============================================================================= Run Date: AUG 08, 2022 Designation: DG*5.3*1064 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #942 Status: Released Compliance Date: AUG 16, 2022 ============================================================================= Associated patches: (v)DG*5.3*972 <<= must be installed BEFORE `DG*5.3*1064' (v)DG*5.3*1002 <<= must be installed BEFORE `DG*5.3*1064' (v)DG*5.3*1036 <<= must be installed BEFORE `DG*5.3*1064' (v)DG*5.3*1071 <<= must be installed BEFORE `DG*5.3*1064' (v)DG*5.3*1075 <<= must be installed BEFORE `DG*5.3*1064' Subject: VISTA SUPPORT FOR MEGABUS ACT - INDIAN COPAY Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ Veterans Health Information Systems and Technology Architecture (VistA) Registration, Eligibility & Enrollment (REE) patch DG*5.3*1064 is being released to support enhancements for the Eligibility and Enrollment (E&E) program. Patch DG*5.3*1064 is also being released in support of the Veterans Health Administration (VHA) Enrollment System (VES) 6.2 release. Refer to Informational Patch EAS*1*216 (Enrollment Application System) for additional details regarding the VES release. DG*5.3*1064 is being released with IVM*2.0*203 in Host File DG_53_P1064.KID. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! IMPORTANT: The deployment will be a simultaneous rollout on August 8, 2022 with a compliance period of 5 business days. All sites must complete the installation by August 16, 2022. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! VistA is being updated to support the changes needed to comply with the legislative changes enacted in the JOHNNY ISAKSON AND DAVID P. ROE, M.D. VETERANS HEALTH CARE AND BENEFITS IMPROVEMENT ACT OF 2020 (aka Megabus) (PUBLIC LAW 116-315). This bill includes a provision (section 3002) to prevent the collection of payment for Health Care services obtained through the US Department of Veterans Affairs (VA) from Veterans that identify as Indian or Urban Indian. Patch DG*5.3*1064 adds database fields for the patient's Indian attestation information. An index is provided for Integrated Billing to access this information in an efficient way. Integration Control Registration (ICR) #7300 is created to permit this access. The description of the Veterans Health Administration (VHA) Profile (VHAP) VETERAN FULL MED BENEFITS TX AND RX COPAY EXMT is updated. Patch DG*5.3*1064 provides for data entry of a patient's Indian attestation information. Other inquiry screens are updated to display information based on this attestation. Patch DG*5.3*1064 updates the ORU/ORF-Z11 Health Level 7 (HL7) message to receive patient Indian attestation data from VES. In addition to the new ICR #7300 described above, patch DG*5.3*1064 updates ICR #7109 for the Demographic Application Programming Interface (API) in DEMUPD^VADPT to return Indian attestation information. This patch makes the following enhancements to VistA REE: ************************************************************************** SECTION 1: DATA DICTIONARY UPDATES ************************************************************************** Six (6) new fields are added to the PATIENT file (#2): 2,.571 INDIAN SELF IDENTIFICATION .57;1 SET (audited) 'Y' FOR YES; 'N' FOR NO; LAST EDITED: OCT 01, 2021 HELP-PROMPT: Enter YES or NO, as answered by the Applicant on the 1010EZ or 1010EZR in response to the Are you an Indian question. DESCRIPTION: This field will contain the value from the "Are you an Indian" question on the 1010EZ, 1010EZR, or the online application as answered by the applicant. AUDIT: YES, ALWAYS UNEDITABLE CROSS-REFERENCE: ^^TRIGGER^2^.575 1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)= $S($D(^DPT(D0,.57)):^(.57),1:"") S X=$P(Y (1),U,5),X=X S DIU=X K Y S X=DIV S X=$$NO W^XLFDT() S DIH=$G(^DPT(DIV(0),.57)),DIV= X S $P(^(.57),U,5)=DIV,DIH=2,DIG=.575 D ^ DICR 2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)= $S($D(^DPT(D0,.57)):^(.57),1:"") S X=$P(Y (1),U,5),X=X S DIU=X K Y S X=DIV S X=$$NO W^XLFDT() S DIH=$G(^DPT(DIV(0),.57)),DIV= X S $P(^(.57),U,5)=DIV,DIH=2,DIG=.575 D ^ DICR CREATE VALUE)= S X=$$NOW^XLFDT() DELETE VALUE)= S X=$$NOW^XLFDT() FIELD)= INDIAN SELF IDENT CHANGE DT/TM This cross-reference will be used to update the Date/Time stamp for an Indian Self Identification change. CROSS-REFERENCE: 2^AENR571^MUMPS 1)= D EVENT^IVMPLOG(DA) 2)= D EVENT^IVMPLOG(DA) This cross-reference is used to notify HEC of changes that may affect enrollment. 2,.572 INDIAN START DATE .57;2 DATE (audited) INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X LAST EDITED: OCT 05, 2021 HELP-PROMPT: Enter the first date on which the Enrolled Veteran may not be billed for VHA services. DESCRIPTION: This field shall store the date on which an Enrolled Veteran will no longer be billed for certain VHA services. AUDIT: YES, ALWAYS WRITE AUTHORITY: ^ UNEDITABLE 2,.573 INDIAN ATTESTATION DATE .57;3 DATE (audited) INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X K:Y>DT X K:Y=-1 X LAST EDITED: OCT 05, 2021 HELP-PROMPT: Enter the Stamp Date from the hard copy 1010EZ or 1010EZR. If no Stamp Date was indicated, enter today's date. The date cannot be in the future. DESCRIPTION: This field will contain the date on which an applicant or previously enrolled Veteran informed the VA of their status as an Indian. AUDIT: YES, ALWAYS UNEDITABLE NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 2^AENR573^MUMPS 1)= D EVENT^IVMPLOG(DA) 2)= D EVENT^IVMPLOG(DA) This cross-reference is used to notify HEC of changes that may affect enrollment. 2,.574 INDIAN END DATE .57;4 DATE INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X LAST EDITED: OCT 05, 2021 HELP-PROMPT: Enter the date that the INDIAN SELF IDENTIFICATION was changed from YES to NO. DESCRIPTION: This field shall store the date on which the INDIAN SELF IDENTIFICATION field was changed from YES to NO. WRITE AUTHORITY: ^ UNEDITABLE 2,.575 INDIAN SELF IDENT CHANGE DT/TM .57;5 DATE INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: NOV 02, 2021 HELP-PROMPT: Enter the Date and Time the INDIAN SELF IDENTIFICATION field was updated. DESCRIPTION: This field contains the system generated timestamp of the last edit date and time of the INDIAN SELF IDENTIFICATION field. UNEDITABLE NOTES: TRIGGERED by the INDIAN SELF IDENTIFICATION field of the PATIENT File CROSS-REFERENCE: ^^TRIGGER^2^.576 1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$ S($D(^DPT(D0,.57)):^(.57),1:"") S X=$P(Y(1 ),U,6),X=X S DIU=X K Y S X=DIV S X=$G(DUZ) S DIH=$G(^DPT(DIV(0),.57)),DIV=X S $P(^(. 57),U,6)=DIV,DIH=2,DIG=.576 D ^DICR 2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$ S($D(^DPT(D0,.57)):^(.57),1:"") S X=$P(Y(1 ),U,6),X=X S DIU=X K Y S X=DIV S X=$G(DUZ) S DIH=$G(^DPT(DIV(0),.57)),DIV=X S $P(^(. 57),U,6)=DIV,DIH=2,DIG=.576 D ^DICR CREATE VALUE)= S X=$G(DUZ) DELETE VALUE)= S X=$G(DUZ) FIELD)= INDIAN SELF IDENT CHANGE USER This cross-reference will record the user who has just changed the patient's Indian Self Identification field. CROSS-REFERENCE: 2^AINC 1)= S ^DPT("AINC",$E(X,1,30),DA)="" 2)= K ^DPT("AINC",$E(X,1,30),DA) (Reference ICR#7300) 2,.576 INDIAN SELF IDENT CHANGE USER .57;6 POINTER TO NEW PERSON FILE (#200) LAST EDITED: OCT 04, 2021 HELP-PROMPT: Enter the name of the user that edited the INDIAN SELF IDENTIFICATION field. DESCRIPTION: This field contains the local name of the user that last edited the INDIAN SELF IDENTIFICATION field. UNEDITABLE NOTES: TRIGGERED by the INDIAN SELF IDENT CHANGE DT/TM field of the PATIENT File FILES POINTED TO FIELDS NEW PERSON (#200) INDIAN SELF IDENT CHANGE USER (#.576) ************************************************************************** SECTION 2: VHAP UPDATES ************************************************************************** The data in the LONG DESCRIPTION (#.04) field in the HEALTH BENEFIT PLAN file (#25.11) is modified for the plan shown below. The phrase "or their status as an Indian" is added to the paragraph describing which Veterans are exempt from copayments for inpatient, outpatient services and medications. NAME : VETERAN FULL MED BENEFITS TX AND RX COPAY EXMT PLAN CODE: 213 COVERAGE CODE: FB01001 SHORT DESCRIPTION: FM LONG DESCRIPTION: All enrolled Veterans have a comprehensive medical benefits package, which VA administers through an annual patient enrollment system. Veterans who meet Veteran status for VA healthcare benefits and are not subject to copay for their inpatient, outpatient services nor medications. Veterans are exempt from copayments for inpatient, outpatient services and medications related to their Service Connected (SC) related disability and special authority factor(s) - Agent Orange Exposure (AO), Southwest Asia Conditions (SWA), Ionizing Radiation (IR), Nose Throat Radium (NTR), Shipboard Hazard and Defense (SHAD), Combat Veteran (CV), Camp Lejeune (CL), Military Sexual Trauma (MST), or their status as an Indian. Veterans assigned this VHAP meet one of the following conditions: . Determined to be 50% or greater SC . Determined to be 10% to 40% Compensable SC* . Received a Medal of Honor (MOH) . Received a Purple Heart (PH)** . Has been a Prisoner of War (POW) . Determined to be Catastrophically Disabled (CD) . Determined to be Unemployable due to SC conditions . In receipt of Aid & Attendance (A&A) . In receipt of Housebound (HB) . In receipt of a VA Pension . Discharge Due to Disability** . Military Disability Retirement** . Receive Medicaid** . Non-Service Connected (NSC)*** *They are exempt from copay for medications related to their SC rated condition, but they must complete a Pharmacy Copay Exemption Test and the outcome is Rx Copay Exempt to be exempt from NSC medication copays. **They must complete a Pharmacy Copay Exemption Test and the outcome is Rx Copay Exempt to be exempt from NSC medication copays. ***NSC Veterans who are subject to Means Testing; the outcome of the Means Test is MT Copay Exempt and Rx Exemption status is Exempt. For Eligible Individuals, under Veterans Comprehensive Prevention, Access to Care, and Treatment Act of 2020 (COMPACT), Section 201, VA will furnish, reimburse, pay for emergent suicide care, make referrals, as appropriate, for care following the period of emergent suicide care. Eligible Individuals are ones who served in the active military service, regardless of length of service, and who were discharged, excluding anyone who received a dishonorable discharge or was discharged or dismissed by reason. ************************************************************************** SECTION 3: PATIENT INDIAN DESIGNATON FUNCTION ************************************************************************** The function INDSTATUS^DGENELA2(DFN) is created to determine a patient's Indian Designation. This function returns 1 (TRUE) if the patient's INDIAN SELF IDENTIFICATION field (#.571) in the PATIENT file (#2) is YES, and the patient's ENROLLMENT STATUS field (#.04) in the PATIENT ENROLLMENT file (#27.11) is VERIFIED. This function is invoked by several VistA screens, detailed below, to display information to the user. ************************************************************************** SECTION 4: REGISTRATION SCREEN UPDATES ************************************************************************** 1. The PATIENT DATA, SCREEN <2> screen is updated to add Group [6] for the patient's Indian attestation information. a. If the Indian attestation has been made, the group will display as <6> indicating that the group cannot be edited. The fields will be display only. ** BEGIN SCREEN CAPTURE ** PATIENT DATA, SCREEN <2> DGPATIENT,ONE (DGONE) XXX XX,XXXX XXX-XX-XXXX NSC VETERAN ========================================================================== [1] Marital: NEVER MARRIED POB: OMAHA, NEBRASKA Religion: CHRISTIAN (NON-SPECIFIC) Father: UNANSWERED SCI: NOT APPLICABLE Mother: UNANSWERED Mom's Maiden: UNANSWERED [2] Previous Care Date Location of Previous Care NONE INDICATED NONE INDICATED [3] Ethnicity: UNANSWERED Race: UNANSWERED <4> Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By: [5] Emergency Response: <6> Indian: YES Start Date: JAN 5, 2022 Attestation Date: SEP 28, 2021 to CONTINUE, 1,2,3,5 or ALL to EDIT, ^N for screen N or '^' to QUIT: ** END SCREEN CAPTURE ** b. If the patient's Indian attestation has not been made, the screen will show Group [6] as below, and data entry is allowed. ** BEGIN SCREEN CAPTURE ** PATIENT DATA, SCREEN <2> DGPATIENT,ONE (DGONE) XXX XX,XXXX XXX-XX-XXXX NSC VETERAN ========================================================================== [1] Marital: NEVER MARRIED POB: OMAHA, NEBRASKA Religion: CHRISTIAN (NON-SPECIFIC) Father: UNANSWERED SCI: NOT APPLICABLE Mother: UNANSWERED Mom's Maiden: UNANSWERED [2] Previous Care Date Location of Previous Care NONE INDICATED NONE INDICATED [3] Ethnicity: UNANSWERED Race: UNANSWERED <4> Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By: [5] Emergency Response: [6] Indian: UNANSWERED to CONTINUE, 1,2,3,5,6 or ALL to EDIT, ^N for screen N or '^' to QUIT: ** END SCREEN CAPTURE ** c. When editing Group [6], the user is prompted for the INDIAN SELF IDENTIFICATION and the INDIAN ATTESTATION DATE fields via two prompts. Both fields are required but the user may exit from either field by using the "^" character. i. The "Are you an Indian?" prompt is answered with a Y (YES) or N (NO). The answer is stored in the INDIAN SELF IDENTIFICATION field (#.571) in the PATIENT file (#2). ii. The "Attestation Date" prompt is answered with a valid date and cannot be a future date. The answer is stored in the INDIAN ATTESTATION DATE field (#.573) in the PATIENT file (#2). iii. The user is asked to confirm their entries. Once saved, the data cannot be edited in VistA. Any changes can only be done in ES. ** BEGIN SCREEN CAPTURE ** PATIENT DATA, SCREEN <2> DGPATIENT,ONE (DGONE) XXX XX,XXXX XXX-XX-XXXX NSC VETERAN ========================================================================== [1] Marital: NEVER MARRIED POB: OMAHA, NEBRASKA Religion: CHRISTIAN (NON-SPECIFIC) Father: UNANSWERED SCI: NOT APPLICABLE Mother: UNANSWERED Mom's Maiden: UNANSWERED [2] Previous Care Date Location of Previous Care NONE INDICATED NONE INDICATED [3] Ethnicity: UNANSWERED Race: UNANSWERED <4> Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By: [5] Emergency Response: [6] Indian: UNANSWERED to CONTINUE, 1,2,3,5,6 or ALL to EDIT, ^N for screen N or '^' to QUIT: 6 Are you an Indian?: YES Indian Attestation Date: T (SEP 28, 2021) Do you wish to save these values? Y Changes saved. Press ENTER to continue: PATIENT DATA, SCREEN <2> DGPATIENT,ONE (DGONE) XXX XX,XXXX XXX-XX-XXXX NSC VETERAN ========================================================================== [1] Marital: NEVER MARRIED POB: OMAHA, NEBRASKA Religion: CHRISTIAN (NON-SPECIFIC) Father: UNANSWERED SCI: NOT APPLICABLE Mother: UNANSWERED Mom's Maiden: UNANSWERED [2] Previous Care Date Location of Previous Care NONE INDICATED NONE INDICATED [3] Ethnicity: UNANSWERED Race: UNANSWERED <4> Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By: [5] Emergency Response: <6> Indian: YES Attestation Date: SEP 28, 2021 to CONTINUE, 1,2,3,5 or ALL to EDIT, ^N for screen N or '^' to QUIT: ** END SCREEN CAPTURE ** d. The Start Date, shown below in Group [6], is assigned by VES only and will not display until VES has assigned that value and sent it to VistA via the ZPD segment of the HL7 ORF/ORU-Z11 message described in Section 5 below. ** BEGIN SCREEN CAPTURE ** PATIENT DATA, SCREEN <2> DGPATIENT,ONE (DGONE) XXX XX,XXXX XXX-XX-XXXX NSC VETERAN ========================================================================== [1] Marital: NEVER MARRIED POB: OMAHA, NEBRASKA Religion: CHRISTIAN (NON-SPECIFIC) Father: UNANSWERED SCI: NOT APPLICABLE Mother: UNANSWERED Mom's Maiden: UNANSWERED [2] Previous Care Date Location of Previous Care NONE INDICATED NONE INDICATED [3] Ethnicity: UNANSWERED Race: UNANSWERED <4> Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By: [5] Emergency Response: <6> Indian: YES Start Date: JAN 5, 2021 Attestation Date: SEP 28, 2021 to CONTINUE, 1,2,3,5 or ALL to EDIT, ^N for screen N or '^' to QUIT: ** END SCREEN CAPTURE ** e. Group [6] may also display an End Date as shown below. This value is assigned by VES only and displays the date on which the INDIAN SELF IDENTIFICATION field (#.571) in the PATIENT file (#2) was changed from YES to NO. ** BEGIN SCREEN CAPTURE ** PATIENT DATA, SCREEN <2> DGPATIENT,ONE (DGONE) XXX XX,XXXX XXX-XX-XXXX NSC VETERAN ========================================================================== [1] Marital: NEVER MARRIED POB: OMAHA, NEBRASKA Religion: CHRISTIAN (NON-SPECIFIC) Father: UNANSWERED SCI: NOT APPLICABLE Mother: UNANSWERED Mom's Maiden: UNANSWERED [2] Previous Care Date Location of Previous Care NONE INDICATED NONE INDICATED [3] Ethnicity: UNANSWERED Race: UNANSWERED <4> Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By: [5] Emergency Response: <6> Indian: NO Start Date: JAN 5, 2022 Attestation Date: SEP 28, 2021 End Date: JAN 6, 2022 to CONTINUE, 1,2,3,5 or ALL to EDIT, ^N for screen N or '^' to QUIT: ** END SCREEN CAPTURE ** 2. The PATIENT DATA, SCREEN <2> HELP screen is updated to add Group [6] for the Indian attestation information. ** BEGIN SCREEN CAPTURE ** PATIENT DATA, SCREEN <2> HELP ========================================================================== Enter '^' to stop the display and edit of data, '^N' to jump to screen #N (see listing below), to continue on to the next available screen or enter the field group number(s) you wish to edit using commas and dashes as delimiters. Those groups enclosed in brackets "[]" are editable while those enclosed in arrows "<>" are not. Enter 'ALL' to edit all editable data elements on the screen. DATA GROUPS ON SCREEN 2 [1] POB, Parents, etc. [2] Dates/Locations of Previous Care [3] Race and Ethnicity <4> Date of Death Information [5] Emergency Response [6] Indian Attestation AVAILABLE SCREENS [^1] Patient Demographic Data [^1.1] Additional Patient Demographic Data [^2] Patient Data [^3] Contact Data [^4] Employment Data [^5] Insurance Data [^6] Service Record Data [^7] Eligibility Data [^8] Family Demographic Data [^11] Eligibility Verification Data [^11.5] Add'l Elig Verification Data [^12] Admission Info Data [^13] Application Info Data [^14] Appointment Info Data [^15] Sponsor Demographics Data Press KEY TO EXIT SCREEN 2 HELP ** END SCREEN CAPTURE ** 3. The Patient Inquiry [DG PATIENT INQUIRY] option displays the new text: "Patient is an Indian, collection of copayments may be prohibited" if the patient's Indian Designation is TRUE. The system displays the message on the row above the Means Test messages. ** BEGIN SCREEN CAPTURE ** DGPATIENT,ONE;(DG LONG PREFERRED NAME) XXX-XX-XXXX XXX XX,XXXX ========================================================================= Combat Vet Status: NOT ELIGIBLE COMPACT Act Status: ELIGIBLE Primary Eligibility: NSC (VERIFIED) Other Eligibilities: Unemployable: NO Permanent & Total Disabled: NO Patient is an Indian, collection of copayments may be prohibited Means Test Signed?: Patient's status is MT COPAY EXEMPT based on primary means test Veteran is eligible and provision of hospital care is mandatory Primary Means Test Last Applied 'MAY 8,2019' (COMPLETED: MAY 8,2019@17:05) Medication Copayment Exemption Status: NON-EXEMPT Patients income is greater than Copay Income Threshold Last Rx Copay Exemption date: MAY 08, 2019 Type to continue or '^' to exit: ** END SCREEN CAPTURE ** 4. The Eligibility Inquiry for Patient Billing [DG PATIENT ELIGIBILITY INQUIRY] option displays the new text: "Patient is an Indian, collection of copayments may be prohibited" if the patient's Indian Designation is TRUE. The system displays the message on the row above the Means Test messages. ** BEGIN SCREEN CAPTURE ** DGPATIENT,ONE XXX-XX-XXXX XXX XX,XXXX NSC VETERAN ========================================================================== Patient is an Indian, collection of copayments may be prohibited Means Test Signed?: Patient's status is MT COPAY EXEMPT based on primary means test Veteran is eligible and provision of hospital care is mandatory Primary Means Test Last Applied 'MAY 8,2019' (COMPLETED: MAY 8,2019@17:05) A/O Exp.: NOT ANSWERED ION Rad.: NOT ANSWERED Medicaid Elig: NOT ANSWERED - Env Contam.: NOT ANSWERED N/T Radium: NOT ANSWERED Camp Lejeune: NOT ANSWERED Primary Elig. Code: NSC -- VERIFIED MAY 08, 2019 Other Elig. Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Service Connected: NO Rated Disabilities: NOT A VETERAN Medal of Honor: MOH Status Date: MOH Award Date: MOH Copay Exemption Date: Type to continue or '^' to exit: ** END SCREEN CAPTURE ** 5. The system displays the message "Patient is an Indian, collection of copays may be prohibited eff. Jan 05, 2022" if the patient's Indian Designation is TRUE in the following VistA Means Test options: a. Add a New Means Test [DG MEANS TEST ADD] b. Complete a Required Means Test [DG MEANS TEST COMPLETE] c. Edit an Existing Means Test [DG MEANS TEST EDIT] d. View a Past Means Test [DG MEANS TEST VIEW TEST] The system displays the message following the DEDUCTIBLE EXPENSES, SCREEN <3> screen as shown below. ** BEGIN SCREEN CAPTURE ** to CONTINUE, 1-1 or 'ALL' to EDIT, ^N for screen N, or '^' to EXIT: Do you wish to complete the means test? YES// AGREED TO PAY DEDUCTIBLE: y YES ...means test status is MT COPAY REQUIRED... Patient is an Indian, collection of copays may be prohibited eff. Jan 05, 2022 Options for printing financial assessment information will follow. Generally, you should answer 'YES' to 'PRINT 10-10EZR?' after updating patient demographic or financial information. Answer 'YES' to 'PRINT 10-10EZ?' after entering new patient demographic and financial information. PRINT 10-10EZR? YES// ** END SCREEN CAPTURE ** 6. The system displays the message "Patient is an Indian, collection of copays may be prohibited eff. Jan 05, 2022" if the patient's Indian Designation is TRUE in the following VistA Copay Exemption Test options: a. Add a Copay Exemption Test [DG CO-PAY TEST ADD] b. Edit an Existing Copay Exemption Test [DG CO-PAY TEST EDIT] c. View a Past Copay Test [DG CO-PAY TEST VIEW TEST] The system displays the message on the row after the message containing the patient's Copay Exemption Test Status - not on the first screen where the field value displays, but as shown in the screen capture below. ** BEGIN SCREEN CAPTURE ** to CONTINUE, 1-1 or 'ALL' to EDIT, ^N for screen N, or '^' to EXIT: Do you wish the complete the copay exemption test? YES// ...copay test status is NON-EXEMPT... Patient is an Indian, collection of copays may be prohibited eff. Jan 05, 2022 Options for printing financial assessment information will follow. Generally, you should answer 'YES' to 'PRINT 10-10EZR?' after updating patient demographic or financial information. Answer 'YES' to 'PRINT 10-10EZ?' after entering new patient demographic and financial information. PRINT 10-10EZR? YES// ** END SCREEN CAPTURE ** ************************************************************************** SECTION 5: HL7 ORU/ORF-Z11 PROCESSING ************************************************************************** VistA is updated to receive patient Indian attestation information from ES in the ZPD segment of the HL7 ORU/ORF-Z11 message. There are four new fields sent from VES in the ZPD segment which are stored in the PATIENT file (#2). The mapping of these fields to the PATIENT file (#2) fields is shown below: SEQ Element Name PATIENT file field Name Field # --- ------------ ----------------------- ------- 42 Indian/Urban Indian? INDIAN SELF IDENTIFICATION .571 43 Indian Attestation Date INDIAN ATTESTATION DATE .573 44 Start Date INDIAN START DATE .572 45 End Date INDIAN END DATE .574 Note: In the Indian/Urban Indian? element, a Yes response is a 1 and a No response is a 0. ************************************************************************** SECTION 6: VADPT API & ICR MODIFICATIONS ************************************************************************** 1. In support of external systems (such as Integrated Billing) requiring access to the new PATIENT file (#2) fields listed above, patch DG*5.3*1064 modifies the supported Integration Control Registration (ICR) #7109 for the Demographic Application Programming Interface (API) in DEMUPD^VADPT and ICR #10061 for the API DEM^VADPT. The updates to these APIs will now return the following patient demographic information in the output arrays upon execution shown below. Note that the root level of the arrays are set to NULL for external applications which assume the root level to be defined. DEMUPD^VADPT: - VADEMO(15) - NULL VALUE - VADEMO(15,1) - INDIAN SELF IDENTIFICATION (#.571) - VADEMO(15,2) - INDIAN START DATE (#.572) - VADEMO(15,3) - INDIAN ATTESTATION DATE (#.573) - VADEMO(15,4) - INDIAN END DATE (#.574) DEM^VADPT: - VADM(15) - NULL VALUE - VADM(15,1) - INDIAN SELF IDENTIFICATION (#.571) - VADM(15,2) - INDIAN START DATE (#.572) - VADM(15,3) - INDIAN ATTESTATION DATE (#.573) - VADM(15,4) - INDIAN END DATE (#.574) NOTE: For additional information on the DEMUPD^VAPDT and DEM^VADPT APIs, see the Patient Information Management System (PIMS) Technical Manual located on the Veteran Affairs (VA) Software Document Library (VDL). 2. ICR #7300 is created for Integrated Billing to access the AINC index on the INDIAN SELF IDENT CHANGE DT/TM field (#.575) in the PATIENT file (#2). 7300 NAME: INDIAN SELF IDENTIFICATION CHANGE CUSTODIAL PACKAGE: REGISTRATION SUBSCRIBING PACKAGE: INTEGRATED BILLING USAGE: Private ENTERED: SEP 16,2021 STATUS: Active EXPIRES: DURATION: Till Otherwise Agr VERSION: FILE: 2 ROOT: DPT( DESCRIPTION: TYPE: File Integrated Billing will be referencing the following cross-reference in the PATIENT file (#2): AINC REGULAR Field: INDIAN SELF IDENT CHANGE DT/TM (2,.575) Description: (Reference ICR#7300) 1)= S ^DPT("AINC",$E(X,1,30),DA)="" 2)= K ^DPT("AINC",$E(X,1,30),DA) GLOBAL REFERENCE: ^DPT('AINC', KEYWORDS: INDIAN SELF IDENTIFICATION INDIAN ATTESTATION IBINRPT *************************** Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT (#2) INDIAN SELF NEW IDENTIFICATION (#.571) INDIAN START DATE (#.572) NEW INDIAN ATTESTATION NEW DATE (#.573) INDIAN END DATE (#.574) NEW INDIAN SELF IDENT CHANGE NEW DT/TM (#.575) INDIAN SELF IDENT CHANGE NEW USER (#.576) 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 ------------- -------------------- 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: ----------------------- Two new entries are added to the DIALOG file (#.84): DIALOG NUMBER: 261133 TYPE: GENERAL MESSAGE PACKAGE: REGISTRATION SHORT DESCRIPTION: Copays for an Indian message TEXT: Patient is an Indian, collection of copayments may be prohibited DIALOG NUMBER: 261134 TYPE: GENERAL MESSAGE PACKAGE: REGISTRATION SHORT DESCRIPTION: Indian copay message with date TEXT: Patient is an Indian, collection of copays may be prohibited eff. Jan 05, 2022 New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- VES-20315 Problem: DG*5.3*1067V3 Spelling Mistake in DGRPE Routine. A code comment in routine DGRPE misspelled "Relationship". Resolution: Modified DGRPE to correct the spelling mistake in the comment. Test Sites: ----------- North Florida/South Georgia VA Health Care System (Gainesville, Lake City) Durham VA Medical Center, North Carolina Manchester VA Medical Center, New Hampshire 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_P1064.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_P1064.KID Release Notes DG_5_3_P1064_RN.PDF PIMS Version 5.3 Technical Manual PIMS_TM.PDF User Manual Version 5.3 - Registration Menu PIMS_REG_UM.PDF Patch Installation: ------------------- Pre/Post Installation Overview: ------------------------------- N/A 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]. The following is a list of menu options to disable: 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] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Patient Inquiry [DG PATIENT INQUIRY] Add a New Means Test [DG MEANS TEST ADD] Complete a Required Means Test [DG MEANS TEST COMPLETE] Edit an Existing Means Test [DG MEANS TEST EDIT] View a Past Means Test [DG MEANS TEST VIEW TEST] Add a Copay Exemption Test [DG CO-PAY TEST ADD] Edit an Existing Copay Exemption Test [DG CO-PAY TEST EDIT] View a Past Copay Test [DG CO-PAY TEST VIEW TEST] 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_P1064.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 DG*5.3*1064. 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. 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 DG*5.3*1064 iii. At the Subject prompt after the subject name, press Enter to accept the default iv. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// Press Enter to select Build v. When prompted for "Enter a Host File:", enter the path and name for the host file backup file. If you don't specify a directory, the default directory of HFS Primary Directory will be used. 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] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Patient Inquiry [DG PATIENT INQUIRY] Add a New Means Test [DG MEANS TEST ADD] Complete a Required Means Test [DG MEANS TEST COMPLETE] Edit an Existing Means Test [DG MEANS TEST EDIT] View a Past Means Test [DG MEANS TEST VIEW TEST] Add a Copay Exemption Test [DG CO-PAY TEST ADD] Edit an Existing Copay Exemption Test [DG CO-PAY TEST EDIT] View a Past Copay Test [DG CO-PAY TEST VIEW TEST] 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 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 Backup a Transport Global [XPD BACKUP] was run as directed, either the entire build or routines will be available for restoration should the need arise. If only the routines were backed up, they will be available in a MailMan message with a subject similar to the following: "Subject: Backup of DG*5.3*1064, IVM*2.0*203 on Jan 27, 2022." For multi-builds, if the full build was backed up, the backup will be available in the Host File specified during the backup process. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13,1993;Build 37 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DGENELA2 Before: B2750986 After: B3244016 **147,688,1064** Routine Name: DGENPTA1 Before: B30762870 After: B37867609 **121,147,314,677,659,653,688, 810,754,838,841,842,978,1036, 1064** Routine Name: DGENUPLA Before:B116207049 After:B128108977 **397,379,497,451,564,672,659, 583,653,688,754,909,978,952, 1064** Routine Name: DGMTSC4 Before: B29917122 After: B30788393 **45,130,456,540,567,1014,1064** Routine Name: DGMTSC4V Before: B31073713 After: B32048185 **688,1014,1064** Routine Name: DGMTSCC Before: B38385133 After: B39981066 **33,45,130,438,332,433,462, 456,610,624,611,890,1014,1064** Routine Name: DGMTSCR Before: B14897236 After: B16208340 **45,688,1014,1064** Routine Name: DGRP2 Before: B12658951 After: B17144398 **415,545,638,677,760,867,1014,1064** Routine Name: DGRPD Before:B128108199 After:B129646746 **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, 987,1006,1056,1061,1059,1071, 1064** Routine Name: DGRPDB Before: B34652435 After: B35370141 **26,50,358,570,631,709,713, 749,972,1064** Routine Name: DGRPE Before:B118339416 After:B140992373 **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, 941,985,997,1014,1040,1044,1056, 1067,1064** Routine Name: DGRPH Before: B32416997 After: B33512639 **114,343,397,415,489,545,638, 624,689,842,941,985,997,1014, 1056,1064** Routine Name: DGRPV Before: B21728618 After: B21871961 **109,114,247,190,327,365,343, 397,415,489,546,545,451,624, 677,672,689,716,688,797,842, 871,887,941,985,997,1014,1064** Routine Name: VADPT0 Before: B15146379 After: B15225267 **343,342,415,489,498,528,689, 789,688,759,754,887,952,996, 1059,1064** Routine Name: VADPT1 Before: B74338795 After: B80332583 **415,489,516,614,688,754,887, 941,1059,1067,1071,1064** Routine Name: VAFHLZPD Before: B57968718 After: B66459111 **94,122,160,220,247,545,564, 568,677,653,688,1002,1064** Routine list of preceding patches: 972, 1002, 1036, 1071 ============================================================================= User Information: Entered By : Date Entered : SEP 01, 2021 Completed By: Date Completed: AUG 08, 2022 Released By : Date Released : AUG 08, 2022 ============================================================================= Packman Mail Message: ===================== No routines included