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| 1 | EPIP_MC_GMTS_IP25_TV3.zip\EPIP_MC_GMTS_IP25_TV3 | EPIP_National_Patch_Module_Patch_Description_(MC_2.3_48).doc | Mon Feb 4 12:43:34 2019 UTC |
| 2 | EPIP_MC_GMTS_IP25_TV3.zip\EPIP_MC_GMTS_IP25_TV3 | EPIP_National_Patch_Module_Patch_Description_(MC_2.3_48).doc | Tue Feb 5 13:02:02 2019 UTC |
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| 1 | National P atch Modul e Patch Te mplateExis ting Produ ct Intake Program (E PIP) | |
| 2 | Patch MC*2 .3*48 | |
| 3 | National P atch Modul e Patch De scription | |
| 4 | ||
| 5 | Department of Vetera ns Affairs | |
| 6 | January 20 19 | |
| 7 | Version 2. 0 | |
| 8 | Revision H istory | |
| 9 | DateVersio nDescripti onAuthor01 /22/20192. 0Updates t hroughoutE PIP Projec t Team11/1 7/20171.0I nitial (dr aft) versi onEPIP Pro ject TeamN ational Pa tch Module Patch Des cription | |
| 10 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 11 | Run Date: JAN 22, 20 19 Des ignation: MC*2.3*48 TEST v3 | |
| 12 | Package : MEDICINE Pri ority: MANDATORY | |
| 13 | Version : 2.3 Sta tus: UNDER DEVE LOPMENT | |
| 14 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 15 | Subject: C REATE PCE ENTRY FOR EKG | |
| 16 | Category: ROUTINE | |
| 17 | Descriptio n: | |
| 18 | ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
| 19 | PLEASE NOT E | |
| 20 | THIS PATCH IS PART O F THE EPIP _MC_GMTS_I P25_TV3.KI D HOST FIL E, | |
| 21 | WHICH CONS ISTS OF MC *2.3*48 AN D GMTS*2.7 *123. THE MC PATCH | |
| 22 | WILL BE IN STALLED BE FORE THE G MTS PATCH. | |
| 23 | ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
| 24 | MC*2.3*48 automatica lly adds a Patient C are Encoun ter (PCE) entry in V istA after an electr ocardiogra m (EKG) re ading is v erified in the MUSE web servic e. Current ly, staff cardiologi sts must m anually en ter the in formation from each EKG readin g, which i s time con suming and prone to data error s and omis sions. | |
| 25 | To create the automa ted PCE en try, each EKG cart i s assigned a unique identifier to design ate an inp atient or outpatient location. After an EKG is per formed, tr ansmitted to MUSE, a nd manuall y confirme d by the c ardiologis t, MUSE ge nerates a Health Lin k 7 (HL7) message th at include s the card iologist's identific ation, the EKG locat ion, date/ time of th e EKG, and patient i dentificat ion. This data is au tomaticall y filed in the ELECT ROCARDIOGR AM (EKG) f ile (#691. 5) and the visit is created in the VISIT file (#90 00010). If the EKG d ata is not successfu lly transf erred to a PCE, a Ma il Alert i s sent to the MCM4 M USE mail g roup. | |
| 26 | Note: Info rmation Re source Man agement (I RM) staff can view v isits in t he PCE Enc ounter Vie wer [PXCE ENCOUNTER VIEWER] op tion in th e PCE Coor dinator Me nu [PX PCE COORDINAT OR MENU]. Visits do not displa y in the P CE Clinici an Menu [P X PCE CLIN ICIAN MENU ] to preve nt the edi ting of th e transmit ted data. | |
| 27 | The new op tion Set X PAR Values for EKG/M USE [MCM4 XPAR] in t he existin g ECG Menu [MCARECG] option is used to c onfigure t he five ne w XPAR MUS E system-l evel param eters used to pass t he EKG dat a from MUS E to a PCE . The MCM4 MUSE para meter temp late calls the five parameters . | |
| 28 | - The MCM4 MUSE INTE RFACE STAT US paramet er in the PARAMETER DEFINITION file (#89 89.51) is used to tu rn the fun ctionality On/Off. I nitially, this param eter is se t to OFF ( No). | |
| 29 | - The MCM4 MUSE STD INPATIENT LOC parame ter is use d to set t he default inpatient location. | |
| 30 | - The MCM4 MUSE DEFA ULT OUTPT LOC parame ter maps t he default outpatien t location . | |
| 31 | - The MCM4 MUSE LOC ID paramet er is used to define the EKG c art number (s) that i dentify th e MUSE loc ation(s). | |
| 32 | - The MCM4 MUSE LOC INPATIENT OOS parame ter is use d to set t he inpatie nt Occasio n of Servi ce (OOS) l ocation. | |
| 33 | The patch also adds two new op tions that generate reports th at can be printed to a Cardiol ogy depart ment print er. Both o f these re ports are configured in Taskma n. It is r ecommended that thes e reports be run wee kly, but t he site ca n set the schedule t o meet its needs. Th e EKG Acti on Require d Report [ MCM4 EKG O UTPATIENT ENC] optio n creates a report l isting out patients w ith a stat us of “ACT ION REQUIR ED” in the OUTPATIEN T ENCOUNTE R file (#4 09.68). Th e EKG Acti on Require d Report i s generate d using th e new prin t template MC EKG AC TION REQ a nd the new sort temp late MC EK G ACTION R EQ. The so rt templat e must be set up usi ng the Tem plate Edit option in the FileM an Utility Functions menu [DIU TILITY] to establish the clini c that wil l be used for this r eport. The Missing E KG Report Interprete d By [MCM4 MISSING E KG REPORT] option cr eates a re port listi ng the pat ient recor ds that ne ed a physi cian name to be ente red in the INTERPRET ED BY fiel d (#12)in the ELECTR OCARDIOGRA M (EKG) fi le (#691.5 ). The Mis sing EKG R eport Inte rpreted By report is generated using the new print template MC MISSING INTERPRET ED BY and the new so rt templat e MC MISSI NG INTERPR ETED BY. | |
| 34 | Patch Comp onents: | |
| 35 | ---------- ------- | |
| 36 | Files & Fi elds Assoc iated: | |
| 37 | File Name (Number) Fie ld Name (N umber) New/Modif ied/Delete d | |
| 38 | ---------- -------- --- ---------- ------ --------- ---------- - | |
| 39 | N/A | |
| 40 | Forms Asso ciated: | |
| 41 | Form Name Fil e # New/Modif ied/Delete d | |
| 42 | --------- --- --- --------- ---------- - | |
| 43 | N/A | |
| 44 | Mail Group s Associat ed: | |
| 45 | Mail Group Name New /Modified/ Deleted | |
| 46 | ---------- ----- --- ---------- ------- | |
| 47 | N/A | |
| 48 | Options As sociated: | |
| 49 | Option Nam e Type New/Modif ied/Delete d | |
| 50 | ---------- - ---- --------- ---------- -- | |
| 51 | MCARECG MENU MODIFIED | |
| 52 | MCM4 EKG M USE TEST M ENU MENU NEW | |
| 53 | MCM4 EKG O UTPATIENT ENC REPORT NEW | |
| 54 | MCM4 MISSI NG EKG REP ORT REPORT NEW | |
| 55 | MCM4 HL7 T EST RUN ROUTIN E NEW | |
| 56 | MCM4 XPAR RUN ROUTIN E NEW | |
| 57 | Protocols Associated : | |
| 58 | Protocol N ame New /Modified/ Deleted | |
| 59 | ---------- --- --- ---------- ------- | |
| 60 | N/A | |
| 61 | Parameters Associate d: | |
| 62 | Parameter Name New/Mo dified/Del eted | |
| 63 | ---------- ----- ------ ---------- ---- | |
| 64 | MCM4 MUSE DEFAULT OU TPT LOC NEW | |
| 65 | MCM4 MUSE INTERFACE STATUS NEW | |
| 66 | MCM4 MUSE LOC ID NEW | |
| 67 | MCM4 MUSE LOC INPATI ENT OOS NEW | |
| 68 | MCM4 MUSE STD INPATI ENT LOC NEW | |
| 69 | Security K eys Associ ated: | |
| 70 | Security K ey Name | |
| 71 | ---------- ------- | |
| 72 | N/A | |
| 73 | Templates Associated : | |
| 74 | Template N ame Type File Na me (Number ) New/ Modified/D eleted | |
| 75 | ---------- --- ---- ------- ---------- - ---- ---------- ------ | |
| 76 | MC EKG ACT ION REQ PRINT OUTPATI ENT ENCOUN TER (409.6 8) NEW | |
| 77 | MC MISSING INTERPRET ED PRINT ELECTRO CARDIOGRAM NEW | |
| 78 | BY (EK G)(691.5) | |
| 79 | MC EKG ACT ION REQ SORT OUTPATI ENT ENCOUN TER (409.6 8) NEW | |
| 80 | MC MISSING INTERPRET ED SORT ELECTRO CARDIOGRAM NEW | |
| 81 | BY (EK G)(691.5) | |
| 82 | MCM4 MUSE XPAR PARAMET ER TEMPLAT E (8989.52 ) NEW | |
| 83 | Additional Informati on: | |
| 84 | N/A | |
| 85 | New Servic e Requests (NSRs): | |
| 86 | ---------- ---------- -------- | |
| 87 | NSR 201706 07 Create PCE Entry for EKG | |
| 88 | Patient Sa fety Issue s (PSIs): | |
| 89 | ---------- ---------- --------- | |
| 90 | N/A | |
| 91 | Defect Tra cking Syst em Ticket( s) & Overv iew: | |
| 92 | ---------- ---------- ---------- ---------- ---- | |
| 93 | N/A | |
| 94 | Problem: | |
| 95 | ------- | |
| 96 | N/A | |
| 97 | Resolution : | |
| 98 | ---------- | |
| 99 | N/A | |
| 100 | Test Sites : | |
| 101 | ---------- | |
| 102 | Hunter Hol mes McGuir e VA Medic al Center, Richmond, VA | |
| 103 | Milwaukee VA Medical Center, M ilwaukee, WI | |
| 104 | Software a nd Documen tation Ret rieval Ins tructions: | |
| 105 | ---------- ---------- ---------- ---------- ---------- -- | |
| 106 | Software b eing relea sed as a h ost file a nd/or docu mentation describing the new f unctionali ty introdu ced by thi s patch ar e availabl e. | |
| 107 | The prefer red method is to ret rieve file s from dow nload. DNS . DNS . This tra nsmits the files fro m the firs t availabl e server. Sites may also elect to retrie ve files d irectly fr om a speci fic server . | |
| 108 | Sites may retrieve t he softwar e and/or d ocumentati on directl y using Se cure File Transfer P rotocol (S FTP) from the ANONYM OUS.SOFTWA RE directo ry at the following OI Field O ffices: | |
| 109 | ||
| 110 | Hines: DNS .U RL | |
| 111 | Salt Lake City:
|
|
| 112 | Documentat ion can al so be foun d in the V A Software Document Library (V DL) at: | |
| 113 | https://ww w. DNS /vdl/. | |
| 114 | Title File Name FTP Mod e | |
| 115 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
| 116 | Medicine T echnical M anual mc_2_3tm.d oc Binary | |
| 117 | Medicine T echnical M anual mc_2_3tm.p df Binary | |
| 118 | Medicine U ser Manual mc_2_3um.d oc Binary | |
| 119 | Medicine U ser Manual mc_2_3um.p df Binary | |
| 120 | Patch Inst allation: | |
| 121 | Pre/Post I nstallatio n Overview : | |
| 122 | ---------- ---------- ---------- - | |
| 123 | Review the Pre-Insta llation In structions provided before beg inning ins tallation of the pat ch. | |
| 124 | Pre-Instal lation Ins tructions: | |
| 125 | ---------- ---------- ---------- | |
| 126 | This patch may be in stalled wi th users o n the syst em, althou gh it is r ecommended that it b e installe d during n on-peak ho urs to min imize pote ntial disr uption to users. Thi s patch sh ould take less than 5 minutes to install . | |
| 127 | Installati on Instruc tions: | |
| 128 | ---------- ---------- ---------- | |
| 129 | To install the patch : | |
| 130 | 1. From th e Kernel I nstallatio n and Dist ribution S ystem (KID S) menu, s elect the Installati on Menu. | |
| 131 | 2. Select option 1, Load a Dis tribution. At the “E nter a Hos t File:” p rompt, ent er the ful l pathname for host file EPIP_ MC_GMTS_IP 25_TV3.KID . | |
| 132 | ||
| 133 | 3. Enter Y ES for eac h “OK to C ontinue wi th Load? N O//” promp t. | |
| 134 | ||
| 135 | 4. When th e Installa tion Menu is redispl ayed, use the follow ing option s to conti nue patch installati on. When p rompted fo r the INST ALL NAME, enter prim ary patch number <Pa tch #>. | |
| 136 | a. V erify Chec ksums in T ransport G lobal - Th is option will help ensure the | |
| 137 | i ntegrity o f the rout ines that are in the transport global. | |
| 138 | b. P rint Trans port Globa l - This o ption will enable vi ewing the components of | |
| 139 | t he KIDS bu ild. | |
| 140 | c. C ompare Tra nsport Glo bal to Cur rent Syste m - This o ption will enable vi ewing | |
| 141 | a ll changes that will be made w hen this p atch is in stalled. I t compares all | |
| 142 | c omponents of this pa tch (routi nes, data dictionari es, templa tes, etc.) . | |
| 143 | d. B ack up a T ransport G lobal - Th is option will creat e a backup message o f any | |
| 144 | r outines ex ported wit h this pat ch. It wil l not back up any ot her change s such | |
| 145 | a s data dic tionaries or templat es. | |
| 146 | 5. From th e Installa tion Menu, select th e Install Package(s) option. W hen prompt ed for the INSTALL N AME, enter primary p atch numbe r MC*2.3*4 8. | |
| 147 | 6. If prom pted ‘Want KIDS to R ebuild Men u Trees Up on Complet ion of Ins tall? NO// ’, press < Enter>. | |
| 148 | 7. When pr ompted ‘Wa nt KIDS to INHIBIT L OGONs duri ng the ins tall? NO// ’, press < Enter>. | |
| 149 | 8. When pr ompted 'Wa nt to DISA BLE Schedu led Option s, Menu Op tions, and Protocols ? NO//’, p ress <Ente r>. | |
| 150 | 9. If prom pted ‘Dela y install (Minutes): (0-60): 0 //’, press <Enter>. | |
| 151 | 10. If pro mpted 'Ent er the Dev ice you wa nt to prin t the Inst all messag es. You ca n queue th e install by enter a 'Q' at th e device p rompt. Ent er a '^' t o abort th e install. DEVICE: H OME// HO ME (CRT)' , press <E nter>. | |
| 152 | Post-Insta llation In structions : | |
| 153 | ---------- ---------- ---------- - | |
| 154 | To test th e MUSE-to- PCE data t ransfer ca pabilities without a n availabl e EKG mach ine, this patch adds the new M edicine Em ulate HL7 to PCE [MC M4 HL7 TES T] test op tion in th e EKG MUSE Test Menu [MCM4 EKG MUSE TEST MENU] sec ondary men u option. This secon dary menu option mus t be set u p only for a tester by Office of Informa tion and T echnology (OIT) supp ort person nel, users in a Prod uction env ironment w ill not ha ve access to this se condary me nu option. | |
| 155 | The EKG Ac tion Requi red Report and Missi ng EKG Rep ort Interp reted By o ptions can be tested without b eing confi gured in T askman by using thes e options in the EKG MUSE Test Menu [MCM 4 EKG MUSE TEST MENU ] secondar y menu. Th e reports generated using the options in the test menu provi de results from the last seven days. | |
| 156 | Backout Pr ocedure: | |
| 157 | ---------- -------- | |
| 158 | Backout of this patc h will be performed only with the concur rence and participat ion of the appropria te VA site /region pe rsonnel. T he decisio n to back out the pa tch will b e a joint decision b etween VA site/regio n personne l and othe r appropri ate VA per sonnel. | |
| 159 | Note: Due to the com plexity of the multi -patch bui ld that in cludes thi s patch, i t is not r ecommended for backo ut, and a restore fr om a backu p of the T ransport G lobal shou ld not be attempted. However, in the eve nt that a site decid es to back out the p rimary and /or compan ion patche s included in the ho st file, t he site sh ould conta ct the Nat ional Serv ice Desk ( NSD) to su bmit a hel p desk tic ket. The d evelopment team will need to i ssue one o r more fol low-on pat ches in or der to com prehensive ly complet e the back out, after coordinat ion with t he VA Proj ect Manage r and COR. | |
| 160 | Validation of Backou t Procedur e: | |
| 161 | ---------- ---------- ---------- -- | |
| 162 | The Backou t procedur e can be v erified by printing the first two lines of the MC routines c ontained i n this pat ch using t he option First Line Routine P rint [XU F IRST LINE PRINT]. On ce the MC routines h ave been b acked out, the first two lines of the ro utines wil l no longe r contain the design ation of p atch MC*2. 3*48 on li ne 2 in th e patch li st section . | |
| 163 | Note: This validatio n procedur e only ver ifies that routine c hanges hav e been bac ked out fo r this pat ch. It doe s not conf irm that r outine cha nges withi n other pa tches in t he multi-p atch build have been backed ou t. It also does not confirm th at compone nt changes other tha n routines have been backed ou t. | |
| 164 | Routine In formation: | |
| 165 | ---------- ---------- | |
| 166 | The second line of e ach of the se routine s now look s like: | |
| 167 | ;;2.3;Medi cine;**[Pa tch List]* *;09/13/19 96;Build 3 1 | |
| 168 | The checks ums below are new ch ecksums, a nd can be checked wi th CHECK1^ XTSUMBLD. | |
| 169 | Routine Na me: MCAR7M 1 | |
| 170 | Before : B511510 4 After: B5204541 **24,48* * | |
| 171 | Routine Na me: MCM4MC 3 | |
| 172 | Before : n/ a After: B64549046 **48** | |
| 173 | Routine li st of prec eding patc hes: 24 |
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