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LAB_LEDI_II _UM

1. HL7 v1 6 Environment setup is complete Enter RETURN to continue or to exit HOST Lab Setup HOST Lab MILWAUKEE WI Uneditable Logical Link MailMan or TCP IP Auto Instrument Message Configuration LA7V HOST XYZ Alert Condition Enter a number 1 5 2 Logical Link for transmissions to from MILWAUK Protocol Logical Link LA7V Process Results from XYZ LA7V Send Order to XYZ Enter a Logical Link MM TCP TCP IP Updating HL LOGICAL LINK file 870 Adding LA7V XYZ Updating the PROTOCOL file 101 68 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continues HOST Lab Setup HOST Lab REGION 7 ISC TX DEMO Uneditable Logical Link MailMan or TCP IP DATA Automated Instrument GRACE PERIOD FOR MESSAGES ALERT CONDITION Enter a number 1 5 2 Logical Link for transmissions to from REGION 7 ISC TX DI Protocol Logical Link LA7V Process Results from 170 LA7V 170 TCP LA7V Send Query to 170 LA7V 170 TCP LA7V Send Order to 170 LA7V 170 TCP Enter a Logical Link MM TCP Enter a code from the list Select one of the following MM MAILMAN TCP
2. N EJ FW If shipping laboratory tests that are a certain urgency specify the urgency that must match the test urgency of the accession for the accession test to be placed on the shipping manifest 58 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continued for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a Commercial Reference Laboratory non VA facility HOST FACILITIES lt RET gt This field is used by LEDI software at the host facility to determine th ntry in the host site s URGENCY file 62 05 to use for ordering when the host site has more than one entry in the URGENCY file 62 05 that maps to the same HL7 PRIORITY ple Host site has three urgencies which map to HL7 PRIORITY ROUTINE R try Name LEDI PATIENT WAITING ROUTIN ROUT INI ROUTIN NO RUSH ROUTIN re is no mapping defined for this field the LEDI software will use the last entry he URGENCY file that maps to HL7 PRIORITY ROUTINE R workload urgencies ar xcluded his case the test would be ordered with a URGENCY of NO RUSH If the host site enters a mapping in this field i e ROUTINE then the test will be ordered using the host site s en
3. 13 IRM Complete the HL7 Environment Setup 73 1b MailMan Interfaces 75 LEDI II CONFIGURATION SETUP CHECKLIST 77 CHECKLIST FOR COLLECTION FACILITY SETTING UP HOST FACILITY 771 CHECKLIST FOR HOST FACILITY SETTING UP COLLECTION FACILITY 79 PACKAGE OPERATION 2 2 0 nn nnn neem nnn en n 81 LEDI II DOCUMENTATION RETRIEVAL FORMATS 81 File Names Contents Retrieval Formats 81 LEDI I DOCUMENTATION RETRIEVAL LOCATIONS 81 Website Locations 8 amp 2 Laboratory Version 5 2 Home Page 82 VISTA Documentation Library VDL 82 LEDI II NEW AND MODIFIED OPTIONS 83 Edit Required Test Information LA7S MANIFEST TEST REQ INFO option 83 Retransmit LEDI Lab Results LA7S RESULTS RETRANSMIT option 83 Print LEDI Pending Orders LA7S PENDING PRINT LEDI option 83 D
4. February 2002 LEDI II User Manual V 5 2 29 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 4 LIM Collection and Host Facilities Information Requirements Host Facility The host facility laboratory must provide the collection facility laboratory with the following information requirements e Specimen collection requirements e Schedule of testing e List of tests for panel tests e Normal range and critical values e Patient prep instructions load e Provide a list of National Lab Test NLT codes used by the host facility laboratory VA Host facility only NOTE The Electronic Catalog Menu LAS7 CATALOG MENU can be used to produce a list of the host facility NLT codes This menu is located on the Lab Shipping Management Menu LA7S MGR MENU which is located on the Lab Liaison Menu LRLIAISON e NLT order code to be used to order the test e NLT Result LOINC codes used to report the results e Accession Area numeric identifier VA Host facility only e Bar code symbology and label stock e Provide the collection facility laboratory with a list of lab tests that are available for processing Note The Electronic Catalog Menu LAS7 CATALOG MENU may also be used to produce a list of the host facility available lab tests requiring processing 30 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 4 conti
5. 100 Table TBL 101 TCP IP 22 22 22 220222202022 22 101 Trading Partners 101 Ul 101 UID 101 VAMC 101 VISN 101 VISTA 101 VISTA Laboratory UI and LEDI HL7 Interface Standard Specifications V 1 1 101 Workload System 101 8 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Introduction Overview The Veteran Integrated Service Network VISN mission is to consolidate electronic lab test ordering and lab test result reporting throughout all Veterans Affairs VA Medical Care Facilities Laboratories within a VISN between VISNs and non VA organizations i e commercial reference laboratories The existing VISTA Laboratory Electronic Data Interchange LEDI software application required modifications and enhancements
6. 14 VISTA BLOOD BANK SOFTWARE V5 2 DEVICE PRODUCT LABELING STATEMENT 14 FLOW CHART 15 ORIENTATION 20 222 2 22 nn nnn nn nn nnn nnn nnn ene ne ene n nnn nnn nn enema nenenes 17 COMPUTER DIALOGUE 17 USER ENTRY RESPONSE 17 RETURN SYMBOL 17 TAB SYMBOL 17 BRACKET SYMBOL 17 REFERENCES 18 PACKAGE MANAGEMENT 2 2 2 ne serene nn nn nsec ene ne nen n nn nnnnenenenene 19 CONTINGENCY PLANNING 19 FILE SECURITY 19 SECURITY KEYS 19 February 2002 LEDI II User Manual V 5 2 5 LA 5 2 46 LR 5 2 222 Introduction ELECTRONIC SIGNATURE 20
7. 99 Collection facility 99 February 2002 LEDI II User Manual V 5 2 7 LA 5 2 46 LR 5 2 222 Introduction Data Fields 99 Data Type DT 99 Electronic Catalog 99 Element Name 99 Host facility 99 LEDI 100 Length LEN 100 NLT 22 020 222 0222 2 202 2 n 100 Optionally R O C 100 PID 2 2222 2022 200222202022 2222 100 Repetition RP 100 Segments 100 Shipping Manifest 100 Sequence Number SEQ
8. Specimen Collection Specimen Accession Send out Lab Tests To Host Facility Host Facility Specimen Receiving Collection Facility Orders Pending Specimen Accession Status Message Specimen Analysis Lab Test Results ollection Facili Patient HL7 Messaging Collection Facility Normal Processing Lab Test Results Pending Acceptance by Collection Facility Collection Facility Patients Verified Lab Test Results Host Facility Patient Data February 2002 LEDI II User Manual V 5 2 LA 5 2 46 LR 5 2 222 Introduction 16 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Orientation This section defines the symbols and computer screen dialogue used throughout the LEDI II User Manual Computer Dialogue The computer dialogue appears in Courier font no larger than 10 points Example courier font 10 points User Entry Response User entry response appears in boldface type Courier font no larger than 10 points Example Boldface type Return Symbol User response to computer dialogue is followed by the lt RET gt symbol which appears in Courier font no larger than 10 points and bolded Example lt ret gt Tab Symbol User response to computer dialogue is followed by the lt Tab gt symbol which appears in Courier font no larger than 10 points bold Example lt Tab gt Bracket Symbol The bra
9. If errors are found an alert is sent to members of the mail group LAB MESSAGING notifying them that errors were detected If logging of errors occurred then alert recipients will be able to print or view error log from the alert system Alternatively the error report can be printed using the Print Lab Messaging Integrity Check Report LA7 PRINT INTEGRITY CHECK option The integrity report can be run alone using Lab Messaging File Integrity Checker LA7 CHECK FILES option For an example see the Implementation section Step 8 88 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation Lab Universal Interface LA7 MAIN MENU Menu The Lab Universal Interface Menu LA7 MAIN MENU contains one modified option for the release of LEDI II This menu is located on the Lab Interface Menu LA INTERFACE om Options Lab Universal The Lab Universal Interface Main Menu contains options to Interface Menu setup manage and use the Lab Universal Interface This LA7 MAIN MENU submenu is located on the Lab interface Menu LA INTERFACE containing one modified option Display Lab UI This option logic used to print error messages associated Message LA7 with a UI message is modified to prompt the user when the PRINT LAB UI Kernel Browser should be used to display a message If the MESSAGE option browser is not selected then a standard scroll and roll display of the selected message s is produce
10. 37 Step 5 continues for COLLECTION facility 41 Step 5 continues for COLLECTION facility 45 Step 6 LIM host facility LAB SHIPPING CONFIGURATION file 62 9 Setup 56 Host Facility 56 Commercial Reference Laboratory non VA facility Setup 56 Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option 56 Step 6 continues for HOST facility 57 Step 6 continued for HOST facility 59 Step 6 continues for HOST facility 62 6 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Introduction VA Facility Setup 62 Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option 62 Step 7 LIM LEDI II Setup for Laboratory Auto Instruments and HL7 Environment 65 Step 7 continues LEDI II Setup for Laboratory Auto Instruments and HL7 Environment 66 Example LSU LEDI Setup 66 Step 8 IRM Completing the HL7 Environment Setup 13 la TCP IP Interfaces
11. HEIGH UNITS lt RET gt EIGH t the February 2002 CODE lt RET gt appropriate LOINC code to identify the patient s height LEDI II User Manual V 5 2 43 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to setup a Commercial Reference Lab non VA facility PATIENT HEIGHT CODE lt RET gt REQUIRE PATIENT WEIGHT lt RET gt Determines if the patient s weight is required to be sent in the HL7 ORM order message and printed on t shipping manifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the patient s weight and prevent release if absent Choose from NO YE EF PATIENT WEIGHT lt RET gt WEIGHT UNITS lt RET gt Units used to measure the patient s weight Select an entry from the LAB ELECTRONIC COD file 64 061 that are measurements WEIGHT UNITS lt RET gt WEIGHT CODE lt RET gt Select the appropriate LOINC code to identify the patient s weight ENT WEIG CODE lt RET gt E COLLECTION VOLUME lt RET gt Determines if the specimen s collection volume is required to be sent in the HL7 ORM order essage and printed on the shipping manifest
12. 62 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a VA facility Choose from 0 COLLECTING FACILITY iL HOST FACILTY 3 SAME SYSTEM COLLECTING FACILITY S SPEC ID O lt RET gt COLLECTING FACILITY Select TEST PROFILE THEOPHYLLINE lt RET gt Are you adding THEOPHYLLINE as a new TEST PROFILE the 1ST for this LAB SHIPPING CONFIGURATION No Y Yes URGENCY Collecting facility if only certain urgencies are shipped specify the accession s test urgency Host facility s field description for information Select regular urgencies only Workload urgencies ar xcluded Answer with URGENCY or NUMBER Do you want the entire URGENCY List lt RET gt URGENCY lt RET gt COLLECTING FACILITII If shipping laboratory tests that are a certain urgency specify the urgency that must match the test urgency of the accession for the accession test to be placed on the shipping manifest HOST FACILITI This field is used by LEDI software at the host facility to determine th ntry in the host site s URGENCY file 62 05 to use for ordering when the host site has more than one entry in the URGENCY file 62 05 that maps to the same HL7 PRIORITY ple
13. lt RET gt Enter the appropriate LOINC code to identify the specimen s collection weight COLLECTION WEIGHT CODE lt RET gt Select TEST PROFILE lt RET gt February 2002 LEDI II User Manual V 5 2 55 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 LIM host facility LAB SHIPPING CONFIGURATION file 62 9 Setup Host Facility Host facility laboratory setting up a collection facility laboratory to receive electronic orders must configure ONLY the LAB SHIPPING CONFIGURATION file 62 9 This file is used to define the two members institutions that have a relationship File 62 9 groups both facilities collection host facilities describes the specimen ID used types of tests specimens being shipped identifies the collection host facility if the collection host facilities are linked electronically and if the collection host facilities are on the same computer system Additonally the LAB SHIPPING CONFIGURATION file 62 9 allows the host facility to map local tests urgencies and specimen types to incoming orders from the collection facilities This mapping enables the appropriate host facitily test to be ordered when the specimen shipment arrives at the host facility Commercial Reference Laboratory non VA facility Setup LIM host facility Select the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Configuration LA7S EDIT 62 9 option to configure the LAB
14. XTMP global for review To review the log in programmer mode type D PRINT LA7LOG Choose from 0 OFF 1 ON RORS ON E ORDERS SINGLE ORDER Determines when building a HL7 message if message should contain only one patient order or multiple patients orders Default is multiple patients per message if possible This allows site to configure message building when communicating with a non VA system that can not handle a message that has more than one patient in the message It applies to both order ORM and result ORU messages When communicating with a VA facility this field can be left blank default or set to 0 MULTIPLE PATIENTS If the receiving system can only accept one patient per HL7 message then select 1 SINGLE PATIENT This will place multiple orders or results for multiple orders in one message but only one patient will be contained in the message If the receiving system can only accept one order per HL7 message then select 2 SINGLE ORDER This will place in the message one order or the results associated with one order for a single patient February 2002 LEDI II User Manual V 5 2 71 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continued Note An order in the VA is considered those tests found on one accession What the VA considers as an accession
15. a LABORATORY ELECTRONIC DATA INTERCHANGE PHASE Il LEDI Il USER MANUAL LA 5 2 46 LR 5 2 222 Version 5 2 February 2002 Department of Veterans Affairs Veterans Health Administration Office of Information Preface The Veterans Health Information Systems and Architecture VISTA Laboratory Electronic Data Interchange LEDI IT User Manual Version 5 2 for patch LA 5 2 46 and patch LR 5 2 222 provides the Department of Veterans Affairs Medical Center DVAMC Information Resource Management IRM staff Laboratory Information Managers LIMs and other DVAMC users with a straightforward means for implementing and utilizing the LEDI II software The LEDI II User Manual Patch LA 5 2 46 and LR 5 2 222 focuses on easy to follow step by step instructions This user manual consists of the following sections Introduction This section conveys the major functions purposes and how the software accomplishes the objectives Orientation This section defines the symbols and computer screen dialogue used throughout the LEDI II User Manual Package Management This section contains mail groups alerts security keys special VA FileMan access codes and other security measures information included with the LEDI II software release Package Operation This section describes what the user needs to know in order to competently operate the LEDI software application and where to access the on line documentation LEDI II Implementation Ins
16. 13 Urgencies STAT WKL STAT Tests GLUCOS 98 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Glossary The glossary of terms is related to the LEDI II software application E ne ee a Collection facility The laboratory that collects the patient s specimen After the specimen is collected the Collection facility should Create an electronic Shipping Manifest specifying the lab tests to be performed by the Host facility laboratory Transmit the Shipping Manifest List to the Host facility laboratory Transport the specimen by carrier to the Host facility laboratory Data Fields The information base associated with a segment Data Type DT Restrictions on the contents of the data field as defined by the HL7 Standard Electronic Catalog The new Electronic Catalog contains laboratory test available for the collection site to order Element Name Globally unique descriptive name for the field Host facility The laboratory that receives the patient s specimen and the electronic Shipping Manifest List transmitted by the Collection facility laboratory The Host facility performs the following steps Bar codes the specimen arrival Performs the specified lab test Verifies the lab test results Transmits the lab test results back to the Collection facility February 2002 LEDI II User Manual V 5 2 99 LA 5 2 46 LR 5 2 222 Glossary LEDI Laboratory Electronic Data In
17. Actual shipping and or electronic transmission of a shipping manifest will check for entry of the specimen s collection volume and prevent release if absent Choose from lt RET gt 0 NO 1 YES REQUIRE COLLECTION VOLUME lt RET gt COLLECTION VOLUME UNITS lt RET gt Units used to measure the specimen s collection volume Select an entry from the LAB ELECTRONIC CODE file 64 061 that is a measurement 44 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to setup a Commercial Reference Lab non VA facility ECTION VOLUME UNITS lt RET gt ECTION VOLUME CODE lt RET gt Enter the appropriate LOINC code to identify the specimen s collection volume COLLECTION VOLUME CODE lt RET gt REQUIRE COLLECTION END D T lt RET gt Determines if the specimen s collection end date ti is required to be sent in the HL7 ORM order message and printed on the shipping anifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the specimen s collection end date time and prevent release if absent Choose from lt RET gt 0 NO 1 YES REQUIRE COLLECTION END D T lt RET gt COLLECTION DURATION
18. CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility 52 HOST FACILITIES lt RET gt This field is presently not used by Li facility SPECIMEN CONTAINER Primary tube lt RET gt SHIPPING CONDITION lt RET gt COLLECTING FACILITIES lt RET gt EDI software at the host This field describes under what temperature environmental condition the specimen is to be shipped or ambient temperatur HOST FACILITIES lt RET gt host facility SHIPPING CONDITION Refrigerated lt RET gt PACKAGING CONTAINER lt RET gt COLLECTING FACILITIES lt RET gt Examples would be frozen This field is presently not used by LEDI software at the refrigerated This field is used to determine what packaging container a test s specimen container is placed in to another facility HOST FACILITIES lt RET gt host facility when the specimen is being shipped This field is presently not used by LEDI software at the PACKAGING CONTAINER Box Container lt RET gt REQUIRE PATIENT HEIGHT lt RET gt printed on manifest from lt RET gt NO YES E PATIENT HEIGHT n lt RET gt NO ENT HEIGHT UNITS lt RET gt Units used to measure the pati nt s height Select an entry from the LAB EL ECTRONIC COD file 64 061 tha
19. or LOCATION DATA NAME or PRINT NAME Do you want th ntire 1359 Entry LABORATORY TEST List Select TEST PROFILE THEOPHYLLINE lt RET gt Are you adding THEOPHYLLINE as a new TEST PROFILE the 1ST for this LAB SHIPPING CONFIGURATION No Y lt RET gt Yes ACCESSION AREA lt RET gt COLLECTION FACILITIES lt RET gt This field is used to designate the accession area to check when searching for tests to build onto a shipping manifest If it is blank then the building process will skip over this test February 2002 LEDI II User Manual V 5 2 49 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility HOST FACILITIES lt RET gt Not used by software at host facilities ACCESSION AREA SENDOUTS lt RET gt DIVISION lt RET gt Enter the accession s division additional help Answer with INSTITUTION NAME or STATION NUMBER or OFFICAL VA NAM CURRENT LOCATION Do you want th ntire 290 Entry INSTITUTION List lt RET gt DIVISION lt RET gt Collecting facilities lt RET gt f the manifest building process should only build accessions rom a certain division on a manifest then enter the division to screen these accessions The division used here will be the division associa
20. or more laboratories for receiving and processing lab specimens Universal Interface Unique Identifier VAMC Department of Veterans Affairs Medical Center Veterans Integrated Service Network VISTA Laboratory UI and LEDI HL7 This document specifies an interface to Interface Standard Specifications V the VISTA Laboratory software 1 1 application based upon the Health Level Seven HL7 Standard This interface forms the basis for the exchange of healthcare information between the VISTA Laboratory software application and all non VISTA systems Especially those non VISTA systems that generate laboratory result information Workload System This is a method of tracking number of LEDI specimens processed February 2002 LEDI II User Manual V 5 2 101 LA 5 2 46 LR 5 2 222
21. 1 YES REQUIRE COLLECTION END D T n lt RET gt NO COLLECTION DURATION UNITS lt RET gt Units used to calculate the specimen s collection duration Select an entry from the LAB ELECTRONIC CODE file 64 061 that is a measurement and relate to time COLLECTION DURATION UNITS lt RET gt COLLECTION DURATION CODE lt RET gt Enter the appropriate LOINC code to identify the specimen s collection ration 54 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility COLLECTION DURATION CODE lt RET gt REQUIRE COLLECTION WEIGHT lt RET gt Determines if the specimen s collection weight is required to be sent in the HL7 ORM order essage and printed on the shipping manifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the specimen s collection weight and prevent release if absent Choose from lt RET gt NO YES E COLLECTION WEIGHT n lt RET gt NO TION WEIGHT UNITS lt RET gt Units used to asure the specimen s collection weight Select an entry from the LAB ELECTRONIC CODE file 64 061 that is a measurement ION WEIGHT UNITS lt RET gt ION WEIGHT CODE
22. 1 lt RET gt Select INS ION NAME Type your host laboratory s institution name lt RET gt Select INS ION NAME lt RET gt Answer wi INSTITUTION NAME or STATION NUMBER or OFFICAL VA NAME or CURRENT LOCATION Do you want th ntire 289 Entry INSTITUTION List lt RET gt Select INSTITUTION NAME XYZ REFERENCE LAB WI lt RET gt Enter a non VA code 2 3 alpha character XYZ lt RET gt Select LAB SHIPPING CONFIGURATION NAME XYZ REFERENCE LAB lt R COLLECTING LAB February 2002 LEDI II User Manual V 5 2 67 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continues XYZ MILWAUKEE WI Setting up the following Host Labs for MILWAUKEE WI Updating HL7 APPLICATION PARAMETER file 771 Adding LA7V HOST XYZ Updating PROTOCOL file 101 LA7V Receive Results rom XYZ Located i he LA7 LAB UNIVERSAL 1 namespace Addi AA7V Receive Results fr LA7V Pr ts from XYZ Loca i he LA7 LAB UNIVI 1 1 Namespace Addi LA7V Process Result LA7V Or XYZ Located i the LA7 LAB UNIVE 4 espace Addi AA7V Order to XYZ LA7V Send Order to XYZ Located in the LA7 LAB UNIVERSAL INTERFACE namespace Adding LA7V Send Order to XYZ Updating LA7 MESSAGE PARAMETER file 62 48 fo the HOST Lab MILWAUKE Adding LA7V HOST XYZ Updating LAB AUTO INSTRUMENT file 62 4 for HOST Lab MILWAUKEE WI Adding LA7V HOST XYZ
23. 2002 LA 5 2 46 LR 5 2 222 Package Operation Lab Shipping LA7S MAIN MENU Menu continued LEDI Menu Options Descriptions Order Status Report LA7S ORDER STATUS REPORT This report allows the user to produce a report based on option selected criteria Print LEDI Pending This option is used to print a collecting facility s LEDI Orders LA7S shipping manifest from the host facility s LAB PENDING PENDING PRINT ORDER ENTRY 69 6 file This option could be used to LEDI option reprint a shipping manifest lost or damaged during shipment The user is prompted for the shipping manifest number The option will then print a barcoded shipping manifest containing all of the patients on that manifest The format is similar to the regular shipping manifest received from the collecting shipping facility Print Shipping This option allows the user to print a shipping manifest list Manifest LA7S for lab specimens sent outside the facility to a reference lab MANIFEST PRINT option Retransmit LEDI This new option allows a user at a host facility to select one Lab Results LA7S or more accessions that were received from other LEDI RESULTS collecting facilities and retransmit results associated with RETRANSMIT the accession s to the sending collecting facility via HL7 option messaging Retransmit Shipping This option allows the users to retransmit a shipping Manifest LA7S manifest electronically to the host facility Manifest
24. ACCESSION R CH 0710 17 lt 5250710001 gt CALCIUM BLOOD SERUM Select Patient Name M To enter New Nam 94 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Example 2 Using Bar Code Reader Select Accessioning menu Option REF lt RET gt Accession Package Operation Referral Patient Multi purpose Are you using a barcode reader YES lt RET gt Yes Scan Remote Site Bar code SM lt RET gt STX SITE 521 2970623 133509 521 19970623 2 ET NOTE This response appears after the bar code is scanned Select ACCESSION TEST GROUP CHEMISTRY Scan Patient Accession Barcode PD lt RET gt X STX PD 382486204 521 3471740016 m 2970623 133509 ETX NOTE This response appears after the bar code is scanned NAME FORD HARRISON SE X MALE DOB 04 01 60 ENTIFIER 000000000 LAB Order number 201 Choose one or more separated by commas URGENCY CHEM 7 CHEM 20 URINALYSIS LIVER FUNCTION MAGNESIUM PO4 LDH ETHANOL CPK CHOLESTEROL TRIGLYCERIDE ACID PHOSPHATAS CALCIUM URINE F H F H 1 2 3 4 5 6 7 8 You have just selected the following tests for ROG ntry no Test MAGNESIUM GLUCOSE Other tests N lt RET gt No You have just selected the following tests for ROG ntry no Test MAGNESIUM GLUCOSE All satisfactory Yes lt RET gt Yes mi
25. CURRENT LOCATION Do you want th ntir 290 Entry INSTITUTION List lt RET gt COLLECTING FACILITY S SYSTEM MILWAUKEE WI lt RET gt WI HOST FACILITY DALLAS OIFO lt RET gt HOST FACILITY S SYSTEM lt RET gt Institution which has host s computer system Answer with INSTITUTION NAME or STATION NUMBER or OFFICAL VA NAM CURRENT LOCATION Do you want th ntire 290 Entry INSTITUTION List lt RET gt HOST FACILITY S SYSTEM DALLAS OIFO lt RET gt TX STATUS lt RET gt Enter the status of this sending receiving combination Choose from 0 INACTIV 1 ACTIVE STATUS A lt RET gt ACTIVE LAB MESSAGING LINK lt RET gt SHIPPING METHOD lt RET gt Enter the method used to transport a shipment Answer with LAB SHIPPING METHOD NAME QUEST COURIER lt RET gt ING METHOD QUEST COURIER lt RET gt DE MANIFEST lt RET gt his field determines if site patient specimen information is barcoded on the shipping manifest when it has a status of shipped here are two styles of bar codes The regular style code YES which was released with the original version of Laboratory Electronic Data Interchange LEDI produces a long bar code If the receiving site which is reading these type of bar codes has problems then switch to the compact style code YES COMPACT This will pro
26. LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Step 5 continues LEDI II Implementation Instructions for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to setup a Commercial R eference Lab non VA facility HOST FACILITIES lt RET gt This field is presently not used by LEDI software at the host facility Choose from lt RET gt Ambient Room FROZEN Refrigerated Temperature SHIPPING CONDITION Refrigerated PACKAGING CONTAINER lt RET gt COLLECTING FACILITIES lt RET gt This field is used to determine what packaging container a test s specimen container is placed in when the specimen is being shipped to another facility HOST FACILITIES lt RET gt This field is presently not used by LEDI software at the host facility Choose from lt RET gt Box Container PACKAGING CONTAINER Box Container lt RET gt REQUIRE PATIENT HEIGHT lt RET gt for this anifest Allows site to specify that the patient s height is sent with an order test Patient s height will be prompted for and printed on Choose from lt RET gt NO YES E PATIENT HEIGHT N lt RET gt NO HEIGHT UNITS lt RET gt Units used to measure the patient s height Select an entry from the LAB ELECTRONIC COD file 64 061 that are measurements
27. NLT codes This menu is located on the Lab Shipping Management Menu LA7S MGR MENU located on the Lab Liaison Menu LRLIAISON VA Host facility only February 2002 LEDI II User Manual V 5 2 31 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 4 continu for COLLECTION facility NOTE The collection facility may utilize existing lab test entries in the LABORATORY TEST file 60 providing the entries are compatible with the host facility s requirements e The collection facility must create a Load List to define and accept lab test results transmitted by the host facility The Load List must contain all of the lab tests that are processed by the host facility laboratory The host facility can generate a list of their facility lab tests by using the Electronic Catalog Menu LA7S CATALOG MENU NOTE If the host facility will be forgoing relabelling specimens received from the collection facility then the host facility must provide the collection facility with a NUMERIC IDENTIFIER for creating an accession area e The collection facility must create an accession area in the ACCESSION file 68 LIM collection facility Using VA FileMan DIUSER Enter or Edit DIEDIT option assign the NUMERIC IDENTIFIER provided by the host facility to ACCESSION file 68 NUMERIC IDENTIFIER field 4 These specimens lab tests must be accessioned to that specific accession area NOTE If the host facility will be re lab
28. ORM order essage and printed on the shipping manifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the specimen s collection volume and prevent release if absent Choose from lt RET gt 0 NO 1 YES REQUIRE COLLECTION VOLUME n lt RET gt NO COLLECTION VOLUME UNITS lt RET gt Units used to measure the specimen s collection volume Select an entry from the LAB ELECTRONIC CODE file 64 061 that is a measurement February 2002 LEDI II User Manual V 5 2 53 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility ECTION VOLUME UNITS lt RET gt ECTION VOLUME CODE lt RET gt Enter the appropriate LOINC code to identify the specimen s collection volume CTION VOLUME CODE lt RET gt E COLLECTION END D T lt RET gt Determines if the specimen s collection end date ti is required to be sent in the HL7 ORM order message and printed on the shipping anifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the specimen s collection end date time and prevent release if absent Choose from lt RET gt 0 NO
29. RETRANSMIT and Edit Required Test Information LA7 MANIFEST TEST REQ INFO The following charts include a detailed description of the existing LEDI options and the two new LEDI II options LEDI Menu Options Descriptions Lab Shipping The Lab Shipping Menu LA7S MAIN MENU contains all Menu LA7S MAIN the workload related options available to the LIM This MENU submenu is located on the Laboratory DHCP LRMENU menu consisting of the following 10 options Add Remove a Shipping Manifest LA7S MANIFEST TEST ADD This option allows a test to be added or removed from an REMOVE option Open shipping manifest Build Shipping Manifest LA7S MANIFEST BUILD This option builds specimens on to a shipping manifest option Cancel a Shipping Manifest LA7S This option cancels an open shipping manifest All tests are MANIFEST removed and made available for building on another CANCEL option shipping manifest Close Ship a Shipping Manifest LA7S MANIFEST This option marks a shipping manifest as closed and or CLOSE SHIP option shipped Edit Required Test This new option allows a user to enter edit information Information LA7 required to be sent with a lab test when it is shipped MANIFEST TEST REQ INFO option Examples can be the total volume of urine collected for a timed urine test weight of specimen collected duration of specimen collection patient height and weight 86 LEDI II User Manual V 5 2 February
30. SHIPPING CONFIGURATION file 62 9 for a Commercial Reference Laboratory non VA facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option t Lab Shipping Management Menu Option lt RET gt CFE Edit Shipping Configuration CTE Edit Shipping Container CME Edit Shipping Method CDE Edit Shipping Condition LSU LEDI Setup CAT Electronic Catalog Menu Select Lab Shipping Management Menu Option CFE lt RET gt Edit Shipping Configuration Select SHIPPING CONFIGURATION XYZ COLLECTING LAB lt RET gt Are you adding XYZ COLLECTING LAB as a new LAB SHIPPING CONFIGURATION the 11TH No Y lt RET gt Yes LAB SHIPPING CONFIGURATION COLLECTING FACILITY XYZ lt RET gt REFERENCE LAB WI LAB SHIPPING CONFIGURATION HOST FACILITY MILWAUKEE lt RET gt WI VAMC 695 56 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a Commercial Reference Laboratory non VA facility Select one of the following lt RET gt 1 Collecting facility 2 Host facility Are you editing this entry as the 2 lt RET gt Host facility Select one of the following lt RET gt Do NOT copy Another Shipping Configuration Test Catalog LABORATORY TEST File 60 Copy a test profile from Do NOT copy lt
31. TCP IP Enter a Logical Link MM TCP Enter a code from the list Select one of the following MM MAILMAN TCP TCP IP Enter a Logical Link MM TCP February 2002 LEDI II User Manual V 5 2 69 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continued HOST Lab Setup HOST Lab MILWAUKEE WI lt RET gt Uneditable Logical Link MailMan or TCP IP DATA Auto Instrument Message Configuration LA7V HOST XYZ Alert Condition Enter a number 1 5 3 OMATED INSTRUMENT LA7V HOST XYZ D WORK LIST SENDOUTS HOD XYZ REF LAB ANSWER MUST BE 1 10 CHARACTERS IN LI HOD XYZ LAB ULT ACCESSION AREA SEND SENDOUTS AAY DATA Y YES STORE REMARKS YES Add Chem Tests to the LA7V HOST XYZ Automated Instrument for MILWAUKEE Select CHEM TESTS PSA PSA PROSTATE SPECIFIC ANTIGEN AXSYM STUDY PSA FREE PSA TOTAL 1 3 1 PROSTATE SPECIFIC ANTIGEN AXSYM STUDY you adding PROSTATE SPECIFIC ANTIGEN AXSYM STUDY as new CHEM TESTS the 1ST for this AUTO INSTRUMENT No Y Yes EM TESTS NUMBER 1 EM TESTS TEST PROSTATE SPECIFIC ANTIGEN AXSYM STUDY PROSTATE SPECIFIC ANTIGEN AXSYM STUDY COD OF D RESU
32. TCP IP address and port number that this server is using LA7V yyy client is used to send order result messages This is the link that connects to the other system s listener link above to transmit order result messages Collection facilities will transmit their order messages shipping manifests via this link Host facilities will transmit their result messages via this link If the two systems are both host and collecting labs for each other then both types of messages will be sent via this link IRM Provide the TCP IP address port that the LA7V xxx server will be listening on to the clients that will be connecting to your system You will also need the TCP IP address port of the facility system you will be transmitting messages to The other system must support a non persistent connection The LEDI Setup LA7V SETUP option populates the HL LOGICAL LINK file 870 NODE field 01 and LLP TYPE field 2 74 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 8 continues IRM Edit the following fields within the TCP LLP Parameters section On a server logical link these fields TCP IP Address Null DSM for OpenVMS IP address of listener system Cach for NT TCP IP Port Port socket that your system is listening on Startup Node Sets the startup node for the listener when the link is Autostarted This setting is honored if a a Task Manager process is running on
33. UNITS lt RET gt Units used to calculate the specimen s collection duration Select an entry from the LAB ELECTRONIC CODE file 64 061 that is a measurement and relate to time ION DURATION UNITS lt RET gt ION DURATION CODE lt RET gt Enter the appropriate LOINC code to identify the specimen s collection duration COLLECTION DURATION CODE lt RET gt REQUIRE COLLECTION WEIGHT lt RET gt Determines if the specimen s collection weight is required to be sent in the HL7 ORM order essage and printed on the shipping manifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the specimen s collection weight and prevent release if absent February 2002 LEDI II User Manual V 5 2 45 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to setup a Commercial Reference Lab non VA facility Choose from lt RET gt NO YES E COLLECTION WEIGHT lt RET gt TION WEIGHT UNITS lt RET gt Units used to asure the specimen s collection weight Select an entry from the LAB ELECTRONIC CODE file 64 061 that is a measurement COLLECTION WEIGHT UNITS lt RET gt COLLECTION WEIGHT CODE lt RET gt Enter the appropriate LOINC code to
34. be used when the TEST CODING SYSTEM field 14 is set to NON VA Hos facilities lt RET gt If receiving test orders from a non VA collecting facility that does not use VA NLT codes use this field to map the collecting facilities test order codes to the corresponding VA test NON VA TEST ORDER CODE PSA123 lt RET gt NON VA TEST ORDER NAME PSA lt RET gt Collecting facility If sending test orders to a non VA facility use this field to store the test order name used by the non VA system The lab software will identify the test name on the non VA system when orders are transmitted electronically It will be used when the TEST CODING SYSTEM field 14 is set to NON VA Host facility lt RET gt Not used mapping of non VA tests coding systems for test order codes is via NON VA TEST ORDER CODE field 5 1 NON VA TEST ORDER NAME PSA lt RET gt NON VA SPECIMEN CODE SERUM lt RET gt Collecting facilities not applicable 60 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a Commercial Reference Laboratory non VA facility Host facilities lt RET gt If receiving test orders from a non VA facility that does not used
35. controlled entries DOMAIN field 60 VA facilities ONLY If this field is null the VA facilites must manually add the server to the mail group that is created by the LEDI Setup LA7V SETUP option Using VA MailMan as the HL7 transport protocol is ONLY supported when both collection and host facilities are VA faciltities Other non VA facilities using VA MailMan for their HL7 message transfer must update the DOMAIN field 60 for the associated facilities Updating this field allows the LEDI Setup LA7V SETUP option to automatically setup the HL7 remote server for the host or collection facility laboratories 26 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions NOTES The LEDI Setup LA7V SETUP option also creates an LA7V xxx mail group i e xxx is the VA facility s station number This mail group uses the LA7V namespace concatenated with the receiving facilities primary station number If the DOMAIN field 60 contains data the LEDI Setup LA7V SETUP option automatically adds the HL7 remote server to the MAIL GROUP file 3 8 REMOTE MEMBERS field 12 Faciltities using TCP IP for their HL7 transport protocol will require additional setup of the HL7 links by IRM after the LEDI Setup LA7V SETUP option is used to create the necessary HL7 links AGENCY CODE field 95 This field indicates to the LEDI II software whether the facility is a VA or non VA facility Appl
36. identify the specimen s collection weight COLLECTION WEIGHT CODE lt RET gt NON VA TEST ORDER CODE lt RET gt Collecting faciliies lt RET gt If sending test orders to a non VA facility use this field to store the test order codes used by the non VA system It will be used when the TEST CODING SYSTEM field 14 is set to NON VA Host facilities lt RET gt If receiving test orders from a non VA collecting facility that does not use VA NLT codes use this field to map the collecting facilities test order codes to the corresponding VA test NON VA TEST ORDER NAME lt RET gt Collecting facility lt RET gt If sending test orders to a non VA facility use this field to store the test order name used by the non VA system The lab software will identify the test name on the non VA system when orders are transmitted electronically uses this field It will be used when the TEST CODING SYSTEM field 14 is set to NON VA Host facility lt RET gt Not used mapping of non VA tests coding systems for test order codes is via NON VA TEST ORDER CODE field 5 1 NON VA TEST ORDER CODE XYZ GLU123 lt RET gt Select TEST PROFILE 46 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility LIM co
37. lt RET gt Edit Shipping Condition Use this option to setup the Lab Shipping Condition file Select SHIPPING CONDITION lt RET gt Answer with LAB SHIPPING CONDITIONS NAME You may enter a new LAB SHIPPING CONDITIONS if you wish NAME MUST BE 3 30 CHARACTERS NOT NUMERIC OR STARTING WITH PUNCTUATION Select SHIPPING CONDITION Room Temperature lt RET gt Are you adding Room Temperature as a new LAB SHIPPING CONDITIONS the 1ST No Y lt RET gt Yes E Room Temperature lt RET gt REVIATION RT lt RET gt February 2002 LEDI II User Manual V 5 2 35 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continued for COLLECTION facility Collection Facility The LAB SHIPPING CONTAINER file 62 91 is the third file to be configured by the collecting facility This file contains the type of containers that the laboratory uses to ship lab test specimens There are basically three types of containers used for shipping specimens e Primary specimen is shipped in the original collection container e Aliquot specimen transferred to a tube jar before shipment e Packaging packaging containers used for holding the specimen containers LIM collection facility Use the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Container LA7S EDIT 62 91 option to configure the LAB SHIPPING CONTAINER file 62 93 Example CTE Edit Shipping Container LA7S EDIT 62 91 option Lab l
38. particular specimen type should build on the shipping manifest If left blank i e no entry then all specimens for this test are eligible for building on a shipping manifest If a specimen type is entered then the specimen type of the accession must match before the test is eligible for building onto a shipping manifest ECIMEN SERUM lt RET gt 0x500 ENCY lt RET gt COLLECTING FACILITIES lt RET gt If shipping laboratory tests that are a certain urgency specify the urgency that must match the test urgency of the accession for the accession test to be placed on the shipping manifest HOST FACILITIES lt RET gt This field is used by LEDI software at the host facility to determine th ntry in the host site s URGENCY file 62 05 to use for ordering when the host site has more than one entry in the URGENCY file 62 05 that maps to the same HL7 PRIORITY Example Host site has three urgencies which map to HL7 PRIORITY ROUTINE R Entry Name LEDI HL7 PATIENT WAITING ROUTIN ROUTINE ROUTIN NO RUSH ROUTIN February 2002 LEDI II User Manual V 5 2 Al LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to setup a Commercial Reference Lab non VA facility If there is no mapping defined for this fie
39. the specified startup node or b you are an OpenVMS site running TaskMan in a DCL context TCP IP Service Type Single Listener Autostart If ENABLED will start up automatically on system boot On a client logical link the fields TCP IP Address IP address of target system you are going to connect to TCP IP Port Port socket that target system is listening on Persistent NO Startup Node Set the startup node for the link This setting is honored if a Task Manager is running on the specified startup node or b you are an OpenVMS site running TaskMan ina DCL context TCP IP Service Type Client Sender Autostart If ENABLED will start up automatically on system boot 1b MailMan Interfaces No additional setup required NOTE VA MailMan Interfaces utilizes only one Logical Link February 2002 LEDI II User Manual V 5 2 75 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions 76 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI IlI Configuration Setup Checklist This checklist is provided to ensure that all required LEDI II Implementation Setup instructions has been completed Checklist for Collection Facility setting up Host Facility NOTE Use this checklist to confirm that the LEDI II Step 5 LIM COLLECTION facility Lab Shipping Files Setup instructions located in the Implementation Section of this manual has been completed as instructed 1 Enter the name of the host facility i
40. 0001 NOTE You must manually enter the COLLECTION LAB UI Number LAB Order number 185 lt RET gt Choose one or more separated by commas AFTI ER TO CHANG URGENCY ASTRA 23 MAGNESI IDEAL 24 OSMOLAR ELECTROLYTES 25 PO4 ACID PHOSPHATASE 26 POTASSI ALKALINE PHOSPHATAS 27 PROTEIN TOTAL ALBUMIN 28 PROTEIN ELECTROPHOR AMYLASE 29 SALICYLATE CALCIUM 30 SGOT CHLORIDI 31 SGPT CHOLEST 32 SODIUM 33 HEOPHYLLIN K 34 TOT BILIRUBIN K ISOENZYMES 35 TRIGLYCERIDE EATININE 36 UREA NITROGEN R BILIRUBIN 37 URIC ACID HANOL 38 PROTEIN CSF AMICIN 39 LIPID PROFILE AMICIN 40 CARDIAC ENZYMES SGOT LD AMICIN 41 LFTS UCOSE 42 ARTHRITIS PROFILE H 43 CX 3A NA K CL CO2 BUN CREA GLU H ISOENZYMES 44 CX 3B LYTES BUN CREA GLU CA OO OAHDOBWN HP HoH DW C D GE GE G G L L number s 8 ther tests N Y Yes You have just selected the following tests for GREAT JOY 017 78 4451 entry no Test Sample 1 CALCIUM BLOOD SERUM All satisfactory Yes lt RET gt Yes LAB Order number 185 Collection Date Time NOW lt RET gt JUL 10 1997 10 56 30 PRINT LABELS ON LABEL PRINTER NOTE Enter the name of your site s label printer DO YOU WISH TO TEST THE LABEL PRINTER No lt RET gt No
41. 10 LEDI II ENHANCEMENTS AND MODIFICATIONS 11 Enhancements Il 1 Sending Receiving Laboratory HL7 Messages 11 2 TCP IP Protocol as a Communication Protocol 11 3 Building Lab Test Orders 11 4 Processing NTE Segments 11 5 Storing Test Reference Ranges 12 6 Specifying Final or Incomplete Lab Test Results 12 7 New SM40 Shipping Codes 12 8 Building a Shipping Manifest 12 9 Closing a Shipping Manifest 12 10 Result ORU Messages 13 11 Result ORU Messages 13 12 Referral Patient Multi purpose Accession LRLEDI option 13 Modification 14 VA FileMan Database Server Call
42. 13TH No Y lt RET gt Yes LAB SHIPPING CONFIGURATION COLLECTING FACILITY lt RET gt Select the institution which will be collecting and shipping lab test specimens Answer with INSTITUTION NAME or STATION NUMBER or OFFICAL VA NAME or CURRENT LOCATION Do you want th ntire 290 Entry INSTITUTION List lt RET gt LAB SHIPPING CONFIGURATION COLLECTING FACILITY DALLAS OIFO TX ISC 170 LAB SHIPPING CONFIGURATION HOST FACILITY MILWAUKEE WI Select one of the following lt RET gt I Collecting facility 2 Host facility Are you editing this entry as the 2 lt RET gt Host facility Select one of the following lt RET gt Do NOT copy Another Shipping Configuration Test Catalog LABORATORY TEST File 60 a test profile from Do NOT copy lt RET gt DALLAS OIFO COLLECTING Replace lt RET gt ING FACILITY DALLAS OIFO lt RET gt ING FACILITY S SYSTEM DALLAS OIFO FACILITY MILWAUKEE WI1 lt RET gt FACILITY S SYSTEM lt RET gt Institution which has host s computer system Answer with INSTITUTION NAME or STATION NUMBER or OFFICAL VA NAM CURRENT LOCATION Do you want th ntire 290 Entry INSTITUTION List lt RET gt FACILITY S SYSTEM MILWAUKEE WI lt RET gt WI US A lt RET gt ACTIVE ECTING FACILITY S SPEC ID lt RET gt Select the source of the specimen id provided by the collector
43. Are you adding PROSTATIC SPECIFIC ANTIGEN as a new TEST PROFILE the 1ST for this LAB SHIPPING CONFIGURATION No Y lt RET gt Yes ACCESSION AREA SENDOUTS lt RET gt COLLECTION FACILITIES lt RET gt This field is used to designate the accession area to check when searching for tests to build onto a shipping manifest If it is blank then the building process will skip over this test HOST FACILITIES lt RET gt Not used by software at host facilities 40 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option ACCESSION AREA SENDOUTS lt RET gt DIVISION lt RET gt Collecting facilities lt RET gt If the manifest building process should only build accessions from a certain division on a manifest then enter the division o screen these accessions The division used here will be the division associated with the user who created the accession T his field will allow a site to screen accessions from ultiple divisions only placing on the manifest an accession from the specified division Host facilities This field not used DIVISION MILWAUKEE WI lt RET gt WI VAMC 695 SPECIMEN lt RET gt This field is used to determine if a test for a
44. EL PROTOCOL PARAMETER file 869 2 e PROTOCOL file 101 e AUTO INSTRUMENT file 62 4 e LA7 MESSAGE PARAMETER file 62 48 See examples in the Implementation section Steps 6 and 7 84 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation Electronic Catalog Menu LA7S CATALOG MENU This menu contains the options that maintain produce and print the laboratory test available for the collection site to order Options Electronic Catalog Menu LA7S CATALOG MENU Electronic Catalog Information Entry LA7S CATALOG ENTRY option View Individual Electronic Catalog Entry LA7S VIEW INDIVIDUAL ENTRY option Electronic Catalog Print LA7S PRINT CATALOG option February 2002 This submenu is located on the Lab Shipping Management Menu LA7S MGR MENU consisting of the following options This option allows the user to enter laboratory test information for the electronic catalog For an example see the Option Examples section This option allows the user to view or print an individual entry in the Electronic Test Catalog For an example see the Option Examples section This option allows the user to produce a report of all catalog entries LEDI II User Manual V 5 2 85 LA 5 2 46 LR 5 2 222 Package Operation Lab Shipping Menu LA7S MAIN MENU The Lab Shipping LA7S MAIN MENU Menu contains 10 options including two new options i e Retransmit LEDI Lab Results LA7S RESULTS
45. HL7 Table 0070 Specimen Source this field is used to store the specimen name used by the non VA system It is based on the value of field SPECIMEN CODING SYSTEM 15 and only used if LOCAL NON HL7 is selected NON VA SPECIMEN CODE SERUM lt RET gt NON VA SPECIMEN NAME SERUM lt RET gt Collecting facilities not applicable Host facilities If receiving test orders from a non VA facility that does not used HL7 Table 0070 Specimen Source this field is used to store the specimen name used by the non VA system It is based on the value of field SPECIMEN CODING SYSTEM 15 and only used if LOCAL NON HL7 is selected NON VA SPECIMEN NAME SERUM lt RET gt Select TEST PROFILE lt RET gt February 2002 LEDI II User Manual V 5 2 61 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility VA Facility Setup LIM host facility Use the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Configuration LA7S EDIT 62 9 option to configure the LAB SHIPPING CONFIGURATION file 62 9 for a VA facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option Select Lab Shipping Management Menu Option Edit Shipping Configuration lt RET gt Select SHIPPING CONFIGURATION DALLAS OIFO COLLECTING lt RET gt Are you adding DALLAS OIFO COLLECTING as a new LAB SHIPPING CONFIGURATION the
46. Host site has three urgencies which map to HL7 PRIORITY ROUTINE R try Name LEDI PATIENT WAITING ROUTIN ROUTINE ROUTIN NO RUSH ROUTIN If there is no mapping defined for this field then the LEDI software will use the last entry in the URGENCY file that maps to HL7 PRIORITY ROUTINE R workload urgencies ar xcluded In this case the test would be ordered with a URGENCY of NO RUSH February 2002 LEDI II User Manual V 5 2 63 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a VA facility If the host site enters a mapping in this field i e ROUTINE then the test will be ordered using the host site s entry for ROUTINE in the URGENCY file when the HL7 PRIORITY matches Choose from lt RET gt STAT PATIENT WAITING E OP ITICAL PATIENT RPLE TRIANGL UTINE OANDOBWNE URGENCY ROUTIN HOST COLLECTION SAMPLE lt RET gt COLLECTING FACILITIES lt RET gt This field is p ntly not used by LEDI software at the collecting facility HOST FACILITIES lt RET gt This field is used by host facility laboratories to designate the collection sample to be used when processing electronic orders for this test specimen combination It is used to build the order
47. LT TO RI U U E 89760 0000 PSAXYZ ECIMAL PLACES 1 EMARK N NO S FOR THIS TEST Y LTS NOT ORDERED Y Y ES FROM RESULT N NO YES YI PSA TDS RANGE LAGS ES 70 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continued HOST Lab Setup HOST Lab XYZ REFERENCE LAB Uneditable Logical Link MailMan or TCP IP DATA Auto Instrument DATA Message Configuration LA7V HOST XYZ Alert Condition Ente number 1 5 4 Ente number 1 5 4 GRAC ERIOD FOR MESSAGES 30 race period determines the number of days that messages for this onfiguration are kept on the system before purging when the messag tatus is purgable If this field is left blank the system assumes 3 ays Thes ssages are found in the LA7 MESSAGE EUE file 62 49 hen messages have status of error they remain on the system until heir corresponding error message is removed from the XTMP global by a ERNEL cleanup task The messages then become purgable SZBaunaqanuvaea gw nN GRACE PERIOD FOR MESSAGES 30 LOG ERRORS ON If turned on errors or exceptional conditions that occur during message processing are stored in the
48. M 1 lt RET gt NON VA TUS lt RET gt This field is used to designate whether this shipping configuration is active i e selectable by the user for use in building processing and receipting shipments of laboratory test Choose from 0 INACTIV T ACTIVE STATUS 1 lt RET gt ACTIVE LAB MESSAGING LINK lt RET gt This field is used to link a shipping configuration with an electronic transmission of shipping manifests When a shipping manifest is shipped this field is checked to determine if the software should transmit the orders on the manifest to the host facility It identifies th ntry in the LA7 MESSAGE PARAMETER file 62 8 to use for building and transmitting the manifest Note leave this field blank when initially setting up configuration Then after using LEDI Setup option enter the message configuration created in file 62 8 LAB MESSAGING LINK lt RET gt SHIPPING METHOD lt RET gt Enter the method used to transport a shipment Answer with LAB SHIPPING METHOD NAME QUEST COURIER ING METHOD QUEST COURIER lt RET gt DE MANIFEST lt RET gt This field determines if site patient specimen information is barcoded on the shipping manifest when it has a status of shipped n n February 2002 LEDI II User Manual V 5 2 39 LA 5 2 46 LR 5 2 222 LEDI II I
49. NSTITUTION file 4 DOMAIN field 60 when VA MailMan is used as the HL7 transport protocol NOTES Multi divisional facilities should ONLY use the LEDI Setup option for the primary facility All other facilities within a multi divisional facility will use the primary facility to transmit and receive HL7 messages If the collecting facility is a division of a multi divisional facility then setup the primary facility s system as the collecting facility If the host facility is a multi divisional facility then setup the primary facility s system as the host facility February 2002 LEDI II User Manual V 5 2 65 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continues LEDI II Setup for Laboratory Auto Instruments and HL7 Environment NOTE The two instution names used in the following screen displays are examples ONLY Do NOT use these two institutions host or collection facility Example LSU LEDI Setup Lab liaison menu Option SMGR lt RET gt Lab Shipping Management Menu Lab Shipping Management Menu Options lt RET gt Edit Shipping Configuration Edit Shipping Container Edit Shipping Method Edit Shipping Condition LEDI Setup Electronic Catalog Menu Lab Shipping Management Menu Option LSU lt RET gt EDI Setup EDI Setup COLLECTION Labs Use option 1 to setup HOST labs HOST Labs Use option 2 to setup COLLECTION labs Add Ed
50. NSTITUTION file 4 for the non VA facility have the AGENCY CODE field 95 entry defined as OTHER The LEDI II software asks for a three letter identifier to identify this facility in lieu of the VA station number During development and testing of the LEDI II software with Commercial Reference Laboratories the following three letter identifiers were used e American Medical Laboratories AML e Laboratory Corporation of America LCA e Quest Diagnostics Incorporated QDI Commercial Reference Laboratory i e non VA facility Setup Example LIM collection facility Use the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Configuration LA7S EDIT 62 9 option to configure the LAB SHIPPING CONFIGURATION file 462 9 for a Commercial Reference Laboratory i e non VA facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option t Lab Shipping Management Menu Option lt RET gt Edit Shipping Configuration Edit Shipping Container Edit Shipping Method Edit Shipping Condition LEDI Setup Electronic Catalog Menu Select Lab Shipping Management Menu Option CFE lt RET gt Edit Shipping Configuration Use this option to setup your Lab Shipping Configuration file Select OPTION NAME LA7S EDIT 62 9 lt RET gt Edit Shipping Configuration Edit Shipping Configuration February 2002 LEDI II User Manual V 5 2 37 LA 5 2 46 LR 5 2 222 LEDI II Implement
51. PURGING CAPABILITIES 20 INSTRUMENT INTERFACING 20 REMOTE SYSTEMS 20 LEDI II MAIL GROUPS 22 LAB MESSAGING Mail Group 22 LA7V Mail Groups 22 ALERTS 23 LEDI 0 IMPLEMENTATION INSTRUCTIONS 25 LEDI I TWO PART IMPLEMENTATION SETUP 25 IRM and LIM Setup Instructions 26 Step 1 IRM INSTITUTION file 4 Setup 26 Step 2 IRM Create Local LEDI Mail Groups 28 Step 3 IRM Schedule the Lab Messaging Nightly Cleanup LA7TASK NIGHTY option 29 Example Scheduling the Lab Messaging Nightly Cleanup LA7TASK NIGHTY option to run daily 29 Step 4 LIM Collection and Host Facilities Informatio
52. RET gt NAME XYZ COLLECTING LAB lt RET gt COLLECTING FACILITY XYZ REFERENCE LAB lt RET gt COLLECTING FACILITY S SYSTEM XYZ REFERENCE LAB lt RET gt WI HOST FACILITY MILWAUKEE WI lt RET gt HOST FACILITY S SYSTEM MILWAUKEE WI MILWAUKEE WI WI VAMC 695 lt RET gt NON VA SYSTEM IDENTIFIER lt RET gt If this is used to communicate with a non VA system nter the 2 3 charact identifier used to name the HL7 application NON VA SYSTEM IDENTIFIER XYZ lt RET gt TEST CODING SYSTEM lt RET gt Answer with type of coding system to use for this configuration Choose from 0 NLT 1 NON VA 2 LOINC EST CODING SYSTEM 1 lt RET gt NON VA SPECIMEN CODING SYSTEM lt RET gt Answer with type of coding system to use for this configuration Choose from 0 HL7 TABLE 0070 1 LOCAL NON HL7 EN CODING SYSTEM lt RET gt If orders are received from a non VA facility and the facility can not transmit HL7 specimen codes from HL7 table 0070 then answer with the type of coding system LOCAL February 2002 LEDI II User Manual V 5 2 57 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a Commercial Reference Laboratory non VA facility hoose from
53. a facility or other entity outside the VA wide area network National communication security concerns are still being debated by the Department of Veterans Affairs VA and are awaiting resolution At present a VA medical center which intends to utilize this software in conjunction with an interface to a commercial reference laboratory or other non VA information system entity will need to coordinate with the vendor an acceptable communication method Any implementation will need to be approved by the facility and VISN Information Security Officer ISO and meet current VA security requirements for external electronic connections See VHA Directive 6212 Security of External Electronic Connections and VHA Directive 6210 Automated Information Systems AIS Security for additional information and guidance Additional security information may be obtained from the Health Information Security Service HISS web page at http vaww va gov miss Implementation of a HL7 messaging interface between the VA VISTA Laboratory package and a non VA information system consists basically of three parts e VISTA Laboratory LEDI II software e Certified communication software and hardware e Non VA information system capable of sending and receiving Laboratory HL7 order and result messages All three parts must be functional to utilize the capabilities of this LEDI II software patch The implementation setup and configuration of vendor provided hardware and so
54. anual V 5 2 79 LA 5 2 46 LR 5 2 222 LEDI II Configruation Setup Checklist 80 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation This section contains information regarding the VISTA LEDI II Installation Guide and User Manual retrival formats and on line access locations The LEDI II new and modified menus and options descriptions are also included in this section LEDI II Documentation Retrieval Formats LEDI II Installation Guide and User Manual files are exported in the following formats File Names Contents Retrieval Formats LAB_LEDI_II_IG PDF LABORATORY ELECTRONIC DATA BINARY LAB_LEDI_II_UM PDF LABORATORY ELECTRONIC DATA BINARY LEDI II Documentation Retrieval Locations NOTE All sites are encouraged to use the File Transfer Protocol FTP capability Use the FTP address download vista med va gov without the quotes to connect to the first available FTP server where the files are located LEDI II Installation Guide and User Manual files are available on the ANONYMOUS SOFTWARE directories at the following Office of Information Field Offices OIFOs LAB_LEDI II_IG PDF and LAB_LEDI_ II_UM PDF OI FIELD OFFICE FTP ADDRESS DIRECTORY ALBANY ftp fo albany med va gov ANONYMOUS SOFTWARE HINES ftp fo hines med va gov ANONYMOUS SOFTWARE SALT LAKE ftp fo sle med va gov ANONYMOUS SOFTWARE February 2002 LEDI II User Manual V 5 2 81 LA 5 2 46 LR 5 2 222 Package Operation Websit
55. around times By Urgency LEDI Utility Urgency Turnaround Time This option generates a report of the turnaround time for selected lab tests Enter only those urgencies you want extracted WKLD urgencies will be included for each normal urgency selected Enter the test s you want the report display A detailed report is available to show the data being used to compute the turnaround times Regular hours are from 7 01 AM to 5 00 PM Irregular hours includes all other times holidays and weekends Date to START with TODAY lt RET gt JUL 16 1997 Date to END with 07 16 97 T JUL 16 1997 Select the laboratory tests to be used in this report LABORATORY TE GLUCOSE LABORATORY TE lt RET gt Urgencies STA PLEASE DO ROUTINE Enter all urgencies nt extracted URGENCY STAT URGENCY lt RET gt nclude a detailed report No lt RET gt No EVICE HOME PRINTER NOTE Enter the site s printer name February 2002 LEDI II User Manual V 5 2 97 LA 5 2 46 LR 5 2 222 Package Operation Example Turnaround times by Urgency continues EDI Management Report Urgency Turnaround Time From JUL 16 1997 To JUL 16 1997 Date Printed JUL 16 1997 11 25 26 Turnaround Time TAT Regular 0701 1700 hours Number of tests Total time Ave TAT Turnaround Time TAT Irregular Number of tests
56. ation Instructions Step 5 continues for collection facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to setup a Commercial Reference Laboratory non VA facility Select SHIPPING CONFIGURATION XYZ COMMERCIAL REFERENCE LAB lt RET gt Are you adding XYZ COMMERCIAL REFERENCE LAB as a new LAB SHIPPING CONFIGURATION the 10TH No Y lt RET gt Yes LAB SHIPPING CONFIGURATION COLLECTING FACILITY MILWAUKEE WI lt RET gt WI VAMC 695 LAB SHIPPING CONFIGURATION HOST FACILITY XYZ REFERENCE LAB lt RET gt WI Select one of the following lt RET gt Collecting facility Host facility Are you editing this entry as the lt RET gt Is this entry used by the Collecting facility to ship specimens or by the Host facility to accept a shipment This determines which fields are edited in the file Select o f the following Collecting facility Host facility Are you editing this entry as the 1 lt RET gt Collecting facility NAME XYZ COMMERCIAL REFERENCE LAB Replace lt RET gt COLLECTING FACILITY MILWAUKEE WI lt RET gt COLLECTING FACILITY S SYSTEM lt RET gt The name of the institution which houses the computer system from which the sender transmitted sent the order COLLECTING FACILITY S SYSTEM MILWAUKEE WI lt RET gt WI HOST FACILITY XYZ REFERENCE LAB lt RET gt HOST FACILITY S SYSTEM XYZ REFERENCE LAB lt RET
57. cket symbols are used for notations within the computer screen dialogue Example February 2002 LEDI II User Manual V 5 2 17 LA 5 2 46 LR 5 2 222 Orientation References The following references may be helpful when installing and implementing the LEDI II software application Kernel Systems Manual V 8 0 Kernel Toolkit V 7 3 Laboratory Universal Interface Patch LA 5 2 17 Patch LR 5 2 65 V 1 0 VA FileMan V 21 0 VA MailMan V 7 1 VISTA Health Level Seven Site Manager amp Developer Manual Version 1 6 56 VISTA Laboratory Health Level Seven HL7 Interface Standard Specifications V 1 2 Health Level Seven Standard Version 2 3 1 1997 by the Health Level Seven Inc NOTE Copies of the HL7 standards are available via the HL7 VISTA Messaging V 1 6 Home Page at http vista med va gow hl7 18 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Management The LEDI II software application consists of the following mail groups alerts security keys VA FileMan access codes and security information Contingency Planning Each facility using the LEDI IIsoftware application must develop a local contingency plan to be used in the event of application problems in a live environment The facility contingency plan must identify procedures used for maintaining the functionality provided by the software in the event of a system outage File Security LEDI II changes and enhancements do no
58. d 1 Enter configure the collecting facility entry in INSTITUTION file 4 The Institution Master File maintains nationally controlled entries If the collecting facility is a VA institution then verify that AGENCY CODE field 95 VA STATION NUMBER field 99 Unique Central Office assigned station number If the collecting facility is a non VA institution then verify that AGENCY CODE field 95 OTHER STATION NUMBER field 99 lt blank gt 2 Setup SHIPPING CONFIGURATION file 62 9 Use Edit Shipping Configuration LA7S EDIT 62 9 option Specify Host facility when asked how the configuration is being edited Add local lab tests that the Collecting facility will be shipping specifiying local collection sample and urgency to use to build the LAB PENDING ORDERS ENTRY file 69 6 entries If collecting facility is a non VA facility then determine a three letter identifier to assign in lieu of the VA Station Number See Step 5 LIM Lab Shipping Files Setup above for suggested values of some commercial reference laboratories 3 Ifsetting up an electronic link HL7 interface to the collection lab use LEDI Setup LA7V SETUP option to add edit a collection lab This option will setup the Lab and HL7 files for the HL7 interface to the collection facility 4 If using HL7 TCP IP interface then have IRM complete the HL LOGICAL LINK file 870 setup February 2002 LEDI II User M
59. d Download to UI LA7 This option fixes the logic to handle alphanumeric UIDs ADL SEND option when building listing of accession to schedule for downloading Lab Messaging File This option performs the following checks Integrity Checker Integrity of LA7 MESSAGE QUEUE file 62 49 LA7 CHECK Entries having proper cross references and cross FILES option references pointing to the correct entry Fixes bad entries Provides a printed report of errors found Print Lab Messaging Integrity Check sig Sea cess This option prints a Lab Messaging Integrity Check Report CHECK option Start Stop Auto Download Background Job LA7 ADL This option adds a display of the current number of START STOP accessions awaiting checks to determine if the accession option meets the criteria for downloading to an instrument February 2002 LEDI II User Manual V 5 2 89 LA 5 2 46 LR 5 2 222 Package Operation Accessioning LR IN Menu The Accessioning menu LR IN is located on the Laboratory DHCP menu LRMENU Options LR IN LRMENU and contains the following option Referral Patient This option is used to accession referral patients from Multi purpose another medical center The patient must already exist in Accession LRLEDI the PATIENT file 2 to be selected The option will option accession the patient into the REFERRAL PATIENT file 67 if it does not already exist The user will be prompted for the Unique Identifie
60. duce a shorter bar code 48 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for the COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility Choose from lt RET gt 0 NO 1 YES 2 YES COMPACT DE MANIFEST 2 lt RET gt YES COMPACT EST RECEIPT lt RET gt Allows site to have a receipt printed with a shipping manifest when the status of the manifest is SHIPPED This receipt can be used to record acknowledgment of receipt of the shipment by the courier service used to transport the specimens to the host facility Choose from lt RET gt 0 NO 1 YES EST RECEIPT 1 lt RET gt YES DE UNCOLLECTED SPECIMENS lt RET gt If specimens that are still pending receipt in lab are to build on a shipping manifest then answer YES If only specimens that have been received in the lab i e have a lab arrival time are to build then answer NO If field is blank then default is NO hoose from lt RET gt 0 NO 1 YES INCLUDE UNCOLLECTED SPECIMENS N lt RET gt NO Select TEST PROFILE lt RET gt You may enter a new TEST PROFILE if you wish Enter the laboratory test that is used by this shipping configuration Answer with LABORATORY TEST NAME
61. e Locations The VISTA LEDI II Installation Guide i e LAB_LEDI_IT_IG PDF and LAB_LEDI_II_IG DOC and LEDI II User Manual i e LAB_LEDI_IT_UM PDF and LAB_LEDI_II_UM DOC in Portable Document Format PDF and MS Word DOC Format are available at the following VISTA Intranet locations Laboratory Version 5 2 Home Page http vista med va gov ClinicalSpecialties lab VISTA Documentation Library VDL http vista med va gov vdl 82 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation LEDI II New and Modified Options The following options were created or modified to accommodate LEDI II new functionality LEDI II New Options Edit Required Test Information LA7S MANIFEST TEST REQ INFO option This option allows a user to enter edit information that is required to be sent with a Lab test when it is shipped Examples can be the total volume of urine collected for a timed urine test weight of specimen collected duration of specimen collection patient height and weight Retransmit LEDI Lab Results LA7S RESULTS RETRANSMIT option This new option allows a user at a host facility to select one or more accessions that were received from other LEDI collection facility and retransmit test results associated with the accession s to the sending collecting facility via HL7 messaging These two new options are located on the Lab Shipping Menu LA7S MAIN MENU which is located on the Laboratory DHCP Men
62. ect SHIPPING METHOD FEDEX lt RET gt Are you adding F EX as a new LAB SHIPPING METHOD l Y lt RET gt Yes NAME FEDEX lt RET gt Select Lab Shipping Management Menu Option CME lt RET gt Edit Shipping Method Select SHIPPING METHOD COURIER lt RET gt Are you adding COURIER as a new LAB SHIPPING METHOD the 2ND Y lt RET gt Yes NAME COURIER lt RET gt 34 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continued for COLLECTION facility Collection Facility The LAB SHIPPING CONDITION file 62 93 is the second file to be configured This file contains entries that describe the conditions under which a lab shipment is transported i e Ambient temperature Frozen Refrigerated etc LIM collection facility Use the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Condition LA7S EDIT 62 93 option to configure the LAB SHIPPING CONDITION file 62 93 Example CDE Edit Shipping Condition LA7S EDIT 62 93 option Lab liaison menu Option SMGR lt RET gt Lab Shipping Management Menu Lab Shipping Management Menu Option lt RET gt Edit Shipping Configuration Edit Shipping Container Edit Shipping Method Edit Shipping Condition LEDI Setup Electronic Catalog Menu Select Lab Shipping Management Menu Option CDE
63. eling the collection facility specimens then the collection facility may use any accession area for these specimens lab tests 32 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 LIM collection facility Lab Shipping Files Setup Collection Facility Collection facility laboratory setting up a host facility laboratory for lab test requests and shipping specimens must configure the following four Lab Shipping files in the order listed below 1 LAB SHIPPING METHOD file 62 92 contains the transport method used to ship specimens i e by Courier Taxi FEDEX UPS etc 2 LAB SHIPPING CONDITION file 62 93 contains entries that describe the conditions under which a lab shipment is transported i e Ambient temperature Frozen Refrigerated etc 3 LAB SHIPPING CONTAINER file 462 91 contains the type of containers that the laboratory uses to ship lab test specimens There are basically three types of containers used for shipping lab test specimens e Primary specimen is shipped in the original collection container e Aliquot specimen transferred to a tube jar before shipment e Packaging packaging containers used for holding the specimen containers 4 LAB SHIPPING CONFIGURATION 62 9 contains the specimen volume weight collection end date time collection duration patient height and weight LOINC codes are used to identify patient height weigh
64. ent and server must coordinate the switch to this new communication protocol transmission method The following two logical links are established to exchange messages e Server listener logical link used to receive and process messages e Client logical link used to transmit messages 3 Building Lab Test Orders The process of building orders in the LAB PENDING ORDERS ENTRY file 69 6 has been enhanced to use information from the LAB SHIPPING CONFIGURATION file 62 9 to create orders based on the host site s specified collection sample and urgency 4 Processing NTE Segments The capability to process NTE segments following OBX segments have been enhanced to site selectable Comments found attached to specific lab test results are stored as comments The AUTO INSTRUMENT file 462 4 CHEM TESTS subfile 30 REMARK PREFIX field 19 can be used to specify a comment prefix that is made a part of the comment February 2002 LEDI II User Manual V 5 2 11 LA 5 2 46 LR 5 2 222 Introduction 5 Storing Test Reference Ranges Storing test reference ranges abnormal flags and the name of the performing laboratory have been enhanced to site selectable These parameters are stored as COMMENTS with the results This information is prefixed with the REMARK PREFIX field 19 of the AUTO INSTRUMENT file 62 4 6 Specifying Final or Incomplete Lab Test Results The ability to specify whether final or incomplete lab test results are proce
65. fine the actions of the lower level protocols and information used within the Systems Link Monitor which provides the users feedback regarding the status of each link IRM Use the Link Edit HL EDIT LOGICAL LINKS option within the Filer and Link Management Options HL MENU FILER LINK MGT menu within the HL7 Main Menu HL MAIN MENU to edit the HL LOGICAL LINK file 870 AUTOSTART field 4 5 in the Logical Link Information section Set the AUTOSTART field 4 5 entry to 1 Enabled if you want this to start automatically after TaskMan is restarted Otherwise these links will need to be manually started using the Start Stop Links HL START option within the Filer and Link Management Options HL MENU FILER LINK MGT menu within the HL7 Main Menu HL MAIN MENU la TCP IP Interfaces NOTE Please consult the VISTA HEALTH LEVEL SEVEN HL7 SITE MANAGER amp DEVELOPER MANUAL for information on single and multi threaded listeners IRM Complete the HL7 Environment Setup To utilize TCP IP as the communication protocol the following actions are required IRM Coordinate with the facility that will be receiving and sending LEDI HL7 messages Both sites need to have installed patch HL 1 6 19 Determine the respective IP addresses and sockets ports that both sites will be using to exchange messages Sockets in the range 10000 20000 are recommended for the Lab HL7 server listener from the sites pool of available sockets See Por
66. ftware are NOT addressed by this documentation Consult the vendor provided documentation and instructions to interface to the VISTA Laboratory package LEDI II utilize the HL7 V 2 3 1 Standard and the VisTA HL V 1 6 software to transmit and receive HL7 messages via VA MailMan or Transmission Control Protocol Internet Protocol TCP IP The software transmits unsolicited order and result messages and receives acknowledgments back confirming or opposing the proper delivery of the messages One order message is transmitted for every manifest or lab delivery to a remote facility system One result message is sent to each facility per verifying session To reduce the turn around time and network mail traffic TCP IP is recommended as the message delivery medium February 2002 LEDI II User Manual V 5 2 21 LA 5 2 46 LR 5 2 222 Package Management LEDI II Mail Groups The following mail groups are required to successfully utilize the LEDI II functionality LEDI II uses VA MailMan or TCP IP as the medium to transmit and receive data from remote systems LAB MESSAGING Mail Group This is a general mail group used by the LAB Universal Interface and LEDI II software to address alerts when conditions are detected requiring review and or corrective action The members of this mail group should at the minimum include the LIM and selected Lab and IRM personnel responsible for maintenance and support of the LAB Universal Interface and LEDI IIsoftware T
67. gt WI NON VA SYSTEM IDENTIFIER lt RET gt If this is used to communicate with a non VA system enter the 2 3 character identifier used to name the HL7 application NON VA SYSTEM IDENTIFIER XYZ lt RET gt ACCOUNT NUMBER 1234XYZ lt RET gt TEST CODING SYSTEM lt RET gt Answer with type of coding system to use for this configuration Choose from NLT NON VA LOINC 38 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continued for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option EST CODING SYSTEM lt RET gt If orders are being sent to a non VA facility and the facility can not accept VA test order codes then answer with the type of coding system NON VA indicates that the other system is using a local coding system The laboratory shipping software will then use the non VA test codes tered for each test on this configuration the non VA facility accept VA test codes then answer NLT and software will sent VA test order codes test order codes are usually NLT codes but in the future will robably be LOINC codes Selecting LOINC is currently not supported upport willbe added in a future version of the LEDI software when OINC coding has been implemented within VA facilities hoose from 0 NLT 1 NON VA 2 LOINC CODING SYSTE
68. he host site has more than one entry in the URGENCY file 62 05 that maps to the same HL7 PRIORITY Example Host site has three urgencies which map to HL7 PRIORITY ROUTINE R Entry Name EDI HL7 2 PATIENT WAITING ROUTIN 9 ROUT INI ROUTIN 10 NO RUSH ROUTIN If ther j no mapping defined for this field then t EDI software will use the last entry in the ENCY file that maps to HL7 PRIORITY ROUTINI workload urgencies ar xcluded In this case the test would be ordered with a URGI RUSH If t site enters a mapping in this field i e ROUTINE then the test will be ordered using the host site s entry for ROUTINE in the URGENCY file when the HL7 PRIORITY matches Choose fro STAT PATIENT WAITING PRE OP CRITICAL ADMIT OUTPATIENT PURPLE TRIANGLI ROUTINE WO Oy Gte G FE URGENCY 9 lt RET gt ROUTINE ECIMEN CONTAINER lt RET gt COLLECTING FACILITIES lt RET gt The container used to hold the specimen This could be the original collection container or a tube vial jar that the specimen is transferred to prior to shipment to another facility It is the container that actually hold contains the specimen February 2002 LEDI II User Manual V 5 2 51 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example
69. he software utilizes several Kernel Alerts These alerts are triggered and sent to members of the LAB MESSAGING mail group for the following conditions e When the scheduled tasked Lab Messaging Nightly Cleanup LA7TASK NIGHTY option or the Start Stop Auto Download Background Job LA7 ADL START STOP option is run and more than 500 entries are found scheduled for downloading via the Lab Universal Interface an alert is sent notifying members of this condition e When the scheduled tasked Lab Messaging Nightly Cleanup LA7TASK NIGHTY option or the Lab Messaging File Integrity Checker LA7 CHECK FILES option is run and LA7 MESSAGE QUEUE file 62 49 is found to have bad entries and or cross references An alert is sent notifying members of this condition LA7V Mail Groups These mail groups are used by the HEALTH LEVEL SEVEN package for transmitting LEDI HL7 messages when VA MailMan is selected as the HL7 communication protocol These mail groups are created by the LEDI Setup LA7V SETUP option using the LA7V name space concatenated with the receiving facility s primary station number For example to send HL7 messages to Dallas OI Field Office VA Station Number 170 the LEDI Setup option would create a mail group LA7V 170 Other than the remote member added by the LEDI Setup option no local or remote members should be added to these mail groups 22 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Management L
70. iaison menu Option SMGR lt RET gt Lab Shipping Management Menu Lab Shipping Management Menu Option CE Edit Shipping Configuration CT Edit Shipping Container CM Edit Shipping Method CDE Edit Shipping Condition LS LEDI Setup CA Electronic Catalog Menu Select Lab Shipping Management Menu Option CTE lt RET gt Edit Shipping Container Use this option to setup the Lab Shipping Container file Select SHIPPING CONTAINER lt RET gt Answer with LAB SHIPPING CONTAINER NAME You may enter a new LAB SHIPPING CONTAINER if you wish NAME MUST BE 3 30 CHARACTERS NOT NUMERIC OR STARTING WITH PUNCTUATION Select SHIPPING CONTAINER Plastic Tube lt RET gt Are you adding Plastic Tube as a new LAB SHIPPING CONTAINER the 1ST No Y lt RET gt Yes NAME Plastic Tube lt RET gt TYPE lt RET gt Enter what this container is used for Choose from aE PACKAGING PRIMARY 3 ALIQUOT 3 ALIQUOT lt RET gt 36 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continue for COLLECTION facility Collection Facility The LAB SHIPPING CONFIGURATION file 62 9 is the fourth and final file to be configured by the collection facility When configuring this file to send specimens tests requests to a Commercial Reference Laboratory i e non VA facility it is very important that the I
71. icable only for non VA entries The Institution Master File maintains nationally controlled entries The AGENCY CODE field 95 should be defined as follows e VA Facilities VA e Military Facilities by the appropriate branch of service AIR FORCE ARMY or NAVY e Indian Health Service HIS e Commercial reference laboratories and non US government health care facilities OTHER NOTE The LEDI Setup LA7V SETUP option uses the AGENCY CODE field 95 to determine the status of the facility and how to setup the LEDI II software application STATION NUMBER field 99 VA facilities ONLY unique number The Institution Master File maintains nationally controlled entries LEDI II uses the VA facility station number for configuring VA facilities and creating the Lab Shipping files setup entries using the Lab Shipping Management LA7S MGR MENU menu February 2002 LEDI II User Manual V 5 2 27 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 2 IRM Create Local LEDI Mail Groups IRM Use VA FileMan DIUSER Enter or Edit File Entries DIEDIT option to create local LEDI mail groups and to add designate members It is highly recommended that the LIM be designated as a member of all the LEDI mail groups The LEDI mail groups are also used by the LEDI alert system NOTES DO NOT add any local or remote members to the LAV7 mail groups DO NOT use the LAV7 mail groups for local LEDI alerts 28 LEDI II Use
72. in file 69 6 LAB PENDING ORDERS with the test specimen collection sample that the host facility uses COLLECTION SAMPLE SERUM lt RET gt Enter the collection sample to be associated with this test COLLECTION SAMPLE BLOOD BLOOD BLOOD CULTURE ET BLOOD BLOOD GREEN G BLOOD SERUM RED BLOOD PLASMA REEN BLOOD PLASMA LAVEN W DY Press lt RETURN gt to see more to exit t CHOOSE 1 5 3 lt RET gt BLOOD SERUM R Select TEST PROFILE lt RET gt 64 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 LIM LEDI II Setup for Laboratory Auto Instruments and HL7 Environment The LEDI Setup LA7V SETUP option allows the LIM to setup a collection and or host facility laboratory Auto Instruments and HL7 environment This option is located on the Lab Shipping Management LA7S MGR MENU menu of the Lab Liaison LRLIAISON menu The LEDI software application is using the INSTITUTION file 4 DOMAIN field 60 to route HL7 messages to the collection and host facilities when VA MailMan is used as the HL7 transport protocol The collection facility s STATION NUMBER must be defined in the host facility INSTITUTION file 4 DOMAIN field 60 when VA MailMan is used as the HL7 transport protocol The host facility s STATION NUMBER must be defined in the collection facility I
73. isplay Lab Universal Interface Message LA7 PRINT LAB UI MESSAGE option 83 LEDI II MENUS AND OPTIONS 84 LEDI MENU AND OPTION EXAMPLES 91 Electronic Catalog Information Entry LA7S CATALOG ENTRY 91 Example ENT Electronic Catalog Information Entry option 91 View Individual Electronic Catalog Entry LA7S VIEW INDIVIDUAL ENTRY 92 Example IND View Individual Electronic Catalog Entry option 92 Referral Patient Multi purpose Accession LRLEDI 93 Example 1 Manual Accession 93 Example 2 Using Bar Code Reader 95 Example 2 Using Bar Code Reader continues 96 Turnaround times By Urgency LR TAT URGENCY 97 Example Turnaround times by Urgency 97 Example Turnaround times by Urgency continues 98 GLOSSARY nn nn nnn nnn nnn en nnn nn ence enn ence nnn nen nnn ene ne nn enennenene 99 CAP
74. it HOST Lab Add Edit COLLECTION Lab r a number 1 2 lt RET gt ion 1 will setup HOST site auto instruments HOST site message figuration and HOST and COLLECTION sites HL7 environment ion 2 will setup COLLECTION site auto instruments COLLECTION site message figuration and COLLECTION and HOST sites HL7 environment tion 1 and 2 SHOULD be used by sites that are both a HOST a COLLECTION site ber 1 2 1 lt RET gt 66 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 7 continues HOST Lab s DALLAS CIOFO LA7V HOST 170 BIRMINGHAM AL LA7V HOST 521 HINES IL LA7V HOST 578 MILWAUKEE WI LA7V HOST 695 Add HOST Lab 1 5 lt RET gt create a new HOST lab between 1 and 5 1 5 5 lt RET gt HOST Lab Setup 1 HOST Lab lt RET gt Logical Link MailMan or TCP IP lt RET gt Auto Instrument lt RET gt number 1 3 lt RET gt td 1 to create the HL7 environment along with the Auto Instrument Message Configuration 2 to create the link between the HOST and COLLECTION labs 3 to identify the list of test you expect back from the HOST lab 4 to configure the LA7 MESSAGE PARAMETER file 5 to identify the type of Error Conditions you wish to receive for Auto Instrument Baw ow ct Enter a nu 1 3
75. ld then the LEDI software will use the last entry in he URGENCY file that maps to HL7 PRIORITY ROUTINE R workload urgencies ar xcluded In this case the test would be ordered with a URGI RUSH If the host site enters a mapping in this field i e ROUTINE then the test will be ordered using the host site s entry for ROUTINE in the URGENCY file when the HL7 PRIORITY matches Choose fro STAT PATIENT WAITING PRE OP CRITICAL ZZADMIT ZZOUTPATIENT ZZPURPLE TRIANGLI ROUTINE OANDO BP WN EF URGENCY 9 lt RET gt ROUTINE ECIMEN CONTAINER lt RET gt COLLECTING FACILITIES lt RET gt The container used to hold the specimen This could be the original collection container or a tube vial jar that the specimen is transferred to prior to shipment to another facility It is the container that actually hold contains the specimen HOST FACILITIES This field is presently not used by LEDI software at the host facility hoose from lastic Tube rimary tube ERILE CUP STOOL CUP SENDOUT SPECIMEN CONTAINER Primary tube lt RET gt SHIPPING CONDITION lt RET gt COLLECTING FACILITIES lt RET gt This field describes under what temperature environmental condition the specimen is to be shipped Examples would be frozen refrigerated or ambient temperature 42
76. led to run daily preferably during a period when activity in the Lab Messaging i e UI and LEDI software is at a minimum See the Lab Messaging Nightly Cleanup LA7TASK NIGHTY option description for additional information and functionality Purging of messages for each configuration can be set in the LA7 MESSAGE PARAMETER file 62 48 using the Grace Period For Messages field 3 The Default value is 3 days Instrument Interfacing LEDI II is an enhancement to Laboratory V 5 2 and does not specifically involve instrument interfacing All electronic communication is via established HL7 procedures for transmitting messages The VISTA Laboratory HL7 Interface Standards have been enhanced to accommodate expanded messaging capability Remote Systems Remote systems are defined as any computer system sending to and receiving HL7 messages from the Host laboratory computer system In VA to VA configurations this can be within the same system i e multidivisional sites or it can be from one system to another system i e non related sites In the case of non VA computer systems connection to remote systems is done via Generic Instrument Manager GIM The GIM is the remote system not the non VA computer system 20 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Management NOTE As of the release date of this software there is no national solution to implement a laboratory electronic HL7 standard interface to
77. llection facility Use the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Configuration LA7S EDIT 62 9 option to configure the LAB SHIPPING CONFIGURATION file 62 9 for a VA Facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility Lab Shipping Management Menu Option lt RET gt CFE Edit Shipping Configuration CTE Edit Shipping Container CME Edit Shipping Method CDE Edit Shipping Condition LS LEDI Setup CAT Electronic Catalog Menu Select Lab Shipping Management Menu Option CFE lt RET gt Edit Shipping Configuration lt RET gt Select SHIPPING CONFIGURATION lt RET gt Answer with LAB SHIPPING CONFIGURATION NAME or COLLECTING FACILITY or HOST FACILITY or HOST FACILITY S SYSTEM or COLLECTING FACILITY S SYST Do you want the entire 11 Entry LAB SHIPPING CONFIGURATION List lt RET gt You may enter a new LAB SHIPPING CONFIGURATION if you wish Answer must be 3 30 characters in length Select SHIPPING CONFIGURATION DALLAS OIFO SENDOUTS lt RET gt Are you adding DALLAS OIFO SENDOUTS as a new LAB SHIPPING CONFIGURATION the 12TH No Y lt RET gt Yes LAB SHIPPING CONFIGURATION COLLECTING FACILITY lt RET gt Select the institution which will be collecting and shipping lab test specimens Answer with INSTITUTION NAM STATION NUMBER or OFFICAL VA NAM CURRENT LOCATION Do you want
78. lt RET gt 0 HL7 TABLE 0070 1 LOCAL NON HL7 SPECIMEN CODING SYSTEM 1 lt RET gt LOCAL NON HL7 STATUS This field is used to designate whether this shipping configuration is active i e selectable by the user for use in building processing and receipting shipments of laboratory test Choose from 0 INACTIV 1 ACTIVE US A lt RET gt ACTIVE ECTING FACILITY S SPEC ID lt RET gt This field is used to determine the source of the specimen id Lab UID used to identify a specimen It is used by the Host facility when accessioning tests requests from Collecting facilities to determine if the Host facility needs to generate a new specimen id label or use the specimen id label from the Collecting facility If both the Collecting and Host facilities on operating on the same computer system then select 3 SAME SYSTEM Choose from 0 COLLECTING FACILITY 1 HOST FACILTY 3 SAME SYSTEM COLLECTING FACILITY S SPEC ID O lt RET gt COLLECTING FACILITY LAB MESSAGING LINK lt RET gt Select TEST PROFILE PROSTATIC SPECIFIC ANTIGEN lt RET gt Are you adding PROSTATIC SPECIFIC ANTIGEN as a new TEST PROFILE the 1ST for this LAB SHIPPING CONFIGURATION No Y lt RET gt Yes TEST PROFILE ACCESSION AREA CHEMISTRY 1 CHEMISTRY CHEMISTRY MISC 1 2 1 lt RET gt CHEMISTRY T PROFILE SPECIMEN SERUM NCY lt RET gt COLLECTING FACILITIES lt RET gt
79. mens to the host facility laboratory Host facility laboratories must be setup to perform the following Receive the electronic Shipping Manifest List transmitted by the collection facility laboratory Scan the Shipping Manifest upon specimen arrival at the host facility Bar codes the specimen arrival at the host facility Perform the specified lab tests and verifies the lab test results Transmit lab test results back to the collection facility February 2002 LEDI II User Manual V 5 2 25 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions IRM and LIM Setup Instructions NOTES The collection and host facilities IRM and LIM staff must coordinate the LEDI II implementation setup once the LA 5 2 46 and LR 5 2 222 patches have been installed The IRM and LIM staff must perform the LEDI II implementation setup instructions in the sequence specified below Step 1 IRM INSTITUTION file 4 Setup LEDI II software application uses the INSTITUTION file 4 NAME field 01 DOMAIN field 60 AGENCY CODE field 95 and the STATION NUMBER field 99 to identify both the collection and host facilities IRM Use VA FileMan DIUSER Enter or Edit File Entries DIEDIT option to appropriately define the following four fields NAME field 01 Enter the name of the instiution for both the host and collection facilities Applies ONLY for non VA entries The Institution Master File maintains nationally
80. mplementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option There are two styles of bar codes The regular style code YES Which was released with the original version of Laboratory Electronic Data Interchange LEDI produces a long bar code If the receiving site which is reading these type of bar codes has problems then switch to the compact styl code YES COMPACT This will produce a shorter bar code Choose from 0 NO L YES 2 YES COMPACT DE MANIFEST N lt RET gt NO EST RECEIPT lt RET gt Allows site to have a receipt printed with a shipping manifest when the status of the manifest is SHIPPED This receipt can be used to record acknowledgment of receipt of the shipment by the courier service used to transport the specimens to the host facility Choose from 0 NO 1 YES EST RECEIPT Y lt RET gt YES DE UNCOLLECTED SPECIMENS lt RET gt If specimens that are still pending receipt in lab are to build on a shipping manifest then answer YES If only specimens that have been received in the lab i e have a lab arrival time are to build then answer NO If field is blank then default is NO Choose from 0 NO ae YES INCLUDE UNCOLLECTED SPECIMENS N lt RET gt NO Select TEST PROFILE PROSTATIC SPECIFIC ANTIGEN lt RET gt
81. mplementation Section of this manual for examples used during software testing for several Commercial Reference Laboratories 6 When setting up an electronic link HL7 interface to the host facility laboratory use the LEDI Setup LA7V SETUP option to add edit a host lab This option will setup the Lab and HL7 files for the HL7 interface to the host facility 7 If using HL7 TCP IP interface have IRM complete the HL LOGICAL LINK file 870 setup 8 Ifan electronic link HL7 interface has been setup for this host facility then use Edit Shipping Configuration LA7S EDIT 62 9 option to edit the LAB MESSAGING LINK field 07 to link the shipping configuration to the HL7 interface Select the message configuration LA7V HOST xxx i e xxx is the VA station number of the host facility or the three letter identifier previously assigned for a non VA facility The LEDI Setup LA7V SETUP option will attempt to fill in this field However if you have multiple shipping configurations for the same collection and host facility you will need to manually setup these configurations 78 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Configruation Setup Checklist Checklist for Host Facility setting up Collection Facility NOTE Use this checklist to ensure that Step 6 LIM HOST facility LAB SHIPPING CONFIGURATION file 62 9 Setup located in the Implementation section of this manual has been complete
82. n Requirements 30 Host Facility 30 Collection Facility 31 Step 4 continu for COLLECTION facility 32 Step 5 LIM collection facility Lab Shipping Files Setup 33 Collection Facility 33 Step 5 continue for COLLECTION facility 34 Collection Facility 34 Example CME Edit Shipping Method LA7S EDIT 62 92 option 34 Collection Facility 35 Example CDE Edit Shipping Condition LA7S EDIT 62 93 option 35 Collection Facility 36 Example CTE Edit Shipping Container LA7S EDIT 62 91 option 36 Step 5 continue for COLLECTION facility 37 Collection Facility 37 Commercial Reference Laboratory i e non VA facility Setup Example 37 Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option
83. n the INSTITUTION file 4 NAME field 01 The Institution Master File maintains nationally controlled entries If the host facility is a VA Institution then verify that the AGENCY CODE field 95 VA and the STATION NUMBER field 99 A unique Central Office assigned station number If host facility is anon VA Institution then verify that the AGENCY CODE field 95 OTHER and the STATION NUMBER field 99 lt blank gt 2 Setup LAB SHIPPING METHOD file 62 92 Use Edit Shipping Method LA7S EDIT 62 92 option 3 Setup LAB SHIPPING CONDITION file 62 93 Use Edit Shipping Condition LA7S EDIT 62 93 option 4 Setup LAB SHIPPING CONTAINER file 62 91 Use Edit Shipping Container LA7S EDIT 62 91 option February 2002 LEDI II User Manual V 5 2 TT LA 5 2 46 LR 5 2 222 LEDI II Configruation Setup Checklist 5 Setup LAB SHIPPING CONFIGURATION 62 9 Use the Edit Shipping Configuration LA7S EDIT 62 9 option to configure this file When initially setting up the lab shipping configuration DO NOT edit the LAB MESSAGING LINK field 07 of this file This field will be filled in after the LEDI Setup option LA7V SETUP configures the HL7 interface for this configuration If the host facility is a non VA facility then determine a three letter identifier to assign in lieu of the VA Station Number NOTE See Step 5 LIM COLLECTION facility Lab Shipping Files Setup in the I
84. n the bar coded Shipping Manifest list initiated by the Collection facility laboratory The bar coded Shipping Manifest list contains the patient s demographics and specimens accessioning data The Shipping Manifest data are stored in the LAB SHIPPING MANIFEST file 62 8 or the LAB PENDING ORDERS ENTRY file 62 9 at the Collection facility The selection not to use a bar code reader requires the users to type in the patient s demographics i e name or social security number before the specimens can be accessioned This selection allows typographical mistakes and the possibility of duplicate entries Example 1 Manual Accession Select Accessioning menu Option REF Referral Patient Multi purpose Accession Are you using a barcode reader YES NO No lt RET gt Select Shipping Configuration WHITE RIVER JUNCTION VAMC lt RET gt WANT TO ENTER COLLECTION TIMES Y lt RET gt Yes Select ACCESSION TEST GROUP CHEMISTRY lt RET gt Select Patient Name M To enter New Name G4451 lt RET gt Searching for a Patient file entry Searching for a Referral Patient GREAT JOY 04 25 65 017784451 OK Yes lt RET gt Yes EAT JOY SEX FEMALE DOB 04 25 65 ER 017784451 lt RET gt the correct patient YES lt RET gt February 2002 LEDI II User Manual V 5 2 93 LA 5 2 46 LR 5 2 222 Package Operation Enter Remote UID 525071
85. needs to MANIFEST be in status of SHIPPED to be able to select and the RETRANSMIT shipping configuration associated with the manifest must option be ACTIVE February 2002 LEDI II User Manual V 5 2 87 LA 5 2 46 LR 5 2 222 Package Operation Lab Messaging Nightly Cleanup LA7TASK NIGHTY option This is a stand alone option that should be scheduled to run daily via TaskMan as a scheduled task Lab Messaging This is tasked option is used to check the integrity of the Nightly Cleanup LA7 MESSAGE QUEUE file 62 49 and to purge LA7TASK NIGHTY messages that are eligible for purging option This option should be tasked daily preferably during a period when activity in the Lab Messaging that is Universal Interface LEDI package is at a minimum Before the purge of LA7 MESSAGE QUEUE file 62 49 an integrity check is performed The integrity check can be run with a couple of switches LATFIX 0 do not fix errors 1 do fix errors LA7LOG 0 do not log errors in XTMP global 1 do log errors in XTMP global LATION name of device to print error report if set to log errors LA7LOG 1 These parameters can be setup by TaskMan if the site defines them when scheduling the task Example Edit Option Schedule Option Name LA7TASK NIGHTY VARIABLE NAME LA7FIX VALUE 0 VARIABLE NAME LA7ION VALUE EVELOP LASERI VARIABLE NAME LA7LOG VALUE 1
86. nued for HOST facility e Define and configure a Lab Shipping Configuration entry for each Collection facility laboratory This configuration determines how the LAB PENDING ORDERS file 69 6 data is created from the HL7 message containing the electronic Shipping Manifest what host facility lab tests are ordered the collection sample and lab test urgency NOTES The LEDI II software application allows the host facility laboratory to accession and use the collecting facility s laboratory unique identifier UID bar coded specimen labels If the host facility laboratory does not want to re label specimens the collection facility laboratory must be assigned a two character NUMERIC IDENTIFIER for the accession area that the collection facility will use for shipping the specimens The host facility must not use this NUMERIC IDENTIFIER for any local accessioning This NUMERIC IDENTIFIER is to be used ONLY by the collection facility laboratory for which it was assigned Collection Facility NOTE The collection and host facility laboratories must establish which lab tests will be processed LIM collection facility The host facility laboratory must provide the collection facility laboratory with the following information requirements e Provide a list of the NLT codes and specimen requirements used by the host facility laboratory The Electronic Catalog Menu LAS7 CATALOG MENU can be used to produce a list of the host facility
87. o the user The Lab Universal Interface Menu LA7 MAIN MENU and Accessioning Menu LR IN are also exported with this release The following charts contain detailed descriptions of all menus and options exported by this release Lab Shipping Management Menu LA7S MGR MENU The Lab Shipping Management menu LA7S MGR MENU contains all implementation related options available for the LIM LEDI Menu Description Options Lab Shipping M tM LATS MOR MENUT This submenu can be found on the Lab liaison menu LRLIAISON containing the following options Edit Shipping This option sets up the LAB SHIPPING CONFIGURATION Configuration LA7S file 62 9 EDIT 62 9 option See example in the Implementation section Step 5 Edit Shipping This option sets up the LAB SHIPPING CONTAINER file Container LA7S 62 91 EDIT 62 91 option See example in the Implementation section Step 5 Edit Shipping Method This option sets up the LAB SHIPPING METHOD file LA7S EDIT 62 92 62 92 option See example in the Implementation section Step 5 Edit Shipping This option sets up the LAB SHIPPING CONDITIONS file Conditions LA7S 62 93 EDIT 62 93 option See example in the Implementation section Step 5 LEDI Setup LA7V This option sets up the HL7 and Lab Auto Instrument SETUP option environment for a HOST or COLLECTION system This option also sets up entries in the e HL7 APPLICATION PARAMETER file 771 e HL LOGICAL LINK file 870 e HLLOWER LEV
88. o we OO PP ro AFTI ry rY TIC ACID Sample BLOOD BLOOD Sample BLOOD BLOOD February 2002 LEDI II User Manual V 5 2 LA 5 2 46 LR 5 2 222 ER TO CHANG URINI EIN TOTAL ERS ROY 100 10 1000 ERUM ERUM ERS ROY 100 10 0000 ERUM ERUM 95 Package Operation Example 2 Using Bar Code Reader continues LAB Order number 201 PRINT LABELS ON LABLABEL lt RET gt R7 GP DO YOU WISH TO TEST THE LABEL PRINTER No lt RET gt No For Test CPK ISOENZYMES PANEL IMMONO WR BLOOD SERUM Enter Order Comment FIRST SET OF ISO S SENT FIRST SET OF ISO S SI OK Yes lt RET gt Yes ESSION R CH 0716 397 lt 1171970397 gt CPK BLOOD SERUM ACCESSION R SPC 0716 49 lt 8671970049 gt TOTAL CK FOR ISO BLOOD CPK MB NG ML BLOOD CPK MB INDEX BLOOD LAB PROCESSING INSTRUCTIONS Please freeze sample NOTE This comment is from File 60 GLUCOSE BLOOD SERUM GENERAL PROCESSING INST Send sample on ice Scan Patient Accession Barcode PD lt RET gt 96 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation Turnaround times By Urgency LR TAT URGENCY This option generates a report of the turnaround times for selected lab test for selected urgencies Example Turnaround times by Urgency Select Lab statistics menu Option TURn
89. ocal Mail Groups It is highly recommended that each facility designate local mail groups for receiving the New Results Orders Received and the Error on Message alerts associated with the LEDI II software application Please review the following section on ALERTS for information on the various alerts that are generated by LEDI II Alerts LEDI II software uses the LA7 MESSAGE PARAMETER file 62 48 for sending alerts to the mail group specified in the Alert Condition subfile 68 481 The facility should designate a local mail group to use for notification of the alerts These alerts and the associated mail group are configured using the LEDI Setup LEDI SETUP option within the message configuration section of this option The following are the three types of alerts that can be turned on for each configuration 1 New Results Alert notifies members when the Lab Universal Interface software has processed an HL7 message containing test results An example of this information type of alert is Lab Messaging New results received for LA7V HOST 578 2 Error Alert notifies members of error conditions encountered during the processing of a Laboratory Universal Interface message Recommend that sites utilize the LAB MESSAGING mail group to notify local users of error conditions within the Laboratory Universal Interface LEDI software Processing the alert allows the user to view print the error message and the associa
90. other non VA systems may refer to as an order Choose from 0 MULTIPLE PATIENTS 1 SINGLE PATIENT 2 SINGLE ORDER MULTIPLE ERS 2 SINGLE ORDER lt RET gt HOST Lab Setup HOST Lab REGION 7 ISC TX DEMO Uneditable Logical Link MailMan or TCP IP DATA lt RET gt Automated Instrument DATA lt RET gt GRACE PERIOD FOR MESSAGES 4 lt RET gt ALERT CONDITION number 1 5 5 lt RET gt ERT CONDITION lt RET gt ou may enter a new ALERT CONDITION if you wish ter 1 to receive alerts for new results a 2 to receive alerts r errors during processing and 3 when orders are received rror on message alert may only be selected if Field 4 LOG RRORS is set to ON Choose from D G FS Eo h aK o NEW RESULTS E R ON MESSAG ORDERS RECEIVED Select ALERT CON ION NEW 1 NEW RESULTS lt RET gt Are you adding NEW RESULTS as a new ALERT CONDITION the 1ST for this LA7 MESSAGE PARAMETER No Y Yes lt RET gt MAIL GROUP LAB REPORT 72 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 8 IRM Completing the HL7 Environment Setup The HL LOGICAL LINK file 870 contains the links used by the HL7 software to send messages This file stores parameters that de
91. r The user will then be able to order tests for that patient For an example see the Option Examples section 90 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation LEDI Menu and Option Examples Electronic Catalog Information Entry LA7S CATALOG ENTRY This option allows the user to enter laboratory test information for the electronic catalog Example ENT Electronic Catalog Information Entry option Electronic Catalog Information Entry View Individual Electronic Catalog Entry Electronic Catalog Print Electronic Catalog Menu Option ENT Electronic Catalog Information LABORATORY TEST NAME PROSTATE SPECIFIC ANTIGEN PROSTATE SPECIFIC ANTIGEN Replace TIONAL VA LAB CODE Prostate Specific Ag lt RET gt ESULT NLT CODE Prostate Specific Ag lt RET gt TALOG ITEM YES lt RET gt COST 11 18 PRICE 22 36 Select SPECIMEN SERUM lt RET gt SPECIMEN SERUM lt RET gt SP COST 21 32 SP PRICE 32 72 Select SPECIMEN February 2002 LEDI II User Manual V 5 2 91 LA 5 2 46 LR 5 2 222 Package Operation View Individual Electronic Catalog Entry LA7S VIEW INDIVIDUAL ENTRY This option allows the user to view or print an individual entry in the Electronic Test Catalog Example IND View Individual Electronic Catalog Entry option lectronic Catalog Informa
92. r Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 3 IRM Schedule the Lab Messaging Nightly Cleanup LA7TASK NIGHTY option IRM Use Taskman Management XUTM MGR Schedule Unschedule XKUTM SCHEDULE option to schedule the Lab Messaging Nightly Cleanup LA7TASK NIGHTY option to run daily This scheduled option will purge all data in the LA7 MESSAGE QUEUE file 62 49 Example Scheduling the Lab Messaging Nightly Cleanup LA7TASK NIGHTY option to run daily Select OPTION to schedule or reschedule LA7TASK NIGHTY lt RET gt Lab Messaging Nightly Cleanup OK Yes lt RET gt Yes Edit Option Schedule tion Name LA7TASK NIGHTY lt RET gt Text Lab Messaging Nightly Cleanup TASK ID 8278506 UN AT WHAT E JUL 14 1997 23 15 lt RET gt EUED JOB O NULL DEVICE P OTHER 132 64 lt RET gt UN ON VOLUME lt RET gt ULING FREQ 1D lt RET gt TASK PARAMETE lt RET gt SPECIAL QU lt RET gt Exit Save Next Page Refresh Enter a command or followed by a caption to jump to a specific field COMMAND N Press lt PF1 gt H for help Insert Edit Option Schedule Option Name LA7TASK NIGHTY lt RET gt VARIABLE NAME LA7FIX VARIABLE NAME LA7ION VELOP LASERI VARIABLE NAME LA7LOG VARIABLE NAME VARIABLE NAME
93. ral Patient Multi purpose Accession LRLEDIJ option to accession specimens thru the Laboratory Electronic Data Interface LEDD LEDI II now builds the LAB PENDING ORDERS ENTRY file 69 6 with additional information concerning mapping to local host test urgency This local urgency information stored in File 69 6 is utilized when accessioning LEDI specimens at the host laboratory February 2002 LEDI II User Manual V 5 2 13 LA 5 2 46 LR 5 2 222 Introduction Modification VA FileMan Database Server Call Laboratory Package V 5 2 previously used a classical VA FileMan DIE Call when storing comments in LAB DATA file 63 This VA FileMan DIE Call did not allow the comment to contain a semi colon character because FileMan used this character to parse fields requiring editing in the DR string This function has been changed to the VA FileMan Database Server Call which does not have this restriction Comments can now contain the semi colon character VISTA BLOOD BANK SOFTWARE V5 2 DEVICE PRODUCT LABELING STATEMENT 12 June 10 1999 VISTA Laboratory Package patches LA 5 2 46 LR 5 2 222 contain no changes to software controlled by VHA DIRECTIVE 99 058 titled VISTA BLOOD BANK SOFTWARE 14 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Introduction Flow Chart Laboratory Electronic Data Interchange LEDI Flow Chart Collection Facility Host Facility ipping Manifest Specimen Tubes Sh
94. ssed has been enhanced to site selectable 7 New SM40 Shipping Codes The new SM40 shipping code required shipping information update has been added to the LAB ELECTRONIC CODES file 64 061 The SM40 shipping code is used for recording this information in the LAB SHIPPING EVENT file 62 85 8 Building a Shipping Manifest The process for building a shipping manifest has been enhanced to allow the user to specify the starting and ending accession numbers to check within an accession area This feature will shorten the manifest building time when searching a yearly accession area with a large number of accessions This new feature allows the site to skip the accessions numbers that were completed earlier in the year and no longer need to be checked to determine if any of the tests meet the criteria for building to a manifest 9 Closing a Shipping Manifest The process of closing a Shipping Manifest has been enhanced to perform new checks for the following required information e Each lab test has an order NLT code assigned e When shipping to a facility that does not use VA NLT codes for lab test ordering the appropriate non VA lab test codes names is designated for all tests on the Shipping Manifest e Site specified required patient specimen information is entered 12 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Introduction 10 Result ORU Messages LEDI II Result ORU Messages includes the test interpreta
95. t and specimen weight when deemed appropriate NOTE Online help is available by entering two question marks at the field prompt February 2002 LEDI II User Manual V 5 2 33 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continue for COLLECTION facility Collection Facility The LAB SHIPPING METHOD file 62 92 must be configured first This file contains the transport method used to ship specimens i e by Courier Taxi FEDEX UPS etc LIM collection facility Use the Lab Shipping Management LA7S MGR MENU menu Edit Shipping Method LA7S EDIT 62 92 option located on the Lab Liaison menu LRLIAISON to configure the LAB SHIPPING METHOD file 62 92 Example CME Edit Shipping Method LA7S EDIT 62 92 option Lab liaison menu Option SMGR lt RET gt Lab Shipping Management Menu Lab Shipping Management Menu Option lt RET gt CFE Edit Shipping Configuration CT Edit Shipping Container CM Edit Shipping Method CD Edit Shipping Condition LS LEDI Setup CAT Electronic Catalog Menu Enter for more options for brief descriptions OPTION for help text Select Lab Shipping Management Menu Option CME lt RET gt Edit Shipping Method Select SHIPPING METHOD lt RET gt Answer with LAB SHIPPING METHOD NAME You may enter a new LAB SHIPPING METHOD if you wish NAME MUST BE 3 30 CHARACTERS NOT NUMERIC OR STARTING WIT PUNCTUATION Sel
96. t Assignments for TCP DBA TCP PORT ASSIGNMENTS option on FORUM February 2002 LEDI II User Manual V 5 2 73 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 8 continues In the following i e xxx is your VA facility number and i e yyy is the VA facility number of the system you are exchanging HL7 messages with In the case of non VA facilities yyy will contain the three letter identifier specified in the LAB SHIPPING CONFIGURATION file 462 9 NON VA SYSTEM IDENTIFIER field 11 that relates to this link LA7V xxx listener is used to receive order result messages All facilities that are sending order result messages will connect to this link to transmit LEDI HL7 messages to your facility This is why this link should be set to PERSISTENT NO Otherwise the link will be tied up and other systems will not be able to connect and transmit messages to you The client type links will connect to this listener to transmit order result messages Collection facilities will receive their test result messages via this link Host facilities will receive their order messages shipping manifest via this link If the two systems are host and collection labs for each other then both types of messages will be received via this link This link will ONLY need to be configured the first time a facility is setting up a TCP IP connection to another facility When setting up additional facilities just provide the client facilities with the
97. t are measure ents LEDI II User Manual V 5 2 LA 5 2 46 LR 5 2 222 Allows site to specify that the patient s height is sent with an order for this test Patient s height will be prompted for a February 2002 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility ENT HEIGHT UNITS lt RET gt ENT HEIGHT CODE lt RET gt Select the appropriate LOINC code to identify the patient s height PATIENT HEIGHT CODE lt RET gt REQUIRE PATIENT WEIGHT YES lt RET gt Determines if the patient s weight is required to be sent in the HL7 ORM order message and printed on the shipping manifest Actual shipping and or electronic transmission of a shipping manifest will check for entry of the patient s weight and prevent release if absent Choose from lt RET gt 0 NO 1 YI E PATIENT WEIGHT YES lt RET gt ENT WEIGH ITS kg kg MEASUREMENTS Kilograms ENT WEIGHT CODE lt RET gt Select the appropriate LOINC code to identify the patient s weight lt RET gt PATIENT WEIGHT CODE 3142 lt RET gt a BODY WEIGHT MASS PT PATIENT ON STATED REQUIRE COLLECTION VOLUME lt RET gt Determines if the specimen s collection volume is required to be sent in the HL7
98. t modify any existing file security schemes New files exported by the patch installation have no file security applied However VA FileMan security access Ll code is recommended if file security is deemed necessary by the facilities Security Keys LRDATA key The LRDATA security key is used to identify personnel that are allowed to edit or change test results that were done by another laboratory If an associated division did not generate the results this security key is required to change the results The Laboratory responsible for the original lab test results must send and edit the LEDI II messages to correct errors LRLEDI Security Key The LRLEDI security key is used to identify users that are charged with the setup and configuration of the LEDI II software functionality In most instances the LRLIASON key holder would also hold this key NOTE LEDI II setup options are exported with the LRLEDI security key already assigned February 2002 LEDI II User Manual V 5 2 19 LA 5 2 46 LR 5 2 222 Package Management Electronic Signature There are no electronic signatures utilized in the VISTA LEDI II software application Purging Capabilities LEDI II purging capabilities are provided through the Universal Interface UI software The Lab Messaging Nightly Cleanup LA7TASK NIGHTY option is used to purge messages in the LA7 MESSAGE QUEUE file 62 49 when the messages become eligible for purging This option must be schedu
99. ted HL7 message An example of this action type of alert is Lab Messaging error 17 on message 246164473 3 New Orders Received Alert notifies members when the Laboratory Universal Interface software has received electronic orders related to a collecting facility s shipping manifest An example of this information type of alert is Lab Messaging Manifest 537 20011030 3 received from LA7V COLLECTION 537 February 2002 LEDI II User Manual V 5 2 23 LA 5 2 46 LR 5 2 222 Package Management 24 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions This section contains detailed instructions to successfully implement the LEDI II software application LEDI II setup instructions must be performed in sequence by IRM and LIM staff The setup instructions are listed in step by step order NOTE A checklist is provided at the end of this implementation section to ensure that the LEDI II implementation process has been completed as instructed in this section LEDI II Two Part Implementation Setup The LEDI II software application requires the following two part implementation setup Collection facility laboratories must be setup to perform the following Create an electronic Shipping Manifest i e specifying lab tests to be performed by the receiving host facility laboratory Transmit the Shipping Manifest to the host facility laboratory Transport the speci
100. ted with the user who created the accession This field will allow a site to screen accessions from ultiple divisions only placing on the manifest an accession from the specified division Host facilities This field not used DIVISION MILWAUKEE WI WI VAMC 695 SPECIMEN lt RET gt This field is used to determine if a test for a particular specimen type should build on the shipping manifest If left blank i e no entry then all specimens for this test are eligible for building on a shipping manifest If a specimen type is entered then the specimen type of the accession must match before the test is eligible for building onto a shipping manifest ECIMEN SERUM lt RET gt 0x500 URGENCY lt RET gt COLLECTING FACILITIES lt RET gt If shipping laboratory tests that are a certain urgency specify the urgency that must match the test urgency of the accession for the accession test to be placed on the shipping manifest 50 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for the COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option used to configure a VA Facility HOST FACILITIES lt RET gt This field is used by LEDI software at the host facility to determine th ntry in the host site s URGENCY file 62 05 to use for ordering when t
101. terchange Length LEN The maximum number of characters that one occurrence of the data field may occupy nn D Optionally R O C Whether the data field is required optional or conditional in a segment The designations are R required O null optional C conditional on the trigger event Ne eee PID SCs Patient Identification a ee Repetition RP Whether the field may repeat The designations are N null for no repetition allowed Y the field may null for no repetition allowed Y the field may repeat an indefinite or site determined number of times and integer the field may repeat up to the number of times specified in the integer The ordinal position of the data field within A logical grouping of data fields Shipping Manifest The shipping manifest is a printout list of lab specimens sent outside the facility to a reference lab for processing Sequence Number SEQ The ordinal position of the data field within the segment This number is used to refer to the data field in the text comments that follow the segment definition table 100 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Glossary Table TBL This is a table of values that may be defined by HL7 or negotiated between the VISTA Laboratory application and the vendor system TCP IP Transmission Communication Protocol Internet Protocol Trading Partners An established relationship between two
102. th ntire 290 Entry INSTITUTION List lt RET gt LAB SHIPPING CONFIGURATION COLLECTING FACILITY MILWAUKEE WI lt RET gt WI VAMC 695 LAB SHIPPING CONFIGURATION HOST FACILITY lt RET gt Select the institution which will be the Host facility receivi the lab test shipment Answer with INSTITUTION NAM STATION NUMBER or OFFICAL VA NAM CURRENT LOCATION Do you want th ntire 290 Entry INSTITUTION List lt RET gt LAB SHIPPING CONFIGURATION HOST FACILITY DALLAS OIFO lt RET gt Select one of the following lt RET gt Collecting facility Host facility February 2002 LEDI II User Manual V 5 2 47 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 5 continues for COLLECTION facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option Are you editing this entry as the lt RET gt Is this entry used by the Collecting facility to ship specimens or by the Host facility to accept a shipment This determines which fields are edited in the file Select one of the following dh Collecting facility 2 Host facility Are you editing this entry as the 1 lt RET gt Collecting facility NAME DALLAS OIFO SENDOUTS Replace lt RET gt COLLECTING FACILITY MILWAUKEE WI lt RET gt COLLECTING FACILITY S SYSTEM lt RET gt Institution which has collector s computer system Answer with INSTITUTION NAME or STATION NUMBER or OFFICAL VA NAM
103. tion Entry IND iew Individual Electronic Catalog Entry ALL Electronic Catalog Print Select tronic Catalog Menu Option IND View Individual Electronic Catalog I ry Select LABORATORY TEST NAME PROSTATE SPECIFIC ANTIGEN EVICE VIRTUAL TERMINAL nic Test Catal JUL 10 1997 14 08 E SPECIFIC ANTIGEN Collection Tube BLOOD RED OR GOLD Ship 1 ml aliquot Refrigerate Site Specimen SERUM Snomed 0X500 Reference Low 0 Reference High 4 0 Units ng mL NLT Code 89760 0000 tProstate Specific Ag NLT Result Code 89760 0000 Prostate Specific Ag Default Cost 11 18 Default Price 22 36 Specimen SERUM Specimen Cost 21 32 Specimen Price 32 72 92 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Package Operation Referral Patient Multi purpose Accession LRLEDI The Host facility laboratory users must record all patient s demographics and accession the specimens received from the Collection facility laboratory The Edit Shipping Configuration option is used for recording this data The Referral Patient Multi purpose Accession LRLEDI option prompts the user to respond to the question are you using a bar code reader the user may accept the default of YES or type NO as a response When the default of YES are you using a bar code reader is accepted for the Shipping Configuration the user may sca
104. tion found in LABORATORY TEST file 60 as a comment i e NTE segment following the lab test results Lab test results storage is checked against the VA FileMan input transform for the data name used to store the Lab test results in LAB DATA file 63 If the lab test results does not pass the VA FileMan input transform check then an error message is generated via the Lab Universal Interface error reporting process Result values canc pending or comment are stored in LAB DATA file 63 11 Result ORU Messages The process that triggers LEDI II Result ORU Message generation during lab result verification has additional checks to confirm that the results being returned to the collecting site match the ordering information from the collecting facility Patient and specimen identifiers used by the host and collection facilities are checked for expected consistency When identifiers do not match the HL7 message transmission will be aborted and an error message generated via the Lab Universal Interface error reporting process Error messages 40 45 have been added to the LA7 MESSAGE LOG BULLETINS file 62 485 to support this functionality These are additional safety checks being incorporated into the software in response to a recent patient safety alert involving the Laboratory V 5 2 Package 12 Referral Patient Multi purpose Accession LRLEDI option LEDI II software contains additional support when using the Refer
105. to accomplish this mission without diminishing the quality of services in patient medical care VISTA Laboratory Electronic Data Interchange LEDI The VISTA Laboratory Electronic Data Interchange LEDI software provided the Laboratory V 5 2 software package and Laboratory s Automated Instrument AI software application the following features and functionalities Laboratory Electronic Data Interchange LEDI Electronic Messaging Electronic Lab Test Ordering Electronic Lab Test Results Reporting Bar code Specimen Accessioning Workload VISTA Laboratory Electronic Data Interchange Phase II LEDI II The VISTA Laboratory Electronic Data Interchange Phase II LEDI II software application provides electronic messaging for Lab Test Ordering and Lab Test Results Reporting between VA Health Care Facilities laboratories based on the Health Level Seven HL7 Version 2 3 Standard Specification and VISTA Health Level Seven HL7 Version 1 6 Standard Specification These Specifications are used as the basis for defining VISTA Laboratory Universal Interface UI and LEDI HL7 Interface Standard Specification Version 1 2 February 2002 LEDI II User Manual V 5 2 9 LA 5 2 46 LR 5 2 222 Introduction New Functionality LEDI II software application provides the following new features and functionality for Laboratory V 5 2 Package and the Automated Instrument AI software applications e Laboratory Electronic Data Interchange LEDI Elec
106. tronic Messaging e Electronic Lab Test Ordering e Bar code Specimen Accessioning e Electronic Lab Test Results Reporting e Workload Patient Lookup The patient lookup functionality relieves accessioning personnel from manually entering patient s demographics The lookup functionality checks the PATIENT file 2 REFERRAL PATIENT file 67 and LAB PENDING ORDERS ENTRY file 69 6 when using bar code scanning This patient lookup functionality will reduce or eliminate typographical mistakes and decreases the possibility of duplicate entries The Patient demographics displays the following fields gt Full Name Date of birth DOB Patient Identification SSN gt Sex 10 LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Introduction LEDI II Enhancements and Modifications Enhancements 1 Sending Receiving Laboratory HL7 Messages New functionality has been added for sending and receiving Laboratory HL7 orders results messages with non VA facilities Commercial Reference Laboratories 2 TCP IP Protocol as a Communication Protocol Additional new support is added for TCP IP protocol as a communication protocol for the transmission of LEDI HL7 messages i e requiring patch HL 1 6 19 to have been successfully installed The implementation of this communication protocol in lieu of VA MailMan protocol will significantly increase transmission speed of messages and reduce system overhead storage Both cli
107. tructions This section contains detailed setup instructions to successfully implement the LEDI II software application LEDI II setup instructions must be performed in sequence by IRM and LIM staff The setup instructions are listed in step by step order LEDI II Setup Checklist The checklist is provided to ensure that the LEDI II setup implementation process has been completed as instructed in the package operation section of this user manual Glossary This section contains the glossary of terms that are related to the LEDI software application February 2002 LEDI II User Manual V 5 2 ili LA 5 2 46 LR 5 2 222 Preface iv LEDI II User Manual V 5 2 February 2002 LA 5 2 46 LR 5 2 222 Table of Contents PREFACE 2 2 none nn nn nn nn nn nn ene cence nnn nne nnn ene ne nena nn nnenenenenes Il INTRODUCTION n ne nn nn nnn nnn nn nnn nnn nner nnn nn en ennenane 9 OVERVIEW 9 VISTA Laboratory Electronic Data Interchange LEDI 9 VISTA Laboratory Electronic Data Interchange Phase II LEDI II 9 New Functionality 10 Patient Lookup
108. try for ROUTINE in the URGENCY file when the HL7 PRIORITY matches Choose from lt RET gt STAT PATIENT WAITING PRE OP CRITICAL ZZADMIT ZZOUTPATIENT ZZPURPLE TRIANGLI ROUTINE OANDO BP WN FE URGENCY 9 lt RET gt ROUTINE HOST COLLECTION SAMPLE SERUM lt RET gt Enter the collection sample to be associated with this test HOST COLLECTION SAMPLE lt RET gt COLLECTING FACILITIES lt RET gt This field is presently not used by LEDI software at the collecting facility February 2002 LEDI II User Manual V 5 2 59 LA 5 2 46 LR 5 2 222 LEDI II Implementation Instructions Step 6 continues for HOST facility Example CFE Edit Shipping Configuration LA7S EDIT 62 9 option is used to configure a Commercial Reference Laboratory non VA facility HOST FACILITIES lt RET gt This field is used by host facility laboratories to designate the collection sample to be used when processing electronic orders for this test specimen combination It is used to build the order in file 69 6 LAB PENDING ORDERS with the test specimen collection sample that the host facility uses HOST COLLECTION SAMPLE BLOOD lt RET gt NON VA TEST ORDER CODE PSA123 lt RET gt Collecting faciliies If sending test orders to a non VA facility use this field to store the test order codes used by the non VA system It will
109. u LRMENU LEDI II Modified Options Print LEDI Pending Orders LA7S PENDING PRINT LEDI option This option is used by the host facility to print a collection facility LEDI shipping manifest report from the host facility s LAB PENDING ORDERS ENTRY file 69 6 This option can be used to reprint a shipping manifest report which is lost or damaged during shipping The user is prompted to enter the shipping manifest number which prints a barcoded shipping manifest report containing all of the patients entered for that manifest The new shipping manifest report format is similiar to the regular shipping manifest report received from the collection shipping facility Display Lab Universal Interface Message LA7 PRINT LAB UI MESSAGE option The logic used to print error messages associated with a UI message is modified to prompt the user when the Kernel Browser should be used to display a form message If the browser is not selected then a standard scroll and roll display of the selected message s is produced This option is located on the Lab Universal Interface Menu LA7 MAIN MENU This submenu is located on the Lab Interface Menu LA INTERFACE February 2002 LEDI II User Manual V 5 2 83 LA 5 2 46 LR 5 2 222 Package Operation LEDI IT Menus and Options LEDI II software application contains two menus the Lab Shipping Management Menu LA7S MGR MENU is assigned to the LIM and Lab Shipping Menu LA7S MAIN MENU is assigned t

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