$TXT Created by PANNELL,BRIAN at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 06/16/10 at 07:35 ============================================================================= Run Date: NOV 09, 2010 Designation: ECX*3*129 Package : ECX - DSS EXTRACTS Priority: Mandatory Version : 3 SEQ #114 Status: Released Compliance Date: DEC 10, 2010 ============================================================================= Associated patches: (v)ECX*3*115 <<= must be installed BEFORE `ECX*3*129' Subject: FY11 UPDATES TO DSS LOINC CODE FILE (#727.29) Category: - Other Description: ============ *************************************************************** *********************NOTE:************************************* THIS PATCH NEEDS TO BE IMPLEMENTED AFTER THE SEPTEMBER Lab Results (LAR) EXTRACT IS RUN AND BEFORE THE OCTOBER LAR EXTRACT IS RUN. *************************************************************** This patch will update the DSS Logical Observation Identifiers Names and Codes (LOINC) (#727.29) FILE by adding 120 new codes, change 5 existing codes, and change the name of 6 DSS Test names. ASSOCIATED REMEDY TICKET(s): ============================ HD0000000401453 FY11 updates to DSS LOINC Code file (#727.29) PARTICIPATING TEST SITES: ========================= MONTANA HCS PORTLAND VAMC BILOXI, MS REMEDY OVERVIEW: ================ 1) HD0000000401453 FY11 updates to DSS LOINC Code file (#727.29) Problem: -------- The Decision Support Office (DSO) has requested an update to the DSS LOINC FILE (#727.29) file. They need to add, change, and update entries. Resolution: ----------- The table will be updated as requested. Resolution Detail: (1) The entries that will be changed in the DSS LOINC FILE (#727.29) file: LOINC CODE 14092-1 will now be LAR Test #40 with DSS Test Name "HIV Confirmatory Test", Reporting Units of "NEG-POS", and LOINC NAME of HIV1 Ab Ser Ql IF LOINC CODE 44873-8 will now be LAR Test #40 with DSS Test Name "HIV Confirmatory Test", Reporting Units of "NEG-POS", and LOINC NAME of HIV1 +2 Ab Ser Ql IB LOINC CODE 5221-7 will now be LAR Test #40 with DSS Test Name "HIV Confirmatory Test", Reporting Units of "NEG-POS", and LOINC NAME of HIV1 Ab Ser Ql IB LOINC CODE 5225-8 will now be LAR Test #40 with DSS Test Name "HIV Confirmatory Test", Reporting Units of "NEG-POS", and LOINC NAME of HIV2 Ab Ser Ql IB LOINC CODE 5199-5 will now be LAR Test #89 with DSS Test Name "Hepatitis C Recombinant Immunoblot Assay (RIBA)", Reporting Units of "NEG-POS/NON-REAC-REAC", and LOINC NAME of HCV Ab Ser Ql IB (2) The new entries that will be added to the DSS LOINC FILE (#727.29) file: For LAR Test #33 with DSS Test Name "Hepatitis B Surface Antibody" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 48070-7 HBV surface IgG Ser Ql EIA 49177-9 HBV surface IgG Ser Ql For LAR Test #34 with DSS Test Name "Hepatitis C Antibody" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 16129-9 HCV IgG Ser Ql 22327-1 HCV Ab Ser-aCnc 5198-7 HCV Ab Ser EIA-aCnc 16936-7 HCV IgG Ser-aCnc 40726-2 HCV IgG Ser Ql EIA 47365-2 HCV Ab Ser Donr Ql EIA 47441-1 HCV Ab Ser Donr Ql For LAR Test #35 with DSS Test Name "HIV Screening Antibody" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 16975-5 HIV1 IgG Ser Ql 21007-0 HIV1 Ab Ser Donr Ql 29327-4 HIV1 Ab Fld Ql 33807-9 HIV2 IgG Ser Ql 33866-5 HIV1 Ab BldC Ql EIA 34591-8 HIV1 Ab Fld Ql EIA 35437-3 HIV1 Ab Saliva Ql EIA 40733-8 HIV1 +2 IgG Ql EIA 41144-7 HIV1 Ab Saliva Ql 41145-4 HIV1 Ab BldC Ql 43010-8 HIV1 +2 Ab XXX Ql 42600-7 HIV1 +2 Ab XXX Ql EIA 43009-0 HIV1 +2 IgG Ser Ql 44533-8 HIV1 +2 Ab Ser Donr Ql 44607-0 HIV1 Ser EIA-Imp 49580-4 HIV1 +2 Ab XXX Ql Rapid 49905-3 HIV1 Ab XXX Ql Rapid 53379-4 HIV1 Ab XXX Ql 54086-4 HIV1 +2 IgG Bld.Dot Ql For LAR Test #37 with DSS Test Name "HCV Quantitative by PCR" and Reporting Units of "IU/ML": LOINC Code LOINC NAME ---------- ---------- 10676-5 HCV RNA SerPl Amp PRB-aCnc 20416-4 HCV RNA # SerPl PCR 20571-6 HCV RNA # SerPl bDNA 49758-6 HCV RNA SerPl PCR DL=5-aCnc 50023-1 HCV RNA Pnl SerPl PCR For LAR Test #38 with DSS Test Name "HIV Viral Load" and Reporting Units of "COPIES/ML": LOINC Code LOINC NAME ---------- ---------- 10351-5 HIV1 RNA SerPl Amp Prb-aCnc 24013-5 HIV1 RNA Ser-Imp 25836-8 HIV1 RNA # XXX PCR For LAR Test #39 with DSS Test Name "HCV Qualitative by PCR" and Reporting Units of "NEG-POS": LOINC Code LOINC NAME ---------- ---------- 5010-4 HCV RNA Bld Ql PCR For LAR Test #40 with DSS Test Name "HIV Confirmatory Test" and Reporting Units of "NEG-POS": LOINC Code LOINC NAME ---------- ---------- 13499-9 HIV1 Ab Patrn Ser IB-Imp 31073-0 HIV2 Ab Patrn Ser IB-Imp 32571-2 HIV1 Ab Ur Ql IB 33806-1 HIV2 IgG Ser Ql IB 34592-6 HIV1 Ab Fld Ql IB 35439-9 HIV1 Ab Saliva Ql IB 40732-0 HIV1 IgG Ser Ql IB 43185-8 HIV 1 & 2 Ab Patrn Ser IB-Imp For LAR Test #41 with DSS Test Name "Hepatitis A AB" and Reporting Units of "NEG-POS": LOINC Code LOINC NAME ---------- ---------- 22312-3 Hep A Ab Ser-aCnc 5183-9 Hep A Ab Ser EIA-aCnc 5184-7 Hep A Ab Ser RIA-aCnc 53776-1 HAV IgM+total Ser-Imp For LAR Test #42 with DSS Test Name "Hepatitis A IgM AB" and Reporting Units of "NEG-POS": LOINC Code LOINC NAME ---------- ---------- 5181-3 Hep A IgM Ser EIA-aCnc For LAR Test #46 with DSS Test Name "Hepatitis B Core AB" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 32685-0 HBV core IgG Ser Ql 22316-4 HBV core Ab Ser-aCnc 5187-0 HBV core Ab Ser EIA-aCnc 47440-3 HBV core Ab Ser Donr Ql 40725-4 HBV core IgG Ser Ql EIA 51914-0 HBV core IgG+IgM Ser Ql 13919-6 HBV core IgG Ser EIA-aCnc 21005-4 HBV core Ab Ser Donr EIA-aCnc 22317-2 HBV core Ab Ser Donr-aCnc 22318-0 HBV core IgG Ser-aCnc 5188-8 HBV core Ab Ser RIA-aCnc For LAR Test #55 with DSS Test Name "Occult Blood, Fecal" and Reporting Units of "NEG-POS": LOINC Code LOINC NAME ---------- ---------- 29771-3 Occult Bld Stl Ql IMM 57905-2 Occult Bld sp1 Stl Ql IMM 56490-6 Occult Bld sp2 Stl Ql IMM 56491-4 Occult Bld sp3 Stl Ql IMM For the new LAR Test #77 with DSS Test Name "Platelet Count" and Reporting Units of "COUNT/VOLUME OR K/MM3": LOINC Code LOINC NAME ---------- ---------- 26515-7 Platelet # Bld 777-3 Platelet # Bld Auto 5907-1 Deprecated Platelet # Bld Auto For the new LAR Test #78 with DSS Test Name "Ferritin" and Reporting Units of "NL/ML OR UG/L OR MOL/L OR NMOL/ML": LOINC Code LOINC NAME ---------- ---------- 14723-1 Ferritin Ser-sCnc 2276-4 Ferritin Ser-mCnc 24373-3 Ferritin Bld-mCnc 20567-4 Ferritin Ser EIA-mCnc For the new LAR Test #79 with DSS Test Name "Vancomycin, Trough" and Reporting Units of "MCG/ML": LOINC Code LOINC NAME ---------- ---------- 4092-3 Vancomycin Tr SerPl-mCnc For the new LAR Test #80 with DSS Test Name "Hepatitis B Surface Antibody" and Reporting Units of "MIU/ML": LOINC Code LOINC NAME ---------- ---------- 16935-9 HBV surface Ab Ser-aCnc 21006-2 HBV surface Ab Ser Donr EIA-aCnc 22323-0 HBV surface Ab Ser Donr-aCnc 32019-2 HBV surface Ab Titr Ser 5193-8 HBV surface Ab Ser EIA-aCnc 5194-6 HBV surface Ab Ser RIA-aCnc For the new LAR Test #81 with DSS Test Name "Hepatitis B Surface Antigen" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 47364-5 HBV surface Ag Ser Donr Ql EIA 50967-9 HBV surface Ag Bld Donr Ql Nt 5195-3 HBV surface Ag Ser Ql 5196-1 HBV surface Ag Ser Ql EIA 5197-9 HBV surface Ag Ser Ql RIA 7905-3 HBV surface Ag Ser Ql Nt For the new LAR Test #82 with DSS Test Name "Hepatitis B core antibody IgM" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 24113-3 HBV core IgM Ser Ql EIA 31204-1 HBV core IgM Ser Ql For the new LAR Test #83 with DSS Test Name "Hepatitis B core antibody IgM - QT" and Reporting Units of "MIU/ML": LOINC Code LOINC NAME ---------- ---------- 22319-8 HBV core IgM Ser-aCnc 5185-4 HBV core IgM Ser EIA-aCnc 5186-2 HBV core IgM Ser RIA-aCnc For the new LAR Test #84 with DSS Test Name "Hepatitis B e antibody" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 13953-5 HBV e Ab Ser Ql EIA 22320-6 HBV e Ab Ser Ql 33463-1 HBV e IgG Ser Ql EIA 41151-2 HBV e IgG Ser Ql For the new LAR Test #85 with DSS Test Name "Hepatitis B e antibody - QT" and Reporting Units of "MIU/ML": LOINC Code LOINC NAME ---------- ---------- 22321-4 HBV e Ab Ser-aCnc 5189-6 HBV e Ab Ser EIA-aCnc 5190-4 HBV e Ab Ser RIA-aCnc For the new LAR Test #86 with DSS Test Name "Hepatitis B virus DNA" and Reporting Units of "COPIES/ML": LOINC Code LOINC NAME ---------- ---------- 11258-1 HBV DNA Ser-aCnc 20442-0 HBV DNA # Ser bDNA 23869-1 HBV DNA Ser Prb-mCnc 29615-2 HBV DNA # SerPL PCR 29900-8 HBV DNA Ser bDNA-mCnc 32686-8 HBV DNA Ser-mCnc 42595-9 HBV DNA SerPl PCR-aCnc 47216-7 HBV DNA # SerPl PCR DL=200 48650-6 HBV DNA # SerPl PCR DL=500 For the new LAR Test #87 with DSS Test Name "Hepatitis B virus DNA - QUAL" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 5007-0 HBV DNA Bld Ql PCR 13126-8 HBV DNA Bld Ql IB 16934-2 HBV DNAp Bld Ql PCR 29610-3 HBV DNA SerPl Ql PCR For the new LAR Test #88 with DSS Test Name "Hepatitis C genotype" and Reporting Units of "TEXT": LOINC Code LOINC NAME ---------- ---------- 32286-7 HCV Gentyp SerPl PCR 48574-8 HCV Gentyp Bld PCR For the new LAR Test #89 with DSS Test Name "Hepatitis C Recombinant Immunoblot Assay (RIBA)" and Reporting Units of "NEG-POS/NON-REAC-REAC": LOINC Code LOINC NAME ---------- ---------- 24011-9 HCV Ab Patrn Ser IB-Imp 33462-3 HCV IgG Ser Ql IB 34162-8 HCV IgG Patrn Ser IB-Imp (3) The LOINC Codes that need changes to the entry's DSS Test Name: LOINC LAR Old DSS New DSS Code TEST # Test Name Test Name ----- ------ --------- --------- 30361-0 35 HIV Antibody HIV Screening Antibody 31201-7 35 HIV Antibody HIV Screening Antibody 7917-8 35 HIV Antibody HIV Screening Antibody 7918-6 35 HIV Antibody HIV Screening Antibody 7919-4 35 HIV Antibody HIV Screening Antibody 29893-5 40 HIV 1 by EIA HIV Confirmatory Test ================INSTALLATION INSTRUCTIONS ================= **DO NOT INSTALL UNTIL ALL PRE-INSTALL INSTRUCTIONS HAVE BEEN COMPLETED** PRE-INSTALL ----------- Contact the site DSS POC and review the following steps with them: 1. Has the September LAR EXTRACT been run to completion? If NO, get a time frame for when it will be completed, audited, and reviewed for issues? 2. Has the audit report - Laboratory Results (LAR) Extract Audit [ECX LAR SOURCE AUDIT] - been completed and reviewed against the extract with no issues found? If NO, please have them complete it and review it against the extract for issues. 3. Has the Lab Results DSS LOINC Code Report [ECX LAR LOINC RPT] been run and reviewed for inconsistencies or errors? 4. Does the DSS POC approve that the site has fully completed the September LAR EXTRACT and has not started anything with the October LAR EXTRACT? If YES, proceed with installation of the patch into the site. INSTALL ------- It is not necessary to disable any options. You may install this patch at any time without interruption to users. It should take less than 2 minutes to install this patch. 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter ECX*3.0*129) 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 view the components of the KIDS build. 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 (routines, DD's, templates, etc.). d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. 4. Use the Install Package(s) option and select the package ECX*3.0*129. 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. 6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" respond NO. 7. You may delete the routine ECX3129P from your production system after the patch has been successfully tested. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;DSS EXTRACTS;**[Patch List]**;Dec 22,1997;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ECX3129P Before: n/a After:B136989982 **129** ============================================================================= User Information: Entered By : PANNELL,BRIAN Date Entered : MAY 13, 2010 Completed By: LANG,MICKEY Date Completed: NOV 02, 2010 Released By : STRICKLAND,JOAN C Date Released : NOV 09, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT