============================================================================= Run Date: SEP 03, 2025 Designation: LR*5.2*582 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #485 Status: Released Compliance Date: OCT 04, 2025 ============================================================================= Associated patches: (v)LR*5.2*576 <<= must be installed BEFORE `LR*5.2*582' Subject: NLT/LOINC V2.80 UPDATE Category: - Routine - Enhancement (Mandatory) Description: ============ Laboratory Logical Observation Identifiers Names and Codes (LOINC) are intended to incorporate efficiencies in The Department of Veterans Affairs to the LOINC in use. The LAB LOINC file (#95.3) currently contains LOINC version 2.78 which was released in 2024. The goal of this patch is to update the content in LAB LOINC file (#95.3) and related files to version 2.80 EHRM Impact Statement: ---------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. Patch Components: ================= Files & Fields Associated: ========================== File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- #95.3 LAB LOINC Modified (Data only) #95.31 LAB LOINC COMPONENT Modified (Data only) #64 WKLD CODE Modified (Data only) #64.061 LAB ELECTRONIC CODES Modified (Data only) #64.2 WKLD SUFFIX CODES Modified (Data only) Data Dictionary Associated: ========================== N/A Forms Associated: ========================== Form Name File Number 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 ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: ================================ Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: ===================== Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ======================= N/A New Service Requests (NSRs): ============================ N/A Patient Safety Issues (PSIs): ============================= N/A Defect Tracking System Ticket(s) & Overview: ============================================ N/A Problem: ========= N/A Resolution: ============ N/A Technical Resolution: ===================== N/A Test Sites: ============== VISN 6 Salem VISN 2 Upstate New York Health Care System (Buffalo, Batavia, Canandaigua, Syracuse, Bath, Albany) SNOW Change Order #: ====================== Salem: CHG0638652 UNY: CHG0639585 Software and Documentation Retrieval Instructions: ================================================== The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LR_52_582.KID (note use this location in step #2 of the Installation Instructions below) Documentation describing the new functionality is NOT included in this release. Patch Installation: =================== Pre/Post Installation Overview: =============================== The pre-installation routine/tag: PRE^LR582(582,2.80) The Post-installation routine/tag: POST^LR582(582,2.80) Pre-Installation Instructions: ============================== Size/Disk Space Requirements The changes to the LAB globals will result in a combined growth of about 85 MB of data. Make sure there is sufficient space for the growth to the VistA globals. If this is the reinstallation, please call support center for assistance, if this is regular (first) installation, please proceed 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. (EX: VA5$:[SITEDIR]PRE_LR582_DATA_FILE_BKUP_YYYYMMDD.GBL) 4. At the Parameters? Prompt, press . 5. At the Global prompt, enter the file globals below LAB LOINC #95.3 ^LAB(95.3, LAB LOINC COMPONENT #95.31 ^LAB(95.31, WKLD CODE #64 ^LAM WKLD SUFFIX CODES #64.2 ^LAB(64.2, LAB ELECTRONIC CODES #64.061 ^LAB(64.061, 6. Verify that the file was created and exists in the directory specified. These backup files may get as large as 90 MB. Make sure space is available before proceeding. It should take from 5 to 10 minutes to create the backup files. EXAMPLE: VISTA>d GOGEN^%ZSPECIAL Device: VA5$:[LOCALDIR]MA_PRE_LR582_DATA_FILE_BKUP_20240508.GBL (YYYYMMDD - YYYY-year, MM-month, DD-date) 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(64.061 -- 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 LIMIT ACCESSIONING OF SPECIMENS OR VERIFYING OF RESULTS DURING THE INSTALLATION; PATCH INSTALLATION SHOULD OCCUR DURING NON-PEAK PERIODS FOR THE LAB. 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 30 minutes. An Alert is sent to G.LMI when the install starts and finishes. Note: The patch should be installed during off peak hours. Note: System may hang while performing the Full Comparison of the Compare Transport Global Note: Please note that Data Dictionary information is not being changed. RELMA (Test Case 2) LOCAL REPORT DELIMIT (Test Case 3) ZZV;;5.2;LAB SERVICE;**582**;Sep 27, 1994 Will be corrected to: 582;;5.2;LAB SERVICE;**582**;Sep 27, 1994 This DD's information doesn't have any impact on any functionality Part of installation is the Symbol Table is dumped into Error trap. The Error with this label can be seen after installation: LR582 : Application Error! please disregard No Need to report it Please note, this is not real error and doesn't need to be reported to developer. 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 enter /srv/vista/patches/SOFTWARE/LR_52_582.KID 3) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LR*5.2*582 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 Back-out/Rollback Strategy: =============================== N/A Post-Installation Instructions: =============================== Cleanup The PRE and POST installation routine LR582 may NOT be deleted. An obsolete install routine will be deleted after post installation at all test sites. All other sites can ignore. If deleted, use the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. Back-Out/Roll Back Plan ======================= To back-out data from a production account could cause broken pointers, cause errors and hard MUMPS crashes. The back-out plan for data only patches is to "Report the findings and wait for a repair patch." Contact the Enterprise Service Desk to log an Incident to the NTL.APP.VISTA.Lab.General which assigns the ticket to the appropriate National Support team. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LR582 Before: n/a After:B128966283 **582** ============================================================================= User Information: Entered By : Date Entered : JAN 22, 2025 Completed By: Date Completed: SEP 02, 2025 Released By : Date Released : SEP 03, 2025 ============================================================================= Packman Mail Message: ===================== No routines included