$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Friday, 10/17/14 at 13:42 ============================================================================= Run Date: FEB 23, 2015 Designation: LR*5.2*438 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #358 Status: Released Compliance Date: MAR 26, 2015 ============================================================================= Associated patches: (v)LR*5.2*221 <<= must be installed BEFORE `LR*5.2*438' (v)LR*5.2*350 <<= must be installed BEFORE `LR*5.2*438' (v)LR*5.2*432 <<= must be installed BEFORE `LR*5.2*438' Subject: MRSA ON DEATH; LRGEN; GROUP VERIFY Category: - Routine Description: ============ The patch addresses the below 3 issues: 1. Users report being unable to perform MRSA testing on deceased patients but they are allowed to proceed through the accessioning process without an early warning that the test has been cancelled. 2. General report for selected tests [LRGEN] option skips rows of results when the SITE/SPECIMEN prompt is answered with the default (ANY) and it frequently displays/prints unnecessary headers. 3. Under certain circumstances, the Group Verify (GA) option allows the verification of results marked as Not Performed. Blood Bank Review: ================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*438 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 LR*5.2*438 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*438 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. Associated Remedy Ticket(s): ============================ 1. INC000000500271 - MRSA testing on death 2. INC000000069164 - LRGEN missing results (D) - INC000000069285 (D) - INC000000069419 (D) - INC000000180798 (D) - INC000000069205 3. INC000000937699 - Group Verify ignoring NP Associated NSR(s): ================== N/A Participating Test Sites: ========================= Central Texas (Temple) Minneapolis VAMC West Los Angeles Remedy Overview: ================ 1. INC000000500271 - MRSA Testing on Death Problem: -------- When staff want to accession or enter results for MRSA tests on a patient that is either deceased or discharged, they should be added as an Exempt Orderable Item for the Death and/or Discharge event in the Delayed Orders/Auto-DC Set-up function. Instead, some staff are using Accessioning tests ordered by ward order entry [LROE] and are allowed to progress through the accessioning session without an early warning that an order has been canceled. Resolution: ----------- Routine LROE has been modified to provide clear, early feedback to the user that a test has been cancelled and will not be accessioned. Example: 'All tests for this order have been canceled.' Routine: LROE 2. INC000000069164 - LRGEN Missing Results Problem: -------- The defect occurs when using the General report for selected tests [LRGEN] option and when there are more than six (6) analytes on the selected tests. When the SITE/SPECIMEN prompt is answered with the default (ANY), the application only displays the first set of headings and results - that is: it only properly displays the first six results and skips the remaining results. This typically occurs on the results for the last date of service. Though no results are displayed, unnecessary headers are displayed or printed. Resolution: ----------- Multiple modifications and the addition of a function to routine LRGEN1, correct the missing results and unnecessary header issues. Routine: LRGEN1 3. INC000000937699 - Group Verify Ignoring NP Problem: -------- When the Group verify (GA) [LRGV] is used to verify results for a Work Load Area that contains accessions that have tests that have been marked as Not Performed on a prior date, the option can erroneously verify results that may have been entered for the accession. Resolution: ----------- A modification to routine LRGV2 prevents the verification of any results that may be associated with Not Performed test(s). Routine: LRGV2 =================== Installation Instructions =================== The install time for this patch is less than 2 minutes. This patch can be installed when Laboratory users are on the system. NOTE: Kernel patches must be current on the target system to avoid problems loading and/or installing this patch. 1. Use the 'INSTALL/CHECK MESSAGE' option of the PackMan menu. This option will load the KIDS patch onto your system. 2. The patch has now been loaded into a Transport global on your system. You now need to use KIDS to install the transport global. 3. On the 'Kernel Installation & Distribution System' Menu (KIDS), select the 'Installation' menu. 4. Use the 'Verify Checksum in Transport Global' option and verify that all routines have the correct checksums. 5. On the KIDS menu, under the 'Installation' menu, use the following options: Print Transport Global Compare Transport Global to Current System Backup a Transport Global If you wish to preserve a copy of the routines exported in this patch prior to installation, you should use the 'Backup a Transport Global' option at this time. You may also compare the routines in your production account to the routines in the patch by using the 'Compare a Transport Global to Current System' option. 6. Use the 'Install Package(s)' option under the 'Installation' menu and select the package 'LR*5.2*438'. If prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//, choose 'NO'. If prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', choose 'NO'. 7. The Post Install Routine will run and automatically delete after install. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 18 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LRGEN1 Before: B16882594 After: B24124923 **201,221,438** Routine Name: LRGV2 Before: B9894517 After: B10100135 **121,153,269,350,438** Routine Name: LROE Before: B36200686 After: B35554046 **100,121,201,221,263,286,360, 423,432,438** Routine list of preceding patches: 350, 432 ============================================================================= User Information: Entered By : Date Entered : JAN 08, 2014 Completed By: Date Completed: FEB 11, 2015 Released By : Date Released : FEB 23, 2015 ============================================================================= Packman Mail Message: ===================== $END TXT