$TXT Created by at DEVRAD.DOMAIN.EXT (KIDS) on Friday, 02/23/24 at 11:27 ============================================================================= Run Date: APR 12, 2024 Designation: RA*5*211 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #191 Status: Released Compliance Date: MAY 14, 2024 ============================================================================= Associated patches: (v)RA*5*158 <<= must be installed BEFORE `RA*5*211' (v)RA*5*206 <<= must be installed BEFORE `RA*5*211' Subject: BIRADS R UPDATE AND CANCEL/HOLD REASON UPDATE Category: - Routine Description: ============ This patch will correct the following issue: The National Radiology Program Office (NRPO) requests updates to the recently released BI-RADS R diagnostic code so that it displays the descriptive text. The NRPO approved an update to the PATIENT NO SHOW cancel reason so it can also be used as a hold reason. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number 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 Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: ------------------------------------------- INC31552065 - Add display text to DX code BI-RADS R Problem: -------- The BI-RADS R diagnostic code was released without the mandatory display text activated. This is an FDA requirement. Resolution: ------------ The BI-RADS R diagnostic code entry will be updated to include the display text "Post-Procedure Mammogram for Marker Placement". Additionally the name will be updated from BI-RADS R to BI-RADS CATEGORY R. INC31665326 - Update cancel reason "PATIENT NO SHOW" to be used as both cancel and hold reason. Problem: -------- The NRPO has approved the PATIENT NO SHOW cancel reason to be updated to a CANCEL and HOLD reason. Currently it can only be used as a cancel reason. Resolution: ----------- The RAD/NUM MED REASONS file (#75.2) entry for PATIENT NO SHOWED has been updated for use as a cancel and hold reason by updating the TYPE OF REASON field (#2) to GENERAL REQUEST (9). Test Sites: ----------- Ann Arbor VA Medical Center (Ann Arbor, MI) Minneapolis VA HCS (Minneapolis, MN) SNOW Change Order #: -------------------- Ann Arbor - CHG0465999 Minneapolis - CHG0465979 The software for this patch is being released in a PackMan message. Patch Installation: ------------------- 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. There are no options that need to be disabled. Create a backup of the following global file before continuing: DIAGNOSTIC CODES #78.3 ^RA(78.3 When you are creating a backup of a subscripted global, you are saving a partial global (a file within a global). You should use the utility ^%GOGEN, and when prompted for a global, enter the open global reference as shown below. Note that you may need to use GOGEN^%ZSPECIAL if you don't have permissions to access ^%GOGEN directly. Enter To create a Backup copy of: ------ -------------------------- ^RA(78.3, DIAGNOSTIC CODES Installation Instructions: 1. Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter RA*5.0*211 B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build RA*5.0*211. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. 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 of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer NO ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. Post-Installation Instructions: N/A Back-out/Rollback 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. If the new backup build option was used, after Xtracting the patch message use the KIDS Installation menu and enter RA*5.0*211b at the INSTALL NAME prompt. Data modified by this patch will be rolled back by utilizing the backup of DIAGNOSTIC CODES (#78.3) file that was created before the patch was installed. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;Radiology/Nuclear Medicine;**[Patch List]**;Mar 16, 1998;Build 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RAIPS211 Before: n/a After: B3223740 **211** ============================================================================= User Information: Entered By : Date Entered : FEB 22, 2024 Completed By: Date Completed: APR 12, 2024 Released By : Date Released : APR 12, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT