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Patch Subject: Clinical Display Issues Description: ============ Associated Patches: =================== This patch must be installed after MAG*3.0*185 and MAG*3.0*191. Subject: CLINICAL DISPLAY ISSUES ======== Category: OTHER ========= Description: ============ MAG*3.0*188 will resolve the following issues for the Clinical Display client: The ability to show/hide the grid on Electrocardiograms (EKGs) was inadvertently removed in MAG*3.0*167; the option will be restored. The ability to select multiple EKGs for printing was inadvertently removed in MAG*3.0*167; the option will be restored. In the Radiology viewer, Computed Tomography (CT) images jump and the window/level functionality is not displayed properly if the images are scrolled quickly with the mouse. Image List Window Update Grid On/Off Feature Updates Patch Components: ================= This patch includes software and documentation files. This document, MAG3_0P 188_Patch_Description.pdf, provides an overview, explains the changes, and outlines the installation for this patch. MAG3_0P188_README.txt, if present, is an informative file associated with the patch. Software: ========= File Name Description ========= ============ MAG3_0P188.KID Kernel Installation and Distribution System (KIDS) build for Patch 188 MAG3_0P188_Clinical_Display_Setup.exe Clinical Display client installation file. MAG3_0P188_CLINICAL_DISPLAY_INSTALL.MSI Clinical Display push installation file. MAG3_0P188_Patch_Description.pdf Patch Description for P188 Documentation: ============== This document, MAG3_0P188_Patch_Description.pdf, provides an overview, explains the changes, and outlines the installation for this patch. Files & Fields Associated: ========================== The following are two new FileMan (FM) Files included in MAG*3.0*188: MUSE TEST TYPES #2006.171 o This file will hold a list of MUSE Test Types that are used by the MUSE FORMAT TABLE File to map a Test Type to a MUSE Format ID number. o The sites can add new Test Types to this file, if needed. -IMPORTANT: The spelling of the Test Type that is entered into this file must EXACTLY match the spelling of the Test Type on the MUSE System. MUSE FORMAT TABLE #2006.172 o This file is a mapping of MUSE Test Types to the MUSE Format ID number for a specified MUSE System. -The default Format ID's listed below are used by the MUSE System to compile the MUSE Test data, for the specified Test Type, into a PDF file for viewing. The default Format ID's cannot be modified. The sites can add entries to this file if any of the default mappings of MUSE Test Types to MUSE Format IDs is not correct for a certain MUSE System. If site specific Format ID's have been entered into the MUSE FORMAT TABLE, those Format ID's will override the defaults. Forms Associated: ================= There are no forms associated with this patch. Mail Groups Associated: ======================= There are no mail groups associated with this patch. Options Associated: =================== There are no options associated with this patch. Protocols Associated: ===================== There are no protocols associated with this patch. Security Keys Associated: ========================= There are no security keys associated with this patch. Templates Associated: ===================== There are no templates associated with this patch. Additional Information: ======================= New Service Requests (NSRs): ============================ There are no new service requests addressed in this patch. Patient Safety Issues (PSIs): ============================= There are no patient safety issues associated with this patch. Defect Tracking System Ticket(s) & Overview: ============================================ 1.Defect 541749 (Ticket I14967812FY17) Showing/Hiding Grid on EKGs Problem: MAG*3.0*167 inadvertently removed the ability to show/hide grid on EKGs. Resolution: A new menu option, Grid On, has been added to the Options menu of the MUSE EKG Clinical Display window. The menu option will default to "checked" when the window is opened. When the Grid On option is checked, the test generated by the MUSE system will include a grid. When Grid On is unchecked, the test generated by the MUSE system will not include a grid. Note: The way that the grid is displayed on the image has changed in this patch. In previous versions of the MUSE EKG Viewer, the patient test was retrieved from the MUSE system without a grid. When the test was displayed in the MUSE Viewer, a grid was drawn on top of the displayed test. In this patch, different MUSE test formats are used to generate tests with and without grids. 2. Defect 541795 (Trouble Ticket R14889502FY17) Printing Multiple Studies Problem: Clinical Display used to be able to select more than one EKG study and print them at one time. MAG*3.0*167 inadvertently removed that option. Resolution: The EKG (ECG) Test Type List on the MUSE Viewer window has been modified to enable multiple selections. The Popup Menu has a new Print Selected Images. option which will open the Printer Dialog window. The user can select a printer and click "OK." Selecting the File | Print Selected Images. option will also print the images selected in the EKG Test Type List. Notes: The grid will also be printed if the Options | Grid menu option is checked. Multiple selections are accomplished by the standard methods: Ctrl-Click to select an entry Click to open one test Shift-click to select a range Ctrl-click to select an additional entry. All tests selected in the EKG Test Type list will be printed when "Print Selected Images." is selected. 3. Defect 586331 (Trouble Ticket I17074853FY18, I16872958FY18, R15933755FY17, R16210630FY17, R16376989FY17, R16454004FY17, & I16715556FY17) Images Jumping in CT Images Problem: In the Radiology viewer, CT images jump and the window/level functionality is not displayed properly if the images are scrolled quickly with the mouse. Resolution: The code was modified to fix this issue. Now when a CT preset is selected, the window/level settings will not change when the user scrolls quickly or clicks the Play button. 4. Defect 662033 (Trouble Ticket I16798961FY18): Image List Window Update Problem: An issue was reported in the Image List window, that when the Columns are resized or hidden, the changes are not saved in the User Preferences. Resolution: The code was modified to fix this issue. 5. Defect 670519 (Trouble Ticket I18544856FY18): Grid On Feature Missing With New MUSE Problem: When the user changes Grid on/off, the user has to click on a different test and back for it to reload the test with no Grid. Resolution: When the user switches the grid setting, any images that are opened, will be redisplayed with the new grid setting. The following is the MUSE Test Type and Format ID Mapping: MUSE Test Type and Format ID Mapping: To display the MUSE Format Table, open the MUSE EKG Display viewer and Select the menu: Options | Show Format Table. The MUSE Format Table window will be displayed and the default mappings will be listed. Default mapping: MUSE Format Table Columns: Site: The MUSE System entry in the NETWORK LOCATION File. "All Sites" means the default mapping for all MUSE Systems. "All Sites" is not an entry in the NETWORK LOCATION File. (Internal Entry Number) IEN: The Internal Entry Number is for the NETWORK LOCATION entry. '0' means the default mapping is for all MUSE Systems. Test Type: This field can be modified by the user. Grid: Enter 'Yes' if a Grid is displayed, 'No' if a Grid is not displayed. Format ID: Enter the new Format ID Number for the Test Type. Modify MUSE FORMAT Table: Review the Appendix A for examples on modifying the MUSE FORMAT TABLE to override the default Test Type - Format ID mappings. Test Sites: =========== The following sites are test sites for this patch: VA Denver Health Care System Augusta VA Medical Center Software and Documentation Retrieval Instructions: ================================================== Software being released and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. 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: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/. Patch Installation: =================== Supported Client Versions ========================== When MAG*3.0*188 is released, the list of supported versions of Clinical Display will not change. The list of supported versions will remain: Supported Versions No Longer Supported 3.0.188 3.0.131 3.0.191 3.0.122 3.0.181 3.0.117 3.0.167 3.0.106 3.0.161 3.0.94 3.0.149 3.0.130 Pre/Post Installation Overview: =============================== MAG*3.0*188 must be installed on the VistA System and on 64-bit workstations on which the VistA Imaging Applications will be used. This patch must be installed by the compliance date. This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Use default answers for KIDS load/install questions. Patch-Files: http://code.osehra.org/VistA.git/tree/master/Packages/Imaging/Patches/MAG_3.0_188
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