LA*5.2*68 (8306)    BUILD (9.6)

Name Value
NAME LA*5.2*68
DATE DISTRIBUTED 2009-12-14 00:00:00
PACKAGE FILE LINK AUTOMATED LAB INSTRUMENTS
REQUIRED BUILD
  • LA*5.2*64
    ACTION:   Don't install, leave global
  • LA*5.2*69
    ACTION:   Don't install, leave global
  • VDEF 1.0
    ACTION:   Don't install, leave global
  • LA*5.2*71
    ACTION:   Don't install, leave global
TYPE SINGLE PACKAGE
ALPHA/BETA TESTING NO
DESCRIPTION OF ENHANCEMENTS
Blood Bank Clearance
        CYTOPATHOLOGY (#63.09)
   "CH", "MI", "SP", "CY", "EM".
 
  TIMESTAMP: 59725,36770                SENDING APPLICATION: LA7LAB
  TRANSACTION MESSAGE TYPE: ORU         EVENT TYPE: R01
  MESSAGE STRUCTURE: ORU_R01            ACCEPT ACK CODE: AL
  APPLICATION ACK TYPE: NE              VERSION ID: 2.4
  RESPONSE PROCESSING ROUTINE: D ACK^LA7VHL
SUBSCRIBERS: LA7 LAB RESULTS TO HDR (SUB)
 
 
 
NAME: LA7 LAB RESULTS TO HDR (SUB)      ITEM TEXT: Send Lab Results to HDR
  TYPE: subscriber                      
 DESCRIPTION:   This protocol should be attached to the HL7 event protocol
 LA7 LAB RESULTS AVAILABLE (EVN). See this protocol for further information.
 
 This subscriber protocol is used by the Laboratory package to indicate to
 the HL package to send laboratory results to the VA Health Data Repository
 (HDR).
 
 It utilizes the "Router" Subscriber Protocol supported by the VistA HL
All of the above changes have been reviewed by the VISTA Blood Bank
 package. The routing logic uses the value of the parameter passed into the
 router to determine which Laboratory package subscript should be sent to
 the HDR.
 
 Examples:
 
 ROUTING LOGIC: D RTR^LA7HDR("CH;") will only send to HDR-IMS results
 associated with Laboratory "CH" subscript.
 
 ROUTING LOGIC: D RTR^LA7HDR("MI;") will only send to HDR-IMS results
Developer and found to have no impact on the VISTA BLOOD BANK SOFTWARE
 associated with Laboratory "MI" subscript.
 
 ROUTING LOGIC: D RTR^LA7HDR("CH;MI;SP;") will only send to HDR-IMS results
 associated with Laboratory "CH", "MI", and "SP" subscripts.
 
  TIMESTAMP: 59056,40125                RECEIVING APPLICATION: LA7HDR
  EVENT TYPE: R01                       LOGICAL LINK: VDEFVIE4
  RESPONSE MESSAGE TYPE: ACK            SENDING FACILITY REQUIRED?: YES
  RECEIVING FACILITY REQUIRED?: YES     ROUTING LOGIC: D RTR^LA7HDR("CH;")
 
control functions.
 NOTE: This subscriber protocol is distributed with the ROUTING LOGIC
       disabled. See post-installation instructions for guidance to
       enable the protocol.
 
2. The following option is added to the OPTION file (#19)
 
NAME: LA7 HDR RECOVER    MENU TEXT: Recover/Transmit Lab HDR Result
Messages
 TYPE: run routine                                      
 PACKAGE: AUTOMATED LAB INSTRUMENTS
 
 DESCRIPTION:   Option to recover from failed Lab HDR ORU Result message 
generation and/or transmission failure. This option allows the user to
select those VistA Laboratory accessions that need to be transmitted to
the VA HDR and other subscribers of the VistA Laboratory Result Available
HL7 message capability via the protocol Lab Results Available Event [LA7
LAB RESULTS AVAILABLE (EVN)].
 
If the original message generation/transmission failed due to system or 
communication problems then using this option will allow the generation of
new HL7 messages with the results associated with the selected 
RISK ANALYSIS:   Changes made by patch LA*5.2*68 have no effect on Blood
accessions.  Accessions can be selected using the human-readable accession
designation (area abbreviation modified date accession number - "CH 1225
100") or the accession's associated 10 character unique identifier (UID).
 
 ROUTINE: RECOVER^LA7HDR 
 UPPERCASE MENU TEXT: RECOVER/TRANSMIT LAB HDR RESUL
 
This option is assigned to the Lab liaison menu option [LRLIAISON] and
can be assigned to other uses as needed that support/monitor message 
transmission to the VA HDR and other subscribers.
Bank software functionality, therefore RISK is none.
 
3. The LA7HDR routine, if the configuration LA7HDR in LA7 MESSAGE
PARAMETER file (#62.48) has an active status, queues the record for
transmission to the HDR via a HL7 ORU result message which is transmitted
by the HL package to any subscribers of event protocol LA7 LAB RESULTS
AVAILABLE (EVN) in addition to the HDR subscriber LA7 LAB RESULTS TO HDR
(SUB).
 
   The LA7 LAB RESULTS TO HDR (SUB) subscriber protocol uses the logical
link VDEFVIE4. This is a router subscriber protocol which determines
 
which Lab HL7 messages are sent to the HDR. See protocol description
for further information.
  
 
4. Anatomic Pathology is not "CPRS-aware" and is unable to notify CPRS of
release of anatomic pathology results. HDR will be notified of 
availability of anatomic pathology results via three new-style
cross-references in LAB DATA file (#63). These indexes will also trigger
generation of the Lab HL7 ORU message if this capability has been enabled.
 
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS:  Patch LA*5.2*68 does not
   The three new cross-references are:
 
Subfile #63.02
 
  New-Style Indexes:
 
  AC (#98)    FIELD    MUMPS        ACTION
      Short Descr:  Notify HDR and others that this report is available.
      Description:  This MUMPS cross-reference triggers the sending of this
                    report to the Health Data Repository (HDR) and other
====================
alter or modify any software design safeguards or safety critical elements
                    subscribers when electron microscopy results are 
                    released.
        Set Logic:  D APQ^LA7HDR(DA(1),"EM",DA)
       Kill Logic:  Q
             X(1):  REPORT RELEASE DATE (63.02,.11) (Subscr 1) (forwards)
 
Subfile #63.08
 
  New-Style Indexes:
 
functions.
  AD (#95)    FIELD    MUMPS        ACTION
      Short Descr:  Notify HDR and others that this report is available.
      Description:  This MUMPS cross-reference triggers the sending of this
                    report to the Health Data Repository (HDR) and other
                    subscribers when surgical pathology results are 
                    released.
        Set Logic:  D APQ^LA7HDR(DA(1),"SP",DA)
       Kill Logic:  Q
             X(1):  REPORT RELEASE DATE/TIME (63.08,.11) (Subscr 1)
                    (forwards)
 
 
Subfile #63.09
 
  New-Style Indexes:
 
  AD (#96)    FIELD    MUMPS        ACTION
      Short Descr:  Notify HDR and others that this report is available.
      Description:  This MUMPS cross-reference triggers the sending of this
                    report to the Health Data Repository (HDR) and other
                    subscribers when cytology results are released.
POTENTIAL IMPACT ON SITES:  This patch contains changes to 0 routines and
        Set Logic:  D APQ^LA7HDR(DA(1),"CY",DA)
       Kill Logic:  Q
             X(1):  REPORT RELEASE DATE/TIME  (63.09,.11)  (Subscr 1)
                    (forwards) 
 
 
5. Microbiology results. The current Laboratory package does not support
LOINC encoding of microbiology results. A default encoding is enabled
to LOINC encode standard microbiology tests and antibiotics.
LOINC codes valid as of version 2.14.
1 file identified in Veterans Health Administration (VHA) Directive 99-053,
  
Default mapping of NLT/LOINC codes to standard fields within the 
MICROBIOLOGY (#5) multiple of LAB DATA file (#63):
 
 
 Test                               Order NLT     Result NLT     LOINC Code
 Bacteriology report (#11)          87993.0000
 Gram stain (#11.6)                 87993.0000    87754.0000     664-3
 Bacteriology organism (#12)        87993.0000    87570.0000     11475-1
 Bacteria colony count (#12,1)                    87719.0000     564-5
group B listing. The changes have no effect on Blood Bank functionality or
 Parasite report (#14)              87505.0000
 Parasite organism (#16)            87505.0000    87576.0000     17784-0
 Mycology report (#18)              87994.0000
 Fungal organism (#20)              87994.0000    87578.0000     580-1
 Fungal colony count (#20,1)        87994.0000    87723.0000     19101-5
 Mycobacterium report (#22)         87995.0000
 Acid Fast stain (#24)              87995.0000    87756.0000     11545-1
 Acid Fast stain quantity (#25)     87995.0000    87583.0000     11545-1
 Mycobacterium organism (#26)       87995.0000    87589.0000     543-9
 Mycobacterium colony count (#26,1) 87995.0000    87719.0000     564-5
medical device control functions. There is no adverse potential to sites.
 Virology report (#33)              87996.0000
 Viral agent (#36)                  87996.0000    87590.0000     6584-7
 
 Bacteriology or mycobacterium (TB) organism's susceptibilities -
  is based on local site's mapping of NATIONAL VA LAB CODE field (#64)
  in ANTIMICROBIAL SUSCEPTIBILITY file (#62.06) and the related default
  LOINC code associated with this VA NLT code. Use option Map/Unmap 
  Antimicrobial Default LOINC Code [LR LOINC MAP ANTIMICROBIAL] to
  configure the default LOINC code for each antibiotic.
 
 
6. Surgical Pathology results. The current Laboratory package does not
support LOINC encoding of surgical pathology results.
LOINC codes valid as of version 2.14.
  
Default mapping of NLT/LOINC codes to standard fields within the 
SURGICAL PATHOLOGY (#8) multiple of LAB DATA file (#63):
 
 Test                            Order NLT     Result NLT     LOINC Code
 Specimen (#.012)                88515.0000    88539.0000     22633-2
 Brief clinical history (#.013)  88515.0000    88542.0000     22636-5
========================================
 Preoperative diagnosis (#.014)  88515.0000    88544.0000     10219-4
 Operative findings (#.015)      88515.0000    88546.0000     10215-2
 Postoperative diagnosis (#.016) 88515.0000    88547.0000     10218-6
 Gross description (#1)          88515.0000    88549.0000     22634-0
 Microscopic description (#1.1)  88515.0000    88563.0000     22635-7
 Frozen section (#1.3)           88515.0000    88569.0000     22635-7
 Surgical path diagnosis (#1.4)  88515.0000    88571.0000     22637-3
 Supplementary report (#1.2)     88515.0000    88589.0000     22639-9
 Specimen weight (#2)            88515.0000    81233.0000     3154-2
 
 
 
7. Cytology results. The current Laboratory package does not support
LOINC encoding of cytology results.
LOINC codes valid as of version 2.14.
  
Default mapping of NLT/LOINC codes to standard fields within the 
CYTOPATHOLOGY (#9) multiple of LAB DATA file (#63):
 
 Test                            Order NLT     Result NLT     LOINC Code
 Specimens (#.012)               88593.0000    88539.0000     22633-2
VISTA Laboratory Package patch LA*5.2*68 contains changes to software
This patch supports the VA Health Data Repository (HDR) effort,
 Brief clinical history (#.013)  88593.0000    88542.0000     22636-5
 Preoperative diagnosis (#.014)  88593.0000    88544.0000     10219-4
 Operative findings (#.015)      88593.0000    88542.0000     10215-2
 Postoperative diagnosis (#.016) 88593.0000    88547.0000     10218-6
 Gross description (#1)          88593.0000    88549.0000     22634-0
 Microscopic examination (#1.1)  88593.0000    88563.0000     22635-7
 Supplementary report (#1.2)     88593.0000    88589.0000     22639-9
 Cytopathlogy diagnosis (#1.4)   88593.0000    88571.0000     22637-3
 
 
allowing changes to LAB DATA file (#63) to be transmitted to the HDR 
8. Electron microscopy results. The current Laboratory package does not
support LOINC encoding of electron microscopy.
 
Default mapping of NLT/LOINC codes to standard fields within the 
EM (#2) multiple of LAB DATA file (#63):
 
 Test                            Order NLT     Result NLT     LOINC Code
 Specimens (#.012)               88597.0000    88057.0000     22633-2
 Brief clinical history (#.013)  88597.0000    88542.0000     22636-5
 Preoperative diagnosis (#.014)  88597.0000    88544.0000     10219-4
via a VistA Laboratory HL7 Result (ORU) message.
 Operative findings (#.015)      88597.0000    88542.0000     10215-2
 Postoperative diagnosis (#.016) 88597.0000    88547.0000     10218-6
 Gross description (#1)          88597.0000    88549.0000     22634-0
 Microscopic examination (#1.1)  88597.0000    88563.0000     22635-7
 Supplementary report (#1.2)     88597.0000    88589.0000     22639-9
 EM diagnosis (#1.4)             88597.0000    88571.0000     22637-3
 
 
9. It corrects a defect identified during patch development with
processing input parameters for the GCPR^LA7QRY API. If the input
 
parameter LA7SC specified specific subscripts to search then the API
would search those subscripts for any search code even when specific 
search codes were passed to the API in the LA7SC array.
 
10. Converts several FileMan DBS calls on INSTITUTION file (#4) to using
supported API's $$NS^XUAF4 and $$STA^XUAF4.
 
11. It corrects a defect identified during patch development with
processing input parameters for the GCPR^LA7QRY API. If the input
parameters LA7SDT and LA7EDT specified specific results available date
Additionally, it provides the capability for the transmission of the HL7
range the API could return anatomic pathology results which have not
been released. This API has been corrected to check the REPORT RELEASE
DATE field (#.11) for subscripts "CY", EM", "SP".
 
12. Remedy ticket HD0000000096207 reported a problem with the error code
returned by the Lab API LA7QRY. A FileMan DBS error code was erroroneously
being returned to the calling application. Routines LA7QRY, LA7QRY1, and 
LA7QRY2 has been modified to use a different name spaced variable LA7QERR
to return to the calling application any error conditions. Additionally,
routine LA7VOBX1 has been modified to use another name spaced variable
ORU message containing patient laboratory results to subscribers of the HL7
LA7DDERR to handle FileMan DBS error conditions related to FileMan data
dictionary calls.
 
13. It corrects a defect identified by MyHeatheVet regarding encoding of 
the following fields in the OBR segment relating to anatomic pathology 
reports:
 OBR-32 - Principal result interpreter
 OBR-33 - Assistant result interpreter
 OBR-34 - Technician
 OBR-35 - Transcriptionist
event protocol LA7 LAB RESULTS AVAILABLE (EVN) as these results are made
 
The name component of these fields was being encoded with the wrong HL7
delimiter (component separator). The name component will be encoded with 
the subcomponent separator per the HL7 standard.
  
14. To integrate the VistA-Office EHR with the regular VistA system as
 well as adding functionality also available in the Indian Health Services
 system, the GQPR^LA7QRY API has been modified to allow for VistA-Office
 EHR to use data specifically geared toward clinical operations, whether
 in a hospital or a standalone clinic. The use of an Electronic
available within the Laboratory package. The following subscripts are
 Health Record number as opposed to a SSN for patient identification is
 supported as an identifier accepted as input to this API.
 
 The entry point GCPR^LA7QRY remains unchanged. However, the parameter
 used to pass the patient identifier should contain a 2nd piece indicating
 the type of identifier contained in the 1st piece.
 
 It supports the following types of patient identifiers
   SS = Social Security number
   PI = VA MPI Integration Control Number
supported by the event: "CH", "MI", "SP", "CY", "EM". See post-install
   MR = medical record number of patient in file PATIENT/IHS (#9000001)
 
 To regular VistA users this modification will not be seen.
 
15. To support HDR-Historical which uses the GRPR^LA7QRY API to extract
historical laboratory test results, the input parameter LA7SC to GCPR^LA7QRY
supports a 2nd piece. When the 2nd piece of input parameter LA7SC equals
1 the API will return results encoded using VUID's when available.
 
16. Remedy tickets HD0000000141922/HD0000000148089 reported a problem with
instructions for enabling this capability.
failure of generation of MailMan bulletin LA7 ORDER STATUS CHANGED at
collection laboratory facility. Routine LA7VMSG1 changed to set interface
type to set flag in Lab HL7 ORU message indicating an order status change
to trigger bulletin generation at collecting site.
 
  
ASSOCIATED E3R
--------------
 None
 
controlled by VHA DIRECTIVE 99-053, titled VISTA BLOOD BANK SOFTWARE.
 
 
ASSOCIATED REMEDY
-----------------
 HD0000000096207
 HD0000000141922
 HD0000000148089
 
TEST SITES
----------
 Atlanta VAMC
  
 Biloxi VAMC
 Boston HCS
 El Paso VAMC
 Houston VAMC
 Milwaukee VAMC
 North CHhicago VAMC
 Northhampton VAMC
 Palo Alto HCS
 Philadelphia VAMC
 Pittsburgh HCS
****************************************************************************
 Puget Sound HCS
 Salt Lake City VAMC
 South Texas HCS
 VA Greater Los Angeles HCS
 
 
INSTALLATION INSTRUCTIONS
=========================
 
  The install time for this patch is less than 5 minute. This patch
  
  can be installed when Laboratory users are on the system.
  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).
 
Patch LA*5.2*68 allows the HL7 ORU message containing patient laboratory 
 1.   LOAD TRANSPORT GLOBAL
      ---------------------------------------
      Choose the PackMan message containing this patch and invoke the
      INSTALL/CHECK   MESSAGE PackMan option. 
 
 
 2.   START UP KIDS
      Start up the Kernel Installation and distribution System
      Menu [XPD MAIN]:
              Edits and Distribution ...
results to be transmitted to the subscriber, LA7 LAB RESULTS TO HDR 
                           Utilities ...
                         Installation ...
      
     Select Kernel Installation & Distribution System Option: Installation
                                                              ----
                1      Load a Distribution
                2      Verify Checksums in Transport Global
                3      Print Transport Global
                4      Compare Transport Global to Current System
                5      Backup a Transport Global
(SUB). This subscriber protocol is used to transmit laboratory results to 
                6      Install Package(s)
                       Restart Install of Package(s)
                       Unload a Distribution
 
      Select Installation Option:
 
 3.   Select Installation Option:
      -------------------------------
      NOTE:  The following are OPTIONAL - (When prompted for the
      INSTALL NAME, enter LA*5.2*68):
the VA HDR.
      a.  Backup a Transport Global - This option will create a
          backup message of any routines exported with this patch.
          It will not backup any other changes such as DD's or templates.
      b.  Compare Transport Global to Current System - This option
          will allow you to view all changes that will be made when this
          patch is installed. It compares all components of this patch
          (routines, DD's, templates, etc.).
      c.  Verify Checksums in Transport Global - This option will
          allow you to ensure the integrity of the routines that are in
          the transport global.
 
 
 4.   Select Installation Option:  Install Package(s)
                                   ------------------
      **This is the step to start the installation of this KIDS patch:
 
      a.  Choose the Install Package(s) option to start the patch install.
          (When prompted for the INSTALL NAME, enter LA*5.2*68.)
      b.  When prompted 'Want KIDS to INHIBIT LOGONs during the install?
          NO//' answer NO (unless otherwise indicated)
      c.  When prompted 'Want to DISABLE Scheduled Options, Menu Options,
The HDR Team will contact the Chief of IRM at each site to set up the 
          and Protocols? NO//' answer NO (unless otherwise indicated)
 
 
 
 Note: Routine LA68 will be deleted after successful patch installation.
 
 
POST-INSTALLATION INSTRUCTIONS:
===============================
 
Changes include: 
coordination of lab extraction (LA*5.2*68) and the activation of the 
***************************************************************************
 
After the installation of Patch LA*5.2*68, do not activate the LA7 LAB 
RESULTS TO HDR (SUB) subscriber protocol until contacted by the HDR team
 
***************************************************************************
 
 
NOTE: Use the following steps only when activating the transmission of
laboratory data to the VA HDR and/or interfacing to a Commercial Off the 
subscriber (HDR).
Shelf System (COTS) or other VistA subscriber. No further action is
required, if there is no requirement to activate this interface.
 
 To activate messaging to the VA HDR perform steps 1, 2, and 3.
 To activate messaging to COTS and other VistA subscribers
    perform steps 1 and 4.
 
1. To utilize the building and transmission of HL7 Lab ORU result messages.
 
   Enable the configuration 'LA7HDR' in LA7 MESSAGE PARAMETER file
 
   (#62.48). This is accomplished by setting the field STATUS (#2) to
   'ACTIVE' using VA File Manager. Setting this field to 'INACTIVE' will
   turn off generation of this Lab HL7 message.
 
   Select VA FileMan Option:  Enter or Edit File Entries
 
   INPUT TO WHAT FILE: LA7 MESSAGE PARAMETER// 62.48  LA7 MESSAGE PARAMETER
    EDIT WHICH FIELD: ALL// STATUS
    THEN EDIT FIELD:
 
The coordination of extracting existing laboratory data (HDR historical) 
   Select LA7 MESSAGE PARAMETER CONFIGURATION: LA7HDR
   STATUS: INACTIVE// ACTIVE  ACTIVE
 
 
2. Activation of transmission to HDR requires coordination with your
   assigned HDR Implementation Manager (IM). Sites should not activate the
   LA7 LAB RESULTS TO HDR (SUB) subscriber until notified by the HDR
   team. The coordination of extractions of existing laboratory data will
   be started at the same time the configuration of the LA7 LAB RESULTS TO
   HDR (SUB) subscriber to ensure that there is an overlap of laboratory
and the configuration of the LA7 LAB RESULTS TO HDR (SUB) subscriber will 
   results. This overlap is done to ensure all laboratory results are in
   the HDR.
 
 a. Set up VDEFVIE4 link for Laboratory data transmission
 
     Use the HL7 Main Menu, Filers option to look at the setup for 
     VDEFVIE3. 
 
     Copy down the IP and port number used for VDEFVIE3.
 
be started at the same time. This will ensure that there is an overlap of 
     Use the HL7 Main Menu, Filers option to edit VDEFVIE4.  
 
     Enable auto startup and add the same IP and port numbers used for
     VDEFVIE3.
 
     Use the HL7 Main Menu, Start/Stop Links option to start the VDEFVIE4
     link.
 
     Use the HL7 Main Menu, Site Parameters option to select VDEF view
     and add VDEFVIE4 to the view.
laboratory results between the real time extraction of lab data and the 
 
 
 b. To activate the interface to the VA HDR use Protocol Edit option
   [HL EDIT INTERFACE] on the HL package Interface Developer Options
   [HL MENU INTERFACE TK] menu option and edit protocol LA7 LAB RESULTS
   TO HDR (SUB). Go to the second ScreenMan screen and edit the field
   ROUTING LOGIC and remove the leading ";" character and enter the
   'save' command to save the changes to the protocol.
 
                          HL7 SUBSCRIBER                       PAGE 2 OF 2
historical extraction of lab data.
                         LA7 LAB RESULTS TO HDR (SUB)
---------------------------------------------------------------------------
 
      RECEIVING APPLICATION: LA7HDR
 
      RESPONSE MESSAGE TYPE: ACK                            EVENT TYPE: R01
 
 SENDING FACILITY REQUIRED?: YES          RECEIVING FACILITY REQUIRED?: YES
 
         SECURITY REQUIRED?:
 
 
               LOGICAL LINK: VDEFVIE4
 
 PROCESSING RTN:
 
  ROUTING LOGIC: ;D RTR^LA7HDR("CH;")  <-- remove leading ";" character
____________________________________________________________________________
 
COMMAND:                                     Press <PF1>H for help    Insert
 
If a VA site activates the LA7 LAB RESULTS TO HDR (SUB) subscriber before 
After the change the field should look like:
  ROUTING LOGIC: D RTR^LA7HDR("CH;")
 
3. To transmit Lab HL7 ORU result messages to another system, i.e.
   Commercial Off the Shelf System (COTS).
 
 a. Create a HL7 subscriber protocol as documented in HL7 Site Manager &
    Developer Manual version 1.6*56
 
 b. Attach this protocol as a subscriber to HL7 event protocol LA7 LAB
    New style indexes have been created for the following sub-files
the historical extraction of existing laboratory data, the real time 
    RESULTS AVAILABLE (EVN). Use Protocol Edit option [HL EDIT INTERFACE]
    on the HL package Interface Developer Options [HL MENU INTERFACE TK]
    menu option to add this subscriber.
 
 
4. Controlling message generation and transmission.
 
   Notify the HDR Project Office in the event that this interface is
   deactivated and the interface to the HDR was previously activated
 
extraction of lab data at the VA site may not be synchronized with the 
   a. To turn off message building and transmission to ALL subscribers
      of event protocol LA7 LAB RESULTS AVAILABLE (EVN).
      Disable the configuration 'LA7HDR' in LA7 MESSAGE PARAMETER file
      (#62.48). This is accomplished by setting the field STATUS (#2) to
      'INACTIVE' using VA File Manager Enter or Edit File Entries [DIEDIT].
      Setting this field to 'INACTIVE' will turn off generation of this Lab
      HL7 message.
 
   b. To turn off message transmission to a specific subscriber.
      On the HL package, Interface Developer Options [HL MENU INTERFACE
HDR data.
      TK] menu option, use the Protocol Edit [HL EDIT INTERFACE] option to
      remove the related subscriber protocol from the event protocol LA7
      LAB RESULTS AVAILABLE (EVN).
 
      For the VA HDR, remove subscriber protocol LA7 LAB RESULTS TO HDR
      (SUB).
 
 
 
 
 
INSTALLATION EXAMPLE
====================
 
Select Installation Option: 6  Install Package(s) 
Select INSTALL NAME: LA*5.2*68 Loaded from Distribution  2/4/05@10:21
     => LA*5.2*68
 
This Distribution was loaded on Feb 04, 2005@10:21 with header of
   LA*5.2*68
   It consisted of the following Install(s):
If you have questions regarding installation or implementation,
      LA*5.2*68
Checking Install for Package LA*5.2*68
Will first run the Environment Check Routine, LA68
 
 
                        --- Environment Check is Ok ---
 
Install Questions for LA*5.2*68
 
Incoming Files:
contact the HDR Project Office.
 
 
   62.48     LA7 MESSAGE PARAMETER  (including data)
Note:  You already have the 'LA7 MESSAGE PARAMETER' File.
I will OVERWRITE your data with mine.
 
 
   63        LAB DATA  (Partial Definition)
Note:  You already have the 'LAB DATA' File.
 
 
 
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//
 
 
Want KIDS to INHIBIT LOGONs during the install? NO// NO
Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// 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.
Once the HDR Project Office confirms that installation and implementation 
 
DEVICE: HOME//  TELNET VIRTUAL
 
 
 Install Started for LA*5.2*68 :
               Feb 04, 2005@10:21:55
 
Build Distribution Date: Feb 04, 2005
 
 Installing Routines:.............
was accomplished successfully, you must log a Remedy ticket for any
               Feb 04, 2005@10:21:55
 
 Running Pre-Install Routine: PRE^LA68.
 
               Sending install started alert to mail group G.LMI
 
                          *** Pre install started ***
 
                           --- No action required---
 
subsequent problems encountered.
                         *** Pre install completed ***
 
 Installing Data Dictionaries: ...
               Feb 04, 2005@10:21:55
 
 Installing Data:
               Feb 04, 2005@10:21:55
 
 Installing PACKAGE COMPONENTS:
 
    of the LAB DATA file (#63):
 
 Installing HL7 APPLICATION PARAMETER...
 
 Installing PROTOCOL..
  Located in the LA7 (LAB MESSAGING) namespace..
  Located in the LA7 (LAB MESSAGING) namespace..
  Located in the LA7 (LAB MESSAGING) namespace..
               Feb 04, 2005@10:21:55
 
 Running Post-Install Routine: POST^LA68.
 
*****************************************************************************
                          *** Post install started ***
 
          *** Clearing facility name for LA7LAB entry in file #771 ***
 
                    *** Clearing facility name completed ***
 
                         *** Post install completed ***
 
              Sending install completion alert to mail group G.LMI
 
  
 Updating Routine file......
 
 Updating KIDS files.......
 
 LA*5.2*68 Installed.
               Feb 04, 2005@10:21:55
 
 Install Message sent #xxxx
 
1. The following protocols are added to the PROTOCOL file (#101)
 
NAME: LA7 LAB RESULTS ACTION
  ITEM TEXT: Lab process results for HL7 messaging
  TYPE: action                          
  PACKAGE: AUTOMATED LAB INSTRUMENTS
        ELECTRON MICROSCOPY (#63.02)
 DESCRIPTION:   Action protocol to setup sending lab results to HL7 message
 subscribers via protocol LA7 LAB RESULTS AVAILABLE (EVN) - Lab Results
 Available Event.  This protocol should be attached to protocol LAB RESULTS
 => EXTERNAL PACKAGE [LR7O ALL EVSEND RESULTS] which is an extended action
 protocol triggered by the lab result verification process.
  ENTRY ACTION: D QUEUE^LA7HDR          TIMESTAMP: 59056,40855
 
 
NAME: LA7 LAB RESULTS AVAILABLE (EVN)  ITEM TEXT: Lab Results Available Event
  TYPE: event driver                   
        SURGICAL PATHOLOGY (#63.08)
 DESCRIPTION: A VistA Laboratory package HL7 ORU result message is created
 and sent by the HL package for transmission to any subscribers of event
 protocol LA7 LAB  RESULTS AVAILABLE (EVN).
 
 It provides the capability for the generation of a Laboratory HL7 ORU
 message containing patient laboratory results to subscribers of the HL7
 event protocol LA7 LAB RESULTS AVAILABLE (EVN) as these results are made
 available within the Laboratory package.
  
 The following subscripts are supported by the event:
TRACK PACKAGE NATIONALLY YES
XPI1 NO
XPO1 YES
XPZ1 NO
FILE
  • UPDATE THE DATA DICTIONARY:   YES
    SEND SECURITY CODE:   NO
    SEND FULL OR PARTIAL DD:   FULL
    RESOLVE POINTERS:   NO
    DATA COMES WITH FILE:   YES
    SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   NO
    SCREEN TO SELECT DATA:   I $P(^LAHM(62.48,Y,0),"^")="LA7HDR"
  • UPDATE THE DATA DICTIONARY:   NO
    SEND SECURITY CODE:   NO
    SEND FULL OR PARTIAL DD:   FULL
    RESOLVE POINTERS:   NO
    DATA COMES WITH FILE:   YES
    SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   NO
    SCREEN TO SELECT DATA:   I Y=121
  • DD NUMBER:
    • EM (sub-file)
      FIELD NUMBER:
      • REPORT RELEASE DATE
    • SURGICAL PATHOLOGY (sub-file)
      FIELD NUMBER:
      • REPORT RELEASE DATE/TIME
    • CYTOPATHOLOGY (sub-file)
      FIELD NUMBER:
      • REPORT RELEASE DATE/TIME
    UPDATE THE DATA DICTIONARY:   YES
    SEND SECURITY CODE:   NO
    SEND FULL OR PARTIAL DD:   PARTIAL
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   NO
SEQ# 56
BUILD COMPONENTS
  • ENTRIES:
    • LA7 LAB RESULTS ACTION
      ACTION:   SEND TO SITE
    • LA7 LAB RESULTS AVAILABLE (EVN)
      ACTION:   MERGE MENU ITEMS
    • LA7 LAB RESULTS TO HDR (SUB)
      ACTION:   SEND TO SITE
    • LR7O ALL EVSEND RESULTS
      ACTION:   USE AS LINK FOR MENU/ITEM/SUBSCRIBERS
  • ENTRIES:
    • LA7 HDR RECOVER
      ACTION:   SEND TO SITE
    • LRLIAISON
      ACTION:   USE AS LINK FOR MENU/ITEM/SUBSCRIBERS
  • ENTRIES:
    • LA7HDR
      ACTION:   SEND TO SITE
  • ENTRIES:
    • LA7HDR
      ACTION:   SEND TO SITE
      CHECKSUM:   B39353571
    • LA7VHLU
      ACTION:   SEND TO SITE
      CHECKSUM:   B44857108
    • LA7VORM1
      ACTION:   SEND TO SITE
      CHECKSUM:   B57485485
    • LA7HDR1
      ACTION:   SEND TO SITE
      CHECKSUM:   B37911850
    • LA7VOBX
      ACTION:   SEND TO SITE
      CHECKSUM:   B30185961
    • LA7VOBXA
      ACTION:   SEND TO SITE
      CHECKSUM:   B53603815
    • LA7VOBX2
      ACTION:   SEND TO SITE
      CHECKSUM:   B21393582
    • LA7VOBX3
      ACTION:   SEND TO SITE
      CHECKSUM:   B83540167
    • LA7VOBX1
      ACTION:   SEND TO SITE
      CHECKSUM:   B28786998
    • LA7VIN5
      ACTION:   SEND TO SITE
      CHECKSUM:   B62438539
    • LA7QRY1
      ACTION:   SEND TO SITE
      CHECKSUM:   B34477085
    • LA7VORC
      ACTION:   SEND TO SITE
      CHECKSUM:   B18625097
    • LA7VOBR
      ACTION:   SEND TO SITE
      CHECKSUM:   B25844567
    • LA7VHLU2
      ACTION:   SEND TO SITE
      CHECKSUM:   B28776777
    • LA7VORU
      ACTION:   SEND TO SITE
      CHECKSUM:   B24122155
    • LA7VHLU4
      ACTION:   SEND TO SITE
      CHECKSUM:   B25782007
    • LA7VORU2
      ACTION:   SEND TO SITE
      CHECKSUM:   B5334202
    • LA7VOBRA
      ACTION:   SEND TO SITE
      CHECKSUM:   B39455733
    • LA7VHLU9
      ACTION:   SEND TO SITE
      CHECKSUM:   B16600197
    • LA7VORUB
      ACTION:   SEND TO SITE
      CHECKSUM:   B37430566
    • LA7QRY2
      ACTION:   SEND TO SITE
      CHECKSUM:   B38475048
    • LA7VOBRB
      ACTION:   SEND TO SITE
      CHECKSUM:   B12807459
    • LA7QRY
      ACTION:   SEND TO SITE
      CHECKSUM:   B8496816
    • LA7VHLU5
      ACTION:   SEND TO SITE
      CHECKSUM:   B49053645
    • LA7VHLU3
      ACTION:   SEND TO SITE
      CHECKSUM:   B55573792
    • LA7VORUA
      ACTION:   SEND TO SITE
      CHECKSUM:   B11624236
    • LA7VORU1
      ACTION:   SEND TO SITE
      CHECKSUM:   B61414246
    • LA7VMSG1
      ACTION:   SEND TO SITE
      CHECKSUM:   B52098570
ENVIRONMENT CHECK ROUTINE LA68
DELETE ENV ROUTINE Yes
POST-INSTALL ROUTINE POST^LA68
PRE-INSTALL ROUTINE PRE^LA68