$TXT Created by CHUNG,TERESA at CPRS29.FO-SLC.MED.VA.GOV (KIDS) on Thursday, 08/09/12 at 13:43 ============================================================================= Run Date: JUN 10, 2013 Designation: GMTS*2.7*86 Package : GMTS - HEALTH SUMMARY Priority: Mandatory Version : 2.7 SEQ #98 Status: Released Compliance Date: NOV 04, 2013 ============================================================================= Associated patches: (v)GMTS*2.7*52 <<= must be installed BEFORE `GMTS*2.7*86' (v)GMTS*2.7*71 <<= must be installed BEFORE `GMTS*2.7*86' (v)GMPL*2*36 <<= must be installed BEFORE `GMTS*2.7*86' Subject: Problem List Data Standardization of Health Summary Category: - Routine - Enhancement (Mandatory) Description: ============ The Computerized Patient Record System (CPRS) Graphical User Interface (GUI) v29 is an enhancement release with modifications for the Drug Enforcement Agency (DEA) electronic prescribing (ePCS) of controlled substances, Problem List changes for the use of SNOMED CT codes, and the display of Mental Health Treatment Coordinator information entered through the Primary Care Management Module. In addition to these enhancements, software changes are being made to correct several Patient Safety Issues (PSIs), Section 508 issues, and additional miscellaneous defect fixes. CPRS GUI v29 consists of several host files, an updated CPRS GUI and several Help files, too many to list (which will be located in a single directory name HELP): HDI_1_11.KID which contains the HDI*1*11 patch PSS_1_166.KID which contains the PSS*1*166 patch CPRSV29_PSO_PSD.KID which contains the PSO*7*391 and PSD*3*73 patches OR_GMPL_GMTS_XU_29.KID which contains the XU*8*609, GMPL*2*36, GMTS*2.7*86 and OR*3*306 patches CPRSChart.exe OR_30_371.KID which contains the OR*3*371 patch PSO_7_426.KID which contains the PSO*7*426 patch The host files were created to simplify installation and control the phased implementation of CPRS v29 at the Veterans Health Administration (VHA) facilities. To see the current status and target dates for Sites/VISN/Regions please refer to the following site: http://vaww.oed.portal.va.gov/projects/CPRS/v29_main/Public/Forms/AllItems .aspx Click on the CPRS GUI v29 Deployment Schedule folder. Then open the document "CPRS GUI v29 Deployment Schedule.xslx". Patch Information: ================== HDI*1*11 supports CPRS v29 functionality by adding data for the Problem List Domain to the HDIS DOMAIN file (#7115.1). PSS*1*166, PSD*3*73 and PSO*7*391 support the DEA ePCS functionality. GMPL*2*36 is an extension to accommodate SNOMED-CT GMTS*2.7*86 supports the Problem List Standardization XU*8*609 ePCS Support OR*3*306 New CPRS version 29 which contains several Remedy ticket fixes and enhanced the Primary Care button by adding the Mental Health Treatment Coordinator and the Associate Provider. Adds a new Bulletin "OR PROBLEM NTRT BULLETIN" and reissues Mail Group OR CACS. By default, this bulletin will be delivered to the OR CACS Mail Group. It may be configured to be delivered to separate local mail groups for each Medical Center Division by setting the new OR PROBLEM NTRT BY DIVISION parameter. The bulletin informs its recipients that a new NTRT Request has been initiated by a Clinician at their facility. OR*3*371 includes support for CPRS v29 - ePCS and encounters. PSO*7*426 ePCS Support This patch (GMTS*2.7*86) contains changes to the PROBLEM LIST ALL (PLL), PROBLEM LIST ACTIVE (PLA), and PROBLEM LIST INACTIVE (PLI) components of the Health Summary (HS) Adhoc Report in support of the Problem List Data Standardization project. These changes will impact the HS application in both the List Manager and the CPRS GUI v29 and onwards. New problems that are added from the Problem List Dataset/Subset of the Lexicon look-up will now display both the SNOMED-CT (SCT) code and the mapped ICD-9-CM code(s) in all three of the components mentioned above. Problems that are mapped to multiple ICD-9-CM codes will display the primary ICD-9-CM code first followed by the secondary ICD-9-CM codes delimited with "/". Pre-existing legacy problems and problems entered from the Encounters form with only ICD-9-CM codes will continue to display the ICD-9-CM codes. The following is a sample HS Adhoc Report: ********************** CONFIDENTIAL AD HOC SUMMARY ********************* CPRS,PATIENT 666-12-3456 DOB: 01/16/1947 ------------------------- PLA - Active Problems ------------------------- 5 Active Problems PROBLEM LAST MOD PROVIDER Screening for Malignant Neoplasm of the Prostate 06/18/2007 PROV,CPRS (ICD-9-CM V76.44), Onset 06/18/2007 COMMENTS Amputated toe (SCT 299657000) (ICD-9-CM V49.72), 06/18/2007 PROV,CPRS Onset 06/18/2007 COMMENTS Single coronary vessel disease (SCT 194842008) 06/18/2007 PROV,CPRS (ICD-9-CM 414.00), Onset 06/18/2007 COMMENTS BENIGN ESSENTIAL HYPERTENSION (ICD-9-CM 401.1); 06/18/2007 PROV,CPRS Benign Hypertension, Onset 06/18/2007 COMMENTS Encopresis with constipation AND overflow 06/18/2007 PROV,CPRS incontinence (SCT 73149003) (ICD-9-CM 564.00/787.6/788.38) -------------------------- PLL - All Problems --------------------------- 6 Problems ST PROBLEM LAST MOD PROVIDER A Screening for Malignant Neoplasm of the Prostate 06/18/2007 PROV,CPRS (ICD-9-CM V76.44), Onset 06/18/2007 COMMENTS A Amputated toe (SCT 299657000) (ICD-9-CM V49.72), 06/18/2007 PROV,CPRS Onset 06/18/2007 COMMENTS A Single coronary vessel disease (SCT 194842008) 06/18/2007 PROV,CPRS (ICD-9-CM 414.00), Onset 06/18/2007 COMMENTS A BENIGN ESSENTIAL HYPERTENSION (ICD-9-CM 401.1); 06/18/2007 PROV,CPRS Benign Hypertension, Onset 06/18/2007 COMMENTS A Encopresis with constipation AND overflow 06/18/2007 PROV,CPRS incontinence (SCT 73149003) (ICD-9-CM 564.00/787.6/788.38) I Infection by Schistosoma (SCT 10087007) 06/05/2007 PROV,CPRS (ICD-9-CM 120.9), Resolved 06/05/2007 ------------------------ PLI - Inactive Problems ------------------------ 1 Inactive Problems PROBLEM LAST MOD PROVIDER Infection by Schistosoma (SCT 10087007) 06/05/2007 PROV,CPRS (ICD-9-CM 120.9), Resolved 06/05/2007 *** END ********** CONFIDENTIAL AD HOC SUMMARY pg. 1 ****************** Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File # 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 Additional Information: New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A Test Sites: ---------- Charleston, SC Cleveland, OH Heartland East HCS, MO Heartland West HCS, KS Hines, IL Loma Linda, CA Palo Alto HCS, CA San Diego HCS, CA Tampa, FL Documentation Retrieval Instructions ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.med.va.gov/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov Documentation can also be found on the VA Software Documentation Library at: http://www4.va.gov/vdl/ File Description File Name FTP Mode ---------------------------------------------------------------------- Health Summary User Manual HSUM2_7_86_UM.PDF Binary Health Summary Technical Manual HSUM2_7_86_TM.PDF Binary Patch Installation: Software Retrieval and Installation Instructions: ================================================= Please refer to the "CPRS GUI v.29 Installation Guide" for installation and set-up information. This document is exported as OR_30_306_IG.doc and OR_30_306_IG.pdf and is included in OR_30_306.ZIP Installation of these host files must be coordinated among the personnel affected because these host files will be installed in one installation session. Sites will retrieve VistA software from an FTP address as directed by the CPRS Implementation team. Installation instructions will be distributed when your site begins the implementation process. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.7;Health Summary;**[Patch List]**;Oct 20, 1995;Build 38 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: GMTSPLST Before: B36587508 After: B46234208 **28,35,52,86** Routine Name: GMTSPXU1 Before: B13346814 After: B13856268 **10,37,71,86** Routine list of preceding patches: 52, 71 ============================================================================= User Information: Entered By : CHUNG,TERESA L Date Entered : JUN 14, 2007 Completed By: GRAZIANI,ROBERT Date Completed: JUN 10, 2013 Released By : SCHWARTZ,VIKIE Date Released : JUN 10, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT