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Update _2_0_64

Clinical Reminders

VA-Cancer Dialog Updates

Install Guide

September 2019

Product Development

Office of Information Technology

Department of Veterans Affairs

ii Update_2_0_64 Install Guide September 2019

Table of Contents

INTRODUCTION .......................................................................... 1

INSTALL DETAILS ....................................................................... 21

INSTALL EXAMPLE ..................................................................... 22

POST INSTALLATION .................................................................. 28

September 2019 Update _2_0_64 Install Guide 1

Introduction Description: Content of this update includes changes to National Oncology Prostate Cancer Dialogs Sponsor: Office of Patient Care Services, VHA Oncology. POC: Susan Hamilton-Hill

The following Heath Factors have been added per new 2018 standards:

ONC PCA Clinical-Summary Stage IIC ONC PCA MRI Q12 Month

ONC PCA Clinical-Summary Stage IIIB ONC PCA MRI Other Month

ONC PCA Clinical-Summary Stage IIIC ONC PCA PET Q1 Month

ONC PCA Clinical-Summary Stage IVA ONC PCA PET Q2 Month

ONC PCA Clinical-Summary Stage IVB ONC PCA PET Q3 Month

ONC PCA Pathological-Summary Stage IIC ONC PCA PET Q4 Month

ONC PCA Pathological-Summary Stage IIIB ONC PCA PET Q6 Month

ONC PCA Pathological-Summary Stage IIIC ONC PCA PET Q12 Month

ONC PCA Pathological-Summary Stage IVA ONC PCA PET Other Month

ONC PCA Pathological-Summary Stage IVB ONC PCA Film Q1 Month

ONC PCA Med Oncology Q1 Month ONC PCA Film Q2 Month





ONC PCA Med Oncology Q12 Month ONC PCA Film Other Month

ONC PCA Med Oncology Other Month ONC PCA Image Other Q1 Month

ONC PCA Rad Oncology Q1 Month ONC PCA Image Other Q2 Month





ONC PCA Rad Oncology Q12 Month ONC PCA Image Other Month

ONC PCA Rad Oncology Other Month ONC PCA Lab1 1

ONC PCA Surg Oncology Q1 Month ONC PCA Lab1 2





ONC PCA Surg Oncology Q12 Month ONC PCA Lab1 Other Month

ONC PCA Surg Oncology Other Month ONC PCA Lab2 1

ONC PCA Other Provider ONC PCA Lab2 2

2 Update_2_0_64 Install Guide September 2019

ONC PCA Other Provider Q1 Month ONC PCA Lab2 3




ONC PCA Other Provider Q6 Month ONC PCA Lab2 Other Month


ONC PCA Other Provider Other Month ONC PCA Lab3 2

ONC PCA CT Q1 Month ONC PCA Lab3 3




ONC PCA CT Q6 Month ONC PCA Lab3 Other Month


ONC PCA CT Other Month ONC PCA Lab4 2

ONC PCA MRI Q1 Month ONC PCA Lab4 3




ONC PCA MRI Q6 Month ONC PCA Lab4 Other Month


Screenshots of changes to National Oncology Prostate Cancer Dialogs: #1 - Changes to the VA-ONCOLOGY PROSTATE dialog:

Staging updated from

Version 7 to Version 8

per new staging

guidelines


Clinical AJCC

Summary Group

Version 8 Staging per

new staging guidelines

Pathological AJCC

Summary Group

Version 8 Staging per

new staging guidelines


#2 - Changes to the VA-ONCOLOGY TREATMENT SUMMARY PROSTATE dialog:

Surveillance section added for

survivorship care plan guidelines


Screenshots of the ‘surveillance’

options


UPDATE_2_0_64 contains 1 Reminder Exchange entry:

UPDATE_2_0_64 VA-CANCER DIALOG UPDATES

The exchange file contains the following components:

REMINDER TERM VA-REMINDER UPDATE_2_0_64

TIU TEMPLATE FIELD

00 EDIT BOX 24 ONCOLOGY SYMPTOM DURING 00 EDIT BOX 12 TEXT (1-20 CHAR) ONCOLOGY YES NO

ONCOLOGY CHEMO ROUTE WORD PROCESSING SHORT GEN TEXT BOX 50 ALLCOMMENT(4LINES) ONC MDC CLICK HERE TO NCLUDE WORD PROC 50X2 ONC LIFESTYLE


TEXT (1-60 CHAR)1

ONCOLOGY TRTMENT SYMPTOM VA ONCOLOGY LAST PSA

HEALTH FACTORS

VA-REMINDER UPDATES VA-UPDATE_2_0_64 Prostate Cancer (ONC PCA) Diagnoses ONC PCA Pathological-Summary Stage IVB ONC PCA Pathological-Summary Stage IVA ONC PCA Pathological-Summary Stage IIIC ONC PCA Pathological-Summary Stage IIIB ONC PCA Pathological-Summary Stage IIIA ONC PCA Pathological-Summary Stage IIC ONC PCA Clinical-Summary Stage IVB ONC PCA Clinical-Summary Stage IVA ONC PCA Clinical-Summary Stage IIIC ONC PCA Clinical-Summary Stage IIIB ONC PCA Clinical-Summary Stage IIIA ONC PCA Clinical-Summary Stage IIC ONC PCA Risk Status-High ONC PCA Risk Status-Intermediate ONC PCA Risk Status-Low ONC PCA ECOG-Unknown ONC PCA ECOG-5 ONC PCA ECOG-4 ONC PCA ECOG-3 ONC PCA ECOG-2 ONC PCA ECOG-1 ONC PCA ECOG-0 ONC PCA Gleason Score Combined-10 ONC PCA Gleason Score Combined-9 ONC PCA Gleason Score Combined-8 ONC PCA Gleason Score Combined-7 ONC PCA Gleason Score Combined-6 ONC PCA Gleason Score Combined-5 ONC PCA Gleason Score Combined-4 ONC PCA Gleason Score Combined-3 ONC PCA Gleason Score Combined-2 ONC PCA Gleason Score Two-5 ONC PCA Gleason Score Two-4 ONC PCA Gleason Score Two-3 ONC PCA Gleason Score Two-2 ONC PCA Gleason Score Two-1


ONC PCA Gleason Score One-5 ONC PCA Gleason Score One-4 ONC PCA Gleason Score One-3 ONC PCA Gleason Score One-2 ONC PCA Gleason Score One-1 ONC PCA Histology-Other: ONC PCA Histology-Small Cell ONC PCA Histology-Adenocarcinoma ONC PCA Pathological-Summary Stage IV ONC PCA Pathological-Summary Stage III ONC PCA Pathological-Summary Stage IIB ONC PCA Pathological-Summary Stage IIA ONC PCA Pathological-Summary Stage I ONC PCA Pathological Metastasis-M1c ONC PCA Pathological Metastasis-M1b ONC PCA Pathological Metastasis-M1a ONC PCA Pathological Metastasis-M0 ONC PCA Pathological Lymph Nodes-N1 ONC PCA Pathological Lymph Nodes-N0 ONC PCA Pathological Lymph Nodes-Nx ONC PCA Pathological Primary Tumor-T4 ONC PCA Pathological Primary Tumor-T3b ONC PCA Pathological Primary Tumor-T3a ONC PCA Pathological Primary Tumor-T3 ONC PCA Pathological Primary Tumor-T2 ONC PCA Pathological Stage Date ONC PCA Clinical-Summary Stage IV ONC PCA Clinical-Summary Stage III ONC PCA Clinical-Summary Stage IIB ONC PCA Clinical-Summary Stage IIA ONC PCA Clinical-Summary Stage I ONC PCA Clinical Metastasis-M1c ONC PCA Clinical Metastasis-M1b ONC PCA Clinical Metastasis-M1a ONC PCA Clinical Metastasis-M0 ONC PCA Clinical Lymph Nodes-N1 ONC PCA Clinical Lymph Nodes-N0 ONC PCA Clinical Lymph Nodes-Nx ONC PCA Clinical Primary Tumor-T3 ONC PCA Clinical Primary Tumor-T2c ONC PCA Clinical Primary Tumor-T2b ONC PCA Clinical Primary Tumor-T2a ONC PCA Clinical Primary Tumor-T2 ONC PCA Clinical Primary Tumor-T1c


ONC PCA Clinical Primary Tumor-T1b ONC PCA Clinical Primary Tumor-T1a ONC PCA Clinical Primary Tumor-T1 ONC PCA Clinical Primary Tumor-T0 ONC PCA Clinical Primary Tumor-Tx ONC PCA Clinical Stage Date- ONC PCA Diagnosis Date- ONC PCA Lab Test-Other: ONC PCA Precision Oncology ONC PCA Additional Testosterone Prostate Cancer (ONC PCA) Treatments ONC PCA Clinical Trial Stop Date- ONC PCA Clinical Trial Start Date- ONC PCA Clinical Trial ONC PCA Chemo Not Administered- ONC PCA Chemo No-Pt Declined ONC PCA Chemo-Not Recommended ONC PCA Chemo-No ONC PCA Consent for Chemo Not Obtained ONC PCA Consent for Chemo Obtained ONC PCA RT Stopped Pt Request ONC PCA RT Stopped Progression ONC PCA RT Stopped ONC PCA RT Stopped Toxicity ONC PCA RT Stopped Plan Complete ONC PCA RT Other Stop Date- ONC PCA RT Other Start Date- ONC PCA RT Type Other- ONC PCA RT Other ONC PCA RT Type-Brachytherapy ONC PCA External Beam Other Stop Date- ONC PCA External Beam Other Start Date- ONC PCA RT External Beam Other- ONC PCA Conformal Proton RT Stop Date- ONC PCA Conformal Proton RT Start Date- ONC PCA Modulated RT Stop Date- ONC PCA Modulated RT Start Date- ONC PCA 3D Conformal Therapy Stop Date- ONC PCA 3D Conformal Therapy Start Date- ONC PCA RT-Patient Declined ONC PCA RT-Not Recommended ONC PCA RT Not Administered- ONC PCA RT-No ONC PCA Surgery Outcome-Other


ONC PCA Surgery Outcome-Results Pending ONC PCA Surgery Outcome-+Margins ONC PCA Surgery Outcome-Neg Margins ONC PCA Surgery Lymph Node-Unknown ONC PCA Surgery Lymph Node-No ONC PCA Surgery Lymph Node-Yes ONC PCA Surgery Type-Other ONC PCA Surgery-TURP ONC PCA Surgery-Pelvic Lymphadenectomy ONC PCA Nerve Sparing-Unknown ONC PCA Surgery-Not Nerve Sparing ONC PCA Surgery-Nerve Sparing ONC PCA Surgery-Prostatectomy ONC PCA Surgery No-Other ONC PCA Surgery-Tumor Not Resectable ONC PCA Surgery-Declined ONC PCA Surgery-Not Recommended ONC PCA Treatment Discussed w/Pt-Unknown ONC PCA Treatment Intent Discussed-No ONC PCA Treatment Intent Discussed-Yes ONC PCA Treatment-Palliative ONC PCA Treatment-Curative ONC PCA >12 Positive-Transperineal ONC PCA 12 Pos Sample-Transperineal ONC PCA 11 Pos Sample-Transperineal ONC PCA 10 Pos Sample-Transperineal ONC PCA 9 Pos Sample-Transperineal ONC PCA 8 Pos Sample-Transperineal ONC PCA 7 Pos Sample-Transperineal ONC PCA 6 Pos Sample-Transperineal ONC PCA 5 Pos Sample-Transperineal ONC PCA 4 Pos Sample-Transperineal ONC PCA 3 Pos Sample-Transperineal ONC PCA 2 Pos Sample-Transperineal ONC PCA 1 Pos Sample-Transperineal ONC PCA >12 Core-Transperineal ONC PCA 12 Core-Transperineal ONC PCA 11 Core-Transperineal ONC PCA 10 Core-Transperineal ONC PCA 9 Core-Transperineal ONC PCA 8 Core-Transperineal ONC PCA 7 Core-Transperineal ONC PCA 6 Core-Transperineal ONC PCA 5 Core-Transperineal


ONC PCA 4 Core-Transperineal ONC PCA 3 Core-Transperineal ONC PCA 2 Core-Transperineal ONC PCA 1 Core-Transperineal ONC PCA Biopsy-Transperineal ONC PCA >12 Core-Transrectal ONC PCA 12 Core-Transrectal ONC PCA 11 Core-Transrectal ONC PCA 10 Core-Transrectal ONC PCA 9 Core-Transrectal ONC PCA 8 Core-Transrectal ONC PCA 7 Core-Transrectal ONC PCA 6 Core-Transrectal ONC PCA 5 Core-Transrectal ONC PCA 4 Core-Transrectal ONC PCA 3 Core-Transrectal ONC PCA 2 Core-Transrectal ONC PCA 1 Core-Transrectal ONC PCA >12 Positive-Transrectal ONC PCA 12 Pos Sample-Transrectal ONC PCA 11 Pos Sample-Transrectal ONC PCA 10 Pos Sample-Transrectal ONC PCA 9 Pos Sample-Transrectal ONC PCA 8 Pos Sample-Transrectal ONC PCA 7 Pos Sample-Transrectal ONC PCA 6 Pos Sample-Transrectal ONC PCA 5 Pos Sample-Transrectal ONC PCA 4 Pos Sample-Transrectal ONC PCA 3 Pos Sample-Transrectal ONC PCA 2 Pos Sample-Transrectal ONC PCA 1 Pos Sample-Transrectal ONC PCA Biopsy-Transrectal ONC PCA Clinical Primary Tumor-T4 ONC PCA Clinical Primary Tumor-T3b ONC PCA Clinical Primary Tumor-T3a ONC PCA Tissue Sample Sent to POP ONC PCA Tissue Sample Sent ONC PCA Tumor Board-Case Presented Prostate Cancer (ONC PCA) Follow-Up ONC PCA Lab4 Other Month ONC PCA Lab4 12 ONC PCA Lab4 6 ONC PCA Lab4 4 ONC PCA Lab4 3


ONC PCA Lab4 2 ONC PCA Lab4 1 ONC PCA Lab3 Other Month ONC PCA Lab3 12 ONC PCA Lab3 6 ONC PCA Lab3 4 ONC PCA Lab3 3 ONC PCA Lab3 2 ONC PCA Lab3 1 ONC PCA Lab2 Other Month ONC PCA Lab2 12 ONC PCA Lab2 6 ONC PCA Lab2 4 ONC PCA Lab2 3 ONC PCA Lab2 2 ONC PCA Lab2 1 ONC PCA Lab1 Other Month ONC PCA Lab1 12 ONC PCA Lab1 6 ONC PCA Lab1 4 ONC PCA Lab1 3 ONC PCA Lab1 2 ONC PCA Lab1 1 ONC PCA Image Other Other Month ONC PCA Image Other Q12 Month ONC PCA Image Other Q6 Month ONC PCA Image Other Q4 Month ONC PCA Image Other Q3 Month ONC PCA Image Other Q2 Month ONC PCA Image Other Q1 Month ONC PCA Film Other Month ONC PCA Film Q12 Month ONC PCA Film Q6 Month ONC PCA Film Q4 Month ONC PCA Film Q3 Month ONC PCA Film Q2 Month ONC PCA Film Q1 Month ONC PCA PET Other Month ONC PCA PET Q12 Month ONC PCA PET Q6 Month ONC PCA PET Q4 Month ONC PCA PET Q3 Month ONC PCA PET Q2 Month ONC PCA PET Q1 Month


ONC PCA MRI Other Month ONC PCA MRI Q12 Month ONC PCA MRI Q6 Month ONC PCA MRI Q4 Month ONC PCA MRI Q3 Month ONC PCA MRI Q2 Month ONC PCA MRI Q1 Month ONC PCA CT Other Month ONC PCA CT Q12 Month ONC PCA CT Q6 Month ONC PCA CT Q4 Month ONC PCA CT Q3 Month ONC PCA CT Q2 Month ONC PCA CT Q1 MONTH ONC PCA Other Provider Other Month ONC PCA Other Provider Q12 Month ONC PCA Other Provider Q6 Month ONC PCA Other Provider Q4 Month ONC PCA Other Provider Q3 Month ONC PCA Other Provider Q2 Month ONC PCA Other Provider Q1 Month ONC PCA Other Provider ONC PCA Surg Oncology Other Month ONC PCA Surg Oncology Q12 Month ONC PCA Surg Oncology Q6 Month ONC PCA Surg Oncology Q4 Month ONC PCA Surg Oncology Q3 Month ONC PCA Surg Oncology Q2 Month ONC PCA Surg Oncology Q1 Month ONC PCA Rad Oncology Q12 Month ONC PCA Rad Oncology Q6 Month ONC PCA Rad Oncology Q4 Month ONC PCA Rad Oncology Q3 Month ONC PCA Rad Oncology Q2 Month ONC PCA Rad Oncology Q1 Month ONC PCA Med Oncology Other Month ONC PCA Med Oncology Q12 Month ONC PCA Med Oncology Q6 Month ONC PCA Med Oncology Q4 Month ONC PCA Med Oncology Q3 Month ONC PCA Med Oncology Q2 Month ONC PCA Med Oncology Q1 Month ONC PCA Radiopharm Stopped ONC PCA Radiopharm Stopped Pt Request


ONC PCA Radiopharm Stopped Progression ONC PCA Radiopharm Stopped Toxic ONC PCA Radiopharm Stopped Plan Complete ONC PCA Radiopharm Not Admin- ONC PCA Radiopharm-Pt Declined ONC PCA Radiopharm-Not Recommended ONC PCA Radiopharmaceuticals Stop Date- ONC PCA Radiopharmaceuticals Start Date- ONC PCA Radium 223 Stop Date- ONC PCA Radium 223 Start Date- ONC PCA Radiopharm Other ONC PCA Cryotherapy Stop Date- ONC PCA Cryotherapy Start Date- ONC PCA Cryotherapy Not Admin- ONC PCA Cryotherapy-Pt Declined ONC PCA Cryotherapy-Not Recommended ONC PCA Biphosphonate Plan Complete ONC PCA Biphosphonate Stopped ONC PCA Biphosphonate Stopped Pt Request ONC PCA Chemo Stopped Progression ONC PCA Biphosphonate Stopped Toxic ONC PCA Denosumab Stop Date- ONC PCA Denosumab Start Date- ONC PCA Biphosphonate Other Stop Date- ONC PCA Biphosphonate Other Start Date- ONC PCA Biphosphonate Other- ONC PCA Pamidronate Stop Date- ONC PCA Pamidronate Start Date- ONC PCA Zoledronic Acid Stop Date- ONC PCA Zoledronic Acid Start Date- ONC PCA Biphosphonate Not Admin- ONC PCA Biphosphonate-Pt Declined ONC PCA Biphosphonate-Not Recommended ONC Immunotherapy Stopped Plan Complete ONC Immunotherapy Stopped ONC Immunotherapy Stopped Pt Request ONC Immunotherapy Stopped Progression ONC Immunotherapy Stopped Toxic ONC PCA Immunotherapy Other Stop Date- ONC PCA Immunotherapy Other Start Date- ONC PCA Immunotherapy- ONC PCA Sipuleucel-T Stop Date- ONC PCA Sipuleucel-T Start Date- ONC PCA Immunotherapy Not Admin-


ONC PCA Immunotherapy-Pt Declined ONC PCA Immunotherapy-Not Recommended ONC PCA Surveillance- ONC PCA Surveillance-Needle Biopsy ONC PCA Surveillance-Ultrasounds ONC PCA Surveillance-PSA Tests ONC PCA Surveillance-Rectal Exams ONC PCA Surveillance-Regular Visits ONC PCA Active Surveillance-No ONC PCA Steroid Stopped Plan Complete ONC PCA Steroid Stopped ONC PCA Steroid Stopped Pt Request ONC PCA Steroid Stopped Progression ONC PCA Steroid Stopped Toxic ONC PCA Steroids Other Stop Date- ONC PCA Steroids Other Start Date- ONC PCA Steroids Other- ONC PCA Dexamethasone Stop Date- ONC PCA Dexamethasone Start Date- ONC PCA Prednisone Stop Date- ONC PCA Prednisone Start Date- ONC PCA Steroids Not Administered- ONC PCA Steroids-Pt Declined ONC PCA Steroids-Not Recommended ONC PCA Chemo Stopped Plan Complete ONC PCA Chemo Stopped ONC PCA Chemo Stopped Pt Request ONC PCA Chemo Stopped Toxicity ONC PCA Docetaxel Stop Date- ONC PCA Docetaxel Start Date- ONC PCA Chemo Other Stop Date- ONC PCA Chemo Other Start Date- ONC PCA Chemo Type- ONC PCA Estramustine Start Date- ONC PCA Estramustine Stop Date- ONC PCA Mitoxantrone Stop Date- ONC PCA Mitoxantrone Start Date- ONC PCA Cabazitaxel Stop Date- ONC PCA Cabazitaxel Start Date- ONC PCA Hormone Stopped Plan Complete ONC PCA Hormone Therapy Stopped ONC PCA Hormone Stopped Pt Request ONC PCA Hormone Stopped Progression ONC PCA Hormone Stopped Toxic


ONC PCA Other Therapy Stop Date- ONC PCA Other Therapy Start Date- ONC PCA Hormone Therapy Other Type- ONC PCA Bilateral Orchiectomy ONC PCA Estrogen Stop Date- ONC PCA Estrogen Start Date- ONC PCA GnRH Other Stop Date- ONC PCA GnRH Other Start Date- ONC PCA GnRH-Other ONC PCA Leuprolide Stop Date- ONC PCA Leuprolide Start Date- ONC PCA Triptorelin Stop Date- ONC PCA Triptorelin Start Date- ONC PCA Buserlin Stop Date- ONC PCA Buserlin Start Date- ONC PCA Goserelin Stop Date- ONC PCA Goserelin Start Date- ONC PCA Androgen Synthesis Stop Date- ONC PCA Androgen Synthesis Start Date- ONC PCA Androgen Synthesis-Other ONC PCA Ketoconazole Stop Date- ONC PCA Ketoconazole Start Date- ONC PCA Abiraterone Stop Date- ONC PCA Abiraterone Start Date- ONC PCA Flutamide Stop Date- ONC PCA Flutamide Start Date- ONC PCA Enzalutamide Stop Date- ONC PCA Enzalutamide Start Date- ONC PCA Bicalutamide Stop Date- ONC PCA Bicalutamide Start Date- ONC PCA Anti-Androgen Other Stop Date- ONC PCA Anti-Androgen Other Start Date- ONC PCA Anti Androgen-Other ONC PCA Megestrol Stop Date- ONC PCA Megestrol Start Date- ONC PCA Nilutamide Stop Date- ONC PCA Nilutamide Start Date- ONC PCA Hormone Therapy No-Other ONC PCA Hormone Therapy-Pt Declined ONC PCA Hormone Therapy-Not Recommended ONC PCA Follow Up-Not Determined ONC PCA Follow Up-Recurrence of Disease ONC PCA Follow Up-No Recurrence ONC PCA Follow Up-Progression of Disease


ONC PCA Follow Up-Stable Disease ONC PCA Follow Up-Partial Response ONC PCA Follow Up-Complete Response ONC PCA Toxicities/Hospitalizations ONC PCA Tumor Board-Case Not Presented ONC PCA Tumor Board-Not Available ONC PCA Referral Service: ONC PCA Referral-Not Available ONC PCA Referral-Not Eligible ONC PCA Referral-Pt Declined ONC PCA Palliative Care Referral ONC PCA Hospice Referral ONC PCA Additional PSA ONC PCA External Beam Start Date- ONC PCA External Beam Stop Date-

REMINDER SPONSOR

VHA ONCOLOGY Office of Patient Care Services

REMINDER COMPUTED FINDINGS

VA-BSA

REMINDER TERM VA-REMINDER UPDATE_2_0_64 VA-ONC PCA CLINICAL TRAIL RT VA-ONC PCA ECOG RT VA-ONC PCA RT RT VA-ONC PCA SURGERY RT VA-ONC PCA TREATMENT INTENT RT VA-ONC PCA PATHOLOGY RT VA-ONC PCA STAGING RT VA-ONC PCA DX DATE RT VA-ONC PCA RISK STATUS RT VA-ONC PCA RESPONSE RT VA-ONC PCA CRYOTHERAPY RT VA-ONC PCA RADIOPHARM RT VA-ONC PCA IMMUNE RT VA-ONC PCA BIPHOSPHONATE RT VA-ONC PCA STEROID RT VA-ONC PCA CHEMO RT VA-ONC PCA HORMONE RT VA-ONC PCA ACTIVE SURVEIL RT VA-ONC PCA TUMOR BOARD RT


VA-ONC PCA TITLE RT VA-ONC PCA REFERRAL RT

REMINDER DEFINITION VA-BODY SURFACE AREA

REMINDER DIALOG VA-ONCOLOGY TREATMENT SUMMARY PROSTATE VA-ONCOLOGY TREATMENT PLAN PROSTATE VA-ONCOLOGY MDC PROSTATE VA-ONCOLOGY PROSTATE

HEALTH SUMMARY COMPONENT PCE HEALTH FACTORS SELECTED LAB SURGICAL PATHOLOGY CLINICAL REMINDER FINDINGS LAB CYTOPATHOLOGY SURGICAL REPORTS BRIEF IMAGING IMPRESSION

HEALTH SUMMARY TYPE

VA-ONC PCA DIAGNOSIS VA-ONC PCA CLINICAL TRIAL VA-ONC PCA ECOG VA-ONC PCA RT VA-ONC PCA SURGERY VA-ONC PCA TREATMENT INTENT VA-ONC PCA PATHOLOGY VA-ONC PCA SURG PATH REPORT VA-ONC PCA STAGING VA-ONC PCA DX DATE VA-ONC BSA HSO VA-ONC MDC PATH VA-ONC MDC SURGERY VA-ONC MDC RADIOLOGY VA-ONC PCA RISK STATUS VA-ONC PCA RADIOPHARM VA-ONC PCA CRYOTHERAPY VA-ONC PCA BIPHOSH VA-ONC PCA IMMUNE VA-ONC PCA ACTIVE SURVEIL VA-ONC PCA STEROID VA-ONC PCA CHEMO VA-ONC PCA HORMONE


VA-ONC PCA RESPONSE VA-ONC PCA TUMOR BOARD VA-ONC PCA POST TREATMENT VA-ONC PCA TREATMENTS VA-ONC PCA REFERRAL VA-ONC PCA TESTOSTERONE VA-ONC PCA LAST PSA

HEALTH SUMMARY OBJECTS VA-ONC PCA DIAGNOSIS VA-ONC PCA CLINICAL TRIAL VA-ONC PCA ECOG VA-ONC PCA RT VA-ONC PCA SURGERY VA-ONC PCA TREATMENT INTENT VA-ONC PCA PATHOLOGY VA-ONC PCA SURG PATH REPORT VA-ONC PCA STAGING VA-ONC PCA TS DX DATE VA-ONC BSA HSO VA-ONC MDC THORACIC PATH VA-ONC MDC THORACIC SURGERY VA-ONC MDC THORACIC RADIOLOGY VA-ONC PCA RISK STATUS VA-ONC PCA RADIOPHARM VA-ONC PCA CRYOTHERAPY VA-ONC PCA BIPHOSH VA-ONC PCA IMMUNE VA-ONC PCA ACTIVE SURVEIL VA-ONC PCA STEROID VA-ONC PCA CHEMO VA-ONC PCA HORMONE VA-ONC PCA RESPONSE VA-ONC PCA TUMOR BOARD VA-ONC PCA POST TREATMENT VA-ONC PCA TREATMENTS VA-ONC PCA REFERRAL VA-ONC PCA TESTOSTERONE VA-ONC PCA LAST PSA

TIU DOCUMENT DEFNITION VA-ONC PCA RADIOPHARM VA-ONC PCA CRYOTHERAPY VA-ONC PCA BIPHOSH


VA-ONC PCA IMMUNE VA-ONC PCA ACTIVE SURVEIL VA-ONC PCA RT VA-ONC PCA STEROID VA-ONC PCA CHEMO VA-ONC PCA SURGERY VA-ONC PCA HORMONE VA-ONC PCA RESPONSE VA-ONC PCA ECOG VA-ONC PCA PATHOLOGY VA-ONC PCA STAGING VA-ONC PCA DX DATE VA-ONC PCA DIAGNOSIS VA-ONC PCA TREATMENT INTENT VA-ONC PCA SURG PATH REPORT VA-ONC MDC PATH VA-ONC MDC SURGERY VA-ONC MDC RADIOLOGY VA-ONC PCA RISK STATUS VA-ONC PCA TUMOR BOARD VA-ONC PCA POST TREATMENT VA-ONC PCA TREATMENTS VA-ONC PCA REFERRAL VA-ONC PCA TESTOSTERONE VA-ONC PCA LAST PSA

Install Details This update is being distributed as a web host file. The address for the host file is:

http://vista.med.va.gov/reminders/UPDATE_2_0_64.PRD

The file will be installed using Reminder Exchange, programmer access is not required. Installation: ============= This update can be loaded with users on the system. Installation will take 30 minutes to 1 hour to install the dialogs.


Pre-Install NOTE: Prior to installing this UPDATE_2_0_64 (this update), make sure you have installed UPDATE_2_0_20 VA-PROSTATE CANCER DIALOGS. Install guide link > Update_2_0_20_ig.pdf

Install Example To Load the Web Host File. Navigate to Reminder exchange in Vista

At the Select Action: prompt, enter LWH for Load Web Host File At the Input the url for the .prd file: prompt, type the following web address:

http://vista.med.va.gov/reminders/UPDATE_2_0_64.PRD

You should see a message at the top of your screen that the file successfully loaded. Search and locate an entry titled UPDATE_2_0_64 VA-CANCER DIALOG UPDATES in reminder exchange.

At the Select Action prompt, enter IFE for Install Exchange File Entry Enter the number that corresponds with your entry titled UPDATE_2_0_64 VA-CANCER DIALOG UPDATES (in this example it is entry 163 it will vary by site)

https://www.va.gov/vdl/documents/Clinical/CPRS-Clinical_Reminders/update_2_0_20_ig.pdf


At the Select Action prompt, type IA for Install all Components and hit enter. Select Action: Next Screen// IA Install all Components

1. You will be presented a number of prompts, for all new entries you will choose I to Install 2. For all other components that already exist but the packed component is different, you

will choose O to Overwrite. 3. For all Reminder Terms that already exist but the packed component is different, you will

choose M to Merge.

You will be promped to install the FIRST reminder dialog component – you should install every dialog even if there is an x that shows the item exists – this is an update and therefore you want to install to update your existing components:

At the Select Action prompt, type IA to install the dialog – VA-ONCOLOGY TREATMENT PLAN PROSTATE

Select Action: Next Screen// IA Install All Install reminder dialog and all components with no further changes: Y// Yes


When the dialog has completed installation, you will then be returned to this screen. At the Select Action prompt, type Q. You will be promped to install the SECOND reminder dialog component - you should install every dialog even if there is an X that shows the item exists – this is an update and therefore you want to install to update your existing components:

At the Select Action prompt, type IA to install the dialog – VA-ONCOLOGY MDC PROSTATE



When the dialog has completed installation, you will then be returned to this screen. At the Select Action prompt, type Q. You will be promped to install the THIRD reminder dialog component you should install every dialog even if there is an X that shows the item exists – this is an update and therefore you want to install to update your existing components:

At the Select Action prompt, type IA to install the dialog – VA-ONCOLOGY TREATMENT SUMMARY PROSTATE Select Action: Next Screen// IA Install All Install reminder dialog and all components with no further changes: Y// Yes


When the dialog has completed installation, you will then be returned to this screen. At the Select Action prompt, type Q. You will be promped to install the FOURTH reminder dialog component - you should install every dialog even if there is an X that shows the item exists – this is an update and therefore you want to install to update your existing components:

At the Select Action prompt, type IA to install the dialog – VA-ONCOLOGY PROSTATE



When the dialog has completed installation, you will then be returned to this screen. At the Select Action prompt, type Q.

You will then be returned to this screen. At the Select Action prompt, type Q. You may be prompted to install/overwrite objects. If so, you will choose O to Overwrite. Install complete.


Post Installation

Note: You may already have shared templates set up for use with the four PROSTATE templates. If not, follow the two steps below: 1. Make the Dialogs able to be attached to a Personal/Shared template or to a progress note title.

From the Reminders Manager Menu: Select Reminder Managers Menu Option: CP CPRS Reminder Configuration CA Add/Edit Reminder Categories CL CPRS Lookup Categories CS CPRS Cover Sheet Reminder List MH Mental Health Dialogs Active PN Progress Note Headers RA Reminder GUI Resolution Active TIU TIU Template Reminder Dialog Parameter DL Default Outside Location PT Position Reminder Text at Cursor Select CPRS Reminder Configuration Option: TIU TIU Template Reminder Dialog Parameter Reminder Dialogs allowed as Templates may be set for the following: 1 User USR [choose from NEW PERSON] 3 Service SRV [choose from SERVICE/SECTION] 4 Division DIV [choose from INSTITUTION] 5 System SYS [NATREM.FO-SLC.MED.VA.GOV] Enter selection: 5 Choose the appropriate number for your site. Your site may do this by System or other levels. The example below uses SYSTEM level Setting Reminder Dialogs allowed as Templates for System: Select Display Sequence: ? 148 VA-VETERANS CHOICE NOTE 149 VA-TBI SCREENING When you type a question mark above, you will see the list of #’s (with dialogs) that are already taken. Choose a number NOT on this list. For this example, looking above I see the number 150 is not present, so I will use 150. Select Display Sequence: 150 Are you adding 150 as a new Display Sequence? Yes// Y YES Display Sequence: 150// <Enter> 150 Clinical Reminder Dialog: type in the name of the dialog

VA-ONCOLOGY PROSTATE then <enter> reminder dialog NATIONAL

OK? Yes// <Enter> (Yes)

NOTE: REPEAT THESE SAME STEPS to create a sequence for: VA-ONCOLOGY TREATMENT SUMMARY PROSTATE VA-ONCOLOGY MDC PROSTATE VA-ONCOLOGY TREATMENT PLAN PROSTATE


2. Add the dialogs to Shared Templates in CPRS.

Open the Template Editor and from Shared Templates, select “Shared Templates”

Click the ‘triangle’ to left of Shared Templated to expand. Select the folder(s) where the templates will be located. Suggestion: add these templates to a single folder for ONCOLOGY Click the New Template button - Type VA-ONCOLOGY PROSTATE in the Name box - Click the down arrow and Click on Reminder Dialog in the Template Type Box - Type VA-ONCOLOGY PROSTATE in the Reminder Dialog box - Click Apply in lower right corner


Repeat these steps to add the additional PROSTATE templates:

- VA-ONCOLOGY TREATMENT SUMMARY PROSTATE - VA-ONCOLOGY MDC PROSTATE - VA-ONCOLOGY TREATMENT PLAN PROSTATE

Test the shared templates in CPRS to confirm the template is attached.

NOTE: If you require further technical assistance, if there are any questions or problems during the installation, please notify your local IT support to log a national help desk ticket or contact the VA Service Desk and have them submit a national ticket to: Category: Enterprise Applications Subcategory: Applications Enterprise Application: VistA - Clinical Reminders Assignment Group: NTL SUP Clin 2

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