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Update _2_0_100 Clinical Reminders VA-MISC UPDATE 10 Install Guide January 2020 Product Development Office of Information Technology Department of Veterans Affairs

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Page 1: Clinical Reminders VA-MISC UPDATE 10 Install Guidencp herpes zoster detailed guidance va pbm herpes zoster patient faq cdc zoster vaccine recommendations ncp herpes zoster guidance

Update _2_0_100

Clinical Reminders

VA-MISC UPDATE 10

Install Guide

January 2020

Product Development

Office of Information Technology

Department of Veterans Affairs

Page 2: Clinical Reminders VA-MISC UPDATE 10 Install Guidencp herpes zoster detailed guidance va pbm herpes zoster patient faq cdc zoster vaccine recommendations ncp herpes zoster guidance

ii Update_2_0_100 Install Guide January 2020

Table of Contents

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

INSTALL DETAILS ..................................................................... 1

INSTALL EXAMPLE.................................................................... 8

POST INSTALLATION ............................................................... 31

Page 3: Clinical Reminders VA-MISC UPDATE 10 Install Guidencp herpes zoster detailed guidance va pbm herpes zoster patient faq cdc zoster vaccine recommendations ncp herpes zoster guidance

January 2020 Update _2_0_100 Install Guide 1

Introduction

This update contains mutiple changes to existing reminder content. Click the link below to see a

detailed description of the changes.

MISC UPDATE 10 CHANGES

UPDATE_2_0_100 contains 1 Reminder Exchange entry:

UPDATE_2_0_100 MISC UPDATE 10

The exchange file contains the following components:

TIU TEMPLATE FIELD:

TELESTROKE DATE/TIME

TELESTROKE FREE TEXT 4 WORD

BLANK SP

JRT COMMENT 2L/70

LINE DOUBLE

VA-OPIOID SAFETY EDUCATION SPANISH

VA-OPIOID SAFETY EDUCATION ENGLISH IM VIS ZOSTER SHINGRIX DT

IM VIS ZOSTER DT

IM VIS PPSV23 DT

IM VIS PCV13 DT

VA SP 3 LINES R

BLANK TEXT FIELD FOR DIALOGS

VA-TBI SCR/HIST RPT VA-TBI PMR POLYTRAUMA

VA-TBI POLYTRAUMA

VA-TBI PRIOR SCREEN RESULTS

VA-VAMC LOCATIONS

VA-DATE COMBO Y/M

IM ZOSTER PRIOR REACTION IM INJECTION RIGHT/LEFT

IM ZOSTER SHINGRIX INFO URL

IM COMMENT COMPLICATONS

IM ZOSTER LOT# INFORMATION

IM ZOSTER LOT# EXP DATE

IM ZOSTER SHINGRIX MANUF NCP HERPES ZOSTER DETAILED GUIDANCE

VA PBM HERPES ZOSTER PATIENT FAQ

CDC ZOSTER VACCINE RECOMMENDATIONS

NCP HERPES ZOSTER GUIDANCE

HEALTH FACTORS

ETHICS-ADVANCE DIRECTIVE SCREENING ADVANCE DIRECTIVE NOTIFICATION

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2 Update_2_0_100 Install Guide January 2020

VA-HEALTH AND WELL BEING [C]

VA-WHS - REFLEXOLOGY

VA-WHS - BIOFEEDBACK VA-WHS - HYPNOSIS

VA-WHS - ACUPRESSURE

VA-REMINDER UPDATES

VA-UPDATE_2_0_100

VA-ACUTE STROKE ENDOVASCULAR TX

VA-ACUTE STROKE ENDOVASC TX-NO TRF VA-ACUTE STROKE ENDOVASC TX YES

VA-ACUTE STROKE ENDOVASC TX NO

VA-ACUTE STROKE TREATMENT/MONITORING

VA-ACUTE STROKE ALTEPLASE GIVEN

VA-ACUTE STROKE ALTEPLASE-60 MIN CHECK

VA-ACUTE STROKE ALTEPLASE-45 MIN CHECK VA-ACUTE STROKE ALTEPLASE-30 MIN CHECK

VA-ACUTE STROKE ALTEPLASE-15 MIN CHECK

VA-ACUTE STROKE SWALLOW SCRN-PASSED

VA-ACUTE STROKE RAPID ASSESSMENT

VA-ACUTE STROKE NIHSS INITIAL SCORE

VA-ACUTE STROKE ONSET 2-3.5 HRS VA-ACUTE STROKE ONSET < 15 HRS

VA-ACUTE STROKE ONSET 15-23 HRS

VA-ACUTE STROKE ONSET < 2 HRS

VA-ACUTE STROKE PRESENTING SYMPTOMS

VA-ACUTE STROKE SYMPTOM-NUMBNESS

VA-ACUTE STROKE SYMPTOM-CONFUSION VA-ACUTE STROKE SYMPTOM-SEEING

VA-ACUTE STROKE SYMPTOM-WALKING

VA-ACUTE STROKE SYMPTOM-HEADACHE

VA-ACUTE STROKE ALTEPLASE NOT GIVEN

VA-ACUTE STROKE SWALLOW SCRN-FAILED

VA-SUICIDE RISK ASSESSMENT [C]

VA-PREP EVENT LOCATION VA PROPERTY UNK VA-PREP EVENT LOCATION VA PROPERTY YES

VA-PREP EVENT LOCATION VA PROPERTY NO

VA-PREP EVENT STATUS INPATIENT

VA-ACUTE STOKE NIHSS LOC

VA-ACUTE STROKE NIHSS LOC 3

VA-BFA CATEGORY VA-BFA PT AGREED BFA

VA-VIONE POLYPHARM (C)

VA-VIONE POLYPHARM DX-OTHER

VA-VIONE POLYPHARM DX-CAD

VA-VIONE POLYPHARM DX-COPD

VA-VIONE POLYPHARM DX-KIDNEY DISEASE VA-VIONE POLYPHARM DX-HEART FAILURE

VA-VIONE POLYPHARM DX-HTN

VA-VIONE POLYPHARM DX-DIABETES

VA-NALOXONE

VA-NALOXONE RESOURCES-OPIOID SAFETY

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January 2020 Update _2_0_100 Install Guide 3

VA-SUICIDE ATT MOST RECENT LETHAL UNKN

VA-LETHAL EVENT 7 DAYS DISCHARGE YES

VA-LETHAL EVENT 7 DAYS DISCHARGE UNK VA-LETHAL EVENT 7 DAYS DISCHARGE NO

VA-LETHAL EVENT STATUS CONTRACT BED

VA-LETHAL EVENT STATUS CLC

VA-LETHAL EVENT STATUS RRTP

VA-LETHAL EVENT LOCATION VA PROPERTY UNK

VA-LETHAL EVENT LOCATION VA PROPERTY YES VA-LETHAL EVENT LOCATION VA PROPERTY NO

VA-LETHAL EVENT STATUS UNK

VA-LETHAL EVENT STATUS OTHER

VA-LETHAL EVENT STATUS INPATIENT

VA-LETHAL EVENT STATUS OUTPATIENT

VA-SUICIDE HELP UNKNOWN VA-SUICIDE HELP OTHER LETHAL

VA-SUICIDE HELP OP MH LETHAL

VA-SUICIDE HELP OP MED LETHAL

VA-SUICIDE HELP HOSPITAL LETHAL

VA-SUICIDE HELP NONE LETHAL

VA-SUICIDE ATT LETHAL INJURY UNKNOWN VA-SUICIDE ATT LETHAL INJURY

VA-SUICIDE ATT LETHAL NO INJURY

VA-SUICIDE ATT LETHAL INTERRUPTED UNKNWN

VA-SUICIDE ATT LETHAL INTERRUPTED OTHER

VA-SUICIDE ATT LETHAL INTERRUPTED SELF

VA-SUICIDE ATT LETHAL NOT INTERRUPTED VA-SUICIDE ATT LETHAL SUFFOCATION

VA-SUICIDE ATT LETHAL STABBED CUT SELF

VA-SUICIDE LETHAL ATT OVERDOSE

VA-SUICIDE ATT LETHAL JUMP IN FO AUTO/TR

VA-SUICIDE ATT LETHAL JUMPING FR HEIGHT

VA-SUICIDE ATT LETHAL INJURY BY OTHER

VA-SUICIDE ATT LETHAL POISON CHEMICAL VA-SUICIDE LETHAL ATT HANG OTHER

VA-SUICIDE LETHAL ATT FIREARM

VA-SUICIDE ATT LETHAL AUTO OTHER

VA-SUICIDE ATT LETHAL CARBON MONOXIDE

VA-SUICIDE ATT LETHAL DROWNING

VA-SUICIDE ATT LETHAL OTHER NOT PROVIDED VA-SUICIDE ATT LETHAL OTHER METHOD

VA-SUICIDE ATT MOST LETHAL DOC SBOR NO

VA-SUICIDE ATT MOST LETHAL DOC SBOR

VA-SUICIDE PRIOR ATTEMPT DATE LETHAL

VA-SUICIDE ATTEMPT MOST RECENT LETHAL NO

VA-SUICIDE ATTEMPT MOST RECENT LETHAL VA-SUICIDE BEHAVIOR AND OVERDOSE REPORT

VA-SBOR EVENT 7 DAYS DISCHARGE YES

VA-SBOR EVENT 7 DAYS DISCHARGE UNK

VA-SBOR EVENT 7 DAYS DISCHARGE NO

VA-SBOR EVENT STATUS CONTRACT BED

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4 Update_2_0_100 Install Guide January 2020

VA-SBOR EVENT STATUS CLC

VA-SBOR EVENT STATUS RRTP

VA-SBOR EVENT LOCATION VA PROPERTY UNK VA-SBOR EVENT LOCATION VA PROPERTY YES

VA-SBOR EVENT LOCATION VA PROPERTY NO

VA-SBOR EVENT STATUS UNK

VA-SBOR EVENT STATUS OTHER

VA-SBOR EVENT STATUS INPATIENT

VA-SBOR EVENT STATUS OUTPATIENT VA-SUICIDE HELP OP MH

VA-SUICIDE HELP OP MED

VA-SUICIDE HELP HOSPITAL

VA-SUICIDE HELP OTHER

VA-SUICIDE HELP NONE

VA-SUICIDE ATTEMPT INJURY UNKNOWN VA-SUICIDE ATTEMPT INJURY

VA-SUICIDE ATTEMPT NO INJURY

VA-SUICIDE ATTEMPT INTERRUPTED UNKNOWN

VA-SUICIDE ATTEMPT INTERRUPTED BY OTHER

VA-SUICIDE ATTEMPT INTERRUPTED BY SELF

VA-SUICIDE ATTEMPT NOT INTERRUPTED VA-SUICIDE ATTEMPT SUFFOCATION

VA-SUICIDE ATTEMPT STABBED CUT SELF

VA-SUICIDE ATTEMPT OVERDOSE

VA-SUICIDE ATTEMPT JUMP IN FO AUTO/TRAIN

VA-SUICIDE ATTEMPT JUMPING FROM HEIGHT

VA-SUICIDE ATTEMPT INJURY BY OTHER VA-SUICIDE ATTEMPT POISON CHEMICAL

VA-SUICIDE ATT HANG OTHER

VA-SUICIDE ATT FIREARM

VA-SUICIDE ATTEMPT AUTO OTHER

VA-SUICIDE ATTEMPT CARBON MONOXIDE

VA-SUICIDE ATTEMPT DROWNING

VA-SUICIDE ATTEMPT OTHER NOT PROVIDED VA-SUICIDE ATTEMPT OTHER METHOD

VA-SBOR DOESNT EXIST MOST RECENT ATTEMPT

VA-SBOR EXISTS FOR MOST RECENT ATTEMPT

OUTSIDE SEROLOGY

OUTSIDE HEPATITIS B SURFACE AG POSITIVE

OUTSIDE HEPATITIS B CORE AB POSITIVE OUTSIDE HEPATITIS B CORE AB NEGATIVE

TBI-SECTIONS

TBI-SCREENED PREVIOUSLY

TBI-PT REFUSAL

TBI SOURCE

TBI-OTHER INJURY TO HEAD TBI-BLOW TO HEAD

TBI RESULTS

TBI-HEAD INJURY

TBI-CONCUSSION

TBI SYMPTOMS

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January 2020 Update _2_0_100 Install Guide 5

TBI-SLEEP PROBLEMS

TBI CURRENT SYMPTOMS

TBI-CURRENT SLEEP PROBLEM TBI-REFERRALS

TBI-REFERRAL DECLINED

TBI-REFERRAL SENT

TBI-SECTION IV - YES

TBI-SECTION IV - NO

TBI-CURRENT HEADACHES TBI-CURRENT IRRITABILITY

TBI-CURRENT VISUAL PROBLEMS

TBI-CURRENT DIZZINESS

TBI-CURRENT MEMORY PROBLEMS

TBI-SECTION III - YES

TBI-SECTION III - NO TBI-VISUAL PROBLEMS

TBI-IRRITABILITY

TBI-MEMORY PROBLEMS

TBI-DIZZINESS

TBI-HEADACHES

TBI-SECTION II - YES TBI-SECTION II - NO

TBI-UNCONSCIOUS

TBI-NO MEMORY OF INJURY

TBI-DAZED/CONFUSED

TBI-SECTION I - YES

TBI-SECTION I - NO TBI-BLAST

TBI-FALL

TBI-VEHICULAR

TBI-FRAGMENT/BULLET

TBI-PREVIOUS TBI DX

IRAQ/AFGHANISTAN

SYRIA SERVICE UZBEKISTAN SERVICE

TAJIKISTAN SERVICE

PHILIPPINES SERVICE

PAKISTAN SERVICE

KYRGYZSTAN SERVICE

GEORGIA SERVICE AFGHANISTAN SERVICE

OTHER SERVICE LOCATION

TURKEY SERVICE

SAUDI ARABIA SERVICE

KUWAIT SERVICE

IRAQ SERVICE NO IRAQ/AFGHAN SERVICE

IRAQ/AFGHAN SERVICE

ZOSTER IMMUNIZATION

HERPES ZOSTER VACCINE UNAVAILABLE

HERPES ZOSTER IMMUN PRECAUTION

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6 Update_2_0_100 Install Guide January 2020

HERPES ZOSTER IMMUN CONTRAINDICATION

DECLINES HERPES ZOSTER IMMUNIZATION

REMINDER FACTORS LIFE EXPECTANCY < 6 MONTHS

REMINDER SPONSOR

Office of Telehealth Services Store and Forward Telehealth

Mental Health Services

Office of Mental Health Services VA National Center for Health Promotion and Disease Prevention (NCP)

VHA ONCOLOGY

Office of Patient Care Services

Office of Public Health and Environmental Hazards

Office of Quality & Performance

National Center for Health Promotion and Disease Prevention (NCP)

REMINDER TAXONOMY

VA-PNEUMOC DZ RISK - IMMUNOCOMPROMISED

VA-PNEUMOC DZ RISK - HIGH

VA-IMMUNOCOMPROMISED

VA-ASPLENIA VA-IMMUNIZATION INJECTION 90471

VA-ZOSTER VACCINE EXCLUSIONS IMMUNOCOMPROMISED

VA-PNEUMOC DZ RISK - CHEMOTHERAPY

VA-TERMINAL CANCER PATIENTS

REMINDER TERM

VA-MISC UPDATE 10 HF

VA-REMINDER UPDATE_2_0_100

VA-ASRA ENDOVASCULAR THERAPY COMPLETED (BL)

VA-ASRA ALTEPLASE TREATMENT-GIVEN (BL)

VA-ASRA ALTEPLASE TREATMENT GIVEN-60 MIN CHECK (BL)

VA-ASRA ALTEPLASE TREATMENT GIVEN-45 MIN CHECK (BL)

VA-ASRA ALTEPLASE TREATMENT GIVEN-30 MIN CHECK (BL) VA-ASRA ALTEPLASE TREATMENT GIVEN-15 MIN CHECK (BL)

VA-ASRA SWALLOW SCREEN-PASSED (BL)

VA-ASRA INITIAL NIHSS (BL)

VA-ASRA LAST KNOWN WELL (BL)

VA-ASRA PRESENTING SYMPTOMS (BL)

VA-ASRA ALTEPLASE TREATMENT-NOT GIVEN (BL) VA-ASRA SWALLOW SCREEN-FAILED (BL)

VA-HEPATITIS B CORE ANTIBODY (IGG/TOTAL)

VA-HEPATITIS B SURFACE ANTIBODY

VA-ANTI-CD20 DRUGS

VA-HIV SEROLOGY

VA-HEPATITIS B TREATMENT DRUGS VA-OUTSIDE HEPATITIS B SURFACE AG POSITIVE

VA-OUTSIDE HEPATITIS B CORE AB POSITIVE

VA-OUTSIDE HEPATITIS B CORE AB NEGATIVE

VA-HEPATITIS B SURFACE ANTIGEN

VA-IRAQ/AFGHAN SERVICE REGISTRATION

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January 2020 Update _2_0_100 Install Guide 7

VA-IRAQ/AFGHAN SERVICE

VA-COMBAT VET

VA-TBI-PT REFUSAL VA-TBI-PREVIOUS TBI DX

VA-IRAQ/AFGHAN SERVICE NO

VA-TBI SCREENING COMPLETED SCREENING RESOLUTIONS

VA-ACTIVE DUTY

VA-IRAQ/AFGHAN PERIOD OF SERVICE

VA-HERPES ZOSTER PRIOR ADR FEMALE

VA-ZOSTER ADMINISTRATION SUPPRESSION

VA-ZOSTER ORDER SUPPRESSION

VA-ZOSTER AGE RANGE

VA-ZOSTER VACCINE EXCLUSIONS IMMUNOCOMPROMISED

VA-HIGH DOSE STEROIDS VA-CHEMO/IMMUNOSUPPRESSIVE DRUGS

VA-ZOSTER IMMUNIZATION LIVE VIRUS

VA-LIFE EXPECTANCY < 6 MONTHS

VA-ZOSTER CONTRAINDICATIONS

VA-ZOSTER ORDERS

VA-ZOSTER DEFERRALS VA-ZOSTER IMMUNIZATION RECOMBINANT VACCINE

REMINDER DEFINITION

VA-OC HBV SCREEN FOR ANTI-CD20 TREATMENT

VA-TBI SCREENING

VA-HERPES ZOSTER (SHINGLES) IMMUNIZATION

REMINDER DIALOG

VA-GP MISC UPDATE 10

VA-TBI SCREENING

VA-HERPES ZOSTER VACCINE

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_100.PRD

If your site is unable to use LWH, you will have a vista mail message with

subject of UPDATE 100.

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 between 30 minutes to

one hour.

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8 Update_2_0_100 Install Guide January 2020

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_100.PRD

If your site is unable to use LWH functionality, you will use LMM option to load the exchange

file that was sent to you by HPS CLIN2 staff. If you do not have it, please send us an email

requesting this prd file.

Install the exchange file:

Search and locate an entry titled UPDATE_2_0_100 MISC UPDATE 10 in reminder exchange.

At the Select Action prompt, enter IFE for Install Exchange File Entry

Enter the number that corresponds with your entry. (in this example it is entry 93, it will vary by

site.) Make sure you are using exchange file dated 01/14/2020.

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January 2020 Update _2_0_100 Install Guide 9

At the Select Action prompt, type IA to install all components.

Please follow the below prompts closely – NOTE THAT SEVERAL COMPONENTS

WILL BE SKIPPED IN THE INSTALL. THERE ARE A TOTAL OF THREE

REMINDER DIALOGS IN THIS FILE, ONLY ONE OF THEM NEEDS TO BE

INSTALLED

If you are prompted to overwrite any item not specifically indicated to overwrite in the

install guide, choose SKIP.

Here is a summary of the items that will need to be installed or over-written during

installation:

Orange = overwrite; green = install TIU TEMPLATE FIELD entry named IM VIS ZOSTER SHINGRIX DT

TIU TEMPLATE FIELD entry named IM VIS ZOSTER DT

TIU TEMPLATE FIELD entry named IM VIS PPSV23 DT

TIU TEMPLATE FIELD entry named IM VIS PCV13 DT

HEALTH FACTORS entry ADVANCE DIRECTIVE NOTIFICATION is NEW,

HEALTH FACTORS entry VA-WHS - REFLEXOLOGY is NEW,

HEALTH FACTORS entry VA-WHS - BIOFEEDBACK is NEW,

HEALTH FACTORS entry VA-WHS - HYPNOSIS is NEW,

HEALTH FACTORS entry VA-WHS - ACUPRESSURE is NEW,

HEALTH FACTORS entry VA-UPDATE_2_0_100 is NEW,

HEALTH FACTORS entry VA-PREP EVENT STATUS INPATIENT is NEW,

HEALTH FACTORS entry VA-BFA PT AGREED BFA is NEW,

HEALTH FACTORS entry VA-LETHAL EVENT STATUS UNK is NEW,

HEALTH FACTORS entry VA-LETHAL EVENT STATUS OTHER is NEW,

HEALTH FACTORS entry VA-SUICIDE ATT MOST LETHAL DOC SBOR NO is NEW,

HEALTH FACTORS entry VA-SUICIDE ATT MOST LETHAL DOC SBOR is NEW,

REMINDER TAXONOMY entry named VA-PNEUMOC DZ RISK - IMMUNOCOMPROMISED

REMINDER TAXONOMY entry named VA-PNEUMOC DZ RISK - HIGH

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10 Update_2_0_100 Install Guide January 2020

REMINDER TAXONOMY entry named VA-IMMUNOCOMPROMISED

REMINDER TAXONOMY entry named VA-ASPLENIA

REMINDER TERM entry VA-MISC UPDATE 10 HF is NEW,

REMINDER TERM entry VA-REMINDER UPDATE_2_0_100 is NEW,

REMINDER TERM entry named VA-ASRA ENDOVASCULAR THERAPY COMPLETED (BL)

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT-GIVEN (BL)

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-60 MIN CHECK (BL)

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-45 MIN CHECK (BL)

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-30 MIN CHECK (BL)

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-15 MIN CHECK (BL)

REMINDER TERM entry named VA-ASRA SWALLOW SCREEN-PASSED (BL)

REMINDER TERM entry named VA-ASRA LAST KNOWN WELL (BL)

REMINDER TERM entry named VA-ASRA INITIAL NIHSS (BL)

REMINDER TERM entry named VA-ASRA PRESENTING SYMPTOMS (BL)

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT-NOT GIVEN (BL)

REMINDER TERM entry named VA-ASRA SWALLOW SCREEN-PASSED (BL)

REMINDER TERM entry named VA-ASRA SWALLOW SCREEN-FAILED (BL)

REMINDER DEFINITION entry named VA-OC HBV SCREEN FOR ANTI-CD20 TREATMENT

REMINDER DEFINITION entry named VA-TBI SCREENING

REMINDER DEFINITION entry named VA-HERPES ZOSTER (SHINGLES) IMMUNIZATION

Below is a field by field view of the install: TIU TEMPLATE FIELD entry named TELESTROKE DATE/TIME already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named TELESTROKE FREE TEXT 4 already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named WORD already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named BLANK SP already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named JRT COMMENT 2L/70 already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named LINE DOUBLE already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-OPIOID SAFETY EDUCATION SPANISH already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-OPIOID SAFETY EDUCATION ENGLISH already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry VA-NVCC JUSTIFICATION FOR NON VA CARE V6.2 already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES

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January 2020 Update _2_0_100 Install Guide 11

TIU TEMPLATE FIELD entry named IM VIS ZOSTER SHINGRIX DT already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES TIU TEMPLATE FIELD entry named IM VIS ZOSTER DT already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES TIU TEMPLATE FIELD entry named IM VIS PPSV23 DT already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES TIU TEMPLATE FIELD entry named IM VIS PCV13 DT already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES TIU TEMPLATE FIELD entry named VA SP 3 LINES R already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named BLANK TEXT FIELD FOR DIALOGS already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-TBI SCR/HIST RPT already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-TBI PMR POLYTRAUMA already exists

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12 Update_2_0_100 Install Guide January 2020

and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-TBI POLYTRAUMA already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-TBI PRIOR SCREEN RESULTS already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-VAMC LOCATIONS already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA-DATE COMBO Y/M already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM ZOSTER PRIOR REACTION already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM INJECTION RIGHT/LEFT already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM ZOSTER SHINGRIX INFO URL already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM COMMENT COMPLICATONS already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM ZOSTER LOT# INFORMATION already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM ZOSTER LOT# EXP DATE already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named IM ZOSTER SHINGRIX MANUF already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named NCP HERPES ZOSTER DETAILED GUIDANCE already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named VA PBM HERPES ZOSTER PATIENT FAQ already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named CDC ZOSTER VACCINE RECOMMENDATIONS already exists and the packed component is identical, skipping. TIU TEMPLATE FIELD entry named NCP HERPES ZOSTER GUIDANCE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named ETHICS-ADVANCE DIRECTIVE SCREENING already exists and the packed component is identical, skipping. HEALTH FACTORS entry ADVANCE DIRECTIVE NOTIFICATION is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-HEALTH AND WELL BEING [C] already exists and the packed component is identical, skipping. HEALTH FACTORS entry VA-WHS - REFLEXOLOGY is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry VA-WHS - BIOFEEDBACK is NEW, what do you want to do? Select one of the following:

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January 2020 Update _2_0_100 Install Guide 13

C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry VA-WHS - HYPNOSIS is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry VA-WHS - ACUPRESSURE is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-REMINDER UPDATES already exists and the packed component is identical, skipping. HEALTH FACTORS entry VA-UPDATE_2_0_100 is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-ACUTE STROKE ENDOVASCULAR TX already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ENDOVASC TX-NO TRF already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ENDOVASC TX YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ENDOVASC TX NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE TREATMENT/MONITORING already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ALTEPLASE GIVEN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ALTEPLASE-60 MIN CHECK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ALTEPLASE-45 MIN CHECK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ALTEPLASE-30 MIN CHECK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE RAPID ASSESSMENT already exists and the packed component is identical, skipping.

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14 Update_2_0_100 Install Guide January 2020

HEALTH FACTORS entry named VA-ACUTE STROKE NIHSS INITIAL SCORE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ONSET 2-3.5 HRS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ONSET < 15 HRS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ONSET 15-23 HRS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ONSET < 2 HRS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE PRESENTING SYMPTOMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SYMPTOM-NUMBNESS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SYMPTOM-CONFUSION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SYMPTOM-SEEING already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SYMPTOM-WALKING already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SYMPTOM-HEADACHE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE ALTEPLASE NOT GIVEN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SWALLOW SCRN-PASSED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE SWALLOW SCRN-FAILED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE RISK ASSESSMENT [C] already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-PREP EVENT LOCATION VA PROPERTY UNK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-PREP EVENT LOCATION VA PROPERTY YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-PREP EVENT LOCATION VA PROPERTY NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry VA-PREP EVENT STATUS INPATIENT is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-ACUTE STOKE NIHSS LOC already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-ACUTE STROKE NIHSS LOC 3 already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-BFA CATEGORY already exists and the packed component is identical, skipping. HEALTH FACTORS entry VA-BFA PT AGREED BFA is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name

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January 2020 Update _2_0_100 Install Guide 15

I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-VIONE POLYPHARM (C) already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-CAD already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-COPD already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-KIDNEY DISEASE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-HEART FAILURE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-HTN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-VIONE POLYPHARM DX-DIABETES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-NALOXONE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-NALOXONE RESOURCES-OPIOID SAFETY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE RISK ASSESSMENT [C] already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT MOST RECENT LETHAL UNKN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT 7 DAYS DISCHARGE YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT 7 DAYS DISCHARGE UNK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT 7 DAYS DISCHARGE NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT STATUS CONTRACT BED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT STATUS CLC already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT STATUS RRTP already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT LOCATION VA PROPERTY UNK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT LOCATION VA PROPERTY YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT LOCATION VA PROPERTY NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry VA-LETHAL EVENT STATUS UNK is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall

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16 Update_2_0_100 Install Guide January 2020

HEALTH FACTORS entry VA-LETHAL EVENT STATUS OTHER is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-LETHAL EVENT STATUS INPATIENT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-LETHAL EVENT STATUS OUTPATIENT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP UNKNOWN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP OTHER LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP OP MH LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP OP MED LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP HOSPITAL LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP NONE LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL INJURY UNKNOWN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL INJURY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL NO INJURY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL INTERRUPTED UNKNWN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL INTERRUPTED OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL INTERRUPTED SELF already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL NOT INTERRUPTED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL SUFFOCATION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL STABBED CUT SELF already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE LETHAL ATT OVERDOSE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL JUMP IN FO AUTO/TR already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL JUMPING FR HEIGHT

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January 2020 Update _2_0_100 Install Guide 17

already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL INJURY BY OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL POISON CHEMICAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE LETHAL ATT HANG OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE LETHAL ATT FIREARM already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL AUTO OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL CARBON MONOXIDE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL DROWNING already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL OTHER NOT PROVIDED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT LETHAL OTHER METHOD already exists and the packed component is identical, skipping. HEALTH FACTORS entry VA-SUICIDE ATT MOST LETHAL DOC SBOR NO is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry VA-SUICIDE ATT MOST LETHAL DOC SBOR is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall HEALTH FACTORS entry named VA-SUICIDE PRIOR ATTEMPT DATE LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT MOST RECENT LETHAL NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT MOST RECENT LETHAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE BEHAVIOR AND OVERDOSE REPORT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT 7 DAYS DISCHARGE YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT 7 DAYS DISCHARGE UNK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT 7 DAYS DISCHARGE NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS CONTRACT BED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS CLC already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS RRTP already exists

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18 Update_2_0_100 Install Guide January 2020

and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT LOCATION VA PROPERTY UNK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT LOCATION VA PROPERTY YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT LOCATION VA PROPERTY NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS UNK already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS INPATIENT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EVENT STATUS OUTPATIENT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP OP MH already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP OP MED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP HOSPITAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE HELP NONE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT INJURY UNKNOWN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT INJURY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT NO INJURY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT INTERRUPTED UNKNOWN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT INTERRUPTED BY OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT INTERRUPTED BY SELF already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT NOT INTERRUPTED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT SUFFOCATION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT STABBED CUT SELF already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT OVERDOSE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT JUMP IN FO AUTO/TRAIN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT JUMPING FROM HEIGHT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT INJURY BY OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT POISON CHEMICAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT HANG OTHER already exists

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January 2020 Update _2_0_100 Install Guide 19

and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATT FIREARM already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT AUTO OTHER already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT CARBON MONOXIDE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT DROWNING already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT OTHER NOT PROVIDED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SUICIDE ATTEMPT OTHER METHOD already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR DOESNT EXIST MOST RECENT ATTEMPT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named VA-SBOR EXISTS FOR MOST RECENT ATTEMPT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named OUTSIDE SEROLOGY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named OUTSIDE HEPATITIS B SURFACE AG POSITIVE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named OUTSIDE HEPATITIS B CORE AB POSITIVE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named OUTSIDE HEPATITIS B CORE AB NEGATIVE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTIONS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SCREENED PREVIOUSLY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-PT REFUSAL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI SOURCE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-OTHER INJURY TO HEAD already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-BLOW TO HEAD already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI RESULTS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-HEAD INJURY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CONCUSSION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI SYMPTOMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SLEEP PROBLEMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI CURRENT SYMPTOMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CURRENT SLEEP PROBLEM already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-REFERRALS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-REFERRAL DECLINED already exists and

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20 Update_2_0_100 Install Guide January 2020

the packed component is identical, skipping. HEALTH FACTORS entry named TBI-REFERRAL SENT already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION IV - YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION IV - NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CURRENT HEADACHES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CURRENT IRRITABILITY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CURRENT VISUAL PROBLEMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CURRENT DIZZINESS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-CURRENT MEMORY PROBLEMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION III - YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION III - NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-VISUAL PROBLEMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-IRRITABILITY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-MEMORY PROBLEMS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-DIZZINESS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-HEADACHES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION II - YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION II - NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-UNCONSCIOUS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-NO MEMORY OF INJURY already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-DAZED/CONFUSED already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION I - YES already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-SECTION I - NO already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-BLAST already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-FALL already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-VEHICULAR already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-FRAGMENT/BULLET already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TBI-PREVIOUS TBI DX already exists and the

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January 2020 Update _2_0_100 Install Guide 21

packed component is identical, skipping. HEALTH FACTORS entry named IRAQ/AFGHANISTAN already exists and the packed component is identical, skipping. HEALTH FACTORS entry named SYRIA SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named UZBEKISTAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TAJIKISTAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named PHILIPPINES SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named PAKISTAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named KYRGYZSTAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named GEORGIA SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named AFGHANISTAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named OTHER SERVICE LOCATION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named TURKEY SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named SAUDI ARABIA SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named KUWAIT SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named IRAQ SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named NO IRAQ/AFGHAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named IRAQ/AFGHAN SERVICE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named ZOSTER IMMUNIZATION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named HERPES ZOSTER VACCINE UNAVAILABLE already exists and the packed component is identical, skipping. HEALTH FACTORS entry named HERPES ZOSTER IMMUN PRECAUTION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named HERPES ZOSTER IMMUN CONTRAINDICATION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named DECLINES HERPES ZOSTER IMMUNIZATION already exists and the packed component is identical, skipping. HEALTH FACTORS entry named REMINDER FACTORS already exists and the packed component is identical, skipping. HEALTH FACTORS entry named LIFE EXPECTANCY < 6 MONTHS already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named Office of Telehealth Services Store and Forward Telehealth already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named Mental Health Services already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named Office of Mental Health Services already exists and the packed component is identical, skipping.

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22 Update_2_0_100 Install Guide January 2020

REMINDER SPONSOR entry named VA National Center for Health Promotion and Disease Prevention (NCP) already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named VHA ONCOLOGY already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named Office of Patient Care Services already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named Office of Public Health and Environmental Hazards already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named Office of Quality & Performance already exists and the packed component is identical, skipping. REMINDER SPONSOR entry named National Center for Health Promotion and Disease Prevention (NCP) already exists and the packed component is identical, skipping. REMINDER TAXONOMY entry named VA-PNEUMOC DZ RISK – IMMUNOCOMPROMISED already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// Y YES REMINDER TAXONOMY entry named VA-PNEUMOC DZ RISK - HIGH already exists but thepacked component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// Y YES REMINDER TAXONOMY entry named VA-IMMUNOCOMPROMISED already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// Y YES

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January 2020 Update _2_0_100 Install Guide 23

REMINDER TAXONOMY entry named VA-ASPLENIA already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// Y YES REMINDER TAXONOMY entry named VA-IMMUNIZATION INJECTION 90471 already exists and the packed component is identical, skipping. REMINDER TAXONOMY entry named VA-ZOSTER VACCINE EXCLUSIONS IMMUNOCOMPROMISED already exists and the packed component is identical, skipping. REMINDER TAXONOMY entry named VA-PNEUMOC DZ RISK - CHEMOTHERAPY already exists and the packed component is identical, skipping. REMINDER TAXONOMY entry named VA-TERMINAL CANCER PATIENTS already exists and the packed component is identical, skipping. REMINDER TERM entry VA-MISC UPDATE 10 HF is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall REMINDER TERM entry VA-REMINDER UPDATE_2_0_100 is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install Q Quit the install S Skip, do not install this entry Enter response: I// nstall REMINDER TERM entry named VA-ASRA ENDOVASCULAR THERAPY COMPLETED (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES

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24 Update_2_0_100 Install Guide January 2020

REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT-GIVEN (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-60 MIN CHECK (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-45 MIN CHECK (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-30 MIN CHECK (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES

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REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT GIVEN-15 MIN CHECK (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES REMINDER TERM entry named VA-ASRA SWALLOW SCREEN-PASSED (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// YES REMINDER TERM entry named VA-ASRA INITIAL NIHSS (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA LAST KNOWN WELL (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES

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REMINDER TERM entry named VA-ASRA PRESENTING SYMPTOMS (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA ALTEPLASE TREATMENT-NOT GIVEN (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA SWALLOW SCREEN-PASSED (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-ASRA SWALLOW SCREEN-FAILED (BL) already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name M Merge findings O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER TERM entry named VA-HEPATITIS B CORE ANTIBODY (IGG/TOTAL) already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-HEPATITIS B SURFACE ANTIBODY already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ANTI-CD20 DRUGS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-HIV SEROLOGY already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-HEPATITIS B TREATMENT DRUGS already

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exists and the packed component is identical, skipping. REMINDER TERM entry named VA-OUTSIDE HEPATITIS B SURFACE AG POSITIVE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-OUTSIDE HEPATITIS B CORE AB POSITIVE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-OUTSIDE HEPATITIS B CORE AB NEGATIVE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-HEPATITIS B SURFACE ANTIGEN already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-IRAQ/AFGHAN SERVICE REGISTRATION already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-IRAQ/AFGHAN SERVICE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-COMBAT VET already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-TBI-PT REFUSAL already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-TBI-PREVIOUS TBI DX already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-IRAQ/AFGHAN SERVICE NO already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-TBI SCREENING COMPLETED SCREENING RESOLUTIONS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ACTIVE DUTY already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-IRAQ/AFGHAN PERIOD OF SERVICE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-HERPES ZOSTER PRIOR ADR already exists and the packed component is identical, skipping. REMINDER TERM entry named FEMALE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER ADMINISTRATION SUPPRESSION already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER ORDER SUPPRESSION already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER AGE RANGE already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER VACCINE EXCLUSIONS IMMUNOCOMPROMISED already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-HIGH DOSE STEROIDS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-CHEMO/IMMUNOSUPPRESSIVE DRUGS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER IMMUNIZATION LIVE VIRUS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-LIFE EXPECTANCY < 6 MONTHS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER CONTRAINDICATIONS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER ORDERS already exists and the packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER DEFERRALS already exists and the

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packed component is identical, skipping. REMINDER TERM entry named VA-ZOSTER IMMUNIZATION RECOMBINANT VACCINE already exists and the packed component is identical, skipping. REMINDER DEFINITION entry named VA-OC HBV SCREEN FOR ANTI-CD20 TREATMENT already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER DEFINITION entry named VA-TBI SCREENING already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES REMINDER DEFINITION entry named VA-HERPES ZOSTER (SHINGLES) IMMUNIZATION already exists but the packed component is different, what do you want to do? Select one of the following: C Create a new entry by copying to a new name O Overwrite the current entry U Update Q Quit the install S Skip, do not install this entry Enter response: O// verwrite the current entry Are you sure you want to overwrite? N// y YES

At this point, you will begin installing the dialogs in the exchange file.

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You will then be prompted to install the FIRST reminder dialog:

At the Select Action prompt, type IA to install the dialog – VA-GP MISC UPDATE 10

Select Action: Next Screen// IA Install All

Install reminder dialog and all components with no further changes: Y// Yes

After the dialog installs, you will be returned to this prompt, at the Select Action prompt, type Q

to quit.

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30 Update_2_0_100 Install Guide January 2020

You will be prompted to install the NEXT reminder dialog component – YOU

DO NOT NEED TO INSTALL THIS:

At the Select Action prompt, type Q.

You will be prompted to install the NEXT reminder dialog component – YOU

DO NOT NEED TO INSTALL THIS:

At the Select Action prompt, type Q.

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January 2020 Update _2_0_100 Install Guide 31

You will be returned to this screen.

At the Select Action prompt, type Q to quit

Install Completed

Post Installation

1. Verify that all changes have taken place by doing comparison to what you see with the

screenshots/items listed in the embedded document

MISC UPDATE 10 CHANGES

2. Edit reminder dialog element VAL-VIONE POLYPHARM HGBA1C and add your local

data object for hemoglobin A1C.

NOTE: 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: Affected Service

Affected Service: VistA – CPRS: Clinical Reminders

Assignment Group: NTL SUP Clin 2