=============================================================================
Run Date: DEC 17, 2004                     Designation: LA*5.2*64
Package : LA - AUTOMATED LAB INSTRUMENTS      Priority: Mandatory
Version : 5.2        SEQ #51                    Status: Released
                  Compliance Date: JAN 17, 2005
=============================================================================

Associated patches: (v)LA*5.2*27   <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*46   <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*55   <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*61   <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*62   <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*63   <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*65   <<= must be installed BEFORE `LA*5.2*64'
                    (v)HL*1.6*101  <<= must be installed BEFORE `LA*5.2*64'
                    (v)XU*8*261    <<= must be installed BEFORE `LA*5.2*64'
                    (v)LA*5.2*70   <<= must be installed BEFORE `LA*5.2*64'

Subject: VA/DOD LAB INTEROPERABILITY

Category: 
  - Routine
  - Data Dictionary
  - Enhancement (Mandatory)

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

 EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*64 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*64 does not
 alter or modify any software design safeguards or safety critical elements
 functions.
  
 RISK ANALYSIS: Changes made by patch LA*5.2*64 have no effect on Blood Bank
 software functionality, therefore RISK is none.
  
 VALIDATION REQUIREMENTS BY OPTION:  Because of the nature of the changes
 made, no specific validation requirements exist as a result of installation
 of this patch.
  
 =======================================================================
 This patch adds support for sending/receiving Laboratory Electronic
 Data Interchange (LEDI) orders/results with Department of Defense (DoD)
 facilities and implements enhancements to general LEDI functionality.
  
  
 1. The process of building orders in the LAB PENDING ORDERS ENTRY file
 (#69.6) has been enhanced to use additional information from the HL7 Order
 (ORM) message. It will store the following information when available in the
 LAB PENDING ORDERS ENTRY file (#69.6):
  - patient's race
  - order comments
  - test results that accompany an order
  
 2. The new option Start a Shipping Manifest [LA7S MANIFEST START] will
 allow a manifest to be started without performing a manifest build.
 Specimens can then be added manually, instead of automatically, using
 option Add/Remove a Shipping Manifest Test [LA7S MANIFEST TEST ADD/REMOVE].
  
 3. The new option Edit Relevant Clinical Information [LA7S MANIFEST
 CLINICAL INFO] is used to enter relevant clinical information that
 should accompany a test order on a manifest.
  
 4. Converted supported API calls $$FMDATE^HLFNC and $$HLDATE^HLFNC to
 recommended Kernel supported API's $$HL7TFM^XLFDT and $$FMTHL7^XLFDT
 respectively.
  
 5. Routine LA7VHL changed to call HL7 supported API RSPINIT^HLFNC2 to
 obtain message delimiters that HL7 package will use when building MSH
 header of application acknowledgement message. Previous call to
 INIT^HLFNC would return incorrect headers under certain conditions.
 See patch HL*1.6*101 for additional information.
  
 6. Routine LA7VMSG1 changed to check if $QUERY of ^TMP global has
 returned a null value. Under certain conditions an illegal function call
 error could be observed.
  
 7. Changed routines LA7VLL, LA7VSTP, and LA7VSTP1 to setup LA7V* logical
 links without <space> between "LA7V" and station number. Allows HL7 package
 to display logical links for DoD sites which utilize DoD DMIS ID codes as
 facility identifiers similar to VA station numbers. HL7 package only
 displays first 8 characters of logical link name. Option LEDI Setup
 [LA7V SETUP] will only support creation of TCP logical links.
  
 8. Routine LA7PURG is changed to purge shipping manifests from LAB
 SHIPPING MANIFEST file (#62.8) when all related accessions have been
 purged from ACCESSION file (#68) (E3R #18036). Orders in the LAB PENDING
 ORDERS ENTRY file (#69.6) are purged when the date completed is >365
 days, when the order transmitted date is >720 days or when the order
 transmitted date is >360 and the order status is Results/data Received.
  
 9. When selecting a shipping manifest the list of entries to select
 from will list the manifests in inverse order with the most recent
 being displayed first. (E3R #18036)
  
 10. Requesting provider's office phone, voice and digital pager numbers
 will be printed on working copies of shipping manifest. (E3R #17914)
  
 11. Four new alerts/mail bulletins are generated when processing LEDI
 HL7 messages. These alerts and corresponding bulletins are addressed to
 the mail group designated to receive the NEW RESULTS alert specified
 by the site in LA7 MESSAGE PARAMETER file (#62.48) for LEDI type
 interfaces.
  
    a. Mail bulletin: LA7 ABNORMAL RESULTS RECEIVED
    Mail bulletin created by Laboratory package when processing a LEDI
    interface type HL7 result (ORU) message which contains laboratory
    testing results that are flagged as critical or abnormal.  Values
    that are critical will always trigger the alert and bulletin. Values
    that are abnormal low or high will be triggered when site has flagged
    the corresponding test in AUTO INSTRUMENT file (#62.4), NOTIFY ABNORMAL
    FLAGS field (#22) within the CHEM TEST multiple (#30) for the interface.
  
    b. Mail bulletin: LA7 AMENDED RESULTS RECEIVED
    Mail bulletin created by Laboratory package when processing a LEDI
    interface type HL7 result (ORU) message which contains laboratory
    testing results that are flagged as amended.
  
    c. Mail bulletin: LA7 UNITS/NORMALS CHANGED
    Mail bulletin created by Laboratory package when processing a LEDI
    interface type HL7 result (ORU) message which contains laboratory
    test result units and/or normals different from values specified for
    test in LABORATORY TEST file (#60) and which are flagged to be used
    for reference testing purposes.
  
    d. Mail bulletin: LA7 ORDER STATUS CHANGED
    Mail bulletin created by Laboratory package when processing a LEDI
    interface type HL7 message.
  
    Bulletin will be generated for the following conditions:
  
    - When an order acknowledgment (ORR) message contains laboratory
    test order status changes that indicate the order is not correct or
    cannot be performed/completed. Currently only supported on LEDI
    interfaces with DoD facilities.
  
    - When an order result (ORU) message indicates that a laboratory
    test has been added by the reference laboratory to the original order.
  
 12. Corrected a spelling error in set of codes for LAB SHIPPING
 CONFIGURATION file (#62.9), COLLECTING FACILITY'S SPEC ID field (#.05).
  
 13. Internal review determined that the specimen container was not printing
 on working copies of shipping manifests. When printing working versions
 of a shipping manifest the specimen container will be printed.
  
 14. A new error bulletin #47 has been added to LA7 MESSAGE LOG BULLETINS
 file (#62.485). When processing LEDI orders if any of the following are
 incomplete - local test, local urgency, local topography or local collection
 sample then the bulletin will be triggered. This is to insure that orders
 sent by the collecting facility are not missed when processed during LEDI
 Referral Patient Accessioning. If this bulletin is triggered it indicates
 that the host site's shipping configuration is not properly configured to
 process orders from it's collecting site.
  
  
 ASSOCIATED E3R
 --------------
  E3R #17914, PROVIDER CONTACT NUMBERS ON MANIFEST
  E3R #17904, LEDI BETWEEN VA AND DOD SITES
  E3R #18036, UNABLE TO PURGE SHIPPING MANIFESTS
  
 ASSOCIATED NOIS
 ---------------
  ISA-0398-10075
  
  
 TEST SITES
 ----------
  Albuquerque VAMC - VMS/DSM and VMS/Cache
  Boston HCS - VMS/DSM and VMS/Cache
  El Paso HCS - NT/Cache and VMS/Cache
  Hines VAMC - VMS/DSM and VMS/Cache
  Honolulu VAMC - NT/Cache
  Manchester VAMC - NT/Cache and VMS/Cache
  Milwaukee VAMC - VMS/DSM
  North Chicago VAMC - VMS/DSM
  Salt Lake City VAMC - VMS/DSM
  San Diego VAMC - VMS/DSM and VMS/Cache
  Upstate New York HCS - VMS/DSM and VMS/Cache
  
  
  INSTALLATION FILES:
  ==================
  The following software and documentation files are exported as part of
  this patch:
  
     File Name             Contents                     Retrieval Format
     ---------             --------                     ----------------
  
 LAB_LEDI_III.KID        LA*5.2*64 KIDS build           ASCII
                         LR*5.2*286 KIDS build
  
  
 LAB_LEDI_III_IG.PDF     LABORATORY ELECTRONIC DATA     BINARY
                         INSTALLATION GUIDE
  
 LAB_LEDI_III_IMP_UG.PDF LABORATORY ELECTRONIC DATA     BINARY
                         IMPLEMENTATION AND USER GUIDE
  
  The files listed above may be obtained via FTP.  The preferred method is
  to FTP the files from:
  
     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:
  
     CIO 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]
  
  
 ROUTINE SUMMARY
 ===============
   The following routines are included in this patch.  The second line
   of each of these routines now looks like:
   <tab> ;;5.2;AUTOMATED LAB INSTRUMENTS;<patchlist>;Sep 27, 1994
  
                     Checksum       Checksum
    Routine Name     Before Patch   After Patch    Patch List
    ------------     ------------   -----------    ------------
    LA64             N/A            5936440        **64** (Deleted by KIDS)
    LA7PURG          3834284        4599657        **27,64**
    LA7SBCR1         4924406        5434157        **27,46,64**
    LA7SBCR2         2564479        2593598        **27,46,64**
    LA7SCE           11501726       13339015       **27,46,61,64**
    LA7SM2           12143125       16026225       **46,64**
    LA7SMB           14649107       12799432       **27,46,64**
    LA7SMP           11746903       12373162       **27,45,46,64**
    LA7SMP0          9303222        10961615       **46,64**
    LA7SMPXL         3215234        4682314        **27,42,46,64**
    LA7SMU           7104257        7255424        **27,46,64**
    LA7SMU1          6300206        6311796        **27,46,65,64**
    LA7SMU2          5290542        7549846        **46,64**
    LA7SRR           6233015        7637904        **46,64**
    LA7UTILA         10237097       10662046       **23,27,46,64**
    LA7VHL           4568355        5811383        **27,46,62,64**
    LA7VHLU          4487468        5914870        **46,62,64**
    LA7VHLU1         2323481        3267492        **46,61,64**
    LA7VHLU2         4100825        4356637        **46,61,64**
    LA7VHLU3         2007360        2799232        **46,64**
    LA7VHLU4         5424804        4836094        **46,64**
    LA7VHLU5         5541950        7828952        **46,64**
    LA7VIN1          5261630        5855016        **46,64**
    LA7VIN1A         N/A            13987419       **64**
    LA7VIN2          5808892        8339412        **46,64**
    LA7VIN3          2061956        3081309        **46,64**
    LA7VIN4          7936019        12162627       **46,64**
    LA7VIN5          5205707        10570600       **46,64**
    LA7VIN5A         5039195        8695039        **46,64**
    LA7VLL           5170411        6390054        **27,51,55,64**
    LA7VMSG          3253314        5080421        **27,50,56,46,64**
    LA7VMSG1         8227296        8679432        **56,46,61,64**
    LA7VOBR          2129056        2455598        **46,64**
    LA7VOBRA         5326634        8044290        **46,64**
    LA7VOBX          2088674        2633711        **46,64**
    LA7VOBX1         4057776        4535705        **46,61,63,64**
    LA7VOBX2         4350324        4309250        **46,64**
    LA7VOBX3         5240738        6460347        **46,64**
    LA7VOBXA         6416931        6372995        **46,70,64**
    LA7VORC          1565653        1713732        **46,64**
    LA7VORM          6471896        12116142       **27,42,46,64**
    LA7VORM1         7594289        9199759        **27,51,46,61,64**
    LA7VORM3         6787219        7257153        **46,64**
    LA7VORU          6241961        8366274        **27,46,61,64**
    LA7VORU1         4734718        4842743        **46,64**
    LA7VORU2         1962290        2531397        **46,64**
    LA7VORUA         2199285        2385822        **61,64**
    LA7VPID          4123683        4823699        **46,64**
    LA7VSET          15979413       14514051       **27,51,55,46,64**
    LA7VSET1         9065449        7835525        **27,51,55,46,64**
    LA7VSTP          6079680        4597827        **27,44,51,46,64**
    LA7VSTP1         3317926        3042573        **27,46,64**
    LAGEN            8522786        8715369        **1,17,22,27,47,46,64**
  
  List of preceding patches: 46, 61, 62, 63, 65, 70
  Sites should use CHECK^XTSUMBLD to verify checksums.
  
  
 INSTALLATION INSTRUCTIONS
 =========================
  
 See LABORATORY ELECTRONIC DATA INTERCHANGE III (LEDI III) INSTALLATION GUIDE
     LA*5.2*64/LR*5.2*286

Routine Information:
====================

Routine Name:
  - LA64


Routine Checksum:

Routine Name:
  - LA7SMP


Routine Checksum:

Routine Name:
  - LA7SMP0


Routine Checksum:

Routine Name:
  - LA7SMPXL


Routine Checksum:

Routine Name:
  - LA7SMU2


Routine Checksum:

Routine Name:
  - LA7UTILA


Routine Checksum:

Routine Name:
  - LA7VHLU2


Routine Checksum:

Routine Name:
  - LA7VHLU5


Routine Checksum:

Routine Name:
  - LA7VMSG


Routine Checksum:

Routine Name:
  - LA7VMSG1


Routine Checksum:

Routine Name:
  - LA7VOBR


Routine Checksum:

Routine Name:
  - LA7VOBRA


Routine Checksum:

Routine Name:
  - LA7VOBX


Routine Checksum:

Routine Name:
  - LA7VOBX1


Routine Checksum:

Routine Name:
  - LA7VOBX2


Routine Checksum:

Routine Name:
  - LA7VOBX3


Routine Checksum:

Routine Name:
  - LA7VORC


Routine Checksum:

Routine Name:
  - LA7VORM


Routine Checksum:

Routine Name:
  - LA7VORM1


Routine Checksum:

Routine Name:
  - LA7VORM3


Routine Checksum:

Routine Name:
  - LA7VORU


Routine Checksum:

Routine Name:
  - LA7VORU1


Routine Checksum:

Routine Name:
  - LA7VORU2


Routine Checksum:

Routine Name:
  - LA7VORUA


Routine Checksum:

Routine Name:
  - LA7VIN2


Routine Checksum:

Routine Name:
  - LA7VIN5


Routine Checksum:

Routine Name:
  - LA7SMB


Routine Checksum:

Routine Name:
  - LA7SMU


Routine Checksum:

Routine Name:
  - LA7SRR


Routine Checksum:

Routine Name:
  - LA7VHL


Routine Checksum:

Routine Name:
  - LA7VHLU


Routine Checksum:

Routine Name:
  - LA7VIN1


Routine Checksum:

Routine Name:
  - LA7VHLU3


Routine Checksum:

Routine Name:
  - LA7VIN4


Routine Checksum:

Routine Name:
  - LA7VIN5A


Routine Checksum:

Routine Name:
  - LA7VPID


Routine Checksum:

Routine Name:
  - LA7VSET


Routine Checksum:

Routine Name:
  - LA7VSET1


Routine Checksum:

Routine Name:
  - LA7VSTP


Routine Checksum:

Routine Name:
  - LA7SCE


Routine Checksum:

Routine Name:
  - LA7VIN1A


Routine Checksum:

Routine Name:
  - LA7SM2


Routine Checksum:

Routine Name:
  - LA7VHLU4


Routine Checksum:

Routine Name:
  - LA7VHLU1


Routine Checksum:

Routine Name:
  - LA7VLL


Routine Checksum:

Routine Name:
  - LA7VSTP1


Routine Checksum:

Routine Name:
  - LA7SMU1


Routine Checksum:

Routine Name:
  - LA7PURG


Routine Checksum:

Routine Name:
  - LA7VOBXA


Routine Checksum:

Routine Name:
  - LA7VIN3


Routine Checksum:

Routine Name:
  - LAGEN


Routine Checksum:

Routine Name:
  - LA7SBCR1


Routine Checksum:

Routine Name:
  - LA7SBCR2


Routine Checksum:

=============================================================================
User Information:
Entered By  : MCCORMACK,JOHN                Date Entered  : MAY 13, 2002
Completed By: ELIJAH,VICKEY                 Date Completed: NOV 19, 2004
Released By : LECLAIR,RAY                   Date Released : DEC 17, 2004
=============================================================================


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

No routines included