$TXT Created by  at   (KIDS) on Tuesday, 11/03/15 at 12:22
=============================================================================
Run Date: NOV 04, 2015                     Designation: TIU*1*291
Package : TIU - TEXT INTEGRATION UTILITIES    Priority: Mandatory
Version : 1                                     Status: Under Development
=============================================================================


Subject: CWAD AUTO-DEMOTION

Category: 
  - Routine
  - Other
  - Enhancement (Mandatory)

Description:
============

 This patch introduces the new CWAD (Cautions, Warnings, Adverse Reactions,
 and Directives) notes auto-demotion functionality.
  
 Patch Components:
 =================
  
 Files & Fields Associated:
  
  
 Forms Associated:
  
  
 Mail Groups Associated:
  
  
 Options Associated: 
  
    Option Name                           Type          New/Modified/Deleted
    -----------                           ----          --------------------
    CWAD/Postings Auto-Demotion Setup     run routine           New
       [TIU CWAD AUTO-DEMOTION]
    Text Integration Utilities            menu                Modified
       (MIS Manager) [TIU MAIN MENU MGR]
  
    The CWAD/Postings Auto-Demotion Setup [TIU CWAD AUTO-DEMOTION] option is
    added as a new menu item of the Text Integration Utilities (MIS Manager)
    [TIU MAIN MENU MGR] menu option.
  
  
 Protocols Associated:
  
  
 Security Keys Associated:
  
  
 Templates Associated:
  
  
 Additional Information:
  
  
 Parameters Associated:
  
    The following Parameter Definition will be added in support of the
    CWAD auto-demotion functionality:
  
    Name                      Description
    ----------------------------------------------------------------------
    TIU CWAD EXCLUDED TITLES  THIS PARAMETER IS USED TO EXCLUDE CWAD NOTE
                              TITLES, WHICH ARE MAPPED TO THE SELECTED VHA
                              ENTERPRISE STANDARD TITLES, FROM THE AUTO-
                              DEMOTION FUNCTIONALITY.
  
  
    The following TIU CWAD EXCLUDED TITLES parameter instances will be
    installed:
    
    Parameter                       Instance   Value
    -----------------------------------------------------------------------
    PKG: TEXT INTEGRATION UTILITIES    1       ADVANCE DIRECTIVE
    PKG: TEXT INTEGRATION UTILITIES    2       ADVANCE DIRECTIVE DISCUSSION
    PKG: TEXT INTEGRATION UTILITIES    3       RESCINDED ADVANCE DIRECTIVE
  
  
 NEW SERVICE REQUESTS (NSR):
 ===========================
 NSR #20080307     CWAD Post Auto-Demotion Rules Request
  
  
 PATIENT SAFETY ISSUES (PSIs):
 =============================
  
  
 ASSOCIATED REMEDY TICKETS:
 ==========================
  
  
 PARTICIPATING TEST SITES:
 =========================
  
  
 NEW SERVICE REQUEST OVERVIEW:
 =============================
 NSR #20080307     CWAD Post Auto-Demotion Rules Request
  
 CWAD is a section of CPRS used for posting progress notes, which are more
 important than standard level notes. These progress notes are made more
 easily available throughout CPRS. The postings dialog box can become full
 of CWAD notes, resulting in important notes from being easily
 distinguishable from less important notes. The requested enhancement is
 to demote previously designated notes from the CWAD postings to a regular
 note status when a newer note, of a particular title, is written which
 supersedes the existing CWAD note. This is accomplished by converting an
 existing Class III application to Class I. A new parameter definition
 (TIU CWAD EXCLUDED TITLES) and three default parameter entries are
 included in this release as well as one new option (CWAD/Postings Auto-
 Demotion Setup [TIU CWAD AUTO-DEMOTION]) Two new routines will drive
 this new functionality.
  
 The TIU CWAD EXCLUDED TITLES parameter is used to prevent specific CWAD
 titles from being selected for auto-demotion. What is entered is the VHA
 Enterprise Standard Title from TIU VHA ENTERPRISE STANDARD TITLE (#8926.1)
 file. Any CWAD related title in the TIU DOCUMENT DEFINITION (#8925.1)
 file which is mapped to an excluded VHA Enterprise Standard Title will
 not be selectable as an auto-demotion CWAD title. At the guidance of the
 National Center for Ethics in Health Care, we are defaulting three VHA
 Enterprise Standard Titles to be excluded from the CWAD Auto-Demotion
 functionality. These are ADVANCE DIRECTIVE, ADVANCE DIRECTIVE
 DISCUSSION, and RESCINDED ADVANCE DIRECTIVE. These titles should not be
 removed without prior guidance.
  
  
 Documentation Retrieval Instructions:
 =====================================
 Updated documentation describing the new functionality introduced by this
 patch is available. The preferred method is to FTP the files from
 ftp://download.vista.domain.ext/. This transmits the files from the first
 available FTP server. Sites may also elect to retrieve software directly
 from a specific server as follows:
  
    Albany          ftp.ftpserver.domain.ext <ftp://ftp.ftpserver.domain.ext>
    Hines           ftp.ftpserve.domain.ext  <ftp://ftp.ftpserve.domain.ext>
    Salt Lake City  ftp.ftpsrv.domain.ext    <ftp://ftp.ftpsrv.domain.ext>
  
 Documentation can also be found on the VA Software Documentation Library at:
 http://www4.domain/vdl/
  
 Title                                      File Name          FTP Mode
 -----                                      ---------          --------
 Clinical Coordinator and User Manual       tiuum.pdf          binary
 Technical Manual                           tiutm.pdf          binary
  
  
 Patch Installation:
 ===================
  
 Pre/Post Installation Overview:
 -------------------------------
 There are no Pre/Post install routines included with this patch Site
 Clinical Application Coordinators and/or site designated personnel may
 configure CWAD notes for Auto-Demotion.
  
 Pre-Installation Instructions:
 ------------------------------
 This patch may be installed with users on the system although it is
 recommended that it be installed during non-peak hours to minimize potential
 disruption to users. This patch should take less than 5 minutes to install.
 There are no options to disable during this installation.
  
 Installation Instructions:
 --------------------------
    1. Choose the PackMan message containing this patch.
    2. Choose the INSTALL/CHECK MESSAGE PackMan option 
    3. From the Kernel Installation and Distribution System Menu, select the
       Installation Menu From this menu, you may elect to use the following
       options. When prompted for the INSTALL NAME enter the patch
       #TIU*1.0*291.
       a. Backup a Transport Global - May be skipped on initial installation
          as all routines are new This option will create a backup message
          of any routines exported with this patch. It will not backup any
          other changes such as DDs 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,
          DDs, 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. From the Installation Menu, select the Install Package(s) option and
       choose the patch to install.
    5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
       Install? YES//' answer Yes. You may answer No if your system rebuilds
       menu trees nightly using TaskMan. If you rebuild the menu trees during
       the installation, it could affect users on the system and the
       installation times will increase.
    6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//'
       answer No.
    7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
       Protocols? NO//' answer No.
    8. If prompted 'Delay Install (Minutes):  (0 - 60): 0//' respond 0.
  
 Post-Installation Instructions:
 -------------------------------
 After a successful installation, site Clinical Application Coordinators
 and/or site designated personnel may configure CWAD notes for Auto-Demotion
 utilizing the CWAD/Postings Auto-Demotion Setup [TIU CWAD AUTO-DEMOTION]
 option located on the Text Integration Utilities (MIS Manager) [TIU MAIN
 MENU MGR] menu option. Below is an example:
  
                           --- MIS Managers Menu ---
  
  
    1      Individual Patient Document
    2      Multiple Patient Documents
    3      Print Document Menu ...
    4      Search for Selected Documents
    5      Statistical Reports ...
    6      Unsigned/Un      ed Report
    7      Missing Text Report
    9      Signed/unsigned PN report and update
    10     UNKNOWN Addenda Cleanup
    11     Missing Expected Cosigner Report
    12     Mark Document as 'Signed by Surrogate'
    13     Mismatched ID Notes
    14     TIU 215 ANALYSIS ...
    15     Transcription Billing Verification Report
    16     CWAD/Postings Auto-Demotion Setup
  
 Select Text Integration Utilities (MIS Manager) <TEST ACCOUNT> Option: 16
   CWAD/Postings Auto-Demotion Setup
  
  
  
  
  
 Select a CWAD/Postings TITLE for auto-demotion: CRISIS NOTE
       Std Title: CRISIS NOTE
  
 Select a NON-Posting TITLE as the demotion target: DEMOTED CRISIS NOTE
  
 Done.  Post-Signature code has been set (or reset) as follows...
 TITLE: CRISIS NOTE
 POST-SIGNATURE ACTION: D SILENT^TIUCWD(1632,11)

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;1.0;TEXT INTEGRATION UTILITIES;**[Patch List]**;Jun 20, 1997;Build 5

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: TIUCWD
    Before:       n/a   After:  B2873731  **291**
Routine Name: TIUCWDUT
    Before:       n/a   After: B10012924  **291**

=============================================================================
User Information:
Entered By  :                     Date Entered  : JAN 14, 2015
Completed By:                               Date Completed: 
Released By :                               Date Released : 
=============================================================================


Packman Mail Message:
=====================

$END TXT
