Name	Value
NAME	QUASAR
PREFIX	ACKQ
DEVELOPER (PERSON/SITE)	PICKUP,JERRY L T/AUGUSTA VAMC
DEVELOPMENT ISC	Birmingham IRMFO
CLASS	National
CURRENT VERSION	3.0
SHORT DESCRIPTION	Quality: Audiology and Speech Pathology Audit and Review
VERSION	2.0 DATE DISTRIBUTED: 2002-11-12 00:00:00 PATCH APPLICATION HISTORY: 3 DATE APPLIED: 1997-04-17 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: During the New Clinic Visits option, some QUASAR users may see an others do not? Recent FileMan patches clean up the utilities for creating and entering data in sub-files (FILE^DICN and DIE). We believe the QUASAR problem shows up after the FM patches are installed. The legacy QUASAR code used old methodology for this call and needed to be updated. Patch ACKQ23 corrects this problem. What is the impact of this bug on QUASAR data? Depending on how the Select DIAGNOSTIC CONDITION prompt is answered, the patient additional prompt while entering the DIAGNOSTIC CODE(s). This diagnostic history in the A&SP PATIENT file (#509850.2) may not be complete. It is advisable to use the Inquire - A&SP Patient option to update the diagnostic history. additional prompt is Select DIAGNOSTIC CONDITION. The prompt occurs after the diagnostic code has been entered into the A&SP CLINIC VISIT file (#509850.6) and while the A&SP PATIENT file's (#509850.2) diagnostic condition multiple (patient diagnostic history) is being updated. Why do some QUASAR users see this additional prompt, while 4 DATE APPLIED: 1997-07-17 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: The AMIE C&P AUDIO worksheet (#1305) format has been reconfigured. The worksheet headings and organization have changed. Patch ACKQ24 corrects this for QUASAR. Additionally, this patch replaces all "W 7" code with "W $C(7)" in nine (9) QUASAR routines and in the ACKQAS VISIT ENTRY input template on the A&SP CLINIC VISIT file (#509850.6). 5 DATE APPLIED: 1997-08-08 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: When a C&P exam is adequated in QUASAR, the results are transmitted to the AMIE C&P software. If the transmission attempt to AMIE fails and the data is not successfully sent, QUASAR currently does not leave the visit in a "signed off on, but not adequated" state. This patch corrects this problem by leaving the visit in a "signed off on, but not adequated" state so that re-transmission can take place. 6 DATE APPLIED: 1997-09-22 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch corrects a problem reported in NOIS CTX-0997-70706. After installing ACKQ25, sites reported that the adequator signature block does not print on the AMIE report. Patch ACKQ26 corrects this problem. 7 DATE APPLIED: 1998-04-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Y2K COMPLIANCE PATCH 8 DATE APPLIED: 1998-12-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: See description of patch on FORUM. 9 SEQ #9 DATE APPLIED: 1999-07-19 00:00:00 APPLIED BY: USER,ONE DATE INSTALLED AT THIS SITE: 1996-09-26 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: Quality: Audiology and Speech Pathology Audit and Review (QUASAR) is designed to capture patient treatment and workload information for Audiology and Speech Pathology clinic visits. 3.0 DATE DISTRIBUTED: 2005-11-19 00:00:00 PATCH APPLICATION HISTORY: 1 SEQ #1 DATE APPLIED: 2001-01-22 00:00:00 APPLIED BY: USER,ONE 10 SEQ #10 DATE APPLIED: 2006-02-13 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch will correct to problem with in QUASAR that allows the user to create a new visit for deceased patients. 15 SEQ #11 DATE APPLIED: 2007-09-04 22:38:13 APPLIED BY: USER,ONE DESCRIPTION: INCORRECT DIAGNOSTIC CODE DISPLAY 13 SEQ #12 DATE APPLIED: 2007-09-05 00:58:38 APPLIED BY: USER,ONE DESCRIPTION: Interface of Medical Devices with QUASAR and the DALC. 14 SEQ #13 DATE APPLIED: 2007-12-12 20:43:46 APPLIED BY: USER,ONE 17 DATE APPLIED: 2010-10-27 11:29:05 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch will correct a problem with broken pointers. Associated Remedy HD147036 - Quasar Patch ACKQ39 - Amendments for Scheduling 16 SEQ #15 DATE APPLIED: 2010-11-10 12:24:51 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following issues: needs to have the default changed from "NULL" to "YES". 1. From the New Clinic Visits [NEW CLINIC VISITS ACKQAS VISIT ENTRY] menu option, when checking out a patient that has the Combat Classification, the prompt does not display allowing the user to answer the Combat questions for the visit. 2. At each episode of care, the prompt to determine if the care provided is related to the combat experience of the OEF/OIF veteran 18 SEQ #16 DATE APPLIED: 2011-04-04 14:23:39 APPLIED BY: USER,SEVENTEEN DESCRIPTION: As a follow up to patch LEX2.064 modifications are necessary to all references of the newly deleted fields and use of the corresponding API's is required to acquire the necessary information. 22 SEQ #17 DATE APPLIED: 2013-12-12 14:13:10 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses one issue: This patch will update all direct file reads to the ICD DIAGNOSIS (#80) file,CPT MODIFIER (#81.3) file, and the CPT FILE (#81) file in the Quasar application to the new associated API's. 21 SEQ #18 DATE APPLIED: 2014-09-02 12:54:12 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ICD-10 Remediation patch for QUASAR 2 SEQ #2 DATE APPLIED: 2001-04-12 00:00:00 APPLIED BY: USER,ONE 4 SEQ #3 DATE APPLIED: 2002-11-08 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Fix event capture error's. 5 SEQ #4 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch fixes the problem with updating diagnosis histories in the A&SP Patient file (#509850.2). 7 SEQ #5 DATE APPLIED: 2003-07-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch fixes problems with the updating of the Problem List via the PCE interface. 6 SEQ #6 DATE APPLIED: 2003-09-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Please see the National Patch Module for details of the enhancements included in this patch. 3 SEQ #7 DATE APPLIED: 2003-11-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: The Audiometric module was developed in conjunction 509850.9<tab>AUDIOMETRIC EXAM<tab>^ACK(509850.9 2. New options introduced with this patch: ACKQROES3<tab>Audiogram Display Uses new remote procedure call: ACKQAUD1. See Option file entries to see other existing XWB, XUS, and DDR RPCs accessed. (1) [ACKQROES3E] Enter or edit the data into file 509850.9. When ACKQROES3E<tab>Audiogram Data Edit Uses new remote procedure calls: ACKQROES and ACKQAUD2. See Option file entries to see other existing XWB, XUS, and DDR RPCs accessed. 3. New remote procedure introduced with this patch: ACKQAUD1: returns array of data for last 2 exams Uses routines: ACKQAG01 and ACKQAG06 signed, this transmits the data to the DDC for use with ROES 3 ACKQAUD2: returns array of data for a specific exam Uses routine: ACKQAG02 ACKQROES: transmits data to DDC & returns msg#, DDC msg#, error# and error msg. Uses routines: ACKQAG03, ACKQAG04 and ACKQAG05 Installation Instructions: ========================= Custom Hearing Aid orders. This patch was created with Kernel V8 KIDS. 1. This is a completely new installation, so it will not affect any current ROES 3 users or others on the system. You do not need to restrict users from signing on or lock any options. 2. Use the 'INSTALL/CHECK MESSAGE' option on the PackMan menu. This option will load the KIDS package onto your system. 3. You DO NOT need to stop Taskman or the background filers. None of the routines require mapping, so mapping does not need to be disabled. 4. Using the Kernel Installation and Distribution System menu (KIDS), you may choose the following options prior to installing this patch: a) All routines are new, so there should be no need to Backup the Transport Global. (2) [ACKQROES3] View the audiogram generated from that data and b) Again, this is an all new module, so there should be no need to Compare Transport Global to the Current System. c) Verify Checksums in the Transport Global. This option will allow you to ensure the integrity of the routines that are in the transport global. 5. Use the 'Install Package(s)' option under the 'Installation' menu. Installation should only take a few minutes. print VA form 10-2364. a) Select INSTALL NAME: ACKQ3.03 b) When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install?' YES// respond "NO" c) When prompted 'Want KIDS to INHIBIT LOGONs during the install?' YES// respond "NO". d) When prompted 'Want to DISABLE Scheduled Options, Menu Option and Protocols?' NO// respond "NO". e) When prompted 'Want to MOVE routines to other CPUs?' YES// respond "NO". 6. Unzip the Audiogram.zip file containing the executables ACKQROES3.EXE and ACKQROES3E.EXE onto the network. They must reside in the same directory in order for the practitioner to view the audiogram display(ACKQROES3) from the audiogram edit program (ACKQROES3E). [An alternative is to place the executables on each client computer, referencing it in the NOIS references addressed in this patch application path of the CPRS Tools menu.] 7. Assign Broker options ACKQROES3 and ACKQROES3E to selected ASPS staff members. This will provide access to the options and allow them to startup successfully when the user logs in. 8. Add the ACKQROES3 and ACKQROES3E applications to the CPRS Tools menu. [See the separate installation guide for further instructions.] ======================================= with the Remote Order Entry System (ROES 3.0) at the VA Denver There are no NOIS or E3R references. Test Sites ========== Denver New York Columbia Mountain Home Atlanta Nashville Distribution Center. [Prior ROES 2 VistA applications may be run FTP Software and Documentation ============================== This patch will be distributed in a PackMan message through the National Patch Module and should be obtained from there. The KIDS build for this patch is ACKQ3.03. KIDS File (ACKQ3.03): ACKQ_3_P3.KID ZIP file of executables: AUDIOGRAM.ZIP Documentation: concurrently with the new system during the switchover] ACKQ_3_P3_IG.PDF Installation guide ACKQ_3_P3_SG.PDF Security guide ACKQ_3_P3_TM.PDF Technical manual ACKQ_3_P3_UM.PDF User manual Note: The .PDF and .ZIP files are binary files and must be transferred in binary, not ASCII mode. These files can be read using the Adobe Acrobat Reader program. This patch contains the following enhancements: This patch includes two new options. These two options are only ============================================== The Audiometric Exam Module (ACKQ3.03) provides new functionality for ASPS, to simplify and enhance the entry, display and use of information obtained during the Audiometric exam of a patient. This module is comprised of two distinct application functions: Audiogram Edit function and the Audiogram Display function. Records are stored in a local QUASAR global (#509850.9). available in the Windows environment. Please refer to the When signed they are also transmitted from this application to the Denver Distribution Center (DDC) through the VistA MailMan system for inclusion with orders for hearing aids and repairs when ordered through the VistA Remote Order Entry System (ROES) package. The 'Audiogram Edit' function is a Windows based software application that allows clinicians to enter, edit or view the audiometric exam information from the Computerized Patient Record System (CPRS) Tools menu. Using this function, a new Installation Guide for instructions on setting these options up. audiogram record can be entered, or an existing one can be edited. Once signed, the edited data can only be viewed. The 'Audiogram Display' function is a Windows based software application that allows clinicians to view a patient's audiogram from the CPRS Tools menu. It can also be called from the Audiogram Edit application, if they exist in the same directory and folder. This function presents the clinical information in a standard format recognized within the hearing industry. The user has a choice of viewing just the last audiogram, or the last two in the file. ROUTINE SUMMARY =============== The second line of all listed routines will look like: <tab> ;;3.0;QUASAR AUDIOMETRIC MODULE;3;11/01/02 CHECK^XTSUMBLD results: ACKQAG01<tab>N/A<tab>9433779<tab>3 The 2 new GUI options are: ACKQAG02<tab>N/A<tab>14506291<tab>3 ACKQAG03<tab>N/A<tab>4940176<tab>3 ACKQAG04<tab>N/A<tab>133577359<tab>3 ACKQAG05<tab>N/A<tab>1171193<tab>3 ACKQAG06<tab>N/A<tab>12622668<tab>3 Technical Description ===================== 1. New file introduced with this patch: 8 SEQ #8 DATE APPLIED: 2004-10-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Updates for Code Text Versioning. 12 SEQ #9 DATE APPLIED: 2006-01-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: The Audiometric Exam Module was developed in conjunction with the Remote 3. Comments A comment box has been added to the Edit application where the clinician can enter up to 300 characters of text. A checkbox has been inserted directly above the comment area for use if the clinician would like to automatically insert the words "NOT ADEQUATE FOR RATING PURPOSES". This text will be saved to the file and will be imported into VA form 10-2364. 4. Update VA form 10-2364 VA form 10 2364 has been modified to reflect the changes made to the form Order Entry System (ROES 3.0) at the VA Denver Distribution Center(DDC) since the release of patch ACKQ3.03. The comment section of the form is no longer editable. 5. Color Changes Color has been removed from the data entry boxes. This allows for a cleaner presentation and makes more of the screen available for the edit boxes. 6. Retransmit Audiogram In the Edit application, a menu option has been added to allow and is only available to run in the Windows environment. The application retransmission of a signed audiogram. This is necessary to transfer the speech, word and other readings that were not a part of the original transmission. 7. Removing Audiogram In the Edit application, a menu option has been added to allow deletion of a signed audiogram. This became necessary because, in their haste to enter audiograms under heavy workload pressures, users sometimes entered audiograms under the wrong patient and the error was not discovered until after transmission. This would then become a problem when data would be can be installed completely from this patch, if ACKQ3.03 was not on duplicate systems for the wrong patient. After installing this patch, when a local signed audiogram is deleted, a message with identifying information is sent to the DDC to delete the record there also. Clinicians should use utmost caution in both entering and removing audiograms. 8. File Changes Numerous fields were added to the AUDIOMETRIC EXAM file to provide the additional data needed for diagnostic and reporting purposes. The data type of many fields was changed at the request of the national program installed. Users are encouraged to consult the full Installation Guide office to more efficiently handle the text and tags required in the fields. Many that were numeric are now free text. Refer to the CHANGES/ADDITIONS TO FILE section for more detailed information. 9. New Fields on Edit Pages The new editable fields (bullet 8) and data type screening were added to the Edit program. 10. Masking Change Masking is no longer referenced in the fields with an '', but will referenced below if AKCQ3.03 was not installed. If ACKQ3.03 was instead be indicated by a non-zero numeric value in the 'Masking Level' field. Prior instances of the data without a masking level will continue to display the '' sign. 11. No Response Change The symbol for 'No Response'(+) will now be stored in the text field with the numeric value. 12. No Testing, No Masking 'CNM', 'CNT', 'DNT' and 'FLAT; are now accommodated in the appropriate text fields in the file as well as in the Edit program. 13. Transducer Type Users can now indicate if testing was done via inserts or headphones. This is also displayed on the 10-2364. 14. Eliminate Duplicate Presentation and Material One selection of the Presentation Method and Material are now applicable to all of the Word Recognition tests, via a single drop down list. installed, then installing the KIDS build and copying the new executables 15. Tympanogram Type and Other Test Tympanogram Type and 'Other Test' types have been added to the Acoustic Immittance page. 16. Claim Number The Claim Number has been added to the Edit form so that it can be included on VA form 10-2364. 17. Maximum Value Change Maximum values allowed have been updated and associated 'Hints' have been adjusted. 18. Hints It is now possible for the user to inactivate or reactivate the hint feature. 19. Clinician Title The title of the clinician and location will now show on the display. 20. Presentation Method over the original executables of the same name will complete CD and Tape have been consolidated into a single Recorded type. 21. About Box An 'About' box was added to the main forms to comply with VistA convention. Software and Documentation Retrieval ==================================== This patch addresses several issues that came up at the VAMC stations as the install. The software and documentation for this patch can be found in the following [ANONYMOUS.SOFTWARE] directories: Preferred Address ---------------------- First available FTP server download.vista.domain.ext Specific Field Office FTP address --------------------- ----------- Albany ftp.fo-albany.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext File Name Description Format FTP Protocol ----------------- ------------- ------ ------------ ACKQ_3_P12_RN.PDF Release notes PDF Binary ACKQ_3_P12_IG.PDF Installation Guide PDF Binary ACKQ_3_P12_UM.PDF User Manual PDF Binary REMEDY ticket(s) addressed in this patch ACKQ_3_P12_TM.PDF Technical manual PDF Binary ACKQ_3_P3_SG.PDF Security guide PDF Binary ACKQ_3_P12.KID KIDS build KIDS ASCII AUDIOGRAM_P12.ZIP Executables ZIP Binary Test Sites ========== Columbia(SC) ======================================== Las Vegas Miami Tennessee Valley New York Salisbury Fayetteville AR ROUTINE SUMMARY: ================ HD000000063808 The following is a list of the routines included in this patch. The second line of each of these routines now looks like: <tab>;;v 3.0;QUASAR AUDIOMETRIC EXAM MODULE;[patch list];11/01/02 CHECK1^XTSUMBLD results Routine Name Before Patch After Patch Patch List HD000000063675 ============ ============ =========== ========== ACKQAG01 49470887 69211169 * 3,12 ACKQAG02 61779051 62617084 3,12 ACKQAG03 11574717 11560534 3,12 ACKQAG04 65019411 68097423 3,12 ACKQAG05 1840641 19012760 3,12 ACKQAG06 47277438 63053336 3,12 ACKQAG08 n/a 38815781 12 ** HD000000063875 INSTALLATION INSTRUCTIONS: ========================== Installation of this patch will take about 5 minutes. Additional time will be needed if the GUI applications have been installed on individual client machines or the location of the applications on the network has changed. Users need not be off the system when applying this patch, but it should be installed during non-peak hours to minimize disruption to users. HD000000063682 1. 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 2. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) (ACKQ3.012) 3. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//", respond 'NO'. 4. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond 'NO'. 5. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond 'YES'. Overview of Remedy ticket(s): Options to disable: ACKQROES3 ACKQROES3E 6. When prompted 'Delay Install (Minutes): (0-60): 0//; respond '0'. 7. Following the installation of the KIDS build, the system will immediately run routine ACKQAG08. This will move any existing 'No Response' or 'Masked' tags into the appropriate threshold fields. a result of the initial release of the Audiometric Exam Module (patch ---------------------------- 8. At this point the two revised executables (ACKQROES3.EXE and ACKQROES3E.EXE) should be copied over all existing copies on the network or client machine. Add the VistA menu options for any new application users and setup on their CPRS Toolbar as necessary, as detailed in the INSTALLATION GUIDE. 9. We do not anticipate any need to reinstall this patch. However, it may be reinstalled if necessary. Problem: When a user without context accessed the Edit Module, they were allowed to enter the application and view the screens. They were not able to actually edit the data. Solution: The application [ACKQROES3E.EXE] was modified to exit and halt the application if the user did not have the appropriate VistA application assigned to create context. Associated Remedy Ticket: HD000000063808 ACKQ3.03). These changes have been made to the GUI(Windows based) ----- Problem: Sites encountered a Null Subscript at EN2+4^ACKQAG02 when entering a new record and cancels out of entering the date and time of the exam. Solution: A fix is applied in routine ACKQAG02 and in the record setup to give the appropriate error message and exit the application if a valid Enter/Edit(ACKQROES3E.EXE) and Display(ACKQROES3.EXE) applications in the date and time are not entered. Associated Remedy Tickets: HD000000063675 and HD000000063875 ----- Problem: Some error messages or message prompts were coming up behind other screens. The only way for them to show up was to select the application from the bottom task bar. Solution: Most of the messages in the Audiogram Edit application are now package for both the CPRS Toolbar and Desktop versions, as well as to the enclosed in code to send them to topmost position and after the message ends, to restore the previous topmost setup. This may not be a complete solution, but available documentation indicates it should help, if not eliminate the problem from this application. Associated Remedy Ticket: HD000000063682 ----- VistA part of the application. The VistA part includes the file data This patch contains the following enhancements: =============================================== The Audiometric Exam Module provided new functionality for Audiology and Speech Pathology Services(ASPS), to simplify and enhance the entry, display and use of information obtained during the Audiometric exam of a patient. This module is comprised of two distinct application functions: Audiogram Edit function [ACKQROES3E.EXE] Audiogram Display function [ACKQROES3.EXE] dictionary, Remote Procedure Calls and routines. Records are stored in the local AUDIOMETRIC EXAM file (^ACK(509850.9). When signed, the records are also transmitted from this global to the DDC through the VistA Mailman system. At the DDC, data from these records is included with orders for hearing aids and repairs when the orders are placed through the VistA Remote Order Entry System (ROES) package. They may also be viewed remotely from the ROES Patient Information screen of the ROES web application. ACKQ3.012 implements the following changes: 1. Removal of Buttons In both audiogram GUI applications, the buttons previously on the screens have been replaced by menu options at the top of the form. 2. Loop to Another Patient or Record In both applications, a menu option (Get New Record) has been added to allow the user to go to another record without exiting the application. If accessing through CPRS, record selection is limited to the current patient. From the Desktop application, users may select another patient or go to another record for the same patient. DATE INSTALLED AT THIS SITE: 2000-06-26 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: TEST INSTALL VERSION 3
DESCRIPTION	Quality: Audiology and Speech Pathology Audit and Review (QUASAR) is designed to capture patient treatment and workload information for Audiology and Speech Pathology clinic visits.

QUASAR (150) PACKAGE (9.4)