$TXT Created by MCNEILE,KEN at DEV.DEV.FO-HINES.MED.VA.GOV (KIDS) on Wednesday, 04/25/07 at 14:53 ============================================================================= Run Date: MAY 16, 2007 Designation: RA*5*77 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #68 Status: Released Compliance Date: JUN 16, 2007 ============================================================================= Associated patches: (v)RA*5*45 <<= must be installed BEFORE `RA*5*77' (v)RA*5*64 <<= must be installed BEFORE `RA*5*77' Subject: SUBSCRIPT ERROR, RVU REPORTING ISSUE, SCROLLING ISSUE, FEE BASIS RVU DATA ISSUE Category: - Routine Description: ============ This patch will resolve the following 5 issues. #1 When the user attempts to display an alert in CPRS initial Patient Selection, a subscript error is filed in the error trap. #2 In the new wRVU reporting software, certain CPT codes do not reflect correct workload credit. *Special note - this is NOT related to the 2007 wRVU being available from Fee Basis. #3 When displaying the Activity Log within View Exams by Case No. [RA VIEWCN] option, if there are more that two entries for 'Exam Activity', the excess activity scrolls out of view without a pause or 'press return to continue'. #4 If the Fee Basis RVU data has not yet been released for the current calendar year, all RVU reports will show zeros for any exams performed in the current calendar year. #5 At the end of the Scaled RVU reports, a listing of the scaling factors by imaging type is provided. Currently, imaging types without a defined scaling factor default to a scaling factor of 1 but do not print in the listing at the end of the reports. ASSOCIATED REMEDY TICKETS ========================= HD0000000134839 - Error Assistance HD0000000149051 - SET1+13^RAO7PC4 HD0000000154793 - CPT CODES NOT SHOWING UP HD0000000161846 - Option [RA VIEWCN] missing screen pauses HD0000000179232 - RVU reports missing data REMEDY TICKET OVERVIEW ====================== Problem #1 ------- When a user attempts to display a Radiology alert notification in the CPRS Patient Selection screen, a subscript error is filed in the error trap. This happens when an alert is opened/read elsewhere and the data has not yet been updated in CPRS. In other words, CPRS does not know that the alert has been read and the accompanying TMP global nodes have been deleted. Resolution #1 ---------- A modification will be made to routine RAO7PC4 to sense the absence of the data variable causing the subscript error. This will allow normal logic flow to continue. Problem #2 ------- When using the new RVU (Relative Value Unit) reporting software, no RVU is being returned/utilized on some CPT codes. Resolution #2 ---------- It has been determined that "G" codes recently converted to CPT codes do not contain an RVU value for entries without CPT code modifiers. A modification will be made to the RVU reporting software to default a 26 CPT modifier when calling the API RVU^FBRVU .This will ensure that the appropriate RVU is returned. It is only called if the RVU value is 0 and the modifier is null. Problem #3 ------- When using View Exam by Case No. [RA VIEWCN] option, the 'Exam Activity' scrolls out of view when displaying to the screen if there are more than two lines of Exam Activity to be displayed. Resolution #3 ---------- A modification will be made in routine RAPROD1 to cause the display to pause and ask 'Press Return to continue or "^" to exit:" to prevent exam data from scrolling out of view. Problem #4 ------- Normally, a Fee Basis patch is released each year that contains the new RVU data for the current calendar year. In some instances the needed data will not be available for an unspecified amount of time into the new calendar year. Resolution #4 ---------- Modifications will be made to the RVU reporting routines to sense whether the new RVU data is available from FEE BASIS and if not, will calculate the reports with the previous year's RVU data. A note will also be placed in the header of the reports to denote the use of a previous calendar year's data. Problem #5 ------- When listing the Work RVU Scaling factors, the following Scaled RVU reports do not print scaling factors for imaging types that do not contain an entry in the IMAGING TYPE file (#79.2), SCALING FACTOR CY field (#200). Physician scaled wRVU Report by Imaging Type [RA WKLIPHY SWRVU ITYPE] Physician scaled wRVU Report by CPT [RA WKLIPHY SWRVU CPT] Procedure Scaled wRVU/CPT Report [RA PROC CPTSWRVU] Resolution #5 ---------- Modifications will be made to the Work RVU reporting routines to print a default listing of each imaging type that does not have an entry in the SCALING FACTORY CY field (#200) of the IMAGING TYPE file (#79.2) by showing that it has a default scaling factor of 1. Example: ULTRASOUND US 1.00 (default) PARTICIPATING TEST SITES ======================== Milwaukee, WI South Texas HCS West Palm Beach, FL DOCUMENTATION ============= Release notes created for this Radiology/Nuclear Medicine patch as this patch covers several very high profile issues. The notes will explain in more detail the issues and their resolution. Sites may retrieve documentation in one of the following ways: (1) The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. (2) Sites may also elect to retrieve documentation 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 The documentation distribution includes: RETRIEVAL FILE NAMES DESCRIPTION FORMAT ========== =========== ====== RA5_ORN_P77.PDF Radiology/Nuclear Medicine Release Notes BINARY RA5_ORN_P77.DOC Radiology/Nuclear Medicine Release Notes BINARY DISTRIBUTION ============= The KIDS build is linked to this message. INSTALLATION INSTRUCTIONS ========================= This patch can be installed at any time. Users do not need to be off the system. 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 may elect to use the following options: (when prompted for INSTALL NAME, enter RA*5.0*77) a. 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. b. 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.). c. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 4. Use the Install Package(s) option and select the package RA*5.0*77. 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. ROUTINE SUMMARY =============== The following routines are included in this patch. The second line of each of these routines now looks like: ;;5.0;Radiology/Nuclear Medicine;**[patch List]**;Mar 16, 1998 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== RAO7PC4 13713291 13722106 28,32,31,45,77 RAPROD1 18723570 19001560 15,18,45,77 RAWKLU 10301185 10965739 64,77 RAWKLU1 9589688 10527989 64,77 RAWKLU2 9350761 10104337 64,77 RAWKLU3 5903412 6783291 64,77 RAWRVUP 8102893 10175169 64,77 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RAO7PC4 Before: B39691653 After: B40834055 **28,32,31,45,77** Routine Name: RAPROD1 Before: B41351989 After: B43331509 **15,18,45,77** Routine Name: RAWKLU Before: B43942290 After: B49357910 **64,77** Routine Name: RAWKLU1 Before: B32092526 After: B36246757 **64,77** Routine Name: RAWKLU2 Before: B37550729 After: B44017603 **64,77** Routine Name: RAWKLU3 Before: B12473282 After: B15626413 **64,77** Routine Name: RAWRVUP Before: B28533070 After: B39711179 **64,77** ============================================================================= User Information: Entered By : MCNEILE,KEN Date Entered : AUG 10, 2006 Completed By: CROSSMAN,PAM Date Completed: MAY 16, 2007 Released By : SCRUGGS,CARNETTA Date Released : MAY 16, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT