Name	Value
NAME	CLINICAL PROCEDURES
PREFIX	MD
DEVELOPER (PERSON/SITE)	PETIT,DAN/HISC
DEVELOPMENT ISC	Hines
CLASS	National
CURRENT VERSION	1.0
SHORT DESCRIPTION	Clinical Procedures
VERSION	1.0 DATE DISTRIBUTED: 2004-05-21 00:00:00 PATCH APPLICATION HISTORY: 1 DATE APPLIED: 2004-03-30 00:00:00 DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 6 DATE APPLIED: 2008-07-22 12:33:26 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 17 SEQ #10 DATE APPLIED: 2009-04-22 11:33:25 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 19 SEQ #12 DATE APPLIED: 2009-04-23 11:46:32 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 11 SEQ #13 DATE APPLIED: 2009-06-30 11:20:41 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 21 SEQ #14 DATE APPLIED: 2010-06-22 12:40:37 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 20 SEQ #15 DATE APPLIED: 2010-11-29 15:00:30 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 16 DATE APPLIED: 2011-06-13 12:38:28 APPLIED BY: USER,SEVENTEEN DESCRIPTION: MD1.016 (Clinical Flowsheets Version 1.0) collected information as discrete data. Some data elements, such as vital signs, are available to the Vitals Package and Computerized Patient Record System (CPRS). Various reports built on the other data elements are available for CPRS in the form of TIU Notes. There are two ways to enter data into Clinical Flowsheets: manually and via Health Level 7 (HL7) messaging. Any instrument or external system capable of sending HL7 messages can be considered a source of data for Clinical Flowsheets (provided that the HL7 messages conform to Clinical Flowsheets requirements). Clinical Flowsheets uses VistA Data Extraction Framework (VDEF) support, HL7 messaging, and the CP Gateway service to notify the medical device of the patient's admission, discharge, and transfer. The Clinical Flowsheets patch consists of these three (3) Graphical User Interface (GUI) components and one (1) Kernel Installation & Distribution System (KIDS) build: - CP Console The Clinical Flowsheets patch of the Clinical Procedures (CP) package - CP Flowsheets - CP Gateway Service - MD1_0P16.KID ++++++ NOTE: A. IF THE SITE IS NOT CURRENTLY RUNNING CLINICAL PROCEDURES, ONLY THE KIDS BUILD NEEDS TO BE INSTALLED. ALL OTHER INSTALLATION INSTRUCTIONS AND POST-INSTALLS CAN BE IGNORED. provides an electronic representation of the traditional paper flowsheet B. IF THE SITE IS RUNNING CLINICAL PROCEDURES AND DOES NOT PLAN ON IMPLEMENTING CLINICAL FLOWSHEETS AT THIS TIME, ONLY THE KIDS AND CP CONSOLE (REPLACEMENT FOR THE CURRENT CP MANAGER) NEED TO BE INSTALLED. C. IF THE SITE IS RUNNING CLINICAL PROCEDURES AND WISH TO BEGIN THE IMPLEMENTATION OF CLINICAL FLOWSHEETS, THEN ALL 4 COMPONENTS NEED TO BE INSTALLED: KIDS, CP CONSOLE, CP FLOWSHEETS AND THE NEW CP GATEWAY SERVICE.- ++++++ maintained during each inpatient stay. Vitals, Intake & Output (I&O), FEATURES: ========= 1. FEATURE: Provide GUI to view, enter and edit patient's data. Clinical Flowsheets provides a user-friendly, customizable, GUI with "flow-sheets" to view, manually edit, and manually enter patient ICU Vitals and I&O information. 2. FEATURE: Interface with Intensive Care Unit (ICU) devices. Wound Documentation, etc., are examples of data types that can be Clinical Flowsheets project and application will provide an interface for the collection of patient data from ICU monitoring devices. The collected and verified data will be stored automatically in the appropriate VistA database(s). 3. FEATURE: Introduces the Admission Discharge Transfer (ADT) system. With VDEF support, HL7 messaging, and the CP Gateway service, CP's ADT sub-system will notify the ICU device of the patient admission, discharge, and transfer. recorded via Clinical Flowsheets into the Veterans Health Information 4. FEATURE: Standardized Terminology Files. Clinical Flowsheets supports standardized terminology files with Vitals Measurements, and I&O terms. This standardized terminology file is also a component of patch MD116. System and Technology Architecture (VistA) system. Clinical Flowsheets provides a departure from its predecessor applications by storing 12 DATE APPLIED: 2012-02-14 11:49:09 APPLIED BY: USER,SEVENTEEN DESCRIPTION: MD1.012 - Clinical Flowsheets HL7 Redesign 23 DATE APPLIED: 2012-04-10 15:11:09 APPLIED BY: USER,SEVENTEEN 24 SEQ #20 DATE APPLIED: 2012-08-29 12:29:24 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 2 DATE APPLIED: 2004-04-09 00:00:00 APPLIED BY: File: 200, IEN: 4558 DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 31 SEQ #21 DATE APPLIED: 2013-01-03 11:37:23 APPLIED BY: USER,SEVENTEEN DESCRIPTION: TERMINOLOGY FILE UPDATES 33 SEQ #22 DATE APPLIED: 2013-03-21 17:19:27 APPLIED BY: USER,SEVENTEEN DESCRIPTION: CHANGE QUALIFER CC TO CUBIC CENTIMETER 32 SEQ #23 DATE APPLIED: 2014-01-21 15:41:15 APPLIED BY: USER,SEVENTEEN DESCRIPTION: CLINICAL PROCEDURES TERMINOLOGY FILE UPDATES 34 SEQ #24 DATE APPLIED: 2014-03-24 15:36:23 APPLIED BY: USER,SEVENTEEN DESCRIPTION: MODIFY AUTO-COMPLETE OF PROCEDURE TIME 29 SEQ #25 DATE APPLIED: 2014-08-18 12:04:14 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please see patch MD1.029 on Forum for complete details and installation instructions for this patch. 35 SEQ #26 DATE APPLIED: 2014-11-05 12:29:12 APPLIED BY: USER,SEVENTEEN DESCRIPTION: AIS APPROVED TERMINOLOGY ADDITIONS/UPDATES 37 SEQ #27 DATE APPLIED: 2015-08-17 12:40:53 APPLIED BY: USER,SEVENTEEN DESCRIPTION: PROCEDURE AUTO CHECK-IN ISSUE PROCEDURE AUTO CHECK-IN ISSUE 36 SEQ #28 DATE APPLIED: 2015-09-22 12:09:39 APPLIED BY: USER,SEVENTEEN DESCRIPTION: CLINICAL PROCEDURES TERMINOLOGY FILE UPDATES 42 SEQ #29 DATE APPLIED: 2016-03-03 15:43:25 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: Test patch MD1.042 v2 August 18, 2015 flag to the Clinical Procedures (CP) Instrument File so that CP will send --------------------------- N/A Problem: -------- Resolution: ----------- only an "outbound" Health Level 7 (HL7) message containing Computerized Test Sites: ---------- Portland VA Medical Center, Portland, Oregon (VAMC) VA Boston Health Care System, West Roxbury, MA (VAHCS) VA Connecticut Health Care System West Haven Campus, West Haven, CT (VAHCS) James A. Haley Veterans Hospital, Tampa, Florida (VAHCS) Documentation Retrieval Instructions Patient Record System (CPRS) patient information to the medical ------------------------------------ The functionality introduced by this patch is described herein. Pre/Post Installation Overview ------------------------------ There are no Pre/Post installation routines associated with this patch. Pre-Installation Instructions instrument. The CP procedure is automatically placed in Completed status ------------------------- This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions ----------------------------- 1. Choose the PackMan message containing this patch. after the HL7 message is sent, thus preventing an "inbound" HL7 message 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter MD1.042. a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in containing the test results from being sent back to the CPRS Consult the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. Note. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// Press <Enter> 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO// Press <Enter> 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// Press <Enter> 8. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. Post-Installation Instructions ------------------------------ N/A The physician can then edit the Consult Note by manually pasting in data Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;CLINICAL PROCEDURES;[Patch List];Apr 01, 2004;Build 7 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. from a test result reporting system to complete the Consult. Routine Name: MDRPCOP Before: B79065771 After: B83622221 4,6,11,20,42 Routine Name: MDWOR Before: B43803580 After: B47515185 14,11,21,20,37,42 Routine list of preceding patches: 20,37 This modification is beneficial for users of reporting systems-such as the Clinical Assessment, Reporting, and Tracking System for Cardiac Catheterization Laboratories (CART-CL) application-who do not want the test results from the medical instrument to populate the CPRS Consult Note, but prefer to manually paste the test results from the reporting system into the Consult Note. The CONSULT KEEP OPEN field in the CP INSTRUMENT File (#702.09) must be set to Yes for this functionality to work. This triggers the routines that put the CP procedure in Completed status to interrupt the ====================================================== bi-directional flow. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ----------------------- ------------------------ -------------------- CP INSTRUMENT (#702.09) CONSULT KEEP OPEN (.401) New Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Description: Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted =========== ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: The NSR20131203 Clinical Procedures Uni-directional Configuration Option Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs) enhancement entails changing the current VistA functionality to add a ---------------------------- 20131203 CP UNI-DIRECTIONAL CONFIGURATION OPTION Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview 38 DATE APPLIED: 2016-04-07 16:02:28 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch creates an event for broadcasting new or updated data in the Clinical Observations (CLiO) module. 1 SEQ #1 DATE APPLIED: 2007-12-12 18:52:26 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 41 SEQ #31 DATE APPLIED: 2016-06-06 10:38:11 APPLIED BY: USER,SEVENTEEN DESCRIPTION: IPv6 MODIFICATIONS 45 SEQ #32 DATE APPLIED: 2016-09-23 15:53:08 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CORRECTION FOR AUTO CHECK-IN SETUP 39 SEQ #33 DATE APPLIED: 2016-12-01 15:50:42 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CLINICAL PROCEDURES TERMINOLOGY FILE UPDATES 49 SEQ #34 DATE APPLIED: 2017-05-30 16:06:47 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: In preparation for the VA's transition to become two factor authentication (2FA) compliant the Clinical Procedures (CP User) Graphical User Interface (GUI) requires an upgrade to Delphi version XE8 in order to implement the new Remote Procedure Call (RPC) Broker allowing compliance. 50 SEQ #35 DATE APPLIED: 2017-05-30 16:07:16 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: In preparation for the VA's transition to become two factor authentication (2FA) compliant the Clinical Procedures (CP Hemodialysis) Graphical User Interface (GUI) requires an upgrade to Delphi version XE8 in order to implement the new Remote Procedure Call (RPC) Broker allowing compliance. 51 SEQ #36 DATE APPLIED: 2017-05-30 16:07:37 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses one Clinical Procedures issue: In preparation for the VA's transition to become two factor authentication (2FA) compliant the Clinical Procedures (CP Flowsheet) Graphical User Interface (GUI) requires an upgrade to Delphi version XE8 in order to implement the new Remote Procedure Call (RPC) Broker allowing compliance. 52 SEQ #37 DATE APPLIED: 2017-05-30 16:07:57 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses one Clinical Procedures issue: In preparation for the VA's transition to become two factor authentication (2FA) compliant the Clinical Procedures (CP Console) Graphical User Interface (GUI) requires an upgrade to Delphi version XE8 in order to implement the new Remote Procedure Call (RPC) Broker allowing compliance. 47 SEQ #38 DATE APPLIED: 2017-06-27 15:34:15 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: MODIFICATIONS TO UTILIZE IMMUN FILE GROUP DATA 53 SEQ #39 DATE APPLIED: 2017-08-03 13:25:52 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CP TERMINOLOGY CORRECTIONS FOR PATCH MD139 56 SEQ #40 DATE APPLIED: 2018-03-02 15:28:13 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch fixes a defect in CP Hemodialysis. 1. I15834349FY17 - LOM - Function missing in HEMODIALYSIS In CP Hemodialysis, the patient selection grid lost the ability to sort the included information after the previous patch. NOTE: Patch MD156 includes a new GUI executable for CP Hemodialysis . 2 SEQ #2 DATE APPLIED: 2007-12-12 18:53:34 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 48 SEQ #41 DATE APPLIED: 2018-04-03 15:51:40 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CP FLOWSHEET TERMINOLOGY ADD/MODIFY TERMS 58 SEQ #42 DATE APPLIED: 2018-04-03 17:34:58 APPLIED BY: USER,FIFTYFOUR 61 SEQ #43 DATE APPLIED: 2018-07-06 15:22:43 APPLIED BY: USER,FIFTYFOUR 59 SEQ #44 DATE APPLIED: 2018-09-07 12:09:10 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CLINICAL PROCEDURES FLOWSHEET TERMINOLOGY UPDATES 43 SEQ #45 DATE APPLIED: 2018-12-03 18:13:15 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: The purpose of this patch is to provide a software bug fix for Clinical Procedures functionality. This patch addresses the following issues: -Duplicate reports with the same time stamp 54 SEQ #46 DATE APPLIED: 2018-12-04 15:43:16 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses four (4) issues: 4. A follow up CP order placed the same day as a scheduled CP order will check in with out it being scheduled. 1. A cancelation message is not being sent to the instrument when an order is canceled or discontinued through CPRS. 2. TIU Note Title of Procedures edited in CP Console (GUI) are being lost. 3. Attempting to import in CP Console (GUI) results in an error. 60 SEQ #47 DATE APPLIED: 2019-01-03 16:54:32 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: Clinical Procedures and DICOM Consult Request Tracking. This allows DICOM objects created during a CP examination to be sent to VistA Imaging and be processed automatically. It also allows them to be used with all of the other DICOM services, like query/retrieve and export. Reports in DICOM Encapsulated PDF are highly recommended. This patch and MAG3.0208 work together to greatly imnprove interoperability between Clinical Procedures and Vist Imaging CPRS Consult Request Tracking DICOM. The CP studies have the same Instrument Order Number as the regular consult and procedure Accession Number (sss-GMR-nnnnnnnn). 65 SEQ #48 DATE APPLIED: 2019-01-03 17:30:10 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: High Volume Procedure Setup modifications to allow setting of the associated note title's two technical fields - COMMIT ACTION and POST-SIGNATURE CODE. Consult / Procedure to Clinical Procedure conversion utilities. 64 SEQ #49 DATE APPLIED: 2019-03-01 14:06:23 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CP CONSOLE NETWORK HELP FILE 66 SEQ #50 DATE APPLIED: 2019-04-02 14:21:20 APPLIED BY: USER,FIFTYFOUR 10 SEQ #3 DATE APPLIED: 2007-12-12 18:59:24 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 62 SEQ #51 DATE APPLIED: 2019-05-01 16:01:38 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CP USER UPDATE FOR WINDOWS 10, NEW DELPHI AND NETWORK HELP FILE. 63 SEQ #52 DATE APPLIED: 2019-05-01 16:46:17 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: CP FLOWSHEETS WINDOWS 10 HELP FILE 69 SEQ #53 DATE APPLIED: 2019-07-08 16:51:57 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: This patch will address the issues in the following tickets: INC3431411, INC3430523, INC3525351, INC3559705 Hemodialysis CPs are failing to auto check-in after the first day. 67 DATE APPLIED: 2019-07-22 17:10:56 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: MD1.067 - Please refer to the patch description in Forum for installation instructions. 68 SEQ #55 DATE APPLIED: 2019-08-12 15:13:50 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: CP FLOWSHEETS TERMINOLOGY UPDATES 70 SEQ #56 DATE APPLIED: 2019-08-27 08:51:33 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: MD170 - CP HEMO DEFAULT DATE 12-30-1899 This patch will resolve the following issue in the Clinical Procedures package: The default value for Diagnosis date and Initial Therapy date is set to the arbitrarily value of 12-30-1899. Initial analysis showed that the code was looking for that specific date to replace it with a null entry, but this code was being bypassed incorrectly 73 SEQ #57 DATE APPLIED: 2019-11-13 14:25:30 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: ELIMINATE ALERTS FOR RETRACTED NOTES AND MODS TO HIGH VOLUME SETUP 71 SEQ #58 DATE APPLIED: 2020-01-15 12:19:43 APPLIED BY: USER,SIXTYFIVE 75 SEQ #59 DATE APPLIED: 2020-01-15 12:21:53 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: MD1.075 - CP HEMODIALISIS DEFAULT DATE 12-30-1899 IN TIU DOCUMENTS as <blank> This patch will resolve the following issue in the Clinical Procedures package: On the current Treatment Status Report Screen Diagnosis Date and Initial Therapy Date is blank it looks like the TIU Document Details section is still populated with 12/30/1899. CODE MODIFIED TO: CP APP-HEMODIALYSIS select Patient and view Submit tab screen that shows in Document Details section that Diagnosis Date and Initial Therapy Date 76 SEQ #60 DATE APPLIED: 2020-06-23 18:15:33 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: The patch addresses one (1) issue: INC7452263 - In the CP Console, where the views for the CP flowsheets are built if you save and move to another patient too quickly. This new patient will receive the previous patients record temporarily confusing the user. 5 SEQ #4 DATE APPLIED: 2007-12-12 18:59:51 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 72 SEQ #61 DATE APPLIED: 2020-06-24 15:25:14 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: CLINICAL PROCEDURES FLOWSHEET TERMINOLOGY UPDATE 78 SEQ #62 DATE APPLIED: 2020-09-23 16:09:23 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: AUTO CHECK-IN ISSUES WITH MUSE PROCEDURES 80 SEQ #64 DATE APPLIED: 2022-01-11 16:57:25 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following issue: Encounters for procedures that are read and completed in the MUSE system are not crossing over correctly which causes the encounters to remain open. 82 SEQ #65 DATE APPLIED: 2023-05-23 10:58:12 APPLIED BY: USER,EIGHTYNINE 84 SEQ #66 DATE APPLIED: 2023-11-22 11:50:15 APPLIED BY: USER,EIGHTYNINE 83 SEQ #67 DATE APPLIED: 2023-12-15 14:50:28 APPLIED BY: USER,EIGHTYNINE 4 DATE APPLIED: 2008-07-22 12:02:34 APPLIED BY: USER,ONE DESCRIPTION: See FORUM for full patch description. 13 SEQ #6 DATE APPLIED: 2007-12-12 19:35:12 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. 14 SEQ #8 DATE APPLIED: 2008-05-26 16:06:30 APPLIED BY: USER,ONE DESCRIPTION: Please refer to the National Patch Module for the detail of this patch build. DATE INSTALLED AT THIS SITE: 2007-12-12 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: Clinical Procedures Version 1.0.
DESCRIPTION	Clinical Procedures (CP) primarily functions as a conduit for passing final patient results, using HL7 messaging, between vendor clinical information systems (CIS), and the VISTA hospital information system. Clinical Procedures was developed in conjunction with Consults, CPRS, TIU and VISTA Imaging and is fully integrated with these packages.

CLINICAL PROCEDURES (197) PACKAGE (9.4)