============================================================================= Run Date: FEB 04, 2019 Designation: VPR*1*8 Package : VPR - VIRTUAL PATIENT RECORD Priority: Mandatory Version : 1 SEQ #10 Status: Released Compliance Date: FEB 19, 2019 ============================================================================= Associated patches: (v)XU*8*672 <<= must be installed BEFORE `VPR*1*8' (v)DI*22.2*9 <<= must be installed BEFORE `VPR*1*8' Subject: HEALTHSHARE Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch extends the Virtual Patient Record (VPR) application, to provide a new method of retrieving patient health data from a Veterans Health Information Systems (VistA) database. Patch DI*22.2*9 released a new VA FileManager utility that provides the ability to map VistA files and fields to other data models, and extract that data as XML or JSON objects. This VPR patch will populate the new Entity file (#1.5) to map VistA data elements to InterSystems' Summary Data Architecture (SDA) model, and use the new supported calls to retrieve the requested data. This patch also installs a mechanism to monitor clinical data events in VistA, to enable retrieval of updated information as a patient's data changes. New Protocol file (#101) entries will be added, and linked to appropriate clinical application events; the file and record numbers modified will be collected in the new VPR Subscription file (#560) until retrieved and updated. Patch Components: ----------------- Entities Associated: Entity Name New/Modified/Deleted ----------- -------------------- VPR ADMISSION New VPR ADMISSION EXTENSION New VPR ADVANCE DIRECTIVE New VPR ALLERGY New VPR ALLERGY ASSESSMENT New VPR ALLERGY EXTENSION New VPR ALLERGY SIGN/SYMPTOM New VPR AMIS New VPR APPOINTMENT New VPR APPOINTMENT EXTENSION New VPR CODE ONLY New VPR CODE TABLE New VPR COMMENT New VPR CONSULT SERVICE New VPR COUNTRY New VPR CPT New VPR CPT MODIFIER New VPR CUSTOM PAIR New VPR CW NOTES New VPR DISPLAY GROUP New VPR DOCUMENT New VPR DOCUMENT EXTENSION New VPR DOCUMENT ROLE New VPR DOCUMENT SERVICE New VPR DOCUMENT SETTING New VPR DOCUMENT STATUS New VPR DOCUMENT SUBJECT New VPR DOCUMENT TITLE New VPR DOCUMENT TYPE New VPR DOSAGE STEP New VPR DRUG CLASS New VPR DRUG GENERIC New VPR DRUG INGREDIENT New VPR DRUG PRODUCT New VPR ETHNICITY New VPR EXAM New VPR FACILITY New VPR FACILITY ADDRESS New VPR FAMILY DOCTOR New VPR FAMILY HISTORY New VPR FIM New VPR FIM EXTENSION New VPR HEALTH CONCERN New VPR HEALTH FACTOR New VPR HF EXTENSION New VPR ICD New VPR IMM ADMINISTRATION New VPR IMM EXTENSION New VPR IMM ROUTE New VPR IMM SITE New VPR IMM VIS New VPR IMMUNIZATION New VPR INS COMPANY ADDRESS New VPR INS GROUP NAME New VPR INSURANCE New VPR INSURANCE COMPANY New VPR INSURANCE PLAN New VPR INSURED ADDRESS New VPR IV PRODUCT New VPR LAB ORDER New VPR LAB TEST New VPR LAB URGENCY New VPR LANGUAGE New VPR LOCATION New VPR LOCATION EXTENSION New VPR LOINC New VPR LRAP EXTENSION New VPR LRAP REPORT New VPR LRCH RESULT New VPR LRCH RESULT EXTENSION New VPR LRCH RESULT ITEM New VPR LRMI EXTENSION New VPR LRMI REPORT New VPR MARITAL STATUS New VPR MED ADMINISTRATION New VPR MED EXTENSION New VPR MED FILL New VPR MED ROUTE New VPR MEDICATION New VPR NAME New VPR ORDER EXTENSION New VPR ORDER STATUS New VPR ORDER URGENCY New VPR ORDERABLE ITEM New VPR OTHER ORDER New VPR PATIENT New VPR PATIENT ADDRESS New VPR PATIENT ALIAS New VPR PATIENT BIRTHPLACE New VPR PATIENT DISABILITY New VPR PATIENT ECON New VPR PATIENT ECON ADDRESS New VPR PATIENT ELIGIBILITY New VPR PATIENT EMPLOYER New VPR PATIENT EMPLOYER ADDRESS New VPR PATIENT EXTENSION New VPR PATIENT ID New VPR PATIENT LANGUAGE New VPR PATIENT NOK New VPR PATIENT NOK ADDRESS New VPR PATIENT NUMBER New VPR PATIENT RECORD FLAG New VPR PERSON CLASS New VPR PERSON CLASS EXTENSION New VPR PREGNANCY New VPR PRF EXTENSION New VPR PROBLEM New VPR PROBLEM EXTENSION New VPR PROCEDURE New VPR PROCEDURE EXTENSION New VPR PROVIDER New VPR PROVIDER EXTENSION New VPR PTF New VPR PTF EXTENSION New VPR RACE New VPR RAD ORDER New VPR RAD REPORT New VPR RAD RESULT New VPR RAD RESULT EXTENSION New VPR RAD RPT EXTENSION New VPR REFERRAL New VPR REFERRAL EXTENSION New VPR RELIGION New VPR SCHEDULED ADMISSION New VPR SIGNER New VPR SOCIAL HISTORY New VPR SPECIALTY New VPR STATE New VPR SURGERY New VPR SURGERY EXTENSION New VPR TEAM MEMBER New VPR USER New VPR V CPT New VPR V EXAM New VPR V POV New VPR V PROVIDER New VPR VACCINATION New VPR VISIT New VPR VISIT EXTENSION New VPR VITAL EXTENSION New VPR VITAL MEASUREMENT New VPR VITAL QUALIFIER New VPR VITAL TYPE New Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- VPR SUBSCRIPTION (#560) * New Options Associated: Option Name New/Modified/Deleted ----------- -------------------- VPR HS CLEAR LIST New VPR HS ENABLE New VPR HS MENU New VPR HS PUSH New VPR HS TEST New Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- DG FIELD MONITOR Modified (USE AS LINK) DGPF PRF ORU/R01 EVENT Modified (USE AS LINK) DGPM MOVEMENT EVENTS Modified (USE AS LINK) FH EVSEND OR Modified (USE AS LINK) GMPL EVENT Modified (USE AS LINK) GMRA ENTERED IN ERROR Modified (USE AS LINK) GMRA SIGN-OFF ON DATA Modified (USE AS LINK) GMRC EVSEND OR Modified (USE AS LINK) IBCN NEW INSURANCE EVENTS Modified (USE AS LINK) LR7O AP EVSEND OR Modified (USE AS LINK) LR7O CH EVSEND OR Modified (USE AS LINK) OR EVSEND FH Modified (USE AS LINK) OR EVSEND GMRC Modified (USE AS LINK) OR EVSEND LRCH Modified (USE AS LINK) OR EVSEND ORG Modified (USE AS LINK) OR EVSEND PS Modified (USE AS LINK) OR EVSEND RA Modified (USE AS LINK) OR EVSEND VPR Modified (USE AS LINK) PS EVSEND OR Modified (USE AS LINK) PXK VISIT DATA EVENT Modified (USE AS LINK) RA EVSEND OR Modified (USE AS LINK) RMIM DRIVER Modified (USE AS LINK) SCMC PATIENT TEAM CHANGES Modified (USE AS LINK) SCMC PATIENT TEAM POSITION Modified (USE AS LINK) CHANGES SDAM APPOINTMENT EVENTS Modified (USE AS LINK) VAFC ADT-A08 SERVER Modified (USE AS LINK) VPR ADT-A08 CLIENT New VPR APPT EVENTS New VPR DG UPDATES New VPR DGPF EVENTS New VPR GMPL EVENT New VPR GMRA ERROR EVENTS New VPR GMRA EVENTS New VPR IBCN EVENTS New VPR INPT EVENTS New VPR LRAP EVENTS New VPR NA EVENTS New VPR PCE EVENTS New VPR PCMM TEAM New VPR PCMM TEAM POSITION New VPR RMIM EVENTS New VPR XQOR EVENTS New Additional Information: ----------------------- Blood Bank Team Coordination: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: N/A Test Sites: ----------- Charleston, SC North Chicago, IL Software and Documentation Retrieval Instructions: -------------------------------------------------- Software is being released as a host file, DI_222_9_VPR_1_8.KID, containing two patches: DI*22.2*9 and VPR*1*8. 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 Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode ---------------------------------------------------------------------- VPR*1*8 & DI*22.2*9 DI_222_9_VPR_1_8.KID ASCII VPR Technical Manual VPR_TM.PDF Binary VPR_TM.DOCX Binary Patch Installation: ------------------- Refer to Patch DI*22.2*9 for installation instructions. Patches DI*22.2*9 and VPR*1*8 are scheduled to be released nationally as a bundle. Installation of these patches into Production within the first 15 days from the National Release date is requested. The VA leadership has asked for an expedited release to comply with the schedule for the high profile Mission Act. Certain functionality has to be loaded into production in 130 VA Medical Centers within a short timeframe. We appreciate your cooperation. Post-Installation Instructions: ------------------------------- Your site will be contacted when it is time for HealthShare to monitor patient events. At this time, no additional setup is needed after patch VPR*1*8 is installed. Backout Procedures: ------------------- Back-out will be done only with the concurrence and participation of the development team, health product support, and appropriate VA site/region personnel. All components exported by the patch (excluding linked Protocol menus) are new and could be removed from the system if needed. Please call the national help desk or enter a help desk ticket for assistance. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;VIRTUAL PATIENT RECORD;**[Patch List]**;Sep 01, 2011;Build 87 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: VPREHL7 Before: n/a After: B7760700 **8** Routine Name: VPREVNT Before: n/a After:B123701454 **8** Routine Name: VPRHS Before: n/a After: B23926181 **8** Routine Name: VPRHST Before: n/a After: B15285575 **8** Routine Name: VPRHST1 Before: n/a After: B5849231 **8** Routine Name: VPRHSX Before: n/a After: B13465259 **8** Routine Name: VPRIDX Before: n/a After: B2708676 **8** Routine Name: VPRP8I Before: n/a After: B775515 **8** Routine Name: VPRPROC Before: n/a After: B449786 **8** Routine Name: VPRSDA Before: n/a After:B175529612 **8** Routine Name: VPRSDAL Before: n/a After: B7855097 **8** Routine Name: VPRSDAP Before: n/a After: B21076843 **8** Routine Name: VPRSDAQ Before: n/a After:B144153181 **8** Routine Name: VPRSDAR Before: n/a After: B9382651 **8** Routine Name: VPRSR Before: n/a After: B1400443 **8** ============================================================================= User Information: Entered By : Date Entered : JUL 26, 2018 Completed By: Date Completed: FEB 04, 2019 Released By : Date Released : FEB 04, 2019 ============================================================================= Packman Mail Message: ===================== No routines included