$TXT Created by LOUCK,KEVIN C at DEVFEX.FO-ALBANY.MED.VA.GOV (KIDS) on Friday, 03/26/10 at 14:52 ============================================================================= Run Date: JUL 06, 2010 Designation: DVBA*2.7*150 Package : DVBA - AUTOMATED MED INFO EXCHANGE Priority: Mandatory Version : 2.7 SEQ #136 Status: Released Compliance Date: AUG 06, 2010 ============================================================================= Associated patches: (v)DVBA*2.7*26 <<= must be installed BEFORE `DVBA*2.7*150' (v)DVBA*2.7*135<<= must be installed BEFORE `DVBA*2.7*150' (v)DVBA*2.7*139<<= must be installed BEFORE `DVBA*2.7*150' Subject: CAPRI TEMPLATE & AMIE WORKSHEET UPDATES Category: - Enhancement (Mandatory) Description: ============ I. OVERVIEW This patch introduces changes and enhancements to AUTOMATED MED INFO EXCHANGE (AMIE) V 2.7 package in support of Compensation & Pension Record Interchange (CAPRI) templates and Compensation and Pension (C&P) examination worksheets. The following provides a high level overview of patch DVBA*2.7*150. 1. CAPRI - Template Content Changes a. Veterans Benefits Administration Veterans Affairs (VBA) Central Office has approved content changes for the following CAPRI exam template. * AUDIO 2. C&P - Examination Worksheet Content Changes a. Veterans Benefits Administration Veterans Affairs Central Office has approved content changes for the following C&P examination worksheets. * AUDIO * GENERAL MEDICAL 3. CAPRI - Template Defects a. Defects have been addressed within the following CAPRI templates: * ESOPHAGUS AND HIATAL HERNIA * AUDIO II. ASSOCIATED REMEDY TICKETS & NEW SERVICE REQUESTS The following section lists the Remedy tickets and/or New Service Requests associated with this patch. 1. Associated Remedy Ticket(s): ---------------------------------- HD0000000359580 - Updates to the AMIE Audio C&P Exam worksheet HD0000000384748 - Updates to the AMIE General Medical C&P Exam worksheet 2. Associated New Service Request(s): ---------------------------------- NONE III. FUNCTIONAL OVERVIEW The following section contains an overview of the changes and primary functionality that are being delivered in this patch. 1. CAPRI - Template Content Changes a. Veterans Benefits Administration Veterans Affairs Central Office has approved content changes for the following CAPRI exam template based on updates to their corresponding C&P examination worksheet. * AUDIO This patch implements the content changes for this template which is accessible through the Compensation & Pension Worksheet Module (CPWM) of the CAPRI GUI. 2. C&P - Examination Worksheet Content Changes a. AUDIO Worksheet Veterans Benefits Administration Veterans Affairs Central Office has approved content changes for the following Automated Medical Information Exchange (AMIE) C&P examination worksheet. * AUDIO This patch implements the content changes for the AMIE C&P examination worksheet which are accessible through the VISTA AMIE software package. The changes to the worksheet include: * Under Narrative, expanded information about performance intensity function (also referenced in C2). * Under B6, removed question about whether tinnitus is unilateral or bilateral. * Under B6, removed question about frequency and duration of tinnitus. * Under C1, changed "Measure" to "Measure and record." * Under C1, edited language under puretone threshold charts for clarity. * Under C2, added information about two procedures for examinations: i. when performance intensity function is needed and how it is described. ii. the possible need for pausing when conducting speech recognition tests. * Under E3, removed the statement about requiring a referral to another provider if tinnitus is associated with conditions other than hearing loss and replaced it with a description of the circumstances under which the Veterans Benefit Administration (VBA) regional office needs to determine whether further non-audiological examination is needed, based on their review of all evidence of record. The following Remedy ticket is associated with this worksheet update: * Remedy Ticket HD0000000359580 - Updates to the AMIE Audio C&P Exam worksheet Problem ------- Veterans Benefits Administration Veterans Affairs Central Office has approved content changes to the AMIE Audio C&P examination worksheet (#1305). Solution -------- Post-init routine DVBA150P will deactivate the current Audio C&P examination worksheet in the AMIE EXAM (#396.6) file and activate the updated Audio worksheet in the same file. The current Internal Entry Number (IEN) is 228. The new IEN will be 233. Created routine DVBCWAUB which will contain the new text for the AUDIO C&P examination worksheet. Created routine DVBCWAUA which will access the new text routine and print the blank Audio C&P examination worksheet. b. GENERAL MEDICAL Worksheet Veterans Benefits Administration Veterans Affairs Central Office has approved content changes for the following C&P examination worksheet. * GENERAL MEDICAL This patch implements the content changes for the C&P examination worksheet which are accessible through the AMIE software package. The General Medical AMIE Worksheet has been changed to update the DeLuca criteria for Joint range-of-motion examinations and to bring the worksheet into closer alignment with the computerized template. The changes to the worksheet include: * Under History: i. Removed occupational history for pension and individual unemployability claims. ii. Added questions about flareups of joints or muscles. iii. Added detailed questions about neoplasms and their treatment. * Under Physical Examination: i. Under Posture and gait, asked for name of condition requiring ambulatory aids. ii. Under Skin, removed item about second and third degree burns and referenced the Scars worksheet for further guidance. iii. Under Eyes, asked for corrected visual acuity and gross visual field assessment. iv. Under Ears, asked if hearing is grossly normal and added tinnitus questions. v. Under Nose, sinuses, mouth, throat, defined episodes of incapacitation for sinusitis. vi. Under Chest, deleted question about treatment. vii. Under Cardiovascular, asked about heart size and how determined. Deleted question about treatment. viii. Under Musculoskeletal, changed range of motion instructions to same as under the Joints worksheet. For disc disease, asked for total duration of incapacitating episodes. ix. Under Psychiatric, modified items to be described to conform to template. * Under Diagnostic and Clinical Tests: Moved discussion of X-rays for arthritis here from Musculoskeletal P.E. * Under Diagnosis: Added material concerning capacity to handle financial affairs. * General: Reorganized some material. The following Remedy ticket is associated with this worksheet update: * Remedy Ticket HD0000000384748 - Updates to the AMIE General Medical C&P Exam worksheet Problem ------- Veterans Benefits Administration Veterans Affairs Central Office has approved content changes to the AMIE General Medical C&P examination worksheet (#0505). Solution -------- Post-init routine DVBA150P will deactivate the current General Medical C&P examination worksheet in the AMIE EXAM (#396.6) file and activate the updated General Medical worksheet in the same file. The current Internal Entry Number (IEN) is 161. The new IEN will be 234. Created routines DVBCWGX4 and DVBCWGX5 which will contain the new text for the GENERAL MEDICAL C&P examination worksheet. Created routine DVBCWGX3 which will access the new text routines and print the blank General Medical C&P examination worksheet. 3. CAPRI Template Defects a. Defect - Merging ESOPHAGUS AND HIATAL HERNIA and RESPIRATORY DISEASES, MISCELLANEOUS Templates Problem ------- A defect was reported when merging the ESOPHAGUS AND HIATAL HERNIA and RESPIRATORY DISEASES, MISCELLANEOUS templates. When data is entered into the "Other significant physical findings?" memo box on the "Physical Exam" tab of the ESOPHAGUS AND HIATAL HERNIA template, the data is incorrectly being populated in the "Other significant physical findings:" memo box on the "Physical Exam" tab of the RESPIRATORY DISEASES, MISCELLANEOUS template. Solution -------- This defect has been resolved and the data being entered into the the "Other significant physical findings" memo box on the "Physical Exam" tab of either the merged ESOPHAGUS AND HIATAL HERNIA and RESPIRATORY DISEASES, MISCELLANEOUS templates will be unique to the exam being performed. b. Defect - AUDIO template report not listing "Yes" response to "Are there effects on usual daily activities" on Diagnosis tab Problem ------- On the AUDIO template, Diagnosis tab, a reply of "Yes" to the question "Are there effects on usual daily activities: " does not appear on the report unless specific effects are also selected. Solution -------- The report has been changed so that a "Yes" response to the question "Are there effects on usual daily activities:" without the selection of specific effects, appears on the report as: "ARE THERE EFFECTS ON USUAL DAILY ACTIVITIES? Yes, but none selected." IV. TECHNICAL COMPONENTS The following section describes the technical components being exported with this patch. 1. The following FILE(s) will be included. UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE# NAME DD CODE W/FILE DATA PTS RIDE ------------------------------------------------------------------ 396.18 CAPRI TEMPLATE DEFINITIONS NO YES YES OVER NO NO 2. The following CAPRI Template Definition update(s) will be added to the CAPRI TEMPLATE DEFINITIONS (#396.18) file: * AUDIO~150 * ESOPHAGUS AND HIATAL HERNIA~150 3. New entries with the updated versions of the following C&P examination worksheet(s) will be created and activated in the AMIE EXAM (#396.6) file. The existing entries for this worksheet will be inactivated. * AUDIO Post-init routine DVBA150P will create a new record in the AMIE EXAM (#396.6) file for the updated version of the AUDIO C&P examination worksheet, and inactivate the existing record. This is done for historical purposes. The STATUS field of the existing record will be set to "INACTIVE". The STATUS field the new record will be set to "ACTIVE". * GENERAL MEDICAL Post-init routine DVBA150P will create a new record in the AMIE EXAM (#396.6) file for the updated version of the GENERAL MEDICAL C&P examination worksheet, and inactivate the existing record. This is done for historical purposes. The STATUS field of the existing record will be set to "INACTIVE". The STATUS field of the new record will be set to "ACTIVE". V. SOFTWARE & DOCUMENTATION RETRIEVAL The following section provides information regarding the retrieval of the software and related user documentation. 1. VistA Patch DVBA*2.7*150 a. This patch is being distributed as a PackMan patch message through the National Patch Module (NPM). The KIDS build for this patch is DVBA*2.7*150. 2. User Documentation a. The user documentation for this patch may be retrieved directly using FTP. The preferred method is to FTP the files from: download.vista.med.va.gov This transmits the files from the first available FTP server. Sites may also elect to retrieve documentation directly from a specific server as follows: OI&T FIELD OFFICE FTP ADDRESS DIRECTORY ----------------- ----------- --------- Albany ftp.fo-albany.med.va.gov [anonymous.software] Hines ftp.fo-hines.med.va.gov [anonymous.software] Salt Lake City ftp.fo-slc.med.va.gov [anonymous.software] The following files will be available: File Name Format Description ------------------- ------ --------------------- DVBA_27_P150_RN.PDF Binary Release Notes DVBA_27_P150_AUDIO_WF.PDF Binary AUDIO Template Workflow b. Documentation may also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address. This web site is usually updated within 1-3 days of the patch release date. http://www4.va.gov/vdl/application.asp?appid=133 VI. INSTALLATION REQUIREMENTS/NOTES The following section provides pre-installation notes and requirements for installing the software. 1. Users On the System a. CAPRI GUI Users - This patch may be installed while users are running the CAPRI GUI. b. VistA Users - This patch may be installed with users on the system, but should be loaded during non-peak hours to minimize disruption to users and to reduce the possibility of errors when the routines and file entries are updated. c. VistA Options - There are no VistA options to disable while installing this patch. 2. Software Installation Time a. The estimated installation time is less than 5 minutes during off peak hours. 3. Required Builds a. The following is a list of REQUIRED builds for this KIDS software distribution. KIDS will not allow the installation of this patch without their prior installation. Required Build(s): ------------------ DVBA*2.7*26 DVBA*2.7*135 DVBA*2.7*139 VII. INSTALLATION INSTRUCTIONS The following section provides the steps for installing the software. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload the KIDS distribution included with this message. 2. From the 'Kernel Installation & Distribution System' menu, select the Installation menu. 3. From this menu, you may now elect to use the following options (when prompted for INSTALL NAME, enter DVBA*2.7*150). a. Backup a Transport Global - This option will create a backup message of any routines exported with the patch. It will NOT backup any changes such as DDs or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, 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. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 4. Use the Install Package(s) option and select package DVBA*2.7*150. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. 6. When prompted to 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. 7. NOTE: Pre/Post-init routine DVBA150P is a temporary routine used as part of the pre/post-install process and will be automatically deleted by KIDS after patch installation. However, in some cases Cache doesn't always delete the routine. You may delete it manually if you discover this at your site. VIII. TEST SITES The following sites participated in the testing of the DVBA*2.7*150 software. Test Sites ---------- * CENTRAL ALABAMA HCS MONTGOMERY, AL * EASTERN COLORADO HCS DENVER, CO * MANCHESTER, NH * MIAMI, FL * NORTH FLORIDA/SOUTH GEORGIA * UPSTATE NY HCS ALBANY, NY Routine Information: ==================== The second line of each of these routines now looks like: ;;2.7;AMIE;**[Patch List]**;Apr 10, 1995;Build 13 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DVBA150P Before: n/a After: B74065823 **150** Routine Name: DVBCWAUA Before: n/a After: B2508163 **150** Routine Name: DVBCWAUB Before: n/a After:B106596739 **150** Routine Name: DVBCWGX3 Before: n/a After: B2749750 **150** Routine Name: DVBCWGX4 Before: n/a After: B97816225 **150** Routine Name: DVBCWGX5 Before: n/a After: B60551417 **150** ============================================================================= User Information: Entered By : LOUCK,KEVIN Date Entered : OCT 21, 2009 Completed By: DELACRUZ,KRISTINA Date Completed: JUN 29, 2010 Released By : FRANCE,KATHI Date Released : JUL 06, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT