============================================================================= Run Date: JAN 28, 2015 Designation: IBD*3*66 Package : IBD - AUTOMATED INFO COLLECTION SYS Priority: Mandatory Version : 3 SEQ #58 Status: Released Compliance Date: FEB 27, 2015 ============================================================================= Associated patches: (v)IBD*3*63 <<= must be installed BEFORE `IBD*3*66' Subject: AICS Speed up Get Diagnoses for Clinic Category: - Routine Description: ============ Shortly after the release of several ICD-10 patches (LEX*2*80, ICD*18*57, IBD*3*63, etc.), several sites reported that the encounter form dialog in CPRS was taking an average of 1-2 mins to load. This was unacceptable and impacting patient care. It is important to note that certain encounter forms will take a little longer to load than others due to the varying data intensity levels of the forms. This is particularly true for the National Primary Care FY14-Q4 form, which consists of some 1331 diagnoses and over 120 procedures. The six sites who reported the issue include: Asheville, Beckley, Salem, Northern Indiana, Dallas, & Omaha. After some investigation, it was determined that half of these sites were still running on VMS servers and the other half a mixed OS environment (VMS back end with Linux front end). Some metric tests were performed and it was determined that running on a slower VMS system did contribute to some of the performance issues, but not entirely all. After further research, it was concluded that several API's that are called to retrieve encounter form information during the load could be optimized for improvement. One of the API's is DIAG^ORWPCE which is modified in the OR*3.0*398 patch. The associating API, CHKLST^IBDF18A2 is updated in this patch. These two patches comprise the short term solution and serve to provide an immediate remedy while a long term solution is being developed. This patch addresses the issue noted in Remedy Ticket: INC000001042172 Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) 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 (#) New/Modified/Deleted ------------- ---- ------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs): ----------------------------- Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- INC000001042172 Problem: -------- After the installation of Lex 80 and ICD 57 we have experienced a 30 to 45 second delay before the encounter box pops up. INC000001054218: Problem: -------- Users have been experiencing significant delays in accessing encounter forms in CPRS since installing patch PXRM*2*26. Takes anywhere from 30 seconds to 2 minutes for the form to open once clicking on it. INC000001050760: Problem: -------- CPRS encounter form dialog performance issues. Resolution: (applies to all 3 tickets) ----------- This patch will update this process to utilize a faster more streamlined API to return the status of each diagnosis in the diagnosis list for a clinic. Technical: (applies to all 3 tickets) ---------- The IBDF18A2 routine currently utilizes the STATCHK^IBDUTICD API which calls ICDDATA^ICDXCODE which returns a considerable amount of data in addition to the status, which is what is really needed. IBDF18A2 was updated to utilize the STATCHK^ICDEX API which returns the status and just two other fields. This significantly speeds up the response time for the user. Test Sites: ----------- VA Northern Indiana Health Care System, Fort Wayne, IN Beckley VA Medical Center, Beckley, WV Heartland West HCS, Kansas City, KS 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.domain.ext/. 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.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode --------------------------------------------------------------------- Software Retrieval Instructions: -------------------------------- This software is being released in a combined build with IBD*3*66. The file name will be: OR_398_IBD_66.KID The preferred method is to FTP the files from ftp://download.vista.domain.ext/. 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.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext Patch Installation: Pre/Post Installation Overview ------------------------------ There are no special considerations for pre-installation or post-installation. Pre-Installation Instructions: ------------------------------ N/A Installation Instructions ------------------------- The OR*3.0*398 and IBD*3.0*66 patches are bundled together in host file OR_398_IBD_66. Please refer to the installation instructions in patch OR*3.0*398 for complete details. Post-Installation Instructions: ------------------------------- N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;AUTOMATED INFO COLLECTION SYS;**[Patch List]**;APR 30, 2003;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBDF18A2 Before: B9535002 After: B10678203 **51,55,63,66** Routine list of preceding patches: 63 ============================================================================= User Information: Entered By : Date Entered : SEP 10, 2014 Completed By: Date Completed: JAN 20, 2015 Released By : Date Released : JAN 28, 2015 ============================================================================= Packman Mail Message: ===================== No routines included