|DESCRIPTION OF ENHANCEMENTS
additional logic which determines if the PCE package is active. If the PCE
package is not active, no CPT codes will be passed regardless of the entry
in the PCE/VSIT ON field.
11.This patch provides utilities for linking ORDERABLE tests in
LABORATORY TEST (#60) file to WKLD CODE (#64) file. This linkage differs
from LMIP file setup. CPT Procedure coding is a rather non specific
identification of ORDERED tests. CPT codes identifies procedures ordered
by the provider. LMIP coding identifies procedures and method of analysis
used to collect management data. These coding system are used for two
different purposes and should not be confused.
The National Laboratory File [LR7O 60-64] menu under the LIM workload menu
There are two routines which provide this functionality, LR7OU4 and
Example of the Semi-automated option:
Select OPTION NAME: LRMENU Laboratory DHCP Menu
Select Laboratory DHCP Menu Option: Supervisor menu
[LR LIM/WKLD] has options to link file Laboratory Test (#60) to WKLD CODE
Select Supervisor menu Option: Lab liaison menu
Select Lab liaison menu Option: National Laboratory File
Select National Laboratory File Option: ?
1 Semi-automatic Linking of file 60 to 64
2 Manual Linking of file 60 to 64
(#64) file. The options you will use are:
Enter ?? for more options, ??? for brief descriptions, ?OPTION for help
Select National Laboratory File Option: 1 Semi-automatic Linking of file
60 to 64
This option will look for potential matches between file 64 (NLT) and
You will be allowed to create a permanent link between matching entries
Semi-automatic Linking of file 60 to 64 [LR7O 60-64 AUTO]
in these files. Tests with the type of NEITHER will be omitted during link
ONLY GENERIC NLT CODES CAN BE LINKED TO LAB TEST
Those LAB TEST already linked to the NLT file will also be omitted.
Manual Linking of file 60 to 64 [LR7O 60-64 MANUAL]
Ready to proceed? YES
Would you like a list of WKLD CODES from LABORATORY TEST file? No//
Do you want to automatically link entries when there is an exact
on the NAME in both files
? No// Y
These options should be run in this order listed to reduce linking time.
Did not find a exact name match for Lab Test 1,25-DIHYDROXYVIT D3
Want to use a Verify WKLD code instead?
Vitamin D 1 25 Dihydroxy 83998.0000
Select Verify WKLD if appropriate: VIT
60 = 1,25-DIHYDROXYVIT D3
It may be beneficial to obtain a report of Laboratory Tests with Accession
64 = Vitamin D 1 25 Dihydroxy 83998.0000
Did not find a exact name match for Lab Test ABO/RH TYPING
Want to use a Verify WKLD code instead?
ABO Cell Serum and Rh(D) 86082.0000
Select Verify WKLD if appropriate AB
and Verify WKLD CODES listed. Each of the above options has the capability
60 = ABO/RH TYPING
64 = ABO Cell Serum and Rh(D) 86082.0000
60 = ACETALDEHYDE
64 = Acetaldehyde 81502.0000
of producing this report.
60 = ACETAMINOPHEN
64 = Acetaminophen 81068.0000
60 = ACETONE
64 = Acetone 81504.0000
60 = ACETYLCHOLINE RECEPTOR
64 = Acetylcholine receptor 89080.0000
60 = ACTH
64 = ACTH 82020.0000
Coordinate the task of linking tests with the Laboratory LIM so it is
Did not find a exact name match for Lab Test AFB CULTURE & SMEAR
Want to use a Accession WKLD code instead?
Accession Specimen Mycol Cult 87800.0000
Select Accession WKLD if appropriate ^
Example of the PCE ^TMP("LRPXAPI") which is built by the LRCAPPH1 routine.
completed before the scheduled start of collection of CPT codes for
^TMP("LRPXAPI",545275466,"ENCOUNTER",1,"ENC D/T") = 2960709.140053
^TMP("LRPXAPI",545275466,"ENCOUNTER",1,"ENCOUNTER TYPE") = A
^TMP("LRPXAPI",545275466,"ENCOUNTER",1,"HOS LOC") = 41
^TMP("LRPXAPI",545275466,"ENCOUNTER",1,"INSTITUTION") = 5000
^TMP("LRPXAPI",545275466,"ENCOUNTER",1,"PATIENT") = 230
^TMP("LRPXAPI",545275466,"ENCOUNTER",1,"SERVICE CATEGORY") = X
^TMP("LRPXAPI",545275466,"PROCEDURE",1,"ENC PROVIDER") = 31
^TMP("LRPXAPI",545275466,"PROCEDURE",1,"PROCEDURE") = 12345
^TMP("LRPXAPI",545275466,"PROCEDURE",1,"QTY") = 1
laboratory activity (October 1, 1996). Only those tests that can be
Routine Name Before Patch After Patch Patch List
LR7OU4 NA 12072536 127
LR7OU5 NA 13069620 127
LRCAPDSS NA 5467821 127
LRCAPFDS 6562403 8630651 105,119,127
ordered by clinicians on patients need to be linked.
LRCAPPH 9417286 10523848 1,19,127
LRCAPPH1 NA 3477475 127
LRCAPV1A 2080378 2090945 105,127
This is the PCE/API patch which will be replacing the current method of
recording clinic stop codes with CPT codes. This patch creates several new
fields and one new file LAB NLT/CPT CODES (#64.81).
The primary purpose of this patch (LR*5.2*127) is to convert from
1. A new field in LABORATORY TEST file(#60) named NATIONAL VA LAB
CODE (#64). This new field links orderable tests in file #60 with generic
WKLD CODES (a.k.a. NLT) (#64). Generic codes are those NLT codes ending in
four (4) zeros. Utilities (options) are provided for linking LABORATORY
TEST (#60) file to WKLD CODE (#64) file. The new PCE/API uses this linkage
to determine what CPT codes should be passed to the PCE/API. Orderable
tests in LABORATORY TEST file should have a linkage to WKLD CODE.
2. Modified field PCE/VSIT ON (#615) in file LABORATORY SITE
(#69.9) will control which reporting method should used. Field
functionality change: The TRANSMIT CLINIC STOP CODES (#614) field in the
reporting Laboratory clinic stop codes, to reporting CPT codes for ordered
LABORATORY SITE (#69.9) file is no longer used to control reporting of
clinic stop codes. The PCE package has replaced the clinic stop codes with
CPT codes for each test collected. You should now use PCE/VSIT ON (#615)
in LABORATORY SITE (#69.9) file to control both clinic stop code and CPT
code transmission. Patch LR*5.2*127 automatically sets the PCE/VSIT ON
field to report both clinic stop and CPT codes. It is expected that
beginning with Oct. 1, 1996 VA DHCP will begin reporting workload using
CPT codes. Logic has been built into the software to determine when to
start reporting CPT codes to the PCE package. The TRANSMIT CLINIC STOP
CODES (#614) field will be retired in a future version.
tests done on patients. The Laboratory Package will capture and send CPT
3. A new field PCE COUNTED (#11) has been added to file LAB ORDER
ENTRY (#69). This field prevents an order from being counted more than
4. The field CPT CODE (#18) has been modified in WKLD CODE
file(#64). This field's name has been changed to CODE and is a multiple.
The CODE entries can be of different types. Each code has optional fields
of RELEASE DATE (#2) and INACTIVE DATE (#3). These fields can be used to
screen codes based on dates entered. There is another field REPLACEMENT
CODE (#4) which is used for local record keeping. The software logic does
not use the REPLACEMENT CODE field.
codes via PCE/API. There is an install deadline involved (10/1/96) in
5. This patch also adds CPT codes to WKLD CODE FILE (#64) during
the post install phase.
6. Additional Fields have added to WKLD LOG FILE (#64.03). These
fields are not directly related to PCE/API. These fields are used to
support Laboratory Extract for DSS. Additional fields have been added to
WKLD LOG FILE (#64.03) to support laboratory extract of LMIP codes for
DSS. These files are not used by the Laboratory PCE/API. WKLD LOG FILE is
being upgraded to support DSS API and is used exclusively by DSS and there
is no direct user interaction. WKLD LOG FILE is a temporary storage file
for LMIP codes for DSS extracts. A new routine ,'LRCAPDSS' provides DSS
order to support PCE functionality requirements.
with a API to extract laboratory workload data in batch mode. If the site
is currently using WKLD LOG FILE for local purposes, this practice should
be terminated. WKLD LOG FILE IS USED EXCLUSIVELY TO SUPPORT DSS DATA
7. This patch also contains a new file LAB NLT/CPT CODES (#64.81).
This file is only used to transport data to upgrade existing WKLD CODES
(NLT) test codes already released to the field. This file is used by the
Post Install routine to add CPT codes to WKLD CODE (#64) file. Entries are
automatically purged from 64.81 file if the linking process was
successful. If there is an error during the linking process, a message is
stored in #64.81 and the entry is not purge. A FileMan print of #64.81
file will display those codes which were not linked. If there are no
errors, file #64.81 will be empty after the post install routine runs to
Any new WKLD CODES released will already have assigned CPT Procedure
and are distributed via national releases of NLT package. CPT coding of
WKLD CODES is done by Health Administration Head Quarters and should not
be changed locally.
8 Option Edit or Print WKLD CODES [LR WKLD CODE EDIT PRINT] has been
enhanced to allow printing of WKLD CODES which have CPT code linkages.
Creating links between file LABORATORY TEST (#60) and WKLD CODE (#64)
Modifications to routine LRCAPFDS provided this new functionality.
9. Routine LRCAPV1A has been modified to allow the user to enter a
synonym for newly created WKLD CODES using the option; 'Add a new WKLD
code to file [LRCAP CODE ADD].
10. This patch contains a new routine LRCAPPH1 and the modified
routine LRCAPPH. These routines gather the needed data and creates the
PCE/API CPT linkage. 'LRCAPPH' has been change to look at the modified
field PCE/VSIT ON (#615) in file LABORATORY SITE file (#69.9) to determine
which reporting method should used. The user can inactivate reporting,
report only CPT codes or report both CPT and Clinic Stop Codes. There is