$TXT Created by ALSAHAR,SAMI at TSTVAA.FO-BIRM.MED.VA.GOV (KIDS) on Tuesday, 07/27/04 at 08:27 ============================================================================= Run Date: AUG 23, 2004 Designation: SR*3*129 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #123 Status: Released Compliance Date: SEP 23, 2004 ============================================================================= Associated patches: (v)SR*3*100 <<= must be installed BEFORE `SR*3*129' Subject: RESIDENT SUPERVISION/ENSURING CORRECT SURGERY PHASE II Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Input Template Description: ============ ******************************* N O T E ********************************** There is no conflict between this patch and the CoreFLS software. Installation of this patch by the CoreFLS sites will not cause any problems. ************************************************************************** 1. RESIDENT SUPERVISION The Veterans Health Administration (VHA) Handbook 1400.1, dated May 3, 2004, changed the levels of resident supervision for operating room procedures. This patch implements the new levels of resident supervision in the Surgery software and includes the following features: (a) A new file, ATTENDING CODES file (#132.9), is created to store all attending codes used by the Surgery software. These codes include both sets of Levels 0 to 3 (before and after patch SR*3*126, all flagged as inactive codes) and the latest codes for Levels A to F (active codes). (b) The name of the existing ATTENDING CODE field (#.165) in the SURGERY file (#130) is changed to *ATTENDING CODE - NOT USED and a new ATTENDING CODE field (#.166) is created that points to the ATTENDING CODES file (#132.9). (c) The patch includes a post-install conversion that loops through all the cases in the SURGERY file (#130) and matches the attending code in the old field (#.165) with the equivalent code in the new ATTENDING CODE field (#.166), storing the equivalent code in the new field. The content of the old field is not changed by the conversion. (d) The following data entry options are updated to use the new ATTENDING CODE field (#.166): - Post Operation [SROMEN-POST] - Operation (Short Screen) [SROMEN-OUT] - Surgical Staff [SROMEN-STAFF] - Edit Non-O.R. Procedure [SRONOP-EDIT] - Update 1-Liner Case [SROA ONE-LINER UPDATE] (e) The following report and display options are updated to use the new ATTENDING CODE field (#.166): - Attending Surgeon Reports [SROATT] - View Patient Perioperative Occurrences [SROMEN-M&M] - Operation Information [SROMEN-OPINFO] - Quarterly Report - Surgical Service [SRO QUARTERLY REPORT] Note: The Perioperative Occurrence Categories on this report are updated to reflect the categories used by the National Surgical Quality Improvement Program (NSQIP) and the Continuous Improvement in Cardiac Surgery Program (CICSP). Some of these categories may not be immediately available for selection, but will be included later in the NSQIP/CICSP ENHANCEMENTS 2004 patch (SR*3*125). - List of Operations Included on Quarterly Report [SROQ LIST OPS] - Report of Missing Quarterly Report Data [SROQ MISSING DATA] (f) The patch updates the transmission of Quarterly Report data to the national database to use the new ATTENDING CODE field (#.166). 2. ENSURING CORRECT SURGERY PHASE II Phase II of the Ensuring Correct Surgery Enhancement Project provides the following enhancements: (a) The following new fields are added to the SURGERY file (#130): - TIME OUT VERIFIED COMMENTS field (#82) - IMAGING CONFIRMED COMMENTS field (#83) - MARKED SITE COMMENTS field (#84) These fields are added to capture the comments corresponding to the following: - TIME OUT VERIFIED field (#71) - PREOPERATIVE IMAGING CONFIRMED field (#72) - MARKED SITE CONFIRMED field (#73) (b) The following data entry options will be modified to include the new comment fields noted in item (a): - Operation [SROMEN-OP] - Operation (Short Screen) [SROMEN-OUT] - Nurse Intraoperative Report [SRONRPT] Entry of "NO" in any of the three Correct Surgery fields will prompt the user to enter the associated comment field. Entry of "NO" in any of the three Correct Surgery fields will not automatically force entry into the respective comment field. (c) Nurse Intraoperative Report Changes If any of the three Correct Surgery fields are not answered, the nurse will not be able to electronically sign the Nurse Intraoperative Report. If any of the three Correct Surgery fields is answered "NO" but does not have information in the corresponding comments field, the nurse will not be able to electronically sign the Nurse Intraoperative Report. The nurse will be able to update this information at time of signature without leaving the option. (d) The compliance reports, which were disabled in phase I are reactivated and are modified to display the new formats for the three Correct Surgery fields. (e) Convert Existing Comments For each of the three Correct Surgery fields answered with a "NO" response, the information in the CORRECT SURGERY COMMENTS field (#27) of the SURGERY file (#130) will be replicated in the corresponding comment field. At the end of the conversion process, this patch will delete the data dictionary of the CORRECT SURGERY COMMENTS field (#74) in the SURGERY file (#130), which was exported in phase I of the Ensuring Correct Surgery patch SR*3.0*126. 3. SURGEON PRESENT TIME ON NURSE INTRAOPERATIVE REPORT Patch SR*3*25 modified the Nurse Intraoperative Report so that it displayed the SURG PRESENT TIME field (#.206) only if data was entered. This functionality, omitted unintentionally by patch SR*3*100, is restored by this patch. 4. DOCUMENTS PRINTED FROM TIU This patch modifies the routine SROESPR to correct a possible problem if no print group is defined when a document is printed. Associated NOIS: ================ N/A Test Sites: =========== HINES, IL MANCHESTER, NH OKLAHOMA CITY, OK PHILADELPHIA, PA SALISBURY, NC SAN FRANCISCO, CA TAMPA, FL WILMINGTON, DE Routine Summary: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;3.0; Surgery ;**[patch list]**;24 Jun 93 CHECK^XTSUMBLD results: Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- ---------- SR129UTL N/A 3893025 129 SRENSCS N/A 2654022 129 SRO1L1 10497048 10937174 86,88,100,129 SROAT0P 11110223 10807719 50,129 SROAT0T 3934416 3056751 50,129 SROAT1P 12583385 12392680 52,50,129 SROAT1T 3126010 2248345 50,129 SROAT2P 12679770 12527740 52,50,129 SROAT2T 5471154 4601645 50,129 SROATM2 19456524 20268608 38,39,45,47,57,60,62,68, 81,88,97,129 SROATMNO 14474686 14138822 27,38,47,62,68,79,83,81,88, 93,95,97,129 SROATT0 9521798 9586351 50,129 SROATT1 3191902 3242993 50,129 SROATT2 4343304 4580699 50,129 SROCOMP 12945917 12377505 37,38,88,129 SROESNR0 10313604 10550130 100,129 SROESPR 10292459 10363059 100,129 SROESX 12323134 12331703 100,129 SROESXP 7044967 7053812 100,129 SROINQ 13487312 12692642 38,48,129 SRONIN 19863804 21195502 68,50,100,129 SRONRPT 15213530 15225857 100,129 SRONRPT0 21728472 22385196 100,129 SROPECS 16897417 16775199 120,126,129 SROPECS1 10065556 14056003 120,129 SROQ0 13304724 13804399 62,70,77,50,95,123,129 SROQ0A 7794483 7952754 37,38,62,70,88,103,129 SROQ1 11754612 12444497 38,62,70,50,95,123,126,129 SROQ1A 18324213 18783614 38,62,50,129 SROQ2 18629289 18890431 38,62,70,50,95,123,129 SROQL 18544771 18540597 62,77,50,129 SROQM 6599161 7478215 62,82,95,123,126,129 SROQM0 10894217 10463090 38,62,50,95,129 SROQM1 9943217 10199533 38,62,70,129 SROQN 21841450 21734674 62,77,92,129 SROQT 12304058 15281112 38,43,62,67,70,77,50,95,123, 126,129 SROUTL 14295956 14516165 58,62,69,77,50,88,94,100,129 Note: The post install routine (SR129UTL) is included in this patch to populate the new attending code field and replicate the correct surgery comments field for existing cases as appropriate. This routine is deleted automatically by the KIDS installation process. Document Retrieval Instructions: ================================ Sites will retrieve VISTA 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: OI FIELD OFFICE 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 The documentation distribution includes: RETRIEVAL FILE NAME DESCRIPTION/TITLE FORMAT SR_3_P129_RN.PDF Surgery V. 3.0 Release Notes BINARY SR_3_TM_R0804.PDF Surgery V. 3.0 Technical Manual/ BINARY Security Guide SR_3_P129_TM_CP.PDF Surgery V. 3.0 Technical Manual/ BINARY Security Guide Change Pages SR_3_UM_R0804.PDF Surgery V. 3.0 User Manual BINARY SR_3_P129_UM_CP.PDF Surgery V. 3.0 User Manual Change Pages BINARY Once released, documentation can also be retrieved from the VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. Installation Instructions: ========================== This patch should be installed during a period of low system activity with Surgery users off the system. This patch includes a data conversion process, so installation may take 10 to 15 minutes depending upon the numbers of cases in the SURGERY file (#130). Installation of this patch should NOT be queued. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. Review your mapped set. If any of the routines in this patch are mapped, they should be removed from the mapped set before continuing. 3. From the Kernel Installation & Distribution System menu, select the Installation menu. 4. From the Installation menu, you may select to use the following options (when prompted for INSTALL NAME, enter SR*3.0*129): (a) Backup a Transport Global option - This option creates a backup message of any routines exported with the patch. It will NOT backup any other changes, such as Data Dictionaries (DDs) or templates. (b) Compare Transport Global to Current System option - This option allows you to view all changes that will be made when the patch is installed. It compares all components of the patch (for example, routines, DDs, templates, and more). (c) Verify Checksums in Transport Global option - This option ensures the integrity of the routines that are in the transport global. (d) Print Transport Global option - This option allows you to view the components of the KIDS build. 5. Use the Install Package(s) option and select the package SR*3.0*129. 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. 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. Note: The pre-installation process calls PRE^SR129UTL to initialize the ATTENDING CODES file (#132.9). The post-installation process calls POST^SR129UTL to perform the following tasks: - The new ATTENDING CODE field (#.166) is populated with the equivalent value from the old *ATTENDING CODE - NOT USED field (#.165). - For existing cases, if any of the correct surgery fields are answered NO, the information entered in the CORRECT SURGERY COMMENTS field (#74) is replicated in the new specific fields. - The data dictionary and data for the CORRECT SURGERY COMMENTS field (#74) is deleted. - The Quarterly Report for the 2nd quarter of FY04 is transmitted. - If this patch is installed after August 6, 2004, the Quarterly Report for the 3rd quarter of FY04 is transmitted. Routine Information: ==================== Routine Name: - SR129UTL Routine Checksum: Routine Name: - SRENSCS Routine Checksum: Routine Name: - SRO1L1 Routine Checksum: Routine Name: - SROAT0P Routine Checksum: Routine Name: - SROAT0T Routine Checksum: Routine Name: - SROAT1P Routine Checksum: Routine Name: - SROAT1T Routine Checksum: Routine Name: - SROAT2P Routine Checksum: Routine Name: - SROAT2T Routine Checksum: Routine Name: - SROATT0 Routine Checksum: Routine Name: - SROATT1 Routine Checksum: Routine Name: - SROATT2 Routine Checksum: Routine Name: - SROCOMP Routine Checksum: Routine Name: - SROESNR0 Routine Checksum: Routine Name: - SROINQ Routine Checksum: Routine Name: - SRONIN Routine Checksum: Routine Name: - SRONRPT0 Routine Checksum: Routine Name: - SROPECS Routine Checksum: Routine Name: - SROPECS1 Routine Checksum: Routine Name: - SROQ0 Routine Checksum: Routine Name: - SROQ0A Routine Checksum: Routine Name: - SROQ1 Routine Checksum: Routine Name: - SROQ2 Routine Checksum: Routine Name: - SROQM Routine Checksum: Routine Name: - SROQT Routine Checksum: Routine Name: - SROUTL Routine Checksum: Routine Name: - SROESX Routine Checksum: Routine Name: - SROESXP Routine Checksum: Routine Name: - SRONRPT Routine Checksum: Routine Name: - SROQ1A Routine Checksum: Routine Name: - SROQL Routine Checksum: Routine Name: - SROQM0 Routine Checksum: Routine Name: - SROQM1 Routine Checksum: Routine Name: - SROQN Routine Checksum: Routine Name: - SROESPR Routine Checksum: Routine Name: - SROATM2 Routine Checksum: Routine Name: - SROATMNO Routine Checksum: ============================================================================= User Information: Entered By : AL-SAHAR,SAMI Date Entered : MAY 04, 2004 Completed By: FARMER,LINDA Date Completed: AUG 20, 2004 Released By : CONSENTINO,ALBERT Date Released : AUG 23, 2004 ============================================================================= Packman Mail Message: ===================== $END TXT