============================================================================= Run Date: AUG 01, 2016 Designation: LA*5.2*88 Package : LA - AUTOMATED LAB INSTRUMENTS Priority: Mandatory Version : 5.2 SEQ #66 Status: Released Compliance Date: SEP 30, 2016 ============================================================================= Associated patches: (v)LA*5.2*80 <<= must be installed BEFORE `LA*5.2*88' (v)LA*5.2*84 <<= must be installed BEFORE `LA*5.2*88' (v)LA*5.2*85 <<= must be installed BEFORE `LA*5.2*88' Subject: AUTOVERIFY Category: - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ The build for this patch is distributed as part of a multi-package build that contains LR*5.2*458 and LA*5.2*88. Initially developed at the Kansas City VAMC, it contains functionality to enable Auto Verification and Auto Release of normal lab results. This new process involves automatic review and release of test results based on a lab-established set of boundaries, also referred as rules, rule sets, and algorithms. Lab results that are in a "normal" range, as pre-determined by the laboratory, will transmit directly from the middleware to VistA lab files and on to Computerized Patient Record System (CPRS) without the intermediate step of requiring a lab technologist to manually review and sign off on these normal lab results. This process will eliminate the need for a qualified technologist to manually approve all "normal" results before those results are filed in VistA Lab files and available for clinicians to view in CPRS. Each VAMC site will determine which instruments will use this functionality as it can be set up on an instrument by instrument basis. Essentially VistA Lab instruments are set up as either being available for auto verification or not available for auto verification. If an instrument is set up for auto verification, then a lab result passing the rule set will be filed by the middleware in VistA lab files and available in CPRS and a lab result that cannot pass the rule set will be held in the middleware system for review by a lab technologist. In support of this auto verification and auto release functionality, this patch will add two new application proxy users. 'LRLAB,AUTO RELEASE' is used to indicate that the results in VistA Lab were released by an automated Lab process without human interventions. 'LRLAB,AUTO VERIFY' is used to indicate that the results were "approved" by an automated process using a rules based system. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- AUTO INSTRUMENT (#62.4) AUTO RELEASE (#99) New LA7 MESSAGE LOG BULLETINS (#62.485) The following are new entries in the file LA7 MESSAGE LOG BULLETINS (#62.485): CODE: 301 TEXT: Msg #|1|, User |2| [DUZ: |3|] does not own the LRVERIFY security key. Auto Release not allowed for accession UID |4|. SEND ALERT: YES CODE: 302 TEXT: Msg #|1|, User |2| [DUZ: |3|] is not an active user on the system. Auto Release not allowed for accession UID |4|. SEND ALERT: YES CODE: 303 TEXT: Msg #|1|, No verifying user or application proxy found. Auto Release not allowed for accession UID |2|. SEND ALERT: YES CODE: 304 TEXT: Msg #|1|, User |2| [DUZ: |3|] is not a valid user to verify results. Auto Release not allowed for accession UID |4|. SEND ALERT: YES CODE: 305 TEXT: Msg #|1|, User |2| [DUZ: |3|] is not allowed to verify. Only auto verification enabled for this instrument. Auto Release not allowed for accession UID |4|. SEND ALERT: YES CODE: 306 TEXT: Msg #|1|, User |2| [DUZ: |3|] is not allowed to verify. Only tech verification enabled for this instrument. Auto Release not allowed for accession UID |4|. SEND ALERT: YES CODE: 307 TEXT: Msg #|1|, Auto Release not allowed for accession UID |2|. Results have previously been released. SEND ALERT: YES Parameter Definitions Associated: Parameter Definition Name New/Modified/Deleted ------------------------- -------------------- LA UI AUTO RELEASE MASTER New LA UI PROVIDER CONTACT INFO New New Service Requests (NSRs): ============================== NSR# 20131009: Employ laboratory autoverification in the Veterans Health Administration. Blood Bank Review: ================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*88 does not contain any changes to the VISTA BLOOD BANK Software as defined by ProPath standard titled: BBM Team Review of VistA Patches. EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*88 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LA*5.2*88 have no effect on Blood Bank software functionality, therefore RISK is none. VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes made, no specific validation requirements exist as a result of installation of this patch. Test Sites: =========== Kansas City VAMC (Alpha) Tucson (Beta) Tampa (Beta) Iowa City (Beta) Fresno (Beta) Software and Documentation Retrieval Information ============================== VistA Laboratory patch LR*5.2*458 software is distributed by Host File, along with LA*5.2*88. Software is available on the SOFTWARE.DIR directory at one of the following Office of Information (OI) Field Offices. The preferred method is to retrieve the file using Secure File Transfer Protocol (SFTP) from download.vista.domain.ext, which transmits files from the first available SFTP server. Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext File Name Contents Retrieval Format ------------------ -------------------- ---------------- LAB_AUTORELEASE_1_0.KID Host File containing ASCII KIDS software distribution LAB_AUTORELEASE_1_0_DOCS.ZIP, which contains both .pdf and .doc formatted file of the following documents: Lab AutoRelease 1.0 User Guide Lab AutoRelease 1.0 Technical Manual Lab AutoRelease 1.0 Installation, Back Out, Rollback Guide Lab UI HL V1.6 Upgrade Interface Specifications Document The VistA Documentation Library (VDL ) web site will also contain the above referenced documents. This website is usually updated within 1-3 days of the patch release date. The VDL web address for Laboratory Universal Interface user documentation is: http://www.domain.ext/vdl/application.asp?appid=120 Installation Instructions ========================= This patch, LA*5.2*88, is part of a combined build for Laboratory Autoverification Enhancement patch. This patch may be loaded with users on the system. You may want to install it during non-peak hours. Installation will take less than 10 minutes. Please refer to the Lab AutoRelease 1.0 Installation, Back Out, Rollback Guide for comprehensive installation instructions and post installation configuration. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.2;AUTOMATED LAB INSTRUMENTS;**[Patch List]**;Sep 27, 1994;Build 10 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LA7UCFG Before: B4239468 After:B137316017 **66,88** Routine Name: LA7UCFG1 Before: n/a After: B29526912 **88** Routine Name: LA7UIO1 Before: B66837499 After: B75417661 **66,74,88** Routine Name: LA7UTILB Before: B12063183 After: B23365722 **74,88** Routine Name: LA7VHL Before: B32679919 After: B38289473 **27,46,62,64,67,74,88** Routine Name: LA7VHLU8 Before: B10483894 After: B60447079 **74,88** Routine Name: LA7VHLU9 Before: B19044226 After: B33364706 **68,74,88** Routine Name: LA7VIN Before: B29668237 After: B31997123 **46,67,74,88** Routine Name: LA7VIN1 Before: B53484134 After: B65233143 **46,64,74,88** Routine Name: LA7VIN2 Before: B44814406 After: B46992282 **46,64,74,88** Routine Name: LA7VIN2A Before: B32994528 After: B34119950 **74,88** Routine Name: LA7VIN4 Before: B77376354 After: B81803911 **46,64,67,66,74,85,88** Routine Name: LA7VIN4A Before: B19473776 After: B23154184 **74,80,88** Routine Name: LA7VIN5 Before: B69080940 After: B85555425 **46,64,68,74,84,88** Routine Name: LA7VIN5A Before: B32697215 After: B34608326 **46,64,67,72,66,74,88** Routine Name: LA7VORC Before: B18625097 After: B22779822 **46,64,68,88** Routine Name: LA88 Before: n/a After: B37005513 **88** Routine Name: LA88A Before: n/a After:B100793409 **88** Routine list of preceding patches: 80, 84, 85 ============================================================================= User Information: Entered By : Date Entered : APR 29, 2015 Completed By: Date Completed: JUL 28, 2016 Released By : Date Released : AUG 01, 2016 ============================================================================= Packman Mail Message: ===================== No routines included