DEVICE: HOME// ;;9999  SSH VIRTUAL TERMINAL

VistA Patch Display                                                   Page: 1
=============================================================================
Run Date: DEC 06, 2018                      Designation: TIU*1*290  TEST v57
Package : TEXT INTEGRATION UTILITIES        Priority   : MANDATORY
Version : 1                                 Status     : UNDER DEVELOPMENT
=============================================================================

Associated patches: (u)OR*3*377        install with patch       `TIU*1*290'
                    (v)TIU*1*153   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*166   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*226   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*232   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*238   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*263   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*271   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*276   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*277   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*295   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*299   <<= must be installed BEFORE `TIU*1*290'
                    (v)TIU*1*314   <<= must be installed BEFORE `TIU*1*290'
                    

Subject:  CPRS V31.B - NOTE TITLES, COPY/PASTE AND BUG FIXES

Category:  ENHANCEMENT
           ROUTINE
           DATA DICTIONARY
           OTHER
           INPUT TEMPLATE

Description:
===========
 
This patch is released in conjunction with the Computerized Patient 
Record System (CPRS) version 31b release. It is bundled along with 
OR*3.0*377.  Please refer to the install guide referenced later in this
description for specific installation instructions.
 
This patch installs the following document class and note titles:
 
System for Mammogram Tracking (SMART) Notifications
SMART is a new optional alert processing system for breast imaging exam 
follow-up. It assists providers in documenting the results of breast 
imaging exams, communicating those results to the patient, and scheduling 
follow-up and/or future exams. The note titles below are used to capture 
the follow-up documentation.
 
TIU DOCUMENT DEFINITION (8925.1)
The new titles are attached to the new document class.
 
NAME                                            TYPE
----                                            ----
SMART NOTES                                     DOCUMENT CLASS
SMART BREAST IMAGINE FOLLOW-UP                  TITLE
SMART PATIENT NOTIFICATION                      TITLE
 
Women's Health High Risk Medications
The high risk medications functionality enables providers to document a 
patient's pregnancy and lactation status in the Women's Health software 
package. One feature of that functionality tracks the pregnancy and 
lactation status in other VistA software packages (such as Laboratory and 
Patient Care Encounter). When there is a mismatch, an alert is generated 
notifying case managers of such and will assist them in updating the 
status in the Women's Health software package. The note titles below are 
used to capture this status change.
 
TIU DOCUMENT DEFINITION (8925.1)
The new titles are attached to the WOMEN'S HEALTH NOTES* document class.
 
*The WOMEN'S HEALTH NOTES document class should already be present in 
File #8925.1.  If it is not present, the installation will abort so that 
it may be added.
 
NAME                                            TYPE
----                                            ----
PREGNANCY STATUS UPDATE REVIEW                  TITLE
LACTATION STATUS UPDATE REVIEW                  TITLE
 
Lifetime Health Monitoring
 
TIU DOCUMNET DEFINITION (8925.1)
The new title is attached to the SECURE MESSAGING DOCUMENTS document 
class.
NAME                                            TYPE
----                                            ----
HEALTHELIVING ASSESSMENT SUMMARY                TITLE
 
This patch introduces new functionality that will track the copying and 
pasting of text within documents in the Computerized Patient Record 
System (CPRS).
 
This patch also introduces new functionality that will allow the TIU 
software package to notify other software packages when actions are taken 
on documents. Before taking an action on a document, it will poll other 
software packages for informational messages that those packages need to 
display to the user taking the action on the document.
 
Lastly, this patch introduces new functionality to prevent edits to 
templates and template fields that are used in consult requests. The TIU 
TEMPLATE CONSULT LOCK option has been added to the TIU IRM TEMPLATE MGMT 
menu. This menu allows the user to set System-level values for the TIU
TEMPLATE CONSULT LOCK parameter. Adding a TIU consult template
to that parameter will prevent any edit to that template and all its
associated template fields when using the GUI Template Editor. This 
locking is only applicable to templates that are linked to a consult 
service.
 
 
Patch Components:
-----------------
 
Files & Fields Associated:
 
File Name (Number)      Field Name (Number)        New/Modified/Deleted
------------------      -------------------        --------------------
PASTED TEXT TRACKING    PASTE DATE (#.01)                   NEW
  (#8928)               PASTING USER (#.02)                 NEW
                        INSTITUTION (#.03)                  NEW
                        PASTED TO IEN (#.04)                NEW
                        PASTED TO DOCUMENT LOCATION (#.05)  NEW
                        COPY FROM IEN (#.06)                NEW
                        COPY FROM LOCATION (#.07)           NEW
                        COPY/PASTE MATCH PCT (#.08)         NEW
                        CAPTURING APP (#.09)                NEW
                        OUTSIDE COPY (#.1)                  NEW
                        PARENT (#.11)                       NEW
                        FORCE SEARCH (#.12)                 NEW
                        PASTED TEXT (#1)                    NEW
                        COPIED TEXT (#2)                    NEW
 
TIU DOCUMENT PARAMTERS  EXCLUDE FROM COPY/PASTE (#10.1)     NEW
  (#8925.95)
 
TIU PARAMETERS          MINIMUM COPY WORDS (#4.1)           NEW
  (#8925.99)            COPY/PASTE VERIFY PERCENTAGE (#4.2) NEW
                        DAYS TO STORE COPY TEXT (#4.3)      NEW
                        COPY/PASTE USERCLASS (#4.4)         NEW
 
COPY/PASTE USERCLASS    USERCLASS (#.01)                    NEW
  (#8925.9901)
 
TIU DOCUMENT (#8925)    EXPECTED SIGNER (#1204)             MODIFIED
 
TIU TEMPLATE (#8927)    REMINDER DIALOG #(.15)              MODIFIED
                        CONSULT LOCK (#.2)                  NEW
 
TIU TEMPLATE FIELD      CONSULT LOCK (#.17)                 NEW
  (#8927.1
 
Forms Associated:
 
None 
 
Mail Groups Associated:
 
None
 
Options Associated:
 
Option Name                       Type             New/Modified/Deleted
-----------                       ----             -------------------- 
TIU COPY/PASTE REPORTS MENU       MENU                      NEW
TIU COPY/PASTE SUMMARY REPORT     RUN ROUTINE               NEW
TIU COPY/PASTE DETAIL REPORT      RUN ROUTINE               NEW
TIU MAIN MENU MGR                 MENU                    MODIFIED
TIU IRM TEMPLATE MGMT             MENU                    MODIFIED
TIU TEMPLATE CONSULT LOCK         RUN ROUTINE               NEW
 
Protocols Associated:
 
Protocol Name              New/Modified/Deleted
-------------              -------------------- 
TIU DOCUMENT ACTION DISPLAY        New
TIU DOCUMENT ACTION EVENT          New
 
Security Keys Associated:
 
None
 
Templates Associated:
 
Template Name       Type   File Name (Number)          New/Modified/Deleted 
-------------       ----   ------------------          --------------------
TIU BASIC PARAMETER INPUT  TIU DOCUMENT PARAMETERS            MODIFIED
  EDIT                       (#8925.99)
TIU DOCUMENT        INPUT  TIU PARAMETERS (#8925.95)          MODIFIED
  PARAMETER EDIT
 
 
Additional Information:
 
Parameters Associated:
 
Parameter Name             New/Modified/Deleted
--------------             --------------------
TIU TEMPLATE CONSULT LOCK          New 
 
 
New Service Requests (NSRs):
----------------------------
NSR #20080528 - Copy/Paste - The Ability To Identify and Monitor
NSR #20071218 - Teratogenic Drugs
 
 
Patient Safety Issues (PSIs):
-----------------------------
PSPO #3267, 3274, 3405 - Patient Data Objects Incorrectly Listed Clinic 
Order as an Active Inpatient Order. Reference CA SDM ticket R9635898FY16.
 
Nationally exported TIU Patient Data Objects (PDOs) that display patient 
medication information did not distinguish Clinic Medications/Infusions 
from other medications. The rules for medication object PDOs have been 
updated as follows.
 
1. Clinic medications are no longer grouped with inpatient medications.  
An object that only displays inpatient medications will no longer display 
any clinic medications.
 
2. Existing objects that currently display both inpatient and outpatient 
medications will now display clinic medications in their own sub-heading. 
National PDOs affected are:
ACTIVE MEDICATIONS
ACTIVE MEDS COMBINED
DETAILED ACTIVE MEDS
DETAILED RECENT MEDS
RECENT MEDICATIONS
RECENT MEDS COMBINED
 
Any locally created TIU PDO calling the LIST^TIULMED API is affected by 
this update. Please reference the updated TIU Technical Manual for 
detailed information regarding the API and creation of medication-related
PDOs.
 
 
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1. Remedy INC000000069650  - Resident Documentation not requiring Co-Sig
   Remedy Duplicate INC000000069993 ALERTS FOR COSIGNER NOT WORKING W
   UPLOAD
 
Problem:
--------
If the author of a TIU Progress Note requires co-signature and the note is
uploaded into TIU without an Expected Cosigner, no Missing Field alert is 
generated.
 
Resolution:
-----------
A Missing Field alert is now generated.
 
 
2. Remedy INC000000298417 2 Chief,MIS is unable to amend a discharge
                          summary
 
Problem:
--------
If an authorized person attempts to amend an un-cosigned document, they 
are correctly refused permission to amend but they receive the message:
"Only SIGNED Documents may be amended." This message implies that the
user should be able to amend the document. In fact, TIU (Text Integration
Utility) permits only COMPLETED documents to be amended; un-cosigned
documents may NOT be amended.
 
Resolution:
-----------
The message now reads:
"Only COMPLETED Documents may be amended."
 
3. Remedy INC000000089942 5 DISCHARGE SUMMARY "REF DATE"  
   Remedy INC000000290691 (Duplicate) DISCHARGE SUMMARY DATE IN FUTURE
 
Problem:
--------
Users are not permitted by policy to upload Discharge Summaries with 
Dictation Dates in the future into TIU.  Currently, the TIU Upload option 
goes ahead and uploads such Discharge Summaries.
 
Resolution:
-----------
The upload option now aborts the upload if the Dictation Date of a
Discharge Summary is in the future.
 
 
4. Remedy INC000000828109 - Undefined for Proxy User
 
Problem: 
--------
Some systems from outside of VA (in this case the CERNER Lab System)
utilize proxy users in the VA NEW PERSON FILE [#200]. Proxy users do not
have Electronic Signatures.  In fact for proxies, the whole 20th node of
file 200 may not exist. TIU does not check whether node 20 exists. This 
generates an undefined error when TIU attempts to display a Proxy 
document.
 
Resolution:
-----------
The OUTPUT TRANSFORM for the EXPECTED SIGNER field (#1204) in TIU DOCUMENT
FILE [#8925] now checks for the existence of the 20 node in file 200
before going on to check for the existence of an Electronic Signature in
file 200.  If either check fails, TIU uses the name itself of the proxy in
file 200 rather than its Electronic Signature name.
 
 
 
Test Sites:
----------
Atlanta VA Health Care System (Decatur, GA)
Hampton VA Medical Center (Hampton, VA)
Northport VA Medical Center (Northport, NY)
Louis Stokes Cleveland VA Medical Center (Cleveland, OH)
 
Documentation Retrieval Instructions:
-------------------------------------
Documentation describing the new functionality introduced by this patch
is available.
 
The preferred method is to retrieve files from download.DNS      .DNS   .
This transmits the files from the first available server. Sites may 
also elect to retrieve files directly from a specific server. 
 
Sites may retrieve the software and/or documentation directly using 
Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE 
directory at the following OI Field Offices:
 
Hines:  DNS     .URL         
Salt Lake City:       .URL       
 
Documentation can also be found on the VA Software Documentation Library 
at: http://URL            /
 
Title                         File Name                       FTP Mode
-----------------------------------------------------------------------
Clinical Coordinator and      tiuum.pdf/doc                    Binary
  User Manual
TIU Technical Manual          tiutm.pdf/doc                    Binary 
 
 
Patch Installation:
------------------- 
 
Pre/Post Installation Overview:
-------------------------------
This patch contains an environment check routine (named TIUE290)
that will check your system for any name collisions with the incoming
document class and note titles previously mentioned.
 
The pre-installation routine will use the Reminder Exchange installation
utility to remove any previous versions of the Reminder Exchange file used
to install the note titles.
 
The post-installation routine will use the Reminder Exchange installation
utility to install the document class and note title entries into the TIU
DOCUMENT DEFINTION file (#8925.1) under the PROGRESS NOTES document class.
It will set the CLASS OWNER for the new document class and note title
entries to CLINICAL COORDINATOR. Then it will attempt to map the new SMART
and Women's Health High Risk Medications note titles to the TIU VHA
Enterprise Standard title of WOMENS HEALTH NOTE and map the new Lifetime
Health Monitoring project note title to the TIU VHA Enterprise Standard
title of RISK ASSESSMENT SCREENING NOTE. Finally, it will attempt to
activate the document class and note titles. If the mapping or activation
fails for any given item, sites can manually complete those activities
using the TIU Document Definitions (Manager) option [TIUF DOCUMENT
DEFINITION MGR].
 
The post-installation routine will also attempt to set values into the new
TIU TEMPLATE CONSULT LOCK parameter at the System level. The process will
look for any TIU TEMPLATE (#8927) entries where the NAME (#01.) begins 
with the text "NON VA CARE HCPS ". Only templates that are found to 
match that text AND are also linked to consult services via the LINK 
field (#.19) will be added to the parameter.
 
Installation Instructions:
--------------------------
Refer to the CPRS v31b Installation Guide (or_30_377_ig.docx). 
 
Post-Installation Instructions:
-------------------------------
After a successful installation and all components are properly mapped 
and activated, the installer may safely delete routines TIUE290 and 
TIUP290.


Routine Information:
====================


The second line of each of these routines now looks like:
;;1.0;TEXT INTEGRATION UTILITIES;**[Patch List]**;Jun 20, 1997;Build 480

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

Routine Name: TIUCOP
    Before:       n/a   After: B96313474  **290**
Routine Name: TIUCOP1
    Before:       n/a   After: B34247211  **290**
Routine Name: TIUCOPC
    Before:       n/a   After: B63998501  **290**
Routine Name: TIUCOPP
    Before:       n/a   After:B221810824  **290**
Routine Name: TIUCOPR
    Before:       n/a   After:B300893594  **290**
Routine Name: TIUCOPR1
    Before:       n/a   After:B176434561  **290**
Routine Name: TIUCOPRU
    Before:       n/a   After: B44960754  **290**
Routine Name: TIUCOPUT
    Before:       n/a   After: B21875756  **290**
Routine Name: TIUDD0
    Before: B52250789   After: B53902704  **65,153,290**
Routine Name: TIUDD01
    Before: B46890631   After: B47883112  **65,153,299,290**
Routine Name: TIUE290
    Before:       n/a   After:  B5910594  **290**
Routine Name: TIULMED
    Before: B52008030   After: B62155019  **38,73,92,94,183,193,197,198,
                                           202,213,238,290**
Routine Name: TIULMED1
    Before: B39609014   After: B45130372  **38,73,92,94,202,226,290**
Routine Name: TIULMED3
    Before: B19012545   After: B22437269  **198,213,290**
Routine Name: TIULQ
    Before: B16402401   After: B28399776  **19,100,157,211,263,290**
Routine Name: TIUP290
    Before:       n/a   After:B124738821  **290**
Routine Name: TIUPEVNT
    Before: B40232009   After: B52857265  **3,21,81,131,113,184,290**
Routine Name: TIUPUTC
    Before: B31718862   After: B45408031  **3,21,81,100,113,112,173,184,
                                           277,290**
Routine Name: TIUPUTC1
    Before: B13665517   After: B18213412  **81,290**
Routine Name: TIUPXAP1
    Before: B34127243   After: B31061681  **15,29,20,89,82,107,117,126,
                                           124,149,179,205,295,314,290**
Routine Name: TIUPXAP3
    Before:  B3646814   After: B21417618  **179,290**
Routine Name: TIURB
    Before: B49509054   After: B50834989  **4,32,52,78,58,100,109,155,
                                           184,234,232,290**
Routine Name: TIURB2
    Before: B38846046   After: B41315127  **100,109,154,112,184,232,290**
Routine Name: TIURD2
    Before: B70952985   After: B71854375  **61,100,109,113,112,290**
Routine Name: TIURD3
    Before: B68096138   After: B74233274  **61,124,113,112,295,290**
Routine Name: TIUSRVD
    Before: B47698313   After: B48260535  **1,7,22,47,103,100,115,164,
                                           112,186,201,276,290**
Routine Name: TIUSRVP
    Before: B50136233   After: B65709187  **1,7,19,28,47,89,104,100,115,
                                           109,167,113,112,175,157,184,
                                           239,271,290**
Routine Name: TIUSRVR
    Before: B17978855   After: B24368645  **19,28,69,89,122,109,112,186,290**
Routine Name: TIUSRVT
    Before: B63476454   After: B64327801  **76,80,102,105,119,125,166,290**
Routine Name: TIUSRVT5
    Before:       n/a   After: B21263449  **290**
Routine Name: TIUUTL
    Before:       n/a   After: B17297129  **290**
 
Routine list of preceding patches: 166, 226, 232, 238, 263, 271, 276, 277
                           299, 314


=============================================================================
User Information:  
  Entered By  :   THOMPSON,WILLIAM ANT Date Entered  :   JAN 13,2015
  Completed By:                        Date Completed:   
  Released By :                        Date Released :   
=============================================================================


