$TXT Created by ACKERMAN,NIEN-CHIN at DEV.DEV.FO-HINES.MED.VA.GOV (KIDS) on Tuesday, 09/07/10 at 11:17 ============================================================================= Run Date: NOV 29, 2010 Designation: MD*1*20 Package : MD - CLINICAL PROCEDURES Priority: Mandatory Version : 1 SEQ #15 Status: Released Compliance Date: DEC 30, 2010 ============================================================================= Associated patches: (v)MD*1*21 <<= must be installed BEFORE `MD*1*20' Subject: CP GATEWAY AND MISC Category: - Routine - Other Description: ============ This patch resolves seven Remedy Ticket issues. Remedy Tickets ============== HD0000000419251 HD0000000419112 HD0000000418723 HD0000000412747 HD0000000411999 HD0000000300706 HD0000000289738 1) Remedy Ticket: HD0000000419251 North Texas reported that the Current Procedural Terminology (CPT) text displayed in the PCE section of the Summary tab of CP-Hemodialysis application for CPT Codes A4707, A4708, and S9445 are not correct. The following codes: A4707 BICARBONATE CONC POW PER PAC A4708 ACETATE CONC SOL PER GALLON S9445 PT EDUCATION NOC INDIVID The text displayed after the CPT codes are saved is the following for all three codes: 0005F Osteoarthritis Assessed, includes: Osteoarthritis Symptoms/Functional Status Assessed (1006F) use of Anti-Inflammatory or OTC Analgesic Medications Assessed (1007F) Initial Exam of Involved Joint(s) (Inspection, Palpation, ROM) (2004F) (CPT-4 0005F) The program call to retrieve the CPT codes did not bring up the correct information when using the internal entry number of the codes. Routines MDRPCW and MDRPCW1 were modified to use the CPT code to lookup the description to fix the problem. 2) Remedy Ticket: HD0000000419112 Dayton reported an undefined error with the Hemodialysis studies when the results are matched to the studies. An undefined DUZ(2) error occured from within routine MDRPCOT2. Routine MDRPCOT2 was modified to fix the error. Routine Modified: MDRPCOT2 3) Remedy Ticket: HD0000000418723 Orlando reported two issues with their auto check-in studies: a) If the appointment was scheduled with a future date and the study checked-in, the MD SCHEDULED STUDIES task updates the study with the time of when the task was ran instead of the time of the appointment in the SCHEDULED DATE/TIME field (#.14) and the VSTRING field (#.07) in the CP TRANSACTION file (#702). This causes an encounter to be created with the incorrect time. b) If a procedure is setup with a clinic for auto study check-in, the program checks-in the study for other clinics that were not indicated in the setup. This was corrected with this patch so the program checks the clinic in the setup. Routines Modified: MDWOR and MDWORSR 4) Remedy Ticket: HD0000000412747 Palo Alto reported that the default number of days to display completed studies with cumulative and multiple results is 365 days which are more days than they want to keep the studies displayed. Over time, the number of completed studies accumulate and display in CPUser. This causes the CPUser screen to be cluttered with completed studies that makes it hard for users to locate the study they want. A new XPAR Parameter Definition called MD DAYS TO RET COM MULT was added to help the sites manage their studies that have cumulative and multiple results. The user can enter a number of days smaller than 365 which will screen out older completed studies on the display. Routine Modified: MDRPCOP NEW PARAMETER DEFINITION: This new parameter definition allows the users to define the number of days (1-365) to display the studies of cumulative and multiple results in the CPUser executable. NAME: MD DAYS TO RET COM MULT DISPLAY TEXT: Days to Retain Completed Multiple Study MULTIPLE VALUED: No VALUE TERM: Days VALUE DATA TYPE: numeric VALUE DOMAIN: 1:365 VALUE HELP: Enter the number of days from 1 to 365 DESCRIPTION: The number of days after check-in date/time to display the study that has been completed in the CPUser application. This only pertains to studies that have procedures with multiple studies. PRECEDENCE: 1 ENTITY FILE: SYSTEM ---------------------------------------------------------- 5) Remedy Ticket: HD0000000411999 New York reported that the internal entry number of the hospital location was sent to the medical device. It should be the hospital location name. Routine MDHL7BH was modified to fix this. Routine Modified: MDHL7BH ---------------------------------------------------------- 6) Remedy Ticket: HD0000000300706 Charleston reported that they are receiving an "Out of Memory" error generated from the CP Gateway executable. This is caused by memory leakage in the source code. This problem causes the CP Gateway to error and shutdown. The site will need to re-start the CP Gateway about three to four times a week. Patch 20 will distribute the CPGateway executable to resolve this issue. ---------------------------------------------------------- 7) Remedy Ticket: HD0000000289738 Sites having a difficult time implementing a new device would like feedback from other sites that are running a similar medical device. This patch contains a device survey which can tally the active medical devices at a site and transmit the tally in a Mailman message to Hines Field Office. This will allow Hines to keep track of the medical devices that are actively running at the sites and provide a point of contact for sites to get additional assistance. New Routine: MDDEVCL, MDRPCOTA This routine collects the data in CP INSTRUMENT file (#702.09) and generates a Mailman message to Hines. Modified Routine: MDNCHK and MDRPCOR The routine was modified with code changes to collect the device data and generate the Mailman message when an instrument is updated in CPManager. NEW PARAMETER DEFINITION: MD DEVICE SURVEY TRANSMISSION This parameter is for the sites to use as an indicator on whether they want this data to be collected and transmitted. NAME: MD DEVICE SURVEY TRANSMISSION DISPLAY TEXT: Device Survey Transmission MULTIPLE VALUED: No VALUE TERM: Yes/No PROHIBIT EDITING: No VALUE DATA TYPE: yes/no VALUE HELP: Enter 'Y' for 'YES' or 'N' for 'NO'. DESCRIPTION: Used to determine if the site wants to transmit the device survey to Hines. Enter 'Y' for 'YES' to send the survey or 'N' for 'NO' to suppress the transmission. PRECEDENCE: 1 ENTITY FILE: SYSTEM NEW OPTION: MD DEVICE SURVEY TRANSMISSION This is a new option which will run the routine to capture the data for transmission. NAME: MD DEVICE SURVEY TRANSMISSION MENU TEXT: MD Device Survey Transmission TYPE: run routine CREATOR: ACKERMAN,NIEN-CHIN PACKAGE: CLINICAL PROCEDURES DESCRIPTION: This option will run the device survey collection routine and capture the data for transmission. ROUTINE: COL^MDDEVCL UPPERCASE MENU TEXT: MD DEVICE SURVEY TRANSMISSION POST-INIT ROUTINE: MDPOST20 There is an installation question on whether the site wants to turn the device survey transmission on. If the user takes the default of 'YES', the post-init routine will set the MD DEVICE SURVEY TRANSMISSION parameter to 'YES'; otherwise, the parameter will be set to 'NO'. Once the parameter is set to 'YES', an initial device data collection will be done and transmitted during the post installation. When the parameter is set to 'YES', any new device configured after the patch installation will generate a message with an updated device survey transmission. The device survey collection will be sent to Hines Mail Group MDDEVICE for processing. The device data that are being collected are the following: Site name CP Instrument name Processing Code (Medicine, Clinical Procedures, or Clinical Observation) Active or Inactive Sender Name The post installation routine also updates the CPGateway client version number on the server side. ---------------------------------------------------------- TEST SITES ========== Charleston Dallas Detroit Loma Linda Orlando DOCUMENTATION AND SOFTWARE RETRIEVAL: ==================================== The documentation can be retrieved in the following steps: The following files can be retrieved in BINARY format by File Transfer Protocol (FTP): CPGATEWAY.EXE (CP Gateway executable) MD_1_P20_IMPG.PDF (Implementation Guide - change pages) MD_1_P20_TM.PDF (Technical Manual - change pages) CLINPROC1_IMPG.PDF (Implementation Guide - whole manual) CLINPROC1_TM.PDF (Technical Manual- whole manual) MD_1_P20_UM.PDF (User Manual - change pages) MD_1_P6_UM.PDF (User Manual - whole manual) (The KIDS build is included in the patch message from FORUM. It does not need to be downloaded.) The preferred method is to FTP the files from download.vista.med.va.gov which will transmit the files from the first available FTP server. The files may also be downloaded directly from a particular FTP location at the following locations. Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov Files are available in the ANONYMOUS.SOFTWARE directory. INSTALLATION INSTRUCTIONS: ========================= Users may remain on the system but this patch should be installed at non-peak hours due to the high volume use of the routines included. Installation should take less than 3 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter MD*1.0*20): a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 4. Use the Install Package(s) option and select the patch MD*1.0*20. 5. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//", respond NO. 6. When prompted "Do you want to run the device survey transmission? YES//", Answer YES to run the device survey transmission, NO to suppress the device data collection and transmission. 7. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", respond NO. 8. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//", respond YES. a. When prompted "Enter options you wish to mark as 'Out Of Order': ", enter "MD SCHEDULED STUDIES". b. When prompted "Enter options you wish to mark as 'Out Of Order': ", enter "MD STUDY CHECK-IN". 9. When prompted "Delay Install (Minutes): (0-60): 0//", take the default. 10. When prompted 'DEVICE: HOME //', respond with or a device. CPGateway EXECUTABLE INSTALLATION ================================= 1) Shutdown the existing CPGateway executable. Use the "File" menu option then select Shutdown Gateway. 2) Remove the old CPGateway executable. 3) Replace with the updated CPGateway executable. POST-INSTALLATION STEP ====================== 1) Verify the following tasks MD SCHEDULED STUDIES and MD STUDY CHECK-IN are re-started. 2) The site can use the XPAR EDIT PARAMETER option to edit the parameter MD DAYS TO RET COM MULT to manage the number of days to display studies that have cumulative results. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;CLINICAL PROCEDURES;**[Patch List]**;Apr 01, 2004;Build 9 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MDDEVCL Before: n/a After: B2354165 **20** Routine Name: MDHL7BH Before: B22756208 After: B22948615 **11,21,20** Routine Name: MDNCHK Before: B2544252 After: B4073446 **11,21,20** Routine Name: MDPOST20 Before: n/a After: B2097134 **20** Routine Name: MDRPCOP Before: B75016189 After: B79065771 **4,6,11,20** Routine Name: MDRPCOR Before: B87786828 After: B92120786 **17,20** Routine Name: MDRPCOT2 Before: B44563560 After: B44429829 **6,21,20** Routine Name: MDRPCOTA Before: n/a After: B925975 **20** Routine Name: MDRPCW Before: B69393853 After: B70357475 **6,21,20** Routine Name: MDRPCW1 Before: B57107439 After: B57093327 **6,21,20** Routine Name: MDWOR Before: B40304234 After: B42202068 **14,11,21,20** Routine Name: MDWORSR Before: B57541495 After: B59105822 **14,11,21,20** Routine list of preceding patches: 17, 21 ============================================================================= User Information: Entered By : ACKERMAN,NIEN-CHIN Date Entered : NOV 25, 2008 Completed By: REZNIK,CHARMAINE Date Completed: OCT 29, 2010 Released By : MILLIGAN,KERRY Date Released : NOV 29, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT