============================================================================= Run Date: AUG 10, 2020 Designation: DG*5.3*997 Package : DG - REGISTRATION Priority: EMERGENCY Version : 5.3 SEQ #884 Status: Released Compliance Date: AUG 13, 2020 ============================================================================= Associated patches: (v)DG*5.3*122 <<= must be installed BEFORE `DG*5.3*997' (v)DG*5.3*673 <<= must be installed BEFORE `DG*5.3*997' (v)DG*5.3*985 <<= must be installed BEFORE `DG*5.3*997' (v)DG*5.3*996 <<= must be installed BEFORE `DG*5.3*997' (v)DG*5.3*998 <<= must be installed BEFORE `DG*5.3*997' (v)DG*5.3*1001 <<= must be installed BEFORE `DG*5.3*997' Subject: HARDSHIP EXP, NOK/E-CONTACT ADD FOREIGN ADDRESS AND CAREGIVER Category: - Routine - Enhancement () - Data Dictionary - Other Description: ============ ********************************************************************** * * * IMPORTANT: * * * * This patch is being released with a priority of "EMERGENCY" and * * has a 3-day compliance installation requirement. * * * ********************************************************************** Patch DG*5.3*997 is being released to support the enhancements for the Enterprise Health Benefits Determination (EHBD) program that focuses on updates for the Enrollment System Modernization (ESM) Phase 3 project. Patch DG*5.3*997 is also being released in support of the Enrollment System (ES) 5.12 release. Refer to Informational Patch EAS*1*191 (Enrollment Application System) for additional details regarding the ES release. NOTE: DG*5.3*997 is being released with IVM*2.0*193 in Host File DG_53_P997.KID. Veterans Health Information Systems and Technology Architecture (VistA) Registration, Eligibility & Enrollment (REE) patch DG*5.3*997 supports the Health Eligibility Center (HEC), which has a need to provide foreign addresses for a patient's Next of Kin (NOK) and Emergency Contacts. There are five contact types that are modified to allow for foreign addresses: Next of Kin, Next of Kin 2, Emergency Contact, Emergency Contact 2, and Designee. Patch DG*5.3*997 provides for the viewing, entering, and editing of foreign addresses for the five contact types. Patch DG*5.3*997 adds foreign address data to the ORU-Z07 Health Level Seven (HL7) message in the ZCT segment sent to ES. Patch DG*5.3*997 creates two new screens for the display of caregiver- related data: ADDITIONAL ELIGIBILITY VERIFICATION DATA, SCREEN <11.5> and Caregiver Data <11.5.1>. These screens are utilized to populate caregiver-related entries with data that is retrieved via a remote procedure call (RPC) from the Master Patient Index (MPI). The data that is displayed is not stored and is uneditable. DG*5.3*997 adds two new fields: HARDSHIP EXPIRED (#2.12) field and HARDSHIP EXPIRATION DATE (#2.13) field in the ANNUAL MEANS TEST (#408.31) file. Both fields are uneditable. The HARDSHIP EXPIRED (#2.12) field of the ANNUAL MEANS TEST (#408.31) file is determined based on the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file when the Z10 is received from ES. DG*5.3*997 updates HL7 message structures for the ORU/ORF-Z10 and ORU/ORF-Z07. Sequence 32 of the ZMT segment has been added and is used for the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file. DG*5.3*997 updates the View a Past Means Test [DG MEANS TEST VIEW TEST] option to include HARDSHIP? (#.2) and HARDSHIP EXPIRATION DATE (#2.13) fields of the ANNUAL MEANS TEST (#408.31) file. The HARDSHIP? (#.2) field of the ANNUAL MEANS TEST (#408.31) file will display with a screen display label of Hardship. DG*5.3*997 updates the Hardships screen to display the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file. The screen also displays EXPIRED for the Hardship status when Hardship is expired. DG*5.3*997 includes updates to prohibit a Hardship from being granted against a means test with a status 'Pending Adjudication'. DG*5.3*997 sets the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file to December 31 of the current year when a Hardship is granted in VistA. DG*5.3*997 sets the HARDSHIP REVIEW DATE (#.21) field of the ANNUAL MEANS TEST (#408.31) file to 60 days prior to the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file. If the current date is 60 days or fewer prior to the HARDSHIP EXPRIATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file, the system sets the HARDSHIP REVIEW DATE (#.21) field of the ANNUAL MEANS TEST (#408.31) file to the current date when a Hardship is granted in VistA. DG*5.3*997 updates the Hardship screen to remove the Edit Hardship (EH) and the Delete Hardship (DH) actions from the DGMTH HARDSHIP MENU protocol. Listing of Updates: =================== This patch includes the following enhancements to VistA REE: Part 1: NOK/E-Contact/Designee Foreign Address ============================================== 1. Fifteen new fields are added to the PATIENT file (#2) to support foreign addresses. FIELD NAME GLOBAL DATA NUMBER TITLE LOCATION TYPE -------------------------------------------------------------------------- .221 K-COUNTRY .21;12 POINTER TO COUNTRY CODE file (#779.004) .222 K-PROVINCE .21;13 FREE TEXT (1-20 chars) .223 K-POSTAL CODE .21;14 FREE TEXT (1-10 chars) .2101 K2-COUNTRY .211;12 POINTER TO COUNTRY CODE file (#779.004) .2102 K2-PROVINCE .211;13 FREE TEXT (1-20 chars) .2103 K2-POSTAL CODE .211;14 FREE TEXT (1-10 chars) .3306 E-COUNTRY .33;12 POINTER TO COUNTRY CODE file (#779.004) .3307 E-PROVINCE .33;13 FREE TEXT (1-20 chars) .3308 E-POSTAL CODE .33;14 FREE TEXT (1-10 chars) .331012 E2-COUNTRY .331;12 POINTER TO COUNTRY CODE file (#779.004) .331013 E2-PROVINCE .331;13 FREE TEXT (1-20 chars) .331014 E2-POSTAL CODE .331;14 FREE TEXT (1-10 chars) .34012 D-COUNTRY .34;12 POINTER TO COUNTRY CODE file (#779.004) .34013 D-PROVINCE .34;13 FREE TEXT (1-20 chars) .34014 D-POSTAL CODE .34;14 FREE TEXT (1-10 chars) 2. The HL7 ZCT segment includes foreign address fields in the CONTACT ADDRESS (SEQ 5) portion. The structure contains the Country in component 6. Country is the value from the CODE field (#.01) of the COUNTRY CODE file (#779.004). If no value is in this segment, the default value is "USA". If Country is not "USA", the Province is placed in component 4, and Postal Code in component 5. Component Description --------- ----------- 1 Street Address 1 2 Street Address 2 & Street Address 3 3 City 4 State or Province 5 Zip Code or Postal Code 6 Country 3. Data sharing between VistA and ES is enhanced. Routines VAFHLFNC and VAFHLZCT have been modified to send the foreign address fields in the ZCT segment when sending the Z07 message. NOTE: While an ORU-Z07 is not being triggered after a Permanent Address is copied into the NOK and NOK-2 address fields, the updating of the PRIMARY NOK CHANGE DATE/TIME and SECONDARY NOK CHANGE DATE/TIME that occurs during the processing of the Permanent Address data will trigger an ORU-Z07. 4. The following menu options incorporate the changes to the EMERGENCY CONTACT DATA, SCREEN <3> listed below: Load/Edit Patient Data [DG LOAD PATIENT DATA] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Register a Patient [DG REGISTER PATIENT] Admit a Patient [DG ADMIT PATIENT] View Registration Data [DG REGISTRATION VIEW] Eligibility Verification [DG ELIGIBILITY VERIFICATION] 5. The EMERGENCY CONTACT DATA, SCREEN <3> is modified as follows: A. All address lines are moved over 10 characters to the left. B. Each associate type displays the Country field at the bottom of the address fields. C. For a foreign address (i.e., Country is not UNITED STATES), the address displayed shows only the City field below the street address and the Province and Postal Code fields below the City. * BEGIN SCREEN CAPTURE * EMERGENCY CONTACT DATA, SCREEN <3> DGPATIENT,ONE; 000-09-3014P SC VETERAN ========================================================================== [1] NOK: DGPATIENT,SON [2] NOK-2: DGPATIENT,DAUGHTER Relation: SON Relation: DAUGHTER ADDRESS LINE[1] ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[2] ADDRESS LINE[3] ADDRESS LINE[3] CITY CITY,STATE ZIP CODE PROVINCE POSTAL CODE UNITED STATES FOREIGN COUNTRY Phone: ###-###-#### Phone: ###-###-#### Work Phone: ###-###-#### Work Phone: ###-###-#### [3] E-Cont.: DGPATIENT,THREE [4] E2-Cont.: UNANSWERED Relation: SON Relation: UNANSWERED ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[3] CITY PROVINCE POSTAL CODE FOREIGN COUNTRY Phone: ###-###-#### Phone: UNANSWERED Work Phone: ###-###-#### Work Phone: UNANSWERED [5] Designee: DGPATIENT,FOUR Relation: SON ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[3] CITY,STATE ZIP CODE UNITED STATES Phone: ###-###-#### Work Phone: ###-###-#### to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: * END SCREEN CAPTURE * 6. Entering or editing the contact addresses in the EMERGENCY CONTACT DATA, SCREEN <3> is modified as follows: A. When editing any associate address, the user is first prompted for the COUNTRY. The entry of the COUNTRY follows the same process and validation rules that are enforced in the VistA REE ADDITIONAL PATIENT DEMOGRAPHIC DATA, SCREEN <1.1>. i. The country defaults to "USA". ii. The country is validated against the COUNTRY CODE file (#779.004). iii. This is a required field, but the user may exit the prompt by entering in the "^" character. This exits the editing process and refreshes the screen. B. If the country entered is UNITED STATES (USA), the address entry/edit process remains unchanged. C. If the country entered is not USA: i. The entry/edit of the Address Lines and City follow the current process. ii. The user is then prompted for the Province. - The field is not required. - The field is Free Text. - The field, if entered, must be between 1-20 characters. - The field may be deleted. iii. The user is then prompted for the Postal Code. - The field is not required. - The field is Free Text. - The field, if entered, must be between 1-10 characters. - The field may be deleted. D. Note: Data entered into these fields are filed immediately into the database. * BEGIN SCREEN CAPTURE * EMERGENCY CONTACT DATA, SCREEN <3> DGPATIENT,ONE; 000-09-3014P SC VETERAN ========================================================================== [1] NOK: DGPATIENT,SON [2] NOK-2: DGPATIENT,DAUGHTER Relation: SON Relation: DAUGHTER ADDRESS LINE[1] ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[2] ADDRESS LINE[3] ADDRESS LINE[3] CITY CITY,STATE ZIP CODE PROVINCE POSTAL CODE UNITED STATES FOREIGN COUNTRY Phone: ###-###-#### Phone: ###-###-#### Work Phone: ###-###-#### Work Phone: ###-###-#### [3] E-Cont.: DGPATIENT,THREE [4] E2-Cont.: UNANSWERED Relation: SON Relation: UNANSWERED ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[3] CITY PROVINCE POSTAL CODE FOREIGN COUNTRY Phone: ###-###-#### Phone: UNANSWERED Work Phone: ###-###-#### Work Phone: UNANSWERED [5] Designee: DGPATIENT,FOUR Relation: SON ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[3] CITY,STATE ZIP CODE UNITED STATES Phone: ###-###-#### Work Phone: ###-###-#### to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: 4 E2-NAME OF SECONDARY CONTACT: DGPATIENT,FIVE E2-RELATIONSHIP TO PATIENT: STEP-DAUGHTER E2-COUNTRY: USA// CANADA CAN Canada E2-STREET ADDRESS [LINE 1]: ADDRESS LINE[1] E2-STREET ADDRESS [LINE 2]: ADDRESS LINE[2] E2-STREET ADDRESS [LINE 3]: ADDRESS LINE[3] E2-CITY: CITY E2-PROVINCE: PROVINCE E2-POSTAL CODE: POSTAL CODE E2-PHONE NUMBER: ###-###-#### E2-WORK PHONE NUMBER: ###-###-#### EMERGENCY CONTACT DATA, SCREEN <3> DGPATIENT,ONE; 000-09-3014P SC VETERAN ========================================================================== [1] NOK: DGPATIENT,SON [2] NOK-2: DGPATIENT,DAUGHTER Relation: SON Relation: ADDRESS LINE[1] ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[2] ADDRESS LINE[3] ADDRESS LINE[3] CITY CITY,STATE ZIP CODE PROVINCE POSTAL CODE UNITED STATES FOREIGN COUNTRY Phone: ###-###-#### Phone: ###-###-#### Work Phone: ###-###-#### Work Phone: ###-###-#### [3] E-Cont.: DGPATIENT,THREE [4] E2-Cont.: DGPATIENT,FIVE Relation: SON Relation: STEP-DAUGHTER ADDRESS LINE[1] ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[2] ADDRESS LINE[3] ADDRESS LINE[3] CITY CITY PROVINCE POSTAL CODE PROVINCE POSTAL CODE FOREIGN COUNTRY CANADA Phone: ###-###-#### Phone: ###-###-#### Work Phone: ###-###-#### Work Phone: ###-###-#### [5] Designee: DGPATIENT,FOUR Relation: SON ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[3] CITY,STATE ZIP CODE UNITED STATES Phone: ###-###-#### Work Phone: ###-###-#### to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: * END SCREEN CAPTURE * 7. The Patient Inquiry [DG PATIENT INQUIRY] option is modified as follows: a. The Emergency Contact Information section (E-Cont. and E2-Cont.) displays the Country field below the address. b. For a foreign address, the Province and Postal Code are displayed next to the City. * BEGIN SCREEN CAPTURE * DGPATIENT,ONE;(ONE) XXX-XX-XXXX JUL 1,1971 ========================================================================== Emergency Contact Information: E-Cont.: DGPATIENT,SON E2-Cont.: DGPATIENT,TWO Relationship: SON Relationship: DAUGHTER ADDRESS LINE[1] ADDRESS LINE[1] ADDRESS LINE[2] ADDRESS LINE[2] ADDRESS LINE[3] ADDRESS LINE[3] CITY PROVINCE POSTALCODE CITY PROVINCE POSTALCODE FOREIGN COUNTRY FOREIGN COUNTRY Phone: ###-###-#### Phone: ###-###-#### Work Phone: ###-###-#### Work Phone: ###-###-#### VHA Profiles Currently Assigned to Veteran: None * END SCREEN CAPTURE * PART 2: Caregiver ================= 1. The following menu options incorporate the new screens detailed below: Load/Edit Patient Data [DG LOAD PATIENT DATA] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Register a Patient [DG REGISTER PATIENT] Admit a Patient [DG ADMIT PATIENT] View Registration Data [DG REGISTRATION VIEW] Eligibility Verification [DG ELIGIBILITY VERIFICATION] ********************************************************************** NOTE: Caregivers are collaterals. If the SHOW VERIFICATION SCREEN? (#11) field in the TYPE OF PATIENT (#391) file is set to NO for collateral patient types, the display of ELIGIBILITY VERIFICATION DATA, SCREEN <11> and subsequent verification screens is prevented. In order to display caregiver information, sites should ensure that the SHOW VERIFICATION SCREEN? (#11) field in the TYPE OF PATIENT (#391) file is set to YES for collateral patient types. ********************************************************************** 2. The ADDITIONAL ELIGIBILITY VERIFICATION DATA, SCREEN <11.5> screen is created with a heading of ADDITIONAL ELIGIBILITY VERIFICATION DATA, SCREEN <11.5>. The screen contains a line item label of Caregiver Status Data and a placeholder entry point to display the number of sponsors associated with the caregiver. The number of sponsors displays when the data is retrieved via an RPC from MPI. If there are zero sponsors, the label displays a "0" for the number of entries. If a connection with MPI cannot be established, a warning message is displayed instead of the number of sponsors: (WARNING: MPI CONNECTION NOT AVAILABLE - Systems will be updated automatically when MPI is available. No further action needed to update). * BEGIN SCREEN CAPTURE * ADDITIONAL ELIGIBILITY VERIFICATION DATA, SCREEN <11.5> LASTNAME,FIRSTNAME; 0000003139 XXX-XX-XXXX COLLATERAL ========================================================================== [1] Caregiver Status Data: (3 entries) to CONTINUE, 1 or ALL to EDIT, ^N for screen N or '^' to QUIT: * END SCREEN CAPTURE * 3. The Caregiver Data <11.5.1> screen is created with a heading of Caregiver Data <11.5.1>; this screen includes the date, time, and number of pages. The screen contains the column labels of: CAREGIVER'S SPONSOR NAME, L4SSN, SUBTYPE, STATUS, and STATUS DATE. The label descriptions are the following: Column Label: Description: ------------- ------------ CAREGIVER'S SPONSOR NAME The name of the Veteran that the caregiver is providing personal care services, including first name, last name, and middle. The sponsor must be a Veteran. L4SSN The last four digits of the sponsor's Social Security Number. SUBTYPE The type of caregiver that the sponsor is associated with; one of three types: PRIMARY, SECONDARY, or GENERAL. The Program of Comprehensive Assistance to Family Caregivers (PCAFC) has a Primary Family Caregiver and a Secondary Family Caregiver; the Program of General Caregivers Support Services (PGCSS) has General Family Caregivers. STATUS One of five types. Including: a. IN PROCESS: The caregiver will appear in this status until they are approved or denied for the Caregiver program. They will be in this status when the health record is made. During this period, evaluations are being conducted with Caregiver Support Coordinator (CSC)/field staff. A registrant will stay in this status until they are approved or denied for the Caregiver program. b. DENIED: The caregiver applied to participate in the Caregiver program but was denied based on the evaluations conducted by the CSCs. c. APPROVED: The caregiver has been approved after completing the training and evaluations in the Computerized Patient Record System (CPRS). They are marked as approved in Caregiver Record Management Application (CARMA). d. REVOKED: A caregiver who has previously been approved for the Caregiver program is removed from the Caregiver program for a reason decided upon by the CSCs staff. e. BENEFIT END: A caregiver who was revoked has reached their benefit end date. CARMA sends this status to trigger the termination of their caregiver VHA Profile (VHAP). STATUS DATE The Date that the caregiver "Status" has been applied to the caregiver record. The entry shall be used to display the sponsors in medical record/status date order (descending order). * BEGIN SCREEN CAPTURE * Caregiver Data <11.5.1> MAR 11, 2020@09:14 PAGE: 1 of 1 __________________________________________________________________________ Patient: LASTNAME, FIRSTNAME (XXXX) COLLATERAL CAREGIVER'S SPONSOR NAME L4SSN SUBTYPE STATUS STATUS DATE __________________________________________________________________________ <1> SPONSORONE,ONE XXXX PRIMARY BENEFIT END FEB 24,2020 <2> SPONSORTWO,TWO XXXX PRIMARY APPROVED FEB 22,2020 <3> SPONSORTHREE,THREE XXXX SECONDARY APPROVED FEB 21,2020 -------------------------------------------------------------------------- Enter ?? for more actions Select Action:Quit// * END SCREEN CAPTURE * PART 3: Hardship ================ 1. When an ORU/ORF-Z10 message is received, sequence 32 of the ZMT segment will populate the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file. The value sent is evaluated to determine whether it is a past or future date. If the value evaluates as a date in the past, the HARDSHIP EXPIRED (#2.12) field of the ANNUAL MEANS TEST (#408.31) file is set to 1 (YES). When viewed by a VistA user on the Hardship Determination [DGMTH HARDSHIPS] option, the word "EXPIRED" will display at the "HARDSHIP?:" label. If the value sent is evaluated as a future date, the HARDSHIP EXPIRED (#2.12) field of the ANNUAL MEANS TEST (#408.31) file is set to 0 (NO), and when viewed by a VistA user on the Hardship Determination [DGMTH HARDSHIPS] option, the value displayed at the "HARDSHIP?:" label will be determined by the value in the HARDSHIP? (#.2) field of the ANNUAL MEANS TEST (#408.31) file in accordance with current VistA processing. * BEGIN SCREEN CAPTURE * Hardship Determinations Mar 10, 2020@12:28:49 Page: 1 of 2 Patient: TESTPATIENT,ONE (XXXX) NSC VETERAN Hardship Current Means Test Status: MT COPAY REQUIRED Income Year: 2018 Means Test Date: OCT 08, 2019 Agreed To Pay Deductible: YES Hardship?: EXPIRED Hardship Effective Date: OCT 22, 2019 Review Date: DEC 31, 2019 Hardship Expiration Date: DEC 31, 2019 Site Granting Hardship: 500 Approved By: Hardship Reason: Paid out-of-pocket medical expenses Date Category Last Changed: + Enter ?? for more actions GH (Grant Hardship) EC Edit Comments Select Action:Next Screen// * END SCREEN CAPTURE * 2. When a Hardship is granted in VistA using the Hardship Determination [DGMTH HARDSHIPS] option and the HARDSHIP EXPIRATION DATE (#2.13) field of the ANNUAL MEANS TEST (#408.31) file is less than 60 days in the future (i.e., Hardship granted after OCT 31), the HARDSHIP REVIEW DATE (#.21) field of the ANNUAL MEANS TEST (#408.31) file will be set to the current date (date the Hardship was granted in VistA). * BEGIN SCREEN CAPTURE * Hardship Determinations Dec 10, 2020@12:21:07 Page: 1 of 2 Patient: TESTPATIENT,ONE (XXXX) NSC VETERAN Hardship Current Means Test Status: MT COPAY REQUIRED Income Year: 2019 Means Test Date: JAN 22, 2020 Agreed To Pay Deductible: YES Hardship?: YES Hardship Effective Date: NOV 22, 2020 Review Date: NOV 24, 2020 Hardship Expiration Date: DEC 31, 2020 Site Granting Hardship: 500 Approved By: Hardship Reason: Paid out-of-pocket medical expenses Date Category Last Changed: + Enter ?? for more actions GH Grant Hardship EC Edit Comments Select Action:Next Screen// * END SCREEN CAPTURE * 3. The View a Past Means Test [DG MEANS TEST VIEW TEST] option will now include the HARDSHIP? field (#.2) of the ANNUAL MEANS TEST (#408.31) file and the HARDSHIP EXPIRATION DATE (#2.13) field data of the ANNUAL MEANS TEST (#408.31) file on the display. The HARDSHIP? (#.2) field of the ANNUAL MEANS TEST (#408.31) file will display with a screen display label of Hardship. *BEGIN SCREEN CAPTURE * Select DATE OF TEST: 10-9-2019// 10082019 OCT 08, 2019 MEANS TEST MT COPAY REQUIRED DCD NOT PRIMARY Patient: TESTPATIENT,ONE Date of Test: OCT 08, 2019 Total Dependents: 0 Type Of Test: MEANS TEST Status: MT COPAY REQUIRED Date/Time Completed: OCT 08, 2019@15 Primary Test For Year: NO Source Of Test: DCD Income: $470000 Completed By: TESTUSER Net Worth: $500 Date/Time Category Changed: Deductible Expenses: $0.00 Category Changed By: Agreed to Pay Deduct.: YES Adjudicated Date/Time: OCT 08, 2019 Declines Income Info: No Longer Required Date: MT Threshold: $33632 Hardship Review Date: NOV 01, 2019 GMT Threshold: $60250 BT Financial Indicator: Date Vet Signed Test: Hardship: YES Means Test Signed?: Hardship Expiration Date: DEC 31, 2019 Hardship Approved By: OTHER VAMC Hardship Review Site: 500 Hardship Reason: Paid out-of-pocket medical expenses COMMENT(S): * END SCREEN CAPTURE * Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT file (#2) K-COUNTRY (#.221) NEW PATIENT file (#2) K-PROVINCE (#.222) NEW PATIENT file (#2) K-POSTAL CODE (#.223) NEW PATIENT file (#2) K2-COUNTRY (#.2101) NEW PATIENT file (#2) K2-PROVINCE (#.2102) NEW PATIENT file (#2) K2-POSTAL CODE (#.2103) NEW PATIENT file (#2) E-COUNTRY (#.3306) NEW PATIENT file (#2) E-PROVINCE (#.3307) NEW PATIENT file (#2) E-POSTAL CODE (#.3308) NEW PATIENT file (#2) E2-COUNTRY (#.331012) NEW PATIENT file (#2) E2-PROVINCE (#.331013) NEW PATIENT file (#2) E2-POSTAL CODE (#.331014) NEW PATIENT file (#2) D-COUNTRY (#.34012) NEW PATIENT file (#2) D-PROVINCE (#.34013) NEW PATIENT file (#2) D-POSTAL CODE (#.34014) NEW ANNUAL MEANS TEST file (#408.31) HARDSHIP EXPIRED (#2.12) NEW ANNUAL MEANS TEST file (#408.31) HARDSHIP EXPIRATION DATE (#2.13) NEW 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 ------------- -------------------- DGMTH HARDSHIP MENU MODIFIED Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- DGEN CGP DETAIL LIST N/A NEW Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- Blood Bank Team Coordination: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: Problem: -------- If the connection to VA MPI is unavailable, a hard error is received and the user is kicked out of the system. Resolution: ---------- When utilizing the VistA Web Service, an error trap is set to capture the error when communication is unavailable. The error is logged in the error trap and the user is able to continue. Test Sites: ----------- Durham VA Medical Center, Durham, NC VA North Florida/South Georgia VA Health System (Gainesville, Lake City), FL West Palm Beach VA Medical Center, West Palm Beach, FL Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/DG_53_P997.KID Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Documentation Title File Name --------------------------------------------------- DG_53_P997.KID Release Notes DG_5_3_P997_RN.PDF User Manual - Registration Menu PIMS_REG_UM.PDF PIMS Technical Manual PIMSTM.PDF User Manual - Means Test Supervisor Menu MTS_UM.PDF Patch Installation: Pre/Post Installation Overview: ------------------------------- N/A Pre-Installation Instructions: ------------------------------ 1. This patch should NOT be installed while the IVM BACKGROUND JOB [IVM BACKGROUND JOB] is running. 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. 2. The HL7 incoming/outgoing filers should be stopped. Use the Stop All Messaging Background Processes [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]. 3. The following options should be disabled during installation: Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] View Registration Data [DG REGISTRATION VIEW] Patient Inquiry [DG PATIENT INQUIRY] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Admit a Patient [DG ADMIT PATIENT] Preregister a Patient [DGPRE PRE-REGISTER OPTION] 4. 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. Installation Instructions: -------------------------- 1. Use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the Host file. When prompted to "Enter a Host File:" enter /srv/vista/patches/SOFTWARE/DG_53_P997.KID 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 DG*5.3*997. B. Select the Backup a Transport Global option to create a backup message of any routines exported with this patch. It will not backup any other changes such as DDs or templates. 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? NO//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option(s): Option Name Menu Text ----------- --------- Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] View Registration Data [DG REGISTRATION VIEW] Patient Inquiry [DG PATIENT INQUIRY] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Admit a Patient [DG ADMIT PATIENT] Preregister a Patient [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: ------------------------------- 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]. 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. Back-Out/Roll Back Plan: ------------------------ In the event a site determines that this patch should be backed out, the site 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 to back up routines was run as directed, "Backup a Transport Global", then routines will have the ability to be restored from the "backup" MailMan message that was generated. However, the KIDS installation process does not perform a backup of other VistA software components, such as DD, cross-reference, and template changes. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13,1993;Build 42 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG53997P Before: n/a After: B3030315 **997** Routine Name: DGCNTRY Before: B4455344 After: B7495059 **688,941,997** Routine Name: DGDDC Before: B8871543 After: B9576741 **489,244,527,700,673,997** Routine Name: DGDDDTTM Before: B7898513 After: B8431744 **665,653,688,754,941,997** Routine Name: DGMTH Before: B21566355 After: B23607217 **182,456,997** Routine Name: DGMTHL1 Before: B89834731 After:B111795948 **182,456,536,858,996,997** Routine Name: DGMTU23 Before: B32393864 After: B36930868 **33,182,254,272,420,435,456, 624,904,996,997** Routine Name: DGRP11A Before: n/a After: B8975026 **997** Routine Name: DGRP11B Before: n/a After: B13570407 **997** Routine Name: DGRP3 Before: B7185701 After: B7640767 **997** Routine Name: DGRPD1 Before: B12156585 After: B19740990 **703,730,688,863,935,985,997** Routine Name: DGRPE Before: B78954100 After: B96981177 **32,114,139,169,175,247,190, 343,397,342,454,415,489,506, 244,547,522,528,555,508,451, 626,638,624,677,672,702,689, 735,688,797,842,865,871,887, 941,985,997** Routine Name: DGRPH Before: B27974831 After: B31038182 **114,343,397,415,489,545,638, 624,689,842,941,985,997** Routine Name: DGRPP Before: B19338452 After: B21008815 **92,147,343,404,397,489,689, 688,828,797,871,997** Routine Name: DGRPP1 Before: B6097232 After: B6598213 **489,508,997** Routine Name: DGRPU Before: B89347012 After:B101794854 **33,114,489,624,672,689,688, 935,941,997** Routine Name: DGRPV Before: B19825029 After: B21234422 **109,114,247,190,327,365,343, 397,415,489,546,545,451,624, 677,672,689,716,688,797,842, 871,887,941,985,997** Routine Name: VAFCREL Before: B21239234 After: B22322249 **1001,997** Routine Name: VAFHLFNC Before: B2903240 After: B5131492 **33,122,997** Routine Name: VAFHLZCT Before: B9453735 After: B10401035 **68,653,754,997** Routine list of preceding patches: 122, 673, 985, 996, 1001 ============================================================================= User Information: Entered By : Date Entered : OCT 17, 2019 Completed By: Date Completed: AUG 10, 2020 Released By : Date Released : AUG 10, 2020 ============================================================================= Packman Mail Message: ===================== No routines included