$TXT Created by at CHY0132D.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 04/04/24 at 15:49 ============================================================================= Run Date: APR 18, 2024 Designation: YS*5.01*227 Package : YS - MENTAL HEALTH Priority: Mandatory Version : 5.01 SEQ #179 Status: Released Compliance Date: MAY 19, 2024 ============================================================================= Associated patches: (v)YS*5.01*193 <<= must be installed BEFORE `YS*5.01*227' (v)YS*5.01*149 <<= must be installed BEFORE `YS*5.01*227' Subject: NATIONAL CLOZAPINE ENHANCEMENTS Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ The purpose of this patch is to implement requested feature enhancements in the VistA Clozapine logic. The Clozapine order check logic has been updated to use the value of a new field in the Clozapine Parameters file to determine how far back to look for blood test labs when placing Clozapine orders. In addition, lab results entered with only a date in the collection time will no longer be excluded from the search. The nightly process has also been updated to allow 74 days without activity before automatically discontinuing a patient as a Clozapine patient instead of the old period of 28 days for newly-registered patients and 56 days for established patients. The DCON (discontinue) command in the MailMan server logic has been modified to toggle the patient's Clozapine status between Active and Discontinued. The CLOZAPINE PATIENT LIST (#603.01) FILE has been updated to add a new index on the CLOZAPINE REGISTRATION NUMBER (#.01) and CLOZAPINE PATIENT (#1) fields that will trigger when the record is deleted and automatically discontinue that patient as a Clozapine patient in the PHARMACY PATIENT (#55) file. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) ------------------ ------------------- CLOZAPINE PATIENT LIST CLOZAPINE REGISTRATION NUMBER (#.01) (#603.01) CLOZAPINE PATIENT (#1) CLOZAPINE PARAMETER LAB LOOKBACK DEFAULT (#12) (#603.03) DISCONTINUE LOOKBACK (#13) Forms Associated: Form Name File Number --------- ----------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name New/Modified/Deleted Type -------------------- ---- 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) ------------- ---- ------------------ N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) and Overview: -------------------------------------------- N/A Test Sites: ----------- Hines VAMC, Hines, IL West Haven VAMC, West Haven, CT Test Sites - Service Now Change Order #: Hines VAMC - CHG0470350 West Haven VAMC -CHG0471039 Software and Documentation Retrieval Instructions: -------------------------------------------------- Documentation Title File Name --------------------------------------------------------------------- National Clozapine Registry Web Application Deployment, YS_5_01_227_DIBRG.PDF Installation, Back-out, and YS_5_01_227_DIBRG.DOCX Rollback Guide National Clozapine Registry Web Application Technical YS_5_01_227_TM.PDF Manual YS_5_01_227_TM.DOCX The software for this patch is being released in a PackMan message. Patch Installation: ------------------- Pre/Post Installation Overview: ------------------------------- There are no manual pre- or post-installation steps. The post-installation routine will ensure the new fields being added to the CLOZAPINE PARAMETER (#603.03) file are initialized to the correct values. This routine, YSCLP227, can be deleted after installation is complete. 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 or build name. (ex. YS*5.01*227) NOTE: Using 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 YS*5.01*227 iii. When prompted for the following, enter "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// B iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press 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. Post-Installation Instructions: ------------------------------- There are no special Post-Installation Instructions. 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 routines 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 routines 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 routines onto the VistA System. 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: ;;5.01;MENTAL HEALTH;**[Patch List]**;Dec 30, 1994;Build 17 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: YSCLDIS Before: B47418871 After: B58078010 **122,154,227** Routine Name: YSCLHLAB Before: B64118336 After: B68642721 **149,227** Routine Name: YSCLP227 Before: n/a After: B98570 **227** Routine Name: YSCLSRV2 Before: B46125256 After: B56432515 **69,90,92,154,166,227** Routine Name: YSCLTST2 Before:B132477223 After:B133211016 **18,22,26,47,61,69,74,90,92, 122,166,193,227** Routine Name: YSCLTST4 Before: B23499494 After: B23651459 **92,122,166,227** Routine list of preceding patches: 149, 193 ============================================================================= User Information: Entered By : Date Entered : APR 07, 2023 Completed By: Date Completed: APR 18, 2024 Released By : Date Released : APR 18, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT