$TXT Created by VLELAB1.AAC.DOMAIN.EXT (KIDS) on Thursday, 12/29/16 at 08:44 ============================================================================= Run Date: JAN 12, 2017 Designation: LR*5.2*463 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #378 Status: Released Compliance Date: FEB 12, 2017 ============================================================================= Subject: MICROBIOLOGY ENHANCEMENTS Category: - Data Dictionary - Enhancement (Mandatory) Description: ============ This patch is the mechanism that will be used now and anytime in the future to nationally transfer and add new Carbapenem-Resistant Enterobacteriaceae (CRE) organisms into the Etiology Field file, (#61.2). This step will automatically update each facility with these microbiology enhancements and other Multi-Drug resistant Organisms (MDRO) standardized reporting and eliminate the need for each individual lab to update its own local files manually. Patch Components: ----------------- None Files & Fields Associated: -------------------------- None Forms Associated: ----------------- None Mail Groups Associated: ----------------------- None Options Associated: ------------------- None Protocols Associated: --------------------- None Security Keys Associated: ------------------------- None Templates Associated: --------------------- None Additional Information: ----------------------- None BLOOD BANK REVIEW: ------------------ EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*463 does not contain any changes to the VISTA BLOOD BANK Software as defined by ProPath standard titled: BBM Team Review of VistA Patches. RISK ANALYSIS: Changes made by patch LR*5.2*463 have no effect on Blood Bank software functionality, therefore RISK is none. New Service Requests (NSRs) --------------------------- NSR #20131213 Patient Safety Issues (PSIs): ----------------------------- None Remedy Ticket(s) & Overview: ---------------------------- None Problem: -------- None Resolution: ----------- None Test Sites ---------- LEXINGTON TAMPA IOWA CITY Documentation Retrieval Instructions: ------------------------------------- None Patch Installation: Pre/Post Installation Overview: ------------------------------- None Pre-Installation Instructions: ----------------------------- Patch installation needs to be coordinated with the Laboratory Information Manager (LIM/ADPAC) at each site for the following entries in the Etiology Field File, (#61.2). KLEBSIELLA PNEUMONIAE, CARBAPENEM RESISTANT (CRE) KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE ESCHERICHIA COLI, CARBAPENEM RESISTANT (CRE) ENTEROBACTER CLOACAE, CARBAPENEM RESISTANT (CRE) ENTEROBACTER SPP, CARBAPENEM RESISTANT (CRE) Installation Instructions: -------------------------- This patch may be loaded with users on the system. You may wish to install it during non-peak hours. This patch is released as a Packman message. Installation will take less than 5 minutes. 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*463'. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//, choose 'NO'. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', choose 'NO'. Installation example: Select INSTALL NAME: LR*5.2*463 12/29/16@09:48:52 => LR*5.2*463 TEST v18 This Distribution was loaded on Dec 29, 2016@09:48:52 with header of LR*5.2*463 TEST v18 It consisted of the following Install(s): LR*5.2*463 Checking Install for Package LR*5.2*463 Install Questions for LR*5.2*463 Want KIDS to INHIBIT LOGONs during the install? NO// Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// TELNET PORT LR*5.2*463 The following Etiology entries were added to the Etiology file: 7159109 KLEBSIELLA PNEUMONIAE, CARBAPENEM RESISTANT (CRE) 7159110 KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE) 7159111 ESCHERICHIA COLI, CARBAPENEM RESISTANT (CRE) 7159112 ENTEROBACTER CLOACAE, CARBAPENEM RESISTANT (CRE) 7159113 ENTEROBACTER SPP, CARBAPENEM RESISTANT (CRE) Updating Routine file... Updating KIDS files... LR*5.2*463 Installed. Dec 29, 2016@09:53:16 Not a production UCI NO Install Message sent Complete Install Completed Post-Installation Instructions: ------------------------------- Once the install has completed, the new entries will display on your screen. If they are new they will show as new entries and if they are already in the database they will display as found in the Etiology file. Once this patch installation has completed it will be necessary to view the entries via FileMan. To do that, perform the following lookup: NCHD03:NCH>D P^DI VA FileMan 22.0 Select OPTION: INQUIRE TO FILE ENTRIES OUTPUT FROM WHAT FILE: DOMAIN// ETIOLOGY 1 ETIOLOGY (16 entries) 2 ETIOLOGY FIELD (4818 entries) CHOOSE 1-2: 2 ETIOLOGY FIELD (4818 entries) Select ETIOLOGY FIELD NAME: KLEB 1 KLEBSIELLA OXYTOCA 2 KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE) 3 KLEBSIELLA OZAENAE 4 KLEBSIELLA PNEUMONIAE 5 KLEBSIELLA PNEUMONIAE, CARBAPENEM RESISTANT (CRE) Press to see more, '^' to exit this list, OR CHOOSE 1-5: 2 KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE) ANOTHER ONE: STANDARD CAPTIONED OUTPUT? Yes// (Yes) Include COMPUTED fields: (N/Y/R/B): NO// - No record number (IEN), no Computed Fields NAME: KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE) IDENTIFIER: BACTERIUM CLASS/GROUP-TRIBE/FAMILY: ENTEROBACTERIACEAE Continue the lookup for the following 5 new entries: KLEBSIELLA PNEUMONIAE, CARBAPENEM RESISTANT (CRE) KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE ESCHERICHIA COLI, CARBAPENEM RESISTANT (CRE) ENTEROBACTER CLOACAE, CARBAPENEM RESISTANT (CRE) ENTEROBACTER SPP, CARBAPENEM RESISTANT (CRE) ETIOLOGY FIELD List DEC 29, 2016@10:02 PAGE 1 -------------------------------------------------------------------------- ------ NUMBER: 7159109 NAME: KLEBSIELLA PNEUMONIAE, CARBAPENEM RESISTANT (CRE) IDENTIFIER: BACTERIUM CLASS/GROUP-TRIBE/FAMILY: ENTEROBACTERIACEAE NUMBER: 7159110 NAME: KLEBSIELLA OXYTOCA, CARBAPENEM RESISTANT (CRE) IDENTIFIER: BACTERIUM CLASS/GROUP-TRIBE/FAMILY: ENTEROBACTERIACEAE NUMBER: 7159111 NAME: ESCHERICHIA COLI, CARBAPENEM RESISTANT (CRE) IDENTIFIER: BACTERIUM CLASS/GROUP-TRIBE/FAMILY: ENTEROBACTERIACEAE NUMBER: 7159112 NAME: ENTEROBACTER CLOACAE, CARBAPENEM RESISTANT (CRE) IDENTIFIER: BACTERIUM CLASS/GROUP-TRIBE/FAMILY: ENTEROBACTERIACEAE NUMBER: 7159113 NAME: ENTEROBACTER SPP, CARBAPENEM RESISTANT (CRE) IDENTIFIER: BACTERIUM CLASS/GROUP-TRIBE/FAMILY: ENTEROBACTERIACEAE Note: This patch will not add SNOMED-CT or Workload codes. The workload codes vary between facilities so it will be up to the IRM to add the workload codes and the National SNOMED-CT codes when they are released. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.2;LAB SERVICE;**[Patch List]**;NOV 7, 2015;Build 77 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LR463ETI Before: n/a After: B5368868 **463** ============================================================================= User Information: Entered By : Date Entered : OCT 06, 2015 Completed By: Date Completed: JAN 11, 2017 Released By : Date Released : JAN 12, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT