============================================================================= Run Date: APR 14, 2016 Designation: DG*5.3*909 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #809 Status: Released Compliance Date: MAY 15, 2016 ============================================================================= Associated patches: (v)DG*5.3*797 <<= must be installed BEFORE `DG*5.3*909' (v)DG*5.3*804 <<= must be installed BEFORE `DG*5.3*909' (v)DG*5.3*841 <<= must be installed BEFORE `DG*5.3*909' (v)DG*5.3*871 <<= must be installed BEFORE `DG*5.3*909' (v)DG*5.3*891 <<= must be installed BEFORE `DG*5.3*909' Subject: REGISTRATION CAMP LEJEUNE ELIGIBILITY UPDATE Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ ************************************************************************** This patch is being released in support of the Camp Lejeune - Veterans project. DG*5.3*909 (Registration) is being released along with IVM*2*161 (Income Verification Match) in host file: DG_5_3_P909.KID. It is imperative that these patches be installed no later than the compliance date. Your understanding and support is appreciated. ************************************************************************** Public Law 112-154, requires Veterans Affairs (VA) to provide hospital care and medical services to Veterans who served on active duty at Camp Lejeune (North Carolina) for one or more of 15 specified illnesses or conditions (Esophageal cancer; Lung cancer; Breast cancer; Bladder cancer; Kidney cancer; Leukemia; Multiple myeloma; Myelodysplastic syndromes; Renal toxicity; Hepatic steatosis; Female infertility; Miscarriage; Scleroderma; Neurobehavioral effects; or Non-Hodgkin's lymphoma). To be eligible for care under the provisions of this bill, the Veteran must have served on active duty at Camp Lejeune for not fewer than thirty (30) consecutive or nonconsecutive days between August 1, 1953 and December 31, 1987. The Camp Lejeune - Veterans (CL-V) project will update VistA to allow for the accurate tracking of veterans who satisfy the CL-V eligibility requirements and are therefore entitled to these additional benefits. This patch modifies the Registration v5.3 application as described below: 1. Adds the following fields to the PATIENT (#2) file for storing the Camp Lejeune data: -CAMP LEJEUNE (#.321701) field - Updated by VistA users or by processing an ORF-Z11 or ORU-Z11 message from ES containing Camp Lejeune data. Values are Null (Blank), YES or NO. Once the field contains a YES or NO value, it cannot be set back to Null. -CAMP LEJEUNE DATE (#.321702)- Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. -CAMP LEJEUNE CHANGE SITE (#.321703) - Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. -CAMP LEJEUNE SOURCE (#.321704) - Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. -CAMP LEJEUNE DATA ENTRY LOCKED (#.32171) - Updated by the system when an ORF-Z11 or ORU-Z11 message processes Camp Lejeune data. Values are "1" for LOCKED, "0" for NOT LOCKED. 2. Adds the following fields to the PATIENT ENROLLMENT (#27.11) file for storing the Camp Lejeune data: -CAMP LEJEUNE INDICATED? (#50.24) - Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. Values are Null (Blank),YES or NO. -CAMP LEJEUNE DATE (#50.25) - Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. -CAMP LEJEUNE CHANGE SITE (#50.26) - Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. -CAMP LEJEUNE SOURCE (#50.27) - Updated by the system when the CAMP LEJEUNE (#.321701) field is updated. 3. Allows editing of CL-V data on the MILITARY SERVICE DATA, SCREEN <6> Environmental Factors sub-screen. Related Options: Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Admit a Patient [DG ADMIT PATIENT] The following menu option allows the VistA user access to view CLE in the Environmental Factors screen: View Registration Data [DG REGISTRATION VIEW] The following menu option allows the VistA user access to view CLE in the Patient Enrollment screen: Patient Enrollment [DGEN PATIENT ENROLLMENT] The environmental sub screen has been updated to display a new environmental factor for Camp Lejeune. This new factor will be the 5th in the list as shown below. LASTNAME,FIRSTNAME; XXX-XX-XXXX ------------------------------------------------------------------------- **** ENVIRONMENTAL FACTORS **** [1] A/O Exp.: Reg: Exam: A/O#: [2] ION Rad.: Reg: Method: [3] SW Asia Cond: Reg: Exam: [4] N/T Radium: [5] Camp Lejeune: SELECT AN ENVIRONMENTAL FACTOR (1-5) OR (Q)UIT: QUIT// VistA will enable the Camp Lejeune environmental factor for editing if all of the following CLE rules are met: - Person is a Veteran AND - Person has one or more Military Service Episode(s) (MSE) that include no less than 30 days of service between August 1, 1953 and December 31, 1987 (inclusive) AND - All of the identified MSE(s) used for the 30-day service duration has a character of discharge other than: - Dishonorable - Other Than Honorable - Undesirable - Bad Conduct - Dishonorable-VA (See Note *) If multiple Military Service Episodes (MSEs) are used to count the 30-day service duration requirement, the MSEs do not have to be consecutive days. - If a primary eligibility code exists, it must be a Veteran eligibility code as follows: - Service Connected 50% to 100%. - SC Less than 50% - Prisoner of War - Purple Heart Recipient - Aid & Attendance - Housebound - NSC, VA Pension - World War I - NSC - The CAMP LEJEUNE DATA ENTRY LOCKED (#.32171) field in the PATIENT (#2) file has not been set by uploading the CL-V data from an ORF-Z11 or ORU-Z11 HL7 message received from ES. If the veteran does not satisfy the Camp Lejeune eligibility requirements, option five will be surrounded by pointed brackets <5> and will not be selectable. Note: The View Registration Data [DG VIEW REGISTRATION] option is read only. Number five on the ENVIRONMENTAL FACTORS screen will be surrounded by pointed brackets <5> and will not be selectable. LASTNAME,FIRSTNAME; XXX-XX-XXXX ------------------------------------------------------------------------- **** ENVIRONMENTAL FACTORS **** [1] A/O Exp.: Reg: Exam: A/O#: [2] ION Rad.: Reg: Method: [3] SW Asia Cond: Reg: Exam: [4] N/T Radium: <5> Camp Lejeune: SELECT AN ENVIRONMENTAL FACTOR (1-5) OR (Q)UIT: QUIT// 4. Displays Camp Lejeune on the MILITARY SERVICE DATA, SCREEN <6> for Environmental Factors when the Camp Lejeune indicator on the ENVIRONMENTAL FACTORS sub-screen displays YES. MILITARY SERVICE DATA, SCREEN <6> LASTNAME,FIRSTNAME; XXX-XX-XXXX SC VETERAN ========================================================================= [1] Service Branch/Component Service # Entered Separated Discharge ------------------------ --------- ------- --------- --------- ARMY/REGULAR XXXXXXXXX 02/20/1958 03/01/1969 HONORABLE [2] Conflict Locations: < None Specified > [3] Environment Factors: (5) Camp Lejeune [4] POW: From: To: War: [5] Combat: From: To: Loc: [6] Mil Disab Retirement: Dischrg Due to Disab: [7] Dent Inj: Teeth Extracted: [8] Purple Heart: LASTNAME,FIRSTNAME; XXX-XX-XXXX ========================================================================== **** ENVIRONMENTAL FACTORS **** [1] A/O Exp.: Reg: Exam: A/O#: [2] ION Rad.: Reg: Method: [3] SW Asia Cond: Reg: Exam: [4] N/T Radium: [5] Camp Lejeune: YES 5. Flags a Veteran's record for transmission to ES. When a VistA user enters or updates the Camp Lejeune indicator, the record will be flagged for transmission and sent to the Enrollment System the next time the IVM Background Job completes. ES will process the CL-V data and make an enrollment determination, generating an ORU-Z11 to all VistA sites of interest. When VistA processes the ORU-Z11 with the Camp Lejeune data in VistA, the CAMP LEJEUNE DATA ENTRY LOCKED (#.32171) field in the PATIENT (#2) file will be set to "1" for "LOCKED" and the Camp Lejeune indicator will no longer be editable within VistA. From this point forward, the Camp Lejeune option five will appear with the pointed brackets <5> and all future updates to the CL-V data will need to be coordinated through the Health Eligibility Center (HEC) via the HEC Alert process. 6. Adds help text. When the Camp Lejeune environmental factor is selected, the user receives the prompt "CAMP LEJEUNE WATER CONTAMINANT EXPOSURE INDICATED?//". The user may solicit help by entering double question marks "??" at the prompt. The following help text will display: SELECT AN ENVIRONMENTAL FACTOR (1-5) OR (Q)UIT: QUIT// 5 Camp Lejeune CAMP LEJEUNE WATER CONTAMINANT EXPOSURE INDICATED?//?? Enter "Y" if veteran claims need for care of conditions related to exposure of "Water Contamination at Camp Lejeune". Enter "N" if veteran was not assigned to Camp Lejeune between August 1, 1953 and December 31, 1987 or does not claim need for care of conditions related to exposure of "Water Contamination at Camp Lejeune". Choose from: Y YES N NO Null "Blank" 7. Displays CL-V data on the Patient Enrollment Screen. Related Option: Patient Enrollment [DGEN PATIENT ENROLLMENT] The Camp Lejeune data is added to Page 2 of the Patient Enrollment screen, directly below the SW Asia Cond display. This is a display only screen and no editing of the Camp Lejeune data is allowed. The SW Asia Cond display prompt is modified to display a colon rather than a period and align properly. The following is an example of the updated screen display: Patient Enrollment Dec 03, 2014@14:37:55 Page: 2 of 4 Patient: PATIENT,TEST (1111) NSC VETERAN Preferred Facility: ALBANY Current Enrollment Preferred Facility Source: VISTA + Priority Factors POW: NO Purple Hrt: A/O Exp.: YES A/O Exp Loc: KOREAN DMZ ION Rad.: YES Rad Exp Method: OTHER SW Asia Cond: YES Camp Lejeune: Mil Disab Retirement: Dischrg Due to Disab: Combat Vet End Date: Eligible for MEDICAID: Svc Connected: NO SC Percent: + Query: TRANSMITTED Notify: EP (Enroll Patient) QS Check Query Status SP Select Patient PF Preferred Facility SQ (Send Query) AU (View Upload Audit) EH Expand History CD Catastrophic Disab. PZ Print 1010EZ/EZR Select Action:Next Screen// 8. Modifies the initial enrollment determination algorithm to place CL-V eligible Veterans in priority group 6 unless a higher priority is determined based on other eligibility factors. No changes were made to continuous enrollment rules in VistA. CL-V eligible Veterans are subject to means testing and/or Rx copay testing, unless other eligibility factors make them income testing exempt. 9. Updates the ORF-Z11 and ORU-Z11 receivers to process the CL-V data sent from ES in ZEL segment sequences 41 through 44. Segment HL7 Element Name VistA Stored Field - File Location - Sequence ZEL-41 CAMP LEJEUNE CAMP LEJEUNE INDICATED? (#50.24) field PATIENT ENROLLMENT (#27.11) file CAMP LEJEUNE (#.321701) field PATIENT (#2) file ZEL-42 CAMP LEJEUNE DATE CAMP LEJEUNE DATE (#50.25) field PATIENT ENROLLMENT (#27.11) file CAMP LEJEUNE DATE (#.321702)field PATIENT (#2) file ZEL-43 CAMP LEJEUNE CHANGE SITE CAMP LEJEUNE CHANGE SITE (#50.26) field PATIENT ENROLLMENT (#27.11) file CAMP LEJEUNE CHANGE SITE (#.321703) field PATIENT (#2) file ZEL-44 CAMP LEJEUNE SOURCE CAMP LEJEUNE SOURCE (#50.27) field PATIENT ENROLLMENT (#27.11) file CAMP LEJEUNE SOURCE (#.321704) field PATIENT (#2) file Patch IVM*2.0*161 will be released in conjunction with this REGISTRATION patch. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Mod/Del ------------- ---------------------------------------- ----------- PATIENT (#2) CAMP LEJEUNE (#.321701) New CAMP LEJEUNE DATE (#.321702) New CAMP LEJEUNE CHANGE SITE (#.321703) New CAMP LEJEUNE SOURCE (#.321704) New CAMP LEJEUNE DATA ENTRY LOCKED (#.32171) New PATIENT ENROLLMENT (#27.11) CAMP LEJEUNE INDICATED? (#50.24) New CAMP LEJEUNE DATE (#50.25) New CAMP LEJEUNE CHANGE SITE (#50.26) New CAMP LEJEUNE SOURCE (#50.27) New Forms Associated: Form Name File # New/Mod/Del --------- ------ ----------- N/A Mail Groups Associated: Mail Group Name New/Mod/Del --------------- ----------- N/A Options Associated: Option Name Type New/Mod/Del ----------- ---- ----------- N/A Protocols Associated: Protocol Name New/Mod/Del ------------- ----------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (#) New/Mod/Del ------------- ---- ------------------ ----------- N/A Additional Information: ICR-3812 was updated to include information on the new CL-V data fields that were added to the output array DGENR. DGENR("ELIG","CLE")="Y" DGENR("ELIG","CLEDT")=3150220 DGENR("ELIG","CLESOR")="VAMC" DGENR("ELIG","CLEST")=500 New Service Requests (NSRs): ----------------------------- 20120809 Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A Test Sites: ----------- VA Pittsburgh Health Care System Erie VA Medical Center Altoona - James E. VanZandt VA Medical Center Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ File Description File Name SFTP Mode -------------------------------------------------------------------------- PIMS User Manual - ADT Module DG_5_3_P909_ADTBE_UM.PDF (binary) User Manual - Registration Menu DG_5_3_P909_REG_UM.PDF (binary) IVM Technical Manual IVM_2_P161_TM.PDF (binary) CL-V VistA REE Release Notes CL-VVISTA_REERELEASENOTES.PDF (binary) SFTP Instructions: ------------------ CL-V includes the following patches. The host file was created to simplify installation at Veterans Health Administration (VHA) facilities. File Name Contents Retrieval Format -------------------------------- ----------- ---------------- DG_5_3_P909.KID DG*5.3*909 ASCII IVM*2.0*161 Patch Installation: Pre/Post Installation Overview ------------------------------ N/A Pre-Installation Instructions ----------------------------- The following kids build DG_5_3_P909.KID will be installed. This patch should NOT be installed while the IVM BACKGROUND JOB [IVM BACKGROUND JOB] is running. 1. 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]. 2. The following options should be disabled during installation: Register a Patient [DG REGISTER PATIENT] Patient Enrollment [DGEN PATIENT ENROLLMENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Admit a Patient [DG ADMIT PATIENT] View Registration Data [DG REGISTRATION VIEW] IVM BACKGROUND JOB [IVM BACKGROUND JOB] 3. This patch may be installed with users on the system, however because the Registration options need to be placed out of order, we suggest it be installed after business hours. This patch should take less than 5 minutes to install. Installation Instructions: -------------------------- 1. Download DG_5_3_P909.KID into your local directory. (See Software and Documentation Retrieval Instructions) 2. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. 3. Use Load a Distribution option. You may need to prepend a directory name. When prompted for "Enter a Host File: ", respond with DG_5_3_P909.KID Example: USER$:[ABC]DG_5_3_P909.KID 4. If given the option to run any Environment Check Routine(s), answer "YES". (Currently, there is no environment check routine.) 5. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following option. When prompted for the INSTALL enter the patch DG*5.3*909. a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. 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 components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 6. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install and enter DG*5.3*909 at the INSTALL NAME prompt. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' answer NO c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' answer YES Register a Patient [DG REGISTER PATIENT] Patient Enrollment [DGEN PATIENT ENROLLMENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Admit a Patient [DG ADMIT PATIENT] View Registration Data [DG REGISTRATION VIEW] IVM BACKGROUND JOB [IVM BACKGROUND JOB] Post-Installation Instructions ------------------------------ The HL7 incoming/outgoing 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]. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 32 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DGENA Before: B20613434 After: B24665348 **121,122,147,232,314,564,672, 659,653,688,841,909** Routine Name: DGENA1A Before: B15415989 After: B18101095 **121,147,232,314,564,672,659, 653,688,841,909** Routine Name: DGENCLEA Before: n/a After: B22892557 **909** Routine Name: DGENELA Before: B27857025 After: B30590661 **121,147,232,314,451,564,631, 672,659,583,653,688,841,909** Routine Name: DGENELA1 Before: B78071004 After: B84040190 **147,327,314,367,497,451,564, 631,672,659,583,746,653,688, 841,909** Routine Name: DGENELA4 Before: B69534652 After: B73347795 **232,275,306,327,314,367,417, 437,456,491,451,564,672,659, 653,688,803,754,841,909** Routine Name: DGENL1 Before: B69443276 After: B71896061 **121,147,232,266,343,564,672, 659,653,688,838,841,909** Routine Name: DGENU Before: B44311306 After: B47398135 **121,122,147,232,314,564,624, 672,659,653,688,536,838,841, 909** Routine Name: DGENUPL Before: B46472506 After: B47824624 **147,222,232,363,472,497,564, 677,672,688,871,909** Routine Name: DGENUPLA Before: B65304654 After: B71424515 **397,379,497,451,564,672,659, 583,653,688,754,909** Routine Name: DGRP61 Before: B46948072 After: B47311723 **797,909** Routine Name: DGRP6EF Before: B17483122 After: B28412625 **689,659,737,688,909** Routine Name: DGRPE1 Before: B9510061 After: B10060954 **114,327,451,631,688,808,804,909** Routine Name: VAFHLZE1 Before: B25671247 After: B28799443 **342,497,602,672,653,909** Routine list of preceding patches: 797, 804, 841, 871 ============================================================================= User Information: Entered By : Date Entered : NOV 24, 2014 Completed By: Date Completed: APR 14, 2016 Released By : Date Released : APR 14, 2016 ============================================================================= Packman Mail Message: ===================== No routines included