| DESCRIPTION OF ENHANCEMENTS |
VSIT*2*1 (Visit Tracking)
=================
Routine Name Before Patch After Patch Patch List
LR138 NA 3411930 138
LR138P NA 2851115 138
LR138PO NA 4890675 138
LRCAPPH 10492287 9623897 1,19,127,136,138
LRCAPPH1 3477475 7546206 127,136,138
LRCAPPH2 NA 6972273 138
LRWU 11418768 10739890 42,138
=========================================
PX*1*9 (PCE)
Installation Instructions:
NOTE: SD*5.3*63 patch MUST be installed before this patch WILL install
successfully.
1. All users may remain on the system.
2. No options need be placed out of order.
3. Install patch during non-peak hours.
4. Laboratory specimens should not be accessioned or verified during
installation of the patch.
5. The Auto-Instruments 'LAB' job does not have to be stopped.
6. Installation time of this patch is less than ten minutes.
7. Journaling requires no special attention.
NOIS List
===========================
Refer to SD*5.3*63 patch
===========================
Test Sites:
Developmental Test Site: Long Beach
Patch SD*5.3*63 must be installed before the installation LR*5.2*138.
Alpha Test Sites : Reno, Tucson and Oklahoma City
===========================
Technical Information:
Occasion of Service (OOS)
All valid LAB OOS LOCATIONS follow this format:
Each LAB OOS LOCATION begins with 'LAB DIV'.
Followed by the STATION NUMBER. (Field #99 of the INSTITUTION (#4) file)
Followed by 'OOS ID'.
Followed by the STOP CODE number.
The sequence of patch installs for either RA*4.5*8 or LR*5.2*138 is not
List of selectable OOS Stop Codes:
PULMONARY FUNCTION 104
X-RAY 105
EEG 106
EKG 107
LABORATORY 108
NUCLEAR MEDICINE 109
CARDIOVASCULAR NUCLEAR MED 110
ONCOLOGICAL NUCLEAR MED 111
important. The RA*4.5*8 and LR*5.2*138 can be installed in reverse order.
INFECTIOUS DISEASE NUCLEAR MED 112
RADIONUCLIDE TREATMENT 113
SING PHOTON EMISS TOMOGRAPHY 114
ULTRASOUND 115
HBHC - PHYSICIAN 170
CLINICAL PHARMACY 160
BEREAVEMENT COUNSELING 165
VASCULAR LABORATORY 421
EMPLOYEE HEALTH 999
EVOKED POTENTIAL 126
TOPOGRAPHICAL BRAIN MONITORING 127
PROLONGED VIDEO-EEG MONITORING 128
MAMMOGRAM 703
RADIONUCLIDE THERAPY 144
PHARM/PHYSIO NMP STUDIES 145
PET 146
No LAB OOS LOCATIONS can have appointments.
No patients can be scheduled to LAB OOS LOCATIONS.
The Laboratory Information Manager (LIM) should be notified of the patch
LAB OOS LOCATIONS can not be selected as the ordering locations.
All locations are created by the Scheduling API.
Name Length is less than 31 characters.
LAB OOS LOCATION can not be deleted with FileMan.
Example LAB OOS LOCATION name = LAB DIV 647 OOS ID 108
Where 647 = Poplar Bluff, MO
Where 108 = Laboratory Stop Code
===========================================
This patch contains two (2) new options which will be added to the LIM
installation schedule and the date/time of the actual LR*5.2*138
workload menu [LR LIM/WKLD MENU].
1) Create Laboratory OOS Locations [LR WKLD LOCATION] provides a software
controlled creation of LAB OOS HOSPITAL LOCATIONS.
2) Edit ACC Area OOS Location [LR WKLD ACC AREA LOCATION] allows the LIM
to modify individual accession areas LAB OOS LOCATIONS to adjust NPCDB
workload credit.
=============================
Fields included in LR*5.2*138
installation.
WKLD CODE (#64) File
DSS Feeder Key (#14) field
ACCESSION (#68) File
LAB OOS LOCATION (#.8) field
LAB ORDER ENTRY (#69) File
TEST (#69.03) subfile
PCE VISIT # (#12) field
LABORATORY SITE (#69.9) File
DEFAULT LAB OOS LOCATION (#.8) field
This is a joint Radiology, PIMS, PCE, VSIT, National Patient Care Database
Field Notes:
A new field DEFAULT LAB OOS LOCATION (#.8) has been added to the
LABORATORY SITE file (#69.9). It is used when ACCESSION AREAS does not
have a LAB OOS LOCATION defined.
A new field LAB OOS LOCATION (#.8) has been added to the ACCESSION (#68)
file. This field is used to adjust NPCDB workload reporting.
* An existing field is renamed, DSS Feeder Key (#14) in the WKLD CODE
(#64) file. This field was altered by an earlier patch.
Site Preparation notice:
Routine Notes:
This patch contains three (3) modified routines LRCAPPH, LRCAPPH1, LRWU
and one (1) new routine LRCAPPH2. These routines control the reporting of
NPCDB workload data and the screening of hospital OOS locations.
There are several additional non laboratory routines that will control
the user's HOSPITAL LOCATION selections.
==============================
Example of option use after Post Installation failure
This patch and LMIP workload reporting rely on the STATION NUMBER (#99) in
Select OPTION NAME: LR WKLD LOCATION
Create Laboratory OOS Locations
List of already defined Laboratory OOS Locations
NONE ARE CURRENTLY DEFINED
INSTALL PATCH LR*5.2*138
the INSTITUTION file (#4) being correctly defined. New OOS HOSPITAL
=================================
Example of a defined OOS location display
Select OPTION NAME: LR WKLD LOCATION
Create Laboratory OOS Locations
List of already defined Laboratory OOS Locations
LAB DIV 170 OOS ID 108 170 108
LOCATION names will be based on this field. The user can not control how a
Would you like a detail display ?No// YES
Select Laboratory OOS Location : LAB DIV 170 OOS ID 108
NAME: LAB DIV 170 OOS ID 108 TYPE: CLINIC
INSTITUTION: 170 STATION 170 STOP CODE NUMBER: LABORATORY
SERVICE: NONE NON-COUNT CLINIC? (Y OR N): NO
CLINIC MEETS AT THIS FACILITY?: YES INCLUDE ON FILE ROOM LISTS?: NO
TYPE EXTENSION: CLINIC ASK PROVIDER AT CHECK OUT:
new LAB OOS LOCATIONS will be named. The name will be based on the
YES/REQUIRED
ASK DIAGNOSIS AT CHECK OUT: NO
==================================
Example of attempted duplicate LAB OOS LOCATION entry
Select Laboratory OOS Location :
List of already defined Laboratory OOS Locations
LAB DIV 647 OOS ID 108 647 108
INSTITUTION file setup.
Would you like a detail display ?No//
You may define a new Laboratory OOS Location
Enter New Division : POPLAR BLUFF, MO 647
Select Stop Code Service : 108 LABORATORY 108
ONCE DEFINED - IT CAN NOT BE DELETED
===============================
[LAB DIV 647 OOS ID 108] Is this the correct new name ? No// YES
LAB DIV 647 OOS ID 108
This location is already defined
=======================================
Example of creating a non Laboratory OOS location
List of already defined Laboratory OOS Locations
LAB DIV 647 OOS ID 108 647 108
Purpose of the patch:
Would you like a detail display ?No//
You may define a new Laboratory OOS Location
Enter New Division : POPLAR BLUFF, MO 647
Select Stop Code Service :
1 PULMONARY FUNCTION 104
2 X-RAY 105
3 EEG 106
1. Correct collection of NPCDB laboratory workload.
4 EKG 107
CHOOSE 1-4: 1
ONCE DEFINED - IT CAN NOT BE DELETED
[LAB DIV 647 OOS ID 104] Is this the correct new name ? No// YES
NAME: LAB DIV 647 OOS ID 104 TYPE: CLINIC
INSTITUTION: POPLAR BLUFF, MO STOP CODE NUMBER: PULMONARY
(NPCDB) and Laboratory patch. This patch will not successfully install if
2. Create LAB Occasion of Service (OOS) LOCATIONS for the purpose of PCE
FUNCTION
SERVICE: NONE NON-COUNT CLINIC? (Y OR N): NO
CLINIC MEETS AT THIS FACILITY?: YES INCLUDE ON FILE ROOM LISTS?: NO
TYPE EXTENSION: CLINIC ASK PROVIDER AT CHECK OUT:
YES/REQUIRED
ASK DIAGNOSIS AT CHECK OUT: NO
LAB Location Added
You may define a new Laboratory OOS Location
reporting.
Enter New Division :
=====================================
Example of changing ACCESSION AREA LAB OOS LOCATION
Select OPTION NAME: LR WKLD ACC AREA LOCATION
Select Accession Area : GAS
Select OOS Location for [GAS] Acc Area : LAB DIV 7000BY OOS ID 108
Replace ... With LAB DIV 647 Replace
3. Provide immediate functionality without LIM intervention.
LAB DIV 647
1 LAB DIV 647 OOS ID 108
2 LAB DIV 647 OOS ID 104
CHOOSE 1-2: 2
DONE
Select Accession Area :
=======================================
=======================================
4. Provide data clean up of previously reported NPCDB workload (PX*1*9).
Example of the Build Install
Select OPTION NAME: XPD MAIN Kernel Installation & Distribution System
Select Kernel Installation & Distribution System Option: Installation
Select Installation Option: Install Package(s)
Select INSTALL NAME: LR*5.2*138 Loaded from Distribution
10/21/96@12:12:25
=>LR*5.2*138 3k LINES ;Created on Oct 21, 1996@13:48:57
5. Provide utilities to manage multi-divisional NPCDB workload.
This Distribution was loaded on Oct 21, 1996@12:12:25 with header of
LR*5.2*138 3k LINES ;Created on Oct 21, 1996@13:48:57
It consisted of the following Install(s):
LR*5.2*138
Will first run the Environment Check Routine, LR138
Environment Check is Ok ---
Install Questions for LR*5.2*138
64 WKLD CODE (Partial Definition)
6. Provide capabilities to support non Pathology & Laboratory Medicine
Note: You already have the 'WKLD CODE' File.
68 ACCESSION (Partial Definition)
Note: You already have the 'ACCESSION' File.
69 LAB ORDER ENTRY (Partial Definition)
Note: You already have the 'LAB ORDER ENTRY' File.
69.9 LABORATORY SITE (Partial Definition)
Note: You already have the 'LABORATORY SITE' File.
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.
services to receive proper NPCDB workload credit.
DEVICE: HOME// HOME
LR*5.2*138
Install Started for LR*5.2*138 :
Oct 21, 1996@12:16:32
Installing Routines:
Oct 21, 1996@12:16:33
Running Pre-Install Routine: ^LR138P
LOCKING THE ^LRO(69,AA) GLOBAL
Pre Install Step Complete
7. Enhancement of the Laboratory NPCDB reporting capabilities.
Installing Data Dictionaries:
Oct 21, 1996@12:16:51
Installing PACKAGE COMPONENTS:
Installing OPTION
Oct 21, 1996@12:16:53
Running Post-Install Routine: ^LR138PO
Starting Post Install Process
Option [LR WKLD LOCATIONS] was Added to [LR LIM/WKLD] MENU
Option [LR WKLD ACC AREA LOCATIONS] was Added to [LR LIM/WKLD] MENU
Creating Laboratory OOS Workload Locations
NUMBER: 657 NAME: LAB DIV 600 OOS ID 108
TYPE: CLINIC INSTITUTION: LONG BEACH, CA
STOP CODE NUMBER: LABORATORY SERVICE: NONE
DIVISION: VA MEDICAL CENTER, LONG BEACH
NON-COUNT CLINIC? (Y OR N): NO CLINIC MEETS AT THIS FACILITY?:
YES
INCLUDE ON FILE ROOM LISTS?: NO TYPE EXTENSION: CLINIC
This patch will not effect LMIP workload capture or DSS Laboratory
ASK PROVIDER AT CHECK OUT: YES/REQUIRED
ASK DIAGNOSIS AT CHECK OUT: NO
LAB Location Added
Database Upgrade Completed Successfully
DEFAULT LAB OOS LOCATION IS
NUMBER: 657 NAME: LAB DIV 600 OOS ID 108
TYPE: CLINIC INSTITUTION: LONG BEACH, CA
the Scheduling Package SD*5.3*63 patch has not been installed.
workload data extraction. There are no CPT code updates contained in this
STOP CODE NUMBER: LABORATORY SERVICE: NONE
DIVISION: VA MEDICAL CENTER, LONG BEACH
NON-COUNT CLINIC? (Y OR N): NO CLINIC MEETS AT THIS FACILITY?:
YES
INCLUDE ON FILE ROOM LISTS?: NO TYPE EXTENSION: CLINIC
ASK PROVIDER AT CHECK OUT: YES/REQUIRED
ASK DIAGNOSIS AT CHECK OUT: NO
PCE/VSIT ON (#615) field in LABORATORY SITE (#69.9) file
patch.
has been set to BOTH PCE/VSIT AND STOP CODES
==============================
Problem:
Scheduling software determines if a particular procedure requires patient
diagnosis based on the HOSPITAL LOCATION file setup. The Laboratory was
passing the ordering location without patient diagnosis. This produced
NPCDB workload recording errors because of no diagnosis being passed.
Some packages still use Clinic Stop codes to identify certain kinds of
data. The Stop Codes were determined based on the HOSPITAL LOCATION file
setup. The Stop Code passed by Laboratory to the PCE API was not being
used.
============================
Problem Solution
New OOS HOSPITAL LOCATIONS will be created solely for Laboratory NPCDB
Workload reporting. These new locations can not be used for appointments
or as test ordering locations. These special OOS locations will be
configured to not require diagnosis, eliminating the current errors.
The Scheduling software will use these special hospital (non diagnosis
requiring) locations when passing workload to NPCDB. Upon initial install
Patches should be installed in the following order:
all workload will be reported as laboratory Stop Code 108 for the Primary
Institution as defined by LMIP Workload Collection file (#67.9). Options
are provided to allow the LIM to create additional OOS Hospital Locations.
The naming of the OOS locations is controlled by the a option included in
this patch.
NOTE: The LIM can not edit the Hospital Location file directly. They can
only do so via a special option. LAB OOS LOCATIONS should not be created
through VA FileMan.
SD*5.3*63 (Scheduling)
==============================
Workload Reporting Logic:
1. Only collected specimens will be processed by the software.
2. Only laboratory specimens having a collection type of Immediate
Collect, Send Patient or Lab Collect will receive phlebotomy Workload
credit.
3. Only those specimens with a HOSPITAL LOCATION type of Clinic, Module or
Other will be passed to PCE API. This is not dependent on specimen
collection type
4. No new WKLD CODE CPT codes are included in this patch. Those linked
RA*4.5*8 (Radiology/Nuclear Med)
LABORATORY TESTS without CPT codes will not be passed to PCE API. Another
Laboratory patch will fully populate the WKLD CODE file with CPT codes.
NOTE: The DEFAULT LAB OOS LOCATION field is populated during the post
install. This field is used by NPCDB Laboratory workload reporting
software if a specific ACCESSION AREA does not have a LAB OOS LOCATION
assigned.
A tasked routine will inspect the LAB ORDER ENTRY (#69) file for
collected specimens. When it finds a patient with collected specimen(s)
LR*5.2*138 (Laboratory ** this patch **)
the software will use the above logic steps to determine if the specimen
meets criteria. If the specimens meets criteria, the software checks the
ACCESSION AREA where the specimen was accessioned. The accessioned test(s)
does not need to be verified in order to trigger NPCDB or LMIP Phlebotomy
workload reporting. If the ACCESSION AREA has a LAB OOS LOCATION defined
the API will pass that location. If the ACCESSION AREA does not have a LAB
OOS LOCATION defined, the DEFAULT LAB OOS LOCATION will be passed.
=======================================
ROUTINE SUMMARY:
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