$TXT Created by MCCORMACK,JOHN at FS.FO-ALBANY.MED.VA.GOV (KIDS) on Friday, 10/13/06 at 14:40 ============================================================================= Run Date: OCT 31, 2006 Designation: LR*5.2*346 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #279 Status: Released Compliance Date: DEC 01, 2006 ============================================================================= Associated patches: (v)LR*5.2*232 <<= must be installed BEFORE `LR*5.2*346' (v)LR*5.2*303 <<= must be installed BEFORE `LR*5.2*346' Subject: LAB SERVER SUPPORT FOR SNOMED CT DATA STANDARDIZATION Category: - Routine - Enhancement (Mandatory) Description: ============ Blood Bank Clearance ==================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*346 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*346 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*346 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. ---------------------------------------------------------------------------- As part of the VA/DoD Laboratory Data Sharing Interoperability (LDSI) Phase 2 project supporting the exchange of microbiology and anatomic pathology laboratory test orders and results, enhancements have been made to the Laboratory server LRLABSERVER to extract selected VistA Laboratory files for SNOMED CT mapping. 1. The following are new LRLABSERVER server reports made available with this patch: a. SNOMED Send a message to: S.LRLABSERVER@domain name Subject: SNOMED The body of the message will be ignored. The following files are scanned and data is extracted and extract data in a format for input into Standards and Terminology Service (STS) mapping SNOMED tool: File # File Name ------ --------- 61 TOPOGRAPHY FIELD 61.1 MORPHOLOGY FIELD 61.2 ETIOLOGY FIELD 61.3 FUNCTION FIELD 61.4 DISEASE FIELD 61.5 PROCEDURE FIELD 61.6 OCCUPATION FIELD 62 COLLECTION SAMPLE Results are returned to the person sending the mail message request. The extracted data is returned as an attached file in a delimited format using the "|" character as the field delimiter. Record legend for attached file: Station #-File #-IEN|Entry Name|SNOMED I|VUID|SNOMED CT| SNOMED CT TERM|Mapping Exception|Related Specimen|Related Specimen ID| Extract Ver| Note: the fields RELATED SPECIMEN & RELATED SPECIMEN ID in the record are only valued when the record relates to an entry in COLLECTION SAMPLE file (#62) and indicates the related specimen in TOPOGRAPHY FIELD file (#61). b. NLT/CPT Send a message to: S.LRLABSERVER@domain name Subject: NLT/CPT The body of the message will be ignored. The database is scanned for mapped NLT, LOINC and CPT data. Results are returned to the person sending the mail message request. The extracted data is returned as an attached file in a delimited format using the "|" character as the field delimiter. Record legend for attached file: Station #-NLT IEN-CPT IEN-Spec-Time Aspect|NLT Code|NLT Name|CPT Code|CPT Name|Specimen|Time Aspect|LOINC Code|LOINC Short Name| 2. The existing LRLABSERVER report RELMA has been modified to extract additional information requested by VA Data Standardization service. a. The extract will now include an extract version number. This patch will set the version number to 1.1. b. Include site's Laboratory Test site notes. c. Include laboratory test's synonyms d. Include laboratory test's type e. Include laboratory test's default LOINC code. f. Include mappings to suffixed NLT codes when laboratory code is mapped to a generic NLT code and suffixed codes also exist. The modified record layout of the extract is: Legend: | 1 | 2 | 3 | 4 | 5 | 6 |Station #-60 ien-Spec ien-Index|Test Name|Spec|Time Aspect|Units|LOINC | 7 | 8 | 9 | 10 | 11 | 12 |NLT #|Battery Code|Battery Description|Lab Section|Subscript|Comment | 13 | 14 | 15 | 16 | 17 |Data Type|Reference low|Reference high|Therapeutic low|Therapeutic high | 18 | 19 | 20 | 21 | 22 | 23 | |Use Ref Lab|Site Comment|Test Synonyms|Test Type|Default LOINC|Extract Ver| 3. Due to migration within Veterans Health Administration from Microsoft Exchange 2000 to Exchange 2003 the Microsoft Exchange system dropped support for 4 character Unix file permission which are part of the header used to uuencode the file attachment. The extract changes the uuencode file header from "begin 0664 "_filename to "begin 664 "_filename to enable successful processing of the uuencoded file by Exchange. ASSOCIATED E3R -------------- None ASSOCIATED REMEDY --------------- None TEST SITES ---------- Biloxi VAMC Boston HCS VAMC El Paso VAMC Milwaukee VAMC San Antonio VAMC Upstate New York 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 ------------ ------------ ----------- ------------ LR346 N/A 4832883 **346** (Deleted by KIDS) LRSRVR 5915085 5140630 **232,303,346** LRSRVR2 12542186 9040430 **303,346** LRSRVR2A N/A 6229869 **346** LRSRVR3 13571036 13681273 **303,346** LRSRVR6 N/A 8991310 **346** LRSRVR7 N/A 7316475 **346** List of preceding patches: 303 Sites should use CHECK^XTSUMBLD to verify checksums. INSTALLATION INSTRUCTIONS ------------------------- The install time for this patch is less than 5 minute. This patch can be installed when Laboratory users are on the system. Suggested time to install: non-peak requirement hours. NOTE: Kernel patches must be current on the target system to avoid problems loading and/or installing this patch. Patch installation needs to be coordinated with the Laboratory Information Manager (LIM/ADPAC). 1. Use the 'INSTALL/CHECK MESSAGE' option on the PackMan menu. This option will load the KIDS package onto your system. 2. On the 'Kernel Installation & Distribution System' Menu (KIDS), select the 'Installation' menu. 3. From this menu, you may then elect to use the following options (when prompted for the INSTALL NAME, enter LR*5.2*346): a. Print Transport Global b. Backup a Transport Global c. Compare Transport Global to Current System d. Verify Checksums in Transport Global Use the 'Verify Checksum in Transport Global' option and verify that all routines have the correct checksums. 4. Use the 'Install Package(s)' option under the 'Installation' menu and select the package 'LR*5.2*346'. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//' choose 'NO'. Responding 'Yes' to the prompt for rebuilding menu trees can significantly increase install time. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES// choose 'NO'. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', choose 'NO'. During install KIDS will place the LR LAB SERVER option [LRLABSERVER] out of order. Note: Routine LR346 will be deleted after successful patch installation. INSTALLATION EXAMPLE ==================== Select Kernel Installation & Distribution System Option: Installation Select Installation Option: 6 Install Package(s) Select INSTALL NAME: LR*5.2*346 Loaded from Distribution 9/16/05@15:38:31 => LR*5.2*346 This Distribution was loaded on Sep 16, 2005@15:38:31 with header of LR*5.2*346 It consisted of the following Install(s): LR*5.2*346 Checking Install for Package LR*5.2*346 Will first run the Environment Check Routine, LR346 Sending install started alert to mail group G.LMI --- Environment Check is Ok --- Install Questions for LR*5.2*346 Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO 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 VIRTUAL Install Started for LR*5.2*346 : Sep 16, 2005@17:07:36 Build Distribution Date: Sep 16, 2005 Installing Routines: Sep 16, 2005@17:07:36 Running Pre-Install Routine: PRE^LR346 *** Pre install started *** *** No action required *** *** Pre install completed *** Installing PACKAGE COMPONENTS: Installing OPTION Sep 16, 2005@17:07:36 Running Post-Install Routine: POST^LR346 *** Post install started *** *** No action required *** *** Post install completed *** Sending install completion alert to mail group G.LMI Updating Routine file... Updating KIDS files... LR*5.2*346 Installed. Sep 16, 2005@17:07:36 Install Message sent #nnnnnn Install Completed Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LR346 Before: n/a After: B9528998 **346** Routine Name: LRSRVR Before: B18875049 After: B17596078 **232,303,346** Routine Name: LRSRVR2 Before: B60700026 After: B46042055 **303,346** Routine Name: LRSRVR2A Before: n/a After: B11863535 **346** Routine Name: LRSRVR3 Before: B40554780 After: B41005024 **303,346** Routine Name: LRSRVR6 Before: n/a After: B25592719 **346** Routine Name: LRSRVR7 Before: n/a After: B23564160 **346** ============================================================================= User Information: Entered By : MCCORMACK,JOHN Date Entered : SEP 06, 2005 Completed By: ELIJAH,VICKEY Date Completed: OCT 31, 2006 Released By : MURCH,CLAUDETTE Date Released : OCT 31, 2006 ============================================================================= Packman Mail Message: ===================== $END TXT