Installation Notes For RADIOLOGY 4.0 Patch 10 & 11 =========================================================== PREFIX: RA CURRENT VERSION: 4.0 Patch 10 & 11 =========================================================== *******NOTE************NOTE************NOTE************NOTE******* READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION ****************************************************************** I. GENERAL INFORMATION A. The purpose of this install is to prepare RADIOLOGY V.4.0 for upgrade to RADIOLOGY V.4.5. B. This install consists of Patch 10 and Patch 11 1. Patch 10 performs two conversions that are needed for Patch 11 to be installed. ******NOTE************NOTE*************NOTE*****************NOTE************** **VIRGIN** installations of Radiology will need to have a node set for successful installation of this patch. Please see details under the REQUIREMENTS section of this document. ******************************************************************************* a. HL7 conversion - moves any existing HL7 data in the Radiology module to the HL7 module. Radiology HL7 files are eliminated and Radiology HL7 options are removed. b. Contrast Media Allergy data in the Radiology module is entered into the Allergy Tracking System (ATS) module, and any Contrast Media Allergies existing in the ATS module for a Radiology patient is entered into the Radiology module if it isn't already there. c. The ATS conversion is preceded by a **MOCK** conversion which perform the conversions on data that has been copied into temporary globals. The HL7 conversion will not run if HL7 data is found in the Radiology files. Data is not expected to be present and a scheduled install is necessary if it is found. The install will abort with no affect on data or files if the **MOCK** conversion does not complete successfully or if Radiology HL7 data is found. d. Both the **MOCK** and actual conversions can be restarted in the event that they do not complete successfully. Please call for support. 2. Patch 11 consists of routines, files and input templates which are cumulative of all prior IHS RA 4.0 patches. a. All VA patches for RADIOLOGY 4.0 have been incorporated into the RADIOLOGY module with this patch. i. Users will not see a lot of functional changes by these changes. ii. Most of the changes have to do with interfacing with current versions of ATS, HL7, MAS and OE/RR iii. Each procedure in the Radiology Procedure file (file 71) will be assigned an "Imaging Type" of RADIOLOGY. This will have no effect on normal operation unless the imaging type of a procedure is changed by the Radiology Supervisor. This is not recommended at this time. In future versions Imaging Type is an important concept that will be well documented. b. When a site is set to "ASK PCC DATE AND TIME" the prompt will now appear when a patient is being REGistered for a radiological exam. i. Prompts used to appear when a radiological exam was being REQuested. The date entered might not have been the same day the actual exam took place, making the exam an "orphan" exam. ii. Sites who prompt for PCC DATE and TIME should take care that the date entered is the same as the date that the exam took place to assure a billable exam. c. The Women's Health package is now updated with the name of the interpreting physician when a report is verified. d. The option REQ-->USR can now be used to request multiple exams for a patient from a single prompt e. A problem where radiology reports were not being locked properly has been fixed. This will eliminate the "hang" that sometimes occurs when a Radiologist is attempting to verify a report that had been recently edited. C. This install took 10 minutes at a site with 55,000 entries in the Radiology Patient File. Try to avoid peek operation hours as a precaution. Backing up the required globals can take several hours for some sites. Consider backing these up the night before loading the patch if your facility is large or slow. II. The following routines have been included for the purpose of these patches: A. For Radiology data conversion patch 10: 1. RA410CNV 2. RA410MCK 3. RA410PRE 4. RAAFCV 5. RAHLCV 6. RAHLCV1 7. RAUTL3 B. For Radiology File patch 11: ROUTINES: 1. RA411PRE 2. RA411PST 3. RAEDCN7 4. RAFLH 5. RAHLO 6. RAHLO1 7. RAHLQ 8. RAHLQ1 9. RALWKL 10. RAORD1 11. RAORD2 12. RAORD3 13. RAORD5 14. RAORD6 15. RAORD7 16. RAORDC 17. RAORDQ 18. RAORDU 19. RAORR1 20. RAORR2 21. RAORR3 22. RAPRI 23. RAPRINT 24. RAPSET 25. RAPURGE1 26. RAREG1 27. RART 28. RARTE 29. RARTR 30. RARTVER 31. RASITE 32. RASTED 33. RAUTL 34. RAUTL1 35. RAUTL10 36. RAUTL2 37. RAZWH INPUT TEMPLATES: 1. [RA EXAM EDIT] 2. [RA QUICK EXAM ORDER] 3. [RA ORDER EXAM] 4. [RA PROCEDURE EDIT] FILES: 1. RADIOLGY PATIENT FILE (File 70) is updated for this patch. No patient data is affected. 2. RADIOLOGY PROCEDURE FILE (File 71) is updated for this patch. The "TYPE OF IMAGING" field (field 12) is introduced and each procedure in the local RADIOLOGY PROCEDURE FILE is initialized with an "Imaging Type" of RADIOLOGY. C. For previous patches: ROUTINES: 1. RABTCH1 2. RAEDCN 3. RARTE1 4. RARTVER1 5. RAWKL1 6. RAZPCC 7. RAZPCC1 8. RAZPCCX 9. RAZVRAD TEMPLATES: 1. Print Template [RA IMAGE DIV LIST] 2. Input Template [RA DIVISION PARAMETERS] FILES: 1. LABEL PRINT FIELDS (File 78.7) 2. RADIOLOGY DIVISION (File 79) III. CONTENTS OF DISTRIBUTION A. ra__0400.11k - KIDS distribution file 1. RA*4.0*10 - Conversion part of distribution. 2. RA*4.0*11 - Routine, file and template part of distribution B. ra__0400.11n - This file IV. REQUIREMENTS A. RADIOLOGY v4.0, including patch 2 B. VA FileMan v21 C. Kernel v7.1 D. XB/ZIB v3.0 E. MAS v5.0 F. NO HL7 data in Radiology Module* *To check for Radiology HL7 data look for files 77.1 and 77.2 using "Inquire to File Entries" from FileMan or Radiology SUP-->IFE. If there are entries please call ITSC support center to schedule a supported install of this patch. 1-888-830-7280 ========================================================================== **NOTE FOR VIRGIN INSTALLATIONS ONLY**NOTE FOR VIRGIN INSTALLATIONS ONLY** ***DO NOT SET THIS NODE UNLESS YOU ARE INSTALLING RA FOR THE FIRST TIME*** 1. Install Radiology Package 2. Install Radiology patch 2 3. Use the ENTER/EDIT option of FileMan to edit the RADIOLOGY 200 CONVERSION File: INPUT TO WHAT FILE: PACKAGE// RADIOLOGY 200 CONVERSION Set the Node to "1": Select RADIOLOGY 200 CONVERSION CONVERSION DONE: Choose from: 0 NO 1 YES Select RADIOLOGY 200 CONVERSION CONVERSION DONE: 4. Confirm that you do want to set the node, and continue with the INSTALLATION INSTRUCTIONS of this patch. This patch is cumulative of all Radiology patches except patch 2. ***DO NOT SET THIS NODE UNLESS YOU ARE INSTALLING RA FOR THE FIRST TIME** **NOTE FOR VIRGIN INSTALLATIONS ONLY**NOTE FOR VIRGIN INSTALLATIONS ONLY** ============================================================================= V. INSTALLATION INSTRUCTIONS **NOTE**: a FULL SYSTEM BACKUP is always recommended before conversions. The following is the minimum needed before this install. A. Backup all RA routines using %RS. 1. D ^%RS 2. select HFS. 3. enter a save file name of your choice. For example: 'RA_PRE11_RTNS.20001207' where 20001207 is the date the snapshot was created. 4. enter a comment such as 'Pre-patch 11 snapshot of Radiology routines'. 5.select routines 'RA*' B. Back up the globals ^RADPT, ^GMR, ^RAH(may not exist), ^HL 1. D ^%GS 2. Select HFS 3. Enter a save file name of your choice. For example: 'RA_PRE11_GLBLS.2001207 4. Enter a comment such as 'Pre-patch 11 snapshot of affected Radiology conversion globals C. Start a "capture" of this installation and direct it to a local printer or file for trouble shooting purposes. D. Perform KIDS Load of file ra__0400.11k E. Perform KIDS Install of file RA*4.0*10 **NOTE**: The file for patch 11 will be loaded automatically after conversions have completed. 1. You will see the following prompts after environment check has taken place: Incoming Files: 70 RADIOLOGY PATIENT Note: You already have the 'RADIOLOGY PATIENT' File. 71 RADIOLOGY PROCEDURE Note: You already have the 'RADIOLOGY PROCEDURE' File. 78.7 LABEL PRINT FIELDS (including data) Note: You already have the 'LABEL PRINT FIELDS' File. Want my data to overwrite yours? YES// (accept the default "yes") (no site data will be affected) 79 RADIOLOGY DIVISION (Partial Definition) Note: You already have the 'RADIOLOGY DIVISION' File. Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// (accept "yes and disable RA OVERALL after assuring all Radiology Users are off the system. Options will be re-enabled by KIDS after the install) (If you have already made sure Radiology users are off the system and will stay off the system, you can safely answer "no" at this prompt) 2. You will see messages indicating space is being checked and globals are being copied for the **MOCK** conversion. 3. You will see the following messages indicating the **MOCK** conversions have started and completed successfully: Allergy Tracking routines are in place. Proceeding with **MOCK** conversion Starting **MOCK** conversion of Radiology Contrast Media allergy data to the Allergy Tracking System. You will receive a screen bulletin at completion. **MOCK** Contrast Media Allergy data conversion completed successfully. No HL7 data to convert. Has **MOCK** CONTRAST MEDIA ALLERGY conversion completed?? YES// 4. Enter at the prompt to continue with the actual conversions. 5. You will see similar messages indicating the actual conversions have completed. Enter at the prompt when you see messages that conversions have completed. 6. The user installing this distribution will receive a mail bulletin stating conversions completed and some details of the HL7 data that was converted. 7. Allow install to complete and turn off "capture" of the installation. F. In the event of an install failure AFTER the **MOCK** conversion has completed, restore the back up files created in step 4 A. & B. (If install fails before or during **MOCK** conversions, there is no need to restore because there were no changes made) 1. D ^%RR 2. enter snap shot file name from step IV.A.3. 3. restore all routines. 4. D ^%GR 5. Enter snap shot file name from step IV.B.3 6. Contact site manager and HQW for support VI. POINTS OF CONTACT: Site Manager Area Office -- ISC personnel Radiology Developer: Stephanie Randolph: (505)342-9950 RPMS Support Center: 1-888-830-7280 -----------------------------------------------------------