============================================================================= Run Date: SEP 03, 2015 Designation: PX*1*206 Package : PX - PCE PATIENT CARE ENCOUNTER Priority: Mandatory Version : 1 SEQ #160 Status: Released Compliance Date: OCT 04, 2015 ============================================================================= Associated patches: (v)XU*8*654 <<= must be installed BEFORE `PX*1*206' (v)HDI*1*14 <<= must be installed BEFORE `PX*1*206' (v)PX*1*208 <<= must be installed BEFORE `PX*1*206' Subject: VISTA IMMUNIZATION ENHANCEMENTS 2.0 Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ WARNING! This patch cannot be re-installed without assistance from Product Support. The Veterans Health Information Systems and Technology Architecture (VistA) Immunizations Enhancements (VIMM) 2.0 project modifies existing Skin Test files and adds additional files to enable VA to quickly and reliably document and exchange standardized skin test and immunization information on beneficiaries across services and departments. Additionally, modifications support VistA Evolution requirements. This provides a Veteran patient-centric vaccine record exchangeable with the external community. Clinicians will have access to a more complete medical history in the VistA electronic medical record resulting in improved health status as well as public health monitoring. The goals for the VIMM 2.0 project are to deliver an Initial Operating Capability comprised of standard, interoperable skin test and immunization data for exchange with external trading partners based on the modernization of the VistA Patient Care Encounter (PCE) package. This patch provides the following new features: 1) The Skin Test records in the SKIN TEST (#9999999.28) file are standardized to use consistent nomenclature for all VA facilities. During the post installation, records in the SKIN TEST file are modified and new Skin Test records are added to mirror entries from a nationally standardized table. A new field (CLASS) has been added to identify each record as NATIONAL or LOCAL. Only records with a CLASS of NATIONAL are selectable. If a record is not the standard, the CLASS will be set to LOCAL and the INACTIVE FLAG will be set to INACTIVE. 2) The options, PXTT EDIT SKIN TEST and PXTT IN/ACTIVATE SKIN TEST, have been placed out of order. Future updates to the SKIN TEST file will be maintained by the Master File Server. 3) Bar codes from the Vaccine Information Statement Lookup table (http://www.cdc.gov/vaccines/programs/iis/code-sets/vis-barcode-lookup-tab le.html) at the Centers for Disease Control and Prevention (CDC) have been added to the VACCINE INFORMATION STATEMENT file (#920) to support use of scanning technology when recording which Vaccine Information Statement has been provided to a patient. The patch will also populate the Veterans Health Administration Unique Identifiers (VUIDs) for this file. 4) A spelling error in the short name for the IMMUNIZATION record, VARICELLA, is corrected from VARCELLA to VARICELLA. 5) This patch populates VUID data fields for the following files: #920 VACCINE INFORMATION STATEMENT #920.1 IMMUNIZATION INFO SOURCE #920.2 IMM ADMINISTRATION ROUTE #920.3 IMM ADMINISTRATION SITE (BODY) #920.4 IMM CONTRAINDICATION REASONS #920.5 IMM REFUSAL REASONS #9999999.04 IMM MANUFACTURER #9999999.14 IMMUNIZATION #9999999.28 SKIN TEST 6) The SKIN TEST file (#9999999.28) includes two new fields that are Indian Health Service (IHS) fields and are added for backward compatibility. These two fields are CODE (#.02) and CPT CODE (#.11). 7) Values in the MAX # IN SERIES field (#.05) in the IMMUNIZATION file (#9999999.14) are standardized to be uniform across all VA facilities. MAX # IN SERIES defines the permissible values for the SERIES property when documenting an immunization in the V IMMUNIZATION file (#9000010.11). Existing values at VA facilities will be replaced by the standardized values, including removal of data where the standard does not have a MAX # IN SERIES value. 8) The Health Summary component for Skin Test has been modified to display PRINT NAME as the name of the Skin Test in place of NAME if the record is a National standard. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- VACCINE INFORMATION STATEMENT (#920) NAME (#.01) Modified EDITION DATE (#.02) Modified EDITION STATUS (#.03) Modified LANGUAGE (#.04) Modified REPLACED BY VHA STANDARD TERM (#99.97) Modified MASTER ENTRY FOR VUID (#99.98) Modified VUID (#99.99) Modified EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#920.99) Modified STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#920.99) Modified 2D BAR CODE (#100) New VIS URL (#101) Modified IMMUNIZATION INFO SOURCE (#920.1) SOURCE (#.01) Modified HL7 CODE (#.02) Modified STATUS (#.03) Modified REPLACED BY VHA STANDARD TERM (#99.97) New MASTER ENTRY FOR VUID (#99.98) New VUID (#99.99) New EFFECTIVE DATE/TIME (multiple field #99.991, sub-file #920.199) New EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#920.199) New STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#920.199) New IMM ADMINISTRATION ROUTE (#920.2) ROUTE (#.01) Modified HL7 CODE (#.02) Modified FDA NCIT (#.03) Modified REPLACED BY VHA STANDARD TERM (#99.97) Modified MASTER ENTRY FOR VUID (#99.98) Modified VUID (#99.99) Modified EFFECTIVE DATE/TIME (multiple field #99.991, sub-file #920.299) Modified EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#920.299) Modified STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#920.299) Modified IMM ADMINISTRATION SITE (BODY) (#920.3) SITE (#.01) Modified HL7 CODE (#.02) Modified REPLACED BY VHA STANDARD TERM (#99.97) Modified MASTER ENTRY FOR VUID (#99.98) Modified VUID (#99.99) Modified EFFECTIVE DATE/TIME (multiple field #99.991, sub-file #920.399) Modified EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#920.399) Modified STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#920.399) Modified IMM CONTRAINDICATION REASONS (#920.4) NAME (#.01) New CONCEPT CODE (#,02) New INACTIVE (#.03) New NIP004 (#.04) New HL7 CODE (#.05) New CONTRAINDICATION/PRECAUTION (#.06) New CONCEPT NAME (#1) New CONCEPT DEFINITION (#2) New IMMUNIZATIONS LIMITED (multiple field #3, sub-file #920.4) New IMMUNIZATIONS LIMITED (#.01) of the IMMUNIZATIONS LIMITED sub-file (#920.43) New REPLACED BY VHA STANDARD TERM (#99.97) New MASTER ENTRY FOR VUID (#99.98) New VUID (#99.99) New EFFECTIVE DATE/TIME (multiple field #99.991, sub-file #920.499) New EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#920.499) New STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#920.499) New IMM REFUSAL REASONS (#920.5) REASON (#.01) New HL7 CODE (#.02) New REPLACED BY VHA STANDARD TERM (#99.97) New MASTER ENTRY FOR VUID (#99.98) New VUID (#99.99) New EFFECTIVE DATE/TIME (multiple field #99.991, sub-file #920.599) New EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#920.599) New STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#920.599) New IMM MANUFACTURER (#9999999.04) NAME (#.01) Modified MVX CODE (#.02) Modified STATUS (#.03) Modified FULL NAME (#.04) Modified SYNONYM #1 (#.05) Modified REPLACED BY VHA STANDARD TERM (#99.97) Modified MASTER ENTRY FOR VUID (#99.98) Modified VUID (#99.99) Modified EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#9999999.0499) Modified STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#9999999.0499) Modified CDC NOTES (#201) Modified VACCINE (multiple field #1101, sub-file #9999999.0411) Modified VACCINE (#.01) of the VACCINE sub-file (#9999999.0411) Modified MNEMONIC (#8801) Modified IMMUNIZATION (#9999999.14) NAME (#.01) Modified SHORT NAME (.02) Modified CVX CODE (#.03) Modified DEFAULT LOT # (.04) Modified MAX # IN SERIES (#.05) Modified CHILDHOOD IMMUNIZATION (#.06) Modified INACTIVE FLAG (#.07) Modified SKIN TEST (#.08) Modified VACCINE GROUP (SERIES TYPE) (#.09) Modified ALTERNATE SHORT NAME (#.1) Modified CPT CODE (#.11) Modified RELATED CONTRAIND HL7 CODES (#.12) Modified VIS DEFAULT DATE (#.13) Modified ICD DIAGNOSIS CODE (#.14) Modified ICD PROCEDURE CODE (#.15) Modified INCLUDE IN FORECAST (#.16) Modified INCLUDE IN VAC ACCOUNT REPORT (#.17) Modified DEFAULT VOLUME (#.18) Modified COMBINATION IMMUNIZATION (Y/N) (#.2) Modified COMPONENT #1 (#.21) Modified COMPONENT #2 (#.22) Modified COMPONENT #3 (#.23) Modified COMPONENT #4 (#.24) Modified COMPONENT #5 (#.25) Modified COMPONENT #6 (#.26) Modified READING REQUIRED (#.51) New BRAND #1 (#1.01) Modified BRAND #2 (#1.03) Modified BRAND #3 (#1.05) Modified BRAND #4 (#1.07) Modified BRAND #5 (#1.09) Modified FULL NAME (#1.14) Modified CPT CODE 2ND (#1.15) Modified CDC FULL VACCINE NAME (#.01) of the CDC FULL VACCINE NAME sub-file (#9999999.142) Modified CODING SYSTEM (multiple field #3, sub-file #9999999.143) Modified CODING SYSTEM (#.01) of the CODING SYSTEM sub-file (#9999999.143) Modified CODE (multiple field #.02, sub-file #9999999.1431 of the CODING SYSTEM sub-file (#9999999.143) Modified CODE (#.01) of the CODE sub-file (#9999999.1431) Modified VACCINE GROUP NAME (multiple field #7, sub-file #9999999.147) New VACCINE GROUP NAME (#.01) of the VACCINE GROUP NAME sub-file (#9999999.147) New SYNONYM (multiple field #10, sub-file #9999999.141) Modified SYNONYM (#.01) of the SYNONYM sub-file (#9999999.141) Modified REPLACED BY VHA STANDARD TERM (#99.97) Modified MASTER ENTRY FOR VUID (#99.98) Modified VUID (#99.99) Modified EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#9999999.1499) Modified STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#9999999.1499) Modified CLASS (#100) Modified MNEMONIC (#8801) Modified ACRONYM (#8802) Modified SELECTABLE FOR HISTORIC (#8803) Modified SKIN TEST (#9999999.28) NAME(#.01) Modified CODE (#.02) New INACTIVE FLAG (#.03) Modified CPT CODE (#.11) New CODING SYSTEM (multiple field #3, sub-file #9999999.283) New CODING SYSTEM (#.01) of the CODING SYSTEM sub-file (#9999999.283) New CODE (multiple field #.02, sub-file #9999999.2831 of the CODING SYSTEM sub-file (#9999999.283) New CODE (#.01) of the CODE sub-file (#9999999.2831) New REPLACED BY VHA STANDARD TERM (#99.97) New MASTER ENTRY FOR VUID (#99.98) New VUID (#99.99) New EFFECTIVE DATE/TIME (multiple field #99.991, sub-file #9999999.2899) New EFFECTIVE DATE/TIME (#.01) of the EFFECTIVE DATE/TIME sub-file (#9999999.2899) New STATUS (#.02) of the EFFECTIVE DATE/TIME sub-file (#9999999.2899) New CLASS(#100) New PRINT NAME (#1201) New MNEMONIC (#8801) Modified 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 ----------- ---- -------------------- PXTT EDIT SKIN TESTS Edit Modified PXTT IN/ACTIVATE SKIN TEST Edit Modified 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 Additional Information: N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Blood Bank Clearance: --------------------- N/A Remedy Ticket(s) & Overview: ---------------------------- N/A Test Sites: ---------- Cleveland, OH Hampton, VA Heartland-East HCS, MO San Antonio, TX Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Title File Name FTP Mode ------------------------------------------------------------- Patient Care Encounter (PCE) PX_1_UM_R0315.PDF (binary) V. 1.0 User Manual Patient Care Encounter (PCE) PX_1_TM_R0315.PDF (binary) V.1.0 Technical Manual Patch Installation: Pre/Post Installation Overview: ------------------------------- WARNING! This patch cannot be re-installed without assistance from Product Support. This patch will run a brief pre-installation process that will check for duplicate entries in the SKIN TEST file (#9999999.28). If any duplicates are detected, the installation will abort. Use the option, PXTT EDIT SKIN TESTS, to rename duplicates and restart the installation of the patch. A post-installation process will standardize data in the SKIN TEST file (#9999999.28). Any errors that occur are displayed and an email with more detail is sent to the installer. If no errors occur during the conversion of the SKIN TEST file, a HEALTH DATA INFORMATICS (HDI) routine is called to populate VUID data from the FORUM Master File Server. The post installation routine calls an HDI routine to request the VUID data for the following files: #920.1 IMMUNIZATION INFO SOURCE #920.2 IMM ADMINISTRATION ROUTE #920.3 IMM ADMINISTRATION SITE (BODY) #920.4 IMM CONTRAINDICATIONS #920.5 IMM REFUSALS #9999999.04 IMM MANUFACTURER #9999999.14 IMMUNIZATION #9999999.28 SKIN TEST The routine, PXVP206, may be deleted after the patch is successfully installed. Pre-Installation Instructions: ------------------------------ The following patches must be installed prior to installing this patch: 1. XU*8*654 MFS PARAMETERS 2. HDI*1*14 VIMM 2.0 Standardization 3. PX*1*208 IMMUNIZATION SERIES, REACTION, & CONTRA DISAPPEARING Installation Instructions: -------------------------- This patch should be installed during a period of minimal system activity, preferably with users off the system. Installation time is expected to be approximately 10 minutes. This patch is available via FTP as a KIDS distribution file. The Host File is named PX_1_206.KID and should be downloaded in ASCII format. The file is located in the [ANONYMOUS.SOFTWARE] directory of the following OI Field Offices. PREFERRED ADDRESS ----------------- First available ftp server download.vista.domain.ext SPECIFIC FIELD OFFICE FTP ADDRESS --------------------- ----------- Albany ftp.domain.ext Hines ftp.domain.ext SLC ftp.domain.ext 1. Load the KIDS distribution file via the 'Load a Distribution' option on the KIDS Installation menu. 2. Prior to installing the patch use the following installation options located on the KIDS Installation menu: 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. 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. 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. 3. Install the KIDS distribution via the 'Install Package(s)' option on the KIDS Installation menu. For the Install Name enter PX*1.0*206. a. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' Answer NO. 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. 4. Verify the status of the installation. An email message is sent to the installer at the end of the installation indicating whether the installation was successful. Please enter a Remedy ticket if the installation failed. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;PCE PATIENT CARE ENCOUNTER;**[Patch List]**;Aug 12, 1996;Build 50 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRHS04 Before: B6212578 After: B8043318 **13,206** Routine Name: PXVE206 Before: n/a After: B1087848 **206** Routine Name: PXVP206 Before: n/a After: B79621981 **206** Routine Name: PXVZRT Before: n/a After: B71159926 **206** ============================================================================= User Information: Entered By : Date Entered : JAN 07, 2015 Completed By: Date Completed: SEP 02, 2015 Released By : Date Released : SEP 03, 2015 ============================================================================= Packman Mail Message: ===================== No routines included