This patch fixes various problems discovered during the installation and
implementation of the Clinical Case Registries v1.0 package. It also
contains some enhancements.
The Clinical Case Registry package automatically collects and creates
Local sites have the ability to review the local registry list before
automated data extraction and transmission. Data extraction and
transmission will be timed daily and will not require manual intervention.
local registries of patients using the predefined search criteria.
This release contains the infrastructure and definitions of the Hepatitis
C registry. The software will search for patients that pass the
pre-defined selection rules that identify a patient with Hepatitis C
(e.g., ICD-9 code relating to Hepatitis C, positive laboratory serology
test results for Hepatitis C testing).
Enhancements to Clinical Case Registries to include new SLEEP APNEA
registry and report enhancements for screen on gender and addition of
optional ICN column.
Updates for ICD-10 for local registries, add additional data element
OEF/OIF/OND period of service for selection of patients, notify mail group
if nightly job does not run due to user not possessing the ROR VA IRM
security key and add 2 new HEP-C registry drugs.
This patch contains changes to the following:
1. A new Selection Panel on each report to allow the user to limit
the report to patients with a diagnosis of interest in a date range.
2. Two new reports Hep A and Hep B are included in this patch.
Include two New Registries:
DRUG file (#799.51) as a NATIONAL entry for use in the CCR VA HEPC
Registry.
Added code to change the LOINC Codes result values to uppercase as
positive values were being missed if the site used mixed case to store a
positive result.
Update Labels to Reference "Birth
Sex" on all Report Panels
The existing "Sex" labels on all report panels will be changed to "Birth
VA IPF - Idiopathic Pulmonary Fibrosis (IPF) Registry
Sex." In addition, the change will be implemented under Report Options
in the General Utilization and Demographics Report Selection Panel. As
this list is alphabetized, the order will change to maintain alphabetical
order.
VA HYPOPARA - Hypoparathyroidism Registry
The following medications will be added to the ROR GENERIC DRUG File
(#799.51):
Add HEPC Registry Medication SOFOSBUVIR/VELPATASVIR
The medication, SOFOSBUVIR/VELPATASVIR, will be added to the ROR GENERIC
1. Six new local registries added
LAMIVUDINE/ TDF
3. A new Future Appointment selection paneladded to selected reports
4. The new panel will have a radio button with a label
"All Patients" which will be the default. A second button
with a label "Only patients with an appointment in the
next X days".
5. On the report header for reports that display "Only patients with
appointment in the X number of days", new text will be displayed as
2. Three new medications are added to the ROR GENERIC DRUG file
follows to et the user know that the report was run for future
appointments only.
6. New LOINC codes have been added to the ROR LAB SEARCH file (#798.9)
to add patients to the HIV pending list.
7. A correction was made on the Combined Meds and Labs,
DAA Lab Monitoring, Hepatitis A and the Hepatitis B
reports when sorting by the ICN, PACT or PCP columns.
8. The version of the CCR software has been updated
(#799.51) to be used as inclusion criteria for patients in the
respective registry(s).
a. HIV registry :
BICTEGRAVIR/EMTRICITABINE/TENOFOVIR
EFAVIRENZ/LAMIVUDINE/TENOFOVIR
The following functionality is included in this patch.
Current Inpatient report with admission date time for diagnosis.
All reports with future appointments listed will include the future
clinic also.
Fix Hep A/B LOINC code table.
Add Future Appointment panel to the Diagnosis and Procedure reports
Two new local registries will be added to this patch. VA HEAD AND NECK
A conversion included in the post-init to set the status from pending to
confirmed for all HEPC and HIV records in the registries. Also pending
comments will be deleted out.
and VA HYPOTHYROIDISM.
The AUTO CONFIRM field of the ROR REGISTRY PARAMETERS (798.1) will be
set to Yes to auto confirm for the two national registries VA HEPC and VA
HIV.
All code pertaining to pending in the two national registries VA HEPC and
VA HIV will be documented in the code as pending but will be commented as
such.
A new HIV drug will be added to the file.
This patch adds a new registry called VA RECENT PATIENTS that adds
patients that have had an admission or an event within the last two
years. The nightly job ROR TASK when runs will set those entries in the
VA RECENT PATIENTS registy to a status of delete (5) if the entry has not
had activity within the last two years. Also 34 new LOINC
codes have been added to the ROR LAB SEARCH file for the VA COVID19
registry.
The Clinical Case Registries (CCR) identifies patients with positive
antibody results for inclusion in the HIV and HCV registries. This patch
fixes an error where patients with laboratory results that are not
positive are incorrectly categorized as positive and are incorrectly
included in the HIV and HCV registries. Code changes have been made to the
RORUPD04 and RORX024A routines to rectify this issue.
A revised Graphical User Interface (GUI) executable is included in the
patch so the version of the CCR software is updated to 1.5.38.
Two drugs are added to the ROR GENERIC DRUG (#799.51) file for use by the
VA HIV registry. They are; 1)CABOTEGRAVIR and 2)CABOTEGRAVIR/RILPIVIRINE.
There is a new GUI. The version number is 1.5.40.
This patch changes the value of the NATIONAL (#.09) field in the ROR
other registries in the package are considered "local" and their patient
data is not transmitted to any other database.
With this patch, these two registries are changed to "local", too. Their
patient data will no longer be transmitted to any other database.
The CCR package checks many VistA packages for patient information to
update its various registries. Therefore, the ROR TASK option that is
currently scheduled to run on all VistA systems should continue to run
every day so that all registries at the site can continue to be updated on
REGISTRY PARAMETERS (#798.1) file for two entries; 1) VA HEPC and
a daily basis.
NOTE: This patch should be installed at sites that run CERNER, too.
However, CERNER sites do not need to have the ROR TASK option
scheduled.
There is a new GUI. The version number is 1.5.41.
2) VA HIV.
Before the patch, the value is "1" (i.e., YES).
After the patch, the value is "0" (i.e., NO).
Prior to this patch, these two registries were considered "national" and
their patient data was transmitted to a national database every day. All
This patch includes the following changes to the Clinical Case Registries
update this registry. Also, this registry will no longer appear in the
list of registries displayed to the users so they will not be able to
select it.
3. The Graphical User Interface (GUI) now supports the latest changes to
the RPC Broker package. The latest Personal Identity Verification
(PIV) certificate will be selected automatically, however, a new
"/showcerts" command line switch was added to allow the user to
display the PIV certificate selection screen in case it is needed.
(CCR) package.
4. The version of the CCR software is updated to 1.5.42.
NOTE: This patch should be installed at sites that run CERNER, too.
However, CERNER sites do not need to have the ROR TASK option
scheduled.
1. One drug is added to the ROR GENERIC DRUG (#799.51) file for use by
the VA HIV registry. The drug is LENACAPAVIR.
2. The VA TRANSGENDER registry is inactivated. The REGISTRY STATUS field
(#11) of the ROR REGISTRY PARAMETERS (#798.1) file for this registry
is set to 1 (i.e., INACTIVE). The daily update process will no longer
