============================================================================= Run Date: DEC 27, 2022 Designation: DG*5.3*1082 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #948 Status: Released Compliance Date: JAN 06, 2023 ============================================================================= Associated patches: (v)DG*5.3*1045 <<= must be installed BEFORE `DG*5.3*1082' (v)DG*5.3*1081 <<= must be installed BEFORE `DG*5.3*1082' Subject: PRESUMPTIVE PSYCHOSIS AND COMPACT ACT Category: - Enhancement (Mandatory) - Routine - Input Template - Data Dictionary Description: ============ Veterans Health Information Systems and Technology Architecture (VistA) Registration, Eligibility & Enrollment (REE) patch DG*5.3*1082 is being released to support enhancements for the Eligibility and Enrollment (E&E) program. Patch DG*5.3*1082 is also being released in support of the Veterans Health Administration (VHA) Enrollment System (VES) 6.3 release. DG*5.3*1082 is being released with IVM*2.0*208 in Host File DG_53_P1082.KID. VistA is being updated to support the changes needed to comply with the Presumptive Psychosis and Veterans Comprehensive Prevention, Access to Care, and Treatment Act of 2020 (COMPACT) Act initiatives. Patch DG*5.3*1082 adds a new entry to the VistA MAS ELIGIBILITY CODE (#8.1) file. Patch DG*5.3*1082 adds a new entry to the VistA ELIGIBILITY CODE (#8) file. The following changes are made to Veterans Health Administration (VHA) Profiles (VHAPs) in the HEALTH BENEFIT PLAN (#25.11) file: - The long and short descriptions and coverage code of PRESUMPTIVE (38 USC 1702-38 CFR 17.109) are updated. - The long description of RESTRICTED EXAMINATION ONLY is updated. - A new VHAP, CLINICAL EVALUATION, is added to the system. - The long description of VETERAN RESTRICTED MED BENEFITS is updated. - The long description of NON VETERAN OTHER RESTRICTED MED BENEFITS is updated. - The long description of INELIGIBLE is updated. - A new VHAP, COMPACT ELIGIBLE, is added to the system. - HUD-VASH RESTICTED CARE is renamed to HUD VASH RESTRICTED CARE and the long description updated. Patch DG*5.3*1082 modifies the ELIGIBILITY STATUS DATA, SCREEN <7> screen DATA GROUP 3, "POS, Eligibility Code(s)", to no longer display the PRESUMPTIVE PSYCHOSIS? and PRESUMPTIVE PSYCHOSIS CATEGORY: prompts when editing group 3. Presumptive Psychosis data can be added/edited in VES. The PRESUMPTIVE PSYCHOSIS CATEGORY (#.5601) field in the PATIENT (#2) file and the PRESUMPTIVE PSYCHOSIS CATEGORY (#.02) subfield within the CATEGORY CHANGES (#1) multiple in the PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) file are modified. Patch DG*5.3*1082 updates the processing of the ORU/ORF-Z11 Health Level 7 (HL7) message to parse the new optional ZHF segment and update the PATIENT (#2) file, and the PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) file. This patch makes the following enhancements to VistA REE: ************************************************************************** SECTION 1: DATA DICTIONARY UPDATES ************************************************************************** 1. The PRESUMPTIVE PSYCHOSIS ELIGIBLE eligibility code is added to the MAS ELIGIBILITY CODE (#8.1) file. This entry is provided in the build file and installed with the patch: NUMBER: 28 NAME: PRESUMPTIVE PSYCHOSIS ELIGIBLE CARD COLOR: RED ABBREVIATION: PP VA CODE NUMBER: 12 TYPE: NON-VETERAN PRINT NAME: PRESUMPTVE PSYCHOSIS ELIG SELECT AS ADDITIONAL: YES 2. The PRESUMPTIVE PSYCHOSIS ELIGIBLE eligibility code is added to the ELIGIBILITY CODE (#8) file. This entry is added to the file by the post install routine POST^DG531082P. NAME: PRESUMPTIVE PSYCHOSIS ELIGIBLE CARD COLOR: RED ABBREVIATION: PP VA CODE NUMBER: 12 TYPE: NON-VETERAN PRINT NAME: PRESUMPTVE PSYCHOSIS ELIG SELECT AS ADDITIONAL: YES MAS ELIGIBILITY CODE: PRESUMPTIVE PSYCHOSIS ELIGIBLE ID FORMAT: VA STANDARD AGENCY: VA MAKE RECORD SENSITIVE?: NO 3. The PRESUMPTIVE PSYCHOSIS CATEGORY (#.5601) field of the PATIENT (#2) file is modified. a. The following values are added to the SET list of values: i. 'ACD' FOR ACDUTRA ii. 'DVA' FOR DVA 12D W/CH 17, SEEN FOR SC/MST iii. 'ENR' FOR ENROLLED b. The "AX" trigger is removed by post-install routine POST^DG531082P. CROSS-REFERENCE: 2^AX^MUMPS 1)= D CH^DGPPSYCH(DA) 2)= D CH^DGPPSYCH(DA) This index calls an API to update the PRESUMPTIVE PSYCHOSIS CHANGES file (#33.01) when the field changes. c. The field is made read-only in FileMan. d. The Description is updated. The resulting database field is shown below. DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE -------------------------------------------------------------------------- 2,.5601 PRESUMPTIVE PSYCHOSIS CATEGORY .56;1 SET 'REJ' FOR REJECTED DUE TO INCOME; 'LES' FOR LESS THAN 24 MONTHS SERVICE; 'OTH' FOR FSM WITH OTH (PP ONLY); 'DEC' FOR VETERAN DECLINES ENROLLMENT; 'ACD' FOR ACDUTRA; 'DVA' FOR DVA 12D W/CH 17, SEEN FOR SC/MST; 'ENR' FOR ENROLLED; LAST EDITED: OCT 06, 2022 HELP-PROMPT: Please select the Presumptive Psychosis category DESCRIPTION: This field stores the category of Presumptive Psychosis. **DG*5.3*1082 removed the ability to edit this field. All edits must now be made in the VHA Enrollment System.** WRITE AUTHORITY: ^ 4. The following values are added to the SET list of values for the PRESUMPTIVE PSYCHOSIS CATEGORY (#.02) field, of the CATEGORY CHANGES (#33.12) subfile, of the PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) file. a. 'ACD' FOR ACDUTRA b. 'DVA' FOR DVA 12D W/CH 17, SEEN FOR SC/MST c. 'ENR' FOR ENROLLED ************************************************************************** SECTION 2: VHAP UPDATES ************************************************************************** 1. The LONG DESCRIPTION (#.04) field, the SHORT DESCRIPTON (#.03) field and the COVERAGE CODE (#.05) field in the HEALTH BENEFIT PLAN (#25.11) file are modified for the plan shown below. NAME : PRESUMPTIVE (38 USC 1702-38 CFR 17.109) PLAN CODE: 135 COVERAGE CODE: PP01001 SHORT DESCRIPTION: PP LONG DESCRIPTION: Presumptive eligibility for psychosis and mental illness other than psychosis. Veterans eligible for benefits under 38 CFR 17.109 are eligible for treatment of an active psychosis or other mental illness. Any treatment under this authority is exempted from copayments for inpatient, outpatient, medication and extended care services under 17.108, 17.110, and 17.111. Presumptive (38 USC 1702-38 CFR 17.109) Plan provides certain Veterans who experience psychosis within a specified time-frame are to have their psychosis presumed to be service-connected for purposes of Department of Veterans Affairs (VA) medical benefits. In addition, VA will presume that Persian Gulf War Veterans are service-connected for purposes of VA medical benefits if such Veterans develop mental illness other than psychosis within two years after discharge or release from service and before the end of the 2-year period beginning on the last day of the Persian Gulf War (end date not yet determined). (Public Law 110-181; 38 United States Code (U.S.C.) 1702 and the implementing regulation, 38 CFR 17.109) 1. Veterans who served in the United States active duty military, naval, or air service and developed such psychosis within 2 years after discharge or release from the active duty military, naval or air service; and before the following date associated with the war or conflict in which the Veteran served: ========================================================================= | Veteran Served During | Date: | ========================================================================= | World War II | July 26, 1949 | ------------------------------------------------------------------------- | Korean Conflict | February 1, 1957 | ------------------------------------------------------------------------- | Vietnam Era | May 8, 1977 | ------------------------------------------------------------------------- | Persian Gulf War | End of the 2-year period beginning on | | | the last day of the Persian Gulf War | | | (end date not yet determined) | ========================================================================= 2. Mental Illness (other than Psychosis). Eligibility for benefits under 38 CFR 17.109(b) is established for treatment of an active mental illness (other than psychosis), and such condition is exempted from copayments under 38 CFR 17.108, 17.110, and 17.111 for any Veteran of the above listed conflicts. Veterans and former service members assigned the Presumptive VHAP must meet one of the following conditions: o All Enrolled Veterans o Non-Enrolled Veterans authorized to receive medical benefits limited to this specific situation. o Veterans not required to enroll and authorized to receive medical benefits limited to this specific situation. o Cancelled/Declined - Receive medical benefits for Presumptive Psychosis conditions only o Rejected - Receive medical benefits for Presumptive Psychosis and SC conditions only o Ineligible and SC 0% - Receive medical benefits for Presumptive Psychosis and SC conditions only o Ineligible and MST - Receive medical benefits for Presumptive Psychosis and MST conditions only o Ineligible without a bar to benefits - Receive medical benefits for Presumptive Psychosis conditions only. o Former service members with Other Than Honorable (OTH) discharges who present for certain services o Presumptive (38 USC 1702-38 CFR 17.109) 2. A new VHAP, CLINICAL EVALUATION, is added to the HEALTH BENEFIT PLAN (#25.11) file shown below. NAME : CLINICAL EVALUATION PLAN CODE: 308 COVERAGE CODE: CE01001 SHORT DESCRIPTION: CE01 LONG DESCRIPTION: Patients who qualify for Clinical Screenings for evaluation of conditions relating to Presumptive Psychosis and/or Military Sexual Trauma. The patients are not subject to copayment for these screenings. Includes the following Non-Veterans and Veterans assigned this VHAP meet one of the following conditions: o Enrollment Status is Rejected, Below Enrollment Group Threshold (EGT) o Enrollment Status is Closed Application, for reason Pending Means Test Required o Enrollment Status is Not Eligible; Ineligible Date o Enrollment Status is Not Eligible; Refuse to pay copay o Veterans being registered and enrollment status is Registration Only o Veterans enrolled 3. The RESTRICTED EXAMINATION ONLY (#224) VHAP in the HEALTH BENEFIT PLAN (#25.11) file LONG DESCRIPTION (#.04) field is updated: NAME : RESTRICTED EXAMINATION ONLY PLAN CODE: 224 COVERAGE CODE: EX01001 SHORT DESCRIPTION: REO LONG DESCRIPTION: Veterans being registered for a Registry exam (i.e., Burn Pit, Agent Orange, etc.) or Compensation and Pension (C&P) exam as requested by the Veterans Benefits Administration (VBA). The Veterans are not subject to Copayment Requirements for exam. Includes any of the following: o Veterans being registered for a Registry Exam or C&P exam 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 or while serving in the Armed Forces, was the victim of a physical assault of a sexual nature, a battery of a sexual nature, or sexual harassment. 4. A new VHAP, COMPACT ELIGIBLE, is added to the HEALTH BENEFIT PLAN (#25.11) file shown below. NAME : COMPACT ELIGIBLE PLAN CODE: 309 COVERAGE CODE: CP0110 SHORT DESCRIPTION: COMPACT LONG DESCRIPTION: 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 Veterans who served in the active military service must meet the minimum duty requirements, and who were discharged, excluding anyone who received a dishonorable discharge or was discharged or dismissed by reason that is a bar to benefits. o Cancelled/Declined - Receive medical benefits for SC conditions only o Rejected - Receive medical benefits for SC conditions only o Pending; Means Test Required - Veterans whose Veterans Status has been verified and who have not provided initial Means Test to determine enrollment. o Enrollment Status is Rejected, Below Enrollment Group Threshold (EGT) o Enrollment Status is Closed Application o Enrollment Status is Not Eligible; Refuse to pay copay 5. The LONG DESCRIPTION (#.04) field in the HEALTH BENEFIT PLAN (#25.11) file is modified for the plan shown below. NAME : VETERAN RESTRICTED MED BENEFITS PLAN CODE: 222 COVERAGE CODE: RM01001 SHORT DESCRIPTION: RM LONG DESCRIPTION: Veterans who are not enrolled but can be seen for their Service Connected (SC) conditions only (and/or MST if MST is indicated). Veterans who are eligible to be screened for Military Sexual Trauma and Presumptive Psychosis or other active mental illness. Veterans are exempt from copayments for the screening encounter. Veterans assigned this VHAP meet one of the following conditions: o Cancel/Decline - Receive medical benefits for SC conditions only o Rejected - Receive medical benefits for SC conditions only o Ineligible and SC 0% - Receive medical benefits for SC conditions only o Ineligible and MST - Receive medical benefits for MST conditions only 6. The LONG DESCRIPTION (#.04) field in the HEALTH BENEFIT PLAN (#25.11) file is modified for the plan shown below. NAME : NON VETERAN OTHER RESTRICTED MED BENEFITS PLAN CODE: 223 COVERAGE CODE: OR01001 SHORT DESCRIPTION: ORM LONG DESCRIPTION: Veterans who are eligible to be screened for Military Sexual Trauma and Presumptive Psychosis or other active mental illness. Veterans are exempt from copayments for the screening encounter. Non Veterans authorized to receive medical benefits limited to a very specific situation includes any of the following: o MST - Non Veteran (Active Duty) o Presumptive (38 USC 1702-38 CFR 17.109) o Former Servicemembers with Other Than Honorable (OTH) discharges who present for certain services. 7. The LONG DESCRIPTION (#.04) field in the HEALTH BENEFIT PLAN (#25.11) file is modified for the plan shown below. NAME : INELIGIBLE PLAN CODE: 290 COVERAGE CODE: IN01001 SHORT DESCRIPTION: Inel LONG DESCRIPTION: Non-Veterans and Non-Service Connected Veterans who applied for VA healthcare services, but are not enrolled due to an enrollment decision, or after a one year period the application is administratively closed due to no receipt of information needed to verify Veteran status and/or financial information used to determine enrollment status. Veterans who are eligible to be screened for Military Sexual Trauma and Presumptive Psychosis or other active mental illness. Veterans are exempt from copayments for the screening encounter. Also, Veterans who are eligible based on income but refuse to agree to pay copayment. Non-Veterans and Veterans assigned this VHAP meet one of the following conditions: o Enrollment Status is Rejected, Below Enrollment Group Threshold (EGT) o Enrollment Status is Closed Application, for reason Pending Means Test Required o Enrollment Status is Not Eligible; Ineligible Date o Enrollment Status is Not Eligible; Refuse to pay copay 8. The VHAP, HUD-VASH RESTRICTED CARE is renamed to HUD VASH RESTRICTED CARE and the LONG DESCRIPTION (#.04) field is modified as shown below. The rename is done in the pre-install routine PRE^DG531082P. NAME : HUD VASH RESTRICTED CARE PLAN CODE: 307 COVERAGE CODE: HUD1001 SHORT DESCRIPTION: HUDVASH LONG DESCRIPTION: Veterans who are enrolled and not enrolled Veterans and former service members can be seen for services related to their enrollment in the Housing and Urban Development Veterans Affairs Supportive Housing (HUD-VASH) program. These Veterans and former service members are not subject to copayment requirements and are exempt from copayments for inpatient services and medications related to their HUD-VASH services. Veterans and former service members assigned the HUD-VASH Restricted Care VHAP must meet one of the following conditions: o Cancelled/Declined - Receive medical benefits for HUD-VASH conditions only o Rejected - Receive medical benefits for HUD-VASH and SC conditions only o Ineligible and SC 0% - Receive medical benefits for HUD-VASH and SC conditions only o Ineligible and MST - Receive medical benefits for HUD-VASH and MST conditions only o Ineligible with a bar to benefits (excluding Dishonorable, Bad Conduct General Court Martial and Fugitive Felon Program (FFP)) - Receive medical benefits for HUD-VASH conditions only o Former service members with Other Than Honorable (OTH) discharges who present for certain services o Presumptive (38 USC 1702-38 CFR 17.109) ************************************************************************** SECTION 3: REGISTRATION SCREEN UPDATES ************************************************************************** 1. If a patient record contains a value for PRESUMPTIVE PSYCHOSIS CATREGORY, the value is displayed on the ELIGIBILITY STATUS DATA, SCREEN <7> screen DATA GROUP [3], Presumptive Psychosis: field. The value will now always display even for non-veterans. Previously, the value was displayed only for veterans. 2. The ELIGIBILITY STATUS DATA, SCREEN <7> screen DATA GROUP [3] no longer displays the PRESUMPTIVE PSYCHOSIS? and PRESUMPTIVE PSYCHOSIS CATEGORY: prompts for editing. ** BEGIN SCREEN CAPTURE ** ELIGIBILITY STATUS DATA, SCREEN <7> DGpatient,One MON DD,YYYY XXX-XX-XXXX SC VETERAN ========================================================================== [1] Patient Type: SC VETERAN Veteran: YES Svc Connected: YES SC Percent: UNANSWERED SC Award Date: UNANSWERED Unemployable: UNANSWERED P&T: UNANSWERED Rated Incomp.: UNANSWERED Claim Number: UNANSWERED Folder Loc.: UNANSWERED [2] Aid & Attendance: UNANSWERED Housebound: UNANSWERED VA Pension: UNANSWERED VA Disability: UNANSWERED Total Check Amount: NOT APPLICABLE GI Insurance: UNANSWERED Amount: UNANSWERED [3] Primary Elig Code: UNANSWERED Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: UNANSWERED Presumptive Psychosis: VETERAN DECLINES ENROLLMENT [4] Service Connected Conditions as stated by applicant --------------------------------------------------- TESTING (20%), to CONTINUE, 1-4 or ALL to EDIT, ^N for screen N or '^' to QUIT: 3 PRIMARY ELIGIBILITY CODE: Select PATIENT ELIGIBILITIES: PERIOD OF SERVICE: ** END SCREEN CAPTURE ** ************************************************************************** SECTION 4: TEMPLATE UPDATES ************************************************************************** The template DG LOAD EDIT SCREEN 7 in the INPUT TEMPLATE (#.402) file is modified to remove the PRESUMPTIVE PSYSCHOSIS? and PRESUMPTIVE PSYSCHOSIS CATEGORY: prompts from the ELIGIBILITY STATUS DATA, SCREEN <7> screen DATA GROUP <3>. ************************************************************************** SECTION 5: HL7 ORU/ORF-Z11 and ORU/ORF-Z07 PROCESSING ************************************************************************** VistA is updated to parse the new optional ZHF segment in the ORU/ORF Z11 HL7 message and store the Presumptive Psychosis information in the PATIENT (#2) file and the PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) file. Also, the ORU/ORF Z07 HL7 message processing is modified to include the optional ZHF segment to send Presumptive Psychosis data to VES. Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT (#2) PRESUMPTIVE PSYCHOSIS CATEGORY (#.5601) MODIFIED PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) Subfile CATEGORY CHANGES (#33.12) PRESUMPTIVE PSYCHOSIS CATEGORY (#.02) MODIFIED 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 ------------- ---- ------------------ -------------------- DG LOAD EDIT SCREEN 7 INPUT PATIENT (#2) Modified 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: ----------- VA North Texas Health Care System (Dallas, Bonham) Orlando VA Medical Center, FL Alaska VA Healthcare System (Anchorage) 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_P1082.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_P1082.KID Release Notes DG_5_3_P1082_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: ------------------------------- The pre-install routine PRE^DG531082P renames the VHAP HUD-VASH RESTRICTED CARE to HUD VASH RESTRICTED CARE in the HEALTH BENEFIT PLAN (#25.11) file. The post-install routine POST^DG531082P performs the following steps: 1. The eligibility code PRESUMPTIVE PSYCHOSIS ELIGIBLE is added to the ELIGIBILITY CODE (#8) file and associates the code to the corresponding code in the MAS ELIGIBILITY CODE (#8.1) file. 2. The post-install routine queues off a background job: - This process runs through the PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) file and for each patient record found (DFN), the PRESUMPTIVE PSYCHOSIS CATEGORY (#.5601) field in the PATIENT (#2) file is checked for a value. If a value is found, an HL7/Z07 message is queued to the Enrollment System. - The queued HL7 messages won't be sent until the IVM BACKGROUND JOB [IVM BACKGROUND JOB] option is run. - The HL7 inconsistency rules still apply. If a record includes an inconsistency that will block the HL7/Z07 message, the record will not be sent. - Upon successful completion of the job a Mailman message is sent to the Patch installer. This message will contain statistics of the job including start and end times as well as the list of DFNs that had an HL7/Z07 message queued to the Enrollment System. - The data is also captured in the ^XTMP("DG531082P" global. The Mailman message will include information on where to view that list. See an example of the message in the 'Post-Installation Instructions' section. - Should this patch be re-installed, the background job will not be submitted and the ^XTMP("DG531082P" global from the original installation will not be removed. - The data in the ^XTMP("DG531082P" global is automatically purged after 60 days. 3. The "AX" cross-reference is removed from the PRESUMPTIVE PSYCHOSIS CATEGORY (#.5061) field in the PATIENT (#2) file. Modifications to input template DG LOAD EDIT SCREEN 7 are compiled and the following routines are created from the compilation: DGRPX7 DGRPX71 DGRPX710 DGRPX711 DGRPX72 DGRPX73 DGRPX74 DGRPX75 DGRPX76 DGRPX77 DGRPX78 DGRPX79 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] Enter a Request/Notification [FBCH ENTER REQUEST] 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_P1082.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*1082. 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*1082 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] Enter a Request/Notification [FBCH ENTER REQUEST] 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: ------------------------------- IMPORTANT NOTE: Do not do the following steps until you have received the Mailman message indicating the successful completion of the DG531082P post-installation background step. A sample of that message is shown below. 1. The post-installation routine DG531082P should be manually deleted from your system using the KERNEL option Delete Routines [XTRDEL]. 2. 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]. 3. 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. This is a sample of the Mailman message indicating the successful completion of the DG531082P post-installation step which is sent to the patch installer. Subj: DG*5.3*1082 PRESUMPTIVE PSYCHOSIS HL7/Z07 JOB [#506777] 10/06/22@10:34 19 lines From: POSTMASTER In 'IN' basket. Page 1 -------------------------------------------------------------------------- The DG*5.3*1082 process has completed. This process ran through the PRESUMPTIVE PSYCHOSIS CATEGORY CHANGES (#33.1) file and for each patient record found, the PRESUMPTIVE PSYCHOSIS CATEGORY (#.5601) field in the PATIENT (#2) file was checked for a value. If a value was found, an HL7/Z07 message was queued to the Enrollment System. Note: The queued HL7 messages won't be sent until the IVM BACKGROUND JOB [IVM BACKGROUND JOB] option is run. If any HL7 consistency check fails, the HL7 message is not sent. The process statistics: Job Start Date/Time: OCT 06, 2022@10:34:30 Job End Date/Time: OCT 06, 2022@10:34:30 Total records with a Presumptive Psychosis Category: 3 If a list of records that had an HL7/Z07 message queued to the Enrollment System is needed, you may view global ^XTMP("DG531082P",783,"Z07" NOTE: The global ^XTMP("DG531082P") will be purged after 60 days. 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*1082, IVM*2.0*208 on Dec 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 27 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG531082P Before: n/a After: B56638583 **1082** Routine Name: DGENUPL1 Before: B75472345 After: B78480841 **147,222,232,314,397,379,407, 363,673,653,688,797,842,894, 871,935,959,975,972,952,996, 1014,1082** Routine Name: DGENUPL7 Before: B93315607 After:B103744501 **232,367,397,417,379,431,513, 628,673,653,742,688,797,871, 972,952,977,993,1014,1027,1045, 1082** Routine Name: DGENUPLB Before: B52239102 After: B57801879 **625,763,842,871,952,977,1014,1082** Routine Name: DGLOCK1 Before: B26976134 After: B27650469 **121,314,1014,1061,1075,1081,1082** Routine Name: DGPPSYCH Before: B6091930 After: B9535959 **977,1082**August 01, 2019 Routine Name: DGRP7 Before: B28677125 After: B28664422 **528,653,688,842,952,977,1016, 1061,1075,1082** Routine Name: VAFHLZHF Before: n/a After: B3784570 **1082** Routine list of preceding patches: 1045, 1081 ============================================================================= User Information: Entered By : Date Entered : JUL 08, 2022 Completed By: Date Completed: DEC 27, 2022 Released By : Date Released : DEC 27, 2022 ============================================================================= Packman Mail Message: ===================== No routines included