============================================================================= Run Date: AUG 24, 2020 Designation: DG*5.3*993 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #886 Status: Released Compliance Date: AUG 27, 2020 ============================================================================= Associated patches: (v)DG*5.3*268 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*604 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*808 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*895 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*919 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*921 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*926 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*977 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*982 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*996 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*1000 <<= must be installed BEFORE `DG*5.3*993' (v)DG*5.3*1024 <<= must be installed BEFORE `DG*5.3*993' Subject: SEPARATE PATIENT REGISTRATION FROM ENROLLMENT Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other Description: ============ Patch DG*5.3*993 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*993 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. Patch DG*5.3*993 supports the Health Eligibility Center (HEC), which needs to separate registration events from enrollment events. This supports the Veterans Affairs (VA) Office of Inspector General (OIG) recommendation (VA OIG Audit 16-00355-296) #4 - to prevent medical and other registrations from triggering an enrollment application. The anticipated outcome is to allow Veterans, service members, and other nonveterans to register without applying for enrollment for VHA healthcare services. Currently, in Veterans Health Information System and Technology Architecture (VistA), when patients are added (registered) in VistA for reasons other than enrollment, the Enrollment System (ES) attempts to determine eligibility and enrollment, even if an enrollment application has not been submitted by a Veteran. With Host File DG_53_P993.KID, ES knows whether the person intends to enroll or only to register. SUMMARY OF UPDATES ================== 1. Prevent adding new patients via Load/Edit Patient Data [DG LOAD PATIENT DATA] and Admit a Patient [DG ADMIT PATIENT] options. 2. The option Register a Patient [DG REGISTER PATIENT] contains a new prompt for the self-reported registration reason and some prompts are reworded and moved to the beginning of the option. 3. A new Enrollment Status (REGISTRATION ONLY) is added and assigned to patients who do not wish to apply for enrollment. 4. Patients with an Enrollment Status of REGISTRATION ONLY are not subject to a financial assessment and cannot add a Means Test or RX Copay Exemption Test. 5. New registration information is exchanged with ES via Health Level 7 (HL7) messaging. NOTE: DG*5.3*993 is being released with EAS*1.0*190 and IVM*2.0*162 in Host File DG_53_P993.KID. Listing of Updates: =================== This patch includes the following enhancements: 1. From the Admit a Patient [DG ADMIT PATIENT] option, VistA does not allow new patient records to be added from the "Admit PATIENT" prompt. 1.1. If the patient entered is not found at the local site, the system no longer prompts "ARE YOU ADDING . . . AS A NEW PATIENT. . .? No//". 1.2. When a user enters a patient's name in double quotes, the system no longer prompts "ARE YOU ADDING . . . AS A NEW PATIENT. . .? No//". 1.3. If the patient entered is not found at the local site, the system now responds with "??" after the patient name. The system displays a new message and the Admit PATIENT prompt is redisplayed. 1.4. The new message is "Use Register A Patient option to add a new person." 1.5. In the Admit a Patient [DG ADMIT PATIENT] option, if the user enters ?? at the Admit PATIENT Prompt and then exits by entering a caret '^' from the list of patients at the "Type to continue or '^' to exit:" prompt, the system will no longer display a message and will return to the Admit PATIENT prompt. 2. From the Load/Edit Patient Data [DG LOAD PATIENT DATA] option, VistA does not allow a new patient record to be added from the "Select PATIENT NAME:" prompt. 2.1. At the "Select PATIENT NAME:" prompt, if the patient entered is not found at the local site, the system no longer prompts: "ARE YOU ADDING . . . AS A NEW PATIENT. . .? No//". 2.2. When a user enters a patient's name in double quotes, the system no longer prompts "ARE YOU ADDING . . . AS A NEW PATIENT. . .? No//". 2.3. If the patient entered is not found at the local site, the system now responds with "??" after the patient name. The system displays a new message and the "Select PATIENT NAME:" prompt is redisplayed. The new message is "Use Register A Patient option to add a new person." 2.4. In the Load/Edit Patient Data [DG LOAD PATIENT DATA] option, if the user enters ?? at the Select PATIENT NAME prompt and if the user exits by entering a caret '^' from the list of patients at the "Type to continue or '^' to exit:" prompt, the system shall no longer display a message and will return to the Select PATIENT NAME prompt. 3. Four new fields are added to the PATIENT ENROLLMENT file (#27.11). 3.1. 27.11,.14 PT APPLIED FOR ENROLLMENT? 0;14 SET (audited) PATIENT APPLIED FOR ENROLLMENT? '0' FOR NO; '1' FOR YES; LAST EDITED: NOV 13, 2019 HELP-PROMPT: Select Y or YES if the patient wants to apply for enrollment for VHA Healthcare benefits. Select N or NO if the patient only wants to register without applying for enrollment. DESCRIPTION: This field is set to 0 (zero) if the patient did not apply for enrollment (registration only), or 1 if the patient did apply for enrollment. AUDIT: YES, ALWAYS 3.2. 27.11,.15 REGISTRATION ONLY REASON 0;15 POINTER TO PATIENT REGISTRATION ONLY REASON file (#408.43) (audited) LAST EDITED: FEB 04, 2020 HELP-PROMPT: Select a reason for this patient registration. DESCRIPTION: This field contains the reason for the registration of a patient. AUDIT: YES, ALWAYS NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 3.3. 27.11,.16 REGISTRATION ONLY DATE 0;16 DATE (audited) INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 01, 2020 HELP-PROMPT: Enter the date and time the patient registered. DESCRIPTION: This field contains the date and time when the patient was first registered. It can also be blank (null) for any patients that existed prior to the creation of this field. AUDIT: YES, ALWAYS NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 3.4. 27.11,.17 SOURCE OF REGISTRATION 0;17 SET (audited) '1' FOR VAMC; '2' FOR HEC; '3' FOR HCA; '4' FOR CARMA; '5' FOR OTHER; LAST EDITED: FEB 13, 2020 HELP-PROMPT: Please select the source of registration for the patient. DESCRIPTION: This field determines the source of registration for the patient. AUDIT: YES, ALWAYS SOURCE OF DATA: Q 4. One field is modified in the PATIENT ENROLLMENT file (#27.11). In the ENROLLMENT APPLICATION DATE (#.01) field, a TITLE of "APPLICATION DATE" is added and the HELP PROMPT and DESCRIPTION are modified. 27.11,.01 ENROLLMENT APPLICATION DATE 0;1 DATE (Required) APPLICATION DATE: INPUT TRANSFORM: S %DT="EPX" D ^%DT S X=Y K:Y<1 X I $D(X) D H^DGUTL K:X>DGTIME X K DGTIME,DGDATE I $G(X)>0 D ENRAPP^DGENDD LAST EDITED: JULY 15, 2020 HELP-PROMPT: Enter the date of the Application for Enrollment or date of Registration (today's date). Enrollment Application Date must not be before 10/1/1996 or patient's DOB. Date of Registration is system set. DESCRIPTION: The date the application/registration was completed. The Enrollment Application date (labeled Application Date) is user entered or set by the Z11 upload from ES for patients who complete the Registration or Enrollment Application i.e., the signature date. The date of the Registration cannot be entered in VistA, it is set by the system during new patient registration to today's date or by the Z11 upload from ES. Enrollment Application Date: Must be a date prior or equal to the veterans 'Date of Death' Must be a precise date, i.e. a day, month and year MUST be included Cannot be a date prior to the veterans 'Date of Birth' Cannot be a date in the future Cannot be a date prior to 10/1/1996 UNEDITABLE NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 27.11^B 1)= S ^DGEN(27.11,"B",$E(X,1,30),DA)="" 2)= K ^DGEN(27.11,"B",$E(X,1,30),DA) CROSS-REFERENCE: 27.11^AENR01^MUMPS 1)= D E2711^DGRTRIG(DA) 2)= D E2711^DGRTRIG(DA) 3)= DO NOT DELETE This cross-reference is used to notify HEC of changes that may affect enrollment. 5. A new entry is added to the ENROLLMENT STATUS file (#27.15): ENTRY NUMBER: 25 NAME: REGISTRATION ONLY ENROLLMENT CATEGORY: NOT ENROLLED DESCRIPTION: This entry is for patients who do not apply for enrollment for VHA healthcare benefits. 6. The new PATIENT REGISTRATION ONLY REASON file (#408.43) is added. This file contains a list of reasons that can be selected when a user is creating a patient that either does not want to be enrolled for VA care (Registration only) or is a Collateral patient. DD ACCESS: @ RD ACCESS: @ WR ACCESS: @ DEL ACCESS: @ LAYGO ACCESS: @ AUDIT ACCESS: @ POINTED TO BY: REGISTRATION ONLY REASON field (#.15) of the PATIENT ENROLLMENT File (#27.11) CROSS REFERENCED BY: REASON(B), CODE(C) LAST MODIFIED: JULY 20,2020@12:40 6.1. 408.43,.01 REASON 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>50!($L(X)<3) X MAXIMUM LENGTH: 50 LAST EDITED: MAY 08, 2020 HELP-PROMPT: Answer must be 3-50 characters in length. DESCRIPTION: This field contains a patient's self-reported Registration reason. CROSS-REFERENCE: 408.43^B 1)= S ^DG(408.43,"B",$E(X,1,30),DA)="" 2)= K ^DG(408.43,"B",$E(X,1,30),DA) 6.2. 408.43,.02 AVAILABILITY 0;2 SET (Required) '1' FOR REGISTER A PATIENT; '2' FOR COLLATERAL OF PATIENT; '3' FOR RECORD CREATED BY HEC; LAST EDITED: FEB 04, 2020 HELP-PROMPT: Select the availability type for this record. DESCRIPTION: This field contains values that determine which records can be selected for different processes. 6.3. 408.43,.03 CODE 0;3 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: MAY 08, 2020 HELP-PROMPT: Type a number between 1 and 99, 0 decimal digits. DESCRIPTION: This field contains a code for Registration reason. CROSS-REFERENCE: 408.43^C 1)= S ^DG(408.43,"C",$E(X,1,30),DA)="" 2)= K ^DG(408.43,"C",$E(X,1,30),DA) This cross-reference allows look-up by Code. 7. Three user prompts are moved from the end of the Register a Patient [DG REGISTER PATIENT] option to the beginning, following the prompt "Insurance data retrieval has been initiated." If the patient is a Veteran, the following prompt displays unless the response is already stored as YES and the patient is known to ES per Master Patient Index (MPI) as stored in the TREATING FACILITY LIST (#391.91) file. DO YOU WISH TO ENROLL?: 7.1. If DO YOU WISH TO ENROLL?: is already NO and the Veteran responds YES, the message in the following screen capture appears: * BEGIN SCREEN CAPTURE * DO YOU WISH TO ENROLL?: NO// Y YES This is an existing patient. To complete the enrollment application process, please use the Enrollment System. Press RETURN to continue or '^' to exit: * END SCREEN CAPTURE * 7.2. If the Veteran answers YES, these prompts follow: APPLICATION DATE: NOW// Do you want an appt. with a VA doctor/provider as soon as available?: YES// Two fields are then populated in the PATIENT file (#2) as follows: The APPOINTMENT REQUEST ON 1010EZ field (#1010.159) is updated with the answer YES or NO. The APPOINTMENT REQUEST DATE field (#1010.1511) is set to today's date. 7.3. For nonveterans and Veterans who do not wish to enroll, this prompt follows unless it has already been populated: * BEGIN SCREEN CAPTURE * SELF-REPORTED REGISTRATION ONLY REASON: Select one of the following: 1 ART/IVF 2 Active Duty 3 Beneficiary 4 C&P Disability Benefits Exam 5 Collateral (Other) 6 Employee 7 Exposure Registry Exam 8 Humanitarian/Emergency 9 Legislative Mandate 10 Marriage/Family Counseling 11 Newborn 12 Other 13 Other Than Honorable (OTH) 14 Research 15 Service Connected Only 16 VHA Transplant Program SELF-REPORTED REGISTRATION ONLY REASON: * END SCREEN CAPTURE * 8. In the Register a Patient [DG REGISTER PATIENT] option, if the patient's ENROLLMENT STATUS is REGISTRATION ONLY, then the default values for the following prompts are set as shown: TYPE OF BENEFIT APPLIED FOR: OUTPATIENT MEDICAL// TYPE OF CARE APPLIED FOR: ALL OTHER// 9. At the end of patient registration when a record is created in the PATIENT ENROLLMENT file (#27.11), the following new fields are populated: 9.1. If the patient answered YES to the DO YOU WISH TO ENROLL?: question these fields are populated in the PATIENT ENROLLMENT file (#27.11) record: 9.1.1. The PT APPLIED FOR ENROLLMENT field (#.14) is set to YES. 9.1.2. The REGISTRATION ONLY DATE field (#.16) is set to NOW. 9.1.3. The SOURCE OF REGISTRATION field (#.17) is set to 1 (VAMC). 9.2. If the patient answered NO to the DO YOU WISH TO ENROLL?: question or if the patient is a nonveteran, these fields are populated in the enrollment record: 9.2.1. The PT APPLIED FOR ENROLLMENT field (#.14) is set to NO (herein referred to as ENROLL = NO). 9.2.2. The REGISTRATION ONLY REASON field (#.15) is set to the value selected by the user above. 9.2.3. The REGISTRATION ONLY DATE field (#.16) is set to NOW. 9.2.4. The SOURCE OF REGISTRATION field (#.17) is set to 1 (VAMC). 10. If the PT APPLIED FOR ENROLLMENT field (#.14) is NO, the Priority Group is null. 11. The label "Enrollment Application Date" is changed to "Application Date" at the end of Register A Patient [DG REGISTER PATIENT] option. * BEGIN SCREEN CAPTURE * Patient is NOT enrolled in the VA Patient Enrollment System... Enrollment Date : -none- Application Date : -none- Enrollment Category : NOT ENROLLED Enrollment Status : REGISTRATION ONLY Enrollment Priority : -none- Preferred Facility : -none- Preferred Facility Source : -none- Enrollment Group Threshold : GROUP 8d * END SCREEN CAPTURE * 12. When a new patient is added to the site with the Collateral Patient Register [DG COLLATERAL PATIENT] option, after the system prompts for a "SPONSOR:", this new prompt displays: SELF-REPORTED REGISTRATION ONLY REASON Select one of the following: 1 ART/IVF 2 Collateral (Other) 3 Marriage/Family Counseling 4 Newborn 5 VHA Transplant Program SELF-REPORTED REGISTRATION ONLY REASON 12.1. At the end of the new Collateral patient registration, a record is created in the PATIENT ENROLLMENT file (#27.11) and the following fields are populated: 12.1.1. The PT APPLIED FOR ENROLLMENT field (#.14) is set to NO. 12.1.2. The REGISTRATION ONLY REASON field (#.15) is set to the value selected by the user above. 12.1.3. The REGISTRATION ONLY DATE field (#.16) is set to NOW. 12.1.4. The SOURCE OF REGISTRATION field (#.17) is set to 1 (VAMC). 13. In the Disposition an Application [DG DISPOSITION APPLICATION] option, if the patient's ENROLLMENT STATUS is REGISTRATION ONLY, and "Is the patient to be examined in the medical center today?:" was answered "NO", then the default value for the following prompts are set as shown: STATUS: APPLICATION WITHOUT EXAM// Select the type of disposition: CANCEL WITHOUT EXAM// 14. In the Disposition an Application [DG DISPOSITION APPLICATION] option, if the patient's ENROLLMENT STATUS is REGISTRATION ONLY, and "Is the patient to be examined in the medical center today?:" was answered "YES", then the default value for the following prompt is set as shown: STATUS: 10/10 VISIT// 15. The Disposition an Application [DG DISPOSITION APPLICATION] option does NOT display the following prompts if the patient has an enrollment status of REGISTRATION ONLY: Do you wish to enroll in the VA Patient Enrollment System? YES// ENROLLMENT APPLICATION DATE: Do you want an appt. with a VA doctor/provider as soon as available?: YES// The following screen capture shows the Disposition an Application [DG DISPOSITION APPLICATION] option where the enrollment questions are not asked: * BEGIN SCREEN CAPTURE * Select OPTION NAME: DG DISPOSITION APPLICATION Disposition an Application Disposition PATIENT: DECpatientA,two 9-99-99 999999999 YES SC VETERAN Enrollment Priority: Category: NOT ENROLLED End Date: LOG DATE TYPE OF BENEFIT APPLIED FOR ----------------------------------------------- 10/20/2019@08:11 HOSPITAL STATUS: APPLICATION WITHOUT EXAM// TYPE OF BENEFIT APPLIED FOR: HOSPITAL// TYPE OF CARE APPLIED FOR: ALL OTHER// REGISTRATION ELIGIBILITY CODE: SC LESS THAN 50%// LOG OUT DATE TIME: NOW// (OCT 29, 2019@07:15) REASON FOR LATE DISPOSITION: 8 REASON NOT KNOWN Select the type of disposition: CANCEL WITHOUT EXAM// Updating eligibility status for this registration... SC% AT REGISTRATION: 40// Patient is NOT enrolled in the VA Patient Enrollment System... Enrollment Date : -none- Application Date : OCT 20, 2019 Enrollment Category : NOT ENROLLED Enrollment Status : REGISTRATION ONLY Enrollment Priority : -none- Preferred Facility : -none- Preferred Facility Source : -none- Enrollment Group Threshold : -none- ***** Registration dispositioned ***** * END SCREEN CAPTURE * 16. Option, Patient Enrollment [DGEN PATIENT ENROLLMENT] Page 1 screen and Expand History [DGEN EXPAND HISTORY] action protocol Page 1 screen within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option do not display the Enrollment Date and the Enrollment End Date labels and values if the Enrollment Status is REGISTRATION ONLY. * BEGIN SCREEN CAPTURE * Patient Enrollment Mar 26, 2020@10:26:18 Page: 1 of 4 Patient: DECPATIENTTHREE (9999) NON-VETERAN (OTHER) Preferred Facility: Current Enrollment Preferred Facility Source: Enrollment Application Date: AUG 03, 2020 Source of Enrollment: HEC Enrollment Category: NOT ENROLLED Enrollment Status: REGISTRATION ONLY Reason for Closed Application: Enrollment Priority: Effective Date: AUG 03, 2020 Reason Canceled/Declined: Canceled/Declined Remarks: Entered By: POSTMASTER + Query: 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// * END SCREEN CAPTURE * 17. If the patient answered NO to DO YOU WISH TO ENROLL (ENROLL = NO), the Consistency Check "55 INCOME DATA MISSING" does not appear when consistencies are checked. In addition, the question "Do you wish to return to Screen #9 to enter missing Income Data?" is not displayed after the Consistency Check at the end of the following options: Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Eligibility Verification [DG ELIGIBILITY VERIFICATION] 18. The patient is not subject to a Means Test or RX Copay Exemption Test financial assessment when ENROLL = NO. 18.1. The user is NOT asked if they wish to complete a Means Test in any VistA Registration option. 18.2. Prompts and messages related to Means Testing are NOT displayed in VistA Registration options. 19. For a record where ENROLL = NO, from the Preregister a Patient [DGPRE PRE-REGISTER OPTION] option, financial assessment information is NOT displayed after "Other Eligibilities:" and the "[PRE-REGISTER DATE"]". 20. For a record that is ENROLL = NO, the Add A New Means Test option [DG MEANS TEST ADD] prevents a user from completing a Means Test. After the patient is selected, the system displays the existing message: "A means test can only be added for patients who require one." 21. For a record that is ENROLL = NO, a VistA user is NOT allowed to add a new Copay Exemption Test in [DG CO-PAY TEST ADD] option. The new message "Patient's Enrollment Status is REGISTRATION ONLY" is displayed. * BEGIN SCREEN CAPTURE * CHOOSE 1-5: 1 DG CO-PAY TEST ADD Add a Copay Exemption Test Add a Copay Exemption Test Select PATIENT NAME: DECpatientA,two ,two DECpatientA,two 9-99-9999 NO NSC VETERAN Enrollment Priority: Category: NOT ENROLLED End Date: A copay exemption test can only be added for applicable veterans. Patient's Enrollment Status is REGISTRATION ONLY. Select PATIENT NAME: * END SCREEN CAPTURE * 22. With the exception of a death notification for a patient, whenever VistA processing calculates the Priority Group, if the Enrollment Status is Registration Only, the Priority Group remains null and the Enrollment Status remains Registration Only, regardless of eligibility factors. When a patient death notification is received or entered, the Enrollment Status calculation follows the existing process. 23. The HL7 interface with ES (ORU/ORF-Z11 and ORU/ORF-Z07) is modified to include four additional data elements: 23.1. PT APPLIED FOR ENROLLMENT?: The message populates sequence #16 in the ZEN segment. 23.2. REGISTRATION ONLY REASON: The message populates sequence #17 in the ZEN segment. 23.3. REGISTRATION ONLY DATE: The message populates sequence #18 in the ZEN segment. 23.4. SOURCE OF REGISTRATION: The message populates sequence #19 in the ZEN segment. 24. When VistA receives an HL7 ORU-Z11/ORF-Z11 message from ES, the message is rejected in the following conditions: 24.1. PT APPLIED FOR ENROLLMENT in the ZEN segment #16 is NO, patient is a Veteran and the patient applied for enrollment: (Patient Enrollment (#27.11) file PT APPLIED FOR ENROLLMENT (#.14) field is YES). 24.2. ENROLLMENT STATUS is 25 (REGISTRATION ONLY) and REGISTRATION ONLY DATE in the ZEN sequence #18 is not provided. 25. When VistA accepts an HL7 ORU-Z11/ORF-Z11 message, the following are stored in PATIENT ENROLLMENT file (#27.11): 25.1 The PT APPLIED FOR ENROLLMENT? at sequence #16 in the ZEN segment is updated in the PT APPLIED FOR ENROLLMENT? field (#.14). 25.2 The REGISTRATION ONLY REASON at sequence #17 in the ZEN segment is updated in the REGISTRATION ONLY REASON field (#.15) after CODE lookup in PATIENT REGISTRATION ONLY REASON file (#408.43). 25.3 The REGISTRATION ONLY DATE at sequence #18 in the ZEN segment is updated in the REGISTRATION ONLY DATE field (#.16). 25.4 The SOURCE OF REGISTRATION at sequence #19 in the ZEN segment is updated in the SOURCE OF REGISTRATION field (#.17). 25.5. If the ENROLLMENT STATUS received is REGISTRATION ONLY and the APPLICATION DATE is not provided, the ENROLLMENT APPLICATION DATE (#.01) field is set equal to the REGISTRATION ONLY DATE from sequence #18 in the ZEN segment. 25.6. If the ENROLLMENT STATUS received is REGISTRATION ONLY and the ENROLLMENT SOURCE is not provided, the SOURCE OF ENROLLMENT (#.03) field is set equal to "HEC". 25.7. If the ENROLLMENT STATUS received is REGISTRATION ONLY and the EFFECTIVE DATE is not provided, the EFFECTIVE APPLICATION DATE (#.08) field is set equal to the REGISTRATION ONLY DATE from sequence #18 in the ZEN segment. 26. When VistA sends an HL7 ORU-Z07/ORF-Z07 message, the following are populated from the PATIENT ENROLLMENT file (#27.11): 26.1 The PT APPLIED FOR ENROLLMENT? at sequence #16 in the ZEN segment is populated from the PT APPLIED FOR ENROLLMENT? field (#.14). 26.2 The REGISTRATION ONLY REASON at sequence #17 in the ZEN segment is populated from the CODE of REGISTRATION ONLY REASON field (#.15). The Code is retrieved from the CODE field (#.03) of the PATIENT REGISTRATION ONLY REASON file (#408.43). 26.3 The REGISTRATION ONLY DATE at sequence #18 in the ZEN segment is populated from the REGISTRATION ONLY DATE field (#.16). 26.4 The SOURCE OF REGISTRATION at sequence #19 in the ZEN segment is populated from the SOURCE OF REGISTRATION field (#.17). 27. The Enroll Patient (EP) action protocol in the Patient Enrollment [DGEN PATIENT ENROLLMENT] option displays a message "Enroll Patient may not be selected at this point.", and no longer prompts non-enrolled Veterans if they wish to enroll for VHA Healthcare. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------ -------------------- PATIENT ENROLLMENT (#27.11) PT APPLIED FOR New ENROLLMENT? (#.14) REGISTRATION ONLY REASON New (#.15) REGISTRATION ONLY DATE New (#.16) SOURCE OF REGISTRATION New (#.17) ENROLLMENT APPLICATION Modified DATE (#.01) DISPOSITION LOG-IN EXAMINED IN MEDICAL CENTER New DATE/TIME SUB-FILE (#2.101) (#7) PATIENT REGISTRATION ONLY REASON (#.01) New REASON (#408.43) AVAILABILITY (#.02) New CODE (#.03) New 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 ------------- -------------------- DGEN ENROLL PATIENT Modified 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: Blood Bank Team Coordination: ----------------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A 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_P993.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 can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE Documentation Title File Name ---------------------------------------------------------- DG_53_P993.KID Release Notes DG_5_3_P993_RN.PDF User Manual - Registration Menu PIMS_REG_UM.PDF PIMS Technical Manual PIMSTM.PDF User Manual - ADT Module ADTBE_UM.PDF Patch Installation: ------------------- Pre/Post Installation Overview: See Pre and Post-Installation instructions below. Pre-Installation Instructions: 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. It should NOT be installed while the IVM BACKGROUND JOB [IVM BACKGROUND JOB] is running. 1. 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. 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]. 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. 4. The following options should be disabled during installation: Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA ] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Collateral Patient Register [DG COLLATERAL PATIENT] Patient Enrollment [DGEN PATIENT ENROLLMENT] Disposition an Application [DG DISPOSITION APPLICATION] Admit a Patient [DG ADMIT PATIENT] Add a Copay Exemption Test [DG CO-PAY TEST ADD] Add a New Means Test [DG MEANS TEST ADD] 5. The action protocol Link to Patient File [EAS EZ LINK TO FILE 2] should be disabled. 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_P993.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 (ex: DG*5.3*993) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. 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? YES//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option: Option Name Menu Text ----------- --------- Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Collateral Patient Register [DG COLLATERAL PATIENT] Patient Enrollment [DGEN PATIENT ENROLLMENT] Disposition an Application [DG DISPOSITION APPLICATION] Admit a Patient [DG ADMIT PATIENT] Add a Copay Exemption Test [DG CO-PAY TEST ADD] Add a New Means Test [DG MEANS TEST ADD] b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. If 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 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 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, Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 92 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG10 Before: B29845134 After: B30243859 **32,109,139,149,182,326,513, 425,574,642,658,773,864,921, 993** Routine Name: DGCOL Before: B20055071 After: B22584057 **2,23,32,993** Routine Name: DGDIS Before: B24999461 After: B40795456 **108,121,161,151,459,604,993** Routine Name: DGEN Before: B67215817 After: B85820605 **121,122,165,147,232,314,624,993** Routine Name: DGENA Before: B30915262 After: B33566782 **121,122,147,232,314,564,672, 659,653,688,841,909,940,972, 952,993** Routine Name: DGENA1A Before: B23379168 After: B31770513 **121,147,232,314,564,672,659, 653,688,841,909,940,972,952, 993** Routine Name: DGENA2 Before: B68415941 After: B71617827 **121,122,147,232,327,469,491, 779,788,824,982,993** Routine Name: DGENA3 Before: B47876247 After: B48722407 **232,306,327,367,417,454,456, 491,514,451,808,993** Routine Name: DGENA6 Before: B21685346 After: B28201721 **232,327,417,491,513,672,940,993** Routine Name: DGENELA4 Before: B77700222 After: B84037308 **232,275,306,327,314,367,417, 437,456,491,451,564,672,659, 653,688,803,754,841,909,972, 952,993** Routine Name: DGENL1 Before: B89499051 After: B93630579 **121,147,232,266,343,564,672, 659,653,688,838,841,909,940, 972,993** Routine Name: DGENU Before: B51894320 After: B54414675 **121,122,147,232,314,564,624, 672,659,653,688,536,838,841, 909,940,972,952,993** Routine Name: DGENUPL2 Before: B83311291 After:B100634225 **147,222,232,310,314,367,397, 677,631,675,672,673,716,653, 688,838,842,894,934,940,993** Routine Name: DGENUPL7 Before: B39818465 After: B49503633 **232,367,397,417,379,431,513, 628,673,653,742,688,797,871, 972,952,977,993** Routine Name: DGENUPL8 Before: B66143742 After: B73379386 **232,266,327,314,365,417,514, 688,940,952,993** Routine Name: DGMTA Before: B45774260 After: B46650824 **33,45,137,166,177,182,290, 344,332,433,458,535,612,564, 688,661,840,972,996,993** Routine Name: DGMTCOR Before: B37845960 After: B39879579 **21,45,182,290,305,330,344, 495,564,773,840,858,972,993** Routine Name: DGMTR Before: B72013665 After: B77083354 **45,93,114,137,141,147,177, 182,146,305,326,314,344,402, 426,456,495,672,688,773,840, 841,858,972,993** Routine Name: DGMTR1 Before: B34321057 After: B35809982 **182,344,433,456,564,688,840, 858,972,993** Routine Name: DGPMV Before: B18101511 After: B17959161 **60,200,268,993** Routine Name: DGREG Before: B56067620 After:B156355963 **1,32,108,147,149,182,245,250, 513,425,533,574,563,624,658, 864,886,915,926,1024,993** Routine Name: DGRPC2 Before: B73474535 After: B77613999 **45,69,108,121,205,218,342, 387,470,467,489,505,507,528, 451,564,570,657,688,780,797, 858,895,993** Routine Name: DPTLK Before:B126157640 After:B136022799 **32,72,93,73,136,157,197,232, 265,277,223,327,244,513,528, 541,576,600,485,633,629,647, 769,857,876,915,919,993** Routine Name: VAFHLZEN Before: B14943123 After: B24546226 **122,147,232,993** Routine list of preceding patches: 268, 604, 808, 895, 919, 921, 977, 982 996, 1024 ============================================================================= User Information: Entered By : Date Entered : OCT 15, 2019 Completed By: Date Completed: AUG 24, 2020 Released By : Date Released : AUG 24, 2020 ============================================================================= Packman Mail Message: ===================== No routines included