============================================================================= Run Date: FEB 27, 2023 Designation: PX*1*233 Package : PX - PCE PATIENT CARE ENCOUNTER Priority: Mandatory Version : 1 SEQ #176 Status: Released Compliance Date: MAR 30, 2023 ============================================================================= Associated patches: (c)PXRM*2*84 install with patch `PX*1*233' (v)OR*3*597 install with patch `PX*1*233' (v)PX*1*217 <<= must be installed BEFORE `PX*1*233' Subject: POST CPRS V32B - VIMM FIXES Category: - Routine - Other Description: ============ This patch is part of a multi-package build. The other patches are OR*3*597 and PXRM*2*84. This patch corrects issues identified after the installation of CPRS v32b related to the Veterans Health Information Systems and Technology Architecture (VistA) Immunizations Enhancements (VIMM). See below, "Defect Tracking System Ticket(s) & Overview", for a full list of defects fixed by this patch. 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 -------------- -------------------- PXV SKIN TEST ADMIN SITES New Additional Information: ----------------------- N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: 1. VISTAPCE-330 - PCE Fix for Inactive Immunization Lots Problem: -------- When an immunization lot is marked as inactive and later re-activated, CPRS is not letting users select the Lot if the Visit Date/Time fell within the time the Lot was marked as inactive. Resolution: ----------- If the immunization lot is currently active (and not expired) let users select it for a past appointment, even if at the time of the appointment it was inactive. 2. VISTAPCE-331 - Immunization Times Incorrect for Guam/Saipan Problem: -------- Guam/Saipan is on Honolulu VistA time, so they see patients the "day before" the appointment date. This creates an incorrect entry in the system when documenting Vaccines or Skin Tests. They need the ability to allow for future entry of the vaccine or skin test. Resolution: ----------- Changes were made to check the ORPARAM OVER DATELINE parameter. If the parameter is set to YES, a future date/time before tomorrow at 23:59 is now allowed when documenting an immunization or skin test. 3. VISTAPCE-359 - VIMM Form Lets User Document Immunization for Inpatient Without Selecting a Lot Problem: -------- An issue can occur where the VIMM form loads with the Lot Number field greyed out, and it lets the user document the immunization without selecting a lot number. It only happens for inpatients when there is at least one active lot for that immunization at TODAY@00:00, but as of now, all the lots for that immunization are inactive or expired. Resolution: ----------- When loading lots for an inpatient, the system will check if the lot is active based off NOW, instead of TODAY@00:00. 4. VISTAPCE-395 - Missing skin test admin site locations Problem: -------- When documenting a skin test in CPRS, the only available administration sites to choose from are RIGHT LOWER FOREARM and LEFT LOWER FOREARM. Sites have reported issues with this, as they do not always administer the skin test on the lower forearm, and depending on the appearance of the arm due to tattoos, scars, etc. they might use the upper or mid forearm as well. Resolution: ----------- This patch will also include the RIGHT ARM and LEFT ARM as selectable administration sites. The comment field can be leveraged if further specificity to arm location is desired. Test Sites: ----------- New Orleans VAMC (New Orleans, LA) Pacific Islands HCS (Honolulu, HI) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/CPRS_V32B_VIMM_FOLLOW_UP.KID Patch Installation: ------------------- The patch is installed as part of the host file distributed with OR*3.0*597 and PXRM*2.0*84, and is not installed separately. Please refer to the OR*3.0*597 patch description for install instructions. Pre/Post Installation Overview: The post install will set the PXV SKIN TEST ADMIN SITES parameter with the available administration sites for skin tests. Pre-Installation Instructions: Please refer to the OR*3.0*597 patch description for pre-installation instructions. Installation Instructions: Please refer to the OR*3.0*597 patch description for installation instructions. Post-Installation Instructions: Please refer to the OR*3.0*597 patch description for post-installation instructions. Back-Out/Roll Back Plan: Please refer to the OR*3.0*597 patch description for Back-Out/Roll Back Plan. 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXVP233 Before: n/a After: B1337069 **233** Routine Name: PXVRPC4 Before:B172045370 After:B172923219 **215,216,217,233** Routine Name: PXVRPC8 Before: B68598322 After: B71145614 **216,217,233** Routine Name: PXVUTL Before: B5865943 After: B7289648 **210,217,233** Routine Name: PXVXR Before: B63935307 After: B64931376 **210,216,211,217,233** Routine list of preceding patches: 217 ============================================================================= User Information: Entered By : Date Entered : DEC 07, 2022 Completed By: Date Completed: FEB 22, 2023 Released By : Date Released : FEB 27, 2023 ============================================================================= Packman Mail Message: ===================== No routines included