============================================================================= Run Date: JUN 09, 2005 Designation: LA*5.2*67 Package : LA - AUTOMATED LAB INSTRUMENTS Priority: Mandatory Version : 5.2 SEQ #53 Status: Released Compliance Date: JUL 10, 2005 ============================================================================= Associated patches: (v)LA*5.2*1 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*17 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*22 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*27 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*46 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*47 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*62 <<= must be installed BEFORE `LA*5.2*67' (v)LA*5.2*64 <<= must be installed BEFORE `LA*5.2*67' Subject: LABORATORY POINT OF CARE INTERFACE Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ Blood Bank Clearance ==================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*67 does not contain any changes to the VISTA BLOOD BANK Software as defined by VHA DIRECTIVE 99-053 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2. EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*67 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LA*5.2*67 have no effect on Blood Bank software functionality, therefore RISK is none. ======================================== This patch adds support for Laboratory Point of Care (POC) interfaces. It utilizes existing functionality provided by Laboratory Universal Interface (UI) and Laboratory Electronic Data Interchange (LEDI) software. It supports the transmission, processing and storing of POC test results in the VistA Laboratory package. The ability of POC interfaces to subscribe to VistA HL7 ADT messages for patient demographics and location information is provided as needed. Support for 5 separate POC interfaces is provided. NOTE: THIS PATCH WILL BE INSTALLED WITH PATCH LR*5.2*290 1. NOIS DAN-0105-41616/Remedy HD0000000071211 reported undefined DUZ("AG") variable when processing Lab HL7 messages. The following new 'non-human' entries will be installed in NEW PERSON file (#200). These entries have the approval of VA VistA Data Base Administrator. NAME: LRLAB,HL NAME COMPONENTS: 200 SIGNATURE BLOCK PRINTED NAME: HL LRLAB NAME: LRLAB,POC NAME COMPONENTS: 200 SIGNATURE BLOCK PRINTED NAME: POC LRLAB User LRLAB,HL will be used by Laboratory when processing HL7 messages to insure a consistent Kernel environment with respect to the system-wide DUZ variable array. User LRLAB,POC will be used by Laboratory when creating POC orders and accessions to indicate that these orders and accessions were created by the POC interface background process. Sites should assign to the user LRLAB,POC those divisions that will be used by POC interfaces to accession POC results into VistA Laboratory package. Additionally, the following changes have been made: 2. Removed prompt to save alert when viewing lab messaging alert in routine LA7UXQA. This functionality is now part of Kernel Alert processing. 3. When logging lab messaging processing errors, FileMan DIE call in routine LA7LOG was converted to FileMan DBS call. 4. Lab messaging will now check that LA7TASK NIGHTY option is scheduled in TaskMan. If not scheduled then an alert notifying members of mail group LAB MESSAGING will be generated. The alert message will read "Lab Messaging - Option LA7TASK NIGHTY is not scheduled in TaskMan". Documentation regarding tasking can be found in the VistA Laboratory LEDI User Guide and on-line via the DESCRIPTION field of the OPTION file (#19) for this entry. 5. Result of 'canc' was not being processed if the test was configured to only accept 'final' type results (HL7 Table 0085 - Observation result status codes interpretation codes C, F, or U. Changed routine LA7VIN5A to accept and process "canc' result with status code X. ASSOCIATED E3R -------------- ASSOCIATED NOIS/Remedy ------------------------------ DAN-0105-41616/HD0000000071211 TEST SITES ---------- Madison VAMC New Jersey HCS Salt Lake City VAMC Shreveport VAMC Upstate New York System HCS ROUTINE SUMMARY =============== The following routines are included in this patch. The second line of each of these routines now looks like: ;;5.2;AUTOMATED LAB INSTRUMENTS;;Sep 27, 1994 Checksum Checksum Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- ------------ LA67 N/A 8196499 **67** (Deleted by KIDS) LA7LOG 9009311 8393092 **17,27,67** LA7PCFG N/A 16069384 **67** LA7POC N/A 3454800 **67** LA7UXQA 7260762 5623537 **27,67** LA7VHL 5811383 6113752 **27,46,62,64,67** LA7VIN 1398763 3056962 **46,67** LA7VIN1A 13987419 14019173 **64,67** LA7VIN4 12162627 12188308 **46,64,67** LA7VIN5A 8695039 9628469 **46,64,67** LAGEN 8715369 8613602 **1,17,22,27,47,46,64,67** List of preceding patches: 64 Sites should use CHECK^XTSUMBLD to verify checksums. INSTALLATION INSTRUCTIONS ------------------------- See LABORATORY POINT OF CARE (POC) INTERFACE INSTALLATION AND USER GUIDE PATCH LA*5.2*67 AND PATCH LR*5.2*290 Version 5.2 JUNE 2005 Software and Documentation Retrieval Locations ============================================== NOTE: All sites are encouraged to use the File Transfer Protocol (FTP) capability. Use the FTP address "download.vista.med.va.gov" (without the quotes) to connect to the first available FTP server where the files are located. VistA Point of Care (POC) Interface Patches LR*5.2*290 and LA*5.2*67 software and Installation and User Guide are available at the following Office of Information Field Offices (OIFOs) ANONYMOUS.SOFTWARE directories: OI FIELD OFFICE FTP ADDRESS DIRECTORY ALBANY ftp.fo-albany.med.va.gov [ANONYMOUS.SOFTWARE] HINES ftp.fo-hines.med.va.gov [ANONYMOUS.SOFTWARE] SALT LAKE CITY ftp.fo-slc.med.va.gov [ANONYMOUS.SOFTWARE] Software and Documentation Retrieval Format =========================================== VistA Laboratory Point of Care (POC) Interface Patches LR*5.2*290 and LA*5.2*67 software and documentation files are exported in the following retrieval formats: File Names Contents Retrieval Formats ========== ======== ================= LAB_POC.KID KIDS build ASCII LAB_52_LR290_LA67_POC_IUG.pdf Laboratory Point of Care BINARY (POC) Interface Patches LR*5.2*290 and LA*5.2*67 Installation and User Guide LAB _52_LR290_LA67_POC_IUG.doc Laboratory Point of Care BINARY (POC) Interface Patches LR*5.2*290 and LA*5.2*67 Installation and User Guide LAB_52_POC_HL7_SPEC.doc Laboratory HL7 Interface BINARY Specification for Point of Care (POC) LAB_52_POC_HL7_SPEC.pdf Laboratory HL7 Interface BINARY Specification for Point of Care (POC) POST-INSTALLATION INSTRUCTIONS ------------------------------ See LABORATORY POINT OF CARE (POC) INTERFACE INSTALLATION AND USER GUIDE PATCH LA*5.2*67 AND PATCH LR*5.2*290 Version 5.2 JUNE 2005 INSTALLATION EXAMPLE ==================== See LABORATORY POINT OF CARE (POC) INTERFACE INSTALLATION AND USER GUIDE PATCH LA*5.2*67 AND PATCH LR*5.2*290 Version 5.2 JUNE 2005 Routine Information: ==================== Routine Name: - LA7POC Routine Checksum: Routine Name: - LA67 Routine Checksum: Routine Name: - LA7VIN Routine Checksum: Routine Name: - LA7UXQA Routine Checksum: Routine Name: - LA7LOG Routine Checksum: Routine Name: - LA7PCFG Routine Checksum: Routine Name: - LA7VIN4 Routine Checksum: Routine Name: - LA7VIN5A Routine Checksum: Routine Name: - LA7VHL Routine Checksum: Routine Name: - LAGEN Routine Checksum: Routine Name: - LA7VIN1A Routine Checksum: ============================================================================= User Information: Entered By : MCCORMACK,JOHN Date Entered : DEC 09, 2002 Completed By: ELIJAH,VICKEY Date Completed: MAY 31, 2005 Released By : LECLAIR,RAY Date Released : JUN 09, 2005 ============================================================================= Packman Mail Message: ===================== No routines included