$TXT Created by MIESSEN,MIKE D at DEVVII.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 02/02/06 at 13:00 ============================================================================= Run Date: MAR 20, 2006 Designation: RA*5*57 Package : RA - RADIOLOGY/NUCLEAR MEDICINE Priority: Mandatory Version : 5 SEQ #56 Status: Released Compliance Date: APR 20, 2006 ============================================================================= Associated patches: (v)RA*5*41 <<= must be installed BEFORE `RA*5*57' (v)RA*5*45 <<= must be installed BEFORE `RA*5*57' (v)IB*2*286 <<= must be installed BEFORE `RA*5*57' Subject: PFSS - Radiology Category: - Enhancement (Mandatory) - Routine - Data Dictionary Description: ============ This patch is part of the Patient Financial Services System (PFSS) project. PFSS patches are being released on various schedules. Some patch functionality will not be active until a new PFSS switch is activated during final implementation. PFSS will initially be implemented at select pilot sites ONLY. The purpose of the PFSS project is to prepare the Veterans Health Information Systems and Technology Architecture (VistA) environment for the implementation of a commercial off-the-shelf (COTS) billing replacement system. The project consists of the implementation of the billing replacement system, business process improvements, and enhancements to VistA to support integration with the COTS billing replacement system. Significant changes to VistA legacy systems and ancillary packages are necessary. Some of the PFSS software components are not operational until the PFSS On/Off Switch, distributed with patch IB*2*260, is set to "ON" . The ability for the local site to set the switch to "ON" will be provided at the appropriate time with the release of a subsequent Integrated Billing patch. For more information about the PFSS project, review the documentation accompanying this patch and refer to the following website: http://vista.med.va.gov/billreplace/ The enhancements in this Patch will ensure that all orders will have: 1) a PFSS Account Reference that is associated to the order and 2) a valid CPT and Department code for sending to PCE for proper charge of Radiology procedures. No changes will be noticeable to the user community due to the modifications made for this project. No new prompts nor any changes to report output or formatting will occur. No additional processing time should be noticed as a result of these modifications. 2 new fields have been added : File RAD/NUC MED ORDERS FILE (#75.1) has a new field added: PFSS ACCOUNT REFERENCE (#90) Points to file PFSS ACCOUNT (#375) File IMAGING TYPE (#79.2) has a new field added: PFSS Dept. Code (#90) 1) Routine RA57PST is new and is the post installation routine which will loop through file #79.2 and insert the appropriate Department Code. This routine may be deleted after RA*5*57 is installed. 2) Routine RABWIBB is new and contains code that is used to check the switch status, to initialize some input variables for an IBB API, to get a PFSS Account Reference for both CPRS (frontdoor) and Radiology (backdoor) orders, to cancel a PFSS Account Reference, and to retrieve the Department Code and PFSS Account Reference. 3) Routine RABWIBB2 is new and contains coding that sets up the remaining variables required by an IBB API. This routine then calls the IBB API to collect the new PFSS Account Reference which is passed back to the calling routines. It also stores the PFSS Account Reference in the RAD/NUC MED ORDERS file, #75.1. 4) Routine RABWORD is a modified routine which contains coding that will trigger the process of retrieving a new PFSS Account Reference when a new order is placed, from both CPRS (front door) and from Radiology (back door). It will not trigger this process if a back door order was updated from CPRS. 5) Routine RABWORD1 is a modified routine which contains coding to flag that we're processing a CPRS update to the ordering DX and ordering clinical indicators of a back door order. 6) Routine RAO7OKS is a modified routine which contains coding to get a new PFSS Account Reference for a new order placed from CPRS (front door). This number will be passed back to CPRS in a new PV1 segment of the pseudo HL7 message and will be stored in the Radiology application. This routine also contains coding to cancel an existing PFSS Account Reference when an order is discontinued from CPRS (front door). 7) Routine RAO7UTL is a modified routine which contains coding to include the PFSS Account Reference in the PV1 segment of the pseudo HL7 message to CPRS, for a Radiology (back door) order. 8) Routine RAORDU is a modified routine which contains coding which checks if the Request Status is DISCONTINUE, and if it is, send a "Delete" event to IBB. 9) Routine RAPCE is a modified routine which contains coding which will check the PFSS status switch and if it is active will send the Department Code and PFSS Account Reference to PCE. The Radiology Technical manual will be updated with a subsequent patch release. The following documentation has been updated to reflect changes associated with this patch: Release Notes (RA_5_P57_RN.pdf) Tech Manual changes will be updated with a subsequent patch Technical manual (RA5_0tm.pdf) Documentation can also be retrieved from VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. They can be found in the following [ANONYMOUS.SOFTWARE] directories: PREFERRED ADDRESS ------------------------- First available ftp server download.vista.med.va.gov SPECIFIC FIELD OFFICE FTP ADDRESS --------------------- ------------------------ Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov PARTICIPATING TEST SITES: ========================= Dayton, OH Boston, MA Tuscaloosa, AL The second line of the routines now look like : ;5.0;Radiology/Nuclear Medicine;**[patch number]**;Mar 16, 1998 CHECK^XTSUMBLD results Name Before Patch After Patch Patch List ---------------------------------------------------------------- RA57PST (NEW) 3181470 57 RABWIBB (NEW) 1452357 57 RABWIBB2 (NEW) 3343009 57 RABWORD 8574365 8675158 41,57 RABWORD1 6076103 6138394 41,57 RAO7OKS 1868878 2152361 18,57 RAO7UTL 6235271 6486609 18,45,57 RAORDU 14094086 14188543 18,41,57 RAPCE 15492591 16141428 10,17,21,26,41,57 INSTALLATION INSTRUCTIONS ========================= The install time for this patch is less than five minutes. Since the entire exam status mechanism may be affected, you should install this patch at a time when Rad/Nuc Med users are off the system. NOTE: MailMan and Kernel patches must be current on the target system to avoid problems loading and installing this patch. 1. If the above routines are mapped, disable mapping for them. 2. Use the 'INSTALL/CHECK MESSAGE' option of your PackMan menu to load the KIDS patch onto your system. 3. The patch has now been loaded, on the 'Kernel Installation & Distribution System' Menu (KIDS), select the 'Installation' menu. From this menu you may choose the following options prior to installing this patch: a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as data dictionaries or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.) c. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routine that is in the transport global. 4. Use the 'Install Package(s)' option under the 'Installation' menu. When prompted for INSTALL NAME, enter: RA*5.0*57. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond NO. When prompted "Want to DISABLE Scheduled Options and Menu Options? YES//", respond YES. When prompted "Enter options you wish to mark as 'Out of Order':", enter the following to disable all Rad/Nuc Med options: RA* When prompted "Enter protocols you wish to mark as 'Out of Order':", enter the following to disable all Rad/Nuc Med protocols: RA* 5. Verify that the patch installation completed correctly by using the KIDS "Utilities..." [XPD UTILITY] option's 'Install File Print' [XPD PRINT INSTALL FILE] option and selecting this patch (RA*5.0*57). 6. On a mapped system, rebuild your map set. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RA57PST Before: After: B4380126 **57** Routine Name: RABWIBB Before: After: B3220184 **57** Routine Name: RABWIBB2 Before: After: B6487618 **57** Routine Name: RABWORD Before: B22120210 After: B22685982 **41,57** Routine Name: RABWORD1 Before: B18640503 After: B19945341 **41,57** Routine Name: RAO7OKS Before: B2822901 After: B3815375 **18,57** Routine Name: RAO7UTL Before: B24997892 After: B26579249 **18,45,57** Routine Name: RAORDU Before: B27120538 After: B27668360 **18,41,57** Routine Name: RAPCE Before: B41092533 After: B45053281 **10,17,21,26,41,57** ============================================================================= User Information: Entered By : MO,SELINA Date Entered : DEC 29, 2004 Completed By: LYNCH,MARY F. Date Completed: MAR 10, 2006 Released By : THORNTON,NANCY Date Released : MAR 20, 2006 ============================================================================= Packman Mail Message: ===================== $END TXT