$TXT Created by at CHEY59.FO-BAYPINES.DOMAIN.EXT (KIDS) on Friday, 12/09/16 at 09:55 ============================================================================= Run Date: MAR 06, 2017 Designation: RA*5*127 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #115 Status: Released Compliance Date: APR 06, 2017 ============================================================================= Associated patches: (v)HDI*1*16 <<= must be installed BEFORE `RA*5*127' (v)XU*8*666 <<= must be installed BEFORE `RA*5*127' Subject: NATIVE DOMAIN STANDARDIZATION RADIOLOGY REPORTS Category: - Data Dictionary - Input Template - Routine - Enhancement (Mandatory) - Other Description: ============ The Department of Veterans Affairs (VA) Interagency Program Office (IPO) and the Department of Defense (DoD) is tasked by its charter with leading the Departments' efforts "to implement national health data standards for interoperability and [be] responsible for establishing, monitoring, and approving the clinical and technical standards profile and processes to ensure a seamless [exchange] of health data." This task of Native Domain standardization is aligned with achieving the goals outlined in the 2014 National Defense Authorization Act (NDAA) requiring that the Departments' "healthcare data [are] computable in real-time and [comply] with existing national data standards" and that the "data [are] standardized as national standards continue to evolve." VA clinicians historically used non-standardized clinical terminologies which are inconsistent within the VA user community as well as within the currently accepted data standards as established by Office of the National Coordinator for Health Information Technology (ONC). Implementation of Native Standardization will allow a streamlined method for data sharing, performing clinical decision support and engaging in national data reporting and analysis. The VA has recently established a process for implementing standard terminology/terminologies within individual clinical domains for the exchange of data. The intent of this effort is to provide the detailed groundwork necessary for industry-wide interoperability. By providing a detailed analysis of the current state of the applicable domains and recommendations regarding the path forward, the Native Domain Standardization supports VA's efforts to remain at the forefront of healthcare data exchange. The local facility Automated Data Processing Application Coordinator (ADPAC) will need to associate the local procedure names in file #71 to Gold Names in file #71.99. It will be necessary to develop a national standard of radiology procedures and map to their respective Current Procedural Terminology (CPT) code and Logical Observation Identifiers Names and Codes (LOINC) will be populated under the direction of the VHA Radiology Program Office prior to implementation of any of the data within these files. The objective of this process is to enable the most user friendly interface as possible in the implementation of the native standardization along with all of the activities required to operationalize the change within the VistA environment and the associated terminology consuming applications. The Radiology ADPAC will match each active entry in the RAD/NUC MED PROCEDURES file (# 71) to an entry in the MASTER RADIOLOGY PROCEDURES file (#71.99) (MRPF). This is all that is required outside the normal day-to-day operations. When a new procedure is entered into the RAD/NUC MED PROCEDURES file (# 71) an email is automatically sent to the NEW TERMINOLOGY RAPID TURNAROUND (NTRT) team for the creation of a new entry in the MRPF. The results of the NTRT process will be one of three possible results. 1) A new entry will be created in the MRPF and will be in the next file release. 2) A match was found in the MRPF and the facility should use that entry for a match. 3) There is no LOINC that matches this procedure and a request for a new LOINC has been submitted. An On Demand report is available to the VHA Radiology Program Office that will allow them to monitor new procedure creation activity. A bulletin will be sent to a local mail group, the VHA Radiology Program Office, and NTRT when a new procedure reaches a specified number of days from creation and it has not been matched to a MASTER RADIOLOGY PROCEDURES file (# 71.99) entry. While the MASTER RADIOLOGY PROCEDURES file (# 71.99) is locked down and cannot be changed at the local facility, the RAD/NUC MED PROCEDURES file (# 71) will remain accessible to the local facility. When creating a new procedure the RA PROCEDURE will use the NEW RAD PROCEDURE WORKUP file (#71.11) as the preliminary work area. When the procedure entry is complete a newly created procedure will be moved to the RAD/NUC MED PROCEDURES file (# 71) and then removed from the NEW RAD PROCEDURE WORKUP file (#71.11). ******************************************** After installing this patch and after the MASTER RADIOLOGY PROCEDURE file (#71.99) is deployed to your facility there is an associated follow on informational patch (RA*5.0*134) that should be installed. The informational patch RA*5.0*134 provides instructions for turning on the sending of NTRT messages to the NTRT group. Related Patches --------------- XU*8*666, HDI*1.0*16, RA*5.0*127, RA*5.0*134 Until all of the patches listed in the Related Patches section are installed and the MASTER RADIOLOGY PROCEDURES file (#71.99) (MRPF) content has been deployed to your facility the ADPAC will not have the ability to interact with the MRPF. The MASTER RADIOLOGY PROCEDURES file (#71.99), distributed with the patch is not populated. Therefore, the options associated to this patch should not be used at this time. In the future, the NTRT team will populate and deploy the MRPF file for all facilities. Prior to the MRPF file population being deployed the ADPAC should ignore all NTRT mailman messages that are generated until the sending of NTRT messages functionality is turned on. When the content of the MASTER RADIOLOGY PROCEDURES file (#71.99) has been deployed the NTRT group sends a message to the NTRT_NOTIFICATION-L listserv. The ADPAC for the facility shall subscribe to this list using the following web site: http://vaww.listserv.domain.ext/scripts/wa.exe. The NTRT group does not own the List Serve application. The List Serve is a VA service. The ADPAC will need to create an account using a username and password that does NOT synchronize with the ADPAC's VA network account. ******************************************** Patch Components: Bulletins Fields Files Input Templates Mailman Group Options Routines Bulletins --------- UNMATCHED RADIOLOGY PROCEDURE New Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- RAD/NUC MED PROCEDURES (# 71) Modified MRPF NAME (# 900) New Exception Flag (# 901) New CREATION DATE (# 902) New LOINC CODE (#903) New MASTER RADIOLOGY SITE (# 71.98) New FACILITY NUMBER (.01) New FACILITY RADIOLOGY ADPAC(#1) New DAYS FOR DEACTIVATION (#2) New MATCHING COMPLETE (#3) New LAST PROCEDURE MAPPED (#4) New DAYS AFTER CREATION BULLETIN (#5) New RADIOLOGY NTRT MAILGROUP (#6) New NTRT ISAAC SCHEMA PATH (#7) New ISAAC ON LINE (#8) New SEEDING COMPLETE (#9) New NTRT AITC PORT (#10) New NTRT IP ADDRESS (#11) New NTRT IP ADDRESS1(#11.5) New NTRT ISAAC SCHEMA NAME (#11.6) New MASTER RADIOLOGY PROCEDURE (# 71.99) New GOLD NAME (#.01) New VUID (#.02) New CPT CODE (# 1) New MRPF LONG NAME (#3;.01) New LOINC (# 2) New LOINC LONG DESCRIPTION (# 2.1) New LOINC SHORT DESCRIPTION (# 2.2) New NEW RAD PROCEDURE WORKUP (#71.11) NAME (#.01) New SUPPRESS RADIOPHARM PROMPT (#2) New REQUIRED FLASH CARD PRINTER New (#3) REQUIRED FLASH CARD FORMAT New (#4) PROMPT FOR MEDS (#5) New TYPE OF PROCEDURE (#6) New STAFF REVIEW REQUIRED (#7) New CPT CODE (#9) New RAD/NM PHYS APPROVAL New REQUIRED(#11) TYPE OF IMAGING (#12) New HEALTH SUMMARY WITH REQUEST New (#13) SINGLE REPORT (#18) New PROMPT FOR RADIOPHARM RX New (#19) CONTRAST MEDIA USED (#20) New DEFAULT RADIOPHARMACEUTICALS New (#50) DEFAULT MEDICATIONS (#55) New FILMS NEEDED (#75) New INACTIVATION DATE (#100) New CONTRAST MEDIA (#125) New DEFAULT CPT MODIFIERS(PROC) New (#135) SYNONYM (#150) New AMIS CODES (#175) New MESSAGE (#200) New DESCENDENTS (#300) New EDUCATIONAL DESCRIPTION New (#500) MODALITY (#731) New MRPF NAME (#900) New Exception Flag (#901) New ENTRY CREATION DATE (#902) New LOINC (#903) New Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- RADNTRT New Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- RA MAP TO MRPF INPUT New RA NEW PROCEDURE TIME BULLETIN OUTPUT New RA SUPERVISOR MENU Modified RADIOLOGY INACTIVATE SERVER New RADIOLOGY ON DEMAND SERVER New RADNEWPRO SERVER New RALOINC ENTER INPUT New RA MAP ONE INPUT New RA MRPF PIN OUTPUT New RA SEEDING DONE INPUT New RA PROCEDURE INPUT 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 ------------- ---- ------------------ -------------------- RA PRO TO MRPF EDIT RAD/NUC MED PROCEDURES (# 71) New RA PROCEDURE EDIT EDIT RAD/NUC MED PROCEDURES (# 71) Modified NEW RAD PROCEDURE EDIT NEW RAD PROCEDURE WORKUP (#71.11) New Additional Information: None New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- None Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Test Sites: ---------- VAMC White City, OR VAMC St. Louis VAMC Chicago (Westside) Software and Documentation 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/ Title File Name FTP Mode ------------------------------------------------------------------------ Radiology Technical Manual Binary Automated Data Processing Application Coordinator (ADPAC) Addendum Binary Binary Patch Installation: Pre/Post Installation Overview: There are no pre-installation actions. For post-installation the MASTER RADIOLOGY SITE file (# 71.98) will be set with the facility number and a default of 30 days for the DAYS AFTER CREATION BULLETIN field. The RA NEW PROCEDURE TIME BULLETIN option will be queued to run daily at 3:00 a.m. Pre-Installation Instructions: ============================== This patch 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 5 minutes to install. It is not necessary to disable any options. Prior to install the global ^RAMIS and the routines RAORD1, RAMAIN2 should be backed up in case a backout is needed. Installation Instructions: -------------------------- 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. 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 patch #(ex. RA*5.0*127): 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 DDs 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, DDs, 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. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//' Rebuild the menu trees as one option has been modified and one option added. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' 8. If prompted 'Delay Install (Minutes): (0 - 60): 0//' respond 0. Post-Installation Instructions: =============================== N/A Patch Backout Plan ================== Please contact the product development team for assistance if the installed patch that needs to be backed out contains anything at all besides routines before trying to backout the patch. If the installed patch that needs to be backed out includes a pre or post install routine, please contact the product development team before attempting the backout. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following option. When prompted for the INSTALL enter the patch #. 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. The rollback procedure for VistA patches is complicated and may require a follow-on patch to fully roll back to the pre-patch state. This is due to the possibility of Data Dictionary updates, Data updates, cross references, and transmissions from VistA to offsite data stores. Please contact the product development team for assistance if needed. ROUTINE INFORMATION ------------------- Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;Radiology/Nuclear Medicine;**[Patch List]**;Mar 16, 1998;Build 119 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RA127PO Before: n/a After: B8722416 **127** Routine Name: RADELSVR Before: n/a After: B227624 **127** Routine Name: RAMAIN2 Before: B53609974 After: B63613910 **45,62,71,65,127** Routine Name: RAMAIN4 Before: n/a After: B30460135 **127** Routine Name: RAMAIN5 Before: n/a After: B38646269 **127** Routine Name: RAMRPIN Before: n/a After: B14323288 **127** Routine Name: RANEWPRO Before: n/a After: B6425688 **127** Routine Name: RANPRO Before: n/a After: B93138436 **127** Routine Name: RANPRO4 Before: n/a After: B38023574 **127** Routine Name: RANPRO5 Before: n/a After: B42155834 **127** Routine Name: RANPROU Before: n/a After: B5444307 **127** Routine Name: RANPROU2 Before: n/a After: B15193434 **127** Routine Name: RAONDEM Before: n/a After: B16252030 **127** Routine Name: RATIMBUL Before: n/a After: B5729443 **127** Routine Name: RAUTL23 Before: n/a After: B26946304 **127** Routine Name: RAXMLSND Before: n/a After: B52260194 **127** Routine list of preceding patches: 65 ============================================================================= User Information: Entered By : Date Entered : FEB 03, 2016 Completed By: Date Completed: MAR 02, 2017 Released By : Date Released : MAR 06, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT