============================================================================= Run Date: MAY 10, 2005 Designation: LR*5.2*302 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #250 Status: Released Compliance Date: JUN 10, 2005 ============================================================================= Subject: NLT/LOINC V2.13 UPDATE Category: - Enhancement (Mandatory) - Data Dictionary - Routine Description: ============ EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*302 does not contain any changes to the VISTA BLOOD BANK Software as defined by VHA DIRECTIVE 2004-058 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2. EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*302 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*302 have no effect on Blood Bank software functionality, therefore RISK is none. ****************************IMPORTANT********************************** There is considerable PRE-installation file verification and preparation to be performed by staff familiar with the use of FileMan and Laboratory file structure. Failure to perform this pre-install testing before attempting to install this patch significantly increases the risk of encountering errors, during or post installation. The key element to ensuring a successful installation of the patch depends upon existing files not containing corrupt data. If corrupt data is present in the affected files, when the fields are re-pointed during the post installation update phase, errors will occur. Please read and follow all of the instructions outlined in this patch description. *********************************************************************** Technical post-install notes are included at the end of the patch description. These technical notes can be used by the IRM service to prevent or resolve issues surrounding the installation of this patch. It is impossible to anticipate all potential situations that exist; but the notes address the most common. The key element ensuring successful installation of the patch depends upon existing files not containing corrupt data. This patch will update the WKLD CODE (#64) file and replace several laboratory standardized files associated with National Laboratory Test (NLT) package and Logical Observation Identifier Naming Codes (LOINC) coding. (See list below) This patch will remove certain WKLD CODE (#64) file duplicates. This patch will also correct certain field definitions that produce invalid warnings produced by the FileMan Verify Field option. In order to implement the numerous file/field corrections, it is necessary to completely replace certain referenced NLT and LOINC files. To ensure that this patch does not introduce any new data validation errors, it is desirable that the data currently stored pointing to replaced files is valid and errors resolved. File # File Name Update Method 64.061 LAB ELECTRONIC CODES Replaced 64.062 LAB ELECTRONIC SUBTYPES Replaced 64.2 WKLD SUFFIX CODES Replaced 64.3 WKLD INSTRUMENT MANUFACTURER Replaced 64.81 LAB NLT/CPT CODES Replaced 95.3 LAB LOINC Replaced 95.31 LAB LOINC COMPONENT Replaced *64 WKLD CODE Updated with new terms. ============================ LOINC Copyright acknowledgement: LOINC was Copyrighted 1995, 1996, 1997, by Regenstrief Institute and the Logical Observation Identifier Names and Codes (LOINC) Committee. All rights reserved. LOINC is a trademark of the Regenstrief Institute. Contact information: LOINC C/o Regenstrief Institute 1001 West 10th Street, RHC-5 Indianapolis, Indiana 46202 USA ======================== VistA Laboratory Package LAB LOINC (#95.3) file does not support all of the fields contained in the LOINC database. Refer to the LOINC user's manual for more field details. The following fields are imported and supported within VistA. # Loinc Term VistA name 1 LOINC_NUM CODE + CHECK DIGIT 2 COMPONENT COMPONENT + LAB LOINC COMPONENT (95.31) 3 PROPERTY PROPERTY 4 TIME_ASPECT TIME ASPECT 5 SYSTEM SYSTEM 6 SCALE_TYPE SCALE TYPE 7 METHOD_TYPE METHOD TYPE 9 CLASS CLASSTYPE 10 SOURCE SOURCE 14 DT_LAST_CH DATE LAST CHANGED 15 CHNG_REAS CHANGE REASON 16 CHNG_TYPE CHANGE TYPE 19 STATUS STATUS 20 MAP_TO MAP TO 23 VA_CD VA CODE 59 SHORTNAME SHORTNAME Because several standardized files are being completely replaced, the pre-install routine will extract and save the values of the fields pointing to the replaced files. The complete WKLD SUFFIX CODES (#64.2) file is saved into ^XTMP("LRNLT642") global for 90 days. The ^XTMP("LRNLT642") file can be used to assist those sites that may have mistakenly added terms to the (#64.2) file. Those local terms not included in the installed file should be formally requested by notifying the National Laboratory Test Coordinator using the form provided on the VistA laboratory Documentation Web Page. http://vista.med.va.gov/clinicalspecialties/lab/ Forward your completed request form to the Exchange distribution group: VHAISD LAB NLT_LOINC =========================== This patch will completely remove certain files, replace the files with a standardized copy and then re-point the saved field entries to the standardized copy. It is high desirable to determine that current fields and files are free of incorrect data. This will ensure that the patch installation will not introduce any new errors. Failure to ensure FileMan verification of fields option can be run without generating warnings will result in unresolved errors, which could have unpredictable results. The patch installation will not be affected by an invalid field. The patch will generate error message indicating those files/fields that could not be successfully re-pointed after the standardized have been installed. *** Examples of a single file verify: Select OPTION NAME: VA FileMan VA FileMan Version 22.0 Select VA FileMan Option: Utility Functions Select Utility Functions Option: VERify Fields MODIFY WHAT FILE: WKLD CODE// 60 LABORATORY TEST (1059 entries) VERIFY WHICH FIELD: ALL DO YOU MEAN ALL THE FIELDS IN THE FILE? YES DEVICE: HOME// While the entire file should pass the verify fields check, the fields listed below are the critical entries that should not produce any warnings. If there are any warnings for these fields, they should be rectified before the patch is installed or the post install re-pointing procedure will not perform properly. This is a list of files and fields that will be re-pointed after the LAB ELECTRONIC CODES (#64.061) is installed. These fields should be free of verify field warnings. Errors or warnings in other fields WILL NOT affect the post-install re-pointing process but should be addressed as soon a possible. To ensure that there are not any existing pointer problems, files and fields need to be validated. Data and file validation is done with the FM Verify Fields option. Only those fields pointing to the replaced files and the WKLD CODE file are an issue. File # File Name Field # Field Name ====== ========= ======= ========== 60 LABORATORY TEST 60.01 SITE/SPECIMEN SUB-FIELD 95.3 LOINC CODE 61 TOPOGRAPHY FIELD 61 TOPOGRAPHY FIELD .09 LEDI HL7 61 TOPOGRAPHY FIELD .0961 TIME ASPECT 62.05 URGENCY 62.05 URGENCY 4 LEDI HL7 62.4 AUTO INSTRUMENT 62.4 AUTO INSTRUMENT .14 WKLD METHOD 62.8 LAB SHIPPING MANIFEST 62.801 SPECIMENS SUB-FIELD 1.14 PATIENT HEIGHT CODE 62.801 SPECIMENS SUB-FIELD 1.24 PATIENT WEIGHT CODE 62.801 SPECIMENS SUB-FIELD 2.14 COLLECTION VOLUME CODE 62.801 SPECIMENS SUB-FIELD 2.24 COLLECTION DURATION CODE 62.801 SPECIMENS SUB-FIELD 2.34 COLLECTION WEIGHT CODE 62.801 SPECIMENS SUB-FIELD 1.13 PATIENT HEIGHT UNITS 62.801 SPECIMENS SUB-FIELD 1.23 PATIENT WEIGHT UNITS 62.801 SPECIMENS SUB-FIELD 2.13 COLLECTION VOLUME UNITS 62.801 SPECIMENS SUB-FIELD 2.23 COLLECTION DURATION UNITS 62.801 SPECIMENS SUB-FIELD 2.33 COLLECTION WEIGHT UNITS 62.85 LAB SHIPPING EVENT .05 EVENT CODE 62.9 LAB SHIPPING CONFIGURATION 62.9001 TEST/PROFILE 1.15 PATIENT HEIGHT UNITS 62.9001 TEST/PROFILE 1.25 PATIENT WEIGHT UNITS 62.9001 TEST/PROFILE 2.15 COLLECTION VOLUME UNITS 62.9001 TEST/PROFILE 2.25 COLLECTION DURATION UNITS 62.9001 TEST/PROFILE 2.35 COLLECTION WEIGHT UNITS 62.9001 TEST/PROFILE 1.16 PATIENT HEIGHT CODE 62.9001 TEST/PROFILE 1.26 PATIENT WEIGHT CODE 62.9001 TEST/PROFILE 2.16 COLLECTION VOLUME CODE 62.9001 TEST/PROFILE 2.26 COLLECTION DURATION CODE 62.9001 TEST/PROFILE 2.36 COLLECTION WEIGHT CODE 64.2 WKLD SUFFIX CODE 64.2 WKLD SUFFIX CODE 1 WKLD SUFFIX CODE 64.2 WKLD SUFFIX CODE 4 BILLABLE PROCEDURE 64.2 WKLD SUFFIX CODE 7 COST 64.2 WKLD SUFFIX CODE 8 PRICE 64.2 WKLD SUFFIX CODE 9 SORTING GROUP 64.2 WKLD SUFFIX CODE 15 ACTIVATE WKLD CODE 64 WKLD CODE 64.02 TIME ASPECT SUB-FIELD .01 TIME ASPECT 64.02 TIME ASPECT SUB-FIELD 1 UNITS 68.2 LOAD/WORK LIST 68.2 LOAD/WORK LIST .14 WKLD METHOD 69.6 LAB PENDING ORDERS ENTRY 69.6 LAB PENDING ORDERS ENTRY 6 SPECIMEN STATUS 69.64 ORDERED TESTS SUB-FIELD 5 TEST STATUS Resolving FM Verify Fields warnings instructions The most common verify field errors are: 1. Fields not properly cross referenced. This can be resolved by re-indexing the file. 2. Fields failing input transform. This can be resolved by either editing the field and entering appropriate data; or deleting the existing data in the field. Note: When performing FM Verify fields, an error will be produced in the TOPOGRAPHY FIELD((#61) file, SNOMED CODE (#2)field by the input transform logic error. Example: ENTRY# NAME ERROR 1 RIGHT LUNG "28100" fails Input Transform ALREADY AN ENTRY This input transform logic error will be corrected with the installation of this patch. ** NO PRE-INSTALL CORRECTIVE ACTION IS REQUIRED. ** When the Verify Field option is run on the various files, several different kinds of warnings can be generated. It isn't possible to describe a resolution method for the type of warning discovered using the FM Verify field option, but here are some techniques used during testing. If you require additional technical assistance, contact the EVS group. Known problems: WKLD CODE (#64) ======================== --UNIT FOR COUNT-- POINTER ENTRY# PROCEDURE ERROR 1504 Shell Vial Technique No '68' in pointed-to File This broken pointer will be correct with the install. No action required. ======================= --RELEASE DATE-- DATE 1749 Misc Chem Test 5 1 86023;ICPT( Missing 1753 Misc Chem Test 9 1 80100;ICPT( Missing Enter a release date to correct this problem. ========================== --ACTIVATE WKLD CODE- SET OF CODES (CHECKING CROSS-REFERENCE) ENTRY# PROCEDURE ERROR 100074 Lactic Acid~ACA IV "1" not properly Cross-referenced Re-index the file will correct this problem. ++++++++++++++++++ TOPOGRAPHY FIELD (#61) File ==================== LEDI HL7 (#.09) field POINTER (CANNOT CHECK CROSS-REFERENCE) ENTRY# NAME ERROR 22 KIDNEY "1275" fails Input Transform 82 CILIARY GLAND "6417" fails Input Transform Should either delete the entry if not using this specimen or enter a correct entry. =========================== VERIFY WHICH FIELD: SNOMED CODE FREE TEXT (CHECKING CROSS-REFERENCE) ENTRY# NAME ERROR 8729 TISSUE Missing 8730 ORGANISM Missing Enter missing data, if input transform failure is reported this will be corrected when patch is installed. There is also a FM Verify field error 'fails Input Transform' in WKLD CODE (#64) file that will be corrected with the install of LR*5.2*302. The screen preventing the selection of LOINC codes with Del (delete) status will be removed. This will allow LEDI sites to coordinate transition from deprecated terms to active terms. The 'DEL' screen will be removed from the following 2 fields: DEFAULT LOINC CODE (#25) field. SPECIMEN (#20), sub-file TIME ASPECT (#30), LOINC CODE (#4) field. NO PRE-INSTALL CORRECTIVE ACTION IS REQUIRED for these errors. Other types of errors may require assistance from the EVS technical teams before proceeding. PRE-INSTALL ROUTINE Note: The pre-install routine will produce a listing of duplicate(s) contained in WKLD CODE (#64) file if any are present. Those duplicates listed with a proceeding '*' SHOULD be resolved before installation of the patch. However, the patch will install if the duplicates are present during installation. Those duplicates listed with a proceeding '+' will be deleted by the pre-install program. No action is required. Those duplicates that do not have a preceding character will not affect the installation. Those entries that do not have a proceeding character are locally created NLT codes and are provided to indicate to the local user that multiples do exist. This information maybe useful when doing searches on the WKLD DATA (#64.1) file for a particular test(s). Example of listing: Checking WKLD CODE file (#64) for duplicate names or numbers. +Blood Products Administration^2633 +Blood Products Administration^3214 +CPK MB/CPK Tot^3702 +CPK MB/CPK Tot^3767 +Coagulation Factor VIII Inhib~BLOOD CENTER OF SE WISCONSIN^100873 Coagulation Factor VIII Inhib~BLOOD CENTER OF SE WISCONSIN^100874 *CPK MB/CPT Tot~BLOOD CENTER OF SE WISCONSIN^100973 *CPK MB/CPT Tot~BLOOD CENTER OF SE WISCONSIN^100974 +Hypersensitivity Pneumonitis^1557 +Hypersensitivity Pneumonitis^1600 +89026.0000 ^1600 +89026.0000 ^2828 End of duplicate listing. If '*' duplicates were listed they should be resolved before patch install. Those '+' will be removed during the post install. ===================== Routines: ===================== LRDAGE This patch contains a NEW age calculation routine, LRDAGE. This routine is used to calculate the age of the patient based on when the specimen was collected instead of date of birth (DOB). For example, if the specimen was collected one year ago, the age will be a year less than today's age. The routine is particularly useful in pediatric patient's normal ranges. This age is used to determine the appropriate normal range based on collection date. This patch expands the age format to include day, month or year designation. This could affect the $SELECT statement evaluation of normal range. Sites are advised to review $SELECT statement in light of this age format. The format of the age is as follows: 1hr - 30 days = 1dy - 30dy 1 - 23 months = 1mo - 24mo >23 month = 2yr - 999yr The default age of 99yr is return if a computation error occurs because of incorrect values passed to age API. Technical information for the API call is contained in the routine documentation section. The functionality of this routine is not implemented by the patch installation. However, sites requiring the ability to determine age to this degree, may wish to migrate their local M code in the EXECUTE CODE (#62.07) and DELTA CHECKS (#62.1) files to make use of this routine. Routine Summary: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;5.2;LAB SERVICE;**[patch list]**;Sep 27, 1994 CHECK^XTSUMBLD results Routine Checksum Checksum Name Before Patch After Patch Patch List ======= ============ =========== ========== LR302 N/A 7036526 302 (Deleted by KIDS) LR302A N/A 4415522 302 LR302P N/A 3800106 302 LR302PO N/A 9375744 302 LR302POA N/A 2988034 302 LRDAGE 1480375 1454485 279,302 ASSOCIATED NOIS: =============== MAR-1104-21653 TEST SITES: ========== Long Beach, CA VAMC Durham, NC VAMC San Diego, CA VAMC Muskogee, OK VAMC Cheyenne, WY Hines, IL Martinsburg, WV Brockton, MA Boston Health Care System Cheyenne, WY Required Builds: ========================== LR*5.2*263 LR*5.2*274 LR*5.2*279 Installation Instructions: ========================= The patch LR*5.2*302 KIDS build file named LR52_302.KID stored in the ASCII format can be obtained from the following Office of Information Field Offices (OIFOs) ANONYMOUS SOFTWARE directories OIFO FTP Address Directory Albany ftp.fo-albany.med.va.gov anonymous.software Hines ftp.fo-hines.med.va.gov anonymous.software Salt Lake ftp.fo-slc.med.va.gov anonymous.software All users may remain on the system. Installation time is less than 30 minutes. Note: The patch should be installed during off peak hours. No laboratory background jobs need to be stopped. No options need to be placed out of service. LABORATORY USERS MUST NOT ACCESSION SPECIMENS OR ENTER/VERIFY RESULTS DURING THE INSTALLATION because several reference files are being deleted and replaced with this patch. ============================ From the Kernel Installation & Distribution System (KIDS) menu 1. Use the 'Load a Distribution' option to load the LR_52_302.KID file onto your system. 2. The patch has now been loaded into a Transport global on your system. You now need to use KIDS to install the Transport global. On the KIDS menu, under the 'Installation' menu, use the following options: Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Backup a Transport Global 3. Users may remain on the system, but installation should be done at off peak hours. 4. Installation time is less than 30 minutes during off peak hours and less than 45 minutes during peak hours. 5. Installation of this patch requires no additional memory space. 6. From the 'Installation Menu' of the KIDS menu, run the option 'Install Package(s)' Select the package 'LR*5.2*302' and proceed with the install. 7. When prompted 'Want KIDS to INHIBIT LOGONS during the install? YES//' respond NO. 8. When prompted 'Want to DISABLE scheduled Options, Menu Options, and Protocols? YES//' respond NO. ================ Example of install: Select Installation Option: LOAD a Distribution Enter a Host File: LR_52_302.KID KIDS Distribution saved on Dec 09, 2004@04:27:46 Comment: NLT/LOINC v2.13 Update This Distribution contains Transport Globals for the following Package(s): LR*5.2*302 OK to continue with Load? NO// YES Distribution OK! Want to Continue with Load? YES// Loading Distribution... Build LR*5.2*302 has an Enviromental Check Routine Want to RUN the Environment Check Routine? YES// LR*5.2*302 Will first run the Environment Check Routine, LR302 Checking WKLD CODE file (#64) for duplicate names or numbers End of duplicate listing. If duplicates were listed they should be resolved before patch install --- Environment Check is Ok --- Sending install loaded alert to mail group G.LMI Using VA FileMan menu "UTILITY FUNCTIONS", perform the option "VERIFY FIELDS", MODIFY WHAT FILE: WKLD CODE VERIFY WHICH FIELD: ALL DO YOU MEAN ALL THE FIELDS IN THE FILE? YES Ensure that this option runs CLEANLY before installation of this patch. Use INSTALL NAME: LR*5.2*302 to install this Distribution. Select Installation Option: VERify Checksums in Transport Global Select INSTALL NAME: LR*5.2*302 Loaded from Distribution 12/9/04@01:53:23 => NLT/LOINC v2.13 Update ;Created on Dec 09, 2004@04:27:46 This Distribution was loaded on Dec 09, 2004@01:53:23 with header of NLT/LOINC v2.13 Update ;Created on Dec 09, 2004@04:27:46 It consisted of the following Install(s): LR*5.2*302 DEVICE: HOME// TELNET TO ALPHAS 6 Routine checked, 0 failed. Select Installation Option: INStall Package(s) Select INSTALL NAME: LR*5.2*302 => NLT/LOINC v2.13 Update ;Created on Dec 09, 2004@04:27:46 This Distribution was loaded on Dec 09, 2004@01:53:23 with header of NLT/LOINC v2.13 Update ;Created on Dec 09, 2004@04:27:46 It consisted of the following Install(s): LR*5.2*302 Checking Install for Package LR*5.2*302 Will first run the Environment Check Routine, LR302 Checking WKLD CODE file (#64) for duplicate names or numbers End of duplicate listing. If duplicates were listed they should be resolved before patch install --- Environment Check is Ok --- Sending install loaded alert to mail group G.LMI Using VA FileMan menu "UTILITY FUNCTIONS", perform the option "VERIFY FIELDS", MODIFY WHAT FILE: WKLD CODE VERIFY WHICH FIELD: ALL DO YOU MEAN ALL THE FIELDS IN THE FILE? YES Ensure that this option runs CLEANLY before installation of this patch. Install Questions for LR*5.2*302 Incoming Files: 61 TOPOGRAPHY FIELD (Partial Definition) Note: You already have the 'TOPOGRAPHY FIELD' File. 64 WKLD CODE Note: You already have the 'WKLD CODE' File. 64.061 LAB ELECTRONIC CODES (including data) Note: You already have the 'LAB ELECTRONIC CODES' File. I will OVERWRITE your data with mine. 64.062 LAB ELECTRONIC SUBTYPES (including data) Note: You already have the 'LAB ELECTRONIC SUBTYPES' File. I will OVERWRITE your data with mine. 64.2 WKLD SUFFIX CODES (including data) Note: You already have the 'WKLD SUFFIX CODES' File. I will OVERWRITE your data with mine. 64.21 WKLD CODE LAB SECT (including data) Note: You already have the 'WKLD CODE LAB SECT' File. I will OVERWRITE your data with mine. 64.22 WKLD ITEM FOR COUNT (including data) Note: You already have the 'WKLD ITEM FOR COUNT' File. I will OVERWRITE your data with mine. 64.3 WKLD INSTRUMENT MANUFACTURER (including data) Note: You already have the 'WKLD INSTRUMENT MANUFACTURER' File. I will OVERWRITE your data with mine. 64.81 LAB NLT/CPT CODES (including data) Note: You already have the 'LAB NLT/CPT CODES' File. I will OVERWRITE your data with mine. 68.2 LOAD/WORK LIST Note: You already have the 'LOAD/WORK LIST' File. 95.3 LAB LOINC (including data) Note: You already have the 'LAB LOINC' File. I will OVERWRITE your data with mine. 95.31 LAB LOINC COMPONENT (including data) Note: You already have the 'LAB LOINC COMPONENT' File. I will OVERWRITE your data with mine. Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options,Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// TELNET TO ALPHAS Complete LR*5.2*302 Install Started for LR*5.2*302 : Dec 09, 2004@01:57:39 Build Distribution Date: Dec 09, 2004 Installing Routines: Dec 09, 2004@01:57:39 Running Pre-Install Routine: PRE^LR302 ** Saving Pointer Values ** Saving File #60 data. Saving File #61 data. Saving File #62.05 data. Saving File #62.4 data. Saving File #62.8 data. Saving File #62.85 data. Saving File #62.9 data. Saving File #64.2 data. ....... Saving File #68.2 data. Saving File #69.6 data. ....................................................................... *** Preinstall completed *** Installing Data Dictionaries: Dec 09, 2004@01:59:41 Installing Data: Dec 09, 2004@02:04:45 Running Post-Install Routine: POST^LR302 Updating DSS Feeder Key for AP NLT Codes Update DSS AP Feeder Key Complete Building List Of Added NLT CODEs Sending message to LMI Mail Group. List Of Added WKLD CODEs Complete Processing data for File/Subfile #60.01 Processing data for File/Subfile #61 Processing data for File/Subfile #62.05 Processing data for File/Subfile #62.4 Processing data for File/Subfile #62.85 Processing data for File/Subfile #64.2 ............ Processing data for File/Subfile #68.2 Processing data for File/Subfile #69.6 ....................................................................... Processing data for File/Subfile #69.64 ....................................................................... Historical data restored Sending install completion alert to mail group G.LMI LR*5.2*302 -------------------------------------------------- Using VA FileMan menu "UTILITY FUNCTIONS", perform the option "VERIFY FIELDS", MODIFY WHAT FILE: WKLD CODE VERIFY WHICH FIELD: ALL DO YOU MEAN ALL THE FIELDS IN THE FILE? YES Updating Routine file... Updating KIDS files... LR*5.2*302 Installed. Dec 09, 2004@02:13:10 Install Completed Loading of patch LR*5.2*302 completed on Dec 09, 2004@01:57:10 LIM: Review description for LR*5.2*302 use KIDS:Utilities: Build File Print Installation of patch LR*5.2*302 completed on Dec 09, 2004@02:13 POST INSTALLATION INSTRUCTIONS: ============================= Review installed LOINC codes to ensure that codes with the status of Deprecated (DEL) are not used in your current mapping of LOINC codes. In some cases, deprecated LOINC codes [LAB LOINC (#95.3) file, MAP TO (#21) field] will have the suggested replacement LOINC code populated. Note: If your site is a HOST LEDI site, changing of any LOINC or NLT codes should be coordinated the collection site to ensure that both sites agree in LOINC and NLT mappings. LR*5.2*302 Technical Install Notes: ========================= This patch is attempting to clean-up the following files: File # File Name Update Method 64.061 LAB ELECTRONIC CODES Replaced 64.062 LAB ELECTRONIC SUBTYPES Replaced 64.2 WKLD SUFFIX CODES Replaced 64.3 WKLD INSTRUMENT MANUFACTURE Replaced 64.81 LAB NLT/CPT CODES Replaced 95.3 LAB LOINC Replaced 95.31 LAB LOINC COMPONENT Replaced *64 WKLD CODE Updated The currently installed files are not compatible with the incoming LOINC V2.13. Therefore these files are being completely removed and a fresh version is being installed. When the new versions are installed certain pointers in other files could be broken or incorrect. To address this problem, the pre-install routine will save the existing data in external format in the ^XTMP("LR302",FILE,IEN,FLD)=DATA This file will be purged in 90 days. All the fields that point to the replaced files will be saved before the old files are purged. The post-install routine will: 1) Add any missing WKLD CODE to your system and create a mail message containing the added codes. If this process is successful the LAB NLT/CPT CODES (#64.81) should be empty of WKLD CODES. 2) Compare your previous WKLD SUFFIX CODES (#64.2) to the file installed by the patch. A MailMan message is created listing any locally added. These codes must be requested via the mail group indicated in the patch description. Codes should not be locally added to any of the NLT Package files. 3) Re-index WKLD CODE file 4) Re-point the fields stored in the ^XTMP("LR302",FILE,IEN,FLD)=DATA file. If errors occur during the re-pointing process the wording "ERROR" will appear during the post-install. The error is stored in this format. S ^XTMP("LR302","LRERR",LRCNT)=LRFILE_U_LRIEN_U_LRFLD_U_LRDATA The file will be purged in 90 days. You will have to manually enter the appropriate value. Routine Information: ==================== Routine Name: - LR302 Routine Checksum: Routine Name: - LR302P Routine Checksum: Routine Name: - LR302A Routine Checksum: Routine Name: - LR302PO Routine Checksum: Routine Name: - LR302POA Routine Checksum: Routine Name: - LRDAGE Routine Checksum: ============================================================================= User Information: Entered By : HANKS,ANTHONEY Date Entered : JAN 16, 2003 Completed By: ELIJAH,VICKEY Date Completed: MAY 05, 2005 Released By : LECLAIR,RAY Date Released : MAY 10, 2005 ============================================================================= Packman Mail Message: ===================== No routines included