| DESCRIPTION OF ENHANCEMENTS |
VISTA BLOOD BANK SOFTWARE V5.2 DEVICE PRODUCT LABELING STATEMENT
to have no impact on the VISTA BLOOD BANK SOFTWARE control functions.
local 'LMI' mailman mail group.
If there were no install error during the update process and the update
was successful, all LAB NLT/CPT CODES file entries will be deleted and the
file will only contain one entry, NLT CODE 2000, after the install.
NOTE: Additional workload codes added to the WKLD CODE file are populated
with CPT codes. Before the added codes are linked to LABORATORY TEST
procedures, the CPT coding should be reviewed to ensure it is appropriate
for the laboratory test it is being linked with.
If the CPT code requires changing, use the 'Edit or Print WKLD CODES' [LR
WKLD CODE EDIT PRINT] option. Enter an INACTIVE DATE for the incorrect CPT
code. Then enter the correct CPT code and enter a RELEASE DATE of 'NOW'.
Example:
Supervisor menu
Select Supervisor menu Option: Lab liaison menu
RISK ANALYSIS: Changes made by patch LR*5.2*258 have no effect on Blood
Select Lab liaison menu Option: LIM workload menu
Select LIM workload menu Option: Edit or Print WKLD CODES
Do you want to edit ALL WKLD CODES ? NO//
This option will allow you to Edit or Print WKLD CODES that have been
activated on your system. Only activated WKLD CODES will be displayed
Do you want to select a specific WKLD CODE LAB SECTION? Y// ES
Bank software functionality, therefore RISK is none.
Select WKLD CODE LAB SECT NAME: chem Chemistry
Select one of the following:
E EDIT
P PRINT
Would you like to: EDIT EDITING
Select one of the following:
1 ALL
.02 DESCRIPT
4 BILLABLE PROCEDURE
7 COST
8 PRICE
9 SORTING GROUP
13 WKLD CODE LAB SECTION
14 DSS Feeder
18 CODE
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*258 does not
19 SYNONYM
20 SPECIMEN
21 LOCAL ACC AREA
Select a field you want to edit : 18 CODE
[The previous display is repeat after each field selection.]
Use mixed case Characters e.g. Chloride
alter or modify any software design safeguards or safety critical element
Start with what WKLD CODE name: Chloride
STARTING LOOP
PROCEDURE: Chloride WKLD CODE: 82435.0000 UNIT FOR COUNT: TEST
MANUFACTURER: NOT SPECIFIED
WKLD CODE LAB SECTION: Chemistry
Select CODE: 89399//
CODE: 89399 PATHOLOGY LAB PROCEDURE//
functions.
RELEASE DATE: DEC 17,1999//
INACTIVE DATE: T-1 (DEC 10, 2000)
REPLACEMENT CODE: 82435
CODE NOTES:
No existing text
Edit? NO// YES
Change from Pathology Procedure to Chloride
Select CODE: CPT.82435
Searching for a active CPT code., (pointed-to by CODE)
Searching for a active CPT code.
82435 ASSAY OF BLOOD CHLORIDE
...OK? Yes// (Yes)
RELEASE DATE: T (DEC 11, 2000)
INACTIVE DATE:
REPLACEMENT CODE:
POTENTIAL IMPACT ON SITES: This patch contains no changes to files and
CODE NOTES:
No existing text
Edit? NO//
Select CODE:
PROCEDURE: Chloride Sweat Test Quant WKLD CODE: 89360.0000
Options:
===================
=============================
routines identified in Veterans Health Administration (VHA) Directive
This patch will install a new option 'NLT Mapped Code Search' [LRCAP64S]
This option is designed to assist in management of national codes linked
to WKLD CODE (#64) file entries.
NAME: LRCAP64S MENU TEXT: NLT Mapped Code Search
TYPE: run routine CREATOR: STALLING,FRANK
PACKAGE: LAB SERVICE
DESCRIPTION: This option is useful when determining what codes are
linked to what entry in the WKLD CODE (#64) file. Several national coding
schemes (i.e. CPT, LOINC, MORPHOLOGY) can be linked to the WKLD CODE file.
99-053. The changes that are made have no effect to Blood Bank
This option will search the entire WKLD CODE file to determine if specific
national codes are linked.
The search can be done for as many codes of the same set as required. The
report will list the national code(s) and any WKLD CODE(s) linked.
This option can be used to assist when a particular national code should
be changed or deleted.
LRMENU Laboratory DHCP Menu
functionality or medical device control functions. There is no adverse
Select Laboratory DHCP Menu Option: Supervisor menu
Select Supervisor menu Option: Lab liaison menu
Select Lab liaison menu Option: LIM workload menu
Select LIM workload menu Option: NLT Mapped Code Search
Select one of the following:
potential to sites.
1 CPT
2 SNOMED
3 ICD9
4 LOINC
Select the code type: 1 CPT
Select CPT Code: ASSAY FOR ETHANOL ??
Answer with CPT NUMBER, or CPT CODE, or CPT CATEGORY, or DESCRIPTION
Do you want the entire 14963-Entry CPT List?
Select CPT Code: 82055 ASSAY OF ETHANOL
Select another CPT code : 82060 ASSAY BLOOD ETHANOL INACTIVE CODE
Select another CPT code : 82065 ASSAY URINE ETHANOL INACTIVE CODE
Select another CPT code :
DEVICE: HOME//
CPT Listing Dec 31, 2000 2:18:30 am Page: 1
82055 ICPT - CPT [ASSAY OF ETHANOL] linked to:
694 81506.0000 Alcohol Ethyl
2020 81236.0000 Ethanol
VALIDATION REQUIREMENTS BY OPTION: There are no required validations
82060 ICPT CPT [ASSAY BLOOD ETHANOL]
[ IS NOT LINKED ]
82065 ICPT CPT [ASSAY URINE ETHANOL]
[ IS NOT LINKED ]
Finished
Related NOIS:
=================================
scenarios to be completed by sites after installing this patch.
Test Site(s):
=================================
LONG BEACH, CA
MUSKOGEE, OK
MILWAUKEE, WI
Routine Summary:
==================================
The following is a list of the routine(s) included in this patch. The
second line of each of these routine(s) will look like:
<tab>;;5.2;LAB SERVICE;**[patch list]**;Sep 27, 1994
CHECK^XTSUMBLD Results
Routine Name Before Patch After Patch Patch List
============ ============ =========== ===========
Patch Description:
LR258 N/A 4256733 258
LR258PO N/A 12054813 258
LRCAP64S N/A 4824368 258
LRCAPDAR 7026344 8070808 143,169,258
Installation Instructions:
==========================
The Host File for this patch can be obtained from the ANONYMOUS.SOFTWARE
===========================
directory at one of the following OI Field Offices:
OI FIELD OFFICE FTP ADDRESS DIRECTORY
Albany 152.127.1.5 anonymous.software
Hines 152.129.1.110 anonymous.software
Salt Lake 152.131.2.1 anonymous.software
The file name is LR52_258.KID
Pathology and Laboratory Medicine Service Central Office authorizes all
1. From the Kernel Installation & Distribution System
select the 'Installation Menu'. Select the option
Load a distribution.
Select [disk storage location]LR52_258.KID
2. The patch has now been loaded into a Transport global
on your system. You now need to use KIDS to install
the Transport global.
On the KIDS menu, under the 'Installation' menu, use
the following options:
Print Transport Global (Patch size is very large)
entries in the National Laboratory Test files. This patch adds or updates
Compare Transport Global to Current System
Verify Checksums in Transport Global
Backup a Transport Global
3. Users may remain on the system however Laboratory
users must be idle. This to say the laboratory users should
not accessioning, instrument downloads or test verification
during the install. Installation should be done during off
peak hours.
4. No options need to be placed out of service. No
laboratory background jobs have to be stopped.
National Laboratory Test (NLT) codes.
5. Installation time is less than 15 minutes during off
peak hours and less than 35 minutes during peak hours.
6. Installation of this patch requires minimal additional
disk space. Review your map set for the routine
LRCAPDAR. The routine LRCAPDAR should not be
currently mapped. If LRCAPDAR is mapped you must
rebuild map sets after installation.
7. From the 'Installation Menu' of the KIDS menu, run the
option
'Install Package(s)' Select the package 'LR*5.2*258'
and proceed with the install.
8. When prompted 'Want KIDS to INHIBIT LOGONS during the
install? YES//' respond NO.
9. When prompted 'Want to DISABLE scheduled Options, Menu
Options, and Protocols? YES//' respond NO. Respond to Rebuild
Menu Trees? YES// YES
10. After successful installation, routines LR258 and
LR258PO should be removed from the system.
After the install has been completed. All users can now resume normal
activities of accessioning and test verfications.
This patch updates the WKLD CODE (#64) file with additional workload
Laboratory Information Manager (LIM) should review the mail message
containing the workload codes additions to determine if there is a need to
link or re-link laboratory tests. Before linking any workload code the CPT
coding should be reviewed for appropriateness.
codes. These workload codes are sometimes referred to as (NLT) codes. New
entries to the WKLD CODE files should never be added using FileMan Enter
Edit option. Use instead the option 'Add a new WKLD code to File' [LRCAP
CODE ADD].
June 10, 1999
The Laboratory Management Index Program (LMIP) workload collection
software will automatically make additions to the WKLD CODE as required.
DO NOT USE FileMan ENTER EDIT option TO MAKE ADDITIONS TO THE WKLD
CODE (#64) file.
NOTE: The WKLD CODE (#64) file is not replaced. The file will be checked
for name spelling errors and entries changed if required. If names are
changed, they will be reported via mail message to the local mail group
LMI. In previous releases, some names were exported with trailing spaces.
This will be corrected with this patch install.
This patch will replace the LAB NLT/CPT CODES (#64.81) file during
installation:
This patch also updates the LAB DSS LAR EXTRACT (#64.036) file data
dictionary to include two new fields. SPECIMEN COLLECTION DATE (#10) and
SPECIMEN COLLECTION TIME (#11). The routine LRCAPDAR has been enhanced to
populate the new fields.
VISTA Laboratory Package patch LR*5.2*258 contains no changes to software
NOTE: LAB DSS LAR EXTRACT file is used exclusively by the laboratory DSS
API for collecting clinical data. This file is not used or managed by the
Lab Service software.
This patch includes a new (3rd) cross reference in the WKLD CODE (#64)
file on the CODE (#18) subfile, CODE (.01) field. The entire file is cross
referenced using the "AB" subscript.
Cross Reference description:
^LAM("AB",VARIABLE POINTER,IEN,MULTIPLE LOCATION NUMBER)=""
controlled by VHA DIRECTIVE 99-053, titled VISTA BLOOD BANK SOFTWARE.
The WKLD SUFFIX CODES (#64.2) file contains a new field VENDOR (#19). This
field is used to describe the original manufacturer for this suffix.
Update Logic:
The KIDS install populates National Laboratory Tests (NLT) with a
complete listing of new and previously released codes if they are missing.
These files are:
WKLD CODE (#64)
WKLD SUFFIX CODES (#64.2)
WKLD CODE LAB SECT (#64.21)
WKLD ITEM FOR COUNT (#64.22)
WKLD INSTRUMENT MANUFACTURER (#64.3)
LAB NLT/CPT CODES (#64.81) Only used during patch installation.
NOTE: WKLD CODE (#64) file or any entries in the file are never deleted.
Once an entry has been added to the WKLD CODE file, it remains for the
life of the file.
All changes have been reviewed by the VISTA Blood Bank Developer and found
The LAB NLT/CPT CODES (#64.81) file is populated with a complete list of
all released WKLD CODE procedures.
The post install routine reads entries from the LAB NLT/CPT CODES file.
The install software first determines if the WKLD CODE number already
exist in WKLD CODE. If the WKLD CODE number exists, the spelling is
checked and changed if required.
If the WKLD CODE does not already exist, the new WKLD CODE is added to
the WKLD CODE file.
If a spelling change was required or a new WKLD CODE is added to the
WKLD CODE file, this information is included in a mail message sent to the
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