$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Thursday, 08/28/25 at 12:03 ============================================================================= Run Date: NOV 20, 2025 Designation: RA*5*228 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #208 Status: Released Compliance Date: DEC 22, 2025 ============================================================================= Subject: RA NEW LI-RAD DX CODE Category: - Routine Description: ============ This patch will correct the following issue: The National Radiology Program Office has provided a new national LI-RADS code: NUMBER: 1425 DIAGNOSTIC CODE: LI-RADS TR NONPROGRESSING DESCRIPTION: Treated, stable or decreased in size over time after LRT PRINT ON ABNORMAL REPORT: YES GENERATE ABNORMAL ALERT?: YES EHRM Impact Statement --------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. 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): ---------------------------- Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: INC38972721 - NRPO requests new LI-RADS DX code Problem: -------- The National Radiology Program Office has provided a new national LI-RADS code: NUMBER: 1425 DIAGNOSTIC CODE: LI-RADS TR NONPROGRESSING DESCRIPTION: Treated, stable or decreased in size over time after LRT PRINT ON ABNORMAL REPORT: YES GENERATE ABNORMAL ALERT?: YES Resolution: ------------ This patch will update the DIAGNOSTIC CODES (#78.3) file for distribution to the sites. Test Sites: ----------- Louis A. Johnson VA Medical Center (Clarksburg, WV) Richard L. Roudebush VA Medical Center (Indianapolis, IN) SNOW Change Order #: -------------------- Clarksburg - CHG0650650 Indianapolis - CHG0651950 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation describing the new functionality is not included in this release. 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. 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*228 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. When prompted for the following, enter "B" for Build. Select one of the following: B Build R Routines Enter response: Build 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: Installers please alert the radiology ADPAC/PACS Managers that new diagnostic codes are available. If the sites want to utilize any of them, they will need to load the new codes into their reporting system(s). 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*228b at the INSTALL NAME prompt. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;Radiology/Nuclear Medicine;**[Patch List]**;Mar 16, 1998;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RAIPS228 Before: n/a After: B1748671 **228** ============================================================================= User Information: Entered By : Date Entered : MAY 14, 2025 Completed By: Date Completed: NOV 20, 2025 Released By : Date Released : NOV 20, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT