$TXT Created by MCNEILE,KEN at DEV.DEV.FO-HINES.MED.VA.GOV  (KIDS) on Wednesday, 12/01/10 at 07:37
=============================================================================
Run Date: FEB 11, 2011                     Designation: RA*5*101
Package : RA - RADIOLOGY/NUCLEAR MEDICINE     Priority: Mandatory
Version : 5        SEQ #94                      Status: Released
                  Compliance Date: MAR 14, 2011
=============================================================================

Associated patches: (v)RA*5*27     <<= must be installed BEFORE `RA*5*101'

Subject: CORRECT ISSUE WITH MISSING IMAGES DISPLAYING IN VISTA RAD

Category: 
  - Routine

Description:
============

 This patch will address the issue with Images that are not getting 
 attached to an Exam.  
  
 When a user attempts to create a radiology report and another process is 
 engaged in a case edit operation on the same case, the case edit 
 operation will inadvertently overwrite the REPORT TEXT field with a null.
  
 NOTE:  After installation of this patch, users case editing or status 
 tracking exams during image storage can result in an incorrect image 
 count in VistA Imaging Display and VistARad.  This will be resolved in a 
 future VistA Imaging DICOM gateway patch.
  
 ASSOCIATED NSR:
 ===============
 N/A
  
 ASSOCIATED REMEDY TICKETS:
 ==========================
 HD0000000330689 - PSPO-1460 - Not all images in a study display in 
   VistaRad;
 Duplicates:
   HD0000000352681 - Cannot verify or view report
   HD0000000239080 - "i" indicator missing from radiology image
  
 PARTICIPATING TEST SITES:
 =========================
 FAYETTEVILLE, AR
 TUCSON, AZ
 CONNECTICUT HCS 
 FAYETTEVILLE, NC
  
 REMEDY OVERVIEW:
 ================
 HD0000000330689 - Not all images in a study display in VistaRad, 
  Images are in Imaging display
  
 PROBLEM
 -------
 When adding images to an exam in the Imaging package, a Radiology stub 
 report is created for the purpose of attaching the images. This process 
 calls a Radiology routine (RARIC), which also updates the associated
 Radiology Exam data in the RAD/NUC MED PATIENT (#70) file, REPORT 
 TEXT (#17) field.  
 If a different user is editing the associated exam at the same moment the
 images are being attached to the stub report, field #17 is overwritten
 with a null by the Radiology Exam edit.
 This causes an exam to not be associated with the Radiology stub report.
  
 RESOLUTION
 ----------
 The events leading to the overwrite of the REPORT TEXT field must be
 prevented.
  
 To correct this issue Process B must LOCK the exam node being updated. 
 When Process B attempts to LOCK the exam node that LOCK attempt 
 will fail because Process A has requested and been granted a LOCK 
 for the same exam node.
  
 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 
    
 3.  Select Installation Option
     --------------------------
     NOTE:  The following are OPTIONAL - (When prompted for the INSTALL
            NAME, enter RA*5.0*101):
       
     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.  When prompted 'Want KIDS to INHIBIT LOGONs during the install? 
         NO//', answer NO 
  
     c. When prompted 'Want to DISABLE Scheduled Options, Menu 
        Options, and Protocols? NO//', answer NO 

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: RARIC
    Before: B11284123   After: B23522072  **23,27,101**
 
Routine list of preceding patches: 27

=============================================================================
User Information:
Entered By  : CEBELINSKI,GREGORY            Date Entered  : AUG 13, 2009
Completed By: CRICHLOW,SHERRY               Date Completed: JAN 24, 2011
Released By : DILORENZO,JOHN                Date Released : FEB 11, 2011
=============================================================================


Packman Mail Message:
=====================

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