| DESCRIPTION OF ENHANCEMENTS |
VISTA Laboratory Package patch LA*5.2*46 contains no changes to software
REQUIRE PATIENT HEIGHT
PATIENT HEIGHT
PATIENT HEIGHT UNITS
PATIENT HEIGHT LOINC CODE
REQUIRE PATIENT WEIGHT
PATIENT WEIGHT
PATIENT WEIGHT UNITS
PATIENT WEIGHT LOINC CODE
REQUIRE COLLECTION VOLUME
COLLECTION VOLUME
As of the release date of this software, there is no national solution to
COLLECTION VOLUME UNITS
COLLECTION VOLUME LOINC CODE
REQUIRE COLLECTION END D/T
The process of building a shipping manifest now allows the user to
specify the starting and ending accession numbers to check within an
accession area. This feature can shorten manifest building time when
searching a yearly accession area with a large number of accessions.
It allows the site to skip the accession numbers that have been
completed earlier in a year and no longer need to be checked to
implement a laboratory electronic HL7 standard interface to a facility or
determine it any of the tests meet the criteria for building to a
manifest.
The process of closing a shipping manifest now performs a check of
certain required information. The required information check is for:
1. Each test has an order NLT code assigned.
2. If shipping to a facility that does not use VA NLT codes for
test ordering, the appropriate non-VA test codes/names
have been designated for all tests on the manifest.
other entity outside the VA wide area network. National communication
3. Site-specified required patient/specimen information has been
entered.
The process of building orders in the file LAB PENDING ORDER (#69.6)
has been enhanced to use information from the file LAB SHIPPING
CONFIGURATION (#62.9) to create orders based on the host facilities
specified collection sample and urgency.
security concerns are still being debated by the Department of Veterans
The LEDI result (ORU) messages will now include the test interpretation
found in LABORATORY TEST file (#60) as a comment (NTE segment) following
the test results. Test results to be stored will be checked against the
FileMan input transform for the data name used to store the results in
file LAB DATA (#63). If the results do not pass the FileMan input
transform then an error message will be generated via the Lab
Universal Interface error reporting process. Results values that are
"canc", "pending" or "comment" will be stored.
Affairs (VA) and are awaiting resolution. At present, a VA medical center,
The option Display Lab Universal Interface Message [LA7 PRINT LAB UI
MESSAGE] has been modified to prompt the user if the Kernel Browser
should be used to display a message. If the browser is not selected then
a standard "scroll and roll" display of the selected message(s) is
produced.
Option Retransmit LEDI Lab Results [LA7S RESULTS RETRANSMIT] will allow
a user to retransmit the laboratory test results for selected accession(s)
to the collecting/submitting facility.
which intends to utilize this software in conjunction with an interface to
The install will update several files during the post-install as necessary:
- It was found that the original release of LEDI failed to update the
field SHIP VIA #.04 in file LAB SHIPPING MANIFEST (#62.8) when a manifest
is created. This information will update existing manifests with
information from the related file LAB SHIPPING CONFIGURATION (#62.9)
entry.
- The processing routine specified in file LA7 MESSAGE PARAMETER (#62.48)
for entries related to LEDI has been changed. Existing entries will be
updated as appropriate.
a commercial reference laboratory or other non-VA information system entity,
NOIS HIN-0998-40287 corrected an undefined variable error when building a
result message.
NOIS BOS-0498-10163 reported an undefined error when attempting to lock
LAB SHIPPING MANIFEST file (#62.8). Due to a typographically error the
character "$" was omitted from a $DATA intrinsic function.
NOIS TAM-0401-31867 reported that option Lab Messaging File Integrity
Checker [LA7 CHECK FILES] option allowed queuing the report to the
will need to coordinate with the vendor an acceptable communication method.
"HOME" device. The option will now prevent queuing to the HOME device.
It also removes "HOME" as the device default value.
ASSOCIATED E3R
--------------
E3R #15348, RETRANSMIT FUNCTION FOR LEDI
ASSOCIATED NOIS
---------------
Any implementation will need to be approved by the facility and VISN
ALB-1099-51591
ALB-0100-50284
BOS-0498-10163
HIN-0998-40287
HUN-1100-21862
MIW-1197-41082
TAM-0401-31867
TEST SITES
controlled by VHA DIRECTIVE 99-053, titled VISTA BLOOD BANK SOFTWARE.
Information Security Officer (ISO) and meet current VA security requirements
----------
Alexandria VAMC
Biloxi VAMC
Birmingham VAMC
Fayetteville VAMC
Hines VAMC
Houston VAMC
Jackson VAMC
Little Rock VAMC
Madison VAMC
for external electronic connections. See VHA Directive 6212, Security of
Milwaukee VAMC
Muskogee VAMC
New Orleans VAMC
Oklahoma City VAMC
Shreveport VAMC
ROUTINE SUMMARY
===============
The following routines are included in this patch. The second line
External Electronic Connections and VHA Directive 6210, Automated Information
of each of these routines now looks like:
<tab> ;;5.2;AUTOMATED LAB INSTRUMENTS;<patchlist>;Sep 27, 1994
Checksum Checksum
Routine Name Before Patch After Patch Patch List
------------ ------------ ----------- ------------
LA46 N/A 9520365 **46** (Deleted by KIDS)
LA7CHKF 10597193 11028299 **27,46**
LA7QRY N/A 1084520 **46**
LA7QRY1 N/A 3509927 **46**
Systems (AIS) Security for additional information and guidance. Additional
LA7QRY2 N/A 4552927 **46**
LA7SBCR 1495927 653666 **27,46**
LA7SBCR1 7086650 4924406 **27,46**
LA7SBCR2 3323374 2564479 **27,46**
LA7SCE 10260809 11402708 **27,46**
LA7SM 16316313 10277989 **27,46**
LA7SM1 2146828 8553973 **27,46**
LA7SM2 N/A 12143125 **46**
LA7SMB 17707549 14649107 **27,46**
LA7SMP 15792287 11746903 **27,45,46**
security information may be obtained from the Health Information Security
LA7SMP0 N/A 9303222 **46**
LA7SMPXL 5400542 3215234 **27,42,46**
LA7SMU 11040439 7104257 **27,46**
LA7SMU1 5335635 6241668 **27,46**
LA7SMU2 N/A 5290542 **46**
LA7SRR N/A 6233015 **46**
LA7UIIN2 9850298 12296505 **17,23,27,46**
LA7UTILA 11812487 10237097 **23,27,46**
LA7VHL 8527903 4500486 **27,46**
LA7VHLU N/A 4469720 **46**
Service (HISS) web page at http://vaww.domain.ext/miss.
LA7VHLU1 N/A 2011157 **46**
LA7VHLU2 N/A 3873916 **46**
LA7VHLU3 N/A 2007360 **46**
LA7VHLU4 N/A 5424804 **46**
LA7VHLU5 N/A 5541950 **46**
LA7VIN N/A 1398763 **46**
LA7VIN1 N/A 5261630 **46**
LA7VIN2 N/A 5808892 **46**
LA7VIN3 N/A 2061956 **46**
LA7VIN4 N/A 7936019 **46**
LA7VIN5 N/A 5205707 **46**
LA7VIN5A N/A 5039195 **46**
LA7VMSG 16357149 3253314 **27,50,56,46**
LA7VMSG1 3358807 8200340 **56,46**
LA7VOBR N/A 2129056 **46**
LA7VOBRA N/A 5326634 **46**
LA7VOBX N/A 2088674 **46**
LA7VOBX1 N/A 3799868 **46**
LA7VOBX2 N/A 4350324 **46**
LA7VOBX3 N/A 5240738 **46**
Implementation of a HL7 messaging interface between the VA VistA Laboratory
LA7VOBXA N/A 6232009 **46**
LA7VORC N/A 1565653 **46**
LA7VORM 17384019 6471896 **27,42,46**
LA7VORM1 20868841 7601990 **27,51,46**
LA7VORM2 N/A 3426954 **46**
LA7VORM3 N/A 6787219 **46**
LA7VORU 10077624 8070282 **27,46**
LA7VORU1 N/A 4734718 **46**
LA7VORU2 N/A 1962290 **46**
LA7VPID N/A 4123683 **46**
package and a non-VA information system consists basically of three parts:
LA7VSET 19500034 15979413 **27,51,55,46**
LA7VSET1 12858976 9065449 **27,51,55,46**
LA7VSTP 6154318 6079680 **27,44,51,46**
LA7VSTP1 8332246 3317926 **27,46**
LAGEN 9445120 8522786 **1,17,22,27,47,46**
LASET 6644420 6955342 **27,42,46**
List of preceding patches: 42, 45, 47, 51, 55, 56
Sites should use CHECK^XTSUMBLD to verify checksums.
- VistA Laboratory LEDI II software.
SOFTWARE RETRIEVAL:
===================
The following software and documentation files are exported as part of
this patch:
File Name Contents Retrieval Format
--------- -------- ----------------
LAB_LEDI_II.KID LA*5.2*46 KIDS build ASCII
- certified communication software and hardware
LR*5.2*222 KIDS build
LAB_LEDI_II_IG.PDF LABORATORY ELECTRONIC DATA BINARY
LAB_LEDI_II_IG.DOC INTERCHANGE PHASE II (LEDI II)
INSTALLATION GUIDE
LAB_LEDI_II_UM.PDF LABORATORY ELECTRONIC DATA BINARY
LAB_LEDI_II_UM.DOC INTERCHANGE PHASE II (LEDI II)
USER MANUAL
- non-VA information system capable of sending and receiving laboratory HL7
The software files are available on one of the following OI Field
Offices' ANONYMOUS.SOFTWARE directories.
All sites are encouraged to use their FTP capability to obtain these
files. Use the FTP address "download.vista.domain.ext" (without the
quotes) to connect to the first available FTP server where the files
are located.
OI FIELD OFFICE FTP ADDRESS DIRECTORY
=============== =========== =========
order and result messages.
ALBANY ftp.fo-albany.domain.ext [ANONYMOUS.SOFTWARE]
HINES ftp.fo-hines.domain.ext [ANONYMOUS.SOFTWARE]
SALT LAKE ftp.fo-slc.domain.ext [ANONYMOUS.SOFTWARE]
INSTALLATION INSTRUCTIONS
-------------------------
The instructions for installation of the software are included in the
installation guide.
All three must be functional to utilize the capabilities of this LEDI II
POST-INSTALLATION INSTRUCTIONS
------------------------------
The post-instructions for installation of the software are included in
the installation guide.
software patch. The implementation,setup, and configuration of vendor provided
INSTALLATION EXAMPLE
====================
An installation example is included in the installation guide.
hardware and software is NOT addressed by this documentation. Consult the
vendor provided documentation and instructions to interface to the VistA
Laboratory package.
========================================
Additionally support is added for TCP/IP protocol as a communication
protocol for the transmission of LEDI HL7 messages. This requires
patch HL*1.6*19 to have been successfully installed. The implementation
of this protocol in place of the current MailMan protocol will
significantly increase transmission speed of messages and reduce system
overhead/storage. Both systems that will be exchanging HL7 messages,
using the TCP/IP protocol will need to coordinate the switch to this
new transmission method. There will be two logical links established
to exchange messages a server (listener) logical link to receive and
process messages and a client link to transmit messages.
A new shipping code SM40 - Required Shipping Info Updated has been added
to file LAB ELECTRONIC CODES (#64.061). This code is used when recording
this event in file LAB SHIPPING EVENT (#62.85)
Comments can now contain ";"character. Previously the ";" character was
used to parse comments into multiple lines and filed in the database using
a classical FileMan DIE call. FileMan parsed the fields to edit using
the ";" character in the DR string. The new call uses a FileMan database
This patch adds support for sending/receiving Laboratory Electronic
server call, which does not have this restriction.
New fields have been added and existing fields modified within the
CHEM TEST subfile of file AUTO INSTRUMENT (#62.4) to support the
following features when processing result messages. These features
are site-selectable. See data dictionary field description for each
field for further information. Using option LEDI Setup [LA7V SETUP],
the section on Auto Instrument settings will prompt for these additional
fields.
Data Interchange (LEDI) orders/results with non-VA facilities
1. Process NTE segments following OBX segments. Comments found attached
to specific test results are stored as comments. The field REMARK PREFIX
#18 in CHEM TEST subfile can be used to specify a comment prefix that
will be made part of the comment.
2. Store test reference ranges, abnormal flags and name of performing
laboratory. This patch stores these parameters as comments with the
results. This information is prefixed with the field REMARK PREFIX.
3. Specify whether final or incomplete results are processed.
(commercial reference laboratories).
The fields that are new/modified are:
ACCEPT RESULTS FOR THIS TEST
STORE REMARKS
REMARK PREFIX
STORE PRODUCER'S ID
STORE REFERENCE RANGE
STORE ABNORMAL FLAGS
New fields have been added to the LAB SHIPPING CONFIGURATION file (#62.9)
to allow collecting facilities to specify required patient/specimen
information to be sent with shipping manifest. This can include specimen
volume, weight, collection end date/time (collection duration),
patient height and weight (NOIS ALB-1099-51591). LOINC codes are used to
identify patient height, weight and specimen weight when appropriate.
Editing these fields is performed using option Edit Shipping Configuration
[LA7S EDIT 62.9]. The fields are:
USE NON-VA CODES
TEST/PROFILE sub-file
DIVISION
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