| DESCRIPTION OF ENHANCEMENTS |
The Audiometric Exam Module was developed in conjunction with the Remote
3. Comments
A comment box has been added to the Edit application where the clinician
can enter up to 300 characters of text. A checkbox has been inserted
directly above the comment area for use if the clinician would like to
automatically insert the words "NOT ADEQUATE FOR RATING PURPOSES". This
text will be saved to the file and will be imported into VA form 10-2364.
4. Update VA form 10-2364
VA form 10 2364 has been modified to reflect the changes made to the form
Order Entry System (ROES 3.0) at the VA Denver Distribution Center(DDC)
since the release of patch ACKQ*3.0*3. The comment section of the form is
no longer editable.
5. Color Changes
Color has been removed from the data entry boxes. This allows for a
cleaner presentation and makes more of the screen available for the edit
boxes.
6. Retransmit Audiogram
In the Edit application, a menu option has been added to allow
and is only available to run in the Windows environment. The application
retransmission of a signed audiogram. This is necessary to transfer the
speech, word and other readings that were not a part of the original
transmission.
7. Removing Audiogram
In the Edit application, a menu option has been added to allow deletion
of a signed audiogram. This became necessary because, in their haste to
enter audiograms under heavy workload pressures, users sometimes entered
audiograms under the wrong patient and the error was not discovered until
after transmission. This would then become a problem when data would be
can be installed completely from this patch, if ACKQ*3.0*3 was not
on duplicate systems for the wrong patient. After installing this patch,
when a local signed audiogram is deleted, a message with identifying
information is sent to the DDC to delete the record there also.
Clinicians should use utmost caution in both entering and removing
audiograms.
8. File Changes
Numerous fields were added to the AUDIOMETRIC EXAM file to provide the
additional data needed for diagnostic and reporting purposes. The data
type of many fields was changed at the request of the national program
installed. Users are encouraged to consult the full Installation Guide
office to more efficiently handle the text and tags required in the
fields. Many that were numeric are now free text. Refer to the
CHANGES/ADDITIONS TO FILE section for more detailed information.
9. New Fields on Edit Pages
The new editable fields (bullet 8) and data type screening were added to
the Edit program.
10. Masking Change
Masking is no longer referenced in the fields with an '*', but will
referenced below if AKCQ*3.0*3 was not installed. If ACKQ*3.0*3 was
instead be indicated by a non-zero numeric value in the 'Masking Level'
field. Prior instances of the data without a masking level will continue
to display the '*' sign.
11. No Response Change
The symbol for 'No Response'(+) will now be stored in the text field with
the numeric value.
12. No Testing, No Masking
'CNM', 'CNT', 'DNT' and 'FLAT; are now accommodated in the appropriate
text fields in the file as well as in the Edit program.
13. Transducer Type
Users can now indicate if testing was done via inserts or headphones.
This is also displayed on the 10-2364.
14. Eliminate Duplicate Presentation and Material
One selection of the Presentation Method and Material are now applicable
to all of the Word Recognition tests, via a single drop down list.
installed, then installing the KIDS build and copying the new executables
15. Tympanogram Type and Other Test
Tympanogram Type and 'Other Test' types have been added to the Acoustic
Immittance page.
16. Claim Number
The Claim Number has been added to the Edit form so that it can be
included on VA form 10-2364.
17. Maximum Value Change
Maximum values allowed have been updated and associated 'Hints' have been
adjusted.
18. Hints
It is now possible for the user to inactivate or reactivate the hint
feature.
19. Clinician Title
The title of the clinician and location will now show on the display.
20. Presentation Method
over the original executables of the same name will complete
CD and Tape have been consolidated into a single Recorded type.
21. About Box
An 'About' box was added to the main forms to comply with VistA
convention.
Software and Documentation Retrieval
====================================
This patch addresses several issues that came up at the VAMC stations as
the install.
The software and documentation for this patch can be found in the
following [ANONYMOUS.SOFTWARE] directories:
Preferred Address
----------------------
First available FTP server download.vista.domain.ext
Specific Field Office FTP address
--------------------- -----------
Albany ftp.fo-albany.domain.ext
Hines ftp.fo-hines.domain.ext
Salt Lake City ftp.fo-slc.domain.ext
File Name Description Format FTP Protocol
----------------- ------------- ------ ------------
ACKQ_3_P12_RN.PDF Release notes PDF Binary
ACKQ_3_P12_IG.PDF Installation Guide PDF Binary
ACKQ_3_P12_UM.PDF User Manual PDF Binary
REMEDY ticket(s) addressed in this patch
ACKQ_3_P12_TM.PDF Technical manual PDF Binary
ACKQ_3_P3_SG.PDF Security guide PDF Binary
ACKQ_3_P12.KID KIDS build KIDS ASCII
AUDIOGRAM_P12.ZIP Executables ZIP Binary
Test Sites
==========
Columbia(SC)
========================================
Las Vegas
Miami
Tennessee Valley
New York
Salisbury
Fayetteville AR
ROUTINE SUMMARY:
================
HD000000063808
The following is a list of the routines included in this patch.
The second line of each of these routines now looks like:
<tab>;;v 3.0;QUASAR AUDIOMETRIC EXAM MODULE;**[patch list]**;11/01/02
CHECK1^XTSUMBLD results
Routine Name Before Patch After Patch Patch List
HD000000063675
============ ============ =========== ==========
ACKQAG01 49470887 69211169 ** 3,12 **
ACKQAG02 61779051 62617084 ** 3,12 **
ACKQAG03 11574717 11560534 ** 3,12 **
ACKQAG04 65019411 68097423 ** 3,12 **
ACKQAG05 1840641 19012760 ** 3,12 **
ACKQAG06 47277438 63053336 ** 3,12 **
ACKQAG08 n/a 38815781 ** 12 **
HD000000063875
INSTALLATION INSTRUCTIONS:
==========================
Installation of this patch will take about 5 minutes. Additional
time will be needed if the GUI applications have been installed on
individual client machines or the location of the applications on the
network has changed. Users need not be off the system when applying this
patch, but it should be installed during non-peak hours to minimize
disruption to users.
HD000000063682
1. On the KIDS menu under the 'INSTALLATION' menu, use the following
options as desired:
Print Transport Global
Compare Transport Global to Current System
Verify Checksums in Transport Global
Backup a Transport Global
2. On the KIDS menu under the 'INSTALLATION' menu, use the following
option to install the patch:
Install Package(s) (ACKQ*3.0*12)
3. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of
Install? YES//", respond 'NO'.
4. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//"
respond 'NO'.
5. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
Protocols? YES//', respond 'YES'.
Overview of Remedy ticket(s):
Options to disable:
ACKQROES3
ACKQROES3E
6. When prompted 'Delay Install (Minutes): (0-60): 0//; respond '0'.
7. Following the installation of the KIDS build, the system will
immediately run routine ACKQAG08. This will move any existing
'No Response' or 'Masked' tags into the appropriate threshold fields.
a result of the initial release of the Audiometric Exam Module (patch
----------------------------
8. At this point the two revised executables (ACKQROES3.EXE and
ACKQROES3E.EXE) should be copied over all existing copies on the
network or client machine. Add the VistA menu options for any new
application users and setup on their CPRS Toolbar as necessary, as
detailed in the INSTALLATION GUIDE.
9. We do not anticipate any need to reinstall this patch. However, it
may be reinstalled if necessary.
Problem: When a user without context accessed the Edit Module, they were
allowed to enter the application and view the screens. They were not able
to actually edit the data.
Solution: The application [ACKQROES3E.EXE] was modified to exit and halt
the application if the user did not have the appropriate VistA
application assigned to create context.
Associated Remedy Ticket: HD000000063808
ACKQ*3.0*3). These changes have been made to the GUI(Windows based)
-----
Problem: Sites encountered a Null Subscript at EN2+4^ACKQAG02 when
entering a new record and cancels out of entering the date and time of
the exam.
Solution: A fix is applied in routine ACKQAG02 and in the record setup
to give the appropriate error message and exit the application if a valid
Enter/Edit(ACKQROES3E.EXE) and Display(ACKQROES3.EXE) applications in the
date and time are not entered.
Associated Remedy Tickets: HD000000063675 and HD000000063875
-----
Problem: Some error messages or message prompts were coming up behind
other screens. The only way for them to show up was to select the
application from the bottom task bar.
Solution: Most of the messages in the Audiogram Edit application are now
package for both the CPRS Toolbar and Desktop versions, as well as to the
enclosed in code to send them to topmost position and after the message
ends, to restore the previous topmost setup. This may not be a complete
solution, but available documentation indicates it should help, if not
eliminate the problem from this application.
Associated Remedy Ticket: HD000000063682
-----
VistA part of the application. The VistA part includes the file data
This patch contains the following enhancements:
===============================================
The Audiometric Exam Module provided new functionality for Audiology and
Speech Pathology Services(ASPS), to simplify and enhance the entry,
display and use of information obtained during the Audiometric exam of a
patient. This module is comprised of two distinct application functions:
Audiogram Edit function [ACKQROES3E.EXE]
Audiogram Display function [ACKQROES3.EXE]
dictionary, Remote Procedure Calls and routines.
Records are stored in the local AUDIOMETRIC EXAM file (^ACK(509850.9).
When signed, the records are also transmitted from this global to the DDC
through the VistA Mailman system. At the DDC, data from these records is
included with orders for hearing aids and repairs when the orders are
placed through the VistA Remote Order Entry System (ROES) package.
They may also be viewed remotely from the ROES Patient Information screen
of the ROES web application.
ACKQ*3.0*12 implements the following changes:
1. Removal of Buttons
In both audiogram GUI applications, the buttons previously on the screens
have been replaced by menu options at the top of the form.
2. Loop to Another Patient or Record
In both applications, a menu option (Get New Record) has been added to
allow the user to go to another record without exiting the application.
If accessing through CPRS, record selection is limited to the current
patient. From the Desktop application, users may select another patient
or go to another record for the same patient.
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