============================================================================= Run Date: JUN 17, 2004 Designation: LR*5.2*281 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #239 Status: Released Compliance Date: JUL 18, 2004 ============================================================================= Associated patches: (v)LR*5.2*132 <<= must be installed BEFORE `LR*5.2*281' (v)LR*5.2*157 <<= must be installed BEFORE `LR*5.2*281' (v)LR*5.2*175 <<= must be installed BEFORE `LR*5.2*281' (v)LR*5.2*260 <<= must be installed BEFORE `LR*5.2*281' (v)PXRM*1.5*1 <<= must be installed BEFORE `LR*5.2*281' Subject: EPI Enhancement Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*281 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*281 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*281 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. *********************************************************************** Due to extensive historical data transmission requirements and mandated setups required for such, a phased installation and implementation of this patch will be utilized for release of this patch. The software download information will be made available to sites attending one of the following national audioconference training calls: Tuesday, June 8 at 1:00 - 3:00 PM EST for VISNs 1-2-3-4-5-6 Thursday, June 10 at 3:00 - 5:00 PM EST for VISNs 7-8-9-10-11 Tuesday, June 15 at 4:00 - 6:00 PM EST for VISNs 12-15-16-17-23 Wednesday, June 16 at 2:00 - 4:00 PM EST for VISNs 18-19-20-21-22 Thursday, June 17 at 2:00 - 4:00 PM EST for those unable to attend the other calls. The VANTS telephone number is 1 800 767-1750 and the access code for all calls is 13143. This patch will involve reseeding of the EPI databases for each site to allow the new data created by this patch to be captured. It is imperative each site attend an audioconference prior to installation and implementation of LR*5.2*281. INSTRUCTIONS FOR SEEDING THE HISTORICAL DATA: Historical data must be gathered from October 1, 2000 through June 14, 2004. Use the Lab EPI Manual Run (Enhanced) [LREPI ENHANCE MANUAL RUN] option to run/gather and transmit 6 manual runs (consecutive runs) at a time. ** Sites DO NOT transmit on June 16 or July 4 to avoid Austin Automation Center (AAC) capacity limitations. ** Batch #1: October 1, 2000 -March 31, 2001 Batch #2: April 1, 2001 - September 30, 2001 Batch #3: October 1, 2001 - March 31, 2002 Batch #4: April 1, 2002 - September 30, 2002 Batch #5: October 1, 2002 - March 31, 2003 Batch #6: April 1, 2003 - September 30, 2003 Batch #7: October 1, 2003 - March 31, 2004 Batch #8: April 1, 2004 - June 14, 2004 Sites will run 8 batches of reports. Each batch should contain 6 separate monthly extracts which are tasked separately by month, i.e., OCT 2000, NOV 2000, DEC 2000, JAN 2001, FEB 2001, MAR 2001 = 1 batch and will generate six separate processing reports back to the station and transmit them over a five week period June 10, 2004 - July 12, 2004. You do not have to wait for one monthly extract to run before starting the next in a batch. You do not have to wait for one batch to complete running before queuing the next batch. If you receive any fatal errors and the monthly extract is rejected, you will need to fix the error and retransmit that month. Sites may transmit reports to AAC on evenings and weekends following this schedule: 1. VISNs with odd numbers are asked to transmit batches on Tuesday & Thursday during the PM hours and Saturdays. 2. VISNs with even numbers are asked to transmit on Monday & Friday during the PM hours and Sundays. ** NO Sites may transmit on June 16 or July 4 due to AAC limitations. ** The EPI Enhancement patch, LR*5.2*281, contains enhancements and modifications to the Emerging Pathogens Initiative (EPI) software. The enhancements and modifications included in this patch are: 1) New EPI Summary Verification Report of EPI Extracted Data from Site: The new Verification Summary Report of EPI Extracted Data from Site replaces the existing Emerging Pathogens Verification Report. This new summary report consists of the following functionality: 1) Summary report automatically generated at the sites and sent to the EPI-REPORT mail group on the 15th day of each month 2) Summary pages are displayed in a human readable format used for quick viewing 3) Displays reporting site name and station number 4) Summary report is only 1-2 pages long 5) Summary report displays emerging pathogens total number of occurrences during the monthly processing cycle 6) Summary report displays emerging pathogens total number of persons with occurrences during the monthly processing cycle 7) Displays Resolution of Risk Assessment number of persons with the nationally rolled-up resolution Hepatitis C that occurred during monthly processing cycle 2) New Detailed Verification Report is a detailed pathogen-specific report for validation purposes. The Print Detailed Verification Report [LREPI VERIFICATION REPORT] option prints this report. This report is automatically generated when your site does an automated or manual run and data is sent to Austin Automation Center. Six months of previous reports are kept as well as the current month for printing. 3) Sites now have the ability to capture and manipulate EPI data into a report or spreadsheet-delimited format. A site can also add pathogens for local use and generate reports or capture data in a spreadsheet format for local use. 4) Additional data will be sent to Austin. Including: LOINC codes Master Patient Index County and State for patient demographics MIC values The new Race and Ethnicity fields 5) Provide the ability to capture 6 new pathogens: All Staphylococcus aureus (Reference #18) Methicillin-Resistant Staphylococcus aureus (MRSA) (Reference #19) Vancomycin-Resistant Staphylococcus aureus (VRSA) (Reference #20) Vancomycin-Resistant Coagulase Negative Staphylococci/Staph epi (VRSE)(Reference #21) All Streptococcus pneumoniae (Reference #22) All Enterococci (Reference #23) 6) EPI is also enhanced to capture the approved newer Legionella Urinary Antigen test. 7) A bug is fixed with the date handling for start and stop date. 8) The new field PREVIOUS CYCLE (#19) in the Lab Search/Extract file(#69.5) contains a numeric entry which defines the number of previous cycles to search. These findings will be reported in a separate message. This field is set to 1 for TUBERCULOSIS. NEW OPTIONS: NAME: LREPI DELETE LOCAL PATHOGEN MENU TEXT: Delete Local Pathogen TYPE: run routine DESCRIPTION: This option allows deletion of local pathogens ONLY. National pathogens CAN NOT be deleted. ROUTINE: DELETE^LREPIPI NAME: LREPI DELETE LOCAL REPORT MENU TEXT: Delete Local Report or Spreadsheet TYPE: run routine DESCRIPTION: This option allows you to delete local reports or local spreadsheets. ROUTINE: DELETE^LREPIRS2 NAME: LREPI ENTER/EDIT LOCAL PATH MENU TEXT: Enter/Edit Local Pathogens TYPE: run routine DESCRIPTION: This option allows you to enter or edit local pathogens into the LAB SEARCH/EXTRACT FILE (#69.5) These pathogens can be selected for the report/spreadsheet option. Local pathogens WILL NOT be transmitted to Austin. ROUTINE: LREPIPI NAME: LREPI GENERATE REPORT/SP MENU TEXT: Lab EPI Generate Local Report/Spreadsheet TYPE: run routine DESCRIPTION: This new option is used to generate reports or spreadsheets for national EPI and local pathogen data. The job is automatically tasked after selecting the national EPI or local pathogens, time period, segments/fields, report or spreadsheet type, and will take approximately 2-3 hours to generate. When the report or spreadsheet has finished generating an alert is automatically sent to the user generating the report or spreadsheet. The report or spreadsheet can then be viewed on the screen or printed using the new LAB EPI Print Local Report/Spreadsheet option. Note: NO data is transmitted to Austin when using this option. ROUTINE: LREPIRS NAME: LREPI LOCAL PATHOGEN MENU MENU TEXT: Local Pathogen Menu TYPE: menu DESCRIPTION: This menu contains options to enter/edit and delete local pathogens. Also, it contains options to generate and print the local report/spreadsheet. ITEM: LREPI ENTER/EDIT LOCAL PATH ITEM: LREPI DELETE LOCAL PATHOGEN ITEM: LREPI GENERATE REPORT/SP SYNONYM: GEN ITEM: LREPI PRINT REPORT/SPSHT SYNONYM: PRT NAME: LREPI PATHOGEN INQUIRY MENU TEXT: Pathogen Inquiry TYPE: run routine DESCRIPTION: This new option is used to inquire into the LAB SEARCH/EXTRACT file (#69.5) parameter description fields (i.e. INACTIVE:NO, LAG DAYS: 15, RUN DATE:ICT 07,2003, CYCLE:MONTHLY, PROTOCOL:LREPI, FOLLOW PTF:YES, REFERENCE NUMBER:23, and ETIOLOGIES) for defined pathogen. ROUTINE: INQUIRY^LREPIPI NAME: LREPI PRINT REPORT/SPSHT MENU TEXT: Lab EPI Print Local Report/Spreadsheet TYPE: run routine DESCRIPTION: This option allows you to print a report or spreadsheet that was generated with the Lab EPI Generate Local Report/Spreadsheet. ROUTINE: LREPIRS2 NAME: LREPI VERIFICATION REPORT MENU TEXT: Print Detailed Verification Report TYPE: run routine DESCRIPTION: This option prints the Detailed Verification Report. This report is automatically generated when your site does an automated or manual run and data is sent to Austin Automation Center. Six months of previous reports are kept as well as the current month for printing. ROUTINE: LREPIRP7 MODIFIED OPTIONS: NAME: LREPI ENHANCE MANUAL RUN MENU TEXT: Lab EPI Manual Run (Enhanced) TYPE: run routine DESCRIPTION: This option is used ONLY to manually extract national EPI data and transmit to the Austin Automation Center (AAC). When this option is run, an EPI Summary Verification Report is generated and automatically sent to the EPI-Report mail group. Also, a Detailed Verification Report is generated and can be printed using the new Print Detailed Verification Report [LREPI VERIFICATION REPORT] option. This option has been RENAMED from Lab Search/Extract Manual Run (Enhanced) [LREPI SEARCH/EXTRACT ENHANCED MANUAL RUN] to EPI Manual Run (Enhanced) [LREPI ENHANCE MANUAL RUN] option. ROUTINE: LREPIRM NAME: LREPI NIGHTLY TASK MENU TEXT: Lab EPI Nightly Task TYPE: run routine DESCRIPTION: The Lab Search/Extract Nightly Task option must be scheduled to run each night by TaskMan. This option will build a HL7 Message and send it the defined location specified in the EPI Protocols. ROUTINE: AUTO^LREPIRM SCHEDULING RECOMMENDED: YES NAME: LREPI PARAMETER SETUP MENU TEXT: Lab EPI Parameter Setup TYPE: ScreenMan DESCRIPTION: This option is used to define the search criteria along with additional information associated with the EPI extracts. This option only allows editing. You are not allowed to add local pathogens with this option. DIC {DIC}: LAB(69.5, DIC(0): AEMQ DR{DDS}: [LREPI9] DDSFILE: 69.5 MODIFIED FILE: UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE # NAME DD CODE W/FILE DATA PTS RIDE ------------------------------------------------------------------------------- 69.5 LAB SEARCH/EXTRACT YES NO YES MERG YES NO The VistA Laboratory EPI Rollup Modifications Technical and User Manual (i.e., LR_52_281_TUM.PDF) is available on the following Office of Information Field Offices (OIFOs) ANONYMOUS SOFTWARE directories: OIFOs 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] VistA Laboratory EPI Rollup Modifications Technical and User Manual is exported as part of Patch LR*5.2*281 in the following formats: FILE NAME CONTENTS FORMAT RETRIEVAL LR_52_281_EPI_TUM.PDF LR EPI Technical and User Manual BINARY Testing Sites: ============== Boston HCS Cincinnati VAMC Detroit VAMC Durham VAMC Manchester VAMC Togus VAMC 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 ------------ ------------ ----------- ------------ LR281 N/A 4418686 281(Deleted by KIDS) LREPI 14217525 14182167 132,175,260,281 LREPI1 10654552 11822436 132,157,175,260,281 LREPI2 7199135 8491199 132,157,175,242,260,281 LREPI2A NEW 7574864 281 LREPI3 5462995 9184652 132,175,260,281 LREPI5 NEW 2408593 281 LREPIPH 5818757 6144410 260,281 LREPIPI NEW 5220624 281 LREPIRM 5260075 7566388 175,281 LREPIRP 5973015 20442264 132,157,175,260,281 LREPIRP1 NEW 15133552 281 LREPIRP2 NEW 3729823 281 LREPIRP3 NEW 29061422 281 LREPIRP4 NEW 1812384 281 LREPIRP5 NEW 11788836 281 LREPIRP6 NEW 25502070 281 LREPIRP7 NEW 17171829 281 LREPIRP8 NEW 8376752 281 LREPIRP9 NEW 4718 281 LREPIRS NEW 8576522 281 LREPIRS1 NEW 16664999 281 LREPIRS2 NEW 22133542 281 LREPIRS3 NEW 16290972 281 LREPISRV 12552990 15211664 260,281 LREPISV1 NEW 4805594 281 ASSOCIATED NOIS: ================ NONE E3Rs: ===== N/A ********************************************************************** INSTALLATION INSTRUCTIONS ========================= The install time for this patch is less than 2 minutes. This patch can be installed when Laboratory users are on the system. NOTE: Kernel patches must be current on the target system to avoid problems loading and/or installing this patch. 1. If any of the above routines are mapped, disable mapping for them. 2. Use the 'Load a Distribution' option to load the Host file on your system. 3. The patch has now been loaded into a Transport global on your system. You now need to use KIDS to install the transport global. 4. On the 'Kernel Installation & Distribution System' Menu (KIDS), select the 'Installation' menu. 5. Use the 'Verify Checksum in Transport Global' option and verify that all routines have the correct checksums. 6. On the KIDS menu, under the 'Installation' menu, use the following options: Print Transport Global Compare Transport Global to Current System Backup a Transport Global If you wish to preserve a copy of the routines exported in this patch prior to installation, you should use the 'Backup a Transport Global' option at this time. You may also compare the routines in your production account to the routines in the patch by using the 'Compare a Transport Global to Current System' option. 7. Use the 'Install Package(s)' option under the 'Installation' menu and select the package 'LR*5.2*281'. If prompted ' Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//' choose 'NO'. If prompted ' Want KIDS to INHIBIT LOGONs during the install? YES// ' choose 'NO'. If prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', choose 'NO'. 8. On a mapped system, rebuild your map set. 9. Routine LR281 will be deleted after successful patch installation. Routine Information: ==================== Routine Name: - LR281 Routine Checksum: Routine Name: - LREPI Routine Checksum: Routine Name: - LREPI1 Routine Checksum: Routine Name: - LREPI3 Routine Checksum: Routine Name: - LREPI5 Routine Checksum: Routine Name: - LREPISRV Routine Checksum: Routine Name: - LREPISV1 Routine Checksum: Routine Name: - LREPI2 Routine Checksum: Routine Name: - LREPI2A Routine Checksum: Routine Name: - LREPIRS Routine Checksum: Routine Name: - LREPIRS1 Routine Checksum: Routine Name: - LREPIPI Routine Checksum: Routine Name: - LREPIRM Routine Checksum: Routine Name: - LREPIRP Routine Checksum: Routine Name: - LREPIRP1 Routine Checksum: Routine Name: - LREPIRP2 Routine Checksum: Routine Name: - LREPIRP3 Routine Checksum: Routine Name: - LREPIRP4 Routine Checksum: Routine Name: - LREPIRP5 Routine Checksum: Routine Name: - LREPIRP6 Routine Checksum: Routine Name: - LREPIRP7 Routine Checksum: Routine Name: - LREPIRP9 Routine Checksum: Routine Name: - LREPIRS2 Routine Checksum: Routine Name: - LREPIRS3 Routine Checksum: Routine Name: - LREPIPH Routine Checksum: Routine Name: - LREPIRP8 Routine Checksum: ============================================================================= User Information: Entered By : DANE,SIDNEY Date Entered : DEC 11, 2001 Completed By: ELIJAH,VICKEY Date Completed: JUN 15, 2004 Released By : LECLAIR,RAY Date Released : JUN 17, 2004 ============================================================================= Packman Mail Message: =====================