| DESCRIPTION OF ENHANCEMENTS |
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*365 does not
Bank software functionality, therefore RISK is none.
in the Clinical Reports section under the Reports tab of the CPRS GUI or
to a List manager display of the associated report results.
This patch provides action alerts for Anatomic Pathology reports including
Electron Microscopy (EM), Surgical Pathology (SP), Cytology (CY), and
Autopsy (AU) reports. These action alerts are sent automatically to the
ordering provider and the primary care physician (PCP) at the time the
report is released. If requested, alerts may be sent to additional
person(s). These additional alerts are also action alerts. This
functionality is now the same whether electronic signature (ES) is
turned ON or OFF. Before this patch, additional alerts could not be
requested with electronic signature (ES) turned OFF.
The Supplementary report release, anat path [LRAPRS] option now sends
action alerts automatically to the ordering provider and the PCP at the
time the supplementary report is released. If requested, alerts may be
sent to additional person(s). These additional alerts are also action
alerts. These alerts are sent whether electronic signature is turned ON
or OFF.
VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes
Modified options:
================
NAME: LRAPR
MENU TEXT: Verify/release reports, anat path
TYPE: run routine
LOCK: LRVERIFY
DESCRIPTION: This option is used to verify/release pathology reports.
The user is prompted for the accession number of the report to be
released. If electronic signature is not activated, the user is asked if
the report is to be released, yes or no. If electronic signature has been
made, no specific validation requirements exist as a result of
activated, the option is used to electronically sign and store pathology
reports. It also allows CPT coding to be performed regardless of the
release status of the chosen report. Another feature is the ability to
print SNOMED codes for the given accession/report. Action alerts are
sent automatically to the ordering provider and the primary physician or
PCP at the time the report is released. If requested, alerts may be sent
to additional person(s) and/or mail group(s). These additional alerts are
also action alerts.
ROUTINE: LRAPR
installation of this patch.
NAME: LRAPRS
MENU TEXT: Supplementary report release, anat path
TYPE: run routine
DESCRIPTION: Releases supplementary reports for Surgical Pathology,
Cytopathology, Electron Microscopy, or Autopsy. If all supplementary
reports that exist for the chosen accession have already been released or
if no supplementary reports exist for the accession, the user will be
notified. If electronic signature is not activated, the user is asked if
the report is to be released, yes or no. If electronic signature has
been activated, the option is used to sign and store the supplementary
report. Action alerts are sent automatically to the ordering provider and
the primary physician or PCP at the time the supplementary reports are
released. If requested, alerts may be sent to additional person(s)
and/or mail group(s). These additional alerts are also action alerts.
These alerts are sent whether electronic signature is on or off.
ROUTINE: EN^LRAPR
3) This patch provides a new option, Send an AP Alert [LRAP ALERT]
available on the Verify/release menu, anat path [LRAPVR] menu which
allows a pathologist to send an action alert to a provider or other
This patch is being distributed in the OR*3*243 CPRS v27 build.
person(s) or mail group(s) after the case has been released. The use
of this option requires the LRVERIFY key. Before, if they did not answer
YES to the prompt to send an alert after a report was released, an alert
could not be sent unless the case was reopened and re-released.
New Option:
===========
NAME: LRAP ALERT MENU TEXT: Send an AP Alert
TYPE: run routine
LOCK: LRVERIFY
DESCRIPTION: This option allows a pathologist to send an action alert
to a provider or other person(s) or mail group(s) after the case has been
released.
ROUTINE: LRAPALRT
The following option was modified to include the new option, Send an AP
Alert [LRAP ALERT] on the Verify/release menu, anat path [LRAPVR] menu.
Modified Option:
VistA Laboratory Anatomic Pathology (AP) Alerts and Clinical Patient
================
NAME: LRAPVR
MENU TEXT: Verify/release menu, anat path
TYPE: menu
DESCRIPTION: Anatomic pathology verify and release option menu.
ITEM: LRAPR SYNONYM: RR
DISPLAY ORDER: 1
ITEM: LRAPV SYNONYM: LU
DISPLAY ORDER: 3
ITEM: LRAPRS SYNONYM: RS
Record System (CPRS) Report Changes Patch LR*5.2*365 software
DISPLAY ORDER: 2
ITEM: LRCAPES SYNONYM: CPT
DISPLAY ORDER: 4
ITEM: LRAP ALERT SYNONYM: SA
Associated E3R:
===============
19879
18132
19040
contain any changes to the VISTA BLOOD BANK Software as defined by VHA
release addresses 7 Patient Safety Issues (PSIs). Individual reports
19516
19106
Associated Remedy:
==================
HD0000000087038
HD0000000145148
HD0000000175194
are displayed as one continuous scrolling display. A single row of
HD0000000071165
HD0000000175887
Duplicate Remedy:
=================
HD0000000200282
HD0000000161040
HD0000000117241
HD0000000131803
HD0000000159885
the equal (=) sign is used to separate one report from the next.
Associated PSI:
===============
PSI-05-027
PSI-07-135
PSI-05-001
PSI-06-134
PSI-06-068
PSI-07-031
PSI-07-014
Additionally, the text- "Next SURGICAL PATHOLOGY Specimen..." is
Test Sites:
===========
Charleston, SC - Large
Cleveland, OH - Large
Heartland-East HCS - Large/Integrated
Hudson Valley HCS - Medium/Integrated
Loma Linda, CA - Large
also used to separate reports. However, with multiple reports and
Northern California HCS - Large
Palo Alto HCS - Large/Integrated
Philadelphia, PA - Large
Puget Sound HCS - Large/Integrated
San Diego, CA - Large
Tampa, FL - Large
Software Retrieval
==================
the use of single dashed lines in each report, it can be difficult
VistA Laboratory AP Alerts and CPRS Report Changes Patch LR*5.2*365
software is distributed by PackMan.
Documentation Retrieval
=======================
VistA AP Alerts and CPRS Report Changes Patch LR*5.2*365
User Guide is available at the following Office of Information Field
Offices (OIFOs) ANONYMOUS.SOFTWARE directories:
OI Field Office FTP Address Directory
to distinguish the separation between AP reports. A new API has been
--------------- ----------- ---------
ALBANY ftp.fo-albany.domain.ext [ANONYMOUS.SOFTWARE]
HINES ftp.fo-hines.domain.ext [ANONYMOUS.SOFTWARE]
SALT LAKE CITY ftp.fo-slc.domain.ext [ANONYMOUS.SOFTWARE]
Documentation Retrieval Formats
===============================
VistA AP Alerts and CPRS Report Changes Patch LR*5.2*365 User
Guide files are exported in the following retrieval formats:
created (EN^LR7OSAP4) for retrieving a detailed report for an
File Name Contents Retrieval Formats
--------- -------- -----------------
LAB_LR_52_365_UG.doc AP Alerts and CPRS Report Changes
Patch LR*5.2*365 User Guide BINARY
LAB_LR_52_365_UG.pdf AP Alerts and CPRS Report Changes
Patch LR*5.2*365 User Guide BINARY
VistA Website Locations:
individual Anatomic Pathology Specimen. This helps resolve the PSI
========================
VistA AP Alerts and CPRS Report Changes Patch LR*5.2*365 User Guide is
accessible in MS Word (.doc) and Portable Document Format
(.pdf) at the following VistA locations:
Laboratory Version 5.2 Home Page
--------------------------------
http://vista.domain.ext/ClinicalSpecialties/lab/
VistA Documentation Library (VDL)
by allowing a package interface, like CPRS, to present each
---------------------------------
www.domain.ext/vdl/
Installation Instructions:
==========================
This patch is being distributed in the OR*3.0*243 CPRS v27 build.
This patch may be installed with users on the system; however, it should
be installed at a non-peak time to minimize disruption to the users.
DIRECTIVE 2004-053 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2.
accession and related specimens to the user and then display the
Installation of this patch should take less than 1 minute.
1. Use the INSTALL/CHECK MESSAGE option on the PackMan Menu.
2. From the Kernel Installation and Distribution System (KIDS) Menu,
select the Installation menu.
3. From the Installation menu, you may select to use the following
options (when prompted for INSTALL NAME, enter LR*5.2*365):
related report for the accession/specimens.
a. Backup a Transport Global
b. Compare Transport Global to Current System
c. Print Transport Global
d. Verify Checksums in Transport Global
4. Use the Install Package(s) option and select the package LR*5.2*365.
5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
Install? YES//', respond YES. Responding "Yes" to this prompt can
significantly increase install time.
6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//',
respond NO.
7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
Protocols? YES//', respond NO.
Note: Routine LR365 will be deleted after successful patch installation.
Routine Information:
Patches OR*3*210 and LR*5.2*311 implemented informational alerts
====================
The second line of each of these routines now looks like:
;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994
The checksums below are new checksums, and
can be checked with CHECK1^XTSUMBLD.
Routine Name: LR365
Before: n/a After: B3322693 **365**
Routine Name: LR7OSAP2
generated for AP pathology results. Recipients of VA view alerts for
Before: B59162352 After: B59966352 **230,256,259,317,365**
Routine Name: LR7OSAP4
Before: n/a After: B2801060 **365**
Routine Name: LRAPALRT
Before: n/a After: B3310137 **365**
Routine Name: LRAPDA
Before: B76606340 After: B81540087
**72,73,91,121,248,259,295,317,365**
Routine Name: LRAPR
Before: B84430863 After: B88035016 **72,248,259,317,365**
Anatomic Pathology complained that clicking on the alert did not
Routine Name: LRAPRES1
Before: B43595923 After: B43214564 **259,336,369,365**
Routine Name: LRWOMEN
Before: B1458269 After: B1173687 **231,248,311,324,365**
Routine list of preceding patches: 317, 324, 369
open up or display the report to them in the same manner as other
lab alerts are displayed. Once the recipients click on the alert, it
is gone from view. If they did not make a note as to who the patient
was, they can not get the alert back. Providers can easily erase the
alerts without recording the patient's name. A potential malignancy
report could be missed. Problem was identified from complaints of
surgeons and oncologists/hematologists. To correct this issue the
new action alert is provided to display AP reports. The Anatomic
Pathology informational alerts are now modified into action alerts
that upon processing will direct the user to the associated report
in the Clinical Reports section under the Reports tab of the CPRS
GUI or to a List manager display of the associated report results.
This patch provides action alerts for Anatomic Pathology tests
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*365 does
including Electron Microscopy (EM), Surgical Pathology (SP),
Cytology (CY), and Autopsy (AU) results. These action alerts are
sent automatically to the Ordering Provider, Primary Physician, or
Primary Care Provider at the time the report is released. If
requested, alerts may be sent to additional person(s) and
mail group(s). These additional alerts are also action alerts. This
functionality is now the same whether electronic signature (ES) is
turned ON or OFF. Before this patch, additional alerts could not be
requested with electronic signature (ES) turned OFF.
not alter or modify any software design safeguards or safety critical
This patch provides the new Send an AP Alert [LRAP ALERT] option
that is available on the Verify/release menu, anat path [LRAPVR]
which allows a pathologist to send an action alert to a provider,
other individuals, or mail group(s) after the report has been
released. Before this software release if the user did not answer
YES to the prompt to send an alert after a report was released, an
alert could not be sent unless the AP report was reopened and
re-released.
1) PSI-05-027 and PSI-07-135 identified a patient safety issue using the
elements functions.
CPRS Graphic User Interface (GUI) Lab Tab, Laboratory Results- Anatomic
Pathology (AP). The individual reports are displayed as one continuous
scrolling display. A single row of equal (=) signs is used to separate
one report from the next. Additionally, the text- "Next SURGICAL
PATHOLOGY Specimen..." is also used to separate reports. However, with
multiple reports and the use of single dashed lines in each report, it
can be difficult to distinguish the separation between AP reports.
Resolution:
A new API has been created (EN^LR7OSAP4) for retrieving a detailed report
for an individual Anatomic Pathology Specimen. This resolves the
PSI by allowing a package interface, like CPRS, to present each specimen
to the user and then get the report on the specimen.
2) PSI-06-068, PSI-07-014, PSI-05-001, PSI-06-134, and PSI-07-031
identified a patient safety issue with the Anatomic Pathology notification
alerts. Patches OR*3*210 and LR*5.2*311 implemented informational alerts
generated for pathology results. Recipients of VA view alerts for
Anatomic Pathology have complained that clicking on the alert does not
open up or display the report to them in the same manner as other lab
RISK ANALYSIS: Changes made by patch LR*5.2*365 have no effect on Blood
alerts do (CH subscripted). Once they click on the alert, it's gone from
view. If they didn't make a note as to who the patient was, they can't
get it back. It would be helpful to have an action alert for these
results. Providers can easily erase them without recording the patient's
name. A potential malignancy report could be missed. Problem was
identified from complaints of surgeons and oncologists/hematologists.
Resolution:
The Anatomic Pathology informational alerts are now modified into action
alerts that upon processing will direct the user to the associated report
|
