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Patch Subject: ANATOMIC PATHOLOGY LOG-IN: SCREEN FOR SEX-SPECIFIC TOPOGRAPHY Description: ============ This patch addresses the following issue: Anatomic Pathology Log-In does not require that the patient's sex must match the SEX SPECIFIC (#2.5) field in the TOPOGRAPHY FIELD (#61) file for specimens (if the sex specific field is defined). Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ -------------------------- -------------------- CYTOPATHOLOGY: SPECIMEN SUB-FIELD SPECIMEN TOPOGRAPHY (#.06) Modified (#63.902) ELECTRON MICROSCOPY: SPECIMEN SUB-FIELD SPECIMEN TOPOGRAPHY (#.06) Modified (#63.202) SURGICAL PATHOLOGY: SPECIMEN SUB-FIELD SPECIMEN TOPOGRAPHY (#.06) Modified (#63.812) Blood Bank Review: ================= EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*514 does not contain any changes to the VISTA BLOOD BANK Software as defined by ProPath standard titled: BBM Team Review of VistA Patches. EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*514 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*514 have no adverse effect on Blood Bank software functionality, therefore RISK is none. VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes made, no specific validation requirements exist as a result of installation of this patch. Defect Tracking System Ticket(s) & Overview: =========================================== 1. INC2906846 - Anatomic Pathology Log-In Sex-Specific Topography Validation Problem: ------- The Log-in, anat path [LRAPLG] option does not require that the patient's sex must match any sex-specific specimen topography specimens. These specimens correspond to an entry from the TOPOGRAPHY FIELD (#61) file that is defined with "F" for "female" or "M" for "male" in the SEX SPECIFIC (#2.5) field. If a specimen is logged in with a sex-specific mismatch, that entry is not accepted during the later steps in Anatomic Pathology Data Entry. Resolution: ---------- Modify the data dictionary input transforms and screens for the Surgical Pathology, Cytopathology, and Electron Microscopy (EM) accession areas with the following requirement: If the SEX SPECIFIC (#2.5) field of the TOPOGRAPHY FIELD (#61) file is defined, the patient's sex must match the field entry. Any entries in the TOPOGRAPHY FIELD (#61) file that have an "M" or "F" entry in the SEX SPECIFIC (#2.5) field will not display to the user as a selection choice if the entry is not the same as the patient's sex. NOTE: This change is not necessary for the Autopsy accession area since specimen topography is not entered during the Log-in, anat path [LRAPLG] option. The change will also not be implemented for Laboratory accession areas not related to Anatomic Pathology. Test Sites: ========== VA Puget Sound HCS Syracuse VAMC Data Dictionaries Before: ======================== 63.902,.06 SPECIMEN TOPOGRAPHY 0;6 POINTER TO TOPOGRAPHY FIELD FILE (#61) LAST EDITED: NOV 25, 2005 DESCRIPTION: This field contains the topography location for this test. 63.202,.06 SPECIMEN TOPOGRAPHY 0;6 POINTER TO TOPOGRAPHY FIELD FILE (#61) LAST EDITED: NOV 25, 2005 DESCRIPTION: This field contains the topography location for this test. 63.812,.06 SPECIMEN TOPOGRAPHY 0;6 POINTER TO TOPOGRAPHY FIELD FILE (#61) LAST EDITED: FEB 08, 2007 DESCRIPTION: This field contains the topography location for this test. Data Dictionaries After: ======================= 63.902,.06 SPECIMEN TOPOGRAPHY 0;6 POINTER TO TOPOGRAPHY FIELD FILE (#61) INPUT TRANSFORM: S DIC("S")="I $P(^LAB(61,+Y,0),U,3) =""""!($P(^LAB(61,+Y,0),U,3)=$G(SEX))" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X LAST EDITED: NOV 30, 2018 HELP-PROMPT: This field contains the topography location for this test. DESCRIPTION: This field contains the topography location for this test. If the SEX SPECIFIC (#2.5) field of the TOPOGRAPHY FIELD (#61) file is defined, the sex of the patient must match. SCREEN: S DIC("S")="I $P(^LAB(61,+Y,0),U,3) =""""!($P(^LAB(61,+Y,0),U,3)=$G(SEX))" EXPLANATION: If this message appears after entering a topography, the entry might be: (1) not on file; (2) misspelled; or (3) the topography has a restriction by sex that does not match the patient's sex. 63.202,.06 SPECIMEN TOPOGRAPHY 0;6 POINTER TO TOPOGRAPHY FIELD FILE (#61) INPUT TRANSFORM: S DIC("S")="I $P(^LAB(61,+Y,0),U,3) =""""!($P(^LAB(61,+Y,0),U,3)=$G(SEX))" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X LAST EDITED: NOV 30, 2018 HELP-PROMPT: This field contains the topography location for this test. DESCRIPTION: This field contains the topography location for this test. If the SEX SPECIFIC (#2.5) field of the TOPOGRAPHY FIELD (#61) file is defined, the sex of the patient must match. SCREEN: S DIC("S")="I $P(^LAB(61,+Y,0),U,3) =""""!($P(^LAB(61,+Y,0),U,3)=$G(SEX))" EXPLANATION: If this message appears after entering a topography, the entry might be: (1) not on file; (2) misspelled; or (3) the topography has a restriction by sex that does not match the patient's sex. 63.812,.06 SPECIMEN TOPOGRAPHY 0;6 POINTER TO TOPOGRAPHY FIELD FILE (#61) INPUT TRANSFORM: S DIC("S")="I $P(^LAB(61,+Y,0),U,3) =""""!($P(^LAB(61,+Y,0),U,3)=$G(SEX))" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X LAST EDITED: NOV 30, 2018 HELP-PROMPT: This field contains the topography location for this test. DESCRIPTION: This field contains the topography location for this test. If the SEX SPECIFIC (#2.5) field of the TOPOGRAPHY FIELD (#61) file is defined, the sex of the patient must match. SCREEN: S DIC("S")="I $P(^LAB(61,+Y,0),U,3) =""""!($P(^LAB(61,+Y,0),U,3)=$G(SEX))" EXPLANATION: If this message appears after entering a topography, the entry might be: (1) not on file; (2) misspelled; or (3) the topography has a restriction by sex that does not match the patient's sex. Patch Installation: Use default answers for KIDS load/install questions. Patch-Files: http://code.osehra.org/VistA.git/tree/master/Packages/Lab+Service/Patches/LR_5.2_514
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