$TXT Created by at DEV.DEV.DOMAIN.EXT (KIDS) on Monday, 11/28/16 at 11:10 ============================================================================= Run Date: NOV 29, 2016 Designation: MD*1*39 Package : MD - CLINICAL PROCEDURES Priority: Mandatory Version : 1 SEQ #33 Status: Released Compliance Date: DEC 30, 2016 ============================================================================= Associated patches: (v)MD*1*36 <<= must be installed BEFORE `MD*1*39' Subject: FLOWSHEET TERM UPDATES FROM 04/2014 SPREADSHEET Category: - Other - Routine Description: ============ This patch will correct the following issue: 1) The Clinical Procedures (CP) Terminology TERM file (#704.101) and the TERM_TYPE file (#704.102) contain terms used during data entry/display in CP Flowsheet. The Office of Informatics and Analytics - Applied Informatics Services (AIS) Terminology Review Group submitted a spreadsheet requesting additions or updates of 46 Terms. NOTE: These 46 terms were split out over 5 separate tickets for ease of entering, they are not 5 separate issues, but 1 umbrella issue with 1 resolution. ASSOCIATED REMEDY/CA TICKETS: ============================ 1) INC0000000990788 Clinical Procedures - Flowsheets: Terminology Duplicate: I9931080FY16 - Group 1 2) INC0000000991882 Clinical Procedures - Flowsheets: Terminology Duplicate: I9932749FY16 - Group 2 3) INC0000000991895 Clinical Procedures - Flowsheets: Terminology Duplicate: I9933152FY16 - Group 3 4) INC0000001240721 New/modified Terms for CP Flowsheets: Approved CP Terminology Duplicate: I9933514FY16 - Group 4 5) INC0000001244504 Clinical Procedures - Flowsheets: Terminology Duplicate: I9933891FY16 - Group 5 ASSOCIATED NSR(S): ================== N/A PARTICIPATING TEST SITES: ========================= Edward Hines Jr. VA Hospital, IL Huntington VAMC, WV VA Northern California HCS (Mather, Martinez) REMEDY/CA OVERVIEW: =================== 1) INC0000000990788 Clinical Procedures - Flowsheets: Terminology Duplicate: I9931080FY16 - Group 1 Problem 1: ---------- The following list documents the approved changes for Group #1 (Mod) - ADI - SPIRITUAL CARE (Mod) - AIRWAY ARTIFICIAL SIZE - MILIMETERS (Add) - CAUTI Prevention: GU Catheter Discontinued (Mod) - CENTRAL LINE CHANGED (Mod) - CENTRAL LINE DRESSING TYPE (Mod) - CHEST TUBE DRAINAGE CHARACTERISTICS (Mod) - DISCHARGE ACTIVITIES (Add) - DRAIN DRESSING CHANGE 2) INC0000000991882 Clinical Procedures - Flowsheets: Terminology Duplicate: I9932749FY16 - Group 2 Problem 2: ---------- The following list documents the approved changes for Group #2 (Add) - DRAINAGE SYSTEM REPLACED (Add) - DRESSING CHANGE (Mod) - DVT PROPHYLAXIS (Mod) - EDUCATION - BARRIERS (Mod) - EDUCATION - TOPIC (Mod) - ENTERAL NUTRITION TYPE (Add) - EPIDURAL: CATHETER SITE (Mod) - ET LOCATION (Mod) - MUCOUS MEMBRANE CONDITION 3) INC0000000991895 Clinical Procedures - Flowsheets: Terminology Duplicate: I9933152FY16 - Group 3 Problem 3: ---------- The following list documents the approved changes for Group #3 (Add) - NECK EVALUATION (Mod) - BLADDER SCAN - DO NOT CHECK TOTAL OR SUBTOTALS (Mod) - OUTPUT - URINE (Add) - OUTPUT - NASOGASTRIC TUBE (Mod) - PA CATHETER REPOSITIONED/DICONTINUED (Add) - PASERO OPIOID - INDUCED SEDATION SCALE (POSS) (Add) - PREPROCEDURE: DRAINAGE BAG EMPTIED? (Add) - PREPROCEDURE: PLANNED DISPOSITION POST PROCEDURE (Add) - PREPROCEDURE: PULMONARY FUNCTION TEST DONE? (Add) - PREPROCEDURE: SHOWER/BATH W CHLORHEXIDINE SOAP NIGHT BEFORE? 4) INC0000001240721 New/modified Terms for CP Flowsheets: Approved CP Terminology Duplicate: I9933514FY16 - Group 4 Problem 4: ---------- The following list documents the approved changes for Group #4 (Add) - PREPROCEDURE: SHOWER/BATH W CHLORHEXIDINE SOAP THIS AM? (Mod) - PRESSURE ULCER DRAINAGE CHARACTER (Mod) - PULMONARY CARE (Mod) - PULMONARY SECRETION COLOR (Mod) - PULMONARY SUCTIONING SITE (Mod) - PUPIL REACTION (Mod) - PUPIL SIZE (Add) - RESTRAINT CIRCULATION CHECK (Add) - RESTRAINT DEVICE TRIAL RELEASE (Add) - RESTRAINT/SECLUSION DISCONTINUED 5) INC0000001244504 Clinical Procedures - Flowsheets: Terminology Duplicate: I9933891FY16 - Group 5 Problem 5: ---------- The following list documents the approved changes for Group #5 (Mod) - SEDATION SCALE - RAMSEY (Mod) - STOOL COLOR (Add) - TONGUE POSITION (Mod) - IVDOSE RATE - UNITS/HOUR (Mod) - IV FLOW RATE - ml/kg/TIME - DO NOT CHECK TOTAL OR SUBTOTALS (Mod) - LOWER LIMB EXTREMITIES STRENGTH Resolution 1, 2, 3, 4, 5 ------------------------ The above Additions/Updates will be made to the CP Terminology TERM file (#704.101) and the TERM_TYPE file (#704.102). The details of each of these terms is in the Clinical Observation (CliO) Terminology Dictionary And Clinical Data Model Documentation that is listed below. DOCUMENTATION: ============== Documentation is available for the Clinical Observation (CliO) Terminology Dictionary And Clinical Data Model Documentation on the ANONYMOUS.SOFTWARE directory at one of the following Office of Information (OI) Field Offices. Sites will be able to download the documentation in the ".PDF" format. The preferred method is to FTP the files from: Download.vista.domain.ext This transmits files from the first available FTP server. Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext File Name: Description: Protocol: ========== ============ ========= MD1_0P39TERM.PDF CliO Terminology Dictionary Binary And Clinical Data Model Documentation may be found on the System Design and Development Web page at: http://www.domain.ext/vdl INSTALLATION INSTRUCTIONS: ========================== If installed during the normal workday, it is recommended that the Clinical Procedures users be off the system. Other VISTA users will not be affected. Install Time - less than 5 minutes (unless otherwise indicated) 1. Load Transport Global --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. Start Up KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter MD*1.0*39): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Select Installation Option: Install Package(s) --------------------------------------------------- **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. NOTE: Post-Init routine MDTERMX will be automatically deleted after it has made the file modifications. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;CLINICAL PROCEDURES;**[Patch List]**;Aug 2, 2012;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MDTERMX Before: B4314808 After: B4314808 31,32,33,35,36,39 ============================================================================= User Information: Entered By : Date Entered : APR 03, 2014 Completed By: Date Completed: NOV 29, 2016 Released By : Date Released : NOV 29, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT