!!"
       
            Corrective Action: 
      The logic that performs the lookup has been modified to not strip out the 
      NDC number.       
       
       
      11.   Enhancement: E3R#18328
      section of the Virtual Due List (VDL).  Another change is during the 
      BCMA GUI will allow a medication patch to be marked as "HELD" or 
      "REFUSED" while another patch from the same order displays as "GIVEN" and 
      not marked "REMOVED."
       
       
      12.   Enhancement: E3R#13940
      BCMA GUI will provide the user access to the BCMA Medication Variance Log
      Report from the Reports menu of the VDL.
      administration of a Pro Re Nata (PRN) the PRN reason may be selected by 
      typing the first letter of the PRN Reason.  BCMA will focus on the PRN 
      Reasons that start with the first letter typed in the PRN Reason 
      selection area.
       
       
      executable file.
      1.    Problem: NOIS CPH-0703-40060
      When an IV medication order becomes expired while an IV bag is 
      "INFUSING" or "STOPPED," the un-administered bags of that order are still 
      "available" for administration. 
       
      Corrective Action:
      When an IV medication order expires, the un-administered IV bags will not 
      display on the BCMA VDL.
       
       
             Installation of this GUI is NOT required immediately after the 
      2.    Problem: NOIS RIC-0703-20366
      The "Scanner Status:" indicator on the BCMA VDL displays red when the 
      user switches from another application back to the BCMA GUI.
       
      Corrective Action:
      The BCMA VDL Scanner Status indicator will display green when it is 
      possible to scan medication using BCMA. 
       
       
      3.    Problem: NOIS ISB-0303-31005
      KIDS install for the Patch to function. ***
      Multiple IV bags of an order may be "INFUSING" simultaneously.  BCMA does 
      not allow proper maintenance of any of these administered IV bags.  For 
      example the user cannot "COMPLETE" any of the "INFUSING" IV bags.
       
      Corrective Action:
      BCMA will allow the maintenance of an order with multiple "INFUSING" IV 
      bags.
       
       
      4.    Problem: NOIS ISB-0703-31029
       
      If the BCMA GUI user enters a space alone as documentation of PRN 
      Effectiveness, an "information box" displays because the space is 
      inappropriately treated as a special character.     
       
            Corrective Action:
      When documenting PRN Effectiveness using the BCMA GUI via a lone space 
      character, the lone space will not be treated as a special character; 
      instead the user will be asked to re-enter the data.
       
       
       
      5.    Problem: NOIS ISB-0703-30373
      The user must scroll the list of output devices to select the most 
      recently used print device.
       
            Corrective Action:
      The print device most recently selected by the user will display first in 
      the list of selectable print devices.
       
       
      6.    Problem: NOIS ISB-0703-30480
      For retrieval and installation instructions, please see the Client 
      Using the BCMA Site Parameter GUI application, the user can seemingly 
      create an unlimited number of entries for a "Default Answer List" such as 
      the BCMA "Injection Site" list .  These entries should then be selectable 
      from the respective list box during certain medication administration 
      using the BCMA GUI.  Without notice to the user, BCMA limits the number 
      of entries/selections to 60.
       
            Corrective Action:
      Using the BCMA Site Parameter GUI application, the user will be able to 
      create up to 100 entries for a BCMA "Default Answer List" list box.  
      Installation Instructions section.
      Therefore it will be possible for the user to have up to 100 entries to 
      select from the respective BCMA GUI list box.
       
       
      7.    Problem: NOIS ISB-0703-30478
      Using the BCMA Site Parameter GUI application the user can seemingly 
      create entries for a BCMA "Default Answer List" box, such as the BCMA 
      "Injection Site" list, longer than 30 characters.  Without notice to the 
      user, BCMA limits the number of characters for a list entry to 30.
       
       
            Corrective Action:
      Using the BCMA Site Parameter GUI application the user will not be able 
      to create entries for a BCMA "Default Answer List" more than 30 
      characters in length.
       
       
      8.    Problem: NOIS ISB-0703-30290
      Using the BCMA GUI, the user cannot submit a Missing Dose Request for a 
      medication patch order when another patch from that order displays a 
      status of "GIVEN" on the VDL.
      
    21. PATCH APPLICATION HISTORY:   31 SEQ #28
      DATE APPLIED:   2003-11-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The user is allowed to view and print the Bar Code Medication 
         within the last 7 days.
       
      3. When the user opens a patient record from the BCMA GUI application, the
         Vitals Cumulative Report can be accessed from the Reports menu.
       
      4. When enabled, BCMA will broadcast BCMA Medication Log data to 
         applications that subscribe to BCMA Heath Level 7 (HL7) Messaging.  
         The events or transactions tht trigger the message broadcasts are
         MEDPASS, UPDATE, STATUS, ADD COMMENT, and PRN EFFECTIVENESS.  Upon the 
         completion of each "trigger event," BCMA will send HL7 version 2.4 
         Administration (BCMA) ward specific reports via the BCMA GUI (Graphical
         compliant messages to COTS and other subscribing products or 
         applications. The BCMA HL7 interface must be activated after 
         installation for messaging to occur.
       
      5. When the user launches the BCMA GUI application, the message box
         displays information regarding BCMA 508 compliance. This information
         can also be found in the BCMA Help, About dialog box.
       
      6. When the user scans a currently infusing or stopped bag on the VDL IV
         tab and the associated order has had any changes made to it since the
         user interface) application without having to open a patient record.
         infusing or stopped bag's label was printed, the Scan IV box will 
         display Order changes including bag status and changes made on the 
         associated order.
         
      7. A new column "Bag Information" has been added to the VDL IV tab. This
         column contains the administration status, date and time of the 
         currently infusing or stopped bag on its associated order and one of 
         the following messages if the order has changed since the bag label 
         was printed. "INFUSING bag on changed order" or"STOPPED bag on changed 
         order". This column is updated every time the patient record is opened 
       
         or the VDL is refreshed.
       
      8. Problem: NOIS MIN-0703-42067
         The Bar Code Medication Administration (BCMA) Graphical User Interface
         (GUI) does not print the Medication History Report for large volume
         IV's under the GUI IV Medication Tab.
       
         Corrective Action:
         The BCMA GUI Medication History Report for IV Medications will print
         for large volume IV's under the GUI IV Medication Tab.
      2. When administering a PRN medication or documenting a PRN 
       
      9. Problem: NOIS TAB-0903-40220
         When users take BCMA offline by unchecking the BCMA on-line check box
         on the GUI BCMA Site Parameters Facility Tab, the users are unable to
         sign in again to the BCMA Site Parameters application and get the
         following error: "The BCMA Application is not active for this
         division", followed by an application error.
       
         Corrective Action: When users take BCMA offline by unchecking the
         BCMA on-line check box on the GUI BCMA Site Parameters Facility Tab,
         Effectiveness, the Medication Log dialog box or the PRN Effectiveness 
         the users will be able to sign in again to the BCMA Site Parameters
         application without receiving the above errors.
       
      10. Problem: NOIS ISB-0703-30291
          When a user selects a report from the BCMA GUI Reports menu, the
          "Print by" area of the associated dialog box does not display all
          wards in the Ward list box.
           
          Corrective Action:
          The "Print by" area of the BCMA GUI report dialog boxes displays all 
         Log respectively will display a vitals table with the vital signs: 
          wards in the Ward list box.
       
      11. Problem: NOIS MAD-0203-42078
          When the user attempts to enter an order via the Computerized Patient 
          Record System (CPRS) Med Order Button, the order is being cancelled 
          due to an error, "missing data, unable to file"
       
         Corrective Action:
         The user will be able to successfully enter an order via CPRS Med 
         Order Button without receiving the above error.
         Temperature (Temp), Pulse, Respiration (Resp), Blood Pressure (BP) and 
         Pain. Each of the vital signs will list up to 4 vital entries made 
      
    22. PATCH APPLICATION HISTORY:   22 SEQ #29
      DATE APPLIED:   2003-11-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: The Missed Medications [PSBO MM] option does not display a 
         Provider takes if Off Hold, no verbiage is displayed next to the 
         medication.
       
         Corrective Action: The Missed Medications [PSBO MM] option displays 
         "(On Hold)" date and time below a medication when the Provider places
         it on Hold. When the Provider takes if off Hold, it displays the
         "(On Hold)" date and time as well as the "(Off Hold)": date and time
         below the medication.
         One-Time order for the new ward after a patient is transferred to
         another ward.
       
         Corrective Action: The Missed Medications [PSBO MM] option displays a 
         One-Time order after a patient is transferred to another ward.
       
      2. Problem: The Missed Medications [PSBO MM] option displays "(Hold)"
         next to a medication when a Provider places it on Hold. When the 
      
    23. PATCH APPLICATION HISTORY:   2 SEQ #4
      DATE APPLIED:   2002-09-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: The Bar Code Medication Administration (BCMA) Order Manager
         a ward stock entry on GUI BCMA.
       
         Corrective Action: GUI BCMA has been modified to regconize the synonym
         number of an IV medication.
       
      3. Problem: When using the CPRS Med Order button, the orderable item 
         lookup was using a direct global read.
       
         Correction: The orderable item lookup has been modified to call a 
         Computerized Patient Record System (CPRS) Application Program Interface
         dialogue box from the CPRS Med Order button displays the
         (API) instead of using a direct global read.
         "Invalid Medication Lookup, DO NOT GIVE!!"
       
         Corrective Action: The BCMA Order Manager dialogue box has been
         corrected to perform a lookup on the drug synonym number.
       
      2. Problem: The user will receive the "Invalid Medication Lookup,
         DO NOT GIVE!!" error message box when scanning an IV bag to create
      
    24. PATCH APPLICATION HISTORY:   27 SEQ #30
      DATE APPLIED:   2003-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: NOIS ISB-0503-30379
          option display the PRN Effectiveness reasons using word wrap.
       
      2   Problem: NOIS ISB-0503-31838
          A medication order with a Day-of-the-Week schedule, will use
          the frequency from Inpatient Medication, and incorrectly display the  
          data on the Graphical User Interface (GUI) Bar Code Medication 
          Administration (BCMA) Virtual Due List (VDL) as being due everyday.
          
          Corrective Action: A medication order with a Day-of-the-Week 
          schedule correctly displays on the GUI BCMA VDL on the day scheduled.
          The Medication Administration History [PSBO MH] option 
       
      3.  Problem: NOIS LIT-0303-72207 
          The Medication Administration History [PSBO MH] option will not 
          display medication orders with an odd schedule, which include
          administration times.
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          option displays odd schedules with administration times, along with
          the following message, "NOTE - ODD SCHEDULE NO LONGER ALLOWS 
          ADMIN TIMES." 
          and the Medication Administration Log [PSBO ML] option displays
       
      4.  Problem: NOIS ISB-1102-30781 
          The Medication Administration History [PSBO MH] option and the 
          Medication History Report are not accessible to the user when
          a medication is not due. 
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          Option and the Medication History report displays three asterisks 
          ("***") in the Date column when a medication is not due.
       
          the Pro Re Nata (PRN) Effectiveness reasons on one continuous 
      5.  Problem: NOIS AMA-0403-70477 
          The Patient Due List Report and the Ward Administration Time Report 
          will not display a "due" medication, on the correct day, for 
          schedules with frequencies greater than 24 hours, (i.e.,Q36).
          
          Corrective Action: The Patient Due List Report and the Ward 
          Administration Time Report display "due" medication, on the correct
          day, for schedules with a frequency greater then 24 hours.
       
      6.  Problem: NOIS MAD-0303-40194 
          sentence rather than wrapping the information to several lines for
          The Medication Administration Log [PSBO ML] option, Medication Log 
          Report displays the medication as "GIVEN" with the incorrect dosage 
          value, after the medication status was marked as "Not Given" on the
          VDL.
       
          Corrective Action: The Medication Administration Log [PSBO ML] option
          and the Medication Log Report display the medications administration  
          units of zero when the medication is set to "NOT GIVEN" on the VDL.
       
      7.  Problem: NOIS ISB-0703-30482 
          viewing.
          The Medication Administration History [PSBO MH] option,
          Medication History Report, will display the word "HOLD" in the Date 
          column, for all days on the report, even after the medication is 
          taken Off Hold.
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          option, Medication History Report, displays "HOLD" in the Date column 
          on the days that the medication was placed On Hold, through the end 
          date of the report. When the medication is taken Off Hold, the word 
          "HOLD" Appears on the Report from the On Hold date to the Off Hold 
       
          date.
       
      8.  Problem: NOIS ISB-0703-30482
          The Medication Administration History [PSBO MH] option incorrectly 
          displays orders with a Schedule Type of Continuous, with a Schedule in
          the format of administration times (i.e. Schedule = 1200-1400) but
          where the Admin times have been deleted. Continuous schedules with
          valid admin times that are not Day-of-the-Week Schedules but have a
          NULL frequency are also incorrectly displayed.
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          Corrective Action: The Medication Administration History [PSBO MH] 
          option will not display orders that meet the above criteria.
          
      9.  Enhancement: E3R NO.15232
          The Medication Administration History [PSBO MH] 
          option and the Medication History report displays the date as well 
          as the time the order was started on the report.
          option and the Medication Administration Log [PSBO ML] 
      
    25. PATCH APPLICATION HISTORY:   35 SEQ #31
      DATE APPLIED:   2003-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      *** DUE TO PURGED PENDING-ORDERS, BCMA MAY NOT BE ABLE TO TRACK AND 
          Medications with a Schedule Type of Continuous and marked as "Held" may
          not display on the Due List [PSBO DL] option report.
          This issue becomes very apparent when the Bar Code Medication 
          Administration (BCMA) system is generating Internal Entry Numbers
          (IEN) for the BCMA Medication Log file (#53.79) which exceed the date 
          numerically.
       
          Corrective Action:
          Medications with a Schedule Type of Continuous and marked as "Held"
          will display on the Due List [PSBO DL] option report.
      DISPLAY ORDER HISTORY AND ORDER CHANGES.  WITH INSTALLATION OF 
       
       
      2.  Problem: NOIS ISB-0703-30657
          When creating an administration for a Pro Re Nata (PRN) order in the 
          Manual Medication Entry [PSB MED LOG NEW ENTRY] option, the "Brief 
          Administration History" displays the status of "Not Given" as one of
          the last four actions.
       
          Corrective Action:
          When creating an administration for a PRN order in the Manual Medication 
      PSB*2.0*35, BCMA ERRORS CAUSED BY PURGED PENDING-ORDERS ARE INTERCEPTED, 
          Entry [PSB MED LOG NEW ENTRY] option, the "Brief Administration 
          History" will not display the status of "Not Given" as one of the last 
          four actions. 
       
       
      3.  Problem: NOIS WPB-0503-31999
          The latest printed label for an IV medication order may not display
          on the BCMA Virtual Due List (VDL) as an "available bag" when it 
          should.
       
      BUT WILL NOT ALLOW BCMA TO TRACK AND DISPLAY COMPLETE ORDER HISTORY AND 
          Corrective Action:
          All printed labels that are valid and should be available for 
          administration will appropriately display as "available" on the VDL.
       
       
      4.  Problem: NOIS NCH-1003-41434
          The BCMA Label Print [PSBO BL] option does not allow the use of a drugs
          internal entry number (IEN) alone to select a "Drug Name" for a 
          printed label.
       
      ORDER CHANGE DATA.  ***
          Corrective Action:
          The BCMA Label Print [PSBO BL] option will select the appropriate 
          drug when the user enters solely the drugs IEN to select a "Drug 
          Name" for a printed label.
       
       
      5.  Problem: NOIS UNY-1003-10407
          Allergy data is being displayed in the report header "Reactions:"
          field of reports printed via the VDL, such as the Medication Due 
          List report.
       
       
          Corrective Action:   
          Adverse Drug Reaction information will display in the report 
          header, "Reactions:" field of reports printed via the VDL.
       
       
      6.  Problem: NOIS ALX-1103-70256
          An error occurs when the user attempts to access a 
          patients VDL and that patient has an active medication order 
          with an ACTION STATUS field (#.09) of the BCMA MEDICATION LOG 
       
          file (#53.79) equal to null.  The error message encountered is 
          "$ZE=<SUBSCRIPT>EN+75^PSBVDLUD."
          
          Corrective Action:
          A patients VDL will display without error when that patient has 
          an active medication order with an ACTION STATUS field (#.09) of the 
          BCMA MEDICATION LOG file (#53.79) equal to null.
       
      1.  Problem NOIS HIN-0703-41481:
      
    26. PATCH APPLICATION HISTORY:   23 SEQ #32
      DATE APPLIED:   2003-12-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
        ****NOTE**** Patch PSB*2*23 will remove the Ward Name Conversion 
        time that a patch was "Removed," instead of "Given," under the "Admin 
        Time" column.
       
        Corrective Action: The PRN Effectiveness List [PSBO PE] option will 
        display the date and time that a patch is "Given" under the "Admin Time"
        column. 
       
        2. Problem: NOIS ISB-0303-30557
        The PRN Effectiveness List [PSBO PE] option displays a PRN medication
        entry twice on the PRN Effectiveness List Report when the user enters a
        Process [PSB WARD CONVERSION] option from your system. Please complete 
        Missing Dose Request and administers the medication at a later time.
       
        Corrective Action: The PRN Effectiveness List [PSBO PE] option will not 
        display a PRN medication entry twice on the PRN Effectiveness List
        Report when the user enters a Missing Dose Request and administers the
        medication at a later time.
       
        3. Problem: NOIS ISB-0903-31938 
        The Missing Dose Report [PSBO MD] option will display the header "Dosage
        Schedule" on the Bar Code Medication Administration (BCMA) Character
        the ward name conversion process before installing patch PSB*2*23, 
        User Interface (CHUI) Missing Dose Report.  This header is not
        consistent with the naming scheme that describes the medication order
        schedule information sent to the Pharmacy via the e-mail notification
        message.
       
        Corrective Action: The Missing Dose Request [PSBO MD] option displays
        the header "Schedule" on the BCMA CHUI Missing Dose Report. This
        information coincides with the BCMA naming scheme that describes the
        medication order schedule information sent to the Pharmacy via the
        e-mail notification message.
        using the Ward Name Conversion Process [PSB WARD CONVERSION] option in 
       
        4. Problem: NOIS ISB-0703-30029
        The Missing Dose Request [PSB MISSING DOSE REQUEST] option creates a
        variance entry in the BCMA MEDICATION VARIANCE LOG File (#53.78) when
        the user enters a Missing Dose Request outside the timeframe specified
        for the "Allowable Time Limits" parameter within the Parameters Tab of
        the GUI BCMA Site Parameters application.
       
        Corrective Action: The Missing Dose Request [PSB MISSING DOSE REQUEST]
        option will not create a variance entry in the BCMA MEDICATION VARIANCE
        patch PSB*2*14. 
        LOG File (#53.78) when the user enters a Missing Dose Request outside
        the timeframe specified for the "Allowable Time Limits" parameter within
        the Parameters Tab of the GUI BCMA Site Parameters application.
       
        5. Enhancement: E3R #13009 
        The Missing Dose Request [PSB MISSING DOSE REQUEST] option will display 
        the medication order schedule information in the e-mail notification 
        message sent from BCMA to the Pharmacy for a Missing Dose Request.  
       
        6. Enhancement: E3R #17312 
       
        The Missing Dose Request [PSB MISSING DOSE REQUEST] option displays the 
        medication order schedule information on the Missing Dose Report sent 
        from BCMA to the Pharmacy-selected printing device.
        1.  Problem: NOIS ISB-0203-31993
        Pro Ra Nata (PRN)
        The PRN Effectiveness List [PSBO PE] option displays the date and
      
    27. PATCH APPLICATION HISTORY:   36 SEQ #33
      DATE APPLIED:   2004-01-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      *** ATTENTION: This patch includes a new Graphical User Interface (GUI)
      Installation Instructions section.
       
      1. When administering a Pro Re Nata (PRN) medication or documenting a PRN 
         Effectiveness and the PRN Reason is one set via the Bar Code Medication
         Administration (BCMA) Site Parameters settings to initiate a pain score
         reading, BCMA will automatically initiate a pain score reading to be 
         filed with other Vital Measurement information.
       
       
      2. Problem: NOIS DUB-0803-31307
          executable file. Installation of this new GUI is REQUIRED in order 
         When all of a patient's active medication orders of an order type have no
         scheduled administrations within the date range of the BCMA Virtual Due
         List (VDL), the message "No Active Orders at this Time" displays.  
         This message is not accurate.
       
         Corrective Action:
         When all a patient's active medication orders of an order type have no
         scheduled administrations within the date range of the BCMA Virtual Due
         List (VDL), the message "No Administration(s) due at this time" will
         display.
          for the patch to function.  The new GUI MUST be installed IMMEDIATELY 
       
       
      3. Problem: NOIS NYH-0903-10598
         BCMA is not showing the correct number of PRN Reminders for patients. 
         BCMA calculates the number of PRN Reminders based on the date/time of 
         patient's transfer and not the date/time of the patient's admission.
       
         Corrective Action:
         BCMA will identify and display PRN Reminders based on the date/time of 
         the patient's admission.
          after the KIDS install in order for the software to function. ***
       
      4. Problem: NOIS ISB-1103-31688
         The error "$ZE= NTE+16^PSBSVHL7:1, %DSM-E-UNDEF, undefined variable " 
         may occur when comment internal entity numbers (IEN), of the BCMA Medication 
         Log are not in sync with the BCMA Medication Log comment sub-file index.  BCM
         Health Level 7 (HL7) messaging may attempt to transmit a comment which
         does not exist, causing the error.
       
         Corrective Action:
         BCMA HL7 messaging will transmit the appropriate comment independent 
       
         of the BCMA Medication Log comment sub-file index.
       
      5. Problem: NOIS ISB-1103-31567 
         The BCMA Cumulative Vitals report does not display the vital changes if 
         only one measurement was changed for the designated date range.
       
         Corrective Action: The Cumulative Vitals report will show all changes 
         that occur within the designated date range.
       
       
       
      For retrieval and installation instructions, please see the Client
      
    28. PATCH APPLICATION HISTORY:   4 SEQ #1
      DATE APPLIED:   2002-10-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: When a user attempts to log on to the GUI BCMA, they receive 
      2. Problem: Sites are unable to access the GUI, due to the VISTA side
         needing the most current version of BCMA.
       
         Corrective Action: The code which checks the version number has been
         corrected to properly return the correct version.
         the following messages:
       
         RPC BOWDPS5 GETUDID in Option PSB GUI CONTEXT - USER **NOT  FOUND**
         RPC BOWDPS5 GETIVID in Option PSB GUI CONTEXT - USER **NOT  FOUND**
       
         Corrective Action: The RPC's ORBCMA5 GETUDID and ORBCMA5 GETIVID were
         added to BCMA Client Context [PSB GUI CONTEXT - USER] option.
       
      
    29. PATCH APPLICATION HISTORY:   3 SEQ #5
      DATE APPLIED:   2002-10-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: When a medication was given and then not given the Gui did 
         to the log file, which caused BCMA to shut down.
       
         Corrective Action: Additional error trapping was added to report the 
         error to the user without shutting down.
       
      3. Problem: When attempting to mark multiple patches as removed, the user
         receives the following error message:
       
         "Error(s) Filing Transaction MEDPASS"
         Business Logic Error:  PRN Medications MUST Have a PRN Reason
         not validate.
         Business Logic Error:  PRN Orders cannot be marked NOT Given
       
         Corrective Action: BCMA GUI has been modified to not allow the
         multiple marking of patches as removed.
       
      4. Problem: User was receiving an undefined variable error in routine 
         PSBVDLU1 when attempting to log on to the BCMA GUI application.
       
         Corrective Action: The code was modified to not error when logging on
         to the GUI application.
       
       
      5. Problem: When using the CPRS Med Order button, the IV Fluid Order
         screen is not displaying the same volume as the BCMA Order Manager
         screen.
       
         Corrective Action: The IV Fluid Order screen is now displaying the
         same volume as the BCMA Order Manager screen.
       
      6. Problem: The user would recieve an error when trying to launch
         multiple copies of the BCMA GUI.
         Corrective Action:The GUI will validate when a user marks a med from 
       
         Corrective Action: The GUI has been corrected to display the
         Open Error message, "There is already one copy of Bar Code
         Medication Administration running on this machine!"
       
      7. Problem: When launching the BCMA Site Parameters application, the focus
         was not on the electronic signature box.
       
         Corrective Action: The BCMA Site Parameters application has been
         modified to place focus on the electronic signature box.
         Given to Not Given that the user either has the "PSB MANAGER" key or 
       
      8. Problem: One-time orders were printing on the Due List [PSBO DL]
         option after the stop date of the order.
       
         Corrective Action: The printed Due List [PSBO DL] option was modified
         to not print one-time orders past the stop date of the order.
         that the user id matches the user id that made the entry in the med 
         log.
       
      2. Problem:  An error would occur if the user did not have write access 
      
    30. PATCH APPLICATION HISTORY:   9 SEQ #6
      DATE APPLIED:   2002-10-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Problem: Patient's who did not have a PRN medication administered were
         incorrectly displaying on the PRN Effectiveness List [PSBO PE] option.
       
         Corrective Action: There is a post install routine, which runs to clean
         up erroneous file entries that were causing the patient's to display
         on the PRN Effectiveness List [PSBO PE] option. The routine has also
         been corrected to not create the erroneous file entries.
      
    31. PATCH APPLICATION HISTORY:   11 SEQ #7
      DATE APPLIED:   2002-11-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: An allocation error was being generated when starting the Bar
       
          Corrective Action: The GUI has been corrected to allow printing when
          selecting a mnemonic.
       
      3.  Problem: The data entered in the Enter Quantity and Units dialogue box
          from the IVP/PB tab was not being stored in the medication log.
       
          Corrective Action: The data is now being properly stored in the
          medicatin log.
       
          Code Medication Administration (BCMA) GUI application. The error
      4.  Problem: The Not Given action was not available on the Virtual Due 
          List (VDL) unless the user performed a refresh.
       
          Corrective Action: The Not Given action is now available with out
          the user having to perform a refresh on the VDL.
       
      5.  Problem: The Multiple Doses to Scan dialogue box does not display to
          the user when a multiple unit per dose order is administered from the
          GUI IVP/IVPB Virtual Due List (VDL) tab.
       
          was a result of a large number of printers in the DEVICE file (#3.5).
          Corrective Action: The GUI IVP/IVPB VDL tab has been corrected to
          properly display when a unit dose order has multiple units per dose.
       
          Corrective Action: The software has been modified to allow for a large
          number of entries in the DEVICE file (#3.5).
       
      2.  Problem: Users could not print from the GUI application when selecting
          a mnemonic name from the DEVICE file (#3.5)
      
    32. PATCH APPLICATION HISTORY:   13 SEQ #8
      DATE APPLIED:   2002-12-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: If a gap of time exists between the original continuous IV
          order stop date/time and the renewed order start date/time, 
          the Bar Code Medication Administration (BCMA) Virtual Due List (VDL) 
          IV tab would not display the original order until the expected stop 
          date and time.
       
          Correction: The BCMA VDL IV tab will now display the original order 
          until the stop date/time of the order is reached.
      
    33. PATCH APPLICATION HISTORY:   10 SEQ #9
      DATE APPLIED:   2002-12-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Patch Description:
       Corrective Action: The BCMA Print Label [PSBO BL] option was modified to 
       perform the drug validate process before the device selection process.  
       Therefore, the drug validation process will be performed if the system 
       device was set to BROWSER or queued to a device.
       
       Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem
       was discovered in the coding logic that created an entry in the BCMA 
       Report Request file (#53.69).  If the user canceled the label print 
       process as a result of a mismatch between the selected drug and patient, 
       an impartial or bogus entry would remain in the BCMA Report Request file 
       ================= 
       (#53.69) occupying vital system resources. 
       
       Corrective Action: The BCMA Print Label [PSBO BL] option was modified by 
       inserting the necessary coding logic to delete the impartial or bogus 
       entry in the BCMA Report Request file (#53.69) when the print label 
       procedure is cancelled as a result of a mismatch between the selected 
       drug and patient.
       
       Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem
       was discovered in the ScreenMan data input functions.  If the selected 
       
       patient requires a Means Test, the option will abruptly display a message
       to the user indicating "*** Patient Requires a Means Test ***" and the 
       ScreenMan data input process was rearranged out of order.
       
       Corrective Action: The BCMA Print Label [PSBO BL] option was modified by 
       inserting the necessary coding logic to refresh the ScreenMan data input 
       screen when the Means Test notification message rearranged the data input
       process.  By refreshing the screen, the data input flow will return to 
       the next data input field.
       
       Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem
       Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem
       was discovered in the coding logic used to set a variable that contained 
       the internal entry number of the selected drug.  This problem was not 
       discovered in the initial release of BCMA V 2.0.
       
       Corrective Action:  The BCMA Print Label [PSBO BL] option was modified by
       inserting the correct coding logic to extract and store the selected drug
       internal entry number in the proper variable.
       
       Problem: In reference to the BCMA Print Label [PSBO BL] option, a problem
       was discovered in the drug validation process used to compare the 
       was discovered in the drug validation process used to check the patient 
       medication orders. The option only validated medication orders that were 
       classified a Unit Dose and it did not validate medication orders that 
       were classified as IV orders containing IV Additives and IV Solutions.
       
       Corrective Action:  The BCMA Print Label [PSBO BL] option was modified 
       by inserting the proper coding logic to validate IV orders that contained
       IV Additives and IV Solutions.
       selected drug with medication orders listed for the patient. The drug 
       validate process was performed only if the system device was set to 
       BROWSER or the user device.
       
      
    DATE INSTALLED AT THIS SITE:   2002-05-28 00:00:00
    INSTALLED BY:   USER,ONE
    DESCRIPTION OF ENHANCEMENTS:   
    BAR CODE MED ADMIN - VERSION 2.0
    
  3. VERSION:   3.0
    DATE DISTRIBUTED:   2004-02-24 00:00:00
    PATCH APPLICATION HISTORY:
    1. PATCH APPLICATION HISTORY:   7
      DATE APPLIED:   2004-07-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      
        Install both patches on to the Vista Server and the PSB*3*7 
        on to the Contingency Workstations as close together as 
        possible during non-peak times. Since the location of the 
        Pharmacy Orders "Admin Times" data has been changed 
        in the HL7 message you could see orders on the workstation 
        missing this data on orders updated due to transitions of data
        during the installation of these patches. The missing data will 
        correct  itself when that order is updated. 
        Once installed it is suggested that the sites review the 
        Contingency System reports. Any missing "Admin Times"
       
        can be corrected by running the Single Patient Init
        [PSB BCBU INIT SINGLE PT] option or the Workstation 
        can be re-initialized.
       
       *****************************************************
       
       1. A fix for the '&' delimiter problem with the admin times. The 
            admin times was moved to another Field of the HL7 message 
            in the pharmacy patch PSJ*5.0*123.
            This patch compensates for the pharmacy change.
      *******************Important Note********************
       
       2. When a user was added, edited or terminated, BCMA Contingency 
            Software would be called and the user would be evaluated, 
            and if appropriate be transmitted to the BCMA Contingency 
            Workstations.  This evaluation was not occurring correctly.  
            As a result, all users added, changed or terminated were being 
            transmitted to the workstations.  An additional screen was added
            to ensure that only the appropriate users accounts were 
            transmitted to the workstation.
       
       
       3. When a user had multiple divisions defined under their user 
            account and the workstations were setup using the 
            multidivisional capability the users divisions were not 
            interpreted correctly. A bug was found in the code that 
            looped through the user's division multiple and was corrected.
            
       
       4. The user Update portion of the BCMA Contingency was not checking 
            the status of the "PSB BKUP ONLINE" parameter. Additional code
            was added to check for the status of the "PSB BKUP ONLINE" 
      Sites running the Bar Code Medication Administration  (BCMA) 
            parameter. If the parameter is set to "NO" then no updates 
            will be transmitted to the workstation from the user portion
            of the package.
       
        Contingency Software must install this patch on all 
        Contingency workstations in addition to being installed
        on to the Vista Server. This patch is being released in 
        conjunction with the Inpatient Pharmacy patch PSJ*5*123. 
      
    2. PATCH APPLICATION HISTORY:   11 SEQ #10
      DATE APPLIED:   2005-10-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
           BCMA will ignore all BCMA Medication Log (file #53.79)records with 
           Action Status field (field #.09) equal to ""; and when appropriate, 
           BCMA will send an electronic message (e-message) to members of the
           mail group that is specified via the BCMA Site Parameter - "Mail 
           Groups/Due List Error", when such a record is processed.  The 
           subject line of  this  e-message will read "BCMA - Admin XXXX 
           Problem". The subject line of this e-message will contain the 
           internal entry number (IEN), identifying the errant BCMA Medication 
           Log (file #53.79) record.  That IEN is represented above by the
           text "XXXX".  PSB*3.0*11 will allow access to the errant records via 
      1.   Problem: Remedy #HD0000000092269
           Manual Medication Entry [PSB MED LOG NEW ENTRY] option for deletion 
           or correction.  The errant records may be accessed using 
           Manual Medication Entry [PSB MED LOG NEW ENTRY] option
           by users possessing the PSB Manager Key or the user who initiated 
           that administration. Details about the errant administration are 
           within the e-message sent.  The e-message will contain data 
           necessary to reprocess, via the Manual Medication Entry [PSB MED LOG 
           NEW ENTRY] option, that incomplete and errant administration.
           The following is an example e-message:
      **************************************************************************
           Bar Code Medication Administration (BCMA) software errors at line 
       
       Subj: BCMA - Admin 11111 Problem  [#22222222] 07/13/05@13:37  12 lines
       From: JACKSON,TODD ELLIS  In 'IN' basket.   Page 1
       -----------------------------------------------------------------------
         The following administration was NOT displayed
         on the Virtual Due List
       
         Order Number....: 21V
         Orderable Item..: HEPARIN SOLN
         Patient.........: BCMAPATIENT,ONE (000-00-9678)
           "EN+78^PSBVDLPB" when a BCMA Medication Log (file #53.79) record 
         Ward/Bed........: 7A GEN MED 724-A
         Reason..........: JUL 13, 2005@07:00 admin's ACTION STATUS is "UNKNOWN".
         Schedule........: Q3H
         Action Dt/Tm....: JUL 13, 2005@11:32:50
         BCMA Med Log IEN: 11111
         User............: ( # 00000000000 ) BCMAUSER,ONE
       
      **************************************************************************
           Per the above example, to correct the example, errant entry #11111, 
           the specified "User" or a person holding the PSB Manager Key may use 
           being processed has its Action Status (field #.09) equal to "" .  
           the Manual Medication Entry [PSB MED LOG NEW ENTRY] option and 
           correct the "Reason" for the "BCMA - Admin Problem"; that person can 
           correct that "JUL 13, 2005@07:00 admin's ACTION STATUS" per the 
           specified patient and order, via corresponding responses to Manual 
           Medication Entry [PSB MED LOG NEW ENTRY] option prompts.  The 
           "correction" is to properly complete or delete that incomplete 
           administration.
       
           An e-message triggered by an incomplete administration of a Pro
           Re Nata (PRN) [As Needed] medication must be maintained via VISTA 
           The errant record is the result of an administration not properly 
           File Manager (FileMan).  The IEN of the entry that needs corrected 
           is labeled "BCMA Med Log IEN:" within the e-message as well as 
           displayed in the e-message's subject line, immediately after the 
           text "BCMA - Admin".
       
           It is possible to correct any errant BCMA Medication Log (file 
           #53.79) entry using FileMan and the IEN supplied by this e-message.
       
       
      2.   Problem: Remedy #HD0000000093022
           saved/discarded via Manual Medication Entry[PSB MED LOG NEW ENTRY]         
           The Manual Medication Entry [PSB MED LOG NEW ENTRY] option does not 
           maintain the "Given" status per medication patch administrations on 
           the BCMA Virtual Due List (VDL).  The user is unable to determine 
           which administered patch must be removed when the VDL does not 
           display the patch as "Given".  
       
           Corrective Action:
           A patch administered via the Manual Medication Entry [PSB MED LOG 
           NEW ENTRY] option will show as "Given" on the BCMA VDL.
       
       
       
      3.   Problem: Remedy #HD0000000103739
           The Manual Medication Entry [PSB MED LOG NEW ENTRY] option 
           malfunctions when attempting to administer an "odd schedule" order 
           on days the order is not scheduled to be administered.
       
           Corrective Action:
           Display appropriate data when "odd schedule" order administrations 
           are attempted.
           Corrective Action:
      
    3. PATCH APPLICATION HISTORY:   22 SEQ #11
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Error when filing multiple doses with comments
      
    4. PATCH APPLICATION HISTORY:   19 SEQ #12
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Unable to mark a patch as removed
      
    5. PATCH APPLICATION HISTORY:   21 SEQ #13
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patient information does not print on Order Details report
      
    6. PATCH APPLICATION HISTORY:   16 SEQ #14
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ***
       
       
       
       
      ***
       
       
       
      This patch is a component of the Bar Code Medication Administration 
      (BCMA) - Health Services Commitee (HSC) project and is the development of 
      phase one of the  BCMA-HSC Coversheet. PSB*3.0*16 will interface between 
      BCMA databases and the new BCMA Coversheet and its Graphical User 
      Interface (GUI).
      
    7. PATCH APPLICATION HISTORY:   20 SEQ #15
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Correction for two  Issues:
       
      REMEDY 91869
      REMEDY 99958
      
    8. PATCH APPLICATION HISTORY:   8
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
      *************************************************
         HD0000000118033
       
         Test Sites:
         ===========
         UPSTATE NEW YORK HCS
         SAN FRANCISCO, CA
         MEMPHIS, TN
         LITTLE ROCK, AR
       
      Routine Summary:
       
         ================
         The second line now reads as follows:
       
             <TAB>;;3.0;BAR CODE MED ADMIN;**[patch list]**;Mar 2004
       
         CHECK^XTSUMBLD results:
       
       
         Routine  Before Patch   After Patch       Patch List
         -------  ------------   -----------   ------------------
       
         ALPB8      ------       1016866          8
         ALPBOP     ------       1898706          8
         ALPBPWRD   7025105      9768019          8
         ALPBPALL   6006540      6414482          8
         ALPBPPAT   5702674      5081715          8
         ALPBFRM1   9887439      11248156         8
         ALPBUTL3   3052806      4245189          8
         ALPBCBU    1637834      1710946          8
         ALPBINP    9416944      10451599         8
         ALPBUTL1   6143314      6275666          8
      Enhancements and issues addressed in this patch are as follows:
         ALPBHL1    14736637     14979457         7,8
         ALPBBK     6214167      6214134          8
         ALPBELOG   6391337      6391337          8
         ALPBFRM2   8886579      8886579          8
         ALPBFRMU   4053521      4295514          8
         ALPBGEN    10414189     10201828         7,8
         ALPBGEN1   8591971      8809016          8
         ALPBGEN2   2679718      2679718          8
         ALPBIN     4105691      4105691          8
         ALPBIND    5809117      5809117          8
       
         ALPBPARM   8937865      9127203          8
         ALPBSP1    4545482      4545482          8
         ALPBSP2    845669       845669           8
         ALPBSPAT   2404489      2404489          8
         ALPBSWRD   5435921      5435921          8
         ALPBUTL    9642997      9642997          8
         ALPBUTL2   1954969      1954969          8
       
       
      Patch retrieval Instructions:
       
      ====================================
      To obtain the software use one the following OI Field Offices'
      ANONYMOUS.SOFTWARE directories:
       
       
             Albany ftp.fo-albany.domain.ext anonymous.software
             Hines ftp.fo-hines.domain.ext anonymous.software
             Salt Lake City ftp.fo-slc.domain.ext anonymous.software
       
      The distribution file is as follows.
      1. It was reported by a site that Lodgers and Dom patients were
       
      PSB_3_8.KID
      PSB_3_8.ZIP   (optional see note below)
       
      ****************Note for optional zip file********************
      The Zip file in this patch contains an updated Cache.Dat file.
      On new installations it is recommended that you use the new
      Cache.dat file released with this patch. If this is used for
      an existing workstation then the workstation would need to
      be initialized with patient data.
         creating alerts. Lodgers and Dom patient are now screened.
      **************************************************************
       
       
       The documentation distribution includes:
       
       FILE NAME                                   DESCRIPTION
       
      PSB_3_BCBU_IG_R0206.PDF                  BCMA Backup System (BCBU)
                                                  INSTALLATION GUIDE
       
       
       
       
         Installation Instructions:
         ==========================
         This patch can be installed with users on the system. Installation will
         take less than 1 minute.
       
         Suggested time to install: non-peak requirement hours.
       
         1. From the Kernel Installation & Distribution System menu, select
      2. It was reported that when a patient was discharged the discharged 
            the LOAD DISTRIBUTION option and load PSB_3_8.KID
       
         2. Review your mapped set. If the routines are mapped, they should
            be removed from the mapped set at this time.
       
         3. From the Kernel Installation & Distribution System menu, select
            the Installation menu.
       
         4. From this menu, you may select to use the following options
            (when prompted for INSTALL NAME, enter PSB*3.0*8):
       
         message was not always being sent to the workstations and an alert
           a. Backup a Transport Global - this option will create a backup
              message of any routines exported with the patch. It will NOT
              backup any other changes such as DDs or templates.
           b. Compare Transport Global to Current System - this option will
              allow you to view all changes that will be made when the patch
              is installed. It compares all components of the patch (routines,
              DDs, templates, etc.).
           c. Verify Checksums in Transport Global - this option will ensure
              the integrity of the routines that are in the transport global.
       
         was being generated. The problem was caused by how movements were
         5. Use the Install Package(s) option and select the package PSB*3.0*8.
       
         6. When prompted "Want KIDS to INHIBIT LOGONs during the install?
            YES//" respond NO.
       
         7. When prompted "Want to DISABLE Scheduled Options, Menu Options, and
            Protocols? YES//" respond NO.
       
         8. If any routines were unmapped as part of step 2, they should be
            returned to the mapped set once the installation has run to
         sent to the Contingency by Patient Movements. The Contingency will
            completion.
       
       
       
       
      Post-Installation Steps (Important)
       
      A new option, PSB BCBU WRKSTN PURGE ORDERS, was released as part of
      PSB*3.0*8 build. IRM staff must add it to the list of Scheduled Startup
      Options in TaskMan on the workstations. To do this, access menu
         compensates for these issues now.
      Schedule/Unschedule Options on the TaskMan Management menu. This option
      should be queued to run during non peak hours and set with a rescheduling
      frequency of 1D.  Review the Workstation parameter settings using the PSB
      BCBU WRKSTN PARAMETER EDIT option to make changes on how much patient
      historical data is retained
       
         Example Installation:
      =====================
       
      Select Installation Option: 1  Load a Distribution
       
       
      Enter a Host File: C:\BCMABU\PSB_3_8.KID
       
       
      KIDS Distribution saved on Jun 16, 2005@09:04:12
       
      Comment: BCBU UPDATES AND CORRECTIONS
       
      This Distribution contains Transport Globals for the following Package(s):
       
      3. When printing the Medication Administration Report (MAR) for current
      Build PSB*3.0*8
       
      Distribution OK!
       
      Want to Continue with Load? YES//
       
         PSB*3.0*8
       
      Use INSTALL NAME: PSB*3.0*8 to install this Distribution.
       
         orders it would also include any non-active orders for the current
       
       
      Select Installation Option: 6  Install Package(s)
       
      Select INSTALL NAME:    PSB*3.0*8     Loaded from Distribution     Loaded
      from Distribution  6/16/05@08:09:36
       
           => BCBU UPDATES AND CORRECTIONS  ;Created on Jun 16, 2005@09:04:12
       
       
         day being printed. The report now goes by date and time.
      This Distribution was loaded on Jun 16, 2005@08:09:36 with header of
       
         BCBU UPDATES AND CORRECTIONS  ;Created on Jun 16, 2005@09:04:12
       
      It consisted of the following Install(s):
       
            PSB*3.0*8
       
      Checking Install for Package PSB*3.0*8
       
       
      Install Questions for PSB*3.0*8
       
      Incoming Files:
       
         53.7      BCMA BACKUP DATA
       
      Note:  You already have the 'BCMA BACKUP DATA' File.
       
       
         53.71     BCMA BACKUP PARAMETERS
      4. A new purge utility has been introduced for the workstation. It
       
      Note:  You already have the 'BCMA BACKUP PARAMETERS' File.
       
       
      Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO
       
       
       
      Want KIDS to INHIBIT LOGONs during the install? YES// NO
       
      ********************Important Note***************
         allows the site to define how much historical data to maintain on the
      Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO
       
       
      Enter the Device you want to print the Install messages.
      You can queue the install by enter a 'Q' at the device prompt.
      Enter a '^' to abort the install.
       
      DEVICE: HOME//   TCP/IP Terminal
       
       Install Started for PSB*3.0*8 :
         workstation. Any unwanted data will be removed from the workstation.
       
      Jun 16, 2005@08:12:22
       
      Build Distribution Date: Jun 16, 2005
       
      Installing Routines:
       
                     Jun 16, 2005@08:12:22
       
       Installing Data Dictionaries:
       
       
                     Jun 16, 2005@08:12:22
       
       Installing PACKAGE COMPONENTS:
       
       Installing FORM
       
       Installing OPTION
       
                     Jun 16, 2005@08:12:23
      5. The way the Med Log information is being displayed on the MAR has
       
      Running Post-Install Routine: POST^ALPB8
       
       Updating Routine file...
       
       Updating KIDS files...
       
       PSB*3.0*8 Installed.
       
                     Jun 16, 2005@08:12:23
         changed. In the previous version the information was displayed by date
       
       Install Message sent #2318
       
       Install Completed
         entered and the user had to select a starting date when running the
         MAR. Depending on the frequency of the MED Log this could cause the
         report to be long. The report now reverses the order of the Med Log
         information so the report displays the most recent first. The user can
         then opt for how many to display by numeric value such as 1, 2 or more.
       
       
      6. A blank page was added between the patients on multi patient
         reports for easier sorting.
       
      7. Provider comments were moved to be displayed along with the Drug
         and Give information.
       
      8. The sorting of orders on the MAR reports have been grouped by the
         order type. Types include Pending, Unit Dose, IV and PRN.
       
        If the site is running the BCMA Contingency software then this
      9. A place holder for the Last Action of drugs has been added to the
         reports. A future patch will complete the functionality.
       
      10. A problem with Pending orders remaining on the workstation when
          replacement orders are done by pharmacy has been resolved.
       
      11. A problem was discovered with the user access updater. When a user's
          name changed it did not update the Contingency workstations
          correctly.
       
        patch must also be installed on the workstations. Once installed
      12. A <UNDEFINED>NURV+16^ALPBCBU error has been resolved.
       
      13. A problem with updating the Contingency workstations during a patient
          movement activity has been addressed.
       
      14. Added the function to sort MARS by Room/Bed or by Patient Name.
       
      15. Patients that had no allergies reported to the contingency do not
          display any allergies data on a MAR. Now when no allergies are found
          on the contingency, the following will display on the MAR. "Allergies:
        it is suggested that the sites review the Contingency system
          No allergies reported to the Contingency"
       
      16. Possibility of routine ALPBPWRD erroring out at line
          ..S ^TMP($J,"BCBU",+ALPRM,ALPRM,ALPBD,ALPBPTN)=ALPBIEN
          When sorting by room/bed Cache tries to convert certain room/beds like
          5E155 and produces a <MAXNUM> error. The problem occurs when the
          variable is manipulated. Cache will take the 5E155 and convert it to
          "5" appended with 155 zeros. A code change was made to prevent this
          issue.
       
        reports.
         Associated Tickets
         =================
         HD0000000093730
         HD0000000068823
         HD0000000068579
         HD0000000068341
         HD0000000068274
         HD0000000068227
         HD0000000068220
         HD0000000068196
       
         HD0000000068158
         HD0000000068107
         HD0000000068024
         HD0000000068021
         HD0000000067859
         HD0000000067827
         HD0000000067769
         HD0000000067729
         HD0000000067714
         HD0000000096190
      
    9. PATCH APPLICATION HISTORY:   23 SEQ #17
      DATE APPLIED:   2006-05-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses three Remedy tickets, HD68121, HD113034, and HD90393.
      the undefined error will not occur.  This locking fix was created by the 
      Minneapolis IRM staff, and has been working in their production area for 
      months.  The fix is being brought back to the VMP group so it can become 
      part of a national patch release, and other sites can avoid this error in 
      the future.
       
      The second issue, HD113034, happens when a medication PATCH (such as 
      Fentanyl) is marked as REMOVED after initially being given to the 
      patient.  If you right-click the mouse on the order in BCMA and mark the 
      patch as "REMOVED", when you subsequently check the med log, the units 
       
      given remains 1.  However, if you use the BCMA menu option FILE/EDIT Med 
      Log and mark it "REMOVED", the units given becomes 0, and the audit trail 
      shows "Doses given '1' deleted".  The correct value for units given is 
      actually 1 (as right-clicking the mouse shows), because the medication 
      was indeed given, but the patch was subsequently removed, not deleted or 
      refused.
       
      The third issue in this patch, HD90393, addresses a printing problem with 
      the PRN Effectiveness report when it is printed by Ward/Room-Bed.  When 
      this printing filter is applied, the report prints in patient DFN order, 
       
      not Ward/Room-Bed order.  This fix corrects a problem in the BCMA code so 
      that when the Ward/Room-bed filter is applied, the report will print 
      properly.
      The first issue, HD68121, is the result of a file locking problem with 
      the routine PSBMD.  This error only appeared after the site converted to 
      Cache' version 5.  There is an undefined variable error created with 
      Missing Dose reports in Pharmacy, even though a record is created in 
      ^PSB(53.68).  By attempting to lock the ^PSB(53.68) file before 
      attempting to print the report, it will ensure that the file exists so 
      
    10. PATCH APPLICATION HISTORY:   24 SEQ #18
      DATE APPLIED:   2006-05-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Store error generated when using Display Order option in BCMA
      
    11. PATCH APPLICATION HISTORY:   27 SEQ #19
      DATE APPLIED:   2006-05-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses Remedy Ticket HD127231, which arose after the 
      the first six lines of the orderable item in duplicate.
       
      The fix included in this patch will still print the patient header 
      information on subsequent MAH pages, but it will not reprint the first 
      six lines of the orderable item information.
       
      **NOTE** This fix only affects the report when printed to a printer.
      This does not affect the GUI display or printing the report to the
      terminal screen.
      install of patch PSB*3*20.  Patch PSB*3*20 added the patient header 
      information to the MAH report if the report for a medication ran longer
      than one page.  Additionally, PSB*3*20 was designed to reprint the first 
      six lines of the orderable item information on subsequent pages to help 
      the nurses keep track of what medication they were viewing
      on the MAH report.  However, when the next medication on the report was 
      due to be printed, and a page break occurred before the orderable item 
      information was printed, the second page of the report printed
      
    12. PATCH APPLICATION HISTORY:   5 SEQ #2
      DATE APPLIED:   2004-09-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1.  Problem: NOIS MAD-0104-40858 
       
      2.  Problem: NOIS BUT-0204-20463
          The Medication Administration History [PSBO MH] option and the Due 
          List [PSBO DL] option add an exclamation point (i.e., Spec Inst:
          !Please verify) to the prefix of a Special Instruction.
       
          Corrective Action: The Medication Administration History [PSBO MH] 
          option and the Due List [PSBO DL] option correctly removes 
          the exclamation point (i.e., Spec Inst: Please verify) added
          to a Special Instruction.
          The Bar Code Medication Administration (BCMA) reports,
       
      3.  Problem: NOIS BED-0204-10327
          When a clinician administers a Pro Rea Nata (PRN) medication using 
          the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, and the
          administration date/time is set to an earlier timeframe, the PRN
          administration date/time displays incorrectly on BCMA PRN
          Effectiveness Log Report as the entered date/time of this 
          administration occurred.
       
          Corrective Action: When a clinician administers a PRN medication 
          with the exception of the Cumulative/Vitals Measurement Report, does 
          using the Manual Medication Entry [PSB MED LOG NEW ENTRY] option, and
          the administration date/time is set to an earlier timeframe, the PRN
          administration date/time displays correctly on the BCMA PRN
          Effectiveness Log Report as the actual date/time of the
          administration.
       
      4.  Problem: NOIS NTH-0304-72663
          A "Null subscript" error occurs at routine line "EN+4^PSBVDLPA"
          when there is single patient with data entered in the BCMA Medication 
          Log File (#53.79) and indexes.  This error occurs during the 
          not display allergy information in the reports header.
          initial implementation of the BCMA Graphical User Interface (GUI) 
          system.
          
          Corrective Action: The initial implementation of the BCMA GUI will 
          not generate a "Null subscript" error at routine line "EN+4^PSBVDLPA".
       
          Corrective Action: The BCMA Reports, with the exception of the 
          Cumulative/Vitals Measurement Report, displays allergy information in
          the reports header. The Reactions header has also been removed
          from the report and replaced with the "ADRs:" header.
      
    13. PATCH APPLICATION HISTORY:   29
      DATE APPLIED:   2006-08-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ***************************Important Note*************************
      1. It was reported that after loading Patch PSB*3*8, the medication log 
       
      Select Installation Option: 1  Load a Distribution
       
      Enter a Host File: USER$:[COWNIEK]PSB_3_29.KID
       
      KIDS Distribution saved on Apr 13, 2006@16:09:30
       
      Comment: patch 29
       
      This Distribution contains Transport Globals for the following Package(s):
         history was no longer printing. 
       
         PSB*3.0*29
       
      Distribution OK!
       
      Want to Continue with Load? YES// 
       
      Loading Distribution...
       
         PSB*3.0*29
       
       
      Use INSTALL NAME: PSB*3.0*29 to install this Distribution.
       
      Select Installation Option: 6  Install Package(s)
       
      Select INSTALL NAME:    PSB*3.0*29     Loaded from Distribution 
      4/17/06@12:31:58
       
           => patch 29  ;Created on Apr 13, 2006@16:09:30
       
             Example:...
      This Distribution was loaded on Apr 17, 2006@12:31:58 with header of 
         patch 29  ;Created on Apr 13, 2006@16:09:30
       
         It consisted of the following Install(s):
       
           PSB*3.0*29
       
      Checking Install for Package PSB*3.0*29
       
      Install Questions for PSB*3.0*29
       
       
      Incoming Files:
       
         53.7      BCMA BACKUP DATA  (Partial Definition)
       
      Note:  You already have the 'BCMA BACKUP DATA' File.
       
       
      Want KIDS to INHIBIT LOGONs during the install? YES// NO
       
                  BCMA MEDICATION LOG HISTORY
      Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO
       
      Enter the Device you want to print the Install messages.
      You can queue the install by enter a 'Q' at the device prompt.
      Enter a '^' to abort the install.
       
      DEVICE: HOME//   UCX TELNET SESSION
       
       Install Started for PSB*3.0*29 : 
       
                  Log Date        Message        Log Entry Person
      PSB*3.0*29                                   
      --------------------------------------------------------------------------
       
                     Apr 17, 2006@12:34
       
      Build Distribution Date: Apr 13, 2006
       
       Installing Routines:
       
                     Apr 17, 2006@12:34
                  No entries since the above date are on file.
       
       Installing Data Dictionaries: 
       
                     Apr 17, 2006@12:34
       
       Updating Routine file...
       
       Updating KIDS files...
       
       PSB*3.0*29 Installed. 
       
       
                     Apr 17, 2006@12:34
       
       Install Message sent #1504712
       
      Install Completed
       
       
       
      Routine Summary:
         This was caused by a missing cross reference (IMLOG) in file 53.7. 
      ================
       
      The second line now reads as follows:
      <TAB>;;3.0;BAR CODE MED ADMIN;**[patch list]**;Mar 2004 
       
       
       
                              CHECK^XTSUMBLD results:
       
         Routine        Before Patch       After Patch         Patch List
        If the site is running the BCMA Contingency software then this
         Cross reference has been added.
         -------        ------------       -----------         ----------
         ALPBPALL         6414482            6407974              8,29
       
      Routine Information:
      ====================
       
      Routine Name: ALPBPALL
       
          Checksum:
       
       
                              CHECK1^XTSUMBLD results:
       
         Routine        Before Patch        After Patch         Patch List
         -------        ------------        -----------         ----------
         ALPBPALL         25867705            25843033             8,29
      2. It was reported that the Print all option was not working correctly. 
         Routine ALPBPALL has been corrected.
       
       
       Associated Tickets
       ==================
       HD0000000139114
       HD0000000138995
        patch must also be installed on the workstations. Once installed
       HD0000000135330
       
       
       
      Test Sites:
      ===========
      BIRMINGHAM, AL  
      BRONX, NY
      MILWAUKEE, WI
      MOUTAIN HOME, TN
        it is suggested that the sites review the Contingency system 
       
       
      Patch retrieval Instructions: 
      ====================================
       
      To obtain the software use one the following OI Field Offices' 
      ANONYMOUS.SOFTWARE directories:
       
             Albany ftp.fo-albany.domain.ext anonymous.software
             Hines ftp.fo-hines.domain.ext anonymous.software
        reports. 
             Salt Lake City ftp.fo-slc.domain.ext anonymous.software
       
       
       
      The distribution file is as follows.
       
      PSB_3_29.KID
       
      There is no documentation distribution included in this patch.
       
      ******************************************************************
      Installation Instructions:
      ==========================
       
      This patch can be installed with users on the system. Installation will
      take less than 1 minute.
       
      Suggested time to install: non-peak requirement hours.
       
         1. From the Kernel Installation & Distribution System menu, select
            the LOAD DISTRIBUTION option and load PSB_3_29.KID
       
       
         2. From the Kernel Installation & Distribution System menu, select
            the Installation menu.
       
         3. From this menu, you may select to use the following options
            (when prompted for INSTALL NAME, enter PSB*3.0*29):
       
           a. Backup a Transport Global - this option will create a backup
              message of any routines exported with the patch. It will NOT
              backup any other changes such as DDs or templates.
      Issues addressed in this patch are as follows: 
       
           b. Compare Transport Global to Current System - this option will
              allow you to view all changes that will be made when the patch
              is installed. It compares all components of the patch (routines,
              DDs, templates, etc.).
       
           c. Verify Checksums in Transport Global - this option will ensure
              the integrity of the routines that are in the transport global.
       
         4. Use the Install Package(s) option and select the package PSB*3.0*29.
       
       
         5. When prompted "Want KIDS to INHIBIT LOGONs during the install? 
            YES//" respond NO.
       
         6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and
            Protocols? YES//" respond NO.
       
       
      Example Installation:
      =====================
      
    14. PATCH APPLICATION HISTORY:   13 SEQ #21
      DATE APPLIED:   2006-08-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
      Issues (PSI) and Remedy Ticket resolution and BCMA Coversheet refinement.
      8.   Enhancement:  Enhanced "*UNKNOWN* Action Status" support.
           BCMA Medication Log File (File #53.79) entries having unknown 
           Action Status (field #.09) data can be maintained via the GUI BCMA 
           Edit Med Log only. These entries may be maintained by persons holding
           the BCMA manager's key [PSB MANAGER] or that user unable to complete 
           the original administration.  PSB*3.0*13 supports the VISTA "Unknown 
           Action Status Report" option [PSBO XA].  The [PSBO XA] option 
           provides persons holding the BCMA manager's key [PSB MANAGER] 
           resource to generate a report to display BCMA Medication Log File 
           (#53.79) entries having "unknown" Action Status (field #.09) data.  
      ***
           Users holding the BCMA manager's key [PSB MANAGER] can access the 
           PSBO XA report via the BCMA GUI as well.  BCMA has been enhanced to 
           display a "pop-up box" when a user begins an action on an order 
       
       
      9.   Enhancement:  Saved Coversheet Personal Parameters
           PSB*3.0*13 will maintain personal parameters per BCMA Coversheet 
           views to be saved and retrieved when using BCMA. 
       
      1.   Problem: PSI-05-064
           BCMA functionality enables a BCMA user to edit the free text 
           BCMA MEDICATION LOG FILE-DISPENSE DRUG SUBFILE (# 53.795) "Units
           of Administration" (field #.04) for an administered medication, when 
           using the Edit Medication Log.  Consequently, the GUI Edit 
           Medication Log (Edit Med Log) allows a BCMA user to modify text in 
           the field labeled "Units" of the "BCMA - Edit Med Log" dialog box.  
      ***
           The user is able to change the "Units" from "PATCH" to any other text
           value.  Changing a "PATCH" medication to some other "Units", causes 
           BCMA to not process the administration properly; and causes the BCMA 
           Virtual Due List (VDL) to not present the administration properly.
       
           Corrective Action:
           The BCMA GUI Edit Med Log will not allow any BCMA user to edit the 
           BCMA MEDICATION LOG FILE/DISPENSE DRUG SUBFILE (# 53.795) "Units 
           of Administration" (field # .04) of an administered "PATCH" 
           medication.
       
       
      2.   Problem: PSI-05-032
           The VDL displays a GIVEN medication patch until it has been marked as
           "REMOVED".  This is causing some confusion to users.
       
           Corrective Action:
           BCMA will provide a site parameter that will specify the number of 
           days (7-14) a GIVEN patch will display on the VDL.  The count of 
           days the GIVEN patch displays on the VDL begins when the 
           medication order expires.  This parameter may be set to ""
      This patch is a component of the Bar Code Medication Administration 
           (null) to allow GIVEN patches to display on the VDL until it is 
           marked as REMOVED.
       
       
      3.   Problem: PSI-05-115
           The Special Instructions on the VDL will display the entire Special 
           Instructions by wrapping the text as needed using the spaces in the 
           Special Instructions. However, ff a word or phrase (without spaces) 
           in the Special Instructions can not be wrapped due to the word or 
           phrase being longer then the width of the column, the text would be 
      (BCMA) Version 3.0.  The main function of PSB*3.0*13 and the 
           truncated when the text ran into the right side of the column. In 
           addition, when the above happens, some of the ending words in the 
           special instructions may be omitted as well.
       
           Correction Action:
           When a word or phrase (without spaces) can not be wrapped and does 
           not fit in the column width, the text will be truncated with an 
           ellipsis to indicate that a portion of the word or phrase was 
           truncated. The occasional omission of ending words in the special 
           instructions will be corrected. 
      corresponding BCMA Graphical User Interface (GUI) software (BCMA Version 3
       
       
      4.   Problem:  HD0000000121694
           While a medication patch is being "administered" using Manual 
           Medication Entry[PSB MED LOG NEW ENTRY], that particular scheduled 
           administration does not display on the BCMA Virtual Due List (VDL).
       
           Corrective Action:
           Display the saved "action status" of an administration, while it is 
           being administered using Manual Medication Entry [PSB MED LOG NEW 
      Patch 13 [3.0.13]) is to support BCMA v3.0 Clinical Context Object 
           ENTRY]
       
       
      5.   Problem:  HD0000000127625
           An error occurs when the BCMA coversheet is to display data for one 
           order only; and that order is an expired, large volume IV.
       
           Corrective Action:
           The BCMA Coversheet will display without error when the only order 
           information to display on the BCMA coversheet pertains to an expired,
      Workgroup (CCOW) compliance. The PSB*3.0*13 GUI and this Character User 
           large volume IV.
       
       
      6.   Problem:  HD0000000132184
           An error occurs when the BCMA GUI Computerized Patient Record System 
           (CPRS)/BCMA Medication Order Button (MOB) is used and ORDER 
           File (#100) PATIENT LOCATION (field #6) data does not link to a 
           WARD LOCATION File (#42) entry.
       
           Corrective Action:
      Interface (CHUI) software (PSB*3.0*13) also support Patient Safety 
           BCMA will provide HOSPITAL LOCATION File (#44) data per ORDER File 
           (#100) PATIENT LOCATION (field #6) data when the CPRS/BCMA MOB is 
           used.  CPRS will ORDER File (#100) PATIENT LOCATION (field #6) data 
           to a HOSPITAL LOCATION File (#44) entry 
       
       
      7.   Enhancement:  CCOW compliancy
           This patch (PSB*3.0*13) will enable BCMA CCOW compliancy.
       
       
      
    15. PATCH APPLICATION HISTORY:   26 SEQ #22
      DATE APPLIED:   2006-08-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects display problems with the Missed Med Rpt
      
    16. PATCH APPLICATION HISTORY:   17 SEQ #23
      DATE APPLIED:   2006-12-11 15:58:35
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Problem with Medication History Report.
      
    17. PATCH APPLICATION HISTORY:   10 SEQ #24
      DATE APPLIED:   2007-06-27 23:12:24
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
       
       
      Enhancement - Compliance with Section 508 of the Rehabilitation Act of
                    1973:
         PSB*3.0*10 and its corresponding BCMA GUI[Version 3 Patch 10 
         (3.0.10.9)] will assure BCMA is compliant with Section 508 of the 
         Rehabilitation Act of 1973, after proper installation as defined in 
         the BCMA 508 Software Requirements Specifications.
         
       
      Problem #HD0000000159234 - Means Test Pop-up Does Not Display:
       
      Enhancement - Signal BCMA Idle Timeout:
         BCMA GUI Version 3 Patch 10 will signal to the user as BCMA Idle 
         Timeout limit is approaching. There will be an audible "beep" thirty
         (30) seconds, twenty (20) seconds, and ten (10) seconds prior to the
         idle time limit set via the "BCMA Idle Timeout" site parameter.
       
       
      Enhancement - Indication When not all Drugs Have Been Scanned Per a
                    Multiple Drug Order :
         Bar Code Medication Administration (BCMA) Graphical User Interface
         BCMA GUI Version 3 Patch 10 will display a message box when
         the user has not scanned all the dispensed drugs per a medication 
         order that includes multiple dispensed drugs.  The message box will 
         display, requesting user confirmation.
        (GUI) Means Test Pop-Up Does Not Display after the installation of
         BCMA GUI Version 3 Patch 13. 
       
      Corrective Action:
         Modify the BCMA GUI to allow the BCMA GUI Means Test Pop-up to display
         when appropriate. 
      
    18. PATCH APPLICATION HISTORY:   39 SEQ #25
      DATE APPLIED:   2007-09-04 23:58:55
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Edit Med Log creates duplicate entries
      
    19. PATCH APPLICATION HISTORY:   38 SEQ #26
      DATE APPLIED:   2007-09-05 01:25:04
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Med Route display issues
      
    20. PATCH APPLICATION HISTORY:   41 SEQ #27
      DATE APPLIED:   2007-12-12 20:48:27
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Unable to Edit Med Log in BCMA
      
    21. PATCH APPLICATION HISTORY:   32 SEQ #28
      DATE APPLIED:   2007-12-12 21:24:37
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
       
       
      1.  Problem:  PSI-06-029/HD0000000126326
          Processing the BCMA Missed Medications Report causes the client to 
          "time-out" when the report is to display within the BCMA GUI 
          Application and prior to sending the report to a printer.
       
          Corrective Action:
          Make the Missed Medications Report process faster so the client 
          does not "time-out".
       
       
       
      2.  Problem:  PSI-06-019/HD0000000130671
          There is difficulty determining the application of a medical patch 
          that has not been marked as REMOVED when that order has expired or 
          discontinued.
       
          Corrective Action:
          Allow the user to view and act on patches for expired or discontinued 
          orders when the patient's BCMA Virtual Due List (VDL) first opens.
      This patch is a component of the Bar Code Medication Administration 
       
       
      3.  Problem:  PSI-06-056/HD0000000131075
          Issues related to extra Pro Re Nata (PRN) doses of medication 
          ordered as QDPRN or BIDPRN and reports of nurses missing the last 
          administration time, have cause patient safety concerns. 
       
          Corrective Action:
          The BCMA PRN administration dialog box will be enhanced to provide the
          following features for all PRN administrations:  Icon, Schedule, Last
      (BCMA) Health Systems Committee (HSC) Phase III project.  The main
          Given and Reminder checkbox and statement.
       
       
      4.  Problem:  PSI-06-014/HD0000000128909
          Administration problems have been caused when Med Route abbreviations
          on the VDL have been confused.
       
          Corrective Action:
          Display the expanded version of the Med Route.
       
      function of PSB*3*32 and the corresponding BCMA Graphical User
       
      5.  Problem:  PSI-06-060/HD0000000143603
          Due to a limitation in the Delphi application, there is a 255-pixel
          limit on the row height in the BCMA GUI VDL that results in truncation
          of an order when there are a large number of additives/solutions on
          the order.
       
          Corrective Action:
          Adjust display area of medications on the VDL to compensate for orders
          with a large number of items to display.
      Interface (GUI) software (BCMA Version 3 Patch 32 [3.0.32.*]) is to
       
       
      6.  Enhancement:  New Coversheet Overview Reports.
          As a part of the BCMA HSC Phase III, patch PSB*3.0*32 and 
          PSB.3.0.32 GUI will provide BCMA users with reports that display 
          Coversheet Overview data.  There is a new Coversheet Report for each 
          Coversheet Overview.
       
       
      7.  Enhancement:  Global Report Enhancements.
      provide the BCMA user with additional BCMA Coversheet and reporting 
          Various enhancements have been made to BCMA reports in general.  These
          enhancements are presented in BCMA HSC Phase III documentation.
       
       
      8.  Enhancement:  Coversheet and Other Miscellaneous Enhancements.
          A variety of new Coversheet and miscellaneous feature will be 
          supported with the installation of this patch.  The BCMA HSC Phase 
          III documentation provides details of these new features.
      support.
       
      
    22. PATCH APPLICATION HISTORY:   31 SEQ #29
      DATE APPLIED:   2007-12-12 22:17:46
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Can't enter Manual Med entry for discharged patient.
      
    23. PATCH APPLICATION HISTORY:   6 SEQ #3
      DATE APPLIED:   2004-10-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      *** ATTENTION: This patch includes a new Graphical User Interface 
              use. The correct GUI must be installed to support BCMA 
              Computerized Patient Record System (CPRS) Med Order 
              functionality ***
       
      For retrieval and installation instructions, please see the Client
      Installation Instructions section.
       
       1. Problem: NOIS HWH-0204-41213
          The Instructor information does not display in the legend of the 
          Medication Administration History [PSBO MH] option, and the audit log
             (GUI) executable file. Installation of this new GUI is 
          of the Medication Administration Log [PSBO ML] option.
       
          Corrective Action: The Instructor information displays in the legend  
          of the Medication Administration History [PSBO MH] option, and the
          audit log of the Medication Administration Log [PSBO ML] option.
       
      2.  Corrective Action: When student and instructor information is 
          present at login the GUI BCMA CPRS Med Order button is disabled.
       
      3.  Problem: NOIS HUN-0104-20931
              REQUIRED in order for the patch to function.  The new GUI
          Infusing IV bags are duplicated on a "following" order after the
          order that was active when the IV bag was infusing has become
          "discontinued".  The Virtual Due List (VDL) attempts to display 
          duplicate bags and associates the same IV bags with multiple orders.
       
          Corrective Action:
          When an order with an infusing bag is discontinued, the VDL will
          either continue to display the infusing bag with the discontinued 
          order, or the VDL will display the infusing bag with an active 
          "following" order, but not both.
              MUST be installed IMMEDIATELY after the KIDS install in 
          
      4.  Problem: NOIS ISB-0304-30352
          If an IV order with an infusing bag expires and the patient's record 
          is not accessed using Inpatient Medications (IPM) (e.g., the
          Inpatient Order Entry [PSJ OE] option) the following message may
          appear, hindering an user's attempt to take action on the order:
          
                 "Either the order status or the current scan status displayed 
                 on the VDL does not match the status recorded in VistA! This 
                 may be due to someone editing the order in VistA or another 
              order for the software to function. This Patch includes a 
                 individual scanning the medication. Your current action will 
                 be canceled and the VDL will be refreshed to reflect the most 
                 current order information."
       
          Corrective Action:
          A user will be able to take action on an expired IV order having an 
          infusing bag via the BCMA GUI VDL as appropriate.
           
      5.  Problem: NOIS MOU-0304-32821
          The temporary, scratch global ^PSBORDA is automatically monitored and 
              Post install that corrects problem number six below. The 
          documented via journaling procedures.  It is not necessary to journal 
          this temporary global since it is used solely as a temporary data 
          storage area.
       
          Corrective Action:
          The global ^PSBORDA will be renamed as an appropriate scratch "^TMP" 
          global with the first two subscripts being "PSB" followed by "$J".
       
      6.  Problem: NOIS ISB-0404-31737
          With the release of BCMA Version 2 (PSB*2.0), any unit dose 
              installation time frame for this post install will vary based
          order that is displayed on the "IVP/IVPB" tab and administered will 
          have a Ward Stock number generated and placed in the IV Unique 
          ID field (FIELD #.26) of the BCMA Medication Log (FILE #53.79)
          The Ward Stock number is stored in the BCMA Medication Log global and 
          is not displayed on the VDL or any BCMA Report.
         
          Corrective Action:
          A unit dose order that is displayed on the "IVP/IVPB" tab and 
          administered will not have a Ward Stock number generated and placed
          in the IV Unique ID field (FIELD #.26) of the BCMA Medication Log 
              on the size of the site. This build will validate the correct 
          (FILE #53.79). A post install will clean up all incorrect previous
          entries.
              version of Bar Code Medication Administration (BCMA) GUI is in
      
    24. PATCH APPLICATION HISTORY:   2 SEQ #30
      DATE APPLIED:   2008-05-26 19:09:26
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will add the new Barcode Label Print [PSBO BZ] option 
      to the Bar Code Medication Administration application.  Review 
      the patch description for detail functionality. 
      
      
    25. PATCH APPLICATION HISTORY:   37 SEQ #31
      DATE APPLIED:   2008-07-22 07:50:42
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains miscellaneous fixes for the BCMA Contingency plan 
      functionality.
      backup system.
       
      This patch addresses the following remedy tickets:
      HD139965 -- Patient data not available on clients after PSB*3.0*8
      HD150133 -- Problem with new Contigency set up.
      HD189870 -- Variable needs to be NEW'd
       
      This patch also contains an enhancement to the BCBU user init 
      
    26. PATCH APPLICATION HISTORY:   43 SEQ #32
      DATE APPLIED:   2009-04-21 16:00:47
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Med Admin History report intermittently displays
      
    27. PATCH APPLICATION HISTORY:   25 SEQ #33
      DATE APPLIED:   2009-04-22 16:38:09
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      DUE LIST DISPLAYED MED NOT DUE
      
    28. PATCH APPLICATION HISTORY:   40 SEQ #34
      DATE APPLIED:   2009-04-23 10:29:02
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch corrects the following remedy tickets for BCMA issues:
       
       
       
      HD189271 - A piece of code in PSBOPM needs to be changed.
      HD167891 - Medication Administration History display problem in CPRS
      
    29. PATCH APPLICATION HISTORY:   28 SEQ #35
      DATE APPLIED:   2009-04-23 12:25:07
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
      Version 3.0 Managing Scanning Failures (MSF) project.  The main function
      of PSB*3*28 and the corresponding BCMA GUI software (BCMA Version 3 Patch
      28 [3.0.28]) is to document scanning failures during BCMA patient and
      medication verification. Please see Release Notes document for more 
      details on the following enhancements.
       
      1. Enhancement:  Document Unable to Scan events. This patch will enable
         the user to document Unable to Scan events that occur during BCMA
         patient and medication verification.  The Computerized Patient Record
         System Medical Order Button and the creation of ward stock orders in
      ATTENTION: This patch includes a new Graphical User Interface (GUI)
         BCMA will not be fully supported by the Unable to Scan functionality.
       
      2. Enhancement:  Send a MailMan message for each Unable to Scan event.
         When a user documents an Unable to Scan event, a message will
         be sent to persons who are members of the mail group established
         via the BCMA Site Parameter's Unable to Scan mail group field
         setting. This message will also be sent to the user submitting
         the Unable to Scan event documentation.
       
      3. Enhancement:  Add two new Unable to Scan Reports.
      executable file. Installation of this GUI is required immediately
         Detailed and summary reports of BCMA Unable to Scan data may be
         executed by persons holding the PSB UNABLE TO SCAN security key.
       
      4. Enhancement: Added Division Filtering to Unable to Scan Reports.
         The user's division is detected upon login, and used to filter
         Entire Facility and Nurse Unit options on the Summary Report, and All
         Patients/Wards option on the Detailed Report.
       
      5. Enhancement: Added new PSB*3*32 functionality to the MSF reports.
         Patch PSB*3*32 created new report functionality requirements, such as
      after the KIDS install for the Patch to function.
         allowing a start and stop time, and report preview. For consistency,
         these have been included in the MSF reports.
       
      6. Enhancement: Usability.
         Made changes based on feedback from the MSF usability study.
       
      7. Enhancement: Allow Action on Infusing or Stopped IV Bags.
         Added Take Action on Bag option to the IV Bag Chronology Window to
         allow user to take action on infusing or stopped bags without having
         to rescan the IV bag.
       
      For retrieval and installation instructions, please see the Client
      Installation Instructions section.
       
      This patch is a component of the Bar Code Medication Administration (BCMA)
      
    30. PATCH APPLICATION HISTORY:   45 SEQ #36
      DATE APPLIED:   2009-06-23 14:50:46
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct the following issues.
      HD226037 - Initials don't show on MAH or Med log for first action on med
      HD190817 - Record needs to show the initials of the nurse who 
                 administered the medication not the initials of nurse who 
                 created the error.
      HD255639 - Missing Field Definition.
       
      Partial Correction for
      HD260760 - Routine's Don't meet 1995 M standard.
      
    31. PATCH APPLICATION HISTORY:   33 SEQ #37
      DATE APPLIED:   2009-11-09 11:25:31
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      ONE-TIME PRN CAN BE GIVEN MULTIPLE TIMES.
      
    32. PATCH APPLICATION HISTORY:   47 SEQ #38
      DATE APPLIED:   2009-12-01 14:25:58
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch provides the components for the Class III to Class I conversion
      project Immunizations Documentation by BCMA.
       
      Included in this patch is a new option named Immunizations Documentation
      by BCMA Nightly Task [PSB PX BCMA2PCE TASK].
       
      Patch PSS*1*141 provides the Pharmacy Data Management portion of the
      project.
      
    33. PATCH APPLICATION HISTORY:   46 SEQ #39
      DATE APPLIED:   2010-01-05 17:00:23
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch will correct errors generated when BCMA is used in 
      environments with mixed Operating Systems (OS)
      
    34. PATCH APPLICATION HISTORY:   3 SEQ #4
      DATE APPLIED:   2004-12-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      *** ATTENTION: This patch includes a new Graphical User Interface (GUI)
       1.  Problem: NOIS BUT-1203-21780
           chronological order; chronologically latter order activities will display
           before earlier order activities.
           Bar Code Medication Administration (BCMA) users are not able to re-
           instate a medication patch if it had been unintentionally marked as 
           'REMOVED' via BCMA. This issue has been delegated a 'PATIENT SAFETY' 
           keyword.
       
           Corrective Action:
           The removal of a medication patch may be undone if it had been
           unintentionally marked as 'REMOVED'; this may be accomplished by the
           user who marked the medication patch as 'REMOVED' or by a user
           executable file. Installation of this new GUI is REQUIRED in order
           allocated the "PSB MANAGER" key.
       
       
       2.  Problem: NOIS ISB-0204-30176
           The prompt "Enter the DATE of Administration: Today//" of the Manual 
           Medication Entry [PSB MED LOG NEW ENTRY] option has caused confusion.
           The user unintentionally accepts the default (i.e. "Today") when 
           attempting to document a past administration.     
       
           Corrective Action:
           for the patch to function.  The new GUI MUST be installed IMMEDIATELY 
           The prompt "Enter the DATE of Administration: Today //" will be
           replaced by the prompt "Enter the DATE the medication was 
           administered: //" when using the Manual Medication Entry 
           [PSB MED LOG NEW ENTRY] option.  Also, this new prompt will not accept
           the entry of a future date/time for an administration.
       
       
       3.  Problem: NOIS PHO-0904-61033
           The BCMA Medication History report does not show large volume IV
           medications data when viewed via the Computerized Patient Record System
           after the KIDS install in order for the software to function. ***    
           (CPRS) GUI "Orders/View/Details..." option.
       
           Corrective Action:
           The BCMA Medication History report will display large volume IV 
           medications data when viewed via the CPRS GUI.
       
       
       4.  Problem: NOIS LAH-0404-61280
           The user is unable to access a patient's VDL when receiving an error
           message containing the text "GETPRNS+17^PSBPRN".  These messages occur
       
           when a patient is no longer admitted when that patient's VDL is
           refreshed.
       
           Corrective Action:
           BCMA will continue, without error, when a patient is no longer admitted
           while that patient's VDL is being viewed and refreshed.
       
       
       5.  Problem: NOIS MWV-0704-20690
           The user is able to change the status of an order's patch medication
       For retrieval and installation instructions, please see the Client
           while that order concurrently has another 'GIVEN' and not 'REMOVED'
           patch medication.  After the initial status of a patch of that order has 
           been set to a status other than 'GIVEN', that patch can then be
           administered via BCMA, without a warning to the user concerning a
           concurrently 'GIVEN' patch.
       
           Corrective Action:      
           BCMA will not allow multiple patches of a patch medication order to be
           at the status of 'GIVEN' concurrently.
       
       Installation Instructions section.
       
       6.  Problem: NOIS SFC-0704-60956
           The user is unable to edit a 'NOT GIVEN' administration using the VISTA
           "Edit Medication Log" [PSB MED LOG EDIT] option.
       
           Corrective Action:
           The user will be able to edit 'NOT GIVEN' administrations using the GUI
           version of the "Edit Med Log" found under the "File" menu of the BCMA
           VDL.
            
       
       
       7.  Problem: NOIS CLL-0704-40997
           If an IV piggyback bag is marked as 'GIVEN', the VDL is not refreshed,
           and the VDL "start/stop time" parameters are reset making that specific
           administration no longer display on the VDL, then that 'GIVEN' bag can
           be scanned and administered again.
       
           Corrective Action:
           BCMA will not allow an IV piggyback bag to be scanned and 'GIVEN' multiple
           times.
       
       
       
       8.  Enhancement:  Include Comments on the Medication History Report.
           PSB*3.0*3 will provide the user the ability to include comments that
           were documented during an administration to appear on the Medication
           History Report. This new functionality is accessible via the BCMA GUI
           and CPRS GUI.
       
       9.  Enhancement:  Report Medication History in reverse chronological order.
           PSB*3.0*3 will display the Medication History Report in reverse
      
    35. PATCH APPLICATION HISTORY:   51 SEQ #40
      DATE APPLIED:   2010-11-16 17:00:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses 4 issues:
      1. The PRN EFFECTIVENESS field (#.22) does not show up on the "Medication 
         Admin History" report but does on the "Medication Log" report.
      2. MANUAL MEDICATION ENTRY [PSB MED LOG NEW ENTRY] Issue/Unknown Status
         Report.
      3. "Missed Medications" report in BCMA did not display a missed
         medication.
      4. Problems with "Missed Medication" report.
      
    36. PATCH APPLICATION HISTORY:   56 SEQ #41
      DATE APPLIED:   2010-11-29 15:00:36
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       This Patch Addresses 4 issues:
       4.  Patients are Duplicating on Reports for wards with similar names.
       
       1.  An invalid MUMPS date (a date prior to 12/31/1840) entered for the
           BCMA Administration Times report creates an infinite loop which sends
           out BCMA Order Problem emails.
       2.  An undefined error occurs at PTLKUP+16^PSBMLLKU when a Nursing Ward
           contains lowercase letters.
       3.  Orders with a Status of On Call do not print on the BCMA Missed Meds 
           Report or the BCMA Administration Times Report
      
    37. PATCH APPLICATION HISTORY:   50 SEQ #42
      DATE APPLIED:   2010-12-06 10:28:05
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses Patient Safety issue PSPO #1401 and three
      running the MANUAL MEDICATION ENTRY [PSB MED LOG NEW ENTRY] option.
      3. Receiving error "<SUBSCRIPT>EN+12^PSBOMH1" when running the Medication 
      Administration History (MAH) report when the nurse has given a medication 
      and does not have his/her initials in the NEW PERSON file (#200).
      4. The Medication Therapy report does not contain PRN Effectiveness 
      information.
      additional issues in Bar Code Medication Administration (BCMA):
       
       
       
      1. PSPO #1401 - When a pain score is entered through BCMA and then marked 
      "entered in error" in Vitals, the errant pain score still shows on the 
      BCMA Coversheet and other reports.
      2. Receiving an error "Error - <UNDEFINED>SCANFAIL+9^PSBMLEN1" when 
      
    38. PATCH APPLICATION HISTORY:   42 SEQ #43
      DATE APPLIED:   2011-02-16 09:56:11
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      ATTENTION: This patch includes a new Graphical User Interface (GUI)
       
      This enhancement will also bring the BCMA application compliant to
      Section 508 of the Rehabilitation Act of 1973 and Rehabilitation Act
      Amendments of 1998, which mandates that all software developed by federal
      agencies allow access to and use of information and data by individuals
      with disabilities.
       
      Please see the Release Notes for more details on the following
      enhancements.
       
      executable file. Installation of this GUI is required immediately after
      1. Enhancement: This will enable a single version of BCMA to be
         maintained by VHA and yet be installed and operate in a "plug and play"
         fashion in an IHS or Tribal facility running Resource and Patient
         Management System (RPMS).
       
      2. Enhancement: The BCMA Graphical User Interface (GUI) will display
         vital measurements from the Veterans Administration (VA)
         VITALS/MEASUREMENTS package for VHA sites or optionally use the
         IHS PCC SUITE (APC) package which supports the V MEASURMENT file, if
         operating at an IHS facility and that facility is configured to use the
      the KIDS install for the Patch to function.
         V MEASUREMENT file.
       
      3. Enhancement: Section 508 Compliance including Edit Med Log
         Administration Selection form and a list of forms which have labels
         which will be converted to VA508StaticText.
       
       
      This Patch also Addresses 7 reported issues:
       
      1. PSI-07-223 (PSPO-823) - If an IV order is already infusing when it is
       
         placed on provider hold, the IV can be stopped and then infused again
         while still on provider hold.
      2. PSPO-1678 - The MULTIPLE DOSE pop up form blocks the dosage on the
         Virtual Due List (VDL).
      3. All BCMA reports have a default date based on the Laptop Time instead
         of the Server Time.
      4. The MedLog form in BCMA will accept a space for the required comment.
      5. 3 Missing Dose request reasons are missing from the Reason drop down
         box on the BCMA Missing Dose form.
      6. Remove the obsolete Scratch HFS Directory from the BCMA Parameters GUI.
       
      7. The units ordered do not display on the BCMA Medication Log report
         when a missing dose is requested and the order is held and then given.
      This enhancement is intended to enable the BCMA application to recognize
      whether it is operating in the Indian Health Service (IHS) or Veterans
      Health Administration (VHA) environment, and respond by recognizing and
      displaying the patient identifier appropriate to the environment.
      
    39. PATCH APPLICATION HISTORY:   57 SEQ #45
      DATE APPLIED:   2011-09-13 12:43:30
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 3 issues:
      Scheduled administration time of tomorrow, the BCMA MAH shows
      a medication as scheduled to be given today.
       
      1.      PSPO #1648 - The BCMA Medication Administration History Report 
      (MAH) does not line up the action taken on a medication with the 
      scheduled time of that administration.
      2.     The BCMA MAH displays active medications on hold when an order is 
      placed on Provider Hold, an additional action is taken in Inpatient Meds,
      and then the order taken off provider hold.
      3.      When an order is created with a start date of today and a first
      
    40. PATCH APPLICATION HISTORY:   63 SEQ #46
      DATE APPLIED:   2011-10-04 17:33:01
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 2 issues:
      2.     A schedule with a frequency of greater than 1440 minutes 
      (24 hours) and a start date after today does not display as a Future
      Order on the BCMA Due List Report. 
       
      1.     When a user logs into BCMA and their device time is exactly 
      midnight, VistA will add the value of $H to the current time to 
      get the BCMA server time.  This server time will be greater than 
      the highest allowable Fileman date, which is October 15, 2114.  
      If the BCMA Due List Report is run with the invalid default server 
      time, an infinite loop will be creating, eventually causing a "Disk Full"
      error.
      
    41. PATCH APPLICATION HISTORY:   60 SEQ #47
      DATE APPLIED:   2011-11-22 13:03:29
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 3 issues:
      time.
       
      1.     The  error "<SUBSCRIPT>ADM+3^PSBCSUTX" occurs
      when selecting the BCMA Coversheet tab if the patient
      only has an IV Order and no Unit Dose Orders.
      2.     The BCMA Medication Variance Report does not paginate
      correctly.
      3.     The BCMA Medication Variance Report displays a variance
      when a patch is removed, even if the patch was given on
      
    42. PATCH APPLICATION HISTORY:   52 SEQ #48
      DATE APPLIED:   2011-12-13 15:20:53
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 3 issues:
             indicate what is causing the error.
       
      1.     An error occurs when running the BCMA Unable to Scan Detailed 
             report, causing BCMA to shut down.
      2.     The Missed Medications Report is displaying invalid Start and
             Stop Date and Date/Times for One Time orders.
      3.     The Missed Medications Report is displaying an invalid comment and
             status for a given medication.
      4.     The BCMA "Filing Transaction MEDPASS" error message does not 
      
    43. PATCH APPLICATION HISTORY:   58 SEQ #49
      DATE APPLIED:   2012-01-30 10:43:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      ATTENTION: This patch includes a new Graphical User Interface (GUI) 
      Request Analysis (IMR SFG IRA) Phase III/Phase IV, as well as 
      modifications requested by the BCMA and Inpatient Medications 
      workgroups.  The Inpatient Pharmacy patch PSJ*5*153 is also being 
      released as part of these enhancements.  
       
      1. In order to allow facilities to select a timeframe that better matches
         their site policies, the site parameter that sets the amount of time
         that nurses have to document the PRN Effectiveness assessment is being
         expanded from 240 to 960 minutes.
       
      executable file. Installation of this GUI is required immediately after 
      2. A new site parameter was added to the PARAMETERS file (#8989.5) & 
         PARAMETERS DEFINTION file (#8989.51) to allow sites to prohibit 
         administration of non-nurse verified medication orders, or to display a
         warning before administering non-nurse verified medication orders. 
         Facilities will be able to set this option by division. 
       
      3. The Missed Medications report will now include a "Verified" column that
         will contain the initials of the nurse who verified the order, or three
         asterisks, indicating that the order was not nurse verified.
       
      the KIDS install for the Patch to function.
      4. A visual indicator will be displayed on the BCMA Virtual Due List (VDL)
         which will reflect whether an order has provider override reasons
         associated with the order. 
       
      5. If the override information exists for an order, it will also be
         displayed on the order detail report.
       
      For retrieval and installation instructions, please see the Client
      Installation Instructions section.
       
      The Allergy and Alerts Project addresses enhancements identified during 
      Inpatient Medications Requirementxs for Special Focus Group Initial 
      
    44. PATCH APPLICATION HISTORY:   61 SEQ #50
      DATE APPLIED:   2012-08-29 10:38:41
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 4 issues:
      the BCMA Medication Log forms omit the leading zero if the Units
      Given field value is a decimal less than one.
      4.  PSPO #2015 - BCMA is accepting "Spacebar" as a valid
      input for scanning a Drug IEN and returning the last
      medication the BCMA User Scanned.
       
      1.  The PSB BAG DETAIL RPC is returning duplicate entries for
      a single action, causing the action to be displayed twice in
      the Details section of the BCMA IV Tab.
      2.  The message "Error @ -100" is seen in Details section 
      on the BCMA IV Tab if a site has the optional AU05 cross 
      reference turned on.
      3.  The Units Given fields on the PRN Effectiveness Log and 
      
    45. PATCH APPLICATION HISTORY:   4 SEQ #5
      DATE APPLIED:   2005-01-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
      1.  Enhancement:  Read Only Bar Code Medication Administration (BCMA).
          This patch deploys the BCMA-HSC project "Read Only BCMA"
          functionality.  After the installation of this build (PSB*3.0*4)
          and installation of the released Read Only BCMA GUI executable
          file, users allocated the "PSB READ ONLY" security key will be
          granted documented Read Only BCMA functionality.  Also, as
          documented, users allocated the "PSB STUDENT" security key using
          BCMA while no BCMA instructor is using BCMA, will be granted Read
          Only BCMA functionality until a BCMA Instructor has accessed BCMA.
       
      *** ATTENTION: This patch includes a new Graphical User Interface (GUI) 
       
      2.  Enhancement:  Patient Record Flag Reporting.
          This patch provides "Patient Record Flag" reporting functionality.
          During patient selection, information about any active Patient
          Record Flag(s) associated with the selected patient will be
          presented to the user.  This patch also give the user the ability
          to display and print details of all active Patient Record Flags.
          This patch will also display a "FLAG" button via the patient's GUI
          Virtual Due List.  This "FLAG" button gives the user access to a
          report of the all the active Patient Record Flags associated with
        executable file. Installation of this GUI is required immediately 
          the patient.
        after the KIDS install for the Patch to function. *** 
       
      For retrieval and installation instructions, please see the Client
      Installation Instructions section.
       
       
      
    46. PATCH APPLICATION HISTORY:   48
      DATE APPLIED:   2012-08-29 11:11:02
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses the following issues:
         displayed on the BCBU MAR report. PSPO# 1613
       
      3. A prompt and help message in VistA under the BCMA Backup System 
         [PSB BCBU WRKSTN MAIN] option is currently not displaying properly
         or consistently among the following three BCBU MAR print options 
         Print MAR for All Wards, Print MAR for Selected Patient, and Print MAR 
         for Selected Ward.
       
      4. While using Room/Bed sort in the BCMA Backup System (Wrkstn) option 
         Print MAR for Selected Ward, the system produces an error if a patient
      1. Future medication orders display on the Bar Code Medication
         has no Room or Bed assigned.
         Administration Backup System (BCBU) Medication Administration Record 
         (MAR) as current. An asterisk should be displaying in the
         administration time fields until the actual start dates have
         been reached. 
       
      2. Held medications are currently being displayed on the BCBU MAR option 
         Print MAR for a Selected Patient. Held medications should not be
      
    47. PATCH APPLICATION HISTORY:   67 SEQ #53
      DATE APPLIED:   2012-08-29 11:33:08
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 3 issues:
       
      3.     The BCMA MAH displays all meds as not due until the day after
      the start date.
       
      1.     PSPO 2134 - A Given dose does not display on the BCMA 
      Medication Administration History (MAH) report when another dose is
      given for the same Administration time on the wrong day.
       
      2.     A given dose of an IVPB will not display on the BCMA MAH report
      if the time given is edited to a time prior to the original given time
      of the medication.
      
    48. PATCH APPLICATION HISTORY:   62 SEQ #54
      DATE APPLIED:   2012-08-29 12:28:15
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 2 issues:
       
      1.  The BCMA Missed Medications Report may be inconsistent
          when run for a whole day versus incremental times if
          the order's Administration Times are edited.
      2.  The Initials of the Nurse who marked an IV Bag infusing
          do not display in the Legend of the BCMA IV Overview
          Coversheet report when a different Nurse marks the bag
          Stopped or Completed.
      
    49. PATCH APPLICATION HISTORY:   68 SEQ #55
      DATE APPLIED:   2012-09-12 16:26:27
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      *************************************************************************
      ATTENTION: This patch includes a new Graphical User Interface (GUI) 
      executable file. Installation of this GUI is required immediately after 
      the KIDS install for the Patch to function.
       
      This version of BCMA was successfully tested in the field against Wireless
      Medication Administration version 4.8 at Pittsburgh and Loma Linda.
       
      For retrieval and installation instructions, please see the Client
      Installation Instructions section.
       
       IMPORTANT: PATCH PSJ*5*267 MUST BE INSTALLED BEFORE THE INSTALLATION 
      The Special Instructions and Other Print Info Project addresses 
      enhancements identified during Inpatient Medications Requirements for 
      Special Focus Group Initial Request Analysis (IMR SFG IRA) Phase 
      III/Phase IV, as well as modifications requested by the Bar Code
      Medication Administration (BCMA) and Inpatient Medications workgroups.  
       
      The Inpatient Pharmacy patch PSJ*5*267 is also being released as part of
      these enhancements.  The projects purpose is to Standardize the character
      length between CPRS Provider's Comment, Inpatient Medications Special
      Instructions, and the IV Pharmacy Other Print Information fields.
                  OF THIS PATCH.
       
      The Inpatient Pharmacy patch PSJ*5*267 will add new fields to Inpatient 
      Medication to support an unlimited amount of text for Special 
      Instructions and Other Print Info (SI/OPI). 
       
      1. BCMA Remote Procedure Calls (RPC) will be modified to send over the new
         Inpatient Medications SI/OPI fields in an unlimited format to the BCMA
         GUI client.
       
      2. For backwards compatibility, of existing Active orders on file that
       
         were using the old fixed length SI/OPI fields, then this information 
         will be included in the new unlimited format also.
       
      3. Modify the following reports to print the unlimited SI/OPI information:
          a. Medication Administration History (MAH) Report
          b. Display Order detail Report
          c. Due List Report
          d. IV Bag Status Report
          e. Cover Sheet Report - Medication Overview Report
          f. Cover Sheet Report - PRN Overview Report
       BCMA patch PSB*3*68 contains changes that will not function until patch 
          g. Cover Sheet Report - IV Overview Report
          h. Cover Sheet Report - Expired/DC'd/Expiring Report
          i. BCMA Backup System (BCBU) Print MAR for All Wards
          j. BCMA Backup System (BCBU) Print MAR for Selected Patient
          k. BCMA Backup System (BCBU) Print MAR for Selected Ward
       
      4. Add new check box field to allow if the unlimited text will be printed
         on the following reports:
          a. Due List Report
          b. IV Bag Status Report
       PSJ*5*267 is installed. Both patches, PSJ*5*267 and PSB*3*68 need to be
          c. Cover Sheet Report - Medication Overview Report
          d. Cover Sheet Report - PRN Overview Report
          e. Cover Sheet Report - IV Overview Report
          f. Cover Sheet Report - Expired/DC'd/Expiring Report
       
      5. BCMA Client:
          a. Added window to display unlimited Special Instructions / Other
             Print Info via menu, right-click, and function key (F6).  This
             window is also used to display Special Instructions / Other Print
             Info when an order is flagged in Inpatient Medications and is given
       installed for Inpatient Medications and BCMA to function correctly.
             in BCMA.
          b. Fields which displayed Special Instructions / Other Print Info in
             forms were widened to 80 characters and have vertical scroll.
          c. Added Last Injections Site column to the Unit Dose VDL to show the 
             what the last site was per Orderable item.
          d. Enhanced the Injection Site dialog window to show two 
             history tables.
                1) To show the last 4 sites per the medication being given.
                2) To show last 10 sites per the patient for any medication.
            The tables above will use a new Division parameter, "Injection Site 
      *************************************************************************
            History Max Hours", added with this patch that controls how many
            hours to look back when compiling these history tables.  The default
            will be initialized to 72 hours, with this patch.
       
      This Patch also Addresses 3 reported Remedy ticket issues:
       
      1. After scanning a medication that requires multiple doses
         or dosage strengths, the multiple dose dialog box's 
         invalid medication pop-up functionality appears to be broken.
      2. Unable to view all allergies/ADRs on BCMA GUI for patient with
       
         numerous allergies/ADRs.
      3. The Patient Record Flag changes from Red to Black if you lock
         your computer. 
       
      Please refer to the release notes for a full detailed list and examples 
      of items included in this patch.
      
    50. PATCH APPLICATION HISTORY:   69
      DATE APPLIED:   2012-09-12 16:26:55
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      ***********************************************************************
      The Special Instructions and Other Print Info Project addresses 
      enhancements identified during Inpatient Medications Requirements for 
      Special Focus Group Initial Request Analysis (IMR SFG IRA) Phase 
      III/Phase IV, as well as modifications requested by the Bar Code
      Medication Administration (BCMA) and Inpatient Medications workgroups.  
       
      The Inpatient Pharmacy patch PSJ*5*267 is also being released as part of
      these enhancements.  The projects purpose is to Standardize the character
      length between CPRS Provider's Comment, Inpatient Medications Special
      Instructions, and the IV Pharmacy Other Print Information fields.
      IMPORTANT: PATCH PSJ*5*267 MUST BE INSTALLED IMMEDIATELY BEFORE
       
      The Inpatient Pharmacy patch PSJ*5*267 will add new fields to Inpatient 
      Medication to support an unlimited amount of text for Special 
      Instructions and Other Print Info (SI/OPI).
       
      The enhacnement in this patch will support the new unlimited lines of 
      text that will now be sent by Inpatient Medications to the BCMA
      Contingency software workstations, in the HL7 NTE|21 segement.
       
      Please refer to the release notes for a full detailed list and examples 
      INSTALLATION OF THIS PATCH.
      of items included in this patch.
       
       If the site is running the BCMA Contingency software then this patch
       must also be installed on the workstations. Once installed it is 
       suggested that the sites review the Contingency system MAR reports.
      ***********************************************************************
       
      
    51. PATCH APPLICATION HISTORY:   66 SEQ #57
      DATE APPLIED:   2013-02-25 11:55:03
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       This Patch Addresses 2 issues:
       
      1. PSPO 2012 - IV Bag Parameters are not defined for an Institution
         which contains active wards.
       
      2. After Multiple edits of solutions, invalid IV bags in BCMA may be
         administered.
      
    52. PATCH APPLICATION HISTORY:   64 SEQ #58
      DATE APPLIED:   2013-06-26 17:12:46
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 3 issues:
          day of the week schedule.
       
      1.  An order with an Unknown Action status is unavailable
          when using the Edit Med Log option if another user runs
          the BCMA Medication Administration History (MAH) report.
      2.  A fatal error occurs when using the Unable to Scan function
          in BCMA and then scanning another medication. 
      3.  A fatal error occurs when clicking on the BCMA Coversheet if 
          a patient's only current order is an IV Piggyback which has a 
      
    53. PATCH APPLICATION HISTORY:   74 SEQ #59
      DATE APPLIED:   2013-07-10 16:15:55
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 3 issues:
       
      1.  A broker error occurs when attempting to open BCMA (Bar Code
          Medication Administration) for a patient who has and Intravenous
          Piggyback (IVPB) medication with an unknown Action Status. 
      2.  The header on several reports do not delineate a patient's room
          number with a colon.
      3.  The BCMA Missed Medications Report does not contain meds that
          are held or refused when run in VistA.
      
    54. PATCH APPLICATION HISTORY:   54 SEQ #60
      DATE APPLIED:   2013-11-05 16:00:31
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 2 issues:
             the BCMA UNABLE TO SCAN LOG (#53.77) file is greater than 40
             characters.
       
      1.     An Undefined error occurs at LINE+13^PSBOML when the 
             BCMA Med Log report is run and finds a BCMA MED LOG 
             (#53.79) entry without a corresponding PHARMACY PATIENT (#55)
             entry.
      2.     When giving an IV via the Unable to Scan feature, the user will
             receive a "Incomplete Data Returned from Vista" pop up box if the
             data attempting to be stored in the ORDERABLE ITEM (#15) field of
      
    55. PATCH APPLICATION HISTORY:   59
      DATE APPLIED:   2013-11-25 12:10:39
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       Please see the National Patch Module for details of the changes
       included in this patch.
      
    56. PATCH APPLICATION HISTORY:   9 SEQ #6
      DATE APPLIED:   2005-04-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
           appropriate.
       
       
       2.  Problem: NOIS MIW-0504-40557
           Scheduled administration times are reported and totaled on the
           Ward Administration Times Report per each clock hour.  If an
           order s stop time is between clock hours, that order s final
           scheduled administration is neither reported nor added to the
           report totals.
       
       1.  Problem: NOIS CTX-0804-70321
           Corrective Action:
           The BCMA Ward Administration Times Report will report and
           total all appropriate scheduled administration times.    
       
       
       3.  Problem: NOIS LIT-0704-71393
           The initial administration of an order which displays on the BCMA
           Graphical User Interface (GUI) Intravenous/Piggyback (IVPB) Tab 
           may result with an administration status of "GIVEN", "HELD", or
           "REFUSED".  When this same order is administered via the VISTA 
           Large volume IV orders do not show on the Due List Report.  The
           Manual Medication Entry [PSB MED LOG NEW ENTRY] option, the 
           initial administration status can only be "GIVEN".
       
           Corrective Action:
           The Manual Medication Entry [PSB MED LOG NEW ENTRY] option will
           allow the initial administration of an IVPB order to result in
           an administration status of "GIVEN", "HELD", or "REFUSED".
       
       
       4.  Problem: NOIS UNY-0304-10606
           Bar Code Medication Administration (BCMA) Due List Report does
           When the user prints a Medication Administration History (MAH)
           report with a date range exceeding seven (7) days, Pro Re Nata
           (PRN) order activity, which occurred that last day of the
           report s date range, does not display.
       
           Corrective Action:
           PRN activity occurring within the selected MAH report date range
           will display on that MAH report.
       
       
           not display information for large volume IV orders that have
       5.  Problem:
           When creating a MAH report, the administration times of orders
           that have start time between the report's date range do not
           display properly.
       
           Corrective Action:
           The MAH report will display order administration times properly.
       
       
       6.  Problem: NOIS ISB-0105-30190
           been created on the date selected for reporting.  
           When using the GUI Edit Med Log to add a comment for an 
           administration having units given less than 1.0, the message - "When 
           changing the admin status to Given, at least one dispensed drug must 
           have a units given ..."  - is displayed and the comment is not filed.
           This error is due to the value in the Units Given field of the GUI
           Edit Med Log being presented without the "leading zero" when the 
           value is less than 1.0.
       
           Corrective Action:
           When the Units Given value of an administration is less than zero, 
       
           it will be presented via the GUI Edit Med Log with the leading zero.
       
       
       7.  Problem: NOIS ISB-1104-31950
           The Medication History Report does not display a leading zero in
           its "Units GIVEN" data field when display a numerical fraction.
       
           Corrective Action:
           A leading zero will display in the Medication History Report,
           "Units GIVEN" data field when appropriate.
           Corrective Action:
       
       
       8.  Problem: NOIS BUT-1204-21117
           There are instances when the "Units Of Administration" data field
           of the Medication History Report does not "break" and remain legible.
       
           Corrective Action:
           The "Units Of Administration" data field of the Medication History
           Report will "break" and maintain whole words and legibility.
       
           The BCMA Due List Report will display large volume IV data when
       
       9.  Problem: NOIS UNY-0105-11034
           The heading for the Due List Report, "Future Orders" section is 
           displayed and is not followed by "Future Order" data when at least
           one future active order exists, and no future order has a scheduled 
           administration within the selected report time parameters.     
       
           Corrective Action:
           The heading for the Due List Report, "Future Orders" section will not
           display, unless "Future Order" data is to be displayed.
      
    57. PATCH APPLICATION HISTORY:   70 SEQ #62
      DATE APPLIED:   2013-12-12 14:12:34
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      Clinic Order and Witness for High Risk / High Alert drugs.
      
    58. PATCH APPLICATION HISTORY:   75 SEQ #63
      DATE APPLIED:   2014-01-14 15:18:32
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 2 issues.
          in the PHARMACY PATIENT IV subfile (#55.01) cannot be marked
          as given using the Manual Medication Entry [PSB MED LOG NEW ENTRY] 
          option.
       
      1.  When the INFUSION RATE field (#.08) in the PHARMACY PATIENT IV subfile
          (#55.01) is greater than 27 characters (30 character max) for an 
          Intravenous Piggyback (IVPB) order, the text added by the software 
          will cause the infusion rate to exceed the 47 character maximum
          in BCMA.
       
      2.  An IVPB order with a SCHEDULE (#.09) and a STATUS (#100) of "On Call" 
      
    59. PATCH APPLICATION HISTORY:   73
      DATE APPLIED:   2014-01-21 15:42:58
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      IMR6 CLINIC ORDER ENHANCEMENT FOR BCBU
      
    60. PATCH APPLICATION HISTORY:   78 SEQ #65
      DATE APPLIED:   2014-03-06 13:46:50
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 2 issues:
      printed by ward.
       
      1. An order will not display on the Bar Code Medication
      Administration (BCMA) Virtual Due List (VDL) properly 
      if the order has its first administration time not on the
      hour and the start date and time are not exactly on the hour.
       
      2. The BCMA PRN Effectiveness Report and Medication
      Variance Report do not display the ward name when
      
    61. PATCH APPLICATION HISTORY:   76 SEQ #66
      DATE APPLIED:   2014-12-10 11:43:49
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 6 issues:
      History (MAH) report.
      4. The undefined error <UNDEFINED>FILEIT+10^PSBML *PSBHDR occurs
      when logging into BCMA.
      5. Immunizations given as Clinic orders in BCMA are not recorded in the 
      V IMMUNIZATIONS (#9000010.11) file.
      6. BCMA accepts a partial scan of a patient's SSN when scanning a 
      patient's wristband.
       
      1. The Bar Code Medication Administration (BCMA) Missed Medications
      report does not include orders with a status of "Renewed" 
      2. BCMA incorrectly rounds a patient's height down on the BCMA Virtual
      Due List (VDL) and on report headers, and incorrectly calculates a 
      patient's weight on report headers.
      3. Orders with a start time exactly the same as the last administration
      time will display as not due in the BCMA Medication Administration 
      
    62. PATCH APPLICATION HISTORY:   81 SEQ #67
      DATE APPLIED:   2015-04-13 13:21:10
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 5 issues:
      of Last 4 digits of a patient's Social Security Number (SSN) as the 
      patient identifier.
      4. A dangling "AADT" index causes an undefined error to occur when
      a site runs the BCMA Extract (ECXBCM) option. 
      5. The Meds on Patient section of the BCMA Virtual Due List (VDL) 
      displays an Intravenous (IV) bag as infusing after it has been marked
      completed if the Action Date/Time was edited using the Edit Med Log
      option.
       
      1. The Bar Code Medication Administration (BCMA) Medication History
      report displays data prior to the report start date when run in the
      Computerized Records System (CPRS) application.  
      2. BCMA Labels for Unit dose drugs are missing the Indian Health 
      Services (HIS) Health Record Number (HRN) in place of Last 4 digits of a
      patient's Social Security Number (SSN) as the patient Identifier.
      3. The BCMA Unknown Actions Report does not display IHS HRN in place
      
    63. PATCH APPLICATION HISTORY:   72 SEQ #69
      DATE APPLIED:   2015-04-21 08:50:39
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 7 issues:
      3. The BCMA Medication Log and Medication Variance report headers
      do not display the time frame of the report.
      4. The BCMA AUDIT LOG (#53.799) sub-file does not include an entry 
      for Pro Re Nada (PRN) Effectiveness when a PRN is "Un-Given"
      5. The Legend of the Medication Therapy report does not include users
      who entered comments for an order.
      6. The 2nd line of routine PSBOPE has an invalid format.
      7. Update the unsupported $$UCASE^XUSG Application Programming 
      Interface (API) to the supported API $$UP^XLFSTR in routine PSBMLLKU.
       
      1. The Medication History report in Bar Code Medication 
      Administration (BCMA) displays amounts in the Units Given
      field for an order that has not been given. 
      2. When a user makes a change to an order using the Edit Med Log
      option which does not change the action status, several reports 
      display the initials of the person who edited the order instead of
      who created the action on the order.
      
    64. PATCH APPLICATION HISTORY:   80 SEQ #70
      DATE APPLIED:   2015-04-23 08:46:12
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 6 issues:
      a different division. 
      4. The BCMA Administration Times report does not display historical
      data when run by ward.
      5. The BCMA Clinical Reminders tab does not display that a PRN 
      Effectiveness is needed when the PRN is given on the same day as the 
      patient is admitted.
      6. The Unable to Scan detailed report does not display the full Health 
      Record Number (HRN) for Indian Health Services (IHS) sites.
       
      1. The Bar Code Medication Administration (BCMA) MEDICATION
      VARIANCE LOG (#53.78) file does not save data in DRUG SCANNED
      (#.07) field.
      2. BCMA stores the initials of the user who viewed the patient's record
      instead of the initials of the user who marked a Vital Entered in Error.
      3. The BCMA Unable to Scan Detailed report does not display any data
      when run for a Nursing Ward if the user running the report is logged into 
      
    65. PATCH APPLICATION HISTORY:   86 SEQ #71
      DATE APPLIED:   2015-11-02 13:55:51
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This Patch Addresses 7 issues:
          Record System (CPRS) application when converting weight from pounds
          to kilograms.
      4.  BCMA report headers display the diagnosis for a patient's last
          admission after the patient has been discharged. 
      5.  The BCMA Coversheet is loading slowly for long term care patients.
      6.  The Unit Dose tab of the BCMA VDL loads slowly for long term care
          patients.
      7.  The BCMA Medication Variance report displays the medication name twice
          under the medication field of the report
       
      1.  An Undefined error occurs at SCANPT+49^PSBRPC if an accent (`) mark is
          passed in when manually keying in a patient's wristband.
      2.  Bar Code Medication Administration (BCMA) report headers display the
          last ward and room/bed the patient was admitted to after they are 
          discharged.
      3.  BCMA report headers and the BCMA Virtual Due List (VDL) round a
          patient's weight to less significant digits than the Computerized 
      
    66. PATCH APPLICATION HISTORY:   79
      DATE APPLIED:   2016-04-07 16:02:28
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      See patch description for details.
      
    67. PATCH APPLICATION HISTORY:   12 SEQ #7
      DATE APPLIED:   2005-04-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      No warning for early, late or second ward stock IVPB
      
    68. PATCH APPLICATION HISTORY:   94 SEQ #74
      DATE APPLIED:   2016-05-10 15:41:36
      APPLIED BY:   USER,FIFTYFOUR
    69. PATCH APPLICATION HISTORY:   83 SEQ #75
      DATE APPLIED:   2016-12-20 14:44:09
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      ******************************* ATTENTION ********************************
      3.      PSB*3*83
       
      12. BCMA Due List report now includes Remove Times on the report below 
          the admin times that are due per Medication.
       
      13. BCMA Coversheet Medication Overview report and the Coversheet 
          Expired/DC'd/Expiring Orders report will now include Missed-Removals 
          and Removals on the reports.
       
      14. BCMA Medication Log report changed the heading from "Inj Site" to 
          "Body Site".  The  Medication detail body text will display the proper
      4.      OR*3*417
          label of "Inj Site:" or "Derm Site:" just prior to the name of the
          Body site for that medication.
       
      15. BCMA Medication History Heading line changed from "Injection Site" to
          "Body Site".
       
      16. A body site diagram will be added to the BCMA Parameter GUI client 
          application for the purpose of showing a dot on the body diagram that
          is associated with the Text representation of that site location on
          the body.
      5.      PSB*3*87
       
      17. The BCMA Parameter GUI client application has access to a new kernel 
          parameter titled in GUI application as "Dermal Site History Max
          Days:".  This allows the BCMA coordinator the ability to control how
          many days of prior dermal body site location history will appear, when
          a clinician is giving a new dermal medication that is prompting for a
          body site location.
       
      18. The Orders for MRRs With Removal Properties [PSS MRR ORDERS DIAGNOSTIC
          RPT] option found on the Pharmacy Data Management [PSS MGR] menu, 
       
          will also be placed on the Bar Code Medication Administration Manager
          [PSB MGR] menu.
       
       
      *NOTE* Non-standard schedules such as DAY@HHMM, HHMM, or other Odd 
             schedules, are not capable of calculating removal times due to a
             lack of a Frequency.  Regardless of the Prompt for Removal in BCMA
             code value they will not prompt for removal in BCMA and should be
             avoided.
      ATTENTION: This enhancement also includes a new Graphical User Interface
      (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is
      required immediately after the KIDS install for the Patch to function.
       
      For retrieval and installation instructions, please see the Client 
      Installation Instructions section.
        
      **************************************************************************
       
      The Clinical Ancillary Services Development-Delivery of Pharmacy 
      Enhancements (CAS DDPE) project addresses several NSR's, which center 
      around providing a means for properly handling Transdermal Medications 
      Requiring Removal (MRR) beyond the current medications of dosage form 
      Patch.  These enhancements interface with Inpatient Pharmacy package, 
      which will be storing Scheduled Removal Times, for inpatient orders that 
      are designated as MRR type medications.  See associated patches PSS*1*191 
      and PSJ*5*315, for details on how MRR medications are designated.
      Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy 
       
      This BCMA enhancement also includes a new Graphical User Interface (GUI) 
      executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is required 
      immediately after the KIDS install for the Patch to function.
       
      Features of the BCMA GUI provided by this project are listed below.
       
       1. Change the current GUI Unit Dose tab column labeled "Admin Time" to 
          "Next Dose Action".
       
      Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal
       2. The "Next Dose Action" column will now contain both the next admin
          times for scheduled administrations as well as the next Removal time
          for MRR type medications. The initial login to BCMA, will sort the
          Unit Dose tab in ascending order by this column, so older actions for
          medications will be at the top of the VDL display.
       
            a. The Next Action of an administration will contain the word "DUE"
               followed by the scheduled admin time in the standard date@admin
               time format currently in use.
            b. The Next Action of a removal will contain the word "REMOVE"
      enhancement includes 5 patches which must be installed in the following
               followed by the scheduled removal time in the standard
               date@time format.
            c. The Next Action of an administration that is past due to be
               given will contain the word "LATE" followed by the scheduled
               admin time in the standard date@admin time format currently in
               use.                
            d. The Next Action of a removal that is past due to be removed will
               contain the word "LATE-RM" followed by the scheduled removal time
               in the standard date@time format.
       
      order:
       3. Change the current GUI column labeled "Wit" to "Alert".
       
       4. The Alert column will still have the ability to display the Witness 
          required icon and will also be able to display a new Remove icon.  
            a. The icon is displayed only for MRR type meds that were Given and
               their next Action is for Removal.
       
       5. Early/Late warnings will also be associated with medications being 
          removed early or late using the same early late time range that is
          used for early or late medication admins.
        
            a. User comments are prompted for and stored upon continuing with
               the Early/Late removal action.
       
       6. Variances will also be tracked for Early/Late Removals in the same 
          manner as they are currently for Early/Late medication
          administrations and will appear on the Medication Variance Log report.
       
       7. BCMA Medication Administration History (MAH) report will now print
          the associated Give, which was previously overwritten by the Remove
          action, chronologically after the Remove for the Print by Patient 
      1.      PSS*1*191
          report. The print by Ward report will now include the count of
          Removals scheduled for the report time period.
       
       8. BMCA Medication Log will now show the historical Give date/time below 
          the current status of the medication, which shows the Remove
          date/time.
       
       9. BCMA Missed Medications report will also show Removals that were
          missed or up and coming, similar to how missed Gives are currently
          notated.  The column Heading has been changed from "Admin Date/Time"
      2.      PSJ*5*315
          to "Missed Date/Time".
       
      10. BCMA Display Order report now includes the Removal Times for this
          order directly below the current Admin Times.
       
      11. BCMA Medication History report now includes a prior Give line item
          directly below the current status line item of Remove (RM). The Remove
          last action on this administration overwrites the Give information and
          was no longer printing on this report.  This information is now being
          retrieved from the Audit log and printed on this report.
      
    70. PATCH APPLICATION HISTORY:   87
      DATE APPLIED:   2016-12-20 14:45:13
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      ******************************* ATTENTION ********************************
      5.      PSB*3*87
       
      ATTENTION: This enhancement also includes a new Graphical User Interface
      (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is
      required immediately after the KIDS install for the Patch to function.
       
      For retrieval and installation instructions, please see the Client 
      Installation Instructions section.
      **************************************************************************
       
        
      PSB*3*87 will enhance the BAR CODE MEDICATION ADMINISTRATION (BCMA) Backup
      System (BCBU) to support Medications Requiring Removal (MRR). The Backup
      System will be able to store the Removal times and duration of
      administration associated with each medication order.
       
      This patch will add two new fields to the ORDER NUMBER (#53.702) 
      sub-file  under the BCMA BACKUP DATA (#53.7) file.  The two new fields 
      are the REMOVE TIMING (#7.4) field and DURATION OF ADMINISTRATION (#7.5) 
      field. These fields implement changes that will support enhancements to 
      Medical Administration Record(s) MAR reports in the BCBU application.
      CASDDPE VA Inpatient Medication Administration - Transdermal enhancement
       
      The MAR reports will print each Scheduled Removal times for MRR 
      medications in the Grid in the same manner as Admin times.  The Remove
      times will appear below the current scheduled Administration time in the
      Grid and will be separated by the Label "Remove" in the times column.  
      Asterisks will print in the body of the Grid in each Removal action box
      for removal times that are not valid per the Date in that column heading.
       
      The MAR reports will also no longer display the Order number of the
      medications being administered.
      includes 5 patches which must be installed in the following order:
       
      Please refer to the BCMA Backup System (BCBU) Installation Guide for 
      PSB*3*87 for installation details.
       
      1.      PSS*1*191
      2.      PSJ*5*315
      3.      PSB*3*83
      4.      OR*3*417
      
    71. PATCH APPLICATION HISTORY:   88 SEQ #77
      DATE APPLIED:   2017-01-06 12:04:42
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
      3. The BCMA Drug IEN Synonym Check [PSB DRUG IEN CHECK] option needs to
         be added to the Medication Administration Menu Pharmacy [PSB PHARMACY]
         menu.
       
      4. The IV Bag Detail on the IV tab does not display for a patient when 
         opening the patient's Virtual Due List (VDL) after having another 
         patient's VDL open.
       
      1. The Bar code Medication Administration (BCMA) Due List Report does not
         display Intravenous Piggy Back (IVPB) orders  with an Inpatient 
         Pharmacy Status of "On Call".
       
      2. The Missed Medication Report shows missed administrations prior to an 
         edit when an order's Administration time are edited.
       
      
    72. PATCH APPLICATION HISTORY:   95
      DATE APPLIED:   2017-01-23 14:26:30
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Fix for eHMP defect 4250.  Places SEQUENCE values on ITEMs in the 
      PROTOCOL file (#101).
      
    73. PATCH APPLICATION HISTORY:   97 SEQ #79
      DATE APPLIED:   2017-02-24 16:56:48
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch PSB*3*97 will change the version number of the Bar Code 
      Some reports that print Legends had some issues where the user name and
      initials were inaccurate for transdermal type medications.
      Medication Administration (BCMA) client application to version 97
      from version 83 to correct an issue discovered immediately after release
      of version 83.  
       
      A hard error can occur in the BCMA client application with a new button
      provided that displays a Body Site Image for selecting body location of
      transdermal type medications.
       
      
    74. PATCH APPLICATION HISTORY:   92 SEQ #80
      DATE APPLIED:   2017-06-01 18:08:42
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
       
      3. Medications cannot be administered in BCMA after Nurse's initials 
         deleted.
       
      4. Medications Orders requiring removal with a schedule type of "One-Time"
         and Frequency greater than zero do not display the correct removal
         time in the "Next Dose Action" field on the BCMA VDL.
       
      1. The Bar Code Medication Administration (BCMA) Order Mode indicator
         light is not displaying when the only active orders have a pharmacy
         status of renewed, on call, or provider hold.
       
      2. The BCMA Active Order Indicator light is not displaying for the Unit 
         Dose tab when the only active orders have a Pharmacy Status of Renewed
         or Provider Hold.
      
    75. PATCH APPLICATION HISTORY:   98 SEQ #81
      DATE APPLIED:   2017-07-26 13:27:01
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
       
      3. The BCMA Display Order report displays dates in the data field in 
         internal Fileman format.
       
      4. An Undefined error occurs when the Medication Therapy report is run 
         with no schedule types selected.
       
      1. The Bar Code Medication Administration (BCMA) IVP/IVPB tab continues
         to display orders with a Schedule Type of On Call after the order is 
         administered.
       
      2. The BCMA Display Order report displays both BCMA EXPIRED and BCMA
         EXPIRE DENIED in the data field of the Pharmacy Activity section when a
         one time dose medication is administered.
      
    76. PATCH APPLICATION HISTORY:   99 SEQ #82
      DATE APPLIED:   2017-10-05 13:59:22
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues:
      then
       
         Resolution:
         -----------
         Routine PSBML2 was modified to store the correct medication dosages
         in the DISPENSE DRUG (#53.795) sub-file when the edited order is
         administered. 
       
      4. R12817870FY17 - PRN requiring effective is not showing on BCMA Clinical
                         Reminders
       
         infusing, the medication log shows each ingredient of the infusing IV 
         Problem:
         --------
         A PRN medication requiring a PRN Effectiveness does not display on the
         BCMA Clinical Reminders if the patient is discharged and re-admitted.
       
         Resolution:
         -----------
         Routine PSBPRN was modified to display the order under the BCMA 
      Clinical 
         Reminders when the patient is discharged and re-admitted, as long as 
      Order
      the
         order falls within the PRN Documentation parameter.
       
      5. I10114492FY16 - Mark Documenting Backlog PRNs option OOO
       
         Problem:
         --------
         The unsupported Documenting Backlog PRNs [PSB PRN DOCUMENTING] option
         needs to be marked out of order and removed from the Bar Code 
      Medication
         to have units of zero.
         Administration Manager [PSB MGR] menu option. This option runs a 
      version
         2 routine in BCMA (currently on version 3), and should not be active
         on a nationally released menu option.
       
         Resolution:
         -----------
         Post Install routine PSB399P will mark the Documenting Backlog PRNs
         option [PSB PRN DOCUMENTING] "out of order" and remove the option
         from the Bar Code Medication Administration Manager [PSB MGR] menu.
       
       
       
      6. I6216135FY16 - <UNDEFINED>RESETADM+7^PSBUTL error in BCMA
       
         Problem:
         --------
         An error occurs the first time an order is administered in BCMA.
       
         Resolution:
         -----------
      3. When a multiple dose medication has been edited prior to 
         Routine PSBUTL was modified to properly record the first BCMA 
         medication administration.
       
       
      7. I10181534FY16 - Extra Data populated when pulling by Ward
       
         Problem:
         --------
         A BCMA user was attempting to pull data by ward. When data populated
         it listed patients that are not associated with the ward selected.
      administration,
       
         The problem happened because the ward searched had a name that the 
      first
         characters were similar to a date (e.g., 8-8, 10-11, etc.). The 
      routine  
         PSBMLLKU (line tag PTLKUP) used to perform a Fileman lookup using all
         cross-references in the PATIENT file (#2). This lookup approach 
         sometimes produced wrong entries because it would match with a date 
      from
         the "E" x-ref (CV DATED EDITED) because for example "8-8" would trigger
         it will display on the Missed Meds report after administration.
         a match a 08/08/17 (current year) causing such patients to be included
         in the lookup result.
        
         Resolution:
         -----------
         The code at the PTLKUP^PSBMLLKU was modified to only include the cross-
         references that are relevant to the patient lookup popup window (last 
         name, first name, SSN, ward, room and bed).
       
      4. A PRN medication requiring a PRN Effectiveness does not display in the
       
         BCMA Clinical Reminders section if the patient is discharged and 
         re-admitted.
       
      5. The unsupported Documenting Backlog PRNs [PSB PRN DOCUMENTING] option
         needs to be marked out of order, and removed from the Bar Code 
      Medication
         Administration Manager [PSB MGR] menu option.
       
      6. An error occurs when a site new to BCMA attempts to create their first 
         order.
      1. The Bar Code Medication Administration (BCMA) GUI does not store the
       
      7. The patient lookup window sometimes lists the wrong patient when users
         are doing a search by the ward name and the first part of the ward name
         matches with a valid date.
       
      ASSOCIATED NSR(S):
      ==================
      N/A
        
       
         initials of the 2nd user who witnesses a high risk/high alert 
      ASSOCIATED CA TICKET(S):
      ============================
      1. I9892136FY16 - 2nd Witness Initials not stored
      2. I9842129FY16 - TPN shows 0 units for each ingredient - Med Log
      3. I9892810FY16 - False missed med when Inpatient Pharmacy edits
                                       dispense drug
      4. R12817870FY17 - PRN requiring effective is not showing on BCMA
                                           Clinical Reminders
      5. I10114492FY16 - Mark Documenting Backlog PRNs option OOO
      6. I6216135FY16 - <UNDEFINED>RESETADM+7^PSBUTL error in BCMA
      continuous
      7. I10181534FY16 - Extra Data populated when pulling by Ward
       
       
      PARTICIPATING TEST SITES:
      =========================
      TBD
       
       
      CA OVERVIEW:
      ================
         intravenous (IV) order which has been marked stopped and then marked
      1. I9892136FY16   - 2nd Witness Initials not stored
       
         Problem:
         --------
         The second witness' information is not stored in the ADMIN WITNESSED BY
         (#.29) field of the BCMA MEDICATION LOG (#53.79) file when an IV bag
         with a high risk/high alert medication is marked stopped and then
         infusing again.
         
         Resolution:
         infusing again.
         -----------
         Routine PSBML2 was modified to remove the first witness' information
         and store the second's information in the ADMIN WITNESSED BY (#.29) 
         field. The first user's information will be preserved in the AUDIT LOG
         sub-file (#53.799).
       
      2. I9842129FY16  - TPN shows 0 units for each ingredient - Med Log
       
         Problem:
         --------
       
         When a missing dose is requested for an IV order, then as held or 
      refused,
         and then infusing, the Medication History report shows each ingredient 
      of 
         the infusing IV Order to display units of zero. 
         
         Resolution:
         -----------
         Routine PSBML2 was modified to store the correct units for each IV bag
         ingredient in the UNIT OF ADMINISTRATION (#.04) field of both the 
      2. If an IV order is marked as a missing dose, then as held or refused, 
         ADDITIVES (#53.796) and SOLUTIONS (#53.797) sub-files.
       
      3. I9892810FY16 - False missed med when Inpatient Pharmacy edits
                                       dispense drug
       
         Problem:
         --------
         A multiple dose medication will incorrectly display on the BCMA Missed
         Medications report when the dosage form of the order was edited after
         a missing dose request is made on the order.
      
    77. PATCH APPLICATION HISTORY:   102
      DATE APPLIED:   2018-01-31 16:31:50
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues.
        
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      1. I9592038FY16 - Frequently, BCMA users are not able to access the BCBU
                        database
         
      Problem: 
      --------
      Frequently, BCMA users are not able to access the BCBU database. This result
      in local IT support spending time to resolve what should be a minor issue.
       
      However, the fix is not always simple or straight forward. Typically, the
      problem is that the user has had a Verify Code change since they last
      accessed a contingency. Normally, doing a User Initialization does not
      resolve the issue and IT support has to either replace the database or
      manually give the user a new Verify code on the contingency computer.
        
      Resolution:
      -----------
      Modified the routines ALPBGEN, ALPBGEN1 and ALPBGEN2 to remove some
      unnecessary restrictions for sending a user update over to the BCBU
      1. I9592038FY16 - Frequently, BCMA users are not able to access the BCBU
      workstation. For example, if a user was terminated in the main VistA System
      it would not be sent to the BCBU workstation. This caused terminated users
      in the main VistA System to remain active in the BCBU workstation.
        
       
      2. I8652828FY16 - Getting ALERT BCBU Contingency Error 46364090 / Missing HLL
                        Links Array Med-Log
       
      Problem: 
      --------
                        database
      In a multi-divisional BCBU configuration all Divisions are required to have
      an HL7 Logical Link associated. When a division is missing the association an
      alert is generated for every transaction that is supposed to go to the BCBU
      workstation for that division. The problem is that the Alert does not identify
      which division is missing the Logical Link, which makes it hard for the users
      to identify the source of the problem and resolve it. Furthermore, the fact 
      that the Alert does not identify which patient was being processed when the 
      issue happened makes it hard to troubleshoot and fix the problem as well.
        
      Resolution:
      2. I8652828FY16 - Getting ALERT BCBU Contingency Error 46364090 / Missing HLL
      -----------
      Modified the routine ALPBCBU to include the site number and the patient DFN
      number in the Alert subject. This way users will know exactly which division
      and the patient that was being processed when a BCBU Alert is generated due to
      an error. 
        
      Here is how the Alert text will be modified:
        
       Before: BCBU Contingency Error
               Missing HLL Links Array Med-Log
                        Links Array Med-Log
       
       After:  BCBU Contingency Error / Site: 442 / DFN: 1930382
               Missing HLL Links Array Med-Log
       
       
      3. I6161931FY16 - Received the error $ZE= <UNDEFINED>ZPD+5^IVMPREC8 *HLFS
         I16851052FY18 - Undefined: GENACK+10^RGADTP *HL("MID") 
       
      Problem: 
      -------- 
      3. I6161931FY16 - Received the error $ZE= <UNDEFINED>ZPD+5^IVMPREC8 *HLFS
      When an HL7 message is received from an Income Verification Match (IVM) Center
      containing demographics data for a patient that includes a date of death the
      BCBU application is automatically invoked if such patient has active inpatient
      orders. Many other subscribing applications are automatically invoked by the 
      same process and they all share the same local variables from the invoking
      process. The routine ALPBINP was incorrectly killing HL7 local variables such
      as HL, HLA, HLCS, HLCTR and HLFS, which were being used by other applications
      and in these two specific incidents reported caused the Income Verification
      Match (IVM) and Registration applications to error out.
       
         I16851052FY18 - Undefined: GENACK+10^RGADTP *HL("MID") 
      Resolution:
      -----------
      Modified the routine ALPBCBU to NEW the variables HL, HLA, HLECH and HLQ and
      also modified the routine ALPBINP to no longer kill the HL7 variables HLCS, 
      HLCTR and HLFS.
       
      NOTE: This fix could not be tested in a development or an SQA environments
            because it requires an incoming HL7 message from an external entity.
        
      
    78. PATCH APPLICATION HISTORY:   15 SEQ #8
      DATE APPLIED:   2005-06-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       
           all administration and order processing has occurred and BCMA
           begins to free memory per MOB activity.  Because a variable
           needed by BCMA MOB exit activities has been cleared, BCMA generates
           the "<UNDEFINED>MOBR+25^PSBAPIPM" before processing has completed.
       
       
           Corrective Action:
           PSB*3*15 will allow BCMA MOB exiting processing to complete
           without error.
       
       1.  Problem: HD000000088329
           The Medication Order Button (MOB) within the Graphical User
           Interface, Bar Code Medication Administration system (BCMA)
           malfunctions after the Installation of patch PSB*3*9.  When the
           BCMA MOB is used to administer medications and create orders, 
           all data is stored and maintained properly.  The malfunction
           occurs when the post PSB*3*9, BCMA system frees memory after
      
    79. PATCH APPLICATION HISTORY:   104 SEQ #84
      DATE APPLIED:   2018-03-01 15:31:31
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
         
      Problem: 
      --------
      Milwaukee VAMC reported getting a RPC Broker Timeout error when running the
      BCMA Missed Medications Report for one specific ward (9C). The reason they
      were getting this error is because Ward 9C has quite a few long term care
      patients and the report retrieves information for every single order with
      medication that requires removal (e.g., patches) for all patients in that
      ward before deciding whether the order should be in the report or not.
         
       
      Resolution:
      -----------
      Modified the routine PBUTL at the REMOVES line tag and moved the screening
      filters up before the call to D PSJ1^PSBVT. This change will have no impact
      whatsoever on the output of the report and it will considerably decrease the
      amount of time it takes to run it.
      1. R16686630FY17 - Ward 9C keeps getting this error (Timeout) intermittently
                         when trying to run the Missed Medications Report  
        
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      1. R16686630FY17 - Ward 9C keeps getting this error (Timeout) intermittently
                         when trying to run the Missed Medications Report  
      
    80. PATCH APPLICATION HISTORY:   105
      DATE APPLIED:   2018-06-01 15:34:00
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issues.
      Problem: 
      --------
      It was reported that almost all of the BCBU Contingency Error Alerts that
      Divisional sites receive continually are for patients who are not admitted
      or are deceased. Furthermore, testing of BCBU data for Clinic Orders reveals
      that the patient records for clinics using BCMA are rarely complete causing
      the menu options in BCBU to be placed OUT of ORDER to prevent medication
      errors during contingency operations.
        
      Resolution:
       
      -----------
      It was identified that updates for BCMA Medication Logs for patients that are
      no longer inpatient fail to identify the correct division for which the HL7 
      message should be sent to. A fix was made to retrieve the correct Division
      using the Institution in the Medication Log if the patient is no longer
      inpatient. In addition, the BCBU Contingeny Error Alerts will no longer be
      generated for patients that are deceased.
      1. R18279880FY18 - BCBU not consistently updating Clinic Orders
         
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      1. R18279880FY18 - Frequently, BCMA users are not able to access the BCBU
                        database
         
      
    81. PATCH APPLICATION HISTORY:   107 SEQ #86
      DATE APPLIED:   2018-06-01 16:24:00
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
         
      Problem: 
      --------
      An issue was discovered when loading the BCMA coversheet and the patient
      has an order with an administration schedule that does not have a whole
      number of hour(s) frequency between administrations (e.g., 7 TIMEs A DAY,
      ONCE EVERY 3.5 HOURS, etc.). The reason is because the program that
      calculates the next dose's administration date/time assumed the frequency to
      be a whole number of hours like 4 or 6 and not 3.1466 or 3.5. Since the
      program could not come up with a valid date/time it went into an infinite
       
      loop which would freeze the BCMA application when the users tried to view the
      patient's coversheet.
          
      Resolution:
      -----------
      The routine PSBCSUTX was modified at line tag NEXTADM+24 to take into account
      that the frequency of a schedule does not necessarily produces a whole number
      of hours and it will calculate the next administration date/time for such
      frequencies.
      R19023599FY18 - PSB GUI Context consuming a lot of CPU on Bay Pines VistA
                      Front ends
         
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      R19023599FY18 - PSB GUI Context consuming a lot of CPU on Bay Pines VistA
                      Front ends
      
    82. PATCH APPLICATION HISTORY:   100 SEQ #87
      DATE APPLIED:   2018-07-06 14:44:42
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch provides multi-division sites the ability to run the report 
      'Missing Dose Followup' by division. Single division sites are not 
      affected by the changes in this patch.
      
    83. PATCH APPLICATION HISTORY:   109 SEQ #88
      DATE APPLIED:   2018-09-06 15:49:25
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
      --------
      An issue was discovered with the Barcode Medication Administration (BCMA) 
      Missed Medications Report for 'odd' (non-standard) schedule orders, e.g.
      Q18H - ONCE EVERY 18 HOURS. When the report is run for a date range that
      starts prior to the start date/time of such orders in some cases it will
      mistakenly include these orders in the report even if the order does not
      have any missing dose for the date range selected for the report.
          
      Resolution:
      -----------
       
      The routine PSBOMM was modified at line tag EN1+49 to prevent it from
      calculating a dose date/time that is prior to the order start date/time.
      INC0328665 - Issue with BCMA Missed Medications Report
         
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      INC0328665 - Issue with BCMA Missed Medications Report
            
      Problem: 
      
    84. PATCH APPLICATION HISTORY:   110
      DATE APPLIED:   2018-10-04 14:46:49
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
      INC0962039 - WNY - Vista Not Updating BCBU orders when patients are
                   discharged/deceased
      INC1002829 - BCBU patient census not updating
      (Duplicate)
             
      Problem: 
      --------
      An issue was discovered with the Barcode Medication Administration (BCMA) 
      Backup System (BCBU) after the installation of patch PSB*3*105. After the
      patient is discharged or a date of death is entered for him/her the patient
       
      data is not being properly removed from the BCBU workstation. In the case of
      discharged patient that are later admitted or have a clinic appointment their
      orders from their previous admission are still visible on the BCBU
      workstation and are listed on the patient's Medication Administration Reports
      (MAR).
           
      Resolution:
      -----------
      Removed the filter introduced by PSB*3*110 to prevent alerts from being
      generated for patient movements if the patient is no longer inpatient. The
      INC0962039 - WNY - Vista Not Updating BCBU orders when patients are
      reason is because such filter prevented patient discharge events, which are
      handled as patient movements, from removing he patient's data from the 
      BCBU workstation. The filter was re-introduced at the Alert generation point
      and exclude patient discharge movements.
       
      Technical Resolution:
      ---------------------
      Changed the routine ALPBCBU to remove the filter from the PMOV line tag and
      placed a check in the ERRLOG line tag to prevent Alerts for patient movement
      events after the patient had already been discharged. 
                   discharged/deceased
      INC1002829 - BCBU patient census not updating
      (Duplicate)
          
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      
    85. PATCH APPLICATION HISTORY:   111 SEQ #90
      DATE APPLIED:   2018-11-02 15:15:02
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch PSB*3.0*111 corrects one issue in the report 'Missing Dose 
      Followup'. The issue reported by a single site at a multidivisional 
      setting is that after one record is selected for completion and is saved,
      it is not dropping off the list of available records. The expected
      bahavior is that after one record in the report is completed and saved, it
      should no be part of the list.
       
      Reference: INC1537335 - GLA - PBS*3*100 Patch Missing Dose Followup list 
      is not updating after resolving the missing dose.
      
    86. PATCH APPLICATION HISTORY:   112 SEQ #91
      DATE APPLIED:   2018-12-04 15:51:26
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
               
      Problem: 
      --------
      Bath VA Medical Center reported a problem with the BCMA Medication Admin
      History report for patch medication orders. For certain situations the report
      omits a patch given action if the same patch removal date falls outside the
      date range selected to run the report. In the report example below run 
      on 08/30/2018, for the date range 08/27/18 thru 08/29/2018 the 'G0800' under
      the 08/29/2018 column would not be displayed because the patch applied on
      08/29/2018 was already removed on 08/30/2018 and 08/30/2018 was not included
       
      in the report date range.
       
      =============================================================================
      Location                      |       |            |            |           |
      Start Date          Stop Date | Admin |            |            |           |
      and Time            and Time  | Times | 08/27/2018 | 08/28/2018 | 08/29/2018|
      -----------------------------------------------------------------------------
      INPATIENT                     |       |            |            |           |     
      08/25/2018          09/14/2018| 0800  | RM0755     | RM0755     | RM0755    |
      @07:00              @08:00    |       | G0800      | G0800      | G0800 <-- | 
      INC1697793 - BCMA med log and medication administration history reports
                                    |       |            |            |           |
      FENTANYL TRANSDERMAL PATCH    |       |            |            |           |
         FENTANYL TRANSDERMAL       |       |            |            |           |
        50MCG/HR PATCH Give: ONE    |       |            |            |           |
      (50MCG/HR) PATCH TOP MISC Q24H|       |            |            |           |
                                    |       |            |            |           |
           Removal Times: 0800      |       |            |            |           |
       RPH:   RN:                   |       |            |            |           |
       Special Instructions:
       TESTING BCMA PATCH ISSUE
                   display
      -----------------------------------------------------------------------------
       
              
      Resolution:
      -----------
      Modified the VistA code responsible for generating the report content to check
      the 'Given' Date/Time when the 'Removal' Date/Time falls outside the date
      range selected for the report. If the 'Given' Date/Time is within the date
      range selected then the entry will be included in the report.
        
           
      Technical Resolution:
      ---------------------
      Changed the routine PSBOMH1 at EN+5 and EN+9 to check for the 'Given' date
      when the 'Removal' date falls outside the date range selected for the report.
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      INC1697793 - BCMA med log and medIcation administration history reports
                   display
      
    87. PATCH APPLICATION HISTORY:   96 SEQ #92
      DATE APPLIED:   2019-01-03 16:22:53
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      In preparation for the VA's transition to become two factor authentication
      (2FA) compliant the BCMA Graphical User Interface (GUI) requires an 
      upgrade to Delphi version XE8 in order to implement the new Remote 
      Procedure Call (RPC) Broker allowing compliance.
       
      This patch also updates the Med Order Button to utilize the same version 
      of the Dynamically Linked Library (DLL) as the Computerized Patient 
      Record System (CPRS).  The version number is controlled by the PSB MOB 
      DLL REQUIRED VERSION parameter.
      
    88. PATCH APPLICATION HISTORY:   103 SEQ #93
      DATE APPLIED:   2019-02-01 15:21:45
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch addresses the request from NSR #20170515 - Adds Respiratory 
      Therapy Report.
      After this patch is installed, Respiratory Therapists will have access to 
      the new option Report for Respiratory Therapy Medications [PSB 
      RPT RESP THERAPY MEDS]    VistA to produce a report of patients on
      Respiratory Therapy medications.
      
    89. PATCH APPLICATION HISTORY:   18 SEQ #9
      DATE APPLIED:   2005-08-13 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Error administering multiple doses.
      
    90. PATCH APPLICATION HISTORY:   115
      DATE APPLIED:   2019-04-02 16:11:23
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
                
      Problem: 
      --------
      Captain James A. Lovell Federal Health Care Center reported a problem with
      the BCBU Initialize options below:
       
          Default Workstation Initialize [PSB BCBU INIT WRKSTN DFT]
          Divisional Workstation Initialize [PSB BCBU INIT WRKSTN DIV]
       
      Whenever these options were executed and one or more Workstation Link were
       
      selected for the initialization the option still generated and sent HL7
      message updates to all other existing BCBU Workstation Links.
       
      Solution:
      --------
      The two Workstation Initialize options above were modified to screen out any
      Workstation Link not selected from the HL7 update if the user selects one or
      more specific Workstation Link(s) to update when executing these options. In
      other words, only the selected Workstation Link(s) will be initialized.
        
      INC2794138 - When BCBU init is ran and only one HL7 link is entered it still
      Technical Resolution:
      ---------------------
      The routines ALPBIN, ALPBIND and ALPBINP were modified to keep track and 
      screen out Workstation Link(s) not selected for the HL7 initialization
      update.
                   updates numerous links
       
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      INC2794138 - When BCBU init is ran and only one HL7 link is entered it still
                   updates numerous links
      
    91. PATCH APPLICATION HISTORY:   114 SEQ #96
      DATE APPLIED:   2019-05-01 16:44:15
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      This patch will resolve the following issue.
      --------
      James A. Haley VA Medical Center reported a problem with the BCMA Missed 
      Medication Report. They were getting an error whenever they tried to run it 
      for a patient that had a PATCH medication order and the dispense drug had
      been edited using the BCMA GUI. An additional side effect was the fact that
      the order no longer showed on the patient's VDL.
        
      Resolution:
      -----------
      The error happened because the Transdermal Project patch PSB*3*83 assumed the
       
      IEN for the DISPENSE DRUG sub-file (#53.796) in the BCMA MEDICATION LOG file
      (#53.79) would always be 1 (one) for a PATCH medication order. Such
      assumption turned out to be incorrect because when the user edits the
      dispense drug for an order in BCMA the IEN 1 gets deleted and IEN 2 gets
      created. If a second edit is performed IEN 2 is then deleted and IEN 3 gets
      created and so forth. That's the reason the order would not show up on the 
      BCMA Patient's VDL and also caused the Missed Medication Report to error out.
        
      Technical Resolution:
      ---------------------
      INC2383720 - Error at REMOVES+23^PSBULTL unable to run report in BCMA
      Changed the following routines: PSBMLEN, PSBMLEN1, PSBO1, PSBUTL, PSBVDLPA,
      PSBVDLRM and PSBVDLVL to retrieve the first dispense drug in the DISPENSE
      DRUG sub-file (#53.795) instead of assuming the IEN 1 to contain the order
      dispense drug. For PATCH medication orders there should only be one dispense
      drug.
           
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      INC2383720 - Error at REMOVES+23^PSBULTL unable to run report in BCMA
               
      Problem: 
      
    92. PATCH APPLICATION HISTORY:   118 SEQ #97
      DATE APPLIED:   2019-06-04 18:09:20
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      BCMA WINDOWS 10 AND DELPHI 10 UPDATE.
      
    93. PATCH APPLICATION HISTORY:   116 SEQ #98
      DATE APPLIED:   2019-06-27 12:04:07
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      This patch will resolve the following issue.
      INC4109840 - CPRS shuts down repeatedly when trying to access BCMA 
      (Duplicate)  medication history record in CPRS reports tab
            
      Defect Tracking System Ticket(s) & Overview:
      --------------------------------------------
      INC3683945 - AEU can't look at med admin history (BCMA) due to an error after
                   inputting a date range
      INC3570947 - CPRS error caused by patch PSB*3*112, installed at our site on
      (Duplicate)  12/11/2018
      INC3507924 - In CPRS trying to run the Med Admin History report for 11-29
       
      (Duplicate)  through 12-5 get the attached error message <UNDEFINED>EN+112^
                   PSBOMH1 *PSBAR(64988)
      INC4109840 - CPRS shuts down repeatedly when trying to access BCMA 
      (Duplicate)  medication history record in CPRS reports tab
                     
      Problem: 
      --------
      After the release of PSB*3*112 a new issue was introduced that caused the 
      BCMA Medication Admin History Report to cause an <UNDEFINED> error and exit
      the BCMA GUI application. The problem is specific to a patient with a PATCH
      INC3683945 - AEU can't look at med admin history (BCMA) due to an error after
      Medication with a ONE TIME schedule (ex: Start Date of D and End Date of D+1)
      and after the PATCH is given on day D and marked removed on day D+1, when the
      user ran the report for the date Range D thru D the error happens.
       
      Resolution:
      -----------
      This patch prevents the error from happening when the BCMA Medication Admin
      History Report is run following the instructions above.
         
      Technical Resolution:
                   inputting a date range
      ---------------------
      Changed the routines PSBOMH and PSBOMH1 to prevent the PSBAR array from 
      crashing when the subscript is undefined.
      INC3570947 - CPRS error caused by patch PSB*3*112, installed at our site on
      (Duplicate)  12/11/2018
      INC3507924 - In CPRS trying to run the Med Admin History report for 11-29
      (Duplicate)  through 12-5 get the attached error message <UNDEFINED>EN+112^
                   PSBOMH1 *PSBAR(64988)
      
    94. PATCH APPLICATION HISTORY:   113
      DATE APPLIED:   2019-07-22 17:10:57
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      PSB*3.0*113 - Please refer to the patch description in Forum for 
      installation instructions.
      
    DATE INSTALLED AT THIS SITE:   2004-03-30 00:00:00
    INSTALLED BY:   USER,ONE
    DESCRIPTION OF ENHANCEMENTS:   
    *** Bar Code Medication Administration (BCMA) Version 3.0 ***
    1. Problem: NOIS ISB-0603-31561
    previous order will display on the new order based on the IV Site 
    Parameter settings in the GUI BCMA Site Parameters application.
    A medication order that has administration times set for today, but 
    before the Start Time of the order, displays on the Bar Code Medication 
    Administration (BCMA) Due List Report.
     
    Corrective Action:
    The Due List Report will not display medication orders until the Start 
    Date/Time of the medication order takes affect.
     
    2. Problem: NOIS ISB-0903-31964
     
    When the user selects a time frame for the Medication Administration 
    History (MAH) Report and no administrations are due, the report lists the 
    medication order number from Inpatient Medications V. 5.0 under the 
    "Initial-Name Legend" section.
     
    Corrective Action: 
    The MAH Report will not display the order number from Inpatient 
    Medications V. 5.0 under the "Initial-Name Legend" section when no 
    administrations are due for a specific time frame.
     
    This build consists of BCMA Version 3.0 rollover code and resolution to a 
    3. Problem: NOIS LAH-1203-61493
    The user receives the following error message, "BCMA failed to 
    communicate with VISTA," if the Graphical User Interface (GUI) BCMA times
    out and is unable to connect to the server.
     
    Corrective Action: 
    The processing time for the GUI BCMA software to display the patient s 
    record on the BCMA Virtual Due List (VDL) has been reduced.
     
    4. Problem: NOIS LIT-0603-71923
    few outstanding BCMA defects.
    Users sometimes receive an "allocation failure" error message when 
    accessing a patient s record using the GUI BCMA.
     
    Corrective Action: 
    The "allocation failure" error message has been corrected.
     
    5. Problem: NOIS MAD-1203-42204
    The MAH Report takes an extended amount of time to run if the Start Date 
    and the Stop Date of the report, requested by the user, are for different 
    years. For example, if the Start Date is 12/28/03 and the Stop Date is 
     
    01/03/04.
     
    Corrective Action: 
    The user can now request different years for the MAH Report without 
    experiencing extended delays as BCMA accesses the data. 
     
    6. Problem: NOIS MIN-1203-41637
    Users sometimes experience an "Invalid Medication Lookup" error message 
    after scanning a medication in the "Scan Medication Bar Code:" field of 
    the "Order Manager"  dialog box when using the BCMA Med Order Button in 
    Listed below are primary National Online Information Sharing ticket 
    GUI BCMA.
     
    Corrective Action: 
    The BCMA medication lookup process has been corrected to properly 
    validate the medications scanned in the "Scan Medication Bar Code:" field 
    of the "Order Manager" dialog box in GUI BCMA.
     
    7. Problem: NOIS UNY-0104-10174
    Multiple IV medication orders display as merged on the IV Medication Tab 
    after an order is discontinued, but the IV bag is still infusing.
    (NOIS) identification information representing BCMA defects/problems
     
    Corrective Action: 
    Multiple IV medication orders will display properly on the IV Medication 
    Tab.  
     
    8. Problem: NOIS TNV-0104-30647
    Users sometimes experience the following error message, "ERROR: 16^Server 
    Protocol Disabled," when using the Edit Medication Log [PSB MED LOG EDIT] 
    option. This occurs when the PSB BCMA RASO17 SRV Health Level Seven (HL7) 
    server protocol is being disabled.
    and their respective corrective action.
     
    Corrective Action:
    The error message is only intended to notify the BCMA software that the 
    protocol is being disabled. BCMA will now validate the message and not 
    display it to users. 
     
    9. Problem: NOIS ISB-0104-31384
    When an IV medication order with an infusing bag is "Renewed," the 
    renewed order continues to display on the IV Medication Tab of the BCMA  
    VDL  until the infusing bag is "Completed," even if the "Renewed" order's
     
    Start Date/Time has expired.
     
    Corrective Action:
    When an IV medication order with an infusing bag is "Renewed," the 
    renewed order will continue to display on the IV Medication Tab of the 
    BCMA VDL until the infusing bag is "Completed," or until the Start 
    Date/Time of the new order that was created during the renewal process. 
    Once the new order is active, the infusing bag from the previous order 
    will display on the BCMA VDL with the new order, along with any 
    additional bags created from the new order. Any available bags from the