| DESCRIPTION OF ENHANCEMENTS |
This patch to the Laboratory package does not contain any changes to the
associated with LOINC mapping. In addition there is new functionality
2) Unmap/Delete Lab Tests to Default LOINC Code
[LR LOINC UNMAP/DELETE DEFAULT]
3) Validate LOINC Mapping [LR LOINC VALIDATE]
10. Where appropriate, FileMan lookup and options will now display the
LOINC code plus the check digit. In the past only the LOINC code was
shown (i.e. 1-8). This will provide required data for entry into RELMA
LOINC lookup window.
11. The National Laboratory File [LR7O 60-64] option will be added to the
provided for re-transmitting PCE CPT workload.
LOINC Main Menu [LRLOINC] option.
Data Dictionary Changes:
=================
62.06 ANTIMICROBIAL SUSCEPTIBILITY
Screen removed from NATIONAL VA LAB CODE #64
64 WKLD CODE
Partial DD: DEFAULT LOINC CODE #25
Trigger to remove data from field when DEFAULT LOINC CODE is deleted.
Partial DD: subDD: SPECIMEN #64.01
subDD: TIME ASPECT #64.02 fld: TEST #3
Creates and populates the ^LAM("AL") cross reference
68.2 LOAD/WORK LIST
Partial DD: fld: WKLK METHOD #.14
Modifies the triggers use to populate fields:
WKLD CODE METHOD NAME #.15
WKLD CODE SUFFIX #.16
Obsolete Options:
95.3 LAB LOINC
CHECK DIGIT (#15) has been made an identifier to improve display and
lookup.
Test Sites:
=================
Long Beach, CA
Muskogee, OK
===========
Durham, NC
Routines Summary:
==================
The second line of the routines now looks like:
<tab> ;;5.2; LAB SERVICE;**[patch list]**; Sep 27,1994
Checksum values
Routine Before Patch After Patch Patch list.
The Print Default LOINC/LOINC Code by Lab Tests [LR LOINC PRINT
LR278 NA 5505096 278 (deleted by KIDS)
LR7OU641 12240284 12410597 153,201,278
LRCAPD 9261934 9516457 105,163,153,278
LRCAPPHX NA 5799903 278
LRLNC0 11822735 14797379 215,232,278
LRLNC1 3760103 2227160 215,278
LRLNC1A NA 750293 278
LRLNCDEL 5416724 6004798 232,278
LRLNCLK 2054143 2106203 232,278
LRLNCMD 8362694 6826367 232,278
DEFAULT/LOINC] option is obsolete and will be placed out of order.
LRLNCNLT 6478052 6013193 215,278
LRLNCPMP 4831240 7461913 215,232,278
LRLNCPRT 4848636 4889813 215,278
LRLNCV 4009739 3900781 232,278
LRLNCX 6971341 7117683 232,278
Installation Instructions:
=========================
Installation should be done during off peak hours.
Laboratory personnel may be on the system during install but should
not be active.
Installation time is less than 2 minutes during off peak hours
and less than 5 minutes during peak hours.
Installation of this patch requires no additional memory space.
This patch is released as a KERNEL Installation and Distribution Systems
(KIDS) MailMan message.
New Options:
1. START FROM KERNEL
From the KERNEL Installation and Distribution Systems (KIDS)
Menu, select the Installation menu [XPD INSTALLATION MENU]:
Edits and Distribution ...
Utilities ...
Installation ...
2. SELECT INSTALLATION OPTION
NOTE: The following are OPTIONAL:
===========
a. Backup a Transport Global - This option will create a backup
message of any routines exported with this patch. It will not
backup any other changes, such as DDs or templates.
b. Compare Transport Global to Current System. NOTE: This option
will produce a long report due to new files and is not
recommended.
c. Verify Checksums in Transport Global - This option will allow
you to ensure the integrity of the routines that are in the
transport global.
3. SELECT INSTALLATION OPTION: Install Package(s)
VISTA BLOOD BANK Software as defined by VHA DIRECTIVE 99-053 titled VISTA
1. The PCE Retransmit [LRCAPCEX] option is new with this patch.
Select INSTALL NAME: LR*5.2*278
4. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of
install? Yes//" respond "NO".
5. When asked "Want KIDS to INHIBIT LOGONS during the install? YES//",
respond "NO"
6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and
Protocols? YES//, respond "NO".
7. Lab users may resume their normal activities.
8. Routine LR278 will be deleted after successful patch installation.
This option will reset entries in the LAB ORDER ENTRY (#69) file to allow
resending of PCE workload for a given date range. This option is useful if
WKLD CODE did not have CPT code assigned when PCE workload reporting
software initially ran.
***CAUTION***
This option will only attempt to resend PCE workload if NO PCE workload
was reported FOR THE ENTIRE SPECIMEN ORDER NUMBER during the initial scan
of collected orders. All original requirements for PCE workload reporting
are enforced.
BLOOD BANK SOFTWARE.
This option maybe useful if linked CPT codes were inactivated during the
yearly upgrade of the CPT (#81) file. The LIM can edit the WKLD CODE (#64)
file with current valid CPT codes and run this option.
This option cannot be run while the normal PCE workload reporting
background software is running.
The option will scan the date range entered, printing a dot (".") for
every 20th. order processed. Then the option will determine if the order
should be reported to PCE. As the data is processed, every 20th. order
number is printed.
This option cannot be queued. Option invokes the routine LRCAPPHX
Modified Options:
================
1. Map/Unmap Antimicrobial Default LOINC Code [LR LOINC MAP ANTIMICROBIAL
] option was modified to correct problems with unmapping a LOINC
code from several different WKLD CODEs.
Copyright 1995, 1996, 1997, Regenstrief Institute and the Logical
2. Print Lab Tests Mapped/Not Mapped to LOINC Codes [LR LOINC PRINT 60/LO
INC MAP] option has been enhanced to provide the following three methods
to print LOINC mapped data:
1) Print all unmapped tests
2) Print all mapped tests
3) Print individual tests.
The option functionality was improved by the creation of an additional
cross-reference ^LAM("AL".
Observation Identifier Names and Codes (LOINC) Committee. All rights
3. Link Result NLT Manual [LR7O MAN RESULT NLT] option was generating an
undefined error if the default WKLD CODE was accepted. This problem has
been corrected. The option now properly honors '^' when entered. The
option will allow any WKLD CODE to be selected.
4. Map/Unmap Antimicrobial Default LOINC Code [LR LOINC MAP ANTIMICROBIAL
] option has been modified to have the look and feel of other LOINC
mapping options. Note this option only sets the DEFAULT LOINC CODE (#25)
of the WKLD CODE (#64) file.
reserved. LOINC is a trademark of the Regenstrief Institute.
[It is highly recommended that a different suffixed WKLD CODE be created
to be used for antimicrobial drug mapping. The WKLD CODE selected must be
different than the WKLD CODE used for blood analysis.]
5. Extract VistA Lab Test Names [LR LOINC EXTRACT LAB NAMES] options has
been modified to replace '*' or '?' with spaces that occur in test names.
This is to prevent RELMA mapping program errors. The extraction logic has
been enhanced to find duplicate laboratory test and synonym names.
6. National Laboratory File [LR7O 60-64] menu was exported with an
erroneous routine attached. The entire menu option is deleted and rebuilt
with this install. The menu contains the following options:
1) Semi-automatic Linking of file 60 to 64 [LR7O 60-64 AUTO]
2) Manual Linking of file 60 to 64 [LR7O 60-64 MANUAL]
3) Result NLT Auto Linker [LR7O AUTO RESULT NLT]
4) Link Result NLT Manual [LR7O MAN RESULT NLT]
The routine PSDNDES has been removed.
7. Map Lab Tests to LOINC Codes [LR LOINC MAP] option has been enhanced to
allow mapping of all laboratory test. In the initial release, only 'CH'
This patch contains enhancements that improve several reports
subscripted tests were selectable. This restriction has been removed. Only
'CH' subscripted tests are mapped to TIME ASPECT LOINC codes. Other type
tests (i.e. Microbiology, Anatomic Pathology) are only mapped to DEFAULT
LOINC CODE.
8. Print a Single LOINC CODE [LR LOINC PRINT LOINC CODE] option has been
modified to display the LOINC CODE check digit beside the LOINC CODE.
9. The following options will now allow selection of any subscript.
1) Find LOINC for Vista Lab Test [LR LOINC LOOKUP]
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