============================================================================= Run Date: MAR 24, 2026 Designation: GMTS*2.7*147 Package : GMTS - HEALTH SUMMARY Priority: Mandatory Version : 2.7 SEQ #135 Status: Released Compliance Date: APR 24, 2026 ============================================================================= Associated patches: (c)PX*1*247 install with patch `GMTS*2.7*147' (v)GMTS*2.7*107<<= must be installed BEFORE `GMTS*2.7*147' (v)GMTS*2.7*144<<= must be installed BEFORE `GMTS*2.7*147' Subject: PCE COMPONENT BUG STOMP & MISSING VITALS COMPONENTS ENHANCEMENT Category: - Routine Description: ============ This patch is part of the Health Summary Cleanup project. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH ----------------------------------------------------------------- HEALTH SUMMARY v2.7 GMTS*2.7*147 PATIENT CARE ENCOUNTER v1.0 PX*1.0*247 All these patches are released via a Kernel Installation and Distribution System (KIDS) multi-build distribution as HEALTH SUMMARY CLEANUP 2.0. This patch addresses two issues in the Patient Care Encounter (PCE) Health Summary components: (1) A site reported that the PCE Immunizations [IM] Health Summary component began triggering the TIU Unapproved Abbreviations check after installation of patch GMTS*2.7*144. Review the Defect Tracking System Ticket(s) & Overview section below for details. (2) Health Summary components for Education Topics, Exams, and Health Factors are modified to display the field PROMPT CAPTION instead of the previously used generic terms MAGNITUDE or MEASUREMENT. This patch also addresses one issue in the Vitals Health Summary components: (1) During the deployment of Computerized Patient Record System (CPRS) Graphical User Interface (GUI) version 33SWD (patch OR*3*608), a site reported that the vitals health summary components did not honor the new Display metric vitals values first? [ORQQVI METRIC FIRST] parameter. Review the New Service Requests (NSRs) section below for details. EHRM Impact Statement: ---------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A 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: ----------------------- New Service Requests (NSRs): 20150513 Functionality of CPRS Weight Display When vitals are displayed to an end user, sites have the ability to decide whether the metric or imperial measurement is shown first by setting a new parameter. This functionality was released in CPRS GUI v33SWD. However, during the planning, design, development, and testing stages of that release, the Health Summary vitals components were overlooked. This patch addresses that shortcoming by modifying the following components to honor the Display metric vitals values first? [ORQQVI METRIC FIRST] parameter: VITAL SIGNS VITAL SIGNS DETAILED DISPLAY VITAL SIGNS OUTPATIENT VITAL SIGNS SELECTED VITAL SIGNS SELECTED OUTPAT. Additionally, it was noted that some of the vitals components contained a typographical error in the unit of measure for central venous pressure (CVP). CVP is measured as either centimeters of water (cmH2O) or millimeters of mercury (mmHg). The letter O (for Oxygen) in centimeters of water was incorrectly shown as the number zero. This patch addresses that typographical error by replacing the number zero with the letter O. To clarify: the CVP value displayed has always been correct, the unit of measure displayed was incorrect. Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: 1. INC29820038 TIU package is interpeting U* as just U Problem: -------- When the contents of the Pce Immunizations [IM] health summary component are included in a note, there are situations where the truncated text in the component is identified by the Text Integration Utilities (TIU) software as an unapproved abbreviation. For example, the site name AUGUSTA UPTOWN, when truncated to 10 characters, becomes AUGUSTA U*; the U is the unapproved abbreviation. The composer of the note is then prevented from signing the note until the unapproved abbreviation is removed. Resolution: ----------- Two solutions are implemented with this patch: (1) The truncation code is modified so that it will truncate text on the nearest space character to the left of the desired text length. In the problem example, AUGUSTA UPTOWN will be truncated to AUGUSTA*. (2) The value for the Facility column is moved to the next line in each table (ADMINISTERED, CONTRAINDICATED, AND REFUSED) and will span to the width of the table, thereby showing more characters. For example, the following table has 1 entry: Immunization Series Date Facility Reaction Info TD (ADULT), 2 LF TETANUS TOXOID,* B 07/18/2024 WEST PALM BEACH VAMC 2. INC34741305 Health Summary Components Display Wrong Caption for Health Factors Problem: -------- Health Summary components for Health Factors currently display the generic terms MAGNITUDE or MEASUREMENT rather than the PROMPT CAPTION assigned to the Health Factor when a measurement is recorded. This problem also exists for Education Topics and Exams when a measurement is recorded with them. Resolution: ----------- Health Summary components for Education Topics, Exams, and Health Factors are modified to display the field PROMPT CAPTION instead of the previously used generic terms MAGNITUDE or MEASUREMENT. Test Sites: ----------- VA Puget Sound Health Care System (Tacoma, WA) Charlie Norwood Department of Veterans Affairs Medical Center (Augusta, GA) Test Sites - SNOW Change Order #: VA Puget Sound Health Care System: CHG0599020 Charlie Norwood Department of Veterans Affairs Medical Center: CHG0599625 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/GMTS_147_PX_247.KID Documentation describing the new functionality is not included in this release. Patch Installation: ------------------- Pre/Post Installation Overview: 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. 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/GMTS_147_PX_247.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 or build name. (ex. HEALTH SUMMARY CLEANUP 2.0) 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 HEALTH SUMMARY CLEANUP 2.0 iii. When prompted for the backup type, enter "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// B iv. When prompted 'Enter a Host File:', enter the path and file name where the backup should be saved. !!! CAUTION !!! DO NOT enter the path and file name of the installation host file. You may use the same path but MUST use a different file name. v. When prompted 'Header Comment: Backup of HEALTH SUMMARY CLEANUP 2.0, PX*1.0*247, GMTS*2.7*147 Replace', press the ENTER/RETURN key. 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? NO//', answer NO. Post-Installation Instructions: There are no post-installation tasks to complete. Back-Out/Roll Back Plan: ------------------------ Back-out will be done only with the concurrence and participation of development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between development team, VA site/region personnel and other appropriate VA personnel. The installer should have completed step 2B in the Installation Instructions section. The backup build, HEALTH SUMMARY CLEANUP 2.0b, will restore routines to their pre-install state. Backout Instructions: 1. Use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the backout host file. When prompted to "Enter a Host File:", enter the path and file name for the backup host file created in installation step 2B. 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 backup build name. (ex. HEALTH SUMMARY CLEANUP 2.0b) 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. 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. NOTE: The Backup a Transport Global option is unnecessary as it poorly duplicates the released software distribution. C. 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? NO//', answer NO. Post-Backout Instructions: None Routine Information: ==================== The second line of each of these routines now looks like: ;;2.7;Health Summary;**[Patch List]**;Oct 20, 1995;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: GMTS2 Before: B5607837 After: B6216285 **2,58,62,122,147** Routine Name: GMTSPSO8 Before: B15233700 After: B14930359 **125,115,147** Routine Name: GMTSPSO9 Before: B15965519 After: B15994750 **125,115,147** Routine Name: GMTSPXEP Before: B17586593 After: B19293948 **8,10,28,35,56,122,115,147** Routine Name: GMTSPXFP Before: B29142310 After: B31096092 **8,10,28,56,58,62,69,82,110, 122,115,147** Routine Name: GMTSPXIM Before:B141053453 After:B145838449 **8,10,28,56,89,114,115,144,147** Routine Name: GMTSPXXP Before: B10521483 After: B11708490 **8,10,28,56,122,115,147** Routine Name: GMTSVS Before: B51081616 After: B61275775 **8,20,28,35,49,78,107,147** Routine Name: GMTSVSD Before: B59713312 After: B59636152 **35,49,58,78,107,147** Routine Name: GMTSVSS Before: B45201579 After: B52027229 **8,20,28,35,49,78,107,147** Routine list of preceding patches: 107, 144 ============================================================================= User Information: Entered By : Date Entered : DEC 19, 2023 Completed By: Date Completed: MAR 23, 2026 Released By : Date Released : MAR 24, 2026 ============================================================================= Packman Mail Message: ===================== No routines included