| DESCRIPTION OF ENHANCEMENTS |
BLOOD BANK CLEARANCE
elements functions.
59 SHORTNAME SHORTNAME field (#81)
Those local terms not included in the installed files should be formally
requested by notifying the National Laboratory Test Coordinator using the
form provided on the VistA Laboratory Documentation Web Page.
http://vista.domain.ext/clinicalspecialties/lab/
Forward your completed request form to the Exchange distribution group:
VHAISD LAB NLT_LOINC
===========================
OPTIONS:
NEW OPTION:
Print LOINC Code Status [LR LOINC STATUS PRINT]
This patch will provide an option to list LOINC deprecated terms. The
option will also provide a list of currently mapped/linked laboratory
tests that are linked to LOINC deprecated terms. This new option is
located on the LOINC Mapping Utility Menu [LR LOINC UTILITY] menu.
RISK ANALYSIS: Changes made by patch LR*5.2*334 have no effect on Blood
MODIFIED OPTION:
Map Lab Tests to LOINC Codes [LR LOINC MAP]
This option has been modified to permit the use of suffixed WKLD CODE
in the NATIONAL VA LAB CODE (#64) field, of the LABORATORY TEST (#60)
file. This modified option is located on the LOINC Main Menu [LRLOINC]
menu.
=========================
DATA DICTIONARY MODIFICATIONS:
Bank software functionality, therefore RISK is none.
The screen has been removed from "NATIONAL VA LAB CODE" (#64) field, of
the "LABORATORY TEST" (#60) file. This will permit the use of suffixed
WKLD CODE in the NATIONAL VA LAB CODE (#64) field, of the LABORATORY
TEST(#60) file.
A cross-reference has been created on the "STATUS" (#20) field of the
"LAB LOINC" (#95.3) file.
The patch creates the following fields in the LAB LOINC (#95.3) file:
VALIDATION REQUIREMENT BY OPTION: Because of the nature of the changes
MASTER ENTRY FOR VUID field (#99.98), VUID field (#99.99), and EFFECTIVE
DATE/TIME field multiple (#99.991) with an Effective DATE/TIME field
(95.3099,.01) and STATUS field (95.3099,.02) which includes a date/time
stamp and a status of 'active' or 'inactive' in the files being
standardized.
This patch also modifies data dictionaries to prevent future modification
to these files at a local site.
Routine Summary:
made, no specific validation requirements exist as a result of
================
The following is a list of the routine(s) included in this patch. The
second line of each of these routine(s) will look like:
<tab>;;5.2;LAB SERVICE;**[patch list]**;Sep 27, 1994
CHECK^XTSUMBLD results
Routine Checksum checksum
installation of this patch.
Name Before Patch After Patch Patch List
======= ============ =========== ==========
LR334 N/A 4244176 334 (deleted by patch)
LR334P N/A 3802010 334
LR334PO N/A 9206370 334
LR334POA N/A 2989047 334
LR7OU5 13182116 12982551 127,201,272,334
LRLNCC 2634007 2869430 232,280,334
LRLNCST N/A 5628677 334
======================
ASSOCIATED NOIS:
===============
N/A
ASSOCIATED E3R:
==============
N/A
TEST SITES:
==========
Biloxi VAMC, MS
Boston HCS, MA
El Paso HCS, TX
North Chicago VAMC, IL
Salt Lake VAMC, UT
San Antonio VAMC, TX
Shreveport VAMC, LA
Tucson VAMC, AZ
ENHANCEMENTS:
Required Builds:
==========================
LR*5.2*272
LR*5.2*302
LR*5.2*232
LR*5.2*280
XU*8.0*299
XT*7.3*93
HDI*1.0*1
====================
Installation Instructions:
=========================
The patch LR*5.2*334 KIDS build file named LR_52_334.KID is stored in the
ASCII format.
LAB_52_p334_IMPG.doc; VistA National Laboratory Test (NLT)/Logical
Observation Identifier Naming Codes (LOINC) V2.14 Update Implementation
Guide Patch LR*5.2*334 Version 5.2 - stored in a BINARY format.
Map Lab Tests to LOINC Codes [LR LOINC MAP]
LAB_52_p334_IMPG.pdf; VistA National Laboratory Test (NLT)/Logical
Observation Identifier Naming Codes (LOINC) V2.14 Update Implementation
Guide Patch LR*5.2*334 Version 5.2 - stored in a BINARY format.
All files can be obtained from the following Office of Information
Field Offices (OIFOs) ANONYMOUS SOFTWARE directories. All sites are
encouraged to use the File Transfer Protocol (FTP) capability. Use the
FTP address "download.vista.domain.ext" (without the quotes) to connect
to the first available FTP server were the files are located.
This option has been modified to permit the use of suffixed WKLD CODE
OIFO FTP Address Directory
Albany ftp.fo-albany.domain.ext anonymous.software
Hines ftp.fo-hines.domain.ext anonymous.software
Salt Lake ftp.fo-slc.domain.ext anonymous.software
All users may remain on the system. Installation time is less than 30
minutes.
Note: The patch should be installed during off peak hours.
in the NATIONAL VA LAB CODE (#64) field, of the LABORATORY TEST (#60)
No laboratory background jobs need to be stopped. No options need to be
placed out of service.
LABORATORY USERS MUST NOT ACCESSION SPECIMENS OR ENTER/VERIFY RESULTS
DURING THE INSTALLATION because several reference files are being deleted
and replaced with this patch.
============================
From the Kernel Installation & Distribution System (KIDS) menu
file. This modified option is located on the LOINC Main Menu [LRLOINC]
1. Use the 'Load a Distribution' option to load the
LR_52_334.KID file onto your system.
2. The patch has now been loaded into a Transport global
on your system. You now need to use KIDS to install
the Transport global.
On the KIDS menu, under the 'Installation' menu, use
the following options:
Print Transport Global
Compare Transport Global to Current System
menu
Verify Checksums in Transport Global
Backup a Transport Global
3. Users may remain on the system, but installation
should be done at off peak hours.
4. Installation time is less than 30 minutes during off
peak hours and less than 45 minutes during peak hours.
5. Installation of this patch requires no additional
memory space.
6. From the 'Installation Menu' of the KIDS menu, run the
option
'Install Package(s)' Select the package 'LR*5.2*334'
and proceed with the install.
7. Want KIDS to Rebuild Menu Trees Upon Completion of Install?
YES// respond 'YES'
Note: Answering yes can significantly increase install time.
8. When prompted 'Want KIDS to INHIBIT LOGONS during the
install? YES//' respond NO.
9. When prompted 'Want to DISABLE scheduled Options, Menu
Print LOINC Code Status [LR LOINC STATUS PRINT]
Options, and Protocols? YES//' respond NO.
================
Example of install:
Select INSTALL NAME: LR*5.2*334
Loaded from Distribution 10/13/05@14:50:38
=> NLT/LOINC v2.14 Update ;Created on Oct 13, 2005@13:46:31
This Distribution was loaded on Oct 13, 2005@14:50:38 with header of
This patch will provide an option to list LOINC deprecated terms. The
NLT/LOINC v2.14 Update ;Created on Oct 13, 2005@13:46:31
It consisted of the following Install(s):
LR*5.2*334
Checking Install for Package LR*5.2*334
Will first run the Environment Check Routine, LR334
--- Environment Check is Ok ---
Sending install loaded alert to mail group G.LMI
option will also provide a list of currently mapped/linked laboratory
Install Questions for LR*5.2*334
Incoming Files:
60 LABORATORY TEST (Partial Definition)
Note: You already have the 'LABORATORY TEST' File.
64 WKLD CODE
Note: You already have the 'WKLD CODE' File.
tests that are linked to LOINC deprecated terms. This new option is
64.061 LAB ELECTRONIC CODES (including data)
Note: You already have the 'LAB ELECTRONIC CODES' File.
I will OVERWRITE your data with mine.
64.062 LAB ELECTRONIC SUBTYPES (including data)
Note: You already have the 'LAB ELECTRONIC SUBTYPES' File.
I will OVERWRITE your data with mine.
64.2 WKLD SUFFIX CODES (including data)
Note: You already have the 'WKLD SUFFIX CODES' File.
located on the LOINC Mapping Utility Menu [LR LOINC UTILITY] menu.
I will OVERWRITE your data with mine.
64.22 WKLD ITEM FOR COUNT (including data)
Note: You already have the 'WKLD ITEM FOR COUNT' File.
I will OVERWRITE your data with mine.
64.3 WKLD INSTRUMENT MANUFACTURER (including data)
Note: You already have the 'WKLD INSTRUMENT MANUFACTURER' File.
I will OVERWRITE your data with mine.
64.81 LAB NLT/CPT CODES (including data)
Note: You already have the 'LAB NLT/CPT CODES' File.
I will OVERWRITE your data with mine.
95.3 LAB LOINC (including data)
Note: You already have the 'LAB LOINC' File.
I will OVERWRITE your data with mine.
95.31 LAB LOINC COMPONENT (including data)
Note: You already have the 'LAB LOINC COMPONENT' File.
I will OVERWRITE your data with mine.
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//YES
Note: Answering yes can significantly increase install time.
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.
You can queue the install by enter a 'Q' at the device prompt.
This patch will support "Veterans Health Administration Unique
Enter a '^' to abort the install.
DEVICE: HOME// UCX/TELNET
Install Started for LR*5.2*334 :
Oct 13, 2005@15:07:27
Build Distribution Date: Oct 13, 2005
Installing Routines:
Identifiers (VUID) standard. This patch will provide the necessary LAB
Oct 13, 2005@15:07:27
Running Pre-Install Routine: PRE^LR334
. *** Preinstall completed ***
Installing Data Dictionaries:
Oct 13, 2005@15:07:27
Installing Data:
LOINC (#95.3) file data dictionary modifications in support of Data
Oct 13, 2005@15:17:30
Installing PACKAGE COMPONENTS:
Installing OPTION
Oct 13, 2005@15:17:30
Running Post-Install Routine: POST^LR334 . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . .
Standardization (DS) and the maintenance of those standards by Enterprise
. Building List Of Added NLT CODEs
.
. Sending message to LMI Mail Group.
.
. List Of Added WKLD CODEs Complete
..........................................................................
.....
Sending install completion alert to mail group G.LMI
Reference Terminology (ERT).
. Updating Routine file...
Updating KIDS files...
LR*5.2*334 Installed.
Oct 13, 2005@15:20:24
Install Message sent #XXXXX
Call MENU rebuild
Starting Menu Rebuild: Oct 13, 2005@15:20:26
Collecting primary menus in the New Person file...
. Primary menus found in the New Person file
. ------------------------------------------
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*334 does not
LAB LOINC (#95.3) file protection has been significantly enhanced to
DIUSER VA FileMan 1 06/04/92 10/05/05
Building secondary menu trees....
Merging.... done.
Menu Rebuild Complete: Oct 13, 2005@15:20:40
Install Completed
prevent field editing of the file. All fields will be populated by the DS
LIM: Review description for LR*5.2*334 use KIDS:Utilities: Build File
Print
POST INSTALLATION INSTRUCTIONS:
=============================
Review installed LOINC codes to ensure that codes with the status of
Deprecated (DEL) are not used in your current mapping of LOINC codes. In
some cases, deprecated LOINC codes [LAB LOINC (#95.3) file, MAP TO (#21)
authority, there are no fields in this file that are site editable.
field] will have the suggested replacement LOINC code populated.
Note:
If your site is a HOST LEDI site, changing of any LOINC or NLT codes
should be coordinated with the collection site to ensure that both sites
agree in LOINC and NLT mappings.
Note:
Please refer to the VistA NLT/LOINC V2.14 UPDATE Patch LR*5.2*334
Implementation Guide which provides the Laboratory Information
Manager (LIM) a task-oriented approaches with step-by-step
instructions and examples for mapping LOINC V2.14 codes.
LAB LOINC (#95.3) file contents will be updated to the Regenstrief issued
LOINC version 2.14.
This patch will update the WKLD CODE (#64) file and several laboratory
standardized files associated with National Laboratory Test (NLT) package
and Logical Observation Identifier Naming Codes (LOINC) coding. (See list
contain any changes to the VISTA BLOOD BANK Software as defined by VHA
below)
File # File Name Method
64.061 LAB ELECTRONIC CODES Replaced
64.062 LAB ELECTRONIC SUBTYPES Replaced
64.2 WKLD SUFFIX CODES Replaced
64.22 WKLD ITEM FOR COUNT Replaced
64.3 WKLD INSTRUMENT MANUFACTURER Replaced
64.81 LAB NLT/CPT CODES Replaced
DIRECTIVE 2004-058 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2.
95.3 LAB LOINC Replaced
95.31 LAB LOINC COMPONENT Replaced
64 WKLD CODE Updated
============================
LOINC Copyright acknowledgement:
LOINC was Copyrighted 1995, 1996, 1997, by Regenstrief Institute and the
Logical Observation Identifier Names and Codes (LOINC) Committee. All
rights reserved. LOINC is a trademark of the Regenstrief Institute.
Contact information:
LOINC
C/o Regenstrief Institute
1001 West 10th Street, RHC-5
Indianapolis, Indiana 46202 USA
========================
VistA Laboratory Package LAB LOINC (#95.3) file does not support all of
the fields contained in the LOINC database. Refer to the LOINC user's
manual for more field details. The following fields are imported and
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*334 does not
supported within VistA. The field "(#X)" refers to the field in the LAB
LOINC (#95.3) file were the data is stored.
# Loinc Term VistA name
1 LOINC_NUM CODE field (#.01) + CHECK DIGIT field (#15)
2 COMPONENT COMPONENT field (#1)+LAB LOINC COMPONENT file
(95.31)
3 PROPERTY PROPERTY field (#2)
4 TIME_ASPCT TIME ASPECT field (#3)
5 SYSTEM SYSTEM field (#4)
alter or modify any software design safeguards or safety critical
6 SCALE_TYP SCALE TYPE field (#5)
7 METHOD_TYP METHOD TYPE field (#6)
9 CLASS CLASSTYPE field (#41)
10 SOURCE SOURCE field (#8)
14 DT_LAST_CH DATE LAST CHANGED field (#22)
15 CHNG_REAS CHANGE REASON field (#24)
16 CHNG_TYPE CHANGE TYPE field (#23)
19 STATUS STATUS field (#20)
20 MAP_TO MAP TO field (#21)
23 VA_CD VA CODE field (#34
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