$TXT Created by DEVCRN.DOMAIN.EXT (KIDS) on Monday, 02/13/23 at 13:30 ============================================================================= Run Date: APR 12, 2023 Designation: DG*5.3*1092 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #955 Status: Released Compliance Date: MAY 12, 2023 ============================================================================= Associated patches: (v)DG*5.3*1059 <<= must be installed BEFORE `DG*5.3*1092' Subject: MASTER VETERAN INDEX VISTA ISSUE - A19 SEXUAL ORIENTATION/PRONOUN PROCESSING Category: - Routine Description: ============ DG*5.3*1059 is the ONLY required build for patch DG*5.3*1092. The Master Patient Index (MPI) has received several tickets from sites reporting that hard stack errors BLDRSP+26^VAFCQRY are being logged in their error trap. After analysis it was determined that this issue was occurring when MPI triggers the Patient Query (A19) Health Level Seven (HL7) messages to VistA to re-establish and/or synchronize the Integration Control Number (ICN) that has associated Sexual/Pronoun data stored in the PATIENT (#2) file. Specifically, the hard stack errors were being created on these A19 HL7 messages because the local "HLA" Array was being mistakenly set instead of the "^TMP" global when returning the outgoing Sexual Orientation, Sexual Orientation Description, Pronoun and Pronoun Description values. The local "HLA" array reference has now been updated to the correct "^TMP" global array and the associated counter is also being incremented now as well. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A 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 ------------------------------------------- INC25828032 - Hampton - multiple errors in the error trap BLDRSP+26^VAFCQRY INC25820095 - St.Louis HE - BLDRSP+26^VAFCQRY *EN08:24:42 ROU:STLR2PSVR 5941 INC25820434 - BLDRSP+26^VAFCQRY *EN07:36:06 ROU:KANR2PSVR 22762 INC25821742 - GLA: BLDRSP+26^VAFCQRY *EN errors Problem: -------- As reported in the several tickets list above, a hard stack error is occurring (BLDRSP+26^VAFCQRY *EN) when a HL7 Patient Query (A19) message is triggered to VistA from the MPI and the patient has Sexual Orientations or Pronoun values in their record. Resolution: ----------- After analysis it was determined that the local "HLA" Array was being mistakenly set instead of the "^TMP" global when returning the outgoing Sexual Orientation, Sexual Orientation Description, Pronoun and Pronoun Description values. The local "HLA" array has now been updated to reference the correct "^TMP" global and the associated counter is now being incremented as well. Test Sites: ---------- Hampton VAMC (Hampton, VA) Kansas City VAMC (Kansas City, MO) St. Louis VAMC (St. Louis, MO) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation describing the new functionality is not included in this release. Documentation Title File Name ------------------------------------------------------------------ N/A 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*1092) 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*1092 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: Routines iv. When prompted "Do you wish to secure this message? 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/Roll Back Plan ----------------------- This patch backout procedure would consist of restoring the sole routine by 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: VAFCQRY Before: B34739749 After: B37095377 **428,575,627,707,863,902,926, 967,1059,1092** Routine list of preceding patches: 1059 ============================================================================= User Information: Entered By : Date Entered : JAN 27, 2023 Completed By: Date Completed: APR 12, 2023 Released By : Date Released : APR 12, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT