$TXT Created by             at MNTVBB.DOMAIN.EXT  (KIDS) on Tuesday, 07/13/21 at 16:21
=============================================================================
Run Date: AUG 17, 2021                     Designation: PXRM*2*77
Package : PXRM - CLINICAL REMINDERS           Priority: Mandatory
Version : 2        SEQ #60                      Status: Released
                  Compliance Date: SEP 17, 2021
=============================================================================

Associated patches: (v)PXRM*2*45   <<= must be installed BEFORE `PXRM*2*77'

Subject: NATIONAL ELEMENTS SHOULD NOT BE EDITED TO GROUPS

Category: 
  - Routine

Description:
============

 This patch addresses the following issue:
  
 NATIONAL class dialog elements should not be edited as dialog groups.
  
 Patient Safety Issues (PSIs):
 HITPS-7895
  
 Defect Tracking System Ticket(s) & Overview:
  
 INC17417583: National Dialog Elements Should Not Be Edited to Groups
                                                                        
 Problem:
 --------
 In the Reminder Dialog Management [PXRM DIALOG MANAGEMENT] option of the
 Clinical Reminders package in VistA, a bug in the VistA prompts allows a
 user to edit a NATIONAL class dialog element into a dialog group. The
 ability to do this is not needed, and the prompt should be suppressed.
 Changing a dialog element to a dialog group has the negative consequence
 of producing truncated (and, hence, erroneous) output into Progress Note
 text for any Mental Health (MH) questionnaire attached to that item that
 was originally an element. There may be other negative effects of the
 change from an element to a group, but the issue with MH questionnaire
 output is the only known example of negative effects at this time.
  
 Resolution:
 -----------
 Modify routine PXRMDEDI to not allow a NATIONAL class dialog element to 
 be edited as a dialog group.
  
 Test Sites:
 -----------
 Butler VA Health Care System (Butler, PA)
 Central California Health Care System (Fresno, CA)
  
  
 Software and Documentation Retrieval Instructions:
 --------------------------------------------------
 The software for this patch is being released in a PackMan message.
  
 Patch Installation:
 -------------------
 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.
  
 Installation Instructions:
  
 1.  Choose the PackMan message containing this build. Then select 
     the INSTALL/CHECK MESSAGE PackMan option to load the build.
  
 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 name. 
         (ex. PXRM*2.0*77)
  
         NOTE: Using <spacebar><enter> 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 your 
              build PXRM*2.0*77.
          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 <enter> and take the default response 
               of "NO".
          v.   When prompted with, "Send mail to: Last name, First 
               Name", press <enter> to take default recipient. Add 
               any additional recipients.
          vi.  When prompted with "Select basket to send to: IN//", 
               press <enter> and take the default IN mailbox or select 
               a different mailbox.
  
  
     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.
  
 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.
  
 Prior to installing an updated KIDS package, the site/region should have
 saved a backup of the routine in a mail message using the Backup a
 Transport Global [XPD BACKUP] menu option (this is done at time of
 install). The message containing the backed-up routine can be loaded with
 the "Xtract PackMan" function at the Message Action prompt. The Packman
 function "INSTALL/CHECK MESSAGE" is then used to install the backed up
 routine onto the VistA System. 
  
 The back-out plan is to restore the routine from the backup created.
  
 No data was modified by this patch installation and, therefore, no 
 rollback strategy is required.
  
 Validation of Back-out Procedure:
 --------------------------------
 The Back-out Procedure can be verified by printing the first 2 lines of
 the routines contained in this patch using the option First Line Routine 
 Print [XU FIRST LINE PRINT]. Once the routine contained in the PXRM*2.0*77
 patch has been backed out, the first two lines of the routine will
 no longer contain the designation of this patch in the patch list section
 on line 2.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;2.0;CLINICAL REMINDERS;**[Patch List]**;Feb 04, 2005;Build 5

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: PXRMDEDI
    Before: B30768880   After: B32182467  **4,26,45,77**
 
Routine list of preceding patches: 45

=============================================================================
User Information:
Entered By  :                               Date Entered  : APR 22, 2021
Completed By:                               Date Completed: AUG 16, 2021
Released By :                               Date Released : AUG 17, 2021
=============================================================================


Packman Mail Message:
=====================

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