$TXT Created by DEVCRN.DOMAIN.EXT (KIDS) on Monday, 08/26/19 at 12:29 ============================================================================= Run Date: OCT 16, 2019 Designation: DG*5.3*981 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #861 Status: Released Compliance Date: NOV 16, 2019 ============================================================================= Associated patches: (v)DG*5.3*825 <<= must be installed BEFORE `DG*5.3*981' (v)DG*5.3*863 <<= must be installed BEFORE `DG*5.3*981' (v)DG*5.3*967 <<= must be installed BEFORE `DG*5.3*981' (v)DG*5.3*974 <<= must be installed BEFORE `DG*5.3*981' Subject: MASTER VETERAN INDEX VISTA ENHANCEMENTS - EHRM SUPPORT Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other Description: ============ NOTE: Master Patient Index (MPI) 'EHRM (Electronic Health Record Modernization) SUPPORT' enhancements are being distributed in four VistA namespaces: DG, MPIF, RG and XU. The only build enforced requirement is that: - DG*5.3*981 be installed before MPIF*1.0*71. **Note: Patches RG*1.0*72 and XU*8.0*710 can be installed in any order as there are NO dependencies to these other patches. (Do NOT install MPIF*1.0*71 or RG*1.0*72 on legacy sites or on the FORUM CLAIMS system) NOTE: Legacy sites and the FORUM CLAIMS system can install just the DG*5.3*981 and XU*8.0*710 patches. MPIF*1.0*71 and RG*1.0*72 should NOT be installed on legacy sites or on the FORUM CLAIMS system. DG*5.3*825, DG*5.3*863, DG*5.3*967 and DG*5.3*974 are the required builds for patch DG*5.3*981. The following enhancements exported in this patch are needed to support the transition of sites to the EHRM (CERNER) application. Enhancement #1 To ensure that TREATING FACILITY LIST (#391.91) data returned from the Remote Procedure Call (RPC) [VAFC LOCAL GETCORRESPONDINGIDS] for a patient correctly identifies the IDENTIFIER STATUS (#12) of the record, the following enhancements will be implemented: - Created a new file "EHRM MIGRATED FACILITIES" (#391.919) that will store the facilities that have migrated to/implemented the CERNER application in support of EHRM. Note: The "ACRNR" new-style cross-reference (X-REF) was created at the record level of this file to allow for a quick check to determine if a facility has migrated to/implemented CERNER. - Created a new RPC [VAFC MVI MGRTD FACILITIES UPDT] that can be called from the Master Patient Index (MPI) to remotely add, update and maintain the facilities that are currently implementing CERNER in the EHRM MIGRATED FACILITIES (#391.919) file. - Created a new routine VAFCCRNR that will be triggered by the RPC [VAFC MVI MGRTD FACILITIES UPDT] to receive a list of Station Numbers from MPI for facilities that have migrated to CERNER for maintaining the EHRM MIGRATED FACILITIES (#391.919) file with. - Finally, routine VAFCTFU2 associated with the RPC [VAFC LOCAL GETCORRESPONDINGIDS] was modified so that the returned IDENTIFIER STATUS (#12) value in the TREATING FACILITY LIST (#391.91) file is transmitted as "C" if it is currently assigned an "A" (Active) or NULL value AND the facility has migrated to/implemented CERNER. Note: Merged "H" identifier statuses will continue to be returned as denoted even if the treating facility has migrated to/implemented CERNER. Enhancement #2 To support EHRM during the creation of patients that have potential matching Department of Defense (DoD) records being returned for selection in Enterprise Registration, an additional entry labeled 'selectedIdentifier' will be transmitted in the eXtensible Markup Language (XML) explicit 'ADD' message to MPI upon creation of the patient at the site. The 'selectedIdentifier' entry will contain one of the following values below to identify the existing record that was selected from Enterprise Registration if applicable: - "" Null if no results returned or nothing selected from results. - "^NI^200DOD^USDOD" (DoD's) Electronic Data Interchange Personal Identifier (EDIPI) if a DoD record was selected from the results list. - "^NI^200M^USVHA" Integration Control Number (ICN) if any other Non-DoD record was selected from the results list. NOTE: The identifier value will be determined/created in routine DPTLK7 and then added to the XML message for transmission to the MPI in routine MPIFXMLI. Enhancement #3 In support of the Health Administration Center (HAC) and MPI integration routine VAFCQRY1 (Patient Demographics Query for building the Patient Identification (PID) Health Level Seven (HL7) segment) was updated to include the HAC local modifications in support of CH*1.3*22529. These modifications will ensure that the correct Station Number of '741MM' is used when the HAC Station Number of '741' is encountered. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- EHRM MIGRATED FACILITIES N/A *NEW FILE (#391.919) 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 --------------------------- -------------------- VAFC MVI MGRTD FACILITIES UPDT NEW 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: ---------- Louisville KY VAMC Sheridan WY VAMC 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. 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 patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL enter the patch number (i.e. DG*5.3*981): a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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, such as routines, DDs, templates, etc. d. 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 DDs or templates. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond NO. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// respond YES. The following OPTIONS should be disabled during the installation. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following options: 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 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//', respond 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 ------------- The DG patch back-out procedure would consist of restoring the original routines using the back-up message created during the patch installation, deleting the NEW routine 'VAFCCRNR', RPC [VAFC MVI MGRTD FACILITIES UPDT] from the REMOTE PROCEDURE (#8994) file and file EHRM MIGRATED FACILITIES (#391.919). 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: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DPTLK7 Before:B199815452 After:B207157129 **915,919,926,967,981** Routine Name: VAFCCRNR Before: n/a After: B4581659 **981** Routine Name: VAFCQRY1 Before: B93833983 After: B99425329 **428,474,477,575,627,648,698, 711,707,837,874,937,974,981** Routine Name: VAFCRPC Before: B7679300 After: B7979176 **414,440,474,477,479,825,981** Routine Name: VAFCTFU2 Before: B47004597 After: B48038371 **821,856,863,981** Routine list of preceding patches: 825, 863, 967, 974 ============================================================================= User Information: Entered By : Date Entered : MAR 28, 2019 Completed By: Date Completed: OCT 16, 2019 Released By : Date Released : OCT 16, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT