$TXT Created by BRODNIANSKY,PAVEL at DEV.DEV.FO-HINES.MED.VA.GOV (KIDS) on Wednesday, 01/17/07 at 10:19 ============================================================================= Run Date: MAR 23, 2007 Designation: RA*5*82 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #67 Status: Released Compliance Date: APR 23, 2007 ============================================================================= Associated patches: (v)RA*5*32 <<= must be installed BEFORE `RA*5*82' (v)RA*5*41 <<= must be installed BEFORE `RA*5*82' (v)RA*5*43 <<= must be installed BEFORE `RA*5*82' (v)RA*5*57 <<= must be installed BEFORE `RA*5*82' (v)RA*5*71 <<= must be installed BEFORE `RA*5*82' Subject: Restrict broadcasting of HL7 message after editing exam Category: - Routine - Input Template - Enhancement (Mandatory) Description: ============ The patch enhances the process of broadcasting ORM HL7 messages after an exam has been edited. The previous patch, RA*5*71, allowed the broadcasting of ORM HL7 messages whenever an exam has been edited, whether or not the editing resulted in an exam status change or not. This enhancement will revert to the original rule for broadcasting HL7 messages which is based on these two conditions: 1) the Examined ORM message has not been broadcasted yet, and 2) the exam status reached or exceeded the status level where the GENERATE EXAMINED HL7 MESSAGE field is set to "Y". EXAMINATION STATUS (file #72,),(field #8) GENERATE EXAMINED HL7 MESSAGE. An example of this rule would be: For the Imaging Type of "General Radiology", only the exam status of TRANSCRIBED has the GENERATE EXAMINED HL7 MESSAGE field set to "Y". Thus, the Examined ORM message will be broadcasted only when a General Radiology case has reached or exceeded the exam status of TRANSCRIBED. There is one exception to the two conditions. The exception is that if any (one or more) of five essential fields have been changed, then an Examined ORM message will be broadcasted regardless of the two conditions above. The five essential fields are: PROCEDURE PROCEDURE MODIFIER REQUESTING PHYSICIAN CPT MODIFIER TECHNOLOGIST COMMENT In a few sites, depending on the type of PACS (Picture archiving and communication systems) being used, this exception may cause exams to be dropped from a PACS modality worklist when essential data are updated on the PACS from Vista Radiology. To restore the exam to the PACS modality worklist, use the 'Resend Radiology HL7 Message' [RA HL7 MESSAGE RESEND] option to re-broadcast the HL7 ORM message for that exam. This option requires the RA MGR key. When the previous patch RA*5*71 allowed the broadcasting of HL7 messages after each exam edit session, the following problems were noticed at sites that had COTS(Commercial off-the-shelf software ) PACS and Stentor voice recognition systems. (1) On certain type of COTS PACS a subsequent broadcast of an HL7 "ORM" message caused the exam to be removed from the modality work list. (2) On the Stentor system, a subsequent broadcast of an HL7 "ORM" message caused the report on the Stentor system to become invalidated. This occurred when the report was verified via the Vista 'Report Entry/Edit' [RA RPTENTRY] option instead of via a voice recognition system. (3) The 'Examination Status Entry/Edit' [RA EXAMSTATUS] option wasn't prompting for "Generate Examined HL7 Message:" anymore. This prevented the Radiology ADPAC from editing this field. The revised routines and input template listed below will resolve these reported problems. REMEDY TICKETS ============== Ticket No. Problem Type 167608 (2) 167889 (1) 169048 (1),(3) TEMPLATES ========= The [RA STATUS ENTRY] input template, from the EXAMINATION STATUS (file #72), will have the field GENERATE EXAMINED HL7 MESSAGE restored. DISTRIBUTION ============= The KIDS build is linked to this message. DOCUMENTATION ============= Release Notes (RA5_0RN_P82.DOC) have been created for this patch, and can be found in the following [ANONYMOUS.SOFTWARE] directories: PREFERRED ADDRESS ------------------------- First available ftp server download.vista.med.va.gov SPECIFIC FIELD OFFICE FTP ADDRESS --------------------- ------------------------ Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The Release Notes may also be retrieved from the VISTA Documentation Library (VDL) on the Internet at the following address: http://www.va.gov/vdl Test Sites ========== 1.Boston 2.Lexington 3.Palo Alto The second line of the routine now looks like: ;;5.0;Radiology/Nuclear Medicine;**[Patch List]**;Mar 16, 1998 Integrity checking tools: CHECK^XTSUMBLD Name Before Patch After Patch Patch List ---------------------------------------------------------------- RAHLR 22076311 23409852 2,12,10,25,47,71,82 RAHLRPC 1539634 6544423 12,25,54,71,82 RAHLRS 3719369 3903760 25,54,60,71,82 RAO7UTL 6486609 7823876 18,45,57,82 RAO7XX 16127388 17216662 18,26,28,32,82 RART 10846051 10888052 2,5,15,18,43,82 RARTE4 13799009 13488419 15,27,41,82 RARTVER 24673159 24469237 8,23,26,82 RASTED 20947459 21168446 1,10,18,28,45,71,82 RAUTL1 16930241 17187236 5,9,18,71,82 INSTALLATION INSTRUCTIONS ========================= This patch must be installed when all Radiology users are off the system and the Radiology HL Logical Links have been shutdown. Install time will be less than 2 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. [Note: TEXT PRINT/DISPLAY option in the PackMan menu will display the patch text only]. 2. From the Kernel Installation and Distribution System (KIDS) menu, select the Installation menu. 3. From this menu, you should use the following options. (When prompted for INSTALL NAME, enter RA*5.0*82). a. 'Print Transport Global' - this option will allow you to view the components of the KIDS build. b. 'Verify Checksums in Transport Global' - this option will allow you to ensure the integrity of the routines that are in the transport global. c. 'Compare Transport Global to Current System' - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). d. 'Backup a Transport Global' - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. 4. Shut down all Radiology HL logical links 'Start/Stop Links [HL START]' . 5. Use the 'Install Package(s)' option and select the package RA*5.0*82. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', respond NO 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond NO. 8. Verify that the patch installation completed correctly by using the KIDS Utilities '[XPD UTILITY]' option 'Install File Print' [XPD PRINT INSTALL FILE] and selecting this patch (RA*5.0*82). 9. Start up the Radiology HL logical links that were shutdown in step 4. 'Start/Stop Links [HL START]'. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RAHLR Before: B43467962 After: B49413163 **2,12,10,25,47,71,82** Routine Name: RAHLRPC Before: B2725117 After: B16016942 **12,25,54,71,82** Routine Name: RAHLRS Before: B11033463 After: B11498651 **25,54,60,71,82** Routine Name: RAO7UTL Before: B26579249 After: B35860324 **18,45,57,82** Routine Name: RAO7XX Before: B61404589 After: B61483197 **18,26,28,32,82** Routine Name: RART Before: B21428021 After: B21656995 **2,5,15,18,43,82** Routine Name: RARTE4 Before: B24962657 After: B25247672 **15,27,41,82** Routine Name: RARTVER Before: B42943472 After: B43178310 **8,23,26,82** Routine Name: RASTED Before: B46056660 After: B47049414 **1,10,18,28,45,71,82** Routine Name: RAUTL1 Before: B42756218 After: B44121957 **5,9,18,71,82** ============================================================================= User Information: Entered By : BRODNIANSKY,PAVEL Date Entered : NOV 22, 2006 Completed By: PATRICK,PAT Date Completed: MAR 22, 2007 Released By : GENTRY,MELINDA Date Released : MAR 23, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT