INSTALLATION NOTES FOR Health Summary Version 2.0 ===================================================================== PREFIX: APCH CURRENT VERSION: 2.0 PATCH 9 ===================================================================== **** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** NOTE * ************************************************************************* * READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION !!!* ************************************************************************* **** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** NOTE ** 1. GENERAL INFORMATION a) Print all notes/readme files. b) It is recommended that the terminal output during the installation be captured using an auxport printer attached to the terminal at which you are performing the software installation. This will ensure a printed audit trail if any problems should arise. ** IMPORTANT NOTE c) This is health summary patch 9. Patch 1 requires that pharmacy 6.0 be loaded. If you are still running a version of Pharmacy less than 6.0 you must save off routine APCHS7, load this patch, then restore routine APCHS7. When you load Pharmacy 6.0, you must reload this health summary patch. d) The patch fixes/modifies the following functionality: - Added MICROBIOLOGY component. - Added BLOOD BANK component. - Added a PATIENT ED – MOST RECENT BY TOPIC component to display patient education by topic name. - Added a new Medication component to display chronic meds only but does not display any meds that have been D/C ed. - Modifies the demographic section to display Blood Type/Rh from the Blood bank section of lab if available. APCHS1 - Modifies the logic for supplement display to display a supplement if the patient has had a diagnoses within the evoking codes list during the past year. The visit must be to a primary care provider. Previously, only the problem list was scanned for a diagnoses with the evoking codes list. - DM Supplement: * Made EP2^APCHS9B1 a published entry point * If no DM problem on Problem list display ***NONE RECORDED*** to prompt provider to add DM to problem list. * If patient is not on a Diabetes Register, prompt such on the the supplement. * Display date of last Chest Xray if Known Positive PPD or TB. * Fixed TD to look at immunization tetanus toxoid - Modifies the logic for flowsheet display to display a flowsheet if the patient has had a diagnoses within the evoking codes list during the past year. The visit must be to a primary care provider. Previously, only the problem list was scanned for a diagnoses with the evoking codes list. - Kills ^TMP where appropriate after the lab display (APCHS3A) - Adds NKDA and NO KNOWN DRUG ALLERGIES as narratives that evoke the No Known Allergies phrase in the allergy component - Prints Medicaid Plan Name in the demographic section. (APCHS5A) - Modifies 2 med components to pick up free text name if available from outside pharmacy system links. (APCHS73, APCHS74) - Fixed 1 space errors after quits (APCHS79) - Modifies several routines that were using 365.25 with $$FMADD^XLFDT to use 365 as the function call does not support partial days. - Fixes the PATIENT ED – MOST RECENT component to observe time frame and max occurrences parameters. Previous patches did the following: - modifies the allergy section to include new 2000 icd9 codes (APCHS40) - adds an entry point for printing health summaries from PCC Encounter Form system (APCHS,APCHS0) - modifies the Medications w/# issued component - adds a second hemoglobin A1C to the DM supplement - adds refusals for lab tests to the DM supplement - Modifies the education display (APCHS10) - Prevents a possible undef in Medicaid display (APCHS5A) - Adds return to stock note on Medication display (APCHS7) - Fixes possible PGMOV in dm supplement (APCHS9B4) - Adds new component which displays all outpatient encounters minus CHR visits. (APCHS2H) - Modifies the DM supplement per PSG. (APCHS9B1,APCHS9B2, APCHS9B4,APCHS9B5) - Adds type of refusal to the refusal component. (APCHS5) - Adds a PEP to SELPT^APCHS (APCHS) - Fixes CMS Display to coincide with CMS (APCHS) - Adds patient refusal checks to several health maintenance reminders. (APCHS11, APCHS11A, APCHS11C, APCHS11D, APCHS11E, APCHS11F, APCHS11G) - Checks for null provider narrative to prevent subscript errors. (APCHS40) - Adds 2 new Elder Care components (these are still being reviewed by PSG but are distributed to not overwrite the test sites. (APCHS5) - Significantly modifies the logic of the Diabetes Patient Care summary per the Diabetes group. (APCHS9B1, APCHS9B2, APCHS9B3, APCHS9B4) - Adds a new, modified lab component to display labs by Date (APCHS3B) - Adds a new, modified medication component. (APCHS73) - modifies/upgrades all health maintenance reminders (see accompanying document) - fixes pap display on DM Supplement - fixes lab results to not display ^^ on DM Supplement - fixes potential undef in Medicare display - expand the lookup for paps, flu shot and mammograms on the supplement to include CPT codes - modifies the PDD prompt to state "Last Documented PPD" on supplement - modifies the prompt to state "Known Positive PDD or Hx of TB" on supplement - adds the date of the last Mammogram from PCC to supplement - adds a component to display allergies/adverse reactions from the pharmacy allergy tracking module 2. CONTENTS OF DISTRIBUTION a) apch0200.09k - Routines b) apch0200.09n - Installation notes 3. REQUIREMENTS a) Health Summary Version 2.0 (APCH) b) This is health summary patch 9. Patch 1 requires that pharmacy 6.0 be loaded. If you are still running a version of Pharmacy less than 6.0 you must save off routine APCHS7, load this patch, then restore routine APCHS7. When you load Pharmacy 6.0, you must reload this health summary patch. c) AUM patch 6 should be installed prior to installing this patch. Table update patches should be up to date. 4. INSTALLATION INSTRUCTIONS Please install Health Summary Patch 8 prior to installing this patch. If you have already installed patch 8 you can proceed. In all UCI's running Health Summary Version 2 a) Disable the Health Summary Menus to prevent users logging on to Health Summary b) Save off all APCH* routines as a backup. c) This is a kids install. The Kids file name is apch0200.09k. 5. POINT OF CONTACT Lori Butcher, Cimarron Medical Informatics, 520-577-2146.