$TXT Created by J at DEVVOO.DOMAIN.EXT (KIDS) on Tuesday, 04/15/25 at 08:42 ============================================================================= Run Date: MAY 12, 2025 Designation: DG*5.3*1138 Package : DG - REGISTRATION Priority: EMERGENCY Version : 5.3 SEQ #1001 Status: Released Compliance Date: MAY 14, 2025 ============================================================================= Associated patches: (v)DG*5.3*1027 <<= must be installed BEFORE `DG*5.3*1138' (v)DG*5.3*1111 <<= must be installed BEFORE `DG*5.3*1138' Subject: DISABILITY CONDITION FILE #31, REGISTRATION ONLY REASON UPDATES Category: - Routine - Enhancement (Emergency) - Data Dictionary Description: ============ Veterans Health Information Systems and Technology Architecture (VistA) Registration, Eligibility & Enrollment (REE) patch DG*5.3*1138 is being released as a VistA sustainment patch to support the Veterans Health Administration (VHA) Enrollment System (VES). Patch DG*5.3*1138 modifies VistA to allow new Diagnosis Codes (DX) to be added to the DISABILITY CONDITION file (#31) in VistA when sent by VES and not defined in VistA. This update will be done automatically in VistA with the Health Level 7 (HL7) ORU-Z11 message handler. Routine DGENUPL2 is updated to support this new behavior. Patch DG*5.3*1138 modifies the AVAILABILITY field (#.02) of the PATIENT REGISTRATION ONLY REASON file (#408.43) to add a new availability code. Patch DG*5.3*1138 adds an entry in the PATIENT REGISTRATION ONLY REASON file (#408.43) for a new registration only reason to support automatic registrations from the Veterans Benefits Administration (VBA) via VES. The new registration only reason entry is suppressed from the selectable options during the VistA registration only process. Routine DGREG is updated to support this new screen logic behavior. The screen logic is executed from the REGISTRATION ONLY REASON field (#.15) of the PATIENT ENROLLMENT file (#27.11). There are no restrictions for installation into VistA sites. Listing of Updates: =================== This patch makes the following enhancements to VistA REE: 1. Availability code 4 for VBA AUTO REGISTRATION is added to the AVAILABILITY (#.02) field of the PATIENT REGISTRATION ONLY REASON file (#408.43). DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE -------------------------------------------------------------------------- 408.43,.02 AVAILABILITY 0;2 SET (Required) '1' FOR REGISTER A PATIENT; '2' FOR COLLATERAL OF PATIENT; '3' FOR RECORD CREATED BY HEC; '4' FOR VBA AUTO REGISTRATION; LAST EDITED: MAR 19, 2025 HELP-PROMPT: Select the availability type for this record. DESCRIPTION: This field contains values that determine which records can be selected for different processes. 2. A new registration only reason is added to the PATIENT REGISTRATION ONLY REASON file (#408.43) as defined below. a. NUMBER field (#.001) = 24 b. REASON field (#.01) = VBA - AUTO REGISTRATION c. AVAILABILITY field (#.02) = 4 for VBA AUTO REGISTRATION d. CODE field (#.03) = 24 Output from what File: PATIENT REGISTRATION ONLY REASON// (24 entries) Select PATIENT REGISTRATION ONLY REASON: 24 VBA - AUTO REGISTRATION 24 Another one: Standard Captioned Output? Yes// (Yes) Include COMPUTED fields: (N/Y/R/B): NO// BOTH Computed Fields and Record Number (IEN) NUMBER: 24 REASON: VBA - AUTO REGISTRATION AVAILABILITY: VBA AUTO REGISTRATION CODE: 24 Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT REGISTRATION ONLY AVAILABILITY (#.02) Modified REASON (#408.43) Forms Associated: Form Name File Number 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: ----------------------- N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: INC38154061 - Update File #31 in VistA from VES ORU-Z11 Problem: -------- A software rejection error is generated by VistA and sent back to VES when a DX code is not defined in VistA. The reject error is listed as: BAD VALUE, ZRD SEGMENT, SEQ 2 - DISABILITY CONDITION LOOKUP FAILED. Resolution: ----------- Patch DG*5.3*1138 modifies the ORU-Z11 message handler DGENUPL2 in VistA to add the missing DX CODE (#2) and NAME (#.01) fields of the DISABILITY CONDITION file (#31) when the DX code is not defined from the ZRD HL7 information sent from VES. Test Sites: ----------- Butler VA Health Care System (PA), station 529 VA Heartland East (St. Louis, MO), station 657 [Integrated] Test Sites - SNOW Change Order #: --------------------------------- Butler VA Health Care System (PA), station 529 - CHG0601872 VA Heartland East (St. Louis, MO), station 657 [Integrated] - CHG0601729 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: N/A Pre-Installation Instructions: The IVM BACKGROUND JOB [IVM BACKGROUND JOB] should be unscheduled. Use the Schedule/Unschedule Options [XUTM SCHEDULE] option on the TaskMan Management [XUTM MGR] menu. Note the currently scheduled date/time. The HL7 incoming/outgoing filers should be stopped. Stop All Messaging Background Processes by using the [HL STOP ALL] option on the Filer and Link Management Options [HL MENU FILER LINK MGT] menu on the HL7 Main Menu [HL MAIN MENU]. This patch may be installed with users on the system, although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. The following options should be disabled during installation: Menu Text Option Name --------- ----------- Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] View Registration Data [DG REGISTRATION VIEW] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Enter a Request/Notification [FBCH ENTER REQUEST] Preregistration Menu [DGPRE PRE-REGISTER OPTION] 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. DG*5.3*1138) 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 DG*5.3*1138. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// Press Enter to select Build iv. When prompted "Do you wish to secure this message? 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: Menu Text Option Name --------- ---------- Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] View Registration Data [DG REGISTRATION VIEW] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Enter a Request/Notification [FBCH ENTER REQUEST] Preregistration Menu [DGPRE PRE-REGISTER OPTION] 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: 1. The HL7 incoming filers should be restarted. Use the Restart/Start All Links and Filers [HL TASK RESTART] option on the Filer and Link Management Options [HL MENU FILER LINK MGT] menu on the HL7 Main Menu [HL MAIN MENU]. 2. The IVM BACKGROUND JOB [IVM BACKGROUND JOB] should be rescheduled. Use the Schedule/Unschedule Options [XUTM SCHEDULE] option on the TaskMan Management [XUTM MGR] menu and enter the scheduled date/time that was noted in the Pre-Installation instruction section above. Back-Out/Roll Back Plan: ------------------------ In the event a site/patch installer determines that this patch should be backed out, the site/patch installer should submit a YOUR IT Services ticket with the Enterprise Service Desk (ESD) for assistance with the procedure. Any issues would need to be evaluated to determine if: a back-out of the software is appropriate; a new patch is needed; or if data requires correction or restoration. During installation, if the option Backup a Transport Global [XPD BACKUP] was run as directed, either the entire build or routines will be available for restoration should the need arise. Regardless of the type of backup chosen, either the entire build including routines and build components (Data Dictionary, options, protocols, templates, etc.) or routines only, the backup results will be available in a MailMan message with a subject similar to the following: "Subject: Backup of DG5.31138, on Mar 26, 2025." For multi-builds, if the full build was backed up, the backup will be available in the Host File specified during the backup process. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;REGISTRATION;**[Patch List]**;Aug 13,1993;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DGENUPL2 Before:B102871121 After:B112152143 **147,222,232,310,314,367,397, 677,631,675,672,673,716,653, 688,838,842,894,934,940,993, 1027,1138** Routine Name: DGREG Before:B189362698 After:B189753386 **1,32,108,147,149,182,245,250, 513,425,533,574,563,624,658, 864,886,915,926,1024,993,1040, 1027,1045,1067,1075,1102,1111, 1138** Routine list of preceding patches: 1111 ============================================================================= User Information: Entered By : Date Entered : DEC 13, 2024 Completed By: Date Completed: MAY 09, 2025 Released By : Date Released : MAY 12, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT