============================================================================= Run Date: DEC 07, 2021 Designation: WV*1*26 Package : WV - WOMEN'S HEALTH Priority: Mandatory Version : 1 SEQ #24 Status: Released Compliance Date: JAN 21, 2022 ============================================================================= Associated patches: (c)OR*3*498 install with patch `WV*1*26' (c)PXRM*2*71 install with patch `WV*1*26' (c)PSO*7*622 install with patch `WV*1*26' (c)TIU*1*341 install with patch `WV*1*26' (v)WV*1*24 <<= must be installed BEFORE `WV*1*26' Subject: CPRS V31.B FOLLOW-ON Category: - Routine Description: ============ This patch is part of the CPRS v31b follow-up updates. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- WOMEN'S HEALTH v1.0 WV*1.0*26 CLINICAL REMINDERS v2.0 PXRM*2.0*71 OUTPATIENT PHARMACY v7.0 PSO*7.0*622 TEXT INTEGRATION UTLITIES v1.0 TIU*1.0*341 ORDER ENTRY/RESULTS REPORTING v3.0 OR*3.0*498 All these patches are released via a Kernel Installation and Distribution System (KIDS) multi-build distribution as CPRS V31B FOLLOW-UP PATCHES 1.0. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- WV PROCEDURE (#790.1) STATUS (#.14) Modified PREVIOUS DIAGNOSIS (#20) New WV PROCEDURE ACTIONS FOLLOW UP DATE (#5) New (#790.23) WV PROCEDURE PREVIOUS DIAGNOSIS (#.01) New DIAGNOSIS (#790.24) DIAGNOSIS DATE TIME New CHANGED (#1) WV NOTIFICATION (#790.4) DATE NOTIFICATION Modified CLOSED (#.08) STATUS (#.14) Modified WV PREGNANCY/LACTATION PATIENT (#2) Modified STATUS CONFLICT EVENTS (#790.9) Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- WV PROC-FORM-1 790.1 Modified WV PROC-FORM-2-COLP 790.1 Modified Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- WVRPCOR COVER Modified Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- WV BREAST IMAGE TERM LINKING New WV MAIL GROUP ISSUE New Additional Information: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: 1. Jazz 1291632 Error POSTLIST+7^WVRPCOR *WVLINE Problem: -------- This error is generated sporadically when the Joint Legacy Viewer (JLV) retrieves the list of postings for a patient. Resolution: ----------- A definitive cause of the error was not determined. The code was hardened by renaming one of the variables used by both the remote procedure used by JLV and the line tags called by that procedure to prevent possible variable name collisions. 2. Jazz 1291817 General Findings Not Listed in Encounter Pane on Notes Tab Problem: -------- When viewing a completed note that has Women's Health package data associated with it, the appropriate Reminder General Findings are not listed in the findings panel below the note. Resolution: ----------- The code was modified to return data given a document's internal entry number (IEN). The Clinical Reminders package uses that data to determine which general findings are associated with a given note. 3. Jazz 1292114 Active code/expression not found Message Problem: -------- When an ICD-9 diagnosis code is added to encounter that happened before October 1, 2015, the "Possible pregnancy status conflict: confirm, consider status update." notification displays the following text when processed: Description for code 633.00in coding system ICD not found: Active code/expression not found for ICD-9-CM code 633.00 on MM/DD/YYYY Resolution: ----------- The code was modified to use the visit date when retrieving the description of a given ICD code. 4. Jazz 1293952 Patient Display Issue in WV PREGNANCY/LACTATION STATUS CONFLICT EVENTS File Problem: -------- When an inquire is performed on an entry in the WV PREGNANCY/LACTATION STATUS CONFLICT EVENTS file (#790.9) with a patient that is not registered in the Women's Health package, the PATIENT field displays as a number. Resolution: ----------- The data dictionary for the PATIENT field (#2) is modified to point to the PATIENT file (#2). 5. Change historical imported to honor maps to Reminder Terms Jazz 1287308 Problem: -------- When using the Import Radiology/NM Exams option it does not honor the Reminder Terms mapping to the WV Procedure Type entries. Also, this option does not import Radiology Procedures marked as Electronically Filed. Resolution: ----------- Update the code to use a Reminder Term if it is linked to a WV Procedure Type. Also updated the code to check for radiology procedure as Verified or Electronically Filed. 6. Change auto import from Radiology to only add a specific item to Reminder Cascade (Northport will need a modified routine, they are extending SMART to go beyond what I coded, they do not want this restriction) Jazz 1287309 Problem: -------- It was found that any radiology procedure that is imported into the Women's Health package was showing the Cascade view in the Reminder Dialog Resolution: ----------- Defined a parameter to list which Reminder Terms should update the Cascade this parameter is checked when importing a Radiology Procedure into the Women's Health package. 7. Change "Patient Communication on file" to "Patient Communication" Jazz 1287310 Problem: -------- After National Release sites did not like how the text Patient Communication on file appear in the progress note. Resolution: ----------- Change this text when showing the WV Procedure Text in a Reminder Dialog. What should appear in the note is Prior Patient Communication. 8. Update a note has been deleted email text Jazz 1287311 Problem: -------- Site are asking for more clarification in the email that is sent when a note is deleted with SMART data. Resolution: ----------- Added more descriptive text to the email. Also created a new parameter to let site defined a local mail group instead of automatically sending the email to the OR CAC mail group. 9. Update a note has been deleted for an outside result to mark the entire outside result as Enter in Error Jazz 1287312 Problem: -------- When deleting a note with outside SMART data was entered then the WV Procedure is still marked as closed. Resolution: Change the WV procedure data status to Entered in Error. 10. Restructure SMART dialog to support abnormal Radiology Result being reported as Normal radiology results. Jazz 1287331 Problem: -------- If was found that the BIRAD 2 result did not allow the user to document additional imaging outside of return to screening option. Resolution: ----------- Change the Reminder Dialog to support ordering additional test and selecting a follow-up date. This follow-up data will a new Follow-Up Date field in the WV Procedure File. This follow-up date will show in the Cascade button in the Reminder Dialog. 11. Add Breast Tomosynthesis as possible values, imports from Radiology, and update the Cascade Jazz 1287333 Problem: -------- Sites need a way to document Breast Tomosynthesis and to import these entries from the radiology package. Resolution: ----------- This patch release three Breast Tomosynthesis entries to support this functionality. 12. Support resulting Dense versus non-Dense Results Jazz 1287334 Problem: -------- Sites need a way to document a patient breast tissue as either Dense or Non-Dense. Resolution: ----------- This patch will install new WV Purpose of notification entries to mark the difference between Dense and non-dense breast tissue. 13. Jazz 1301983 Error ISIT+31^WVUTL11 *WVRECS(1) Problem: -------- When a reminder definition with the VA-WH PATIENT IS PREGNANT/LACTATING reminder computed finding is run against a patient whose most recent pregnancy status is pregnant, an M error is generated. The computed finding is configured with a date range from sixty days in the past to today. Resolution: ----------- The code in routine WVUTL11 was modified to no longer generate this error. 14. VISTAWV-118 Status Conflict Review Notification and Old Visits Problem: -------- Consider the scenario of an ICD or SNOMED code that is added to an encounter that occurred in the past and that code indicates a status that conflicts with the status stored in the Women's Health package on the date of that encounter. This conflict may no longer be relevant for today, yet, the software will generate a status conflict review notification. For example, a patient is documented as pregnant in February 2020 and then is documented as not pregnant in June 2020 (the pregnancy ended on May 23, 2020). On October 13, 2020, an ICD code indicating single live birth is added to an encounter dated May 23, 2020. The software generates a status conflict notification. Resolution: ----------- When a conflict with the status that was active on the date of the encounter is detected and there is a newer status, the software will now ignore the conflict and not generate a status conflict notification. 15. VISTAWV-121 VA-WH PATIENT IS PREGNANT/LACTATING Computed Finding Wrong Value Problem: -------- Consider a patient who has two pregnancies. The first pregnancy is documented, but how that pregnancy ended is not documented. The second pregnancy, along with how the first pregnancy ended, is then documented. When the VA-WH PATIENT IS PREGNANT/LACTATING clinical reminder computed finding runs for any date that falls in-between the two pregnancies, a value of pregnant is erroneously returned. This value is derived from the pregnancy timeline index. Resolution: ----------- The code that builds the pregnancy timeline index was modified to correctly build the index so that in this situation, the computed finding will return a value of not pregnant. 16. VISTAWV-123 Pregnancy/Lactation Medication Review Problem: -------- Per VHA Directive 1164, a medication review for a patient must include prescriptions that expired within the past 90 days. In the Pregnancy/Intentions/Contraception and Update Lactation Status reminder dialogs, when the patient is documented as pregnant or lactating, the order review that appears does not include prescriptions that expired within the past 90 days. Resolution: ----------- The code was modified to include medication orders that expired in the previous 90 days and to display the stop date for all orders so that providers know when an order expired. 17. VISTAWV-143 Women's Health Panel Data Display Problem: -------- In the Women's Health panel on the CPRS Cover Sheet, the message "No data available" is shown when the patient either has no status data on file or the status data is outdated. This is confusing to users. Resolution: ----------- The code was modified so that when the patient has no status data, the "No data available" message is shown next to the appliable status. When the patient has outdated status data, the phrase "Reminder Due (reminder_print_name)", where reminder_print_name is the print name of the associated reminder, is shown next to the outdated status. 18. VISTAWV-182 SHOVISIT+14^WVRPCPT1 *WVTEXT Problem: -------- When a user attempts to retract a note (or an addendum to a note) that is associated with System for Mammography Abnormal Results Tracking (SMART) data and is not associated with either pregnancy status or lactation status data, this error is generated on the VistA server. Resolution: ----------- The code was modified to no longer generate this error. Test Sites: ----------- Durham VA Medical Center (Durham, NC) Northport VA Medical Center (Northport, NY) Pittsburgh VA Medical Center (Pittsburgh, PA) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/CPRSV31B_FOLLOW_UP.KID Documentation describing the new functionality is not included in this release. Documentation Title File Name --------------------------------------------------------------------- N/A Patch Installation: ------------------- Please refer to the "CPRS v31b Follow-Up Build Deployment, Installation, Back Out and Rollback Guide" for installation and set-up information. This document is exported as OR_3_0_498_DIBR.DOCX and OR_3_0_498_DIBR.PDF. Back-Out/Roll Back Plan: ------------------------ Please refer to the "CPRS v31b Follow-Up Build, Deployment, Installation, Back Out and Rollback Guide. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;WOMEN'S HEALTH;**[Patch List]**;Sep 30, 1998;Build 624 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: WV1026P Before: n/a After: B23324867 **26** Routine Name: WVALERTR Before: B35725390 After: B40984224 **16,24,26** Routine Name: WVEXPTRA Before: B39195062 After: B47275855 **3,5,7,10,26** Routine Name: WVPKG Before: B1169784 After: B1398902 **24,26** Routine Name: WVRALINK Before: B62751101 After: B89480987 **3,5,7,9,10,16,18,23,25,24,26** Routine Name: WVRPCGF Before:B218797790 After:B205155906 **24,26** Routine Name: WVRPCGF1 Before:B103558207 After:B117914359 **24,26** Routine Name: WVRPCGF2 Before: n/a After: B10066909 **26** Routine Name: WVRPCOR Before:B101381311 After: B91830412 **24,26** Routine Name: WVRPCOR1 Before: B16871316 After: B16869001 **24,26** Routine Name: WVRPCOR2 Before: B34830160 After: B34827657 **24,26** Routine Name: WVRPCPR Before: B28723001 After: B29143724 **16,26** Routine Name: WVRPCPT Before:B138305032 After:B158633774 **16,24,26** Routine Name: WVRPCPT1 Before:B197496249 After:B172660673 **24,26** Routine Name: WVRPCPT2 Before: B9064926 After: B46072493 **24,26** Routine Name: WVRPCVPR Before: B12968072 After: B12966415 **24,26** Routine Name: WVTDALRT Before: B40521670 After: B40521827 **24,26** Routine Name: WVTIU Before: B54549882 After: B54549941 **24,26** Routine Name: WVUTL1 Before: B46894513 After: B46884913 **7,24,26** Routine Name: WVUTL11 Before:B200524371 After:B167515768 **24,26** Routine Name: WVUTL12 Before: n/a After: B10807548 **26** Routine Name: WVUTL4 Before: B11446375 After: B12633419 **26** Routine list of preceding patches: 24 ============================================================================= User Information: Entered By : Date Entered : JAN 28, 2020 Completed By: Date Completed: DEC 07, 2021 Released By : Date Released : DEC 07, 2021 ============================================================================= Packman Mail Message: ===================== No routines included