$TXT Created by DEVCRN.DOMAIN.EXT (KIDS) on Monday, 10/25/21 at 09:38 ============================================================================= Run Date: NOV 23, 2021 Designation: DG*5.3*1059 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #929 Status: Released Compliance Date: DEC 20, 2021 ============================================================================= Associated patches: (v)DG*5.3*1061 <<= must be installed BEFORE `DG*5.3*1059' (v)DG*5.3*941 <<= must be installed BEFORE `DG*5.3*1059' (v)DG*5.3*950 <<= must be installed BEFORE `DG*5.3*1059' (v)DG*5.3*967 <<= must be installed BEFORE `DG*5.3*1059' (v)DG*5.3*974 <<= must be installed BEFORE `DG*5.3*1059' (v)DG*5.3*981 <<= must be installed BEFORE `DG*5.3*1059' (v)DG*5.3*996 <<= must be installed BEFORE `DG*5.3*1059' Subject: MASTER VETERAN INDEX VISTA ENHANCEMENT - NEW DEMOGRAPHIC FIELDS Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ NOTE: Master Veteran Index (MVI) enhancements are being distributed in three VistA namespaces: DG, MPIF and RG. The only build enforced requirement for this set of related patches is that DG*5.3*1059 be installed before MPIF*1.0*78 and RG*1.0*76. Patches MPIF*1.0*78 and RG*1.0*76 can be installed in any order as there are NO dependencies between them. (Do NOT install MPIF*1.0*78 or RG*1.0*76 on legacy sites or on the FORUM CLAIMS system.) NOTE: Legacy sites and the FORUM CLAIMS system can install just the DG*5.3*1059 patch. MPIF*1.0*78 and RG*1.0*76 should NOT be installed on legacy sites or on the FORUM CLAIMS system. DG*5.3*941, DG*5.3*950, DG*5.3*967, DG*5.3*974, DG*5.3*981, DG*5.3*996, and DG*5.3*1061 are the required builds for patch DG*5.3*1059. The following enhancements exported in this patch will allow the Master Veteran Index (MVI) to monitor additional demographic fields being added and some that already exist in the PATIENT (#2) file for changes. Enhancement #1 The following Data Dictionary (DD) changes have been made: - The following new fields were added to the PATIENT (#2) file with auditing enabled and an 'AVAFC' cross-reference (X-REF) that will allow MVI to monitor them for changes: .SEXUAL ORIENTATION (#.025) - Multiple / AVAFC202501 (Pointer to NEW File #47.77) .SEXUAL ORIENTATION DESCRIPTION (#.0251) - Free Text / AVAFC0251 .PRONOUN (#.2406) - Multiple / AVAFC2240601 (Pointer to NEW File #47.78) .PRONOUN DESCRIPTION (#.24061) - Free Text / AVAFC24061 .INDIVIDUAL TAX ID (#991.11) - NUMBER (900000000 - 999999999) AVAFC99111 **ATTENTION: These new fields are clinical in nature and are currently only available for display. Any changes to these fields must be made by a clinician through the Computerized Patient Record System (CPRS). - The following existing fields were modified in the PATIENT (#2) file to add an 'AVAFC' X-REF to now allow MVI to monitor them for changes: .RESIDENTIAL ADDRESS [LINE 1] (#.1151) - AVAFC1151 .RESIDENTIAL ADDRESS [LINE 2] (#.1152) - AVAFC1152 .RESIDENTIAL ADDRESS [LINE 3] (#.1153) - AVAFC1153 .RESIDENTIAL CITY (#.1154) - AVAFC1154 .RESIDENTIAL STATE (#.1155) - AVAFC1155 .RESIDENTIAL ZIP+4 (#.1156) - AVAFC1156 .RESIDENTIAL PROVINCE (#.11571) - AVAFC11571 .RESIDENTIAL POSTAL CODE (#.11572) - AVAFC11572 .RESIDENTIAL COUNTRY (#.11573) - AVAFC11573 Note: 'AVAFC' X-REFs make use of the DG FIELD MONITOR tool that was released in patch DG*5.3*527. This tool utilizes the VAFC MPIPD FIELD TRIGGER protocol, which creates an entry in the ADT/HL7 PIVOT (#391.71) file, as well as sets the VAFCF variable to capture the fields that have been modified during an edit. This field will be included in the Health Level Seven (HL7) 2.4 messages generated by the Master Patient Index (MPI) / Patient Demographics (PD) application. Routine VAFCTR supports this effort and was modified to support these new and existing fields. - The following new files have been added to support the new field multiples of SEXUAL ORIENTATION (#.025) and PRONOUN (#.2406) listed above in the PATIENT (#2) file and will be exported with the appropriate data entries pre-populated. .SEXUAL ORIENTATION TYPES (#47.77) .PRONOUN TYPES (#47.78) Enhancement #2 In support of the Computerized Patient Record System (CPRS) required access to the new PATIENT (#2) file identity fields listed above, MVI has modified the supported Integration Control Registration (ICR) #7109 for the Demographic Application Programming Interface (API) in DEMUPD^VADPT. The updates to this API will now return the following patient demographic information in the output array upon execution: - VADEMO(14) - "" - VADEMO(14,1) - # of entries in the SEXUAL ORIENTATION (#.025) multiple. - VADEMO(14,1.n) - nth repetition of SEXUAL ORIENTATION (#.025) entries in external^internal format. - VADEMO(14,2) - SEXUAL ORIENTATION DESCRIPTION (#.0251) in free text format. - VADEMO(14,3) - # of entries in the PRONOUN (#.2406) multiple. - VADEMO(14,3.n) - nth repetition of PRONOUN (#.2406) entries in external^internal format. - VADEMO(14,4) - PRONOUN DESCRIPTION (#.24061) in free text format. - VADEMO(14,5) - SELF IDENTIFIED GENDER (#.024) in external^internal format. NOTE: For additional information on the DEMUPD^VAPDT API, see the Patient Information Management System (PIMS) Technical Manual located on the Veteran Affairs (VA) Software Document Library (VDL). Enhancement #3 The [DG PATIENT INQUIRY] menu option has been modified in routine DGRPD to display the following new/existing demographic fields on the second screen of the display: - SEXUAL ORIENTATION (#.025 | Multiple) - *New - SEXUAL ORIENTATION DESCRIPTION (#.0251) - *New - PRONOUN (#.2406 | Multiple) - *New - PRONOUN DESCRIPTION (#.24061) - *New - SELF IDENTIFIED GENDER (#.024) - *Existing NOTE: These fields will 'ALWAYS' be displayed, even if there are no values stored there for the selected patient. Enhancement #4 The [Patient MPI/PD Data Inquiry] menu option has been modified in routine VAFCPDAT to display: - The new INDIVIDUAL TAX ID (#991.11), SEXUAL ORIENTATION (#.025), SEXUAL ORIENTATION DESCRIPTION (#.0251), PRONOUN (#.2406), PRONOUN DESCRIPTION (#.24061) and the existing SELF IDENTIFIED GENDER (#.024) if data exists for these fields in the PATIENT (#2) file for the selected patient. - And appropriately label the 'Residential' and 'Correspondence' address fields that were previously released in patch DG*5.3*941. NOTE: DG*5.3*941 added the new Residential fields to the PATIENT (#2) file while the current address fields were renamed for Correspondence. Enhancement #5 The underlying code in routine VAFCHFS has been modified for the Remote Procedure Calls (RPC) [VAFC REMOTE PDAT] and [VAFC REMOTE AUDIT] to ensure that lines exceeding 255 characters are not being truncated, but return/display the complete information for the patient. NOTE: This issue is ONLY currently apparent when the following new fields in the PATIENT (#2) file are very long: - SEXUAL ORIENTATION DESCRIPTION (#.0251) - PRONOUN DESCRIPTION (#.24061) Enhancement #6 The 'Patient Identification' (PID) and 'Observation/Result' (OBX) HL7 segment builders in routine VAFCQRY1 and VAFCSB respectively have been modified to now support the following demographic information for the patient: PID-3 - Individual Tax Id ie. #########~~~USIRS&&0363~NI~VA FACILITY ID&STN#&L OBX - Sexual Orientation - Sexual Orientation Description - Pronoun - Pronoun Description These new OBX HL7 message segments will include both the internal and external values of these PATIENT (#2) demographic fields. ie. OBX^^CE^Sexual Orientation^^LGH~Lesbian, Gay or Homosexual~L *** ************************** OBX^^ST^Sexual Or Description^^~~L ****** OBX^^CE^Pronoun^^THE~They/Them/Theirs~L *** **************** OBX^^ST^Pronoun Description^^~~L ****** Finally, routine VAFCQRY was modified to call the PID (VAFCQRY1) and OBX (VAFCSB) processes to generate the HL7 segments with the new demographic values and routine VAFCPTED was modified to file the new (or updated) demographic field values into the PATIENT (#2) file. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT (#2) SEXUAL ORIENTATION NEW FIELDS (#.025 - Multiple) SEXUAL ORIENTATION DESCRIPTION (#.0251) PRONOUN (#.2406) PRONOUN DESCRIPTION (#.24061) INDIVIDUAL TAX ID (#.991.11) RESIDENTIAL ADDRESS MODIFIED FIELDS - [LINE 1] (#.1151) NEW X-REF 'AVAFCx' RESIDENTIAL ADDRESS [LINE 2] (#.1152) RESIDENTIAL ADDRESS [LINE 3] (#.1153) RESIDENTIAL CITY (#.1154) RESIDENTIAL STATE (#.1155) RESIDENTIAL ZIP+4 (#.1156) RESIDENTIAL PROVINCE (#.11571) RESIDENTIAL POSTAL CODE (#.11572) RESIDENTIAL COUNTRY (#.11573) SEXUAL ORIENTATION NEW FILE TYPES (#47.77) PRONOUN TYPES (#47.78) NEW FILE 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 ------------------------------------------- N/A Test Sites: ---------- Central Alabama AL HCS West Haven CT VAMC Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. 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. Admission Discharge Transfer (ADT) Documentation can also be found on the VDL at: http://www.domain.ext/vdl/application.asp?appid=55 Documentation Title File Name --------------------------------------------------------------------- PIMS Version 5.3 Technical Manual PIMS_TM.PDF PIMS_TM.DOC 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 to avoid collisions. 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 build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 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*1059) 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*1059 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure your build? 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 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 ----------- --------- [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 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 ------------------------------ 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 ------------- This patch backout procedure would consist of restoring the original routines, DD and RPC using the back-up message created during the patch installation. 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 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DGRPD Before:B113207988 After:B124542170 **109,124,121,57,161,149,286, 358,436,445,489,498,506,513, 518,550,545,568,585,677,703, 688,887,907,925,936,940,941, 987,1006,1056,1061,1059** Routine Name: VADPT0 Before: B15089633 After: B15146379 **343,342,415,489,498,528,689, 789,688,759,754,887,952,996, 1059** Routine Name: VADPT1 Before: B57593585 After: B68594806 **415,489,516,614,688,754,887, 941,1059** Routine Name: VAFCHFS Before: B30461172 After: B33066545 **414,477,1059** Routine Name: VAFCPDAT Before: B63787008 After: B83449271 **333,414,474,505,707,712,837, 863,876,902,926,937,950,1059** Routine Name: VAFCPTED Before: B45940753 After: B71161644 **149,333,756,837,974,1059** Routine Name: VAFCQRY Before: B27513336 After: B34739749 **428,575,627,707,863,902,926, 967,1059** Routine Name: VAFCQRY1 Before: B99425329 After:B102699119 **428,474,477,575,627,648,698, 711,707,837,874,937,974,981, 1059** Routine Name: VAFCSB Before: B50707887 After: B75363862 **707,756,825,876,902,926,967,1059** Routine Name: VAFCTR Before: B6623304 After: B12937603 **575,648,653,712,876,902,926, 937,944,967,1059** Routine list of preceding patches: 950, 967, 981, 996, 1061 ============================================================================= User Information: Entered By : Date Entered : JUN 29, 2021 Completed By: Date Completed: NOV 22, 2021 Released By : Date Released : NOV 23, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT