$TXT Created by UNDERHILL,GARDNER at DAYT17.FO-BAYPINES.MED.VA.GOV  (KIDS) on Thursday, 01/13/11 at 11:45
=============================================================================
Run Date: MAR 06, 2012                     Designation: FH*5.5*27
Package : FH - DIETETICS                      Priority: Mandatory
Version : 5.5        SEQ #26                    Status: Released
                  Compliance Date: APR 06, 2012
=============================================================================

Associated patches: (v)FH*5.5*4    <<= must be installed BEFORE `FH*5.5*27'
                    (v)FH*5.5*20   <<= must be installed BEFORE `FH*5.5*27'

Subject: CORRECT ISSUE WITH TICKLERS & ALERTS

Category: 
  - Routine

Description:
============

 This patch addresses the following issues:
 1. Ticklers are not displaying correctly for Nursing Home patients with an
 (ASIH) "Absent Sick in Hospital" episode. 
  
 2. When the List Inpats By Nutrition Status Level [FHASNR4] report option
 is executed and the sorting is done by CLINICIAN, it is using the old
 CLINICIAN field (#1) rather than the new CLINICIAN(S) field (#112).
 This causes the report to produce incorrect information.
  
 3. When a patient is transferred to another ward, routine FHWTRN is 
 invoked to determine if monitors and related ticklers should be filed 
 for the patient.  Currently, alerts are being issued to the incorrect 
 Clinician.  
  
 4. XINDEX error is being generated for routine FHWTRN, which is a SACC 
 VIOLATION.  
  
  
 ASSOCIATED NSR:
 ===============
 N/A
  
 ASSOCIATED REMEDY TICKETS:
 ==========================
 1. HD0000000242092 - FGH - Tickler doesn't seem to be working on one 
    patient.
  
    Duplicate(s)
    ------------
    HD0000000267509 - Albumin level of 2.5 did not trigger in the 
    tickler file
    HD0000000370763 - Tickler File not Showing Monitor Alerts
    HD0000000417986 - Low Albumin did not trigger a monitor alert
    HD0000000481429 - Possible problem with NPO+Clr Liq alerts
  
 2. HD0000000426656 - List Inpats By Nutrition Status Level [FHASNR4]
  
    Duplicate(s)
    ------------
    HD0000000288389 - FHASNR4 report doesn't list all patients when sorted
    by CLINICIAN
  
 3. HD0000000430806 - clinician receiving alert
  
    Duplicate(s)
    ------------
    HD0000000539500 - Tickler File will not Follow Patient
    HD0000000555429 - <SUBSCRIPT>FIL+13^FHWTRN
  
 4. HD0000000441565 - XINDEX returned no time out on LOCK command error 
    for routine FHWTRN
  
 PARTICIPATING TEST SITES:
 =========================
 South Texas HCS
 Dayton, OH
  
 REMEDY OVERVIEW:
 ================
 1.  HD0000000242092 - FGH - Tickler doesn't seem to be working on one 
     patient.
  
     Problem:
     --------
     Nursing home patients who get very ill are admitted to the hospital
     using the "Absent Sick In Hospital" (ASIH) transfer method. Once
     the nursing home patient is well, he is discharged from hospital and
     is re-admitted to the nursing home using the original nursing home
     admission record. This becomes the patient's current admission. This
     will cause any monitor and its related tickler to be associated to the
     wrong admission when filed. The Display Tickler [FHCTF1] option will
     check the admission associated with the tickler with the patient's
     current admission. If they do not match, the tickler record is deleted
     before the report is displayed to the clinician. For the nursing
     home patients who have been ASIH, the tickler will appear to have 
     stopped working for them.
  
     Resolution:
     -----------
     Modify routine to maintain the correct admission.
  
 2.  HD0000000426656 - List Inpats By Nutrition Status Level [FHASNR4]
  
     Problem:
     --------
     The List Inpats By Nutrition Status Level [FHASNR4] option creates
     a report for a selected nutrition status level. The user is 
     prompted to select sorting the results by either ward or clinician.
     When the user selects to sort the results by clinician, the
     results are being sorted by the depreciated CLINICIAN field (#1)
     rather than the new CLINICIAN(S) field (#112) of the NUTRITION
     LOCATION file (#119.6). The report is incorrect and incomplete.
  
     Resolution:
     -----------
     Modify the report to use the CLINICIAN(S) field (#112) for sorting.
  
 3.  HD0000000430806 - clinician receiving alert
    
     Problem:
     --------
     When a patient is transferred from one nutrition location to another,
     the monitors will be checked. If needed, a monitor and tickler will be
     filed for the patient during the transfer. If the options to issue
     alerts for the monitors are turned on the alerts will be issued to the
     clinician. This process is using the depreciated CLINICIAN field (#1)
     rather than the new CLINICIAN(S) field (#112) of the NUTRITION
     LOCATION file (#119.6). This is causing ticklers to be filed to the
     wrong clinician. Alerts are being sent to the wrong clinician and to
     the correct clinicians with the wrong clinician name. 
     Also, for sites adding new nutrition locations this will cause a
     error and force the user out of VistA.
  
     Resolution:
     -----------
     Modify the process to use the new CLINICIAN(S) field (#112).
   
 4.  HD0000000441565 - XINDEX returned no time out on LOCK command error 
     for routine FHWTRN
  
     Problem:
     --------
     Running the XINDEX for routine FHWTRN returned the following error:
     Compiled list of Errors and Warnings     Nov 03, 2010@17:13:49 page 1
  
     FHWTRN   * *  142 Lines,  6349 Bytes, Checksum: B35702761
          L +^FHPT(FHDFN,"A",ADM,"MO",0)
     TFIL+1       S - Lock missing Timeout.
  
     --- Routine Detail ---
     *****   ERRORS & WARNINGS IN FHWTRN   *****
     TFIL+1       S - Lock missing Timeout.
  
     The missing time out violates the SACC section 2.4.6.1 which states 
     that all incremental locks must have a timeout. 
  
     Resolution:
     -----------
     Modification of routine FHWTRN at TFIL+1 to include a time out on the 
     LOCK command.
  
 INSTALLATION INSTRUCTIONS:
 ==========================
 If installed during the normal workday, it is recommended that the 
 Nutrition and Food Service users are off the system.  Other VISTA 
 users will not be affected.
  
 Install Time - less than 2 minutes 
  
 1.  Load Transport Global 
     ---------------------------
  
  Choose the PackMan message containing this patch and invoke the 
     INSTALL/CHECK MESSAGE PackMan option.  
              
 2.  Start Up KIDS 
     -----------------
     Start up the Kernel Installation and Distribution System Menu 
     [XPD MAIN]: 
          Edits and Distribution ...  
          Utilities ...  
          Installation ...  
    
 Select Kernel Installation & Distribution System Option: INStallation 
                                                          ---
          Load a Distribution 
          Print Transport Global 
          Compare Transport Global to Current System 
          Verify Checksums in Transport Global 
          Install Package(s) 
          Restart Install of Package(s) 
          Unload a Distribution 
          Backup a Transport Global 
    
 Select Installation Option: 
    
 3.  Select Installation Option: 
     -------------------------------
     NOTE:  The following are OPTIONAL - (When prompted for the INSTALL
            NAME, enter FH*5.5*27):
       
     a.  Backup a Transport Global - This option will create a backup
         message of any routines exported with this patch. It will not
         backup any other changes such as DD's or templates.
     b.  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 components of this patch
         (routines, DD's, templates, etc.).
     c.  Verify Checksums in Transport Global - This option will allow
         you to ensure the integrity of the routines that are in the
         transport global.
      
 4.  Select Installation Option: Install Package(s) 
      ---------------------------------------------------
     **This is the step to start the installation of this KIDS patch: 
     a.  Choose the Install Package(s) option to start the patch
         install.
  
     b.  When prompted 'Want KIDS to INHIBIT LOGONs during the install? 
         NO//' answer NO 
  
     c. When prompted 'Want to DISABLE Scheduled Options, Menu 
        Options, and Protocols? NO//' answer NO 

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;5.5;DIETETICS;**[Patch List]**;Jan 28, 2005;Build 9

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: FHASM2A
    Before: B16913100   After: B16654897  **8,20,27**
Routine Name: FHASN6
    Before: B11586994   After: B12229276  **27**
Routine Name: FHWTRN
    Before: B35702761   After: B37260983  **4,27**
 
Routine list of preceding patches: 4, 20

=============================================================================
User Information:
Entered By  : UNDERHILL,GARDNER D           Date Entered  : AUG 27, 2010
Completed By: CRICHLOW,SHERRY               Date Completed: FEB 21, 2012
Released By : BOSE,MARY ELLEN               Date Released : MAR 06, 2012
=============================================================================


Packman Mail Message:
=====================

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