| DESCRIPTION OF ENHANCEMENTS |
Associated Patches:(v)LR*5.2*446 <<= must be installed BEFORE `LR*5.2*458'
===========
Hines ftp.fo-hines.domain.ext
Salt Lake City ftp.fo-slc.domain.ext
File Name Contents Retrieval Format
------------------ -------------------- ----------------
LAB_AUTORELEASE_1_0.KID Host File containing ASCII
KIDS software distribution
The VistA Documentation Library (VDL) web site will also contain
The build for this patch is distributed as part of a multi-package build
LR_52_458_LA_52_88 Release Notes Binary
for LR*5.2*458 and LA*5.2*88
Lab AutoRelease 1.0 User Guide Binary
Lab AutoRelease 1.0 Technical Manual Binary
Lab UI HL V1.6 Upgrade Installation Binary
and User Guide LA*5.2*66
that contains LR*5.2*458 and LA*5.2*88 and contains functionality to
Lab UI HL V1.6 Upgrade Interface Binary
Specifications Document
This website is usually updated within 1-3 days of the patch release date.
The VDL web address for Laboratory Universal Interface user documentation
is: http://www.domain.ext/vdl/application.asp?appid=120
Installation Instructions
=========================
enable Auto Verification and Auto Release of normal lab results.
This patch, LR*5.2*458, is part of a combined build for Autoverification
Enhancement patch. This patch may be loaded with users on the system.
You may want to install it during non-peak hours. Installation will take
less than 10 minutes.
Refer to the LR_52_458_LA_52_88 Release Notes referenced above for
complete instructions on install and post installation configuration.
1. DOWNLOAD HOST KIDS FILE
----------------------
Initially developed at the Kansas City VAMC, this new process involves
Download the KIDS file LAB_AUTORELEASE_1_0.KID from the
ANONYMOUS.SOFTWARE directory of Albany, Hines, or the Salt Lake
OIFO to the appropriate directory on your system.
2. LOAD DISTRIBUTION
-----------------
Use the 'LOAD A DISTRIBUTION' option on the KIDS
INSTALLATION menu, and enter: the directory onto which you
have downloaded the host file, followed by
LAB_AUTORELEASE_1_0.KID, the host file name.
automatic review and release of test results based on lab-established set
3. START UP KIDS
-------------
Start up the Kernel Installation and Distribution System Menu [XPD
MAIN]:
Edits and Distribution ...
Utilities ...
Installation ...
Select Kernel Installation & Distribution System Option:
of boundaries, also referred as rules, rule sets, and algorithms. Lab
INStallation
---
Load a Distribution
Print Transport Global
Compare Transport Global to Current System
Verify Checksums in Transport Global
Install Package(s)
Restart Install of Package(s)
Unload a Distribution
Backup a Transport Global
results that are in a "normal" range, as pre-determined by the
4. Select Installation Option:
--------------------------
a. Use the Load a Distribution and select Host File:
LAB_AUTORELEASE_1_0.KID
NOTE: The following are OPTIONAL - (When prompted for the INSTALL
NAME, enter LA*5.2*88):
b. Backup a Transport Global - This option will create a backup
laboratory, will transmit directly from the middleware to VistA lab files
message of any routines exported with this patch. It will not
backup any other changes such as DD's or templates.
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 m (routines,
DD's, templates, etc.).
d. Verify Checksums in Transport Global - This option will allow you
to ensure the integrity of the routines that are in the transport
global.
e. Print Transport Global
and on to Computerized Patient Record System (CPRS) without the
5. Select Installation Option: Install Package(s) **This is the step
to start the installation of this KIDS patch:
--------------------------
**This is the step to start the installation of this KIDS patch:
a. Choose the Install Package(s) option to start the patch install.
b. When prompted 'Want KIDS to INHIBIT LOGONs during the install?
YES//' answer NO
c. When prompted 'Want to DISABLE Scheduled Options, Menu Options,
and Protocols? YES//' answer NO.
intermediate step of requiring a lab technologist to manually review and
Routine Information:
====================
The second line of each of these routines now looks like:
;;5.2;AUTOMATED LAB INSTRUMENTS;**[Patch List]**;Sep 27, 1994;Build 10
The checksums below are new checksums, and can be checked with
sign off on these normal lab results. This process will eliminate the
CHECK1^XTSUMBLD.
Routine Name: LR458
Before: n/a After: B3643881 **458** DELETED AFTER INSTALL
Routine Name: LRDIQ
Before: B5636912 After: B6385366 **86,153,263,290,458**
Routine Name: LRGP2
Before: B20236690 After: B21346835 **153,221,263,290,350,446,458**
Routine Name: LRLISTPS
Before: n/a After: B17691343 **458**
need for a qualified technologist to manually approve all "normal"
Routine Name: LRNIGHT
Before: B6404812 After: B7575682 **291,350,458**
Routine Name: LRVER5
Before: B147369024 After: B148324560 **42,153,283,286,350,458**
Routine Name: LRVR3
Before: B71492279 After: B108418700 **42,121,153,286,291,350,458**
Routine Name: LRVRAR
Before: n/a After: B69670046 **458**
Routine Name: LRVRARU
Before: n/a After: B32878283 **458**
results before those results are filed in VistA Lab files and available
Routine list of preceding patches: 446
for clinicians to view in CPRS.
Each VAMC site will determine which instruments will use this
functionality as it can set up on an instrument by instrument basis.
Essentially VistA Lab instruments are set up as either being available
for auto verification or not available for auto verification. If an
Subject: LABORATORY AUTO VERICATION & AUTO RELEASE
instrument is set up for auto verification, then a lab result passing the
rule set will be filed by the middleware in VistA lab files and available
in CPRS and a lab result that cannot pass the rule set will be held in
the middleware system for review by a lab technologist.
In support of this auto verification and auto release functionality, this
patch will add two new application proxy users. LRLAB AUTO RELEASE is
used to indicate that the results in VistA Lab were released by an
automated Lab process without human interventions. LRLAB, AUTO VERIFY is
used to indicate that the results were "approved" by an automated process
using a rules based system.
--------------------------------------------------------------------------
Patch Components
================
Files & Fields Associated:
File Name (Number) Field Name (Number) New/Modified/Deleted
Category: ROUTINE
------------------ ------------------- --------------------
LOAD/WORK LIST (#68.2) PROFILE (#68.23), AUTO RELEASE (#2.4) New
Parameter Definitions Associated:
Parameter Definition Name New/Modified/Deleted
------------------------- --------------------
LR WORKLIST DATA CLEANUP New
Parameter Template New/Modified/Deleted
ENHANCEMENT
------------------------- --------------------
LR PKG Modified
Input Templates Associated:
Input Template New/Modified/Deleted
---------------------------------- --------------------
LRLLDFT New
Options Associated:
DATA DICTIONARY
Option Name Type New/Modified/Deleted
----------- ---- --------------------
Summary List (Patient) [LRLISTPS] Routine New
New Service Requests (NSRs):
==============================
NSR# 20131009: Employ laboratory autoverification in the Veterans Health
Administration.
Test Sites:
===========
Kansas City VAMC (Alpha)
Tucson (Beta)
Tampa (Beta)
Iowa City (Beta)
Fresno (Beta)
Description:
Software and Documentation Retrieval Information
==============================
VistA Laboratory patch LR*5.2*458 software is distributed by Host File,
along with LA*5.2*88. Software is available on the ANONYMOUS.SOFTWARE
directory at one of the following Office of Information (OI) Field
Offices. The preferred method is to retrieve the file using Secure File
Transfer Protocol (SFTP) from: download.vista.domain.ext, which transmits
files from the first available FTP server. Sites may also select to retrieve
documentation directly from a specific server as follows:
Albany ftp.fo-albany.domain.ext
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