| DESCRIPTION OF ENHANCEMENTS |
VISTA Laboratory Package patch LR*5.2*274 contains no changes to software
Below is a listing of files exported by this patch, indicating if the
imported file will contain additional data.
FILE # NAME With Data
----------------------------------------------
64 WKLD CODE NO
64.036 LAB DSS LAR EXTRACT NO
64.2 WKLD SUFFIX CODES YES
(2) This patch allows the user to manually encode CPT codes for a given
64.21 WKLD CODE LAB SECT YES
64.22 WKLD ITEM FOR COUNT YES
64.3 WKLD INSTRUMENT MANUFACTURER YES
64.81 LAB NLT/CPT CODES YES
68 ACCESSION NO
Note:
The LAB NLT/CPT CODES (#64.81) file is purged during the pre-installation
phase. This file is only used to update THE WKLD CODE (#64) file and has
accession. This method of CPT coding does not use the CPT codes
no other purpose or function. This file will have no data after the post
installation routine has successfully run to completion.
======================
New Fields:
ES DISPLAY ORDER(#26) field has been added to the WKLD CODE (#64) file.
This field is used by the LAB CPT BILLING option to display a pick list
of those CPT codes defined by the NLT code. CPT codes can be selected by
using this number.
associated by the mapping of LABORATORY TEST file (#60) entries to WKLD
PCE ENC # (#30) of ACCESSION NUMBER SUB-FIELD (#1) of ACCESSION (#68)
file has been added. This free text field contains a list of PCE Visit
numbers generated for this accession. If there are multiple visit numbers
for this accession they are separated by ';'. This field is only
populated if professional service PCE workload is generated. This is
usually the type of PCE workload generated by the Pathologist reporting
anatomic pathology services. PCE workload is only generated for those
hospital locations with the type of clinic, module or other.
CODE file (#64).
Note:
No PCE workload is generated for inpatient locations.
=========================
Modified Print Template:
Electronic Catalog Print [LA7S PRINT CATALOG] option LA7S PRINT template
has been changed to display the LEDI HL7 (#.09) field instead of SNOMED
CODE (#2) in TOPOGRAPHY FIELD (#61) field. The LEDI HL7 field is required
by LEDI collecting sites when defining tests to be sent to the Host
The user can select any appropriate CPT code(s) to identify the
laboratory and shipping manifest. The LEDI HL7 specimen must match the
specimen the HOST laboratory requires.
==========================
Input Template:
Input Template [LR WKLD EDIT ALL] has been modified to allow editing of
all user definable fields in the WKLD CODE (#64) file. Most notable is
that the LOINC CODE (#4) field of the TIME ASPECT (#30) sub-file of the
WKLD CODE (#64) file. This template is very useful to delete or correct
LOINC CODE entry in the WKLD CODE (#64) file.
professional service(s) rendered during this particular tissue exam. The
Input Template [LR WKLD ES CPT] is designed to allow quick editing of
the ES DISPLAY ORDER (#26) field and to edit all CODE (#18) sub-file
entries. The CODE sub-file is where CPT CODE assignments are entered.
=========================
Test Sites: Muskogee, OK
Long Beach, CA
Durham, NC
Lake City, FL
user can select from a pre-defined pick list or enter CPT codes
Central Texas
Gainesville, FL
Boston, HCS
St. Louis, MO
=========================
Routine Summary:
The following is a list of the routine(s) included in this patch. The
individually separated by commas ",".
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 Before After Patch
Name Patch Patch List
LR274 N/A 6102494 274 (Deleted by KIDS)
LR274PO N/A 9865530 274 (Deleted by KIDS)
The pick list can be defined by editing the ES DISPLAY ORDER field
LR274POA N/A 4193520 274 (Deleted after install)
LRAPBK 12411722 13558720 51,72,201,274
LRCAPES N/A 12983418 274
LRCAPES1 N/A 8132160 274
LRCAPFDS 9495229 9744247 105,119,127,163,274
LRCAPPH1 11010117 11352750 127,136,138,158,263,264,274
LRTT5P1 12439150 12768427 153,221,263,274
LRTT5R1 6009458 6020078 153,201,274
LRVER3A 10508599 10313641 1,5,42,100,121,153,190
221,254,263,266,274
controlled by VHA DIRECTIVE 99-053, titled VISTA BLOOD BANK SOFTWARE.
(#26) of the WKLD CODE file (#64). The number entered in the ES DISPLAY
===========================
Required Patches:
LR*5.2*163
LR*5.2*201
LR*5.2*263
LR*5.2*264
LR*5.2*266
LR*5.2*258
ORDER field controls the order of CPT codes in the pick list. The
=========================
Installation Instructions:
The patch LR*5.2*274 KIDS build file named LR52_274.KID stored in the
ASCII format can be obtained from the following Office of Information
Field Offices(OIFOs) ANONYMOUS SOFTWARE directories
OIFO 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
numerical order of the pick list uses the number entered in ES DISPLAY
All users may remain on the system.
Note: The patch should be installed during off peak hours.
No laboratory background jobs need to be stopped. No options need to be
placed out of service.
From the Kernel Installation & Distribution System (KIDS) menu
ORDER field for each WKLD CODE defined.
1. Use the 'Load a Distribution' option to load the
LR52_274.KIDS file onto your system.
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
Compare Transport Global to Current System
Verify Checksums in Transport Global
Backup a Transport Global
3. Users may remain on the system, but installation
should be done at off peak hours.
4. Installation time is less than 5 minutes during off
peak hours and less than 15 minutes during peak hours.
5. Installation of this patch requires no additional
memory space.
6. From the 'Installation Menu' of the KIDS menu, run the
option
(3) The NLT Mapped Code Search [LRCAP64S] option has been changed to
'Install Package(s)' Select the package 'LR*5.2*274'
and proceed with the install.
7. When prompted 'Want KIDS to INHIBIT LOGONS during the
install? YES//' respond NO.
8. When prompted 'Want to DISABLE scheduled Options, Menu
Options, and Protocols? YES//' respond NO.
======================
Example of install:
correctly respond to the following prompt at the end of each page:
Select Installation Option: INSTAll Package(s)
Select INSTALL NAME: LR*5.2*274 Loaded from Distribution
7/11/02@09:42:27
=> LR*5.2*274
This Distribution was loaded on Jul 11, 2002@09:42:27 with header of
LR*5.2*274
It consisted of the following Install(s):
LR*5.2*274
"Enter RETURN to continue or '^' to exit:"
Checking Install for Package LR*5.2*274
Will first run the Environment Check Routine, LR274
Sending install started alert to mail group G.LMI
--- Environment Check is Ok ---
Install Questions for LR*5.2*274
Incoming Files:
64 WKLD CODE
Note: You already have the 'WKLD CODE' File.
64.036 LAB DSS LAR EXTRACT
Note: You already have the 'LAB DSS LAR EXTRACT' File.
64.2 WKLD SUFFIX CODES (including data)
Note: You already have the 'WKLD SUFFIX CODES' File.
=======================
I will OVERWRITE your data with mine.
64.21 WKLD CODE LAB SECT (including data)
Note: You already have the 'WKLD CODE LAB SECT' File.
I will OVERWRITE your data with mine.
64.22 WKLD ITEM FOR COUNT (including data)
Note: You already have the 'WKLD ITEM FOR COUNT' File.
I will OVERWRITE your data with mine.
New/Enhanced Options:
64.3 WKLD INSTRUMENT MANUFACTURER (including data)
Note: You already have the 'WKLD INSTRUMENT MANUFACTURER' File.
I will OVERWRITE your data with mine.
64.81 LAB NLT/CPT CODES (including data)
Note: You already have the 'LAB NLT/CPT CODES' File.
I will OVERWRITE your data with mine.
68 ACCESSION
Note: You already have the 'ACCESSION' File.
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//NO
Want KIDS to INHIBIT LOGONs during the install? YES// NO
Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO
Enter the Device you want to print the Install messages.
You can queue the install by enter a 'Q' at the device prompt.
Enter a '^' to abort the install.
1. Edit or Print WKLD CODES [LR WKLD CODE EDIT PRINT] option has been
DEVICE: HOME// TELNET TO ALPHAS
---------------------------------------------------------
Install Started for LR*5.2*274 :
Jul 11, 2002@09:57:20
Build Distribution Date: Jul 11, 2002
Installing Routines:
Jul 11, 2002@09:57:20
enhanced to include the new field ES DISPLAY ORDER (#26) of WKLD CODE
Running Pre-Install Routine: PRE^LR274PO
Installing Data Dictionaries:
Jul 11, 2002@09:57:26
Installing Data:
Jul 11, 2002@10:01:18
Installing PACKAGE COMPONENTS:
(#64) file. This option is used to print or edit fields in the WKLD CODE
Installing PRINT TEMPLATE
Installing INPUT TEMPLATE
Installing OPTION
Jul 11, 2002@10:01:19
Running Post-Install Routine: POST^LR274PO. . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(#64) file.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building List Of Added WKLD CODEs
List Of Added WKLD CODEs Complete
Sending message to LMI Mail Group.
Sending install completion alert to mail group G.LMI
2. The new option LAB CPT BILLING [LRCAPES] has been created to provide
Updating Routine file...
Updating KIDS files...
LR*5.2*274 Installed.
Jul 11, 2002@10:05:28
LR*5.2*274
manual CPT billing and laboratory workload capture. The LAB CPT BILLING
Install Completed
Installation of patch LR*5.2*274 started on Jul 11, 2002@09:56:20
Installation of patch LR*5.2*274 completed on Jul 11, 2002@10:05:27
LIM:
Review description for LR*5.2*274 use KIDS Utilities Build File Print
option has no security key restriction. The option has been added to the
End of installation example.
===============================================
Post Install instruction:
The Laboratory Information Manager (LIM) should obtain from the Anatomic
Pathology department, a list containing CPT codes for the procedures most
frequently performed. The entries on this list need to be ranked by
Verify/release menu, anat path [LRAPVR] option.
frequency (i.e. most frequently used procedure is #1, next frequently
used procedure is #2, etc.) This list will provide a template for the
display listing. Next, the LIM need to select a NLT code from the WKLD
CODE (#64) file with the corresponding CPT code. Next, using the option
Edit or Print WKLD CODES[LR WKLD CODE EDIT PRINT] option, edit the ES
DISPLAY ORDER (#26) field by entering the sequence number from the
frequency list and edit the CODE (#18) field multiple with the
appropriate CPT Code(s).
Editing of the WKLD CODE file can be done with the Edit or Print WKLD
CODES [LR WKLD CODE EDIT PRINT] option.
====================
The LAB CPT BILLING option can be used anytime after the accession
================================================
User Information:
The user performing the CPT coding for tissue exam using the LAB CPT
BILLING [LRCAPES] option can enter the ES DISPLAY ORDER number (the
sequence number from the frequency list) to select CPT codes. The user
can enter double question marks '??' to see a list of CPT codes
selectable by entering the ES DISPLAY ORDER numbers. If the appropriate
code does not appear on the list, the user can enter the individual CPT
code number(s) separated by commas.
has been created. If the accession has been purged, the option cannot be
The coding software ensures that all CPT codes selected are active. If
the user does not have the PROVIDER security key, a valid active provider
must be entered. The user reviews the accessioned test(s) and the CPT
codes selected. The user is prompted to accept or reject the information.
After accepting the previous information the software will determine,
using the TYPE (#2) field of the HOSPITAL LOCATION (#44) file, if the
location entered is an outpatient location. Those locations with the type
of clinic, module or other are considered to be out patient location. CPT
used. The LAB CPT BILLING option has two functions:
coding is ONLY PASSED FOR OUT PATIENT LOCATION TYPES. If the specimen is
assigned to a Patient as defined by an entry in the PATIENT (#2) file,
the specified CPT codes are passed immediately to the Laboratory/PCE API.
The date/time of the visit is set to specimen collection date/time. If
the time is not specified, a default of 12:01 is used. The PCE API
returns the visit number which is stored in the PCE ENC (#30) field of
the ACCESSION NUMBER (#1) sub-file of the DATE (#.01) sub-file of the
ACCESSION (#68) file.
The software will also store the WKLD CODES associated with the CPT codes
selected. These WKLD CODE are added to the Laboratory LMIP workload for
that accession. This is done regardless of the location type.
Example of File setup
===============================================================
The example does not represent true clinical situation, it is used only
for demonstration purposes.
LRMENU Laboratory DHCP Menu
Select Laboratory DHCP Menu Option: SUPervisor menu
A. If the procedure was ordered on a patient from PATIENT (#2) file,
Select Supervisor menu Option: LAB LIaison menu
Select Lab liaison menu Option: LIM workload menu
Select LIM workload menu Option: EDIT
1 Edit ACC Area OOS Locations
2 Edit or Print WKLD CODES
CHOOSE 1-2: 2 Edit or Print WKLD CODES
Do you want to edit specific WKLD CODES/ALL fields? ? N// YES
Select WKLD CODE PROCEDURE: 88551.0000 Surgical Pathology Level I
from a location that has TYPE (#2) of CLINIC, MODULE or OTHER as defined
88551.0000
PROCEDURE: Surgical Pathology Level I// (No Editing)
DESCRIPTION:
No existing text
Edit? NO//
PRINT NAME: ^CODE
Select CODE: CPT.88300
Searching for a active CPT code., (pointed-to by CODE)
Searching for a active CPT code.
in the HOSPITAL LOCATION (#44) file, the user identified CPT codes will
88300 SURGICAL PATH, GROSS
...OK? Yes// (Yes)
RELEASE DATE: T-1 (JUN 24, 2001)
INACTIVE DATE:
REPLACEMENT CODE:
CODE NOTES:
No existing text
Edit? NO//
Select CODE: ^ES DISPLAY ORDER
ES DISPLAY ORDER: // 1
be passed to the Laboratory PCE API. If the PCE API accepts the passed
Select OPTION NAME: LRMENU Laboratory DHCP Menu
Select Laboratory DHCP Menu Option: Anatomic pathology
ANATOMIC PATHOLOGY MENU
Select Anatomic pathology Option: Verify/release menu, anat path
Select Verify/release menu, anat path Option: ?
RR Verify/release reports, anat path
RS Supplementary report release, anat path
LU List of unverified pathology reports
CPT LAB CPT BILLING
data, the PCE ENC # (30) field of the ACCESSION NUMBER SUB-FIELD (#68.02
Example of CPT code capture.
=============================================================
Select Verify/release menu, anat path Option: CPT LAB CPT BILLING
Select Accession: SURG
SURGICAL PATHOLOGY
SURGICAL PATHOLOGY
Accession Date: TODAY// (NOV 06, 2002)
of the DATE SUB-FIELD (68.01) of the ACCESSION (#68) file will be
Number part of Accession: (1-999999): 3
BRADY,MOM 389-24-0000 DOB: May 02, 1955
Collection Date: Apr 17, 2002
Acc #: NSP 02 3 UID:
PCE ENC # 314;
Specimen:
Tissue Specimens:
VAGINAL CANAL
Test(s); SURGICAL PATHOLOGY LOG-IN/
Patch Description:
populated with the PCE visit number. CPT billing can be done multiple
Releasing Pathologist
PROVIDER: REV. GINSBURG,RONALD
Ordering Location: : RED CLINIC
Would you like to see PCE CPT Information? No//
Select CPT codes: ??
List or range e.g., 1,3,5-7,88300.
Select from the following or enter CPT separated by a comma
1 = 88300 LEVEL I - SURGICAL PATHOLOGY, GROSS EXAMINATION ONLY
times for the same accession.
Surgical Pathology Level I { NLT = 88551.0000 }
2 = 88302 LEVEL II - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EX
Surgical Pathology Level II { NLT = 88518.0000 }
3 = 88304 LEVEL III - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC E
Surgical Pathology Level III { NLT = 88553.0000 }
4 = 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EX
Surgical Pathology Level IV { NLT = 88555.0000 }
5 = 88307 LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXA
Surgical Pathology Level V { NLT = 88557.0000 }
6 = 88309 LEVEL VI - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EX
Surgical Pathology Level VI { NLT = 88559.0000 }
7 = 88329 PATHOLOGY CONSULTATION DURING SURGERY;
Frozen Section Add Cut { NLT = 88360.0000 }
Would you like to see PCE CPT Information? YES
B. The software will also capture the WKLD CODE(s) associated with the
CPT: 88300 PATIENT NAME: BRADY,MOM
VISIT: APR 17, 2002@12:01 PROVIDER NARRATIVE: SURGICAL
PATH, GROSS
QUANTITY: 1 ENCOUNTER PROVIDER:
REV. GINSBURG,RONALD
CPT: 88302 PATIENT NAME: BRADY,MOM
VISIT: APR 17, 2002@12:01
PROVIDER NARRATIVE: TISSUE EXAM BY PATHOLOGIST
ES DISPLAY ORDER number. This data will be captured as laboratory
QUANTITY: 1 ENCOUNTER PROVIDER:
REV. GINSBURG,RONALD
Select CPT codes: 1,2
BRADY,MOM 389-24-0000 DOB: May 02, 1955
Collection Date: Apr 17, 2002
Acc #: NSP 02 3 UID:
PCE ENC # 314;
workload. It will be reported based on the current LMIP workload
Specimen:
Tissue Specimens:
VAGINAL CANAL
Test(s); SURGICAL PATHOLOGY LOG-IN/
Selected CPT Codes
(1) 88300 LEVEL I - SURGICAL PATHOLOGY, GROSS EXAMINATION ON
Surgical Pathology Level I {88551.0000}
(2) 88302 LEVEL II - SURGICAL PATHOLOGY, GROSS AND MICROSCOP
Surgical Pathology Level II {88518.0000}
reporting protocol.
Is this correct ? Yes// YES
Sending PCE Workload
Visit # 314
Storing LMIP Workload
End of examples:
======================================
3. Electronic Catalog Print [LA7S PRINT CATALOG] option [LA7S PRINT]
template has been modified to display the LEDI HL7 (#.09) field of the
TOPOGRAPHY FIELD (#61) file instead of the SNOMED CODE (#2) field. This
is to assist LEDI collection sites with defining the LAB SHIPPING
CONFIGURATION (#62.9) file.
4. Print log book [LRAPBK] option has been enhanced to display a list of
CPT codes passed to PCE for outpatients. This option can also be used to
provide a partial audit of CPT coding practices.
=================
Required Patch List: LR*5.2*163
(1) WKLD CODE (#64) file is updated with the latest released National
LR*5.2*264
LR*5.2*258
LR*5.2*266
=================
NOIS: SAM-1102-20599
BHS-0990-11616
=================
Files:
There are no new files contained in this patch. However the following
Laboratory Test (NLT) codes.
files will be updated with additional data.
(1) WKLD CODE (#64) file will be updated with any missing National
Laboratory Test (NLT) codes during the post installation phase. LAB
NLT/CPT CODES (#64.81) contains a complete listing of NLT codes. WKLD
CODE (#64) file is checked to determine if an NLT code should be added.
If the new NLT code is successfully added to WKLD CODE (#64) file or the
NLT code already exists, the entry in LAB NLT/CPT CODES (#64.81) file is
deleted.
(2) The TEST/PROCEDURE (#.01) field of the SPECIMEN # (#1) subfile of LAB
ORDER ENTRY (#69) file, input screen has been changed to allow the entry
of LABORATORY TEST (#60) that have the TYPE (#3) field set to OUPUT. This
screen was changed in the software of an earlier released patch. The user
should see no difference in software behavior.
(3) The DSS TEST NUMBER (#.01) field of the RESULT (#8) subfile of LAR
DSS LAR EXTRACT (#64.036) file has been increased from 50 to 300 to
accommodate patch ECX*3*47 number of tests to be extract.
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