============================================================================= Run Date: JUN 09, 2005 Designation: LR*5.2*290 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #251 Status: Released Compliance Date: JUL 10, 2005 ============================================================================= Associated patches: (v)LR*5.2*187 <<= must be installed BEFORE `LR*5.2*290' (v)LR*5.2*202 <<= must be installed BEFORE `LR*5.2*290' (v)LR*5.2*217 <<= must be installed BEFORE `LR*5.2*290' (v)LR*5.2*230 <<= must be installed BEFORE `LR*5.2*290' (v)LR*5.2*263 <<= must be installed BEFORE `LR*5.2*290' (v)LR*5.2*286 <<= must be installed BEFORE `LR*5.2*290' Subject: LABORATORY POINT OF CARE INTERFACE Category: - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ Blood Bank Clearance ==================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*290 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 LR*5.2*290 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*290 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. NOTE: THIS PATCH WILL BE INSTALLED WITH LA*5.2*67 1. Laboratory orders created by this interface will have a CPRS Nature of Order 'AUTO' assigned. 2. It creates a 'non-human' user 'LRLAB,POC' in NEW PERSON file (#200) which is used to create the order and accession associated with the point of care test result. This entry has been approved by the VA VistA Data Base Administrator. Local site personnel should assign divisions to this user that corresponds to the accession areas used for POC results. 3. Options Summary list (supervisors') [LR SUP SUMMARY] and Summary list (extended supervisors') [LRLISTE] have been modified to display the performing user, performing laboratory, LOINC code and Equipment Instance Identifier (EII) for each test result when the long or extended format is chosen. The EII contains the vendor's make/model/serial number of the instrument/equipment that produced the test result. When the vendor's instrument interface transmits this information, it will be stored with the test results. 4. CPRS Lab Display of Recent Results will display performing laboratory name and address of tests in accordance with College of American Pathology (CAP) requirements. Routine LR7OGMG was modified to add performing laboratory information to comments section of the CPRS display. 5. NOIS MAR-0105-20968 reported the CPRS Lab Worksheet did not display the external value of 'set of codes' data types. Values that are set of codes will be displayed using the external value of the set of codes. Routine LR7OGG was modified to return external values of set of codes to CPRS. ASSOCIATED E3R -------------- ASSOCIATED NOIS/Remedy Ticket ----------------------------- MAR-0105-20968/HD0000000071181 SBY-0501-32827/HD0000000069437 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;LAB SERVICE;;Sep 27, 1994 Checksum Checksum Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- ------------ LR290 N/A 4831439 **290** (Deleted by KIDS) LR7OGG 11097271 10933227 **187,290** LR7OGMG 3973477 5478031 **187,230,286,290** LRDIQ 10128715 2599216 **86,153,263,290** LRGP2 6353513 6108916 **153,221,263,290** LRORDST 14420120 12502665 **100,107,121,153,202,290** LROW2 8572259 8727104 **121,290** LRUER 12281075 11948802 **201,290** LRVRPOC N/A 10290202 **290** LRVRPOCU N/A 8876916 **290** LRWLST 17313871 14863929 **46,65,100,121,153,202, 290** LRX 13923654 15315863 **65,153,201,217,290** List of preceding patches: 202, 217, 263, 286 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: - LRVRPOC Routine Checksum: Routine Name: - LRVRPOCU Routine Checksum: Routine Name: - LRGP2 Routine Checksum: Routine Name: - LRORDST Routine Checksum: Routine Name: - LROW2 Routine Checksum: Routine Name: - LRUER Routine Checksum: Routine Name: - LRWLST Routine Checksum: Routine Name: - LRX Routine Checksum: Routine Name: - LR290 Routine Checksum: Routine Name: - LRDIQ Routine Checksum: Routine Name: - LR7OGG Routine Checksum: Routine Name: - LR7OGMG Routine Checksum: ============================================================================= User Information: Entered By : STALLING,FRANK Date Entered : AUG 22, 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