$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Tuesday, 03/17/26 at 12:08 ============================================================================= Run Date: APR 02, 2026 Designation: DG*5.3*1157 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #1015 Status: Released Compliance Date: APR 10, 2026 ============================================================================= Subject: FIX PATIENT FILE MISSING ZERO NODE Category: - Routine Description: ============ Patch DG*5.3*1157 addresses an issue where the PATIENT file (#2) is missing the zero (0) node and/or does not have a NAME field (.01) value. This patch will go through the PATIENT file (#2) and add a default name into the NAME field (.01). EHRM Impact Statement: ---------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. 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: -------------------------------------------- INC39438873 - TVH Refresh concern Problem: -------- Sites are reporting an issue when trying to "Refresh" their sites, but are unable to do so due to there being PATIENT file (#2) records either not having a zero (0) node or having a null value in the NAME field (.01). Resolution: ----------- Routine DG1157ZN searches through the PATIENT file (#2) to find records without a zero (0) node or a null NAME field (.01) value and adds a "ZZZPATIENT(DFN),MCLVII" value, where the MCLVII is the Roman numerals for this patch number "1157". This will allow sites to run their "Refresh" without issue. The routine omits/skips any Patient records that point to the OUTPATIENT ENCOUNTER file (#409.68) or the PATIENT MOVEMENT file (#405). Also skipped are any records with a "B" cross-reference. Records that were automatically corrected by this patch will be stored in global ^XTMP("DGNEWNM") for 90 days. TEST SITES: ----------- Boston HCS Tennessee Valley HCS SNOW Change Order #: -------------------- Boston HCS - CHG0712643 Tennessee Valley HCS - CHG0712537 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. File Title File Name Format --------------------------------------------------------------------- N/A Documentation Title File Name --------------------------------------------------------- N/A Patch Installation: ------------------- Pre/Post Installation Overview: Pre-Installation Instructions: This patch can be queued for install. It is recommended to install this patch during non-peak hours to lessen the potential impact to users. This patch should take less than 60 minutes to install. Installation Instructions: 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & 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 DG*5.3*1157. 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*1157 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 Enter response: B 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 the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install, DG*5.3*1157. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO iii. When prompted 'Delay Install (Minutes): (0 - 60): 0//, answer 0 and press the Enter key. Post-Installation Instructions: ------------------------------- After patch install, please perform an inquiry of the INSTALL file in FileMan for a listing of Patient records found with missing zero node or NAME value (if any) modified by this patch. Also, a list of these patient records needing manual correction, if found, will be recorded in the INSTALL file (#9.7) MESSAGES (#20) word-processing field. For assistance in manually correcting the records, please submit a Service Now ticket to SPM.Health.HI.HIG. Example: Select OPTION: INQUIRE TO FILE ENTRIES Output from what File: INSTALL// (15319 entries) Select INSTALL NAME: DG*5.3*1157 Search for "B" X-Refs for any Patient record with no zero node or NAME value 1 Patient file "B" X-REF has HXYZS,PDXYZLZ L for Patient IEN 1 2 Patient file "B" X-REF has ORXYZO,DXYZE for Patient IEN 2 3 Patient file "B" X-REF has ORXYZO,AXYZY for Patient IEN 4 4 Patient file "B" X-REF has TXXT,SXYZRY for Patient IEN 153039 Search for Patient Movement or Outpatient Encounter pointers 1 Patient IEN 1 has a pointer to the Patient Movement record :112390 2 Patient IEN 2 has a pointer to the Patient Movement record :59199 3 Patient IEN 4 has a pointer to the Patient Movement record :112402 4 Patient IEN 153039 has a pointer to the Patient Movement record :749169 Updating Patient records without a zero node or null value for the NAME field 2 Records Updated Update complete. Back-Out/Roll Back Plan: ------------------------ In the event that the patch installer decides to back-out this patch, the patch installer should log a Service Now ticket or contact the Enterprise Service Desk (ESD) at 855-673-4357. Backout or rollback of the software will be a joint decision between the development team, VA site/region personnel and other appropriate VA personnel and will require their concurrence. Due to the complexity of this patch, it is not recommended for back-out, and a restore from a backup of the Transport Global should not be attempted. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG1157ZN Before: n/a After: B12365154 **1157** ============================================================================= User Information: Entered By : Date Entered : DEC 08, 2025 Completed By: Date Completed: APR 01, 2026 Released By : Date Released : APR 02, 2026 ============================================================================= Packman Mail Message: ===================== $END TXT