============================================================================= Run Date: SEP 14, 2016 Designation: ONC*2.2*5 Package : ONC - ONCOLOGY Priority: Mandatory Version : 2.2 SEQ #4 Status: Released Compliance Date: OCT 15, 2016 ============================================================================= Associated patches: (v)ONC*2.2*7 <<= must be installed BEFORE `ONC*2.2*5' Subject: ABSTRACT AND EXTRACT FIXES AND UPDATES Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ This patch contains enhancements that extend and improve the functionality of the VistA OncoTrax package. The purpose of this release is to update the functionality as described below. All Data Dictionary modifications and additions have been reviewed and approved by the Data Base Administrator. CA SERVICE DESK MANAGER INCIDENTS ADDRESSED: I7282506FY16 BMC REMEDY INCIDENT ADDRESSED: INC000001107492 - IPv6 Transition for Oncology 1. Remove Recurrence Date-1st Flag if Date of First Recurrence is modified Registrars need the RECURRENCE TYPE-1ST FLAG (#165.5, #999.21) field to be deleted if the registrar modifies the DATE OF FIRST RECURRENCE (#165.5, #70) field. The RECURRENCE TYPE-1ST FLAG was added to the EDITS Modifications module in a previous patch so that users are allowed to override the calculated value. However this field needs to be reset if the recurrence is edited. This was accomplished by adding a trigger cross-reference to the DATE OF FIRST RECURRENCE (#165.5,#70) field so that if the field is modified it will delete the value in the RECURRENCE TYPE-1ST FLAG (#165.5, #999.21) field. 2. Add time stamp to the Date Case Completed and Date Case Last Changed fields To assist managers/supervisor in verification of the date and time a case was either completed or changed, the DATE CASE COMPLETED (#165.5, #90) and DATE CASE LAST CHANGED (#165.5, #198) fields will now store and display the date & time. Previously these fields only stored the date and not a time stamp, so this patch will add the time stamp to both fields. This will be displayed in the Abstract Edit Primary [ONCO ABSTRACT-EDIT] option. 3. Change Case Administration and Timeliness Report to Display Elapsed Days To Completion Two options have been updated to display the ELAPSED DAYS TO COMPLETION (#165.5, #157) field: the Timeliness Report [ONC TIMELINESS REPORT] option and the Abstract Edit Primary [ONCO ABSTRACT-EDIT] option, under the Case Administration section. This replaces the display of ELAPSED MONTHS TO COMPLETION (#165.5, #157.1) field. The reason is that the CoC's (Commission on Cancer) Completeness Report now uses days to completion rather than months to completion. 4. Add the name of the registrar who created a follow-up in the Case Administration display In the Abstract Edit Primary [ONCO ABSTRACT-EDIT] option, under the Case Administration section, the name of the registrar who last edited the Abstract, stored in the CASE LAST CHANGED BY (#165.5, #199) field is displayed after the DATE CASE LAST CHANGED (#165.5, #198) field. This field will be triggered to record the name of the registrar who did the editing even if it was a Follow-Up added. 5. Allow registrar to over-ride '988' value stuffed in discontinued Site Specific Factor (SSF) fields For SSF fields that have been discontinued a value of '988' is stuffed into the fields. It was not possible for registrars to go in and enter a value for those fields. Some sites however, may still choose to use those fields even though they have been discontinued by Collaborative Staging. For this reason, this patch will add checks to the stuffing of discontinued fields to check if the SSF has a value first and if so do not stuff; this allows the registrar to enter a value which will override the stuffed value. 6. Expand the Performance Status at DX codes Expand the allowable selections for the PERFORMANCE STATUS AT DX (#165.5, #227) field to include ECOG and KPS (Karnofsky Performance Scale) values. No conversion of existing data is necessary. The description and help text for this field has also been expanded and modified for the new selections. The newly added codes are: 0 ECOG 0 1 ECOG 1 2 ECOG 2 3 ECOG 3 4 ECOG 4 5 ECOG 5 9 UNKNOWN 10 KPS 10 20 KPS 20 30 KPS 30 40 KPS 40 50 KPS 50 60 KPS 60 70 KPS 70 80 KPS 80 90 KPS 90 100 KPS 100 7. Remove Clinical and Pathologic TNM fields from required items To change an Abstract Status to "Complete" there is a list of required data items that must be filled in. If any of these fields are not entered there is a warning displayed and the abstract will not change to complete. The CLINICAL T (#165.5, #37.1), CLINICAL N (#165.5, #37.2), PATHOLOGIC T (#165.5, #85) and PATHOLOGIC N (#165.5, #86) fields are no longer required to complete an abstract and have been removed from the required fields check. 8. Update the text for Surgical Procedure code selection #15 of LUNG (C34._) cases For LUNG (C34._) cases, the SURGERY OF PRIMARY (F) (#165.5, #58.6) field will be updated to add the text "; RFA" to code selection #15. The new code text will now look like this: 15 Local tumor destruction, NOS; RFA 9. Add 10 User Defined Fields (UDF) for creation and use at each facility Add 10 new fields in the abstract, UDF #1 - #10. The fields are free text, 1-6 characters long. These 10 new fields have been added to the Abstract Edit Primary [ONCO ABSTRACT-EDIT] option in a new module: 9. User-Defined Fields. They will also show up within the Abstract towards the end just before the Abstract Status. 10. Add newly required codes to Other Staging System Expand the allowable selections for the OTHER STAGING SYSTEM (#165.5, #39) field. This field is a pointer to the OTHER STAGING FOR ONCOLOGY (#164.3) File. The new PCLC and UNOS codes have been added to the file for selection in the OTHER STAGING SYSTEM field. The newly added fields are: BCLC A0 BCLC A1 BCLC A2 BCLC A3 BCLC A4 BCLC B BCLC C BCLC D UNOS T1 UNOS T2 UNOS T3 UNOS T4a UNOS T4b 11. Add new Clinical and Pathologic Stage Descriptor fields to the Abstract Add CLINICAL STAGE DESCRIPTOR (#165.5, #241) and PATHOLOGIC STAGE DESCRIPTOR (#165.5, #242) fields to the abstract (after the STAGE GROUP fields) for all primary sites. The codes and help text for these set of codes fields was also expanded. 12. Screen C18.1 cases from RQRS option regardless of selected sorting fields Screen the C18.1 (67181) cases from the Create RQRS Extract [CREATE RQRS EXTRACT] option when user runs the option sorted by DATE CASE LAST CHANGED (#165.5, #198) or ACCESSION NUMBER (#165.5, #.05). Currently the C18.1 cases are only screened when the user runs the option sorted by DATE DX (#165.5, #3). 13. Remove of the Print Abstract-Brief (80c) [PRINT ABSTRACT-BRIEF 80] option The Print Abstract-Brief (80c) [PRINT ABSTRACT-BRIEF 80] option which had been marked for deletion previously, will be removed from the Abstracting/Printing [ABSTRACT ENTRY/PRINT] menu. 14. Remove skipping of Performance Status at DX For abstracts which skip over the Staging/TNM coding (for instance, UNKNOWN primaries) the abstract would also skip past the PERFORMANCE STATUS AT DX (#165.5, #227) field. This has been modified so that the PERFORMANCE STATUS AT DX field is not skipped and may be edited by the user. 15. Correct auto-staging for angiosarcoma and malignant mesenchymoma cases For C38._ and C49._ cases with Histology of 8990/3 or 9120/3 the Abstract Edit Primary [ONCO ABSTRACT-EDIT] option would stuff the staging fields with '88' and skip over this section. This is no longer correct and will be fixed. For these cases the fields will no longer be stuffed and skipped; the registrars will now be able to edit these fields. 16. New selection in RQRS Option to select All Analytic Cases Previously the Create RQRS Extract [ONCO RQRS EXTRACT] option would only include Breast, Colon and Rectum cases. A new selection is needed which will allow the user to select ALL cases. The previous selection will remain so users can run the report either by selecting ALL cases or only Breast, Colon and Rectum cases. 17. Internet Protocol v6 Routines ONCX10 and ONCXURL will be updated to allow for handling of new Internet Protocol v6 format, while retaining the existing functionality to handle the old Internet Protocol v4 format. Since the IPv6 is not yet in use, installation and testing of this functionality should just confirm that no new problems are introduced and that Collaborative Staging and EDITS continue to work correctly. 18. Correct EDITS error returned for C17.9 cases with Histology of 9930/3 When completing an abstract for cases with PRIMARY SITE (#165.5, #20) field = "C17.9" and HISTOLOGY (ICD-O-3) (#165.5, 22.3) field = "99303" an EDITS error was being returned. The EDITS error indicated a "00" for SURGERY OF PRIMARY (F) (#165.5, #58.6) field. The OncoTrax code was sending an incorrect value for field #58.6 to the EDITS URL which was resulting in an error being returned by the EDITS. This code was modified to send the correct value for field #58.6 which eliminates the EDITS error. 19. Accession Only Abstract Status trigger Abstracted By field When setting an ABSTRACT STATUS (#165.5, #91) to "Accession Only" a trigger will be added to set the ABSTRACTED BY (#165.5, #92) field to record the Registrar's Name. Previously this field was only triggered for Abstracts to "Complete". This is needed for QA at sites so that facilities will be able to track "Accession Only" cases. 20. Update code text value for SEER Summary Stage For the SEER SUMMARY STAGE 2000 (#165.5, #35) and SEER SUMMARY STAGE ABBREVIATED (#165.5, #35.1) fields the text value for selection #8 needs to be updated to "NA/Benign". 21. Exclude ICD10 PHI Codes from ACOS & State/VACCR Data Download options The Create ACOS Data Download [ONCO #SITE-CREATE ACOS DISK] and Create State/VACCR Data Download [ONCO #STATE DATA DISK] options were excluding ICD9 PHI codes from the COMORBIDITY section if the user chose to exclude them. This patch will also allow the user to exclude the ICD10 PHI codes from the SECONDARY DIAGNOSIS section if the user chooses to exclude them. 22. Value of N88 not allowed for CLIN & PATH T,N,M,GROUP fields for C44 cases For Cutaneous Leiomyosarcoma cases with Primary Site = C44 and Histology = 8890/3 the user was not able to enter the '88' value for Clinical and Pathologic Staging fields. This is fixed so that '88' values are allowed and show up in the help text. 23. Histology 9421/1 obsolete for cases with DATE DX of 1/1/2001 or later For cases with a Date DX of 1/1/2001 or later the Histology of 9421/1 is obsolete and will no longer be selectable. The user will see the following message: 94211 is obsolete for primaries starting 2001!!!! 24. Update of the Health Summary ONC Remote Data View The Collaborative Staging section will be removed from the Health Summary ONC Remote Data View. This was required due to the display of old/outdated AJCC 6th Edition fields. Also, since Collaborative Staging of TNM values will be retired with 2016 and later cases, these obsolete fields should be removed from the displays anyway. These changes are included in the associated Health Summary patch, GMTS*2.7*117, which must be installed in conjunction with patch ONC*2.2*5. 25. CA Service Desk Incident # 7282506FY16: Queuing Issue in Automatic Casefinding-PTF Search Option The Automatic Casefinding-PTF Search [ONCO SUSPENSE-CASEFIND (PTF)] option was modified for ICD-10 in Patch ONC*2.2*7, but a problem with queueing the report was found. If the report was queued to print at a later time, the report would error out with an Undefined SBCIND variable. This has been fixed. 26. New HEMA @FAC Fields Created and Added to the Abstract Two new @FAC fields were created and added to the Abstract: HEMA TRANS/ENDOCRINE PROC @FAC (#165.5, #153.2) and HEMA TRANS/ENDOCRINE PR@FAC DT (#165.5, #153.3). These 2 new fields have been added to the Abstract Edit Primary [ONCO ABSTRACT-EDIT] option for display and editing. The 2 fields were also added to the Print Abstract-Extended (80c) [ONCO ABSTRACT-EXTENDED 80] and Print Complete Abstract (132c) [ONCO ABSTRACT-PRINT/E0132] report options. 27. Change Default of Secondary Diagnosis Prompt to YES In the Complete Abstract [ONCOXM10] option the default value for the "Would you like to edit the SECONDARY DIAGNOSIS #1-10 prompts" has been changed from "No" to "Yes". 28. Fix Code for Follow-Up Status (#160, #15.2) Field & Convert Incorrect Values The FOLLOW-UP STATUS (#160, #15.2) field was not being set correctly by the OncoTrax software. This field is not editable by the Registrars, it is only set within the code. For patients with only 1 Primary and a Class of Case for that primary of 00 or 30-99 the Follow-Up Status should always be set to 0 (Inactive). The code was allowing these to be set to 1 (Active) or 8 (LTF) which was not correct. The code to set the field was corrected and an item was added to the Post-Init routine to correct any bad values in existing entries. 29. Correct Staging for Waldenstrom Cases (Primary Site=C42.0, Histology=9761/3) Waldentrom Cases with SITE/GP=HEMATO/RETICULO, PRIMARY SITE=C42.0 and HISTOLOGY=9761/3 were not staging correctly. These cases were not correctly dropping into the 'SYSTEMIC DISEASE - No EOD/TMN Coding' section. This is now corrected so that these cases will drop into the correct staging and have the correct default values filled in. 30. Correct the TNM Staging for Pancreas Cases with Histology = 8240 - 8244 Pancreas Cases with a Histology in the range of 8240-8244 were defaulting the TNM Staging values to 88's. Previously this was correct because these cases were excluded from TNM Staging, but beginning in 2010 these Histologies are now included as part of the Pancreas schema. This is corrected so that these cases will allow TNM staging values to be entered. Patch Components ================ Routines: --------- This release contains 34 routines. Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- ------------------ -------------------- ONCOLOGY PRIMARY (#165.5) SEER SUMMARY STAGE 2000 (#35) Modified RADIATION @FAC (#51.4) Modified CHEMOTHERAPY @FAC (#53.3) Modified HORMONE THERAPY @FAC (#54.3) Modified IMMUNOTHERAPY @FAC (#55.3) Modified OTHER TREATMENT @FAC (#57.3) Modified DATE OF FIRST RECURRENCE (#70) Modified DATE CASE COMPLETED (#90) Modified DATE CASE LAST CHANGED (#198) Modified PERFORMANCE STATUS AT DX (#227) Modified HEMA TRANS/ENDOCRINE PROC @FAC (#153.2) New HEMA TRANS/ENDOCRINE PR@FAC DT (#153.3) New TNM CLIN DESCRIPTOR (#241) Modified TNM PATH DESCRIPTOR (#242) Modified UDF1 (#284) New UDF2 (#284.1) New UDF3 (#284.2) New UDF4 (#284.3) New UDF5 (#284.4) New UDF6 (#284.5) New UDF7 (#284.6) New UDF8 (#284.7) New UDF9 (#284.8) New UDF10 (#284.9) New 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 (#) New/Modified/Deleted ------------- ---- ------------- -------------------- ONCO ABSTRACT-I Input #165.5 Modified ONCOY55 Print #165.5 Modified Test Sites ========== Hines VAMC Washington, DC VAMC West Haven, Ct Documentation Retrieval: ======================== There is no new documentation associated with this patch. Patch Installation: Pre/Post Installation Overview ============================== There is no pre-installation routine, but there is a post installation routine (ONC2PS05) associated with this patch. The routine ONC2PS05 may optionally be deleted by the installer after the installation is complete. Installation instructions: ========================== This patch should be loaded with Oncology users off the system. Installation should take less than 15 minutes. Please DO NOT QUEUE this patch. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - This patch is available as a Kernel Installation and Distribution System (KIDS) distribution file. The Host File is named ONC22P5.KID. Software Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. 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 Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ 1. Load the KIDS distribution file via the 'Load a Distribution' option on the KIDS Installation menu. 2. Prior to installing the patch you may want to make use of the following optional installation options located on the KIDS Installation menu: a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. 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 components of this patch (routines, DD's, templates, etc.). c. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. 3. Install the KIDS distribution via the 'Install Package(s)' option on the KIDS Installation menu. a. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' Answer NO. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' Answer NO. c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' Answer NO. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.2;ONCOLOGY;**[Patch List]**;Jul 31, 2013;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ONC2PS05 Before: n/a After: B15386240 **5** Routine Name: ONCACD0 Before:B172794194 After:B184758090 **1,4,5** Routine Name: ONCACD1 Before: B66324874 After: B71259107 **1,4,5** Routine Name: ONCACDU1 Before: B36326632 After: B47366223 **1,4,7,5** Routine Name: ONCACDU2 Before:B117684945 After:B119516553 **1,4,7,5** Routine Name: ONCATF1 Before: B40406368 After: B52321975 **1,5** Routine Name: ONCCS Before: B57102325 After: B58774411 **1,4,5** Routine Name: ONCCS2 Before:B161364697 After:B114251425 **1,4,5** Routine Name: ONCCS3 Before:B165294557 After:B129668253 **1,5** Routine Name: ONCCS4 Before: n/a After:B112818523 **5** Routine Name: ONCDTX Before: B77514496 After: B80330484 **1,5** Routine Name: ONCDTX1 Before: B16707284 After: B19374560 **1,5** Routine Name: ONCNTX1 Before: B56514658 After: B62064130 **1,5** Routine Name: ONCOAIF Before: B52230791 After: B52773252 **1,4,5** Routine Name: ONCOAIP Before:B104755079 After:B111415051 **1,4,5** Routine Name: ONCOAIP2 Before: B18454221 After: B24643610 **1,4,5** Routine Name: ONCOCC Before: B44658900 After: B50012224 **1,5** Routine Name: ONCOCFP Before: B60462094 After: B60703734 **1,7,5** Routine Name: ONCOCOS Before: B10618905 After: B10736400 **1,5** Routine Name: ONCOCRF Before: B14483451 After: B18529127 **1,5** Routine Name: ONCODIS Before: B774180 After: B774104 **1,4,7,5** Routine Name: ONCODSP Before: B55457846 After: B55463101 **1,4,5** Routine Name: ONCODSR Before: B90029978 After: B90897333 **1,5** Routine Name: ONCOEDC Before: B26708219 After: B30501240 **1,5** Routine Name: ONCOEDC1 Before: B42257754 After: B41015408 **1,5** Routine Name: ONCOPA1 Before: B58176718 After: B58176942 **1,5** Routine Name: ONCOPA2 Before: B44535183 After: B46065983 **1,5** Routine Name: ONCOTN Before:B125327405 After:B122391694 **1,4,5** Routine Name: ONCPAT1 Before: B8589668 After: B8598027 **1,5** Routine Name: ONCPTX Before: B84842424 After: B86311833 **1,5** Routine Name: ONCTIME Before: B14762855 After: B15284666 **1,5** Routine Name: ONCUTX1 Before: B32335696 After: B36437776 **1,5** Routine Name: ONCX10 Before: B13422084 After: B13514830 **1,5** Routine Name: ONCXURL Before: B3380054 After: B3753041 **1,5** Routine list of preceding patches: 7 ============================================================================= User Information: Entered By : Date Entered : FEB 09, 2015 Completed By: Date Completed: AUG 24, 2016 Released By : Date Released : SEP 14, 2016 ============================================================================= Packman Mail Message: ===================== No routines included