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Patch Subject: ABNORMAL REPORT FORMATTING & DX CODE PROCESSING Description: ============ Associated Ticket(s): ===================== INC4644465 INC4753897 INC2890615 INC6714227 Associated NSR(s): ================== N/A Participating Test Sites: ========================= White River Junction VAMC South Texas HCS (San Antonio) Problem A: ---------- The Abnormal Exam Report [RA ABNORMAL] is formatted in a way that is sometimes misleading as to which diagnostic codes go with which exams. Resolution A: ------------- Routine RAPRINT1 is modified to adjust the report formatting so that the diagnostic code header is clearly positioned above the exams it represents. Problem B: ---------- A subscript error was reported when attempting to process a "Procedure Changed" alert [#67] in CPRS: <SUBSCRIPT>SET1+25^RAO7PC4 The 'changed from' procedure is missing from the 'DATA FOR PROCESSING' field [#2] in the ALERT TRACKING [#8992.1] file. RESOLUTION B: ------------- Routine RAO7PC4 is modified as follows: If the 'changed from' procedure is missing in the alert data, it will first try to get the procedure information from the order, if available, and if that fails it will display an 'UNKNOWN' on the alert when processed. PROBLEM C: ---------- Radiology identifies the primary and secondary diagnostic codes (DX) based on the order they are received in the OBX segments of the report message (HL7 version 2.4 only). A primary designation on Powerscribe does not dictate the order that they are sent, but instead they are sorted by the DX code's number (highest to lowest). So, a secondary code number of 1200 (AAA Not Present) will be above the primary code of 1000 (no alert required) and therefore be filed as Primary in Radiology. RESOLUTION C: ------------- Voice Recognition sends the Primary designation along with the DX code. VistA Radiology will check for that designation and assign the code as Primary regardless of its position in the HL7 message. If no Primary designation is sent, the first code will still be identified as Primary. PROBLEM D: ---------- The radiology registration menu enforces a location switch to the modality of the ordered procedure. There are times when it is necessary to register an exam under a different modality than what was ordered, as decided by the radiologist at the time of the procedure. Currently, the package prevents the modality from being changed and the order must be discontinued and reordered. RESOLUTION D: ------------- A new security key (RA SWITCHLOC) is distributed with this patch. Holders of this key will be able to register an exam under a different modality than the ordered procedure when appropriate. Routine RAREG3 is modified to check for this security key at the time of exam registration. DOCUMENTATION RETRIEVAL: ======================== These are the documentation changes associated with this patch: Radiology/Nuclear Medicine Technical Manual These manuals are available on the ANONYMOUS.SOFTWARE directory at one of the following Office of Information (OI) Field Offices. These files should be retrieved in binary format. Sites may retrieve documentation as follows: The preferred method is to SFTP the files from download.vista.domain.ext, which will transmit the files from the first available FTP server. The documentation distribution includes: File Name Description Protocol --------- ----------- -------- RA5_0TM.DOCX Technical Manual BINARY Use default answers for KIDS load/install questions. Patch-Files: http://code.osehra.org/VistA.git/tree/master/Packages/Radiology+Nuclear+Medicine/Patches/RA_5.0_157
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