============================================================================= Run Date: NOV 10, 2014 Designation: OR*3*404 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #349 Status: Released Compliance Date: DEC 15, 2014 ============================================================================= Associated patches: (v)OR*3*385 <<= must be installed BEFORE `OR*3*404' Subject: CPRS V30A VERSION 16 Category: - Informational - Other - Routine Description: ============ 1. Shortly after the release of several ICD-10 patches (LEX*2*80, ICD*18*57, IBD*3*63, etc.), several sites reported that the encounter form dialog in CPRS was taking an average of 1-2 mins to load. This was unacceptable and impacting patient care. ***Important Note*** Certain encounter forms will take a little longer to load than others due to the varying data intensity levels of the forms. This is particularly true for the National Primary Care FY14-Q4 form, which consists of some 1331 diagnoses and over 120 procedures. There are two changes being made to improve the encounter form load times. The first will be released in this patch (OR*3*404) and will be the Computerized Patient Record System (CPRS) GUI change. The second will be VistA server side changes and will be released in OR*3*398. We anticipate OR*3*398 will be released in December, 2014. 2. It was discovered, with CPRS v30A, that there was a problem in Clinic Reminder dialogs with prompts not appearing correctly. This could result in missing information associated with that encounter. A CPRS GUI change is required to correct this. Patch Components: ----------------- 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 ----------- ---- -------------------- OR CPRS GUI CHART Broker Modified 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 Additional Information: N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Remedy Ticket(s) & Overview: ---------------------------- 1. INC000001042172 After the installation of Lex 80 and ICD 57 we have experienced a 30 to 45 second delay before the encounter box pops up. Problem: -------- After the installation of Lex 80 and ICD 57 we have experienced a 30 to 45 second delay before the encounter box pops up. Resolution: ----------- The resolution is in three parts. The first set of changes will be made in the Computerized Patient Record System (CPRS) Graphical User Interface (GUI). Two other patches are being prepared: GMPL*2*47 and IBD*3*66. 2. INC000001064706 GUIv30a (OR*3*385) appears to have BROKEN the display of PXRM LEVEL OF UNDERSTANDING in the reminder dialog template form. PXRM LEVEL OF UNDERSTANDING was properly configured on an element (with resolution type set to 'done at encounter', and the education topic linked to the element). Problem: -------- CPRS GUI v30A made some modifications in the Clinical Reminder dialogs that have caused isse with the display of prompts. This could also affect updates getting sent to ancillary packages such as Women's Health. Solution: --------- Modifications have to made to CPRS to properly display the prompts which also corrects the issue of updates being sent to ancillary packages. Test Sites: ---------- Documentation and Software Retrieval Instructions: -------------------------------------------------- The following documents can be downloaded from the FTP address as directed by the CPRS Implementation team. The updated documentation associated with this patch is: File Name Contents --------- -------- OR_30_404_IG.DOC CPRS GUI v30.A Installation Guide (Word Version) OR_30_404_IG.PDF CPRS GUI v30.A Installation Guide CPRS documentation can also be found in the VA Software Document Library: http://www.domain.ext/vdl. Sites will retrieve VistA software from an FTP address as directed by the CPRS Implementation team. Installation instructions will be distributed when your site begins the implementation process. The software distribution includes: File Name Contents Retrieval Format --------- -------- ---------------- OR_30_404.ZIP CPRSCHART.EXE Binary OR_30_404_SRC.ZIP CPRS v30.A Source Binary OR_30_404.KID KIDS Build Ascii Patch Installation: Pre/Post Installation Overview: ------------------------------- There are no pre installation instructions. The only post installation consideration is that after installing the KIDS build, the CPRS GUI executable must be made available to the users. Pre-Installation Instructions: ------------------------------ There are no pre-install steps for this patch. Installation Instructions: -------------------------- OR*3*404 and its' associated GUI executable will be a part of the CPRS v30A phased deployment rollout. You will be notified when it is the appropriate time to install. Installation instructions will be found in the OR*3*404 Install Guide referenced above. Post-Installation Instructions: ------------------------------- N/A Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : OCT 02, 2014 Completed By: Date Completed: NOV 10, 2014 Released By : Date Released : NOV 10, 2014 ============================================================================= Packman Mail Message: ===================== No routines included