============================================================================= Run Date: OCT 05, 2016 Designation: LR*5.2*451 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #372 Status: Released Compliance Date: NOV 05, 2016 ============================================================================= Associated patches: (v)LR*5.2*334 <<= must be installed BEFORE `LR*5.2*451' Subject: NLT/LOINC V2.52 UPDATE Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ Laboratory Logical Observation Identifiers Names and Codes (LOINC) are intended to incorporate efficiencies in the Department of Veterans Affairs (VA) VistA Laboratory system in relationship to regular updates to the LOINC in use. The LAB LOINC file (#95.3) currently contains LOINC version 2.14 which was released in 2007. Goal of this patch is the update of 95.3 LAB LOINC and Related Files to the current 2.52 version. Files updated in this patch: 95.3 LAB LOINC 95.31 LAB LOINC COMPONENT 64 WKLD CODE 64.061 LAB ELECTRONIC CODES 64.2 WKLD SUFFIX CODES 64.21 WKLD CODE LAB SECT BLOOD BANK CLEARANCE ==================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*451 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*451 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*451 have no effect on Blood Bank software functionality, therefore RISK is none. VALIDATION REQUIREMENT BY OPTION: Because of the nature of the changes made, no specific validation requirements exist as a result of installation of this patch. Enhancement: There is no file content update affecting Blood bank. LOINC Copyright acknowledgement: ================================ 1995-2015, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. All rights reserved. LOINC is a trademark of the Regenstrief Institute. Contact information: LOINC c/o Regenstrief Center for Biomedical Informatics The Regenstrief Institute, Inc 410 West 10th Street, Suite 2000 Indianapolis, IN 46202-3012 DATA DICTIONARY MODIFICATIONS ============================= Modification of 95.3 LAB LOINC file: ===================================== Field #95.3,20 was modified as follows: Two new members of the SET were added: Code 2 = TRIAL Code 3 = DISCOURAGED 95.3,20 STATUS 4;1 SET '1' FOR DEL; '2' FOR TRIAL; '3' FOR DISCOURAGED; New LAB LOINC file (#95.3) Data Elements This section describes the new data elements being added to the LAB LOINC file (#95.3). The following are the data elements have been added: 95.3,82 VA COMMON DISPLAY NAME 82;E1,100 FREE TEXT Field #95.3,83 95.3,83 LONG COMMON NAME 83;E1,245 FREE TEXT Field #95.3,84 95.3,84 EXTERNAL COPYRIGHT NOTICE 84;0 WORD-PROCESSING #95.384 (IGNORE "|") Field #95.3,85 95.3,85 EXAMPLE UCUM UNITS 85;E1,245 FREE TEXT Field #95.3,86 95.3,86 REPEAT OBSERVATION 86;E1,245 FREE TEXT There is the special treatment to transfer WKLD file 64. This file cannot be shipped like the other files which delete all data in each file and then copy all data that is shipped. This routine copies the entire file #64 to the TRANSPORT sub-file (field #17) of the LAB NLT/CPT CODES file (#64.81). The post install routine of patch LR451 uses file #64.81 to update file #64 on site. SFTP SOFTWARE RETRIEVAL: ======================= KIDS Distribution Host File: LR_52_451.KID (ASCII) The host file is 55 MB in size and could take up to 3 to 5 minutes to SFTP. The preferred method is to SFTP the files from download.vista.domain.ext, which will transmit the files from the first available SFTP server. The files may also be downloaded directly from a particular SFTP location at the following locations: Hines domain.ext Albany domain.ext Salt Lake domain.ext Files are available in the ANONYMOUS.SOFTWARE directory. KIDS Installation: ================== Size/Disk Space Requirements ============================ The changes to the LAB globals will result in a combined growth of about 50 MB of data. Make sure there is sufficient space for the growth to the VistA globals. Before Installation: ==================== If this is the reinstallation, please call support center for assistance, if this is regular (first) installation, please process with next step. **IMPORTANT**: Back up the Laboratory global data files; this is necessary if the data must be restored. Back up data files using your site's policy for backing up data. If the steps are unknown, here is a way it can be done: 1. Go to a command prompt. 2. At the prompt, enter D GOGEN^%ZSPECIAL. 3. At the device prompt, enter the name of the local directory where the file is to be stored with the name of the file. 4. At the Parameters? Prompt, press . 5. At the Global prompt, enter the file globals below LAB LOINC #95.3 ^LAB(95.3, LAB LOINC COMPONENT #95.31 ^LAB(95.31, WKLD CODE #64 ^LAM WKLD SUFFIX CODES #64.2 ^LAB(64.2, LAB ELECTRONIC CODES #64.061 ^LAB(64.061, WKLD CODE LAB SECT #64.21 ^LAB(64.21, 6. Verify that the file was created and exists in the directory specified. These backup files may get as large as 50 MB. Make sure space is available before proceeding. It should take from 5 to 10 minutes to create the backup files. EXAMPLE: VISTA>d GOGEN^%ZSPECIAL Device: _PRE_LR451_DATA_FILE_BKUP_.GBL Where: = local drive used to store files = local file directory used to store files = VA station number to identify facility Parameters? "WNS" => Warning: Use a "V" format to avoid problems with control characters. Global ^LAM -- NOTE: translation in effect Global ^LAB(64.2 -- NOTE: translation in effect Global ^LAB(64.21 -- NOTE: translation in effect Global ^LAB(64.061 -- NOTE: translation in effect Global ^LAB(95.3 -- NOTE: translation in effect Global ^LAB(95.31 -- NOTE: translation in effect Global ^ Installation Instructions =========================== LABORATORY USERS MUST NOT ACCESSION SPECIMENS OR ENTER/VERIFY RESULTS DURING THE INSTALLATION No laboratory background jobs need to be stopped. No options need to be placed out of service. All users may remain on the system. Installation time is less than 45 minutes. An Alert is sent to G.LMI when the install starts and finishes. Note: The patch should be installed during off peak hours. Part of installation is the Symbol Table is dumped into Error trap. This may help to trace any issue from installation. 1) From the Kernel Installation & Distribution System menu, select the Installation menu 2) From this menu, select the option Load a Distribution and select LR_52_451.KID 3) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LR*5.2*451. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Scheduled Options, Menu Options, and Protocols?" prompt. The KIDs install should take from 4-9 minutes 4) Cleanup The PRE and POST installation routine LR451 may be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. Testing Sites: ============== Orlando VA Medical Center Tampa (Florida) VA Boston Health Care System (Boston, Brockton, West Roxbury) VISN 2 Upstate New York Health Care System (Buffalo, Batavia, Canandaigua, Syracuse, Bath, Albany) OTHER CHANGES ============= n/a REQUEST/INCIDENTS ================= n/a Routine Information: ==================== The second line of each of these routines now looks like: ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 49 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LR451 Before: n/a After:B100464367 **451** ============================================================================= User Information: Entered By : Date Entered : JAN 27, 2015 Completed By: Date Completed: OCT 04, 2016 Released By : Date Released : OCT 05, 2016 ============================================================================= Packman Mail Message: ===================== No routines included