$TXT Created by RAY,Constance at CHEY132.FO-BAYPINES.MED.VA.GOV (KIDS) on Thursday, 09/08/11 at 08:57 ============================================================================= Run Date: JAN 09, 2012 Designation: ROR*1.5*15 Package : ROR - CLINICAL CASE REGISTRIES Priority: Mandatory Version : 1.5 SEQ #16 Status: Released Compliance Date: FEB 09, 2012 ============================================================================= Associated patches: (v)PSN*4*284 <<= must be installed BEFORE `ROR*1.5*15' (v)ROR*1.5*14 <<= must be installed BEFORE `ROR*1.5*15' Subject: Report modifications, CDC form updates and 508 compliance Category: - Routine - Other - Enhancement (Mandatory) Description: ============ The following is a list of changes included in this patch: 1. Two new HCV generic drugs, Telaprevir and Boceprevir, and one new HIV drug, Rilpivirine, were approved by the Food and Drug Administration (FDA) in May, 2011. These three medications have been added to the ROR GENERIC DRUG (#799.51) file and can now be selected on reports to provide information about the patients who are taking the new medications. 2. The Renal Function by Range Report has been enhanced to include a new option for calculating the eGFR called the CKD-EPI equation. The CKD-EPI GFR is an estimate of glomerular filtration (GFR) using serum creatinine and demographic factors. It is a relatively new equation that is believed to be superior to the MDRD GFR equation. If selected, the CKD-EPI scores are summarized on the report by chronic kidney disease stage. 3. The result ranges panel on the "Renal Function by Range" report will include a note that reads, "Lab tests used to calculate renal function are identified by LOINC code. Your local lab ADPAC should be contacted regarding errors in LOINC codes." 4. The header on the "Renal Function by Range" report currently reads, "Lab tests used to calculate Cockcroft-Gault and/or eGFR by MDRD scores are identified by LOINC code." This text will be updated to read, "Lab tests used in calculations are identified by LOINC code." 5. The cover sheet text of the "Renal Function by Range" report will be amended to include the list of LOINC codes that are used. The new text on the "Renal Function by Range" report will read, "Your local lab ADPAC should be contacted regarding errors in LOINC codes." 6. Currently, the "Liver Score by Range" report includes rows for tests that are not related to the test(s) selected by the user. Test rows should no longer appear if they are not used in the report calculations. If the user selects the APRI and/or FIB4 tests, then the Bili, Cr, INR, and Na rows should not appear on the report. If the user selects the MELD and/or MELDNA tests, then the AST, Platelet, and ALT rows should not appear on the report. 7. The result ranges panel on the "Liver Score by Range" report will include a note that reads, "Lab tests used in calculations are identified by LOINC code. Your local lab ADPAC should be contacted regarding errors in LOINC codes." 8. Users may now use 'Diagnosed at this VA' as a local field. The field is based on the answer to the Patient Data Editor question - 'Was your VA facility/station the first healthcare setting (VA or non-VA) to diagnose HIV?'. If Include is selected, only patients with this question answered Yes will be included on the report. If Exclude is selected, only patients with this question answered No or Unknown will appear on the report. 9. Users may now use the Select All Divisions button to display all divisions in the left hand pick box. 10. The CDC Form has been modified to correct the transposition of check box values for the "Bisexual male" and "Intravenous/injection drug user" questions. 11. The CDC Form has been modified to check the appropriate checkbox if the user selects 'yes' to the question "Received Clotting Factor for Hemophilia/Coagulation disorder". 12. An invalid date check and error message have been added for the question, "Received transfusion of blood/blood components (other than clotting factor)" on the Risk Factors Tab in the Patient Editor. 13. A future date check and error message have been added for the question, "Received transfusion of blood/blood components (other than clotting factor)" on the Risk Factors Tab in the Patient Editor. 14. A future date check and error message have been added for the question, "Did the patient ever have an AIDS OI?" on the Clinical Status Tab in the Patient Editor. 15. The Non-VA Medication back pull will run during the nightly task after the patch is installed. 16. The Date Range panels (Date Range, Medications Date Range, Lab Tests Date Range and Utilization Date Range) were re-designed for easier use with Assistive Technology. Patch Components ================ Data updates associated: File Name (Number) Record Name New/Modified/Deleted ------------------ ----------- -------------------- ROR LIST ITEM (#799.1) eGFR by CKD-EPI New Registry:VA HEPC eGFR by CKD-EPI New Registry:VA HIV ROR XML ITEM (#799.31) HIV_DX New MDRD New CKD New NPMDRD New NPCKD New ROR GENERIC DRUG (#799.51) BOCEPREVIR New TELAPREVIR New RILPIVIRINE New Dialogs associated: Dialog Name New/Modified/Deleted ----------- 7981020.001 Renal Function by Range (HTML) Modified 7981020.002 Renal Function by Range (CSV) Modified 7981999.001 Common XSL templates (HTML) Modified Test Sites: ---------- PALO ALTO HCS San Antonio, TX Coatsville, PA Documentation Retrieval Instructions ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.med.va.gov/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov Documentation can also be found on the VA Software Documentation Library at: http://www4.va.gov/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- ROR1_5P15DOC1.ZIP ROR User Manual BINARY ROR1_5P15DOC2.ZIP Release Notes, BINARY Technical Manual/Security Guide, Installation/Implementation Guide Patch Installation: Pre/Post Installation Overview ------------------------------- 1. IMPORTANT NOTE: Before installing the patch, please verify that errors in non-VA medications have been corrected. If these errors are not corrected, the CCR backpull of NON-VA medications will error out with the error EN+7^PSOHCSUM. See Instructions below. 2. The pre-installation routine in the build deletes an invalid entry from the ROR HISTORICAL DATA EXTRACTION (#799.6) file. Installation Instructions ------------------------- This patch includes an M patch and a revised Graphical User Interface (GUI) executeable. Installation of the patch will not take more than 5 minutes. This patch can be installed with VistA users online, but Registry users should be logged out of the CCR Registry Application, as a new GUI is to be installed. NOTE: The nightly task (the [ROR TASK] option) must not be running during the installation. Pre-Installation Instructions ----------------------------- M INSTALLATION INSTRUCTIONS =========================== 1. IMPORTANT: Before installing the patch, use the Pharmacy Patient Erroneous Non-VA Meds Report [PSO NON-VA MEDS REPORT] to verify that the Non-VA medication records at your site have no data integrity errors. CONTINUE TO THE NEXT STEP IF THIS OPTION DOES NOT EXIST. This report will check non-VA medications for bad data and send an email with the results. If errors are reported in the email, contact the site Pharmacy staff to use the options on the menu, Pharmacy Patient Non-VA Meds Report/Clean-up [PSOZ NON-VA MEDS REP/CLEAN] to clean up the errors. Further information is available in patch, PSO*7*288. 2. Make sure you have the ROR VA IRM security key. 3. Use the "INSTALL/CHECK MESSAGE" option on the PackMan menu. This option loads the patch into a Transport Global on your system. 4. From the Kernel Installation and Distribution System (KIDS) menu, select the Installation menu. 5. From this menu, you may elect to use the following options: (when prompted for INSTALL NAME, enter ROR*1.5*15) a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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, Data Dictionaries (DD's), templates, etc.). d. 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. 6. Use the Install Package(s) option and select the package ROR*1.5*15. The following messages display: Incoming Files: Select INSTALL NAME: ROR*1.5*15 7/6/11@10:19:21 => ROR*1.5*15 This Distribution was loaded on Jul 06, 2011@10:19:21 with header of ROR*1.5*15 It consisted of the following Install(s): ROR*1.5*15 Checking Install for Package ROR*1.5*15 Install Questions for ROR*1.5*15 799.1 ROR LIST ITEM (including data) Note: You already have the 'ROR LIST ITEM' File. I will MERGE your data with mine. 799.31 ROR XML ITEM (including data) Note: You already have the 'ROR XML ITEM' File. I will MERGE your data with mine. 799.51 ROR GENERIC DRUG (including data) Note: You already have the 'ROR GENERIC DRUG' File. I will OVERWRITE your data with mine. 799.6 ROR HISTORICAL DATA EXTRACTION (including data) Note: You already have the 'ROR HISTORICAL DATA EXTRACTION' File. I will MERGE your data with mine. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond "NO". 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', respond "NO". 8. Enter the Device you want to print the Install message. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. 9. Pre and Post-Init routine RORP015 can be deleted if desired. GUI INSTALLATION INSTRUCTIONS ============================= IMPORTANT NOTE: This patch includes a revised Graphical User Interface (GUI) application which must be distributed to the appropriate workstations. After the patch is installed correctly, and the GUI is updated, the version of the GUI will be 1.5.15. File Name Contents Transfer Mode --------- ----------- ------------- ROR1_5P15GUI.ZIP Zipped GUI BINARY 1. Unzip the ROR1_5P15GUI.ZIP into a temporary folder. 2. Open the temporary folder and double click the file CCRSetup.exe to begin the install. 3. Wait until the setup Wizard prepares the installation procedure. A welcome message displays. 4. Click Next to continue the installation. 5. Select the directory in which to install the CCR GUI. We recommend that you accept the default directory: C:\Program Files\VistA\Clinical Case Registries. To select a different location, click Change and select the directory. Click Next to proceed with installation. 6. Review the installation settings and click Install to proceed. The setup Wizard finishes the installation and a confirmation screen displays. 7. Click Finish. Post-Installation Instructions ------------------------------ N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;1.5;CLINICAL CASE REGISTRIES;**[Patch List]**;Feb 17, 2006;Build 27 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RORP015 Before: n/a After: B962707 **15** Routine Name: RORRP015 Before: B22232247 After: B22836599 **1,15** Routine Name: RORUTL11 Before: B3195130 After: B3286551 **13,14,15** Routine Name: RORX019 Before:B148477652 After:B164858937 **10,13,14,15** Routine Name: RORX020 Before:B216151292 After: B68556557 **10,13,14,15** Routine Name: RORX020A Before: B42700433 After: B53998936 **10,14,15** Routine Name: RORX020B Before: n/a After: B63829872 **15** Routine Name: RORXU002 Before:B111065586 After:B116207704 **1,10,13,15** Routine Name: RORXU005 Before: B18041693 After: B19990482 **1,15** Routine list of preceding patches: 14 ============================================================================= User Information: Entered By : RAY,CONSTANCE Date Entered : APR 14, 2011 Completed By: BERRY,LINDA Date Completed: JAN 09, 2012 Released By : VANCAMP,E PHILIP Date Released : JAN 09, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT