$TXT Created by at DEV.DEV.DOMAIN.EXT (KIDS) on Friday, 04/12/19 at 13:17 ============================================================================= Run Date: JUL 29, 2019 Designation: MD*1*68 Package : MD - CLINICAL PROCEDURES Priority: Mandatory Version : 1 SEQ #55 Status: Released Compliance Date: AUG 29, 2019 ============================================================================= Associated patches: (v)MD*1*59 <<= must be installed BEFORE `MD*1*68' Subject: CP FLOWSHEETS 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: -------------------------------------------- 1) INC3510791 - CP Flowsheets Terminology Update 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. The following list documents the approved changes for INC3510791 Newly Added Terms: ------------------ CARDIOVASCULAR: Conditions CARDIOVASCULAR: DVT Prevention CARDIOVASCULAR: JVD Inhaler Musculoskeletal: Ankle ROM Musculoskeletal: Conditions Musculoskeletal: Elbow ROM Musculoskeletal: Wrist ROM NEURO ASSESSMENT: SPEECH NEURO ASSESSMENT: AUDITORY NEURO ASSESSMENT: CORNEAL REFLEX NEURO ASSESSMENT: COUGH REFLEX NEURO ASSESSMENT: GAG REFLEX NEURO ASSESSMENT: HAND GRIP NEURO ASSESSMENT: MENTAL STATUS NEURO ASSESSMENT: MOTOR LOWER EXTREMITIES NEURO ASSESSMENT: MOTOR UPPER EXTREMITIES NEURO ASSESSMENT: ORIENTATION NEURO ASSESSMENT: PLANTAR (BABINSKI) REFLEX NEURO ASSESSMENT: REFLEXES PRESENT NEURO ASSESSMENT: SEIZURE ACTIVITY NEURO ASSESSMENT: SENSATION LOWER EXTREMITIES NEURO ASSESSMENT: SENSATION UPPER EXTREMITIES NEURO ASSESSMENT: Sensory Testing NEURO ASSESSMENT: Shoulder Shrug NEURO ASSESSMENT: SLEEP NEURO ASSESSMENT: SWALLOW REFLEX NEURO ASSESSMENT: SYMPTOMS NEURO ASSESSMENT: VISION Oral Care: Dentures/Removable Appliance Oral Care: Patient Education Oral Care: Performed/Observed Oral Care: Referral or Consult to Dental/Dental Hygiene Oral Care: Supplies in Room Oral Care: Symptoms or Problems Oral Care: Type PCA: Max Limit Per Hour PERIPHERAL-VASCULAR: Movement Rounding: Patient Off Unit Rounding: Privacy Maintained Rounding: Toileting Modified Terms: --------------- CARDIOVASCULAR: Capillary Refill CARDIOVASCULAR: Cardiac Abnormal Beats Per Minute CARDIOVASCULAR: Cardiac Ectopy CARDIOVASCULAR: Cardiac Rhythm CARDIOVASCULAR: Cardiac Rhythm Lead CARDIOVASCULAR: Edema #1 CARDIOVASCULAR: Edema #2 CARDIOVASCULAR: Edema #3 CARDIOVASCULAR: Edema #4 CARDIOVASCULAR: Edema Amount CARDIOVASCULAR: Edema Severity CARDIOVASCULAR: Heart Sounds CARDIOVASCULAR: PA Catheter Repositioned/Discontinued Reason CARDIOVASCULAR: Pacemaker Atrial mA CARDIOVASCULAR: Pacemaker AV Interval CARDIOVASCULAR: Pacemaker Capture CARDIOVASCULAR: Pacemaker Mode CARDIOVASCULAR: Pacemaker On CARDIOVASCULAR: Pacemaker Rate CARDIOVASCULAR: Pacemaker Sense CARDIOVASCULAR: Pacemaker Sensitivity Atrial CARDIOVASCULAR: Pacemaker Sensitivity Ventricular CARDIOVASCULAR: Pacemaker Type CARDIOVASCULAR: Pacemaker Unit ID CARDIOVASCULAR: Pacemaker Ventricular mA CARDIOVASCULAR: Pacemaker Wires CARDIOVASCULAR: Pulse Strength Enteral Nutrition Type MUSCULOSKELETAL: HIP ROM MUSCULOSKELETAL: JOINT CONDITION MUSCULOSKELETAL: KNEE ROM MUSCULOSKELETAL: SHOULDER ROM NEURO ASSESSMENT: PUPIL NEURO ASSESSMENT: PUPIL SIZE Oral Care 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) Huntington VA Medical Center (WV) Software and Documentation Retrieval Instructions: -------------------------------------------------- Documentation describing the new functionality introduced by this patch is 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_0P68TERM.PDF CliO Terminology Dictionary Binary And Clinical Data Model Documentation can also be found on the VA Software Documentation Library at: http://www4.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*68): 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*59 Post-Installation Instructions: ------------------------------- N/A 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 **48,59,68** Routine list of preceding patches: 59 ============================================================================= User Information: Entered By : Date Entered : DEC 14, 2018 Completed By: Date Completed: JUL 25, 2019 Released By : Date Released : JUL 29, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT