| DESCRIPTION OF ENHANCEMENTS |
============
14. The Review by order number [LRCENLKUP] option date displays is
converted to use Kernel date conversion utilities.
15. Edit or Print WKLD CODES [LR WKLD CODE EDIT PRINT] option is enhanced
to print all WKLD CODES, even if they have not been activated. This will
correct the problem of WKLD CODES that have a suffix of .0000 not
printing.
16. Workload Report [LRCAPR1] option has been enhanced to allow the user
to select combinations of LEDI collecting institutions or Hospital
locations.
17. When verifying Microbiology specimens the user is prompted for
additional workload. A screen has been added to allow only a number
between 1 to 25. This is to prevent inadvertent entering of WKLD CODE
number instead of the multiply by number.
Laboratory Menu and Option Changes:
============================
The Laboratory CPT Code Modifier enhancement patch LR*5.2*243 provides the
LIM workload menu [LR LIM/WKLD MENU]
The LIM workload menu [LR LIM/WKLD MENU] is modified to add the new
InActive WKLD CODE File CPT Codes Print [LRCAPCPTI] option.
New Option
InActive WKLD CODE File CPT Codes Print [LRCAPCPTI] option
The new Inactive WKLD CODE File CPT Codes Print [LRCAPCPTI] option scans
Laboratory Version 5.2 software application the ability to transmit
the WKLD CODE file (#64) for code(s) that are no longer allowed or code(s)
that are inactive in the CPT file (#81). The "WKLD CODE - CODE CHECK
REPORT" is then generated displaying all CPT code(s) that are no longer
allowed, code(s) that are inactive and why they are inappropriate,
laboratory test names linked to WKLD code(s) (i.e., laboratory test names
listed on the report will not receive PCE Workload credit), and code(s)
requiring a different entry in the CPT file (#81) in order to capture PCE
Workload data.
The new Inactive WKLD CODE File CPT Codes Print [LRCAPCPTI] option is also
Current Procedural Terminology (CPT) codes and Modifiers to the Patient
useful when a new CPT Code file is released (i.e., new CPT code files are
usually distributed annually). The new CPT Code files may contain codes
that are no longer allowed or codes that are inactive in the VISTA CPT
file (#81). When CPT codes defined in the WKLD CODE file (#64) are deemed
inactive in the CPT file (#81), then the software enters a date in the
WKLD CODE file (#64), Inactive Date field (#3) for those inactive codes.
The Laboratory PCE interface checks each CPT code in the WKLD CODE file
(#64) before sending CPT workload to the PCE API. Whenever CPT code(s) are
no longer allowed or has been inactivated a VA Mailman message containing
the "WKLD CODE - CODE CHECK REPORT" is sent once a day to the LMI mail
Care Encounter (PCE) workload capture Application Interface (API). The
group.
Example: WKLD CODE - CODE CHECK REPORT
Subj: WKLD CODE - CODE CHECK REPORT 12/14/99@14:44:25 [#83460]
From: POSTMASTER In 'IN' basket. Page 1
-----------------------------------------------------------------
Lab Order Number 100 has no Institution for the ordering location
===================
86081.0000 [1] ABO Cell and Rh(D) Typing
transmission of workload in the form of CPT codes is done in the
86083 BLOOD TYPING;ANTIBODY SCREEN
Is an inactive CPT code.
Associated Tests
ABO/RH TYPING {1101}
Inactivation date of Dec 13, 1999 has been entered
****************
Listing of all offending codes
ICPT 82534
****** END OF EXAMPLE ********
background (no user interaction is required). Because of the background
=====================
Data Dictionary Change Summary:
The following file and field changes occur with the installation of VISTA
Laboratory CPT Code and Modifiers Patch LR*5.2*243.
WKLD CODE file (#64)
The WKLD CODE file (#64) was modified to convert existing file data to
method of workload reporting several new fields were created and the
a new data structure, new fields were created, and existing fields were
modified to support the Laboratory workload reporting enhancements of CPT
codes and modifiers.
1) CODE field (#18) multiple has been changed from a free text field to a
variable pointer.
2) CODE field (#.01) has been changed from a free text field to a variable
pointer. This field is screened to allow only active code entries to the
MORPHOLOGY FIELD file (#61.1), ICD DIAGNOSIS file (#80), and CPT file
Laboratory software logic was modified.
(#81).
3) CODE subfile (#64.018) was modified to add the new CODE NOTES field
(#6). This new word processing field is used for tracking general notes
regarding a particular code.
4) WKLD Code Notes field (#24) is a new word processing field used for
storing general notes regarding inactive or erroneous code(s) that is
automatically removed by the software.
5) LOINC Code field (#4) was changed to point to the LOINC CODE file
(#95.3).
6) The new Default LOINC Code field (#25) points to the LOINC CODE file
(#95.3). This field is used to identify the default LOINC code. This
field is usually used when the specimen is not clinically significant
(i.e. body fluids). 'L FOR LOINC' was removed from the set of codes in
field TYPE (#64.018,5).
LABORATORY SITE file (#69.9)
CPT modifier provides the means by which the reporting physician can
1) LABORATORY SITE file (#69.9), DIVISION PARAMETERS field (#618) multiple
is a new field exported with this patch. These new fields are used to
customize the automated Venipuncture workload reporting functionality.
2) The new DIVISION PARAMETERS field (#.01) points to the INSTITUTION file
(#4). This field allows the LABORATORY SITE file (#69.9) to be
multi-divisional for Venipuncture workload reporting.
3) The new VENIPUNCTURE DEFAULT ACC AREA subfile (#618) points to the
indicate that a service or procedure that has been performed has been
ACCESSION file (#68). This new field is used by the Venipuncture workload
reporting background job to determine the accession area for the
INSTITUTION to be use for Venipuncture workload reporting.
Associated NOIS
===============
TAM-0899-31723 ALB-1299-50818
PRO-0999-11965 CLL-1099-43226
altered by some specific circumstances but not changed in its definition
LON-0999-62211 BHS-0999-11616
HIN-0499-42772 NCH-0100-41945
ALB-0199-52914
Test Sites:
===========
Long Beach, CA
Kansas City, MO
Milwaukee, WI
or code. The judicious application of modifiers obviates the necessity for
Muskogee, OK
Routine Summary:
================
<tab> ;;5.2;LAB SERVICE;**[patch list]**; Sep 27, 1994
Checksum Values
separate procedure listing that may describe the modifying circumstances.
Routine Before After Patch List
Name Patch Patch List
-------- -------- --------- --------
LR243 N/A 7341436 243
LRCAPPH 10281625 11522455 1,19,127,136,138,158,153,243
LRCAPPH1 4949612 7745000 127,136,138,158,243
LRCAPPH3 N/A 6642885 243
LRCAPPH4 N/A 3179202 243
LRCAPPNP N/A 1653480 243
LRCAPR1 8086519 9529509 243
LRCAPR2 8195892 8701428 88,105,243
LRCAPR4 6795674 7338553 243
LRCAPV3 8123485 8391773 105,243
LRCAPVM 5012091 5237437 49,163,243
LRCE 13210738 13336460 28,76,103,121,153,210,202,243
LRCENDEL 16365039 15254614 100,121,202,221,243
LRDIQ 9573488 10128715 86,153,243
LRGP2 3525048 6353513 153,221,243
LRMISTF1 14470635 14019130 121,128,202,243
LROE 14732765 14550901 100,121,201,221,243
LRORD3 7349040 7385601 153,243
LROS 16807258 16882422 121,153,202,210,221,243
LRSTUF2 8013388 8012263 121,153,243
LRTSTSET 12634119 12775322 65,100,121,153,201,202,243
LRTT5P1 12297887 12439150 153,221,243
LRVER1 6428527 6801758 42,153,201,215,239,240,243
LRVER3A 10780359 10780812 1,5,42,100,121,153,190,221,254,243
LRVR 12695281 13316120 42,153,243
LRVR4 8714660 8661306 14,42,121,153,221,243
LRVR5 11783101 11729747 1,42,153,243
NOTE: ONLY PATIENT ORDERS FROM HOSPITAL LOCATION WITH THE TYPE OF CLINIC,
LRVRA 6318899 6374326 153,221,243
LRXREF 9255866 9584168 70,153,243
Required Patch Installation List:
LR*5.2*105
LR*5.2*153
LR*5.2*158
LR*5.2*202
MODULE, OR OTHER WILL RECEIVE CPT WORKLOAD CREDIT. THE SOFTWARE USES
LR*5.2*221
LR*5.2*240
LR*5.2*254
PX*1.0*73
PX*1.0*74
ICPT*6.0*7
Installation Instructions
=========================
************************
Subject: CPT CODE MODIFIERS
LOCATION TYPE TO DETERMINE IF THE ORDER IS FOR AN OUT-PATIENT OR
LABORATORY CURRENT PROCEDURAL TERMINOLOGY (CPT) CODES AND MODIFIERS PATCH
LR*5.2*243 INSTALLATION AND IMPLEMENTATION GUIDE in PDF format is provided
with this patch. Please refer to this document for details and specific
instructions. The patch description does not include ALL implementation
considerations or complete file setup instructions.
************************
The VISTA Laboratory CPT Codes and Modifiers Patch LR*5.2*243 Installation
and Implementation Guide is available in PDF (i.e., LR_CPTIG.PDF) at the
following FTP addresses:
IN-PATIENT.
Office of Information Field Office FTP Address Directory
======================================================================
Albany 152.127.1.5 anonymous.software
Hines 152.131.2.110 anonymous.software
Salt Lake City 152.131.2.1 anonymous.software
Users may remain on the system, but installation should be done during off
peak hours and when the Laboratory computer users are idle. None of the
laboratory tasked jobs need to be stopped.
1. Use the 'INSTALL/CHECK MESSAGE' option on the PackMan
menu. This option will load the KIDS package onto your system.
2. Review your mapped set. If the routines are mapped,
they should be removed from the mapped set at this time.
3. The patch has now been loaded into a Transport global
Enhancements and Modifications:
on your system. You now need to use KIDS to install the
Transport global.
4. On the KIDS menu, under the 'Installation' menu, use the
following options:
Print Transport Global
Compare Transport Global to Current System
Verify Checksums in Transport Global
Backup a Transport Global
5. No options need to be placed out of service.
6. Installation time is less than 15 minutes during off peak
=========================
hours,and less than 30 minutes during
peak hours which is NOT RECOMMENDED.
7. Installation of this patch require minimal
disk space.
8. From the 'Installation Menu' of the KIDS menu, run the option
'Install Package(s)'. Select the package
'LR*5.2*243' and proceed with the install.
9. If any routines were unmapped as part of step 2, they
should be returned to the mapped set once the
installation has run to completion.
Example of install dialog:
Select INSTALL NAME: LR*5.2*243 Loaded from Distribution
2/29/00@15:51:34
=> LR*5.2*243
This Distribution was loaded on Feb 29, 2000@15:51:34 with header of
LR*5.2*243
Laboratory CPT Code Modifiers Patch LR*5.2*243 contains the following
It consisted of the following Install(s):
LR*5.2*243
Checking Install for Package LR*5.2*243
Will first run the Environment Check Routine, LR243
--- Environment Check is Ok ---
Install Questions for LR*5.2*243
enhancements and changes:
Incoming Files:
64 WKLD CODE
Note: You already have the 'WKLD CODE' File.
69.9 LABORATORY SITE
Note: You already have the 'LABORATORY SITE' File.
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// YES
Want KIDS to INHIBIT LOGONs during the install? YES// NO
Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO
Enter the Device you want to print the Install messages.
You can queue the install by enter a 'Q' at the device prompt.
Enter a '^' to abort the install.
NOTE: The asterisk ('*') indicates significant enhancements or file
DEVICE: HOME// TELNET
Install Started for LR*5.2*243 :
Feb 29, 2000@15:53:41
Build Distribution Date: Jan 27, 2000
Installing Routines:
Feb 29, 2000@15:53:41
Installing Data Dictionaries:
structure changes. Two asterisks ('**') indicate new fields that will be
Feb 29, 2000@15:53:43
Installing PACKAGE COMPONENTS:
Installing OPTION
Feb 29, 2000@15:53:43
Running Post-Install Routine:
CONV^LR243.......................................
used by subsequent releases.
Removing CPT Code 83019
From 84483.0000 Helicobacter Pylorii Breath
Removing CPT Code 80054
From 81853.0000 Comprehensive Met Panel
Removing CPT Code 87O87
From 87553.0000 Urine Culture
Creating Mail Message containing CPT Changes
Sending message to LMI Mail Group
Relinking NATIONAL VA LAB CODES TO WKLD CODE
LR*5.2*243
*1. The CPT Code Modifiers Patch LR*5.2*243 patch automatically removes
Updating Routine file...
Updating KIDS files...
LR*5.2*243 Installed.
Feb 29, 2000@15:54:32
Install Message sent
CPT workload credit for any test(s) with the status of NOT PERFORMED (NP).
**** End of Example of Install dialog *******
Post Installation Instructions:
After the new file structures have been installed the post installation
software will perform the following:
1. Review each code to determine if the code is valid and has not been
inactivated in the CPT file (#81). If the code is inactive or erroneous,
the code is removed. The software will record the code removal in the WKLD
CODE NOTES field (#24). A MailMan message addressed to the local LMI mail
group will be generated if any codes are removed.
2. The data in the file is converted to the new data structure of the WKLD
CODE file (#64).
3. ASSOCIATED NAMES in the WKLD CODE file (#64) are updated to reflect
current linkages.
*2. When the Laboratory workload reporting LRNIGHTY background job is
4. The Post Installation routine will set the WKLD CODE (#64) file
BILLABLE PROCEDURE (#4) field to yes for the codes:
Venipunture Outpatient [89343.0000]
Venipunture Travel Time [89341.0000]
**** Note: If the laboratory is does not perform venipuncture functions,
the BILLIABLE PROCEDURE field should be set to 'NO'.
'Edit or Print WKLD CODES [LR WKLD CODE EDIT PRINT] option can be used to
edit the BILLABLE PROCEDURE field.
tasked, a secondary program examines the WKLD CODE file (#64) to determine
************************
LABORATORY CURRENT PROCEDURAL TERMINOLOGY (CPT) CODES AND MODIFIERS PATCH
LR*5.2*243 INSTALLATION AND IMPLEMENTATION GUIDE in PDF format is provided
with this patch. Please refer to this document for details and specific
instructions. The patch description does not include ALL implementation
considerations or complete file setup instructions.
************************
if any CPT code(s) are inactive in the CPT file (#81) or if other file
PCE Workload Capture Setup:
The Laboratory Information Manager (LIM) or the Information Resource
Management (IRM) service must do setup several procedure files/fields.
NOTE: The asterisk (*) indicates new enhancements for patch LR*5.2*243.
1. The LAB SERVICE package V. 5.2 must be installed. This is done by IRM.
2. PCE workload must be turned on for Laboratory. Someone other than the
pointers are broken. If inactive code(s) are found, a VA Mailman message
LIM usually does this.
3. PCE PATIENT CARE ENCOUNTER Version 1.0 must be loaded on the system and
fully patched. This is done by IRM.
4. The LABORATORY SITE file (#69.9), WKLD STATS ON field (#17) must be set
to YES. This is usually done by the LIM.
5. The LABORATORY SITE file (#69.9), PCE/VSIT ON field (#615) definition
entry should be defined other than OFF, the recommended entry is PCE/VSIT
Category: DATA DICTIONARY
is automatically generated and sent once a day to the LMI Mail Group
ONLY. The VA FileMan Enter Edit [DIEDIT] option is used to defined the
PCE/VSIT ON field (#615). This is done by the LIM or IRM.
6. The LABORATORY SITE file (#69.9), PCE DEFAULT PROVIDER field (#617)
should have a valid active provider identified. This is usually the Chief
of Pathology and Laboratory Medicine (P&LMS). The PCE DEFAULT PROVIDER
field (#617) in the past was required for the background job to run. This
patch no longer requires a valid entry in this field. This field is used
whenever the ordering provider is not a valid active provider; the default
provider is substituted instead of the inactive provider. If the ordering
containing information about the code(s) and the action(s) taken by the
provider and the default provider are both invalid the order will be
marked and skipped. A report will be sent to the local mail group G.LMI
indicating the observed problem. This usually done by the LIM.
7. The LABORATORY SITE file (#69.9), DEFAULT LAB OOS LOCATION (#.8) field
must have a valid HOSPITAL LOCATION defined. This field is defined by
using the Create Laboratory OOS Locations [LR WKLD LOCATION] option. This
option will correctly name the DEFAULT LAB OOS location entry. This is
usually done by the LIM.
NOTE: This is a critical field entry. The CPT Workload capture will not be
software.
performed if this field has no entry or the entry is correct. All DEFAULT
LAB OOS LOCATION names must begin with 'LAB DIV '
8. The MAILMAN SITE PARAMETERS file (#4.3), DEFAULT INSTITUTION field
(#217) must be defined. This is done by IRM.
* 9. The LABORATORY SITE file (#69.9), DEFAULT BLOOD SPECIMEN field (#100)
must have a valid blood specimen defined. This is done by the LIM.
10. Each Accession area that should have workload collected must have the
accession area activated. The accession area is activated by using the
Turn on workload stats for accession area [LR WKLD STATS ON ACC AREA]
option. This is done by the LIM.
11. Each accession area can have a default Occasion of Service (OOS)
location defined. This allows each accession area to be assigned a
specific DEFAULT OOS LOCATION. Multi-divisional sites most often use this.
The default OOS location can be defined by using the Edit ACC Area OOS
Locations [LR WKLD ACC AREA LOCATION] option. A DEFAULT OOS LOCATION
should be defined for each institution generating workload. This is done
*3. The enhanced Laboratory workload software processes the workload data
by the LIM.
12. Every orderable test in LABORATORY TEST file (#60) must be linked to a
NATIONAL VA LAB CODE (also referred to as WKLD CODE or NLT codes). The
NATIONAL VA LAB CODE is linked by using the Semi-automatic Linking of file
60 to 64 [LR7O 60-64 AUTO] and Manual Linking of file 60 to 64 [LR7O 60-64
MANUAL] options. This is done by the LIM.
13. Each WKLD CODE linked in the above step must be assigned valid CPT
codes, these CPT codes will be used to report workload to the Patient Care
in LABORATORY SITE file (#69.9), PCE DEFAULT PROVIDER field (#617) and LAB
Encounter (PCE) workload API. This is done by using the Edit or Print WKLD
CODES [LR WKLD CODE EDIT PRINT] option. This is done by the LIM.
Software Logic:
After the file setup steps have been completed, the software logic of the
background job will use the above-defined fields. The software will scan
collected orders, extract all valid CPT codes, and pass the CPT workload
data to the PCE workload API. In addition, the software will also will
OOS LOCATION field (#.8) even if these two fields are not defined. A VA
capture LMIP venipuncture workload for ALL patients without regard for
location type.
NOTE: Outpatient locations are entries in HOSPITAL LOCATION file (#44)
that have the TYPE field (#2) defined as; CLINIC, MODULE or OTHER.
The software uses the cross reference of
^LR(69,"AA",ORDER NUMBER, SPECIMEN) to determine what orders have been
collected. The software orders through the cross-reference and examines
each order number using the following:
Mailman report is automatically generated and sent to the LMI mail group
1. The order status must be collected.
2. The order must be for a Patient from the PATIENT file (#2).
*3. For venipuncture (specimen collection) workload capture ONLY,
collection type must be one of the following:
Laboratory Collect (LC) = Venipuncture Travel Time - 89341.0000
Immediate Collect (I) = Venipuncture Travel Time - 89341.0000
once a day indicating those orders requiring additional attention because
Send Patient (SP) = Venipuncture Outpatient - 89343.0000
*Note: Collection type is only used for venipuncture workload capture.
Collection type has no bearing on CPT workload capture.
Both In-Patient and Outpatient receive LMIP venipuncture workload credit.
4. The ordering provider is validated as a current active provider. If the
ordering provider is not valid, the default provider will be used if the
default provider is valid. If neither of the providers is valid, the order
is marked appropriately and skipped.
the default fields were not defined.
5. CPT workload is only collected for Out-Patients based on HOSPITAL
LOCATION file (#44) that have the TYPE field (#2) defined as: CLINIC,
MODULE, or OTHER LOCATION. Venipuncture workload is NOT controlled by
HOSPITAL LOCATION type.
*6. This patch uses the INSTITUTION field (#3) of the HOSPITAL LOCATION
file (#44) to determine the institution that should receive CPT workload
credit. If the INSTITUTION field (#3) is not defined then the DEFAULT
INSTITUTION is used.
NOTE: See step 8 of the Setup instructions.
ENHANCEMENT
7. Each test is checked to ensure that it does not have the status of
CANCEL or NOT PERFORMED before CPT workload is processed.
8. Each test is checks the accession area's LAB OOS LOCATION. If defined
the accession area's LAB OOS LOCATION is used.
9. Each collected test will be checked for a NATIONAL VA LAB CODE field
(#64) in the LABORATORY TEST file (#60).
*4. The automated Venipuncture workload reporting functionality used the
10. The NATIONAL VA LAB CODE field (#64) point to the WKLD CODE file
(#64). The software checks the WKLD CODE file (#64), CODE field (#18) for
CPT codes.
*11. This patch has changed the data dictionary definition of the CODE
field (#18) to a variable pointer. The patch installation will converts
all valid codes to the new file structure and reset the cross-references.
If the code is invalid, the code is removed. A note will be entered in the
WKLD CODE file (#64), WKLD CODE NOTES field (#24) indicating when the
removal occurred.
same criteria as the Laboratory workload reporting.
*12. Each CPT code is checked to make sure it is valid (active). Each CPT
code is checked for allowed modifiers. If there are multiple occurrences
of identical CPT codes, the software will automatically add the modifier
DISTINCT PROCEDURAL SERVICE (59) to each succeeding CPT code if this
modifier is allowable.
13. The specimen DATE/TIME OF COLLECTION is used as the encounter date
time.
NOTE: If the scan of order passes all of the checks and there are valid
CPT codes associated with the collected (accessioned) test, CPT workload
data is passed to the PCE workload API.
Listing of elements passed to PCE workload API.
$$DATA2PCE^PXAPI
OOS location
Reporting Institution
Provider
5. The enhanced Laboratory software will now acknowledge the actual user
Encounter Date/time
Patient Pointer
Stop Code number of the ordering location.
Service Category of OOS
Encounter type of Ancillary
CPT codes for each collected test as defined in WKLD CODE file.
*CPT modifier if appropriate.
*14. If an Order Test is marked as NOT PERFORMED by the laboratory and CPT
workload has already been sent to PCE, a background job will automatically
entering lab test orders in LAB ORDER ENTRY file (#69) for the PCE
send delete CPT workload messages for that order to the PCE Workload API.
NOTE: If the Not Performed test is ultimately verified, no CPT workload is
sent after NOT PERFORMED delete has been sent.
15. The PCE API passes back to the Laboratory software application the
encounter number used to store the PCE API passed information. It is
possible for one order to have multiple encounter number based on the
ACCESSION AREA's OOS definition. The PCE encounter number is displayed on
various order status screens in the Visit Number(s).
Registered Encounter rather than the user that started or tasked the PCE
Example: Order/test status screen - Visit Number(s): show the PCE
encounter numbers.
Test Urgency Status Accession
-Lab Order # 162690 Provider: The man
Visit Number(s): 99999;
BLOOD
CBC PROFILE ROUTINE Test Complete 12/02/1999@07:41 HE 1202 10
-Lab Order # 162690 Provider: The man
Visit Number(s): 99999;
BLOOD SERUM
Workload background job.
MAGNESIUM ROUTINE Test Complete 12/02/1999@08:02 DA 1202 32
CHEM 7 ROUTINE Test Complete 12/02/1999@08:02 DA 1202 32
-Lab Order # 163491 Provider: The man
Visit Number(s): 99999;
BLOOD SERUM
URIC ACID ROUTINE Test Complete 12/02/1999@14:37 DA 1202 234
By using the User's Visit Review [PXQ USER REVIEW] option User's Visit
Review one can determine what CPT workload has been captured for a given
order. This is an example of the option. The Visit Number(s) information
is entered at the 'Enter VISIT (UNIQUE ID or '1239):' prompt.
Select one of the following:
P Patient List of Visits
I Internal Entry Number of VISIT
Select by (P)atient or (I)en: P// Internal Entry Number of VISIT
Enter VISIT (UNIQUE ID or `1239): `99999
12-2-1999@06:57:38 PATIENT,SICK
6. The LABORATORY SITE file (#69.9) locking logic is modified to correct
LAB DIV 623 OOS ID 108 29TRC-MUS
Select one of the following:
D Default (first field of each file/subfile)
A All fields in a file/subfile (except 'NULL')
C Customized by User (Default plus added fields)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
To customize your display use VA FileMan to add entries in file PCE
ROUTINE
the problem of not being able to edit the LABORATORY SITE file (#69) while
CUSTOMIZE REPORT, with your NAME, FILE/SUBFILE#s, and FIELD#s that you
want to have included in the report.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Enter '^^' to exit option
Format of Print out: // All fields in a file/subfile (except 'NULL')
DEVICE: HOME// TELNET Right Margin: 80//
**************************************************************
the LRNIGHTY background job is running.
*** R E C O R D O F R E L A T E D E N T R I E S ***
The Following is the VISIT file entry and
ALL records pointing back to this entry.
VISIT RECORD --- #999999
DATE/TIME --- DEC 02, 1999@06:57:38
PATIENT --- PATIENT,SICK
LOCATION --- LAB DIV 623 OOS ID 108
Option Changes
----------------------------------------------------------------
FILE = VISIT #9000010 RECORD #99999
VISIT/ADMIT DATE&TIME = DEC 02, 1999@06:57:38
DATE VISIT CREATED = DEC 02, 1999@07:28:51
TYPE = VA
PATIENT NAME = PATIENT,SICK
LOC. OF ENCOUNTER = MUSKOGEE, OK
SERVICE CATEGORY = DAILY HOSPITALIZATION
DSS ID = LABORATORY
DEPENDENT ENTRY COUNT = 3
DELETE FLAG =
PARENT VISIT LINK =
DATE LAST MODIFIED = DEC 02, 1999@07:28:52
CHECK OUT DATE&TIME =
ELIGIBILITY = NSC, VA PENSION
HOSPITAL LOCATION = LAB DIV 623 OOS ID 108
CREATED BY USER = WORKER,HARD V
OPTION USED TO CREATE = LRENTER
PROTOCOL =
OUTSIDE LOCATION =
*7. Add tests to a given accession [LRADD TO ACC] option is modified to
VISIT ID = 29TRC-MUS
PATIENT STATUS IN/OUT = IN
ENCOUNTER TYPE = ANCILLARY
SERVICE CONNECTED =
AGENT ORANGE EXPOSURE =
IONIZING RADIATION EXPOSURE =
PERSIAN GULF EXPOSURE =
MILITARY SEXUAL TRAUMA =
COMMENTS =
PACKAGE = PCE PATIENT CARE ENCOUNTER
activate the PCE Workload API. Any test(s) added to an accession will now
DATA SOURCE = LAB DATA
-----------------------------------------------------------------
FILE = OUTPATIENT ENCOUNTER #409.68 RECORD #999999
DATE = DEC 02, 1999@06:57:38
PATIENT = PATIENT,SICK
CLINIC STOP CODE = LABORATORY
LOCATION = LAB DIV 623 OOS ID 108
VISIT FILE ENTRY = DEC 02, 1999@06:57:38
CHECK OUT PROCESS COMPLETION = DEC 02, 1999@07:28
receive PCE Workload credit.
ORIGINATING PROCESS TYPE = STOP CODE ADDITION
APPOINTMENT TYPE = REGULAR
MEDICAL CENTER DIVISION = MUSKOGEE VAMC
STATUS = INPATIENT APPOINTMENT
ELIGIBILITY OF ENCOUNTER = NSC, VA PENSION
UNIQUE VISIT NUMBER = 29TRC-MUS
EDITED LAST BY = WORKER,HARD V
DATE/TIME LAST EDITED = DEC 02, 1999@07:28:52
CREATED BY = WORKER,HARD V
DATE/TIME CREATED = DEC 02, 1999@07:28:52
COMPUTER GENERATED? = YES
-----------------------------------------------------------------
FILE = V PROVIDER #9000010.06 RECORD #99999
PROVIDER = GIVER,CARE
PATIENT NAME = PATIENT,SICK
VISIT = DEC 02, 1999@06:57:38
PRIMARY/SECONDARY = PRIMARY
PERSON CLASS = Physicians (M.D.)
EDITED FLAG = EDITED
AUDIT TRAIL = 24-A 5591;24-E 5591;
8. Order/test status [LROS] option is modified to correctly display
PACKAGE = LAB SERVICE
DATA SOURCE = LAB DATA
-----------------------------------------------------------------
FILE = V CPT #9000010.18 RECORD #99999
CPT = 85025
PATIENT NAME = PATIENT,SICK
VISIT = DEC 02, 1999@06:57:38
PROVIDER NARRATIVE = AUTOMATED HEMOGRAM
QUANTITY = 1
ENCOUNTER PROVIDER = GIVER,CARE
test(s) added to an accession.
AUDIT TRAIL = 24-A 5591;
PACKAGE = LAB SERVICE
DATA SOURCE = LAB DATA
-----------------------------------------------------------------
The Following is the OUTPATIENT ENCOUNTER entry and
most of the records pointing back to it.
OUTPATIENT ENCOUNTER --- #99999
-----------------------------------------------------------------
FILE = V CPT #9000010.18 RECORD #99999
CPT = 85025
PATIENT NAME = PATIENT,SICK
VISIT = DEC 02, 1999@06:57:38
PROVIDER NARRATIVE = AUTOMATED HEMOGRAM
QUANTITY = 1
ENCOUNTER PROVIDER = GIVER,CARE
AUDIT TRAIL = 24-A 5591;
PACKAGE = LAB SERVICE
DATA SOURCE = LAB DATA
9. Enter/verify data (auto instrument) [LRVR] option is enhanced to allow
-----------------------------------------------------------------
FILE=TRANSMITTED OUTPATIENT ENCOUNTER #409.73 RECORD #999999
NUMBER = 999999
OUTPATIENT ENCOUNTER = DEC 02, 1999@06:57:38
TRANSMISSION REQUIRED = YES
TRANSMISSION EVENT = ADD
DATE/TIME OF EVENT = DEC 02, 1999@07:28:52
USER CAUSING EVENT = WORKER,HARD V
PATIENT = PATIENT,SICK
ENCOUNTER DATE = DEC 02, 1999 06:57:38
users to edit, add, or subtract atomic test(s) from the test list before
HOSPITAL LOCATION = LAB DIV 623 OOS ID 108
PATIENT SSN = 1010101010
ENCOUNTER DIVISION = MUSKOGEE VAMC
ENCOUNTER DIVISION (INTERNAL) = 1
-----------------------------------------------------------------
The Following is the SCHEDULING VISITS file.
This is where Scheduling stores the CPT codes.
THERE ARE PROCEDURES IN PCE BUT NO RECORD IN SCHEDULING **
beginning the verification of an atomic test(s) and to continue to the
===============================================
****END OF EXAMPLE****
*Venipuncture Workload Capture:
************************
LABORATORY CURRENT PROCEDURAL TERMINOLOGY (CPT) CODES AND MODIFIERS PATCH
LR*5.2*243 INSTALLATION AND IMPLEMENTATION GUIDE in PDF format is provided
next accession number if the current accession is not collected. This
with this patch. Please refer to this document for details and specific
instructions. The patch description does not include ALL implementation
considerations or complete file setup instructions.
************************
1. *Patch LR*5.2*243 will automatically collects venipuncture workload
data identical to other types of collected workload data. Venipuncture
workload data will appear on workload reports broken down by standard
reporting criteria.
enhancement applies to both verifying by accession number or UID
2. Originally, LMIP workload reporting did not include venipuncture as a
billable procedure; therefore, the software entered a manual style tally
of totals for the institution by day. Now LMIP workload does allow
venipuncture workload. This patch automatically captures venipuncture by
institution, by date, by WKLD CODE, and by event time and stores them in
the WKLD DATA (#64.1) file. Certain data elements are required when
recording workload. One of the required data elements is accession area.
Therefore, some accession area must be utilized to satisfy the required
data field. This patch provides new fields that can be used to customize
data collection.
(Universal Identification).
3. The venipuncture workload ACTUALLY indicates that the laboratory
obtained at least one specimen from the patient.
NOTE: THE SPECIMEN OBTAINED MAY NOT BE A BLOOD SPECIMEN. WHAT THE DEFAULT
CODES (venipuncture) INDICATES IS THAT THE LAB COLLECTED A SPECIMEN FOR
THIS PARTICULAR ORDER. ONLY 1 SPECIMEN COLLECTION WORKLOAD UNIT PER ORDER
IS CAPTURED REGARDLESS OF THE NUMBER OF ACTUAL SPECIMENS COLLECTED FOR THE
ORDER.
4. Specimen Collection workload codes of Venipuncture Travel Time
[89341.0000] is the default code for Lab Collect (LC) and Immediate
Collect (I). Specimen Collection WKLD CODE of Venipuncture Outpatient
[89343.0000] is default code for Send Patient (SP).
5. *Venipuncture workload is captured based on INSTITUTION field (#3) in
the HOSPITAL LOCATION file (#44) of the ordering location. If no
INSTITUTION is defined, the default institution defined by MAILMAN will be
used.
* There is a new field exported with this patch. The DIVISION PARAMETERS
*10. Batch data entry [LRSTUF] option is modified to capture LMIP workload
field (#618) is a multiple in the LABORATORY SITE file (#69.9). There are
two fields in the DIVISION PARAMETERS field (#618) multiple that can be
used to customize the venipuncture workload collection.
- DIVISION PARAMETER field (#.01) points to the INSTITUTION file (#4).
This field will allow the LABORATORY SITE file (#69.9) to be
multi-divisional.
- PHLEBOTOMY DEFAULT ACC AREA field (#618) points to the ACCESSION file
(#68).
6. * The software will examine the ordering location for the INSTITUTION
counts.
that location is assigned. The software will look up in the LABORATORY
SITE file (#69.9), DIVISION PARAMETERS subfile (#) to get the ACCESSION
area to be used when storing venipuncture workload. The MAJ. SECT and the
SUBSECTION fields in WKLD DATA (#64.1) file will be set to ACCESSION area
defined.
Note: The default venipuncture ACCESSION area is HEMATOLOGY.
LAB DIVISION is CLINICAL PATHOLOGY
Date and Time is the SPECIMEN COLLECTION date/time.
The LAB TEST is the first collected test in the order.
Description:
7. * The Venipuncture workload capture assumes that there is an accession
area that begins with the letters 'HEM'. If there is no accession area
beginning with the letters 'HEM', then venipuncture default accession area
will be the accession area having the internal entry number of 10 in the
ACCESSION file (#68).
8. ** This patch creates a new multiple in the LABORATORY SITE file
(#69.9), DIVISION PARAMETERS field (#618). This new multiple will be used
to allow in the future, each institution to have the opportunity to
completely define separate laboratory parameter definitions. The first
11. Results entry (batch) [LRMISTUF] is modified to capture LMIP workload
entry in this multiple is PHLEBOTOMY DEFAULT ACC AREA field (#618). This
field will allow each institution to define what accession area
venipuncture workload should be assigned. If this field is not defined
then the default Hematology accession area outlined above will be used.
This is a listing of captured venipuncture workload data.
DATE: DEC 02, 1999
WKLD CODE: +Venipuncture Outpatient UNIT WEIGHT: 1
ACCESSION WKLD CODE TIME: 12.5713 LAB TEST: GLUCOSE
counts.
WEIGHT MULTIPLIER: 1 LAB DIVISION: CLINICAL PATHOLOGY
MAJ. SECT.: SEND OUT SUBSECTION: SEND OUT
ACC NO.: CH 1202 15 PATIENT: NOSE,LIMP
ORIGINAL ACC DATE: DEC 02, 1999
DATE ORDERED: DEC 02, 1999@12:57:13
SPECIMEN NO.: 1 SPECIMEN: BLOOD
REPORT ROUTING LOCATION: 2S PROVIDER: GINSBURG,RONNIE
LOG IN PERSON: STALLING,FRANK LOCATION TYPE: WARD
ORDERING LOCATION: 7 ATU URGENCY: ROUTINE
VERIFY TECH.: STALLING,FRANK WORK AREA: SEND OUT
12. The Bypass normal data entry [LRFAST] option is modified to accept the
response of "YES" at the "Do you want to enter draw times?" prompt.
13. The Accessioning tests ordered by ward order entry [LROE] option is
modified to accurately determine if the tasked ROLLOVER ACCESSION [LRTASK
ROLLOVER] option is actually running.
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