============================================================================= Run Date: OCT 30, 2007 Designation: PXRM*2*10 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 2 SEQ #8 Status: Released Compliance Date: NOV 30, 2007 ============================================================================= Associated patches: (v)PXRM*2*8 <<= must be installed BEFORE `PXRM*2*10' Subject: NATIONAL SKIN RISK ASSESSMENT DIALOGS Category: - Other - Routine Description: ============ This patch releases two new national Reminder Definitions and Dialogs used for Skin Risk Assessment. The Reminder Definitions are used only for shipping out the national Dialogs. There is no evaluation logic in the Reminder Definitions. The Reminder Definitions and Dialogs are named: VA-VANOD SKIN ASSESSMENT VA-VANOD SKIN REASSESSMENT These Reminder Dialogs have been developed and sponsored by The Office of Nursing Services. This patch will also release 10 national Additional Prompts and one Forced Value used in the dialogs. Additional Prompts: PXRM BRADEN 6-8 PXRM BRADEN 10-12 PXRM BRADEN 13-14 PXRM BRADEN 15-18 PXRM BRADEN 19-23 PXRM VANOD PU LOCATIONS PXRM VANOD SKIN COLOR PXRM VANOD SKIN MOISTURE PXRM VANOD SKIN TEMP PXRM VANOD SKIN TURGOR Forced Value: PXRM VISIT DATE FORCED TODAY This patch also corrects a problem with Reminder Dialog Groups storing HF data to the wrong date when the group is set-up with a "Done Elsewhere" Resolution Type and a date Forced Value is assigned to the group. Host File: ========== This patch is part of a multi-patch file and it is only available as a host file; the name of the file is PXRM_GMTS_TIU_SKIN_RISK_ASSESSMENTS.KID. Sites will retrieve VistA software from the following FTP addresses. 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 Documentation: ============== Updated documentation describing the new functionality introduced by this patch is available. 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 Adobe Acrobat files. The updated documentation associated with this patch is: PXRM_2_10_IG.PDF Installation and Setup Guide Clinical Reminders documentation can also be found in the VistA Documentation Library: http://www.va.gov/vdl. Installation: ============= This patch can be loaded with users on the system. Installation will take less than 5 minutes. Installation should be coordinated with the person who manages Clinical Reminders at your site and be scheduled during a time of lower system usage. Using the Kernel KIDs menu 1. Use the 'Load a Distribution' option on the KIDS installation menu. When prompted to enter a host file type in PXRM_GMTS_TIU_SKIN_RISK_ASSESSMENTS.KID 2. 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 3. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) (PXRM*2.0*10) 4. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install?" YES// respond 'NO' 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 'No'. 7. When prompted "Delay Install (Minutes): (0-60): 0//," respond '0'. This installation should not be queued; it will be installing some packed reminder definitions and may require selection of replacements for some components. Therefore it is recommended that the site's Clinical Reminder Manager is present during the install. 8. The init routines PXRMP10I, GMTSP87I, and TIUPR230 may be deleted once the installation has completed. Sites should use the Kernel "Delete Routines" option [XTRDEL] to delete these routines. Post-Install instructions ========================= The following dialog elements are meant to be used for ordering a consult to the team at your facility that does further evaluation. VA-VANOD OI SKIN RISK ORDER NUTRITION CONSULT VA-VANOD OI WOUND CONSULT At the time of install, the Reminder Dialog will use the GMRCOR CONSULT as the consult orderable item for both of the dialog elements. Sites should substitute a quick order or order menu for ordering consults to the Nutrition Team or a Wound Care Specialist at your facility. If no such service is available yet, then sites may wish to leave the GMRCOR CONSULT in the dialog element until a consult becomes available. The mapping of the site-specific Quick Order should be done by the site Clinical Reminder Manager. To map a site-specific quick order to the above dialog elements, do the following from the Reminder Managers menu. 1. Select DM Reminder Dialog Management 2. Select DI Reminder Dialogs 3. Type CV, then press Enter 4. Type E, then press Enter 5. Type SL, then press Enter 6. Type the name of the dialog element, VA-VANOD OI SKIN RISK ORDER NUTRITION CONSULT and press Enter 7. At the "Find Next" prompt type No, then press Enter 8. Type the item number next to the element, then press Enter 9. At the finding Item Prompt, enter Q. plus the name of the site-specific Quick Order or order menu, then press Enter 10. Press Enter at the Additional Finding prompt 11. Press Enter at the Edit prompt 12. Repeat the above steps for the other dialog element, VA-VANOD OI WOUND CONSULT ROUTINE SUMMARY: ================ The following are the routines included in this patch. The second line of these routines now looks like: ;;2.7;2.0;CLINICAL REMINDERS;**[patch list]**;Feb 04, 2005 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- PXRMP10I *New* 4485920 **10** PXRMDLL 11853192 11887653 **10** Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRMDLL Before: B87313261 After: B87917624 **10** Routine Name: PXRMP10I Before: n/a After: B22777367 **10** ============================================================================= User Information: Entered By : PULEO,ANTHONY G Date Entered : JUN 22, 2007 Completed By: SCHLEHUBER,PAM Date Completed: OCT 26, 2007 Released By : MONTGOMERY,ALAN Date Released : OCT 30, 2007 ============================================================================= Packman Mail Message: ===================== No routines included