| DESCRIPTION OF ENHANCEMENTS |
Subject:
============
message of any routines exported with the patch. It will NOT
backup any other changes such as DDs or templates.
Use the Install Package(s) options and select the package:
AFJX*5.1*8.
==========
8. If the routines were unmapped as part of step 4, the mapped set
should be rebuilt once the installation has run to completion.
Results of a lab test performed at the site are obtained via
.
Network Health Exchange. NHE has been providing only 4 digits
instead of 6 digits or more. This patch will rectify this
truncation of data.
Facilities should undertake a review of whether clinicians
have looked up viral load results using NHE, and whether
clinical judgments have been based on these values rather than
looking up the results in VistA directly. If this has happened
Resolving truncation of data
then it must be determined whether a patient's treatment
protocol is accurate and that the laboratory values were not
truncated resulting in inappropriate treatment. Corrective
actions should be taken immediately.
NOIS: CIN-0698-41578
Delay in the treatment of a patient being followed in
the Extended Infectious Disease Clinic at a tertiary VISN
facility. Patient was prescribed a single antiretroviral
medication based on a viral load value of 3,090 obtained
through the Network Health Exchange (NHE). Three
antiretroviral agents should have been prescribed based on
the actual value of 30,090. The NHE viral load value field
only allowed for a 4 digit value to be transmitted, when in
fact, the value is often 6 digits long or more.
Test Sites:
===========
Dayton, Cincinnati, Columbus, Wilkesbarre, Birmingham, Dublin
Routine Summary:
================
The following is a list of the routines included in this patch. The
second line value of each of these routines will look like:
Category:
<tab>;;5.1;Network Health Exchange;**8**;Jan 23, 1996
Routine Name Before Patch After Patch Patch List
============ ============ =========== ==========
AFJXCAH 5679268 5679688 8
AFJXCAHS 6214244 6214664 8
- Routine
* From CHECK^XTSUMBLD
Installation Instructions:
==========================
1. Users are allowed to be on the system during the installation;
however, it is highly recommended to do the installation
when a minimal number of users are on the system.
2. It is not necessary to place TaskMan in a WAIT/STOP state.
3. When prompted 'Want to DISABLE Scheduled Options, Menu Options,
and Protocols? Yes// <return>, respond YES. When prompted to select
===
the option(s) you would like to place out of order, enter the
following:
AFJXNHEX REQUEST
================
4. Review your Mapped Routine set. If any of the routines listed in
the ROUTINE SUMMARY section are mapped on your system, they
should be unmapped at this time.
5. Use the 'INSTALL/CHECK MESSAGE' option on the PackMan menu. This
option will load the KIDS package onto your system.
6. The patch has now been loaded into a Transport global on your
system. You now need to use KIDS to install the Transport global.
7. From the Kernel Installation and Distribution System Menu, select
the Installation menu. On the KIDS Installation menu, you may elect
to use the following options:
Description:
a. Verify checksums in the Transport Global - this option will
allow you to ensure the integrity of the routines that are in
the Transport Global.
b. Print Transport Global and Compare Transport Global to the
Current System - this option will allow you to view all
changes that will be made when the patch is installed. It
compares all components of the patch (routines, DDs,
templates, etc.).
c. Backup a Transport Global - this option will create a backup
|
