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1 | EPIP_Combined_CiF.zip\EPIP_Combined_CiF\multi | EPIP_National_Patch_Module_Patch_Description_(DGJ_1.0_05).doc | Tue Aug 14 14:45:24 2018 UTC |
2 | EPIP_Combined_CiF.zip\EPIP_Combined_CiF\multi | EPIP_National_Patch_Module_Patch_Description_(DGJ_1.0_05).doc | Tue Aug 14 14:51:07 2018 UTC |
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1 | National P atch Modul e Patch Te mplateExis ting Produ ct Intake Program (E PIP) | |
2 | Patch DGJ* 1.0*5 | |
3 | National P atch Modul e Patch De scription | |
4 | ||
5 | Department of Vetera ns Affairs | |
6 | July 2018 | |
7 | Version 1. 0 | |
8 | Revision H istory | |
9 | DateVersio nDescripti onAuthor07 /25/20181. 0Initial v ersionEPIP Project T eamNationa l Patch Mo dule Patch Descripti on | |
10 | ========== ========== ========== ========== ========== ========== ========== ======= | |
11 | Run Date: 07/23/2018 Des ignation: DGJ*1*5 T EST v13 | |
12 | Package : INCOMPLETE RECORDS T RACKING Pri ority: MANDATORY | |
13 | Version : 1 Sta tus: UNDER DEVE LOPMENT | |
14 | ========== ========== ========== ========== ========== ========== ========== ======= | |
15 | Subject: I RT INCOMPL ETE RECORD S TRACKING AUTO-UPDA TE | |
16 | Category: ROUTINE | |
17 | ENHANCEMEN T | |
18 | DATA DICTI ONARY | |
19 | INPUT TEMP LATE | |
20 | Descriptio n: | |
21 | ---- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
22 | PLEASE NOTE | |
23 | T HIS PATCH IS PART OF THE EPIP_ DGJ_TIU_SR _IP08_TV13 .KID HOST FILE, | |
24 | W HICH CONSI STS OF DGJ *1.0*5, TI U*1.0*317, AND SR*3. 0*192. THE DGJ | |
25 | P ATCH WILL BE INSTALL ED BEFORE THE TIU AN D SR PATCH ES. | |
26 | ---- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
27 | Patch DGJ* 1.0*5 modi fies the I ncomplete Records Tr acking (IR T) package to enable an existi ng IRT nig htly sched uled job t o automati cally revi ew the Com puterized Patient Re cord Syste m (CPRS) T ext Integr ation Util ity (TIU) Note syste m to searc h for trac ked IRT de ficiencies . A defici ency occur s when a n ote cannot be marked as Comple te (Review ed) becaus e one or m ore provid ers need t o sign the note. The tracked I RT deficie ncies are DISCHARGE SUMMARY, H &P ADMISSI ON (former ly H&P SUM MARY), and OP REPORT . Deficien cies are t racked for Inpatient records o nly. | |
28 | If a TIU d ocument is found tha t satisfie s the defi ciency, th en IRT mar ks the not e as Compl ete. If no TIU docum ent satisf ying the d eficiency is found, then IRT g enerates a new defic iency for tracking p urposes an d sends an alert to the provid er that mu st take ac tion to co mplete the note. | |
29 | A new IRT Print menu [DGJ IRT PRINT2] pr ovides two new repor ts that ca n be used to identif y deficien cies requi ring resol ution. The IRT Print menu is a ccessed fr om the exi sting DGJ IRT PRINT menu. The new report s are: | |
30 | - PIA – P rint Incom plete Reco rds (by At tending) [ DGJ IRT IN COMPLETE3] , prints t racked IRT deficienc ies by att ending phy sician. Th is allows the report to be eas ily distri buted to p roviders t hat have d eficiencie s to resol ve. | |
31 | - PIH – P rint Incom plete Reco rds by Dis charge (Ho sp wide) [ DGJ IRT IN COMPLETE2] reports I RT deficie ncy totals by Servic e/Section for manage ment track ing purpos es. | |
32 | After IRT deficienci es have be en resolve d and mark ed as Comp lete throu gh the TIU signature process, they displ ay on the IRT report s with a s tatus of " COMPLETED. " To remov e complete d deficien cies from the report s, delete the IRT re cord from the INCOMP LETE RECOR DS file (# 393) using the exist ing Delete an IRT [D ELETE AN I RT] option on the In complete R ecords Tra cking menu . | |
33 | Three new alert opti ons are ad ded to the OPTION SC HEDULING f ile (#19.2 ). An aler t is sent if no TIU document s atisfying a deficien cy is foun d. Each al ert is ass ociated wi th one of the tracke d deficien cies: Disc harge Summ ary Alerts [DGJ DISC HARGE SUMM ARY ALERTS ] is assoc iated with the DISCH ARGE SUMMA RY deficie ncy; H&P D ue Alert [ DGJ H&P DU E ALERT] i s associat ed with th e H&P ADMI SSION defi ciency; OP Report Du e [DGJ OP REPORT DUE ] is assoc iated with the OP RE PORT defic iency. | |
34 | The post-i nstallatio n routine DGJP005 mo difies the MEDICAL C ENTER DIVI SION file (#40.8) by adding th ree new fi elds that are used t o adjust t he frequen cy of the new alerts . The valu es stored in these f ields spec ify the nu mber of ho urs elapse d between when a qua lifying ev ent occurs and when the result ing alert is sent. T he qualify ing events are disch arge from a ward, ad mission to a ward, o r completi on of an o peration. The DISCHA RGE ALERT HRS field (#100.4) d etermines the Discha rge Summar y Alerts h ours elaps ed (the nu mber of ho urs elapse d after di scharge an d before a n alert is sent); th e H&P ALER T HOURS fi eld (#100. 5) determi nes the H& P Due Aler t hours el apsed (the number of hours ela psed after admission to a ward and befor e an alert is sent); the OPERA TION ALERT HOURS fie ld (#100.6 ) determin es the OP Report Due alert hou rs elapsed (the numb er of hour s elapsed after an o peration i s complete d and befo re an aler t is sent) . These va lues can b e customiz ed for eac h VA Medic al Center Division. | |
35 | Note: The new fields in the ME DICAL CENT ER DIVISIO N file may be set to a value o f 0 – 720 hours, wit h each day defined a s an incre ment of 24 hours. Th e post-ins tallation routine se ts these v alues to a default o f 24 hours for each Medical Ce nter Divis ion having the TRACK INCOMPLET E SUMMARIE S (#100.01 ) field se t to "Y" ( Yes). If t he TRACK I NCOMPLETE SUMMARIES field is s et to “N” (No), then signature tracking and alert functional ity are no t availabl e. | |
36 | The post-i nstallatio n routine also sets the new IR T TRACKING field (#9 99) in the FACILITY TREATING S PECIALTY f ile (#45.7 ) to the d efault val ue TRACKIN G AND REPO RTS, enabl ing any ac tive Treat ing Specia lty to be included i n IRT trac king and s ubsequent reports. T o exclude a Treating Specialty from IRT tracking o r reportin g, use the new IRT T racking [I RT PARAMET ERS] optio n to chang e the valu e of the I RT TRACKIN G field to either TR ACKING ONL Y or NO TR ACKING. Th e IRT DEFI CIENCY EXC LUDED fiel d (#999.1) in the FA CILITY TRE ATING SPEC IALTIES EX CLUDED fil e (#45.703 ) stores i nformation necessary to exclud e certain IRT defici encies fro m being tr acked for a certain Treating S pecialty. The FACILI TY TREATIN G SPECIALT IES EXCLUD ED file is a sub-fil e within t he FACILIT Y TREATING SPECIALTY file. | |
37 | Finally, t he post-in stallation routine r e-schedule s the nigh tly IRT jo b (IRT Upd ate Std. D ef. Backgr ound Job [ DGJ IRT UP DATE] opti on), which performs a nightly review of the CPRS T IU Note sy stem, to r un before the alert options. | |
38 | These chan ges enable the IRT, Surgery, T IU, and CP RS applica tions to f unction to gether to track and complete I RT deficie ncies. | |
39 | Patch Comp onents: | |
40 | ---------- ------- | |
41 | Files & Fi elds Assoc iated: | |
42 | File Name (Number) Field Name (Num ber) New/Modif ied/Delete d | |
43 | ---------- -------- ----- ---------- ---- --------- ---------- - | |
44 | Facility T reating IRT T racking (# 999) New | |
45 | Specialt y (#45.7) | |
46 | Facility T reating IRT D eficiency Excluded New | |
47 | Specialt ies Exclud ed (#45.70 3) (#99 9.1) | |
48 | Medical Ce nter Divis ion (#40.8 ) Disch arge Alert Hrs New | |
49 | (#10 0.4) | |
50 | Medical Ce nter Divis ion (#40.8 ) H&P A lert Hours (#100.5) New | |
51 | Medical Ce nter Divis ion (#40.8 ) Opera tion Alert Hours New | |
52 | (#10 0.6) | |
53 | Forms Asso ciated: | |
54 | Form Name Fil e # New/Modif ied/Delete d | |
55 | --------- --- --- --------- ---------- - | |
56 | N/A | |
57 | Mail Group s Associat ed: | |
58 | Mail Group Name New /Modified/ Deleted | |
59 | ---------- ----- --- ---------- ------- | |
60 | N/A | |
61 | Options As sociated: | |
62 | Option Nam e Typ e New/Modif ied/Delete d | |
63 | ---------- - --- - --------- ---------- -- | |
64 | DGJ DISCHA RGE Run routine New | |
65 | SUMMARY ALERTS | |
66 | DGJ IRT Run routine New | |
67 | INCOMPLE TE2 | |
68 | DGJ IRT Run routine New | |
69 | INCOMPLE TE3 | |
70 | DGJ IRT PR INT2 Men u New | |
71 | DGJ H&P DU E ALERT Run routine New | |
72 | DGJ OP REP ORT DUE Run routine New | |
73 | IRT PARAME TERS Run routine New | |
74 | Protocols Associated : | |
75 | Protocol N ame New /Modified/ Deleted | |
76 | ---------- --- --- ---------- ------- | |
77 | N/A | |
78 | Parameters Associate d: | |
79 | Parameter Name New /Modified/ Deleted | |
80 | ---------- ----- --- ---------- ------- | |
81 | N/A | |
82 | Security K eys Associ ated: | |
83 | Security K ey Name | |
84 | ---------- ------- | |
85 | N/A | |
86 | Templates Associated : | |
87 | Template N ame T ype Fil e Name (Nu mber) New /Modified/ Deleted | |
88 | ---------- --- - --- --- ---------- ----- --- ---------- ------- | |
89 | N/A | |
90 | Additional Informati on: | |
91 | N/A | |
92 | New Servic e Requests (NSRs): | |
93 | ---------- ---------- -------- | |
94 | 20130812 I RT Incompl ete Record s Tracking Auto-Upda te | |
95 | Patient Sa fety Issue s (PSIs): | |
96 | ---------- ---------- --------- | |
97 | N/A | |
98 | Defect Tra cking Syst em Ticket( s) & Overv iew: | |
99 | ---------- ---------- ---------- ---------- ---- | |
100 | N/A | |
101 | Problem: | |
102 | ------- | |
103 | N/A | |
104 | Resolution : | |
105 | ---------- | |
106 | N/A | |
107 | Test Sites : | |
108 | ---------- | |
109 | Central Al abama Vete rans Healt h Care Sys tem, Tuske gee/Montgo mery, AL | |
110 | Milwaukee VA Medical Center, M ilwaukee, WI | |
111 | Software a nd Documen tation Ret rieval Ins tructions: | |
112 | ---------- ---------- ---------- ---------- ---------- -- | |
113 | Software b eing relea sed as a h ost file a nd/or docu mentation describing | |
114 | the new fu nctionalit y introduc ed by this patch are available . | |
115 | The prefer red method is to ret rieve file s from dow nload. DNS . DNS . | |
116 | This trans mits the f iles from the first available server. Si tes may | |
117 | also elect to retrie ve files d irectly fr om a speci fic server . | |
118 | 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 | |
119 | OI Field O ffices: | |
120 | ||
121 | Hines: DNS .U RL | |
122 | Salt Lake City:
|
|
123 | Documentat ion can al so be foun d in the V A Software Document Library (V DL) at: | |
124 | https://ww w. DNS /vdl/. | |
125 | Title File Name FTP Mode | |
126 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
127 | Incomplete Records T racking (I RT) dgj1 _0_um.doc Binary | |
128 | User Man ual | |
129 | Incomplete Records T racking (I RT) dgj1 _0_um.pdf Binary | |
130 | User Man ual | |
131 | Incomplete Records T racking (I RT) dgj1 _0_tm.doc Binary | |
132 | Technica l Manual | |
133 | Incomplete Records T racking (I RT) dgj1 _0_tm.pdf Binary | |
134 | Technica l Manual | |
135 | Patch Inst allation: | |
136 | Pre/Post I nstallatio n Overview : | |
137 | ---------- ---------- ---------- - | |
138 | The post-i nstallatio n routine DGJP005 ad ds the cap ability fo r a VA fac ility to e nable or d isable IRT tracking for any ac tive Treat ing Specia lty. The r outine pas ses throug h the FACI LITY TREAT ING SPECIA LTY file ( #45.7) and sets the new IRT TR ACKING fie ld (#999) to the def ault value TRACKING AND REPORT S. To excl ude a Trea ting Speci alty from IRT tracki ng or repo rting, set the IRT T RACKING fi eld to eit her TRACKI NG ONLY or NO TRACKI NG using t he IRT Tra cking [IRT PARAMETER S] option. | |
139 | The post-i nstallatio n routine modifies t he MEDICAL CENTER DI VISION fil e (#40.8) to add thr ee new fie lds that a re used to adjust th e frequenc y of alert s. These v alues can be customi zed for ea ch VA Medi cal Center Division to specify the wait time after a qualify ing event occurs bef ore the as sociated a lert is ge nerated. T he qualify ing events are disch arge from a ward, ad mission to a ward, o r completi on of an o peration. | |
140 | The post-i nstallatio n routine also resch edules the nightly I RT job (IR T Update S td. Def. B ackground Job [DGJ I RT UPDATE] option), which perf orms a nig htly revie w of the C PRS TIU No te system, to run be fore the a lert optio ns. | |
141 | Finally, t he post-in stallation routine a dds the IR T Print Me nu [DGJ IR T PRINT2] and two ne w report o ptions, Pr int Incomp lete Recor ds (by Att ending) [D GJ IRT INC OMPLETE3] and Print Incomplete Records b y Discharg e (Hosp wi de) [DGJ I RT INCOMPL ETE2]. The DGJ IRT P RINT2 menu is access ed from th e DGJ IRT PRINT menu . | |
142 | Pre-Instal lation Ins tructions: | |
143 | ---------- ---------- ---------- | |
144 | This patch may be in stalled wi th users o n the syst em, althou gh it is | |
145 | recommende d that it be install ed during non-peak h ours to mi nimize | |
146 | potential disruption to users. This patc h should t ake less t han 5 minu tes | |
147 | to install . | |
148 | Installati on Instruc tions: | |
149 | ---------- ---------- ---------- | |
150 | 1. From th e Kernel I nstallatio n and Dist ribution S ystem (KID S) menu, s elect the Installati on Menu. | |
151 | 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 DGJ_T IU_SR_IP08 _TV13.KID. | |
152 | ||
153 | 3. Enter Y ES for eac h “OK to C ontinue wi th Load? N O//” promp t. | |
154 | ||
155 | 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 DGJ *1.0*5. | |
156 | a. Verify Checksums in Transpo rt Global - This opt ion will h elp ensure the integ rity of th e routines that are in the tra nsport glo bal. | |
157 | b. Print T ransport G lobal - Th is option will enabl e viewing the compon ents of th e KIDS bui ld. | |
158 | c. Compare Transport Global to Current S ystem - Th is option will enabl e viewing all change s that wil l be made when this patch is i nstalled. It compare s all comp onents of this patch (routines , data dic tionaries, templates , etc.). | |
159 | d. Back up a Transpo rt Global - This opt ion will c reate a ba ckup messa ge of any routines e xported wi th this pa tch. It wi ll not bac k up any o ther chang es such as data dict ionaries o r template s. | |
160 | 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 DGJ*1.0* 5. | |
161 | 6. If prom pted ‘Want KIDS to R ebuild Men u Trees Up on Complet ion of Ins tall? NO// ’, press < Enter>. | |
162 | 7. When pr ompted ‘Wa nt KIDS to INHIBIT L OGONs duri ng the ins tall? NO// ’, press < Enter>. | |
163 | 8. When pr ompted 'Wa nt to DISA BLE Schedu led Option s, Menu Op tions, and Protocols ? NO//’, p ress <Ente r>. | |
164 | 9. If prom pted ‘Dela y install (Minutes): (0-60): 0 //’, press <Enter>. | |
165 | 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>. | |
166 | Post-Insta llation In structions : | |
167 | ---------- ---------- ---------- - | |
168 | Modify the IRT TRACK ING field (#999) to track defi ciencies b y Treating Specialty using the new IRT T racking [I RT PARAMET ERS] optio n. This op tion is us ed to limi t the trac king prope rties for certain Tr eating Spe cialties b ased on si te prefere nce. To ex clude a Tr eating Spe cialty fro m IRT trac king or re porting, c hange the IRT TRACKI NG field ( #999) in t he FACILIT Y TREATING SPECIALTY file (#45 .7) from T RACKING AN D REPORTS to either TRACKING O NLY or to NO TRACKIN G. | |
169 | Adjust the TIU value s for trac king by us ing the DO CUMENT PAR AMETER EDI T [TIU DOC UMENT PARA METER EDIT ] option f rom the TI U PARAMETE RS MENU [T IU SET-UP MENU]. Thi s option s hould be u sed to cha nge the fo rmer H&P S UMMARY def iciency to the new H &P ADMISSI ON deficie ncy for th e appropri ate TIU No te titles. | |
170 | Modify the IRT DEFIC IENCY fiel d (#.12) i n the TIU DOCUMENT P ARAMETERS file (#892 5.95) for each site to point t o the new History an d Physical Summaries named "H& P ADMISSIO N." Changi ng the IRT DEFICIENC Y field in the TIU D OCUMENT PA RAMETERS f ile to the "H&P ADMI SSION" ent ry enables this modi fication t o track an y H&P Summ ary TIU do cuments wi th the IRT package. | |
171 | A Clinical Applicati on Coordin ator (CAC) or Automa ted Data P rocessing Applicatio n Coordina tor (ADPAC ) must add any provi ders using IRT docum entation t o the USER CLASS def inition fo r STAFF PR OVIDER usi ng the LIS T MEMBERSH IP BY CLAS S option o n the USR CLASS MEMB ERSHIP men u in VistA . This cha nge ensure s that the provider is include d in the n ew reports distribut ed with th is patch. Only provi ders with this desig nation wil l be inclu ded in the new repor ts. | |
172 | Backout Pr ocedure: | |
173 | ---------- -------- | |
174 | 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. | |
175 | 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. Howeve r, in the event that a site de cides to b ack out th e primary and 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 then assi st with th e backout process us ing curren t approved methods. | |
176 | Validation of Backou t Procedur e: | |
177 | ---------- ---------- ---------- -- | |
178 | The Backou t procedur e can be v erified by printing the first two lines of the DGJ routines contained in this pa tch using the option First Lin e Routine Print [XU FIRST LINE PRINT]. O nce the DG J routines have been backed ou t, the fir st two lin es of the routines w ill no lon ger contai n the desi gnation of patch DGJ *1.0*5 on line 2 in the patch list secti on. | |
179 | 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. | |
180 | Routine In formation: | |
181 | ---------- ---------- | |
182 | The second line of e ach of the se routine s now look s like: | |
183 | ;;1.0;Inco mplete Rec ords Track ing;**[Pat ch List]** ;Jun 25, 2 001;Build 16 | |
184 | The checks ums below are new ch ecksums, a nd can be checked wi th CHECK1^ XTSUMBLD. | |
185 | Routine Na me: DGJBGJ | |
186 | Before : B3045524 6 After: B33880008 **5** | |
187 | Routine Na me: DGJBGJ 2 | |
188 | Before : n/ a After: B11769060 **5** | |
189 | Routine Na me: DGJHNP | |
190 | Before : n/ a After: B10439196 **5** | |
191 | Routine Na me: DGJOPR T1 | |
192 | Before : B2628033 7 After: B29311974 **5** | |
193 | Routine Na me: DGJOPR T3 | |
194 | Before : B1473275 9 After: B14693288 **5** | |
195 | Routine Na me: DGJP00 5 | |
196 | Before : n/ a After: B60713220 **5** | |
197 | Routine Na me: DGJSEN D | |
198 | Before : n/ a After: B9075020 **5** | |
199 | Routine Na me: DGJSRU | |
200 | Before : n/ a After: B53077420 **5** | |
201 | Routine Na me: DGJSUM | |
202 | Before : B1531196 2 After: B17128793 **5** | |
203 | Routine Na me: DGJTEE 1 | |
204 | Before : B2941166 4 After: B29701226 **5** | |
205 | Routine Na me: DGJTEV T | |
206 | Before : B2048001 2 After: B20791136 **5** | |
207 | Routine Na me: DGJTIU | |
208 | Before : n/ a After: B4427073 **5** | |
209 | Routine Na me: DGJTIU A | |
210 | Before : n/ a After: B6032376 **5** | |
211 | Routine Na me: DGJTVW 1 | |
212 | Before : B2808532 2 After: B28499018 **5** | |
213 | Routine Na me: DGJTVW 3 | |
214 | Before : B2435785 8 After: B25106138 **5** | |
215 | Routine Na me: DGJUTL | |
216 | Before : n/ a After: B2458811 **5** | |
217 | Routine Na me: DGJZIR T | |
218 | Before : n/ a After: B45387173 **5** | |
219 | Routine Na me: DGJZIR T1 | |
220 | Before : n/ a After: B97073361 **5** |
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