$TXT Created by DEV.DEV.DOMAIN.EXT (KIDS) on Thursday, 09/22/16 at 17:48 ============================================================================= Run Date: NOV 30, 2016 Designation: LR*5.2*465 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #374 Status: Released Compliance Date: DEC 31, 2016 ============================================================================= Associated patches: (v)LR*5.2*218 <<= must be installed BEFORE `LR*5.2*465' Subject: SET NUMBER OF LABELS IN LABORATORY TEST FILE (#60) FOR EACH FACILITY Category: - Routine - Data Dictionary - Input Template Description: ============ The NSR20140714 Set Number of Labels in File 60 for Each Facility intake modification allows multidivisional facilities to set the number of labels required for each site on the VistA instance. This number is set in LABORATORY TEST File (#60). The current Lab Package functionality provides only one option for setting label requirements for all sites in a multidivisional facility. It lacks the necessary flexibility to accommodate the requirements and procedures associated with printing labels for institutions that share the same Veterans Integrated System Technology Architecture (VistA) database. This modification will be useful to multidivisional facilities because it enables customizing the number of labels required by individual institutions within a multidivisional VistA system. This modification adds the following new multiple field to the LABORATORY TEST File (#60): INSTITUTION EXTRA LABELS field (#60.15) Two new sub-fields are added to the INSTITUTION EXTRA LABELS multiple: INSTITIUTION EXTRA LABELS (#.01)b "pointer to the Institution file (#4) NUMBER OF LABELS (#1) The following two options are being updated to allow ADPACs or LIMs ()Laboratory Information Manager) to customize the number of labels for individual institutions for each lab test: Edit atomic tests [LRDIEATOMIC] Edit cosmic tests [LRDIECOSMIC] These options, LRDIECOSMIC and LRDIEATOMIC now prompt the user for the following two new fields: INSTITUTION EXTRA LABELS field (#60.15,.01). NUMBER OF LABELS subfield (#60.15,1) The LIM/ADPAC selects an available laboratory test name from the LABORATORY TEST NAME field (#60.01) and then selects the institution requiring extra labels from the list of co-located institutions to populate the INSTITUTION EXTRA LABELS field (#60.15,.01). After the laboratory test and co-located institution are selected, the number of additional labels needed is added to the NUMBER OF LABELS subfield (#60.15,1). This field specifies the number of labels, beyond the default number, set for the selected lab test at the selected institution. Each lab test can be configured individually for each co-located institution. After a lab test is configured, the specified number of extra labels designated will print each time a user at the configured institution accessions an order for a preconfigured lab test. If either the lab test, or the institution, is not configured for additional labels then the default number of labels will print. Each lab test can be configured for multiple institutions and each institution can define the necessary number of labels to print for each lab test. The new INSTITUTION EXTRA LABELS field (#16.1) takes precedence over the existing EXTRA LABELS field (#16) of the LABORATORY TEST FILE (#60). Important: The INSTITUTION EXTRA LABELS field (#60.15,.01) is connected to the national INSTITUTION File (#4). Prior to editing the fields added by this modification, ensure that co-located institutions are added to the ACCESSION AREA field (#60,6). This multiple field includes the INSTITUTION field (#60.11,.01) and the ACCESSIONING AREA subfield (#60.11,1). Enter the necessary institutions and an appropriate accessioning area for the laboratory test being edited. Note: The new fields added to LABORATORY TEST File (#60) for this modification are similar in name to existing fields, specifically the INSTITUTION field (#60.11,.01), and the EXTRA LABELS field (#60.16). Care must be exercised to ensure these fields are not confused with the new fields added with this modification when edited. Multi-Lab Test ACCESSIONING =========================== When accessioning multiple lab tests, the number of Institution Extra Labels will be accumulated for each test. So the number of extra labels printed include the following values: (1) The original default number of labels for the accessioned tests, i.e., one label per accession. -and, one of the following- (2) the number of Institution Extra Labels (field 16.1) for each test if that number is defined for the test and the division for which the user is signed in. -or- (3) the number of Extra Labels (field #16) defined for the test, if Institution Extra Labels is undefined. So, for the following example with UREA NITROGEN and GLUCOSE being accessioned together, seven (7) total labels will print. LAB TEST NAME: UREA NITROGEN INSTITUTION: INST XYZ UNIQUE ACCESSION #: NO EXTRA LABELS: 4 COLLECTION SAMLE: SERUM ACCESSION AREA: CHEMISTRY INSTITUTION EXTRA LABELS: INST XYZ # OF LABELS: null/none LAB TEST NAME: GLUCOSE INSTITUTION: INST XYZ UNIQUE ACCESSION #: NO EXTRA LABELS: null/none COLLECTION SAMLE: SERUM ACCESSION AREA: CHEMISTRY INSTITUTION EXTRA LABELS: INST XYZ # OF LABELS: 2 So, we have (four) 4 extra labels for UREA NITROGEN test and (two) 2 Institution Extra Labels for Glucose test and one label will print for the accession (under normal conditions with no extra labels). This produces 1 + 4 + 2 = seven (7) total labels. The NSR for this intake addresses the following requirement: ============================================================ VHBAO: NEED493878: As an authorized user of the laboratory suite, I need the ability to print extra accession labels printed on label stock my facility uses, so lab test results can be easily obtained and delays in patient care can be avoided. This intake has been implemented locally at the Kansas City, MO VAMC. BLOOD BANK Clearance: RISK ANALYSIS: Changes made by patch LR*5.2*465 have no effect on Blood Bank software functionality, therefore RISK is none. EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*465 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*465 does not alter or modify any software design safeguards or safety critical elements functions. 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. Patch Components: Files & Fields Associated: File Name Number Field Name Number New/Modified/Deleted LABORATORY TEST 60 INSTITUTION EXTRA LABELS 16.1 NEW INSTITUTION EXTRA LABELS .01 NEW NUMBER OF LABELS 1 NEW Options Associated: Option Menu Text Name Type New/Modified/Deleted Edit atomic tests [LRDIEATOMIC] Input (Edit Template Updated) Edit cosmic tests [LRDIECOMIC] Input (Edit Template Updated) Templates Associated: Template Name Type File Name Number New/Modified/Deleted LR ATOMIC TESTS Input Laboratory Test 60 Modified LR COSMIC TESTS Input Laboratory Test 60 Modified New Service Requests (NSRs): 20140714 Set Number of Labels in File 60 for Each Facility. Patient Safety Issues (PSIs): N/A Remedy Ticket(s) & Overview: N/A Test Sites: Information regarding the IOC test sites for NSR20140714 is available in the LR*5.2*465 Initial Operating Capability Entry Request and Exit Summary document. Software and Documentation Retrieval Instructions: Software is being released as a PackMan message. Documentation can be found in the VA Software Documentation Library at http://www4.domain.ext/vdl/. Installation Instructions: This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter LR*5.2*465. a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// Press 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO// Press 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// Press 8. When prompted "Enter options you wish to mark as 'Out of Order':", please enter the following options: Edit atomic tests [LRDIEATOMIC] Edit cosmic tests [LRDIECOMIC] 9. When prompted "Enter protocols you wish to mark as 'Out of Order':", press . 10. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. Post-Installation Instructions: 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 25 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LRLABLD Before: B26400973 After: B35119838 **65,161,218,465** Description of Changes: LRLABLD is updated to read the new Institution Extra Labels field and use that value over the existing Extra Labels field to determine the number of extra labels for a division. Routine list of preceding patches: 218 ============================================================================= User Information: Entered By : Date Entered : OCT 13, 2015 Completed By: Date Completed: NOV 22, 2016 Released By : Date Released : NOV 30, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT