rhyming - [Hardhats] Digest for hardhats@googlegroups.com - 6 updates in 4 topics

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krs...@gmail.com

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Jul 25, 2025, 3:05:15 PMJul 25
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🎩 Oh, Hardhats, Here’s the Scoop! 🎩

In the land where hardhats dwell,
Kevin's troubles, we know so well!
Tirzepatide's the drug of the hour,
But adding it? Gives Kevin a shower!
"Oh help me, dear friends," he doth cry,
As codes and patches just make him sigh.
But with Ben and Sam, he’ll find his way,
To fix those bugs, come what may!


stats: gpt-4o-mini-2024-07-18 -> 5254 + 229 = 5483


OG content:
George Timson <gti...@post.harvard.edu>: Jul 25 05:27AM -0700

When workmen strive to do better than well,
They do confound their skill in covetousness;
And oftentimes excusing of a fault
Doth make the fault the worse by the excuse,
As patches set upon a little breach
Discredit more in hiding of the fault
Than did the fault before it was so patch'd.
 
--Shakespeare
Kevin Toppenberg <kdt...@gmail.com>: Jul 25 06:35AM -0700

Who know that Shakespeare would anticipate computer patching!
 
KT
Sam Habiel <sam.h...@gmail.com>: Jul 25 09:38AM -0400

I am glad George is still reading hardhats!
 
Shakespeare anticipated VistA patching!
 
Kevin Toppenberg <kdt...@gmail.com>: Jul 25 06:34AM -0700

On Tuesday, July 22, 2025 at 3:05:19 PM UTC-4 krs...@gmail.com wrote:
I love it!
 
KT
 
A Poem for Poor Kevin!
 
Oh dear Kevin, in a techy fix,
Trying to add tirzepatide to your mix.
With allergies logged and bugs abound,
Your pharmacy skills are tightly bound!
 
You traced through code, yet came out so frail,
Like trying to catch a fish in a pail.
"Help me!" you cried, through digital air,
As your queries floated with virtual flair!
 
Ben and Sam chimed in with their wisdom most sweet,
To navigate hurdles, you’ll need quite the feat!
So update those files, and don’t you despair,
For tirz
Kevin Toppenberg <kdt...@gmail.com>: Jul 25 06:32AM -0700

Thank you Sam and all.
 
I have a few other things on my plate right now, so I may have to come back
to this a bit later.
 
Best wishes,
Kevin
 
On Wednesday, July 23, 2025 at 4:32:36 PM UTC-4 Sam Habiel wrote:
 
krs...@gmail.com: Jul 24 12:05PM -0700

Oh Dear Hardhats!
 
In the land of drug code, oh what a plight,🥴
Adding tirzepatide gave Kevin a fright.
His allergies logged, but the system's a tease,
Like a cat chasing laser, it's just hard to please!
 
So Ben and poor Sam, with their wisdom and cheer,
Helped navigate tech bugs, oh dear, oh dear!
With patches and routines, and some laughs on the side,
Let’s hope Kevin’s soon on that bug-fixing ride!
------------------------------
 
stats: gpt-4o-mini-2024-07-18 -> 3912 + 204 = 4116
------------------------------
 
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- CIO nominee for VA withdrawn <#group_thread_0> - 1 Update
- Need help for adding drug allergies (esp tirzepatide) <#group_thread_1>
- 1 Update
- rhyming - [Hardhats] Digest for hard...@googlegroups.com - 3 updates
in 2 topics <#group_thread_2> - 1 Update
 
CIO nominee for VA withdrawn
<http://groups.google.com/group/hardhats/t/62318c4a45df6263?utm_source=digest&utm_medium=email>
Nancy Anthracite <nanth...@earthlink.net>: Jul 24 01:13PM -0500
 
https://federalnewsnetwork.com/veterans-affairs/2025/07/trump-withdraws-va-cio-nominee-amid-plans-to-shrink-it-workforce/
 
--
Nancy Anthracite
Back to top <./#digest_top>
Need help for adding drug allergies (esp tirzepatide)
<http://groups.google.com/group/hardhats/t/664e30e4e093377b?utm_source=digest&utm_medium=email>
Sam Habiel <sam.h...@gmail.com>: Jul 23 04:32PM -0400
 
Correction: 1. The patches are now at https://github.com/shabiel/PSN-4-513/.
Note that I have created patches post-OSEHRA. I keep the routines up to
date with current VistA code but I don't make patches. So you have to look
carefully and see what kind of collisions you have, as it depends on your
current patch level.
 
I meant to say I have NOT created patches post-OSEHRA. The routines are
kept up to date.
 
--Sam
 
Back to top <./#digest_top>
rhyming - [Hardhats] Digest for hard...@googlegroups.com - 3 updates in 2
topics
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krs...@gmail.com: Jul 23 12:04PM -0700
 
Oh Kevin, dear, in a fix so bright, 🌟
 
Your drug allergies give quite the fright!
 
Tirzepatide's causing quite the stir,
 
As you chase down bugs—a pharmacist’s blur!
 
With advice from your pals, Ben and Sam too, 👷‍♂️
 
Just patch those systems, and good luck to you!
 
When tech woes chase you like flies on a sweet,
 
Just laugh it off; soon, your folder's complete!
------------------------------
 
stats: gpt-4o-mini-2024-07-18 -> 3025 + 219 = 3244
------------------------------
 
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in 1 topic <#group_thread_0> - 2 Updates
- Need help for adding drug allergies (esp tirzepatide) <#group_thread_1>
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krs...@gmail.com: Jul 22 12:05PM -0700
 
A Poem for Poor Kevin!
 
Oh dear Kevin, in a techy fix,
Trying to add tirzepatide to your mix.
With allergies logged and bugs abound,
Your pharmacy skills are tightly bound!
 
You traced through code, yet came out so frail,
Like trying to catch a fish in a pail.
"Help me!" you cried, through digital air,
As your queries floated with virtual flair!
 
Ben and Sam chimed in with their wisdom most sweet,
To navigate hurdles, you’ll need quite the feat!
So update those files, and don’t you despair,
For tirzepatide allergies—those you WILL bear!
------------------------------
 
stats: gpt-4o-mini-2024-07-18 -> 1835 + 284 = 2119
------------------------------
 
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- Need help for adding drug allergies (esp tirzepatide) <#group_thread_0>
- 4 Updates
 
Need help for adding drug allergies (esp tirzepatide)
<
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Kevin Toppenberg <kdt...@gmail.com>: Jul 21 04:28PM -0700
 
The only part of the pharmacy system that we use in our office is entering
DRUG ALLERGIES.
 
I need to add tirzepatide into my system so I can list it as an allergy.
 
I found this prior thread
(https://groups.google.com/g/hardhats/c/vlOa-KO0oh4/m/7rcUZ7arshwJ) with a
link to this page: https://vistapedia.net/index.php/Enter_A_Drug written by
Sam Habiel.
 
I tried to follow the instructions, but I think because there is no
matching drug in multiple files that comprise the national drug file, I
can't fully get it to work.
 
I created this record:
 
Showing FILE: DRUG (#50)
Entry #94724,
.001-NUMBER : 94724
.01-GENERIC NAME : TIRZEPATIDE
1-AHFS NUMBER : : 0.00
2-VA CLASSIFICATION : HS500
9-SYNONYM : <MULTIPLE-VALUED> SUBFILE #50.1
Entry #1
.01-SYNONYM : Mounjaro
1-INTENDED USE : TRADE NAME
Entry #2
.01-SYNONYM : Zepbound
1-INTENDED USE : TRADE NAME
2-NDC CODE : 00002-1152-01
18-INV ORDER UNITS : 0.00
25-NATIONAL DRUG CLASS : HS500 (`128 in #50.605)
26-VA DRUG CLASS CODE : HS500 BLOOD GLUCOSE REGULATION AGENTS
31-NDC : 00002-1152-01
63-APPLICATION PACKAGES' USE : OX
82-NCPDP DISPENSE UNIT : EACH
83-NCPDP QUANTITY MULTIPLIER : 1
900-OLD NAMES : <MULTIPLE-VALUED> SUBFILE #50.01
Entry #1
.01-OLD NAMES : tirzepatide
.02-DATE CHANGED : JUL 21, 2025
-------------------------------
But I still can't select the drug in the Add Allergy functionality of CPRS.
 
I are a few years behind on our patches. I looked in the PSN package for
patches, and there are only 2 (SEQ# 556 - PSN*4.0*574, SEQ# 557 -
PSN*4.0*57) and both of these seems to be bug fixes rather than file
update.
 
I traced through the RPC code from CPRS, ORWDAL32 ALLERGY MATCH, that
searches for matches to user's entry. It does not seem to support looking
for entries in the local drug file. Looking at the code, it seems that it
used to, but then functionality was removed (incompletely).
 
Question:
Can anyone give guidance on how to add ability to enter a drug allergy for
tirzepatide?
 
Thanks
Kevin
Benjamin Irwin <benon...@gmail.com>: Jul 21 05:06PM -0700
 
This might help. There are a number of files that is uses for the lookup
listed in the text below.
 
STANDARD DATA DICTIONARY #120.8 -- PATIENT ALLERGIES FILE 6/27/25 PAGE 1
 
120.8,.02 REACTANT 0;2 FREE TEXT (Required) CAUSATIVE AGENT INPUT
TRANSFORM: D EN^DDIOL("Editing not allowed!","","$C(7),!?4") K X LAST
EDITED: AUG 13, 2004 HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: This is the agent to which the patient had this reaction. This
is the name of the reactant and will be the result of a look up on either
the GMR Allergies (120.82), National Drug (50.6), Drug Ingredients
(50.416), Local Drug (50) or VA Drug Class (50.605) files.
 
 
On Monday, July 21, 2025 at 7:28:05 PM UTC-4 Kevin Toppenberg wrote:
 
Sam Habiel <sam.h...@gmail.com>: Jul 22 08:58AM -0400
 
Can you see if you can still add an allergy from the Outpatient Pharmacy
Package from the backend?
 
But otherwise, you will need to update your national drug files, which is a
long long road. I can give you instructions, but expect that there will be
hurdles on the way, and it may take you a couple of weeks.
 
--Sam
 
On Mon, Jul 21, 2025 at 8:06 PM Benjamin Irwin <benon...@gmail.com>
wrote:
 
Kevin Toppenberg <kdt...@gmail.com>: Jul 22 11:35AM -0700
 
Thank you Ben and Sam.
 
I don't know how to add an allergy from the roll-and-scroll. But I can add
them for existing drugs in CPRS.
 
I agree that I need to update the national drug files. I discussed with
Nancy, Dave, et al, on the support call last night. They said that you had
some code that would automate the loading and installation of the .DAT
files. Do you have instructions or guidance for that?
 
Thanks
Kevin
 
On Tuesday, July 22, 2025 at 8:58:50 AM UTC-4 Sam Habiel wrote:
 
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Nancy Anthracite <nanth...@earthlink.net>: Jul 23 05:37AM -0500
 
:-) I think this is a first on this mailing list!
 
--
Nancy Anthracite
 
 
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Sam Habiel <sam.h...@gmail.com>: Jul 22 03:22PM -0400
 
I gave this presentation back in the day.
 
https://smh101.com/presentations/20180424_SamHabiel_PPS-N-Final.pdf
 
A few notes:
 
1. The patches are now at https://github.com/shabiel/PSN-4-513/. Note that
I have created patches post-OSEHRA. I keep the routines up to date with
current VistA code but I don't make patches. So you have to look carefully
and see what kind of collisions you have, as it depends on your current
patch level.
2. You need to be very careful at the switch. Oddly, there is no checking
code to see that you switched exactly at the right PSN patch. See the table
in the presentation on when exactly you need to make the switch. There is a
period where BOTH patches and dat files are being released.
3. Pharmacy dat files are here:
https://foia-vista.worldvista.org/Patches_By_Application/PSN-NATIONAL%20DRUG%20FILE%20(NDF)/PPS_DATS/
4. You won't have a smooth experience installing the really early dat files
(by and large I have had no problems in the last 2 years). I have had many
problems where we crash with the drug interaction file because I think the
original FOIA file released back in 2005 had problems in file 56. At this
point, I don't know what I did to make it work... but basically I edited
the data on the fly (killing, editing) to make sure that the dat file
installed.
 
--Sam
 
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ivaldes

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Jul 25, 2025, 6:51:20 PMJul 25
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These verses burn like a runtime error.  
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