$TXT Created by DEVCRN.DOMAIN.EXT (KIDS) on Monday, 08/23/21 at 16:43 ============================================================================= Run Date: NOV 23, 2021 Designation: RG*1*76 Package : RG - CLINICAL INFO RESOURCE NETWORK Priority: Mandatory Version : 1 SEQ #74 Status: Released Compliance Date: DEC 20, 2021 ============================================================================= Associated patches: (v)DG*5.3*1059 <<= must be installed BEFORE `RG*1*76' (v)RG*1*71 <<= must be installed BEFORE `RG*1*76' (v)RG*1*72 <<= must be installed BEFORE `RG*1*76' (v)RG*1*73 <<= must be installed BEFORE `RG*1*76' (v)RG*1*74 <<= must be installed BEFORE `RG*1*76' Subject: MASTER VETERAN INDEX VISTA ENHANCEMENT - NEW DEMOGRAPHIC FIELDS Category: - Routine - Enhancement (Mandatory) Description: ============ NOTE: Master Veteran Index (MVI) enhancements are being distributed in three VistA namespaces: DG, MPIF and RG. The only build enforced requirement for this set of related patches is that DG*5.3*1059 be installed before RG*1.0*76. Patches MPIF*1.0*78 and RG*1.0*76 can be installed in any order as there are NO dependencies between them. (Do NOT install MPIF*1.0*78 or RG*1.0*76 on legacy sites or on the FORUM CLAIMS system) NOTE: To prevent legacy systems ending up as Treating Facilities, RG* and MPIF* patches should NOT be installed on legacy systems or the FORUM CLAIMS system (since it is NOT a Veterans Affair Medical Center (VAMC) VistA system). RG*1.0*71, RG*1.0*72, RG*1.0*73, RG*1.0*74 and DG*5.3*1059 are the required builds for patch RG*1.0*76. NOTE: Do NOT install MPIF*1.0*78 and RG*1.0*76 on legacy sites or on the FORUM CLAIMS system. The following enhancement exported in this patch is needed to support the additional demographic fields in the PATIENT (#2) file (DG*5.3*1059) being transmitted/received to/from the Master Patient Index (MPI). - SEXUAL ORIENTATION (#.025) - SEXUAL ORIENTATION DESCRIPTION (#.0251) - PRONOUN (#.2406) - PRONOUN DESCRIPTION (#.24061) - INDIVIDUAL TAX ID (#991.11) Enhancement The Health Level Seven (HL7) message builder process for the Admit Discharge Transfer Update Patient (ADT A08) message in routine RGADTP calls routine VAFCSB to build the Observation/Result (OBX) HL7 segments and routine VAFCQRY to build the Patient Identification (PID) HL7 segments. It has been modified to parse the incoming OBX HL7 segments for the following new demographic values: - Sexual Orientation - Sexual Orientation Description - Pronoun - Pronoun Description Routine RGADTP1 was modified to parse the new Individual Tax ID (ITIN) value from the incoming PID HL7 segment. Finally, routine RGADTP2 was modified to pass these new demographic fields to routine DIFF^RGADTP3, which was modified so that the incoming data for these new demographic values could be checked to identify differences to determine if the value is new (or has changed) so that the values can be appropriately filed into the PATIENT (#2) file in routine VAFCPTED as needed. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted --------------------------- -------------------- N/A Additional Information: New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Defect Tracking System Ticket(s) & Overview ------------------------------------------- N/A Test Sites: ---------- Central Alabama AL HCS West Haven CT VAMC Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation describing the new functionality is not included in this release. Documentation Title File Name ------------------------------------------------------------------ N/A Patch Installation: Pre/Post Installation Overview ------------------------------ There are no Pre/Post installation routine processes. Pre-Installation Instructions ----------------------------- This patch takes less than a minute to install. This patch may be installed with users on the system, but it is recommended that installation occur during off hours to avoid collisions. The following OPTIONs should be disabled during installation: Load/Edit Patient Data [DG LOAD PATIENT DATA] Register a Patient [DG REGISTER PATIENT] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Electronic 10-10EZ Processing [EAS EZ 1010EZ PROCESSING] UPDATE BATCH JOB FOR HL7 v2.3 [VAFC BATCH UPDATE] MPI/PD Patient Admin Coordinator Menu [RG ADMIN COORD MENU] Local/Missing ICN Resolution Background Job [MPIF LOC/MIS ICN RES] The HL7 incoming filers should be stopped. Use the Monitor, Start, Stop Filers [HL FILER MONITOR] option on the Filer and Link Management Options [HL MENU FILER LINK MGT] menu on the HL7 Main Menu [HL MAIN MENU]. Installation Instructions ------------------------- 1. Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. RG*1.0*76) B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build RG*1.0*76 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Routines iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer NO. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? Yes//', answer YES a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option: Option Name Menu Text ----------- --------- [DG LOAD PATIENT DATA] Load/Edit Patient Data [DG REGISTER PATIENT] Register a Patient [DGPRE PRE-REGISTER OPTION] Preregister a Patient [EAS EZ 1010EZ PROCESSING] Electronic 10-10EZ Processing [VAFC BATCH UPDATE] UPDATE BATCH JOB FOR HL7 v2.3 [RG ADMIN COORD MENU] MPI/PD Patient Admin Coordinator Menu [MPIF LOC/MIS ICN RES] Local/Missing ICN Resolution Background Job Press the Enter key when you are done selecting options. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. When prompted 'Delay Install (Minutes): (0 - 60): 0//', answer 0. Post-Installation Instructions ------------------------------ After patch installation has completed, restart the HL7 incoming filers. Use the Monitor, Start, Stop Filers [HL FILER MONITOR] option on the Filer and Link Management Options [HL MENU FILER LINK MGT] menu on the HL7 Main Menu [HL MAIN MENU]. Back-Out Plan ------------- This patch backout procedure would consist of restoring the original routines using the back-up message created during the patch installation. If assistance is still required to back-out the patch please contact the National Service Desk (NSD) to log a help desk ticket so the development team can assist in the process. Note: This process should only be done with the concurrence and participation of the development team and the appropriate VA Site/Region personnel. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;CLINICAL INFO RESOURCE NETWORK;**[Patch List]**;30 Apr 99;Build 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RGADTP Before:B131669546 After:B197081874 **26,27,20,34,35,40,45,44,47, 59,60,61,62,63,65,68,69,70,74, 76** Routine Name: RGADTP1 Before: B62788084 After: B65320727 **26,27,42,45,44,47,48,59,61, 64,67,71,76** Routine Name: RGADTP2 Before: B74906033 After: B87694121 **27,20,45,44,47,48,49,52,54, 58,59,64,66,67,71,72,76** Routine Name: RGADTP3 Before: B44827943 After: B49259679 **48,59,63,65,67,68,71,73,76** Routine list of preceding patches: 72, 73, 74 ============================================================================= User Information: Entered By : Date Entered : JUN 29, 2021 Completed By: Date Completed: NOV 22, 2021 Released By : Date Released : NOV 23, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT