| DESCRIPTION OF ENHANCEMENTS |
The build for this patch is distributed as part of a multi-package build
result processing and verify/release functions (see LR*5.2*474 patch
Mail Group Name New/Modified/Deleted
--------------- --------------------
N/A
Options Associated:
Option Name Type New/Modified/Deleted
----------- ---- --------------------
N/A
descriptions for additional details).
Protocols Associated:
Protocol Name New/Modified/Deleted
------------- --------------------
N/A
Security Keys Associated:
Security Key Name
-----------------
N/A
Templates Associated:
Template Name Type File Name (Number) New/Modified/Deleted
------------- ---- ------------------ --------------------
This patch is distributed in support of the VistA Laboratory Enhancement
N/A
Below shows the Data Dictionary as modified with the installation of this
Patch for the Auto Instrument File.
STANDARD DATA DICTIONARY #62.41 -- LABORATORY TESTS SUB-FILE
JUN 8,2016@12:37:17 PAGE 1
STORED IN ^LAB(62.4,D0,3, SITE: TEST.CHEYENNE.DOMAIN.EXT UCI:
(VLE) Microbiology/Data Innovations interface utilizing the Laboratory
VISTA,ROU
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
--------------------------------------------------------------------------
62.41,.01 TEST 0;1 POINTER TO LABORATORY TEST FILE (
#60) (Required) (Multiply asked)
INPUT TRANSFORM: S DIC("S")="I $D(^LAB(60,Y,.2))!(""MI""[$P
Universal Interface.
(^LAB(60,Y,0),U,4))" D ^DIC K DIC S DIC=DI
E,X=+Y K:Y<0 X
LAST EDITED: JUN 07, 2016
HELP-PROMPT: Enter the name of a test for which the
instrument will send data.
DESCRIPTION: This contains the test names for this
instrument.
SCREEN: S DIC("S")="I $D(^LAB(60,Y,.2))!(""MI""[$P
(^LAB(60,Y,0),U,4))"
EXPLANATION: Allow CH atomic test or Microbiology subsc
ript test
FIELD INDEX: AD (#867) MUMPS IR ACTION
Short Descr: Set "ROUTINE STORAGE" field with CH
subscripted test data name number
Description: This trigger cross reference will only
populate the "ROUTINE STORAGE" field with
63.04 data location file number for CH
(Chemistry) atomic subscripted test having
data name field populated. See example
The patch contains a modification to the AUTO INSTRUMENT (#62.4) file
below. MI (Microbiology) subscripted test
have no data name, therefore the "AUTO
INSTRUMENT" file # 62.4, "TEST" field #30,
(#62.41), subfile #62.41, "ROUTINE
STORAGE" file #11 will NOT be set.
EXAMPLE: CH subscripted test having DATA
NAME will populate the ROUTINE STORAGE
field with: TV(#,1) MI subscripted test
will NOT set the ROUTINE STORAGE field.
that will change the name of the "CHEM TESTS" (#30) field to "LABORATORY
Set Logic: S $P(^LAB(62.4,DA(1),3,DA,1),U)="TV("_X2(3
)_",1)"
Set Cond: S X=(X2(2)="CH")&(X2(3)'="")
Kill Logic: S $P(^LAB(62.4,DA(1),3,DA,1),U)=""
X(1): TEST (62.41,.01) (Subscr 1) (Len 10)
(forwards)
Transform (Display):
X(2): Computed Code: S X=$P($G(^LAB(60,X(1),0)),
U,4)
(Subscr 2)
TESTS" and modify the input screen to allow "MI" subscripted tests to be
X(3): Computed Code: S X=$P($G(^LAB(60,X(1),.2))
,U)
(Subscr 3)
FILES POINTED TO FIELDS
LABORATORY TEST (#60) TEST (#.01)
that contains LR*5.2*474 and LA*5.2*90 and contains functionality that
added to an Auto Instrument entry. The trigger on the TEST (#.01) field
New Service Requests (NSRs):
----------------------------
NSR #20131213
Carbapenem Resistant Enterobacteriaceae (CRE) Naming Conventions
Electronic Interfacing of Automated Identification and Susceptibility
Testing Instruments
NSR #20140801
Tracking Multi-Drug Resistant Organisms
was also modified so that only tests with a value in the LOCATION (DATA
Patient Safety Issues (PSIs):
-----------------------------
N/A
Remedy Ticket(s) & Overview:
----------------------------
N/A
NAME) (#5) will set the ROUTINE STORAGE (#11) field.
Problem:
-------
N/A
Resolution:
----------
N/A
Test Sites:
----------
James A. Haley Veterans Hospital
Iowa City VA Healthcare System
Lexington VA Medical Center
Software and Documentation Retrieval Information
================================================
VistA Laboratory patch LR*5.2*474 software is distributed by Host File,
along with LA*5.2*90. Software is available on the SOFTWARE.DIR directory
at one of the following Office of Information (OI) Field Offices. The
Additional Information:
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 SFTP server.
Albany ftp.fo-albany.domain.ext
Hines ftp.fo-hines.domain.ext
Salt Lake City ftp.fo-slc.domain.ext
File Name Contents Retrieval Format
------------------ -------------------- ----------------
LAB_MICRO_INTERFACE_ Host File containing ASCII
-----------------------
RELEASE_1_0.KID KIDS software distribution
LAB_MICRO_INTERFACE_RELEASE_1_0_DOCS.ZIP, which contains both .pdf and
.docx formatted files of the following documents. Retrieval format is
BINARY:
VLE Micro_Lab_Micro_Interface_Release_1.0_Technical_Manual
VLE Micro_Lab_Micro_Interface_Release_1.0_User_Guide
VLE Micro_Deployment_Installation_Roll Back_Back Out_Guide
This patch contains an enhancement to the antibiotic susceptibility
The VistA Documentation Library (VDL) web site will also contain the
above referenced documents. 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
Note: These previously released documents contain configuration and
mapping information that is useful to the implementation of the Universal
Interface for Microbiology tests.
result processing to accommodate the need for laboratories to
------------------------------------------------------------------------
LEDI IV Installation Guide LAB_LEDI_IV_IG.PDF binary
LEDI IV User Manual LAB_LEDI_IV_UM.PDF binary
LEDI IV Update AP/MICRO LEDI_IV__AP__MICRO_ binary
Configuration Guide CONFIGURATION_GUIDE.PDF binary
Patch Installation:
Pre/Post Installation Overview:
report/document variations in susceptibility testing related to
-------------------------------
This patch install must be coordinated with the Laboratory ADPAC to
ensure that all Lab Interface related activities are halted.
His
Pre-Installation Instructions:
------------------------------
Ensure that all Lab Interface activity has been halted !!
This would include:
differences between in vitro susceptibility testing and in vivo action.
-Editing of an Auto Instrument file entry,
-Turn off the Auto Downloading process to prevent the building and
downloading of a Load/Worklist to the Instrument Manager.
-Shut down all LA7UI logical links and any other HL7 process (HLZTCP or
HLLP processes) to prevent the processing of result messages from the IM.
This patch may be installed with users on the system as long as the above
process controls have been followed.
will allow Microbiology instrumentation to utilize the Lab Universal
An example is extended-spectrum_Beta-lactamases (ESBL).
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.
This installation will modify the CHEM TESTS field (#30) in the AUTO
INSTRUMENT file (#62.4) by changing the following:
The name of the field will be changed to LABORATORY TESTS
The screen on the field will now allow "MI" subscripted tests
The ROUTINE STORAGE (#11) value set by the trigger on the TESTS
(#.01) field will not happen for "MI" subscripted tests
The original ROUTINE STORAGE trigger code has been replace with a new
style AD cross-reference.
1. DOWNLOAD HOST KIDS FILE
----------------------
Susceptibility results received as coded entries can be from the SNOMED
Download the KIDS file LAB_MICRO_INTERFACE_RELEASE_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_MICRO_INTERFACE_RELEASE_1_0.KID, the host file name.
CT code system or a site-designated local code (L).
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:
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
The interface supports the following SNOMED CT codes to report
Backup a Transport Global
4. Select Installation Option:
---------------------------
a. Use the Load a Distribution and select Host File:
LAB_MICRO_INTERFACE_RELEASE_1_0.KID
b. 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 DDs or templates.
susceptibility to antimicrobial agents.
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, DDs, 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.
5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
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
131196009 susceptible
8. If prompted 'Delay Install (Minutes): (0 - 60): 0//'
Respond: 0.
Post-Installation Instructions:
-------------------------------
Below is an example of how an micro instrument might be defined in the
Auto Instrument file. Refer to the Install. We recommend that the Install
and User manuals be followed for more completely documented
260357007 moderately susceptible
instructions.
AUTO INSTRUMENT (#62.4:
NUMBER: 3 NAME: BAC-TEC
LOAD/WORK LIST: BAC-TEC
ENTRY for LAGEN ROUTINE: Accession cross-reference
CROSS LINKED BY: IDE MESSAGE CONFIGURATION: LA7UI2
METHOD: BACTEC DEFAULT ACCESSION AREA: BLOOD
CULTURE
Interface.
264841006 intermediately susceptible
OVERLAY DATA: YES STORE REMARKS: YES
NUMBER: 1 TEST: BLOOD CULTURE
UI TEST CODE: BLD CX ACCESSION AREA: MICROBIOLOGY
FILE BUILD ENTRY: EN FILE BUILD ROUTINE: LA7UID
AUTO DOWNLOAD: NO WKLD METHOD: BACT/ALERT
WKLD CODE METHOD NAME: BACT/ALERT WKLD CODE SUFFIX: .7086
30714006 resistant
10828004 positive
260385009 negative
Local codes in the role of answers can be entered on an interface
specific basis using the option Add/Edit Local Identifier [LA7V 62.47
LOCAL IDENTIFIER]
An example of reporting ESBL status is the following HL7 OBX segment
fragment.
OBX|1|CWE|6984-9^ESBL:SUSC:PT:ISLT:ORDQN:AGAR
DIFFUSION^LN^^^^2.19^^ESBL||ESBL^ESBL^L^^^^20160721^^+|||+
Routines related to this enhancement are:
LA7VIN2A
LA7VIN7
LA7VIN7A
LA7VIN7B
By utilizing the Universal interface and middleware sites will be able to
LA7VHLU6
Blood Bank Review:
==================
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*90 does not
contain any changes to the VISTA BLOOD BANK Software as defined by ProPath
standard titled: BBM Team Review of VistA Patches.
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LA*5.2*90 does not
alter or modify any software design safeguards or safety critical elements
interface microbiology devices to a UI standard interface. New
functions.
RISK ANALYSIS: Changes made by patch LA*5.2*90 have no effect on Blood
Bank software functionality, therefore RISK is none.
VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes
made, no specific validation requirements exist as a result of
installation of this patch.
functionality will be applied that will allow for a "MI" subscripted test
Patch Components:
-----------------
None
Files & Fields Associated:
File Name (Number) Field Name (Number) New/Modified/Deleted
------------------ ------------------- --------------------
AUTO INSTRUMENT (#62.4) LABORATORY TESTS (#30 Modified
to be added to the Auto Instrument file. There will also be enhanced
Forms Associated:
Form Name File # New/Modified/Deleted
--------- ------ --------------------
N/A
Mail Groups Associated:
|
