============================================================================= Run Date: MAY 22, 2002 Designation: PXRM*1.5*8 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 1.5 SEQ #9 Status: Released ============================================================================= Associated patches: (v)PXRM*1.5*9 <<= must be installed BEFORE `PXRM*1.5*8' Subject: CLINICAL REMINDERS AND DIALOGS FOR IHD QUERI Category: - Routine - Other - Enhancement (Mandatory) Description: ============ This patch releases two new NATIONAL reminders and dialogs required for the IHD QUERI project. They will be placed in the REMINDER EXCHANGE file (#811.8). VA-IHD ELEVATED LDL VA-IHD LIPID PROFILE The IHD clinical reminders in this patch have been developed by the IHD QUERI Clinical Reminders Project and the Office of Information (OI) System Design & Development (SDD) Health Data Systems group. The reminders contain provider interventions for lipid management of patients with known Ischemic Heart Disease (IHD). The goal of the National IHD Clinical Reminders Project is to develop and nationally distribute clinical reminders that can be used by providers to facilitate lipid management of patients with Ischemic Heart Disease (IHD) and can help increase adherence to national clinical practice guidelines. This patch also contains changes that have been made to the Patient Cohort Logic, to help resolve some problems identified by test sites: 1. The reminder term logic will first find the most recent finding and then apply the Effective Period and Condition. This solves the problem where two LDLs have been done, one 6 months ago with a value > 120, and the second LDL done with a different test with a value < 120. The most recent LDL finding within a reminder term will be now be used to determine true or false value, rather than the most recent finding found with a true condition. 2. Functions can now be used in the Patient Cohort Logic. A function called the "Most Recent Date" (MRD) function will return the most recent date from a list of finding items. The function will look something like the following: MRD(F1,F2,F3). Changes to managing nationally distributed reminders and dialogs: All nationally distributed reminder dialogs will now be distributed with a VA- prefix, and flagged as national. This applies to reminder dialogs, dialog groups, and dialog elements. The only field that will be editable in the national reminder dialog is the finding item in the dialog group and dialog elements. Any additional changes require 1) copying the dialog to a local reminder dialog and 2) copy and replace functionality. A redistribution of the national reminder dialog will 1) save the dialog element finding items defined on your system, 2) install the dialog components, replacing the old dialog components, and 3) replace the local finding item values into the dialog components. Reminder Terms will not be overridden. If the reminder term already exists on your system, no added updates are made. The current dialog management has been modified to allow selection of elements anywhere in the structure and editing of the Finding Item and Additional Findings fields. Documentation: ============== Updated documentation describing the new functionality introduced by this patch is available in a new Ischemic Heart Disease (IHD) Clinical Reminders Project PXMR*1.5*8 Installation and Setup Guide. The preferred method is to FTP the files from download.vista.med.va.gov. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov This documentation will be in the form of an Adobe Acrobat file: PXRMIG-P8.PDF (IHD Installation and Setup Guide). The documentation can also be found on the System Design and Development Web page: (http://vista.med.va.gov/vdl/). Also on the /vdl/ web page will be a Clinician Reference Guide for Ischemic Heart Disease (IHD_Brochure.pdf). Build Components ================ Data: ===== REMINDER EXCHANGE FILE FILE #811.8 IHD REMINDERS Print Template: =============== PXRM DEFINITION INQUIRY FILE #811.9 Input Template: =============== PXRM EDIT NATIONAL DIALOG FILE #801.41 Routines: ========= The following routines are included in this patch. The second line looks like: ;;1.5;CLINICAL REMINDERS;**[Patch List]**;Jun 19, 2000 Routine Old Checksum New Checksum Patch List ======= ============ ============ ========== PXRMCF 3801455 3807949 2, 8 PXRMDLG 7537029 9080175 2, 8 PXRMDLG3 NEW 3609668 8 PXRMDRUG 9010746 9017240 2, 5, 8 PXRMEDU 5725876 5732370 2, 7, 8 PXRMEXAM 5708373 5714867 2, 7, 8 PXRMEXU5 3405927 3574808 7, 8 PXRMHF 11148226 11092108 2, 7, 8 PXRMIMM 4834048 4840542 2, 8 PXRMLAB 4275561 4282055 2, 5, 8 PXRMLOG 7581013 8419910 2, 5, 8 PXRMLOGF NEW 1724794 8 PXRMLOGX 3005995 3094793 1, 8 PXRMMEAS 4013021 4019515 2, 8 PXRMMH 6037924 6040270 2, 7, 8 PXRMORDR 4144019 4150513 2, 8 PXRMP8I NEW 7311997 8 PXRMP8IA NEW 4926361 8 PXRMP8IB NEW 5586223 8 PXRMPTDF 5861277 7065851 2, 5, 8 PXRMPTL 4213780 4232582 2, 8 PXRMRAD 5833093 5839587 2, 8 PXRMSKIN 4594812 4601306 2, 8 PXRMTAX 7229778 7600277 2, 8 PXRMTERM 11510802 11596611 1, 7, 8 Host File: ========== Due to its size this patch will be available only as a host file. The name of the file is PXRM_1_5_8.KID. Sites will retrieve VistA software via FTP. The preferred method is to FTP the files from download.vista.med.va.gov. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov Install Instructions ==================== This patch should be loaded during non-peak hours to minimize disruption to users who can remain on the system during installation. Installation will take approximately 2 minutes. 1. Use the 'Load a Distribution' option on the KIDS installation menu. When prompted to enter a host file type in PXRM_1_5_8.KID. 2. Review your mapped set. If any of the routines are mapped, they should be removed from the mapped set at this time. 3. On the KIDS menu under the 'INSTALLATION' menu, use the following options as desired: Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Backup a Transport Global 4. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) (PXRM*1.5*8) 5. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO". 6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//," respond "YES". When prompted to select the options you would like to place out of order, enter the following: GMTS* PXRM* IBDF PRINT* OR CPRS GUI CHART ORS HEALTH SUMMARY When prompted to select the protocols you would like to place out of order, enter the following: ORS AD HOC HEALTH SUMMARY ORS HEALTH SUMMARY PXRM PATIENT DATA CHANGE 7. When prompted "Delay Install (Minutes): (0-60): 0//" answer "0". 8. If any routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. 9. The init routines PXRMP8I, PXRMP8IA and PXRMP8IB may be deleted once the installation has completed. Routine Information: ==================== Routine Name: - PXRMP8I Routine Checksum: Routine Name: - PXRMCF Routine Checksum: Routine Name: - PXRMDLG Routine Checksum: Routine Name: - PXRMDLG3 Routine Checksum: Routine Name: - PXRMDRUG Routine Checksum: Routine Name: - PXRMEDU Routine Checksum: Routine Name: - PXRMEXAM Routine Checksum: Routine Name: - PXRMHF Routine Checksum: Routine Name: - PXRMIMM Routine Checksum: Routine Name: - PXRMLAB Routine Checksum: Routine Name: - PXRMLOG Routine Checksum: Routine Name: - PXRMLOGF Routine Checksum: Routine Name: - PXRMLOGX Routine Checksum: Routine Name: - PXRMMEAS Routine Checksum: Routine Name: - PXRMMH Routine Checksum: Routine Name: - PXRMORDR Routine Checksum: Routine Name: - PXRMPTDF Routine Checksum: Routine Name: - PXRMPTL Routine Checksum: Routine Name: - PXRMRAD Routine Checksum: Routine Name: - PXRMSKIN Routine Checksum: Routine Name: - PXRMTAX Routine Checksum: Routine Name: - PXRMTERM Routine Checksum: Routine Name: - PXRMEXU5 Routine Checksum: ============================================================================= User Information: Entered By : HARTLEY,PETER Date Entered : OCT 24, 2001 Completed By: MERRILL,DAVID P Date Completed: MAY 16, 2002 Released By : KREUZ,SHERI B Date Released : MAY 22, 2002 ============================================================================= Packman Mail Message: ===================== No routines included