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| 1 | RA5_0_132.zip | EPIP_Remediation_Plan_(RA_5.0_132).docx | Mon Jul 31 14:57:46 2017 UTC |
| 2 | RA5_0_132.zip | EPIP_Remediation_Plan_(RA_5.0_132).docx | Mon Jul 31 19:13:17 2017 UTC |
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| 1 | Existing P roduct Int ake Progra m (EPIP) | |
| 2 | Patch RA*5 .0*132 | |
| 3 | Remediatio n Plan | |
| 4 | ||
| 5 | Department of Vetera ns Affairs | |
| 6 | April 2017 | |
| 7 | Version 1. 0 | |
| 8 | ||
| 9 | ||
| 10 | ||
| 11 | Revision H istory | |
| 12 | Date | |
| 13 | Version | |
| 14 | Descriptio n | |
| 15 | Author | |
| 16 | 04/03/2017 | |
| 17 | 1.0 | |
| 18 | Initial (d raft) vers ion | |
| 19 | EPIP Proje ct Team | |
| 20 | ||
| 21 | ||
| 22 | ||
| 23 | ||
| 24 | Table of C ontents | |
| 25 | 1.Introduc tion1 | |
| 26 | 2.Purpose1 | |
| 27 | 3.Patch De scription1 | |
| 28 | 3.1.Needs and Requir ements1 | |
| 29 | 4.Points o f Contact2 | |
| 30 | 5.Code Rem ediation2 | |
| 31 | 5.1.Standa rds and Co nventions2 | |
| 32 | 5.2.Review and Analy sis2 | |
| 33 | 5.3.Coding Changes2 | |
| 34 | 6.Testing3 | |
| 35 | 6.1.Test P lan3 | |
| 36 | 6.2.Test E nvironment 3 | |
| 37 | 6.3.Test R eadiness R eview3 | |
| 38 | 6.4.Testin g Phases3 | |
| 39 | 6.4.1.Unit Testing4 | |
| 40 | 6.4.2.Comp onent Inte gration an d Systems Testing (C I/ST)4 | |
| 41 | 6.4.3.Func tional Tes ting4 | |
| 42 | 6.4.4.Regr ession Tes ting4 | |
| 43 | 6.4.5.Sect ion 508 Co mpliance T esting4 | |
| 44 | 7.Document ation Reme diation4 | |
| 45 | 7.1.User G uides5 | |
| 46 | 7.2.Instal lation Gui des5 | |
| 47 | 7.3.Techni cal Manual s5 | |
| 48 | 7.4.Operat ions Manua ls5 | |
| 49 | 8.Project Reporting5 | |
| 50 | 9.Project Schedule5 | |
| 51 | 10.Deploym ent5 | |
| 52 | 11.Sustain ment Requi rements5 | |
| 53 | 12.Mainten ance and K nowledge T ransfer6 | |
| 54 | Appendix A :XINDEX Li sting for MUMPS Code Changes7 | |
| 55 | Appendix B :Source Co de Changes 8 | |
| 56 | ||
| 57 | ||
| 58 | ||
| 59 | Introducti on | |
| 60 | The Depart ment of Ve terans Aff airs (VA) currently utilizes t he Veteran s Health I nformation Systems a nd Technol ogy Archit ecture (Vi stA) suite of applic ations to provide cl inical, fi nancial, i nfrastruct ure, and m anagement tools. The process o f advancin g “Class 3 ” field-de veloped Vi stA softwa re to “Cla ss 1” nati onally-dis tributed s tatus is r eferred to as the Ex isting Pro duct Intak e Program (EPIP). Th e VA’s goa l is to su pplement o ngoing act ivities as sociated w ith evalua ting and a dvancing f ield-devel oped softw are to a s tate that meets nati onal stand ards and f acilitates release f or Veteran s Health A dministrat ion (VHA)- wide use. | |
| 61 | Purpose | |
| 62 | The purpos e of this document i s to fully describe the remedi ation plan to be use d for the successful remediati on of the intake pro duct code to be depl oyed as pa tch RA*5.0 *132. This patch add resses the following NSRs: | |
| 63 | NSR2016070 6 Add Heig ht and Wei ght to Rad iology Exa m | |
| 64 | This NSR h as been im plemented locally at the VA Me dical Cent er in San Francisco CA. | |
| 65 | This docum ent addres ses the sc hedule, co de remedia tion, test ing, docum entation, and delive ry of this remediati on effort. | |
| 66 | Patch Desc ription | |
| 67 | RA*5.0*132 modifies the VistA Radiology package to display a patient's height an d weight w hen schedu ling exams . It is im portant fo r a provid er to know a patient 's height and weight prior to a Radiolog y procedur e; however , that dat a is not c urrently a vailable i n the Vist A Radiolog y package when sched uling exam s. Based o n this dat a, alterna tive arran gements mi ght need t o be made prior to a patient's arrival. Additional ly, calcul ating Body Mass Inde x (BMI) is integral to reporti ng dose me trics for radiation exposures. The expos ure server s use the BMI calcul ation to c reate mode ls and cal culate the organ dos e per exam and the c umulative doses. Cur rently, Ra diology st aff must o btain the patient’s height and weight in order to calculate BMI. This patch disp lays heigh t and weig ht in the REGISTER P ATIENT FOR EXAMS [RA REG] and ADD EXAMS TO LAST VI SIT [RA AD DEXAM] opt ions in Vi stA. | |
| 68 | Needs and Requiremen ts | |
| 69 | The Needs and Requir ements for the NSR(s ) addresse d in this remediatio n are: | |
| 70 | NSR2016070 6 Add Heig ht and Wei ght to Rad iology Exa m | |
| 71 | NEED 76096 1: Height and Weight On Radiol ogy Exam - For Radio logy Staff who need to be awa re of a pa tient’s he ight and w eight for a radiolog ic procedu re, a modi fication t hat will a llow the R adiology s taff to vi ew the pat ient’s hei ght and we ight withi n the Vist A Radiolog y package. Unlike th e current method tha t does not display t he patient ’s height and weight within Vi stA Radiol ogy, our p rocess ens ures that patient’s height and weight ar e displaye d within V istA Radio logy so th at if heig ht or weig ht is an i ssue for a particula r procedur e, alterna tive arran gements ca n be made prior to a patient’s arrival f or consist ency in BE ST PRACTIC ES/Quality . | |
| 72 | Points of Contact | |
| 73 | The VA Poi nts of Con tact (POC) for NSR20 160706 Add Height an d Weight t o Radiolog y Exam are : | |
| 74 | Functional POC: Jack Liberati ( PII ), PII | |
| 75 | Technical POC: Don D onati ( PII ), PII | |
| 76 | Code Remed iation | |
| 77 | Leidos wil l review a nd analyze the intak e product code for c ompliance with codin g standard s, pointer s, shared tables, de pendencies , and any interferen ce with Vi stA system s. | |
| 78 | Standards and Conven tions | |
| 79 | Leidos wil l referenc e the http :// DNS /sacc webs ite for ap plicable d ocuments a nd will ad here to VA standards to comple te the ana lysis of t his intake product. The output of the VA XINDEX ut ility will be used t o analyze the MUMPS source cod e and docu ment the a ffected ro utines (se e Appendix A). | |
| 80 | The MUMPS coding sta ndards web site http: // ip /Demo/Anno Std will a lso be use d to ensur e that the remediate d code con forms to V A standard s. | |
| 81 | Review and Analysis | |
| 82 | Review and analysis of this in take produ ct involve s two part s: 1) veri fication t hat the so urce code changes sp ecified in this docu ment provi de the des ired effec t, and 2) verificati on that th e source c ode change s do not a dversely a ffect any other Vist A or CPRS functional ity. | |
| 83 | Testing wi ll be perf ormed to v alidate th at the int ended effe ct of thes e products is implem ented, and that no o ther VistA or CPRS G raphical U ser Interf ace (GUI) functional ity is adv ersely aff ected. | |
| 84 | Coding Cha nges | |
| 85 | The coding changes r equired fo r NSR20160 706 Add He ight and W eight to R adiology E xam are in the follo wing MUMPS routines: | |
| 86 | Modified r outines: R ADEM2 | |
| 87 | New routin es: TBD | |
| 88 | A detailed analysis of the cod ing change s is provi ded in App endix B. | |
| 89 | Testing | |
| 90 | Leidos wil l perform all testin g-related activities to ensure that the remediated code meet s the expe ctations o f the VA b usiness ow ner. | |
| 91 | Test Plan | |
| 92 | Leidos wil l configur e the test environme nt, provid e code mod ifications and end-t o-end test ing, and d eliver app licable te sting docu mentation, following Veteran-f ocused Int egration P rocess (VI P) guideli nes. | |
| 93 | The Leidos developer will modi fy the sof tware purs uant to th e VA stand ards defin ed in the Standards and Conven tions sect ion of thi s document , and will conduct f ull unit t esting of the functi onality an d verify p erformance of all so ftware cod e before i t is relea sed to Lei dos SQA. S QA will th en perform all appli cable test ing types as describ ed in the Testing Ph ases secti on of this document. The devel oper and S QA will re solve prob lems and a ddress iss ues as the y arise du ring testi ng and wil l document issues us ing the Ra tional Tea m Concert (RTC) defe ct trackin g tool. | |
| 94 | Test Envir onment | |
| 95 | Within fiv e working days of ap proval of this Remed iation Pla n, the dev eloper wil l configur e the deve lopment/te st environ ment on an Austin In formation Technology Center (A ITC) serve r or other VA-approv ed develop ment/test environmen t used for this inta ke product and insta ll the rem ediated Ke rnel Insta llation an d Distribu tion Syste m (KIDS) b uild. The environmen t will be restored t o its orig inal basel ine state by the Vis tA system administra tor after developmen t testing is complet ed, follow ed by inst allation o f the reme diated sof tware. | |
| 96 | Upon notif ication fr om the dev eloper of test envir onment rea diness, SQ A will com mence with planned t esting act ivities. T he SQA tes t executio n and repo rting docu mentation will resid e in the R ational Qu ality Mana ger (RQM) “EPIP” Pro ject. In o rder to pe rform test ing of thi s VistA mo dification , the foll owing tool s will be leveraged: RQM, Refl ections em ulator, CP RS GUI v31 (1.0.30.7 5), and Sn agIt. | |
| 97 | Test Readi ness Revie w | |
| 98 | Leidos wil l conduct a Test Rea diness Rev iew (TRR) at the con clusion of unit test ing to ver ify the co ntents of the softwa re to be t ested, the test sche dule, test environme nts, test participan ts, and as sociated l ogistics. Leidos wil l provide an agenda prior to t he TRR and written m inutes aft er complet ion of the TRR, in a ccordance with the P erformance Work Stat ement (PWS ). | |
| 99 | Testing Ph ases | |
| 100 | Leidos wil l perform developmen t and SQA testing ac tivities i n phases, and will p rovide all required testing do cumentatio n. | |
| 101 | Unit Testi ng | |
| 102 | The develo per will c onduct uni t testing of individ ual units of source code to de termine if they are fit for us e. | |
| 103 | Component Integratio n and Syst ems Testin g (CI/ST) | |
| 104 | Component Integratio n and Syst ems testin g will be conducted by SQA to ensure tha t connecti vity to th e VistA ap plication exists and is functi oning norm ally. SQA will recor d Passed/F ailed outc omes and c apture dis played con tent to do cument the system te sting effo rt. | |
| 105 | Functional Testing | |
| 106 | Functional testing w ill be per formed by SQA to tes t the code modificat ions. This testing w ill ensure that the software f unctionali ty is in a lignment w ith the Go vernment F urnished I nformation . SQA will record Pa ssed/Faile d outcomes and captu re display ed content to docume nt the fun ctional te sting effo rt. | |
| 107 | Regression Testing | |
| 108 | Regression testing w ill be per formed by SQA to ens ure that t he remedia ted code d oes not in troduce er rors to ex isting fun ctionality . The regr ession tes t framewor k will be kept up-to -date with manual te st cases a nd test sc ripts defi ning the i nputs and expected o utcomes. S QA will re cord Passe d/Failed o utcomes an d capture displayed content to document the regres sion testi ng effort. | |
| 109 | Section 50 8 Complian ce Testing | |
| 110 | Section 50 8 testing will be pe rformed on VistA and CPRS code when new CPRS GUI c hanges are introduce d by the d eveloper. The VA-rec ommended A ssistive T echnology tool, JAWS , will be used to co nduct the 508 testin g. Test re sults and related do cumentatio n will be submitted to the VA Section 50 8 team in accordance with the VA 508 tes ting requi rements. D efects fou nd during testing wi ll be asse ssed and r emediated by the dev eloper. | |
| 111 | Documentat ion Remedi ation | |
| 112 | Leidos wil l review e xisting VA documenta tion for p ossible im pact as a result of this remed iation eff ort, and w ill make u pdates whe re applica ble. | |
| 113 | To determi ne the exi sting VA d ocumentati on that re quires mod ification, Leidos wi ll conduct a thoroug h review o f the docu ments curr ently avai lable from the VA So ftware Doc ument Libr ary (VDL) located at http:// DNS . Keyword searches u sing terms relevant to this re mediation effort wil l be used to identif y document s that mig ht be impa cted; thos e document s were wil l then be reviewed i n their en tirety for any neede d revision s. | |
| 114 | The follow ing sectio ns outline the VDL d ocuments t o be revis ed for thi s remediat ion. | |
| 115 | User Guide s | |
| 116 | The follow ing User G uide will be updated in the VD L: | |
| 117 | Radiology/ Nuclear Me dicine Use r Manual V ersion 5.0 | |
| 118 | Installati on Guides | |
| 119 | The Nation al Patch M odule Patc h Descript ion docume nt for thi s remediat ion will p rovide the procedure for insta lling KIDS packages migrated f rom the te st environ ment to th e VA Pre-P roduction environmen ts. Theref ore, no In stallation Guides wi ll be upda ted. | |
| 120 | Technical Manuals | |
| 121 | The follow ing Techni cal Manual will be u pdated in the VDL: | |
| 122 | Radiology/ Nuclear Me dicine Tec hnical Man ual Versio n 5.0 | |
| 123 | Operations Manuals | |
| 124 | No Operati ons Manual s require revision a s a result of this m odificatio n. | |
| 125 | Project Re porting | |
| 126 | Leidos wil l provide interim pr ogress upd ates durin g daily Sc rum calls and weekly managemen t calls wi th VA repr esentative s. | |
| 127 | Project Sc hedule | |
| 128 | Leidos wil l follow t he Scrum A gile metho dology for software developmen t. It is a nticipated that this patch wil l require five 2-wee k sprints. | |
| 129 | Deployment | |
| 130 | Leidos wil l create a KIDS pack age contai ning the s oftware ch anges nece ssary to f ulfill the requireme nts for th is remedia tion effor t. A KIDS package, a long with all relate d document ation, wil l be deliv ered to th e Contract ing Office Represent ative (COR ) for acce ptance. If accepted, the KIDS package ca n then be released f or nationa l VA consu mption; ot herwise, L eidos will correct a ny defects found and repeat th e necessar y remediat ion activi ties. | |
| 131 | Sustainmen t Requirem ents | |
| 132 | Leidos wil l provide maintenanc e support for 60 day s to the V A to suppo rt the fin al Class 1 product a fter it is nationall y released . | |
| 133 | Maintenanc e and Know ledge Tran sfer | |
| 134 | To facilit ate contin uous proce ss improve ment, Leid os will de liver Spri nt Review and Retros pective sl ides and a Lessons L earned Rep ort to VA upon compl etion of t he final s print. | |
| 135 | XINDEX Lis ting for M UMPS Code Changes | |
| 136 | The XINDEX tool is t he standar d tool use d by the V A to analy ze MUMPS s ource code . Followin g is a lis ting of th e results of the XIN DEX analys is of the affected r outines. | |
| 137 | TBD | |
| 138 | Source Cod e Changes | |
| 139 | This appen dix displa ys the Vis tA code be fore and a fter the u pdates req uired for this code modificati on were im plemented. The follo wing routi nes were a ffected: | |
| 140 | Modified r outines: R ADEM2 | |
| 141 | New routin es: TBD | |
| 142 | RADEM2 | |
| 143 | Before: | |
| 144 | RADEM2 ;HI SC/CAH,FPT ,GJC-Displ ay Patient Demograph ics (short ) ;10/20/9 4 09:18 ;; 5.0;Radiol ogy/Nuclea r Medicine ;**31**;Ma r 16, 1998 PAT Q:'$D( ^DPT(RADFN ,0)) S Y=^ (0),RANME= $P(Y,"^"), RASEX=$P(Y ,"^",2),RA SSN=$$SSN^ RAUTL,RADO B=$P(Y,"^" ,3),X1=DT, X2=RADOB D ^%DTC S R AGE=X\365. 25 S:$E(DT ,4,7)=$E(R ADOB,4,7) RAGE=RAGE+ 1 ; today is birthda y S Y=RADO B D D^RAUT L S RADOB= Y N RAVETE LI S RAVET ELI=$$VETE LI(RADFN) S RAVET=$P (RAVETELI, "^"),RAELI G=$P(RAVET ELI,"^",2) I $D(^DPT (RADFN,.1) ),^(.1)]"" D ^RASERV DIS W @IOF ,!," ***** ****** Pat ient Demog raphics ** *********" ,! W !?2," Name : ",$ E(RANME,1, 20) W:$D(R AWARD) ?37 ,"Currentl y is an in patient." W !?2,"Pt ID : ",RAS SN W:$D(RA WARD) ?39, "Ward/Serv ice: ",$E( RAWARD_"/" _RASER,1,2 5) W !?2," Date of Bi rth: ",RAD OB," (",RA GE,")" W:$ D(RABED) ? 39,"Bedsec tion : ",R ABED W !?2 ,"Veteran : ",RAVET, ?39,"Eligi bility : " ,$E(RAELIG ,1,25) W ! ?2,"Sex : ",$S(RASEX ="M":"MALE ",RASEX="F ":"FEMALE" ,1:"Unknow n") I $D(^ RADPT(RADF N,1)) W !? 2,"Narrati ve : ",^(1 ) W !?2,"O ther Aller gies:",!?7 ,"'V' deno tes verifi ed allergy 'N' denot es non-ver ified alle rgy",! S D FN=RADFN D ALLERGY^R ADEM I '$D (GMRAL) W !?20,"** N o allergie s on file. **" G ALE R F I=1:1 Q:'$D(PI(I )) W:I#2 ! ?2,PI(I) W :I#2=0 ?40 ,PI(I) ;AL ER ; S RAP OP=0 I $D( ^DPT(RADFN ,.35)),$P( ^(.35),"^" ) W !!?2,$ C(7),"**** Patient h as died ** **",!!,"Do you want to continu e? NO// " R X:DTIME S:"Nn"[X R APOP=1Q K RAWD,PI,RA DOB,RAELIG ,RAGE,RASS N,RAVET,I, VAIN,VAERR ,X,Y Q:RAP OP S RACO NT="" G ^R ADEM1 ;RAD FN S DIC(0 )="AEZMQ" D ^RADPA Q :Y<0 S RAD FN=+Y G PA T ;VETELI( DFN) ; Is this patie nt a veter an? Does t his patien t have a ; primary e ligibility code? ; R AELI=Prima ry Eligibi lity code <-> RAVET= Veteran (Y es/No) N R AELI,RAVET Q:DFN'=+D FN "Unknow n^Unknown" I 'DFN!(' $D(^DPT(DF N,0))#2) S (RAELI,RA VET)="Unkn own" E D . K VAEL,V AERR D ELI G^VADPT . S RAELI=$P ($G(VAEL(1 )),"^",2) . S RAELI= $S(RAELI]" ":RAELI,1: "Unknown") . S RAVET =+$G(VAEL( 4)) . S RA VET=$S(RAV ET:"Yes",' RAVET:"No" ,1:"Unknow n") . K VA EL,VAERR . Q Q RAVET _"^"_RAELI | |
| 145 | After: | |
| 146 | RADEM2 ; HISC/CAH,F PT,GJC-Dis play Patie nt Demogra phics (sho rt) ;10/20 /94 09:18 ;;5.0 ;Radiology /Nuclear M edicine;** 31**;Mar 1 6, 1998PAT Q:'$D(^ DPT(RADFN, 0)) S Y=^( 0),RANME=$ P(Y,"^"),R ASEX=$P(Y, "^",2),RAS SN=$$SSN^R AUTL,RADOB =$P(Y,"^", 3),X1=DT,X 2=RADOB D ^%DTC S RA GE=X\365.2 5 S:$ E(DT,4,7)= $E(RADOB,4 ,7) RAGE=R AGE+1 ; to day is bir thday S Y=RADOB D D^RAUTL S RADOB=Y N RA VETELI S R AVETELI=$$ VETELI(RAD FN) S RAVET=$P( RAVETELI," ^"),RAELIG =$P(RAVETE LI,"^",2) I $D( ^DPT(RADFN ,.1)),^(.1 )]"" D ^RA SERVDIS W @IOF,!," ********* ** Patient Demograph ics ****** *****",! W !?2, "Name : ", $E(RANME,1 ,20) W:$D( RAWARD) ?3 7,"Current ly is an i npatient." W !? 2,"Pt ID : ",RASSN W :$D(RAWARD ) ?39,"War d/Service: ",$E(RAWA RD_"/"_RAS ER,1,25) W !?2, "Date of B irth: ",RA DOB," (",R AGE,")" W: $D(RABED) ?39,"Bedse ction : ", RABED W !?2,"Ve teran : ", RAVET,?39, "Eligibili ty : ",$E( RAELIG,1,2 5) W !?2,"Sex : ",$S(RASE X="M":"MAL E",RASEX=" F":"FEMALE ",1:"Unkno wn") I $D( ^RADPT(RAD FN,1)) W ! ?2,"Narrat ive : ",^( 1) ;R TW Add hei ght and we ight *** B EGIN *** D ; . N ARH DVITL,ARHD X,DFN,GMRV STR,X,Y . F ARH DVITL="HT" ,"WT" D .. S DF N=RADFN,GM RVSTR=ARHD VITL .. D EN6^G MRVUTL S A RHDX=$G(X) .. W !?2,$E(AR HDVITL),"e ight : ",$ P(ARHDX,U, 8) .. I $P(ARHD X,U,8)]"" W $S(ARHDV ITL="HT":" """,ARHDVI TL="WT":" lbs",1:"") .. S Y=$P(ARHD X,U,1) I Y >0 D D^RAU TL W " on ",Y . . Q . Q ;RT W Add heig ht and wei ght *** EN D *** W !?2,"Ot her Allerg ies:",!?7, "'V' denot es verifie d allergy 'N' denote s non-veri fied aller gy",! S DFN=RAD FN D ALLER GY^RADEM I '$D(GMRAL ) W !?20," ** No alle rgies on f ile. **" G ALER F I=1:1 Q :'$D(PI(I) ) W:I#2 !? 2,PI(I) W: I#2=0 ?40, PI(I) ;ALER ; S RA POP=0 I $D (^DPT(RADF N,.35)),$P (^(.35),"^ ") W !!?2, $C(7),"*** * Patient has died * ***",!!,"D o you want to contin ue? NO// " R X:DTIME S:"Nn"[X RAPOP=1Q K RAWD,PI ,RADOB,RAE LIG,RAGE,R ASSN,RAVET ,I,VAIN,VA ERR,X,Y Q: RAPOP S RA CONT="" G ^RADEM1 ;RADFN S DIC(0) ="AEZMQ" D ^RADPA Q: Y<0 S RADF N=+Y G PAT ;VET ELI(DFN) ; Is this patient a veteran? Does this patient ha ve a ; primary eligibilit y code? ; RAELI =Primary E ligibility code <-> RAVET=Vete ran (Yes/N o) N RAELI,RAVE T Q:DFN'=+ DFN "Unkno wn^Unknown " I ' DFN!('$D(^ DPT(DFN,0) )#2) S (RA ELI,RAVET) ="Unknown" E D . K V AEL,VAERR D ELIG^VAD PT . S RAELI=$P ($G(VAEL(1 )),"^",2) . S R AELI=$S(RA ELI]"":RAE LI,1:"Unkn own") . S RAVET =+$G(VAEL( 4)) . S RAVET=$ S(RAVET:"Y es",'RAVET :"No",1:"U nknown") . K VA EL,VAERR . Q Q RAVET _"^"_RAELI |
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