| DESCRIPTION OF ENHANCEMENTS |
This patch adds:
print data from the REMINDER EXTRACT SUMMARY file (810.3)
REQUIRED BUILDS:
================
CLINICAL REMINDERS 1.5
INSTALLATION INSTRUCTIONS:
==========================
This patch should be loaded during non-peak hours to minimize disruption
to users. Installation will take less than 15 minutes.
* 2 new sort templates, one to identify terms to distribute and one
**Warning**
When an option is included in the patch build, the question REBUILD MENUS
is asked as a PRE-INSTALL question. If you choose to have KIDs rebuild
the menus it will happen at the end of the build installation and may
take several hours.
1. Download the KIDS file HEP_C_EXTRACT_1_0.KID via FTP from any
of the anonymous.software directories listed above. Move the file
to the appropriate directory on your system.
for the REMINDER EXTRACT SUMMARY file
2. Review your mapped set. If any of the routines listed in the
Routines section are mapped, they should be removed from the mapped
set at this time.
3. From the Kernel Installation and Distribution System (KIDS) menu,
select the Installation menu.
4. Use Load a Distribution option on the KIDS Installation menu, and
enter: HEP_C_EXTRACT_1_0.KID
* 3 new print templates, all related to reporting the EPI findings
5. From this menu, you may elect to use the following options
(when prompted for INSTALL NAME, enter HEPATITIS_C_EXTRACT).
Note - Option (a.), Backup a Transport Global, can and must be
referenced exclusively by the primary build name of
HEPATITIS_C_EXTRACT. Option (b.) can be run by either using the
primary build name of HEPATITIS_C_EXTRACT or the individual patch
names (e.g., PXRM*1.5*1, etc.). Options (c.) and (d.) must be run
for each individual build (using the patch names) included in
this transport.
a. Backup a Transport Global - this option will create a backup
message of any routines exported with the patch. It will NOT
backup any other changes such as DDs or templates.
b. Compare Transport Global to 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. Verify Checksums in Transport Global - this option will
allow you to ensure the integrity of the routines that are in
This patch modifies the:
the transport global.
d. Print Transport Global - this option will allow you to view the
components of the KIDS build.
6. Use the Install Package(s) option and select the package
HEPATITIS_C_EXTRACT.
7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
Protocols? YES//', respond NO.
* description in the VA-HEP C RISK ASSESSMENT reminder definition
8. If routines were unmapped as part of step 2, they should be returned
to the mapped set once the installation has run to completion.
POST INSTALLATION INSTRUCTIONS
==============================
The details of the setup to be completed is available in the
documentation. Generally, these steps need to be done by the REMINDERS
MANAGER or the CLINICAL REMINDERS APPLICATION COORDINATOR. The success of
the Hepatitis C updates to the EPI database will depend on a Hepatitis
Team at your site addressing all of the issues in the documentation.
* description for 3 previously distributed Reminder Terms
1. See the descriptions for the reminder definitions and
the descriptions in the REMINDER TERMS file to determine what
additional setup is required for the terms. You will need to review
the reminder terms with laboratory and pharmacy coordinators.
2. You can use the Detailed Reminders Due report to determine if all
the correct patients are being identified to send to the EPI
database.
* name and description for the Reminder Term PREV POSITIVE TEST FOR
3. You may need to check that all dispensed drugs are mapped to the
national drug file entries represented by the Hepatitis C Medication
terms. If you have local dispensed drugs that cannot be mapped to the
national drug file (VA GENERIC, #50.6), you will need to enter the
dispensed drugs as findings for the appropriate national reminder
term.
4. Add local laboratory tests with appropriate CONDITIONS in the
REMINDER TERM file for the laboratory terms.
HEP C, which is renamed PREVIOUSLY ASSESSED HEP C RISK
5. The VA-NATIONAL EPI LAB EXTRACT and VA-NATIONAL EPI RX EXTRACT
reminders should NOT be added to the "Clinical Reminders for Search"
parameter for clinicians. The Reminders Manager may want to create a
National EPI Update reminder category and add these reminders to it,
along with the VA-HEP C RISK ASSESSMENT REMINDER. The category could
be added to the CPRS Reminder Categories parameter option for testing
the setup of the reminder terms and reviewing the results.
DETAILED DESCRIPTION:
=====================
* 2 new reminder definitions to the REMINDER DEFINITION file (811.9)
Data Dictionary:
1. REMINDER DEFINITION file (811.9)
The reminder for VA-NATIONAL EPI DB UPDATE may be used at sites to
determine whether a patient has data that is sent to the Austin
Automation Center to update the national EPI database.
2. REMINDER TERM file (811.5)
There are twenty reminder terms used by the lab and pharmacy extract
reminders. Eighteen of these terms are newly distributed in this
This patch will work with the LR*5.2*260 patch and two pharmacy
file. These new terms represent Hepatitis A, Hepatitis B and
Hepatitis C lab and medication information. The reminder terms may be
used at sites in locally defined reminders for clinicians providing
clinical care for Hepatitis patients.
Hepatitis A laboratory reminder terms:
HAV Ab positive Hepatitis A virus antibody total positive
HAV IgM Ab positive Hepatitis A virus antibody immunoglobulin
M positive
HAV IgG positive Hepatitis A virus antibody immunoglobulin
patches (PSO*7*45 and PSJ*5*48) to extract Hepatitis C risk
G positive
Bilirubin
Hepatitis B laboratory reminder terms:
HBs Ag positive Hepatitis B surface antigen positive
HBc Ab IgM positive Hepatitis B core antibody immunoglobulin
M positive
HBs Ab positive Hepatitis B surface antibody positive
HBe Ag positive Hepatitis B e antigen positive
assessment, laboratory and medication data. The extracted data will be
Hepatitis C laboratory reminder terms:
HEP C VIRUS ANTIBODY NEGATIVE
HEP C VIRUS ANTIBODY POSITIVE
TRANSFERASE (AST) (SGOT)
ALANINE AMINO (ALT) (SGPT)
Hepatitis Medications (based on VA GENERIC file):
INTERFERON ALFA-2A
INTERFERON ALFA-2B
INTERFERON ALFA-2B/RIBAVIRIN
used to update the EPI database at the AAC.
INTERFERON ALFA-3N
INTERFERON ALFACON-1
INTERFERON BETA-1A
INTERFERON BETA-1B
RIBAVIRIN
Sort Template:
PXRM EPI LAB AND MED TERMS contains reminder term entries defined above
to distribute with the REMINDER TERM (811.5) data dictionary.
PXRM EXTRACT EPI BY FIND_PT sorts an extract by Finding Item and SSN.
This sort template may be useful when looking up an SSN to compare
findings to an error message returned to the site from the AAC. When
the AAC has problems processing a sites extracted data, the original
extract message and SSN are returned to the site in an error message
for review and correction.
General Overview:
=================
This patch is released in response to Congressional reporting
requirements and a policy letter distributed by the Under Secretary
* 18 new national terms to the REMINDER TERM file (811.5)
of Health addressing treatment of Hepatitis patients.
The data extracted for Risk Assessment is based on the VA-HEP C RISK
ASSESSMENT reminder definition. The data extracted from laboratory is
based on the VA-NATIONAL EPI LAB EXTRACT reminder, previously
distributed as VA-NATIONAL EPI DB UPDATE. Both of these reminders were
first released in the Clinical Reminders V.1.5 package. A new reminder
definition, VA-NATIONAL EPI RX EXTRACT, is distributed in this patch for
extracting medications. These three reminder definitions provide the
criteria for extracting the risk assessment, lab, and medication data.
* 1 new file, REMINDER EXTRACT SUMMARY (810.3), that temporarily
The reminder evaluation and update to the EPI database occurs on the
15th of the month following the reporting month. The option that manages
this update is the LREPI NIGHTLY TASK. This task currently runs nightly
at each site. Note: The monthly task on the 15th occurs because the LAG
DAYS field in the LAB SEARCH/EXTRACT file (69.5) is set to "15" for each
pathogen. The LR*5.2*260 patch contains new processing logic that sends
data extracted from reminder extract results to the EPI database.
This patch also fixes a problem where CUSTOMIZED PATIENT COHORT LOGIC
stores data extracted from reminder evaluation processing when
was
not being used in the reminder evaluation. (NOIS SLC-0600-52703).
NOIS Messages:
==============
SLC-0600-52703
MON-0800-50154
Build Components:
updating the EPI database. This temporary data can be used to
=================
Data Dictionary for three files:
REMINDER EXTRACT SUMMARY (810.3) (new)
REMINDER DEFINITION (811.9)
REMINDER TERM (811.5)
Option:
PXRM REMINDER REPORTS menu (description change; lists new options)
PXRM REMINDERS DUE (no change, just attach to menu)
PXRM EXTRACT EPI TOTALS (new)
compare to data in HL7 messages sent to the EPI database, and
PXRM EXTRACT EPI FINDING LIST (new)
Print Templates to print data from the REMINDER EXTRACT SUMMARY:
PXRM EXTRACT EPI FINDING LIST (new)
PXRM EXTRACT EPI FINDING HDR (new)
PXRM EXTRACT EPI FINDING TOT (new)
Sort Templates:
PXRM EPI LAB AND MED TERMS (new)(identifies reminder terms to
include in this patch)
validate that the appropriate data is extracted.
PXRM EXTRACT EPI BY FIND_PT (new)(sorts the extract data in the
REMINDER EXTRACT SUMMARY file)
Routines:
The second line of each routine looks like:
<tab>;;1.5;CLINICAL REMINDERS;**1**;June 19, 2000
Routine Old Checksum New Checksum Patch List
* 2 new options added to the PXRM REMINDER REPORTS option menu to
======= ============ ============ ==========
PXRMLOGX 3009219 3005995 **1**
PXRMP1I n/a 2412825 **1**
PXRMP1IE n/a 349212 **1**
PXRMTERM 6249864 6249864 **1**
PXRMXX 2465756 9832947 **1**
PXRMXX1 n/a 8675493 **1**
PXRMXX2 n/a 8200381 **1**
PXRMXXT n/a 573203 **1**
|
