$TXT Created by DEV.VISTA.OCTO.DOMAIN.EXT (KIDS) on Wednesday, 04/09/25 at 12:59 ============================================================================= Run Date: JUL 09, 2025 Designation: CDSP*1*1 Package : CDSP - CLINICAL DECISION SUPPORT PL Priority: Mandatory Version : 1 SEQ #1 Status: Released Compliance Date: AUG 09, 2025 ============================================================================= Associated patches: (v)CDSP*1*0 <<= must be installed BEFORE `CDSP*1*1' Subject: ADDING ADDITIONAL RPCs WITH APPROVED ICRs Category: - Other Description: ============ DESCRIPTION OF ENHANCEMENTS: Clinical Decision Support Platform is the core system to power Clinical Decision Support (CDS) applications. This platform enables rapid development and deployment of applications that follow Substitutable Medical Applications and Reusable Technologies (SMART) family of standards such as SMART on FHIR (Fast Healthcare Interoperability Resources) and CDS Hooks. CDSP facilitates the launch of CDS applications from within the VA Electronic Health Record (EHR) - CPRS and Clinical Context Management (CCOW) vault patient context synchronization. The system encompasses technical infrastructure and shared capabilities to interact with electronic health record data, as well as specific applications providing clinical decision support such as Covid-19 Patient Manager (CPM), Lung Cancer Screening Platform (LCSPv2). This patch will distribute an updated Option CDSP RPC CONTEXT. The OPTION CDSP RPC CONTEXT contains additional RPCs, all of which have new approved Integration Agreements. These additional RPCs will enable new Applications to be launched from the Clinical Decision Support Platform as listed below. Lung Cancer Screening Pv2: TIU CREATE RECORD Text Integration Utility and PXRPC SAVE2 Patient Care Encounter. These RPCs will give the Lung Cancer Screening App the ability to create TIU Documents that document actions taken during a LCSPv2 encounter. Precision Oncology: ORWPT LIST ALL Order Entry Results Reporting. Get and filter list of patients. This RPC returns a set of patient names for use with a long list box for selection by the user. Clinical Decision Support Platform: VPR GET PATIENT DATA JSON Virtual Patient Record. This RPC will be added to supports APPs such as Lung Cancer Screening and Precision Oncology. The RPC is to be used as an alternative to VPR GET PATIENT DATA, which returns data in XML. There are frameworks identified where XML libraries often have vulnerabilities (expat and friends) and deserializing XML is more difficult than JSON. Clinical Decision Support Platform: LHS CHECK OPTION ACCESS Lighthouse. This RPC scours Primary Menu Options, Secondary Menu Options and Common Options to determine if the DUZ passed in has access to the option passed in. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- CDSP RPC CONTEXT Broker (Client/Server) Modified 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 --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: N/A Problem: -------- N/A Resolution: ----------- N/A Test Sites: ----------- Phoenix VA Health Care System (Phoenix, AZ) West Los Angeles Health Care System (Loa Angeles, CA) SNOW Change Order # Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. Documentation Title n/a File Name n/a --------------------------------------------------------------------- Deployment, Installation, Back-out/Rollback Guide(CDSP*1*1) CDSP_1_0_1_DIBRG.pdf; Patch Installation: ------------------- Pre/Post Installation Overview: This patch adds additional RPCs to the menu option CDSP RPC CONTEXT. Pre-Installation Instructions: This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. There are no menu options to disable during this installation. Installation Instructions: 1. Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build CDSP*1.0*1 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. B. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. 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 of the components of this patch, such as routines, DDs, templates, etc. C. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer . iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer . Post-Installation Instructions: There are no post-installation steps. Back-Out/Roll Back Plan: ------------------------ The Backout procedure of this patch should be performed only with the concurrence and participation of the appropriate VA site/region personnel. The decision to back out the patch will be a joint decision between VA site/region personnel and other appropriate VA personnel. For more information pertaining to the Backout Procedure, please refer to the "Deployment, Installation, Back-out/Rollback Guide" for this patch which is available on VA Document Library. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JUN 05, 2024 Completed By: Date Completed: APR 09, 2025 Released By : Date Released : JUL 09, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT