$TXT Created by CRUMLEY,JAMIE at DAYT17.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 07/29/08 at 15:19 ============================================================================= Run Date: AUG 20, 2008 Designation: OR*3*281 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #259 Status: Released Compliance Date: SEP 19, 2008 ============================================================================= Subject: IDENTIFY RADIOLOGY/IMAGING QUICK ORDERS THAT MAY NEED EDITING Category: - Routine - Other Description: ============ 1. A problem was discovered with the Results Reporting [OR RESULTS REPORTING] menu after the installation of GMTS*2.7*85. This patch corrects this problem. 2. OR*3*243 will add a "Reason for Study" prompt to the Computerized Patient Record System (CPRS) Graphical User Interface (GUI) "Order an Imaging Procedure" dialog. The "Reason for Study" requirement was implemented in the Radiology package with RA*5.0*75. Existing Radiology and Imaging quick orders that have text in "History and Reason for Exam" may need some text moved to "Reason for Study". Since "Reason for Study" has a size limit of 64 characters changes must be made by a person who can review what, if any, portion of the text should be moved into the new field. This patch will allow sites to produce a list of existing quick orders that should be reviewed. 3. There should no longer be a default of 'TODAY' for "Date Desired" on a Radiology quick order. Some sites have requested the ability to automatically remove 'TODAY' from the "Date Desired" prompt. In addition, there was a request to be able to exclude quick orders with an order urgency of 'STAT'. Associated Remedy: ================== 1. HD0000000241916 GMTS *85 Problem 2. HD0000000217362 Need routine to identify potential quick order problems 3. HD0000000232271 Need routine to identify Radiology QOs with default date Associated NSR(s): ================== N/A Test Sites: =========== Charleston, SC Cleveland, OH Connecticut HCS Northern Caliornia HCS Palo Alto HCS, CA San Diego, CA Tampa, FL Overview: ========= 1. HD0000000241916 GMTS *85 Problem Problem: -------- After a site installed GMTS*2.7*85, they discovered an error would occur if they used the Results Reporting Menu [OR RESULTS REPORTING] option to display Health Summary results. It was discovered that the variable XQORNOD was being set by the Order Entry Results Reporting package incorrectly, with only one piece, and this was causing a OP+3^XQCHK error to appear. Example: -------- Select OPTION NAME: OR RESULTS REPORTING Results Reporting Menu Results Reporting Menu Select Patient: GMTS,TEST PATIENT DOB ######### R E S U L T S R E P O R T I N G GMTS,TEST PATIENT ###-##-#### DOB (AGE) Wt (lb): NF ------------------------------------------------------------------------- --- Main Results Menu --- 1 Health Summary 8 Daily Order Summary 2 Lab Results (Interim) 9 Order Summary for Date/time Range 3 Graph Lab Tests 10 Customized Order Summary 4 Blood Bank Report 11 Print Chart Copy Summary 5 Anatomic Pathology Report 12 Outpatient RX Profile 6 Vitals SF511 Report 7 Vitals Cumulative Report Ad Hoc Health Summary Select Item(s): 1 Health Summary --- Health Summary --- Select Health Summary Type: CLINICAL REMINDERS// <<OP+3^XQCHK Resolution: ----------- Routine ORPRS07 has been modified to properly set two pieces into XQORNOD and thus not generate the error when displaying Health Summary results when using the Results Reporting Menu [OR RESULTS REPORTING] option. 2. HD0000000217362 Need routine to identify potential quick order problems Problem: -------- Radiology and Imaging quick orders may need to be updated as a result of the changes in OR*3*243. Resolution: ----------- A new option will be provided, Radiology/Imaging Quick Order Search [ORCM RA SEARCH]. This option will search for Radiology and Imaging quick orders that have free text fields that contain text. A sample message and additional details are included below the 'Important Notes' section. 3. HD0000000232271 Need routine to identify Radiology QOs with default date Problem: -------- Radiology and Imaging quick orders should no longer contain a default of TODAY for Date Desired. Sites need assistance in locating and updating the quick orders that need to be updated. Resolution: ----------- The search option for item 2 includes a search for quick orders that contain a default for the Date Desired prompt. In addition, the option will remove the Date Desired default values of 'T' or 'TODAY' as requested by the user. A sample message and additional details are included below. ***Important Notes*** If you identify quick orders that need to be updated, you must wait until after the installation of OR*3*243 to make these updates. Use the Enter/edit quick orders [ORCM QUICK ORDERS] option to update the quick orders, where appropriate. It may also be necessary for providers to edit their personal quick orders. Even disabled quick orders will be shown, for review purposes. The results will be sent as a mail message to the person who ran the option. Please note, it may be necessary for this menu option to be assigned to the person responsible for the review (i.e. Clinical Coordinator and/or Radiology ADPAC). The following shows a sample message. It is difficult to read since it is formatted to print 132 characters. In the column for "Text or Start Date/Time", there will be a "T" or "D" to indicate "Text" or "Date". Select OPTION NAME: ORCM RA SEARCH RADIOLOGY/IMAGING QUICK ORDER SEARCH RADIOLOGY/IMAGING QUICK ORDER SEARCH Clear Date Desired with a response of "TODAY"? Y Exclude quick orders with STAT urgency? Y Requested Start Time: NOW// (NOV 19, 2007@11:36:42) The check of Radiology/Imaging Quick Orders is queued (to start NOW). YOU WILL RECEIVE A MAILMAN MESSAGE WHEN TASK #154113 HAS COMPLETED. Sample mail message: Subj: RADIOLOGY/IMAGING QUICK ORDERS [#668609] 04/15/08@20:39 592 lines From: CPRS, SEARCH In 'IN' basket. Page 1 -------------------------------------------------------------------------- The check of Radiology/Imaging Quick Orders is complete. Here is the list of all quick orders that should be reviewed: Quick Order Name Disable Text Text or Start Date/Time Ancestors/Menus or Reminders RAGR CHEST 2 VIEWS PA&LAT STAT QO D: TODAY On a menu or in an order set T: POST OP SURGERY RAGR CHEST 2 VIEW DISABLED T: TEST ORWDQ E87030CE no longer used T: TESTING ORWDQ 3A173B44 T: h/o high grade fever End sample mail message Installation Instructions ========================= This patch can be loaded with users in the system. Installation time is less than five minutes. Suggested time to install: non-peak requirement hours. 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation --- 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 2. From this menu, you may elect to use the following options (When prompted for the INSTALL NAME, enter OR*3.0*281 a. 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. 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. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 3. Use the Install Package(s) option and select the package OR*3.0*281 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 and Menu Options and Protocols? NO//', answer NO. Installation Example: ===================== Select INSTALL NAME: OR*3.0*281 Loaded from Distribution 11/20/07@10:53:32 => OR*3*281 This Distribution was loaded on Nov 20, 2007@10:53:32 with header of OR*3*281 It consisted of the following Install(s): OR*3.0*281 Checking Install for Package OR*3.0*281 Install Questions for OR*3.0*281 Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// Want KIDS to INHIBIT LOGONs during the install? NO// Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// TCP Install Started for OR*3.0*281 : Nov 20, 2007@10:53:48 OR*3.0*281 -------------------------------------------------------------------------- Build Distribution Date: Nov 20, 2007 Installing Routines: Nov 20, 2007@10:53:48 Installing PACKAGE COMPONENTS: Installing OPTION Nov 20, 2007@10:53:48 Updating Routine file... Updating KIDS files... OR*3.0*281 Installed. Nov 20, 2007@10:53:48 Install Message sent #638142 -------------------------------------------------------------------------- +------------------------------------------------------------+ 100% | 25 50 75 | Complete +------------------------------------------------------------+ Install Completed 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 14 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ORPRS07 Before: B9830051 After: B9940759 **281** Routine Name: ORY281 Before: n/a After: B27046619 **281** ============================================================================= User Information: Entered By : CRUMLEY,JAMIE Date Entered : NOV 07, 2007 Completed By: WERNER,GARY Date Completed: AUG 14, 2008 Released By : HINES,RICK Date Released : AUG 20, 2008 ============================================================================= Packman Mail Message: ===================== $END TXT