============================================================================= Run Date: JAN 12, 2017 Designation: LR*5.2*474 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #379 Status: Released Compliance Date: FEB 12, 2017 ============================================================================= Associated patches: (v)LR*5.2*221 <<= must be installed BEFORE `LR*5.2*474' (v)LR*5.2*291 <<= must be installed BEFORE `LR*5.2*474' (v)LR*5.2*416 <<= must be installed BEFORE `LR*5.2*474' (v)LR*5.2*422 <<= must be installed BEFORE `LR*5.2*474' (v)LR*5.2*433 <<= must be installed BEFORE `LR*5.2*474' (v)LR*5.2*453 <<= must be installed BEFORE `LR*5.2*474' Subject: LAB UI MICRO ENHANCEMENTS Category: - Routine - Enhancement (Mandatory) Description: ============ The build for this patch is distributed as part of a multi-package build that contains LA*5.2*90 and LR*5.2*474. The build contains functionality that will allow Microbiology instrumentation to utilize the Lab Universal Interface. By utilizing the Universal Interface and Instrument Manager (IM) middleware, sites will be able to switch from using class III interfaces to a UI standard interface. New functionality will be applied that will allow for an "MI" subscripted test to be added to the VistA Auto Instrument file (#64.2). There will also be enhanced result processing and verify/release functions (see LA*5.2*90 patch descriptions for additional details). The build for this patch is distributed in support of the VistA Laboratory Enhancement (VLE) Microbiology/Data Innovations interface utilizing the Laboratory Universal Interface. The patch provide new functionality provides for the Enter/Verify data (Auto Instrument) option which will allow the technologist with the authority to release three release actions. Blood Bank Review: ================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*474 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*474 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*474 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. Patch Components: ----------------- None Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- LR USER PARAMETER TEMPLATE NEW FILE (8989.52) LR PKG PARAMETER TEMPLATE NEW FILE (8989.52) Parameters Associated: Parameter Name New/Modified/Deleted -------------- -------------------- LR MI UI RELEASE DEFAULT NEW Additional Information: N/A New Service Requests (NSRs): ---------------------------- NSR #20131213 Carbapenem Resistant Enterobacteriaceae (CRE) Naming Conventions Electronic Interfacing of Automated Identification and Susceptibility Testing Instruments NSR #20140801 Tracking Multi-Drug Resistant Organisms Patient Safety Issues (PSIs): ----------------------------- N/A Remedy Ticket(s) & Overview: ---------------------------- N/A Problem: ------- N/A Resolution: ---------- N/A Test Sites: ---------- James A. Haley Veterans Hospital Iowa City VA Healthcare System Lexington VA Medical Center Software and Documentation Retrieval Information ============================== VistA Laboratory patch LR*5.2*474 software is distributed by Host File, along with LA*5.2*90. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext File Name Contents Retrieval Format ------------------ -------------------- ---------------- LAB_MICRO_INTERFACE_ Host File containing ASCII RELEASE_1_0.KID KIDS software distribution LAB_MICRO_INTERFACE_RELEASE_1_0_DOCS.ZIP, which contains both .pdf and .docx formatted files of the following documents. Retrieval format is BINARY: VLE Micro_Lab_Micro_Interface_Release_1.0_Technical_Manual VLE Micro_Lab_Micro_Interface_Release_1.0_User_Guide VLE Micro_Deployment_Installation_Roll Back_Back Out_Guide 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 Note: These previously released documents contain configuration and mapping information that is useful to the implementation of the Universal Interface for Microbiology tests. ------------------------------------------------------------------------ LEDI IV Installation Guide LAB_LEDI_IV_IG.PDF binary LEDI IV User Manual LAB_LEDI_IV_UM.PDF binary LEDI IV Update AP/MICRO LEDI_IV__AP__MICRO_ binary Configuration Guide CONFIGURATION_GUIDE.PDF binary Patch Installation: ------------------- Pre/Post Installation Overview: ------------------------------- This patch, LR*5.2*474 is part of a combined build for the Laboratory Microbiology Interface Enhancement patch. This patch install must be coordinated with the Laboratory ADPAC to ensure that all Lab Interface related activities are halted. This installation will modify the Enter/verify data (auto instrument) option for the Microbiology Universal Interface process by providing the following release options: Select RELEASE action: Edit (full)// ? Entering 0 will abort review/release. Entering 1 will allow release 'as is' with no editing. Entering 2 will allow you to enter/edit comments then release. Entering 3 will allow you to enter full edit, similar to 'Results entry' option. Selections 1-3 will allow editing of status and approved date/time. Select one of the following: 0 Quit 1 Release 2 Comments/Release 3 Edit (full) Pre-Installation Instructions: ------------------------------ Ensure that all Lab Interface activity has been halted !! This would include: -Editing of an Auto Instrument file entry, -Turn off the Auto Downloading process to prevent the building and downloading of a Load/Worklist to the Instrument Manager. -Shut down all LA7UI logical links and any other HL7 process (HLZTCP or HLLP processes) to prevent the processing of result messages from the IM. This patch may be installed with users on the system as long as the above process controls have been followed. 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- Refer to the Installation Instructions section of patch LA*5.2*90 for details. Post-Installation Instructions: ------------------------------- ADPAC and Microbiology Tech instructions: 1. After data has been received from the Data Innovations for an automated Microbiology instrument, the releasing Microbiology Technologist will be presented with the following options: Select RELEASE action: Edit (full)// ? Entering 0 will abort review/release. Entering 1 will allow release 'as is' with no editing. Entering 2 will allow you to enter/edit comments then release. Entering 3 will allow you to enter full edit, similar to 'Results entry' option. Selections 1-3 will allow editing of status and approved date/time. Select one of the following: 0 Quit 1 Release 2 Comments/Release 3 Edit (full) Select RELEASE action: Edit (full)// 0 Quit Do you want to PURGE these results? NO// 2. A new parameter LR MI UI RELEASE DEFAULT is included with this patch and it provides the VAMC site the ability to set the release default at the package and user levels. Example configuration: Select OE/RR interface parameters Option: Select Lab liaison menu Option: OE/RR interface parameters EH Edit HOSPITAL SITE parameters AS Edit a lab administration schedule IL Inquire to a Lab administration schedule CC Update CPRS Parameters ... Select OE/RR interface parameters Option: CC Update CPRS Parameters PA Update CPRS with Lab order parameters SI Update CPRS with Single Lab test UP Update CPRS with all Lab test parameters DO Domain Level Parameter Edit LO Location Level Parameter Edit PP Package Level Parameter Edit UL Display Lab User Parameters Select Update CPRS Parameters Option: PP Package Level Parameter Edit Lab Package Level Parameters for Package: LAB SERVICE -------------------------------------------------------------------------- Collect on Monday YES Collect on Tuesday YES Collect on Wednesday YES Collect on Thursday YES Collect on Friday YES Collect on Saturday YES Collect on Sunday YES Lab Collects on Holidays YES Lab Collect Days Allowed in Future 7 Maximum Days for Continuous Orders Default manual verify method Default load/work list verify method Display Provider in Micro Result Entry Default Micro Instrument Release Action VITEK Edit (full) Prompt CPRS Alert in Micro Result Entry Don't Ask Prompt CPRS Alert in CH Result Entry EGFR Creatinine IDMS-traceable Method EGFR Patient's Age Cutoff EGFR Result Cutoff Send an alert after AP release Default AP Report Selection Prompt Ask Performing Lab AP YES Ask Performing Lab Micro YES Print SNOMED Code System SNOMED I Document Surgery Package Case Info NO Chemistry GUI Report Right Margin Microbiology GUI Report Right Margin AP GUI Report Right Margin Method of Assigning AP Accession Number Default Accessioning Specimen Default Accessioning Collection Sample Default Accessioning Lab Test Exclude removed tests from building Use default accession dates Print Reporting/Printing Facility None Days to keep of instrument data 1 2 Lab STS Default Mapping Files Directory Lab STS Default Mapping Filespec *.TXT -------------------------------------------------------------------------- COLLECT MONDAY: YES// COLLECT TUESDAY: YES// COLLECT WEDNESDAY: YES// COLLECT THURSDAY: YES// COLLECT FRIDAY: YES// COLLECT SATURDAY: YES// COLLECT SUNDAY: YES// IGNORE HOLIDAYS: YES// LAB COLLECT DAYS ALLOWED IN FUTURE: 7// MAXIMUM DAYS FOR CONTINUOUS ORDERS: Default manual verify method: For Default load/work list verify method - Select Accession Area: Display Provider in Micro Result Entry: For Default Micro Instrument Release Action - Select Load/Work List: VITEK Load/Work List: VITEK// VITEK VITEK Default load/work list verify method: Edit (full)// For Default Micro Instrument Release Action - Select Load/Work List: NOTE: This parameter will allow the default release action to be Load/Work List specific. 3. Setting the default release action for a user: Select Information-help menu Option: PP General Lab User Parameters Lab User Level Parameters for User: TECH,MICRO -------------------------------------------------------------------------- Default lab label printer Display previous comments for test Default Performing Laboratory Ask Performing Lab AP Ask Performing Lab Micro Display Provider in Micro Result Entry Prompt CPRS Alert in CH Result Entry Prompt CPRS Alert in Micro Result Entry Default Micro Instrument Release Action VITEK Release Default AP Report Selection Prompt Send an alert after AP release Default Accessioning Specimen Default Accessioning Collection Sample Default Accessioning Lab Test Exclude removed tests from building Use default accession dates Lab Messaging - Parse HL7 Messages Lab Messaging - Display using Browser Lab Messaging - Show Identifiers Chemistry GUI Report Right Margin Microbiology GUI Report Right Margin 132 AP GUI Report Right Margin 240 Lab STS Default Mapping Files Directory Lab STS Default Mapping Filespec -------------------------------------------------------------------------- For Default lab label printer - Select Division: For Display previous comments for test - Select Laboratory Test: Default Performing Laboratory: Ask Performing Lab AP: Ask Performing Lab for MICRO: Display Provider in Micro Result Entry: Send CPRS Alert in CH Result Entry: Send CPRS Alert in Micro Result Entry: For Default Micro Instrument Release Action - Select Load/Work List: VITEK Are you adding VITEK as a new Load/Work List? Yes// YES Load/Work List: VITEK// VITEK VITEK Default load/work list verify method: Release For Default Micro Instrument Release Action - Select Load/Work List: NOTE: This parameter will allow the default release action to be Load/Work List specific. AP Report Selection Default: ^ Routine Information: ==================== The second line of each of these routines now looks like: ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 13 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LRMIEDZ2 Before: B69802337 After: B72283385 **23,104,242,295,350,427,474** Routine Name: LRVR0 Before:B127185317 After:B154172378 **350,427,474** Routine Name: LRVRMI2 Before: B35719383 After: B36282264 **350,427,474** Routine Name: LRVRMI2A Before: B78174930 After: B78602425 **350,427,474** Routine Name: LRVRMI3 Before: B26582667 After: B26756120 **350,427,453,474** Routine Name: LRVRMI4 Before: B38736850 After: B39771458 **350,427,474** Routine Name: LRVRMI4A Before: B96274363 After: B96471289 **350,427,474** Routine list of preceding patches: 453 ============================================================================= User Information: Entered By : Date Entered : SEP 06, 2016 Completed By: Date Completed: JAN 11, 2017 Released By : Date Released : JAN 12, 2017 ============================================================================= Packman Mail Message: ===================== No routines included