LR*5.2*222 (4079)    BUILD (9.6)

Name Value
NAME LR*5.2*222
DATE DISTRIBUTED 2002-02-19 00:00:00
PACKAGE FILE LINK LAB SERVICE
REQUIRED BUILD
  • LR*5.2*153
    ACTION:   Don't install, leave global
  • LA*5.2*46
    ACTION:   Don't install, leave global
TYPE SINGLE PACKAGE
ALPHA/BETA TESTING NO
DESCRIPTION OF ENHANCEMENTS
VISTA Laboratory Package patch LR*5.2*222 contains no changes to software
Multi-purpose Accession [LRLEDI] to accession specimens thru the Laboratory
    ---------           --------                         ----------------
    LAB_LEDI_II.KID     LA*5.2*46 KIDS build                 ASCII
                        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)
Electronic Data Interface (LEDI). The changes contained in this patch are
                         USER MANUAL
  
   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.
 
implemented in conjunction with patch LA*5.2*46. Patch LA*5.2*46 now builds
      OI FIELD OFFICE    FTP ADDRESS                DIRECTORY
      ===============    ===========                =========
      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 file LAB PENDING ORDERS ENTRY (#69.6) with additional information
  The instructions for installation of the software are included in the
  installation guide.
 
 
POST-INSTALLATION INSTRUCTIONS
------------------------------
 
 
  The post-instructions for installation of the software are included in
  the installation guide.
concerning mapping to local test urgency. This patch introduces changes
 
 
INSTALLATION EXAMPLE
====================
 
  An installation example is included in the installation guide.
that utilize the local urgency information stored in file #69.6 when
accessioning LEDI specimens at the host laboratory.
 
As of the release date of this software, there is no national solution to
implement a laboratory electronic HL7 standard interface to a facility or
controlled by VHA DIRECTIVE 99-053, titled VISTA BLOOD BANK SOFTWARE.
other entity outside the VA wide area network.  National communication
security concerns are still being debated by the Department of Veterans
Affairs (VA) and are awaiting resolution.  At present, a VA medical center,
which intends to utilize this software in conjunction with an interface to
a commercial reference laboratory or other non-VA information system entity,
will need to coordinate with the vendor an acceptable communication method.
Any implementation will need to be approved by the facility and VISN
Information Security Officer (ISO) and meet current VA security requirements
for external electronic connections. See VHA Directive 6212, Security of
External Electronic Connections and VHA Directive 6210, Automated Information
 
Systems (AIS) Security for additional information and guidance. Additional
security information may be obtained from the Health Information Security
Service (HISS) web page at http://vaww.domain.ext/miss.

Implementation of a HL7 messaging interface between the VA VistA Laboratory
package and a non-VA information system consists basically of three parts:
 - VistA Laboratory LEDI II software.
 - certified communication software and hardware
 - non-VA information system capable of sending and receiving laboratory HL7
   order and result messages.
========================================
All three must be functional to utilize the capabilities of this LEDI II
software patch. The implementation,setup, and configuration of vendor provided
hardware and software is NOT addressed by this documentation.  Consult the
vendor provided documentation and instructions to interface to the VistA
Laboratory package.
 
 
NOIS HUN-1100-21862 reported discrepancies in patient names due to Network
Health Exchange not maintaining name changes. This patch removes the use
of the Network Health Exchange package to lookup patient information

(patient name, patient identifier and date of birth). The link in file
REFERRAL PATIENT (#67), field Patient Name (#3) to file VAMC NETWORK
PATIENT (#537010) is removed as a variable pointer.


NOIS
====
HUN-1100-21862

ROUTINE SUMMARY
Patch LR*5.2*222 will be distributed and installed with patch LA*5.2*46
===============
  The following routines are included in this patch.  The second line
  of each of these routines now looks like:
  <tab> ;;5.2;LAB SERVICE;<patchlist>;Sep 27, 1994
 
                    Checksum       Checksum
   Routine Name     Before Patch   After Patch    Patch List
   ------------     ------------   -----------    ------------
   LR222            N/A            6987123        **222** (Deleted by KIDS)
   LRDPAREF         6854898        5111405        **153,222**
LEDI INTERFACE TO NON-VA SYSTEM (LEDI II).
   LRORDB           3786248        3782224        **153,222**
 
 List of preceding patches: 153
 Sites should use CHECK^XTSUMBLD to verify checksums. 
 
  
TEST SITES
----------
  Alexandria VAMC
  Biloxi VAMC
 
  Birmingham VAMC
  Fayetteville VAMC
  Hines VAMC
  Houston VAMC
  Jackson VAMC
  Little Rock VAMC
  Madison VAMC
  Milwaukee VAMC
  Muskogee VAMC
  Oklahoma City VAMC
This patch adds additional support when using the option Referral Patient
  Shreveport VAMC
 
 
SOFTWARE RETRIEVAL:
===================
 
   The following software and documentation files are exported as part of
   this patch:
 
    File Name           Contents                         Retrieval Format
TRACK PACKAGE NATIONALLY YES
FILE
  • UPDATE THE DATA DICTIONARY:   NO
    SEND SECURITY CODE:   NO
    SEND FULL OR PARTIAL DD:   FULL
    RESOLVE POINTERS:   NO
    DATA COMES WITH FILE:   YES
    SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   NO
    SCREEN TO SELECT DATA:   I $P(^LAB(64.061,Y,0),"^",4)="SM40"
  • DD NUMBER:
    • REFERRAL PATIENT (File-top level)
      FIELD NUMBER:
      • Patient Name
    UPDATE THE DATA DICTIONARY:   YES
    SEND SECURITY CODE:   NO
    SEND FULL OR PARTIAL DD:   PARTIAL
    DATA COMES WITH FILE:   NO
  • DD NUMBER:
    • LAB PENDING ORDERS ENTRY (File-top level)
      FIELD NUMBER:
      • COLLECTION END DATE/TIME
      • HL ENCODING CHARACTERS
      • HL PID-2
      • HL PID-4
    • ORDERED TESTS (sub-file)
      FIELD NUMBER:
      • HOST TEST
      • HOST URGENCY
      • ORDERING PROVIDER
      • REMOTE URGENCY
      • HL OBR-4
      • HL OBR-18
      • HL OBR-19
    UPDATE THE DATA DICTIONARY:   YES
    SEND SECURITY CODE:   NO
    SEND FULL OR PARTIAL DD:   PARTIAL
    DATA COMES WITH FILE:   NO
BUILD COMPONENTS
  • ENTRIES:
    • LRORDB
      ACTION:   SEND TO SITE
      CHECKSUM:   B11020862
    • LRDPAREF
      ACTION:   SEND TO SITE
      CHECKSUM:   B20135466
ENVIRONMENT CHECK ROUTINE LR222
DELETE ENV ROUTINE Yes
POST-INSTALL ROUTINE POST^LR222
PRE-INSTALL ROUTINE PRE^LR222