$TXT Created by at DEV.DEV.DOMAIN.EXT (KIDS) on Friday, 05/25/18 at 15:33 ============================================================================= Run Date: AUG 21, 2018 Designation: MD*1*59 Package : MD - CLINICAL PROCEDURES Priority: Mandatory Version : 1 SEQ #44 Status: Released Compliance Date: SEP 21, 2018 ============================================================================= Associated patches: (v)MD*1*48 <<= must be installed BEFORE `MD*1*59' Subject: CLINICAL PROCEDURES FLOWSHEET TERMINOLOGY UPDATES Category: - Other - Routine Description: ============ This patch will correct the following issue: The Clinical Procedures (CP) Terminology TERM file (#704.101) contains 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 Terms. New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- Rational Work Item - 646704 - Terminology updates Problem: -------- The Clinical Procedures (CP) Terminology TERM file (#704.101) contains 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 Terms. This is the list of newly added terms: ====================================== CLINICAL OPIATE WITHDRAWAL SCALE (COWS): ANXIETY OR IRRITABILITY CLINICAL OPIATE WITHDRAWAL SCALE (COWS): BONE OR JOINT ACHES CLINICAL OPIATE WITHDRAWAL SCALE (COWS): GI UPSET CLINICAL OPIATE WITHDRAWAL SCALE (COWS): GOOSEFLESH SKIN CLINICAL OPIATE WITHDRAWAL SCALE (COWS): PUPIL SIZE CLINICAL OPIATE WITHDRAWAL SCALE (COWS): RESTING PULSE RATE CLINICAL OPIATE WITHDRAWAL SCALE (COWS): RESTLESSNESS OBSERVED CLINICAL OPIATE WITHDRAWAL SCALE (COWS): RUNNY NOSE OR TEARING CLINICAL OPIATE WITHDRAWAL SCALE (COWS): SEVERITY CLINICAL OPIATE WITHDRAWAL SCALE (COWS): SWEATING CLINICAL OPIATE WITHDRAWAL SCALE (COWS): TOTAL SCORE CLINICAL OPIATE WITHDRAWAL SCALE (COWS): TREMOR OBSERVATION CLINICAL OPIATE WITHDRAWAL SCALE (COWS): YAWNING OBSERVATION CONDITIONS IMPACTING TRANSFER OR POSITIONING EDEMA #1 EDEMA #2 EDEMA #3 EDEMA #4 FECAL INCONTINENCE DEVICE: TYPE GASTRIC TUBE INSERTION: INDICATION GASTRIC TUBE INSERTION: PLACEMENT MARKED WITH PERMANENT MARKER GASTRIC TUBE INSERTION: RESPONSE TO PROCEDURE GASTRIC TUBE INSERTION: SMALL BORE FEEDING TUBE, GUIDE WIRE REMOVED AFTER X-RAY VERIFICATION GASTRIC TUBE INSERTION: X-RAY VERIFICATION GASTRIC TUBE: INSERTED VIA: GASTRIC TUBE: PLACEMENT CHECKED BY GASTRIC CONTENT GASTRIC TUBE: SECUREMENT LIFT/TRANSFER DEVICES NEEDED MUSCULOSKELETAL: AMPUTATION TYPE MUSCULOSKELETAL: ASSISTIVE DEVICES MUSCULOSKELETAL: HIP RANGE OF MOTION MUSCULOSKELETAL: JOINT CONDITION MUSCULOSKELETAL: KNEE RANGE OF MOTION MUSCULOSKELETAL: SHOULDER RANGE OF MOTION MUSCULOSKELETAL: SPINE CONDITION PCA: ORDERED DOSE RANGE (FREE TEXT) PERIPHERAL-VASCULAR: COLOR PERIPHERAL-VASCULAR: SENSATION PERIPHERAL-VASCULAR: TEMPERATURE PROSTHETIC DEVICES RESTORATIVE CARE: AMPUTATION/PROSTHETIC CARE RESTORATIVE CARE: BED MOBILITY SUPINE - SIDE ROLL LEFT RESTORATIVE CARE: BED MOBILITY SUPINE - SIDE ROLL RIGHT RESTORATIVE CARE: BED MOBILITY SUPINE TO SITTING - LEGS DANGLING RESTORATIVE CARE: BED MOBILITY SUPINE TO SITTING - LEGS IN BED RESTORATIVE CARE: COMMUNICATION RESTORATIVE CARE: COMMUNICATION ASSISTIVE DEVICE RESTORATIVE CARE: DRESSING RESTORATIVE CARE: EATING RESTORATIVE CARE: EATING ASSISTIVE DEVICE RESTORATIVE CARE: GROOMING RESTORATIVE CARE: RANGE OF MOTION ACTIVE LEFT LOWER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION ACTIVE LEFT UPPER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION ACTIVE RIGHT LOWER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION ACTIVE RIGHT UPPER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION ACTIVE SIT AND STAND RESTORATIVE CARE: RANGE OF MOTION PASSIVE LEFT LOWER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION PASSIVE LEFT UPPER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION PASSIVE RIGHT LOWER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION PASSIVE RIGHT UPPER EXTREMITY RESTORATIVE CARE: RANGE OF MOTION PASSIVE SIT AND STAND RESTORATIVE CARE: SPLINT/BRACE ASSISTANCE LEFT LOWER EXTREMITY RESTORATIVE CARE: SPLINT/BRACE ASSISTANCE LEFT UPPER EXTREMITY RESTORATIVE CARE: SPLINT/BRACE ASSISTANCE RIGHT LOWER EXTREMITY RESTORATIVE CARE: SPLINT/BRACE ASSISTANCE RIGHT UPPER EXTREMITY RESTORATIVE CARE: SWALLOWING PRECAUTIONS RESTORATIVE CARE: TOILETING BOWEL CONTINENT INCIDENTS RESTORATIVE CARE: TOILETING BOWEL INCONTINENT INCIDENTS RESTORATIVE CARE: TOILETING PROGRAM BOWEL RESTORATIVE CARE: TOILETING PROGRAM URINARY RESTORATIVE CARE: TOILETING URINARY CONTINENT INCIDENTS RESTORATIVE CARE: TOILETING URINARY INCONTINENT INCIDENTS RESTORATIVE CARE: TRANSFER ASSISTIVE DEVICES RESTORATIVE CARE: TRANSFER TIME SPENT RESTORATIVE CARE: WALKING DISTANCE RESTORATIVE CARE: WALKING TIME SPENT TRACHEOSTOMY ASSESSMENT TRACHEOSTOMY CARE TRACHEOSTOMY TYPE WNL: CARDIOVASCULAR SYSTEM WNL: NEUROLOGICAL SYSTEM WNL: RESPIRATORY SYSTEM This is the list of modified terms: =================================== CAUTI PREVENTION: INDICATIONS CENTRAL LINE DRESSING TYPE CENTRAL LINE TYPE FECAL INCONTINENCE DEVICE ASSESSMENT FECAL INCONTINENCE DEVICE CARE GAIT GI SYMPTOMS GI TUBE SUCTION TYPE PULMONARY SUCTIONING FREQUENCY PULSE STRENGTH SEDATION SCALE - RASS SEDATION SCALE - SAS URINE: CHARACTERISTICS Resolution ----------- The above Additions/Updates will be made to the CP Terminology TERM File (#704.101). The details of each of these terms is in the Clinical Observation (CliO) Terminology Dictionary And Clinical Data Model Documentation that is listed below. Test Sites: ---------- Edward Hines Jr. VA Hospital, IL Hershel Williams VAMC (Huntington, WV) Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: ftp.domain.ext Salt Lake City: ftp.domain.ext File Name: Description: Protocol: ========== ============ ========= MD1_0P59TERM.PDF CliO Terminology Dictionary Binary And Clinical Data Model Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Patch Installation: Pre-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) Installation Instructions: -------------------------- 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*59): 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. Back-out/Rollback Strategy: ========================== In the event of a catastrophic failure, the Facility CIO may make the decision to back-out the patch. This patch involves data modifications. A rollback would need to be implemented. To rollback, please re-install patch MD*1.0*48. Post-Installation Instructions: ------------------------------- NOTE: Post-Init routine MDTERMX can be deleted after the patch has completed the installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;CLINICAL PROCEDURES;**[Patch List]**;Aug 2, 2012;Build 7 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MDTERMX Before: B4314808 After: B4314808 **48,59** Routine list of preceding patches: 48 ============================================================================= User Information: Entered By : Date Entered : JAN 02, 2018 Completed By: Date Completed: AUG 16, 2018 Released By : Date Released : AUG 21, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT