$TXT Created by at DEVRAD.DOMAIN.EXT (KIDS) on Tuesday, 06/02/20 at 09:48 ============================================================================= Run Date: JUL 08, 2020 Designation: RA*5*165 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #151 Status: Released Compliance Date: AUG 08, 2020 ============================================================================= Associated patches: (v)RA*5*158 <<= must be installed BEFORE `RA*5*165' (v)RA*5*162 <<= must be installed BEFORE `RA*5*165' Subject: RADIOLOGY PROCEDURE/ORDERABLE ITEM RESYNCHRONIZATION Category: - Routine Description: ============ Associated Ticket(s): ===================== INC8711234 INC10490597 Associated PSA: ================== AL19-01 Participating Test Sites: ========================= San Antonio (STX) Las Vegas Problem A: ---------- Patient Safety identified an issue with rejected radiology orders that are placed through CPRS. One of the root causes of these rejections is a mismatch between the RAD/NUC MED PROCEDUREs in file (#71) and the ORDERABLE ITEMs in file (#101.43). The key radiology fields between these two entries must match exactly. Resolution A: ------------- A post-init routine will traverse the ORDERABLE ITEM file (#101.43) and check all radiology entries against their counterpart in the RAD/NUC MED PROCEDURE file (#71). If anything does not match, the entry will be re-synced using the existing update logic for radiology to CPRS orderable items. Additionally, the post-init routine will report all mismatched procedures and send it via MailMan to the user identified during the patch installation by the installer. If no mail recipient is entered, the report will be sent to POSTMASTER. This report should be sent to the radiology ADPAC/AO or designee. Problem B: ---------- Another cause of the radiology order rejections is a missing "D" cross-reference on the CPT CODE (#9) field of the RAD/NUC MED PROCEDURE file (#71). Resolution B: ------------- The post-init routine will re-index the CPT CODE field (#9), index "D". Problem C: ---------- There is an issue where an HL7 result message is rejected by the RIS with the "Lock of study accession: MMDDYY-123 failed." and a stub report exists. The report is locked, and the process isn't terminated properly which leaves the lock hanging around indefinitely. Manual intervention is needed to clear the lock so the report can be filed in VistA upon resending the message. Resolution C: ------------- Routine RAHLO is updated to explicitly unlock the report in the above scenario. DOCUMENTATION RETRIEVAL: ======================== There are no documentation updates with this patch. =================== Installation Instructions ==================== If installed during the normal workday, it is recommended that the Radiology users be off the system. Other VISTA users will not be affected. Install Time - less than 2 minutes 1. Load Transport Global: ---------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. Start Up KIDS: -------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. Select Installation Option: --------------------------- When prompted for the INSTALL NAME, enter RA*5.0*165 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. 4. Select Installation Option: Install Package(s): ----------------------------------------------- **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// answer NO. C. Enter the Radiology ADPAC/AO or designee to receive the mismatched procedure report: NAME,RADIOLOGY ADPAC d. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO// answer NO. e. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Options, and Protocols? NO// answer NO. Backout/Roll-back Strategy: =========================== Back-out will be done only with the concurrence and participation of development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between development team, VA site/region personnel and other appropriate VA personnel. A national help desk ticket should be logged before attempting any backout procedures. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routines onto the VistA System. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;Radiology/Nuclear Medicine;**[Patch List]**;Mar 16, 1998;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RAHLO Before: B55238000 After: B55646905 **4,8,27,55,66,84,94,106,144, 162,165** Routine Name: RAIPS165 Before: n/a After: B76650227 **165** Routine Name: RAO7MFN Before: B53390914 After: B53489321 **1,6,10,18,45,158,165** Routine list of preceding patches: 158, 162 ============================================================================= User Information: Entered By : Date Entered : DEC 17, 2019 Completed By: Date Completed: JUL 08, 2020 Released By : Date Released : JUL 08, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT