| DESCRIPTION OF ENHANCEMENTS |
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*281 does not
Bank software functionality, therefore RISK is none.
automatically generated when your site does an automated or manual run and data is sent to Austin Automation Center. Six months of previous reports are kept as well as the current mo
3) Sites now have the ability to capture and manipulate EPI data into a
report or spreadsheet-delimited format. A site can also add pathogens for local use and generate reports or capture data in a spreadsheet format for local use.
4) Additional data will be sent to Austin. Including:
LOINC codes
Master Patient Index
County and State for patient demographics
MIC values
The new Race and Ethnicity fields
5) Provide the ability to capture 6 new pathogens:
All Staphylococcus aureus (Reference #18)
Methicillin-Resistant Staphylococcus aureus (MRSA)
(Reference #19)
Vancomycin-Resistant Staphylococcus aureus (VRSA)
(Reference #20)
Vancomycin-Resistant Coagulase Negative Staphylococci/Staph epi
(VRSE)(Reference #21)
VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes made,
All Streptococcus pneumoniae (Reference #22)
All Enterococci (Reference #23)
6) EPI is also enhanced to capture the approved newer Legionella Urinary Antigen test.
7) A bug is fixed with the date handling for start and stop date.
8) The new field PREVIOUS CYCLE (#19) in the Lab Search/Extract file(#69.5) contains a numeric entry which defines the number of previous cycles to search. These findings will be rep
NEW OPTIONS:
no specific validation requirements exist as a result of installation of this
NAME: LREPI DELETE LOCAL PATHOGEN MENU TEXT: Delete Local Pathogen
TYPE: run routine
DESCRIPTION: This option allows deletion of local pathogens ONLY.
National pathogens CAN NOT be deleted.
ROUTINE: DELETE^LREPIPI
NAME: LREPI DELETE LOCAL REPORT
MENU TEXT: Delete Local Report or Spreadsheet
TYPE: run routine
DESCRIPTION: This option allows you to delete local reports or local
patch.
spreadsheets.
ROUTINE: DELETE^LREPIRS2
NAME: LREPI ENTER/EDIT LOCAL PATH MENU TEXT: Enter/Edit Local
Pathogens
TYPE: run routine
DESCRIPTION: This option allows you to enter or edit local pathogens
into the LAB SEARCH/EXTRACT FILE (#69.5) These pathogens can be selected for the report/spreadsheet option. Local pathogens WILL NOT be transmitted to Austin.
ROUTINE: LREPIPI
***********************************************************************
NAME: LREPI GENERATE REPORT/SP
MENU TEXT: Lab EPI Generate Local Report/Spreadsheet
TYPE: run routine
DESCRIPTION: This new option is used to generate reports or spreadsheets for national EPI and local pathogen data. The job is automatically tasked after selecting the national EPI
or spreadsheet. The report or spreadsheet can then be viewed on the screen or printed using the new LAB EPI Print Local Report/Spreadsheet option. Note: NO data is transmitted to Au
ROUTINE: LREPIRS
NAME: LREPI LOCAL PATHOGEN MENU MENU TEXT: Local Pathogen Menu
TYPE: menu
DESCRIPTION: This menu contains options to enter/edit and delete local pathogens. Also, it contains options to generate and print the local report/spreadsheet.
Due to extensive historical data transmission requirements and mandated setups
ITEM: LREPI ENTER/EDIT LOCAL PATH
ITEM: LREPI DELETE LOCAL PATHOGEN
ITEM: LREPI GENERATE REPORT/SP SYNONYM: GEN
ITEM: LREPI PRINT REPORT/SPSHT SYNONYM: PRT
NAME: LREPI PATHOGEN INQUIRY MENU TEXT: Pathogen Inquiry
TYPE: run routine
DESCRIPTION: This new option is used to inquire into the LAB
SEARCH/EXTRACT file (#69.5) parameter description fields (i.e. INACTIVE:NO, LAG DAYS: 15, RUN DATE:ICT 07,2003, CYCLE:MONTHLY, PROTOCOL:LREPI, FOLLOW PTF:YES, REFERENCE NUMBER:23, and
required for such, a phased installation and implementation of this patch will
ROUTINE: INQUIRY^LREPIPI
NAME: LREPI PRINT REPORT/SPSHT
MENU TEXT: Lab EPI Print Local Report/Spreadsheet
TYPE: run routine
DESCRIPTION: This option allows you to print a report or spreadsheet
that was generated with the Lab EPI Generate Local Report/Spreadsheet.
ROUTINE: LREPIRS2
NAME: LREPI VERIFICATION REPORT
be utilized for release of this patch. The software download information will
MENU TEXT: Print Detailed Verification Report
TYPE: run routine
DESCRIPTION: This option prints the Detailed Verification Report. This
report is automatically generated when your site does an automated or
manual run and data is sent to Austin Automation Center. Six months of
previous reports are kept as well as the current month for printing.
ROUTINE: LREPIRP7
MODIFIED OPTIONS:
NAME: LREPI ENHANCE MANUAL RUN MENU TEXT: Lab EPI Manual Run (Enhanced)
be made available to sites attending one of the following national
TYPE: run routine
DESCRIPTION: This option is used ONLY to manually extract national EPI data
and transmit to the Austin Automation Center (AAC). When this option is run,
an EPI Summary Verification Report is generated and automatically sent to the
EPI-Report mail group. Also, a Detailed Verification Report is generated and
can be printed using the new Print Detailed Verification Report [LREPI
VERIFICATION REPORT] option. This option has been RENAMED from Lab
Search/Extract Manual Run (Enhanced) [LREPI SEARCH/EXTRACT ENHANCED MANUAL
RUN] to EPI Manual Run (Enhanced) [LREPI ENHANCE MANUAL RUN] option.
ROUTINE: LREPIRM
contain any changes to the VISTA BLOOD BANK Software as defined by VHA
audioconference calls:
NAME: LREPI NIGHTLY TASK MENU TEXT: Lab EPI Nightly Task
TYPE: run routine
DESCRIPTION: The Lab Search/Extract Nightly Task option must be scheduled to
run each night by TaskMan. This option will build a HL7 Message and send it
the defined location specified in the EPI Protocols.
ROUTINE: AUTO^LREPIRM SCHEDULING RECOMMENDED: YES
NAME: LREPI PARAMETER SETUP MENU TEXT: Lab EPI Parameter Setup
TYPE: ScreenMan
DESCRIPTION: This option is used to define the search criteria along with
additional information associated with the EPI extracts. This option only
allows editing. You are not allowed to add local pathogens with this option.
DIC {DIC}: LAB(69.5, DIC(0): AEMQ
DR{DDS}: [LREPI9] DDSFILE: 69.5
MODIFIED FILE:
UP SEND DATA USER
DATE SEC. COMES SITE RSLV OVER
FILE # NAME DD CODE W/FILE DATA PTS RIDE
Tuesday, June 8 at 1:00 - 3:00 PM EST for VISNs 1-2-3-4-5-6
-------------------------------------------------------------------------------
69.5 LAB SEARCH/EXTRACT YES NO YES MERG YES NO
The VistA Laboratory EPI Rollup Modifications Technical and User Manual
(i.e., LR_52_281_EPI_TUM.PDF) is available on the following Office of
Information Field Offices (OIFOs) ANONYMOUS SOFTWARE directories:
OIFOs FTP ADDRESS DIRECTORY
Albany ftp.fo-albany.domain.ext [ANONYMOUS.SOFTWARE]
Thursday, June 10 at 3:00 - 5:00 PM EST for VISNs 7-8-9-10-11
Hines ftp.fo-hines.domain.ext [ANONYMOUS.SOFTWARE]
Salt Lake City ftp.fo-slc.domain.ext [ANONYMOUS.SOFTWARE]
VistA Laboratory EPI Rollup Modifications Technical and User Manual is
exported as part of Patch LR*5.2*281 in the following formats:
FILE NAME CONTENTS FORMAT RETRIEVAL
LR_52_281_EPI_TUM.PDF LR EPI Technical and User Manual BINARY
Tuesday, June 15 at 4:00 - 6:00 PM EST for VISNs 12-15-16-17-23
Testing Sites:
==============
Boston HCS
Cincinnati VAMC
Detroit VAMC
Durham VAMC
Manchester VAMC
Togus VAMC
ROUTINE SUMMARY
Wednesday, June 16 at 2:00 - 4:00 PM EST for VISNs 18-19-20-21-22
===============
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
Thursday, June 17 at 2:00 - 4:00 PM EST for those unable to attend the other
------------ ------------ ----------- ------------
LR281 N/A 4418686 281(Deleted by KIDS)
LREPI 14217525 14182167 132,175,260,281
LREPI1 10654552 11822436 132,157,175,260,281
LREPI2 7199135 8491199 132,157,175,242,260,281
LREPI2A NEW 7574864 281
LREPI3 5462995 9184652 132,175,260,281
LREPI5 NEW 2408593 281
LREPIPH 5818757 6144410 260,281
LREPIPI NEW 5220624 281
calls.
LREPIRM 5260075 7566388 175,281
LREPIRP 5973015 20442264 132,157,175,260,281
LREPIRP1 NEW 15133552 281
LREPIRP2 NEW 3729823 281
LREPIRP3 NEW 29061422 281
LREPIRP4 NEW 1812384 281
LREPIRP5 NEW 11788836 281
LREPIRP6 NEW 25502070 281
LREPIRP7 NEW 17171829 281
LREPIRP8 NEW 8376752 281
LREPIRP9 NEW 4718 281
LREPIRS NEW 8576522 281
LREPIRS1 NEW 16664999 281
LREPIRS2 NEW 22133542 281
LREPIRS3 NEW 16290972 281
LREPISRV 12552990 15211664 260,281
LREPISV1 NEW 4805594 281
ASSOCIATED NOIS:
================
The VANTS telephone number is 1 800 767-1750 and the access code for all calls
NONE
E3Rs:
=====
N/A
**********************************************************************
DIRECTIVE 99-053 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2.
is 13143.
INSTALLATION INSTRUCTIONS
=========================
The install time for this patch is less than 2 minutes. This patch
can be installed when Laboratory users are on the system.
NOTE: Kernel patches must be current on the target system
to avoid problems loading and/or installing this patch.
1. If any of the above routines are mapped, disable mapping for
them.
2. Use the 'Load a Distribution" option to load the Host file on to your
system.
3. The patch has now been loaded into a Transport global on your
system. You now need to use KIDS to install the transport
global.
This patch will involve reseeding of the EPI databases for each site to allow
4. On the 'Kernel Installation & Distribution System' Menu (KIDS),
select the 'Installation' menu.
5. Use the 'Verify Checksum in Transport Global' option and verify
that all routines have the correct checksums.
6. On the KIDS menu, under the 'Installation' menu, use the
following options:
Print Transport Global
Compare Transport Global to Current System
the new data created by this patch to be captured. It is imperative each site
Backup a Transport Global
If you wish to preserve a copy of the routines exported in this
patch prior to installation, you should use the 'Backup a
Transport Global' option at this time. You may also compare the
routines in your production account to the routines in the patch
by using the 'Compare a Transport Global to Current System'
option.
7. Use the 'Install Package(s)' option under the 'Installation' menu
attend an audioconference prior to installation and implementation of
and select the package 'LR*5.2*281'.
If prompted ' Want KIDS to Rebuild Menu Trees Upon Completion of
Install? YES//' choose 'NO'.
If prompted ' Want KIDS to INHIBIT LOGONs during the install?
YES// ' choose 'NO'.
If prompted 'Want to DISABLE Scheduled Options, Menu Options, and
Protocols? YES//', choose 'NO'.
LR*5.2*281.
8. On a mapped system, rebuild your map set.
9. Routine LR281 will be deleted after successful patch installation.
INSTRUCTIONS FOR SEEDING THE HISTORICAL DATA:
Historical data must be gathered from October 1, 2000 through June 14, 2004.
Use the Lab EPI Manual Run (Enhanced) [LREPI ENHANCE MANUAL RUN] option to run/
gather and transmit 6 manual runs (consecutive runs) at a time.
** Sites DO NOT transmit on June 16 or July 4 to avoid Austin Automation Center
(AAC) capacity limitations. **
Batch #1: October 1, 2000 -March 31, 2001
Batch #2: April 1, 2001 - September 30, 2001
Batch #3: October 1, 2001 - March 31, 2002
Batch #4: April 1, 2002 - September 30, 2002
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*281 does not
Batch #5: October 1, 2002 - March 31, 2003
Batch #6: April 1, 2003 - September 30, 2003
Batch #7: October 1, 2003 - March 31, 2004
Batch #8: April 1, 2004 - June 14, 2004
Sites will run 8 batches of reports. Each batch should contain 6 separate
monthly extracts which are tasked separately by month, i.e., OCT 2000, NOV
2000, DEC 2000, JAN 2001, FEB 2001, MAR 2001 = 1 batch and will generate six
separate processing reports back to the station and transmit them over a five
week period June 10, 2004 - July 12, 2004.
alter or modify any software design safeguards or safety critical
You do not have to wait for one monthly extract to run before starting the next
in a batch.
You do not have to wait for one batch to complete running before queuing the
next batch.
If you receive any fatal errors and the monthly extract is rejected, you will
need to fix the error and retransmit that month.
Sites may transmit reports to AAC on evenings and weekends following this
schedule:
1. VISNs with odd numbers are asked to transmit batches on Tuesday & Thursday
elements functions.
during the PM hours and Saturdays.
2. VISNs with even numbers are asked to transmit on Monday & Friday during the
PM hours and Sundays.
** NO Sites may transmit on June 16 or July 4 due to AAC limitations. **
The EPI Enhancement patch, LR*5.2*281, contains enhancements and
modifications to the Emerging Pathogens Initiative (EPI) software.
The enhancements and modifications included in this patch are:
1) New EPI Summary Verification Report of EPI Extracted Data from Site:
The new Verification Summary Report of EPI Extracted Data from Site
replaces the existing Emerging Pathogens Verification Report. This
new summary report consists of the following functionality:
1) Summary report automatically generated at the sites and sent
to the EPI-REPORT mail group on the 15th day of each month
2) Summary pages are displayed in a human readable format used
for quick viewing
3) Displays reporting site name and station number
RISK ANALYSIS: Changes made by patch LR*5.2*281 have no effect on Blood
4) Summary report is only 1-2 pages long
5) Summary report displays emerging pathogens total number of
occurrences during the monthly processing cycle
6) Summary report displays emerging pathogens total number of
persons with occurrences during the monthly processing cycle
7) Displays Resolution of Risk Assessment number of persons
with the nationally rolled-up resolution Hepatitis C that
occurred during monthly processing cycle
2) New Detailed Verification Report is a detailed pathogen-specific report for validation purposes. The Print Detailed Verification Report [LREPI VERIFICATION REPORT] option prints t
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