$TXT Created by at CLN1G1.AAC.DOMAIN.EXT (KIDS) on Friday, 05/01/20 at 13:30 ============================================================================= Run Date: JUN 24, 2020 Designation: MD*1*72 Package : MD - CLINICAL PROCEDURES Priority: Mandatory Version : 1 SEQ #61 Status: Released Compliance Date: JUL 25, 2020 ============================================================================= Associated patches: (v)MD*1*68 <<= must be installed BEFORE `MD*1*72' Subject: CP FLOWSHEETS TERMINOLOGY UPDATES & SPECIAL CHARACTER REMOVAL Category: - Other - Routine Description: ============ This patch will address the following items: 1. Please process the addition of new terms and modification of existing terms into the Clinical Procedures (CP) Flowsheets terminology data dictionary. 2. One of the term modifications is to remove a special character that prevents CP Gateway from loading Terminology. Defect Tracking System Ticket(s) & Overview: ------------------------------------------- 1. Rational Work Item 1001946 - CP Flowsheets Terminology Additions and Updates Problem: ------- The Clinical Procedures Terminology TERM file (#704.101) contains terms used during data entry/display in CP Flowsheets. The Office of Informatics and Analytics - Applied Informatics Services (AIS) Terminology Review Group has submitted a spreadsheet requesting additions and/or updates of terms. The following list documents the approved changes for Rational Work Item 1001946: Newly Added Terms: ----------------- PRESSURE INJURY MEDICAL DEVICES SKIN: CARE PROVIDED NUTRITION: SUPPLEMENTS NEWS: RESPIRATION RATE (PER MINUTE) NEWS: SpO2 SCALE 1 (%) NEWS: SpO2 SCALE 2 (%) NEWS: AIR OR OXYGEN NEWS: SYSTOLIC BLOOD PRESSURE (mmHg) NEWS: HEART RATE (PER MINUTE) NEWS: CONSCIOUSNESS NEWS: TEMPERATURE (CELSIUS) NEWS: TOTAL MOBILITY: JH-HIGHEST LEVEL MOBILITY SCORE MOBILITY: LEVEL OF ASSISTANCE MOBILITY: BEDSIDE MOBILITY ASSESSMENT TOOL (BMAT) ADL: CHLORHEXIDINE GLUCONATE (CHG) BATH TOILETING: BOWEL PROGRAM TOILETING: URINARY PROGRAM Terms to be Modified: -------------------- PRESSURE ULCER RISK FACTORS PRESSURE ULCER PREVENTION DEVICE TYPE PRESSURE ULCER COLOR PRESSURE ULCER DEPTH PRESSURE ULCER DRAINAGE CHARACTER PRESSURE ULCER DRESSING PREVENTS ASSESSMENT PRESSURE ULCER LENGTH PRESSURE ULCER ODOR PRESSURE ULCER PHOTOGRAPHED PRESSURE ULCER SINUS/UNDERMINING PRESSURE ULCER STAGE/SITE PRESSURE ULCER TREATMENT PRESSURE ULCER TUNNEL PRESSURE ULCER TUNNEL LENGTH PRESSURE ULCER UNDERMINING PRESSURE ULCER WIDTH ADL: REPOSITION URINE: VOIDING METHOD TEMPERATURE BLOOD PRESSURE RESPIRATORY RATE - DO NOT CHECK TOTAL OR SUBTOTALS PULSE - DO NOT CHECK TOTAL OR SUBTOTALS SYSTOLIC PRESSURE DIASTOLIC PRESSURE SpO2% WEIGHT WEIGHT AT ADMISSION HEIGHT AFFECT CLINICAL OPIATE WITHDRAWAL SCALE (COWS): SEVERITY BEHAVIOR OBSERVED BEHAVIOR PRECAUTION LEVEL BEHAVIOR PRECAUTION REASON CLOSE OBSERVATION BEHAVIOR CLOSE OBSERVATION CURRENT LOCATION OBSERVATION REASON OBSERVATION STATUS MENTAL STATUS ABDOMEN BOWEL SOUNDS ABDOMINAL CONDITION GI SYMPTOMS BOWEL MOVEMENT EVENT(S) BOWEL ELIMINATION STOOL: CHARACTERISTICS STOOL: COLOR STOOL: NUMBER OF STOOLS ROUNDING SAFETY DEVICE WAIST BELT APPLIED SIDE RAILS BED POSITION CALL LIGHT WITHIN REACH ACTIVITIES OF DAILY LIVING: WANDERING PREVENTION MEASURES RESPIRATORY PATTERN BREATH SOUNDS PULMONARY SUCTIONING EVENT SUPPLEMENTAL OXYGEN CONCENTRATION SUPPLEMENTAL OXYGEN FLOW RATE TRACHEOSTOMY CARE AIRWAY ARTIFICIAL CUFF STATUS AIRWAY ARTIFICIAL POSITION AT LIP/NOSE AIRWAY ARTIFICIAL SIZE - FRENCH AIRWAY ARTIFICIAL SIZE - MILLIMETERS AIRWAY ARTIFICIAL TYPE PCA - CLINICAL BOLUS DOSE PCA - CONTINUOUS MCG/HR (BASAL) PCA - CONTINUOUS MG/HR (BASAL) PCA - DEMAND DOSE - DO NOT CHECK TOTAL OR SUBTOTALS PCA - DOSAGE DELIVERED PCA - DOSES DELIVERED PCA - LEVEL OF CONSCIOUSNESS PCA - LIMIT DOSE - DO NOT CHECK TOTAL OR SUBTOTAL PCA - LIMIT TIME PCA - LINE CARE PCA - LOCK OUT - DO NOT CHECK TOTAL OR SUBTOTALS PCA - PUMP CLEARED PCA - REQUESTS PCA - TOTAL DOSE 24 HR PCA - TOTAL DOSE WASTED PCA - TOTAL MCG PER SHIFT PCA - TOTAL MG PER SHIFT PCA - VOLUME REMAINING - DO NOT CHECK TOTAL OR SUBTOTALS PCA - VOLUME START - DO NOT CHECK TOTAL OR SUBTOTALS LIFT/TRANSFER DEVICES NEEDED TRANSPORTATION MODE/DEVICE ROUNDING: PATIENT OFF UNIT FINGERSTICK GLUCOSE Resolution: ---------- The above additions and modifications 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. 2. INC9419372 - VA IND is implementing Spacelabs vitals - Terminology would not load. Had to edit the name of a Terminology before CP GATEWAY Service would complete properly. Problem: ------- Term PCA: ORDERED PROFILE is a single-select picklist. One of the Qualifiers (selections), OPIOID NAÏVE (NO OTHER OPIOIDS ALLOWED), contains a special character (umlaut) over the letter 'I' in both the Name field and the Display Name field that prevents CP Gateway from loading Terminology. Resolution: ---------- The special character (umlaut) will be removed from the TERM (#.02) and DISPLAY_NAME (#.04) fields of the Qualifier OPIOID NAÏVE (NO OTHER OPIOIDS ALLOWED) in the TERM file (#704.101). Test Sites: ---------- VA Maryland HCS (Perry Point) Edward Hines, Jr. VA Hospital (Hines) Software and Documentation Retrieval Instructions: ------------------------------------------------- Documentation describing the new functionality introduced by this patch is available. A new version of the Terminology Dictionary is available with this patch. Sites may retrieve the software and/or documentation using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at download.vista.domain.ext. This transmits the files from the first available server. Title File Name FTP Mode ------------------------------------------------------------------- CliO Terminology Dictionary and MD1_0P72TERM.PDF Binary Clinical Data Model Documentation can also be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Patch Installation: Pre-Installation Instructions: ----------------------------- Clinical Procedures users should be off the system when this patch is installed. Other VistA users will not be affected. This patch should be installed during non-peak requirement hours. Installation will take less than 5 minutes. Installation Instructions: ------------------------- 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option to load the KIDS patch into a Transport Global on your system. 2. Start up the Kernel Installation and Distribution System Menu [XPD MAIN] and select the Installation Menu. 3. From the Installation Menu, you may elect to use the following options (which are optional). When prompted for the INSTALL NAME, enter MD*1.0*72. a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to print only a summary of the patch, to print a summary of the patch and the routines in the transport global, or to print only the routines in the transport global. c. 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's routines, DDs, templates, etc.). 4. From the Installation Menu, select the Install Package(s) option and enter the patch MD*1.0*72 to start the patch install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. 6. 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;CLINICAL PROCEDURES;**[Patch List]**;Aug 2, 2012;Build 12 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MDTERMX Before: B4314808 After: B4314808 **48,59,68,72** Routine list of preceding patches: 68 ============================================================================= User Information: Entered By : Date Entered : MAY 14, 2019 Completed By: Date Completed: JUN 23, 2020 Released By : Date Released : JUN 24, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT