============================================================================= Run Date: MAR 03, 2026 Designation: PX*1*246 Package : PX - PCE PATIENT CARE ENCOUNTER Priority: Mandatory Version : 1 SEQ #185 Status: Released Compliance Date: APR 02, 2026 ============================================================================= Associated patches: (v)PX*1*240 <<= must be installed BEFORE `PX*1*246' Subject: COMPACT ACT RELEASE 4 Category: - Routine Description: ============ This patch contains the following enhancements: o The PXCOMPACT NE BACKGROUND JOB option is created that will monitor the eligibility of patients in the COMPACT ACT EPISODE OF CARE File (#818) and see if there was a change. If so, the eligibility will be updated. If the new eligibility is NOT ELIGIBLE, then the job will update and end the episode. These patches are being released via a Kernel Installation and Distribution System (KIDS) multi-build distribution. KIDS multi-build name: COMPACT ACT RELEASE DG PX REL 4.0 KIDS Host File name: COMPACT_ACT_RELEASE_4.KID *NOTICE* The COMPACT Act patch installation order: 1. PX*1.0*246 2. DG*5.3*1123 EHRM Impact Statement: -------------------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites Patch Components: ----------------- File Data Included: File Name (Number) Entry Name Modified -------------------------------- ------------------------ ------------ N/A Files & Fields Associated: File Name (Number) Field Name (Number) New/Mod/Del ---------------------------- ------------------------------ ----------- 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/Del/Mod ------------ ----------- ----------- PX COMPACT NE BACKGROUND JOB Routine New Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A HL7 Logical Links New/Modified/Deleted ----------------- -------------------- N/A Security Keys Associated: Security Key Name New/Deleted ----------------- ----------- N/A HL7 Application Parameter Associated: Application Parameter Name New/Modified/Deleted -------------------------- ------------------------ 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 New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- None Enhancement Tracking System Ticket(s) & Overview: Requirement 1: COMPACT-625 If the administrative eligibility changes to NOT ELIGIBLE then end the episode of care. Resolution 1: Created the PX COMPACT NE BACKGROUND JOB to monitor eligibility changes and end the episode if the patient is NOT ELIGIBLE. Additionally, the EPISODE FINAL STATUS will be set to Rollback. Test Sites: ----------- Minneapolis VA Medical Center VA Nebraska Western Iowa Health Care System St. Cloud VA Medical Center Test Sites - SNOW Change Order #: --------------------------------- Minneapolis VA Medical Center: Change Order #:CHG0687865 VA Nebraska Western Iowa Health Care System: Change Order #:CHG0693065 St. Cloud VA Medical Center: Change Order #:CHG0693077 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/COMPACT_ACT_RELEASE_4.KID Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. File Description File Name ------------------------------------------------------------------------ Patient Care Encounter (PCE) PX_TM.PDF Technical Manual PX_TM.DOCX Patch Installation: ------------------- Pre/Post Installation Overview: It is not necessary to disable any options. Pre-Installation Instructions: This patch may be installed with users on the system although it is preferred that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions: Note: Installing the COMPACT ACT DG PX REL 4.0 multi-build will install both PX*1.0*246 and DG*5.3*1123. 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/COMPACT_ACT_RELEASE_4.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 COMPACT ACT RELEASE DG PX REL 4.0 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 your build COMPACT ACT RELEASE DG PX REL 4.0 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted to Enter a Host File, select a name for the backup host file that is different from the build name for the patch. If you don't specify a directory the default directory of HFS Primary Directory will be used. (ex. COMPACT_ACT_RELEASE_4_BACKUP.KID) The backup host file can be used to restore your system to its pre-patch condition. 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. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// respond NO. ii. When Prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. iii. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" respond NO. iiii. If prompted 'Delay Install (Minutes): (0-60): 0//' respond 0. Post-Installation Instructions: The PX COMPACT NE BACKGROUND JOB should be scheduled using the following steps: 1. Use VistA menu option XUTM SCHEDULE. 2. Enter PX COMPACT NE BACKGROUND JOB as the option. 3. Under the QUEUED TO RUN AT WHAT TIME field, enter tomorrow's date at 2:00am. The 2:00am time is a recommendation only, but it is best to run this early in the morning before users log in. 4. For the RESCHEDULING FREQUENCY field, enter 1D. 5. Enter through the rest of the prompts and Save them. The purpose of the PX COMPACT NE Background job is to update COMPACT Act Eligibility at the beginning of each day. Information on this job is included in the PCE Technical Manual. 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 the development team, VA site/region personnel and other appropriate VA personnel. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routines in a KIDS file using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The file containing the backed-up routines can be loaded with the Load a Distribution option contained on the Kernel Installation and Distribution System Menu. The Install Package(s) option is then used to install the backed-up routines onto the VistA System. The back-out plan is to restore the routines from the backup created. No data was modified by this patch installation and, therefore, no rollback strategy is required. 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 11 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXCOMPACTBKGRND Before: B2421175 After: B8149456 **240,246** Routine list of preceding patches: 240 ============================================================================= User Information: Entered By : Date Entered : MAY 28, 2024 Completed By: Date Completed: MAR 03, 2026 Released By : Date Released : MAR 03, 2026 ============================================================================= Packman Mail Message: ===================== No routines included