Name	Value
NAME	EMERGENCY DEPARTMENT
PREFIX	EDP
CURRENT VERSION	2.0
SHORT DESCRIPTION	Emergency Department Information System
VERSION	1.0 DATE DISTRIBUTED: 2010-09-02 00:00:00 DATE INSTALLED AT THIS SITE: 2010-12-07 00:00:00 INSTALLED BY: USER,SEVENTEEN DESCRIPTION OF ENHANCEMENTS: This is the initial installation of the Emergency Department Information System (EDIS). This is the module that handles tracking of a patient through an emergency department visit. The user interface for this application is a web application. 2.0 DATE DISTRIBUTED: 2013-01-18 00:00:00 PATCH APPLICATION HISTORY: 4 SEQ #1 DATE APPLIED: 2013-04-16 10:25:18 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses an issue with multiple patient record flags causing an error at WRITE+4^XOBVSKT. 15 SEQ #10 DATE APPLIED: 2021-06-29 16:10:57 APPLIED BY: USER,SEVENTEEN DESCRIPTION: 1. INC15787506 - EDIS v2.2 patient movement issues which caused patient edited or re-added to the board as the application still considered them as being on the board. Technical Explanation: ---------------------- On the room select boxes used in the popups, on the CPE screen, using the "click" event to capture changes to the selection which works properly if you click directly on the list item you want to change to. If for some reason you miss clicked on the select boxes but did not click on a list item it was still triggering the click event and which was causing the to disappear from EDIS display board. save functionality to run but doing so with the default value, in the case of room bed that is 0 which was the patient ghosting. Resolution: ----------- The click method which updates the room has been changed to no longer default to "0". The VistA routine EDPQDB has been updated to display any existing patients with a LOC field entry of "0" as being on the default room set by the TRACKING AREA File (231.9) field INITIAL ROOM. A pre-install routine will close all ambulance patients and named patients older then 5 days with a LOC of "0". Problem: -------- When moving a patient between rooms the patient would in some cases disappear from the board. These patient entries when viewed in VistA would display in file #230 (ED LOG) as having a LOC field (3.4) entry of "0". When a patient disappears from the board they are unable to be 16 SEQ #11 DATE APPLIED: 2022-06-02 14:13:52 APPLIED BY: USER,EIGHTYSIX DESCRIPTION: Patch EDP2.016 addresses the following defects: 1.INC15877607 - Unverifiable order created when pharmacy processes/edits medication orders. Problem: -------- When an outpatient pharmacy order is created in CPRS then edited in VistA option "PSO LM BACKDOOR ORDERS" the "New" column in EDIS counts an additional order more than it should on the CPE screen. Technical Explanation: ---------------------- In the EDIS Mumps code anytime a new order is created it is automatically assumed to be a new order regardless of its status. When some fields are edited in pharmacy backdoor such as dosage, instead of editing the current order a new order is created. This order is sent to routine EDPFMON where EDIS checks the status of the HL7 message sent from pharmacy. The current code does not check to see if the order is an edited order or an actual new order, so it adds the edited order as it was a new order. In file #230 (ED LOG) you can see both the original and 1.INC15877607 - Unverifiable order created when pharmacy processes/edits edited order. Resolution: ----------- EDIS will now check to see if the order already exist and will check to see if the order is an "Active" or "New" order before updating the "New" column. 2.INC12684952 - EDIS is passing a provider pointer of 0 to DATA2PCE. medication orders. Problem: -------- There is currently a defect in the Document Storage Systems (DSS) software which is creating "V" Purpose of Visit (POV) entries that have a provider narrative pointer of 0. These V POV entries are picked up in EDIS where they cause the system to error when the Activity Report is run. Technical Explanation: ---------------------- The "0" entry is in file #9000010.07 V POV field (#.04) PROVIDER 2.INC12684952 - EDIS is passing a provider pointer of 0 to DATA2PCE. NARRATIVE, EDIS uses this file to retrieve the diagnosis name for a patient when the Activity Report is run. An undefined error occurs in routine EDPQPCE when 0 is passed and EDIS attempts to assign this value to a variable. Resolution: ----------- EDIS will now check for null values to prevent undefined errors. Additionally, if the name pointer is invalid EDIS will use the diagnosis Internal Entry Number (IEN) to retrieve the name from the ICD Diagnosis 3.JIRA-418 - Remote Procedure Calls (RPC) added to EDIS menu option. file (#80). 3.JIRA-418 - Remote Procedure Calls (RPC) added to EDIS menu option. Problem: -------- The current login configuration for EDIS uses VIA code which is slated for decommission and must be changed. Resolution: ----------- Multiple RPCs from the kernal namespace are being added to the EDIS option EDPF TRACKING SYSTEM to login to the application instead of using the VIA system. Defect Tracking System Tickets(s) & Overview: ============================================= 20 SEQ #14 DATE APPLIED: 2023-05-01 11:16:54 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Patch EDP2.020 addresses the following issues: 1. INC21639750 - EDIS board is displaying old (discharged) patients on the board as if they are currently being seen in the ER. 2. JIRA EDIS-458 - Update Mumps code to remove direct references to the ORDER File #100 and replace with ORX8 API. 23 SEQ #15 DATE APPLIED: 2023-06-09 10:28:58 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Patch EDP2.023 is the VistA component of the new Emergency Department Patch EDP2.024 will release to update EDIS's Graphic User Interface (GUI) to utilize these changes. Integration Software (EDIS) features and adds the following enhancement capabilities: 1.EDIS-592 - Admittance time delay calculation. 2.EDIS-697 - Add door to doctor time to row data. 3.EDIS-623, 624, 626 - Waiting room board configurable text fields I, II, III 29 SEQ #17 DATE APPLIED: 2023-12-15 13:24:19 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Patch EDP2.029 is the Vista component for patch EDP2.028. The Emergency Department Integration Software (EDIS) will require this patch installed in order to support the new login methods made by patch 28. 31 SEQ #25 DATE APPLIED: 2025-02-27 09:31:21 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: This patch is one part of a GUI patch that contains fixes for the issues When a Room/Bed is marked as never display any patient assigned to that Room or Bed will disappear from the CPE board. This occurs because the drop down boxes that Rooms/Beds can be selected from still included those that are marked to not be displayed on the board. Once this happens the only way to find the patient is to move their location in VistA or mark the Room/Bed as visible on the Board through the configuration page. Resolution: ----------- Added a check to exclude Rooms/Beds from the Room/Bed selection drop listed below: down when the field "DISPLAY WHEN" (FILE #231.8 FIELD .07) is set as "Never". 2. INC33193019: Delay Summary Report Changes. Problem: -------- On the "Delay Summary Report" in the reports tab there are several changes the business required to be made for certain metrics and layout. First the headers needed to be more defined so users can distinguish between the various data types. Second various metrics have had their time values adjusted. Resolution: ----------- Added underlining to the headers for "All ED Visits", "VA Admitted", and "Not VA Admitted". Changed the labels on the JAVA GUI and data values for the following: All ED Visits: "Total Visits Over Six Hours" to "Total Visits Over 240 Minutes" VA Admitted: "Total Visits Over Six Hours" to "Total Visits Over 360 Minutes" "Average Delay Time" to "Average Admit Delay Time" "Number of Admit Delays Over Six Hours" to "Number of Admit Delays Over 150 Minutes" 1. INC36508590: Patient stuck in a hidden room in EDIS. Problem: -------- 34 SEQ #27 DATE APPLIED: 2025-04-30 08:50:57 APPLIED BY: USER,NINETY DESCRIPTION: EDIS-1210 change the following for accessing a sensitive record from "Are you sure you wish to continue?" to "Do you want to continue accessing this patient record?" 37 SEQ #32 DATE APPLIED: 2025-09-03 08:14:19 APPLIED BY: USER,NINETY DESCRIPTION: 1) EDIS-1252 - Integrated site fix for scheduling applications. assume the user is always at the primary site regardless of which division the clinic they are trying to add the patient to. Technical explanation: -------- In the Mumps code where EDIS listens to the SDAM APPOINTMENT EVENTS protocol for patient check-ins the site value for the check-in uses the local variable DUZ(2). This value is from the CONNECTOREDIS proxy account the EDIS JAVA GUI uses to add information to Vista. The problem is sites only have one of these accounts and it is typically located in the primary site. As the example above states if the connector proxy account is at 561 then EDIS uses it's DUZ(2) value even for patients at 561A4. Since the correct site code is never assigned to that patient they never appear in the other division's display board. Resolution: ----------- EDIS now adds patients to sites based on the clinics location rather than the location of the connector proxy account. Problem: -------- Scheduling applications Vista Scheduling Graphic User Interface (VS GUI) and Integrated Scheduling Solution (ISS) are not supported for integrated sites with multiple divisions by EDIS. For example, if a site like 561 has another division 561A4 it is currently not possible to add the patient in the 561A4 site in EDIS. This happens because EDIS is coded to 5 SEQ #2 DATE APPLIED: 2013-05-16 17:43:52 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses an issue with multiple patient record flags causing an error at WRITE+4^XOBVSKT. 6 SEQ #3 DATE APPLIED: 2013-08-21 09:30:37 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch resolves multiple reported errors and issues within EDIS. 2 SEQ #4 DATE APPLIED: 2014-11-13 15:12:21 APPLIED BY: USER,SEVENTEEN DESCRIPTION: EDIS Patch Description (EDP2.02) EDPFAA EDPRPT1 EDPRPT2 EDPRPT7 EDPRPT7C EDPRPT10 EDPRPTBV EDPQLE EDPLPCE EDPQPCE EDPFLEX EDPLEX EDPX EDPLOG EDPCONV Pre/Post Installation Overview ------------------------------ LEX2.080 must be installed prior to this patch Routines ICD18.057 must be installed prior to this patch EDP2.06 must be installed prior to this patch PX1.0199 must be installed with this patch (prior to or after). Installation Instructions ------------------------- 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. -------- Pre-Installation Instructions ----------------------------- 1. Choose the PackMan message containing this patch. 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 The second line of each of these routines now looks like: following option. When prompted for the INSTALL, enter the patch # (EDP2.02): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not back up 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 this patch is installed. It compares all components of this patch ;;2.0;EMERGENCY DEPARTMENT;6,2;Dec 3, 2012;Build 1 (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. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. Enter EDP2.02. 5. When prompted Want KIDS to Rebuild Menu Trees Upon Completion of Or Install? NO//, respond NO. 6. When prompted Want KIDS to INHIBIT LOGONs during the install? NO//, respond NO. 7. When prompted Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//, respond NO. 8. If prompted Delay Install (Minutes): (0 - 60): 0//, respond 0. The second line of each of these routines now looks like: Post-Installation Instructions ------------------------------ EDPCONV may need to be run if this is an upgrade from prior to EDIS 1.0. ;;2.0;EMERGENCY DEPARTMENT;2;Dec 3, 2012;Build 1 9 SEQ #5 DATE APPLIED: 2018-06-01 15:53:44 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch corrects 1 issue within the EMERGENCY DEPARTMENT package: * ED LOG fields have ICD 9 references that need to be removed 7 SEQ #6 DATE APPLIED: 2018-09-04 15:35:25 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch corrects 2 issues within the EMERGENCY DEPARTMENT package: 1. I10849240FY16 - Users who have never been assigned an EDIS staff role see Assess and Visit buttons in triplicate. 2. I10842158FY16 - The Shift Report is generating incorrect data. 12 SEQ #7 DATE APPLIED: 2018-11-02 15:13:39 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch corrects 2 issues within the EMERGENCY DEPARTMENT package: 1. An error in a site's error-trap occurs, when an EDIS user attempts to edit and save a patient's record, and that record ultimately contains "null" in the CPT procedure narrative field. 2. Duplicate primary providers are appearing on encounters. 13 SEQ #8 DATE APPLIED: 2020-12-31 13:43:56 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: The following menu options will have the VIAB WEB SERVICES OPTION added EDPF TRACKING VIEW STAFF Assign Staff EDPF TRACKING VIEW TRIAGE Triage Patient EDPF TRACKING VIEW UPDATE Update Tracking Board The remote procedure XUS DIVISION SET will be added to the following option. EDPF TRACKING SYSTEM to ensure 2FA functionality. EDPF TRACKING VIEW BOARD Display Board EDPF TRACKING VIEW CONFIGURE Configure Tracking Board EDPF TRACKING VIEW DISPOSITION Disposition Patient EDPF TRACKING VIEW EDIT CLOSED Edit Closed Patient EDPF TRACKING VIEW REPORTS Tracking Reports EDPF TRACKING VIEW SIGNIN Sign In Patient 15b DATE APPLIED: 2021-06-29 00:00:00 DESCRIPTION: Backup of EDP2.015 on Jun 29, 2021 Warning: Installing this backup patch message will install older versions of routines and Build Components (options, protocols, templates, etc.). Please verify with the Development Team that it is safe to install. DATE INSTALLED AT THIS SITE: 2013-01-22 00:00:00 INSTALLED BY: USER,SEVENTEEN DESCRIPTION OF ENHANCEMENTS: EDIS Version 2.0, full build.
DESCRIPTION	This is the Emergency Department Information System (EDIS).

EMERGENCY DEPARTMENT (212) PACKAGE (9.4)