| DESCRIPTION OF ENHANCEMENTS |
Description
DIRECTIVE 99-053 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2.
ASSOCIATED NOIS
---------------
DUR-0803-30566
FGH-0304-32518
NYH-1203-10526
TEST SITES
----------
Albuquerque VAMC - VMS/DSM
Durham VAMC - VMS/DSM
Iron Mountain VAMC - VMS/Cache
Maryland HCS - VMS/DSM
Milwaukee VAMC - VMS/DSM
North Florida/South Georgia HCS - VMS/DSM
Shreveport VAMC - VMS/DSM
Tomah VAMC - VMS/Cache
Upstate New York HCS - VMS/DSM
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*313 does not
ROUTINE SUMMARY
===============
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
alter or modify any software design safeguards or safety critical elements
------------ ------------ ----------- ------------
LR313 N/A 4332118 **313** (Deleted by KIDS)
LREGFR 2490467 3964631 **289,313**
List of preceding patches: 289
Sites should use CHECK^XTSUMBLD to verify checksums.
INSTALLATION INSTRUCTIONS
-------------------------
functions.
The install time for this patch is less than 5 minute. This patch can be
installed when Laboratory users are on the system. However these users
should not be using any of the Laboratory's package verifying options.
Suggested time to install: non-peak requirement hours.
NOTE: Kernel patches must be current on the target system to avoid
problems loading and/or installing this patch.
Patch installation needs to be coordinated with the Laboratory
Information Manager (LIM/ADPAC).
1. If any of the above routines are mapped, disable mapping for them.
2. Use the 'INSTALL/CHECK MESSAGE' option of the PackMan menu. This
option will load the KIDS patch onto your system.
3. On the 'Kernel Installation & Distribution System' Menu (KIDS),
RISK ANALYSIS: Changes made by patch LR*5.2*313 have no effect on Blood
select the 'Installation' menu.
4. Use the 'Verify Checksum in Transport Global' option and verify that
all routines have the correct checksums.
5. On the KIDS menu, under the 'Installation' menu, use the following
options:
Print Transport Global
Compare Transport Global to Current System
Backup a Transport Global
Bank software functionality, therefore RISK is none.
6. Use the 'Install Package(s)' option under the 'Installation' menu
and select the package 'LR*5.2*313'.
When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//
choose 'NO'.
When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
Protocols? YES//', choose 'NO' unless site has additional local
laboratory verifying options that should be disabled during install.
The install will automatically disable the following options:
Accession order then immediately enter data LR ACC THEN DATA
Batch data entry (chem, hem, tox, etc.) LRSTUF
Bypass normal data entry LRFAST
Enter/verify data (Load list) LRVRW2
Enter/verify data (Work list) LRVRW
Enter/verify data (auto instrument) LRVR
Enter/verify/modify data (manual) LRENTER
VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes
Fast Bypass Data Entry/Verify LRFASTS
Group data review (verified & EM) LRGVP
Group verify (EA, EL, EW) LRGV
7. On a mapped system, rebuild your map set.
Note: Routine LR313 will be deleted after successful patch installation.
===========
made, no specific validation requirements exist as a result of installation
INSTALLATION EXAMPLE
====================
Select Installation Option: 6 Install Package(s)
Select INSTALL NAME: LR*5.2*313 Loaded from Distribution 1/26/04@11:22:51
=> LR*5.2*313
This Distribution was loaded on Jan 26, 2004@11:22:51 with header of
LR*5.2*313
of this patch.
It consisted of the following Install(s):
LR*5.2*313
Checking Install for Package LR*5.2*313
Will first run the Environment Check Routine, LR313
Sending install started alert to mail group G.LMI
--- Environment Check is Ok ---
Install Questions for LR*5.2*313
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.
1. NOIS DUR-0803-30566 and NYH-1203-10526 reported the eGFR calculation
You can queue the install by enter a 'Q' at the device prompt.
Enter a '^' to abort the install.
DEVICE: HOME// TELNET VIRTUAL
Install Started for LR*5.2*313 :
Jan 26, 2004@11:26:28
Build Distribution Date: Jan 26, 2004
delta check was not triggered when processing creatinine results via
Installing Routines:...
Jan 26, 2004@11:26:28
Running Pre-Install Routine: PRE^LR313.
*** Pre install started ***
*** No action required ***
option Enter/verify data (autoinstrument) [LRVR]. The delta check will be
*** Pre install completed ***
Installing PACKAGE COMPONENTS:
Installing OPTION...........
Jan 26, 2004@11:26:28
Running Post-Install Routine: POST^LR313.
*** Post install started ***
triggered when the creatinine value is entered and/or changed or when the
*** No action required ***
*** Post install completed ***
Sending install completion alert to mail group G.LMI
Updating Routine file......
Updating KIDS files.......
eGFR has not been calculated. If the eGFR is a required test and the result
LR*5.2*313 Installed.
Jan 26, 2004@11:26:28
Install Message sent #xxxxx
is 'pending' then the delta check will attempt to calculate the eGFR.
2. The comment "MISSING PARAMETER" generated when the patient's race is
'Undeclared' or 'Unanswered' is changed to "For eGFR: Race unknown, if
African American multiply result by 1.210".
3. The delta check will determine the patient's race using the following
criteria:
a. If specimen for a PATIENT file (#2) patient, the race is determine
using supported API VADPT.
b. If specimen for a REFERRAL PATIENT file (#67) patient, the race is
determined based on RACE field (#.06) in REFERRAL PATIENT file.
This patch corrects several defects reported with the eGFR delta check
c. All other patient types will not use race as a parameter in the
calculation. These patient types will generate the 'race unknown'
comment.
4. During patch development it was determined that the lock placed on the
accession being verified could be prematurely released. This defect could
allow two or more users to edit the accession concurrently. The delta check
has been changed to eliminate the releasing of the lock. The lock will now
be released by the lab verifying options.
released in patch LR*5.2*289 DELTA CHECK FOR EGFR TEST.
5. During patch testing a potential safety issue was identified with the
delta check with regards to display of abnormal/critical creatinine values.
The delta check displayed eGFR exception messages as part of the display
of creatinine abnormal/critical flags. These eGFR exception messages will
be added as accession comments and not displayed as part of the creatinine
result display.
The eGFR exception messages that will be added as comments are.
Condition Comment
--------- -------
no patient age - "For eGFR: **eGFR not Calculated - No Age Recorded**"
no patient sex - "For eGFR: **eGFR not Calculated - No Sex Recorded**"
race unknown - "For eGFR: Race unknown, if African American multiply
result by 1.210"
delta check
incorrectly
configured - "For eGFR: **eGFR not Calculated - Delta check not
configured**"
Note: this comment generated when field TEST NAME FOR
OUTPUT VALUE 1 (#61.1) is blank for the eGFR
delta check entry in DELTA CHECKS file (#62.1).
creatinine
changed and eGFR
not in editing
profile - "For eGFR: **eGFR not in test editing profile -
Creatinine Changed**"
When no patient age or sex is identified, "canc" will be entered as the
eGFR test result.
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*313 does not
6. NOIS FGH-0304-32518 reported the eGFR calculation was being performed
and the result added to the accession when there was no ordered test for
the eGFR. This prevents user from verifying and releasing test results.
The eGFR delta check will check for the eGFR test in the test editing
profile selected by the user. If the eGFR test is not in the editing
profile then it will not be calculated. If the creatinine value is
changed, the eGFR test is not in the editing profile and there is a
previous eGFR result then the exception message "For eGFR: **eGFR not in
test editing profile - Creatinine Changed**" will be generated
contain any changes to the VISTA BLOOD BANK Software as defined by VHA
7. When the eGFR delta check is called by option Group data review
(verified & EM) [LRGVP] the delta check will quit with no action taken.
8. See patch LR*5.2*289 DELTA CHECK FOR EGFR TEST for instructions on
setting up and configuring the eGFR delta check.
ASSOCIATED E3R
--------------
None
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