============================================================================= Run Date: NOV 25, 2014 Designation: PXRM*2*39 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 2 SEQ #31 Status: Released Compliance Date: DEC 26, 2014 ============================================================================= Associated patches: (v)PXRM*2*24 <<= must be installed BEFORE `PXRM*2*39' Subject: AIRBORNE HAZARD/BURNPIT EVALUATION Category: - Routine Description: ============ Airborne Hazard and Open Burn Pit Registry Initial Evaluation The Airborne Hazard and Burn Pit Registry Clinical Reminder Dialog Template was developed by the War-Related illness and Injury Study Center (WRIISC) and Office of Public Health - Post-Deployment Health. The purpose of this template is to support the provider in a focused evaluation of a Veteran who requests an examination after completing the Airborne Hazards and Open Burn Pit Registry Self-Assessment. The template may also be useful for encounters where deployment health concerns are expressed regardless of whether the Veteran is participating in the registry. The template may be completed by a primary care provider, environmental health clinician, post-deployment champion, or a pulmonologist. This template is critical to improving the process and documentation of clinical care, and facilitating high quality care and programmatic quality improvement. Recommendations: ================ It is recommended that the reminder dialog first be installed into TEST account. After installation into TEST account the CAC/HIS will need to provide the appropriate stakeholder(s)s access to TEST account so the dialog can be reviewed. The stakeholders should be familiar with the functionality and content of the dialog before implementing into Production. This dialog should be linked to the progress note title, AIRBORNE HAZARD/BURN PIT REGISTRY INITIAL EVALUATION NOTE. The CAC/HIS will need to create the note title and link it to the VHA Enterprise Standard Title, PERSIAN GULF REGISTRY E & M NOTE. Associated Remedy Tickets: ========================== 1. INC000000943599 - Airborne Hazard and Burn Pit Dialog Associated NSR(s): ================== N/A Participating Test Site(s) ========================== Indianapolis VAMC, IN Detroit VAMC, MI VA New Jersey HCS REMEDY OVERVIEW: ================ 1. INC000000943599 -Airborne Hazard and Burn Pit Dialog Problem: -------- The War-Related Illness and Injury Study Center (WRIISC) and Office of Public Health - Post-Deployment Health have developed the Airborne Hazard and Burn Pit Registry Clinical Reminder Dialog Template to be implemented. Resolution: ----------- This patch, PXRM*2*39, contains two routines, PXRMP39E and PXRMP39I. They are init tasks that add new entries to the REMINDER EXCHANGE (#811.8) file and the contents of these entries are installed during the post-init. These routines can be deleted after the install. They perform the following during installation: 1. COMPONENT INVENTORY The VA-AH-BPR INITIAL EVALUATION NOTE Reminder Dialog contains: 1 Dialog 3 Branching Terms 21 TIU objects 7 Health Factor Categories 68 Health Factors 2 TIU Template Fields 1 Sponsor 2. REMINDER DIALOG NAME: VA-AH-BPR INITIAL EVALUATION NOTE 3. TERMS: The following 3 branching reminder terms are exported with the reminder. These terms require local modification and mapping. VA-AH-BPR AUDIT C DUE (BRANCHING LOGIC) VA-AH-BPR PTSD SCREEN DUE (BRANCHING LOGIC) VA-AH-BPR DEPRESSION SCREEN DUE (BRANCHING LOGIC) 4. LOCAL ORDER DIALOGS: The dialog has eight elements used for ordering appropriate interventions through the note. The "Additional findings" field in the elements will need to be mapped to the correct local order dialog (quick order, generic order, order set, or order menu). Instructions are included below. 5. PATIENT DATA OBJECTS: Twenty-one TIU /health summary objects/types will install with this patch; however, only twelve are new. The NEW HEALTH SUMMARY TYPES WILL NEED TO BE MAPPED TO LOCAL ITEMS. 6. HEALTH FACTORS: There are 7 new health factors categories containing 68 new health factors. Three health factors should already exist; CURRENT SMOKER, PREVIOUS SMOKER, and LIFETIME NON-SMOKER. Build Components: ================= N/A Data Dictionary: ================ N/A Software & Documentation Retrieval Instructions: ================================================ This patch is being distributed as a host file. The name of the host file is PXRM_2_0_39.KID. This file should be downloaded in ASCII format. The preferred method for obtaining these files is to use File Transfer Protocol (FTP) to download them from: ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve the files directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The Install and Setup Guide is also available on the above servers. It is available as .pdf format. This file should be downloaded in BINARY format. File Name: Description: Protocol: ========== ============ ========= PXRM_2_0_39_IG.PDF PXRM*2.0*39 Install BINARY and Setup Guide PXRM_2_0_39.KID PXRM*2.0*39 Host File ASCII PXRM_2_0_39_CAC_CKLIST.PDF CAC Checklist BINARY Documentation can also be found on the VistA Documentation Library (VDL) at: http://www.domain.ext/vdl/ Installation: ============= This patch can be loaded with users on the system. Installation will take ten to fifteen minutes. Refer to the Install and Setup Guide, PXRM_2_0_39_IG.PDF, for complete details. 1. Use the "Load a Distribution" option on the KIDS installation menu. When prompted to enter a host file type in PXRM_2_0_39.KID 2. On the KIDS menu under the 'INSTALLATION' menu, use the following options, as desired: Print Transport Global Compare Transport Global to Current System Verify checksums in Transport Global Backup a Transport Global 3. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) When prompted for INSTALL NAME, use PXRM*2.0*39 4. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//," respond 'NO'. 5. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond 'NO'. 6. After successful installation, the following init routines may be deleted PXRMP39E PXRMP39I Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;CLINICAL REMINDERS;**[Patch List]**;Feb 04, 2005;Build 209 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRMP39E Before: n/a After: B995838 **39** Routine Name: PXRMP39I Before: n/a After: B2487287 **39** ============================================================================= User Information: Entered By : Date Entered : DEC 11, 2013 Completed By: Date Completed: NOV 25, 2014 Released By : Date Released : NOV 25, 2014 ============================================================================= Packman Mail Message: ===================== No routines included