$TXT Created by at DEVRAD.DOMAIN.EXT (KIDS) on Monday, 04/14/25 at 11:58 ============================================================================= Run Date: MAY 05, 2025 Designation: RA*5*223 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #205 Status: Released Compliance Date: JUN 05, 2025 ============================================================================= Associated patches: (v)RA*5*196 <<= must be installed BEFORE `RA*5*223' Subject: AUTO REFERRAL TO COMMUNITY CARE UPDATES Category: - Routine - Data Dictionary - Other Description: ============ The National Radiology Program Office (NRPO) has requested the radiology auto referral to community care option be updated to allow certain consult titles for select procedures. EHRM Impact Statement: ---------------------- - This patch can be installed at all sites, including EHRM converted sites. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- RADIOLOGY PROCEDURE MAP PROCEDURE (#.01) New TO CC CONSULT (#71.1235) COMMUNITY CARE CONSULT New TITLE (#2) CPT CODE (#3) New TYPE OF IMAGING (#4) New IMAGING LOCATIONS(#79.1) COMMUNITY CARE REQUEST Modified SERVICE (79.11;.01) RAD/NUC MED ORDERS(#75.1) COMMUNITY CARE CONSULT New ID (#202) COMMUNITY CARE REFERRAL New DATE (#203) 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 ----------- ---- -------------------- 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 --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: INC36233387 - LDCT Naming Conventions Mapped to CC Consult Names Problem: -------- The NRPO has requested special mapping for Low Dose Computed Tomography (LDCT) procedures that are referred to community care (CC) using the auto referral option, Refer Selected Requests to COMMUNITY CARE Provider [RA ORDERREF]. Currently all radiology orders referred using this option use generic CCC titles for the modality. These were originally released with radiology patch RA*5.0*163. Resolution: ------------ This patch will create a new file to map radiology procedures to specific consult titles. The mappings are provided by NRPO and cannot be changed. In order for the mappings to work, the site must have adhered to LDCT naming conventions set forth by NRPO and have created consult titles that also match the naming conventions provided in the patch. Procedures: 1) LDCT LCS 1,3 OR 6 MONTH FOLLOW UP (CT Detailed) CPT:71250 2) LDCT LUNG CANCER SCREENING (CT Detailed) CPT:71271 Consult Titles: 1) COMMUNITY CARE-IMAGING LDCT 1, 3, OR 6 MONTH FOLLOW UP-AUTO 2) COMMUNITY CARE-IMAGING LDCT LUNG CANCER SCREENING-AUTO Test Sites: ----------- Manchester VAMC (Manchester, NH) Minneapolis VA HCS (Minneapolis, MN) Test Sites - SNOW Change Order #: --------------------------------- Manchester - CHG0596061 Minneapolis - CHG0595130 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 File Name --------------------------------------------------------------------- Radiology/Nuclear Medicine Technical Manual RA_TM.PDF RA_TM.DOCX Patch Installation: ------------------- 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. The following option should be disabled at installation: - Radiology Community Care Consult Entry/Edit [RA COMCARE] 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 Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter RA*5.0*223. B. 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. When prompted for the following, enter "B" for Build. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build RA*5.0*223. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure this message? 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. C. 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. D. 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 NO ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option: Option Name Menu Text ----------- --------- RA COMCARE Radiology Community Care Consult Entry/Edit Press the Enter key when you are done selecting options. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. When prompted 'Delay Install (Minutes): (0 ): 0//', answer 0. POST-INSTALL INSTRUCTIONS: -------------------------- These steps should be completed if sites send Lung Cancer Screening patients out to the community for the procedure: 1. This step should be executed by the Clinical Application Coordinator (CAC). Create new consult services for the two LDCT Lung Cancer Screening procedures. They need to follow the naming convention below, but multi-divisional sites can append a site identifier (Such as the site number or abbreviation - COMMUNITY CARE-IMAGING LDCT LUNG CANCER SCREENING-AUTO 500AB). 1 COMMUNITY CARE-IMAGING LDCT 1, 3, OR 6 MONTH FOLLOW UP-AUTO 2 COMMUNITY CARE-IMAGING LDCT LUNG CANCER SCREENING-AUTO 2. This step should be performed by the Radiology Automated Data Processing Application Coordinator (ADPAC), authorizing official (AO), or designee. Use the following menu option to edit your CT imaging location(s) and add the new LDCT Community Care Consult Services. These will be in addition to the original generic title (COMMUNITY CARE-IMAGING CT-AUTO). From the Utility Files Maintenance Menu [RA MAINTENANCE] option, select the menu Radiology Community Care Consult Entry/Edit [RA COMCARE]. RA MAINTENANCE Utility Files Maintenance Menu Complication Type Entry/Edit Diagnostic Code Enter/Edit Examination Status Entry/Edit Film Type Entry/Edit Label/Header/Footer Formatter Major AMIS Code Entry/Edit Nuclear Medicine Setup Menu ... Order Entry Procedure Display Menu ... Procedure Edit Menu ... Radiology Community Care Consult Entry/Edit <-- Reports Distribution Edit Sharing Agreement/Contract Entry/Edit Standard Reports Entry/Edit Valid Imaging Stop Codes Edit Select Utility Files Maintenance Menu Option: radiology Community Care Consult Entry/Edit Select IMAGING LOCATIONS: CAT SCAN (CT SCAN-500) Select COMMUNITY CARE REQUEST SERVICE: COMMUNITY CARE-IMAGING CT-AUTO // COMMUNITY CARE-IMAGING L 1 COMMUNITY CARE-IMAGING LDCT 1, 3, OR 6 MONTH FOLLOW UP-AUTO 2 COMMUNITY CARE-IMAGING LDCT LUNG CANCER SCREENING-AUTO CHOOSE 1-2: 1 COMMUNITY CARE-IMAGING LDCT 1, 3, OR 6 MONTH FOLLOW UP-AUTO Select IMAGING LOCATIONS: CAT SCAN (CT SCAN-500) Select COMMUNITY CARE REQUEST SERVICE: COMMUNITY CARE-IMAGING LDCT 1, 3, OR 6 MO NTH FOLLOW UP-AUTO// COMMUNITY CARE-IMAGING LDCT 1, 3, OR 6 MONTH FOLLOW UP-AUTO ...OK? Yes// n (No) COMMUNITY CARE-IMAGING LDCT LUNG CANCER SCREENING-AUTO Back-Out/Roll Back Plan: ------------------------ Back-out will be done only with the concurrence and participation of development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between development team, VA site/region personnel and other appropriate VA personnel. A national help desk ticket should be logged before attempting any backout procedures. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routines onto the VistA System. If the new backup build option was used, after Xtracting the patch message use the KIDS Installation menu and enter RA*5.0*223b at the INSTALL NAME prompt. --- Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;Radiology/Nuclear Medicine;**[Patch List]**;Mar 16, 1998;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RAIPS223 Before: n/a After: B7558200 **223** Routine Name: RAORDR1 Before: B57885260 After: B92348189 **148,161,170,190,196,223** Routine Name: RAORDR2 Before: B35907391 After: B36871699 **148,161,170,190,223** Routine Name: RAORDU Before: B27975149 After: B28730420 **18,41,57,133,192,196,223** Routine list of preceding patches: 196 ============================================================================= User Information: Entered By : Date Entered : NOV 13, 2024 Completed By: Date Completed: MAY 05, 2025 Released By : Date Released : MAY 05, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT