============================================================================= Run Date: JAN 28, 2015 Designation: OR*3*398 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #350 Status: Released Compliance Date: FEB 27, 2015 ============================================================================= Associated patches: (v)OR*3*385 <<= must be installed BEFORE `OR*3*398' Subject: Encounter form dialog performance issues Category: - Routine Description: ============ 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. It is important to note that 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. The six sites who reported the issue include: Asheville, Beckley, Salem, Northern Indiana, Dallas, & Omaha. After some investigation, it was determined that half of these sites were still running on VMS servers and the other half a mixed OS environment (VMS back end with Linux front end). Some metric tests were performed and it was determined that running on a slower VMS system did contribute to some of the performance issues, but not entirely all. After further research, it was concluded that several API's that are called to retrieve encounter form information during the load could be optimized for improvement. One of the API's is DIAG^ORWPCE which is modified in this patch. The associating API, CHKLST^IBDF18A2 is updated in the IBD*3.0*66 patch. These two patches comprise of the short term solution and serves to provide immediate remedy while a long term solution is being developed. 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 ----------- ---- -------------------- 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 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. 2. INC000001054218: Users have been experiencing significant delays in accessing encounter forms in CPRS since installing patch PXRM*2*26. Takes anywhere from 30 seconds to 2 minutes for the form to open once clicking on it. 3. INC000001050760: CPRS encounter form dialog performance issues. Test Sites: ---------- Beckley Heartland West Northern Indiana Software Retrieval Instructions: -------------------------------- This software is being released in a combined build with IBD*3*66. The file name will be: OR_398_IBD_66.KID. Please download the software using ASCII format. The preferred method is to FTP the files from ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext Patch Installation: Pre/Post Installation Overview: ------------------------------- There are no special considerations for pre-installation or post-installation. Pre-Installation Instructions: ------------------------------ N/A Installation Instructions: -------------------------- This patch loads only a single routine and 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 10 minutes to install. 1. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter the host file name OR_398_IBD_66.KID or the patch OR*3.0*398: a. Load a Distribution - This option will load the KIDS build in preparation for the installation. b. 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 DDs or templates. c. 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, DDs, templates, etc.). d. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', response with NO. 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', respond with NO. Post-Installation Instructions: ------------------------------- N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[Patch List]**;Dec 17, 1997;Build 15 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ORWPCE Before: B64200861 After: B63752206 **10,85,116,173,190,195,215, 243,295,280,306,361,385,398** Routine list of preceding patches: 385 ============================================================================= User Information: Entered By : Date Entered : MAY 07, 2014 Completed By: Date Completed: JAN 20, 2015 Released By : Date Released : JAN 28, 2015 ============================================================================= Packman Mail Message: ===================== No routines included