$TXT Created by DEVCRN.DOMAIN.EXT (KIDS) on Monday, 09/24/18 at 15:42 ============================================================================= Run Date: NOV 29, 2018 Designation: MPIF*1*68 Package : MPIF - MASTER PATIENT INDEX VISTA Priority: Mandatory Version : 1 SEQ #65 Status: Released Compliance Date: DEC 30, 2018 ============================================================================= Associated patches: (v)MPIF*1*60 <<= must be installed BEFORE `MPIF*1*68' (v)MPIF*1*61 <<= must be installed BEFORE `MPIF*1*68' (v)MPIF*1*64 <<= must be installed BEFORE `MPIF*1*68' (v)DG*5.3*967 <<= must be installed BEFORE `MPIF*1*68' Subject: MASTER VETERAN INDEX VISTA ENHANCEMENTS - MVI SENSITIVITY Category: - Enhancement (Mandatory) - Routine Description: ============ NOTE: To prevent legacy systems ending up as Treating Facilities, RG* and MPIF* patches should NOT be installed on legacy systems or the FORUM CLAIMS system (since it is NOT a Veterans Affair Medical Center (VAMC) VistA system). DG*5.3*967, MPIF*1.0*60, MPIF*1.0*61 and MPIF*1.0*64 are the required builds for patch MPIF*1.0*68. NOTE: Master Patient Index (MPI) 'Sensitivity' enhancements are being distributed in three VistA namespaces: DG, MPIF and RG. The only build enforced requirement is that: - DG*5.3*967 be installed before MPIF*1.0*68 and RG*1.0*70 *** MPIF*1.0*68 and RG*1.0*70 can be installed in any order as there are NO dependencies between these patches. (Do NOT install MPIF*1.0*68 or RG*1.0*70 on legacy sites or on the FORUM CLAIMS system). NOTE: Legacy sites and the FORUM CLAIMS system can install just the DG*5.3*967 patch. MPIF*1.0*68 and RG*1.0*70 should NOT be installed on legacy sites or on the FORUM CLAIMS system. The following enhancement exported in this patch requested by the Healthcare Identity Management (HC IdM) business group will allow the Master Veteran Index (MVI) to now track a patient's sensitivity level, as recorded in the SECURITY LEVEL field (#2) of the DG SECURITY LOG File (#38.1). Enhancement The Health Level Seven (HL7) message builder for the Admit Discharge Transfer Update Person (ADT A31) message that is transmitted to the Master Veteran Index (MVI) system was enhanced in routine MPIFA31B to now create an additional 'Observation/Result' (OBX) message segment that will include the patient's 'Sensitivity' level. This new OBX HL7 message segment will include both the internal and external values of the SECURITY LEVEL field (#2) contained in the DG SECURITY LOG File (#38.1) that is associated with the patient. Example: OBX^^CE^SECURITY LEVEL^^1~SENSITIVE~L^^^^^^F * ********* Issue: It was determined that duplicate ADT-A31 HL7 messages were being transmitted to the MVI system when Integration Control Numbers (ICNs) are assigned through the local background job (MPIF LOC/MIS ICN RES) for patients who aren't added through the normal registration process (eg. Fileman). Therefore, the existing ADT-A31 transmission process in routine MPIFBT3 has been removed since the ADT-A24 HL7 message process that tries to link to an existing patient on the MVI automatically triggers the ADT-A31 HL7 message to MVI already. In addition, routines MPIFA24B and MPIFA31B have been updated to ensure a common return value of either message ID or -1^error text is returned, so that exceptions can be appropriately created in the CIRN HL7 EXCEPTION LOG file (#991.1) when the ADT-A24 or ADT-A31 HL7 message processes encounter errors. 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 ------------------------------------------- N/A Test Sites: ---------- Louisville Kentucky VAMC Richard L. Roudebush VAMC (Indianapolis, Indiana) Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext MPI/PD VistA Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/application.asp?appid=16 Title File Name FTP Mode --------------------------------------------------------------------------- MPI/PD VISTA User Manual RG_1_0_P70_UM.PDF (binary) MPI/PD VISTA Programmer Manual RG_1_0_P70_PM.PDF (binary) MPI/PD VISTA Technical Manual RG_1_0_P70_TM.PDF (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ There are no Pre/Post installation routine processes. Pre-Installation Instructions ----------------------------- This patch takes less than 2 minutes to install. This patch may be installed with users on the system. 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] Enter/Edit Patient Security Level [DG SECURITY ENTER/EDIT] 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 patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL enter the patch number (i.e. MPIF*1.0*68): a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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, such as routines, DDs, templates, etc. d. 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 DDs or templates. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond NO. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// respond YES. The following OPTIONS should be disabled during the installation. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following options: 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 [DG SECURITY ENTER/EDIT] Enter/Edit Patient Security Level 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//', respond 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 Plan ------------- The MPIF back-out procedure would consist of restoring the original routine using the back-up message created during the patch installation, as there are no additional components nor any other data modifications being made in this patch. 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: ;;1.0;MASTER PATIENT INDEX VISTA;**[Patch List]**;30 Apr 99;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MPIFA24B Before: B11454543 After: B11791107 **22,28,31,25,43,44,51,61,68** Routine Name: MPIFA31B Before: B26688072 After: B29876482 **22,24,27,28,31,25,44,46,54, 59,60,64,68** Routine Name: MPIFBT3 Before: B16907329 After: B16211266 **1,3,10,17,21,24,28,31,33,35, 43,52,58,60,68** Routine list of preceding patches: 61, 64 ============================================================================= User Information: Entered By : Date Entered : AUG 13, 2018 Completed By: Date Completed: NOV 29, 2018 Released By : Date Released : NOV 29, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT