Electronic Health Record

Transcription

1 RESOURCE AND PATIENT MANAGEMENT SYSTEM Electronic Health Record (EHR) Version 1.1 Patch 11 Office of Information Technology (OIT) Division of Information Resource Management Albuquerque, New Mexico

2 Table of Contents 1.0 Introduction Tips Installation Pre-Installation Patched CPRS Required Patched Required Builds Installation Questions Mega Build I (ehr_ mb1) Mega Build II (ehr_ mb2) Mega Build III (ehr_ mb3) Mega Build IV (ehr_ mb4) Mega Build V (ehr_ mb5) Mega Build VI (ehr_ mb6) Mega Build VII (ehr_ mb7) Mega Build VIII (ehr_ mb8) Mega Build IX (ehr_ mb9) Installation Order Mega Build I (ehr_ mb1) Mega Build II (ehr_ mb2) Mega Build III (ehr_ mb3) Mega Build IV (ehr_ mb4) Mega Build V (ehr_ mb5) Mega Build VI (ehr_ mb6) Mega Build VII (ehr_ mb7) Mega Build VIII (ehr_ mb8) Mega Build IX (ehr_ mb9) EHR Patch 11 Build EHR Patch 11 KIDs Build GUI Installation Appendix A: List of Applications Updated with the CPRS 27 Mega Builds Appendix B: APSP*7.0* B.1 General Information B.2 Modifications/Enhancements Included in this Patch B.3 Contents of Distribution B.4 Requirements B ii Table of Contents

3 B.6 Post Contact Information iii Table of Contents

4 Preface This is to be used to bring installations of VistA at Indian Health Services (IHS) up to the Veterans Administration version of VistA compatible with CPRS version 27. Since several of the applications within this environment have been modified to meet the specific needs of IHS, additional patches are included that will result in the IHS functionality being retained, while bringing the software current with CPRS v27. There will also be new IHS only functionality that will be added in EHR patch 11. Purpose This manual provides the information that enables the installation team to successfully load all VistA mega builds as well as the application patches to the IHS environment for both M based code and GUI programs necessary to run the IHS software. This document shows the detailed steps that must be followed for a successful installation. Scope This manual provides the steps for installing EHR Patch 11. Audience Information in this manual is intended for System Administrators who are responsible for installing the work environment and not for the general user population. iv Preface

5 1.0 Introduction 1.1 Tips This manual provides the information necessary to enable a system administrator to install the EHR Patch 11 work environment for a hospital or clinic. All user input should be in ALL CAPITAL LETTERS. Pressing Enter repeatedly generally takes you back to a prompt that you are familiar with. Typing a ^ exits the routine. There is often online Help available by typing?,?? or???. There are various levels of online Help, depending on where you are in the application. When an input request is made, the system will usually respond with a default response. If you press Enter, the system will use the default response. A good option to try is typing??, and then pressing Enter. This presents a list of options for input. For example, if you press Enter after INPUT TO WHAT FILE: NEW PERSON// prompt, it selects the NEW PERSON file. Typing?? gives you a list of files you could choose instead. 1.2 Installation VERY IMPORTANT READ CAREFULLY EHR Patch 11 MUST be installed with no users on the system. There are too many routine updates to allow users access to the system while this is occurring. Find a time when the system can be shut down for approximately two hours so all the patches can be installed. As there will be no users on the system, you can answer NO to inhibit logins and disable options. ALL the patches in this manual MUST be installed and in the order given prior to allowing users back on the system. Installing only the Mega Builds will remove all IHS modifications to the system and cause multiple errors. The instructions advise to say NO to the menu rebuilds. However, once all the builds are installed, DO rebuild the MENUs. Many new options have been added, and a menu rebuild is required so they are all properly placed. The user may be asked for a starting time for a tasked job during installation. Choose a time after the installation has finished. 1 Introduction

6 Place TaskMan in a WAIT state while the installation is occurring. This prevents any automated tasks from starting while the installation is still proceeding If the site is an INPATIENT site, have the Clinical Applications Coordinator (CAC) available to begin any IV quick orders to infusion quick orders. Providers will not be able to use these quick orders until they are converted. The Order Menu (Management Menu in the CPRS Manager Menu) has two options for the CAC to use: 1. MR Medication Quick Order Report This report shows which medications must be converted. It is sent in a Mailman message to the user running the option. 2. CV Convert IV Inpatient QO to Infusion QO This option guides the CAC through the conversion. 2 Introduction

7 2.0 Pre-Installation Patched Each of the Mega Builds requires that certain patches be installed prior to running the Mega Build. The list below includes those patches. To verify that the patch already exists on the system, check the PACKAGE file (#9.4) to verify that the Patch Application History Sub-Field under the Version Field Multiple exist contains the information using the instructions below. These steps assume that the user has programmer rights and that a value for DUZ has been set. The user must also be in the correct UCI in order to install or validate software. 1. From a programmer s prompt, type >D P^DI and then press Enter. 2. At Select Option: prompt, type?. The following menu appears: 1 ENTER OR EDIT FILE ENTRIES 2 PRINT FILE ENTRIES 3 SEARCH FILE ENTRIES 4 MODIFY FILE ATTRIBUTES 5 INQUIRE TO FILE ENTRIES 6 UTILITY FUNCTIONS 7 OTHER OPTIONS 8 DATA DICTIONARY UTILITIES 9 TRANSFER ENTRIES 3. At Select Option prompt, select ENTER or EDIT FILE ENTRIES and then press Enter. 4. At INPUT TO WHAT FILE: prompt, select PACKAGE//, and then press Enter. 5. At EDIT WHICH FIELD: prompt, select ALL// VERSION (multiple), and then press Enter. 6. At the EDIT WHICH VERSION SUB-FIELD: ALL// prompt, select PATCH APPLICATION HISTORY (multiple), and then press Enter. 7. At the EDIT WHICH PATCH APPLICATION HISTORY SUB-FIELD: prompt, select ALL//, then EDIT VERSION SUB-FIELD:, and then EDIT FIELD:, and then press Enter. 8. At the Select PACKAGE NAME: LEXICON UTILITY prompt, type LEX, and then press Enter. 9. At the Select VERSION: prompt, type 2.0//, and then press Enter. 10. At the Select PATCH APPLICATION HISTORY: 54//? prompt, type PATCH APPLICATION HISTORY and then press Enter. 11. At the Do you want the entire 54-Entry PATCH APPLICATION HISTORY List? prompt, type Y (Yes), and then press Enter. The following appears: 3 Pre-Installation Patched

8 Choose from: SEQ #10 11 SEQ #11 12 SEQ #12 13 SEQ #13 14 SEQ #14 15 SEQ #15 16 SEQ #16 17 SEQ #17 18 SEQ #18 19 SEQ #19 21 SEQ #20 22 SEQ #21 23 SEQ #22 24 SEQ #23 25 SEQ #24 25 SEQ# 0 NOTE: This shows that patch 25, with a sequence number has been installed. 26 SEQ #25 27 SEQ #26 28 SEQ #27 29 SEQ #28 30 SEQ #29 31 SEQ #30 32 SEQ #34 33 SEQ #31 34 SEQ #32 35 SEQ #33 36 SEQ #35 37 SEQ #36 38 SEQ #38 39 SEQ #37 40 SEQ #39 42 SEQ #41 45 SEQ #43 50 SEQ #48 6 SEQ #7 7 SEQ #6 8 SEQ #8 9 SEQ #9 You may enter a new PATCH APPLICATION HISTORY, if you wish. Answer must be 8-15 characters in length. 4 Pre-Installation Patched

9 12. At the Select PATCH APPLICATION HISTORY: promp, type 54//, and then press Enter. The following appears: PATCH APPLICATION HISTORY: 54// DATE APPLIED: APR 21, 2010// APPLIED BY: USER,DEMO// DESCRIPTION: No existing text 13. At the Edit? prompt, type NO//, and then keep pressing Enter until exited. The following appears: Select PATCH APPLICATION HISTORY: Select PACKAGE NAME: Select OPTION 2.1 CPRS Required Patched The following patches must be installed prior to loading each of the Mega Builds: 1. Mega Build I (ehr_ mb1.k) LEX*2.0*25 2. Mega Build II (ehr_ mb2.k) PXRM*1.5*12 SD*5.3*478 GMTS*2.7*66 TIU*1.0* Mega Build III (ehr_ mb3.k) LR*5.2*311 TIU*1.0*178 TIU*1.0*179 PSN*4.0*86 PSN*4.0*88 PSN*4.0*84 PSN*4.0* Mega Build IV (ehr_ mb4.k) DG*5.3*522 SD*5.3*316 5 Pre-Installation Patched

10 SD*5.3*285 DG*5.3*554 LR*5.2* Mega Build V (ehr_ mb5.k) RA*5.0*72 DG*5.3* Mega Build VI (ehr_ mb6.k) LR*5.2* Mega Build VII (ehr_ mb7.k) HDI*1.0*8 8. Mega Build VIII (ehr_ mb8.k) NONE 9. Mega Build IX (ehr_ mb9.k) NONE 6 Pre-Installation Patched

11 3.0 Required Builds It is essential that all the required builds are installed on the database prior to beginning the EHR Patch 11 installation. Failure will potentially leave your database is a state of corruption that may require you to revert to the most recent backup. Kernel Version 8.0 Patch 1017, which includes: xu k xt k di k xwb_ k xu 0800va.1017k Radiology Version 5.0 Patch 1003 including bra_ k Laboratory Version 5.2 Patch 1031 PIMS Version 5.3 Patch 1015 IHS PCC SUITE (BJPC) Version 2.0 Patch 8 ADVERSE REACTION TRACKING (GMRA) Version 4.0 Patch 1005 PROBLEM LIST (GMPL) Version 2.0 Patch 1001 GEN. MED. REC. VITALS (GMRV) Version 5.0 Patch 1001 CONSULT/REQUEST TRACKING (GMRC) Version 3.0 Patch 1002 TEXT INTEGRATION UTILITIES (TIU) Version 1.0 Patch 1010 CLINICAL REMINDERS (PXRM) Version 1.5 Patch 1009 IHS PHARMACY MODIFICATIONS (APSP) Version 7.0 Patch 1014 ELECTRONIC HEALH RECORD (EHR) Version 1.1 Patch 10 Note: An environment checker is including at the beginning of ehr_ mb1. DO NOT ATTEMPT to install ANY of the EHR 11 patches if this check fails until you have installed the missing patches. 7 Required Builds

12 4.0 Installation Questions Below is a listing of the questions a user will be asked while installed all the patches for EHR Patch 11. Keep this handy as you begin the process. Refer to Section 5.1 for the order of install. ehr_ mb1.k ehr_ mb2.k ehr_ mb3.k ehr_ mb4.k ehr_ mb5.k ehr_ mb6.k ehr_ mb7.k ehr_ mb8.k ehr_ mb9.k These files should be located where the installation process can find them when prompted. For example, the installation program asks: 1. At the Select Installation Option: prompt, select 1 LOAD A DISTRIBUTION, and then press Enter. 2. At the Enter a Host File: prompt, type C:\TEMP\MEGA BUILD_CPRS27\ehr_ mb1.k, and then press Enter. This information must be entered so that the installation routine can find the.kid file and Load it. At the end of the LOAD, the system displays the INSTALL NAME. The installer should make a note of this name as it will be asked when the INSTALL is done. The following Installation Questions must be answered during installation of each individual Mega Build. Have the answers available before starting the installation to avoid delays in processing. 4.1 Mega Build I (ehr_ mb1) 1. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group GMPL CODE SET VERSION UPDATES:, and then press Enter. The following appears: Want KIDS to Rebuild Menu Trees Upon Completion of Install? NOTE: This is asked several times. 8 Installation Questions

13 2. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group ORCM CSV EVENT:, and then press Enter. The following appears: Build McKesson VSN to Dispense Units Per Order Unit and Drug Description Data 4.2 Mega Build II (ehr_ mb2) Build SR*3.0*100 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This will be asked several times. Do you have the completed pre-installation worksheet? >>> New Site Parameter <<< 1. Answer the following question to define the default site parameter related to the use of the Anesthesia Report at your facility. This response will be stored for each division defined in the SURGERY SITE PARAMETERS file (#133) and may be updated after this patch is installed. Does this facility use the Anesthesia Report? >>> Starting Date for Reports to be Signed Electronically <<< During the post-installation process, all reports for completed cases with an operation date on or after the date selected will be identified to be signed electronically and stub entries will be created in TIU. 2. Enter a starting date for reports to be signed electronically. For example,: TODAY// (APR 22, 2010). >>> Making Reports for Historical Cases Viewable through CPRS <<< This patch includes a post-installation process that moves designated reports for historical Surgery cases into TIU. By doing so, these reports, while unsigned electronically, are viewable within the CPRS Surgery tab. These electronically unsigned reports contain a disclaimer stating; "This information is provided from historical files and cannot be verified that the author has authenticated/approved this information. The authenticated source document in the patient's medical record should be reviewed to ensure that all information concerning this event has been reviewed or noted. 9 Installation Questions

14 Note: The site parameters entered above will be applied in this process. For multi-divisional facilities, if different parameter settings should be applied for each division, or if for any reason the process to make reports for historical surgery cases viewable in CPRS should not be run during this patch installation, answer NO to this question. A new option is provided to run this process later. Do you want to move reports during the patch installation? If you need to move additional reports for a different date range, the Make Reports Viewable in CPRS option contained on the Surgery Package Management Menu can be used after this patch is installed. The post-installation process will be tasked to run immediately at the end of patch installation. The following actions will occur in the following order: a. Conversion of cases with documents in TIU filed by the Boston Prototype (Class III) software. b. Creation of stub entries in TIU for reports for cases completed on or after the date selected above as the starting date for reports to be signed electronically. c. Movement of reports for historical cases into TIU (if selected). 136 SURGERY PROCEDURE/DIAGNOSIS CODES *BUT YOU ALREADY HAVE 'SURGERY TRANSCRIPTION' AS FILE #136! Shall I write over your SURGERY TRANSCRIPTION File? 136 SURGERY PROCEDURE/DIAGNOSIS CODES (Partial Definition) *BUT YOU ALREADY HAVE 'SURGERY TRANSCRIPTION' AS FILE #136! Shall I write over your SURGERY TRANSCRIPTION File? Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 3. At the Enter the Device you want to print the Install messages prompt, you can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 4. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. Note: This prints information to your screen. 4.3 Mega Build III (ehr_ mb3) Build OR*3.0*195 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This question will be asked several times. 10 Installation Questions

15 1. At Enter when to Queue the Tally job to run in format: prompt Queue the task to run in about one hour following the install. That way it will not conflict with other patches and then press Enter. 2. The following appears: Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 3. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 4. At DEVICE: HOME//, type VIRTUAL, and then press Enter. Note: This prints the information to your screen. 4.4 Mega Build IV (ehr_ mb4) Build OR*3.0*215 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This will be asked several times. 1. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'PSO EXTERNAL DISPENSE ALERTS':, and then press Enter. 2. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'OR DRUG ORDER CANCELLED':, and then press Enter. The following appears: Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 3. Enter the Device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 4. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. Note: This prints the information to your screen. 4.5 Mega Build V (ehr_ mb5) Build PSO*7.0*254 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? 11 Installation Questions

16 Note: This question will be asked several times. 1. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'SR TRANSPLANT':, and then press Enter. The post-install routine included with this patch sends out a Mailman message with the list of Pharmacy Divisions in your site along with their related National Provider Identifier (NPI) Institution, which is being automatically assigned by this patch. It also indicatea if there were problems in the automatic assignment, which will have to be followed-up by an Outpatient Pharmacy user as outlined in the patch description. 2. Enter the Outpatient Pharmacy user(s) (e.g., Pharmacy ADPAC or designee) who should receive this message (at least one user is required). The user entered should be the person responsible for the maintenance of the PSO Site Parameters. The message will also be sent to the user installing the patch. PHARMACY USER:? ANOTHER ONE: Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 3. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 4. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: Note: A build PSO*7.0*254 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This question will be asked several times. 5. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'SR TRANSPLANT':, and then press Enter. The post-install routine included with this patch sends out a Mailman message with the list of Pharmacy Divisions in your site, along with their related National Provider Identifier (NPI) Institution, which is being automatically assigned by this patch. It also indicates if there were problems in the automatic assignment, which will have to be followed-up by an Outpatient Pharmacy user as outlined in the patch description. 12 Installation Questions

17 6. Enter the Outpatient Pharmacy user(s) (e.g., Pharmacy ADPAC or designee) who should receive this message (at least one user is required). The user entered should be the person responsible for the maintenance of the PSO Site Parameters. The message is also sent to the user installing the patch. PHARMACY USER:? ANOTHER ONE: Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 7. Enter the Device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 8. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. Note: This prints information on your screen. 4.6 Mega Build VI (ehr_ mb6) Build PSU*4.0*3 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This question will be asked several times. Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 1. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 2. At the DEVICE: HOME//, type VIRTUAL, and then press Enter. Note: This displays information on your screen. 4.7 Mega Build VII (ehr_ mb7) Build PSS*1.0*123 has an Environmental Check Routine. Want to RUN the Environment Check Routine? Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This question will be asked several times. Install Questions for GMRC*3.0*50: Print Full Patient Names on pre-install report? Checking Install for Package PSS*1.0*129 Will first run the Environment Check Routine, PSS129EN 13 Installation Questions

18 Upon completion of the Post Install, a mail message will be sent to the patch installer, and at least one pharmacy user. Enter one or more Pharmacy users (e.g., Pharmacy ADPAC or designee) who should receive this message. Enter Pharmacy User: Note: Type name here. Enter Pharmacy User: Continue with install? 1. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'PSO REJECTS BACKGROUND MESSAGE':, and then press Enter. The following appears: 115 NUTRITION PERSON *BUT YOU ALREADY HAVE 'DIETETICS PATIENT' AS FILE #115! Shall I write over your DIETETICS PATIENT File? NUTRITION EVENTS *BUT YOU ALREADY HAVE 'DIETETIC EVENTS' AS FILE #119.8! Shall I write over your DIETETIC EVENTS File? Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 2. Type the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 3. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. Note: This will display information to your screen. 4.8 Mega Build VIII (ehr_ mb8) Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This question will be asked several times. Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 1. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 2. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. 4.9 Mega Build IX (ehr_ mb9) Want KIDS to Rebuild Menu Trees Upon Completion of Install? Note: This question will be asked several times. 14 Installation Questions

19 Want KIDS to INHIBIT LOGONs during the install? Want to DISABLE Scheduled Options, Menu Options, and Protocols? 1. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 2. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. Note: This will display information on your screen. 15 Installation Questions

20 5.0 The following is the actual installation dialog for each of the Mega Builds. These instructions assume that the installer has Programmer rights, is in the correct UCI, and has a value set for DUZ. If not, refer to the Contact Information section for whom to contact for assistance. EHR11 needs to be installed with NO users on the system. Because of the extremely large numbers of routines being edited, there will be multiple errors if users remain on the system. The EHR will need to be shut down and no log-ins allowed. 5.1 Installation Order The mega builds MUST be installed in numeric order. DO NOT ATTEMPT to install them in any other order or it may result in database corruption! Each mega build is comprised of individual VA patches. After loading each mega build, scroll back and verify that none of the VA patches failed an environment check. If they did, the site MUST load the missing patch before proceeding. DO NOT NEGLECT THIS STEP! 1. ehr_ mb1.k 2. ehr_ mb2.k 3. ehr_ mb3.k 4. ehr_ mb4.k 5. ehr_ mb5.k 6. ehr_ mb6.k 7. ehr_ mb7.k 8. ehr_ mb8.k 9. ehr_ mb9.k DO NOT ATTEMPT to install ehr_ k UNTIL AFTER ALL the mega builds identified above have been successfully installed. This is the final step of the install. 10. ehr_ k 16

21 This patch puts IHS modifications back in the routines. DO NOT ATTEMPT to run the EHR until this build is installed. 5.2 Mega Build I (ehr_ mb1) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation, and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 4. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ _mb1.k, and then press Enter. Note: The location of the ehr_ mb1.k file may not be in this folder. This is determined individually for each installation. The following appears: KIDS Distribution saved on Aug 08, 2007@14:36:33 Comment: Mega Build 1 - CPRS 26 - PSN Patches removed This Distribution contains Transport Globals for the following Package(s): PSO*7.0*156 PSO*7.0*189 PSO*7.0*159 PSO*7.0*182 PSO*7.0*118 PSO*7.0*185 PSO*7.0*181 PSO*7.0*177 PSO*7.0*193 PSO*7.0*184 PSO*7.0*188 PSO*7.0*194 PSO*7.0*192 PSO*7.0*186 GMPL*2.0*28 17

22 OR*3.0*181 OR*3.0*214 PSS*1.0*79 PSJ*5.0*110 OR*3.0*213 PSU*3.0*32 PSU*3.0*24 PSU*3.0*34 PSU*3.0*31 PSU*3.0*35 PSS*1.0*82 PSS*1.0*85 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution PSO*7.0*156 PSO*7.0*189 PSO*7.0*159 PSO*7.0*182 PSO*7.0*118 PSO*7.0*185 PSO*7.0*181 PSO*7.0*177 PSO*7.0*193 PSO*7.0*184 PSO*7.0*188 PSO*7.0*194 PSO*7.0*192 PSO*7.0*186 GMPL*2.0*28 OR*3.0*181 OR*3.0*214 PSS*1.0*79 PSJ*5.0*110 OR*3.0*213 PSU*3.0*32 PSU*3.0*24 PSU*3.0*34 PSU*3.0*31 Build PSU*3.0*35 has an Environmental Check Routine 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: PSU*3.0*35 Will first run the Environment Check Routine, PSU35PRE PSS*1.0*82 PSS*1.0*85 7. At the INSTALL NAME: prompt, type PSO*7.0*156, and then press Enter to install this distribution. The following appears: 1 Load a Distribution 18

23 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 8. At the Select Installation Option:, type 6: INSTALL Package(s), and then press Enter. 9. At the Select INSTALL NAME: prompt, type PSO*7.0*156, and then press Enter. The following appears: Loaded from Distribution Loaded from Distribution 4/19/10@08:19:47 => Mega Build 1 - CPRS 26 - PSN Patches removed; Created on Aug 08, 200 This Distribution was loaded on Apr 19, 2010@08:19:47 with header of Mega Build 1 - CPRS 26 - PSN Patches removed; Created on Aug 08,2007@14:36:33 It consisted of the following Install(s): PSO*7.0*156 PSO*7.0*189 PSO*7.0*159 PSO*7.0*182 PSO*7.0*118 PSO*7.0*185 PSO*7.0*181 PSO*7.0*177 PSO*7.0*193 PSO*7.0*184 PSO*7.0*188 PSO*7.0*194 PSO*7.0*192 PSO*7.0*186 GMPL*2.0*28 OR*3.0*181 OR*3.0*214 PSS*1.0*79 PSJ*5.0*110 OR*3.0*213 PSU*3.0*32 PSU*3.0*24 PSU*3.0*34 PSU*3.0*31 PSU*3.0*35 PSS*1.0*82 PSS*1.0*85 Checking Install for Package PSO*7.0*156 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File 59 OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File Checking Install for Package PSO*7.0*189 Install Questions for PSO*7.0*189 Checking Install for Package PSO*7.0*159 Install Questions for PSO*7.0*159 Checking Install for Package PSO*7.0*182 Install Questions for PSO*7.0*182 Checking Install for Package PSO*7.0*118 Install Questions for PSO*7.0*118 Checking Install for Package PSO*7.0*185 Install Questions for PSO*7.0*185 Checking Install for Package PSO*7.0*181 Install Questions for PSO*7.0*181 Checking Install for Package PSO*7.0*177 Install Questions for PSO*7.0* OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. Checking Install for Package PSO*7.0*193 Install Questions for PSO*7.0*193 Checking Install for Package PSO*7.0*184 Install Questions for PSO*7.0*184 Checking Install for Package PSO*7.0*188 Install Questions for PSO*7.0*188 Checking Install for Package PSO*7.0*194 Install Questions for PSO*7.0*194 Checking Install for Package PSO*7.0*192 19

24 Install Questions for PSO*7.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*186 Install Questions for PSO*7.0*186 Checking Install for Package GMPL*2.0*28 Install Questions for GMPL*2.0* At the Incoming Mail Groups: prmopt, type the Coordinator for Mail Group 'GMPL CODE SET VERSION UPDATES':, and then press Enter. 12. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO and then press Enter. The following appears: Checking Install for Package OR*3.0*181 Install Questions for OR*3.0* At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'ORCM CSV EVENT':, and then press Enter. 14. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package OR*3.0*214 Install Questions for OR*3.0*214 Checking Install for Package PSS*1.0*79 Install Questions for PSS*1.0*79 55 PHARMACY PATIENT (Partial Definition) Note: You already have the 'PHARMACY PATIENT' File PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSJ*5.0*110 Install Questions for PSJ*5.0* NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File. 15. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'PSJ STAT NOW PENDING ORDER':, and then press Enter. 16. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'PSJ STAT NOW ACTIVE ORDER':, and then press Enter. The following appears: Checking Install for Package OR*3.0*213 Install Questions for OR*3.0*213 Checking Install for Package PSU*3.0*32 Install Questions for PSU*3.0*32 Checking Install for Package PSU*3.0*24 Install Questions for PSU*3.0*24 Checking Install for Package PSU*3.0*34 20

25 Install Questions for PSU*3.0*34 Checking Install for Package PSU*3.0*31 Install Questions for PSU*3.0*31 Checking Install for Package PSU*3.0*35 Will first run the Environment Check Routine, PSU35PRE Install Questions for PSU*3.0*35 Checking Install for Package PSS*1.0*82 Install Questions for PSS*1.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//, type NO, and then press Enter. The following appears: Checking Install for Package PSS*1.0*85 Install Questions for PSS*1.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. 19. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 20. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 21. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. The following appears: DEVICE: HOME// VIRTTUAL Install Started for PSO*7.0*156: Apr 19, 2010@08:50:33 Build Distribution Date: Sep 16, 2004 Installing Routines Apr 19, 2010@08:50:34 Apr 9, 2010@08:50:35 Installing INPUT TEMPLATE Installing HL LOGICAL LINK Installing HL7 APPLICATION PARAMETER Installing PROTOCOL Apr 19, 2010@08:50:35 Updating Routine file The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 Updating KIDS files PSO*7.0*156 Installed. Apr 19, 2010@08:50:35 21

26 Install Started for PSO*7.0*189: Apr 19, Build Distribution Date: Oct 20, 2004 Apr 19, Updating Routine file PSO*7.0*189 Installed. Apr 19, Install Started for PSO*7.0*159: Apr 19, Build Distribution Date: Sep 20, 2004 Apr 19, Updating Routine file PSO*7.0*159 Installed. Apr 19, Install Started for PSO*7.0*182: Apr 19, Build Distribution Date: Sep 14, 2004 Installing Routines Apr 19, Updating Routine file Updating KIDS files PSO*7.0*182 Installed. Apr 19, Install Started for PSO*7.0*118: Apr 19, Build Distribution Date: Oct 26, 2004 Apr 19, Running Post-Install Routine Creating Prescription file cross-references OK! Updating Routine file PSO*7.0*118 Installed. Apr 19, Install Started for PSO*7.0*185: Apr 19, Build Distribution Date: Aug 24, 2004 Apr 19, Updating Routine file PSO*7.0*185 Installed. Apr 19, Install Started for PSO*7.0*181: Apr 19, Build Distribution Date: Nov 15, 2004 Apr 19, PSO*7.0*181 Installed. Apr 19, Install Started for PSO*7.0*177: Apr 19, Build Distribution Date: Sep 12,

27 Apr 19, Apr 19, PSO*7.0*177 Installed. Apr 19, Install Started for PSO*7.0*193: Apr 19, Build Distribution Date: Dec 01, 2004 Apr 19, PSO*7.0*193 Installed. Apr 19, PSO*7.0*184 Install Started for PSO*7.0*184: Apr 19, Build Distribution Date: Oct 28, 2004 Apr 19, PSO*7.0*184 Installed. Apr 19, Install Started for PSO*7.0*188: Apr 19, Build Distribution Date: Oct 15, 2004 Apr 19, PSO*7.0*188 Installed. Apr 19, Install Started for PSO*7.0*194: Apr 19, Build Distribution Date: Feb 03, 2005 Apr 19, PSO*7.0*194 Installed. Apr 19, Install Started for PSO*7.0*192: Apr 19, Build Distribution Date: Jan 03, 2005 Apr 19, Installing OPTION Apr 19, PSO*7.0*192 Installed. Apr 19, Install Started for PSO*7.0*186: Apr 19, Build Distribution Date: Jan 24,

28 Apr 19, PSO*7.0*186 Installed. Apr 19, Install Started for GMPL*2.0*28: Apr 19, Build Distribution Date: Jul 31, 2003 Apr 19, Installing MAIL GROUP Installing PROTOCOL PROTOCOL ICD CODE UPDATE EVENT Lookup failed, NO Action Taken. Installing OPTION Apr 19, GMPL*2.0*28 Installed. Apr 19, Install Started for OR*3.0*181: Apr 19, Build Distribution Date: Jul 31, 2003 Apr 19, Installing MAIL GROUP Installing PROTOCOL PROTOCOL ICD CODE UPDATE EVENT Lookup failed, NO Action Taken. Installing OPTION Apr 19, OR*3.0*181 Installed. Apr 19, Install Started for OR*3.0*214: Apr 19, Build Distribution Date: Jan 16, 2004 Apr 19, OR*3.0*214 Installed. Apr 19, Install Started for PSS*1.0*79: Apr 19, Build Distribution Date: Sep 08, 2004 Apr 19, Running Pre-Install Routine: Creating Pharmacy Patient cross-references. Apr 19, The following Routines were created during this install: PSSJXR PSSJXR1 PSSJXR10 PSSJXR11 PSSJXR12 24

29 PSSJXR13 PSSJXR14 PSSJXR15 PSSJXR16 PSSJXR17 PSSJXR18 PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25 PSSJXR26 PSSJXR27 PSSJXR28 PSSJXR29 PSSJXR3 PSSJXR30 PSSJXR31 PSSJXR32 PSSJXR4 PSSJXR5 PSSJXR6 PSSJXR7 PSSJXR8 PSS JXR9 PSS*1.0*79 Installed. Apr 19, Install Started for PSJ*5.0*110: Apr 19, Build Distribution Date: Sep 08, 2004 Apr 19, Apr 19, Installing MAIL GROUP Apr 19, The following Routines were created during this install: PSGXR3 PSGXR31 PSGXR310 PSGXR311 PSGXR312 PSGXR32 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSJ*5.0*110 Installed. Apr 19, Install Started for OR*3.0*213: Apr 19, 25

30 Build Distribution Date: Sep 08, 2004 Apr 19, OR*3.0*213 Installed. Apr 19, Install Started for PSU*3.0*32: Apr 19, Build Distribution Date: Dec 11, 2003 Apr 19, PSU*3.0*32 Installed. Apr 19, Install Started for PSU*3.0*24: Apr 19, Build Distribution Date: Jul 19, 2004 Apr 19, PSU*3.0*24 Installed. Apr 19, Install Started for PSU*3.0*34: Apr 19, Build Distribution Date: Sep 08, 2004 Apr 19, PSU*3.0*34 Installed. Apr 19, Install Started for PSU*3.0*31: Apr 19, Build Distribution Date: Oct 30, 2003 Apr 19, PSU*3.0*31 Installed. Apr 19, Install Started for PSU*3.0*35: Apr 19, Build Distribution Date: Dec 09, 2004 Apr 19, PSU*3.0*35 Installed. Apr 19, Install Started for PSS*1.0*82: Apr 19, Build Distribution Date: May 26, 2004 Apr 19, Installing HL7 APPLICATION PARAMETER 26

31 Installing PROTOCOL Installing OPTION Apr 19, PSS*1.0*82 Installed. Apr 19, Install Started for PSS*1.0*85: Apr 19, Build Distribution Date: Sep 30, 2004 Apr 19, PSS*1.0*85 Installed. Apr 19, 5.3 Mega Build II (ehr_ mb2) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation, and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 4. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb2.k, and then press Enter. Note: The location of the ehr_ mb2.k file may not be in this folder. This is determined for each installation. The following appears: KIDS Distribution saved on Feb 26, 2010@08:22:31 Comment: CPRS 27 Mega Build 2 This Distribution contains Transport Globals for the following Package(s): 27

32 OR*3.0*200 OR*3.0*194 OR*3.0*225 OR*3.0*157 OR*3.0*227 OR*3.0*217 PSS*1.0*81 PSS*1.0*89 PSS*1.0*91 IB*2.0*315 SR*3.0*86 SR*3.0*41 SR*3.0*80 SR*3.0*96 SR*3.0*99 SR*3.0*105 SR*3.0*101 SR*3.0*116 SR*3.0*123 SR*3.0*121 SR*3.0*118 SR*3.0*124 SR*3.0*122 SR*3.0*126 SR*3.0*100 SR*3.0*128 SR*3.0*129 SR*3.0*132 SR*3.0*125 SR*3.0*135 SR*3.0*127 SR*3.0*130 SR*3.0*136 SR*3.0*138 SR*3.0*137] SR*3.0*131 SR*3.0*134 SR*3.0*141 SR*3.0*140 SR*3.0*143 SR*3.0*119 SR*3.0*145 SR*3.0*147 SR*3.0*149 SR*3.0*150 SR*3.0*148 SR*3.0*151 SR*3.0*155 SR*3.0*142 SR*3.0*146 SR*3.0*152 SR*3.0*144 SR*3.0*156 SR*3.0*154 SR*3.0*158 SR*3.0*153 SR*3.0*157 GMRY*4.0*6 FH*5.0*40 FH*5.0*41 GMRC*3.0*33 28

33 MRC*3.0*32 GMRC*3.0*35 GMRC*3.0*41 GMRC*3.0*40 GMRC*3.0*38 GMRC*3.0*43 GMRC*3.0*37 GMRC*3.0*39 GMRC*3.0*45 GMRC*3.0*49 GMRC*3.0*52 GMRC*3.0*51 GMRC*3.0*42 GMRV*5.0*12 GMRV*5.0*9 GMRV*5.0*13 GMRV*5.0*14 GMRV*5.0*3 GMRV*5.0*17 GMRV*5.0*18 GMPL*2.0*27 GMPL*2.0*31 GMPL*2.0*33 MC*2.3*39 PSD*3.0*60 PSD*3.0*63 PSD*3.0*59 PSD*3.0*66 PSD*3.0*62 PSD*3.0*65 PSD*3.0*64 PSD*3.0*67 NUR*4.0*41 NUR*4.0*40 NUR*4.0*42 MC*2.3*42 GMRV*5.0*11 GMRV*5.0*19 GMRV*5.0*22 GMRV*5.0*25 GMRV*5.0*23 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... OR*3.0*200 OR*3.0*194 OR*3.0*225 OR*3.0*157 OR*3.0*227 OR*3.0*217 PSS*1.0*81 PSS*1.0*89 PSS*1.0*91 IB*2.0*315 SR*3.0*86 SR*3.0*41 SR*3.0*80 29

34 SR*3.0*96 SR*3.0*99 SR*3.0*105 SR*3.0*101 SR*3.0*116 SR*3.0*123 SR*3.0*121 SR*3.0*118 SR*3.0*124 SR*3.0*122 SR*3.0*126 Build SR*3.0*100 has an Environmental Check Routine 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: SR*3.0*100 Will first run the Environment Check Routine, SR100ENV SR*3.0*128 SR*3.0*129 SR*3.0*132 SR*3.0*125 SR*3.0*135 SR*3.0*127 SR*3.0*130 SR*3.0*136 SR*3.0*138 SR*3.0*137 SR*3.0*131 SR*3.0*134 SR*3.0*141 SR*3.0*140 SR*3.0*143 SR*3.0*119 SR*3.0*145 SR*3.0*147 SR*3.0*149 SR*3.0*150 SR*3.0*148 SR*3.0*151 SR*3.0*155 SR*3.0*142 SR*3.0*146 SR*3.0*152 SR*3.0*144 SR*3.0*156 SR*3.0*154 SR*3.0*158 SR*3.0*153 SR*3.0*157 GMRY*4.0*6 FH*5.0*40 FH*5.0*41 GMRC*3.0*33 GMRC*3.0*32 GMRC*3.0*35 GMRC*3.0*41 GMRC*3.0*40 GMRC*3.0*38 GMRC*3.0*43 30

35 GMRC*3.0*37 GMRC*3.0*39 GMRC*3.0*45 GMRC*3.0*49 GMRC*3.0*52 GMRC*3.0*51 GMRC*3.0*42 Will first run the Environment Check Routine, GMRCYP42 No conflicts with service being filed. GMRV*5.0*12 GMRV*5.0*9 Will first run the Environment Check Routine, GMRVP59 GMRV*5.0*13 GMRV*5.0*14 GMRV*5.0*3 GMRV*5.0*17 GMRV*5.0*18 GMPL*2.0*27 GMPL*2.0*31 GMPL*2.0*33 MC*2.3*39 PSD*3.0*60 PSD*3.0*63 PSD*3.0*59 PSD*3.0*66 PSD*3.0*62 PSD*3.0*65 PSD*3.0*64 PSD*3.0*67 NUR*4.0*41 NUR*4.0*40 NUR*4.0*42 MC*2.3*42 GMRV*5.0*11 GMRV*5.0*19 GMRV*5.0*22 GMRV*5.0*25 GMRV*5.0*23 7. At the INSTALL NAME: prompt, type OR*3.0*200 to install this Distribution. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 8. At the Select Installation Option: prompt, Type 6: INSTALL PACKAGE(S), and then press Enter. 9. At the Select INSTALL NAME: prompt, type OR*3.0*200. The following appears: Loaded from Distribution 31

36 Loaded from Distribution => CPRS 27 Mega Build 2; Created on Feb 26, This Distribution was loaded on Apr 22, with header of CPRS 27 Mega Build 2 ;Created on Feb 26, 2010@08:22:31 It consisted of the following Install(s): OR*3.0*200 OR*3.0*194 OR*3.0*225 OR*3.0*157 OR*3.0*227 OR*3.0*217 PSS*1.0*81 PSS*1.0*89 PSS*1.0*91 IB*2.0*315 SR*3.0*86 SR*3.0*41 SR*3.0*80 SR*3.0*96 SR*3.0*99 SR*3.0*105 SR*3.0*101 SR*3.0*116 SR*3.0*123 SR*3.0*121 SR*3.0*118 SR*3.0*124 SR*3.0*122 SR*3.0*126 SR*3.0*100 SR*3.0*128 SR*3.0*129 SR*3.0*132 SR*3.0*125 SR*3.0*135 SR*3.0*127 SR*3.0*130 SR*3.0*136 SR*3.0*138 SR*3.0*137 SR*3.0*131 SR*3.0*134 SR*3.0*141 SR*3.0*140 SR*3.0*143 SR*3.0*119 SR*3.0*145 SR*3.0*147 SR*3.0*149 SR*3.0*150 SR*3.0*148 SR*3.0*151 SR*3.0*155 SR*3.0*142 SR*3.0*146 SR*3.0*152 SR*3.0*144 SR*3.0*156 SR*3.0*154 SR*3.0*158 SR*3.0*153 SR*3.0*157 GMRY*4.0*6 FH*5.0*40 FH*5.0*41 GMRC*3.0*33 GMRC*3.0*32 GMRC*3.0*35 GMRC*3.0*41 GMRC*3.0*40 GMRC*3.0*38 GMRC*3.0*43 GMRC*3.0*37 GMRC*3.0*39 GMRC*3.0*45 GMRC*3.0*49 GMRC*3.0*52 GMRC*3.0*51 GMRC*3.0*42 GMRV*5.0*12 GMRV*5.0*9 GMRV*5.0*13 GMRV*5.0*14 GMRV*5.0*3 GMRV*5.0*17 GMRV*5.0*18 GMPL*2.0*27 GMPL*2.0*31 GMPL*2.0*33 MC*2.3*39 PSD*3.0*60 PSD*3.0*63 PSD*3.0*59 PSD*3.0*66 PSD*3.0*62 PSD*3.0*65 PSD*3.0*64 PSD*3.0*67 NUR*4.0*41 NUR*4.0*40 NUR*4.0*42 MC*2.3*42 GMRV*5.0*11 GMRV*5.0*19 GMRV*5.0*22 GMRV*5.0*25 GMRV*5.0*23 Checking Install for Package OR*3.0*200 Install Questions for OR*3.0*200 Checking Install for Package OR*3.0*194 Install Questions for OR*3.0*194 Checking Install for Package OR*3.0*225 Install Questions for OR*3.0*225 Checking Install for Package OR*3.0*157 Install Questions for OR*3.0*157 Checking Install for Package OR*3.0*227 Install Questions for OR*3.0*227 Checking Install for Package OR*3.0*217 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSS*1.0*81 Install Questions for PSS*1.0*81 Checking Install for Package PSS*1.0*89 Install Questions for PSS*1.0*89 Checking Install for Package PSS*1.0*91 Install Questions for PSS*1.0*91 Checking Install for Package IB*2.0*315 Install Questions for IB*2.0*315 Checking Install for Package SR*3.0*86 Install Questions for SR*3.0*86 Checking Install for Package SR*3.0*41 Install Questions for SR*3.0*41 Checking Install for Package SR*3.0*80 Install Questions for SR*3.0*80 Checking Install for Package SR*3.0*96 Install Questions for SR*3.0*96 Checking Install for Package SR*3.0*99 Install Questions for SR*3.0*99 32

37 Checking Install for Package SR*3.0*105 Install Questions for SR*3.0*105 Checking Install for Package SR*3.0*101 Install Questions for SR*3.0*101 Checking Install for Package SR*3.0*116 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*123 Install Questions for SR*3.0*123 Checking Install for Package SR*3.0*121 Install Questions for SR*3.0*121 Checking Install for Package SR*3.0*118 Install Questions for SR*3.0*118 Checking Install for Package SR*3.0*124 Install Questions for SR*3.0*124 Checking Install for Package SR*3.0*122 Install Questions for SR*3.0*122 Checking Install for Package SR*3.0*126 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*100 Will first run the Environment Check Routine, SR100ENV Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. 133 SURGERY SITE PARAMETERS (Partial Definition) Note: You already have the 'SURGERY SITE PARAMETERS' File. 11. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. 12. At the Do you have the completed pre-installation worksheet? NO// prompt, type YES, and then press Enter. New Site Parameter: Answer the following question to define the default site parameter related to the use of the Anesthesia Report at your facility. This response will be stored for each division defined in the SURGERY SITE PARAMETERS file (#133) and may be updated after this patch is installed. 13. At the Does this facility use the Anesthesia Report? NO// prompt, type NO, and then press Enter. Starting Date for Reports to be Signed Electronically during the post-installation process, all reports for completed cases with an operation date on or after the date selected will be identified to be signed electronically and stub entries will be created in TIU. 33

38 14. At the Enter starting date for reports to be signed electronically: prompt, type TODAY//(APR 22, 2012), and then press Enter. At this point, you may make reports for historical cases viewable through CPRS. See Appendix A: for details. 15. At the Do you want to move reports during the patch installation? prompt, type NO// and then press Enter 16. Press Enter to continue. The following appears: Checking Install for Package SR*3.0*128 Install Questions for SR*3.0*128 Checking Install for Package SR*3.0*129 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File ATTENDING CODES (including data) Checking Install for Package SR*3.0*132 Install Questions for SR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package SR*3.0*125 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File PERIOPERATIVE OCCURRENCE CATEGORY (including data) Note: You already have the 'PERIOPERATIVE OCCURRENCE CATEGORY' File. I will OVERWRITE your data with mine. 18. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package SR*3.0*135 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*127 Install Questions for SR*3.0*127 Checking Install for Package SR*3.0*130 Install Questions for SR*3.0*130 Checking Install for Package SR*3.0*136 Install Questions for SR*3.0*136 Checking Install for Package SR*3.0*138 Install Questions for SR*3.0*138 Checking Install for Package SR*3.0*137 Install Questions for SR*3.0*137 Checking Install for Package SR*3.0*131 Install Questions for SR*3.0*131 Checking Install for Package SR*3.0*134 Install Questions for SR*3.0*134 34

39 130 SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*141 Install Questions for SR*3.0*141 Checking Install for Package SR*3.0*140 Install Questions for SR*3.0*140 Checking Install for Package SR*3.0*143 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*119 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. 133 SURGERY SITE PARAMETERS (Partial Definition) Note: You already have the 'SURGERY SITE PARAMETERS' File SURGERY WAITING LIST (Partial Definition) Note: You already have the 'SURGERY WAITING LIST' File. Checking Install for Package SR*3.0*145 Install Questions for SR*3.0*145 Checking Install for Package SR*3.0*147 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*149 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*150 Install Questions for SR*3.0* SURGERY SITE PARAMETERS (Partial Definition) Note: You already have the 'SURGERY SITE PARAMETERS' File. Checking Install for Package SR*3.0*148 Install Questions for SR*3.0*148 Checking Install for Package SR*3.0*151 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*155 Install Questions for SR*3.0*155 Checking Install for Package SR*3.0*142 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. 136 SURGERY PROCEDURE/DIAGNOSIS CODES *BUT YOU ALREADY HAVE 'SURGERY TRANSCRIPTION' AS FILE #136! 19. At the Shall I write over your SURGERY TRANSCRIPTION File? prompt, type YES//, and then press Enter. 20. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: 35

40 Checking Install for Package SR*3.0*146 Install Questions for SR*3.0* SURGERY SITE PARAMETERS (Partial Definition) Note: You already have the 'SURGERY SITE PARAMETERS' File. 21. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package SR*3.0*152 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File SURGERY WAITING LIST (Partial Definition) Note: You already have the 'SURGERY WAITING LIST' File. 136 SURGERY PROCEDURE/DIAGNOSIS CODES (Partial Definition) *BUT YOU ALREADY HAVE 'SURGERY TRANSCRIPTION' AS FILE #136! 22. At the Shall I write over your SURGERY TRANSCRIPTION File? YES// prompt, type YES, and then press Enter. 23. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package SR*3.0*144 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. 24. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group 'SR CONSULT':, and then press Enter. The following appears: Checking Install for Package SR*3.0*156 Install Questions for SR*3.0*156 Checking Install for Package SR*3.0*154 Install Questions for SR*3.0*154 Checking Install for Package SR*3.0*158 Install Questions for SR*3.0*158 Checking Install for Package SR*3.0*153 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File PERIOPERATIVE OCCURRENCE CATEGORY (including data) Note: You already have the 'PERIOPERATIVE OCCURRENCE CATEGORY' File. I will OVERWRITE your data with mine. Checking Install for Package SR*3.0*157 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package GMRY*4.0*6 Install Questions for GMRY*4.0*6 Checking Install for Package FH*5.0*40 Install Questions for FH*5.0*40 36

41 117 MEALS SERVED (Partial Definition) Note: You already have the 'MEALS SERVED' File FH SITE PARAMETERS (Partial Definition) Note: You already have the 'FH SITE PARAMETERS' File. Checking Install for Package FH*5.0*41 Install Questions for FH*5.0*41 Checking Install for Package GMRC*3.0*33 Install Questions for GMRC*3.0*33 Checking Install for Package GMRC*3.0*32 Install Questions for GMRC*3.0* REQUEST ACTION TYPES (including data) Note: You already have the 'REQUEST ACTION TYPES' File. I will OVERWRITE your data with mine. 25. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package GMRC*3.0*35 Install Questions for GMRC*3.0*35 Checking Install for Package GMRC*3.0*41 Install Questions for GMRC*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package GMRC*3.0*40 Install Questions for GMRC*3.0* REQUEST SERVICES (Partial Definition) Note: You already have the 'REQUEST SERVICES' File. Checking Install for Package GMRC*3.0*38 Install Questions for GMRC*3.0* REQUEST/CONSULTATION Note: You already have the 'REQUEST/CONSULTATION' File. Checking Install for Package GMRC*3.0*43 Install Questions for GMRC*3.0*43 Checking Install for Package GMRC*3.0*37 Install Questions for GMRC*3.0*37 Checking Install for Package GMRC*3.0*39 Install Questions for GMRC*3.0*39 Checking Install for Package GMRC*3.0*45 Install Questions for GMRC*3.0*45 Checking Install for Package GMRC*3.0*49 Install Questions for GMRC*3.0* REQUEST/CONSULTATION (Partial Definition) Note: You already have the 'REQUEST/CONSULTATION' File REQUEST ACTION TYPES (Partial Definition) Note: You already have the 'REQUEST ACTION TYPES' File. Checking Install for Package GMRC*3.0*52 Install Questions for GMRC*3.0* REQUEST/CONSULTATION (Partial Definition) Note: You already have the 'REQUEST/CONSULTATION' File REQUEST SERVICES (Partial Definition) 37

42 Note: You already have the 'REQUEST SERVICES' File. 27. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package GMRC*3.0*51 Install Questions for GMRC*3.0*51 Checking Install for Package GMRC*3.0*42 Will first run the Environment Check Routine, GMRCYP42 No conflicts with service being filed. Install Questions for GMRC*3.0*42 Checking Install for Package GMRV*5.0*12 Install Questions for GMRV*5.0*12 Checking Install for Package GMRV*5.0*9 Will first run the Environment Check Routine, GMRVP59 Install Questions for GMRV*5.0*9 Checking Install for Package GMRV*5.0*13 Install Questions for GMRV*5.0*13 Checking Install for Package GMRV*5.0*14 Install Questions for GMRV*5.0*14 Checking Install for Package GMRV*5.0*3 Install Questions for GMRV*5.0*3 28. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//, type NO, and then press Enter. The following appears: Checking Install for Package GMRV*5.0*17 Install Questions for GMRV*5.0*17 Checking Install for Package GMRV*5.0*18 Install Questions for GMRV*5.0*18 Checking Install for Package GMPL*2.0*27 Install Questions for GMPL*2.0*27 Checking Install for Package GMPL*2.0*31 Install Questions for GMPL*2.0*31 Checking Install for Package GMPL*2.0*33 Install Questions for GMPL*2.0*33 Checking Install for Package MC*2.3*39 Install Questions for MC*2.3*39 Checking Install for Package PSD*3.0*60 Install Questions for PSD*3.0*60 Checking Install for Package PSD*3.0*63 Install Questions for PSD*3.0*63 Checking Install for Package PSD*3.0*59 Install Questions for PSD*3.0*59 Checking Install for Package PSD*3.0*66 Install Questions for PSD*3.0*66 Checking Install for Package PSD*3.0*62 Install Questions for PSD*3.0*62 Checking Install for Package PSD*3.0*65 Install Questions for PSD*3.0*65 Checking Install for Package PSD*3.0*64 Install Questions for PSD*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//, type NO, and then press Enter. Checking Install for Package PSD*3.0*67 38

43 Install Questions for PSD*3.0*67 Checking Install for Package NUR*4.0*41 Install Questions for NUR*4.0*41 Checking Install for Package NUR*4.0*40 Install Questions for NUR*4.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package NUR*4.0*42 Install Questions for NUR*4.0*42 Checking Install for Package MC*2.3*42 Install Questions for MC*2.3*42 Checking Install for Package GMRV*5.0*11 Install Questions for GMRV*5.0*11 Checking Install for Package GMRV*5.0*19 Install Questions for GMRV*5.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package GMRV*5.0*22 Install Questions for GMRV*5.0*22 Checking Install for Package GMRV*5.0*25 Install Questions for GMRV*5.0*25 Checking Install for Package GMRV*5.0*23 Install Questions for GMRV*5.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. 33. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 34. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 35. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. The following appears: DEVICE: HOME// VIRTUAL Complete OR*3.0*200 Install Started for OR*3.0*200: Apr 22, 2010@07:19:44 Build Distribution Date: Feb 23, 2004 Apr 22, 2010@07:19:44 OR*3.0*200 Installed. Apr 22, 2010@07:19:45 OR*3.0*194 39

44 Install Started for OR*3.0*194: Apr 22, Build Distribution Date: Sep 02, 2004 Apr 22, OR*3.0*194 Installed. Apr 22, Install Started for OR*3.0*225: Apr 22, Build Distribution Date: Oct 07, 2004 Apr 22, OR*3.0*225 Installed. Apr 22, Install Started for OR*3.0*157: Apr 22, Build Distribution Date: Oct 26, 2004 Apr 22, OR*3.0*157 Installed. Apr 22, OR*3.0*227 Install Started for OR*3.0*227: Apr 22, Build Distribution Date: Dec 01, 2004 Apr 22, OR*3.0*227 Installed. Apr 22, OR*3.0*217 Install Started for OR*3.0*217: Apr 22, Build Distribution Date: Oct 29, 2004 Apr 22, Installing OPTION Apr 22, OR*3.0*217 Installed. Apr 22, PSS*1.0*81 Install Started for PSS*1.0*81: Apr 22, Build Distribution Date: Oct 08, 2004 Apr 22, 40

45 PSS*1.0*81 Installed. Apr 22, PSS*1.0*89 Install Started for PSS*1.0*89: Apr 22, Build Distribution Date: Oct 26, 2004 Apr 22, Running Post-Install Routine: Creating Pharmacy Patient non-va med cross-reference. Creating Pharmacy Patient cross-references. PSS*1.0*89 Installed. Apr 22, PSS*1.0*91 Install Started for PSS*1.0*91: Apr 22, Build Distribution Date: Nov 23, 2004 Apr 22, PSS*1.0*91 Installed. Apr 22, IB*2.0*315 Install Started for IB*2.0*315: Apr 22, Build Distribution Date: Feb 26, 2010 Apr 22, IB*2.0*315 Installed. Apr 22, SR*3.0*86 Install Started for SR*3.0*86: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*86 Installed. Apr 22, SR*3.0*41 Install Started for SR*3.0*41: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*41 Installed. Apr 22, SR*3.0*80 41

46 Install Started for SR*3.0*80: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*80 Installed. Apr 22, SR*3.0*96 Install Started for SR*3.0*96: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*96 Installed. Apr 22, SR*3.0*99 Install Started for SR*3.0*99: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*99 Installed. Apr 22, SR*3.0*105 Install Started for SR*3.0*105: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*105 Installed. Apr 22, SR*3.0*101 Install Started for SR*3.0*101: Apr 22, Build Distribution Date: Feb 25, 2010 Apr 22, SR*3.0*101 Installed. Apr 22, SR*3.0*116 Install Started for SR*3.0*116: Apr 22, Build Distribution Date: Jul 29, 2003 Apr 22, Apr 22, SR*3.0*116 Installed. Apr 22, 42

47 SR*3.0*123 Install Started for SR*3.0*123: Apr 22, Build Distribution Date: Sep 22, 2003 Apr 22, Running Post-Install Routine: Surgery Quarterly Report for Quarter #3 of FY03 queued... Surgery Quarterly Report for Quarter #4 of FY03 queued... SR*3.0*123 Installed. Apr 22, SR*3.0*121 Install Started for SR*3.0*121: Apr 22, Build Distribution Date: Aug 01, 2003 Apr 22, SR*3.0*121 Installed. Apr 22, SR*3.0*118 Install Started for SR*3.0*118: Apr 22, Build Distribution Date: Aug 18, 2003 Apr 22, SR*3.0*118 Installed. Apr 22, SR*3.0*124 Install Started for SR*3.0*124: Apr 22, Build Distribution Date: Aug 18, 2003 Apr 22, SR*3.0*124 Installed. Apr 22, SR*3.0*122 Install Started for SR*3.0*122: Apr 22, Build Distribution Date: Jan 07, 2004 Apr 22, Installing HL LOGICAL LINK Apr 22, Running Post-Install Routine: SR Notification of Appointment Booking SUCCESSFULLY UPDATED SR Notification of Appointment Cancellation SUCCESSFULLY UPDATED SR Notification of Appointment Deletion SUCCESSFULLY UPDATED SR Notification of Appointment Modification SUCCESSFULLY UPDATED 43

48 SR Notification of Appointment Rescheduling SUCCESSFULLY UPDATED SR Other Master File Notification SUCCESSFULLY UPDATED SR Query for Scheduling Information SUCCESSFULLY UPDATED SR Receiver of Appointment Cancellation SUCCESSFULLY UPDATED SR Receiver of Appointment Deletion SUCCESSFULLY UPDATED SR Receiver of Appointment Modification SUCCESSFULLY UPDATED SR Receiver of Appointment Rescheduling SUCCESSFULLY UPDATED SR Receiver of Master File Notification SUCCESSFULLY UPDATED SR Receiver of New Appointment Booking SUCCESSFULLY UPDATED SR Receiver of Observation Unsolicited SUCCESSFULLY UPDATED SR Receiver of Scheduling Query SUCCESSFULLY UPDATED SR Receiver of Staff Master File Notification SUCCESSFULLY UPDATED SR Receiver of Unsolicited Requested Observation SUCCESSFULLY UPDATED SR Staff Master File Notification SUCCESSFULLY UPDATED SR Unsolicited transmission of AAIS Requested Observation SUCCESSFULLY UPDATED SR Unsolicited transmission of VistA Requested Observation SUCCESSFULLY UPDATED PROTOCOL UPDATE COMPLETE SR*3.0*122 Installed. Apr 22, SR*3.0*126 Install Started for SR*3.0*126: Apr 22, Build Distribution Date: Mar 02, 2004 Apr 22, Apr 22, Installing INPUT TEMPLATE Apr 22, Running Post-Install Routine:...Converting existing data related to Ensuring Correct Surgery... SR*3.0*126 Installed. Apr 22, SR*3.0*100 Install Started for SR*3.0*100: Apr 22, Build Distribution Date: Mar 03, 2004 Apr 22, Running Pre-Install Routine: PRE^SR100UTL Apr 22, Installing INPUT TEMPLATE Installing OPTION Apr 22, Running Post-Install Routine: POST^SR100UTL SR*3*100 post-install process queued... SR*3.0*100 Installed. Apr 22, SR*3.0*128 44

49 Install Started for SR*3.0*128: Apr 22, Build Distribution Date: Apr 22, 2004 Apr 22, Installing INPUT TEMPLATE Apr 22, SR*3.0*128 Installed. Apr 22, SR*3.0*129 Install Started for SR*3.0*129: Apr 22, Build Distribution Date: Jul 27, 2004 Apr 22, Running Pre-Install Routine: PRE^SR129UTL Apr 22, Installing Data: Apr 22, Installing INPUT TEMPLATE Apr 22, Running Post-Install Routine: POST^SR129UTL Populating new ATTENDING CODE field and replicating CORRECT SURGERY COMMENTS field for existing cases as appropriate... Surgery Quarterly Report for Quarter #2 of FY04 queued... Surgery Quarterly Report for Quarter #3 of FY04 queued... SR*3.0*129 Installed. Apr 22, SR*3.0*132 Install Started for SR*3.0*132: Apr 22, Build Distribution Date: Aug 05, 2004 Apr 22, Installing OPTION Apr 22, SR*3.0*132 Installed. Apr 22, SR*3.0*125 Install Started for SR*3.0*125: Apr 22, Build Distribution Date: Aug 09, 2004 Apr 22, Running Pre-Install Routine: PRE^SR125UTL Apr 22, Installing Data: Apr 22, 45

50 Installing INPUT TEMPLATE Installing OPTION Apr 22, SR*3.0*125 Installed. Apr 22, SR*3.0*135 Install Started for SR*3.0*135: Apr 22, Build Distribution Date: Sep 01, 2004 Apr 22, Apr 22, SR*3.0*135 Installed. Apr 22, SR*3.0*127 Install Started for SR*3.0*127: Apr 22, Build Distribution Date: Jul 30, 2004 Apr 22, SR*3.0*127 Installed. Apr 22, SR*3.0*130 Install Started for SR*3.0*130: Apr 22, Build Distribution Date: Jul 20, 2004 Apr 22, SR*3.0*130 Installed. Apr 22, Install Message sent SR*3.0*136 Install Started for SR*3.0*136: Apr 22, Build Distribution Date: Sep 23, 2004 Apr 22, SR*3.0*136 Installed. Apr 22, SR*3.0*138 Install Started for SR*3.0*138: Apr 22, Build Distribution Date: Oct 14, 2004 Apr 22, 46

51 SR*3.0*138 Installed. Apr 22, SR*3.0*137 Install Started for SR*3.0*137: Apr 22, Build Distribution Date: Oct 14, 2004 Apr 22, SR*3.0*137 Installed. Apr 22, SR*3.0*131 Install Started for SR*3.0*131: Apr 22, Build Distribution Date: Jul 22, 2004 Apr 22, SR*3.0*131 Installed. Apr 22, SR*3.0*134 Install Started for SR*3.0*134: Apr 22, Build Distribution Date: Dec 09, 2004 Apr 22, Apr 22, SR*3.0*134 Installed. Apr 22, SR*3.0*141 Install Started for SR*3.0*141: Apr 22, Build Distribution Date: Jan 05, 2005 Apr 22, SR*3.0*141 Installed. Apr 22, SR*3.0*140 Install Started for SR*3.0*140: Apr 22, Build Distribution Date: Jan 05, 2005 Apr 22, SR*3.0*140 Installed. Apr 22, 47

52 SR*3.0*143 Install Started for SR*3.0*143: Apr 22, Build Distribution Date: Feb 22, 2005 Apr 22, Apr 22, Installing INPUT TEMPLATE Apr 22, SR*3.0*143 Installed. Apr 22, SR*3.0*119 Install Started for SR*3.0*119: Apr 22, Build Distribution Date: Aug 05, 2005 Apr 22, Apr 22, Installing INPUT TEMPLATE Apr 22, Running Post-Install Routine: ^SR119PI SR*3.0*119 Installed. Apr 22, SR*3.0*145 Install Started for SR*3.0*145: Apr 22, Build Distribution Date: Jun 22, 2005 Apr 22, SR*3.0*145 Installed. Apr 22, SR*3.0*147 Install Started for SR*3.0*147: Apr 22, Build Distribution Date: Aug 25, 2005 Apr 22, Apr 22, Updating KIDS files SR*3.0*147 Installed. Apr 22, SR*3.0*149 Install Started for SR*3.0*149: Apr 22, Build Distribution Date: Sep 23,

53 Apr 22, Apr 22, SR*3.0*149 Installed. Apr 22, SR*3.0*150 Install Started for SR*3.0*150: Apr 22, Build Distribution Date: Dec 05, 2005 Apr 22, Apr 22, Installing INPUT TEMPLATE Apr 22, SR*3.0*150 Installed. Apr 22, SR*3.0*148 Install Started for SR*3.0*148: Apr 22, Build Distribution Date: Sep 01, 2005 Apr 22, SR*3.0*148 Installed. Apr 22, SR*3.0*151 Install Started for SR*3.0*151: Apr 22, Build Distribution Date: Dec 15, 2005 Apr 22, Apr 22, SR*3.0*151 Installed. Apr 22, SR*3.0*155 Install Started for SR*3.0*155: Apr 22, Build Distribution Date: Feb 22, 2006 Apr 22, SR*3.0*155 Installed. Apr 22, 49

54 SR*3.0*142 Install Started for SR*3.0*142: Apr 22, Build Distribution Date: Mar 08, 2006 Apr 22, Running Pre-Install Routine: PRE^SROCD4 Apr 22, Installing INPUT TEMPLATE Installing OPTION Apr 22, Running Post-Install Routine: CONV^SROCD4 Converting coding data from file 130 to file Total cases converted: SR*3.0*142 Installed. Apr 22, SR*3.0*146 Install Started for SR*3.0*146: Apr 22, Build Distribution Date: Mar 08, 2006 Apr 22, Apr 22, Installing INPUT TEMPLATE Installing OPTION Apr 22, Running Post-Install Routine: POST^SR146UTL SR*3.0*146 Installed. Apr 22, SR*3.0*152 Install Started for SR*3.0*152: Apr 22, Build Distribution Date: Apr 18, 2006 Apr 22, Apr 22, Installing OPTION Apr 22, SR*3.0*152 Installed. Apr 22, SR*3.0*144 Install Started for SR*3.0*144: Apr 22, Build Distribution Date: Apr 06, 2006 Apr 22, 50

55 Apr 22, Installing MAIL GROUP Installing PROTOCOL Apr 22, SR*3.0*144 Installed. Apr 22, SR*3.0*156 Install Started for SR*3.0*156: Apr 22, Build Distribution Date: May 31, 2006 Apr 22, SR*3.0*156 Installed. Apr 22, SR*3.0*154 Install Started for SR*3.0*154: Apr 22, Build Distribution Date: May 04, 2006 Apr 22, SR*3.0*154 Installed. Apr 22, SR*3.0*158 Install Started for SR*3.0*158: Apr 22, Build Distribution Date: Jun 22, 2006 Apr 22, Running Post-Install Routine: POST^SR158UTL SR*3.0*158 Installed. Apr 22, SR*3.0*153 Install Started for SR*3.0*153: Apr 22, Build Distribution Date: Jul 17, 2006 Apr 22, Running Pre-Install Routine: PRE^SR153UTL Apr 22, Installing Data: Apr 22, Installing INPUT TEMPLATE Apr 22, Running Post-Install Routine: POST^SR153UTL 51

56 SR*3.0*153 Installed. Apr 22, SR*3.0*157 Install Started for SR*3.0*157: Apr 22, Build Distribution Date: Sep 12, 2006 Apr 22, Running Pre-Install Routine: PRE^SR157UTL Apr 22, Installing INPUT TEMPLATE Apr 22, SR*3.0*157 Installed. Apr 22, GMRY*4.0*6 Install Started for GMRY*4.0*6: Apr 22, Build Distribution Date: Oct 04, 2004 Apr 22, GMRY*4.0*6 Installed. Apr 22, FH*5.0*40 Install Started for FH*5.0*40: Apr 22, Build Distribution Date: Oct 27, 2003 Apr 22, Apr 22, Installing INPUT TEMPLATE Apr 22, Running Post-Install Routine: ^FHPST40 RESTORING MEALS SERVED DATA... RESTORING STAFFING DATA... FH*5.0*40 Installed. Apr 22, FH*5.0*41 Install Started for FH*5.0*41: Apr 22, Build Distribution Date: Apr 19, 2004 Apr 22, FH*5.0*41 Installed. Apr 22, 52

57 GMRC*3.0*33 Install Started for GMRC*3.0*33: Apr 22, Build Distribution Date: Jul 31, 2003 Apr 22, GMRC*3.0*33 Installed. Apr 22, GMRC*3.0*32 Install Started for GMRC*3.0*32: Apr 22, Build Distribution Date: May 23, 2003 Apr 22, Apr 22, Installing Data: Apr 22, Installing PROTOCOL Installing LIST TEMPLATE Installing OPTION Apr 22, GMRC*3.0*32 Installed. Apr 22, GMRC*3.0*35 Install Started for GMRC*3.0*35: Apr 22, Build Distribution Date: Aug 21, 2003 Apr 22, GMRC*3.0*35 Installed. Apr 22, GMRC*3.0*41 Install Started for GMRC*3.0*41: Apr 22, Build Distribution Date: Apr 08, 2005 Apr 22, Running Pre-Install Routine: PRE^GMRCYP41 Installing OPTION Apr 22, Running Post-Install Routine: POST^GMRCYP41 GMRC*3.0*41 Installed. Apr 22, GMRC*3.0*40 Install Started for GMRC*3.0*40: Apr 22, Build Distribution Date: Feb 28,

58 Apr 22, Apr 22, GMRC*3.0*40 Installed. Apr 22, GMRC*3.0*38 Install Started for GMRC*3.0*38: Apr 22, Build Distribution Date: Dec 09, 2004 Apr 22, Apr 22, GMRC*3.0*38 Installed. Apr 22, GMRC*3.0*43 Install Started for GMRC*3.0*43: Apr 22, Build Distribution Date: Mar 15, 2005 Apr 22, GMRC*3.0*43 Installed. Apr 22, GMRC*3.0*37 Install Started for GMRC*3.0*37: Apr 22, Build Distribution Date: Oct 07, 2004 Apr 22, GMRC*3.0*37 Installed. Apr 22, GMRC*3.0*39 Install Started for GMRC*3.0*39: Apr 22, Build Distribution Date: Jul 11, 2005 Apr 22, GMRC*3.0*39 Installed. Apr 22, GMRC*3.0*45 Install Started for GMRC*3.0*45: Apr 22, Build Distribution Date: Nov 29, 2005 Apr 22, 54

59 GMRC*3.0*45 Installed. Apr 22, GMRC*3.0*49 Install Started for GMRC*3.0*49: Apr 22, Build Distribution Date: Jan 19, 2006 Apr 22, Apr 22, GMRC*3.0*49 Installed. Apr 22, GMRC*3.0*52 Install Started for GMRC*3.0*52: Apr 22, Build Distribution Date: Jun 28, 2006 Apr 22, Running Pre-Install Routine: PRE^GMRC3P52 Apr 22, Installing PROTOCOL Installing LIST TEMPLATE Installing OPTION Apr 22, Running Post-Install Routine: POST^GMRC3P52 ***** Adding option 'Service Consults Schedule-Management Report' to 'Consult Tracking Reports' menu. GMRC*3.0*52 Installed. Apr 22, GMRC*3.0*51 Install Started for GMRC*3.0*51: Apr 22, Build Distribution Date: May 18, 2006 Apr 22, GMRC*3.0*51 Installed. Apr 22, GMRC*3.0*42 Install Started for GMRC*3.0*42: Apr 22, Build Distribution Date: Jan 13, 2006 Apr 22, Running Pre-Install Routine: PRE^GMRCYP42 Adding CARE COORDINATION HOME TELEHEALTH SCREENING as a new consult service in the REQUEST SERVICES (#123.5) file. 55

60 Pre-init complete. Running Post-Install Routine: POST^GMRCYP42 Adding CARE COORDINATION HOME TELEHEALTH SCREENING as a sub-service to ALL SERVICES in the REQUEST SERVICES (#123.5) file. Post-init complete. GMRC*3.0*42 Installed. Apr 22, 2010@07:20:07 Install Message sent GMRV*5.0*12 Install Started for GMRV*5.0*12: Apr 22, 2010@07:20:07 Build Distribution Date: Jul 05, 2005 Apr 22, 2010@07:20:07 Running Post-Install Routine: EN^GMV12PST GMRV*5.0*12 Installed. Apr 22, 2010@07:20:07 GMRV*5.0*9 Install Started for GMRV*5.0*9: Apr 22, 2010@07:20:07 Build Distribution Date: Aug 05, 2005 Apr 22, 2010@07:20:07 Running Pre-Install Routine: PRE^GMRVP59 GMRV*5.0*9 Installed. Apr 22, 2010@07:20:07 GMRV*5.0*13 Install Started for GMRV*5.0*13: Apr 22, 2010@07:20:07 Build Distribution Date: Oct 17, 2005 Apr 22, 2010@07:20:07 GMRV*5.0*13 Installed. Apr 22, 2010@07:20:07 GMRV*5.0*14 Install Started for GMRV*5.0*14: Apr 22, 2010@07:20:07 Build Distribution Date: Nov 02, 2005 Apr 22, 2010@07:20:07 Running Pre-Install Routine: ^GMRVP514 GMRV*5.0*14 Installed. Apr 22, 2010@07:20:07 GMRV*5.0*3 Install Started for GMRV*5.0*3: Apr 22, 2010@07:20:07 56

61 Build Distribution Date: Mar 20, 2006 Apr 22, Installing REMOTE PROCEDURE Installing OPTION Installing PARAMETER DEFINITION Apr 22, Running Post-Install Routine: ^GMV3PST Updating system parameters. Updating DLL parameter. GMRV*5.0*3 Installed. Apr 22, GMRV*5.0*17 Install Started for GMRV*5.0*17: Apr 22, Build Distribution Date: Apr 17, 2006 Apr 22, GMRV*5.0*17 Installed. Apr 22, GMRV*5.0*18 Install Started for GMRV*5.0*18: Apr 22, Build Distribution Date: Jul 20, 2006 Apr 22, Running Post-Install Routine: ^GMV18PST Updating system parameters. GMRV*5.0*18 Installed. Apr 22, GMPL*2.0*27 Install Started for GMPL*2.0*27: Apr 22, Build Distribution Date: Oct 26, 2004 Apr 22, Running Post-Install Routine: CPROB^GMPLP27I Creating Problem List cross-reference. GMPL*2.0*27 Installed. Apr 22, GMPL*2.0*31 Install Started for GMPL*2.0*31: Apr 22, Build Distribution Date: Mar 23, 2005 Apr 22, Running Post-Install Routine: EN^GMPL31P 57

62 THE FOLLOWING PROBLEM LIST ENTRIES CONTAINED BAD ICD9 POINTERS AND HAVE BEEN MODIFIED WITH A CORRECTED POINTER PROBLEM IEN BAD POINTER CORRECTED POINTER TOTAL ITEMS WORKED = 118 TOTAL ITEMS ADJUSTED = 0 THE FOLLOWING PROBLEM LIST AUDIT ENTRIES CONTAINED BAD ICD9 POINTERS AND HAVE BEEN MODIFIED WITH A CORRECTED POINTER PROBLEM IEN BAD POINTER CORRECTED POINTER TOTAL AUDIT ITEMS WORKED = 0 TOTAL AUDIT ITEMS ADJUSTED = 0 AN ITEM IEN MAY APPEAR UP TO 2 TIMES ONE FOR EACH BAD PIECE AS THE FIFTH AND SIXTH PIECES ARE CHECKED GMPL*2.0*31 Installed. Apr 22, 2010@07:20:08 GMPL*2.0*33 Install Started for GMPL*2.0*33: Apr 22, 2010@07:20:08 Build Distribution Date: Jan 09, 2006 Apr 22, 2010@07:20:08 GMPL*2.0*33 Installed. Apr 22, 2010@07:20:08 MC*2.3*39 Install Started for MC*2.3*39: Apr 22, 2010@07:20:08 Build Distribution Date: Jul 22, 2004 Apr 22, 2010@07:20:08 MC*2.3*39 Installed. Apr 22, 2010@07:20:08 PSD*3.0*60 Install Started for PSD*3.0*60: Apr 22, 2010@07:20:08 Build Distribution Date: Jul 05, 2006 Apr 22, 2010@07:20:09 PSD*3.0*60 Installed. Apr 22, 2010@07:20:09 PSD*3.0*63 Install Started for PSD*3.0*63: Apr 22, 2010@07:20:09 Build Distribution Date: Dec 05, 2006 Apr 22, 2010@07:20:09 PSD*3.0*63 Installed. 58

63 Apr 22, PSD*3.0*59 Install Started for PSD*3.0*59: Apr 22, Build Distribution Date: May 03, 2007 Apr 22, PSD*3.0*59 Installed. Apr 22, PSD*3.0*66 Install Started for PSD*3.0*66: Apr 22, Build Distribution Date: Jun 07, 2007 Apr 22, PSD*3.0*66 Installed. Apr 22, PSD*3.0*62 Install Started for PSD*3.0*62: Apr 22, Build Distribution Date: Oct 26, 2006 Apr 22, PSD*3.0*62 Installed. Apr 22, PSD*3.0*65 Install Started for PSD*3.0*65: Apr 22, Build Distribution Date: Aug 24, 2007 Apr 22, PSD*3.0*65 Installed. Apr 22, PSD*3.0*64 Install Started for PSD*3.0*64: Apr 22, Build Distribution Date: Aug 29, 2007 Apr 22, Installing OPTION Apr 22, PSD*3.0*64 Installed. Apr 22, 59

64 PSD*3.0*67 Install Started for PSD*3.0*67: Apr 22, Build Distribution Date: Jul 14, 2008 Apr 22, PSD*3.0*67 Installed. Apr 22, NUR*4.0*41 Install Started for NUR*4.0*41: Apr 22, Build Distribution Date: May 04, 2005 Apr 22, NUR*4.0*41 Installed. Apr 22, NUR*4.0*40 Install Started for NUR*4.0*40: Apr 22, Build Distribution Date: Nov 13, 2006 Apr 22, Installing OPTION Apr 22, NUR*4.0*40 Installed. Apr 22, NUR*4.0*42 Install Started for NUR*4.0*42: Apr 22, Build Distribution Date: Jul 30, 2008 Apr 22, NUR*4.0*42 Installed. Apr 22, MC*2.3*42 Install Started for MC*2.3*42: Apr 22, Build Distribution Date: Jun 23, 2008 Apr 22, MC*2.3*42 Installed. Apr 22, GMRV*5.0*11 Install Started for GMRV*5.0*11: Apr 22, Build Distribution Date: Sep 21,

65 Apr 22, GMRV*5.0*11 Installed. Apr 22, GMRV*5.0*19 Install Started for GMRV*5.0*19: Apr 22, Build Distribution Date: Nov 13, 2006 Apr 22, Installing OPTION Apr 22, GMRV*5.0*19 Installed. Apr 22, GMRV*5.0*22 Install Started for GMRV*5.0*22:Apr 22, Build Distribution Date: Jul 08, 2008 Apr 22, Installing REMOTE PROCEDURE Apr 22, Running Post-Install Routine: EN^GMV22PST Updating system parameters. Updating DLL parameter. Checking STANDING qualifier... Checking input template definitions... GMRV*5.0*22 Installed. Apr 22, GMRV*5.0*25 Install Started for GMRV*5.0*25: Apr 22, Build Distribution Date: Feb 13, 2009 Apr 22, Running Post-Install Routine: QUEUE^GMVZEROS Starting FIX^GMVZEROS as a background task. Task has started. I'll send you a MailMan message when I finish. GMRV*5.0*25 Installed. Apr 22, 2010@07:20:11 GMRV*5.0*23 Install Started for GMRV*5.0*23: Apr 22, 2010@07:20:11 Build Distribution Date: Aug 18, 2009 Apr 22, 2010@07:20:11 61

66 Installing REMOTE PROCEDURE Installing OPTION Apr 22, Running Post-Install Routine: ^GMV23PST Updating system parameters. Updating DLL parameter. GMRV*5.0*23 Installed. Apr 22, Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 5.4 Mega Build III (ehr_ mb3) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation, and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 4. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb3.k, and then press Enter. Note: The location of the ehr_ mb3.k file may not be in this folder. This is determined individually for each installation. 62

67 The following appears: KIDS Distribution saved on Feb 25, Comment: Mega Build 3 This Distribution contains Transport Globals for the following Package(s): PSS*1.0*59 IB*2.0*260 PSJ*5.0*111 ORRC*1.0*1 IBD*3.0*51 OR*3.0*195 XOBU 1.5 XOBV 1.5 XOBV*1.5*1 OR*3.0*216 OR*3.0*226 OR*3.0*210 OR*3.0*231 OR*3.0*229 OR*3.0*211 OR*3.0*234 OR*3.0*235 PSS*1.0*83 PSS*1.0*87 PSO*7.0*161 PSO*7.0*195 PSO*7.0*196 PSO*7.0*202 PSO*7.0*199 PSO*7.0*174 PSS*1.0*86 PSS*1.0*95 PSS*1.0*96 PSO*7.0*203 PSO*7.0*205 PSO*7.0*210 PSO*7.0*204 PSO*7.0*209 PSO*7.0*215 PSO*7.0*143 PSO*7.0*198 PSO*7.0*221 PSO*7.0*219 PSO*7.0*212 PSO*7.0*211 PSO*7.0*216 PSO*7.0*220 PSO*7.0*213 PSO*7.0*218 PSO*7.0*207 PSO*7.0*226 PSO*7.0*227 PSO*7.0*229 PSO*7.0*230 PSO*7.0*223 PSO*7.0*235 PSO*7.0*242 PSO*7.0*214 PSB*3.0*8 PSB*3.0*23 PSB*3.0*24 63

68 PSB*3.0*27 PSB*3.0*29 PSS*1.0*97 PSS*1.0*101 PSS*1.0*102 PSS*1.0*103 PSS*1.0*105 PSS*1.0*100 PSS*1.0*104 PSS*1.0*98 PSS*1.0*93 PSS*1.0*90 PSS*1.0*107 PSS*1.0*106 PSS*1.0*113 PSS*1.0*92 PSS*1.0*110 PSS*1.0*115 PSS*1.0*108 PSS*1.0*112 PSJ*5.0*127 PSJ*5.0*128 PSJ*5.0*132 PSJ*5.0*125 PSJ*5.0*131 PSJ*5.0*112 PSJ*5.0*124 PSJ*5.0*136 PSJ*5.0*126 PSJ*5.0*133 PSJ*5.0*144 PSJ*5.0*135 PSJ*5.0*139 PSJ*5.0*137 PSJ*5.0*140 PSJ*5.0*151 PSJ*5.0*147 PSJ*5.0*142 PSJ*5.0*153 PSJ*5.0*130 PSJ*5.0*163 PSJ*5.0*149 PSJ*5.0*129 PSJ*5.0*146 PSJ*5.0*150 PSJ*5.0*138 GMRA*4.0*17 GMRA*4.0*19 GMRA*4.0*18 GMRA*4.0*22 GMRA*4.0*21 Dis tribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... PSS*1.0*59 IB*2.0*260 PSJ*5.0*111 64

69 ORRC*1.0*1 IBD*3.0*51 Build OR*3.0*195 has an Environmental Check Routine 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: OR*3.0*195 Will first run the Environment Check Routine, ORY195V XOBU 1.5 Will first run the Environment Check Routine, XOBUENV >>> Checking environment... >>> VistALink environment check completed for KIDS Load a Distribution option. XOBV 1.5 XOBV*1.5*1 OR*3.0*216 OR*3.0*226 OR*3.0*210 OR*3.0*231 OR*3.0*229 OR*3.0*211 OR*3.0*234 OR*3.0*235 PSS*1.0*83 PSS*1.0*87 PSO*7.0*161 PSO*7.0*195 PSO*7.0*196 PSO*7.0*202 PSO*7.0*199 PSO*7.0*174 PSS*1.0*86 PSS*1.0*95 PSS*1.0*96 PSO*7.0*203 PSO*7.0*205 PSO*7.0*210 PSO*7.0*204 PSO*7.0*209 PSO*7.0*215 PSO*7.0*143 PSO*7.0*198 PSO*7.0*221 PSO*7.0*219 PSO*7.0*212 PSO*7.0*211 PSO*7.0*216 PSO*7.0*220 PSO*7.0*213 PSO*7.0*218 PSO*7.0*207 PSO*7.0*226 PSO*7.0*227 PSO*7.0*229 PSO*7.0*230 PSO*7.0*223 PSO*7.0*235 PSO*7.0*242 *7.0*214 65

70 PSB*3.0*8 PSB*3.0*23 PSB*3.0*24 PSB*3.0*27 PSB*3.0*29 PSS*1.0*97 PSS*1.0*101 PSS*1.0*102 PSS*1.0*103 PSS*1.0*105 PSS*1.0*100 PSS*1.0*104 PSS*1.0*98 PSS*1.0*93 PSS*1.0*90 PSS*1.0*107 PSS*1.0*106 PSS*1.0*113 PSS*1.0*92 PSS*1.0*110 PSS*1.0*115 PSS*1.0*108 PSS*1.0*112 PSJ*5.0*127 PSJ*5.0*128 PSJ*5.0*132 PSJ*5.0*125 PSJ*5.0*131 PSJ*5.0*112 PSJ*5.0*124 PSJ*5.0*136 PSJ*5.0*126 PSJ*5.0*133 PSJ*5.0*144 PSJ*5.0*135 PSJ*5.0*139 PSJ*5.0*137 PSJ*5.0*140 PSJ*5.0*151 PSJ*5.0*147 PSJ*5.0*142 PSJ*5.0*153 PSJ*5.0*130 PSJ*5.0*163 PSJ*5.0*149 PSJ*5.0*129 PSJ*5.0*146 PSJ*5.0*150 PSJ*5.0*138 GMRA*4.0*17 GMRA*4.0*19 GMRA*4.0*18 GMRA*4.0*22 GMRA*4.0*21 7. At the INSTALL NAME: prompt, type PSS*1.0*59, and then press Enter to install this distribution. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 66

71 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 8. At the Select Installation Option: prompt, type 6: Install Package(s), and then press Enter. 9. At the Select INSTALL NAME: prompt, type PSS*1.0*59, and then press Enter. The following appears: Loaded from Distribution Loaded from Distribution 4/23/10@11:09:27 => CPRS 27 Mega Build 3; Created on Feb 25, 2010@12:38:32 This Distribution was loaded on Apr 23, 2010@11:09:27 with header of CPRS 27 Mega Build 3; Created on Feb 25, 2010@12:38:32 It consisted of the following Install(s): PSS*1.0*59 IB*2.0*260 PSJ*5.0*111 ORRC*1.0*1 IBD*3.0*51 OR*3.0*195 XOBU 1.5 XOBV 1.5 XOBV*1.5*1 OR*3.0*216 OR*3.0*226 OR*3.0*210 OR*3.0*231 OR*3.0*229 OR*3.0*211 OR*3.0*234 OR*3.0*235 PSS*1.0*83 PSS*1.0*87 PSO*7.0*161 PSO*7.0*195 PSO*7.0*196 PSO*7.0*202 PSO*7.0*199 PSO*7.0*174 PSS*1.0*86 PSS*1.0*95 PSS*1.0*96 PSO*7.0*203 PSO*7.0*205 PSO*7.0*210 PSO*7.0*204 PSO*7.0*209 PSO*7.0*215 PSO*7.0*143 PSO*7.0*198 PSO*7.0*221 PSO*7.0*219 PSO*7.0*212 PSO*7.0*211 PSO*7.0*216 PSO*7.0*220 PSO*7.0*213 PSO*7.0*218 PSO*7.0*207 PSO*7.0*226 PSO*7.0*227 PSO*7.0*229 PSO*7.0*230 PSO*7.0*223 PSO*7.0*235 PSO*7.0*242 PSO*7.0*214 PSB*3.0*8 PSB*3.0*23 PSB*3.0*24 PSB*3.0*27 PSB*3.0*29 PSS*1.0*97 PSS*1.0*101 PSS*1.0*102 PSS*1.0*103 PSS*1.0*105 PSS*1.0*100 PSS*1.0*104 PSS*1.0*98 PSS*1.0*93 PSS*1.0*90 PSS*1.0*107 PSS*1.0*106 PSS*1.0*113 PSS*1.0*92 PSS*1.0*110 PSS*1.0*115 PSS*1.0*108 PSS*1.0*112 PSJ*5.0*127 PSJ*5.0*128 PSJ*5.0*132 PSJ*5.0*125 PSJ*5.0*131 PSJ*5.0*112 PSJ*5.0*124 PSJ*5.0*136 PSJ*5.0*126 PSJ*5.0*133 PSJ*5.0*144 PSJ*5.0*135 PSJ*5.0*139 PSJ*5.0*137 PSJ*5.0*140 PSJ*5.0*151 PSJ*5.0*147 PSJ*5.0*142 PSJ*5.0*153 PSJ*5.0*130 PSJ*5.0*163 PSJ*5.0*149 PSJ*5.0*129 PSJ*5.0*146 PSJ*5.0*150 PSJ*5.0*138 GMRA*4.0*17 GMRA*4.0*19 GMRA*4.0*18 GMRA*4.0*22 GMRA*4.0*21 Checking Install for Package PSS*1.0*59 Install Questions for PSS*1.0* ADMINISTRATION SCHEDULE Partial Definition) Note: You already have the 'ADMINISTRATION SCHEDULE' File. 55 PHARMACY PATIENT Partial Definition) Note: You already have the 'PHARMACY PATIENT' File PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package IB*2.0*260 Install Questions for IB*2.0*260 Checking Install for Package PSJ*5.0*111 Install Questions for PSJ*5.0* NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File UNIT DOSE ORDER SET (Partial Definition) Note: You already have the 'UNIT DOSE ORDER SET' File CLINIC STOP DATES 67

72 57.8 CLINIC GROUP 10. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package ORRC*1.0*1 Install Questions for ORRC*1.0*1 11. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package IBD*3.0*51 Install Questions for IBD*3.0*51 Checking Install for Package OR*3.0*195 Will first run the Environment Check Routine, ORY195V Install Questions for OR*3.0* ORDER (Partial Definition) Note: You already have the 'ORDER' File OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine ORDER DIALOG (including data) Note: You already have the 'ORDER DIALOG' File. I will REPLACE your data with mine. 12. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package XOBU 1.5 Will first run the Environment Check Routine, XOBUENV >>>Checking environment... >>>VistALink environment check completed for KIDS Install Package option. Install Questions for XOBU FOUNDATIONS SITE PARAMETERS 13. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package XOBV 1.5 Install Questions for XOBV VISTALINK LISTENER CONFIGURATION VISTALINK LISTENER STARTUP LOG VISTALINK MESSAGE TYPE (including data) 14. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package XOBV*1.5*1 Install Questions for XOBV*1.5*1 Checking Install for Package OR*3.0*216 Install Questions for OR*3.0*216 68

73 ORDER DIALOG (including data) Note: You already have the 'ORDER DIALOG' File. I will REPLACE your data with mine. Checking Install for Package OR*3.0*226 Install Questions for OR*3.0*226 Checking Install for Package OR*3.0*210 Install Questions for OR*3.0* OE/RR NOTIFICATIONS (including data) Note: You already have the 'OE/RR NOTIFICATIONS' File. I will OVERWRITE your data with mine. Checking Install for Package OR*3.0*231 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package OR*3.0*229 Install Questions for OR*3.0*229 Checking Install for Package OR*3.0*211 Install Questions for OR*3.0* ORDERABLE ITEMS (Partial Definition) Note: You already have the 'ORDERABLE ITEMS' File. Checking Install for Package OR*3.0*234 Install Questions for OR*3.0*234 Checking Install for Package OR*3.0*235 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSS*1.0*83 Install Questions for PSS*1.0*83 Checking Install for Package PSS*1.0*87 Install Questions for PSS*1.0*87 50 DRUG (Partial Definition) Note: You already have the 'DRUG' File. 54 RX CONSULT (Partial Definition) Note: You already have the 'RX CONSULT' File PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. 17. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*161 Install Questions for PSO*7.0* OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. 18. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: 69

74 Checking Install for Package PSO*7.0*195 Install Questions for PSO*7.0*195 Checking Install for Package PSO*7.0*196 Install Questions for PSO*7.0*196 Checking Install for Package PSO*7.0*202 Install Questions for PSO*7.0*202 Checking Install for Package PSO*7.0*199 Install Questions for PSO*7.0*199 Checking Install for Package PSO*7.0*174 Install Questions for PSO*7.0*174 Checking Install for Package PSS*1.0*86 Install Questions for PSS*1.0*86 Checking Install for Package PSS*1.0*95 Install Questions for PSS*1.0*95 Checking Install for Package PSS*1.0*96 Install Questions for PSS*1.0*96 55 PHARMACY PATIENT (Partial Definition) Note: You already have the 'PHARMACY PATIENT' File. Checking Install for Package PSO*7.0*203 Install Questions for PSO*7.0*203 Checking Install for Package PSO*7.0*205 Install Questions for PSO*7.0*205 Checking Install for Package PSO*7.0*210 Install Questions for PSO*7.0*210 Checking Install for Package PSO*7.0*204 Install Questions for PSO*7.0* PRESCRIPTION REFILL REQUEST Note: You already have the 'PRESCRIPTION REFILL REQUEST' File. Checking Install for Package PSO*7.0*209 Install Questions for PSO*7.0*209 Checking Install for Package PSO*7.0*215 Install Questions for PSO*7.0* At Enter when to Queue the Tally job to run in format: prompt, enter a day and time for the queue to run and then press Enter. It is recommended that the start time take place a minimum of six to eight hours following installation expected completion time. The following appears: Checking Install for Package PSO*7.0*143 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File PENDING OUTPATIENT ORDERS (Partial Definition) Note: You already have the 'PENDING OUTPATIENT ORDERS' File. Checking Install for Package PSO*7.0*198 Install Questions for PSO*7.0*198 Checking Install for Package PSO*7.0*221 Install Questions for PSO*7.0*221 Checking Install for Package PSO*7.0*219 Install Questions for PSO*7.0*219 Checking Install for Package PSO*7.0*212 Install Questions for PSO*7.0*212 Checking Install for Package PSO*7.0*211 Install Questions for PSO*7.0*211 Checking Install for Package PSO*7.0*216 Install Questions for PSO*7.0*216 70

75 59 OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. Checking Install for Package PSO*7.0*220 Install Questions for PSO*7.0*220 Checking Install for Package PSO*7.0*213 Install Questions for PSO*7.0*213 Checking Install for Package PSO*7.0*218 Install Questions for PSO*7.0*218 Checking Install for Package PSO*7.0*207 Install Questions for PSO*7.0*207 Checking Install for Package PSO*7.0*226 Install Questions for PSO*7.0*226 Checking Install for Package PSO*7.0*227 Install Questions for PSO*7.0* TPB ELIGIBILITY (Partial Definition) Note: You already have the 'TPB ELIGIBILITY' File. Checking Install for Package PSO*7.0*229 Install Questions for PSO*7.0*229 Checking Install for Package PSO*7.0*230 Install Questions for PSO*7.0*230 Checking Install for Package PSO*7.0*223 Install Questions for PSO*7.0*223 Checking Install for Package PSO*7.0*235 Install Questions for PSO*7.0*235 Checking Install for Package PSO*7.0*242 Install Questions for PSO*7.0*242 Checking Install for Package PSO*7.0*214 Install Questions for PSO*7.0*214 Checking Install for Package PSB*3.0*8 Install Questions for PSB*3.0* BCMA BACKUP PARAMETERS Note: You already have the 'BCMA BACKUP PARAMETERS' File. 20. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSB*3.0*23 Install Questions for PSB*3.0*23 Checking Install for Package PSB*3.0*24 Install Questions for PSB*3.0*24 Checking Install for Package PSB*3.0*27 Install Questions for PSB*3.0*27 Checking Install for Package PSB*3.0*29 Install Questions for PSB*3.0* BCMA BACKUP DATA (Partial Definition) Note: You already have the 'BCMA BACKUP DATA' File. Checking Install for Package PSS*1.0*97 Install Questions for PSS*1.0*97 Checking Install for Package PSS*1.0*101 Install Questions for PSS*1.0*101 Checking Install for Package PSS*1.0*102 Install Questions for PSS*1.0* PHARMACY ORDERABLE ITEM (Partial Definition) Note: You already have the 'PHARMACY ORDERABLE ITEM' File. Checking Install for Package PSS*1.0*103 71

76 Install Questions for PSS*1.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSS*1.0*105 Install Questions for PSS*1.0*105 Checking Install for Package PSS*1.0*100 Install Questions for PSS*1.0* IV ADDITIVES (Partial Definition) Note: You already have the 'IV ADDITIVES' File. Checking Install for Package PSS*1.0*104 Install Questions for PSS*1.0*104 Checking Install for Package PSS*1.0*98 Install Questions for PSS*1.0* IV SOLUTIONS (Partial Definition) Note: You already have the 'IV SOLUTIONS' File. Checking Install for Package PSS*1.0*93 Install Questions for PSS*1.0* ADMINISTRATION SCHEDULE (Partial Definition) Note: You already have the 'ADMINISTRATION SCHEDULE' File. Checking Install for Package PSS*1.0*90 Install Questions for PSS*1.0*90 50 DRUG (Partial Definition) Note: You already have the 'DRUG' File. Checking Install for Package PSS*1.0*107 Install Questions for PSS*1.0* DRUG (Partial Definition) Note: You already have the 'DRUG' File. Checking Install for Package PSS*1.0*106 Install Questions for PSS*1.0*106 Checking Install for Package PSS*1.0*113 Install Questions for PSS*1.0*113 Checking Install for Package PSS*1.0*92 Install Questions for PSS*1.0*92 50 DRUG (Partial Definition) Note: You already have the 'DRUG' File. Checking Install for Package PSS*1.0*110 Install Questions for PSS*1.0* MEDICATION INSTRUCTION (Partial Definition) Note: You already have the 'MEDICATION INSTRUCTION' File. Checking Install for Package PSS*1.0*115 Install Questions for PSS*1.0*115 Checking Install for Package PSS*1.0*108 Install Questions for PSS*1.0*108 Checking Install for Package PSS*1.0*112 Install Questions for PSS*1.0*112 Checking Install for Package PSJ*5.0*127 Install Questions for PSJ*5.0* NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File. Checking Install for Package PSJ*5.0*128 Install Questions for PSJ*5.0*128 Checking Install for Package PSJ*5.0*132 72

77 Install Questions for PSJ*5.0*132 Checking Install for Package PSJ*5.0*125 Install Questions for PSJ*5.0*125 Checking Install for Package PSJ*5.0*131 Install Questions for PSJ*5.0*131 Checking Install for Package PSJ*5.0*112 Install Questions for PSJ*5.0* CLINIC DEFINITION 59.6 INPATIENT WARD PARAMETERS (Partial Definition) Note: You already have the 'INPATIENT WARD PARAMETERS' File. 21. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package PSJ*5.0*124 Install Questions for PSJ*5.0*124 Checking Install for Package PSJ*5.0*136 Install Questions for PSJ*5.0*136 Checking Install for Package PSJ*5.0*126 Install Questions for PSJ*5.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSJ*5.0*133 Install Questions for PSJ*5.0*133 Checking Install for Package PSJ*5.0*144 Install Questions for PSJ*5.0*144 Checking Install for Package PSJ*5.0*135 Install Questions for PSJ*5.0*135 Checking Install for Package PSJ*5.0*139 Install Questions for PSJ*5.0* IV ROOM (Partial Definition) Note: You already have the 'IV ROOM' File. Checking Install for Package PSJ*5.0*137 Install Questions for PSJ*5.0*137 Checking Install for Package PSJ*5.0*140 Install Questions for PSJ*5.0*140 Checking Install for Package PSJ*5.0*151 Install Questions for PSJ*5.0*151 Checking Install for Package PSJ*5.0*147 Install Questions for PSJ*5.0*147 Checking Install for Package PSJ*5.0*142 Install Questions for PSJ*5.0* NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File. Checking Install for Package PSJ*5.0*153 Install Questions for PSJ*5.0*153 Checking Install for Package PSJ*5.0*130 Install Questions for PSJ*5.0*130 Checking Install for Package PSJ*5.0*163 Install Questions for PSJ*5.0*163 Checking Install for Package PSJ*5.0*149 Install Questions for PSJ*5.0*149 Checking Install for Package PSJ*5.0*129 Install Questions for PSJ*5.0*129 Checking Install for Package PSJ*5.0*146 Install Questions for PSJ*5.0*146 73

78 Checking Install for Package PSJ*5.0*150 Install Questions for PSJ*5.0*150 Checking Install for Package PSJ*5.0*138 Install Questions for PSJ*5.0* At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 23. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 24. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 25. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: PSS*1.0*59 Install Started for PSS*1.0*59: Apr 23, 2010@11:11:23 Build Distribution Date: Jan 20, 2005 Apr 23, 2010@11:11:23 Apr 23, 2010@11:11:24 Installing INPUT TEMPLATE Apr 23, 2010@11:11:24 The following Routines were created during this install: PSSJXR PSSJXR1 PSSJXR10 PSSJXR11 PSSJXR12 PSSJXR13 PSSJXR14 PSSJXR15 PSSJXR16 PSSJXR17 PSSJXR18 PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25 PSSJXR26 PSSJXR27 PSSJXR28 PSSJXR29 PSSJXR3 PSSJXR30 PSSJXR31 PSSJXR32 PSSJXR4 PSSJXR5 74

79 PSSJXR6 PSSJXR7 PSSJXR8 PSSJXR9 PSS*1.0*59 Installed. Apr 23, IB*2.0*260 Install Started for IB*2.0*260: Apr 23, Build Distribution Date: Mar 01, 2010 Apr 23, IB*2.0*260 Installed. Apr 23, PSJ*5.0*111 Install Started for PSJ*5.0*111: Apr 23, Build Distribution Date: Jan 20, 2005 Apr 23, Running Pre-Install Routine: SENDMSG^PSJ0111 Apr 23, Installing INPUT TEMPLATE Installing OPTION Apr 23, The following Routines were created during this install: PSGXR3 PSGXR31 PSGXR310 PSGXR311 PSGXR312 PSGXR32 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSJ*5.0*111 Installed. Apr 23, ORRC*1.0*1 Install Started for ORRC*1.0*1: Apr 23, Build Distribution Date: Sep 23, 2004 Apr 23, Installing REMOTE PROCEDURE Installing OPTION Apr 23, 75

80 ORRC*1.0*1 Installed. Apr 23, NO Install Message IBD*3.0*51 Install Started for IBD*3.0*51: Apr 23, Build Distribution Date: Feb 26, 2010 Apr 23, IBD*3.0*51 Installed. Apr 23, OR*3.0*195 Install Started for OR*3.0*195: Apr 23, Build Distribution Date: Jan 20, 2005 Apr 23, Running Pre-Install Routine: PRE^ORY195 Apr 23, Installing Data: Apr 23, Installing HELP FRAME Installing REMOTE PROCEDURE Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Installing PARAMETER DEFINITION Installing PARAMETER TEMPLATE Apr 23, Running Post-Install Routine: POST^ORY195 Lab Child Order Check queued as task # The following Routines were created during this install: ORD2 ORD21 ORD210 ORD211 ORD212 ORD213 ORD214 ORD215 ORD216 ORD22 ORD23 ORD24 ORD25 ORD26 ORD27 ORD28 ORD29 OR*3.0*195 Installed. Apr 23, 2010@11:11:32 XOBU 1.5 Install Started for XOBU 1.5: Apr 23, 2010@11:11:32 76

81 Build Distribution Date: Sep 09, 2005 Apr 23, Running Pre-Install Routine: EN^XOBUPRE Apr 23, Installing INPUT TEMPLATE Installing PROTOCOL Not a known package or a local namespace. Not a known package or a local namespace. Not a known package or a local namespace. Not a known package or a local namespace. Not a known package or a local namespace. Not a known package or a local namespace. Installing LIST TEMPLATE Installing OPTION Apr 23, 2010@11:11:32 Running Post-Install Routine: EN^XOBUPOST XOBU 1.5 Installed. Apr 23, 2010@11:11:32 XOBV 1.5 Install Started for XOBV 1.5: Apr 23, 2010@11:11:32 Build Distribution Date: Sep 09, 2005 Apr 23, 2010@11:11:32 Running Pre-Install Routine: EN^XOBVPRE Apr 23, 2010@11:11:32 Installing Data: Apr 23, 2010@11:11:32 Installing INPUT TEMPLATE Installing DIALOG Installing PROTOCOL Installing REMOTE PROCEDURE Installing OPTION Apr 23, 2010@11:11:32 Running Post-Install Routine: EN^XOBVPOST Added new Kernel Application ProxyUser 'XOBVTESTER,APPLICATION PROXY'. This application proxy user account is used in the VistALink sample web application, to demonstrate usage of the VistaLinkAppProxyConnectionSpec connection spec. XOBV 1.5 Installed. Apr 23, 2010@11:11:33 XOBV*1.5*1 Install Started for XOBV*1.5*1: Apr 23, 2010@11:11:33 Build Distribution Date: Jul 20, 2006 Apr 23, 2010@11:11:33 XOBV*1.5*1 Installed. Apr 23, 2010@11:11:33 77

82 OR*3.0*216 Install Started for OR*3.0*216: Apr 23, Build Distribution Date: Nov 17, 2004 Apr 23, Apr 23, Installing Data: Apr 23, Installing PROTOCOL Apr 23, Running Post-Install Routine: POST^ORY216 A background job has been queued to complete any currently active Allergy/Adverse Reaction orders. Task #36942 started. OR*3.0*216 Installed. Apr 23, 2010@11:11:34 OR*3.0*226 Install Started for OR*3.0*226: Apr 23, 2010@11:11:34 Build Distribution Date: Feb 04, 2005 Apr 23, 2010@11:11:34 OR*3.0*226 Installed. Apr 23, 2010@11:11:34 OR*3.0*210 Install Started for OR*3.0*210: Apr 23, 2010@11:11:34 Build Distribution Date: Feb 09, 2005 Apr 23, 2010@11:11:34 Apr 23, 2010@11:11:34 Installing Data: Apr 23, 2010@11:11:34 Running Post-Install Routine: POST^ORY210 OR*3.0*210 Installed. Apr 23, 2010@11:11:34 OR*3.0*231 Install Started for OR*3.0*231: Apr 23, 2010@11:11:34 Build Distribution Date: Apr 19, 2005 Apr 23, 2010@11:11:34 Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Apr 23, 2010@11:11:34 Running Post-Install Routine: POST^ORY231 78

83 OR*3.0*231 Installed. Apr 23, OR*3.0*229 Install Started for OR*3.0*229: Apr 23, Build Distribution Date: Mar 25, 2005 Apr 23, Installing REMOTE PROCEDURE Apr 23, OR*3.0*229 Installed. Apr 23, OR*3.0*211 Install Started for OR*3.0*211: Apr 23, Build Distribution Date: Apr 05, 2005 Apr 23, Apr 23, Running Post-Install Routine: ^ORY211ES Order Check Expert System Rule Transporter Created: APR 5,2005 at 08:07 at DEVCUR.FO-SLC.MED.VA.GOV Current Date: APR 23,2010 at 11:11 at DEMO.MEDSPHERE.COM Loading Data Installing '863.8 OCX MDD PARAMETER' records... Installing '864.1 OCX MDD DATATYPE' records... Installing '863.7 OCX MDD PUBLIC FUNCTION' records... Installing '863.9 OCX MDD CONDITION/FUNCTION' records... Installing '863.2 OCX MDD SUBJECT' records... Installing '863.3 OCX MDD LINK' records Inconsistent Data OCX MDD LINK: PATIENT.TAKING_GLUCOPHAGE [117] PARAMETER: OCXO EXTERNAL FUNCTION CALL [1] VALUE field [1] (R) DEVCUR.FO-SLC.MED.VA.GOV: TAKEMED^ORKPS( PATIENT IEN,"^GLUCOPHAGE^METFORMIN^AVANDAMET^METAGLIP") (L) DEMO.MEDSPHERE.COM: TAKEMED^ORKPS( PATIENT IEN,"^GLUCOPHAGE^METFORMIN") VALUE: TAKEMED^ORKPS( PATIENT IEN,"^GLUCOPHAGE^METFORMIN^AVANDAMET^METAGLIP") Correct data Filed Installing '860.9 ORDER CHECK NATIONAL TERM' records... ORDER CHECK LOCAL TERM: EGFR record missing... NAME: EGFR...Correct data Filed FILE NUMBER: 60...Correct data Filed. Installing '860.8 ORDER CHECK COMPILER FUNCTIONS' records Inconsistent word Data ORDER CHECK COMPILER FUNCTIONS: NEW RULE MESSAGE [36] CODE field [100] Line #9 (R) DEVCUR.FO-SLC.MED.VA.GOV: ; N OCXNDX,OCXDATA,OCXDFI,OCXELE,OCXGR,OCXTIME,OCXCKSUM,OCXTSP,OCXTSPL (L) DEMO.MEDSPHERE.COM: ; N OCXNDX,OCXDATA,OCXDFI,OCXELE,OCXGR,OCXTIME,OCXCKSUM Installing '860.6 ORDER CHECK DATA CONTEXT' records... Installing '860.5 RDER CHECK DATA SOURCE' records... Installing '860.4 ORDER CHECK DATA FIELD' records... Installing '860.3 ORDER CHECK ELEMENT' 79

84 Inconsistent Data ORDER CHECK ELEMENT: CONTRAST MEDIA ORDER [130] CONDITIONAL EXPRESSION: 4 [4] OPERATOR/FUNCTION field [2] (R) DEVCUR.FO-SLC.MED.VA.GOV: CONTAINS ELEMENT IN SET (L) DEMO.MEDSPHERE.COM: CONTAINS OPERATOR/FUNCTION: CONTAINS ELEMENT IN SET...Correct data Filed Inconsistent Data ORDER CHECK ELEMENT: CONTRAST MEDIA ORDER [130] CONDITIONAL EXPRESSION: 4 [4] CONDITIONAL VALUE 1 field [3] (R) DEVCUR.FO-SLC.MED.VA.GOV: M,I,N (L) DEMO.MEDSPHERE.COM: M CONDITIONAL VALUE 1: M,I,N...Correct data Filed Inconsistent Data ORDER CHECK ELEMENT: RADIOLOGY PROCEDURE CONTAINS NON-BARIUM CONTRAST MEDIA [106] CONDITIONAL EXPRESSION: 4 [4] OPERATOR/FUNCTION field [2] (R) DEVCUR.FO-SLC.MED.VA.GOV: CONTAINS ELEMENT IN SET (L) DEMO.MEDSPHERE.COM: CONTAINS OPERATOR/FUNCTION: CONTAINS ELEMENT IN SET...Correct data Filed Inconsistent Data ORDER CHECK ELEMENT: RADIOLOGY PROCEDURE CONTAINS NON-BARIUM CONTRAST MEDIA [106] CONDITIONAL EXPRESSION: 4 [4] CONDITIONAL VALUE 1 field [3] (R) DEVCUR.FO-SLC.MED.VA.GOV: M,I,N (L) DEMO.MEDSPHERE.COM: M CONDITIONAL VALUE 1: M,I,N...Correct data Filed Installing '860.2 ORDER CHECK RULE' records Inconsistent Data ORDER CHECK RULE: BIOCHEM ABNORMALITIES/CONTRAST MEDIA CHECK [50] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Procedure uses intravenous contrast media - abnormal biochem result: ABNORMAL RENAL BIOCHEM RESULTS (L) DEMO.MEDSPHERE.COM: Procedure uses non-barium contrast media - abnormal biochem result: ABNORMAL RENAL BIOCHEM RESULTS ORDER CHECK MESSAGE: Procedure uses intravenous contrast media - abnormal biochem result: ABNORMAL RENAL BIOCHEM RESULTS...Correct data Filed Inconsistent Data ORDER CHECK RULE: BIOCHEM ABNORMALITIES/CONTRAST MEDIA CHECK [50] RELATION ACTIONS: 2 [2] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Procedure uses intravenous contrast media - no creatinine results within CM-CREAT DAYS days (L) DEMO.MEDSPHERE.COM: Procedure uses non-barium contrast media - no creatinine results within CM-CREAT DAYS days ORDER CHECK MESSAGE: Procedure uses intravenous contrast media - no creatinine results within CM-CREAT DAYS days...correct data File Inconsistent Data ORDER CHECK RULE: GLUCOPHAGE - CONTRAST MEDIA [63] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Procedure uses intravenous contrast media and patient is taking metformin. (L) DEMO.MEDSPHERE.COM: Procedure uses non-barium contrast media and patient is taking glucophage. ORDER CHECK MESSAGE: Procedure uses intravenous contrast media and patient is taking metformin...correct data Filed No data filing errors. Transport Finished... 80

85 ---Creating Order Check Routines Build list of Active Rules, Elements and Datafields DATA FIELDS 77 ELEMENTS 38 RULES Compile DataField Navigation code DataField Navigation Code Arrays Compile Element Evaluation code Event Evaluation Code Arrays Compile Element MetaCode Element Metacode Arrays Get Compiler Function Code Compiler Include Functions Compile Rule Element Relation code Rule Element Relation Code Arrays Construct Decision Tree Sub-Routines Optimize Sub-Routines Sub-Routines 60.6% Optimization Assemble Routines OCXOZ* Routines 8498 Lines of code generated. OR*3.0*211 Installed. Apr 23, OR*3.0*234 Install Started for OR*3.0*234: Apr 23, Build Distribution Date: May 13, 2005 Apr 23, Running Post-Install Routine: ^ORY234ES Order Check Expert System Rule Transporter Created: MAY 13,2005 at 09:31 at DEVCUR.FO-SLC.MED.VA.GOV Current Date: APR 23,2010 at 11:11 at DEMO.MEDSPHERE.COM Loading Data Installing '863.8 OCX MDD PARAMETER' records... Installing '864.1 OCX MDD DATATYPE' records... Installing '863.7 OCX MDD PUBLIC FUNCTION' records... Installing '863.9 OCX MDD CONDITION/FUNCTIO Installing '863.4 OCX MDD ATTRIBUTE' records... Installing '863.2 OCX MDD SUBJECT' records... Installing '863.3 OCX MDD LINK' records... Installing '860.9 ORDER CHECK NATIONAL TERM' records... Installing '860.8 ORDER CHECK COMPILER FUNCTIONS' records Inconsistent word Data ORDER CHECK COMPILER FUNCTIONS: CONTRAST MEDIA CODE TRANSLATION [20] CODE field [100] Line #5 (R) DEVCUR.FO-SLC.MED.VA.GOV: ; I (OCXC["G") S:$L(OCXX) OCXX=OCXX_" and/or " S OCXX=OCXX_"Gastrografin" (L) DEMO.MEDSPHERE.COM: ; I (OCXC["M") S:$L(OCXX) OCXX=OCXX_" and/or " S OCXX=OCXX_"Unspecified contrast media" Inconsistent word Data ORDER CHECK COMPILER FUNCTIONS: NEW RULE MESSAGE [36] CODE field [100] Line #15 (R) DEVCUR.FO-SLC.MED.VA.GOV: ; S OCXTSPL=($G(^OCXD(860.7,"AT",OCXTIME,OCXDFN,OCXRUL,+OCXORD,OCXCKSUM))+$G(OCXTSPI,300 )) 81

86 (L) DEMO.MEDSPHERE.COM:; S OCXTSPI=300 Installing '860.6 ORDER CHECK DATA CONTEXT' records... Installing '860.5 ORDER CHECK DATA SOURCE' records... Installing '860.4 ORDER CHECK DATA FIELD' records... Installing '860.3 ORDER CHECK ELEMENT' records Inconsistent Data ORDER CHECK ELEMENT: CONTRAST MEDIA ALLERGY [66] CONDITIONAL EXPRESSION: 3 [3] DATA FIELD 1 field [1] (R) DEVCUR.FO-SLC.MED.VA.GOV: CONTRAST MEDIA CODE (L) DEMO.MEDSPHERE.COM: CONTRAST MEDIA FLAG DATA FIELD 1: CONTRAST MEDIA CODE...Correct data Filed Inconsistent Data ORDER CHECK ELEMENT: CONTRAST MEDIA ALLERGY [66] CONDITIONAL EXPRESSION: 3 [3] OPERATOR/FUNCTION field [2] (R) DEVCUR.FO-SLC.MED.VA.GOV: CONTAINS ELEMENT IN SET (L) DEMO.MEDSPHERE.COM: LOGICAL TRUE OPERATOR/FUNCTION: CONTAINS ELEMENT IN SET...Correct data Filed Data Value Missing in DEMO.MEDSPHERE.COM ORDER CHECK ELEMENT: CONTRAST MEDIA ALLERGY [66] CONDITIONAL EXPRESSION: 3 [3] CONDITIONAL VALUE 1 field [3] (R) DEVCUR.FO-SLC.MED.VA.GOV: M,I,N,L,C,G,B CONDITIONAL VALUE 1: M,I,N,L,C,G,B...Correct data Filed Installing '860.2 ORDER CHECK RULE' records Inconsistent Data ORDER CHECK RULE: ALLERGY - CONTRAST MEDIA REACTION [55] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Patient allergic to contrast media. This procedure uses: CONTRAST MEDIA CODE TRANSLATION (L) DEMO.MEDSPHERE.COM: Patient allergic to contrast medias: CONTRAST MEDIA CODE TRANSLATION ORDER CHECK MESSAGE: Patient allergic to contrast media. This procedure uses: CONTRAST MEDIA CODE TRANSLATION...Correct data Filed No data filing errors. Transport Finished Creating Order Check Routines Build list of Active Rules, Elements and Datafields DATA FIELDS 77 ELEMENTS 38 RULES Compile DataField Navigation code DataField Navigation Code Arrays Compile Element Evaluation code Event Evaluation Code Arrays Compile Element MetaCode... Get Compiler Function Code Compiler Include Functions Compile Rule Element Relation code Rule Element Relation Code Arrays Construct Decision Tree Sub-Routines Optimize Sub-Routines Sub-Routines 60.4% Optimization Assemble Routines OCXOZ* Routines 8468 Lines of code generated. 82

87 OR*3.0*234 Installed. Apr 23, OR*3.0*235 Install Started for OR*3.0*235: Apr 23, Build Distribution Date: May 31, 2005 Apr 23, Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Apr 23, Running Post-Install Routine: POST^ORY235 OR*3.0*235 Installed. Apr 23, PSS*1.0*83 Install Started for PSS*1.0*83: Apr 23, Build Distribution Date: Oct 18, 2004 Apr 23, PSS*1.0*83 Installed. Apr 23, PSS*1.0*87 Install Started for PSS*1.0*87: Apr 23, Build Distribution Date: Feb 11, 2005 Apr 23, Installing Data Dictionaries Apr 23, Installing INPUT TEMPLATE Installing OPTION Apr 23, Running Post-Install Routine: FILL^PSSWMAP Populating the warning mapping from RX CONSULT file entries 1-6,8-11,12,13 and 15 to the equivalent WARNING LABEL-ENGLISH file entries. Mapping complete and Spanish translation for warning number 20 populated. PSS*1.0*87 Installed. Apr 23, PSO*7.0*161 Install Started for PSO*7.0*161: Apr 23, Build Distribution Date: Feb 09, 2005 Apr 23, Apr 23, 83

88 Installing INPUT TEMPLATE Installing PROTOCOL Installing OPTION Apr 23, PSO*7.0*161 Installed. Apr 23, PSO*7.0*195 Install Started for PSO*7.0*195: Apr 23, Build Distribution Date: Apr 01, 2005 Apr 23, PSO*7.0*195 Installed. Apr 23, PSO*7.0*196 Install Started for PSO*7.0*196: Apr 23, Build Distribution Date: Mar 07, 2005 Apr 23, PSO*7.0*196 Installed. Apr 23, PSO*7.0*202 Install Started for PSO*7.0*202: Apr 23, Build Distribution Date: Jun 02, 2005 Apr 23, PSO*7.0*202 Installed. Apr 23, PSO*7.0*199 Install Started for PSO*7.0*199: Apr 23, Build Distribution Date: Jun 21, 2005 Apr 23, PSO*7.0*199 Installed. Apr 23, PSO*7.0*174 Install Started for PSO*7.0*174: Apr 23, Build Distribution Date: May 18, 2005 Apr 23, 84

89 PSO*7.0*174 Installed. Apr 23, PSS*1.0*86 Install Started for PSS*1.0*86: Apr 23, Build Distribution Date: Jan 31, 2005 Apr 23, Running Post-Install Routine: EN^PSS0086 PSS*1.0*86 Installed. Apr 23, PSS*1.0*95 Install Started for PSS*1.0*95: Apr 23, Build Distribution Date: May 06, 2005 Apr 23, Apr 23, PSS*1.0*96 Install Started for PSS*1.0*96: Apr 23, Build Distribution Date: May 19, 2005 Apr 23, Apr 23, The following Routines were created during this install: PSSJXR PSSJXR1 PSSJXR10 PSSJXR11 PSSJXR12 PSSJXR13 PSSJXR14 PSSJXR15 PSSJXR16 PSSJXR17 PSSJXR18 PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25 PSSJXR26 PSSJXR27 PSSJXR28 PSSJXR29 PSSJXR3 PSSJXR30 85

90 PSSJXR31 PSSJXR32 PSSJXR4 PSSJXR5 PSSJXR6 PSSJXR7 PSSJXR8 PSSJXR9 PSS*1.0*96 Installed. Apr 23, PSO*7.0*203 Install Started for PSO*7.0*203: Apr 23, Build Distribution Date: May 19, 2005 Apr 23, PSO*7.0*203 Installed. Apr 23, PSO*7.0*205 Install Started for PSO*7.0*205: Apr 23, Build Distribution Date: Jul 20, 2005 Apr 23, PSO*7.0*205 Installed. Apr 23, PSO*7.0*210 Install Started for PSO*7.0*210: Apr 23, Build Distribution Date: Jun 06, 2005 Apr 23, PSO*7.0*210 Installed. Apr 23, PSO*7.0*204 Install Started for PSO*7.0*204: Apr 23, Build Distribution Date: Aug 02, 2005 Apr 23, Running Pre-Install Routine: PRE^PSOP204 Apr 23, PSO*7.0*204 Installed. Apr 23, PSO*7.0*209 Install Started for PSO*7.0*209: Apr 23, 86

91 Build Distribution Date: Jul 18, 2005 Apr 23, PSO*7.0*209 Installed. Apr 23, PSO*7.0*215 Install Started for PSO*7.0*215: Apr 23, Build Distribution Date: Aug 10, 2005 Apr 23, Running Post-Install Routine: ^PSOCPBK1 ============================================================================ Queuing background job to tally unbilled refills... Start time: Apr 23, Task #36949 Queued! ============================================================================ PSO*7.0*215 Installed. Apr 23, PSO*7.0*143 Install Started for PSO*7.0*143: Apr 23, Build Distribution Date: Aug 05, 2005 Apr 23, Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*143 Installed. Apr 23, PSO*7.0*198 Install Started for PSO*7.0*198: Apr 23, Build Distribution Date: May 17, 2005 Apr 23, PSO*7.0*198 Installed. Apr 23, 87

92 PSO*7.0*221 Install Started for PSO*7.0*221: Apr 23, Build Distribution Date: Sep 16, 2005 Apr 23, PSO*7.0*221 Installed. Apr 23, PSO*7.0*219 Install Started for PSO*7.0*219: Apr 23, Build Distribution Date: Oct 19, 2005 Apr 23, PSO*7.0*219 Installed. Apr 23, PSO*7.0*212 Install Started for PSO*7.0*212: Apr 23, Build Distribution Date: Sep 14, 2005 Apr 23, PSO*7.0*212 Installed. Apr 23, PSO*7.0*211 Install Started for PSO*7.0*211: Apr 23, Build Distribution Date: Sep 12, 2005 Apr 23, PSO*7.0*211 Installed. Apr 23, PSO*7.0*216 Install Started for PSO*7.0*216: Apr 23, Build Distribution Date: Oct 17, 2005 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, Running Post-Install Routine: ^PSONCPDP Populate NCPDP number field Queuing background job Task queued! PSO*7.0*216 Installed. 88

93 Apr 23, PSO*7.0*220 Install Started for PSO*7.0*220: Apr 23, Build Distribution Date: Sep 07, 2005 Apr 23, PSO*7.0*220 Installed. Apr 23, PSO*7.0*213 Install Started for PSO*7.0*213: Apr 23, Build Distribution Date: Nov 08, 2005 Apr 23, PSO*7.0*213 Installed. Apr 23, PSO*7.0*218 Install Started for PSO*7.0*218: Apr 23, Build Distribution Date: Oct 27, 2005 Apr 23, PSO*7.0*218 Installed. Apr 23, PSO*7.0*207 Install Started for PSO*7.0*207: Apr 23, Build Distribution Date: Oct 19, 2005 Apr 23, PSO*7.0*207 Installed. Apr 23, PSO*7.0*226 Install Started for PSO*7.0*226: Apr 23, Build Distribution Date: Dec 01, 2005 Apr 23, PSO*7.0*226 Installed. Apr 23, PSO*7.0*227 Install Started for PSO*7.0*227: Apr 23, Build Distribution Date: Jan 05,

94 Apr 23, Apr 23, Running Post-Install Routine: ^PSO227PO...Placing TPB menu options out of order......inactivating all active TPB patients... PSO*7.0*227 Installed. Apr 23, PSO*7.0*229 Install Started for PSO*7.0*229: Apr 23, Build Distribution Date: Jan 17, 2006 Apr 23, PSO*7.0*229 Installed. Apr 23, PSO*7.0*230 Install Started for PSO*7.0*230: Apr 23, Build Distribution Date: Nov 14, 2005 Apr 23, Updating Routine file Updating KIDS files PSO*7.0*230 Installed. Apr 23, PSO*7.0*223 Install Started for PSO*7.0*223: Apr 23, Build Distribution Date: Mar 17, 2006 Apr 23, PSO*7.0*223 Installed. Apr 23, PSO*7.0*235 Install Started for PSO*7.0*235: Apr 23, Build Distribution Date: Mar 17, 2006 Apr 23, PSO*7.0*235 Installed. Apr 23, PSO*7.0*242 Install Started for PSO*7.0*242: Apr 23, Build Distribution Date: Mar 30,

95 Apr 23, PSO*7.0*242 Installed. Apr 23, PSO*7.0*214 Install Started for PSO*7.0*214: Apr 23, Build Distribution Date: Nov 03, 2005 Apr 23, PSO*7.0*214 Installed. Apr 23, PSB*3.0*8 Install Started for PSB*3.0*8: Apr 23, Build Distribution Date: Feb 22, 2006 Apr 23, Apr 23, Installing FORM Installing OPTION Apr 23, Running Post-Install Routine: POST^ALPB8 PSB*3.0*8 Installed. Apr 23, PSB*3.0*23 Install Started for PSB*3.0*23: Apr 23, Build Distribution Date: Mar 08, 2006 Apr 23, PSB*3.0*23 Installed. Apr 23, PSB*3.0*24 Install Started for PSB*3.0*24: Apr 23, Build Distribution Date: Jan 12, 2006 Apr 23, PSB*3.0*24 Installed. Apr 23, PSB*3.0*27 Install Started for PSB*3.0*27: Apr 23, Build Distribution Date: Apr 26,

96 Apr 23, PSB*3.0*27 Installed. Apr 23, PSB*3.0*29 Install Started for PSB*3.0*29: Apr 23, Build Distribution Date: May 23, 2006 Apr 23, Apr 23, PSB*3.0*29 Installed. Apr 23, PSS*1.0*97 Install Started for PSS*1.0*97: Apr 23, Build Distribution Date: Jul 08, 2005 Apr 23, PSS*1.0*97 Installed. Apr 23, PSS*1.0*101 Install Started for PSS*1.0*101: Apr 23, Build Distribution Date: Oct 20, 2005 Apr 23, PSS*1.0*101 Installed. Apr 23, PSS*1.0*102 Install Started for PSS*1.0*102: Apr 23, Build Distribution Date: Oct 18, 2005 Apr 23, Apr 23, Running Post-Install Routine: ^PSS102RP PSS*1.0*102 Installed. Apr 23, PSS*1.0*103 Install Started for PSS*1.0*103: Apr 23, Build Distribution Date: Aug 16,

97 Apr 23, Apr 23, PSS*1.0*103 Installed. Apr 23, PSS*1.0*105 Install Started for PSS*1.0*105: Apr 23, Build Distribution Date: Dec 15, 2005 Apr 23, PSS*1.0*105 Installed. Apr 23, PSS*1.0*100 Install Started for PSS*1.0*100: Apr 23, Build Distribution Date: Oct 26, 2005 Apr 23, Apr 23, The following Routines were created during this install: PSSVX6 PSSVX61 PSSVX62 PSSVX63 PSSVX64 PSSVX65 PSSVX66 PSS*1.0*100 Installed. Apr 23, PSS*1.0*104 Install Started for PSS*1.0*104: Apr 23, Build Distribution Date: Jan 18, 2006 Apr 23, PSS*1.0*104 Installed. Apr 23, PSS*1.0*98 Install Started for PSS*1.0*98: Apr 23, Build Distribution Date: Oct 20, 2005 Apr 23, Apr 23, PSS*1.0*98 Installed. 93

98 Apr 23, PSS*1.0*93 Install Started for PSS*1.0*93: Apr 23, Build Distribution Date: Mar 14, 2006 Apr 23, Apr 23, Running Post-Install Routine: EN^PSS0093 Requested Start Time: NOW// (APR 23, The check for PRN schedules is queued (to start NOW) YOU WILL RECEIVE A MAILMAN MESSAGE WHEN TASK #36953 HAS COMPLETED. PSS*1.0*93 Installed. Apr 23, 2010@11:12:35 PSS*1.0* Install Started for PSS*1.0*90: Apr 23, 2010@11:12:35 Build Distribution Date: Feb 13, 2006 Apr 23, 2010@11:12:36 Apr 23, 2010@11:12:36 Installing INPUT TEMPLATE Apr 23, 2010@11:12:36 PSS*1.0*90 Installed. Apr 23, 2010@11:12:36 PSS*1.0*107 Install Started for PSS*1.0*107: Apr 23, 2010@11:12:36 Build Distribution Date: Apr 07, 2006 Apr 23, 2010@11:12:36 Apr 23, 2010@11:12:36 PSS*1.0*107 Installed. Apr 23, 2010@11:12:36 PSS*1.0*106 Install Started for PSS*1.0*106: Apr 23, 2010@11:12:36 Build Distribution Date: Feb 01, 2006 Apr 23, 2010@11:12:36 PSS*1.0*106 Installed. Apr 23, 2010@11:12:36 PSS*1.0*113 94

99 Install Started for PSS*1.0*113: Apr 23, Build Distribution Date: Jun 01, 2006 Apr 23, PSS*1.0*113 Installed. Apr 23, PSS*1.0*92 Install Started for PSS*1.0*92: Apr 23, Build Distribution Date: Mar 10, 2006 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, PSS*1.0*92 Installed. Apr 23, PSS*1.0*110 Install Started for PSS*1.0*110: Apr 23, Build Distribution Date: Jun 14, 2006 Apr 23, Apr 23, Running Post-Install Routine: EN^PSSP110 PSS*1.0*110 Installed. Apr 23, PSS*1.0*115 Install Started for PSS*1.0*115: Apr 23, Build Distribution Date: Jul 24, 2006 Apr 23, Installing INPUT TEMPLATE Apr 23, PSS*1.0*115 Installed. Apr 23, PSS*1.0*108 Install Started for PSS*1.0*108: Apr 23, Build Distribution Date: Aug 04, 2006 Apr 23, 95

100 PSS*1.0*108 Installed. Apr 23, PSS*1.0*112 Install Started for PSS*1.0*112: Apr 23, Build Distribution Date: Oct 16, 2006 Apr 23, PSS*1.0*112 Installed. Apr 23, PSJ*5.0*127 Install Started for PSJ*5.0*127: Apr 23, Build Distribution Date: Jan 12, 2005 Apr 23, Apr 23, The following Routines were created during this install: PSGXR3 PSGXR31 PSGXR310 PSGXR311 PSGXR312 PSGXR32 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSJ*5.0*127 Installed. Apr 23, PSJ*5.0*128 Install Started for PSJ*5.0*128: Apr 23, Build Distribution Date: Dec 17, 2004 Apr 23, PSJ*5.0*128 Installed. Apr 23, PSJ*5.0*132 Install Started for PSJ*5.0*132: Apr 23, Build Distribution Date: Jan 06, 2005 Apr 23, Installing PROTOCOL 96

101 Apr 23, PSJ*5.0*132 Installed. Apr 23, PSJ*5.0*125 Install Started for PSJ*5.0*125: Apr 23, Build Distribution Date: Jan 04, 2005 Apr 23, PSJ*5.0*125 Installed. Apr 23, PSJ*5.0*131 Install Started for PSJ*5.0*131: Apr 23, Build Distribution Date: Jan 12, 2005 Apr 23, PSJ*5.0*131 Installed. Apr 23, PSJ*5.0*112 Install Started for PSJ*5.0*112: Apr 23, Build Distribution Date: Mar 02, 2005 Apr 23, Apr 23, Installing OPTION Apr 23, PSJ*5.0*112 Installed. Apr 23, PSJ*5.0*124 Install Started for PSJ*5.0*124: Apr 23, Build Distribution Date: Mar 14, 2005 Apr 23, PSJ*5.0*124 Installed. Apr 23, PSJ*5.0*136 Install Started for PSJ*5.0*136: Apr 23, Build Distribution Date: Apr 11, 2005 Apr 23, 97

102 PSJ*5.0*136 Installed. Apr 23, PSJ*5.0*126 Install Started for PSJ*5.0*126: Apr 23, Build Distribution Date: May 12, 2005 Apr 23, Apr 23, PSJ*5.0*126 Installed. Apr 23, PSJ*5.0*133 Install Started for PSJ*5.0*133: Apr 23, Build Distribution Date: Jun 20, 2005 Apr 23, PSJ*5.0*133 Installed. Apr 23, PSJ*5.0*144 Install Started for PSJ*5.0*144: Apr 23, Build Distribution Date: Jun 02, 2005 Apr 23, PSJ*5.0*144 Installed. Apr 23, PSJ*5.0*135 Install Started for PSJ*5.0*135: Apr 23, Build Distribution Date: Mar 31, 2005 Apr 23, PSJ*5.0*135 Installed. Apr 23, PSJ*5.0*139 Install Started for PSJ*5.0*139: Apr 23, Build Distribution Date: Aug 23, 2005 Apr 23, Apr 23, 98

103 PSJ*5.0*139 Installed. Apr 23, PSJ*5.0*137 Install Started for PSJ*5.0*137: Apr 23, Build Distribution Date: Mar 17, 2005 Apr 23, PSJ*5.0*137 Installed. Apr 23, PSJ*5.0*140 Install Started for PSJ*5.0*140: Apr 23, Build Distribution Date: Aug 19, 2005 Apr 23, PSJ*5.0*140 Installed. Apr 23, PSJ*5.0*151 Install Started for PSJ*5.0*151: Apr 23, Build Distribution Date: Oct 05, 2005 Apr 23, PSJ*5.0*151 Installed. Apr 23, PSJ*5.0*147 Install Started for PSJ*5.0*147: Apr 23, Build Distribution Date: Sep 12, 2005 Apr 23, PSJ*5.0*147 Installed. Apr 23, PSJ*5.0*142 Install Started for PSJ*5.0*142:Apr 23, Build Distribution Date: May 11, 2005 Apr 23, Apr 23, The following Routines were created during this install: PSGXR3 PSGXR31 PSGXR310 PSGXR311 99

104 PSGXR312 PSGXR32 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSJ*5.0*142 Installed. Apr 23, PSJ*5.0*153 Install Started for PSJ*5.0*153: Apr 23, Build Distribution Date: Jul 11, 2005 Apr 23, PSJ*5.0*153 Installed. Apr 23, PSJ*5.0*130 Install Started for PSJ*5.0*130: Apr 23, Build Distribution Date: Nov 09, 2005 Apr 23, PSJ*5.0*130 Installed. Apr 23, PSJ*5.0*163 Install Started for PSJ*5.0*163: Apr 23, Build Distribution Date: Oct 03, 2005 Apr 23, PSJ*5.0*163 Installed. Apr 23, PSJ*5.0* Install Started for PSJ*5.0*149: Apr 23, Build Distribution Date: Aug 29, 2005 Apr 23, PSJ*5.0*149 Installed. Apr 23, PSJ*5.0*129 Install Started for PSJ*5.0*129: Apr 23, Build Distribution Date: Nov 09,

105 Apr 23, PSJ*5.0*129 Installed. Apr 23, PSJ*5.0*146 Install Started for PSJ*5.0*146: Apr 23, Build Distribution Date: Oct 19, 2005 Apr 23, PSJ*5.0*146 Installed. Apr 23, PSJ*5.0*150 Install Started for PSJ*5.0*150: Apr 23, Build Distribution Date: Jun 09, 2005 Apr 23, PSJ*5.0*150 Installed. Apr 23, PSJ*5.0*138 Install Started for PSJ*5.0*138: Apr 23, Build Distribution Date: Jul 08, 2005 Apr 23, PSJ*5.0*138 Installed. Apr 23, GMRA*4.0*17 Install Started for GMRA*4.0*17: Apr 23, Build Distribution Date: Oct 24, 2003 Apr 23, Apr 23, Installing MAIL GROUP Installing PROTOCOL Installing LIST TEMPLATE Installing OPTION Apr 23, Running Post-Install Routine: Q^GMRAY17 Post-install queued as task # GMRA*4.0*17 Installed. Apr 23, 2010@11:12:44 101

106 GMRA*4.0*19 Install Started for GMRA*4.0*19: Apr 23, Build Distribution Date: May 18, 2004 Apr 23, Running Post-Install Routine: Q^GMRAY19 Post-install queued as task # GMRA*4.0*19 Installed. Apr 23, 2010@11:12:45 Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 5.5 Mega Build IV (ehr_ mb4) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation, and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 4. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb4.k, and then press Enter. 102

107 Note: The location of the ehr_ mb4.k file may not be in this folder. This is determined individually for each installation. The following appears: KIDS Distribution saved on Feb 15, Comment: CPRS Mega Build 4 This Distribution contains Transport Globals for the following Package(s): PSX*2.0*48 IB*2.0*286 IB*2.0*267 IB*2.0*317 PSX*2.0*62 PSX*2.0*61 PSX*2.0*54 PSX*2.0*58 PSX*2.0*63 PSX*2.0*64 PSX*2.0*66 PSX*2.0*65 PSO*7.0*148 PSO*7.0*149 PSO*7.0*232 PSO*7.0*237 PSO*7.0*244 PSO*7.0*247 PSO*7.0*222 PSO*7.0*233 PSO*7.0*239 PSO*7.0*238 PSO*7.0*201 PSO*7.0*245 PSO*7.0*253 PSO*7.0*250 PSO*7.0*258 PSO*7.0*255 PSO*7.0*259 OR*3.0*233 OR*3.0*221 OR*3.0*239 OR*3.0*220 OR*3.0*240 OR*3.0*241 OR*3.0*237 OR*3.0*247 OR*3.0*215 OR*3.0*251 OR*3.0*258 OR*3.0*257 OR*3.0*264 OR*3.0*253 OR*3.0*228 OR*3.0*261 OR*3.0*255 OR*3.0*250 OR*3.0*249 OR*3.0*244 OR*3.0*

108 OR*3.0*260 PSJ*5.0*152 PSJ*5.0*155 PSJ*5.0*168 PSJ*5.0*164 PSJ*5.0*167 PSJ*5.0*141 PSJ*5.0*166 PSJ*5.0*122 PSJ*5.0*154 PSJ*5.0*156 PSJ*5.0*170 PSJ*5.0*172 PSJ*5.0*171 PSJ*5.0*186 PSJ*5.0*157 PSJ*5.0*177 PSJ*5.0*162 PSB*3.0*13 PSB*3.0*26 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... PSX*2.0*48 IB*2.0*286 IB*2.0*267 IB*2.0*317 PSX*2.0*62 PSX*2.0*61 PSX*2.0*54 PSX*2.0*58 PSX*2.0*63 PSX*2.0*64 PSX*2.0*66 PSX*2.0*65 PSO*7.0*148 PSO*7.0*149 PSO*7.0*232 PSO*7.0*237 PSO*7.0*244 PSO*7.0*247 PSO*7.0*222 PSO*7.0*233 PSO*7.0*239 PSO*7.0*238 PSO*7.0*201 PSO*7.0*245 PSO*7.0*253 PSO*7.0*250 PSO*7.0*258 PSO*7.0*255 PSO*7.0*259 OR*3.0*233 OR*3.0*221 OR*3.0*239 OR*3.0*220 OR*3.0*

109 OR*3.0*241 OR*3.0*237 OR*3.0*247 Build OR*3.0*215 has an Environmental Check Routine 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: OR*3.0*215 Will first run the Environment Check Routine, ORY215A OR*3.0*251 OR*3.0*258 OR*3.0*257 OR*3.0*264 OR*3.0*253 Will first run the Environment Check Routine, ORMTIMST OR*3.0*228 OR*3.0*261 OR*3.0*255 OR*3.0*250 OR*3.0*249 OR*3.0*244 OR*3.0*242 OR*3.0*260 PSJ*5.0*152 PSJ*5.0*155 PSJ*5.0*168 PSJ*5.0*164 PSJ*5.0*167 PSJ*5.0*141 PSJ*5.0*166 PSJ*5.0*122 PSJ*5.0*154 PSJ*5.0*156 PSJ*5.0*170 PSJ*5.0*172 PSJ*5.0*171 PSJ*5.0*186 PSJ*5.0*157 PSJ*5.0*177 PSJ*5.0*162 PSB*3.0*13 PSB*3.0*26 7. At the INSTALL NAME: field, type PSX*2.0*48, and then press Enter to install this distribution. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 8. At the Select Installation Option: prompt, type 6: Install Package(s), and then press Enter. 105

110 9. At the Select INSTALL NAME: prompt, type PSX*2.0*48, and then press Enter. The following appears: Loaded from Distribution Loaded from Distribution => Mega Build 4; Created on Feb 15, This Distribution was loaded on Apr 23, with header of CPRS Mega Build 4 ; Created on Feb 15, 2007@11:30:39 It consisted of the following Install(s): PSX*2.0*48 IB*2.0*286 IB*2.0*267 IB*2.0*317 PSX*2.0*62 PSX*2.0*61 PSX*2.0*54 PSX*2.0*58 PSX*2.0*63 PSX*2.0*64 PSX*2.0*66 PSX*2.0*65 PSO*7.0*148 PSO*7.0*149 PSO*7.0*232 PSO*7.0*237 PSO*7.0*244 PSO*7.0*247 PSO*7.0*222 PSO*7.0*233 PSO*7.0*239 PSO*7.0*238 PSO*7.0*201 PSO*7.0*245 PSO*7.0*253 PSO*7.0*250 PSO*7.0*258 PSO*7.0*255 PSO*7.0*259 OR*3.0*233 OR*3.0*221 OR*3.0*239 OR*3.0*220 OR*3.0*240 OR*3.0*241 OR*3.0*237 OR*3.0*247 OR*3.0*215 OR*3.0*251 OR*3.0*258 OR*3.0*257 OR*3.0*264 OR*3.0*253 OR*3.0*228 OR*3.0*261 OR*3.0*255 OR*3.0*250 OR*3.0*249 OR*3.0*244 OR*3.0*242 OR*3.0*260 PSJ*5.0*152 PSJ*5.0*155 PSJ*5.0*168 PSJ*5.0*164 PSJ*5.0*167 PSJ*5.0*141 PSJ*5.0*166 PSJ*5.0*122 PSJ*5.0*154 PSJ*5.0*156 PSJ*5.0*170 PSJ*5.0*172 PSJ*5.0*171 PSJ*5.0*186 PSJ*5.0*157 PSJ*5.0*177 PSJ*5.0*162 PSB*3.0*13 PSB*3.0*26 Checking Install for Package PSX*2.0*48 Install Questions for PSX*2.0*48 Checking Install for Package IB*2.0*286 Install Questions for IB*2.0*286 Checking Install for Package IB*2.0*267 Install Questions for IB*2.0*267 Checking Install for Package IB*2.0*317 Install Questions for IB*2.0*317 Checking Install for Package PSX*2.0*62 Install Questions for PSX*2.0*62 Checking Install for Package PSX*2.0*61 Install Questions for PSX*2.0*61 Checking Install for Package PSX*2.0*54 Install Questions for PSX*2.0*54 Checking Install for Package PSX*2.0*58 Install Questions for PSX*2.0*58 Checking Install for Package PSX*2.0*63 Install Questions for PSX*2.0*63 Checking Install for Package PSX*2.0*64 Install Questions for PSX*2.0*64 Checking Install for Package PSX*2.0*66 Install Questions for PSX*2.0*66 Checking Install for Package PSX*2.0*65 Install Questions for PSX*2.0*65 Checking Install for Package PSO*7.0*148 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. 10. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*149 Install Questions for PSO*7.0*149 Checking Install for Package PSO*7.0*

111 Install Questions for PSO*7.0* PATIENT NOTIFICATION (Rx READY) (Partial Definition) Note: You already have the 'PATIENT NOTIFICATION (Rx READY)' File. 59 OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. Checking Install for Package PSO*7.0*237 Install Questions for PSO*7.0*237 Checking Install for Package PSO*7.0*244 Install Questions for PSO*7.0*244 Checking Install for Package PSO*7.0*247 Install Questions for PSO*7.0*247 Checking Install for Package PSO*7.0*222 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File CLOZAPINE PRESCRIPTION OVERRIDES (Partial Definition) Note: You already have the 'CLOZAPINE PRESCRIPTION OVERRIDES' File. Checking Install for Package PSO*7.0*233 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. 11. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*239 Install Questions for PSO*7.0*239 Checking Install for Package PSO*7.0*238 Install Questions for PSO*7.0*238 Checking Install for Package PSO*7.0*201 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. 59 OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. Checking Install for Package PSO*7.0*245 Install Questions for PSO*7.0*245 Checking Install for Package PSO*7.0*253 Install Questions for PSO*7.0*253 Checking Install for Package PSO*7.0*250 Install Questions for PSO*7.0* At the Enter when to Queue the Job to run in format.: prompt, QUEUE this for about onehour in the future to avoid conflict with other patches//, and then press Enter. The following appears: Checking Install for Package PSO*7.0*258 Install Questions for PSO*7.0*258 Checking Install for Package PSO*7.0*255 Install Questions for PSO*7.0*255 Checking Install for Package PSO*7.0*259 Install Questions for PSO*7.0*259 Incoming Mail Groups: 107

112 13. At the Enter the Coordinator for Mail Group prompt, type 'PSO EXTERNAL DISPENSE ALERTS':, and then press Enter. The following appears: Checking Install for Package OR*3.0*233 Install Questions for OR*3.0*233 Checking Install for Package OR*3.0*221 Install Questions for OR*3.0*221 Checking Install for Package OR*3.0*239 Install Questions for OR*3.0*239 Checking Install for Package OR*3.0*220 Install Questions for OR*3.0*220 Checking Install for Package OR*3.0*240 Install Questions for OR*3.0* ORDERABLE ITEMS (Partial Definition) Note: You already have the 'ORDERABLE ITEMS' File. Checking Install for Package OR*3.0*241 Install Questions for OR*3.0* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine. Checking Install for Package OR*3.0*237 Install Questions for OR*3.0*237 Checking Install for Package OR*3.0*247 Install Questions for OR*3.0*247 Checking Install for Package OR*3.0*215 Will first run the Environment Check Routine, ORY215A Install Questions for OR*3.0* ORDER (Partial Definition) Note: You already have the 'ORDER' File OE/RR PRINT FIELDS (including data) Note: You already have the 'OE/RR PRINT FIELDS' File. I will REPLACE your data with mine OE/RR PRINT FORMATS (including data) Note: You already have the 'OE/RR PRINT FORMATS' File. I will REPLACE your data with mine OE/RR NOTIFICATIONS (including data) Note: You already have the 'OE/RR NOTIFICATIONS' File. I will OVERWRITE your data with mine DISPLAY GROUP (including data) Note: You already have the 'DISPLAY GROUP' File. I will REPLACE your data with mine OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine ORDER DIALOG (including data) Note: You already have the 'ORDER DIALOG' File. I will REPLACE your data with mine. Incoming Mail Groups: 14. At the Enter the Coordinator for Mail Group prompt, type 'OR DRUG ORDER CANCELLED':, and then press Enter. 15. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO and then press Enter. The following appears: Checking Install for Package OR*3.0*

113 Install Questions for OR*3.0*251 Checking Install for Package OR*3.0*258 Install Questions for OR*3.0*258 Checking Install for Package OR*3.0*257 Install Questions for OR*3.0*257 Checking Install for Package OR*3.0*264 Install Questions for OR*3.0*264 Checking Install for Package OR*3.0*253 Will first run the Environment Check Routine, ORMTIMST Checking ORMTIME status... ORMTIME is not running. Checking ORMTIME Schedule... ORMTIME is not scheduled to run in the next 5:00 minutes. Installation conditions are acceptable, continuing installation... Install Questions for OR*3.0*253 Checking Install for Package OR*3.0*228 Install Questions for OR*3.0* ORDER (Partial Definition) Note: You already have the 'ORDER' File. Checking Install for Package OR*3.0*261 Install Questions for OR*3.0*261 Checking Install for Package OR*3.0*255 Install Questions for OR*3.0*255 Checking Install for Package OR*3.0*250 Install Questions for OR*3.0*250 Checking Install for Package OR*3.0*249 Install Questions for OR*3.0*249 Checking Install for Package OR*3.0*244 Install Questions for OR*3.0*244 Checking Install for Package OR*3.0*242 Install Questions for OR*3.0* ORDER (Partial Definition) Note: You already have the 'ORDER' File ORDER STATUS Note: You already have the 'ORDER STATUS' File NATURE OF ORDER Note: You already have the 'NATURE OF ORDER' File. 16. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package OR*3.0*260 Install Questions for OR*3.0*260 Checking Install for Package PSJ*5.0*152 Install Questions for PSJ*5.0* IV STATS (Partial Definition) Note: You already have the 'IV STATS' File. Checking Install for Package PSJ*5.0*155 Install Questions for PSJ*5.0*155 Checking Install for Package PSJ*5.0*168 Install Questions for PSJ*5.0* INPATIENT USER PARAMETERS (Partial Definition) Note: You already have the 'INPATIENT USER PARAMETERS' File. Checking Install for Package PSJ*5.0*164 Install Questions for PSJ*5.0*164 Checking Install for Package PSJ*5.0*

114 Install Questions for PSJ*5.0*167 Checking Install for Package PSJ*5.0*141 Install Questions for PSJ*5.0*141 Checking Install for Package PSJ*5.0*166 Install Questions for PSJ*5.0*166 Checking Install for Package PSJ*5.0*122 Install Questions for PSJ*5.0*122 Checking Install for Package PSJ*5.0*154 Install Questions for PSJ*5.0* INPATIENT WARD PARAMETERS (Partial Definition) Note: You already have the 'INPATIENT WARD PARAMETERS' File. Checking Install for Package PSJ*5.0*156 Install Questions for PSJ*5.0*156 Checking Install for Package PSJ*5.0*170 Install Questions for PSJ*5.0*170 Checking Install for Package PSJ*5.0*172 Install Questions for PSJ*5.0*172 Checking Install for Package PSJ*5.0*171 Install Questions for PSJ*5.0*171 Checking Install for Package PSJ*5.0*186 Install Questions for PSJ*5.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package PSJ*5.0*157 Install Questions for PSJ*5.0*157 Checking Install for Package PSJ*5.0*177 Install Questions for PSJ*5.0*177 Checking Install for Package PSJ*5.0*162 Install Questions for PSJ*5.0*162 Checking Install for Package PSB*3.0*13 Install Questions for PSB*3.0* BCMA REPORT REQUEST (Partial Definition) Note: You already have the 'BCMA REPORT REQUEST' File. 18. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package PSB*3.0*26 Install Questions for PSB*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. 20. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 21. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 110

115 22. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. The following appears: DEVICE: HOME//VIRTUAL Complete PSX*2.0*48 Install Started for PSX*2.0*48: Apr 23, 2010@11:36:08 Build Distribution Date: Feb 13, 2006 Apr 23, 2010@11:36:08 PSX*2.0*48 Installed. Apr 23, 2010@11:36:08 IB*2.0*286 Install Started for IB*2.0*286: Apr 23, 2010@11:36:08 Build Distribution Date: Mar 02, 2010 Apr 23, 2010@11:36:08 IB*2.0*286 Installed. Apr 23, 2010@11:36:08 IB*2.0*267 Install Started for IB*2.0*267: Apr 23, 2010@11:36:08 Build Distribution Date: Mar 02, 2010 Apr 23, 2010@11:36:08 IB*2.0*267 Installed. Apr 23, 2010@11:36:08 IB*2.0*317 Install Started for IB*2.0*317: Apr 23, 2010@11:36:08 Build Distribution Date: Mar 02, 2010 Apr 23, 2010@11:36:08 IB*2.0*317 Installed. Apr 23, 2010@11:36:08 PSX*2.0*62 Install Started for PSX*2.0*62: Apr 23, 2010@11:36:08 Build Distribution Date: Jul 24, 2006 Apr 23, 2010@11:36:08 PSX*2.0*62 Installed. Apr 23, 2010@11:36:08 PSX*2.0*61 Install Started for PSX*2.0*61: Apr 23, 2010@11:36:08 111

116 Build Distribution Date: Jun 22, 2006 Apr 23, PSX*2.0*61 Installed. Apr 23, PSX*2.0*54 Install Started for PSX*2.0*54: Apr 23, Build Distribution Date: Nov 24, 2006 Apr 23, PSX*2.0*54 Installed. Apr 23, PSX*2.0*58 Install Started for PSX*2.0*58: Apr 23, Build Distribution Date: Aug 28, 2007 Apr 23, PSX*2.0*58 Installed. Apr 23, PSX*2.0*63 Install Started for PSX*2.0*63: Apr 23, Build Distribution Date: May 17, 2007 Apr 23, PSX*2.0*63 Installed. Apr 23, PSX*2.0*64 Install Started for PSX*2.0*64: Apr 23, Build Distribution Date: Jan 22, 2008 Apr 23, PSX*2.0*64 Installed. Apr 23, PSX*2.0*66 Install Started for PSX*2.0*66: Apr 23, Build Distribution Date: Apr 30, 2008 Apr 23, PSX*2.0*66 Installed. 112

117 Apr 23, PSX*2.0*65 Install Started for PSX*2.0*65: Apr 23, Build Distribution Date: May 13, 2009 Apr 23, PSX*2.0*65 Installed. Apr 23, NO Install Message set PSO*7.0*148 Install Started for PSO*7.0*148: Apr 23, Build Distribution Date: Mar 24, 2006 Apr 23, Apr 23, Installing PROTOCOL Installing LIST TEMPLATE Installing OPTION Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*148 Installed. Apr 23, PSO*7.0*149 Install Started for PSO*7.0*149: Apr 23, Build Distribution Date: Feb 13, 2006 Apr 23, Installing INPUT TEMPLATE Apr 23, PSO*7.0*149 Installed. Apr 23, PSO*7.0*

118 Install Started for PSO*7.0*232: Apr 23, Build Distribution Date: May 22, 2006 Apr 23, Apr 23, PSO*7.0*232 Installed. Apr 23, PSO*7.0*237 Install Started for PSO*7.0*237: Apr 23, Build Distribution Date: Jul 18, 2006 Apr 23, PSO*7.0*237 Installed. Apr 23, PSO*7.0*244 Install Started for PSO*7.0*244: Apr 23, Build Distribution Date: Jul 20, 2006 Apr 23, PSO*7.0*244 Installed. Apr 23, PSO*7.0*247 Install Started for PSO*7.0*247: Apr 23, Build Distribution Date: Sep 12, 2006 Apr 23, PSO*7.0*247 Installed. Apr 23, PSO*7.0*222 Install Started for PSO*7.0*222: Apr 23, Build Distribution Date: Jul 31, 2006 Apr 23, Apr 23, Running Post-Install Routine: ^PSOP222 PSO TPB HL7 EXTRACT task not found in the OPTION SCHEDULING file (#19.2) Post-install run completed successfully The following Routines were created during this install: PSOXZ PSOXZA1 PSOXZA10 114

119 PSOXZA11 PSOXZA12 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*222 Installed. Apr 23, PSO*7.0*233 Install Started for PSO*7.0*233: Apr 23, Build Distribution Date: Sep 01, 2006 Apr 23, Apr 23, Installing SECURITY KEY Installing INPUT TEMPLATE Installing OPTION Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*233 Installed. Apr 23, PSO*7.0*239 Install Started for PSO*7.0*239: Apr 23, Build Distribution Date: Sep 18, 2006 Apr 23, Running Post-Install Routine: ^PSOCIDC7 PSO*7.0*239 Installed. Apr 23, PSO*7.0*238 Install Started for PSO*7.0*238: Apr 23, 115

120 Build Distribution Date: Sep 11, 2006 Apr 23, PSO*7.0*238 Installed. Apr 23, PSO*7.0*201 Install Started for PSO*7.0*201: Apr 23, Build Distribution Date: Aug 25, 2006 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*201 Installed. Apr 23, PSO*7.0*245 Install Started for PSO*7.0*245: Apr 23, Build Distribution Date: Aug 24, 2006 Apr 23, PSO*7.0*245 Installed. Apr 23, PSO*7.0*253 Install Started for PSO*7.0*253: Apr 23, Build Distribution Date: Aug 03, 2006 Apr 23, PSO*7.0*253 Installed. Apr 23, 116

121 PSO*7.0*250 Install Started for PSO*7.0*250: Apr 23, Build Distribution Date: Nov 16, 2006 Apr 23, Running Post-Install Routine: ^PSOTEXP1 ============================================================= Queuing background job for TALLY MISSING EXPIRATION DATES... Start time: Apr 23, ============================================================== *** Task #36961 Queued!*** PSO*7.0*250 Installed. Apr 23, PSO*7.0*258 Install Started for PSO*7.0*258: Apr 23, Build Distribution Date: Nov 07, 2006 Apr 23, PSO*7.0*258 Installed. Apr 23, PSO*7.0*255 Install Started for PSO*7.0*255: Apr 23, Build Distribution Date: Dec 07, 2006 Apr 23, PSO*7.0*255 Installed. Apr 23, PSO*7.0*259 Install Started for PSO*7.0*259: Apr 23, Build Distribution Date: Oct 25, 2006 Apr 23, Installing MAIL GROUP Apr 23, PSO*7.0*259 Installed. Apr 23, OR*3.0*233 Install Started for OR*3.0*233: Apr 23, Build Distribution Date: Jun 10, 2005 Apr 23, OR*3.0*233 Installed. Apr 23, 117

122 OR*3.0*221 Install Started for OR*3.0*221: Apr 23, Build Distribution Date: Aug 30, 2005 Apr 23, Running Post-Install Routine: ^ORY221ES 25Order Check Expert System Rule Transporter Created: AUG 30,2005 at 11:41 at DEVCUR.FO-SLC.MED.VA.GOV Current Date: APR 23,2010 at 11:36 at DEMO.MEDSPHERE.COM Loading Data Installing '863.8 OCX MDD PARAMETER' records... Installing '864.1 OCX MDD DATATYPE' records... Installing '863.7 OCX MDD PUBLIC FUNCTION' records... Installing '863.9 OCX MDD CONDITION/FUNCTION' records... Installing '863.4 OCX MDD ATTRIBUTE' records... Installing '863.2 OCX MDD SUBJECT' records... Installing '863.3 OCX MDD LINK' records... Installing '860.9 ORDER CHECK NATIONAL TERM' records... Installing '860.8 ORDER CHECK COMPILER FUNCTIONS' records Inconsistent word Data ORDER CHECK COMPILER FUNCTIONS: CREATININE CLEARANCE (ESTIMATED/CALCULATED) DESCRIPTION field [1] Line #1 (R) DEVCUR.FO-SLC.MED.VA.GOV: The CrCl algorithm uses adjusted body weight if patient height is > Inconsistent word Data ORDER CHECK COMPILER FUNCTIONS: CREATININE CLEARANCE (ESTIMATED/CALCULATED) CODE field [100] Line #3 (R) DEVCUR.FO-SLC.MED.VA.GOV: ; N HT,AGE,SEX,SCR,SCRD,CRCL,LRWKLD,RSLT,ORW,ORH,PSCR (L) DEMO.MEDSPHERE.COM: ; N WT,AGE,SEX,SCR,SCRD,CRCL,UNAV,OCXTL,OCXTLS,OCXT,OCXTS,PSCR Installing '860.6 ORDER CHECK DATA CONTEXT' records...installing '860.5 ORDER CHECK DATA SOURCE' records... Installing '860.4 ORDER CHECK DATA FIELD' records... Installing '860.3 ORDER CHECK ELEMENT' records... Installing '860.2 ORDER CHECK RULE' records Inconsistent Data ORDER CHECK RULE: AMINOGLYCOSIDE ORDER [59] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Aminoglycoside - est. CrCl: CRCLV ( FORMATTED RENAL LAB RESULTS ) [Est. CrCl based on modified Cockcroft-Gault equation using Adjusted Body Weight (if ht > 60 in)] (L) DEMO.MEDSPHERE.COM: Aminoglycoside - est. CrCl: CRCLV ( FORMATTED RENAL LAB RESULTS ) ORDER CHECK MESSAGE: Aminoglycoside - est. CrCl: CRCLV ( FORMATTED RENAL LAB RESULTS ) [Est. CrCl based on modified Cockcroft-Gault equation using Adjusted Body Weight (if ht > 60 in)]...correct data Filed Inconsistent Data ORDER CHECK RULE: CREATININE CLEARANCE ESTIMATION [61] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Est. CrCl: CRCLV ( FORMATTED RENAL LAB RESULTS ) [Est. CrCl based on modified Cockcroft-Gault equation using Adjusted Body Weight (if ht > 60 in.)] (L) DEMO.MEDSPHERE.COM: Est. CrCl: CRCLV ( FORMATTED RENAL LAB RESULTS ) ORDER CHECK MESSAGE: Est. CrCl: CRCLV ( FORMATTED RENAL LAB RESULTS ) [Est. CrCl based on modified Cockcroft-Gault equation using Adjusted Body Weight (if ht > 60 in.)]...correct data Filed Inconsistent Data

123 ORDER CHECK RULE: GLUCOPHAGE - LAB RESULTS [67] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Metformin - Creatinine results: RECENT GLUCOPHAGE CREATININE TEXT (L) DEMO.MEDSPHERE.COM: Glucophage - Creatinine results: RECENT GLUCOPHAGE CREATININE TEXT ORDER CHECK MESSAGE: Metformin - Creatinine results: RECENT GLUCOPHAGE CREATININE TEXT...Correct data Filed Inconsistent Data ORDER CHECK RULE: GLUCOPHAGE - LAB RESULTS [67] RELATION ACTIONS: 2 [2] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Metformin - no serum creatinine within past RECENT GLUCOPHAGE CREATININE DAYS days. (L) DEMO.MEDSPHERE.COM: Glucophage - no serum creatinine within past RECENT GLUCOPHAGE CREATININE DAYS days. ORDER CHECK MESSAGE: Metformin - no serum creatinine within past RECENT GLUCOPHAGE CREATININE DAYS days...correct data Filed No data filing errors. Transport Finished Creating Order Check Routines Build list of Active Rules, Elements and Datafields DATA FIELDS 77 ELEMENTS 38 RULES Compile DataField Navigation code DataField Navigation Code Arrays Compile Element Evaluation code.. 71 Event Evaluation Code Arrays Compile Element MetaCode Element Metacode Arrays Get Compiler Function Code Compiler Include Functions Compile Rule Element Relation code Rule Element Relation Code Arrays Construct Decision Tree Sub-Routines Optimize Sub-Routines Sub-Routines 60.4% Optimization Assemble Routines OCXOZ* Routines 8516 Lines of code generated. OR*3.0*221 Installed. Apr 23, 2010@11:36:17 OR*3.0*239 Install Started for OR*3.0*239: Apr 23, 2010@11:36:17 Build Distribution Date: Aug 18, 2005 Apr 23, 2010@11:36:17 OR*3.0*239 Installed. Apr 23, 2010@11:36:17 119

124 OR*3.0*220 Install Started for OR*3.0*220:Apr 23, Build Distribution Date: Aug 16, 2005 Apr 23, Installing PARAMETER DEFINITION Apr 23, OR*3.0*220 Installed. Apr 23, OR*3.0*240 Install Started for OR*3.0*240: Apr 23, Build Distribution Date: Sep 15, 2005 Apr 23, Apr 23, Running Post-Install Routine: POST^ORY240 OR*3.0*240 Installed. Apr 23, OR*3.0*241 Install Started for OR*3.0*241: Apr 23, Build Distribution Date: Dec 22, 2005 Apr 23, Running Pre-Install Routine: PRE^ORY241 Apr 23, Installing Data: ** ERROR IN POINTER RESOLUTION OF DATA ** Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING IMPRESSION). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING STATUS). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Apr 23, Running Post-Install Routine: POST^ORY241 OR*3.0*241 Installed. Apr 23, OR*3.0*237 Install Started for OR*3.0*237: Apr 23, Build Distribution Date: Oct 26, 2005 Apr 23, Running Post-Install Routine: ^ORY237 OR*3.0*237 Installed. Apr 23, 120

125 OR*3.0*247 Install Started for OR*3.0*247: Apr 23, Build Distribution Date: Feb 15, 2006 Apr 23, OR*3.0*247 Installed. Apr 23, OR*3.0*215 Install Started for OR*3.0*215: Apr 23, Build Distribution Date: Mar 31, 2006 Apr 23, Running Pre-Install Routine: PRE^ORY215 Apr 23, Installing Data: ** ERROR IN POINTER RESOLUTION OF DATA ** Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING IMPRESSION). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING STATUS). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Unable to find exact match and resolve pointer (^ORD(101.41, Entry:OR GTX PRE-OP SCHEDULED DATE/TIME). Apr 23, Installing BULLETIN Installing MAIL GROUP Installing REMOTE PROCEDURE Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Installing PARAMETER DEFINITION Installing PARAMETER TEMPLATE Apr 23, Running Post-Install Routine: POST^ORY215 The following Routines were created during this install: ORD2 ORD21 ORD210 ORD211 ORD212 ORD213 ORD214 ORD215 ORD216 ORD22 ORD23 ORD24 ORD25 ORD26 ORD27 ORD28 ORD29 121

126 OR*3.0*215 Installed. Apr 23, OR*3.0*251 Install Started for OR*3.0*251: Apr 23, Build Distribution Date: Apr 14, 2006 Apr 23, OR*3.0*251 Installed. Apr 23, OR*3.0*258 Install Started for OR*3.0*258: Apr 23, Build Distribution Date: Jun 07, 2006 Apr 23, Running Post-Install Routine: POST^ORY258 OR*3.0*258 Installed. Apr 23, OR*3.0*257 Install Started for OR*3.0*257: Apr 23, Build Distribution Date: May 23, 2006 Apr 23, Running Post-Install Routine: ^ORY257 OR*3.0*257 Installed. Apr 23, OR*3.0*264 Install Started for OR*3.0*264: Apr 23, Build Distribution Date: Jul 12, 2006 Apr 23, Running Pre-Install Routine: PRE^ORY264 OR*3.0*264 Installed. Apr 23, OR*3.0*253 Install Started for OR*3.0*253: Apr 23, Build Distribution Date: Jun 07, 2006 Apr 23, Running Pre-Install Routine: PRECHECK^ORMTIMST Apr 23, Starting ORMTIME update... Apr 23, 122

127 Apr 23, OR*3.0*253 Installed. Apr 23, OR*3.0*228 Install Started for OR*3.0*228: Apr 23, Build Distribution Date: Dec 01, 2005 Apr 23, Apr 23, Apr 23, The following Routines were created during this install: ORD2 ORD21 ORD210 ORD211 ORD212 ORD213 ORD214 ORD215 ORD216 ORD22 ORD23 ORD24 ORD25 ORD26 ORD27 ORD28 ORD29 Apr 23, Apr 23, OR*3.0*228 Installed. Apr 23, OR*3.0*261 Install Started for OR*3.0*261: Apr 23, Build Distribution Date: Aug 16, 2006 Apr 23, OR*3.0*261 Installed. Apr 23, OR*3.0*255 Install Started for OR*3.0*255: Apr 23, Build Distribution Date: Jun 26, 2006 Apr 23, OR*3.0*255 Installed. Apr 23, 123

128 OR*3.0*250 Install Started for OR*3.0*250: Apr 23, Build Distribution Date: Oct 23, 2006 Apr 23, OR*3.0*250 Installed. Apr 23, OR*3.0*249 Install Started for OR*3.0*249: Apr 23, Build Distribution Date: Apr 06, 2006 Apr 23, OR*3.0*249 Installed. Apr 23, OR*3.0*244 Install Started for OR*3.0*244: Apr 23, Build Distribution Date: Oct 11, 2006 Apr 23, Running Post-Install Routine: ^ORY244 STARTING reinstatement of missing abnormal results in the ORDER file #100 Up date of Order file is complete! Check your Mail for a list of modified ORDER files OR*3.0*244 Installed. Apr 23, 2010@11:36:26 OR*3.0*242 Install Started for OR*3.0*242: Apr 23, 2010@11:36:26 Build Distribution Date: Aug 30, 2006 Apr 23, 2010@11:36:27 Running Pre-Install Routine: PRE^ORY242 Apr 23, 2010@11:36:27 Installing OPTION Apr 23, 2010@11:36:27 Running Post-Install Routine: POST^ORY242 The following Routines were created during this install: ORD2 ORD21 ORD210 ORD211 ORD212 ORD213 ORD214 ORD215 ORD

129 ORD22 ORD23 ORD24 ORD25 ORD26 ORD27 ORD28 ORD29 OR*3.0*242 Installed. Apr 23, OR*3.0*260 Install Started for OR*3.0*260: Apr 23, Build Distribution Date: Nov 27, 2006 Apr 23, Installing PARAMETER DEFINITION Apr 23, Running Post-Install Routine: POST^ORY260 A task is being queued in the background to identify any Start or Start dates where times have trailing zeros. These indexes will be reset with the correct canonic values by this background job. A mail message will be sent to the initiator of this patch at completion. The task number is Press return - installation is complete: OR*3.0*260 Installed. Apr 23, 2010@11:36:35 PSJ*5.0*152 Install Started for PSJ*5.0*152: Apr 23, 2010@11:36:35 Build Distribution Date: Oct 26, 2005 Apr 23, 2010@11:36:35 Apr 23, 2010@11:36:35 PSJ*5.0*152 Installed. Apr 23, 2010@11:36:35 PSJ*5.0*155 Install Started for PSJ*5.0*155: Apr 23, 2010@11:36:35 Build Distribution Date: Nov 15, 2005 Apr 23, 2010@11:36:36 PSJ*5.0*155 Installed. Apr 23, 2010@11:36:36 PSJ*5.0*168 Install Started for PSJ*5.0*168: Apr 23, 2010@11:36:36 Build Distribution Date: Dec 05,

130 Apr 23, Apr 23, PSJ*5.0*168 Installed. Apr 23, PSJ*5.0*164 Install Started for PSJ*5.0*164: Apr 23, Build Distribution Date: Feb 28, 2006 Apr 23, PSJ*5.0*164 Installed. Apr 23, NO Install Message PSJ*5.0*167 Install Started for PSJ*5.0*167: Apr 23, Build Distribution Date: Feb 08, 2006 Apr 23, PSJ*5.0*167 Installed. Apr 23, PSJ*5.0*141 Install Started for PSJ*5.0*141: Apr 23, Build Distribution Date: Nov 15, 2005 Apr 23, PSJ*5.0*141 Installed. Apr 23, PSJ*5.0*166 Install Started for PSJ*5.0*166: Apr 23, Build Distribution Date: Feb 09, 2006 Apr 23, PSJ*5.0*166 Installed. Apr 23, PSJ*5.0*122 Install Started for PSJ*5.0*122: Apr 23, Build Distribution Date: Mar 27, 2006 Apr 23, PSJ*5.0*122 Installed. 126

131 Apr 23, PSJ*5.0*154 Install Started for PSJ*5.0*154: Apr 23, Build Distribution Date: Dec 13, 2005 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, PSJ*5.0*154 Installed. Apr 23, PSJ*5.0*156 Install Started for PSJ*5.0*156: Apr 23, Build Distribution Date: Apr 18, 2006 Apr 23, PSJ*5.0*156 Installed. Apr 23, PSJ*5.0*170 Install Started for PSJ*5.0*170: Apr 23, Build Distribution Date: Jan 17, 2006 Apr 23, PSJ*5.0*170 Installed. Apr 23, PSJ*5.0*172 Install Started for PSJ*5.0*172: Apr 23, Build Distribution Date: Aug 03, 2006 Apr 23, PSJ*5.0*172 Installed. Apr 23, PSJ*5.0*171 Install Started for PSJ*5.0*171: Apr 23, Build Distribution Date: Apr 10, 2006 Apr 23, Running Post-Install Routine: EN^PSJ0171 The cleanup of existing Activity Multiple Nodes is queued to start NOW. YOU WILL RECEIVE A MAILMAN MESSAGE WHEN TASK #36982 HAS COMPLETED. 127

132 PSJ*5.0*171 Installed. Apr 23, PSJ*5.0*186 Install Started for PSJ*5.0*186: Apr 23, Build Distribution Date: Sep 15, 2006 Apr 23, Installing OPTION Apr 23, PSJ*5.0*186 Installed. Apr 23, PSJ*5.0*157 Install Started for PSJ*5.0*157: Apr 23, Build Distribution Date: Jul 31, 2006 Apr 23, PSJ*5.0*157 Installed. Apr 23, PSJ*5.0*177 Install Started for PSJ*5.0*177: Apr 23, Build Distribution Date: Jul 31, 2006 Apr 23, PSJ*5.0*177 Installed. Apr 23, PSJ*5.0*162 Install Started for PSJ*5.0*162: Apr 23, Build Distribution Date: Apr 19, 2006 Apr 23, PSJ*5.0*162 Installed. Apr 23, PSB*3.0*13 Install Started for PSB*3.0*13: Apr 23, Build Distribution Date: Mar 22, 2006 Apr 23, Apr 23, Installing FORM 128

133 Installing REMOTE PROCEDURE Installing OPTION Installing PARAMETER DEFINITION Apr 23, PSB*3.0*13 Installed. Apr 23, PSB*3.0*26 Install Started for PSB*3.0*26: Apr 23, Build Distribution Date: Jul 18, 2006 Apr 23, PSB*3.0*26 Installed. Apr 23, Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 5.6 Mega Build V (ehr_ mb5) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 129

134 4. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb5.k, and then press Enter. Note: The location of the ehr_ mb5.k file may not be in this folder. This is determined individually for each installation. The following appears: KIDS Distribution saved on Feb 24, 2010@15:38:45 Comment: CPRS 27 Mega Build 5 This Distribution contains Transport Globals for the following Package(s): SR*3.0*160 SR*3.0*161 SR*3.0*159 SR*3.0*163 SR*3.0*164 SR*3.0*162 SR*3.0*166 SR*3.0*169 SR*3.0*168 SR*3.0*167 SR*3.0*170 GMRA*4.0*26 GMRA*4.0*37 GMRA*4.0*29 GMRA*4.0*40 GMRA*4.0*33 PSS*1.0*114 PSS*1.0*120 PSS*1.0*118 PSS*1.0*121 PSO*7.0*254 PSO*7.0*252 PSO*7.0*243 PSO*7.0*200 PSS*1.0*122 PSS*1.0*125 PSS*1.0*88 PSS*1.0*127 PSS*1.0*109 PSS*1.0*124 PSS*1.0*126 PSS*1.0*132 PSS*1.0*128 PSS*1.0*130 PSS*1.0*13 PSS*1.0*94 PSJ*5.0*174 PSJ*5.0*183 PSJ*5.0*178 PSJ*5.0*160 PSJ*5.0*169 PSJ*5.0*188 PSJ*5.0*180 PSJ*5.0*120 PSJ*5.0*145 PSJ*5.0*

135 PSJ*5.0*159 PSJ*5.0*192 PSJ*5.0*195 PSJ*5.0*175 PSJ*5.0*148 PSJ*5.0*173 PSJ*5.0*201 PSJ*5.0*191 PSJ*5.0*185 PSO*7.0*263 PSO*7.0*261 PSO*7.0*265 PSO*7.0*249 PSO*7.0*267 PSO*7.0*268 PSO*7.0*273 PSO*7.0*278 PSO*7.0*260 PSO*7.0*264 PSO*7.0*285 PSO*7.0*283 PSO*7.0*280 PSO*7.0*274 PSO*7.0*269 PSO*7.0*206 PSO*7.0*240 PSO*7.0*292 PSO*7.0*275 PSO*7.0*302 PSO*7.0*257 PSO*7.0*281 PSO*7.0*291 PSO*7.0*246 PSO*7.0*293 PSO*7.0*294 PSO*7.0*288 PSO*7.0*279 PSU 4.0 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... SR*3.0*160 SR*3.0*161 SR*3.0*159 SR*3.0*163 SR*3.0*164 SR*3.0*162 SR*3.0*166 SR*3.0*169 SR*3.0*168 SR*3.0*167 SR*3.0*170 GMRA*4.0*26 GMRA*4.0*37 GMRA*4.0*29 GMRA*4.0*40 GMRA*4.0*33 131

136 PSS*1.0*114 PSS*1.0*120 PSS*1.0*118 PSS*1.0*121 Build PSO*7.0*254 has an Environmental Check Routine 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: PSO*7.0*254 Will first run the Environment Check Routine, PSO254EN PSO*7.0*252 PSO*7.0*243 PSO*7.0*200 PSS*1.0*122 PSS*1.0*125 PSS*1.0*88 PSS*1.0*127 PSS*1.0*109 PSS*1.0*124 PSS*1.0*126 PSS*1.0*132 PSS*1.0*128 PSS*1.0*130 PSS*1.0*134 PSS*1.0*94 PSJ*5.0*174 PSJ*5.0*183 PSJ*5.0*178 PSJ*5.0*160 PSJ*5.0*169 PSJ*5.0*188 PSJ*5.0*180 PSJ*5.0*120 PSJ*5.0*145 PSJ*5.0*189 PSJ*5.0*159 PSJ*5.0*192 PSJ*5.0*195 PSJ*5.0*175 PSJ*5.0*148 PSJ*5.0*173 PSJ*5.0*201 PSJ*5.0*191 PSJ*5.0*185 PSO*7.0*263 PSO*7.0*261 PSO*7.0*265 PSO*7.0*249 PSO*7.0*267 PSO*7.0*268 PSO*7.0*273 PSO*7.0*278 PSO*7.0*260 PSO*7.0*264 PSO*7.0*285 PSO*7.0*283 Will first run the Environment Check Routine, PSO283EN This patch reads the entire PRESCRIPTION file (#52) and counts prescriptions with expiration date problem. 132

137 Refer to the patch description for more detailed information. Note: The estimated duration is less than one hour. 7. To stop, resume, or view the current status of the post-install, run the following command in programmer mode: >D ^PSO283PI. 8. Press Enter to continue. The following appears: PSO*7.0*280 PSO*7.0*274 PSO*7.0*269 PSO*7.0*206 PSO*7.0*240 PSO*7.0*292 PSO*7.0*275 PSO*7.0*302 PSO*7.0*257 PSO*7.0*281 PSO*7.0*291 PSO*7.0*246 PSO*7.0*293 Will first run the Environment Check Routine, PSO293EN This patch reads the entire PRESCRIPTION file (#52) and performs the 3 updates below (IF NECESSARY): 1. Set/Fix the Rx Expiration Date if not present or > 366 days. 2. Synchronize the Rx Status with CPRS for expired Rx's. 3. Synchronize the Rx Status with HDR for expired/deleted Rx's. Refer to the patch description for more detailed information Note: The estimated duration is less than one hour. 9. To stop, resume, or view the current status of the clean up, run the following command in programmer mode: >D ^PSO293PI. 10. Press Enter to continue. The following appears: PSO*7.0*294 PSO*7.0*288 PSO*7.0*279 PSU At the INSTALL NAME: prompt, type SR*3.0*160, and then press Enter to install this distribution. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 133

138 12. At the Select Installation Option: prompt, type 6: Install Package(s), and then press Enter. 13. At the Select INSTALL NAME: prompt, type SR*3.0*160, and then press Enter. The following appears: Loaded from Distribution Loaded from Distribution => CPRS 27 Mega Build 5 ; Created on Feb 24, 2010@15:38:45 This Distribution was loaded on Apr 23, 2010@13:12:38 with header of CPRS 27 Mega Build 5 ;Created on Feb 24, 2010@15:38:45 It consisted of the following Install(s): SR*3.0*160 SR*3.0*161 SR*3.0*159 SR*3.0*163 SR*3.0*164 SR*3.0*162 SR*3.0*166 SR*3.0*169 SR*3.0*168 SR*3.0*167 SR*3.0*170 GMRA*4.0*26 GMRA*4.0*37 GMRA*4.0*29 GMRA*4.0*40 GMRA*4.0*33 PSS*1.0*114 PSS*1.0*120 PSS*1.0*118 PSS*1.0*121 PSO*7.0*254 PSO*7.0*252 PSO*7.0*243 PSO*7.0*200 PSS*1.0*122 PSS*1.0*125 PSS*1.0*88 PSS*1.0*127 PSS*1.0*109 PSS*1.0*124 PSS*1.0*126 PSS*1.0*132 PSS*1.0*128 PSS*1.0*130 PSS*1.0*134 PSS*1.0*94 PSJ*5.0*174 PSJ*5.0*183 PSJ*5.0*178 PSJ*5.0*160 PSJ*5.0*169 PSJ*5.0*188 PSJ*5.0*180 PSJ*5.0*120 PSJ*5.0*145 PSJ*5.0*189 PSJ*5.0*159 PSJ*5.0*192 PSJ*5.0*195 PSJ*5.0*175 PSJ*5.0*148 PSJ*5.0*173 PSJ*5.0*201 PSJ*5.0*191 PSJ*5.0*185 PSO*7.0*263 PSO*7.0*261 PSO*7.0*265 PSO*7.0*249 PSO*7.0*267 PSO*7.0*268 PSO*7.0*273 PSO*7.0*278 PSO*7.0*260 PSO*7.0*264 PSO*7.0*285 PSO*7.0*283 PSO*7.0*280 PSO*7.0*274 PSO*7.0*269 PSO*7.0*206 PSO*7.0*240 PSO*7.0*292 PSO*7.0*275 PSO*7.0*302 PSO*7.0*257 PSO*7.0*281 PSO*7.0*291 PSO*7.0*246 PSO*7.0*293 PSO*7.0*294 PSO*7.0*288 PSO*7.0*279 PSU 4.0 Checking Install for Package SR*3.0*160 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File PERIOPERATIVE OCCURRENCE CATEGORY (including data) Note: You already have the 'PERIOPERATIVE OCCURRENCE CATEGORY' File. I will OVERWRITE your data with mine. 137 CPT EXCLUSIONS Checking Install for Package SR*3.0*161 Install Questions for SR*3.0*161 Checking Install for Package SR*3.0*159 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File SURGERY WAITING LIST (Partial Definition) Note: You already have the 'SURGERY WAITING LIST' File. 136 SURGERY PROCEDURE/DIAGNOSIS CODES (Partial Definition) Note: You already have the 'SURGERY PROCEDURE/DIAGNOSIS CODES' File. Checking Install for Package SR*3.0*163 Install Questions for SR*3.0* LOCAL SURGICAL SPECIALTY (Partial Definition) Note: You already have the 'LOCAL SURGICAL SPECIALTY' File. Checking Install for Package SR*3.0*164 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package SR*3.0*

139 Install Questions for SR*3.0*162 Checking Install for Package SR*3.0*166 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File PERIOPERATIVE OCCURRENCE CATEGORY (including data) Note: You already have the 'PERIOPERATIVE OCCURRENCE CATEGORY' File. I will OVERWRITE your data with mine RISK MODEL LAB TEST (Partial Definition) Note: You already have the 'RISK MODEL LAB TEST' File. 14. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package SR*3.0*169 Install Questions for SR*3.0*169 Checking Install for Package SR*3.0*168 Install Questions for SR*3.0*168 Checking Install for Package SR*3.0*167 Install Questions for SR*3.0* SURGERY SITE PARAMETERS (Partial Definition) Note: You already have the 'SURGERY SITE PARAMETERS' File SURGERY TRANSPLANT ASSESSMENTS Incoming Mail Groups: 15. At the Coordinator for Mail Group prompt, type 'SR TRANSPLANT':, and then press Enter. 16. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package SR*3.0*170 Install Questions for SR*3.0* SURGERY (Partial Definition) Note: You already have the 'SURGERY' File. Checking Install for Package GMRA*4.0*26 Install Questions for GMRA*4.0*26 Checking Install for Package GMRA*4.0*37 Install Questions for GMRA*4.0*37 Checking Install for Package GMRA*4.0*29 Install Questions for GMRA*4.0*29 Checking Install for Package GMRA*4.0*40 Install Questions for GMRA*4.0*40 Checking Install for Package GMRA*4.0*33 Install Questions for GMRA*4.0*33 Checking Install for Package PSS*1.0*114 Install Questions for PSS*1.0* PHARMACY ORDERABLE ITEM (Partial Definition) Note: You already have the 'PHARMACY ORDERABLE ITEM' File. 17. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: 135

140 Checking Install for Package PSS*1.0*120 Install Questions for PSS*1.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSS*1.0*118 Install Questions for PSS*1.0*118 Checking Install for Package PSS*1.0*121 Install Questions for PSS*1.0* ADMINISTRATION SCHEDULE (Partial Definition) Note: You already have the 'ADMINISTRATION SCHEDULE' File. Checking Install for Package PSO*7.0*254 Will first run the Environment Check Routine, PSO254EN Note: The post-install routine included with this patch sends out a Mailman message with the list of Pharmacy Divisions in your site, along with their related National Provider Identifier (NPI) Institution, which is automatically assigned by this patch. It also indicates if there were problems in the automatic assignment, which must be followed-up by an Outpatient Pharmacy user as outlined in the patch description. 18. At the following prompts, type the Outpatient Pharmacy user(s), (for example, Pharmacy ADPAC or designee) who should receive this message. (At least one user is required.) The user entered should be the person responsible for the maintenance of the PSO Site Parameters. The message will also be sent to the user installing the patch. PHARMACY USER:? PHARMACY USER: ANOTHER ONE: Install Questions for PSO*7.0* OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. Checking Install for Package PSO*7.0*252 Install Questions for PSO*7.0*252 Checking Install for Package PSO*7.0*243 Install Questions for PSO*7.0*243 Checking Install for Package PSO*7.0*200 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. Checking Install for Package PSS*1.0*122 Install Questions for PSS*1.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSS*1.0*

141 Install Questions for PSS*1.0*125 Checking Install for Package PSS*1.0*88 Install Questions for PSS*1.0* MEDICATION ROUTES (Partial Definition) Note: You already have the 'MEDICATION ROUTES' File. Checking Install for Package PSS*1.0*127 Install Questions for PSS*1.0* DRUG (Partial Definition) Note: You already have the 'DRUG' File. Checking Install for Package PSS*1.0*109 Install Questions for PSS*1.0* PHARMACY PATIENT (Partial Definition) Note: You already have the 'PHARMACY PATIENT' File. Checking Install for Package PSS*1.0*124 Install Questions for PSS*1.0*124 Checking Install for Package PSS*1.0*126 Install Questions for PSS*1.0* DRUG (Partial Definition) Note: You already have the 'DRUG' File. Checking Install for Package PSS*1.0*132 Install Questions for PSS*1.0*132 Checking Install for Package PSS*1.0*128 Install Questions for PSS*1.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSS*1.0*130 Install Questions for PSS*1.0* PHARMACY ORDERABLE ITEM (Partial Definition) Note: You already have the 'PHARMACY ORDERABLE ITEM' File. Checking Install for Package PSS*1.0*134 Install Questions for PSS*1.0*134 Checking Install for Package PSS*1.0*94 Install Questions for PSS*1.0*94 Checking Install for Package PSJ*5.0*174 Install Questions for PSJ*5.0*174 Checking Install for Package PSJ*5.0*183 Install Questions for PSJ*5.0*183 Checking Install for Package PSJ*5.0*178 Install Questions for PSJ*5.0*178 Checking Install for Package PSJ*5.0*160 Install Questions for PSJ*5.0*160 Checking Install for Package PSJ*5.0*169 Install Questions for PSJ*5.0*169 Checking Install for Package PSJ*5.0*188 Install Questions for PSJ*5.0*188 Checking Install for Package PSJ*5.0*180 Install Questions for PSJ*5.0*180 Checking Install for Package PSJ*5.0*120 Install Questions for PSJ*5.0*120 Checking Install for Package PSJ*5.0*145 Install Questions for PSJ*5.0*145 Checking Install for Package PSJ*5.0*189 Install Questions for PSJ*5.0*189 Checking Install for Package PSJ*5.0*159 Install Questions for PSJ*5.0*

142 Checking Install for Package PSJ*5.0*192 Install Questions for PSJ*5.0*192 Checking Install for Package PSJ*5.0*195 Install Questions for PSJ*5.0*195 Checking Install for Package PSJ*5.0*175 Install Questions for PSJ*5.0*175 Checking Install for Package PSJ*5.0*148 Install Questions for PSJ*5.0*148 Checking Install for Package PSJ*5.0*173 Install Questions for PSJ*5.0* NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File. Checking Install for Package PSJ*5.0*201 Install Questions for PSJ*5.0*201 Checking Install for Package PSJ*5.0*191 Install Questions for PSJ*5.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSJ*5.0*185 Install Questions for PSJ*5.0*185 Checking Install for Package PSO*7.0*263 Install Questions for PSO*7.0*263 Checking Install for Package PSO*7.0*261 Install Questions for PSO*7.0*261 Checking Install for Package PSO*7.0*265 Install Questions for PSO*7.0*265 Checking Install for Package PSO*7.0*249 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. Checking Install for Package PSO*7.0*267 Install Questions for PSO*7.0*267 Checking Install for Package PSO*7.0*268 Install Questions for PSO*7.0*268 Checking Install for Package PSO*7.0*273 Install Questions for PSO*7.0*273 Checking Install for Package PSO*7.0*278 Install Questions for PSO*7.0*278 Checking Install for Package PSO*7.0*260 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File EPHARMACY MEDICATION PROFILE PREFERENCES 59 OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. 20. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*264 Install Questions for PSO*7.0* PRESCRIPTION REFILL REQUEST (Partial Definition) Note: You already have the 'PRESCRIPTION REFILL REQUEST' File. 138

143 59 OUTPATIENT SITE (Partial Definition) Note: You already have the 'OUTPATIENT SITE' File. 21. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. Checking Install for Package PSO*7.0*285 Install Questions for PSO*7.0*285 Checking Install for Package PSO*7.0*283 Will first run the Environment Check Routine, PSO283EN This patch reads the entire PRESCRIPTION file (#52) and counts prescriptions with expiration date problem. Refer to the patch description for more detailed information. Note: The estimated duration is less than one hour. 22. To stop, resume, or view the current status of the post-install, run the following command in programmer mode: >D ^PSO283PI. 23. Press Enter to continue. The following appears: Install Questions for PSO*7.0*283 Checking Install for Package PSO*7.0*280 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. Checking Install for Package PSO*7.0*274 Install Questions for PSO*7.0*274 Checking Install for Package PSO*7.0*269 Install Questions for PSO*7.0*269 Checking Install for Package PSO*7.0*206 Install Questions for PSO*7.0*206 Checking Install for Package PSO*7.0*240 Install Questions for PSO*7.0*240 Checking Install for Package PSO*7.0*292 Install Questions for PSO*7.0*292 Checking Install for Package PSO*7.0*275 Install Questions for PSO*7.0*275 Checking Install for Package PSO*7.0*302 Install Questions for PSO*7.0*302 Checking Install for Package PSO*7.0*257 Install Questions for PSO*7.0*257 Checking Install for Package PSO*7.0*281 Install Questions for PSO*7.0*281 Checking Install for Package PSO*7.0*291 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. Checking Install for Package PSO*7.0*246 Install Questions for PSO*7.0*246 Checking Install for Package PSO*7.0*293 Will first run the Environment Check Routine, PSO293EN This patch reads the entire PRESCRIPTION file (#52) and performs the three updates below (if necessary): 139

144 a. Set/Fix the Rx Expiration Date if not present or > 366 days. b. Synchronize the Rx Status with CPRS for expired Rx's. c. Synchronize the Rx Status with HDR for expired/deleted Rx's. Refer to the patch description for more detailed information. Note: The estimate duration is less than one hour. 24. To stop, resume, or view the current status of the clean up, run the following command in programmer mode: >D ^PSO293PI. 25. Press Enter to continue. The following appears: Install Questions for PSO*7.0*293 Checking Install for Package PSO*7.0*294 Install Questions for PSO*7.0*294 Checking Install for Package PSO*7.0*288 Install Questions for PSO*7.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*279 Install Questions for PSO*7.0*279 Checking Install for Package PSU 4.0 Install Questions for PSU PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File PBM PATIENT DEMOGRAPHICS Incoming Mail Groups: Enter the Coordinator for Mail Group 'PSU PBM': 27. Enter the name of the person who will be the mail group recipient for the group PSU PBM. 28. At th e Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. 29. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 30. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 31. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or type a caret (^) to abort the install. 32. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: 140

145 SR*3.0*160 Install Started for SR*3.0*160: Apr 23, Build Distribution Date: May 16, 2007 Apr 23, Running Pre-Install Routine: ^SR160UT2 Apr 23, Installing Data: Apr 23, Installing INPUT TEMPLATE Apr 23, Running Post-Install Routine: POST^SR160UTL Converting existing data in PREGNANCY field (#269)... Populating CPT EXCLUSIONS file... SR*3.0*160 Installed. Apr 23, SR*3.0*161 Install Started for SR*3.0*161: Apr 23, Build Distribution Date: Apr 26, 2007 Apr 23, SR*3.0*161 Installed. Apr 23, SR*3.0*159 Install Started for SR*3.0*159: Apr 23, Build Distribution Date: Jul 31, 2007 Apr 23, Apr 23, SR*3.0*159 Installed. Apr 23, SR*3.0*163 Install Started for SR*3.0*163: Apr 23, Build Distribution Date: Aug 16, 2007 Apr 23, Apr 23, SR*3.0*163 Installed. Apr 23, 141

146 SR*3.0*164 Install Started for SR*3.0*164: Apr 23, Build Distribution Date: Sep 12, 2007 Apr 23, Apr 23, SR*3.0*164 Installed. Apr 23, SR*3.0*162 Install Started for SR*3.0*162: Apr 23, Build Distribution Date: Mar 18, 2008 Apr 23, SR*3.0*162 Installed. Apr 23, SR*3.0*166 Install Started for SR*3.0*166: Apr 23, Build Distribution Date: Mar 03, 2008 Apr 23, Running Pre-Install Routine: PRE^SR166UTL Apr 23, Installing Data: Apr 23, Installing INPUT TEMPLATE Installing OPTION Apr 23, Running Post-Install Routine: POST^SR166UTL SR*3.0*166 Installed. Apr 23, SR*3.0*169 Install Started for SR*3.0*169: Apr 23, Build Distribution Date: Jun 25, 2008 Apr 23, Running Post-Install Routine: PEX^SR169UTL Populating CPT EXCLUSIONS file... SR*3.0*169 Installed. Apr 23, SR*3.0*

147 Install Started for SR*3.0*168: Apr 23, Build Distribution Date: Oct 06, 2008 Apr 23, SR*3.0*168 Installed. Apr 23, SR*3.0*167 Install Started for SR*3.0*167: Apr 23, Build Distribution Date: Oct 15, 2008 Apr 23, Running Pre-Install Routine: PRE^SR167UTL Apr 23, Installing SECURITY KEY Installing INPUT TEMPLATE Installing MAIL GROUP Installing OPTION Apr 23, SR*3.0*167 Installed. Apr 23, SR*3.0*170 Install Started for SR*3.0*170: Apr 23, Build Distribution Date: Jun 16, 2009 Apr 23, Apr 23, Running Post-Install Routine: PEX^SR170UTL Populating CPT EXCLUSIONS file... SR*3.0*170 Installed. Apr 23, GMRA*4.0*26 Install Started for GMRA*4.0*26: Apr 23, Build Distribution Date: Sep 06, 2006 Apr 23, GMRA*4.0*26 Installed. Apr 23, GMRA*4.0*37 Install Started for GMRA*4.0*37: Apr 23, Build Distribution Date: Oct 26, 2006 Apr 23, 143

148 GMRA*4.0*37 Installed. Apr 23, GMRA*4.0*29 Install Started for GMRA*4.0*29: Apr 23, Build Distribution Date: Mar 01, 2007 Apr 23, Running Post-Install Routine: POST^GMRAY29 Post-install queued as task # GMRA*4.0*29 Installed. Apr 23, 2010@13:15:17 GMRA*4.0*40 Install Started for GMRA*4.0*40: Apr 23, 2010@13:15:17 Build Distribution Date: Jul 10, 2007 Apr 23, 2010@13:15:17 Running Post-Install Routine: POST^GMRAY40 Post-install queued as task # GMRA*4.0*40 Installed. Apr 23, 2010@13:15:17 GMRA*4.0*33 Install Started for GMRA*4.0*33: Apr 23, 2010@13:15:17 Build Distribution Date: Dec 12, 2007 Apr 23, 2010@13:15:17 Installing SORT TEMPLATE Apr 23, 2010@13:15:18 GMRA*4.0*33 Installed. Apr 23, 2010@13:15:18 PSS*1.0*114 Install Started for PSS*1.0*114: Apr 23, 2010@13:15:18 Build Distribution Date: Sep 21, 2006 Apr 23, 2010@13:15:18 Apr 23, 2010@13:15:18 Installing OPTION Apr 23, 2010@13:15:18 PSS*1.0*114 Installed. Apr 23, 2010@13:15:18 144

149 PSS*1.0*120 Install Started for PSS*1.0*120: Apr 23, Build Distribution Date: Sep 27, 2006 Apr 23, Apr 23, PSS*1.0*120 Installed. Apr 23, PSS*1.0*118 Install Started for PSS*1.0*118: Apr 23, Build Distribution Date: Jan 09, 2007 Apr 23, PSS*1.0*118 Installed. Apr 23, PSS*1.0*121 Install Started for PSS*1.0*121: Apr 23, Build Distribution Date: Jan 10, 2007 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, PSS*1.0*121 Installed. Apr 23, PSO*7.0*254 Install Started for PSO*7.0*254: Apr 23, Build Distribution Date: Nov 16, 2006 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, Running Post-Install Routine: ^PSO254PI PSO*7.0*254 Installed. Apr 23, PSO*7.0*252 Install Started for PSO*7.0*252: Apr 23, Build Distribution Date: Jan 19,

150 Apr 23, PSO*7.0*252 Installed. Apr 23, PSO*7.0*243 Install Started for PSO*7.0*243: Apr 23, Build Distribution Date: Feb 07, 2007 Apr 23, PSO*7.0*243 Installed. Apr 23, PSO*7.0*200 Install Started for PSO*7.0*200: Apr 23, Build Distribution Date: Mar 21, 2007 Apr 23, Apr 23, Installing PROTOCOL Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*200 Installed. Apr 23, PSS*1.0*122 Install Started for PSS*1.0*122: Apr 23, Build Distribution Date: Feb 28, 2007 Apr 23, Apr 23, PSS*1.0*122 Installed. Apr 23, 146

151 PSS*1.0*125 Install Started for PSS*1.0*125: Apr 23, Build Distribution Date: May 09, 2007 Apr 23, PSS*1.0*125 Installed. Apr 23, PSS*1.0*88 Install Started for PSS*1.0*88: Apr 23, Build Distribution Date: May 31, 2007 Apr 23, Apr 23, Installing INPUT TEMPLATE Apr 23, Running Post-Install Routine: EN^PSS0088 Requested Start Time: NOW//(APR 23, The check for Med Route Abbreviations is queued(to start NOW). YOU WILL RECEIVE A MAILMAN MESSAGE WHEN TASK #37007 HAS COMPLETED. PSS*1.0*88 Installed. Apr 23, 2010@13:15:23 PSS*1.0*127 Install Started for PSS*1.0*127: Apr 23, 2010@13:15:23 Build Distribution Date: Aug 16, 2007 Apr 23, 2010@13:15:23 Apr 23, 2010@13:15:23 Installing INPUT TEMPLATE Apr 23, 2010@13:15:23 Running Post-Install Routine: ^PSS127PI Populating new fields in the DRUG file (#50)... PSS*1.0*127 Installed. Apr 23, 2010@13:15:24 PSS*1.0*109 Install Started for PSS*1.0*109: Apr 23, 2010@13:15:24 Build Distribution Date: Jul 30, 2007 Apr 23, 2010@13:15:24 Apr 23, 2010@13:15:25 The following Routines were created during this install: PSSJXR PSSJXR1 147

152 PSSJXR10 PSSJXR11 PSSJXR12 PSSJXR13 PSSJXR14 PSSJXR15 PSSJXR16 PSSJXR17 PSSJXR18 PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25 PSSJXR26 PSSJXR27 PSSJXR28 PSSJXR29 PSSJXR3 PSSJXR30 PSSJXR31 PSSJXR32 PSSJXR4 PSSJXR5 PSSJXR6 PSSJXR7 PSSJXR8 PSSJXR9 PSS*1.0*109 Installed. Apr 23, PSS*1.0*124 Install Started for PSS*1.0*124: Apr 23, Build Distribution Date: Aug 23, 2007 Apr 23, PSS*1.0*124 Installed. Apr 23, PSS*1.0*126 Install Started for PSS*1.0*126: Apr 23, Build Distribution Date: Aug 21, 2007 Apr 23, Apr 23, Running Post-Install Routine: EN^PSS1P126 PSS*1.0*126 Installed. Apr 23, 148

153 PSS*1.0*132 Install Started for PSS*1.0*132: Apr 23, Build Distribution Date: Feb 14, 2008 Apr 23, PSS*1.0*132 Installed. Apr 23, PSS*1.0*128 Install Started for PSS*1.0*128: Apr 23, Build Distribution Date: May 18, 2007 Apr 23, Apr 23, PSS*1.0*128 Installed. Apr 23, PSS*1.0*130 Install Started for PSS*1.0*130: Apr 23, Build Distribution Date: Aug 01, 2007 Apr 23, Apr 23, Running Post-Install Routine: ^PSSP130 PSS*1.0*130 Installed. Apr 23, PSS*1.0*134 Install Started for PSS*1.0*134: Apr 23, Build Distribution Date: May 21, 2008 Apr 23, Running Post-Install Routine: ^PSSP134 PSS*1.0*134 Installed. Apr 23, PSS*1.0*94 Install Started for PSS*1.0*94: Apr 23, Build Distribution Date: Mar 03, 2008 Apr 23, Installing INPUT TEMPLATE Apr 23, PSS*1.0*94 Installed. 149

154 Apr 23, PSJ*5.0*174 Install Started for PSJ*5.0*174: Apr 23, Build Distribution Date: May 12, 2006 Apr 23, PSJ*5.0*174 Installed. Apr 23, PSJ*5.0*183 Install Started for PSJ*5.0*183: Apr 23, Build Distribution Date: Aug 23, 2006 Apr 23, PSJ*5.0*183 Installed. Apr 23, PSJ*5.0*178 Install Started for PSJ*5.0*178: Apr 23, Build Distribution Date: Feb 01, 2007 Apr 23, PSJ*5.0*178 Installed. Apr 23, PSJ*5.0*160 Install Started for PSJ*5.0*160: Apr 23, Build Distribution Date: Feb 07, 2007 Apr 23, PSJ*5.0*160 Installed. Apr 23, PSJ*5.0*169 Install Started for PSJ*5.0*169: Apr 23, Build Distribution Date: May 24, 2006 Apr 23, PSJ*5.0*169 Installed. Apr 23, PSJ*5.0*188 Install Started for PSJ*5.0*188: Apr 23, Build Distribution Date: Mar 14,

155 Apr 23, PSJ*5.0*188 Installed. Apr 23, PSJ*5.0*180 Install Started for PSJ*5.0*180: Apr 23, Build Distribution Date: Mar 16, 2007 Apr 23, PSJ*5.0*180 Installed. Apr 23, PSJ*5.0*120 Install Started for PSJ*5.0*120: Apr 23, Build Distribution Date: May 21, 2007 Apr 23, PSJ*5.0*120 Installed. Apr 23, PSJ*5.0*145 Install Started for PSJ*5.0*145: Apr 23, Build Distribution Date: Jun 14, 2007 Apr 23, PSJ*5.0*145 Installed. Apr 23, PSJ*5.0*189 Install Started for PSJ*5.0*189: Apr 23, Build Distribution Date: May 25, 2007 Apr 23, PSJ*5.0*189 Installed. Apr 23, PSJ*5.0*159 Install Started for PSJ*5.0*159: Apr 23, Build Distribution Date: Jun 08, 2007 Apr 23, PSJ*5.0*159 Installed. Apr 23, 151

156 PSJ*5.0*192 Install Started for PSJ*5.0*192: Apr 23, Build Distribution Date: May 01, 2007 Apr 23, PSJ*5.0*192 Installed. Apr 23, PSJ*5.0*195 Install Started for PSJ*5.0*195: Apr 23, Build Distribution Date: Jun 08, 2007 Apr 23, PSJ*5.0*195 Installed. Apr 23, PSJ*5.0*175 Install Started for PSJ*5.0*175: Apr 23, Build Distribution Date: Sep 10, 2007 Apr 23, PSJ*5.0*175 Installed. Apr 23, PSJ*5.0*148 Install Started for PSJ*5.0*148: Apr 23, Build Distribution Date: Aug 29, 2007 Apr 23, PSJ*5.0*148 Installed. Apr 23, PSJ*5.0*173 Install Started for PSJ*5.0*173: Apr 23, Build Distribution Date: Jul 30, 2007 Apr 23, Apr 23, The following Routines were created during this install: PSGXR3 PSGXR31P SGXR310 PSGXR311 PSGXR312 PSGXR32 152

157 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSJ*5.0*173 Installed. Apr 23, PSJ*5.0*201 Install Started for PSJ*5.0*201: Apr 23, Build Distribution Date: Dec 10, 2007 Apr 23, PSJ*5.0*201 Installed. Apr 23, PSJ*5.0*191 Install Started for PSJ*5.0*191: Apr 23, Build Distribution Date: Sep 20, 2007 Apr 23, Installing OPTION Apr 23, PSJ*5.0*191 Installed. Apr 23, PSJ*5.0*185 Install Started for PSJ*5.0*185: Apr 23, Build Distribution Date: Jan 08, 2008 Apr 23, PSJ*5.0*185 Installed. Apr 23, PSO*7.0*263 Install Started for PSO*7.0*263: Apr 23, Build Distribution Date: Feb 22, 2007 Apr 23, PSO*7.0*263 Installed. Apr 23, PSO*7.0*261 Install Started for PSO*7.0*261: Apr 23, 153

158 Build Distribution Date: Apr 25, 2007 Apr 23, Running Post-Install Routine: ^PSOP261 PSO*7.0*261 Installed. Apr 23, PSO*7.0*265 Install Started for PSO*7.0*265: Apr 23, Build Distribution Date: Feb 22, 2007 Apr 23, PSO*7.0*265 Installed. Apr 23, PSO*7.0*249 Install Started for PSO*7.0*249: Apr 23, Build Distribution Date: Jun 18, 2007 Apr 23, Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*249 Installed. Apr 23, PSO*7.0*267 Install Started for PSO*7.0*267: Apr 23, Build Distribution Date: May 16, 2007 Apr 23, PSO*7.0*267 Installed. Apr 23, PSO*7.0*268 Install Started for PSO*7.0*268: Apr 23, 154

159 Build Distribution Date: Jun 29, 2007 Apr 23, PSO*7.0*268 Installed. Apr 23, PSO*7.0*273 Install Started for PSO*7.0*273: Apr 23, Build Distribution Date: Jul 26, 2007 Apr 23, PSO*7.0*273 Installed. Apr 23, PSO*7.0*278 Install Started for PSO*7.0*278: Apr 23, Build Distribution Date: Aug 01, 2007 Apr 23, PSO*7.0*278 Installed. Apr 23, PSO*7.0*260 Install Started for PSO*7.0*260: Apr 23, Build Distribution Date: Aug 22, 2007 Apr 23, Apr 23, Installing PROTOCOL Installing LIST TEMPLATE Installing OPTION Apr 23, Running Post-Install Routine: ^PSO260PI The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 155

160 PSO*7.0*260 Installed. Apr 23, PSO*7.0*264 Install Started for PSO*7.0*264: Apr 23, Build Distribution Date: Oct 01, 2007 Apr 23, Apr 23, Installing SECURITY KEY Installing INPUT TEMPLATE Installing PROTOCOL Installing OPTION Apr 23, PSO*7.0*264 Installed. Apr 23, PSO*7.0*285 Install Started for PSO*7.0*285: Apr 23, Build Distribution Date: Oct 05, 2007 Apr 23, Installing PROTOCOL Apr 23, PSO*7.0*285 Installed. Apr 23, PSO*7.0*283 Install Started for PSO*7.0*283: Apr 23, Build Distribution Date: Nov 21, 2007 Apr 23, Running Post-Install Routine: PI^PSO283PI *** Task #37026 Queued! *** PSO*7.0*283 Installed. Apr 23, PSO*7.0*280 Install Started for PSO*7.0*280: Apr 23, Build Distribution Date: Oct 05, 2007 Apr 23, Apr 23, The following Routines were created during this install: PSOXZA 156

161 PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*280 Installed. Apr 23, PSO*7.0*274 Install Started for PSO*7.0*274: Apr 23, Build Distribution Date: Dec 12, 2007 Apr 23, Running Post-Install Routine: ^PSO7P At the Enter when to Queue the Activity Log Cleanup job to run in format: prompt, type NOW//, and then press Enter. The following appears: ============================================================= Queuing background job for Activity Log Cleanup... Start time: Apr 23, ============================================================== *** Task #37027 Queued! *** PSO*7.0*274 Installed. Apr 23, PSO*7.0*269 Install Started for PSO*7.0*269: Apr 23, Build Distribution Date: Dec 12, 2007 Apr 23, PSO*7.0*269 Installed. Apr 23, PSO*7.0*206 Install Started for PSO*7.0*206: Apr 23, Build Distribution Date: Oct 17, 2007 Apr 23, Running Post-Install Routine: EN^PSOP

162 PSO*7.0*206 Installed. Apr 23, PSO*7.0*240 Install Started for PSO*7.0*240: Apr 23, Build Distribution Date: Dec 04, 2007 Apr 23, PSO*7.0*240 Installed. Apr 23, PSO*7.0*292 Install Started for PSO*7.0*292: Apr 23, Build Distribution Date: Nov 06, 2007 Apr 23, PSO*7.0*292 Installed. Apr 23, PSO*7.0*275 Install Started for PSO*7.0*275: Apr 23, Build Distribution Date: Sep 17, 2007 Apr 23, PSO*7.0*275 Installed. Apr 23, PSO*7.0*32 Install Started for PSO*7.0*302: Apr 23, Build Distribution Date: Mar 18, 2008 Apr 23, Running Pre-Install Routine: START^PSO7P302 PSO*7.0*302 Installed. Apr 23, PSO*7.0*257 Install Started for PSO*7.0*257: Apr 23, Build Distribution Date: Jan 11, 2008 Apr 23, PSO*7.0*257 Installed. Apr 23, PSO*7.0*

163 Install Started for PSO*7.0*281: Apr 23, Build Distribution Date: Mar 18, 2008 Apr 23, Installing PROTOCOL Installing LIST TEMPLATE Apr 23, PSO*7.0*281 Installed. Apr 23, PSO*7.0*291 Install Started for PSO*7.0*291: Apr 23, Build Distribution Date: Mar 24, 2008 Apr 23, Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 Updating KIDS files PSO*7.0*291 Installed. Apr 23, PSO*7.0*246 Install Started for PSO*7.0*246: Apr 23, Build Distribution Date: Jul 25, 2007 Apr 23, PSO*7.0*246 Installed. Apr 23, PSO*7.0*293 Install Started for PSO*7.0*293: Apr 23, Build Distribution Date: Mar 05, 2008 Apr 23, Running Post-Install Routine: PI^PSO293PI *** Task #37030 Queued! *** 159

164 PSO*7.0*293 Installed. Apr 23, PSO*7.0*294 Install Started for PSO*7.0*294: Apr 23, Build Distribution Date: May 14, 2008 Apr 23, PSO*7.0*294 Installed. Apr 23, PSO*7.0*288 Install Started for PSO*7.0*288: Apr 23, Build Distribution Date: May 06, 200 Apr 23, Installing OPTION Apr 23, PSO*7.0*288 Installed. Apr 23, PSO*7.0*279 Install Started for PSO*7.0*279: Apr 23, Build Distribution Date: Feb 21, 2008 Apr 23, Installing SECURITY KEY Apr 23, PSO*7.0*279 Installed. Apr 23, PSU 4.0 Install Started for PSU 4.0: Apr 23, Build Distribution Date: Mar 15, 2005 Apr 23, Apr 23, Installing MAIL GROUP Installing HL LOGICAL LINK Installing HL7 APPLICATION PARAMETER Installing PROTOCOL Installing OPTION Apr 23, 160

165 PSU 4.0 Installed. Apr 23, Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 5.7 Mega Build VI (ehr_ mb6) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation, and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 4. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb6.k, and then press Enter. Note: The location of the ehr_ mb6.k file may not be in this folder. This is determined individually for each installation. The following appears: KIDS Distribution saved on Feb 24, 2010@16:41:41 Comment: Mega Build 6 This Distribution contains Transport Globals for the following Package(s): OR*3.0*

166 OR*3.0*270 OR*3.0*248 OR*3.0*262 OR*3.0*245 OR*3.0*232 OR*3.0*267 OR*3.0*265 OR*3.0*271 OR*3.0*275 OR*3.0*263 OR*3.0*278 OR*3.0*277 OR*3.0*274 OR*3.0*256 OR*3.0*279 OR*3.0*287 OR*3.0*246 OR*3.0*281 GMPL*2.0*35 GMRA*4.0*38 PSJ*5.0*134 PSO*7.0*225 PSO*7.0*304 PSO*7.0*287 PSO*7.0*297 PSO*7.0*315 PSO*7.0*299 PSO*7.0*317 PSO*7.0*296 PSO*7.0*303 PSO*7.0*319 PSO*7.0*300 PSO*7.0*323 PSO*7.0*301 PSO*7.0*305 GMRA*4.0*41 GMRA*4.0*42 PSU*4.0*4 PSU*4.0*3 PSU*4.0*7 PSU*4.0*6 PSU*4.0*8 PSU*4.0*10 PSU*4.0*9 PSU*4.0*11 PSU*4.0*12 PSU*4.0*13 PSU*4.0*14 PSU*4.0*15 PSU*4.0*5 OR*3.0*243 OR*3.0*299 OR*3.0*304 OR*3.0*303 OR*3.0*301 OR*3.0*292 OR*3.0*285 OR*3.0*289 OR*3.0*282 OR*3.0*298 OR*3.0*

167 GMPL*2.0*37 GMPL*2.0*38 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... OR*3.0*254 OR*3.0*270 OR*3.0*248 OR*3.0*262 OR*3.0*245 OR*3.0*232 OR*3.0*267 OR*3.0*265 OR*3.0*271 OR*3.0*275 OR*3.0*263 OR*3.0*278 OR*3.0*277 OR*3.0*274 OR*3.0*256 OR*3.0*279 OR*3.0*287 OR*3.0*246 OR*3.0*281 GMPL*2.0*35 GMRA*4.0*38 PSJ*5.0*134 PSO*7.0*225 PSO*7.0*304 PSO*7.0*287 PSO*7.0*297 PSO*7.0*315 PSO*7.0*299 PSO*7.0*317 PSO*7.0*296 PSO*7.0*303 PSO*7.0*319 PSO*7.0*300 PSO*7.0*323 PSO*7.0*301 PSO*7.0*305 GMRA*4.0*41 GMRA*4.0*42 PSU*4.0*4 Build PSU*4.0*3 has an Environmental Check Routine 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: PSU*4.0*3 Will first run the Environment Check Routine, PSU3ENCK PSU*4.0*7 PSU*4.0*6 PSU*4.0*8 PSU*4.0*10 PSU*4.0*9 163

168 PSU*4.0*11 PSU*4.0*12 PSU*4.0*13 PSU*4.0*14 PSU*4.0*15 PSU*4.0*5 OR*3.0*243 OR*3.0*299 OR*3.0*304 OR*3.0*303 OR*3.0*301 OR*3.0*292 OR*3.0*285 OR*3.0*289 OR*3.0*282 OR*3.0*298 OR*3.0*283 GMPL*2.0*37 GMPL*2.0*38 7. At the INSTALL NAME: prompt, type OR*3.0*254, and then press Enter to install this distribution. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 8. At the Select Installation Option: prompt, type 6: Install Package(s), and then press Enter. 9. At the Select INSTALL NAME: prompt, type OR*3.0*254, and then press Enter. The following appears: Loaded from Distribution Loaded from Distribution 4/23/10@13:25:07 => CPRS 27 Mega Build 6 ; Created on Feb 24, 2010@16:41:41 This Distribution was loaded on Apr 23, 2010@13:25:07 with header of CPRS 27 Mega Build 6; Created on Feb 24, 2010@16:41:41 It consisted of the following Install(s): OR*3.0*254 OR*3.0*270 OR*3.0*248 OR*3.0*262 OR*3.0*245 OR*3.0*232 OR*3.0*267 OR*3.0*265 OR*3.0*271 OR*3.0*275 OR*3.0*263 OR*3.0*278 OR*3.0*277 OR*3.0*274 OR*3.0*256 OR*3.0*279 OR*3.0*287 OR*3.0*246 OR*3.0*281 GMPL*2.0*35 GMRA*4.0*38 PSJ*5.0*134 PSO*7.0*225 PSO*7.0*304 PSO*7.0*287 PSO*7.0*297 PSO*7.0*315 PSO*7.0*299 PSO*7.0*317 PSO*7.0*296 PSO*7.0*303 PSO*7.0*319 PSO*7.0*300 PSO*7.0*323 PSO*7.0*301 PSO*7.0*305 GMRA*4.0*41 GMRA*4.0*42 PSU*4.0*4 PSU*4.0*3 PSU*4.0*7 PSU*4.0*6 PSU*4.0*8 PSU*4.0*10 PSU*4.0*9 PSU*4.0*11 PSU*4.0*12 PSU*4.0*13 PSU*4.0*14 PSU*4.0*15 PSU*4.0*5 OR*3.0*243 OR*3.0*299 OR*3.0*304 OR*3.0*303 OR*3.0*301 OR*3.0*292 OR*3.0*285 OR*3.0*289 OR*3.0*282 OR*3.0*298 OR*3.0*283 GMPL*2.0*37 GMPL*2.0*38 Checking Install for Package OR*3.0*

169 Install Questions for OR*3.0*254 Checking Install for Package OR*3.0*270 Install Questions for OR*3.0*270 Checking Install for Package OR*3.0*248 Install Questions for OR*3.0*248 Checking Install for Package OR*3.0*262 Install Questions for OR*3.0*262 Checking Install for Package OR*3.0*245 Install Questions for OR*3.0* ORDER QUICK VIEW (Partial Definition) Note: You already have the 'ORDER QUICK VIEW' File. 10. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package OR*3.0*232 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package OR*3.0*267 Install Questions for OR*3.0*267 Checking Install for Package OR*3.0*265 Install Questions for OR*3.0*265 Checking Install for Package OR*3.0*271 Install Questions for OR*3.0*271 Checking Install for Package OR*3.0*275 Install Questions for OR*3.0*275 Checking Install for Package OR*3.0*263 Install Questions for OR*3.0*263 Checking Install for Package OR*3.0*278 Install Questions for OR*3.0*278 Checking Install for Package OR*3.0*277 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package OR*3.0*274 Install Questions for OR*3.0* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine. Checking Install for Package OR*3.0*256 Install Questions for OR*3.0* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine. Checking Install for Package OR*3.0*279 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: 165

170 Checking Install for Package OR*3.0*287 Install Questions for OR*3.0* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine. Checking Install for Package OR*3.0*246 Install Questions for OR*3.0*246 Checking Install for Package OR*3.0*281 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package GMPL*2.0*35 Install Questions for GMPL*2.0* PROBLEM (Partial Definition) Note: You already have the 'PROBLEM' File. Checking Install for Package GMRA*4.0*38 Install Questions for GMRA*4.0*38 Checking Install for Package PSJ*5.0*134 Install Questions for PSJ*5.0* NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File. Checking Install for Package PSO*7.0*225 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File PENDING OUTPATIENT ORDERS (Partial Definition) Note: You already have the 'PENDING OUTPATIENT ORDERS' File. Checking Install for Package PSO*7.0*304 Install Questions for PSO*7.0*304 Checking Install for Package PSO*7.0*287 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. Checking Install for Package PSO*7.0*297 Install Questions for PSO*7.0*297 Checking Install for Package PSO*7.0*315 Install Questions for PSO*7.0*315 Checking Install for Package PSO*7.0*299 Install Questions for PSO*7.0*299 Checking Install for Package PSO*7.0*317 Install Questions for PSO*7.0*317 Checking Install for Package PSO*7.0*296 Install Questions for PSO*7.0*296 Checking Install for Package PSO*7.0*303 Install Questions for PSO*7.0*303 Checking Install for Package PSO*7.0*319 Install Questions for PSO*7.0*319 Checking Install for Package PSO*7.0*300 Install Questions for PSO*7.0*300 Checking Install for Package PSO*7.0*323 Install Questions for PSO*7.0*323 Checking Install for Package PSO*7.0*301 Install Questions for PSO*7.0*

171 Checking Install for Package PSO*7.0*305 Install Questions for PSO*7.0*305 Checking Install for Package GMRA*4.0*41 Install Questions for GMRA*4.0*41 Checking Install for Package GMRA*4.0*42 Install Questions for GMRA*4.0*42 Checking Install for Package PSU*4.0*4 Install Questions for PSU*4.0*4 Checking Install for Package PSU*4.0*3 Will first run the Environment Check Routine, PSU3ENCK Install Questions for PSU*4.0* HLO APPLICATION REGISTRY (including data) Note: You already have the 'HLO APPLICATION REGISTRY' File. I will OVERWRITE your data with mine. Checking Install for Package PSU*4.0*7 Install Questions for PSU*4.0*7 Checking Install for Package PSU*4.0*6 Install Questions for PSU*4.0*6 Checking Install for Package PSU*4.0*8 Install Questions for PSU*4.0*8 Checking Install for Package PSU*4.0*10 Install Questions for PSU*4.0*10 Checking Install for Package PSU*4.0*9 Install Questions for PSU*4.0*9 Checking Install for Package PSU*4.0*11 Install Questions for PSU*4.0*11 Checking Install for Package PSU*4.0*12 Install Questions for PSU*4.0*12 Checking Install for Package PSU*4.0*13 Install Questions for PSU*4.0*13 Checking Install for Package PSU*4.0*14 Install Questions for PSU*4.0*14 Checking Install for Package PSU*4.0*15 Install Questions for PSU*4.0*15 Checking Install for Package PSU*4.0*5 Install Questions for PSU*4.0*5 Checking Install for Package OR*3.0*243 Install Questions for OR*3.0* ORDER (Partial Definition) Note: You already have the 'ORDER' File OE/RR PATIENT EVENT (Partial Definition) Note: You already have the 'OE/RR PATIENT EVENT' File OE/RR LIST Note: You already have the 'OE/RR LIST' File OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine ORDER DIALOG (including data) Note: You already have the 'ORDER DIALOG' File. I will REPLACE your data with mine ORDERABLE ITEMS Note: You already have the 'ORDERABLE ITEMS' File. 15. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. Checking Install for Package OR*3.0*299 Install Questions for OR*3.0*

172 Checking Install for Package OR*3.0*304 Install Questions for OR*3.0*304 Checking Install for Package OR*3.0*303 Install Questions for OR*3.0*303 Checking Install for Package OR*3.0*301 Install Questions for OR*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. Checking Install for Package OR*3.0*292 Install Questions for OR*3.0*292 Checking Install for Package OR*3.0*285 Install Questions for OR*3.0*285 Checking Install for Package OR*3.0*289 Install Questions for OR*3.0*289 Checking Install for Package OR*3.0*282 Install Questions for OR*3.0*282 Checking Install for Package OR*3.0*298 Install Questions for OR*3.0* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will REPLACE your data with mine. Checking Install for Package OR*3.0*283 Install Questions for OR*3.0*283 Checking Install for Package GMPL*2.0*37 Install Questions for GMPL*2.0*37 Checking Install for Package GMPL*2.0*38 Install Questions for GMPL*2.0* At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 18. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 19. Enter the device you want to print the Install messages. You can queue the install by entering a Q at the device prompt. Or, type a caret (^) to abort the install. 20. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: OR*3.0*254 Install Started for OR*3.0*254: Apr 23, 2010@13:26 Build Distribution Date: Aug 18, 2006 Apr 23, 2010@13:26 OR*3.0*254 Installed. Apr 23, 2010@13:26 OR*3.0*270 Install Started for OR*3.0*270: Apr 23, 2010@13:26 Build Distribution Date: Nov 21,

173 Apr 23, Running Post-Install Routine: POST^ORY270 OR*3.0*270 Installed. Apr 23, OR*3.0*248 Install Started for OR*3.0*248: Apr 23, Build Distribution Date: Jun 12, 2006 Apr 23, OR*3.0*248 Installed. Apr 23, OR*3.0*262 Install Started for OR*3.0*262: Apr 23, Build Distribution Date: Nov 28, 2006 Apr 23, OR*3.0*262 Installed. Apr 23, OR*3.0*245 Install Started for OR*3.0*245: Apr 23, Build Distribution Date: Mar 26, 2007 Apr 23, Apr 23, Installing OPTION Apr 23, Running Post-Install Routine: POST^ORY245 Populating the new C cross reference of the ORDER QUICK VIEW file. The C cross reference of the ORDER QUICK VIEW file has been populated. New option ORCM QUICK ORDERS BY USER successfully attached to ORCM MGMT menu. OR*3.0*245 Installed. Apr 23, 2010@13:26 OR*3.0*232 Install Started for OR*3.0*232: Apr 23, 2010@13:26 Build Distribution Date: Feb 22, 2007 Apr 23, 2010@13:26 Installing HL LOGICAL LINK Installing HL7 APPLICATION PARAMETER Installing PROTOCOL Installing OPTION 169

174 Installing PARAMETER DEFINITION Apr 23, Running Post-Install Routine: POST^ORY232 OR*3.0*232 Installed. Apr 23, OR*3.0*267 Install Started for OR*3.0*267: Apr 23, Build Distribution Date: Mar 22, 2007 Apr 23, Running Post-Install Routine: ^ORY267ES Order Check Expert System Rule Transporter Created: OCT 23,2006 at 10:42 at DEVCUR.FO-SLC.MED.VA.GOV Current Date: APR 23,2010 at 13:26 at DEMO.MEDSPHERE.COM Loading Data Installing '863.8 OCX MDD PARAMETER' records... Installing '864.1 OCX MDD DATATYPE' records... Installing '863.7 OCX MDD PUBLIC FUNCTION' records... Installing '863.9 OCX MDD CONDITION/FUNCTION' records... Installing '863.4 OCX MDD ATTRIBUTE' records... OCX MDD ATTRIBUTE: CONTRAST MEDIA ALLERGY LOC record missing... NAME: CONTRAST MEDIA ALLERGY LOC...Correct data Filed PARAMETER NAME: DATA TYPE...Correct data Filed VALUE: FREE TEXT...Correct data Filed... Installing '863.2 OCX MDD SUBJECT' records... Installing '863.3 OCX MDD LINK' records... OCX MDD LINK: PATIENT.CON_MEDIA_LOCATION record missing... NAME: PATIENT.CON_MEDIA_LOCATION...Correct data Filed PARENT SUBJECT: PATIENT...Correct data Filed ATTRIBUTE: CONTRAST MEDIA ALLERGY LOC...Correct data Filed LIST ORDER: 99...Correct data Filed PARAMETER NAME: OCXO EXTERNAL FUNCTION CALL...Correct data Filed VALUE: ORCHK^GMRAOR( PATIENT IEN,"CM","",1)...Correct data Filed PARAMETER NAME: OCXO UP-ARROW PIECE NUMBER...Correct data Filed VALUE: 2...Correct data Filed... Installing '860.9 ORDER CHECK NATIONAL TERM' records... Installing '860.8 ORDER CHECK COMPILER FUNCTIONS' records... Installing '860.6 ORDER CHECK DATA CONTEXT' records... Installing '860.5 ORDER CHECK DATA SOURCE' records... Installing '860.4 ORDER CHECK DATA FIELD' records... ORDER CHECK DATA FIELD: ALLERGY CONTRAST MEDIA LOCATION record missing... NAME: ALLERGY CONTRAST MEDIA LOCATION...Correct data Filed DATATYPE: FREE TEXT...Correct data Filed DATA CONTEXT: DATABASE LOOKUP...Correct data Filed DATA SOURCE: DATABASE LOOKUP...Correct data Filed META DICTIONARY LINK: PATIENT.CON_MEDIA_LOCATION...Correct data Filed Installing '860.3 ORDER CHECK ELEMENT' records... Installing '860.2 ORDER CHECK RULE' records Inconsistent Data ORDER CHECK RULE: ALLERGY - CONTRAST MEDIA REACTION [55] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] (R) DEVCUR.FO-SLC.MED.VA.GOV: Patient allergic to contrast media. ( ALLERGY CONTRAST MEDIA LOCATION ) This procedure uses: CONTRAST MEDIA CODE TRANSLATION (L) DEMO.MEDSPHERE.COM: Patient allergic to contrast media. This procedure uses: CONTRAST MEDIA CODE TRANSLATION 170

175 ORDER CHECK MESSAGE: Patient allergic to contrast media. ( ALLERGY CONTRAST MEDIA LOCATION ) This procedure uses: CONTRAST MEDIA CODE TRANSLATION...Correct data Filed No data filing errors. Transport Finished Creating Order Check Routines Build list of Active Rules, Elements and Datafields DATA FIELDS 77 ELEMENTS 38 RULES Compile DataField Navigation code DataField Navigation Code Arrays Compile Element Evaluation code Event Evaluation Code Arrays Compile Element MetaCode Element Metacode Arrays Get Compiler Function Code Compiler Include Functions Compile Rule Element Relation code Rule Element Relation Code Arrays Construct Decision Tree Sub-Routines Optimize Sub-Routines Sub-Routines 60.4% Optimization Assemble Routines OCXOZ* Routines 8654 Lines of code generated. OR*3.0*267 Installed. Apr 23, 2010@13:26:03 OR*3.0*265 Install Started for OR*3.0*265: Apr 23, 2010@13:26:03 Build Distribution Date: Mar 01, 2007 Apr 23, 2010@13:26:03 Running Post-Install Routine: ^ORY FINISHED: UPDATING CPRS QUERY DEFINITION NAME / RPT SCHEDULED/DUE ACTIVITY FINISHED: UPDATING ORDER CHECK COMPILER FUNCTIONS THE EXPERT SYSTEM WILL NEED TO BE RECOMPILED TO COMPLETE THIS PROCESS SEE THE PATCH INSTRUCTION ON RECOMPILING THE EXPERT SYSTEM OR*3.0*265 Installed. Apr 23, 2010@13:26:03 OR*3.0*271 Install Started for OR*3.0*271: Apr 23, 2010@13:26:03 Build Distribution Date: Feb 21, 2007 Apr 23, 2010@13:26:03 OR*3.0*271 Installed. Apr 23, 2010@13:26:03 171

176 OR*3.0*275 Install Started for OR*3.0*275: Apr 23, Build Distribution Date: Jul 13, 2007 Apr 23, OR*3.0*275 Installed. Apr 23, OR*3.0*263 Install Started for OR*3.0*263: Apr 23, Build Distribution Date: Sep 10, 2007 Apr 23, OR*3.0*263 Installed. Apr 23, OR*3.0*278 Install Started for OR*3.0*278: Apr 23, Build Distribution Date: Sep 06, 2007 Apr 23, OR*3.0*278 Installed. Apr 23, OR*3.0*277 Install Started for OR*3.0*277: Apr 23, Build Distribution Date: Oct 02, 2007 Apr 23, Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Apr 23, Running Post-Install Routine: POST^ORY277 OR*3.0*277 Installed. Apr 23, OR*3.0*274 Install Started for OR*3.0*274: Apr 23, Build Distribution Date: Sep 28, 2007 Apr 23, Running Pre-Install Routine: PRE^ORY274 Apr 23, Installing Data: Apr 23, Running Post-Install Routine: POST^ORY

177 REMOVING OLD BSE V/W ENTRY LOOKING FOR OLD V/W ENTRY NO OLD V/W ENTRIES FOUND ADDING NEW BSE V/W ENTRY LOOKING FOR 'OR CPRS GUI CHART FOUND OPTION WRITING TO (BSE) REMOTE APPLICATION FILE VISTAWEB ENTRY SUCCESSFULLY ADDED === POST INSTALL COMPLETED SUCCESSFULLY === OR*3.0*274 Installed. Apr 23, OR*3.0*256 Install Started for OR*3.0*256: Apr 23, Build Distribution Date: Nov 06, 2007 Apr 23, Running Pre-Install Routine: PRE^ORY256 Apr 23, Installing Data: ** ERROR IN POINTER RESOLUTION OF DATA ** Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING IMPRESSION). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING STATUS). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Apr 23, Running Post-Install Routine: POST^ORY256 OR*3.0*256 Installed. Apr 23, OR*3.0*279 Install Started for OR*3.0*279: Apr 23, Build Distribution Date: Nov 07, 2007 Apr 23, Installing OPTION Apr 23, OR*3.0*279 Installed. Apr 23, OR*3.0*287 Install Started for OR*3.0*287: Apr 23, Build Distribution Date: Jan 15, 2008 Apr 23, Running Pre-Install Routine: PRE^ORY287 Apr 23, Installing Data: 173

178 ** ERROR IN POINTER RESOLUTION OF DATA ** Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING IMPRESSION). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING STATUS). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Apr 23, Running Post-Install Routine: POST^ORY287 OR*3.0*287 Installed. Apr 23, OR*3.0*246 Install Started for OR*3.0*246: Apr 23, Build Distribution Date: Feb 28, 2008 Apr 23, OR*3.0*246 Installed. Apr 23, OR*3.0*281 Install Started for OR*3.0*281: Apr 23, Build Distribution Date: Jul 29, 2008 Apr 23, Installing OPTION Apr 23, OR*3.0*281 Installed. Apr 23, GMPL*2.0*35 Install Started for GMPL*2.0*35: Apr 23, Build Distribution Date: Mar 21, 2008 Apr 23, Apr 23, GMPL*2.0*35 Installed. Apr 23, GMRA*4.0*38 Install Started for GMRA*4.0*38: Apr 23, Build Distribution Date: May 04, 2007 Apr 23, Running Post-Install Routine: POST^GMRAY38 GMRA*4.0*38 Installed. 174

179 Apr 23, PSJ*5.0*134 Install Started for PSJ*5.0*134: Apr 23, Build Distribution Date: Jun 18, 2008 Apr 23, Apr 23, The following Routines were created during this install: PSGXR3 PSGXR31 PSGXR310 PSGXR311 PSGXR312 PSGXR32 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSJ*5.0*134 Installed. Apr 23, PSO*7.0*225 Install Started for PSO*7.0*225: Apr 23, Build Distribution Date: Jun 18, 2008 Apr 23, Apr 23, Installing PROTOCOL Installing LIST TEMPLATE Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*225 Installed. Apr 23, 175

180 PSO*7.0*304 Install Started for PSO*7.0*304: Apr 23, Build Distribution Date: Aug 15, 2008 Apr 23, PSO*7.0*304 Installed. Apr 23, PSO*7.0*287 Install Started for PSO*7.0*287: Apr 23, Build Distribution Date: Aug 14, 2008 Apr 23, Apr 23, Installing PROTOCOL Installing LIST TEMPLATE Apr 23, The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*287 Installed. Apr 23, PSO*7.0*297 Install Started for PSO*7.0*297: Apr 23, Build Distribution Date: Feb 21, 2008 Apr 23, PSO*7.0*297 Installed. Apr 23, PSO*7.0*315 Install Started for PSO*7.0*315: Apr 23, Build Distribution Date: Aug 22,

181 Apr 23, PSO*7.0*315 Installed. Apr 23, PSO*7.0*299 Install Started for PSO*7.0*299: Apr 23, Build Distribution Date: Jun 03, 2008 Apr 23, PSO*7.0*299 Installed. Apr 23, PSO*7.0*317 Install Started for PSO*7.0*317: Apr 23, Build Distribution Date: Sep 22, 2008 Apr 23, PSO*7.0*317 Installed. Apr 23, PSO*7.0*296 Install Started for PSO*7.0*296: Apr 23, Build Distribution Date: Oct 24, 2008 Apr 23, PSO*7.0*296 Installed. Apr 23, PSO*7.0*303 Install Started for PSO*7.0*303: Apr 23, Build Distribution Date: Sep 23, 2008 Apr 23, PSO*7.0*303 Installed. Apr 23, PSO*7.0*319 Install Started for PSO*7.0*319: Apr 23, Build Distribution Date: Oct 30, 2008 Apr 23, PSO*7.0*319 Installed. Apr 23, 177

182 PSO*7.0*300 Install Started for PSO*7.0*300: Apr 23, Build Distribution Date: Aug 15, 2008 Apr 23, PSO*7.0*300 Installed. Apr 23, PSO*7.0*323 Install Started for PSO*7.0*323: Apr 23, Build Distribution Date: Dec 26, 2008 Apr 23, PSO*7.0*323 Installed. Apr 23, PSO*7.0*301 Install Started for PSO*7.0*301: Apr 23, Build Distribution Date: Nov 13, 2008 Apr 23, Installing PROTOCOL Apr 23, PSO*7.0*301 Installed. Apr 23, PSO*7.0*305 Install Started for PSO*7.0*305: Apr 23, Build Distribution Date: Apr 06, 2009 Apr 23, Installing PROTOCOL Apr 23, PSO*7.0*305 Installed. Apr 23, GMRA*4.0*41 Install Started for GMRA*4.0*41: Apr 23, Build Distribution Date: Jun 17, 2008 Apr 23, GMRA*4.0*41 Installed. Apr 23, 178

183 GMRA*4.0*42 Install Started for GMRA*4.0*42: Apr 23, Build Distribution Date: Apr 01, 2009 Apr 23, GMRA*4.0*42 Installed. Apr 23, PSU*4.0*4 Install Started for PSU*4.0*4: Apr 23, Build Distribution Date: Sep 07, 2005 Apr 23, PSU*4.0*4 Installed. Apr 23, PSU*4.0*3 Install Started for PSU*4.0*3: Apr 23, Build Distribution Date: Feb 01, 2006 Apr 23, Apr 23, Installing Data: Apr 23, Installing HL7 APPLICATION PARAMETER Installing PROTOCOL Apr 23, PSU*4.0*3 Installed. Apr 23, PSU*4.0*7 Install Started for PSU*4.0*7: Apr 23, Build Distribution Date: Jan 24, 2006 Apr 23, PSU*4.0*7 Installed. Apr 23, PSU*4.0*6 Install Started for PSU*4.0*6: Apr 23, Build Distribution Date: Nov 09, 2005 Apr 23, Apr 23, 179

184 PSU*4.0*8 Install Started for PSU*4.0*8: Apr 23, Build Distribution Date: Jul 24, 2006 Apr 23, PSU*4.0*8 Installed. Apr 23, PSU*4.0*10 Install Started for PSU*4.0*10: Apr 23, Build Distribution Date: Nov 24, 2006 Apr 23, PSU*4.0*10 Installed. Apr 23, PSU*4.0*9 Install Started for PSU*4.0*9: Apr 23, Build Distribution Date: Feb 06, 2007 Apr 23, PSU*4.0*9 Installed. Apr 23, PSU*4.0*11 Install Started for PSU*4.0*11: Apr 23, Build Distribution Date: Oct 09, 2007 Apr 23, PSU*4.0*11 Installed. Apr 23, PSU*4.0*12 Install Started for PSU*4.0*12: Apr 23, Build Distribution Date: Sep 27, 2007 Apr 23, PSU*4.0*12 Installed. Apr 23, PSU*4.0*13 Install Started for PSU*4.0*13: Apr 23, Build Distribution Date: Apr 01,

185 Apr 23, PSU*4.0*13 Installed. Apr 23, PSU*4.0*14 Install Started for PSU*4.0*14: Apr 23, Build Distribution Date: Nov 05, 2008 Apr 23, PSU*4.0*14 Installed. Apr 23, PSU*4.0*15 Install Started for PSU*4.0*15: Apr 23, Build Distribution Date: Jan 23, 2009 Apr 23, PSU*4.0*15 Installed. Apr 23, PSU*4.0*5 Install Started for PSU*4.0*5: Apr 23, Build Distribution Date: Nov 14, 2008 Apr 23, PSU*4.0*5 Installed. Apr 23, OR*3.0*243 Install Started for OR*3.0*243: Apr 23, Build Distribution Date: Jun 18, 2008 Apr 23, Running Pre-Install Routine: PRE^ORY243 Removing old data dictionaries. Deleting data dictionary for file # Apr 23, 2010@13:26:13 Installing Data:... ** ERROR IN POINTER RESOLUTION OF DATA ** Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING IMPRESSION). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING STATUS). Unable to find exact match and resolve pointer (^GMT(142.1, Entry:IMAGING PROFILE). Apr 23, 2010@13:26:15 Installing HELP FRAME Installing REMOTE PROCEDURE 181

186 Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Installing PARAMETER DEFINITION Apr 23, Running Post-Install Routine: POST^ORY243 Order Check Expert System Rule Transporter Created: NOV 2,2006 at 12:05 at CPRS27.FO-SLC.MED.VA.GOV Current Date: APR 23,2010 at 13:26 at DEMO.MEDSPHERE.COM Loading Data Installing '863.8 OCX MDD PARAMETER' records... Installing '864.1 OCX MDD DATATYPE' records... Installing '863.7 OCX MDD PUBLIC FUNCTION' records... Installing '863.9 OCX MDD CONDITION/FUNCTION' records... Installing '863.4 OCX MDD ATTRIBUTE' records... Installing '863.2 OCX MDD SUBJECT' records... Installing '863.3 OCX MDD LINK' records... Installing '860.9 ORDER CHECK NATIONAL TERM' records... Installing '860.8 ORDER CHECK COMPILER FUNCTIONS' records... Installing '860.6 ORDER CHECK DATA CONTEXT' records... Installing '860.5 ORDER CHECK DATA SOURCE' records... Installing '860.4 ORDER CHECK DATA FIELD' records... Installing '860.3 ORDER CHECK ELEMENT' records... ORDER CHECK ELEMENT: CLOZAPINE ANC >= 1.5 & < 2.0 record missing... NAME: CLOZAPINE ANC >= 1.5 & < Correct data Filed ELEMENT CONTEXT: CPRS ORDER PRESCAN...Correct data Filed EXPRESSION SEQUENCE NUMBER: 1...Correct data Filed DATA FIELD 1: CLOZAPINE ANC W/IN 7 RESULT...Correct data Filed OPERATOR/FUNCTION: GREATER THAN...Correct data Filed CONDITIONAL VALUE 1: Correct data Filed EXPRESSION SEQUENCE NUMBER: 2...Correct data Filed DATA FIELD 1: CLOZAPINE ANC W/IN 7 RESULT...Correct data Filed OPERATOR/FUNCTION: LESS THAN...Correct data Filed CONDITIONAL VALUE 1: Correct data Filed EXPRESSION SEQUENCE NUMBER: 3...Correct data Filed DATA FIELD 1: CLOZAPINE ANC W/IN 7 FLAG...Correct data Filed OPERATOR/FUNCTION: LOGICAL TRUE...Correct data FiledInstalling '860.2 ORDER CHECK RULE' records Missing multiple: ORDER CHECK RULE: CLOZAPINE [57] TRUTH ELEMENTS: 1.5 <= ANC < 2.0 [10] TYPE: SIMPLE DEFINITION ELEMENT NAME: CLOZAPINE ANC >= 1.5 & < 2.0 LABEL: 1.5 <= ANC < Correct data Filed TYPE: SIMPLE DEFINITION...Correct data Filed ELEMENT NAME: CLOZAPINE ANC >= 1.5 & < Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 1 [1] RELATION EXPRESSION field [1] (R) CPRS27.FO-SLC.MED.VA.GOV: CLOZAPINE AND (NO WBC W/IN 7 DAYS OR NO ANC W/IN 7 DAYS) (L) DEMO.MEDSPHERE.COM: CLOZAPINE AND (WBC < 3.0 OR ANC < 1.5) RELATION EXPRESSION: CLOZAPINE AND (NO WBC W/IN 7 DAYS OR NO ANC W/IN 7 DAYS)...Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 1 [1] ORDER CHECK MESSAGE field [6] 182

187 (R) CPRS27.FO-SLC.MED.VA.GOV: Clozapine orders require a CBC/Diff within past 7 days. Order CBC/Diff with WBC and ANC immediately. Most recent results - CLOZ LAB RSLTS (L) DEMO.MEDSPHERE.COM: WBC < 3.0 and/or ANC < pharmacy cannot fill clozapine order. Most recent results - CLOZ LAB RSLTS ORDER CHECK MESSAGE: Clozapine orders require a CBC/Diff within past 7 days. Order CBC/Diff with WBC and ANC immediately. Most recent results - CLOZ LAB RSLTS...Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] ELATION ACTIONS: 2 [2] RELATION EXPRESSION field [1] (R) CPRS27.FO-SLC.MED.VA.GOV: CLOZAPINE AND (WBC < 3.0 OR ANC < 1.5) (L) DEMO.MEDSPHERE.COM: CLOZAPINE AND NO WBC W/IN 7 DAYS RELATION EXPRESSION: CLOZAPINE AND (WBC < 3.0 OR ANC < 1.5)...Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 2 [2] ORDER CHECK MESSAGE field [6] (R) CPRS27.FO-SLC.MED.VA.GOV: WBC < 3.0 and/or ANC < pharmacy cannot fill clozapine order. Most recent results - CLOZ LAB RSLTS (L) DEMO.MEDSPHERE.COM: Clozapine orders require a CBC/Diff within past 7 days. Order CBC/Diff with WBC and ANC immediately. Most recent results - CLOZ LAB RSLTS ORDER CHECK MESSAGE: WBC < 3.0 and/or ANC < pharmacy cannot fill clozapine order. Most recent results - CLOZ LAB RSLTS...Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 3 [3] RELATION EXPRESSION field [1] (R) CPRS27.FO-SLC.MED.VA.GOV: CLOZAPINE AND 3.0 <= WBC < 3.5 AND ANC >= 1.5 (L) DEMO.MEDSPHERE.COM: CLOZAPINE AND 3.0 <= WBC < 3.5 AND NO ANC W/IN 7 DAYS RELATION EXPRESSION: CLOZAPINE AND 3.0 <= WBC < 3.5 AND ANC >= Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 3 [3] ORDER CHECK MESSAGE field [6] (R) CPRS27.FO-SLC.MED.VA.GOV: WBC between 3.0 and 3.5 with ANC >= repeat CBC/Diff including WBC and ANC immediately and twice weekly. Most recent results - CLOZ LAB RSLTS (L) DEMO.MEDSPHERE.COM: CLOZWBC 30_35 TEXT Most recent results - CLOZ LAB RSLTS ORDER CHECK MESSAGE: WBC between 3.0 and 3.5 with ANC >= repeat CBC/Diff including WBC and ANC immediately and twice weekly. Most recent results - CLOZ LAB RSLTS...Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 4 [4] RELATION EXPRESSION field [1] (R) CPRS27.FO-SLC.MED.VA.GOV: CLOZAPINE AND 1.5 <= ANC < 2.0 (L) DEMO.MEDSPHERE.COM: CLOZAPINE AND 3.0 <= WBC < 3.5 AND ANC >= 1.5 RELATION EXPRESSION: CLOZAPINE AND 1.5 <= ANC < Correct data Filed Inconsistent Data ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 4 [4] ORDER CHECK MESSAGE field [6] (R) CPRS27.FO-SLC.MED.VA.GOV: ANC between 1.5 and repeat CBC/Diff including WBC and ANC immediately and twice weekly. Most recent results - CLOZ LAB RSLTS (L) DEMO.MEDSPHERE.COM: WBC between 3.0 and 3.5 with ANC >= repeat CBC/Diff including WBC and ANC immediately and twice weekly. Most recent results - CLOZ LAB RSLTS 183

188 ORDER CHECK MESSAGE: ANC between 1.5 and repeat CBC/Diff including WBC and ANC immediately and twice weekly. Most recent results - CLOZ LAB RSLTS...Correct data Filed Extra multiple: ORDER CHECK RULE: CLOZAPINE [57] RELATION ACTIONS: 5 [5] RELATION EXPRESSION: CLOZAPINE AND WBC >= 3.5 ORDER CHECK: CLOZAPINE APPROPRIATENESS ORDER CHECK MESSAGE: Clozapine - most recent results - CLOZ LAB RSLTS...Correct data Filed deleted... No data filing errors. Transport Finished Creating Order Check Routines Build list of Active Rules, Elements and Datafields DATA FIELDS 78 ELEMENTS 38 RULES Compile DataField Navigation code DataField Navigation Code Arrays Compile Element Evaluation code Event Evaluation Code Arrays Compile Element MetaCode Element Metacode Arrays Get Compiler Function Code Compiler Include Functions Compile Rule Element Relation code Rule Element Relation Code Arrays Construct Decision Tree Sub-Routines Optimize Sub-Routines Sub-Routines 60.1% Optimization Assemble Routines OCXOZ* Routines Converting Inpatient Medications Quick Orders to Unit Dose Medications Quick Orders. Delayed IV Order conversion has been queued, task number The following Routines were created during this install: ORD2 ORD21 ORD210 ORD211 ORD212 ORD213 ORD214 ORD215 ORD216 ORD22 ORD23 ORD24 ORD25 ORD26 ORD27 ORD28 ORD29 OR*3.0*243 Installed. Apr 23, 2010@13:26:21 184

189 OR*3.0*299 Install Started for OR*3.0*299: Apr 23, Build Distribution Date: Aug 01, 2008 Apr 23, Running Post-Install Routine: EN1^ORY299 Requested Start Time: NOW//(APR 23, The check for truncated Patient Instructions is queued (to start NOW). YOU WILL RECEIVE A MAILMAN MESSAGE WHEN TASK #37047 HAS COMPLETED. OR*3.0*299 Installed. Apr 23, 2010@13:26:24 OR*3.0*304 Install Started for OR*3.0*304: Apr 23, 2010@13:26:24 Build Distribution Date: Nov 04, 2008 Apr 23, 2010@13:26:24 Running Post-Install Routine: POST^ORY304 OR*3.0*304 Installed. Apr 23, 2010@13:26:24 OR*3.0*303 Install Started for OR*3.0*303: Apr 23, 2010@13:26:24 Build Distribution Date: Nov 06, 2008 Apr 23, 2010@13:26:24 OR*3.0*303 Installed. Apr 23, 2010@13:26:24 OR*3.0*301 Install Started for OR*3.0*301: Apr 23, 2010@13:26:24 Build Distribution Date: Nov 04, 2008 Apr 23, 2010@13:26:24 Running Pre-Install Routine: PRE^ORY301 Installing OPTION Apr 23, 2010@13:26:24 OR*3.0*301 Installed. Apr 23, 2010@13:26:24 OR*3.0*292 Install Started for OR*3.0*292: Apr 23, 2010@13:26:24 Build Distribution Date: Nov 25, 2008 Apr 23, 2010@13:26:24 Installing PARAMETER DEFINITION Apr 23, 2010@13:26:24 185

190 OR*3.0*292 Installed. Apr 23, Install Started for OR*3.0*285: Apr 23, Build Distribution Date: May 08, 2008 Apr 23, OR*3.0*285 Installed. Apr 23, OR*3.0*289 Install Started for OR*3.0*289: Apr 23, Build Distribution Date: Nov 24, 2008 Apr 23, OR*3.0*289 Installed. Apr 23, OR*3.0*282 Install Started for OR*3.0*282: Apr 23, Build Distribution Date: Dec 17, 2008 Apr 23, OR*3.0*282 Installed. Apr 23, OR*3.0*298 Install Started for OR*3.0*298: Apr 23, Build Distribution Date: Sep 16, 2008 Apr 23, Running Pre-Install Routine: PRE^ORY298 Apr 23, Installing Data: Apr 23, Running Post-Install Routine: POST^ORY298 Apr 23, OR*3.0*283 Install Started for OR*3.0*283: Apr 23, Build Distribution Date: Mar 06, 2009 Apr 23, 186

191 OR*3.0*283 Installed. Apr 23, GMPL*2.0*37 Install Started for GMPL*2.0*37: Apr 23, Build Distribution Date: Oct 01, 2008 Apr 23, Running Post-Install Routine: POST^GMPLP37I Correction to the Priority field in the PROBLEM file has been queued, task number GMPL*2.0*37 Installed. Apr 23, GMPL*2.0*38 Install Started for GMPL*2.0*38: Apr 23, Build Distribution Date: Nov 13, 2008 Apr 23, GMPL*2.0*38 Installed. Apr 23, Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 5.8 Mega Build VII (ehr_ mb7) 1. At the Select OPTION NAME: prompt, type INS,MENU, and then press Enter. The following appears: 1 INSTALLATION XPD INSTALLATION MENU Installation 2 INSURER FILE MENU AG TM INS MENU Insurer File Menu 3 INSURER FILE MENU ABMD TM INS MENU Insurer File Menu Select 1:3: 2. Select 1 XPD INSTALLATION MENU Installation, and then press Enter. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 187

192 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. Select 1 Load a Distribution, and then press Enter. 4. At th e Enter a Host File: prompt, type:your DIRECTORY\ehr_ mb7.k, and then press Enter. Note: The location of the ehr_ mb7.k file may not be in this folder. This is determined individually for each installation. The following appears: KIDS Distribution saved on Feb 25, 2010@09:50:15 Comment: CPRS 27 Mega Build 7 This Distribution contains Transport Globals for the following Package(s): ORRC*1.0*3 ORRC*1.0*2 ORRC*1.0*5 ORRC*1.0*7 GMRC*3.0*50 GMRC*3.0*53 GMRC*3.0*47 GMRC*3.0*55 GMRC*3.0*57 GMRC*3.0*60 GMRC*3.0*61 GMRC*3.0*67 GMRC*3.0*58 GMRC*3.0*62 GMRC*3.0*63 GMRC*3.0*65 PSS*1.0*123 PSS*1.0*138 PSS*1.0*133 PSS*1.0*139 PSS*1.0*129 PSS*1.0*137 PSS*1.0*131 PSS*1.0*99 PSS*1.0*140 PSS*1.0*141 PSB*3.0*17 PSB*3.0*10 PSB*3.0*39 PSB*3.0*38 PSB*3.0*41 PSB*3.0*32 PSB*3.0*31 PSB*3.0*2 PSB*3.0*37 PSB*3.0*43 PSB*3.0*25 188

193 PSB*3.0*40 PSB*3.0*28 PSB*3.0*45 PSO*7.0*289 PSO*7.0*311 PSO*7.0*170 PSO*7.0*266 PSO*7.0*306 PSO*7.0*320 PSO*7.0*322 PSO*7.0*326 PSO*7.0*308 PSO*7.0*321 PSO*7.0*327 PSJ*5.0*204 PSJ*5.0*203 PSJ*5.0*209 PSJ*5.0*197 PSJ*5.0*210 PSJ*5.0*198 PSJ*5.0*220 PSJ*5.0*196 PSJ*5.0*213 PSJ*5.0*208 PSJ*5.0*221 PSJ*5.0*161 PSJ*5.0*193 PSJ*5.0*207 PSJ*5.0*215 PSJ*5.0*184 PSJ*5.0*190 PSJ*5.0*222 DIETETICS 5.5 PSB*3.0*33 PSB*3.0*47 PSB*3.0*46 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... ORRC*1.0*3 ORRC*1.0*2 ORRC*1.0*5 ORRC*1.0*7 GMRC*3.0*50 GMRC*3.0*53 GMRC*3.0*47 GMRC*3.0*55 GMRC*3.0*57 GMRC*3.0*60 GMRC*3.0*61 GMRC*3.0*67 GMRC*3.0*58 GMRC*3.0*62 GMRC*3.0*63 GMRC*3.0*65 Build PSS*1.0*123 has an Environmental Check Routine 189

194 6. At the Want to RUN the Environment Check Routine? YES// prompt, type YES, and then press Enter. The following appears: PSS*1.0*123 Will first run the Environment Check Routine, PSSEC123 PSS*1.0*138 PSS*1.0*133 PSS*1.0*139 PSS*1.0*129 Will first run the Environment Check Routine, PSS129EN PSS*1.0*137 PSS*1.0*131 PSS*1.0*99 PSS*1.0*140 PSS*1.0*141 PSB*3.0*17 PSB*3.0*10 PSB*3.0*39 PSB*3.0*38 PSB*3.0*41 PSB*3.0*32 PSB*3.0*31 PSB*3.0*2 PSB*3.0*37 PSB*3.0*43 PSB*3.0*25 PSB*3.0*40 PSB*3.0*28 PSB*3.0*45 PSO*7.0*289 PSO*7.0*311 PSO*7.0*170 PSO*7.0*266 PSO*7.0*306 PSO*7.0*320 PSO*7.0*322 PSO*7.0*326 PSO*7.0*308 PSO*7.0*321 PSO*7.0*327 PSJ*5.0*204 PSJ*5.0*203 PSJ*5.0*209 PSJ*5.0*197 PSJ*5.0*210 PSJ*5.0*198 PSJ*5.0*220 PSJ*5.0*196 PSJ*5.0*213 PSJ*5.0*208 PSJ*5.0*221 PSJ*5.0*161 PSJ*5.0*193 PSJ*5.0*207 PSJ*5.0*215 PSJ*5.0*184 PSJ*5.0*190 PSJ*5.0*222 DIETETICS 5.5 PSB*3.0*33 190

195 PSB*3.0*47 PSB*3.0*46 Use INSTALL NAME: ORRC*1.0*3 to install this Distribution. 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 7. At the Select Installation Option: prompt, type 6: Install Package(s), and then press Enter. 8. At the Select INSTALL NAME: prompt, type ORRC*1.0*3, and then press Enter. The following appears: Loaded from Distribution Loaded from Distribution 4/23/10@18:27:24 => CPRS 27 Mega Build 7; Created on Feb 25, 2010@09:50:15 This Distribution was loaded on Apr 23, 2010@18:27:24 with header of CPRS 27 Mega Build 7; Created on Feb 25, 2010@09:50:15 It consisted of the following Install(s): ORRC*1.0*3 ORRC*1.0*2 ORRC*1.0*5 ORRC*1.0*7 GMRC*3.0*50 GMRC*3.0*53 GMRC*3.0*47 GMRC*3.0*55 GMRC*3.0*57 GMRC*3.0*60 GMRC*3.0*61 GMRC*3.0*67 GMRC*3.0*58 GMRC*3.0*62 GMRC*3.0*63 GMRC*3.0*65 PSS*1.0*123 PSS*1.0*138 PSS*1.0*133 PSS*1.0*139 PSS*1.0*129 PSS*1.0*137 PSS*1.0*131 PSS*1.0*99 PSS*1.0*140 PSS*1.0*141 PSB*3.0*17 PSB*3.0*10 PSB*3.0*39 PSB*3.0*38 PSB*3.0*41 PSB*3.0*32 PSB*3.0*31 PSB*3.0*2 PSB*3.0*37 PSB*3.0*43 PSB*3.0*25 PSB*3.0*40 PSB*3.0*28 PSB*3.0*45 PSO*7.0*289 PSO*7.0*311 PSO*7.0*170 PSO*7.0*266 PSO*7.0*306 PSO*7.0*320 PSO*7.0*322 PSO*7.0*326 PSO*7.0*308 PSO*7.0*321 PSO*7.0*327 PSJ*5.0*204 PSJ*5.0*203 PSJ*5.0*209 PSJ*5.0*197 PSJ*5.0*210 PSJ*5.0*198 PSJ*5.0*220 PSJ*5.0*196 PSJ*5.0*213 PSJ*5.0*208 PSJ*5.0*221 PSJ*5.0*161 PSJ*5.0*193 PSJ*5.0*207 PSJ*5.0*215 PSJ*5.0*184 PSJ*5.0*190 PSJ*5.0*222 DIETETICS 5.5 PSB*3.0*33 PSB*3.0*47 PSB*3.0*46 Checking Install for Package ORRC*1.0*3 Install Questions for ORRC*1.0*3 Checking Install for Package ORRC*1.0*2 Install Questions for ORRC*1.0*2 9. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package ORRC*1.0*5 Install Questions for ORRC*1.0*5 10. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package ORRC*1.0*7 Install Questions for ORRC*1.0* XHD PARAMETER CATEGORY (including data) 191

196 Note: You already have the 'XHD PARAMETER CATEGORY' File. I will REPLACE your data with mine. 11. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package GMRC*3.0*50 Install Questions for GMRC*3.0*50 Print Full Patient Names on pre-install report? YES// NO GMRC PROCEDURE (Partial Definition) Note: You already have the 'GMRC PROCEDURE' File. Checking Install for Package GMRC*3.0*53 Install Questions for GMRC*3.0* GMRC PROCEDURE (Partial Definition) Note: You already have the 'GMRC PROCEDURE' File REQUEST SERVICES (Partial Definition) Note: You already have the 'REQUEST SERVICES' File. Checking Install for Package GMRC*3.0*47 Install Questions for GMRC*3.0*47 Checking Install for Package GMRC*3.0*55 Install Questions for GMRC*3.0*55 Checking Install for Package GMRC*3.0*57 Install Questions for GMRC*3.0* REQUEST SERVICES (Partial Definition) Note: You already have the 'REQUEST SERVICES' File. Checking Install for Package GMRC*3.0*60 Install Questions for GMRC*3.0* REQUEST/CONSULTATION (Partial Definition) Note: You already have the 'REQUEST/CONSULTATION' File REQUEST SERVICES (Partial Definition) Note: You already have the 'REQUEST SERVICES' File. 12. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package GMRC*3.0*61 Install Questions for GMRC*3.0*61 Checking Install for Package GMRC*3.0*67 Install Questions for GMRC*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package GMRC*3.0*58 Install Questions for GMRC*3.0*58 Checking Install for Package GMRC*3.0*62 Install Questions for GMRC*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. Checking Install for Package GMRC*3.0*63 192

197 Install Questions for GMRC*3.0*63 Checking Install for Package GMRC*3.0*65 Install Questions for GMRC*3.0*65 Checking Install for Package PSS*1.0*123 Will first run the Environment Check Routine, PSSEC123 Install Questions for PSS*1.0* DRUG ELECTROLYTES (Partial Definition) Note: You already have the 'DRUG ELECTROLYTES' File IV ADDITIVES (Partial Definition) Note: You already have the 'IV ADDITIVES' File. Checking Install for Package PSS*1.0*138 Install Questions for PSS*1.0* DRUG (Partial Definition) Note: You already have the 'DRUG' File DOSAGE FORM (Partial Definition) Note: You already have the 'DOSAGE FORM' File. Checking Install for Package PSS*1.0*133 Install Questions for PSS*1.0*133 Checking Install for Package PSS*1.0*139 Install Questions for PSS*1.0*139 Checking Install for Package PSS*1.0*129 Will first run the Environment Check Routine, PSS129EN 15. Upon completion of the Post Install, a mail message is sent to the patch installer, and at least one pharmacy user. Enter one or more Pharmacy users (for example, Pharmacy ADPAC or designee) who should receive the following message. At the Enter Pharmacy User: prompt, for example, type FULLER,ANGELA AF PHARMACIST, and then press Enter. 16. At the Continue with install? Y// prompt, type YES, and then press Enter. The following appears: Install Questions for PSS*1.0* DRUG (Partial Definition) Note: You already have the 'DRUG' File DOSAGE FORM (Partial Definition) Note: You already have the 'DOSAGE FORM' File MEDICATION ROUTES (Partial Definition) Note: You already have the 'MEDICATION ROUTES' File STANDARD MEDICATION ROUTES (including data) DOSE UNITS (including data) 52.7 IV SOLUTIONS (Partial Definition) Note: You already have the 'IV SOLUTIONS' File. 17. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSS*1.0*137 Install Questions for PSS*1.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. Checking Install for Package PSS*1.0*

198 Install Questions for PSS*1.0*131 Checking Install for Package PSS*1.0*99 Install Questions for PSS*1.0*99 55 PHARMACY PATIENT (Partial Definition) Note: You already have the 'PHARMACY PATIENT' File. Checking Install for Package PSS*1.0*140 Install Questions for PSS*1.0* PHARMACY SYSTEM (Partial Definition) Note: You already have the 'PHARMACY SYSTEM' File. 18. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSS*1.0*141 Install Questions for PSS*1.0* PHARMACY ORDERABLE ITEM (Partial Definition) Note: You already have the 'PHARMACY ORDERABLE ITEM' File. Checking Install for Package PSB*3.0*17 Install Questions for PSB*3.0*17 Checking Install for Package PSB*3.0*10 Install Questions for PSB*3.0*10 Checking Install for Package PSB*3.0*39 Install Questions for PSB*3.0*39 Checking Install for Package PSB*3.0*38 Install Questions for PSB*3.0*38 Checking Install for Package PSB*3.0*41 Install Questions for PSB*3.0*41 Checking Install for Package PSB*3.0*32 Install Questions for PSB*3.0* BCMA REPORT REQUEST (Partial Definition) Note: You already have the 'BCMA REPORT REQUEST' File. 19. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSB*3.0*31 Install Questions for PSB*3.0*31 Checking Install for Package PSB*3.0*2 Install Questions for PSB*3.0* BCMA REPORT REQUEST (Partial Definition) Note: You already have the 'BCMA REPORT REQUEST' File. 20. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSB*3.0*37 Install Questions for PSB*3.0*37 Checking Install for Package PSB*3.0*43 Install Questions for PSB*3.0*43 Checking Install for Package PSB*3.0*25 Install Questions for PSB*3.0*25 Checking Install for Package PSB*3.0*40 194

199 Install Questions for PSB*3.0*40 Checking Install for Package PSB*3.0*28 Install Questions for PSB*3.0* BCMA REPORT REQUEST (Partial Definition) Note: You already have the 'BCMA REPORT REQUEST' File BCMA UNABLE TO SCAN LOG 21. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSB*3.0*45 Install Questions for PSB*3.0* BCMA MEDICATION LOG (Partial Definition) Note: You already have the 'BCMA MEDICATION LOG' File. Checking Install for Package PSO*7.0*289 Install Questions for PSO*7.0* PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File RX SUSPENSE (Partial Definition) Note: You already have the 'RX SUSPENSE' File EPHARMACY SITE PARAMETERS 22. At the Incoming Mail Groups: prompt, type the Coordinator for Mail Group PSO REJECTS BACKGROUND MESSAGE :, and then press Enter. 23. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSO*7.0*311 Install Questions for PSO*7.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. Checking Install for Package PSO*7.0*170 Install Questions for PSO*7.0*170 Checking Install for Package PSO*7.0*266 Install Questions for PSO*7.0*266 Checking Install for Package PSO*7.0*306 Install Questions for PSO*7.0*306 Checking Install for Package PSO*7.0*320 Install Questions for PSO*7.0*320 Checking Install for Package PSO*7.0*322 Install Questions for PSO*7.0*322 Checking Install for Package PSO*7.0*326 Install Questions for PSO*7.0*326 Checking Install for Package PSO*7.0*308 Install Questions for PSO*7.0*308 Checking Install for Package PSO*7.0*321 Install Questions for PSO*7.0*321 Checking Install for Package PSO*7.0*327 Install Questions for PSO*7.0*327 Checking Install for Package PSJ*5.0*204 Install Questions for PSJ*5.0*

200 Checking Install for Package PSJ*5.0*203 Install Questions for PSJ*5.0*203 Checking Install for Package PSJ*5.0*209 Install Questions for PSJ*5.0*209 Checking Install for Package PSJ*5.0*197 Install Questions for PSJ*5.0*197 Checking Install for Package PSJ*5.0*210 Install Questions for PSJ*5.0*210 Checking Install for Package PSJ*5.0*198 Install Questions for PSJ*5.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. Checking Install for Package PSJ*5.0*220 Install Questions for PSJ*5.0*220 Checking Install for Package PSJ*5.0*196 Install Questions for PSJ*5.0*196 Checking Install for Package PSJ*5.0*213 Install Questions for PSJ*5.0*213 Checking Install for Package PSJ*5.0*208 Install Questions for PSJ*5.0*208 Checking Install for Package PSJ*5.0*221 Install Questions for PSJ*5.0*221 Checking Install for Package PSJ*5.0*161 Install Questions for PSJ*5.0*161 Checking Install for Package PSJ*5.0*193 Install Questions for PSJ*5.0*193 Checking Install for Package PSJ*5.0*207 Install Questions for PSJ*5.0*207 Checking Install for Package PSJ*5.0*215 Install Questions for PSJ*5.0*215 Checking Install for Package PSJ*5.0*184 Install Questions for PSJ*5.0*184 Checking Install for Package PSJ*5.0*190 Install Questions for PSJ*5.0*190 Checking Install for Package PSJ*5.0*222 Install Questions for PSJ*5.0*222 Checking Install for Package DIETETICS 5.5 Install Questions for DIETETICS DIETS Note: You already have the 'DIETS' File DIET PATTERNS Note: You already have the 'DIET PATTERNS' File. 112 FOOD NUTRIENTS Note: You already have the 'FOOD NUTRIENTS' File DRI VALUES Note: You already have the 'DRI VALUES' File USER MENU Note: You already have the 'USER MENU' File. 113 INGREDIENT Note: You already have the 'INGREDIENT' File STORAGE LOCATION Note: You already have the 'STORAGE LOCATION' File FH VENDOR Note: You already have the 'FH VENDOR' File. 114 RECIPE Note: You already have the 'RECIPE' File RECIPE CATEGORY 196

201 Note: You already have the 'RECIPE CATEGORY' File PREPARATION AREA Note: You already have the 'PREPARATION AREA' File SERVING UTENSIL Note: You already have the 'SERVING UTENSIL' File EQUIPMENT Note: You already have the 'EQUIPMENT' File. 115 NUTRITION PERSON *BUT YOU ALREADY HAVE 'DIETETICS PATIENT' AS FILE #115! 26. At the Shall I write over your DIETETICS PATIENT File? YES// prompt, press Enter. The following appears: FOOD PREFERENCES Note: You already have the 'FOOD PREFERENCES' File NUTRITION CLASSIFICATION Note: You already have the 'NUTRITION CLASSIFICATION' File NUTRITION STATUS Note: You already have the 'NUTRITION STATUS' File DIETETIC NUTRITION PLAN Note: You already have the 'DIETETIC NUTRITION PLAN' File ENCOUNTER TYPES Note: You already have the 'ENCOUNTER TYPES' File DIETETIC ENCOUNTERS Note: You already have the 'DIETETIC ENCOUNTERS' File. 116 MENU CYCLE Note: You already have the 'MENU CYCLE' File MEAL Note: You already have the 'MEAL' File PRODUCTION DIET Note: You already have the 'PRODUCTION DIET' File HOLIDAY MEALS Note: You already have the 'HOLIDAY MEALS' File. 117 MEALS SERVED Note: You already have the 'MEALS SERVED' File STAFFING DATA Note: You already have the 'STAFFING DATA' File DIETETIC COST OF MEALS Note: You already have the 'DIETETIC COST OF MEALS' File ANNUAL REPORT Note: You already have the 'ANNUAL REPORT' File DIETETIC REPORT CATEGORIES Note: You already have the 'DIETETIC REPORT CATEGORIES' File. 118 SUPPLEMENTAL FEEDINGS Note: You already have the 'SUPPLEMENTAL FEEDINGS' File SUPPLEMENTAL FEEDING MENU Note: You already have the 'SUPPLEMENTAL FEEDING MENU' File TUBEFEEDING Note: You already have the 'TUBEFEEDING' File STANDING ORDERS Note: You already have the 'STANDING ORDERS' File. 119 DIETITIAN TICKLER FILE Note: You already have the 'DIETITIAN TICKLER FILE' File UNITS Note: You already have the 'UNITS' File ISOLATION/PRECAUTION TYPE Note: You already have the 'ISOLATION/PRECAUTION TYPE' File DIETETIC CONSULTS Note: You already have the 'DIETETIC CONSULTS' File NUTRITION LOCATION 197

202 *BUT YOU ALREADY HAVE 'DIETETICS WARD' AS FILE #119.6! 27. At the Shall I write over your DIETETICS WARD File? YES// prompt, press Enter. The following appears: PRODUCTION FACILITY Note: You already have the 'PRODUCTION FACILITY' File SERVICE POINT Note: You already have the 'SERVICE POINT' File COMMUNICATION OFFICE Note: You already have the 'COMMUNICATION OFFICE' File SUPPLEMENTAL FEEDING SITE Note: You already have the 'SUPPLEMENTAL FEEDING SITE' File NUTRITION EVENTS *BUT YOU ALREADY HAVE 'DIETETIC EVENTS' AS FILE #119.8! 28. At the Shall I write over your DIETETIC EVENTS File? YES// prompt, press Enter. The following appears: FH SITE PARAMETERS Note: You already have the 'FH SITE PARAMETERS' File. 29. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. Checking Install for Package PSB*3.0*33 Install Questions for PSB*3.0*33 Checking Install for Package PSB*3.0*47 Install Questions for PSB*3.0* At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package PSB*3.0*46 Install Questions for PSB*3.0* At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 32. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 33. Enter the device you want to print the Install messages. You can queue the install by enter a Q at the device prompt. Or, type a caret (^) to abort the install. 34. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: Complete ORRC*1.0*3 Install Started for ORRC*1.0*3: Apr 23, 2010@18:29:21 Build Distribution Date: Apr 20,

203 Apr 23, ORRC*1.0*3 Installed. Apr 23, ORRC*1.0*2 Install Started for ORRC*1.0*2: Apr 23, Build Distribution Date: Mar 14, 2006 Apr 23, Installing OPTION Apr 23, ORRC*1.0*2 Installed. Apr 23, ORRC*1.0*5 Install Started for ORRC*1.0*5: Apr 23, Build Distribution Date: Feb 22, 2007 Apr 23, Installing OPTION Apr 23, ORRC*1.0*5 Installed. Apr 23, ORRC*1.0*7 Install Started for ORRC*1.0*7: Apr 23, Build Distribution Date: Jul 09, 2007 Apr 23, Running Pre-Install Routine: PRE^ORRCY7 Apr 23, Installing Data: Apr 23, Installing OPTION Installing PARAMETER DEFINITION Apr 23, Running Post-Install Routine: POST^ORRCY7 ORRC*1.0*7 Installed. Apr 23, GMRC*3.0*50 Install Started for GMRC*3.0*50: Apr 23, Build Distribution Date: Nov 21, 2006 Apr 23, 199

204 Running Pre-Install Routine: PRE^GMRCP50 Starting Pre-init... Searching for ampersand ("&") in the SIGNIFICANT FINDINGS (#15) field of the REQUEST/CONSULTATION (#123) file. 0 total consults contain an ampersand as the Significant Finding. Pre-init complete. Apr 23, 2010@18:29:22 Running Post-Install Routine: POST^GMRCYP50 Starting Post-init... Searching for Procedure Consults which have an Inter-Facility Consult as a Related Service. 0 total invalid Related Services. No invalid entries found. Post-init complete. GMRC*3.0*50 Installed. Apr 23, 2010@18:29:22 GMRC*3.0*53 Install Started for GMRC*3.0*53: Apr 23, 2010@18:29:22 Build Distribution Date: Jan 11, 2007 Apr 23, 2010@18:29:22 Apr 23, 2010@18:29:22 GMRC*3.0*53 Installed. Apr 23, 2010@18:29:22 GMRC*3.0*47 Install Started for GMRC*3.0*47: Apr 23, 2010@18:29:22 Build Distribution Date: Dec 19, 2005 Apr 23, 2010@18:29:22 GMRC*3.0*47 Installed. Apr 23, 2010@18:29:22 GMRC*3.0*55 Install Started for GMRC*3.0*55: Apr 23, 2010@18:29:22 Build Distribution Date: Jan 12, 2007 Apr 23, 2010@18:29:22 GMRC*3.0*55 Installed. Apr 23, 2010@18:29:22 GMRC*3.0*57 Install Started for GMRC*3.0*57: Apr 23, 2010@18:29:22 Build Distribution Date: Aug 01, 2007 Apr 23, 2010@18:29:22 200

205 Running Pre-Install Routine: PRE^GMRCYP57 Apr 23, Installing INPUT TEMPLATE Apr 23, Running Post-Install Routine: ^GMRCYP57 GMRC*3.0*57 Installed. Apr 23, GMRC*3.0*60 Install Started for GMRC*3.0*60: Apr 23, Build Distribution Date: May 16, 2008 Apr 23, Apr 23, Installing OPTION Apr 23, GMRC*3.0*60 Installed. Apr 23, GMRC*3.0*61 Install Started for GMRC*3.0*61: Apr 23, Build Distribution Date: Apr 22, 2008 Apr 23, GMRC*3.0*61 Installed. Apr 23, GMRC*3.0*67 Install Started for GMRC*3.0*67: Apr 23, Build Distribution Date: Jul 16, 2008 Apr 23, Installing OPTION Apr 23, GMRC*3.0*67 Installed. Apr 23, GMRC*3.0*58 Install Started for GMRC*3.0*58: Apr 23, Build Distribution Date: Feb 25, 2008 Apr 23, 201

206 GMRC*3.0*58 Installed. Apr 23, GMRC*3.0*62 Install Started for GMRC*3.0*62: Apr 23, Build Distribution Date: Dec 05, 2008 Apr 23, Installing OPTION Apr 23, GMRC*3.0*62 Installed. Apr 23, GMRC*3.0*63 Install Started for GMRC*3.0*63: Apr 23, Build Distribution Date: Feb 23, 2009 Apr 23, GMRC*3.0*63 Installed. Apr 23, GMRC*3.0*65 Install Started for GMRC*3.0*65: Apr 23, Build Distribution Date: Jul 30, 2009 Apr 23, GMRC*3.0*65 Installed. Apr 23, PSS*1.0*123 Install Started for PSS*1.0*123: Apr 23, Build Distribution Date: May 14, 2008 Apr 23, Apr 23, The following Routines were created during this install: PSSVX6 PSSVX61 PSSVX62 PSSVX63 PSSVX64 PSSVX65 PSSVX66 PSS*1.0*123 Installed. Apr 23, 202

207 PSS*1.0*138 Install Started for PSS*1.0*138: Apr 23, Build Distribution Date: Aug 28, 2008 Apr 23, Apr 23, Running Post-Install Routine: ^PSSP138 PSS*1.0*138 Installed. Apr 23, PSS*1.0*133 Install Started for PSS*1.0*133: Apr 23, Build Distribution Date: May 22, 2008 Apr 23, PSS*1.0*133 Installed. Apr 23, PSS*1.0*139 Install Started for PSS*1.0*139: Apr 23, Build Distribution Date: Aug 25, 2008 Apr 23, PSS*1.0*139 Installed. Apr 23, PSS*1.0*129 Install Started for PSS*1.0*129: Apr 23, Build Distribution Date: Dec 13, 2008 Apr 23, Apr 23, Installing Data: Apr 23, Installing OPTION Apr 23, Running Post-Install Routine: ^PSSPO129 Initializing standardization of Standard Medication Routes... Standardization Initialization complete. Rebuilding Pharmacy Data Managent Menus... Rebuilding menus complete. Importing Dosage Form File Data... Importing data complete. Mapping Local Medication Routes... Mapping Medication Routes complete. Mapping Local Possible Dosages......still mapping Local Possible Dosages......still mapping Local Possible Dosages... Mapping Local Possible Dosages complete. 203

208 Generating Mail Message... Mail message sent. PSS*1.0*129 Installed. Apr 23, PSS*1.0*137 Install Started for PSS*1.0*137: Apr 23, Build Distribution Date: Jul 08, 2008 Apr 23, Apr 23, PSS*1.0*137 Installed. Apr 23, PSS*1.0*131 Install Started for PSS*1.0*131: Apr 23, Build Distribution Date: Dec 01, 2008 Apr 23, PSS*1.0*131 Installed. Apr 23, PSS*1.0*99 Install Started for PSS*1.0*99: Apr 23, Build Distribution Date: Feb 08, 2008 Apr 23, Apr 23, The following Routines were created during this install: PSSJXR PSSJXR1 PSSJXR10 PSSJXR11 PSSJXR12 PSSJXR13 PSSJXR14 PSSJXR15 PSSJXR16 PSSJXR17P SSJXR18 PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25 PSSJXR26 204

209 PSSJXR27 PSSJXR28 PSSJXR29 PSSJXR3 PSSJXR30 PSSJXR31 PSSJXR32 PSSJXR4 PSSJXR5 PSSJXR6 PSSJXR7 PSSJXR8 PSSJXR9 PSS*1.0*99 Installed. Apr 23, PSS*1.0*140 Install Started for PSS*1.0*140: Apr 23, Build Distribution Date: Jul 13, 2009 Apr 23, Apr 23, Installing PRINT TEMPLATE Installing SORT TEMPLATE Installing OPTION Apr 23, Running Post-Install Routine: ^PSSP140 PSS*1.0*140 Installed. Apr 23, PSS*1.0*141 Install Started for PSS*1.0*141: Apr 23, Build Distribution Date: May 01, 2009 Apr 23, Apr 23, PSS*1.0*141 Installed. Apr 23, PSB*3.0*17 Install Started for PSB*3.0*17: Apr 23, Build Distribution Date: Oct 16, 2006 Apr 23, PSB*3.0*17 Installed. Apr 23, 205

210 PSB*3.0*10 Install Started for PSB*3.0*10: Apr 23, Build Distribution Date: Dec 05, 2006 Apr 23, PSB*3.0*10 Installed. Apr 23, PSB*3.0*39 Install Started for PSB*3.0*39: Apr 23, Build Distribution Date: Feb 06, 2007 Apr 23, PSB*3.0*39 Installed. Apr 23, PSB*3.0*38 Install Started for PSB*3.0*38: Apr 23, Build Distribution Date: Jun 21, 2007 Apr 23, PSB*3.0*38 Installed. Apr 23, PSB*3.0*41 Install Started for PSB*3.0*41: Apr 23, Build Distribution Date: Jul 25, 2007 Apr 23, PSB*3.0*41 Installed. Apr 23, PSB*3.0*32 Install Started for PSB*3.0*32: Apr 23, Build Distribution Date: Sep 12, 2007 Apr 23, Apr 23, Installing REMOTE PROCEDURE Installing OPTION Installing PARAMETER DEFINITION Apr 23, PSB*3.0*32 Installed. Apr 23, 206

211 PSB*3.0*31 Install Started for PSB*3.0*31: Apr 23, Build Distribution Date: Aug 28, 2007 Apr 23, PSB*3.0*31 Installed. Apr 23, PSB*3.0*2 Install Started for PSB*3.0*2: Apr 23, Build Distribution Date: Jan 15, 2008 Apr 23, Apr 23, Installing FORM Installing OPTION Apr 23, PSB*3.0*2 Installed. Apr 23, PSB*3.0*37 Install Started for PSB*3.0*37: Apr 23, Build Distribution Date: May 12, 2008 Apr 23, Installing PARAMETER DEFINITION Apr 23, PSB*3.0*37 Installed. Apr 23, PSB*3.0*43 Install Started for PSB*3.0*43: Apr 23, Build Distribution Date: Feb 06, 2008 Apr 23, PSB*3.0*43 Installed. Apr 23, PSB*3.0*25 Install Started for PSB*3.0*25: Apr 23, Build Distribution Date: Sep 18, 2008 Apr 23, 207

212 PSB*3.0*25 Installed. Apr 23, PSB*3.0*40 Install Started for PSB*3.0*40: Apr 23, Build Distribution Date: Oct 14, 2008 Apr 23, PSB*3.0*40 Installed. Apr 23, PSB*3.0*28 Install Started for PSB*3.0*28: Apr 23, Build Distribution Date: Dec 09, 2008 Apr 23, Running Pre-Install Routine: ^PSBPRE28 Apr 23, Installing SECURITY KEY Installing REMOTE PROCEDURE Installing OPTION Installing PARAMETER DEFINITION Apr 23, PSB*3.0*28 Installed. Apr 23, PSB*3.0*45 Install Started for PSB*3.0*45: Apr 23, Build Distribution Date: Jan 12, 2009 Apr 23, Apr 23, PSB*3.0*45 Installed. Apr 23, PSO*7.0*289 Install Started for PSO*7.0*289: Apr 23, Build Distribution Date: Jun 15, 2009 Apr 23, Running Pre-Install Routine: DESP^PSO7P289 Apr 23, Installing MAIL GROUP Installing PROTOCOL Installing LIST TEMPLATE Installing OPTION 208

213 Apr 23, Running Post-Install Routine: ^PSO7P289 ============================================================= Queuing background job for Clarification Code Conversion... Start time: Apr 23, ============================================================== *** Task #37057 Queued! *** The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSO*7.0*289 Installed. Apr 23, PSO*7.0*311 Install Started for PSO*7.0*311: Apr 23, Build Distribution Date: Jul 11, 2008 Apr 23, Installing OPTION Apr 23, PSO*7.0*311 Installed. Apr 23, PSO*7.0*170 Install Started for PSO*7.0*170: Apr 23, Build Distribution Date: Nov 14, 2008 Apr 23, PSO*7.0*170 Installed. Apr 23, PSO*7.0*266 Install Started for PSO*7.0*266: Apr 23, Build Distribution Date: Nov 20, 2008 Apr 23, 209

214 PSO*7.0*266 Installed. Apr 23, PSO*7.0*306 Install Started for PSO*7.0*306: Apr 23, Build Distribution Date: Sep 05, 2008 Apr 23, PSO*7.0*306 Installed. Apr 23, PSO*7.0*320 Install Started for PSO*7.0*320: Apr 23, Build Distribution Date: Apr 09, 2009 Apr 23, Installing PROTOCOL Installing LIST TEMPLATE Apr 23, PSO*7.0*320 Installed. Apr 23, PSO*7.0*322 Install Started for PSO*7.0*322: Apr 23, Build Distribution Date: Apr 17, 2009 Apr 23, PSO*7.0*322 Installed. Apr 23, PSO*7.0*326 Install Started for PSO*7.0*326: Apr 23, Build Distribution Date: Oct 06, 2009 Apr 23, PSO*7.0*326 Installed. Apr 23, PSO*7.0*308 Install Started for PSO*7.0*308: Apr 23, Build Distribution Date: Jul 15, 2009 PSO*7.0*308 Installed. Apr 23, 210

215 PSO*7.0*321 Install Started for PSO*7.0*321: Apr 23, Build Distribution Date: Oct 14, 2009 Apr 23, PSO*7.0*321 Installed. Apr 23, PSO*7.0*327 Install Started for PSO*7.0*327: Apr 23, Build Distribution Date: May 06, 2009 Apr 23, PSO*7.0*327 Installed. Apr 23, PSJ*5.0*204 Install Started for PSJ*5.0*204: Apr 23, Build Distribution Date: Jul 30, 2008 Apr 23, PSJ*5.0*204 Installed. Apr 23, PSJ*5.0*203 Install Started for PSJ*5.0*203: Apr 23, Build Distribution Date: Jul 22, 2008 Apr 23, PSJ*5.0*203 Installed. Apr 23, PSJ*5.0*209 Install Started for PSJ*5.0*209: Apr 23, Build Distribution Date: Apr 28, 2008 Apr 23, PSJ*5.0*209 Installed. Apr 23, PSJ*5.0*197 Install Started for PSJ*5.0*197: Apr 23, Build Distribution Date: Aug 07, 2008 Apr 23, 211

216 PSJ*5.0*197 Installed. Apr 23, PSJ*5.0*210 Install Started for PSJ*5.0*210: Apr 23, Build Distribution Date: Nov 04, 2008 Apr 23, PSJ*5.0*210 Installed. Apr 23, PSJ*5.0*198 Install Started for PSJ*5.0*198: Apr 23, Build Distribution Date: Dec 03, 2008 Apr 23, Installing OPTION Apr 23, PSJ*5.0*198 Installed. Apr 23, PSJ*5.0*220 Install Started for PSJ*5.0*220: Apr 23, Build Distribution Date: Feb 27, 2009 Apr 23, Installing PROTOCOL Apr 23, Running Post-Install Routine: START^PSJ5P220 PSJ*5.0*220 Installed. Apr 23, PSJ*5.0*196 Install Started for PSJ*5.0*196: Apr 23, Build Distribution Date: Nov 06, 2008 Apr 23, PSJ*5.0*196 Installed. Apr 23, PSJ*5.0*213 Install Started for PSJ*5.0*213: Apr 23, Build Distribution Date: Dec 11,

217 Apr 23, PSJ*5.0*213 Installed. Apr 23, PSJ*5.0*208 Install Started for PSJ*5.0*208: Apr 23, Build Distribution Date: Apr 09, 2009 Apr 23, PSJ*5.0*208 Installed. Apr 23, PSJ*5.0*221 Install Started for PSJ*5.0*221: Apr 23, Build Distribution Date: Apr 27, 2009 Apr 23, Installing PROTOCOL Apr 23, Running Post-Install Routine: QUE^PSJSFRQ 35. At the When to Queue the Frequency Report job to run in format: prompt, type NOW//, and then press Enter. The following appears: ============================================================= Queuing background job for Frequency Report... Start time: Apr 23, ============================================================== *** Task #37058 Queued! *** PSJ*5.0*221 Installed. Apr 23, PSJ*5.0*161 Install Started for PSJ*5.0*161: Apr 23, Build Distribution Date: Nov 14, 2008 Apr 23, PSJ*5.0*161 Installed. Apr 23, PSJ*5.0*193 Install Started for PSJ*5.0*193: Apr 23, Build Distribution Date: Apr 16, 2009 Apr 23, Running Post-Install Routine: ^PSJ5P193 The check of existing Pharmacy orders is queued (to start NOW. 213

218 YOU WILL RECEIVE A MAILMAN MESSAGE WHEN TASK #37059 HAS COMPLETED. IF ERRORS ARE DETECTED, THE VERIFYING PHARMACIST WILL RECEIVE A MESSAGE INDICATING CLEANUP HAS COMPLETED. PSJ*5.0*193 Installed. Apr 23, 2010@18:29:46 PSJ*5.0*207 Install Started for PSJ*5.0*207: Apr 23, 2010@18:29:46 Build Distribution Date: Aug 10, 2009 Apr 23, 2010@18:29:46 PSJ*5.0*207 Installed. Apr 23, 2010@18:29:46 PSJ*5.0*215 Install Started for PSJ*5.0*215: Apr 23, 2010@18:29:46 Build Distribution Date: Jun 15, 2009 Apr 23, 2010@18:29:46 PSJ*5.0*215 Installed. Apr 23, 2010@18:29:46 PSJ*5.0*184 Install Started for PSJ*5.0*184: Apr 23, 2010@18:29:46 Build Distribution Date: Aug 20, 2009 Apr 23, 2010@18:29:46 PSJ*5.0*184 Installed. Apr 23, 2010@18:29:46 PSJ*5.0*190 Install Started for PSJ*5.0*190: Apr 23, 2010@18:29:46 Build Distribution Date: Jun 22, 2009 Apr 23, 2010@18:29:46 PSJ*5.0*190 Installed. Apr 23, 2010@18:29:46 PSJ*5.0*222 Install Started for PSJ*5.0*222: Apr 23, 2010@18:29:46 Build Distribution Date: Oct 16, 2009 Apr 23, 2010@18:29:46 PSJ*5.0*222 Installed. 214

219 Apr 23, DIETETICS 5.5 Install Started for DIETETICS 5.5: Apr 23, Build Distribution Date: Feb 02, 2005 Apr 23, Running Pre-Install Routine: ^FH55PRE Apr 23, Installing BULLETIN Installing SECURITY KEY Installing PRINT TEMPLATE Installing INPUT TEMPLATE Installing PROTOCOL Installing OPTION Apr 23, Running Post-Install Routine: ^FH55PST DIETETICS 5.5 Installed. Apr 23, PSB*3.0*33 Install Started for PSB*3.0*33: Apr 23, Build Distribution Date: Jan 07, 2009 Apr 23, PSB*3.0*33 Installed. Apr 23, PSB*3.0*47 Install Started for PSB*3.0*47: Apr 23, Build Distribution Date: Jun 23, 2009 Apr 23, Installing OPTION Apr 23, PSB*3.0*47 Installed. Apr 23, PSB*3.0*46 Install Started for PSB*3.0*46: Apr 23, Build Distribution Date: Oct 16, 2008 Apr 23, PSB*3.0*46 Installed. Apr 23, 215

220 Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 5.9 Mega Build VIII (ehr_ mb8) 1. At the Select OPTION NAME: prompt, type INST,MENU, and then press Enter. The following appears: INSTALLATION XPD INSTALLATION MENU Installation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 2. At the Select Installation Option: prompt, select 1 Load a Distribution, and then press Enter. 3. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb8.k, and then press Enter. Note: The location of the ehr_ mb8.k file may not be in this folder. This is determined individually for each installation. The following appears. KIDS Distribution saved on Feb 25, 2010@12:50:24 4. At the Comment: prompt, type ehr_ mb8, and then press Enter. The following appears: This Distribution contains Transport Globals for the following Package(s): FH*5.5*1 FH*5.5*2 FH*5.5*3 FH*5.5*6 FH*5.5*7 FH*5.5*4 FH*5.5*5 216

221 FH*5.5*11 FH*5.5*8 FH*5.5*10 FH*5.5*9 FH*5.5*12 FH*5.5*13 FH*5.5*14 FH*5.5*15 FH*5.5*16 FH*5.5*18 FH*5.5*17 FH*5.5*19 OR*3.0*296 Distribution OK! 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... FH*5.5*1 FH*5.5*2 FH*5.5*3 FH*5.5*6 FH*5.5*7 FH*5.5*4 FH*5.5*5 FH*5.5*11 FH*5.5*8 FH*5.5*10 FH*5.5*9 FH*5.5*12 FH*5.5*13 FH*5.5*14 FH*5.5*15 FH*5.5*16 FH*5.5*18 FH*5.5*17 FH*5.5*19 OR*3.0* At the INSTALL NAME: prompt, type FH*5.5*1, and then press Enter to install this Distribution. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 7. At the Select Installation Option: prompt, select 6 Install Package(s), and then press Enter. 8. At the Select INSTALL NAME: prompt, type FH*5.5*1, and then press Enter. The following appears: 217

222 Loaded from Distribution Loaded from Distribution => CPRS 27 Mega Build 8; Created on Feb 25, This Distribution was loaded on Apr 23, with header of CPRS 27 Mega Build 8; Created on Feb 25, It consisted of the following Install(s): FH*5.5*1 FH*5.5*2 FH*5.5*3 FH*5.5*6 FH*5.5*7 FH*5.5*4 FH*5.5*5 FH*5.5*11 FH*5.5*8 FH*5.5*10 FH*5.5*9 FH*5.5*12 FH*5.5*13 FH*5.5*14 FH*5.5*15 FH*5.5*16 FH*5.5*18 FH*5.5*17 FH*5.5*19 OR*3.0*296 Checking Install for Package FH*5.5*1 Install Questions for FH*5.5*1 115 NUTRITION PERSON (Partial Definition) Note: You already have the 'NUTRITION PERSON' File TUBEFEEDING (Partial Definition) Note: You already have the 'TUBEFEEDING' File. 9. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: Checking Install for Package FH*5.5*2 Install Questions for FH*5.5*2 115 NUTRITION PERSON (Partial Definition) Note: You already have the 'NUTRITION PERSON' File FH SITE PARAMETERS (Partial Definition) Note: You already have the 'FH SITE PARAMETERS' File. Checking Install for Package FH*5.5*3 Install Questions for FH*5.5* COMMUNICATION OFFICE (Partial Definition) Note: You already have the 'COMMUNICATION OFFICE' File. Checking Install for Package FH*5.5*6 Install Questions for FH*5.5*6 115 NUTRITION PERSON (Partial Definition) Note: You already have the 'NUTRITION PERSON' File. Checking Install for Package FH*5.5*7 Install Questions for FH*5.5*7 Checking Install for Package FH*5.5*4 Install Questions for FH*5.5* NUTRITION LOCATION Note: You already have the 'NUTRITION LOCATION' File. Checking Install for Package FH*5.5*5 Install Questions for FH*5.5*5 115 NUTRITION PERSON (Partial Definition) Note: You already have the 'NUTRITION PERSON' File TUBEFEEDING Note: You already have the 'TUBEFEEDING' File NUTRITION LOCATION Note: You already have the 'NUTRITION LOCATION' File FH SITE PARAMETERS (Partial Definition) Note: You already have the 'FH SITE PARAMETERS' File. 10. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press Enter. The following appears: 218

223 Checking Install for Package FH*5.5*11 Install Questions for FH*5.5*11 Checking Install for Package FH*5.5*8 Install Questions for FH*5.5*8 111 DIETS (Partial Definition) Note: You already have the 'DIETS' File. 114 RECIPE Note: You already have the 'RECIPE' File. 115 NUTRITION PERSON Note: You already have the 'NUTRITION PERSON' File FOOD PREFERENCES Note: You already have the 'FOOD PREFERENCES' File NUTRITION LOCATION Note: You already have the 'NUTRITION LOCATION' File FH SITE PARAMETERS (Partial Definition) Note: You already have the 'FH SITE PARAMETERS' File. 11. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. The following appears: Checking Install for Package FH*5.5*10 Install Questions for FH*5.5*10 Checking Install for Package FH*5.5*9 Install Questions for FH*5.5*9 112 FOOD NUTRIENTS (Partial Definition) Note: You already have the 'FOOD NUTRIENTS' File. Checking Install for Package FH*5.5*12 Install Questions for FH*5.5*12 Checking Install for Package FH*5.5*13 Install Questions for FH*5.5*13 Checking Install for Package FH*5.5*14 Install Questions for FH*5.5*14 Checking Install for Package FH*5.5*15 Install Questions for FH*5.5*15 Checking Install for Package FH*5.5*16 Install Questions for FH*5.5*16 Checking Install for Package FH*5.5*18 Install Questions for FH*5.5*18 Checking Install for Package FH*5.5*17 Install Questions for FH*5.5*17 Checking Install for Package FH*5.5*19 Install Questions for FH*5.5*19 Checking Install for Package OR*3.0*296 Install Questions for OR*3.0* ORDER DIALOG (including data) Note: You already have the 'ORDER DIALOG' File. I will OVERWRITE your data with mine. 12. At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// prompt, type NO, and then press Enter. 13. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 219

224 14. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 15. Enter the device you want to print the Install messages. You can queue the install by enter a Q at the device prompt. Or, type a caret (^) to abort the install. 16. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: FH*5.5*1 Install Started for FH*5.5*1: Apr 23, 2010@18:41:03 Build Distribution Date: May 24, 2005 Apr 23, 2010@18:41:03 Apr 23, 2010@18:41:03 Installing OPTION Apr 23, 2010@18:41:04 Running Post-Install Routine: CONVC^FHOMUTL FH*5.5*1 Installed. Apr 23, 2010@18:41:04 FH*5.5*2 Install Started for FH*5.5*2: Apr 23, 2010@18:41:04 Build Distribution Date: Oct 26, 2005 Apr 23, 2010@18:41:04 Apr 23, 2010@18:41:04 FH*5.5*2 Installed. Apr 23, 2010@18:41:04 FH*5.5*3 Install Started for FH*5.5*3: Apr 23, 2010@18:41:04 Build Distribution Date: Sep 22, 2005 Apr 23, 2010@18:41:04 Apr 23, 2010@18:41:04 FH*5.5*3 Installed. Apr 23, 2010@18:41:04 FH*5.5*6 Install Started for FH*5.5*6: Apr 23, 2010@18:41:04 Build Distribution Date: Mar 29, 2006 Apr 23, 2010@18:41:04 Apr 23, 2010@18:41:04 220

225 FH*5.5*6 Installed. Apr 23, FH*5.5*7 Install Started for FH*5.5*7: Apr 23, Build Distribution Date: Oct 26, 2006 FH*5.5*7 Installed. Apr 23, FH*5.5*4 Install Started for FH*5.5*4: Apr 23, Build Distribution Date: Oct 12, 2006 Apr 23, Apr 23, Installing PRINT TEMPLATE Apr 23, FH*5.5*4 Installed. Apr 23, FH*5.5*5 Install Started for FH*5.5*5: Apr 23, Build Distribution Date: Jan 11, 2007 Apr 23, Apr 23, Installing OPTION Apr 23, Running Post-Install Routine: POST^FH55P5 Searching for DIETS (#111) file entries which are out of sync with the corresponding entry in the ORDERABLE ITEM (#101.43) file... Searching for TUBEFEEDING (#118.2) file entries which are out of sync with the corresponding entry in the ORDERABLE ITEM (#101.43) file... Searching for DIET PATTERN (#111.1) names which are out of sync with corresponding DIET ABBREVIATED LABELS... Post-init complete. FH*5.5*5 Installed. Apr 23, FH*5.5*11 Install Started for FH*5.5*11: Apr 23, Build Distribution Date: Feb 22, 2007 Apr 23, 221

226 FH*5.5*11 Installed. Apr 23, FH*5.5*8 Install Started for FH*5.5*8: Apr 23, Build Distribution Date: Aug 22, 2007 Apr 23, Apr 23, Installing PRINT TEMPLATE Installing INPUT TEMPLATE Installing OPTION Apr 23, Running Post-Install Routine: ^FH55P8 Expand CLINICIAN field of NUTRITION LOCATION (#119.6) file to a multiple and convert existing data... Map ALLERGY - TYPE entries in Food Preferences (#115.2) file to corresponding GMR Allergies entries... Updating Patient Food Preferences based on pre-existing Allergy data... Updating Patient Food Preferences based on Food-Type Allergies... FH*5.5*8 Installed. Apr 23, 2010@18:41:05 FH*5.5*10 Install Started for FH*5.5*10: Apr 23, 2010@18:41:05 Build Distribution Date: Nov 26, 2007 Apr 23, 2010@18:41:05 FH*5.5*10 Installed. Apr 23, 2010@18:41:05 FH*5.5*9 Install Started for FH*5.5*9: Apr 23, 2010@18:41:05 Build Distribution Date: Dec 11, 2007 Apr 23, 2010@18:41:05 Apr 23, 2010@18:41:05 FH*5.5*9 Installed. Apr 23, 2010@18:41:05 FH*5.5*12 Install Started for FH*5.5*12: Apr 23, 2010@18:41:05 Build Distribution Date: Mar 10, 2008 Apr 23, 2010@18:41:05 222

227 Installing PRINT TEMPLATE Apr 23, FH*5.5*12 Installed. Apr 23, FH*5.5*13 Install Started for FH*5.5*13: Apr 23, Build Distribution Date: Feb 01, 2008 Apr 23, FH*5.5*13 Installed. Apr 23, FH*5.5*14 Install Started for FH*5.5*14: Apr 23, Build Distribution Date: Feb 07, 2008 Apr 23, FH*5.5*14 Installed. Apr 23, FH*5.5*15 Install Started for FH*5.5*15: Apr 23, Build Distribution Date: Feb 29, 2008 Apr 23, FH*5.5*15 Installed. Apr 23, FH*5.5*16 Install Started for FH*5.5*16: Apr 23, Build Distribution Date: Sep 24, 2008 Apr 23, FH*5.5*16 Installed. Apr 23, FH*5.5*18 Install Started for FH*5.5*18: Apr 23, Build Distribution Date: Nov 04, 2008 Apr 23, FH*5.5*18 Installed. Apr 23, 223

228 FH*5.5*17 Install Started for FH*5.5*17: Apr 23, Build Distribution Date: Mar 10, 2009 Apr 23, FH*5.5*17 Installed. Apr 23, FH*5.5*19 Install Started for FH*5.5*19: Apr 23, Build Distribution Date: Jul 24, 2008 Apr 23, FH*5.5*19 Installed. Apr 23, OR*3.0*296 Install Started for OR*3.0*296: Apr 23, Build Distribution Date: May 07, 2009 Apr 23, Running Pre-Install Routine: PRE^ORY296 Apr 23, Installing Data: Apr 23, Installing REMOTE PROCEDURE Installing OPTION RPC YS GAF API in Option OR CPRS GUI CHART **NOT FOUND** Installing PARAMETER DEFINITION Apr 23, Running Post-Install Routine: POST^ORY296 OR*3.0*296 Installed. Apr 23, Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: Do you really want to halt? YES// 224

229 5.10 Mega Build IX (ehr_ mb9) 1. At the Select OPTION NAME: prompt, type INST,MENU, and then press Enter. The following appears: INSTALLATION XPD INSTALLATION MENU Installation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 2. At the Select Installation Option: prompt, select 1 Load a Distribution, and then press Enter. 3. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ mb9.k, and then press Enter. Note: The location of the ehr_ mb9.k file may not be in this folder. This is determined individually for each installation. 4. The following appears: KIDS Distribution saved on May 22, 2012@12:02:09 Comment: CPRS 27 Mega Build 9 This Distribution contains Transport Globals for the following Package(s): PSB*3.0*51 PSB*3.0*56 PSB*3.0*50 PSB*3.0*42 5. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... PSB*3.0*51 PSB*3.0*56 PSB*3.0*50 PSB*3.0*42 Use INSTALL NAME: PSB*3.0*51 to install this Distribution. 6. The following appears: 1 Load a Distribution 2 Verify Checksums in Transport Global 225

230 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 7. At the Select Installation Option: prompt, select 6 Install Package(s), and then press Enter. 8. At the Select INSTALL NAME: prompt, type PSB*3.0*51, and then press Enter. The following appears: Loaded from Distribution Loaded from D istribution 5/31/12@11:57:23 => CPRS 27 Mega Build 9 ;Created on May 22, 2012@12:02:09 This Distribution was loaded on May 31, 2012@11:57:23 with header of CPRS 27 Mega Build 9 ;Created on May 22, 2012@12:02:09 It consisted of the following Install(s): PSB*3.0*51 PSB*3.0*56 PSB*3.0*50 PSB*3.0*42 Checking Install for Package PSB*3.0*51 Install Questions for PSB*3.0*51 Checking Install for Package PSB*3.0*56 Install Questions for PSB*3.0*56 Checking Install for Package PSB*3.0*50 Install Questions for PSB*3.0*50 Checking Install for Package PSB*3.0*42 Install Questions for PSB*3.0*42 9. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press Enter. 10. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press Enter. 11. Enter the device you want to print the Install messages. You can queue the install by enter a Q at the device prompt. Or, type a caret (^) to abort the install. 12. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: Install Started for PSB*3.0*51 : May 31, 2012@12:17:38 Build Distribution Date: Apr 14, 2010 May 31, 2012@12:17:38 226

231 PSB*3.0*51 Installed. May 31, Install Started for PSB*3.0*56 : May 31, 2012@12:17:38 Build Distribution Date: Sep 30, 2010 May 31, 2012@12:17:38 Updating Routine file.. PSB*3.0*56 Installed. May 31, 2012@12:17:38 PSB*3.0*50 Install Started for PSB*3.0*50 : May 31, 2012@12:17:38 Build Distribution Date: Sep 07, 2010 May 31, 2012@12:17:38 PSB*3.0*50 Installed. May 31, 2012@12:17:38 PSB*3.0*42 Install Started for PSB*3.0*42 : May 31, 2012@12:17:38 Build Distribution Date: Oct 20, 2010 May 31, 2012@12:17:38 Installing PARAMETER DEFINITION 227

232 Installing PARAMETER TEMPLATE May 31, Running Post-Install Routine: ^PSB3P42 PSB*3.0*42 Installed. May 31, Install Completed 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 228

233 6.0 EHR Patch 11 Build Now that all the updates have been installed, the final step is to install the EHR Patch 11 kids build and then the EHR Patch 11 GUI. The individual patches included with the EHR*1.1*11 build are: APSP*7.0*1015 GMPL*2.0*1002 GMRC*3.0*1003 GMRA*4.0*1006 GMTS*2.7*1005 OR*3.0* EHR Patch 11 KIDs Build 1. At the Select OPTION NAME: prompt, type INST,MENU, and then press Enter. The following appears: Select Kernel Installation & Distribution System Option: Installation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 2. At the Select Installation Option: prompt, select 1 Load a Distribution, and then press Enter. 3. At the Enter a Host File: prompt, type YOUR DIRECTORY\ehr_ k and then press Enter. Note: The location of the ehr_ k file may not be in this folder. This is determined individually for each installation. The following appears: KIDS Distribution saved on Oct 05, 2012@10:22:20 Comment: RPMS EHR v1.1 patch 11 This Distribution contains Transport Globals for the following Package(s): 229 EHR Patch 11 Build

234 Build GMRA*4.0*1006 Build GMPL*2.0*1002 Build GMRC*3.0*1003 Build OR*3.0*1010 Build APSP*7.0*1015 Build GMTS*2.7*63 Build GMTS*2.7*39 Build GMTS*2.7*78 Build GMTS*2.7*75 Build GMTS*2.7*81 Build GMTS*2.7*83 Build GMTS*2.7*87 Build GMTS*2.7*80 Build GMTS*2.7*84 Build GMTS*2.7*82 Build GMTS*2.7*1005 Build CIAN*1.1* Build BGO*1.1*11 Build BEHO*1.1* Build BEHO*1.1* Build BEHO*1.1* Build BEHO*1.1* Build BEHO*1.1* Build BEHO*1.1* Build BEHO*1.1* Build BEHO*1.1* Distribution OK! 4. At the Want to Continue with Load? YES// prompt, type YES, and then press Enter. The following appears: Loading Distribution... Build EHR*1.1*11 has an Environmental Check Routine 5. At the Want to RUN the Environment Check Routine prompt, type YES and then press Enter. The following appears: EHR*1.1*11 Will first run the Environment Check Routine, CIAVIP11 GMRA*4.0*1006 Will first run the Environment Check Routine, GMR1006P GMPL*2.0*1002 GMRC*3.0*1003 OR*3.0*1010 APSP*7.0*1015 Will first run the Environment Check Routine, APSPEC15 Hello, DEMO USER Checking Environment for IHS PHARMACY MODIFICATIONS V 7.0, Patch All requirements for installation have been met... GMTS*2.7*63 GMTS*2.7*39 GMTS*2.7*78 GMTS*2.7*75 GMTS*2.7*81 GMTS*2.7*83 GMTS*2.7*87 GMTS*2.7* EHR Patch 11 Build

235 GMTS*2.7*84 GMTS*2.7*82 GMTS*2.7*1005 Will first run the Environment Check Routine, GMTS1005 CIAN*1.1* Will first run the Environment Check Routine, CIANBINI BGO*1.1*11 Will first run the Environment Check Routine, BGOIN011 BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Use INSTALL NAME: EHR*1.1*11 to install this Distribution. 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 6. At the Select Installation Option: prompt, select 6 Install Package(s), and then press Enter. 7. At the Select INSTALL NAME: prompt, type EHR*1.1*11, and then press Enter. The following appears: Loaded from Distribution 10/9/12@13:35:24 => RPMS EHR v1.1 patch 11 ;Created on Oct 05, 2012@10:22:20 This Distribution was loaded on Oct 09, 2012@13:35:24 with header of RPMS EHR v1.1 patch 11 ;Created on Oct 05, 2012@10:22:20 It consisted of the following Install(s): EHR*1.1*11 GMRA*4.0*1006 GMPL*2.0*1002 GMRC*3.0*1003 OR*3.0*1010 APSP*7.0*1015 GMTS*2.7*63 GMTS*2.7*39 GMTS*2.7*78 GMTS*2.7*75 GMTS*2.7*81 GMTS*2.7*83 GMTS*2.7*87 GMTS*2.7*80 GMTS*2.7*84 GMTS*2.7*82 GMTS*2.7*1005CIAN*1.1* BGO*1.1*11BEHO*1.1* BEHO*1.1*004008BEHO*1.1*009009BEHO*1.1*011005BEHO*1.1*001009BEHO*1.1* BEHO*1.1*056004BEHO*1.1* Checking Install for Package EHR*1.1*11 Will first run the Environment Check Routine, CIAVIP EHR Patch 11 Build

236 Install Questions for EHR*1.1*11 Checking Install for Package GMRA*4.0*1006 Will first run the Environment Check Routine, GMR1006P Install Questions for GMRA*4.0*1006 Checking Install for Package GMPL*2.0*1002 Install Questions for GMPL*2.0*1002 Checking Install for Package GMRC*3.0*1003 Install Questions for GMRC*3.0*1003 Checking Install for Package OR*3.0*1010 Install Questions for OR*3.0* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will OVERWRITE your data with mine. Checking Install for Package APSP*7.0*1015 Will first run the Environment Check Routine, APSPEC15 Hello, DEMO USER Checking Environment for IHS PHARMACY MODIFICATIONS V 7.0, Patch All requirements for installation have been met... Install Questions for APSP*7.0* DRUG (Partial Definition) Note: You already have the 'DRUG' File. 52 PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File IV ADDITIVES (Partial Definition) Note: You already have the 'IV ADDITIVES' File. 232 EHR Patch 11 Build

237 52.7 IV SOLUTIONS (Partial Definition) Note: You already have the 'IV SOLUTIONS' File NON-VERIFIED ORDERS (Partial Definition) Note: You already have the 'NON-VERIFIED ORDERS' File. 55 PHARMACY PATIENT (Partial Definition) Note: You already have the 'PHARMACY PATIENT' File IV ROOM (Partial Definition) Note: You already have the 'IV ROOM' File. Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// y YES Checking Install for Package GMTS*2.7*63 Install Questions for GMTS*2.7* VA HEALTH SUMMARY TYPE Note: You already have the 'VA HEALTH SUMMARY TYPE' File. Checking Install for Package GMTS*2.7*39 Install Questions for GMTS*2.7*39 Checking Install for Package GMTS*2.7*78 Install Questions for GMTS*2.7*78 Checking Install for Package GMTS*2.7*75 Install Questions for GMTS*2.7*75 Checking Install for Package GMTS*2.7*81 Install Questions for GMTS*2.7*81 Checking Install for Package GMTS*2.7*83 Install Questions for GMTS*2.7*83 Checking Install for Package GMTS*2.7*87 Install Questions for GMTS*2.7*87 Checking Install for Package GMTS*2.7*80 Install Questions for GMTS*2.7* EHR Patch 11 Build

238 Checking Install for Package GMTS*2.7*84 Install Questions for GMTS*2.7*84 Checking Install for Package GMTS*2.7*82 Install Questions for GMTS*2.7*82 Checking Install for Package GMTS*2.7*1005 Will first run the Environment Check Routine, GMTS1005 Install Questions for GMTS*2.7* VA HEALTH SUMMARY TYPE (Partial Definition) Note: You already have the 'VA HEALTH SUMMARY TYPE' File. Checking Install for Package CIAN*1.1* Will first run the Environment Check Routine, CIANBINI Install Questions for CIAN*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine CIA AUTHENTICATION Note: You already have the 'CIA AUTHENTICATION' File CIA EVENT TYPE Note: You already have the 'CIA EVENT TYPE' File CIA LISTENER Note: You already have the 'CIA LISTENER' File CIA EVENT LOG Note: You already have the 'CIA EVENT LOG' File CIA ACTIVITY LOG Note: You already have the 'CIA ACTIVITY LOG' File. 234 EHR Patch 11 Build

239 Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// Checking Install for Package BGO*1.1*11 Will first run the Environment Check Routine, BGOIN011 Install Questions for BGO*1.1* OE/RR REPORT (including data) Note: You already have the 'OE/RR REPORT' File. I will OVERWRITE your data with mine PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC OBJECT CATEGORY (including data) Note: You already have the 'VUECENTRIC OBJECT CATEGORY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine BGO CPT PREFERENCES (Partial Definition) Note: You already have the 'BGO CPT PREFERENCES' File. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine. 235 EHR Patch 11 Build

240 PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC OBJECT CATEGORY (including data) Note: You already have the 'VUECENTRIC OBJECT CATEGORY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* EHR Patch 11 Build

241 Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine. 237 EHR Patch 11 Build

242 CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine BEH MEASUREMENT CONTROL (including data) Note: You already have the 'BEH MEASUREMENT CONTROL' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine. 238 EHR Patch 11 Build

243 VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC OBJECT CATEGORY (including data) Note: You already have the 'VUECENTRIC OBJECT CATEGORY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC OBJECT CATEGORY (including data) Note: You already have the 'VUECENTRIC OBJECT CATEGORY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. Checking Install for Package BEHO*1.1* Will first run the Environment Check Routine, CIAOINIT 239 EHR Patch 11 Build

244 Install Questions for BEHO*1.1* PARAMETER DEFINITION (including data) Note: You already have the 'PARAMETER DEFINITION' File. I will REPLACE your data with mine PARAMETER TEMPLATE (including data) Note: You already have the 'PARAMETER TEMPLATE' File. I will REPLACE your data with mine VUECENTRIC OBJECT REGISTRY (including data) Note: You already have the 'VUECENTRIC OBJECT REGISTRY' File. I will OVERWRITE your data with mine VUECENTRIC OBJECT CATEGORY (including data) Note: You already have the 'VUECENTRIC OBJECT CATEGORY' File. I will OVERWRITE your data with mine VUECENTRIC TEMPLATE REGISTRY (including data) Note: You already have the 'VUECENTRIC TEMPLATE REGISTRY' File. I will OVERWRITE your data with mine CIA EVENT TYPE (including data) Note: You already have the 'CIA EVENT TYPE' File. I will OVERWRITE your data with mine. 8. Enter the device you want to print the Install messages. You can queue the install by enter a Q at the device prompt. Or, type a caret (^) to abort the install. 9. At the DEVICE: HOME// prompt, type VIRTUAL, and then press Enter. The following appears: Install Started for EHR*1.1*11 : Oct 09, 2012@13:36:03 Build Distribution Date: Oct 05, 2012 Oct 09, 2012@13:36:03 Running Pre-Install Routine: PRE^CIAVIP11 GMRA*4.0*1006 Install Started for GMRA*4.0*1006 : Oct 09, 2012@13:36:03 Build Distribution Date: Aug 13, 2012 Updating Routine file.. GMRA*4.0*1006 Installed. Oct 09, 2012@13:36: EHR Patch 11 Build

245 GMPL*2.0*1002 Install Started for GMPL*2.0*1002 : Oct 09, 2012@13:36:04 Build Distribution Date: Oct 05, 2012 Oct 09, 2012@13:36:04 GMPL*2.0*1002 Installed. Oct 09, 2012@13:36:04 GMRC*3.0*1003 Install Started for GMRC*3.0*1003 : Oct 09, 2012@13:36:04 Build Distribution Date: Oct 05, 2012 Oct 09, 2012@13:36:04 Updating Routine file.. GMRC*3.0*1003 Installed. Oct 09, 2012@13:36:04 OR*3.0*1010 Install Started for OR*3.0*1010 : Oct 09, 2012@13:36:04 Build Distribution Date: Oct 05, 2012 Oct 09, 2012@13:36:06 Running Pre-Install Routine: PRE^ORIN1010 Oct 09, 2012@13:36:06 Installing Data: Oct 09, 2012@13:36:06 Installing PARAMETER DEFINITION Oct 09, 2012@13:36:07 Running Post-Install Routine: POST^ORIN1010 OR*3.0*1010 Installed. Oct 09, 2012@13:36:07 APSP*7.0*1015 Install Started for APSP*7.0*1015 : Oct 09, 2012@13:36:07 Build Distribution Date: Oct 05, 2012 Oct 09, 2012@13:36:11 Running Pre-Install Routine: PRE^APSPEC15 Oct 09, 2012@13:36:12 Installing SECURITY KEY Installing INPUT TEMPLATE Installing PROTOCOL Installing OPTION 241 EHR Patch 11 Build

246 Installing PARAMETER DEFINITION Oct 09, Running Post-Install Routine: POST^APSPEC15 Updating Routine file.. The following Routines were created during this install: PSOXZA PSOXZA1 PSOXZA10 PSOXZA11 PSOXZA12 PSOXZA13 PSOXZA14 PSOXZA2 PSOXZA3 PSOXZA4 PSOXZA5 PSOXZA6 PSOXZA7 PSOXZA8 PSOXZA9 PSSVX6 PSSVX61 PSSVX62 PSSVX63 PSSVX64 PSSVX65 PSSVX66 PSGXR3 PSGXR31 PSGXR310 PSGXR311 PSGXR312 PSGXR32 PSGXR33 PSGXR34 PSGXR35 PSGXR36 PSGXR37 PSGXR38 PSGXR39 PSSJXR PSSJXR1 PSSJXR10 PSSJXR11 PSSJXR12 PSSJXR13 PSSJXR14 PSSJXR15 PSSJXR16 PSSJXR17 PSSJXR18 PSSJXR19 PSSJXR2 PSSJXR20 PSSJXR21 PSSJXR22 PSSJXR23 PSSJXR24 PSSJXR25 PSSJXR26 PSSJXR EHR Patch 11 Build

247 PSSJXR28 PSSJXR29 PSSJXR3 PSSJXR30 PSSJXR4 PSSJXR5 PSSJXR6 PSSJXR7 PSSJXR8 PSSJXR9 Updating KIDS files.. APSP*7.0*1015 Installed. Oct 09, GMTS*2.7*63 Install Started for GMTS*2.7*63 : Oct 09, 2012@13:36:13 Build Distribution Date: Feb 04, 2005 Oct 09, 2012@13:36:13 Running Pre-Install Routine: PRE^GMTSPI63 Oct 09, 2012@13:36:14 Running Post-Install Routine: CI^GMTSPI63 Filing "GEC HEALTH FACTOR CATEGORY" component in Health Summary Component has already been installed Filing "GEC COMPLETED REFERRAL COUNT" component in Health Summary Component has already been installed Filing "MHV REMINDERS DETAIL DISPLAY" component in Health Summary Component has already been installed Filing "MHV REMINDERS SUMMARY DISPLAY" component in Health Summary Component has already been installed Setting time and occurrence limits for GMTS HS ADHOC OPTION component GEC Health Factor Category (Limits - 1 year and 10 occurrences) Setting time and occurrence limits for GMTS HS ADHOC OPTION component GEC Completed Referral Count (Limits - 1 year and 10 occurrences) GMTS*2.7*63 Installed. Oct 09, 2012@13:36:14 GMTS*2.7*39 Install Started for GMTS*2.7*39 : Oct 09, 2012@13:36:14 Build Distribution Date: May 18, 2005 Oct 09, 2012@13:36:14 GMTS*2.7*39 Installed. 243 EHR Patch 11 Build

248 Oct 09, GMTS*2.7*78 Install Started for GMTS*2.7*78 : Oct 09, 2012@13:36:14 Build Distribution Date: Jan 20, 2006 Oct 09, 2012@13:36:14 Running Post-Install Routine: POST^GMTSP78 Starting Post-init... >>> EXTERNAL/EXTRACT ROUTINE FOR VITAL SIGNS HEALTH >>> SUMMARY COMPONENT ALREADY CONTAINS EN1;GMVHS. NO CHANGES MADE. >>> EXTERNAL/EXTRACT ROUTINE FOR VITAL SIGNS DETAILED DISPLAY HEALTH >>> SUMMARY COMPONENT ALREADY CONTAINS EN1;GMVHS. NO CHANGES MADE. >>> EXTERNAL/EXTRACT ROUTINE FOR VITAL SIGNS OUTPATIENT HEALTH >>> SUMMARY COMPONENT ALREADY CONTAINS EN1;GMVHS. NO CHANGES MADE. >>> EXTERNAL/EXTRACT ROUTINE FOR VITAL SIGNS SELECTED HEALTH >>> SUMMARY COMPONENT ALREADY CONTAINS EN1;GMVHS. NO CHANGES MADE. >>> EXTERNAL/EXTRACT ROUTINE FOR VITAL SIGNS SELECTED OUTPAT. HEALTH >>> SUMMARY COMPONENT ALREADY CONTAINS EN1;GMVHS. NO CHANGES MADE. Post-init complete. GMTS*2.7*78 Installed. Oct 09, 2012@13:36:14 GMTS*2.7*75 Install Started for GMTS*2.7*75 : Oct 09, 2012@13:36:14 Build Distribution Date: Aug 17, 2006 GMTS*2.7*75 Installed. Oct 09, 2012@13:36:14 GMTS*2.7*81 Install Started for GMTS*2.7*81 : Oct 09, 2012@13:36:14 Build Distribution Date: Oct 31, 2006 Oct 09, 2012@13:36: EHR Patch 11 Build

249 GMTS*2.7*81 Installed. Oct 09, GMTS*2.7*83 Install Started for GMTS*2.7*83 : Oct 09, 2012@13:36:14 Build Distribution Date: May 24, 2007 GMTS*2.7*83 Installed. Oct 09, 2012@13:36:14 GMTS*2.7*87 Install Started for GMTS*2.7*87 : Oct 09, 2012@13:36:14 Build Distribution Date: Sep 28, 2007 Oct 09, 2012@13:36:14 Running Pre-Install Routine: PRE^GMTSP87I Running Post-Install Routine: POST^GMTSP87I GMTS*2.7*87 Installed. Oct 09, 2012@13:36:14 GMTS*2.7*80 Install Started for GMTS*2.7*80 : Oct 09, 2012@13:36:14 Build Distribution Date: May 21, 2007 Oct 09, 2012@13:36:14 Updating KIDS files.. GMTS*2.7*80 Installed. Oct 09, 2012@13:36:15 GMTS*2.7*84 Install Started for GMTS*2.7*84 : Oct 09, 2012@13:36:15 Build Distribution Date: Mar 10, 2008 Oct 09, 2012@13:36:15 GMTS*2.7*84 Installed. Oct 09, 2012@13:36: EHR Patch 11 Build

250 GMTS*2.7*82 Install Started for GMTS*2.7*82 : Oct 09, 2012@13:36:15 Build Distribution Date: Aug 20, 2008 Oct 09, 2012@13:36:15 Running Post-Install Routine: EN^GMTSP82 Updating the Health Summary component description file Update Complete Updating Routine file.. GMTS*2.7*82 Installed. Oct 09, 2012@13:36:15 GMTS*2.7*1005 Install Started for GMTS*2.7*1005 : Oct 09, 2012@13:36:15 Build Distribution Date: Oct 05, 2012 Oct 09, 2012@13:36:15 Oct 09, 2012@13:36:15 Updating KIDS files.. GMTS*2.7*1005 Installed. Oct 09, 2012@13:36:15 CIAN*1.1* Install Started for CIAN*1.1* : Oct 09, 2012@13:36:15 Build Distribution Date: Jun 25, 2012 Oct 09, 2012@13:36:15 Running Pre-Install Routine: PRE^CIANBINI Oct 09, 2012@13:36:15 Installing DIALOG Installing REMOTE PROCEDURE Installing OPTION Oct 09, 2012@13:36:15 Running Post-Install Routine: POST^CIANBINI Setting up default site parameters... VUECENTRIC DEMO: Waiting for listener to start...listener started on port 9220 CIAN*1.1* Installed. Oct 09, 2012@13:36: EHR Patch 11 Build

251 BGO*1.1*11 Install Started for BGO*1.1*11 : Oct 09, 2012@13:36:18 Build Distribution Date: Oct 03, 2012 Installing Routines Oct 09, 2012@13:36:18 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:18 Installing Data:. Oct 09, 2012@13:36:19 Installing REMOTE PROCEDURE Oct 09, 2012@13:36:19 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... Updating version numbers... BGO*1.1*11 Installed. Oct 09, 2012@13:36:19 BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:19 Build Distribution Date: Aug 13, 2012 Oct 09, 2012@13:36:19 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:19 Installing Data: Oct 09, 2012@13:36:19 Installing REMOTE PROCEDURE Installing OPTION Installing PARAMETER DEFINITION Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... BEHO*1.1* Installed. Oct 09, 2012@13:36:20 BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:20 Build Distribution Date: Apr 05, EHR Patch 11 Build

252 Oct 09, Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... BEHO*1.1* Installed. Oct 09, BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:20 Build Distribution Date: May 16, 2012 Oct 09, 2012@13:36:20 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:20 Installing REMOTE PROCEDURE Installing PARAMETER DEFINITION Oct 09, 2012@13:36:20 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... BEHO*1.1* Installed. Oct 09, 2012@13:36:20 BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:20 Build Distribution Date: May 01, 2012 Oct 09, 2012@13:36:20 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:20 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings...\ Setting up default site parameters... BEHO*1.1* Installed. 248 EHR Patch 11 Build

253 Oct 09, BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:20 Build Distribution Date: Aug 09, 2012 Oct 09, 2012@13:36:20 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:20 Installing Data: Oct 09, 2012@13:36:21 Installing REMOTE PROCEDURE Oct 09, 2012@13:36:21 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... BEHO*1.1* Installed. Oct 09, 2012@13:36:21 BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:21 Build Distribution Date: Jul 06, 2012 Oct 09, 2012@13:36:21 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:21 Installing Data: Oct 09, 2012@13:36:21 Installing REMOTE PROCEDURE Oct 09, 2012@13:36:21 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... BEHO*1.1* Installed. Oct 09, 2012@13:36:21 BEHO*1.1* EHR Patch 11 Build

254 Install Started for BEHO*1.1* : Oct 09, 2012@13:36:21 Build Distribution Date: Jul 06, 2012 Oct 09, 2012@13:36:21 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:21 Installing Data: Oct 09, 2012@13:36:21 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... BEHO*1.1* Installed. Oct 09, 2012@13:36:21 BEHO*1.1* Install Started for BEHO*1.1* : Oct 09, 2012@13:36:21 Build Distribution Date: Sep 24, 2012 Oct 09, 2012@13:36:21 Running Pre-Install Routine: PRE^CIAOINIT Saving local object registry settings... Creating new object categories... Oct 09, 2012@13:36:21 Installing Data: Oct 09, 2012@13:36:21 Running Post-Install Routine: POST^CIAOINIT Restoring local object registry settings... Setting up default site parameters... Updating Routine file.. BEHO*1.1* Installed. Oct 09, 2012@13:36:21 Running Post-Install Routine: POST^CIAVIP11 Updating version numbers... Updating KIDS files.. EHR*1.1*11 Installed. Oct 09, 2012@13:36:21 No link to PACKAGE file Call MENU rebuild Menu Rebuild Complete: Oct 09, 2012@13:36: EHR Patch 11 Build

255 Install Completed DO NOT FORGET TO REBUILD YOUR MENUS 251 EHR Patch 11 Build

256 7.0 GUI Installation A self-extracting archive (file ehr_ exe) is provided for installation of the client application components. These components are to be installed in a shared folder on a file server. The EHR application will automatically deploy components from this location to the client workstations. All users of the EHR application should have read-only access to this folder. To install the client components to the shared folder, execute the self-extracting archive by double-clicking on the executable file. You must have read and write access to the shared folder to complete this installation. You will see the following dialog: Figure 7-1: RPMS-EHR Version 1.1 Patch 11 dialog Click OK to procedd. The following dialog box will appear. 252 GUI Installation

257 Figure 7-2: WinZip Self-Extractor EHR_ exe dialog Enter the full path to the shared folder where the client files are to reside. If this is an update to an existing installation, this will be the folder than contains the bin and lib folders from the previous installation. When the extraction process completes, you will see a confirmation dialog. Figure 7-3: Confirmation dialog Click OK to dismiss the dialog box. The EHR configuration dialog box appears. 253 GUI Installation

258 Figure 7-4: EHR Configuration dialog If you are updating an existing installation, your current values will be displayed. Unless you have changed folder locations, you should not have to change these settings. The run setting can be left as is, or a custom caption can be added if desired. Close the EHR Configuration dialog by clicking OK. You will see a splash screen that indicates that file versions are being updated. When the splash screen closes, the client installation is complete. 254 GUI Installation

259 Appendix A: List of Applications Updated with the CPRS 27 Mega Builds Package Adverse Reaction Tracking Bar Code Med Admin Name Space Starting Version Starting VA Patch Seq# Ending Version Ending VA Patch Seq# Patch Count RPMS Patch Number Exceptions Notes GMRA GMRA 1006 MB5, MB6 PSB APSP 1015 MB3, MB4, MB7, MB9 Case Management ORRC None MB3, MB7 CMOP PSX APSP 1015 MB4 Consults GMRC GMRC 1003 MB2, MB7 Controlled PSD APSP 1015 MB2 Substances Dietetics FH FH 1001 MB2, MB8 Inpatient Pharmacy PSJ APSP 1015 MB1, MB3, MB4, MB5, MB6, MB7 Intake and Output GMRY None MB2 Medicine MC None MB2 Nursing NUR None MB2 OE/RR OR ,186, OR (delivered in OR*3.0*1004 ), 246,270 MB1, MB2, MB3, MB4, MB6, 255 List of Applications Updated with the CPRS 27 Mega Builds

260 Package Outpatient Pharmacy Pharmacy Benefits Management Pharmacy Data Management Name Space Starting Version Starting VA Patch Seq# Ending Version Ending VA Patch Seq# Patch Count RPMS Patch Number Exceptions Notes MB8 PSO APSP , 191 MB1, MB3, MB4, MB5, MB6, MB7 PSU APSP 1015 MB1, MB5, MB6 PSS APSP 1015 MB1, MB2, MB3, MB5, MB7, MB9 Problem List GMPL GMPL 1002 MB1, MB2, MB6 Surgery SR None MB2, MB5 VistaLink XOBV None MB3 Vitals GMRV None MB2 Foundations XOBU None MB3 256 List of Applications Updated with the CPRS 27 Mega Builds

261 Appendix B: APSP*7.0*1015 B.1 General Information 1. Print all notes/readme files. 2. It is recommended that the terminal output during the installation be captured. This will ensure a printed audit trail if any problems should arise. 3. This patch IS NOT a cumulative patch. Patch APSP 1014 must be installed prior to installing the contents of this patch. B.2 Modifications/Enhancements Included in this Patch Patch 1015 delivers the following pharmacy updates: 1. Drug marked for MDF and non-va. (CR238) (artf12257) 2. Rename APSS in Last Patch Lister. (CR229) (artf12344) 3. Rename AWP field in View Prescriptions to Benchmark Price. (CR231) (art12346) 4. Update selected patient in EHR. (CR230) (artf12345) 5. Design Hole Refills allowed. (TT878) (artf12398) 6. 6Other Language Preference in OERR. (CR232) (artf12347) 7. Parameter to allow RTS of refill from any division. (APSP ALLOW RTS FROM ANY RX DIV) (CR225) (artf12343) 8. Reissue function for previously Returned to Stock Medications. 257 Contact Information

262 (RI-Reissue protocols added to the outpatient processing hidden actions) (CR093) (artf12338) 9. TRL Patient Mode. (CR255) (artf12558) 10. Ability to enter compounds with multiple ingredient info. (CR179) (artf12339) 11. Display Allergy/Drug Interaction details in Prescription processing. (CR071) (artf12337) 12. Inpatient: expiration dating that appears on the label. (CR194) (artf12340) 13. Quantity now appears as number (text representing number) when printed. In a Rx Format. ()() 14. PWKL Pharmacist Workload Report must pull all prescriptions processed. (CR192) (artf12617) 15. Allergies on the MAR--Expanding to the second page. (CR065) (artf12598) 16. Certain day schedules do not print properly on MAR. (CR236) (artf12348) 17. Change Dispense Quantity field 3 decimals. (CR911) (artf12400) 18. Modify CSM to indicate prescriptions filled by CMOP and local mail. (CR242) (artf12683) 19. Clinical Reminders indexing will not send error messages if the error is not fixable (no patient or drug) or when the start date and day s supply are missing when order is greater than one year. 258 Contact Information

263 20. A new menu, APSP XPAR MAIN, has been added to the APSP MAIN menu allowing users to access APSP related Kernel Parameters for editing. The option is locked with the APSPXPAR security key. B.3 Contents of Distribution N/A B.4 Requirements Kernel v8.0 or later FileMan v22 patch 1002 Cache v 5 or later IHS Pharmacy Modifications v 7.0, patch 1014 PIMS v5.3 patch 1015 Mega builds 1 9 associated with EHR p11/cprs 27 upgrade B.5 This patch should NOT be installed while pharmacy users are on the system. Remove pharmacy users from the system This patch is bundled with EHR v1.1 Patch 11 B.6 Post Ensure that there is an ON CALL entry in the Administration Schedule file with the Type of Schedule field set to ON CALL. 259 Contact Information

264 Contact Information If you have any questions or comments regarding this distribution, please contact the OIT Help Desk (IHS). Phone: (505) or (888) (toll free) Fax: (505) Web: Contact Information