Install: OR*3.0*350

Patch Subject:  CPRS GUI v30.B
Description:

============
 The Computerized Patient Record System (CPRS) Graphical User Interface
 (GUI) v30.B is an enhancement release with the following modifications:
 1) Clinic Orders: Clinic Orders will focus on clinic medications (the
 ordering, processing and documenting administration of the clinic
 medication). The enhancements and new functionality to CPRS, Legacy
 Pharmacy and BCMA will provide the following:
  a) CPRS - Clinic Medication Orders will function comparable to Inpatient
  Medications. In addition, CPRS will allow all authorized VHA personnel
  with prescribing privileges to easily recognize and access a One Step
  process to document clinic orders and the administration by the clinician
  from any area where orders can be called.
  b) BCMA will work with Clinic Medication Orders no matter what the
  patient status (Inpatient or Outpatient) is ensuring the same BCMA
  standard of care for medication administration in all clinics. Note:
  These changes will eliminate the need for outpatients being admitted to a
  non-count ward/clinic.
  c) Improved Patient Safety by allowing order checks for 'clinic' orders.
  d) Improved Patient Safety by implementing the same bar code scanning
  methodology used in BCMA - to ensure the Five Rights of medication
  administration is applied to administering clinic order medications.
  e) Improved Work flows by providing easy access and minimal steps to
  write a clinic order, process and document administration for clinic
  medications.
 2) Consult Order Dialog Change: A request has been made to rename a field
 in the Computerized Patient Record System (CPRS) Consult Order Dialog from
 'Earliest Appropriate Date' (EAD) to 'Clinically Indicated Date' (CID).
 This is being done to support new Veterans Access, Control, and
 Accountability Act (VACAA) guidelines for measuring wait times. Patches
 GMRC*3.0*81 and GMTS*2.7*112 also contain information regarding this
 change and are being released in conjunction with OR*3*350. The following
 changes are being implemented.
  a) The order and edit/resubmit dialogs for both consult and procedure
  orders, the SF-513, the Consults tab detail display and the order details
  view on the Orders tab are all updated to use the CID nomenclature.
  b) The ORCDGMRC EARLIEST DATE DEFAULT parameter is being replaced by a
  new parameter, ORCDGMRC CLIN IND DATE DEFAULT.  The EAD parameter was
  restricted to a PACKAGE level value.  The CID parameter allows for
  DIVISION, SYSTEM, and PACKAGE.  The PACKAGE level value will be exported
  as NULL, which will force a provider to actively choose a date when
  placing consult/procedure orders.
  c) A new option, ORW CLIN IND DATE DFLT, has been added to the OR PARAM
  COORDINATOR MENU. This option will allow users to assign DIVISION and/or
  SYSTEM level values to the ORCDGMRC CLIN IND DATE DEFAULT parameter.
 3) Lab Display Status: Targets changes to lab and report tab display
 changes.
 4) Software changes are being made to correct several Patient Safety
 Issues (PSPOs), and additional miscellaneous defect fixes.
 For a complete listing of patches included in this release, please
 refer to the CPRS GUI v.30.b (Patch OR*3.0*350) Release notes.
 Patch Components
 ================
 Files & Fields Associated:
 File Name (Number)         Field Name (Number)  New/Modified/Deleted
 ------------------         -------------------  --------------------
 DISPLAY GROUP (#101.41)                         Modified
 OE/RR REPORT (#101.24)                          Modified
 OE/RR NOTIFICATIONS        PROCESSING FLAGS     New
   (#100.9)                   (#2)
 ORDER DIALOG (#101.41)                          Modified
 Forms Associated:
 Form Name             File #       New/Modified/Deleted
 ---------             ------       --------------------
 N/A
 Mail Groups Associated:
 Mail Group Name          New/Modified/Deleted
 ---------------          --------------------
 N/A
 Options Associated:
 Option Name            Type               New/Modified/Deleted
 -----------            ----               --------------------
 OR BCMA ORDER COM      Broker             Modified
 OR CPRS GUI CHART      Broker             Modified
 OR DEBUG REPORT        Action             New
 OR PARAM IRM MENU      Menu               Modified
 OR PARAM COORDINATOR   Menu               Modified
   MENU
 ORW CLIN IND DATE DFLT Action             New
 Parameters Associated:
 Parameter Name                New/Modified/Deleted
 --------------                --------------------
 OR LAB TAB DEFAULT REPORT     New
 OR REPORT DATE SELECT TYPE    New
 ORCDGMRC CLIN IND DATE        New
   DEFAULT
 OR MOB DLL VERSION            New
 ORPARAM OVER DATELINE         New
 Protocols Associated:
 Protocol Name       New/Modified/Deleted
 -------------       --------------------
 N/A
 Remote Procedure Calls Associated:
 Remote Procedure Call Name           New/Modified/Deleted
 --------------------------           --------------------
 ORBCMA5 JOB                          New
 ORBCMA5 LOCK                         New
 ORBCMA5 UNLOCK                       New
 ORDEBUG SAVEDESC                     New
 ORDEBUG SAVERPCS                     New
 ORQQCN GET USER AUTH                 Modified
 ORUTL ISCLORD                        New
 ORUTL4 DLL                           New
 ORWDXM1 BLDQRSP                      Modified
 ORWRP1A RADIO                        New
 ORWU OVERDL                          New
 ORQQPL EDIT LOAD                     Modified
 ORWPS COVER                          Modified
 ORWU MOBAPP                          New
 Security Keys Associated:
 Security Key Name
 -----------------
 ORSUPPLY
 Templates Associated:
 Template Name      Type      File Name (Number)  New/Modified/Deleted
 -------------      ----      ------------------  --------------------
 N/A
 Additional Information:
 Developer Issues
 -----------------
 1. Non-VA Medication Quick Order Dialogs with Complex Dosages
 Problem
 -------
 It is possible to create non-VA medication quick orders with complex
 dosages even though the Document Herbal/OTC/Non-VA Medications dialog in
 the Computerized Patient Record System Graphical User Interface (CPRS
 GUI) does not handle complex quick orders.
 Resolution
 ----------
 The ability to create non-VA medication quick order dialogs with complex
 dosages is now removed. During the post-install, a report will be
 generated listing all non-VA medication quick order dialogs with complex
 dosages. Sites may edit these order dialogs to remove the complex dosages
 at their discretion.
 2. Post CPRS v29 Report Issues
 Problem
 -------
 Two issues were identified with the printing of reports released with
 Computerized Patient Record System (CPRS) version 29:
   a. When printing any of the electronic Prescribing for Controlled
      Substances (ePCS) reports installed with patch OR*3*218 to a printer,
      blank pages are randomly inserted in the reports.  The quick order
      reports released with patch OR*3*366 also exhibit this problem.
   b. Sites find it difficult to identify the users on the Provider
      Incomplete Configuration Report who need immediate assistance versus
      those who do not (for example, differentiating between physicians and
      nurse practitioner).
 Resolution
 ----------
 The issues are corrected as follows:
   a. All of the reports are corrected to no longer insert blank pages.
   b. Providers' title will now appear on the Provider Incomplete
      Configuration Report to assist sites in determining which users they
      need to take action on.
 3. CPRS v27 Inpatient Medication Order Detailed Display Issue
 Problem
 -------
 CPRS version 27 introduced a problem with the Order Details dialog box
 when viewing a complex inpatient medication order.  The dialog box did
 not show the order's schedule.
 Resolution
 ----------
 The code is modified to properly display the order's schedule for complex
 inpatient medication orders.
 New Service Requests (NSRs)
 ----------------------------
 20070506 - Clinic Orders (Partially)
 Clinic Orders will focus on clinic medications (the ordering and
 processing of the clinic medication).  In the Orders tab of CPRS, there
 are two new medication dialog options: Clinic Medications and Clinic
 Infusion. Clinic Medication Orders will function comparable to Inpatient
 Medications.  In addition, the new functionality provides a warning to
 indicate to the user that a past date was chosen when ordering a clinic
 medication for future administration.
 Patient Safety Issues (PSIs)
 -----------------------------
 PSI-03-043/PSPO 44/PSPO 1495
 Outpatient medication orders entered with DONE as a priority did not
 appear on the Meds tab in CPRS, were never sent to Outpatient Pharmacy
 and were missed in future order checks. See Remedy ticket 67690 for
 resolution.
 PSI-05-083/PSPO 218 Item #4
 Inpatient Medication orders only appear on the Orders tab and not on the
 Meds tab or in BCMA.  These orders will now display in all areas. Also, a
 priority of DONE could be selected when using the Inpatient Medication
 order dialog in CPRS GUI. See Remedy ticket 108406 for resolution.
 PSI-06-038/PSPO 299
 When an outpatient with non-VA medications is admitted, the non-VA
 medications appear on the inpatient's coversheet in the Active
 Medications section and appear in the Active Orders view on the Orders
 tab. See associated Remedy tickets HD136027 and HD180136 for resolution.
 PSI-07-027/PSPO 480
 When the hold is removed from an order in CPRS, the status the order had
 when it was placed on hold is the same status that displays when the user
 attempts to sign the order. If the order is expired, this status is not
 updated and displayed to the user unless the user
 refreshes the screen. This is true for other actions such as pending to
 active. See associated Remedy ticket HD176676 for resolution.
 PSPO 1187
 Tubefeeding orders are confusing and not communicating issues to
 providers. So, they are difficult to get correct. See Remedy ticket
 290535 for resolution.
 PSPO 1201
 When a provider processes an unsigned order alert, occasionally a blank
 Orders tab is presented, which may lead the provider to believe that no
 action is necessary. This happens because the unsigned order has lapsed
 by the time the alert is processed. See associated Remedy ticket HD293275.
 PSPO 1267
 When a provider orders a medication for an outpatient using the inpatient
 medication order dialog, the order appears on the Orders tab in the
 Outpatient Medications display group and on the Medications tab in the
 Inpatient section. See associated Remedy ticket HD280989 for resolution.
 PSPO 1604
 Users can create CPRS personal quick orders with a value for the Schedule
 field and a blank Dose field. When creating system-wide quick orders in
 VistA, the Schedule field cannot be filled unless a value is placed in
 the Dose field. This happens because the VistA Quick Order editor does
 not allow entry into a child item if the parent item is blank. See
 associated Remedy ticket HD366596 for resolution.
 PSPO 1913 and 2149
 The user is able to create multiple sessions with patient context for
 each session when there should only be one CPRS with patient context. See
 associated Remedy tickets 449620 and 580169 for resolution.
 PSPO 1664
 A speech pathologist noticed during inpatient rounds that a delayed order
 of "soft + thins" diet was activated upon patient transfer. However,
 this patch was at risk of dyspepsia. See Remedy ticket 385397 for
 resolution.
 PSPO 2052
 When a patient requests a renewal for a non-renewable Schedule II
 controlled substance through the AudioCARE AudioRenewal module, an
 informational alert is generated that contains the drug name in the
 message. When processed, the alert simply disappears. See associated
 Remedy tickets HD478854 and HD717451 for resolution.
 PSPO 2165
 A problem was reported with notes not being saved under the
 following conditions:
 1)      Boilerplated note title used to enter a progress note,
 2)      User used the right/left mouse buttons simultaneously with the
         middle wheel to zoom on the text.
 However when attempting to recreate this problem in CPRS GUIv29 the notes
 were consistently saved. See associated Remedy ticket 354377 for
 resolution.
 PSPO 2221
 A provider was entering an inpatient medication order when CPRS had an
 abnormal termination. See Remedy 614497 for resolution.
 PSPO 2334
 When a user processes a lab notification and proceeds to switch patients,
 the notification message text of the previous notification does not clear
 out in the header caption of the labs tab. See associated Remedy ticket
 INC000000768368 for resolution.
 Defect Tracking System Ticket(s) & Overview:
 --------------------------------------------
 HD136027
 HD180136
 HD176676
 HD215437
 HD238394
 HD335195
 HD390473
 HD293275
 HD366596
 HD514882
 HD478854
 HD717451
 HD481460
 HD280989
 INC000000067690
 INC000000069154
 INC000000069312
 INC000000070157
 INC000000070588
 INC000000108406
 INC000000172679
 INC000000202393
 INC000000290535
 INC000000343735
 INC000000423142
 INC000000470004
 INC000000882041
 INC000000892823
 INC000000901156
 INC000000910219
 INC000001202824
 INC000000614497
 INC000000385397
 INC000000449620
 INC000000580169
 INC000000358459
 INC000000418697
 INC000000237478
 INC000000276632
 INC000000388190
 INC000000449476
 INC000000532291
 INC000000583696
 INC000000337933
 INC000000274701
 INC000000279302
 INC000000469465
 INC000000070106
 INC000000217354
 INC000000354377
 INC000000481233
 INC000000181466
 INC000000174830
 INC000000069384
 INC000000070680
 INC000001089151
 INC000000768368
 I6220103FY16
 1. HD136027 Non-VA meds show as active order on Inpatients
    HD180136 Non VA Meds Display Question
 Problem:
 -------
 Two issues were identified with these tickets:
 (1) For inpatients, CPRS lists non-VA medications in the Active Orders
 view  on the Orders tab.
 (2) For inpatients, CPRS lists non-VA medications in the Active
 Medications section on the Coversheet.
 Resolution:
 ----------
 Issue 1 is resolved by filtering out non-VA medications from the Active
 Orders view. The Current Orders view will continue to include non-VA
 medications. Issue 2 is resolved by filtering out non-VA medications from
 the Active Medications section on the coversheet for inpatients.
 2. HD176676 1 CPRS issue
 Problem:
 -------
 Two issues were identified with this ticket:
 (1) When an inpatient medication order with a status of hold expires (its
     stop date is in the past), the order status is not updated to expired.
     Any user is then able to release that expired order from hold. This
     gives the false impression that the order is once again active since
     the Pharmacy and BCMA packages consider the order expired.
 (2) When Pharmacy changes a held medication order's status, the order text
     continues to say HOLD regardless of the new status.
 Resolution:
 ----------
 Issue 1 is addressed in associated patch PSJ*5*267. OR*3*350 addresses
 issue 2 by modifying the code that handles HL7 messages from the Pharmacy
 package. Whenever an order with a status of hold changes status, a release
 from hold action is always created before changing the order's status.
 3. HD215437 2 Med order says HOLD, but has been released from HOLD
    HD238394 2 Reinstate
 of D/C of order on provider hold does not remove
             hold on order tab from order text
    HD335195 Medication order still has "HOLD" in front of it on Orders Tab
             but has been released from hold
    HD390473 2 Med Still on hold on Orders tab, Active on Meds tab
 Problem:
 -------
 When a pharmacist either holds or releases a hold on a medication order
 from within the Pharmacy package, the order text on the Orders tab is not
 synced with the order status (when the status is HOLD, the text does not
 contain HOLD or when the text contains HOLD, the status is ACTIVE).
 Resolution:
 ----------
 The code that handles HL7 messages from the Pharmacy package was modified
 so that regardless of the nature of order selected by the pharmacist, an
 action will always be created when an order is held and when an order is
 released from hold.
 4. HD280989 Inpatient Med Pkg Order sent to Outpt Med Display Group
 Problem:
 -------
 When a provider uses the inpatient medications order dialog to order a
 medication for an outpatient, the resulting order is displayed in the
 outpatient medications display group on the orders tab and in the
 inpatient section on the Medications tab.
 Resolution:
 ----------
 This issue is indirectly fixed by the redesign of clinic medications.
 When a provider uses the inpatient medication order dialog to order a
 medication for an outpatient, CPRS will prompt the provider to confirm
 that they intend to place a clinic medication order. If the provider
 proceeds, the resulting order will appear in the clinic medications
 display group on the Orders tab and in the Inpatient Medications section
 on the Medications tab.
 5. HD293275 ALERTS DISAPPEARING ON REFILLS, ORDERS NO LONGER THERE
 Problem:
 -------
 CPRS lapses orders that remain unsigned after the number of days
 specified in parameters OR LAPSE ORDERS and OR LAPSE ORDERS DFLT. When
 the provider processes the unsigned order alert and the order has already
 lapsed, a blank Orders tab is presented.
 Resolution:
 ----------
 Patch OR*3*280 (CPRS version 28) added functionality to remove the
 unsigned order alert when the referenced order is lapsed. OR*3*350
 introduces the LAPSED UNSIGNED ORDER notification that when processed,
 will present the Orders tab to the provider showing which unsigned orders
 were lapsed.
 This notification is exported with the following parameter values set at
 the package level:
           ORB ARCHIVE PERIOD: 30 days
         ORB DELETE MECHANISM: Individual Recipient
       ORB FORWARD SUPERVISOR: 0 (never)
       ORB FORWARD SURROGATES: 0 (never)
          ORB PROCESSING FLAG: Disabled
      ORB PROVIDER RECIPIENTS: OAPT (Ordering provider, Attending provider,
                                     Primary provider, and Team)
                  ORB URGENCY: High
 6. HD366596 1 Quick Order Does not allow blank DOSAGE
    HD514882 3 Stack Error when returning through fields of a Quick Order
 Problem:
 -------
 When creating system-wide quick orders in VistA, the Schedule field
 cannot be filled unless a value is placed in the Dose field. This happens
 because the VistA Quick Order editor does not allow entry into a child
 item if the parent item is blank.
 Resolution:
 ----------
 Users can now create both simple and complex system-wide quick orders
 with a blank dosage field.
 7. HD478854 Audio Renewal request
    HD717451 AudioRenewal alerts for controlled substance Rx missing
 Problem:
 -------
 Renewal requests for non-renewable Schedule II controlled substances
 generate an informational alert that when processed, is simply deleted.
 This may cause the provider to accidentally miss placing the renewal
 order.
 Resolution:
 ----------
 The existing OP RX RENEWAL REQUEST notification is converted into an
 action alert that when processed, will take the user to the Orders tab
 which shows only the non-renewable order. This alert has also been renamed
 to OP NON-RENEWABLE RX RENEWAL to reflect the change in the notification's
 functionality.
 8. HD481460 6 SCHEDULE required for quick orders
 Problem:
 -------
 Users cannot create system quick orders with a blank value for the
 Schedule field. In addition, users cannot delete a value from the
 And/Then conjunction field for complex dosing quick orders.
 Resolution:
 ----------
 The Schedule field is no longer a required field and users are now able
 to leave the And/Then conjunction field blank.
 9. INC000000882041 OERR - Other: Duplicate VA numbers
    INC000000892823 <UNDEFINED>DUPVAQ+16~ORDEA01A *DISINC
 Problem:
 -------
 When the Duplicate VA Numbers report is queued, the error
 <UNDEFINED>DUPVAQ+16~ORDEA01A *DISINC is generated and the report does
 not generate.
 Resolution:
 ----------
 The code that queues the report is modified to properly save the DISINC
 variable.
 10. INC000000614497 Inpatient medication and CPRS order locked issue
 Problem:
 -------
 A provider was entering an inpatient medication order when CPRS had an
 abnormal termination. This set a patient lock for the record and the
 provider was not able to enter additional orders.
 Resolution:
 ----------
 Multiple potential lock issues were identified and have been addressed.
 The lock and unlock code now falls inside of a Try/Finally statement
 which will force the unlock to fire when the code terminates.
 11. INC000000385397 Correct activation of a delayed diet order caused a
                     patient to be fed an inappropriate diet
 Problem:
 -------
 It was noticed by a speech pathologist during inpatient rounds at the
 reporting site that a delayed order of "soft + thins" diet (this is a
 thin watery diet) was activated upon patient transfer as expected,
 however since the patient was at risk of dyspepsia (difficulty in
 swallowing), they should have remained on the "nectar thick" diet (this is
 a thicker liquid diet with a consistency of honey) they were on prior to
 transfer.
 Resolution:
 ----------
 Modifications were made to the current software (pop-up) so that users
 are prompted with both current and future delayed orders when entering
 new diet orders.
 12. INC000000449620 More than one session of CPRS with patient context
     INC000000580169 CCOW ISSUE WHEN ONE SESSION IS EDITING AN ORDER
 Problem:
 -------
 The user was able to create multiple sessions with patient context for
 each session when there should only be one CPRS with patient context.
 There were multiple instances where a modal window would prevent the CPRS
 application from accepting messages. This would prevent the session from
 closing the window and switching to the proper context.
 Resolution:
 ----------
 The code was modified to check if order sets, order dialogs or order
 action windows were modal, if so then we would allow CPRS to close the
 window and process the context request.
 13. INC000000358459 "Edit Common List" rearrange issue
 Problem:
 -------
 When using "Edit Common List" as you would move the position a selected
 item, a tool tip would appear and halt all other events until an item in
 the list was clicked. This usually happened around the third click.
 Resolution:
 ----------
 This has to do with the ItemTipEnabled property. To combat this issue the
 OnClick events for the up and down buttons were moved into the OnMouseDown
 event. When the MouseDown event fires the ItemTipEnabled is set to false
 and then returned to on when the MouseUp event is fired.
 14. INC000000418697 Use of Recall appointments for writing orders
 Problem:
 -------
 When writing an order for a recall appointment a user with the ORES key
 would correctly be prompted about the missing date/time. However if the
 user had either the ORELSE key or the OREMAS key they would not receive
 the prompt and later when the order was saved would receive an M Error.
 Resolution:
 ----------
 To correct this issue an additional check was put in for the change and
 copy actions. This check will verify that a location exist and time has
 been selected. If not the user will see the correct prompt.
 15. INC000000237478 Error saving notes Document #: 0
 Problem:
 -------
 When completing/updating a consult the user tries to write a second note
 via the notes tab. The second note is completed and signed and the user
 tries to return to the original consult note. When attempting to save the
 consult note they receive the save error.
 Resolution:
 ----------
 This issue is caused because CPRS is only designed to handle one note Edit
 at a time. Code has been added that will inform the user of this fact just
 as it does on the notes tab.
 16. INC000000276632 Provider comments in outpatient medications
 Problem:
 -------
 A provider was trying to change the preexisting comments for an
 outpatient medication and did not uncheck the patient instruction box.
 The user must remember to uncheck the patient instruction box or the
 providers previous comments show up in the current script along with the
 new comments.
 Resolution:
 ----------
 The patient instruction label has been modified to now read "Patient
 Instructions - A check in this box below WILL INCLUDE the patient
 instructions in this order." A hint was added to the patient
 instruction check box that states "A check in this box WILL INCLUDE
 the patient instructions in this order."
 17. INC000000388190 Sorting issue on consult service list
 Problem:
 -------
 When ordering a consult, the consult to service list does not sort
 properly
 Resolution:
 ----------
 There was a custom sort method that did not function as expected. This
 has now been rewritten to correctly sort by a specific piece.
 18. INC000000449476 Pharmacy Objects do not print correctly
 Problem:
 -------
 This is an addition to remedy ticket INC000000144336 (released in CPRS
 28). It was found at test sites that a carriage return was not being
 added if the print space was less than 10 characters.
 Resolution:
 ----------
 Modified method to now include a carriage return when length is less than
 10 characters.
 19. INC000000070157 Prevent duplicate entry of IV components
 Problem:
 -------
 Currently, the CPRS IV (Infusion) ordering dialog allows for the
 selection of the same item multiple times.
 Resolution:
 ----------
 The dialog was modified to prevent selection of the same additive
 multiple times.
 20. INC000000337933 Quick Order creation: missing additional dose box
 Problem:
 -------
 When creating quick orders via the GUI there was no way to save the
 order with the "Give additional dose now" check box checked.
 Resolution:
 ----------
 When the quick order is saved via the GUI the check box will have its
 state saved.
 21. INC000000274701 Review/Sign Changes doesn't display previous
                     session unsigned orders
 Problem:
 -------
 CPRS is designed to hold both the current session changes and the previous
 sessions changes in the same variable. When either selecting a new
 patient or refreshing the current patient, CPRS returns all changes and
 loads them to a global variable. If the select new patient is cancelled
 and the review/sign changes action is used again, the variable is
 overwritten with the changes from prior sessions.
 Resolution:
 ----------
 A temporary list is made that will be used to restore the change list
 in case the user cancels out of the patient selection.
 22. INC000000279302 Duration or Total Volume list doesn't enforce
                     unique selection
 Problem:
 -------
 When placing an infusion order the Duration of Total Volume list box does
 not enforce unique entries before auto selecting. The selection box
 contains both Days and Doses and when a provider types in "D" it will
 select the first "D" word in the list. In this case Days would be auto
 selected.
 Resolution:
 ----------
 To correct this the auto complete functionality needed to be rewritten to
 now take in unique matches before selecting from the list.
 23. INC000000469465 Attempting to add a new interdisciplinary note
 Problem:
 -------
 When viewing the notes while they are sorted by title the user was trying
 to add an interdisciplinary note to an actual note (right pane of notes
 tab) and not the interdisciplinary group (left pane of notes tab).
 Resolution:
 ----------
 The condition that was used to determine if the actions should show was
 not fired when the selecting an item from the note pane (right). The logic
 has been moved into its own method so that it can be called from both
 panes as needed.
 24. INC000000070106 Restricting OI for Lab Orders
 Problem:
 -------
 When an orderable item (lab) is set as "QuickOrder restricted" it is
 being restricted from both Labs and quick-order.
 Resolution:
 ----------
 An update was made to the orderable items RPC to now check if the dialog
 is a quick order or not. Using this information the return list can now
 filter appropriately.
 25. INC000000217354 Reminder dialog templates allow ordering of consult
                     tracker services
 Problem:
 -------
 When a service is set up as a tracking only service a user without the
 proper rights is able to make a quick order as a finding item. This is
 inconsistent with the way that it works directly through consults.
 Resolution:
 ----------
 When making a consult quick order, check if the service is set to
 grouping. If so, then stop and display the error. If it is marked as
 tracking then check if the user has the correct rights (user level) and
 if so, then continue, else halt and display message.
 26. INC000000354377 Increased margins due to zooming in on the note
 Problem:
 -------
 When using the zoom feature while editing a note, the margins increase
 width causing the text to wrap at one character per line. The background
 auto save of the note fires off and saves the note in this format.
 Resolution:
 ----------
 The zoom functionality was removed from CPRS since it was not intended to
 be used.
 27. INC000000481233 Change button loses position
 Problem:
 -------
 Change button loses position with dual monitors. If you expand your
 display greater than the width of your main display, the change button
 will overwrite information.
 Resolution:
 ----------
 To ensure that the button does not lose its position the anchor
 properties for the button need to be modified. The code that was used to
 try to calculate the position is not needed since these anchors can do
 this for us.
 28. INC000000181466 Automatically defaulting cosigner name
 Problem:
 -------
 When entering a note the cosigner name is carried over from previous
 notes.
 Resolution:
 ----------
 There was code that was once designed to set the cosigner to the last one
 used. Since there is now an option to specify the default cosigner, this
 code is irrelevant.
 29. INC000000174830 Long delay with no hourglass for "all signed notes"
                     view
 Problem:
 -------
 When loading a large number of notes for a patient there is no
 "hourglass" letting the user know that CPRS is still working.
 Resolution:
 ----------
 The issue dealt with building the tree list of the notes. CPRS would take
 some time to build this list and not show an hourglass to the user. An
 hourglass has been added to this loop as well as rewriting the loop to get
 a 94% speed increase.
 30. INC000000069384 Sign on chart for transcriptionist
 Problem:
 -------
 A transcriptionist writes a note and tries to sign it, they are presented
 with the "sign on chart" option. However when doing this the document
 remains in an unsigned status.
 Resolution:
 ----------
 This option is designed for orders and the logic that determines if this
 option should show needed to be corrected.
 31. INC000000070680 Orders - Active time period honored by Auto D/C
                     Release Event
 Problem:
 -------
 On the orders tab if the custom view is changed to "only list placed
 During time period" then only active orders for that time period are
 displayed. However, if "auto d/c release events" view is then used only
 the ones that fall in the time period used from the prior view are
 displayed.
 Resolution:
 ----------
 The dates used to filter the results should be cleared when using the
 "AutoDC/Release Event Orders" view.
 32. INC000001089151 Health Summary - Health Summary Component:
 Problem:
 -------
 The medication reconciliation tool (part of Health Summary) does not
 include non-VA medications for inpatients. This was the result of code
 changes for patient safety issue PSI-06-038/PSPO 299 to remove non-VA
 medications from the Active Medications section on the cover sheet for
 inpatients.
 Resolution:
 ----------
 The code was further modified to return non-VA medications when called by
 the medication reconciliation tool only; the coversheet will continue to
 filter out non-VA medications for inpatients.
 33. INC000000768368 Lab Results
 Problem:
 -------
 When a provider processes a lab results notification for a particular
 patient and then proceeds to switch patient records, the notification
 message text of the previous patient's lab results was still displayed
 under the header caption of the Most Recent Labs view on the Labs tab.
 This may cause the provider to misinterpret the lab results for the
 current patient.
 Resolution:
 ----------
 The software has been corrected so that after lab notification processing
 and switching of patients, the previous lab notification text will be
 cleared out from the header caption display of the current patient's
 lab results.
 34. INC000000067690 WPB-0803-30791 done ordrs not appearing on meds tab
     INC000000069154
     INC000000343735
 Problem:
 -------
 Outpatient medication orders entered in CPRS using the Priority of DONE
 do not appear on the meds tab. This is because they are considered to be
 already completed.
 Resolution:
 ----------
 DONE is being removed as a priority. Providers are being encouraged to
 use the new feature for One-Step Clinic Admin orders that will ensure
 orders are in Pharmacy as well as CPRS.
 35. INC000000069312 ORDER DIALOG 'PSO SUPPLY'
     INC000000423142
 Problem:
 -------
 The PSO SUPPLY dialog has never worked correctly. It still required a
 user to be authorized to write medication orders.
 Solution:
 --------
 Changes have been made to the supply order dialog to allow a user with
 the OR SUPPLY key to write supply orders without being authorized to
 write medication orders.
 36. INC000000070588  RX showing complete status. Can select DONE as a
     INC000000108406  priority
 Problem:
 -------
 This is a long-outstanding patient safety issue. The final requirement to
 fully correct the item was to create the One-Step Clinic Admin
 functionality for providers.
 Solution:
 --------
 Created the One-Step Clinic Admin functionality for providers.
 37. INC000000172679  Problem with IMO order
 Problem:
 -------
 The root problem is with the fact that IMO was never intended to handle
 an Inpatient.
 Solution:
 --------
 Clinic Orders (the replacement for IMO) will handle clinic orders for
 Inpatient as well as Outpatients. This is done in conjunction with the
 changes already released in Inpatient Medications.
 38. INC000000202393  Flagging an unreleased Inpatient Med order
                      doesn't appear in Pharmacy
 Problem:
 -------
 Flagging an unreleased Inpatient Medications order was causing an issue
 because the flag information was not appearing in Pharmacy.
 Solution:
 --------
 The flag is now passed to Pharmacy so they can display it.
 39. INC000000290535  Tubefeeding order increased in difficulty
 Problem:
 -------
 Tubefeeding orders are confusing.
 Solution:
 --------
 Hover text was added, calculations were corrected to prevent entering
 something with over the maximum amount of fluids and the help text was
 updated to remove the unapproved abbreviations.
 40. INC000000470004  Choosing note titles to display within OPTIONS
 Problem:
 -------
 On the Notes tab within Options you can configure a document list
 preference. But, when you try to choose a title from the Document Class of
 Discharge Summary and then "Save Changes", it doesn't work the way it does
 when you set note titles at the Progress Note Document Class. When you go
 into create a New Summary, the title you chose within the options does
 not appear at the top of my list of discharge summary notes.
 Solution:
 --------
 Corrected display of discharge summary notes.
 41. INC000000532291  Complex quick orders with empty dose rows load as
                      simple orders.
 Problem:
 -------
 If a complex quick order with an empty dose row loads into the GUI it
 loads as a simple order.
 Solution:
 --------
 The call that loads the quick orders has been modified to correctly deal
 with empty dose rows.
 42. INC000000583696 Each succeeding diet order makes box shrink
 Problem:
 -------
 For each subsequent diet order placed, the order dialog box continues to
 shrink. When entering a diet order on an inpatient, the Diet Order box
 appears fairly normal, e.g., they can see the entire order box (Accept
 Order/Quit). But then with each subsequent order the box shrinks.
 Solution:
 --------
 Sizing of box has been modified to remain consistent.
 43. INC000000901156 Drug name appended to dose for Complex Order
 Problem:
 -------
 The problem with trailing spaces had been corrected previously for simple
 orders. However, complex orders had not been addressed. The issue being
 that trailing spaces on drug names were causing the drug name to be
 appended incorrectly.
 Solution:
 --------
 Drug names with trailing spaces no longer cause the drug name to be
 appended incorrectly to the dosage text.
 44. INC000000910219 Inpatient Medications: Other
     INC000001202824 Receiving 'invalid integer' error when renewing
 Problem:
 -------
 When renewing Inpatient Medications orders, there could be an issue with
 receiving an 'invalid integer' error.
 Solution:
 --------
 When renewing an order an error could occur that would prevent that action
 from happening in the CPRS GUI. This has been corrected to ensure that
 when the referencing the number of days it uses a default of 0 instead of
 experiencing an invalid integer error.
 45. I6220103FY16 Diagnoses are being removed from the Encounter if NOT
                  initially added to the Problem List
 Problem:
 -------
 When editing a completed note encounter and adding the previous
 primary diagnosis to the Problem List, the newly added SNOMED/ICD-10
 primary diagnosis is not saved in CPRS & PCE and the previous ICD-10
 diagnosis is removed from the encounter. This resulted in errors and
 potentially lost workload/VERA if the encounters are not corrected. This
 applies only to diagnoses that are NOT initially added to the Problem
 List and that are added later.
 Solution:
 --------
 This is corrected so that the newly added diagnoses are saved
 appropriately in CPRS and PCE when editing a completed note encounter.
 Test Sites:
 ===========
 Cleveland, OH
 Heartland - East
 Heartland - West
 Loma Linda, CA
 Palo Alto, CA
 San Diego, CA
 Software and Documentation Retrieval Instructions:
 --------------------------------------------------
 Software being released as a host file and/or documentation describing
 the new functionality introduced by this patch are available.
 Sites may retrieve the software and/or documentation directly using
 the Secure File Transfer Protocol (SFTP) address as directed by the CPRS

Use default answers for KIDS load/install questions.

Patch-Files: http://code.osehra.org/VistA.git/tree/master/Packages/Order+Entry+Results+Reporting/Patches/OR_3.0_350