$TXT Created by             at MNTVBB.DOMAIN.EXT  (KIDS) on Tuesday, 07/07/20 at 15:49
=============================================================================
Run Date: OCT 07, 2020                     Designation: LR*5.2*540
Package : LR - LAB SERVICE                    Priority: Mandatory
Version : 5.2       SEQ #440                    Status: Released
                  Compliance Date: NOV 07, 2020
=============================================================================

Associated patches: (v)LR*5.2*482  <<= must be installed BEFORE `LR*5.2*540'

Subject: ANATOMIC PATHOLOGY ESIG FOR MOHS PERSON CLASS

Category: 
  - Routine

Description:
============

 This patch addresses the following issue:
  
 Any provider who is defined with the "MOHS" person class should be 
 allowed to electronically sign Anatomic Pathology cases.
  
 Associated ticket(s):
 =====================
  
 Rational task: 285100
  
 Associated NSR(s):
 ==================
 N/A
  
 Patient Safety Issues (PSIs):
 ============================
 N/A
  
 Participating Test Sites:
 =========================
 Minneapolis VA Medical Center, MINNEAPOLIS, MN
 Northport VA Medical Center -New York/New Jersey VA HCN- NORHTPORT, NY
  
 Defect Tracking System Ticket(s) & Overview:
 ============================================
  
 Problem:
 -------
  
 Providers who are defined with the "MOHS" person class are prevented from 
 electronically signing Anatomic Pathology cases.
  
 Additional details from the FileMan from the FileMan Person Class
 description:
  
 NUMBER: 755
 PROVIDER TYPE: Allopathic and Osteopathic Physicians
   CLASSIFICATION: Dermatology
   AREA OF SPECIALIZATION: MOHS-Micrographic Surgery
   STATUS: Active                        VA CODE: V180504
   X12 CODE: 207ND0101X                  SPECIALTY CODE: 07
  DEFINITION:   The highly-trained surgeons that perform Mohs Micrographic
  Surgery are specialists both in dermatology and pathology. With their
  extensive knowledge of the skin and unique pathological skills, they are 
  able to remove only diseased tissue, preserving healthy tissue and
  minimizing the cosmetic impact of the surgery. Mohs surgeons who belong
  to the American College of Mohs Surgery (ACMS) have completed a minimum
  of one year of fellowship training at one of the ACMS-approved training
  centers in the U.S.
   
  Source: American College of Mohs Surgery, 2007 
   
  Additional Resources: Additional Resources: http://www.mohscollege.org/; 
  American Board of Dermatology, 2007. http://www.abderm.org/
 INDIVIDUAL/NON: INDIVIDUAL
  
 Resolution:
 ----------
  
 Modify routine LRAPRES1 to allow those providers defined with the "MOHS"
 person class to electronically sign Anatomic Pathology cases as long as
 other existing criteria regarding security keys, etc. are met.
  
 Routine: LRAPRES1
  
 Patch Instruction:
 -----------------
 Pre-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.
  
 Installation Instructions:
  
 1.  Choose the PackMan message containing this build. Then select 
     the INSTALL/CHECK MESSAGE PackMan option to load the build.
  
 2.  From the Kernel Installation and Distribution System Menu, 
     select the Installation Menu.  From this menu, 
  
     A.  Select the Verify Checksums in Transport Global 
         option to confirm the integrity of the routines that 
         are in the transport global. When prompted for the 
         INSTALL NAME enter the the patch name LR*5.2*540. 
  
         NOTE: Using <spacebar><enter> will not bring up a 
               Multi-Package build even if it was loaded 
               immediately before this step. It will only 
               bring up the last patch in the build.
  
     B. Select the Backup a Transport Global option to create a 
        backup message of any routines exported with this patch. 
        It will not backup any other changes such as DDs or 
        templates. 
  
     C. You may also elect to use the following options: 
          i. Print Transport Global - This option will allow 
             you to view the components of the KIDS build.
         ii. 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 of the components of this patch, such as 
             routines, DDs, templates, etc.
  
     D. Select the Install Package(s) option and choose the 
        patch to install. 
          i. If prompted 'Want KIDS to Rebuild Menu Trees Upon 
             Completion of Install? NO//', answer NO.
         ii. When prompted 'Want KIDS to INHIBIT LOGONs during the 
             install? NO//', answer NO.
        iii. When prompted 'Want to DISABLE Scheduled Options, Menu 
             Options, and Protocols? NO//', answer NO.
  
 Back-out/Rollback Strategy:
 -------------------------
 In the event of a catastrophic failure, the Facility CIO may make the 
 decision to back-out the patch.
   
 It is imperative that you have performed a backup of the routines included
 in this patch prior to installation.
  
 The back-out plan is to restore the routine from the backup created.  

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 4

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: LRAPRES1
    Before: B71690317   After: B73754276  **259,336,369,365,397,413,350,
                                           462,482,540**
 
Routine list of preceding patches: 482

=============================================================================
User Information:
Entered By  :                               Date Entered  : JUL 06, 2020
Completed By:                               Date Completed: OCT 07, 2020
Released By :                               Date Released : OCT 07, 2020
=============================================================================


Packman Mail Message:
=====================

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