$TXT Created by at MHDEV.DEVSLC.DOMAIN.EXT (KIDS) on Monday, 08/10/26 at 12:20 ============================================================================= Run Date: SEP 29, 2026 Designation: YS*5.01*246 Package : YS - MENTAL HEALTH Priority: Mandatory Version : 5.01 SEQ #203 Status: Released Compliance Date: OCT 30, 2026 ============================================================================= Associated patches: (v)YS*5.01*236 <<= must be installed BEFORE `YS*5.01*246' (v)YS*5.01*269 <<= must be installed BEFORE `YS*5.01*246' Subject: MHA INSTRUMENT AND FUNCTION UPDATES Category: - Routine Description: ============ This patch updates instruments and updates functionality of the MENTAL HEALTH ASSISTANT (MHA) application. This patch updates the following instruments: -Alcohol Use Disorders Identification Test - Consumption AUDC -Care Coordination & Integrated Case Management CCICM20 (CC&ICM) Complexity Assessment -Diabetes Distress Screen DDS2 -National Early Warning Score NEWS -Post Anesthesia Sedation Score Phase 1 PASS-1 -Post Anesthesia and Sedation Score Phase 2 PASS-2 -Missouri Alliance for Home Care - 10 questions MAHC-10 -Columbia Suicide Severity Rating Scale C-SSRS_V2 (C-SSRS) - Version 2 -Montreal Cognitive Assessment Version 8.1 MOCA_8.1 -Montreal Cognitive Assessment Version 8.2 MOCA_8.2 -Montreal Cognitive Assessment Version 8.3 MOCA_8.3 This patch will deactivate the following instrument: -The Acceptance and Action Questionnaire (AAQ-2) AAQ-2 -Columbia Suicide Severity Rating Scale (C-SSRS) C-SSRS -Eating Attitudes Test-26 Item (EAT-26) EAT-26 Update to the code behind the REMOTE PROCEDURE CALL (RPC) list for Patient Entry. Update to the code behind the RPC list for Staff Entry to retrieve details for single administration. Update to the code for Patient Entry Progress Note RPC to quit if no Progress Note text. (Found when invoked by a restricted instrument). Also update MH ADMINISTRATIONS (#601.84) if progress note generated. Update to the code for Patient Entry Progress Note RPC to honor the cosigner property if it is sent in. Update code for MH ADMINISTRATION RPC for setting REVIEWED flag to allow user who is not the ordering provider to mark it as REVIEWED. Update MH TESTS AND SURVEYS file (#601.71) and MH TEST/SURVEY SPEC file (#601.712) to change RESTART DAYS from 2/null to 7. Update Alcohol Use Disorders Identification Test - Consumption (AUDC) report to always consider a numerical score of >=5 to be positive. Update code behind the Remote Procedure Call (RPC) for filing instrument administrations for high volume of requests. EHRM Impact Statement: ---------------------- This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------ -------------------- N/A Forms Associated: Form Name File # 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 Type 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 Parameters Associated: Parameter Definition 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) & Overview: -------------------------------------------- N/A Test Sites: ----------- Clement J. Zablocki VAMC (Milwaukee, WI) Orlando VAMC (Orlando, FL) St. Louis VAMC (St. Louis, MO) Test Sites - SNOW Change Order #: Clement J. Zablocki VAMC: Change Order # CHG0779584 Orlando VAMC: Change Order # CHG0781497 St. Louis VAMC: Change Order # CHG0779700 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. 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. Documentation Title File Name ------------------------------------------------------------ Mental Health Assistant MHA_UM.DOCX User Manual MHA_UM.PDF Patch Installation: ------------------- Pre/Post Installation Overview: The post-installation process for this patch will involve updating instruments and the MHA launch URL. The routine YS246PST may be deleted after the installation completes, if desired. 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. (YS*5.01*246) 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*246) 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 this message? 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: The post-install will update the URL for launching Mental Health Assistant (MHA) in the Computerized Patient Record System (CPRS) Tools menu. It will also install and update instruments. Installation Verification Procedure: 1. Go to CPRS and log in. 2. Go to the Tools Menu and launch MHA. 3. Verify that the URL has "patch246" in it. Back-Out/Roll Back Plan: ------------------------ If the patch is to be backed out, use the backup mail message created in step B. of the Installation Instructions to restore the routines. Rollback Procedure: To rollback this patch, the MH TESTS AND SURVEYS File (#601.71) needs to be updated. The AAQ-2 instrument that was deactivated in the MH TESTS AND SURVEYS File (#601.71) needs to be changed to OPERATIONAL = YES. 1. Log in to VistA. 2. Go to the VA FileMan menu 3. Go to Enter or Edit File Entries 4. At the Input to what File: prompt enter MH TESTS AND SURVEYS 5. At the EDIT WHICH FIELD prompt enter: OPERATIONAL LAST EDIT DATE LAST EDITED BY 6. At the Select MH TESTS AND SURVEYS NAME: prompt enter AAQ-2 7. At the OPERATIONAL prompt enter YES 8. At the LAST EDIT DATE prompt enter N for NOW 9. At the LAST EDITED BY prompt enter your name 10. Repeat steps 6-9 for the EAT-26 instrument The link in CPRS will need to be reverted to its original format. 1. Log in to VistA. 2. Go to the GUI TOOL MENU. 3. Select SYS for System level. 4. Identify the Sequence number for the MHA option. 5. At the Replace prompt enter /patch246/ 6. At the With prompt enter /patch269/ 7. Press ENTER to exit the GUI TOOL option. Rollback Verification Procedure: 1. Go to CPRS and log in. 2. Go to the Tools Menu and launch MHA. 3. Verify that the URL in the browser has "patch269" in it. Each of the instruments that were modified by the patch will have to be evaluated on a case by case basis. They are: -Care Coordination & Integrated Case Management CCICM20 (CC&ICM) Complexity Assessment -Diabetes Distress Screen DDS2 -National Early Warning Score NEWS -Post Anesthesia Sedation Score Phase 1 PASS-1 -Post Anesthesia and Sedation Score Phase 2 PASS-2 -Missouri Alliance for Home Care - 10 questions MAHC-10 -Columbia Suicide Severity Rating Scale C-SSRS_V2 (C-SSRS) - Version 2 Routine Information: ==================== The second line of each of these routines now looks like: ;;5.01;MENTAL HEALTH;**[Patch List]**;Dec 30, 1994;Build 38 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: YS246PST Before: n/a After: B35357447 **246** Routine Name: YTQAPI1 Before: B38971544 After: B38983449 **85,119,121,141,217,249,252, 240,250,246** Routine Name: YTQRCDB Before:B106443894 After:B106878766 **239,224,249,250,236,246** Routine Name: YTQRCDB2 Before: B23260673 After: B42154587 **239,250,236,246** Routine Name: YTQRCDB3 Before: B31863795 After: B44656091 **239,224,236,246** Routine Name: YTQREST Before: B54533191 After: B56102876 **158,178,182,181,187,199,202, 204,208,223,238,239,249,250, 236,246** Routine Name: YTQREST0 Before: B14290270 After: B16901181 **130,178,182,187,223,239,224, 236,246** Routine Name: YTQRQAD1 Before:B131799098 After:B130844378 **130,141,178,182,181,187,199, 207,204,223,240,246** Routine Name: YTQRQAD2 Before: B71758288 After: B71115263 **130,141,173,178,182,181,199, 202,204,208,233,223,234,238, 250,236,246** Routine Name: YTQRQAD4 Before:B204786461 After:B205701342 **158,178,182,181,187,199,202, 204,221,249,236,246** Routine Name: YTSAUDTC Before: B5918640 After: B7159895 **123,141,246** Routine Name: YTSCSSR2 Before: B10481855 After: B12065715 **269,246** Routine list of preceding patches: 236, 269 ============================================================================= User Information: Entered By : Date Entered : MAR 05, 2024 Completed By: Date Completed: SEP 28, 2026 Released By : Date Released : SEP 29, 2026 ============================================================================= Packman Mail Message: ===================== $END TXT