============================================================================= Run Date: JUL 18, 2007 Designation: LR*5.2*334 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #288 Status: Released Compliance Date: AUG 18, 2007 ============================================================================= Associated patches: (v)LR*5.2*232 <<= must be installed BEFORE `LR*5.2*334' (v)LR*5.2*272 <<= must be installed BEFORE `LR*5.2*334' (v)LR*5.2*280 <<= must be installed BEFORE `LR*5.2*334' (v)LR*5.2*302 <<= must be installed BEFORE `LR*5.2*334' (v)XU*8*299 <<= must be installed BEFORE `LR*5.2*334' (v)XT*7.3*93 <<= must be installed BEFORE `LR*5.2*334' (v)HDI*1*1 <<= must be installed BEFORE `LR*5.2*334' Subject: NLT/LOINC V2.14 UPDATE Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ BLOOD BANK CLEARANCE ==================== EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*334 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*334 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*334 have no effect on Blood Bank software functionality, therefore RISK is none. VALIDATION REQUIREMENT BY OPTION: Because of the nature of the changes made, no specific validation requirements exist as a result of installation of this patch. ====================== ENHANCEMENTS: Map Lab Tests to LOINC Codes [LR LOINC MAP] This option has been modified to permit the use of suffixed WKLD CODE in the NATIONAL VA LAB CODE (#64) field, of the LABORATORY TEST (#60) file. This modified option is located on the LOINC Main Menu [LRLOINC] menu Print LOINC Code Status [LR LOINC STATUS PRINT] This patch will provide an option to list LOINC deprecated terms. The option will also provide a list of currently mapped/linked laboratory tests that are linked to LOINC deprecated terms. This new option is located on the LOINC Mapping Utility Menu [LR LOINC UTILITY] menu. This patch will support "Veterans Health Administration Unique Identifiers (VUID) standard. This patch will provide the necessary LAB LOINC (#95.3) file data dictionary modifications in support of Data Standardization (DS) and the maintenance of those standards by Enterprise Reference Terminology (ERT). LAB LOINC (#95.3) file protection has been significantly enhanced to prevent field editing of the file. All fields will be populated by the DS authority, there are no fields in this file that are site editable. LAB LOINC (#95.3) file contents will be updated to the Regenstrief issued LOINC version 2.14. This patch will update the WKLD CODE (#64) file and several laboratory standardized files associated with National Laboratory Test (NLT) package and Logical Observation Identifier Naming Codes (LOINC) coding. (See list below) File # File Name Update Method 64.061 LAB ELECTRONIC CODES Replaced 64.062 LAB ELECTRONIC SUBTYPES Replaced 64.2 WKLD SUFFIX CODES Replaced 64.22 WKLD ITEM FOR COUNT 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 ============================ 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 Medical Informatics The Regenstrief Institute, Inc. Health Information and Translational Sciences Bldg. (HITS) 410 West 10th Street, Suite 2000 Indianapolis, IN 46202 Telephone - 317.423.5558, Fax- 317.423.5695 ======================== 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. The field "(#X)" refers to the field in the LAB LOINC (#95.3) file were the data is stored. # Loinc Term VistA name 1 LOINC_NUM CODE field (#.01) + CHECK DIGIT field (#15) 2 COMPONENT COMPONENT field (#1)+LAB LOINC COMPONENT file (95.31) 3 PROPERTY PROPERTY field (#2) 4 TIME_ASPCT TIME ASPECT field (#3) 5 SYSTEM SYSTEM field (#4) 6 SCALE_TYP SCALE TYPE field (#5) 7 METHOD_TYP METHOD TYPE field (#6) 9 CLASS CLASSTYPE field (#41) 10 SOURCE SOURCE field (#8) 14 DT_LAST_CH DATE LAST CHANGED field (#22) 15 CHNG_REAS CHANGE REASON field (#24) 16 CHNG_TYPE CHANGE TYPE field (#23) 19 STATUS STATUS field (#20) 20 MAP_TO MAP TO field (#21) 23 VA_CD VA CODE field (#34) 59 SHORTNAME SHORTNAME field (#81) Those local terms not included in the installed files 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 =========================== OPTIONS: NEW OPTION: Print LOINC Code Status [LR LOINC STATUS PRINT] This patch will provide an option to list LOINC deprecated terms. The option will also provide a list of currently mapped/linked laboratory tests that are linked to LOINC deprecated terms. This new option is located on the LOINC Mapping Utility Menu [LR LOINC UTILITY] menu. MODIFIED OPTION: Map Lab Tests to LOINC Codes [LR LOINC MAP] This option has been modified to permit the use of suffixed WKLD CODE in the NATIONAL VA LAB CODE (#64) field, of the LABORATORY TEST (#60) file. This modified option is located on the LOINC Main Menu [LRLOINC] menu. ========================= DATA DICTIONARY MODIFICATIONS: The screen has been removed from "NATIONAL VA LAB CODE" (#64) field, of the "LABORATORY TEST" (#60) file. This will permit the use of suffixed WKLD CODE in the NATIONAL VA LAB CODE (#64) field, of the LABORATORY TEST(#60) file. "AD" cross-reference has been created on the "STATUS" (#20) field of the "LAB LOINC" (#95.3) file. This cross-reference will provide a listing of LOINC codes that have a status update. The patch creates the following fields in the LAB LOINC (#95.3) file: MASTER ENTRY FOR VUID field (#99.98), VUID field (#99.99), and EFFECTIVE DATE/TIME field multiple (#99.991) with an Effective DATE/TIME field (95.3099,.01) and STATUS field (95.3099,.02) which includes a date/time stamp and a status of 'active' or 'inactive' in the files being standardized. This patch also modifies data dictionaries to prevent future modification to these files at a local site. 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 ======= ============ =========== ========== LR334 N/A 4244176 334 (deleted by patch) LR334P N/A 3802010 334 LR334PO N/A 9206370 334 LR334POA N/A 2989047 334 LR7OU5 13182116 12982551 127,201,272,334 LRLNCC 2634007 2869430 232,280,334 LRLNCST N/A 5628677 334 ASSOCIATED NOIS: =============== N/A ASSOCIATED E3R: ============== N/A TEST SITES: ========== Boston HCS, MA Biloxi VAMC, MS Salt Lake VAMC, UT North Chicago VAMC, IL Shreveport VAMC, LA Tucson VAMC, AZ El Paso VAMC, TX San Antonio VAMC, TX Required Builds: ========================== LR*5.2*272 LR*5.2*302 LR*5.2*232 LR*5.2*280 XU*8.0*299 XT*7.3*93 HDI*1.0*1 Installation Instructions: ========================= The patch LR*5.2*334 KIDS build file named LR_52_334.KID is stored in the ASCII format. LAB_52_p334_IMPG.doc; VistA National Laboratory Test (NLT)/Logical Observation Identifier Naming Codes (LOINC) V2.14 Update Implementation Guide Patch LR*5.2*334 Version 5.2 - stored in a BINARY format. LAB_52_p334_IMPG.pdf; VistA National Laboratory Test (NLT)/Logical Observation Identifier Naming Codes (LOINC) V2.14 Update Implementation Guide Patch LR*5.2*334 Version 5.2 - stored in a BINARY format. All files can be obtained from the following Office of Information Field Offices (OIFOs) ANONYMOUS SOFTWARE directories. 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 were the files are located. 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_334.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*334' and proceed with the install. 7. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// respond 'YES' Note: Answering yes can significantly increase install time. 8. When prompted 'Want KIDS to INHIBIT LOGONS during the install? YES//' respond NO. 9. When prompted 'Want to DISABLE scheduled Options, Menu Options, and Protocols? YES//' respond NO. ================ Example of install: Select INSTALL NAME: LR*5.2*334 Loaded from Distribution 12/13/06@14:50:38 => NLT/LOINC v2.14 Update ;Created on Dec 13, 2006@13:46:31 This Distribution was loaded on Dec 13, 2006@14:50:38 with header of NLT/LOINC v2.14 Update ;Created on Dec 13, 2006@13:46:31 It consisted of the following Install(s): LR*5.2*334 Checking Install for Package LR*5.2*334 Will first run the Environment Check Routine, LR334 --- Environment Check is Ok --- Sending install loaded alert to mail group G.LMI Install Questions for LR*5.2*334 Incoming Files: 60 LABORATORY TEST (Partial Definition) Note: You already have the 'LABORATORY TEST' 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. 64.22 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. 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 Rebuild Menu Trees Upon Completion of Install? YES//YES Note: Answering yes can significantly increase install time. 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// UCX/TELNET Install Started for LR*5.2*334 : Dec 13, 2006@15:07:27 Build Distribution Date: Dec 13, 2006 Installing Routines: Dec 13, 2006@15:07:27 Running Pre-Install Routine: PRE^LR334 . *** Preinstall completed *** Installing Data Dictionaries: Dec 13, 2006@15:07:27 Installing Data: Dec 13, 2006@15:17:30 Installing PACKAGE COMPONENTS: Installing OPTION Dec 13, 2006@15:17:30 Running Post-Install Routine: POST^LR334 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building List Of Added NLT CODEs . . Sending message to LMI Mail Group. . . List Of Added WKLD CODEs Complete .......................................................................... ..... Sending install completion alert to mail group G.LMI Updating Routine file... Updating KIDS files... LR*5.2*334 Installed. Dec 13, 2006@15:20:24 Install Message sent #XXXXX Call MENU rebuild Starting Menu Rebuild: Dec 13, 2006@15:20:26 Collecting primary menus in the New Person file... . Primary menus found in the New Person file . ------------------------------------------ DIUSER VA FileMan 1 06/04/92 12/05/06 Building secondary menu trees.... Merging.... done. Menu Rebuild Complete: Dec 13, 2006@15:20:40 Install Completed LIM: Review description for LR*5.2*334 use KIDS:Utilities: Build File Print 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 with the collection site to ensure that both sites agree in LOINC and NLT mappings. Note: Please refer to the VistA NLT/LOINC V2.14 UPDATE Patch LR*5.2*334 Implementation Guide which provides the Laboratory Information Manager (LIM) a task-oriented approaches with step-by-step instructions and examples for mapping LOINC V2.14 codes. After successful installation of the patch, delete the following post-install routines; LR334P,LR334PO,LR334POA Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LR334 Before: n/a After: B13743638 **334** Routine Name: LR334P Before: n/a After: B8154508 **334** Routine Name: LR334PO Before: n/a After: B61794689 **334** Routine Name: LR334POA Before: n/a After: B6030632 **334** Routine Name: LR7OU5 Before: B32500343 After: B32626485 **127,201,272,334** Routine Name: LRLNCC Before: B5698826 After: B6425697 **232,280,334** Routine Name: LRLNCST Before: n/a After: B20432429 **334** Routine list of preceding patches: 272, 280 ============================================================================= User Information: Entered By : STALLING,FRANK Date Entered : MAR 31, 2005 Completed By: ELIJAH,VICKEY Date Completed: JUL 16, 2007 Released By : LECLAIR,RAY Date Released : JUL 18, 2007 ============================================================================= Packman Mail Message: ===================== No routines included